• Title/Summary/Keyword: Over 20 year old

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Acute Kidney Injury after Dose-Titration of Liraglutide in an Obese Patient (비만 환자에서 리라글루티드 증량 과정에서 발생한 급성 신손상)

  • Lee, Hee Jin;Park, Hye Soon
    • Archives of Obesity and Metabolism
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    • v.1 no.2
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    • pp.78-82
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    • 2022
  • Liraglutide (SaxendaR) is prescribed to induce and sustain weight loss in obese patients. The starting dose of liraglutide is 0.6 mg/day for 1 week, which is increased by 0.6 mg/day every week until the full maintenance dose of 3 mg/day is achieved. Such dose titration is needed to prevent side effects, which primarily include gastrointestinal problems such as nausea, diarrhea, constipation, vomiting, dyspepsia, and abdominal pain. A 35-year-old, reportedly healthy obese man receiving liraglutide treatment for obesity visited the emergency room complaining of generalized weakness and dizziness accompanied by repeated diarrhea and vomiting. He reported over 20 episodes of diarrhea starting the day after liraglutide dose escalation from 1.2 mg/day to 1.8 mg/day. Laboratory findings suggested pre-renal acute kidney injury, including serum creatinine 4.77 mg/dl, blood urea nitrogen (BUN) 37 mg/dl, estimated glomerular filtration rate (eGFR) 15 ml/min/1.73 m2, and Fractional excretion of sodium 0.08. After volume repletion therapy, his renal function recovered to a normal range with laboratory values of creatinine 1.08 mg/dl, BUN 14 mg/dl, and eGFR 88 ml/min/1.73 m2. This case emphasizes the need for caution when prescribing glucagon-like peptide-1 receptor agonists, including liraglutide, given the risk of serious renal impairments induced by volume depletion and dehydration through severe-grade diarrhea and vomiting.

Traditional Korean Medicine for Treating Bechet's Disease Symptoms of the Upper Burner: A Case Report (베체트병으로 상초(上焦) 부위의 증상을 호소하는 환자에 대한 치험1례)

  • Min, Seonwoo;Moon, Jiseong;Kim, Yeseul;Park, Jiyoon;Hong, Junghwa;Jeong, Ji-Cheon
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.130-143
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    • 2022
  • Objective: This case report presents the effects of traditional Korean medical treatment for a patient with symptoms of the upper burner due to Beçhet's disease. Methods: A 42-year-old male patient was treated with traditional Korean herbal medicine (herbal formulas and patent medicines), acupuncture, and cupping therapy. Neck, ocular, and right wrist pain and xerostomia were assessed daily with a numeric rating scale (NRS) and grading assessment tool for subjective symptoms. Results: For a total of 20 days over two hospitalizations, the patient's neck pain was relieved from NRS 4 to 1, the ocular pain from NRS 5 to 1, the right wrist pain from NRS 7 to 1, and the xerostomia from grade 8 to 1. Conclusion: These results show that Beçhet's disease symptoms of the upper burner can be relieved with traditional Korean medical treatment, although additional well-designed studies are required to confirm these findings.

A Case of Malignant Peripheral Nerve Sheath Tumor in Parapharyngeal Space (부인두 공간에서 발생한 악성 말초 신경초 종양 1예)

  • Lee, Hyun Sub;Lee, Chang Hee;Jin, Sung Min;Lee, Sang Hyuk
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.55 no.3
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    • pp.181-184
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    • 2012
  • The malignant peripheral nerve sheath tumor is an extremely rare soft tissue sarcoma. It is a highly malignant sarcoma, which is locally invasive, frequently leading to multiple recurrences and eventual metastatic spread. The peak incidence of disease is known to occur sporadically between the age of 20s and 50s, and is usually associated with the neurofibromatosis type I. In human body, the trunk and extremities are the most commonly involved sites, with only 8-14% of all lesions appearing in the head and neck region. We present a case of malignant peripheral nerve sheath tumor involving the right parapharynx in a 48-year-old patient who complained of headaches in the right parietal area and of dysphagia that aggravated over a month. After surgery, tumor was finally diagnosed as malignant peripheral nerve sheath tumor by histopathologic examinations. The authors report a case of malignant peripheral nerve sheath tumor in the right parapharynx with a review of the literature.

A Case of Parotid Carcinoma Ex Pleomorphic Adenoma with Mixture of Malignant Subtypes (이하선에 발생한 혼합 아형의 암종들로 구성된 다형선종 유래 암종 1예)

  • Youn Jin Cho;Young Rok Jo;Sang-Yeop Lee;Hye Ran Lee
    • Korean Journal of Head & Neck Oncology
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    • v.40 no.1
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    • pp.37-41
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    • 2024
  • Carcinoma ex pleomorphic adenoma is an uncommon malignant salivary gland tumor that arises from a long-standing pleomorphic adenoma. The carcinomatous component of carcinoma ex pleomorphic adenoma can possess virtually any histologic subtype of salivary gland cancer. We experienced a case of a 61-year-old patient who presented with a right parotid mass that was initially palpated 20 years ago, with a sudden increase in size in the last few months. Radiological and cytological findings from fine needle aspiration biopsy could not exclude malignancy. Total parotidectomy and selective neck dissection were performed for treatment, and carcinoma ex pleomorphic adenoma with mixed carcinoma components of salivary duct carcinoma and myoepithelial carcinoma was diagnosed. After receiving postoperative radiation of 6000 cGy over 6 weeks, there has been no recurrence up to the 18-month follow-up. We report this rare case of carcinoma ex pleomorphic adenoma with mixed malignancy subtypes, accompanied by a review of literature.

Growth Properties of Carex kobomugi Ohwi (통보리사초(Carer kobomugi Ohwi)의 생육 특성)

  • Min, Byeong-Mi
    • The Korean Journal of Ecology
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    • v.27 no.1
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    • pp.49-55
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    • 2004
  • To verify growth properties of Carex kobomugi, above and belowground parts of C. kobomugi were surveyed on coastal sand dune at Sinduri, Choongnam Province from April, 2001 to June 2003. The results were the same as follows. In coastal sand dune, C. kobomugi followed Elymus mollis from mean high tide line. Density of C. kobomugi was the highest at unstable sand dune and 150 plants/㎡. And rates of flowering plant were 70% at unstable area and 10% at stable area. C.kobomugi is thus plant that adapted to unstable sand dune. Shoot distributed irregularly. The rhizome of C. kobomugi gradually decreased with the soil depth in unstable area, but mainly distributed to 20 ㎝ depth. New rhizome could be generated from the rhizome which was below 150 ㎝ depth or 5 years old. The number and length of new rhizome were related to biomass of previous year's shoot. That was, shoots which were below 0.5 and over 3 g/shoot in dry weight generated 1 and 5 rhizomes, respectively. And the mean lengths of rhizome from small (below 0.5 g) and large (over 3.0 g) shoots were 13.0 ㎝ and 57.6 ㎝, respectively.

Current trends in orthodontic patients in Seoul National University Dental Hospital (서울대학교 치과병원 교정과에 내원한 부정교합 환자의 최근 경향)

  • Im, Dong-Hyuk;Kim, Tae-Woo;Nahm, Dong-Seok;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.33 no.1 s.96
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    • pp.63-72
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    • 2003
  • Over the Past decades, the number of Patients seeking orthodontic treatment has increased markedly with socioeconomic development and change of recognition on appearance. The purpose of this study was to provide an epidemiologic data base related to the orthodontic treatment need. We could take an adequate information regarding the characteristics of orthodontic patients, and the changing trends about treatment mordality. Distrubution and treands were Investigated in 676 patients who had been examined and diagnosed at Department of orthodontics, Dental Hospital, Seoul National University from January to June in 1992 and 2002. 1. Sex distribution of patients changed from 1:2.1 to 1:1.5 (male female). 2. In 2002, are distribution had shown $7\~12$ year-old group being the largest$(32.0\%)$ and percentage of $19\~24,\;13\~18,\;over\;25,\;4\~6,\;0\~3$ year-old group were $24.0\%,\;21.6\%,\;14.2\%,\;5.8\%,\;2.4\%$ respctively. Compared with data in 1992, the number of adult patients highly increased. 3. With regard to Angle classification, each percentage of Class I, Class II div 1, Class II div 2, and Class III malocclusion were $25.0\%,\;20.9\%,\;3.4\%,\;and\;48.1\%$ respectively in 2002. 4. Geographic distribution showed that most of the patients visited $(37.0\%)$ lived in northeast of Seoul in 2002. 5. Mandibular prognathism showed the highest percentage in chief complaints. The percentages of crowding and facial asymmetry were $14.2\%\;and\;11.8\%$ in 2002. Patients with facial asymmetry increased significantly. 6. Percentages of patients treated with fixed appliance and orthognathic surgery were $38.0\%\;and\;25.0\%$ in 2002. Patients needed to observe the growth pattern comprised $13.0\%$ with increasing trends. The use of chin cap reduced and the percentage of ortognathic surgery and growth observation increased significantly.

A Study on the Cooperation for the activation-type curriculum development site close (산학협력 활성화를 위한 현장밀착형 교과과정 개발에 관한 연구)

  • Kim, Heung-Su
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.59-69
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    • 2013
  • 20s country employment rate to 57% in the last four years, is staying low. College graduates in the 25-29 year old crowd real unemployment rate is over 20% youth unemployment, the analysis problem is serious enough. Accordingly, activation of Cooperation, which addresses the issues of these countries now being recognized as the primary means, and in the future, government policy and national indicators to be given more attention and support seems clear. Government from 2012 'Cooperation Development Project leading universities' (LINC: Leaders in INdustry-university Cooperation) by promoting companies that require manpower, actual research and development and technology transfer to enable the University - Industry - between research institutions based on organic correlated with local universities and industrial growth model for the creation of a variety of leading industry cooperation. has to diffuse. This background, the aim of this study at the University of excavation site close-type talent. Fostering curriculum development are essential to the field on the form will close. In this study, major department (Department) conducted by major research based on the results of the curriculum needs to spread the field for Cooperation closely analyze the curriculum and Annual type, domain-specific promotion measures proposed.

Evaluation of Nutrient Intake Quality Over 40 Year-Old People Living in Rural and Suburban Areas (농촌과 중소도시지역 40세 이상 성인의 영양소 섭취 질의 평가)

  • Lee, Ji-Eun;Ahn, Youn-Jhin;Lee, Ju-Young;Cha, Jung-Ho;Park, Chan;Kimm, Ku-Chan
    • Korean Journal of Community Nutrition
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    • v.9 no.4
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    • pp.491-500
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    • 2004
  • To assess the quality of nutrient intake by area of Korean adults, a dietary survey with the 3-day record method was obtained from 324 subjects aged 40 years and older but younger than 70 (52.4 $\pm$ 8.7) living in a rural area (Ansung) and suburban area of a middle-sized city (Ansan). The quality of nutrient intake was assessed by analyzing Nutrient Adequacy Ratio (NAR), Mean Adequacy Ratio (MAR) and Index of Nutritional Quality (INQ). The average daily mean energy intakes were 1,832 ㎉ for Ansung and 1,842 ㎉ for Ansan, respectively. Daily intakes of fat for Ansung and Ansan subjects were 40.9 and 40.3 g, and those for protein were 75.1 and 73.1 g, respectively. The overall calorie: protein: fat ratio (CPF) of energy intake was 63 : 17 : 20. Daily mean intakes of protein, fat, calcium, phosphorus, iron, potassium, carotene, sodium, thiamin, and niacin were significantly higher in Ansung residents than in Ansan subjects (p < .05). The average intakes of energy, calcium, vitamin A were lower than Recommend Dietary Allowance (RDA) in both areas. Note, over 30% of the study subjects had less than 75% of RDA of calcium, vitamin A and riboflavin. The MAR was higher in Ansung than Ansan residents (0.86 and 0.85, respectively; p < .05). INQs were over 1 for most nutrients except calcium (0.87), and that of calcium and phosphorus was each significantly higher in Ansung than Ansan subjects. Based on these results, nutrient intake quality of subjects aged 40 to 69 years living in the surveyed rural area is comparable to that of semi-industrialized suburban area in Korea. Dietary deficiency in all of calcium, vitamin A, and riboflavin, however, was a common problem for both rural and suburban residents.

RETROSPECTIVE STUDY OF SHORT ROUGH SURFACE IMPLANTS (짧은 길이의 거친 표면 임프란트에 대한 후향적 연구)

  • Kong, Jun-Ha;Lee, Baek-Soo;Kim, Yeo-Gab;Kwon, Yong-Dae;Yoon, Byung-Wook;Choi, Byung-Joon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.41-45
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    • 2009
  • Background: Reduced bone height is one of the major problems faced in restoring tooth loss with implants. By the use of short implants, it is possible to reduce complicated and invasive treatment such as bone graft, allowing more simple surgery. But short implants are generally considered to have lower success rates than that of standard implants. Purpose: To assess the results of short Straumann implants by a retrospective study of short Straumann implants with TPS(titanium plasma-sprayed) and SLA(sandblasted, large grit, acid etched) surfaces. Materials and methods: 173 implants in 106 patients who received short Straumann implant surgery(${\le}8\;mm$) in the department of oral and maxillofacial surgery, Kyunghee Dental Hospital, from February 1996 to October 2006 were selected and studied. All of the implants were followed up after prosthetic rehabilitation. The average follow-up period was 34 months with 119 months as the longest follow up period. The average follow-up period after prosthetic rehabilitation was 31 months. 64 females(60.4%) and 42 males(39.6%) participated in the research with the age range of 19 to 85(mean age 47). 20 patients(18.9%) were under 40, 85 patients(80.2%) were over 40 and under 70, and only one patient(0.9%) was over 70 years old. Results: 27 implants(15.6%) had TPS surface while 146 implants(84.4%) had SLA surface. 9 implants(5.2%) were 3.3, 108 implans(62.4%) were 4.1mm and 56 implants(32.4%) were 4.8mm in diameter. 167 implants(96.5%) were 8mm and 6 implants(3.5%) were 6mm in length. There were 24 implants(13.9%) on the maxillas and 149 implants(68.8%) on the mandibles. 119 implants(68.8%) were rehabilitated with FPD(fixed partial denture), 47 implants(27.2%) with single crowns and 4 implants(2.3%) with overdentures. Among the fixed partial dentures, 30 of them were splinted with short implants only. After over an year of follow-up period, 139 implants(96.5%) out of 144 implants showed marginal bone loss of less than 1mm. 3 out of 173 implants failed showing 98.27% survival rate. Conclusions: The use of short Straumann implants(${\le}8mm$) can be a simple and reliable treatment method in minimal residual bone height.

Vegetation Structure, Regeneration Niche, and Dynamics of the Saplings in Abies koreana Forest of the Mt. Chiri (지리산(智異山) 구상나무임분(林分)의 식생구조(植生構造)와 치수(稚樹) 발생(發生) 및 생육(生育) 동태(動態))

  • Chung, Jae Min;Lee, Soo Won;Lee, Kang Young
    • Journal of Korean Society of Forest Science
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    • v.85 no.1
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    • pp.34-43
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    • 1996
  • We investigated the vegetation structure, and effects of canopy degree(gap or purlieu to 25%, 50%, 75%, over 75%) of the overstory on seedling regeneration and survivorship, and sapling density, growth and growth type of Abies koreana in subalpine of Mt. Chiri. The stem density in Abies koreana stand was higher in middle story than upper story, individual trees in upper story occupied larger area and were more apart, resulted in uniform distribution. The regeneration and survivorship of seedlings and saplings were best in 25% of crown closure, in order of 50%, gap, but lowest in over 75% of crown closure. The annual growth rate and recent 5 years growth rate of saplings were highest in gap or purlieu and getting lower toward gradually higher coverage of overstory. And 10- to 20-Year-old saplings were mainly regenerated in stands with lower density(I or II), but most of 20 to 30 years old saplings were growing in stands with higher density (III or IV). The number of "A" type saplings grown normally in gap or purlieu was gradually decreased in stand with higher density but the number of "D" or "E" types of which growth was supressed or prohibited by the high density was abruptly increased. Saplings normally growing in the gap and purlieu showed the panicle type, but those grown under dense crown were greatly suppressed and showed the umbellate type.

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