• 제목/요약/키워드: Patient outcome

검색결과 1,830건 처리시간 0.028초

Use of mini-implants to avoid maxillary surgery for Class III mandibular prognathic patient: a long-term post-retention case

  • Suh, Hee-Yeon;Lee, Shin-Jae;Park, Heung Sik
    • 대한치과교정학회지
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    • 제44권6호
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    • pp.342-349
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    • 2014
  • Because of the potential morbidity and complications associated with surgical procedures, limiting the extent of orthognathic surgery is a desire for many orthodontic patients. An eighteen-year-old woman had a severe Class III malocclusion and required bi-maxillary surgery. By changing the patient's maxillary occlusal plane using orthodontic mini-implants, she was able to avoid the maxillary surgery; requiring only a mandibular setback surgery. To accurately predict the post-surgery outcome, we applied a new soft tissue prediction method. We were able to follow and report the long-term result of her combined orthodontic and orthognathic treatment. The changes to her occlusal plane continue to appear stable over 6 years later.

A Case of Non-alcoholic Steatohepatitis Treated with Herbal Medicine

  • Son, Chang-Gue
    • 대한한의학회지
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    • 제32권3호
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    • pp.50-54
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    • 2011
  • Objective: To understand the characteristic of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH), and study the traditional Korean medicine (TKM)-based strategies or therapeutics for them. Methods: A male patient with NASH was treated with only Oriental therapies, and then the clinical outcome was evaluated by serum biochemical parameters and radiographs. Result: The clinical and biochemical values of the patient fluctuated over three years according to the treatments and cessation of herbal medicines. Conclusion: NASH or NAFLD are now prevalent and these disorders could be targets of TKM, and this case report would provide useful information.

Bucket Handle양상의 관절와 골절 - 증례보고- (Bucket Handle Type Fracture of the Glenoid)

  • 신상진;김성재;강호정
    • Clinics in Shoulder and Elbow
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    • 제6권1호
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    • pp.80-84
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    • 2003
  • We report a patient with an anterior dislocation of the shoulder with uncommon bucket handle type fracture of the anterior glenoid fossa with intact glenoid labrum. The fracture fragment was displaced into the posterior aspect of the glenohumeral joint resulting in prevention of reduction of the shoulder. Excellent fixation was obtained with suture anchors and bioabsorbable interfragmentary screws. This allowed stable range of motion exercises, optimizing the patient's functional outcome.

침윤성 Streptococcus pneumoniae 감염에 의한 비전형적 용혈성 요독 증후군 1 례 (A Case of Atypical Hemolytic Uremic Syndrome Associated with Invasive Streptococcus pneumoniae Infection)

  • 황수자;유은선;이승주
    • Childhood Kidney Diseases
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    • 제3권1호
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    • pp.104-108
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    • 1999
  • Atypical hemolytic uremic syndrome associated with neuraminidase-producing Streptococcus pneumoniae usually associated with invasive infection such as fulminant pneumonia, sepsis, and meningitis and may occur earlier in lift and has a higher mortality rate than typical hemolytic uremic syndrome. We have experienced a 22-month-old female patient with hemolytic uremic syndrome associated with S. pneumoniae pneumonia and empyema. The patient was treated with ceftriaxone and washed red blood cell transfusion. As the disese course could be aggravated by the use of blood products containing anti-Tomsen-Friedenreich antigen, early recognition and sensible use of blood products such as washed RBC might lead to the improved outcome.

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우측 소매 전폐 적출술 후 발생한 기관 협착증의 체외 순환을 이용한 수술치험 1례 (Tracheal Reconstruction Using Femoro-Femoral Bypass -A Case Report-)

  • 최필조
    • Journal of Chest Surgery
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    • 제27권4호
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    • pp.324-327
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    • 1994
  • Resection and reconstruction of distal trachea or carina have posed tremendous technical challenges for surgeons. Successful outcome depends on thorough preoperative evaluation, careful anesthetic management,strict attention of surgical technique and postoperative care. We report a successful case of revision of tracheal stenosis using femoro-femoral bypass on a 13~year-old boy. The patient complained severe dyspnea about I month following right sleeve pneumonectomy. Preoperative CT scan and intraoperative bronchoscopy showed pin-point tracheal stenosis at a tracheo-bronchial anastomosis site about 1.2cm in length.At operation the lesion was severely adhesed and the lumen was nearly obstructed. The stenotic segment was resected and direct end-to-end anastomosis was done under femoro-femoral bypass for adequate oxygenation. The patient was discharged at postop. 16 days without specific complications and has continued to do well.

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Successful Treatment of Tracheoinnominate Artery Fistula Following Tracheostomy in a Patient with Cerebrovascular Disease

  • Seung, Won Bae;Lee, Hae Young;Park, Yong Seok
    • Journal of Korean Neurosurgical Society
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    • 제52권6호
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    • pp.547-550
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    • 2012
  • Tracheoinnominate artery fistula is a critical complication of tracheostomy. The most important factors influencing patient outcome are prompt diagnosis, immediate control of bleeding with a patent airway, and emergency operation with or without interruption of the innominate artery. Here, we report a case of tracheoinnominate artery fistula in a 40-year-old woman with cerebrovascular accident who was successfully managed with an aorta-axillary artery bypass.

임상사례 : 골관절염에 대한 최소한의 치료적 방법 (Case study: Seeking for an ultimate solution for Knee Osteoarthritis based on Evidence-based medicine research)

  • 전재형
    • 대한물리치료과학회지
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    • 제11권1호
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    • pp.36-42
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    • 2004
  • 무릎 골관절염을 가진 환자에게 근거에 기초한 물리치료 접근법으로 15번 임상 치료하였다. 이 환자의 두가지 중요한 손상을 고려하여(stiffness and pain) 두가지의 물리치료 방법이 시행되었으며 그 결과는 Western Ontario and McMaster Universities osteoarthritis (OA) index (WOMAC)로 측정 되었다. 이 임상 연구를 통해 도수치료와 치료적운동법, 그리고 TENS(Transcutaneous Electrical Nerve Stimulation)의 적용이 무릎 골관절염을 가진 환자의 경직(stiffness)과 통증(pain)을 경감시킬수도 있으며 기능을 향상 시킬 수도 있음을 관찰할 수 있었다.

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Descending necrotizing mediastinitis;치험 1례 (Descending Necrotizing Mediastinitis - A Case Report -)

  • 류삼열
    • Journal of Chest Surgery
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    • 제24권12호
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    • pp.1228-1231
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    • 1991
  • One of the most lethal forms of mediastinitis is descending necrotizing mediastinitis, in which infection arising from the oropharynx spreads to the mediastinum. Despite the development of computed tomographic scanning to aid in the early diagnosis of mediastinitis, the past 30 years, in large part because of continued dependence on transcervical mediastinal drainage, Although transcervical drainage is usually effective in the treatment of acute mediastinitis due to a cervical esophageal perforation, these approach in the patient with descending necrotizing mediastinitis fails to provide adequate drainage and pre-disposes to sepsis and a poor outcome. In addition to cervical drainage, aggressive, early mediastinal exploration - debridement and drainage through a subxiphoid incision or thoracotomy - is advocated to salvage the patient with descending necrotizing mediastinitis.

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A Severe Hepatotoxicity by Antituberculosis Drug, and its Recovery in Oriental Hospital

  • Son, Chang-Gue
    • 대한한의학회지
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    • 제37권2호
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    • pp.119-124
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    • 2016
  • Objectives: To demonstrate a clinical course and feature of a female patient with a severe liver injury (DILI) during antituberculosis treatment for her intestinal tuberculosis, whom traditional Korean medicine completely recovered. Methods: A female patient with diagnosed as DILI by antituberculosis drugs had been treated with herbal drugs; and then the clinical outcome and biochemical parameters had been monitored. Result: A 45-year old female had taken antituberculosis drugs for about 2 months, and complained severe abdominal discomfort and dyspepsia. The RUCAM score was 10, which met the criteria for DILI (AST 584 IU/L, ALT 1212 IU/L, ALP 100 IU/L, and GGT 161 IU/L, total bilirubin 0.9 mg/dL). She had been treated with herbal drugs and acupuncture as inpatient and outpatient, and then her symptoms had been completely recovered with normalization of hepatic enzymes. Conclusion: This report provides a clinical characteristic for a severe hepatotoxicity induced by antituberculosis drugs, and showed an example of TKM-based application.

FCST 맞춤형 음양균형장치를 위주로 한 보조생식술 실패 후 난임 치료 후 출산 증례 (An Infertility Treatment Case Mainly Managed by Customized Intraoral Balancing Appliance of FCST, a TMJ Therapy for the Balance of Meridian and Neurological System)

  • 채기헌
    • 턱관절균형의학회지
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    • 제5권1호
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    • pp.27-32
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    • 2015
  • 본 증례에서는 난임의 치료방법으로 FCST의 음양균형장치를 포함한 PBT, 평형 침 치료, 부항, 한약 등의 복합치료로 전신 증상의 개선 및 감소에 현저한 치료효과가 나타남을 관찰하였다. 또한 그 결과로 자연 임신에 성공하여 출산하였고 출산한 아기도 건강한 상태임을 확인하였다.

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