• Title/Summary/Keyword: Periodic Treatment

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A Suspected Case of Hyperkeratotic Head and Neck Malassezia Dermatosis Presenting with Acanthosis Nigricans

  • An, Min Kyun;Yoon, Ji Ha;Cho, Eun Byul;Park, Eun Joo;Kim, Kwang Ho
    • Journal of Mycology and Infection
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    • v.23 no.4
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    • pp.111-114
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    • 2018
  • A 19-year-old woman presented with an asymptomatic cutaneous discoloration on her nape. Dermatological examination revealed localized dark brown to dark pigmented velvety macules and patches. She denied a past medical history, except for a 7-kg weight gain over a 6-months period. Histopathologically, the specimen showed hyperkeratosis, epidermal hyperplasia, mild acanthosis, and papillomatosis. In addition, keratin material and fungal spore were noted between the papilloma ridges. Periodic acid-Schiff special stain showed a positive result for the fungal spore in the horny layer. She was treated with a daily oral dose of terbinafine and topical flutrimazole. After 12 weeks of treatment, she is currently under observation without pigmentation and adverse effect. We considered the initial diagnosis as acanthosis nigricans because of weight gain, similar clinical features, and histological findings. However, the final diagnosis was hyperkeratotic head and neck Malassezia dermatosis considering the presence of yeast and the dramatic improvement after antifungal treatment. To the best of our knowledge, hyperkeratotic head and neck Malassezia dermatosis is not well characterized in the literature. It is an unusual variant of pityriasis versicolor. The skin lesion appears brown to dark, scaly, and hyperkeratotic macules and patches located on the face and neck. Here, we reported an unusual case of hyperkeratotic head and neck Malassezia dermatosis.

Seed-dependent Accelerated Fibrillation of ${\alpha}$-Synuclein Induced by Periodic Ultrasonication Treatment

  • Kim, Hyun-Jin;Chatani, Eri;Goto, Yuji;Paik, Seung-R.
    • Journal of Microbiology and Biotechnology
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    • v.17 no.12
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    • pp.2027-2032
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    • 2007
  • [ ${\alpha}$ ]-Synuclein is the major component of Lewy bodies and responsible for the amyloid deposits observed in Parkinson's disease. Ordered filamentous aggregate formation of the natively unfolded ${\alpha}$-synuclein was investigated in vitro with the periodic ultrasonication. The ultrasonication induced the fibrillation of ${\alpha}$-synuclein, as the random structure gradually converted into a ${\beta}$-sheet structure. The resulting fibrils obtained at the stationary phase appeared heterogeneous in their size distribution, with the average length and height of $0.28\;{\mu}m{\pm}0.21\;{\mu}m$ and $5.6\;nm{\pm}1.9\;nm$, respectively. After additional extensive ultrasonication in the absence of monomeric ${\alpha}$-synuclein, the equilibrium between the fibril formation and its breakdown shifted to the disintegration of the preexisting fibrils. The resulting fragments served as nucleation centers for the subsequent seed-dependent accelerated fibrillation under a quiescent incubation condition. This self-seeding amplification process depended on the seed formation and subsequent alterations in their properties by the ultrasonication to a state that accretes the monomeric soluble protein more effectively than their reassociation of the seeds back to the original fibrils. Since many neurodegenerative disorders have been considered to be propagated via the seed-dependent amyloidosis, this study would provide a novel aspect of the significance of the seed structure and its properties leading to the acce]erated amyloid formation.

A Study on the Necessity and Development of Nutritional Consultation during Medical Examination of Employees and of Worksite Nutrition Programs (근로자의 건강검진 과정중의 영양상담 실시와 영양교육 프로그램 활용방안에 관한 연구 ( I ))

  • Jo, Yeo-Won;Hong, Ju-Yeong;Lee, Hye-Won;Lee, Seung-Rim
    • Journal of the Korean Dietetic Association
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    • v.2 no.1
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    • pp.20-28
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    • 1996
  • In Korea, nutritional services have not been included in the periodic medical examinations for employees. Naturally, the practice of individual dietary treatment, or nutrition education, has not yet been implemented, specifically for employees who are expected to encounter health problems. This study was designed to evaluate the necessity and development of nutritional consultations during medical examinations of employees and of worksite nutrition programs. One hundred and five employees from three companies were chosen as subjects for this study. As a result, the average intake of nutrients were found to be sufficient for male employees but female employees were found to be deficient in their intake of total calories, calcium, iron, vitamins A and $B_2$. Also, most of employees did not recognize their own blood cholesterol levels, blood pressure, or blood sugar level. Many employees thought that they needed nutritional consultation during periodic medical examinations and during worksite nutrition programs that also include programs for the whole family. According to the results, clinics for weight control were urgently demanded among several nutrition programs. It should be noted that weight problems, high blood cholesterol levels, diabetes, and other health problems were frequently found in companies whose employees had relatively minimal knowledge about nutrition information. In an effort to prevent disease, the worksite nutrition programs and other nutritional services for employees are critical. This study, therefore, suggests to include nutritional services in medical examinations and to develop efficient worksite nutrition programs.

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Extensive gingival necrosis and sequestration of the alveolar bone caused by methimazole-induced neutropenia and three-year follow-up

  • Kim, Eun-Cheol;Park, Joon Bong;Hong, Ji-Youn;Kang, Kyung Lhi
    • Journal of Periodontal and Implant Science
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    • v.45 no.2
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    • pp.76-80
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    • 2015
  • Purpose: Methimazole is an anti-thyroid drug that can cause life-threatening neutropenia in rare situations. The aim of this case report is to describe a set of oral complications associated with methimazole-induced neutropenia and the healing of the gingiva after proper treatment. Methods: A 31-year-old female patient hospitalized for systemic symptoms of sore throat and fever and showing extensive gingival necrosis with pain was referred to the Department of Periodontics from the Department of Endocrinology. Methimazole-induced neutropenia was diagnosed based on blood test results and her medical history. Methimazole was discontinued and a range of treatments was administered, including the injection of granulocyte colony stimulating factor. Results: After systemic treatment, the gingiva began to heal as the neutrophil count increased. Approximately one year later, the gingiva had returned to a normal appearance. Twenty-one months after treatment, sequestra of the alveolar bone that had broken through the gingiva were removed. Periodic supportive periodontal treatment has been continued uneventfully. Conclusions: The oral manifestations of gingival necrosis and ulcerations, in combination with systemic symptoms such as fever and sore throat, are the critical signs presented in the early stages of drug-induced neutropenia. Therefore, dentists need to be aware of these oral complications in order to make an accurate diagnosis and to ensure that prompt medical intervention is provided.

Stable Production Technique of Paprika (Capsicum annuum L.) by Hydrogen Peroxide Treatment at Summer (여름철 과산화수소를 이용한 파프리카(Capsicum annuum L.) 안정생산기술)

  • Cho, Ill-Hwan;Lee, Woo-Moon;Kwan, Ki-Bum;Woo, Young-Hoe;Lee, Kwan-Ho
    • Journal of Bio-Environment Control
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    • v.18 no.3
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    • pp.297-301
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    • 2009
  • Hydrogen peroxide, which is used in various crops as an oxidizer to improve high temperature adaptation, was evaluated on the effects on productivity and disease incidence in paprika (Capsicum annuum L.) by periodic leaf spray at summer. Hydrogen peroxide treatment not only increased the leaf thickness and SPAD (chlorophyll content) but also the fruit set numbers per plant by 2. Hydrogen peroxide content increase in leaf resulted in increase of catalase and peroxidase activities, and the powdery mildew disease (Leveillula taurica) was also suppressed by the treatment. Transpiration was improved by the reduced leaf stomata resistance in the hydrogen peroxide treatment. Therefore, hydrogen peroxide leaf spray is recommended for improvement of summer productivity in paprika.

Advanced Water Treatment of High Turbidity Source by Hybrid Process of Photocatalyst and Alumina Microfiltration: Effect of Organic Matters at Nitrogen Back-flushing (광촉매 및 알루미나 정밀여과 혼성공정에 의한 고탁도 원수의 고도정수처리: 질소 역세척시 유기물의 영향)

  • Park, Jin Yong;Sim, Sung Bo
    • Membrane Journal
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    • v.22 no.6
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    • pp.441-449
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    • 2012
  • Effect of humic acid (HA) with periodic nitrogen back-flushing was investigated in hybrid process of alumina microfiltration and photocatalyst for drinking water treatment. It was compared and investigated with the previous results of microfiltration water back-flushing or ultrafiltration nitrogen back-flushing in viewpoints of membrane fouling resistance ($R_f$), permeate flux (J), and total permeate volume ($V_T$). As results, the trends of membrane fouling were different depending on nitrogen or water back-flushing, and depending on ultrafiltration or microfiltration made with the same material. Also, the nitrogen back-flushing using microfiltration was more effective membrane fouling inhibition than ultrafiltration, and the nitrogen back-flushing was more effective than water back-flushing using the same microfiltration membrane. Turbidity treatment efficiencies were almost constant independent of HA concentration, but HA treatment efficiency was the maximum at HA 10 mg/L. From this results, it was shown that the treated water HA quality increased as increasing HA concentration, but HA could be removed the most effectively by photocatalyst beads adsorption and photo-oxidation at HA 10 mg/L.

Odontoma: a retrospective study of 73 cases

  • An, Seo-Young;An, Chang-Hyeon;Choi, Karp-Shik
    • Imaging Science in Dentistry
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    • v.42 no.2
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    • pp.77-81
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    • 2012
  • Purpose : The purpose of the present study was to retrospectively evaluate the clinical findings and treatment results for impacted permanent teeth associated with odontomas. Materials and Methods : We retrospectively investigated 73 odontomas in 72 patients who visited Kyungpook National University Dental Hospital from April 2004 through November 2011. The study was performed using medical records, panoramic radiographs, and pathological reports. Data gathered included age, gender, location, chief complaints, effects on dentition, and treatment of odontoma and the impacted tooth associated with odontoma. Results : Most compound odontomas (46.7%) were found in the second decade and complex odontomas were not related to age. Odontomas showed no gender predilection. Fifty-five cases (75.3%) of odontomas were detected on routine dental radiographs. Sixty percent of compound odontomas occurred in the canine area and 57.1% of complex odontomas in the molar areas. Impaction of permanent teeth (61.6%) was the most common complication on the adjacent teeth. Most odontomas (84.9%) were removed surgically and impacted permanent teeth were managed by surgical removal (53.2%), orthodontic treatment (25.5%), or surgical repositioning (6.4%). There was a statistically significant relation between age and preservation of the impacted permanent teeth associated with odontomas (p<0.01). Conclusion : Early detection and treatment of odontomas increase the possibility of preservation of the impacted tooth. Therefore, it would be suggested that periodic panoramic examination during the first and second decade of life might be beneficial for the early detection and better prognosis of odontomas.

Prosthetic treatment with correcting edentulous maxillomandibular relation (무치악치조제의 개선을 통한 보철치료)

  • Rhee, Ye-Kyu;Huh, Yoon-Hyuck;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.4
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    • pp.339-349
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    • 2014
  • If the maxillomandibular relationship is unstable or requires treatment for improved function and esthetics, the first treatment objective is to provide stable occlusal contacts. The patient has moderate mental retardation. Due to inadequate vertical overjet, horizontal arch malrelation and excessive tooth loss, full mouth rehabilitation was required. The purpose of treatment planning is to establish physiologic maxillomandibular relation. Using cephalometrics for occlusal analysis is an aid to make a decision. The amount of horizontal bone reduction was calculated with evaluating soft tissue profile. After provisional denture placement, healing of the surgical site and newly adapted arch relationship was evaluated. The patient satisfied with esthetics and showed stable holding contacts. Periodic examination is needed to exclude occlusal disharmony.

A Study on the Sports Injuries for Middle and High School Football Players in Pusan (부산 시내 중.고등학교 축구선수의 운동손상에 관한 연구)

  • Kim, Yong-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.3 no.1
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    • pp.919-927
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    • 1996
  • Recently sports injuries are increasing due to the development of sports leisure industries as well as the increase of exercising population, and the study for sports injuries is needed more than before. Then the author studied the reasons for injuries, incidence rate, sites and sorts of sports injuries for the middle and high school football players during one year period from Jan. to Dec. 1994. The study subjects were 319 middle and high school players in Pusan and the method was questionnaire method. The results were as follows; 1. The average injury rate due to football play was 3.3 times per person for the 319 subjects during the last one year, and it was highest in goalkeeper as 4.6 times by position. 2. 68 % of the subjects did not receive periodic health examination, 74.9 % wore body protectors. The sports injuries due to football play occurred most commonly in soil play-ground(79.6 %), during training(52.3 %), and in winter time(33.7 %). 3. The commonly occurred injuries by motion were coalition(39.2 %), tackle(12.9 %), dribble (11.4 %) in order; those by sorts were contusion(34.4 %), sprain (32.9 %), spasm(9.0 %) ; and those by body portions lower extremities(82 %), trunk(17.6 %), upper extremities(12.5 %). 4. The frequently used treatment area was home care as in 42.7 % ; treatment methods were physical therapy, acupuncture/moxacautery, rest, operation in order; choices of treatment method were recommendation by coach/manager, and that by medical professional was the lowest as in 2.2 %. 5. If sports injury occurred during play, coach or manager let the players take rest in 56.2 %, but emergent management by medical professional was done only in 1.9 %. The return to play was decided mostly by the player himself(52.8 %), but that decided by a doctor was only in 1.0 %. In conclusion, to lessen the sports injuries due to football play, annual physical check-up, strengthening of play rules, improvement of playground, conditioning exercise, regulation of body protectors, and preventive training for expected injuries behaviors should be done and the decision to return to play and emergent management should be done by a medical professional as well. Football player, sports injury, injured body portions, sorts of injury, treatment method.

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Full mouth rehabilitation of an oligodontia patient with intellectual disability based on shortened dental arch concept: a case report (2급 지적 장애를 가진 환자의 SDA 개념을 적용한 전악 수복 증례)

  • You, Jae-Wook;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.4
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    • pp.330-335
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    • 2012
  • Shortened dental arch (SDA) as a treatment goal is the concept that stable occlusion and enough masticatory force can be achieved by restoration to the second premolars when the situation is not favorable. SDA could be applied both natural teeth and implant supported fixed prostheses. This case dealt with a patient who has grade 2 intellectual disability and a lot of missing teeth. Because of intellectual disability, patient cooperation during treatment could not be expected. Therefore every treatment should be done under general anesthesia. In addition to that, ridge resorption around molar area was severe and there were maxillary sinus pneumatization and maxillary sinusitis which increased failure probability. SDA concept was adopted to reduce risk factor and minimize general anesthesia. After the treatment, functional and esthetic improvement was achieved and oral hygiene was fortified by periodic recall check and education.