• 제목/요약/키워드: Re-diagnosis

검색결과 270건 처리시간 0.022초

기관내 지방종-1례 보고- (A case Report of Tracheal Lipoma)

  • 문석환;조민섭
    • Journal of Chest Surgery
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    • 제30권4호
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    • pp.441-444
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    • 1997
  • 기관내 지방종은 문헌상 매우 희귀한 종양으로 알려져 있다 본 환자는37세의 건강한 남자로 간질성와 호흡곤란의 증상으로 지난 6개월간 기관지천식의 진단하에 치료받아 오던중,본원에서 흉부전산화 단층촬영과 기관지내시경검사상 흉부기관의 내강에 위치한 구형의 종양이 기관내강의 대부분을 막고 있음을 알고 기관지내시경검사하에 용종제거술루우프를 이용하여 전기소작과 더불어 종양을 완전히 제거하였다 환자는 수술후 3일 째 퇴원하였으며,수술후 1, 6개월에 시행한 기관지내시경상 재발없이 양호한 상태를 유지하고 있다.

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미국인용 체질진단지에 의한 체질별 응답차이에 따른 문항 분석:Pilot test (A Study on Comparison of Responses to Short Form Sasang Classification Questionnaire for American (SF_SSCQ-A) : Pilot test)

  • 이의주;유정희
    • 사상체질의학회지
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    • 제21권1호
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    • pp.63-78
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    • 2009
  • 1. Purpose This study has focused on response rates of the questionnaire which considered as a basic data to identify constitution for American. 2. Methods By analysing the tendency of the respondents who has defined constitution by clinical diagnosis and comparing of their answers, the result of their constitution analysis by our questionnaire were re-examed. The answer of each question to each constitution were tested how it is relevent to a scale of a constitution. Each item response rate on SF_SSCQ-A was analysed about those who had been tested and diagnosed as Taeyangin, Soyangin, Taeeumin, Soeumin respectively. 3. Results There were the 55 significant items; 13 Taeyangin items, 13 Soyangin items, 20 Taeeumin items, 9 Soeumin items. However, there were the 11 low response rate items (below 10 %) and 4 no response items.

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An Improved Technique for Pulmonary Endarterectomy

  • Azari, Ali;Moravvej, Zahra;Afshar, Sara;Bigdelu, Leila
    • Journal of Chest Surgery
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    • 제47권3호
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    • pp.287-290
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    • 2014
  • We report a modified technique for pulmonary endarterectomy (PEA) on a 67-year-old man with chronic thromboembolic pulmonary hypertension (CTEPH) who presented with dyspnea. He was referred to our medical center for coronary artery bypass grafting. CTEPH had not been detected in his first visit to another medical center, but upon re-evaluation, the diagnosis was confirmed. PEA was performed with a modified method, which seems to be safe and suitable for the removal of clot and fibrotic materials. Iatrogenic dissection was performed with normal saline injection in the pulmonary artery, and then, the clot was removed completely. Although the technique may not be applicable for all cases, it can be used as an alternative to using an aspirating dissector and a pair of forceps.

상악전치부파절 치아의 다양한 치료방법과 그에 따른 치료증례 (Various treatment methods of upper anterior fractured tooth)

  • 서성훈
    • 대한심미치과학회지
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    • 제29권1호
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    • pp.35-53
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    • 2020
  • 상악전치부파절은 원인과 연령에 따라 다양한 임상 증상을 가지고 있습니다. 대부분 환자분들은 응급상황으로 내원하기 때문에 평소에 정확한 진단 기준을 가지고 환자를 치료한다면 심미적이고 기능적으로 만족스러운 결과를 얻을 수 있을 것입니다. 다른 부위보다 조심스러운 상악전치부파절치 치료 과정을, 제가 전에 치료했던 케이스로 한번 살펴보려고 합니다. 제가 치료한 케이스가 정답이 될 수는 없지만, 임상에서 유사한 증례를 치료하게 된다면 도움이 될 수 있기를 바랍니다.

중견기업과 중소기업의 산업안전보건 의식조사 및 개선방안 연구 (A Study on the Industrial Safety and Health Consciousness of Small and Medium-sized Enterprises and Their Improvement Measures)

  • 이희;이만수
    • 대한안전경영과학회지
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    • 제24권2호
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    • pp.61-66
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    • 2022
  • Recently, the Severe Disaster Punishment Act (January 27, 2022) was implemented, and the importance of industrial safety and health is being re-recognized. In addition, the reality is that the management burden is increasing, such as investing huge costs in reducing safety accidents centered on large companies. In this situation, we would like to help improve the working environment consistent with safety and health by deriving diagnosis and improvement measures for the current situation through a survey of production workers working in mid-sized and small-sized enterprises.

미생물학적 분석과 보조요법을 이용한 내성을 가진 의치성구내염 치료 (A treatment of drug resistant denture stomatitis by microbiological analysis and adjuvant therapy: a case report)

  • 송영균
    • 구강회복응용과학지
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    • 제38권2호
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    • pp.120-126
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    • 2022
  • 심한 의치성 구내염의 경우, 항진균제의 처방이 효과적이지 않은 경우가 있다. 이번 증례는 5개월간 fluconazole을 처방받았으나, 증상의 개선이 없었던 72세의 환자에 증례이다. 본원의 재진단을 거쳐 약물치료를 시행하였고, 임시의치를 제작하여, 구강회복을 기하고자 하였다. 그러나 계속되는 약물치료에도 구강상태가 호전되지 않는 증례에서 미생물학적인 분석 및 보조요법이 도움이 될 수 있음을 본 증례를 통해 살펴보고자 한다.

Diagnosis of Lily Plant Fasciation Caused by Rhodococcus fascians in Jeju Island

  • Yong Ho Shin;Min Ju Choi;Hyun Su Kang;Yong Chull Jeun
    • 식물병연구
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    • 제29권1호
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    • pp.39-44
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    • 2023
  • To diagnose lily fasciation, lily bulbs showing fasciation were collected from several greenhouses in Jeju Island, South Korea. Bacteria were isolated from the lily bulbs and amplified with both primers for fasA in plasmid and for putative glycosyltransferase epsH gene in chromosome of Rhodococcus fascians. Three bacterial isolates were detected with the P450 primer set and identified as R. fascians by NCBI blast analysis. Twelve bacterial isolates were identified as R. fascians using RS02785 primer set, including the three bacterial isolates identified as the same pathogen using the P450 primer set. Pathogenicity of these bacterial strains identified as R. fascians was demonstrated. Apparent symptoms were observed on wounded lily leaves after inoculation with each bacterial suspension whereas no symptom was found on lily leaves treated with H2O. Furthermore, bacteria re-isolated from wounded sites were identified as R. fascians. Based on the results, these two sets of primers are recommended for quarantine of R. fascians.

A Case of Klatskin Tumor Showing Slow Progression

  • Min Kyu Kang;Kook Hyun Kim;Joon Hyuk Choi;Tae Nyeun Kim
    • Journal of Digestive Cancer Research
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    • 제5권1호
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    • pp.55-57
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    • 2017
  • A 64-year-old man was admitted due to jaundice for 2 weeks. Radiologic findings revealed biliary stricture at the hepatic hilum with intrahepatic duct dilation suggesting Bismuth type IV Klatskin tumor. Jaundice improved spontaneously several days after hospitalization. Surgical treatment was considered but he only wanted to observe without specific treatment. Ten months later, he was re-admitted due to the recurrence of jaundice. Computed tomography (CT) showed no significant difference compared to previous results. Serum cancer antigen 19-9 and Immunoglobulin G4 were normal. Endoscopic forcep biopsy during endoscopic retrograde cholagiopancreatography (ERCP) revealed chronic inflammation. After steroid use under possible diagnosis of IgG4 related cholangiopathy, biliary stricture improved slightly. Four years later, he was hospitalized with the occurrence of acute cholangitis. Endoscopic retrograde biliary drainage was performed following endobiliary forcep biopsy. Pathology revealed well-differentiated adenocarcinoma at this time. Combined chemotherapy based on gemcitabine and cisplatin was performed. Six months later, CT revealed partial response.

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Tension Pneumocephalus Secondary to Frontal Sinusotomy in a Dog

  • Seoyeoun Ji;Hyung-Kyu Chae;Yeon-Jung Hong
    • 한국임상수의학회지
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    • 제41권4호
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    • pp.223-227
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    • 2024
  • Air accumulation in the cranial cavity is referred to as pneumocephalus. Tension pneumocephalus is a neurosurgical emergency that can cause headaches, seizures, reduced consciousness, and even death owing to increased intracranial pressure. We report a case of tension pneumocephalus. The patient underwent a frontal sinusotomy for a mass invading the frontal sinus and nasal cavity. One month later, the patient was admitted to the emergency room with seizures and neurotic symptoms, and computed tomography (CT) revealed tension pneumocephalus with significant gas dilatation of both lateral ventricles. Prompt treatment of the dural defect resulted in the immediate improvement of neurological signs. A CT re-examination 1 week after surgery showed that the pneumocephalus had completely resolved. Tension pneumocephalus should be considered a potential complication in patients with worsening neurological signs after skull base surgery. An accurate diagnosis requires an understanding of imaging features and a high index of suspicion, and immediate intervention is essential.

12세 여아에서 운동 중 발생한 흉통 및 실신 - 왼쪽 주 관상동맥의 이상 기시의 진단 및 수술적 치료 1례 (Anomalous origin of left coronary artery arising from the right coronary cusp presenting with chest discomfort and syncope on physical exercise)

  • 백란;김남균;박한기;박영환;유병원;최재영
    • Clinical and Experimental Pediatrics
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    • 제53권2호
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    • pp.248-252
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    • 2010
  • 관상동맥의 이상 기시는 소아에서 드문 질환이다. 이러한 이상 기시들은 대동맥과 폐동맥간과의 해부학적인 관계에 의해 3가지 형태로 분류할 수 있다. 우리 환자의 경우와 같이 기형 동맥이 대동맥과 폐동맥사이로 주행하는 경우 젊은 연령에서 급사의 위험도가 증가하기 때문에 빠른 진단과 치료가 필요하다. 관상동맥의 이상 기시를 교정하는 방법으로는 잘 알려진 re-implantation, 관상동맥 우회술과 unroofing의 세가지 방식이 있고, 아직까지 좌 관상동맥의 이상 기시의 치료에 대해서는 많은 견해들이 있으나 일단 수술적 교정이 되면 좋은 결과를 보인다. 우리는 운동 중 발생한 흉통과 실신을 주소로 내원한 12세 여아에서 심초음파와 관상동맥 전상화 단층촬영을 통하여 좌 관상동맥의 우 관상동맥동으로부터의 이상 기시를 진단받고 re-implantation, 관상동맥 우회술, 그리고 unroofig 방법을 통해 치료받은 1례를 경험하여 이를 보고하고자 한다.