• 제목/요약/키워드: Representative Symptoms

검색결과 140건 처리시간 0.025초

기능성 음성장애에서 보툴리늄 독소의 임상적 적용 (Clinical Application of Botulinum Toxin to Functional Dysphonia)

  • 김한수
    • 대한후두음성언어의학회지
    • /
    • 제30권1호
    • /
    • pp.12-14
    • /
    • 2019
  • Functional dysphonia (FD) is a disease entity which includes various voice disorders in the absence of structural or neurologic laryngeal pathology. Muscle tension dysphonia (MTD), psychogenic dysphonia are representative FD with completely different pathogenesis. Therefore there is no standard treatment modality for FD, the first step of treatment of FD is differentiating patient's voice symptoms from other organic voice disorders and other functional voice problems. MTD is a functional voice disorder caused by hyperfunction of intrinsic and extrinsic laryngeal musculature. Symptoms include increased vocal effort, roughness, fatigue and odynophonia. First line for MTD is indirect or direct voice therapy. Unfortunately, many patients with MTD improve with voice therapy alone. For these patients, various modalities tried; lidocaine application, surgical excision of the false vocal folds, and botulinum toxin injection, etc. Botulinum toxin injections are widely used in the field of otolaryngology, especially for spasmodic dysphonia. However, its use in FD or MTD has only been described in few case reports. The aim of this lecture is to evaluate the feasibility of botulinum toxin injection for FD, especially MTD.

Current diagnosis and treatment of vestibular neuritis: a narrative review

  • Ba, Chang Hoon;Na, Hyung Gyun;Choi, Yoon Seok
    • Journal of Yeungnam Medical Science
    • /
    • 제39권2호
    • /
    • pp.81-88
    • /
    • 2022
  • Vertigo is the sensation of self-motion of the head or body when no self-motion is occurring or the sensation of distorted self-motion during an otherwise normal head movement. Representative peripheral vertigo disorders include benign paroxysmal positional vertigo, Ménière disease, and vestibular neuritis. Vestibular neuritis, also known as vestibular neuronitis, is the third most common peripheral vestibular disorder after benign paroxysmal positional vertigo and Ménière disease. The cause of vestibular neuritis remains unclear. However, a viral infection of the vestibular nerve or ischemia of the anterior vestibular artery is known to cause vestibular neuritis. In addition, recent studies on immune-mediated mechanisms as the cause of vestibular neuritis have been reported. The characteristic clinical features of vestibular neuritis are abrupt true-whirling vertigo lasting for more than 24 hours, and no presence of cochlear symptoms and other neurological symptoms and signs. To accurately diagnose vestibular neuritis, various diagnostic tests such as the head impulse test, bithermal caloric test, and vestibular-evoked myogenic potential test are conducted. Various treatments for vestibular neuritis have been reported, which are largely divided into symptomatic therapy, specific drug therapy, and vestibular rehabilitation therapy. Symptomatic therapies include generalized supportive care and administration of vestibular suppressants and antiemetics. Specific drug therapies include steroid therapy, antiviral therapy, and vasodilator therapy. Vestibular rehabilitation therapies include generalized vestibular and customized vestibular exercises.

응급의학 측면에서 『의학입문(醫學入門)』 관격(關格)의 분석 (An Analysis of Guange (關格) in 『Yixuerumen (醫學入門)』 from the Perspective of Emergency Medicine)

  • 조학준
    • 한국의사학회지
    • /
    • 제35권1호
    • /
    • pp.69-86
    • /
    • 2022
  • This study examined guange (關格) in Yixuerumen (醫學入門) from a new perspective and evaluated its value in terms of emergency medicine. We compared and analyzed the definition, symptoms, and treatment methods of guange in Yixuerumen with related clinical presentations in modern medicine. Guange includes nausea and vomiting, dysphagia, dysuria, and constipation without diarrhea. A representative disease related to dysuria is uremia, while one related to constipation, nausea, and vomiting is enterocleisis, and and a third related to dysphagia is chronic esophagitis and esophagus cancer. Li Chan, the author of Yixuerumen, recognized guange as an emergency of serious eating and elimination disorder as various symptoms of diseases (病症) gradually get worse from the perspective of external diseases (外感病) and miscellaneous diseases (雜病) and handled it in various ways including yin-tonifying medicinals (補陰藥), qi-tonifying medicinals (補氣藥), qi-regulating formulas (理氣劑), phlegm-dispelling formulas (去痰劑), and "water rising, fire falling" formulas (水升火降) in addition to emetic formulas (催吐劑), diuretic formulas (滲利劑), and interior-attacking formula (攻裏劑). Concepts like guange in Yixuerumen were somewhat useful when handling the applicable emergencies at the level of then medical treatment.

Biological Characterization and Sequence Analysis of Cucumber mosaic virus isolated from Capsicum annuum

  • Kim, Min-Jea;Choi, Seung-Kook;Yoon, Ju-Yeon;Choi, Jang-Kyung;Ryu, Ki-Hyun
    • The Plant Pathology Journal
    • /
    • 제21권2호
    • /
    • pp.142-148
    • /
    • 2005
  • Whereas most of isolates of Cucumber mosaic virus(CMV) can induce green mosaic systemic symptoms on zucchini squash, foliar symptoms of a pepper isolate of CMV (Pf-CMV)-infected zucchini squash revealed systemic chlorotic spots. To assess this biological property, infectious full-length cDNA clones of Pf-CMV were constructed using long-template RT-PCR. The complete nucleotide sequences of RNA2 and RNA3 of Pf-CMV were determined from the infectious fulllength cDNA clones, respectively. RNA 2 and RNA3 of Pf-CMV contain 3,070 nucleotides and 2,213 nucleotides, respectively. Overall sequence homology of two RNAs revealed high similarity (90%) between CMV strains, and 60% similarity to those of Tomato aspermy virus and Peanut stunt virus strains. By sequence analysis with known representative strains of CMV, Pf- CMV belongs to a typical member of CMV subgroup IA. The virus has high evolutionary relationship with Fny-CMV, but the pathology of Pf-CMV in zucchini squash was quite different from that of Fny-CMV. The pesudorecombinant virus, F1P2P3, induced chlorotic spot leaf symptom and timing of systemic symptom in squash plants, similar to the plants infected by Pf-CMV. No systemic symptoms were observed when Pf-CMVinoculated cotyledons were removed at 5 days postinoculation (dpi) while Fny-CMV showed systemic symptom at 2 dpi. These results suggest that the pepper isolate of CMV possesses unique pathological properties distinguishable to other isolates of CMVs in zucchini squash.

성인의 악관절 증상과 요추질환의 관련성 (The Association between Temporomandibular Joint Disorders and Lumbar Diseases in Adults)

  • 황수현;유지수
    • 치위생과학회지
    • /
    • 제18권2호
    • /
    • pp.124-129
    • /
    • 2018
  • 본 연구는 골관절염의 유병률이 증가하는 시기인 성인을 대상으로 악관절 증상과 요추질환의 관련성 분석을 통해 구강 건강 및 일반적인 건강 향상을 위한 보건정책개발에 도움이 되고자 수행하였다. 대표성이 있는 국민건강영양조사 자료 중 제5기 3차년도(2012년) 자료를 활용하였으며 연구목적에 적합한 만 50세 이상을 대상으로 건강설문 및 요추관절 방사선 검사를 완료한 3,017명을 연구대상으로 분석을 수행하였다. 악관절 증상의 여부는 16.1%가 최근 1년간 악관절 부위에서 이상 증상을 한 가지 이상 경험했다고 답하였다. 요통의 경우 20.6%가 최근 3개월 동안 요통이 있다고 답하였으며, 요추관절 방사선 영상 진단결과에 따른 요추 골관절염이 있는 사람은 30.6%로 나타났다. 악관절 증상을 경험한 사람의 경우 요통 유병위험률이 정상군에 비해 1.70배(95% CI, 1.30~2.22) 증가하는 것으로 나타났으며, 요추 골관절염 유병 위험률은 정상군에 비해 1.20배(95% CI, 0.86~1.68) 증가하는 것으로 나타났다. 본 연구결과 성인의 악관절 증상이 요추 골관절염 유병위험률과의 관련성에서는 유의하지는 않았지만 요추질환의 전형적인 증상인 요통에는 영향을 미치는 것을 알 수 있었다. 따라서 성인들의 악관절 증상에 대한 적절한 치료 및 예방을 한다면 요추질환 유병률을 낮추고, 삶의 질을 높이는 데 중요한 작용이 될 것으로 판단된다. 또한 향후 악관절 장애와 요추질환에 대한 적절한 관리프로그램 개발 및 체계적인 지원이 필요하다고 생각된다.

국내 잎들깨에서 발생한 잠두위조바이러스2의 특성 구명 (Characterization of broad bean wilt virus 2 isolated from Perilla frutescens in Korea)

  • 김현선;변희성;최유지;최현용;서장균;최홍수;이봉춘;김미경;곽해련
    • 환경생물
    • /
    • 제41권1호
    • /
    • pp.1-13
    • /
    • 2023
  • 잠두위조바이러스2 (BBWV2)는 경제적으로 중요한 원예, 관상작물에 심각한 피해를 주는 바이러스 중의 하나다. BBWV2의 넓은 기주 범위, 매개충 방제의 어려움 등 효과적인 치료제가 없기 때문에, 병을 예방하거나 저항성 품종의 개발 등을 위해서는 BBWV2의 새로운 분리주들의 특성 조사와 연구가 필요하다. 본 연구에서는 2019년 금산지역의 잎들깨 재배농가에서 분리된 BBWV2 분리주(BBWV2-GS-PF)의 유전학적·생물학적 특성을 구명하고 기존에 보고된 분리주들과의 특성을 비교하였다. 순수 분리된 BBWV2-GS-PF는 기존 분리주와 달리 들깨에서 심한 모자이크 증상과 고추에서 원형 반점 증상을 보였다. BBWV2-GS-PF의 유전자 계통분석 결과, 기존에 알려진 2개의 그룹과 약 76~80%의 비교적 낮은 유전자 상동성을 보이며 계통이 분화된 것을 확인할 수 있었다.

산업체 전력다소비 설비의 수요관리 기여도 및 효율향상 보급에 대한 경제성 평가분석 (Contributions of Large-Industrial Enterprise to Demand-Side Management and Economic Analysis on Diffusion of Energy Efficiency Measures)

  • 김성철;박종진
    • 조명전기설비학회논문지
    • /
    • 제26권2호
    • /
    • pp.18-26
    • /
    • 2012
  • Though electricity consumption amount in industry has been increased gradually, corresponding power supply show symptoms of marginal point. Importance of demand-side management from large-industries has also been raised. This paper deals with induction motor, which is one of representative examples of heavy electricity consumption utilities, to analyze potential technical capability, economic feasibility from consumers' viewpoint and demand-side management feasibility from nation-wide perspective. Nation-wide economic feasibility analysis was done through California test, which has been used as demand-side management evaluation model. This paper also describes limitation of existing high efficiency induction motor in terms of contribution to demand-side management and utilizes premium motor to calculate demand-side management contribution level and economic feasibility evaluation. Likewise, this paper emphasizes the efficiency improvement of induction motor and analyzes how much premium motor related technologies can contribute to demand-side management.

How to approach feeding difficulties in young children

  • Yang, Hye Ran
    • Clinical and Experimental Pediatrics
    • /
    • 제60권12호
    • /
    • pp.379-384
    • /
    • 2017
  • Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.

First Report on Fusarium Wilt of Zucchini Caused by Fusarium oxysporum, in Korea

  • Choi, In-Young;Kim, Ju-Hee;Lee, Wang-Hyu;Park, Ji-Hyun;Shin, Hyeon-Dong
    • Mycobiology
    • /
    • 제43권2호
    • /
    • pp.174-178
    • /
    • 2015
  • Fusarium wilt of zucchini in Jeonju, Korea, was first noticed in May 2013. Symptoms included wilting of the foliage, drying and withering of older leaves, and stunting of plants. Infected plants eventually died during growth. Based on morphological characteristics and phylogenetic analyses of the molecular markers (internal transcribed spacer rDNA and translation elongation factor $1{\alpha}$), the fungus was identified as Fusarium oxysporum. Pathogenicity of a representative isolate was demonstrated via artificial inoculation, and it satisfied Koch's postulates. To our knowledge, this is the first report of F. oxysporum causing wilt of zucchini in Korea.

Multiple Spinal Revision Surgery in a Patient with Parkinson's Disease

  • Malla, Hridayesh Pratap;Kim, Min Ki;Kim, Tae Sung;Jo, Dae Jean
    • Journal of Korean Neurosurgical Society
    • /
    • 제59권6호
    • /
    • pp.655-658
    • /
    • 2016
  • Parkinson's disease (PD) patients frequently have several spinal deformities leading to postural instabilities including camptocormia, myopathy-induced postural deformity, Pisa syndrome, and progressive degeneration, all of which adversely affect daily life activities. To improve these postural deformities and relieve the related neurologic symptoms, patients often undergo spinal instrumentation surgery. Due to progressive degenerative changes related to PD itself and other complicating factors, patients and surgeons are faced with instrument failure-related complications, which can ultimately result in multiple revision surgeries yielding various postoperative complications and morbidities. Here, we report a representative case of a 70-year-old PD patient with flat back syndrome who had undergone several revision surgeries, including anterior and posterior decompression and fusion for a lumbosacral spinal deformity. The patient ultimately benefitted from a relatively short segment fixation and corrective fusion surgery.