• Title/Summary/Keyword: Secondary Disease

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Paralytic Ileus Secondary to Electrolyte Imbalance: A Case Study in a 16 Year Old Female

  • OKAFOR, Henry Chukwuemeka;IKPEAMA, Osita John;OKAFOR, Jane Nkechinyere;OKAFOR, Rita Ifeyinwa
    • The Korean Journal of Food & Health Convergence
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    • v.8 no.1
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    • pp.17-20
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    • 2022
  • Paralytic ileus is a metabolic state in which the intestines fail to transmit peristalsis due to failure of the neuromuscular mechanism in the small intestines and colon. It is a major cause of morbidity in hospitalized patients especially during late presentations and points of mismanagement. The causes include infections, electrolyte imbalance (hypokalemia, hyponatremia), surgeries and medications. When the exact cause of the disease condition is identified and corrected, paralytic ileus is usually resolved. This case report is that of a 16 year old female who was admitted and managed as a case of paralytic ileus. The patient presented with symptoms of fever, abdominal pain, abdominal distension, vomiting and inability to pass stool or flatus. There was associated body weakness, reduced urine output and weight loss. She was properly examined clinically and sent for various investigations. Investigations such plain abdominal X-Ray, serum electrolyte estimation, chest X-Ray and full blood count were carried out. The results of the investigations done were in keeping with the diagnosis of paralytic ileus, electrolyte imbalance and ongoing sepsis. She was subsequently managed through nil per oral, adequate fluid rehydration, antibiotics and correction of electrolyte imbalance. Following stable clinical state and investigation results, she was discharged and advised on follow-up.

Rapid Functional Enhancement of Ankylosing Spondylitis with Severe Hip Joint Arthritis and Muscle Strain (고관절염과 근 긴장을 동반한 강직성 척추염의 빠른 기능 회복)

  • Hwang, Sangwon;Im, Sang Hee;Shin, Ji Cheol;Park, Jinyoung
    • Clinical Pain
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    • v.18 no.2
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    • pp.121-125
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    • 2019
  • Arthritis of hip joints deteriorates the quality of life in ankylosing spondylitis (AS) patients. Secondary to the articular inflammatory process, the shortened hip-girdle muscles contribute to the decreased joint mobility which may lead to the functional impairment. As the limitation of range of motion (ROM) usually progress slowly, clinicians regard it as a chronic condition and prescribe long-term therapy. However, by short-term intensive multimodal treatment, a 20-year-old man diagnosed as AS with severely limited hip joint ROM who relied on crutches doubled the joint angle and could walk independently only within 2 weeks. The combination included intra-articular steroid injection, electrical twitch obtaining intramuscular stimulation, extracorporeal shock wave therapy, heat, manual therapy, and stretching exercises. The management focused on the relaxation of hip-girdle muscles as well as the direct control of intra-articular inflammation. Hereby, we emphasize the effectiveness of intensive multimodal treatment in improving the function even within a short period.

4D flow MRI based flow visualization and quantification of bicuspid valvular flow using ex-vivo porcine model (4차원 자기공명영상을 활용한 돼지 심장 ex-vivo 이첨판 모델 유동 가시화 및 유동 특성 분석)

  • Minseong Kwon;Sungho Park;Hyungkyu Huh
    • Journal of the Korean Society of Visualization
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    • v.21 no.1
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    • pp.12-17
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    • 2023
  • Aortic valve stenosis is a heart valve disease caused by the accumulation of calcium in the valve, which can divide into tricuspid aortic valve (TAV) stenosis and bicuspid aortic valve (BAV) stenosis depending on the shape of natural valve. In this study, pig heart-based TAV and BAV ex vivo models were fabricated, and the flow characteristics behind a valve were analyzed using 4D flow MRI. Flow behind normal TAV was uniformly distributed, while BAV asymmetrically opened with an eccentric strong jet. Especially, BAV ex vivo model exhibited a secondary flow in the region where the valve closed. In addition, BAV had a 26% higher peak velocity while maintaining similar stroke volume compared with normal TAV. This study would be helpful for understanding the flow characteristics for BAV AS patients.

Hyperparameter Tuning Based Machine Learning classifier for Breast Cancer Prediction

  • Md. Mijanur Rahman;Asikur Rahman Raju;Sumiea Akter Pinky;Swarnali Akter
    • International Journal of Computer Science & Network Security
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    • v.24 no.2
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    • pp.196-202
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    • 2024
  • Currently, the second most devastating form of cancer in people, particularly in women, is Breast Cancer (BC). In the healthcare industry, Machine Learning (ML) is commonly employed in fatal disease prediction. Due to breast cancer's favorable prognosis at an early stage, a model is created to utilize the Dataset on Wisconsin Diagnostic Breast Cancer (WDBC). Conversely, this model's overarching axiom is to compare the effectiveness of five well-known ML classifiers, including Logistic Regression (LR), Decision Tree (DT), Random Forest (RF), K-Nearest Neighbor (KNN), and Naive Bayes (NB) with the conventional method. To counterbalance the effect with conventional methods, the overarching tactic we utilized was hyperparameter tuning utilizing the grid search method, which improved accuracy, secondary precision, third recall, and finally the F1 score. In this study hyperparameter tuning model, the rate of accuracy increased from 94.15% to 98.83% whereas the accuracy of the conventional method increased from 93.56% to 97.08%. According to this investigation, KNN outperformed all other classifiers in terms of accuracy, achieving a score of 98.83%. In conclusion, our study shows that KNN works well with the hyper-tuning method. These analyses show that this study prediction approach is useful in prognosticating women with breast cancer with a viable performance and more accurate findings when compared to the conventional approach.

Factors Associated with Dizziness in Korean Adults (한국 성인의 어지럼 경험과 관련 요인)

  • Seo, Yeong-Mi;Lee, Eun Sook
    • Journal of muscle and joint health
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    • v.31 no.1
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    • pp.53-63
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    • 2024
  • Purpose: This study aimed to determine the prevalence of dizziness in adults and to identify factors associated with dizziness. Methods: This cross-sectional study used secondary data from the Eighth Korea National Health and Nutrition Examination Survey. Participants included 10,265 older adults aged≥40 years. Data were analyzed using descriptive statistics, the chi-squared test, and multinomial logistic regression with the SPSS/WIN 27.0 program. Results: The prevalence of dizziness was 26.2%, with 20.9% reporting episodic dizziness and 5.3% reporting chronic dizziness. Compared to that noted in the control group participants without dizziness, the risk of episodic or chronic dizziness was higher in women and in participants with older age, low education level, low income level, high perceived stress level, depression, tinnitus, and occupational noise exposure. Moreover, the risk of chronic dizziness was higher among those with a body mass index of <25 kg/m2, stroke, cardiovascular disease, or severe hearing loss. Conclusion: The study underscores the need to comprehensively identify risk factors associated with dizziness and to develop interventions to prevent and manage the occurrence and chronicity of dizziness in the general population.

Development of K-Maryblyt for Fire Blight Control in Apple and Pear Trees in Korea

  • Mun-Il Ahn;Hyeon-Ji Yang;Sung-Chul Yun
    • The Plant Pathology Journal
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    • v.40 no.3
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    • pp.290-298
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    • 2024
  • K-Maryblyt has been developed for the effective control of secondary fire blight infections on blossoms and the elimination of primary inoculum sources from cankers and newly emerged shoots early in the season for both apple and pear trees. This model facilitates the precise determination of the blossom infection timing and identification of primary inoculum sources, akin to Maryblyt, predicting flower infections and the appearance of symptoms on various plant parts, including cankers, blossoms, and shoots. Nevertheless, K-Maryblyt has undergone significant improvements: Integration of Phenology Models for both apple and pear trees, Adoption of observed or predicted hourly temperatures for Epiphytic Infection Potential (EIP) calculation, incorporation of adjusted equations resulting in reduced mean error with 10.08 degree-hours (DH) for apple and 9.28 DH for pear, introduction of a relative humidity variable for pear EIP calculation, and adaptation of modified degree-day calculation methods for expected symptoms. Since the transition to a model-based control policy in 2022, the system has disseminated 158,440 messages related to blossom control and symptom prediction to farmers and professional managers in its inaugural year. Furthermore, the system has been refined to include control messages that account for the mechanism of action of pesticides distributed to farmers in specific counties, considering flower opening conditions and weather suitability for spraying. Operating as a pivotal module within the Fire Blight Forecasting Information System (FBcastS), K-Maryblyt plays a crucial role in providing essential fire blight information to farmers, professional managers, and policymakers.

A Comparative Study on Brainstem Auditory-Evoked Response between Dogs and Cats

  • Myeong-Yeon Lee;Sorin Choi;Dong-In Jung
    • Journal of Veterinary Clinics
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    • v.40 no.6
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    • pp.414-422
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    • 2023
  • Hearing assessment is critical in dogs and cats. Hearing loss in dogs and cats may be congenital or secondary to a central nervous system disorder or ear disease. The brainstem auditory-evoked response (BAER) test has been developed as an electrophysiological test for auditory function assessment. Modern BAER equipment is based on a computerized system. Thus, auditory function assessment can be performed using this objective, safe, and noninvasive method. No study has yet investigated the interspecies differences between BAER test results of dogs and cats. Therefore, the present study aimed to analyze the differences in BAER test results between dogs and cats. The test was conducted on four healthy adult dogs and four healthy adult cats. Regarding latency, lower values were obtained for all waveforms above 50 dB in cats compared to dogs. Regarding amplitude, cats showed higher values than dogs at intensities above 50 dB. Through a comparative analysis in this study, it was concluded that the two species had statistically significant differences. The BAER data of dogs cannot be applied to cats, and vice versa.

Superior Mesenteric Venous Thrombophlebitis with Terminal Ileal Diverticulitis: A Case Report (말단 회장의 게실염에 동반된 혈전정맥염: 증례 보고)

  • Yang Il Park;Young Han Kim;Byung Hee Lee
    • Journal of the Korean Society of Radiology
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    • v.81 no.6
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    • pp.1492-1496
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    • 2020
  • Mesenteric venous thrombophlebitis secondary to inflammatory processes such as diverticulitis and appendicitis is a rare disease; however, it can nonetheless cause bowel ischemia and infarctions. Radiologic diagnosis is vital for mesenteric venous thrombophlebitis complicated with diverticulitis due to its non-specific clinical presentation and very low incidence. We report a case of a 61-year-old woman with superior mesenteric vein thrombosis and ileocecal diverticulitis on CT, which was resolved after treatment with a combination of antibiotic therapy and right hemicolectomy.

Understanding the Pathophysiology and Magnetic Resonance Imaging of Multiple Sclerosis and Neuromyelitis Optica Spectrum Disorders

  • Laura Cacciaguerra;Maria A. Rocca;Massimo Filippi
    • Korean Journal of Radiology
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    • v.24 no.12
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    • pp.1260-1283
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    • 2023
  • Magnetic resonance imaging (MRI) has been extensively applied in the study of multiple sclerosis (MS), substantially contributing to diagnosis, differential diagnosis, and disease monitoring. MRI studies have significantly contributed to the understanding of MS through the characterization of typical radiological features and their clinical or prognostic implications using conventional MRI pulse sequences and further with the application of advanced imaging techniques sensitive to microstructural damage. Interpretation of results has often been validated by MRI-pathology studies. However, the application of MRI techniques in the study of neuromyelitis optica spectrum disorders (NMOSD) remains an emerging field, and MRI studies have focused on radiological correlates of NMOSD and its pathophysiology to aid in diagnosis, improve monitoring, and identify relevant prognostic factors. In this review, we discuss the main contributions of MRI to the understanding of MS and NMOSD, focusing on the most novel discoveries to clarify differences in the pathophysiology of focal inflammation initiation and perpetuation, involvement of normal-appearing tissue, potential entry routes of pathogenic elements into the CNS, and existence of primary or secondary mechanisms of neurodegeneration.

Mental Health Counseling in 2022: Insights and Policy Recommendations from NHANES Data

  • Ae-Jun PAPK;Ae-Hee HA
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.3
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    • pp.55-65
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    • 2024
  • Purpose: This study aims to analyze the status and realities of mental health counseling experiences among adults using the 2022 National Health and Nutrition Examination Survey(NHNES) data. The goal is to provide policy recommendations for enhancing mental health services. Research Methods: Utilizing secondary data analysis of the 2022 survey conducted by the Korea Disease Control and Prevention Agency(KDCPA), this study applied statistical techniques including descriptive statistics, chi-square tests, and logistic regression to evaluate counseling experiences based on age, gender, residential area, and income levels. Results: The study included 5,256 participants, with the highest proportion being those aged 60-69 (21.3%) and the lowest aged 19-29 (11.7%). Females constituted 56.5% of the sample, while males made up 43.5%. Older adults (60-69 and 70+) had significantly lower counseling experience rates compared to younger adults (19-29). Females had higher counseling experience rates than males, indicating gender differences in mental health service utilization. Urban residents had higher counseling experience rates than rural residents, suggesting better access to mental health services in urban areas. Lower income levels were associated with higher counseling experience rates, highlighting the need for targeted mental health support for economically disadvantaged groups. Conclusions: The study recommends developing age-specific, gender-sensitive, and regionally tailored mental health programs to improve accessibility and effectiveness. Additionally, policies should focus on enhancing mental health support for low-income individuals to address the socioeconomic disparities in mental health service utilization.