• Title/Summary/Keyword: Treatment Grade

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Surgical Treatment of Ventricular Septal Defect Associated with Aortic Insufficiency (대동맥판 폐쇄부전을 동반한 심실중격결손의 외과적 치료)

  • 허동명
    • Journal of Chest Surgery
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    • v.24 no.2
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    • pp.135-142
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    • 1991
  • From January 1980 to December 1989, thirteen patients underwent operation for ventricular septal defect associated with aortic insufficiency in Kyungpook national university hospital. Ten male and three female patients ranged in age from 3 years to 25 years, with an average age of 11.5 years. Aortic cusp prolapse was found in eight cases[61.5%]. The aortic regurgitation was classified by Sellers` method with grade I in 2 cases, grade II in 9 cases, and grade III in 2 cases. Direct suture or patch repair of ventricular septal defect was performed through the right ventricle. Eight cases were treated only by closure of VSD, 3 cases by plication, but two of the letter were reoperated due to the persistent of aortic regurgitation and fungal endocarditis respectively. Aortic valve replacement were performed in 2 cases at the first operation. There was only one late death[7.7%], which was caused by postoperative fungal endocarditis. Follow-up for twelve patients except one death were followed up for 3 months to six years after operation. Residual aortic regurgitation was noted in six cases[46.2%], but the postoperative course of them were uneventful.

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Pediatric High Grade Gliomas in the Context of Cancer Predisposition Syndromes

  • Michaeli, Orli;Tabori, Uri
    • Journal of Korean Neurosurgical Society
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    • v.61 no.3
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    • pp.319-332
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    • 2018
  • Germline mutations in cancer causing genes result in high risk of developing cancer throughout life. These cancer predisposition syndromes (CPS) are especially prevalent in childhood brain tumors and impact both the patient's and other family members' survival. Knowledge of specific CPS may alter the management of the cancer, offer novel targeted therapies which may improve survival for these patients, and enables early detection of other malignancies. This review focuses on the role of CPS in pediatric high grade gliomas (PHGG), the deadliest group of childhood brain tumors. Genetic aspects and clinical features are depicted, allowing clinicians to identify and diagnose these syndromes. Challenges in the management of PHGG in the context of each CPS and the promise of innovative options of treatment and surveillance guidelines are discussed with the hope of improving outcome for individuals with these devastating syndromes.

A Case Study on Cervical Spondylotic Myelopathy (척수성 경수증에 대한 증례연구)

  • Lee, Young-Hwa;Kwon, Won-An
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.3
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    • pp.331-339
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    • 2010
  • Purpose : Cervical spondylotic myelopathy is a varied clinical syndromes and the most serious condition of cervical spondylosis. Spinal cord dysfunction is often caused by the compression on spinal cord. The purpose of this report was to describe physical examination and the process of disorders on cervical spondylotic myelopathy(CSM). Methods : Three cases with cervical myelopathy were presented with magnetic resonance image(MRI), Nurick's grade and Japanese Orthopaedic Association(JOA) score. Results : This studies showed a variable clinical course with gradual neurological deterioration in two cases. but one case was improved by operation and a regular aerobic exercise. MRI, Nurick's grade, JOA score are a useful adjunct for CSM evaluation. Conclusion : The state of CSM is variable, which may affect conservative treatments and surgery. It is needed to be a carefull approach and studies for a conservative treatment and management on CSM.

Low-Grade Fibromyxoid Sarcoma Arising in Posterior Nasal Cavity: Case Report and Review of the Literature (후비강에서 발생한 저등급의 섬유점액성 육종: 증례 보고 및 문헌 고찰)

  • Sohn, Jung Heob;Lee, Kijin;Cho, Kyoung Rai
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.61 no.11
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    • pp.624-629
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    • 2018
  • Low-grade fibromyxoid sarcoma (LGFMS), a soft tissue tumor that has high recurrence and metastasizing potential, rarely occurs in the head and neck region. Therefore, the treatment for LGFMS in the facial area is challenging in terms of cosmetic and functional maintenance. The authors report a case of LGFMS in the posterior nasal cavity. It was completely removed in parallel with the nasal endoscopic and oral approach, but the lower margin was closed by preserving the soft palate. The patient is well without any recurrence or metastasis after 5 years of follow-up.

Surgical Treatment of Acute Traumatic Peroneal Tendon Dislocation (급성 외상성 비골근 탈구의 수술적 치료)

  • Choi, Eun-Seok;Park, Hong-Ki
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.2
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    • pp.179-183
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    • 2005
  • Purpose: Acute traumatic peroneal tendon dislocation is relatively rare disease and their methods of treatment is controversial, that we want to assess the characters and outcomes of 8 patients with early surgical treatments. Materials and Methods: We evaluated the results of 8 patients who can follow up more than 28 months using sex, age, side, injury sports, concomitant injuries, Eckert and Davis classifications, anatomic variants, results and complications. Results: All of 8 patients was male, average age was 27, Right side was dominant (5/8), causal sports was variable. Concomitant injuries were distal tibiofibular ligament syndesmosis injury, Peroneus longus injury, lateral collateral ligament injury. On behalf of Eckert and Davis classifications 5 patients were Grade 1 and other 3 patients were Grade 2. 1 case of low lying peroneus brevis belly was found as an anatomic variants. 6 of patients shown excellent results, 2 patients were good. Post operative complications were discomfort of operation site and mild limited dorsiflexion on ankle joint. Conclusion: Careful history and physical exam is important for diagnosis. And surgical treatments can expect good results.

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Dedifferentiated Chondrosarcoma from Low Grade Chondrosarcoma (저 악성도 연골 육종에서 발생한 미분화 연골육종 - 1례 보고 -)

  • Park, Jong-Hoon;Koh, Han-Sang;Lee, Soo-Yong
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.2
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    • pp.213-218
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    • 2005
  • Dedifferentiated chondrosarcoma is a most highly malignant variant of chondrosarcoma and approximately 10% of chondrosarcomas dedifferentiated into more anaplastic lesions. In addition to the surgical treatment, adjuvant chemotherapy or radiation therapy has been used but with little success. Thus, the primary treatment remains wide excision and chemotherapy or radiation therapy can be used for palliation. This article shows the case of a dediffderentiated chondrosarcoma occuring in proximal femur after conservative surgical treatment of a low grade chondrosarcoma.

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Correlation between Prognosis and Factors on Acne Patients (여드름의 치료예후에 영향을 미치는 인자들에 대한 상관성 고찰)

  • Son, Byeong-Kook;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.21 no.1
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    • pp.113-120
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    • 2008
  • Objective : The purpose of this study was to explore the correlation between efficacy and various factors of the acne patients. Method : We reviewed 30 acne patients who visited Allergy/Derma-cosmetic Clinic at Kyung Hee Neo Medical Center from June, 2006 to December, 2007 and were treated with herbal medicine and acupuncture for 4 weeks. We investigated premenstrual aggravation of acne, facial burning sensation, constipation, Heart Rate Variability(HRV) results and regional distribution of acne. And we evaluated inflammatory acnes according to the Korean Acne Grading System(KAGS). Results & Conclusions : 1. The average age of total patients was 23.0 years old. The most frequent age group was 21-25 years old. Patients evaluated as KAGS Grade 2 were most common. 2. In total patients, inflammatory acne were reduced significantly after 4 weeks of treatment. 3. The result of analysis on premenstrual aggravation of acne, facial burning sensation and constipation, there weren't any difference of treatment results on statistical meaning. 4. The results show that there were significant correlations between the Low Frequency at HRV and the rate of acne reduction. (Pearson correlation = -0.565) 5. If the distribution of acne did not involve the T-zone of the face, chest, or back of the body, inflammatory acne were significantly decreased after 4 weeks of treatment.

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Biocompatible Material Design Minimizing Hypertrophic Injury and Treatment Effects using a Mini-pig (비대성 흉터를 최소화하는 생체적합성 재료설계와 미니돼지에 대한 치료 효과)

  • Kim, Yong-Hwan;Kim, Jong-Woo;Jin, Seong-Hun;Kim, I-Su;Kang, Myung-Chang
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.16 no.6
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    • pp.95-100
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    • 2017
  • Recently, biomedical-grade texture material gauze has often been used to treat wounds. At this time, it is difficult to remove scratches and pushed gauze; if you remove it with force, the tissue may separate and bleeding may occur again. In this study, we studied a method to apply medical-grade silicone material. Similar to the research result that hypertrophic wounds reduce the thickness of scar marks. Through mini-pig experiments, we evaluated the effects on scar treatment. The test results showed that the silicone cover layer applied to the wound site had a sealing effect on the wound area, skin temperature, and histopathological examination. In conclusion, gel treatment utilizing a biocompatible substance had the effect of minimizing hypertrophic scars.

Effect of Facial Chuna Manual Therapy Combined with Korean Medicine Treatmeant for Bell's Palsy

  • Choi, Yeon Ah;Ryu, Soo Min;Lee, Seung Min;Heo, You Jin;Lee, Eun young;Lee, Cham Kyul;Jo, Na Young;Roh, Jeong-Du
    • Journal of Acupuncture Research
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    • v.39 no.3
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    • pp.222-228
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    • 2022
  • The effect of combined Korean medicine treatment including facial chuna manual therapy was retrospectively investigated in patients with Bell's palsy. There were 16 patients (14 males) who received 2 months outpatient treatment following > 14 days of hospitalization. The Yanagihara score and House-Brackmann grade were used to measure the severity of symptoms and recovery. The patients (mean age 58.5 ± 24.74 years) were categorized based on their medical history of hypertension (n = 10), diabetes millitus (n = 10), or oral intake of steroids early in the diagnosis of Bell's palsy (n = 10). There was no difference between patients who had or did not have a previous history of diabetes mellitus or oral steroid. Both the Yanagihara-score and House-Brackmann grade improved significantly in the total patient sample after treatment (p < 0.001). Combined Korean medicine including facial chuna manual therapy may have a beneficial effect on patient symptoms and recovery.

Investigation of Through-thickness Microstructural Evolution in a 600 MPa-Grade Reinforced Steel Bar Manufactured by Tempcore Process (Tempcore 공정을 통해 제조된 600 MPa급 철근의 두께방향 미세구조 변화 분석)

  • Jiwon Park;Hyunji Kim;Singon Kang
    • Journal of the Korean Society for Heat Treatment
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    • v.36 no.6
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    • pp.367-373
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    • 2023
  • 600 MPa-grade deformed bar samples were manufactured by conventional hot rolling and subsequent Tempcore heat treatment processes. Considering the short-time water quenching step of the Tempcore process for hot-rolled steel, it is inevitable that the temperature profile of the deformed bar depends strongly on its position throughout the sample thickness. As a result, its microstructure can be easily divided into two regions, the surface and the core regions. The former is expected to have a fresh martensite microstructure under rapid cooling conditions, but self-tempering occurs due to the intense heat flow from the hot core region after the process. The latter is generally known to exhibit a mixed microstructure of ferrite and pearlite due to its slow cooling rate. In this study, detailed microstructural evolutions were examined through the thickness direction. The large variation of the microstructure through the thickness direction in the deformed bar samples is partly due to the easy carbon diffusion from the limited additions of alloying elements.