• 제목/요약/키워드: Underlying cause

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Comparison of Clinical Characteristics Between Patients With Different Causes of Vocal Cord Immobility

  • Kim, Min-Hyun;Noh, Junsoo;Pyun, Sung-Bom
    • Annals of Rehabilitation Medicine
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    • 제41권6호
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    • pp.1019-1027
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    • 2017
  • Objective To analyze the clinical characteristics between neurogenic and non-neurogenic cause of vocal cord immobility (VCI). Methods The researchers retrospectively reviewed clinical data of patients who underwent laryngeal electromyography (LEMG). LEMG was performed in the bilateral cricothyroid and thyroarytenoid muscles. A total of 137 patients were enrolled from 2011 to 2016, and they were assigned to either the neurogenic or non-neurogenic VCI group, according to the LEMG results. The clinical characteristics were compared between the two groups and a subgroup analysis was done in the neurogenic group. Results Among the 137 subjects, 94 patients had nerve injury. There were no differences between the neurogenic and non-neurogenic group in terms of demographic data, underlying disease except cancer, and premorbid events. In general characteristics, cancer was significantly higher in the neurogenic group than non-neurogenic group (p=0.001). In the clinical findings, the impaired high pitched 'e' sound and aspiration symptoms were significantly higher in neurogenic group (p=0.039 for impaired high pitched 'e' sound; p=0.021 for aspiration symptoms), and sore throat was more common in the non-neurogenic group (p=0.014). In the subgroup analysis of neurogenic group, hoarseness was more common in recurrent laryngeal neuropathy group than superior laryngeal neuropathy group (p=0.018). Conclusion In patients with suspected vocal cord palsy, impaired high pitched 'e' sound and aspiration symptoms were more common in group with neurogenic cause of VCI. Hoarseness was more frequent in subjects with recurrent laryngeal neuropathy. Thorough clinical evaluation and LEMG are important to differentiate underlying cause of VCI.

무의식의 주체와 이미지에 관한 연구 (A study on The Subject of Unconscious and Image)

  • 최원호
    • 한국멀티미디어학회논문지
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    • 제17권9호
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    • pp.1134-1140
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    • 2014
  • The history of mankind has been together with the history of image because image provides with excellent information as a communication means. However, this study argues that there is more underlying cause for it. A subject is the subject of unconscious and the role of image is huge in the process toward the subject. Of course, image has been dealt in-depth in psychoanalysis. Film study also applied psychoanalysis on it. However, they were not the approach from the viewpoint with image in the center. Accordingly, this study will verify the image toward the subject and the absoluteness of image. The result of this study is that image intervened deeply in the formation of the subject much higher than the level of simple communication. Since image communicates with the subject on more underlying level, the subject have been always entangled with image and men have delved in image and been attracted to it.

만성 기침의 감별진단 (Differential Diagnosis of Chronic Coughing)

  • 도남용;박준희
    • 대한후두음성언어의학회지
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    • 제27권2호
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    • pp.87-90
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    • 2016
  • Cough, the most common symptom, encountered in the outpatient clinic can be caused by various underlying diseases. It defines as chronic cough that the duration of cough is more than 8 weeks with a normal chest X-ray findings. The cause of cough can be found out for more than 90% through the appropriate diagnostic approach and Upper airway cough syndrome, Asthma and Gastroesophageal reflex disease are the most common causes of disease to non-smokers. Chronic cough can be due to not one reason but various reasons and achieve good results by a systematic approach to diagnosis and a concrete treatment on the basis of the sufficient understanding of the underlying disease.

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소아 기능성 요실금의 진단과 치료 (Diagnosis and therapy for functional urinary incontinence in childhood)

  • 강주형
    • Clinical and Experimental Pediatrics
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    • 제51권11호
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    • pp.1147-1151
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    • 2008
  • Functional urinary incontinence, the absence of any neurologic or structural abnormality as a cause of urinary incontinence in children, is one of the most common clinical problems encountered in pediatric and urologic departments, and it can be socially and emotionally distressing for the affected children. The prevalence rates of functional urinary incontinence in school-aged children are not very high and differ between boys and girls. The underlying mechanisms of functional urinary incontinence are heterogenous and can be associated with the following dysfunctions of both the storage and voiding patterns of the bladder: overactive bladder, dysfunctional voiding, lazy bladder syndrome, HinmanAllen syndrome, giggle incontinence, and vaginal voiding. Treatment methods for urinary incontinence in children should be chosen according to these clinical conditions. Treatment modalities generally consist of the treatment of comorbid conditions such as urinary infection and constipation, behavior therapy to modify learned voiding patterns, and pharmacotherapy primarily with anticholinergics and ${\alpha}$-adrenergic blockers. This review discusses the optimal treatment modalities, including treatment of the underlying voiding disorders, and diagnostic approaches related to functional urinary incontinence in children.

Progress, challenges, and future perspectives in genetic researches of stuttering

  • Kang, Changsoo
    • Journal of Genetic Medicine
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    • 제18권2호
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    • pp.75-82
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    • 2021
  • Speech and language functions are highly cognitive and human-specific features. The underlying causes of normal speech and language function are believed to reside in the human brain. Developmental persistent stuttering, a speech and language disorder, has been regarded as the most challenging disorder in determining genetic causes because of the high percentage of spontaneous recovery in stutters. This mysterious characteristic hinders speech pathologists from discriminating recovered stutters from completely normal individuals. Over the last several decades, several genetic approaches have been used to identify the genetic causes of stuttering, and remarkable progress has been made in genome-wide linkage analysis followed by gene sequencing. So far, four genes, namely GNPTAB, GNPTG, NAGPA, and AP4E1, are known to cause stuttering. Furthermore, thegeneration of mouse models of stuttering and morphometry analysis has created new ways for researchers to identify brain regions that participate in human speech function and to understand the neuropathology of stuttering. In this review, we aimed to investigate previous progress, challenges, and future perspectives in understanding the genetics and neuropathology underlying persistent developmental stuttering.

CT imaging features of fat stranding in cats and dogs with abdominal disorder

  • Seolyn, Jang;Suhyun, Lee;Jihye, Choi
    • Journal of Veterinary Science
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    • 제23권6호
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    • pp.70.1-70.13
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    • 2022
  • Background: Fat stranding is a non-specific finding of an increased fat attenuation on computed tomography (CT) images. Fat stranding is used for detecting the underlying lesion in humans. Objectives: To assess the clinical significance of fat stranding on CT images for identifying the underlying cause in dogs and cats. Methods: In this retrospective study, the incidence, location, extent, distribution, and pattern of fat stranding were assessed on CT studies obtained from 134 cases. Results: Fat stranding was found in 38% (51/134) of all cases and in 35% (37/107) of tumors, which was significantly higher in malignant tumors (44%) than benign tumors (12%). Moreover, fat stranding was found in more than two areas in malignant tumors (16/33) and in a single area in benign tumors (4/4). In inflammation, fat stranding was demonstrated in 54% (7/13) in a single area (7/7) as a focal distribution (6/7). In trauma, fat stranding was revealed in 50% (7/14) and most were in multiple areas (6/7). Regardless of the etiologies, fat stranding was always around the underlying lesion and a reticular pattern was the most common presentation. Logistic regression analysis revealed that multiple areas (p = 0.040) of fat stranding and a reticulonodular pattern (p = 0.022) are the significant predictors of malignant tumor. Conclusions: These findings indicated that CT fat stranding can be used as a clue for identifying the underlying lesion and can be useful for narrowing the differential list based on the extent and pattern.

만성 흡인성폐렴에서 기관식도 우회로술 (Tracheoesophageal Diversion for Chronic Aspiration Pneumonia)

  • 심성보
    • Journal of Chest Surgery
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    • 제26권4호
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    • pp.329-332
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    • 1993
  • Breakdown of the normal protective function of the larynx, either through primary or neurologic cause, leads to chronic aspiration, recurrent pneumonitis and possibly death. Lindemann`s tracheoesophageal diversion has three main advantages; first, it eliminates intractable aspiration in all patients who underwent the procedure, second, it preserves larynx, and third, if the underlying neurologic condition is recorved, the procedure can be reversed. We had performed tracheoesophageal diversion in two cases of intractable aspiration pneumonia patients. The postoperative courses were uneventful and they were receiving oral alimentation on the 22th and 9th postoperative days respectively, and could be discharged on 43th and 20th postoperative days respectively.

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INDUCTION OF APOPTOSIS IN TESTIS OF SD RATS AFTER EXPOSURE 2-BROMOPROPANE

  • Kim, Young-Hee;Cho, Sung-Whan;Ha, Chang-Su;Kang, Boo-Hyon
    • 한국독성학회:학술대회논문집
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    • 한국독성학회 2001년도 International Symposium on Signal transduction in Toxicology
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    • pp.120-120
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    • 2001
  • Exposure of testis to 2-BP is known to cause degeneration of male germ cells. However, the mechanism underlying this process is poorly understood. The objective of this study was to determine whether 2-BP induces apoptosis during onset of toxicity in germ cells of male Sprague-Dawley rats.(omitted)

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소아 급성 간부전의 임상적 의의 (Acute liver failure in children)

  • 김경모
    • Clinical and Experimental Pediatrics
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    • 제50권9호
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    • pp.841-847
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    • 2007
  • Acute liver failure (ALF) is a very rare but devastating illness in children. Specific treatment to recovery is often not available, and the underlying cause of the liver failure is often unknown and diverse especially in children. Liver transplantation has increased the chance of survival; however it needs an optimal timing to reach the best result which is not familiar to pediatrician. This article discusses the current knowledge of the epidemiology, backgrounds and factors to be considered before establishing the treatment of ALF in children.

총의치 안정에 대한 연구 (A Study of Complete Denture Stability)

  • 이재열
    • 대한치과기공학회지
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    • 제6권1호
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    • pp.15-18
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    • 1984
  • A denture that shifts easily in response to latterally applied forces can cause a disruption in the border seal or prevent the denture base from Correctly relating to the supporting tissue. The factors that Contribute to stability include ridge height and conformation, base adaptation, residual ridge relationships, occlusion harmony, and Muscle control. These factors can be condensed into the following categories; 1. The relationship of the denture base to the underlying tissue. 2. The relationship of occlusal harmony. 3. The relationship of the denture surface and border to the surrounding muscle. 4. The location of artificial tooth.

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