• Title/Summary/Keyword: Upper neck

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F-18 FDG Uptake in Respiratory Muscle Mimicking Metastasis in Patients with Gastric Cancer (위암 환자에서 전이로 오인된 호흡근의 F-18 FDG 섭취)

  • Choi, Seung-Jin;Kim, Jeong-Ho;Hyun, In-Young
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.4
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    • pp.233-236
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    • 2006
  • A 67-year-old man with a history of chronic obstructive pulmonary disease (COPD) underwent F-18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for staging of gastric cancer. The projection images of F-18 FDG PET/CT showed intensely increased F-18 FDG uptake in the anterior neck, chest wall, and upper abdomen. We suspected distant metastases of cervical lymph nodes, ribs, and peritoneum in gastric canter. However, the transaxial images of F-18 FDG PET/CT showed abnormal F-18 FDG uptake in scalene muscles of anterior neck, intercostal muscles of chest wall, and diaphragm of upper abdomen. Patients with COPD use respiratory muscles extensively on the resting condition. These excessive physiologic use of respiratory muscles causes increased F-18 FDG uptake as a result of increased glucose metabolism. The F-18 FDG uptake in respiratory muscles of gastric cancer patient with COPD mimicked distant metastases in cervical lymph nodes, ribs, and peritoneum.

A Study on Wearing Satisfaction of Cycle Wear (사이클 웨어의 만족도에 대한 연구)

  • Lee, Yu-Jin;Suh, Mi-A
    • The Research Journal of the Costume Culture
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    • v.16 no.2
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    • pp.219-234
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    • 2008
  • The purpose of this thesis is to conduct research on the degree of satisfaction (for both wearing and functioning) of cycle wear; to present the basic data to develop cycle wears which can lesson the trouble for human body and have an excellent feeling in wearing. To inquire the degree of satisfaction, the method of questionnaire was used for 100 peoples consisted of male cycling players. As the result of the satisfaction degree in wearing, it can be certain that the users are satisfied overall and yet they express the lowest satisfaction at material among material, design, color and function. When it comes to unsatisfactory factors of wearing cycle wear, the most unsatisfactory one is the poor function of clothing on the whole. As the result of the site suitability of cycle wear, we can find the problems on the girth of neck and armhole of the upper garment, and on the part from waist to hip length and the girth from thigh through knee to calf of lower garment. As the result of the motion suitability of cycle wears, we can acknowledge that there are problems on the part of neck, armpit, and abdomen of the upper garment rather than the lower one.

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Effects of Local Heating on Whole Body Skin Temperature - Centered on the Comparison of Old Women & Female Collegians -

  • Shim, Boo-Ja
    • Journal of Fashion Business
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    • v.6 no.3
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    • pp.84-93
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    • 2002
  • The purpose of this study was to design functional clothing based on the physical characteristics of old women. The subjects of this experiment were 5 healthy old women and 5 college women. While the subjects were exposed to the circumstances of $28{\pm}0.5^{\circ}C$ and local heating at 7 areas (chest, abdomen, back, loin, hand, thigh and instep), their skin temperature, physiological reaction and psychological reaction were determined. The conclusions about the effects of local heating are as follows : 1. Skin temperature before heating was in the order of head-neck> trunk> upper limbs> lower limbs (Group A: old subjects) and head-neck> trunk> lower limbs> upper limbs (Group B: young subjects). 2. The heating pad was attached and detached for 30 minutes each. The sharpest rise and fall were recorded at 5 minutes with the pad on and off. Both groups had great changes in the body parts near trunk. 3. With the pad on and off, both groups showed no change in body temperature, blood pressure, and pulse rate. 4. Concerning the pervasive effects of local heating on whole body skin temperature, loin heating greatly increased other body parts in Group A. In Group B, the effects were large in heating chest, abdomen, back, loin, and thigh. 5. The loin part of old women has the greatest pervasive effect of local body heating.

Laryngopharyngeal Reflux Disease: Diagnosis and Treatment in 2021 (인후두 역류 질환: 진단 및 치료)

  • Kang, Jeong Wook;Eun, Young-Gyu
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.32 no.2
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    • pp.56-63
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    • 2021
  • Laryngopharyngeal reflux disease (LPRD) is an inflammatory condition of the upper aerodigestive tract mucosa induced by reflux content from stomach. Some of vocal cord diseases are associated with laryngopharyngeal reflux. Because of the pathophysiological features, proton pump inhibitor shows therapeutic effect on some vocal cord diseases. As like that, the gastric reflux contents can make macroscopic or microscopic morphological changes in the upper aerodigestive tract mucosa. Although the pathophysiology of LPRD is relatively clear, clinical diagnosis is still difficult. The diagnosis of LPRD includes objective tests such as 24-hours multichannel intraluminal impedance-pH metry and subjective tests such as questionnaire method. However, the objective verification of reflux is difficult due to invasiveness of the method, and the questionnaire methods have limitations because many symptoms are not specific for LPRD. Moreover, most methods are not fully standardized until now. Despite these limitations, many researchers are struggling to standardize diagnosis and treatment of LPRD, and there are several new achievements recently. Therefore, the purpose of this article is to review the recent literature on the clinical presentation, diagnosis, and treatment of LPRD, and to systematize our knowledge.

Three Cases of Cervical Vertigo Improved by Traditional Korean Medicine Treatment (한의 치료로 호전된 경추성 현훈 환자 치험 3예)

  • Choi, Seonghwan;Kang, Shinwoo;Park, Hyeonsun;Park, Seohyun;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.1
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    • pp.145-155
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    • 2022
  • The purpose of this study is to evaluate the effectiveness of traditional Korean medicine treatment of cervical vertigo. Three patients were diagnosed as cervical vertigo with correlating symptoms of imbalance and dizziness with neck pain. The diagnosis of cervical vertigo is also dependent on excluding other vestibular disorders on the basis of history, examination, and vestibular function tests. They were treated by acupuncture, transcutaneous electrical nerve stimulation therapy and low-intensity pulsed ultrasound at acupoints and sympathetic ganglion chain of their cervical and upper thoracic region. The evaluation of clinical outcome was done by numeric rating scale (NRS), dizziness handicap inventory (DHI) and neck disability index (NDI), EuroQol-five dimensions questionnaire (EQ-5D) index. After the treatment, the value of their NRS, NDI, DHI was significantly decreased and their EQ-5D index was significantly increased. The traditional Korean medicine treatment at cervical and upper thoracic region could be an effective way to treat cervical vertigo.

Occurred Facial Pain during Acupotomy at a Site 5 pun Left of GV16: A Case Report

  • Eun Ju Lee;Tae Kyung Kim;Chang Min Shin;Jong Cheol Seo;Seo Whi Kim;Si Yong Cho;Hyun Min Yoon;Cheol Hong Kim
    • Journal of Acupuncture Research
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    • v.41 no.1
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    • pp.69-73
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    • 2024
  • This study evaluated a case of trigeminal nerve stimulation during acupotomy at a site 5 pun left of GV16. The study participant was a 52-year-old male suffering from upper neck pain and numbness, which was managed by acupotomy at a site 5 pun left of GV16. During acupotomy, the patient experienced unexpected numbness and stiffness of the left zygomatic bone. This area corresponds to the distribution of the maxillary nerve, which is the second branch of the trigeminal nerve. After approximately one month, symptoms of numbness and stiffness disappeared without rendering medical treatment. These side effects are presumed to be associated with the trigeminocervical complex and stimulation of the trigeminal nucleus within the spinal cord. Thus, during the acupotomy of the upper neck, especially at GV16, the needles should be inserted slowly, and the patient's response should also be monitored.

Appropriate Ease of Men's Snowboard Upper Wear (남성 스노보드 상의의 여유량 설정에 관한 연구)

  • Park, Kil-Soon;Ryu, Sin-A
    • Journal of the Korean Society of Clothing and Textiles
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    • v.29 no.2
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    • pp.254-266
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    • 2005
  • The purpose of this study were to develop snow-board upper wear with improved functionality. The study consisted of figure out appropriate ease amount of snow-board upper wear and make products by applying it to pattern design. The results of this study were as follows : First, The results of examined the difference between naked body measurements of and basic wear. According to motion, chest circumference(4.7cm, 5.1%), back width(8.9cm, 20.7%), and waist back length(8.0cm, 18.3%) increased. Around the elbow the length increased by 4.4cm(21.9%) when it was bent 90 degrees, while it increased by 6.0cm(29.8%) when it was bent to the full(145 degree). Second, 3 snow-board upper wear were selected and evaluated their appearance, comforts, and functionality, and that of the biggest margin proved to be the best. Eases necessary for motion proved to be insufficient especially in neck, arm and wrist parts of upper clothing. Third, on the basis of the analysis of snow-board upper wear on market, 2 pieces of experimental snowboard upper wear were designed, produced, and evaluated the patterns of with different ease, and snowboard upper wear B for experiment was proved to be better, Fourth, Snowboard upper wear was produced and evaluated for experiment 2 by giving additional ease to specific parts. Therefore experiment 2 was presented pattern, ease, and size of snowboard upper wear for with snowboard upper wear with improved functionality.

Vertebral Spreading Segments of Cervical Epidural Injection: a Comparative Study with 5 ml and 10 ml of Injected Volume (경부경막외차단 시 약물의 용량에 따른 약물 분포 범위: 5 ml와 10 ml 주입량에 대한 비교 연구)

  • Lee, Sang Eun;Han, Kyung Ream;Kim, Chan;Chae, Yun Jeong;Yoo, Ji Young
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.181-186
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    • 2006
  • Background: Although cervical epidural block can be a useful therapeutic treatment for head, neck and upper extremities pain, there is no consensus regarding the volume of injection required for pain management. Herein, the spreading in the vertebral segments after a cervical epidural injection of either a 5 or 10 ml volume was studied. Methods: A total of 78 patients, suffering from head, neck and upper extremity pain, were selected. Cervical epidural blocks were performed consecutively with 5 ml (n = 42) and 10 ml (n = 36) of 0.4% mepivacaine and 222 mg I/ml iopamidol at the C7⁣-T1 levels. Both anteroposterior (AP) and lateral radiographs were obtained under fluoroscopy, and the upper and lower epidural spreading of the contrast media in relation to the vertebral level was evaluated. Results: The cervical epidural blocks were performed without complications. The rostral spreading of the contrast media in the vertebral segments in groups 1 and 2 were $5.6{\pm}1.1$ and $6.1{\pm}1.1$, respectively. The caudal spreading of the contrast media in the vertebral segments in groups 1 and 2 were $5.4{\pm}3.4$ and $7.2{\pm}3.9$, respectively. The total numbers of segments with vertebral spreading of the contrast media in both directions showed significant differences between the two groups. The numbers of patients who showed spreading of the contrast media up to C2 vertebral segment showed no significant differences between the two groups. Conclusions: 5 and 10 ml epidural injection volumes may be adequate for the spread of contrast media to the entire cervical spine. A 5 ml epidural injection volume, compared to a 10 ml volume, may be ample when considering the possibility of unnecessary caudal spreading of drugs and volume related complications in the management of head, neck and upper extremity pain.

Use of stellate ganglion block for treatment of recurrent syncope followed by chest pain

  • Kim, Young-ung;Shin, Yong-joon;Cho, Young Woo
    • Journal of Yeungnam Medical Science
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    • v.35 no.1
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    • pp.104-108
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    • 2018
  • Syncope is defined as a transient loss of consciousness and postural tone, characterized by rapid onset, short duration, and spontaneous recovery. Stellate ganglion block (SGB) is a nerve block method that is used for treatment of neuropathic pain in the head, neck and upper extremities, especially trigeminal neuralgia, postherpetic neuralgia and complex regional pain syndrome. SGB can modulate and stabilize the sympathetic nervous system, which prevents it from overexcitation and improves symptoms of syncope. The authors report a patient who was treated for pain and edema of both upper extremities with SGB, then showed improvement in recurrent syncope followed by chest pain and overall quality of life.

Analysis about Deviation of Upper Cervical of Patients with Whiplash injuries (교통사고로 인한 편타손상환자의 상부경추분석을 통한 고찰)

  • Lee, Kyung-yun;Park, Min-jung;Cho, Won-young;Park, Koae-hwan
    • Journal of Acupuncture Research
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    • v.20 no.6
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    • pp.27-35
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    • 2003
  • Objective: We intended to show the relation between whiplash injury and deviation of upper cervical through analysing patients having deviation of upper cervical injuried by whiplash. Methods: We chose 40 patients who have been admitted for whiplash injury syndrome in vertebral-joint center of Conmaul oriental medical hospital during 2001.10.1-2003.10.15. We examined cervical simple X-ray of them according to the traffic accident patterns and the position in the veicle. Results: The 97% of the cases showed AS deviation and the 95% of them complained neck pain. The first cases collided from the back on the driving seat showed AS deviation. The second cases collided from the front on the back seat showed AS deviation of left lateral misalignment of atlas. The third cases collided from the front on the assistant seat showed AS deviation of right lateral misalignment of atlas.

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