• Title/Summary/Keyword: abdominal examination

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Doses of Pediatric and X-ray Examination Assistants according to Changes in Pediatric X-ray Exposure Conditions (소아 X선 촬영조건 변화에 따른 소아 및 촬영보조자 선량)

  • Beom-Jin Jang;Ha-Yun Nam;Hye-Min Shin;Dong-Min Yun;Seung-Kook Lee;In-Hwa Jang;Sungchul Kim
    • Journal of radiological science and technology
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    • v.46 no.5
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    • pp.409-415
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    • 2023
  • Although pediatric X-ray examinations are continuously increasing, there are not many studies on the radiation exposure to children and X-ray examination assistants according to X-ray Exposure conditions. Accordingly, we measured the radiation exposure dose of pediatric and X-ray examination assistants according to the standard guidelines and clinical average X-ray Exposure conditions when X-ray examination 10-year-old children. The effective dose and organ dose to pediatric were measured using an Dose area production meter and Monte Carlo-based PCXMC program, and the exposure dose of X-ray examination assistants was measured using an ion-chamber. When performing abdominal supine AP projection, the effective dose to children was up to 2.38 times higher under clinical average X-ray Exposure conditions than the standard guidelines. In addition, during abdominal supine AP projection, the radiation exposure dose to the X-ray examination assistants was highest on the hands at 0.0148 ~ 0.0709 mSv, and exposure dose could be reduced by up to 35% when wearing protective gloves. In conclusion, because the X-ray Exposure conditions used in clinical are unnecessarily high, unnecessary medical radiation exposure could be reduced if appropriate X-ray Exposure conditions and the radiation field area were minimized and the assistant wore shielding gloves.

Association of Sleep Duration and Obesity According to Gender and Age in Korean Adults: Results from the Korea National Health and Nutrition Examination Survey 2007-2015

  • Cho, Keun-Hyok;Cho, Eun-Hee;Hur, Junguk;Shin, Dayeon
    • Journal of Korean Medical Science
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    • v.33 no.53
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    • pp.345.1-345.14
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    • 2018
  • Background: This study aimed to investigate associations between self-reported sleep duration and general and abdominal obesity in Korean adults stratified according to gender and age. Methods: Data from 41,805 adults, 18-110 years of age, collected by the Korea National Health and Nutrition Examination Survey (KNHANES) in 2007 and 2015, were analyzed. Multivariable logistic regression was used to calculate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) for obesity and abdominal obesity by sleep duration after controlling for sociodemographic and lifestyle variables. Results: Among individuals 30-49 years of age, there was an increased AOR for obesity only for sleep duration ${\leq}5hour/day$ compared with sleep duration 6 to 8 hour/day, both in men (OR, 1.25; 95% CI, 1.02-1.54) and women (OR, 1.56; 95% CI, 1.29-1.90), after controlling for covariates. Regarding women, there was increased AOR for abdominal obesity for sleep duration ${\leq}5hour/day$ (OR, 1.45; 95% CI, 1.18-1.78) and ${\geq}9hour/day$ (OR, 1.38; 95% CI, 1.09-1.76) compared with sleep duration 6 to 8 hour/day. However, for elderly individuals (${\geq}65years$), there was a negative association between sleep duration ${\leq}5hour/day$ and obesity, but not with abdominal obesity, in both men and women. Conclusion: This study demonstrated a significant association between sleep duration and obesity, which varied according to gender and age.

Coffee Consumption and the Risk of Abdominal Obesity as Defined by Waist Circumference in Korean Women - Based on 2012~2016 Korea National Health and Nutrition Examination Survey - (성인 여성에서 커피 섭취와 허리둘레를 기준으로 한 비만과의 관련성 - 2012~2016 국민건강영양조사 자료를 이용하여 -)

  • Yeon, Jee-Young;Bae, Yun-Jung
    • The Korean Journal of Food And Nutrition
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    • v.32 no.1
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    • pp.69-78
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    • 2019
  • We investigated coffee consumption in relation to the abdominal obesity as defined by waist circumference in Korean women aged 19~64 years, using data from the National Health and Nutrition Examination Survey 2012~2016. The participants to the study were classified according to 3-in-1 coffee consumption level (none-coffee, ${\leq}1$ time/day of 3-in-1 coffee, >1 time/day of 3-in-1 coffee) by a food frequency questionnaire. The analysis was conducted by the following age groups: <50 years and $50{\leq}$ years. The 3-in-1 coffee consumption group had significantly more smokers and more alcohol consumption frequency as compared to the none-coffee group. The energy intake from the participants in the 3-in-1 coffee consumption of ${\leq}1$ time/day of 3-in-1 coffee group, and >1 time/day of 3-in-1 coffee group were 131.2 kcal/day and 123.1 kcal/day. In the 50 years or over age group, >1 time/day of 3-in-1 coffee group was at a lower risk of abdominal obesity as defined by waist circumference, compared with the non-coffee group multivariable adjustment (OR: 0.44, 95% CI: 0.25~0.77). Our findings suggest that the 3-in-1 coffee consumption may be related to abdominal obesity as defined by waist circumference in Korean females aged 50 years or over.

The Relationship between Obesity and Chronic Kidney Disease for Life care Promotion (라이프 케어 증진을 위한 비만과 만성 신장질환에 관한 연구)

  • Park, Bu-Yeon;Kim, Sung-Gil
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.363-368
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    • 2019
  • The aim of this study was to assess gender difference in the association of obesity and abdominal obesity and chronic kidney disease(CKD). The study subjects were Korean adults 20 years or older(n=9,409) who participated in the Korea National Health and Nutrition Examination Survey 2013-2014. In men, after adjusting for relevant variables, the Odds ratio(OR) of CKD[estimated glomerular filtration rate(eGFR) < 60ml/min/1.73m2] with a normal weight group[body mass index(BMI) < 23.0kg/m2], as a reference were significant for the obesity[BMI ≥ 25.0kg/m2, 1.83(95% CI, 1.20-2.80)], but abdominal obesity[waist measurement(WM) ≥ 90cm, 1.30(95% CI, 0.89-1.89)] group compared to the normal group(WM < 90cm) was not significant. However, in women, the OR of CKD with a normal group(WM < 80cm) as a reference were significant for the abdominal obesity[WM ≥ 80cm, 1.52(95% CI, 1.52-2.28)] group, but obesity group[1.37(95% CI, 0.89-2.11)] compared to the normal weight group was not significant. In conclusion, the obesity in Korean men and abdominal obesity in women were positively associated with CKD.

Treatment Experiences of Abdominal Cutaneous Nerve Entrapment Syndrome -A report of 3 cases- (복부 피신경 포착 증후군 환자의 치료경험 -증례보고-)

  • Rhee, Ho Dong;Park, Eun Young;Lee, Bahn;Kim, Won Oak;Yoon, Duck Mi;Yoon, Kyung Bong
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.292-295
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    • 2006
  • The diagnosis of chronic abdominal pain due to abdominal cutaneous nerve entrapment can be elusive. Tenderness in patients with abdominal pain is naturally assumed to be of either peritoneal or visceral origin. Studies have shown that some patients suffer from prolonged pain in the abdominal wall and are often misdiagnosed, even after unnecessary and expensive diagnostic tests, including potentially dangerous invasive procedures, and treated as having a visceral source for their complaints, even in the presence of negative X-ray findings and atypical symptoms. Abdominal cutaneous nerve entrapment syndrome is rarely diagnosed, which is possibly due to failure to recognize the condition rather than the lack of occurrence. The accepted treatment for abdominal cutaneous nerve entrapment syndrome is a local injection, with infiltration of anesthetic agents coupled with steroids. Careful history taking and physical examination, in conjunction with the use of trigger zone injections, can advocate the diagnosis of abdominal cutaneous nerve entrapment and preclude any unnecessary workup of these patients. Herein, 3 cases of abdominal cutaneous nerve entrapment syndrome, which were successfully treated with local anesthetics and steroid, are reported.

Colorectal Cancer in Children - 2 Cases Report - (소아에서 발생한 결장암)

  • Choi, June-Young;Kim, Hyun-Young;Park, Kwi-Won
    • Advances in pediatric surgery
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    • v.10 no.2
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    • pp.145-149
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    • 2004
  • A 12-year-old boy with severe periumbilical pain visited the emergency room. Physical examination, abdominal ultrasonography, colonoscopy and CT, identified a lesion of sigmoid colon. Endoscopic biopsy showed a signet ring cell carcinoma of the sigmoid colon. On explorative laparotomy, cancer invasions of the adjacent structures and metastases on peritoneal wall were noticed. We performed palliative loop-ileostomy. He underwent chemotherapy and radiotherapy for 3 months. The second case was a 16-year-old boy with abdominal pain and hematochezia, transferred to our hospital with the diagnosis of acute appendicitis with periappendiceal abscess. Although he underwent appendectomy, the abdominal pain persisted. Digital rectal examination revealed a lumen-obstructing fungating mass in the rectum. Endoscopic biopsy revealed a adenocarcinoma. Cancer invasion of the adjacent structures and metastases involving the mesentery of the small intestine were found at laparotomy. A palliative procedure, a Hartmann's operation and end-colostomy at the sigmoid colon were performed. The patient died 8 month later due to pneumonia and sepsis. Chemotherapy was not applied.

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A Case of Gastric Anisakiasis with Recurrent Abdominal Pain in a Child (소아에서 반복성 복통을 동반한 위 아니사키스증 1례)

  • Kwon, Jae Hun;Uhm, Ji Hyun;Chung, Ki Sup
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.1
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    • pp.74-77
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    • 2004
  • Anisakiasis is a accidental parasitic infection caused by nematode larvae belonging to the subfamily Anisakinae when a raw or inadequately cooked fish is ingested. The common clinical symptoms are severe colicky abdominal pain or epigastric full sensation, nausea, vomiting and fever, but hematemesis or melena is very rare. We report a case of a 11-year-old female child who developed severe epigastric pain recurrently for 2 months, and recalled that she had eaten the raw flesh of an Astroconger myriaster. Endoscopic examination showed the whitish worm invading the stomach wall. Clinical symptoms disappeared after endoscopic removal. This study may be the first pediatric case of gastric anisakiasis in korea.

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Subvalvular Pulmonic Stenosis with Congestive Heart Failure in a Yorkshire terrier (요크셔테리어종에서의 울혈성 심부전을 동반한 판막하형 폐동맥판 협착증)

  • 박현정;채형규;이승진;이영원;오태호;장광호;박성준
    • Journal of Veterinary Clinics
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    • v.18 no.4
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    • pp.452-454
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    • 2001
  • A two-month-old female Yorkshire terrier was referred to the Veterinary Teaching Hospital, College of Veterinary Medicine, Kyungpook national University. The patient was presented with a history of dyspnea, cough, exercise intolerance and abdominal distension, but she was appetence. In physical examination the puppy was coughed on slight tracheal compression. Rectal temperature, pulse and respiratory rate were normal, and grade 3/6 systolic murmur heard at the left heart base. The murmur was crescendo-decrescendo. Electrocardiography showed sinus arrhythmia, right-ventricular hypertrophy pattern, and right axis deviation. Thoracic radiography revealed cardiomegaly, bulging of the main pulmonary artery, and enlarged left side heart. Abdominal radiography revealed abdkominal distention. Echocardiography showed hypertrophy of right ventricle and turbulence in the pulmonary artery in parasternal oblique view. Subvalvular pulmonic stenosis was diagnosis based upon the clinical signs, physical examination, electrocardiography, radiography and echocardiography. We treated the patient with furosemide, enalapril and $\beta$-blocker. After the clinical signs of cough, abdominal distension and dyspnea were disappeared, she was on just $\beta$-blocker for prevention of occurrence of congestive heart failure. Now she was recovered her health, and she is not on any medication.

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Efficacy of ramosetron in combination with polyethylene glycol of preparing for a colonoscopy

  • Kang, Min Kyu;Jang, Byung Ik;Park, Jun Suk;Kim, Kyeong Ok
    • Journal of Yeungnam Medical Science
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    • v.36 no.2
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    • pp.99-104
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    • 2019
  • Background: Because of its efficacy and safety, polyethylene glycol (PEG) is generally used to prepare for colonoscopy. However, the side effects of PEG, including nausea, vomiting, abdominal discomfort, pain, and general weakness, tend to decrease patient compliance and satisfaction. The aim of this study is to investigate the efficacy and safety of PEG with 0.1 mg ramosetron on colonoscopy patients who had difficulty taking PEG due to side effects or large volume. Methods: From January to August in 2012, 28 patients who visited Yeungnam University hospital for a colonoscopy were prospectively enrolled. All enrolled patients were previous history underwent colonoscopy using PEG only in our hospital. The efficacy and safety of ramosetron were assessed through the use of a questionnaire, and compared previous bowel preparation. Results: Compared to previous examination, the patients using the ramosetron reported less nausea, vomiting, abdominal discomfort, and abdominal pain, as well as a higher degree of compliance and satisfaction of the patient. There were no side effects reported with the use of ramosetron. However, overall bowel preparation quality was not better than the previous examination. Conclusion: In case of the use of ramosetron in combination with PEG for bowel preparation, patients experienced a higher rate of compliance and tolerance. Looking forward, ramosetron may become an option of pretreatment for bowel preparation.

Primary hepatic hemangiosarcoma (HSA) in a Schnauzer dog

  • Kang, Min-Hee;Heo, Ra-Young;Park, Hee-Myung
    • Korean Journal of Veterinary Research
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    • v.49 no.3
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    • pp.249-252
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    • 2009
  • A 6-year-old, neutered male, Schnauzer was presented with a one year history of weight loss and exercise intolerance. Physical examination revealed abdominal distention and ecchymosis on the abdominal skin. CBC and serum chemistry profiles revealed anemia and increased serum liver enzymes. Ultrasonography revealed a large liver mass which was characterized by multiple hypoechoic lesions. Postmortem examination revealed primary hepatic hemangiosarcoma. The tumor had extended to the mesentery and diaphragm, but distant metastasis was not found. This case report describes primary hepatic hemangiosarcoma which is very rare in a dog.