• 제목/요약/키워드: clinical characteristic

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연구균 감염 후 급성 사구체신염의 임상 양상 변화에 대한 연구 - 최근 5년과 이전 5년 동안의 임상 증상 비교 - (The Study of Clinical Characteristic Changes in Acute Poststreptococcal Glomerulonephtritis - Comparision of Clinical Manifestations between Recent 5 Years and Past 5 Years -)

  • 윤혜원;박경수;이재호
    • Clinical and Experimental Pediatrics
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    • 제48권11호
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    • pp.1201-1205
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    • 2005
  • 목 적 : 최근 10년 동안 발생하였던 연구균 감염 후 급성 사구체신염을 5년 단위로 I군과 II군로 나누어 기간에 따른 임상 양상과 검사 소견들의 변화를 비교 분석하고자 하였다. 방 법 : 충남대학교병원 소아과에서 1995년 1월부터 2004년 8월까지 10년 동안 연구균 감염 후 급성 사구체신염으로 진단되어 입원 치료를 받았던 환아들 중에서 추적 관찰이 가능하였던 74례를 대상으로 1995년 1월부터 1999년 12월까지 I군(31명), 2000년 1월부터 2004년 8월까지 II군(43명)으로 나누어 임상 및 검사 소견들을 후향적으로 비교 분석하였다. 결 과 : I군과 II군에 대한 비교연구 결과 두 군 모두에서 남아에서 많이 발생하였고, 겨울에 빈발하였으며 1-2주의 잠복기를 나타낸 상기도 감염이 선행 질환으로 가장 많았다. 발생 연령은 II군(7.4세)에서 I군(9.2세)보다 낮았다. 육안적 혈뇨 증상의 발생 빈도는 I군과 II군 모두에서 높게 나타났으나, 두 그룹간에 의미 있는 차이는 없었다. 임상 증상의 경과에서 부종과 고혈압은 2주내에 I군과 II군 모두에서 완해되었다. 단백뇨 증상의 발생 빈도는 II군에서 I군보다 높았으며, 육안적 혈뇨와 단백뇨 증상의 발현 기간도 II군에서 I군 보다 오래 지속되었다. 결 론 : 최근 2000년대에는 연구균 감염 후 급성 사구체신염의 발생 연령이 이전보다 낮아지고, 높은 발생 빈도를 나타낸 육안적 혈뇨 증상의 발현 기간이 연장되면서, 단백뇨 증상의 발현 빈도가 증가하면서 단백뇨가 완해되는 기간도 연장되었다. 그러나 임상 경과와 예후는 차이가 없었다.

돼지 적리의 병리학적 소견 (Pathological findings of swine dysentery)

  • 김순복;문운경
    • 한국동물위생학회지
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    • 제23권3호
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    • pp.219-221
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    • 2000
  • This experiment was done to determine pathological findings of swine dysentery naturally occurred in Korea. Clinical sign was characterized by mucohemorrhagic diarrhea. Characteristic mucofibrinous lesions composed of fibrin, mucus, and sloughed cell debri were mostly limited to the large intestine of affected pjgs. A myriad of coiled spirochetes were detected in the colonic crypts.

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광주·전남 지역의 물리치료학 전공 학생들의 임상실습만족도 (A Study on the Degree of Satisfaction on Clinical Practice for the Students in the Depart of Physical Therapy Located in Gwang-ju and Jeonnam)

  • 조남정;정준성
    • 대한통합의학회지
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    • 제1권2호
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    • pp.13-22
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    • 2013
  • Purpose : The purpose of the research is that get a cut above clinical practice effect through satisfaction of clinical training, practical training, content, oversight of training and evaluation system. Clinical training consists of part of university in Gwang Ju and Jeon nam. Method : The target of training student was studying at physiotherapy a tree or four-year-course collage in Gwang ju and Jean nam. Data collection period is from 21 November 2012 to 1 February. We explained how to do a means of collecting data and get students consent fill in questionnaire. Data collection prossed by using spss 10.1 program also independent proofs, descriptive statistics, crosstabulation, regression analysis and frequency analysis. Results : The subjects average age is 24 in general characteristic. A school system of subjects was a tree-year-course students. They were 58people(39.1%). A school system of subjects was a four-year-course students. They were 90people(60.9%).The male was 72(48.6%) and the female was 76(51.4%). We researched to know about satisfaction of clinical training, practical training, content, environment of practical establishment, trainee manage and evaluation method. All-round satisfaction of clinical training average was 1.90 Satisfaction of clinical training period and content average was 1.83Satisfaction of environment of practical establishment average was 1.88 Satisfaction of clinical training establishments' trainee manage and evaluation average was 1.94 Conclusion : It is important that student can get specific their future and can do at clinical throught clinical training after their graduation improving satisfaction of clinical training would give to impact a physical therapist reserve.

가족성 섬유성 이형성증(Cherubism)에 대한 고찰 (A REVIEW ON CHERUBISM)

  • 김경덕;김신;정태성
    • 대한소아치과학회지
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    • 제24권4호
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    • pp.751-757
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    • 1997
  • Cherubism is an uncommon, benign fibrosseous lesion of the jaws that causes a progressive, painless, symmetrical expansion of the maxilla and mandible. It's autosomal dominance pattern of inheritance has been confirmed. A characteristic deformity is specific to this disease: hypertrophy of the mandible, swelling of cheeks and sometimes hypertrophy of maxilla with eyes tending to look up ; that looks like the Renaissance cherubs. It usually makes figures during childhood between 2-4 years of age and progresses until puberty, after which it spontaneously regresses 10 most cases. As a result of this case review, the management strategies for cherubismic children in standpoint of pediatic dentistry can be summarized as follows: 1. It can be detected early in childen through its characteristic clinical and radiographic features, which is confirmed by histopathological examination and familial history. 2. The supervision of arch space is required against its frequent sequelae, the early missing of primary teeth and eruption disorders of permanent teeth. 3. It is highly recommended to continue the periodic check-up with clinical and radiographic examination, leading to surgical intervention in cases of aggravation.

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골과 임플란트 접촉면의 조직학적 연구 (Histological Study on the Interface of Bone and Implant)

  • 김주성
    • 대한임상검사과학회지
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    • 제37권1호
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    • pp.35-40
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    • 2005
  • This paper reports the morphological nature of the remodelled interface process between implants and surrounding bone after 1, 4, 6, 8 and 12 weeks of implantation of smooth machined implants into rat tibias. After 4 weeks of implantation, histochemical analysis showed that the new bone was growing in direct contact with the implant. In the forming process, the activatived osteoblast cells migrated toward the interface and colonized the surface at the contact areas. This immature woven bone, rich in osteocyte lacunae, was deposited directly onto the implant surface. Osteoblast activity was found to continue ill 12 weeks of implantation The osteoblasts in lacunar areas developed numerous processes and synthesized bone matrix, after all, surrounded by secreting matrix. At the 12th week, the amount of newly formed bone matrix between bone and implant increased in mineralization. The mineralized mature bone contained well organized collagen fibers with characteristic banding pattern bone tissue formation around the implant.

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Clinical Geriatric Pharmacology

  • Sohn, Dong-Ryul
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1997년도 추계학술대회
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    • pp.87-91
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    • 1997
  • The range of disorders of old age that are thought potentially amenable to drug therapy is increasing. However, factors such as the growing costs of drug development and prescription, the novel pharmacological profile and enhanced potency of many new compounds, and the concerns that the elderly may have enhanced susceptibility to toxicity all make drug usage in the elderly patient an increasingly specialized topic. This is compounded by the high incidence of multiple disorders in frail elderly patients, and consequently the possibility of the long term use of several drugs, thus, adding the risk of drug interactions. Thus, clinical pharmacology in the elderly requires understanding of pharmacologic characteristic determinants of the physiological changes (Table 1) associated with aging in terms of pharmacokinetics and pharmacodynamics.

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피리독신 중독에 의한 감각신경원병증 1예 (A Case of Sensory Neuronopathy Caused by Pyridoxine Intoxication)

  • 김지선;이경복;노학재;안무영
    • Annals of Clinical Neurophysiology
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    • 제10권1호
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    • pp.74-78
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    • 2008
  • Pyridoxine has been known as an essential cofactor in many important biological reactions of tissue metabolism including blood, skin, and central nervous system. Nowadays, vitamins are widely consumed because of the belief that they provide health benefits with no harm. We report a patient with sensory ataxia who had a 3-year history of excessive vitamin $B_6$ intake. Her clinical and electrodiagnostic findings were characteristic of sensory neuronopathy, which were probably caused by pyridoxine intoxication. Physicians should be aware of the toxicities of megavitamin therapy.

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봉입체 근염 : 임상과 전기생리학 소견 (Inclusion Body Myositis : Clinical Features and Electrophysiological Findings)

  • 김광국
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.16-22
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    • 2006
  • Sporadic inclusion body myositis (s-IBM) is an aquired slowly progressive inflammatory myopathy with unknown etiology. Although light microscopic abnormalities and characteristic histopathology on muscle biopsy distinguishes from other inflammatory myopathies, vacuolated muscle fibers, intracellular amyloid deposits or tubulofilaments in electromicroscopic findings are not definite in some patients. This review shows the prominently involved muscles in s-IBM and specific or nonspecific electrophysiologic manifestations from reported data for helping the diagnosis of definite-or probable-IBM patients. In lower limbs, the quadriceps is predominantly involved, as is iliopsoas, and tibialis anterior is common. In the upper limbs, the greatest weakness is in forearm finger flexors. Finger extensors, biceps and triceps also are moderately to prominently involved. The majority of patients demonstrate polyphasic MUAPs that are short in duration. An additional striking feature is the concomitant documentation of long-duration, large-amplitude, polyphasic MUAPs. In spite of the frequent mixed myopathic-neurogenic electromyographic findings of IBM, just like that of chronic myositis, asymmetric, slowly progressive weakness of flexor digitorum profundus or quadriceps femoris muscles after age of 50 is very necessary condition for the diagnosis of IBM.

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Trichophyton tonsurans의 진균학적 성상 (Mycologic Characteristics of Trichophyton tonsurans)

  • 방용준;김쌍용;신두만
    • 대한임상검사과학회지
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    • 제36권1호
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    • pp.7-12
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    • 2004
  • Trichophyton(T.) tonsurans has been identified for the first time in Korea in 1995 and has been increasing in number of reported in wrestlers, in judo players, and in korean - style wrestlers. Author tried mycological studies with T. tonsurans is isolated in Daegu Korea. The results are as follows: All 16 strains of T. tonsurans tested for nutritional requirement, showed strongly stimulated growth by thiamine, mild to moderate growth on casamino acid agar, poor growth on ammonium nitrates base agar. All 16 strains of T. tonsurans tested showed positive results for hair perforation and urease test. Gross findings of T. tonsurans showed that fine granular surface with light yellow hue or white color and mahogany brown color on the reverse side. Microscopic findings showed that septated hyphae, chlamydoconidia and microcondia. Microconidia were characteristic in their arrangerment and shape : round or oval shaped microconidia laterally to hyphae, some were match - head like terminal swelling.

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A Severe Hepatotoxicity by Antituberculosis Drug, and its Recovery in Oriental Hospital

  • Son, Chang-Gue
    • 대한한의학회지
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    • 제37권2호
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    • pp.119-124
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    • 2016
  • Objectives: To demonstrate a clinical course and feature of a female patient with a severe liver injury (DILI) during antituberculosis treatment for her intestinal tuberculosis, whom traditional Korean medicine completely recovered. Methods: A female patient with diagnosed as DILI by antituberculosis drugs had been treated with herbal drugs; and then the clinical outcome and biochemical parameters had been monitored. Result: A 45-year old female had taken antituberculosis drugs for about 2 months, and complained severe abdominal discomfort and dyspepsia. The RUCAM score was 10, which met the criteria for DILI (AST 584 IU/L, ALT 1212 IU/L, ALP 100 IU/L, and GGT 161 IU/L, total bilirubin 0.9 mg/dL). She had been treated with herbal drugs and acupuncture as inpatient and outpatient, and then her symptoms had been completely recovered with normalization of hepatic enzymes. Conclusion: This report provides a clinical characteristic for a severe hepatotoxicity induced by antituberculosis drugs, and showed an example of TKM-based application.