• 제목/요약/키워드: diagnostic aids

검색결과 54건 처리시간 0.026초

지속적인 쌀죽 섭취에 의한 각기병 1례 (A Case of Beriberi Because of Continuous Rice-soup Feeding during One and Half Years)

  • 양은석;윤영훈;노영일;문경래
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제7권2호
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    • pp.264-267
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    • 2004
  • 저자들은 1년 6개월간 지속적인 쌀죽의 섭취이후에 발등부터 시작하여, 전신적인 부종과 무관심, 걷지 못하는 증상을 주소로 입원한 환아가 티아민 투여 이후에 증상의 회복을 보인 beriberi 1례를 치험 하였기에 보고하는 바이다.

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소아기 호중구 감소증 (Neutropenia in children)

  • 유은선
    • Clinical and Experimental Pediatrics
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    • 제52권6호
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    • pp.633-642
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    • 2009
  • Neutropenia is defined as an absolute neutrophil count (ANC) of <$1,500/{\mu}L$, and the severity of neutropenia generally can be graded as mild ($1,000-1,500/{\mu}L$), moderate ($500-1,000/{\mu}L$), or severe (<500/$\mu{L}$). This stratification aids in predicting the risk of pyogenic infection because the susceptibility to life-threatening infections is significantly increased in patients with prolonged episodes of severe neutropenia. Especially cancer-related neutropenia carry significant mortality. Neutropenia can develop under various conditions such as decreased bone marrow production, the sequestering of neutrophils, and increased destruction of neutrophils in the peripheral blood. Neutropenia is classified according to the etiology as congenital or acquired, with the latter further defined according to the etiology or pathology. The clinical result is increased risk for infection, which is directly proportional to the severity and duration of the neutropenia. The typical workup of neutropenia starts with a 6-week period in which complete blood counts are measured twice weekly to document the persistence of the neutropenia and whether a cyclic pattern is present. When persistent neutropenia is diagnosed and no spontaneous recovery occurs within 3 months, a more extensive evaluation is advised. Treatment is usually unnecessary for most patients with severe neutropenia, as the majority of patients have a good prognosis. However, for patients who have severe and frequent infections, treatment with filgrastim may prevent infectious complications and improve quality of life.

급성 호흡부전으로 내원한 36세 남자환자 (Thirty Six-year-old Man Presenting Acute Respitatory Failure)

  • 신태림;장지은;김혜영;박영식;한운섭;장중현
    • Tuberculosis and Respiratory Diseases
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    • 제49권4호
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    • pp.514-519
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    • 2000
  • 저자들은 급성 호흡부전과 방사선학적으로 양측성 유리음영 및 국소적 낭성 변화를 보인 36세 남자 환자에서 임상 소견이 급격히 악화되는 경과를 보여 시행한 개흉 폐생검에서 후천성 면역 결핍증에 병발한 주폐포자충과 거대세포바이러스 동시 감염에 의한 폐렴으로 진담하고 문헌고찰과 함께 보고하는 바이다.

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國內飼育 원숭이의 血淸 CPK의 總活性値와 isoenzyme에 관한 硏究 (Studies on the Serum total Activities and Isoenzyme Patterns of CPK in non-human Primates Reared in Korea)

  • 윤상보;김덕환;서지민;신남식;현병화;박배근;송희종
    • 한국임상수의학회지
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    • 제18권4호
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    • pp.390-396
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    • 2001
  • CKP isoenzymes have a high level of efficaciousness as diagnostic and prognostic aids in various diseases. There is not any report on the total activity of CPK of non-human primates, let alone CPK isoenzyme patterns, in Korea. In this study, total activities and isoenzyme patterns of CPK were measured to obtain their reference values in domestically reared common marmosets, crab-eating macaques and Japanese macaques. We observed remarkable different values of serum total CPK from the primates used in this experiment. Serum CPK activities of Japanese macaques and crab-eating macaques were 275.8$\pm$158.1 IU/l and 396.7$\pm$697.4 IU/l, respectively, whereas those of common marmosets showed much higher value of 618.8$\pm$1,117.6 IU/l. In all common marmosets and crab-eating macaques, only CPK$_3$ ws observed. In five out of eight Japanese macaques, CPK$_3$ was the sole fraction but two animals showed CPK$_1$ and CPK$_3$ isoenzymes, and the remaining one had CPK$_2$ and CPK$_3$ fractions. There were some discrepancies in the pattern and ratio of isoenzyme fractions in Japanese macaques. In conclusion, values such as CPK and CPK isoenzyme patterns of investigated for the first time form non-human primates reared in Korea, could be reference values for the optimal diagnosis and therapy diseases of the corresponding animal species.

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Aberrant Hypoplastic Lung Tissue 에서 발생한 Bronchogenic Cyst (Bronchogenic Cyst in Aberrant Hypoplastic Lung Tissue)

  • 김종원;조광현;김의윤
    • Journal of Chest Surgery
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    • 제8권1호
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    • pp.13-18
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    • 1975
  • Developmental pulmonary abnormalities are known as rare condition. diagnosis was made at autopsy in the early cases reported, however, as diagnostic aids such as X-ray, bronchography, bronchoscopy and exploratory thoracotomy have come into use, the condition is being discovered more often recently in living persons, and it appears to occur with sufficient frequency to merit consideration in the differential diagnosis of certain chest conditions. According to Schneider and Boyden there are three main types of this abnormality: [1] Agenesis, in which there is complete absence of one or both lungs; there is no trace of bronchial or vascular supply or of parenchymal tissue. [2] Aplasia, in which there is suppression of all but a rudimentary bronchus which ends in a blind pouch; there are no vessels or parenchyma. [3] Hypoplasia, in which the bronchus is fully formed but is reduced in size and ends in a _ flesh structure which usually lies within the mediastinum. Rudimentary pulmonary parenchyma may be present around the bronchial stump and often is the site of cystic malformation. We experienced one case of hypoplastic lung with cystic malformation which was originated from a small aberrant rudimentary bronchus, and the rudimentary bronchus was branched from the right side of tracheal end. The diagnosis was finally confirmed by the histopathological finding. Now, we report this case with a brief review of literatures.

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Acquired facial lipoatrophy: A report of 3 cases with imaging features

  • Lee, Chena;Kim, Jo-Eun;Yi, Won-Jin;Heo, Min-Suk;Lee, Sam-Sun;Han, Sang-Sun;Choi, Soon-Chul;Huh, Kyung-Hoe
    • Imaging Science in Dentistry
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    • 제50권3호
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    • pp.255-260
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    • 2020
  • Acquired facial lipoatrophy is a rare disease with an unclear etiology and pathological pathway. The distinct causative factors of this disease have been not elucidated, but it is suspected to be associated with immune system-related diseases, most notably AIDS. Although the management of facial lipoatrophy is very important for patients' social life and mental health, no treatment framework has been developed due to the unknown nature of the disease manifestation. The present case report was designed to provide sequential imaging to visualize the disease progression. The clinical backgrounds of the patients are also introduced, helping characterize this disease entity more clearly for maxillofacial specialists.

인두암과 식도암의 새로운 진단내시경 (New Diagnostic Techniques in Cancer of the Pharynx and Esophagus)

  • 조주영;조원영
    • 대한기관식도과학회지
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    • 제17권1호
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    • pp.14-18
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    • 2011
  • The diagnosis and treatment of early gastrointestinal cancers is the gastroenterologists' mission because of national cancer screening program in South Korea. The detection of early cancers is emphasized, because these were previously treated with surgical treatment can be currently cured with endoscopic treatment. Gastroenterologists who achieved at least on some level can make an exact diagnosis regardless of what type of endoscopy, but generally, there are some required conditions for an optimal diagnosis. First, clinically important lesions have to be detected easily. Second, the border and morphology of lesions have to be characterized easily. Third, lesions have to be diagnosed exactly. Precancers and early cancers are often subtle and can pose a challenge to gastroenterologists to visualize using standard white light endoscopy. The use of dye solutions aids the diagnosis of early gastrointestinal cancers, however, it is a quite cumbersome to use dye solutions all the time and the solution often bothers the exact observation by pooling into the depression or ulceration of the lesion. To overcome this weakness, newer endoscopes are now developed so called "image enhanced endoscopy" using optical and/or electronic methods such as narrow band imaging (NBI), autofluorescence imaging (AFI), i-scan, flexible spectral imaging color enhancement (FICE) and confocal endomicroscopy (CLE).

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어린이 방사선검사 보조기구의 개발 (Development of Children's X-ray Imaging Assist Device)

  • 이도병;서승준;최현우;고철우;김종기
    • 대한방사선기술학회지:방사선기술과학
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    • 제43권4호
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    • pp.243-249
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    • 2020
  • Examination with medical radiography is the most significant advances in medicine in the 21st century. Diagnostic imaging occupies an important position in all medical subjects, surgical and internal medicine, including radiology, orthopedics, and neurosurgery. However, the invention associated with conventional radiography devices has focused only on emphasizing the efficient aspects of the examination or obtaining clearer images without considering the age and disease-induced constraints of the patient's posture. The newly developed X-ray aids to solve this problem can effectively perform X-ray imaging of children's who have difficulty communicating and controlling. It is also thought to be a good way to provide accurate imaging information and minimize radiation exposure for children.

통합학교의 장애인 편의시설 실태와 개선방안에 관한 연구 -수도권내 초등학교를 중심으로- (A Study on the Realities of Easy Access of the Integrated Education Institution for People with Disabilities and Their Improvements - Focused on Elementary School -)

  • 변성헌;이규일;김상운;성기창;박광재;강병근
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제12권1호
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    • pp.27-39
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    • 2006
  • This study was intended to present the proper operational scheme and present the criterion for establishment of proper convenient facilities and its planning method and the proper method of laying all sorts of teaching aids out. For this purpose, it attempted to investigate the type of crippled disorder and the behavioral characteristics of schoolchildren with crippled disorder with a focus on the descriptive study on disabled schoolchildren receiving complete integrated education. And it sought to analyze the present situation of complete integrated education and the case of integrated education and dissect the realities of its operation and the realities of the establishment of convenient facilities for disabled schoolchildren with a focus on the survey research.

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Endodontic management of a maxillary first molar with three roots and seven root canals with the aid of cone-beam computed tomography

  • Nayak, Gurudutt;Singh, Kamal Krishan;Shekhar, Rhitu
    • Restorative Dentistry and Endodontics
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    • 제40권3호
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    • pp.241-248
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    • 2015
  • Variation in root canal morphology, especially in maxillary first molar presents a constant challenge for a clinician in their detection and management. This case report describes the successful root canal treatment of a three rooted right maxillary first molar presenting with three canals each in the mesiobuccal and distobuccal roots and one canal in the palatal root. The clinical detection of this morphologic aberration was made using a dental operating microscope, and the canal configuration was established after correlating and computing the clinical, radiographic and cone-beam computed tomography (CBCT) scan findings. CBCT images confirmed the configuration of the canals in the mesiobuccal and distobuccal roots to be Al-Qudah and Awawdeh type (3-2) and type (3-2-1), respectively, whereas the palatal root had a Vertucci type I canal pattern. This report reaffirms the importance of careful examination of the floor of the pulp chamber with a dental operating microscope and the use of multiangled preoperative radiographs along with advanced diagnostic aids such as CBCT in identification and successful management of aberrant canal morphologies.