• Title/Summary/Keyword: diseases

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Prevalence of Benign Diseases Mimicking Lung Cancer: Experience from a University Hospital of Southern Brazil

  • Homrich, Gustavo Kohler;Andrade, Cristiano Feijo;Marchiori, Roseane Cardoso;Dos Santos Lidtke, Grazielli;Martins, Fabio Pacheco;Dos Santos, Jose Wellington Alves
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.2
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    • pp.72-77
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    • 2015
  • Background: Lung cancer is the most lethal type of cancer in the world. Several benign lung diseases may mimic lung carcinoma in its clinical and radiological presentation, which makes the differential diagnosis for granulomatous diseases more relevant in endemic regions like Brazil. This study was designed to describe the prevalence and the diagnostic work-up of benign diseases that mimic primary lung cancer in patients hospitalized at a university hospital from south of Brazil. Methods: This was a transversal study, which evaluated the medical records of 1,056 patients hospitalized for lung cancer treatment from September 2003 to September 2013 at University Hospital of Santa Maria. Results: Eight hundred and four patients underwent invasive procedures for suspected primary lung carcinoma. Primary lung cancer was confirmed in 77.4% of the patients. Benign disease was confirmed in 8% of all patients. Tuberculosis (n=14) and paracoccidioidomycosis (n=9) were the most frequent infectious diseases. The diagnosis of benign diseases was obtained by flexible bronchoscopy in 55.6% of the cases and by thoracotomy in 33.4%. Conclusion: Infectious diseases are the most frequent benign diseases mimicking lung cancer at their initial presentation. Many of these cases could be diagnosed by minimally invasive procedures such as flexible bronchoscopy. Benign diseases should be included in the differential diagnosis during the investigation for primary lung cancer in order to avoid higher cost procedures and mortality.

Study on Epidemic Warm Diseases with dampness of "OnByeongJoByeon" ("온병조변(溫病條辨)" 습류온병(濕類溫病)에 대한 고찰)

  • Park, Mi Sun;Kim, Yeong Mok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.6
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    • pp.803-811
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    • 2012
  • Oriental Medicine always attach great importance to the damp diseases. Dampness is related with many organs and many clinical diseases. The cause and the location of the damp disease, nature of the symptoms, combination with other pathogenic factors are very diverse. This article analyzed the concept, cause of disease, pathogenesis, characteristic of symptoms, treatment method and prescriptions of Epidemic Warm Diseases of dampness syndrome and cases of dampness-heat diseases based on the theories of Epidemic Warm Diseases and found that theories of Epidemic Warm Diseases have very wide area of application. Dampness is classified into cold-dampness and dampness-heat by combination of heat or cold. The dampness syndrome is related with organs such as lung, spleen, kidney, triple energizers and bladder, and affects liver and heart. The basic treatment methods are dispelling dampness turbidity and diffusing qi movement. The detail treatment methods are spreading lung qi with lightness and resolving dampness and excreting turbidity in upper energizer, opening and dipping down with pungent-bitter and diffusing qi movement and strengthening the spleen and stomach in the middle energizer, draining dampness with bland in the lower energizer. Warming Yang is the main method of treatment for cold-dampness and clearing heat is for dampness-heat with the assistant methods such as resolving dampness and promoting the flow of qi. 5. Acute fever, virus diseases, epidemic diseases among modern diseases are much related with the dampness-heat syndrome.

Comparison of Analysis of Original Cause Material and Factors Considering Workplace Characteristics on Occupational Injuries and Diseases in Forestry (산림작업재해에 대한 기인물분석과 작업특성을 고려한 요인분석의 비교)

  • Kim, Jin-Hyun
    • Journal of the Korean Society of Safety
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    • v.26 no.5
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    • pp.110-117
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    • 2011
  • The paper tries to understand the other side of characteristics on occupational injuries and diseases in forestry. Occupational injuries and diseases in forestry seems to be greatly influenced by the environmental characteristics of the mountain district and individual's ability of workers. A traditional method on the analysis of occupational injuries and diseases data may show that the main cause of occupational injuries and diseases is the material factors significantly. To identify the other side of occupational injuries and diseases in forestry, the occupational injuries and diseases data of 3,091 workers in forestry was analyzed. The data in forestry, 2009 shows certain characteristics among the recent occupational injuries and diseases data. The first step is to classify the data according to standard of classification of original cause materials. Material factors are 72.3% and human factors (included managerial factors) and environmental factors are 27.0%. The next step is to reclassify the first step data by using the concept of influence factors which caused and influenced occupational injuries and diseases. The result is that material factors are 2.4%, human factors(included managerial factors) and environmental factors are 97.0%. Also, an aging degree of workers in forestry is higher than other categories of business. It is true that an aging degree of injured or diseased workers in forestry is higher than that of other categories of business. However, relevance with increase of occupational injuries and diseases could not be explained. An injury and disease rate in forestry is remarkably increased recently than other categories of business. One of the reason why an injury and disease rate increased remarkably in 2009 could be considered as the increase of the number of workers and related budget. Therefore, this study proposes important measures or means to prevent occupational injuries and diseases in forestry.

Occurrence of Pediatric Diseases in Relation to the Environment, Seasons and Atmospheric Phenomena(weather) (소아환자발생과 거주지역 환경, 계절 및 기상과의 관계)

  • Yun, Duk-Jin;Park, Kyung-Sook;Hwang, Han-Kee;Ahn, Chi-Ok;Yun, Do-Kwang;Kwon, Yung-Jo;Park, Dong-Chul;Yun, Yong-Hwang;Nam, Chung-Mo
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.2 s.26
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    • pp.283-289
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    • 1989
  • This study was conducted to investigate the association of the occurrence of pediatric diseases with environmental, seasonal and atmospheric factors. The data were collected at 5 pediatric clinics in Seoul and the Department of Pediatrics of Yongin Severance Hospital from May 1986 to April 1987. The results were as follows: 1. Vacation periods had a great influence upon the occurrence of pediatric diseases. 2. The majority of pediatric diseases occurred mainly in spring and autumn, not in summer and winter. 3. The higher the average relative humidity was, the less diseases occurred : and the higher the maximum change of daily temperature, the more diseases occurred. 4. In summer, the pattern of diseases varied along with the environmental factors(eg., toilet).

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Clinical Experience in Open Heart Surgery - A review of the ninety cases - (개심술 치험 90)

  • 정종화
    • Journal of Chest Surgery
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    • v.20 no.3
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    • pp.498-505
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    • 1987
  • From June 1984 to Aug. 1986, 90 cases of open heart surgery were performed at the department of cardiothoracic surgery of Kosin Medical College. There were 63 cases of congenital cardiac anomalies and 27 cases of acquired heart diseases. The sex ratio of congenital and acquired heart diseases were represented as 1.4:1 and 1:1.5 respectively. The age distribution was ranged from 7/12 to 56 years old. Among the 63 congenital cardiac anomalies, 49 cases of acyanotic group and 14 cases of cyanotic group were noted. In 49 cases of acyanotic group, 32 VSD, 15 ASD, 1 PS, and 1 RCA-LV fistula were noticed. In 14 cases of cyanotic group, 7 TOF, 1 TOF (Dextrosardia) combined with IVC interruption, 1 Triology of Fallot, 2 Pentalogy of Fallot. 1 DORV, 1 TA with PDA, VSD, ASD and Left SVC and 1 TAPVC were included. Of the 27 acquired heart diseases, 13 mitral, 3 aortic , 6 bival, 3 triplevalvular diseases and 2 LA myxomas were noted. Overall mortality were 11 cases, which included 2 cases of acyanotic heart diseases, 6 cases of cyanotic heart diseases and 3 cases of acquired hear diseases.

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