• Title/Summary/Keyword: respiratory disorder

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A Case of Antiphospholipid Syndrome Refractory to Secondary Anticoagulating Prophylaxis after Deep Vein Thrombosis-Pulmonary Embolism

  • Gu, Kang Mo;Shin, Jong Wook;Park, In Won
    • Tuberculosis and Respiratory Diseases
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    • v.77 no.6
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    • pp.274-278
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    • 2014
  • Antiphospholipid syndrome (APS) is an acquired systemic autoimmune disorder characterized by a combination of clinical criteria, including vascular thrombosis or pregnancy morbidity and elevated antiphospholipid antibody titers. It is one of the causes of deep vein thrombosis and pulmonary embolism that can be critical due to the mortality risk. Overall recurrence of thromboembolism is very low with adequate anticoagulation prophylaxis. The most effective treatment to prevent recurrent thrombosis is long-term anticoagulation. We report on a 17-year-old male with APS, who manifested blue toe syndrome, deep vein thrombosis, pulmonary thromboembolism, and cerebral infarction despite adequate long-term anticoagulation therapy.

The Development of Convenient RQ Measuring Device for Patients Real Time Monitoring (환자의 실시간 모니터링을 위한 간편한 RQ 측정기기의 개발)

  • Kim, Y.S.;Jeon, H.M.;Choi, S.W.;Shim, E.B.
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1609-1612
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    • 2008
  • RQ(Respiratory Quotient) value is obtained from the ratio of the consumed oxygen and the produced carbon dioxide during the patient's respiration. To investigate the efficacy of insulin and diagnosis the metabolic disorder in short time, the RQ value can be used as important parameter. The measurement of oxygen and carbon dioxide amounts is needed large chamber and complex sensors. But If the atmospheric oxygen and carbon dioxide concentrations do not change, the expiratory oxygen and carbon dioxide can be used to obtain RQ value. A convenient RQ measuring device has been developed by using two sensors for O2 and CO2. The estimation of RQ devices confirms that the RQ device can obtain accurate data by eliminating uncertain factor such as delay time and remaining gases.

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A Case of Paradoxical Vocal Fold Movement with Severe Respiratory Distress (심한 호흡곤란을 동반한 역설성성대운동 1예)

  • Park, Jun Woo;Kim, Ji Won;Lim, Chae-Man;Choi, Seung-Ho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.1
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    • pp.51-53
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    • 2015
  • Paradoxical vocal fold movement (PVFM) is characterized by aberrant vocal fold adduction. Although the exact pathogenesis is unknown, botulinum toxin injection, behavioral techniques, including speech therapy, bio-feedback, and cognitive-behavioral psychotherapy are considered for treatment of PVFM. The effectiveness of these treatments is not fully evaluated because of the rarity of disease. We present a case of 16-year-old female with sudden onset of respiratory distress associated with PVFM refractory to several treatments and spontaneously resolved later.

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Isolation of adenovirus from porcine alveolar macrophages (돼지 폐포탐식세포로부터 adenovirus의 국내분리주 작성)

  • Kweon, Chang-hee;Cho, Jae-jin;Kwon, Byung-joon;Song, Jae-young;Chae, Chanhee
    • Korean Journal of Veterinary Research
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    • v.37 no.1
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    • pp.177-183
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    • 1997
  • One cytopathogenic virus was isolated in alveolar macrophages from pig without any apparent respiratory clinical signs. Biophysical properties and electron microscopy of the isolate showed the characteristics of adenovirus. Intracytoplasmic inclusion bodies were seen in virus-inoculated cells. The genetic analysis indicated the presence of DNA with the size of >20Kb. In a serological survey of 40 serum samples collected from two different farms in slaughter house, 9 sera were positive for neutralizing antibody against the isolate. The potential implications of the isolate as the causative agent in respiratory disorder were discussed.

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Fiberoptic Bronchoscopy for Removal of Endobronchial Foreign Bodies in Adults (굴곡성 기관지경을 이용한 성인의 기도내 이물 제거)

  • Yoo, Jee-Hong;Yoon, Ki-Heon;Kang, Hong-Mo
    • Tuberculosis and Respiratory Diseases
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    • v.38 no.2
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    • pp.116-118
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    • 1991
  • Foreign body aspiration occurs uncommonly in adults. A review of recent reports reveals only a few case reports on this topic. We have experienced 8 cases of endobronchial foreign bodies in adults from June 1988 to February 1991 which were removed successfully with fiberoptic bronchoscope and biopsy forceps. Only one of them had the primary disorder predisposing aspiration. Foreign bodies were located in right lower lobe (3 cases), right intermediate (2 cases), left lower lobe (2 cases) and left upper lobe bronchus (1 cases). Removal of endobronchial foreign boides in adult would be accomplished by fiberoptic bronchoscopy successfully.

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Cystic Lesion with Visible Feeding Vessel in Chest PA (단순 흉부 X선상 영양 혈관(Feeding Vessel)이 보인 낭종성 병변)

  • Kim, Chul-Hyun;Uh, Soo-Taek;Chung, Yeon-Tae;Kim, Yong-Hoon;Park, Choon-Sik
    • Tuberculosis and Respiratory Diseases
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    • v.38 no.1
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    • pp.83-87
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    • 1991
  • Pulmonary sequestration is an uncommon comgenital disorder and any specific finding has not been reported in chest P-A for diagnosis. We experienced a case of pulmonary sequestraion with visible feeding vessel in chest PA which was well matched with aortic angiography. This finding may provide the clue for the diagnosis.

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A Case of Multiple Symmetrical Lipomatosis Causing Upper Airway Obstruction (상기도 폐쇄를 일으킨 다발성 대칭성 지방종증 1예)

  • Kim, Jeong-Kyu;Kim, Kyung-Chan
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.1
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    • pp.63-68
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    • 2011
  • Multiple symmetrical lipomatosis (MSL), also called Madelung's disease, is a rare disorder of unknown etiology and characterized by abnormal accumulation of large subcutaneous fatty masses in neck, shoulder, and upper trunk. MSL has known to predominantly affect middle-aged men with a history of alcoholism. Although the clinical course of MSL is considered to be slowly progressive, in advanced stage, fatty masses in the neck may compress the upper aerodigestive tract, resulting in dyspnea and dysphagia. The treatment of MSL is surgical resection, but radical excision is very difficult and recurrence after surgery is frequent. We report the case of 55-year-old man with long lasting MSL, which caused severe airway obstruction. This patient was admitted with progressive dyspnea and massive accumulation of fat around the vocal cord that was detected on a neck CT scan. This abnormal fatty infiltration in supraglottic region caused upper airway obstruction.

A Clinical Analysis of Sleep Disorders in Korean Children and Adolescence Visiting the Korean Medicine Hospital (한방병원에 내원한 소아청소년기 수면 장애 환자에 대한 임상적 연구)

  • Lee, Jin Hwa;Han, Jae Kyung;Kim, Yun Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.27 no.3
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    • pp.65-73
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    • 2013
  • The subjects were composed of 308 children who visited the department of pediatrics, ${\bigcirc}{\bigcirc}$ korean medicine hospital from January 2010 to May 2013. Results 1. Among 308 patients, there were 188 boys and 120 girls; their ratio was 1.57:1. The age distribution showed that 38.3% were in the age less than 1 years, 38.0% in 1 years, 7.8% in 2 years, 5.2% in 3 years, 3.3% in 4~5 years, 4.5% in 6~10 years, 2.9% in 19~21 years. 2. It was found that 36.7% of the sleep disorder was caused without motivation, 17.2% caused by negligent accidents, 13.9% by traffic accidents, 10.4% by the unfamiliar environment, 8.1% by separation from parents, 7.5% after suffering disease, and 6.2% by irritating sound. 3. The sleep onset insomnia accounts for 17.2% of sleep disorder, sleep maintenance insomnia for 67.5%, poor sleep quality 24.4%, and daytime sleep disorder takes 19.8%. The ratio of sleep onset insomnia in adolescence comprises larger proportion (44.4%) than it of any other age groups. 4. The symptoms complicated with sleep disorder are the respiratory infection which takes 25.3%, being easily startled 18.2%, anorexia 14.6%, soft stools frequency 13.0%, greenish stools 10.7%, and skin rash 10.7%. Conclusions The causes of sleep disorders, changes of sleeping patterns, and complicated diseases show diversity in children and adolescence. Further study of sleep disorders in children and adolescence should be progressed as well.

The Analysis of Exercise on the Immune Responses (운동이 면역력에 미치는 효과분석)

  • Kwak, Yi-Sub;Jin, Young-Wan;Paik, Il-Young;Um, Sang-Yong
    • IMMUNE NETWORK
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    • v.5 no.2
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    • pp.117-123
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    • 2005
  • The immune response to any stimulus is complex, requiring coordinated action by several types of cells in a tightly regulated sequence. Thus, a physical stress such as exercise may act at any number of points in the complex sequence of events collectively termed the immune response. Although exercise causes many propound changes in parameters of immune function, the nature and magnitude of such changes rely on several factors including the immune parameters of interest; type, intensity, and duration of exercise; fitness level or exercise history of the subject; environmental factors such as ambient temperature and humidity. Although regular moderate exercise appears to be important factor for increasing immunity, Athletes are susceptible to illness, in particular upper respiratory track infection, during periods of intense training and after competition. In addition, in elite athletes, frequent illness is associated with overtraining syndrome, a neuroendocrine disorder resulting from excessive training. Through this paper, we want to investigate the effects of exercise on the immunosuppression such as exercise induced lymphopenia, asthma, anaphylaxis, URT (upper respiratory track), and TB (tuberculosis) infection. and also, we want to suggest a direct mechanism, protection and therapy of exercise induced immunosuppression.

Improvement of unilateral hyperhidrosis in spinal cord injury following treatment with revised Boyanghwano-tang: a case report (보양환오탕가감방으로 호전된 경추 손상 유래 편측성 다한증 1례)

  • Oh, Ji-Seok;Yang, Su-Young;Lee, Jin-Woo;Oh, Young-Seon;Lee, Yong-Koo;Park, Yang-Chun
    • Journal of Haehwa Medicine
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    • v.20 no.1
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    • pp.85-89
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    • 2011
  • Hyperhidrosis is common complication of spinal cord injury, but localized unilateral hyperhidrosis is relatively rare disorder without autonomic disreflexia. A 52-year-old man with a 10-month history of cervical injury induced tetraplegia complained of excessive intermittent left-sided sweating. The sweating occurred by urinary retention or without any autonomic dysreflexia. The patient sweated excessively on the left face and upper body. In the point of Differentiation of Syndrom (辨證), the patient was diagnosed as Gi-Heo-Hyeol-Eo (Pi-Wei-Qi-Xu 氣虛血瘀) and was administered revised Boyanghwano-tang (reserved Bu-Yang-Huan-Wu-tang), and he was almost complaint free during 4 month about none dysreflexial hyperhidrosis.