• 제목/요약/키워드: surgical diseases

검색결과 918건 처리시간 0.029초

토구 운동이 자세균형과 족저압 분포에 미치는 영향 (The Effect of TOGU Exercise on the Postural Balance and Foot Pressure Distribution)

  • 김순자;이광재
    • 대한물리치료과학회지
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    • 제19권1호
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    • pp.9-15
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    • 2012
  • Background : The purpose of this study to find the Effect of TOGU Exercise on the Postural Balance and Foot Pressure Distribution. Methods : Four male and five female subjects last one year and no damage at all, even unique Foot skin diseases or orthopedic surgical disease who are not selected and applied before and after exercise TOGU and Foot Pressure Distribution of static equilibrium and measured using were compared. Results : After exercise conducted TOGU. right and life the static balance measurements of the height difference between the two sides of the acromion before exercise to 0.8cm and 1.4cm reduction in the movement, and also before and after the static balance measured sagittal the lateral tibial line drawn straight down from the earlobe and vertical slit in the distance before exercise from 5.8cm to 3.4cm decreased after exercise before and after the balance has also improved significantly(p<.05). Static balance of the body, according to the pressure of the foot in the exercise before/after there was no significant difference(p>.05). Conclusion : Dynamic shaking of the body have a positive impact on the static equilibrium could know that.

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Intestinal Hypoganglionosis Leading to Intestinal Failure and the Compassionate Use of OmegavenTM

  • Khalaf, Racha;Karjoo, Sara;Danielson, Paul;Wilsey, Michael;Shakeel, Fauzia
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제20권1호
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    • pp.55-60
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    • 2017
  • Intestinal hypoganglionosis is a rare innervation disorder that provides numerous nutritional, medical and surgical challenges. In this case report, we present a case of a newborn with intestinal hypoganglionosis leading to intestinal failure and intestinal failure-associated liver disease who responded to $Omegaven^{TM}$, a fat emulsion comprised of omega-3 fatty acids. $Omegaven^{TM}$ has been shown to be beneficial in the management of cholestatic liver injury. Clinical success with $Omegaven^{TM}$ was seen in this patient with a clear decrease in aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase and complete resolution of cholestasis with a direct bilirubin of zero within two weeks of initiation of $Omegaven^{TM}$. No current guidelines for the diagnosis and management of hypoganglionosis are available. We recommend a multidisciplinary approach and the use of novel therapies such as fat emulsions composed of omega-3 fatty acids for improved patient outcomes. Appropriate compassionate use protocols should be obtained from the Food and Drug Administration prior to initiation of $Omegaven^{TM}$.

고환초막강의 농양에 의한 음낭 부종 1례 (A Case of Scrotal Swelling Induced by Tunica Vaginalis Abscess)

  • 김종훈;이동근;임인석
    • Childhood Kidney Diseases
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    • 제7권1호
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    • pp.103-105
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    • 2003
  • 저자들은 고환초막강내의 농양(감염성 음낭수종)에 의한 발열과 보챔, 음낭부종으로 내원한 신생아에서 조기진단 및 적절한 치료로 성공적으로 회복된 1례를 경험하였으며 감염성 음낭수종은 신생아에서 드물지만 조기에 정확하게 진단되어 질 때, 그리고 고환, 부고환에 영향을 끼치지 않았을 경우 단지 배액술과 항생제 치료만으로도 성공적으로 치료할 수 있음을 보고하는 바이다.

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급성충수염과 동시에 발생한 설사 연관형 용혈성 요독 증후군 1례 (A Case of the Diarrhea-associated Hemolytic Uremic Syndrome Developing Simultaneously with an Acute Appendicitis)

  • 오지은;장지연;정경훈;김순기;홍영진;손병관;이지은
    • Childhood Kidney Diseases
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    • 제7권1호
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    • pp.77-81
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    • 2003
  • 설사연관형 용혈성 요독 증후군은 수술적 치료가 필요한 외과적 합병증이 드물게 동반된다. 저자들은 급성 출혈성 장염으로 진단된 후 동시에 설사 연관형 용혈성 요독 증후군과 급성 충수염으로 진행한 1례를 경험하였기에 보고하는 바이다.

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슈나유저 개의 소장에 샘암종과 평활근육종의 동시 발생 1례 (Co-existence of Intestinal Adenocarcinoma and Leiomyosarcoma in a Schnauzer Dog)

  • 양철호;나세원;한재익;박희명
    • 한국임상수의학회지
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    • 제33권1호
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    • pp.43-47
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    • 2016
  • A 7-year-old castrated male Schnauzer was presented with melena and inappetence. Laboratory examination revealed mild anemia. Abdominal ultrasonography showed abnormal enlargement of intestinal segment and a oval mass with soft tissue density. After surgical resection of the enlarged intestine including the mass, histopathologic examination showed that the mass was tentatively diagnosed as synchronous occurrence of gland cell- and mesenchymal cell-origin tumors. Subsequently, immunohistochemistry showed positivity to cytokeratin AE1/AE3 in the gland cells and positivity to ${\alpha}-smooth$ muscle-specific actin, but negative expression of c-Kit, suggesting the co-existence of adenocarcinoma and leiomyosarcoma. Follow-up examination after 3-year of the surgery confirmed that the dog remained healthy and did not show recurrence of the tumors.

2 세 이하 유아기의 개심술 (Open heart surgery in the first two years of life)

  • 박이태;서경필
    • Journal of Chest Surgery
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    • 제16권4호
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    • pp.431-443
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    • 1983
  • A hundred and fifty-one patients with congenital heart disease less than 24 months old underwent intracardiac repairs from January 1982 to July 1983, which consists 24.2% of all the patients with congenital heart diseases operated during the same period. There were 98 patients[64.9%] with acyanotic congenital heart disease and 53 patients[35.1%] with cyanotic congenital heart disease, and 55 patients[36.4%] were less than 1 year of age. Twenty-two patients died within 30 days after surgery and 3 patients died after postoperative 30th day: Ventricular septal defect, four of 90 patients; Tetralogy of Fallot, five of 23 patients; Transposition of great arteries, nine of 17 patients; Tricuspid atresia, four of 5 patients; Pulmonary atresia, all of 2 patients; Single ventricle, one of single patients. Over all mortality was 16.6% and mortality of acyanotic congenital heart disease, cyanotic congenital heart disease and patients less then 1 year of age was 4.1%, 39.6% and 20.0% respectively. Still the mortality of cyanotic congenital heart disease is high. Careful preoperative evaluation of the detailed intracardiac anatomy and hemodynamics of the patients and proper selection of surgical treatment yield better clinical results.

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폐와 식도에서 동시에 발견된 중복암의 수술적 치료 -1예 보고- (Surgical Treatment of Synchronous Double Cancer of the Lung and Esophagus - A case report-)

  • 이재익;우종수;이길수;노미숙;박미경
    • Journal of Chest Surgery
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    • 제36권11호
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    • pp.866-869
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    • 2003
  • 식도암 환자에서 동시에 일차성 폐암이 발견되는 빈도는 2% 미만에 불과하며, 특히 두 질환 모두 예후가 나쁨으로 인해서 환자들이 근치적 절제술을 받을 기회를 놓치게 되는 경우가 많다. 그러나 환자를 신중히 선택한다면 폐와 식도의 중복암을 동시에 절제함으로써 좋은 결과를 가져올 수 있다고 생각한다. 저자들은 최근 식도와 폐의 일차성 중복암 환자 1예를 경험하였고, 쌍폐엽절제술과 Ivor Lewis 술식으로 일차성 근치적 절제술을 시행하여 좋은 결과를 얻었기에 국내 문헌상으로는 최초로 이를 보고하는 바이다.

식도 열공을 통한 식도 제거술 시행후 발생한 유미흉의 외과적 치료 (Surgical Management of Chylothorax Complicating Transhiatal Esophagectomy in Benign Esophageal Stricture)

  • 홍종면;노윤우
    • Journal of Chest Surgery
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    • 제29권6호
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    • pp.672-674
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    • 1996
  • 유미흉은드물지만 심장수술,횡격막의 식도,대동맥 열공 부위의 수술합병증으로잘알려졌다. 특히 식도의 양성 또는 악성 종양에서 식도제거술이 필요한 영양 결핍상태의 환자에서 유미흥은호흘기능, 영양상태, 면역학적 인 면에서 치사율이 높은 위 험한 질병 이다. 본교실에서는 식도헙착 환자에서 식도열공을 통한 식도 제거술후 발생한 유미흥 1례를 경험하였다. 유미홍의 진단은 공장루를 통한 영양공급후 흥막 삼출액의 변화와 술후 5일째 흉막액의 Triglyceride 치의 증가로 진단하였다. 금식 상태에서도 하루 1500내지 2000cc의 유미삼출액이 배액되어 13일째 우 측 개흉술을 통해 횡격막 상부 흉관 결찰을 시 행하였으며, 좋은 결과를 얻을 수 있었다.

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성대 결절 환자를 대상으로 한 음성치료의 효과 (The Efficiency of Voice Therapy for the Patients with Vocal Nodules)

  • 표화영;김명상;최홍식
    • 대한후두음성언어의학회지
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    • 제8권2호
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    • pp.178-184
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    • 1997
  • Vocal nodule due to vocal hyperfunction is one of the representative chronic diseases of vocal folds, and it can be cured by surgical movement, and/or voice therapy. The present study is, focusing on the latter, to compare the acoustic and aerodynamic results of the pretreatment with those of posttreatment, and then to investigate the objective date on the efficiency of the voice therapy for the patients with vocal nodules. 11 females(age : 7-49) and 5 males(age : 8-40), total 16 patients wi vocal nodules treated by voice therapy were participated as subjects. Six measurements and comparisons of pretreatment and posttreatment of the results were performed : litter, shimmer, and noise-to-harmonic ratio as acoustic analyses ; maximum phonation time, mean flow rate, and the subtraction of mean flow rate from maximum flow rate as aerodynamic analyses. As a result, 14 of 16 subjects showed improvement at more than 4 of 6 measurements, and in group data, every measurements of posttreatment was improved significantly than the pretreatment. On the whole, the improvement of aerodynamic aspects was more statistically significant than that of acoustic ones.

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타액선 질환의 세침흡인생검에 관한 세포학적 연구 (A Cytologic Study of Fine Needle Aspiration Biopsy of Salivary Gland Diseases)

  • 김미진;이태숙
    • 대한세포병리학회지
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    • 제5권2호
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    • pp.120-129
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    • 1994
  • Fine needle aspiration biopsy cytology is a widely recognized and useful technique which can provide diagnosis in lesions of the head and neck, enabling appropriate management plans for individual patient to be made. Fifty one fine needle aspirates from salivary gland masses were examined. Four aspirates (8%) were inadequate for examination. Of the remaning 47 samples, 42 cases (82%) were benign lesions which consist of 30 pleomorphic adenoma(58%), 7 inflammatory lesion (14%), 4 Warthin's tumor(8%) and 1 benign lesion(2%). Two cases(4%) were atypical lesions. Three cases(6%) were malignant lesions consisting of 2 adenoid cystic carcinomas(4%) and 1 mucoepidermoid carcinoma (2%). The cytologic diagnoses were compared with the subsequent histologic diagnosis of surgical resected specimen in 24 cases. 19 cases of 21 aspirates from benign tumors were correctly diagnosed by fine needle aspiration cytology, with a specificity of 90%. All 3 aspirates from the 3 patients with malignant tumor were correctly diagnosed by fine needle aspiration cytology, with a sensitivity at 100%. Overall acurracy was 88%. Diagnostic error was encountered in adenoid cystic carcinoma, mucoepidermoid carcinoma and Warthin's tumor Correct histologic diagnosis was made in 86% of benign tumors(84% for pleomorphic adenoma and 100% for Warthin's tumor) and in 100% of malignant tumors.

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