• Journal of Chest Surgery
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• 제49권5호
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• pp.405-407
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• 2016

Tracheal diverticulum is often diagnosed incidentally and, due to its rarity, there is no standard treatment. It is a benign entity, but has the potential to cause specific symptoms, such as chronic upper respiratory infection and chronic cough. Symptomatic tracheal diverticulum can be medically treated, but likelihood of recurrence is high. We report a case of surgical resection of symptomatic tracheal diverticulum to prevent recurrence.

• Journal of Yeungnam Medical Science
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• 제35권2호
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• pp.150-155
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• 2018

Recently, an increasing interest in less invasive surgery has led to the advent of laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES). LESS and NOTES could be technically challenging, but available literature has demonstrated the feasibility and safety of LESS for benign gynecologic diseases. However, the evidence is not strong enough to recommend the use of LESS over that of conventional multiport laparoscopic surgery (MLS). As per the results of the most recently published meta-analysis, the majority of surgical outcomes are equivalent between LESS and MLS, except for the longer operative time in LESS for both adnexal surgery and hysterectomy. Although an increasing number of studies have reported on robotic LESS, NOTES, and LESS for gynecologic malignancy, definite conclusions have not been drawn owing to the lack of sufficient information.

• International Journal of Computer Science & Network Security
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• 제22권7호
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• pp.308-314
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• 2022

As a result of the global effect of infectious diseases like COVID-19, remote patient monitoring has become a vital need. Surgical ICU monitors are attached around the clock for patients in critical care. Most ICU monitor systems, on the other hand, lack an output port for transferring data to an auxiliary device for post-processing. Similarly, strapping a slew of wearables to a patient for remote monitoring creates a great deal of discomfort and limits the patient's mobility. Hence, an unique remote monitoring technique for the ICU monitor's physiologically vital readings has been presented, recognizing this need as a research gap. This mechanism has been put to the test in a variety of modes, yielding an overall accuracy of close to 90%.

• Journal of Korean Neurosurgical Society
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• 제66권2호
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• pp.211-218
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• 2023

Pediatric nondysraphic intramedullary lipoma is very rare, and only limited cases have been reported. In the present case, we present two infant patients with these pathologies who were surgically treated. Previous literature on 20 patients with these diseases who had undergone surgical treatments was analyzed. Surgical treatment should be considered in most symptomatic patients, and laminoplastic laminotomy and internal debulking of the lipoma under intraoperative neurophysiological monitoring are mostly recommended.

• Childhood Kidney Diseases
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• 제28권2호
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• pp.59-65
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• 2024

Hydronephrosis, characterized by dilation of the renal pelvis and calyces due to urine flow obstruction, poses a significant clinical challenge. Although often asymptomatic and capable of spontaneous resolution, surgical intervention is necessary for specific scenarios such as febrile urinary tract infections, deteriorating hydronephrosis, or declining renal function. The efficacy of continuous antibiotic prophylaxis in preventing urinary tract infections remains controversial. Yet, it may benefit high-risk patients, emphasizing the importance of individualized patient selection, as surgical treatment methods for patients with hydronephrosis have become less invasive than in previous decades. However, long-term follow-up outcomes are lacking, necessitating further clarification. This review presents an overview of the etiology, natural progression, and modern management of hydronephrosis, encompassing advancements in minimally invasive procedures.

• 대한한의정보학회지
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• 제17권2호
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• pp.82-129
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• 2011

"Beijijiufa" is a medical book republished by Sun Ju Qing in 1245. He compiled this book having added "Qizhumajiufa" and "Zhugejingyanbeijiyaofang" to the contents of "Beijijiufa" authored by Wen Ren Qi Nian. In "Beijijiufa" the author described treatment methods making use of moxibustion methods in connection with 22 cases of acute diseases. The author had collected the moxibustion methods used to treat acute diseases, which had been practiced by the medical practitioners of many generations, and quoted total 13 medical men's practices. In the book, the greatest parts of details were quoted especially from the writings of Sun Si Miao and Ge Hong, and this shows that the medical philosophies of both Sun Si Miao and Ge Hong were reflected onto "Beijijiufa". He had differed on his moxibustion practice: the size of moxa wool, the number of moxibustion treatment, and method of moxibustion for male and female were differed from one another according to the disease. As to the area of moxibustion, he chose the body parts around under four limbs and joints, and mostly used extraordinary acupoints rather than twelve main meridians. In his descriptions of finding meridian points, he did not describe it by its specific name of the reaction point, but explained the location of moxibustion points in detail through pictures. "Qizhumajiufa" is related to moxibustion method and prescriptions to treat surgical diseases, like skin boils or furuncle on the back, etc. He easily explained the method to find the meridian points for moxibustion treatment by using particular way through diagrams and pictures. Eight prescriptions he used were the collections among the historical practices of medical practitioners of many generations for skin boils which showed excellent therapeutic actions. In "Zhugejingyanbeijiyaofang", there are prescribed for 36 disease, also is the records of treatment methods for medical emergency which would be encountered easily in everyday life. As to therapeutic remedies, varied treatment methods, including the treatment by means of pasting and attaching medicinal substance to the spot, the treatment by means of mixing medicinal substance with alcoholic beverage, cleansing method, smoke inhalation remedy etc. were introduced. In "Beijijiufa" moxibustion was regarded as a top priority for treatment of acute disease, and the author strived to present remedies to the readers as easily as possible through 19 pictures. Regarding prescriptions, the author introduced diverse treatment methods with respect to various disease symptoms, and described the method to treat disease symptoms making use of medicinal ingredients which can easily be found in daily life. Likewise, "Beijijiufa" compiled by Sun Ju Qing was intended for clinical practice, and was indeed a medical book having been utilized for treatment of acute diseases in those days.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제7권2호
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• pp.179-185
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• 2004

목적: 대구 부산 지역에서 신생아 시기에 수술이 시행된 소화기 질환의 최근 현황과 이와 관련된 임상적 소견들을 살펴보고 현재 소아 소화기 질환의 술 후 합병증과 사망률 등의 치료성과에 대해 살펴보았다. 방법: 1996년 1월부터 2003년 7월까지 부산대학교, 경북대학교, 영남대학교 및 대구가톨릭대학교 병원에서 생후 1개월 이내에 소화기 질환으로 수술을 시행받은 202명을 대상으로 하여 임상적 소견을 분석하였다. 결과: 1) 항문 직장 기형이 48명(23.8%), 선천성 중장 폐쇄가 27명(13.4%), 비후성 유문 협착증이 27명(13.4%), 선천성 거대 결장이 22명(10.9%), 십이지장 폐쇄가 15명(7.4%) 등의 빈도순을 보였다. 2) 남녀비는 2.8 : 1로 남아가 우세하였고, 비후성 유문 협착증과 장 회전 이상에서는 남아가 10배 이상 많았다. 3) 동반 기형의 빈도는 선천성 심장 기형, 잠복 고환, 수신증 등의 순서로 많았으며, 제대 기저부 탈장에서는 50%에서 동반 기형이 있었다. 4) 20명(9.9%)의 환아가 산전에 진단되었는데, 선천성 장폐쇄, 십이지장 폐쇄, 복벽 개열증, 제대 기저부 탈장과 같이 장 내 공기 패턴이 특이 소견을 보이는 경우였다. 5) 평균 입원 기간은 22.8일이었고, 신생아 괴사성 장염이 44.7일로 가장 길었다. 6) 술 후 합병증은 주로 창상 감염 또는 문합부 누출 등 사소한 합병증으로 18례(8.9%)에서 발생하였다. 7) 사망률은 횡격막 탈장증(37.5%), 식도 폐쇄(28.6%), 제대 기저부 탈장(20.0%) 순으로 많았으며, 12명이 사망하여 5.9%의 사망률을 보였다. 결론: 대구 부산 지역에서 신생아 시기에 소화기 질환으로 수술을 받았던 환자들의 질병 종류가 다양해졌고, 술 후 합병증과 사망률이 현저히 감소함을 알 수 있었으며, 이것은 관련 분야의 발전에 기인한 것으로 판단된다.

• Tuberculosis and Respiratory Diseases
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• 제73권6호
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• pp.320-324
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• 2012

A 55-year-old woman was admitted for an elevated serum carbohydrate antigen-125 (CA-125) level, and a left pleural effusion, which were detected at a routine health examination. Computed tomography of the chest was performed upon admission, revealing extensive bilateral paratracheal and mediastinal lymph node enlargement with a massive left-sided pleural effusion. Subsequent analysis of the pleural fluid demonstrated consistency with an exudate, no evidence of malignant cells, and a normal adenosine deaminase. However, the pleural fluid and serum CA-125 levels were 2,846.8 U/mL and 229.5 U/mL, respectively. A positron emission tomography did not reveal any primary focus of malignancy. Finally, a surgical mediastinoscopic biopsy of several mediastinal lymph nodes was performed, revealing non-necrotizing granulomas, consistent with sarcoidosis. After a month of treatment of prednisolone, the left pleural effusion had resolved, and after 2 months the serum CA-125 level was normalized.

• 근관절건강학회지
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• 제23권3호
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• pp.197-205
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• 2016

Purpose: The purpose of this study was to conduct a comparison analysis on requirements of online continuing education requirements according to practical experience of nurses at small and medium-sized hospitals. Methods: Data had been collected with 236 nurses from May to June, 2015. The data were analyzed with the use of SPSS. Results: Among them, 45.8% participated in online continuing education. Nurses in beginning level required musculoskeletal diseases (20.9%), care for injuries and stomas (5.8%), and surgical disease and operation care (4.7%). Competent nurses required musculoskeletal diseases (19.7%), cerebrovascular diseases (9.9%), emergency care and CPR (8.5%), and medical nursing (8.5%). Skillful nurses required cerebrovascular diseases (13.9%), care for internal diseases (8.9%), and rehabilitation care (8.9%). Among the educational contents of diseases, the items that were significantly different according to practical experience were operation management ($x^2$=23.92, p<.001) and drug care ($x^2$=7.85, p=.020). Among continuing education methods, the items that were significantly different were video ($x^2$=16.81, p<.001), webtoon ($x^2$=8.96, p=.011), and test ($x^2$=10.56, p=.005). Among continuing education evaluation methods, the items that were significantly different were multiple-choices ($x^2$=9.43, p=.009) and OX ($x^2$=6.47, p=.039) based quizzes. Conclusion: Based on the study results, it is necessary to develop a differentiated continuing education program according to practical experience of nurses.

• Tuberculosis and Respiratory Diseases
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• 제73권4호
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• pp.197-203
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• 2012

Recent advances in bronchoscopy have led to changes in clinical diagnostics and therapeutics in pulmonary medicine. In diagnostic bronchoscopy, there have also been new developments in endobronchial ultrasound technology which may be incorporated into clinical practice in the near future. Functional bronchoscopy, which evaluates information such as airway pressure, airflow, or gas exchange, suggests promising clinical advances in the near future. In therapeutic bronchoscopy, bronchoscopic volume reduction is a novel approach for the treatment of severe emphysema. In this review, seven recently published articles representing current advances in bronchoscopy are summarized and discussed.