• Title/Summary/Keyword: 만성이환

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Ventilatory Dynamics in Bronchiectasis (기관지확장증의 환기역학)

  • Kim, Yeon-Jae;Park, Jae-Yong;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.5
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    • pp.548-557
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    • 1993
  • Background: Bronchiectasis is a irreversible disease, a lot of cases of which are associated with chronic bronchitis, pulmonary emphysema and bronchial asthma due to chronic recurrent pulmonary infection. Therefore, pulmonary functions in bronchiectasis may also vary with associated diseases or involved segments. Methods: For the evaluation of ventilatory dynamics in bronchiectasis with respect to the pathoanatomic types of bronchiectasis and the degree of dyspnea, a total of 93 cases comprising 45 cases of tubular, 30 saccular and 18 mixed type of bronchiectasis whose clinical diagnosis was confirmed by bronchography were analyzed retrospectively. They were also divided into two groups: those with Hugh-Jones dyspnea grade 1 & 2 (group I) and those with Hugh-Jones dyspnea grade 3 & 4 (group II). Pulmonary functions tested in this study were analyses of curves of forced expiratory volume and flow-volume, and determinations of maximal voluntary ventilation and closing volumes. Results: The results were as follows; 1) The vital capacity and parameters reflecting expiratory flow rate except PEF were significantly reduced in saccular and mixed type than that in tubular type of bronchiectasis. 2) In saccular and mixed type, the maximal voluntary ventilation tended to decrease while CV/VC tended to increase. 3) As the degree of dyspnea became serious, the involved segments were progressively increased. In contrast, ventilatory functions were significantly reduced in proportion to the severity of dyspnea. Conclusion: These findings suggest that in bronchiectasis, there be obstructive ventilatory impairment combined with mild restrictive ventilatory impairment, which becomes more prominent in saccular and mixed type and also as the degree of dyspnea progresses.

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A Study on How Living Alone or with a Partner Affects the Elderly's Life Characteristics (노인들의 배우자 유무에 따른 삶의 특성 차이에 관한 연구)

  • Hong, Ju-youn
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.623-633
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    • 2018
  • This study aims to conduct a comprehensive analysis of how the presence or absence of a partner affects the life characteristics of persons aged 65 or older. For this, the subjects were divided into the married group and the single group to investigate sociodemographic characteristics, health conditions, self-rated health level, disease morbidity, limitations in life due to health conditions and health-related quality of life. An assessment was carried out by analyzing local communities' health survey data of 3 years from 2014 to 2016. The results revealed that the single group had more women, a lower household income, poorer health conditions, and a higher chronic disease morbidity rate than the married group, and thus their self-rated heath level was lower as well. These characteristics were found to contribute to a lower quality of life in the single group than the married group. To this day, we have viewed the elderly as one of the groups based on age and only tried to identify their average characteristics, thus overlooking their various inherent problems. The results of this study suggest that physical, emotional and social problems seen among the elderly need a comprehensive measure. In addition, this study found that public health approaches and social welfare systems should be improved to develop personalized support programs for the elderly.

Kimura's Disease of the Distal Arm - A Case Report - (상완 원위부에 발생한 기무라씨 병 - 증례 보고 -)

  • Yoon, Jong-Pil;Jo, Ki-Hyun;Min, Hak-Jin;Yoon, Ui-Seoung;Seo, Jae-Seong;Kim, Jin-Soo;Baak, Cheol-Hee
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.196-200
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    • 2008
  • Kimura's Disease is a very rare, chronic inflammatory disorder with an unknown etiology, and this illness is primarily seen in young Asian males. The typical clinical features consist of painless subcutaneous masses in the head or neck region, and especially in the salivary gland and submandibular region. It is often accompanied with a regional lymphadenopathy, peripheral blood eosinophilia and elevated serum IgE levels. Histologically, it is characterized by prominent germinal centers in the involved lymph nodes, together with eosinophilic infiltration in these lymph nodes. The treatment modalities for this disease are steroid therapy, radiation therapy and surgical excision. Its clinical course is of a benign nature. We report here on a case of a 28 year old man who had a soft tissue mass in his left arm. We excised this mass and the microscopy confirmed that he suffered from Kimura's disease on microscopic examination in his left distal arm.

EXCISIONAL BIOPSY OF MUCOCELE USING BIOPSY PUNCH (생검펀치를 이용한 점액낭종의 절제)

  • Hong, Eun-Hye;Choi, Byung-Jai;Lee, Jae-Ho;Choi, Hyong-Jun;Son, Heung-Kyu;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.2
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    • pp.349-353
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    • 2007
  • Mucocele is a clinical term of the localized superficial mucosal swelling caused by salivary retention after the obstruction or the rupture of minor salivary ducts. Various treatment methods have been suggested to lower its recurrence rate, including complete excision of lesion Biopsy punch can be used easily and simply for complete excision of mucocele. It has several advantages, such as convenience in use, low bleeding tendency, and nearly no requirements for post-operative management. In this case, biopsy punch was used for the removal of mucocele in an uncooperative child, which enable fast, simple and safe procedure, with a good result.

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Structure Relationships for Diseased and Health-related Quality of Life in the Elderly (노인들의 질환별 유병여부와 건강관련 삶의 질 구조모형 분석)

  • Lee, Dong-Ho;Bin, Sung-Oh
    • The Journal of the Korea Contents Association
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    • v.11 no.1
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    • pp.216-224
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    • 2011
  • This study conducted a secondary analysis by using original data of performed by Korea Institute for Health and Social Affairs to determine factors affecting health-related quality of life in the elderly. The results were as follows. For medical health condition, it became longer in endocrine diseases and cardiovascular diseases. In the case of functional health condition, subjects with musculoskeletal diseases showed higher functional health condition. Subjective health condition, while it became worse in digestive diseases and musculoskeletal diseases in the order, it recorded the best score when subjects did not have any musculoskeletal disease. Quality of life, while it became lower in endocrine diseases in the order, it was the highest when subjects did not have any musculoskeletal disease. Thus, increase of subjective health status for the elderly is important in the future.

Evaluation of Plasma NT-proBNP Concentration in Dogs with Chronic Mitral Valve Insufficiency (개의 만성 이첨판 폐쇄부전증 환자군에서 혈장 NT-proBNP 농도 평가연구)

  • Lee, Seunggon;Hyun, Changbaig
    • Journal of Veterinary Clinics
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    • v.30 no.3
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    • pp.151-158
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    • 2013
  • This study aimed to evaluate the plasma concentration of NT-proBNP in dogs with different stages of heart failure by chronic mitral valve insufficiency (CMVI). Fifty small-breed dogs with CMVI and 7 healthy control dogs without cardiac disease and critical systemic diseases were included in the study population. As a preliminary study, we compared the plasma concentrations of N-terminal pro-brain natriuretic peptide (NT-proBNP) and the echocardiographic parameters between dogs of the International Small Animal Cardiac Health Council (ISACHC) classes. Then, we evaluated the associations between NT-proBNP and echocardiographic parameters. Plasma NT-proBNP levels showed a significant difference among the ISACHC groups. In the comparison between echocardiographic parameters and NT-proBNP, NT-proBNP were found to be associated with left atrium/aorta (LA/AO), early diastolic transmitral flow (E) velocity, late diastolic transmitral flow (A) velocity, end diastolic volume index (EDVI). Our study found plasma NT-proBNP might be useful to predict the disease progression in dogs with CMVI.

Analysis of sports injuries among Korean national players during official training (국가대표 선수들의 훈련 기간 동안 발생한 스포츠 손상 분석)

  • Kim, Eun Kuk;Kim, Tae Gyu
    • Journal of the Korean Data and Information Science Society
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    • v.25 no.3
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    • pp.555-565
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    • 2014
  • The purpose of this study was to analyze sports injuries which occurred in Korea National Team during official training period. All sports injuries are recorded on injury report form by physicians, medical staffs and athletic trainer, and only acute and recurred injuries were analyzed. Total 3,421 injuries were reported, and 1,560 injuries were newly incurred and 1,861 injuries were recurrent with previous history. The frequency of new injuries in male and female athletes was highest in boxing (n=130, 14.5%) and hockey (n=75, 11.3%) respectively. The frequency of recurred injuries in male and female athletes was highest in wrestling (n=147, 14.8%) and fencing (n=103, 11.9%) respectively. Our data provides incidence rates, characteristics of acute and recurrent sports injuries during official training period and thus these results could provide relevant information for the sports injury prevention at Korea National Team player.

Healthcare Service Design Using Gamification Techniques - Focused on Office Environment - (게이미피케이션을 활용한 헬스케어서비스 디자인 - 오피스 환경을 중심으로 -)

  • Kim, Su Jin;Ryoo, Han Young
    • Design Convergence Study
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    • v.15 no.5
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    • pp.185-197
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    • 2016
  • The purpose of this paper is to propose office healthcare UX scenarios using gamification techniques. Today, there is increased recognition of office workers' health, and gamification can be a great method to enhance their health. To design effective healthcare service for office workers, first, two levels of gamification design were identified―interface design level and gameplay experience design level. Second, office workers' health problems resulting from office work were collected from their blogs and 13 insights were derived by analyzing the collected data. Finally, 2 UX scenario implementing gamification in the workplace was proposed to promote healthy lifestyle behaviors for office workers.

Implant-supported fixed prosthesis restoration of fully edentulous patient using computer-guided implant surgery and immediate loading: A case report (Computer guided implant surgery와 immediate loading을 활용한 무치악 환자의 전악 임플란트 고정성 보철물 수복 증례)

  • Hyeon-Me Sung;Kyoung-Hee Sul;Sun-Woo Kang;Jung-Han Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.131-139
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    • 2024
  • In a edentulous patient, various methods can be employed for prosthetic treatment using implants, such as implant-supported fixed prostheses, overdentures, hybrid prostheses, and implant assisted removable partial denture. In this case, in a patient with moderate to severe chronic periodontitis requiring full arch extractions, implants were strategically placed using computer-guided surgery. In the maxilla, due to inadequate bone quality and quantity leading to insufficient initial stability, delayed loading was implemented, and interim prosthesis was used during the osseointegration period. In the mandible, stable initial stability was achieved, allowing for immediate loading to reduce patient discomfort. Primary stability is considered the most crucial factor for obtaining immediate loading, so a thorough clinical and radiological evaluation of the remaining alveolar bone quantity and quality must be conducted before surgery.

Diagnosis and Management of Lymphoplasmacytic Rhinitis in a Cat (림포형질세포성 비염에 이환된 고양이의 진단과 치료)

  • Kang, Min-Hee;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.28 no.4
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    • pp.438-441
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    • 2011
  • A 7-year-old castrated, domestic shorthair cat was presented with a 2-year history of chronic nasal discharge and sneezing. Upon presentation, bilateral mucopurulent nasal discharge and stertorous respiration were marked. Physical examination revealed a tachypnea. Oral examination was unremarkable and chest radiology was normal. Findings of nasal cytology and skull radiology were not specific and further imaging technique, endoscopic examination and histopathology was performed for a definite diagnosis. Fluid, and/or soft tissue opacity was found in bilateral nasal cavity, nasopharyngeal regions and right side tympanic bulla through the CT scan. No evidence of neoplasia was revealed. A rigid rhinoscopy, flexible bronchoscopy and otoscopy was used for the visualization of the lesions and tissue biopsy biopsy was performed for histopathology. On histopathological examination, the nasal mass consisted mainly of large numbers of plasma cells and lymphocytes. And the final diagnosis was lymphoplasmacytic rhinitis based on histopathologic examination. Long term management with oral cyclosporine (5 mg/kg, BID) was safe and successful in this cat. This is the first case report described clinical and diagnostic characteristic features of feline lymphoplasmacytic rhinitis and its clinical outcome using oral cyclosporine in Korea.