• Title/Summary/Keyword: 무증상

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A Case of Schwannoma Arising in Hard Palate (경구개에 발생한 신경초종 1예 및 문헌고찰)

  • Kim, Jeong Tae;Kim, Jae Wook
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.2
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    • pp.65-68
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    • 2016
  • 신경초종은 천천히 자라는 양성종양으로 뇌신경, 말초신경, 또는 자율신경 등 신경초세포(Schwann cells)를 포함한 신경 어디에나 발생할 수 있다. 대부분의 신경초종은 무증상이며, 악성화되는 경우는 드물다. 전체 신경초종 중 약 25%에서 45%가 두경부 영역에서 발생하지만 구강 내 발생하는 경우는 거의 없는 것으로 알려져 있다. 구강 내 신경초종의 대부분은 설부에서 발생하며 그 외 발생하는 부위로 협부점막, 구개, 구강저, 잇몸, 입술 등이 있다. 본 저자들은 최근에 경구개에 발생한 신경초종 1예를 경험하였으며, 이를 관련문헌 고찰과 더불어 보고하는 바이다.

HPAI 고병원성조류인플루엔자 - HPAI와의 전쟁

  • 한국오리협회
    • Monthly Duck's Village
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    • s.211
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    • pp.12-31
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    • 2021
  • 2003년 12월 10일 국내 최초로 고병원성조류인플루엔자(HPAI)가 발생된 이후 이 바이러스는 오리업계를 지긋지긋하게 괴롭히고 있다. 갈수록 강력해지고 있으며 피해 규모도 더욱 커지고 있을 뿐만 아니라 오리산업을 위협하는 가장 강력한 변수로 자리 잡고 있을 정도로 20여년에 가까운 시간 동안 HPAI와의 전쟁을 벌이고 있다. 특히 HPAI는 인수공통전염병으로 이종간 변이 바이러스를 통해 사람으로의 전파 가능성이 있어 세계는 물론 우리나라도 HPAI 종식을 위해 노력하고 있다. 그럼에도 불구하고 철새는 감염되더라도 무증상인 경우가 있어 주요 전파 요인인 철새에 대한 근본적인 대책이 나오지 않는 이상 완전히 박멸하기란 사실상 불가능하기 때문에 철새를 통한 유입을 막는 것이 최선일 것이다. 우리나라에서 그 동안 발생한 HPAI의 경우 인근 발생국으로부터 축산물 등을 통해 유입될 가능성이 제기되기도 했지만 철새를 통한 전파가 가장 유력한 원인으로 지적되고 있다. 올해도 2020년 11월 부터 시작된 HPAI가 오리업계를 괴롭히고 있다. 이에 그 동안 HPAI 발생 현황과 오리산업에 미친 영향 등을 살펴봤다.

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COVID-19 Chest X-ray reading Technique based on Deep Learning (흉부 X-ray 사진 분석을 통한 코로나 판독)

  • Kim, Sung-Jung;Yoo, JaeChern
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.01a
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    • pp.31-32
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    • 2021
  • 신종 코로나바이러스 감염증(Coronavirus disease 2019; COVID-19)이 빠르게 확산됨에 따라 세계적인 전염병 대유행인 팬데믹(Pandemic)으로 선언되었다. 감염자들은 꾸준히 증가하고 있고 최근에는, 무증상 감염자들이 나타나고 있어 의심 환자를 조기에 판단하고 선별할 수 있는 기술이 필요하다. 본 논문에서는 흉부 방사선 검사(chest Radiography; CXR) 영상을 딥러닝(Deep Learning)하여 정상인, 폐렴 환자, 코로나바이러스 감염자를 분류할 수 있도록 한다.

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CT and MRI Findings of Low-Flow Mediastinal Vascular Malformation: A Case Report (종격동에 발생한 저혈류성 혈관 기형의 영상 소견: 증례 보고)

  • Hanlim Song;Mi Sook Lee;Soo-yeon Jeong
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.204-209
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    • 2024
  • Mediastinal vascular malformations are rare and their diagnosis can be challenging. Imaging is vital for diagnosing mediastinal vascular malformations and can help avoid unnecessary invasive procedures. Herein, we report the detailed CT and MRI findings of a rare low-flow mediastinal vascular malformation in an asymptomatic 63-year-old male.

Visually evoked potential in children with mitochondrial respiratory chain defects (소아 사립체 질환에서 시각 유발전위검사의 유용성)

  • Song, Ji Eun;Kim, He Min;Lee, Sang-Chul;Park, Yoon-Gghil;Byeon, Suk-Ho;Lee, Young-Mock;Lee, Joon-Soo;Kim, Heung-Dong
    • Clinical and Experimental Pediatrics
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    • v.52 no.4
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    • pp.471-475
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    • 2009
  • Purpose : Mitochondrial disorders are a clinical entity characterized by diverse symptoms and signs of involvement of various systems. Furthermore, the disorders are known to show ophthalmologic manifestations as well as neurological findings. Visually evoked potential is a sensitive measure to check the integrity of the visual pathway. In this study, we have investigated the value of visually evoked potential in mitochondrial disorders with respiratory chain defects. Methods : Nineteen patients diagnosed with mitochondrial respiratory chain complex I defect as confirmed by spectrophotometric enzyme assay in muscle samples were enrolled for this study. The patients underwent a visually evoked potential study. We classified the results into four groups and compared these with clinical ophthalmologic findings. Results : Among the 19 patients, 14 showed abnormal visually evoked potential findings. Seven patients showed abnormal clinical ophthalmologic findings. All patients with abnormal ophthalmologic findings showed abnormal visually evoked potential findings. Among the 12 patients with normal ophthalmologic findings, seven showed abnormal results in visually evoked potential. Conclusion : Visually evoked potential study could be used as an effective screening tool for mitochondrial disorders to detect ophthalmologic and neurological abnormalities.

Food Cravings, Appetite, and Taste Palatability in Women with Premenstrual Dysphoric Disorder (월경전 불쾌기분장애에 따른 맛 선호도 및 식품섭취 변화)

  • 정범석;김창윤;이철;장남수;김지명
    • Journal of Nutrition and Health
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    • v.35 no.3
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    • pp.314-321
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    • 2002
  • Women with the premenstrual dysphoric disorder (PMDD) report increased cravings for certain foods and altered taste preferences ding the premenstrual period. The objective of the present study was to investigate the association of PMDD with luteal phase food cravings, appetite, and taste preferences in 1,078 nurses. Among the 626 nurses who gave valid responses, the prevalence of PMDD and premenstrual syndrome (PMS) was 4.6% (N = 29) and 78.3% (N = 490), respectively. A highly significant increase was observed in the preference for sweet tasting foods during the luteal phase, compared to the follicular phase. Desire for sweet foods during the premenstrual period was significantly different among the three groups, being highest in the PMDD group, lower in the PMS group, and lowest in women with no symptoms. Both the PMDD and PMS groups showed significant increases in preferences for pungent tasting foods during the luteal phase. A repeated measures of analysis of variance on the taste preference data revealed that the desire for sweet tasting foods was significantly greater than for others such as salty, sour, and pungent tastes. A greater proportion of the subjects in the PMDD and PMS groups reported an increase in their total food intake during the luteal phase, compared to those women without premenstrual symptoms. Compared to the PMS group or the women with no symptoms, the PMDD group reported increased intakes of high carbohydrate foods during the luteal phase. The most commonly reported food cravings were for sauteed spicy rice cakes (ddukbokki), or for cold buckwheat noodles mixed in chili pepper sauce. These results indicate that the luteal phase food cravings, appetite and taste preferences change in accordance with the severity of the premenstrual symptoms.

A Case of Mediastinal Teratoma Associated with Elevated Tumor Marker in Chronic Empyema (악성 종양 표지자가 상승된 만성 흉수를 동반한 종격동 기형종 1예)

  • Um, Soo-Jung;Yang, Doo Kyung;Lee, Soo-Keol;Son, Choonhee;Roh, Mee Sook;Kim, Ki Nam;Lee, Ki Nam;Choi, Pil Jo;Bang, Jung Heui
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.2
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    • pp.127-131
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    • 2009
  • Most mediastinal teratomas are histologically well-differentiated tumors and benign. The majority of patients with a mediastinal teratoma are asymptomatic and their tumors are usually discovered incidentally on chest radiography. On rare occasions this tumor will rupture spontaneously into the adjacent organs. A 72-year-old female patient was admitted for dyspnea and she had a multiloculated pleural effusion in the left lung field. Although repeated pleural biopsy and pleural fluid cytology did not prove the presence of malignancy, we assumed that this was a malignant effusion because it revealed consistently high levels of carcinoembryonic antigen and carbohydrate antigen 19-9, and the chest CT scan did not show typical fat or bone density in the mass. Secondary infection and an uncontrolled septic condition due to pleural empyema finally compelled the patient to undergo a surgical operation. Mature teratoma was the final diagnosis and she has done well without recurrence for 2 months.

A Study on Developing an Objective Evaluation Method of the Signs and Symptoms of Temporomandibular Joint Internal Derangement (악관절내장증의 증상과 징후의 객관적 평가법의 개발에 관한 연구)

  • 김영구;이승우;정성창
    • Journal of Oral Medicine and Pain
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    • v.22 no.1
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    • pp.31-44
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    • 1997
  • 저자들은 악관절내장증의 증상과 징후의 객관적 평가법을 개발하기 위하여 서울대학교치과 병원 구강진단과 악안면동통진료실을 내원한 환자중 좌우 양 관절중 한 관절 이상의 관절에 악관절내장이 있는 남자 8명(평균연령 19.9$\pm$2.9세), 여자 34명(평균연령:32.8$\pm$11.8세) 총 42명(84개 관절)에 대하여 VAS 및 압통역치 측정, 악관절조영술, 골신티그래피 검사 및 악관절 활액의 분석을 시행하였다. 악관절 동통의 심도는 VAS로 측정을 하였으며 PPT는 electronic algometer로 평가를 하였다. 악관절조영사진을 얻기 직전 활액을 채취하였으며 그 성분중 Hyaluronic acid, 총단백질, IgG, IgM과 albumin을 분석하여 그 상관관계를 분석한 결과 다음과 같은 결론을 얻었다. 1. 악관절 내장증으로 내원한 환자 42명, 총 84개 관절중, 무통성이고 관절잡음이 없는 경우가 7개 관절, 무통성이고 단순관절음만 존재하는 경우가 18개 관절, 동통 및 단순관절음이 존재하는 경우가 18개 관절, 간헐적인 폐구 과두걸림이 있는 경우가 11개 관절, 급성 폐구성 과두걸림의 경우가 11개 관절, 만성 폐구성 과두걸림의 경우가 3개 관절, 퇴행성 관절질환이 존재하는 경우가 16개 관절이었다. 2. 연구대상중 18명의 환자, 총 36개 관절에 대한 골 신티그래피 검사 결과, 활동성으로 나타난 경우가 33개 관절이었고 이중 23개 관절이 동통성이었으며, 활동 상태 관절의 VAS 항목과 압통역치 항목 및 여러 검사 항목들은 비활동 상태 관절의 항목과 유의한 차이를 나타내지 않았다. 3. 악관절내장의 진행정도에 따른 악관절부위의 동통의 측정에 있어서는 압통역치의 측정보다는 VAS에 의한 방법이 더 유용하며 특히, 후방부의 촉진시에 유의한 정보를 얻을 수 있었다. 4. 악관절 내장즈으이 진행 단계에 따라, VAS항목과 압통역치 항목을 비교해 본 결고, 주기적인 과두걸림(II) 단계에서 가장 높은 VAS 수치와 가장 낮은 압통역치를 나타내었으며 상방 촉진시 VAS 항목에서 주기적인 과두걸림(II) 단계와 증상 및 징후가 없는(0) 단계 사이와 후방 촉진시 VAS 항목에서 주기적인 과두걸림(II) 단계 및 퇴행성 관절 질환(V) 단계와 증상 및 징후가 없는(0) 단계 사이에서만 유의성을 나타내었다. 5. 활액내 총단백질량, albumin 량, IgG 및 IgM 농도는 악과?ㄹ 내장증의 진행에 따라 유의성을 나타내지는 않았으나 퇴행성 관절 질환(V) 단계에서 증가되는 양상을 나타내었다. 6. 활액내 hyaluronic acid의 농도는 악관절 내장증의 진행에 따라 유의성을 나타내지는 않았으나 만성 폐구성 과두걸림(IV) 단계에서 감소되는 양상을 나타내었다.

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Prevalence of Canine Giardiasis in the Daejeon and Chungnam Area (대전·충남지역 개에서 지알디아증 유병률)

  • Chung, Dae-Wook;Lee, Sang-Eun;You, Myung-Jo;Seo, Kyoung-Won;Song, Kun-Ho
    • Journal of Veterinary Clinics
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    • v.32 no.6
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    • pp.477-480
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    • 2015
  • A total number of 100 fecal samples were examined for the presence of Giardia intestinalis infection in dogs using a Giardia ELISA kit (SNAP$^{(R)}$ test, IDEXX Laboratories, Inc., Westbrook, ME). 49 males and 51 females were examined for a G. intestinalis infection in Daejeon and Chungnam area of South Korea. The overall positive rate of G. intestinalis infection was 12.00%. G. intestinalis infection resulted to be more prevalent in males (12.24%) than in females (11.76%), and in symptomatic dogs (18.18%) than in asymptomatic dogs (11.54%). There were no significant differences between the two groups. 19.60% being found in the < 2-year-old group, 4.08% in the over 2 year-old group. $X^2$ analysis revealed a significantly higher prevalence (p < 0.05) in the < 2-year-old group than in the other, and a significantly higher prevalence in dogs kept in a shared kennel (36.00%, p < 0.001). This study is the first survey of G. intestinalis infection prevalence in South Korea according to life style (particularly between dogs kept in a shared kennel and that of dogs kept separately) using an ELISA kit, and this study is expected to provide a useful reference for clinicians and breeders.

A Clinical Observation on Childhood Shigellosis Occurred in Mass Outbreak (소아에서 집단 발병한 세균성 이질의 임상적 고찰)

  • Lee, Soo-Jin;Yu, Young;Kim, Sin-Na
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.5 no.1
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    • pp.33-38
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    • 2002
  • Purpose: The incidence of shigellosis had been decreased due to the use of antibiotics and the improvement of environmental sanitation but recently increases again. Shigellosis occurrs in mass outbreak through unsanitized meal preperation refered from welfare facility and school. We observed epidemic aspect and clinical coarse of childhood shigellosis. Methods: from December 2001 to January 2002, 22 inpatients with shigellosis in Dongbu Municipal Hospital were observed epidemiologically, clinically and microbiologically. Results: 1. The sexual ratio was 1:1 and mean age was $5.5{\pm}1.4$ years (14 months to 11 years). 2. The clinical manifestations were following: diarrhea (95.5%), high feve (10%) and asymptomatic (4.5%). The mean duration was $3.9{\pm}2.1$ days (1 to 12 days). All patients had no complication and normal serologic test. 3. S. sonnei was cultured in rectal swab, and was resistant to TMP/SMX and ampicillin, but susceptible to ampicillin/sulbactam and the 3rd generation cephalosporins. 4. The patients were treated by antibiotics with conservative treatment including electrolytes and fluid therapy for 5 days, resulting in improvement confirmed by negative reaction on stool culture. 5. These cases were all occurred in mass outbreak in day care center and were suspected to be secondary infection by members of family. Conclusion: This shigellosis occurred in day care center was secondary infection due to S. sonnei and had mild clinical coarse and improvement after antibiotic treatment.

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