• Title/Summary/Keyword: 이물감

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Globus Pharyngeus : The Psychiatric Perspective (인후두 이물감의 정신과적 접근)

  • Joo, Young-Hoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.27 no.2
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    • pp.84-86
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    • 2016
  • Globus pharyngeus or globus sensation is the painless sensation of a lump in the throat and may be described as a foreign body sensation, a tightening or choking feeling. It is often associated with persistent clearing of the throat, chronic cough, hoarseness, and catarrh. Its etiology remains unclear ; however, laryngopharyngeal reflux may play a role in a subset of patients. Psychogenic problems have often been thought to cause or trigger the globus sensation. Personality studies have found higher levels of alexithymia, neuroticism, and psychological distress (including anxiety, low mood, and somatic concerns) and lower levels of extraversion in patients presenting with globus. Globus patients with laryngopharyngeal reflux exhibited weaker psychological symptoms than non- laryngopharyngeal reflux globus patients, and globus patients who did not respond to proton pump inhibitor had significantly higher anxiety scores. In cases with negative clinical investigations and consistent globus symptom, other treatment strategies, including speech therapy, antidepressants, and cognitive-behavioral therapy, should be considered.

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Detection of Foreign Objects Using Bobbin Probe in Eddy Current Test (이물질에 대한 ECT Bobbin Probe 검출 감도)

  • Jung, Hee-Sung;Kweon, Young-Ho;Lee, Dong-Ha;Shin, Wook-Jo;Yim, Chan-Ki
    • Journal of the Korean Society for Nondestructive Testing
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    • v.36 no.4
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    • pp.295-299
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    • 2016
  • Residual foreign objects at the secondary side (top of the tubesheet and tube support plates) of a steam generator are likely to cause a leak by causing wear in the tube. The extent of wear is significantly affected by the material, shape, and size of the foreign object, and the corrosion properties of the tube. The presence of foreign objects at the top of the tubesheet and tube support plates has been identified using remote visual inspection methods such as the foreign object search and retrieval and eddy current test (ECT). The detection of the residual foreign object at the secondary side of a steam generator has limitations that depend on the material properties and the condition of contact with the tube. In this study, which is vertical and horizontal from the upper tubesheet, the corresponding bobbin ECT signals were collected and analyzed to measure its ability to detect foreign objects.

A Case of Esophageal Perforation due to Foreign Body (식도이물에 의한 식도천공 1예)

  • 홍기환;조규모;송기준
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.7.1-7
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    • 1983
  • Esophageal perforation occurred rarely, but it leads to a high mortality and morbidity. Main cause of esophageal perforation in Korea is instrumental perforation in patients with lye stricture of esophagus during diagnostic endoscopy or therapeutic bouginage. A case of 25-year-old male patient entered to outpatient clinic. Chief complaints were mild pain at swallowing, mild fever elevation and chest tightness with radiating pain to shoulder and interscapular region for 1 day. On the X-ray film with barium soaked cotton piece in esophagus, it was revealed that foreign body (fish bone) had been located on the level of 2nd vertebra with leakage of barium to mediastinum. The foreign body was removed with endoscopy in Dept. of otolaryngology, and cervical mediastinostomy was performed in Dept. of thoracic surgery.

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Health Zone_지금은 여성건강시대 - 중년 여성 위협하는 갑상선암

  • Seong, Yeong-Mo
    • 건강소식
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    • v.36 no.2
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    • pp.24-25
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    • 2012
  • 우리나라의 암 발생률 1위인 위암 유병률이 0.4%인 반면 갑상선암의 유병률은 1% 정도로 높게 나타나고 있다. 최근 건강검진사업이 활성화 되면서 초음파를 통한 갑상선결절 진단율이 28.7%까지 보고되는 것을 보면 10명 중에 2~3명은 갑상선에 이상이 있음을 알 수 있다. 갑상선암은 20세 이하, 60세 이상에서는 드문 암으로 되어 있으며, 최근 전 국민 건강검진실시와 더불어 중년의 여성에서 진단되는 경우가 매우 증가하는 추세다. 목에 뭔가 만져지면서 이유 없이 붓거나, 이물감으로 음식물을 삼키기 어려울 때, 목소리가 이상할 때는 갑상선 전문의와의 상담이 중요하다.

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A Case of Human Thelaziasis in Korea (인체 동양안충 감염 1례)

  • 류재숙;임경일
    • Parasites, Hosts and Diseases
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    • v.25 no.1
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    • pp.83-84
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    • 1987
  • 1983년 10월에 15세된 여자가 내원 수일 전부터 오른쪽 눈의 이물감과 소양증을 주소로 내원하였다. 며칠전 환자 자신이 오른쪽 눈에서 충체를 꺼냈으며, 내원하여 2마리를 적출하였다. 두 마리는 모두 자충이었으며 각각 길이 13.4mm, 폭 0.36mm와 길이 8.3mm, 폭 0.39mm였으며 구강의 길이는 각각 0.24mm, 0.31mm이었다. 표피의 가로주름이 식도부위에서는 1mm당 281개, 중앙부위는 172개, 후단부는 162개이었으며 충체 전단부터 질 입구까지의 길이는 0.44mm이었다. 이상의 소견으로 두마리 충체를 Thelazia callipaeda로 동정하였다. 이 동양안충 감염에는 한국에서 15번째이다.

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The Relationship between Habitual Patient-Reported Symptoms and Signs in the Soft Contact Lens Wearers (소프트 콘택트렌즈 착용자에서 평상시 나타난 증상에 관한 연구)

  • Lee, Koon-Ja;Buyn, Jang-Won;Mun, Mi-Young;Leem, Hyun-Sung
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.3
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    • pp.19-28
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    • 2008
  • Purpose: To understand symptoms and signs in soft contact lens wearers the authors evaluate the attribution of the tear test to the contact lens related symptoms and signs. Methods: Sixty-two healthy soft contact lens wearers (23.95${\pm}$4.38 years old, 18.60${\pm}$16.92 months of prior lens wear) were participated in this study. 3 kinds of tear test and McMonnies' questionnaire test were performed for the soft contact lens wearers and subjective symptoms and objective signs were graded using CCLRU scales during the study period. Results: In this surveys, we found ocular dryness, redness and tiredness are the most common frequent and severe symptoms in soft contact lens wearers. Frequency of the ocular dryness, redness and tiredness are associated with grittiness, burning sensation and foreign body sensation respectively, and severity of the photophobia, foreign body sensation are associated with unstable vision and grittiness and which are associated with score of McMonnies' Questionnaire. Conjunctival redness and limbal redness are major signs but those are not need to be clinical care and rarely occurred corneal and conjunctival staining which are associated with tear break-up-time statistically. Conclusions: Dryness, redness and tiredness are primary common symptoms in Korean soft contact lens wearers. The frequency of those symptoms are increased with the period of soft contact lens wear and those are associated with other symptoms but have no relationship with signs.

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A Case of Sebaceous Adenoma in Medial Caruncle of the Eye (내안누구에 발생한 피지선종 1예)

  • Jun, Jong-Hwa;Lee, Se-Youp;Kim, Jin-Hee
    • Korean Journal of Head & Neck Oncology
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    • v.23 no.2
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    • pp.199-201
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    • 2007
  • 피지선종(sebaceous adenoma)은 피지선 분화를 보이는 신생물 중 가장 흔한 종양으로 피지선이 정상적으로 많이 분포하는 안면부, 두피부, 안검부 등에 주로 발생하나 안검에서는 비교적 드물게 발생한다. 피지선종은 피부부속기 종양 중 발생빈도가 아주 낮으며 안면부 중에도 피지선이 많이 분포하는 비부와 협부에 주로 발생하며 종괴 형성으로 인한 이물감이나 소양감, 출혈, 궤양형성등의 증상을 동반한다. Shields 등의 보고에 의하면 내안누구에 발생한 신생물 57예중에서 피지선종은 2예만이 존재할 정도로 극히 드물다고 하였다. Font와 Rishi도 피지선종의 안검 발생에 대하여 상안검과 하안검은 각각 같은 빈도로 발생한다고 하였으며 내안각 피지선종은 단 1예만을 보고하였다. 이에 저자들은 내안누구의 피지선에서 발생한 피지선종을 경험하고 문헌고찰과 함께 그 1예를 보고하고자 한다.

The Status of Soft Contact Lens Wear in College Students in Korea (한국 대학생들의 소프트 콘택트렌즈 착용에 대한 실태)

  • Kim, Douk-Hoon;Kim, Joung-Suk;Mun, Joung-Hak
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.2
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    • pp.233-239
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    • 2004
  • This study investigated the status of soft contact lens wear in college students. The results were as follows: 1. The most prevalent age of initial contact lens wear was 19 years or 20 years, with an age distribution in females from as early as 10 years to 20 years. 2. For almost all subjects, the test clinic for the contact lens wear assessment and purchase of the contact lenses was an optical shop. 3. The main advantage for most male subjects was use for sports, whereas most female subjects used contact lenses for cosmetic reasons. 4. The most common side-effects experienced due to contact lens wear were red eye, foreign body sensation, and eye pain. 5. The most frequently reported eye disease caused by contact lens wear was conjunctivitis, with only few subjects experiencing keratitis. 6. Following treatment for the side effects of contact lens wear, most subjects hoped to re-use the previous contact lenses, some subjects wanted to change to new contact lenses, and others subjects refused further contact lens wear.

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Effect of Oral Water Intake to Globus Pharyngeus with Non-Organic Diseases (인후두 이물감을 호소하는 환자에서 경구 수분섭취가 증상 호전에 미치는 영향)

  • Kim, Hak Geon;Kim, A Young;Cha, Eunjoo;Lee, GilJoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.28 no.1
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    • pp.38-42
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    • 2017
  • Background and Objectives : Globus pharyngeus is a sensation of foreign body in the throat. There are many studies evaluate relationships between globus pharyngeus and organic diseases such as laryngopharyngeal reflux, esophageal motility disorders as well as psychotic causes. But, Also many patients without etiologic causes complain of globus sensation. The authors performed a study that evaluate association between oral water intake and symptoms of globus sensation on the basis of a belief that pharyngeal dehydration due to lack of oral water intake causes globus sensation. Materials and Methods : A survey using visual analogue scale to evaluate symptoms was performed with 73 patients with globus pharyngeus. Results : Patients who drink water less than 500 mL per day (p=0.04) and less than five times per day (p=0.02) were improved after 6 months due to education and doctor's recommendation. Conclusion : Frequent and enough water intake should be recommended to resolve symptoms of globus sensation.

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애성이 동반된 위식도 역류 질환 환자의 치료 후 음성 변화

  • 김영모;조정일;최원석;하현령
    • Proceedings of the KSLP Conference
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    • 1998.11a
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    • pp.187-187
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    • 1998
  • 위식도 역류 질환의 전형적인 증상에 반하여 인후두에서 나타나는 애성, 만성 기침, 헛기침, 인후두 이물감등의 비전형적인 증상에 대해 최근 관심이 높아지고 있다. 특히 애성이 주된 증상으로 나타나는 경우 일부에서 후두 후방에 점막의 비후 소견이나 육아종을 보이기도 하지만 많은 경우 후두내 기질적 병변을 찾기 어려울 때가 많으므로 의식도 역류 질환과 연관된 애성으로 진단하기 위해서는 자세한 병력 파악 및 이학적 검진, 그리고 위식도 역류 진단을 위한 검사 둥이 요구된다. 저자들은 인후두 이물감을 주소로 내원하여 위식도 역류 검사상 위식도 역류 질환으로 판명되었던 환자 중 애성이 동반된 환자 20례에 대하여 치료전 음성 검사를 시행하였으며 일반적인 치료 후 8주째 추적 검사를 시행하여 그 결과를 문헌 고찰과 함께 보고하고자 한다. (중략)

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