• Title/Summary/Keyword: 임상특징

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Morphological Study of Contracaecum rudolphii (Nematoda: Anisakidae) from White Pelican (페리칸에서 분리한 Contracaecum rudolphii (Nematoda: Anisakidae)의 형태학적 연구)

  • Kim, Hyeon-Cheol;Kim, Nam-Soo;Son, Hwa-Young;Kwon, Bo-Keun;Hur, Jin;Cho, Jeong-Gon;Park, Bae-Keun
    • Journal of Veterinary Clinics
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    • v.27 no.1
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    • pp.11-16
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    • 2010
  • A white pelican, Pelecanus onccrotalus, was imported from Tanzania and died 5 days later in Daejeon zoo in Korea. The proventriculus of bird was found to contain parasites. The taxonomic status of the nematodes was studied by morphological and morphometric analysis using light and scanning electron microscopy. Only one species Contracaecum occurred in the proventriculus with high values of infection. Morphological characters of the parasite were as follows: The worms have three lips without cuticular dentigerous ridges, and well developed interlabia. The interlabia have a triangular shape, non-bifurcated. Males possess numerous preanal papillae (69-79 pairs) arranged in single subventral rows. Paracloacal papillae were separated 5 postanal papillae and 1 larger pairs. All the characters of the above studied specimens are very similar to those of C. rudolphii complex. Accordingly, the parasites from white pelican were identified belong to the C. rudolphii complex.

Imaging Diagnosis: Biphasic Synovial Sarcoma in a Dog (개에서 발생한 이상성 활막육종 증례)

  • Eom, Ki-Dong;Sung, Yun-Sang;Park, Jong-Im;Park, Hee-Myung;Jung, Soon-Wuk;Kim, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.24 no.1
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    • pp.26-28
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    • 2007
  • An 11-year-old castrated male, Shih-tzu dog was admitted for progressive weight-bearing lameness and mass on the right hindlimb. Radiography and ultrasonography revealed a large well-marginated multinodular mass with mixed echogenicity. On T1 and T2-weighted magnetic resonance imaging (MRI), the mass has a heterogenous signal intensity similar to or higher than muscle. The masses were extended to the pelvic cavi쇼 through obturator foramen and displaced the rectum dorsally. It was diagnosed as synovial sarcoma which was composed with mesenchymal and epithelial elements on histopathological findings of the multifocal biopsied specimen. MRI was helpful to determine the definitive margin for surgical resection of the mass. The mass was recurred at the 6th month after surgery. On the 10th month, the patient was euthanasiuzed by owner's request.

Imaging Diagnosis: Heartbase Tumor in a Dog (개의 심기저부 종양의 영상진단학적 특징)

  • Chang, Jin-Hwa;Jung, Joo-Hyun;Yoon, Jung-Hee;Choi, Min-Cheol
    • Journal of Veterinary Clinics
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    • v.25 no.1
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    • pp.48-51
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    • 2008
  • A ten-year-old Yorkshire Terrier developed serious abdominal distension and respiratory distress. Radiography and ultrasonography revealed a hyperechoic mass around the aorta that was contiguous with the right atrium and main pulmonary artery. It was resulted in failure of the right side of the heart including tricuspid regurgitation, hepatomegaly with dilation of the hepatic vein and severe ascites due to a large, expansile mass. Computed tomography(CT) identified a large mass originating at the cardiac hilar region and spanning from the cranial vena cava to the caudal vena cava. The tumor had invaded the cranial vena cava, caudal vena cava, heart and pleural wall. A tentative diagnosis of chemodectoma was assigned to the tumor through a fine needle aspiration. This report focuses on the typical features of imaging diagnosis of heartbase tumors by radiography, ultrasonography and CT.

Build the nomogram by risk factors of chronic obstructive pulmonary disease (COPD) (만성 폐쇄성 폐질환의 위험요인 선별을 통한 노모그램 구축)

  • Seo, Ju-Hyun;Oh, Dong-Yep;Park, Yong-Soo;Lee, Jea-Young
    • The Korean Journal of Applied Statistics
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    • v.30 no.4
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    • pp.591-602
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    • 2017
  • The concentration of fine dust has increased in Korea and people have become more concerned with respiratory diseases. This study selected risk factors for chronic obstructive pulmonary disease (COPD) through demographic and clinical features and constructed a nomogram. First, logistic regression analysis was performed using demographic and clinical feature and the pulmonary function test results of the Korean National Health and Nutrition Examination Survey (KNHANES) $6^{th}$ (2013-2015) and the nomogram was constructed to visualize the risk factors of chronic obstructive pulmonary disease in order to facilitate the interpretation of the analysis results. The ROC curve and calibration plot were also used to verify the nomogram of chronic obstructive pulmonary disease.

Generation Mechanism and Cause of Wrinkle (피부주름살의 발생기전 및 원인)

  • Chung Jin Ho
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.29 no.2 s.43
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    • pp.1-35
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    • 2003
  • 새 천년으로 들어선 2000년도부터 우리나라의 65세 이상 노령인구는 $7.1{\%}$를 차지하게 되어 본격적인 노령화사회 (UN에서 65세 이상인구가 총 인구의 $7{\%}$ 이상일 경우 노령화 사회로 정의)로 진입하였다. 평균수명의 계속적인 증가에 따라 노인 인구는 급격히 늘어날 전망이며, 따라서 노인성 질환의 발생도 늘어나게 되어 가정 또는 사회가 떠 맡아야할 경제적, 정신적 부담은 더욱 증가하게 된다. 건강하고 행복한 인생의 황혼기를 보내는 것은 인간의 권리이며 누구나 바라는 소망이다. 피부의 노화현상은 심장질환, 암 등에 못지 않게 중요하며, 노인의 경제적, 사회적 활동을 심각하게 위축시키고 있다. 피부노화를 예방하고 노인성 피부질환을 치료할 수 있는 방법을 개발함으로써 노인의 경제, 사회활동을 활동적으로 유지시킬 수 있다. 피부노화는 크게 두 종류로 나눌 수 있다. 그 한가지는 내인성노화(intrinsic aging)로서 세월이 흘러감에 따라 피할 수 없는 노화 현상을 말한다. 두번째는 광노화 (photoaging)로서 오랫동안 햇빛에 노출된 얼굴, 손등, 목뒤 등의 피부에서 관찰되는 노화현상을 말하는 것으로 내인성노화 현상과 자외선에 의한 영향이 합쳐진 결과로 발생한다. 광노화 현상은 자외선의 노출을 피하면 예방할 수 있는 피부노화 현상이다. 내인성 노화는 햇빛에 노출되지 않은 피부에서 주로 관찰된다. 임상적 특징은 비교적 경미하며, 잔주름, 피부건조증, 탄력감소 등을 들 수 있다. 그러나 광노화의 임상적 특징은 내인성 노화에 비하여 심하고, 일찍부터 관찰된다. 내인성 노화에 비하여 굵고 깊은 주름이 발생하며, 잔주름도 많이 발생한다. 햇빛에 노출된 피부에 불규칙한 색소침착이 발생하며 일광흑자 (solar lentigo) 등의 색소질환이 증가한다. 피부가 매우 거칠고, 건조해지며, 탄력성이 감소하여 심한경우 피부가 처지게 된다. 피부노화의 대표적인 증상은 주름살이며, 아직까지 그 발생기전에 대하여는 여러 가지 학설이 있으나 정확히 알려져 있지 않다. 피부에 존재하는 교원질, 탄력섬유등 기질단백질의 손상이 피부 주름살의 주 원인으로 알려져 있다. 또한 얼굴에 존재하는 근육의 분포와 움직임, 유전적 소인, 자외선, 흡연, 폐경, 산화적 손상, 열 등 여러 원인이 복합적으로 작용할 것으로 생각된다. 피부주름살의 원인을 밝히고, 원인인자가 피부주름살을 초래하는 분자생물학적 기전을 이해함으로써 주름살을 예방하고 치료할 수 있는 새로운 방법을 개발할 수 있다.

DEVELOPMENTAL PERSPECTIVE ON DEPRESSION IN CHILDHOOD AND ADOLESCENCE (발달적 관점에서 본 아동 및 청소년기 우울증상)

  • Kim, Eun-Jeong;Oh, Kyung-Ja
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.3 no.1
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    • pp.117-128
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    • 1992
  • For many years, a number of critical issues have been raised in relation to classification criteria. prevalence and clinical features as well as the concept of childhood depression itself. In order to achieve a better understanding of the childhood depression, empirical data on the prevalence and clinical features of depression in childhood and adolescence were reviewed and discussed from the developmental perspective. The developmental perspective proposes that maladaptive behaviors are products of the coping process to normal developmental tasks and it is necessary to make out the normative and adaptive developmental process in order to understand maladaptive behaviors. Age associated changes in depression symptomatology were discussed in relation to cognitive and socio-emotional development and directions for future research in childhood depression were suggested.

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Dental Management in a Patient with Congenital Insensitivity to Pain with Anhidrosis : A Case Report (선천성 무통 무한증 환자의 치과적 관리 증례보고)

  • Bae, Cheolhyeon;Lee, Daewoo;Kim, Jaegon;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.4
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    • pp.416-421
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    • 2019
  • Congenital insensitivity to pain with anhidrosis (CIPA) is a rare, autosomal recessive disorder; affected patients are characterized by inability to feel pain and to sweat over the entire body, as well as by mental retardation. Because, in the oral examination, no specific findings on soft or hard tissue may be found except possible lesions due to self-mutilation, early recognition and diagnosis are essential for these patients. Pediatric dentists must be aware of the clinical manifestations and treatment considerations related to uncontrolled body temperature, tactile hyperesthesia and lack of pain reflex. In this case report, dental management of CIPA was suggested by presenting a 6-year follow-up of young patient.

Ultrasonographic Findings of Pneumatosis Intestinalis in a Dog (개에서 장 기종의 초음파적 특징 1례)

  • Song, Yu-Mi;Lee, Jeong-Yang;Lee, Jung-Woo;Jeung, Woo-Chang;Lee, Young-Won;Choi, Ho-Jung
    • Journal of Veterinary Clinics
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    • v.30 no.2
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    • pp.138-141
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    • 2013
  • A 4-month-old, intact male mongrel dog was presented with trauma (hit by car), astasia, stupor and abdominal pain. Radiographic findings were peritoneal effusion, intestinal dilation, right iliac fracture, and microcardia. Abdominal ultrasonography revealed severely, dilated small intestine containing anechoic fluid in lumen and intramural gas within the wall. The sonographic finding suggested pnematosis intestinalis (PI), and vascular compromise of bowel loop by trauma was strongly suspected. After the dog was dead, postmortem examination revealed discolored and necrotized small intestine strangulated by sublumbar muscle. The detection of echogenic gas bubbles in the wall of bowel using ultrasound may be helpful in detecting PI.

Spinal Ganglion Cyst of Lumbar Posterior Longitudinal Ligament (요추부 후종인대에서 발생한 결절종)

  • Roh, Sung Woo;Rhim, Seung Chul;Lee, Ho Kyu;Kang, Sin Kwang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.4
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    • pp.543-549
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    • 2000
  • Objective : In contrary to ganglion cyst that commonly develops in connective tissue of peripheral joint or tendon, spinal ganglion cysts have been rarely reported. The authors report five cases of spinal ganglion cysts which originated from posterior longitudinal ligament of the lumbar spine. Methods : The authors retrospectively analyzed clinical, radiological, and surgical findings of five cases of spinal ganglion cysts and speculated the pathogenesis of spinal ganglion cyst. Result : Cysts were excised totally and symptoms improved without complications in all cases. Intraoperative findings revealed cysts that were tightly adherent to posterior longitudinal ligament. Conclusion : Five cases of ganglion cyst which caused similar symptoms and signs those of lumbar disc herniations were excised successfully. MRI and operative findings suggested spinal ganglion cyst of posterior longitudinal ligament were closely associated with disc degeneration which imply disc degeneration or herniation may play an important role in the pathogenesis of ganglion cyst.

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Abdominal Actinomycosis Mimicking Acute Appendicitis in Children: a Case Report (급성 충수염처럼 보인 복부 방선균증 1예)

  • Choi, Sik Kyung;Bang, Yun Gyu;Oh, Hyeonsik;Lee, Jin
    • Pediatric Infection and Vaccine
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    • v.25 no.3
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    • pp.170-175
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    • 2018
  • Actinomyces are anaerobic, Gram-positive bacteria that are part of the endogenous flora of mucous membranes in humans. Infection caused by these bacteria is termed actinomycosis. The 3 most common types of actinomycosis are cervicofacial, abdominopelvic, and pulmonary. A previously healthy 6-year-old boy presented with the emergency room with fever, vomiting, and abdominal pain and initially diagnosed with acute appendicitis. Exploratory laparoscopy was done. Histologic finding demonstrated acute gangrenous appendicitis complicated by perforation and sulfur granules compatible with actinomycosis. Subsequently, he was diagnosed with abdominal actinomycosis and received long-term antibiotic therapy. Abdominal actinomycosis is uncommon in children and difficult to diagnose because of its nonspecific symptoms and of difficulties in growing Actinomyces in the clinical setting. It is necessary to include abdominal actinomycosis as a differential diagnosis of children presenting with abdominal pain.