• Title/Summary/Keyword: 징후 및 증상

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A Case of "Full-house" Nephropathy in a Non-lupus Patient (병리조직검사에서 "Full-house" 패턴의 면역 복합체 침착이 발견된 비루푸스 신염)

  • Yoo, Ha Yeong;Son, Mikyung;Cho, Myung Hyun;Kwak, Byung Ok;Park, Hye Won;Lim, So Dug;Chung, Sochung;Kim, Kyo Sun
    • Childhood Kidney Diseases
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    • v.18 no.2
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    • pp.128-131
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    • 2014
  • Histopathologic evidence of "full-house" immune complex deposits is a pathognomonic feature of lupus nephritis. This report presents the case of a 12-year-old boy with persistent microscopic hematuria and proteinuria. He was diagnosed with "full-house" nephropathy based on a renal biopsy. However, there was no other clinical or biological evidence of systemic lupus erythematosus (SLE). Although the potential for isolated "full-house" nephropathy preceding SLE is unclear, such patients should be followed for clinical signs and autoantibodies of SLE. In most cases, microscopic hematuria has a good prognosis, and follow-up usually requires only regular urinalysis. However, we should be aware of isolated "full-house" nephropathy that remains asymptomatic for a long time, as few patients with no clinical signs and negative serology ultimately develop SLE.

Epidemiologic Study on the Patients Visited to Dept of Oral Medicine -In the Area of Choongnam- (구강내과 내원환자에 관한 역학조사 -충남지역에 대한-)

  • Lee, Dong-Ju;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.31 no.1
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    • pp.101-111
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    • 2006
  • Temporomandibular disorders (TMD) is a collective term embrassing a number of clinical problems that involve the masticatory musculature, the Temporomandibular joint and associated structures, or both. The prevalence of signs and symptoms associated with TMD can be best appreciated by examining epidemiologic studies. But domestic epidemiologic studies about sex, history, chief complaint, diagnosis were not sufficient comparing with foreign countries. The results obtained as follow. 1. The number of visiting patients were 6500 and mean age was 34.06 year (Male's mean age was 33.15, Female's 34.62). In the age of patients, there was no significant difference between sex. 2. There are most patients who were referred by dentist (80.07%). Most diagnostic group was arthrogenous TMD group and followed by myogenous TMD, soft tissue disease. 3. There was strong interaction between diagnostic groups and chief complaint. 4. There was little pain difference between right and left sides. Male mainly had pain onset under 6 month, but female had pain onset more than 6 month. 5. The number of patients who had joint sound history were 3445 (53.15%). There was no significant difference of pain onset between sex. Clicking sound was most among joint sounds which happened to patients. 6. In analyzing the parafunctional habit, male mainly had bruxism, but female had clenching habit.

A Study on pantronic PRI for Diagnosing TMJ Dysfunction (악관절 기능장애의 진단을 위한 Pantronic PRI에 관한 연구)

  • 김관호;정성창
    • Journal of Oral Medicine and Pain
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    • v.11 no.1
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    • pp.45-56
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    • 1986
  • The author investigated the Pantronic PRI scores for detection of TMJ dysfunction using the Pantronic in 20 subjects who were male students of the school of dentistry, Seoul National University selected according to sampling criteria and came to the following conclusions. 1. According to the HDI, 20 subjects were divided into 2 groups, the DiO and the DiI, it was appeared that 45% of the subjects had some degree of TMJ dysfunction in each session. 2. According to the P-PRI, 20 subjects were categorized into 3 categories, the none, the slight and the moderate, it was appeared that 82% of the subjects had some degree of TMJ dysfunction in each session. 3. The ability of the P-PRI was more sensitive than that of the HDI in detection of TMJ dysfunction (p < 0.01). 4. The P-PRI scores were consistent within each session and among sessions. 5. The results suggested that the P-PRI, a measure of reproducibility of border tracings, could be an aid to detect TMJ dysfunction and could be used to assess the severity of TMJ dysfunction.

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Development of an intelligent camera for multiple body temperature detection (다중 체온 감지용 지능형 카메라 개발)

  • Lee, Su-In;Kim, Yun-Su;Seok, Jong-Won
    • Journal of IKEEE
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    • v.26 no.3
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    • pp.430-436
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    • 2022
  • In this paper, we propose an intelligent camera for multiple body temperature detection. The proposed camera is composed of optical(4056*3040) and thermal(640*480), which detects abnormal symptoms by analyzing a person's facial expression and body temperature from the acquired image. The optical and thermal imaging cameras are operated simultaneously and detect an object in the optical image, in which the facial region and expression analysis are calculated from the object. Additionally, the calculated coordinate values from the optical image facial region are applied to the thermal image, also the maximum temperature is measured from the region and displayed on the screen. Abnormal symptom detection is determined by using the analyzed three facial expressions(neutral, happy, sadness) and body temperature values. In order to evaluate the performance of the proposed camera, the optical image processing part is tested on Caltech, WIDER FACE, and CK+ datasets for three algorithms(object detection, facial region detection, and expression analysis). Experimental results have shown 91%, 91%, and 84% accuracy scores each.

Clinical characteristics of deep neck abscess in children; 15 year experience in a university hospital (소아 심경부농양의 임상적 고찰 : 일개 대학병원에서 15년간의 경험)

  • Goo, Min-Ji;Yeom, Jeong-Suk;Kim, Eo-Jin;Park, Jung-Je;Seo, Ji-Hyun;Park, Eun-Sil;Lim, Jae-Young;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Clinical and Experimental Pediatrics
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    • v.50 no.7
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    • pp.649-654
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    • 2007
  • Purpose : The objective of this study was to clarify the presentation, associated preceding illness, pathologic organisms, treatment and outcome of deep neck abscess in children according to age and location. Methods : We retrospectively reviewed the in-patient charts of children treated at our hospital for deep neck abscess. Thirty-five such patients were identified as having been treated from March 1990 to December 2005. Results : A total of 35 were enrolled in our study: 25 boys and 10 girls. Their ages ranged from 11 months to 15 years. Presenting symptoms included mass, fever, irritability, trismus and dysphagia. The most commonly known associated preceding illness was viral upper respiratory infection (53%). The most common site of infection was the submandibular space (37%). Bacteria was identified in 16 patients. The most common pathogen was Staphylococcus aureus. Thirteen (37%) children recovered from the infection with conservative treatment and twenty-four (68%) children received surgical drainage. The duration of hospitalization was longer in the group who underwent surgery than in the group who were managed with conservative treatment. No complication occurred. Conclusion : Unexplained torticollis, trismus or irritability in children were suggestive of deep neck abscess. Our results demonstrate that deep neck abscesses in children is respond well to conservative treatment if diagnosed early.

Predictors of Serious Bacterial and Viral Infections among Neonates with Fever (신생아 발열 환자에서 중증 감염의 예측 인자)

  • Choi, Ui-Yoon;Lee, Jung-Soo;Lee, Jung-Hyun
    • Neonatal Medicine
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    • v.15 no.1
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    • pp.61-66
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    • 2008
  • Purpose : The purpose of this study was to describe the epidemiologic features of febrile illnesses in newborns and to predict the risk of serious infections in this population. Methods : A retrospective study was conducted on 123 full-term infants <30 days of age with an axillary temperature >38$^{\circ}C$ who were hospitalized between 2000 and 2006. Neonates with prenatal risk factors, congenital anomalies, antibiotic administration prior to admission to the hospital, or suspected hospital-acquired infections were excluded. We evaluated the symptoms, physical examination findings, laboratory data, and clinical course between the high- and low-risk groups for serious infections. Results : The high-risk group included 30 infants with the following diagnoses in order of frequency: aseptic meningitis, urinary tract infection, bacterial meningitis, infectious enteritis, sepsis concomitant with disseminated intravascular coagulopathy, bacteremia, pneumonia, cellulitis, and omphalitis. Leukocytosis and thrombocytopenia were statistically different between the two groups. Factors, such as moaning signs, seizures, body temperature, and pulse rate were statistically significant. Conclusion : Unlike previous studies, we included newborns with clinical bacterial infections and aseptic meningitis as the high-risk group. Leukocytosis, thrombocytopenia, moaning signs, seizures, and changes in vital signs were considered useful predictors for identifying febrile neonates at high-risk for serious infections in spite of a difference in the definition of serious infection.

Perceptions of Barriers to Cardiovascular Risk Factors and Decision to Seek Treatment among Middle-aged Men with Acute Myocardial Infarction (중장년 남성 급성심근경색증 환자의 심혈관위험인자 인식 및 치료추구 장애요인)

  • Hwang, Seon-Young;Kweon, Young-Ran;Kim, Aee-Lee
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.537-551
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    • 2010
  • Purpose: This study was designed to identify meaningful themes related to the recognition of lifestyle risk factors and barriers in seeking treatment following an acute event of first-time acute myocardial infarction. Methods: A methodological mixed method of thematic content analysis and a quantitative analysis was used. The sample consisted of 120 male patients < 65 years of age who agreed to be in the study were interviewed using a semistructured during 2008-2009. Data were analyzed according to the procedure of thematic content analysis and the meaningful themes were coded into SPSS data for quantitative analysis. Results: Pre-hospital delay greater than three hours reported by 58.3% (n=70) of the sample and similarly 63.3% had no recognition about their symptoms as cardiac in origin. The mean number of risk factors was $3.9{\pm}1.8$ out of 11 when lifestyle and psychosocial factors were included. From the interview data among the 70 patients delayed greater than three hours, thirty-five themes categorized into 12 main themes influenced the delayed decision which was identified according to personal-cognitive, socio-cultural, and contextual factors. Conclusion: Health care providers should consider these themes in designing individual interventions to make lifestyle changes and to facilitate more prompt decisions to seek care.

Delayed Diagnosis of a Traumatic Diaphragmatic Injury (지연 진단된 외상성 횡격막 손상 1예)

  • Park, Seon-Wook;Kim, Cheol-Hong;Kim, Ji-Youn;Lee, Seung-Hwa;Kim, Young-Wook;Hyun, In-Gyu;Shin, Ho-Seung
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.3
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    • pp.241-245
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    • 2009
  • Traumatic diaphragmatic rupture is uncommon, but requires a prompt diagnosis and repair. Diaphragmatic injury is most commonly associated with automobile accidents. The diagnosis is difficult and may be delayed because there are no specific symptoms, signs, or radiographic studies that are pathognomic for diaphragmatic injury. The most important factor in the diagnosis is a high suspicion and the use of proper diagnostic studies. We report a case involving the delayed presentation of diaphragmatic rupture in a 54 year old man, requiring surgical repair 12 days following multiple blunt trauma. It should be noted that early recognition for diaphragmatic injury is important in patients with multiple trauma to avoid the potential fatal complications.

Simultaneous Heat-Massage Therapy for Migraine Without Aura : A Case Report (무전조성 편두통 환자에서 온열과 마사지 동시 치료의 효과: 증례보고)

  • Lee, Kwang-Jae;Yoon, Yong-Soon
    • Journal of Digital Convergence
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    • v.18 no.8
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    • pp.505-509
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    • 2020
  • A migraine was a headache disorder characterized by recurrent moderate to severe headaches. The diagnosis was based on clinical signs and symptoms. Medication, physical therapy, nerve block, and nerve stimulation could be applied for treatment. This report described a case of severe migraine without aura that lasted several weeks periodically in a 59-year-old woman. Periodic headache had lasted for more than 14 years, and although she took medicines and nerve blocks, severe pain (VAS 7) was persisted. We recommended her to use the thermo-spinal massage device (CGM MB-1401, CERAGEM Inc., Cheonan, South Korea) continuously three times a week applying in semi-automatic mode around the neck for 40 minutes. There was no change in the pain scale in the automatic mode for the first 4 weeks. Subsequently, the semi-automatic mode of the cervical area was treated for 2 weeks to relieve the pain scale, and it was confirmed that the relieved state maintained for 2 months. This case highlighted the importance in considering thermo-spinal massage devices for managing migraine without aura.

Clinical Significance of Repeated Delayed Air Reduction in Unsuccessful Initial Reduction of Intussusception (초기 정복에 실패한 장중첩증 환자에서 반복 지연 정복술의 임상적 의의)

  • Shin, Song-Heui;Rho, Young-Il;Park, Young-Bong;Moon, Kyung-Rye
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.2
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    • pp.175-180
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    • 2001
  • Purpose: The advantages of air reduction are the ease of performing the procedure, reduced radiation time and lower morbidity rate if perforation occurs. But, patients who fail air reduction undergo a laparotomy at which 10% have spontaneously reduced. The first enema decreases the edema and venous congestion of bowel wall, thus repeated reduction may succeed. The aim of this study is to evaluate the efficacy of delayed repeated pneumatic reduction of intussusception in patients with failure of an initial attempt. Methods: Between January 1998 and December 1999, 21 patients with proven intussusception received repeated delayed reduction 1 to 3 hours following the first failed attempt. These patients were in stable condition and did not have peritonitis, shock or toxic sign. Results: Before reduction, the patients had symptoms and signs for 6 to 48 hours (median 24 hr). The interval from the first reduction to the repeated was 1 to 3 hours (median 2.2 hr). The success rate of repeated reductions was 76.2% (16 of 21 patients), and 23.8% (5 of 21 patients) required surgery. Four of 5 patients requiring surgery were manually reduced and 1 spontaneously reduced in the operating room. Conclusion: We recommended a repeated reduction in patients with intussusception who are in stable clinical condition after an unsuccessful initial reduction attempt.

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