• Title/Summary/Keyword: Adult cases

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Tuberculous Cervical Lymphadenitis (경부 결핵성 임파선염)

  • Kim Joong-Kyu;Lee Choong-Han
    • Korean Journal of Head & Neck Oncology
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    • v.11 no.1
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    • pp.3-8
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    • 1995
  • Tuberculous cervical lymphadenitis is one of common cause of neck mass in young adult in Korea. Tuberculous cervical lymphadenitis known as scrofula was being treated by the 'Royal Touch' in the 5th century and by surgery in the 17th century, yet the principle of the treatment is still controversal. We report the clinical evaluation and therapeutic result about 121 tuberculous cervical lymphadenitis. The result were as follows: 1) The annual incidence(1985-1994) was 30.5 % (37 cases: 1985-1986), 17.7 % (21 cases: 1990-1992). 19.8%(24 cases: 1994). 2) The age of highest incidence was 20-29 year old age group in 41.3% (50 cases) and female predominated over male by 1.8 : 1. 3) The duration of disease was less than 6 months, in 85.9% (104 cases). 4) The most commonly involved LN group was superficial cervical group in 69.4% (84 cases), and difference between Rt & Lt, was not significant. 5) The most common symptom and local finding(P/E) were, painless swelling of LN in 74.3 % (90 cases) and single mass in 59.5 % (72 cases). 6) In seasonal variation, 85.9% (104 cases) was spring and summer. 7) Procedures except biopsy for evaluation were chest PA, AFB smear & culture(sputum), Mantoux test, USG, CT and, Associated extracervical tuberculous lesions were lung, axilla, breast. 8) In operation method (involving biopsy), Excision was 68.5 % (83 cases), neck dissection was 6.6% (8 cases). 9) The Modality, Duration and side effect of antituberculous medication: INH-Rifampin­Ethambutol was 66.1 % (88 cases), duration was 1 year in 84.3% (102 cases), side effects were severe GI trouble (24.8%), liver function damage (3.3%). 10) 3 cases recurred on the same site after 2 yrs(2 cases) and 4 months(1 case) and its treatment was curretage or I & D, with antituberculous medication.

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A Phenomenological Study on Emotional Experiences of Adult Women with Childhood Trauma (아동기 트라우마 성인여성의 정서적 경험에 관한 현상학적연구)

  • Kim, Heung;Kim, Hyun Jin
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.5
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    • pp.341-349
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    • 2022
  • This study explored in-depth emotional experiences influenced by childhood trauma of adult female survivors. For this purpose, in-depth interviews were conducted with married adult women who experienced trauma in their childhood. The collected data were analyzed using Colaizzi phenomenological research method. As a result of the study, 7 categories were derived: 'children who cannot protect themselves', 'childhood trauma,' 'insecure attachment and good child syndrome,' 'difficulties in interpersonal relationships,' 'difficulties in raising children,' 'somatization symptoms,' 'finding myself who is lost.' In addition, this study aims to understand the psychological experience of children in the family and the relationship between parents and children and the growth experience of healing them by comparing and contrasting the two cases of trauma. The foundation for healthy ego-resilience and emotional well-being has been laid through the research results on negative and maladaptive emotional experiences reflected throughout the life of adult women who suffered childhood trauma.

Studies on Fungi Isolated from Dermatomycoses Patients in Egypt

  • El-Said, A.H.M.
    • Mycobiology
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    • v.30 no.3
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    • pp.154-159
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    • 2002
  • Fifty cases of dermatomycoses were recorded from adult male and female at Qena Gvernorates. These included tinea capitis(62% of total cases), tinea corporis(20%), tinea versicolor(12%) and tinea unguium(6%). Males are more susceptible to all cases of tinea than females. Thirty-one species and 2 varieties belonging to 16 genera were recovered from several infection sites. These were identified as Aphanoascus fulvescens, A. terreus, Arthroderma fulva, A. obtusa, Trichophyton rubrum and T. soudanense. Several saprophytes were also found. These were : Aspergillus flavus, A. fumigatus, A. niger, A. terreus, Cochliobolus lunatus, Mycosphaerella tassiana, Penicillium chrysogenum and P. citrinum. Twenty-one isolates were able to hydrolyze gelatin with variable capabilities. T. rubrum was the most active protease producer. The maximum production of protease was obtained at 8 days of incubation at $30^{\circ}C$ in Sabouraud's basal medium with maltose as a carbon source and pepton as a nitrogen source. The optinal pH for the maximum production of protease was pH 6.

Clinical Experience of Atelectasis (무기폐의 임상적 고찰)

  • 류삼열
    • Journal of Chest Surgery
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    • v.24 no.11
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    • pp.1098-1106
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    • 1991
  • Atelectasis may be defined as collapse of the lung due to absence of air within the alveoli. It may involve anatomic segments, lobes, or whole lungs but also may be a diffuse miliary process, as in the adult respiratory distress syndrome. The key to treatment are the anticipation and prevention of atelectasis in various clinical situations, the recognition and treatment of underlying disease, and the prompt initiation of vigorous treatment once atelectasis is found. Repeated assessment by physical examination is necessary to determine the presence of atelectasis and its response to treatment. During the period of January, 1981 to October, 1990, 100 patients with atelectasis were treated in the department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital. There were 70 males and 30 females ranging from 3 days to 79 years of age. The occurrence ratio of right to left side was 2.1 : 1. The underlying pathologic lesions of atelectasis were pneumonia with effusion(28), lung ca.(24), pulmonary tuberculosis(24), and chronic empyema(9), The treatment procedure for atelectasis were closed thoracostomy in 26 cases, ressection in 21 cases, therapeutic bronchoscopy in 14 cases and etc.

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One Case of paralytic strabismus(oculomotor nerve palsy) which was treated electroacupuncture at oculomotor muscles (외안근 전침요법을 이용한 소아의 마비성 사시 치험 1례)

  • Kim, Nam-Kuon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.3 s.31
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    • pp.232-236
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    • 2006
  • Objectives : Strabismus refers to the oculomotor muscles imbalance that results from improper alignment of the visual axes of the two eyes. It may be divided into paralytic and nonparalytic strabismus. Paralytic strabismus is primarily result from neurologic problem and nonparalytic strabismus is more strictly opthalmologic problem. At first we used this method(electroacupuncture at oculomotor muscles) and gained good recoveries for adult paralytic strabismus cases or Miller-Fisher syndrome, and I tried to know the effective and safety for children cases. Methods : We treated the case by using the electroacupuncture at paralytic oculomator muscles. The case was treated almost daily and every treatment was enforced 10 minutes. We use the PG-306 electra-acupuncture products(Suzki Iryoki Co. Japan) and apply the low consequence wave of I-8Hz Results : We found that the case was recovered perfectly in short term and appealed any sides effect or compliant. So I try to apply this treatment in many children cases and make the treating protocol for them.

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Four Human Cases of Acanthotrema felis (Digenea: Heterophyidae) Infection in Korea

  • Chai, Jong-Yil;Kim, Jae-Lip;Seo, Min
    • Parasites, Hosts and Diseases
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    • v.52 no.3
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    • pp.291-294
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    • 2014
  • Acanthotrema felis is an intestinal trematode of cats originally reported from the Republic of Korea. Only 1 human case infected with a single adult worm has been previously recorded. In the present study, we report 4 human cases infected with a total of 10 worms recovered after anthelmintic treatment and purging. All 4 patients reside in coastal areas of Jeollanam-do, Korea, and have consumed brackish water fish including the gobies, Acanthogobius flavimanus. The worms averaged 0.47 mm in length and 0.27 mm in width, and had 3 sclerites on the ventrogenital sac; 1 was short and thumb-like, another was long and blunt-ended, and the 3rd was long and broad-tipped. They were identified as A. felis Sohn, Han, & Chai, 2003. Surveys on coastal areas to detect further human cases infected with A. felis are required.

Congenital Broncho-esophageal Fistula Diagnosed on Chest CT in Adults - 2 Cases of Surgical Treatment - (흉부전산화단층촬영으로 진단한 성인의 선천성 기관지-식도루 - 수술치험 2예-)

  • 조민섭;조덕곤;송소향;김치홍;안명임;정연주;유진영;조규도
    • Korean Journal of Bronchoesophagology
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    • v.9 no.2
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    • pp.65-68
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    • 2003
  • Recently we successfully treated two cases of congenital bronchoesophageal fistula(BEF), communicating esophagus and right lower lobe, in adults by fistulectomy and right lower lobectomy. The fistulas were initially diagnosed on chest CT examination and confirmed by endoscopy and esophagography. The diagnosis of BEF is usually made by barium esophagography, esophagoscopy, and bronchoscopy. Although congenital BEF presented in adult life is a rare disorder, careful examination of chest CT films would disclose more cases of it , we think , than expected.

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Two Cases of Human Thelaziasis and Brief Review of Korean cases

  • Sohn, Woon-Mok;Na, Byoung-Kuk;Yoo, Ji-Myong
    • Parasites, Hosts and Diseases
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    • v.49 no.3
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    • pp.265-271
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    • 2011
  • The present study was performed to describe 2 cases of human thelaziasis (HT) which occurred in Gyeongsangnam-do and to briefly review the previously reported Korean cases. A 58-year old woman, residing in Hadong-gun, Gyeongsangnam-do, came to Gyeongsang National University Hospital (GNUH) complaining of foreign body sensation and itching of the right eye in March 2000. Total 6 adult nematodes of Thelazia callipaeda (2 males and 4 females) were detected in her right eye. A 80-year old man, residing in Jinju-si, Gyeongsangnam-do, came to GNUH complaining of foreign body sensation, itching, and pain of the right eye in December 2007. A total of 5 worms (4 females and 1 degenerated) were removed from his right eye. We analyzed characteristics of the total 39 Korean HT cases reported to date, including the present 2 cases. Most of the cases (71.8%) occurred in Seoul and Gyeonggi-do before 2000, and 21 cases (53.8%) were males and 18 (46.2%) were females. The prevalence was higher in younger ages below 30 years (48.7%) than 31-60 years (41.0%) and over 61 years (10.3%). The seasonal prevalence showed a higher incidence in autumn (43.6%) than in other seasons. Most of the cases (94.9%) were conjunctival sac infections and only 2 (5.1%) were intraocular cases. The present 2 HT cases are the first reported cases in Gyeongsangnam-do. Some characteristics of Korean HT cases were analyzed.

A Cephalometric Analysis of Korean Adult Normal Occlusion (두부X-선 규격사진의 계측에 의한 한국인 성인 정상교합자의 악안면두개골격의 분석)

  • Lee, Ki-Soo;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.17 no.2
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    • pp.199-213
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    • 1987
  • Upon analyzing the literature, it becomes apparent that norms for orthodontic diagnosis were from normal occlusion with pleasing face, and that the form and size of craniofacial skeleton were different between racial or ethnic groups. Therefore, this study was intended to establish Korean adult norms be useful for diagnosing the cases and to compare those to other ethnic or racial groups. Lateral cephalometric radiographs were taken of ninety-one Korean adults with normal occlusion showing pleasing face consisted in forty-three males and forty-eight females. The subjects ranged in age from seventeen to twenty-six years. The tracings involved measurements that were analyzed with a digitizer. The findings of this study can be summarized as follows, 1. Norms of Korean adult males, females, and combined sexes were established. 2 It was found that in the form and shape of craniofacial skeleton, there were no significant differences between males and females, but in the size males were larger than females 3. There were a great variation between ethnic or racial groups in the measurements of craniofacial skeleton 4 The size of Korean cranial base was smaller than the American Caucasian. 5 The maxilla and mandible of Korean were less protruded than those of the other ethnic groups 6 The dental pattern of Korean were more proclined than that of the American Caucasian and less protruded than that of the American Negro and the North Indian.

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Adult intussusception caused by inverted Meckel's diverticulum treated with operation (수술적 치료를 시행한 함입된 메켈게실에 의한 성인 장중첩증)

  • Lee, Sung Yun;Jeong, Jae Yoon;Hong, Seung Hyun;Woo, Seung Min;Lee, Su Heui;You, Hyun Joo;Kim, Dong Won
    • Journal of Yeungnam Medical Science
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    • v.33 no.2
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    • pp.116-119
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    • 2016
  • Intussusception is a serious disease where part of the intestine slides into an adjacent part of the intestine. Adult intussusception is mainly due to benign or malignant neoplasm. Therefore, in most cases of adult intussusception, treatment by surgery would be preferable to conservative therapy. However, we report on a 28-year-old female patient who underwent intussusception operation delayed 3 months. Abdominal computed tomography 3 months ago showed a small bowel intussusception measuring 20 cm long. Three months later, the previously identified small bowel intussusception appeared without change. The patient underwent surgery, and ectopic gastric mucosa was observed in the biopsy. Therefore, Meckel's diverticulum was diagnosed.