• 제목/요약/키워드: Case report form

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음악치료를 적용하여 호전된 신체형 장애 여환 치험 1례 (Application of Music-Listening Intervention for Somatoform Disorder : A Case Report)

  • 조혜영;김윤용;권용주;조성훈;황의완
    • 동의신경정신과학회지
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    • 제20권3호
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    • pp.261-271
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    • 2009
  • Objectives : This study was performed to report the effect of music-listening intervention and relaxation for somatoform disorder. Methods : A 51 year-old female patient suffered from several somatic symptoms without identifiable physical cause. We saw her symptoms were related to her psychological factors. We applied music-listening intervention and relaxation besides Korean traditional medical treatment to make her be aware of her psychological condition such as inner conflict and know symptoms are related to her psychological condition. Results : After the music-listening intervention and relaxation, the patient revealed her unrecognized hidden feelings and emotions and got some insights about herself. Then somatic symptoms such as dysesthesia and urinary frequency and anxiety were decreased considerably. Conclusions : These results suggest that the music-listening intervention and relaxation can be effective on improvement of soma to form disorder.

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한의약 임상시험 전문인력양성 교육프로그램 개발의 필요성에 대한 설문조사 (Survey on the Need to Develop Training Educational Program for Oriental Medical Clinical Trial)

  • 신선화;오달석;김보영;최선미
    • 한국한의학연구원논문집
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    • 제13권2호통권20호
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    • pp.127-133
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    • 2007
  • Objectives : This study were aimed to estimate the needs for clinical research educational program development focused on oriental medicine. Methods : Department Medical Research of Korea Institute of Oriental Medicine surveyed 204 certified subjects in total by using web-based questionnaires through e-mail from Jan. 17th to Jan. 31th, 2007. Reply from 62 on-line correspondents were collected and statistically analyzed. Results : The number of clinical trial involving oriental medicine continues to increase. According to the survey, many Issues were raised as problems such as difficulty of recruitment, lack of fund and lack of stepped program. Emphasized issues were clinical research methodologies, development of protocols and case report form (CRF), and Regulations including Institutional Review Boards (IRBs) in these three consecutive education training program. Conclusion : The results of this study may contribute to the development of an educational program for oriental medicine, a program that should be taken into consideration for developing practical items, such as, problem-based learnings which reflects participants' actual needs in their works. Also this report be used for future strategy plans and execution of training program for oriental medical clinical trial.

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Autonomic Self Healing-Based Load Assessment for Load Division in OKKAM Backbone Cluster

  • Chaudhry, Junaid Ahsenali
    • Journal of Information Processing Systems
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    • 제5권2호
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    • pp.69-76
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    • 2009
  • Self healing systems are considered as cognation-enabled sub form of fault tolerance system. But our experiments that we report in this paper show that self healing systems can be used for performance optimization, configuration management, access control management and bunch of other functions. The exponential complexity that results from interaction between autonomic systems and users (software and human users) has hindered the deployment and user of intelligent systems for a while now. We show that if that exceptional complexity is converted into self-growing knowledge (policies in our case), can make up for initial development cost of building an intelligent system. In this paper, we report the application of AHSEN (Autonomic Healing-based Self management Engine) to in OKKAM Project infrastructure backbone cluster that mimics the web service based architecture of u-Zone gateway infrastructure. The 'blind' load division on per-request bases is not optimal for distributed and performance hungry infrastructure such as OKKAM. The approach adopted assesses the active threads on the virtual machine and does resource estimates for active processes. The availability of a certain server is represented through worker modules at load server. Our simulation results on the OKKAM infrastructure show that the self healing significantly improves the performance and clearly demarcates the logical ambiguities in contemporary designs of self healing infrastructures proposed for large scale computing infrastructures.

늑골과 두개골막피판을 이용한 두개성형술: 증례보고 (Cranioplasty Using Pericranial flap and Split-Rib Graft: Case Report)

  • 서효석;서상원;장충현;강민구
    • 대한두개안면성형외과학회지
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    • 제9권2호
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    • pp.81-84
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    • 2008
  • Purpose: The goals of cranioplasty are to protect the brain from trauma and restore normal cranial contour with as few complication as possible. In patient who suffered from cranial defect, the most satisfactory form of cranioplasty may be archived with autogenous bone grafts. We report on the treatment of large frontal bone defect using pericranial flap and split-rib graft. Methods: A 29-year-old male was referred to our department. He was involved in an automobile accident resulting in large frontal bone and sinus defect and skull basal defect. The reconstruction was undertaken using galeal frontalis myofascial flap and split-rib cranioplasty using bicoronal incision. Results: The postoperative course was successful. For 9 months follow up period, there was no complication about hematoma, infection, CSF leakage and washboard deformity. He was pleased with the results even when absolute symmetry was not achieved. Conclusion: We experienced large frontal bone and sinus defect and skull basal defect patient and successfully treated with split-rib graft and galeal frontalis myofascial flap.

하악골에 발생한 유표피낭종: 증례보고 (Epidermoid Cyst of the Mandible: Case Report)

  • 온병훈;고세욱;박슬지;지영덕
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권6호
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    • pp.535-539
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    • 2011
  • Epidermoid cyst is a cystic form of teratoma and believed to be derived from trapped embryonic cells along the lines of embryonic closure. A 28-year-old woman presented with a painless swelling over the left mandibular area. On panoramic view, the mandible revealed a $5.5{\times}2.0\;cm^2$ multilocular radiolucent lesion of the left mandibular body and a computed tomography scan showed expansion of both the buccal and lingual plates in the same area. Microscopy found stratified squamous epithelium of the cystic wall and cystic contents of keratinized material. The histological diagnosis wasan epidermoid cyst. The most common location of epidermoid cyst at the head and neck is in the orbit (47%), followed by the mouth floor (23%) and the cervical area (9~24%), but in the jaw bone, it is considered very infrequent. We report the uncommon epidermoid cyst in the mandibular body that had a good healing outcome after treatment with a conservative marsupialization during the 40 months follow-up.

하악 과두하 골절시 후하악 접근법에 의한 수술 후 발생한 이하선 누공 형성과 이에 대한 치료 증례 (Retromandibular approach for the management of subcondylar fractures, followed by treatment of parotid gland fistulae: Case report)

  • 노재찬;김주원;양병은
    • 대한치과의사협회지
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    • 제55권10호
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    • pp.696-705
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    • 2017
  • Condylar fractures account for one-third of all mandibular fractures. There are many surgical methods for the open reduction of condylar fractures, such as the transoral, submandibular, preauricular, and retromandibular approaches. Two patients suffering from condylar fractures, a 45-year-old man and a 25-year-old man, were admitted to our hospital. Both patients' condylar fractures were positioned too high for us to use the transoral approach. Therefore, we employed the retromandibular method to expedite the approach to the fracture site and minimize the size of the incision. After the surgical procedures in both cases, we experienced complications in the form of parotid gland fistulae, which rarely result from the retromandibular approach. A combination of botulinum toxin injection and amitriptyline medication was effective for the management of these parotid gland fistulae. Here, we report these two cases and offer a review of the literature on this article.

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A root submergence technique for pontic site development in fixed dental prostheses in the maxillary anterior esthetic zone

  • Choi, Sunyoung;Yeo, In-Sung;Kim, Sung-Hun;Lee, Jai-Bong;Cheong, Chan Wook;Han, Jung-Suk
    • Journal of Periodontal and Implant Science
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    • 제45권4호
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    • pp.152-155
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    • 2015
  • Purpose: This case report discusses the effect of a root submergence technique on preserving the periodontal tissue at the pontic site of fixed dental prostheses in the maxillary anterior aesthetic zone. Methods: Teeth with less than ideal structural support for fixed retainer abutments were decoronated at the crestal bone level. After soft tissue closure, the final fixed dental prostheses were placed with the pontics over the submerged root area. Radiographic and clinical observations at the pontic sites were documented. Results: The submerged roots at the pontic sites preserved the surrounding periodontium without any periapical pathology. The gingival contour at the pontic site was maintained in harmony with those of the adjacent teeth, as well as the overall form of the arch. Conclusions: The results of this clinical report indicate that a root submergence technique can be successfully applied in pontic site development with fixed dental prostheses, especially in the maxillary anterior esthetic zone.

지피비대증 환자의 수술적 치료 1예 (A Case Report: Surgical Treatment of Pachydermodactyly)

  • 이세환;안희창;황원중;오정근;이창우
    • Archives of Plastic Surgery
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    • 제33권1호
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    • pp.124-126
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    • 2006
  • Pachydermodactyly is a rare distinct form of fibromatosis characterized by acquired, asymptomatic dense fibrosis and fibroblastic proliferation around one or more proximal interphalangeal joints. Intralesional triamcinolone injection may be helpful in improving the clinical appearance. A 20-year-old unemployed female patient gave a four years history of progressive swelling of the fingers affecting predominantly the proximal interphalangeal joints of index fingers of left hand and index, middle fingers of right hand. There was no pain and tenderness. Physical examination, complete blood count, antinuclear antibody, rheumatoid factor were unremarkable and radiograph of both hands showed soft tissue swelling only without bony abnormality. We excised the redundant soft tissue from the both sides of proximal interphalangeal joint with longitudinal elliptical fashion. After operation, the fingers of the patient showed marked improvement cosmetically. There were no motor or sensory changes. Pachydermodactyly was first reported in 1996 in Korea. Histologic features include an increased dermal accumulation of collagen and occasionally an increased number of fibroblast. We report for one patient with pachydermodactyly treated with longitudinal elliptical excision and obtained an improvement of clinical appearance.

점막유표피암종의 치험례 (A CASE REPORT OF MUCOEPIDERMOID CARCINOMAS)

  • 이상철;김여갑;류동목;오승환;윤옥병;신민철
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권1호
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    • pp.125-134
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    • 1996
  • Mucoepidermoid carcinomas, first reported by Volkman(1895), form 6% to 9% of all salivary tumors. Two thirds affecting the parotid gland and the remaining third, the minor glands. As we could know from its name, mucoepidermoid carcinomas originate from ductal epithelium including squamous, mucous-secreting, and undifferentiated intermediate cells. Histologically, it is classified as well-differentiated (low grade), moderately-differentiated(intermediate grade), and poorly-differentiated (high grade) types and the treatment method and prognosis are influenced from its histological grade. We have experienced two cases of mucoepidermoid carcinoma treated surgically with good results and now would like to report these with review of literatures.

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두개골 유아 근섬유증 - 증례보고 - (Infantile Myofibromatosis of the Skull - Case Report -)

  • 박병준;고영초;유헌;이채혁;박효일
    • Journal of Korean Neurosurgical Society
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    • 제29권3호
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    • pp.430-433
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    • 2000
  • Infantile myofibromatosis is a rare and benign myofibroblastic tumor that may occur in either solitary or multicentric form in the soft tissue of infants. A 13-month-old girl presented with a painless firm mass, measuring $2.5{\times}2.5cm$ in the right temporal area. Skull X-ray and CT scan revealed a well enhancing soft tissue tumor with a round skull defect and sclerotic margin. The tumor was totally excised with curettage of the skull defect followed by cranioplasty. Pathology was confirmed to be a solitary infantile myofibromatosis. We report this rare solitary infantile myofibromatosis of the temporal bone with review of the pertinent literature.

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