• Title/Summary/Keyword: Clinical morbidity

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Image interpretation errors often observed in a dental clinic (임상에서 흔히 관찰되는 영상판독 오류)

  • Park, In-Woo
    • The Journal of the Korean dental association
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    • v.54 no.9
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    • pp.712-728
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    • 2016
  • These days, the clinical course of dental imaging sector has done a lot of implant-related imaging courses, including cone beam CT. In contrast, the general image reading course is not given a lot of opportunities to learn. Therefore, it is imperative that we talk about the general image interpretation that can be read easily applied in a dental clinic. When we see a strange radiographic finding of our patient in the dental clinic, we should first check whether the radiographic finding is a normal finding or a morbidity. If the finding is diagnosed as a morbidity, you should make plans for the appropriate therapy. The most important step is classification between normal state and morbidity. Some lesions may occur without any clinical symptoms. Therefore, we should read all the parts of radiographs, even the patient does not have clinical symptoms.

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A CLINICAL COMPARATIVE STUDY BETWEEN ANTERIOR ILIAC AND PROXIMAL TIBIAL METAPHYSIS PARTICULATED CANCELLOUS BONE GRAFTS (장골과 경골의 자가입자망상골 이식에 관한 임상적 비교연구)

  • Oh, Sung-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.3
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    • pp.228-231
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    • 1998
  • This is a clinical and retrospective study of 36 patients received the autogenous particulated cancellous bone grafts from anterior iliac and proximal tibial metaphysis and we compared the clinical postoperative complications in operation sites and donor site morbidity. The results of this study indicate that, in all our patients, the proximal tibia provided an adquate volume of cancellous bone and there were no special contraindications, in choosing and using the proximal tibia as a donor site in most oral and maxillofacial cancellous bone graft surgeries. Furthermore, the proximal tibial metaphysis would appear a more easily obtainable cancellous bone source and offer a superior clinical results than anterior iliac crest in donor site morbidity.

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The Effects of Body Type Perception on the Quality of Life and Disease Morbidity

  • Lee, Myeong-Jin;Lee, Jung-Min;Choi, Bong-Joon
    • Journal of Korean Clinical Health Science
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    • v.6 no.1
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    • pp.1056-1064
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    • 2018
  • Purpose. This study reported on body type perception of people aged ${\geq}19years$, regardless of gender, and on its association with disease morbidity and the quality of life and aimed to observe the effects of stress on body weight perception, disease morbidity, and the quality of life. Methods. The data from 218,899 persons aged ${\geq}19years$ who were respondents to the 2010 Community Health Survey were finally analyzed. A designated program was used to perform complex sample analysis; chi-square test was carried out to determine body type perception by the general characteristics and disease status and analyze health-related behavior and weight control behavior by body type perception, and multiple logistic regression was used to observe the effects of body type perception on mental health and the quality of life. Results. 34.9% of all the respondents misperceived their body type and females were more likely to misperceive their body type. The older they were, the more poorly they perceived their body type; those perceiving their body type poorly were significantly more susceptible to both hypertension and diabetes. When correction was made in relation to gender, age, and so on, those perceiving their body type excessively were more susceptible to hypertension (1.43[1.367-1.050]) and diabetes morbidity (1.36[1.294-1.428]). Body type perception affected the quality of life: the respondents perceiving their body type poorly (0.91[0.884-0.940]) or excessively (0.75[0.720-0.770]) showed lower quality of life than those perceiving their body type correctly. Conclusions. Distorted body type perception affected disease morbidity and the quality of life: the respondents excessively perceiving their body type were significantly more susceptible to both hypertension and diabetes and those perceiving their body type excessively or poorly showed lower quality of life than those perceiving it correctly. It is therefore necessary to make multilateral efforts to cultivate correct body type perception.

Clinical Aspects and Prognostic Factors Of Small Bowel Perforation After Blunt Abdominal Trauma (복부 둔상에 의한 소장 천공 환자의 임상 양상 및 예후 인자)

  • Kim, Ji-Won;Kwak, Seung-Su;Park, Mun-Ki;Koo, Yong-Pyeong
    • Journal of Trauma and Injury
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    • v.24 no.2
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    • pp.82-88
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    • 2011
  • Background: The incidence of abdominal trauma with intra-abdominal organ injury or bowel rupture is increasing. Articles on the diagnosis, symptoms and treatment of small bowel perforation due to blunt trauma have been reported, but reports on the relationship of mortality and morbidity to clinical factors for prognosis are minimal. The purposes of this study are to evaluate the morbidity and mortality of patients with small bowel perforation after blunt abdominal trauma on the basis of clinical examination and to analyze factors associated with the prognosis for blunt abdominal trauma with small bowel perforation. Methods: The clinical data on patients with small bowel perforation due to blunt trauma who underwent emergency surgery from January 1994 to December 2009 were retrospectively analyzed. The correlation of each prognostic factor to morbidity and mortality, and the relationship among prognostic factors were analyzed. Results: A total of 83 patients met the inclusion criteria: The male was 81.9%. The mean age was 45.6 years. The mean APACHE II score was 5.75. The mean time interval between injury and surgery was 395.9 minutes. The mean surgery time was 111.1 minutes. Forty seven patients had surgery for ileal perforations, and primary closure was done for 51patients. The mean admission period was 15.3 days, and the mean fasting time was 4.5 days. There were 6 deaths (7.2%), and 25 patients suffered from complications. Conclusion: The patient's age and the APACHE II score on admission were important prognostic factors that effected a patient's progress. Especially, this study shows that the APACHE II score had effect on the operation time, admission period, the treatment period, the fasting time, the mortality rate, and the complication rate.

A study on the Clinical Characteristics of Injured Patient Using Tongdo-san -Focused on Traffic Accidents Cases- (통도산을 투약한 외상에 의한 상해 환자의 임상 특성 연구 -교통사고 환자를 중심으로-)

  • Kim, Ji Hee;Ahn, Hun Mo
    • Journal of Korean Medical Ki-Gong Academy
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    • v.16 no.1
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    • pp.101-115
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    • 2016
  • Objective : This study investigated the clinical characteristics with Tongdo-san on injured patients focused on traffic accidents cases. Methods : 108 injured patients diagnosed with stagnation of Qi and stagnated blood(氣滯瘀血) were treated with Tongdo-san, acupuncture, cupping, physical therapy, Su-Gi therapy. The degree of Martins AN was checked to observe the change after using Tongdo-san. Results : Evaluation grades of of patients treated with Tongdo-san were all improved. The shorter the period of morbidity and the lower the age, the better the elevation. The degree of elevation is more significant in women traffic accidents patients. Conclusions: According to the study, Tongdo-san might especially effective for women traffic accidents patients with short period of morbidity and lower age.

Comparison of Clinical Courses According to the Existence of Patent Ductus Arteriosus in Respiratory Distress Syndrome (신생아 호흡곤란 증후군에서 동맥관 개존 동반유무에 따른 임상적 경과 비교)

  • Seong, Ju Hee;Lee, Hyeon Joo;Hong, Hyun Kee;Bae, Chong-Woo;Choi, Yong-Mook
    • Clinical and Experimental Pediatrics
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    • v.46 no.11
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    • pp.1080-1084
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    • 2003
  • Purpose : To compare perinatal characteristics, clinical courses, and overall morbidity between respiratory distress syndrome(RDS) with patent ductus arteriosus(PDA) and RDS without PDA in neonates. Methods : Eighty-three neonates who were diagnosed and treated for RDS in the neonatal intensive care unit(NICU) from Jan. 2000 to Dec. 2002 were included in this study. RDS was complicated with PDA(group A) in 17 patients and not complicated in 66(group B). PDA was diagnosed by echocardiogram in neonates with congestive heart failure symptom, cardiac murmur or chest X-ray findings of cardiomegaly or pulmonary edema. A retrospective study was undertaken of the perinatal characteristics and overall morbidity in group A and group B. Results : The birth weight and gestational periods of group A were less compared with group B. There was more perinatal asphyxia in group A. Incidence of overall morbidity such as bronchopulmonary dysplasia, intraventricular hemorrhage and death was higher in group A. Intravenous indomethacin was administered in 17 PDA infants. Conclusion : The perinatal characteristics in the two groups showed a significant difference. Incidence of overall morbidity in the two groups showed significant differences, however, there is no simple conclusion to draw because we didn't do multifactorial analyses to rule out other many risk factors affecting morbidity, such as gestational weeks or birth weight.

Details of Lymphedema, Upper Limb Morbidity, and Self Management in Women after Breast Cancer Treatment

  • Chung, Chae-Weon;Hwang, Eun-Kyung;Hwang, Shin-Woo
    • Women's Health Nursing
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    • v.17 no.5
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    • pp.474-483
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    • 2011
  • Purpose: To examine the details of lymphedema, upper limb morbidity, and its self management in women after breast cancer treatment. Methods: Using a cross-sectional survey design, 81 women were recruited from a university hospital. Lymphedema was detected by a nurse as a 2-cm difference between arm circumferences at 6 different points on the arm. Degrees of pain, stiffness, and numbness were scored using a drawing of upper limb on a 0~10 point scale. Aggravating conditions and self-management for lymphedema were also recorded. Results: The mean age of the participants was 52.5 years; the average time since breast surgery was 29.7 months. Histories of modified radical mastectomy (55%) and lymph node dissection (81%) were noted. Lymphedema was found in 59% of women, then pain and stiffness were prevalent most at upper arm while numbness was apparentat fingers, and the symptom distress scores ranged 3.9~6.7. Women experienced aggravated arm swelling after routine housework with greatly varied duration. Self-management was conservative with a wide range of times for the relief of symptoms. Conclusion: Lymphedema education for women with breast cancer should be incorporated into the oncologic nursing care system to prevent its occurrence and arm morbidity. Risk reduction guidelines, individually tailored self-care strategies, and self-awareness for early detection need to be refined in clinical nursing practices.

Nutritional Secondary Hyperparathyroidism in Cheju Pony Racehorces (제주경주마의 영양성이차성 상피소체 기능항진증)

  • Kim Joon-Gyu;Choi Hee-In
    • Journal of Veterinary Clinics
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    • v.11 no.1
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    • pp.347-358
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    • 1994
  • This study was peformed to investigate the morbidity of nutritional secondary hyperparathyroidism(NSH) caused by imbalance of Ca and p, and related athletic disease in Cheju pony racehorse. The seventeen horses with clinical signs among 33 NSH affected, administered CaCO$_3$(34 g) and Vita-rinka1(120 g) respectively for 40 days. The results were asd follows; Morbidity of NSR was 33 among 47 horses, and it was caused by the deficiency of Ca in 32 horses. In a case, level of Ca was norm질 although P was high. There was no case of Ca deficiency with P excess. Among 33 NSH affected horses, 13 were subclinical and 20 were clinical types with severe lameness in 6 and transient lameness in 14. Although there was no difference in bone density between transient lameness and normal horses on radiography, among six horses wlth severe lameness two showed hyperplasia at periosteum, one had low density of phalanges and metacarpal bones, and thin cortex. and there with fracture at carpus, nivicular bone and proximal sesamoids. The levels of FECa and FEP were recovered after CaCO$_3$ administration in 2 horses among ten, and after Vita-rinkal in all of seven. The clinical signs were disappeared in slx horses among ten CaCO$_3$ treated, and in five among seven Vita-rinkal treated. There were no differences on radiography in bone density and thickness of cortex on 14 horses with transient lameness. Three horses with severe signs were recovered to normal bone density and thickness of cortex, and there was no significant difference between two groups. In summary, the morbidity of NSH in Cheju pony racehorses was relatively high because of deficiency of Ca. Constant admistration of Ca supplements is desirable to treat and prevent athletic disease development in Cheju racehorses.

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Benefits of Surgical Treatment for Unruptured Intracranial Aneurysms in Elderly Patients

  • Jang, E-Wook;Jung, Jin-Young;Hong, Chang-Ki;Joo, Jin-Yang
    • Journal of Korean Neurosurgical Society
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    • v.49 no.1
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    • pp.20-25
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    • 2011
  • Objective: Due to longer life spans, patients newly diagnosed with unruptured intracranial aneurysms (UIAs) are increasing in number. This study aimed to evaluate how management of UIAs in patients age 65 years and older affects the clinical outcomes and post-procedural morbidity rates in these patients. Methods: We retrospectively reviewed 109 patients harboring 136 aneurysms across 12 years, between 1997 and 2009, at our institute. We obtained the following data from all patients: age, sex, location and size of the aneurysm(s), presence of symptoms, risk factors for stroke, treatment modality, and postoperative 1-year morbidity and mortality. We classified these patients into three groups: Group A (surgical clipping), Group B (coil embolization), and Group C (observation only). Results: Among the 109 patients, 56 (51.4%) underwent clipping treatment, 25 (23%) patients were treated with coiling, and 28 observation only. The overall morbidity and mortality rates were 2.46% and 0%, respectively. The morbidity rate was 1.78% for Clipping and 4% for coiling. Factors such as hypertension, diabetes mellitus, hypercholesterolemia, smoking, and family history of stroke were correlated with unfavorable outcomes. Two in the observation group refused follow-up and died of intracranial ruptured aneurysms. The observation group had a 7% mortality rate. Conclusion: Our results show acceptable favorable outcome of treatment-related morbidity comparing with the natural history of unruptured cerebral aneurysm. Surgical clipping did not lead to inferior outcomes in our study, although coil embolization is generally more popular for treating elderly patients, In the treatment of patients more than 65 years old, age is not the limiting factor.