• Title/Summary/Keyword: Diagnostic Possibility

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Clinical Studies on 11 Cases of Facial Nerve Palsy in Herpes Zoster Oticus (이성대상포진으로 인한 안면신경마비환자 11례에 대한 임상적 고찰)

  • Kim, Youn-mi;Baek, Yong-hyeon;Lee, Jae-dong;Park, Dong-seok;Kim, Chang-hwan;Kob, Hyung-kyun
    • Journal of Acupuncture Research
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    • v.19 no.5
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    • pp.234-246
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    • 2002
  • Background: Herpes Zoster Oticus, which can be caused from infection by Varicella-zoster virus, is known to be expected poor prognosis, since it has higher possibility of complete injury of facial nerve. Conservative therapy of the Western medicine is effective on the treatment for the herpes zoster and pain. However, its effectiveness on the facial verve palsy has not been proven. Objective : This study was performed to evaluate the treatment of oriental medicine and an analyze prognosis of the facial nerve palsy in Herpes Zoster Oticus. Methods : This retrospctive study was conducted to observe the clinical manifestation of Herpes Zoster Oticus, and the result of electrical diagnostic study on the patients with the facial nerve palsy in Herpes Zoster Oticus who were diagnosed and treated at the Department of Acupuncture & Moxibustion in Kyung Hee Oriental Medical Hospital. Results : 1. According to the six clinical types of Herpes Zoster Oticus, the patients in this study can be grouped as 7 cases of the type II, 2 cases of the type V, and one case of the type IV and the type VI. 2. The shorter the period from onset to the first visit to a hospital, the prognosis of facial nerve palsy in Herpes Zoster Oticus was the better. 3. According to the follow up study, the H-B grades of all cases were improved. 4. According to the follow up study, the result of electrical diagnostic study was improved. Conclusions : We found in our study that the treatment of oriental medicine, such as acupuncture, herbal medicine and aroma therapy, helps the recovery of facial nerve palsy in Herpes Zoster Oticus. The further clinical study about the more cases of facial nerve palsy in Herpes Zoster Oticus and comparative study between the group of oriental medicine and that of western medicine are needed.

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Diagnosis and Endovascular Treatment of May-Thurner Syndrome (May-Thurner 증후군의 진단과 혈관내 치료)

  • 허균;이재욱;신화균;원용순
    • Journal of Chest Surgery
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    • v.37 no.11
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    • pp.911-917
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    • 2004
  • Background: There are limited number of reports on May-Thurner syndrome (Iliac vein compression syndrome) in Korea, We analysed the clinical features, diagnostic modalities and endovascular treatment of May-Thurner syndrome. Material and Method: We reviewed 12 cases of May-Thurner syndrome between March 2001 and June 2003. Mean age was $57.6\pm2$ years. We were used in venography, color doppler and computed tomographic angiography as diagnostic modalities and in thrombolysis, thrombectomy, angioplasty and stent insertion as endovascular treatment. Result: Clinical features showed edema of lower extremities in 4 patients, pain of lower extremities in 1 patient, edema with pain in 5 patients, and all in 1 patient. In one patient, he did not have any pain and any edema of lower extremities but was diagnosed as May-Thurner syndrome using venography due to varicose veins on lower extremities. Diagnostic modalities included venography, computed tomographic angiography in all patients with clinical presentation except in one patient and color doppler was only performed only in 4 patients. Four kinds of endovascular treatment were performed for May-Thurner syndrome, angioplasty in 11 patients, stent insertion in 10 patients, thrombectomy in 9 patients and thrombolysis for 7 patients. Nine patients were followed up and we can show good blood flow in Left iliac vein for 7 of 9 patients. Conclusion: it is necessary to recognize the possibility of May-Thurner syndrome in Deep vein thrombosis patients and we should use a variety of modalities to diagnose May-Thurner syndrome. Finally, endovascular treatment is a safe and effective therapy for May-Thurner syndrome.

Comparison of tuberculin skin test with Interferon-γ assay for the diagnosis of bovine tuberculosis in Korean cattle (국내 우군에서 소 결핵 진단을 위한 피내검사법과 Interferon-γ 생성 검사의 비교)

  • Shin, Seung Won;Shin, Min Kyoung;Cha, Seung Bin;Woo, Jong Tae;Lee, Sung Mo;Ku, Bok Kyung;Cho, Yun Sang;Jung, Suk Chan;Yoo, Han Sang
    • Korean Journal of Veterinary Research
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    • v.51 no.2
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    • pp.117-122
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    • 2011
  • Bovine tuberculosis (bTB), caused primarily by Mycobacterium bovis, continues to exert an economic loss, even in countries with active control measures, and is one of zoonotic diseases enable to be transmitted to human. The control and eradication of bTB are mainly based on a test and slaughter policy and/or abattoir surveillance. Various factors including limitation of diagnostic tests have been considered as major constraints to eradication. Single intradermal test (SIT) is the official diagnostic test. New diagnostic methods are needed to be developed, because of limitations of the test. In the present study SIT was compared with single intradermal comparative cervical test (SICCT) and interferon (IFN)-${\gamma}$ assay. There was very low correlation between SIT and SICCT. However, high correlation was shown between SIT and IFN-${\gamma}$ assay while no correlation was observed between SICCT and IFN-${\gamma}$ assay. Therefore, our results suggest the possibility of replacement of SIT with IFN-${\gamma}$ assay for the diagnosis of bovine tuberculosis.

A case of retropharyngeal hematoma induced by whiplash injury (편타성 상해로 인한 후인두혈종 1례)

  • Kwon, O Sung;Lee, Jong Bin;Kim, Ki Sik;Jung, Dong Woo;Park, Ga Hyun
    • Journal of Trauma and Injury
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    • v.18 no.2
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    • pp.179-183
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    • 2005
  • Whiplash injury commonly seen in automobile accident. This type of acceleration-deceleration injury may rarely lead to unfavorable outcomes as in the case of retropharyngeal hematoma. Because this lesion has the possibility of compressing the potential airway acutely or gradually, not only the rapid assessment and treatment but also closed observation are needed. We report a case of a 20-year-old man, who sustained a whiplash injury from contact with the headrest of his seat after his car was involved in a rollover. He had no symptom except posterior neck pain initially, but complained odynophagia and acute dyspnea after 10 hours of admission. The diagnostic work-up comprising lateral radiograph, CT imaging disclosed the rare constellation of a retropharyngeal hematoma with cervical spine fractures. Medical treatment and close observation were sufficient for the patient because he had no progressive dyspnea or major dysphagia.

A Study On Temperature Changes In Thigh According To Diagnostic Ultrasonography Scan Time (진단용 초음파 검사시간에 따른 허벅지의 온도 변화에 관한 고찰)

  • Kim, Ji-Won;Lim, Hyun-Soo
    • Journal of the Korean Society of Radiology
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    • v.6 no.3
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    • pp.201-206
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    • 2012
  • Effect of prenatal ultrasound diagnosis have serious damage for the possibility has been reported very low. Long time ultrasound scan can rise the temperature in body tissues and affect the physical. Changes in body temperature have been studied with ultrasound scan time. Fetal ultrasonography were evaluated without the influence of time. The findings, ultrasound scan time in 40 minutes the temperature was reduced. 50 minute tissue temperature rose more than $1^{\circ}C$. If within 40 minutes of ultrasound to be safe guess

Dual-Phase Approach to Improve Prediction of Heart Disease in Mobile Environment

  • Lee, Yang Koo;Vu, Thi Hong Nhan;Le, Thanh Ha
    • ETRI Journal
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    • v.37 no.2
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    • pp.222-232
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    • 2015
  • In this paper, we propose a dual-phase approach to improve the process of heart disease prediction in a mobile environment. Firstly, only the confident frequent rules are extracted from a patient's clinical information. These are then used to foretell the possibility of the presence of heart disease. However, in some cases, subjects cannot describe exactly what has happened to them or they may have a silent disease - in which case it won't be possible to detect any symptoms at this stage. To address these problems, data records collected over a long period of time of a patient's heart rate variability (HRV) are used to predict whether the patient is suffering from heart disease. By analyzing HRV patterns, doctors can determine whether a patient is suffering from heart disease. The task of collecting HRV patterns is done by an online artificial neural network, which as well as learning knew knowledge, is able to store and preserve all previously learned knowledge. An experiment is conducted to evaluate the performance of the proposed heart disease prediction process under different settings. The results show that the process's performance outperforms existing techniques such as that of the self-organizing map and gas neural growing in terms of classification and diagnostic accuracy, and network structure.

Difference in the Gut Microbiome between Ovariectomy-Induced Obesity and Diet-Induced Obesity

  • Choi, Sungmi;Hwang, Yu-Jin;Shin, Min-Jeong;Yi, Hana
    • Journal of Microbiology and Biotechnology
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    • v.27 no.12
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    • pp.2228-2236
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    • 2017
  • During menopausal transition, the imbalance of estrogen causes body weight gain. Although gut microbiome dysbiosis has been reported in postmenopausal obesity, it is not clear whether there is any difference in the microbiome profile between dietary-induced obesity and postmenopausal obesity. Therefore, in this study, we analyzed intestinal samples from ovariectomized mice and compared them with those of mice with high-fat diet-induced obesity. To further evaluate the presence of menopause-specific bacteria-gene interactions, we also analyzed the liver transcriptome. Investigation of the 16S rRNA V3-V4 region amplicon sequence profile revealed that menopausal obesity and dietary obesity resulted in similar gut microbiome structures. However, Bifidobacterium animalis was exclusively observed in the ovariectomized mice, which indicated that menopausal obesity resulted in a different intestinal microbiome than dietary obesity. Additionally, several bacterial taxa (Dorea species, Akkermansia muciniphila, and Desulfovibrio species) were found when the ovariectomized mice were treated with a high-fat diet. A significant correlation between the above-mentioned menopause-specific bacteria and the genes for female hormone metabolism was also observed, suggesting the possibility of bacteria-gene interactions in menopausal obesity. Our findings revealed the characteristics of the intestinal microbiome in menopausal obesity in the mouse model, which is very similar to the dietary obesity microbiome but having its own diagnostic bacteria.

4 Cases of Head and Neck Philomatricoma (두경부에 발생한 모기질종(Pilomatricoma) 4예)

  • Chung Phil-Sang;Woo Seung-Houn;Lee Sang-Hun;Myong Na-Hye;Lee Sang-Joon
    • Korean Journal of Head & Neck Oncology
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    • v.20 no.1
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    • pp.62-66
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    • 2004
  • Pilomatricoma is a benign neoplasm of the hair follicle origin which most common occur in the head and neck, particularly in the cheek and preauricular region. This neoplasm is superficially located and stony, hard consistency on palpation and sometimes shows reddish or bluish discoloration on the overlying skin. The diagnosis is confirmed by histopathologic examination. Radiologic evaluation is little diagnostic and fine needle aspiration biopsy often misdiagnose because both tissues from basaloid cell component and shadow cell component should be obtained for correct diagnosis. And Otolaryngologist should consider the possibility of philomatricoma when childhood or early adulthood persion visits with hard, supferficial mass on the parotid or cheek area. The treatment of choice is surgical excision with clear resection margin. In many instances, overlying skin excision is needed. We report 4 cases of philomatricoma arising from preauricular, cheek and posterior neck.

THE PREDICTION OF POSTSURGICAL SOFT-TISSUE PROFILE CHANCES ASSOCIATED WITH SURGICAL CORRECTION OF THE PROGNATHIC MANDIBLE BY STANDARDIZED FACIAL PHOTOSURGERY (하악전돌증 환자의 실물 측모사진을 이용한 악교정 수술후 연조직변화 예측에 관한 연구)

  • Jin, Keun Ho;Hong, Sung-Joon
    • The korean journal of orthodontics
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    • v.22 no.4 s.39
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    • pp.855-868
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    • 1992
  • This study was designed to test the possibility of using a standardized lateral facial photographs as a clinical tool which produce the prediction of postsurgical soft-tissue profile changes associated with surgical correction in skeletal CIII patients. The number of the patients involved in this study were 27 in total, including 11 male patients and 16 female patients. A practical method to the utilization of presurgical photo prediction for mandibular prognathic patients has been presented. To predict postoperative facial appearance, montage photographs were superimposed on standard facial reference photos taken preoperatively. Within the limitations of its technology, postoperative predictions generated by this method were of sufficient accuracy, especially mandible and chin area, for clinical use. In addition, they provide valuable communication and diagnostic information which may be used in formulating treatment plan in cases requiring corrective orthognathic surgery. But, the lip changes were somewhat exaggerated by photo prediction. Consequently, the photo prediction seems suitable for planning profile changes in orthognathic surgery that include mobilization of one main mandibular fragment. Futher investigations are needed to determine whether changes of soft-tissues and hard-tissues are sufficiently reproducible so that more meaningful predictive values can be established.

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Low Grade Fibromyxoid Sarcoma in Chest Wall -One case report- (흉벽에 발생한 저등급의 섬유점액성 육종 -1 례 보고-)

  • 이기복;홍기우;박희철;이원진;김건일;최광민;박혜림;장기택
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.638-641
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    • 2002
  • Low grade fibromyxoid sarcoma is a recently recognized, uncommon soft tissue neoplasm. It has a tendency to develop in deep soft tissue of young adults and a possibility of local recurrence or distant metastasis. Diagnostic criteria have not been well defined and this tumor has not been accepted as a distinct entity. Histologically, it is characterized by the presence of bland spindle cells with mainly whorled pattern of growth, set in alternating areas with a myxoid or fibrous stroma. Careful consideration of the morphological and immunohistochemical features of this tumor permit a positive diagnosis of low grade fibromyxoid sarcoma and allow its distinction from a number of other benign and malignant soft tissue neoplasms. We experienced a low grade fibromyxoid sarcoma in chest wall and report this case with a review of the literature.