• Archives of Plastic Surgery
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• 제48권4호
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• pp.366-372
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• 2021

Background The result of illicit polymer injection is chronic inflammation with foreign-body granuloma (FBG) formation. Treatment can be divided into medical and surgical. Some patients develop severe complications with need surgical treatment. This study aims to describe patients who underwent surgical removal of the FBGs and autoimmune/inflammatory syndrome induced by adjuvants (ASIA); additionally, we evaluated the quality of life after surgery. Methods In this retrospective single-center study, the authors examined data of patients who underwent surgical removal of FBG caused by illicit polymer injection for cosmetic purposes and confirmed ASIA from 2015 to 2020 by three different surgical approaches. Descriptive summary statistics were reported on patient demographics, presenting symptoms and clinical examination features, treatment strategies, histopathology reports and quality of life. Results The cohort included 11 female patients with FBGs and ASIA. The most affected anatomical zones were the combination of gluteal region, thighs and legs (40%); and thighs with legs (20%). Main presentation was: skin hyperpigmentation (90.9%), skin induration (63.6%), chronic fatigue (63.6%), and ulcers (36.4%). Surgical modalities consisted of: ultrasonic-assisted liposuction in four patients (36.4%); open en bloc excision and primary closure in four patients (36.4%); and open en bloc excision and microsurgical reconstruction in three patients (27.2%). The postoperative quality of life visual analog scale score was 83.9. Conclusions ASIA treatment represents a challenge for the plastic surgeon. Adequate surgical treatment emphasizing, when possible, the total or near-total resection of the FBG must be performed to improve ASIA evolution.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제4권2호
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• pp.148-154
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• 2001

목적: 소아의 위장관 이물은 일상 생활에서 흔히 경험하는 질환으로 대개의 경우는 합병증 없이 자연 배출된다. 저자들은 내시경과 Foley 도관을 이용한 위장관 이물 적출술에 관한 최근 경향을 알아보고자 한다. 방법: 1996년 1월부터 1999년 12월까지 4년간 원주기독병원 소아과에 위장관 이물로 내원한 60례를 대상으로 하였으며 성별, 연령, 임상 증상, 이물의 종류와 위치, 이물의 치료 및 제거 방법, 합병증 등에 대하여 후향적으로 조사하였다. 결과: 위장관 이물 환자의 연령은 7개월에서 13세까지였으며, 5세 이하가 57례(95.0%)를 차지하였으며, 남녀비는 1.07:1이었다. 임상 증상은 무증상이 45례(75.0%)로 가장 많았고 연하곤란 8례(13.3%), 인후통 5례(8.3%), 구토, 복부 불쾌감이 각각 1례(1.7%)였다. 이물의 종류는 동전이 43례(71.7%)로 가장 많았고 구슬, 바둑알, 반지 등이 각각 3례(5.0%), 수은 건전지가 2례(3.3%)였으며 그 외 금속 clip, 나사못, 커튼핀, 머리핀, 오디오 열쇠, 스티커 등이 각각 1례(1.7%)씩 있었다. 이물의 위치는 식도 31례(51.6%), 위 25례(41.7%), 소장 3례(5.0%), 인후 1례(1.7%)였고, 이 중 식도 이물은 경부식도 24례(40.0%), 원위식도 5례(8.3%), 흉부식도 2례(3.3%)에서 관찰되었다. 유연성 내시경적 이물 제거를 시행한 경우가 22례(36.7%)로 가장 많았고, Foley 도관을 이용한 경우가 18례(30.0%), Forcep를 이용한 경우가 1례(1.7%)였다. 18례(30.0%)에서는 자연 배출되었고, 1례(1.7%)에서는 수술을 시행하였다. 결론: 소아에서 상부 위장관 이물은 조기에 제거하여 이환율과 합병증을 감소시켜야 하며, 식도이물의 제거시 X-선 투시하의 Foley 도관과 내시경은 소아에서 안전하고, 효과적인 이물적출방법이다. 얇고, 날카로운 이물은 주위 깊은 관찰을 요하며, 하부 위장관에 위치시 장천공에 대한 주위 깊은 관찰을 요한다.

• 한방안이비인후피부과학회지
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• 제11권1호
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• pp.292-299
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• 1998

I examined 54 patients who had been diagnosed as dry eye or had experienced symptoms of dry eye such as foreign body sense, dry sense, sore sense, pain, etc. and had some results. The results were as follows; 1. In sex, there were more females than males. 2. The age was examined from 19 years to 70 years and 51-60 years was the most. 3. In duration of symptoms, 1-5 years was taken most of the patients. 4. In blood type, O type was dominant comparing other blood types. 5. In warm and cold preference cold was more than warm or tepid. 6. In associated ocular & systemic disease chronic gastritis was the most and the next was chronic conjunctivitis. 7. In main symptoms foreign body sense was the most of them 8. In prescription Gamisamultang(加味四物湯) was most frequently administered to the patients.

• 한국산학기술학회논문지
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• 제7권5호
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• pp.913-918
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• 2006

난독증자란 의미적인 잘못으로 인하여 읽기능력에 문제를 가진 사람들이다. 국내에서는 난독증에 대한 이해가 부족하여, 난독증자를 검사하는데 있어 외국의 검사도구를 번역하여 사용하고 있다. 그러나 언어는 민족의 문화와 특성에 민감하기 때문에 국내 환자를 검사하기 위해 해외 검사도구를 사용하는 것은 적당하지 않다. 본 논문에서는 한국인 난독증자를 분류하고 분석하기 위한 난독증 검사도구의 모델을 제안한다. 또한, 성능평가를 통하여 구현된 검사도구의 특성들을 보인다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권3호
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• pp.168-174
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• 2016

Purpose: The management and clinical course in pediatric patients who had ingested foreign body were investigated retrospectively to evaluate the frequency and factor associated with successful removal of fishbone foreign body. Methods: Based on the medical records of patients younger than 15 years old who visited emergency room because of foreign body ingestion from January 1999 to December 2012, the authors reviewed clinical characteristics including type of ingested foreign bodies, time to visits, managements and complications. Results: Fishbone (50.1%) was the most common ingested foreign body in children. Among 416 patients with ingested fishbone, 245 (58.9%) were identified and removed using laryngoscope, rigid or flexible endoscope from pharynx or upper esophagus by otolaryngologists and pediatric gastroenterologists. The kind of ingested fish bone in children was diverse. The mean age of identified and removed fishbone group was 7.39 years old, and higher than that of unidentified fishbone group (5.81 years old, p<0.001). Identified and removed fishbone group had shorter time until hospital visit than the unidentified fishbone group (2.03 vs. 6.47 hours, p<0.001). No complication due to ingested fishbone or procedure occurred. Conclusion: Older age and shorter time from accident to hospital visit were the different factors between success and failure on removal of ingested fish bone in children.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2021년도 추계학술대회
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• pp.370-372
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• 2021

보건복지부 노인성 치매 임상 연구센터에 따르면 2020년 65세 이상의 한국 노인 중 치매환자 수는 84만 명으로 치매 유병률은 10.39%에 달한다. 노인 10명 중 1명이 걸릴 정도의 유병률이지만 가족이 하루 종일 돌보기에는 어려움이 있다. 일정 관리가 저장된 AI 스피커 시스템을 활용하면 독거 노인의 상태 및 일정을 관리할 수 있다고 판단된다. 본 논문은 치매환자의 AI 스케쥴러를 위한 모듈을 구현하였다. 라즈베리 파이의 내부에 원격 IoT인 AWS를 연동하고, 구글 API의 캘린더를 활용하여 일정을 스피커로 출력하도록 구성되었다. 본 연구를 통해, 일정관리의 용이함으로 치매 환자 관리 및 일정 조정에 도움 될 것으로 판단된다.

• Journal of Chest Surgery
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• 제23권1호
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• pp.95-106
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• 1990

Between May 1979 and April 1989, 213 patients with esophageal injuries visited the Department of the Thoracic and cardiovascular surgery Department, Yonsei University College of Medicine. There were 159 non perforated esophageal injuries accompanied by hematemesis, and 54 perforated esophageal injuries. The causes of non perforated esophageal injuries were Mallory-Weise Syndrome [%], corrosive esophagitis [54], esophageal carcinoma [4], foreign bodies [2], sclerotherapy due to esophageal varices [3]. The causes of perforated esophageal injuries were esophageal anastomosis[13], malignancies[17], esophagoscopy or bougienage[5], chest trauma[5], foreign bodies[5], paraesophageal surgery[3], others[6] In esophageal perforation due to foreign bodies, esophagoscopy or bougienage, there were 6 cervical esophageal perforations and 9 thoracic esophageal perforations. There were no mortalities in the treatment of the cervical esophageal perforations and 5 deaths resulted in the treatment of 9 thoracic esophageal perforations. And four of six patients with thoracic esophageal perforations died in the initiation of treatment over 24 hours, after trauma. There were another 12 deaths in the patients with chest trauma, malignancies or chronic inflammation except esophageal injuries due to foreign bodies or instruments during the hospital stay or less than 30 days after esophageal injuries. One patient with esophageal carcinoma died due to bleeding and respiratory failure after irradiation. Another patient with esophago gastrostomy due to esophageal carcinoma died of sepsis due to EG site leakage. One patient with a mastectomy due to breast cancer followed by irradiation died of sepsis due to an esophagopleural fistula. Two patients with Mallory-Weiss syndrome died; of hemorrhagic shock in one and of respiratory failure due to massive transfusion in the other. One patient with TEF died of respiratory failure and another died of pneumonia and respiratory failure. One patient with esophageal perforation due to blunt chest trauma died of brain damage accompanied with chest trauma.

• International Journal of Advanced Culture Technology
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• 제11권4호
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• pp.295-301
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• 2023

Since its inception in 2009, medical tourism in South Korea has continued to progress. Reaching its peak in 2019, the industry experienced a sharp decline in inbound patients after the COVID-19 pandemic in 2020 due to international border closures and a surge in patient numbers. However, from 2021 onwards, there has been a gradual increase in inbound patients. The purpose of this study was to classify the top 12 countries based on the number of actual patients entering the country from 2014 to 2022, using statistics from the Korea Health Industry Development Institute. It also analyzed the changes in the number of foreign patients visiting Korea and the evolving proportion of actual patients compared to short-term visa arrivals on a yearly basis. Through this content, we aim to examine the trends on a country-by-country basis and identify the direction in which the future of South Korean medical tourism should progress. By focusing on healthcare, we intend to pinpoint areas that require attention and improvement, as well as highlight any existing issues. Through modifications and enhancements based on these considerations, we aspire to attract a significant number of foreign patients, thereby promoting South Korea's medical technology on a global scale.

• 한국병원경영학회지
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• 제17권4호
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• pp.58-70
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• 2012

The purpose of this study is to examine the preparation of medical institutions for medical tourism and its effects. The sample of this study were 99 case which were selected from Korea Health Industry Development Institute list. Data were collected through the mail questionnaire survey from Sept. 15 to Oct. 30 in 2010. The collected data were analyzed using Chisquare test, t-test. The main findings of study are as follows: Using Chisquare test, we found statistically significant differences in resources prepared for medical tourism between hospitals and clinics. In general, hospitals were well prepared in human resources(e.g., proportion of employees with foreign language capability) and physical resources(e.g., helpdesk, brochures) compared to clinics.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제18권3호
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• pp.428-434
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• 1996

The practice of oral surgery or other dentistry possesses the danger of causing the loss of foreign bodies used within the oral cavity. If such foreign bodies would be lost, they could enter the viscera through the esophagus or tracheobroncheal tree. Ingestion is four times as frequent as aspiration and 80% to 90% of ingested foreign bodies will pass through the body spontaneously. Once the aspiration or ingestion of foreign bodies is happened, a dental procedure should be discontinued immediately. If symptoms of respiratory distress, including coughing, wheezing, or stridor, are present, a patent airway should be maintained, oxygen administered, and ventilation supported if necessary. The PA chest radiograph will identify the objects in the lung, esophagus, or stomach. Ingested gastrointestinal foreign bodies may be managed by observation, endoscopy, and or surgical intervention and aspirated tracheobroncheal foreign bodies may be managed by bronchoscopy, and or surgical intervention. This case report describes the management of ingested or aspirated foreign bodies happened to the three patients during intraoral treatment. we recommend that the preventive method of ingestion or aspiration of the dental foreign bodies should be performed prior to intraoral treatment and the immedieate measures should be carried out after ingestion or asipiration of it.