• Title/Summary/Keyword: General X-ray

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Impact of Disturbed Wound Healing after Surgery on the Prognosis of Marjolin's Ulcer

  • Choi, Jae Yeon;Bae, Yong Chan;Nam, Su Bong;Bae, Seong Hwan
    • Archives of Plastic Surgery
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    • v.40 no.3
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    • pp.198-202
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    • 2013
  • Background Marjolin's ulcer is known to present a high proportion of recurrence and poor prognosis compared to other kinds of skin cancer. Based on our experience, Marjolin's ulcer patients who have received reconstructive surgery present a higher proportion of recurrence when there was disturbed wound healing after surgery. The impact of disturbed wound healing after surgery on the prognosis was examined in this study. Methods A retrospective study was carried out on 26 patients who were diagnosed with Marjolin's ulcer and received surgery in this hospital from 1996 to 2011. Histologic grading, lymph node metastasis at diagnosis, and the wound healing process were evaluated and chi-squared analysis applied in order to determine the correlation with recurrence. Results The proportion of recurrence increases in patients with a low histologic grade or lymph node metastasis at diagnosis. The proportion of recurrence is even higher when the problem occurs during the wound healing process after surgery. Conclusions Disturbed wound healing after surgery could be used as a sign to quickly identify the recurrence of carcinoma. Therefore, in the event a problem occurs in the wound healing process after surgery, one should keep in mind that this could be a sign of the possibility of recurrence and proceed with careful observation and active diagnosis through additional physical examinations, general X-ray tests, computed tomographys, magnetic resonance imagings, and so on, to obtain an early diagnosis of recurrence.

Hepatocellular Carcinoma with Right Atrial Invasion Detected by PET/CT (우심방에 침범한 간세포암을 PET/CT로 진단한 1예)

  • Kim, Ji-Hoon;Kim, Eun-Sil;Yu, Ji-Won;Ahn, Seok-Jin;Jung, Jun-Oh;Kim, So-Yon;Kim, Young-Jung
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.5
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    • pp.414-418
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    • 2008
  • The role of positron emission tomography (PET) with F-18 fluorodeoxyglucose (F-18 FDG) in the diagnosis of hepatocellulcar carcinoma (HCC) has been limited because of a variable FDG uptake in HCC. However, the usefulness of PET/CT for detecting extrahepatic metastasis and monitoring of the treatment response in HCC has been reported. A 55-year-old man with a hepatitis B surface antigen-positive, was admitted to our hospital due to dyspnea, general weakness and body weight loss for one month. Chest X-ray showed multiple reticulo-nodular densities on both lower lung fields, which implies metastatic lesions. F-18 FDG PET/CT revealed consecutively intense hypermetabolic mass in right hepatic lobe, inferior vena cava and right atrium. We report a case of HCC with IVC and right atrium invasion identified by F-18 FDG PET/CT.

A Case of Traumatic Pancreatic Transection with Main Duct Disruption and Pleural Effusion in a Child (소아에서 늑막 삼출액을 동반한 외상성 췌장 절단 및 췌장 주관 손상 1예)

  • Lee, Ga-Yeun;Yoo, Hye-Soo;Lee, Jee-Hyun;Choe, Yon-Ho;Heo, Jin-Seok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.10 no.1
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    • pp.98-103
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    • 2007
  • An 8-year-old boy presented with abdominal pain and poor oral intake for two months. Serum amylase and lipase levels were elevated. CT of the abdomen and chest X-ray showed two pseudocysts at the pancreatic uncinate process, pancreatitis with a parenchymal defect, a large amount of ascites, and a right pleural effusion. MR cholangiography and endoscopic retrograde cholangiopanreaticography revealed a pancreatic duct disruption. The patient was successfully treated with a chest tube placement and percutaneous drainage. After surgery, his general condition improved; the serum level of amylase normalized and the pleural effusion resolved. Pancreatic injuries are rare in pediatric blunt trauma; however, diagnostic difficulty is common with isolated blunt trauma. Therefore, a high index of suspicion should follow such an injury. We report the case of an 8-year-old boy with pancreas transection, ductal disruption, ascites, and pleural effusion who was successfully treated.

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Atypical Aortic Coarctation at the Level of Aortic Hiatus: Report of a case treated by bypass graft (대동맥 열공부에 발생한 비전형적 대동맥 협착증: 외과적 수술을 가한 1례)

  • 남민우;유회성;지정희
    • Journal of Chest Surgery
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    • v.5 no.1
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    • pp.13-18
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    • 1972
  • In 1835,Schlesinger first described a case of subisthmlc lower thoracic aortic coarctation. Since Olim`s unsuccessful reconstructive surgery in 1949 and Beattie`s first successful resection with homograft replacement on such a lesion in 1951 were reported,about 20 cases of atypical aortic coarctation had been treated by definitive surgery until 1964. In Korea, only 2 cases of atypical aortic coarctation treated by bypass graft were reported until now. This is the third case-report treated by reconstructive surgery. The patient,11 year old girl who had 2 year history of headache, visual weakness, intermittent claudlcation, and general weakness, was first diagnosed of having the hypertension due to atypical coarctation by the findings of high blood pressure[170/110mmHg] at the upper extremity and weak pulsation on both femoral artery,murmur on the epigastrium, absence of aortic knob, and aorto graphy. Aortography demonstrated the isolated segmental narrowing[length 5cm, diameter 0.4cm] at the level of aortic hiatus 2cm above celiac arterial origin, the dilated right 9th, 10th, 11th intercostal arteries with multiple dimunitive collaterals and no associated abnormalities in the other arteries. Preoperatlve positive findings were strong positive mantoux test, high AST[720 units]. transient mild cardiomegaly with right lung infiltration on chest X-ray and suggestive left ventricular hypertrophy on ECG. On December 1970, through separate left thoracotomy and abdominal approach, bypass graft between descending thoracic aorta and abdominal aorta below renal artery was performed. The operation was first successful with satisfactory reduction of hypertension on the upper trunk[postoperatlve 130/80mmHg] and strong pulsation on the lower extremities[postop. O, postop. 140/100mmHg]. However,6 weeks after surgery, she expired of sudden hemoptysis and shock due to anastomotic leak within the thorax. Operative finding disclosed that the affected aorta was firm, with rich periaortic fibrosis and the outer diameter of stenotic site was not attenuated. Histopathology of the resected specimen was also compatible with primary arteritis.

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Effect of H2SO4 and Reaction Time on Synthesis of 5Mg(OH)2·MgSO4·3H2O Whiskers using Hydrothermal Reaction (수열반응을 이용한 침상형 5Mg(OH)2·MgSO4·3H2O 합성에 대한 H2SO4와 반응 시간의 영향)

  • Choi, Areum;Oh, Nuri;Kim, YooJin
    • Journal of Powder Materials
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    • v.27 no.5
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    • pp.401-405
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    • 2020
  • Magnesium hydroxide sulfate hydrate (MHSH) whiskers were synthesized via a hydrothermal reaction by using MgO as the reactant as well as the acid solution. The effects of the H2SO4 amount and reaction time at the same temperature were studied. In general, MHSH whiskers were prepared using MgSO4 in aqueous ammonia. In this work, to reduce the formation of impurities and increase the purity of MHSH, we employed a synthesis technique that did not require the addition of a basic solution. Furthermore, the pH value, which was controlled by the H2SO4 amount, acted as an important factor for the formation of high-purity MHSH. MgO was used as the raw material because it easily reacts in water and forms Mg+ and MgOH+ ions that bind with SO42- ions to produce MHSH. Their morphologies and structures were determined using X-ray diffraction (XRD) and scanning electron microscopy (SEM).

Utilizing Patterns and Attitude on Collaborating Care of Korean Traditional Medicine and Western Medicine among Cerebral Apoplexy Patients (양.한방 협진병원 뇌졸중 입원환자 진료이용실태와 협진에 대한 태도에 관한 연구)

  • Kim, Dae-Hwan;Lee, Key-Hyo
    • Korea Journal of Hospital Management
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    • v.9 no.2
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    • pp.76-101
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    • 2004
  • The primary purpose of this study was to provide the basic information for improving collaborating care of Korean traditional medicine and western medicine by surveying utilization and attitude on it among cerebral apoplexy(CA) patients hospitalized at a general hospital with both the western and Korean traditional medical department in Busan metropolitan city, Korea. The survey was conducted on 170 patients, 80 from Korean traditional medical department, and 90 from western medical department. The major results of this study were as below: First, CA patient's medical utilization patterns including selecting medical institution, term of treatment and type of medical institution at first-aid were significantly variated by their socio-demographic characteristics such as religion and job. Second, the perceptions of collaborating care, such as effectiveness and reduction of treatment period, were better at respondents who were hospitalized at oriental medical department and had been experienced with collaborating care. Third, the major contents of collaborating care which utilized by respondents in side of western medicine were physical therapy, x-ray, pathologic diagnosis, and medication, and in side of Korean traditional medicine were acupuncture, herbal medication, moxa cautery, cupping a boil therapy. Fourth, overall satisfaction on collaborating care was good(3.5 of 5.0) and was significantly variated by age and religion. Fifth, respondents perceived that collaborating care was most helpful for rehabilitation and the major problem of current duplicate medical system was increasement of medical expenditures, and the major obstacle of collaborating care was prejudice against each other medicine. The results of this study imply that effective marketing for collaborative care suitable for age and religion of customers and patient satisfaction strategy is needed to activate collaborating care.

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Preparation and Characterization of Palladium Nanoparticles Supported on Nickel Hexacyanoferrate for Fuel Cell Application

  • Choi, Kwang-Hyun;Shokouhimehr, Mohammadreza;Kang, Yun Sik;Chung, Dong Young;Chung, Young-Hoon;Ahn, Minjeh;Sung, Yung-Eun
    • Bulletin of the Korean Chemical Society
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    • v.34 no.4
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    • pp.1195-1198
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    • 2013
  • Nickel hexacyanoferrate supported palladium nanoparticles (Pd-NiHCF NPs) were synthesized and studied for oxygen reduction reactions in direct methanol fuel cell. The NiHCF support was readily synthesized by a comixing of $Ni(OCOCH_3)_2$ and equimolar $K_3[Fe(CN)_6]$ solution into DI water under rigorous stirring. After the preparation of NiHCF support, Pd NPs were loaded on NiHCF via L-ascorbic acid reduction method at $80^{\circ}C$. Pd-NiHCF NPs were electrochemically active for oxygen reduction reaction in 0.1 M $HClO_4$ solution. X-ray absorption near edge structure analysis was conducted to measure the white line intensity of Pd-NiHCF to verify the OH adsorption. As a comparison, carbon supported Pd NPs exhibited same white line intensity. This study provides a general synthetic approach to easily load Pd NPs on porous coordination polymers such as NiHCF and can provide further light to load Pd based alloy NPs on NiHCF framework.

The Clinical Study on 80 Cases of Low Back Pain Patients (요통환자 80례에 대한 임상적 고찰)

  • Jeon, Seong-Ha;Ryu, Heon-Sik;Chang, Byoung-Son;Kim, Su-Hyun;Park, Hoi-Jin
    • Journal of Acupuncture Research
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    • v.24 no.2
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    • pp.155-167
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    • 2007
  • Objectives : This study was performed to evaluate the general distribution and the efficacy of oriental medical treatment for low back pain. Methods: We have selected of the moxa bucket moxibustion. We make a comparative study of the thermodynamic characteristics of moxa bucket moxibustion. We examined combustion times, temperatures, temperature gradients in each period during a combustion of moxa bucket moxibustion made by oak wood. Results : The 80 cases of low back pain patients was analyzed according to the distribution of sex, age, the period of disease, contributing factor, the patient-condition on admission, the symptom on admission, the duration of admission, the reading of the X-ray and the treatment efficacy was evaluated respectively. 1. Female was more than male in the ratio of 1:1.2, and thirties and seventies 25% the most, the acutest phase 46.3% the most, reason unknown 33.8% the most, Grade III 50% the most, L.B.P. only 51.3% the most, the day of 6-10 30% the most, compression Fx 30% the most. 2. In the total treatment result, the good was 51.3%, the excellent 22.5%, the fair 17.5%, the poor 8.8% in order. About 'the effective rate'(the percentage of positive effective treatment cases) of each distribution, the fifties 100% the most, the acutest phase 97.3% the most, the slip down, weight lifting, overuse 100% the most respectively, Grade III 97.5% the most, L.B.P. only 95.1% the most, the day of 11-15 100% the most, HN.P. 93.3% the most. Conclusions : We have known the efficacy of oriental medical treatment for L.B.P. was good and early treatment was better than late treatment and main cause of L.B.P. was degenerative change.

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Clinical Study of the Treatment of Spondylolisthesis with Lumbar Herniated Intervertebral Disc (요추 추간판 탈출증을 동반한 척추전방전위증의 한방치료에 관한 임상적 고찰)

  • Kim, Tae-Ho;Yoon, Tae-Kyung;Yun, Young-Ung;Jeong, Seon-Yeong;Lee, Cha-Ro
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.15-26
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    • 2014
  • Objectives : The purpose of this study was to evaluate the effect of Korean medicicine treatment in patients with Spondylolisthesis and Lumbar Herniated Intervertebral Disc(HIVD). Methods : This clinical study was carried out on 62 patients who were diagnosed as spondylolisthesis and lumbar herniated intervertebral disc(HIVD) on L-spine X-ray and L-spine magnetic resonance imaging(MRI), who had been admitted from Feb. 2013 to Apr. 2014. All of 62 patients were treated with acupuncture, chuna treatment and herbal medicine during the whole admission period. Numerical rating scale(NRS) was used to evaluated the effectiveness of the oriental medical treatment. Results : 1. Distribution showed female predominance in general. 2. Degenerative type is the most common in this study. 3. In the duration of symptoms, the largest group was" Subacute"(32.26%). 4. Almost of patients had radiation pain, but in SLR test and valsalva test, more patients had no significant sign. 5. Spondylolytic type involved the 5th lumbar vertebra in 80% and degenerative type involved the 4th lumbar vertebra in 53.84%. 6. Most of case were grade 1(93.54%) in degree of slipping. 7. By the oriental medical treatment, NRS reduction in spondylolytic spondylolisthesis, was better than degenerative spondylolisthesis. Conclusions : The result of treatment by Korean medical is satisfactory for the tretment of spondylolisthesis.

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Composite TiN-Al2O3 Syntheses and Hydrogen Permeability Characteristics Evaluation (복합 TiN-Al2O3 합성과 수소투과도 특성 평가)

  • CHO, KYOUNG-WON;LEE, YOUNG-HWAN;HAN, JEONG-HEUM;YU, JE-SEON;HONG, TAE-WHAN
    • Transactions of the Korean hydrogen and new energy society
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    • v.31 no.2
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    • pp.177-183
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    • 2020
  • To utilize hydrogen energy, high-yield, high-purity hydrogen needs to be produced; therefore, hydrogen separation membrane studies are being conducted. The membrane reactor that fabricates hydrogen needs to have high hydrogen permeability, selective permeability, heatresistant and a stable mechanical membrane. Dense membranes of Pd and Pd alloys are usually used, but these have drawbacks associated with high cost and durability. Therefore, many researchers have studied replacing Pd and Pd alloys. Dense TiN membrane is highly selective and can separate high-purity hydrogen. The porous alumina has a high permeation rate but low selectivity; therefore, separating high-purity hydrogen is difficult. To overcome this drawback, the two materials are combined as composite reclamations to produce a separation membrane with a high penetration rate and high selectivity. Accordingly, TiN-alumina was manufactured using a high-energy ball mill. The TiN-alumina membrane was characterized by X-ray diffraction analysis, scanning electron microscopy, and energy dispersive spectroscopy. The hydrogen permeability of the TiN-alumina membrane was estimated by a Sievert-type hydrogen permeation membrane apparatus. Due to the change in the diffusion mechanism, the transmittance value was lower than that of the general TiN ceramic separator.