• Title/Summary/Keyword: Korean clinic

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Submucosal Schwannoma of Tongue: A Case Report and Brief Review of Literature (혀의 점막하에 발생한 신경초종 환자의 치험례)

  • Park, Sung Won;Jeon, Jae Ho;Park, Joo Yong;Choi, Sung Weon;Kim, Soo Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.6
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    • pp.480-483
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    • 2012
  • Schwannoma is a benign, slow-growing, tumor of the peripheral nerves without specific symptoms, so that early diagnosis may be difficult. Though approximately 25~40% of all schwannomas occur extracranially in the head and neck region, only 1% of schwannomas are reported in the oral cavity. An 18-years-old female patient visited our clinic with a mass on the middle-right-dorsal surface of the tongue slowly growing for 1.5 years. The patient underwent the surgical removal of the neoplasia under general anesthesia. The mass was well capsulated and a cleavage plane was easily found. There was no recidivation during the course of a one-year follow-up. The treatment for schwannoma is surgical excision of the lesion and recurrence after excision of schwannoma is rare. The final diagnosis is made after a histological examination. Differential diagnoses must be made in relation to malignant tumors and in relation to numerous benign neoformations based on epithelial and connective tissues.

Partial Purification of Antifertilizing Factor from Seminal Plasma (정장내의 Antifertilizing factor의 분리 및 정제)

  • Kim, S.W.;Baik, C.S.;Kim, J.M.;Suh, B.H.;Lee, J.H.
    • Clinical and Experimental Reproductive Medicine
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    • v.17 no.2
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    • pp.197-202
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    • 1990
  • Early studies demonstrated that seminal plasma has a factor which inhibits fertilizing ability in a reversible manner. The factor can be precipitated by centrifugation at 104000g for 18 hr. The precipitate was applied to a CM cellulose column and eluted with high salt concentration. This fraction possessed antifertilizing activity was applied to a Sephacryl S-200 column according to a modification of the method of Reddy et al. Using such inhibition of in vitro fertilization ability as an assay, we have carried our experiments to purified the factor. When the factor was added to IVF medium, 70-80% of fertilization was inhibited.

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The significance of diagnosis and treatment planning in periapical lesion overfilled with calcium hydroxide paste (수산화칼슘제재의 과충전이 발생한 치근단 병소 증례에서 진단과 치료 계획의 중요성)

  • Jung, Kyoung-Hwa;Kwon, Eun-Young;Choi, Youn-Kyung;Kim, So-Yeun;Jeon, Hye-Mi;Park, Jeong-Kil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.37 no.2
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    • pp.95-100
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    • 2021
  • Calcium hydroxide has been widely used for root canal dressing material in endodontic treatment. This report describes that when the accurate diagnosis and proper nonsurgical endodontic retreatment is applied to periapical lesion with accidentally extruded calcium hydroxide paste, the lesion can be successfully treated. Overfilled calcium hydroxide can affect the healing process, so the overextension of calcium hydroxide agent should be avoided.

A Peculiar Case of Ischemic Fasciitis Appeared on a Pressure Ulcer after 10 Days of Negative Pressure Wound Therapy

  • Recchi, Vania;Peltristo, Benedetta;Talevi, Davide;Scalise, Alessandro;Benedetto, Giovanni Di
    • Archives of Plastic Surgery
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    • v.49 no.5
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    • pp.608-610
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    • 2022
  • In this article, we reported a single case of ischemic fasciitis in a young woman with a progressive immobilization due to a multifocal demyelinating disease of central nervous system, which appeared on an extensive pressure ulcer of the sacral region treated with 10 days of negative-pressure wound therapy (NPWT). Wound examination revealed a significant nontender brown neoformation (9 cm in length × 10 cm in width × 7 cm in height), fixed to the sacrum, presenting hard consistency, and grown in the central portion of the sacral pressure sore. The histologic examination showed central fibrinoid necrosis, and vascular and atypical fibroblastic proliferations, and a diagnosis of ischemic fasciitis was made. Ischemic fasciitis is a rare benign proliferation of atypical fibroblasts that occurs in physically weak patients with reduced mobility. In the literature, the relationship between the use of NPWT on pressure ulcers and the development of ischemic fasciitis is, to the best of our knowledge, not described yet.

Strangulating Large Colon Volvulus: A Diagnostic and Surgical Challenge in a Post-Partum Thoroughbred Mare

  • Jungho Yoon;Youngjong Kim;Jongyoung Park;In-Soo Choi;Peter Colket Rakestraw;Ahram Kim
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.405-410
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    • 2022
  • An 11-year-old thoroughbred post-partum broodmare presented with the symptoms of colic. The physical and clinical examinations indicated a large colon displacement or volvulus. Immediate surgical intervention was performed, and a strangulating large colon volvulus (LCV) was defined as a volvulus of >540° in the counterclockwise direction. After correcting and assessing the gut viability, approximately 80% of the entire large colon was resected and anastomosed using an end-to-end technique. With supportive care after surgery, the horse regained its appetite and vitality without significant clinical complications and was discharged on postoperative day 9. This report presents the first surgical correction using a large colon resection and anastomosis (LCRA) and the critical care for a strangulating LCV in a horse in Korea. This case enhances the current knowledge of clinical LCV and the related considerations for treatment.

Disruptive Innovations of Group Practice Model Hospital - A Case Study of a Cleveland Clinic - (병원의 혁신 활동: 클리블랜드 클리닉 사례연구)

  • Hong, Sang-Jin
    • Korea Journal of Hospital Management
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    • v.20 no.4
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    • pp.78-88
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    • 2015
  • Disruptive innovations have brought convenience and affordability in a variety of industries. The innovations that will eventually turn it around are ready. However, health care remains expensive and unsustainable to many because of the lack of innovations. Health care may be the most entrenched, change-averse industry in the united states. The aim of this article is to describes the innovations of Cleveland Clinic. The author present innovation activities in Cleveland Clinic, followed by a discussion of some of the reasons how disruptive innovations in Cleveland Clinic has been achieved.

Assessment of Double-blindness at the Conclusion of the $\beta-Blocker$ Heart Attack Trial

  • Byington Robert P.;Curb J. David;Mattson Margaret E.
    • 대한예방의학회:학술대회논문집
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    • 1994.02b
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    • pp.293-296
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    • 1994
  • At the conclusion of a double-blinded, randomized clinical trial of propranolol hydrochloride, but before un blinding, the patients and clinic personnel were asked to guess the treatment group assignment of each patient. While 79.9% of the patients receiving propranolol correctly Identified their treatment group assignment, 57.2% of the patients receiving placebo incorrectly guessed that they were aiso in the propranolol group. No specific mechanism was identified to explain why more patients receiving propranolol were better able to guess' their group assignment. Clinic physicians correctly identified the group assignment of 69.9% of the patients receiving propranolol and 68.8% of the patients receiving placebo. Clinic coordinators correctly identified the group assignment of 67.1% of the patients receiving propranolol and 70.6% of the patients receiving placebo. For clinic personnel, heart rate level and heart rate change seem to be the mechanisms employed to Identify their patients' treatment assignment.

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Calcifying Aponeurotic Fibroma of the Temporomandibular Joint in an Adult Patient: A Case Report

  • Jeon, Hye-Mi;Jeong, Sung-Hee;Ahn, Yong-Woo;Kim, So-Yeun;Jung, Kyung-Hwa;Kwon, Eun-Young;Ok, Soo-Min
    • Journal of Oral Medicine and Pain
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    • v.44 no.1
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    • pp.35-39
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    • 2019
  • Calcifying aponeurotic fibroma (CAF) is an uncommon benign soft-tissue fibroblastic tumor with characteristic histological features. It mainly occurs in the distal part of the extremities, such as the hands and feet, in children and adolescents. Males are twice as commonly affected as females. CAF exhibits local invasiveness, and hence, its recurrence rate is also high. Therefore, complete surgical excision is both diagnostic and therapeutic. The occurrence of CAF in the maxillofacial region, especially the temporomandibular joint (TMJ), is very rare, and this necessitates its differentiation from other TMJ neoplasms. The differential diagnosis of CAF requires microscopic examination. Herein, we report a rare case of CAF located at the left mandibular condyle, which was confirmed by histopathological analysis.

Protoberberine alkaloids from the rhizome of Coptis japonica Makino

  • Min , Yong-Deuk;Chung, Ae-Kyung;Shim, Sang-Ho;Lim, Bang-Ho;Shin, Dae-Hee;Lee, Kang-Ro
    • Proceedings of the PSK Conference
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    • 2003.10b
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    • pp.205.2-205.2
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    • 2003
  • As part of our program to isolate bioactive compounds from korean natural sources, we have screened traditional medicinal plants to cytotoxity on human tumor cells. Of them, the MeOH extract from rhizome of Coptis japonica Makino was found to be active against five cultured human tumor cell lines. So, the MeOH extract was subjected to successive solvent partitioning to give n-hexane, chloroform and BuOH. The activity was concentrated into the chloroform extract. The extract was chromatographied on a silica gel column and resulted in the isolation 5 alkaloids. (omitted)

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