• 한국임상수의학회지
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• 제39권2호
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• pp.70-74
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• 2022

A 14-year-old intact male captive leopard (Panthera pardus) first presented with a focal alopecic lesion on the dorsal aspect of the distal one-third of its tail. Although itraconazole was administered, the lesion progressed deeper and became ulcerated due to self-trauma. Due to the wild nature of the leopard, daily dressing of the wound and replacing the bandages without anesthesia became too dangerous, and amputation became necessary. A postoperative tissue sample was submitted for histopathological examination, and tramadol, amoxicillin/clavulanate, and gabapentin were administered. In the days following the amputation, the leopard's appetite significantly decreased, and the patient passed away 18 days later. Histopathological examination of the specimen revealed well-differentiated squamous cell carcinoma (SCC). In hindsight, had more cells been collected by a fine-needle aspirate (FNA) biopsy or had additional FNA biopsies been performed, SCC might have been diagnosed based on its cytological features rather than delayed histopathological findings. The current study highlights the critical reasons why clinicians may often misdiagnose SCC and the importance of being more aware of potential tumors in ulcerative lesions, which are often incorrectly treated as infectious skin diseases. This is also the first report of cutaneous SCC in a leopard.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제16권1호
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• pp.104-111
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• 1994

Necrotizing fascitis is a severe soft tissue infection characterized by extensive necrosis of superficial fascia, suppurative fascitis, vascular thrombosis, widespread undermining of surrounding tissues. Associated systemic problems are widespread undermining of surrounding tissues, Associated systemic problems are common, with chronic alcoholism and diabetes being most prominent. Most commonly this disease presents in the extremities, trunk, and perineum. Necrotizing fascitis of dental origing is rare and its fulminating clinical course is not well documented in the dental literature. The present report is a case of necrotizing fascitis following vital extirpation of the pulp in a patient with uncontrolled diabetes mellitus and liver cirrhosis. Originally throught to be caused by hemolytic streptococcus organism or stphylococcus aureus, advances in anaerobic culturing have shown it to be a synergistic bacterial infection involving aerobic and ovligate anaerobes. it is relatively rare in relatively rare in haea and neck regions. If it was not diagnosed and treated in early stages, necrotizing fascitis can be potentially fetal, with a mortality rate approaching 40%. It's treatment requires early recognition, prompt and aggressive surgical debriment and proper supportive cares, such as, antibiotic therapy, fluid resuscitation and correction of metabolic and electrolyte disorder, resolving of the underlying systemic disease. Recently, we experienced two cases of necrotizing fascitis in cervicofacial region, One patient was 60 years old male with uncontrolled Diabetes Mellitus and other patient was 48 years old with steroid therapy during 30 years. Local surgical wound healing was successful but, patients were died after admission, because of lung abscess, gastrointestinal bleeding, septic shock and respiration hold.

• 대한정형도수물리치료학회지
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• 제8권2호
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• pp.45-55
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• 2002

This article review the animals physical therapy. It is so called veterinary physical therapy. The animals physical therapist is working to physical therapy for animals in veterinary clinical field. The veterinary medicine has not veterinary rehabilitation medicine or physical therapy for animals, also physical therapy field in Korea. So, This research will explain about animals physical therapy of Korea and other countries' by journals and internet information and suggest the future of the animals physical therapist. Finally, The veterinary physical therapy is not used to veterinary clinical field in now. But, The veterinary physical therapy will desire to the view of medical serve and economy by the host of animals and clinical veterinarian the future. Animal physical therapy is a new and rapidly developing field of health care for animals. The benefits of physical therapy have long been recognized in humans. More recently, work in the veterinary field has shown the same benefits of physical therapy to be true for animal patients. Performing orthopaedic or neurological surgery, or fitting a human patient with a cast or splint, and then discharging the patient is an outdated approach. In such cases, physical therapy is clearly warranted. Similarly, recent research has shown that post-surgical rehabilitation and therapy after injuries significantly improves the functional outcomes for animals. Physical Therapy is a healthcare profession directed at evaluating, restoring and maintaining physical function and movement. Working with the owner, veterinarian and often other healthcare professionals, a physiotherapist helps your animal to achieve and maintain optimal health and well-being. Equipped with a specialized university Bacheloriate education and intensively educated in Anatomy, Physiology, Biomechanics, Histology, Neurology, and Pathology, PT's are able to assess, diagnose and treat movement and function. Physical Therapy, Sports Medicine and Rehabilitation are recognized sciences applied to both humans and animals. The goals of physiotherapy are to relieve pain, restore range of motion/movement, improve function, prevent injuries and expand the physical potential of the patient. Once in the field, physical therapists actively continue their education to keep up to date on the latest treatments and technologies. Via continuing education courses, physiotherapists can learn how to apply their unique and specialized knowledge to other animal species.

• 한국콘텐츠학회논문지
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• 제12권1호
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• pp.369-378
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• 2012

세계적으로 20명 가운데 1명이 천식을 앓고 있으며 암에 이어 사망을 일으키는 두 번째 위험요소가 되고 있는 천식은 환자의 지속적이고 장기적인 관찰과 관리가 중요한 질환이다. 이에 이동전화를 이용하여 천식을 관리할 수 있는 원격관리시스템을 개발하였다. 환자가 자신의 폐활량정보를 이동전화에 입력하면 의사와 보호자가 각각 정보를 확인한 후 환자에게 필요한 내용을 SMS문자나 컬러메일 등을 통해 전송할 수 있도록 하였다. 전송된 정보는 환자에게 전달되어 필요한 관리가 즉각적으로 이루어질 수 있도록 하였다. 또한 환자가 긴급을 요하는 상황에 처하는 경우 긴급호출을 통해 의사와 보호자에게 SMS문자나 컬러메일이 곧바로 전달될 수 있도록 하였다. 이를 위해 환자, 의사, 보호자 간의 접근 용이성이 최대화 되도록 간편하게 설계하였고, 사용자의 편리성을 제공하였다. 이동전화를 이용한 천식원격관리시스템은 원격진료에 대한 접근성을 용이하게 하였고, 다양한 만성질환의 관리에도 기여할 수 있을 것으로 본다.

• 척추신경추나의학회지
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• 제5권1호
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• pp.57-66
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• 2010

항통을 주소로 내원한 환자의 크론병에 대한 침구(鍼灸)치료로 복통 및 설사의 관해 상태가 되는 양호한 효과를 얻었기에 보고하는 바이다. 다만, 치료 기간이 짧아 증상의 변화의 추적이 필요한 상태이며, 다양한 임상적 연구를 위한 임상사례 데이터가 축적되어야 할 것으로 사료된다.

• 대한중풍순환신경학회지
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• 제23권1호
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• pp.55-64
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• 2022

Nonconvulsive Status Epilepticus(NCSE) refers to continuous epileptic condition with altered mental status and behavioral symptoms, but without convulsive movement at least 10 minutes. In Salzburg criteria, well known as the diagnostic criteria of NCSE, it is diagnosed with clinical symptoms, electroencephalogram (EEG), and effects before and after the use of antiepileptic drugs (AEDs). Commonly being used to treat NCSE, AEDs are likely to have adverse effects. In the present case, a 85-year-old female NCSE patient complaining delirium underwent combined Korean medical treatment by acupuncture and herbal medicine for 13 days. The effect of treatment was assessed with delirium scales including Delirium Rating Scale-Revised-98(DRS-R-98) and Assessment Test for Delirium & Cognitive Impairment(4AT) per 2 days. After the treatment, both DRS-R-98 and 4AT scores decreased, and orientation and mental status of patient improved. This case report suggests that Korean medical treatment might be an effective option without side for those NCSE patients complaining delirium.

• 인터넷정보학회논문지
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• 제24권4호
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• pp.107-115
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• 2023

This study analyzes the content of YouTube Vlog videos created by patients of Coronavirus disease 2019 ("COVID-19") in South Korea and viewer comments on those videos. As this new infectious disease started to sweep the world in late 2019 and early 2020, the public started facing fear and uncertainty stemming from the lack of sufficient and accurate information about the virus. At the same time, as COVID-19 patients in South Korea were treated in isolation to prevent the spread of the virus, the patients themselves were experiencing anxiety and exclusion from the society. During this period, there was an increase in YouTube Vlog videos created by the patients in which they shared their experiences going through the treatment and recovery processes. To understand how these YouTube Vlog videos were being used by the patients to connect with the society and seek support in a state of isolation and anxiety, this study conducted a qualitative multi-case analysis of three sample YouTube Vlog video channels to analyze their content, as well as a lexicon-based sentiment analysis of viewer comments to understand the experiences and reactions of viewers. The patients' YouTube Vlog videos showed that they shared similar stages of progress, despite each emphasizing a different main theme. Overall, the tone of the viewer comments became increasingly positive over time, although with some variance among different patient cases and stages. The results confirmed that Vlogs of patients played a significant role in reducing the uncertainty around COVID-19 and strengthening social support for the patients. The findings of this study can improve an understanding of the psychological and behavioral aspects of patient experience in isolated treatment and the impact of shared communication among members of society in times of crisis.

• Physical Therapy Rehabilitation Science
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• 제12권3호
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• pp.207-213
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• 2023

Objective: The purpose of this study was to understand the complex anatomical structure and function of the midbrain to better understand the patient's symptoms and plan effective treatment including pharmacological and rehabilitation interventions. Design: A single case study Methods: A 17-year-old girl presented with acute onset of drowsiness, gait disturbance, mutism, and ptosis. Physical examination revealed postural instability, rigidity of all limbs, and limitations in extraocular movement. The brain MRI revealed an isolated acute infarction in the bilateral midbrain. Considering the location of the infarction, the presenting symptoms were the result of an impairment of the dopaminergic pathway in addition to lesions in the nuclei of the oculomotor nerve. Levodopa/carbidopa was prescribed. And the intensive and comprehensive rehabilitation program was done. Results: As a result of the study, through comprehensive intervention, which encompassed assessments such as the manual muscle test, Korean Modified Barthel Index score, and Trail-making test, significant enhancements in the patient's condition were observed. These findings provide evidence supporting the effectiveness of the intervention in promoting the patient's physical functioning and overall well-being. Conclusions: The results of this case highlight the significance of comprehending the intricate anatomical structure and functional aspects of the midbrain, which led us to approach appropriate pharmacological and rehabilitation interventions. Through active communication among the medical team, we were able to establish a therapeutic plan, which demonstrated that effective treatment can be achieved.

• 한국조경학회지
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• 제41권1호
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• pp.82-92
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• 2013

본 설계안은 경상남도 창원시 성산구 삼정자동 555번지 일대에 건립예정인 부지의 면적 약 $79,743.1m^2$의 경상대학교병원 주변 옥외공간 설계의 기본계획안이다. 이 설계안의 목적은 환자의 회복과 일반 대중의 웰빙(well-being)을 돕고, 지역사회에 기여하며 주변 환경을 존중하는 생태적인 공간을 조성하는데 있었다. 이 목적을 위하여 세 가지 설계 목표가 설정되었는데, 첫 번째는 경관의 치유기능을 높이는 것이고, 두 번째는 생태적으로 재생이 가능한 경관을 조성하고, 세 번째는 그 지역의 특성을 반영한 경관의 미적인 가치를 드러내는 것이었다. 먼저 치유의 기능을 강화하기 위해서 주변의 양호한 수림대와 연계를 하고, 치유의 기능이 있는 식물재료를 선별하여 식재하고, 다양한 감각 치유원, 명상의 공간, 약초원 등 치유프로그램을 공간에 도입하였다. 또한, 많은 연구에서 병원의 공간조성에 있어서 환자의 프라이버시가 중요하다고 강조한대로 환자의 유형과 일반인들을 고려하여 공간과 동선을 구분하는 것을 고려하였다. 생태적인 환경을 조성하기 위해서는 기존의 소나무 숲과 지형을 보존하고, 부지내로 연장할 것을 제안하였으며, 또한 자연 수체계를 복원하고, 그 물을 재활용하여 조경 등의 용수로 사용하게 하였다. 마지막으로 이용자의 미적인 체험을 위해서는 주변 상록수림에 대비하는 활엽수와 각종 초화류를 식재하여 계절감을 강화시키고, 열매가 열리는 수종을 배치하여 산새가 날아들고 동물이 찾아오는 "자연속의 치유공간"이라는 분위기를 연출하였다. 더불어 모든 공간과 시설물은 유니버설 디자인 원칙에 따라 계획 및 설계되어 환자들에게 장애물이 없는 환경을 제공하려 하였으며, 생태적이고 경제적이며 관리가 용이한 유지관리를 위하여 지속가능한 관리계획을 제안하였다.

• 한국심리학회지 : 문화 및 사회문제
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• 제15권3호
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• pp.339-357
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• 2009

본 연구의 목적은 한국사회가 고령화되고 있는 시점에서 치매환자 가족부양자의 부양부담과 사회지원이 건강 및 삶의 질과 어떤 관계가 있는지를 탐색하고, 부양자의 건강 및 삶의 질에 대한 부양부담과 사회지원의 상호작용을 검증하는 것이다. 본 연구의 참여자는 서울, 경기, 충청 지역에 거주하는 치매환자 가족부양자 207명(여: 106)이었으며, 그들의 평균 연령은 51.62(SD=9.25)세였다. 본 연구에서 사용된 심리검사는 다차원부양자부담설문지, 전겸구의 신체증상척도, 한덕웅과 장은영의 건강지각척도, 자기진술 부정정서질문지, Cambell의 주관안녕척도, MOS의 사회지원질문지, 권중돈의 치매노인 부적응문제척도이다. 분석 결과, 치매환자 가족부양자의 부양부담은 신체증상이나 우울과는 정적으로 건강지각이나 주관안녕과는 부적으로 관계하고 있었다. 사회지원은 치매환자 부양부담이 건강지각, 우울 및 주관안녕에 미치는 영향을 중재하는 것으로 나타났다. 이는 치매환자 부양에 따른 부정적 효과에 대해 완충 작용을 할 수 있는 것을 의미한다. 부양부담이 가족부양자의 신체증상과 우울의 변량을 30~40% 가량이나 설명하고 있었기 때문에 결과를 부양자의 건강이나 삶의 질의 중재를 중심으로 논의하였다. 사회지원이 부양부담 수준에 따라 다르게 작용하는 것 외에도 치매증상이 더 심각할 경우 사회지원이 적은 것 등과 관련해서도 선행연구를 바탕으로 논의하였다.