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A Study of Blood Gases and pH Determinations in the Internal Spermatic Veins of Male Varicocele Patients (정계정맥류환자의 내정계정맥에서의 혈중 기체 및 pH에 관한 연구)

  • Suh, Jun-Kyu;Lee, Moo-Sang
    • Clinical and Experimental Reproductive Medicine
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    • v.10 no.1
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    • pp.39-43
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    • 1983
  • During the period of Sep. 1981 to Feb. 1983, a program of measuring the blood gases and pH of 19 varicocele patients was taken. These patients were classified into 2 groups based upon their semen analyses; Group A consisted of 9 patients who demonstrated normal findings and group B consisted of 10 patients who demonstrated seminal stress pattern. The blood pH: $PO_2$ , and $PCO_2$ were measured in the internal spermatic vein and the radial vein of all the patients. The results obtained were as follows; 1. In Group A, no difference was detected in the value of the pH, $PO_2$ and $PCO_2$ between the internal spermatic vein and the radial vein. 2. In group B, a similar lack of difference in blood gases found between the internal spermatic vein and the radial vein. 3. The blood gases between the internal spermatic veins of Group A and B were compared. No difference was discovered between the 2 group also. It has been hypothesized that the pathogenesis of spermatogenic depression in patients with varicocele is testicular hypoxia due to low oxygen tension of the internal spermatic vein. However, our results do not bear out this proposed mechanism.

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6 Cases of Atopic Dermatitis Female Adolescent Patients for Hospitalization Program (캠프 형식의 입원 치료를 받은 여중생 아토피피부염 환자 6례)

  • Oh, Jin-Ah;Shin, Mi-Ran
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.4
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    • pp.404-418
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    • 2015
  • Objectives This study investigated the effect of camping style Hospitalization program for atopic dermatitis female adolescent patients. 6 patients, 12-14 year old female adolescent, admitted for camping style hospitalization program.Methods 6 patients were admitted for camping style hospitalization program (2014.08.13~2014.08.16). The program included acupuncture, herbal medicine, examination, education, psychotherapy, dressing, exercise. The patients were analyzed by Severity Scoring Atopic Dermatitis(SCORAD) index and measured skin pH value(pH). Also, patients evaluated themselves by writing an atopic dermatitis diary which consists of diet, emotion, severity of pruritus, and sleep loss, and checked questionnaires which consist of atopic dermatitis, self treatment methods and degree of satisfaction of each program.Results Most of subjective symptoms which patients complained were improved and also SCORAD index total scores were decreased by sasang constitutional medication.Conclusions We expect that the camping style hospitalization program based on sasang constitutional medicine could be helpful for female adolescent patient of atopic dermatitis.

Etiologic Study of Tarsal Tunnel Syndrome by Operative and MRI Findings (수술 소견과 자기공명영상 소견을 통한 발목터널 증후군의 원인 연구)

  • Son, Min-Ki;Park, Hong-Ki;Lee, Yeong-Bae
    • Annals of Clinical Neurophysiology
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    • v.13 no.2
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    • pp.87-92
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    • 2011
  • Background: Tarsal tunnel syndrome (TTS) is an entrapment neuropathy that occurs in the ankle. Previous studies reported that this disease was due to physiologic factors and structural lesions in the ankle or foot. The authors investigated the causative factors of TTS and their frequency via operative findings. The diagnostic value of MRI was also evaluated based on the concordance between the operative findings and the MRI findings. Methods: This study was performed in retrospective by using medical record of the patients who underwent operations with TTS from August 2003 to May 2010. Physical examination, nerve conduction study, and MRI were conducted on patients who visited department of neurology or orthopedic surgery due to pain and sensory abnormality of their ankle and foot. Results: 34 patients underwent the operation. Ganglion accounted for the largest portion of the operative findings. In addition, varicose veins, intrinsic foot muscle hypertrophy, tenosynovitis, and fascia thickening were mainly observed. Of the 34 patients, 33 patients underwent pre-operative MRI, of whom 18 patients showed MRI findings consistent with the operative findings. Conclusions: Space-occupying lesions accounted for the majority of the causative factors in TTS patients who underwent the surgical treatment. In this study, the MRI appeared useful for identifying causes of TTS.

Structural Modeling of Quality, Satisfaction, Value and Purchase Intention in Health Care Service (환자가 인지하는 의료의 질과 만족도, 서비스 가치, 재이용 의사간의 구조분석)

  • Choi, Kui-Son;Lee, Sun-Hee;Nam, Jung-Mo;Cho, Woo-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.4
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    • pp.426-435
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    • 2000
  • Objectives : To determine the relationships among quality, satisfaction, value and purchase intention in health care service. Methods : The data were gathered from out-patients who had used hospital services. They were asked to assess service quality, satisfaction, service value, and purchase intention. A total of 557 usable questionnaires were gathered. The data were analyzed using SAS version 6.12. The analysis methods employed in the study were confirmatory analysis and covariance structural analysis. Results : Service quality exhibited a significant and positive relationship with satisfaction, service value, and purchase intention. Furthermore, satisfaction had a significant and positive relationship with purchase intention. And finally, service value had a significant and positive relationship with both satisfaction and purchase intention. Based on these findings, it is evident that satisfaction was a mediator between service quality and purchase intention. Also service value played a mediating role between service quality and satisfaction. Conclusions : These results suggest that service quality is an antecedent of satisfaction and sonics value, and exerts a stronger influence on purchase intentions than satisfaction and service value do. Thus, managers may need to emphasize service quality in health care.

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Diagnostic Accuracy, Sensitivity, Specificity and Positive Predictive Value of Fine Needle Aspiration Cytology (FNAC) in Intra Oral Tumors

  • Gillani, Munazza;Akhtar, Farhan;Ali, Zafar;Naz, Irum;Atique, Muhammad;Khadim, Muhammad Tahir
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3611-3615
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    • 2012
  • Objective: The objective of this study was to establish the diagnostic accuracy, specificity and sensitivity of fine needle aspiration cytology(FNAC) for intra-oral tumors, comparing with histopathology as the gold standard. Materials and methods: Forty cases of FNA cytology from intraoral tumors was performed in AFID along with the demographic data and clinical information and then diagnosed at AFIP, Rawalpindi. Then the cytology results obtained per FNAC were compared with the histopathological biopsy results of the same lesions. The following variables were recorded for each patient: Age, gender, site of biopsy, diagnosis. The data were entered and analyzed using Open-epi version 2.0. Diagnostic accuracy, sensitivity, specificity, positive predictive value and negative predictive value were calculated. Cohen Kappa was further applied to compare the agreement between the biopsy and FNAC diagnoses. A p-value of < 0.05 was considered as statistically significant. Results: Among the total patients included in the study there were 24 males and 16 females, with a ratio of 1.5:1. Age of the patients ranged from 24 to 80 years with a mean of 52 years. A total of six sites were aspirated from the oral cavity with maximum (11) aspirates taken from alveolar ridge. The results of FNAC revealed that there were 32 malignant and 8 benign aspirates. Confirmation through histopathological analysis came for 31/32 malignant cases while one was falsely given positive for malignancy on FNAC. Among a total of 40 cases, 31(77%) cases diagnosed were found to be malignant and remaining 9(23%) were benign. The FNAC results revealed 32 malignant and 8 benign lesions. Histopathology of the subsequent surgically excised specimen showed malignant lesions in 31(77%) and benign in 9(23%) patients. As a whole, it was found that the absolute sensitivity for introral FNAC was 100% and specificity 89% with positive predictive value of 97% and negative predictive value of 100%. Conclusion: Cytological diagnosis was almost corroborative with final histopathological diagnosis in all cases, with very few exceptions, exhibiting high diagnostic accuracy.

A Clinical cases Study of Elbow pain and Dysfunction in Patients diagnosed as Tennis elbow (봉약침으로 주관절통증과 기능부전을 치료한 Tennis Elbow 환자의 1례 증례보고)

  • Kim, Min-Kyun;Yoon, Il-Ji;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.18 no.2
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    • pp.113-118
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    • 2009
  • Objective: There is a case reports on treatment of elbow pain and dysfunction in patients diagnosed as Tennis elbow. We report the Bee venom Acupunure Theraphy about under using elbow pain and dysfunction in patients diagnosed as Tennis elbow got a good remedial value. Methods : The patients diagnosed as Tennis elbow and treated mainly with Bee venom Acupunture Therapy. Results & Conclusions : Symptoms of the patient such as elbow pain and dysfunction were improved after above treatments. So, it is suggested that oriental medical treatment(Bee venom) are effective on Tennis elbow.

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Case Series of 5 Failed Back Surgery Syndrome Patients Who were Treated by Direct Moxibustion Therapy (직접구 치료에 의해 호전된 척추수술후통증증후군 환자 5례)

  • Lee, Dong-Wha;Shin, Mi-Sook
    • Korean Journal of Acupuncture
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    • v.28 no.3
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    • pp.233-244
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    • 2011
  • Objectives : To evaluate the effectiveness of direct moxibustion in patients with failed back surgery syndrome (FBSS). Methods : 5 patients (3 females and 2 males) with FBSS underwent direct moxibustion on ouch points (阿是穴) for 10 to 15 weeks (once a week). The effectiveness of the treatment was evaluated with NRS (numerical rating scale), ODI (Oswestry disability index), BDI (Beck depression inventory) score, SF-36 (short form 36 health survey) score and PSQI (Pittsburgh sleep quality index) before and after the treatment. Results : Within observation period, average value changed from 10.0 to 4.2 in NRS of pain, from 37.0 to 20.6 in ODI, from 20.6 to 12.0 in BDI score, 42.2 to 62.6 in SF-36 score, and from 8.6 to 5.2 in PSQI. Conclusions : Direct moxibustion on FBSS patients showed more or equivalent effectiveness when compared to conventional FBSS treatment modalities.

Clinical Studies on Ribostamycin sulfate (외과영역에서의 감염증에 대한 Vistamycin 의 사용경험)

  • 강정호
    • Journal of Chest Surgery
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    • v.11 no.3
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    • pp.368-372
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    • 1978
  • Ribostamycin sulfate is a new aminoglycoside antibiotic which is effective against organisms resistant to other conventional antibiotics, Particularly E. coli, and Staphylococcus group. Our clinical studies were performed on 20 patients who were admitted to Thoracic Surgical Dept of National Medical Center from May '77 to September '77, and the following results were obtained; 1. Among 20 patients, 13 were excellently improved and 4 responded moderataly, but 3 patients were not improved. So, 85% of the patients were controlled with Ribostamycin sulfate administration. 2. The rate of effectiveness of Ribostamycin sulfate was 85.7% against E. coli, 92.3% against Staphylococcus, and 75% against klebsiella, revealing 83.3% in average. 3. No side effects were observed. 4. From our clinical studies, Ribostamycin sulfate is expected to possess in high therapeutic value in surgical infectins caused by both gram positive and negative microorganisms.

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The Clinical Study of Delayed Growth(I) (성장장애(成長障碍)에 관(關)한 임상적(臨床的) 연구(硏究)(I))

  • Kim Jang-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.12 no.1
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    • pp.95-110
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    • 1998
  • I intended to be helpful to understand significant cause for treated patients comed to Dept of Pediatrics growth clinic in short stature of delayed growth and effect of oriental medical therapy. I studied at first 54 patients(36 men and 18 women) comed to Dept. of Pediatrics growth clinic of Dongguk Pundang Oriental Hospital and investigated characteristics, remidial value and side effect which 20 patients(1l men and 9 women) treated oriental medical therapy in short stature of delayed growth between June 1997 and October 1998. First study resulted the average was 8.37 year(chronological age), 6.96 year(bone age), 15.43 (height percentile by age), 164.2 cm(mid parental height) and the ratio of using the prescription was Bojunggunatang-derivative at first. second study resulted the distribusions of remedial values were improved(55.0%) and no improved(45.0%) patients. remedial values was affected by appetite.

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Clinical analysis of ostium secundum atrial septal defect (이차공형 심방중격결손증의 임상적 고찰)

  • 이종태
    • Journal of Chest Surgery
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    • v.17 no.4
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    • pp.607-613
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    • 1984
  • Thirty seven patients with ostium secundum atrial septal defect, operated from January, 1976 to September, 1984 at the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, were given clinical assessment. The following results were obtained. 1.Ostium secundum atrial septal defect was comprised of 18% of congenital heart disease. Their mean age was 15.7\ulcorner.42. Sex ratio [male:female] was 1:1.1. 2.Most frequent clinical symptom was dyspnea on exertion occurred in 26 patients [76.5%]. Only one patient had no symptom [2.9%]. 3.Pre-operative EKG findings revealed RVH in 61.8%, ICRBBB in 29.4%, and RAD in 41.2%. 4.Mean value of systolic pulmonary arterial pressure in patients over 20 years old was 37.8\ulcorner4.4mmHg and it was 28.1\ulcorner10.2mmHg in patients under 20 years old, but the difference between two groups was not statistically significant. 5. In large defect group [>3cm in diameter], Qp/Qs was significantly increased than small defect group [<3cm in diameter], but systolic pulmonary arterial pressure and Rp/Rs were not different between two groups. 6. Overall operative mortality was 5.4%.

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