• Title/Summary/Keyword: Small Medical Clinic

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Congenital Fibroepithelial Polyp Presenting as a Cutaneous Horn on the Nasal Tip: A Case Report (코에서 선천성 섬유상피폴립이 피부뿔로 발현한 환자 증례보고)

  • Kwon, Yongseok;Jun, Dongkeun;Lee, Myungchul;Choi, Hyungon;Shin, Donghyeok;Kim, Jeenam
    • Korean Journal of Head & Neck Oncology
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    • v.36 no.2
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    • pp.33-36
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    • 2020
  • Cutaneous horn is the clinical entity, which is circumscribed, conical, markedly hyperkeratotic lesion in which the height of the keratotic mass amounts to at least half of its largest diameter. It may be associated with many different pathological lesions. It is a relatively rare and a kind of epidermal tumor that generally appears as a conical projection. Here, we report rare case of congenital cutaneous horn. A 39-month-old female Korean patient presented at our clinic with a mass at the tip of her nose present since birth. Under general anesthesia, cutaneous horn of nasal tip was completely excised without any complications. The operation site was small enough to perform a primary closure, without any nasal deformity. Histopathologically, it was reported as a fibroepithelial polyps. After operation, there is no evidence of recurrence at 16 months of follow-up.

Creating a digitized database of maxillofacial prostheses (obturators): A pilot study

  • Elbashti, Mahmoud;Hattori, Mariko;Sumita, Yuka;Aswehlee, Amel;Yoshi, Shigen;Taniguchi, Hisashi
    • The Journal of Advanced Prosthodontics
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    • v.8 no.3
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    • pp.219-223
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    • 2016
  • PURPOSE. This study aimed to create a digitized database of fabricated obturators to be kept for patients' potential emergency needs. MATERIALS AND METHODS. A chairside intraoral scanner was used to scan the surfaces of an acrylic resin obturator. The scanned data was recorded and saved as a single standard tessellation language file using a three-dimensional modeling software. A simulated obturator model was manufactured using fused deposition modeling technique in a three-dimensional printer. RESULTS. The entire obturator was successfully scanned regardless of its structural complexity, modeled as three-dimensional data, and stored in the digital system of our clinic at a relatively small size (19.6 MB). A simulated obturator model was then accurately manufactured from these data. CONCLUSION. This study provides a proof-of-concept for the use of digital technology to create a digitized database of obturators for edentulous maxillectomy patients.

Acellular Dermal Matrices and Paraffinoma: A Modern Tool for a Nearly Obsolete Disease

  • Grassetti, Luca;Torresetti, Matteo;Scalise, Alessandro;Lazzeri, Davide;Di Benedetto, Giovanni
    • Archives of Plastic Surgery
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    • v.44 no.3
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    • pp.234-237
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    • 2017
  • Paraffinoma is a destructive complication of paraffin oil injection, usually associated with massive tissue destruction, thus requiring radical surgery and subsequent complex reconstruction. Although breast and penile paraffinomas have been widely described and their management is quite standardized, paraffinomas of the knee are still rare and only few case reports or small case series are available in the current literature. We describe the case of a 77-year-old man with a large paraffinoma of the right knee that occurred after self-injection of paraffin oil, 58 years before. He underwent wide surgical resection of the soft tissues overlying the knee and subsequent two-stage reconstruction by using acellular dermal matrix and, after 20 days, split-thickness skin grafts. Follow-up after 16 months showed no signs of skin ulcerations or inflammation, with an overall improvement in function. Even though conventional flap reconstructions may be still useful, the authors believe that acellular dermal matrices represent a safe, reliable, and less invasive alternative for challenging soft tissue reconstructions even in elderly patients with multiple medical problems.

Eosinophilic granulomas in two dogs

  • Kim, Jae-Hoon;Jung, Ji-Youl;Kang, Sang-Chul;Lee, Young-Rak;Lee, Jin-Yong;Hwang, Eui-Kyung;Woo, Gye-Hyeong;Kim, Jae-Hoon
    • Korean Journal of Veterinary Research
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    • v.51 no.1
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    • pp.69-72
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    • 2011
  • Eosinophilic granuloma is a common hypersensitive inflammatory skin disease in cats, and rare in dogs and horses. The skin biopsies of 5 years old female Cocker spaniel and 2 years old female mixed dog had the clinical signs of skin nodules with alopecia were submitted for diagnosis. Solitary skin nodules and papillary nodules were presented on the left external ear and back of Cocker spaniel and on the external ear of mixed dog, respectively. Histopathologically, epidermis of skin showed mild to severe hyperplasia with multifocal ulceration. Small to large irregular, brightly eosinophilic foci with degenerating eosinophils and homogeneous degenerated collagens were existed in the dermis of both ear and back skin. Typical 'flame figures', a mixture of degenerated collagen and degranulated eosinophils, were observed in both cases. Based on the histopathologic findings and special staining characters, 2 cases were diagnosed as canine eosinophilic granuloma. This is the first report for the eosinophilic granuloma of dogs in Korea.

A case of colonic lymphoid tissue invasion by Gymnophalloides seoi in a Korean man

  • SEO Min;CHUN Hokyung;AHN Geunghwan;JANG Kee-Taek;GUK Sang-Mee;CHAI Jong-Yil
    • Parasites, Hosts and Diseases
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    • v.44 no.1 s.137
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    • pp.87-89
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    • 2006
  • A 55-year old Korean man, living in Mokpo-city, Jeollanam-do, Republic of Korea, visited a local clinic complaining of right upper quadrant pain and indigestion. At colonoscopy, he was diagnosed as having a carcinoma of the ascending colon, and thus, a palliative right hemicolectomy was performed. Subsequently, an adult fluke of Gymnophalloides seoi was incidentally found in a surgical pathology specimen of the lymph node around the colon. The worm was found to have invaded gut lymphoid tissue, with characteristic morphologies of a large oral sucker, a small ventral sucker, and a ventral pit surrounded by strong muscle fibers. This is the first reported case of mucosal tissue invasion by G. seoi in the human intestinal tract.

Ultrasonography-Combined with Nerve Stimulator Technique for Injection of the Genitofemoral Nerve in a Patient with Chronic Postoperative Inguinal Pain (수술 후 서혜부 만성 통증에서 신경 자극기를 이용한 초음파 유도하 음부대퇴신경 차단술)

  • Oh, Young-Bin;Shin, Hyun Baek;Ko, Myoung-Hwan;Seo, Jeong-Hwan;Kim, Gi-Wook
    • Clinical Pain
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    • v.18 no.1
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    • pp.36-39
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    • 2019
  • Chronic postoperative inguinal pain (CPIP) is a major complication after inguinal herniorrhaphy. We report the treatment of CPIP using ultrasonography-combined with nerve stimulator for injection of the genitofemoral nerve (GFN). A 59-year-old man underwent laparoscopic herniorrhaphy and presented with numbness from the inguinal region to the scrotum after operation. In the pain clinic, ultrasonography-guided GFN block and pharmacological treatments had little effect. Six month after operation, patient was referred to the Department of Physical Medicine and Rehabilitation, and ultrasonography-combined with nerve stimulator for GFN injection underwent to enhance the accuracy of neural approach. The induction of scrotal contraction and paresthesia on the GFN distribution was monitored by nerve stimulator and local anesthetic was injected. After the block, pain relief lasted for 6 months without analgesic use. Ultrasonography-combined with nerve stimulator is an effective approach to treat CPIP as it enhances precise localization and injection of small peripheral nerve like GFN.

A case of thanatophoric dysplasia type I with an R248C mutation in the $FGFR3$ gene

  • Noe, Eun-Jung;Yoo, Han-Wook;Kim, Kwang-Nam;Lee, So-Yeon
    • Clinical and Experimental Pediatrics
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    • v.53 no.12
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    • pp.1022-1025
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    • 2010
  • Thanatophoric dysplasia (TD) is a short-limb neonatal dwarfism syndrome that is usually lethal in the perinatal period. It is characterized by shortening of the limbs, severely small thorax, large head with a prominent forehead, macrocephaly, curved femur, and flattened vertebral bodies. These malformations result from the mutation in fibroblast growth factor receptor 3 (FGFR-3) gene which is located on the short arm of chromosome 4. A definite diagnosis should be established by molecular genetic analysis to find out the abnormal mutations in the $FGFR3$ gene. We confirmed by detection of a R248C mutation in the $FGFR3$ gene in DNA analysis.

The medical management of mitral stenosis in a Bull Terrier

  • Kun Ho Song;Aleksandra Domanjko Petric
    • Korean Journal of Veterinary Service
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    • v.46 no.1
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    • pp.75-79
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    • 2023
  • An eight-year-old, 28-kg male bull terrier who showed signs of lethargy and cough was referred for further evaluation of congestive heart failure. On presentation, physical examination revealed a systolic murmur at the left apex of the heart. Moreover, chest radiograph evaluation confirmed the mild alveolar and interstitial patterns in the caudal lung lobes and a grossly enlarged left atrium and left ventricle. Electrocardiography showed atrial fibrillation with a wide QRS complex, and transthoracic echocardiography revealed marked enlargement of the left atrium with abnormal morphology of the mitral valve. The thickened, hammer-like appearance and abnormal diastolic motion of the mitral valve leaflets were characterized by decreased leaflet separation and doming of the valve. The diagnosis was mitral stenosis with congestive heart failure and atrial fibrillation. The owner declined interventional valvuloplasty. Medical treatment included furosemide, pimobendan and diltiazem. Regular health check-ups have shown that vitality and clinical signs have improved considerably, and the dog have remained stable for 6 months after the presentation.

An Analysis of Factors Related to Performing Health Management Tasks at Small and Mid Sized Enterprises (중소규모 사업장의 보건관리업무 수행관련 요인분석)

  • Ahn, Sei-Yon;Chung, Lucia;Son, Ji-Hwa;Ki, Yun-Ho;Kim, Yoon-Shin;Sim, Sang-Hyo
    • The Journal of Korean Society for School & Community Health Education
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    • v.8 no.2
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    • pp.97-108
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    • 2007
  • Background & Objectives: Health management is performed at enterprises under the Industrial Safety and Health Act. At small and mid sized enterprises, the reality is that health management is poorly performed due to the shortage of resources, professional knowledge, and administrative capabilities, as well as the lack of recognition by company presidents, and generation difference. Purpose: The purpose of this study is to Provide basic materials to complement the future health management model by researching the extent of performing health-related tasks at small and mid sized enterprises and analyzing the related factors. Methods: The survey subjects were 130 small and mid sized enterprises nationwide which had received health management support from the Korean government. The data were collected using a systematic questionnaire at the companies from September 2005 to November 2005. The respondents were the Personnel for healthcare tasks. Results: The results indicate that the extent of performing health management tasks at the companies was significantly different in the working environment and task management field in terms of industry types and in the fields of the establishment of an industrial health system as well as working environments and task management in terms of regions. Also, a multiple regression analysis was performed step-by-step in order to research the factors that affect the execution of health management tasks at small and mid sized enterprises.

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A Comparison of the Spread Level of the Cervical Epidural Block in Terms of Volume (경부 경막외 차단 시 약물의 용량에 따른 분포 양상 비교)

  • Jo, Dae hyun;Kim, Myoung hee;Ahn, Sun Yeon;Park, Sa Hyun;Lee, Kang Chang
    • The Korean Journal of Pain
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    • v.20 no.1
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    • pp.46-49
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    • 2007
  • Background: Cervical epidural injection, performed via the interlaminar approach, represents a useful interventional pain management procedure indicated in patients with a cervical herniated disk. Due to thedecreased epidural space in the cervical region, cervical epidural injections may result in potentially serious complications, especially during a large volume injection. Methods: Thirty-four patients with neck pain due to a cervical herniated disk that were referred to the pain clinic for cervical epidural steroid injection were randomized into two groups. One group received a cervical epidural injection of 4 ml drug and the other group received 2 ml drug. The injected mixture included triamcinolon, ropivacaine and omnipaque. Spread levels of the drug after injection were estimated with the use of C-arm fluoroscopy. Results: Spread levels to the cephalad for patients in the two groups were $4.88{\pm}0.78segments$ and $4.53{\pm}0.49segments$, respectively. Spread levels to the caudad for patients in the two groups were $4.59{\pm}0.93segments$ and $4.47{\pm}0.51segments$, respectively. The results showed no significant difference in the spread level between the two groups. Conclusions: Use of a small volume of drug (2 ml) can provide a sufficient spread level of the injected drug that is desirable for patients with a cervical herniated disk.