• Title/Summary/Keyword: Upper abdomen

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A Case Study on Effect of Herbal Diet an Male Abdominal Obese Patient (남성 복부비만 환자의 치험 1례)

  • Kim, Kil-Soo;Kim, Dong-Yeol;Kim, Dong-Hwan
    • Journal of Korean Medicine for Obesity Research
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    • v.2 no.1
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    • pp.89-94
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    • 2002
  • We experienced a male patient who was diagnosed as very severe abdominal obesity. From the 3rd of January to the 14th of April we applied herbal medication(Tiganyiyiren-tang), very low calorie diet, aerobic exercise, behavioral therapy, electrolipolysis, infra-red therapy, auricular acupuncture, and aqua-massage to him. And we examined the changes of his height, weight, body composition, body size, liver functional test, abdominal CT finding. The food production of this year has decreased by 5 percent. His weight decreased by 28.2%, PIBW by 28.5%, BMI by 28.2%, PBF by 22.7%, and WHR by 15.9%. The circumference of upper extremity decreased by 25.7%, the circumference of the muscle of upper extremity by 18.2%, the circumference of chest by 20.5%, the circumference of abdomen by 29.5%, the circumference of hip by 17.4%, and the circumference of thigh by 15.9%. In the liver functional test GOT decreased from 42IU/l to 361U/I, GPT from 1211U/l to 48IU/I. Total cholesterol from 211mg/dl to 152mg/dl, and Trigliceride from 192mg/dl to 81 mg/dl. In the abdominal CT finding the amount of fat in the abdominal cavity decreased from $9732mm^2$ to $3639mm^2$.

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A Case of Pyogenic Liver Abscess Due to Prevotella intermedia in an Immunocompetent Child (건강한 소아에서 발생한 Prevotella intermedia에 의한 간농양 1예)

  • Hyung-Suk Kim;Byung Wook Eun
    • Pediatric Infection and Vaccine
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    • v.30 no.3
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    • pp.165-172
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    • 2023
  • Pyogenic liver abscess is a rare condition in healthy children in developed countries, but it can have severe consequences if diagnosis and treatment are delayed. Staphylococcus aureus is the most commonly identified cause of pyogenic liver abscess worldwide, while Klebsiella pneumoniae is the predominant causative agent in Korea. However, cases of pyogenic liver abscess caused by anaerobic bacteria have also been rarely reported. A 14-year-old boy presented to the emergency room with fever and pain in the upper right abdomen. He exhibited tenderness in the right upper quadrant, elevated white blood cell count, anemia, and elevated liver enzyme levels. Abdominal computed tomography with contrast revealed pyogenic liver abscess. The patient underwent percutaneous catheter drainage for two weeks and received a 4-week course of antibiotic therapy. Prevotella intermedia, an anaerobic bacterium commonly found in the oral flora, was isolated from the drained pus. However, no evidence was found suggesting that the infection originated from a dental source. This case highlights the importance of considering the possibility of pyogenic liver abscess even in otherwise healthy children.

A study on skin temperature distribution of the human body as fundamental data for developing heat energy harvesting clothing (열전에너지 수확 의류를 위한 인체표면 온도분포의 기초적 고찰)

  • Yang, Jin-Hee;Cho, Hyun-Seung;Park, Sun-Hyung;Lee, Joo-Hyeon
    • Science of Emotion and Sensibility
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    • v.14 no.3
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    • pp.435-444
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    • 2011
  • The development of ubiquitous healthcare technology and portable electronic devices requires new energy sources for providing continuous power supply. This study particularly focuses on an energy harvesting system capable of charging energy using clothing. One of the sources for energy harvesting is heat energy, which is the difference in temperature of the body and the surrounding environment. In this study, the skin temperature distribution of the human body was empirically measured to determine the basic materials needed to develop heat energy harvesting clothing. The distribution of skin temperature in different sections of the human body was analyzed. The analysis found that the skin temperature of the upper body was higher than that of the lower body. The area close to the heart with a lot of blood flow was especially high. The skin temperature of the back side of the body, such as the back of the neck, upper back, and waist, was higher than that of the front side of the body. As for the arms, the skin temperature of the upper arms was higher than that of the lower arms, and the skin temperature of the back side of the arms was lower than that of the front and the flank side of the arms. The difference in the average skin temperature and the environment temperature was highest at the back of the neck, and thereby is considered to be the most appropriate section to integrate the heat energy harvesting function and structure. The following sections had the next highest difference in values, listed in descending order: the back of the waist, the sides of shoulders, the front chest area, the front side of the upper arms, and the front abdomen. Based on the skin temperatures of the different sections of the human body, this study outlines the basic guidelines for developing heat energy harvesting clothing.

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Cytologic Findings of Pancreatic Islet Cell Tumor with Lymph Node Metastasis (림프절 전이를 동반한 췌소도세포종 1예의 세침흡인 생검소견)

  • Kim, Yee-Jeong;Choi, Yoon-Jung;Kim, Kyu-Rae;Jung, Woo-Hee;Lee, Kwang-Gil
    • The Korean Journal of Cytopathology
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    • v.3 no.2
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    • pp.60-66
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    • 1992
  • Islet cell neoplasms (ICNs) of pancreas are uncommon, and the cytologic features of ICN are not well delineated. We report a case of islet cell tumor with lymph node metastasis, describing the cytologic, histologic, and immunohistochemical findings. A 40-year-old woman was admitted due to upper gastrointestinal bleeding of 2 days' duration. Computed tomography of the abdomen showed a diffusely infiltrating bulky mass in the body and tail of the pancreas. The fine needle aspirate showed moderate to high cellularity, monotonous cell population, single ceil predominance over small cell clusters, and eccentrically located nuclei. Although the definite diagnosis of ICN on the cytologic basis is difficult, the cytomorphologic features are sufficiently distinctive to suggest the diagnosis.

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Traumatic diaphragmatic injuries: Report of 11 cases (외상성 횡격막 손상 치험 11례)

  • Lee, Young;Chang, Il Sung;Kim, In Koo;Bae, Jin Sun;Son, Ki Sub
    • Journal of Chest Surgery
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    • v.9 no.2
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    • pp.323-327
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    • 1976
  • Eleven cases of traumatic diaphragmatic injuries were treated at the department of Surgery from Jan. 1972 to Nov. 1976 were reviewed in this study. 1. Sex ratio of the observed patients was 10 : 1 showing definitely high incidence male patients. 2. The age distribution in this series ranged from 4 to 49 years of age, and average age was 26 years age. 3. Seven cases were received blunt injury on lower chest and upper abdomen, three cases were stabbed by knife and gunshot injury case was on case 4. Six cases were diagnosed and treated early post-traumatic stage within 24 hours, three cases were repaired within I0 days, and the last case was repaired after 5 years post-trauma. 5. The operative mortality was 10% (1/10), the cause of death was liver failure, after right lobectomy of the liver for traumatic liver rupture.

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A Case of Clonorchiasis with Clinical Presentation of Eosinophilic Pneumonia (호산구성 폐렴으로 발현된 간흡충증 1예)

  • Lee, Deog-Young;Kim, Sung-Jun;Lee, Jong-Hyun;Kim, Dong-Wook;Lee, Jin-Kwan
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.3
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    • pp.643-648
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    • 1998
  • Although clonorchiasis is one of the most common parasitic infections in Korea, it is unusual that the disease presents peripheral eosinophilia and pulmonary infiltrations.(eosinophilic pneumonia) A case of clonorchiasis manifested as diffuse nodular pulmonary infiltrations was presented. The patient had a mild to moderate pain on the right upper quadrant of the abdomen, cough, dyspnea, and unknown cause of marked eosinophilia (up to 71.4% of total white blood cell count). The causal organism, clonorchis sinensis was found by the identification of parasite ova in the stool We confirmed eosinophilic pneumonia with bronchoalveolar larvage analysis and transbronchial lung biopsy. With corticosteroid and praziquantel treatment, clinical symtoms and pulmonary infiltrations on the chest roentgenograms had rapidly improved. We report a case of eosinophilic pneumonia related to clonorchiasis and review the pertinent literature.

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A Study on Somatotype Classification of the Late Middle-Aged Women (중년 후기 여성의 체형 유형화에 관한 연구)

  • 심정희
    • Journal of the Korean Society of Clothing and Textiles
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    • v.26 no.1
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    • pp.15-26
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    • 2002
  • The purpose of this study was to classier the somatotype of late middle-aged women and to analyze the characteristics of each somatotype. The subjects were 337 late middle-aged women and their age range os from 45 to 59 fears old. Data were collected through anthropometry and photometry and analyzed by factor analysis, cluster analysis and discriminant analysis. The results were as follows; 1. The result of factor analysis indicated that 9 factors were extracted through factor analysis and those factors comprised 83.56 percent of total valiance. 2. Using factor scores, cluster analysis was carried out and the subject were classified into 4 cluster. Each cluster was classified as their body front and side view contour. Type 1 is tall, slim, and lower balk is flat on the side. Type 2 is standard and lean-back type on the side. Type 3 is standard height and weight, H type in front, and belly-protruded on the side. Type 4 is short, fat, and the side is hip-protruded. 3. According to the stepwise discriminant analysis, the 9 important items in classifying the somatotype of the late middle-aged women are as follows ; lower back tilt angle, hip depth(back) -back waist depth(back), bust depth(fore) - anterior waist depth(fore), jugular fossa point(fore), upper back tilt angle, burst breadth -waist breadth, right shoulder tilt, height of shoulder - height of anterior waist, abdomen breath. The correct classification rate for these items is as exact as 84.62%.

Study on the Wearing Conditions of Weight Training Compression Wear for Men in their 20s (웨이트 트레이닝 활동을 위한 20대 남성 컴프레션웨어 착의 실태)

  • Kim, Mira;Kim, Dong-Eun;Choi, Hei Sun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.40 no.5
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    • pp.775-787
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    • 2016
  • This study examined the wearing conditions of compression wear for weight training. Compression wear has recently received significant attention from the public and athletes as high-level functional sportswear. The survey was conducted on 373 men in their 20s for general information on purchase behavior, preferred brand, function, and preferred design. The majority of participants (n=181) were aware of the function of compression wear. The most selected reason for wearing compression wear was for its convenience during sports activities. Respondents had the greatest preference for designs with a round neckline, regular leggings type, upper arm-length sleeve, and thigh-length bottom. Respondents also wanted a stronger compression in the core muscle part (abdomen, back, and waist).

Bilateral Adrenal Neuroblastoma (양측성 부신 신경아세포종)

  • Huh, Young-Soo;Lee, Hee-Sub
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.95-99
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    • 1995
  • Neuroblastoma is the most common solid malignancy in childhood. However, a neuroblastoma presenting as bilateral and multifocal is very rare. A male newborn weighing 2.7 kg was born by normal vaginal delivery at 39 weeks' gestation to a 27-year-old mother who had a normal pregnancy. He was in good condition at birth but presented palpable masses in the both upper abdomen and both side of the neck. Ultrasound examination showed the lesions to be $3{\times}3cm$ sized calcified mass in right suprarenal area and $5{\times}3cm$ sized homogenous mass in left suprarenal area. The abdominal mass was also examined by computed tomography with similar findings. With the impression of bilateral neuroblastoma or metastatic spread, the laparotomy was performed on the 13th day of life. Frozen section of biopsy of the left neck mass was obtained, which showed neuroblastoma. Intraoperative findings revealed bilateral adrenal masses which were distinct and anatomically separate. Bilateral adrenalectomy was accomplished and the initial postoperative course was uneventful. The patient was discharged for hopeless and expired at age 45 days. We present bilateral adrenal neuroblastoma considered to be simultaneous occurrence rather than metastases from one site to another.

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Clinical Features of the Midgut Volvulus in Children (소아 중장 염전의 임상 양상)

  • Kim, Hyun-Ah;Choi, Kum-Ja
    • Advances in pediatric surgery
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    • v.10 no.2
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    • pp.112-116
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    • 2004
  • Midgut volvulus secondary to intestinal malrotation usually presents within the first month of life. Diagnostic delay may result in midgut infarction and mortality. In this retrospective study, we review seventeen cases of midgut volvulus to assess the importance of early recognition for midgut volvulus in pediatric patients of any age.. These patients were diagnosed as having a midgut volvulus by operation at Ewha Womans University Hospital. Eleven patients (64.7 %) were less than 1 month of age, and fifteen were boys (88.2 %). The mean gestational age was 38.3 weeks and the birth weight was 3.1 kg. Eight patients (47.1 %) had one or more combined anomalies such as heart malformation, brain ischemia, Down's syndrome or duodenal atresia. Vomiting was the most common symptom. Only thirteen patients underwent preoperative diagnostic procedures; 13 abdominal sonography demonstrated the whirlpool sign in 8 patients, upper gastrointestinal tract roentgenography showed a cork-screw pattern in 7 patients, and barium enema or small bowel series demonstrated positive findings in 7 patients. A Ladd's procedure was was formed on all patients.. There was no mortality or severe morbidity such as short bowel syndrome. Midgut volvulus should be included in the differential diagnosis in any infant or child who presents with the symptoms of acute abdomen, especially with vomiting.

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