• 대한한방소아과학회지
• /
• 제16권2호
• /
• pp.1-22
• /
• 2002

Purpose : This Study was conducted to evaluate clinical characteristic of children with recurrent abdominal pain (RAP) and to be classified by its six subtype in the Oriental Pediatric Text Book and to find out relationship of western classification. Methods : Patients who visited Dong-Eui Oriental Medical hospital from August, 2001 to October, 2002 due to RAP were included. According to questionnaire and history taking, RAP was classified by its six subtype based on Oriental medical theory. Results : 1. Patients with RAP were more internalized, have a close relation with their parents, and have strong desires of success, but social intercourse is low. 2. 76% of Patients have a less desire to eat and 67% of Patients have a diarrhea or constipation. 3. According to questionnaire, first abdominal pain was their $3{\sim}5$ ages most, cause of occurrence was more 'eating cold foods' most, time of AP (abdominal pain) was $1{\sim}2$ hours after eating and no characteristic most, site of AP was the umbilicus most, shape of AP was impotent pain most, cause of reduce pain was abdominal massage and defection most. 4. frequency of RAP's type, AP caused by diet(食積腹痛) is 45.5%, AP caused by cold(寒腹痛) is 29.1%, AP caused by cold in internal organs of deficiency(臟腑虛冷腹痛) is 12.7%, stagnation of qi and stasis of blood(氣滯血瘀腹痛) is 10.9%, AP caused by internal diet and external cold(內食外寒腹痛) is 1.8%. There is no AP caused by parasites(蟲腹痛). 5. During clinical classifications of RAP, cause of occurrence was most important cause of reduce pian, defection practice was helpful for diagnosis, but shape of AP, site of AP was not helpful. 6. With relationship of Oriental classification and western classification, AP caused by diet is similar to dysmotilitylike dyspepsia and irriTable bowel syndrome. AP caused by cold is similar to irriTable bowel syndrome. AP caused by cold in internal organs of deficiency is similar to unspecified dyspepsia. stagnation of qi and stasis of blood and AP caused by internal diet and external cold is not like to western classification. Conclusion : RAP in Childhood is most occurred by food and cold. there is few AP caused by stagnation of qi and stasis of blood and internal diet and external cold. So the study on subclassification and clinical Manifestations of RAP in Childhood is more performed.

• Journal of International Society for Simulation Surgery
• /
• 제1권1호
• /
• pp.37-40
• /
• 2014

Purpose For living donor liver transplantation, liver segmentation is difficult due to the variability of its shape across patients and similarity of the density of neighbor organs such as heart, stomach, kidney, and spleen. In this paper, we propose an automatic segmentation of the liver using multi-planar anatomy and deformable surface model in portal phase of abdominal contrast-enhanced CT images. Method Our method is composed of four main steps. First, the optimal liver volume is extracted by positional information of pelvis and rib and by separating lungs and heart from CT images. Second, anisotropic diffusing filtering and adaptive thresholding are used to segment the initial liver volume. Third, morphological opening and connected component labeling are applied to multiple planes for removing neighbor organs. Finally, deformable surface model and probability summation map are performed to refine a posterior liver surface and missing left robe in previous step. Results All experimental datasets were acquired on ten living donors using a SIEMENS CT system. Each image had a matrix size of $512{\times}512$ pixels with in-plane resolutions ranging from 0.54 to 0.70 mm. The slice spacing was 2.0 mm and the number of images per scan ranged from 136 to 229. For accuracy evaluation, the average symmetric surface distance (ASD) and the volume overlap error (VE) between automatic segmentation and manual segmentation by two radiologists are calculated. The ASD was $0.26{\pm}0.12mm$ for manual1 versus automatic and $0.24{\pm}0.09mm$ for manual2 versus automatic while that of inter-radiologists was $0.23{\pm}0.05mm$. The VE was $0.86{\pm}0.45%$ for manual1 versus automatic and $0.73{\pm}0.33%$ for manaual2 versus automatic while that of inter-radiologist was $0.76{\pm}0.21%$. Conclusion Our method can be used for the liver volumetry for the pre-surgery planning of living donor liver transplantation.

• 대한의료기공학회지
• /
• 제17권1호
• /
• pp.83-108
• /
• 2017

Objects : The purpose of this study was to investigate Urinary Incontinence improvement effect of Moosim Gi-Gong Riding stance and to propose urinary incontinence treatment Program. Methods : We analyzed the effect of Moosim Gi-Gong Riding stance, and compared to Behavior theraphy which includes Kegel Exercise, Riding Stance of Ki-chum, Zhan-Zhuang-Gong. Results : 1. Moosim Gi-Gong Riding stance can correct the pelvic strain with principles such as horseback riding and help restore organs in the abdominal cavity. 2. Moosim Gi-Gong Riding stance can restore the ability to recover bladder and proximal urethra in right place through changes in the abdominal pressure by breathing and posture 3. Moosim Gi-Gong Riding stance can help restoring the ability to control the urination by increasing the intensity of the abdominal pressure and reinforcing Kidney, Liver, Spleen Meridian muscles. 4. Reinforcing Kidney, Liver, Spleen Meridian muscles can help to treat urinary incontinence through strengthening the tension between organs and activating the intestinal tract. Conclusions : This study shows that treatment program for Urinary Incontinence using Moosim Gi-Gong Riding stance can be useful to patient.

• 대한수의학회지
• /
• 제51권1호
• /
• pp.63-67
• /
• 2011

Supernumerary ectopic limb(s) (SEL) is a congenital anomaly defined as the presence of accessory limb(s) attached to various body regions. This paper describes a case of SEL with ectopic lung and ectopia cordis in a newborn calf, based on macroscopic, microscopic and radiographic findings. External features of multiple congenital anomalies included an ectopic lung growing over the middle of the backbone and covered with normal haired skin. Ectopia cordis was found in the abdominal cavity and attached to the liver. Two extra abnormal limbs originated separately from within the ectopic lung. Most of the abdominal organs were exposed to the outside through the opened abdominal cavity. Microscopically the ectopic lung tissue had edema in the connective tissue around the bronchus and artery. Changes in other organs included congestion of the renal medulla, infiltration of inflammatory cells (lymphocytes and eosinophils) around the hepatic portal tract, and edema surrounding blood vessels and neurons in the brain. The rudimentary humerus of the forelimb was attached to the thoracic spine, as viewed radiographically. The hindlimb was consisted of an irregularly shaped femur, short tibia and fibula, two tarsal bones, one metatarsal bone, and three phalanges. This is the first description of congenital anomalies involving the SEL, ectopic lung and ectopia cordis in a calf.

• 대한수의학회지
• /
• 제22권1호
• /
• pp.67-74
• /
• 1982

만성(慢性) 소화기장애(消化器障碍)로 수술(手術)을 받고 폐사한 3세의 개를 부검(剖檢)하여 복강(腹腔)에서 커다란 균종(菌腫)을 발견하였다. 이 개의 품종(品種)은 Labrador Retriever 종(種)이고 프랑스에서 난소적출(卵巢摘出) 수술(手術)을 하여 한국(韓國)에 데려왔다. 균종(菌腫)은 직경(直徑) 8~15cm, 두께 2~6cm에 달하는 종류(腫瘤)로서 비미부(脾尾部)의 복면(腹面), 공장(空腸), 회장(廻腸), 맹일결장(盲一結腸)의 일부 장벽(腸壁) 및 좌측 횡격막(橫隔膜)과 단단한 유착(癒着)을 일으키고 있었다. 균종(菌腫)의 단면(斷面)에서는 회갈색(灰褐色)에 육아조직(肉芽組織)에 율립대(栗粒大)의 황백색(黃白色) 농양과립(膿瘍顆粒)이 밀발(密發)해 있는 것을 알 수 있었다. 병소부위(病巢部位)의 조직학적(組織學的) 검사(檢査)에서 장벽(腸壁)의 내수주근층(內輸走筋層)의 극심한 대상성비대(代償性肥大), 균강(菌腔)과 관련된 복강장기(腹腔臟器)에서의 광범한 hemosiderin 침착(沈着) 및 비주동맥(脾柱動脈)의 혈전증(血栓症)과 그 중막(中膜)의 atheroma 성(性) 비후(肥厚)등을 관찰하였다. 이와 같은 만성병변(慢性病變)으로 인하여 이 개는 정상개의 반 밖에 자라지 않고 있었다. 균종(菌腫)내의 균괴(菌塊)를 현미경 관찰하여 균사(菌絲)와 후막포자(厚膜胞子)의 특징으로써 Ailescheria boydii 의 감염(感染)이 추정되었다.

• 정보처리학회논문지B
• /
• 제10B권2호
• /
• pp.197-204
• /
• 2003

현재까지 개발된 의료진단 시스템들은 인체 특정 질환을 염두에 두고 구체적 조건의 조합에 의존하여 진단 범주를 설정하는데 통상적으로 특정 장기에 제한되어 있어서 여러 가지 유형의 질환에 공통적으로 나타나는 중상을 진단하는 경우 조기에 정확한 진단을 내리기가 힘든 문제점을 지니고 있다. 급성복통(acute abdominal pain)은 전구 증상 없이 갑자기 복통이 발생하는 것으로 소화기 질환을 비롯한 여러 질환에서 환자들이 공통적으로 가장 흔하게 호소하는 증상으로 연관된 질환이 다양하여 의사들이 적절한 감별진단을 내리기가 쉽지 않다. 본 연구에서는 급성 복통과 연관된 질환의 감별진단 시스템으로서 기존의 DS-DAAP의 성능을 개선한 퍼지관계곱에 기반한 지능형 질환 진단시스템(IDS-DAAP)을 제안한다. 제안하는 시스템은 기존의 DS-DAAP와 비교해 볼 때 진단의 정확성을 높이면서 수행시간을 감소시켰다.

• 대한임상독성학회지
• /
• 제2권1호
• /
• pp.23-26
• /
• 2004

Caustic ingestion can produce a progressive and fatal injuries to esophagus, stomach and other organs. Reported exposure to acetic acid results injuries to gastrointestinal tract, hemolysis and disseminated intravascular coagulation is general, but causing hepatic necrosis by direct injuries are rare. A 47-year-old man visited our emergency medical center complaining odynophagia and abdominal pain after ingesting glacial acetic acid ($99\%$) with suicidal ideation. At the time of arrival, the patient complained mild abdominal pain but a few hours later the patient complained severe abdominal pain with markedly elevated liver enzymes. The Abdominal Computerized Tomography showed diffuse gastric wall edema and density of wedge shaped hypodense area in right hepatic dome showing focal hepatic necrosis without significant inflammation. This seems likely to be a direct effect of the noxious agent on hepatocyte involving the portal circulation.

• 한국임상수의학회지
• /
• 제41권1호
• /
• pp.54-59
• /
• 2024

A 12-year-old female small-clawed Asian otter (Anoyx cinereus) with a one-week history of anorexia, chills, and abdominal distension was found dead. Grossly, yellowish-brown turbid fluids accumulated in abdominal cavity of the otter, and yellowish thread-like fibrinous materials were found on the surface of abdominal organs. Several variable sized yellowish-white crystalloids were scattered on the medullary space of kidneys. Histologically, diffuse serositis (peritonitis) characterized by the fibrinous exudates, thickened serosal capsule and the swelling of mesothelial cells were observed in the serosa of liver, spleen, stomach, and intestine. Multifocal necrosis, hemorrhage, infiltration of macrophage, and brown pigments were presented in the liver. Isolated bacteria from ascites and fibrinous materials in abdominal visceral surface were white, smooth and convex with characteristic mousy odor on blood agar plate. These bacteria were confirmed as Pasteurella (P.) multocida type A by polymerase chain reaction analysis. Based on the gross examination, histopathologic findings and bacterial experiments, this otter was diagnosed as severe peritonitis associated with P. multocida and necrotic hepatitis.

• 대한한방소아과학회지
• /
• 제15권2호
• /
• pp.53-68
• /
• 2001

Purpose : This Study was conducted to evaluate clinical manifestations of abdominal pain(AP) in childhood according to its symptoms and to find out characteristic of children with abdominal pain. Methods : Pacients who visited Dong-Eui Oriental Medical hospital from August to November 2001 due to abdominal pain were included. According to questionaire and history taking abdominal pain was classified by its six subtype in the Oriental Pediatic Text Book and Dong Eui Bo Gam(東醫寶鑑). Result : According to the Oriental Pediatic Text Book, among 41 children, 31.7% had symptoms of AP caused by cold in internal organs of deficiency(臟腑虛冷腹痛), 29.3% had symptoms of AP caused by diet(食積腹痛), 19.5% had symptoms of AP caused by cold(寒腹痛), 9.8% had symptoms of AP caused by both cold and diet, 7.3% had symptoms of AP caused by internal diet and external cold(內食外寒腹痛), 2.4% had symptoms of AP caused by stagnation of Ki and stasis of blood(氣滯血瘀腹痛). There is no AP caused by parasites(蟲腹痛). Otherwise, according to Dong Eui Bo Gam, 43.9% had symptoms of AP caused by cold, 26.8% had symptoms of AP caused by diet, 9.8% had symptoms of AP caused by both cold and diet, 7.3% had symptoms of AP caused by fire(熱腹痛), 7.3% had symptoms of AP caused by phlegm(痰飮腹痛), 4.9% had symptoms of AP caused by stagnated blood(瘀血腹痛). Also There is no AP caused by parasites. Conclusion : 1. The type of AP in Childhood is different from AP in adults. AP in Childhood is most occured by cold of deficiency and food, and there is few AP caused by fire. Six subtype in Dong Eui Bo Gam prefer adults to children and It is more studied that what kind of subtype is proper for AP caused by stress or drugs. So the study on subclassification and clinical Manifestations of AP in Childhood is more performed.

• 한국방사선학회논문지
• /
• 제11권7호
• /
• pp.619-625
• /
• 2017

본 연구는 조영제 주입 전 복부 검사 시 필수적으로 적용되고 있는 HASTE, HASTE(f/s), FFE(in, out)를 중심으로 두 기기에 대한 복부장기의 신호 대 잡음비(SNR; Signal to Noise Ratio)와 대조도 대 잡음비(CNR; Contrast to Noise Ratio)를 정량적으로 평가함으로서 최적의 장비선택을 알아보고자 하였다. 데이터분석은 1.5T 와 3.0T 자기공명영상기기(Philips medical system, Netherland)를 이용하여 검사한 복부영상을 무작위로 선정하여 분석을 하였다. 정량적 분석결과 간(Liver), 신장(Kidney), 비장(Spleen)에서는 1.5와 비교했을 때 3.0T가 SNR, CNR 값이 높게 나타났고(p<0.05), 위(Stomach), 복부지방(Abdominal Fat), 췌장(Pancreas)에서는 1.5T 가 높은 결과를 얻었다(p<0.05). 결론적으로 두기기별 장기에 대한 정량적 평가를 했을 때 인체의 바같 부분 조직은 전반적으로 3.0T 가 높게 나타났고 가스를 포함하여 자화율의 차이를 많이 발생시키는 안쪽부분의 장기는 1.5T 가 높은 결과를 얻었다. 이러한 결과는 환자상태에 따라 조영제를 사용하지 못하고 MRI 검사를 하는 경우 정확한 진단학적 정보를 제공하는데 가이드라인이 될 것이다.