• 제목/요약/키워드: body-form diagnosis

검색결과 64건 처리시간 0.036초

피부전기저항측정기(ABR-2000)의 맥진기(3D-MAC) 및 한방진단시스템(DSOM)과의 상관성 연구 (Study for Correlation of 3D-MAC and DSOM with ABR-2000)

  • 송정오;김민애;이인선
    • 대한한방부인과학회지
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    • 제31권1호
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    • pp.57-83
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    • 2018
  • Purpose: This research has been carried out to find out correlation between test results of ABR-2000 and other diagnostic equipments to enhance significance of accurate diagnosis and clinical usage of ABR-2000. Methods: Duration of the 31 months from December 2012 to June 2015, records of 564 outpatients at gynecology department have been selected. The 564 patients were tested, using all 3 different test equipments of ABR-2000, DSOM, and 3D Blood Pressure Pulse Analyzer (3D-MAC) without test errors or mis-recordings. Correlation between 3D Blood pressure Pulse Analyzer, DSOM and ABR-2000 were analyzed by frequency & ratio factor of statistic data records of patients groups devided by 8 different disease symptom and by comparison of the groups in the form of Regulation and Graph presented on ABR-2000 equipment. Results: 1. The indicator L in all 1, 2, and 3 quadrant in the graph means the activity and reactivity of the upper body biodynamics detection rate is low and which result is very common symptom among gynecological patients. 2. The portion of patients with hypermenorrhea, endometritis, and menstrual pain symptom among the indicator L group in the reactivity 1-3 quadrantin is significantly high. 3. When 3D Mac analyzer indicates H, diastole decreases while systole increases and tachycardia increases then the blood circulation is expected to increase. In case of indication L, diastole increases and systole decreases then, the blood circulation is expected to decrease.

건강한 성인에서의 오진하기 쉬운 포도구균성 열상 피부증후군의 치험례 (Staphylococcal Scalded Skin Syndrome in a Healthy Adult: Easy to Misdiagnose)

  • 김홍일;곽찬이;박언주
    • Archives of Hand and Microsurgery
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    • 제23권4호
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    • pp.271-276
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    • 2018
  • 60세 남성이 3개월간 좌측 새끼손가락이 붓고 그곳의 발적 증상을 주소로 내원하였다. 과거력 상 특이 소견은 없었고, 균 배양 검사상 methicillin-resistant Staphylococcus aureus가 검출되었다. 반코마이신을 투여 후, 피부 병변이 악화되면서 전신 수포와 낙설이 발생하였다. 우리는 처음에 약물 발진 의진 하에 항생제를 반코마이신에서 테이코플라닌으로 변경하였다. 하지만 피부 조직검사 결과는 Staphylococcal scalded skin syndrome (SSSS)으로 나왔다. 수일 후, 환자는 전신 피부증상 호전되어 퇴원하였다. 우리는 건강한 성인에서 발생한 국소적 양상의 SSSS에 대해 보고하고자 한다. 이는 오진하기 쉬운 증례로서, 정확한 진단을 위하여서는 조기에 조직학적 검사가 중요할 것으로 생각된다.

Ethylene glycol 중독견의 임상병리학적 소견 (Clinico-pathological findings of experimental ethylene glycol poisoning in dogs)

  • 성은주;이현범
    • 대한수의학회지
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    • 제37권4호
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    • pp.883-897
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    • 1997
  • Present study was undertaken in order to find out the most significant laboratory test for the early diagnosis of ethylene glycol poisoning in dogs. Seven dogs weighing from 5.0kg to 19.3kg were administered orally 6ml or l0ml of ethylene glycol per kilogram of body weight. In addition to clinical observations, blood samples were taken from the jugular vein on 0, 1, 3, 6, 12, 24 and 48 hours or until death after the adminisration and examined for the hematological, blood chemical, venous blood gas and electrolyte changes. Urine samples were simultaneously taken and examined for pH, protein, glucose and calcium oxalate crystals in the sediments. The results were as follows : 1. All dogs showed marked hypothermia in addition to the characteristic signs of ethylene glycol poisoning until death. 2. No significant hematological changes were observable after the administration of ethylene glycol except the secondary dehydration and stress leukogram. 3. Chemical values related to the liver function(serum glutamic pyruvic transaminase, total serum protein, serum albumin, serum total bilirubin) showed no significant changes during the experimental period in all dogs. 4. Chemical values related to the renal function(BUN and creatinine) showed significant(p<0.0l, p<0.001) increase from 24 hours to death in all dogs. 5. All dogs showed significant(p<0.01, p<0.001) decrease in blood pH from 3 hours to death after the ethylene glycol administration. 6. All dogs showed significant(p<0.05, p<0.01, p<0.001) increaes in anion gap from 1 hour to death after the ethylene glycol administration. 7. All dogs showed significant(p<0.05, p<0.01) decrease in urine pH from 1 hour to 6 hours after the administration of ethylene glycol. 8. Characteristic envelope form of calcium oxalate crystals were found in the urinary sediment from 6 hours after the administration of ethylene glycol in all dogs. 9. Histologically calcium oxalate crystals were found in the renal rubles in all dogs. 10. From these results, it may be concluded that the examinations of urinary sediments for the calcium oxalate crystals, blood or urinary pH and blood anion gap are most reliable tests for the early diagnosis of ethylene glycol poisoning in dogs.

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밀기증후군을 가진 뇌졸중 환자에 대한 임상 실기와 문서화: 사례보고 (Physical Therapy Clinical Practice and Documentation for Pusher Syndrome in Stroke Patients: Case Report)

  • 황기경;송수영;두영택;윤세원;이정우
    • 대한임상전기생리학회지
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    • 제9권1호
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    • pp.41-49
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    • 2011
  • This study purposes to conduct visual feedback and body posture control training on stroke patients with pusher syndrome in order to reduce their pusher syndrome. This study also examines changes resulting from the training and applies the guidelines necessary for documentation of patient/customer management. The participant for this study was one patient with pusher syndrome. The study progressed from a medical examination of the subject followed by evaluation, diagnosis, prognosis, intervention and treatment plan, and finally re-examination in order of precedence. Problems in the participant's functional activities, difficulties in changes from sitting postures into standing postures, and maintaining standing postures were determined as primary restrictions on activities and the improvement of these activities was set up as a goal through discussions with the patient. Interventions were mainly implemented to reduce the pusher syndrome with visual feedback provided using mirrors and exercises focusing on leaning in order to maintain posture while sitting. Changes from supine postures to sitting postures and the degree of changes in maintaining standing postures were compared between before and after the intervention by measuring times in the same environment and the degree of pusher syndrome was measured using the SCP tool. The process of this clinical practice was documented. The SCP score that indicates the degree of changes in the participant's pusher syndrome changed from 3.75 points to 0.8 point indicating a decrease in pushing. Among functional activities, posture changes from sitting postures to standing postures and maintaining standing postures were improved. In addition, since the patient could maintain standing postures, the patient could walk indoors. In this case study, mirrors and body posture control training used as interventions to relieve pusher syndromes can be easily applied in clinics to examine the form of functional recovery. The results indicated that these intervention methods were effective and thus it is thought that the results can be used as basic data to utilize these intervention methods diversely. In addition, the documentation of patient/client management was applied as actual documentation in Korean and based on the results, we could show decision making processes for patients' functional goals and objectively explain problems, prognoses and changes made through the interventions.

경련 발작으로 발현된 지발형 제II형 글루타르산혈증 (Late Onset Glutaric Acidemia Type II Manifested as Afebrile Seizure)

  • 남상정;이건준;박원일;배은주;이경화;이홍진
    • 대한유전성대사질환학회지
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    • 제5권1호
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    • pp.1-8
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    • 2005
  • 제II형 글루타르산혈증은 발생 시기와 정도에 따라서 질병의 경과를 달리한다. 지발형의 경우 평상시에는 증상이 없고, 검사 소견도 정상 소견을 보이나 대사가 증가되는 hypercatabolic status에서는 저혈당, 대사성 산혈증, 고암모니아혈증 등이 나타나며, 다양한 신경학적인 증상들이 나타날 수 있다. 따라서 신경학적인 증상들이 있는 경우 기본적인 검사들을 시행해 보고, 위와 같은 소견들이 보이는 경우에는 소변의 유기산 분석을 통한 진단이 필요하다. 정맥내로 포도당이 투여되면 유기산 분석의 양상이 매우 빠른 속도로 정상화될 수 있으므로 정맥내로 포도당을 투여하기 전에 소변 검체를 채취하여 냉동 보관하는 것은 정확하고 빠른 진단을 위하여 필수적이라고 할 수 있다.

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형질변형성장인자가 손상골 재생능에 미치는 영향에 관한 실험적 연구 (THE EFFECTS OF TGF-$\beta$1 ON THE BONE REGENERATION IN GUINEA PIG MANDIBLE)

  • 이병도;황의환;이상래;홍정표
    • 치과방사선
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    • 제25권2호
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    • pp.423-435
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    • 1995
  • The purpose of this study was to observe the effect of TGF-βl, which promotes differentiation and proliferation of osteoblasts, on bone regeneration. Experimental bone defects that measured 3 mm in diameter were created on the mandibles of guinea pig by removal of bone with the use of trephine burs. In one side of mandibular body, the experimental groups, bone defects were grafted with Biogran(Orthovita Co., U.S.A) and TGF-β1(R&D System Co., U.SA). In the remaining side of the mandiblar body, the control groups, bone defects were grafted with only Biogran. Guinea pigs in the control and experimental groups were serially terminated by fours on the 3 days, the 1 week, the 2 weeks, the 3 weeks, and the 4 weeks after experiment, and both sides of the mandibular bodies were removed and fixed with 10% neutral formalin. They were decalcified and embedded in paraffin as using the usual method. The specimen sectioned and stained with hematoxylin and eosin. Also, they were radiographed with a soft X -ray apparatus. The obtained results were as follows; 1. Hemorrhagic condition, observed in the granulation tissues, disappeared on the 1 week after experiment in both groups, and more prominent in the experimental group. The granulation tissues of the experimental group had larger number of cells than those of the control group. 2. Osteoblastic differentiation in the margin of grafted material and adjacent bone was observed on the 1 week after experiment in both groups. Also, bone formation was observed in immature form on the 1 week after experiment. and more prominent in the experimental group. 3. In the polarizing microscopic examination, bone matrix was very loose on the 1 week after experiment, but increase in density with time, and more prominent in the experimental group. 4. In the microradiographic examination, newly formed bone was observed in the experimental group on the 2 weeks after experiment, and this was observed earlier than in the control group. Newly formed bone was increased with time and defected area was markedly decreased on the 4 weeks after experiment.

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황제내경(黃帝內經)에 보이는 한(汗)관련 서술(敍述)의 특징(特徵)에 대한 고찰(考察) (A Study on the Characteristics of Descriptions of the Perspiration in "Hwangjenaegyeong(黃帝內經)")

  • 유정아;장우창;백유상;정창현
    • 대한한의학원전학회지
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    • 제23권2호
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    • pp.205-223
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    • 2010
  • In Korean Traditional Medicine(abbreviated to K.T.M.), hyperhidrosis and anhidrosis are the targets of the medical treatment. Furthermore sweating appearance is also one of the important symptoms which explain a particular situation of the patient in K.T.M. And at "Sanghanron(傷寒論)" which is a traditional chief clinical bible written by Jang Gi(張機) later Han dynasty(漢代) in China made full use of the various kinds of diaphoresis[汗法] as a main medical treatment with purgation therapy[下法] and emetic therapy[吐法]. So the sweat in itself not only is the disease, but also is one of the symptoms explain a disease pattern. This thesis inquires into "Hwangjenaegyeong(黃帝內經)" referring to sweat which is the origin of recognition to the sweat in K.T.M. Some theses similar to this research had been made progresses and already reported, but most of them have classified the contents into biology, pathology, diagnosis, treatment after the model of western medical theory. In the aspect of comparative studying with other literature and clinic practical using, we found characteristics of referring to sweat in "Hwangjenaegyeong(黃帝內經)". And we classify the characteristics into some categories as follows. 1. There are some terms which make a title including sweat and symbolize the characteristics, for example sweat of soul[魄汗], sweat of death[絶汗], sweat of streaming[灌汗], sweat of weakness[白汗], sweat of sleep[寢汗], sweat of bright and heat[炅汗], sweat of kidney[腎汗], sweat of escaping[漉汗], cold sweat[寒汗], sweat on the head[頭汗], hyperhidrosis[多汗], heavy sweat[大汗]. But there aren't spontaneous sweat[自汗] or sweat like a thief[盜汗] which are the normal terms referring to sweat in history of K.T.M. And there are several descriptions about sweat appearance such as sweating in half of body[汗出偏沮], sweating in the rear end and thigh and knee[汗出尻陰股膝], hyperhidrosis in the neck and aversion to wind[頸多汗惡風], hyperhidrosis in the head and face and aversion to wind[頭面多汗惡風], cannot stopping the sweating under head[頭以下汗出不可止], make a person sweat to one's feet[令汗出至足], sweating like escaping[漯漯然汗出], sweating like soaking[汗出如浴], sweating become moist[汗出溱溱], hardly escaping sweat[汗大泄], escaping sweating[漉漉之汗], sweat moisten the pores [汗濡玄府], ceaseless sweating like pouring[汗注不休] sweating like pouring and vexation[汗注煩心], damp with sweat[汗汗然], sweating spontaneously[汗且自出], removal of fever with sweat drying[熱去汗稀]. That can be divided into sweat region and sweat form. 2. There are detailed explanations of the principle of perspirations caused by hot weather, hot food, hard working and meeting damp pathogen. 3. There are some explanations of the principle of removing fever due to the excessive heat from internal and external body through sweating by replenishing the body fluid. And many descriptions about overcoming the febrile disease by dropping temperature through sweating and many diaphoresis for curing. 4. There are some descriptions about five Jang organs perspirations and attachment of five mucous body fluid to five Jang organs. 5. There are pathogenic progresses after sweating affected by the Six Atmospheric Influences and water. And detailed explanations of disease mechanism a sweat leading to another disease. 6. There are descriptions about various sweat absent situations.

거대세포 간절성 폐렴(Giant Cell Interstitial Pneumonia) 1예 (A Case of Giant Cell Interstitial Pneumonia)

  • 강경우;박상준;서지영;한정호;정만표;김호중;권오정;이종헌;최재욱
    • Tuberculosis and Respiratory Diseases
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    • 제48권2호
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    • pp.260-267
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    • 2000
  • 거대세포성 간질성 폐렴은 경금속 도구를 이용한 절삭, 연마공정에서 발생하는 경금속 분진을 흡입하여 발생하는 산업성 폐질환으로 알려져 있다. 저자들은 이러한 특징적인 경금속분진에 대한 노출력이 없이 발생하였던 거대세포성 간질성 폐렴을 수술적 폐생검과 폐조직내 금속 함유량 분석을 통해 진단하였기에 보고 하는 바이다.

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A군 연구균 감염 후 급성 사구체 신염과 동반된 침습성 수막구균감염증 1례 (Case of Combined Acute Poststreptococcal Glomerulonephritis and Acute Invasive Meningococcal Disease)

  • 전호상;한원호;박동균;차성호
    • Pediatric Infection and Vaccine
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    • 제11권1호
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    • pp.126-130
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    • 2004
  • 본 저자들은 A군 연쇄구균 감염 후 급성 사구체신염과 동반된 수막구균감염증(수막구균 뇌수막염, 수막구균혈증)에 걸린 7세 남아를 경험하였는데 A군 연쇄구균 감염 후 급성 사구체 신염으로 인해서 C3가 감소하여 수막구균감염증에 감염이 되었는지, 역으로 가능성은 떨어지지만 수막구균감염증의 결과로 C3가 감소하였고 사구체신염이 생긴 것인지 전후 관계가 확실하지 않은 증례를 문헌고찰과 함께 보고하는 바이다.

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운동 유발성 알레르기 질환(FDEIA)에 미치는 영향과 기전분석 (Effects of Different Exercise Intensity on FDEIA and Related Mechanisms)

  • 이원준;곽이섭;유병인
    • 생명과학회지
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    • 제21권4호
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    • pp.542-548
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    • 2011
  • 본 연구에서는 우선 운동 강도(저강도, 중강도, 고강도)를 달리하여 훈련한 서로 다른 그룹에서 운동 유발성 알러지 아나필락시스의 차이를 규명하고 운동강도에 따른 운동 유발성 알러지 질환의 기전을 규명하고자 본 연구를 실시 하였다. 본 실험을 위하여 군당 25마리씩 통제군(S; control sensitized, n=25), 저강도 훈련군(S30, n=25), 중강도 훈련군(S50, n=25) 및 고강도 훈련군(S80, n=25)으로 구분하여 수영훈련 강도별 알러지를 유도하였을 때, 알러지 아나필락시스를 조사하고 아울러 비장지수, 림프구의 수, 림프구 증식반응, 싸이토카인(IL-4, INF-${\gamma}$), 항체 및 복강과 비장의 ROS를 함께 측정하였다. 본 연구 결과, 일반 감작군에 비하여 운동 감작군에서 알러지가 더 잘 일어남을 확인하였고, 운동강도의 증가와도 밀접한 것으로 확인되었다. 이는 운동강도가 증가할수록 OVA반응에 대한 림프구 증가가 현저하게 일어나는 원인과 복강활성산소의 증가 및 알러지 면역반응에 중요한 역할을 담당하는 싸이토카인인 IL-4의 증가 때문인 것으로 해석할 수 있다. 특히, 운동강도의 증가에 따라 INF-${\gamma}$의 감소도 의미 있는 결과로 해석된다. 따라서 추후 운동 강도뿐만이 아니라 운동빈도에 따라서도 FDEIA의 변화에 대한 심도 있는 연구가 필요하다고 여겨진다.