• 제목/요약/키워드: cases report

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악골의 낭종에 관한 임상적 연구 (CLINICAL STUDY OF CYST IN THE JAWS)

  • 임재석;장현석;손형민;남영원
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제26권3호
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    • pp.293-296
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    • 2000
  • The purpose of this study is to find the histopathological pattern of cysts. We reviewed the hospital chart, out-patient chart, roentgenogram, histopathologic report and operation report of 152 patients who had been diagnosed as cyst and treated at the department of Oral and Maxillofacial Surgery of Korea university hospital between Jan. 1, 1995 and Dec. 31, 1998. And then we studied clinically with regard to pathological classification, age and sex distribution, anatomical distribution and so on. The results were as follows : 1. In pathologic classification, radicular cyst (97cases, 64%), dentigerous cyst (35cases, 23%), odontogenic keratocyst (8cases, 5.3%) were dominant among cases of cyst. 2. The pattern of age distribution in cases of radicular cyst, dentigerous cyst and odontogenic keratocyst was similar to that found in previous studies. The peak incidence was in the second decade (27%) and third decade (29%) in overall cases. 3. The male-to-female ratio was 1.9 : 1. 4. Radicular cyst occured most frequently in the maxillary incisor teeth area, dentigerous cyst in mandibular wisdom teeth area, and odontogenic keratocyst in mandibular molar area.

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식도천공의 임상적 고찰 (Clinical evaluation of the esophageal perforation: 8 cases report)

  • 한균인
    • Journal of Chest Surgery
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    • 제16권1호
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    • pp.121-126
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    • 1983
  • 8 cases of the esophageal perforations were treated at the department of thoracic surgery, Chungnam National University Hospital during the period from July, 1980 to Dec., 1982. The causes of the perforation were various; swallowed a piece of glass, stocking pin, coiled wire, compressed air blow, strenuous vomiting, dog bite, tiller accident, and endoscopic procedure. The perforation sites were cervical esophagus in 3 cases, upper thoracic in 2 cases and lower thoracic in remains. We have performed following surgical procedure; Incision and drainage for cervical abscess, closed thoracostomy, thoracotomy and debridement, esophagoscopy and gastrostomy. Two cases were died. The causes of death were massive bleeding and sepsis.

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1974년도 전불도민 토진환자 35명에 대한 성형수술 보고 (REPORT OF 35 CASES OF CLEFT LIPS AND CLEFT PALATES IN PEOPLE OF JEON BUK DO)

  • 김오환
    • 대한치과의사협회지
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    • 제13권2호
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    • pp.169-173
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    • 1975
  • The author had treated 35 caseds of cleft lips and cleft palate patients including 26 male patients and 8 female patients. There were 29 cases of unilateral cleft lip patients and 4 cases of bilateral cleft lip patients, 5 cases with together cleft lips and cleft palates among 35 cases were observed. I had accomplished that "Plastic Cheiloplasty", surgical plastic closure of cleft lips and cleft palates had been performed by using Millard's, Hagedorn's, Meyer's and LeMesurier's method.

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흉막액의 임상적 고찰 (Clinical Evaluation of Pleural Effusion -Report of Cases-)

  • 이정희;임진수
    • Journal of Chest Surgery
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    • 제26권5호
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    • pp.384-389
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    • 1993
  • A clinical analysis of pleural effusion was done on 100 patients who were between 5 and 67 years old. The etiologic diagnosis of pleural effusion at the time of discharge were pulmonary tuberculosis in 38 cases[38%],pneumonia in 20 cases[20%],lung carcinoma in 16 cases[16%],liver cirrosis in 9 cases[9%],congestive heart failure in 4 cases[4%],nephrosis in 3 cases[3%],Meig,s syndrom in 3 cases[3%].liver abscess 2 cases[2%],pancreatitis in 1 cases[1%] and other metastatic malignancy in 4 cases[4%]. Their chief complaints was chest pain in 89 cases[89%],dyspnea in 74 cases[74%],coughing in 46 cases[46%], fever in 13 cases[13%],weakness in 12 cases[12%] and dizziness in 11 cases[11%].

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원발성 심장 종양의 수술적 치료 (Surgical treatment of primary heart tumor -Report of 22 cases-)

  • 강면식
    • Journal of Chest Surgery
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    • 제22권1호
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    • pp.116-122
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    • 1989
  • During 22-year period ending in June 1988, operation was performed on 22 patients with primary heart tumor at Yonsei University College of Medicine. Mean age was 38.8*3.03[mean \ulcornerEM] ranging from 14 to 63 years old. Twenty cases were myxomas. Others were fibromyxoma and rhabdomyosarcoma. All patients complained of dyspnea on exertion. Nine cases had palpitation. Other constitutional symptoms were weight loss [7 cases], headache [4 cases], generalized edema [3 cases] and cough [3 cases]. Five cases had neurological symptoms and signs preoperatively. Preoperative NYHA Class was poor [Class II; 8 cases, III; 9 cases and IV; 5 cases]. The most common site of tumor origin was fossa ovalis limbus [16 cases; 72.8%]. Because of severe mitral regurgitation and of recurrent myxoma, 2 cases were reoperated for mitral valve replacement. Postoperative complications were postoperative mitral regurgitation [5 cases; 22.8%] and arrhythmia [4 cases; 18.2%], one of which was supra-His bundle block. All patient survived operation. Follow-up of 15 patients [mean 28.95*8.3 months] was good as functional class 1[8 cases] or II [7 cases]. More effective adjuvant therapy will be necessary to improve long-term prognosis for malignant primary heart tumor.

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한의사의 증례연구에 대한 인식 및 활용 (Traditional Korean Medicine Doctors' Awareness and Utilization of the Case Report)

  • 백승민;박정환;이상훈;김슬기;이정화;김보영;최선미
    • Korean Journal of Acupuncture
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    • 제29권1호
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    • pp.57-70
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    • 2012
  • Objectives : The purpose of this study is to assess Traditional Korean Medicine (TKM) doctors' awareness and utilization of the case report, based on the opinion that careful observation on the case sometimes provides us with the important information as clinical trial especially in the traditional medicine research field. Methods : A questionnaire study was conducted among TKM doctors who participated in the annual continuous maintenance education (CME) held at 5 regions of the Republic of Korea. Results : Almost 60% of the respondents had read case reports published in medical journals and 67% had openly shared their clinical cases with their colleagues. Of the respondents, 18.6% had been educated on reporting cases, and only 16% had the experience of reporting cases on one's own. However, 32.6% of the respondents had the intention to report cases in the future. These results show significant differences between general physicians who holds a license but no hospital training experience and board certified TKM doctors who have training experience. Conclusions : A majority of TKM doctors have read case reports but holds little experience of having been properly trained. Through this research, it has been found that awareness of case reports is rising in hospital training. Thus, the objective of case report education for TKM doctors who have hospital training experience should be set on encouraging them to do more whereas for doctors without hospital training experience, the objective should be set on making them more exposed to case reports to heighten one's awareness.

119 구급대원의 구급활동일지 기록 충실도 (Completeness of Emergency Medical Service Activity Report by Paramedics)

  • 윤성우;이효주
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2022년도 춘계학술대회
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    • pp.381-383
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    • 2022
  • 본 연구는 119 구급대원이 기록 충실도를 조사하기 위해, 현장응급처치지침을 기반으로 구급활동일지 작성지침을 준수하는지 여부를 분석하였다. 정상 이송된 67,830건을 대상으로 IBM SPSS Statistics version 22.0으로 통계분석을 진행하였으며, p<0.5를 통계적 유의성이 있는 것으로 정의하였다. 구급활동일지 필수항목 기록 충실도에서는 구급대원 2 자격 누락이 50,037건(73.8%)로 가장 많았으며, 다음으로 시간과 관련된 항목의 오기록율이 1,227건(1.8%)으로 많았다. 환자평가 충실도에서는 1차 활력징후에서 수축기혈압이 누락 및 오기록 되는 건수가 각각 1,218건(1.9%), 1,129건(1.8%)로 가장 많았고, 2차 활력징후에서는 모든 항목에서 정상 기록율이 70%대에 그쳤다. 환자의 중증도가 높을수록 기록지 작성에 오류가 많이 발생하였고 통계적으로 유의한 차이를 보였다(p=.00). 병원 전 상황은 좋은 기록지를 완성하기에 여러 가지 여러움이 존재하지만 구급대원은 기록지 작성의 중요성을 인지하여 충실도를 높일 수 있는 방안을 강구해야 할 것이다.

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흉벽에 발생한 종양 -흉벽 재건술 4례- (Reconstruction of Thoracic Wall Defect in Tumors of Chest Wall -Report of Four Cases-)

  • 이선희;김세화;이홍균
    • Journal of Chest Surgery
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    • 제8권1호
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    • pp.29-36
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    • 1975
  • We have experienced 49 cases of tumors of chest wall at St. Mary`s Hospital from Jan. 1963 to Dec.1974. In four cases of them, the reconstruction of chest wall defects performed. 1] Out of 49 cases of tumors of the chest wall, 27 cases were benign tumors, 14 cases metastatic malignant tumors, and 8 cases primary malignant tumors. 2] Twenty-six cases [50%] of tumors of the chest wall were on the bony cage. Among them benign tumors were 9 cases [35%], metastatic malignant tumors 14 cases [53%], and primary malignant tumors 3 cases [12%]. Of these, 24 cases were located on the ribs and 2 cases on the sternum.3] The malignant tumors of bony chest wall were excised in en bloc resection including involved ribs. The wide defects of bony chest wall were reconstructed by means of displacement of neighboring ribs and mobilized diaphragm, in the two osteogenic sarcomas of rib, and of prosthesis with silastic sheets in one rhabdomyosarcoma and one metastatic adenocarcinoma of lung.

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추나 시술 부작용에 대한 국내 현황 보고 (A report of present situation about the adverse reactions of chuna manipulation in Korea)

  • 이병이;장건;이길재;송윤경;임형호
    • 척추신경추나의학회지
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    • 제2권2호
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    • pp.161-170
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    • 2007
  • Objectives : This report was performed to report the present situation of the adverse reactions of chuna manipulation in Korea. Methods : Searches were conducted on Internet based field. We investigated the cases reported from Korea Consumer Agency and the "Minwon Baekseo" published by Korean Oriental Medicine Society. Results & Conclusions : The relevant cases and papers were of small number. The most adverse reaction of chuna manipulation was disc herniation. The serious adverse reactions were Cauda equina syndrome(CES) and Cerebral infarction. Most of serious adverse reaction cases were performed by non proffesional therapist. We should give chuna treatment to patients after sufficient education. We expect more case reports and systemic studies about adverse reaction and effect of chuna manipulation.

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The Effects of Acupotomy Therapy on Carpal Tunnel Syndrome: A Report of 4 Cases

  • Lee, Seongjin;Cha, Eunhye;Yang, Muhak;Lee, Jongdeok;Lee, Jiyoung;Lee, Sojin;Kim, Deokho;Kim, Sungchul
    • Journal of Acupuncture Research
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    • 제35권1호
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    • pp.4-10
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    • 2018
  • The aim of this report was to show the effects of acupotomy in patients with carpal tunnel syndrome. Four patients were treated with acupotomy twice. Visual analogue scale (VAS), Tinel's sign, Phalen's test, Boston carpal tunnel syndrome questionnaire (BCTQ), muscular strength test, and a cross-sectional area of median nerve was measured using ultrasound before and after treatment. In all 4 cases, the VAS score, BCTQ score and cross-sectional area of median nerve, all decreased and muscular strength test score increased. Tinel's sign and the Phalen's test changed from a positive to a negative in most cases. This report shows that acupotomy is an effective treatment for carpal tunnel syndrome. Further larger are needed to fully evaluate the beneficial effects of this treatment.