• Title/Summary/Keyword: functional disability

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Difficult intubation caused by an immature upper airway in a patient with cri-du-chat syndrome: a case report

  • So, Eunsun;Kim, Seungoh
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.20 no.1
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    • pp.49-53
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    • 2020
  • Cri-du-chat syndrome (CdCS) is caused by the deletion of the short arm of chromosome 5. Most patients with CdCS develop intellectual disabilities. Therefore, they have poor oral hygiene and a high caries index. However, treating such patients is not an easy task, because of the difficulty in communication. General anesthesia may be a useful option in adult patients with CdCS and intellectual disability. General anesthesia should be administered very carefully, owing to the presence of comorbid diseases, which may need airway management. Infants with CdCS need general anesthesia if they have a concomitant cardiac anomaly. Intubation is reportedly difficult for such patients was, owing to the structural and functional abnormalities in the larynx and vocal cords. The purpose of this study was to report a case of difficult intubation while inducing general anesthesia in a patient with CdCS during dental treatment, due to a narrow larynx and trachea.

Bony Spurs at the First Metatarsocuneiform Joint -A Case Report- (제 1 중족 설상골 관절의 골극 -1례 보고-)

  • Lee, Woo-Chun;Park, Hyun-Soo;Choi, Deu-Sick;Rha, Jong-Deuk
    • Journal of Korean Foot and Ankle Society
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    • v.3 no.1
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    • pp.49-52
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    • 1999
  • Slight protrusion of the dorsum of midfoot without degenerative arthritis is common and usually can be treated by avoiding pressure of the shoe. Primary or posttraumatic degenerative arthritis accompanied by severe functional disability is treated by realignment and arthrodesis of the involved joints. We report a case of osteophytic changes in the form of lipping at the base of the first metatarsal and medial cuneiform which was treated by resection of the spurs. The cause of these spurs may be the congenital coalition of the first metatarsocuneiform joint.

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Effect of lontophoresis with Analgesia (이온도입법의 진통효과)

  • Kim, Seong-Hak
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.815-820
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    • 2001
  • This study was to determine whether iontophoresis application would produce analgesic effect for clinical practice. Physical therapist controls pain produced by various causes and plays a role improving functional disability. I studied varieties of pain theories, mechanisms and iontoporosis principles which need for physical therapist. These were summarized as follwings; 1 . In the case of chronic patients, it is helpful to adapt iontophoresis treatment as well as generalized treatments which goals for pain releasc. 2. lontophoresis treatment should be positively examined to control pains safely. efficienently without sideeffects. 3. lontoporesis treatment suggests the foundations that hormone or anaesthetics should be incluided in the range of medicines physical therapist can deal with.

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Issues in Adults Prader-Willi Syndrome

  • Park, Sung Won
    • Journal of mucopolysaccharidosis and rare diseases
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    • v.1 no.2
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    • pp.40-43
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    • 2015
  • Prader-Willi syndrome (PWS), a complex genetic disorder, arises from suppressed expression of paternally inherited imprinted genes on chromosome 15q11-q13. Characteristics include short stature, intellectual disability, behavioral problems, hypogonadism, obesity, and reduced bone and muscle. The life expectancy of persons with PWS has increased in recent years. Cardiovascular diseases, diabetes, dermatological, and orthopedic problems are common physical complaints in older people with PWS. Behavioral problems are major concerns in adults with PWS into old age. And aging is also associated with significant social and economic changes. Age-related physical morbidity, physical appearance, behavioral and psychiatric problems, functional decline and economic problems can be combined in older PWS. The care for older people with PWS requires a life span approach that recognizes the presence, progression, and consequences of specific morbidity.

Nuclear Medicine Imaging Diagnosis in Infectious Bone Diseases (감염성 골질환의 핵의학 영상진단)

  • Choi, Yun-Young
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.4
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    • pp.193-199
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    • 2006
  • Infectious and inflammatory bone diseases include a wide range of disease process, depending on the patient's age, location of infection, various causative organisms, duration from symtom onset, accompanied fracture or prior surgery, prosthesis insertion, and underlying systemic disease such as diabetes, etc. Bone infection may induce massive destruction of bones and joints, results in functional reduction and disability. The key to successful management is early diagnosis and proper treatment. Various radionuclide imaging methods including three phase bone scan, Ga-67 scan, WBC scan, and combined imaging techniques such as bone/Ga-67 scan, WBC/bone marrow scan add complementary role to the radiologic imaging modalities including plain radiography, CT and MRI. F-18 FDG PET imaging also has recently been introduced in diagnosis of infected prosthesis and chronic active osteomyelitis. Selection of proper nuclear medicine imaging method will improve the diagnostic accuracy of infections and inflammatory bone diseases, based on understading of pathogenesis and radiologic imaging findings.

Partial Mandibulectomy for Oral Cavity and Oropharyngeal Carcinoma (구강 및 구인두암의 수술에 있어서 하악골 부분절제술에 대한 고찰)

  • Choi Eun-Chang;Hong Won-Pyo
    • Korean Journal of Head & Neck Oncology
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    • v.10 no.2
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    • pp.163-170
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    • 1994
  • Segmental mandibulectomy causes severe functional disability and cosmetic problem. Many methods of reconstruction have been used but none of these procedures provides the ideal solution. There has been increased interest in the possibility of preserving a portion of the mandible and still carrying out a adequate tumor resection. We experienced four cases of marginal with sagittal mandibulectomy in patients with floor of mouth. buccal. and soft palate carcinoma, and sagittal mandibulectomy in 8 patients with tonsillar carcinoma and a case of marginal mandibulectomy in tonsillar cancer patient. In all cases mandible facing the tumor were successfully resected and repair of the mandible. postoperative facial contour were satisfactory. We think. that these sagittal procedures are oncologically sound in its removal of tumor. biomechanically secure and maximize postoperative rehabilitation while maintaining the normal contour of the face.

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Cardiomyopathies in small animals

  • Fujii, Yoko
    • Proceedings of the Korean Society of Veterinary Clinics Conference
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    • 2009.04a
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    • pp.127-133
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    • 2009
  • Cardiomyopathies were previously defined as "an idiopathic myocardial disease that is not secondary to any other type of congenital/acquired heart disease or systemic diseases." With increasing understanding of etiology and pathogenesis in human medicine, the difference between cardiomyopathy and specific heart muscle disease has become indistinct. Cardiomyopathies are now classified by the dominant pathophysiology or, if possible, by etiological/pathogenetic factors. The American Heart Association recently advocated the following new definition of cardiomyopathy: Cardiomyopathies are a heterogeneous group of diseases of the myocardium associated with mechanical and/or electrical dysfunction that usually (but not invariably) exhibit inappropriate ventricular hypertrophy or dilatation and are due to a variety of causes that frequently are genetic. Cardiomyopathies either are confined to the heart or are part of generalized systemic disorders, often leading to cardiovascular death or progressive heart failure-related disability. Because the understanding of etiology or pathogenesis of cardiomyopathy has been limited in veterinary medicine, the previous classification is generally used. It is considered a dilated, hypertrophic and restrictive group on the basis of the predominant morphological and functional abnormalities. In addition, arrhythmogenic right ventricular cardiomyopathy and unclassified cardiomyopathy were also recognized in dogs and/or cats.

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The Treatment Effects of Back Flexion and Extension Exercises in Patients with Low Back Pain (요통환자에 있어서 요부굴곡운동과 요부신전 운동의 치료효과 비교연구)

  • Kwon, Hyeok-Su;Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.2 no.1
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    • pp.21-32
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    • 1996
  • To compare the treatment effects of back exercise on functional status, spinal mobility, SLR, pain severity, and treatment results satisfaction, and to determine whether spinal exercises during the low back pain reduces recurrent episodes of back pain. 1. Flexion and extension exercise groups did not differ in any outcome over 4weeks. After 1week, both exercise groups had reduced disability score, a higher proportion returning to work, and fewer subjects with a positive SLR compared with the control group. 2. There was no difference among groups regarding recurrence of low back pain after 6~12 months. 3. There was no difference for any outcomes between the flexion or extension groups. However, either exercise was slightly more effective than no exercise when patients with low back pain were treated.

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Case Study of Tremor Patient with Ssanghaptang-gamibang (쌍합탕 가미방으로 호전된 진전 환자 1례)

  • Park, Kyung;Byun, Joon-Seok;Kim, Dae-Jun;Hur, Jin-Il
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.3
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    • pp.781-784
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    • 2007
  • Tremor is a rhythmic and involuntary muscular contraction charaterized by oscillations of body parts. tremor often accompanies neurological disorders associated with aging. Although the disorder is not life-threatening, it can be responsible for functional disability and interpersonal relationship problems. We have recently examined a number of tremor-patients. One of them was improved significantly through the herbal medicine (Ssanghaptang-gamibang) and accupuncture, so we report it for the better treatment.

A Case Report of Korean Medicine Therapy including Duhuo Jisheng Tang and Pharmacoacupuncture for a Chronic Inflammatory Demyelinating Polyneuropathy Patient Complaining Weakness and Numbness in Lower Extremity (하지 위약감 및 저림을 호소하는 만성 염증성 탈수초성 다발신경병증 환자에 대한 독활기생탕과 약침을 포함한 한의복합치료 증례보고 1례)

  • Ye-Chae Hwang
    • Journal of Society of Preventive Korean Medicine
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    • v.28 no.1
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    • pp.159-168
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    • 2024
  • This case study aims to report Korean medicine treatment's response to weakness and numbness in chronic inflammatory demyelinating polyneuropathy (CIDP) patient. The patient received Korean medicine treatment during hospitalization, including Duhuo Jisheng Tang and pharmacoacupuncture. The assessment was performed using the Functional Independence Measure (FIM), Numeric Rating Scale (NRS) for numbness, and Oswestry Disability Index (ODI). After 21 days of treatment, the FIM improved from 82 to 126, NRS improved from 6 to 2, and ODI improved from 37 to 8. There were no side effects after receiving Korean medicine. This case suggests that Korean medicine treatment can induce treatment response for lower extremity weakness and numbness in CIDP patients.