• Imaging Science in Dentistry
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• 제44권3호
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• pp.243-247
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• 2014

A 28-year-old male patient with a history of cystic fibrosis (CF) was referred to the University of Connecticut School of Dental Medicine for an evaluation of a cystic lesion in the right maxilla using cone-beam computed tomography (CBCT). CF is an autosomal recessive disease characterized by an abnormal production of viscous mucus, affecting the mucociliary clearance. The CBCT scan revealed a large cystic lesion in the right maxilla extending from the right maxillary second molar to the midline in the region of the right central incisor with a significant buccal expansion. Further evaluation revealed complete opacification of the paranasal sinuses with medial bulging of the lateral maxillary sinus walls. The maxillary and sphenoid sinuses also appeared hypoplastic. The peculiar finding seen in this case was the presence of marked sclerosis and an increase in the thickness of the adjacent bony framework. This report aimed to describe the common sinonasal findings associated with CF and its underlying pathophysiology.

• 대한한의학방제학회지
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• 제21권1호
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• pp.1-15
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• 2013

Objectives : This article is a study on to which categories of modern diseases blood stasis patterns are assigned and the meaning of blood stasis interpreted with perspectives of Korean Medicine and modern medicine. Methods : We reviewed "Neijing", "Shanghanlun", "Yilingaicuo", "Xuezhenglun" and other books and modern clinical papers related with blood stasis. Results : 1. Blood stasis patterns are related with disorders of hemorrheology, hemodynamics, platelet function, microcirculation, microelements and endothelial damage. 2. From the types of syndrome differentiation, diverse diseases classified in type of qi deficiency with blood stasis and type of blood stasis due to qi stagnation are reported, which reflects qi and blood are closely connected. And many diseases are classified in type of kidney deficiency with blood stasis, which has something in common with chronic diseases can achieve effect from treatment considering blood stasis. 3. Diseases related with kidney involve menopausal disorder, mazoplasia, prostatitis, erectile dysfunction, chronic nephritis, renal calculus, osteoporosis and bursitis. Diseases related with heart involve coronary artery disease, arrhythmia and cerebral thrombosis. Diseases related with spleen involve gastritis, colonitis and digestive organ ulcer. Diseases related with liver involve hepatitis, hyperthyroidism and stroke. Diseases related with lung involve neurodermatitis, bronchitis and paranasal sinusitis. Conclusions : Blood stasis pattern which is one of the areas to draw medicine's attention has broad clinical application.

• 대한기관식도과학회지
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• 제10권1호
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• pp.55-57
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• 2004

On occasion there were reports of foreign body of paranasal sinuses. Most common site is the maxillary sinus. But it is very rare to experience a long-term foreign body in maxillary sinus. There are two types of maxillary foreign bodies according to etiology, one is caused by various traumatic accidents, and the other is iatrogenic cause which mainly retaining gauze or medical instruments after sinus operation or teeth extraction. We experienced an interesting case of over fifty yews resided metal foreign body in maxillary sinus caused sinusitis, and report with a brief literature review.

• Tuberculosis and Respiratory Diseases
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• 제57권6호
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• pp.535-542
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• 2004

연구배경 : 본 연구는 만성 기침 환자의 원인 진단을 위하여 흔히 사용되는 검사의 진단 성적을 알아보고, 이들에 대한 경제적 진료모델을 구축하기 위하여 시행하였다. 방 법 : 3주 이상의 만성 기침 환자를 대상으로 첫 내원일에 혈청 총 IgE, 말초혈액 호산구, 객담 호산구, 메타콜린 기관지유발검사, 부비동 촬영을 시행하는 동시에 prednisolone 0.5mg/kg를 7일간 경구 투약하고 추적 방문토록 하였다. 추적일에 환자 증상의 개선도에 따라 스테로이드 반응군과 불응군으로 분류하고 검사의 진단성적을 조사하였다. 조사된 환자 검사 결과와 스테로이드 반응률을 근거로 만성 기침 환자를 진료하는데 소요되는 의료 비용을 가상적인 3가지 진료 모델에 대입하여 비교하였다. 결 과 : 60명의 만성 기침 환자가 최종 분석되었고, 스테로이드 경구 투여로 기침의 호전이 있었던 경우는 90.0%였다. 내원시에 단순흉부방사선 검사, 기본 폐기능 검사, 객담 호산구 검사, 부비동방사선 검사를 시행하면서 동시에 단기간 스테로이드를 투여하여 약제 반응성을 살피는 것이 진단 성적을 유지하면서 향후 치료 방침을 세우는 비용-효과적 방법이었다. 결 론 : 만성 기침 환자를 진료할 때 검사를 시행하는 동시에 스테로이드를 단기간 투여하는 것이 검사의 진단적 한계를 극복하고 최종 진료 지침을 세우는 동시에 사회적 의료비용을 줄이는 방법이 될 수 있을 것으로 생각된다.

• Journal of Yeungnam Medical Science
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• 제22권2호
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• pp.191-198
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• 2005

확실한 자기공명영상의 효과를 판정하기 위해서는 아직도 증례가 많이 부족한 것이 사실이지만 본 연구의 결과에서도 알 수 있듯이 반전성 유두종에 있어 술전 자기공명영상으로 종양의 범위와 위치를 구별하는데 탁월한 효과를 확인하였다. 앞으로도 많은 환자를 대상으로 체계적인 연구가 이루어져야 하겠고 향후 지속적인 자기공명영상 촬영술의 발달이 뒷받침 된다면 좀 더 정확한 결과를 얻을 수 있을 것으로 기대된다.

• 대한후두음성언어의학회지
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• 제12권2호
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• pp.145-151
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• 2001

Background and Objectives : A voice therapy can be used the basic method for the voice improvement of patients with the voice disorders. However, according to each voice disorders, various results of treatments have been reported. The purpose of this study was to evaluate the clinical features of the patients who did not improved after the voice therapy and to explore factors that could affect the results of the voice therapy. Material and Method : There are patients (n=49) diagnosed as the vocal nodule and patients (n=13) diagnosed as the vocal polyp. They received the voice therapy more than 6 times from September, 2000 to August, 2001. Clinical features, stroboscopic findings, esophagographic findings and PNS x-ray findings were compared between the improved and the nonimproved groups. Results : Before the voice therapy, PNS x-ray found two of all patients had the paranasal sinusitis. 14 of the vocal nodule patients (28.6%) and 8 of the vocal polyp (61.5%) had GERD in the esophagogram. However, the recovery rate after the voice therapy had no significant difference in both the vocal nodule and vocal polyp with GERD. In patients with the vocal nodule, 47 of 49 (95.9%) improved after the voice therapy. 6 of them were found the clearly decreased lesion in the stroboscopy. But, in patients with the vocal polyp, 7 of 13 (53.8%) improved after the voice therapy and did not have improvement through the stroboscopy. Conclusion : If the treatment of GERD is given with the voice therapy after the evaluation of GERD, it is helpful to increase the effects of the voice therapy. And, if patients were improved partially or unimproved after voice therapy, it was important to evaluate all factors-motivation, compliance and cooperation-related with patients will. Through this, some factors might be minimized except diseases differences.

• Journal of Korean Neurosurgical Society
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• 제30권1호
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• pp.99-104
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• 2001

We present two cases of deep cerebral venous thrombosis(DCVT) with the totally occluded straight sinus. A 42-year-old female received with altered mentality . She has taken antihistamine for six years to treat the paranasal sinusitis. Another 34-year-old female who used the oral contraceptive for 11 months presented with acute behavior change . Both of these patients were diagnosed by computed tomography(CT), magnetic resonance(MR) imaging, and cerebral angiography. They were fully recovered with systemic urokinase thrombolysis followed by heparin therapy. We report that the intravenous thrombolysis was potentially effective management strategy in our cases of DCVT with the totally occluded straight sinus.

• Tuberculosis and Respiratory Diseases
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• 제53권4호
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• pp.457-462
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• 2002

저자들은 우연히 발견된 Kartagener 증후군의 삼주징을 가진 여자환자에서 기관지점막의 섬모에 대한 전자현미경적 미세구조 분석을 시행하여 한 명의 환자에서 내, 외측 dynein arm의 결함, radial spoke의 결함, microtubule의 전위, 거대섬모 등 네 가지 이상의 다양한 미세구조결함이 혼재하는 비교적 드문 환자를 경험하였기에 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제66권5호
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• pp.374-379
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• 2009

천식조절 중이던 환자에서 임상증상과 조직검사를 바탕으로 진단된 Churg-Strauss 증후군을 진단하고 치료 중 발생한 장천공을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제43권5호
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• pp.779-785
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• 1996

저자 등은 두통과 비루를 주소로 내원한 46세 남자에서 비강, 폐, 신장을 침범하고, 양측 전경골 동맥과 비골 동맥 폐쇄를 동반한 베게너 육아종증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.