• 동의신경정신과학회지
• /
• 제25권1호
• /
• pp.85-108
• /
• 2014

Objectives: Chiljeong means the basic emotions containing joy, anger, anxiety, depression, fear and fright in Korean traditional medicine. Chiljeong was considered as a cause diseases or syndrome. The pathology of Chiljeong described the action of the gi and the principle of eumyangohaeng. When we treat the psychiatric symptoms in Korean traditional medicine, we need to understand the pathologic mechanism of Chiljeong. Methods: We extract the sentences regarding Chiljeong, Oji, Chilgi and Gugi along with the related words in Donguibogam. We analyze the selected sentences and classify the pathologic mechanism according to the general and seven emotions. Results: We found that several parts were related to Chiljeong, except the Sinmun, including the psychiatric symptoms in Donguibogam. Conclusions: The most frequently mentioned affected areas of basic Jangbu are Sim and Gan. The pathologic mechanism of general emotion was categorized by sentences into 4 groups, Giul, Dameum, Hwa and Heo.

• 대한치과의사협회지
• /
• 제54권8호
• /
• pp.592-603
• /
• 2016

Pathologic tooth migration (PTM) caused by periodontal disease is a relatively common disease with a prevalance rate of 30~55%. It is one of the reasons for periodontal treatment of patients. PTM occurs when various factors related to the position of the tooth are altered and clinical features of PTM include facial flaring, diastema, proximal tilting, rotation, and extrusion of teeth. The purpose of this study was to assess the treatment of teeth of hopeless prognosis through the practice of modified intentional replantation on pathologic migrated tooth. This study presents cases using modified intentional replantation for the treatment of pathologic tooth migration caused by severe periodontitis. Modified intentional replantation is a technique that prepares extraction socket by using an implant drill. Based on 3 cases performed with modified intentional replantation, an improvement of clinical periodontal indicators such as probing pocket depth, bleeding on probing, tooth mobility, and pathologic teeth migration was observed after surgery. Also, the patients were satisfied with the functional and esthetic improvement.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제37권
• /
• pp.31.1-31.5
• /
• 2015

Background: Pathologic fractures are caused by diseases that lead to weakness of the bone structure. This process sometimes occurs owing to bony change after radiation therapy. Treatment of pathologic fractures may be difficult because of previous radiation therapy. Methods: In this study, we analyzed clinical and radiographic data and progress of five patients with mandibular pathological fractures who had received postoperative radiation therapy following cancer surgery. Result: Patients received an average radiation dose of 59.2 (SD, 7.2) Gy. Four of five patients exhibited bone union regardless of whether open reduction and internal fixation (OR/IF) was performed. Patients have the potential to heal after postoperative radiation therapy. Treatment of a pathologic fracture following postoperative radiation therapy, such as traditional treatment for other types of fractures, may be performed using OR/IF or CR. OR/IF may be selected in cases of significant bone deviation, small remaining bone volume, or occlusive change. Conclusion: Patients have the potential to heal after postoperative radiation therapy.

• 대한한의학원전학회지
• /
• 제29권2호
• /
• pp.187-202
• /
• 2016

Objectives : In this study, the relation of pathologic mechanisms of Samcho(三焦) in Hwangdineijing and Samcho-Sanghwa(三焦相火) is investigated for the purpose of understanding the concept of Samcho. Methods : The diseases and symptoms about Samcho(三焦) in Hwangdineijing and many important medical literatures including Sanghanlun(傷寒論) and Jinguiyaolue were selected and analyzed to overview the historical changes of pathologic mechanism about Samcho. Results : In comparison of the Pathologic Mechanisms of Samcho, the explanation of that in many medical literatures is different from that in Hwangdineijing, that is to say, the cause of diseases related to hyperactivity of Sanghwa became the main conditions of pathogenesis about Samcho while the blockage of qi stream through Samcho. Conclusions : The clinical expression of Samcho pathogenesis is fever with perspiration that means exhaustion of body fluid not only general fever of whole body.

• Journal of Periodontal and Implant Science
• /
• 제38권sup2호
• /
• pp.405-412
• /
• 2008

Purpose: Pathologic tooth migration (PTM) commonly occurs in the anterior region and is associated with periodontal disease. The treatment of PTM of anterior teeth can be complex and time consuming, and a multidisciplinary approach is often required. Materials and Methods: The patient was a 38-year-old woman with a chief complaint of saving and realigning her elongated maxillary left central incisor. This paper describes the successful combined periodontal regenerative (guided tissue regeneration) and prosthetic treatment and a 2-year follow-up of maxillary central incisor with pathologic tooth migration, deep intrabony defect, and poor prognosis. Results: The right maxillary central incisor was restored by laminate veneer and the left by all-ceramic crown. The patient had no pain and discomfort and was satisfied with the outcomes of her treatment for 2 years. She has maintained her recall program at the Department of Periodontology at 3 months interval. Conclusion: The key step in the successful treatment of PTM in anterior region is to obtain a high level of cooperation from the patient. Maintenance of the treatment result of PTM is dependent on the continuous preservation of periodontal health.

• 대한골관절종양학회지
• /
• 제1권1호
• /
• pp.52-59
• /
• 1995

Metastatic cancer is the most common tumor of the skeleton. The prevalence of pathologic fracture may increase as patient survival is prolonged by improved cancer therapy. With recent advances in orthopaedic procedure and medical management of terminal cancer patients, it is generally agreed that aggressive treatment should be undertaken for patient with pathologic fracture secondary to metastatic disease, and a team approach should be utilized. The authors have reviewed twenty cases of pathologic fracture of the long bone due to metastatic tumor treated in the Department of Orthopedic Surgery, Yonsei University College of Medicine, from April 1989 to April 1994 and the following results were obtained. 1. The mean age at surgery was 58.4 years (ranged from 24years to 86years) and among 20 cases, 10 cases were male and the others were female. 2. The most frequent site of pathologic fracture in long bone is femur(15 cases, 75%), and followed by humerus(4 cases, 20%), tibia(1 case). 3. The frequently encountered primary tumors that metastases to long bone are those of the lung(7 cases, 35%), breast(4 cases, 20%), and prostate(2 cases, 10%). 4. The operative procedure was performed by resection of the tumor mass extensively, and we used polymethylmetacrylate for filling the dead space after resection, in all cases. 5. The mean survival period after operation is 9.2 months(ranged from 1 month to 4 years and 9 month). 6. The results of postoperative pain relief status were graded as fair to excellent in 17 cases(85%).

• 대한소아치과학회지
• /
• 제30권4호
• /
• pp.605-610
• /
• 2003

계승 영구치의 맹출시 상방에 위치한 유치의 치에서는 영구치와 근접한 치근첨에서부터 치근의 흡수가 일어나며 이를 생리적 치근 흡수라고 한다. 정상적인 영구치의 맹출과 관계없이 외상, 재식술, 교정치료, 치아의 지연 맹출, 불규칙적 맹출, 또는 종양이나 낭종의 성장 등과 관련되어 나타나는 치근의 흡수를 병적 치근 흡수라고 하며 생리적 치근 흡수와는 그 양상이 상이하고 다양하게 나타난다. 본 증례에서는 외상을 주소로 내원한 어린이를 대상으로 치근단 방사선 사진상에 나타나는 다양한 상악 유중절치의 병적 치근 흡수 양상을 관찰하여 다음과 같은 결과를 얻었다. 1. 외상성 손상을 받은 10개의 상악 유중절치에서 여러 가지 병적 치근 흡수 양상을 관찰하였다. 2. 병적 치근 흡수된 치아에서 치수절제술을 시행한 후에도 흡수는 지속적으로 진행되었다.

• Journal of Veterinary Science
• /
• 제23권5호
• /
• pp.75.1-75.7
• /
• 2022

Background: Since 2013, the number of requests for diagnosis for horses based on neurological symptoms has increased rapidly in South Korea. The affected horses have commonly exhibited symptoms of acute seasonal hindlimb ataxia. A previous study from 2015-2016 identified Setaria digitata as the causative agent. Objectives: This study is an epidemiological investigation to find out risk factors related to the rapid increase in hindlimb ataxia of horses due to aberrant parasites in South Korea. Methods: An epidemiological investigation was conducted on 155 cohabiting horses in 41 horse ranches where the disease occurred. The surrounding environment was investigated at the disease-causing horse ranches (n = 41) and 20, randomly selected, non-infected ranches. Results: Hindlimb ataxia was confirmed in nine cohabiting horses; this was presumed to be caused by ectopic parasitism. Environments that mosquitoes inhabit, such as paddy fields within 2 km and less than 0.5 km from a river, had the greatest association with disease occurrence. Conclusions: Most horse ranches in South Korea are situated in favorable environments for mosquitoes. Moreover, the number of mosquitoes in the country has increased since 2013 due to climate change. Additional research is required; however, these data show that it is necessary to establish guidelines for the use of anthelmintic agents based on local factors in South Korea and disinfection of the environment to prevent disease outbreaks.

• 대한골관절종양학회지
• /
• 제15권1호
• /
• pp.44-51
• /
• 2009

목적: 전이성 병적 골절 또는 병적 임박 골절로 진단받고 수술을 시행한 환자의 결과를 분석하고자 하였다. 대상 및 방법: 2004년 1월부터 2007년 12월까지 전이성 병적 골절 또는 병적 임박 골절로 진단받고 수술적 치료를 시행한 18환자, 19예를 대상으로 하였다. 남자가 6예 여자가 12예였으며 평균 나이는 65.1세였다. 평균 추시 기간은 15.2개월이였다. 초기 진단으로 병적 골절이 14예, 병적 임박 골절이 5예였다. 기능적 평가는 추시 중에 MSTS 점수를 측정하였으며 주기적인 방사선 촬영을 통해 방사선학적 결과를 분석하였으며 수술 후 합병증 유 무를 분석하였다. 결과: 원발암은 다발성 골수종 6예, 신 세포암 4예, 담관암 2예, 대장암 2예, 유방암 2예 및 평활근 육종이 2예였다. 전이 병소는 대퇴골이 10예, 쇄골 4예, 상완골 2예, 경골 2예, 요골 1예였다. 수술 방법으로 소파술, 시멘트 충전술, 내고정술 및 관절 성형술을 시행하였다. 평균 MSTS 점수는 15.9였다. 수술 후 합병증으로는 감염이 1예, 국소 재발이 1예, 고정물의 이완이 1예 있었다. 최종 추시 시 유병 상태 10명, 사망 8명이었다. 결론: 전이성 병적 골절 및 병적 임박 골절의 수술적 치료는 하지의 경우 조기 보행을 가능하게 하고 상지의 기능 숙달도에 만족할 만할 결과를 보이며, 이환 부의의 통증 조절과 환자의 정서적 만족도에 매우 우수한 결과를 보였다. 환자의 남은 여생 삶의 질 향상에 필요한 술식이라 사료된다.

• 대한소아치과학회지
• /
• 제44권3호
• /
• pp.289-297
• /
• 2017

전신적 또는 국소적 요소에 의하여 유치 치근이 병적으로 흡수될 수 있으며 치아 우식증이나 외상 등으로 염증성 치근 흡수가 발생할 수 있다. 유치의 병적 치근 흡수면은 생리적인 치근 흡수와 비교할 때 흡수면의 세포와 흡수와의 형태 등의 흡수 양상이 다르다. 이 연구는 생리적 치근 흡수, 외상, 염증성 치근 흡수면의 형태 및 인접한 세포를 주사전자현미경과 광학현미경으로 관찰하였다. 생리적 치근 흡수면의 흡수소와는 원형과 타원형이고 비교적 작고 균일하였다. 외상으로 인한 치근 흡수면과 염증성 치근 흡수면의 흡수소와는 생리적 치근 흡수면의 흡수소와에 비해 다각형이며 크고 불규칙하였다. 생리적 치근 흡수면과 외상으로 인한 치근 흡수면, 염증성 치근 흡수면에서 다핵거대세포와 단핵세포가 관찰되었으며 염증성 치근 흡수면에서는 간엽세포 및 염증세포가 많이 분포되어 있었다. 생리적 치근 흡수면과 외상으로 인한 치근 흡수면에서는 흡수 표면에 백악질양 조직이 침착되었으나, 염증성 치근 흡수면에서는 관찰되지 않았다.