• Title/Summary/Keyword: tongue condition

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Surgical Treatment of Constrictive Pericarditis (만성 교약성 심낭염의 외과적 치료)

  • 유회성
    • Journal of Chest Surgery
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    • v.8 no.2
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    • pp.101-108
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    • 1975
  • Since 1959 the authors experienced 43 cases of chronic constrictive pericarditis treated surgically at the Department of Thoracic & Cardiovascular Surgery, the National Medical Center in Seonl. Of 43 cases, detailed patients' records could be obtainable in 36 cases, and most of our studies. were made on the basis of these 36 available cases. About 84 per cent of the cases were male with several pediatric cases, and duration of symptoms ranged between 2 months and 10 years. The diagnosis of this condition is not difficult, however, about half of our cases were previously treated under the impression rf various other conditions such as liver cirrhosis or nephrotic syndrome at other hospitals and clinics. Many of our cases showed hepatic functional disturbances and about 89 per cent of the cases showed reversed A/G ratio, and we are sure that some of them had so-called protein losing enteropathy. Three of 36 cases showed normal electrocardiogram, and most peculiar electrocardiographic findings were ST or T changes and low amplitude of QRS complexes. Seven cases showed auricular fibrillation and five had first degree A-V block. Mean preoperative peripheral venous pressure at the antecubital fossa and arm-to-tongue circulation time were 273 mm $H_2O$and 20.2 seconds, respectively, and they were markedly reduced postoperatively to 152 mm $H_2O$ and 13 seconds, respectively. Several different approaches were made with various extents of pericardial decortication according to patients' condition and probably surgeon's preference. In 12 cases we met cardiovascular injuries during decortication and one of them died of massive bleeding through the torn right atrium, and we experienced excellent postoperative result in a grave case operated on just a small pericardial window. Eleven of 35 cases were tuberculous pericarditis and others were non-specific pericarditis histopathologically, and 6 of total 43 cases operated on passed away by various ways with the mortality rate of 13.9 per cent.

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The influence on infant oral health care from mother's experience of oral health education (모친의 구강보건교육경험이 유아의 구강건강관리에 미치는 영향)

  • Park, Chung Soon;Kang, Eun Ju;Song, Ji Yeon;Song, Kwui Sook
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.6
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    • pp.1183-1192
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    • 2012
  • Objectives : This study is for suggesting the data base for help mother and child improve the oral health enhancement action from understanding child's oral health enhancement action from mother's oral health education experience and researching the effects of mother's oral health enhancement action on child's oral health enhancement action. Methods : The subject was 220 children and mothers of some kindergarten in Jeollabuk-do, Korea out of convenience'sampling. The results were collected by carrying out a survey out of self record method from visiting the kindergarten from June 24th to July 12th. and were analyzed. Results : 1. The mother's and child's oral health enhancement action was satisfactory in the factor of 'toothbrushing', 'oral hygiene care item' and 'periodic visits' in case the subjects have experienced oral health education, and that data was meaningful statistically. 2. In the oral health enhancement action practiced by mother to child from existence or absence of the mother's oral health education experience, the data was meaningful statistically in the factor of 'directly brushing its teeth more than once a day', 'washing its tongue' and 'coaching that child could keep the toothbrush not to overlap with other toothbrushes'. 3. In the factor that affect to oral health enhancement action practiced by mother to child, 'toothbrushing' and 'oral hygiene care item' were high level of the mother's oral health enhancement action, and that data was meaningful'statistically. Conclusions : The children's oral health condition could be influenced by mother's oral health knowledges and attention. Accordingly, oral health education for the mother and child has to be enforced'systematically'suited for the characteristic change of oral condition with children age groups. Also, utilizing human resources who have expertise and development of the oral health education program are needed.

MANDIBULAR EXPANSION IN A CONGENITAL AGLOSSIA PATIENT (선천적 무설증 환자에서의 하악골 확장)

  • Cho, Jae-Yong;Kim, Jung-Wook;Jang, Ki-Taeg;Kim, Chong-Chul;Hahn, Se-Hyun;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.4
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    • pp.673-677
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    • 2003
  • Congenital aglossia is a very rare condition. The oral manifestations of an aglossia include micrognathia, high arched or cleft palate, defects of the lower lip, an absence of lateral incisors and a mandibular growth deficiency. Although the etiology of congenital aglossia is unclear, both genetic and teratogenic mechanisms have been proposed. Treatment of aglossia patients depends on the nature and severity of the condition which includes surgical rehabilitation of the tongue tip to some extent, orthopedic expansion of the mandible to guide mandibular growth, and mandibular expansion by a distraction osteogenesis. In the present case, a 6 year old female aglossia patient with situs inversus was treated. A bonded hyrax screw was used to increase her mandibular primary intercanine width and intermolar width. A second phase orthodontic and surgical treatment will be possible after some retention phase.

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Effect of Professional Oral Healthcare Program on the Oral Status of Elderly Residents in Long-Term Care Facilities (전문가 구강위생관리가 장기요양시설 재원노인의 구강상태에 미치는 효과)

  • Lee, Keun-Yoo;Lim, Soon-Ryun
    • Journal of dental hygiene science
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    • v.16 no.6
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    • pp.432-441
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    • 2016
  • This study was conducted to investigate the effects of professional oral healthcare program in eldery residents long-term care facilities. Ninety-four elderly residents from 5 different facilities in Asan participated in this study. The subjects were divided into 3 groups, with 32 in experimental group I, 30 in experimental group II, and 32 in the control group. Subjects in experimental group I were treated by a dental hygienist with professional oral healthcare and received daily oral care from caregivers who had completed elderly oral healthcare course. Subjects in experimental group II received daily oral care from caregivers who had completed elderly oral healthcare course. Control group received daily oral care from caregivers. These 3 groups were tested for dental plaque, halitosis, tongue coating, and salivary flow at baseline, and after 4 and 12 weeks of treatment. There were significant differences in the dental plaque index between the groups, mediate times, and mediate methods, in halitosis between the mediate methods, and in tongue coating between the mediate times, as well as the mediate methods. Finally, salivary flow was significantly different with regard to mediate methods between experimental group II and the control group. Therefore, to improve the oral health condition of elderly residents, involvement of a part-time dentist and scheduled professional oral healthcare are necessary. Furthermore, elderly oral healthcare education for nursing staff, including managers, should be provided.

A Study of Oral Health Fact of High School Students in Certain District (일부지역 고등학생의 구강건강실태에 관한 조사연구)

  • Yoo, Jung-Sook;Park, Myung-Suk;Kim, Jung-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.8 no.2
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    • pp.49-59
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    • 2007
  • Objectives: This study was designed to understand the oral health fact of high school students, search for an education method and learning goal appropriate for the subjects, and utilize them as basic data to think of effective solutions for oral health care. Methods: The samples to achieve the purpose of this research are composed of 386 students in J industrial high school, OO city, Kyounggido, the number of male students 286, and female students 100. Data were statistically analyzed by frequency analysis, cross tabulation by using SPSS WIN Ver. 12.0. Results: First, The answers in terms of oral symptoms were in the order of 31.8% for gum hurt and bleeding, 31.4% for pain in teeth by drinking or eating hot and cold drinks or food, 27.1% for broken or cracked teeth, 25.7% for aching and throbbing teeth, 20.6% for unpleasant mouth smell, and 5.7% for pain of tongue and soft oral tissues. Second, In terms of behavior for oral health, 88.4% answered that they consume cariogenic snacks, while 29.2% of them, 2.5% of male and 6.3% of female enjoy consuming them but hardly brush their teeth after consumption. Third, In terms of timing for brushing teeth, the results show that 50.0% do so before breakfast, 47.9% after breakfast, 15.2% after lunch, 36.9% after dinner, 65.5% before going to sleep, and 3.5% after consuming snacks, whereas 64.2% answered that they are not aware of fluorine mouthwash. Fourth, In terms of oral health condition. proportion of children with one or more caries in permanent teeth was 71.0%, while 51.4% have $2{\sim}3$ cariogenic teeth, and 16.8% have more than 4 cariogenic teeth. Considering sex, female students have somewhat higher ratio showing 68.5% for male and 78.0% for female, but the ratio was 53.1% for male and 46.7% for female in case of $2{\sim}3$ cariogenic teeth, and 17.5% for male and 15.8% for female in case of more than 4 cariogenic teeth. 9.3% of students turned out to have decayed teeth. Fifth, In terms of oral hygiene condition, only 7.9% of them had excellent condition, and 38.4% need to improve. More specifically, 41.1% of male students and 30.6% of female students need to improve their oral hygiene condition. Conclusions: The study results suggest that School Dental health programs increase and need to be community-incorporated and comprehensive from elementary to high school.

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Reproduction Cycle and Litter Size of Red-tongued viper snake (Gloydius ussuriensis) (쇠살모사의 생식주기와 한배의 출산수)

  • Kim, Byoung-Soo;Oh, Hong-Shik
    • Korean Journal of Environment and Ecology
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    • v.28 no.5
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    • pp.531-541
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    • 2014
  • This research investigated the reproduction cycle, litter size, and the effects of factors of red-tongue viper snake inhabiting in Jeju Island, to delve into their life strategy. Field survey was conducted in Jeju Island from May 2006 to November 2008. Reproduction cycle was analyzed through measurements of testis and follicle sizes in laboratory from March 2009 to December 2010. According to the research results, the sizes of red-tongue viper snake's testis and follicle clearly changed seasonally. The number of eggs within the oviduct were greater on the right side ($2.6{\pm}1.0$ eggs, n=16) than on the left side ($1.8{\pm}0.5$ eggs, n=16) (t=-2,721, p<0.05). Average (${\pm}SD$) of survival litter size (SLS) was $4.4{\pm}1.7$ (1~9, range), while total litter size (TLS) was $4.7{\pm}1.5$ (3~9, range), which were not statistically significant. However, their litter sizes were similar to the number of eggs within the oviduct (t=0.039, P>0.05). Relative litter mass (RCM) was $0.42{\pm}0.13$ (0.18~0.79, n=33), and tended to increase, as maternal condition of pre-parturition (MCPPI) was getting better. The sexual ratio of delivered litters showed no significant difference between male and female red-tongue viper snakes (♂:♀ = 1.15:1, n=73 ; ${\chi}^2$=0.342, P>0.5). Average neonate mass showed a weak correlation with maternal mass of pre-parturition (MMPP1) (r=0.387, P<0.05, n=33). Average neonate Snout-vent length (SVL) also demonstrated a weak correlations with maternal SVL (r=0.399, P<0.05, n=33) and MMPP1 (r=0.344, P<0.05, n=33). Average neonate mass and maternal SVL approached significant probability (r=0.323, P=0.067, n=33). This indicates that mother snakes can bear bigger litter due to its larger size. In some cases, litter's weight decreases as mother snakes are bearing more litter; however, the red-tongued viper snake did not show such exchange relationship. From this, it can be conjectured that a red-tongued viper snake has peculiarity of its own species. The research results are predicted to be used as the basis to find a life history of red-tongued viper snake.

The Effects of Tongue Coating on Volatile Sulfur Compounds Production in the Oral Malodor Patients (구취 환자에서 설태가 휘발성 황화합물의 생성에 미치는 영향에 관한 연구)

  • Lee, Hun;Lee, Seung-Ryeul;Kim, Young-Ku
    • Journal of Oral Medicine and Pain
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    • v.26 no.3
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    • pp.243-252
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    • 2001
  • 본 연구에서는 구강 내 공기 중 설태 제거 전후의 휘발성 황화합물 농도를 gas chromatography를 이용하여 비교 분석하였다. 피검자로는 서울대학교 치과병원 구취클리닉에 내원한 환자 중에서 치주 건강 상태가 양호하며 구취를 호소하는 환자 18 명(평균연령 31.4세; 남자 8명, 여자 10명)을 대상으로 하였으며 구취를 측정하기 전에 모든 피검자들은 실험 전날 취침 전부터 실험 당일 실험시작 전까지 음식 섭취나 양치질 등의 모든 구강 활동을 금지하였다. 구취 시료는 채취 전에 피검자로 하여금 3분간 입을 다물게 한 후 입을 약 2cm정도 벌린 상태에서 시행하였으며 시료 채취 후 설태를 제거하였다. 설태 제거 후에 구강 내 공기를 다시 채취한 후 gas chromatography를 통하여 휘발성 황화합물의 각 성분별 농도를 분석하였다. 분석과정에서는 과거에 휘발성 황화합물의 검출 시 사용되어진 sampling loop와 isothermal run condition 대신 좀더 효율적인 직접표본주입방법과 oven temperature programmed analysis를 시행하였다. 1. 전체 휘발성 황화합물은 Hydrogen sulfide (59.96%), Methyl mercaptan (25.08%), Dimethyl sulfide (14.96%)로 구성되었다. 이 중 Hydrogen sulfide는 전체 휘발성 황화합물중 약 60%를 차지하여 치주상태가 양호한 구취환자에서의 주요한 구취 구 성 성분이었다. 2. 설태 제거 후 전체 휘발성 황화합물의 농도감소는 제거 전에 비하여 41.71%로 유의 하게 감소하였다(p<0.01). 3. 설태 제거 후에 Hydrogen sulfide의 농도감소는 43.62% (p<0.01), Methyl mercaptan 의 농도감소는 38.88% (p<0.05), 그리고 Dimethyl sulfide의 농도감소는 30.21% (p<0.01)로 각각 유의하게 감소하였다. 4. 전체 휘발성 황화합물의 구성비율은 설태 제거 전후에 유의한 차이가 없었다 (p>0.05).

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Orofacial Thermal Quantitative Sensory Testing (QST): A Study of Healthy Korean Women and Sex Difference

  • Ahn, Sung-Woo;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.40 no.3
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    • pp.96-101
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    • 2015
  • Purpose: Thermal sensory test as an essential part of quantitative sensory testing (QST) has been recognized as a useful tool in the evaluation of the trigeminal nerve function. Normative data in the orofacial region have been reported but the data on differences in the test site, sex and ethnicity are still insufficient. Thus, this study aimed to investigate the normal range of orofacial thermal QST data in the healthy Korean women, and assess sex difference of thermal perception in the orofacial regions. Methods: Thermal QST was conducted on 20 healthy women participants (mean age, 26.4 years; range, 21 to 34 years). The thermal thresholds (cold detection threshold, CDT; warm detection threshold, WDT; cold pain threshold, CPT; and heat pain threshold, HPT) were measured bilaterally at the 5 trigeminal sites (the forehead, cheek, mentum, lower lip and tongue tip). The normative thermal thresholds of women in the orofacial region were evaluated using one-way ANOVA and compared with the previously reported data from age- and site-matched 30 healthy men (mean age, 26.1 years; range, 23 to 32 years) using two-way ANOVA. One experienced operator performed the tests of both sexes and all tests were done in the same condition except the time variability. Results: Women showed significant site differences for the CDT (p<0.001), WDT (p<0.001), and HPT (p=0.047) in the orofacial region. The CDT (p<0.001) and the CPT (p=0.007) presented significant sex difference unlike the WDT and the HPT. Conclusions: The thermal sensory evaluation in the orofacial region should be considered in the context of site and sex and the normative data in this study could be useful for assessment of the sensory abnormalities in the clinical setting.

A survey research to develope a personal health record application for atopic dermatitis in Korean medicine (아토피피부염 개인건강기록 어플리케이션 개발을 위한 전문가 집단 설문조사 연구)

  • Kim, Young-Eun;Kim, An-Na;Lee, Dong-Hyo;Park, Min-Cheol;Son, Mi Ju;Jang, Hyun-Chul
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.3
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    • pp.1-13
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    • 2016
  • Objectives : We conducted a survey aimed at developing a personal health record application for the treatment of atopic dermatitis in Korean medicine .Methods : We conducted a survey on Korean medicine doctors who attended the Korean Medicine Ophthalmology and Otolaryngology and Dermatology conference 2016. The questionnaire was based on priority of usage of the diagnostic indices and tools, and intention to use the personal health record application for treatment of atopic dermatitis in the clinic.Results : Data were collected from 50 Korean medicine doctors. Ninety-six per cent of respondents replied that they were willing to use the personal health record application for treating atopic dermatitis. Among the diagnostic indices related to atopic dermatitis, Korean medicine doctors regarded the following as important in the order of priority, i.e., condition of skin, lifestyle, risk factors, symptoms other than those of skin, past history, family history and medical history, results of tongue, pulse, and abdomen investigation, and constitution. These results did not vary with the purpose of diagnosis, and the results were consistent with those obtained with the intention to use diagnostic. Over 50% of respondents replied that they use immunoglobulin E, scoring atopic dermatitis, and visual analogue scale among the diagnostic tools.Conclusions : Our survey was conducted on clinicians who are the intended users of the personal health record application for the treatment of atopic dermatitis; hence, the results of this study can be helpful for developing a useful personal health record application for atopic dermatitis in the clinic.

A Study on the Efficacy of the Coumarine Derivatives with Anti-Inflammatory Activity in the Trifoliate Orange Extract (탱자 추출물에서 항염증 활성을 갖는 쿠마린 유도체의 효능에 관한 연구)

  • Kim, Duck-Sool
    • Journal of the Korean Applied Science and Technology
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    • v.29 no.4
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    • pp.610-617
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    • 2012
  • Trifoliate orange components consist of several kinds, such as monoterpenes, limonoids, flavonoids, and coumarins. Coumarin derivatives were shown to possess valuable pharmacological properties such as anti-inflammatory and dietary effect. Among them, 7-geranyloxycoumarin 6 is a promising chemopreventive agent againist skin, tongue, oesophaqus and colon carcinogenesis in rodents. Seven new coumarin derivatives structurally related to 7-geranyloxycoumarin were synthesised in good yields by $Cs_2CO_3$/acetonitrile condition. We investigated the effect of anti-inflammatory activity on interleukin-6 for synthesised geranyloxycoumarin derivatives. 6-Geranyoxycoumarin 9 (68.9% / $1{\mu}M$ ; 72.6% / $10{\mu}M$) of the anti-inflammatory activity is far higher than 7-Geranyloxycoumarin 5 (40.1% / $1{\mu}M$ ; 61.1% / $10{\mu}M$) and their other derivatives.