• Title/Summary/Keyword: Etiologic factors

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Clinical study of empyema thoracis: a review of 110 cases (농흉의 임상적 고찰110)

  • 최형호
    • Journal of Chest Surgery
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    • v.16 no.4
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    • pp.533-538
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    • 1983
  • The author made a clinical study of IIO cases of empyema thoracis who were diagnosed and treated at department of chest surgery, chosun university hospital, during the period of December 1979 through June 1983. 1. In age and sex distribution, 45 cases [41%] was under the age of 15 years, 65 cases [59%] was above the age of 15 years. The ratio of male to female was 2.6:1. 2. The predisposing factors were pneumonia 45 cases [41%] and pulmonary tuberculosis 40 cases [36.5%]. 3. The cardinal symptoms were dyspnea, chest pain, fever, cough in order. 4. Etiologic organisms were confirmed in 69% which requested in 87 cases. Staphylococcal infection were 19 cases, Streptococcal infection were 13 cases, pneumococcal infection were 11 cases. 5. In treatment of empyema, thoracentesis 4 cases, closed thoracotomy 50 cases, open drainage 29 cases, decortication 14 cases and thoracoplasty 13 cases. In children, only thoracentesis and closed thoracotomy was favorable result in treatment. 6. 103 cases were discharged with recovery and improvement but 7 cases were early discharged by their economic or personal condition without improved.

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THE STUDIES ON THE ERUPTION PATTERN OF FIRST PERMANENT MOLARS (제1대구치(第一大臼齒)의 맹출양장(萌出樣狀)에 관(關)한 연구(硏究))

  • Shon, Dong-Su
    • Journal of the korean academy of Pediatric Dentistry
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    • v.3 no.1
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    • pp.7-11
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    • 1976
  • The author measured the degree of development and the eruption pattern of first permanent molars with orthopantomography in 553 Korean children(male; 302, female; 251) from 4 to 9 years old. The orthopantomographs were obtained from dept. of pedodontics, college of dentistry, Seoul National University. The results of the studies were as follows: 1. Upper first permanent molars were erupted with distal inclination of about 30 degrees in the early stage and they gradually moved in the mesial direction by bodily movement of the tooth to be in contact with the disto-proximal surface of primary secondary molars in the late stage. 2. Lower first permanent molars were erupted with mesial inclination in the early stage and moved mesially by tipping movement of the tooth to be in contact with the disto proximal surface of the second primary molars in the late stage. 3. The eruptive forces were considered to be main etiologic factors of space closure after the premature loss of primary molars.

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9 Cases of Difficulty Decannulation (기관 카뉼러 발거곤란증 9례)

  • 추연수;안문성;박재훈;김춘길;주양자
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.9.4-9
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    • 1979
  • Diffculty decannulation is one of serious and troublesome complication in management. The etiologic factors were deviation of tracheal wall, growing of granulation tissue, subglottic edema, cicatricial stenosis of trachea and functional factor. We observed 9 cases of diffculty decannlation after tracheostomy and we report with literature review on these cases.

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Sleep-Disordered Breathing and Metabolic Dysfunction (수면호흡장애와 대사적 기능장애)

  • Joo, Soon-Jae;Shin, Chol
    • Sleep Medicine and Psychophysiology
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    • v.12 no.1
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    • pp.17-22
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    • 2005
  • Sleep-disordered breathing (SDB) is associated with increased cardiovascular and cerebrovascular morbidity. Epidemiological and clinic-based studies have shown that SDB is related to impaired glucose tolerance and increased insulin resistance, independent of obesity. Despite of a consistent association between SDB and impaired glucose-insulin metabolism, the mechanism underlying this relationship has not been fully elucidated. It is recognized that hypoxemia and hypercapnia that occur in SDB provoke sympathetic nervous activity and catecholamine, epinephrine and norepinephrine, and cortisol are released. Sympathetic hyperactivity and increased catecholamines can impair glucose homeostasis by increasing glycogenolysis and gluconeogenesis, which can result in increased circulating insulin levels and increased risk of insulin resistance. A prospective study is needed to investigate the causal relationship between SDB and impaired glucose-insulin metabolism in a healthy population without diabetes, hypertension and obesity as etiologic risk factors.

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ACUTE MEDIASTINITIS FROM ODONTOGENIC INFECTION : A CASE REPORT (치성감염후 발생한 급성 종격동염의 치험례)

  • Jang, Ki-Young;Shin, Mi-Jung;Kim, Do-Gyeun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.3
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    • pp.296-301
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    • 1995
  • Acute mediastinitis is almost always secondary to some other condition, and most cases are due to esophageal perforation. Although acute mediastinitis from odontogenic infection is extremely rare in the era of antibiotic drugs, some more fulminant odontogenic infections can produce complications including airway obstruction, necrotizing fascitis and extension of the infection to thorax. Irrespective of the changing incidence of etiologic factors, unless the pathophysiology of acute mediastinitis and its causes are understood and the conditions promptly recognized and properly treated, the result may be prolonged illness and even death. We experienced a case of odontogenic infection followed by acute mediastinitis and present review of literature.

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The use of the buccal fat pad flap for oral reconstruction

  • Kim, Min-Keun;Han, Wonil;Kim, Seong-Gon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.5.1-5.9
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    • 2017
  • Many congenital and acquired defects occur in the maxillofacial area. The buccal fat pad flap (BFP) is a simple and reliable flap for the treatment of many of these defects because of its rich blood supply and location, which is close to the location of various intraoral defects. In this article, we have reviewed BFP and the associated anatomical background, surgical techniques, and clinical applications. The surgical procedure is simple and has shown a high success rate in various clinical applications (approximately 90%), including the closure of oroantral fistula, correction of congenital defect, treatment of jaw bone necrosis, and reconstruction of tumor defects. The control of etiologic factors, size of defect, anatomical location of defect, and general condition of patient could influence the prognosis after grafting. In conclusion, BFP is a reliable flap that can be applied to various clinical situations.

Clinical Analysis of the Laryngo-Tracheal Stenosis (후두 및 기관협착증의 임상적 고찰)

  • 김영호;최은창;최재영;홍원표
    • Korean Journal of Bronchoesophagology
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    • v.3 no.2
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    • pp.261-269
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    • 1997
  • When performing an endotracheal intubation or tracheotomy to an unconscious patient in emergent situations, one should consider the possibility of later complication of laryngo-tracheal stenosis which can result in difficulties in decannulation. Laryngo-tracheal stenosis is a bothersome problem developing as a complication of treatment by tracheotomy with a cuffed tube and long-term endotracheal intubation with assisted ventilation. One hundred twenty-three cases of laryngo-tracheal stenosis patients during the four yew period from May 1992 to April 1996 were restrospectively reviewed according to several parameters such as the duration of intubation, site of stenosis, treatment modality and, site of tracheostoma. The present report is an analysis of these materials to search for the possible etiologic factors and its proper preventive methods. It was desirable that the endotracheal intubation should be limited within 20 days at most. Tracheotomy performed by non-otolaryngologists has a tendency to be on a higher level of trachea. Technical precautions should be taken into consideration when doing a tracheotomy. The success rate of decannulation of tracheal T-tube was 78.8% and it required average 11 months.

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Reversal of Doxorubicin-induced Cardiotoxicity by Using Phytotherapy: A Review

  • Hosseini, Azar;Sahebkar, Amirhossein
    • Journal of Pharmacopuncture
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    • v.20 no.4
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    • pp.243-256
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    • 2017
  • Doxorubicin as a chemotherapeutic drug is widely used for the treatment of patients with cancer. However, clinical use of this drug is hampered by its cardiotoxicity, which is manifested as electrocardiographic abnormalities, arrhythmias, irreversible degenerative cardiomyopathy and congestive heart failure. The precise mechanisms underlying the cardiotoxicity of doxorubicin are not clear, but impairment of calcium homeostasis, generation of iron complexes, production of oxygen radicals, mitochondrial dysfunction and cell membrane damage have been suggested as potential etiologic factors. Compounds that can neutralize the toxic effect of doxorubicin on cardiac cells without reducing the drug's antitumor activity are needed. In recent years, numerous studies have shown that herbal medicines and bioactive phytochemicals can serve as effective add-on therapies to reduce the cardiotoxic effects of doxorubicin. This review describes different phytochemicals and herbal products that have been shown to counterbalance doxorubicin-induced cardiotoxicity.

Clinical Evaluation of Spontaneous Pneumothorax A Review of 165 cases (자연기흉의 임상적 고찰: 165례)

  • 성후식
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.582-588
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    • 1985
  • We have observed 165 cases of spontaneous pneumothorax from Aug. 1978 to May. 1985 at the department of Thoracic and Cardiovascular Surgery, School of Medicine, Keimyung University. The ratio of male to female cases were 8.2:1 in male predominance, and the incidence was highest in the adolescence between 21 to 30 year of age. There were 85 patients of primary spontaneous pneumothorax and 80 patients of secondary spontaneous pneumothorax. The etiologic factors of secondary spontaneous pneumothorax were tuberculous origin in 50 cases, chronic bronchitis with emphysematous bullae or blebs in 17 cases, asthma in 10 cases and lung cancer in 3 cases. Closed thoracotomy was performed for reexpansion of collapsed lung in 153 cases, bed rest in 3 cases, needle aspiration in 5 cases and open thoracotomy in 14 cases. Closed thoracotomy was the main therapeutic approach of choice in the great majority of spontaneous pneumothorax with recurrence rate of 21.6%. However, open thoracotomy was undertaken in patients with continuous air leakage, recurrent episodes, bilateral pneumothorax and large visible apical blebs or bullae.

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Nutritional Epidemiologic Studies for Colorectal Cancer Prevention

  • Park, Hye Won;Lee, Jung Eun
    • Journal of Digestive Cancer Reports
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    • v.1 no.2
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    • pp.89-94
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    • 2013
  • The dramatic increase in colorectal cancer incidence in the population of East Asia indicates that diet and lifestyle play a role in colorectal cancer risk. Colorectal cancer prevention and etiologic studies have long provided dietary modification strategies for colorectal cancer prevention. In this review, we provide an overview of the epidemiologic evidence on the association between diet and colorectal cancer risk. Several cohort studies and a few intervention studies, most conducted in Western countries, have shown a possible link between red and processed meat, alcoholic beverages, calcium, vitamin D, vitamin B and the Western dietary pattern with colorectal cancer development. For colorectal cancer prevention in both Western and Asian populations, dietary modification is a key component of colorectal cancer prevention.