Journal of Korean Society of Spine Surgery Cervical Intervertebral Disc Calcification in Children - A Case Report- Dong-Eun Shin, M.D., Chang-Soo Ahn,
|
|
|
- 기주 노
- 5 years ago
- Views:
Transcription
1 Journal of Korean Society of Spine Surgery Cervical Intervertebral Disc Calcification in Children - A Case Report- Dong-Eun Shin, M.D., Chang-Soo Ahn, M.D., Yong-Suk Cho, M.D. J Korean Soc Spine Surg 2011 Dec;18(4): Originally published online December 31, 2011; Korean Society of Spine Surgery Department of Orthopedic Surgery, Inha University School of Medicine #7-206, 3rd ST. Sinheung-Dong, Jung-Gu, Incheon, , Korea Tel: Fax: Copyright 2011 Korean Society of Spine Surgery pissn eissn The online version of this article, along with updated information and services, is located on the World Wide Web at: This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
2 Case Report pissn eissn J Korean Soc Spine Surg Dec;18(4): Cervical Intervertebral Disc Calcification in Children - A Case Report- Dong-Eun Shin, M.D., Chang-Soo Ahn, M.D.*, Yong-Suk Cho, M.D. Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University, Korea Department of Orthopaedic Surgery, CHA Gumi Medical Center, CHA Hospital, Korea* Study Design: A case report. Objectives: This case report presents a child who was treated conservatively after having being diagnosed with cervical intervertebral disc calcification. Summary of Literature Review: Cervical intervertebral disc calcification is considered as a degenerative change of spine. It is common in adults and in most cases, no symptoms are observed. In children, by contrast, it is a rare condition and frequently accompanies symptoms such as severe neck pain and dysphagia. Materials and Methods: A 7-year-old male patient who suffered from neck pain and torticollis without trauma had been diagnosed with cervical intervertebral disc calcification and was treated conservatively. He was discharged after symptom relief, and has been followed up and observed in our outpatient department. Results: The improvements of symptom and radiographic findings were found in the month follow up. Conclusions: Cervical intervertebral disc calcification shows similar symptoms to laryngopharyngeal abscess, traumatic injury and infective spondylitis, but through careful physical examination and radiologic evaluation, differential diagnosis is possible. After diagnosis, conservative treatment alone is sufficient. Antibiotic usage and surgical treatment are avoidable. Key Words: Children, Cervical spine, Intervertebral disc, Calcification 서론 소아에서의추간판석회화증은 1924 년처음보고된이래현재까지약 200 례정도보고된드문질환이며, 퇴행성변환의일환으로나타나는성인에서의추간판석회화증과는다른원인과경과를취하는것으로알려져있다. 대부분상부경추에호발하며, 경추부통증, 사경및연하곤란과같은비특이적인증상을나타내기에농양이나감염성척수염, 그리고외상성손상과혼동될수있어항생제의남용및수술적치료등의과도한치료가시행될가능성이있어정확한문진, 이학적검사및영상학적검사를통한진단과안정및보존적치료를통하여호전된증례를보고하고자한다. 증례보고 환자는 7세된여아로내원 2주일전부터갑자기발생한좌경부동통및운동장해를주소로본원외래로내원하였다. 과거력상특이할만한병력이나외상은발견할수없었고, 이학적검사상, 경추부통증및경도의사경과함께목의신전시 심해지는통증으로경추부운동이제한되는소견이관찰되었 다. 그이외의견갑부및상지로방사되는신경학적이상은동 반되지않았다. 혈액검사및기타임상병리검사상백혈구가 13830/mm2 ( 정상치 4000~10000/mm2), 단핵구 72% ( 정상치 43~73%), ESR 33mm/hr ( 정상치 1~20mm/hr), CRP 5.16mg/ dl ( 정상치 0~0.3mg/dL) 로상승된것이외의다른특이소견은 보이지않았다. Received: September 3, 2011 Revised: November 28, 2011 Accepted: December 1, 2011 Published Online: December 31, 2011 Corresponding author: Chang-Soo Ahn, M.D. Department of Orthopaedic Surgery, CHA Gumi Medical Center, CHA University, 855 Hyungkok-dong, Gumi-si, Gyongsangbuk-do , Korea TEL: , FAX: techcho123@naver.com This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 254 Copyright 2011 Korean Society of Spine Surgery
3 Journal of Korean Society of Spine Surgery Cervical Intervertebral Disc Calcification Fig. 1. Initial X-ray. Intervertebral disc calcification at C2-3 with right anterior hernication with inferior migration and associated retropharyngeal widening (A) AP view (B) Lateral view Fig. 2. Initial MRI. Acute symptomatic intervertebral disc calcification at C2-3 with right sided prevertebral hermiation of the calcification migrating inferiorly (A) T2WI Axial view (B) T1WI Sagittal view 255
4 Dong-Eun Shin et al Volume 18 Number 4 December 2011 Fig. 3. Spinal CT. Acute symptomatic intervertebral disccalcification at C2-3 with right sided prevertebral hermiation of the calcification migrating inferiorly (A) Axial view (B) Sagittal view 단순방사선소견상 (Fig. 1) 제 2, 3 경추간판이전하방으로탈출되어있는명확한음영증가소견이관찰되었다. 입원시 37.2 도의미열과혈액학검사상에서의미약한염증소견을보여추간판농양의감별위해초기에시행한자기공명영상소견상 (Fig. 2) 농양등의감염성질환소견은보이지않았으며, T1 및 T2 강조영상모두에서저신호강도를보이는석회화음영을관찰할수있었다. 또한척추강내수핵탈출및척수압박소견도보이지않아보존적치료로침상안정및 NSAID(Ibuprofen 20mg/ kg/day) 사용만을유지하며증상을관찰하기로했다. 내원 3일째경부의통증이완화되었으며, 혈액학적소견또한 ESR 16 mm/hr ( 정상치 1~20mm/hr), CRP 0.18 mg/dl ( 정상치 0~0.3mg/dL) 로감소하여석회화에대한정밀관찰위하여시행한전산화단층촬영상 (Fig. 3) 제 2, 3번경추간판의우측에전하방으로탈출되는모양의다발성석회화음영이관찰되었다. 보존적치료후통증, 경부의운동제한, 및사경등의모든증상이사라져입원 5일째퇴원하였으며 2개월추시관찰결과증상의재발및이학적검사상의이상은발견되지않았으며단순방사선소견상 (Fig. 4.) 석회화음영이감소되었음을관찰할수있었다. 고찰 소아에서특별한외상력없이생긴갑작스런경부통증과운동제한이있는경우, 가장먼저염증성질환및종양에대하여의심해보아야하며, 세균성추간판염, 골수염, 농양, 및척추염등의염증성질환과유골성골종및골모세포종등의종양성질환의감별진단을위해방사선학적검사와혈액검사를시행해야한다. 1) 추간판석회화증은퇴행성변화의일환으로증상없이성인에있어서흔하게나타나는반면소아에서나타나는추간판의석회화증은비교적드물어지금까지대략 200례정도가보고되어있다. 신생아에서부터청소년시기까지모두나타날수있지만 6~10 세에가장흔하게나타난다고알려져있으며, 2,3) 발병원인에대해서는이전에있었던외상과본례에서와같이혈역학적이상소견을들어염증성질환이제기되었지만뚜렷한연관성을찾아내지못하였다. 4) 그이외에도연골석회화증이나부갑상선항진증및비타민 D 과잉과같은대사성질환과의연관성에대해서도연구되었으나밝혀내지못하였다. 5) Swischuk 등은외상이나감염, 혈관염등의여러요인에의해유발된이차적인추간판내수핵으로의혈액공급장애가일시적인석회화를발생 256
5 Journal of Korean Society of Spine Surgery Cervical Intervertebral Disc Calcification Fig. 4. F/U X-ray after 2 months. Detcreased intervertebral disc calcification at C2-3 (A) AP view (B) Lateral view 시키고혈액공급의재개에의해서소실된다고주장하였다. 6) 주증상은경추부운동제한이나사경등을동반한경부동통이며드물게는경부의상지통을나타내기도한다. 경우에따라서는본례에서와같이 ESR/CRP 및백혈구등의염증을나타내는지표의증가와함께미열을동반하는경우가흔하게보고되나 7) 신경관의침범에의한방사통, 척추증등의신경학적증상을나타내는경우는거의없다. 8) Dai 등은증상이평균한달정도지속되며단순방사선상석회화는 5개월가량지속된다고보고했다. 4) 또한 Sonnabend 등은 90% 정도에서방사선상석회화소견이없어지나약 8% 가량에서는석회화음영이소실되지않았고다발성으로나타난군에서는각각의추간판석회화음영이서로다른속도로소실됨을보고하였다. 7) 성인과는달리소아에있어서는경추에가장호발하며증상또한흉추나요추에발병하는경우에비해경우에발병하는경우에비해급성증상을동반하는경우가많다. 5,9) 척추단순방사선소견상대부분수핵안에석회화가관찰되며, 척추체의형태변화가동반되나이러한방사선학적소견은증상의정도와는관련이없고, 4,10) 약 30% 의환아에서추간판돌출 (Protrusion) 이관찰되나이또한증상과는관련이없었다고보고하였다. 7) 결론 소아에있어서경추추간판석회화증은매우드문질환으로써이환된환아들은흔히사경및운동제한을동반한갑작스런경부통증호소한다. 이러한증상들은보존적치료만으로보통수주안에회복되며또한좋은예후를보인다. 다만감염성질환및종양에대한감별을위한최소한의검사는필요할것으로사료된다. REFERENCES 1. Herring JA, Hensinger RN. Cervical disc calcification. J Pediatr Orthop. 1988:8: Gerlach R, Zimmermann M, Kellermann S, Lietz R, Raabe A, Seifert V. Intervertebral disc calcification in childhood a case report and review of the literature. Acta Neurochir (Wien). 2001:143: Calderone M, Severino M, Pluchinotta FR, Zangardi T, Martini G. Idiopathic intervertebral disc calcification in childhood. Arch Dis Child. 2009:94:
6 Dong-Eun Shin et al Volume 18 Number 4 December Dai LY, Ye H, Qian QR. The natural history of cervical disc calcification in children. J Bone Joint Surg Am. 2004:86: Girodias JB, Azouz EM, Marton D. Intervertebral disk space calcification. A report of 51 children with a review of the literature. Pediatr Radiol. 1991:21: Swischuk LE, Jubang M, Jadhav SP. Calcific discitis in children: vertebral body involvement (possible insight into etiology). Emerg Radiol. 2008:15: Sonnabend DH, Taylor TK, Chapman GK. Intervertebral disc calcification syndromes in children. J Bone Joint Surg Br. 1982:64: Bagatur AE, Zorer G, Centel T. Natural history of paediatric intervertebral disc calcification. Arch Orthop Trauma Surg. 2001:121: Silverman FN. Calcification of the intervertebral disks in childhood. Radiology. 1954:62: Dhammi IK, Arora A, Monga J. Calcified thoracic intervertebral disc at two levels as a cause of mid-back pain in a child: a case report. J Orthop Sci. 2002:7: 소아에서의경추추간판석회화증 - 증례보고 - 신동은 안창수 * 조용석차의과학대학교분당차병원정형외과학교실, 차의과학대학교구미차병원정형외과학교실 * 연구계획 : 증례보고목적 : 본연구의목적은소아의경추추간판에생긴석회화증에대해보존적인치료로완치된증례를보고하고자함이다. 선행문헌의요약 : 경추추간판의석회화증은척추의퇴행성변화의일종으로성인에게있어서는흔하게볼수있으며, 대부분특별한증상을나타내지않는다. 반면소아에있어서는매우드물게나타나며, 심한경추부통증과연하곤란등의증상을동반하는경우가흔하다. 대상및방법 : 특별한외상력없이경부통증과사경을주소로외래로내원한 7세남아는경추추간판석회화증을진단받고보존적인치료후증상호전되어퇴원하였으며이후 2개월후추시관찰하였다. 결과 : 본환자는정확한이학적검사및자기공명영상에의해경추추간판석회화증으로진단후보존적일치료만을시행증상호전되어 5일째퇴원하였으며, 2개월추시관찰상증상및영상의학적소견이호전되는양상을보였다. 결론 : 경추추간판석회화증은인후두농양이나외상성손상또는감염성척추염과감별해하지만, 진단후에는보존적치료만으로효과적이다. 색인단어 : 소아, 경추, 추간판, 석회화 약칭제목 : 경추추간판석회화증 258
Lumbar spine
Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical
04조남훈
Received : 2011. 11. 16 Reviewed : 2011. 11. 25 Accpeted : 2011. 12. 5 A Case Report of Prescribing Yanghyeolgeopung-tang(yangxuequfeng-tang) to Two Patients with Cervical Disc Herniation and Headache
Jkss hwp
급성복증을보이는감염성요막관기형 Infected Urachal Remnants with Symtoms of the Acute Abdomen: The Differential Diagnosis & Proper Management Jan Dy Lee, M.D., Chee Young Lim, M.D. 1, Hyoung Il Kim, M.D. 1, Chul Woon Chung,
012임수진
Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar
005송영일
Received : 2015. 12. 09 Reviewed : 2015. 12. 16 Accepted : 2015. 12. 16 Sternal Fracture occurred after Thai Massage : A Case Report Young-Il Song, K.M.D. 1, Dong-Eun Kim, K.M.D. 1 1 Department of Rehabilitation
Journal of Korean Society of Spine Surgery Loss of Disc Height after Spontaneous Regression of a Herniated Lumbar Disc - A Case Report - Hyoung Bok Ki
Journal of Korean Society of Spine Surgery Loss of Disc Height after Spontaneous Regression of a Herniated Lumbar Disc - A Case Report - Hyoung Bok Kim, M.D., Hoon-Jae Chung, M.D. J Korean Soc Spine Surg
(
317 318 319 320 1 3 5 5 5 5 2 321 : 1.,,,,, 06 2. X-ray beam penetration (density) (contrast) 03 3. patch coating, precipitation, flaking 03 4. centering 03 5. Esophagus, cardia, fundus, body, angle, antrum,
YI Ggodme : The Lives and Diseases of Females during the Latter Half of the Joseon Dynasty as Reconstructed with Cases in Yeoksi Manpil (Stray Notes w
497 의사학 제24권 제2호(통권 제50호) 2015년 8월 Korean J Med Hist 24 ː497-532 Aug 2015 c대한의사학회 http://dx.doi.org/10.13081/kjmh.2015.24.497 pissn 1225-505X, eissn 2093-5609 역시만필( 歷 試 漫 筆 ) 의 사례로 재구성한 조선후기 여성의 삶과 질병
<30312DC1A4BAB8C5EBBDC5C7E0C1A4B9D7C1A4C3A52DC1A4BFB5C3B62E687770>
Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 19, No. 2 : 258~264 Feb. 2015 ID3 알고리즘 기반의 귀납적 추론을 활용한 모바일 OS의 성공과 실패에 대한
139~144 ¿À°ø¾àħ
2 139 DOI : 10.3831/KPI.2010.13.2.139 2 Received : 10. 04. 08 Revised : 10. 04. 26 Two Case Report on Wrist Ganglion Treated with Scolopendrid Pharmacopuncture Accepted : 10. 05. 04 Key Words: Wrist Ganglion,
( )Kju269.hwp
만성세균성전립선염모델흰쥐에서 의항염효과 Anti-inflammatory Effect of Lycopene on Chronic Bacterial Prostatitis Rat Model Cho Hwan Yang, Dong Wan Sohn, Yong-Hyun Cho From the Department of Urology, The Catholic University
종골 부정 유합에 동반된 거주상 관절 아탈구의 치료 (1예 보고) 정복이 안된 상태로 치료 시에는 추후 지속적인 족부 동통의 원인이 되며, 이런 동통으로 인해 종골에 대해 구제술이나 2차적 재건술이 필요할 수도 있다. 2) 경종골 거주상 관절 탈구는 외국 문헌에 증례
CSE REPORT 대한족부족관절학회지 제16권 제4호 2012 J Korean Foot nkle Soc. Vol. 16. No. 4. pp.270-275, 2012 종골 부정 유합에 동반된 거주상 관절 아탈구의 치료 (1예 보고) 인제대학교 의과대학 일산백병원 정형외과 차성무 장보훈 서진수 Treatment of Talonavicular Subluxation
A 617
Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R
Kaes017.hwp
갑상선의 Poorly Differentiated (Insular) Carcinoma Insular Carcinoma: An Aggressive Subtype of Differentiated Thyroid Neoplasms Seok-Jin Nam, M.D., Sang-Dal Lee, M.D., Hal-lin Park, M.D., Young-Ryun Oh, M.D.
ºÎÁ¤¸ÆV10N³»Áö
case of brugada syndrome presented as chest pain STRCT rugada syndrome was described in 1992 as a new clinical entity characterized by electrocardiographic STsegment elevation in the right precordial leads
KISEP Clinical Research J Korean Neurosurg Soc , 1998 다발성요추간반탈출증에서의컴퓨터적외선전신체열촬영의진단적가치 * 조용은 김영수 장호열 = Abstract = Clinical Efficacy of Digita
KISEP Clinical Research J Korean Neurosurg Soc 27237-245, 1998 다발성요추간반탈출증에서의컴퓨터적외선전신체열촬영의진단적가치 * = Abstract = Clinical Efficacy of Digital Infrared Thermographic Imaging in Multiple Lumbar Disc Herniations
<30345F283439372D353034295F313135375FC0CCB5BFC8F15FB5B5B7CEC5CDB3CEC0C720B0BBB1B8BACE20B0E6B0FCBCB3B0E8B0A120C5CDB3CE20B3BBBACEC1B6B8ED2E687770>
J of Korean Tunn Undergr Sp Assoc 15(5)497-504(2013) eissn: 2287-4747 http://dx.doi.org/10.9711/ktaj.2013.15.5.497 pissn: 2233-8292 도로터널의 갱구부 경관설계가 터널 내부조명에 미치는 영향에 관한 연구 이미애 1 ㆍ이동희 2 * 1 아이라이트 대표이사 2
±è¹ÎÁö
531 김민지 외: 미숙아에 발생한 의인성 식도천공과 기종격증 및 종격동염 A B C D E F Fig. 1. Chest radiographs and CT scans of a premature infant. Chest radiograph at 6 days after birth (A) shows left paravertebral radiolucency at the
( ) Jkra076.hwp
Vol. 11, No. 4, December, 2004 Objective: Ultrasonography (USG) of joints has a unique position for the diagnosis of joint diseases. Bone surface, cartilage, periarticular soft tissue and their pathologic
Trd022.hwp
김신태, 이선녕, 이석정, 정필문, 박홍준, 신명상, 김종환, 이부길, 김상하, 리원연, 신계철, 용석중 Shin-Tae Kim, M.D., Shun Nyung Lee, M.D., Seok Jeong Lee, M.D., Pil Moon Jung, M.D., Hong Jun Park, M.D., Myung Sang Shin, M.D., Chong Whan Kim,
- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -
A Study on Married Female Immigrants Life Style and Marriage Satisfaction in Terms of Preparing Their Old Age in Chungcheongnam-do Department of Gerontology, Hoseo University Doctoral Student : Hi Ran
< FB5B5BAF1B6F32C20B8F1C2F D34292E687770>
Case Report J Sasang Constitut Med 2014;26(4):379-388 http://dx.doi.org/10.7730/jscm.2014.26.4.379 Abstract A Case Study of Soyangin Patient with Hyperhidrosis Treated Successfully with Hyungbangsabaek-san(
16_이주용_155~163.hwp
사상체질의학회지 2008;20(2):155-163 J of Sasang Constitutional Medicine Vol. 20, No. 2, 2008:155-163 http://www.esasang.com 腦 梗 塞 으로 발생한 少 陽 人 半 身 舞 蹈 病 患 者 치험 1례 이주용 이한얼 한경수 안택원 Abstract 대전대학교 한의과대학 사상체질과 A Soyangin
Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp DOI: : Researc
Journal of Educational Innovation Research 2017, Vol. 27, No. 2, pp.251-273 DOI: http://dx.doi.org/10.21024/pnuedi.27.2.201706.251 : 1997 2005 Research Trend Analysis on the Korean Alternative Education
2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285
13 2 ( 25 ) 2004 12 Korean J Med Hist 13 284 296 Dec 2004 ISSN 1225 505X 1) * ** ** 1 1920 1930 40 ( 1896-1973) 80 * ** 1) 2003 284 2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914
±è¼Ò¿µ
183 Table 1. Differential MRI Findings of Tuberculous Spondylitis and Pyogenic Spondylitis (p
2009;21(1): (1777) 49 (1800 ),.,,.,, ( ) ( ) 1782., ( ). ( ) 1,... 2,3,4,5.,,, ( ), ( ),. 6,,, ( ), ( ),....,.. (, ) (, )
Abstract Kim Dal-Rae, Kim Sun-Hyung* Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Kyung-Hee Univ. *Dept. of Sasang Constitutional Medicine, East-West Neo Medical Center, Kyung-Hee
노영남
Purpose: Delayed massive hemorrhages from pseudoaneurysm rupture of the peripancreatic large arteries, after pancreaticoduodenectomy, are fatal. We reviewed the clinical course and outcome of bleeding
975_983 특집-한규철, 정원호
Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology
ECG & EP CASES Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea A case of
Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp DOI: * A Research Trend
Journal of Educational Innovation Research 2018, Vol. 28, No. 4, pp.295-318 DOI: http://dx.doi.org/10.21024/pnuedi.28.4.201812.295 * A Research Trend on the Studies related to Parents of Adults with Disabilities
246 pissn : , eissn : Case Report J Korean Orthop Assoc 2013; 48:
246 pissn : 1226-2102, eissn : 2005-8918 Case Report J Korean Orthop Assoc 2013; 48: 246-250 http://dx.doi.org/10.4055/jkoa.2013.48.3.246 www.jkoa.org 민상혁 윤성현 이준열 단국대학교의과대학정형외과학교실 Intervertebral Foraminal
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. vol. 29, no. 10, Oct ,,. 0.5 %.., cm mm FR4 (ε r =4.4)
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2018 Oct.; 29(10), 799 804. http://dx.doi.org/10.5515/kjkiees.2018.29.10.799 ISSN 1226-3133 (Print) ISSN 2288-226X (Online) Method
자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 A B Fig. 1. High-contrast spatial resolution in phantom test. A. Slice 1 with three sets of hole arr
Original Article pissn 1738-2637 J Korean Soc Radiol 2012;67(2):129-134 The Survey of Magnetic Resonance Imaging Quality according to in Korea 1 자기공명영상장치(MRI) 자장세기에 따른 MRI 품질관리 영상검사의 개별항목점수 실태조사 1 Hyun-Hae
Kor. J. Aesthet. Cosmetol., 및 자아존중감과 스트레스와도 밀접한 관계가 있고, 만족 정도 에 따라 전반적인 생활에도 영향을 미치므로 신체는 갈수록 개 인적, 사회적 차원에서 중요해지고 있다(안희진, 2010). 따라서 외모만족도는 개인의 신체는 타
RESEARCH ARTICLE Kor. J. Aesthet. Cosmetol., 20-40대 여성의 외모만족도가 미용관리태도에 미치는 영향 홍수남 1, 김효숙 2 * 1 건국대학교 뷰티사이언스디자인학과, 2 건국대학교 의상디자인과 Effects of Extrinsic Body Satisfaction on Beauty Management Behavior of
04_이근원_21~27.hwp
1) KIGAS Vol. 16, No. 5, pp 21~27, 2012 (Journal of the Korean Institute of Gas) http://dx.doi.org/10.7842/kigas.2012.16.5.21 실험실의 사례 분석에 관한 연구 이근원 이정석 한국산업안전보건공단 산업안전보건연구원 (2012년 9월 5일 투고, 2012년 10월 19일
Abstract Musculoskeletal Symptoms and Related Factors for Nurses and Radiological Technologists Wearing a Lead Apron for Radiation Pro t e c t i o n Jung-Im Yoo, Jung-Wan Koo 1 ) Angio Unit, Team of Radiology,
( )Kju225.hwp
비임균성비뇨생식기감염에서 의진단적효용성 Usefulness of the Mycofast Test (MYCOFAST Evolution 2) for the Diagnosis of Nongonococcal Genitourinary Infections Hang Ro Park, Yang Hyun Kim, Ho Jae Lee, Jea Sang Oh, Hyoung Jin
03-서연옥.hwp
농업생명과학연구 49(4) pp.31-37 Journal of Agriculture & Life Science 49(4) pp.31-37 Print ISSN 1598-5504 Online ISSN 2383-8272 http://dx.doi.org/10.14397/jals.2015.49.4.31 국가산림자원조사 자료를 적용한 충남지역 사유림경영율 추정 서연옥
Journal of Korean Society of Spine Surgery Sequestrated Intradural Disc Herniation Around Couns Medullaris - A Case Report - Jaewon Lee, M.D., Wan-Sik
Journal of Korean Society of Spine Surgery Sequestrated Intradural Disc Herniation Around Couns Medullaris - A Case Report - Jaewon Lee, M.D., Wan-Sik Seo, M.D., Ye-Soo Park, M.D., Young-Ha Oh, M.D. J
Jksvs019(8-15).hwp
Grade I Grade II Grade III 12 대한혈관외과학회지 : 제 20 권 제 1 호 2004 Control Group A Group B Fig. 4. Microscopic findings of vein wall in control, group A and group B on the day of 7 after venous occlusion. The
Journal of Korean Society of Spine Surgery Acute Epidural Hematoma Following Cervical Spinal Fracture in a Patient with Ankylosing Spondylitis Sang Bu
Journal of Korean Society of Spine Surgery Acute Epidural Hematoma Following Cervical Spinal Fracture in a Patient with Ankylosing Spondylitis Sang Bum Kim, M.D., Youn Moo Heo, M.D., Byung Hak Oh, M.D.,
12이문규
Review on Conservative Treatment of Spinal Scoliosis Moon-kyu Lee, O.M.D., Gil-jae Lee, O.M.D., Yun-kyung Song, O.M.D., Hyung-ho Lim, O.M.D. Dept. of Oriental Rehabilitation Medicine College of Oriental
김범수
Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis
06-구기형
대한척추외과학회지제 16 권제 2 호 Journal of Korean Spine Surg. Vol. 16, No. 2, pp 112~121, 2009 DOI:10.4184/jkss.2009.16.2.112 결핵성척추염과화농성척추염의감별진단 구기형 # 이혁진 장봉순 염진섭 박건우 이춘기 서울대학교의과대학정형외과학교실, 동국대학교일산병원정형외과 # Differential
1..
Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :
DBPIA-NURIMEDIA
The e-business Studies Volume 17, Number 4, August, 30, 2016:319~332 Received: 2016/07/28, Accepted: 2016/08/28 Revised: 2016/08/27, Published: 2016/08/30 [ABSTRACT] This paper examined what determina
DBPIA-NURIMEDIA
The e-business Studies Volume 17, Number 6, December, 30, 2016:275~289 Received: 2016/12/02, Accepted: 2016/12/22 Revised: 2016/12/20, Published: 2016/12/30 [ABSTRACT] SNS is used in various fields. Although
<283732372D3733312920B4D9C3CAC1A120BCD2C7C1C6AEC4DCC5C3C6AEB7BBC1EEC0C720B3EBBEC8C0C720BDC3B7C2BAB8C1A4BFA120B4EBC7D120C0AFBFEBBCBA20C6F2B0A1283035292E687770>
대한안과학회지 제 49 권 제 5 호 2008 J Korean Ophthalmol Soc 49(5):727-731, 2008 DOI : 10.3341/jkos.2008.49.5.727 다초점 소프트콘택트렌즈의 노안의 시력보정에 대한 유용성 평가 김현경 1 김효명 2 정성근 1 가톨릭대학교 의과대학 성모병원 안과학교실 1, 고려대학교 의과대학 안암병원 안과학교실
386-390.hwp
386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon
황지웅
Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic
141(26) 20056 1930 19 () ( ( ) () () () ) 2) 1932 ()()3) 2 1) 1897519( ) ( ) () () () 4) ( ) 5) 6) 15-20 7) 191216 2) ( ) () 42 () 193111 12 1933 4 3)
141(26) 20056 Korean J Med Hist 14131 Jun 2005 ISSN 1225505X ( 1897-1982) * ** 1 ( 1897-1982) ( ) 1) 3 1 ( ) 1930 1930 1930 * () ** 1) ( 2000 p 13-15) 1 141(26) 20056 1930 19 () ( ( ) () () () ) 2) 1932
Journal of Educational Innovation Research 2016, Vol. 26, No. 2, pp DOI: * Experiences of Af
Journal of Educational Innovation Research 2016, Vol. 26, No. 2, pp.201-229 DOI: http://dx.doi.org/10.21024/pnuedi.26.2.201608.201 * Experiences of After-school Class Caring by Married Early Childhood
( )Kjhps043.hwp
Difference of Fistula Maturation Degree and Physical Property by the Types of Tube Material: An Experimental Study Sang Koo Kang, M.D. 1, Hee Chul Yu, M.D. 1,4, Woo Sung Moon, M.D. 2,4, Ju Hyoung Lee,
Case Report J Korean Bone Joint Tumor Soc 2014; 20: 수근부에발생한유골골종 : 증례보고 Osteoid Ost
Case Report J Korean Bone Joint Tumor Soc 2014; 20: 94-98 http://dx.doi.org/10.5292/jkbjts.2014.20.2.94 www.kbjts.or.kr 수근부에발생한유골골종 : 증례보고 Osteoid Osteoma in Wrist: A Case Report pissn : 1226-4962 eissn
DBPIA-NURIMEDIA
The e-business Studies Volume 17, Number 6, December, 30, 2016:237~251 Received: 2016/11/20, Accepted: 2016/12/24 Revised: 2016/12/21, Published: 2016/12/30 [ABSTRACT] Recently, there is an increasing
Kbcs002.hwp
Does Real-time Compound Imaging Improve Evaluation of reast Cancer Compared to Conventional Sonography? o Kyoung Seo, M.D., Yu Whan Oh, M.D., Kyu Ran Cho, M.D., Young Hen Lee, M.D., Hyung Joon Noh, M.D.,
untitled
Case Report J Korean Orthop Assoc 2012; 47: 227-231 http://dx.doi.org/10.4055/jkoa.2012.47.3.227 www.jkoa.org 골절 / 탈구가없는하경추부신전손상에서발생한광범위한전경추부혈종에의한기도압박 Airway Compression as a Result of Extensive Prevertebral
디지털포렌식학회 논문양식
ISSN : 1976-5304 http://www.kdfs.or.kr Virtual Online Game(VOG) 환경에서의 디지털 증거수집 방법 연구 이 흥 복, 정 관 모, 김 선 영 * 대전지방경찰청 Evidence Collection Process According to the Way VOG Configuration Heung-Bok Lee, Kwan-Mo
15-안영준(전화교정)
범발성특발성골격과골증에서발생한발성장애및연하곤란 -1 례보고 - 대한척추외과학회지제 13 권제 4 호 Journal of Korean Spine Surg. Vol. 13, No. 4, pp 327~331, 2006 안영준 한성호 양보규 이승림 유재호 윤동진 정병준 주민홍 김성완 국립경찰병원정형외과 Diffuse Idiopathic Skeletal Hyperostosis
Back Pain in Children
Back Pain in Children back pain? back pain 10 ~ 30 % (up to 50 % by Questionnaire) 10 : rare (11 : 11%, 15 : 50%) : Back pain 2 ~ 8 % : (+) up to 50% if : Significant vs. Non-significant Red flag (Fever,
Jkcs022(89-113).hwp
대한배뇨장애 및 요실금 학회지 J. Korean Continence Society 2004;8:89-113 Bristol Female Lower Urinary Tract Symptom 설문지의 한국어 번역 및 번역본의 언어 타당도 Seung-June Oh*, Hyung Geun Park*, Sung Hyun Paick, Won Hee Park and Myung-Soo
03-ÀÌÁ¦Çö
25 3 (2004 9 ) J Korean Oriental Med 2004;25(3):20-31 1), 2), 3) 1) 2) 3) Grope for a Summary Program about Intellectual Property Protection of Traditional Knowledge (TK)etc. Discussed in WIPO Hwan-Soo
KIM Sook Young : Lee Jungsook, a Korean Independence Activist and a Nurse during the 이며 나름 의식이 깨어있던 지식인들이라 할 수 있을 것이다. 교육을 받은 간 호부들은 환자를 돌보는 그들의 직업적 소
1 의사학 제24권 제1호(통권 제49호) 2015년 4월 Korean J Med Hist 24 ː1-34 Apr 2015 c대한의사학회 http://dx.doi.org/10.13081/kjmh.2015.24.1 pissn 1225-505X, eissn 2093-5609 간호부 이정숙의 독립운동 김숙영* 1. 서론 2. 본론 1) 출생에서 정신여학교 수학시절까지
Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie
Volume 12, Number 1, 92~102, An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children Myo-Jin Kim 1), Joung-Hae Bak 1), Won-Seok Seo 2) Mi-Young Kim 3), Sun-Kyoung Park 3), Jai-Soung
DBPIA-NURIMEDIA
Journal of the Korea Institute of Information and Communication Engineering 한국정보통신학회논문지(J. Korea Inst. Inf. Commun. Eng.) Vol. 19, No. 5 : 1031~1039 May. 2015 정보보호 산업의 경제적 파급효과 및 기여도 분석 김방룡 1 홍재표 2* Economic
6.Kaes013( ).hwp
갑상선결핵 - 증례보고및문헌고찰 Tuberculosis of the Thyroid Gland - Report of Two Cases and Review of the Literatures Se Yeom Park, M.D., Jong Geun Lee, M.D., Bong Ok Yoo, M.D., Oh Kyoung Kwon, M.D. and Myoung Jin Joo,
???? 1
The Korean Journal of Applied Statistics (2014) 27(1), 13 20 DOI: http://dx.doi.org/10.5351/kjas.2014.27.1.013 Maximum Tolerated Dose Estimation by Stopping Rule and SM3 Design in a Phase I Clinical Trial
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE Dec.; 27(12),
THE JOURNAL OF KOREAN INSTITUTE OF ELECTROMAGNETIC ENGINEERING AND SCIENCE. 2016 Dec.; 27(12), 1036 1043. http://dx.doi.org/10.5515/kjkiees.2016.27.12.1036 ISSN 1226-3133 (Print) ISSN 2288-226X (Online)
歯5-2-13(전미희외).PDF
The Korean Journal of Counseling 2004, Vol. 5, No. 2, 423-434,. 4 5 18 9, 9.,,,,,.,,, t-.. :,,, (,, 1996),.,,. (, 2001),... 88 98 2000, 88 12.5%(250 )98 35.6%(712 )2.8 (,,, 2001) (Corresponding Author)
Continuing Education Column Ossification of Posterior Longitudinal Ligament(OPLL) of Cervical Spine Ki Hong Cho, M.D. Department of Neurosurgery Ajou
Ossification of Posterior Longitudinal Ligament(OPLL) of Cervical Spine Ki Hong Cho, M.D. Department of Neurosurgery Ajou University College of Medicine & Hospital E mail : khcho54@ajou.ac.kr Abstract
-07-......
A Depth Interview on Qualification, Role, and Professionalism of Infant/Toddler Teachers Department of Child & Family Studies, Kyung Hee University Associate Professor : Ahn, Sun Hee Department of Early
한국성인에서초기황반변성질환과 연관된위험요인연구
한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 - - i - - i - - ii - - iii - - iv - χ - v - - vi - - 1 - - 2 - - 3 - - 4 - 그림 1. 연구대상자선정도표 - 5 - - 6 - - 7 - - 8 - 그림 2. 연구의틀 χ - 9 - - 10 - - 11 -
歯kjmh2004v13n1.PDF
13 1 ( 24 ) 2004 6 Korean J Med Hist 13 1 19 Jun 2004 ISSN 1225 505X 1) * * 1 ( ) 2) 3) 4) * 1) ( ) 3 2) 7 1 3) 2 1 13 1 ( 24 ) 2004 6 5) ( ) ( ) 2 1 ( ) 2 3 2 4) ( ) 6 7 5) - 2003 23 144-166 2 2 1) 6)
09권오설_ok.hwp
(JBE Vol. 19, No. 5, September 2014) (Regular Paper) 19 5, 2014 9 (JBE Vol. 19, No. 5, September 2014) http://dx.doi.org/10.5909/jbe.2014.19.5.656 ISSN 2287-9137 (Online) ISSN 1226-7953 (Print) a) Reduction
원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현
원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 연세대학교대학원 의학과 남상현 원위부요척골관절질환에서의초음파 유도하스테로이드주사치료의효과 - 후향적 1 년경과관찰연구 - 지도김석원교수 이논문을석사학위논문으로제출함
Journal of Korean Society of Spine Surgery Unilateral Biportal Endoscopy as a Treatment for Acute Radiculopathy after Osteoporotic Lumbar Compression
Journal of Korean Society of Spine Surgery Unilateral Biportal Endoscopy as a Treatment for Acute Radiculopathy after Osteoporotic Lumbar Compression Fracture - A Case Report - Hyoung Bok Kim, M.D., Hoon-Jae
10(3)-09.fm
w y wz 10«3y 253~258 (2010.12.) Journal of Korean Society of Urban Environment ³ w Á» Á Á y w y œw (2010 11 22, 2010 12 9 k) Study on Determine of Detention Pond in Small Developed Area In-Soo Chang ½
(49-54)Kjhps004.hwp
Biliary Cystadenoma and Cystadenocarcinoma of the Liver Jae Hoon Lee, M.D., Dong Ho Choi, M.D. 1, Kyeong Geun Lee, M.D., Hwon Kyum Park M.D. and Kwang Soo Lee, M.D. Department of Surgery, College of Medicine,
Kaes025.hwp
고위험군유두상갑상선암환자에대한방사성옥소최대허용선량측정법및치료법의검증 Verification of Measurement Methods and Therapeutic Efficacy of Maximum Permissible Dose of I-131 in High Risk Patients with Differentiated Papillary Thyroid Cancer
³ëÀκ¹Áö-°Ç°�ÆíÆíÁýÃÖÁ¾
발간등록번호 11-1351000-000293-01 2009 노인돌봄기본서비스 노인돌보미가 홀로 살고 계신 어르신과 생활교육 동영상 교재 -건강편- 함께 하겠습니다. 보건복지가족부 노 인 지 원 과 보건복지가족부 노 인 지 원 과 c.o.n.t.e.n.t.s 3 2. 노년기의 주요 질환 Ⅱ 노인성질환의이해와건강관리 1. 노인성 질환의 특성 1) 1/3 법칙 1)
<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770>
개원의와함께하는임상강좌 2011 역류성식도질환제대로이해하기 Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea Jae-Young Jang, M.D., PhD. 개원의와함께하는임상강좌 2011 109 최신치료
untitled
ISSN 1225-1682 (Print) ISSN 2287-9293 (Online) 대한골절학회지제 29 권, 제 3 호, 2016 년 7 월 J Korean Fract Soc 2016;29(3):200-205 http://dx.doi.org/10.12671/jkfs.2016.29.3.200 Case Report 성인환자에서발생한동측의대퇴골간부골절에동반된전십자인대대퇴골부착부견열골절
001-학회지소개(영)
Review Article Randomization, What is the Proper Method? Jin Ho Hong, M.D., Jae Chul Yoo, M.D. Shoulder & Sports medicine, Department of Orthopedic Surgery, Samsung Medical Center Purpose: Among the numerous
충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~ Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교
충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~5 2017 Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교의과대학마취통증의학교실, 의학연구소 (28644), happycat19@hanmail.net
민속지_이건욱T 최종
441 450 458 466 474 477 480 This book examines the research conducted on urban ethnography by the National Folk Museum of Korea. Although most people in Korea
歯제7권1호(최종편집).PDF
********* (*, **, *** ).., 2002, 7, 1, 1-12. 2-5 80.,.,..,,... :,,. (naming).., (word finding), (lexical look- up), (lexical retrieval), (word recall) (Fried- Oken, 1987). (pause),,, (naming error) (Snyder
16(1)-3(국문)(p.40-45).fm
w wz 16«1y Kor. J. Clin. Pharm., Vol. 16, No. 1. 2006 x w$btf3fqpsu'psn û w m w Department of Statistics, Chonnam National University Eunsik Park College of Natural Sciences, Chonnam National University
Rheu-suppl hwp
Objective: This paper reviews the existing Korean medical and public health, and nursing academy articles on disease-specific and domain-specific quality of life, and provides recommendations for the universally
13-11윤형구
대한고관절학회지제 18 권제 1 호 Vol. 18, No. 1, March, 2006 대퇴골두무혈성괴사환자에서의대퇴골골두및경부골절 -4 례보고 - 포천중문의과대학분당차병원정형외과학교실 대퇴골두무혈성괴사환자에서속발되는대퇴골두및경부의골절발생은매우드물며이에대한골절의양상에대한분석과연관된보고는별로이루어져있지않은상태이다. 이에대한국내문헌상보고도거의없는실정이어서, 저자들은무혈성괴사로진단받아추시관찰중인환자들중에서초생달형태의골절과는전혀다른,
Journal of Educational Innovation Research 2017, Vol. 27, No. 4, pp DOI: * The Meaning of Pl
Journal of Educational Innovation Research 2017, Vol. 27, No. 4, pp.267-279 DOI: http://dx.doi.org/10.21024/pnuedi.27.4.201712.267 * The Meaning of Play and Play as Mimesis in Education Purpose: The purpose
05.Kaes001.hwp
혈액투석환자에서삼차성부갑상선기능항진증으로부갑상선절제술후발생한 Hungry Bone Syndrome 1 예 A Case of Hungry Bone Syndrome after Parathyroidectomy in Patient with Tertiary Hyperparathyroidism and Hemodialysis Patient Myoung Won Son, M.D.,
Journal of Educational Innovation Research 2017, Vol. 27, No. 1, pp DOI: * The
Journal of Educational Innovation Research 2017, Vol. 27, No. 1, pp.243-268 DOI: http://dx.doi.org/10.21024/pnuedi.27.1.201703.243 * - 2001 2015 - The Research Trends on Peer Counseling in Elementary and
?
J o u r n a l o f N a t u r o p a t h i c M e d i c i n e 09 2012 Vol.188 INSAN 02 2012 SEPTEMBER Journal of Naturopathic Medicine 03 11,000 19,000 15,000 20% 45,000 36,000 11,000 19,000 15,000 20% 45,000
109~120 õÃʾàħ Ä¡·á
109 DOI : 10.3831/KPI.2010.13.3.109 Received : 10. 08. 13 Revised : 10. 09. 06 A Case Study Of Patients With Knee Joint Pain Treated With Rubiae Radix Pharmacopuncture Accepted : 10. 09. 07 Key Words:
DBPIA-NURIMEDIA
김진주 김수연. 초등학생대상장애이해교육에활용된동화에나타난장애인관분석. 특수교육, 2013, 제12권, 제2호, 135-160... 20.,,. 4.,,.,..... 주제어 : 장애이해교육, 동화, 장애인관 1. ( 1 ) Incheon Munhak Elementary School ( )(, E-mail: sooyoun@ginue.ac.kr) Dept. of
00약제부봄호c03逞풚
경희대학교 동서신의학병원 약품 정보지 2 0 0 7. S P R I N G. V O L. 0 1 신약 소개 02 Journal Review 03 Special Subject 04 복약 지도 06 의약품 안전성 정보 07 약제부 알림 07 약제부 업무 소개 08 E A S T - W E S T N E O M E D I C A L C E N T E R 본 약품
09-이재철
대한척추외과학회지제 14 권제 2 호 Journal of Korean Spine Surg. Vol. 14, No. 2, pp 115~119, 2007 척추관협착증환자에서발견된제 4 요추부선천성편측척추경결손 - 증례보고 - 김연일 이재철 최우석 신병준 순천향대학교의과대학정형외과학교실, 척추센터 Congenital Absence of a Pedicle of L4