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Objectives: The purpose of this study is to investigate the safety, injury mechanism, complication and adverse reactions associated with Chuna manual theraphy(CMT), to report one case of adverse reaction with Thai Massage(TM). Methods: A 76-year-old woman presented with chest pain and dorsalgia. The patient undertook a TM. The patient's chest pain didn't improve by Korean medecine. In MRI study, sternal fracture was diagnosed. Results and Conclusions : It is supposed that this patient suffered chest pain and dorsalgia due to a TM. From this case, we can understand the etiology of sternal fracture to some extent and consider the complication of Chuna manual theraphy through TM. In addition, This study raises the awareness of the possibility of a sternal fracture caused by a low-energy CMT technique.
A total of 434 tumors of the peripheral nerve and neuroectodermal tissue is hiatologically analyzed. These tumors were collected from Department of Pathology, Seoul National University, during a period of 17 years from January 1963 to December 1979, After critical review of the diagnosis of tumars and their clinical data we have obtained following informations. l. Among 434 tumors in this series there were 174 cases of neurilemmoma, 72 cases of solitary benign neurofibroma, 128 cases of neurofibromatosis, 25 cases of neurogenic sarcama (malignant schwannorna), 29 cases of neuroblastoma, 4 cases ot ganglio- neuroblaatoms and 2 cases of ganglioneuroma. 2. Neurilemmoma was found more frequently in sofc tissue(61%) and spinal canal(25%), and the remainder occured in cranial cavity. The average age was 39.7 years and sex ratio was I: 1.1. 3. Seventy two cases of. solitary benign neurofibroma occurred mostly in soft tissue(93%). The remaining fivc cases occurred in spinal canal. Among soft tisaue tumors, head and neck were the sites in 23 cases, trunk in 23 cases and extremities in 21 cases. In 9 cases we could identify the nerve trunk from whicb the tumar arose. Among these cases sciatic nerve was the most common. 4. Neurafibromatosis was usually characterized by plexiform pattern of the tumors. However, cutaneous involvement did not show charactersitic plexifrom structure. In this series there was not a aingle case of malignant transformatian among 12S neurofi- bromatosis. 5. There were 25 cases of malignant schwannoma. Among those 23 cases occurred in soft tissue and the remaining two cases accurred in the spinal canal. The site distributioa of soft tissue neurogenic sarcomas was 13 in trunk, 6 in extremities, and 4 in head and neck. 6. Twenty-nine neuroblastomas occurred most frequently in adrenals and retroperitoneum(86%). The remainder occurred in mediastinem(2 cases), nasal cavity(1 case) and spinal(1 case). average age of neuroblastomas was 8.6 years and sex ratio was 1.9:1.
Background: In differentiated thyroid carcinomas (DTC), it has been reported that pregnancy may accelerate the course of the disease. But recent evidences suggested that the prognosis of DTC during pregnancy was similar to that of DTC in non-pregnant women of the same age. Also the optimal timing for the treatment is still controversial. We evaluated the clinical features of DTC in pregnant women. Method: We reviewed the histories of patients in whom the DTC was diagnosed before or during the pregnancy between 1994 and 1999. DTC were diagnosed by fine needle aspiration and the patients were treated by thyroid surgery. Results: Six women who had a mean age of 30 years (27~34 years) were identified. The mean follow-up duration was 41 months (13~70 months). All patients had noticed a lump in their necks. In three patients, the nodules increased in size during pregnancy. A fine needle aspiration revealed a suspected malignancy in five patients and a postoperative biopsy confirmed the malignancy in one patient who had a preoperative cytologic diagnosis of nodular hyperplasia. All tumors were well differentiated and ranged in size from 1 to 6.5 cm. Radioactive iodine ablation and thyroid hormone suppression treatment were administered in five patients except in one case of papillary microcarcinoma. One patient had residual tumors in the right cervical lymph nodes and both lungs. She underwent repeated surgery and radioactive iodine therapy. Conclusion: This reports suggest that the DTC which is associated with pregnancy may have a similar prognosis to that of non-pregnant women and that the treatment of DTC in pregnant women may be safely delayed until after delivery in most patients. The treatment should not be delayed for more than a year (J Kor Soc Endocrinol 16:140-147, 2001).