1.A Case of Deep Vein Thrombosis Associated with Pulmonary and Renal Thromboembolism.
Byungsam LEE ; Oksik SHIN ; Gyuchang SHIN ; Hongsu JUNG ; Taeho JUNG ; Jaeguen JANG ; Sungrok KIM ; Yongkoo OH
Korean Circulation Journal 1993;23(5):754-760
The deep vein thrombosis had been described as the reaction of vascular inflammatory change by John Hunter in 1773, and Virchow described the pathophysiology of etiologic factors for the first time in 1856. Deep Vein thrombosis and pulmonary embolism is common disease in the North American and European countries. It was reported that deep Vein thrombosis and pulmonary embolism were associated with 300,000 to 600,000 hospitalizations for each year and that as many as 50,000 individuals die each year as a result of pulmonary embolism in the United States. In Korea, deep vein thrombosis is uncommon, complicating pulmonary embolism & renal thromboembolism are also rare, and many cases had not specific history & precipitating factor. The report is for one case of deep vein thrombosis associated with pulmonary & renal thromboembolism, who was 34-years-old, admitted to Masan Koryo hospital because of pain and edema in left lower extremity, had not specific history & precipitating factor. The thrombosis(or thromboembolism) involed his left lung & kidney, and the patient present with severe swelling of affected limb and oliguria. He underwent leg elevation under absolute bed rest and anticoagulant therapy. The significant improvement was done under medical treatment. We report one case of deep vein thrombosis with a brief of literatures.
Bed Rest
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Edema
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Extremities
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Hospitalization
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Humans
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Kidney
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Korea
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Leg
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Lower Extremity
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Lung
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Oliguria
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Precipitating Factors
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Pulmonary Embolism
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Thromboembolism*
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United States
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Venous Thrombosis*
2.A novel hinged ankle foot orthosis for gait performance in chronic hemiplegic stroke survivors: a feasibility study.
Se Han LEE ; ChangMin CHOI ; DongGeon LEE ; SeungHoo LEE ; SunHae SONG ; SeungHyeon PYO ; SoungKyun HONG ; GyuChang LEE
Biomedical Engineering Letters 2018;8(3):301-308
Stroke survivors with gait disturbances may use ankle foot orthoses (AFOs). However, most AFOs come in one-piece styles, which make it difficult for spasticity-affected stroke survivors to don. AFOs are also limited since they do not properly prevent ankle joint for foot drop by itself. Therefore, the present study developed a novel hinged AFO by adding a locking device to a hinged joint. We then tested its feasibility in 9 hemiplegic stroke survivors by investigating temporal–spatial gait parameters using the GAITRite in the following 3 conditions: no AFO, traditional AFO, and novel hinged AFO. There was no significant difference in spatiotemporal gait parameters among the different conditions. There were greater decreases in gait velocity, cadence, step length, and stride length in the novel hinged AFO group than in the no AFO and traditional AFO groups. This novel hinged AFO was developed to prevent foot drop. However, the AFO did not show significant differences in gait parameters because it consists of metal with extra weight and volume. Functionally, it prevented foot drop. It also improved convenience by its releasable design. Thus, further studies are needed to develop an AFO that improves gait and is convenient to use for hemiplegic stroke survivors.
Ankle Joint
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Ankle*
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Feasibility Studies*
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Foot Orthoses*
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Foot*
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Gait*
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Humans
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Joints
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Stroke*
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Survivors*