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김신,음종혁,이애련,서수정,김주미,김주영,황보민 大韓小兒齒科學會 1994 大韓小兒齒科學會誌 Vol.21 No.2
The autotransplantation procedure were performed for the cases with impacted maxillary anterior teeth, which were thought unrealistic by the treatment with surgical exposure and orthodontic traction into the arches. The results were as follow : 1. As the treatment with autotransplantation is the last resort, the case indicated should be selected cautiously by adequate case analysis. 2. In order to reduce postoperative complication, damages to periodontal ligaments and adjacent bony structures should be minimized by conservative surgical procedures. 3. After autotransplantation procedures, postoperative endodonic treatment and continuous follow-up check with clinical and radiographic examination should be followed. Although the autotransplantation procedure is not the treatment of choice in most cases, it was thought to be a good alternative in certain cases when orthodontic treatment is unrealistic with continuous study to overcome the handicaps.
신은애 ( Eun Ae Shin ),강은지 ( Eun Ji Kang ),장은미 ( Eun Mi Chang ),차영주 ( Young Ju Cha ),전시원 ( Si Won Jeon ),이수윤 ( Soo Yoon Lee ),이사라 ( Sa Ra Lee ),주웅 ( Woong Ju ),김승철 ( Seung Cheol Kim ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.5
Paratubal cysts come from paraovarium of the broad ligament between the fallopian tube and ovary. Overall, these cysts constitute 10% of all adnexal masses and are commonly incidental findings upon surgical exploration for other reasons. They more commonly occur in women between 30 and 40 years of age. We report two cases of rapidly growing, huge paratubal cysts in young women, which are presented with brief review of literature.
ALLIUM TUBEROSUM IMPROVES HEPATIC STEATOSIS VIA INHIBITION OF HISTONE ACETYLATION
Shin, Eun Ju,Choi, Hyo-Kyoung,Hur, Haeng Jeon,Park, Jae Ho,Sung, Mi Jeong,Lee, Ae sin,Hur, Jin-Young,Kim, Myung Sunny,Um, Soo-Jong,Hwang, Jin-Taek NEW CENTURY HEALTH PUBLISHERS 2017 Current topics in nutraceutical research Vol.15 No.1
신정은,정성애,유민아,최영주,조지윤,김수현,유권,문일환 梨花女子大學校 醫科大學 醫科學硏究所 2002 EMJ (Ewha medical journal) Vol.25 No.1
목적 : 50세 이상에서 대장암 선별 검사를 위한 대장 내시경의 유용성은 이미 알려져 있으나, 50세 미만을 대상으로 한 연구는 부족한 실정으로, 50세 미만의 대장 용종 환자의 임상적 특성과 용종의 특성을 파악함으로써 대장 내시경 시행 여부에 대한 지침으로 삼고자 연구를 시행하였다. 방법 : 2001년 1월부터 2001년 8월까지 이화여자 대학교 목동병원에서 대장 내시경을 시행받은 50세 미만의 환자를 대상으로 하여 이들 중 가족성 용종증으로 진단된 경우를 제외한 대장 용종 환자 94명의 임상적 양상을 조사 분석하였다. 위치 및 크기는 가장 큰 용종을 기준으로 하였으며, 진행성 용종은 크기가 1㎝ 이상, 융모성 선종 혹은 고도의 이형성증이 포함된 경우로 정의하였다. 결과 : 연령별 분포는 40대가 65예(69.1%)로 가장 많았고, 30대가 25예(26.6%), 20대가 3예(3.2%), 10대가 1예(1.1%)였고, 남녀비는 2.03 : 1이었다. 검사를 시행한 원인 증상은 복통이 28예(29.8%)로 가장 많았고, 직장 항문 출혈 17예(18.1%), 무증상 검진 12예(12.7%), 설사 11예(11.7%), 변비 9예(9.6%)의 순이었다(Table 3). 대장 용종의 위치는 직장이 36예(38.3%), s 상결장 24예(25.5%)로 직장 및 s 상결장에 절반 이상이 분포되어 있었다. 크기는 0.5㎝ 미만인 경우가 60예(63.8%)로 가장 많았고, 0.5㎝이상 1㎝미만은 20예(21.3%), 1㎝ 이상인 경우가 14예(14.9%)였다. 전체 용종의 수는 156병소였고, 선종이 86예(55.1%), 염증성 용종이 60예(38.5%), 과형성성 용종이 10예(6.4%)였다. 선종 중 진행성 선종을 보인 경우는 17예(20.0%)였고, 이들 중 3예에서는 부분적인 점막암 소견을 보였다. 복통 혹은 직장 항문 출혈의 증상이 있거나 다발성 용종을 가지는 경우 혹은 대장암의 가족력이 있는 경우 진행성 선종의 빈도가 높은 것으로 나타났다(p<0.05)(Table 6). 결론 : 50세 미만의 대장 용종에서 복통과 직장항문 출혈이 가장 흔한 증상이며, 복통 혹은 직장 항문 출혈의 증상이 있거나 다발성 용종인 경우 및 대장암의 가족력이 있는 경우에 진행성 선종의 위험이 증가함을 알 수 있었다. 젊은 연령층의 대장 내시경의 적절한 적응증의 확립을 위해서는 경제성을 고려한 다기관 공동 연구가 필요할 것으로 생각된다. Objectives : The aim of this study was to evaluate the clinicopathologic characteristics of the colorectal polyps in people under 50 years old. Methods : From January to August 2001, the colonoscopic finding and pathologic reports of 527 patients under 50 years old who underwent colonoscopy were reviewed retrospectively. The advanced polyp was defined as an adenoma more than 10㎜ in diameter or with the histology of villous or high grade dysplasia. Results : Total 94 colonic polyps(17.8%) were analyzed. On age distribution, 65 cases(69.1%) were in forth decade, 25 cases(26.6%) in third decade. Abdominal pain(29.8%) was the most common cause of taking the colonoscopic examination followed by rectal bleeding(18.1%), asymptomatic screening(12.7%). Rectosigmoid area was the most common site of polyps in 63.8%. On the pathologic review, adenoma was found 55.1%, inflammatory polyp 38.5% and hyperplastic polyp 6.4%. Advanced adenomas were 17.9%(17/156) and adenomas with focal carcinomatous changes were 1.9%(3/156). Patients who had symptoms of abdominal pain or rectal bleeding, multiple polyps or familial history of colorectal cancer had a higher prevalence of advanced adenoma than that of non-advanced adenoma(p<0.05). Conclusion : This study showed that major symptoms of patients with advanced polyps under 50 years old were abdominal pain and rectal bleeding. The symptoms, multiplicity of polyp and family history were important indicator of advanced polyps. Further study was needed for reasonable indication and cost effectiveness for colonoscopic examination in young age people.
인공호흡기 적용환자에서 폐쇄형 기도흡인 전·후 과환기와 과산소 적용의 효과
신현주,김정아,권은옥,노화경,김미영,노진숙,권영옥,권정아,손희경,김세현,서미희,김선영,이영진,남지현,우정희,김명애 병원간호사회 2006 임상간호연구 Vol.12 No.2
Purpose: The purpose of this study was to identify the effects of hyperventilation and hyperoxygenation before and after endotracheal suctioning using closed-suction system on mechanically ventilated patients. Method: We selected 20 patients who were mechanically ventilated and randomly assigned into 4 groups according to the type of treatments using repeated measure. We applied 3 types of treatment, hyperventilation, hyperoxygenation, hyperventilation+hyperoxygenation, and no treatment and measured physiologic effects-SpO_(2), HR and, mena BP. Result: There were no significant differences between the group with no treatment and the group with hyperventilation, before and after endotracheal suctioning using closed-suction system(SpO_(2)(p=.693), HR(p=.970) and mean BP(p=.638)). There were no significant differences between the group with no treatment and the group with hyperoxygenation before and after endotracheal suctioning using closed-suction system(SpO_(2)(p=.693), HR(p=.970) and mean BP(p=.638)). There were no significant differences between the group with no treatment and the group with hyperventilation hyperoxygenation before and after endotracheal suctioning using closed-suction system(SpO_(2)(p=.693), HR(P=.970) and mean BP(P=.638)). Conclusion: As the results, all of the methods, hyperventilation, hyperoxygenation, and hyperventilation hyperoxygenation can be used when nurses apply endotracheal suctioning using closed-suction systems. In case of hypoxemic patients, hyperoxygenation is recommended for prevention of deoxygenation due to endotracheal suctioning using closed-suction systems.
A case of gastrointestinal stromal tumor of the rectum presented with constipation (초)
( Shin A Lee ),( Ki Nam Shim ),( Sun Hee Roh ),( Jung Hyun Tae ),( Ju Young Choi ),( Seong Eun Kim ),( Hye Kyung Jung ),( Tae Hun Kim ),( Sung Ae Jung ),( Kwon Yoo ),( Il Hwan Moon ),( Kwang Ho Kim ) 대한내과학회 2010 대한내과학회 추계학술대회 Vol.2010 No.-