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조경진,이창규,이승관,정희천,김미숙,남경미,전주임 高麗大學校 倂設 保健大學 保健科學硏究所 2001 保健科學論集 Vol.27 No.2
Patient-oriented minds and Bill of Rights have brought a lot of POCTs or Waived Tests, which can obviously be threats to the medical technology profession. However, we cannot help but admit the realities and should take some necessary measures to meet the situation. Accordingly we took a survey to find what opinions medical scientists or nurses have against the POCTs. Most of the scientists worried about the reliabilites of test results while nurses were concerned about the ambiguity of their job entities. Taking account of the POCT nature, the scientists should lead the development of POCT menus and have the primanry responsibility to educate or train the POCT perfomers maitaining periodic QCs on all the procedures or equimpments, not paying much attention to the issues who might be the performers.
일 도농복합지역 저소득층 노인의 건강문제 분석 : 보건소 방문간호사업 대상자 중심으로
고일선,,이태화,이경자,이정렬,임미혜,천의영,주윤미,이계철 노인간호학회 2005 노인간호학회지 Vol.7 No.2
Purpose: The purpose of this study was to analyze the health problems of low-income aged with chronic illness living in urban-rural composite area. Method: The sample consisted of 440 aged who were receiving home care services from a public health center. MDS-HC was applied to analyze the health problems of the aged. Data were collected through a face- to-face interview by six trained interviewers from June 28 to July 15, 2004. Result: Subjects had average number of 8 health problems in both urban and rural area. Lack of preventive health care measure, pain, and visual function were the most frequent health problem. The rural aged had more pain, bowel management problems, compared to the urban aged having more urinary incontinence and indwelling catheter. There were many health problems related to falls and pressure ulcers with middle-old aged in urban, and old-old aged in rural area. Conclusion: The results of this study showed strategies for care intervention of low-income elderly to put in practice. Therefore, tailored-service for each subject should be provided.
Cheon, Mi-Ju,Choi, Joon-Young,Chung, Jae-Hoon,Lee, Ji-Young,Cho, Sook-Kyung,Yoo, Jang,Park, Soo-Bin,Lee, Kyung-Han,Kim, Byung-Tae The Korea Society of Nuclear Medicine 2011 핵의학 분자영상 Vol.45 No.4
Purpose This study aimed to investigate the differential findings in clinical and biochemical features, and Tc-99m sestamibi (MIBI) dual-phase parathyroid scintigraphy for malignant and benign parathyroid lesions in patients with primary hyperparathyroidism. Methods Subjects were 102 parathyroid lesions from 91 patients with primary hyperparathyroidism. Scintigraphic findings included radioactivity grade, uptake pattern, uptake contour, lesion size on early and delayed images, and degree of washout. Clinical and biochemical features were also evaluated. Histopathology confirmed the final diagnosis for all the patients. Results Final diagnoses were 94 benign parathyroid lesions and 8 parathyroid carcinomas. The patients with parathyroid carcinoma were significantly older (p=0.002) and had significantly higher serum parathyroid hormone concentrations than those with benign parathyroid lesions (p<0.001). All malignant parathyroid lesions showed intense radioactivity similar to or greater than the submandibular gland activity on delayed images (p=0.007), and little radioactivity difference between early and delayed images (p=0.012). The cancer incidence for parathyroid lesions with both intense radioactivity and no washout was 17.0% (8/47). When parathyroid lesions with all of the abovementioned findings were regarded as malignant, the cancer incidence significantly increased from 17.0% to 33.3% (8/24, p<0.001). Conclusion For Tc-99m MIBI dual-phase parathyroid scintigraphy, uptake grade on delayed images and washout were significantly useful diagnostic criteria for differentiating benign from malignant parathyroid lesions, along with age and parathyroid hormone serum concentration.
Cheon, Mi-Ju,Choi, Joon-Young,Kim, Hee-Kyung,Chung, Jae-Hoon,Ko, Young-Hyeh,Kim, Young-Eun,Choi, Dong-Il,Lee, Kyung-Han,Kim, Byung-Tae The Korea Society of Nuclear Medicine 2011 핵의학 분자영상 Vol.45 No.1
Clinically detectable well-differentiated metastatic thyroid carcinoma to the kidney is rare and should be differentiated from primary renal malignancy. We report a case of renal metastases from follicular thyroid carcinoma (FTC) diagnosed by I-131 whole body scan. Additional features of this case different from previous case reports are solitary renal metastasis on I-131 whole body scan and mimicry of renal cell carcinoma on contrast-enhanced computed tomography.
증례 : 순환기 ; 벌독 아나필락시스쇼크 후 병발한 신부전과 스트레스성 심근병증 1예
천미주 ( Mi Ju Cheon ),윤병우 ( Byung Woo Yoon ),송용건 ( Yong Geon Song ),이창균 ( Chang Kyun Lee ),이태연 ( Tae Yeon Lee ),조인수 ( In Soo Cho ),홍지연 ( Ji Yeon Hong ) 대한내과학회 2016 대한내과학회지 Vol.90 No.5
벌독 유발 아나필락시스쇼크 후 횡문근융해증에 의한 급성 신부전이 발생하는 것은 국내에서도 2예만 보고될 정도로 매우 드문 경우에 속한다. 본 증례에서 환자는 벌자상 후횡문근융해증으로 인한 급성 신부전과 스트레스성 심근병증이 병발하여 기관내 삽관 및 기계호흡이 불가피할 정도로 심한 심부전이 동반되었다. 그러나 보존적 치료 후 빠른 증상호전과 함께 증상 발생 30일 이내에 모든 검사에서 정상 소견을 보였기에 이를 문헌고찰과 함께 보고하는 바이다. Bee venom-induced anaphylaxis usually causes urticaria, angioedema, respiratory distress, nausea, and vomiting. Occasionally, it leads to unusual complications such as acute myocardial infarction, takotsubo cardiomyopathy, arrhythmia, rhabdomyolysis, intravascular hemolysis, and acute kidney injury. Renal complications are rare, and there are only two cases of acute kidney injury associated with rhabdomyolysis due to multiple bee stings reported in Korea. We report a 67-year-old woman who presented at our emergency department with confusion, respiratory distress, and dizziness after multiple bee stings. She was diagnosed with anaphylactic shock. There was acute kidney injury associated with rhabdomyolysis and heart failure related to takotsubo cardiomyopathy, all of which indicated unusual and fatal complications. Her condition worsened, almost requiring intubation and mechanical ventilation. However, the patient recovered without cardiac or renal complications within 30 days of therapy with hydration and diuretics. (Korean J Med 2016;90:427-432)
유미선 ( Mi Sun Yu ),천혜원 ( Hye Won Cheon ),주온주 ( On Ju Ju ) 한국치위생학회(구 한국치위생교육학회) 2011 한국치위생학회지 Vol.11 No.5
Objectives: This study aimed at examining the aspects of utilization of the dental services in some regions and analyzing the related factors with a view to helping the old solve the dental problems and overcome the difficulties. Methods: This investigation was intended for 422 old people living in Jeon-ju city and Jang-su county from July 18, 2006 to August 25 by direct interviewing posing questions. The survey data sets were analyzed by chi-square, correlation, multiple regression and logistic regression. Results: 1. The average number of the existing teeth per an old person was 13.6 and the 28.8% of the old who didn`t use denture called for dentures. 2. The annual coefficient of utilization in dental services for an old person was 52.3% and the annual average visits to dental clinics were 3.12 days while 38.6% of the old experienced illegal dental treatments. 3. The affecting factors on the dental utilization for treatment were as follows: family income, dental clinics available, the number of existing teeth, the days of dental trouble, the recognition of the prevention of the dental disease, the knowledge for the dental treatment and the oral health judged by himself. 4. The major variables influencing the utilization of dental services were spouse presence, form of family, income, having a regular dental care, denture presence and the experience of inconvenience in living. Conclusions: To conclude, the following suggestions could be made. First, It was necessary that enforcement practice of free dental prosthesis service and application to the national health insurance in old people`s prosthetic therapy for government support because the economic factor was barrier to utilization of the dental services. Second, Dental clinic was required to the health center because availability of common dental services was big impact in utilization of the dental services. (J Korean Soc Dent Hygiene 2011;11(5):791-799)
Genetic overgrowth syndrome: A single center's experience
Cheon, Chong Kun,Kim, Yoo-Mi,Yoon, Ju Young,Kim, Young A Korean Society of Medical Genetics and Genomics 2018 대한의학유전학회지 Vol.15 No.2
Purpose: Overgrowth syndromes are conditions that involve generalized or localized areas of excess growth. In this study, the clinical, molecular, and genetic characteristics of Korean patients with overgrowth syndrome were analyzed. Materials and Methods: We recruited 13 patients who presented with overgrowth syndrome. All patients fulfilled inclusion criteria of overgrowth syndrome. Analysis of the clinical and molecular investigations of patients with overgrowth syndrome was performed retrospectively. Results: Among the 13 patients with overgrowth syndrome, 9 patients (69.2%) were found to have molecular and genetic causes. Among the seven patients with Sotos syndrome (SS), two had a 5q35microdeletion that was confirmed by fluorescent in situ hybridization. In two patients with SS, intragenic mutations including a novel mutation, c.5993T>A (p.M1998L), were found by Sanger sequencing. One patient had one copy deletion of NDS1 gene which was confirmed by multiplex ligation-dependent probe amplification. Among five patients with Beckwith-Wiedemann syndrome, three had aberrant imprinting control regions; 2 hypermethylation of the differentially methylated region of H19, 1 hypomethylation of the differentially methylated region of Kv. In one patient displaying overlapping clinical features of SS, a de novo heterozygous deletion in the chromosomal region 7q22.1-22.3 was found by single nucleotide polymorphism-based microarray. Conclusion: Considering high detection rate of molecular and genetic abnormalities in this study, rigorous investigations of overgrowth syndrome may be an important tool for the early diagnosis and genetic counseling. A detailed molecular analysis of the rearranged regions may supply the clues for the identification of genes involved in growth regulation.
Ju Hui Choe,Ji Hun Choi,Yun Sang Choi,Doo Jeong Han,Hack Youn Kim,Mi Ai Lee,Si Young Kim,Cheon Jei Kim 한국축산식품학회 2011 한국축산식품학회지 Vol.31 No.1
The effects of additions of lotus leaf (0.1 and 0.5%) and barley leaf powder (0.1 and 0.5%) on the lipid oxidation and microbiological analysis of raw minced pork were investigated after 1, 4, 7, and 10 d at chilled storage. Days of storage caused (p