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박재순,이근후 大韓神經精神醫學會 1981 신경정신의학 Vol.20 No.4
The author studied the somatic discomforts of 120 depressed women who were in-patients and out-patients in department of neuropsychiatry, Soon Chun Hyang Medical College and Paik Hospital of In Je Medical College from Sept. 1, 1979 to Dec. 31, 1980. The result were as follows; 1. The most frequent age distribution was the fourth decade. 2. somatic discomforts reported by at least 50% of all patients were 13 of 69 items and these were "anorexia", (70%), "shallow and easily disrupted sleep", (69%), "initial insomnia"(64%), "indigestion and stomach aches"(63%), "heavy headedness" (58%), "periods of weakness/extreme fatigue" (57%) and "heart pounding " (56%) etc. 3. The classes of discomforts with high pretreatment severity were "sleep disturbances", "stomach troubles", "fatigue", "dry mouth", and "climacteric symptoms" in that order and all of these classes showed statistically significant improvement after a treatment period of 3 weeks (p<0.01). Each items of discomforts with high pretreatment severity were "shallow and easily disrupted sleep", "anorexia", "initial insomnia", "giddiness or dizziness", "heavy headedness" and "indigestion and stomach aches". 4. Eight classes of discomforts such as "autonomic", "intestinal", "gastric", "sleep", "dry mouth", "climacteric", "constipation", "muscular symptoms" showed "significantly" higher severity in the depressed group at admission than in the non-patient control group (p<0.05). Comparing the somatic discomforts by different age brackets, patients in the third decade were predominated by gastrointestinal symptoms, these in the fourth decade were characterized by muscular discomforts, those in the fifth decade by drymouth and those in the sixth decade by climacteric symptoms and constipation. Sleep disturbances were conspicuous discomforts among depressed women of all ages.
승모판 성형술 이후 발생한 좌심실 유출로 협착과 승모판의 수축기 전방 운동
이석기,유재근,서홍주 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.1
Left ventricular outflow tract obstruction and systolic anterior motion of the mitral valve after myxomatous mitral valve repair is due to excess tissue of mitral valve among numerous other factors. A patient who had myxomatous mitral valve and acute mitral regurgitation due to chordae rupture was admitted for mitral valve repair. The hospital course of the patient was not significantly different compared to other patients. On the 40th postoperative day, the patient experienced syncope and came to ER. The patient showed severe left venthcular outflow tract obstruction and systolic anterior motion of mitral valve. The patient was treated medically and was discharged with normal echo findings. We report this case with brief review of related literatures.
젊은 남자에게 발생한 통상성 간질성 폐렴과 동반된 폐암 1예
박종숙,이준혁,박성우,장안수,박춘식,박재성,백상현,고은석,신화균 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Usual interstitial pneumonia(UIP) is relatively rare disease of lung parenchyme under the age of 50. Lung cancer is reported to occur as a complication of UIP, but has not been reported in young age patient with UIP in Korea. A 35-year-old man was admitted to the hospital because of dyspnea, cough and mild fever. He had been suffered from dyspnea during 3 years. The dyspnea worsened recent 1 month ago. He had been treated with pneumonia at another hospital during 4 months before this admission. Chest radiographs and High resolution CT showed subpleural and basal dominant reticular opacities in both lung with no change until now. He was smoker and his occupation was car engine-man dealing with benzene. UIP is suspected by history and radiologic findings. Operation for open lung biopsy was performed to obtain lung specimen via video-assisted thoracoscopic surgery. Patient's pathologic examination showed UIP combined with adenocarcinoma in RLL superior segment and posterobasal segment and RLL lobectomy was done. After operation, the patient has been in cancer free condition so far. We report a case of UIP combined with lung cancer in young man with brief review of the literature.
이건재(Kun Jai Lee),이찬종(Chan-Jong Lee),김정환(Jung Hwan Kim),정성미(Sung Mi Jung),황수진(Soojin Hwang) 한국언어청각임상학회 2009 Communication Sciences and Disorders Vol.14 No.1
배경 및 목적: 본 연구는 표준화 과정을 거쳐서 개발된 ‘한국 실어증 감별진단 검사(Korean Test for Differential Diagnosis of Aphasia: KTDDA, 이하 KTDDA)’에 대한 공인타당도를 검증하는 것을 목적으로 한다. 방법: 공인타당도 검증을 위해 성인 언어장애 환자 10명을대상으로 최근에 개발된 KTDDA와 임상현장에서 많이 사용되고 있는 ‘파라다이스․한국판-웨스턴 실어증검사(Paradise․Korean version- Western Aphasia Battery: P․K-WAB,이하 P․K- WAB)’를 실시하였다. 결과: 분석 결과 KTDDA의 중증도와 P․K-WAB의 실어증 지수(Aphasia Qutient: AQ) 사이의 상관계수 0.863 (p < .01), 중증도와 언어지수(Language Quotient: LQ)의 상관계수 r = .980 (p < .01)로 유의미한 상관을 보였다. 각 하부 검사 사이에서도 따라말하기(r = .955, p < .01), 이름대기(r = .942, p < .01), 유창성(r = .807, p< .01), 읽기(r = .793, p < .01), 쓰기(r = .780, p < .01), 청각적이해력(r = .705, p < .05)에서도유의미한 상관을 보였다. 논의 및 결론: 본 연구의 결과 KTDDA가 실어증 환자를 진단하는공식적인 검사도구임을 재확인할 수 있었고, 기존의 P․K-WAB과의 공인타당도의 객관적 검증을 통해서 향후 실어증 진단에 유용하게 활용할 수 있을 것이다. Background & Objectives: The purpose of this study was to demonstrate the concurrent validity of the standardized “Korean Test for the Differential Diagnosis of Aphasia (KTDDA).” Methods: For concurrent validity, 10 aphasic patients were evaluated with the recently developed KTDDA and the Paradise․Korean type-Western Aphasia Battery (P․K-WAB). Results: The correlation between the severity of the KTDDA and the aphasia quotient (AQ) of the K-WAB was significant (r = .863, p < .01). The correlation between the severity of the KTDDA and the language quotient (LQ) of the K-WAB was also significant (r = .980, p < .01). The repetition subtest (r = .955, p < .01), the naming subtest (r = .942, p < .01), the fluency subtest (r = .807, p < .01), the reading subtest (r = .793, p < .01), the writing subtest (r = .780, p < .01), and the auditory comprehension subtest (r = .705, p < .05) between the KTDDA and the K-WAB also had statistically significant correlations. Discussion & Conclusion: We determined that the KTDDA is the official standardized tool in the assessment of aphasia, and its clinical usefulness is based on its concurrent validity with the K-WAB.