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Conventional versus nerve-sparing radical surgery for cervical cancer: a meta-analysis
김희승,김기원,Seung-Bum Ryoo,서정화,김상윤,Ji-Won Park,Min-A Kim,Kyoung Sup Hong,정창욱,송용상 대한부인종양학회 2015 Journal of Gynecologic Oncology Vol.26 No.2
Objective: Although nerve-sparing radical surgery (NSRS) is an emerging technique for reducing surgery-related dysfunctions,its efficacy is controversial in patients with cervical cancer. Thus, we performed a meta-analysis to compare clinical outcomes,and urinary, anorectal, and sexual dysfunctions between conventional radical surgery (CRS) and NSRS. Methods: After searching PubMed, Embase, and the Cochrane Library, two randomized controlled trials, seven prospective andeleven retrospective cohort studies were included with 2,253 patients from January 2000 to February 2014. We performed crudeanalyses and then conducted subgroup analyses according to study design, quality of study, surgical approach, radicality, andadjustment for potential confounding factors. Results: Crude analyses showed decreases in blood loss, hospital stay, frequency of intraoperative complications, length of theresected vagina, duration of postoperative catheterization (DPC), urinary frequency, and abnormal sensation in NSRS, whereasthere were no significant differences in other clinical parameters and dysfunctions between CRS and NSRS. In subgroupanalyses, operative time was longer (standardized difference in means, 0.948; 95% confidence interval [CI], 0.642 to 1.253), whileintraoperative complications were less common (odds ratio, 0.147; 95% CI, 0.035 to 0.621) in NSRS. Furthermore, subgroupanalyses showed that DPC was shorter, urinary incontinence or frequency, and constipation were less frequent in NSRS withoutadverse effects on survival and sexual functions. Conclusion: NSRS may not affect prognosis and sexual dysfunctions in patients with cervical cancer, whereas it may decreaseintraoperative complications, and urinary and anorectal dysfunctions despite long operative time and short length of theresected vagina when compared with CRS.
김희승 동신대학교 2005 論文集 Vol.15 No.-
The Culture Fair of the Yeongsan-Riv, which has held once a year since 2005, is the most typical region fair in Naju city. The purpose of this thesis is making general plans to develop the Culture Fair of the Yeongsan-Riv. For these plans, the present status of the fair was analyzed to find its problems and the various plans for farther fairs were discussed. The four plans are as follows. Firstly, the Culture Fair of the Yeongsan-Riv. should be brought out the direction for the historical and cultural fair. Secondly, there should be a great effort to commercialize the fair for the tourist industry. Thirdly, the profitability of the fair should be improved. Finally, the recognition for the fair should be changed from an event to an industry.
고혈압을 동반한 제2형 당뇨병 환자에서의 creatinine과 미세 단백뇨 증가
김희승,송민선,유양숙 대한기초간호자연과학회 2002 Journal of korean biological nursing science Vol.4 No.2
The purpose of this study was to identify clinical characteristics of type 2 diabetic patients with hypertension. The subjects were 209 type 2 diabetic patients who visited at the endocrine center at Kangnam St. Mary's Hospital of Catholic University in Seoul from beginning of March through the end of April in 2001. The patients' clinical laboratory data were assessed at medical record review. The data were analyzed using for t-test, x² test. The results were as follows : 1) There were no significant differences in age, body mass index, sex, family history of diabetes and oral hypoglycemic agents between hypertensive group and normotensive group. However, percentage of patients receiving insulin treatment was higher significantly in the hypertensive group. 2) Creatinine and microalbuminuria levels were higher significantly in the hypertensive group. However, fasting blood glucose levels were lower significantly in the hypertensive group. There were no significant differences in HbA_(1C), 2-hour postprandial blood glucose, total cholesterol, triglyceride, high density lipoprotein cholesterol, lipoprotein(a) and blood urea nitrogen between two groups. Our present study supports that Creatinine and microalbuminuria levels were higher significantly in the hypertensive group.
BMI $23kg/m^2$ 이상의 비만 당뇨병 환자에서 중성지방과 식후 2시간 C-peptide 증가
김희승,송민선,Kim, Hee-Seung,Song, Min-Soon 한국기초간호학회 2003 Journal of korean biological nursing science Vol.5 No.1
The purpose of this study to compare of clinical profile between obese and nonobese type 2 diabetic patients. The subjects were consist of 111 obese (50 male, 61 female) and 159 non obese (79 male, 80 female) type 2 diabetic patients underwent fasting blood glucose, 2-hour postprandial blood glucose, $HbA_1c$, total cholesterol, triglyceride, high density lipoprotein, microalbuminuria, fasting C-peptide and 2-hour postprandial C-peptide were measured. Diabetes was diagnosed according to the American Diabetes Association (ADA) criteria. Obesity was defined as body mass index (BMI, kilograms per meters squared) ${\geq}23$. Data analyses were t-test, chisquare test in SAS program. The results were as follows : 1) Triglycerides and 2-hour postprandial C-peptide were significant higher in obese than non-obese patients. 2) Systolic blood pressure, Diastolic blood pressure, fasting blood sugar, 2-hour postprandial blood glucose, $HbA_1c$, total cholesterol, high-density lipoprotein, microalbuminuria and fasting C-peptide were no difference between obese and non-obese groups. These data indicate that obesity is a risk factor for the development of coronary heart disease (CHD) in diabetic patients. Therefore, weight reductions have beneficial effects on insulin action and glycemic control in obese type 2 diabetic patients.
유·무선 인터넷을 이용한 제2형 당뇨병환자 가정에서의 혈당 입력
김희승 지역사회간호학회 2004 지역사회간호학회지 Vol.15 No.1
Purpose: The purpose of this study was to investigate the computer input frequency of blood glucose self- testing in type2 diabetic atients, for three months. Method: 39participants were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. The computer input frequencies were measured by patients' log in and input of http://www.biodang.com. Glycosylated haemoglobin was determined by a high-performance liquid chromatography technique and fasting blood glucose was analyzed by the glucose oxidase method. Diabetes knowledge was measured by a19??item diabetes knowledge test. Results: The computer input frequency of before breakfast blood glucose was 33.5 for three months. The total blood glucose input frequency tended to be lower in female, aged patients, middle school graduates, those who have no spouse and job, those who have no insulin treatment, obese subjects, and hyperglycemia patients, than in their counterparts. The diabetic knowledge was positively correlated with the computer input frequency of blood glucose self-testing. Conclusion: An educational program should be developed to increase the computer input frequency of blood glucose self-testing in type2 diabetic patients.