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신승제(Seung Jea Shin),김형준(Hyung Joon Kim),고광진(Kwang Jin Ko),성현환(Hyun Hwan Sung),전황균(Hwang Gyun Jeon),정병창(Byong Chang Jeong),서성일(Seong Il Seo),이현무(Hyun Moo Lee),최한용(Han Yong Choi),전성수(Seong Soo Jeon) 대한비뇨기종양학회 2015 대한비뇨기종양학회지 Vol.13 No.3
Purpose: Partial nephrectomy has a similar oncologic outcome to radical nephrectomy while reducing cardiac and metabolic morbidity. However, previous studies reported that partial nephrectomy had been underutilized. The purpose of this study is to analyze trends in the use of partial nephrectomy in Korea and evaluate which individual factors and hospital factor influenced the operative approach. Materials and Methods: Using URO-PDS database, 11560 patients underwent nephrectomy for renal cell carcinoma between 2006 and 2010 were identified. International Classification of Disease (ICD-9) diagnosis codes were applied to target subject of interest. Logistic regression was applied to identify determinants of partial nephrectomy. Results: Over the study period, the proportion of partial nephrectomies has steadily increased from 9.4% in 2006 to 30.4% in 2010 (p<0.001). Deviation of utilization in partial nephrectomy has been observed based on the area (p<0.001) and type of surgery (p<0.001). Individual of younger age, as well as male, were more likely to be treated with partial nephrectomy (p<0.001 for each). Furthermore, Patient treated at hospitals with higher nephrectomy volume were more prone to be treated with partial nephrectomy (p<0.001 for each). Conclusions: Partial nephrectomies have been increasingly performed over the study period but are still underutilized.
慶錫憲,申勝茂 건국대학교 농과대학 연합학회 1967 건농 Vol.- No.1
우리의 생활주변에는 그 양에 따라서 차이는 있으나 유독성물질이 많이 쓰이고 있다. 그것을 알고 쓰기도 하고 모르고 쓰기도 한다. 농업증산에 없어서는 안 될 농약을 비롯하여 공업약품 의약품에 이르기까지 그 수는 대단히 많다. 특히 농약의 대부분은 독극성 물질이며 이것으로 인하여 제조자나 소비자는 부지불식간에 농약으로 사망 또는 중독증을 일으키는 일이 많은 것이다. 우리 농촌사회에서는 독극물에 대한 인식이 부족한 관계로 도시에서보다 중독증을 일으켜 고생하는 사람도 많고 사망하는 사람도 많은 것이다. 또 그 중독증상에 대하여도 자세하지 못한 점이 많다. 따라서 농약의 종류별 중독 작용을 알아봄은 제조나 사용에 앞서서 중요하다고 생각된다.
김태선,고광진,신승제,유현수,송완,성현환,한덕현,정병창,서성일,전성수,이규성,이성원,이현무,최한용,전황균 대한비뇨의학회 2015 Investigative and Clinical Urology Vol.56 No.12
Purpose: To investigate the differences in the cancer detection rate and pathological findings on a second prostate biopsy according to benign diagnosis, high-grade prostatic intraepithelial neoplasia (HGPIN), and atypical small acinar proliferation (ASAP) on first biopsy. Materials and Methods: We retrospectively reviewed the records of 1,323 patients who underwent a second prostate biopsy between March 1995 and November 2012. We divided the patients into three groups according to the pathologic findings on the first biopsy (benign diagnosis, HGPIN, and ASAP). We compared the cancer detection rate and Gleason scores on second biopsy and the unfavorable disease rate after radical prostatectomy among the three groups. Results: A total of 214 patients (16.2%) were diagnosed with prostate cancer on a second biopsy. The rate of cancer detection was 14.6% in the benign diagnosis group, 22.1% in the HGPIN group, and 32.1% in the ASAP group, respectively (p<0.001). When patients were divided into subgroups according to the number of positive cores, the rate of cancer detection was 16.7%, 30.5%, 31.0%, and 36.4% in patients with a single core of HGPIN, more than one core of HGPIN, a single core of ASAP, and more than one core of ASAP, respectively. There were no significant differences in Gleason scores on second biopsy (p=0.324) or in the unfavorable disease rate after radical prostatectomy among the three groups (benign diagnosis vs. HGPIN, p=0.857, and benign diagnosis vs. ASAP, p=0.957, respectively). Conclusions: Patients with multiple cores of HGPIN or any core number of ASAP on a first biopsy had a significantly higher cancer detection rate on a second biopsy. Repeat biopsy should be considered and not be delayed in those patients.