http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
결합조직형성 법랑모세포종의 방사선학적 소견 : 증례보고 3례
최다혜,허경회,문제운,이원진,허민석,이삼선,최순철,박관수 대한구강악안면방사선학회 2006 Imaging Science in Dentistry Vol.37 No.1
Desmoplastic ameloblastoma is a rare histologic variant of ameloblastoma. It shows important differences in anatomic distribution, histologic appearance, and radiographic findings compared with the general type of ameloblastoma. It is histologically characterized by an abundance of densely collagenous stroma and radiographically a mixed radiolucent-radiopaque lesion. We present three cases of desmoplastic ameloblastoma. All the patients complained on buccal swelling with or without pain and the sites of occurrence were the anterior and the premolar region. Plain radiographs showed mixed radiopaque-radiolucent lesion with ill-defined or diffuse sclerotic margin and no external root resorption. Additionally, CT scans revealed buccal expansion and relatively well-defined margin of the lesions. The clinical and radiographic features of the presented cases were compared with those of the desmoplastic ameloblastoma in the previous literatures. (Korean J Oral Maxillofac Radiol 2006; 36 : 63-8)
이진호,허진국,나종천,김의석,이혜경,신보문,김석호,고행일 대한감염학회 2004 감염과 화학요법 Vol.36 No.4
비장티푸스 살모넬라증에 의한 장열과 장천공은 매우 드물다 저자들은 방어기전의 손상이 없는 건강한 성인에서 비장티푸스성 D군 살모넬라 장열에 동반된 장천공이 발생한 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. The case of enteric fever and bowel perforation caused by nontyphoidal Salmonella spp. is extremely rare. We report a case of a 28-year-old man who suffered from enteric fever with complicated a small bowel perforation, which is a known complication of S. typhi and S. paratyphi infections. The culprit later proved to be nontyphoidal group D Salmonella spp. in our case.
Case Report : Colchicine-induced myoneuropathy in a cyclosporine-treated renal transplant recipient
( Kyung Min Huh ),( Ji Young Joung ),( Hye Min Jeong ),( Dong Mo Je ),( Yoon Young Cho ),( Hye Ryoun Jang ),( Woo Seong Huh ) 대한신장학회 2013 Kidney Research and Clinical Practice Vol.32 No.2
Colchicine is a relatively safe medication that is widely used for both prevention and treatment of gout attack. However, serious adverse events, includingmyoneuropathy and multiorgan failure, have been reported. We report a case of colchicine-induced myoneuropathy in a female kidney transplant recipient who had been taking cyclosporine. She developed gastrointestinal discomfort and paresthesia 5 days after the initiation of colchicine. She showed signs of myoneuropathy, and hepatic and renal injury. Colchicine toxicity was suspected, and colchicine was discontinued. Her symptoms and laboratory ?ndings improved gradually. Literature was reviewed for previous reports of colchicine-induced myoneuropathy in solid organ transplant recipients.
( Hye-Kyung Jung ),( Kwang Jae Lee ),( Myung-Gyu Choi ),( Hyojin Park ),( Joon Seong Lee ),( Poong-Lyul Rhee ),( Nayoung Kim ),( Kyung Sik Park ),( Suck Chei Choi ),( Oh Young Lee ),( Kyu Chan Huh ),( 대한소화기기능성질환·운동학회 2016 Journal of Neurogastroenterology and Motility (JNM Vol.22 No.2
Background/Aims The effect of proton pump inhibitors (PPI) in Asian functional dyspepsia (FD) patients has not been well established as in Western countries. DA-9701, a novel prokinetic agent, stimulates gastric emptying and modulates visceral hypersensitivity in vivo and in human studies. This study was conducted to compare the efficacy of DA-9701 with a conventional PPI in mono or combination therapy in patients with FD. Methods In this double-blind, randomized, non-inferiority trial, 389 patients diagnosed with FD using Rome III criteria were allocated among 3 groups: 30-mg DA-9701 t.i.d (means 3 times a day), 40-mg pantoprazole, and 30-mg DA-9701 t.i.d + 40-mg pantoprazole. The primary efficacy end-point was a global assessment of the patient binary response or response on a 5-Likert scale after 4 weeks. Results The global symptomatic improvement was 60.5% in the DA-9701 group, 65.6% in the pantoprazole group, and 63.5% in the DA- 9701 + pantoprazole group using a 5-Likert scale at week 4 with no significant difference among 3 groups (P = 0.685). Symptom improvement measured by binary outcome was significantly achieved in each of the 3 groups, but not different among groups. Patients in all treatment groups reported significant improvement in the response rate and symptoms according to FD subtypes and dyspepsia-related quality of life (P < 0.001), but there were no significant differences among the 3 groups. Conclusions DA-9701 improves global and individual symptoms and increases dyspepsia-specific quality of life in patients with FD. The efficacy of DA-9701 monotherapy is comparable with pantoprazole and there is no additive effect with combination of DA-9701 and pantoprazole in patients with FD. (J Neurogastroenterol Motil 2016;22:254-263)
( Kyung Ho Song ),( Hye Kyung Jung ),( Byung Hoon Min ),( Young Hoon Youn ),( Kee Don Choi ),( Bo Ra Keum ),( Kyu Chan Huh ) 대한소화기기능성질환·운동학회 2013 Journal of Neurogastroenterology and Motility (JNM Vol.19 No.4
Background/Aims A self-report questionnaire is frequently used to measure symptoms reliably and to distinguish patients with functional gastrointestinal disorders (FGIDs) from those with other conditions. We produced and validated a cross-cultural adaptation of the Rome III questionnaire for diagnosis of FGIDs in Korea. Methods The Korean version of the Rome III (Rome III-K) questionnaire was developed through structural translational processes. Subsequently, reliability was measured by a test-retest procedure. Convergent validity was evaluated by comparing self-reported questionnaire data with the subsequent completion of the questionnaire by the physician based on an interview and with the clinical diagnosis. Concurrent validation using the validated Korean version of the Short Form-36 Health Survey (SF-36) was adopted to demonstrate discriminant validity. Results A total of 306 subjects were studied. Test-retest reliability was good, with a median Cronbach`s α value of 0.83 (range, 0.71-0.97). The degree of agreement between patient-administered and physician-administered questionnaires to diagnose FGIDs was excellent; the κ index was 0.949 for irritable bowel syndrome, 0.883 for functional dyspepsia and 0.927 for functional heartburn. The physician`s clinical diagnosis of functional dyspepsia showed the most marked discrepancy with that based on the self-administered questionnaire. Almost all SF-36 domains were impaired in participants diagnosed with one of these FGIDs according to the Rome III-K. Conclusions We developed the Rome III-K questionnaire though structural translational processes, and it revealed good test-retest reliability and satisfactory construct validity. These results suggest that this instrument will be useful for clinical and research assessments in the Korean population. (J Neurogastroenterol Motil 2013;19:509-515)
( Kyung Ho Lee ),( Hee Jin Kwon ),( Do Hee Kim ),( Ji Hyeon Park ),( Hye Ryoun Jang ),( Jung Eun Lee ),( Yoon Goo Kim ),( Dae Joong Kim ),( Ha Young Oh ),( Woo Seong Huh ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Back ground: Due to improved survival after liver transplantation (LT), the prevalence of chronic kidney disease (CKD) after LT is increasing, therefore we investigated the risk factors associated with progressive kidney dysfunction after LT, with a focus on intra-operative variables. Method: Two hundred ninety-two patients who received LT between 2000 and 2008 and have been followed up for more than 5 years were enrolled. Serum creatinine levels were measured every 6 months during the follow up period. Kidney function was assessed with estimated glomerular fi ltration rate (eGFR) using the Modifi cation of Diet in Renal Disease (MDRD) formula. Area under the curve (AUC) of serial eGFR was calculated for each patient. Linear regression analysis was performed to examine the association between target variables and AUC of eGFR. Result: Univariate analysis showed that age (P<0.0001), male sex (P<0.0001), hepatorenal syndrome before transplantation (P=0.02), diabetes (P=0.009), hypertension (P=0.028), proteinuria (P<0.0001), and perioperative continuous renal replacement therapy (CRRT) (P=0.03) were signifi cantly associated with low AUC of eGFR. Longer duration of intra-operative hypotension (P=0.01) and administration of higher dose of vasopressor intra-operatively (P=0.004) showed a signifi cant relationship with subsequent long-term renal dysfunction. Higher dose of vasopressor use immediately after operation (P=0.005) was also a signifi cant risk factor. Multivariable analysis revealed male sex (P<0.0001), age (P<0.0001), presence of pre-operative proteinuria (P<0.0001), and intra-operative transfusion volume of fresh frozen plasma (FFP) (P=0.002) as independent risk factors of long-term renal dysfunction. Conclusion: Development of CKD after LT was associated with several peri-operative risk factors. Hemodynamic insult during and immediately after the operation was not signifi cantly associated with long-term renal dysfunction. FFP transfusion was the only intra-operative risk factor associated with progressive renal dysfunction.
Huh, Yeon-Ju,Lee, Hyuk-Joon,Oh, Seung-Young,Lee, Kyung-Goo,Yang, Jun-Young,Ahn, Hye-Seong,Suh, Yun-Suhk,Kong, Seong-Ho,Lee, Kuhn-Uk,Yang, Han-Kwang The Korean Gastric Cancer Association 2015 Journal of gastric cancer Vol.15 No.3
Purpose: This study evaluated the functional and oncological outcomes of proximal gastrectomy (PG) in comparison with total gastrectomy (TG) for upper-third early gastric cancer (EGC). Materials and Methods: The medical records of upper-third EGC patients who had undergone PG (n=192) or TG (n=157) were reviewed. The PG group was further subdivided into patients who had undergone conventional open PG (cPG; n=157) or modified laparoscopy-assisted PG (mLAPG; n=35). Patients who had undergone mLAPG had a longer portion of their intra-abdominal esophagus preserved than patients who had undergone cPG. Surgical morbidity, recurrence, long-term nutritional status, and the incidence of reflux esophagitis were compared between the groups. Results: The rate of postoperative complications was significantly lower for PG than TG (16.7% vs. 31.2%), but the five-year overall survival rate was comparable between the two groups (99.3% vs. 96.3%). Postoperative levels of hemoglobin and albumin were significantly higher for patients who had undergone PG. However, the incidence of reflux esophagitis was higher for PG than for TG (37.4% vs. 3.7%; P<0.001). mLAPG was related to a lower incidence of reflux esophagitis after PG (P<0.001). Conclusions: Compared to TG, PG showed an advantage in terms of postoperative morbidity and nutrition, and there was a comparable prognosis between the two procedures. Preserving the intra-abdominal esophagus may lower the incidence of reflux esophagitis associated with PG.