http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
병식 평가 척도-한국판(SUMD-K)의 신뢰도와 타당도 검증
송지영,김기태,이서경,김용희,노준호,김종우,장환일,반건호,강원섭 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.4
Objectives : This study was conducted to evaluate the reliability and the validity of the Korean version of the Scale to Assessment Unawareness of Mental Disorder (SUMD-K). Methods : The subjects were 55 schizophrenic patients between ages of 26 and 58 who were recruited from the psychiatric unit of the university hospital and the out-patient clinic. The SUMD-K and insight scale of PANSS were applied to the patients. Results : The range of inter-rater (Spearman's rho) of the general items of SUMD-K were .97-.98 on the current illness and .58-.98 on the past illness. The correlation coefficient between the sum and the general items of the SUMD-K showed high scores. The concurrent validity between SUMD-K and insight item of PANSS was high (scores between .59-.96). However,the reliability and the validity of the attribution items of symptoms showed low scores compared to the current symptoms. Conclusion : The SUMD-K was confirmed in its reliability and validity. It can be a useful clinician-rating scale for evaluating insight in schizophrenic patients as well as patients with other neuropsychiatric conditions.
김용희,송지영,반건호,김종우,신용선 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6
Objectives : The purpose of this study was to evaluate the relationship betseen attachment style and somatization in patients with somatoform disorder. Methods : Data was collected by self-report questionnaires. 134 normal subjects and 30 patients with somatoform disorder were enrolled in this study. All subjects completed a psychometric assessment that consisted the Revised Adults Attachment Scale(RAAS), Inventory of Parent and Peer Attachment (IPPA), Sungshin Self-concept Inventory (SSCI), and SCL-90-R. Results : 1) Somatoform patients showed more anxious attachment style than normal control. 2) Anxious attachments were combined with mistrust of their parents, emotional instability, and interpersonal mistrust which may play a significant portion of variance in somatization. Conclusion : We found that patients with somatoform disorder had more anxious attachment style than normal subjects. Insecure attachment patterns may significantly explain the phenomenon of somatization.
윤여일,윤석기,김선규,김용현,남일송,차건영,황의원,김영선 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2
Background: The diabetic patients are at significantly increased risk of developing vascular disease. It's etiology may involve oxidative damage by free radiacals and protection againse such damage can be offered by antioxidants. We investigated that oxidative stress as assessed by measurement of total antioxidant status may play a role in development of diabetes mellitus. Method: We measured total antioxiant status using merchandised kit, glycated hemeglobin(HbA1c) in 46 type 2 diabetes mellitus patients and 50 healthy matched control subjects. Result: The total antioxidant status(TAS) was 2.10(±0.04) mmol/L in uncontrolled type 2 DM patients, 2.60(±0.03) in controlled type 2 DM patients and 2.70(±0.16) in healthy control subjects. TAS was significantly lower(P<0.05) in uncontrolled type 2 DM patients, but no significant association between in controlled type 2 DM patients and healthy control subjects. The TAS was 2.00(±0.17) mmol/L in complicated type 2 DM patients and 2.10(±0.29) uncomplicated type 2 DM patients. There was no significant associations between complicated type 2 DM patients and uncomplicated type 2 DM patients. Conclusion: Poor glycemic control is associated with reduced TAS in type 2 DM patients. TAS was thought indirect index that predict glycemic control of type 2 DM patients.
( Geon Hyeong Kim ),( Bum Yong Park ),( Tae Yong Bae ),( Kwang Yun Song ),( Yong In ) 대한슬관절학회 2014 대한슬관절학회지 Vol.26 No.2
Purpose: The purpose of the present study is to compare the prevalence of implant overhang between the Oxford and the Miller-Galante II (M-G II) unicompartmental knee arthroplasty (UKA) prostheses and determine whether overhang is associated with postoperative clinical results. Materials and Methods: We retrospectively reviewed one hundred and seven UKAs which consisted of 37 Oxford UKAs and 70 M-G II. Overhang was considered present if ≥3 mm overhang was observed in any zone. The range of motion, the Knee Society scores and the Western Ontario and McMaster scores were compared after a mean follow-up duration of 48 months. Results: Thirty three of 107 knees (30.8%) had overhang in at least one zone of the femoral or tibial component. In the tibial side, there were no significant differences between the groups in component overhang in each zone. In the femoral side, the Oxford UKA group showed a significantly higher prevalence of the posterior overhang of the femoral component (19/37, 51.4%) than did the M-G II UKA group (3/70, 4.3%; p< 0.001). However, no significant differences in clinical results were observed between the two groups. There were also no significant differences in clinical results between the overhang and the non-overhang groups. Conclusions: Posterior overhang of the femoral component was highly prevalent in Oxford UKA patients. However, posterior overhang of the femoral component had no significant relationship with postoperative clinical results in both Oxford and M-G II UKAs at a mean of 48 months follow-up.
S-168 A case of double major papilla of Vater: a very rare endoscopic finding
( Yong Geon Song ),( Dong Choon Kim ) 대한내과학회 2016 대한내과학회 추계학술대회 Vol.2016 No.1
The common bile duct and the main pancreatic duct conjoin at the level of the duodenum, forming the major papilla of Vater. During embryologic development, complete non-union of common bile duct and the main pancreatic duct causes double major papilla of Vater, a very rare congenital anomaly. We report a case of a double major papilla of Vater, accompanied by choledocholithiasis. A 43-year-old woman who had undergone a left radical mastectomy for breast cancer 13 years ago was admitted with right upper quadrant pain. Laboratory findings showed abnormal liver chemistry and marked leukocytosis with elevated C-reactive protein levels. Abdominal computed tomography showed acute cholecystitis. Multiple gallbladder stones and common bile duct stones were found in emergency percutaneous transhepatic gallbladder drainage, which was performed to bridge cholecystectomy. Thus, on hospital day 2, endoscopic retrograde cholangiopancreatography was performed. During this procedure, a double major papilla with two neighboring independent papillary structures was observed, each having an orifice for the common bile duct and pancreatic duct, respectively. Via cannulation of the caudal major papilla connected to the common bile duct, common bile duct stones were removed and a plastic stent was inserted. On hospital day 7, she had laparoscopic cholecystectomy and was discharged on hospital day 10, without any complications. Two months later, she underwent a follow-up endoscopic retrograde cholangiopancreatography to remove the plastic stent, and had no complications. There are only a few documented cases of a double major papilla of Vater up to date. Awareness of this condition is important to endoscopists as the existence of a double major papilla of Vater does not predispose to post-endoscopic retrograde cholangiopancreatography pancreatitis if correctly cannulated to the common bile duct.
( Yong Won Park ),( Seung Hyeun Lee ),( Young Min Koh ),( Mi Ju Cheon ),( Seon Bin Yoon,),( Byung Woo Yoon ),( Yong Geon Song ),( Sae Han Kang ),( Jun Gyu Song ),( Byung Woo Jung ),( Hyeon Sik Oh ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
The direct identification of the characteristic hyphae in the tissue specimen is the mainstay of the diagnosis of pulmonary fungal infection. However, histopathology alone is not enough to make a de finite diagnosis in some cases. Here, we present a case of invasive pulmonary aspergillosis histologically mimicking mucormycosis. A 75-year-old female presented to the pulmonary department complaining of febrile sensation, cough and sputum for 2 weeks. Laboratory findings showed a moderate leukocytosis and elevated C-reactive protein. The chest x-ray and computed tomography (CT) scan showed a 4cm-sized irregular-walled cavity without air-fiuid level at the right upper lobe. The bronchoscopy revealed no endobronchial lesion and the bronchial washing was negative in bacterial cultures, tuberculosis PCR and AFB smear. A CT-guided percutaneous needle biopsy was performed and the histopathology revealed broad, non-septated and irregularly- shaped hyphae compatible with mucormycosis. The serum antigen test for aspergillus was positive while fungal culture was negative. Due to those discrepant results, we further performed fungal PCR, which demonstrated the pathogen as Aspergillus fulmigatus. We started the intravenous treatment with voriconazole for 2 weeks and orally maintained it for further 2months. Thereafter, the cavity was markedly shrinked and the patient is followed up without significant sequelae until now. Although an invasive pulmonary aspergillosis can be usually discriminated from mucormycosis by distinctively narrowed, septated and acutely-branching hyphae, this morphologic feature may be atypical, therefore confusing the diagnosis. The fungal PCR is a useful complementary method, in those cases, but it is not used in routine practice. Clinicians should keep in mind that the differential diagnosis of fungal infection should be comprehensively made with histopathology, culture and serum antigen test. Additionally, a fungal PCR should be considered as it could provide critical information when the results of other diagnostics are confiicting.