http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
권혜미,Eun Roh,Chang Ho Ahn,Hee Kyung Kim,Cheol Ryong Ku,Kyong Yeun Jung,Ju Hee Lee,Eun Heui Kim,Sunghwan Suh,Sangmo Hong,하정훈,Jun Sung Moon,Jin Hwa Kim,Mi-kyung Kim,The Committee of Clinical Practice Gui 대한내분비학회 2022 Endocrinology and metabolism Vol.37 No.6
Immune checkpoint inhibitors (ICIs) including an anti-cytotoxic T-lymphocyte-associated antigen 4 inhibitor, anti-programmed cell death protein 1 (PD-1) inhibitors, and anti-PD-ligand 1 inhibitors are representative therapeutics for various malignancies. In oncology, the application of ICIs is currently expanding to a wider range of malignancies due to their remarkable clinical outcomes. ICIstarget immune checkpoints which suppress the activity of T-cells that are specific for tumor antigens, thereby allowing tumor cells to escape the immune response. However, immune checkpoints also play a crucial role in preventing autoimmune reactions. Therefore, ICIs targeting immune checkpoints can trigger various immune-related adverse events (irAEs), especially in endocrine organs. Considering the endocrine organs that are frequently involved, irAEs associated endocrinopathies are frequently life-threatening and have unfavorable clinical implications for patients. However, there are very limited data from large clinical trials that would inform the development of clinical guidelines for patients with irAEs associated endocrinopathies. Considering the current clinical situation, in which the scope and scale of the application of ICIs are increasing, position statements from clinical specialists play an essential role in providing the appropriate recommendations based on both medical evidence and clinical experience. As endocrinologists, we would like to present precautions and recommendations for the management of immune-related endocrine disorders, especially those involving the adrenal, thyroid, and pituitary glands caused by ICIs.
Evoked potential: basic requirements and guidelines for writing reports
Lee, Eun-Mi,Seok, Hung Youl,Park, Kee Duk,Seo, Dae-Won,Korean Society of Clinical Neurophysiology Education Committee The Korean Society for Clinical Neurophysiology 2018 Annals of Clinical Neurophysiology Vol.20 No.1
Evoked potentials (EPs) measures the electrophysiologic responses of the nervous system to variety of stimuli. In clinical practice, only a few are used on a routine basis. Because of the small amplitude of EPs recorded by noninvasive methods, computer summation or averaging generally is necessary to resolve them from background noise. Therefore, waveform acquisition under good condition according to standard method is important. We aimed to provide the standards for clinical EP equipment, technical consideration and minimal requirements for obtaining good clinical EP waveforms, and general criteria for writing EP reports in practice as Korean guidelines.
産後 乳汁不行의 한약 치료에 대한 중의학 임상 연구 동향- RCT를 중심으로 -
경희대학교 대학원 임상한의학과(Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University),이보람(Bo Ram Lee),권찬영(Chan Young Kwon),이은주(Eun Ju Lee),이지홍(Ji Hong Lee),장규태(Gyu Tae Chang) 대한모유수유한의학회 2016 대한모유수유한의학회지 Vol.2 No.1
Objectives: The purpose of this study is to provide clinical evidence of herbal medicine for postpartum hypogalactia by review of randomized controlled trials on the effect of herbal medicine for postpartum hypogalactia. Methods: We searched randomized controlled trials about herbal medicine of postpartum hypogalactia from the China National Knowledge Infrastructure (CNKI) (January 2012 to 16th September 2016). The selected literatures were assessed by Jadad scale. Results: 25 papers were selected from 570 studies. Analyses of selected studies indicated that the total effective rate was significantly higher in the herbal medicine treatment group, as compared to general treatment, placebo, western medicine or no treatment group. The most commonly used herbs were Angelicae Gigantis Radix (當歸), Vaccariae Semen (王不留行), Astragali Radix (黃芪), Tetrapanacis Medulla (通草), Codonopsis Pilosulae Radix (黨蔘), Glycyrrhizae Radix (甘草), Radix Ophiopogonis (麥冬), Ligustici Rhizoma (川芎), Bupleuri Radix (柴胡), Radix Rhapontici seu Echinopsis (漏蘆). There were no serious adverse events reported from herbal medicine treatment group during the treatment period. Conclusions: Herbal medicine has been shown as not only effective but also safe treatment on postpartum hypogalactia. This finding can be widely utilized in clinical practice and can form the basis for the development of clinical practice guidelines in future.
COVID-19 Vaccination for Endocrine Patients: A Position Statement from the Korean Endocrine Society
구철룡,정경연,안창호,문준성,이주희,김은희,권혜미,김희경,서성환,홍상모,하정훈,노은,김진화,김미경,Committee of Clinical Practice Guideline of the Korean Endocrine Society 대한내분비학회 2021 Endocrinology and metabolism Vol.36 No.4
Since the first outbreak of coronavirus disease 2019 (COVID-19), ongoing efforts have been made to discover an efficacious vaccineagainst COVID-19 to combat the pandemic. In most countries, both mRNA and DNA vaccines have been administered, and theirside effects have also been reported. The clinical course of COVID-19 and the effects of vaccination against COVID-19 are both influenced by patients’ health status and involve a systemic physiological response. In view of the systemic function of endocrine hormones, endocrine disorders themselves and the therapeutics used to treat them can influence the outcomes of vaccination for COVID-19. However, there are very limited data to support the development of clinical guidelines for patients with specific medicalbackgrounds based on large clinical trials. In the current severe circumstances of the COVID-19 pandemic, position statements madeby clinical specialists are essential to provide appropriate recommendations based on both medical evidence and clinical experiences. As endocrinologists, we would like to present the medical background of COVID-19 vaccination, as well as precautions to prevent the side effects of COVID-19 vaccination in patients with specific endocrine disorders, including adrenal insufficiency, diabetesmellitus, osteoporosis, autoimmune thyroid disease, hypogonadism, and pituitary disorders.
Clinical practice guidelines for intraoperative neurophysiological monitoring: 2020 update
Korean Society of Intraoperative Neurophysiological Monitoring,Korean Neurological Association,Korean Academy of Rehabilitation Medicine,Korean Society of Clinical Neurophysiology,Korean Association o 대한임상신경생리학회 2021 Annals of Clinical Neurophysiology Vol.23 No.1
The utility and accuracy of intraoperative neurophysiological monitoring (IONM) has evolved greatly following the recent development of new devices for neurophysiological testing and advances in anesthesiology. Until recently, the need for IONM services has been limited to large academic hospitals, but the demand for neurophysiologists with expertise in IONM has grown rapidly across diverse types of hospital. The primary goal of the Korean Society of Intraoperative Neurophysiological Monitoring (KSION) is to promote the development of IONM research groups and to contribute to the improvement of fellowship among members and human health through academic projects. These guidelines are based on extensive literature reviews, recruitment of expert opinions, and consensus among KSION board members. This version of the guidelines was fully approved by the KSION, Korean Association of EMG Electrodiagnostic Medicine, the Korean Society of Clinical Neurophysiology, the Korean Academy of Rehabilitation Medicine, and the Korean Neurological Association.
모유수유에 대한 이침요법의 임상적 효과: 무작위 대조군 연구 동향
경희대학교 대학원 임상한의학과(Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University),권찬영(Chan Young Kwon),최은지(Eun Ji Choi) 대한모유수유한의학회 2016 대한모유수유한의학회지 Vol.2 No.1
Objectives: This study was conducted to investigate randomized controlled trials using ear acupuncture therapy on breast feeding and to determine its clinical efficacy. Methods: All relevant studies were searched in the China National Knowledge Infrastructure and were reviewed by authors independently to select suitable studies. Risk of bias tool was used to assess the quality of included studies. Results: 38 studies were selected consequentially. In normal maternities and maternities with hypogalactia, most of studies showed that ear acupuncture therapy increases the amount of milk, advances the initial time of lactation, and increases the level of prolactin. The risk of bias on included studies were unclear and high generally. Conclusions: Ear acupuncture therapy has a significant clinical efficacy on breast feeding related problems, especially on the amount of milk, the initial time of lactation, and the level of prolactin. Moreover it is a simple and safe nonpharmacological therapy. However more high-quality studies are needed to be confident its efficacy and safety.
Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition
Kyung Ho Song,Hye-Kyung Jung,Hyun Jin Kim,Hoon Sup Koo,권용환,Hyun Duk Shin,Hyun Chul Lim,Jeong Eun Shin,Sung Eun Kim,Dae Hyeon Cho,Jeong Hwan Kim,Hyun Jung Kim,The Clinical Practice Guidelines Group Unc 대한소화기 기능성질환∙운동학회 2018 Journal of Neurogastroenterology and Motility (JNM Vol.24 No.2
In 2011, the Korean Society of Neurogastroenterology and Motility (KSNM) published clinical practice guidelines on the management of irritable bowel syndrome (IBS) based on a systematic review of the literature. The KSNM planned to update the clinical practice guidelines to support primary physicians, reduce the socioeconomic burden of IBS, and reflect advances in the pathophysiology and management of IBS. The present revised version of the guidelines is in continuity with the previous version and targets adults diagnosed with, or suspected to have, IBS. A librarian created a literature search query, and a systematic review was conducted to identify candidate guidelines. Feasible documents were verified based on predetermined inclusion and exclusion criteria. The candidate seed guidelines were fully evaluated by the Guidelines Development Committee using the Appraisal of Guidelines for Research and Evaluation II quality assessment tool. After selecting 7 seed guidelines, the committee prepared evidence summaries to generate data exaction tables. These summaries comprised the 4 main themes of this version of the guidelines: colonoscopy; a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols; probiotics; and rifaximin. To adopt the core recommendations of the guidelines, the Delphi technique (ie, a panel of experts on IBS) was used. To enhance dissemination of the clinical practice guidelines, a Korean version will be made available, and a food calendar for patients with IBS is produced.
Basic concepts of needle electromyography
Kim, Jee-Eun,Seok, Jin Myoung,Ahn, Suk-Won,Yoon, Byung-Nam,Lim, Young-Min,Kim, Kwang-Kuk,Kwon, Ki-Han,Park, Kee Duk,Suh, Bum Chun,Korean Society of Clinical Neurophysiology Education Committee Korean Society of Clinical Neurophysiology 2019 Annals of Clinical Neurophysiology Vol.21 No.1
Clinical evaluations, nerve conduction studies, and electromyography play major complementary roles in electrophysiologic diagnoses. Electromyography can be used to assess pathologic changes and localize lesions occurring in locations ranging from motor units to anterior-horn cells. Successfully performing electromyography requires knowledge of the anatomy, physiology, and pathology of the peripheral nervous system as well as sufficient skill and interpretation ability. Electromyography techniques include acquiring data from visual/auditory signals and performing needle positioning, semiquantitation, and interpretation. Here we introduce the basic concepts of electromyography to guide clinicians in performing electromyography appropriately.
Fundamental requirements for performing electroencephalography
Koo, Dae Lim,Kim, Won-Joo,Lee, Sang-Ahm,Kim, Jae Moon,Kim, Juhan,Park, Soochul,Korean Society of Clinical Neurophysiology Education Committee The Korean Society for Clinical Neurophysiology 2017 Annals of Clinical Neurophysiology Vol.19 No.2
The performance of electroencephalogram (EEG) recordings is affected by electrode type, electronic parameters such as filtering, amplification, signal conversion, data storage; and environmental conditions. However, no single method has been identified for optimal EEG recording quality in all situations. Therefore, we aimed to provide general principles for EEG electrode selection as well as electronic noise reduction, and to present comprehensive information regarding the acquisition of satisfactory EEG signals. The standards provided in this document may be regarded as Korean guidelines for the clinical recording of EEG data. The equipment, types and nomenclature of electrodes, and the details for EEG recording are discussed.
Nerve conduction studies: basic principal and clinical usefulness
Ahn, Suk-Won,Yoon, Byung-Nam,Kim, Jee-Eun,Seok, Jin Myoung,Kim, Kwang-Kuk,Lim, Young Min,Kwon, Ki-Han,Park, Kee Duk,Suh, Bum Chun,Korean Society of Clinical Neurophysiology Education Committee The Korean Society for Clinical Neurophysiology 2018 Annals of Clinical Neurophysiology Vol.20 No.2
Nerve conduction study (NCS) is an electrophysiological tool to assess the overall function of cranial and peripheral nervous system, therefore NCS has been diagnostically helpful in the identification and characterization of disorders involving nerve roots, peripheral nerves, muscle and neuromuscular junction, and are frequently accompanied by a needle Electromyography. Furthermore, NCS could provide valuable quantitative and qualitative results into neuromuscular function. Usually, motor, sensory, or mixed nerve studies can be performed with using NCS, stimulating the nerves with the recording electrodes placed over a distal muscle, a cutaneous sensory nerve, or the entire mixed nerve, respectively. And these findings of motor, sensory, and mixed nerve studies often show different and distinct patterns of specific abnormalities indicating the neuromuscular disorders. The purpose of this special article is to review the neurophysiologic usefulness of NCS, to outline the technical factors associated with the performance of NCS, and to demonstrate characteristic NCS changes in the setting of various neuromuscular conditions.