http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
이은영,장태원,정만홍,옥철호,이규원,손창배,이지숙,신은경,서정아,백종현,김영옥 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2
Actinomycosis is a chronic suppurative infection, whitch infiltrates mucosa-associated tissues. Thoracic, pelvic and cervicofacial infections of actinomyces are not uncommon, but endobronchial actinomycosis is rarely reported. We report a case of a 29 year old man who presented with a recurrent pneumonia and chronic cough. Fiberoptic bronchoscopy revealed occlusion of the right. lower medio-basal segment bronchus with exophytic endobronchial mass. The diagnosis was confirmed histologically by demonstration of sulfur granules in the bronchoscopic biopsy of the mass. Intravenous administration of amoxacillin and clindamycin followed by oral amoxacillin and clindamycin therapy resulted in complete recovery.
김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2
Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.
BCR-ABL 융합유전자를 동반한 급성 골수구성 백혈병 1예
최정민,송성은,이규진,이규원,이호섭 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.1
BCR-ABL 융합 유전자를 동반한 급성골수구성백혈병은 그 빈도가 매우 낮고, 만성골수구성백혈병의 급성악화기와 임상적으로 유사한 특징을 가진다. 항암화학요법으로 관해유도가 되기 어렵거나, 관해유도 후 재발의 빈도가 높은 특징을 가지고 있어 예후가 나쁘다고 알려져있다. 저자들은 BCR-ABL 융합 유전자를 동반한 급성골 수구성백혈병1례를 경험하였기에 문헌고찰과 함께 보고 하는 바이다. BCR-ABL fusion gene is the hallmark of chronic myelogenous leukemia (CML), but it has been rarely reported in acute myeloid leukemia (AML). AML with BCR-ABL fusion gene has different features from blast crisis of CML. We experienced a rare case of AML with BCR-ABL fusion gene. Here we report this case with a brief review of literatures.
《大方廣佛華嚴經疏 (卷35)》 설독 입겿문의 동사 '삼-'에 대하여
이은규 한국어문학회 2003 語文學 Vol.0 No.81
The purpose of this study is to confmn the ipgyeoch character '三' and to analyze the function of meaning of the verb 'sam-(삼-)' which was used in Daebang gwangbul hwaeomgyeongso (35th volume). The ipgyeoch character '三', is different apparently from the character '(sa, 사)' in the graphic form point of view, and it represents the verb 'sam-(삼-)' which was used in the Old Korean. And it is a sort of 'initial syllable representation (어두 음절 표기)'. The verb 'sam-' is transitive and governs the objective case '-??을)'. But when the verb represent the meaning of 'for the sake(爲함)', it governs the genitive case '??(의). It is supposed that this phenomenon is caused by the feature of meaning [-honoric] of the objective noun. The verb 'sam-' has three function of meaning; [make], [for the sake], [cause]. When the character ,三, combined with Chinese character '爲', the verb 'sam-' represents [make] or [for the sake], and combined with Chinese character '以, 因, 由 ', the verb 'sam-' represents [cause]. When the verb 'sam-' represents [for the sake], there are two different structures; the adverbial clause '衆生?? 爲三[jungsaengui sam, 중생의 삼]' and adverb '爲??[samo, 삼오]. Expecially '爲??[samo, 삼오] was used in desirable sentence. There is a possibility that '由三' is read 'malmuisam-(말�憑�' which is a compound word. The function of meaning [for the sake] remained in the Idu(이두) as like '爲只爲, 爲於爲, 爲乙爲, 爲乎爲' etc. But in the Middle Korean, the verb 'samta' represents only the feature of meaning [make]. In this time, the verb '爲하-' took the place of the function of meaning [for the sake] and the verb "因하-, 지즐-, 말�憑�' also took the place of the function of meaning [cause]. For the diachronic study of the verb 'sam-', it is necessary to analyze the seokdok ipgyeoch and the another transcription with borrowed characters materials.