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Hyeong Ho Jo,Eun Young Kim,Jin Tae Jung,Joong Goo Kwon,Eun Soo Kim,Hyun Seok Lee,Yoo Jin Lee,Kyeong Ok Kim,Byung Ik Jang 대한소화기내시경학회 2022 Clinical Endoscopy Vol.55 No.2
Background/Aims: The diagnosis of intestinal tuberculosis (ITB) is often challenging. Therapeutic anti-tubercular trial (TATT) issometimes used for the diagnosis of ITB. We aimed to evaluate the changing pattern of fecal calprotectin (FC) levels during TATT inpatients with ITB. Methods: A retrospective review was performed on the data of 39 patients who underwent TATT between September 2015 andNovember 2018 in five university hospitals in Daegu, South Korea. The analysis was performed for 33 patients with serial FCmeasurement reports. Results: The mean age of the participants was 48.8 years. The final diagnosis of ITB was confirmed in 30 patients based on completemucosal healing on follow-up colonoscopy performed after 2 months of TATT. Before starting TATT, the mean FC level of the ITBpatients was 170.2 μg/g (range, 11.5-646.5). It dropped to 25.4 μg/g (range, 11.5-75.3) and then 23.3 μg/g (range, 11.5-172.2) afterone and two months of TATT, respectively. The difference in mean FC before and one month after TATT was statistically significant(p<0.001), and FC levels decreased to below 100 μg/g in all patients after one month of TATT. Conclusions: All ITB patients showed FC decline after only 1 month of TATT, and this finding correlated with complete mucosalhealing in the follow-up colonoscopy after 2 months of TATT.
자궁경부암 환자의 병기결정에 있어서 전산화단층촬영술의 효용성
조주형 ( Jo Ju Hyeong ),차동수 ( Cha Dong Su ),최성진 ( Choe Seong Jin ),신승령 ( Sin Seung Lyeong ),정진경 ( Jeong Jin Gyeong ),하정식 ( Ha Jeong Sig ),정인배 ( Jeong In Bae ),이영진 ( Lee Yeong Jin ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.11
목적 : 전산화단층촬영술과 각 검사 (신조영술, 방광경검사, 직장경검사)의 효용성을 비교하여 전산화단층촬영술로 대치가 가능한 검사를 알아보고자 하였다. 연구 방법 : 1998년 1월부터 2002년 12월까지 연세대학교 원주의과대학 부속병원 산부인과에 조직학적으로 침윤성 자궁경부암을 진단받고 병기결정을 위한 기초검사와 복부 및 골반 전산화단층촬영술을 모두 시행한 203예를 대상으로 하였고, 각 검사와의 민감도, 특이도, 양성예측율, 음성예측율을 산출하여 Objective : The authors have aimed to compare the efficacy of the computed tomography with other study methods, and to investigate if replacement by computed tomography is possible. Methods : From January 1998 to December 2002, 203 cervical cancer patient
조진규 ( Jo Jin Gyu ),김응호 ( Kim Eung Ho ),김형진 ( Kim Hyeong Jin ) 한국물환경학회 2003 한국물환경학회지 Vol.19 No.1
In order to evaluate the utilization validity of solidified sewage sludge as a cover soil for landfill, the characterization for crystallinity. morphology, surface area, and pore structure has been carried out by means of XRD. SEM. and BET, and the adsorption characteristics of CO₂ on Sewage sludge that was solidified with converter slag, fly ash, and quicklime were investigated. The surface area was increased 2-4 times after solidification. especially, solidified Sewage Sludee including 10% auicklime was most. The amount of CO₂ adsorbed was increased in proportion to surface area of solidified sewage sludge. The maximum adsorption amount of CO₂ was 6.0 ㎎ for the solidified sewage Sludge including 10% quicklime and 4.9 ㎎ for the 10% quicklime and 40% slag added one at 40℃, 3 atm. respectively. The adsorption amount was increased 2 times after solidification. As the mixing amount of quicklime added more, adsorption amount became larger, so adsorption amount was affected by quicklime.
임신과 동반된 급성백혈병과 골수이형성증후군 증례보고 4예
김조영 ( Kim Jo Yeong ),조진호 ( Jo Jin Ho ),장성운 ( Jang Seong Un ),김현철 ( Kim Hyeon Cheol ),강석호 ( Kang Seog Ho ),조형준 ( Jo Hyeong Jun ),이경미 ( Lee Gyeong Mi ),은미나 ( Eun Mi Na ),정상근 ( Jeong Sang Geun ),김윤아 ( Ki 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.5
We have reviewed the medical records of 4 pregnant patients with concomitant acute leukemia at our institution in conjunction with determining the delivery process in order to reduce complications associated with the delivery. Of the 4 patients, three cases were diagnosed as acute leukemia and the other as myelodysplastic syndrome. One experienced an incomplete abortion at gestational age of 10 weeks, after remission induction chemotherapy. The remaining three patients made delivery at full term by Cesarean section. Our observation indicated that Cesarean delivery was advisable for these three patients. Most of the patients had thrombocytopenia or anemia. Before the Cesarean section or dilatation or evacuation, transfusion was undertaken to prevent hemorrhage or severe anemia. In the cases of refractoriness to blood transfusion, a greater amount was transfused. After Cesarean section, some complications were reported such as fever, delayed wound repair, and vaginal bleeding. Based on the our observations, we are of the opinion that pregnant women with acute leukemia or myelodysplastic syndrome can be managed even in those cases where the state of leukemia is not in complete remission or chemotherapy-induced cytopenia is. And the proper measures are timely undertaken to prevent complications associated with delivery.
정진경 ( Jeong Jin Gyeong ),최성진 ( Choe Seong Jin ),정인배 ( Jeong In Bae ),한혁동 ( Han Hyeog Dong ),이영진 ( Lee Yeong Jin ),조주형 ( Jo Ju Hyeong ),한경희 ( Han Gyeong Hui ),박진규 ( Park Jin Gyu ),박광화 ( Park Gwang Hwa 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.12
Spontaneous umbilical cord hematoma is a rare cause of fetal distress and intrauterine fetal death. The perinatal mortality rate approaches 50%. Various causes of the cord hematoma have been suggested as congenital abnormalities, short cord, trauma, cord
Lin, Guang-Xun,Quillo-Olvera, Javier,Jo, Hyun-Jin,Lee, Hyeong-Jin,Covarrubias-Rosas, Claudia Angelica,Jin, Chengzhen,Kim, Jin-Sung Elsevier 2017 World neurosurgery Vol.106 No.-
<P><B>Objective</B></P> <P>To compare the outcomes between patients older and younger than 65 years who underwent single-level minimally invasive transforaminal interbody fusion (MI-TLIF) surgery.</P> <P><B>Methods</B></P> <P>This study is a retrospective analysis of 76 patients who underwent MI-TLIF between April 2012 and June 2016. Group A consisted of 35 patients (<65 years) and group B consisted of 41 patients (≥65 years). Intraoperative data were recorded. The evaluation of clinical outcomes was based on the visual analog scale for back and leg pain and the Oswestry Disability Index. Radiologic outcomes including cage subsidence, end plate cyst formation, and fusion rate were assessed.</P> <P><B>Results</B></P> <P>The mean age of the study subjects was 65.3 years, and the mean duration of follow-up was 18.98 months. Group B had a higher rate of comorbidities compared with group A (90.24% vs. 57.14%, respectively; <I>P</I> < 0.05). There was no statistically significant difference in the rate of complications between the groups (group A, 14.29%; group B, 17.07%). Clinical outcomes significantly improved in both groups postoperatively (<I>P</I> < 0.05). Although bony fusion in group A was slightly higher than that in group B, the fusion rate was not statistically different according to age. There were no statistically significant differences in the rates of cage subsidence or positive cyst sign between the groups.</P> <P><B>Conclusions</B></P> <P>MI-TLIF presented similar safeness and acceptable outcomes and complication rate in both groups. Cyst formation may be aggravated by cage subsidence, because cage subsidence was a useful potential predictor of cyst formation.</P>