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말기 신부전 환자에서 부갑상선 기능항진증으로 외과적 부갑상선 절제술을 시행 받은 환자의 임상적 경과
한승혁(Seung Hyeok Han),이상철(Sang Cheol Lee),강이화(E . Hwa Kang),구영석(Young Suk Goo),박형천(Hyung Chun Park),노현정(Hyun Jeong Roh),노현진(Hyun Jin Noh),윤수영(Soo Young Yoon),윤도식(Do Sik Yun),최소래(So Rye Choi),강신욱(Shin W 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.1
배 경 : 말기 신부전 환자의 내과적 치료에 교정되지 않는 중증 이차성 부갑상선 기능항진증시 외과적 부갑상선 절제술이 시행되어져 왔다. 부갑상선 절제술 시행 후 추적결과에 대한 보고가 드물어 본 연구를 시행하였다. 방 법 : 1990년부터 1999년까지 신촌세브란스병원에서 중증 이차성 부갑상선 기능항진증으로 외과적 부갑상선 절제술을 시행 받은 24 명을 대상으로 후향적으로 분석하였다. 결 과 : 술후 병리소견으로 미만성 17예, 결절성 6예, 선종이 1예였다. 임상증상으로 골통 또는 관절통은 19명(79.2%), 근육통은 17명(70.8%), 신체 불쾌감은 10명(41.7%), 소양증은 13명 (54.2%)였고, 술후 임상증상의 호전을 보였다. 술후 혈청 칼슘, 혈청 인, intact PTH는 각각 7.3±1.4 ㎎/dL, 4.0±1.3 ㎎/dL, 89.3±146.1 pg/mL로 술전과 비교하여 감소하였고(p<0.01), 혈청 alkaline phosphatase는 술후 738.8±935.1 IU/L로 술전 보다 증가하였다(p<0.01). 재발 5예 중 결절성 과증식형이 4예로 미만성 과증식형에 비해 높은 빈도를 보였고(p=0.006), 비재발군에 비해 수술 전후의 intact PT H의 감소차가 적었다(945.3±374.6 v s 1,385.8±481.8, p=0.036). 결 론 : 중증 이차성 부갑상선 기능항진증에서 외과적 부갑상선 절제술은 증상완화나 술후 intact PTH의 감소 등 좋은 결과를 기대할 수 있다. 병리학적 유형과 술후 intact PTH 감소 정도가 재발을 예측할 수 있는 인자로 생각된다. Backg round : Medical treatments such as restriction of phosphate, phosphate binder use, and active vitamine D therapy have been widely used for hyperparathyroidism in ESRD patients, and surgical parathyroidectomy should be considered in patients with uncontrolled hyperparathyroidism. Methods : A retrospective study w as performed in 24 ESRD patients with severe and uncontrolled hyperparathyroidism despite of medical treatment who undertook surgical parathyroidectomy in Severance hospital from 1990 to 1999. Results : Sixteen patients had total parathyroidectomy with immediate autotransplant, 7 patients had subtotal parathyroidectomy and only 1 patient had minimally invasive parathyroidectomy. An excellent short-term control of hyperparathyroidism was achieved in all patients after parathyroidectomy. Preoperative bone and joint pain improved in 16 of 19 patients. Muscle weakness and pain improved in 11 of 17 patiens, malaise improved in 8 of 10 patients and pruritus improved in 10 of 13 patients. In addition, clinical laboratory finding improved after parathyroidectomy. No clinical differences were seen between 16 patients who undertook total parathyroidectomy with immediate autotransplant and 7 patients who undertook subtotal parathyroidectomy. Recurrence of hyperparathyroidism ocurred in 5 of 24 patients with 4 nodular hyperplasia and 1 diffuse hyperplasia in pathologic finding . T he less degree of attenuated response of intact PTH levels immediately after operation w as observed in 5 recurrent cases. Conclusion : Good results were obtained after parathyroidectomy. We believe that histologic subtype and the attenuated response of intact PTH after surgical parathyroidectomy could be possible predictors of the recurrent hyperparathyroidism.
신우석(W.S.Shin),이철원(C.W.Lee),진상호(S.H.Jin),권순익(S.I.Kwon),강남희(N.H.Kang),김형동(H.D.Kim),이흥배(H.B.Lee),이재기(J.G.Lee),최규하(G.H.Ghoe) 전력전자학회 1997 전력전자학술대회 논문집 Vol.1997 No.-
This paper describes an study electric injection system for diesel engines. It is needed effective fuel injection which controls the solenoid valve of fuel pump. To solve this, this paper proposes DCC-PWM method which can realize fast reply and low holding current for solenoid valve on/off. For the proposed design method, simulation tools of ACSL are used to analyze the system. And the single-chip microcomputer is used to reduce the size of controller and to improve flexibility. And the system's validity can be verified through the experimental results.
Thomas W. Molitor,Jin-Ho Shin 대한수의학회 2002 Journal of Veterinary Science Vol.3 No.2
The capability of porcine reproductive and respiratorysyndrome virus (PRRSV) to be shed in semen forextended periods of time has been suggested to be aprincipal factor for viral transmission via insemination.In attempts to gain insights into the mechanism ofPRRSV persistence in boars, tissue distribution andsites of viral infection were investigated by in situhybridization (ISH) using digoxigenin-labeled RNAprobe and the ISH results were compared with thoseof reverse transcription-nested polymerase chainreaction (RT-nested PCR). Animals were intranasallyinoculated with 104 median tissue culture infectiousdose of PRRSV VR-2332 and tissues collected atdifferent times were examined.At day 7 postinfection,limited number of hybridization positive signals wasobserved in cells w ithin or betw een seminiferou stubules in the testis sections while relatively abundanthybridization positive signals were observed in thebrain stem and tracheobronchial lymph node.At laterdays of infection, hybridization positive signals wereobserved in cells within seminiferous tubules withmuch reduced frequency.Lack of agreement with theRT-nested PCR assay results in testis tissues obtainedat days 14, 28, and 59 postinfection suggested thatPRRSV infection in the testis may be extremelyrestricted,and may not necessarily constitute a majorviral source in semen during extended periods ofseminal shedding.
Midfacial deformity에 대한 Le Fort Ⅱ 골절단술을 이용한 외과적 교정술의 증례
허홍열(Huh H Y),진우정(Jin W J),신효근(Shin H K),김오환(Kim O W) 대한구강악안면외과학회 1987 대한구강악안면외과학회지 Vol.13 No.1
Clef lip and palate deformities are often part of a multifaceted problem, involving not only the palate, premaxilla, and philtrum, but frequently the entire middle third of the face. Le Fort Ⅱ midfacial osteotomies and advancement must be considered in instances when the patient assessment reveals that the nasomaxillary complex is retropositioned, the nose is short, and there is a class Ⅲ malocclusion. This is a case of secondary mid-facial hypoplasia including short nose and class Ⅲ malocclusion, which was corrected by Le Fort Ⅱ Osteotomy.