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정신보건법의 주요 쟁점 조항에 대한 선진국과의 사례 비교
홍진표,황순찬,박수빈,서동우,정은기,김진학,박종익,안주연,김수정,장홍석 大韓神經精神醫學會 2009 신경정신의학 Vol.48 No.2
Objectives The Mental Health Act is an initiative aimed at changing and shaping mental health services and protecting human rights of persons with mental disorders. Since the Mental Health Act was legislated in 1995, four amendments have been made according to the issues that arose from public concerns. However, there are still many debates about the human rights protection of the mentally iII. This study aimed to provide information regarding major aspects of the Mental Health Act by comparing them among several developed countries. Methods Current Mental Health Acts of the state of Michigan in the United States, Scotland in England, the state of Victoria in Australia, and Japan were reviewed. Issues regarding the Korean Mental Health Act were collected from seminar materials, news media contents, and mental health professionals Results The definition of subjects in Korean Mental Health Act was more inclusive than other countries and was derived from a medical classification of mental illness. Family members or guardians were granted important responsibilities for deciding the involuntary admission of mentally ill patients in Korea and Japan. In Western countries, Mental Health Review Tribunals or courts have the primary responsibility for important decisions about mentally ill patients. The regulation of immediate dis- charge after request by voluntarily admitted patients was not enacted in all countries except Korea. The mandatory procedure for involuntary admission in Western countries includes an individual case review with personal interview by a Mental Health Review Tribunal or court. Conclusion The Korean Mental Health Act appears to meet the basic standards of Guidelines from international organizations. Our traditional culture and inherent health systems seem to influence the legal regulation of mental health service and might be related to the problems of human rights protection of mentally ill patients in Korea.
고도비만 환자에서 복강경 위소매절제술 후 발생한 누공의 내시경 치료 1예
류민선,심기남,조원영,김찬용,강현주,김미연,안소영,이윤표,조형원,정성애,이주호 이화여자대학교 의과학연구소 2013 EMJ (Ewha medical journal) Vol.36 No.2
Laparoscopic sleeve gastrectomy can reduce morbidity and mortality in patients with morbid obesity, but it can cause complications such as a gastrointestinal leak. A 30-year-old morbidly obese female who had type 2 diabetes mellitus and hypertension with estimated body mass index of 40.2 kg/m2 was admitted. Laparoscopic sleeve gastrectomy was performed. On postoperative day 19, a leak was suspicious on physical examination and radiologic findings. Conservative management was performed, but the patient was hemodynamically unstable and imminently septic. After laparoscopic drainage procedure, esophagogastroduodenoscopy was performed and revealed the fistula opening at staple line just below gastroesophageal junction. Fibrin tissue adhesive was injected around the fistula and the esophageal covered stent was inserted to cover the leak. At 14th days after stent insertion, the barium study confirmed no more leak. In this case, we experienced that the esophageal stent insertion with fibrin tissue adhesive injection may reduce recovery time of the fistula developed after laparoscopic sleeve gastrectomy
Pyo, Joo-Yeon,Shin, Sook The Korean Society of Systematic Zoology 2011 Korean Journal of Systematic Zoology Special Issue Vol.27 No.2
Tunicates were collected from three harbors (Gampo, Bangeojin, Daebyeon) in Gyeongsangnam-do and one harbor (Seogwipo) in Jejudo Island during the period from August 2008 to January 2011 and were identified on the basis of their morphological characteristics. Among them, colonial tunicate Clavelina lepadiformis (Muller, 1776) belonging to the family Clavelinidae was found to be an invasive alien species introduced from the North Atlantic, and this is the first record of its occurrence in Korea.
A phase II study of hypofractionated proton therapy for prostate cancer
Kim, Yeon-Joo,Cho, Kwan Ho,Pyo, Hong Ryull,Lee, Kang Hyun,Moon, Sung Ho,Kim, Tae Hyun,Shin, Kyung Hwan,Kim, Joo-Young,Lee, Se Byeong,Nam, Byong Ho Informa Healthcare 2013 Acta oncologica Vol.52 No.3
<P><I>Background.</I> Hypofractionated radiotherapy potentially offers therapeutic gain for prostate cancer. We investigated the feasibility of hypofractionated proton therapy (PT). <I>Material and methods.</I> Eighty-two patients with biopsy-proven T1-3N0M0 prostate adenocarcinoma and no history of androgen deprivation therapy were randomly assigned to five different dose schedules: Arm 1, 60 CGE (cobalt gray equivalent = proton dose in Gy × 1.1)/20 fractions/5 weeks; Arm 2, 54 CGE/15 fractions/5 weeks; Arm 3, 47 CGE/10 fractions/5 weeks; Arm 4, 35 CGE/5 fractions/2.5 weeks; or Arm 5, 35 CGE/5 fractions/5 weeks. <I>Results.</I> The median follow-up duration was 42 months (11-52 months). The acute GI and GU grade ≥ 2 toxicity rates were 0 and 5%, respectively. The late GI and GU grade ≥ 2 toxicity rates were 16% and 7%, respectively. The best arm for acute GU toxicity was Arm 3, while that for late GI toxicity was Arm 2 in which none had grade ≥ 2 toxicity. The four-year American Society for Therapeutic Radiology and Oncology and Nadir + 2ng/ml BCF free survival (BCFFS) rates were 85% and 86%, respectively. <I>Conclusions.</I> Hypofractionated PT for patients with prostate adenocarcinoma as used in this study is feasible with an acceptable toxicity profile. As the BCFFS rates do not seem to be inferior to those produced using conventional fractionation, the application of hypofractionated PT may save patients time and money.</P>
로얄제리가 Streptozotocin 유발 당뇨 흰쥐의 치료 및 예방에 미치는 영향
우주연(Joo-Yeon Woo),백경연(Kyung-Yeon Baek),한준표(Joon-Pyo Han) 한국식품영양과학회 1999 한국식품영양과학회지 Vol.27 No.6
본 실험은 로얄제리를 streptozotocin 유발 당뇨쥐에게 치료 및 예방효과로 나누어 투여시 나다나는 혈당과 혈청 지질수준 및 혈구수에 대하여 관찰하였다. 실험 동물은 정상권 (Normal)과 로얄제리만을 투여한 RJ군(Royal Jelly), streptozotocin만을 투여한 군(STZ), 예방효과를 위해 로얄제리를 2주간 투여한 후 당뇨를 유발한 군(RS1, RS2), 치료효과를 위해 당뇨를 유발한 후 2주간 로얄제리를 투여한 군(SR1, SR2)으로 나누어 3주간 본 실험을 행하였다. 체중 변화량을 보면 STZ군과 SR1군만이 크게 감소하는 경향을 보였으며, 식이섭취량은 STZ군과 RS1군, SR1군이 증가하였다. 혈당에 미치는 효과에서 RJ군과 RS1군, RS2군에서는 모두 혈당이 정상군과 유사하였고 나머지 군들에서는 효과가 없었다. 혈청내 지질 수준에서 총 지질량과 중성지질량은 STZ군에 비하여 SR1군이 낮게 나타났으며 총 콜레스테롤 수준은 STZ군이 높은 경향을 나타내었다. 또한 동맥경화지수는 RJ군과 치료효과를 위한 SR1군이 정상군에 비하여 낮은 경향을 나타내었다. 혈구수에 미치는 영향에서 RBC(red blood cell)수와 HGB(hemoglobin)수는 RJ군과 치료효과를 위한 SR1군이 높게 나타났고, WBC(white blood cell)수는 RJ군과 SR2군이 높은 경향을 나타냈다. In order to investigate the preventive and therapeutic of royal jelly on diabetes, the levels of blood glucose and serum lipids as well as the number of blood cells were determined in streptozotocin(STZ)-diabetic rats. Rats were divided into seven groups. The RJ group was administered royal jelly and the STZ group was treated with streptozotocin to induce diabetes. To determine the preventive effect, diabetes was induced after administration of royal jelly for 2 weeks in group RS1/RS2. In group SR1/SR2 diabetic rats were administered royal jelly for 2 weeks to investigate the therapeutic effect. After 3 weeks, the body weight was reduced in STZ and SRI groups and food intake was increased in the STZ, RS1 and SR1 groups. The blood glucose level was similar to the control group in the RJ, RS1 and RS2 groups and there was no effect in the other groups. The total lipid and triglyceride level were lower in the SR1 group as compared to STZ, and the total cholesterol level was higher in the STZ group. The index of atherogenesis was lower in the RJ and SR1 groups compared to the normal group. The number of red blood cells and hemoglobin was higher in the RJ and SR1 groups and the number of white blood cells was higher in the RJ and SR2 groups.
조주연 ( Joo Yeon Cho ),이현경 ( Hyun Kyung Lee ),이성순 ( Sung Soon Lee ),이혜경 ( Hye Kyung Lee ),이영민 ( Young Min Lee ),이혁표 ( Hyuk Pyo Lee ),김주인 ( Joo In Kim ),최수전 ( Soo Jeon Choi ),염호기 ( Ho Kee Yum ) 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.5
Acute fibrinous and organizing pneumonia (AFOP) is a histological pattern consisting of prominent intra-alveolar fibrin and organizing pneumonia, with out hyaline membranes or prominent eosinophilia. The clinical manifestations of AFOP resemble those of acute lung injury such as acute interstitial pneumonia (AIP). However, the classic histological patterns of AFOP differ from diffuse alveolar damage (DAD), bronchiolitis obliterans with organizing pneumonia (BOOP) or acute eosinophilic pneumonia (AEP). The characteristic intra-alveolar fibrin ball and lack of classic hyaline membrane are the predominant histological features of AFOP. Although some reports suggest that its clinical course is less catastrophic than DAD, the clinical entity that distinguishes AFOP from DAD has not been established. We present a case of pathologically demonstrated AFOP in a 79-year-old man. The radiological findings of our case were similar to those of DAD, presented with diffuse bilateral lung infiltrations. However, despite the rapid development of respiratory failure, the patient had a better response and outcome to steroid therapy than what would be expected for DAD. (Tuberc Respir Dis 2006; 61: 479-483)