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等力性과 等長性 運動選手에 있어서 持續的 運動이 心臟의 形態 및 機能에 미치는 效果에 關한 硏究
陳世眞,裵鍾華,朴淳永 慶熙大學校 1990 論文集 Vol.19 No.-
To assess cardiac structure and function in sustained exercise of two different training modes, 32 subjects were studied. Matched 10 healthy Young men(Control group), 12 isotonic exercise athletes of 12 soccers(Group 1) and 10 isometric exercise weight lifters(Group 2) were evaluated by echocardiography at resting state and at maximal exercise state. The following results were obtained. 1. In isotonic exercise Group 1 of resting state, significantly increased left ventricular mass due to significantly increased diastolic left ventricular dimension and left ventricular dimension and left ventricular end-diastolic volume than controls of resting state. 2. In isometric exericise Group 2 of resting state, significantly increased left ventricular mass was due to not only increased diastolic left ventricular dimension and left ventricular end-diastolic volume but also increased septal wall thickness than controls of resting state. 3. Fractional shortening, ejection fraction, systolic velocity integral and peak acceleration were increased significantly in both isotonic and isometric exercise groups of resting state than controls of resting state. 4. Even though there were no changes in diastolic left ventricular dimenion and left ventricular end diastolic volume between isotonic and isometric exercise groups of resting state, systolic left ventricular dimension and left ventricular end-systolic volume were significantly decreased in isometric exercise group of resting state. Fractional shortening ejection fraction and peak acceleration were significantly increased in isomeric exercise group of resting state than isotonic exercise group of resting state. Moreover, the increment of septal wall thickness was greater in isometric exercise group of resting state than in isotonic exercise group of resting state. 5. In isotonic exercise group of maximal exercise state, left ventricular end-systolic volum and end-diastolic volume were significantly increased than controls of maximal exercise state. There were significant increases of diastolic left ventricular dimension and left ventricular end-diastolic volume in isometric exercise group of maximal exercise state than in controls of maximal exercise state, but there was no change of left ventricular end-systolic volume between those two groups. The left ventricular wall thcikness was mostly increased significantly in isometric exercise, group of maximal state than in controls of maximal exercise state. 6. Fractional shortening and ejection fraction were significantly increased in isometric exercise group of maximal exercise state than controls of maximal exercise state. 7. There were significant decrease of left ventricular dimensions and volumes, and significant increase of fractional shortening, ejection fraction and peak acceleration in isometric exercise group of maxmal exercise state than isotonic exercise group of maximal exercise state. In conclusion, isotonic exercise caused increased left ventricular dimension and increased myocardial contractility, whereas isometric exercise caused increased left ventricular dimension, wall thickening and myocardial contractility. At maximal exercise state, isotonic exercise showed more increased ventricular dimension with increased left ventricular wall thickness and myocardial contractility.
산전에 발견된 거대 아가미틈새낭 경부낭종성 병변의 감별 진단
진세진 ( Se Jin Jin ),이정헌 ( Jeong Heon Lee ),김성욱 ( Sung Ug Kim ),김선영 ( Sun Young Kim ),김은경 ( Eun Kyoung Kim ),정영주 ( Young Ju Jeong ) 대한산부인과학회 2008 Obstetrics & Gynecology Science Vol.51 No.6
Though branchial cleft cysts (BCC) are common cause of congenital cyst formation in the neck, the prenatal cases have been reported very rarely. We discovered fetal neck cyst at 32 weeks of gestation and eventually diagnosed it as BCC by postnatal surgical excision and histologic findings. It is hard to establish differential diagnosis of BCC from other congenital neck cysts on fetal ultrasonography. The anatomic locations and clinical features of each cystic lesions are important to diagnose accurately and then to achieve complete surgical excision for recurrence-free treatment. We present a case of a BCC detected prenatally and survey the points of differential diagnosis of a BCC from other neck cystic lesions on fetal ultrasonography.
최영자,진세진,성호석 인제대학교 1982 仁濟醫學 Vol.3 No.1
화농성육아종은 임상적으로 가끔 볼 수 있는 질환이나, 다발성 위성병소를 동반하는 예는 매우 드물다. 저자등은 다발성 위성병소를 동반한 화농성육아종이 견갑부에 발생한 27세 남자례와 우측배부에 발생한 10세 여아례를 경험하였기에 문헌고찰과 함께 보고한다. Although pyogenic granuloma is a rather frequently encountered tumor, one of its uncommon complication is the development of multiple satellite lesions following excision or irritation of primary growth. we present two cases : Case 1 was a 27-year old man who had coalescent erythematous, hemispheric tumor with multiple satellites on the right scapular region, without the history of recognized irritation or excision of the primary growth. Case 2 was a 10-year old girl who had confluent, red-violet colored shiny surfaced tumor with multiple satellites on the right back(below the scapular region). Multiple satellites lesions developed after irritation during the bath. Histopathologic findings showed many newly formed capillaries with endothelial cell proliferation and edematous stroma without appearance of epidermal collarette sign in both cases.
최영자,성호석,진세진 대한피부과학회 1982 大韓皮膚科學會誌 Vol.20 No.6
The sign of Leser-Trelat refers to the sudden appearance and rapid increase in size and number of freckles and seborrheic keratoses, It is considered to be a sign of internal malignant tumors, most probable of the gastrointestinal tract. We report a case of adenocarcinoma of the stomach associated with the sign of Leser-Trelat and the literatures were reviewed. This 62-year-old man, over a period of 5 months, developed multiple seborrheic keratoses over his trunk and extremities. He came to our department in August 1981, because of sudden increse in their number and size during the several preceding months. He had never complained of the symptoms of gastrointestinal tract such as gastric pain, vomiting, indigestion, and weight loss. On examination of the skin, hundreds of brown or brown-black, more or less greasy verrucous papules were found almoat exclusively on the extensor aspects of forearms and lower legs. These lesions were variable in size and were consistent clinically with seborrheic keratoses. The findings of both fiberoptic biopsy and upper gastrointestinal tract series of roentgenographic studies were compatible with ulcer and adenocarcinoma of the stomach. Based on our experience, it is again suggested that though seborrheic keratoses are very common in the elderly, the rapid increase in size and number should arouse suspicion of an internal malignancy.