http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
동시에 시행한 관상동맥우회술 및 경동맥 내막절제술과 단계적 수술의 조기 성적 비교
박양진(Yang Jin Park),김동익(Dong-Ik Kim),노영남(Young Nam Roh),김욱성(Wook Sung Kim),이영탁(Young Tak Lee),김경문(Gyeong-Moon Kim),김덕경(Duk-Kyung Kim),김영욱(Young-Wook Kim) 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.1
Purpose: Between combined and staged operations of carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) for patients with concurrent coronary and carotid disease, each treatment strategy has its own advantages and disadvantages. We attempted to compare early surgical results between the two operations. Methods: We retrospectively reviewed medical records of 71 patients who underwent either combined CEA & CABG (n=37) or staged CABG & CEA (n=34) in a single institute between January 2001 and March 2010. After comparing patients’ demographics and preoperative neurologic and cardiac status, we compared early (<1 month) postoperative cardiac or neurologic complications and surgical mortality between the 2 groups. Results: There was no significant difference in patients’ demographics and indications for operation the between 2 groups. There were 2 (5.4%) cases of postoperative stroke in combined groups and 1 (2.9%) in staged group. However, there was no myocardial infarction or death. In staged operation group, during the interval time between the two operations, 5 cases (14.7%) of stroke developed, of which, all patients recovered without any sequelae by anticoagulation. Conclusion: After experiencing low postoperative cardiac or neurologic morbidity or mortality after combined CABG and CEA, we conclude that combined CABG and CEA was a safe and feasible treatment option for patients with neurologic symptoms and in stable cardiac status. In the staged operation group of patients, we observed development of neurologic events during the interval period between CABG and CEA. To attain optimal treatment strategy in asymptomatic patients, further prospective study would be required.
웹 스크래핑을 이용한 소셜 미디어 속 백반증 환자의 인식과 경험에 대한 연구
김수형 ( Soo Hyung Kim ),이로우 ( Ro Woo Lee ),이서경 ( Seo Gyeong Lee ),주현정 ( Hyun Jeong Ju ),이지혜 ( Ji Hae Lee ),김경문 ( Gyong Moon Kim ),배정민 ( Jung Min Bae ) 대한피부과학회 2020 大韓皮膚科學會誌 Vol.58 No.10
Background: In recent years, large amounts of data generated by patients have been accumulated on social media. We explored patients’ perspectives and experiences with vitiligo using web scraping data from the open internet community, NAVER Cafe. Objective: To understand patients’ real concerns and thoughts about vitiligo. Methods: Using vitiligo as a keyword, 1000 posts on NAVER Cafe were collected and categorized as follows: requests for recommendations for dermatology clinics; inquiries regarding vitiligo diagnosis, disease characteristics of vitiligo, and management of vitiligo; and advertisements. Essential contents were collected for each category to summarize patients’ perspectives and experiences. Results: Of the 1000 posts, 284 were requests for clinical recommendations, 203 inquiries for diagnosis of their white spots, 132 inquiries regarding characteristics of vitiligo, 118 described experiences and emotions related to vitiligo, 105 inquiries regarding management of vitiligo, 103 advertisements, and 55 not related to vitiligo. Concerning the authors, 209 and 522 posts were written by patients and parents of children with vitiligo, respectively. Conclusion: Patients with vitiligo have considerable concerns regarding their condition and actively communicate with each other through social media. Data mining on social media can provide a deeper understanding of patients’ thoughts and emotional distress with vitiligo as well as their families’. (Korean J Dermatol 2020;58(10):656∼661)
경동맥 내막절제술 후 조기 합병증(<30일) 발생에 대한 고찰 및 술 후 뇌경색 발생 위험인자 분석
이경복(Kyung-Bok Lee),이광호(Kwang-Ho Lee),정진상(Chin-Sang Chung),김경문(Gyeong-Moon Kim),변홍식(Hong-Sik Byun),전평(Pyoung Jeon),김건하(Keon-Ha Kim),김동익(Dong-Ik Kim),김영욱(Young-Wook Kim) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.3
Purpose: We aimed to evaluate the early (<30 days) results and to analyze risk factors for the development of stroke and new brain infarction (NBI) after carotid endarterectomy (CEA). Methods: From September 2003 to August 2008, 233 CEAs were performed on 222 patients with critical internal carotid artery (ICA) stenosis in a single center. Patient characteristics, history of neurological symptoms, procedural details, and postoperative complications were examined based on the medical records. The incidence and risk factors for early postoperative stroke were evaluated. After excluding CEAs without performing diffusion-weighted brain MRI, 128 CEAs were investigated for frequency and the risk factors of NBI were analyzed. Chi-square test, Fisher’s exact test, Student T-test, and logistic regression model were used for statistical analysis. Results: Of a total of 233 CEAs, any and ipsilateral stroke rates were 1.3% and 0.4%, respectively. There was no early postoperative mortality. Early postoperative complications included 4.3% in transient cranial nerve injury, 1.7% in myocardial infarction, and 3.4% in hematoma. In univariate analysis, the significant risk factor for stroke was plaque ulceration (P=0.04). The frequency of NBI and ipsilateral NBI were 8.4% and 3.1%, respectively. The ulceration on ipsilateral ICA revealed statistically significant risk factors for the development of NBI (RR, 5.29; 95% CI, 1.024∼27.325; P=0.04). Conclusion: Our study showed a lower incidence of stroke and NBI after carotid endarterectomy and that it is safe procedure for the treatment of patients with severe (>70%) carotid stenosis. We also found that plaque with ulceration was a significant risk factor for the development of postoperative NBI.