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태아안녕검사에 있어서 Rapid Biophysical Profile 의 유용성
김학준(Hag Joon Kim),고민석(Min Seok Koh),임병도(Byeong Do Lim),여정언(Jung Eun Yeo),정의식(Eul Sik Jung) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.6
Object : The nonstress test(NST) and complete biophysical profile(BPP) were compared with the rapid biophysical profile(BPP) in order to evaluate the efficacy of the rapid BPP, namely, the combination of amniotic fluid index(AFI) and sound-provoked fetal movement(SPFM) detected by ultrasound, in predicting intrapartum fetal distress in high-risk pregnancies. Study design : From JAN 9th 2000, through JAN 5th 2001, the prospective study of diagnostic tests was conducted on a total of 91 high-risk singleton pregnancies, undergoing antepartum assessment both the standard NST and the new rapid BPP(including other indices of complete BPP). The diagnostic indices of the NST, rapid BPP and complete BPP were calculated in term of predicting intrapartum fetal distress. Result : The sensitivity, specificity, negative predictive value, and positive predictive value of NST were 50.00, 94.81, 96.05, and 42.86% respectively, and those of rapid BPP were 75.00, 98.53, 98.53, and 75.00%, and those of complete BPP were 83.33, 98.72, 98.72, and 83.33%, as well. In addition, the efficiency of NST, rapid BPP, and complete BPP were 91.57%, 97.22% and 97.62% respectively. Conclusions : The rapid BPP is an effective and reliable predictor of intrapartum fetal distress with high-risk pregnancies. Moreover, it may be inexpensive and less time-consuming method.
신재국(Jae Kook Shin),김학준(Hag Joon Kim),임병도(Byeong Do Lim),정의식(Eu Sik Jung),박창서(Chang Sue Park),조성진(Sung Jin Cho) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.10
Aplasic anemia is an extremely rare disease characterized by hypocellular bone marrow with fatty infiltration and peripheral blood pancytopenia. For over half of patients, no cause can be determined and the causal relation between aplastic anemia and pregnancy is not yet clear. Aplastic anemia in pregnancy is difficult to the obstetrician managing it because the risk of bleeding and infections are high and mortality in aplastic anemia associated with pregnancy is more than 20%. However, with improved treatment modalities and close clinical collaboration of hematologist and obstetrician, aplastic anemia complicated in pregnancy is becoming more frequent with favorable outcome. We experienced a case of aplastic anemia initially detected during pregnancy who was managed with intensive hematological support leading to delivery a healthy infant vaginally. We report this case with a brief review of the literature.
증례 / CD5 음성 B 세포형 만성 림프구성 백혈병 1예
김오길(Oh Kil Kim),전진숙(Jin Suk Cheon),김학준(Hag Jun Kim),이건호(Gun Ho Lee),안용준(Yong Jun An),하준호(Joon Ho Ha),오경석(Kyung Seok Oh),이상룡(Sang Ryong Lee),김형(Hyung Kim),전인선(In Sun Jun) 대한내과학회 1999 대한내과학회지 Vol.56 No.2
A 67-year-old male visited Pusan Veterans Hospital due to general weakness and weight loss for 6 months. Physical examination showed non-tender 4 finger breaths sized splenomegaly and both inguinal and cervical lymphadenopathy. The white blood cell count was 25,300/uL with 91% morphologically mature lymphocytes. Bone marrow aspirate revealed hypercellularity with 74.5% lymphocytes morphologically similar to peripheral lymphocytes. The immunophenotpying study of lymphocytes displayed the phenotype of CD19(+), CD20(+), HLA-DR(+), sIg(+) but CD5(-). We concluded that this patients's diagnosis is CD 5 negative B-cell chronic lymphocytic leukemia.
고민석(Min Seok Koh),임병도(Byung Do Lim),김학준(Hag Joon Kim),이혁우(Hyuk Woo Lee),정의식(Eui Sik Jung),조성진(Sung Jin Cho),노호상(Ho Sang Roh),김상현(Sang Hyeon Kim) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8
Objective : This study investigated changes of voice and hearing in premenopausal and postmenopausal woman Methods : We studied forty postmenopausal and forty premenopausal women. Each women was asked to describe their subjective vocal symptoms and phonate a vowel /a/ sound for 3 seconds. The phonated sound in each case was recorded and analysed by the computerized speech lab (LSL 4300B, KAY Elemetrics Corp. USA). We also conducted audiometric pure-tone threshold testing on the same group. Statistical analysis of voice and hearing parameters was done by paired T test Results : Jitter in menopausal group was significantly increased compared with premenopausal group, but other voice parameters showed no significant differences. There were no significant changes of vocal parameters between menopausal patients with or without vocal symptoms. And there were no significant changes of hearing parameters, either Conclusion : The change of voice parameters was objectively identified in menopausal women, and so therapist of menopausal symptoms must take the voice changes into consideration.
이상룡,오경석,이건호,설상영,변상준,윤혜경,고원규,김오길,전진숙,김학준,안용준,하준호,김순관,전인선,김 형 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.1
A 69-year-old male was admitted to the neurosurgery department for traumatic intracra-nial hemorrhage in both frontal lobes. After 2 months, he complained of epigastric dis-comfort, nausea, vomiting, and loose stools. The gastric endoscopic examination found acute hemorrhagic gastritis and there were rhabditoid nematode larvae in the gastric fluid and biopsy sections. The filariform larvae of Strongyloides sp. were discovered from a fecal culture. The patient was treated with albendazole (200 mg, po bid, for 4 weeks). The epigastric discomfort disappeared and endoscopic findings improved after treatment.