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신준한(Joon Han Shin),오제열(Je Yol Oh),박효진(Hyo Jin Park),정준표(Jun Pyo Chung),이관식(Kwan Sik Lee),이상인(Sang In Lee),박인서(In Suh Park),최흥재(Heung Jae Choi) 대한내과학회 1993 대한내과학회지 Vol.45 No.1
Background: Gastric cancer associated with pregnancy is rare. Because of the similarity of symptoms between gastric cancer and preganancy, limitations in diagnostic approaches and difficulties in saving both mother and fetus, the prognosis is poor. Therefore, we analyzed the clinical features of gastric cancer associated with pregnancy, appropriated diagnostic approaches and practical guidlines for treatment. Method: We collected 23 cases of gastric cancer detected during pregnancy or within 12 months after delivery from January, 1980 to June, 1992. And age of patients, approaches of diagnosis, stage of cancer, pre- dominant histological features, results of surgical and obstetric treatment, and prognosis were analyzed according to the stage of pregnancy. Results: 1) Mean age of the patients at the time of diagnosis of the gastric cancer was 29.0±3.0 years old. Age range was 20-29 years old in 14 cases and 30-39 years in 9 cases. 2) The common presenting symptoms and signs were vomiting (52.2%), nausea (47.8%) and epigastric pain (47.8%). Mean duration from symptom onset to diagnosis was 6.5±7.8 months. 3) The percentages of patients diagnosed by endoscopic examination and barium study was 91.3% and 8.7%, respectively. In 5 cases, the distant metastases were found incidentally and then the primary focus was diagnosed by endoscopic examination or barium study. 4) Early gastric cancer was detected in 13.0% and advanced gastric cancer in 87.0%. In early gastric cancer, one case was found during pregnancy. 5) The histological features of gastric cancer were adenocardinoma in all cases and the types were poorly differentiated cell type (38.1%) and signet ring cell type (69.1%) 6) The treatment for gastric cancer was performed by surgery only in 21.7% and by combined surgery and chemotherapy in 21.7%. 7) The obstetric outcomes in patients diagnosed during pregnancy were normal spontaneous delivery in one case, preterm vaginal delivery in two cases, induced abortion in four cases and spontaneous abortion in one case. Conclusion: As the results show most of the gastric cancers associated with pregnancy was found in advanced state and their prognosis were grave. But same cases were early gastric cancers and in some cases complete resection was possible. Therefore, in order to improve the prognosis of gastric cancer associated with pregnancy, early diagnosis by endoscopy and appropriate treatment are emphasized.
무통성 후하벽심근경색증 후에 발생한 좌심실류를 동반한 심실중격결손증 1 예
신준한(Joon Han Shin),김한수(Han Soo Kim),탁승제(Seung Jea Tahk),고충원(Choong Won Ko),구본권(Bon Kwon Ku),송민경(Min Kyung Song),최병일(Byung Il William Choi) 대한내과학회 1996 대한내과학회지 Vol.50 No.4
Ventricular septal rupture is a potentially lethal complication which occurs in 1% to 3% of patients with acute myocardial infarction. Awareness of this complications in the appropriate clinical setting is important, since early surgical intervention can be lifesaving, Especially, recognition of this complication following unusual presentation permitted a favorable outcome. We report one case of ventricular septal reupure following a silent myocardial infarction in 64 years of male patient who had been suffered from exertional dyspnea. 1 he diagnosis was confirmed by echodcardiography, cardiac cath, coronary angiography and MRI.
양호연,신준한,최종훈,안형준,Yang, Ho-Yeon,Shin, Jun-Han,Choi, Jong-Hoon,Ahn, Hyoung-Joon 대한안면통증구강내과학회 2005 Journal of Oral Medicine and Pain Vol.30 No.1
As people prefer to use right or left hand, some have preferred chewing side while others do not. Totally, 82 volunteers composed of students and staffs from Dental Hospital College of Dentistry Yonsei University participated in this study for the investigation of influence of preferred chewing habit, that has lasted for more than a year, on electromyographic(EMG) activity of masticatory muscles and bite force. Among the 82 volunteers, 46 had preferred chewing habit while the other 36 did not. Prior to the investigation, those with factors that could affect the study, such as, general disease, irregular dentition and malocclusion, were screened and excluded by questionnaire and clinical examination. The results were as follows: 1. There was no significant difference in EMG activities between chewing side and non-chewing side of preferred chewing subjects at rest as well as maximal voluntary contraction(MCV)(p>0.05). 2. Asymmetrical coefficient of temporal and masseter muscle EMG activities between preferred chewing subjects and non-preferred chewing subjects at rest was not significantly different(p>0.05). 3. Asymmetrical coefficient of masseter EMG activity was significantly higher(p<0.05) than that of non-preferred chewing subjects at MCV, whereas that of anterior temporal muscle showed no difference(p<0.05). 4. In preferred chewing subjects, there was no significant difference in average bite force and occlusal contact area between chewing side and non-chewing side(p>0.05). 5. There was no significant difference in Asymmetrical coefficients of average bite force and occlusal contact area between preferred chewing subjects and non-preferred chewing subjects (p>0.05). Consequently, preferred chewing habit can be considered as physiological asymmetry with normal function rather than to have influence on EMG muscle activity of masticatory muscles, average bite force and occlusal contact area. Objective standardization to differentiate preferred chewing subjects and non-preferred chewing subjects should be established in the further study.
신정숙 ( Jeoung Sook Shin ),김기찬 ( Ki Chan Kim ),김동훈 ( Dong Hoon Kim ),김세란 ( Sei Rhan Kim ),박진주 ( Jin Ju Park ),신준한 ( Joon Han Shin ),황교승 ( Gyo Seung Hwang ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.2
J wave syndrome is a deflection with the dome or the hump morphology in the same direction as R wave and immediately followed the QRS complex on the surface ECG. It is known as an abnormalities in the manifestation of the transient outward current (Ito)-mediated J wave. It includes Brugada syndrome, early repolarization syndrome, arrhythmia associated hypothermia and the ST-segment elevation myocardial infarction. Several lines of evidence have suggested that J wave syndrome closely associated with idiopathic Ventricular tachycardia (VT) and Ventricular fibrillation (VF). We report one case of J wave syndrome in a 50 years old male who was a survivor of sudden cardiac death. He had suffered 2 times sudden cardiac death previously. At the visiting day, his electrocardiography (ECG) exhibited J waves in precordial leads (V1-V6), II, II, aVF and J-ST elevation at the same leads. Considering, recurrent sudden cardiac arrest, J wave on inferior, lateral lead on ECG, we conclude he has a J wave syndrome.
급성심근경색에서 Troponin T 와 경색의 크기와의 상관관계
서창희(Chang Hee Suh),김한수(Han Soo Kim),강한걸(Han Geol Kang),신준한(Joon Han Shin),탁승제(Seung Jae Tahk),이승호(Seong Ho Lee),최병일(Byung Il William Choi) 대한내과학회 1997 대한내과학회지 Vol.52 No.1
Objectives: The estimation of infarct size has been important in evaluation of prognosis of the patients who had acute myocardial infarction. The infarct size estimated by the thallium-201 SPECT has been known to correlate with the prognosis of patient. The enzymatic estimation by the total release of creatine kinase isoenzyme MB(CK-MB) has been widely used in estimating infarct size clinically, but inconvienent and not cardiospecific. Recently, serum troponin T, cardiospecific myofibrillar protein, has been used in the diagnosis of acute myocardial infarction, and used in the estimation of reperfusion following myocardial infarction. To assess the role of the late troponin T peak concentration on the estimation of infarct size, this prospective study was carried out. Methods: The patients with acute myocardial infarction who were admitted, within 48hours after the onset of chest pain, to Ajou University Hospital between April 1995 and August 1995 were evaluated. All patients were divided into anterior and inferior infarct and checked serum troponin T and CK-MB serially, and underwent stress Thallium-201 SPECT 1 week after infarction, In each group, we assessed the correlation of the late toponin T peak concentration, the total release of CK-MB, and the infarct size estimated by thallium-201 single photon emission computed tomography(SPECT). Results: 1) The eligible subjects consisted of 22 patients (17 men and 5 women), and age ranged from 29 to 77 years(mean 57.8±12.5 years). 2) The mean arrival time to the hospital after the onset of chest pain was 15.5±13.2 hours. The 19 patients had at least one risk factor for coronaryartery disease. 3) The late troponin T peak concentration and the total release of CK-MB in patients with anterior infarction were not different from those with inferior infarction. The infarct size estimated by the thallium-201 SPECT in patients with anterior infarction was larger than patients with inferior infarction The left ventricular ejection fraction in anterio infarction was lower than inferior infarction. 4) The late troponin T peak concentration ha: positive correlation with the infarct size estimated by the thallium-201 SPECT in the total patients, and both patients with anterior infarction and inferio infarction. 5) The total release of CK-MB correlated with the infarct size estimated by the thallium-20 SPECT in the total patients, and the patients of inferior infarction. Conclusion: The late troponin T peak concentration was more accurate than the total release o CK-MB in the estimation of infarct size. Therefore, when the patient arrived to the hospital less than 48hr after the onset of chest pain, the late troponin T peak concentration is useful in the decision and evaluation of therapeutic intervention and in the prediction of prognosis.
운동부하검사 중 과도한 수축기 혈압상승을 보이는 환자에서 Nitric Oxide/cyclic-GMP경로를 통한 내피세포 기능의 장애
박인휘 ( In Whee Park ),장혁재 ( Hyuk Jae Chang ),정재훈 ( Jae Hoon Chung ),신준한 ( Joon Han Shin ),최태영 ( Tae Young Choi ),최소연 ( So Yeon Choi ),윤명호 ( Myung Ho Yoon ),황교승 ( Gyo Seung Hwang ),탁승제 ( Seung Jae Tahk 대한내과학회 2003 대한내과학회지 Vol.65 No.1
Background : The diagnostic and prognostic implication of exaggerated blood pressure response to exercise has not been well characterized. Endothelial dysfunction has been demonstrated in patients with atherosclerosis or with risk factors for coronary art
박인서(In Suh Park),이상인(Sang In Lee),이관식(Kwan Sik Lee),박효진(Hyo Jin Park),신준한(Joon Han Shin),최홍재(Heung Jai Choi),권선옥(Seon Og Kweon),정준표(Jun Pyo jeong) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.2
Percutaneous endoscopic gastromy (PEG) and percutaneous endoscopic jejunostomy (PEJ) are used commonly for enteral feeding. Rut there were some reports of using PEG as an alternative to naso-gastrointestinal tube for decompression in parients with mechanical obstruction, particularly obstraction with malignancies involving the upper gastrointesrinal tract. Palliation is usually achieved by the placement of a nasogastric or nasointestinal tube. Hower these tubes tend to have some disadvantages which can be overcome with drainage PEG. In our experience, a 65 years old male patiert with pyloric obstruction due to advanced gastric cancer was successfly decompressed by drainage PEG. Thus, we present this case with supporting literatures.
급성 심근경색 환자에서 심전도상 ST 분절 상호 하강(reciprocal depression)의 임상적 의의 : 심근경색 후 경과시간에 따른 분석
장혁재 ( Hyuk Jae Chang ),박인휘 ( In Whee Park ),김정은 ( Jung Eun Kim ),이종우 ( Jong Woo Lee ),최소연 ( So Yeon Choi ),황교승 ( Gyo Seung Hwang ),윤명호 ( Myeong Ho Yoon ),신준한 ( Joon Han Shin ),탁승제 ( Seung Jea Tahk ),최 대한내과학회 2003 대한내과학회지 Vol.64 No.1
Background : To investigate the clinical significance of reciprocal ST segment depression on the presenting electrocardiogram (ECG) in patients with acute myocardial infarction (MI), in particular, this study focuses whether there is any difference accord
간장 ( 肝腸 ) 및 담도 ( 膽道 ) : 만성 B 형 활동성 간염 환자에서 Prednisolone 이탈요법후의 베타인터페론 병용투여의 치료효과
강진경(Jin Kyung Kang),최흥재(Heung Jai Choi),박인서(In Suh Park),문영명(Yong Myung Moon),이상인(Sang In Lee),한광협(Kwang Hyub Han),전재윤(Chae Yoon Chon),김원호(Won Ho Kim),김경희(Kyung Hee Kim),신준한(Joon Han Shin) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
N/A To evaluate the efficacy of a short course of prednisolone withdrawl followed by human B- interferon (HuIFN-B) treatment with chronic active hepatitis B(CAHB), 32 patients with peritoneoscopic liver biopsy proven CAHB were randomized to receive a 3 week tapered course of prednisolone followed by HuIFN-B or HuIFN-B alone. All patients were HBeAg positive and two groups were comparable with respect to age, sex and biochemical and histologic data. Interferon was administered in a dose of 6.0*10 IU per day for I week and 3.0*10 IU per day for successive 3 weeks by intravenous drip infusion. Treatment side-effects occurred in all treated patients but the treatred patients all tolerated and concluded treatment without serious side effects enough to give up the trials. The seronegative and seroconversion rates for the patients treated with prednisolone withdrawl+ HuIFN-B were 50.0% (10 cases out of 20) and 45.0% (9cases out of 20) respectively at last follow up after the treatment. These rates were apparently higher than seronegative rate of 25.0% (3 cases out of 12) and seroconversion rate of 16.7% (2 cases out of 12) in patients treated with HuINF-B alone. Sustained loss of serum HBV DNA & normalization of serum ALT was maintained in 65% (13 cases out of 20) at 6 month after steroid withdrawl+HuIFN-B treatment. Comparison of responders (n=9) to non-responders in patients with steroid withdrawl+ HuINF-B treatment indicated that there was no significant difference in age, sex and pretreatment ALT levels and HBV-DNA values. In conclusion, these results suggest that a short course of prednisolone withdrawl followed by HuINF-B can be more effective than HuIFN-B alone for the selected patients with HBeAg positive CAHB.