http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
관상동맥 스텐트 삽입술 후 Ultegra rapid platelet function Assay-ASA을 이용한 Aspirin 저항성의 임상적 의의
임지혜 ( Ji Hye Yim ),박성욱 ( Seong Wook Park ),이승환 ( Seung Whan Lee ),최형오 ( Hyung Oh Choi ),이필형 ( Pil Hyung Lee ),선병주 ( Byung Joo Sun ),박덕우 ( Duk Woo Park ),김영학 ( Young Hak Kim ),이철환 ( Cheol Whan Lee ),홍명 대한내과학회 2009 대한내과학회지 Vol.76 No.6
Background/Aims: Aspirin resistance is reported to be associated with myocardial infarction, stroke, and myonecrosis after percutaneous coronary intervention. However, aspirin resistance and its clinical implications in patients undergoing drug-eluting stent (DES) implantation have not been evaluated sufficiently. Methods: The study enrolled 419 consecutive patients who underwent DES implantation. All of the patients took aspirin 100 mg (228 patients, 54.4%) or 200 mg (191 patients, 45.6%). Aspirin resistance was measured using the Ultegra Rapid Platelet Function Assay-ASA (Accumetrics, San Diego, CA, USA). The results were expressed as aspirin reaction units (ARU). Aspirin resistance was defined as ARU≥550. We followed all patients for 9 months. Results: Aspirin resistance was found in 33 patients (33/419, 7.9%). The aspirin dose (118.18±39.2 vs. 147.93±50.0 mg, p=0.011) was lower in the aspirin-resistant (n=33) versus the aspirin-sensitive (n=386) group. There was no significant difference in the occurrence of myocardial necrosis (15.6% vs. 15.5%, p=0.988). On multivariate analysis, low-dose aspirin (odds ratio (OR) 4.714; 95% confidence interval (CI) 1.865-11.914; p=0.001), age (OR 1.048; 95% CI 1.005-0.092, p=0.029), platelet count (OR 1.007; 95% CI 1.001-1.014, p=0.011), and hypercholesterolemia (OR 2.937; 95% CI 1.310-6.583, p=0.009) were independent predictors of aspirin resistance. Over the 9 months, no stent thrombosis or death occurred; one acute myocardial infarction occurred in the aspirin-sensitive group. Conclusions: Low-dose aspirin, old age, a higher platelet count, and hypercholesterolemia were associated with a high incidence of aspirin resistance in patients who underwent DES implantation. However, no significant differences in clinical outcome were found between the aspirin-resistant and -sensitive groups during a 9-month follow-up. (Korean J Med 76:685-691, 2009)
풍속이 사과나무의 광합성 특성과 수액이동 및 엽손상에 미치는 영향
임지혜 ( Ji Hye Yim ),최영민 ( Young Min Choi ),최동근 ( Dong Geun Choi ) 한국농림기상학회 2014 한국농림기상학회지 Vol.16 No.2
This study was carried out to determine the effects of wind speed on physiological responses in ‘Fuji’ apple (Malus pumila Miller). Two levels of wind blowing (3 and 5 m·s-1) were produced by large electric fans. Photosynthetic rate was reduced by one-way wind blowing treatment at 5 m·s-1, compared to the mild wind control, and this reduction was more obvious with stronger wind and increasing duration of wind application. The reduction in photosynthesis by the wind treatments was correlated with that in the proportion of opened stomates and stomatal conductance. The one-way wind treatment at 5 m·s-1 caused a leaf browning and leaf fall, and this negative effect became more serious with increasing time of exposure to the wind treatments. The sap flux through stem increased in all wind treatments compared to the natural mild wind.
갑상선여포암과 휘틀세포암에서 수술 전 세침흡인 세포검사 결과
김원구 ( Won Gu Kim ),임지혜 ( Ji Hye Yim ),김의영 ( Eui Young Kim ),김태용 ( Tae Yong Kim ),공경엽 ( Gyungyup Gong ),윤종호 ( Jong Ho Yoon ),홍석준 ( Suck Joon Hong ),김원배 ( Won Bae Kim ),송영기 ( Young Kee Shong ) 대한갑상선학회 2010 International Journal of Thyroidology Vol.3 No.2
Background and Objectives: Follicular thyroid carcinoma (FTC) and hurthle cell carcinoma (HCC) are relatively uncommon in iodine sufficient area, and there were few reports about these tumors. This study aimed to evaluate the preoperative diagnosis of FTC and HCC in Korea. Materials and Methods: This retrospective study enrolled 208 patients with FTC and 46 patients with HCC who underwent initial thyroid surgery between 1995 and 2006 in Asan Medical Center, Seoul, Korea. Results: There was no significant difference between FTC and HCC in basal clinicopathological parameters, except age and lymphovascular invasion (LVI). Patients with HCC were older (p=0.008), and had more LVI (p=0.008). Preoperative fine needle aspiration cytology (FNAC) diagnoses of FTC patients were follicular neoplasm (FN) in 84 cases (40%), hurthle cell neoplasm (HN) in 4 cases (2%), other malignancy in 26 cases (13%), and benign or indeterminate results in 89 cases (43%). FNAC diagnosis of HCC patients were 21 cases (46%) of HN, 8 cases (17%) of FN, 6 cases (13%) of other malignancy, and 11 (24%) cases of benign or indeterminate results. Conclusion: The results of FNAC were somewhat helpful for decision of thyroidectomy for the patients suspected FTC and HCC. However, clinical suspicion is also important for diagnosis of FTC and HCC even if the FANC results of nodules were benign or indeterminate.