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최두환,구시선,배승훈,박병현,안선호,송주흥 圓光大學校 醫科學硏究所 1996 圓光醫科學 Vol.12 No.2
To elucidate the incidences and the clinical characteristics of glomerular diseases in our hospital, we reviewed the clinical records and histological findings of the 117 cases, which were diagnosed as one of the glomerular disease in renal biospy for about 6 years since 1991. In these 117 cases, 74 cases (63.2 %) fell into primary glomerulonephritis(GN), 18 cases (15.4%) into secondary GN, 2 cases (1.7 %) into end stage kidney, 4 cases (3.4%) into tubulointerstitial disease and the biopsy samples were inadequate for diagnosis in 19 cases. In primary glomerular diseases, most common pathologic diagnosis was IgA nephropathy (36.5 %}, followed by minimal change nephrotic syndrome (29.7%). The incidence of IgA nephropathy would be increased if we had biopsied every asymptomatic urinary abnormality (AUA) patients. Systemic lupus erythematosus (SLE) . hepatitis B accounted for most of secondary GN in our cases. One case of progressive scleroderma was included in this secondary GN. Minimal change nephrotic syndrome (22 cases) was the most common cause of nephrotic syndrome, followed by membranous GN (9 cases) and IgA nephropathy (8 cases). 2 cases of primary amyloidosis were presented with nephrotic syndrome. Nephrotic syndrome as presenting symptom in our IgA nephropathy patients was higher than in other studies, which may be due to indication bias for renal biopsy. We suggest that renal biopsy should be done in adult nephrotic syndrome and in SLE, because various kind of glomerular diseases can develop nephrotic syndrome in adult, renal biopsy can affect the treatment and prognosis in each patients and renal biopsy also determines the extent of renal involvement in SLE on which the treatment depends. In AUA urinary patients, renal biopsy could be reserved for the patients who show declining of GFR or rising of proteinuria. Because IgA nephropathy account for most of AUA. and there is no specific treatment for IgA nephropathy, and renal biopsy in those cases is helpful in ruling out the patients who need no treatment.
이진아,백기환,한아름,최두영 圓光大學校 醫科學硏究所 2008 圓光醫科學 Vol.23 No.2
우연히 발견된 복부 종괴로 병원에 내원 한 15세 여아에서 방사선학적 검사에서 우측 신장부위에 콩팥세포암종(renal cell carcinoma)이 의심되었으나 수술 후 Willms 종양으로 진단되어 NWTS-Ⅳ 지침에 따라 합병증 및 재발없이 치료중인 사춘기 Wilms종양 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Wilms' tumor or Nephroblastoma is the second most common mailgnant abdominal tumor in childhood. It usually occurs in children between 2-5 yr of age and is very rare in adolescent and adults. In here, we report the case of a 15-year-old female with Wilms' tumor. On imaging studies, we confirmed the presence of a 22×18×13cm mass in the right kidney. A radical transabdominal nephrectomy was performed and the mass showed histologically Wilms' tumor. She received combination chemotherapy according to NWTS(national Wilms' tumor study)-Ⅳ guidelines and have been alive and well for the last 8 months without severe complication or relapse.
초기 성공적인 심폐소생술후 혈청 Interleukin-6 농도의 발현양상
박규남,박승현,황두영,김형국,이환,최경호,이원재,정욱성,김학주,김세경 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4
Objective : To investgate patterns of serial serum interleukin-6(IL-6) concentrations after initial successful cardiopulmonary resuscitation, and to access differences in serum IL-6 concentrations in patients with Cerebral Performance Category(CPC, 1-2) and CPC(3-5) at the 5th day after cardiacpulmonary resuscitation(CPR). Methods : We studied prospectively 12 patients with spontaneous circulation after cardiopulmonary resuscitation. Venous blood samples were taken 2, 4, 12, 24, 48 and 72 hours after restoration of spontaneous circulation to measure serum IL-6 levels by the enzyme-linked immunosorbent assay. Results : Serum IL-6 concentrations in the severe neurolgically disabled group(CPC, 3-5) were significantly increased at 2, 24 and 48 hours after restoration of spontaneous circulation compared with the less neurolgically disabled group. Also, serum IL-6 concentrations in the severe neurolgic disabled group showed dual peak at 4 and 24 hours. Conclusion : Our study demonstrates significant increase of serum IL-6 in patients with CPC(3-5) after successful cardiopulmonary resuscitation and the significant correlation between early increase of serum IL-6 and poor neurologic outcome. It suggests that early increase of serum IL-6 can be used as a prognostic marker after successful cardiopulmonary resuscitation.
김영민,오동렬,이원재,김형국,황두영,이환,최경호,정시경,김세경,김영옥 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.4
Rhabdomyolysis is a biochemical and clinical syndrome caused by lysis of skeletal muscle cell and release of muscle cell contents into the circulation. In addition to traumatic cause, various nontraumatic causes have been reported. Rhabdomyolysis has frequently been associated with seamy aspects of life and society: alcoholic abuse, drug addiction, sadistic drill exercise, war events and attempted suicide. The abuse of alcohol causes many hazards in many organs. One of these is acute alcoholic myopathy that may present as a fulminent syndrome of muscle pain and tenderness associated with rhabdomyolysis and acute renal failure. Because the prognosis of adequately treated rhabdomyolysis is excellent, early recognition and prompt management are essential in emergency situation. We experienced two typical cases of alcohol-induced rhabdomyolysis with acute renal failure and report these cases with literature review.
여성노인의 올바른 보행자세 평가를 위한 측정평가도구 개발
최종환(Jong Hwan Choi),엄석주(Seok Joo Eom),김현주(Hyeon Ju Kim),노기택(Ki Taek No),이주천(Ju Tian Lee),김두환(Du Hwan Kim) 한국발육발달학회 2011 한국발육발달학회지 Vol.19 No.4
The purpose of this study was to develop a measurement and evaluation tool for analysis of posture and movement during gait, predict abnormal gait pattern, and suggest the basic data of correct position for the elderly women. For this study, 30 elderly women(76.73 ± 4.86(yrs), 152.57 ± 3.93(cm), 53.15 ± 6.34(kg)) who live in C city were participated. The developed gait tool was classified according to frontal and lateral gait movement. 13 items of classification and 14 questions of miner contents in frontal, 12 items of classification and 14 questions of miner contents in lateral were completed by literature reviews and experts consultation. Data analysis was used Cronbah-alpha and Intra-class correlation coefficient(ICC). The results were as follows; First, Frontal posture Cronbach-alpha in reliability analysis of the evaluated questions was .81. Second, Lateral posture Cronbach-alpha was .80. Third, ICCs of most questions by evaluator were significant in both frontal and lateral gait movements. Therefore, this study may suggest that this developed measurement instrument analyze gait posture correctly and be an effective guideline on their detailed movement for elderly women.