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Cystic Medullary Thyroid Carcinoma: A Case of Undergoing Endoscopic Thyroid Lobectomy
Dong Hae Chung,Jae Yeon Seok,Yoo Seung Chung1,Eun Mee Oh1,Jung Won Ryu1,Young Don Lee1 대한갑상선-내분비외과학회 2015 The Koreran journal of Endocrine Surgery Vol.15 No.1
On ultrasonography, medullary thyroid carcinoma (MTC) shows hypoechogenicity, an irregular margin, a predominantly solid composition, and microcalcifications, similar to those observed in papillary thyroid carcinoma (PTC). MTC presenting as a cystic lesion is rare, and endoscopic thyroidectomy can be performed for benign thyroid masses and early stage PTC, however it is inappropriate for MTC regardless of cystic change. The authors report a case of cystic MTC found after endoscopic thyroid lobectomy and provide a review of the literature on this topic.
알레르기 ; 알레르기 환자에서 한방 이외의 대체 요법의 사용 현황에 대한 다기관 조사
이현정 ( Hyun Jung Lee ),이재현 ( Jae Hyun Lee ),이용원 ( Yong Won Lee ),김철우 ( Cheol Woo Kim ),동헌종 ( Hun Jong Dhong ),박해심 ( Hae Sim Park ),조영주 ( Young Joo Cho ),조진희 ( Jin Hee Cho ),조상헌 ( Sang Heon Cho ),편복양 ( 대한내과학회 2011 대한내과학회지 Vol.80 No.1
목적: 한국에서 알레르기 질환 치료를 위한 한방 치료뿐만 아니라 대체 요법이 많이 이용되고 있으며, 그 현황에 대하여 다기관 조사를 시행하였다. 방법: 10개의 대학병원 외래로 내원한 647명의 알레르기 환자를 대상으로 설문조사를 시행하였으며, 이 중 510명이 한방 이외의 대체 요법에 응답하였다. 이환되어 있는 알레르기 질환은 천식(50.0%), 알레르기 비염(36.0%), 아토피 피부염(36.0%), 그리고 두드러기(9.3%)였다. 각각 환자들에게 12 문항의 설문조사를 시행하였으며, 한방 이외의 대체 요법의 사용 빈도 및 종류, 대체 요법에 의지하게 된 이유, 비용, 그리고 치료효과에 대한 의견을 물어 보았다. 결과: 16.7%의 알레르기 환자에서 한방 이외의 다른 대체 요법을 받았으며, 평균 1.6종의 한방 이외의 대체 요법을 받았다. 가장 많이 의지하는 대체 요법은 민간 식이요법 (48.6%)이었고, 그 다음이 아로마 요법(23.8%), 지압(14.3%), 건강 호흡법(7.6%), 마인드 컨트롤(5.7%), 목욕요법(5.7%) 순이었다. 대체 요법을 받은 환자 중 마인드 컨트롤(50%), 식이요법(50%), 그리고 건강 호흡법(75%)의 경우 치료 효과가 만족스럽다는 응답이 높았으며, 목욕요법, 아로마 요법, 그리고 지압은 만족도가 각각 33.3%, 28.0%, 26.7%로 저조하였다. 대체 요법 사용자의 63.6%가 5회 미만의 대체 요법을 받았고, 91.8%가 1년 이내로 치료받았으며, 1인당 평균 연 37 만원을 지출하였다. 대체 요법을 선택한 가장 큰 이유는 체질이 개선될 수 있을까 해서(44.2%)였으며, 대체 요법이 몸에 부담이 없어서(31.4%), 면역기능이 강화되어서(22.9%) 순으로 나타났고, 15.7%는 양약치료가 도움이 되지 않아서 대체 요법을 선택하였다고 응답하였다. 결론: 한국에서 알레르기 환자의 상당수가 한방뿐만 아니라 여러 가지의 대체 요법을 사용하고 있음을 알 수 있었다. 대체 요법의 사용 빈도가 증가하고 그 종류가 다양함을 고려할 때, 의료진은 대체 요법의 현황에 대하여 정확히 인지하고 이에 대해 관심을 가지고 환자를 대하여야 하며 올바른 알레르기 질환 치료법에 대해 환자뿐만 아니라 의료인에게 교육하는 것이 필요하다. Background/Aims: The use of unproven complementary/alternative medicine (CAM) to treat allergies is popular in Korea. We conducted a multicenter survey of the current use of CAM other than herbal medication in Korean allergy patients. Methods: This study enrolled 510 adults with allergic diseases, including asthma, allergic rhinitis, atopic dermatitis, and chronic urticaria, from ten hospitals. They underwent a structured questionnaire interview and clinical assessment of the prevalence, motivation, costs, and subjective assessment of CAM. Results: Of the patients, 16.7% used at least one type of CAM to treat their allergic diseases. Common types of CAM were diet (48.6%), aroma therapy (23.8%), massage (14.3%), breathing exercises (7.6%), baths (5.7%), and mind control (5.7%). The therapeutic effects of CAM included improved in patients using mind control (50%), diet (50%), breathing exercises (75%), and baths (33.3%), but worse in patients using aroma therapy (28%), and massage (26.7%). About 36.4% of the patients used CAM more than four times per year, and the average cost per CAM user was 370,000 won/year. The main reason for trying CAM was `hope to improve my constitution`. Conclusions: CAM is used widely for treating allergic diseases in Korea. Detailed knowledge of CAM and patient education are important. Further studies of the clinical efficacy of CAM are needed. (Korean J Med 2011;80:68-77)
박세호(Se Ho Park),이영해(Young Hae Lee),조동원(Dong Won Cho) 한국SCM학회 2012 한국SCM학회지 Vol.12 No.2
One of the most important reasons in pursuit of supply chain management is to prevent sub-optimization caused by decentralized decision making over the various entities. As supply chain coordination approach to overcome such a setting, contract mechanisms have frequently been used. However, a coordinated supply chain might fail to provide additional profit to one of the players. In result, it is necessary that a contract mechanism is designed to achieve the same profit in a centralized situation (coordination) and to improve the benefit of all the supply chain players (winwin). In this paper, we address supply chain contract based on revenue sharing and quantity discount considering price and service level. We show that the trade parameters among different entities in the supply chain contract can be chosen to achieve coordination and a win-win outcome.
Vasospasm of Proximal Internal Carotid Artery Following Transcranial Removal of a Pituitary Adenoma
Lee, Kyung-Jin,Park, Hae-Kwan,Rha, Hyung-Keun,Joo, Won-Il The Korean Neurosurgical Society 2006 Journal of Korean neurosurgical society Vol.40 No.3
We report a case of proximal internal carotid arterial spasm following pterional removal of pituitary adenoma. We discuss the possible mechanism of vasospasm associated with tumor resection.
Hae-Ni Kim,Jin-Won Lee,Jeong-Chil Yoo 한국조류학회II 2017 한국조류학회지 Vol.24 No.2
Understanding the fluctuation of population size plays a key role in the study of avian ecology and conservation biology. For recent several years, the number of great cormorants (Phalacrocorax carbo) wintering in Hangang river has considerably increased. However, the origin of these birds and the impact of them on the local environments is poorly known. Using the data from the bird census for winter migratory birds implemented by the National Institute of Biological Resources, we analyzed 17-year distribution data for cormorants acquired from over the country in order to infer the origin of Hangang population. Population size fluctuation for common mergansers (Mergus merganser) that have a similar foraging strategy to cormorants and northern shovelers (Anas clypeata) that have a different foraging strategy from cormorants were also analyzed to further understand the cause and effect of population size fluctuation of cormorants in Hangang. We found that the population size of cormorants appeared to increase not only in Hangang but also over the country, indicating that the growth of Hangang population may not be related to the population fluctuation of other sites in Korea. Similarly, the number of wintering mergansers and shovelers tended to increase across the country. In Hangang, however, the population size of mergansers has sharply decreased since 2009 while shoveler population tended to be stable, implying that possible physical changes of Hangang such as change in water depth may not directly affect the population size fluctuation of three species in this area. Rather, it is likely that the decreasing number of mergansers in Hangang may directly or indirectly be associated with the growth of cormorant population, although habitat use of cormorants and mergansers is not severely overlapped in temporal scale during wintering season. Further studies clarifying these species interaction, determining the impact of cormorant population on urban ecosystem and monitoring change of wintering bird community structure will be worthwhile.
Lee, Hee-Min,Yang, Ji-Su,Yoon, So-Ra,Lee, Jae Yong,Kim, Su-Ji,Lee, Hae-Won,Kim, Sung Hyun,Ha, Ji-Hyoung Elsevier 2018 FOOD SCIENCE AND TECHNOLOGY -ZURICH- Vol.97 No.-
<P><B>Abstract</B></P> <P>Despite the importance of preventing the spread of human norovirus (NoV), effective disinfectants are lacking. In this study, the efficacy of disinfectants against NoV on various non-porous surfaces was investigated by immunomagnetic separation (IMS) and quantitative real-time reverse transcription (RT-q)PCR. Monoclonal anti-NoV antibody-conjugated magnetic beads captured intact viral particles for RT-qPCR after the treatment of surfaces with disinfectants. Viral suspensions of approximately 5.97 log<SUB>10</SUB> genomic copies were inoculated onto rubber, glass, stainless steel, ceramic tile, wood, and polyvinyl chloride surfaces. Various elution buffers were used to elute NoV from surfaces. Ethanol (50–70%), sodium hypochlorite (NaOCl, 100–1000 ppm), sodium metasilicate (SMS, 0.1% and 0.3%), and quaternary compounds (1000–2000 ppm) were investigated as disinfectants; the observed reductions were <1 log<SUB>10</SUB>, except for SMS (1.17 ± 0.21 to 2.71 ± 0.06 log<SUB>10</SUB> reduction) and 700–1000 ppm NaOCl (1.04 ± 0.07 to 2.03 ± 0.05 log<SUB>10</SUB> reduction). Ethanol and quaternary compounds exhibited low efficacy against NoV GII.4 on all surfaces. These results indicated that SMS is the most effective disinfectant and emphasized the need to develop suitable agents to inactivate NoV on surfaces.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Chemical disinfectants against NoV were analyzed on non-porous surfaces. </LI> <LI> Sodium metasilicate (0.3%) had the highest efficacy against NoV on all surfaces. </LI> <LI> Ethanol and quaternary compounds were not effective against NoV GII.4. </LI> <LI> SMS is a suitable disinfectant to reduce NoV GII.4 in the food industry. </LI> </UL> </P>