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근치적 전립선절제술 후 요실금 발생 환자에서의 항콜린제 처방에 대한 비뇨기과 의사의 실태조사
방우진(Woo Jin Bang),주관중(Kwan Joong Joo),조진선(Jin Seon Cho),전성수(Seong Soo Jeon),백성현(Sung Hyun Paick),성도환(Do Hwan Seong),김홍섭(Hong Sup Kim),함원식(Won Sik Ham),홍성준(Sung Joon Hong) 대한비뇨기종양학회 2012 대한비뇨기종양학회지 Vol.10 No.2
Purpose: We surveyed the actual use of anticholinergics for urinary incontinence after radical prostatectomy among the practicing urologists. Materials and Methods: 142 urologist members of the Korean Urological Oncology Society were given surveys through conventional mail and e-mail with 76 members returning responses. Answering for the number of radical prostatectomy performed each year, 21 urologists responded more than 50 cases, 37 responded 10 to 50 cases, 11 responded 5 to 10 cases, and 7 said 1 to 5 cases. Concerning primary approach, retropubic approach surgery, laparoscopic surgery, robotic surgery and perineal approach surgery each had 39, 19, 17, and 1, respectively. Results: Among 76 participants, 64 (84%) acknowledged prescribing anticholinergics after prostatectomy depending on symptoms. For post-op indication of anticholinergics, 43 members responded significant incontinence symptoms, while 19 answered frequent urination. Concerning the initiation of medication, 52 answered when symptoms arise after catheter removal. For duration of anticholinergics, less than 30 days, 31-60 days, 61-90 days, more than 90 days each received 8, 17, 24, and 15 votes from participants, respectively. Finally, 57 members thought the use of anticholinergics were beneficial in treating urinary incontinence after radical prostatectomy. Conclusions: Over 80% of survey participants acknowledged prescribing anticholinergics to urinary incontinence patients according to symptoms, and 75% concurred with their usefulness. But, there is no specified protocol of anticholinergics use for urinary incontinence after radical prostatectomy.
이성윤 ( Sung Yun Lee ),김병익 ( Byung Ik Kim ),김홍주 ( Hong Ju Kim ),주관중 ( Kwan Joong Joo ),이상혁 ( Sang Hyuk Lee ),류창학 ( Chang Hak Yoo ),김동훈 ( Dong Hoon Kim ) 대한내과학회 2019 대한내과학회지 Vol.94 No.1
We report a case of a 73-year-old male with multiple, metachronous primary malignancies. He presented with adenocarcinoma of the stomach with transverse colon invasion followed by bladder cancer, hypopharyngeal cancer, urothelial cancer, and hepatocellular carcinoma, in that order, over 10 years. While these multiples malignancies were separate entities, they shared several etiologic factors, including smoking. To the best of our knowledge, this is the first description of five metachronous malignancies in a Korean patient. (Korean J Med 2019;94:114-118)
부인과 수술 합병증으로 발생한 비뇨기계손상에 대한 복강경수술의 임상적 효용성
엄정민 ( Jeong Min Eom ),김지연 ( Jung Hun Lee ),김재연 ( Jee Yeon Kim ),홍진화 ( Jin Hwa Hong ),이교원 ( Kyo Won Lee ),최중섭 ( Joong Sub Choi ),주관중 ( Kwan Joong Joo ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.4
목적: 부인과 수술 합병증으로 발생한 비뇨기계 손상에 대한 산부인과 의사에 의한 복원술에 있어 복강경 수술의 가능성과 유용성을 보고자 하였다. 연구방법: 2003년 3월부터 2010년 2월까지 성균관대학교 의과대학 강북삼성병원 산부인과학교실에서 부인과 수술 합병증으로 발생한 비뇨기계 손상에 대한 복강경 수술을 받은 총 38명의 환자들의 의무기록을 후향적으로 분석하였다. 비뇨기계 질환으로 복강경 수술을 받은 환자들의 연령, 분만력, 체질량지수(body mass index), 복부 수술력, 비뇨기계 손상의 종류, 시행된 복원 술기, 복원술 후 임상경과를 분석하였다. 결과: 총 38예의 비뇨기계 손상 중, 27예가 방광손상이었고, 6예가 요관질누공 1예를 포함한 요관손상이었으며, 5예가 방광-질누공이었다. 환자 나이의 중앙값은 45세(범위, 31-77세), 분만 횟수의 중앙값은 2회(범위, 0-4회), 체질량지수 중앙값은 21.4 kg/m2 (범위, 18.8-31.4 kg/m2), 이전 복부수술 횟수 중앙값은 1회(범위, 0-3회)이었다. 추적관찰 기간은 39개월(범위, 16-78개월)이었다. 모든 환자에서 개복술로의 전환 없이 복강경을 통해 성공적인 복원술이 시행되었다. 복원술 이후 추적관찰 기간 동안 합병증은 발생하지 않았다. 결론: 부인과 수술과 관련된 비뇨기계 손상에 대하여 숙련된 부인과 수술팀의 복강경을 이용한 복원술로 성공적인 수술적 처치가 가능하다. Objective: To assess efficacy and feasibility of laparoscopic surgery for genitourinary tract injuries related with gynecological surgery. Methods: We conducted a retrospective study of 38 patients undergoing laparoscopic surgery to treat genitourinary tract injury which occurred during gynecologic surgery in Kangbuk Samsung Hospital from March 2003 to February 2010. We analyzed the demographic and clinical characteristics including history of previous abdominal surgery, the type of injury, type of repair procedure, and any complications. Results: Of the 38 patients, 27 had urinary bladder injury, six had ureter injury including ureterovaginal fistula in one, and five had vesicovaginal fistula. The median age of patients, the median body mass index, and the median follow-up period were 45 years (31 to 71 years), 21.4 kg/m2 (18.8 to 31.4 kg/m2), and 39 months (16 to 78 months), respectively. There were no laparoconversions. No intraoperative or postoperative complications occurred. All patients have been asymptomatic, and their follow-up intravenous pyelograms and ultrasound examinations have been normal. Conclusion: Laparoscopic repair of genitourinary tract injuries occurred during gynecologic surgery is feasible for experienced laparoscopic surgical team in gynecology.
홍삼-작약 혼합액 4주 투여가 흰쥐의 트레드밀 달리기와 수영 운동에 미치는 영향
이문규 ( Moon Kyu Lee ),임형호 ( Hyung Ho Lim ),송윤경 ( Yun Kyung Song ),고일규 ( Il Gyu Ko ),김홍 ( Hong Kim ),신말순 ( Mal Soon Shin ),이택현 ( Taeck Hyun Lee ),김창주 ( Chang Ju Kim ),주관중 ( Kwan Joong Joo ),박진국 ( Jin Ko 한국운동영양학회 2006 Physical Activity and Nutrition (Phys Act Nutr) Vol.10 No.3
주관중 한국북방학회 1997 韓國北方學會論集 Vol.3 No.-
What is meant by "Northern areas" in this paper is refered to the ample space which spread out in Korean hand-fun shape of rhombic form up to the north of Korean peninsula. This area comprises variety of nations such as China, Russia(CIS), Mongol, Republic of Kazakhstan, Uzbekistan and so forth. Large number of Korean compatriots have been living in these nations. Here I am not argueing about their numbers of populations but what I matter in this paper is the character of our fellow countrymenship. I made a scrutiny into whether or not they are still Koreans in its real sense. The fellow countrymenship tends to be enriched its contents through the emotional and sentimental chanells rather than a scientific, rational or theoretical ways. Hitherto, we have been saying customarily the fellow countrymenship as being inherited bloodlineage(pedigree) undergrading the mental and cultural successions. Afterall, we carne to know through the cultivation of genetics and hereditary engineering that the accession of a race do not be inheritted by the blood of parents but the gene of parents. The gene has nothing directly to do with the blood but it is the work of sperm and egg cell. The blood types are all diverse even in a family circle. The future of the duplicated-human, currently in a vogue is becoming a threat to the formation of a kinship of a race. This paper examines the root of Korean founders in search of their lands of foundations. These are good reasons to affirm that the lands of Korean founders are located mainly in todays China. The answers to the inquirely to the essence of the foundations of Korean ancestry are happened to be identical in time, place and persons among the antique documents of China and Korea. The earliest founder of Korean race Hanin initiated our history in Tianchi(Heavenly lake) of Tiansan of China nine thousand years ago. The antique Chinese documents are telling us that even the three founding fathers of China, namely, Bokki, Shinnong and Whangje(the yellow emperor) are the offsprings of Tongyee Race which refers to Korean race. Furthermore the eminent Chinese emperor YO and SHUN also fall into the category of Dongyee persons. As for the nationality, Chinese historians are strongly addicted to the "territorial principle" whereas Korean historians, antique or current, rather take the "personal principle." Particularly noteworthy is that Korean race has long been a horse-riding Calvary race and constantly moving and flowing toward the east repeating the union and division, i.e, amalgamation and segregation. Number of Chinese antique documents suggest us that Chinese antique empires such as Hsia, Yin and Chou were no other than the antique Korean race. The Chinese people have a very popular legend, the story about the encounter of the emperor Mok of Chou and "the egress mother of the west" in Yoji garden which location is identified as to be the Tiarchi(Heavenly lake) of Tiansan. Tianchi as I observed before, is no other than the land of foundation of Korean race nine thousands of years ago. Several great folding screen paintings of Yoji which seem to be the work of two or three hundred years ago should be evaluated to the effect that they are the artistic works depicting the legend of Korean folk tale, not Chinese. The origin of Chinese history shall be traced back to the days of the emperor Whangje who fought long war against Chiwoo the fourteenth Hanwoong almost three thousands of years before Christ. The descendants of Chiwoo became the Old Chosun horse-riding race moving gradually up to Manchuria, the northen area and on the other hand, offsprings of Whangje fumed out to be the Chinese horse-riding race having a predominant rule over the Yellow river. This was the first division of Dongyee race and the Whangje has been adored by the Chinese people as being the founder and the first emperor of China. The ethnicity(race) and State(nation) are not same in their conceptions. The former is natural entity whereas the latter is assumed to be artificial one. Moreover, the former is built on the "personal principle" whereas the latter is definitely stands on the "territorial principle". The three requirements of a State are the people, the sovereignty and the territory. Eventhough a man may be a descentant of Korean forefather by blood or gene, long years of habitation and inhabitation in folk customs of the alien State, he can hardly be identified as a Korean. Here, the "personal principle" of the ethnicity subjects to a bit of modification. That is to say, as the prerequisite for a compatriot, the folk customs and cultural life feature of the inhabiting territory must be taken into consideration. A personality consists of the body and the spirit. A person owing to the long inhabitation in an alien territory, undergoes the division between the body(blood or gene) and the spirit(folk custom or cultural). Who is the real Chinese? Who might be the real Korean? What is true character of a Japanese? What is the real identification of a Korean? This matter of the true character and real identification of the nationality and the ethnicity entail the verification of the orthodoxy question. Orthodoxy, teeing different from the legitimacy is comprehended as to mean the right systematic pedigree which righty inherit the idea or philosophy of the founder. The true Korean or true compatriot at least, ought to satisfy the three requirements. The first is the body condition(by blood or gene). The second requirement is orthodox recognition and thirdly condition is the well maintenance of the cultural traditions and folk customs. The whole endeavor and pretence for being a Korean are likely to abort without the sufficiency of the foregoing three requirements. In this paper I added the languages and religions of the northern races and States for a reference.