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백창렬,이동건,최정현,정현화,조유경,박훈준,이승훈,박윤희,이교영,민우성,김춘추,신완식 대한감염학회 2001 감염 Vol.33 No.4
As a result of the enlarging pool of unvaccinated children and young adults, there has been an increase in measles in our countries. In these situation, it has been reported that measles associated pneumoinia is easily complicated with fatal respiratory failure, espycially in immunocompromised patients. Herein we report the case of lethal measles pneumonia after allogenic hematopoietic stem cell transplantation in adults proven by autopsy. Recently, one case of measles was encountered in 39-year-old female patients after allogenic bone marrow transplanted case (chronic myelogenous leukemia), who progressed into interstitial pneumonia pattern, despite treatment including antibiotics, immunoglobulin. The patient died of giant cell pneumonia compatible with that of measles which was comfirmed in the section of necropsy lung specimen. (Korean J Infect Dis 33:301∼309, 2001)
( Shin Kyo Yoon ),( Jeong Eun Kim ),( Jin Hee Ahn ),( Kyung Hae Jung ),( Sung Bae Kim ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: Everolimus (EVE) combined with an exemestane (EXE) have shown improved progression-free survival (PFS) in patients with hormone receptor-positive (HR+) advanced breast cancer (ABC) following treatment with nonsteroidal aromatase inhibitors. The aim of this study is to investigate the incidence and time course of EVE-related adverse events (AEs) in treatment with EVE+EXE for postmenopausal HR+ABC patients. Methods: A total 56 patients were retrospectively reviewed between Jan 2013 - Jun 2014. Primary end point was to demonstrate incidence and time course of EVE-related AEs. Secondary end points was to analysis for objective response rate (ORR) and factors associated with PFS. Results: The median follow-up duration was 3.4 months (0.47-15.0). The median age was 56 years (35-78), 73% of patients showed sensitivity to previous endocrine therapy. The most frequently reported all-grade AEs included class-effect related hyperglycemia (73.2%), hypercholesterolemia (69.6%), and stomatitis (57.1%). None of patients experienced non-infectious pneumonitis. The cumulative risks of stomatitis, rash, fatigue, and anorexia at 2 weeks and 6 weeks are shown at fi gure 1. Overall, there were 25.0% of dose reduction and 17.9% of dose interruption. The most common cause of dose reduction or interruption was stomatitis. The median PFS was 10.2 months and ORR was 23.2%. Factors associated with PFS were duration of most recent hormonal, positive status for progesterone receptor and lines of chemotherapy between EVE and EVE+EXE (fi gure 2). AEs such as stomatitis, rash, fatigue, and anorexia showed no association with PFS. Conclusions: Hyperglycemia, stomatitis, and fatigue were the most common AEs and stomatitis was the most common cause of dose reduction or interruption. Understanding the time course of class-effect AEs will help inform preventive and monitoring strategies as well as patient education.
Incidence of Gastric Involvement In Nongastric Marginal Zone Lymphoma
( Shin Kyo Yoon ),( Hwoon Yong Jung ),( Shin Kim ),( Dok Hyun Yoon ),( Joo Ryung Huh ),( Cheol Won Suh ) 대한내과학회 2011 대한내과학회 추계학술발표논문집 Vol.2011 No.1
Background: There is an assertion that esophagogastroduodenoscopy (EGD) should be included in the routine diagnostic work-up of extra nodal marginal zone lymphoma (MZL) based on an observation that a significant proportion of patients presenting with nongastric MZL had gastric involvement as well. However, incidence of gastric involvement in nongastric MZL has not been investigated in Asia, where incidence of MZL is higher than Western countries. Aims: The present study was undertaken to assess the incidence of gastric involvement in nongastric marginal zone lymphoma. Methods: Between April 1993 and December 2010, 153 consecutive patients with nongastric MZL were treated in the Asan Medical Center, Seoul, Korea. We retrospectively analyzed the results of these patients. Results: We present our experience of 47 cases of EGD which comprised 30.7% of all 153 nongastric MZL patients. The median age at diagnosis was 51 years, and the overall male-to-female ratio was 0.72. One hundred patients (86.3%) initially presented with localized disease (defined by Ann Arbor stage I/II), 2 (1.3%), 15 (9.8%), 4 (2.6%) patients were stage IIIa, IVa, IVb, respectively. In 136 patients (88.9%), single site of extranodal involvement of lymphoma was identified. The most common primary site of nongastric MZL was ocular adnexa and orbit (48.4%), intestine (11.1%), lung (9.8%), nasal sinus (5.9%) in decreasing order of frequency. Of 153 nongastric MZL patients, 47 patients (30.7%) were underwent EGD for initial staging work-up, and no patient was found to have gastric involvement of lymphoma. The most common endoscopic and pathologic diagnosis of EGD was chronic superficial gastritis (16 patients, 34%) (Table 1). Summary: None of the 47 patients who had undergone EGD had gastric involvement of EGD. Our findings do not support routine EGD in patients with extranodal MZL. Table1. Endoscopic diagnosis whom underwent EGD for routine work-up of extra nodal MZL.
Yoon, Sang-Yong,Song, Jae-Min,Kim, Yong-Deok,Chung, In-Kyo,Shin, Sang-Hun,Pusan Korea Pusan National University Korean Association of Maxillofacial Plastic and Re 2015 Maxillofacial Plastic Reconstructive Surgery Vol.37 No.-
Background: This study are to identify the symptomatic changes and condylar stability after 2 jaw surgery without preceding treatments for Temporomandibular joints(TMJ) in class III patients with the TMJ symptoms; and to assess therapeutic effect of 2 jaw surgery and the necessity of preceding treatment for alleviation of TMJ symptoms. Methods: 30 prognathic patients with preexisting TMJ symptoms were divided into 2 groups according to presence or absence of preceding treatments before the surgery. We evaluated symptomatic changes on both TMJ by questionnaires and clinical examinations. And we reconstructed 3D cone beam computed tomography images before 2 jaw surgery, immediately after the surgery, and 6 months or more after the surgery with SimPlant software, and analyzed the stability of condylar position on 3D reconstruction model. Significances were assessed by the Wilcoxon signed rank test on SPSS ver. 20.0. Results: Both groups had favorable changes of TMJ symptoms after orthognathic surgery. And postoperative position of condyle had good stability during follow-up period. Conclusion: 2 jaw surgery without preceding treatments for TMD can have therapeutic effect for TMD patients with class III malocclusion.
흉부외상환자 중 개흉술이 필요했던 32예의 혈흉환자에 대한 임상적 고찰 : Reciew of Experience with 32 Cases
윤용한,신화균,이두연,김해균,이교준,백효채 대한외상학회 1998 大韓外傷學會誌 Vol.11 No.2
A retrospective analysis is performed in 32 cases who underwent thoracotomy due to thoracic trauma, hospitalized from January l992 to September 1996 in the Department of Thoracic & Cardiovascular Surgery, Yongdong Severanee Hospital, Yonsei University. Among 235 patients with thoracic trauma 32 patients,required thoracotomy which comprised 13.6% of the patients with thoracic trauma. For those patients undergoing thoracotomy, the operation may be necessary as an emergency or on a delayed basis. The patient population comprised of 24(75%) male and 8(25%) female. With age distribution from 1 to 87 years, the most common age groups in 5th decade. The most frequent cause of thoracotomy was traffic acciden(87.5%). Postoperative mortality was 9.3%. Postoperative complications included atelectasis in 4 case(12.5%), empyema in 2 cases(6.2%), respiratory failure in 2 cases(6.2%), and one case each(3.1%) of renal failure, pneumonia, wound infection.
김교연(Kyo-Youn Kim),신진기(Jin-Ki Shin),이수원(Su-Won Lee),윤성란(Sung-Ran Yoon),정헌식(Hun-Sik Chung),정용진(Yong-Jin Jeong),최명숙(Myung-Sook Choi),이치무(Chi-Moo Lee),문광덕(Kwang-Deog Moon),권중호(Joong-Ho Kwon) 한국식품과학회 2007 한국식품과학회지 Vol.39 No.5
경북 풍기산 원료삼의 증자 및 건조 조건별 홍삼의 품질 및 기능성을 알아보기 위해 5년 근을 대상으로 증자 조건(2.5, 3.5, 4.5시간)과 건조 조건(열풍건조: 60-65oC/24시간, 40oC/3-4일, 동결 건조: ?80oC/56시간, 원적외선건조: 900 W/62oC/68시간) 별로 이화학적 특성과 ginsenoside 함량을 비교 분석하였다. 시료의 황색도와 갈변도는 지근이 본근에 비해 높은 수치를 보였으며, 증자시간 3.5, 4.5, 2.5시간의 순으로 그리고, 원적외선건조, 열풍건조, 동결건조의 순으로 높은 수치를 보였다. 증자 및 건조시료의 가용성 고형분, 총 페놀, 총 플라보노이드, 산성다당체, 전자공여능등의 특성은 3.5시간 증자와 원적외선 건조가 가장 양호한 결과를 보였다. 조사포닌 함량은 증자시간 및 건조방법에 영향을 받지 않았다. 함량이 높은 ginsenoside-Rg<sub>1</sub>, -Re, -Rf, -Rb<sub>2</sub> 등은 증자시간이 길어질수록 감소하였으나 -Rg<sub>3</sub> 및 -Rh<sub>2</sub>의 함량은 유의적으로 증가하여 본근은 3.5시간, 지근은 4.5시간 증자시료에서 가장 높은 함량을 보였다(p < 0.01). 증자 시료의 건조방법을 ginsenoside 관점에서 고려한다면 동결건조방법(2,824 mg%)이 열풍건조(2,669 mg%)나 원적외선건조(2,667 mg%)에 비해 가장 타당한 것으로 판단되며, ginsenoside-Rg<sub>3</sub> 및 Rh2의 함량은 동결건조와 열풍건조 간에 유의적인 차이가 없었다. The quality and functional properties of red ginseng in relation to steaming and drying conditions were evaluated. Fresh ginseng (5-year roots), cultivated in the Punggi region, were steamed for 2.5, 3.5, or 4.5 hr, and then dried by hot-air (60-65oC/24 hr and 40oC/3-4 d), freezing (?80oC/56 hr), and infrared (900 W/62oC/68 hr). Hunter’s yellowness (b-value) and browning indexes (420 nm) of the samples were higher in the rootlets than in the main roots. Furthermore, these same index values were found to be high in the order of 3.5, 4.5, and 2.5 hr and infrared, hot-air, and freezing for steaming and subsequent drying, respectively. Analysis of soluble solids, total phenolics, total flavonoids, acidic polysaccharides, and electron donating abilities of the steamed and dried samples showed that 3.5 hr of steaming with infrared drying was optimal. However, crude saponin contents were not influenced by steaming and drying conditions. The contents of ginsenoside-Rg1, - Re, -Rf, and -Rb2, which were the major components in the samples, were reduced with steaming time, while the amounts of -Rg3 and -Rh2 increased, reaching the highest levels at 3.5 and 4.5 hr in the main roots and rootlets, respectively. The contents of -Rg3 and -Rh2 were similar in both the freeze-dried and hot-air dried samples.