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      • 고양이의 만성 췌장염 치료 증례

        김현아,윤기영,박정호,이왕희,송근호,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2011 動物醫科學硏究誌 Vol.18 No.1

        A 5-year-old Russian blue cat was referred to the Veterinary Medical Teaching Hospital of Chungnam National University with the history of anorexia, lethargy, weight loss(6.5 to 4.8 kg) 2 weeks ago. Abdominal ultrasonography showed the following : increase of echogenicity of liver, irregular shape of gall bladder, hyperechoic region around duodenum. Pancreatitis, cholangitis, hepatic lipidosis was diagnosed by the ultrasonography. Anti- inflammatory therapy, antibiotic therapy was administered. Abdominal ultrasonography is a efficient available diagnostic tool but serum fPL test reveals the highest sensitivity and specifity result for feline pancreatitis. SNAP fPL test is newly released that can check pancreatitis within 10 minutes by same princple of Spec fPL test used in Gastrointestinal Laboratory of Texas A & M Univerrsity.

      • 개 비장 질환의 미세세침흡입술을 통한 세포병리학 검사 4례

        김현아,윤기영,최호정,정성목,이영원,조성환,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2011 動物醫科學硏究誌 Vol.18 No.1

        To evaluate the accuracy and diagnostic significance of cytopathological diagnosis of canine splenic disorders, cytopathological examination throgh fine-needle aspiration(FNA) referred to Veterinary Medical Teaching Hospital of Chungnam National University were retrospectived. Splenic neoplasm, hemolymphatic neoplasm, hyperplasia, extramedullary hematopoiesis and splenitis were diagnosed canine splenic disorders through cytopathological examination. The patient should be identified what coagulation profile are normal before aspiration, because complication such as hemorrhage could happen. The 4 cases were identified symmetric, asymmetric splenomegaly on abdominal ultrasonography and then were performed ultrasound-guided FNA. The 4 cases were diagnosed hemangiosarcoma(2), hyperplasia(1) and extramedullary hematopoiesis(1) by clinical signs, hematological examination, and cytopathological examination. Cytopathological examination through FNA was cost-effective, no gneral anesthesia, no complication, and non-invasive method of diagnosis for canine splenic disorders.

      • 세침 흡인술을 이용한 종창된 림프절의 세포학적 평가

        백강현,윤기영,최호정,정성목,이영원,조성환,박성준 忠南大學校 獸醫科大學 附設 動物醫科學硏究所 2011 動物醫科學硏究誌 Vol.18 No.1

        Fine needle aspiration(FNA) cytology is considered as the diagnostic technique of choice in the assessment of swellen lymph nodes. The aim of this study is to determine the indication and diagnostic method of FNA of lymph node lesions performed at Veterinary Medicine Teaching Hospital of Chungnam National University. The records of 16 patients which had undergone FNA during the study period were retrieved. The cytological results were classified as lymphadenitis, lymphoid hyperplasia and lymphoma. Lymphoma cases were classified as B-cell origin and T-cell by immunophenotyping. The result of the FNA cytological diagnosis showed that nine (56%) of the patients were lymphoma, five (31%) of the patients were lymphoid hyperplasia and two (13%) of the patients were lymphadenitis.

      • KCI등재
      • 갑상선에 전이된 유방암 1예

        장기훈,김준성,조현진,김권천 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.1

        The thyroid gland has been considered as an infrequent metastasis site. However, the incidence of thyroid involvement in reported autopsy series varies from 1.25% to 24%. In most autopsy series, breast and lung cancers have been the most frequent metastatic diseases to the thyroid gland, In contrast, renal cell carcinoma is the most frequent source of metastasis in clinical series. Many reports suggested that ultrasonography and subsequent ultrasonography-guided FNAB are mostly best suited for diagnosis of thyroid metastasis. Metastasis to the thyroid gland is associated with a poor prognosis and the prognosis depends essentially on the primary cancer. Surgery may prolong survival in a patient in whom the thyroid metastasis isolated, and thus early diagnosis and aggressive treatment should be performed in patients with the history of cancer.

      • 위궤양에 대한 Teprenone(Selbex^�)의 임상효과

        정현용,김병호,성자원,이기천,허승식,이종선,이헌영,김영건 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2

        The study objective was to assess the ulcer healing effects of Teprenone, stimulator of mucus production, given in dose of 50mg tid. We reviewed 25 cases of gastric ulcer proven endoscopically and treated by Teprenone. The results were follows; 1) The healing rate of gastric ulcer was 72% after 8 weeks treatment. 2) Subjective symptoms such as epigastric pain, belching, nausea, anorexia and vomiting were subsided at 86%. 3) There were not developed any symptoms, signs and laboratory abnormality (CBC, liver funtion test, urinalysis) suggesting side effect of drugs. In conclusion, Teprenone was considered an effective and safe drug in the treatment of gastric ulcer diseases.

      • 초경 드릴의 절삭 성능에 관한 실험적 평가 연구

        장성규,변상기,이승수,김현수,전언찬 동아대학교 공과대학부설 생산기술연구소 1997 生産技術硏究所硏究論文集 Vol.2 No.1

        Among the cutting process, recently hole processing in one of extensive using. This study, we made use of the 3 point edge drill. Regarding the cutting efficiency, we investigated the shape of cutting hole and studied cutting hole, a slope of center shaft, roundness and surface roughness. By using carbide 3 point cutting edge, compare with 2 cutting edge, it is possible that high precision drill processing and near the hole, at extremely limited area, quantity of magnification is a little big. After 15m cutting distance, a gradient of center shaft values was fixed 22㎛. It is necessary that a sufficient consideration concerned with jig intensity of workpiece, cutting conditions etc.

      • KCI등재

        폭식 행동에 대한 인지행동 집단치료의 효과

        공성숙,김준기,배재현 대한신경정신의학회 2000 신경정신의학 Vol.39 No.6

        연구목적 : 본 연구는 폭식행동을 보이는 대상자에게 인지행동 집단치료를 시행하고 폭식이나 구토 등의 식이행위와 식이태도, 자아존중감, 우울에 미치는 효과를 평가하여, 현재 우리 나라에 급증하고 있는 폭식행동자에게 경제적이고 효과적인 치료모델을 제시하는 데에 있다. 방 법 : 식이장애 전문 클리닉인 M병원에 내원한 대상자 중 EAT-26 검사에서 17점 이상인 44명을 대상으로 5차례에 나누어 8-10명 단위로 각 10회의 인지행동 집단치료를 시행하였으며 도중탈락자를 제외한 27명이 참여하였다. 치료 전후에 식이행위 기록지, 다차원적 식이태도 검사(EDI), Rosenberg 자아존중감 척도, 우울 척도(BDI)를 통해 자료를 수집하였으며 식이행위 기록지는 대상자가 매일 적도록 하여 주단위로 변화양상을 분석하였다. 통계방법은 백분율과 paired t-test를 사용하였다. 결 과 : 1) 폭식과 구토빈도는 식이행위 기록지를 분석한 결과 치료 후에 유의하게 감소하였으며, 변화양상은 치료 2주째 급격한 감소를 보였고 초기부터 종결까지 하향곡선을 나타냈다. 2) 식이태도는 '다차원적 식이태도 검사 (EDI)'로 평가한 결과 8개 소척도 중에서 마르고 싶은 욕망, 폭식경험, 신체불만족, 무능감, 내면자각에서는 유의한 감소를 보인 반면, 완벽주의, 대인관계 불신감, 성장 공포에서는 유의한 차이가 없었다. 3) 자아존중감과 우울은 치료 후에 유의하게 감소되었다. 결 론 : 폭식행동자를 대상으로 인지행동 집단치료를 시행한 결과 폭식 및 구토 등의 식이행위와 자아존중감, 우울, 그리고 식이태도의 일부에서 유의한 호전을 보였으나, 식이태도 중 완벽주의, 성장공포, 대인관계 불신감에서 유의한 효과를 보이지 않았다. 이 세 변인들은 인지행동 치료를 통해 변화되기 어려운 성격적 요인으로 생각되며, 폭식행동의 감소와 같은 중요한 변인들에 유의한 효과가 있었으므로 인지행동 집단치료는 향후 우리 나라에서도 폭식행동자를 위한 경제적, 효과적인 치료모델로 제시될 수 있다고 본다. Objectives : The binge eaters are increasing rapidly since 1990's in Korea. The purpose of this study was to examine the effect of cognitive-behavioral group therapy on improving the frequency of binging and purging, eating attitude, self-esteem, and depression. Method : The subjects were 27 women who showed over 17 on the EAT-26 among binge eaters visited at eating disorders clinic "M". 10 sessions of cognitive-behavioral group therapy were provided to each group composed of 8-10 binge eaters. All subjects completed the Eating Disorders Inventory(EDI), Rosenberg Self-Eesteem Scale, Beck Depression Inventory(BDI) pre-and post intervention, and recorded daily food records. Paired t-test was used for the comparison of EDI subscales before and after treatment. Results : Frequency of binging and purging, self-Esteem, depression, drive for thinness, bulimia, body dissatisfaction, ineffectiveness, interoceptive awareness subscales of EDI showed significant immprovement but perfectionism, interpersoual distrust, maturity fear subscales of DEI showed no improvement after the cognitive-behavioral group therapy. Frequency of binging and purging per week showed a general trend of decline from the beginning to the end of the treatment and a rapid decrease at the second week was noticed. Conclusion : The results of this preliminary study suggest that cognitive-behavioral group therapy may be an effective initial approach for the treatment of binge eating. Future research aimed at replicating these initial results and providing systematic long-term evaluation is needed.

      • SCIESCOPUSKCI등재

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