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나정구,공성민,이동규,김성민,장윤정,김성록,이유지 이화여자대학교 의과학연구소 2015 EMJ (Ewha medical journal) Vol.38 No.3
Urolithiasis is an uncommon complication in renal transplantation. We report a case of hypocitraturia-related ureteral steinstrasse which was spontaneously formed in a renal transplant recipient. The patient who underwent renal transplantation was admitted with acute pyelonephritis. Hydronephrosis in the transplanted kidney and multiple stones (steinstrasse) in the distal ureter were incidentally found on computed tomography scanning. After a failed attempt of ureteroscopic removal of stones, the patient underwent open ureterolithotomy and ureteroureterostomy. On stone analysis, carbonate apatite was confirmed. Urinary citric acid levels were decreased to 127.6 mg/day. Potassium citrate was administered to prevent stone recurrence by increasing urinary citrate excretion. No recurrence of stones was shown six months later. Urolithiasis in renal transplant recipients requires a high index of suspicion. Hypocitraturia can increase the risk for urolithiasis. Rapid recognition by careful surveillance, prompt removal of stones, and precautionary efforts to prevent recurrence are needed.
정구란,김명희,나수정,노병윤,박선영,신승희,이미숙,윤영란,남정란 한국치위생감염관리학회 2015 한국임상치위생학회지 Vol.3 No.1
This study aimed to evaluate effect of improvement of hand washing after quality improvement (QI) activity in a dental hospital. A questionnaire was implemented to measure awareness, hand washing activity, suitability on location of hand washing agents and satisfaction related to QI activities. Hand washing improving program was poster, exhibiting slogan and announcement in the morning etc. In the result of awareness, improvement in respondent who aware hand washing is importance for infection control (6%) was followed. Also respondent who don’t know 6 step for hand washing was reduced (20%). In the result of hand washing activity, rate of hand washing activity (more than six or ten times) a day was improved (25%), while rate of using only water by hand washing agents was constant (10%). A number of respondent received a negative in response to the location of hand washing agents (14%). In the result of satisfaction related to QI activities, general respondent received a being of help for implementation of hand washing on QI activities (72%). Positive influence on the hand washing activity was shown in QI activities, but a multi-fauceted program is required to achieve a better result.
박원일,나건웅,김준영,이경빈,이원재,나정구,오지은 조선대학교 의학연구소 2014 The Medical Journal of Chosun University Vol.39 No.2
Gastrointestinal tuberculosis is a commonly presenting ileocecal disease. Appendiceal tuberculosis results from secondary to either ileocecal tuberculosis, or tuberculosis at other sites of the abdomen. "Isolated" form of tuberculosis affecting appendix only, without evidence of disease elsewhere, is very rare. We report on two cases of isolated appendiceal tuberculosis initially presenting as acute appendicitis. Each case was proven as tuberculosis by acid fast bacilli or caseous necrosis in pathology. Colonoscopy and abdominal computed tomography showed neither intestinal nor intra-abdominal disease.