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신준한(Joon Han Shin),오제열(Je Yol Oh),박효진(Hyo Jin Park),정준표(Jun Pyo Chung),이관식(Kwan Sik Lee),이상인(Sang In Lee),박인서(In Suh Park),최흥재(Heung Jae Choi) 대한내과학회 1993 대한내과학회지 Vol.45 No.1
N/A Background: Gastric cancer associated with pregnancy is rare. Because of the similarity of symptoms between gastric cancer and preganancy, limitations in diagnostic approaches and difficulties in saving both mother and fetus, the prognosis is poor. Therefore, we analyzed the clinical features of gastric cancer associated with pregnancy, appropriated diagnostic approaches and practical guidlines for treatment. Method: We collected 23 cases of gastric cancer detected during pregnancy or within 12 months after delivery from January, 1980 to June, 1992. And age of patients, approaches of diagnosis, stage of cancer, pre- dominant histological features, results of surgical and obstetric treatment, and prognosis were analyzed according to the stage of pregnancy. Results: 1) Mean age of the patients at the time of diagnosis of the gastric cancer was 29.0±3.0 years old. Age range was 20-29 years old in 14 cases and 30-39 years in 9 cases. 2) The common presenting symptoms and signs were vomiting (52.2%), nausea (47.8%) and epigastric pain (47.8%). Mean duration from symptom onset to diagnosis was 6.5±7.8 months. 3) The percentages of patients diagnosed by endoscopic examination and barium study was 91.3% and 8.7%, respectively. In 5 cases, the distant metastases were found incidentally and then the primary focus was diagnosed by endoscopic examination or barium study. 4) Early gastric cancer was detected in 13.0% and advanced gastric cancer in 87.0%. In early gastric cancer, one case was found during pregnancy. 5) The histological features of gastric cancer were adenocardinoma in all cases and the types were poorly differentiated cell type (38.1%) and signet ring cell type (69.1%) 6) The treatment for gastric cancer was performed by surgery only in 21.7% and by combined surgery and chemotherapy in 21.7%. 7) The obstetric outcomes in patients diagnosed during pregnancy were normal spontaneous delivery in one case, preterm vaginal delivery in two cases, induced abortion in four cases and spontaneous abortion in one case. Conclusion: As the results show most of the gastric cancers associated with pregnancy was found in advanced state and their prognosis were grave. But same cases were early gastric cancers and in some cases complete resection was possible. Therefore, in order to improve the prognosis of gastric cancer associated with pregnancy, early diagnosis by endoscopy and appropriate treatment are emphasized.
남문석(Moon Suk Nam),정준표(Jun Pyo Chung),이홍우(Hong Woo Lee),오제열(Je Yol Oh),박효진(Hyo Jin Pack),이관식(Kwan Sik Lee),이상인(Sang In Lee),박인서(In Suh Park),이안나(An Na Lee),송경순(Kyung Soon Song) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.2
Behcets disease is a systemic disease involving skin, joint, gastrointestinal tract, vascular and nervous systems, characterized by recurrent oral and genital ulcerations and ocular in- flammation. The intestinal Behcets disease has nonspecific abdominal symptoms of colicky pain, constipation, diarrhea, nausea, vomiting, and malabsorption. Therefore, we need to dif- ferentiate with other diseases having nonspecific abdominal symptoms. We have experienced a case of lead intoxication after ingestion of herbal pills believed to contain lead compounds. A 40 year-old female with known Behcet's disaese was admitted due to acute colicky abdominal pain. The cause of abdominal pain and anemia was investigated and intestinal Behcets disease was ruled out. The diagnosis of lead intoxication was made by careful history, clinical manifestations, and various laboratory findings including peripheral blood smear, bone marrow aspiration and biopsy, serum lead and free erythrocyte protoporphyrin levels. W e also used lead mobilization test for measure of chelatable lead level. The treatment was performed with 4 courses of EDTA infusion therapy and the clinical symptoms and chemical data associated with lead intoxication improved.(Korean J Gastroen- terol 1994; 26: 399 404)
한국어판 병원 입원서비스에 대한 환자만족도 평가도구 (H-CAHPS(R))의 신뢰도와 타당도 평가
강민아 ( Min An Kang ),우경숙 ( Kyung Sook Woo ),오제열 ( Je Yol Oh ),신영전 ( Young Jeon Shin ) 한국보건정보통계학회(구 한국보건통계학회) 2010 보건정보통계학회지 Vol.35 No.2
Objectives: To develop a Korean version of H-CAHPS(R) for measuring the multi-dimensional experiences of inpatient services and to assess the reliability and validity of a translated version of the H-CAHPS(R) instrument. Methods: After the H-CAHPS(R) English version was translated and back-translated, the survey instrument was confirmed with a series of processes including cognitive interviews and pilot testing. The main survey was conducted 606 patients who were discharged from two city hospitals in Korea from June 2006 to October 2006. Results: The results of the item-level and scale-level analyses were all acceptable. Scale-level analysis supported the reliability and validity of following 6 factors. The Cronbach`s alpha coefficients ranged from 0.75 to 0.88. The result of confirmatory factor analysis showed that the dimensional structure model was well fitted. Correlation coefficients between dimensions were significant and the C.R(critical ratio) of all dimensions were all highly significant. Overall, discriminant validity and convergent validity was proven to be acceptable. Conclusions: The H-CAHPS(R) Korean version is a reliable and valid instrument to evaluate patients` experiences of inpatient services in Korea.
김성규,김상진,이경미,안철민,이기범,김형중,이원영,오제열,황의석,권선옥 대한내과학회 1993 대한내과학회지 Vol.45 No.2
Pulmonary carcinosarcoma is an exceedingly uncommon malignant tumor with less than 100 cases reported to date. Carcinosarcoma of the lung, histologically, consists of intermingling elements of carcinoma (usually squamous cell type) and sarcoma (usually spildle cell type). We experienced a pulmonary carcinosarcoma case of 76-year-old man smoker with hypertrophic osteoarthropathy. The tumor, 12 × 8 × 8 cm sized, was located in the lower lobe of the left lung without endobronchial invasion, Lightmicroscopically, the tumor is composed of an area of tubular structure of adenocarcinoma and spindle cells of sarcoma. In immunohistochemical stain, the tumor consists of tubular structure that reveal positive for cytokeratin and the spindle cells for vimentin. So we report this case of carcinosarcoma of the lung with a literature review.