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자가 골연골 이식술 이후에도 지속적으로 통증이 지속되는 내측 거골의 골연골 병변 환자에서 시행된 과상부 절골술 및 비골 절골술: 증례 보고
최준영,최준영 대한족부족관절학회 2025 대한족부족관절학회지 Vol.29 No.2
Osteochondral lesions of the medial talar dome can be challenging to treat, particularly in cases with a large lesion or a subchondral cyst. Autologous osteochondral transplantation harvested from the knee joint after a medial malleolar osteotomy has been considered an effective treatment option in such scenarios. Despite the favorable outcomes of a supramalleolar osteotomy to realign the mechanical axis of the lower limb in cases of medial talar dome osteochondral lesions, the available literature remains limited to a few studies. This case report presents a woman in her early 40s with persistent pain following autologous osteochondral transplantation for a medial talar dome osteochondral lesion. The patient underwent a supramalleolar osteotomy and a fibular osteotomy to achieve valgus realignment of the weight-bearing axis. The clinical and radiological outcomes were evaluated over a follow-up period of more than 1 year, and the relevant literature was reviewed to highlight the potential benefits of this approach.
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중증 급성 담낭염 환자에서 응급실 내원 후 경피적 담낭배액술 시행까지의 적절한 시간
최준영,류현식,박성수,이재광,최현수,황승연,장지연,이세종,이혜지 대한응급의학회 2023 대한응급의학회지 Vol.34 No.1
Objective: Severe acute cholecystitis is an infectious disease that requires immediate gallbladder drainage. Although percutaneous transhepatic gallbladder drainage (PTGBD) is the most common method of gallbladder drainage, the optimal timing remains unclear. Methods: This study is a retrospective analysis of patients diagnosed with severe acute cholecystitis who underwent PTGBD between July 2018 to June 2021. This study investigated the effect of time from emergency department arrival to PTGBD (tPTGBD) on patient prognosis. Results: Totally, 48 patients were included in this study. Based on the cutoff value calculated using the Youden index, the group with tPTGBD of <5.93 hours had a shorter hospital stay (10 vs. 13.5 days, P=0.021), lower portion of progression (27:5 [15.6%] vs. 7:9 [56.3%], P=0.004), even they had a higher initial SOFA score (6 vs. 4.6, P=0.049). However, no statistical difference was obtained for the length of ICU stay between both groups (1 vs. 2, P=0.617). Conclusion: Executing PTGBD to severe acute cholecystitis patients within 5.93 hours after presenting at the emergency department is associated with reduced progression and hospital stay.
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Alisma Plantago L. 의 赤血球 및 精子凝集素活性에 關한 硏究
崔俊榮,文國鎭 고려대학교 의과대학 1974 고려대 의대 잡지 Vol.11 No.1
The author studied serological characteristics of saline extract of Alisma plantago L. native to Korea. Tests performed were hemagglutination activities to human and animal red blood cell, agglutination activity to human sperm, agglutination titer, absorption test, agglutination inhibition test by saliva and sugars, heat stability test and agglutination activities of each agglutinin fractionated by salting out. The results could be summarized as follows: 1. Hemo-and sperm-agglutinin were identified in Alisma plantago L. native to Korea. 2. Hemoagglutinin in Alisma Plantago L. was proved to be pan-agglutinin and not related to specificity of human blood group or animal species. 3. Sperm agglutinin in Alisma plantago L. was pan-agglutinin to human sperm and not related to specificity to blood group. 4. Sperm from non-secretor was not agglutinated by pan-sperm-agglutinin in Alisma plantago L. 5. Pan-hemagglutinin and pan-sperm agglutinin in Alisma plantago L. revealed identical characteristics by serologic tests.
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