성인 쇄골 간부 골절에서 두 가지 수술적 치료군 간의 결과 비교: 금속판을 이용한 관혈적 정복 및 내고정술과 Steinmann Pin을 이용한 경피적 겸자 정복 및 골수강내 고정술의 결과 비교

허성식 ( Sung Sik Ha ),심재천 ( Jae Chun Sim ),홍기도 ( Ki Do Hong ),김재영 ( Jae Young Kim ),강정호 ( Jung Ho Kang ),박광희 ( Kwang Hee Park ) 대한골절학회 2007 대한골절학회지 Vol.20 No.3

목적: 성인 쇄골 간부 골절에서 금속판을 이용한 관혈적 정복 및 내고정술과 Steinmann pin을 이용한 경피적 겸자 정복 및 골수강내 고정술의 결과를 분석하여 비교하였다. 대상 및 방법: 2002년 3월부터 2006년 1월까지 본원에서 치료한 총 68예의 쇄골 간부 골절을 대상으로 하였으며, 금속판을 이용한 33예, Steinmann pin을 이용한 35예의 치료 결과를 분석하였다. 최종 결과 판정은 강 등의 기준에 의한 임상적 결과와 방사선학적 골유합 기간으로 하였고, 수술 시간을 비교하였다. 결과: 임상적 결과는 우수 이상의 예가 금속판을 이용한 군의 경우 총 33예 중 29예로 88%, Steinmann pin을 이용한 군의 경우 총 35예 중 32예로 91%의 결과를 보였다. 방사선학적 골유합 시기는 각각 평균 8.9주와 9.1주였고, 수술 시간은 금속판 군에서 평균 72분, Steinmann pin 군에서 평균 18분이었다. 결론: 성인 쇄골 간부 골절의 치료에 있어 금속판을 이용한 수술 군과 Steinmann pin을 이용한 수술 군은 임상적, 방사선학적 결과 면에서 통계학적으로 큰 차이를 보이지 않았으나, Steinmann pin을 이용한 수술 군에서 수술 시간 및 회복기간의 감소로 인하여 경제적인 면과 수술반흔의 감소에 따른 미용적인 면에서 더 만족스런 결과를 보였다. Purpose: To evaluate the results between open reduction and internal fixation with the plate and percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin for clavicle shaft fractures in adult. Materials and Methods: We have studied the results in 33 cases with the plate. 35 cases with the Steinmann pin among total 68 cases of clavicle shaft fracture. The patients were followed up over a period of at least 12 months. The final postoperative outcome was analyzed with the clinical outcomes using Kang`s criteria. radiological union time and operation time. Results: The clinical outcome that was good or excellent according to the Kang`s criteria showed a distribution of 88% in the group using the plate with 29 cases out of total 33 cases. 91% in the group using the Steinmann pin with 32 cases out of total 35 cases. The mean radiological union time was 8.9 weeks in the group using the plate. 9.1 weeks in the group using Steinmann pin. The mean operation time was 72 minutes in the group using the plate, whereas was 18 minutes in the group using Steinmann pin. Conclusion: In the treatment of adult clavicle shaft fracture. two groups did not show a significant statistical difference in clinical and radiological outcomes. However, the operation time and postoperative functional recovery was significantly shorter and faster in the group using Steinmann pin. Additionally economic and cosmetic aspect was more satisfactory in the group using Steinmann pin.

Effects of dietary supplementation with probiotic CS-A on performance in broiler chickens

Seong Soo Kang1*, Se Eun Kim, Ara Go, Kyung Mi Shim, Chun Sik Bae, Chang Jong Moon, Sung-Ho Kim, Jong-Choon Kim, Jin-Cheol Yoo, Seung Sik Cho 충북대학교 동물의학연구소 2012 Journal of Biomedical and Translational Research Vol.13 No.3

Probiotics, enzymes, organic acids, oligosaccharides, antioxidants, and other functional materials are actively being explored as alternatives to antibiotics. Probiotics include live beneficial microorganisms that colonize the intestinal tract and competitively inhibit attachment and growth of harmful microbes. Probiotics also increase feed efficiency by assisting in nutrient absorption and digestion. The current study was conducted in order to evaluate the effect of a new probiotic, CS-A, as a dietary supplement of a fermented product on growth performance, feed intake, and feed conversion efficiency in broiler chickens, and to evaluate its value as an alternative for antibiotics used as a feed additive. Antibacterial and anti-inflammatory effects of CS-A were investigated in vitro and the in vivo effects of a constant concentration of supplemented CS-A on growth rate and feed efficiency were evaluated. In addition, the safety of CS-A was assessed by examination of common symptoms and mortality. Determination of minimal inhibitory concentration revealed an excellent antibacterial effect of CS-A. Cytotoxicity was low and anti-inflammatory effects were achieved at the effective concentration of CS-A. Supplementation with 0.1% CS-A resulted in a feed efficiency score of 1.84 in broilers, compared to 2.00 in the control group. There were no adverse clinical findings, necropsy findings, hematology, and altered serum biochemistry parameters, and no mortality. Thus, it is concluded that CS-A is safe and effective as a feed additive.

Assessment of In Vitro Assay System for Thyroid HormoneDisruptors Using Rat Pituitary GH3 Cells

Hee Jin Kim1,Hae Young Park1,Jeonga Kim1,Il Hyun Kang2,Tae Sung Kim2,Soon Young Han2,Tae Seok Kang2,Kui Lea Park2,Hyung Sik Kim1 한국독성학회 2006 Toxicological Research Vol.22 No.4

The development of in vitro assays has been recommended to screening and test-ing the potential endocrine disruptors (EDs). These assay systems focus only on identifying thethe thyroid hormone (TH) disruptors. The aim of this study was to evaluate a test system to detectTH disruptors using rat pituitary tumor GH3 cells. The test system is based on the TH-dependentincrease in growth rate. As expected, L-3,5,3-triiodothyronine (T3) markedly induced a morphologicalchange in GH 3 cells from flattened fibroblastic types to rounded or spindle-shaped types. T3 stimu-lated GH3 cell growth in a dose-dependent manner with the maximum growth-stimulating effect9 M. In addition, T3 increased the release of growth hor-mone and prolactin into the medium of the GH3 cells culture. Using this assay system, the TH-dis-rupting activities of bisphenol A (BPA) and its related compounds were examined. BPA,dimethylbisphenol A (DMBPA), and TCI-EP significantly enhanced the growth of GH3 cells in therange of 1 × 10-5M to 1 × 10-6M concentrations. In conclusion, this in vitro assay system might bestandardization before it can be used as a broad-based screening tool.

Locking Compression Plate를 이용한 전위성 쇄골 간부 골절의 수술적 치료

정남식,홍기도,하성식,박성준,강정호,심재천,Chung, Nam-Sik,Hong, Ki-Do,Ha, Sung-Sik,Park, Sung-Joon,Kang, Jung-Ho,Sim, Jae-Cheon 대한정형외과스포츠의학회 2006 대한정형외과스포츠의학회지 Vol.5 No.1

목적: 전위성 쇄골 간부 골절의 치료로 관혈적 정복술 후 LCP를 사용하여 내고정을 시행한 환자를 대상으로 방사선학적, 임상적 결과를 분석하여 전위성 쇄골 간부 골절의 치료에 있어서 LCP의 유용성을 알아보고자 하였다. 대상 및 방법: 2003년 5월부터 2004년 11월까지 본원에서 쇄골 간부 골절에 대해 LCP를 이용한 관혈적 정복, 금속내 고정술을 시행하고 6개월 이상 추시가 가능하였던 26례를 대상으로 하였다. 수술 후 최종 평가는 방사선 결과와 fang s criteria를 이용한 임상적 결과로 분석하였다. 결과: 수술 후 평균 9.3주에 모든 예에서 지연유합 없이 골유합 되었으며 임상적으로 Kangs criteria에 따라 구분한 결과, 우수 이 상이 22례로 나타났다. 특히, 견관절 운동은 상완골 골절이 동반된 두 경우를 제외한 24례에서 2.9주내에 정상 범위로 빠른 회복을 보였다. 합병증으로는 견관절 운동 장애 2례, 수술 절개 부위의 켈로이드 형성 1례였으며 그 이외에 다른 주요 합병증은 없었다. 결론: 전위성 쇄골 간부 골절에서 LCP를 이용한 관혈적 정복 및 금속내 고정술은 기존의 금속판에 비해 수술 후 합병증을 줄이고 효과적인 골유합과 조기 견관절 운동에 도움을 줄 수 있는 좋은 치료 방법 중 하나라고 사료된다. Purpose: To assess the effectiveness of the Locking compression plate (LCP) after open reduction for the treatment of the displaced clavicular shaft fracture, the clinical and radiologic outcome of the patients who were managed with the LCP for internal fixation after open reduction has been analyzed. Materials and Methods: We reviewed 26 cases with a displaced clavicular shaft fracture treated by internal fixation using Locking compression plate after open reduction between May 2003 and November 2004. The patients were followed up for at least six months period, and final postoperative outcome was evaluated using clinical results based on Kang's criteria, radiologic signs of fusion. Results: All fractures united by an average of 9.3 weeks without delayed union and showed fast recovery of motion fraction and shoulder function. In addition,24 cases without the fractures of proximal humerus recovered to normal range of shoulder notion within 2.9 weeks. Clinically, according to Kang's criteria, the outcome was good or better in 22 patients. The complications included shoulder joint dysfunction in two cases and keloid formation in one case, and no other complications were observed. Conclusion: The internal fixation using LCP for the treatment of displaced clavicular shaft fracture is a safe, reliable method of treatment, with few complications, and offers rapid recovery of shoulder joint function and bone union.

하악 제3대구치의 존재여부 및 매복양상이 하악 우각부 골절과 과두 골절의 발생에 미치는 영향

이영주(Young-Joo Lee),송윤정(Yun-Jung Song),홍순민(Soon-Min Hong),채상식(Sang-Sik Chae),강현우(Hyeon-Woo Kang),최동주(Dong-Ju Choi),박준우(Jun-Woo Park) 대한치과의사협회 2012 대한치과의사협회지 Vol.50 No.9

Purpose : This study evaluated the impact of the presence and aspect of mandibular third molars to the mandible angle fracture or condyle fractures in Korean. Materials and Methods : A retrospective study was designed for patients attending the division of Oral and Maxillofacial Surgery, Kang-dong sacred heart hospital for treatment of mandibular fracture from January 2006 to September 2010. The primary variable was the presence of mandibular third molar and the secondary variable was the aspects of third molar impaction. Mandibular third molars were classified by the impaction depth and the available space as Pell & Gregory system. Outcome variables were the presence of mandibular angle fracture or condyle fracture. Also the source of trauma, age, sex were studied. Hospital charts, radiographs were used for study. Statistic analysis was done with descriptive statistics, the X2-test, linear-bylinear association. P value under 0.05 was considered significant statistically. Results : The number of involved patients was 86. The ratio of male to female patients was about 9:1 for angle fracture and 7:3 for condyle fracture. The most common source of trauma was assault for angle fracture and fall down for condyle fracture. The presence of mandibular third molar increased frequency of angle fracture and decreased condyle fracture with larger impaction depth. But available space of mandibular third molar did not show high association with angle or condyle fractures. Conclusion : Preventive extraction of mandibular third molar is recommended for patients with high risk of angle fracture. Male patients at their third decade or martial artists, police officer could be the case. But it is not recommended for patients with low risk of angle fracture and high risk of condyle fracture relatively. Elder female patients without any symptom on their third molar could be the case.

Poster Session:PS 1090;Gastroenterology (Gastrointestinal Tract):Primary Malt Lymphoma of Colon; Differential Diagnosis of Colonic Metastasis of Rapidly Growing Poorly Differentiated Advanced Gastric Adenocarcinoma

( Sung Sam Ha ),( Hyun Soo Kim ),( Jae Woo Kim ),( Hong Jun Park ),( Hee Man Kim ),( Kyoung Joo Lee ),( Hyun Sik Kim ),( Yong Seok Kang ),( Yoo Li Lim ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

Introduction: Primary colorectal lymphoma is rare, less than 1% of colorectal malignancies and known about 1. 4% of non-hodgekin lymphoma. Also colonic metastases from gastric adenocarcinoma is rare. We describe a rare case of Differential diagnosis of primary MALT lymphoma of the colon with colonic metastasis of advanced gastric adenocarcinoma. Case: A 81 year-old female patient presented with advanced gastric cancer (AGC) from local clinic. She had no evidence of cancer at esophagogastroduodenoscopy (EGD) 2 years ago. She had been treated for hypertension and diabetes. Physical examination revealed rectal shelf postive. Her routine blood investigations including tumor markers(i. e CEA, CA19-9) were normal. On EGD, AGC of Borrmann type 3 on posterior wall of upper body were revealed and colonoscopy showed multiple subepithelial masses of cecum, ascending colon and rectum. Computer tomography(CT) and positron emission tomography( PET) showed fiurodeoxyglucose(FDG)-uptakes of stomach, cecum, rectum and adjacent bladder and vagina. Histologically, poorly differentiated tubular adenocarcinoma of stomach was reported, but the colonic biopsy revealed many small to medium sized lymphoid cells and diagnosed MALT lymphoma, featuring CD20 positive and cyclin D1 negative. The patient refused both treatment and follow-up because of her age. Discussion: MALT lymphoma of colon and colonic meatastasis of AGC are very rare. The radiologic differential diagnosis of lymphomatous polyposis of colon is diffi cult especially in rapidly progressive AGC. Also colonic lymphoma taking the form of polyposis is very rare and is almost mantle cell lymphoma, but this case reported MALT lymphoma. In rapidly progressive AGC with rectal shelf positive, the subepithelial tumors of cecum, favoring localization of colorectal lymphoma and multiple nodularity on rectum should be distinguished peritoneal metastasis and other malignancies. This case shows that we should keep primary colorectal lymphoma in mind.

Erratum to: Nutrient requirements in Hanwoo cows with artificial insemination: effects on blood metabolites and embryo recovery rate

( Sung-sik Kang ),( Ui-hyung Kim ),( Man-hye Han ),( Sang-rae Cho ) 한국축산학회(구 한국동물자원과학회) 2020 한국축산학회지 Vol.62 No.6

CASE REPORT : Serious Complications after Self-expandable Metallic Stent Insertion in a Patient with Malignant Lymphoma

( Sung Bae Cho ),( Seon Ah Cha ),( Joon Young Choi ),( Jong Min Lee ),( Hyeon Hui Kang ),( Hwa Sik Moon ),( Sei Won Kim ),( Chang Dong Yeo ),( Sang Haak Lee ) 대한결핵 및 호흡기학회 2015 Tuberculosis and Respiratory Diseases Vol.78 No.1

An 18-year-old woman was evaluated for a chronic productive cough and dyspnea. She was subsequently diagnosed with mediastinal non-Hodgkin lymphoma (NHL). A covered self-expandable metallic stent (SEMS) was implanted to relieve narrowing in for both main bronchi. The NHL went into complete remission after six chemotherapy cycles, but atelectasis developed in the left lower lobe 18 months after SEMS insertion. The left main bronchus was completely occluded by granulation tissue. However, the right main bronchus and intermedius bronchus were patent. Granulation tissue was observed adjacent to the SEMS. The granulation tissue and the SEMS were excised, and a silicone stent was successfully implanted using a rigid bronchoscope. SEMS is advantageous owing to its easy implantation, but there are considerable potential complications such as severe reactive granulation, stent rupture, and ventilation failure in serious cases. Therefore, SEMS should be avoided whenever possible in patients with benign airway disease. This case highlights that SEMS implantation should be avoided even in malignant airway obstruction cases if the underlying malignancy is curable.

Anti-Androgenic Activity of Phthalate Esters (Di(2-ethylhexyl) Phthalate, Di(n-butyl) Phthalate, and Butylbenzyl Phthalate) in the Rodent 10-day Hershberger Assay using Immature Castrated Male Rats

Kang, Il-Hyun,Kim, Hyung-Sik,Kim, Tae-Sung,Moon, Hyun-Ju,Kim, In-Young,Kang, Tae-Seok,Park, Kui-Lea,Choi, Kwang-Sik,Han, Soon-Young Korean Society of ToxicologyKorea Environmental Mu 2005 Toxicological Research Vol.21 No.3

The rodent Hershberger assay is considered as a potential short term in vivo screening method for the detection of androgenic or anti-androgenic compounds. The objective of this study was to evaluate the anti-androgenic activities of di(2-ethylhexyl) phthalate (DEHP), di(n-butyl) phthalate (DBP), and butylbenzyl phthalate (BBP). A 10-day Hershberger assay was performed using immature Sprague-Dawley male rats castrated at 6 weeks of age. Tastosterone propionate (TP, 0.4 mg/kg/day) was administered s.c. to castrated male rats and followed by flutamide (1, 5, 10, or 20 mg/kg/day) treatment for 10 days by oral gavage. Similarly, DEHP, DBP, or BBP were also administered by oral gavage at 250, 500, or 1000 mg/kg/day after TP (0.4 mg/kg/day) administration. As expected, flutamide significantly inhibited the TP-induced re-growth of seminal vesicles, ventral prostate, and Levator ani plus bulbocavernosus muscles (LABC) at 1 mg/kg/day and above, and Cowper's glands and glans penis at 5 mg/kg/day and above. DEHP significantly (p<0.05) decreased the seminal vesicles, ventral prostate, LABC and Cowper's glands weights at 1000 mg/kg/day. BBP at 1000 mg/kg/day significantly inhibited TP-induced re-growth of the LABC in the immature castrated male rats, whereas ventral prostate, seminal vesicles, and Cowper's glands weights were unaffected. In contrast to DEHP, DBP did not affect accessory sex organ weights at any concentration. Body weights, combined adrenal glands, and kidney weights were not affected, but liver weights were significantly increased at high dosages in the DEHP, DBP, and BBP treatment groups. Our observations strongly suggest that DEHP acts as an androgen antagonist at the high dose (i.e., 1000 mg/kg/day).

Oncologic Outcomes of Ampullary and Periampullary Cancer in the Octogenarians

Sung Hyun Kim,Ho Kyung Hwang,Chang Moo Kang,Woo Jung Lee,Kyung Sik Kim 대한종양외과학회 2016 대한임상종양학회 학술대회지 Vol.2016 No.2