간행물
The Medical Journal of Chosun University 조선대학교 의대논문집
- 발행기관 조선대학교 의학연구원
- 자료유형 학술지
- 간기 반년간
- ISSN 1225-0082 (Print)2288-1905 (Online)
- 수록기간 2013 ~ 2019
- 주제분류 의약학 > 의학일반 의약학 분류의 다른 간행물
- 십진분류KDC 510DDC 610
권호리스트/논문검색
Vol. 38 No. 2 (2013년 6월) 13건
Original article
1.
2013.06
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The aim of this study is to evaluate satisfaction with critical pathway (CP) in nursing gastric cancer patients. From January to June 2008, non critical pathway group (NCPG, n=28) is used by general doctor’s order. However, from July to December 2008, critical pathway group (CPG, n=25) received the CP schedule applied by the PA on the pre operative day. The collected data were analyzed by chi-square, and student t-test using the SPSS/Win 12.0 program. Patient’s satisfaction increased with understanding of disease and treatment process, explanation of related study and treatment, education regarding activity status, and degree of confidence in doctor. Patient satisfaction was higher in the CPG than in the NCPG.
Case report
2.
2013.06
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Seung Jun Jang, Hyun Hwa Yoon, Su Young Kim, Phill Hoon Yoon, Jong Joon Lee, Seo Young Lee, In Hyi Ku, Yeon Suk Kim, Yang Suh Ku
Kaposi's sarcoma is a lympho-angioproliferative disease that primarily affects the skin and subcutaneous tissues. Most importantly, Kaposi’s sarcoma occurs in the immunocompromised, especially AIDS patients and organ transplant recipients being treated with immunosuppressants. The occurrence of classic Kaposi’s sarcoma after the diagnosis of any primary solid tumor has rarely been reported. We experienced a 70-year-old man, who had received surgery and chemoradiotherapy for the treatment of primary gallbladder cancer, that developed multiple tender deep purple papules on his trunk, back and feet which were proven to be pathologic symptoms of Kaposi’s sarcoma.
3.
2013.06
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Dong Cheol Lee, Hyun Wook Kim, Su Kyung Jo, Seung Won Jung, Sung Ji Lee, Tae Hyun Kim, Soon Ho Kim, Joon Kyu Lim
Recently, detection of esophageal diverticula by neck ultrasonography has been increasing. In particular, esophageal diverticula near the thyroid gland can be diagnosed as thyroid nodule on ultrasonography. To date, 13 cases of ultrasonographic features of Killian-Jamieson (K-J) diverticula have been reported. We report on four cases of K-J diverticula and discuss clinical characteristics, including ultrasonographic findings, in comparison with previously reported cases. Awareness of ultrasonographic finding of esophageal diverticula, a hypoechoic nodule containing echogenic foci found in the posterolateral aspect of the thyroid, is most important for making a differential diagnosis of K-J diverticulum from a thyroid nodule.
4.
2013.06
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A 56 year-old women with a history of breast cancer underwent Tc-99m Hydroxymethylene Diphosphonate (HDP) bone scintigraphy at an annual follow-up, and abnormal focal uptake was observed in the right upper abdomen. However, subsequent single photon emission computed tomography/computed tomography (SPECT/CT) successfully delineated the uptake in a normal gallbladder. It was concluded that the abnormality had been caused by unusual Tc-99m HDP excretion and not by a metastatic lesion. Follow-up studies confirmed this diagnosis. This case demonstrates the usefulness of SPECT/CT in patients with unusual gallbladder uptake by bone scintigraphy.
5.
2013.06
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A 72-year-old female patient was admitted to our hospital with a rapidly growing left eyelid mass. Other ocular findings were normal. Excision biopsy and a cytological study were performed. Histopathology of the excised tissue showed malignant cells in extracellular lumens and glands with prominent micronuclei and mitotic figures. The tissue was also strongly positive for cytokeratin. As a result, of these fingings primary eyelid hidradenocarcinoma was diagnosed. This case demonstrates that hidradenocarcinoma should be considered in the differential diagnosis of primary eyelid tumors.
6.
2013.06
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Central venous catheterization can induce cardiac arrhythmias, such as, premature atrial or ventricular complexes, which are typically transient events. However, sometimes it initiates supraventricular tachycardia (SVT) with hemodynamic repercussions. We present a case of supraventricular tachycardia with cardiovascular collapse during central venous catheterization in a 32-year-old woman with an ovarian mass who required exploratory laparotomy. At first, the guide wire was withdrawn and carotid sinus massage attempted, but the patient did not return to sinus rhythm. Eventually, reversion to sinus rhythm was achieved after injecting adenosine.
7.
2013.06
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A 41-year-old woman arrived at our emergency department with semicomatous mentality due to aborted cardiac arrest from ventricular fibrillation, which occurred during resting state. Prolonged QT interval in condition of hypokalemia and hypomagnesemia was observed on initial electrocardiography. However, even after normalization of serum potassium, magnesium and mentality, QT prolongation was sustained. In addition, genetic analysis showed KCNH2 mutation which was consistent with type 2 congenital long QT syndrome (LQTS). In this case, the patient was treated with an implantable cardioverter defibrillator and genotype specific medical therapy with potassium channel opener.
8.
2013.06
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XX male syndrome is a genetic disease associated with gender dysplasia and characterized by a spectrum of clinical presentations, which range from ambiguous to normal male genitalia. The incidence of XX male syndrome is about 1 per 20,000- 25,000. The majority of XX males with SRY gene have normal genitalia, whereas most SRY-negative cases have ambiguous genitalia. Here, we report a case of a SRY-negative XX male with ambiguous genitalia.
9.
2013.06
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Kikuchi-Fujimoto disease (KFD) is a histocytic necrotizing lymphadenitis of cervical lymph node, which is usually combined with tenderness and fever presents mainly in women in their thirties. KFD has been rarely associated with SLE and the microscopic features of KFD can be similar to SLE. We described the case of a young man, originally diagnosed as having KFD by lymph node histology, who subsequently developed SLE with a skin rash, oral ulcer, hematologic and immunologic disorder and high titer of ANA. We recommend study of sexual and age-specific differences in clinical progress of KFD, and a long-term follow-up evaluation is also needed.
10.
2013.06
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Xp21 contiguous gene deletion syndrome involves the glycerol kinase (GK) gene, adrenal hypoplasia congenital (AHC) gene and Duchenne's muscular dystrophy (DMD) gene, which are located contiguously on Xp21 chromosome. The clinical features of a patient with Xp21 contiguous gene deletion syndrome are the sum of those of each disease; psychomotor retardation and lethargy for GK deficiency, hyperpigmentation and salt wasting dehydration for AHC, and muscular weakness and hypotonia for DMD. Chromosomal microarray analysis is performed for confirmation of Xp21 contiguous gene deletion syndrome. The goal of treatment is to control each of the diseases. We experienced and reported on a neonatal case of Xp21 contiguous gene deletion syndrome of AHC, GK deficiency, and DMD.
11.
2013.06
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Cases of schwannoma of the gastrointestinal tract are rare; most of these tumors are found in the stomach and the small intestine. Cases of cecal schwannoma are extremely rare. Here, we report on a case of cecal schwannoma confirmed pathologically after laparoscopic resection.
12.
2013.06
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Peritonitis is a common, major complication in continuous ambulatory peritoneal dialysis (CAPD) patients and tuberculous (TB) peritonitis has been reported to constitute 1-2% of all peritonitis cases. In CAPD patients, TB peritonitis is often diagnosed late and has a high mortality rate. In a recent recommendation made regarding the treatment of TB peritonitis, primary removal of a peritoneal dialysis catheter has been advised in addition to anti-TB drugs. Here, we describe two cases of TB peritonitis in CAPD patients successfully treated without peritoneal dialysis catheter removal.
13.
2013.06
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Malignant mixed tumor is an aggressive malignant neoplasm composed of heterologous malignant epithelial and stromal components. It is a rare neoplasm, accounting for 0.05 % of all salivary gland tumors and 0.16 % of all malignant salivary gland tumors. The tumor may occur in the background of a preexisting pleomorphic adenoma or may arise de novo. We report on an 84-year-old female who was diagnosed with carcinosarcoma on her left parotid gland. Microscopically, the tumor consisted of two components - mainly myxoid chondrosarcoma (75%), poorly differentiated carcinoma and a few remnants of benign pleomorphic adenoma in the periphery of the tumor.
