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Diagnosis and Management of Feline Hyperthyroidism Complicated with Chronic Kidney Disease
강민희,박희명 한국임상수의학회 2010 한국임상수의학회지 Vol.27 No.6
A 14-year-old spayed, mixed breed, female cat was admitted for evaluation of a polyphagia, hyperactivity and chronic weight loss. Physical examination revealed a tachycardia and mild elevated systemic blood pressure. This cat had azotemia and mild increased total thyroxin (TT4) and free thyroxin concentration. However triiodothyronine (T3) level was normal, the T3 suppression test for definite diagnosis were made. No changes of TT4 serum concentration before and after the exogenous T3 administration in this cat showed hyperthyroidism. This cat was diagnosed as mild hyperthyroidism concurrent with chronic kidney disease (CKD) and antithyroid drug, methimazole, was used for medical management. This is first case report describing clinical and laboratory characteristic features of feline hyperthyroidism complicated with CKD and its clinical outcome using medical management in our country.
강민희,Min-Joo Chae,윤장원,김승곤,So-Young Lee,Jong-Hyun Yoo,박희명 대한수의학회 2014 Journal of Veterinary Science Vol.15 No.3
The prevalence, virulence potential, and antibioticresistance of ophthalmic Staphylococcus pseudintermedius(SP) isolated from dogs were examined. Sixty-sevenStaphylococcus species were isolated from ophthalmicsamples and surveyed for species-specific sequences in theStaphylococcus intermedius group (SIG) nuclease gene(SInuc), exfoliative toxin gene for SIG (siet), and antibioticresistance genes (blaZ and mecA). PCR-restriction fragmentlength polymorphism analysis of the pta gene was alsoperformed. Fifty isolates were identified as SIG strains, all ofwhich were found to be SP. The blaZ gene was detected in 42of the 50 SP strains and mecA gene was observed in 18 of the 50SP strains. The 50 SP strains were most susceptible toamoxicillin/clavulanic acid (94%) and chlorampenicol (70%),and highly resistant to tetracycline (94%) and penicillin(92%). It was also found that 16 (88.9%) mecA-positive SPstrains were resistant to oxacillin, tetracycline and penicillin. All mecA-positive SP were resistant to more than four of theeight tested antibiotics and therefore considered SP withmulti-drug resistance (MDR). Our results indicate a highprevalence of antibiotic resistance genes in ophthalmic SPalong with a close relationship between MDR SP strains andthe mecA gene. Based on our findings, judiciousadministration of antibiotics to companion dogs is necessary.
정신분열병의 심리기능 장애 및 음성증상이 장기예후에 미치는 영향
강민희 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2
To clarify the phenomenological factors that determine the long-term prognosis f schizophrenia, the author applied Diagnostic and Prognostic Schedule, Psychological Impairment Rating Schedule and Scale for the Assessment of Negative symptoms to the 148 schizophrenic patients. The patients were divided in three groups as good prognostic group(11), poor prognostic group(52), and the worst prognostic group(85) by the item of long-term prognosis of the Diagnostic and Prognostic Schdule. To investigate the differentiating features among three prognostic groups, the author tried t-test using SPSS/PS+ based on the scores of each items. Among the results that we found, the most prominent features of the worst prognostic group were diffculties in communication with others and the presence of the negative symptoms.
강민희 충남대학교 의과대학 지역사회의학연구소 1990 충남의대잡지 Vol.17 No.2
To find out the characteristics of depressive symptoms, and the concept of general health in anxiety disorders, the author applied Zung's Self-Rating Depression Scale(SDS) and Goldberg and Hillier's General Health Questionnaire(GHQ) to the anxiety disorders(30 patients), and tried factor analysis using SPSS/PC^+. The results were summarized as follows. 1. In SDS, 3 factors were extracted as depression and anergia factor, worthlessness factor, and loss of confidence factor. 2. In GHQ, 4 factors were extracted as social dysfunction and somatic symptom factor, insomnia factor, nervousness factor, and dissatisfaction factor.
姜民熙 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.2
It was disputed for many years whether the dreams characteristic of schizophrenia exist or not. To verify the existence of interpersonal disturbances, disintegrative trend, and impaired reality sense in the dreams of schizophrenic patients, the author analyzed 44 dreams of schizophrenic patients and 67 dreams of normal controls. The item of bizarre imagery was higher rate in schizophrenics than in normal controls and it was statistically significant. The items which were higher tendency in schizophrenics but statististically not significant were as follows; aggression against dreamer, environmental threats, physical deficit status, dyscontrol, paranoid ideation.
강민희,송근호,임채영,박희명 한국임상수의학회 2011 한국임상수의학회지 Vol.28 No.6
A 5-year-old, intact male Beagle was presented with chronic abdominal pain. The dog was diagnosed with dirofilariasis by positive heartworm antigen detection via ELISA and concurrent microfilaria. Thoracic radiographs revealed cardiomegaly with dilation of the main pulmonary artery. Echocardiography revealed the adult worms in the main pulmonary arteries, but other abnormalities other than heartworm infection were not present. To find the cause of the abdominal pain, exploratory laparoscopy was performed. Ectopic migrating adult heart worms were visualized through exploratory laparoscopy and the clinical sign resolved after removing the heart worm. This report describes removing the ectopic migrating adult heartworms using exploratory laparoscopy in the abdominal cavity.