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민해연,강연주,조경진,남영미 THE KOREAN SOCIETY FOR BIOMEDICAL LABORATORY SCINE 1995 Journal of biomedical laboratory sciences Vol.1 No.1
자동혈구계산기에서 산출되는 RDW나 MCV가 철결핍성빈혈의 구분진단에 어떠한 도움이 되는지를 보기 위하여 어는 대학병원의 최근 5년 동안의 의무기록과 건강진단결과를 이용하여 227명의 빈혈환자와 143명의 건강인을 선정하고 그들의 혈액검사 결과를 비교분석해 보았다. 분석결과 빈혈환자로서는 철결핍성빈혈과 재생불량성빈혈 환자가 많았으며, 그 외에 만성질환과 관련된 빈혈환자도 많은 것으로 나타났다. 정상인 들에 비하여 빈혈환자에서 RDW는 높게, 그리고 MCV는 낮게 나타났는데 특히 철겹핍성빈혈에서는 다른 빈혈에 비하여 19.3±4.8로 현저하게 높게 나타난 반면, MCV는 62.9±13.7fl로 현저하게 낮게 나타났으며, 그 빈혈의 정도에 따라 그 변화가 크게 나타났다. 빈혈관련수들을 이용하여 D.F.=0.26-0.012MCV-0.130MCH+0.073MCHC+0.052RDW+0.003PLT와 같은 판별함수가 도출되었고, 이를 토대로 철결핍성빈혈과 다른 빈혈을 구분하는데 있어서는 MCV, MCH, MCHC, RDW등이 판별력이 있다는 것을 확인 할수 있었다. RDW and MCV are thought to be the highly sensitive blood cell parameters in the differentiation of iron deficiency anemias. Through the medical records of 227 anemic patients and the physical checking results of 143 healthy persons in a General Hospital during the recent five years, the authors evaluated various blood cell parameters including RDW and MCV. Iron deficiency anemia, aplastic anemia and other anemias associated with chronic discase were shown as the three major causes of anemias in Korea. In the patients of iron deficiency anemia MCV was very low(62.9±13.7fL), while RDW was very high(19.3±4.8) showing much lower MCV and much higher RDW in severe IDA compared with in mild IDA. To differentiate iron deficiency anemias form other anemias, a discriminant function was developed from some blood cell parameters like MCV, MCH, MCHC, RDW and platelets(D.F.=0.26 -0.012MCV -0.130MCH+ 0.073MCHC +0.052RDW +0.003PLT).
RYU, Yon Ju,KOH, Won-Jung,KANG, Eun Hae,SUH, Gee Young,CHUNG, Man Pyo,KIM, Hojoong,KWON, O Jung Blackwell Publishing Asia 2007 RESPIROLOGY Vol.12 No.3
<P>Background and objective: </P><P>The prognosis in patients with pulmonary tuberculosis and acute respiratory failure requiring mechanical ventilation is believed to be poor. The aim of this study was to identify factors contributing to in-hospital mortality in these patients.</P><P>Methods: </P><P>The medical records of 32 patients with active pulmonary tuberculosis as a primary cause of acute respiratory failure requiring mechanical ventilation in the medical intensive care unit (ICU) of a tertiary referral hospital over a 10-year period were reviewed retrospectively, and predictors of mortality were assessed.</P><P>Results: </P><P>The patients’ median age was 69 years (range 25–88 years). The median length of intensive care unit stay was 11 days (range 2–88 days), and the median duration of mechanical ventilation was 9 days (range 2–86 days). Overall in-hospital mortality was 59% (19/32). Independent predictive factors of in-hospital mortality included tuberculous-destroyed lungs (hazard ratio 6.61, 95% CI: 1.21–36.04, <I>P</I> = 0.029), Acute Physiology and Chronic Health Evaluation II scores ≥20 (hazard ratio 4.90, 95% CI: 1.43–16.80, <I>P</I> = 0.012) and sepsis (hazard ratio 5.84, 95% CI: 1.63–20.95, <I>P</I> = 0.007).</P><P>Conclusion: </P><P>Acute respiratory failure caused by pulmonary tuberculosis necessitating mechanical ventilation has a high mortality rate and poor prognosis, particularly in patients with tuberculous-destroyed lungs, high Acute Physiology and Chronic Health Evaluation II scores and sepsis.</P>
수 종의 구강세정제에 의한 치은연하 세정이 치주염 초기치유에 미치는 영향에 관한 비교 연구
윤기연,김강주,유형근,신형식 원광대학교 치의학연구소 1998 圓光齒醫學 Vol.8 No.2
The purpose of this study was to investigate the comparative effects of subgingival irrigation using some oral mouth rinses on early healing process of periodontal inflammation. The study population consisted of 13 patients with periodontal inflammation and distributed into 4 groups. Oral hygiene instruction, delicate scaling and root planing were done and then irrigated per 3 days during 2 weeks in situ with 1 of 4 solutions : normal saline, C31G, Benzotonium chloride and tetracycline. Examination regarding probing pocket depth, plaque index, sulcular bleeding index, gingival index, gingival recession and leukocytes differential count was performed. Evaluation was made at the baseline and 2 weeks after non-surgical periodontal therapy. The results were as follows 1. Clinical indices including probing pocket depth, plaque index, sulcular bleeding index, gingival index and gingival recession were significantly improved from baseline to 2 weeks. But there was no significant differences among 4 groups. 2. PMNs percent on leukocytes differential count was significantly decreased from baseline to 2 weeks on all groups. Those of tetracycline and C31G were significantly decreased than those of normal saline group. These results suggest that clinical indices were not different, but the decrease of inflammation were signify cantly different among some mouth rinses.
( Hye Seon Kang ),( Hwa Young Lee ),( Ah Young Shin ),( Hea Yon Lee ),( Chin Kook Rhee ),( Ju Sang Kim ),( Seung Joon Kim ),( Seok Chan Kim ),( Sook Young Lee ),( Joong Hyun Ahn ),( Young Kyoon Kim ) 대한결핵 및 호흡기학회 2014 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.118 No.-
Background: The presence of nontuberculos mycobacteria (NTM) in respiratory specimens from patients with pulmonary tuberculosis (TB) causes diagnostic and therapeutic error. Moreover, the coexistence of NTM lung disease with TB is not determined clearly. Methods: We retrospectively reviewed the medical records of all the patients diagnosed with culture confirmed pulmonary TB at Seoul St. Mary’s Hospital and Incheon St. Mary’s Hospital between Jan 2011 and Dec 2013. Results: Eight hundred thirty-four patients were surveyed. NTM species were isolated from 50 patients (6.0%) and 130 respiratory specimens. The frequently isolated NTM species were M. abscessus (n=36, 27.7%), M. intracellulare (n=19, 14.6%), and M. fortuitum (n=11, 8.5%). NTM species were identified in 26 patients and 7 patients had two or more NTM species. NTM species were isolated after initiation of anti-TB treatment in 35 patients and mean duration was 7 months. In 14 patients, NTM and Mycobacterium tuberculosis were isolated simultaneously. Among 50 patients with the isolation of NTM, NTM lung disease by 2007 ATS/IDSA guidelines was confirmed in 11(22%) subjects. The median age was 69.4 years. Eight (72.7%) patients were men. Main radiologic findings were micronodules and bronchiectasis. Two patients had two and 9 patieths had three or more positive cultures for the same NTM species. The detected NTM species were M. abscessus (n=5), M. intracellulare (n=3), M. massiliense (n=2) and M. lentiflavum (n=1). Aggravation of radiologic findings and clinical symptoms were found in 5 (10%) patients and NTM treatment was required in 2 patients after the completion of anti-TB treatment. NTM species isolated from treated patients was M. abscessus. Conclusions: NTM isolation from patients with pulmonary TB was not rare. Careful serial monitoring such as microbiologic and radiologic evaluation is required if clinically needed.
Does Type I Truly Dominate Hepatic Glycogen Storage Diseases in Korea?: A Single Center Study
Jeong, Yu Ju,Kang, Ben,Choi, So Yoon,Ki, Chang-Seok,Lee, Soo-Youn,Park, Hyung-Doo,Choe, Yon Ho The Korean Society of Pediatric Gastroenterology 2014 Pediatric gastroenterology, hepatology & nutrition Vol.17 No.4
Purpose: There are no studies of hepatic glycogen storage diseases (GSDs) other than type I and III in Korea. We aimed on investigating the characteristics of hepatic GSDs in Korea diagnosed and followed at a single center. Methods: We retrospectively analyzed patients who were diagnosed as GSD and followed at Samsung Medical Center from January, 1997 to December, 2013. Clinical manifestations, laboratory results, treatment, and prognosis were investigated. Results: Twenty-one patients were included in the study. The types of 17 patients were confirmed by enzyme activity tests and/or gene analysis. GSD Ia was diagnosed in 7 patients (33.3%), Ib in 1 patient (4.8%), III in 2 patients (9.5%), IV in 1 patient (4.8%), and IX in 6 patients (28.6%). Types other than GSD I constituted 52.9% (9/17) of the patients diagnosed with a specific type of hepatic GSD. The median age at presentation was 2 years. Hepatomegaly was observed in 95.2%, elevated liver transaminases in 90.5%, and hyperlactacidemia in 81.0% of the patients. The duration for follow-up was $77{\pm}62.0$ months. Uncooked corn starch was initiated in all the patients. No mortality was observed during the follow-up period, and liver transplantation was performed in 14.3%. Conclusion: Types other than GSD I comprised more than half of the patients diagnosed with a specific type of hepatic GSD. Clinical suspicion and thorough evaluation of hepatic GSDs in Korea should be focused not only on GSD I, but also on other types.
( Hye Seon Kang ),( Hwa Young Lee ),( Ah Young Shin ),( Hea Yon Lee ),( Chin Kook Rhee ),( Ju Sang Kim ),( Seung Joon Kim ),( Seok Chan Kim ),( Sook Young Lee ),( Joong Hyun Ahn ),( Young Kyoon Kim ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Background: The presence of nontuberculos mycobacteria (NTM) in respiratory specimens from patients with pulmonary tuberculosis (TB) causes diagnostic and therapeutic error. Moreover, the coexistence of NTM lung disease with TB is not determined clearly. Methods: We retrospectively reviewed the medical records of all the patients diagnosed with culture confi rmed pulmonary TB at Seoul St. Mary`s Hospital and Incheon St. Mary`s Hospital between Jan 2011 and Dec 2013. Results: Eight hundred thirty-four patients were surveyed. NTM species were isolated from 50 patients (6.0%) and 130 respiratory specimens. The frequently isolated NTM species were M. abscessus (n=36, 27.7%), M. intracellulare (n=19, 14.6%), and M. fortuitum (n=11, 8.5%). NTM species were identifi ed in 26 patients and 7 patients had two or more NTM species. NTM species were isolated after initiation of anti-TB treatment in 35 patients and mean duration was 7 months. In 14 patients, NTM and Mycobacterium tuberculosis were isolated simultaneously. Among 50 patients with the isolation of NTM, NTM lung disease by 2007 ATS/IDSA guidelines was confi rmed in 11(22%) subjects. The median age was 69.4 years. Eight (72.7%) patients were men. Main radiologic fi ndings were micronodules and bronchiectasis. Two patients had two and 9 patieths had three or more positive cultures for the same NTM species. The detected NTM species were M. abscessus (n=5), M. intracellulare (n=3), M. massiliense (n=2) and M. lentifi avum (n=1). Aggravation of radiologic fi ndings and clinical symptoms were found in 5 (10%) patients and NTM treatment was required in 2 patients after the completion of anti-TB treatment. NTM species isolated from treated patients was M. abscessus. Conclusions: NTM isolation from patients with pulmonary TB was not rare. Careful serial monitoring such as microbiologic and radiologic evaluation is required if clinically needed.