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이명종,김광국,이상암,마효일,윤준오 울산대학교 의과대학 1993 울산의대학술지 Vol.2 No.1
This is a report of familial carpal tunnel syndrome(CTS) occuring in four members of two generations of a Korean family. One of those with CTS had surgical release and its pathologic finding was nonspecific fibrotic change. The age of those affected by CTS ranged form 35 to 76 years of age. Family pedigree suggests an autosomal dominant gene. This is belived to be the first case report of familial carpal tunnel syndrome in Korea.
피질하 혈관성 치매 환자에서 협착성 뇌혈관 병변의 의의 : 자기공명 혈관조영술과 양전자방출단층촬영을 이용한 연구 MR Angiography and ^(18)FDG-PET Study
유경호,이병철,마효일,김윤중,정지향,나덕렬,강연욱 대한치매학회 2004 Dementia and Neurocognitive Disorders Vol.3 No.1
Background and Objective:Subcortical vascular dementia (SVD) incorporates small vessel disease as the primary vascular etiology, represents in MRI by lacunar infarct and deep white matter lesions. In clinical practice, a number of SVD patients present with various vascular risk factors for large artery disease (LAD) i.e., old age, hypertension, and diabetes. However the current diagnostic criteria for SVD did not include angiographic findings as a key feature. Therefore we tried to find out the frequency of large artery disease in SVD and to elucidate whether the presence of LAD affects clinico-radiological manifestations of SVD. Methods:Thirty three patients fulfilling 'Research criteria for SVD' by Erkinjuntti from 17 study centers were recruited. Of these 33 patients, 21 who underwent comprehensive neuropsychological test battery, MRI ^(18)FDG-PET, and MR angiography were classified into two subgroups according to the patterns of MRI abnormality:white matter dominant (WM) type (n=5) and multiple lacunar (LC) type (n=16). Clinical and neuropsychological profile and ^(18)FDG-PET findings of 21 SVD patients with and without LAD were compared. Results: Twelve (57%) of 21 SVD patients had mild stenotic lesions in intracranial large arteries:4 in middle cerebral artery, 8 in posterior cerebral artery, and 4 in vertebrobasilarj artery. There were no differences in vascular risk factors, characteristics of cognitive dysfunctions, and ^(18)FDG-PET findings between SVD with and without LAD. Conclusions:Our results showed that the presence of mild degree of large artery stenosis did not affect the clinical., neuropsychological profile and cerebral metabolism in PET. Therefore, the current 'Research criteria for SVaD' by Erkinjuntti could be used to diagnose SVD as a homogenous clinical group regardless of angiographic abnormalities.
뇌졸중 후 발생한 괴잉성욕에 대한 Cimetidine의 치료효과 : 증례보고
유경호,마효일,정승철,이병철 대한치매학회 2002 Dementia and Neurocognitive Disorders Vol.1 No.1
Most studies have agreed that there is a considerable decline in sexual activity following stroke. but the hypersexuality after stroke as a relatively isolated behavioral abnormality has been less frequently reported Hypersexuality has no proven treatment, although reports have described reductions in hypersexual behavior did not response to three medications were not uncommonly observed in clinical practice A 65-year-old right-handed male presented with acute left hemipararesis. His MRI showed a right middle cerebral artery infarct involving the temporal, parietal regions and the basal ganglia. Four weeks after stroke he showed abnormal behavior, such as incessantly holding and hugging the nursing staff without assent, but no increased orality or change in eating habits But several weeks after taking cimetidine. a histamine H₂-receptor antagonist. his sexual behavior showed a marked improvement This case demonstrates that cimetidine as a non-hormonal anti-androgenic effect decreased libido and hypersexual behavior without serious side effects in patients with cognitive decline after stroke Further studies that obviously define the response and long-term side effects of cimetidine are needed to confirm our observations.
이배진(Bai Jin Lee),박정영(Jung Young Park),이희영(Hi Young Lee),강효승(Hyeo Seon Kang),이종영(Jong Young Lee),변동일(Dong Il Byun),김형길(Hyung Gil Kim),이수남(Su Nam Lee) 대한소화기학회 1998 대한소화기학회지 Vol.30 No.4
Eosinophilic gastroenteritis is a rare condition of unknown cause characterized by peripheral eosino- philia, eosinophilic infiltration of the gastrointestinal tract, and gastrointestinal symptomatology. Eosinophi]ic gastroenteritis is generally classified according to the layer of gastrointestinal tract involved. Especially, serosal eosinophilic infiltration is the rare,;t form of presentation, and may result in the development of eosinophilic ascites. Herein we repcrt an unusual case of eosinophilic gastroenteritis presenting with peritoneal eosinophilic infiltration diagnosed by a peritoneal biopsy. A 16-year-old woman came to our hospital presenting with abdminal <listensiron and tenderness, vomiting, and diarrhea with marked peripheral eosinophilia. Stool .;pecimens were negative for ova parasites. Biopsy specimens of esophagus, stomach, duodenum, and colon showed nonspecific intlammation but that of the peritoneum showed specific intense e.inophilic infiltration with fibrous band and eosinophilic vasculitis. A diagnosis of serosal eosinophil c gastroenteritis based on c]inical, laboratory, eosinophilic pertoneal fluid and histopathologic data, (:specially the biopsy specimens of the peritoneum. She was treated with corticosteroid and respond d dramatically with a complete resolution of ascites and other G-I symptoms. (Korean J Gastroenterol 1997; 30:547-552)
강승계,김수호,김신수,박희명,송근옥,원주희,이명숙,이성옥,이옥제,이은의,이채영,이현미,허필석,Gang Seung-Gye,Kim Su-Ho,Kim Sin-Su,Park Hui-Myeong,Song Geun-Ok,Won Ju-Hui,Lee Myeong-Suk,Lee Seong-Ok,Lee Ok-Je,Lee Eun-Ui,Lee Chae-Yeong,Lee Hyeo 한국호스피스협회 2002 호스피스 학술지 Vol.2 No.1
The hospice activities in Korea have still stood in the premature stage, although the contemporary hospice program, which professionally accommodates terminally ill patients, appeared in the history 35 years ago. Especially, the availability of the facility hospice is not only poor in number, but also lack of a guideline for the conduct of the facility. Saemmul Hospice has keenly felt the necessity of more facility hospices and has interchanged experiences and informations with people interested in hospice. However, the number of facilities has fallen short of one's expectations, and many problems have been revealed in order to maintain the operation. This paper was written in order to improve these atmospheres and to help more terminally ill cancer patients properly. This paper clarifies in detail the principle of management, the method of practice in each departments of Saemmul Hospice, expected effects and supplemental items. We try to provide concrete and practical informations and to help extensively for all peoples who are to begin or currently working. 1.Facility: It secures, maintain, and manage the hospice environment for all around care of patients effectively. 2.Education and Volunteer: It trains and manages hospice volunteers devoted to hospice. 3.Financial: It manages donation by healthy soul with an effective method. 4.Administration and Organization: It executes the administration efficiently and constitutes the organization to operate. 5.Medical and Nursing: It offers the maximum professional supports to a hospital. 6.Medicine and alternative medicine: It improves the quality of life of patients by medical and pharmaceutical approach and by other possible methods available. 7.Nutrition: It helps patients to have diets in accord with the order of the creation. 8.Belief: It offers spiritual care which allows the profound relationship with God. 9. Funeral ceremonies: Funeral ceremonies may heal grieves of families faced with their deaths. 10. Bereaved families: It supports the families after the deaths of patients. 11.Reception and consultation: It seeks to help the patients who meet the purposes for which Saemmul Hospice is established. 12.Publication: It allows publicity activities for Saemmul Hospice. Facility hospice programs are able to overcome the disadvantages that the other type of the hospice possess, like as the economic burdens of the families, and the patients' losses of comforts of home after being transferred to a hospital. Facility hospice can provide home atmosphere with professional manpower and facilities like hospital to the patients. Therefore, it can also improve patients' qualities of life and make them comfortable death. We anticipate that the hospice program in Korea would be more active to let more people be indebted to maintain the nobel human dignity and to cross beautifully in the most painful process of dying in the journey of their lives.