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검색결과 329건 처리시간 0.021초

Ewing's Sarcoma of the Stomach; Rare Case of Ewing's Sarcoma and Suggestion of New Treatment Strategy

  • Kim, Hyo-Sin;Kim, Sungsoo;Min, Young-Don;Kee, Keun-Hong;Hong, Ran
    • Journal of Gastric Cancer
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    • 제12권4호
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    • pp.258-261
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    • 2012
  • Ewing's sarcoma is a neoplasm of the undifferenciated small round cells, which generally affects the bone and deep soft tissues of children and adolescents. We present a case of gastric Ewing's sarcoma; a 35-year-old female who had no symptoms. While she was at a routine medical checkup, a protruding mass in her gastric antrum was incidentally found on esophagogastroduodenoscopy. Endoscopic ultrasonogram showed a submucosal mass on the same lesion and a laparosopic wedge resection was done. Pathologic gross findings showed a granular grape appearance tissue and histoloigc examination revealed a small round cell tumor with CD 99 immunoexpression positive. In general, a combined modality therapy for Ewing's sarcoma such as surgical resection with chemotherapy, is accepted as an effective method. However, this patient had no adjuvant chemotherapy after surgery and she has no recurrence for eleven months.

Comparison of Echocardiogram and Clinical Profile between Metabolically Healthy Obese (MHO) and Non Metabolically Healthy Obese (Non-MHO) Subjects

  • Hong, Seung-Bok;Shin, Kyung-A;Choi, Wan-Soo
    • 대한의생명과학회지
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    • 제18권3호
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    • pp.260-267
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    • 2012
  • Obesity is associated with cardiovascular risk factors, such as dyslipidemia, hypertension and diabetes. However the presence of the obesity related deranged metabolic profiles varies widely among obese individuals. These individuals, known as 'metabolically healthy obese phenotype (MHO)', despite having excessive body fatness, display favorable metabolic profiles characterized by insulin sensitivity, no hypertension, as well as less dyslipidemia, less inflammation. The purpose of this study was to compare cardiac characterization and clinical profile of MHO and Non-MHO (nonmetabolically healthy obese) subjects in men. We measured treadmill exercise capacity (METs) and maximum blood pressure (BP) in 210 subjects through a medical checkup at J General Hospital. Metabolic syndrome was defined according to the modified Adult Treatment Panel III definition criteria. Both MHO and Non-MHO subjects showed statistically significant changes in the left ventricular mass index (P<.001, P<.01, respectively), A-velocity (P<.01, P<.001, respectively), E/A ratio (P<.01, P<.001, respectively), E'-velocity (P<.001, P<.001, respectively), HOMA-IR (P<.01, P<.001, respectively) and maximum systolic BP (P<.01, respectively) compared with the MH-NO (metabolically healthy non obese) subjects. In conclusion, MHO participants were at increased risk of cardiovascular disease and partly metabolic disorder.

No Association between the CDX2 G543C Polymorphism and Risk of Gastric Atrophy and Cancer

  • Goto, Yasuyuki;Kato, Tsuyoshi;Ando, Takafumi;Goto, Hidemi;Hamajima, Nobuyuki
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5691-5694
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    • 2012
  • Ectopic expression of CDX2 in the stomach is closely associated with chronic Helicobacter pylori (H. pylori) infection and intestinal metaplasia. Whether CDX2 has tumor suppression or tumorigenesis potential remains to be elucidated. In this study, we investigated the association between the CDX2 G543C polymorphism (silent mutation) and the risk for H. pylori-induced gastric atrophy and cancer as well as H. pylori infection, using 454 Japanese subjects undergoing a health checkup and 202 gastric cancer patients. The frequency of the minor allele was the same as previously reported in China, but different from that reported in England. CDX2 G543C was not associated with risk of H. pylori infection, gastric atrophy, or gastric cancer, although the point estimate for non-cardiac differentiated gastric cancer as compared to controls with gastric atrophy was 2.22 (95%CI=0.17-29.4). In conclusion, our results indicate that the CDX2 G543C polymorphism is unlikely to affect the H. pylori infection-gastric atrophy-gastric cancer sequence.

결혼이주 임신여성의 스트레스 대처방식 유형에 따른 모-태아애착과 모성정체성 (Maternal-Fetal Attachment and Maternal Identity according to Type of Stress Coping Strategies on Immigration Pregnancy Women)

  • 나현;문소현
    • 여성건강간호학회지
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    • 제21권3호
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    • pp.232-240
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    • 2015
  • Purpose: The purpose of this descriptive survey study was designed to identify the stress coping types of married immigrant pregnant women and find out the differences in maternal-fetal attachment and maternal identity based on each types. Methods: 151 married immigrant women who visited 3 women's hospitals located in J-do for pre-pregnancy checkup were selected as study objects. Data were analyzed by dsecriptive statistics, cluster analysis, t-test, ANOVA, and $Scheff{\acute{e}}$ multiple comparison test. Results: Cluster analysis revealed 4 distinct stress coping styles; low stress-coping involvement social support-oriented type, high stress-coping involvement hopeful thinking type, low stress-coping involvement type, effective stress coping types. Women frequently using effective stress coping type among the four types reported higher maternal-fetal attachment. The group of active coping styles got significantly higher score on maternal identity. Conclusion: Proper stress coping of married immigrant pregnant women regarding pregnancies proved to result in high levels of maternal-fetal attachment and maternal identity. Studies measuring the stress coping styles that affect pregnancies should be continuously conducted.

갱년기 여성의 안면홍조에 대한 이선탕가미방(二仙湯加味方)의 증상 완화 효과 및 안전성 평가를 위한 임상연구 (Clinical Trial to Evaluate the Hot Flush Relief Efficacy and Safety of Yiseontang-gami in Climacteric Women with Hot Flushes)

  • 정수경;김동일
    • 대한한방체열의학회지
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    • 제7권1호
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    • pp.1-13
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    • 2009
  • Purpose: To evaluate the hot flush relief efficacy of Yiseontang-gami in climacteric women with hot flushes, a vasomotor symptom. Methods: The 20 subjects who signing on the clinical trial written consent by self-will is registered this clinical trial after decided suitable by selection and exception standard, after take a medical experiment and checkup according to clinical trial plan. Registered subject should valuated by settled schedule after take the testing medicine(Yiseontang-gami)during thirty-day. The evaluating indexes of this trial are hot flush VAS, hot flush frequency, hot flush consistence time, sweating VAS, palpitation VAS, sleep disturbance VAS, MRS, MENQOL, PGA. Results: The results were as follows 1. 4 subjects dropped out of the clinical trial and 16 subjects completed it. 2. After Yiseontang-gami treatment, hot flush VAS, hot flush frequent, sweating VAS, Palpitation VAS, sleep disturbance VAS improved significantly. 3. After Yiseontang-gami treatment, hot flush consistence time was not improved significantly. 4. After Yiseontang-gami treatment, blood test value were not different significantly. Conclusion: In this clinical trial we consider that Yiseontang-gami is suitable treatment for the hot flushes and related symptoms.

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일부지역 근로자의 대사증후군 위험요인별 분류와 구강건강상태 비교 (Comparison of oral health status by metabolic syndrome risk factors in workers)

  • 구인영;문선정;이명선;가경환
    • 한국치위생학회지
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    • 제13권4호
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    • pp.581-588
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    • 2013
  • Objectives : The aim of the study si to investigate correlation between metabolic syndrome risk factors and oral health status in workers and to propose the integrated and effective management measures. Methods : Subjects were 4,600 workers in industrial company. Data by medical checkup and oral examination were collected from July 13, 2010 to September 12, 2010. Self-reported questionnaire included general characteristics, job description, smoking, drinking, and metabolic syndrome risk factor indicators. Gingivitis, dental calculus and missing tooth tended to have more metabolic syndrome risk factors. Data were analyzed by descriptive statistics, chi-square test, correlation analysis, logistic regression using SPSS version 18.0. Results : Dental caries revealed 1.146 times higher than the control group. Risk group showed the following results; gingivitis was 1.317 times higher in risk group and 1.612 times in metabolic syndrome. Dental calculus was 1.532 times higher in risk group and 1.557 times in metabolic syndrome. Mssing teeth were 1.976 higher in metabolic syndrome. Conclusions : Metabolic syndrome risk factors had close correlation to poor raol health status. It is necessary to establish the effective plan for the oral health in workers.

스케일링 건강보험 급여화에 대한 산재환자의 인식도 (Recognition about national health insurance of dental scaling in industry accident injury patients)

  • 이혜순;이경희
    • 한국치위생학회지
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    • 제13권4호
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    • pp.561-568
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    • 2013
  • Objectives : The purpose of this study is to examine the recognition and needs on the national health insurance coverage of scaling in industry accident injury patients. National health insurance coverage of dental scaling will start in September, 2013. Methods : Subjects were 649 industrial injury patients and they completed self-reported questionnaire. Data were analysed using SPSS version 20.0 for percentage, chi-square test, t-test, ANOVA, post-hoc Scheffe test, and Pearson's correlation coefficient. Results : Recognition on national health insurance coverage of dental scaling was not fully known to industrial injury patients (24.5%). Highly educated and high income workers seemed to recognize national health insurance coverage of dental scaling (p<.001). Recognition for national health insurance coverage of dental scaling revealed a significance (r=.576, p<.001). Most of the industrial injury workers thought that 50,000 to 100,000 Korean Won of dental scaling fee is reasonable. The coverage of dental scaling should be more than twice over 20 years old. Conclusions : It is necessary to encourage the patients to take regular dental scaling checkup and make them know the health insurance coverage of scaling. The preventive oral health care may improve oral health care and quality of life.

청소년의 점심식사 후 칫솔질 실천율과 관련요인 (The percentage of adolescents who brush their teeth after lunch and its related factors)

  • 김경원
    • 한국치위생학회지
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    • 제10권3호
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    • pp.441-448
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    • 2010
  • Objectives : This study was conducted in order to investigate the percentage of adolescents who brush their teeth after lunch and its related factors using raw data from the Fourth Korea National Health and Nutrition Examination Survey. Methods : In order to extract adolescents to be subjected to this study, 300 adolescents between the age of 12 to 18 who are currently attending junior and senior high school were chosen out of a total of 4,594 subjects. The results from the health surveys and the oral checkup results from the medical examination conducted on these adolescents were analyzed. Results : 1. The percentage of adolescents who brush their teeth after lunch was 33.9%. 2. The percentage of the adolescents who brush their teeth after lunch differed significantly according to the gender (p<0.001), age (p<0.05), the time of their recent visit to the dentist (p<0.05), and whether they had suffered from permanent tooth caries (p<0.05). 3. The factors which affect whether the adolescents brush their teeth after lunch was their gender, the total number of the times they brush their teeth per day, and their age. Conclusions : Effective oral health education methods should be reinforced in order to increase the percentage of the adolescents who brush their teeth after lunch.

결혼이민여성의 자궁경부 세포진 검사 참여행위와 관련요인에 관한 연구 (Pap Smear Screening Participation Behavior and Related Factors in Married Immigrant Women)

  • 김소영;최소영
    • 여성건강간호학회지
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    • 제16권3호
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    • pp.255-265
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    • 2010
  • Purpose: This study's aim was to investigate participation in Pap smear screening among married immigrant women and their behavior and its related factors. Methods: A survey was conducted among 165 married immigrant women in Gyeongsangnam-do from January 1 to March 20, 2010. Results: Results in this study showed that 51.5% have never participated in Pap Smear screening. Among those who have participated in the Pap Smear screening, 10.9% had regular screening, while 37.6% had irregular screening. Pap smear screening behavior was significantly different according to the experiences in health checkup ($x^2$=34.009, p<.001)', whether or not there was a hospital the woman regularly visited ($x^2$=7.768, p=.021) and perceived barriers (F=3.214, p=.043). Conclusion: For improvement of Pap smear participation, this study proposes to develop various nursing intervention programs which can improve perceived barriers in regards to the related variables. In addition, it is necessary to come up with a strategy to advertise the participation in Pap smear screening in a systematic and continuous manner in order to raise womens' awareness and to make married immigrant women realize the importance of regular Pap smear screenings.

텔레매틱스 서비스를 위한 차량 내 2.4GHz 대역의 근거리 무선 통신 환경 측정 시스템 구현 (2.4GHz Short range Wireless Surroundings Measurement system within In-Vehicle environment for Telematics service)

  • 허수정;이승환;박용완;신정훈
    • 대한임베디드공학회논문지
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    • 제1권2호
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    • pp.82-89
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    • 2006
  • It appears that it is possible for us to make a wireless communication of even home-network system within car by integrating with the Ubiquitous such as mobile phone, wireless Internet, GPS and DMB in the future. If the present wireless surroundings within the car are connected with very high-speed wireless network as measurement system for wireless communication surroundings within this car in the future, it will develop the complicated communication conditions such as safe checkup, communication between systems within car, and wireless communication for user entertainment unlike universal communication conditions. Accordingly, there is the necessity of the device that can measure the interference of electric wave, communication speed and communication quality by a kind of each car. This paper aims at making the real measurement device to raise the reliability of each Application for inquiring into the interference about each other in the frequency band used under Telematics surroundings.

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