• Title/Summary/Keyword: Clinical observation

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A Clinical Observation of Fine Needle Aspiration Cytology in the Neck Mass (경부 종류의 세침 흡인 세포학적 검사에 대한 임상적 고찰)

  • Lim Jong-Hak;Kim Jae-Jun;Lee Dong-Hwa;Hur Kyung-Bal
    • Korean Journal of Head & Neck Oncology
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    • v.8 no.1
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    • pp.31-36
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    • 1992
  • Neck mass is common neoplasms, but it poses a diagnostic dilemma for the physician. The differential diagnosis include neoplastic, inflammatory and developmental causes. The FNAC is one of the most valuable tests in the initial assessment and differential diagnosis of the neck mass. FNAC was performed with 267 cases of the neck mass, during the period from April, 1988 to October, 1990 at the department of General Surgery, Soon Chun Hyang. University Hospital. Thyroid lesions were excluded from this analysis. Final diagnosis was based on resection histology in 58 cases, and surgical specimens were compared with FNAC. The following results were obtoired ; 1) Of 267 cases, there we re 9 cases(3.4%) of congenital lesion, 74 cases(27.7%) of inflammatory lesion, 40 cases(15.0%) of benign tumor, 12 cases(4.5%) of primary malignant tumor, 37 cases(13.8%) of metastatic tumor, 75cases(28.1%) of reactive hyperplasia, 20 cases(7.5%) of unsatisfactory. In the pathologic classification, inflammatory lesion was the most common. 2) In the 58 cases of excisional biopsy, sensitivity 93.8%, specificity 95.2%, false positive 11.8%, false negative 2.4%, positive predictive value 88.2%, negative predictive value 97.6%, accuracy 94.8%. 3) The most common disease was the tuberculous lymphadenitis (53 cases, 19.8%). sensitivity 57.9%, specificity 100.0%, false positive 0.0%, false negative 17.0%, positive predictive value 100.0%, negative predictive value 83.0%, accuracy 86.2%.

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Determining Pathogenicity of Infectious Bronchitis Virus Isolated in Korea 2018 (2018년도에 분리된 닭 전염성기관지염 바이러스에 대한 병원성 시험)

  • Park, Dam-Hee;Youn, Ha-Na;Ju, Hyo-Sun;Kim, Kyu-Jik;Go, Seong-Hye;Lee, Da-Ye;Song, Chang-Seon
    • Korean Journal of Poultry Science
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    • v.46 no.4
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    • pp.263-269
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    • 2019
  • Infectious bronchitis virus (IBV) is an acute respiratory disease, causing economic losses in poultry production. IBV commonly manifests respiratory disease symptoms and poor egg quality in poultry, affecting overall performance of both broilers and layers. IBV infection further predisposes poultry to secondary opportunistic bacterial infections. IBV undergoes rapid genetic evolution resulting in various new strains. There is no cross protection among IBV serotypes which makes full protection against wild-type IBV virtually impossible. In this study, recently isolated IBVs (K24/18, K29/18, K183/18) from Korean broiler farms were genetically analyzed based on S1 gene. According to the results, IBV isolates showed highest homology with QX-IBV. However, phylogenetic tree analysis revealed that isolates were divided into distinct sub-clusters within QX-IBV. To determine pathogenicity of IBV, day-old chicks were challenged with IBV through ocular route. After challenging the chicks, we executed microscopic examination, virus detection in their organs, and observation of clinical signs and mortality. We found that the K24/18, K29/18, K183/18 challenge groups showed 28%, 57%, and 42% mortality, respectively, with high microscopic trachea lesion scores, indicating that these QX-IBV-like strains are pathogenic to chicks and can therefore be a threat to poultry production.

Toxicity of Hematoporphyrin-Coated Magnetic Ferrofluid in Rats

  • Hwang Youn-Hwan;Lim Jong-Hwan;Park Byung-Kwon;Kim Myoung-Suk;Kim Chong-Oh;Yun Hyo-In
    • Toxicological Research
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    • v.22 no.1
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    • pp.55-59
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    • 2006
  • The purpose of this study was to investigate the toxicity of hematoporphyrin-coated magnetic ferrofluid (HP-MF) through intravenous administration in Sprague-Dawley rats. Each group was treated with either saline, or the HP-MF at 0.5, 1, 1.5, 2 and 4 ml/kg body weight (b.w.) for the observation of survival rate, clinical symptoms, laboratory values and histopathological findings. In this study, HP-MF was evaluated for the survival rates, symptoms, laboratory values and histopathological examination after treatments. The result revealed that the animals in the group of HP-MF at 2 and 4 ml/kg b.w. showed some lethality. In serum biochemistry, the levels of AST, ALT and ALP were increased in the MF and HP-MF treated groups. However, histopathological examination for the suspected organs showed no evidence of hepatotoxicity and nephrotoxicity of typical iron poisoning. Though the toxicity of HP-MF was higher than that of HP, long retention of hematoporphyrin via HP-MF provides additional benefit over conventional hematoporphyrin. HP-MF could be utilized as a potential photodynamic agent in cancer therapy. It is suggested to develop an efficient external magnetic device to attract hematoporphyrin in the target site, thereby enabling to administering a small amount of HP-MF.

Toxicity Study of CKD-602, a Camptothecin Anticancer Agent: 5-Day Repeated Intravenous Administration in Rats

  • Han, Jung-Hee;Cha, Shin-Woo;Kim, Choong-Yong;Lee, Gab-Soo;Suh, Jeong-Eun;Kim, Joon-Kyum;Kim, Jong-Choon;Kang, Boo-Hyon
    • Biomolecules & Therapeutics
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    • v.12 no.1
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    • pp.49-54
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    • 2004
  • The present study was conducted to investigate the potential subacute toxicity of CKD-602 by a 5-day repeated intravenous administration in Sprague-Dawley rats. CKD-602 was administered intravenously to male rats at dose levels of 0, 0.08, 0.2, and 0.5 mg/kg for 5 days. Studies included general observation, body weight changes, ophthalmoscopic examination, hematology, se겨m biochemistry, gross findings at necropsy and organ weight measurement. There were no deaths in any treatment group and treatment related clinical sign was depilation in the 0.5 mg/kg groups. The decrease or suppression of body weight was also observed dose-dependently in all treatment groups. Decreased leukocyte in all treatment groups, decreased platelet in the above 0.2 mg/kg groups and increase in the serum levels of total cholesterol in the 0.5 mg/kg group were considered as a treatment related toxic effects. Decreased weight of thymus in all treatment groups anti decreased weight of spleen in the above 0.2 mg/kg group were observed. The intravenous administration of CKD-602 caused depilation and decreased weight and had toxic effect on the leukocyte, platelet, spleen and thymus. In the condition of this study, the target organs were spleen and thymus and the toxic effect level was determined to be 0.2 mg/kg, but no-observed-adverse-effect level (NOAEL) was considered to be lower than 0.08 mg/kg.

Biomechanical Analysis of the Implanted Constrained and Unconstrained ICR Types of Artificial Disc using FE Model (순간중심 고정식 및 이동식 인공디스크 적용에 대한 유한요소 모델을 이용한 생체역학적 분석)

  • Yun Sang-Seok;Jung Sang-Ki;Kim Young-Eun
    • Journal of the Korean Society for Precision Engineering
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    • v.23 no.4 s.181
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    • pp.176-182
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    • 2006
  • Although several artificial disc designs have been developed for the treatment of discogenic low back pain, biomechanical changes with its implantation were rarely studied. To evaluate the effect of artificial disc implantation on the biomechanics of functional spinal unit, a nonlinear three-dimensional finite element model of L4-L5 was developed with 1-mm CT scan data. Biomechanical analysis was performed for two different types of artificial disc having constrained and unconstrained instant center of rotation(ICR), ProDisc and SB Charite III model. The implanted model predictions were compared with that of intact model. Angular motion of vertebral body, forces on the spinal ligaments and facet joint, and stress distribution of vertebral endplate for flexion-extension, lateral bending, and axial rotation with a compressive preload of 400N were compared. The implanted model showed increased flexion-extension range of motion compared to that of intact model. Under 6Nm moment, the range of motion were 140%, 170% and 200% of intact in SB Charite III model and 133%, 137%, and 138% in ProDisc model. The increased stress distribution on vertebral endplate for implanted cases could be able to explain the heterotopic ossification around vertebral body in clinical observation. As a result of this study, it is obvious that implanted segment with artificial disc suffers from increased motion and stress that can result in accelerated degenerated change of surrounding structure. Unconstrained ICR model showed increased in motion but less stress in the implanted segment than constrained model.

Detection of urinary trypsinogen-2 for diagnosis of canine acute pancreatitis (뇨중 trypsinogen-2 검출을 이용한 개의 급성 췌장염 진단)

  • Han, Hong-ryul;Hwang, Cheol-yong;Pak, Son-il;Oh, Tae-ho
    • Korean Journal of Veterinary Research
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    • v.39 no.5
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    • pp.951-960
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    • 1999
  • We performed this study to evaluate the potential clinical marker of urinary trypsinogen-2 together with amylase, lipase and urinary amylase creatinine clearance ratio (ACCR) for the diagnosis of acute pancreatitis in dogs. In the experiment on daily changing patterns of amylase, lipase and ACCR measurements in experimentally induced pancreatitis dogs, compared to values measured in pre-induction state, significant difference was seen in amylase until 5th day of induction, and for lipase significant difference was found during the 7th day of observation period (p < 0.05). No significant difference was found in ACCR for the study period (p > 0.05). On SDS-PAGE analysis of urine from experimentally induced pancreatitis dog, The 26kd band was markedly increased compared with that of normal state and that band was confirmed trypsinogen-2 using substrate interaction and isoelectric focusing assay after being eluted. When assessing the appearance of 26kd band on urine SDS-PAGE 87.1% (range: 50~100%) of experimentally induced pancreatitis dogs showed positive results, whereas no corresponding band was seen in dog without pancreatic disorders. With this result, determination of urinary trypsinogen-2 assay was found to have a high diagnostic value with a 70% of sensitivity and 100% of specificity as a routine test for pancreatitis, although the detection of trypsinogen-2 in urine can be varied on the progression stage of pancreatitis at the initial visit to animal clinic. We therefore suggest that the promising results in this study be used for the development of dipstick test for detecting acute pancreatitis in the future research.

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Spreadability observation of the denture adhesive by the amount of the water (수분함량에 따른 의치접착제의 확장성 관찰)

  • Kim, Jong-Moon;Choi, Sung-Min
    • Journal of Technologic Dentistry
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    • v.37 no.1
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    • pp.17-21
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    • 2015
  • Purpose: In this study, Spreadability of denture adhesive in accordance with the saturation level of saliva, respectively, by using the resin plate and the glass was measured thickness and Spreadability. Methods: Examine the spreadability of denture adhesive in accordance with the saturation level of saliva, respectively, by using the resin plate and the glass was measured thickness and Spreadability. Also, by measuring the adhesive strength according to the amount of saliva, and the edentulous patients using denture adhesive and dry mouth patients attempt to provide clinical information of the denture adhesive. Therefore, by using the relatively low shrinkage cold curing resin, after fabricating specimen of plate form, for 7 days, it was immersed in water. Results: For the control group only denture adhesive, an artificial saliva for the experimental group were injected in $0.1m{\ell}$, $0.2m{\ell}$ and $0.3m{\ell}$ of the denture adhesive on the surface, experimental results of the investigation of the 10 times the tensile bond strength of the specimens in each group was obtained the following results. Conclusion: As the time to pressure increase in the same amount of saliva was found that the amount coming out of the denture adhesive, as the amount of saliva in the same pressure increase coming out of many denture adhesives. And the greater the pressure came out a lot of denture adhesives. Spreadability in measuring saliva contact with $0.1m{\ell}$ and $2m{\ell}$ and $3m{\ell}$ group pressured the diameter of the circular was the denture adhesive is small when compared to the group without adding the pressure of 2kg and 3kg put the saliva. The size of the circle is the same amount of saliva denture adhesive spread more pressure showed a greater increase.

Full mouth rehabilitation in a patient with loss of vertical dimension caused by severe tooth loss: a case report (광범위한 치질 상실로 인해 수직 고경 감소 환자의 전악 수복 증례)

  • Yun, Ah-Young;Shim, Hye-Won;An, Jin-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.1
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    • pp.42-47
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    • 2014
  • Decrease of occlusal vertical dimension (OVD) due to loss of teeth structure and destruction of the occlusal plane by severely worn dentition may cause cross bite or temporomandibular joint disorder by following change of facial feature or the loss of anterior guidance. Full mouth rehabilitation via an increase of the OVD can be considered to avoid this problem and proper evaluation of patient's OVD is essential. An 80 year old male visited for overall prosthodontic treatment, cross bite due to continuous wear and following decrease of the OVD were observed. We analyzed the existing occlusal relationship using the diagnostic cast, the radiographic evaluation and clinical test, and then proper increase of OVD was selected. The new OVD on diagnostic wax up was placed by the temporary restoration. After 3 months of observation period, final restoration with fixed partial dentures and implant overdenture were made. Throughout the follow-up period of 8 months, the aesthetic and functional improvement can be obtained.

Gene Expression Analysis for Statin-induced Cytotoxicity from Rat Primary Hepatocytes

  • Ko, Moon-Jeong;Ahn, Joon-Ik;Shin, Hee-Jung;Kim, Hye-Soo;Chung, Hye-Joo;Jeong, Ho-Sang
    • Genomics & Informatics
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    • v.8 no.1
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    • pp.41-49
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    • 2010
  • Statins are competitive inhibitors of hydroxy-3-methyl glutaryl coenzyme A (HMG-CoA) reductase and used most frequently to reduce plasma cholesterol levels and to decrease cardiovascular events. However, statins also have been reported to have undesirable side effects such as myotoxicity and hepatotoxicity associated with their intrinsic efficacy mechanisms. Clinical studies recurrently reported that statin therapy elevated the level of liver enzymes such as ALT and AST in patients suggesting possible liver toxicity due to statins. This observation has been drawn great attention since statins are the most prescribed drugs and statin-therapy was extended to a larger number of high-risk patients. Here we employed rat primary hepatocytes and microarray technique to understand underlying mechanism responsible for statin-induced liver toxicity on cell level. We isolated genes whose expressions were commonly modulated by statin treatments and examined their biological functions. It is of interest that those genes have function related to response to stress in particular immunity and defense in cells. Our study provided the basic information on cellular mechanism of statin-induced cytotoxicity and may serve for finding indicator genes of statin -induced toxicity in rat primary hepatocytes.

Social Cognitive Theory and Medical Education: How Social Interactions Can Inform Learning (사회인지이론과 의학교육: 어떻게 사회적 상호작용을 통해 학습이 일어나는가)

  • Kim, Hae Won
    • Korean Medical Education Review
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    • v.22 no.2
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    • pp.67-76
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    • 2020
  • The structures and processes of medical education have changed little since the publication of Flexner's report, which stressed the scientific orientation of medical education and the curricular structure of 2 years of formal knowledge education and 2 years of clinical experience. However, the previous perspectives on medical education are facing challenges, and these call for new pedagogy and theories on which to base medical education practice. Considering that social dimensions of learning have been emphasized in practice, perspectives that integrate these aspects are needed. Among the various learning theories, social cognitive theory refers to the theoretical framework which contends that learning occurs within interactions with others and environments. From a social cognitive standpoint, learning through observation is a critical component in human functioning. Indeed, observational learning has particular significance in medical education in that it provides the context for which the importance and meaning of role models can be understood. In addition, as theoretical constructs such as self-efficacy and outcome expectations allow us to establish an effective learning environment, exploring the concepts of the theory could be beneficial to medical education practice. In this context, the present review article aims to provide a glimpse of the fundamental assumptions and theoretical concepts of social cognitive theory and discusses the implications the theory has on teaching and learning. Further, a review of previous studies could help explain how the theory has informed medical education practice. Finally, the author will conclude with the implications and limitations of applying social cognitive theory in medical education.