• 제목/요약/키워드: National University Hospital

검색결과 17,875건 처리시간 0.051초

Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia

  • Sohn, Bongyeon;Park, Samina;Lee, Hyun Joo;Jeong, Jin Hee;Choi, Sun Mi;Lee, Sang-Min;Seo, Jeong-Hwa;Kim, Young Tae
    • Journal of Chest Surgery
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    • 제52권1호
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    • pp.58-60
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    • 2019
  • Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied the pH-stat method for acid-base regulation, and thereby achieved the desired outcome without any neurologic deficit.

Fetal Lung Interstitial Tumor: A Comprehensive Case Study with an Emphasis on Next-Generation Sequencing

  • Yoo Jin Jung;Seongyeon Jung;Jiwon Koh;Jaemoon Koh;Yoon Kyung Jeon;Sung-Hye Park;Eun Na Kim;Chang Hyun Kang
    • Journal of Chest Surgery
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    • 제57권4호
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    • pp.408-412
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    • 2024
  • Fetal lung interstitial tumor (FLIT), which is characterized by immature interstitial cells resembling the fetal lung parenchyma of 20 to 24 weeks of gestation, is a rare respiratory neoplasm. This study presents the first reported FLIT in Korea. It also aims to refine the diagnostic method of FLIT and increase the accuracy of prognostic assessment by using next-generation sequencing to check for anaplastic lymphoma receptor tyrosine kinase (anaplastic lymphoma kinase) gene rearrangement. Although the initial prognosis for FLIT has been promising since its first report in 2010, certain pathological features are associated with poorer outcomes. Therefore, achieving an accurate diagnosis of FLIT is crucial for avoiding unnecessary treatments beyond surgical resection.

Psychiatric Manifestation in Patients with Parkinson's Disease

  • Han, Ji Won;Ahn, Yebin D.;Kim, Won-Seok;Shin, Cheol Min;Jeong, Seong Jin;Song, Yoo Sung;Bae, Yun Jung;Kim, Jong-Min
    • Journal of Korean Medical Science
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    • 제33권47호
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    • pp.300.1-300.17
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    • 2018
  • Parkinson's disease (PD) is the second most common neurodegenerative disorder. Although its major manifestation is motor symptoms, resulting from the loss of dopaminergic neurons in the substantia nigra, psychiatric symptoms, such as depression, anxiety, hallucination, delusion, apathy and anhedonia, impulsive and compulsive behaviors, and cognitive dysfunction, may also manifest in most patients with PD. Given that the quality of life - and the need for institutionalization - is so highly dependent on the psychiatric well-being of patients with PD, psychiatric symptoms are of high clinical significance. We reviewed the prevalence, risk factors, pathophysiology, and treatment of psychiatric symptoms to get a better understanding of PD for improved management.

Intensity-modulated radiotherapy for stage I glottic cancer: a short-term outcomes compared with three-dimensional conformal radiotherapy

  • Cho, Ick Joon;Chung, Woong-Ki;Lee, Joon Kyoo;Lee, Min-Cheol;Paek, Jayeong;Kim, Yong-Hyub;Jeong, Jae-Uk;Yoon, Mee Sun;Song, Ju-Young;Nam, Taek-Keun;Ahn, Sung-Ja;Lee, Dong Hoon;Yoon, Tae Mi;Lim, Sang-Chul
    • Radiation Oncology Journal
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    • 제37권4호
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    • pp.271-278
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    • 2019
  • Purpose: To investigate the differences in treatment outcomes between two radiation techniques, intensity-modulated radiotherapy (IMRT) and three-dimensional conformal radiotherapy (3DCRT). Materials and Methods: We retrospectively analyzed 160 (IMRT = 23, 3DCRT = 137) patients with stage I glottic cancer treated from January 2005 through December 2016. The IMRT was performed with TomoTherapy (16 patients), volumetric-modulated arc therapy (6 patients), and step-and-shoot technique (1 patient), respectively. The 3DCRT was performed with bilateral parallel opposing fields. The median follow-up duration was 30 months (range, 31 to 42 months) in the IMRT group and 65 months (range, 20 to 143 months) in the 3DCRT group. Results: The 5-year overall survival and 3-year local control rates of the 160 patients were 95.7% and 91.4%, respectively. There was no significant difference in 3-year local control rates between the IMRT and 3DCRT groups (94.4% vs. 91.0%; p = 0.587). Thirteen of 137 patients in the 3DCRT group had recurrences. In the IMRT group, one patient had a recurrence at the true vocal cord. Patients treated with IMRT had less grade 2 skin reaction than the 3DCRT group, but this had no statistical significance (4.3% vs. 21.2%; p = 0.080). Conclusion: IMRT had comparable outcomes with 3DCRT, and a trend of less acute skin reaction in stage I glottic cancer patients.

Factors Associated with Removal of Impactted Fishbone in Children, Suspected Ingestion

  • Lim, Chun Woo;Park, Min Hwan;Do, Hyun Jeong;Yeom, Jung-Sook;Park, Ji Sook;Park, Eun Sil;Seo, Ji Hyun;Park, Jung Je;Lim, Jae Young;Park, Chan Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제19권3호
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    • pp.168-174
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    • 2016
  • Purpose: The management and clinical course in pediatric patients who had ingested foreign body were investigated retrospectively to evaluate the frequency and factor associated with successful removal of fishbone foreign body. Methods: Based on the medical records of patients younger than 15 years old who visited emergency room because of foreign body ingestion from January 1999 to December 2012, the authors reviewed clinical characteristics including type of ingested foreign bodies, time to visits, managements and complications. Results: Fishbone (50.1%) was the most common ingested foreign body in children. Among 416 patients with ingested fishbone, 245 (58.9%) were identified and removed using laryngoscope, rigid or flexible endoscope from pharynx or upper esophagus by otolaryngologists and pediatric gastroenterologists. The kind of ingested fish bone in children was diverse. The mean age of identified and removed fishbone group was 7.39 years old, and higher than that of unidentified fishbone group (5.81 years old, p<0.001). Identified and removed fishbone group had shorter time until hospital visit than the unidentified fishbone group (2.03 vs. 6.47 hours, p<0.001). No complication due to ingested fishbone or procedure occurred. Conclusion: Older age and shorter time from accident to hospital visit were the different factors between success and failure on removal of ingested fish bone in children.