• Title/Summary/Keyword: 갑상선질환

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From A to Z of Thyroid Disease with Which the Psychiatrist should be Familiar (정신과의사가 알아야 할 갑상선질환의 A부터 Z까지)

  • Chung, Jae-Hoon
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.2
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    • pp.73-80
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    • 2006
  • Thyroid disease is highly Prevalent, and many Physicians encounter the Patients with thyroid disease on many occasions. However, many doctors may make an erroneous diagnosis because of its variable clinical manifestation. Thyroid tumor is the most common disease which is detected in more than 30% of general population. Recently, the incidence of thyroid cancer is increasing to be a leading position in female cancer. Therefore, clinical physicians should be familiar with thyroid disease due to its high prevalence and heterogeneous clinical features.

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Clinical Characteristics of Autoimmune Thyroid Disease Developed in Patients with Type 1 Diabetes Mellitus (1형 당뇨병 환자에서 갑상선 질환이 발생한 경우의 임상적 특성)

  • Lee, Se Min;Chung, Hye Rim;Hong, Su Young;Shin, Choong Ho;Yang, Sei Won
    • Clinical and Experimental Pediatrics
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    • v.48 no.3
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    • pp.292-297
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    • 2005
  • Purpose : It is known that 3-50 percent of type 1 diabetes mellitus(T1DM) patients develop autoimmune thyroid disease. We analyzed the clinical characteristics of autoimmune thyroid disease(AITD) developed in patients with T1DM in Korean. Methods : The medical records of 139 patients, who were followed up in Department of Pediatrics, Seoul National University Children's Hospital from Jan. 1981 to Jul. 2004, were analyzed retrospectively. Results : Forty-four males and 95 females were enrolled. At least one of the autoantibodies for thyroid was positive in 54 cases. The detection rate for AITD was not correlated with sex ratio, control of T1DM, body mass index, age at diagnosis of T1DM, and familial history of thyroid disease, between two groups. In the male group, AITD was more frequently found at a younger age than in the female group. The frequency of AITD was significantly higher in the goiter group without sex differences. In the thyroid disease group, 40 patients(74.0 percent) were euthyroid, seven patients(12.9 percent) were hypothyroid, and seven patients(12.9 percent) were hyperthyroid. Conclusion : We should monitor thyroid function and autoantibodies routinely in T1DM patients who develop goiters, or young boys with T1DM.

Training of Hypothyroid Using Multilayer Perceptrons (다층 퍼셉트론에 의한 갑상선 질환 학습 방법 비교)

  • Oh, Sang-Hoon
    • Proceedings of the Korea Contents Association Conference
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    • 2015.05a
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    • pp.65-66
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    • 2015
  • 다층퍼셉트론은 학습성능이 우수하여 많은 패턴인식 문제에 응용되고 있다. 그 응용문제 중 하나인 갑상선 질환 진단 문제는 학습이 어려운 문제이다. 이 논문에서는 다층퍼셉트론으로 갑상선 진단 질환을 학습하는 여러 방법을 비교하고, 성능이 좋지 않은 원인을 토대로 성능 향상을 위한 방법을 제시하겠다.

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Study on the Usefulness of Ultrasonography for Postpartum Depression and Thyroid Disease (출산 후 우울증과 갑상선질환에 대한 초음파검사의 유용성에 관한 연구)

  • Lee, Yun-Yi;Lim, Cheong-Hwan;Jung, Hong-Ryang;Park, Mi-Ja;You, In-Gyu
    • Journal of radiological science and technology
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    • v.35 no.3
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    • pp.237-248
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    • 2012
  • Postpartum depression(PPD) of women with depression increased frequency of thyroid disease, and so the correlations for depression and thyroid disease has been the subject of discussed whether. The purpose of this study was to predict the prevalence of PPD and the correlation between PPD and thyroid disease through ultrasonography. January 2010 to November 2011, Obstetrics & Gynecology in M-clinical center admitted 230 patients within 1 year postpartum were enrolled. EPDS by PPD scale depression screening and general characteristics of subjects were investigated and thyroid was examined that ultrasonography and thyroid blood tests. A total of 230 patients non PPD group were 53.0% and PPD group were 47.0%. In ultrasonography, among 27 patients who changed in size of thyroid, non PPD group were 14.8% and PPD group were 85.2%. Among 124 patients who thyroid nodules were presence, non PPD were 35.8% and PPD group were 64.2%. In ultrasonography, PPD group were higher incidence than non PPD group were changes in size of thyroid and the presence of nodules. There was significant difference between the changed in size of thyroid and thyroid nodules were presence the two group. Definitive histopathological diagnosis was benign in 33 patients (non PPD group were 45.5%, PPD group were 54.5%), malignancy in 5 patients (only PPD group were 100%), thyroiditis in 3 patients (non PPD group were 33.3%, PPD group were 66.7%). The results of thyroid blood tests, abnormal TSH level were 7 patients (non PPD group were 28.6%, PPD group were 71.4%) and abnormal Free T4 level were 9 patients (non PPD group were 44.4%, PPD group were 55.6%). There was no significant difference between the abnormal TSH level and Free T4 level of the two group. 5 patients were diagnosed as thyroid dysfunction. Of these, 2 patients were subclinical hyperthyroidism in non PPD group, 2 patients were subclinical hyperthyroidism and 1 patient was subclinical hyperthyroidism in PPD group. This study was significant the correlation between PPD and thyroid gland disease through ultrasonography. And the objective results of this study might be able to provide guideline that understanding, prevention and treatment for PPD and thyroid disease.

경부기도에 원발한 선양낭성암종

  • 김광현;성명훈;안순현;한문희
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1996.04a
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    • pp.85-85
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    • 1996
  • 경부기도의 종양은 편평상피암과 함께 이비인후과의에게 있어서 호흡곤란 환자의 감별진단을 위해 매우 중요한 임상적 의미를 갖는다. 종양은 암종에 의한 사망률의 0.1%이하를 차지하는 드문 질환이며 선양낭성암종은 기도의 원발성 종양중 두 번째로 많은 질환이다. 갑상선종양의 기도의 직접적인 침범이 흔히 발견되는 상태이며, 그다음으로 편평상피암, 선양낭성암종이 기도의 원발성 종양으로 흔한 질환이다. 갑상선의 악성종양이 기도의 벽이나 내강을 침입하는 것과 마찬가지로, 기도의 원발성 악성종양도 흔히 갑상선을 침범하여 갑상선의 종괴처럼 발현할 수 있다. 본 연구는 이와 같이 갑상선의 악성종양과 유사한 임상경과를 보이는 기도의 선양낭성암종의 향후 감별진단을 위해 4명의 조직학적으로 증명된 갑상선을 침범하는 기도의 선양낭성암종환자의 임상기록과 전산화 단층촬영소견을 후향적으로 관찰하였다. 전산화 단층촬영에서 이들은 기도에 넓은 기저부를 가지고 갑상선을 밀고있는 균일한 음영의 일반적으로 부드러운 경계를 가지는 종괴로 보였으며, 횡단면과 두정면에서 모두 기도 벽의 비후소견을 보였다. 이러한 소견은 기도의 원발성 선양낭성암종의 감별에 도움이 될 것으로 생각된다.

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