• Title/Summary/Keyword: 의과대학

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Ischemic Stroke with Cerebral Vasculopathy in POEMS Syndrome (POEMS 증후군 환자의 뇌혈관병증에 의한 뇌졸중)

  • Kang, Sung Woo;Choi, Bo Kyu;Han, Hee Jo;Cho, Soo Mi;Cha, Jihoon;Nam, Hyo Suk;Heo, Ji Hoe;Kim, Young Dae
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.350-353
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    • 2018
  • Ischemic stroke caused by the cerebral vasculopathy is a rare complication of polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) syndrome. We present a case of recurrent ischemic strokes caused by cerebral vasculopathy in a patient with POEMS syndrome. A 34-year-old man presented with gait disturbance and dizziness. Brain magnetic resonance imaging demonstrated acute ischemic stroke in the middle cerebral artery-anterior cerebral artery (MCA-ACA) border zones of bilateral hemispheres. Repeated angiographic studies showed progressive worsening of the left distal internal carotid artery, ACA, and MCA stenoses, along with sustained steno-occlusion of right MCA.

Gastric Tuberculosis Presenting as a Subepithelial Mass: A Rare Cause of Gastrointestinal Bleeding (위장관 출혈을 일으킨 상피하 종양으로 나타난 위 결핵)

  • Kim, Tae Un;Kim, Su Jin;Ryu, Hwaseong;Kim, Jin Hyeok;Jeong, Hee Seok;Roh, Jieun;Yeom, Jeong A;Park, Byung Soo;Kim, Dong Il;Kim, Ki Hyun
    • The Korean Journal of Gastroenterology
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    • v.72 no.6
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    • pp.304-307
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    • 2018
  • Gastric tuberculosis accounts for approximately 2% of all cases of gastrointestinal tuberculosis. Diagnosis of gastric tuberculosis is challenging because it can present with various clinical, endoscopic, and radiologic features. Tuberculosis manifesting as a gastric subepithelial tumor is exceedingly rare; only several dozen cases have been reported. A 30-year-old male visited emergency room of our hospital with hematemesis and melena. Abdominal CT revealed a 2.5 cm mass in the gastric antrum, and endoscopy revealed a subepithelial mass with a visible vessel at its center on gastric antrum. Primary gastric tuberculosis was diagnosed by surgical wedge resection. We report a rare case of gastric tuberculosis mimicking a subepithelial tumor with acute gastric ulcer bleeding.

Breast Cavernous Hemangioma with Increased Size on Ultrasonography: A Case Report (초음파에서 크기가 증가한 유방 해면상 혈관종: 증례 보고)

  • Kim, Kwang-Min;Kim, Ji-Young;Kim, Soung Hee;Jeong, Myeong Ja;Kim, Soo Hyun;Kim, Jae Hyung;Bae, Kyung Eun;Lee, Ji Hae;Kang, Mi-Jin;Kim, Tae Gyu
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.311-314
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    • 2018
  • Cavernous hemangioma of the breast is a rare benign vascular tumor. It is usually diagnosed as non-palpable mass during imaging examination, incidentally. Common sonographic finding of the breast hemangioma is a superficially located, oval shape, circumscribed margin mass. But the appearance of breast hemangioma is variable and it can be difficult to diagnose in preoperatively. Here, we report a 68-year-old female case with palpable breast mass and increased size on follow up ultrasonography.

Academic Stress and Its Influencing Factors among Medical and Non-Medical Students (의대생과 비의대생의 학업 스트레스와 영향요인에 관한 연구)

  • Seong, Anna;Heo, Suyeon;Yoon, Jeonggyo;Lee, Ji Yeon;Choi, Min Gi;Jeon, Jong ha;Kim, Jae Hoon;Park, Kwi Hwa;Im, Jeong-Soo;Ko, Kwang-Pil;Jung, Jaehun;Choi, Yoon-Hyeong
    • Korean Medical Education Review
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    • v.23 no.2
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    • pp.128-138
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    • 2021
  • This study examined the relationships among personality traits, coping efficacy, and academic stress in medical and non-medical students in South Korea, and investigated the mediating effect of coping efficacy in the relationship between personality traits and academic stress. The study group comprised 210 medical students and 175 non-medical students. They were asked to rate their personality traits, coping efficacy, and academic stress. The data were analyzed using IBM SPSS ver. 26.0 (IBM Corp., Armonk, NY, USA) and AMOS ver. 26.0 (IBM Corp.). Medical students scored higher for examination stress and lower for extroversion than non-medical students. In both groups, extroversion and conscientiousness positively affected coping efficacy, while neuroticism influenced it negatively. Neuroticism directly influenced all types of academic stress in both groups, while extroversion and conscientiousness only had direct effects on examination stress among medical students. Coping efficacy mediated the associations between personality traits and academic stress, except for the relationship between neuroticism and grade stress among medical students. The study indicates that coping efficacy had a significant effect on relieving academic stress among students with higher scores for extroversion and conscientiousness. Efforts should be made to decrease neuroticism to lower academic stress, as the relationship between neuroticism and academic stress is not directly influenced by coping efficacy. The implications of these results are discussed regarding a consultation system for students, especially those in medical school.