• 대한세포병리학회지
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• 제8권1호
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• pp.76-82
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• 1997

Two cases of pulmonary atypical carcinoid tumor were diagnosed by fine needle aspiration cytology. Although the cytologic features of atypical carcinoid tumor have been relatively well described, it is easy to confuse atypical carcinoid tumor with typical carcinoid tumor, small cell carcinoma and adenocarcinoma of the lung. Atypical carcinoid tumor has been recognized as a distinct variant of pulmonary neuroendocrine carcinoma, with characteristic histopathologic and clinical features that separate it from both carcinoid and small cell carelnoma. The distinction of atypical carcinoid tumor from small cell carcinoma has important prognostic and therapeutic implications. The cytologic characteristics of atypical carcinoid tumor included polygonal to fusiform cells with a variable amount of lacy cytoplasm, oval nuclei with coarsely dispersed chromatin and frequent nucleoli, and mild pleomorphism. The malignant cells were arranged either in acinus-like clusterg or in epithelial sheets.

• Journal of Korean Neurosurgical Society
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• 제63권5호
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• pp.590-597
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• 2020

Objective : Covered stenting is an optional strategy for traumatic carotid pseudoaneurysm, especially in malignant conditions of potential rupture, but the long-term outcomes are not clear. Our aim was to determine if covered stenting is an effective option for traumatic carotid pseudoaneurysm with promising long-term outcomes. Methods : Self-expanding Viabahn and balloon-expandable Willis covered stents were separately implanted for extra- and intracranial traumatic carotid pseudoaneurysm. The covered stent was placed across the distal and proximal pseudoaneurysm leakage under roadmap guidance. Procedural success was defined as technical success (complete exclusion of the pseudoaneurysm and patency of the parent artery) without a primary end point (any stroke or death within 30 days after the procedure). Long-term outcomes were evaluated as ischemic stroke in the territory of the qualifying artery by clinical follow-up through outpatient or telephone consultation and as the exclusion of the pseudoaneurysm and patency of the parent artery by imaging follow-up through angiography. Results : Five patients with traumatic carotid pseudoaneurysm who underwent covered stenting were enrolled. The procedural success rate was 100%. No ischemic stroke in the territory of the qualifying artery was recorded in any of the five patients during a mean clinical follow-up of 44±16 months. Complete exclusion of the pseudoaneurysm and patency of the parent artery were maintained in all five patients during a mean imaging follow-up of 39±16 months. Conclusion : Satisfactory procedural and long-term outcomes were obtained, suggesting that covered stenting is an effective option for traumatic carotid pseudoaneurysm.

• Asian-Australasian Journal of Animal Sciences
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• 제8권1호
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• pp.1-6
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• 1995

This study represented an endeavor to observe clinical signs and pathological lesions in broiler chicks suffering from experimental Infectious stunting syndrome(ISS). One hundred and twenty day old broiler chicks were divide randomly into two equal groups i.e. control (A) and inoculated (B). At day one of age each chick of the groups (A and B) was dosed with one ml of either tryptose phosphate broth or prepared inoculum respectively. Chicks of both the groups were housed separately under similar standard management. Inoculation induced characteristic clinical changes in birds of treatment group like of brownish diarrhea, lameness, feather developing problems and paleness of combs, wattles and shanks. By day-29 of the experiment all the stunted birds from group-B and an equal number of birds from group-A were slaughtered. These birds were examined thoroughly to record the gross changes in various structures and then the severely affected organs were processed for histopathological examination. The skeletons of affected birds were brittle, keel bones showed quite prominence while the muscles and subcutaneous tissues were almost devoid of fat. Grossly it was observed that pancreas, spleen and bursa of Fabricius were severely atrophied while the intestines were ballooned with undigested feed and gases. Histopathological examination of pancreas and spleen revealed a classical picture necessary for understanding the pathogenesis of the syndrome. The acivar cells of pancreas were atrophied and underwent vacuolation, degeneration and vecrosis. The zymogen granules were almost absent from the acinar cells. A characteristic change was an inflammatory reaction in one or more pancreatic ducts where the epithelium and fibrous tissues occluded the lumen of the ducts and led to the obstruction in pancreatic drainage.

• 대한한의학원전학회지
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• 제29권2호
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• pp.13-29
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• 2016

Objectives : The purpose of this study is to investigate the concept of the Chukbu(尺膚) diagnosis in Huangdineijing(黃帝內經) and explain the characteristic of Chukbu(尺膚) diagnosis and causes of its clinical applicational decline. It will help the application of the Chukbu(尺膚) diagnosis to clinical treatment. Methods : The Sikuquanshu(四庫全書) database and Traditional Chinese Medical(TCM) books web database were used. The related contents of the Chukbu(尺膚) diagnosis in Huangdineijing (黃帝內經) and its annotation books were analyzed. The mentions on the Chukbu(尺膚) diagnosis in other medical books were examined. Results & Conclusions : The Chukbu(尺膚) diagnosis is important in the diagnostic system of the Huangdineijing(黃帝內經). The Chukbu(尺膚) diagnosis is composed of inspection and palpation. Its characteristic is something different compared to that of the Chongumaek(寸口脈) diagnosis; it relatively diagnoses condition of exterior disease(表病). The causes of its clinical applicational decline are relative inconvenience, limits of feudal society, and development of Zangfubianzheng(臟腑辨證) in that era.

• Korean Journal of Acupuncture
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• 제33권4호
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• pp.176-182
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• 2016

Objectives : This study was designed to analyze the characteristic of heart rate variability(HRV) changes between Deficiency Pattern and Excess Pattern in Stroke Patients admitted to the hospital. Methods : We measured heart rate variability of stroke patients who were admitted to the Department of Korean Internal medicine, Stroke and Neurological Disorders Center from February 1, 2015 to May 30, 2016. We recruited a total of 28 stroke patients and heart rate variability tests were performed on the first day of admission, 2weeks after admission, and 4 weeks after admission. Results : VLF and LF/HF ratio significantly increased over time in Deficiency Pattern group compared with those in the Excess Pattern group. Conclusions : This results suggest that the parasympathetic function of Deficiency Pattern group is lower than that of the Excess Pattern group, resulting in imbalance of the autonomic nervous system.

• 대한한의진단학회지
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• 제18권2호
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• pp.121-136
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• 2014

Objectives For the excellent differentiation of syndromes, we study on the individual characteristic factor by the inspection of body shape. Methods To the subject of diagnosis special books and diagnostics textbook of korean medicine, we arrange the individual characteristic factor by the four methods of diagnosis. Results The individual characteristic factor analyzed by the inspection of the body shape in the "Huangdineijing 黃帝內經" and "Donguisusebowon 東醫壽世保元" was observed stereotyped. The inspection of the body shape means to diagnose the patient by examining the individual physical conditions of the patient. The body depends on visceral essence to nourish, while the functions of the viscera and the conditions of visceral essence may be reflected by the body. The inspection of individual physical strength and weakness may enable one to know the functions of the viscera and the conditions of ki(氣) and blood. And also the inspection of local regions is used to closely examine some regional areas to obtain necessary clinical data on the individual characteristic factor. Conclusion As the results, the individual characteristic factor by the inspection of body shape is very important item of the four methods of diagnosis(四診) and the differentiation of syndromes(辨證). And therefore the process on four methods of diagnosis and differentiation of syndromesis is necessary to divide the signs of individual characteristic factor and the signs of disease.

• 한국간호교육학회지
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• 제13권2호
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• pp.143-154
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• 2007

Purpose: The purpose of this study was to identify the clinical practice experiences of nursing students who completed the courses of nursing curricula in college. Method: The data was collected using a questionnaire with 191 task elements in 8 nursing standards specified by the Korean Nurses Association(2003), from December 2004 to January 2005. Three hundred thirty-three nursing students from five three-year and five four-year colleges of nursing were selected for respondents. Result: The nursing activities which over 70% of the students had performance experiences with were 23 items(12.04%) practiced frequently in clinical settings, simple, low in malpractice risk and noninvasive in characteristic. In addition, the nursing activities which under 30% of students had performance experiences with were 87 items(45.55%). The nursing activities which over 70% of students had only observation experiences with were 20 items(10.47%). Also, the nursing activities that over 30% of students didn't have any experiences with were 19 items(9.95%) not frequently seen in the clinical setting. Conclusion: It is concluded that the students are not fully qualified as the new nurses of the future. Therefore, every effort to develop a more effective clinical nursing education in school, clinical settings and in students themselves is needed.

• 한국컴퓨터정보학회논문지
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• 제22권7호
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• pp.117-123
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• 2017

This is a descriptive study to investigate the relationship between MBTI personality type, clinical practice stress, and resilience in nursing college students. The participants of this study were 75 college students of Gangwon-do nursing college. The data were analyzed by t-test, ANOVA, $Scheff{\acute{e}}$ test and Pearson correlation coefficient using SPSS win18.0. Thirteen personality types were observed in this study participants. The NT types was the highest with a mean of 4.15 in clinical practice stress according to 4 functions of MBTI and the ST types was the highest with a mean of 3.32 in resilience according to 4 fuctions of MBTI. The NT type was the highest with a mean of 4.15 in clinical practice stress according to 4 temperaments of MBTI and the SJ type was the highest with a mean of 3.27 in resilience according to 4 temperaments of MBTI. Significant differences in clinical practice stress were observed according to 4 functions(F=27.117, p<.001) and 4 temperaments(F=27.310, p<.001) of MBTI. Significant differences in resilience were observed according to 4 temperament(F=2.825, p=.045) of MBTI. Further study is necessary to provide the basic data to construct the curriculum of nursing health education which is suitable for the characteristic of MBTI personality type.

• Clinical and Experimental Pediatrics
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• 제48권11호
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• pp.1201-1205
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• 2005

목 적 : 최근 10년 동안 발생하였던 연구균 감염 후 급성 사구체신염을 5년 단위로 I군과 II군로 나누어 기간에 따른 임상 양상과 검사 소견들의 변화를 비교 분석하고자 하였다. 방 법 : 충남대학교병원 소아과에서 1995년 1월부터 2004년 8월까지 10년 동안 연구균 감염 후 급성 사구체신염으로 진단되어 입원 치료를 받았던 환아들 중에서 추적 관찰이 가능하였던 74례를 대상으로 1995년 1월부터 1999년 12월까지 I군(31명), 2000년 1월부터 2004년 8월까지 II군(43명)으로 나누어 임상 및 검사 소견들을 후향적으로 비교 분석하였다. 결 과 : I군과 II군에 대한 비교연구 결과 두 군 모두에서 남아에서 많이 발생하였고, 겨울에 빈발하였으며 1-2주의 잠복기를 나타낸 상기도 감염이 선행 질환으로 가장 많았다. 발생 연령은 II군(7.4세)에서 I군(9.2세)보다 낮았다. 육안적 혈뇨 증상의 발생 빈도는 I군과 II군 모두에서 높게 나타났으나, 두 그룹간에 의미 있는 차이는 없었다. 임상 증상의 경과에서 부종과 고혈압은 2주내에 I군과 II군 모두에서 완해되었다. 단백뇨 증상의 발생 빈도는 II군에서 I군보다 높았으며, 육안적 혈뇨와 단백뇨 증상의 발현 기간도 II군에서 I군 보다 오래 지속되었다. 결 론 : 최근 2000년대에는 연구균 감염 후 급성 사구체신염의 발생 연령이 이전보다 낮아지고, 높은 발생 빈도를 나타낸 육안적 혈뇨 증상의 발현 기간이 연장되면서, 단백뇨 증상의 발현 빈도가 증가하면서 단백뇨가 완해되는 기간도 연장되었다. 그러나 임상 경과와 예후는 차이가 없었다.

• 한국동물위생학회지
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• 제23권3호
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• pp.219-221
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• 2000

This experiment was done to determine pathological findings of swine dysentery naturally occurred in Korea. Clinical sign was characterized by mucohemorrhagic diarrhea. Characteristic mucofibrinous lesions composed of fibrin, mucus, and sloughed cell debri were mostly limited to the large intestine of affected pjgs. A myriad of coiled spirochetes were detected in the colonic crypts.