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Application of Human Papillomavirus in Screening for Cervical Cancer and Precancerous Lesions

  • Wang, Jin-Liang;Yang, Yi-Zhuo;Dong, Wei-Wei;Sun, Jing;Tao, Hai-Tao;Li, Rui-Xin;Hu, Yi
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.2979-2982
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    • 2013
  • Cervical cancer is a commonly-encountered malignant tumor in women. Cervical screening is particularly important due to early symptoms being deficient in specificity. The main purpose of the study is to assess the application value of cervical thinprep cytologic test (TCT) and human papillomavirus (HPV) detection in screening for cervical cancer and precancerous lesions. In the study, cervical TCT and HPV detection were simultaneously performed on 12,500 patients selected in a gynecological clinic. Three hundred patients with positive results demonstrated by cervical TCT and/or HPV detection underwent cervical tissue biopsy under colposcopy, and pathological results were considered as the gold standard. The results revealed that 200 out of 12,500 patients were abnormal by TCT, in which 30 cases pertained to equivocal atypical squamous cells (ASCUS), 80 cases to low squamous intraepithelial lesion (LSIL), 70 cases to high squamous intraepithelial lesion (HSIL) and 20 cases to squamous cell carcinoma (SCC). With increasing pathological grade of cervical biopsy, however, TCT positive rates did not rise. Two hundred and eighty out of 12,500 patients were detected as positive for HPV infection, in which 50 cases were chronic cervicitis and squamous metaplasia, 70 cases cervical intraepithelial neoplasia (CIN) I, 60 cases CIN II, 70 cases CIN III and 30 cases invasive cervical carcinoma. Two hundred and thirty patients with high-risk HPV infection were detected. With increase in pathological grade, the positive rate of high-risk HPV also rose. The detection rates of HPV detection to CIN III and invasive cervical carcinoma as well as the total detection rate of lesions were significantly higher than that of TCT. Hence, HPV detection is a better method for screening of cervical cancer at present.

Systemic Analysis on Laparoscope-Assisted Gastrectomy for Patients with Gastric Cancer

  • Hu, Jun-Hong;Tang, Hong-Na;Ma, Yong-Ping;Wang, Chen-Yu;Yao, Kun-Hou;Zhang, Jun-Jie;Ren, Xue-Qun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.5
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    • pp.2027-2029
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    • 2015
  • Background: Laparoscope-assisted gastrectomy in treating patients with gastric cancers developed with a background of highly invasive traditional surgery and is being increasingly performed in the Asian Pacific area. This study systemically investigated the technique and clinical results for comparison with traditional radical subtotal gastrectomy for gastric cancers. Methods: Clinical studies evaluating the effectiveness and side effects of laparoscope-assisted gastrectomy in treating patients with gastric cancers were identified using a predefined search strategy. Summary rates of effectiveness and side effects of laparoscope-assisted gastrectomy were calculated. Results: Thirteen clinical studies which including 1,412 patients with gastric cancer treated by laparoscope-assisted gastrectomy were considered eligible for inclusion. Systemic analysis showed that, for all patients, the pooled resection rate was 100%. Major adverse effects were anastomotic stenosis, abdominal abscess, abdominal bleeding, postoperative ileus. Treatment related death occurred in 0. 71% (10/1412). Conclusion: This systemic analysis suggests that laparoscope-assisted gastrectomy in treating patients with gastric cancers is associated with good curative rate and acceptable complications.

Bilaterality of Internal Derangements of Temporomandibular joint (악관절 내장의 양측성)

  • Choi, Hyung-Sik;Chang, Duk-Soo;Lee, Dong-Soo;Kwon, Chil-Sung;Lee, Sung-Il;Jung, In-Won;Kim, Pan-Sik
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.221-225
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    • 1989
  • Arthrography is one of highly accurate diagnostic tools for internal derangements of the temporomandibular joint (TMJ). Both TM joints are connected by the mandible and one may have influence upon the other. We performed bilateral TMJ arthrograms in 42 patients with TMJ disorders to evaluate the bilaterality of internal derangements of the TMJ. The results were as follows : 1. We could not find any specificity in clinical symptoms according to each state of internal derangements of the TMJ. 2. The bilaterality of internal derangements of the TMJ was 61%. 3. Statistically, significant correlation was found in the aspects of the presence of arthrographic abnormality in both TMJ and each state of internal derangements in them. Therefore, the patients, who are diagnosed as any internal derangement of the TMJ, need to have assured examination in the contralateral joint.

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Consecutive Scanning of Ovulation Via Transvaginal Sonography (초음파를 이용한 배란의 연속관찰)

  • Kang, Y.C.;Kim, D.S.;Lee, W.H.;Park, J.Y.;Ou, H.R.;Park, Y.S.
    • Clinical and Experimental Reproductive Medicine
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    • v.20 no.2
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    • pp.131-135
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    • 1993
  • The ultrasonographic examination with vaginal probe(5MHz) was undertaken in 101 patients at infertility clinic of Eul-Ji General Hospital. This study was performed to evaluate the number of mature follicles per menstrual cycle, the relationship of both ovaries for consecutive ovulatory cycle and the responsiveness of follicular growth followed by administration of ovulation inductant. The results were as follows; 1. The ovulation induction group with clomiphene citrate showed more follicles than natural menstrual cycle group. 2. Each means of numbers of follicles between ovaries showed no difference between natural and ovulatory induction groups. 3. The rate of follicular growth per one menstrual cycle showed higher in the clomiphene citrate induced cycle group. 4. Clomiphene citrate induced group tends to be easier for multiple follicular growth but had no significant difference in statistics. 5. The ipsilateral Vs. contralateral follicular growth rate for consecutive menstrual cycles in both ovaries showed no significant difference between two groups.

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Chorpart's Dislocation: A Case Report (중족근 관절 탈구: 1예 보고)

  • Choi, Jun-Weon;Choi, Joon-Choil;Na, Hwa-Yeop;Shim, Dong-Joon;Kim, Young-Ho;Lee, Sang-Ho;Cho, Hyoung-Wook
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.1
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    • pp.121-124
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    • 2005
  • The midtarsal joint which consists of the talonavicular and calcaneocuboid joints lies transversely across the medial and lateral arches of the foot. Complete dislocation of this joint unassociated with fracture is extremely rare. A 36 year-old male who was injured by motor vehicle accident came to help for his left midfoot pain and deformity. We misdiagnosed as subtalar dislocation. Closed reduction was performed. We reviewed initial and post-reduction X-rays, and then we diagnosed as Chopart's dislocation. CT scan was taken; it showed fracture of the anterior process of the calcaneous.

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Synoivial Chondromatosis of the Ankle Joint and Flexor Hallucis Longus Tendon Sheath (족관절 및 장족무지 굴건막에 동시에 발생한 활액막 연골종증)

  • Kim, Seong-Tae;Lee, Sung-Rak;Lee, Bong-Jin;Kim, Sung-Soo;Moon, Myung-Sang;Kim, Ki-Chun;Yoon, Min-Geun
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.2
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    • pp.173-176
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    • 2010
  • Synovial chondromatosis is a benign lesion forming multiple round cartilagenous nodules or osseous loose bodies in joint cavity. Predilection sites are known as knee, hip and elbow joints. However, the involvement of ankle joint was rarely reported in the literature. Moreover, extraarticular chondromatosis in synovial sheath or bursa of extremities is extremely rare. We present a case of synovial chondromatosis of the left ankle joint and flexor hallucis longus tendon sheath.

Treatment of pulmonary thromboembolism using Arrow-Trerotola percutaneous thrombolytic device

  • Kim, Tae Kyun;Park, Ji Young;Bae, Jun Ho;Choi, Jae Woong;Ryu, Sung Kee;Kim, Min-Jung;Kim, Jun Bong;Sohn, Jang Won
    • Journal of Yeungnam Medical Science
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    • v.31 no.1
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    • pp.28-32
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    • 2014
  • Pulmonary thromboembolism (PTE) increases the pressure of the right ventricle and leads to symptoms and signs, such as dyspnea and hypoxia. If PTE causes hemodynamic instability, thrombolytic therapy should be considered. A mechanical thrombectomy is an alternative treatment to thrombolytic therapy and should be considered when thrombolytic therapy is contraindicated. Various devices are used in mechanical maceration and catheter-directed thrombolysis, but there is no standard mechanical device for PTE as yet. We report here on 2 clinical experiences of mechanical thrombectomy using the Arrow-Trerotola percutaneous thrombolytic device to remove residual clots after systemic thrombolysis in patients with massive PTE.

BEHCET DISEASE WITH SUPERIOR VENA CAVA THROMBUS IN A PATIENT PRESENTING DELAYED FACIAL WOUND HEALING : A CASE REPORT (단순안면열상환자에서 발생한 창상치유지연 및 상대정맥혈전증을 동반한 베체트병 : 증례보고)

  • Choi, Sun-Mi;Ha, Joo-Hyo;Kim, Sun-Ae;Choi, Mi-Ra;Jung, Su-Jin;Lee, Hyen-Soo;Yang, Soo-Nam
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.2
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    • pp.198-204
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    • 2008
  • Behcet Disease is a multisystem inflammatory disorder of unknown orign. It is characterized by recurrent oral ulcer, genital ulcer, skin lesions and ocular inflammation, and which may involve the joints, skin, central nervous system and gastrointestinal tract. Because Behcet Disease dose not have any specific symptoms and laboratory findings, the diagnosis is made on the basis of the criteria proposed by the the International Study Group for Behcet Disease. Behcet Disease is affecting both arteries and veins, and clinically manifest large vessel involvement occurs in between 7 and 49% of patients. Superior vena cava thrombosis is a rare but well-recognized manifestation of Behcet disease. We report a case of a Behcet Disease with superior vena cava thrombosis in a patient presenting delayed facial wound healing.

Retrospective Study of Facial Nerve Block for Facial Spasm (안면경련 환자에서 안면신경 차단의 추적조사)

  • Kim, Chan;Yang, Seung-Kon;Lee, Hyo-Keun;Lee, Hee-Jeon;Oh, Ji-Hyun;Noh, Won-Hwan;Kim, Seung-Hee
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.89-93
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    • 1996
  • Hemifacial spasm commonly occurs in muscles about the eye, but may also involve or spread to the entire side of the face. One hundred and seventy eight patients with hemifacial spasm visited our Neuro-Pain clinic from January 1992 to April 1996. There were 121 female and 57 male patients, a 2.1:1 ratio respectively. Largest percentages of patients were in the 50 year old range. Among them, 96 patients were treated by facial nerve block or O'Brien block. In most cases, induced facial palsy disappeared within one or two months. Among the 96 patients who received nerve block, 46 patients received a second block within 5 to 24 months. The average interval from first and second nerve block was 11.5 months. After nerve block, all patients were free from spasm for 1 to 21 months. We conclude that facial nerve block is a satisfactory and reliable method for the treatment of facial spasm.

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