• Title/Summary/Keyword: Hospital Phase

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The Shorr Versus Modified Ultrafast Papanicolaou Method for Intraoperative Diagnosis of Peritoneal Washing Cytology in Advanced Gastric Cancer: A Phase II Study

  • So Hyun Kang ;Hee Young Na;Younghwa Choi;Eunju Lee ;Mira Yoo;Duyeong Hwang;Sa-Hong Min;Young Suk Park;Sang-Hoon Ahn;Yun-Suhk Suh ;Do Joong Park ;Hye Seung Lee ;Hyung-Ho Kim
    • Journal of Gastric Cancer
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    • v.23 no.4
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    • pp.549-560
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    • 2023
  • Purpose: According to the American Joint Committee on Cancer cancer staging system, positive peritoneal washing cytology (PWC) indicates stage IV gastric cancer. However, rapid intraoperative diagnosis of PWC has no established reliable method. This study evaluated and compared the diagnostic accuracy of the Shorr and the modified ultrafast Papanicolaou (MUFP) methods for intraoperative PWC. Materials and Methods: This study included patients with gastric cancer who were clinically diagnosed with stage cT3 or higher. The Shorr and MUFP methods were performed on all PWC specimens, and the results were compared with those of conventional Papanicolaou (PAP) staining with carcinoembryonic antigen immunohistochemistry. Sensitivity, specificity, and partial likelihood tests were used to compare the 2 methods. Results: Forty patients underwent intraoperative PWC between November 2019 and August 2021. The average time between specimen reception and slide preparation using Shorr and MUFP methods was 44.4±4.5 minutes, and the average time between specimen reception and pathologic diagnosis was 53.9±8.9 minutes. Eight patients (20.0%) had positive cytology in PAP staining. The Shorr method had a sensitivity of 75.0% and specificity of 93.8%; the MUFP method had 62.5% sensitivity and 100.0% specificity. The area under the curve was 0.844 for Shorr and 0.813 for MUFP. In comparing the C-indices of each method with overall survival, no difference was found among the Shorr, MUFP, and conventional PAP methods. Conclusions: The Shorr and MUFP methods are acceptable for the intraoperative diagnosis of PWC in advanced gastric cancer.

Evaluation of Chest Density in Insight Film (Insight film을 이용한 농도측정 평가)

  • Kwon, Lee-Seon;Park, Jang-Hwan;Lim, Oh-Soo;Jung, Kyong-Mo;Cheung, Hwan
    • Journal of radiological science and technology
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    • v.15 no.2
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    • pp.17-23
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    • 1992
  • Simple chest radiography is the most frequently performed examination in radiologic practice. However, with transmitted dose through chest which has the problem of wide variations in absorption, conventional Film/Screen Combinations Method make it difficult to delineate lung field mediastinum & cardia portion and subdiaphragmatic structures. In order to overcome this problem, we have been tried several methods as follows. High Kilovoltage Technique, Rare Earth Screen/Wide Lattitude Film, Use of Compensating Filter and Digital Beam Attenuator and recently Insigh System has been developed. In this paper, we'd like to discuss Insight film through apperciation by measuring the difference of contrast. In order to evaluate insight film. We have done experiments using Insight System with Simple Phase, Picker 550. We could get an result which was able to overcome the limitted dynamic range of conventional Film/Screen System remarkably.

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Griscelli syndrome type 2: a novel mutation in RAB27A gene with different clinical features in 2 siblings - a diagnostic conundrum

  • Mishra, Kirtisudha;Singla, Shilpy;Sharma, Suvasini;Saxena, Renu;Batra, Vineeta Vijay
    • Clinical and Experimental Pediatrics
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    • v.57 no.2
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    • pp.91-95
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    • 2014
  • Griscelli syndrome type 2 (GS2) is a rare autosomal recessive disease caused by mutations in the RAB27A gene. It is characterized by cutaneous hypopigmentation, immunodeficiency, and hemophagocytic lymphohistiocytosis. We describe 2 brothers who had GS2 with clinically diverse manifestations. The elder brother presented with a purely neurological picture, whereas the younger one presented with fever, pancytopenia, hepatosplenomegaly, and erythema nodosum. Considering that cutaneous hypopigmentation was a common feature between the brothers, genetic analysis for Griscelli syndrome was performed. As the elder sibling had died, mutation analysis was only performed on the younger sibling, which revealed a novel homozygous mutation in the RAB27A gene on chromosome 15 showing a single-base substitution (c.136T>A p.F46I). Both parents were heterozygous for the same mutation. This confirmed the diagnosis of GS2 in the accelerated phase in both siblings. The atypical features of GS2 in these cases are a novel mutation, isolated neurological involvement in one sibling, association with erythema nodosum, and 2 distinct clinical presentations in siblings with the same genetic mutation.

Serum Carotenoid, Retinol and Tocopherol Concentrations and Risk of Cervical Cancer among Chinese Women

  • Zhang, Yuan-Yuan;Lu, Ling;Abliz, Guzalnur;Mijit, Fatima
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.2981-2986
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    • 2015
  • Background: Despite many epidemiological studies on the effects of dietary antioxidant micronutrients on risk of cervical cancer, the findings remain uncertain and little evidence is available for serum nutrient markers. The present study aimed to examine the relationship between serum carotenoid, retinol and tocopherol concentrations and risk of cervical cancer among Chinese women. Materials and Methods: We conducted a hospital-based case-control study in which 358 adults (158 incident cases and 200 controls) were recruited from Xinjiang, China. Serum levels of carotenoids (${\alpha}$-carotene, ${\beta}$-carotene, ${\beta}$-cryptoxanthin, lycopene and lutein/zeaxanthin), retinol, and tocopherols (${\alpha}$-tocopherol and ${\gamma}$-tocopherol) were assessed by reverse-phase high-performance liquid chromatography. Results: We found inverse associations between serum carotenoid (${\alpha}$-carotene, ${\beta}$-carotene, and lutein/zeaxanthin) and tocopherol (${\alpha}$-tocopherol) concentrations and the risk of cervical cancer after adjusting for potential confounders, but a null association for retinol. The ORs for 1-SD increase were 0.71 (95 % CI: 0.56-0.92; p=0.003) for total carotenoids and 0.75 (95 % CI: 0.60-0.94; p=0.008) for total tocopherols. Conclusions: These results show that higher serum concentrations of some carotenoids and tocopherols are associated with a lower risk of cervical cancer among Chinese women.

Sulforaphane Inhibits the Proliferation of the BIU87 Bladder Cancer Cell Line via IGFBP-3 Elevation

  • Dang, Ya-Mei;Huang, Gang;Chen, Yi-Rong;Dang, Zhong-Feng;Chen, Cheng;Liu, Feng-Lei;Guo, Ying-Fang;Xie, Xiao-Dong
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.4
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    • pp.1517-1520
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    • 2014
  • Aim: To investigate effects of sulforaphane on the BIU87 cell line and underlying mechanisms involving IGFBP-3. Methods: Both BIU87 and IGFBP-3-silenced BIU87 cells were treated with sulforaphane. Cell proliferation was detected by MTT assay. Cell cycle and apoptosis were determined via flow cytometry. Quantitative polymerase chain reaction and Western blotting were applied to analyze the expression of IGFBP-3 and NF-${\kappa}B$ at both mRNA and protein levels. Results: Sulforaphane (80 ${\mu}M$) treatment could inhibit cell proliferation, inducing apoptosis and cell cycle arrest at G2/M phase. All these effects could be antagonized by IGFBP-3 silencing. Furthermore, sulforaphane (80 ${\mu}M$) could down-regulate NF-${\kappa}B$ expression while elevating that of IGFBP-3. Conclusions: Sulforaphane could suppress the proliferation of BIU87 cells via enhancing IGFBP-3 expression, which negatively regulating the NF-${\kappa}B$ signaling pathway.

A case report of climacteric woman improved with Soyangin Hyeongbangsabaeksan (갱년기 장애 환자를 소양인 형방사백산으로 치료한 치험 1례)

  • Lee, Sang-Yong;Cha, Jae-Deog;Kim, Eun-Yi;Kim, Kyung-Sun;Kwak, Chang-Kyu;Kim, Hyoung-Soon;Kim, Kyung-Sok
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.3
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    • pp.118-123
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    • 2003
  • The climacteric is the period of passage out of the reproductive stage of life and into the nonreproductive phase. The climacteric can be accompanied by wide-ranging, uncomfortable and disruptive symptoms. Symptoms that are related to hormonal changes include abnormal bleeding, facial flushing, and urogenital discomfort. This patient was 45- year-old woman who had headache, facial flushing, thirst, fatigue, irregular menstruation, urogenital discomfort and had been diagnosed and teated climacteric. We classified this patient as Soyangin(少陽人) Yin collapsed ease(亡陰證) and prescribed Hyeongbangsabaeksan(荊防瀉白散). We experienced the good effect of Hyeongbangsabaeksan on Soyangin Mangyin-disease We report the healing process and the result of treatment in this study.

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Case Report on Traditional Korean Medicine of an Acute Intracerebral Hemorrhage Patient Diagnosed with Moyamoya Disease (모야모야병으로 인한 출혈성 뇌졸중 환자 1례에 대한 증례보고)

  • Park, Jong-il;Kim, Geun-yeob;Ko, Heung;Shin, Son-mi;Kim, Ki-tae
    • The Journal of Internal Korean Medicine
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    • v.37 no.2
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    • pp.420-426
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    • 2016
  • Objective: This case report examined a patient to determine if traditional Korean medicine treatment was effective for treating acute intracerebral hemorrhage (ICH) diagnosed with moyamoya disease.Method: The patient was treated with herbal medicine, acupuncture, and Western medicine and was followed up with for symptoms, vital signs, and brain computed tomography (CT) scans.Results: During the treatment, the patient’s mental state was mostly alert. The patient’s headaches were improved after the use of painkillers; the patient’s fever and blood pressure were well controlled. The cerebral hematoma was removed smoothly.Conclusion: Traditional Korean medical therapy (herbal medicine and acupuncture) along with Western methods appeared to be effective in managing the acute phase of ICH diagnosed with moyamoya disease.

Community Integration Study through Rehabilitation Medical Support for People with Disabilities

  • Eun-Mee CHOI;Chang-Gun LEE;Lee-Seung KWON
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.1
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    • pp.51-65
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    • 2024
  • Purpose: This study is to propose the establishment and direction of a public health-medical cooperation system for rehabilitation medical services for people with physical and brain disabilities in Gangneung, Korea. Research design, data and methodology: The study focused on 30 individuals with these disabilities registered. Data was collected from December 20, 2021, to December 31, 2021, through structured surveys administered by researchers visiting disability-related facilities, utilizing convenience and random sampling methods. Descriptive statistics and cross-analysis were applied for analysis. Results: Specifically, among respondents with physical disabilities, a total of 20 needs were identified, with 'Visiting health services' (25.0%) and 'Oral health services' (20.0%) ranking highest. The survey results regarding visit-based rehabilitation services for disability support showed a high demand, emphasizing the necessity of service provision tailored to the needs of recipients, focusing on disability prevention, health management, and motor function recovery, rather than solely medical or therapeutic concepts. Conclusions: Gangwon National University Hospital, as the regional referral hospital in Gangwon, should collaborate with Gangwon Province Rehabilitation Hospital to provide prompt acute rehabilitation services. Moreover, cooperation and collaboration with Gangneung Asan Hospital, the tertiary hospital in the region, are essential to ensure continued acute and recovery phase rehabilitation therapy for a certain period in the Gangneung area.

Scan Manifestations and Blood Clearance Rates in Typhoid Liver (티프스 간(肝)의 주사(走査)소견과 간혈류 동태)

  • Bahk, Yong-Whee;Ahn, Jae-Sung;Kim, Soon-Hi
    • The Korean Journal of Nuclear Medicine
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    • v.4 no.2
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    • pp.67-71
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    • 1970
  • Fourteen patients with typhoid fever were studied by scanning and clearance-rate measurements of subcritical dose colloidal radiogold($^{198}Au$). Mild to moderate enlargement of the liver and spleen was noted in 78.6 and 64.3 per cent of patients, respectively; and splenic and spinal bone-marrow uptake was seen in 78.6 and 57.1 per cent of cases, respectively. Typically, these scan changes occurred concomitantly (57.1%) and are considered to represent increased phagocytic activity of the RE cells which is characteristic of typhoid fever. The half clearance-time was significantly shortened during the first 10-day period of the illness indicating an increas in the hepatic blood in the early phase of typhoid infection. Hepatomegaly, splenomegaly and extrahepatic uptakes along with an accelerated (or later a normal) clearance time are characteristic of typhoid fever.

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Images of Benign Vocal Fold Lesions Using Videokymogram

  • Ahn, Cheol-Min;Yoon, Seon-Young;Chung, Duk-Hee
    • Speech Sciences
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    • v.7 no.1
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    • pp.89-96
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    • 2000
  • Examination of the vibrations of the vocal fold is very important in patients with voice changes. The newly developed videokymography (VKG) takes images in real time and records irregular vibrations of the vocal fold. However, there are few data on VKG findings. We studied VKG to evaluate the vibratory characteristics of the vocal fold in benign vocal fold lesions. Unique vibratory patterns, blurred demarcation of the mucosal propagation, decreased margin amplitudes, asymmetry in phase or amplitude, and a level difference of the contact site were observed in each benign vocal-fold lesion. We conclude that each type of laryngeal lesion has specific characteristic which are revealed by VKG examination, these parameters can be quantified and used to objectively evaluate VKG findings. Based on these results, VKG can be used as a supplementary diagnostic tool.

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