• Journal of Chest Surgery
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• 제42권4호
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• pp.540-542
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• 2009

사구종양은 정상 사구체에서 볼 수 있는 특화된 평활근 세포를 닳은 세포로 이루어진 종양으로 손가락의 손톱 아래 부위가 호발 부위이지만, 손바닥, 팔, 다리에도 잘 생기며 이외에도 무릎골, 흉벽, 골, 위, 대장, 신경 등에도 드물게 생긴다. 그러나, 기관에 생긴 사구 종양은 매우 드문데, 저자들은 기관에 생긴 1예의 사구 종양을 경험하였기에 이를 문헌 고찰과 함께 보고하고자 한다.

• Radiation Oncology Journal
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• 제31권3호
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• pp.162-170
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• 2013

Purpose: To analyze the outcome of adjuvant postoperative external beam radiotherapy (EBRT) in well-differentiated thyroid cancer (WDTC). Materials and Methods: We identified 84 patients treated with EBRT for WDTC from February 1981 to December 2010. Among them, we analyzed 39 patients who received EBRT after initial radical surgery. Twenty-four females and 15 males were included. The median age was 49 years (range, 16 to 72 years). There were 34 papillary thyroid carcinomas and 5 follicular thyroid carcinomas. Most patients showed pathologic T3/T4 stage (54%/26%). Ten patients (25.6%) had gross residual tumors. Five patients (12.8%) had tumor cells at the margin. The median EBRT dose and fraction size were 62.6 Gy and 1.8 to 2.0 Gy, respectively. Results: The median follow-up was 73 months (range, 21 to 372 months). The five-year overall survival (OS) and locoregional recurrence free survival (LRFS) were 97.4% and 86.9%, respectively. Locoregional failures occurred in 5 and all failure sites were the neck node area. In univariate analysis, OS was significantly influenced by invasion of the trachea (p = 0.016) or esophagus (p = 0.006). LRFS was significantly decreased by male (p = 0.020), gross residuum after resection (p = 0.002), close or positive tumor at surgical margin involvement (p = 0.044), and tracheal invasion (p = 0.040). No significant prognostic factor was identified in the multivariate analysis. No patient experienced the Radiation Therapy Oncology Group grade 3 or more toxicity. Conclusion: Our locoregional control rate of 87.2% is comparable to historical controls with surgery alone, even though our study had a large proportion of advanced stage. Adjuvant EBRT may an effective and safe treatment option in patients with WDTC.

• 대한의생명과학회지
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• 제10권3호
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• pp.299-303
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• 2004

The number of acute drug intoxication who visiting to emergency department which is located near urban and rural area concomitantly is inclined to increase slightly, The purpose of this study was the investigation of methods and strategies of management of acute drug intoxication in emergency department Clinical trials were done on 92 cases of acute drug intoxication visiting to Emergency Department of Chungnam National University Hospital during 4 months from April to July 2003. 1. The total number of acute drug intoxication during this period was 92 patients, which presented 0.95％ of all the emergency department visiting patients during the study. The intentional ingestions were observed in 84 cases (91.3％). 2. The maximal point of age distribution was 4th decade. The number of that was 21 cases (22.8％). 3. The number of patients who had ingested benzodiazepines and doxylamine succinates was 26 cases (28.2％), organophosphorus was 20 (21.7％), paraquat was 10 (10.8％), others were 36 (39.3％). 4. Five kinds of po1ydrug ingestion was observed in 3 cases, four kinds was observed in 3, three kinds was observed in 5 and co-ingestion of alcohol was observed in 28 cases (30.4％). 5. The mortality was occurred in 4 cases, 2 of them were caused by paraquat, 1 of them was caused by organophosphorus (OP), 1 of them was caused by acetic acid. 6. The gastric larvage as a mean of treatment modality was done in 57 cases (61.9％). The use of activated charcoal was done in 8 (8.69％). The maintenance of tracheal intubation was done in 6 (6.52％). 7. The mean observational period in emergency department was 8 hours 42 minutes in benzodiazepine and doxylamine succinate group, 21 hours 46 minutes in OP, 20 hours 39 minutes in other germicidal except OP, 23 hours 9 minutes in paraquat group. Without a drug information and intoxication center in Korea, We should minimize the exhaustion of medical resources by establishment of determinant criteria which can be seen in relatively less-complicated cases of acute drug intoxication. Thus, we should consider the introduction of simple toxicology treatment protocol and toxicologic observation unit in emergency department as possible means to reduce economical and social burdens.

• 한국임상수의학회지
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• 제29권4호
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• pp.309-314
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• 2012

연구는 방글라데시에서 조류인플루엔자와 뉴캐슬 질병 바이러스가 국내의 현장 샘플에서 혼합항원키트의 민감도와 특이성을 평가하기 위하여 육계 및 산란계와 토종 닭 그리고 사육 야생오리, 거위, 비둘기와 메추라기로부터 야외 샘플을 수집하였다. 샘플은 방글라데시의 5 지역에서 발생한 조류인플루엔자 자연감염된 것으로 의심되는 닭과 야생사육조수로부터 수집되었다. 각 지역으로부터 2마리씩 선택적으로 샘플을 수집하였으며, 각 조류에서는 면봉을 이용하여 기도, 총배설강, 구-비강으로부터 3가지 유형의 샘플을 채취하였다. 70 마리의 조류에서 총210개의 야외 샘플이 수집되었으며, 조류인플레인자와 뉴캣슬병 바이러스 혼합항원신속진단키트를 검사하였다. 210개 샘플 중에서 15개(5 마리)가 조류인플루엔자 바이러스, 63개(21 마리)가 뉴캣슬병 바이러스, 27개(9 마리)에서 두 가지의 혼합감염이 나 타났으며, 그 외에서는 모두 음성으로 나타났다. 5 곳의 조류인플루엔자 양성 중에서 Mymensingh, Netrokona, Gibandha와 Kurigram의 마켓으로부터 산란계에서, Kurigram의 마켓에서 토종닭에서 양성이 나타났다. 야생사육조수는 뉴캣슬병에 양성이거나 또는 조류인플루엔자와 뉴캣슬병 바이러스에는 감염되지 않았다. 조류인플루엔자 및 뉴캣슬병 바이러스 신속진단키트로 기도, 총배설강, 구-비강으로부터 채집한 샘플에서 동시에 검출할 수 있는 것으로서 효과적으로 사용될 것으로 평가되었다. 조류인플레인자와 뉴캣슬병 바이러스 혼합 항원 검사 결과는 명확히 두 개의 바이러스 검출을 위한 테스트 키트로서 적은 노력과 대규모의 필드 샘플로부터 이들 바이러스의 검출에 효과적으로 사용될 수 있는 최신의 과학적 방법이며, 신속하게 질병을 진단할 수 있었다.