• Title/Summary/Keyword: internal medicine

검색결과 15,945건 처리시간 0.043초

호흡곤란을 주소로 한 폐암환자의 한방치료 증례보고 (One Clinical Case Report of Lung Cancer Patient with Dyspnea Prescribed Oriental Medicine)

  • 손지영;최규호;유호정;김희준;구자환;박미연;최해윤;김종대
    • 대한한방내과학회지
    • /
    • 제30권1호
    • /
    • pp.233-240
    • /
    • 2009
  • Object : This study was designed to evaluate the effects of oriental medicine therapy on a lung cancer patient. Methods : The patient was admitted on August 20. 2008 and remained until September 24. 2008. She was treated with herbal medicine. acupuncture and moxa therapy. Result & Conclusion : After the treatment. the symptoms and chest X-ray results improved. This result suggests that oriental medicine is an effective treatment for some lung cancer patients. Nevertheless more clinical case reports are needed.

  • PDF

New sedatives and analgesic drugs for gastrointestinal endoscopic procedures

  • Jae Min Lee;Yehyun Park;Jin Myung Park;Hong Jun Park;Jun Yong Bae;Seung Young Seo;Jee Hyun Lee;Hyung Ku Chon;Jun-Won Chung;Hyun Ho Choi;Jun Kyu Lee;Byung-Wook Kim;Endoscopic Sedation Committee of the Korean Society of Gastrointestinal Endoscopy
    • Clinical Endoscopy
    • /
    • 제55권5호
    • /
    • pp.581-587
    • /
    • 2022
  • Procedural sedation has become increasingly common in endoscopy. Sedatives and analgesics induce anxiolysis and amnesia. In addition, an appropriate level of sedation is necessary for safe procedures including therapeutic endoscopy. Midazolam and propofol are the most commonly used drugs in sedative endoscopy. In recent years, the need to ascertain the safety and effectiveness of sedation has increased in practice. Therefore, new sedatives and analgesic drugs for optimal sedative endoscopy, have recently emerged. This article reviews the characteristics of sedatives and analgesics, and describes their clinical use in gastrointestinal endoscopy.

Malignant Mesothelioma Diagnosed by Bronchoscopic Biopsy

  • Park, Yeon-Hee;Choi, Jae-Woo;Jung, Sang-Ok;Cho, Min-Ji;Kang, Da-Hyun;Chung, Chae-Uk;Park, Dong-Il;Moon, Jae-Young;Park, Hee-Sun;Jung, Sung-Soo;Kim, Ju-Ock;Kim, Sun-Young;Lee, Jeong-Eun
    • Tuberculosis and Respiratory Diseases
    • /
    • 제78권3호
    • /
    • pp.297-301
    • /
    • 2015
  • Malignant mesothelioma is a rare malignant neoplasm that arises from mesothelial surfaces of the pleural cavity, peritoneal cavity, tunica vaginalis, or pericardium. Typically, pleural fluid cytology or closed pleural biopsy, surgical intervention (video thoracoscopic biopsy or open thoracotomy) is conducted to obtain pleural tissue specimens. However, endobronchial lesions are rarely seen and cases diagnosed from bronchoscopic biopsy are also rarely reported. We reported the case of a 77-year-old male who was diagnosed as malignant mesothelioma on bronchoscopic biopsy from obstructing masses of the endobronchial lesion.

Geriatric risk model for older patients with diffuse large B-cell lymphoma (GERIAD): a prospective multicenter cohort study

  • Ho-Young Yhim;Yong Park;Jeong-A Kim;Ho-Jin Shin;Young Rok Do;Joon Ho Moon;Min Kyoung Kim;Won Sik Lee;Dae Sik Kim;Myung-Won Lee;Yoon Seok Choi;Seong Hyun Jeong;Kyoung Ha Kim;Jinhang Kim;Chang-Hoon Lee;Ga-Young Song;Deok-Hwan Yang;Jae-Yong Kwak
    • The Korean journal of internal medicine
    • /
    • 제39권3호
    • /
    • pp.501-512
    • /
    • 2024
  • Background/Aims: Optimal risk stratification based on simplified geriatric assessment to predict treatment-related toxicity and survival needs to be clarified in older patients with diffuse large B-cell lymphoma (DLBCL). Methods: This multicenter prospective cohort study enrolled newly diagnosed patients with DLBCL (≥ 65 yr) between September 2015 and April 2018. A simplified geriatric assessment was performed at baseline using Activities of Daily Living (ADL), Instrumental ADL (IADL), and Charlson's Comorbidity Index (CCI). The primary endpoint was event-free survival (EFS). Results: The study included 249 patients, the median age was 74 years (range, 65-88), and 125 (50.2%) were female. In multivariable Cox analysis, ADL, IADL, CCI, and age were independent factors for EFS; an integrated geriatric score was derived and the patients stratified into three geriatric categories: fit (n = 162, 65.1%), intermediate-fit (n = 25, 10.0%), and frail (n = 62, 24.9%). The established geriatric model was significantly associated with EFS (fit vs. intermediate-fit, HR 2.61, p < 0.001; fit vs. frail, HR 4.61, p < 0.001) and outperformed each covariate alone or in combination. In 87 intermediate-fit or frail patients, the relative doxorubicin dose intensity (RDDI) ≥ 62.4% was significantly associated with worse EFS (HR, 2.15, 95% CI 1.30-3.53, p = 0.002). It was related with a higher incidence of grade ≥ 3 symptomatic non-hematologic toxicities (63.2% vs. 27.8%, p < 0.001) and earlier treatment discontinuation (34.5% vs. 8.0%, p < 0.001) in patients with RDDI ≥ 62.4% than in those with RDDI < 62.4%. Conclusions: This model integrating simplified geriatric assessment can risk-stratify older patients with DLBCL and identify those who are highly vulnerable to standard dose-intensity chemoimmunotherapy.

Pulmonary Toxocariasis Mimicking Invasive Aspergillosis in a Patient with Ulcerative Colitis

  • Park, Eun Jin;Song, Joon Young;Choi, Min Ju;Jeon, Ji Ho;Choi, Jah-Yeon;Yang, Tae Un;Hong, Kyung Wook;Noh, Ji Yun;Cheong, Hee Jin;Kim, Woo Joo
    • Parasites, Hosts and Diseases
    • /
    • 제52권4호
    • /
    • pp.425-428
    • /
    • 2014
  • A 45-year-old-male who had underlying ulcerative colitis and presented with fever and dry cough. Initially, the patient was considered to have invasive aspergillosis due to a positive galactomannan assay. He was treated with amphotericin B followed by voriconazole. Nevertheless, the patient deteriorated clinically and radiographically. The lung biopsy revealed eosinophilic pneumonia, and ELISA for Toxocara antigen was positive, leading to a diagnosis of pulmonary toxocariasis. After a 10-day treatment course with albendazole and adjunctive steroids, the patient recovered completely without any sequelae. Pulmonary toxocariasis may be considered in patients with subacute or chronic pneumonia unresponsive to antibiotic agents, particularly in cases with eosinophilia.

Early Stage Loeffler's Endocarditis Detected by Transthoracic Echocardiography

  • Kang, Min Kyu;Park, Won Jong;Jung, Sung Yun;Kim, Su Mi;Kwon, Tae Hun;Ryu, Young Ha;Son, Jang Won;Shin, Dong Gu
    • Journal of Yeungnam Medical Science
    • /
    • 제29권2호
    • /
    • pp.118-120
    • /
    • 2012
  • Loeffler's endocarditis involves progressive eosinophilic infiltration of the endocardium, which leads to apical thrombotic obliteration of the ventricle and endomyocardial fibrosis, that may finally represent a characteristic feature of restrictive cardiomyopathy. This paper presents a case of a 44-year-old male with symptoms of dyspnea and peripheral hypereosinophilia, who was diagnosed with early stage Loeffler's endocarditis via multicardiac imaging modalities.

  • PDF