Journal of Yeungnam medical science最新文献_第10页

Extraspinal sacrococcygeal myxopapillary ependymoma in a teenager. 青少年骶尾部脊髓外黏液乳头状室管膜瘤。

Journal of Yeungnam medical science Pub Date : 2023-10-01 Epub Date: 2022-09-02 DOI: 10.12701/jyms.2022.00367

Minchong Kim, Mi Jin Gu

{"title":"Extraspinal sacrococcygeal myxopapillary ependymoma in a teenager.","authors":"Minchong Kim, Mi Jin Gu","doi":"10.12701/jyms.2022.00367","DOIUrl":"10.12701/jyms.2022.00367","url":null,"abstract":"school, the patient was prescribed antibiotics and surgery was planned during her vacation. Two months later, she underwent computed tomography which revealed a well-demarcated solid mass in the intragluteal fold area, which did not show any connection to the sacrum (Fig. 1A). These findings suggested tumors such as extraspinal sacrococcygeal myxopapillary ependymoma (ESME) rather than inflammatory changes. Elective surgery was performed, which revealed a multilobulated fleshy mass, measuring approximately 5.9 × 3.6 cm ( Fig. 1B). On histologic examination, the tumor was well-demarcated by a fibrous capsule and composed of papillary structures with fibrovascular cores and myxoid materials, with relatively monomorphic tumor cells arranged along the papillary wall. In some areas, focal pleomorphic cells were identified but the highest mitotic count was 1/mm. No necrosis or microvascular proliferation was observed. Immunohistochemical staining for GFAP and S100 protein was positive for tumor cells, but cytokeratin was negative and the Ki-67 index was less than 1% (Fig. 2). These features were consistent with ESME. On follow-up, brain and spine magnetic resonance imaging showed no metastasis or recurrence. ESME is a rare glial tumor, and presented in an unusual location in our case. Since the first case reported by Mallory [1], less than 50 cases occurring in childhood have been reported in the literature [2]. Because of its rarity, the tumor is sometimes misdiagnosed as pilonidal abscess or detected only after treatment, includ-","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40343236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between fatty liver disease and hearing impairment in Korean adults: a retrospective cross-sectional study. 韩国成年人脂肪肝与听力障碍的关系：一项回顾性横断面研究。

Journal of Yeungnam medical science Pub Date : 2023-10-01 Epub Date: 2023-06-26 DOI: 10.12701/jyms.2023.00304

Da Jung Jung

{"title":"Association between fatty liver disease and hearing impairment in Korean adults: a retrospective cross-sectional study.","authors":"Da Jung Jung","doi":"10.12701/jyms.2023.00304","DOIUrl":"10.12701/jyms.2023.00304","url":null,"abstract":"Background: We hypothesized that fatty liver disease (FLD) is associated with a high prevalence of hearing loss (HL) owing to metabolic disturbances. This study aimed to evaluate the association between FLD and HL in a large sample of the Korean population.Methods: We used a dataset of adults who underwent routine voluntary health checkups (n=21,316). Fatty liver index (FLI) was calculated using Bedogni's equation. The patients were divided into two groups: the non-FLD (NFLD) group (n=18,518, FLI <60) and the FLD group (n=2,798, FLI ≥60). Hearing thresholds were measured using an automatic audiometer. The average hearing threshold (AHT) was calculated as the pure-tone average at four frequencies (0.5, 1, 2, and 3 kHz). HL was defined as an AHT of >40 dB.Results: HL was observed in 1,370 (7.4%) and 238 patients (8.5%) in the NFLD and FLD groups, respectively (p=0.041). Compared with the NFLD group, the odds ratio for HL in the FLD group was 1.16 (p=0.040) and 1.46 (p<0.001) in univariate and multivariate logistic regression analyses, respectively. Linear regression analyses revealed that FLI was positively associated with AHT in both univariate and multivariate analyses. Analyses using a propensity score-matched cohort showed trends similar to those using the total cohort.Conclusion: FLD and FLI were associated with poor hearing thresholds and HL. Therefore, active monitoring of hearing impairment in patients with FLD may be helpful for early diagnosis and treatment of HL in the general population.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9690735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intravesical bacillus Calmette-Guérin-induced myopathy presenting as rhabdomyolysis: a case report. 膀胱内注射Calmette Guérin杆菌引起的以横纹肌溶解症表现的肌病：一例报告。

Journal of Yeungnam medical science Pub Date : 2023-10-01 Epub Date: 2023-02-13 DOI: 10.12701/jyms.2022.00850

Chae Hun Lee, Byeong Joo Choi, Jung Hun Kim, Tae Woong Yang, Gi Jeong Kim, Ha Young Shin, Se Hoon Kim, Seung Woo Kim

引用次数: 0

Intraabdominal abscess mimicking gastric cancer recurrence: a case report. 模拟癌症复发的腹腔脓肿：一例报告。

Journal of Yeungnam medical science Pub Date : 2023-10-01 Epub Date: 2023-02-01 DOI: 10.12701/jyms.2022.00864

Yong-Eun Park

引用次数: 0

State-of-the-art update for diagnosing diabetic foot osteomyelitis: a narrative review. 糖尿病足骨髓炎诊断的最新进展：叙述性综述。

Journal of Yeungnam medical science Pub Date : 2023-10-01 Epub Date: 2023-10-12 DOI: 10.12701/jyms.2023.00976

Inha Woo, Seung Jae Cho, Chul Hyun Park

{"title":"State-of-the-art update for diagnosing diabetic foot osteomyelitis: a narrative review.","authors":"Inha Woo, Seung Jae Cho, Chul Hyun Park","doi":"10.12701/jyms.2023.00976","DOIUrl":"10.12701/jyms.2023.00976","url":null,"abstract":"Recently, the International Working Group on the Diabetic Foot and the Infectious Diseases Society of America divided diabetic foot disease into diabetic foot infection (DFI) and diabetic foot osteomyelitis (DFO). DFI is usually diagnosed clinically, while numerous methods exist to diagnose DFO. In this narrative review, the authors aim to summarize the updated data on the diagnosis of DFO. An extensive literature search using \"diabetic foot [MeSH]\" and \"osteomyelitis [MeSH]\" or \"diagnosis\" was performed using PubMed and Google Scholar in July 2023. The possibility of DFO is based on inflammatory clinical signs, including the probe-to-bone (PTB) test. Elevated inflammatory biochemical markers, especially erythrocyte sedimentation rate, are beneficial. Distinguishing abnormal findings of plain radiographs is also a first-line approach. Moreover, sophisticated modalities, including magnetic resonance imaging and nuclear medicine imaging, are helpful if doubt remains after a first-line diagnosis. Transcutaneous bone biopsy, which does not pass through the wound, is necessary to avoid contaminating the sample. This review focuses on the current diagnostic techniques for DFOs with an emphasis on the updates. To obtain the correct therapeutic results, selecting a proper option is necessary. Based on these numerous diagnosis modalities and indications, the proper choice of diagnostic tool can have favorable treatment outcomes.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41222399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Evaluation research in Korean medical education: a systematic review. 韩国医学教育评价研究:系统回顾。

Journal of Yeungnam medical science Pub Date : 2023-07-01 DOI: 10.12701/jyms.2022.00563

Hye Jin Park, Yu Ra Kim

{"title":"Evaluation research in Korean medical education: a systematic review.","authors":"Hye Jin Park, Yu Ra Kim","doi":"10.12701/jyms.2022.00563","DOIUrl":"https://doi.org/10.12701/jyms.2022.00563","url":null,"abstract":"The purpose of this study aims to analyze research trends related to ‘evaluation’ in Korean medical education through a systematic review. This study used a systematic review method, which is a research methodology for research trends and ‘literature analysis.’ Researchers searched the Korean journal literature published until the end of December 2020 in the Korean research database with keywords related to medicine and evaluation. Thus, 5,205 cases were identified. Based on these data, 143 papers were selected through a logical screening process, requiring 1 month to complete the data search and analysis process. In terms of publications, medical journals overwhelmingly outnumbered nonmedical journals until 2015; however, after 2016, the number of papers published in nonmedical journals increased, and the number of published papers was similar to that of medical journals. In terms of evaluation-related research, research on student and program evaluations has been very active compared to that on accreditation. As the number of evaluation studies has gradually decreased over the past 10 years, preparing a plan to revitalize them in Korean medical education is necessary. Considering that the role of evaluation in education has been emphasized in recent years, research on reestablishing the concept of evaluation; developing evaluation indicators; analyzing the status of student evaluation, program evaluation, and accreditation; and deriving measures to improve medical education through evaluation is required.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/4d/jyms-2022-00563.PMC10390270.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9915749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Morgagni-Stewart-Morel syndrome presenting with neurological symptoms: a case report. 以神经系统症状为表现的Morgagni-Stewart-Morel综合征1例报告

Journal of Yeungnam medical science Pub Date : 2023-07-01 DOI: 10.12701/jyms.2022.00675

Bünyamin Tosunoğlu, Nazlıcan Ergin, Nilay Kaya, Levent Ertuğrul İnan

引用次数: 0

Safety of low-dose anticoagulation in extracorporeal membrane oxygenation using the Permanent Life Support System: a retrospective observational study. 使用永久生命支持系统的体外膜氧合低剂量抗凝的安全性:一项回顾性观察研究。

Journal of Yeungnam medical science Pub Date : 2023-07-01 DOI: 10.12701/jyms.2023.00339

Kyungsub Song, Jae Bum Kim

{"title":"Safety of low-dose anticoagulation in extracorporeal membrane oxygenation using the Permanent Life Support System: a retrospective observational study.","authors":"Kyungsub Song, Jae Bum Kim","doi":"10.12701/jyms.2023.00339","DOIUrl":"https://doi.org/10.12701/jyms.2023.00339","url":null,"abstract":"Background: Bleeding and thrombosis are major complications associated with high mortality in extracorporeal membrane oxygenation (ECMO) management. Anticoagulant therapy should be adequate to reduce thrombosis. However, related studies are limited.Methods: We retrospectively reviewed all patients supported with ECMO at a single institution between January 2014 and July 2022 and included those on all types of ECMO using the Permanent Life Support System. Patients were classified into two groups according to their measured mean activated partial thromboplastin time (aPTT) during ECMO management: a high-anticoagulation (AC) group (aPTT, ≥55 seconds; n=52) and a low-AC group (aPTT, <55 seconds; n=79). The primary outcome was thrombotic or bleeding events during ECMO.Results: We identified 10 patients with bleeding; significantly more of these patients were in the high-AC group (n=8) than in the low-AC group (15.4% vs. 2.5%, p=0.01). However, thrombus events and oxygenator change-free times were not significantly different between the two groups. Four patients in the high-AC group died of bleeding complications (brain hemorrhage, two; hemopericardium, one; and gastrointestinal bleeding, one). One patient in the low-AC group developed a thrombus and died of ECMO dysfunction due to circuit thrombosis.Conclusion: Heparin did not significantly improve thrombotic outcomes. However, maintaining an aPTT of ≥55 seconds was a significant risk factor for bleeding events, especially those associated with mortality.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/75/jyms-2023-00339.PMC10390269.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9919905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Severe congenital neutropenia mimicking chronic idiopathic neutropenia: a case report. 严重先天性中性粒细胞减少模仿慢性特发性中性粒细胞减少:1例报告。

Journal of Yeungnam medical science Pub Date : 2023-07-01 DOI: 10.12701/jyms.2022.00353

Juhyung Kim, Soyoon Hwang, Narae Hwang, Yeonji Lee, Hee Jeong Cho, Joon Ho Moon, Sang Kyun Sohn, Dong Won Baek

{"title":"Severe congenital neutropenia mimicking chronic idiopathic neutropenia: a case report.","authors":"Juhyung Kim, Soyoon Hwang, Narae Hwang, Yeonji Lee, Hee Jeong Cho, Joon Ho Moon, Sang Kyun Sohn, Dong Won Baek","doi":"10.12701/jyms.2022.00353","DOIUrl":"https://doi.org/10.12701/jyms.2022.00353","url":null,"abstract":"Severe chronic neutropenia is classified as severe congenital, cyclic, autoimmune, or idiopathic. However, there is a lot of uncertainty regarding the diagnosis of severe congenital neutropenia (SCN) and chronic idiopathic neutropenia, and this uncertainty affects further evaluations and treatments. A 20-year-old man presented with fever and knee abrasions after a bicycle accident. On admission, his initial absolute neutrophil count (ANC) was 30/µL. He had no medical history of persistent severe neutropenia with periodic oscillation of ANC. Although his fever resolved after appropriate antibiotic therapy, ANC remained at 80/µL. Bone marrow (BM) aspiration and biopsy were performed, and a BM smear showed myeloid maturation arrest. Moreover, genetic mutation test results showed a heterozygous missense variant in exon 4 of the neutrophil elastase ELANE: c597+1G>C (pV190-F199del). The patient was diagnosed with SCN. After discharge, we routinely checked his ANC level and monitored any signs of infection with minimum use of granulocyte colony-stimulating factor (G-CSF), considering its potential risk of leukemic transformation. Considering that SCN can be fatal, timely diagnosis and appropriate management with G-CSF are essential. We report the case of a patient with SCN caused by ELANE mutation who had atypical clinical manifestations. For a more accurate diagnosis and treatment of severe chronic neutropenia, further studies are needed to elucidate the various clinical features of ELANE.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/14/jyms-2022-00353.PMC10390272.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9968781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of pulmonary rehabilitation on patients with acute COVID-19: a single-center case series. 肺部康复对急性COVID-19患者的影响:单中心病例系列

Journal of Yeungnam medical science Pub Date : 2023-07-01 DOI: 10.12701/jyms.2022.00591

Son Mi Lee, Min Woo Kim, Donghyun Shin, Songi Han, Ju Sun Oh

{"title":"Effect of pulmonary rehabilitation on patients with acute COVID-19: a single-center case series.","authors":"Son Mi Lee, Min Woo Kim, Donghyun Shin, Songi Han, Ju Sun Oh","doi":"10.12701/jyms.2022.00591","DOIUrl":"https://doi.org/10.12701/jyms.2022.00591","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) pandemic has been ongoing for more than 2 years. Many patients who recover from severe acute respiratory syndrome coronavirus 2 infection continue to have aftereffects such as dyspnea and fatigue, which may lead to functional decline. Therefore, the need for managing these symptoms using methods such as pulmonary rehabilitation (PR) has emerged. The purpose of this study was to report the effectiveness of PR in five patients with acute COVID-19. PR was performed in patients with persistent dyspnea and oxygen demand after COVID-19. All five patients were able to maintain an independent functional status before COVID-19. However, after acute COVID-19, they were unable to walk independently and needed assistance for activities of daily living due to dyspnea and fatigue. Therefore, they were referred to rehabilitation units, and PR was performed. The modified Medical Research Council dyspnea scale, maximal expiratory pressure (MEP), 6-minute walking test, forced vital capacity, and grip strength were assessed before and after PR, and the results were compared. After PR, the parameters improved, except for the MEP in one patient (patient 3) and the grip strength in another patient (patient 4). After PR, two out of five patients returned to work and the other three returned home. Therefore, we conclude that PR is necessary for patients with acute COVID-19 with activity limitations.","PeriodicalId":74020,"journal":{"name":"Journal of Yeungnam medical science","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/23/81/jyms-2022-00591.PMC10390284.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9912485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0