Chungang uihak = The Korean central journal of medicine最新文献

The Laboratory Test for the Diagnosis of Idiopathic Inflammatory Myopathies 诊断特发性炎性肌病的实验室检查

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-10-01 DOI: 10.3904/kjm.2023.98.5.249

Jinhyun Kim

引用次数: 0

Advancements in the Management of Moderate-to-Severe Ulcerative Colitis: A Revised 2023 Korean Treatment Guidelines 中重度溃疡性结肠炎的治疗进展:2023年韩国治疗指南修订版

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-10-01 DOI: 10.3904/kjm.2023.98.5.223

Soo-Young Na

引用次数: 0

Perspective on Wearable Devices for Cardiac Arrhythmia Detection 心律失常检测的可穿戴设备研究进展

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-10-01 DOI: 10.3904/kjm.2023.98.5.205

Myung-Jin Cha

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A 43-Year-Old Man with Abdominal Pain and Diarrhea for 2 Months 43岁男性，腹痛腹泻2个月

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-10-01 DOI: 10.3904/kjm.2023.98.5.241

Young-Hee Nam, Byeol-A Yoon, Song-Hee Han

引用次数: 0

Updated Guidelines for Acute Respiratory Distress Syndrome 最新急性呼吸窘迫综合征指南

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-10-01 DOI: 10.3904/kjm.2023.98.5.212

Tae Wan Kim, Won-Young Kim

{"title":"Updated Guidelines for Acute Respiratory Distress Syndrome","authors":"Tae Wan Kim, Won-Young Kim","doi":"10.3904/kjm.2023.98.5.212","DOIUrl":"https://doi.org/10.3904/kjm.2023.98.5.212","url":null,"abstract":"Acute respiratory distress syndrome (ARDS) accounts for 10% of patients admitted to the intensive care unit and 23% of patients using mechanical ventilation, with a mortality rate of 45% in severe cases. The perception that patients with ARDS are vulnerable to ventilator-induced lung injury has led to lung-protective ventilation strategies. Accordingly, the American Thoracic Society, the European Society of Intensive Care Medicine (ESICM), and the Society of Critical Care Medicine announced ARDS mechanical ventilation guidelines in 2017. Since then, based on the results of newly reported research and data accumulated throughout the coronavirus disease 2019 pandemic, the ESICM announced an amendment to the previous guidelines in 2023. The revised ARDS guidelines discuss extending the ARDS definition and its phenotypes that were not mentioned in the previous guidelines. The new guidelines encompass ventilation strategies, including positive end-expiratory pressure and recruitment maneuvers in patients receiving mechanical ventilation. In addition, various oxygenation devices, such as high-flow nasal cannulated oxygen and continuous positive airway pressure in nonmechanically ventilated patients, are introduced. This review discusses new changes in the diagnosis and treatment of ARDS based on the new ESICM guidelines, providing a supportive background and rationale.","PeriodicalId":84452,"journal":{"name":"Chungang uihak = The Korean central journal of medicine","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134979443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recent Updates on Diagnosis and Treatment of Follicular Lymphoma 滤泡性淋巴瘤诊断和治疗的最新进展

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-10-01 DOI: 10.3904/kjm.2023.98.5.231

Ga-Young Song, Deok-Hwan Yang

{"title":"Recent Updates on Diagnosis and Treatment of Follicular Lymphoma","authors":"Ga-Young Song, Deok-Hwan Yang","doi":"10.3904/kjm.2023.98.5.231","DOIUrl":"https://doi.org/10.3904/kjm.2023.98.5.231","url":null,"abstract":"Follicular lymphoma (FL) is the third most common subtype of non-Hodgkin lymphoma in Korea. Patients with FL generally present with asymptomatic lymphadenopathy, which may wax and wane for years and have indolent disease course. Most patients with FL have advanced-stage disease at diagnosis and less than 20% of patients with FL have stage I/II disease. Radiation therapy is generally accepted with the treatment of choice for limited-stage FL and results in 60-80% of 10-year overall survival rates. Patients with advanced-stage FL do not require an immediate treatment unless they have symptomatic disease, compromised end organ function, B symptoms, or cytopenia. The initial treatment of advanced-stage FL recommends rituximab-containing immunochemotherapy followed by 2 years of maintenance with rituximab, or bendamustine plus rituximab is a preferred choice because of superior progression-free survival with less toxicity than other rituximab-containing immunochemotherapy. For patients with relapsed or refractory FL, there are many options ranging from anti-CD20 monoclonal antibody alone to a combination with lenalidomide and chemotherapy or autologous stem cell transplantation. In addition, the novel approaches for relapsed or refractory FL have been applied with phosphoinositide 3-kinase inhibitor, Bruton’s tyrosine kinase inhibitor, enhancer of zeste homolog 2 inhibitor, anti-CD19 chimeric antigen receptor T-cell therapy and bispecific antibodies.","PeriodicalId":84452,"journal":{"name":"Chungang uihak = The Korean central journal of medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134936336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Podocytic Infolding Glomerulopathy in an Allograft Kidney 异体移植肾足细胞性折叠性肾小球病1例

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-10-01 DOI: 10.3904/kjm.2023.98.5.253

SaeYoung Jeong, Jiwon Lee, Woon Yong Jung, Mi-Yeon Yu, Sang-Woong Han

引用次数: 0

Human Immunodeficiency Virus Infection and Gut Microbiota: A Review on Gut Microbiome Associated with Immune Activation and Metabolic Diseases 人类免疫缺陷病毒感染与肠道菌群:与免疫激活和代谢性疾病相关的肠道菌群研究进展

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-10-01 DOI: 10.3904/kjm.2023.98.5.208

Eun-Jeong Joo

引用次数: 0

Prediction of Helicobacter pylori Infection by Endoscopic Severity of Erythematous Gastritis in Asymptomatic Adults 无症状成人红斑性胃炎严重程度对幽门螺杆菌感染的内镜预测

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-08-01 DOI: 10.3904/kjm.2023.98.4.191

I. Oh, K. Rhee, O. Kim

{"title":"Prediction of Helicobacter pylori Infection by Endoscopic Severity of Erythematous Gastritis in Asymptomatic Adults","authors":"I. Oh, K. Rhee, O. Kim","doi":"10.3904/kjm.2023.98.4.191","DOIUrl":"https://doi.org/10.3904/kjm.2023.98.4.191","url":null,"abstract":"Background/Aims: Helicobacter pylori (H. pylori) infection is correlated with erythematous gastritis, which is one of the endoscopic findings of the Sydney classification system. The present study evaluated the association between the endoscopic severity of erythematous gastritis and H. pylori infection.Methods: We prospectively enrolled asymptomatic adults who were diagnosed with erythematous gastritis during screening esophagogastroduodenoscopy. A rapid urease test was performed in all participants to diagnose H. pylori infection. The severity of erythematous gastritis was determined based on the Sydney classification system. The primary endpoint was the H. pylori infection rate according to the severity of erythematous gastritis (mild to moderate vs. severe).Results: In total, 131 patients with erythematous gastritis were included. The rate of H. pylori infection was 45.8% across all patients. Of the 131 included patients, 45 had mild gastritis, 43 had moderate gastritis, and 43 had severe gastritis. The H. pylori infection rate was significantly different between patients with mild to moderate erythematous gastritis and those with severe erythematous gastritis (20.5% vs. 97.7%, respectively; p = 0.000). After adjustment for potential confounding variables, the severity of erythematous gastritis was associated with the H. pylori infection rate. The kappa value was 0.563, and interobserver variation was 14.43%.Conclusions: H. pylori infection is observed to a moderate degree in patients with erythematous gastritis. The severity of erythematous gastritis is associated with the H. pylori infection rate.","PeriodicalId":84452,"journal":{"name":"Chungang uihak = The Korean central journal of medicine","volume":"222 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77012592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Aphasic Seizure as a Manifestation of Nonketotic Hyperglycemia in a Patient Undergoing Peritoneal Dialysis 腹膜透析患者非酮症性高血糖表现的失语发作1例

Chungang uihak = The Korean central journal of medicine Pub Date : 2023-08-01 DOI: 10.3904/kjm.2023.98.4.199

J. Ahn, Dongyeong Lee, Joohee Jeon, J. Ryu, J. Chang

引用次数: 0