Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine最新文献

제2형 당뇨병 환자에서 장기간의 Sodium-glucose Cotransporter 2 억제제 치료가 신장기능에 미치는 효과 2型糖尿病患者长期使用Sodium-glucose Cotransporter 2抑制剂治疗对肾功能的效果

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2020-08-01 DOI: 10.3904/KJM.2020.95.4.236

백종하, 오태정, 문주영, 김태희, 고승현, 문민경, 김현정, 이동원, 허규연

{"title":"제2형 당뇨병 환자에서 장기간의 Sodium-glucose Cotransporter 2 억제제 치료가 신장기능에 미치는 효과","authors":"백종하, 오태정, 문주영, 김태희, 고승현, 문민경, 김현정, 이동원, 허규연","doi":"10.3904/KJM.2020.95.4.236","DOIUrl":"https://doi.org/10.3904/KJM.2020.95.4.236","url":null,"abstract":"Chronic kidney disease is developed commonly in type 2 diabetes mellitus (T2DM) and is the most common cause of end-stage renal disease and related cardiovascular complications. Meanwhile, despite the current standard of care including optimized glucose control and the use of single-agent blockade of the renin-angiotensin-aldosterone system (RAAS), patients with T2DM remain at increased risk for death and complications from cardiorenal causes. The recent studies using sodium-glucose cotransporter 2 (SGLT2) inhibitors have shown not only glucose lowering effect, but also a reduction in blood pressure, weight loss, and a lowering cardiovascular risk. Regarding renal outcomes, the use of SGLT2 inhibitor slows the progression of kidney disease compared to placebo when added to standard care. However, concern has been raised that currently available SGLT2 inhibitors in Korea may be also associated with improved renal outcomes with long-term treatment. As a result, we aimed to evaluate the effect of long-term SGLT2 inhibitor treatment on renal function in the patients with T2DM using meta-analysis. (Korean J Med 2020;95:236-243)","PeriodicalId":86880,"journal":{"name":"Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine","volume":"2016 1","pages":"236-243"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86310317","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

16세 청소년에서 발생한 2형 자가면역 췌장염 发生在16岁青少年身上的2型自身免疫胰腺炎

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2020-04-01 DOI: 10.3904/KJM.2020.95.2.114

김소현, 백승호, 김혜영, 최수진, 김지훈, 이세희, 김명환

引用次数: 0

국가 폐암 검진 国家肺癌检查

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2020-04-01 DOI: 10.3904/KJM.2020.95.2.95

장승훈

{"title":"국가 폐암 검진","authors":"장승훈","doi":"10.3904/KJM.2020.95.2.95","DOIUrl":"https://doi.org/10.3904/KJM.2020.95.2.95","url":null,"abstract":"The results of large-scale clinical studies have shown that the lung cancer mortality rate can be reduced by lung cancer screening using low-dose computed tomography (LDCT) in high-risk populations. Lung cancer screening requires rigorous quality control to ensure that imaging can be introduced into evidence-based medical systems and that results can be effectively delivered to examinees. Cessation of smoking is indispensable for reducing mortality in parallel with lung cancer screening. Pulmonary nodules found in LDCT during the Korean National Lung Cancer Screening are categorized according to their characteristics, size, and time of discovery based on the Lung Imaging Reporting And Data System (Lung-RADS); management guidelines are followed according to categorization. To improve the efficiency of lung cancer screening, studies are currently ongoing to enable selection of high-risk groups using lung cancer prediction models and biomarkers. Based on the risk estimation classification of lung cancer, it is expected that the selection of screening subjects and the screening cycle can be differentiated, which will increase the efficiency of screening, reduce the risk of unnecessary radiation exposure, and reduce the cost of screening. (Korean J Med 2020;95:95-103)","PeriodicalId":86880,"journal":{"name":"Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine","volume":"17 1","pages":"95-103"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89916785","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: 3

크론병 환자에게 아자티오프린 치료 중 발생한 비경화성 문맥 고혈압 1예 克罗恩氏症患者在阿扎替林治疗过程中发生的非经济性文脉高血压1例

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2020-04-01 DOI: 10.3904/KJM.2020.95.2.119

박민규, 이재광, 김현수, 정윤진, 박창근, 정재권, 김대진

引用次数: 0

[Pleural biopsy]. [胸膜活检]。

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2020-02-07 DOI: 10.32388/bcn6qf

E. Sohn

引用次数: 0

20대 젊은 남자에서 발병한 췌장암 一名20多岁年轻男子罹患胰腺癌

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2020-02-01 DOI: 10.3904/KJM.2020.95.1.50

백승호, 이승수, 김지훈, 김소현, 임지혜, 이준섭, 김명환

引用次数: 0

동시성의 작은 직장 신경내분비종양에 동반된 간 전이 1예 同时性直肠神经内分泌肿瘤伴随的肝转移是1例

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2019-05-31 DOI: 10.3904/KJM.2019.94.3.281

김선아, 최지은, 김병창, 장희진, 손대경

引用次数: 1

2018년 개정 지침에 따른 특발성 폐섬유증의 진단 根据2018年修订方针特发性肺纤维症的诊断

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2019-04-01 DOI: 10.3904/KJM.2019.94.2.173

권병수, 송진우

{"title":"2018년 개정 지침에 따른 특발성 폐섬유증의 진단","authors":"권병수, 송진우","doi":"10.3904/KJM.2019.94.2.173","DOIUrl":"https://doi.org/10.3904/KJM.2019.94.2.173","url":null,"abstract":"Idiopathic pulmonary fibrosis (IPF) is a progressive fibrosing interstitial lung disease characterized by worsening lung function and dyspnea. The prognosis of IPF patients is poor, as median survival is approximately 3 years. However, recently developed IPF-specific therapies have shown improved efficacies in terms of reducing lung function decline and mortality. Therefore, the early recognition and accurate diagnosis of IPF are crucial. In 2018, new guidelines for the diagnosis of IPF were published by the Fleischner Society and by the American Thoracic Society/European Respiratory Society/Japanese Respiratory Society/Latin American Thoracic Society (ATS/ERS/JRS/ALAT). Both guidelines emphasize the need for a thorough history taking and physical examination to exclude an alternative diagnosis, such as exposure-related or connective tissue disease. The most informative initial examination is high-resolution computed tomography, the results of which can indicate the need for bronchoalveolar lavage or surgical lung biopsy, based on a multidisciplinary discussion of the findings and the patient’s clinical condition. A multidisciplinary discussion of the clinico-radiologic-pathologic findings is currently the gold standard in the diagnoisis of IPF and will allow the more effective and timely treatment of these patients. (Korean J Med 2019;94:173-181)","PeriodicalId":86880,"journal":{"name":"Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine","volume":"124 1","pages":"173-181"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89879278","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: 1

간기능의 올바른 해석 肝功能的正确解读

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2019-02-01 DOI: 10.3904/KJM.2019.94.1.89

김성은

引用次数: 3

혈전미세혈관병증의 감별 진단과 치료 血栓微血管疾病的鉴别诊断和治疗

Taehan Naekwa Hakhoe chapchi = The Korean journal of internal medicine Pub Date : 2019-02-01 DOI: 10.3904/kjm.2019.94.1.83

홍준식

引用次数: 0