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Volume 32(2); June 2009

Original Articles

[English]
Endovascular Treatment of Intracranial Aneurysms in Elderly Patients
Sung-Kyun Hwang, Sung-Hak Kim
Ihwa Ŭidae chi 2009;32(2):51-59.   Published online September 30, 2009
DOI: https://doi.org/10.12771/emj.2009.32.2.51

No abstract available in English.

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[English]
Utility of Intraoperative C-Arm Fluoroscopy for Frontal Sinusotomy
Seung-Sin Lee
Ihwa Ŭidae chi 2009;32(2):61-64.   Published online September 30, 2009
DOI: https://doi.org/10.12771/emj.2009.32.2.61

No abstract available in English.

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[English]
Sleep Quality, Depression, Social Support, and Susceptibility to Common Cold in Medical Students
Yoolwon Jeong, Jin Young Kim, Jae Sun Ryu, EunHee Ha, Hyesook Park
Ihwa Ŭidae chi 2009;32(2):65-70.   Published online September 30, 2009
DOI: https://doi.org/10.12771/emj.2009.32.2.65
Objectives

Although common cold is a major cause of morbidity among university students, studies on the risk factors in relation to physical, social, emotional life styles among university students are limited. We sought to evaluate the effects of life style, depressive symptoms, and social support in common cold among medical school students.

Methods

120 medical students were surveyed through a self-reported questionnaire. They were asked to rate the severity of eight respiratory symptoms of the Jackson Criterion during the previous month. The ratings were summed to calculate the total symptom score. Social support was assessed by using Interpersonal Support Evaluation List(ISEL). Depressive symptoms were assessed by using The Center for Epidemiologic studies Depression Scale(CES-D). A score of 16 or higher was used as the cut-off point for high depressive symptoms. Life style factors were also evaluated. that Wilcoxon rank sum test, Kruskal-Wallis test, Chi-square test, and logistic regression test were used.

Results

The symptom score ranged from 0 to 18 and the median was 10 among those who had experienced symptoms. 33(34.4%) had experienced cold during the last month. The social support score ranged from 91 to 156 and the median was 113. The prevalence of high depressive symptoms was 36.7%. Students with lower social support and higher depressive symptoms had higher cold symptom scores, although it was not statistically significant. Students who had evaluated their sleep quality and health status as bad had higher cold symptoms scores. In multiple logistics regression analysis, depression, sleep quality, and self-perceived health status were either significant or border-line significant risk factors of cold.

Conclusion

Our study suggests that life style factors such as sleep quality and self-perceived health status is associated with an increased susceptibility to common cold.

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[English]
Effect of Autogenous Iliac Bone Graft into the Loose Cancellous Bone Marrow On the Osseointegration in the Dog Tibia
Nam-Yeon Kang, Myung-Rae Kim, Sun-Jong Kim
Ihwa Ŭidae chi 2009;32(2):71-77.   Published online September 30, 2009
DOI: https://doi.org/10.12771/emj.2009.32.2.71
Objectives

This study was performed to evaluate the effect of autogenous iliac particulated marrow cancellous bone graft on osseointegration of implants in the dog tibia which has a loose bone marrow.

Methods

Three mongrel dogs, weighing about15kg or more, and RBM(resorbable blasted media) AVANA® implants(Osstem Inc., Korea) were used in this study. In the control groups, 2 implants sites were prepared conventionally with drills in the left metaphysic of tibia and 2 implants were placed in each dog under general anesthesia. In the experimental groups, 2 implant sites were prepared with drills. and the particulated marrow cancellous bone, which was obtained from the right ilium,was packed into both prepared sites with osteotomes in the right metaphysic of tib-ia in each dog. Two implants were placed. A total of 12 implants were placed in 3 dogs. The animals were sacrificed at 8 weeks after implant placement. The specimens were taken and embedded into the resin. H & E stain was done. The undecalcified specimens were prepared for histological examination and histomorphometric analysis of bone-implant contact ratios. The Mann-Whitney test was used to compare both groups.Values of p<0.01were considered statistically significant.

Results

In the cross-sectional radiographs of the control group no trabecular bone was observed in the marrow space and the implant was surrounded with radiolucent marrow space. In the experimental group Some radioaque trabecular bone was observed in the marrow space of tibia and some of the trabecula was contacted with implant surface. Histologically,in the control group few trabecular bone was observed in marrow space and there was poor osseointegration in the marrow. In the experimental group most marrow space was filled with the trabecular boneand the implant surface was contacted with trabecular bone. In histomorphomeric analysis the bone-implant contact ratio of the experimental group(75.6%) was significantly higher than that of the control group(27.1%, p<0.01).

Conclusion

The autogeneous bone graft into the loose bone marrow can be an option to improve the bone density and to get better osseointegration of dental implants.

Citations

Citations to this article as recorded by  
  • A Radiographic Evaluation of Graft Height Changes after Maxillary Sinus Augmentation according to Single-unit Implants and Multi-unit Implants
    Mi Jung Park, Myung-Rae Kim, Ji-Youn Kim, Ye-Mi Kim, Sun-Jong Kim
    The Ewha Medical Journal.2012; 35(1): 26.     CrossRef
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Case Reports
[English]
The Mixed Hepatocellular-Cholangiocarcinoma Confirmed by Liver and Neck Node Biopsy
Hye Won Kang, Jae Jung Park, Il Hwan Moon, Seo Woo Kim, Hyun Kyung Kim, Hyun Jung Oh, Go Heun Kim, Yoon Jung Choi, Hyun Mi Huh, Young Wook Roh, Tae Hun Kim, Kwon Yoo, Ji Yoon Bae, Dong Eun Song
Ihwa Ŭidae chi 2009;32(2):79-84.   Published online September 30, 2009
DOI: https://doi.org/10.12771/emj.2009.32.2.79

Mixed hepatocellular-cholangiocarcinoma accounts for about 1% of all hepatocellular carcinoma. In many cases, mixed hepatocellular-cholangiocarcinoma has been misdiagnosed as hepatocellular carcinoma or cholangiocarcinoma because of the indistinctive clinical course and radiologic findings. The clinical course and the pathologic characters are not known well, but it resembles the characteristics of hepatocellularcarcinoma rather than cholangiocarcinoma. So mixed hepatocellular-cholangiocarcinoma was classified as a kind of hepatocellular carcinoma. But the growth and dissemination rate is faster than that of hepatocellular carcinoma and the prognosis more poor. So the exact diagnosis is important. Authors experienced a patient who has the mixed hepatocellular-cholangiocarcinoma diagnosed by liver and neck node biopsy in patient who complain-ed abdominal discomfort and palpable mass, so we report the case.

Citations

Citations to this article as recorded by  
  • A Case of Curative Resection of Advanced Combined Hepatocellular-cholangiocarcinoma after Neoadjuvant Chemotherapy
    Jee Eun Choi, Kyung Hee Kim, Seon A Kim, Jung Hwan Lee, Sang Myung Woo, Sang-Jae Park, Eun Kyung Hong, Woo Jin Lee
    Korean Journal of Pancreas and Biliary Tract.2016; 21(2): 101.     CrossRef
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[English]
A Case of Lipiodol Pneumonitis After Transarterial Chemoembolization for Hepatocellular Carcinoma
So-I Kim, Yoo-Ri Kim, Hyun-Mi Heo, Suh-Eun Bae, Myung-Won Lee, Yun-Jung Choi, Go-Heun Kim, Tae-Hun Kim, Kwon Yoo, Il-Hwan Moon
Ihwa Ŭidae chi 2009;32(2):85-89.   Published online September 30, 2009
DOI: https://doi.org/10.12771/emj.2009.32.2.85

Hepatocellular carcinoma(HCC)is one of common causes of cancer-related death in Korea where the majority of HCC patients were Hepaitc B virus(HBV)carriers and have cirrhosis. Transarterial chemoembolization(TACE)is commonly applied to the treatment of multinodular HCC in Korea and careful selection of candidate is important for the risk of various side effects. Besides common side effects as fever, nausea, abdominal pain and elevation of liver enzyme, TACE may predispose to hepatic failure, ischemic cholecystitis, pulmonary embolism, cerebral embolism and pneumonitis. In previous studies, some cases of pulmonary and cerebral embolism cases were reported but lipiodol pneumonitis after TACE was rarely reported. A 65-year-old woman with a multinodular HCC associated with HBV infection, was treated with TACE. Seven days after the procedure, nonspecific respiratory symptoms such as dyspnea and dry cough developed. Chest X-ray and chest computed tomography showed diffuse ground glass opacities in whole lung fields, suggestive of lipiodol pneumonitis. After several days of supportive care with steroid administration, radiologic abnormalities and subjective symptoms were much improved, considered that the disease was compatible with lipiodol pneumonitis.

Citations

Citations to this article as recorded by  
  • Lipiodol Pneumonitis Following Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma
    Sungkeun Kim, Hee Yeon Kim, Su Lim Lee, Young Mi Ku, Yoo Dong Won, Chang Wook Kim
    Journal of Liver Cancer.2020; 20(1): 60.     CrossRef
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