Pub Date : 2019-10-01DOI: 10.12771/emj.2019.42.4.56
Yeogyeong Yoon, K. Jung-Choi
Objectives: Research on workplace violence has been conducted, but rarely has been organized systematically. In this study, we summarize the definition and classification of workplace violence studies and review the literature on workplace violence. Methods: Using academic search engines PubMed, Google Scholar and DBpia, we found 856 papers including “workplace violence” and “adverse social behavior” AND workplace in the title published until December 2018, and 208 papers were selected. The selected papers were classified by continent and country, year of publication, occupation, classification criteria of workplace violence, and research topic. Results: By country, the number of articles in the United States was the most with 40 (19.2%), followed by China 27 (13%), Korea 16 (7.7%), and Taiwan and Australia 15 (7.2%). By job category, healthcare workers accounted for the largest portion with 162 (79.0%) of the total, and 80 of them were conducted on nurses. Other occupations included civil servants, manufacturing workers, toll collectors and wageworkers. Among the classification methods of workplace violence, 147 (67.4%) articles were classified as type and there was a difference in the type of violence defined for each article. In the research topic, 114 (44.2%) articles analyzed the effects of workplace violence, and 105 (40.7%) articles describe the prevalence and characteristics of workplace violence, and 23 (8.9%) articles analyzing the causes of violence. Conclusion: The research topic is biased toward the field of healthcare, so it is necessary to expand to include various occupations or other specified occupations. It is also necessary to prepare appropriate measures against workplace violence. (Ewha Med J 2019;42(4):56-64) Received July 25, 2019 Revised October 10, 2019 Accepted October 11, 2019
目的:已经对工作场所暴力进行了研究，但很少有系统的组织。在本研究中，我们总结了工作场所暴力研究的定义和分类，并回顾了有关工作场所暴力的文献。方法:利用PubMed、Google Scholar和DBpia等学术搜索引擎，检索截至2018年12月已发表的包含“工作场所暴力”、“不良社会行为”和workplace的论文856篇，从中筛选出208篇。所选论文按大陆和国家、出版年份、职业、工作场所暴力分类标准和研究课题进行分类。结果:按国家分类，美国的论文数最多，为40篇(19.2%)，其次是中国27篇(13%)，韩国16篇(7.7%)，台湾和澳大利亚15篇(7.2%)。按工作类别划分，医护人员所占比例最大，为162人(79.0%)，其中80人是护士。其他职业包括公务员、制造业工人、收费员和工资工人。在工作场所暴力的分类方法中，147件(67.4%)物品被分类为类型，每种物品定义的暴力类型有所不同。在研究主题中，114篇(44.2%)文章分析了工作场所暴力的影响，105篇(40.7%)文章描述了工作场所暴力的普遍性和特征，23篇(8.9%)文章分析了暴力的原因。结论:研究课题偏向于医疗保健领域，有必要扩大到包括各种职业或其他特定职业。还必须制定适当的措施，防止工作场所暴力。(Ewha Med J 2019;42(4):56-64) 2019年7月25日收稿2019年10月10日修稿2019年10月11日收稿
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Pub Date : 2019-10-01DOI: 10.12771/emj.2019.42.4.49
R. Lee
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 최근 의학논문에 기재된 저자의 자격에 대한 논란이 사회적 인 문제가 되고 있다. 의학논문의 연구과정과 출판과정은 상식 과 윤리에 입각하여 작성되어야 하는 것은 원칙이나 그 정의에 대해 인지하고 규정화한 것은 ICMJE (international committee of medical journal editors)가 1978년 uniform requirements for manuscripts submitted to biomedical journals (URMs)를 제정발표하면서 명문화되었다. 국내에서는 의학학술지편집 인협의회(Korean association of medical journal editors, 이하 KAMJE)에서 당시 출판윤리위원회의 노력으로 한국판 의학 논문 출판윤리 가이드라인이 2008년 1월 31일 발표되었으며 각 학술지에 배포되었다. 그 즈음 국내학술지들이 국제 의학학 술지 색인시스템에 등재되는 것에 폭발적인 관심이 있던 시기 였고, 이로부터 학술지 편집인들의 부단한 노력에 의해 현재 KAMJE 회원학술지 중 science citation index (SCI) 등재지가 46종, SCOPUS 등재지가 95종, pubmed central (PMC) 등재지 가 101종으로 괄목할 만한 학술지의 발전을 이루었다. 이제는 출판과 연구의 윤리성에 좀더 주의를 기울여서 올바 른 학술지 출판에 대한 문화를 정착시키고 불철주야 성실하게 연구에 임하는 대부분의 젊은 연구자들과 학생들에게 정당한 저자됨의 권리를 부여하여 연구의지를 고취시키고 올바른 학 술지 출판문화를 정착시켜야 한다. 이 과정에서 그 누구도 예 외는 없으며 스스로의 양심에 걸맞는 연구자로서의 자세가 필 요하다. 이와 관련하여 한국연구재단과 전국대학교 산학협력단장• 연구처장 협의회에서 2019년 10월 1일 “연구논문의 부당한 저 자 표시 예방을 위한 권고사항”을 발표하였기에 그 내용을 편 집인의 글로 대신하고자 한다.
this is an open access article distributed under the terms of the creative creativecommons attribution non - commercial license (http: / /听说过。org / licenses / by - nc / 4.0) which permits unrestrictednon-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited。最近医学论文中记载的对作者资格的争议成为了社会问题。医学论文的研究过程和出版过程应根据常识和伦理制定的是原则，但对其定义进行认知和规定的是ICMJE (international committee of medical journal editors) 1978年发表的《uniform requirements for manuscripts submitted to biomedical》journals (URMs)的制定和发布。2008年1月31日，韩国医学学术杂志编辑协会(Korean association of medical journal editors，以下简称KAMJE)在当时出版伦理委员会的努力下，发表了韩国版医学论文出版伦理方针，并分发给了各学术杂志。当时国内学术杂志对登载在国际医学杂志索引系统上非常感兴趣，因此，在学术杂志编辑人员不断努力下，KAMJE会员学术杂志中science citation index (SCI)登载46种，SCOPUS登载95种;pubmed central (PMC)登载的杂志有101种，学术杂志取得了令人瞩目的发展。现在的出版和研究伦理性更注意,正确的稳定对学术期刊出版文化、不分昼夜投入认真研究的大部分年轻研究者和学生正当随着作者的权利赋予研究鼓吹意志,把不正确的学术出版文化定居还湖。在这一过程中，没有人例外，需要有符合自己良心的研究者的姿态。与此相关，韩国研究财团和全国大学产学合作团长•研究处长协议会于2019年10月1日发表了《预防研究论文不正当标记的劝告事项》，现将其内容用编集人的文章代替。
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Pub Date : 2019-07-01DOI: 10.12771/EMJ.2019.42.3.39
J. Hong, Kwan Chang Kim, Y. Hong
Objectives: Elevated pulmonary pressure and right ventricular (RV) dysfunction are the hallmarks of pulmonary vascular disease in animal models and human patients with pulmonary arterial hypertension (PAH). Monocrotaline models of PAH are widely used to study the pathophysiology of PAH. The purpose of this study was to evaluate the severity of PAH rat model by tissue Doppler imaging (TDI). Methods: PAH was induced in Sprague-Dawley rats by monocrotaline (M) group. The peak systolic (s’), early diastolic (e’), and late diastolic myocardial velocities (a’) were measured using TDI at basal segments. Tricuspid annular plane systolic excursion (TAPSE) was measured in the 4-chamber view. Velocity of a tricuspid regurgitation (TR) jet was measured to estimate the pulmonary artery pressure to assess the severity of PAH. Results: Decrease in the RV shortening fraction and ejection fraction were observed in the M group compared with the control (C) group. RV e’ velocity and s’ velocity were significantly lower in the M group compared with the C group. The TAPSE was significantly lower in the M group compared with the C group (1.26±0.22 mm vs. 2.83±0.34 mm). The TR velocity was significantly higher in the M group compared with the C group (4.48±0.34 m/sec vs. 1.23±0.02 m/sec). Conclusion: TAPSE is an easily obtainable, widely recognized and clinically useful echocardiographic parameter of global RV function in the PAH rat model. We recommend that TDI would be a helpful diagnostic tool to evaluate the RV function in PAH rat model. (Ewha Med J 2019;42(3):39-45) Received December 10, 2018 Revised July 3, 2019 Accepted July 4, 2019
目的:肺动脉高压(PAH)动物模型和人类患者肺血管疾病的标志是肺动脉压升高和右心室(RV)功能障碍。多环芳烃的单碱模型被广泛应用于多环芳烃的病理生理研究。本研究采用组织多普勒成像(TDI)评价PAH模型大鼠的严重程度。方法:采用单苦参碱(M)组对sd大鼠进行多环芳烃诱导。采用TDI测定基底节段收缩峰值(s′)、舒张早期(e′)和舒张晚期心肌速度(a′)。在四室视图下测量三尖瓣环状平面收缩偏移(TAPSE)。测量三尖瓣反流(TR)流速，估计肺动脉压，以评估PAH的严重程度。结果:与对照组相比，M组右心室缩短分数和射血分数明显降低。与C组相比，M组RV e′速度和s′速度显著降低。M组TAPSE明显低于C组(1.26±0.22 mm vs. 2.83±0.34 mm)。M组的TR速度明显高于C组(4.48±0.34 M /sec vs. 1.23±0.02 M /sec)。结论:在PAH大鼠模型中，TAPSE是一种容易获得、被广泛认可且具有临床应用价值的全心室功能超声心动图参数。我们认为TDI是评价PAH模型大鼠RV功能的一种有用的诊断工具。(Ewha Med J 2019;42(3):39-45)收稿日期:2018年12月10日
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Pub Date : 2019-07-01DOI: 10.12771/EMJ.2019.42.3.25
Jingang Woo, So Yeon Kim, H. Kim, Kyoung Sook Jeong, Eun Sung Kim, E. Ha
Jingang Woo*, Soyeon Kim*, Haesoon Kim, Kyoung Sook Jeong, EunMee Kim, Eunhee Ha EwhaWomans University College of Medicine, Department of Pediatrics, EwhaWomans University College of Medicine, Seoul; Department of Occupational and Environmental Medicine, Hallym University Sacred Heart Hospital, Anyang; Department of International Studies, Graduate School of International Studies, EwhaWomans University, Seoul; Department of Occupational and Environment Medicine, EwhaWomans University College of Medicine, Seoul, Korea Review Article Ewha Med J 2019;42(3):25-38 https://doi.org/10.12771/emj.2019.42.3.25 eISSN 2234-2591
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Pub Date : 2019-07-01DOI: 10.12771/EMJ.2019.42.3.46
M. Ohe
An 81-year-old man suffering from autoimmune hepatitis, who had been on prednisolone (10–20 mg/day) and azathioprine (AZA) (50 mg/day) for about 5 months, was diagnosed with macrocytic anemia during a routine examination. Before treatment with prednisolone and AZA, complete blood count revealed a white blood cell count of 9,780/μL, hemoglobin level of 11.7 g/dL with a mean corpuscular volume of 91.9 fL (normal range, 80–99 fL), and platelet count of 18.4×10/μL. Five months after treatment with prednisolone and AZA, complete blood count revealed a white blood cell count of 6,180/μL, hemoglobin level of 7.2 g/dL with a mean corpuscular volume of 109.1 fL, and platelet count of 17.5×10/μL. Serological tests revealed iron level of 116 μg/dL (normal range, 40–190 μg/ dL), free thyroxine level of 1.10 ng/dL (normal range, 0.9–1.70 ng/dL), vitamin B12 level of 462 pg/mL (normal range, 233–914 pg/mL), folic acid level of 7.4 ng/mL (normal range, 3.6–12.9 ng/mL), and anti-DNA antibody (Ab) level of <1.7 IU/mL (normal value, <6.0 IU/mL). The results of tests for antivirus immunoglobulin M (IgM) Ab were negative for antiparvovirus B19 IgM Ab, anti-Epstein-Barr virus capsid antigen IgM Ab, and anti-cytomegalovirus IgM Ab. Bone marrow aspiration revealed a normocellular bone marrow. The aspiration smear revealed a neutrophil with hypersegmentation (Fig. 1), an erythroblast with a bilobulated nucleus (Fig. 2A), an erythroblast with abundant cytoplasm and a multilobulated nucleus (Fig. 2B), an erythroblast with a multilobulated nucleus and HowellJolly bodies (Fig. 2C), an erythrocyte with abundant cytoplasm and Howell-Jolly bodies (Fig. 2D), and a megakaryocyte with separated nuclei (Fig. 3). However, no chromosomal aberrations were observed. Based on these findings, vitamin B12 or folic acid deficiency, viral infections, and systemic lupus erythematosus that led to anemia with myelodysplasia were not diagnosed. Considering AZA-induced hematopoietic disorder, AZA treatment was discontinued, leading to normalization of macrocytic Images and Solution Ewha Med J 2019;42(3):46-47 https://doi.org/10.12771/emj.2019.42.3.46 eISSN 2234-2591
{"title":"Azathioprine-induced Myelodysplasia Mimicking Myelodysplastic Syndrome","authors":"M. Ohe","doi":"10.12771/EMJ.2019.42.3.46","DOIUrl":"https://doi.org/10.12771/EMJ.2019.42.3.46","url":null,"abstract":"An 81-year-old man suffering from autoimmune hepatitis, who had been on prednisolone (10–20 mg/day) and azathioprine (AZA) (50 mg/day) for about 5 months, was diagnosed with macrocytic anemia during a routine examination. Before treatment with prednisolone and AZA, complete blood count revealed a white blood cell count of 9,780/μL, hemoglobin level of 11.7 g/dL with a mean corpuscular volume of 91.9 fL (normal range, 80–99 fL), and platelet count of 18.4×10/μL. Five months after treatment with prednisolone and AZA, complete blood count revealed a white blood cell count of 6,180/μL, hemoglobin level of 7.2 g/dL with a mean corpuscular volume of 109.1 fL, and platelet count of 17.5×10/μL. Serological tests revealed iron level of 116 μg/dL (normal range, 40–190 μg/ dL), free thyroxine level of 1.10 ng/dL (normal range, 0.9–1.70 ng/dL), vitamin B12 level of 462 pg/mL (normal range, 233–914 pg/mL), folic acid level of 7.4 ng/mL (normal range, 3.6–12.9 ng/mL), and anti-DNA antibody (Ab) level of <1.7 IU/mL (normal value, <6.0 IU/mL). The results of tests for antivirus immunoglobulin M (IgM) Ab were negative for antiparvovirus B19 IgM Ab, anti-Epstein-Barr virus capsid antigen IgM Ab, and anti-cytomegalovirus IgM Ab. Bone marrow aspiration revealed a normocellular bone marrow. The aspiration smear revealed a neutrophil with hypersegmentation (Fig. 1), an erythroblast with a bilobulated nucleus (Fig. 2A), an erythroblast with abundant cytoplasm and a multilobulated nucleus (Fig. 2B), an erythroblast with a multilobulated nucleus and HowellJolly bodies (Fig. 2C), an erythrocyte with abundant cytoplasm and Howell-Jolly bodies (Fig. 2D), and a megakaryocyte with separated nuclei (Fig. 3). However, no chromosomal aberrations were observed. Based on these findings, vitamin B12 or folic acid deficiency, viral infections, and systemic lupus erythematosus that led to anemia with myelodysplasia were not diagnosed. Considering AZA-induced hematopoietic disorder, AZA treatment was discontinued, leading to normalization of macrocytic Images and Solution Ewha Med J 2019;42(3):46-47 https://doi.org/10.12771/emj.2019.42.3.46 eISSN 2234-2591","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124602512","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}
Pub Date : 2019-04-01DOI: 10.12771/EMJ.2019.42.2.20
H. Moon, E. Cho, H. Yoo
In the reproductive age group, many women have several uterine myomas that present with abnormal uterine bleeding, low abdominal discomfort, and occasionally infertility [1]. Clinically, asymptomatic uterine myomas are diagnosed in 25% to 40% of all women and the incidence of myomas increases with age [1]. Although uterine myomas tend to have no positive influence on fertility, myomectomy is considered to maintain fertility. There are three types of surgical approach to perform myomectomy, including robotic-assisted, laparoscopic, and abdominal myomectomy. These surgical approaches have different advantages and disadvantages regarding patient recovery and fertility [2]. In performing myomectomy, uterine scar repair is the most important factor affecting fertility outcomes. With open myomectomy procedures, most myomas can be removed by palpating uterine walls. However, patients suffer more from postoperative wound pain and have a large scar. To avoid postoperative pain, patients often desire minimally invasive surgeries even with multiple large myomas. Other minimally invasive surgical techniques include laparoscopic or robotassisted laparoscopic myomectomy [2]. However, in laparoscopic myomectomy, it is difficult to approach the deep base origins of large myomas. It is also difficult to perform layer-by-layer sutures of the uterine wall and remove tiny and deep seated myoma nodules. Compared to laparoscopic procedures, robotic myomectomy uses fine wristed instruments with more magnification to allow approach of various myoma bases, performance Case Report Ewha Med J 2019;42(2):20-23 https://doi.org/10.12771/emj.2019.42.2.20 eISSN 2234-2591
{"title":"Lack of Haptic Feedback Is Replaced by More Developed Visual Sense during Robotic Myomectomy","authors":"H. Moon, E. Cho, H. Yoo","doi":"10.12771/EMJ.2019.42.2.20","DOIUrl":"https://doi.org/10.12771/EMJ.2019.42.2.20","url":null,"abstract":"In the reproductive age group, many women have several uterine myomas that present with abnormal uterine bleeding, low abdominal discomfort, and occasionally infertility [1]. Clinically, asymptomatic uterine myomas are diagnosed in 25% to 40% of all women and the incidence of myomas increases with age [1]. Although uterine myomas tend to have no positive influence on fertility, myomectomy is considered to maintain fertility. There are three types of surgical approach to perform myomectomy, including robotic-assisted, laparoscopic, and abdominal myomectomy. These surgical approaches have different advantages and disadvantages regarding patient recovery and fertility [2]. In performing myomectomy, uterine scar repair is the most important factor affecting fertility outcomes. With open myomectomy procedures, most myomas can be removed by palpating uterine walls. However, patients suffer more from postoperative wound pain and have a large scar. To avoid postoperative pain, patients often desire minimally invasive surgeries even with multiple large myomas. Other minimally invasive surgical techniques include laparoscopic or robotassisted laparoscopic myomectomy [2]. However, in laparoscopic myomectomy, it is difficult to approach the deep base origins of large myomas. It is also difficult to perform layer-by-layer sutures of the uterine wall and remove tiny and deep seated myoma nodules. Compared to laparoscopic procedures, robotic myomectomy uses fine wristed instruments with more magnification to allow approach of various myoma bases, performance Case Report Ewha Med J 2019;42(2):20-23 https://doi.org/10.12771/emj.2019.42.2.20 eISSN 2234-2591","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122788817","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}
Pub Date : 2019-04-01DOI: 10.12771/EMJ.2019.42.2.15
R. Inamdar, A. Cho, H. Yoo, H. Moon
Objectives: The aim of our study is to compare the findings of investigative modalities and second look laparoscopy in ovarian cancer and establish the safety and accuracy of second look laparoscopy for detecting ovarian cancer. Methods: We retrospectively reviewed 11 patients with ovarian cancer treated by a single surgeon from 2006 to 2013. These patients were diagnosed at the time of primary cytoreductive surgery and received six cycles of combination chemotherapy. Then, they underwent second look laparoscopy. They were followed up with tumor markers monthly and PET-CT and/or CT scans. Results: All 11 patients had undergone primary surgery followed by six cycles of consolidation chemotherapy. Eight patients had positive pathologic findings on second look laparoscopy (72.7 %). The CA 125 level was higher in one patient (12.5%). In seven patients who had positive results on second look laparoscopy, the value was well below normal limits (87.5%). Three patients had recorded increases in fluorodeoxyglucose uptake (37.5%). The increase in standardized uptake values in specific regions in the scans corresponded to positive biopsies from those regions. Seven patients who had positive findings on second look laparoscopy were treated with consolidation chemotherapy. The 5-year survival rate was 66.67%, and the 5-year recurrence rate was 33.33%. Conclusion: There are limitations to the accuracy of current investigative techniques, and we must rely on clinical correlation with these modalities for each case of second look laparoscopy. It is feasible to safely perform second look laparoscopy to detect remnant ovarian cancer. (Ewha Med J 2019;42(2):15-19) Received July 16, 2018 Revised March 31, 2019 Accepted April 8, 2019
目的:本研究的目的是比较两种检查方式在卵巢癌检查中的结果，并建立腹腔镜检查卵巢癌的安全性和准确性。方法:回顾性分析2006年至2013年11例由同一外科医生治疗的卵巢癌患者。这些患者在原发性细胞减少手术时被诊断出来，并接受了6个周期的联合化疗。然后，他们接受了第二次腹腔镜检查。每个月随访肿瘤标志物和PET-CT和/或CT扫描。结果:11例患者均接受了初始手术和6个周期的巩固化疗。8例患者复检病理结果阳性(72.7%)。1例患者(12.5%)CA 125水平较高。在7例复检结果阳性的患者中，该值远低于正常值(87.5%)。3例患者氟脱氧葡萄糖摄取增加(37.5%)。扫描中特定区域标准化摄取值的增加与这些区域的活检呈阳性相对应。7例二次腹腔镜检查阳性的患者接受巩固化疗。5年生存率66.67%，5年复发率33.33%。结论:目前的调查技术的准确性存在局限性，我们必须依靠与这些模式的临床相关性来判断每一例腹腔镜检查。采用复视腹腔镜检查残余卵巢癌是可行的。(Ewha Med J 2019;42(2):15-19)收稿日期:2018年7月16日修稿日期:2019年3月31日收稿日期:2019年4月8日
{"title":"Is Second Look Laparoscopy for Diagnosing Remaining Ovarian Cancer Appropriate Further Treatment?","authors":"R. Inamdar, A. Cho, H. Yoo, H. Moon","doi":"10.12771/EMJ.2019.42.2.15","DOIUrl":"https://doi.org/10.12771/EMJ.2019.42.2.15","url":null,"abstract":"Objectives: The aim of our study is to compare the findings of investigative modalities and second look laparoscopy in ovarian cancer and establish the safety and accuracy of second look laparoscopy for detecting ovarian cancer. Methods: We retrospectively reviewed 11 patients with ovarian cancer treated by a single surgeon from 2006 to 2013. These patients were diagnosed at the time of primary cytoreductive surgery and received six cycles of combination chemotherapy. Then, they underwent second look laparoscopy. They were followed up with tumor markers monthly and PET-CT and/or CT scans. Results: All 11 patients had undergone primary surgery followed by six cycles of consolidation chemotherapy. Eight patients had positive pathologic findings on second look laparoscopy (72.7 %). The CA 125 level was higher in one patient (12.5%). In seven patients who had positive results on second look laparoscopy, the value was well below normal limits (87.5%). Three patients had recorded increases in fluorodeoxyglucose uptake (37.5%). The increase in standardized uptake values in specific regions in the scans corresponded to positive biopsies from those regions. Seven patients who had positive findings on second look laparoscopy were treated with consolidation chemotherapy. The 5-year survival rate was 66.67%, and the 5-year recurrence rate was 33.33%. Conclusion: There are limitations to the accuracy of current investigative techniques, and we must rely on clinical correlation with these modalities for each case of second look laparoscopy. It is feasible to safely perform second look laparoscopy to detect remnant ovarian cancer. (Ewha Med J 2019;42(2):15-19) Received July 16, 2018 Revised March 31, 2019 Accepted April 8, 2019","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126123834","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}
Pub Date : 2018-10-01DOI: 10.12771/EMJ.2018.41.4.86
Ji Seon Chae, J. Woo, C. Kim, E. H. Chun, H. Baik, M. Choi
report a case of successful endotracheal intubation using a videolaryngoscope in a patient with congenital anatomic defects in the cervical spine from Klippel-Feil syndrome. Patients with Klippel-Feil syndrome require much attention during anesthesia because of congenital abnormalities in head and neck regions and the high probability of neurological damage from cervical spine instability during endotracheal intubation. We report a case of successful endotracheal intubation using a videolaryngoscope in a patient with Klippel-Feil syndrome who experienced difficult transnasal intubation. (Ewha Med J 2018;41(4):86-89)
{"title":"Endotracheal Intubation Using McGrath Videolaryngoscope in Klippel-Feil Syndrome","authors":"Ji Seon Chae, J. Woo, C. Kim, E. H. Chun, H. Baik, M. Choi","doi":"10.12771/EMJ.2018.41.4.86","DOIUrl":"https://doi.org/10.12771/EMJ.2018.41.4.86","url":null,"abstract":"report a case of successful endotracheal intubation using a videolaryngoscope in a patient with congenital anatomic defects in the cervical spine from Klippel-Feil syndrome. Patients with Klippel-Feil syndrome require much attention during anesthesia because of congenital abnormalities in head and neck regions and the high probability of neurological damage from cervical spine instability during endotracheal intubation. We report a case of successful endotracheal intubation using a videolaryngoscope in a patient with Klippel-Feil syndrome who experienced difficult transnasal intubation. (Ewha Med J 2018;41(4):86-89)","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116576832","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}
Pub Date : 2018-10-01DOI: 10.12771/EMJ.2018.41.4.75
Hee Won Kang, H. Kim, Soyoung Lee, K. Ryu, H. Kim, E. Yoo, H. Choi, Kyung Hyo Kim
{"title":"Clinical Observations of Kikuchi-Fujimoto Disease in Children and Adolescents: A Single Center Experience","authors":"Hee Won Kang, H. Kim, Soyoung Lee, K. Ryu, H. Kim, E. Yoo, H. Choi, Kyung Hyo Kim","doi":"10.12771/EMJ.2018.41.4.75","DOIUrl":"https://doi.org/10.12771/EMJ.2018.41.4.75","url":null,"abstract":"","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127092740","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}
Pub Date : 2018-10-01DOI: 10.12771/EMJ.2018.41.4.82
H. Heo, Y. Kim, Ji Hye Lee, S. Im, O. Kim, Han Gyeol Lee
Postherpetic neuralgia (PHN) is a chronic and refractory pain disease characterized by neuropathic pain that persists even after successful herpes zoster (HZ) treatment. Treatments for PHN include pharmacological modalities, including anticonvulsants and antidepressants, as well as non-pharmacological modalities such as block of the infiltrated nerve, nerve stimulation, spinal cord simulation, and intrathecal drug administration. However, PHN currently has no definitive cure; instead, the goal of treatment is to alleviate symptoms. Patients with PHN may exhibit pain as a symptom of nerve irritation or damage to the infiltrated area. They may also experience allodynia due to mechanical stimulation or temperature change, as well as hypoesthesia and paresthesia. However, the same symptoms can appear as a result of other diseases that cause neuropathic pain. Therefore, when PHN does not respond to treatment, when the response to treatment changes, or when the pain pattern changes worsens, various tests must be performed, including medical history taking and physical examination, to exclude secondary causes other than PHN. In the present report, we describe a case of PHN that had been kept under control using pharmacological therapy and nerve block, but deteriorated after the patient began wearing an upper complete denture. The symptoms were relieved following correction of the upper complete denture. We report the details of this case, along with a literature review.
{"title":"Postherpetic Neuralgia Aggravated by Upper Complete Denture","authors":"H. Heo, Y. Kim, Ji Hye Lee, S. Im, O. Kim, Han Gyeol Lee","doi":"10.12771/EMJ.2018.41.4.82","DOIUrl":"https://doi.org/10.12771/EMJ.2018.41.4.82","url":null,"abstract":"Postherpetic neuralgia (PHN) is a chronic and refractory pain disease characterized by neuropathic pain that persists even after successful herpes zoster (HZ) treatment. Treatments for PHN include pharmacological modalities, including anticonvulsants and antidepressants, as well as non-pharmacological modalities such as block of the infiltrated nerve, nerve stimulation, spinal cord simulation, and intrathecal drug administration. However, PHN currently has no definitive cure; instead, the goal of treatment is to alleviate symptoms. Patients with PHN may exhibit pain as a symptom of nerve irritation or damage to the infiltrated area. They may also experience allodynia due to mechanical stimulation or temperature change, as well as hypoesthesia and paresthesia. However, the same symptoms can appear as a result of other diseases that cause neuropathic pain. Therefore, when PHN does not respond to treatment, when the response to treatment changes, or when the pain pattern changes worsens, various tests must be performed, including medical history taking and physical examination, to exclude secondary causes other than PHN. In the present report, we describe a case of PHN that had been kept under control using pharmacological therapy and nerve block, but deteriorated after the patient began wearing an upper complete denture. The symptoms were relieved following correction of the upper complete denture. We report the details of this case, along with a literature review.","PeriodicalId":197820,"journal":{"name":"The Ewha Medical Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129399681","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}
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