Case 1

Size: px
Start display at page:

Download "Case 1"

Transcription

1 2017 KSC 개원의를위한심장혈관심포지엄 :30-16:50 심부전치료 ; 변하는것과변하지않는것 Jaewon Oh, MD Cardiology Division, Severance Cardiovascular Hospital, Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea

2 Heart Failure (HF) (1) Shortness of breath, generalized edema One of the most poor prognostic cardiovascular diseases Highest rehospitalization rate and economic cost in developed countries in addition to healthimportant in economy and society

3 Heart Failure (HF) (2) Various etiologies (e.g. myocardial infarction, valvular heart disease, chemotherapy like doxorubicin) and clinical presentations make hard to develop new drug for heart failure Only one drug was approved for HF treatment within the last 10 years by FDA (in July 2015)

4 Acute Heart Failure When HF was aggravated, HF patients need admission for dyspnea control 5-10% of acute HF patients die in hospital without discharge 1/3~1/2 of acute HF patients die within 5 years after the first diagnosis Lower survival rate than breast or prostate cancer European Society of Cardiology predict 25% increase in HF prevalence in 2030

5 Definition

6 HF is a clinical syndrome characterized by typical symptoms that may be accompanied by signs caused by a structural and/or functional cardiac abnormality, resulting in a reduced cardiac output and/or elevated intracardiac pressures at rest or during stress.

7 2016 ESC HF Guideline

8 Diagnosis

9 용적과부하 : 심부전의특징 Pulmonary congestion 폐부종, 폐울혈, 흉막삼출, 발목부종, 복수등전신부종

10 Chest X-ray finding of ADHF Cardiomegaly Pleural effusion Pulmonary edema - Batwing pattern - Increased bronchial marking

11 BNP B-type Natriuretic Peptide NT-proBNP N-terminal pro B-type Natriuretic Peptide

12 2016 ESC HF Guideline

13 HFrEF >>> Systolic HF Heart Failure with Reduced Ejection Fraction HFpEF >>> Diastolic HF Heart Failure with Preserved Ejection Fraction

14 2016 ESC HF Guideline

15 Etiology

16 2016 ESC HF Guideline

17 Epidemiology

18 심부전의유병률은향후 빠르게증가할것임 노령화사회로의짂입 고혈압, 관상동맥질홖, 당뇨병등원인질홖의빠른증가 심부전유병률증가 수술 / 치료기술발달로판막질홖, 관상동맥질홖자의장기생존증가

19 Prevalence (%) 한국에서의심부전유병률 2.0 (104% 증가, 2002 년평균 0.75% 에서 2013 년 1.53% 로증가 ) Men 1.5 Women Year 국민건강의료보험공단자료, 임남규등 ( 대한심장학회지, 2015, in press)

20 유병율 (%) 우리나라 60 세이상의심부전유병율 국민건강의료보험공단자료 ( ) 연령 심부전은주로노인에서발병하며, 심부전발생은 60 세이상에서연령이증가함에따라기하급수적으로증가한다 국민건강의료보험공단자료, 대한민국 ( 미발표 )

21 심장질홖의종착역! 1.53 %

22 How to Assess

23 심부전홖자의평가 주관적방법 1. NYHA classification 2. Questionnaire 객관적방법 1. 6MWT 2. CPX (cardiopulmonary exercise test)

24 NYHA Classification NYHA Class I II III IV 정의 일상적활동시증상없음 일상적활동시증상있음 일상적인활동보다정도가낮은활동시에도증상있음 안정시에도증상있음

25 6-minute walk test (6MWT) Eur Respir J 2011; 37:

26 Cardiopulmonary Exercise Test (CPX/CPET)

27 Treatment Medical vs. Device

28 Guideline for Heart Failure Circulation. 2013;128:e240-e327

29 Circulation. 2013;128:e240-e327

30 ESC 2016 HF Guideline

31 ACEI or ARB + BB + MRA

32 2016 ESC HF Guideline

33 2016 ESC HF Guideline

34 ESC 2016 HF Guideline

35

36 Ivabradine (procoralan) LVEF < 35% Sinus rhythm HR > 75/min On top of ACEI/ARB & BB

37 2016 ACC/AHA Update of HF Guideline

38 First in Class Drug ARNI (Angiotensin Receptor + Neprilysin Inhibitor)

39 Valsartan + Sacubitril (Entresto) 2017 년 10 월급여인정!!! LVEF < 35% On Top (4wks) of ACEI/ARB or MRA

40 2016 ACC/AHA Update of HF Guideline

41 ESC 2016 HF Guideline

42 2016 ESC HF Guideline

43 Device Therapy

44 ICD (Implantable Cardioverter Defibrillator)

45 ICD LVEF < 35% On Top (3Ms) of ACEI/ARB or BB

46 WHAT IS CRT? (Cardiac Resynchronization Therapy) Asynchronous contraction Synchronize Biventricular pacing which incorporates both a standard RV lead and a LV lead to synchronize contraction of both ventricles

47 CRT (Cardiac Resynchronization Therapy) NYHA III, QRS 142ms EF : 20% LVEDD/LVESD : 63/56mm NYHA I, QRS 120ms EF : 50% LVEDD/LVESD : 50/37mm

48 CRT LVEF < 35% QRS > 130ms On Top (3Ms) of ACEI/ARB or BB

49 ESC 2016 HF Guideline

50 HFpEF

51 HR % CI P=0.18 Bhatia et al. NEJM 2006;355:260-9

52 2017 ACC/AHA Update of HF Guideline

53 2017 ACC/AHA Update of HF Guideline

54 2017 ACC/AHA Update of HF Guideline

55 심장재활 (Cardiac Rehabilitation) 2017 년 2 월급여인정!!! Life Saved Life Worthy Event driven Tx Medication Procedure / Surgery Comprehensive Tx Nutrition, BP, Lipid, DM, Smoking, Psychosocial, Physical activity, Exercise training

56 심장재활의효과 1. 생존율향상 2. 심장질환위험요인감소

57 심장재활의현황 의료선진국에서는의무적시행 국내의경우 2017년부터급여인정 대상 : 심장질환관련시술 / 수술심부전, 혈관질환, 부정맥등

58 CV Mortality 26% Anderson et al. JACC 2016;67:1

59 Hospitalization 18% Anderson et al. JACC 2016;67:1

60 Aragan et al. JACC 2015;65:

61 세브란스심장혈관병원심장웰니스센터 Y o n s e i U n i v e r s i t y H e a l t h S y s t e m S e v e r a n c e C a r d i o v a s c u l a r H o s p i t a l The First and the Best

62 심장재홗치료 1. 유산소운동중치명적부정맥검사 - 퇴원전 / 외래방문시중강도유산소운동동안부정맥등심각한심장문제가발생하는지검사 - 안정시심전도에서는발견할수없는중강도유산소운동중다양한심장질홖여부를검사하여퇴원후안전하게운동을실시할수있는상태인지를확인 2. 하지근력운동 - 입원중심장재홗치료과정을통해하지근력운동을 직접실시하여장기적으로하지근력감소증을예방 3. 전문적인교육자료제공및운동교육 - 홖자개개인의질홖 ( 협심증, 심근경색, 관상동맥질홖, 심부전, 고혈압, 당뇨, 고지혈증 ) 을관리하기위한최적의운동법을교육

63 Take Home Message BNP (NTproBNP) HFrEF vs. HFpEF Medical (Ivabradine/ARNI) Device (ICD/CRT) Cardiac Rehabilitation

64 Thank You for Your Attention

65

66 2017 ACC/AHA Update of HF Guideline

<4D F736F F F696E74202D20B0B3BFF8C0C7BFACBCF6B0ADC1C220B0ADC0C7B7CF5FC1B6B1B8BFB5>

<4D F736F F F696E74202D20B0B3BFF8C0C7BFACBCF6B0ADC1C220B0ADC0C7B7CF5FC1B6B1B8BFB5> 순환기내과 조구영 Disorder causing dyspnea Pulmonary Air flow limitation, restrictive, chest wall, pulmonary circulation Cardiac Coronary Valvular Myocardial: systolic or diastolic disorder Anemia Peripheral circulation

More information

(Microsoft PowerPoint - S13-3_\261\350\273\363\307\366 [\310\243\310\257 \270\360\265\345])

(Microsoft PowerPoint - S13-3_\261\350\273\363\307\366 [\310\243\310\257 \270\360\265\345]) Cardiovascular Disease in Metabolic Syndrome 김상현 보라매병원내과 서울대학교의과대학내과학교실 Contents Metabolic syndrome and Cardiovascular system CVD Mortality Coronary artery disease Heart failure Atrial fibrillation Management

More information

Microsoft PowerPoint - Benefits of CRT-D in CHF.ppt

Microsoft PowerPoint - Benefits of CRT-D in CHF.ppt Benefits of CRT-D in CHF 울산의대서울아산병원 최기준 ICD and CRT : The Perfect Marriage? Michel Mirowski and Morton Mower : Two Baltimore cardiologists If CRT-P alone provide predictable SCD prevention (or anti-arrhythmic

More information

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie

Abstract Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxie Volume 12, Number 1, 92~102, An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children Myo-Jin Kim 1), Joung-Hae Bak 1), Won-Seok Seo 2) Mi-Young Kim 3), Sun-Kyoung Park 3), Jai-Soung

More information

- i - - ii - - iii - - iv - - v - - vi - - 1 - - 2 - - 3 - 1) 통계청고시제 2010-150 호 (2010.7.6 개정, 2011.1.1 시행 ) - 4 - 요양급여의적용기준및방법에관한세부사항에따른골밀도검사기준 (2007 년 11 월 1 일시행 ) - 5 - - 6 - - 7 - - 8 - - 9 - - 10 -

More information

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FA20C0D3BBF3B0ADC1C E687770> 심전도연수강좌 : 처음시작하는사람들을위한심전도 연세대학교원주의과대학순환기내과학교실 안민수 Cardiac Electrophysiology I : Automaticity : 60-100 회 /min, His bundle : 40-60 회 /min Bundle branch : 20-40 회 /min Purkinje fiber : 20 회 /min Cardiac Electrophysiology

More information

ECG & EP CASES Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center Sungkyunkwan University School of Medicine, Seoul, Korea A case of

More information

untitled

untitled Case Report : Asan Medical Center Cardiac Rehabilitation AACVPR (http://www.aacvpr.org/) KACVPR (http://www.kacvpr.com/) Backgrounds PCI 2,395 consecutive patients in Minnesota (Mayo Clinic) Between1994

More information

전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II)

전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II) 전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II) 전립선암발생률추정과관련요인분석 : The Korean Cancer Prevention Study-II (KCPS-II) - i - - ii - - iii - - iv - - v - - vi - - vii - - viii - - ix - -

More information

대한한의학원전학회지26권4호-교정본(1125).hwp

대한한의학원전학회지26권4호-교정본(1125).hwp http://www.wonjeon.org http://dx.doi.org/10.14369/skmc.2013.26.4.267 熱入血室證에 대한 小考 1 2 慶熙大學校大學校 韓醫學科大學 原典學敎室 韓醫學古典硏究所 白裕相1, 2 *117) A Study on the Pattern of 'Heat Entering The Blood Chamber' 1, Baik 1

More information

ºÎÁ¤¸ÆV10N³»Áö

ºÎÁ¤¸ÆV10N³»Áö A case of nonischemic dilated cardiomyopathy with ventricular tachycardia treated by ICD ABSTRACT Dilated cardiomyopathy (DCM) is a syndrome characterized by left or biventricular dilatation and impaired

More information

00약제부봄호c03逞풚

00약제부봄호c03逞풚 경희대학교 동서신의학병원 약품 정보지 2 0 0 7. S P R I N G. V O L. 0 1 신약 소개 02 Journal Review 03 Special Subject 04 복약 지도 06 의약품 안전성 정보 07 약제부 알림 07 약제부 업무 소개 08 E A S T - W E S T N E O M E D I C A L C E N T E R 본 약품

More information

심부전 치료의 최신지견 (새로운 치료제)

심부전 치료의 최신지견 (새로운 치료제) 심부전치료의최신지견 ( 새로운치료제 ) 국립암센터조은정 심부전가이드라인 American College of Cardiology Foundation/ American Heart Association (ACCF/AHA) (2013) European Society of Cardiology (ESC) (2016) 만성심부전진료지침 (2016) 급성심부전진료지침 (2017)

More information

한국성인에서초기황반변성질환과 연관된위험요인연구

한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 한국성인에서초기황반변성질환과 연관된위험요인연구 - - i - - i - - ii - - iii - - iv - χ - v - - vi - - 1 - - 2 - - 3 - - 4 - 그림 1. 연구대상자선정도표 - 5 - - 6 - - 7 - - 8 - 그림 2. 연구의틀 χ - 9 - - 10 - - 11 -

More information

心臟疾病細胞治療之臨床試驗簡介

心臟疾病細胞治療之臨床試驗簡介 療 臨 1 療 療 FDA 1991 年 量 Point to Consider in Human Somatic Cell Therapy and Gene Therapy 療 陸 autologous cell 量 (1996) 異 xenotransplantation (1996, 1997) 量 (1997) 1998 年 Guidance for Human Somatic Cell Therapy

More information

ºÎÁ¤¸ÆV10N³»Áö

ºÎÁ¤¸ÆV10N³»Áö A case of atrioventricular dissociation with interference ABSTRACT Interference dissociation is one of the most interesting arrhythmias. Once thought to be a rare arrhythmia, it is now considered a very

More information

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ

Pharmacotherapeutics Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee Univ Application of New Pathogenesis on the Drug Treatment of Diabetes Young Seol Kim, M.D. Department of Endocrinology Kyung Hee University College of Medicine & Hospital E mail : ycell2@yahoo.co.kr Abstract

More information

Treatment and Role of Hormaonal Replaement Therapy

Treatment and Role of Hormaonal Replaement Therapy Treatment and Role of Hormone Replacement Therapy Chung-Ang University Hospital Chee Jeong Kim 7.2 5.3 6.4 5.6 7.3 5.5 1 1 2 3 4 10 11 7 34 49 122 123 1.0 - - 10. 2001 1998 1998 Improvement of postmenopausal

More information

기관고유연구사업결과보고

기관고유연구사업결과보고 기관고유연구사업결과보고 작성요령 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 2001 ~ 2004 2005 ~ 2007 2008 ~ 2010 1 2/3 2 1 0 2 3 52 0 31 83 12 6 3 21 593 404 304 1,301 4 3 1 8 159 191 116 466 6 11 (`1: (1: 16 33 44 106

More information

ºÎÁ¤¸ÆV10N³»Áö

ºÎÁ¤¸ÆV10N³»Áö case of brugada syndrome presented as chest pain STRCT rugada syndrome was described in 1992 as a new clinical entity characterized by electrocardiographic STsegment elevation in the right precordial leads

More information

슬라이드 1

슬라이드 1 Proposed Korean guideline for the diagnosis of BPH Hyun Woo Kim The Catholic University of Korea BPH Guideline AHCPR guideline on BPH (1994) AUA guideline on BPH (2003) EAU guideline on BPH (2004) International

More information

( )Jkstro011.hwp

( )Jkstro011.hwp 비인강암의방사선치료결과및생존율에관한예후인자분석 2005 2 1 2005 3 28. :, Tel: 053)250-7665, Fax: 053)250-7984 E-mail: jhkim@dsmc.or.kr 정영연외 2 인 : 비인강암의예후인자분석 정영연외 2 인 : 비인강암의예후인자분석 Carcinoma of the nasopharynx treated by radiotherapy

More information

574-10.15(한마음)

574-10.15(한마음) 연세의료원소식 YONSEI UNIVERSITY HEALTH SYSTEM NEWS 안영수 국제협력처장과 제정환 세브란스병원 사무국장이 지난 달 17일부터 5일간 러시아 하바 롭스크와 블라디보스톡에서 열 린 러시아 의료관광 설명회에참 가했 한국관광공사에서 주관한 이번 설명회에는 국내에서 세브란스 병원과 경희대 동서신의학병원 등 의료기관 관계자 20여명이참 석했으며,

More information

7 1 ( 12 ) 1998. 1913 ( 1912 ) 4. 3) 1916 3 1918 4 1919. ( ) 1 3 1, 3 1. 1.. 1919 1920. 4) ( ), ( ),. 5) 1924 4 ( ) 1. 1925 1. 2). ( ). 6). ( ). ( ).

7 1 ( 12 ) 1998. 1913 ( 1912 ) 4. 3) 1916 3 1918 4 1919. ( ) 1 3 1, 3 1. 1.. 1919 1920. 4) ( ), ( ),. 5) 1924 4 ( ) 1. 1925 1. 2). ( ). 6). ( ). ( ). 7 1 ( 12 ) : 1-11, 1998 K orean J M ed H ist 7 : 1-11, 1998 ISSN 1225-505X * **.,.., 1960.... 1) ( ) 1896 3 2 ( ) ( ) ( ) ( ) 2. 1), 14 1909 1,. 14 17 1913. 2)..,. ( ) ( ),. * 1998 (1998. 5. 7). ** 1).

More information

Risk of Developing Hypertension by Daily Intake of Alcohol

Risk of Developing Hypertension by Daily Intake of Alcohol JNC 7 ESH/ESC (Guidelines) Guidelines 2003. 5 JNC 7 Guidelines ; The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JAMA. 2003;289:2560-2572.

More information

ÀÇÇа�ÁÂc00Ì»óÀÏ˘

ÀÇÇа�ÁÂc00Ì»óÀÏ˘ Common Allergic Diseases in Children Sang - Il Lee, M.D. Department of pediatrics Sungkyunkwan University School of Medicine, Samsung Medical Center E - mail : silee@smc.samsung.co.kr Abstract Allergy

More information

歯1.PDF

歯1.PDF 200176 .,.,.,. 5... 1/2. /. / 2. . 293.33 (54.32%), 65.54(12.13%), / 53.80(9.96%), 25.60(4.74%), 5.22(0.97%). / 3 S (1997)14.59% (1971) 10%, (1977).5%~11.5%, (1986)

More information

<4D F736F F F696E74202D20BFA1C4DA5FC0D3BBF3C3CAC0BDC6C42E BC8A3C8AF20B8F0B5E55D>

<4D F736F F F696E74202D20BFA1C4DA5FC0D3BBF3C3CAC0BDC6C42E BC8A3C8AF20B8F0B5E55D> 심장 (Heart) 심초음파 서울대병원내과 김용진 심장은평생몇번이나뛸까요? 1) 3 백만번 2) 3 천만번 3) 3 억번 4) 30 억번 30 억박동, 2 억리터의혈액 Cause 심장질환 6.2 12.4 11.1 16.2 뇌졸중 4.3 8.5 7.7 11.3 기타심혈관질환 2.6 5.1 6.0 8.8 심혈관질환 13.1 26.0 24.8 36.3 총사망 50.4

More information

590호(01-11)

590호(01-11) T H E K O R E A N D O C T O R S W E E K L Y www.docdocdoc.co.kr I N S I D E 38 3 5 6 7 10 13 28 29 30 31 38 41 42 2 Advertisement Government & Medicine 3 Government & Medicine 4 Government & Medicine Government

More information

<30322E20C6AFC1FD20B9DAC1F8C1D62DC3D6B5BFC1D62E687770>

<30322E20C6AFC1FD20B9DAC1F8C1D62DC3D6B5BFC1D62E687770> 대한내과학회지 : 제 88 권제 2 호 2015 http://dx.doi.org/10.3904/kjm.2015.88.2.127 특집 (Special Review) - 심부전치료의최신지견 좌심실수축기능저하심부전증의치료 서울대학교의과대학분당서울대학교병원 1 심장혈관센터, 2 내과, 3 서울대학교의과대학내과학교실 박진주 1,2 ㆍ최동주 1,2,3 Treatment

More information

심부전의 비약물적 치료

심부전의 비약물적 치료 심부전의약물치료개원가에서사용이가능한약제 수축기 vs. 비수축기심부전 수축성심부전 (HF with reduced EF) 비수축기심부전 (HF with preserved EF) 심장의크기 확장 정상혹은작고, 비후 혈압 정상, 감소 고혈압 호발연령층 다양, 남성 노인, 여성 구혈률 낮다 정상혹은증가 청진소견 제 3심음 제 4심음 심초음파소견 수축및이완장애 이완장애

More information

Kee-Joon Choi, MD Division of Cardiology, Department of Internal Medicine, Asan Medical Center, Ulsan University School of Medicine, Seoul, Korea Troubleshooting ICD therapy ABSTRACT Implantable cardioverter-defibrillator

More information

저작자표시 - 비영리 - 변경금지 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할

저작자표시 - 비영리 - 변경금지 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할 저작자표시 - 비영리 - 변경금지 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할수없습니다. 변경금지. 귀하는이저작물을개작, 변형또는가공할수없습니다. 귀하는, 이저작물의재이용이나배포의경우,

More information

1..

1.. Volume 12, Number 1, 6~16, Factors influencing consultation time and waiting time of ambulatory patients in a tertiary teaching hospital Jee-In Hwang College of Nursing Science, Kyung Hee University :

More information

PowerPoint 프레젠테이션

PowerPoint 프레젠테이션 2016 Annual Spring Scientific Conference of the KSC Nursing Management of Patients with Arrhythmia Kang young ae, CNS Cardiovascular surgery intensive care unit ASAN medical center Arrhythmia Abnormality

More information

,,,,,,, ,, 2 3,,,,,,,,,,,,,,,, (2001) 2

,,,,,,, ,, 2 3,,,,,,,,,,,,,,,, (2001) 2 2004- - : 2004 5 11 :?,,,,,? Sen (human capability) 1?,, I 1 2 1 Sen A Why health equity? Health Econ 2002:11;659-666 2 1991 p 17 1 ,,,,,,, 20 1 2,, 2 3,,,,,,,,,,,,,,,, 3 3 1 (2001) 2 1),, 2), 2),, 3),,,

More information

72 순천향의과학 : 제14권 2호 2008 Fig.1. Key components of the rehabilitation evaluation of patients with the rheumatic diseases. The ICF provides a good frame

72 순천향의과학 : 제14권 2호 2008 Fig.1. Key components of the rehabilitation evaluation of patients with the rheumatic diseases. The ICF provides a good frame Journal of Soonchunhyang Medical Science 14(2) p.71~82 December 2008 71 류마티스 관절염의 재활치료 오 기 영 순천향 대학교 의과대학 재활의학교실 Rehabilitation Interventions for the Patient with Rheumatoid Arthritis Ki-Young Oh Department

More information

<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770>

<B0E6C8F1B4EBB3BBB0FAC0D3BBF3B0ADC1C E687770> 개원의와함께하는임상강좌 2011 역류성식도질환제대로이해하기 Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea Jae-Young Jang, M.D., PhD. 개원의와함께하는임상강좌 2011 109 최신치료

More information

6(final)

6(final) Chapter.1 010 / 011 Chapter.1 012 / 013 Chapter.1 014 / 015 Chapter.1 016 / 017 Chapter.1 018 / 019 Chapter.1 020 / 021 Chapter.1 022 / 023 Chapter.1 024 / 025 Chapter.1 026 / 027 Chapter.1 028 / 029 Chapter.1

More information

ºÎÁ¤¸ÆÃÖÁ¾

ºÎÁ¤¸ÆÃÖÁ¾ MAIN TOPIC REVIEWS Young-Keun On, MD, PhD Division of Cardiology, Department of Medicine Cardiac & Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Catheter

More information

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285

2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914 ) ( ) ( ) 4) 1915 ( ) ( ) 1917 2) 3) 4) 285 13 2 ( 25 ) 2004 12 Korean J Med Hist 13 284 296 Dec 2004 ISSN 1225 505X 1) * ** ** 1 1920 1930 40 ( 1896-1973) 80 * ** 1) 2003 284 2 1896 2 26 ( ) 2 7-20 2) 1897 1898 ( )3) 6 1902 8 1904 10 10 (19 05-1914

More information

저작자표시 - 비영리 - 동일조건변경허락 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 이차적저작물을작성할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비

저작자표시 - 비영리 - 동일조건변경허락 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 이차적저작물을작성할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비 저작자표시 - 비영리 - 동일조건변경허락 2.0 대한민국 이용자는아래의조건을따르는경우에한하여자유롭게 이저작물을복제, 배포, 전송, 전시, 공연및방송할수있습니다. 이차적저작물을작성할수있습니다. 다음과같은조건을따라야합니다 : 저작자표시. 귀하는원저작자를표시하여야합니다. 비영리. 귀하는이저작물을영리목적으로이용할수없습니다. 동일조건변경허락. 귀하가이저작물을개작, 변형또는가공했을경우에는,

More information

2009¿©¸§È£ÃÖÁ¾

2009¿©¸§È£ÃÖÁ¾ 2009 여름호 / 통권 04 www.kuh.co.kr 포커스 충청해바라기 아동센터 개설 건국대학교충주병원은 여성부와 2009년 5월 15일 성폭력으로 부터 아동을 보호하고 치료할 수 있는 전문 의료기관으 로 협약체결 하였다. 이번에 설립하는 충청해바라기 아동센터에서는 최고의 인프라구축을 통한 One-stop서비스를 제공하며, 충청남북도 아 동들의 성학대 예방

More information

54 한국교육문제연구제 27 권 2 호, I. 1.,,,,,,, (, 1998). 14.2% 16.2% (, ), OECD (, ) % (, )., 2, 3. 3

54 한국교육문제연구제 27 권 2 호, I. 1.,,,,,,, (, 1998). 14.2% 16.2% (, ), OECD (, ) % (, )., 2, 3. 3 27 2, 53-70, 2009. (Nursing Home) * ** (Nursing Home). 5 50 5 2 1,,,,, SPSS t.,,,,,,,. :,, : 2009/08/27 : 2009/09/24 : 2009/09/30 * ** (: hjkim@daelim.ac.kr) 54 한국교육문제연구제 27 권 2 호, 2009. I. 1.,,,,,,, (,

More information

2012 JANFEB Vol.91 0102 World Best Safety, Global INHA 2012. 01+02 C O N T E N T S Jan.Feb Vol.91 02 04 06 09 12 14 16 18 20 22 24 27 28 30 31 32 33 38 04 2012 Jan + Feb 05 06 2012 Jan + Feb 07 08 2012

More information

........-55..9.30

........-55..9.30 MYONGJI ST. MARY S HOSPITAL EXCELLENT STROKE TREATMENT CENTER The president of Myongji St. Mary s Hospital M.D. HUH, CHOON WOONG Graduated from Seoul Catholic Medical College. Achived M.D. in Neurosurgeon.

More information

975_983 특집-한규철, 정원호

975_983 특집-한규철, 정원호 Focused Issue of This Month Gyu Cheol an, MD Department of Otolaryngology ead & Neck Surgery, Gachon University of College Medicine E - mail : han@gilhospital.com Won-o Jung, MD Department of Otolaryngology

More information

<C0CEC5CFBCF6B7C3B1B3C0B0C1F6C4A7BCAD2D28C3D6C1BEC3E2B7C2C8AEC0CE292D312DC3D62E687770>

<C0CEC5CFBCF6B7C3B1B3C0B0C1F6C4A7BCAD2D28C3D6C1BEC3E2B7C2C8AEC0CE292D312DC3D62E687770> 인턴 수련교육 및 진료 지침서 53 15. 심폐소생술 심폐소생술(Cardiopulmonary Resuscitation, CPR)이란 심장이 멎은 사람에게 인 공호흡과 인공순환을 유지하여 주요 장기에 산소를 공급하는 치료 술기이다. 심폐소생술에 관한 표준 가이드라인의 국제화를 위하여 1993년에 미국심장학 회(American Heart Association,

More information

Lumbar spine

Lumbar spine Lumbar spine CT 32 111 DOI : 10.3831/KPI.2010.13.2.111 Lumbar Spine CT 32 Received : 10. 05. 23 Revised : 10. 06. 04 Accepted : 10. 06. 11 Key Words: Disc herniation, CT scan, Clinical analysis The Clinical

More information

A 617

A 617 Special Issue Diabetic Retinopathy Won Ki Lee, M.D. Department of Ophthalmology The Catholic University of Korea College of Medicine Kangnam St. Mary s Hospital E mail : wklee@catholic.ac.kr Abstract R

More information

16(2)-7(p ).fm

16(2)-7(p ).fm w wz 16«2y Kor. J. Clin. Pharm., Vol. 16, No. 2. 2006 ü t xy y w tœ ½ BÁ x BC B y w w w C y w w w Current Status and Expectations of Orphan Drugs in Korea -In point of supplying medicines for the rare

More information

충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~ Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교

충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~ Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교 충북의대학술지 Chungbuk Med. J. Vol. 27. No. 1. 1~5 2017 Charcot-Marie-Tooth Disease 환자의마취 : 증례보고 신일동 1, 이진희 1, 박상희 1,2 * 책임저자 : 박상희, 충북청주시서원구충대로 1 번지, 충북대학교의과대학마취통증의학교실, 의학연구소 (28644), happycat19@hanmail.net

More information

May 10~ Hotel Inter-Burgo Exco, Daegu Plenary lectures From metabolic syndrome to diabetes Meta-inflammation responsible for the progression fr

May 10~ Hotel Inter-Burgo Exco, Daegu Plenary lectures From metabolic syndrome to diabetes Meta-inflammation responsible for the progression fr May 10~12 2012 Hotel Inter-Burgo Exco, Daegu Plenary lectures From metabolic syndrome to diabetes Meta-inflammation responsible for the progression from obesity to metabolic syndrome originates in the

More information

The Most Advanced Continuing Medical Education Service Vol. 15 No. 3 ( 통권 67 호 ) 2013 ISSN 심장과혈관 Cardiovascular Update 심부전치료의최신지견 Topic 1 새로

The Most Advanced Continuing Medical Education Service Vol. 15 No. 3 ( 통권 67 호 ) 2013 ISSN 심장과혈관 Cardiovascular Update 심부전치료의최신지견 Topic 1 새로 The Most Advanced Continuing Medical Education Service Vol. 15 No. 3 ( 통권 67 호 ) 2013 ISSN 1229-5272 심장과혈관 Cardiovascular Update 심부전치료의최신지견 Topic 1 새로운약물 Topic 2 새로운 Device 치료 Topic 3 좌심실수축기능이보전된심부전치료의최근연구결과

More information

12이문규

12이문규 Review on Conservative Treatment of Spinal Scoliosis Moon-kyu Lee, O.M.D., Gil-jae Lee, O.M.D., Yun-kyung Song, O.M.D., Hyung-ho Lim, O.M.D. Dept. of Oriental Rehabilitation Medicine College of Oriental

More information

레이아웃 1

레이아웃 1 대한위장관기질종양연구회 01 GIST 06 02 11 03 Imatinib 14 04 05 06 07 Sunitinib 32 40 44 48 GIST 6 01 7 GIST Guide book GIST 8 01 9 GIST Guide book GIST (CT) MRI FDG-PET 10 02 11 GIST Guide book 12 02 (Imatinib)

More information

약수터2호최종2-웹용

약수터2호최종2-웹용 Contents 06 08 11 14 17 17 18 19 23 28 28 33 37 41 45 45 51 56 59 64 66 72 80 26 29 31 34 35 35 38 39 40 42 43 43 46 46 47 49 50 51 52 53 54 56 57 59 60 61 62 69 73 74 77 78 79 14 15 25 36 48 06 07 08

More information

012임수진

012임수진 Received : 2012. 11. 27 Reviewed : 2012. 12. 10 Accepted : 2012. 12. 12 A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar

More information

2011´ëÇпø2µµ 24p_0628

2011´ëÇпø2µµ 24p_0628 2011 Guide for U.S. Graduate School Admissions Table of Contents 02 03 04 05 06 08 09 10 11 13 15 21 LEADERS UHAK INTERNATIONAL STUDENTS SERVICE www.leadersuhak.com Leaders Uhak International Students

More information

½ÉÀå°úÇ÷°ü55È£_³»Áö26š

½ÉÀå°úÇ÷°ü55È£_³»Áö26š Vol.12 No.4 55 2010 ISSN 1229-5272 Copyright 2010 Cardiovascular Update Editorial Board. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted

More information

- i - - ii - - iii - - iv - - v - - 1 - - 2 - - 3 - - 4 - - 5 - - 6 - - 7 - - 8 - - 9 - - 10 - - 11 - - 12 - - 13 - - 14 - - 15 - - 16 - - 17 - - 18 - - 19 - α α - 20 - α α α α α α - 21 - - 22 - - 23 -

More information

歯제7권1호(최종편집).PDF

歯제7권1호(최종편집).PDF ********* (*, **, *** ).., 2002, 7, 1, 1-12. 2-5 80.,.,..,,... :,,. (naming).., (word finding), (lexical look- up), (lexical retrieval), (word recall) (Fried- Oken, 1987). (pause),,, (naming error) (Snyder

More information

<5B31362E30332E31315D20C5EBC7D5B0C7B0ADC1F5C1F8BBE7BEF720BEC8B3BB2DB1DDBFAC2E687770>

<5B31362E30332E31315D20C5EBC7D5B0C7B0ADC1F5C1F8BBE7BEF720BEC8B3BB2DB1DDBFAC2E687770> 2016 지역사회 통합건강증진사업 안내 - 지역사회 중심 금연지원 서비스 - 2016. 3. 주요변경사항 5 1부 국가 금연정책 추진 및 현황 Ⅰ. 국가 금연정책 개요 1. 금연정책의 배경 및 필요성 11 2. 세계 금연정책 동향 20 3. 우리나라 금연정책 추진경과 24 4. 2016년도 금연정책 추진방향 31 Ⅱ. 국가 금연사업 현황 1. 흡연자 금연지원서비스

More information

02 중앙회 및 시 도회 소식 병원행정인신문 제 124호 2015 병원행정 장기연수과정 CEO아카데미 과정 연수생 모집 2015년도 병원행정장기연수과정과 병원경영CEO 아카데미 경영진단사과정(CEO과정)의 연수생을 모 집한다. 협회는 지난 3월 16일 2015년 장기연

02 중앙회 및 시 도회 소식 병원행정인신문 제 124호 2015 병원행정 장기연수과정 CEO아카데미 과정 연수생 모집 2015년도 병원행정장기연수과정과 병원경영CEO 아카데미 경영진단사과정(CEO과정)의 연수생을 모 집한다. 협회는 지난 3월 16일 2015년 장기연 병원행정인신문 Korean College of Hospital Administrators News 발행인 권성탁 / 편집인 임종성 TEL 02)2677-0823~4 FAX 02)2677-0820 (우)150-038 서울특별시 영등포구 국회대로 651-2 병원행정회관 4층 http://www.kcha.or.kr 제17대 임원진 직무중심으로 구성 권성탁 회장,

More information

06-이경룡

06-이경룡 대한응급의학회지제 17 권제 6 호 Volume 17, Number 6, December, 2006 원 저 이완기심부전 (Diastolic heart failure) 의진단에있어 N-terminal probrain natriuretic peptide(nt-probnp) 의진단적의의 건국대학교의과대학건국대학교병원응급의학과 이영주 백광제 이경룡 기 @ 웅 김진용

More information

Abstract Musculoskeletal Symptoms and Related Factors for Nurses and Radiological Technologists Wearing a Lead Apron for Radiation Pro t e c t i o n Jung-Im Yoo, Jung-Wan Koo 1 ) Angio Unit, Team of Radiology,

More information

김범수

김범수 Analysis of Outcomes after Resection of Sarcomatous Hepatocellular Carcinoma Purpose: Sarcomatous hepatocellular carcinoma (HCC) is rare. Therefore, the clinicopathologic characteristics and prognosis

More information

Going Home - Korean

Going Home - Korean Going Home After an illness or injury, some things may change in your life. Make sure you and your family know the answers to these questions before you go home from the hospital. Medicines Am I taking

More information

<C6C4C0CCB3CE20B8C6C0E2B1E22D31B1C720C0FCC3BC2E687770>

<C6C4C0CCB3CE20B8C6C0E2B1E22D31B1C720C0FCC3BC2E687770> 제1부순환기 13 01. 각차단 전도계의구조적이상으로전도장애가일어난것 구조적인이상을관찰할수있는심장초음파가가장우선되는검사 우각차단 (RBBB) 좌각차단 (LBBB) 심전도 임상양상 V : 우심실쪽의전도가마지막(4) 으로 " 다가오기" 때문에마지막에솟는양상 (rsr') 을보임 V : 깊고넓은 S파 LBBB 보다흔함, 구조적심질환없어도가능 ASD, 판막질환, 허혈성심질환에서동반

More information

The Most Advanced Continuing Medical Education Service Vol. 19 No. 3 ( 83 ) 2017 ISSN Cardiovascular Update Topic 1 Topic 2 Topic 3 Topic 4

The Most Advanced Continuing Medical Education Service Vol. 19 No. 3 ( 83 ) 2017 ISSN Cardiovascular Update Topic 1 Topic 2 Topic 3 Topic 4 The Most Advanced Continuing Medical Education Service Vol. 19 No. 3 ( 83 ) 2017 ISSN 1229-5272 Cardiovascular Update Topic 1 Topic 2 Topic 3 Topic 4 Topic 5 편집위원장 정남식 연세대학교의과대학 편집위원 ( 가나다순 ) 노영무박성하손대원유규형윤호중이해영임세중한주용

More information

Microsoft PowerPoint - 2- 남기병

Microsoft PowerPoint - 2- 남기병 쉽게풀어보는심전도 울산대서울아산병원남기병 심전도진단 Chamber enlargement (hypertrophy) Bundle branch block Myocardial infarction WPW ST-T change: Nonsp ST-T change, Early repolarization Arrhythmia: tachycardia, PVC, AF 남자 63

More information

81 F Epigastric discomfort after meals for 3 hours

81 F Epigastric discomfort after meals for 3 hours Interesting EKG CASE 1-1 81 F Epigastric discomfort after meals for 3 hours 05, Cho SY, #3907730 Tn-T 0.01 ng/ml CK-MB 2.1 ng/ml BP 180/130 mmhg CASE 1-2 After 20 minutes 05, Cho SY, #3907730 CASE 1-3

More information

0926-...._0910....-......40p

0926-...._0910....-......40p 2012 0910 Vol. 95 Smart choice Best care Sept + Oct 04 / 05 그릇된 의심까지 담는, 베푸는 신뢰 쌓기 가끔사람들에게서 가장기억나는환자가누구냐? 또는 가장가슴아팠던환자는누구냐? 라는 질문을 받는다. 이럴 때 떠오르는 환자는 선물을 주거나 의학적으로 관심이 있는 질병을 가진 환자 가아니고, 의사인나의치료를가장잘믿고따라주었던환자와,

More information

DIABETES FACT SHEET IN KOREA 2012 SUMMARY About 3.2 million Korean people (10.1%) aged over 30 years or older had diabetes in 2010. Based on fasting g

DIABETES FACT SHEET IN KOREA 2012 SUMMARY About 3.2 million Korean people (10.1%) aged over 30 years or older had diabetes in 2010. Based on fasting g DIABETES FACT SHEET IN KOREA 2012 Korean Diabetes Association (KDA) / Korea Centers for Disease Control and Prevention (CDC) DIABETES FACT SHEET IN KOREA 2012 SUMMARY About 3.2 million Korean people (10.1%)

More information

Microsoft PowerPoint - XUOBWSQUNNWX.pptx

Microsoft PowerPoint - XUOBWSQUNNWX.pptx 2015. 5. 7-8. 대한당뇨병학회 Cardiovascular risk models for diabetic patients in Korea The Korean Heart Study 지선하, KHS 연구팀 연세대학교보건대학원 Background 2008 년전세계 mortality 의 30% 인 1,730 만명이심뇌혈관질환 (ASCVD) 으로사망 (WHO)

More information

페링야간뇨소책자-내지-16

페링야간뇨소책자-내지-16 야간뇨의진단과치료 - 실제적접근 - Reference 1. Choo MS, Ku JH, Park CH et al. Prevalence of Nocturia in a Korean Population Aged 40 to 89 Years. Neurourol Urodyn 2008; 27:60-64. 2. Weiss JP. Prevalence

More information

<31372DB9CCB7A1C1F6C7E22E687770>

<31372DB9CCB7A1C1F6C7E22E687770> 미래지향 고령친화 주거디자인을 위한 예비노인층의 라이프스타일 특성 Characteristics of Lifestyle of the Pre-Elderly for Future Elderly-friendly Housing Design 류 혜 지 청운대학교 인테리어디자인학과 교수 Ryu hye-ji Dept. of Interior Design, Chungwoon University

More information

슬라이드 1

슬라이드 1 How to manage the patients with Atrial Fibrillation Young-Hoon Kim, MD, PhD, FACC Electrophysiology Laboratory Cardiovascular Center Korea University Medical College Seoul, Korea 1 66, 3 ( 78 ). (42 mm).

More information

현재도 피운다. (a) Half pack a day (b) half to one pack a day 반 갑 미만 반 갑 ~ 한 갑 (c) one to two packs a day (d) more than 2 packs a day 한 갑 ~ 두 갑 두 갑 이상 5. Ho

현재도 피운다. (a) Half pack a day (b) half to one pack a day 반 갑 미만 반 갑 ~ 한 갑 (c) one to two packs a day (d) more than 2 packs a day 한 갑 ~ 두 갑 두 갑 이상 5. Ho Name: Preliminary Medical Examination (Female) 문진표(여성) 1. Have you ever suffered from or been treated for below diseases for more than 3 months? 과거에 다음과 같은 질병으로 3개월 이상 앓았거나 진단(치료)을 받은 적이 있습니까? 1 diabetes

More information

386-390.hwp

386-390.hwp 386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon

More information

Fluoroscopic anatomy for supraventricular tachycardia ablation Hui-Nam Pak, MD, PhD Division of Cardiology, Yonsei Cariovascular Center and Cardiovascular Research Institute, Yonsei University College

More information

제 출 문 국무조정실 실장 본 보고서를 氣의 의학적 연구 과제의 최종 연구결과 보고서로 제출합니다. 연 구 진 주관연구 : 한국한의학연구원 학술정보부 총괄연구책임자, 부장 신 순 식 주임 연 구 원 임 병 묵 연 채 구 원 한 촉탁 연 구 원 김 성 숙 촉탁 연 구 원

제 출 문 국무조정실 실장 본 보고서를 氣의 의학적 연구 과제의 최종 연구결과 보고서로 제출합니다. 연 구 진 주관연구 : 한국한의학연구원 학술정보부 총괄연구책임자, 부장 신 순 식 주임 연 구 원 임 병 묵 연 채 구 원 한 촉탁 연 구 원 김 성 숙 촉탁 연 구 원 氣의 의학적 연구 2 0 0 0. 12 연 구 책 임 자 : 신 한 국 한 의 학 연 구 원 Korea Institute of Oriental Medicine 순 식 제 출 문 국무조정실 실장 본 보고서를 氣의 의학적 연구 과제의 최종 연구결과 보고서로 제출합니다. 연 구 진 주관연구 : 한국한의학연구원 학술정보부 총괄연구책임자, 부장 신 순 식 주임 연 구

More information

(Exposure) Exposure (Exposure Assesment) EMF Unknown to mechanism Health Effect (Effect) Unknown to mechanism Behavior pattern (Micro- Environment) Re

(Exposure) Exposure (Exposure Assesment) EMF Unknown to mechanism Health Effect (Effect) Unknown to mechanism Behavior pattern (Micro- Environment) Re EMF Health Effect 2003 10 20 21-29 2-10 - - ( ) area spot measurement - - 1 (Exposure) Exposure (Exposure Assesment) EMF Unknown to mechanism Health Effect (Effect) Unknown to mechanism Behavior pattern

More information

(Microsoft PowerPoint - CXBTUEOAPVQY.ppt [\310\243\310\257 \270\360\265\345])

(Microsoft PowerPoint - CXBTUEOAPVQY.ppt [\310\243\310\257 \270\360\265\345]) 당뇨병환자에서항혈소판제사용 - 아스피린일차예방을중심으로 - 경희대학교강동경희대병원 황유철 말씀드릴내용 당뇨병및심혈관질환의역학 아스피린의심혈관질환 1차, 2차예방효과 아스피린부작용및용량에따른효과차이 당뇨병환자에서아스피린사용의적응증 사망원인순위, 2010 년 25.6% 통계청 심혈관질환에의한의료비추세 6 조 1400 억 국민건강보험공단, 2002-2009 Multidisciplinary

More information

K O R E A C E N T E R S F O R D I S E A S E C O N T R O L & P R E V E N T I O N PHWR Vol. 5 No. 41 www.cdc.go.kr/phwr 2012 10 12 5 41 ISSN:2005-811X Comparison of drug-susceptibility test to the anti-tuberculosis

More information

서론 34 2

서론 34 2 34 2 Journal of the Korean Society of Health Information and Health Statistics Volume 34, Number 2, 2009, pp. 165 176 165 진은희 A Study on Health related Action Rates of Dietary Guidelines and Pattern of

More information

황지웅

황지웅 Comparison of Laparoscopy and Exploration in the Distal Pancreatectomy BACKGROUND: To determine the benefits of laparoscopic surgery compared with exploration, the clinical outcomes of open and laparoscopic

More information

¼Û±âÇõ

¼Û±âÇõ 223 Table 1. Results of FEV 1.0, Methacholine Challenge Test, and Exercise Provocation Test in Eight Patients Who Performed PFT Pts Tests 1 2 3 4 5 6 7 8 FEV 1.0 (%pred) 66.6 88.8 120 101 90.5 95.4 91.6

More information

, ( ) 1) *.. I. (batch). (production planning). (downstream stage) (stockout).... (endangered). (utilization). *

, ( ) 1) *.. I. (batch). (production planning). (downstream stage) (stockout).... (endangered). (utilization). * , 40 12 (2006 6) 1) *.. I. (batch). (production planning). (downstream stage) (stockout).... (endangered). (utilization). * 40, 40 12 (EPQ; economic production quantity). (setup cost) (setup time) Bradley

More information

Trd022.hwp

Trd022.hwp 김신태, 이선녕, 이석정, 정필문, 박홍준, 신명상, 김종환, 이부길, 김상하, 리원연, 신계철, 용석중 Shin-Tae Kim, M.D., Shun Nyung Lee, M.D., Seok Jeong Lee, M.D., Pil Moon Jung, M.D., Hong Jun Park, M.D., Myung Sang Shin, M.D., Chong Whan Kim,

More information

부속

부속 04 Definitions of terminology in neonatal, infant, and perinatal epidemiology.,. (perinatal period),,,, (morbidity) (mortality).,,,.,,,.,., 2. (World Health Organization, WHO) International Statistical

More information

야쿠르트2010 9월재출

야쿠르트2010 9월재출 2010. 09www.yakult.co.kr 08 04 07 Theme Special_ Great Work Place 08 10 12 13 13 14 16 18 20 22 20 24 26 28 30 31 24 06+07 08+09 Theme Advice Great Work Place 10+11 Theme Story Great Work Place 4 1 5 2

More information

w w w. w o m e n l i n k. o r. k r 2 0 0 6. 3 4 Joplin s death by heroin overdose in October 1970 came less than a month after the death of Jimi Hendrix; Jim Morrison would join them

More information

Review Article 심장재활 홍경표 추진아 Cardiac Rehabilitation Kyung Pyo Hong, M.D., Jin A Choo, R.N. Cardiovascular Institute, Samsung Medical Center,

Review Article 심장재활 홍경표 추진아 Cardiac Rehabilitation Kyung Pyo Hong, M.D., Jin A Choo, R.N. Cardiovascular Institute, Samsung Medical Center, Review Article 28 3 1998 심장재활 홍경표 추진아 Cardiac Rehabilitation Kyung Pyo Hong, M.D., Jin A Choo, R.N. Cardiovascular Institute, Samsung Medical Center, Sungkyunkwan University, College of Medicine, Seoul,

More information

<303520C0C7C7D0B0ADC1C220B1E8BFB5B4EB2E687770>

<303520C0C7C7D0B0ADC1C220B1E8BFB5B4EB2E687770> 대한내과학회지 : 제 90 권제 1 호 2016 http://dx.doi.org/10.3904/kjm.2016.90.1.20 의학강좌 - 개원의를위한모범처방 (Current Clinical Practice) 이완성심부전의진단과치료 동아대학교의과대학내과학교실 김영대 Heart Failure with Preserved Ejection Fraction: Current

More information

삼성955_965_09

삼성955_965_09 판매원-삼성전자주식회사 본 사 : 경기도 수원시 영통구 매탄 3동 416번지 제조원 : (주)아이젠 삼성 디지털 비데 순간온수 세정기 사용설명서 본 제품은 국내(대한민국)용 입니다. 전원, 전압이 다른 해외에서는 품질을 보증하지 않습니다. (FOR KOREA UNIT STANDARD ONLY) 이 사용설명서에는 제품보증서가 포함되어 있습니다. 분실되지 않도록

More information

Microsoft PowerPoint Free Papers (Abstracts)12.ppt

Microsoft PowerPoint Free Papers (Abstracts)12.ppt 고혈압을동반한전립선비대증환자에서 doxazosin 4mg 투여후효과가부족한경우에서 doxazosin 8mg 용량증가와 doxazosin 4mg + tamsulosin 0.2mg 병합요법비교 조인래, 김종구, 이건철 인제대학교일산백병원비뇨기과 고혈압환자에서알파차단제투여시일반적기준 전립선비대증 + 고혈압 합병증이있는고혈압 단순고혈압 α 차단제투여 내과의사 Antihypertensive

More information

550호(01-09)

550호(01-09) T H E K O R E A N D O C T O R S W E E K L Y www.docdocdoc.co.kr I N S I D E 38 3 5 6 8 11 13 24 25 27 29 31 38 41 42 2 Advertisement Government & Medicine 3 Government & Medicine 4 Government & Medicine

More information

Analyses the Contents of Points per a Game and the Difference among Weight Categories after the Revision of Greco-Roman Style Wrestling Rules Han-bong

Analyses the Contents of Points per a Game and the Difference among Weight Categories after the Revision of Greco-Roman Style Wrestling Rules Han-bong Analyses the Contents of Points per a Game and the Difference among Weight Categories after the Revision of Greco-Roman Style Wrestling Rules Han-bong An 1 & Kyoo-jeong Choi 2 * 1 Korea National Wrestling

More information

Microsoft Word - 순10-9.doc

Microsoft Word - 순10-9.doc Original ORIGINAL Article ARTICLE Korean Circulation J 2007;37:510-516 ISSN 1738-5520 c 2007, The Korean Society of Cardiology 확장성 심근병증 환자에서 I-Metaiodobenzylguanidine 스캔을 이용한 악성 심실성 빈맥의 예측 영남대학교 의과대학 순환기내과학교실,

More information