3. 치료범위 및 선택
1) Hepatic lobar atrophy and hepatic ductal extension
: hepatectomy in order to achieve a margin-negative resection
2) Radiographic criteria that suggest unresectability of perihilar tumors
3) Patients with unequivocal evidence of unresectable cholangiocarcinoma at initial evaluation
→ palliated nonoperatively.
Discovery of the iPS cell
Expect to solve the problems of ES cells
How to think?
Active factor(protein) in ES cells skin cells
Aug, 2006, Pro. Yamanaka ’s laboratory in Kyoto produced ‘pluripotent cells’
Nov, 2007, the first Human iPS cells
iPS cells are a type of pluripotent stem cell
artificially derived from a differentiated cell,
by inducing a “forced”
Sella cone down view (2003-09-16)
There is no bony abnormality in the sellar turcica and visualized bones
Sella MRI (2003-09-18)
Absence of septum pellucidum
Empty sellar with ectopic neurohypophysis
Suspicious optic nerve atrophy, Rt.
But, for better evaluation, advice orbital CT coronal or MR empty sella syndrome, ectopic post pituitary absence of septum pellucidum
septo-optic dyspla
4. Terminology 관련용어
① 안정성 협심증(Stable angina)
- 협심증 유발인자가 작용한 후에 협심증 발작이 발현되는 병형으로서 발작의 지속, 정도 및 횟수, 치료의 반응성 등이 수개월동안 변하지 않는 형
② 불안전성 협심증(Unstable angina)
- 예후가 나쁜 협심증으로서 환자의 병력이 불안전한 환자에게서
A clinical syndrome characterized by discomfort in the chest, jaw, shoulder, back, or arm
Typically aggravated by exertion or emotional stress and relieved by nitroglycerin
(ACC/AHA 2002 guideline)
병명이 아니고 흉통을 특징으로 하는 임상증상, 가역적 (cf. MI)
선진국의 주요한 사망원인 중 하나
임상증상이 매우 다양한 양상을 보임
허혈성
I. What is drug
When an individual persists in use of alcohol or other drugs despite problems related to use of the substance, substance dependence may be diagnosed. Compulsive and repetitive use may result in tolerance to the effect of the drug and withdrawal symptoms when use is reduced or stopped. This, along with Substance Abuse is considered Substance Use Disorders.
II. Varieties of
< Antisocial personality disorder >
Definition
Antisocial personality disorder (ASPD or APD) is defined by the American Psychiatric Association's Diagnostic and Statistical Manual as "...a pervasive pattern of disregard for, and violation of, the rights of others that begins in childhood or early adolescence and continues into adulthood." The individual must be age 18 or older, as well as ha
에스트로겐 요법을 사용하였고 이는 상열감을 조절하는 효과가 있었다 Nelson HD. Commonly used types of postmenopausal estrogen for treatment of hot flashes: scientific review. JAMA. 2004;291(13):1610.
Maclennan AH, Broadbent JL, Lester S, Moore V. Oral oestrogen and combined oestrogen/progestogen therapy versus placebo for hot flushes.Cochrane Database Syst Rev. 2004;
combined oestrogen/progestogen therapy versus placebo for hot flushes. Cochrane Database Syst Rev 2004; :CD002978.
. 안면 홍조의 에스트로겐 치료에 대한 한 systematic review와 메타 분석에서는 conjugated estrogen과 17-beta-estradiol이 안면 홍조를 치료하는 데 가장 효과적이라고 밝혔다 Nelson HD. Commonly used types of postmenopausal estrogen for treatmen