악하선 암의 치료성적과 예후인자

임치영(Chi Young Lim),남기현(Kee Hyun Nam),이잔디(Jan Dee Lee),장항석(Hang Seok Chang),정웅윤(Woong Youn Chung),차인호(In Ho Cha),이창걸(Chang Geol Lee),최은창(Eun Chan Choi),박정수(Cheong Soo Park) 대한두경부종양학회 2005 대한두경부 종양학회지 Vol.21 No.2

Purpose: Submandibular gland tumor is rare, less than 6% of head and neck tumor. The purpose of this article is to analysis the clinical experience and treatment outcomes of malignant submandibular gland tumor, suggesting a guideline of management. Methods: We retrospectively evaluated 26 patients who underwent operation for malignant submandibular gland tumor at Severence hospital between 1986 and 2004. Statistical analysis was performed by Kaplan-Meier method, log rank test, Chi-square test, Fisher's exact test using SPSS v12.0 for Windows. Results: They consisted of 18 males and 8 females whose median age was 47 years(range: 20-71). 10 cases of adenocystic carcinoma, 8 cases of carcinoma ex pleomorphic adenoma, 4 cases of mucoepidermoid carcinoma, 1 case each for acinic cell carcinoma, undifferentiated carcinoma, adeno carcinoma, epithelioid hemangioendothelioma. Sialoadenectomy only was performed in 10 cases(36.5%) and sialoadenectomy with neck node dissection was performed in 16 cases(63.5%). Adjuvant radiotherapy was done in 22 cases(84.6%). 10 year disease free survival rate for malignant submandibular gland tumor was 63.1 % and 10 year overall survival rate for malignant submandibular gland tumor was 70.1%. In univariate analysis, prognostic factors affecting recurrence of malignant submandibular gland tumor was initially papable lateral neck node in physical examination and metastasis of lateral neck node in pathologic confirmation. The prognostic factors affecting survival of malignant submandibular gland tumor was tumor size, TNM stage, recurrence and type of recurrence. Conclusion: In this study, prognostic factors affecting recurrence of malignant submandibular gland tumor was initially papable lateral neck node in physical examination and metastasis of lateral neck node in pathologic confirmation. The prognostic factors affecting survival of malignant submandibular gland tumor was tumor size, TNM stage, recurrence and type of recurrence. To prevent recurrence and to improve survival, early diagnosis and aggressive surgery must be considered.

Variation of Bird community and Habitat use after Developing Hangang river Ecological Learning Center

Paik, In-Hwan,Jin, Seon-Deok,Jeon, Byung-Seon,Yu, Jae-Pyoung,Park, Chi-Young,Paek, Woon-Kee national science museum of korea 2010 Journal of Korean nature Vol.3 No.4

The Hangang (Han River) Ecological Learning Center is a river ecosystem park which was completed in December of 2002. The river ecosystem park was created based on the understanding of the problems of standard park-formed river which centers around convenient facilities instead of on the wish to accentuate the innate unique characteristics of a river. Therefore, the study was conducted in order to analyze the changes and habitation usage of the avifauna in the Hangang Ecological Learning Center to provide basic information for the improvement of bird species diversity in an ecosystem park. The study was conducted in July and October of both 2003 and 2005 to study the avian colonies of the same time period, and the habitat usage of four different areas were examined. Main dominant species includes species which preferred waterside and grassland, and 2005 showed higher levels of species, bird count and number of migratory birds. Furthermore, among the four regions used as habitats, the confluence region showed the highest level of increase, and this is predicted to have caused by the shallow depth of the confluence and the stability of the waterside plant colonies.

혼합형 자가면역성용혈성빈혈과 동반된 Evans 증후군 1례

선길홍,윤찬영,박상곤,박경희,우정주,한경택,김진화,김영훈,정춘해,박치영 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.2

Evans syndrome is defined as a simultaneous or sequential occurrence of autoimmune hemolytic anemia and autoimmune thrombocytopenia. Autoimmune hemolytic anemia (AIHA) is usually induced by IgG warm autoantibody or cold-active IgM antibodies reacting specifically with antigens associated with a patient's RBC. AIHA is a fairly uncommon disorder, with estimates of the incidence at 1 to 3 cases per 100,000 per year. Mixed-type AIHA is a relatively uncommon form of AIHA, with studies noting the incidence of 7-8% among cases of AIHA. We experienced a patient, 46-year-old woman who was diagnosed having a very rare clinical presentation of mixed warm and cold antibody mediated Evans syndrome. She was treated with corticosteroid therapy only and has been maintaining a complete response for 15 weeks. 저자들은 혼합형의 자가면역성 용혈성 빈혈과 자가면역성 혈소판 감소증이 동시에 발생한 혼합형 Evans 증후군으로 진단하고 스테로이드 요법 후 혈액학적으로 회복된 상태로 15주가 지난 현재 steroid 5 mg/일 까지 감량한 상태에서 추적 관찰 치료중인 46세 여자 환자를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

구강악안면 영역에서 Tutoplast Dura의 임상적 적용

지재휴,김영균,여환호,박인순,변웅래 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.1

Human Dura mater treated by various processes was used to restore small periodontal defects, large bony defects for improvement of new bone formation, and soft tissue defects and replace the disc of TMJ, etc.. Tutoplast Dura is the solvent-preserved Human Dura mater and sterilized by gamma radiation. In our department, Tutoplast Dura was implanted in 32 patients, from 1994, 6 to 1995, 7. We implanted the Tutoplast Dura at 11 various cysts, 6 implantations, 4 fractures, 3 clefts, 2 TMJ disease, 2 maxillary sinusitis, etc.. We performed the retrospective study about the purpose of Tutoplast Dura implantation, postoperative complication and histologic examination of biopsy specimen at implant second surgery.

자가면역 용혈빈혈의 임상적 분석

박치영,강지은,박상곤,김상현,김형선,정춘해 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.2

Background: Autoimmune hemolytic anemia (AIHA) is a very uncommon disorder with the incidence between one and three cases per a hundred thousans a year. There have been very few studies about AIHA in Korea because of its low incidence. Most AIHA studies in Korea were about case history. The aim of this study was to review the clinical features, therapy and outcome of AIHA patients in single institution clinic. Methods: We reviewed retrospectively the medical records of AIHA patients from December 2002 to December 2006. Results: Twelve patient with AIHA were identified, and their median age was 49 years (range 27-75). Male to female ratio is 9:3. The median hemoglobin level was 5.0 g/㎗ (range 2.5-8.2). Warm type AIHA was most common (8/12), cold type was three, and mixed type was one. There was histories of associated disease in six patients. Two patients were complicated by systemic lupus erythematosus and mycoplasma infection and one patient by idiopathic myelofibrosis and solid tumor. Oral steroid was used as the first-line treatment in nine patients. An initial response was observed in eight patients with complete response. One patient had not responded to the initial steroid treatment, and then showed complete response with rituximab. Two relapsed patients were treated with rituximab and partial splenic embolization. Conclusion: The majority of patients can be treated with steroid. Rituximab can improve the response rate in relapsed and refractory AIHA.

난소에 전이된 간세포암 1예

박용관,박치영,조은택,조기섭,박찬국,송창훈,이미자,기근홍 朝鮮大學校 附設 醫學硏究所 1995 The Medical Journal of Chosun University Vol.20 No.2

Hepatocellular carcinoma frequently metastasizes through direct extension, lymphatic, and hematogenous routes. The most common sites of metastasis are the lungs and the lymph nodes, glands, bones, spleen, kidneys, colon, and pleura are the sites of metastasis in decreasing order of frequency. But metastasis to the ovary is very rare. It is thought that metastasize to the ovary occurs through infiltration or dissemination. However, we observed ovarian metastasis of primary hepatic tumor in a 34-year old female who suffered from lower abdominal pain. At first, it was diagnosed as a primary ovarian tumor. But histologically, it presented sinusoidal pattern surrounded by the tumor cells and contained rounded by the tumor cells and contained round hyaline globules in minority of the cytoplasm. Then, the histologic features of percutaneous, sono-guided liver biopsy speecimen of the liver mass are similar to those of resected ovarian tissues. Therefore, we concluded that ovarian tumor was originated from hepatocellular carcinoma. In summary, this report examines a case of hepatocellular carcinoma with ovarian metastasis in a female and reviews the literature.

상고생의 직업관 제고를 위한 효율적인 지도방안

朴稚英,李鍾根 관동대학교 경영경제연구소 2002 경영논집 Vol.21 No.-

태백지역 상업계고등학교 학생들의 직업관 제고를 위한 효율적인 지도방안을 모색하기 위하여 재학생과 재직교사들을 대상으로 설문조사 하여 국가와 사회가 요구하는 올바른 직업인을 양성하고 장래 직업인인 학생들이 자기의 능력과 적성에 맞는 직업을 선택하여 질 높은 삶을 영위하도록 하기 위한 방안을 제시하였다. 설문 분석 결과에 따른 제고방안을 고찰하면 먼저 건전한 직업관을 가지고 자신의 소질과 적성에 맞는 직업을 선택하도록 가치관 교육을 강화해 나가야 하며, 다음으로 수요자들의 요구와 관심에 부응하는 계획적이고 체계적인 교육과정을 설정, 교수 학습 모형을 개발 활용되어 져야 하고, 그리고 직업교육과 관련하여 개인적인 측면과 사회적인 측면에서 기초 능력 배양 및 인성교육, 가정교육도 이루어져야 한다. 더 나아가서 교사의 사기 진작, 지역사회와의 협력시스템 개발, 전문적인 산학협동 프로그램개발 등도 요망되는 것으로 분석되었다.

대학 학생운동선수의 역할 갈등에 관한 연구

박치현,정구영,형구암,신인숙 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.20 No.1

Walter Byers, the NCAA Executive Director from 1951 to 1987, coined the term 'student-athlete' in 1973. This phrase has since become widely recognized on college campuses and within society, and implies dual and separate role of being both a student and an athlete. As the term implies, these individuals attend college for two main reason: to make progress towards a college degree and to participate in intercollegiate athletics. The purpose of this study was to investigate factors influencing role conflict on personal attributes, athletic performance and role salience among collegiate student-athletes. The sample was drawn from 821 student-athletes who involved in intercollegiate athletics at the university located in Seoul and Kyunggido and enrolled in Korea Sports Council. They were selected by the method of stratified cluster random sampling. A survey was undertaken from 2003, using the self-administration method. All of questionnaires were personally delivered to the respondents, who immediately filled them out. t-test, one-way ANOVA, multiple regression were used to test and analysis the proposed model in the study. The findings of this study were as follow: 1. Female athletes shows greater cognitive and empirical status role conflict and load conflict, cognitive self role conflict, and empirical student-athlete role conflict than male athletes, three years athletes shows greater cognitive and empirical student-athlete role conflict than any other years athletes, and athletes with high level of life shows cognitive self role conflict and empirical student-athlete role conflict than any other athletes with love of life. 2. Athletic success influence cognitive self role conflict, and playing career has effect on empirical student-athlete role conflict. 3. Relative knowledge related in role of student and athlete has effect on all of cognitive and empirical role conflict, relative time spent in role of student and athlete has effect on cognitive status role conflict, cognitive and empirical load role conflict, and empirical student-athlete role conflict. And relative values of role of student and athlete has effect on cognitive and empirical status role conflict, cognitive and empirical load role conflict, empirical self role conflict and empirical student-athlete role conflict, and relative devotion in role of student and athlete has effect on cognitive self role conflict. status role conflict, load role conflict, and student-athlete role conflict, And satisfaction with student role has effects on cognitive self role conflict, and empirical status role conflict and load role conflict.

嶺東地域의 水産業實態와 그 輸出促進方案에 관한 硏究

朴稚英,張英俊 관동대학교 1984 關大論文集 Vol.12 No.1

The Fisheries Industry of East Coast, which has the length of 212.3km and the depth of water without contiental self, is given much weight in the process of economic development with modernization of Korea Fisheries. Accordingly, we think much of the servey of actual condition of fisheries industry in this area. The thesis by utilizing analysis of the basic 12 items as a framework for consideration in the field may be summarized in conclusion as follows. 1. To emphasize the importance of ocean culture and coastal fisheries; optional exploitation and management of the fisheries resourses, artificial fishing and wood cutting, seeding cultivation, hatching, setting fish free and so forth. 2. The requirement of improvement of fishing structure from small to large in scale and conversion from catching to breeding in fishery, cultivating inland water fisheries. 3. We stress the protecting of environmental pollution in fishing grounds, modernization and readjustment of small fishery ports, making and expansion of fishery ports for exclusive use, maintain the safety of fishing vessels, and disaster prevention. 4. To point out that we must make a bid for the disign of safety production of fisheries in distant waters with enlargement of the fishing industry, substitution noopowered vessels for powered ones and old powered vessels for new ones, and reforming various fishing accessaries installed. 5. To show that government authorities must dispatch advisors to give proper guidance about fishermen's fishing, build large leader vessles for fish finding, and supplement communication equipements and fish-finders to existing vessels. 6. We must reform the structure of fishing industry, develop native sight-seeing resources and folk cooking in sea villages and improve the conditions of fishing household income no less than urban laborers. 7. It is essential that both consumers and producers(fishermen) must e protect by expanding fish market facilities, substitution with new manufacturing facilities, quality improvement, and rearrangement of marketing channel. 8. We need to raise exports by strategic fishing products export policy, and this desire to accomplish the goal applies whether products involve small scale or large scale. 9. We must develop cultivating industry by applied genetics and biology, go abroad for research study and introduction of advanced technology, and generalize the new methods through fishmen's cooperative societies. 10. Timely furnishing of oversea market imformation. 11. Developing new items of exports by innovation and quality improvement. 12. Eliminating low-income sea villages by giving priority to low-income ones over others. 13. Taking measures for disasters under fishing at sea and support of financial fund for fisheries. If we can solve the above through making proper and effective fisheries policy and continuously building up international competition power. our fisheries are supposed to export goal which was fixed at $1,050millions (270millionsM/T in quantities) in 1983, (in cluded 125,000M/T in quantities, $33millions on price in eastern coast), can be work out steadily with existing export-oriented growth policy.

한국인 주의력결핍 과잉행동장애와 도파민 D5 수용체 유전자 다형성의 관련성 : 가족기반 연구 및 환자-대조군 연구

박태원,김붕년,임명호,유희정,강대희,조수철,유일한,조은정,백소영,배치운,서영주 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.1

Objectives : Recent genetic studies have suggested a preferential transmission of the Dopamine D5 receptor gene (DRD5) 148bp marker allele. The aim of this study is to test the association between DRD5 and ADHD. Methods : 106 Korean children with ADHD and their parents were analyzed using the transmission disequilibrium test (TDT) and haplotype-based haplotype relative risk test (HHRR). And also the ADHD children were compared with 212 ageand gender matched normal controls. Results : We found the evidence for an association of short alleles of DRD5 dinucleotide repeat polymorphism in both Case-control and family based studyies. Additionally, we observed some evidence for biased transmission of allele 152 bp and 144 bp. Conclusion : Our results lend credence to the notion that the relationship between ADHD and DRD5 is complex. The number of cases and informative transmissions in our study were small, therefore it would be premature to make any conclusions Con-ceming the role of DRD5 in ADHD. Further work is needed to support these findings.