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조인숙,김태의,김정식,이해혁,이권해,김희경,남계현 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
A case of omental mass during Pregnancy Omental cyst is a rare lesion and occur primarily during childhood and young adulthood. When encountered, most of them are benign and intraabdominal masses. It shows a large mass but not palpable and often asymptomatic. The precise diagnosis is made by most commonly at surgery or during pathologic examination. So, we report this case with brief review of literatures.
조인숙,남계현,김태희,김정식,이해혁,이권해,권계원 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Two cases of primary small cell carcinoma of the ovary occurred. One was a case of 43-year-old woman associated with hypercalcemia and the other was a case of 40-year-old woman with pulmonary type. Ovarian small cell carcinoma of the hypercalcemic type have clinicopathological, immunohistochemical, ultrastructural, and flow cytometric features that from differ from those of small cell carcinomas of the pulmonary type. It is important for therapeutic reasons to distinguish these two types of ovarian tumors from each other and from a variety of malignant small cell tumors that ovary primarily or secondarily. So, we reported these cases with a brief review of the concerned literatures.
조인숙,이해혁,김태희,이권해,남계현,이임순,김정식,박성진 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Pelvic inflammatory disease (PID) is a disease that affects young, sexually active, reproductive age women. Most pathogens are Chlamydia trachomatis and Neisseria Gonorrheae transmitted sexually. One of serious acute complication of PID is tubo-ovarian abscess (TOA) that involves the fallopian tube, ovary and adjacent structures (eg, bowel, pelvic peritoneum). The microbiology of TOAs is polymicrobial with anaerobic organisms and causal organisms of PID. Common anaerobic organisms are Peptostretococcus spp, Bacteriodes spp, Prevotella spp, Escherichia coli and aerobic streptococci. Treatment is necessary to admission for intravenous broad-spectrum antibiotics and surgery is often reserved for patients with suspected rupture or patients who fail to respond to antibiotics. So, we reported this case found pelvic abscess due to ruptured tube-ovarian abscess.
담즙내 Deoxycholate가 Immunoglobulin G가 콜레스테롤 핵화에 미치는 영향
권계숙(Kye Sook Kwon),신용운(Yong Woon shin),김영수(Young Soo Kim),김진주(Jin Ju Kim),조영업(Young Up Cho),김원곤(Won Gon Kim) 대한소화기학회 1996 대한소화기학회지 Vol.28 No.6
N/A Rackground/Aims: Gal]stones are now considered to be the aggregated expression of a metabo]ic disease of liver (lithogenic bi]e), nucleation (a kinetic event), crystallization in gel matrices (stasis) ;md gallbladder dysmotility (increased residence time). To evaluate the role of biliary deoxycholate and Immunoglobulin (Ig) in the cholesterol lithogenesis. 1) Comparing the biliary Ig (IgG, IgA & IgM) concentrations in pati<nts with and without gallstones. 2) Correlating the level of biliary immunoglobulins witb the nucleation time of gallbladder(GB) bile. 3) Comparing the biliary deoxycholate(DCA)/cholate(( A) ratio and nucleation time in patients with & without gallstones. Methods: 12 (3B bile samph.s (6 cholesterol stones, 6 contro]s) were collected by needle aspiration <>f the CiB at the operati<m Hiliary Ig concentrations were measured using Rate-Nephelometry (Kallestad QM300). Biliary t>I]e acicL composition was analyzed using HPLC. Nucleation time was determined hy polarizing niicroscopic observation of cholesterol crystals (daily fc>r 21 days). Results: Hiliary IgG concentration in gallstone group was significantly higher than control group (55.9 I 17.6mg/dL vs 6.9 + 3.3mg/dL, p<0.05) but IgA and IgM concentrations were not different .etween gallstone group a,id control group. Biliary DCA/CA ratio in gallstone group was significantly higher than control group (0.42 + 0.12 vs 0.13 + 0.05, p<0.05). And, nucleation time m gallstone group was significantly shorter than control group (2.8 days vs 2l days, p<0.05). Conclusions: Vatients with cholesterol gallstones have a higher biliary IgG concetration and DC.A/CA ratio. There were I:iverse correlations between nucleation time and IgG concentration and lC!1/CA ratio. J'his study suggests that biliary IgG and DCA may play an important role in the p,thovc.:iesis of cholestero1 ,allstone formation.(Korean J Gastroenterol 1996; 845-852)
권계숙,박태병,조철호,고광곤,조상균,김삼수,박찬섭,서창해 대한내과학회 1993 대한내과학회지 Vol.44 No.5
저자등은 대동맥판 상부 협착증을 가진 남매의 증례를 통해 가족성 대동맥판 상부 협착증을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Supravalvular aortic stenosis is a dongenital narrowing of the ascending aorta. The stenotic lesion may be localized or diffuse, originating at the superior margin of the sinuses of Valsalva just above the level of the coronary arteries. This disease is suggested to have familial tendency heredited by an autosomal dominant type of transmission. A 17-years-old male with intermittent exertional chest pain, whose elder sister being a patient with supravalvular aortic stenosis, was admitted for cardiologic evaluation. Diagnosis of supravalvualr aortic stenosis was made by echocardiography, angiocardiography and magnetic resonance imaging of heart. We reported a case of familial supravalvualr aortic stenosis with a review of literature.
노인 문제 발생의 사회적 배경과 노인의 심리적 특성에 관한 연구
권은경,민숙영,박선미,오미애,원경록,이계숙,이경례 연세대학교 생활과학대학 1986 婦學 Vol.19 No.-
The main purpose of this study was to understand the problems of the aged and to find the best feasible solutions to their problems through an understanding of the psychological characteristics of the aged and the social environment factors which are the causes of their problems. The method of the present study was a review of the literature. The psychological characteristics of the aged were found to passivity, introvertion, depression and the feeling of solitude. These characteristics keep the aged from active adaptation to a new life style and value system. Modern industrialized Korea may be characterized as a society of rapid changes and mobility. As a consequence, the aged are apt to lose stability in society and the family group. Possible solutions for the resolution of the problems of the aged are as follow: 1. Retirement policy should be changed from a uniform age criterion to an individual ability criterion. 2. The social welfare system should contain provision for the reduction of the taxes of those who support the aged. 3. Special commodities specially for the aged should be developed along with expansion of public facilities for and reeducation of the aged.
권계철 ( Kye Chul Kwon ),유재관 ( Jae Kwan Yu ),박숙자 ( Sook Ja Pak ),주현정 ( Hyun Jeong Ju ) 대한임상검사과학회 1998 대한임상검사과학회지(KJCLS) Vol.30 No.2
In routine blood bank, Rh phenotypes including C, c, E, e, were hardly requested and performed. But Rh antibodies causes fetal hydrops, hemolytic anemia, Knowing about the frequencies of Rh phenotypes to find appropriate matched blood is important. Beause the frequencies of Rh phenotypes of Korean were incomplete still, the study for observing Rh phenotypes was performed among the 77,627 blood donors in Daejon Chungnam The results were as follows 1. The incidences. of Rh-D antigen negative were 231 cases(U.3%) respectively among 77,627 donors. 2. The incidences of Rh-Hr antigen were C 88.3%, c 55.3%, E 50.4%, e 90.8% among all Rh-D positive 349 case and C 42.1%, c 93.0%, E 16.7%, e 98.2% among all Rh-D negative 228 case. 3. Rh phenotype of 349 Rh positive and 228 Rh negative blood donors are categorized 15 patterns. And the incidence were CDe 43.3%, CcDEe 37.0%, cDE 8.5%, CcDe 6.3%, cDEe 3.4%, CDEe 1.5%, CcDE 0.3% and cde 48.2%, Ccde 30.3%, cdEe 8.8%. cdE 0.4%. CdEe 1.3%. CcdE 0.4. CdE 0.9%. de 0.4%. In conclusion, Rh phenotypes of Koreans were variable and Rh blood phenotype tests would be a routine blood test to prevent from aloimmunization and hemolytic anemia resulted in Rh mismatch blood transfusion.