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증례 : 신이식 환자에서 신부전을 동반한 신장 유육종증 1예
박혜린 ( Hae Lin Park ),반가영 ( Ga Young Ban ),배창범 ( Chang Bum Bae ),임현이 ( Hyun Ee Yim ),김흥수 ( Heung Soo Kim ),박인휘 ( In Whee Park ),신규태 ( Gyu Tae Shin ) 대한내과학회 2013 대한내과학회지 Vol.84 No.2
본 증례는 당뇨병성 신증으로 인한 신부전으로 신이식 후 발생한 신장 유육종증의 예로, 육아종성 간질성 신염에 의해 신기능 악화 소견을 보였으나 스테로이드에 치료 반응을 보였으며, 신이식 후 신기능 저하의 감별진단에 드물지만 신장 유육종증도 포함되어야 하겠다. Sarcoidosis, systemic inflammatory disease characterized by non-caseating granulomas, is rarely associated with renal failure in a kidney transplant. We report a 51-year-old woman with a kidney transplant who was diagnosed to have renal sarcoidosis. After 7 years of renal transplantation, the patient presented with relatively rapid deterioration of renal function and, subsequently, she underwent kidney transplant biopsy. Renal biopsy revealed interstitial nephritis with non-caseating granulomas compatible with granulomatous interstitial nephritis (GIN). She was also found to have granulomatous lymphadenitis and skin lesions. Diagnosis of sarcoidosis was made based on histopathologic findings, the high serum angiotensin converting enzyme level and exclusions of other causes of GIN including tuberculosis, ANCA associated glomerulonephritis and tubulointerstitial nephritis and uveitis syndrome. The patient was started on oral prednisolone, and subsequently her renal function improved. (Korean J Med 2013; 84:290-294)
헤어미용 국가직무능력표준(NCS) 인식에 따른 직무교육과 중요도 및 숙련도에 관한 연구
박혜린(Hye Lin Park),전해정(Hae Jung Chon) 한국인체미용예술학회 2017 한국인체미용예술학회지 Vol.18 No.3
The National Competency Standards (NCS) continues to develop due to certain disagreements between cosmetology education institutes and industrial organizations. Therefore, this study attempted to investigate disparity in training experience by the competency unit of the NCS for hairdressing by the perception of said standards among hairdressers and differences between its importance and proficiency. For the research method, a questionnaire survey was conducted among hairdressers from March 1 to 31, 2016. Among a total of 530 questionnaires, 504 copies were used for final analysis. The results found the following: First, when the NCS was perceived, the following lessons were greater: ‘customer services’, ‘counseling for treatment’, ‘shampooing’, ‘basic haircut’, ‘basic perm’ and ‘basic hair coloring’. Second, when the respondents were aware of the NCS, ‘basic haircut’, ‘basic hair coloring’, ‘hairstyling’ and ‘cosmetology business management’ were deemed important. Third, when the NCS was recognized, proficiency was high in the following: ‘safety & hygiene management’, ‘customer services’, ‘counseling for treatment’, ‘basic haircut’, ‘applied haircut’, ‘basic perm’, ‘applied perm’, ‘basic hair coloring’, ‘applied hair coloring’, ‘hairstyling’, ‘scalp & hair care’, ‘use of professional hair-care products’ and ‘cosmetology business management’. In sum, it appears that a perception of the NCS would increase job efficiency. For this, there should be adequate training programs and aggressive promotional activities.
메타콜린 기관지유발시험에 음성반응을 보인 천식 환자들의 임상적 특징
반가영 ( Ga Young Ban ),박혜린 ( Hae Lin Park ),황의경 ( Eui Kyung Hwang ),예영민 ( Young Min Ye ),신유섭 ( Yoo Seob Shin ),남동호 ( Dong Ho Nahm ),박해심 ( Hae Sim Park ) 대한천식알레르기학회 2012 천식 및 알레르기 Vol.32 No.3
Background: The methacholine bronchial challenge test is widely used to evaluate airway hyperresponsiveness in asthmatics; however some studies have reported a few asthmatics have negative methacholine bronchial challenge test results. We investigated the prevalence and clinical characteristics of this group of patients. Methods: We retrospectively analyzed the medical records of 118 patients diagnosed as having asthma who visited the Allergy Clinic of Ajou University Hospital between March 2010 and February 2011. Patients were divided into 2 groups according to the methacholine bronchial challenge test results: group I included those with positive results (group I, n=92) and those with negative results (group II, n=26). Results: Of the 118 subjects, 26 (22.0%) showed negative methacholine bronchial challenge test results. The rates of late-onset asthma (65.4%), non-atopy (42.1%) and overweight (47.4%) were higher in group II than in group I (37%, P=0.013; 19.6%, P=0.008; and 23.9%, P=0.008). The baseline lung function and the frequency of severe asthma exacerbation were not significantly different between the 2 groups. Conclusion: In this study, 22% of the asthmatic patients diagnosed by allergy specialists had negative methacholine bronchial challenge test results. It is suggested that late-onset asthma, non-atopy and overweight may be characteristic findings.