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Endogenous Cushing’s Syndrome in a Patient with Systemic Lupus Erythematosus
강은진,문수진,Kyung ho Moon,Deok-jae Han,Jain Lee,Sang Mi Ro,손장원,김성래,민준기,유순집 대한비만학회 2016 The Korean journal of obesity Vol.25 No.3
Systemic lupus erythematosus is an autoimmune disease for which glucocorticoids are the mainstay of treatment. Cushing’s syndrome is caused by glucocorticoid excess, which can be either exogenous or endogenous. Although iatrogenic Cushing’s syndrome is the most common form, especially in patients undergoing glucocorticoid treatment, endogenous glucocorticoid excess should be considered because it has a different treatment strategy. We describe a 51-year old woman with a longstanding history of SLE. She was treated with steroid and cytoxan pulse therapy and plasmapheresis. Her lupus activity had been stable for 7 years with low-dose glucocorticoid treatment. She showed excessive weight gain, easy bruising, moon facies, truncal obesity, acne, and menstrual disorder. Given her history of long-term steroid therapy, iatrogenic Cushing’s syndrome was considered the most likely diagnosis; however, worsening features of Cushing’s syndrome with a minimal dose of glucocorticoid led us to diagnose endogenous Cushing’s syndrome due to a left adrenal adenoma. The patient underwent laparoscopic left adrenalectomy. Her SLE was controlled with transient low-dose glucocorticoid treatment, and her lupus activity remained stable without glucocorticoid treatment. This is the first reported case of concomitant endogenous Cushing’s syndrome in a patient with preexisting SLE in Korea. This case shows the importance of differential diagnosis including exogenous Cushing’s syndrome and endogenous Cushing’s syndrome in autoimmune disease patients with glucocorticoid therapy.
갈근탕을 투여하여 호전을 보인 제 2형 당뇨병 증례 1례
강은진,류혜랑,김영균,김경민,Kang, Eun-jin,Ryu, Hae-rang,Kim, Young-kyun,Kim, Kyoung-min 대한한방내과학회 2017 大韓韓方內科學會誌 Vol.38 No.5
Objectives: The aim of this study was to explore and describe how fasting blood sugar (FBS), postprandial 2 h Glucose (PP2h), and glycated hemoglobin (HbA1c) of a patient diagnosed with type 2 diabetes mellitus can be reduced by treatment with Galgeun-tang herbal medicine. Methods: The patient was administered herbal medicine to reduce serum glucose levels. The prescribed herbal medicines included Galgeun-tang and Galgeun-tang-gami. Results: The therapeutic outcomes were control of blood sugar and glycated hemoglobin (HbA1c) levels and decreased insulin administration. Conclusion: The herbal medicine, Galgeun-tang, appears to be a valid treatment for type 2 diabetes mellitus. Serum glucose (FBS/PP2hrs) and HbA1c were well controlled and insulin administration was decreased. Galgeun-tang was effective in controlling the daily glucose levels in a patient with type 2 diabetes mellitus.
건강기능식품의 신뢰도 및 이해도 향상을 위한 표시제도 연구
강은진,김지연,권오란,김명철,김건희 한국식품위생안전성학회 2008 한국식품위생안전성학회지 Vol.23 No.1
This study was performed to improve of Health Functional Food(HFF) through investigating thelabel system. The logo on HFF to increase the reliance, understanding and quality warranty for consumers was devel-oped through competition. In order to investigate the consumer's awareness about HFF label system a nationwidesurvey was conducted in metropolitan areas (6 cities) and middle-sizes cities (6 cities). The subjects was 2000(males collected by in-person interviews. The major results wereas follows. 63.0% of consumer responded they need certification mark for HFF and trust function information of text/graphic format than text format. 85.3% of consumers chose the long claim including the mechanism because 38%reported that they could confide the information, 36% reported it is easy to understand and 26% reported that theythought it is more effective than short claim. As 58.8% of the total consumers answered that the manufacturers markedthe nutrition function claim without the permit of the KFDA, a reliable certification mark developed by this researchis expected to contribute in improving the label system of HFF, rising reliability and perception of consumer.
실내조건에서 무당벌레(Harmonia axyridis : Coleoptera: Coccinellidae)의 각 발육단계에 친환경농자재가 미치는 영향
강은진,강명기,이희진,이대홍,석희봉,김다아,길미라,서미자,유용만,윤영남,Kang, Eun-Jin,Kang, Myong-Ki,Lee, Hee-Jin,Lee, Dae-Hong,Seok, Hee-Bong,Kim, Da-A,Gil, Mi-La,Seo, Mi-Ja,Yu, Yong-Man,Youn, Young-Nam 한국응용곤충학회 2007 한국응용곤충학회지 Vol.46 No.1
무당벌레(H. axyridis)는 세계적으로 진딧물의 포식자로 널리 알려지면서 농생태계내에서 진딧물을 방제하기 위한 방제인자로 많이 사용하고 있다. 또한 국내에서는 농약의 사용을 억제하는 정부정책과 소비자의 요구 등으로 인하여 친환경농업이 확대되면서 친환경농자재들이 많이 사용되고 있다. 따라서 친환경농자재의 사용은 무당벌레에 직간접적으로 영향을 미칠 수가 있다. 살충성친환경농자재(IEFAMs)의 경우 무당벌레의 각 발육단계에 대하여 대부분 안전한 경향을 나타내고 있다. 살균성친환경농자재(FEFAM)의 경우에도 FEFAM A를 제외한 다른 종류들은 무당벌레에 대하여 영향이 적다. 토양미생물친환경농자재(EFAMSM)인 EFAMSM C와 H는 무당벌레 알의 부화율을 떨어뜨릴 수가 있으며, EFAMSM A와 F는 1령 유충에 피해를 줄 수 있는 것으로 조사되었다. 식물성추출물친환경농자재(EFAMPE)는 EFAMPE A와 D는 무당벌레 알에 치명적인 독성을 보이고 있는 것을 알 수 있다. 그 이외의 다른 조사된 농자재들은 무당벌레에 비교적 독성이 약한 것으로 평가되었다. The multicolored Asian ladybird beetle (Harmonia axyridis) has been commonly used with biological control agents for control of several kinds of aphids in agroecosystems. Also, environment friendly agricultural materials have been commonly applied in crop fields because the government held down pesticide application and environment friendly agricultures are gradually increased with consumer's desires. The multicolored Asian ladybird beetles may be directly or indirectly under the influence of environment friendly agricultural materials In crop fields. The insecticidal environment friendly agricultural materials (IEFAMs) might be saff against each developmental stage of multicolored Asian ladybird beetle. Fungicidal environment friendly agricultural materials (FEFAMs) had a miner effect to each developmental stage of multicolored Asian ladybird beetle with the exception of FEFAM A. Environment friendly agricultural materials contained useful soil microorganisms (EFAMSMs) C and H might be down the hatching rate of eggs, and EFAMSM A and F had a killing effect to 1st instar of lady beetles. Environment friendly agricultural materials contained plant extracts (EFAMPEs) A and D might be suffered effect a deathblow of egg hatching with lady beetles. Otherwise, there was a miner effect to lady beetles with the rest of tested environment friendly agricultural materials.
유아교사의 애니메이션 활용실태 및 인식 : 디즈니 애니메이션을 중심으로
강은진,현은자 한국유아교육학회 2001 유아교육연구 Vol.21 No.2
본 연구는 유아교육기관에서의 애니메이션 활용, 유아교사의 디즈니 애니메이션에 대한 인식, 그리고 애니메이션 선정기준을 살펴보는 것을 목적으로 하였다. 이를 위해 서울·경기, 부산·경남, 전북지역의 유아교사 439명을 대상으로 설문조사를 한 다음, 연구문제에 따라 빈도와 백분율을 살펴보았다. 설문지 조사 결과, 유아교육기관에서 애니메이션을 일주일에 1-2번 정도 보여주었고, 대부분의 유아교육기관에서 디즈니 애니메이션을 보여준 것으로 나타났다. 유아교사들은 디즈니 애니메이션에 대해 높은 선호도를 보였으며, 디즈니 애니메이션을 교육적으로도 바람직하다고 답하였다. 연구결과를 통해 애니메이션 선정기준과 유아 교사를 위한 미디어교육 프로그램 개발의 필요성에 대한 요구를 제시하였다. This study examines early childhood teachers' use of animation in kindergartens and child care centers, their perception of animation, especially, Disney Animation, and their criteria for selecting animation. Subjects were 439 teachers in Seoul·Kyungki, Pusan, Kyungsangnamdo, and Chollabukdo areas, Korea. The instrument used for this study was a questionnaire developed by researchers. Collected data were analyzed according to frequency and percentage. The survey results were as following: 1) Regarding watching animation in kindergarten and child care centers, teachers showed to children 1∼2 times per week. 2) Regarding watching Disney Animation in kindergarten and child care centers, the majority of teachers showed Disney Animation. 3) The majority of teachers thought Disney Animation was appropriate use in kindergarten and child care centers. 4) The majority of teachers said they felt it was necessary to develop criteria for selecting animation. The results indicate that teachers feel there is need to develop viable criteria for appropriate animation selection and to have a media education program for early childhood teachers.