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박성혜 ( Sung Hea Park ),박정신 ( Jeung Shin Park ),홍성연 ( Seong Yun Hong ),김주현 ( Ju Hyun Kim ),오훈규 ( Hun Kyu Oh ),최윤석 ( Youn Seok Choi ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.9
Uterine leiomyoma is the most frequent gynecologic tumor, but acute torsion of uterine leiomyoma is extremely rare. We report a case of a patient who had suffered lower abdominal pain for 2 weeks. Ultrasonogram showed a subserosal uterine leiomyoma. Laparoscopic surgery confirmed the diagnosis of acute torsion of a subserosal uterine leiomyoma.
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대추의 과육지질에 존재하는 지방산의 동정과 숙성에 따른 그 조성의 변화
우효경(Hyo Kyeng Woo),김성진(Seong Jin Kim),박성혜(Sung Hea Park),조용계(Yong Goe Joh) 한국유화학회 2001 한국응용과학기술학회지 Vol.18 No.1
N/A In search for several fatty acid with unusual structure in vegetable oils, we have found that unknown peaks were shown on GLC in the analysis of fatty acids of the lipids from the pulp of ripened jujube (Zizypus jujuba var. inermis) fruits. These fatty acids were identified as a series of cis-monoenoic acids with ω-5 double bond system such as C_14:1ω5, C_16:1ω5 and C_18:1ω5, including ω-7 fatty acid as C_16:1ω7 and C_18:1ω7, by GLC, solid-phase extraction silver ion-column chromatographic, GLC-mass spectrometric and IR techniques. First of all, total fatty acid methyl esters were resolved into saturated and branched fatty acid, monoenoic acid, dienoic acid, and trienoic acid fraction, respectively, with 100% dichloromethane (DCM), DCM/acetone (9:1, v/v) 100% acetone, and acetone/ acetonitrile (97:3, v/v) solvent system. Unknown fatty acids were included in the monoenoic fraction and were confirmed to have cis-configuration by IR. Picolinyl esters of monoenoic fatty acids gave distinct molecular ion peak and dominant diagnostic peaks, for example, m/z 317, 220 and 260 fragment for cis-C_14:1ω5, m/z 345, m/z 248 and 288 fragment for cis-C_16:1ω5 and m/z 373, m/z 276 and 316 fragment for cis-C_18:1ω5. In this way the occurrence of cis-C_16:1ω7 and cis-C_18:1ω7 could be deduced from the appearance of prominent fragments as m/z 345, 220 and 260, and m/z 373, 248 and 280. Level of total ω-5 fatty acids amounted to about 30% in the fatty acid composition with the predominance of C_16:1ω5 (18.7~25.0%), in the semi-ripened and/or ripened samples collected in September 14 (C_16:1ω5 ; 18.7%, C_14:1ω5 ; 3.6% and C_18:1ω5 ; 3.0%), September 22 (C_16:1ω5 ; 25.0%, C_14:1ω5 ; 1.4% and C_18:1ω5 ; 2.6%), and October 7 (C_16:1ω5 ; 24.7%, C_14:1ω5 ; 7.7% and C_18:1ω5 ; 2.5%). However, the lipids extracted from unripened jujube in July and August contain these unusual fatty acids as low as negligible. It could be observed that the level of ω-5 fatty acids in the pulps increased sharply with an elapse of ripening time of jujube fruits. Other monoenoic fatty acids with ω-7 series, C_16:1ω7 (palmitoleic acid) and C_18:1ω7 (cis-vaccenic acid) could be detected. And in the lipids of the kernel and leaf of jujube, none of ω-5 fatty acids could be detected.
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최성은 ( Seong Eun Choi ),권정희 ( Jeong Hee Kwon ),박성혜 ( Sung Hea Park ),고석봉 ( Suk Bong Koh ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.11
Pelvic and abdominal actinomycosis is a chronic granulomatous supurative disease usually caused by an anaerobic Gram positive organism Actinomyces israelii. Its presentation is usually considered to be malignancy rather than an infective process and was once described as ``the most misdiagnosed disease``. They are normal commensal inhabitants of the human bronchial and gastrointestinal tracts and seem to only cause pathological infection after preceding mucosal breakdown. Infection spreads by direct extension. Hematogenous spread can occur but lymphatic spread is unknown. We experienced a pelvic and abdominal actinomycosis after total abdominal hysterectomy. This case illustrates the importance of considering the possibility of actinomycosis when we met a vague abdominal pain and mass after hysterectomy.
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