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Synchronus Endometrioid Endometrial and Ovarian Cancer in a 37-year-old woman
박예현,이려빈,이태임,조혜연,장봉림,강정배,경민선 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
Synchronus primary endometrial and ovarian malignancises are uncommon. A 37-year-old women who has Hypertension visited Emergency room with the complaint of lower abdominal pain and abnormal vaginal bleeding. In Abdominopelvic computed tomography there was 11*8*3 cm sized right ovarian tumor and 10*7*3 cm sized left ovarian tumor with internal septation and diffuse endometrial thickening. Serum level of CA-125 was elevated at 65.8 IU/mL. CA 19-9 was slightly elevated at 31.4 IU/mL. An Endometrial biopsy revealed Endometrial invasive adenocarcinoma. The patient underwent Total abdominal hysterectomy with bilateral salpingo-oophorectomy and both pelvic lymphadenectomy with para-aortic lymphadenectomy and appendectomy and total omentectomy and peritonectomy and washing cytology. Histopathology revealed a synchronous endoemtrioid endometrial and ovarian cancer. After the operation, we decided to perform chemotherapy. Therefore we report a case of synchronus primary endometrial and ovarian malignancies occurred in a 37-year-old women with a brief review of the literature.
박예현,박수정,천재희,김원호,김태일 대한암예방학회 2019 Journal of cancer prevention Vol.24 No.1
Background: The influence of family history (FH) on cancer recurrence and survival among patients with established colorectal cancer (CRC) remains uncertain. This study aimed to evaluate the association of FH with cancer recurrence, survival, and the incidence of colorectal adenomas in patients with CRC. Methods: Consecutive patients with stage III CRC diagnosed between 2004 and 2009 and followed-up in Severance Hospital were retrospectively enrolled and followed until December 2014. Overall survival (OS) and disease-free survival (DFS) according to FH of CRC or colorectal neoplasm were evaluated using Cox proportional hazards regression and Kaplan–Meier curve. Results: Among analyzed 979 patients, 69 (7.0%) was identified as having a FH of CRC in a first-degree relative. During a median follow-up of 9.6 years, mortality occurred in 14 of 69 patients (20.3%) with a FH of CRC and 348 of 910 patients (38.2%) without a FH. Compared with patients without a FH, a first-degree FH of CRC, first or second-degree FH of CRC, and first-degree FH of colorectal neoplasm (CRC or polyps) were associated with a significant reduction in the risk of overall mortality, with adjusted hazard ratios (HRs) of 0.52 (95% CI, 0.29-0.92), 0.51 (95% CI, 0.30-0.88), and 0.48 (95% CI, 0.28-0.82), respectively. However, DFS improvement was significant only when the definition of FH was FH of colorectal neoplasm (adjusted HR 0.57; 95% CI, 0.36-0.89). The incidence of adenoma and advanced adenoma was not different according to the FH. Conclusions: Among patients with stage III CRC receiving curative surgery, a FH of colorectal neoplasm was associated with a reduction in cancer recurrence and mortality. The larger scaled studies are needed. (J Cancer Prev 2019;24:1-10)
Pandemic Influenza (H1N1) and Mycobacterium tuberculosis Co-infection
박예현,한상훈,신범식,윤유정,김영주,최준용,김창오,송영구,김준명 대한결핵및호흡기학회 2014 Tuberculosis and Respiratory Diseases Vol.76 No.2
We hereby observe four co-infection cases of pandemic influenza H1N1 and Mycobacterium tuberculosis with various clinical presentations. It may be prudent to consider M. tuberculosis co-infections when patients with pandemic influenza reveal unusual clinical features that do not improve despite appropriate treatments against the influenza, especially in Korea, in the endemic areas of M. tuberculosis.
박예현,최창환,김현수,문희석,김도현,김진주,Dennis Teng,박동일 대한장연구학회 2022 Intestinal Research Vol.20 No.4
Background/Aims: Epidemiological data on steroid use in South Korean patients with inflammatory bowel disease (IBD) are limited. We documented the steroid use patterns in these patients, and whether physician education on appropriate steroid use affected these patterns.Methods: ACTION was an observational cohort study conducted in adults (≥19 years) with IBD. A retrospective chart review was performed at baseline (cohort 1) and 1 year after physician training (cohort 2). Eligible cases with excessive or inappropriate steroid use were identified, along with any associated risk factors.Results: Data were collected during May 2018-July 2019 from patients with Crohn’s disease (CD) and ulcerative colitis (UC) in cohort 1 (n=1,685) and cohort 2 (n=1,649). At baseline, 155 patients (9.2%) had received steroids within the previous 12 months, 46 (29.7%) of whom had used steroids excessively, 16 (34.8%) of these having inappropriately used excessive steroids. Although steroid exposure was similar in cohort 1 (9.2%) and cohort 2 (9.7%), the latter comprised fewer excessive steroid users (20.0% vs. 29.7%). Severe disease was associated with excessive steroid use in cases with UC, but not with CD.Conclusions: Although, overall steroid use was relatively low in South Korean patients with IBD, one-third of steroid users used them excessively, and one-third among these used excessive steroids inappropriately. High disease activity was the main risk factor for excessive steroid use which may potentially be reduced by physician education, especially in cases with UC. Active screening to minimize excessive and inappropriate steroid use through physician education should be considered.
노인요양시설 종사자의 감성지능과 갈등관계가 직무만족에 미치는 영향
박예현(Yae-Hyun Park),하규수(Kyu-Soo Ha) 한국콘텐츠학회 2013 한국콘텐츠학회논문지 Vol.13 No.12
본 연구는 노인요양시설 종사자의 감성지능과 그들이 경험하는 갈등관계가 직무만족에 미치는 영향을 분석하고, 감성지능과 갈등관계가 직무만족에 미치는 영향에 있어서 소통의 조절효과를 알아보았다. 연구 대상은 경기도 지역의 장기요양기관의 종사자 379명을 대상으로 하였다. 자료 분석은 SPSS 18.0 프로그램을 이용하여 빈도분석, 요인분석, 신뢰도 분석, t-test, ANOVA, 위계적 회귀분석, 조절회귀분석을 하였다. 연구결과는 첫째, 감성지능의 자기감정이해, 타인감정이해, 감정활용, 감정관리 요인은 직무만족과 정(+)의 관계가 있는 것으로 분석되었다. 둘째, 갈등관계 요인 중 클라이언트의 보호자와 상사와의 갈등이 직무만족의 요인인 관계성에 부(-)의 영향을 미친다. 셋째, 소통은 갈등관계와 직무만족의 요인 중 관계성과 보상 사이에서 부분적 조절효과가 있는 것으로 확인되었다. The purpose of this study is to demonstrate moderating effect of communications on job satisfactions by an emotional intelligence and conflict-relations of employees and to investigate the influence on job satisfactions by an emotional intelligence and conflict-relations of employees in a long-term care facilities. The results were analyzed from the final responses of 379 employees who are working in a long-term care facilities in Gyeong-Gi Province by SPSS 18.0. The method used in this study were factor analysis, t-test, ANOVA, hierarchical regression analysis, moderated regression analysis. The results of this study are as in the following. First, these consequences showed that an emotional intelligence is positively related with job satisfaction among others’ emotional appraisal, use of emotion, regulation of emotion and self emotional appraisal. Second, these results are observed that the conflicts of client’s protector and superior is negatively related with job satisfaction. Third, these data are convinced that the communications have a partial effects among conflict, relationship and compensation.
SNS와 클라우드를 이용한 실시간 협업스터디 플랫폼 개발에 관한 연구
박예현 ( Ye-hyeon Park ),신연주 ( Yeon-joo Shin ),송현석 ( Hyeon-seok Song ),차민수 ( Min-su Cha ),박민규 ( Min-kyu Park ),박상수 ( Sang-soo Park ) 한국정보처리학회 2017 한국정보처리학회 학술대회논문집 Vol.24 No.2
본 연구는 유저 크리에이티브 지식 매체를 생성함에 있어 기존 일방적 전달 방식에서 탈피하여 자신이 가지고 있는 정보를 다수의 사람과 공유 할 수 있는 3세대 다방향(Mash-Up) 교육에 관한 연구하여 SNS와 클라우드 요소를 통해 공유할 수 있는 플랫폼을 개발하는 방안을 제안하고 있다. 본 연구는 1)LIVE_BOARD 2)TIMELINE 3)NEWS FEED 4)PLANNER 로 나뉜다. Live_Board의 실시간 스트리밍을 활용하여 영상·이미지기반 의사소통을 지원하고, SNS적 요소인 TimeLine, News Feed를 통해 다른 사용자들과 정보 공유를 할 수 있고, Planner를 통해 개인 스케줄 관리를 할 수 있는 플랫폼이다. 1)주