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Clinical Features of Abdominal Actinomycosis: A 15-year Experience of A Single Institute
성혜영,이인석,김상일,정승은,김상우,김수영,정문경,김원철,오승택,강원경 대한의학회 2011 Journal of Korean medical science Vol.26 No.7
This study was designed to evaluate the clinical features of abdominal actinomycosis and to assess its therapeutic outcome. We reviewed patients with abdominal actinomycosis in Seoul St. Mary hospital, between January 1994 and January 2010. Twenty-three patients (5 male and 18 female, mean age, 47.8 yr; range, 6-75 yr), with abdominal actinomycosis were included. Emergency surgery was performed in 50% due to symptoms of peritonitis. The common presentation on preoperative computerized tomography was a mass with abscess, mimicking malignancy. The mean tumor size was 7.0 cm (range, 2.5-10.5). In all patients, actinomycotic masses were surgically removed. Mean duration of hospital stay was 17.8 days (range, 5-49). Long term oral antibiotic treatment (mean 4.2 months;range, 0.5-7.0 months) were administered to all patients. All patients were free of recurrence after a median follow up of 30.0 months (mean 35.5 ± 14.8 months, range,10.0-70.0 months); recurrence was not seen in any patient. In conclusion, abdominal actinomycosis should be included as a differential diagnosis when an unusual abdominal mass or abscess presents on abdominal CT. Assertive removal of necrotic tissue with surgical drainage and long term antibiotic treatment provide a good prognosis in patients with actinomycosis.
성혜영,조희선 한국가족관계학회 2001 한국가족관계학회지 Vol.6 No.1
This study is for understanding and interpreting wives' experiences of equality in marital relationship. Two full time house wives were interviewed. All the dialog was transcribed. Four themes were derived from the text as following. 1. Needs for stability and customary life 2. The absurdity of role partition 3. Consideration VS. adaptation 4. The myth of daily happiness' and 'the emptiness' First, It was found that participants married for stable life and that was consequence of custom. Second, they recognized the situation that their husbands earn money and they do household affair as role partition. But they didn't satisfied with that. Third, Sometimes they felt dissatisfaction that their husbands didn't do household affair and care babies. But they said that they understood and considered their husbands. However it is interpreted adaptation rather than consideration. Finally, they said that they were very happy in their family life. But there were differences between family life happiness and their own happiness.
MEN1 유전자 돌연변이로 진단된 가족성 제1형 다발성내분비선종 1예
성혜영,전연주,이혁,권범준,박건우,이정민,문성대,장상아,한제호 대한내분비학회 2006 Endocrinology and metabolism Vol.21 No.6
Multiple endocrine neoplasia type 1 (MEN 1) is an autosomal dominant disorder that's characterized by the combined occurrence of primary hyperparathyroidism, endocrine pancreatic tumors and anterior pituitary adenomas, but such manifestations as carcinoid tumors, adrenal adenoma and lipoma are also seen. We report here on a case of a 52-years old man with MEN type 1. He had a parathyroid adenoma, empty sella and a non-functioning pancreatic and adrenal mass. On the genetic analysis, he was proven to have a mutation in the MEN1 gene (exon 2, 200-201, INS AGCCC). On the family study for the mutation, one of his siblings and his son proved to have the same mutation. (J Kor Endocrinol Soc 21:560~566, 2006) 저자들은 무증상의 신장결석을 동반한 고칼슘혈증, 부신 우연종과 췌장 종양을 가진 52세 환자를 대상으로 제1형 다발성 내분비 선종에 대한 검사를 시행하였다. 검사결과 부갑상선 선종, 공터키안 증후군, 비기능성 부신 및 췌장 종양을 발견하였고, 환자와 가족을 대상으로 제 1형 다발성 내분비 선종에 대한 유전자 검사를 통하여 MEN1 유전자에 AGCCC가 삽입된 변이를 확인하였다. 이에 문헌 고찰과 함께 보고하는 바이다.