알코올 중독 환자의 재발과 치료 경험

우주현,김현례,현명선,Woo, Ju-Hyun,Kim, Hyun-Lye,Hyun, Myung-Sun 한국가정간호학회 2012 가정간호학회지 Vol.19 No.2

Purpose: The purpose of this study is to explore the subjective experiences of relapse and treatment among the alcoholics. Methods: Phenomenological methodology was used for the study. Participants were seven people with inpatient alcoholics at the alcohol treatment center at K hospital in K province. Data were collected via in-depth interviews from March to September, 2012 and analyzed using Colazzi's framework. Results: Six themes and seventeen meanings were formulated for the relapse and treatment experiences of participants with alcoholism. Six themes were 'Lack of true insight', 'Lack of strength to live a life', 'Unable to overcome an urge to drink', 'Being drawn away from others', 'Falling into the powerlessness and despair', and 'Being foothold of self-growth'. Conclusion: The results from this study revealed the relapse experiences among alcoholic patients. Therefore, the findings can provide the framework and direction for developing the relapse prevention program for alcoholic patients. In addition, practitioners in the treatment center or hospital need to consider their relapse and treatment experience.

유방암의 내분비요법

우주현,임우성 이화여자대학교 의과학연구소 2014 EMJ (Ewha medical journal) Vol.37 No.2

Breast cancer is the second most common cancer in Korean women and its mortality rate has increased steadily. Although breast cancer is heterogeneous tumor, hormone receptor-positive tumors comprise about 75 percent of all breast cancers. Therefore endocrine therapy that works by targeting estrogen receptor is a pivotal treatment for breast cancers. There are selective estrogen receptor modulators, such as tamoxifen and raloxifene, aromatase inhibitors, such as anastrozole, letrozole and exemestane, fulvestrant and luteinizing hormone-releasing hormone agonists used in endocrine therapy. Endocrine therapy is effective in treating early breast cancer as an adjuvant therapy and metastatic breast cancer as a palliative therapy. Also in women who are at high risk for breast cancer, tamoxifen or raloxifene can prevent breast cancer. Studies for neoadjuvant endocrine therapy are emerging. Considering side effects of each drug and overcoming drug resistance are needed to maximize effectiveness of treatment and advance endocrine therapy.

경부임파선 전이로 나타난 원발부위 불명의 악성흑색종 2예

우주현,윤병기,김동영,박상희 대한이비인후과학회 2009 대한이비인후과학회지 두경부외과학 Vol.52 No.1

About 1% of malignant melanoma is found in the head and neck region and among them, about 2-16% is presented with palpable regional metastatic melanoma with unknown primary lesion (MUP). We have experienced two cases of MUP which were diagnosed after excisional biopsy. MUP has better prognosis than that with known primary lesion. To get good prognosis, the initial treatment of MUP should be regional lymphadenectomy, indicating the importance of an accurate diagnosis. Although the radiologic finding for malignant melanoma may offer no specific findings, physicians should be aware of the possibility of melanoma in neck mass patients. We present two cases of MUP with a literature review.

하인두를 침범한 미분화성 지방육종 1예

우주현,이정호,김동영 대한이비인후과학회 2009 대한이비인후과학회지 두경부외과학 Vol.52 No.7

Liposarcoma in larynx and hypopharyx is an extremely rare and dedifferentiated liposarcoma that has never been reported in Korean literature. The 48-year-old male patient was referred to ENT because of acute airway obstruction during gastrofiberscopic biopsy. The neck and chest CT scan showed pharyngeal mass extending esophagus and lateral neck. In operation, we found that pharyngeal and lateral neck mass were connected through pharyngeal wall. The mass was removed en bloc via open neck and lateral pharyngotomy approach. The postoperative pathologic examination revealed dedifferenciated liposarcoma. We report a very rare condition with a literature review.

무인수상선의 도킹을 위한 합성곱 신경망 기반 상대위치추정 기법

우주현 제어·로봇·시스템학회 2019 제어·로봇·시스템학회 논문지 Vol.25 No.7

This paper describes a convolutional neural network based localization method for docking of an unmanned surface vehicle. Based on the docking experiment of the USV model ship in an indoor, a basin and inland water, docking data which includes relative pose information and corresponding mono-camera perspective images are collected. Using the collected docking data, a VGG-19 based convolutional neural network model for relative pose estimation was trained. Constructed pose estimator can predict USV pose during the docking, within 0.23 m and 0.45 m and 2.73 degree of longitudinal, lateral and yaw angular RMS errors respectively. According to the validation result, we founded the possibility that the proposed method can substitute the GNSS based navigation when there exists a high level of bypass error due to the approaches of large scale structure or vessel, which USV often encounters during the docking.

하마종 치료에서 설하선 절제의 필요성:예비연구

우주현,김미주,차흥억,김동영 대한이비인후과학회 부산,울산,경남 지부회 2010 임상이비인후과 Vol.21 No.1

Background and Objectives:Most ranulas develop as a result of salivary extravasation from the sublingual gland. Several treatment modalities have been reported, but the optimal is still controversial. We analyzed the effectiveness and potential risks of currently available surgical treatment modalities for ranula to determine one that was optimal. Materials and Methods:Sixty-four patients with ranulas underwent surgical procedures which included incision and drainage, marsupialization, ranula excision, and excision of sublingual gland with ranula. Recurrence and related complications were documented. Results:The recurrence rates of incision and drainage, marsupialization, ranula excision, excision of the sublingual gland with ranula were 100%, 35.7%, 18.8%, and 3.4%, respectively. The patients who underwent excision of the sublingual gland with ranula had minimal complications and recovered without any problems. There is no significant difference of recurrence rate accoding to the type of ranula. Conclusion:The surgical methods were more important factor than the types of ranula in the recurrence. Excision of sublingual gland with ranula should be considered in choosing the primary surgical treatment modality in any type of ranula.

결핵성 경부 림프절염의 치료 효과에 대한 고찰

우주현,윤진호,임채영,김동영 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.10

Background and Objectives:Tuberculous cervical lymphadenitis is a clinically common cervical inflamatory disease. But there are controversies in the management in spite of high prevalence. The aim of this study was to investigate proper treatment modality, such as antituberculous chemotherapy and surgery. Subjects and Method:Results:Females were more affected, made over 89% with the initial tests such as FNAB, AFB stain and tuberculous PCR. The sucesful treatment rate just with anti-tuberculous medication was 90.6%. Especially, in the patients with abscess formation, treatment was successful in 90% only with anti-tuberculous medication. Seventeen cases were treated with medication and surgical management. These patients underwent selective neck disection or mas excision to remove the entire lesion and there were no recurrence. Conclusion:Tuberculous nt is under medical treatment, early surgical treatment is neded. The important thing is to remove the entire lesion when the surgical treatment must be taken. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :913-7)

심경부감염의 치료에 영향을 줄 수 있는 요인들에 대한 임상 분석

우주현,차흥억,이주형,강일규,백민관,김동영 대한이비인후과학회 2008 대한이비인후과학회지 두경부외과학 Vol.51 No.6

The treatment of deep neck infection is antibiotic therapy followed by surgery when it is indicated. There is no detailed guideline for the treatment according to clinical feature or extension of infection. So the purpose of this study is to find out factors affecting the treatment of deep neck infection in the point of clinical feature, laboratorial study and CT finding. Subjects and Method:We have conducted a retrospective study of 67 patients that had been seen between January 2005 and July 2007. We divided patients into a non-surgical group and a surgical group, analyzed clinical informations and laboratorial tests between the two groups, and studied the relations between lesion size, degree of infection and treatment method. Results:There were significant differences between the non-surgically treated and surgically treated groups. The latter group presented with older age, larger lesion, more numbers of involved spaces, highly elevated WBC counts, more decreased in protein counts and had longer treatment period prior to hospitalization than the former group. Also, the size of the affected lesion was bigger, the incidence of abscess formation higher and required surgical treatment more often. Conclusion:Surgical management has an advantage when the lesion size is more than 7 cm, even if it presents an incomplete abscess. If the laboratory study reveals highly sustained WBC counts after proper antibiotic therapy and low protein counts, more aggressive treatment should be considered, especially for old patients. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:544-8)

남자 없는 남성성 주디스 핼버스탬 지음, 유강은 옮김, 『여성의 남성성』, 이매진, 2015

우주현 한국여성학회 2016 한국여성학 Vol.32 No.2

후두미세수술의 역사와 기구의 발전

우주현,김동영,Woo, Joo-Hyun,Kim, Dong-Young 대한후두음성언어의학회 2010 대한후두음성언어의학회지 Vol.21 No.2

After introduction of operating microscopes and laser devices in the 1960's, monumental innovation for had been achieved in laryngeal microscopic surgery. The development of high-tech operating devices made the laryngeal surgery less invasive and more precise. There were long histories until developing of the modem instruments and surgical techniques. The simple oral mirror introduced by Bozzoni in 1807 is the beginning of laryngoscope. In 1859 Green carried out the laryngeal operation under direct view of larynx. The appearance of local topical anesthesia on throat had contributed to laryngeal surgery coming into wide use. Killian and Jackson made much contribution to developing the design of laryngoscope. After that, modem laryngeal surgery have been developed with development of the stabilizing holder of laryngoscope and optical devices. We propose carefully the direction of the development of the laryngeal surgery by historical consideration of laryngeal surgery and instrumental development.