한국판 저장행동평가척도의 표준화 연구

이혜민,장진구,송후림,이수영,홍민하,김세주,김찬형,Lee, Hye Min,Chang, Jhin Goo,Song, Hoo Rim,Lee, Soo Young,Hong, Minha,Kim, Se Joo,Kim, Chan-Hyung 대한불안의학회 2021 대한불안의학회지 Vol.17 No.2

Objective : The Hoarding Rating Scale-Self-Report (HRS-SR) is a five-item scale that simply assesses the hoarding symptoms. We evaluated the factor structure, reliability, and validity of the Korean version of the HRS-SR (HRS-SR-K). Methods : A total of 144 individuals completed the self-administered questionnaires including HRS-SR-K, Obsessive-Compulsive Inventory-Revised-Korean version (OCI-R-K), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Psychometric properties of the HRS-SR-K were analyzed. Results : The Cronbach's α value for internal consistency of the HRS-SR-K was excellent (Cronbach's α=0.84). The construct validity was analyzed on the basis of principal component analysis and one-factor structure of the original scale was maintained. The HRS-SR-K total score and each item scores were more strongly correlated with the hoarding subscale score in OCI-R-K (convergent validity, r=0.71, p<0.01) than the corresponding scores of nonspecific depression or anxiety measures (discriminant validity). Conclusion : The HRS-SR-K is a simple and reliable self-report scale for examining the severity of hoarding symptoms.

회음 천공지 기저 도서형 피판을 이용한 회음부 재건

이혜민,김정태,황원중,Lee, Hae Min,Kim, Jeong Tae,Hwang, Weon Joong 대한성형외과학회 2005 Archives of Plastic Surgery Vol.32 No.1

Perineal area is composed of compact structures of urogenital organs and anus requiring a more sophisticated selection of flap and reconstruction. For achieving better outcome then conventional flap surgery, we use the perineal perforator based island flap for its reconstruction. After locating the perforator by Doppler, the flaps were designed according to the defect or expected vaginal orifice. The flaps were elevated bilaterally as island pattern. Finally defect or neovagina was reconstructed with inconspicious linear scar hidden in the inguinal crease. Five cases were performed with the perineal perforator based island flap. There were 3 cases of vulvar cancer, 1 case of transsexualism, and 1 case of ambiguous genitalia because of congenital adrenal hyperplasia. Operative results were satisfactory with good contouring and less prominent donor scar, when they were compared with other flap reconstructions such as latissimus dorsi perforator flap, groin flap, gracilis myocutaneous flap etc. The perineal perforator based island flap is highly recommended with the advantages of easy flap elevation, good rotation arc, and appropriate flap thickness for contouring. Compared with other conventional flaps, it can be selected as a good option for moderate defect of perineal area.

임상적 아형 및 연령에 따른 선상태선의 임상 및 조직병리학적 고찰

이혜민 ( Hye Min Lee ),정경은 ( Kyung Eun Jung ),이혜경 ( Hye Kyung Lee ),구대원 ( Dae Won Koo ),이중선 ( Joong Sun Lee ) 대한피부과학회 2014 大韓皮膚科學會誌 Vol.52 No.9

Background: Lichen striatus is an uncommon, self-limiting, linear inflammatory disease occurring along the lines of Blaschko, mainly affecting children, and is diagnosed by clinical history and histopathological study of typical lesions. However, various aspects of the histopathologic findings have not yet been studied sufficiently. Objective: The aim of this study was to investigate the clinical and histopathologic characteristics of lichen striatus in Korea, according to age and clinical subtype. Methods: This retrospective study on lichen striatus was performed at our center; clinical and histopathologic findings from 32 patients were evaluated. Results: In all, 22 children and 10 adults were included. The lesions were predominantly distributed on the extremities (78.1%), including those that showed multiregional involvement. Twenty-four patients had erythematous papular lichen striatus (75%), and eight had hypopigmented macular type lesions (25%). All cases of hypopigmented macular subtypes had occurred in children. The histopathologic features of lichen striatus included basal vacuolar degeneration (93.3%), hyperkeratosis (83.3%), spongiosis (63.3%), and exocytosis of lymphocytes (63.3%) in the epidermis. Superficial and deep perivascular lymphocytic inflammatory infiltration (96.7%), lichenoid lymphohistiocytic infiltration (76.7%), and periappendageal involvement (53.3%) in the dermis were also observed. Papular lesions showed greater spongiosis, exocytosis, dyskeratosis, and vacuolar degeneration than hypopigmented lesions. Increased dyskeratosis and pigmentary incontinence as well as more severe lichenoid infiltration were observed in the adults. Conclusion: This study provides the first national data about the clinical and histopathologic characteristics of lichen striatus in adults and children. Some of the clinical and histopathologic characteristics differed according to the age group as well as clinical subtype. (Korean J Dermatol 2014;52(9):622∼630)

한국산 꿀벌에서 Deformed Wing Virus의 발견과 Real-Time PCR 검출법의 확립

이혜민(Hye-Min Lee),이도부(Do-Bu Lee),한상훈(Sang-Hoon Han),이명렬(Myeong-Lyeol Lee),임윤규(Yoon-Kyu Lim),윤병수(Byoung-Su Yoon) 한국양봉학회 2005 韓國養蜂學會誌 Vol.20 No.2

폐외 결핵에서 전혈 인터페론 감마 측정법의 진단적 유용성

이혜민 ( Hye Min Lee ),조성근 ( Sung Gun Cho ),강형구 ( Hyung Koo Kang ),박성운 ( Sung Woon Park ),이병욱 ( Byung Ook Lee ),이재희 ( Jae Hee Lee ),전은주 ( Eun Ju Jeon ),최재철 ( Jae Chol Choi ) 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.67 No.4

Background: The whole-blood interferon-gamma release assay (QuantiFERON-TB Gold [QFT-G]: Cellestis, Carnegie, Victoria, Australia) has been studied primarily for the use of diagnosing active pulmonary tuberculosis (TB) or latent TB. In the present study, the usefulness of QFT-G was evaluated for the diagnosis of extra-pulmonary tuberculosis (EP-TB). Methods: From June 2006 to February 2009, we evaluated the usefulness of QFT-G in patients (n=65) suspected with EP-TB, retrospectively. The diagnostic sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the QFT-G assay were analyzed. Results: EP-TB was diagnosed in 33 (51%) participants. The overall sensitivity, specificity, PPV, and NPV of the QFT-G assay for EP-TB were 78%, 79%, 81%, and 77%, respectively. Of the 33 with EP-TB, 14 (42%) were diagnosed with TB pleurisy, 7 (21%) with TB lymphadenitis, 7 (21%) with intestinal TB, and 5 (15%) with EP-TB in other sites. In subgroup analyses according by site of infection, the QFT-G showed 86% sensitivity, 64% specificity, and 78% NPV in TB pleurisy. On the other hand, the sensitivity, specificity, and NPV of the assay were 71%, 83% and 71%, respectively in TB lymphadenitis, and 86%, 100% and 88%, respectively in intestinal TB. Among the patients with suspected alternative site EP-TB, the sensitivity, specificity, and NPV of the assay were 50%, 80% and 67%, respectively. Conclusion: The QFT-G assay showed moderate diagnostic accuracy in EP-TB. However, negative QFT-G assay does not exclude EP-TB because of the low NPV of this assay.

당뇨를 동반한 지속외래복막투석 환자에서 발생한 Neisseria sicca 복막염 1예

이혜민 ( Hyae Min Lee ),양인호 ( In Ho Yang ),이선희 ( Sun Hee Lee ),김선혜 ( Seon Hye Kim ),정다운 ( Da Wun Jeong ),정경환 ( Kyung Hwan Jeong ),이상호 ( Sang Ho Lee ),이태원 ( Tae Won Lee ),임천규 ( Chun Gyoo Ihm ),문주영 ( Ju Yo 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2

Neisseria sicca is a Gram-negative diplococcus found in the human oral mucosa and upper respiratory tract. Although colonization generally does not result in severe infection, some cases of infection have been reported, particularly in immunocompromised individuals. However, Neisseria sicca has not been reported as a pathogen of continuous ambulatory peritoneal dialysis (CAPD)-related peritonitis in Korea. Here we describe a case of CAPD-related peritonitis due to Neisseria sicca in a patient with poorly controlled diabetes mellitus undergoing peritoneal dialysis.

Bevacizumab 사용 후 발생한 심한 허혈성 전대장염에서 대증적 요법으로 치료된

이하니 ( Ha Ni Lee ),이명아 ( Myung Ah Lee ),김상우 ( Sang Woo Kim ),임예지 ( Ye Jee Lim ),이화영 ( Hwa Young Lee ),이혜민 ( Hae Min Lee ),원혜성 ( Hye Sung Won ),전상훈 ( Sang Hoon Chun ) 대한소화기학회 2011 대한소화기학회지 Vol.58 No.1

Bevacizumab (Avastin(R)) is a monoclonal antibody against the vascular endothelial growth factor (VEGF) receptor that increases the overall survival rate when added to standard chemotherapy regimens in patients with metastatic colorectal cancer. The known toxicities of bevacizumab are hypertension, proteinuria, wound healing complications, arterial thrombosis, bleeding, and gastrointestinal complications. Especially ischemic colitis can rapidly develop into bowel perforation, so an emergency operation often is needed. Recently, a 65-year-old male patient developed ischemic pancolitis after FOLFOX (85 mg/m2 Oxaliplatin, d1; 200 mg/m2 Leucovorin, d1; 400 mg/m2 5-FU iv bolus, d1-2; and 600 mg/m2 5-FU, d1-2, every two wk) and Bevacizumab combination chemotherapy was administered. However, he recovered after early conservative care without surgery. We report this case with a review of literature. (Korean J Gastroenterol 2011;58:42-46)

혈구탐식성 림프조직구증이 동반된 성인형스틸병 1예

김광열 ( Kwang Yeol Kim ),최지영 ( Ji Young Choi ),이민혜 ( Min Hye Lee ),이정록 ( Jung Lok Lee ),양인호 ( In Ho Yang ),이혜민 ( Hyae Min Lee ),조영학 ( Young Hak Cho ),이유호 ( Yu Ho Lee ),이선희 ( Sun Hee Lee ),김동희 ( Dong Hee 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.1

혈구탐식성 림프조직구증이 동반된 성인 형스틸병은 드물지만 치명적인 결과를 가져올 수 있기 때문에 조기에 병을 진단하고 일찍 적절한 치료를 시작하는 것이 중요하며 저자들은 골수천자 검사로 혈구탐식성 림프조직구증이 동반된 성인형스틸병 예를 경험하였기에 이에 문헌 고찰과 함께 보고하는 바이다. Adult-onset Still`s disease (AOSD) is a rare systemic inflammatory disorder of unknown etiology. It is characterized by fever, skin rash, arthralgia, sore throat, hepatosplenomegaly, lymphadenopathy, leukocytosis, liver enzyme elevation, and high serum level of ferritin. Hemophagocyticlymphohistiocytosis is a rarerheumatic disease of life-threatening. Particularly, concomitant hemophagocyticlymphohistiocytosiswith AOSD could induce a fatal outcome. Thus it is important diagnos early and starttreatment. Here, we report a case of AOSD with concomitant hemophagocyticlymphohistiocytosis.

15세기 말 플랑드르 도시 반란의 기록

이혜민(Hye-Min LEE) 한국프랑스사학회 2017 프랑스사연구 Vol.- No.37

이 논문은 중세 후기 도시 반란에 대한 기억이 문자로 기록되는 방식을 다루고 있다. 올리비에 드 라마르슈의 『회고록』 제2부 11장-15장은 1482년-1492년에 일어난 막시밀리안과 플랑드르 도시 사이의 정치적, 군사적 투쟁을 다루고 있다. 올리비에는 막시밀리안의 군주로서의 자질과 현명함, 자비로움, 군사 지휘관으로서의 탁월한 능력을 강조한다. 반면에, 플랑드르의 시민들에 대해서는 비천한 신분의 무능하고 변덕스러운 자들, 군주의 뜻을 오해하고 불만에 가득 차 있는 자들로 묘사한다. 또한 도시의 반란을 이끌고 지지했던 플랑드르의 귀족들에 대해서는 프랑스 국왕과 군대를 끌어들이는 잠재적인 배반자로 묘사한다. 한편, 저자가 의도한 바는 아니지만, 올리비에 드라마르슈의 기록에는 당시 플랑드르 귀족과 도시들 사이에 존재하던 연대 의식 혹은 공동체 의식도 간접적으로 드러나고 있다. This article deals with the way in which historical memories of the late 15<SUP>th</SUP> century’s rebellion of Flemish cities are recorded in the Mémoires of Olivier de La Marche. The chapters 11-15 in Part II of this book recount the political and military struggles of the Flemish cities, especially those of Ghent against the Maximilian of Habsburg between 1482-1492. La Marche emphasizes Maximilian’s wisdom, mercy to the people, qualities as a monarch, and outstanding military ability. On the other hand, the author depicts Flemish people as men of humble birth, incompetent, fickle, treacherous, filled with complaints, and ignorant of their prince’s intention. La Marche also portrays the Flemish nobles who led and supported the revolt of the cities of Flanders as potential traitors in favor of the French king. Futhermore, La Marche’s text reveals, indirectly and unintentionally, a sense of solidarity between Flemish aristocracy and bourgeois.

문자인류학과 아르만도 페트루치의 문자연구

이혜민(LEE, Hye-Min) 한국사학사학회 2013 韓國史學史學報 Vol.0 No.28

이 논문은 역사학과 문자연구의 관계를 검토하는 동시에 사회문화사적인 문자연구 방법론을 모색하기 위해서 기획되었다. 이를 위해서 특히 문자인류학에 주목하고, 그 선구적인 연구 중 하나인 이탈리아의 중세학자 아르만트루치의 연구가 새로운 문자연구에 제시하는 시사점에 대해 살펴보고 있다. 문자인류학이라는 용어 자체는 1980년대에 일부 언어학자들에 의해서 이미 사용되기는 했었지만, 최근 프랑스의 역사학자들과 영어권의 인류학자들을 중심으로 새로운 학문 분야로서 부상하고 있다. 오늘날의 문자인류학은 “문자” 자체를 연구대상으로 삼아 문자의 그래픽적인 차원을 비롯하여 여러 매체에서 나타나는 문자의 다양한 표현 양태를 연구하는 동시에, 이를 통해 인간의 읽기 능력과 쓰기 활동 등을 포함한 문자사용의 관행들과 그 사회문화적 의미를 밝히고자 하는 학문이다. 아르만도 페트루치가 제시한 ‘공시 문자’ 혹은 ‘게시 문자’의 개념은 오늘날에도 문자인류학을 연구하고자 하는 역사학자들에게 많은 영향을 주고 있다. 페트루치의 연구는 문자의 물질적, 외형적 측면 및 그래픽의 유형을 살펴보는 동시에, 이와 관련된 역사적, 사회문화적인 맥락을 중시하였다. 그는 특히 문자의 사회적 기능과 문자를 둘러싼 사회적인 권력관계를 중요하게 다루었다. 문자와 사회의 관계를 연구할 때 페트루치의 연구는 많은 영감을 제공해준다. 그의 연구는 다양한 기록매체들에서 나타나는 문자의 규범과 일탈현상에 대해서 폭넓은 시야를 갖고 연구할 필요가 있음을 일깨워준다. 그리고 문자의 외형적, 물질적 형태와 문자사용의 사회문화적 관행에서 발현되는 개인적, 집단적, 지역적, 시대적 정체성 등에 대해서 살펴볼 수 있다는 점을 환기시킨다. 요컨대, 문자인류학은 문자의 사회문화사적 연구방법론 중 하나로서, 페트루치의 연구가 제안하는 것처럼, 문자사용을 둘러싼 사회적인 권력관계 연구 및 문자사용 계층의 정체성 연구 등을 비롯해서 도시사나 책의 역사 등에도 유용하게 적용될 수 있을 것이다. This paper aims to explore a research methodology on socio-cultural history on writing, as well as to examine the relationship between history and studies on writing. For this objective, this papers pays particular attentions to the anthropology of writing and, as one of its pioneering researches, to the epigraphic studies of the Italian mediaeval historian and paleographer Armando Petrucci. His researches on lettering can become illustrative of new studies of writing nowadays. Even though the term “anthropology of writing” was already used by some linguists back in the 1980s, it has been recently redefined as a new academic discipline by French historians and British anthropologists. Today the anthropology of writing is regarded as an interdisciplinary area that deals with graphic and material forms of writing at the same time with its social and cultural practices, including literacy issues and human activities pertinent to writing, and their social and cultural significations. The notions such as the “monumental writing” or the “display writing,” which Armando Petrucci elaborated on, still exert influences upon historians who work on the anthropology of writing. Petrucci not only, studied the graphic typology of epigraph, letter forms and layouts, but also laid special stresses on the social functions and uses of display writings and on the power relationships that the display writings characterize. Petrucci’s studies on lettering greatly inspire studies on the relationship between writing and society. His epigraphic explorations validate the necessity for research on graphic norms and on deviant examples which various writing media bring about. His studies also propose that we can study on individual, collective, regional identities as well as characteristics of an age in light of material forms of letters and in light of socio-cultural practices of writing as well. Finally, Petrucci’s researches encourage the idea that the anthropology of writing can be extended to the studies of power relationship between social classes, to the studies on the relation between writing and identity. It could also shed light even on the studies on the urban history or on the history of books.