폐장의 반흔에서 발생하는 반흔암종 1례 보고

진재권,유세영,Jin, Jae-Gwon,Yu, Se-Yeong 대한흉부심장혈관외과학회 1982 Journal of Chest Surgery (J Chest Surg) Vol.15 No.2

On the right lower lobe, scar carcinoma was presented in the Korean male, 56 years old, in February, 1982. His tumor is moderate differentiated adenocarcinoma. Scar carcinoma, a rare form of adenocarcinoma, is usually discovered on autopsy and rarely on surgical resected specimen and these tumors are found in areas of lung scarring. Most of the tumors are adenocarcinoma and found in the upper lobes and related to infarcts, tuberculous scars. No relationship between smoking and scar cancers were reported. The scar cancers are becoming more common. An apparent increase in scar cancer in the periphery of the lung was reported in America. Scar cancer does not present special clinical symptoms and signs, except manifestations of surrounded tissue compressed by large tumors in far advanced stage. These tumors progress slowly and metastasize late but characteristic signs on scar area of the lung can be discovered from the early stage on X-ray examination [solitary peripheral nodule and scar]. So careful study on chest x-ray film was acquired and if necessary, conservative resection of the lesion is indicated because the long term prognosis is not at all bad.

둔좌상에 의한 흉부손상의 임상적 관찰

진재권,박주철,유세영,Jin, Jae-Kwon,Park, Choo-Chul,Yoo, Seh-Young 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.4

Chest injuries due to blunt trauma often result in severe derangements that lead to death. And we have to diagnose and treat the patients who have blunt chest trauma immediately and appropriately. A clinical analysis was made on 324 cases of chest injury due to blunt trauma experienced at department of Thoracic and Cardiovascular Surgery, College of Medicine, Kyung Hee University during 8-year period from 1972 to 1979. Of 324 patients of blunt chest injuries, there were 189 cases of rib fracture, 121 of hemothorax or/and pneumothorax, 108 of soft tissue injury of the chest wall only, 41 of lung contusion, 24 of flail chest, 13 of scapular fracture, 7 of diaphragmatic rupture and others. The majority of blunt chest injury patients were traffic accident victims and falls accounted for the next largest group of accidents. Chest injuries were frequently encountered in the age group between 3rd decade and 4th decade [60%] and 238 patients were male comparing to 86 of female [Male: Female = 3:1 ]. In the patients who have the more number of fractured ribs, the more incidence of intrathoracic injury and intraabdominal organ damage were found. The principal associated injuries were head injury on 58 cases, long bone fractures on 37, skull fractures on 12, pelvic fractures on 10, renal injuries on 6 and intraabdominal organ injuries on 5 patients. The principle of early treatment of chest injury due to blunt trauma were rapid reexpansion of the lung by closed thoracotomy which was indicated on 96 cases, but open thoractomy was necessary on 14 cases because massive bleeding, intrapleural hematoma and/or fibrothorax, or diaphragmatic laceration-On 15 cases who were young and have multiple rib fracture with severe dislocation delayed elective open reduction of the fractured ribs with wire was done on the purpose of preserving normal active life. The over all mortality was 2.8% [9 of 324 cases] due to head injury on 3 cases, massive bleeding on 2,wet lung syndrome, acute renal failure on 1 and septicemia on 1 patient.

임파양과오종 1례보고

진재권,박주철,유세영,Jin, Jae-Kwon,Park, Choo-Chul,Yoo, Seh-Young 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.2

Lymphoid hamartomas are a rare benign disease which can be easily treated by complete surgical excision. They developed most often in the thorax, and can be discovered usually on routine chest X-ray.p But some of them can also be found because of pressure symptoms or the presence of a palpable mass if outside the thorax. We experienced a case of the hyaline-vascular type of lymphoid hamartoma in the left hilum of a 29 year-old Korean male in March, 1979. He was well except intermittent cough and left chest discomfort of a year duration and was treated by resection of the left upper lobe including nodular tumor masses. The histological characteristics were an aggregation of lymphoid follicles composed of concentrically arranged mature lymphocytes with centrally placed thick walled arterioles showing endothelial proliferation and some of them were hyalinized. Between the follicles, there was extensive capillary proliferation and infiltration of numerous lymphocytes, scanty plasma cells and eosinophils.

선천성 Bochdalek hernia4례 보고

진재권,박주철,유세영,Jin, Jae-Gwon,Park, Ju-Cheol,Yu, Se-Yeong 대한흉부심장혈관외과학회 1982 Journal of Chest Surgery (J Chest Surg) Vol.15 No.4

Congenital posterolateral diaphragmatic hernia [Bochdalek hernia] is the result of a congenital diaphragmatic defect in the posterior costal part of the diaphragm in the region of the tenth and eleventh ribs. There is usually free communication between the thoracic and abdominal cavities. The defect is most commonly found on the left [90%], but may occurs on the right, where the liver often prevents detection. The male to female ratio is 2:1. Owing to the negative intrathoracic pressure, herniation of abdominal contents through the defects occurs, with resultant collapse of the lung. Shifting of mediastinum to the opposite side and compression of the opposite lung occurs. Most often these hernias are manifestated by acute respiratory distress in the newborn. A second, but less well recognized, group of patient with Bochdalek hernia survive beyond the neonatal period, usually present at a later time with "failure of thrive, intermittent vomiting, or progressive respiratory difficulty. " The diagnosis can often be made on clinical ground from the presence of respiratory distress, absence of breath sounds on the chest presence of bowel sounds over the chest . Roentgenogram of the chest confirm the diagnosis. Obstruction and strangulation have been reported but are rare. Treatment consists of early reliable identification of these congenital diaphragmatic hernia with high risk and surgical repairment. and postoperative pharmacological management with extracorporeal membranous oxygenation [=ECMO] support in the period of intensive care. On the surgical approach, for defects on left side, an abdominal incision is preferred, because of the high incidence of malrotation and obstructing duodenal bands. In the neonate, the operative mortality may be appreciable, but, later repair almost always is successful. During the period from 1972 to 1982, 4 cases of congenital Bochdalek hernia were experienced at the Kyung-Hee University Hospital.

폐장 내 기형종에서 속발한 선 암종

홍은경,이중달,윤세영,진재권,윤엽 대한병리학회 1983 Journal of Pathology and Translational Medicine Vol.17 No.1

대학생의 커피전문점 이용실태와 선호선향 파악을 통한 대학 내 입점 매장의 개선방안 모색에 관한 연구

신혜지(Shin hye ji),오병관(Oh byeong gwan),진재권(Jin jea gweon),김민정(Kim min jeung) 충북대학교 생활과학연구소 2015 생활과학연구논총 Vol.19 No.2

This study aims to seek how to improve user experience of campus coffee shops by surveying students of Chungbuk National University where various coffee shops are clustered, analyzing their visits to coffee shops and preferences, and assessing their pattern of using campus coffee shops and the level of satisfaction. The following lists main research findings. First, 42% of the surveyed students visited a coffee shop once or twice a week, for 1~2 hours at a time, and spent average 46,000 won at coffee shops each month. Second, most students did not have a particular coffee shop brand they preferred. Third, key considerations in choosing a coffee shop included accessibility, pleasant setting, interior design, staff's hospitability, discounted offerings, and availability of preferred drinks. Fourth, most students preferred off-campus coffee shops over on-campus ones. Fifth, the level of satisfaction with campus coffee shops was quite low (below 3.5 points), and it was particularly low on discounted offerings. However, students indicated higher level of satisfaction with Nescafe on campus in terms of menu diversity, quality of coffee, availability of non-coffee drinks and foods, sanitary condition of staff, pleasant setting of the shop, interior design, and comfortable seats. These finding suggest that students' satisfaction with campus coffee shops can be enhanced by considering environmental improvement, staff training, provision of space for students, and more discounted offerings.

원저 : 기관지성 낭종의 임상적 고찰 ( Original Article : Bronchogenic Cyst - Report of 48 Cases - )

노태훈(Tae Hoon Rho),공현우(Hyun Woo Kong),김범식(Bum Shik Kim),조순걸(Soon Gul Jo),진재권(Jae Kwon Chin),조규석(Kyu Seok Cho),박주철(Joo Chul Park),유세영(Seh Young Yoo) 경희대학교 경희의료원 1985 慶熙醫學 Vol.1 No.1

전북지역 도축돈 호흡기질병 조사

임미나 ( Mi-na Lim ),김철민 ( Chul-min Kim ),박영민 ( Young-min Park ),송주태 ( Ju-tae Song ),진재권 ( Jae-kwon Jin ),조현웅 ( Hyun-ung Cho ) 한국가축위생학회 2016 韓國家畜衛生學會誌 Vol.39 No.4

The present study was conducted to investigate the lesion of red internal organs in slaughtered pigs and provided assistant data for pig farms. During March to December 2015, a total of 1,160 lung samples out of 58 herds were collected randomly from pigs slaughtered in Jeonbuk province. In addition, 290 hilar lymph nodes from pig with pneumonic lung lesion (5 samples per herd) were screened for selected viral and bacterial pathogens. Gross lesions of lungs such as swine enzootic pneumonia (SEP), pleuritis, pleuropneumonia, pericarditis and liver white spots were examined. The overall prevalence of SEP was 64.3% (746/1,160). In the analysis of seasonal prevalence, there was an increase of occurrence during the spring months (287/400, 71.8%) and decrease during the fall months (93/200, 46.5%) among the whole herds. The mean number of SEP score per pig was 1.20±1.28. The prevalence of pleuropneumonia, pleuritis, pericarditis, and milk spot was 25.5% (296/1,160), 44.1% (512/1,160), 3.8% (44/1,160) and 17.6% (204/1,160), respectively. The most frequent region with lung lesion was diaphragmatic lobes (left 17.1%, right 17.3%). In the detection of viral pathogens by PCR, porcine circovirus type2 (PCV2) was positive in 86.9% (252/290), while porcine reproductive and respiratory syndrome virus (PRRSV) was not detected, In the case of bacterial pathogens, 50 microorganisms were isolated by PCR and/or microbiological test. The most frequently isolated bacteria was Streptococcus suis (20, 34.4%), followed by Pasteurella multocida (17, 29.3%), Streptococcus spp. (11, 3.4%), Actinobacillus pleuropneumoniae (2, 8.9%).