Nodal Staging System Based on the Number of Metastatic Lymph Node Is better Predictive Value than Lymph Node Ratio for Prognosis in Patients with Pancreatic Cancer

Byung Chang Kim(김병창),Woo Hyung Lee 대한외과학회 2021 대한외과학회 학술대회 초록집 Vol.2021 No.5

위식도역류질환의 임상 특징과 Helicobacter pylori 감염과의 상관관계

김병창 ( Byung Chang Kim ),윤영훈 ( Young Hoon Yoon ),정현수 ( Hyun Soo Jyung ),정재복 ( Jae Bock Chung ),전재윤 ( Chae Yun Chon ),이상인 ( Sang In Lee ),이용찬 ( Yong Chan Lee ) 대한소화기학회 2006 대한소화기학회지 Vol.47 No.5

여성 알코올 의존 환자의 식사 태도에 관한 연구

김병창(Byung-Chang Kim),이태경(Tae-Kyung Lee),김길숙(Gil-Sook Kim),오동열(Dong-Yul Oh) 한국중독정신의학회 2002 중독정신의학 Vol.6 No.1

Objectives:It is known that the incidence of eating disorder in alcohol dependent women is high. In order to find out differences in eating attitudes between alcohol dependent women and normal controls, we investigated clinical factors related to eating problems. Methods:By means of a DSM-Ⅳ, 41 alcohol dependent women and 124 non alcoholic control subjects were selected. we compared demographic variables and the Korean Eating Attitude Test-26 (KEAT-26) to evaluate the eating attitudes of both groups, and then we compared clinical factors related to eating attitudes, Korean-Beck Depression Inventory (K-BDI), State-Trait Anxiety Inventory (STAI) and Barret Impulsivity Scale scores in the alcoholic patient group. we designated a cutoff score of nineteen or above for the KEAT-26 so that the presence of dysfunctional eating attitudes could be detected and evaluated. Results:The alcohol dependent women showed statistically significant higher mean scores on the KEAT-26 than the control group. In addition, the percentage of alcohol dependent women (14.6%) was higher than the control group (2.4%). The mean ages of alcohol dependent women who have dysfunctional eating attitudes were higher than those ones who have not. There were no significant differences in anxiety, depression and impulsivity between the dysfunctional eating attitude group and the non dysfunctional eating attitude group. Conclusion:It is necessary to evaluate the possibility of the presence of dysfunctional eating attitudes in alcohol dependent women.

북한이탈주민 패널 연구 : 경제ㆍ정신보건ㆍ신체건강

김병창 ( Kim Byung-chang ),유시은 남북하나재단 2010 연구총서 Vol.2010 No.0

The purpose of this paper is to develop an integrating the primary panel data base for North Korean defectors (NKD) for a proper supporting police, and analyze the economical adaptation and the health status, both mental and physical domains, in NKD. The subjects were 1200 NKD who have lived in South Korea since year 2000 and whose age from twenty to sixty five years old as of June 2010. The subjects were asked for consent for interview. The subjects were interviewed face to face by trained personal via well structured questionnaires. Out of 1200 participants, 315 were mal(26.3%) and 885 were female(73.8%). The average age was 37.0±9.58 years old, and average age of men was 37.2±11.01. while female was 36.9±9.03 years old. The time since settled in South Korea were under 3 years in 711(59.3%), 3 to 7 years in 342(28.5%), and more than 7 years in 143(11.9%) participants. Male had higher salary and labor market participation rate than female. The presence of family members in South Korea and educational level in North Korea did not affect their salary and employment status. Although formal school education experience in The South Korea did not have any affect in participant’s level of income, it had a positive effect in rate of employment. The subjects reporting higher subjective sense of health also had higher salary. The subjects generally reported low in subjective sense of physical health and satisfaction with life. Those who reported physical problems and chronic illnesses were 64.1%. Average height and weight of male was 167.0±5.45 centimeters and 62.1±7.03 kilograms respectively, where as average height of female was 155.9±4.65 centimeters and their average weight was 52.7±7.48 kilograms. The common illnesses reported by NKD were 356 (29.7%) in musculoskeletal disorders, such as osteoarthritis, back pain, sciatic pain, and herniation of nucleus pulposus, and 332 (27.67%) in GI disorder, such as gastrtits, gastric ulcer, duodenal ulcer. Male participants in general were cigarette smokers, and female participants in general did not exercise regularly. NKD had experienced traumatic events 4.9±3.14 times in average in North Korea, and average traumatic experience during the defecting process was 3.0±2.81. Prevalence rate of PTSD was 8.7% in total subjects and was twice as much common in female(10.2%) as in male(4.4%). Prevalence rate of alcohol use disorer(AUD) was 10.8% in total subjects and 26.0% in male and 5.4% in female. We have analyzed relationship between demographical factors and mental health of the subjects. As a result, gender and employment status was related with various psychiatric conditions such as depression, anxiety, PTSD, and AUD. Furthermore, factors such as age, marital status, and duration spent in foreign country before coming to The South Korea was related with depression, anxiety, and PTSD. In addition, Educational level in The South and The North Korea was related with depression and anxiety, where as economical status/life status in South Korea was related with PTSD. Lastly, duration fromthe settlement to the survey or time spent in South Korea was related with AUD. The relationship between numbers of North Korean defectors’ traumatic events and their mental health was also analyzed. The results showed that increased number of traumatic events significantly increased risk of depression, and PTSD(P<0.01). Although AUD was also statistically significant, its correlation was relatively low (P<0.70). The NKD suffered malnutrition from shortage of food, inadequate health care environment with poor hygiene, lack of proper health care system, and various psychological traumas not only in substandard life in North Korea but also during defecting process. These experiences inhibited defectors from successfully adapt to and settle in South Korea. In order to overcome these difficulties, it is utmost important to increase economical support for defectors and provide them an enhanced health care services. Considering their unique cultural background, it is necessary for the defectors to have a comprehensive coverage for a physical, psychological and mental health of by means of social and political support. Moreover, we can enhance their resettlement in South Korea by a proper health promotion system based on their diverse demographical backgrounds, In final, the author suggests further study to understand those factors influencing the health status of the defectors and the way the defectors adapt to a new democratic economical system, and these study could provide the fundamental data for the preparation of a proper health cares service after unification.

수신증을 동반한 요관의 자궁내막증

김창영 ( Chang Young Kim ),송경아 ( Kyoung Ah Song ),안미정 ( Mi Joung Ahn ),송민경 ( Min Kyung Song ),김연정 ( Youn Jung Kim ),김병창 ( Byung Chang Kim ),최현일 ( Hyun Il Choi ),강영수 ( Young Soo Kang ),황영희 ( Young Hee Hwa 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.9

Waldenstrom`s Macroglobulinemia 에 의해 유발된 사구체 신염 1 예

박창근(Chang Keun Park),신태원(Tae Won Sin),권대식(Dae Sik Kwon),김지섭(Ji Sub Kim),정재성(Jae Sung Chung),공진민(Jin Min Kong),김호균(Ho Gun Kim),김병창(Byung Chang Kim),김혜숙(Hae Sook Kim),김용진(Yong Jin Kim) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.5

Waldenstrom's macroglobulinemia(WM) is a disorder of malignant proliferation of plasmacyoid lymphocytes and monoclonal immunoglobulin M. The renal complications of WM are less common and severe than that of multiple myeloma. We present a case of WM which involved the kidney as massive proteinuria, hematuria and renal failure. A biopy specimen of the kidney reveals the intraglomerular hyaline thrombi of immunoglobulin M paraprotein. Three cycles of plasmapheresis and systemic chemotherapy with chlorambucil and prednisolone show improvement in his renal manifestations. We suppose the glomerulonephritis caused by hyaline thrombi in WM may be reversible, at least in its early stage.

자연 생리주기에서 발생된 병합임신

김해성 ( Hae Sung Kim ),김창영 ( Chang Young Kim ),송경아 ( Kyoung Ah Song ),김연정 ( Yeun Jeong Kim ),강영수 ( Young Soo Kang ),김병창 ( Byung Chang Kim ),황영희 ( Young Hee Hwang ),이승훈 ( Seung Hoon Lee ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.6

Heterotopic pregnancy is the coexistency of intrauterine and extrauterine pregnancy. The incidence of heterotopic pregnancy is about 1 to 30,000 pregnancy in a natural cycle. However, the frequency of heterotopic pregnancy has steadily increased because of rising incidence of pelvic inflammatory disease, pelvic surgery and the development of ovulation induction and assisted reproduction. The clinical diagnosis of heterotopic pregnancy is difficult due to low incidence. Many of the cases are diagnosed by rupture of ectopic mass that makes serious complication to mother and fetus. We experienced a case of heterotopic pregnancy in a 32-year old woman who presented with acute abdominal paint in a natural cycle and report this case with a brief review of literature.

정신질환자에 대한 태도

윤광현(Kwang Hyun Youn),김병창(Byung Chang Kim),최종혁(Jong Hyuck Choi),이종국(Jong Gook Lee),황태연(Tae Yeon Hwang) 대한사회정신의학회 2006 사회정신의학 Vol.11 No.1

연구 목적: 본 연구는 일 종합병원에 근무하고 있는 의사들을 대상으로 정신질환자에 대한 태도를 파악하고, 정신보건문제의 심각도와 정신 보건서비스에 대한 필요도에 대한 인식을 조사하여 향후 정신보건사업의 수행에 있어서 기초 자료로 활용하고 정신질환자에 대한 올바른 태도를 갖도록 수련과정에 반영할 수 있는 대책들을 살펴보고자 한 것이다. 방 법: 2003년 9월 현재 일 종합병원에 근무하고 있는 67명의 의사들을 대상으로 하였으며 정신과 의사는 제외하였다. 조사도구는 직접 설문지를 작성하는 자기기재 방식을 원칙으로 하였으며 설문지에는 조사대상자의 일반적 특성, 정신보건문제의 심각도 11문항, 정신보건서비스에 대한 필요도 14문항, 40문항의 CAMI Scale이 포함되었다. 결 과: CAMI 4개 하위 척도 모두에서 비정신과 의사들은 일반지역 주민들에 비해 보다 온정적이고 긍정적인 태도를 보이고 있었다. 그러나 정신보건전문요원 수련생들보다는 보다 덜 긍정적인 태도를 보이고 있었다. 정신보건 문제의 유형에 있어서는 알코올 중독이 우리나라에서 가장 심각한 정신보건의 문제라고 응답하였고 다음으로는 성폭력과 청소년 비행, 우울증 순이었다. 정신보건 서비스 필요도에 있어서는 알코올 치료/교육 모임이 가장 많이 필요하다고 생각했고, 다음으로는 직업재활, 가족모임 혹은 상담, 교육 및정보의 제공 등이었다. 지역사회 정신보건사업에서 중요한 프로그램 중 하나인 가정방문에 대해서는 필요성은 있다고 생각하였으나 가장 낮은 순위를 보이고 있었다. 결 론: 정신질환자에 대한 태도에 있어서 비정신과 의사들의 인식도가 정신보건전문요원 수련생들에 비해 낮은 것은 일반 의사들에 대한 교육과정이나 수련과정에 정신질환 교육이 잘 되지 않고 있는 실정을 반영한다고 할 수 있으므로 이와 같은 문제점을 개선시킬 수 있는 교육과정이 필요하다. 또한 정신보건문제의 심각도에 있어서 알코올 중독, 성폭력은 일반인과 수련생 및 비정신과 의사 모두 심각하다고 인식하고 있어서 최근 우리 사회의 심각한 정신보건의 문제들임을 알 수 있으며 정신보건정책을 수립할 때 이에 대한 대책을 반드시 포함시 켜야 하겠다. Objectives:This study was performed to identify attitudes toward the mentally ill patients of the non-psychiatric physicians at National Medical Center in Seoul, Korea. We also intended to measure the severity of mental health problems and the priority of mental health services that perceived by the non-psychiatric physician. Methods:The Study tool was a self-report questionnaire including general characteristics, 11-item severity of mental health problems, 14-item priority of mental health services and 40-item CAMI scale. The study subject was composed of 67 non-psychiatric physicians. Results:1) The non-psychiatric physicians tended to take alcohol dependence, sexual abuse, adolescent delinquency and depression more seriously. however, psychosis such as schizophrenia was less significantly. 2) They believed that alcohol treatment meeting, vocational rehabilitation, family counselling, social campaign, education to be more important than either home visit or crisis intervention. 3) They showed more positive attitudes than general population, but less positive attitudes than mental health professional trainees, in all four sub-categories of CAMI scale. 4) There was no significant difference in demographic factors such as age, sex, marital status, religion and experience with the mentally ill patients in all four sub-categories of CAMI scale. Conclusion:We believe that further medical school education and residency training programs can change the attitudes toward the mentally ill of the non-psychiatric physicians.

전이성 대장암 환자에서 Bevacizumab을 사용 후 대장 내시경으로 확인된 허혈성 대장염 1예

이혜인 ( Hye In Lee ),김병창 ( Byung Chang Kim ),김선영 ( Sun Young Kim ),한경수 ( Kyung Su Han ),홍창원 ( Chang Won Hong ),손대경 ( Dae Kyung Sohn ),장희진 ( Hee Jin Chang ) 대한내과학회 2017 대한내과학회지 Vol.92 No.3

베바시주맙은 여러 고형암 치료를 위해서 사용되고 있는 혈관 내피세포 단일클론 항체이다. 베바시주맙은 기존 화학 요법제 보다 낮은 빈도로 부작용을 보이지만, 소화관 천공은 매우 치명적인 부작용이다. 베바시주맙 관련 소화관 천공은 장관내 혈관 구조의 손상과 관련이 있다. 그러나 허혈성 장염은 비특이적으로 증상을 보여서 증상만으로 진단이 어려운 질환이다. 우리는 베바시주맙으로 치료받고 대장 내시경과 병리학적으로 확인된 허혈성 장염으로 진단되었고, 일반적인 지지요법을 통해서 호전된 56세 여자 환자 증례를 보고 합니다. Bevacizumab is a monoclonal antibody against vascular endothelial growth factor widely used to treat several types of solid tumor. Although bevacizumab has fewer adverse effects than conventional chemotherapy agents, several serious events have been reported. Gastrointestinal perforation is an infrequent but potentially fatal side-effect of bevacizumab. The major mechanism of bevacizumab-associated gastrointestinal perforation is damage to the intestinal vasculature. However, preceding ischemic colitis is difficult to diagnose due to its non-specific symptoms. We report a case of a 56-year-old male with bevacizumab-associated ischemic colitis proven by colonoscopy and pathologic findings. The patient`s condition improved after general supportive care including bowel rest, intravenous fluids, and intravenous antibiotics. No similar event has been reported since he resumed chemotherapy without bevacizumab. (Korean J Med 2017;92:312-315)

인공신경망을 이용한 정면밀링에서 이상진단에 관한 연구

김원일(Won-Il Kim),이윤경(Yun-Kyung Lee),왕덕현(Dyuk-Hyun Wang),강재관(Jae-Kwan Kang),김병창(Byung-Chang Kim),이관철(Kwan-Cheol Lee),정인룡(In-Ryung Jung) 한국기계가공학회 2005 한국기계가공학회 춘추계학술대회 논문집 Vol.2005 No.-