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- 저자 : 전윤경 ( Yoon Kyung Jeon ) (검색결과 6 건)
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고식적 직접 도말법과 $MonoPrep2^{TM}$ system 법에 의한 자궁경부질 세포검사 성적의 비교 검토
전윤경,김옥란,박기화,강순범,박인애,Jeon, Yoon-Kyung,Kim, Ok-Ran,Park, Ki-Wha,Kang, Soon-Beom,Park, In-Ae 대한세포병리학회 2004 대한세포병리학회지 Vol.15 No.1
We compared the diagnostic accuracy of liquid-based cervicovaginal cytology using $MonoPrep2^{TM}$ system (Monogen, Herndon, Virginia, USA), a manual system based on membrane filtration method, with conventional Pap smear. Study population included 92 patients visiting the gynecologic department under the suspicion of uterine cervical disease. In thirty of them, surgical biopsy was performed. $MonoPrep2^{TM}$ system provided well-preserved monolayer specimen with good nuclear morphology. However, about 19% of specimens were inadequate to interpret due to low cellularity. The detection rate of abnormal cells more than ASCUS (atypical squamous cells of unknown significance) was 23.9% and higher than 19.4 % of conventional Pap smear. Diagnostic concordance rate with conventional Pap smear was 81%, and severe discordance rate influencing on the management of patient was 7.6 %. Among these seven cases, $MonoPrep2^{TM}$ system was more diagnostic only in four. In comparison with histology, the sensitivity of diagnosis of $MonoPrep2^{TM}$ system was 78.9% and slightly higher than 73.5% of conventional Pap smear. However, the specificity was 81.1% and lower than 90.9% of Pap smear. In conclusion, $MonoPrep2^{TM}$ system provided diagnostic accuracies similar to the conventional Pap smear. The inexpertness of slide preparation and the low cellularity were considered to endow a limitation in more accurate evaluation.
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호산구증가증에 대한 단기간 스테로이드 치료 후 대장천공으로 발현한 거대세포바이러스 대장염 1예
임종필 ( Jong Pil Im ),전윤경 ( Yoon Kyung Jeon ),김상균 ( Sang Gyun Kim ),김주성 ( Joo Sung Kim ),정현채 ( Hyun Chae Jung ),송인성 ( In Sung Song ) 대한장연구학회 2007 Intestinal Research Vol.5 No.1
Cytomegalovirus (CMV) infection is a rare event that has been reported mainly in immunocompromised patients who have HIV infection or receive immunosuppressive medication. Although CMV infection is generally asymptomatic in healthy individuals, CMV colitis in immunocompetent host can be potentially severe disease with significant morbidity, especially in older patients. We report a case of CMV colitis complicated by colonic perforation after short term steroid therapy in a patient with eosinophilia who has no evidence of immunosuppression. A high index of suspicion is crucial for early diagnosis of CMV colitis especially in older patients, even though obvious evidence of immunodeficiency is lacking. Colonoscopic examination including multiple biopsies is mandatory for diagnosis of CMV colitis, and antiviral agents should be started once the diagnosis is confirmed. (Intest Res 2007;5:81-86)
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김연주(Yeon-Joo Kim)ㆍ이승희(Seung Hee Lee)ㆍ우홍균(Hong-Gyun Wu)ㆍ고현정(Heounjeong Go)ㆍ전윤경(Yoon Kyung Jeon) 대한방사선종양학회 2010 Radiation Oncology Journal Vol.28 No.2
목 적: 방사선 치료를 받은 코인두암 환자의 치료 전 조직을 면역조직화학염색하여 생체분자적 예후인자를 찾고자하였다.대상 및 방법: 1998년부터 2006년까지 방사선 치료를 받은 코인두암환자는 68명이었다. 이중 38명의 환자에서 면 역조직화학염색을 위한 파라핀 블록을 찾을 수 있었다. 전체 환자 중 31명은 미분화암종이었고, 7명은 편평세포암종이었다. 전체 환자의 84%가 2002 American Joint Committee on Cancer Stage III or IV 환자였다. 전체 환자의파라핀 블록을 이용하여 Met, COX-2, epidermal growth factor receptor (EGFR), nm23-H1에 대해 면역조직화학염색을 시행하였다.결 과: 전체 환자의 중앙 추적 기간은 30개월이었고 생존 환자의 중앙 추적 기간은 39개월이었다. 높은(≥50%)Met 발현을 보인 환자들의 5년 생존율은 48%, 낮은 Met 발현을 보인 환자들의 5년 생존율은 84%로 이는 통계적으로 유의한 차이를 보였다(p=0.02). Met 발현 정도는 다변량 분석에서도 유의한 인자로 분석되었다(p=0.01). Met발현은 종양의 병기, 성별, 나이, 항암제나 방사선 치료에 대한 반응 정도와 상관관계를 보이지 않았다. Met 발현정도는 COX-2 발현과 중등도의 상관관계를 보였으나(Pearson coefficient 0.496, p<0.01), COX-2 발현은 전체생존율에 영향을 미치지 않았다. 본 연구에서는 nm23-H1이나 EGFR의 발현은 예후인자가 아닌 것으로 분석되었다.결 론: 방사선치료를 받은 코인두암에서, 높은(≥ 50%) Met 발현은 전체생존율에 영향을 미치는 독립적인 예후인자일 가능성이 있다. Purpose: We performed an immunohistochemical study with pre-treatment biopsy specimens to evaluate the prognostic significance of four biomolecular markers which can be used as a predictive assay for radiotherapy (RT) treatment of nasopharyngeal carcinoma (NPC). Materials and Methods: From January 1998 through December 2006, 68 patients were histologically diagnosed as non-metastatic NPC and treated by RT. Only 38 patients had the paraffin block for the immunohistochemical study. Thirty-one patients had undifferentiated carcinoma and 7 patients had squamous cell carcinoma. Thirtytwo patients (84%) had advanced stage NPC (2002 AJCC Stage III∼IV). Immunohistochemical staining was performed for Met, COX-2, nm23-H1, and epidermal growth factor receptor (EGFR) expression using routine methods. Results: The median follow-up time was 30 months (range, 11 to 83 months) for all patients, and 39 months (range, 19 to 83 months) for surviving patients. The 5-year overall survival (OS) rate of the patients with high Met extent (≥50%) was significantly lower than that of the patients with low Met extent (48% vs. 84%, p=0.02). In addition, Met extent was also a significant prognostic factor in multivariate analysis (p=0.01). No correlation was observed between Met extent and T stage, N stage, stage group, gender, age, and the response to chemotherapy or RT. Met extent showed moderate correlation with COX-2 expression (Pearson coefficient 0.496, p<0.01), but COX-2 expression did not affect OS. Neither nm23-H1 or EGFR expression was a prognostic factor for OS in this study. Conclusion: High Met extent (≥50%) might be an independent prognostic factor that predicts poor OS in NPC treated with RT.
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김범선,전윤경,전진실 西江大學校 學生生活相談硏究所 2008 人間理解 Vol.29 No.-
본 연구는 성별, 연령 등의 인구학적 변인과 이전 상담 경험여부가 상담에 대한 태도에 어떠한 영향을 미치는 가를 알아보기 위해 실시되었다. 이를 위해 서울시내 S 대학에 재학 중인 528명의 학생들에게 상담에 대한 태도와 이전 상담 경험, 그리고 인구학적 특성들을 알아보는 설문지에 응답하게 한 후 그 결과를 통계적으로 분석하였다. 상담에 대한 태도는 Fisher 와 Turner(1975)의 상담태도에 관한 질문지로 측정되었다. 그 결과, 인구학적 변인 중 성별, 학년, 소속 학과, 재수 여부, 종교, 그리고 이전 상담 경험이 상담에 대한 태도에 영향을 미치는 것으로 나타났다. 즉, 여성이 남성에 비해, 천주교 집단이 다른 종교 집단에 비해 전문가에 대한 신뢰와 상담 욕구 면에서 유의미하게 높게 나타났고, 4학년 집단이 1학년에 비해, 문학부가 다른 학부에 비해 전문가에 대한 신뢰의 측면에서 유의미하게 높은 점수를 보였다. 재수를 하지 않은 집단이 삼수이상 집단에 비해 오점수용에서 더 유연한 것으로 나타났으며, 이전에 상담을 해 본 사람일수록 상담에 대한 태도도 더 긍정적이고, 상담전문가를 더 신뢰하며, 오점 수용에 유연하고, 상담 욕구도 높은 것을 알 수 있었다. 마지막으로 이를 통해 얻을 수 있는 논의점과 본 연구의 제한점, 후속 연구를 위한 제안점을 기술하였다. This study investigated college students' attitude toward counseling according to gender, age, and other demographic variables. Research participants were 528 S college students in Seoul. They filled out the Attitude Toward Seeking Professional Help Scale(Fisher & Turner, 1975) and demographic guestionnaire. To analyze data, correlation analysis and ANOVA were conducted. As results, gender, grade, major failure in previous college entrance exam, religion and previous counseling experience had significant influence on attitude toward counseling. Results indicated that women and catholic groups showed more positive attitude in Confidence and Need of seeking attitude toward counseling than other groups. The college seniors and the departs of literature groups showed more positive tendency in Confidence of seeking attitude toward counseling than others. Students who had not repeated a college entrance exam had more flexible attitude in Stigma. Students with previous counseling experience showed more positive tendency in Need, Stigma, Confidence and the whole attitude toward counseling. Discussions and limitations on this study were described.
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