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        Case Reports : Basal Cell Carcinoma on the Pubic Area: Report of a Case and Review of 19 Korean Cases of BCC from Non-sun-exposed Areas

        ( Jin Park ),( Yong Sun Cho ),( Ki Hun Song ),( Jong Sun Lee ),( Seok Kweon Yun ),( Han Uk Kim ) 대한피부과학회 2011 Annals of Dermatology Vol.23 No.3

        Basal cell carcinoma (BCC) is one of the most commonly diagnosed malignant skin tumors and develops characteristically on sun-exposed areas, such as the head and neck. Ultraviolet light exposure is an important etiologic factor in BCCs, and BCCs arising from non-sun- exposed areas are, therefore, very rare. In particular, the axilla, nipple, the genital and perianal areas are not likely to be exposed to ultraviolet light; thus, if BCC develops in these areas, other predisposing factors should be considered. Herein, we report a case of BCC arising on the pubic area in a 70-year-old man. We also performed a survey of the literature and discussed the 19 cases of BCC from non-sun-exposed areas reported to date in Korea.

      • KCI등재

        정신분열병에 대한 리스페리돈의 효과 및 안정성

        이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

        연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

      • 중소기업 및 벤처기업을 위한 정보관리 시스템

        한기흥,이순흠 순천향대학교 부설 산업기술연구소 1999 순천향 산업기술연구소논문집 Vol.5 No.2

        This paper describes an informtion management system which effectively supports business of small to medium size enterprises in local area, using web agent and web application technology. The information management system is designed based on work flow analyses of diverse enterprises in Communication and Information Soonchunhyang Venture Center. The designed 3-tiered system includes clients executing GUI logic, an application server serving business logic, and a component supporting conventional database applications. The system can be used as a effective business supporting system for small to medium size ventures.

      • KCI등재후보

        산업장 근로자를 대상으로 실시한 한방 건강검진의 만족도

        한현정,정재열,권소희,손용선,장두섭,이기남 한국산업위생학회 2003 한국산업보건학회지 Vol.13 No.2

        The examinees who received oriental and western health examination both and submitted questionnaire were 257 workers in workplace for 1 month during health examination for industrial workers. The research was to compare the satisfaction of oriental and western health examination by the questionnaire. The data that were collected by health examination were analyzed into frequencies, ANOVA, T-test with use of SPSS 10.0 program by the research purposes. The results were as follows: 1. Health examination in satisfaction comparison by the general characteristics of subject was significant in oriental health examination for the subjects who had 9-10 working hours(P〈0.05). 2. The workers who had high confidence in result of health examination, affirmative thinking for requirement of health examination, arbitrary decision for receiving the health examination, had high satisfaction in oriental and western health examination both, It was statistically significant difference. 3. For the difference in subjective health condition's recognition, the subject who answered " Healthy" had high satisfaction in western health examination, and it was statistically in western health examination, and it was statistically significant The subject who answered "Healthy" for the early detection of disease had high satisfaction in western health examination, The subject who answered skeptical for the early detection of disease had high satisfaction. in oriental health examination and it was statistically significant. 4. The respondent who said "Yes" for the question, whether you know about oriental health examination or not before receiving oriental health examinatgion had relatively high satisfaction For the question about including of oriental health examination continuously in the coming future, the subject who replied affirmative answer had high satisfaction in average, and it was significant difference(P〈0.05). 5. For the question that will be needed in the item of oriental health examination, the highest item was the requirement of specific oriental health examination for various diseases, followed by the requirement of medical specialist for individual need of medical examination by the item, and the prescription of herbal medicine, the medical examination of cancer, the interview for folk remedies, the parallel treatment for acupuncture cupping, etc, the medical examination for adult disease, the requirement of room for medical examination etc.

      • ABAQUS를 이용한 휨벽체의 비선형 유한요소 해석기법

        한민기,박완신,한병찬,황선경,최창식,윤현도 대한건축학회 2004 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.24 No.1(구조계)

        The finite element method(FEM) models were developed for the reinforced concrete flexural walls and analysed under constant axial and monotonic lateral load using ABAQUS. The major objective of the present study is to determine if the ABAQUS finite element program can be used to accurately model the post-cracked mode of failure in plastic regions of walls, and, if so, to develop practical failure criteria in the plastic range of the material response. The research comprises constitutive models to represent behavior of the materials that compose a wall on the basis of experimental data, development of techniques that are appropriate for analysis of reinforced concrete structures, verification, and calibration of the global model for reinforced concrete walls of increasing complexity. The proposed FEA technique is verified by Lefas's benchmark data. Results from the analyses of these FEM models offers significant insight into the flexural behavior of benchmark data.

      • 난연성 FREP로 휨보강된 철근콘크리트 보의 구조성능 평가

        강기연,최기선,한상환,유영찬 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.1(구조계)

        The purpose of this study is to evaluate the flexural strengthening performance of the iFREP(incombustible Fiber Reinforced Epoxy Panel) to the reinforced concrete flexural members. The tensile strength of iFREP including mechanical and physical properties of the epoxy resin for injection were tested preliminary to investigate the material properties of iFREP constitutions. Also the bond characteristics of iFREP to the concrete were estimated to acquire the basic design data for strengthening through various bonding tests. Finally full-scale RC beams strengthened by iFREP were tested monotonically upto failure to evaluate the strengthening effects of iFREP to the RC flextural members. The main variable of the four test specimens was the thickness of iFREP. From the test results, it was found that the failure mode of RC beams strengthened by iFREP was governed by the fracture of iFREP indicating the sufficient bond strength of iFREP to the concrete. Also flexural strengthening effects of iFREP to the RC beams is proportional to the thickness of iFREP.

      • KCI등재후보

        신이식 환자에서 발생한 Nocardia elegans 폐농양 1예

        박기호,고선영,오련,김탁,조오현,김양수,우준희,한덕종,성흥섭,김미나 대한감염학회 2008 감염과 화학요법 Vol.40 No.2

        노카르디아는 면역 저하 환자에서 발생하는 기회 감염균으로 배양과 균 동정이 복잡하기 때문에 시기 적절한 진단과 치료가 어려울 때가 흔하다. 그러나 최근 16S 리보좀 RNA 염기서열 분석과 같은 새로운 분자생물학적 방법이 도입되면서 노카르디아 감염의 진단과 치료에 많은 도움이 되고 있다. 저자들은 신이식을 받은 39세 남자에서 발생한 N. eleeans에 의한 폐농양을 경험하였기에 보고하는 바이다. 환자는 항균제 감수성 결과에 따라 적절한 항균제로 치료하였고, 치료 종료 후 1년 동안 재발 없이 외래 경과 관찰 중이다. 본 증례를 통하여 이식 환자와 같은 면역 저하 환자에서 노카르디아 감염의 가능성을 고려하여야 하겠고 분자생물학적 방법에 의한 빠른 균 동정과 적절한 항균제 치료가 중요함을 기억하여야 하겠다. Nocardiosis is well-known opportunistic infection in immunocompromised patients. The timely diagnosis and treatment, however, is stilt a difficult problem. Recently, as newer molecular techniques, particularly 16S rRNA sequencing, are implemented, the diagnosis and management of the infection are improving. We report a case of lung abscess in a 39-year-o1d-man who underwent kidney transplantation. He was diagnosed of Nocardia elegans by 16S rRNA sequencing and was cured of the infection with appropriate antibiotic therapy.

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