원발성 후복막 점액낭샘암종 1예

지준호,이화정,박승찬,박정철,최은정,서혜진,이원식,이정림,배병조,손경락,이경희 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2

Primary retroperitoneal mucinous cystadenocarcinoma is a very rare malignancy, and little is known concerning its Pathogenesis, optimal treatment, and prognosis. A 29-year-o1d pregnant woman (21 weeks) Presented with abdominal discomfort CA 19-9, CA 125, and CEA were normal Abdominal CT scanning revealed a 19x15x13 cm retropentoneal tumor Exploratory laparotomy and tumor excision were performed. Mucinous retropentoneal implants were removed as completely as possible Histologically, the tumor showed focal areas of capsular invasion, but free resection margins The uterus and both ovaries were normal in appearance No adjuvant therapy was pursued. Six months later, Peritoneal and bilateral ovarian metastases were discovered. Hence, we report the details of this case of primary retroperitoneal mucinous Cystadeno-carcinoma and present a review of the literature.

Analysis of lawsuit cases in the Department of Surgery in Korea

Ji Yun Jung,김소윤,Dong Gyu Kim,Choong Bai Kim,Kyong-Choun Chi,강원경,Won Lee 대한외과학회 2018 Annals of Surgical Treatment and Research(ASRT) Vol.94 No.3

Purpose: The aim of this study is to prepare medical staff in order to prevent medical malpractice litigation through analysis of litigation cases related to the department of surgery in Korea. Methods: A total of 94 litigation cases related to the department of surgery, where a certain amount of payment was ordered to the defendant between 2005 through 2010, were analyzed. We examined time of occurrence, amount claimed and awarded in damages, plaintiff claims, and court opinion. Results: An average of 3.2 years was spent from the date of the incident occurring to the end of the litigation procedures. The average amount awarded in judgments for damages was 59,708,983 ± 67,307,264 (range, 1,700,000–365,201,482) Korean won. Cases were found involving the following opinion of the court: violation of duty of care (49 cases), violation of informed consent (7 cases), violation of duty of care and informed consent (5 cases), and settlement, reconciliation, and others (32 cases). By analyzing defendants’ negligence in court opinions, diagnosis (30.8%) was the most common, followed by post-operation management (27.7%). Conclusion: Physicians have to conduct treatment and surgery based on exact diagnosis and be careful to observe patients’ conditions and symptoms after surgery. It is essential to identify the current status and characteristics of medical litigation for reducing further litigation and improving patient safety. In order to create a safe medical environment, national efforts should be made not only by individuals but also at the national level.

췌장 선방세포암 1예

이화정,지준호,박승찬,박정철,최은정,서혜진,이원식,이정림,배병조,손경락,이경희 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2

Acinar cell carcinoma is a rare tumor that represents 1~2% of al1 pancreatic cancers. Clinical and radiologic findings are inconclusive in this disease Acinar cell carcinoma is characterized by rapid progression and early metastasis, which lead to its poor prognosis. A 41-year-o1d man was admitted to our hospital for abdominal pain. Abdominal computed tomography (CT) and positron emission tomography-computed tomography (PET-CT) showed a splenic mass, which was being invaded by a pancreatic tail mass and which had increased ^(18)F-fluorodeoxyglucose (FDG) uptake Primary radical distal pancreatectomy and splenectomy were performed. Pathologic findings revealed an acinar cell carcinoma of the Pancreas The patient underwent a total gastrectomy three months later because of gastric recurrence Four months later, multiple hepatic metastases were discovered, and the patient underwent a left hepatectomy During treatment with capecitabine, there was no evidence of tumor progression for 14 months. We report a case of metastatic pancreatic acinar cell carcinoma, which did not progress for an extended period while the patient was being treated with capecitabme.

부산·울산·경남지역 직업병 감시체계

김정일,김병권,김정원,채창호,이철호,강동묵,김지홍,김진하,김영욱,이영하,이지호,김정호,윤형렬,유철인,정백근,장태원,김운규,윤동영,강진욱,김종은,안진홍,이동준,장준호,이광영,송혜란,최영희,이용환,조병만,최홍렬,고상백,김은아,이유진,홍영습,정갑열,김정만,김준연 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1

Objective: Occupational medicine specialists in the Busan, Ulsan and Kyung-Nam areas established an area-based occupational disease surveillance system and used this system to collected case information for the purpose of preventing occupational diseases Methods: l l hospital participated in this system. The authors selected five main diseases, which were hand-arm vibration syndrome (HAVS), work-related musculoskeletal disorder (WRMSD), occupational asthma, occupational skin disease and occupational and occupational lung cancer and established their case definitions. All cases were reported on the web, and real time analysis was conducted. Results: Between April 2001 and April 2003, 192 cases of HAVS, 118 cases of WRMSD, 33 cases of occupational asthma, 17 cases of occupational skin disease and 17 cases of occupational lung cancer (for a total of 377 cases of these five main diseases) were reported. most of the HAVS cases came from shipbuilding, and 172 of them (92.7%) were associated with grinding. Of the four main types of WRMSD, carpal tunnel syndrome (CTS) was the most prevalent with 46 cases and shipbuilding was also the main industry involved (83.9%). The ergonomic risk factors involved mainly associated with the hand. In 19 (57.6%) and 4 (12.1%) cases of occupational asthma, the agents involved. The causative agents of occupational lung cancer included Cr, welding fume, PAH, Ni, etc. 10(58.8%) of the cases were diagnosed as squamous cell carcinoma and 5(29.4%) as adenoma. Conclusion: This result showed that an area-based occupational disease surveillance system might provide an effective method of evaluating the prevalence of such diseases, however the Busan, Ulsan and Kyung-Nam provinces are too large to be treated as individual areas. Therefore, the authors suggest that each province should establish its own surveillance system.

한국의 치과의료 취약지역 현황 분석

유지원 ( Ji-won Yu ),신보미 ( Bo-mi Shin ),신선정 ( Sun-jung Shin ),배수명 ( Soo-myoung Bae ) 한국치위생학회 2021 한국치위생학회지 Vol.21 No.4

Objectives: This study aimed to analyze the status of dental care in underserved areas of Korea. Methods: This study targeted 229 cities in Korea. The analytical index was revised and supplemented with variables related to dental care, and the “oral health level” indexes were further selected to provide a total of 20 analytical indexes. All selected indexes were converted into T scores (cited by the Korea Health Promotion Institute) and subjectively weighted. Finally, the regional oral health indices and areas were derived. PASW Statistics 25.0 (SPSS Inc. Chicago, IL, USA) was used to analyze descriptive statistics. Results: Gyeongbuk Cheongsong-gun had the highest dental underserved index. The city with the highest regional oral health underserved index was Jeonnam Shinan-gun. Daegu Jung-gu had the lowest dental underserved index and regional oral health underserved index. Regional gaps existed between dental care and the regional oral health underserved index according to the city province (p<0.001). Conclusions: To continuously evaluate oral health conditions and projects centered on vulnerable areas, it is necessary to develop indicators to derive vulnerable areas for dental care and to develop effective public dental policies.

도시열섬현상 완화를 위한 녹지네트워크 및 바람길 구축

차재규 ( Jae Gyu Cha ),정응호 ( Eung Ho Jung ),류지원 ( Ji Won Ryu ),김대욱 ( Dae Wuk Kim ) 한국지리정보학회 2007 한국지리정보학회지 Vol.10 No.1

현대의 도시는 살아있는 생명체처럼 매일 변화를 거듭하고 있다. 이전과 달리 집중된 공간에서 짧은 시간동안 일어난 공간의 변화는 도시환경을 악화시켜 환경문제를 유발하였다. 특히 지표면 및 토지이용의 변화 등으로 발생된 도시열섬현상은 도시민의 건강과 경제적인 손실 등 사회문제로 대두되고 있다. 이러한 도시열섬현상을 해결하기 위한 도시계획적 접근방법의 하나가 녹지네트워크의 도입이다. 본 연구에서는 대구광역시 중구와 남구를 사례대상지로 선정하여 도시열섬현상 분석, 토지피복분류, 녹지네트워크 연계가능성 분석, 바람길 분석을 통하여 녹지네트워크 구축을 제안하였다. 연구결과 남쪽의 앞산 및 산지지역을 녹지네트워크의 핵, 두류공원 및 달성공원 등 남구 2개 지역과 중구의 6개 지역의 근린공원을 거점으로 하고 학교부지와 공원시설 등을 포함하는 지역을 거점 가능지역으로 설정하여 대상지역의 광역 및 세부 그린네트워크 구축을 제안하였다. 특히 앞산과 연결되는 캠프워커는 핵과 연결되고 있는 거점지역으로서 향후 미군부대 이전 후에 반드시 보전되어야 할 지역으로서 판단된다. 또한 녹지네트워크를 통해 바람길을 확보하기 위하여 중구의 수성교 인근과 남구의 캠프워커지역을 바람통로확보지구를 설정하는 것이 바람직할 것으로 판단된다. Like other organic beings, modern cities change every day. Unlike in the past, changes of space which have been taking place in concentrated spaces during short periods of time have worsened the environment of cities creating environmental problems. In particular, the urban heat-island phenomenon, which is caused by changes in using the earth`s surface, has emerged as a key social issue along with health problems and economic difficulties. The Green Network has been introduced as an urban planning approach to solve the urban heat-island phenomenon. This study suggests constructing a Green Network through analyzing the urban heat island phenomenon, land cover classification, and linkage possibility with the Green Network and wind corridors by researching Jung-Gu, and Nam-Gu in Daegu Metropolitan City. In conclusion, this study presented the construction of a broad and detailed Green Network of object areas by assigning Apsan to the southern area and mountain area as the core, two areas of Nam-Gu and six areas of Jung-Gu such as Duryu Park and, Dalsung Park as footholds and other school land and park facility areas as footholds-to-be areas. In particular, Camp Walker, which is connected with Apsan, is not only a foothold but connected to the core, is necessary to preserve after being transferred from the U.S. Army. In addition, assigning the Susung Bridge area of Jung-Gu and the Camp Walker area of Nam-Gu as the wind corridor areas is recommended.

중추성 요붕증이 동반된 랑게르한스 세포 조직구증 1예

김진호,문준성,문선중,이지은,최재원,은미정,천경아,조인호,윤지성,원규장,이경희 신덕섭,이형우 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2

Central diabetes insipidus (DI) is a syndrome characterized by thirst, polydipsia and polyuria. Langerhans cell histiocytosis is one of the etiologies of DI. Recently we experienced a central DI associated with Langerhans cell histiocytosis. The 44 years old female patient complained right hip pain polydipsia and polyuria. We carried out water deprivation test. After vasopressin injection, urine osmotic pressure was increased form 109mOsmol/Kg to 327mOsmol/Kg (300%). Brain MRI showed a thickened pituitary stalk and at hot bone CT.CT guided biopsy revealed abnormal histiocytes proliferation and abundant lymphocytes, The final diagnosis was central DI associated with systemic Langerhans cell histiocytosis invading hip bone, L-spine and pituitary stalk. Desmopressin and etoposide chemotherapy were performed to the patient.

청소년의 스마트폰 중독과 우울 및 불안과의 관계

김경은,김필송,민주연,박수경,신서인,이지은,정해인,조호정,최정원,최정인 이화여자대학교 간호과학대학 2013 이화간호학회지 Vol.- No.47

Purpose: The purpose of this study was to investigate the relationships between the degree of smart phone addiction among adolescents and their depression and anxiety levels. Method: In this study, 379 high school students were selected using the convenient sampling method. The instruments used for this study were smart phone addiction measure, the CES-D (Center for Epidemiological Studies-Depression Scale), and the STAI (State-Trait Anxiety Inventory). Data were analyzed using the SPSS 20.0 program with descriptive statistics, t-test, ANOVA with Scheffe test, and Pearson’s correlation coefficient. Result: The mean score for smart phone addiction was 40.45±17.27, depression was 36.56±9.58, state anxiety was 44.00±9.61, and trait anxiety was 45.70±9.75. There were significant differences between the degree of smart phone addiction and the following variables: gender (t=-4.953, p<.001), hours of smart phone use per day (F=12.259, p<.001), types of frequently used features (F=3.485, p=.008), and satisfaction level for smart phone (F=5.18, p<.001). There were statistically significant relationships (p<.001) among degree of smart phone addiction, depression level, and state and trait anxiety levels. Conclusion: The results of this study suggested that there was a significant relationship between smart phone addiction and mental health, specifically, depression and anxiety among adolescents. Further research is needed to develop nursing strategies to provide care for adolescents who frequently utilize smart phones.

토양환경지도 자료를 이용한 콩밭 토양의 화학성 비교

박지숙,이민진,정재원,김미혜,이서연,지윤미,한준호,김유학,공명석,한광현,노희명 忠北大學校 農業科學硏究所 2015 農業科學硏究 Vol.31 No.2

It is important to interpret the soil chemical properties in order to effectively manage the farmland. This study was conducted to investigate the soil chemical properties of upland soybean field according to the soil series at 32 upland fields located in the parts of Gangwon-do. Soil sampling sites were selected by using the National Statistics DB and KSIS DB that is a soil environment information system provided by the Rural Development Administration. Soil samples were collected from 0~15 cm of top soil before seeding or transplanting, air-dried, passed through a 2 mm sieve, and analyzed for soil pH, EC, organic matter, available phosphorus (P2O5), exchangeable potassium, exchangeable calcium and exchangeable magnesium. The average chemical properties have exceeded the each nutrient optimum range level of RDA, except the organic matter in experimental soil 2015. And despite application of conventional fertilization, each soil series nutrient contents were change respectively. The results of this study suggest that conventional fertilization should be applied based on the analysis about the amount of accumulated nutrient contents in the soil.

생쥐 중이와 상기도 점막의 섬모세포운동

정하원,오승하,유원석,이강수,모지훈,전상준,김인상,김종선 대한이비인후과학회 1999 대한이비인후과학회지 두경부외과학 Vol.42 No.9