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김선문,허원석,채경훈,강윤세,정재훈,김연수,박기오,문희석,이엄석,김석현,성재규,이병석,이헌영,신경숙,조준식,송인상,강대영 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2
Malignant peritoneal mesothelioma is a rare neoplasm that arises from the mesothelium of a serosal cavity and is a rapidly fatal disease with a median survival of 4 to 12 months for untreated cases. Recently, we experienced a case with malignant peritoneal mesothelioma who was suspected hepatocelluar carcioma by abdominal CT scan and was confirmed by biopsy including immunohistochemical stain(calretinin) after surgery. We performed tumor excisions and wedge resection of the liver(segment Ⅷ)and inserted Tencoff catheter in abdominal cavity at 25th day of post-operation. We treated with intraperitoneal paclitaxel(25mg/m^(2)/day for 5 days) six courses monthly. She was well tolerable and is still living without any evidence of recurrence for 14th month of post-operation.
안성훈,김양원,김미란,진헌철,안지영,이상래,류석용,김홍용,김성준,이병권,김경환 대한응급의학회 2001 대한응급의학회지 Vol.12 No.2
Background: A hyperosmolar nonketotic state has been known to have a high mortality, and even now, despite this high mortality, only a few studies of this disease have been performed. We studied the prognostic factors for the hyperosmolar nonketotic state. Methods: We retrospectively studied the cases of 40 patients who were in a hypersomolar nonketotic state when admitted to Sanggye Paik Hospital during the 6-year Period from 1995 through 2000. We divided the hyperosmolar nonketotic patients into two groups, the complete recovery group and the incomplete recovery group, and compared the clinical features, the laboratory findings, and the precipitating factors between two groups. Results: 1) A total of 40 patients were studied: 24 in the complete recovery group and 16 patients in the incomplete recovery group. The mortality rate was 32.5%. 2) No significant statistical difference existed among the clinical features of the two groups, except for the sex(p<0.01). 3) Among the laboratory findings of both groups, analysis revealed that the effective osmolarity was significantly higher among those in the incomplete recovery group(p<0.01). Serum sodium concentration was also significantly higher among those in the incomplete recovery group(p<0.01). Serum creatinine was also significantly higher among those in the incomplete recovery group(p<0.05). Serum bicarbonate concentration, on the other hand, was significantly lower among those in that group(p<0.05).4) Infection was identified as the most common precipitating factor(62.5%). Among the precipitating factors of the two groups, there were significant statistical difference in pneumonia, UTI, and inappropriate glucose control. 5) A significant statistical difference existed among the initial level of consciousness of both groups(p<0.05). 6) The only significant independent factor responsible for prognosis of nonketotic hyperosmolar state patients was the sex. Conclusion: The sex was only significant independent prognostic factor of nonketotic hyperosmolar state patients.
金花倉,鄭憲瑩,琴坰樹,朴炅 대한한의진단학회 1998 大韓韓醫診斷學會誌 Vol.2 No.2
A study on the 「Gi Hyul Ron(氣穴論)」 of the So Moon(素問), one of the classic book of oriental medicine, was carried out analytically for the right comment. The principal ideas of this thesis can be summarized as follows; The discription of the Gi Hyul(氣穴) The discription of the join between the Son-rak(孫絡), the Gae-gok(谿谷) and the Hyul-rak(血絡)
카리움을 含有한 니켈 觸媒에 있어서 싸이클로헥센의 脫水素化 反應에 관한 硏究
金京林,具憲書 연세대학교 대학원 1981 延世論叢 Vol.18 No.1
This study is concerned with Cyclohexane Dehydrogenation on Nickel catalysts and the promotion effect of Potassium on the reaction i9 studied in terms of Potassium content. Experimental results shelved that the catalyst containing K as K/K+ Ni=0.1675 ratio was the most effective on the removal of side reactions and on reaction promotion. On the Potassium-promoted Nickel catalyst, Cyclohexane Dehydrogenation was lst order reaction with respect to Cyclohexane concentration from 366 to 446℃ and the activation energy was 24.5kcal/gmol. There were no problems of fouling on the metallic nickel catalyst. Even though promoter was included, the fouling was serious on the Nickel oxide catalyst, but the fouling could be exterminated by feeding hydrogen.
폐쇄성 황달로 내원한 담관내 증식을 동반한 간세포암 1예
김승범,김태년,이호찬,박재현,은종렬,장병익,이헌주,윤성수,배영경 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2
The incidence of hepatocellular carcinoma presenting as obstructive jaundice is 0.7 -9% The mechanisms of obstructive jaundice include bile duct invasion by tumor, tumor thrombi, blood clots, direct bile duct compression by tumor, and intraductal tumor growth. We report a rare case of hepatocellular carcinoma with intraductal growth A 46-year-o1d woman was admitted due to colicky right upper abdominal pain and jaundice for 4 days Computed tomography showed dilatation of the left intrahepatic duct, and endoscopic retrograde cholangiography showed a filhng defect in the left main intrahepatic duct. We performed a left lobectomy with a Roux-en-Y hepaticojejunostomy. The tumor was diagnosed as a hepatocellular carcinoma with intraductal growth.
金甫勳,鄭憲瑩,琴坰樹,朴炅 한국전통의학연구소 1998 한국전통의학지 Vol.8 No.2
This fascicle is named as Si Jong Yong Ron because it puts an emphasis on attitude in diagnosis and is divided into two chapters, chapter 1 dealing with the principle of how to distinguish differences and how to compare similarities in classification, chapter 2 emphasizing an importance in classification alike examplfying similar symptoms of diseases in spleen, stomach, and lung. Accurate diagnosis should be at first done for proper treatment, classification should be accurate for precise diagnosis, and calm and intensive observation to a patient could give rise to precise classification. This fascicle has a great significance in that it supplies a detailed explanation about the principle for precise classifiication.
김동찬,이태헌,윤영식,정진모,민경숙 경희대학교 디자인연구원 2001 예술· 디자인학연구 Vol.4 No.1
The gate of school which is the face of university is connecting the intermediate area between inspace and outspace. Simultaneously, it is important transition zone accomplishing a part of meeting, symbolizing, guiding and so on. The purpose of this study is to design an entrance space which represents a spirit and idea of the Kyunghee University with the gate. In addition, it can be judged for an excellent result that is expectated representating Suwon campus and giving confidence to students after completion.
신장의 미세혈관병증을 동반한 원발성 항인지질 증후군 1 예
김미경,고은미,김진석,차훈석,허우성,고재현,이충현 대한내과학회 2001 대한내과학회지 Vol.61 No.1
Antiphospholipid syndrome is a disease that has continuous high titer of antibodies directed against either phospholipids or plasma proteins bound to anionic phospholipids in serum and shows a variety of clinical manifestations including recurrent venous and arterial thrombosis, recurrent fetal losses, livedo reticularis and thrombocytopenia. Because thrombosis may develop in any vessel, clinical manifestations are variable. Renal microangiopathy has been reported in antiphospholipid syndrome associated with systemic lupus erythematosus and rarely reported in primary antiophospholipid syndrome. But there was no case report of antiphospholipid syndrome accompanied by renal microangiopathy in Korea. Recently, we experienced a 25 years old male patient who had primary antiphospholipid syndrome with intrarenal thrombotic microangiopathy and IgA nephropathy. So, we report this case with review of relevant literature. (Korean J Med fil:86-90, 2001)