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.

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.

특수 언어발달 장애 환아의 임상 및음향음성학적 특성연구

김연희,박세훈,신용일,김찬양,김현기,김정수 大韓再活醫學會 2000 Annals of Rehabilitation Medicine Vol.24 No.1

흰쥐 뇌줄기에 분포하는 Nitric Oxide Synthase 신경세포에 관한 면역조직화학적 연구

나준희,허영범,박찬,김정혜,유진화,안희경,이원규 대한해부학회 1999 Anatomy & Cell Biology Vol.32 No.2

저주파수 및 저입력전압용 박막형 다중접합 열전변환기

황찬순,이형주,김진섭,이정희,박세일,권성원 한국센서학회 2002 센서학회지 Vol.11 No.3

저주파수의 저전압용 크로멜-알루멜 다중접합 열전변환기를 개발하고자 NiCr 히터의 두께를400 nm, 600 nm 및 800 nm로 변화시켰다. 40 Hz∼10 kHz의 직류 역방향 주파수 범위로 0.5 V의 교류 실효전압을 열전변환기에 인가시켰을 때 히터의 두께가 400 nm인 열전변환기가 ±0.51∼±1.69 ppm 범위의 열전효과에 의한 교류-직류 전압 변환오차를 나타내었고, 열전효과 및 주파수에 의한 교류-직류 변환오차는 40 Hz∼l MHz의 주파수 범위에서 ±40∼±115 ppm 범위를 나타내어, 저주파수의 저전압용으로 사용할 수 있었다. NiCr-heaters with three different thicknesses ranging from 400 nm to 800 nm were fabricated and their characteristics were compared for the purpose of developing a chromel-alumel multijunction thermal converter for low input voltage with low frequency. The thermoelectric effect-induced AC-DC voltage transfer difference of the thermal converter with a built-in NiCr-heater of 400 nm-thickness was ±0.51∼±1.69 ppm in the DC reversing frequency of 40 Hz∼10 kHz with appling 0.5 V_rms and the difference was increased to ±40∼±115 ppm in the frequency of 40 Hz~l MHz, when both thermoelectric effects and frequency effects were considered, showing the thermal converter would be suitable for the low input voltage application with low frequency.

象牙質 表面處理가 글라스 아이오노머 시멘트의 邊緣漏出에 미치는 影響에 關한 硏究

趙正熙,洪燦義 단국대학교 치의학연구소 1992 논문집 Vol.4 No.-

The purpose of this study was to evaluate the effect of the dentin pretreatment on the marginal leakage of a glass ionomer cement. In this study, 60 molars with sound and healthy crown portion were used. The dentin surface of these teeth were exposd and polished with 600 grit silicon carbide paper. Square-shaped cavities were prepared on the flattened dentin surfaces and these were divided in to 4 groups according to the dentin pretreatment procedures. Group Ⅰ : Dentin pretreatment with distilled water as a control group. Group Ⅱ : Dentin pretreatment with 5% sodium hypochlorite solution. Group Ⅲ : Dentin pretreatment with Ketac conditioner. Group Ⅳ : Dentin pretreatment with 40% polyacrylic acid. The degrees of dye penetration in the cavity walls were assessed using a stereoscope at x40 magnification according to the maximum dye penetration. The results were analyzed by using Mann-Whitney U test. The results were as follows : 1. All goups showed varying depth of dye penetration. 2. Distilled water group showed the most severe marginal leakage when compared with the other groups(P<0.05). 3. 40% polyacrylic acid group showed the least amount of marginal leakage compared with the other groups(P<0.05). 4. There were significant differences between Group Ⅰ(distilled water) and Group Ⅳ (40% polyacrylic acid)(P<0.05), but there were no significant differences among Group Ⅰ (distilled water), Group Ⅱ (5% sodium hypochlorite), Group Ⅲ (Ketac conditioner)(P>0.05)

중증 재생불량성 빈혈 환자에서 신우신염에 대한 광범위항생제치료 중에 속발한 Saccharomyces cerevisiae 진균감염 1예

김철희,이정호,이정찬,강정현,곽상혁,배광봉,김현수,김종숙,조덕연,김삼용 충남대학교 의과대학 지역사회의학연구소 1999 충남의대잡지 Vol.26 No.1

Most patients with aplastic anemia who do not respond to immunosuppressive treatment or are not candidates for bone marrow transplantation die of infection or bleeding. The neutropenia in acute leukemia, aplastic anemia, or occurring subsequently to chemotherapy and bone marrow transplantation increases susceptibility to infection. In general, the number of infectious episodes correlate with the degree and duration of neutropenia. Global immunosuppression produced by conditioning for bone marrow transplantation or graft-versus-host disease, is associated with unusual bacterial and fungal pathogens, or serious viral and protozoan infections. In addition, repeated treatment with broad-spectrum antibiotics is associated with the emergence of resistant organisms and fungal diseases because of the altered microbial microenvironment of the host. The incidence of invasive fungal infection caused by Saccharomycetes eerevisiae in immunosuppressed patients is very rare, compared with that of infection by candida or aspcrgillus species. Cases of Saccharomycetes cerevisiae fungemia occurring in the course of treatment with broad-spectrum antibiotics are reported in patients with extensive burn or with prosthetic valve endocarditis. We experienced a case of urinary tract infection by Saccharomycetes cerevisiae in a 27-year old female patient with severe aplastic anemia. We report the case with a review of relevant literatures.

전자근관장 측정기의 정확도에 관한 연구

김희정,홍찬희 大韓齒科保存學會 1996 Restorative Dentistry & Endodontics Vol.21 No.1

웹기반 수업에서 혼합형 수준별 수업모형의 설계 및 구현

김맹희,박찬정 한국컴퓨터교육학회 2003 컴퓨터교육학회 논문지 Vol.6 No.1

오늘날 웹 활용이 본격적인 대중화 시대로 접어들에 되면서 교육현장에서도 다양한 교육방법이 연구, 개발되어 WBI 학습 웹기반 CAI, 원격강의 등 웹을 기반으로 하는 가상교육이 활발히 진행되고 있다. 웹기반 교육이 교실수업에 비해 가지는 장점을 최대한 살려서 현실성 있고 효율적인 교육의 효과를 얻으려면 학습자의 능력과 관심, 흥미, 적성 등을 고려한 웹기반 수준별 수업 모형 개발이 요구된다. 본 논문에서는 제7차 교육과정에서 실시되는 단계형 수준별 교육과정에서 진급형 수업모형과 심화·보충형 수업모형을 웹기반 수업을 위해 혼합한 혼합형 수준별 수업모형으로 제시하고 구현한다. 또한, 모형의 비교를 위하여 이를 실업계고등학교의 전산회계 교과에 적용한다. 웹기반 수업을 하기 위해서 인터넷이 가능한 학교 전산실을 이용하며 100분 동안 학생들이 자율적으로 웹기반 학습을 하도록 한다. 수업 적용을 하고 설문 조사를 실시하여 웹기반 수업에 대한 효과와 수업모형의 학업성취도에 미치는 영향을 분석 후 결과를 제시한다. Recently, as more web-based applications are widely used, various methods for education are developed in practical areas. As a result, in many organizations, virtual educations such as WBI learning, CAI, and distance learning are offered actively. With the advantages of web-based education, in order to achieve feasible and efficient effects on education, a new web-based instruction model that considers the abilities, the interests, and the aptitudes of students individually is required. In this paper, a new web-based instruction model, called a hybrid model, is proposed and implemented. And then, two model -the stepwise model and the hybrid model- are applied to a computer accounting class of a vocational high school. Students attend the web-based class in a computer center for 100 minutes autonomously. After the classes, a questionnaire is made in order to analyze both the effect on that class and the learning fulfillment of the proposed instruction model.

일 대학병원 주차장 유료화에 따른 주차장 이용실태 조사

김정희,박진숙,주찬웅,최기철 한국의료QA학회 1997 한국의료질향상학회지 Vol.4 No.1

Background : As parking problem caused by increasing owner-driver and patients concentration to a general hospital is becoming one of the dissatisfactions in medical care. It is time that a general hospital should solve the parking problem in a desirable way. The purpose of this survey is to let the clients understand the basic motivation of the pay parking and develop the better parking system. Methods : Clients of a tertiary care hospital in Chon-ju were surveyed by means of a questionnaire. All in all, 193, subjects answered the questionnaire. Results : In relation to the previous experiences, 39.6% of the subjects experienced inconvenience with confuse parking lot and the shortage of parking space. Under the were more than those who didn't 62.7% of the subjects answered that the y could find the parking lot easily. 33.2% of the subjects mentioned that it was not easy to drive in the parking area ; The reasons were pointed out the shortage of space, disordered parking, and insufficient guide, 12.8% of the subjects satisfied with the current administering system of parking lot. The outpatients were more affirmative than the admitted patients about the charging system. As for the parking fee, 64% of the subjects answered that it is expensive, and 89.5% of the subjects answered that it is expensive, and 89.5% of the subjects thought imposing of parking fee is irrational. Conclusion : To say as a whole, th basic purpose of the charging system are more of less accepted. However, the management details like parking facilities and payment method are dissatisfactory, so it is necessary to improve the management system. It is also noted that the inpatients showed more negative attitude than the outpatients with the charging system. To secure a more convenient parking, the parking system should be considered in relation to the information service, kind guidance, improve facilities, personnel cooperation, fix outpatient scheduling system. etc.