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유방의 세침흡인 세포검사: 수기 액상세포검사법(Liqui-$PREP^{TM}$)과 고식적 도말법과의 비교
정지윤,김정식,김영수,김혜정,박지영,Jeong, Ji-Yun,Kim, Jeong-Shik,Kim, Young-Su,Kim, Hye-Jung,Park, Ji-Young 대한세포병리학회 2008 대한세포병리학회지 Vol.19 No.1
Fine needle aspiration (FNA) cytology of the breast is a useful method for diagnosing breast lesions. Yet making the definite diagnosis with performing FNA is limited by some problems, such as the low cellularity, the poor preservation and the obscuring background. Recent studies have found that liquid-based cytology solves such problems, but it is an expensive method and it is limited by the loss of the background information. The purpose of this study is to compare the Liqui-$PREP^{TM}$, a new manual liquid-based method of cytology, and the conventional smears for analyzing breast FNA cytology materials. A total of 31 randomized FNA specimens of breast were studied. In each case, both the conventional smears and the Liqui-$PREP^{TM}$ method were performed, and the smears were evaluated for cellularity, cellular preservation, the background, the cytologic features and the architectural arrangement. The cellularity and architectural arrangement were equal for both preparations. The Liqui-$PREP^{TM}$ specimens showed better cellular preservation, loss of the obscuring background, no overlapping of cells and a smaller area to screen compared with the conventional smears. Moreover, it has the potential advantages of being able to use the remaining specimens for immunohistochemical study and ploidy analysis, and it can reduce the costs for preparation compared with the other liquid-based methods of cytology. But some background information is lost in the Liqui-$PREP^{TM}$ specimens, the same as the other liquid-based methods of cytology. In conclusion, the Liqui-$PREP^{TM}$ and conventional smears showed good correlation, but they have their respective advantages and disadvantages. These results suggest that Liqui-$PREP^{TM}$ can contribute to making the accurate diagnosis with performing breast FNA cytology when it is used along with other methods.
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체육교과 수행평가 도구 개발을 위한 뜀틀운동의 지식구조 분석
정우식(Woo Shik Chung),김정식(Jeong Sik Kim) 한국체육교육학회 2000 한국체육교육학회지 Vol.4 No.2
In order to develope performance assessment of department of physical education, we emphasize the knowledge system of vaulting horse exercise. Because the input variable of propositional knowledge expect positive effect in output variable of an original knowledge through the processing variable of practical knowledge. The teacher analyze the propositional knowledge according to learning target and composed of an practical knowledge for physical education class. Therefore, We provide intentionally learning activity for the variation, development, composition of physical activity. This study was designed to present performance assessment instrument development processing through analysis of propositional knowledge system and practical knowledge system about vaulting horse exercise. First, this study analyzed knowledge system of vaulting horse exercise according to psychomotor skill, cognitive ability, affective behavior. Second, presented new assessment instrument systematized according to step the assessment interval. Through this processing, intend to present the analysis method of learning environment for using in vaulting horse exercise. 1. The teacher should be analyze by the step, domain, time order contents knowledge and assessment knowledge through propositional knowledge system analysis which appointed to input variable in vaulting horse exercise. 2 Through contents knowledge analysis about psychomotor skill, cognitive ability, affective behavior, the teacher should be systematize objectively assessment knowledge which needed in performance assessment instrument development. 3. The psychomotor skill of physical education should be analysis by order of low category, core skill, concrete skill, application skill. 4. Through the composition of practical knowledge system to processing variable in vaulting exercise, the learning knowledge and method knowledge should be compose according to learning environment. 5. The teacher should be compose intentionally in learning environment learning knowledge in time order and learning target through composition of learner traits and learning environment in practical knowledge. 6. The method knowledge of physical education should be compose to the method which could be teach effectively vaulting horse exercise.
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피지선모반에서 Tubular Apocrine Adenoma와 Syringocystadenoma Papilliferum이 병발한 3예
임현정 ( Hyun Jung Lim ),김호연 ( Ho Youn Kim ),이석종 ( Seok Jong Lee ),김병수 ( Byung Soo Kim ),이원주 ( Weon Ju Lee ),김도원 ( Do Won Kim ),김정식 ( Jeong Shik Kim ),윤길숙 ( Ghil Suk Yoon ) 대한피부과학회 2008 대한피부과학회지 Vol.46 No.5
Both syringocystadenoma papilliferum and tubular apocrine adenoma are benign skin appendage tumors of apocrine differentiation. They may be isolated and easily discernible, but in some cases, it is difficult to differentiate them into separate entities or diseases with overlapping features. We herein report three cases showing features of both syringocystadenoma papilliferum and tubular apocrine adenoma simultaneously. They presented as a 20-year-old woman with linear verrucous erythematous plaque with grouped papules on the left sideburn area, a 64-year-old man with verrucous plaque on the right temporal scalp, a 48-year-old man with verrucous erythematous patch on the occipital scalp and commonly showed syringocystadenoma and tubular apocrine adenoma. All cases had been present since birth and also showed similar histopathologic features as follows; occasional fetal hair germ-like immature pilosebaceous structures or somewhat hypertrophied sebaceous glands directly connecting to surface epidermis, suggesting the association with nevus sebaceus in a variable degree. (Korean J Dermatol 2008;46(5):665∼669)
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내분비-대사 : 고칼슘혈증 동반 사르코이드증에서 정상 혈중 비타민 D를 보인 증례
전재한 ( Jae Han Jeon ),서정범 ( Jung Bum Seo ),황인량 ( In Ryang Hwang ),박혜윤 ( Hye Yoon Park ),김정식 ( Jeong Shik Kim ),박근규 ( Keun Gyu Park ),김정국 ( Jung Guk Kim ) 대한내과학회 2015 대한내과학회지 Vol.88 No.2
Diagnosing hypercalcemia is often challenging because a wide spectrum of diseases-such as malignancy, granulomatous disease, and primary hyperparathyroidism-should be considered. Sarcoidosis is a rare cause of hypercalcemia. The case of a 77-year-old male presenting with sarcoidosis-associated hypercalcemia whose serum 1,25(OH)2D level was normal is reported here. Despite a normal 1,25(OH)2D level and minimally enlarged hilar lymphadenopathy, the serum angiotensin-converting enzyme (ACE) level was increased. Mediastinoscopic biopsy of the right lower paratracheal lymph node revealed pathological findings compatible with sarcoidosis. Treatment with 30 mg/day oral prednisone was started. Currently, the patient is being treated with a tapered dose of oral prednisone and small doses of vitamin D and calcium. Despite its low incidence, sarcoidosis should be considered a cause of hypercalcemia. The important diagnostic factors are not only serum calcitriol levels but also serum ACE levels and pathological findings. (Korean J Med 2015;88:207-211)
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