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포스터 전시 : 간 ; 낭종내 ethanol 주입으로 치료된 거대 간낭종 2예
서향은 ( Hyang Eun Seo ),윤혜진 ( Hye Jin Yoon ),강현재 ( Hyun Jae Kang ),김현수 ( Hyun Soo Kim ),백효종 ( Hyo Jong Beak ),이상문 ( Sang Moon Lee ),김원호 ( Oyun Ho Kim ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
간낭종은 흔한 질환으로 대개 크기가 작고 자각증상이 없어 복부 초음파검사나 복부 전산화단층촬영시 우연히 발견되며 합병증을 일으키지 않아 치료가 필요하지 않다. 그러나 낭종이 큰 경우 복부 통증을 일으킬 수 있으며, 주위 장기를 압박하거나 낭종내 염증이나 출혈 등 다양한 임상양상을 나타낼 수 있다. 간낭종에서 증상이 있고 다양한 합병증을 동반하는 경우 배액술과 약물 경화요법, 외과적 수술 등 여러 가지 치료 방법이 보고되고 있는데 특히 약물 경화요법에는
흉막삼출액에서 높은 Adenosine Deaminase 활성도를 보인 마이코플라즈마 폐렴
서향은 ( Seo Hyang Eun ),김연재 ( Kim Yeon Jae ),김성규 ( Kim Seong Gyu ),강현재 ( Kang Hyeon Jae ),도윤경 ( Do Yun Gyeong ),윤혜진 ( Yun Hye Jin ),전재현 ( Jeon Jae Hyeon ),이병기 ( Lee Byeong Gi ),김원호 ( Kim Won Ho ) 대한결핵 및 호흡기학회 2002 Tuberculosis and Respiratory Diseases Vol.52 No.1
박상만 ( Sang Man Park ),신승민 ( Seung Min Shin ),서향은 ( Hyang Eun Seo ),김세환 ( Se Hwan Kim ),김현수 ( Hyun Soo Kim ),박종훈 ( Jong Hun Park ),김장호 ( Jang Ho Kim ),손경락 ( Kyung Rak Sohn ) 대한소화기학회 2009 대한소화기학회지 Vol.54 No.6
Hemangioma is one of the most frequently encountered benign hepatic neoplasm which can develop secondary degeneration. Sclerosed hemangioma is a rare disease histologically characterized by large amount of collagen and elastic fibril between sclerosed small vessels. Its differential diagnosis is very difficult. It should be included in the differential diagnosis of other hepatic lesions such as hepatocellular carcinoma, intrahepatic cholangiocarcinoma, and metastatic hepatic tumor. A 77-year old male was admitted with upper abdominal discomfort. Abdominal ultrasonography revealed GB stone, dilated common bile duct with bile duct stone, and a 4.6 cm sized hyperechoic mass at segment 5 and 6 of the liver. Abdominal dynamic computed tomography demonstrated dilated intrahepatic bile ducts and a 5×5 cm sized mass which showed minimally delayed enhancement. Abdominal magnetic resonance imaging revealed the mass with low signal intensity in T1 weighted image, high signal intensity and focal low signal in T2 weighted image which showed minimal enhancement. We removed common bile duct stone with endoscopic retrograde cholangiopancreatography then decided to undergo right lower segmentectomy of liver due to possibility of cholangiocarcinoma. Histopathological examination of hepatic mass showed large amount of fibrous tissue with occasional residual vascular channels. We describe one case of sclerosed hemangioma mimicking cholangiocarcinoma. (Korean J Gastroenterol 2009;54:399-403)
신승민 ( Seung Min Shin ),박상만 ( Sang Man Park ),황병식 ( Byung Sik Hwang ),설수환 ( Soo Hwan Seol ),서향은 ( Hyang Eun Seo ),김세환 ( Se Hwan Kim ),구미진 ( Mi Jin Gu ),신지열 ( Ji Yeol Shin ) 대한소화기학회 2010 대한소화기학회지 Vol.56 No.6
Mesothelioma is a rare aggressive tumor arising from the mesothelial cell and regarded as universally fatal disease with average survival around 1 year. The incidence rate is varied from one to forty per million in different countries and increasing by the year. The most common site of tumor origin is the pleura and only 20% to 33% of mesothelioma arise from the peritoneum. There are increasing reports of malignant mesothelioma with forty to fifty fatal cases per year in Korea. Histological studies with immunohistochemical stain is helpful for the diagnosis of peritoneal mesothelioma and imaging modality alone is not sufficient for diagnosis, so it is difficult to confirm diagnosis. A 64-year-old male patient was admitted to the hospital with a palpable mass on abdomen. The 6×6 cm sized huge mass was seen on the body of stomach adjacent to the peritoneum. We report a case of malignant peritoneal mesothelioma without evident exposure to asbestos, of which direct invasion to the gastric mucosa was confirmed by endoscopic biopsy and immunohistochemical stain. (Korean J Gastroenterol 2010;56:377-381)
고령의 4차 관해를 이룬 급성 골수성 백혈병 환자에서 non-myeloablative 전처치를 이용한 동종 말초 혈액 조혈모 세포 이식 1예
박재홍,정시욱,서향은,전재현,신동건,이정림,정진태,김종광,손상균,이규보 대한조혈모세포이식학회 2001 대한조혈모세포이식학회지 Vol.6 No.1
Standard stem cell transplantation produces considerable morbidity and mortality because of toxicities due to the high dose conditioning regimen. Therefore, this approach must be restricted to young patients without cormobidities. The majority of patients with hematologic malignancies are not eligible for high dose conditioning regimen because of older age or cormobid conditions. An alternate strategy is to use a less intensive preparative regimen designed not to eradicate the malignancy but to provide sufficient immunosuppression to achieve engraftment of an allogeneic blood stem cell or marrow graft, thus allowing the development of an immune GVM (graft-versus-malignancy) effect. The main therapeutic effect in non-myeloablative allogeneic stem cell transplantation is due to the graft-versus-leukimia(GVL) effect which eliminate residual or recurrent leukemia. We report a 56 years old AML patient in 4th complete remission who successfully treated with allogeneic PBSCT with non-myeloablative conditioning regimen.
김현영,김세영,서향원,소은혜 한국간호과학회 간호행정학회 2011 간호행정학회지 Vol.17 No.3
Purpose: This study was done to explore time management behavior and self-efficacy in nursing students and to analyze the correlations between time management behavior and self-efficacy. Methods: The data were collected from May 12 to 20 2010 using self-report questionnaires about time management behavior and self-efficacy of nursing students. The data from 508 students were analyzed using descriptive analysis, K-means clustering, and one-way ANOVA. Results: The mean score for time management behavior was 3.03±1.11 out of a possible 5, and self-efficacy was 3.65±0.42 out of a possible 6. Four groups were identified according to time management behavior. The four groups were significantly different on self-efficacy total (p=<.05) and self-regulatory efficacy (p=.<005). The group with the highest score for time management had the highest score for self-efficacy. Conclusions: The results of the study indicate that time management behavior styles are related to self-efficacy for nursing students. Therefore, time management education programs based on the time management behavior styles are needed to increase self-efficacy in nursing students.