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서흥석(Heung-Suk Seo) 한국생활환경학회 2008 한국생활환경학회지 Vol.15 No.3
The purpose of this study was to find the influencing factors on 'quality of life(QOL)' among patients with tuberculosis. A questionnaire survey was peformed at a public hospital in Seoul from January 1 to August 31, 2007. Total 168 data were analyzed with SPSS 12.0. The average age of participants was 44.65 years old and their average monthly income was \840,000, and 21.7% of them only had user of community health center and they had almost 2 kinds of diseases. Generally, patients had low level of accessibility to medical health care, social network, and TB knowledge. The preceding factor of QOL among TB patients was medical care, and intermediate factors of it were number of diseases and health protection which was the powerful sub-domain of health beliefs. These results suggested that two types of pathways were found : 1. medical care→number of diseases↔QOL, 2. medical care→health protection↔QOL. But It is desirable that these pathways will be testified by another methods. Therefore we need TB management strategies to be reduced number of diseases and to be enhanced health protection as a health belief about tuberculosis.
보건소 영유아상담실을 이용하는 가정주부들의 결핵에 관한지식
정문희(Moon-Hee Jung),서흥석(Heung-Suk Seo) 한국생활환경학회 2006 한국생활환경학회지 Vol.13 No.3
This study was performed to measure the level of correct knowledge of housewives about tuberculosis and to identify some variables which influenced them. A questionnaire survey was conducted on the well-baby clinic consumers of 25 community health centers in Seoul, during the periods of 2005. 6. 1.~2005. 6. 30. A total 118 data were analyzed with SPSS 12.0. 1. The average age of housewives was 33.82 and their average number of children was 1.8. 2. The average item of their correct knowledge was 7.81 out of 13 items. The high level of correct knowledge were composed of 5 items namely, 'treatment', 'health policy related to tuberculosis', 'severity', 'immunization' and 'diagnostic examination'. The middle level of correct knowledge was composed of 6 items namely, 'invasion and attack of tubercle bacilli on body' 'leading cause', 'the time for medical check up', 'free services in community health center' 'manifestation of symptoms' and 'attack organs'. And the low level of correct knowledge was composed of 2 items, 'cross infection' and 'morbidity'. 3. Total 30.8% of correct knowledge could be explained by 'BCG vaccination of their last-born child', age and education of housewives. These results imply that housewives whose last-born child was vaccinated have higher level of correct knowledge about tuberculosis in proportion to their age and degree of education. Therefore we need strategies to apply educational programs which will help well-baby clinic housewives to increase their correct knowledge about tuberculosis. It is desirable that those programs will be specifically applied by BCG vaccination of their children, age, educational background and level of correct knowledge of housewives.
김인,남명현,임현철,고병희,서흥석,김순용,Kim, Inn,Nam, Myung-Hyun,Rhim, Hyun-Chul,Koh, Byung-Hee,Seo, Heung-Suk,Kim, Soon-Yong 대한영상의학회 1987 대한영상의학회지 Vol.23 No.3
This study was an analyses of blood supply of the liver in 125 patients who received hepatic arteriography and abdominal aortography from Jan. 1984 at the Dept. of Radiologyof Hanyang Univ. Hosptial. A. Variations in extraheptic artery pattern occured in 106 of 125 cases.; Right hepatic and left hepatic arteries arising from the hepatic artery proper and heaptic artery proper arising from the common hepatic artery. 2. The most common type of variation of extrahepatic artery was replaced right hepatic artery from superior mesenteric artery : 6 of 125 cases. B. Variatonsin intrahepatic arteries 1. The normal intrahepatic artery pattern occurred in 83 of 125 cases.: Right hepatic and left hepatc arteries arising from the hepatic artery proper and middle hepatic artery aising from lower portion of the umbilical point of left hepatic artery. 2. The most common variation of intrahepatic arteries was middle hepatic artery. 3. Among the variation of middle hepatic artery; Right, middl and left hepatic arteries arising from the same location at the hepatic artery proper was the mostcommon type; 17 of 125 cases.
급성심근경색증에서의 심장자기공명영상술의 진단 정확도와 심근 생존력 평가: TI-201 심근관류 SPECT와의 비교
김혜선,박동우,김용수,김영선,최요원,전석철,서흥석,함창곡,김순길,안유헌,최윤영,박충기,Kim Hye-seon,Park Dong Woo,Kim Yongsoo,Kim Young-sun,Choi Yo Won,Jeon Seok Chul,Seo Heung Suk,Hahm Chang Kok,Kim Soon Kil,Ahn You hern,Choi Yoon Young,P 대한자기공명의과학회 2003 Investigative Magnetic Resonance Imaging Vol.7 No.2
목적 : 급성심근경색을 진단하는데 있어 심장자기공명영상의 유용성을 알아보고, 생존심근을 평가하는데 있어 Tl-201 심근관류 SPECT와 비교하고자 하였다. 대상 및 방법 : 흉통 및 호흡곤란이 있는 환자 중 심장자기공명영상과 Tl-201 SPECT를 시행한 17명을 후향적으로 조사하였다. 심장자기공명영상에서는 T2강조영상에서 심벽의 고신호 강도 유무, 영화영상에서 심벽 운동, Gd-DTPA 조영 증강 후 좌심실 벽의 관류 결손 및 주입 15분 후의 지연조영증강 유무를 평가하였다. T1-201 SPECT에서는 아데노신 부하 영상과 휴식기 영상을 얻어 관류 결손 유무와 관류 결손시 가역성 여부를 평가하였다. 결과 심장자기공명영상과 T1-201 SPECT 모두 급성심근경색을 진단하는데 통계적으로 의미가 있었고, T2강조영상, T1-201 SPECT, 지연조영증강 및 심벽운동 순으로 연관성이 있는 것으로 나타났고, 관류 결손은 통계적 유의성이 없었다. 생존심근 평가에 있어서는 두 검사간 유의한 차이가 없었으며, T2강조영상과 관류영상에서 T1-201 SPECT와 높은 일치율, 지연조영증강 및 심벽운동은 낮은 일치율을 보였다. 결론 : 심장자기공명영상은 급성심근경색을 진단하는데 매우 유의한 진단율을 보였고, 생존 심근여부의 판단에 있어 SPECT와 높은 일치율을 보였다. 그러나 각 검사별 판독 기준과 방법에서 많은 연구가 필요할 것으로 생각된다. Purpose : To assess the usefulness of cardiac MR imaging (MRI) in the diagnosis of acute myocardial infarction and in the assessment of myocardial viability in comparision with T1-201 SPECT. Materials and Methods : We retrospectively studied 17 patients who complained of chest pain and dyspnea with cardiac MRI . The patients were evaluated for the presence or absence of high signal intensity on T2-weighted image (T2wI), abnormal wall motion on 2D-FIESTA, perfusion defect on Gd-DTPA enhanced T1WI, and delayed myocardial enhancement on 15-minutes delay Gd-DTPA enhanced T1WI. The results were correlated with the images on T1-201 SPECT, taken at rest and stress, through which reversibility of perfusion defect was assessed. Results : Both cardiac MRI and T1-201 SPECT proved to be useful methods for diagnosing acute myocardial infarction. In order of decreasing correspondence, T2WI, T1-201 SPECT, delayed enhancement study, and wall motion images all showed significant statistical correlation with the clinical diagnosis of myocardial infarction. Perfusion MRI, on the other hand, showed no significant statistical difference was found between T1-201 SPECT and cardiac MRI. The results on T2WI showed high accordance with those on Tl-201 SPECT, while delayed myocardial enhancement and wall motion studies showed no agreement with Tl-201 SPECT. Conclusion : Cardiac MRI is useful method for diagnosis of acute myocardiac infarction. With respect to the assessment of myocardial viability, the results obtained on cardiac MRI showed high agreement with those on Tl-201 SPECT. However, further study is necessary at this point for standardization and establishment of the methods for assessing myocardial viability on cardiac MRI.
간경변증에 동반된 비기능 항진증의 치료에 있어서 부분적 비동맥 색전술의 장기적 평가
이기창(Kee Chang Lee),함준수(Joon Soo Hahm),이종철(Jong Chul Rhee),이민호(Min Ho Lee),최일영(Il Young Choi),박경남(Kyung Nam Park),기춘석(Choon Suhk Kee),서흥석(Heung Suk Seo) 대한내과학회 1994 대한내과학회지 Vol.46 No.2
Background: Partial splenic embolization (PSE) was performed in ten cirrhotic patients with hypersplenism. Since Maddison first used splenic embolization in the treatment of hypersplenism in 1973, Spigos introduced partial splenic embolization with only few serious complication. Methods: The splenic artery was selectively catheterized via a femoral approach, and the tip of the catheter was placed as distal as possible at intrasplenic artery and gelfoam was infused. In this study, the mean infarcted area of spleen was approximate 60% of spleen. Six cases of ten patients were followed up to 42 months. Results: 1) The platelet and WBC counts increased immediately after P.S.E. Maximal count was observed at one month and then decreased gradually but maintained within normal limit until 42 months. 2) The hemoglobin level was not increased rapidly after P.S.E. but increased gradually and maintained within normal limit for 42 months. 3) The fever, abdominal pain were observed in all cases and transient ascites, pleural effusion ware observed in a few case but no serious complication was observed. Conclusion: P.S.E. is an effective alternative therapy for hypersplenistn in patients with liver cirrhosis.
간경변증에 동반된 비기능항진증의 치료에 있어서 부분적 비동맹색전술의 이용
함준수(Joon Soo Hahm),이동후(Dong Hoo Lee),기춘석(Choon Suhk Kee),박경남(Kyung Nam Park),이민호(Min Ho Lee),서흥석(Heung Suk Seo),손주현(Joo Hyun Son),신창록(Chang Rok Shin) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4
N/A Since Madison first used splenic embolization in the treatment of hypersplenism in 1973 and Spigos introduced partial splenic embolization (P.S.E.) reducing complications of total splenic embolization in 1979, P. S. E. has been accepted as an alternative therapeutic modality in the treatment of hypersplenism. P.S.E. was performed in 12 cirrohtic patients with hypersplenism. Femoral artery approach was used for splenic artery catheterization with tip of the catheter always well advanced selectively into the splenic artery. As an embolic material, 2x2cm pieces of belfoam were used and suspended in an antibiotic solution of cephalothin immediately before the intraarterial injection. Depending on the spleen size, 20∼40 pieces of Gelfoam were injected, and the extent of infarction was monitored f]uoroscopically and radiographically. The embolization was stopped when approximate 60% of the splenic parenchyma was devasculized. All patients were followed for 48 weeks(up to 1 year in 2 patients). The results were as followings: 1) The platelet counts were increased immedately after P. S. E. in all 12 patients and normalized in the 1st week in most patients. The maximal platelet count was observed at 4 weel after P. S. E. and then platelet counts tended to decrease gradually but maintained within normal limit until 48 weeks after P. S. E. 2) The WBC counts were increased promptly after P. S. E. like platelet counts, maximum at 1 weeks after P. S. E. 3) The hemoglobin level was not increased rapidly after P. S, E. but tended to increase gradually. 4) Abdominal pain, transient pyrexia, ascites & pleurl effusion ensued but were well tolerated, and there were no serious complications. In conclusion, the P. S. E. is thought to be a safe and effective therapeutic modality, alternative to surgical splenectomy for the treatment of hypersplenism in patients with liver cirrhosis.
원발성 간암환자에서 간동맥 색전술의 치료효과 - 2. 중간 추적 생존율 -
고윤석(Youn Suck Koh),노임환(Im Hwan Roe),안정경(Jung Kyung Ahn),함준수(Joon Soo Hanm),이민호(Min Ho Lee),기춘석(Choon Suhk Kee),박경남(Kyung Nam Park),이은희(Eun Hee Lee),서흥석(Heung Suk Seo) 대한내과학회 1988 대한내과학회지 Vol.35 No.3
N/A Currently, primary hepatocellular carcinoma (HCC) is the second most common cause of cancer death in men in Korea. Generally, the tumor is unresectable due to underlying liver cirrhosis. As a palliative therapy of HCC, transcatheter arterial embolization (TAE) was performed in 53 patients (57 times) from April 19S5 until December 1986 at Hanyang University hospital, of which the conditions of only 35 patients could be followed after TAE therapy. We have analyzed the effectiveness of TAE therapy on these 35 patients. The results were as follows: In patient who didn't have tumor thrombosis in the first or second portal branches, the mean 8 months survival was 58.2%, while in patients with tumor thrombosis, it was 8.3%. The ratio of the tumor size to the liver measured by a planimeter in hepatic angiography was found to be meaningful in the prognosis; In patients with a ratio below 20%, the 6 months survival rate was 66.7%, and in patients with a ratio of 20% or more, it wis 43.4%, The results suggest that TAE is more beneficial in unresectable HCC which doesn't have tumor thrombosis in the first or second portal branches, and which has a ratio of tumor size to liver below 20% as measured by angiography.
간장 및 담도 : 간세포암 치료에 있어서 간동맥 색전술의 이용 - 임상경험 24예 -
기춘석(Choon Suhk Kee),박경남(Kyung Nam Park),이민호(Min Ho Lee),이성구(Sung Koo Lee),이종철(Jong Chul Rhee),유종상(Jong Sang Ryue),최호순(Ho Soon Choi),박민선(Min Sun Park),서흥석(Heung Suk Seo) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1
N/A 24 patients with unresectable hepatocellular carcinoma were treated with transcatheter arterial embolization. The results were as followings: 1) The serum levels of AFP were decreased in about 80 percent of the patients with elevated AFP. 2) We found the low density areas in the CT after embolization which meant the effect. 3) Side effects were fever, nausea and vomiting in almost of all patients but subsided within several to ten days.