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손주현 ( Joo Hyun Sohn ),김태엽 ( Tae Yeob Kim ) 대한간학회 2011 Clinical and Molecular Hepatology(대한간학회지) Vol.17 No.4(S)
Since the introduction of hepatitis B virus (HBV) vaccination in Korea, the prevalence of HBV infection has been markedly reduced, but so far HBV infection is currently the leading cause of chronic hepatitis, cirrhosis, and hepatocellular carcinoma. Seeing patients with pregnancy and HBV infection, many clinicians are faced with many unresolved issues such as effects of pregnancy on disease progression, effects of HBV infection on pregnancy, prevention of vertical transmission, management principals of HBV infection before, during and after pregnancy and safety of antiviral drugs during pregnancy. Chronic hepatitis B is usually subsided during pregnancy but it tends to aggravate or flare after delivery. HBV itself seems not but the severity of liver disease may affect pregnancy. The immunoprophylaxis with hepatitis B immunoglobulin and HBV vaccination can effectively prevent vertical transmission of HBV, but its failure has been reported in 5-10%, esp. in mothers with high HBV DNA levels. Recently, several studies were tried to reduce such immunoprophylaxis failure, but there are many unresolved issues before its use for this purpose. The treatment of hepatitis B with oral antivirals in relation to pregnancy should be individualized based on the risk-benefit evaluation for both mother and baby according to willingness of patients, the period of pregnancy (trimester), serum viral load, and the severity of disease.
손주현(Sohn Joo-hyun),은혜영(Eun Hye-young),박진숙(Park Jin-suk) 한국디자인학회 2010 한국디자인학회 학술발표대회 논문집 Vol.2010 No.10
Through the dialectic of identity design and analyze the structure of the system. Design in the development of various expressive media, consumer tastes, the company's business environments are faced with a variety of communication problems. Unforeseen problems that can respond flexibly to the situation requires a flexible system. Cognitive Constructivism is based in the process of forming a personal knowledge of the process of configuring the reporting individual's subjective experience. Flexible design, the system provides the user identity information in the process of recognizing each individual's experience, refined by a home that you can see what information. Through the dialectic of identity is constantly evolving design and development of the system and individual user experiences for the future development of identity design system is an important factor.
김주형 ( Joo Hyoung Kim ),전용철 ( Yong Cheol Jeon ),김태엽 ( Tae Yeob Kim ),은창수 ( Chang Soo Eun ),손주현 ( Joo Hyun Sohn ),한동수 ( Dong Soo Han ),장재정 ( Jae Jung Jang ),박용욱 ( Yong Wook Park ) 대한소화기학회 2008 대한소화기학회지 Vol.52 No.5
Intestinal tuberculosis is a common disease of extrapulmonary tuberculosis and should be differentiated from the inflammatory bowel diseases and malignancy such as Crohn`s disease, ulcerative colitis, amebic colitis, and colon cancer. Most frequently involved sites (75% of cases) are the terminal ileum and cecum. Other sites of involvement, in order of frequency, are ascending colon, jejunum, appendix, duodenum, stomach, esophagus, sigmoid colon, and rectum. Intestinal tuberculosis simultaneously involving the stomach and colon has been very rarely reported. Recently, we experienced a case of synchronous gastric and colonic ulcers with granulomatous inflammation. Although we did not find acid fast bacilli and the culture test was negative, empirical anti-tuberculosis therapy resulted in dramatic clinical and endoscopic improvement. We report a rare case of multifocal gastrointestinal tuberculosis with a review of literature. (Korean J Gastroenterol 2008;52:320-324)
조현석 ( Hyun Seok Cho ),한동수 ( Dong Soo Han ),박세우 ( Se Woo Park ),변태준 ( Tae Jun Byun ),김태엽 ( Tae Yeob Kim ),은창수 ( Chang Soo Eun ),전용철 ( Yong Cheol Jeon ),손주현 ( Joo Hyun Sohn ) 대한장연구학회 2007 Intestinal Research Vol.5 No.1
Endometriosis is one of the most common benign gynecologic conditions in women of childbearing age. Endometriosis involving the gastrointestinal tract occurs in 5.3-12% of women and the most commonly affected site is the rectum and the sigmoid colon. The reports of intestinal endometriosis in Korea are too few to obtain a rate of occurence, and in these cases, the depth of invasion was limited to the serosa, resulting in no significant symptoms or signs. Intestinal endometriosis can show up as a mass suggestive of malignant neoplasm on imaging studies, which can result in serious errors in diagnosis and treatment. In Korean studies, the masses were solitary, and there was no reported case of multiple endometriosis in the sigmoid colon, ascending and descending colon. We report a case of multiple deep infiltrating intestinal endometriosis presenting as an abdominal mass. (Intest Res 2007; 5:87-91
간경변증 환자에서 체내 나트륨 대사변화와 그 기전에 대한 연구
채현기(Hyun Kim Chae),윤영무(Young Moo Yun),이오영(Oh Young Lee),한동수(Dong Soo Han),손주현(Joo Hyun Sohn),김호중(Ho Joong Kim),함준수(Joon Soo Hahm),박경남(Kyung Nam Park),기춘석(Choon Suhk Kee) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.4
N/A This prospective study was performed to evaluate the concentration of the serum sodium and its pathogenesis in 16 patients of liver cirrhosis without ascites and 8 patients with ascites who were admitted to Hanyang University Hospital from November 1992 to January 1993. In order to evaluate the pathogenesis of the hyponatremia, we measured the level of serum sodium, serum albumin, serum creatinine, creatinine clearance, 24 hour urinary sodium excre- tion, plasma renin activity(PRA), aldosterone and sympathetic activity in cirrhotic patients without ascites(Group I, n=16) and with ascites(Group II, n=8). Serum Na level and ex cretion of Na in 24 hour urine were decreased significantly in patients with decompensated liver cirrhosis(liver cirrhosis with ascites)(P=0.006). And the frequency of patients with hyponatrernia was high in liver cirrhosis with ascites(Group I:13%, Group II: 50% ). The serum albumin and creatinine clearance were significantly decreased in liver cirrhosis with as- cites(P=0.000, P=0.012). The PRA and serum norepinephrine were also significantly in- creased in liver cirrhosis with ascites(P=0.000, P=0.018). During hospital 10 days, the serum sodium concentration was significantly more decreased(P = 0.04, 136 + 1.9mEq/1132+ 2.6mEq/ 1) with significant weight loss and decreased creatinine clearance in liver cirrhosis with asci- tes. The serum concentration of sodium showed positive correlation with serum albumin(R=O. 6, P=0.004) and negative correlation with PRA(R=0.7, P=0.001) in all patients with liver cirrhosis. These findings indicate that the hyponatremia in liver cirrhosis is associated with de- creased creatinine clearance and disturbance of frea water excretion due to hypoalbuminemia, decreased effective circulatory volume, increased PRA and increased sympathetic activity. (Korean J Gastroenterol 1994; 26: 662 668)
HBV - bDNA 음성 만성 B 형 간염 바이러스 보유자의 간조직검사 소견과 임상적 특징
노병주(Byung Joo Roh),이숭환(Soong Hwan Lee),한성희(Sung Hee Han),조승철(Seung Chul Cho),손주현(Joo Hyun Sohn),이동후(Dong Hoo Lee),기춘석(Choon Suhk Kee) 대한소화기학회 2001 대한소화기학회지 Vol.38 No.6
Background/Aims: It is common in Korea that young men carry HBV-bDNA (branched chain DNA) negative chronic HBsAg, regardless of abnormal aminotransferases. However, histologic findings of these patients were not well-known. The authors studied histologic characteristics of hepatitis activity in these patients and assessed the correlations of aminotransferases and the histologic characteristices of hepatitis activity/fibrosis. Methods: Routine biochemical liver function tests were performed for the 29 young male HBV-bDNA negative chronic HBsAg carriers. Their histologic hepatitis activity/fibrosis was scored. Results: Ninety percent of the patients showed chronic inflammation at liver biopsy, whereas 80% of the parents who had normal aminotransferase showed chronic inflammatory feature in spite of their HBV-bDNA negativity. A significant correlation was found between the levels of aminotransferases and histologic hepatitis activity (lobular activity and portoperiportal activity). The patients with abnormal aminotransferase revealed the higher grade activity than the patients with normal aminotransferase in lobular activity and portoperiportal activity. Conclusions: Most of young male HBV-bDNA negative chronic HBsAg carriers show the histologic characteristics of chronic hepatitis. Some patients could be recovered, but others may show viral replication during their clinical course. (Korean J Gastroenterol 2001;38:419-426)
궤양성 대장염 환자와 혈액투석 환자 및 정상대조군의 다면적 인성검사 ( MMPI ) 특성 비교
김홍주(Hong Joo Kim),조영중(Young Joong Cho),이숭환(Soong Hwan Lee),한동수(Dong Soo Han),손주현(Joo Hyun Sohn),김호중(Ho Joong Kim),박경남(Kyung Nam Park),조연규(Yun Gyoo Cho) 대한내과학회 1998 대한내과학회지 Vol.54 No.2
Objectives: For many years, inflammatory bowel disease has been thought to have a strong psychosomatic component, but recent prospective studies show no evidence of correlation between various psychologic factors and the disease activity. However, chronic renal disease still places unique stresses on the hemodialysis patients, with consequent emotional reactions. The aims of this study are to investigate the psychologic factors of ulcerative colitis and hemodialysis patients using MMPI scales, which are objective psychological test, thus give aid to psychological understanding of these patients. Methods: We investigated 23 ulcerative colitis patients in remission followed at outpatient department of Hanyang University Hospital and 35 patients receiving hemodialysis between June, 1994 and August, 1995. Twenty students were selected for normal control group. We utilized T-score of each MMPI scale for analyzing characteristics of each group and regard T-score over 70 or below 40 as abnormal. Results: The average T-scores of each MMPI scale in ulcerative colitis, hemodialysis patients 8r normal control group were within normal range between 40 and 70, except for T-score of Es scale in hemodialysis patient group(34.5). The results of comparison between each MMPI scale of two patients & normal control group were as follows. 1) L scale was significantly elevated in ulcerative colitis & hemodialysis patients group compared with that of normal control group. F scale was significantly elevated in hemodialysis patients compared with that of ulcerative colitis patients & normal control group (p<0.01). 2) Hs(p<0.01), D, Pt(p<0.05) and Sc(p<0.01) scales were significantly elevated in hemodialysis patients compared with those of ulcerative colitis patients normal control group. 3) Es scale was significantly lower in hemodialysis patients compared with that of ulcerative colitis patients & normal control group(p<0.01). Conclusion: The result presented in this study reflects emotional disturbances, functional impairment, stressful life condition, excessive hypochondriacal thinking, depressed mood and egocentrie tendency of hemodialysis patients campared with ulcerative colitis patients & normal control group. This result also reflects the projective tendency, hostility, difficulty in rapport formation, psychologic disturbance, obssesive and rigid personality, anxiety and retiredness of hemodialysis patients compared with ulcerative colitis patients & normal control group. On the other hand, we can't find any statistically significant differences between ulcerative colitis and normal control group.
렙토스피라병 초기의 산 염기 평형 변화와 흉부 X - 선 소견
김홍주(Hong Joo Kim),정자현(Ja Hun Jung),이재웅(Jae Ung Lee),이오영(Oh Young Lee),양석철(Suck Chul Yang),한동수(Dong Soo Han),손주현(Joo Hyun Sohn),김순길(Soon Kil Kim),김호중(Ho Jung Kim),박성광(Seoung Kwang Park),강성귀(Seoung Gwi 대한내과학회 1997 대한내과학회지 Vol.52 No.1
Background: Clinical syndrome of leptospirosis in Korea which accompanied by hemoptysis, pulmonary hemorrhage, respiratory failure was quite different from that of typical Weil's disease. The death rate in the early stage of disease has relationship with chest X-ray findings and acid-base disturbances resulted from hypoxia and asphyxia. We've come to consider chest X-ray findings and arterial blood gas findings as factors influencing the prognosis of the disease. Methods: Forty one cases of leptospirosis diagnosed by acute febrille illness symptoms and serologic tests were graded for chest X-ray findings and grouped according to acid-base abnormalities. Retrospectively, we attempted to correlate the acid- base disturbances and chest X-ray findings with morbidity and mortality of the disease. Results: The result were as follows. 1) Abnormal chest X-ray findings were observed in 30 cases(73%). Mortalities according to the chest X-ray findings were 0(0%), 2(17%), 3(0%), 4(0%), 5(33%), 6(50%) and chest X-ray findings influenced the mortality with statistical significance(p<0.05). 2) Acid-base abnormalities were observed in 39 cases(95%) and the types were divided to six groups . Respiratory alkalosis was the most common acid-base disturbance(44%). Five cases were died. Two of five were respiratory alkalosis, two cases were mixed respiratory metabolic acidosis and another case was mixed respiratory-metabolic alkalosis. As shown, acid-base abnormality influenced the mortality and mixed acid-base disturbances were showed high mortality with statistical significance (p<0.05). 3) Total mortality was 12%(five of forty-one). The chest X-ray score, morbidity, pH, pCO2, pO2, and HCO3 were 5.0±0.8, 3.4±1,3, 7.16±0.17, 32.5±1.1, 43.3±13.4 and 17.6±3.1 in died group, 2.4±0.4, 12.7±1.0, 7.46±0.01, 48.8±13.4, 65.4±3.7 and 23.4±0.9 in recovery group, respectively. There was difference between two groups with statistical significance. Conclusion: In this study, we concluded that chest X-ray findings and acid-base abnormalities influenced the mortality of leptospirosis. The factors above mentioned make us consider chest X-ray and blood gas analysis are essential to the patient hospitalized for the suspicion of leptospirosis. Especially, these factors pointed out the patient having chest X-ray abnormalities and mixed acid-base disturbances needed intensive care in the early stage of leptospirosis.