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한국현대상업건축(韓國現代商業建築)에서 나타난 비물질적(非物質的) 표현(表現) 특성(特性)에 관한 연구(硏究)
한선욱,장미현,김정재,Han, Sun-Wook,Jang, Mi-Hyun,Kim, Jung-Jae 한국건축역사학회 2002 건축역사연구 Vol.11 No.1
Contemporary architecture is developing aspects of variety design in form and material. The various architectural trends even change classical materiality. This concept has the background of current idea - digital, information, imagination with paradigm. So this study aims to show the present status of the expressions in the contemporary architecture in Korea under its dematerialized situation. And like this, we know for study about the relation between dematerialization and current architecture, still more Korean present condition. In chapter one, the background, purpose and method of study are explained. In chapter two, this study inquires the general concept of dematerial. In the process of searching for the forming basic background this study understands the characteristic. In chapter three, this study inquires the aspect of dematerialized expression in modern architect. In chapter four, with characteristics drawn in chapter three, this study show the present status of the expressions in the contemporary architecture in Korea under its dematerialized situation. In chapter five, a synthetic conclusion is presented.
한선욱 ( Sun Wook Han ),이화수 ( Hwa Soo Lee ),배상호 ( Sang Ho Bae ),강길호 ( Gil Ho Kang ),김성용 ( Sung Yong Kim ),백무준 ( Moo Jun Baek ),이문수 ( Moon Soo Lee ),김형철 ( Hyung Chul Kim ),조무식 ( Moo Sik Cho ),김창호 ( Chang 대한외상학회 2006 大韓外傷學會誌 Vol.19 No.1
Purpose: The liver is one of the most commonly injured organs by blunt or penetrating abdominal trauma. Patients with liver injury can be treated by using nonoperative or operative management. The aim of this study was to study patients with traumatic liver injury who were treated by using operative management. Methods: Ninety-eight patients with traumatic liver injury underwent surgical treatment from January 1995 to December 2004 at Soonchunhyang University Cheonan hospital. Medical records were reviewed retrospectively, and demographic, clinical, operative, and postoperative datas were collected and analyzed. Results: Among the patients with operative management, the peak incidence was in the third and the fourth decades. The male-to-female ratio was 1.9:1. The most frequent injury mechanism was blunt trauma (85.7%). Abdominal computed tomography was the diagnostic modality used most frequently. Severe liver injury above Grade III was seen in 80.6% of all patients, and long bone fracture was the most common combined injury. Patients were managed by using various techniques, including simple closure, liver resection, and perihepatic packing. Pulmonary complications were the most common postoperative complications (35.7%). the overall mortality rate was 17.3%. Between the survival group and the expired group, the amount of transfusion for the expired group was statistically more than that for the survival group. Conclusion: Operative management is an effective treatment modality for hemodynamically unstable patients with severe traumatic liver injury. The amount of transfusion is a significant prognostic factor for survival. (K Korean Soc Traumatol 2006;19:21-27)
하시모토 갑상선염 유무에 따른 갑상선 유두암의 임상병리학적 분석
강동현,한선욱,허성모,우희두,김성용,Dong Hyun Kang,Sun Wook Han,Sung Mo Hur,Hee Doo Woo,Sung Yong Kim 대한갑상선-내분비외과학회 2013 The Koreran journal of Endocrine Surgery Vol.13 No.4
Purpose: The causal association between Hashimoto’s thyroiditis (HT) and papillary thyroid cancer (PTC) remains controversial. This research attempted to analyze clinicopathological relationships between HT and PTC, and to determine what influence the former has on the latter. Methods: We retrospectively reviewed 773 patients who underwent thyroid surgery with PTC. These patients were divided into two groups, coexistent HT group and PTC alone group, and the clinicopathologic data were analyzed. Results: Out of 773 patients, the coexistent HT group included 269/773 (34.8%) patients and the control group included 504/773 (65.2%) patients. In comparison of these two groups, there were no significant differences in age, extent of surgery, serum T3, Free T4, number of tumors, multifocality, tumor size, extrathyroidal extension, and lymph node metastasis. In sex, women were at the higher rate in coexistent HT group than in the control group (P=0.008). Serum TSH level was higher in the coexistent HT group (P<0.001). In addition, using the AMES scoring system, the coexistent HT group showed a significantly higher rate of low risk than the control group (P=0.048). Multivariate analysis showed no significant association between HT and lymph node metastasis (P=0.081, odds ratio= 1.335; 95% CI, 0.965∼1.847). Conclusion: The rate of women and serum TSH level were higher in the coexistent HT group. In addition, the low-risk group showed the higher rate in the case of accompanying HT, and though the HT does not affect the lymph node metastasis but much more researches would be needed on that.
수술 전 혈청 갑상선 자극 호르몬(TSH)수치와 갑상선 유두암과의 상관관계
송금종,한선욱,이진형<SUP>1<,SUP>,우희두<SUP>2<,SUP>,김성용,김재우<SUP>3<,SUP>,박래경<SUP>1<,SUP>,백무준,김창호,Geum Jong Song,M,D,Sun Wook Han,M,D,Jin-Hyung Lee,M,D,<SUP>1<,SUP>,Hee-Doo Woo,M,D,<SUP>2<,SUP>,Sung Yong Kim,M,D,Ph 대한갑상선-내분비외과학회 2012 The Koreran journal of Endocrine Surgery Vol.12 No.3
Purpose: Recent research has shown that there is a relationship between the level of preoperative serum TSH and a papillary thyroid carcinoma. Therefore, this study examined the correlation between the serum TSH and papillary thyroid carcinoma. Methods: The preoperative serum TSH level of papillary thyroid carcinoma and nodular hyperplasia of 418 patients from 2009 Jan. to 2011 Dec. was examined. The patients were divided into 3 groups, nodular hyperplasia, less than 1 cm micropapillary carcinoma and more than 1 cm papillary carcinoma, and their TSH levels were compared. Results: Nodular hyperplasia and total papillary carcinoma was found in 98 (23.0%) and 322 (77.0%) patients, respectively. After dividing the patients according to the size of the mass, there were 224 (53.6%) patients with a mass less than 1 cm in size and 98 (23.4%) patients with a mass more than 1 cm in size. The preoperative serum TSH level of the 3 groups showed a significant difference, which was 1.180±1.168 ՌIU/ml in the nodular hyperplasia group, 1.670±1.224 ՌIU/ml in the micropapillary carcinoma group and 2.279±2.837 ՌIU/ml in the papillary carcinoma group (P<0.001). On the other hand, there were no significant correlations between the preoperative serum TSH level and gender, age, metastasis to lymph node, number of masses and extrathyroidal extensions. Conclusion: The larger size of the papillary thyroid carcinoma, the higher the preoperative high serum TSH level. Therefore, the stimulation of TSH can affect the progression of papillary thyroid carcinoma but more study will be needed.
전형적인 수질성 유방암과 수질암 모양을 가진 침윤성 유관암에서 Biologic marker인 ER, p53과 HER-2/neu의 발현 양상
이종은 ( Jong Eun Lee ),이지현 ( Ji Hyoun Lee ),한선욱 ( Sun Wook Han ),배상호 ( Sang Ho Bae ),강길호 ( Gil Ho Gang ),김성용 ( Sung Yong Kim ),백무준 ( Moo Jun Baek ),박내경 ( Nae Kyeong Park ),임철완 ( Cheol Wan Lim ),이문수 ( Mo 대한임상종양학회 2010 Korean Journal of Clinical Oncology Vol.6 No.1
목적 : BRCA 유전자 돌연변이를 가진 유방암은 하부경계 등을 갖는 것처럼 수질암과 현미경적 소견이 유사하다. 최근 들어 이런 특징을 가지는 경우를 수질암 모양을 가진 침윤성 유관암으로 분류한다. 일반적으로 수질성 유방암은 p53이 양성으로 HER-2/neu는 음성으로 발현되며, p53이 양성으로 발현되는 것은 좋은 분화도를 가지는 암으로 예견할 수 있으며, 또한 좋은 예후와 관련이 된다. 이러한 점에 기초하여 수질성 유방암과 수질암 모양을 가진 침윤성 유관암의 ER, p53, HER-2/neu의 발현에 대한 차이를 감별하고자 본 연구를 시행하였다. 대상 및 방법: 순천향대학교 천안병원 외과학교실 유방암 클리닉에서 2005년 3월부터 2008년 12월 까지 수술로 얻어진 총 235예의 유방암 조직 중 관상피내암과 소엽상피내암을 제외한 침윤성 유방암종 198예를 대상으로 이 중 10예의 수질성 유방암과 20예의 수질암 모양을 가진 침윤성 유관암 조직을 선별하여 면역조직화학 염색을 시행하였다. 결과: ER의 발현은 10예의 수질성 유방암 중에서 9예는 음성으로 나왔고, 수질암 모양을 가진 침윤성 유관암에서는 20예 중 14예에서 음성으로 확인되었으며, 5예에서는 Grade3의 강양성으로 보고되었다. p53의 발현은 수질성 유방암에서 10예중 5예에서 1등급, 5예에서 3등급으로 확인되었고, 수질암 모양을 가진 침윤성 유관암에서는 20예 중 7예에서 1등급, 11예에서 3등급으로 보고되었다. HER-2/neu의 발현은 수질성 유방암에서 10예중 2예에서 score 0, 4예에서 score 3으로 확인되었다. 또한 수질암 모양을 가진 유관암에서는 20예 중 8예에서 score 0, 10예에서 score 3으로 보고되었다. 결론 : 수질성 유방암과 수질암 모양을 가진 침윤성 유관암과의 감별에서 p53과 HER-2/neu의 발현 양상은 큰 도움은 되지 않았으며, ER은 ER 양성인 경우에만 감별에 도움이 되는 소견이었다. 따라서 두 질환의 감별은 괴사, 간질의 양상 같은 현미경적 소견과 초음파상 종양의 경계 정도가 감별에 더 도움이 될 것으로 생각되고, 수질성 유방암 중 ER 음성, HER-2/neu 강양성인 경우만을 선별하여 BRCA 유전자 돌연변이 검사를 하여 유전성 유방암의 유무를 보는 것 또한 도움이 될 것으로 생각된다. 추후표본 자료를 더 모아 생존율을 포함한 통계학적인 결과를 도출하면 좀 더 명확해질 것으로 생각된다. Purpose : Breast cancer with BRCA1 variation has similar microscopic appearance with medullary cancer, and has pushing margins. These cases are classified as infiltrating ductal carcinoma with medullary feature nowadays. In general, medullary cancer expresses positive p53 and negative HER-2/neu. Positive ER is related to good prognosis, and well differentiated cancer is related to positive predictive value. Based on these correlations, the study was designed to make differentiation between medullary cancer and infiltrating ductal carcinoma with medullary feature with expression of ER, p53, and HER-2/neu. Material and Methods : Specimen of 10 medullary cancer and 20 infiltrating ductal carcinoma with medullary feature, which were obtained from biopsy or operation at breast clinic in Soonchunhyang university Cheonan hospital underwent immunohistochemistry stain. Results : ER expression in medullary cancer was negative in 9 out of 10 cases. In infiltrating ductal carcinoma with medullary feature, it was negative in 14 out of 20 cases, and there was expression of grade 3 in 5 cases. Expression of p53 in medullary cancer was grade 1 in 5, and grade 3 in 5 among 10 cases. In infiltrating ductal carcinoma with medullary feature, it was grade 1 in 7, and grade 3 in 11 among 20 cases. The expression of HER-2/neu in medullary cancer was score 0 in 2, and score 3 in 4 among 10 cases. It was expressed as score 0 in 8, and score 3 in 10 among 20 cases with infiltrating ductal carcinoma with medullary feature. Conclusion : Expression of p53 and HER-2/neu was not useful in differentiating medullary cancer and infiltrating ductal carcinoma with medullary feature. ER was useful only in cases with positive ER expression. Microscopic findings of necrosis and stromal feature, or ultrasonographic findings of tumor margin was considered to be more valuable in discriminating the 2 diseases.
갑상선유두암에서 갑상선전절제술과 중심경부림프절절제술 후 발생하는 저칼슘혈증 예측 인자 연구
이옥주(Ok Joo Lee),김형철(Hyung Chul Kim),임철완(Cheol Wan Lim),신응진(Eung Jin Shin),조규석(Gyou Suk Cho),정준철(Jun Chul Jung),정귀애(Gui Ae Jung),김지선(Zisun Kim),정재홍(Jae Hong Jeong),최규성(Kyusung Choi),한선욱(Sun Wook Han),허 대한갑상선-내분비외과학회 2015 The Koreran journal of Endocrine Surgery Vol.15 No.3
Purpose: Total thyroidectomy with central lymph node dissection (CLND) is a treatment modality of choice for thyroid cancer. Hypocalcemia is the most common complication after total thyroidectomy. The aim of the current study was to determine the association between surgery-related clinical factors and postoperative hypocalcemia. Methods: A prospective analysis was performed for 101 patients who underwent total thyroidectomy with CLND for papillary cancer from June 2013 to June 2014. Correlation between clinicopathologic factors and postoperative hypocalcemia was analyzed. Results: Based on the postoperative day-2 calcium, 56 patients (55%) developed hypo-calcemia and 45 patients (45%) were normal. No significant differences in histopathologic (tumor size, tumor focality, histologic type, number of retrieved lymph nodes, metastatic lymph node, thyroiditis, retrieved parathyroid gland) findings were observed between the hypocalcemia group and normal calcium group. Mean value of the postoperative day-0 parathyroid hormone (PTH) was significantly lower in the hypocalcemia group (hypoca1cemia group: 14.3±9.4 pg/mL; normal group: 25.0±16.4 pg/mL; P<0.001). In logistic regression analysis, postoperative PTH was a factor significantly affecting postoperative hypocalcemia (OR 0.93; CI: 0.90-0.97; P<0.001). In ROC analysis, the cut-off value of PTH was 19.965 (sensitivity 79%, specificity 58%), and area under the curve (AUC) was 0.709 (95% CI: 0.607-0.811). Conclusion: Postoperative PTH was a factor predicting hypocalcemia after total thyroidectomy with CLND. Use of postoperative PTH as a screening tool for prediction of postoperative hypocalcemia would be useful in management of patients with hypocal-cemia.