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황창혁,윤영훈,최성은,정영학,박혜열,박재준,김지현,박효진 대한소화기내시경학회 2015 Clinical Endoscopy Vol.48 No.6
We report two cases of endoscopic submucosal dissection (ESD) for recurrent or residual esophageal squamous cell carcinoma (ESCC) lesions after chemoradiotherapy for advanced esophageal cancer. Case 1 involved a 64-year-old man who had previously undergone chemoradiotherapy for advanced ESCC and achieved a complete response (CR) for 22 months, until metachronous recurrent superficial ESCC was detected on follow-up esophagogastroduodenoscopy (EGD). We performed ESD and found no evidence of recurrence for 24 months. Case 2 involved a 59-year-old man who had previously undergone chemoradiotherapy for advanced ESCC. He responded favorably to treatment, and most of the tumor had disappeared on follow-up EGD 4 months later. However, there were two residual superficial esophageal lugol-voiding lesions. We performed ESD, and he had a CR for 32 months thereafter. ESD can be considered a viable treatment option for recurrent or residual superficial ESCC after chemoradiotherapy for advanced esophageal cancer.
김현준,정성훈,황창혁,김현,최수민,이상현 경상대학교 농업생명과학연구원 2012 농업생명과학연구 Vol.46 No.1
본 연구는 서해안 주요 개 방풍림의 식생구조를 8 분석하고 관리 방안을 모색하여 새만금 유역의 방풍림 구성에 필요한 기초자료를 제공하기 위하여 실시하였다. 8개 방풍림에 출현하는 식물은 총 25과 40속 43종으로 조사되었으며 교목층은 모두 곰솔만으로 구성된 것으로 나타났다. 단일수종의 단층구조를 보이는 방풍림은 2개소이며, 단일수종의 다층구조로 구성된 방풍림은 2개소였으며, 4개 방풍림은 여러 수종의 다층구조로 구성되어 있는 것으로 나타났다. 생태적, 기능적으로 안정적인 방풍림의 구조는 수직적으로 교목층, 아교목층, 관목층이 모두 존재하는 복층구조가 적합하며, 수평적으로는 교목은 내륙 쪽에 관목은 해안쪽에 식재를 하는 것이 효과적일 것이다. 또한, 단순림보다는 침엽수와 상록활엽수를 함께 혼합하여 식재하는 혼효림이 방풍림 기능의 효과를 더 향상시킬 것이며 병해충에 대한 피해도 줄어들 것으로 판단된다. This study was conducted to get basic information about making windbreak forest around Saemanguem reclaimed lands by analyzing the vegetation structure of 8 windbreak forests along the west coast of Korea and considering the methods of structural improvement. The total plants existing in the study areas were 25 families 40genus 43 species, and every tree layer consisted of only one tree species, Pinus thunbergii. There were 2 windbreak stands consisted of a species, and 2 consisted of multiple layer with a species. While, 4 windbreak stands consist of various species with several species. To make ecological system and functions of windbreak forests stabler, TL, STL and SL should be together in the vertical point, moreover, TL should be appeared at the in side and SL should be planted at the out side in the horizontal point. It is considered that mixed stand forest might be suitable for increasing the windbreak forest's functions and decreasing damage caused by disease and insects.
김현준,정성훈,황창혁,김현,최수민,이상현 경상대학교 농업생명과학연구원 2012 농업생명과학연구 Vol.46 No.1
This study was conducted to get basic information about making windbreak forest around Saemanguem reclaimed lands by analyzing the vegetation structure of 8 windbreak forests along the west coast of Korea and considering the methods of structural improvement. The total plants existing in the study areas were 25 families 40genus 43 species, and every tree layer consisted of only one tree species, Pinus thunbergii. There were 2 windbreak stands consisted of a species, and 2 consisted of multiple layer with a species. While, 4 windbreak stands consist of various species with several species. To make ecological system and functions of windbreak forests stabler, TL, STL and SL should be together in the vertical point, moreover, TL should be appeared at the in side and SL should be planted at the out side in the horizontal point. It is considered that mixed stand forest might be suitable for increasing the windbreak forest's functions and decreasing damage caused by disease and insects. 본 연구는 서해안 주요 8개 방풍림의 식생구조를 분석하고 관리 방안을 모색하여 새만금 유역의 방풍림 구성에 필요한 기초자료를 제공하기 위하여 실시하였다. 8개 방풍림에 출현하는 식물은 총 25과 40속 43종으로 조사되었으며 교목층은 모두 곰솔만으로 구성된 것으로 나타났다. 단일수종의 단층구조를 보이는 방풍림은 2개소이며, 단일수종의 다층구조로 구성된 방풍림은 2개소였으며, 4개 방풍림은 여러 수종의 다층구조로 구성되어 있는 것으로 나타났다. 생태적, 기능적으로 안정적인 방풍림의 구조는 수직적으로 교목층, 아교목층, 관목층이 모두 존재하는 복층구조가 적합하며, 수평적으로는 교목은 내륙쪽에 관목은 해안쪽에 식재를 하는 것이 효과적일 것이다. 또한, 단순림보다는 침엽수와 상록활엽수를 함께 혼합하여 식재하는 혼효림이 방풍림 기능의 효과를 더 향상시킬 것이며 병해충에 대한 피해도 줄어들 것으로 판단된다.
바터씨 증후군으로 오인된 furosemide로 인한 신수질 석회화
김소희,경찬희,김용훈,조장호,황창혁,이정은 영남대학교 의과대학 2014 Yeungnam University Journal of Medicine Vol.31 No.1
Clinical presentation of Bartter syndrome is similar to surrepitious vomiting or use of diuretics. Therefore, precise differential diagnosis of Bartter syndrome is crucial. We report a case of medullary nephrocalcinosis (MNC) induced by furosemide mimicking Bartter syndrome. A 55-year-old female patient visited our hospital with renal dysfunction on basis of hypokalemia and metabolic alkalosis. She had no history of hypertension or drug use except allopurinol and atorvastatin. She did not complain of nausea or vomiting on presentation and the serum magnesium level was normal. We performed ultrasonography, that showed MNC. For these reasons, we suspected Bartter syndrome and corrected the electrolyte imbalance. During outpatient follow up, we found that the patient had been taking 400 mg of furosemide daily for 30 years. We could diagnose furosemide induced MNC, and recommended to her to reduce the amount of furosemide.
김석형,이지훈,박해열,송영구,황창혁,이민주 이화여자대학교 의과학연구소 2015 EMJ (Ewha medical journal) Vol.38 No.2
A 56-year-old woman with emphysematous pyelonephritis underwent an emergent left nephrectomy due to her religious creed. Postoperative hemoglobin level was decreased to 4.4 g/dL from preoperative value of 13.9 g/dL. The patient completely recovered without transfusion and was discharged on the 40th postoperative day without complication.
증례 : 혈액종양 ; 제1형 신경섬유종증 환자에서 발생한 다발성 암 1예: 위장관기질종양, 유방암 및 바터팽대부암
김효은 ( Hyoeun Kim ),조재용 ( Jae Yong Cho ),황창혁 ( Chang Hyeok Hwang ),양서연 ( Seo Yeon Yang ),천유진 ( You Jin Chun ),최성민 ( Sung Min Choi ),최성은 ( Sung Eun Choi ) 대한내과학회 2016 대한내과학회지 Vol.90 No.2
저자는 제1형 신경섬유종증 환자에서 동반된 세 종류의 종양(위장관기질종양, 유방암 및 바터팽대부암) 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Neurofibromatosis type 1 (NF-1) is an autosomal dominant disorder with a prevalence of approximately 1 in 3,500 live births. NF-1 predisposes to various benign and malignant neoplasms. Neurological malignancies are most frequent, but the risks of non-nervous system tumors, such as of the esophagus, stomach, colon, liver, biliary tract, pancreas, lung, melanoma, thyroid gland, female breast and ovaries, are also increased. Malignant tumors are the most common cause of death in patients with NF-1. Cases with double primary tumors have been reported, but cases involving three or more primary cancers are rarely reported. Therefore, we present the case of a NF-1 patient diagnosed with gastrointestinal stromal tumor, breast cancer and ampulla of Vater cancer. (Korean J Med 2016;90:154-158)
증 례 : 직장암 치료 중 진단된 만성호중구성백혈병 1예
김석형 ( Seok Hyung Kim ),박해열 ( Hae Yeul Park ),황창혁 ( Chang Hyeok Hwang ),정영학 ( Young Hak Jung ),이민주 ( Minjoo Lee ),최성은 ( Sung Eun Choi ),김유리 ( Yu Ri Kim ) 대한내과학회 2016 대한내과학회지 Vol.90 No.1
증례는 감염 및 악성종양과 동반되어 백혈병양 반응과의 감별이 어려웠고, 또한 악성종양의 전이와 유사하게 종괴를 형성하여 더욱 감별이 어려웠던 CNL 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Chronic neutrophilic leukemia (CNL) is a rare myeloproliferative neoplasm characterized by sustained neutrophilia, splenomegaly, and hypercellular bone marrow without Philadelphia chromosome. Diagnosis of CNL requires exclusion of identifiable causes of reactive neutrophilia, such as infection and tumors. Our patient presented with general weakness and weight loss. Computed tomography (CT) showed a mass in the distal rectum, which was confirmed to be an adenocarcinoma by colonoscopic biopsy. Positron emission tomography-CT showed multiple liver, bone, and lymph node metastases. Liver and lymph node biopsies revealed neutrophilic infiltration with no evidence of adenocarcinoma. The pathological findings of the bone marrow were compatible with CNL. Cytogenetic analysis revealed a normal karyotype, and molecular analysis was negative for BCR/ABL. Here, we present a 73 year-old man diagnosed with concurrent CNL and rectal cancer. (Korean J Med 2016;90:59-62)