자궁내막암 수술시 임파절 전이의 예측인자로서 CA 125의 임상적 유용성

김진휘,이성종,임채춘,남궁성은 대한부인종양 콜포스코피학회 2002 Journal of Gynecologic Oncology Vol.13 No.4

목적 : 자궁내막암 환자에 있어서 골반 임파절 전이의 예측인자로 수술 전 CA 125 값의 유용성을 알아보고자 하였다. 연구 방법 : 1992년 10월부터 2002년 10월까지 가톨릭대학교 의과대학 강남성모병원에서 자궁내막암 진단하에 수술받은 환자 100명을 대상으로 의무기록을 토대로 수술전 CA 125와 임파절 전이유무의 관계를 살펴보았다. 통계적 방법으로는 만-휘트니 유 테스트와 카이 제곱 피셔 테스트를 사용하였다. 결과 : 수술 전 CA 125 값은 병기가 증가함에 따라, 자궁근층을 1/2 이상 침범한 경우, 자궁경부나 부속기를 침범한 경우, 골반 임파절 전이가 있는 경우 유의하게 높게 측정되었다(p<0.05). 결론 : 수술 전 CA 125의 증가는 자궁내막암의 골반 임파절 전이를 예측하는데 있어 유용하다고 할 수 있다. Objective : The aim of this study is to evaluate the clinical usefulness of preoperative CA 125 levels in determining the need for lymphadenectomy in patients with endometrial carcinoma. Methods : CA 125 levels were measured in 100 patients diagnosed with endometrial carcinoma who underwent surgery at Kangnam St. Mary's Hospital between October 1992 and October 2002. Statistical analysis was performed using the Mann-whitney U test and x-Fisher's exact test. Results : Univariate analyses showed that elevated CA 125 levels were significantly correlated with an advanced stage, increasing depth of myometrial invasion, cervical invasion, adnexal involvement, high grade hystology and lymph node metastases (p<0.05). Conclusion : Our data provide an evidence that the elevation of preoperative CA 125 levels can be considered as a predictor for full pelvic lymphadenectomy in the surgical staging of endometrial cancer.

중추성 요붕증이 동반된 랑게르한스 세포 조직구증 1예

김진호,문준성,문선중,이지은,최재원,은미정,천경아,조인호,윤지성,원규장,이경희 신덕섭,이형우 영남대학교 의과대학 2005 Yeungnam University Journal of Medicine Vol.22 No.2

Central diabetes insipidus (DI) is a syndrome characterized by thirst, polydipsia and polyuria. Langerhans cell histiocytosis is one of the etiologies of DI. Recently we experienced a central DI associated with Langerhans cell histiocytosis. The 44 years old female patient complained right hip pain polydipsia and polyuria. We carried out water deprivation test. After vasopressin injection, urine osmotic pressure was increased form 109mOsmol/Kg to 327mOsmol/Kg (300%). Brain MRI showed a thickened pituitary stalk and at hot bone CT.CT guided biopsy revealed abnormal histiocytes proliferation and abundant lymphocytes, The final diagnosis was central DI associated with systemic Langerhans cell histiocytosis invading hip bone, L-spine and pituitary stalk. Desmopressin and etoposide chemotherapy were performed to the patient.

경로분석을 통한 만성질환 노인 환자의 우울에 영향을 미치는 요인 모델 설정

조은희,전진호,이상원 대한노인병학회 2000 Annals of geriatric medicine and research Vol.4 No.3

자생식물과 도입 화훼명의 어원 및 유형 비교

백진주,박천호,정성혜,박윤점,송채은,허북구 韓國植物·人間·環境學會 1998 인간식물환경학회지 Vol.1 No.2

This study was carried out to survey origins of native plants and introduced flowers. Naming of native plants was divided into two types : one type is based on the internal properties of plants(shape, color, length, thickness, size) and the other type on such properties as person, animal, object, place and time which are compared to shapes and properties of plants. Names of native plants originate from shape > color > length > thickness > size > width > number, and also from characteristics > state > inhaitation place and place of origin > flowering and fruiting season > function and use. Prefixes were added in order to describe shapes and properties of plants in detail. About 50% of the names of the introduced flowers, originates from their shapes, about 15% from persons' names and about 13% from mythologies and legends. This shows that countries have different ways naming flowers from other countries and that survey of origins of flower names helps understand the characteristics of the flowers.

동일한 국제예후지표(International Prognostic Index)를 나타내는 미만성 대형 B-세포 림프종에서 Bcl-2와 p16의 임상적 중요성

박상은,박수진,곽승근,박남숙,천재민,윤환중,조덕연,김삼용,김진만 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

In Korea, malignant lymphoma is a common cancer, comprising about 2.7% of all malignant neoplasm. Diffuse large B cell lymphoma is the most common lymphoma, representing about 50% of all Non-Hodgkin's lymphoma. Diffuse large B-cell lymphoma is usually considered as heterogeneous group of neoplasms rather than a single clinicopathological entity. Clinical prognostic systems, including the International Prognostic Index (IPI), although useful to assess overall prognosis, embrace patients with heterogeneous prognoses. But International Prognostic Index scoring system is not sufficiently predict the prognosis. It is likely that the prognostic assessment of patients with diffuse large B-cell lymphomamight be improved by using biological features. Bcl-2 protein and p16 protein expression is recognized as useful biologic markers predicting the prognosis of patients with diffuse large B-cell lymphoma. To determine the clinical significance and prognostic value of bcl-2 and p16 proteins expression patterns, we studied 18 patients with de novo DLBL, whose archival pathology specimen were available for immunohistochemistry studies, atChungnam National University Hospital from September 1992 to December 2000. Archival specimens from each patient were immunostained with respective antibodies for bcl-2, p16. The results are as follows; 1) The median age was 54(rage : 37-69). There were 12 male patients(66.7%) and 6 female patients(33.3%) The 'B' symptom was abscentin all patients. The stages were as follows : Ⅰ, 2 patient(11.1%), Ⅱ, 10 patient(55.6%), Ⅲ, 4patient(22.2%) and Ⅳ, 2patient(11.1%). 3 patients(16.8%) had the elevated LDH level, 14 patients(77.8%) had the normal LDH level and 1 patients(5.6%) was not identified the LDH level. 2 patients(11.1%) had the bulky disease and 16 patients(88.7%) had no bulky diease. The distribution of ECOG status were O, 2 patients(11.1%c), 1, 14patients(77.8%) and 2, 2patients(11.1%). 2) Theimmunohistochemistry results are as follows bcl-2:+,10 patients(55.6%), bcl-2:-, 8patinets(44.4%), p16:+,3 patients(16.7%), p16:-, 15patients(83.3%) 3) After a median follow UP durations of 67 months, the median survival time was 57 months with a rage of 7-100+ months. 5-years overall survival rates was 44% by Kaplan-Meier method. 4) Reduced overall survival was demonstrated in the patients who expressed bcl-2 protein(P=0.0174). 5-year overall survivial rate was 12%(bcl-2 expression) versus 88%(no bcl-2 expression) 5) Among diffuse large B-cell lymphoma patients with IPI score 0-1, reduced overall survival was demonstrated with bcl-2 expression(P=0.023). 5-year overall survival rate was 18%(bcl-2 expression group) versus 100%(no bcl-2 expressiongroup) 6) Median survival durtation of diffuse large B-cell lymphoma patients negative for p16 expression was 57 months whereas p16 postive patients' median survival duration was not reached(P=0.4478). In diffuse large B-cell lymphoma patients with identical IPI scores, bcl-2 expression had additional prognostic value.

음양곽과 함초의 간독성에 대한 연관성

하배진,남천석,박은경,강금석 신라대학교 자연과학연구소 2006 自然科學論文集 Vol.15 No.-

In the present study the hepatoprotective and antioxidative effects of Epimedium koreanum (EK) and Salicornia herbacea (SH) were investigated against carbon tetrachloride (CCl_(4))-induced liver damage in rats. EK and SH (100 mg/kg) were administered into rats intraperitoneally (i.p) for 2 weeks. After CCl_(4) a dose of 3.3ml/kg was administered to induce hepatotoxicity. This antioxidative effects of EK and SH on CCl_(4) -treated rats were measured through the activity of Aspartate aminotransferase (AST), Alanine aminotransferase (ALT) in serum and Superoxide dismutase (SOD), Catalase (CAT) in liver tissue. EK or SH-administered and CCl_(4) -treated (ECT or SCT) groups showed inhibitory effects in AST and ALT activities compared to CCl_(4) -treated control (CTC) group. SOD and CAT in ECT and SCT groups were increased compared to those of CTC group.

백서에서 유방삽입물 주위피막에 영향을 미치는 여러가지 인자에 관한 실험적 연구

李眞鎬,金泰淵,丁銓殷 고려대학교 의과대학 1989 고려대 의대 잡지 Vol.26 No.3

It is well known that fibrous capsules can contract around the breast implants resulting in a firm, distorted configuration compromising the desired result of augmentation mammaplasty. Two prominent theoties to explain the capsular contracture arise from the contractability of myofibroblast and the reorganization of collagen fibers. Clinically, many etiologoes such as hematoma, infection, small prothrsis pocket and foreign bodies are suspected as the causative factors and many preventive maneuvers such as steroid instillation, massage, vitamin and collagen coating on the surface of the silastic implant are tried to prevent capsular contractures after augmentation mammaplasty. But, no definitive causative factors or preventive maneuvers are confirmed. In order to investigate the effect of the multiple factors on the capsules around the breast implants, a miniature silicone implant was inserted under the panniculus carnosus of rat. Author made multiple conditions such as infection, talcum powder, steroid instillation and vitamin E groups and examined the breast firmness and the histopathological changes of capsules with light microscope, transmission & scanning microscope after 1 week, 2 weeks, 1month, and 3 months. For the study of the collagen fiber type, immunocytochemical study was performed. The results were as follows 1. The major cause of the capsular contracture around the breast implants was the reoranization of collagen fibers rather than the contractability of myofibroblasts. 2. In the immunocytochemical study, the predominant collagen type of the capsule in the early stage was type Ⅲ, bur after 1 month, it was converted to type Ⅰ. 3. In the infection and talcum powder group, the incidence of capsular contracture was increased. Histopathologically, the inflammation was prominent in the early stage and collagen fibers revealed thick, irregular and compact structures in the late stage. 4. In the steroid group, the incidence of capsular contracture was decreased. HIstopathologically, the collagen bundles were well arranged with parallel pattem by very fine fibers and wide spaces between fibers. 5. In the vitamin E group, there was no significant finding. The above results suggest that the major cause of capsular contracture is the reorganization of collagen fibers and the infection & talcum powder caneasily induce capsular contracture, but, the steroid instillation can effectively prevent it after augmentation marmmoplasty.

수술실 오염도감소를 위한 수술실공조시스템에 대한 연구

김천숙,박은정,강규식,김지은,안기량,권진형,유시현,주영철,권순정 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

Background: The OR(operating room) should provide an optimum environment that is safe for the patient and the working personnel. The air ventilation system of OR has been studied to decrease the contamination of air. We investigated the flow and contamination of the air in OR at our hospital. Method: Cultures in OR were made and the number of bacteria and fungi were calculated. A two-dimensional model for the cross-section of an operation room is developed for the CFD (computational fluid dynamics) analysis. The characteristics of air flow in the empty operation room and in the occupied operation room are calculated by using a CFD program. Results: The current air ventilation system of our hospital does not deliver the clean air to the operating site efficiently in occupied OR. Conclusions: We suggested a new location of air ventilation system which improves air venting with little increase of the cost of equipment.

산업 근로자의 구강건강실태 및 구강질환 관련요인에 관한 연구

김혜진,박천만,우극현,이은숙,이종렬,하은경 대한보건협회 2002 대한보건연구 Vol.28 No.2

To maintain and improve workers' oral health, I investigated and analyzed the oral health status of workers, who are working at companies located in Koomi City. The results of the investigation and analysis are as follows. 1. Regarding the general properties of investigated objects, the male ratio of whole objects(1299 persons) occupied 86.6% the larger percentage, the persons from 20ages to 29ages in terms of age distribution occupied 35.6%, and the high school graduators in the respect of education occupied 75.3%. As for the property of duties, technical workers occupied 83.6% the larger percentage. In the drinking frequency of habits, one or two times drinking per week occupied 34.1% in case of male, and no drinking occupied 62.9% in case of female. 2. In the existence and nonexistence of oral disease depends on the general property of each objects, many females have an oral disease in comparison with males(p<.05), many persons with low education level have an oral disease(p<.001), and lots of self-boarding persons have an oral disease compared to the persons stayed at own home or dormitory(p<.05). In the existence and nonexistence of oral disease depends on living habits, the more male has a drinking capacity, the more has an oral disease(p<.05). And, the more male is smoking, the more has an oral disease(p<.05). When examine oral disease in accordance with cubjective healthy condition, there were many respondents answered that I have a decayed tooth or periodontitis in comparison with respondents did that I' m healthy(p<.001). In the existence and nonexistence of oral disease depends on oral health control practices and recognition, the persons received scaling for the latest one year had show a few of oral diseases significantly(p<.001). 3. As a result of Logistics Regression Analysis by putting oral disease as a dependent variable, the person who does not receive scaling, does smoking, has a low education level, does work at company for a short time, experiences lots of subjective symptoms, and does drinking, has a possibility that he/she can be infected easily with oral disease. As a whole of the above results, regular oral checkup every year shall be strengthen in its quality and quantity. In particular, the activation of oral health education to prevent oral disease may make workers' oral health and their life quality to be improved. Accordingly, in oral health education for workers, the more systematic and effective program shall be developed and the supports in government policy shall be needed.

피부 병변을 동반한 악성조직구증 1예

조은택,박용관,김진호,강정원,천영욱,전익섭,박유환,전춘해 조선대학교 1995 The Medical Journal of Chosun University Vol.20 No.1

Malignant histiocytosis, originally described in 1939 as histiocytic medullary reticulosis by Scott and Robb-Smith, is a rare histiocytic proliferative disorder that often shows an acute onset and used to progress to death within a few months. This disorder characterized clinically by fever, generalized weakness, lymphadenopathy and hepatosplenomegaly, and shows a variable range of pancytopenia. Extranodal involvement is common, with an incidence ranging from 50% to as high as 90%, skin involves8ment was noted in 10% to 15%. Typical skin lesions were mainly founded in extremity. i.e. erythematous papule and nodule occasionally become to necrosis and ulceration. We experienced one case of malignant histiocytosis in a 46-years-old female. The major clinical findings are fever, malaise, hepatosplenomegaly and erythematous skin lesion. In the laboratory study, pancytopenia is noted on the peripheral blood. And also aggregation of many atypical histiocytes were shown on skin and bone marrow biopsy. So we reported one related case with malignant histiocytosis as well as reviewing literature .