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      • 캡슐내시경과 단일풍선 소장내시경으로 진단된 공장의 간질종양 1예

        송도경,심기남,태정현,김경진,송명은,송하응,윤혜원,정가영,정정화 이화여자대학교 의과학연구소 2012 EMJ (Ewha medical journal) Vol.35 No.2

        Gastrointestinal stromal tumors (GISTs) are common mesenchymal tumors that arise in the wall of the gastrointestinal tract. We report a case of obscure gastrointestinal bleeding due to a GIST of the jejunum successfully documented by videocapsule endoscopy (VCE) and single-balloon enteroscopy (SBE). A 36-year-old man with hematochezia was referred for further evaluation of no evidence of bleeding focus on esophagogastroduodenoscopy and colonoscopy. A VCE showed a suspicious ulcerative hyperemic mass that located in about 1 hour apart from duodenal second portion. SBE revealed a nonbleeding 4×2 cm mass with an ulcer at the proximal jejunum. The patient underwent laparoscopic resection without complication. Histological examination revealed a well circumscribed, dumbbell-shaped firm mass comprised of spindle cells. Immunohistochemical staining for CD 117 was diffusely positive, whereas staining for S-100, CD 34 and MIB-1 was all negative. It was confirmed to be a low-grade GIST at the proximal jejunum.

      • KCI등재

        Louis I. Kahn의 디자인 개념과 형태 요소에 따른 평면구성 SCHEMA에 관한 연구

        송석현,차명열,김원갑 대한건축학회 2004 대한건축학회논문집 Vol.20 No.3

        Design is a result from representation of visual language by designer's creative thinking and reasoning, and operated only in our internal organization system. Design as ill-defined problem cannot be described logically and perfectly. Depend on situation, design require subjective analysis. and It has the organization of What is Rank character. But because "Concept" is only considered in the designer's thinking system, shape vocabularies that actually can be used for expressions of design are extremely restricted. Sometimes design should start with changing situations, unclear requirements, subjective analysis. But design concept can control design thinking system from starts to productions. Design concepts are stored in our brains and retrieved as three major types such as elements, relationships and schema. One of these words, the schema that formed by problems settlement and process repetitions for the best conclusion, not only play an important part in the designer's thinking system about a specific problem but also appeared by distinctive features and included by connotations as like a designer's ideology. At this point. The purpose of this study is that analyze not only the formative expression but also modeling process of design elements in modern architectural design to establish a clear-system of "Design Operating System" and to show the "Characteristic of Plane Organization" by the he Architectural Design Elements and the Relationship through the Design of Louis I. Kahn. and Design knowledge as elements, relationships and schema have been explained to understand "Design System" operated in our brains. Upon these studies, design of Louis, I. Kahn have been analysed.

      • 항갑상선제로 치료한 그레이브스병 환자의 관해예측인자

        남일송,윤여일,김선규,김용현,이주영,목지오,윤석기,김철희,김영선,변동원,서교일,유명희 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

        Background: Most cases of Graves' disease have been treated by antithyroid drugs in Korea. The major drawbacks of antithyroid drugs are the relative high rate of relapse and the inconvinience of long term therapy. Measurement of TBII and TRH stimulation test have been considered as the most reliable tests predicting relapse, but the predictive power is not high enough to use in clinical situation. This study was performed to find good prognostic indicators in Graves' disease patients after the discontinuation of antithyroid drug therapy. Subjects and methods : We restrospectively evaluated 96 patients with Graves' disease who showed normal TRH test at the end of antithyroid drug therapy and were followed for more than one year. Serum T3, T4, T3/T4 ratio, TBII, Anti-TPO Ab and TGAb levels were measured at the time of diagnosis and at the end of therapy. Two to three months after withdrawal of antithyroid medication, serum TSH and free T3 responses to TRH were examined. These parameters were compared between the relapse group and the remission group. Results : Among the 96 patients, 22 patients(22.9%) relapsed(Group Ⅱ) and 74 patients(77.1%) remained in remmision(Group Ⅰ). No significant difference was observed between the relapse and the remission group in clinical parameters, serum T3, T4, TSH, T3/T4 ratio, TBⅡ and Anti-TPO Ab determined before and after treatment. Serum TSH and free T3 levels measured after TRH stimulation were also similar in both groups. Serum TGAb levels determined at the end of treatment were significantly higher in the remission group(p<0.05). Relapse following the discontinuation of therapy occured within 24 months in 72.7% of the relapsed cases. After 24 months, relapse rate was reduced significantly. Conclusion : These results suggest that high serum TGAb levels could be a favorable prognostic indicator for the long term remission of Graves' disease treated with antithyroid drugs, and may suggest that Hashimoto's thyroiditis is combined with Graves' disease in those patients.

      • KCI등재
      • 석재오염의 외국실험 사례조사 및 촉진실험에 의한 새로운 접근방법에 대하여

        권경원,김명선,송인춘 忠南大學校 産業技術硏究所 1995 산업기술연구논문집 Vol.10 No.1

        Granite has it own natural beauty, and it has been widely used as building cladding, flooring material of the ground, and stone are etc. However, various types of contamination on the granite have been developed and become a serious problem. The main contamination is caused by chemicals(sealant, detergent, spreading chemical for protection of the backside stone surface from mortar). And the other types of contamination on the surface granite come from undesirable carrying out and mis-handling of the stone by workers during construction. Therefore, mechanism of the stain/contamination of the granite should be investigated and new experimental approach was developed in this research. Foreign studies similar to this approach were reviewed, and related factors which determine the types of the stain/contamination are considered. The new developed experimental approach is accelerated testing method by spraying artificial acid rain in the inside of chamber. This equipment enable to create a stain/contamination in the inside the chamber within a short time instead of actual outdoor exposure study which takes much longer time.

      • Web 기반의 이미지 마킹시스템 환경 구축

        권명광,원유헌,장성민,송경남 弘益大學校 2001 미술디자인 논문집 Vol.- No.6

        In the course of Internet proliferation, many World Wide Web-related technologies are examined for possible growth and evolution. The use of World Wide Web-based technologies has further fuelled the demand for World Wide Web-based applications. In this paper, We describe the design and implementation of image marking system that help user manipulate their own image. The user can edit, print and merge their own image with other offered image using World Wide Web. Also the user don't need to buy a required software at a high price but only use World Wide Web that offer the service.

      • 알코올의 섭취가 흰쥐의 혈액과 간의 지질대사에 미치는 영향

        이명숙,김영연,김효숙,김매하,전진순,서진숙,송선미,양영재,윤원손,이미라,이효영,정승현 誠信女子大學校 生活文化硏究所 2004 生活文化硏究 Vol.18 No.-

        To investigate the effects of ethanol on the lipid metabolism in blood and liver, twenty one male Sprague Dawley rats had orally taken the 25% alcohol and 50% alcohol by 5g per Kg of weight during 3 weeks after the adjusting period. For the energy balance, 85% sucrose and 45% sucrose was added in control group and 25% alcohol group each. The weight was reduced by alcohol treatment according to the levels, otherwise the weight of liver and heart was little increased in alcohol groups rather than in control without significance. Moreover, RBC, WBC, hemoglobin and hematocrit were increased by alcohol treatment according to the levels without significance. Otherwise, adjusted bilirubin levels by 100g of weight was significantly increased by alcohol treatment dose dependently. Alcohol induced RBC degradation and increased circulated bilirubin because of liver damage. For blood lipid profiles, blood cholesterol was increased in 50% of alcohol group compared to that of 25% and control groups, otherwise, blood triglycerides (TG) was increased by 30% in 25% alcohol groups rather than in control but not significantly different. The hepatic lipid composition, cholesterol levels in alcohol treatment groups was lower than those in control. The hepatic TG was not influenced by alcohol treatment. The two reasons of decreasing hepatic lipids were suggested by 85% sucrose of control for energy balance more synthesized cholesterol and TG than those in 25 or 50% alcohol groups, and by cholesterol and TG could not be synthesized because of liver damage from alcohol.

      • 전자상거래(EC) 기술구조의 사례 분석에 관한 탐색 연구

        이재두,송명원,김정태 한국경영과학회 2003 한국경영과학회 학술대회논문집 Vol.- No.1(1)

        본 연구에서는 전자상거래 관련 정보기술을 분류하고 체계화하는 방안을 제시 하고자 한다. 이것은 전자상거래 구현의 효율성과 효과성을 높일 수 있다는 점에서 의미가 있을 뿐만 아니라, 정보산업 관련 분야의 새로운 상품과 서비스시장의 창출에도 많은 시사점을 줄 수가 있어 그 의의가 있다고 할 수가 있다. 이를 위해 기존의 사례를 고찰해 봄으로써 기술체계 분류에 대한 유형을 분석하고 좀 더 융통성 있고 합리적인 전자상거래기술구조에 관한 참조모델 획득 방법의 아이디어를 탐색해 보고자 한다.

      • KCI등재후보

        담낭 방선균증 1예

        김형수,정진원,김양수,우준희,송현순,류지소,김명환,김남중 대한감염학회 2003 감염과 화학요법 Vol.35 No.5

        저자들은 우상복부 통증과 소화불량을 주소로 내원한 83세 여자 환자에서 국내 최초로 담낭 방선균증을 진단하고 치료 관찰 중으로 이에 문헌고찰과 함께 보고하는 바이다. Actinomycosis is a chronic suppurative and granulomatous disease, characterized by abscess formation, tissue fibrosis, and draining sinuses. Actinomycosis of the gallbladder is very rare and has not yet been reported in Korea. We report a case of actinomycosis of the gallbladder in an 80-year-old women with history of cholelithiasis for 3 years, preoperatively misidentified as gallbladder cancer. Histologic section of the gallbladder showed Gram-positive branching bacilli compatible with actinomyces. After cholecystectomy, the patient received intravenous ampicillin for 4 days, followed by amoxicillin for 4 months thereafter.

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