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      • 간세포암과 감별이 어려웠던 악성중피종 치험 1예

        김선문,허원석,채경훈,강윤세,정재훈,김연수,박기오,문희석,이엄석,김석현,성재규,이병석,이헌영,신경숙,조준식,송인상,강대영 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

        Malignant peritoneal mesothelioma is a rare neoplasm that arises from the mesothelium of a serosal cavity and is a rapidly fatal disease with a median survival of 4 to 12 months for untreated cases. Recently, we experienced a case with malignant peritoneal mesothelioma who was suspected hepatocelluar carcioma by abdominal CT scan and was confirmed by biopsy including immunohistochemical stain(calretinin) after surgery. We performed tumor excisions and wedge resection of the liver(segment Ⅷ)and inserted Tencoff catheter in abdominal cavity at 25th day of post-operation. We treated with intraperitoneal paclitaxel(25mg/m^(2)/day for 5 days) six courses monthly. She was well tolerable and is still living without any evidence of recurrence for 14th month of post-operation.

      • KCI등재
      • 자가 면역성 간염에서 자가항체의 발현 양상과 스테로이드 치료의 효과

        박기오,채경훈,허원석,강윤세,정재훈,김연수,문희석,이엄석,김선문,이병석,김남재,이헌영 충남대학교 의과대학 의학연구소 2003 충남의대잡지 Vol.30 No.1

        목적 : 최근 8년간 본원에서 경험한 자기면역성 간염의 혈액학적 특징과 스테로이드의 치료효과를 알아보고자 본 연구를 시행하였다. 방법 : 1996년 이후부터 2002년까지 충남대학교 병원에서 1999년 International Autoimmune Hepatitis Group(LAHG)에서 제시한 수정 진단 기준안에 의거하여 총 진단점수가 probable 이상에 해당하는 환자들을 대상으로 임상적 특징, 검사실 및 조직 소견과 스테로이드와 azathioprine의 치료 효과를 후향적으로 조사하였다. 결과 : 9예의 환자들은 여성이 78%, 40대가 많았고, 급성 발병이 33.3%, 피로감, 식욕부진 및 황달 등이 나타났으며, 항핵항체가 55.6%에서 그리고 항평활근 항체가 77.8%에서 양성이었고, 동반 질환은 류마치스 관절염이 2예, 특발성 혈소판 감소증 1예, Henoch-Sch nlein 자반증 및 그레브스병이 각각 1예 씩이었다. 7예에 대해서 스테로이드와 azathioprine으로 치료하여 생화학적 임상적 완해가 이루어져서 유효한 치료 결과를 얻었다. 결론 : 자가면역성 간염은 우리 나라에서 원인을 찾을 수 없는 만성 간질환의 경우, 특히 중년여성에서 다른 자가면역성 질환이 동반되었을 때 자가면역성 간염을 의심하여 자가항체 선별검사를 시행해 보아야 할 것으로 생각된다. 향후 다기관 연구를 통하여 좀 더 많은 증례를 모으고 전향적인 연구를 시행하여야 할 필요가 있다. Although autoimmune hepatitis(AIH) is common in western contries, some studties have been reported in Korea. The aim of the study was to analyze the clinical and histological features and expression pattern of the autoantibody and to examine clinical course of AIH in Korea. For 9 patients diagnosed as having AIH in our hospital since 1996, we reviewed medical records and analyzed clinical and laboratory findings retrospectively. They had a probable or definite AIH according to the revised criteria of International AIH group. The mean age was 42.7(21∼68)years and 7(77.8%) were female. Three of them(33.3%) showed acute hepatitis and five of them showed cirrhosis. Fatigue and anorexia were the most frequently complained symptoms(55.6%). Four patients(44.4%) were accompanied with other autoimmune diseases. Antinuclear antibody was detected in 5(55.6%) and anti-smooth muscle antibody was detected in 7(77.8%). Three patients showed focal picemeal necrosis and four showed periportal fibrosis. Among 7 patients who received immunosuppressive therapy, six patients(85.7%) showed initial response. and biochemical and serologic remission were achived in 5(71.4%) and 3(42.8%) patients, AIH seems to be partly responsible for chronic liver disease of unknown etiology in Korea. AIH should be suspected in female patients with unknown chronic liver disease of unknown etiolgy, especially accompanied with other autoimmune disease. The clinical characteristics of AIH may not be quite different from those of Western countries.

      • KCI등재

        Comparison of Astigmatism Induced by Combined Inferior Oblique Anterior Transposition Procedure and Lateral Rectus Recession Alone

        Sun Jung Eum,전보영 대한안과학회 2016 Korean Journal of Ophthalmology Vol.30 No.6

        Purpose: The purpose of this study is to compare the magnitude and axis of astigmatism induced by a combinedinferior oblique (IO) anterior transposition procedure with lateral rectus (LR) recession versus LR recession alone. Methods: Forty-six patients were retrospectively analyzed. The subjects were divided into two groups: thosehaving concurrent inferior oblique muscle overaction (IOOA) and intermittent exotropia (group 1, 20 patients)and those having only intermittent exotropia as a control (group 2, 26 patients). Group 1 underwent combinedanterior transposition of IO with LR recession and group 2 underwent LR recession alone. Induced astigmatismwas defined as the difference between preoperative and postoperative astigmatism using double-anglevector analysis. Cylinder power, axis of induced astigmatism, and spherical equivalent were analyzed at 1week, 1 month, and 3 months after surgery. Results: Larger changes in the axis of induced astigmatism were observed in group 1, with 4.5° incyclotorsion,than in group 2 at 1 week after surgery (axis, 84.5° vs. 91°; p < 0.001). However, there was no statisticallysignificant inter-group difference thereafter. Relaxation and rapid regression in the incyclotorsion of inducedastigmatism were observed over-time. Spherical equivalent significantly decreased postoperatively at 1 monthin both groups, indicating a myopic shift (p = 0.011 for group 1 and p = 0.019 for group 2) but did not show significantdifferences at 3 months after surgery (p = 0.107 for group 1 and p = 0.760 for group 2). Conclusions: Combined IO anterior transposition procedures caused an increased change in the axis of inducedastigmatism, including temporary incyclotorsion, during the first week after surgery. However, this significantdifference was not maintained thereafter. Thus, combined IO surgery with LR recession does not seemto produce a sustained astigmatic change, which can be a potential risk factor of postoperative amblyopia ordiplopia compared with LR recession alone.

      • KCI등재후보

        Giant Retinal Tear by Jamming of 23-gauge Instrument in the Cannula during Vitrectomy for Dense Vitreous Hemorrhage

        Sun Jung Eum,Jae Pil Shin 대한검안학회 2015 Annals of optometry and contact lens Vol.14 No.4

        Purpose:We report a rare case of intraoperative giant retinal tear caused by completely jammed 23-gauge instrument in the cannula during vitrectomy for dense vitreous hemorrhage. Case summary: A 41-year-old man presented with visual disturbance in the left eye. Uncorrected visual acuity was 20/20 for right eye and hand motion in the left eye which was not corrected. The patient was diagnosed with dense vitreous hemorrhage related to branch retinal vein occlusion in the left eye. We performed 23-gauge vitrectomy, and the vitreous cutter was firmly jammed inside the cannula intraoperatively. The jammed cannula had to be removed along with the cutter and a new cannula was reinserted through the sclerotomy site. A giant retinal break was detected around the replaced cannula during peripheral vitrectomy. Perfluorocarbon liquid was used to unfold the inverted flap of the retinal tear and the operation was finished by applying laser photocoagulation and silicone oil tamponade. Conclusions: The 23-gauge vitrectomy instrument may be jammed in the cannula during vitrectomy for dense vitreous hemorrhage, and the trapped vitreous can cause retinal break by traction. Therefore, dense vitreous hemorrhage around the cannula should be carefully removed to prevent iatrogenic intraoperative retinal break prior to core vitrectomy.

      • SCIESCOPUSKCI등재

        Promotion of Bulblet Enlargement through Liquid Stationary Culture in Korean Native Lilies in Vitro

        Sun Jung Eum,Kyeung Il Park,Wook Oh,Kiu Weon Kim 한국원예학회 2010 Horticulture, Environment, and Biotechnology Vol.51 No.1

        In order to determine the medium conditions of liquid stationary culture for the maximum bulblet enlargement, in vitro bulblets induced from bulb scales using solidified medium of six Korean native lilies (Lilium dauricum, L. hansonii, L. maximowitzii, L. amabile, L. concolor var. parthneion, and L. tsingtauense) were cultured in various strengths (1/8, 1/4, 1/2, and 1 fold) and volumes (10, 30, 50, 70, and 90 mL in a 350 mL container) of MS medium, and sucrose concentrations (30, 45, 60, and 90 g · L?¹) for 16 weeks. Solidified medium culture as the control was conducted on 30 mL of the basal culture medium (MS salt, 60 g · L?¹ sucrose, and pH 5.7) containing 7 g · L?¹ agar. Compared with conventional solid culture, bulblet enlargement was promoted by liquid stationary culture in 114% to 215% depending on species. The best concentration of MS medium for bulblet enlargement was the full strength (one fold) in all species tested. Fresh weight of bulblets was increased by gradual increasing of sucrose concentration from 30 to 90 g · L?¹, which 90 g · L?¹ sucrose was best in L. hansonii, L. concolor var. parthneion, L. tsingtauense, and L. amabile, and 60 g · L?¹ was the most effective in bulblet enlargement of L. dauricum and L. maximowitzii. The adequate volume of medium was 30 mL in L. amabile, L. dauricum, L. hansonii, and L. maximowitzii, and 50 mL in L. concolor and L. tsingtauense in a 350 mL container.

      • KCI등재

        보문 : 국내외 패션 저널에 나타난 한국적 패션 기사내용 분석

        음정선 ( Jung Sun Eum ),유영선 ( Young Sun Yoo ) 한국의류학회 2012 한국의류학회지 Vol.36 No.1

        This study locates typical Korean fashion images in domestic and foreign fashion journals to advance Korea`s international image in contemporary global fashion markets. The investigation of the frequency of articles and their types (so as to inquire into interest in Korean fashion in the global fashion markets) showed that for the appearance frequency of domestic articles studied, a good number of articles were published in the first half of 2008 and in 2009. In the case of foreign articles, the number of them increased from the second half of 2008 and the majority of articles were shown in the first half of 2010. Second, the investigation of the appearance features by article type studied in order to understand how Korean fashion played a role in the world`s markets. The majority of articles were related to fashion brands that entered Chinese market in fashion brand articles in the case of domestic articles; however, many foreign articles introduced designers that participated in global fashion collections in Paris and New York. Third, as a result of analyzing typical key words by article type in order to find key words which could enhance Korea`s fashion national image representing, we could confirm that ``Korean designers`` can be a typical key words to represent Korean fashion. The key word most exposed in both domestic and foreign articles was ``designer Lie Sang Bong`` and only his articles contained the content about influential Korean design materials.

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