신장의 이상회전과 T2Hemivertebra 를 동반한 선천성 일측폐 발육 부전증 1 예

성차경,배성조,강민구,허경억,이대규,도사금 대한내과학회 1986 대한내과학회지 Vol.31 No.2

A case of congenital agenesis of left lung of a 19-years-old female is presented in detail with some review of literature. She had been suffered from mild dyspnea on exertion since early childhood but she was been comfatable unti16 months ago, when frequent upper respiratory infection and dyspnea developed. From 10 days earlier, mild fever was associated and dyspnea on exertion was aggravated. Her past history and family history were not contributary. Physical examination revealed asymmetrical development of both thoracic cage and showed limited respiratory movement of left thorax. There were increased percussion dullness and absent breathing sounds over entire left lung field except left upper lung field. The cardiac dullness was shifted to the left and heart sunds were heard over the 4th ICS X MCL. A roentgenogram of the chest revealed shifting to the left of trachea and mediastinum, homosgenou increased density of left lung, hyperlucency of right lung, and T, hemivertebra, Bronchoscopy showed total absence of left main bronchus. Bronchogram revealed above findings too, but right main bronchus was intact. CT scan revealed agenesis of left lung and herniation of right lung to left hemithorax. Intravenous pyelography showed malrotation of kidney. Pulmonary angioram and cardiac catheterization showed unremarkable findings except total absence of left pulmonary artery.

교육훈련프로그램의 특성이 조직성과에 미치는 영향에 관한 연구

성차경,이은영 국제문화기술진흥원 2019 The Journal of the Convergence on Culture Technolo Vol.5 No.1

The purpose of this study was to empirically examine what effects of education and training program factors such as content, method, environment and instructor on learning satisfaction, job satisfaction and organizational performance. The education and training program factors like content, method and instructor were found to significantly affect learning satisfaction and job satisfaction. But environment for that program had no significant effect on any of both the satisfaction. 본 연구는 교육훈련의 내용, 방법, 물리적 환경과 교수자 등 교육훈련 프로그램의 특성이 교육훈련의 학습만족과 직무만족, 조직성과에 미치는 영향을 실증적으로 살펴보았다. 교육훈련의 내용과 방법, 교수자 요인은 교육훈련의 학습 만족도와 직무만족에 유의미한 영향을 미치는 것으로 나타났으나 교육훈련 프로그램에 대한 물리적 환경은교육훈련의 만족도와 직무만족도에 유의미한 영향을 미치지 않는 것으로 나타났다. 이러한 결과를 바탕으로 교육훈련프로그램 설계에 대한 실무적 시사점을 제시하였다.

병원 입원 폐렴 환자에 대한 Cefpirome의 임상적 평가

박기도,성차경,이관호,김성동,홍영훈,정진홍,신경철,이은영,이충기,이현우 영남대학교 의과대학 1999 Yeungnam University Journal of Medicine Vol.16 No.2

Background: In contrast to a healthy person, patients who have acute lower respiratory tract infection with underlying pulmonary diseases have various pathogens, a rapidly progressive downhill course, and a poor response to prior antimicrobial therapy. Broad spectrum antibacterial therapy is needed for full evaluation. Materials and Methods: To evaluate the efficacy and safety of cefpirome, we administered 1gm cefpirome, twice a day to 30 patients, who had signs and symptoms of acute lower respiratory infection regardless of their underlying disease, except to those who had an allergic history to antibiotics or severe systemic diseases. Results: The results were as follows: 1) Among 30 cases, 21 cases(70.0%) showed excellent improvement, and 7 cases(23.3%) showed good improvement in their symptoms and signs of acute lower respiratory infection. 2) In 14 cases with isolated pathogens, we observed bacteriologic eradication in 11 cases(78.6%) 3) Significant side effects were not found. Conclusion: Above results suggest that cefpirome was effective as a monotherapy in patients with acute lower respiratory infection, especially on those with an underlying chronic obstructive pulmonary disease(COPD).

갑상선 중독성 주기성마비 환자의 임상적 고찰

박진철,원규장,성차경,윤현대,조인호,김재홍,남상엽,오정현,이형우 영남대학교 의과대학 1999 Yeungnam University Journal of Medicine Vol.16 No.2

Background: Thyrotoxic periodic paralysis is an uncommon illness characterized by intermittent flaccid paralysis of skeletal muscle, usually accompanied by hypokalemia, in patient with hyperthyroidism. However, the pathophysiology of thyrotoxic periodic paralysis remains largely unexplained and controversial. This report describes the clinical and biochemical findings in 19 patients with thyrotoxic periodic paralysis who were examined at the Yeungnam University Medical Center(YUMC) during the past decade. Methods: The medical records of 997 YUMC patients, seen between 1986 and 1996, with diagnosis of hyperthyroidism were reviewed. Nineteen patients out of 997 hyperthyroidism patients were diagnosed, and examined by history, physical examination, serum electrolyte value, and thyroid function test during paralysis. On the basis of these results, comparisons were made on age, sex, precipitating factors, timing, affected limbs, prognosis, serum potassium and serum phosphate and thyroid hormone levels. Results: The prevalence of periodic paralysis in hyperthyroidism was 1.9 percent and the male to female prevalence ratio was 30:1 and in all patients, the development of perodic paralysis was correlated with hyperfunctional state of the thyroid gland. Eleven cases of periodic paralysis were associated with hypokalemia and their thyroid hormone levels were significantly more increased than those of the patients without hypokalemia. Interestingly, ??ir study shows the recurrence of paralysis after treatment. Conclusion: Although the precise pathophysiology of the disease is as yet undefined and ??ntroversial, it occurs primarily in Asians with an overwhelming male preponderance and ??revalence of 2 percent in hyperthyroidism. The interactive roles of thyroid hormone, Na-K ??amp. and genetically inherited defect in the cellular membrane potential of the skeletal ??iuscle can be speculated. Further investigation will be needed to firmly establish the ??echanism of thyrotoxic periodic paralysis.

고칼슘혈증을 동반한 원발성 폐암의 임상적 특징

박혜정,정진홍,이관호,신경철,문영철,성차경,이현우 영남대학교 의과대학 1999 Yeungnam University Journal of Medicine Vol.16 No.2

Background: Lung cancer-associated hypercalcemia is one of the most disabling and life threatening paraneoplastic disorders. Humoral hypercalcemia is responsible for most lung cancer-associated hypercalcemia. Patients with hypercalcemia are usually in the advanced stage with obvious bulky tumor and carry a poor prognosis. Materials and Methods: Total 29 patients satisfied the following criteria: histologically proven primary lung cancer, corrected calcium level≥10.5 mg/dL, and symptoms which could possibly be attributed to hypercalcemia. In this retrospective study, we evaluated the various clinical aspects of hypercalcemia, in relation to cancer stage, histologic cell type, mass size, bone metastasis, performance status, and other possible characteristics. Results: Total 29 lung cancer patients with hypercalcemia were studied, and most of them had squamous cell carcinoma in their histologic finding. The incidence of hypercalcemia was significantly higher between 50 and 69 years of age, and in the advancement of cancer stage. Although serum calcium level showed positive correlation with mass size, performance status, and bone metastasis, it was not significant statistically, Altered consciousness was significantly more frequent in the patients with higher serum calcium level. There were no differences in effectiveness among therapeutic regimens. Hypercalcemia was more frequently in the later stage of disease than during the initial diagnosis of lung cancer. Most of the patients died within 1 month after development of hypercalcemia. Conclusion: We concluded that hypercalcemia in lung cancer is related to extremely poor prognosis, and may be one of the causes of death and should be treated aggressively to prevent sudden deterioration or death.

내시경적생검으로 (內視鏡的生檢) 확진된 (確診) 아메바성 대장염 (大腸炎) 4예

이광열(Kwang Yuel Lee),송문철(Moon Chul Song),진해웅(Hae Ung Sheen),임화섭(Wha Sub Lem),성차경(Cha Kyung sung),도사금(Sa Geum Doh) 대한소화기학회 1984 대한소화기학회지 Vol.16 No.2

we experienced four patients with amebic colitis proven by coloncscopic and sigmoidoscopic biopsy. The results were following. Clinical symptoms, laboratory studies, and radiological findings may not be sufficient for making an accurate diagnosis for amebic colitis. Though the diagnosis of amebic colitis seems to be established easily by identification of amebic trophozoites of Entameba histolytica, it can be difiicult and confusing to differentiate from other forms of colitis if the organisms not be demonstrated. The gross colonoscopic and sigmoidoscopic appearanc as well as the results of its biopsy could be extremely important for arriving at the correct dignosis of amebic colitis.

간장 및 담도 : 내시경적 (內視鏡적) 역행성 담췌관 (膽膵管) 조영술 (造影術) 95예의 간기능검사에 (肝機能檢査) 대한 연구

송문철(Moon Chul Song),도사금(Sa Geum Doh),배성조(Sung Joe Bae),허경억(Kyung Uk Hur),성차경(Cah Kyung Sung),이대규(Dae Kyu Lee),이민구(Min Goo Kang) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.1

N/A From January 1984 to April 1985, endoscopic retrograde cholangio-pancreatography with fiberduoednoscope(Olympus JF-B4), were performed at Daegu Fatima Hospital on 95 patients with hepatobiliary or pancreatico-duodenal diseases. Total patients were allocated to three groups based on the underlying disease with stone, cancer or various conditions. In addition, liver function tests were analyzed to have whether the presence of difference between control and disease groups. The results are as follows: 1) The ratio of males to females in the group of 95 case was 1.5: 1, and the average was 54. 2 years with a range from 18 to 82 years. 2) Successful rate for cannulation was 81. 9%, as a whole, and the rate for selective cannulation into bile duct or pancreatic duct was in 81.9% and in 81.8% respectively. 3) Among total 95 cases, 63 were the patients with biliary tract diseases, 11, hepatic parencnymal diseases, 4, periampullary cancer, 15, pancreatic diseases and 2, duodenal diverticulosis. Of the total patients, allocated to three groups, 43 cases were confirmed to have stone disease, 26, cancer and 26,various diseases. 4) About one-half of cases in the both stone or various disease groups, were found to have jaundice, while most of case in the cancer group were found to have jaundice. 5) Direct bilirubin/Total bilirubin ratio was 0.35+-0.09 in control group, 0.44+-0.10 in various group, aid 0.48+-0.09 in cancer group. And the ratio of DB/TB were elevated significantly in the disease groups than that in control group as well as in the cancer group than that in both stone or various disease groups(p<0.01, p<0.001) 6) Thc ratio of SGOT/SGPT were 1.11+-0.19 in the control group, l.2+-0.6 in stone group l.0+-0.6 in the various disease group, and l.6+-0.9 in the cancer group. The ratio of SGOT/SGPT was elevatedignificantly in the cancer group than that in the control group (p <0.05). 7) The levels of serum alkaline phosphatase was 8.46+-2.6 King-Armstrongs units in the control group, 11.37+-9.46 in the stone group, 9.99+-8.71 in the various disease group, and 23.02+-12. 71 in the cancer group. Then the levels of alkaline phosphatase were elevated significantly in the cancer group than that in the control group(p<0.001).