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상어 간유 흡인에 의한 급성 지방성 폐렴 1예 : 증례보고
임성경,옥철호,김희규,장태원,정만홍 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.4
저자들은 상어 간유를 과량 복용하고 기침, 호흡곤란을 주소로 내원한 48세 여자 환자에서 방사선 소견과 기관지 폐포 세척액 검사를 통해 급성 지방성 폐렴으로 진단하고 스테로이드에 불응하는 경과를 취하자 우측 전폐 기관지 폐포 세척술을 시행하여 폐 병변과 증상의 호전을 보인 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Acute lipoid pneumonia is uncommon condition of the lungs that results from the aspiration of vegetable, animal, or mineral oils. Shark liver oil (so called Squalene) is taken as a traditional remedy in some Asian countries, and is used widely also in cosmetics. It results in foreign body type inflammatory reaction of the lung and can show various clinical presentations from asymptomatic incidental finding to severe pneumonia leading to acute respiratory failure. Although many cases have been reported, severe lipoid pneumonia requiring steroid or whole lung lavage for treatment is rare. We experienced a case of acute lipoid pneumonia of 48 year old female with dyspnea and cough caused by regular ingestion of large amount Shark liver oil, treated by whole lung lavage. We reported this case with a brief review of related literatures.
Louisa M. Alcott 소설에 표현된 복식 상징에 관한 연구 : 작은 아씨들을 중심으로 Little Women
임성경,한명숙 服飾文化學會 2004 服飾文化硏究 Vol.12 No.2
Symbol is one of the most profound ways to express the essence of human beings, as well as the most representative non-verbal communication medium. In this study, the descriptions of the clothing and ornaments of the main characters of the novel Little Women were excerpted from the Korean translation version. Based on the hidden symbols from the descriptions, after analyzing the characteristics of the main characters of the novel through their clothing and ornaments, the connection between the clothing and the symbols reflecting the internal workings of the mind was analyzed based on the previous theories on symbols. As proven in this study, since the clothing and ornaments directly symbolize the characteristics of the person, without any explicit statements about his/her characteristics, the clothing itself speaks volumes about them. Clothing is the most accurate visual symbol that speaks of the person's social, economic, and psychological aspects. The use of special clothing and ornaments or the highlight on certain parts reveals the characteristics of the character and his/her situations more effectively. In conclusion, literary, including novels well describes not only external factors, such as the social and cultural status of society and the character's economic situation, but also an individual's psychology such as his/her emotions and personalities. Therefore, the clothing that the character wears in a literary work symbolically reflects these factors.
임성경,박선자,박무인,문원,김성은,백승언,Seong Kyeong Lim,Seun Ja Park,Moo In Park,Won Moon,Sung Eun Kim,Sung-Uhn Baek 대한소화기암연구학회 2014 Journal of digestive cancer reports Vol.2 No.2
A 57-year-old male visited our hospital due to a growing abdominal mass for 1 month. The patient was diagnosed as transverse colon cancer with duodenal fistula, and then was treated with neoadjuvant concurrent chemoradiation therapy (2 cycles of FOLFOX-4, 3-dimensional conformal radiation therapy: 3,000 cGy in 10 fractions). Despite the improvement of colon cancer and associated inflammation, the symptom of colonic obstruction was aggravated. Thus transverse colon segmentectomy was done. After surgery, he have received adjuvant 12 cycles of FOLFOX-4 chemotherapy. Now, he is currently being followed up in cure state.
항암치료를 받은 전이성 위암환자에서 장기 생존에 관계되는 인자
임성경,정경원,박무인,김재현,김성은,문원,박선자 대한상부위장관ㆍ헬리코박터학회 2016 Korean Journal of Helicobacter Upper Gastrointesti Vol.16 No.2
Background/Aims: Systemic chemotherapy for patients with metastatic gastric cancer is generally for palliative purposes. However some patients achieve long term survival after chemotherapy. Here we investigated the prognostic factors affecting long term survival for metastatic gastric cancer after chemotherapy. Materials and Methods: We retrospectively reviewed 176 metastatic gastric cancer patients who received chemotherapy at the Kosin University Gospel Hospital from 2005 to 2010. Univariate and multivariate analyses were performed to evaluate the prognostic factors of long term survival. Results: Overall survival time was 9 months and 5-year survival rate was 2.6%. Multivariate analysis revealed distant lymph nodes metastasis (hazard ratio [HR], 0.53; P=0.008), initial low albumin level (<3 g/dL) (HR, 2.64; P=0.003), patients <40 years (HR, 2.12; P=0.032), and poor performance status (Eastern Cooperative Oncology Group [ECOG], 2) (HR, 1.66; P=0.008) as significant factors of poor survival. 12 patients with metastatic gastric cancer survived more than 36 months. All of them had ECOG performance status of 0 or 1 and no one was <40 years at the time of diagnosis. In addition, there were no lung metastasis and bone metastasis. Conclusions: These results suggest that better performance status and the presence of only distant lymph nodes metastasis are favorable factors for long term survival of metastatic gastric cancer. Macroscopically scirrhous type of tumors, lung, bone or peritoneal metastasis and age of <40 years are poor prognostic factors for long term survival of metastatic gastric cancer. (Korean J Helicobacter Up Gastrointest Res 2016;16:97-102)
증례 : 감염 ; 국소적 농흉으로 나타난 Mycobacterium bovis 감염 1예
임성경 ( Seong Kyeong Lim ),박지영 ( Ji Young Park ),박성달 ( Sung Dal Park ),장희경 ( Hee Kyung Chang ) 대한내과학회 2011 대한내과학회지 Vol.81 No.6
국내에서는 M. bovis에 대한 사람 감염의 보고는 없었으나 소에서의 감염률은 약 0.15%로 보고되고 있고, 개발도상국에서 M. bovis 감염률은 10-15% 정도로 보고되고 있다. 최근 다문화 가정이 증가하고 이주민 특히 개발도상국에서 국내로 이주가 증가함에 따라 이주민들에서 결핵 진단 시 M.bovis 등의 감염을 감별할 필요가 있다. 따라서 저자들은 베트남 이주 여성에서 국소적으로 발생한 농흉에서 얻은 조직으로 M. bovis를 진단하고 치료하였기에 문헌고찰과 함께 보고하는 바이다. Bovine tuberculosis, which is caused by Mycobacterium bovis, a member of the M. tuberculosis complex, is a zoonosis transmitted through the inhalation of infected droplets or the ingestion of raw milk. Human bovine tuberculosis has been reported rarely in most countries since the introduction of pasteurized milk and M. bovis eradication programs. However, it has been reported in other areas with poorly controlled programs. We encountered a case of localized empyema due to M. bovis infection in a pregnant female immigrant from Vietnam. We report this case with a brief review of the related literature. (Korean J Med 2011;81:792-796)