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      • SCOPUSKCI등재

        성인에서 발생한 발진성 가성 혈관종증

        서상희 ( Sang Hee Seo ),장호선 ( Ho Sun Jang ),목혜수 ( Hye Soo Mok ),김성준 ( Sung Jun Kim ),김병수 ( Byung Soo Kim ),김문범 ( Moon Bum Kim ),오창근 ( Chang Keun Oh ),권경술 ( Kyung Sool Kwon ) 대한피부과학회 2007 대한피부과학회지 Vol.45 No.8

        Background: Eruptive pseudoangiomatosis (EPA) is a rare, benign, spontaneously regressing childhood exanthem. It is characterized by the sudden onset of several bright red angioma-like papules surrounded by pale halos with a distinct histopathology from true angiomas. Objective: This study was performed to evaluate the clinical and histopathologic characteristics of EPA occuring in adults. Methods: Ten adult patients who visited Pusan National University Hospital and Mok Hye-SooㆍJang Ho-Sun Dermatology Clinic from March 2005 to September 2006 were evaluated. We prospectively evaluated the sex, age, onset season, past medical history including immunosuppressive abnormalities, systemic disorders and other diseases including allergies. We also investigated the relations of mosquito biting, patients` occupations and outdoor activities to occurrence of EPA. In addition, simultaneous occurrence in family members, the clinical, histopathologic, laboratory findings, disease courses and responses to treatment were evaluated. Based on medical records, photographs and pathologic slides, we retrospectively diagnosed another 20 EPA patients suspected as insect bite from October 2003 to March 2005. The same questions were inquired as for the 10 patients who prospectively underwent evaluation. Results: In the study, female predominance (76.7%) was observed and the average age of onset was 54.2 years. Interestingly, there was no child patient during the period of study. Multiple, 2∼5 mm sized, red angiomatous papules surrounded by pale halos occurred on exposed areas such as the arms (86.7%), legs (50%), and face (46.7%), although it could also occur to a non-exposed area. EPA occuring in adults usually appeared in summer (80%). The mean disease duration was 3.4 weeks. Although EPA spontaneously regressed, it had the potential of recurrence (46.7%). Histopathologic findings showed dilated dermal blood vessels without the evidence of increase in numbers, and perivascular lymphocytes infiltration. Inside the lumen of dermal blood vessels, plump endothelial cells were found. Conclusion: EPA occuring in adults usually happened to exposed sites in summer, so it can be misdiagnosed as insect bite. We suggest that dermatologists should be concerned about EPA in adults and conduct further investigation to have a better understanding of the disease. (Korean J Dermatol 2007;45(8):797∼803)

      • KCI등재

        공동주택단지내 부대복리시설의 공간변용에 관한 연구

        서수정,백혜선 대한건축학회 2004 대한건축학회논문집 Vol.20 No.11

        This study proposes the problems of the standards enacted by the related regulations in establishing service facilities throughout the field study and survey on the spacial changing patterns and the application status on the service facilities in apartment estates, which become more important, as the community spirit is more required. It also proves that in spite of the strict and uniform regulations, the apartment residents have went through inhabitance process with spacial changes of each facility or establishment of required facility according to their necessity. The spacial changes of service facilities can be considered to be resulted from the uniformed and standardized criteria. The survey result points out that the present standards, which cannot be complied with residents' living conditions and diverse characteristics, should be improved rationally. In order to, therefore, apply the service facilities in apartment estates as a base of improving the community spirit through supporting residents' self-governing activities, this study provides the following improvements which the planning standards of service facilities should have to be revised to: First, the standards should be changed from those simply proportioned with the number of households to those securing the area to support the community activities: Second, the total area of service facilities, which is insufficient presently, should be increased; Third, the planning standard of each service facility should be integrated into an unified standard by the name of community facility to apply various programs according to residents' needs: and, Fourth, the spaces of service facilities should be flexible in planning to take users' self-governing programs, and users' self-control of their applications should be guaranteed.

      • Ultraviolet Spectrophotometry에 의한 Vinylpyrrole과 Pyrrole imine 유도체의 Electron Delocalizability에 미치는 치환체의 영향

        裵鮮建,柳珙植,徐惠蓮 群山大學校自然科學硏究所 1989 自然科學硏究 Vol.4 No.-

        Substituent effects on the electron delocalizability of derivatives of vinylpyrrole and pyrrole imine have been examined in MeOH solution by ultraviolet spectrophotometry. The effects did not appear to be additive, but longer wavelength shift due to conjugation and electron withdrowing group. Specially, the significant difference in ?? for derivatives of pyrrole imine was seem to be caused by the conjugation effect and the position of the substituents.

      • Furan과 Pyrrole의 Alkyl 유도체 합성

        裵鮮建,柳珙植,徐惠蓮 群山大學校自然科學硏究所 1990 自然科學硏究 Vol.5 No.-

        New vinyl derivatives of furan and pyrrole, such as (E)-4-methyl-1-(2-pyrryl) penten-3-one(6d),(E)-1-(2-furyl)-3-(p-ethylphenyl)propen-e- one(6b'),(E)-1-(2-furyl)-3-(p-chlorophenyl)propen-3-one(6c'), (E)-1-(2-furyl)-3-(p-methoxyphenyl)propen-3-one(6d'),(E)-1-(2-furyl)-3-(m-nitrophenyl)-propen-one(6e') and (E)-1-(1-methyl-2-pyrryl)buten-3-one(12a) were prepared by the condensation of furfural and 1-methyl-2-formylpyrrole with the corresponding compounds having active methylene group. The reduction of compound(6d) with NaBH₄gave only (E)-4-methyl-1-(2-furyl) penten-3-ol(9d). In the application of the Huang-Minlon modification under the same condition, the reduction of vinylpyrrole deribatives gave 1-(1-methy1-2-pyrryl) butane(13a)and 1-(1-methyl-2-pyrryl)-3-phenylpropane(13a'), but vinylfuran derivatives were not reduced to the corresponding alkyl derivatives of furan because of their easy polymerization at low temperature.

      • SCOPUSKCI등재
      • 프리셉터 경험이 간호업무수행과 직무만족에 미치는 영향 연구

        류언나,송혜숙,장은희,서효신,추연화,김인선,나명주,지성애,박경숙 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

        The purpose of this study was to investigate how preceptor experience has an effect upon preceptor nurses. This study was so designed that it could compare the difference between clinical performance and Job satisfaction of preceptor nurses and those of nonpreceptor nurses. Study subjects were sampled out from those nurses who worked with two university hospitals where preceptor programs were implemented. The number of subjects totaled to 134, including 69 preceptor nurses and 70 nonpreceptor nurses. The score of preceptor nurses' clinical performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. Among all of the preceptor nurses, the highest number of preceptor experience was just one time. Except for five times in preceptor experience, the more the number of times of preceptor experience, the higher score in clinical performance. It was manifested that the number of preceptor experience was not related to job satisfaction. The score of preceptor nurses' clinica1 performance and job satisfaction revealed a higher value than that of nonpreceptor nurses. A similar result was also shown in the subdomains. However these difference were not statistically significant. The reward that preceptor nurses wished most was a reduction of the work load assigned to them. Currently preceptor nurses are only receiving a small quantity of financial reward related with their preceptor role. Most of preceptor nurses (96.8%) were not satisfied with their existing reward. Almost half of the preceptor nurses(43.5%) did not want to play a role as preceptor again. The reason why the scores of clinical performance and job satisfaction were low might be attributed to the inadequate preceptor training program and reward system. Appropriate knowledge and clinical skill are expected to enhance the level of preceptor nurses' clinical performance and appropriate internal and external reward to elevate the level of preceptor nurses' Job satisfaction. Therefore, it is needed for us to develop more effective preceptor education program, financial reward, support of colleague nurses and nursing managers, and adjust workload for the purpose of more effective preceptor programs.

      • KCI등재

        Comparison on the Efficacy of Disinfectants Used in Automated Endoscope Reprocessors: PHMB-DBAC versus Orthophthalaldehyde

        Sun Young Kim,이홍식,현종진,Min Ho Seo,Sun Young Yim,Ha Young Oh,Hye Sook Kim,금보라,Yeon Seok Seo,YongSikKim,Yoon Tae Jeen,Hoon Jai Chun,엄순호,Chang Duck Kim,HoSangRyu 대한소화기내시경학회 2011 Clinical Endoscopy Vol.44 No.2

        Background/Aims: Since endoscopes are reusable apparatus classified as semicritical item, thorough reprocessing to achieve high-level disinfection is of utmost importance to prevent spread of infection. To improve disinfection efficacy and safety, disinfectants and endoscope reprocessors are continuously evolving. This study aimed to compare the efficacy of the combination of polyhexamethylenebiguanide hydrochloride-alkyldimethylbenzylammonium chloride (PHMB-DBAC) and orthophthalaldehyde (OPA) used respectively in ultrasonographic cleaning incorporated automated endoscope reprocessors: COOLENDO (APEX Korea) or OER-A (Olympus Optical). Methods: A total of 86 flexible upper endoscopes were randomly reprocessed with either COOLENDO/PHMB-DBAC or OER-A/OPA. Culture samplings were done at two sites (endoscope tip and working channel) which were later incubated on blood agar plate. Bacterial colonies were counted and identified. Results: The culture-positive rate at the endoscope tip and working channel was 0% and 2.33% for COOLENDO/PHMB-DBAC and 4.65% and 0% for OER-A/OPA. Staphylococcus hominis was cultured from one endoscope reprocessed with COOLENDO/PHMB-DBAC and Pseudomonas putida was isolated from two endoscopes reprocessed with OER-A/OPA. Conclusions: The reprocessing efficacy of COOLENDO/PHMB-DBAC was non-inferior to that of OER-A/OPA (p=0.032; confidence interval, -0.042 to 0.042). During the study period, significant side effect of PHMB-DBAC was not observed.

      • Pulmonary Artery Involvement in Takayasu’s Arteritis Associated with Large Fistula Coronary-Pulmonary Artery Fistula

        Hye Shin Ahn,Yong Sun No,Ju Hyun Seo,Jong Bum Kwo,Khun Park,Mahn Won Par,Jung Sun Cho,Chan Joon Kim,Gyoung Min Park,Tae Seok Kim,Sung Ho Her 조선대학교 의학연구원 2015 The Medical Journal of Chosun University Vol.40 No.2

        Diffuse involvement of the right pulmonary artery (PA) associated with fistula between the PA and coronary artery is report-ed in a woman with Takayasu’s arteritis. Both the subclavian arteries were totally occluded and drained by the meanderinged artery arising from both common carotid arteries. Lung perfusion scan revealed perfusion defect of right lung. Two fistulas were identified. A large fistula was between the right PA and left circumflex artery. A small fistula was between the right PA and left anterior descending artery. This is a rare case of Takayasu’s arteritis presenting with a coronary – pulmonary artery fistula that is secondary to a diffuse unilateral involvement of PA.

      • Successful treatment of Becker’s nevus with combination of non-ablative fractional laser and Q-switched laser

        ( Sun Hye Shin ),( Hye Sung Han ),( Kwang Ho Yoo ),( Kui Young Park ),( Seong Jun Seo ) 대한피부과학회 2021 대한피부과학회 학술발표대회집 Vol.72 No.2

        Becker’s nevus (BN) is a benign hamartoma which usually presents as unilateral hyperpigmented patch located on anterior chest or shoulder. The treatment of BN poses a significant challenge as current therapeutic modalities are suboptimal and have an increased risk of adverse effects, such as scarring and dyspigmentation. A 20-year-old man presented to our clinic with a 10-year history of hyperpigmented patch on his anterior chest. At first, he was treated with 15 sessions of 1064-nm Q-switched (QS) neodymium-doped yttrium aluminum garnet (Nd:YAG) laser but the improvement was minimal. After splitting the lesion into two halves, 1550-nm non-ablative fractional laser therapy (FLT) was added only on the medial half. Then, the whole lesion was treated with 1064-nm QS Nd:YAG laser. After four sessions with a four-week interval, the area where FLT was added showed marked improvement compared to that where only 1064-nm QS Nd:YAG laser was delivered. Herein, we suggest the use of non-ablative FLT combined with 1064-nm QS Nd:YAG laser as a possible therapeutic option for the treatment of BN.

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