우측 대장에 발생한 연소성 용종 1예

이준식,박성한,홍현진,안광순,김지연,배용목,이은영,박선자 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Juvenile polyp, also known as a retention polyp because they contain mucin cysts, is a relatively common hamartomatous lesion in chlidhood. It occurs in 1-2% of children and young adults; however it is uncommon in adulthood. Juvenile polyp is rare in the first year of life and is thus presumed to be acquired and not congenital. It is pedunculated, 2-3 cm in size, red-tan in colour, smooth and always shows fluid filled cystic spaces on cut surface. Histologically, Juvenile polyps are hamartomatous with distended, mucus-filled glands, often with cystic dilatation and edematous lamina propria containing abundant vasculature. The most common manifestation is rectal bleeding produced by auto-amputation of the polyp. Juvenile polyp has been considered not to be at increased risk of developing carcinoma. However, atypical epithelium is observed in some lesions, especially in larger polyps, which may give rise to adenoma and subsequent malignant transformation. Therefore the diagnosis of solitary juvenile polyp should not be made only with colonoscopy and biopsy, but should be totally resected endoscopically for pathologic evaluation. About 90% of the lesions are solitary and localized within 20cm from anal verge. In Korea, there are some reports of juvenile polyps located in the rectosigmoid colon. We report one case of juvenile polyp in adolescent that presented as a hematochezia & abdominal pain, which is located at right colon.

폐동맥고혈압 환자에서 우심실압 파형과 폐동맥압의 혈관확장제에 대한 반응성의 관계

이준희,김용진,손대원,오병희,이병묵,박영배,최윤식 대한순환기학회 2003 Korean Circulation Journal Vol.33 No.11

초경량성 재료인 Mg-10Li-3A1 합금의 TMP 처리를 통한 기계적 특성 향상 방안

김광배,홍준표,김영인,홍원식,배현근 한국 항공대학교 항공산업기술연구소 1998 航空宇宙産業技術硏究所 硏究誌 Vol.8 No.-

초경량 고강도 Mg-10Li-3Al 합금이 용탕단조법에 의해 제조되었다. 주도된 상태의 미세구조는 β상 기지에 균일하게 분포된 AlLi 및 MgAl₂Li를 포함하는 HCP α상과 BCC β상으로 이루어졌다. α상의 초기 결정립 크기는 100㎛였다. Mg-Li 합금에 Al을 첨가하는 것은 용체화 처리 및 시효를 통한 석출 경화에 기인하여 합금의 강도 및 경도를 향상시켰다. 결정립 미세화를 위한 TMP처리가 냉간 가공과 연이은 300℃, 30분 동안의 어닐링에 의해 수행되었다. 결과적으로 나타나는 미세구조는 재결정화되지 않은 α상과 재결정화된 β상으로 이루어졌다. 냉간 가공량이 증가함에 따라 합금의 결정립 크기가 감소하였고, 최종 결정립 크기는 3.5㎛였다. 가공 열처리된 Mg-10Li-3Al합금은 용탕단조된 합금보다 높은 강도와 연신율을 보였다. Superlight and high strength Mg-10Li03Al alloys were fabricated by squeeze casting. The as-casted microstructure was consisted of a mixture of a mixture of HCP α and BCC β phases including AlLi and MgAl₂Li precipitates, which were uniformly distributed in the βmatrix. Initial grain size of α phases was 100㎛. The addition of Al in Mg-Li alloy had improved the strength and hardness due to the precipitation hardening through solution heat treatment and aging. Thermomechanical Processing(TMP) for grain refinement was carried by cold working and immediate annealing for nucleation at 300℃ for 30 minutes. Subsequent microstructure was consisted of unrecrystallized α and recrystallized β phases. The more the amount of cold working increased, the more the grain size of the alloy was decresed. Final grain size was 3.5㎛. Thermomechanically processed Mg-10Li-3Al alloy had higher strength and elongation than as-casted alloy.

원발성 후복막 점액낭샘암종 1예

지준호,이화정,박승찬,박정철,최은정,서혜진,이원식,이정림,배병조,손경락,이경희 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2

Primary retroperitoneal mucinous cystadenocarcinoma is a very rare malignancy, and little is known concerning its Pathogenesis, optimal treatment, and prognosis. A 29-year-o1d pregnant woman (21 weeks) Presented with abdominal discomfort CA 19-9, CA 125, and CEA were normal Abdominal CT scanning revealed a 19x15x13 cm retropentoneal tumor Exploratory laparotomy and tumor excision were performed. Mucinous retropentoneal implants were removed as completely as possible Histologically, the tumor showed focal areas of capsular invasion, but free resection margins The uterus and both ovaries were normal in appearance No adjuvant therapy was pursued. Six months later, Peritoneal and bilateral ovarian metastases were discovered. Hence, we report the details of this case of primary retroperitoneal mucinous Cystadeno-carcinoma and present a review of the literature.

겸상적혈구 혈증에 의한 동통성 발작 1례

김효철,배택환,정윤석,김현수,조준필,김준식,곽연식 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

The sickle cell disease are a group of hemoglobin disorders characterized by red cells that undergo sickle shape transformation when they are deoxygenated. Sickle cell disease is transmit-ted as an autosomal recessive trait. This unusual property, due to the polymerization of sickle hemoglobin results in anemia and vasoocclusive complication. 1) The most clinically significant of these disease are sickle cell anemia, sickle cell hemoglobin C disease, and sickle cell beta thalassemia. Symptoms of pallor, fever, abdominal and joint pain, enlargement of the liver and spleen, swelling of hands and feet first appear near the latter part of the first year of life. Intravascular sickling affects all organs. For clinical and therapeutic purposes, exacerbations may be classified as vasoocclusive or pain, aplastic, hemolytic or sequestration crisis. we experienced a 22 year old female patient who suffered severe multiple joint pain and back pain thought to be caused by vasoocclussive phenomena.

재발성 복부 통증을 호소한 환자에서 복벽에 발생한 자궁내막증 1예

홍현진,박성한,이준식,배용목,김지연,안광순,박선자 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.1

Endometriosis is the abnormal growth of endometrial tissue outside the uterine cavity. Endometriosis in the abdominal scar following cesarean section is very rare condition among the extrapelvic endometriosis. The frequency of abdominal wall endometriosis secondary to cesarean section is from 0.03% to 0.8% in some reports. It is difficult to diagnosed in spite of the typical symptoms. The typical symptom is aching swelling in the area of the surgical scar, which is influenced by the phases of menstruation. The definitive diagnosis is established by pathologic analysis. Surgical excision remains the treatment of choice. The majority of patients presented from 1 to 2 years after the precipitating operation. We experienced an unusual case of abdominal wall endometriosis presented over 10 years after cesarean section, who was admitted to our hospital complaining of recurrent left lower abdominal pain. So, we report this case with a brief review of the concerned literatures.

알레르기성 비염 진단에서의 MAST CLA 결과

박윤근,류준선,윤창배,김기식,하경임,고병원 東國大學校 2000 東國論叢 Vol.39 No.-

Multiple allergosorbent test chemiluminescent assay (MAST CLA) is a simple method for in vitro measurement of allergen-specifie IgE antibodies. Total 125 patients was evaluated with Korean inhalant panel in diagnosis of allergic rhinitis. Overall positive rate was 53.6% and high incidence of allergen is house dust mite, house dust, cow's milk, mugwort, rye and brich. The results was slightly different from the results of large cities and the problem is absent item of domestic common trees. MAST CLA needs further improvement to be used as a primary screening test for allergy in Korea.

갑상선 유두암이 병발된 가족성 대장 용종증 1예

백종현,소창배,이은영,이지숙,신은경,박은호,서정아,양재홍,송준영,박선자,박요한,최영식 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Familial adenomatous polyposis (FAP) is an autosomal dominant syndrome, typically characterized by multiple colorectal adenomas and increased incidence of colorectal carcinomas if it is not treated. Moreover, a variety of extracolonic manifestation are seen. The prevalence of thyroid tumors developing in patients with FAP is about 1∼2%. Generally, papillary thyroid cancer indicates low mortality but ,however, as people get older, the cancer becomes more aggressive. So, the operation is required. Recently we experienced a case of FAP, presenting with papillary thyroid carcinoma, and reported with a brief review of literatures.

췌장 선방세포암 1예

이화정,지준호,박승찬,박정철,최은정,서혜진,이원식,이정림,배병조,손경락,이경희 영남대학교 의과대학 2008 Yeungnam University Journal of Medicine Vol.25 No.2

Acinar cell carcinoma is a rare tumor that represents 1~2% of al1 pancreatic cancers. Clinical and radiologic findings are inconclusive in this disease Acinar cell carcinoma is characterized by rapid progression and early metastasis, which lead to its poor prognosis. A 41-year-o1d man was admitted to our hospital for abdominal pain. Abdominal computed tomography (CT) and positron emission tomography-computed tomography (PET-CT) showed a splenic mass, which was being invaded by a pancreatic tail mass and which had increased ^(18)F-fluorodeoxyglucose (FDG) uptake Primary radical distal pancreatectomy and splenectomy were performed. Pathologic findings revealed an acinar cell carcinoma of the Pancreas The patient underwent a total gastrectomy three months later because of gastric recurrence Four months later, multiple hepatic metastases were discovered, and the patient underwent a left hepatectomy During treatment with capecitabine, there was no evidence of tumor progression for 14 months. We report a case of metastatic pancreatic acinar cell carcinoma, which did not progress for an extended period while the patient was being treated with capecitabme.

Heavy Metal Uptake by Balloon Flower Together with Investigating Soil Properties and Heavy Metal Concentrations in the Cultivated Soils

Jun-Sik Bae,Byoung-Hwan Seo,Sin-Woo Lee,Won-Il Kim,Kwon-Rae Kim 한국토양비료학회 2014 한국토양비료학회지 Vol.47 No.3

Soil properties and heavy metal (HM) concentrations in the field soils where balloon flowers (Platycodon grandiflorum, BF) were cultivated, were investigated together with HM (Cd, Cu, Pb, and Zn) accumulation by the BF roots. Basically, in most soils examined (51-97% among 65 samples), the chemical properties including soil pH, organic matter, available-P, and exchangeable cation contents appeared to be lower than the optimal ranges for balloon flower cultivation. There were no samples exceeding the standard limits for HM in soils. Instead, the total HM concentration levels in soils appeared to be maintained at around background levels for general soil in Korea. This implied that elevated HM accumulation in the soils caused by any possible input sources was unlikely. Even though the BF cultivated soils were not contaminated by HM, it was appeared that substantial amount of Cd was accumulated in BF roots with 1.5% and 35% roots samples exceeding the standard limits legislated for BF root (0.81 mg kg<SUP>-1</SUP> DW) and herbal plants (0.3 mg kg<SUP>-1</SUP> DW), respectively. This implied that the soil HM standard limits based on the total concentration does not reflect well the metal accumulation by plants and also it is likely that the Cd standard limits for BF and herbal plants is too restrict.