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.

심혈관계 질환으로 관상질환 집중치료실에 입원한 환자들의 혜후 측정을 위한 APACHEⅢ점수 체계의 임상적 유용성

이공섭,이창선,최현주,홍종서,강지향,김도형,이민영,오인균,김병엽,김상억,김학찬,한승혜,이재용,지영우,안경주 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.8

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.

Bi-factor MIRT True-Score Equating for Testlet-Based Tests

이규민(Gue min Lee),Won Chan Lee,Michael J Kolen,박인용(In Yong Park),Dong In Kim,Ji Seung Yang 한국교육평가학회 2015 교육평가연구 Vol.28 No.2

Lee and Lee (2014) proposed bi-factor multidimensional item response theory model (BFM) "observed-score" equating procedures. The main purposes of this study were to develop BFM "true-score" equating procedures, and to investigate applicability of the proposed procedures with actual data. Eight equating methods (including both true- and observed-score) based on dichotomous IRT (2-parameter logistic model: 2PL), polytomous IRT (graded response model: GRM), testlet response model (TRM), and BFM were compared with target equipercentile equating. Data for this study were from the Reading Comprehension test for a large-scale state assessment program, which consisted of several passages and corresponding groups of items. True- and observed-score equating methods based upon 2PL and BFM produced similar equating results. The GRM true- and observed-score equating methods provided equating results somewhat different from others, and more similar to the target equipercentile equating. Lee와 Lee(2014) 연구는 혼합형 검사에서의 bi-factor 다차원 문항반응모형을 적용한 IRT "관찰점수" 동등화 절차를 제안하였다. 이 연구는 Lee와 Lee(2014) 연구의 추수연구로 단위검사를 대상으로 bi-factor 다차원 문항반응모형을 적용한 IRT "진점수" 동등화 절차를 제안하고, 그 적용 가능성을 실제 자료를 이용하여 탐색하고자 하였다. 이를 위해 단위검사로 구성된 대규모 독해 검사 자료를 이용하여, 2모수 로지스틱 모형(2-parameter logistic model: 2PL), 등급반응모형(graded response model: GRM), 단위검사모형(testlet response model: TRM), bi-factor 모형(bi-factor model: BFM)을 적용하였으며, 관찰점수 및 진점수 동등화를 시행하여 총 8개의 동등화 방법을 적용하고, 산출된 결과를 동백분위 동등화 결과와 비교하였다. 연구 결과, 2PL과 BFM을 적용한 관찰점수 및 진점수 동등화는 유사한 결과를 산출하였으며, GRM을 적용한 관찰점수 및 진점수 동등화 방법은 다른 방법들과 다소 차이를 보이는 결과를 산출하였고, 비교 기준이 된 동백분위 동등화 결과와 보다 유사한 결과를 보였다.

크로스오버 그림책의 이중독자 반응연구: 이수지의 ‘경계’ 그림책 3부작을 중심으로

이연승 ( Lee Yeou-seung ),황지영 ( Hwang Ji-yeong ) 한국유아교육학회 2018 유아교육연구 Vol.38 No.5

본 연구는 크로스오버 그림책 읽기 과정에서 이중독자의 반응양상을 통해 의미생산과정이 어떠한지 알아보는데 그 목적이 있다. 이를 위해 이수지의 ‘경계’ 그림책 『거울 속으로』, 『파도야 놀자』, 『그림자놀이』 3권을 연구도구로 하여 총 8회기에 걸쳐 유아독자 5명, 성인독자 5명을 각각 읽기집단으로 만들어 그림책 읽기를 실시하였다. 그림책을 읽은 후 반구조화된 면담을 통해 이중독자의 텍스트에 대한 이해 및 의미생산 과정의 자료를 수집하고 전사된 내용을 반복적으로 읽고 공통된 내용을 범주화하며 분석하였다. 그 결과, 이중독자는 그림책을 읽는 과정 속에서, 유아독자는 그림책을 재미있는 놀잇감, 혹은 숨은그림찾기로 인식하는 반면, 성인독자는 그림책을 학습도구로 간주하는 모습을 보이며 서로 다른 지각 방식으로 이질적인 반응양상을 보여주었다. 그러나 이중독자는 회기가 지날수록 점차 그림책의 시각텍스트에 매료되어 미학적 감성을 표출시키며 다성적인 어울림이 있는 진정한 내포독자로서의 면모를 발휘하는 모습을 보여주었다. 이러한 연구결과는 이중독자의 크로스오버 그림책에 대한 이해를 넓히고 유아의 문학적 이해와 그 역량에 대해 이해하는데 도움을 줄 수 있을 것이다. 뿐만 아니라 크로스오버 그림책과 상호작용하는 교사와 부모에게도 유용한 기초자료가 될 것으로 사료된다. The purpose of this study is to explore how a crossover picture book can be accepted by dual audience. The research aimed to investigate the meaning production process through the reaction pattern of dual audience in the reading process of picture books. For this objective, three “boundary” picture books of Suzy Lee, "Inside the mirror", "Let's play the waves" and "Shadow play" were used as research tools. Five children and five adult readers were organized into two groups, and each group met eight times for reading. After reading the picture books, data was collected from the process of understanding and meaning production of the text of the dual audience. Contents of data were analyzed repeatedly and common contents were categorized. Results showed that children’s readers perceived picture books as funny toys or hidden pictures, while adult readers viewed picture books as a learning tool, showing heterogeneous reaction patterns in different perceptions. However, as the session progressed, the dual audience gradually became fascinated by the visual text of the picture book, expressing aesthetic sensibilities and showing the true characteristics of the multi-matched real implied reader. These study could help broaden the understanding of the crossover picture book of a dual audience and help children understand the literature and its resourcefulness. The study could also be considered as a useful baseline for teachers and parents interacting with crossover picture books.

임신부의 인플루엔자 백신 접종률 및 관련요인

김미정,이승연,이광수,김아름,손동욱,정문현,박신구,박지현,이병익,이진수 대한감염학회 2009 감염과 화학요법 Vol.41 No.6

Background : During seasonal influenza epidemics and previous pandemics, pregnant women have been at increased risk for complications related to influenza infection. Although influenza vaccination has been widely recommended to pregnant women and immunocompromised hosts, the vaccination rate is presumed to be low in pregnant women. This study was aimed to evaluate the vaccination rate and factors associated with Influenza vaccination among pregnant women, who are at high risk for developing complications from the influenza. Materials and Methods : This study was carried out by telephone survey from April, 2007 to August, 2007. Women who were in their second trimester of pregnancy or above,- during October, 2006 and February, 2007, the recommended vaccination period, and had given birth at Inha University Hospital were selected as the study population. Immunization status, general understanding, and factors associated with vaccination were evaluated. Results : Among a total of 506 eligible pregnant women, 227 (44.8%) responded to the questionnaires. The influenza vaccination rate among the pregnant women was only 4% (9/227). Major reasons for not receiving vaccination were first, not awaring the necessity of immunization during pregnancy (48.5%, 110/227) and second, misunderstanding that it is prohibited during pregnancy (36.1%, 82/227). The major factors that influenced the compliance of vaccination were correct understanding and doctor's recommendation on the influenza immunization during pregnancy. Conclusions : The influenza vaccine coverage on pregnant women was very low and the awareness of influenza vaccination during pregnancy in general was inaccurate. Shift in perception is required and this can be achieved by educating the pregnant women on the safety and efficacy of vaccination. In addition, doctors' active encouragement to vaccination is highly recommended.

Sarcomatoid Carcinoma Arising from Mature Cystic Teratoma

Ho-Chang Lee1, Seung-Myoung Son, Yong-Moon Lee, Ji Hae Koo, Song-Yi Choi, Ok-Jun Lee, Eun-Hwan Jeong 충북대학교 동물의학연구소 2012 Journal of Biomedical and Translational Research Vol.13 No.2

Malignant transformation of mature cystic teratoma (MCT) is rare. Sarcomatoid carcinoma is a neoplasm comprising malignant mesenchymal cells and a conventional carcinomatous area. Here, we report on a case of sarcomatoid carcinoma arising from an MCT in the left ovary of a 45-year-old female. A unilocular cyst consistent with MCT was observed; however, a nodule within the cyst was confirmed from the resected ovary. Microscopically, the nodule showed both squamous cell carcinoma and pleomorphic sarcomatous components admixing with each other. Lining epithelial cells at the periphery of the main tumor showed squamous metaplasia. When a sarcomatous component is observed in the ovary tumor, it is important to find a squamous cell component, either benign or malignant.

서울의 Penicillinase Producing Neisseria gonorrhoeae 발생빈도(1998)

김재홍,김준호,반재용,이정우,황성주,정준규,정성태,강진문,조흔정,홍창의,정혜신,이한승,김이선,이봉길,이종호,선영우,한기덕,윤성필,이성훈,안종성,박석범,문승현,조항래,김형섭,류지호,황재영,박준홍,손상욱 한양대학교 의과대학 2001 한양의대 학술지 Vol.21 No.1

In recent years, gonorrhea has been pandemic and remains one of the most common STDs in the world, especially in developing countries. For the detection of a more effective therapeutic regimen and assessing the prevalence of Penicillinase Producing Neisseria gonorrhoeae(PPNG), we have been trying to study the patients who have visited the Venereal Disease Clinic of Choong-Ku Public Health Center in Seoul since 1980 by menas of the chromogenic cephalosporin method. In 1998, 93 strians of N. genorrhoeae were isolated, among which 60(64.5%) were PPNG. The prevalence of PPNG in Seoul, which had been decreased to 39% in 1996 after a peak of 74.3% in 1993, is increased to 64.5% in 1998.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

다공질 TiNi 형상기억합금의 고온자전합성에 관한 연구 : A Study on the Self-propagating High-tempaerature Synthesis of Porous TiNi shape Memory Alloy

이승해,김지순,권영순 울산대학교 1999 공학연구논문집 Vol.30 No.2

고온자전합성법을 이용하여 다공질 TiNi 금속간화합물을 제조하였다. 합성반응에 미치는 원료분말의 특성과 성형체 밀도, 점화온도 등의 영향을 생성물의 미세조직 관찰과 상분석, 기공도 및 기공구조 분석을 통하여 조사하였다. 다양한 원료분말을 사용하여 이들의 조합을 달리하여 준비한 혼합분말에 대한 반응 결과, 반응을 일으키는 최소점화온도는 280-500℃의 넓은 온도 범위로 확인되었으며, Hunter법으로 제조된 Ti 원료분말과 카르보닐 Ni 원료분말을 혼합한 경우에 가장 안정된 반응거동과 양호한 기공구조를 나타내었다. 제조된 반응생성물의 상분석 결과 단상의 TiNi와 제2상으로Ti₂Ni, TiNI₃등이 관찰되었으며, 제2상은 점화온도가 높아짐에 따라 감소하였다. 점화온도의 증가에 따라 기공의 크기도 감소하였으며 그 분포가 균일하여짐을 확인하였다. Porous TiNi intermetallic compound was produced by SHS(Self-propagating High-temperature Synthesis). Effects of starting powder characteristics, green density and ignition temperature on synthesis reaction were investigated through microstructural observation, phase analysis, porosity and pore structure of reacted specimens. Minimum ignition temperature for a propagation of thermal wave front ranged from 280 to 500℃ which varied according to starting powder characteristics. Mixtures of Ti produced by Hunter process and carbonyl Ni powders showed a stable reaction behavior and a good pore structure. From the results of XRD phase analysis TiNi was confirmed as a major phase. Additionally, Ti₂Ni and TiNi₃phases were also detected as second phases. The amount of teh second phases decreased with increasing ignition temperature which resulted also in a decrease of pore size and uniform distribution of pores.