간전이 위암환자의 치료 결과 및 예후

김은미,김세원,김상운,이경희,현명수,박원규,장재천,송선교,Kim, Eun-Mi,Kim, Se-Won,Kim, Sang-Woon,Lee, Kyung-Hee,Hyun, Myung-Soo,Park, Won-Kyu,Chang, Jae-Chun,Song, Sun-Kyo 대한위암학회 2006 대한위암학회지 Vol.6 No.4

목적: 간전이 위암환자들을 대상으로 치료 결과를 알아보고 생존 분석을 통해 예후를 확인하고자 하였다. 대상 및 방법: 1990년 3월부터 2006년 3월까지 영남대학교 영남의료원 내과 및 외과에 내원한 위암환자 중 간전이가 발견된 85예(동시성 62예, 이시성 23예)를 대상으로 후향적 연구를 시행하였다. 임상병리학적 인자와 위절제술, 간전이병소 절제술 및 항암화학요법 등 치료 관련 인자들에 대해 생존분석을 실시하였다. 결과: 간전이 위암환자들의 중앙생존기간은 11개월(동시성 11개월, 이시성 17개월)이었다. 동시성 간전이군의 경우 위절제율은 24.1%, 간전이병소 절제율은 16.1%였다. 간외 전이 동반율은 23.5%였고 생존기간에 차이가 있었다(P<0.05). 간전이 병소 절제 및 위절제군, 위절제군, 비절제군의 중앙생존기간은 각각 60개월 이상, 10개월 및 9개월이었다(Fig. 1, P<0.05). 이시성 간전이군의 경우 위암절제 후 무병생존기간의 중앙치는 8개월이었으며 초기병기와 간전이 빈도 사이에는 차이가 없었다. 동시성 간전이군에서는 단변량 분석 결과 간외 전이, 위절제술, 간전이 병소 절제술, 외과적 절제 형태 및 항암화학요법에 대한 반응이 유의하였고 다변량 분석 결과 간전이병소 절제술, 항암화학요법에 대한 반응 및 간외 전이가 독립적 예후인자였고, 이시성 간전이군에서는 간외 전이, 항암화학요법에 대한 반응 및 원발암 세포의 분화도가 유의하였고 간외 전이가 독립적 예후인자였다. 결론: 간전이 위암환자에서 예후는 간전이 병소의 절제, 원발 병소의 절제, 간외 전이 유무 및 항암화학요법에 대한 반응여부에 의해 결정되므로 치료에 있어 간외 전이가 없는 경우 보다 적극적인 절제 노력과 항암화학요법이 생존율 향상에 기여할 것으로 판단된다. Purpose: This study was conducted to evaluate the treatment outcomes and the prognosis for gastric cancer patients with hepatic metastasis. Materials and Methods: This retrospective study was based on the medical records of 85 gastric cancer patients with hepatic metastasis (62 synchronous and, 23 metachronous) who received chemotherapy with or without resectional therapy from March 1990 to March 2006. The survival rate was analyzed according to clinicopathologic factors and therapeutic factors, such as whether or not a gastrectomy, a hepatic resection, and/or chemotherapy had been performed. Results: The median survival of gastric cancer patients with hepatic metastasis was 11 months (synchronous: 11 months and metachronous: 17 months). The rates of gastrectomies and hepatic resections in the synchronous group were 24.1% and 16.1%, respectively A 23.5% prevalence of extra-hepatic metastasis was observed. The median survivals of patients who underwent a gastrectomy with a hepatic resection, a gastrectomy alone, and non-surgical treatment were 60, 18, and 9 months, respectively (P<0.05). The disease-free median survival of the metachronous group was 8 ($3{\sim}39$) months. There was no difference in initial pathologic stage and frequency of hepatic metastasis after the gastrectomy in the metachronous group. In the synchronous group, extra-hepatic metastasis, a gastrectomy as the operative procedure, a hepatic resection as the operative procedure and the response to chemotherapy were statistically significant in the univariate analysis, and a hepatic resection as the operative procedure, the response to chemotherapy, and extra-hepatic metastasis were independant prognostic factors identified by the multivariate analysis. In the metachronous group, extra-hepatic metastasis, the response to chemotherapy and differentiation were statistically significant in the univariate analysis, and extra-hepatic metastasis was an independent prognostic factor identified by the multivariate analysis. Conclusion: An aggressive surgical therapy and effective chemotherapy are necessary in the treatment of gastric cancer patients with hepatic metastasis. (J Korean Gastric Cancer Assoc 2006;6:237-243)

간호사가 인식한 이차 피해 경험이 삼차 피해 경험에 미치는 영향과 이차 피해 지지의 다중 매개효과

김은미,김순애,김지인,이주리,나선경,Kim, Eun-Mi,Kim, Sun-Aee,Kim, Ji-In,Lee, Ju-Ry,Na, Sun-Gyoung 한국의료질향상학회 2017 한국의료질향상학회지 Vol.23 No.2

Purpose: Nurse's second victim experiences could influence organizational negative work-related outcome. The purpose of this study was to investigate the casual relationship between nurses' second victim experience and third victim experience and multiple mediation effects of second victim supports. Methods: A cross-sectional, self-report survey (the Second Victim Experience and Support Tool) was conducted with 305 nurses working in a general hospital. Data were collected from October 20 to November 25, 2016 and analyzed using SPSS Win version 23.0. Results: The nurses' perceived second victim experience was $3.24{\pm}0.61$ and the third victim experience was $3.12{\pm}0.92$. Nurses' second victim experience was found to have a direct effect on increasing third victim experience and indirect effect of colleague support as mediator (p<.05). However, institutional support and supervisor support had not a partial and indirect effect on third victim experience. Conclusion:This study is one of the first to connect second victim experience to third victim experience in South Korea. This study broadens the understanding of the negative effects of a second victim experience influence third victim experience. When involvement in patient safety events, the important role of colleague support in limiting nurse's third victim experience have been acknowledged. This study reinforces the efforts health care leaders are making to develop interventional programs to colleague support their staff as they recover from adverse event involvement.

주방문(酒方文)의 조리학적 고찰

김은미,유애령,Kim, Eun-Mi,Yu, Ahe-Ryung 한국식품조리과학회 2012 한국식품조리과학회지 Vol.28 No.6

Zubangmoon is Korean cookbooks which was published the ends of 1600s. There were classified 95 kinds of meals, side dishes and rice wine ; 2 kinds of noodles, 4 kinds of soups, 4 kinds of steamed dishes, 1 kind of jeok, 3 kinds of Neureumi, 1 kind of Jeon, 2 kinds of sukhoe, 1 kind of Sundae Pyeonyuk Suran Chae Jaban respectively, 9 kinds of Kimchi & Jangajji, 3 kinds of Jeotgal, 4 kinds of rice cakes, 5 kinds of Yumilgwa, 3 kinds of Yugwa, 2 kinds of beverage, 28 kinds of rice wine, 12 kinds of seasonings, 1 kind of sugar group, 2 kinds of other and 4 kinds of storage method. Foods and recipes of Zubangmoon was similar to Yorok and Eumsikdimibang. But rice wine methods of Zubangmoon were not more than those of Yorok and Eumsikdimibang. Also, distillation method of rice wine was introduced in Zubangmoon and Eumsikdimibang. From this investigation of food and rice wine in Zubangmoon, we expect to develop useful recipes and to advance the Korean food culture.

HIV gp41의 세포내 부분과 상호작용하는 단백질 유전자의 분리

김은미,김정우,Kim, Eun-Mi,Kim, Jung-Woo 배재대학교 자연과학연구소 1998 自然科學論文集 Vol.10 No.1

HIV-1 gp41의 세포내 부분과 상호작용하는 단백질 유전자를 분리할 목적으로 yeast two hybrid system을 사용하여 검색하였다. 전체 $1.4 \times 10^6 colony를 검색하여 최종적으로 20개의 colony를 얻었다. 이들 colony로부터 분리된 유전자의 염기배열을 결정하여 본 결과, acidic ribosomal protein P0, beta tubulin, alpha catenin등의 세가지 종류임을 밝혔다. 이들은 yeast system 내에서 매우 특이적으로 gp41과 상호작용하고 있음을 알았다. To find the interacting protein with the cytoplasmic domain of HIV-1 gp41, the yeast two hybrid system was used for the expression cloning. Among the $1.4 \times 10^6 colonies, 20 colonies were selected as the final candidate for the interacting protein gene. The nucleotide sequencing revealed three kinds of protein, acidic ribosomal protein P0, beta tubulin, alpha catenin. These proteins interacted with the gp41 specifically in yeast system.

초음파 금속 용착을 위한 반파장 혼의 설계 및 제작

김은미,장호수,박동삼,Kim, Eun-Mi,Jang, Ho-Su,Park, Dong-Sam 한국생산제조학회 2010 한국생산제조학회지 Vol.26 No.1

This paper designed the horn of half-wave needed for Ultrasonic meta) welding. The horn has to be designed and manufactured accurately, because measurements such as the shape, length, mass and etc. have effects on the resonant frequency and the vibration mode. Designed horn of half-wave has the feature of 40,000Hz of nature frequency, and maximizes vibration range in the Tip by resonance in the frequency of ultrasonic wave machine. In this study, we calculated and analyzed the natural frequency to find the optimal design of the horn that amplified the amplitude about double by the modal analysis and harmonic analysis using ANSYS. And we did FFT analysis of the manufactured horn.

Evaluating Choice Attributes of Korean Ginseng Chicken Soup as a Home Meal Replacement (HMR) Product Using Conjoint Analysis: A Case Study of Singapore Market

김은미,안지애,이호진,이민아,Kim, Eun-Mi,Ahn, Jee-Ahe,Lee, Ho-Jin,Lee, Min-A Korean Society of Food and Cookery Science 2016 한국식품조리과학회지 Vol.32 No.5

목적: 세계 식품시장에서 한식과 편이식에 대한 니즈가 점차 증가함에 따라 싱가포르 시장은 한식을 이용한 간편가정식(HMR)의 잠재시장으로 떠오르고 있다. 다양한 한식 메뉴 중에서도 특히 삼계탕은 싱가포르 소비자의 선호도가 매우 높아 본 연구에서는 컨조인트 분석을 적용하여 삼계탕 HMR 선택 속성의 중요도를 분석하고자 하였다. 연구방법: 2012년 4월 싱가포르 현지 소비자 400명을 대상으로 설문지를 배포하였으며, 이 중 설문을 완료한 324명(81.0%)의 데이터를 분석하였다. 결과: 삼계탕 HMR을 구매하는데 있어 상대적으로 가장 중요한 속성으로는 포장(32.4%)이었고, 닭의 형태(32.1%), 찹쌀 포함 여부(13.8%), 삼계탕의 풍미(11.6%)와 인삼(10.0%)의 순서로 조사되었다. 제시된 16개 프로파일 중 제품 코드 J의 닭 반마리, 찹쌀 포함, 인삼 전체 한 뿌리 포함된 형태, 간장 육수, 그리고 제품이 부분적으로 보이도록 투명한 포장형태로 구성된 제품의 선호도가 가장 높은 것으로 조사되었다. 또한 초이스 시물레이션 분석을 통해, 싱가포르 소비자가 가장 선호하는 삼계탕 HMR이 출시될 경우 예상되는 시장 점유율은 50.4%로 나타났다. 결론: 이러한 조사 결과는 외국인 소비자의 보다 세분화된 니즈를 반영한 한식 상품을 개발하는데 구체적인 자료를 제공하며, 식품 산업적으로도 소비자 기호를 반영한 상품을 출시 할 수 있을 것으로 판단된다. 더불어 향후 한식 간편 가정식 개발이 더욱 활성화 됨에 따라, 한식 세계화에 따른 한식의 소비 확대에 보다 실제적인 적용이 가능할 것으로 사료된다. Purpose: The purpose of this study was to analyze the attributes considered important by Singaporeans in the selection of Korean ginseng chicken soup as an HMR product using conjoint analysis techniques. Methods: A total of 400 questionnaires were distributed to local consumers in April 2012, of which 324 were completed (81.0%). Statistical analyses of data were performed using SPSS/Windows 18.0 for descriptive statistics and conjoint analysis. Results: Analysis of the attributes and levels of Korean ginseng chicken soup as an HMR product for people who lived in Singapore showed the relative importance of each attribute as follows: packing (32.4%), chicken (32.1%), glutinous rice (13.8%), soup (11.6%), and ginseng (10.0%). Results showed that Singaporean consumers preferred code J's Korean ginseng chicken soups as an HMR product, which consisted of half a chicken, glutinous rice, a whole ginseng root in a soy sauce-based soup, and a partially transparent package. The most preferred Korean ginseng chicken soup gained 50.4% potential market share from choice simulation when compared with the second preferred one. Conclusion: This study has significance in that such a practical research contributes to product development of a specific Korean dish for foreign consumers. In addition, the results of this study provide useful information for the food industry for global expansion and commercialization of Korean food, thereby providing an important foundation for future development of various Korean foods as HMR products.

공정거래정책 리포트 - 사건처리의 공정성 제고와 법 집행 강화를 위한 지침 개정 동향

김은미,Kim, Eun-Mi 한국공정경쟁연합회 2012 경쟁저널 Vol.- No.164

표고버섯의 미토콘드리아성 NADH 탈수소효소의 특성

김은미,민지영,민태진 ( Eun Mi Kim,Ji Young Min,Tae Jin Min ) 한국균학회 1998 韓國菌學會誌 Vol.26 No.1

Rayon-mimetic 섬유의 분산염료에 의한 염색 및 견뢰도 특성

김은미,최재홍,Kim, Eun-Mi,Choi, Jae-Hong 한국섬유공학회 2008 한국섬유공학회지 Vol.45 No.4

The dyeing characteristics and fastness of rayon-mimetic (RMM) fiber were examined with some commercial disperse dyes compared to those of poly(ethylene terephthalate) fiber. Similar exhaustion yields were achieved at $120^{\circ}C$ to $130^{\circ}C$ which ranged from 90% to 99%. Critical adsorption range of disperse dyes on RMM fiber was lower than regular PET fiber about $10^{\circ}C$. Exhaustion was saturated at 2% owf dye concentration. Color fastness of RMM was similar to those of PET dyeings including fastness to wash, rubbing and light.

뇌동맥류 파열로 인한 지주막하 출혈 환자에서 중재적 치료 후 조절되지 않은 두통 치험 1례

김은미,김기태,Kim, Eun-mi,Kim, Ki-tae 대한한방내과학회 2021 大韓韓方內科學會誌 Vol.42 No.2

Subarachnoid hemorrhage (SAH) is a disease that causes bleeding in the subarachnoid space; 70%-80% of nontraumatic subarachnoid hemorrhages are caused by saccular aneurysms. If the patient has already experienced a ruptured aneurysm that causes subarachnoid bleeding, rebleeding can result in a high mortality rate and serious sequelae. Therefore, if the patient can undergo surgical or interventional treatment, it should always be performed. This patient was diagnosed with acute aneurysmal subarachnoid hemorrhage and hydrocephalus. The patient was hospitalized for uncontrolled headache and vertigo after aneurysm coil embolization and ventriculoperitoneal shunting. The patient was treated with Yangkyuksanwha-tang and acupuncture and was observed with a symptom checklist for 25 days. Headache improved, from a visual analog scale (VAS) score of 7 to 0. Vertigo also improved, from a numeric rating scale (NRS) of 6 to 2, and the vertigo pattern changed from rotational to nonrotational. This case suggests that Korean medicine treatment is helpful in managing subarachnoid hemorrhage sequelae.