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      • KCI등재

        Role of Photodynamic Therapy in the Palliation of Obstructing Esophageal Cancer

        윤현영,천영국,최혜진,심찬섭 대한내과학회 2012 The Korean Journal of Internal Medicine Vol.27 No.3

        Background/Aims: The aim of this non-randomized study was to determine the role of photodynamic therapy (PDT) in a multimodal approach for the palliation of advanced esophageal carcinoma. Methods: Twenty consecutive patients with obstructing esophageal cancer were enrolled in this study. Each subject had dysphagia, and nine could not swallow fluid. External beam radiotherapy or a self-expandable metal stent was used following PDT for dysphagia due to recurrence of the malignancy. Results: At 4 weeks post-PDT, a significant improvement in the dysphagia score was observed in 90% of patients, from 2.75 ± 0.91 to 1.05 ± 0.83 (p < 0.05). Patients with recurrent dysphagia underwent stent insertion at an average of 63 days (range, 37 to 90). The rate of major complications was 10%. Two esophageal strictures occurred, which were treated by placement of a modified expandable stent across the stricture. The median survival in these cases was 7.0 ± 0.6 months. One patient that was treated with PDT and radiotherapy is alive and showed a complete tumor response. Conclusions: PDT as a multimodality treatment is safe and effective for relieving malignant esophageal obstruction with minimal complications. Background/Aims: The aim of this non-randomized study was to determine the role of photodynamic therapy (PDT) in a multimodal approach for the palliation of advanced esophageal carcinoma. Methods: Twenty consecutive patients with obstructing esophageal cancer were enrolled in this study. Each subject had dysphagia, and nine could not swallow fluid. External beam radiotherapy or a self-expandable metal stent was used following PDT for dysphagia due to recurrence of the malignancy. Results: At 4 weeks post-PDT, a significant improvement in the dysphagia score was observed in 90% of patients, from 2.75 ± 0.91 to 1.05 ± 0.83 (p < 0.05). Patients with recurrent dysphagia underwent stent insertion at an average of 63 days (range, 37 to 90). The rate of major complications was 10%. Two esophageal strictures occurred, which were treated by placement of a modified expandable stent across the stricture. The median survival in these cases was 7.0 ± 0.6 months. One patient that was treated with PDT and radiotherapy is alive and showed a complete tumor response. Conclusions: PDT as a multimodality treatment is safe and effective for relieving malignant esophageal obstruction with minimal complications.

      • KCI등재후보
      • 상담사례-해결중심 단기상담모형에 따른 접근

        윤현영 충남대학교 2001 學生生活硏究 Vol.28 No.-

        많은 다양한 내담자들이 찾아오는 상담 현장에서 그 다양한 내담자들을 효과적으로 돕기 위해서는 다양한 접근 방법이 요구된다. 기존의 문제 중심적 접근이 적합한 경우가 있는가 하면 내담자 특성에 따라서는 조금 다른 접근 방법이 요구되는 경우도 있다. 여기 보고된 상담사례는 충남대학교에서 이루어졌던 상담에 대한 보고로서, 1980년대에 우리 나라에 소개되어 많이 활용되기 시작한 해결중심 단기상담모형에 따라 접근하였던 사례이다. 자아를 탐색할 시간적·정신적 여유 없이 청소년기를 보냄으로써 자신에 대한 탐색의 기회를 갖지 못하고 대학에 진학하여, 새로운 상황에 적응하기에 어려움을 겪으면서 자아력이 약해진 내담자들에게 특히 효과적인 접근법이라고 보여진다.

      • KCI등재후보

        지하철역 역세권 공공공간 개선방안에 관한 사례연구

        윤현영,한영호 한국공간디자인학회 2011 한국공간디자인학회논문집 Vol.6 No.4

        오늘날 지하철은 도시 안에서 살아가는 바쁜 현대인들에게 중요한 대중교통 수단 중에 하나이다. 많은 사용자들이 이용하고 그 지역의 가장 번화한 상권의 중심지에 위치하고 있어 지역의 이미지와 특성을 잘 보여줄 수 있는 공공공간이다. 본 연구는 지하철 역세권 개선 방안에 따른 국내의 사례공간에 대해 개선 전과 후에 대해 문제점과 개선점을 비교 분석하여, 현재 개발되고 있는 지하철역 주변 공공공간 개선방안에 도움이 되고자 한다. 지하철역 공공공간이 지역적, 문화적 특성을 고려해 사용자들에게 휴식과 문화체험을 할 수 있는 복합문화공간으로써 지역의 랜드 마크 역할을 하며, 나아가 지역이미지 및 정체성의 확보와 구축으로 브랜드 이미지화가 이루어지는데 토대가 되고자 한다. Subway is one of the major methods of transportation for the modern people living in metro cities recent days. It is taken by many passengers and located at the center of busiest commercial area thus it indicates the image and the characteristics in the region. The purpose of this study is to be the guidance for the plan of improvement public spaces around subway stations which are developed currently by comparing the problems and improvements of the past cases that was implemented for the improvement of domestic station regions. It would conduce that public space in the subway could become the local landmark and complex which provide relaxing and cultural experience reflecting the regional and cultural feature, furthermore, the base of a secure foundation for the brand image building up regional characteristic and identity.

      • KCI등재

        급성호흡부전 환자에서 기관절개술 시술 후에 발생한 양측성 긴장성 기흉 1예

        윤현영,오숙의,박종규,신태림,박상면 대한결핵및호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.5

        Tracheostomy is one of the oldest surgical procedures in medical history. The indications for a tracheostomy include the relief of an upper airway obstruction, long-term mechanical ventilation, and decreased airway resistance to help wean the patient from mechanical ventilator support. Unfortunately, tracheostomy is also associated with a number of problems including, bleeding, infection, pneumothorax, and tracheal stenosis. A pneumothorax is an uncommon complication of a tracheostomy, and can result from direct injury to the pleura or positive pressure ventilation through a dislocation of the tracheostomy tube. We report an uncommon case of a tracheostomy-induced bilateral tension pneumothorax with a review of the literature. (Tuberc Respir Dis 2007; 62: 437-440) 기관절개술은 가장 오래된 수술기술 중의 하나로 상기도 폐쇄의 경감, 장기간의 기계호흡유지, 보조적 기계호흡시에 기도 저항의 감소 등의 목적으로 시행할 수 있다. 기관절개술에 따른 초기합병증으로는 기흉, 피하조직기종, 절개부위 출혈, 종격동 기종, 흡인, 기관절개 관 전위 등을 들 수 있다. 수술에 따른 피하조직기종과 기흉은 0.9-5%에서 보고되었다. 본 증례에서는 기관절개술 직후에 피하조직기종과 양측 폐에서 발생한 긴장성 기흉을 경험하였기에 보고하는 바이다.

      • 초등학교 화장실 공간디자인을 위한 가이드라인 개발에 관한 연구

        윤현영(Yoon, Hyun-Young),정유나(Jeong, Yoo-Na) 한국실내디자인학회 2016 한국실내디자인학회 학술대회논문집 Vol.2016 No.05

        Space design of elementary schools in Korea has undergone lots of change fitting the curriculum according to the family type getting smaller. Among many school facilities, however, public health and hygiene sections are absolutely inadequate for such change. Especially for low graders who ender the school for the first time, school is strange space while the toilet feels dirty psychically and sanitarily compared to high graders who are familiar with school life and whose physical development and growth are rapid. The improvement of toilet space is desperate for stable mentality and academic efficiency so at the time of planning space design, a guideline is absolutely needed to improve the space design of toilet where in-the-middle-of-development children"s physical and behavioral characters and taste are reflected. Therefore, this study has the purposes of developing and proposing a guide line for improvement of kids toilet with pleasant use by proceeding with a research based on the users questionnaire to find out problems in current space and situation of toilet in space design of elementary school toilets and by extracting influence factor for indoor design and space organization favored by low graders who are in the middle of development stage. Therefore, this study is to extract design factors required by low grade children to see the cases of development and application of a guideline for space design of toilet that fits their emotional, psychologic and environmental conditions.

      • SCOPUSKCI등재

        폐 농양 치료 중 발생한 이차적 기질화 폐렴

        윤현영 ( Hyeon Young Yoon ),오숙의 ( Suk Ui Oh ),박종규 ( Jong Gyu Park ),신태림 ( Tae Rim Sin ),박상면 ( Sang Myeon Park ) 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.62 No.6

        The patient is a 62-year-old man with known diabetes mellitus who presented with a two-weeks-history of dyspnea, cough, and fever. He was diagnosed with a lung abscess in the right upper lobe and was treated with intravenous antibiotics. The patient`s clinical and radiological findings improved within seven days after medical treatment. However, newly developed ground-glass opacity and infiltrations were observed in the right lower lung. Fourteen days after admission, the patient`s symptoms and imaging finding became aggravated despite trestment with susceptible antibiotics for lung abscess. Trans-bronchial lung biopsy (TBLB) was performed in the lateral basal segment of the right lower lobe of the lung. A histologic photomicrograph showed organizing pneumonia, also called bronchiolitis obliterans with organizing pneumonia(BOOP), that became more definite as the terminal bronchioles and alveoli became occluded with masses of inflammatory cells and fibrotic tissue. The clinical symptoms and radiograph findings resolved quickly with prednisone treatment. We report a case of secondary organizing pneumonia diagnosed after TBLB following lung abscess treatment and provide a review of the literature. (Tuberc Respir Dis 2007; 62: 540-544)

      • KCI등재후보

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