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윤현진(Hyun Jin Youn),김진수(Jin Soo Kim),이재명(Jae Myung Lee),강소은(So Eun Kang),정순희(Soon He Jung),한병근(Byoung Geun Han),최승옥(Seung Ok Choi) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.4
The association of malignancy with glomerulonephritis is well known. The most frequent observed renal lesions associated with malignancy are the membranous glomerulonephritis on carcinoma and minimal change nephrotic syndrome on Hodgkin's disease. Recently, IgA nephropathy associated with liver disease, connective tissue disease, gastrointestinal disease, dermatologic disease, hematologic disease and malignancy were reported. But the relationship between malignancy and IgA nephropathy is not clearly resolved. Here we report a case of IgA nephropathy associated with early gastirc cancer. Successful treatment of early gastric cancer didn't completely resolve the IgA nephropathy but led to a significant reduction of hematuria and loss of proteinuria. Therefore we suggest that a certain association between IgA nephropathy and early gastric cancer can be made by studying the course of the disease.
윤현진 ( Hyun Jin Youn ),박성조 ( Sungjo Park ),차상우 ( Sang-woo Cha ),조영덕 ( Young Deok Cho ),진소영 ( So-young Jin ) 대한췌담도학회 2017 대한췌담도학회지 Vol.22 No.2
융모막암은 임신과 연관되어 융모막조직이 비정상적으로 성장하는 종양으로 난소, 고환, 자궁 등 생식기관에 주로 발현되며 주변장기로의 침범이나 원격전이를 잘하는 특징이 있다. 융모막암이 생식기관이 아닌 장기에서 발생하는 경우는 매우 드물며 대부분 나쁜 예후를 보인다. 저자들은 중년 여성에서 급성 췌장염과 뇌출혈로 발현되고 다발 장기전이를 동반한 췌장 융모막암 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Non-gestational, extragonadal choriocarcinoma is a rare disease and pancreatic choriocarcinoma is an extremely rare disease. Choriocarcinoma of nonplacental origin is a highly malignant carcinoma with poor prognosis. It is characterized by high serum human chorionic gonadotropin levels. There is no standard therapy for extragonadal choriocarcinoma. Herein, we report a 47-year-old woman who presented with acute pancreatitis and left hemianopsia and was diagnosed with pancreatic choriocarcinoma with multiple metastases in liver, lung, and brain. Although the patient was treated with best supportive care, she succumbed to cerebral edema and hypernatremia on the fifteenth day of hospitalization. Korean J Pancreas Biliary Tract 2017;22(2):82-86
계층분석법을 이용한 건물 에너지관리시스템의 에너지절감성능 평가지표 제안
곽노열(Kwak, Ro-Yeul),임동순(Yim, Dong-Soon),윤현진(Yoon, Hyun-Jin),정연쾌(Jeong, Youn-Kwae),이일우(Lee, Il-Woo) 대한건축학회 2012 대한건축학회논문집 Vol.28 No.3
As annual energy consumption rates in the Korean built environment are significantly increasing every year, deployment of building energy management system (BEMS) needs to be more encouraged and be thoroughly implemented in order to fundamentally reduce building energy consumption rate. However, its successful deployment and thorough implementation require understanding of the status and trends of BEMS in the domestic and overseas building sector. Clear understanding of the role of BEMS and its performance assessment items and assessment indices can significantly improve the performance level of BEMS. This study aims at suggesting assessment indices for evaluating energy saving performance using AHP analysis in operating energy saving control as a base of impact of energy saving control on energy usage in building through analysis of building composition element and saving control element. To this end, weighting ratio of composition element are suggested using AHP method over energy management specialists and the items composing assessment indices are verified through the consensus among the domain experts. In addition, the assessment indices were applied to four real-world BEMS operated buildings in order to evaluate their energy saving performance and to demonstrate the feasibility of the proposed assessment method. As a result of verification of assessment indices suggested in this study, it is necessary to further integrate various kind of saving control schemes into the current energy saving control items if items of assessment indices is to reach the goal of energy saving. Also, it is necessary to consider adoption ratio of energy saving control item and degree of level of application item, additionally, in order to make up for degree of energy saving control.
소라페닙 치료 실패 후 세포독성화학요법으로 완전반응을 보인 폐전이를 동반한 간세포암 1예
박화선 ( Hwa-sun Park ),장재영 ( Jae Young Jang ),백민영 ( Min Young Baek ),김용권 ( Yong Kwon Kim ),윤현진 ( Hyun Jin Youn ),백수영 ( Su Young Back ),정승원 ( Soung Won Jeong ),이세환 ( Sae Hwan Lee ),김상균 ( Sang Gyune Kim ) 대한간암학회 2017 대한간암학회지 Vol.17 No.1
Hepatocellular carcinoma (HCC) is the 2nd most common cause of cancer related death in Korea and well-known malignancy with poor prognosis. Sorafenib is the first-line molecular targeted agent in patients with extra-hepatic spread of HCC. However, complete response is extremely rare in patients treated with sorafenib and the disease control rate is only 43%. We report a 53-year-old man with advanced HCC with pulmonary metastasis who showed complete response by cytotoxic chemotherapy with doxorubicin and cisplatin with relatively tolerable adverse effects after failure of treatment with sorafenib. (J Liver Cancer 2017;17:72-76)
윤수영 ( Soo Young Yoon ),최소래 ( So Rae Choi ),강이화 ( Ea Wha Kang ),구영석 ( Young Seok Goo ),김범석 ( Beom Seok Kim ),윤현진 ( Hyun Jin Youn ),강신욱 ( Shin Wook Kang ),최규헌 ( Kyu Hun Choi ),이호영 ( Ho Yung Lee ),한대석 ( 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.1
목적 : 우리나라 투석 환자에서의 결핵의 특징적인 임상 양상을 알아보고자 후향적으로 본 연구를 시행하였다. 방법 : 1982년 1월부터 2001년 12월까지 세브란스병원에서 투석을 시작한 환자 중 결핵으로 확진된 34예를 대상으로 그 임상 양상을 조사하였다. 결과 : 대상 환자는 남자가 16명, 여자가 18명이었으며, 평균 연령은 52.4세였고, 평균 투석기간은 36.4개월이었다. 혈액투석 환자가 14명, 복막투석 환자는 20명이었고, 원인 신질환으로는 당뇨가 9명 (26.5%)으로 가장 많았다. 부위별로는, 폐결핵이 14명으로 41.2%였고, 폐 외 결핵 20명 중 임파선 결행기 10명 (50%), 복막염이 4명 *20%), 속립성 결핵이 3명 (15%), 그 외척축, 심낭과 하지 근육의 결핵이 각각 1명씩이었다. 폐결핵의 경우 호흡곤란과 권태감이 뚜렷하였고, 임파선 결핵을 제외하고는 발열, 체중 감소 등 결핵 환자의 전형적인 증상을 보이는 경우는 드물었다. 백혈구의 증가는 없었으나, 빈혈, 체중간소 등 결핵 환자의 전형적인 증상을 보이는 경우는 드물었다. 백혈구의 증가는 없었으나, 빈혈, 저알부민혈증과 더불어 급성기 반응 물질의 증가가 현저하였다. 결핵균이 동정된 경우 3명 (8.8%0이었고, 폐 외 결핵의 경우는 조직검사로 진단된 경우가 가장 많았다. 항결핵제 복용 중단의 원인은 소화 장애가 가장 많았다. 10명은 완치되었고, 12명은 현재 치료 중이며, 4명이 사망하였고 1명에서 재발이 관찰되었다. 결론 : 투석 환자에서의 결핵은 폐 외 결핵의 발생 빈도가 높고, 임상 양상이 전형적이지 않아 진단이 어려우나, 적절히 치료하면 재발은 흔하지 않으므로 결핵이 의심되는 환자에서는 적극적인 진단 및 치료가 요구된다. Background : A retrospective study of the clinical features of tuberculosis in patients undergoing maintenance dialysis was performed. Methods : We reviewed medical records of patients. Results : Among thirty-four patients, fourteen were on hemodialysis and twenty were on peritoneal dialysis. Mean age was 52.4±13.8 years, and interval between initiation of dialysis and onset of tuberculosis ranged from 1 to 146 months. There were 14 cases of pulmonary tuberculosis, 10 cases of tuberculous lymphadenitis, 4 cased of tuberculous peritionitis, 3 cases of miliary tuberculosis, 1 case of spinal tuberculosis, 1 case of tuberculosis of thigh. Patients with pulmonary tuberculosis usually presented with dyspnea and malaise. But typical symptoms of tuberculosis such as fever, cough, sputum, and weight loss were rarely observed. Leukocytosis was absent but anemia, hypoalbuminemia and significant increase in acute phase reactants such as ferritin and C-reactive protein was obvious. Diagnosis was established by positive AFB in 3 patients, and in cases of extrapulmonaty tuberculosis, 13 among 20 patients were diagnosed by typical histologic characteristics on a tissue biopsy. Antituberculous treatment consisted of isoniazid, rifampicin, pyrazinamide, and occasionlly ethambutol. And in several cases, incision and drainage, pericardiocentesis, or removal of peritoneal catheter were performed. Among the patients, just one recurrence was observed and four patients died while on antituberculous treatment. Conclusion : In dialysis patients, extrapulmonary tuberculosis is common and diagnosis of tuberculosis is difficult for its atypical manifestations. Therefore, early diagnosis and prompt initiation of treatment is needed in patients with high suspicion of tuberculosis.