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Advanced Gastric Cancer Perforation Mimicking Abdominal Wall Abscess
조진범,이도상,박일영,성기영,백종민,이준현 대한위암학회 2015 Journal of gastric cancer Vol.15 No.3
Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy and expired on the 82nd postoperative day. Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purposes. We recently treated a patient with a large gastric cancer invading the abdominal wall, which was initially diagnosed as a simple abdominal wall abscess. Computed tomography showed that an abscess had formed adjacent to the greater curvature of the stomach. During surgery, we made an incision on the abdominal wall to drain the abscess, and performed curative total gastrectomy with partial excision of the involved abdominal wall. The patient received intensive treatment and wound management postoperatively with no surgery-related adverse events. However, the patient could not receive adjuvant chemotherapy andexpired on the 82nd postoperative day.
초등교사의 과학 전문성과 과학관련 연수에 대한 인식 조사
조진범,하민수,차희영 한국교원대학교 교육연구원 2008 敎員敎育 Vol.24 No.4
The purpose of this study was to investigate a recognition of elementary school teachers' science professionality and in-service training for science. For this study, a questionnaire included 34 questions was developed and applied to 455 elementary teachers. The results of survey shows that many elementary teachers had insufficiency of recognition as experts at science education. Second, many elementary teachers have taken in-service training passively. Third, they responded that they have few opportunities to take in-service training program because in-service training program for elementary teachers was not various. In addition, they required improvement and a new and continuous development of in-service training programs for security of science teachers’ expertise. Lastly, they preferred in-service teachers who have pedagogical content knowledges or excel in teaching skill as lecturer for in-service training. 이 연구의 목적은 기초 과학 교육을 담당하는 초등교사의 과학전문성과 연수에 대한 인식을 조사하는 것이다. 초등교사의 과학 전문성에 대한 인식, 초등과학실험연수에 대한 인식, 실험연수 이외의 과학관련 연수에 대한 인식, 초등 과학관련 연수의 운영 방향으로 구성된 34문항의 설문지를 개발하여 전국의 초등 교사 455명을 대상으로 설문조사를 실시하였다. 연구 결과 교사들은 초등교사의 과학전문성에 필요한 능력으로 과학에 대한 관심과 호기심을 증진시키는 능력과 실험, 탐구 지도 능력을 중요하게 생각하고 있었고, 과학전문성 기준에 포함할 영역으로는 과학적 개념 이해 수준, 교육과정 이해 및 적용 수준, 실험․탐구 이해 및 수행수준을 중요하다고 생각하고 있었다. 또한 초등교사의 과학전문성 확보를 위해 체계적인 대학의 과학교사 양성 프로그램의 개선과 실험 연수 등 직무 연수 프로그램의 개선, 지속적인 새로운 형식의 과학교사 연수 프로그램을 개발해 줄 것을 요구하였다. 관주도적인 연수에 대한 만족도가 낮았으며 연수의 교육과정, 내용지식의 수준, 연수의 양, 강사에 대한 만족도가 낮았다.
Incidentally Discovered Deep Neck Infection in a Septic Patient
조진범,성기영 대한중환자의학회 2014 Acute and Critical Care Vol.29 No.2
We incidentally discovered a case of deep neck infection during the treatment of a patient who presented with complaints of decreased consciousness, abdominal distension, and electrolyte imbalance. The patient had neither clinical symptoms nor radiologic findings indicative of deep neck infection; rather, the findings indicated intra-abdominal sepsis and adrenal crisis, for which the symptomatic treatment was provided. When the expected improvement was not observed, we retrospectively reviewed the patient’s test records and discovered deep neck infection. Empiric parenteral antibiotic therapy and infection source control, as appropriate for this patient, were administered within 72 hours of hospital admission, without which the condition may have proved fatal. In this report we discuss the best approach for the management of unresolved infectious disease and review the clinical features of deep neck infection.
단일 기관에서 치료한 췌 십이지장 손상에 대한 임상경험 보고
조진범 ( Jin Beom Cho ),이준현 ( Jun Hyun Lee ),이도상 ( Do Sang Lee ) 대한외상학회 2013 大韓外傷學會誌 Vol.26 No.4
Purpose: Although the duodenum and the pancreas are protected by surrounding organs and have a low probability of injury during trauma, the mortality and the morbidity due to complications is high. This report includes the pancreaticoduodenal injuries we observed that were treated at a single institute. Methods: The medical records of patients admitted to our institute between 2001 and 2012 for pancreaticoduodenal injury were retrospectively reviewed. Results: In our hospital, between 2001 and 2012, 15 patients were admitted for a pancreaticoduodenal injury. All patients experienced blunt trauma, 6 of whom were involved in traffic accidents and 9 of whom received injuries from physical assault. Most of the patients were men(13 of 15 patients, 86%) with a mean age of 23 years (range, 5?39 years). All patients were admitted to the emergency center and managed by the surgeons on duty. The mean value of the injury severity score was 22. The mortality rate was 6%(1 of 15 patients). Seven of the fourteen surviving patients(50%) had duodenal injury, 6 patients(42%) had a pancreatic injury, and 1 patient(7%) had a combined pancreaticoduodenal injury. The surgical procedures were targeted at damage control. Conclusion: In conclusion, we believe that damage control surgery is the optimal management for a pancreaticoduodenal injury.
조진범(Jin Bum Cho),조항주(Hang Joo Cho),신옥란(Ok Ran Shin),김기환(Kee Hawn Kim),안창혁(Chang Hyeok Ahn),김정수(Jeong Soo Kim),유승진(Seung Jin Yoo),임근우(Keun Woo Lim),김지일(Ji Il Kim) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.74 No.6
Purpose: A mucocele of the appendix is an uncommon pathology, representing 0.2% to 0.3% of all appendix specimens. It is often diagnosed clinically as a result of its ability to cause signs and symptoms similar to those of acute appendicitis. If it is asymptomatic, it is often detected as an incidental finding during ultrasonography, computed tomography, radiographic examination of the gastrointestinal tract, or laparotomy. The purpose of this study was to identify the clinical features of mucocele of the appendix. Methods: We describe 35 cases of mucocele of the appendix diagnosed at Uijeongbu St. Mary’s hospital between January 1993 and December 2006. We analyzed demographic, clinical, and pathologic data of all the cases. Results: A total of 12 males and 13 females with mean age of 54.7±14.9 years are described. The peak incidence occurred in the seventh decade (34.3%). Sixteen patients presented with symptoms and signs similar to those found in acute appendicitis. Ten patients complained of a palpable mass, 2 patients complained of non-specific abdominal pain, and 7 patients were asymptomatic. Fourteen cases were diagnosed preoperatively, and 3 cases were discovered incidentally. Pathologic examination revealed mucosal hyperplasia in 20% of the cases, cystadenoma in 71%, and cystadenocarcinoma in 9%. The mean age of cystadenocarcinoma patients was older than the mean age of mucosal hyperplasia patients, and the diameter of the appendix was larger in cystadenoma patients than in mucosal hyperplasia patients. Conclusion: The preoperative diagnosis of appendiceal mucocele is very important to make in order to facilitate treatment planning and avoid inadvertent rupture of the mucocele during operation. We recommend more diagnostic studies in cases of suspected mucocele. Mucocele of the appendix must be included in the differential diagnosis of patients with pain in the right iliac fossa, patients older than 40 years of age, patients suffering from long-term symptoms, and patient with a palpable mass in the right iliac fossa.