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.

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.

농촌지역 노인들의 우울증상에 관련된 요인들의 특성

송미숙,전기홍,송현종,김정은,박승구,신상건,이동훈,정성현,최연주,최완철,최민규,황재철,홍지만 아주대학교 1997 아주의학 Vol.2 No.2

This study was performed to identify risk factors for depression among the elderly in a rural area. A survey was done for the elderly living in Gosam-myenn, Ansung-kun during the period of July 28, 1997 and July 30, 1997. Demographic and sodoeconornic characteristics, and functional and health Status were assessed using a structured questionnaire, and the level of depression was measured by GDS score. The data obtained were analyzed by frequencies, percentage, t-test, ANOVA, and multiple regression, and the results were as follows: 1. The total sample consisted of 133 elderly. Of them, 47 elderly (35.4%) showed significant depressive Symptoms. 2. The GDS score was the highest for the group over 85 years of age (p < 0.05). Those living alone or widowed showed lower GDS score than those living with someone or married (p < 0.05). 3. The GDS score was the highest in the absolutely dependent group, followed by the partially dependent group, and the independent group (p < 0.01). The elderly who perceived their health Status as excellent showed the lowest GDS score. In contrast, those who had more than five chronic diseases showed the highest GDS score. 4. The elderly receiving financial and emotional support from their family or friends showed lower GDS score compared to those without any support. 5. The economically dependent group showed higher GDS score than that of independent group. 6. The elderly who involved in leisure activities showed lower GDS score than those without any involvement. 7. In terms of risk factors for depression, we found that perceived health Status, subjective economic Status, leisure activities, living arrangement and financial support were inversely associated with GDS score, whereas labor support was positively associated with GDS score. Based upon the above findings, this study suggests that these risk factors for depression in the elderly should be taken into consideration for a comprehensive mental health program for the elderly living in the rural area.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

다양한 함불소가스들의 고비점 용매에 관한 용해도 측정 및 엑막에 의한 분리

최평호,이상학,김철웅,김범식,김광주,이정민,박인준 한국공업화학회 2002 응용화학 Vol.6 No.2

The solubility of various fluoro-gases in high boiling-point solvents, n-Cnh_2n+_1OH(6<n<10)and ionic liquids(+ ions: 1-Buty 1-3-methy1-imidazolium, 1-Ethy1-3-methy1-imidazolium, - ions:BF_4, PF_6, S_6F_6, F_6O_4S_6) were measured at temperatures from 0 to 30℃, at total pressures up to 4 bat Solubility increased significantly with the decrease of n in n-Cn_2N+OH and showed no such a difference in the types of ionic liquids, Especially, the solubility of R22 gas in these solvents increases rapidly with increases in pressure and decreases in temperature, whereas other fluoro-gases were showed a little solubility Liquid-supported membranes were prepared with these solvents and polymer matrix and were applied to the separation of fluoro-gases including R22 gas. A high permeability and selectivity were exhibited in R22 gas against other fluoro-gases.

지각된 스트레스와 스트레스 대처방식이 직장인의 우울과 불안에 미치는 영향

최영민,이정호,이기철 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.6

Objectives : We attempted to clarify the relationship of perceived stress and the ways of coping to depression and anxiety in the white-collar workers. Methods : Fine Humded forty-five white-collar workers in a large enterprise were studied using a questionnaire package composed of demographic data, job stress questionnaire, global assessment of recent stress, the ways of coping checklist, Beck depression inventory, and state-trait anxiety inventory. And self reports of the subjects were statistically analyzed with the method of path analysis. Results & Conclusions : Perceived stress(job stress plus life stress) and the coping(problem-focused plus emotion-focused) determined 28.2% of the depression, 39.1% of the state-anxiety, and 35.4% of the trait-anxiety. These findings suggest that perceived stress and the coping have significant effects on the depression and state-trait anxiety of the white-collar workers. Although seemingly similar, problem-focused and emotion-focused copings, were contrary to each other in effects. Problem-focused coping reduced depression, anxiety and perceived life stress. However, emotion-focused coping didn't reduce the depression and anxiety. Furthermore, emotion-focused coping tended to increase perceived life stress. From these findings the authors inferred that emotion-focused coping interpreted the perceived stress as threatening and consequently became ineffectively defensive. On the other hand, problem-focused coping appeared to interpret the perceived stress as challenge and this challenge-appraisal mobilized effective coping resources. Applying path analysis, the aurhors could make the interactional stress model in the white-collar workers comprised of perceived job stress, perceived life stress, problem-focused coping, emotion-focused coping, depression, and state-trait anxiety.

출산후 여성의 우울성향과 영아 기질, 양육 스트레스 및 대처방식과의 연관성

최영민,이승휘,김영미,이정호,전성일,이기철 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

목 적 : 산후우울증의 발생은 출산 직후부터 1년까지 지속될 수 있고 출산 이후에도 오랜 기간동안 발생 가능성이 있으며, 산후우울증을 단순히 선행하는 감정적 문제, 통제 소재, 사회적지지, 출산과 동반된 생리적 변인만으로 설명할 수 없다. 그러므로 산후우울증은 출산후 산모-영아 상호관계에서 겪게되는 어려운 영아의 기질, 산모가 영아를 양육하면서 겪게되는 양육 스트레스, 그리고 산모의 대처 방식과 연관이 있을 것이다. 본 연구는 산후우울증과 영아 기질, 양육 스트레스, 대처방식을 변인으로 하여 산후우울증과의 연관성을 평가하기위해 산후의 우울성향과 각 변인의 관계를 연구하였다. 방 법 : 연구의 대상은 1996년 7월 16일부터 8월 27일까지 인제 대학교 의과대학 부속 상계백병원 소아과 외래에 예방 접종을 위해 내원한 4개월에서 12개월 사이의 영아를 둔 산모 105명을 대상으로 하였다. Beck우울척도(BDI), 영아기질척도(EAS), 부모 양육스트레스 목록표(PSI), 대처방식척도(WCC)를 사용하여 산후의 우울성향과 이들 변인과의 연관성을 평가하여 다음과 같은 결과를 얻었다. 결 과 : 1) 어머니의 우울성향 점수는 영아의 기질중 부정적 정서성(r=.26 p<0.05), 과도한 활동성(r=.22 p<0.05)과 유의미한 상관 관계를 보였다. 영아의 사회성 척도와는 부적 상관이 있었으나 통계적으로 유의미하지는 않았다. 2) 어머니의 우울성향 점수는 양육 스트레스와는 정적 상관관계가 있었다(r=.44 p<0.001). 3) 어머니의 우울성향 점수와 대처방식과 유의미한 상관관계를 보이지 않았다. 4) 영아의 부정적 정서성과 양육 스트레스는 정적 상관관계가 있었으나(r=.49 p<0.001) 사회성, 활동성과의 상관관계는 유의미하지 않았다. 양육 스트레스와 대처방식과도 통계적으로 유의미한 상관관계를 보이지 않았다. 결 론 : 본 연구 결과, 산모의 산후 우울성향과 첫째, 영아 기질 중 정서성과 활동성이 연관관계가 있고 둘째, 양육스트레스와 연관이 있으나 세째, 대처방식과는 연관이 없었다. 이런 결과는 산후의 우울성향과 각 요인과의 연관성을 살펴볼 때 산후우울증에 더 중요한 영향을 미치는 것은 산모의 대처 방식이라는 어머니 측의 변인보다는 출산과 동반된 양육 스트레스 혹은 영아의 어려운 기질일 것이라고 추론할 수 있다. Objectives : This Study examined the relationship of depressive tendency in postpartum women with psychosocial factors such as infant temperament, parental stress and coping style. Methods : The subjects consisted of 05 postpartum women, each of whom had an infant aged 4 to 12 months. They were assessed on demographic variables and on measures of the depressive symptomatology, infant temperament, parental stress and the coping style using Beck Depression Inventory(BDI), the EAS temperamental survey, Parenting Stress Index(PSI), the Way of Coping Checklist(WCC). And then we assessed the relationship of depressive tendency in postpartum women with psychosocial factors. Results : The results were as follows : 1) Depressive tendency in postpartum women had significant relationship with emotionality(r=.26 p<0.05) and activity(r=.22 p<0.05) of infant temperament. 2) Depressive tendency in postpartum women had significant relationship with parenting stress(r=.44 p<0.001). 3) Depressive tendency in postpartum women had no significant relationship with coping style. 4) Parental stress had significant relationship with emotionality(r=.49 p<0.001) but did not have any relationship with sociability and activity of infant temperament. Parenting stress had no significant relationship with coping style. Conclusion : These results suggest that depressive tendency in postpartum women correlated with emotionality and activity of infant temperament correlated with parenting stress but not correlated with coping style. Infant temperament and parenting stress to child rearing are more significantly correlated with depressive tendency in postpartum women than coping style of postpartum women.

1,2-Benzisothiazol-3-one-1,1-Dioxide 유도체의 합성

정대일,정희철,변석인,이용균,박유미,최순규,한정태 東亞大學校附設基礎科學硏究所 2002 基礎科學硏究論文集 Vol.19 No.1

사카린 유도체는 제초제, 항독성, 살균제 등에 광범위하게 연구되어져 오고 있다. 새로운 농략 활성을 가진 물질을 합성하기 위해 먼저 선도물질로 사카린 1을 산화, 염소화 시킨 3-chloro-1,2-benzisothiazol-1,1-dioxide(BID-CI) 2와2cholromethy-1,2-benzisohizol-3-one1,1-dioxide 4를 합성하였다. 선도물질, amines, imidazoles, trones등과 반응시켜 다음과 같은 물질들을 얻었다. ; 3-cyclohexylamino-1,2-benzisothiazol-1,1-dioxide 6, 3-furylamino-1,2-benzisothiazol-1,1-dioxide 8, 3-(3-imidazol)-1,2-benzisothiazol-1,1-dioxide 10, 3-(2-methy-3-imidazol)-1,2-benzisothaizol-1,1-dioxide 12, 2-(3-imidazol)methy-1-1,2-benzisothiazol-3-one-1,1-dioxide 13, and 2-(-3-imidazol)methyl- 1,2-benzisothiazol-1,1-dioxide 14.

離散型計劃法에 의한 鐵筋 Concrete 斷面의 最適化에 관한 硏究

鄭哲源,최규도 圓光大學校 1987 論文集 Vol.21 No.2

本 硏究는 一連의 設計制約을 받는 構造物 系의 各 成分이 fixed set에서 選擇되어 질때 그 系를 最適化하는 數學的計劃法을 敍述하고 있다. N次 制約空間의 幾何學的 形象에 대한 解析이 만들어 지고, 그 解析節次는 制約空間에서 目的函數平面을 移動시킴으로써 考案된다. 目的函數를 移動시키는 것은 設計變數가 미리 規定한 範圍에서 選擇되어 질 때 그 問題에 대한 最適解를 決定하기 위해서다. 더욱 進步된 探索過程에서 幾何學的 묘사가 敍述되어 있으며, 그에 대한 數學的 公式이 表現되어 있다. This study presents a mathematical programming method by which a designer can optimize a system of components when the system is subjected to a set of design constraints and the individual components must be picked from a fixed set. An analysis of the geometric configuration of an N?? order constrained space is made and a procedure is devised by which an objective function plane can be translated through this space in a controlled manner. The controlled translation of an objective function is for the purpose of determining the optimum solution to a problem when the variables must be selected from some pre-defined set. A geometrical description of the developed search routine is given and is supported with a mathematical description.

정신분열병환자와 기질성뇌증후군환자에 있어서 KWIS 하위검사들의 비교

최영택,박영남,정철호 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.3

In order to compare the cognitive functions between schizophrenia and organic brain syndrome, the authors performed Korean Wechsler Intelligence Scale(KWIS) for 30 schizophrenics and 30 patients with organic brain syndrome. Schizophrenics had significantly higher scores than patients with organic brain syndrome on the subscales of 'information', 'similarities' and 'block design' of KWIS, but no significantly differences were found between the two groups on the subscales of 'comprehension','arithmetic' and 'picture arrangement' of KWIS. These findings suggest that schizophrenics might be less impaired than patients with organic brain syndrome in the cognitive functions which required only simple memory or spontaneous visuomotor task, but there seemed to be no differences between two groups in those cognitive functions which required more complex, abstract and logical thinking or sustained attention.