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김용수 ( Yong Soo Kim ),최훈영 ( Hoon Young Choi ),김현진 ( Hyun Jin Kim ),김동기 ( Dong Ki Kim ),정인현 ( In Hyun Jung ),김형종 ( Heung Jong Kim ),이태희 ( Tae Hee Lee ),윤수영 ( Soo Young Yoon ),최규현 ( Kyu Hyun Choi ),강신욱 ( 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.1
Background : Early detection and treatment of chronic kidney disease (CKD) are important for inhibition of kidney disease progression and prevention of cardiovascular complications. Treatment of Anemia that is frequently accompanied with CKD, are important for prevention of cardiovascular complications. The lastest K/SOQI-CKD guideline targets early detection and treatment of kidney disease, and the study for these are necessary in Korea. In Korea, until mowadays, the study for prevalence, severity of anemia and influencing factors on anemia in CKD, were rare. Thus in our center, we classified patient for severity of CKD as K/DOQI-CKD guideline and studied prevalence, severity of anemia and influencing factors on anemia. Methods : According to K/DOQI-CKD guideline, patients were staged by GFR calculated by Adbbreviated MDRD Study Equation. Anemia was defined by Hb lessl than 10.0 g/dL below which hemodynamic change develops. We examined the frequency of anemia and independent factors that influences on anemia in study patients. Results : Mean creatinine levels for stage 1 to 5 were 0.87±0.15 (0.7-1.1) mg/dL; 1.04±0.18 (0.8-1.4) mg/dL; 1.69±0.36 (1.1-2.7) mg/dL; 2.90±0.66 (1.9-4.7) mg/dL; 5.01±1.28 (3.3-8.8) mg/dL. Mean Hb levels and percentage of anemic patients in each stages were 12.95±1.46 (10.5-15.4) g/dL, 0%; 13.31±2.20 (7.8-17.7) g/dL, 10.3%; 11.32±2.07 (7.4-16.6) g/dL, 25.5%; 10.10±1.71 (6.7-14.0) g/dL, 54.8%; 9.21±1.53 (6.2-12.2) g/dL, 76.9%. The frequency of anemia were high in Diabeltes Mellitus Mellitus (DM) compared to Non-Diabeltes (Non-DM) at stage 3, 4, 5 [36.7 vs 12.0% (p=0.06); 70.6 vs 35.7% (p=0.000); 100 vs 64.7% (p=0.06)]. Multivariate logistic regression analysis revealed that DM as etiology (OR 2.53, p=0.033 compared with Non-DM), Albumin level (OR of 5.38 p=0.001 for 3.0-1.4 compared with 4.0-5.3 g/dL) were independent factor determing anemia state in addition to K/DOQI guideline stage. GFR, sex, DM, Albumin level were independent factors associated with hemoglobin levels (R^2=0.571, p<0.001). Conclusion : Anemia in CKD was developed relatively early and frequently at stage 3 (Cr, 1.69±0.36 mg/dL, 25.5%) and more aggravated as decreasing renal function (stage 4, 5; 54.8%, 76.9%). DM as underlying disease, hypoalbuminemia were, independently influenced Anemia development.
혈액투석 환자에서 발생한 폐렴의 임상적 특성에 관한 연구
김영수 ( Young Soo Kim ),김용환 ( Yong Hwan Kim ),송선화 ( Sun Wha Song ),윤선애 ( Sun Ae Yoon ),정병하 ( Byoung Ha Jung ),김길선 ( Gil Sun Kim ),김용수 ( Yong Soo Kim ),김영옥 ( Young Ok Kim ) 대한신장학회 2007 Kidney Research and Clinical Practice Vol.26 No.5
Purpose : The most common infectious diseases in hemodialysis (HD) patients are sepsis and pneumonia. Although there are many data about sepsis in HD patients, pneumonia in HD patients is rarely reported. This study was conducted to compare clinical severity of pneumonia between HD patients and healthy persons. Methods : This study enrolled 36 HD patients who were admitted for pneumonia. Age- and sex-matched 37 persons with pneumonia who did not have any other medical illness were included as a control. We compared clinical manifestations, laboratory and radiologic findings, complications, and clinical course between HD patients and controls. Results : The positive rates of blood and sputum bacterial culture in the HD patients were higher than in those in the controls (blood; 17.6% vs. 2.7%, p=0.028, sputum; 30.3% vs. 5.4%, p=0.005). Compared to the controls, the HD patients had higher incidence of thrombocytopenia (25.0% vs. 0%, p=0.001) and hypoxia (41.7% vs. 2.7%, p=0.000). The number of the lobes involved was larger and higher incidence of bilateral lesions and parapneumonic effusions were observed in the HD patients. In addition, the HD patients had higher incidence of recurrence than the controls (16.7% vs. 0%, p=0.025). Pneumonia-related mortality rate tended to be higher in the HD patients than the controls but there was no statistical differences between the two groups (11.1% vs. 0%, p=0.054). Conclusion : This study shows that pneumonia in HD patients takes a more severe clinical course than in healthy persons. It seems that pneumonia in HD patients has a higher propensity to develop bacteremia.
김진영 ( Jin Young Kim ),송명준 ( Myong Jun Song ),정병하 ( Byung Ha Chung ),김민수 ( Min Soo Kim ),유혜영 ( Hyei Young You ),김영수 ( Young Soo Kim ),양철우 ( Chul Woo Yang ),김용수 ( Yong Soo Kim ),문인성 ( In Sung Moon ),고용복 대한내과학회 2003 대한내과학회지 Vol.64 No.4
목적 : 신장이식환자들은 일반인들보다 암 발생률이 높으며 이 중 방광암이 많은 비율을 차지한다1,2,4,11). 신장이식환자에서 발생한 방광암의 발생률이나 특징에 대하여 국내에서 아직 보고된 바 없어 이에 저자들은 신장이식환자들에게서 높은 발생률을 보이는 방광암에 대해서 일반인들의 방광암과 구분되는 특징을 살펴보고 조기발견 및 치료에 도움이 되고자 연구를 시작하였다. 방법:가톨릭대학교 의과대학 강남성모병원에서 1969년 3월부터 2002년 4월까지 약 Background : With the rise in the number of renal transplantation procedures in the past years, the incidence of bladder cancer in transplant recipients has increased. This study undertaken to evaluate the clinical characteristics and outcome in renal tra
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김용수 ( Young Soo Kim ) 한국근대영미소설학회 2018 근대 영미소설 Vol.25 No.3
Willa Cather’s The Professor’s House was written when she was in a deep depression after her popular success and favorable critical reception for One of Ours and A Lost Lady. She had been well known as a prairie writer till then. While she secured fame and money with her popular works, she felt exhausted both physically and psychologically by that time. When she returned from her trip to France, she felt the world was divided into two. America in the 1920s was under heavy influence of materialism due to economic boom and she lost her confidence in confronting such a world where old ideals lost their values. The Professor’s House reflects her own anxiety as an artist who should live out in this hostile world. St. Peter’s prize granted for his academic achievement is spent for a new house and immerses his wife into mammonism. Tom Outland’s patent fee spoils Rosamond and evokes greed and jealousy in the McGregors and the Cranes. Avoiding them, he secludes in the attic of the old house and attempts to recover his vitality through his memory of Tom and his childhood in Kansas. His final realization that he cannot recover his lost innocence leads to his resolution to live the remaining life without joy, which also shows Cather’s condition as a writer who should restart in the changed time.