한국잡지의 현실과 고민

金熒允 관훈클럽 1993 관훈저널 Vol.- No.56

방광암의 진행에 Deubiquitination 유전자의 역할에 관한 분자생물학적 연구

김형윤,이영구,이상은 대한비뇨의학회 2002 Investigative and Clinical Urology Vol.43 No.12

고환백막에서 발생한 평활근종 1례

김형윤,조성태,이영구,김기경,박흥원,양익,Ik Yang 大韓泌尿器科學會 2001 Korean Journal of Urology Vol.42 No.5

삼천포 태양광 발전 100kW 최초 전력거래

김형윤,임상철,Kim, Hyeong-Yun,Im, Sang-Cheol 대한전기협회 2006 전기저널 Vol.- No.351

A Rare Case of Iatrogenic Deep Neck Infection Secondary to Hypopharyngeal Injury Caused by the Transesophageal Echocardiography

김형윤,이상철,박성지,최진오,장성아,김성목,최연현,오재건,박승우 한국심초음파학회 2015 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.23 No.3

Transesophageal echocardiography (TEE) is considered relatively safe but semi-invasive. The hypopharyngeal and esophagealinjury is infrequent complication of TEE but could be serious, even life-threatening. We present a case of a 74-year-old manwho experienced a deep neck infection secondary to hypopharyngeal injury following TEE. The diagnosis was made becauseof the subcutaneous emphysema developed 3 hours after TEE. In spite of antibiotics therapy with prolonged fasting, a rightparapharyngeal and retropharyngeal abscess was developed 5 days later. With ultrasound-guided drainage of abscess andcontinuous antibiotic treatment, infection was controlled. The patent underwent mitral valve repair after 14 days of antibiotictherapy. The patient recovered uneventfully. For cardiologists performing TEE, it is required to know complications and theirrisk factors to minimize hypopharyngeal and esophageal injury.

Natural Course of Adult Ebstein Anomaly When Treated according to Current Recommendation

김형윤,장신이,문주령,김은경,장성아,송진영,허준,강이석,양지혁,전태국,박승우 대한의학회 2016 Journal of Korean medical science Vol.31 No.11

The objectives of this study were to assess the clinical outcomes of adults with Ebstein Anomaly (EA) according to their treatment modalities. All adult EA patients diagnosed between October 1994 and October 2014 were retrospectively evaluated by medical record review. Total 60 patients were categorized into 3 groups according to their treatment strategy, i.e. non-operative treatment (Group I, n = 23), immediate operative treatment (Group II, n = 27), and delayed operative treatment (Group III, n = 10). A composite of major adverse cardiac and cerebrovascular events (MACCE) and factors associated with MACCE were assessed in each treatment group. MACCE occurred in 13.0% patients in Group I, 55.6% patients in Group II and 50% in Group III (P = 0.006). Event free survivals at 5 years were 90% in Group I, 52.7% in Group II, 50.0% in Group III (P = 0.036). Post-operatively, most patients showed improvement on clinical symptoms. However, event free survival rate was lower in patients with operation compared to those with non-operative treatment (58.7% vs. 90.9%; P = 0.007). Major arrhythmic event occurred more frequently even after surgical ablation (50.0% vs. 20.0%; P = 0.034). Re-operation was more frequent in patients underwent delayed surgery compared to those with immediate surgery (50.0% vs. 18.5%; P = 0.001). Current guideline to decide patient’s treatment strategy appeared to be appropriate in adult patients with EA. However, surgical ablation for arrhythmia was not enough so that concomitant medical treatment should be considered. Therefore, attentive risk stratification and cautious decision of treatment strategy by experienced cardiac surgeon are believed to improve clinical outcome.

Determinants of sensitization to allergen in infants and young children

김형윤,신윤호,한만용 대한소아청소년과학회 2014 Clinical and Experimental Pediatrics (CEP) Vol.57 No.5

Atopic sensitization is a complex phenomenon that changes dynamically with age throughout childhood;its prevalence increases with age in young children. Additionally, with increasing age, the prevalenceof sensitization to inhalant allergens and the prevalence of polysensitization to allergens increase. It isalso well established that the development of atopic sensitization is the result of a complex interplayof genetic and environmental factors. However, there is considerable heterogeneity in the literature interms of the effect of different environmental exposures in young children on the subsequent risk ofatopic sensitization and allergic diseases. Previous studies on the relationship, in early life, between petownership, sex, exposure to secondhand smoke, exposure to traffic-related air pollution components,and atopic sensitization have yielded different results. Recent studies have highlighted the importanceof gene-environment interactions, especially during early childhood, on the risk of subsequent atopicsensitization and allergic diseases. Therefore, pediatricians should consider the genetic and environmentaldeterminants of atopic sensitization in infants and young children when diagnosing and treatingpatients with allergic diseases. Determining ways in which early exposure to these risk factors in youngchildren may be reduced could be beneficial in preventing the likelihood of developing atopic sensitization.

Gender Differences in Clinical Profiles of Stress-Induced Cardiomyopathy

김형윤,고준형,장신이,김은경,한주용,김덕경 한국심초음파학회 2017 Journal of Cardiovascular Imaging (J Cardiovasc Im Vol.25 No.4

Background: Although stress-induced cardiomyopathy (SCMP) is reported to be more common in women, little is knownabout gender differences in patients with SCMP. The aim of the study was to describe clinical features of patients with SCMP according to gender. Methods: One hundred and three patients diagnosed with definite SCMP at a single tertiary institute from January 1997 toAugust 2014 were enrolled. SCMP was more common in women than in men. Results: Age at presentation was not significantly different between the two groups (p = 0.758). Preceding physical stress, especially acute medical illness, was more common in male patients (p = 0.014), whereas emotional stress was more common in female patients (p = 0.016). Severity of medical illness classified by the Acute Physiology and Chronic Health Evaluation(APACHE) II score at the time of SCMP diagnosis was not significantly different between men and women (p = 0.752). Clinicalcharacteristics, including symptoms, laboratory and electrocardiographic findings, were similar. However, pump failure was moresevere in men (p = 0.024). Clinical outcomes were not statistically different (p = 0.220). Preceding physical stress and lower leftventricular systolic function after 2 months were independent risk factors for all-cause mortality for both genders. Women with anAPACHE II score ≥ 15 and men with reduced left ventricular ejection fraction after 2 months had a greater risk of poor prognosis. Conclusion: SCMP was more common in female patients. Female patients more commonly experienced preceding emotionalstress, whereas physical stress was more common in male patients. Systolic dysfunction was more severe in men. Long-term clinical outcomes appeared to be similar between men and women.

공공구매 플랫폼의 공유가치 창출 활동이 장기지향성에 미치는 영향

김형윤,이한근 대한경영학회 2024 大韓經營學會誌 Vol.37 No.2

최근 사회적경제 기업은 지역사회가 겪고 있는 문제를 정부, 기업, 공공기관 등의 이해관계자들과 협력을 기반으로지역사회의 경제 활성화 및 지역사회 발전에 초점을 둔 기업임에 따라, 정부, 지자체, 지역주민 등의 많은 이해관계자들이주목하고 있다. 이러한 이해관계자들은 사회적경제 기업들이 겪고 있는 어려움을 해결하고자 공공구매 플랫폼의역할에 대한 기대가 증대되고 있으며, 공공구매 플랫폼은 사회적경제 기업이 겪고 있는 문제점인 광고, 홍보, 유통판로확보 등을 해결하고자 공공기관에게 지역 내 사회적경제 기업 제품의 정보를 제공하고, 사회적경제 기업에게는공공기관을 대상으로 홍보 및 판매할 수 있는 시스템을 제공해 주고 있다. 이를 통해 공공구매 플랫폼은 지역사회에대한 경제적 뒷받침과 고용 창출, 지역 경제 활성화에 기여하고 있다. 이에 본 연구에서는 공공구매 플랫폼이 거래하고 있는 공공기관과의 거래관계에 있어 공유가치 창출 활동이거래기업과의 기업 이미지, 신뢰, 장기지향성에 미치는 영향을 실증적으로 파악하였다. 이에 본 연구의 실증분석결과는다음과 같다. 첫째, 경제적 공유가치 창출 활동이 기업의 이미지에 미치는 영향을 분석한 결과, 경제적 공유가치 창출 활동은유능함에는 정(+)의 영향을 미치나, 따뜻함에는 유의한 영향을 미치지 않는 것으로 파악되었다. 둘째, 공공구매플랫폼의 사회적 공유가치 창출 활동은 기업 이미지의 유능함과 따뜻함 모두 정(+)의 영향을 미치는 것으로 확인되었다. 셋째, 기업의 유능함과 따뜻함은 공공구매 플랫폼의 신뢰를 제고시키는데 정(+)의 영향을 미치는 것으로 나타났다. 마지막으로 신뢰 거래 관계에 있어서 장기지향성에 정(+)의 영향을 미치는 것으로 나타났다. Recently, many stakeholders such as the government, local governments, and local residents are paying attention to social economy companies that focus on revitalizing the economy of local communities and developing local communities based on cooperation with stakeholders such as the government, companies, and public institutions. These stakeholders are increasingly expecting the role of public purchase platforms to solve the difficulties social economy companies are facing, and public purchase platforms provide public institutions with information on products of social economy companies in the region to solve the problems encountered by social economy companies such as advertising, promotion, and securing distribution channels, and social economy companies with a system to promote and sell them to public institutions. Through this, the public purchase platform is contributing to economic support for local communities, job creation, and revitalization of the local economy. The public purchase platform is carrying out shared value creation activities in that it simultaneously pursues public values as well as economic values of local communities by solving various problems based on a business model through a strategy to strengthen clusters with public institutions and communities. Accordingly, this study intends to examine the public purchase platform from the perspective of shared value creation activities. this study also attempted to examine the impact of shared value creation activities on corporate image, trust, and long-term orientation. The results of empirical test indicated that economic shared value creation activities have been shown to have a positive effect on enhancing the competence of the corporate image, but warmth does not have a positive statistical effect. Second, we found that the social shared value creation activity of the public purchase platform had a significant effect on the competence and warmth of the corporate image. Third, corporate competence and warmth had a positive effect on enhancing the trust of public purchasing platforms. Finally, trust with transaction public institutions had a positive effect on long-term orientation in transaction relationships. Through this study, it is essential to establish a long-term and expanded relationship between social economy companies and purchasing public institutions in public purchase platform transactions, and in particular, in terms of economic shared value creation activities, the trust given by competence raises expectations for the continuation of the relationship between suppliers and purchasing public institutions and the expectation that the relationship with each other will be maintained indefinitely. Accordingly, social economy companies should form sustainable relationships with public institutions in an effort to strengthen their image of competence based on their warmth.

우리 나라 醫療界의 當面問題 : 專門醫制度, 所謂 複數改定案 및 醫療人의 政治活動을 中心으로

金亨潤 대한의학협회 1970 대한의학협회지 Vol.13 No.1