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한경희,이성하,이현경,최현진,이범희,조희연,정해일,최용,하일수,Han, Kyoung-Hee,Lee, Sung-Ha,Lee, Hyun-Kyung,Choi, Hyun-Jin,Lee, Bum-Hee,Cho, Hee-Yeon,Cheong, Hae-Il,Choi, Yong,Ha, Il-Soo 대한소아신장학회 2007 Childhood kidney diseases Vol.11 No.2
목 적 : 소아에서 진행하는 신기능 저하는 그들의 인생에 일생 동안 심각한 영향을 준다. 소아 만성 신질환의 치료에 있어서 궁극적인 목표는 생명을 연장시키는 것뿐 아니라 만성 신질환에 이환됨으로써 발생하는 여러 합병증을 예방하고 성장과 발달을 향상시키는 것이다. 저자들은 소아 만성 신질환에서 신기능 감소와 관련된 위험요인을 분석하고자 한다. 방 법 : 1999년 8월부터 2007년 3월까지 만성 신질환에서 2기에서 4기에 해당하는 환자들의 임상적 특성을 후향적으로 조사하였다. 추정 사구체여과율은 혈중 크레아티닌과 키를 이용하여 Schwartz 공식으로 계산하였다. 연간 eGFR변화는 연구시작시의 eGFR과 마지막 추적 관찰시의 eGFR간의 차이를 추적 관찰 기간으로 나누어 계산하였다. 환자들을 추적 관찰중에 측정한 혈청 칼슘과 무기인과 함께 연령과 성별 및 원인 신질환도 연간 eGFR 변화와의 관련성을 조사하였다. 결 과 : 전체 환자는 61명이었고 이중 남자는 44명, 여자는 17명이었다. 연구 시작 시 환자들의 연령은 $7.1{\pm}4.7$세이었다. 전체 환자들의 연간 eGFR 변화는 $-1.2{\pm}11.9 mL/min/1.73m^2/year$이었다. 나이가 많거나(P=0.012), 저칼슘혈증이 있을 때(P=0.012), 고인산혈증인 경우(P=0.002) 신기능 감소와 유의한 관련이 있었다. 결 론 : 나이가 많거나, 저칼슘혈증과 고인산혈증은 소아 만성 신질환의 더 빠른 진행과 연관성이 있다. Purpose : The progressive deterioration of renal function in children can impose a serious and lifelong impact on their lives. The ultimate goal in the management of children with chronic kidney disease(CKD) is to prolong survival, to prevent complications, and to promote growth and neurodevelopment. The aim of this study is to investigate the risk factors for the decline of renal function in pediatric CKD patients. Methods : Data from patients who met the criteria for the Kidney Disease Outcomes Quality Initiative(K/DOQI) CKD stage 2 to 4 between August 1999 and March 2007 were retrospectively analyzed. The estimated glomerular filtration rate(eGFR) was calculated by the Schwartz formula, using serum creatinine levels and height. We calculated the annual eGFR change from the difference between the baseline eGFR and the last eGFR divided by the duration(years) of the follow-up period. We analyzed the association between the annual eGFR change and factors such as age, gender, K/DOQI stage, underlying renal disease, serum calcium, and inorganic phosphorous during the follow-up period. Results : Sixty one children(44 boys & 17 girls) were enrolled. The age at entry was $7.1{\pm}4.7$ years. The annual eGFR change was $-1.2{\pm}11.9 mL/min/1.73m^2/year$. Our study showed that older age(P=0.005). hypocalcemia(P=0.012), and hypenhosphatemia(P=0.002) were significantly related to more rapid decline in renal function. Conclusion : In pediatric CKD, older age, hypocalcemia and hyperphosphatemia are related to more rapid deterioration of renal function.
한경희,이현경,이성하,조희연,정해일,최용,배현미,김성권,하일수,Han, Kyoung-Hee,Lee, Hyun-Kyung,Lee, Sung-Ha,Cho, Hee-Yeon,Cheong, Hae-Il,Choi, Yong,Bae, Hyun-Mi,Kim, Suhng-Gwon,Ha, Il-Soo 대한소아신장학회 2006 Childhood kidney diseases Vol.10 No.2
Diarrhea-associated hemolytic uremic syndrome(D+ HUS) is induced by enterohemorrhagic Escherichia coli(EHEC) and is characterized by the triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute renal failure. The disease is usually transmitted by meat and water contaminated by excreta of domestic animals. We report a son and his mother with diarrhea-associated hemolytic uremic syndrome that spread within the family.
체외수정 후 일측 두개 뇌류를 동반한 쌍태 임신에서 임신 중반기 선택적 유산
한경희 ( Kyoung Hee Han ),한혁동 ( Hyuk Dong Han ),홍민 ( Min Hong ),이향아 ( Hyang Ah Lee ),정진경 ( Jin Kyung Chung ),김나옥 ( Na Ok Kim ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.2
Selective termination can be used to preserve normal fetus from the other fetus with chromosomal, structural abnormality in multifetal pregnancy. This case is about twin pregnant patient who had undergone in vitro fertilization and embryo transfer. In 18
네트워크 기반 유역 대책을 통한 종합 병원 의료 서비스의 공간 접근성 분석 -대한민국 충청 지역을 중심으로-
한경희(Han, Kyoung Hee),성현곤(Sung, Hyun Gun) 한국지역개발학회 2020 한국지역개발학회 학술대회 Vol.2020 No.10
Most recent studies on spatial accessibility have been applying enhanced 2SFCA, kernel density 2SFCA, or modified 3SFCA methodologies based on the two-stage floating catchment area (SFCA) method. However, these methodologies have limitations and overlook the behavior of doctor shopping in the use of general hospitals. Therefore, this is a modified kernel density 3-Step Floating Catchment Area that appropriately modifies the critical time and maximum reachable time in consideration of the usage behavior of Doctor Shopping, and applies a remote attenuation function that combines Gaussian, exponential, and quadratic functions (MKD3SFCA) methodology was applied to estimate spatial accessibility. The accessibility estimation result using this methodology is compared with the result of applying a single Gaussian distance decay function, and the estimated value of the enemy accessibility is the average and the variation is shown from the viewpoint of the enemy as the mode. In terms of the lack of space in accessibility, it was confirmed that the provision of services was less sufficient than in less populated areas, and the spatial balance of medical services in tertiary general hospitals was greater than that in secondary.
한경희 ( Kyung Hee Han ),고수경 ( Su Kyoung Ko ),정설희 ( Seol Hee Jeong ) 한국병원경영학회 2007 병원경영학회지 Vol.12 No.1
This study was carried out to analyze the present condition of high-price medical technologies in South Korea and to compare it with OECD countries. This study included 10 high-price medical equipments and used medical equipment registry data of Health Insurance Review Agency. The major findings of this study are as follows; Firstly, The number and growth of high-price medical equipments in South Korea is much higher than those in other OECD countries. There are many of high-price medical equipments even in clinics. Secondly, the percentage of old poor-quality medical equipments is very high, especially in clinics. This is because of high-price of medical equipments. The results of this study implicated that there is high possibility of inappropriate use of high-price medical technologies. This may result in the increase of health expenditure; therefore, there should be a kind of regulation policy to control amount and quality of medical equipment.
한경희(Han Kyoung-Hee) 국어국문학회 2005 국어국문학 Vol.- No.139
The military service literature executes the role of warfare and literature simultaneously. Military service literature with warfare promotion it comes to share in warfare opposition but actually the contents of warfare promotion is most. From warfare inside it dies not to fear with name of the nation and the nation and not to be it is to raise a will.<br/> Is like that the warfare literature reversal intention but military service literature is not the literature for a reversal. The literature reason of warfare literature is to reversal, but military service literature the warfare contents and literature becomes type. It is like that and the military service literature where the warfare is background escapes nationalism ideology and.<br/> Dissertation the warfare literature should how be included national strategy and viewpoint, the fact that objective. Already the warfare literature from the literature frost is insufficient and is evaluated a condition which it is. It sees a concrete contents but and it tries to observe the propaganda result role of military service literature. How many is important it probably is role in this nationalism profit of this, it researches. Kim Jong-moon 『the wall』 excepts lyric (2 poem) and it is a work all works for a warfare. The nationalism becomes known very directly, also the role which hides a warfare metaphor does.