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서울시 거주 베이비부머 세대의 주거이동과 주택자산 선택의 특성요인 분석
김순길(Kim Soon Kil) 한국주택학회 2017 한국주택학회 학술대회 발표논문집 Vol.2017 No.2
본 연구는 베이비부머의 주택선택 및 주거이동에 대한 방향을 예측하고, 전략적 대처방안 모색의 기초자료로 삼고자 ‘2016년 국토연구원의 주거실태조사’ 데이터 중에서 서울시에 거주하는 1955년~1963년도에 출생한 베이비부머 가구주 및 가주주의 배우자를 대상으로 통계적인 분석을 실시하였다. 분석결과 주거유형은 주택에서 아파트로, 점유형태는 전월세에서 자가로 이동한 사례가 많은 것을 알 수 있었으며, 현재 주택의 전반적 만족도와 주거환경 만족도가 낮은 것은 이사계획과 무관하지 않음을 알 수 있었고, 주거환경 문제 때문에 향후 2~5년 내에 주거이동을 실시할 계획을 가지는 것을 알 수 있었다. 주거지역의 변화에 대해서는 서울, 경기와 같은 대도시가 여전히 많았고, 앞으로도 도시적 생활을 유지하고 싶은 생각이 많음을 알 수 있었으며, 주거이동의 이유에 대해서는 내 집(자가주택) 마련을 위한 것과 시설이나 설비가 더 양호한 집으로 이사하려는 이유 등이 많은 것을 알 수 있었다. 이상의 분석결과를 통해 베이비부머의 대다수가 주거환경의 만족도 문제로 인하여 향후 2년~5년 내에 주거지역과 이동에 변화가 일어날 수 있음을 파악할 수 있었다. 또한 대다수의 베이비부머 세대는 앞으로도 서울, 경기와 같은 대도시에서 도시적 생활을 유지하되, 자가주택을 마련한다거나 시설과 설비 등과 같은 양호한 주거환경으로 이동할 것이므로, 이에 대한 수요에 대비할 수 있는 공급방안의 전략적 방안을 모색해야 할 것이다.
농촌 지역에서 발생한 치명적 약물 중독에 관한 임상적 관찰
김명환(Myung Hwan Kim),박명재(Myung Jae Park),김순길(Soon Kil Kim),박인석(In Seok Park),오도연(Do Yun Oh),표석주(Sok Joo Pio),김선주(Sun Joo Kim),홍세용(Sae Yong Hong) 대한내과학회 1988 대한내과학회지 Vol.35 No.6
N/A We analysed 255 cases of acute drug intoxication in patients who were admitted to the Department of Internal Medicine, Chun An Soon Chun Hyang University Hospital from January 1983 to December 1987. The following results were obtained: 1) The most common drugs were agricultural chemicals in 197 cases (77%), the remainder were hypnotics in 21 cases (8%), rodenticides and chemicals in 13 cases (5%), each, and unknown drugs in 9 cases (4%), in order of frequency. 2) The overall sex incidence ratio was 1.63 male to 1 female with a male preponderance and patients were most commonlyaffected in the 3rd decade (30%). Monthly incidence was highest in July and there was an increasing tendency in the number of cases admitted annually. 3) The causes of intoxication were suicidal attempts in 137 cases (54%), unknown in 97 cases (38%), accidental intoxication in 18 cases (1%), in order of frequency. 4) The highest mortality was observed in patients of organophosphorous and paraquat intoxicalion. The mortality rate was 95% in paraguat intoxication and 79% in organophosphorous intoxication. 5) In cases of organophosphorous intoxications, the mortality rate was 78% in 3 days after acute intoxication and 73% for paraguat intoxication in the same period. 6) The most common cause of death was respiratory failure (76%) in organophosphorous intoxication and respiratory failure (48%) and renal failure (45%) in paraquat intoxication.
렙토스피라병 초기의 산 염기 평형 변화와 흉부 X - 선 소견
김홍주(Hong Joo Kim),정자현(Ja Hun Jung),이재웅(Jae Ung Lee),이오영(Oh Young Lee),양석철(Suck Chul Yang),한동수(Dong Soo Han),손주현(Joo Hyun Sohn),김순길(Soon Kil Kim),김호중(Ho Jung Kim),박성광(Seoung Kwang Park),강성귀(Seoung Gwi 대한내과학회 1997 대한내과학회지 Vol.52 No.1
N/A Background: Clinical syndrome of leptospirosis in Korea which accompanied by hemoptysis, pulmonary hemorrhage, respiratory failure was quite different from that of typical Weil's disease. The death rate in the early stage of disease has relationship with chest X-ray findings and acid-base disturbances resulted from hypoxia and asphyxia. We've come to consider chest X-ray findings and arterial blood gas findings as factors influencing the prognosis of the disease. Methods: Forty one cases of leptospirosis diagnosed by acute febrille illness symptoms and serologic tests were graded for chest X-ray findings and grouped according to acid-base abnormalities. Retrospectively, we attempted to correlate the acid- base disturbances and chest X-ray findings with morbidity and mortality of the disease. Results: The result were as follows. 1) Abnormal chest X-ray findings were observed in 30 cases(73%). Mortalities according to the chest X-ray findings were 0(0%), 2(17%), 3(0%), 4(0%), 5(33%), 6(50%) and chest X-ray findings influenced the mortality with statistical significance(p<0.05). 2) Acid-base abnormalities were observed in 39 cases(95%) and the types were divided to six groups . Respiratory alkalosis was the most common acid-base disturbance(44%). Five cases were died. Two of five were respiratory alkalosis, two cases were mixed respiratory metabolic acidosis and another case was mixed respiratory-metabolic alkalosis. As shown, acid-base abnormality influenced the mortality and mixed acid-base disturbances were showed high mortality with statistical significance (p<0.05). 3) Total mortality was 12%(five of forty-one). The chest X-ray score, morbidity, pH, pCO2, pO2, and HCO3 were 5.0±0.8, 3.4±1,3, 7.16±0.17, 32.5±1.1, 43.3±13.4 and 17.6±3.1 in died group, 2.4±0.4, 12.7±1.0, 7.46±0.01, 48.8±13.4, 65.4±3.7 and 23.4±0.9 in recovery group, respectively. There was difference between two groups with statistical significance. Conclusion: In this study, we concluded that chest X-ray findings and acid-base abnormalities influenced the mortality of leptospirosis. The factors above mentioned make us consider chest X-ray and blood gas analysis are essential to the patient hospitalized for the suspicion of leptospirosis. Especially, these factors pointed out the patient having chest X-ray abnormalities and mixed acid-base disturbances needed intensive care in the early stage of leptospirosis.
김선주(Sun Joo Kim),황성규(Seong Gyu Hwang),이문호(Moon Ho Lee),김순길(Soon Kil Kim),오도연(Do Yeun Oh),김창진(Chang Jin Kim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.3
Leiomyoblastoma is an uncommon intrarnural tumor of the stomach. It was first described in 1960 by Martin et al.. Stout reported a series of 69 simiIar cases and propoaed the term leiomyoblastoma in 1962. A 65 year old female patient presented with epigastric pain for two years. She took several episodes of transfusion for recent 2 years. UGI, gastrofiberscopy and abodinal CT showed a submucosal mass, located at anterior wall. Subtotal gastrectomy was perfomed under the impression of leiomyosarcoma, The final hiatologic diagnosis was leiomyoblastoma. The smooth muscle origin of this tumor was conffrmed positive staining for MaaSons trichrome and by intracellular myofibrils on electron microscopic studly. Cytoplaamic clear zonee, previously thought to be typical of the light microscopic moryhology of leiomyoblastoma, was not observed by electron microscopy, suggesting that they may be an artifact of fixation. The pragnosie of leiomyoblastoma may be related to tumor size, the numbers of mitotic figures and most impurtantly cellular characteristics.
원저 : 국소적 흉부 병변에서 세침 흡입 생검의 진단 성적 및 합병증
양석철 ( Suck Chul Yang ),김연수 ( Yeon Soo Kim ),김순길 ( Soon Kil Kim ),김태화 ( Tae Wha Kim ),이경상 ( Kyung Sang Lee ),윤호주 ( Ho Joo Yoon ),신동호 ( Dong Ho Shin ),박성수 ( Sung Soo Park ),이정희 ( Jung Hee Lee ),전석철 ( Se 대한결핵 및 호흡기학회 1995 Tuberculosis and Respiratory Diseases Vol.42 No.5
Atenolol 과 Hydrochlorothiazide 가 고혈압 쥐의 대동맥 중막에 미치는 영향에 관한 실험적 연구
이방헌(Bang Hun Lee),김경수(Kyung Soo Kim),김정현(Jeong Hyun Kim),임헌길(Heon Kil Lim),이정균(Chung Kyun Lee),김순길(Soon Kil Kim) 대한내과학회 1994 대한내과학회지 Vol.46 No.1
N/A Background: In experimental studies, reduction in blood pressures could regress the some cellular abnormalities caused by hypertension but increases in connective tissue are difficult to be modified. The current study was undertaken to define whether atenolol and hydrochlorothiazide (HCTZ) can modify or reverse the morphologic changes of aortic media observed in spontaneously hypertensive rats (SHR). Methods: SHR were administered orally atenolol (2.5mg/kg) and HCTZ (5mg/kg) for 2weeks and morphological changes of aortic media were observed with electronmicroscopy. Results: Some irregularly arranged collagenous fiber and elastic lamina distributed among the smooth muscle cells in aorta are regularly distributed particularly in atenolol-treated SHR, Changes in nucleus, nuclear membrane and organelles in cytoplasm caused by hypertension are favorably modified more in atenolol-treated group rather than HCTZ-treated SHR. In HCTZ-treated SHR, periodical bands of collagen fibril are not apparent and some of fibrils are fragmented, and also various sized vacuoles are still present. Conclusion: It is suggested that atenolol can regress the microvascular changes of aortic media of SHR following reversal of hypertension but HCTZ may partially modify the aortic media.
만성 혈액투석 환자에서의 대사성 산혈증과 음이온차의 양상
손정일(Chong Il Sohn),김병훈(Byoung Hun Kim),신진호(Jin Ho Shin),양석철(Suck Chul Yang),박용수(Yong Soo Park),한동수(Dong Soo Han),안명주(Myung Ju Ahn),손주현(Ju Hyun Sohn),이인홍(In Hong Lee),김순길(Soon Kil Kim),이정희(Jung Hee Lee 대한내과학회 1996 대한내과학회지 Vol.51 No.2
N/A Objectives: The aim of the present study is to evaluate the prevalence of the various patterns of metabolic acidosis and anion gap among chronic hemodyalysis patients. Methods: Analysis of predialysis arterial blood gases and anion gap patterns was performed in 67 stable chronic outpatient hemodialysis patients(>1 year) with acetate buffer. Blood samples were drawn from the arterial line of the atreriovenous fistula for determination of blood electrolytes, chemistries, and analysis of blood gases at the beginning of hemodyalysis. Results: The degree of metabolic acidosis was mild to moderate with mean pH 7.33±0.039. 82% of a total 67 patients had pH between 7.30 and 7.39 with 18% of them between 7.20 and 7.29. Simple as mixed metabolic acidosis was shown in 49 of 67 patients(73%) and 18 of 67 patients(27%), respectively. In comparison of both groups, the group with mixed metabolic acidosis had significantly lower pH(7.29±0.04 vs 7.34±0.03, p<0.001) with higher pCO₂(38.5±3.4, p<0.005) and anion gap(19.6±4.1 vs 17.6±2.9, p<0.05). The classical high anion gap of end stage renal disease (range, 16 to 29 mEq/L) was also noted in 20 of 67 patients(30%). The linear regression analysis between anion gaps and total serum carbon dioxide contents (TCO₂) didn't show any significant correlation in all patients as well as the two subdivided groups with high and normal anion gap. Furthermore, only 13 of 67 patients(20%) were included between 80 and 120% in the ratio of delta anion gap(ΔAG) over delta TCO₂(dTCO₂). Therefore, the majority of hemodialysis patients (80%) showed the discrepancy between the degrees of d AG and ΔTCO₂. The analysis of unmeasured cations(K, Ca) and anions(albumin, phosphate) in the calculation of anion gap(Na ?Cl ?HCO₃) between two groups of high and normal anion gap of all patients as well as 49 patients of simple metabolic acidosis didn't reveal any discernible contributions to the changes of anion gap. Conclusion- This study therefore showed that the mixed acid-base balance and normal anion gap metabolic acidosis is not an exception in chronic stable hemodialysis patients. Also, the impact of hemodialysis in end stage renal disease patients seemed to lead the changes in values of unidentified anions besides fixed mineral acids and/or in those of unrecognized ionic equivalents of plasma constituents.