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건강보험심사평가원 자료를 바탕으로 한 당뇨발과 절단에 관한 보고
김종길,정영란,김경태,신충식,이광복,Kim, Jong-Kil,Jung, Young-Ran,Kim, Kyung-Tae,Shin, Chung-Shik,Lee, Kwang-Bok 대한족부족관절학회 2017 대한족부족관절학회지 Vol.21 No.2
Purpose: This study reports on limb amputations in diabetic patients according to gender, age, and region based on the data from the Korean Health Insurance Review & Assessment Service. Materials and Methods: The number of amputations was compared by region, age, gender, and year, as well as by femoral region, lower leg, foot, and toe in diabetic patients who received limb amputation. This analysis was performed based on the data from the Korean Health Insurance Review & Assessment Service, between January 2009 and December 2014. Results: The total number of amputations between the study period was 9,155. The number of patients who were treated at hospitals for diabetes in 2009 was 1.9 million, among which, 1,214 patients underwent amputation. In 2014, the incidence of diabetes was 1,747 in 2.58 million individuals. With this rising incidence of diabetes, the amputation of limbs due to diabetes is increasing every year. In particular, the following regions were amputated more often: femoral region, 2.3%; lower legs, 19.6%; feet, 18.1%; and toes 60.0%. Regarding gender differences, males showed a higher amputation rate than females for all body parts. With respect to region, Seoul was the highest with 30.2%, followed by Gyeonggi with 19.9%, and Busan with 8.8%. According to age, older age showed greater diabetic amputation rate. Conclusion: In accordance with the rising incidence of diabetes, the diabetic amputation is also increasing. Here, we showed that toes were amputated with the highest percentage and males had greater amputation rate than females for all body parts. Moreover, amputation rate was highest in older diabetic patients, especially for those in their seventies. Additionally, Seoul was the region with highest amputation rate.
Marjolin 궤양으로 발생한 편평 상피암의 치료결과
김종길,유창은,김정렬,Kim, Jong-Kil,Yu, Chang-Eun,Kim, Jung-Ryul 대한근골격종양학회 2012 대한골관절종양학회지 Vol.18 No.1
목적: Marjolin 궤양으로 발생한 편평 상피암의 치료결과에 대해 원발성 편평 상피암과 비교 분석하고자 한다. 대상 및 방법: Marjolin 궤양에 의한 편평 상피암으로 치료받았던 14예를 대상으로 하였으며, 같은 기간 치료받았던 원발성 편평 상피암 20예를 대조군으로 하였다. 평균 연령은 61.2세였으며, 남자 24예였고, 여자가 10예였다. 두 군간의 발생 부위, 조직학적 분류, 병기, 치료 방법, 전이, 재발, 생존율에 대해 비교 분석하였다. 결과: 평균 추시 기간은 54.8개월(12-168개월)이었다. 국소 재발은 6예에서 발생하였고, 5예는 Marjolin 궤양 군에서, 나머지 1예는 원발성 편평 상피암 군에서 발생하였다. 최초 진단 후 국소 재발까지의 평균 기간은 9개월(2-20개월)이었다. 전이는 총 6예에서 발생하였는데 이들 중 2예(14.3%)는 Marjolin 궤양 군에서, 나머지 4예(20.0%)는 원발성 편평 상피암 군에서 발생하였다. 전이 또는 국소 재발은 총 10예에서 발생하였는데 이들 중 6예는 Marjolin 궤양 군에서, 나머지 4예는 원발성 편평 상피암 군에서 발생하였다. 5년 무병 생존률은 Marjolin 궤양 군에서는 64.3%였고, 원발성 군에서는 95%였다. 결론: Marjolin 궤양에 동반된 편평 상피암은 적극적인 치료에도 불구하고 높은 재발율 및 사망률을 보이므로, 치료 결과를 향상시키는 새로운 치료법에 대한 연구가 요구된다. Purpose: The purpose of this study was to analyze the results of treatment and prognosis of Marjolin's ulcer compared with primary squamous cell carcinoma. Materials and Methods: Fourteen patients treated for Marjolin's ulcer were analyzed. Twenty patients with primary squamous cell carcinoma treated during the same time period was the control group. Mean age was 61.2 years. There were 24 males and 10 females. The locations, TNM stages, histological grades, recurrence, metastasis, and survival rate were analyzed and compared between two groups. Results: The mean follow-up period was 54.8 months (range, 12-168 months). Local recurrences were found in 6 cases, 5 ones in Marjolin's ulcer patients, and one case in primary squamous cell carcinoma patients. The mean time interval between the initial presentation and occurrence of local recurrences was 9 months (range, 2-20 months). There were 6 metastases. 2 (14.3%) metastases were found in Marjolin's ulcer patients, and 4 (20.0%) metastases in primary squamous cell carcinoma patients. Total events (metastasis or local recurrence) were found in 10 pateients, 6 of them in Marjolin's ulcer group, and the remaining four in primary group. 5-year disease-free survival rate was 64.3% in Marjolin's ulcer group and 95.0% in primary squamous cell carcinoma group. Conclusion: Squamous cell carcinomas originating as Marjolin's ulcers revealed higher recurrence rate and lower survival rate despite of aggressive treatment. Therefore, new treatment modalities should be developed for improving outcomes.
김종길(Jong-Kil Kim),정인교(In-Kyo Cheong),조정란(Jung-Ran Cho) 인하대학교 산업경제연구소 2006 경상논집 Vol.20 No.1
FTAs bring positive economic effects such as growth in GDP and exports, while structural adjustment can be a source of economic losses in FTAs. Economists have studied impacts of FTAs on macroeconomic variables, without the consideration of structural adjustment costs. This paper is a trial for numerically assessing structural adjustment costs from a FTA with Japan . According to the finding, the economy of Korea can expect economic gains when dynamic effects happen in the long run. However, some sectors such as machinery can undergo substantial costs due to structural adjustment in the FTA with Japan.
안종일(Chong Il Ahn),조종희(Jong Hoi Cho),박신자(Shin Ja Park),김종길(Jong Kil Kim),전지혜(Ji Hye Jeon),이정복(Jung Bock Lee),박홍수(Hong Soo Park) 한국유화학회 2001 한국응용과학기술학회지 Vol.18 No.4
N/A Our study is aimed at proposal of systematic verification method of molecular structure using measuring method of selective ionic determination and spectrometry on 34 kinds of surfactants such as sodium dodecyl sulfate(SDS) which are most widely used today. In the IR spectrum, unsaturated fatty acids reveal themselves by HC= at 3000~3020㎝^-1, and intensity of 720㎝㎝^-1 depends on carbon length of alkyl group. Also ethylene oxide(EO) adducts exhibit weak characteristic bands by -CH_2-CH_2-O at 1350, 1100 and 950㎝^-1. Isethionate can be distinguished from diester succinate by intensity ratio of 1740 and 1200㎝^-1 spectrums, the ratio of latter is close to 1 due to 2 carboxylate radical in diester succinate. Quaternary ammonium salts exhibit characteristic band of C_4N^+ at 1000-900㎝^-1. In the case of dialkyl dimethyl ammonium salts in quaternary ammonium surfactants, the spectrum of 3000㎝^-1 by N-CH_3 collapses to a very weak band at 3020㎝^-1. In ammonium heterocyclic derivatives, pyridinium salts show characteristic bands at 1640 and 1460㎝^-1, while imidazolinium salts exhibit characteristic band at 1620-1610㎝^-1. In the characteristic spectrum at 1080-1050㎝^-1 on OH radicals of the alkyl esters, primary alcohol appears as weak band and the 2 bands show in almost same intensity when primary and secondary alcohols exist together in one molecule. Also, alkyl ester of polyhydric alcohols appears as various broad band.
알콜금단 증후군의 치료에서 Carbamazepine과 Lorazepam의 효과 비교
이현정,김정기,김종길 大韓神經精神醫學會 1994 신경정신의학 Vol.33 No.1
In order to compare the effects of carbamazepine and lorazepam on alcohol withdrawal syndrome, a comparative study of carbamazepine and lorazepman was conducted with 40 cases of alcohol withdrowal syndrome during period from March, 1990 to August, 1991. The patients were assigned randomly to either carbamazepine(600mg/day) treated group or lorazepam(6mg/day) treated group for 8 days. During the trial period, target withdrawal symptoms and side effect were recorded daily. In general, carbamazepine was more efficacious to lorazepam in treating the withdrawal syndrome and not different with respect to side effects. It is concluded that carbamazepine, which is well tolerated and does not produce any addication, might offer a valuable alternative drug in the treatment of alcohol withdrawal symptoms.
정병옥,김종길,김제중,이흠숙,정석진,박상순 서울産業大學校 1999 논문집 Vol.49 No.2
The method to prepare multi-component random/block copolymers is one-shot (or partial) system which starting materials are mixed at one time. The random/block copolymers composed of diesters and 1,4-butanediol were synthesized and charaterized by sequence length, thermal property, and crystallization. Thus the melting point trends and crystallization behaviors of multicomponent random/block copolymers were also depended on aromatic unit in copolymers as well as reaction condition.