삼킨 목걸이 자석으로 인해 발생한 소장-장간막-소장 누공 1례

곽병곤,문진수,장현오,남승연,김동욱,이종국,김기홍,Kwak, Byeong Gon,Moon, Jin Soo,Jang, Hyun Oh,Nam, Seung Yeon,Kim, Dong Wook,Lee, Chong Guk,Kim, Ki Hong 대한소아소화기영양학회 2005 Pediatric gastroenterology, hepatology & nutrition Vol.8 No.1

자석을 삼킨 소아가 방문한 경우, 위안에 있으면 내시경을 통해 제거하는 것이 필요하며, 위유문부를 이미 통과한 후에 자석이 계속 같은 위치에 있거나 장천공 또는 폐쇄와 같은 합병증이 발생하면 수술적으로 이물을 제거하여야 한다. 저자들은 삼킨 자석 5개로 인하여 소장 내 누공이 형성되어 수술을 시행하였던 드문 례를 문헌 고찰과 더불어 보고하는 바이다. Accidental foreign body ingestion is one of the general pediatric problems. If more than one magnet are ingested, they can attract each other across the intestinal wall. This kind of event may cause necrosis, perforation or fistula. Therefore, they must be retrieved by gastroduodenoscopy while they are still in the stomach. The authors have experienced an unusual small bowel complication, which was small bowel-mesentery-small bowel fistula, caused by the ingestion of magnets.

소아응급실에 내원한 발열 환아에 대한 연구 분석

곽병곤,장현오 대한소아청소년과학회 2006 Clinical and Experimental Pediatrics (CEP) Vol.49 No.8

Purpose:We studied clinical patterns of the febrile infants and children presenting to the Pediatric Emergency Department(ED) in the general pediatric population. Method:We analyzed 1,764 infants and children who had a history of measured body temperature of 38.3℃ or higher, before or after arrival at Pediatric ED of Ilsan Paik Hospital from September 2004 to August 2005. We analyzed their clinical patterns, such as the frequency of febrile illness, age distribution, monthly distribution, diagnosis. Result:The frequency of the febrile illness at Pediatirc ED was 19.9 percent (1,764/8,881 cases). The percentage of admission into hospital was 26.4 percent. The most common age group presenting to Pediatric ED with febrile illness was the 12-23 months group(22.8 percent) followed by the 4-11 months group and the 2 years group. In May, the most numerous patients presented to the Pediatric ED with febrile illness. The frequency of febrile illness was significant higher in the ‘Spring & Summer group’ compared to the ‘Autumn & Winter group’. The ratio of male to femal was 1.4:1. The most common diagnosis was acute pharyngitis(42.5 percent), followed by acute gastroenteritis (15.3 percent), pneumonia(7.0 percent). Conclusion:The frequency of the febrile illness at Pediatirc ED was 19.9 percent. The most numerous patients visited Pediatric ED in May. And, the most common age group was 12-23 months. The proportion of non-urgent disease, such as acute pharyngitis, acute gastroenteritis, acute nasopharyngitis and acute bronchitis, was high. There is a need to educate parents and improve the medical system in Korea. 목 적 : 발열을 주소로 소아응급실에 내원한 소아의 임상적 특성에 대하여 조사를 하고자 연구를 시행하였다. 방 법 : 2004년 9월부터 2005년 8월까지 일산백병원 소아응급실에 내원한 8,881명의 환아와 이 중 38.3℃이상의 발열을 주소로 내원한 1,764명의 환아를 대상으로 발열 환아의 발생 빈도, 월별 분포, 연령별 분포, 진단명을 조사 분석하였다. 결 과 : 조사 기간동안 소아응급실에 내원한 8,881명 중 1,764명이 발열로 내원하여 발열환자의 빈도는 19.9%이었고, 1,764명 중 26.4%가 입원하였다. 내원 발열 환아가 가장 많았던 연령군은 12-23개월 군이었고, 4-11개월 군과 2세 군이 뒤를 이었다. 가장 많은 진단명은 급성 인두염이었고, 급성 장염, 폐렴도 흔한 진단이었다. 연중 발열 환자가 가장 많았던 시기는 4-7월이었고, 이 중 5월에 발열 환자가 가장 많았다. 발열환자의 빈도는 8월이 가장 높았으나 통계적 의미는 없었으며, '봄·여름군', '가을·겨울군'으로 나눠서 비교한 발열환자의 빈도는 통계적으로 의미있는 차이가 있었다.

중소 특송업체의 경쟁력제고 방안

곽병곤(Byong-Kon Kwag),송희영(Hee-Young Song) 한국관세학회 2010 관세학회지 Vol.11 No.4

The global air courier companies actively cope with the market situation through positive action for high value added industry and the advanced industry by closely analyzing and establishing the competition strategy to construct the basic system of local logistics. However, the small and medium air courier companies based on small capital suffers serious management difficulty due to reduction of cargo, downsizing, personnel cut, aggravated profitability, increasing bad debt, etc. Especially, the increased demand of shipper due to reduced cargo quantity has caused many problems so far in connection with the promptness of customs clearance for courier. To improve the managerial factor First, it is required to enlarge through mutual merger of the retailers. Second, courier specialist system is necessary. Third, it is necessary to improve the mode where the customs clearance of cargo arranged by the other company is vicariously done by wholesaler.

중소 특송업체의 경쟁력제고와 통관안전성 방안

곽병곤(Kwag byon kon),송희영(Song hee young) 한국관세학회 2010 한국관세학회 학술대회 Vol.2010 No.11

전자상거래물품 통관의 문제점과 개선방안에 관한 연구

곽병곤(Byong-Gon Kwag),송희영(Hee-Young Song) 한국관세학회 2009 관세학회지 Vol.10 No.3

It has been about 5 years since Korea Customs Service enacted and enforced the notification of special customs clearance for Electronic Commerce Goods. There has been an effort in the meantime to conform with the new clearance environment through revising the notification a few times. However, it is still the want of ability to catch up with smart business ability in merchants who respond dynamically to the evolving cyber market. Many improvements are needed. As for this, a few improvement plans are proposed in order to enhance problems according to the customs clearance of special delivery for Electronic Commerce Goods. First, the separate list format for customs clearance of electronic commerce is needed. Second, the designation of special-clearance target companies by transaction type needs to be expanded. Third, the requirements for applying for designation of express-clearance target companies need to be eased. Fourth, there is necessity for preventing a consignor from moving a dealing company frequently. Fifth, there is necessity for connecting B/L number and door-to-door delivery number in order to confirm the appearance of real delivery.

소아 야뇨증에 대한 임상적 고찰

김승수,곽병곤,김영대,김우경,김영균,이종국 白中央醫療院 2005 仁濟醫學 Vol.26 No.1

Objectives: The aim of this study was to describe the clinical characteristics of enuretic children and to evaluate the efficacy of treatments. Methods: Our study subjects enrolled were 52 children with nocturnal enuresis, who visited outpatient clinic of pediatrics in Seoul Paik Hospital and Ilsan Paik Hospital, during the period from October 1998 to August 2004. The data of gender, age, family history, symptom, clinical type of enuresis and drug therapy were collected and analyzed retrospectively. Results: The male : female ratio was 2.25 : 1. The mean age at diagnosis was 6.8 years with an age range from 4.3 years to 12.5 years. Fourty five cases(86.5%) were diagnosed as primary enuresis and 7 cases(13.5%) were diagnosed as secondary enuresis. A family history of enuresis was noted in 5 cases(9.6%) including 4 cases with parental enuresis history. The accompanying urinary symptoms were urgency(11.5%), frequency (7.7%), and dysuria(2.0%). Conclusion: We found frequent occurrences of enuresis in boys and primary type and an occasional association with a family history of enuresis. The two main treatment modalities were behavior control with an alarm system and drug therapy with imipramine, desmopressin, or oxybutynin. We recommend continuous drug medications to control nocturnal enuresis along with encouragement.

회원작품 - 파크뷰 빌딩

이은영,곽병곤,Lee, Eun-Yeong,Gwak, Byeong-Gon 대한건축사협회 1995 建築士 Vol.1995 No.8

기관지 내시경으로 초기에 제거할 수 없었던 기도 이물 : 2례 보고

김연수,남승연,곽병곤,장우익,박경택,김창영,류지윤,Kim, Yeon-Soo,Nam, Seung-Yeon,Kwak, Byeong-Gon,Chang, Woo-Ik,Park, Kyung-Taek,Kim, Chang-Young,Ryoo, Ji-Yoon 대한기관식도과학회 2007 大韓氣管食道科學會誌 Vol.13 No.2

Foreign body aspiration is a cause of the accidental death at home. Therefore, early intervention and proper management is important. A bronchoscopy is indicated whenever there is a suggestive history and medical opinion. Occasionally, foreign body removal with bronchoscopy may be fail. But, on the situation, there is no definite recommended standard management. We experienced two cases of bronchial foreign body could not be removed with bronchoscopy at first intervention. The one was diagnosed too late. Endobronchial granulation tissue and edema made it impossible to find the foreign body at first bronchoscopy. After steroid and antibiotic therapy, foreign body could be removed with secondary bronchoscopy. Another was bronchial foreign body jammed tightly bronchus intermedius. Even after medical therapy, patient got aggravated. So foreign body was removed with bronchotomy.