안면 다한증의 하부성상 교감신경절 절제술

김일현,김광택,이인성,김형묵,김학제,이건,Kim, IL-Hyeon,Kim, Kwang-Taik,Lee, In-Sung,Kim, Hyoung-Mook,Kim, Hark-Jei,Lee, Gun 대한흉부심장혈관외과학회 1998 Journal of Chest Surgery (J Chest Surg) Vol.31 No.3

최근 흉강경 수술수기 및 기구의 발달로 본태성 안면 다한증 치료에 대한 흉강경을 이용한 교감신경절 절제술은 안전하고 효과가 우수한 치료방법으로 적용이 늘고있다. 고려대학교 안암병원 흉부외과에서는 1996년 7월부터 1997년 4월까지 본태성 안면 다한증을 호소한 43명의 환자를 대상으로 비디오 흉강경을 이용한 하부성상 교감신경절 절제술을 시행한 후 효과를 조사하였다. 대상이된 환자들의 성별은 남자가 33명 여자가 10명이었으며, 평균 연령은 37세였고, 다한증 부위는 순수 안면 다한증 23례, 수부 및 족부동반 안면 다한증 20례였다. 수술부위는 하부성상 교감신경절 절제술 12례, 하부성상 교감신경절 및 제 2번 흉부 교감신경절 절제술 28례였으며, 하부성상 교감신경절 및 제 2번, 3번 흉부 교감신경절 절제술이 3례였다. 수술후 합병증으로는 흉부 통증 8례, 안검하수 4례, 기흉 1례있었다. 보상성 다한증은 36례(83.7%)에서 발생하였으며, 부위별로는 체간 19례, 대퇴부 3례, 족부 2례, 체간 및 대퇴부 10례, 체간 및 족부가 2례발생하였다. 수술결과는 퇴원후 3개월 이상 경과후 추적관찰 결과 다한증 증상에 있어 32례(74.4%)에서 매우 호전을 보였고 11례에서 수술전보다 호전을 보였으며, 만족도에서도 "만족한다"가 33례(76.7%), "대체로 만족한다"가 8례(18.6%)였으며 "불만족"도 2례(4.6%)에서 조사되었다. 본태성 안면 다한증에서 비디오 흉강경을 이용한 하부성상 교감신경절 절제술은 증상 호전에서 만족할만한 결과를 보였으나, 보상성 다한증은 수술후 만족도를 저하시키는 주된 부작용으로, 이에 대한 개선 연구가 필요하다. With recent advancements in the instrumentation and technique of VATS, it has become the method of choice to cure facial hyperhidrosis. From July 1996 to April 1997, we performed 43 thoracic lower stellate ganglionectomy with VATS for facial hyperhidrosis. There were 33 men and 10 women whose ages ranged from 17 to 63 years(mean age, 37 years). Of those patients, 23 complained only of facial hyperhidrosis, and 20 complained of facial hyperhidrosis along with excessive sweating of the palm or foot. Thoracoscopic sympathetic ganglionectomy procedures included lower stellate ganglionectomy in 12 patients; lower stellate ganglionectomy and T2-sympathetic ganglionectomy in 28 patients; and lower stellate, T2 and T3 sympathetic ganglionectomy in 3 patients. Common complications were compensatory hyperhidrosis(36 patients) and causalgia(8 patients). At the end of the follow-up period(minimum, 3 months) ninety-five percent of the patients reported satisfactory results. Thoracic lower stellate ganglionectomy with VATS is an efficient, safe and minimally invasive surgical procedure for facial hyperhidrosis.

식도 재건술 시 흉강경용기계문합기을 이용한 경부식-장문합술

김일현,김광택,박성민,이승렬,백만종,선경,김형묵,이인성,Kim, Il-Hyeon,Kim, Kwang-Taik,Park, Sung-Min,Lee, Seung-Yeoll,Baek, Man-Jong,Sun, Kyung,Kim, Hyoung-Mook,Lee, In-Sung 대한흉부심장혈관외과학회 1999 Journal of Chest Surgery (J Chest Surg) Vol.32 No.10

Background: The use of the stapler n esophageal reconstruction after esophageal resection for benign or malignant esophageal diseases has become popular because it has less leakage at the anastomotic site and shorter operation time than manual sutures. However, the use of classic circular stapler has some complications such as stenosis and dysphagia that requires additional treatment. Such complications are closely related to the inner diameter of the anastomotic sites. In this study, the diameter of anastomotic site was compared after the use of circular stapler(EEA) and straight endoscopic stapler(endo GIA). Material and Method: The patients who received esophageal reconstruction by stapler from August 1995 to September 1997 were reviewed. The patients were divided into 2 groups. One group need the circular stapler, and the other group the straight endo GIA(14 cases with endo GIA 30mm, 24 with endo GIA 45mm). After a cervical esophago-enteric anastomosis, the stricture of anastomotic site and the incidence of dysphagia were compared between the 2 groups using an esophagography and the patient's symptoms. The follow-up period was 12months in average. Result: In the former group in which the circular stapler was used, 2 cases of anastomotic stenosis were reported. In comparison, none were reported in the latter group. Dysphagia were reported in 8 cases of the former group, and in 3 cases of the latter group(1 case in endo GIA 30 mm, 2 cases in endo GIA 45 mm). Conclusion: The use of endo GIA in esophago-enteric anastomosis resulted in a wider diameter of the anastomotic site, lesser stricture, and lesser incidence of dysphagia compared to the use of former circular stapler. Therefore, it is thought to be a better method in esophageal reconstructions.

카를로 몰리노의 공간구성 방식에 관한 연구 - 주요 작품의 개념적 전제와 계획적 전략을 중심으로 -

김일현,Kim, Il-Hyun 한국주거학회 2007 한국주거학회 논문집 Vol.18 No.6

This study aims to analyse the method and strategy of spatial composition in the selective works of Italian architect Carlo Mollino. With the continuos renovation of the interpretative frames and method on modernity and in particular on the spatial phenomenon, works of Mollino, once disregarded by the historiography and evaluated for its peculiarity. emerge as important architectural phenomenons. The intrinsic value in his works also enable to comprehend the complexity and multiplicity of modernity in contemporary architecture. In order to achieve this preposition, six important works were analyzed with three key words, to understand comprehensively the process and the significance of each work and Mollino's contribution in the spatial composition of domestic and public spaces. Evaluation of the spatial strategies in conceptual investigations of Mollino had been underestimated to the relative poor conservation or incomprehension of various work, excluded from the categories of architectural elaborations. This study also aims to contribute, in the broad sense, the dialectical significance of modernity by emphasizing the aspects of his work related with Surrealism and vernacular tradition, as well as with its relationship with the various spatial dispositives.

18세기 이탈리아의 지도제작의 전통과 조반니 마리노니의 역사적 위상에 관한 연구

김일현,김관수,Kim, Il-Hyun,Kim, Kwan-Soo 한국건축역사학회 2012 건축역사연구 Vol.21 No.5

This research focuses on the role of Giovanni Marinioni during the formation of the modern cartography and cadastre during the 18th century. Initial study began with Giambattista Nolli's Roman map noticing not much information was available to acknowledge his activities during his Milan period before the departure to Rome. It became evident that Marinoni was a key person to understand the complex circumstances in which the professional training and formation of Giambattista Nolli took place as later worked as an anonymous intern during the elaboration of Theresian Cadastre of Milan. The other important figures are Leandro Anguissola and Giovanni Filippini. Anguissola's position and precedent work facilitated Marinoni's multidisciplinary activities that he had performed in Vienna and Milano in the field of making urban maps of those two cities. On the other hand, Filippini not only collaborated with Marinoni but also introduced Nolli in the field of cartography. These activities show transitional and dual aspects that characterized the period in which important irreversible changes that occur during the reign of Habsburg empire and in the rest of the Europe toward the formation of modern society and state. Marinoni's theories and praxis greatly influenced Nolli's later commitment under the Savoia and later on the elaboration of the 'Pianta Grande di Roma' in 1748.

고대에서 18세기까지 지도학의 변천에서 나타나는 도시 로마의 재현에 관한 연구

김일현,Kim, Ilhyun 한국건축역사학회 2017 건축역사연구 Vol.26 No.3

This research focuses on the cadastre and cartographic tradition regarding the representation of Rome that had lasted until the middle of 18th Century. Since the early period of Roman Republic until the early 18th Century, map was considered as a effective medium to record the status of urban facts and also a manifestation of changing perception of reality. These facts allow to diagnose social and conventional changes that had occurred in the field of representation techniques and methodologies derived from diverse intention and objective in elaboration of each map. Cartography also has affinity to architectural drawing as many categories of individuals are involved, clients, researchers, craftsmen, publisher and collectors. Fundamental task of documenting the contemporary physical reality was given to the map, however, as architects had practiced through the drawings, cartographers also reconstruct in subjective way specific buildings and urban aspects according to various needs and demands. As such, philology and imagination play important role as two constitute extreme poles in the evolution of the cadastre. Through analysis of paradigmatic examples in the genealogy of cartography of Rome, it was possible to understand the changing episteme that testify the mentality and custom in the field of visual representation.

제2차 세계대전 이후 이탈리아 주거정책과 건축문화의 역사적 고찰 - 이탈리아 국립보험공단 주택국의 주거정책을 중심으로 1949-1963 -

김일현,Kim, Il-Hyun 한국주거학회 2008 한국주거학회 논문집 Vol.19 No.6

Public housing problem became a major issue in each European country during the period of the reconstruction. This study focuses on the one of the major institutional policies in the public housing sectors in Europe during the second postwar period, specifically the INA (Istituto Nazionale delle Assicurazioni)-Casa in Italy from 1949 to 1963. Thanks to the financial Aid provided by 'Marshall Plan' of United States government, Italy initiated INA-Casa housing program elaborated and realized by minister of Labour, Amintore Fanfani. He was strongly influenced by catholic socialism and Weberian corporatism, and also had previously written theoretical studies on the subject during the Interwar years. The outcome of this policy had been devaluated for its Keynesian aspect as well as vernacular predominance in the architectural forms. On the contrary, this study focuses on themes such as continuity of politics before and after the Liberation, status of the architects and their will to social engagement, notion of quarter as 'self-sufficient community' and 'residential unit'. These factors will allow to comprehend the complex nature of the reality where different categories were involved to resolve the common housing problem.

최근 신고자료를 기초로 한 우리나라의 사망패턴

김일현,Kim, Il-Hyeon 대한병원협회 1990 대한병원협회지 Vol.19 No.5

선전과 소통 : 루치아노 발데사리의 브레다 전시관 계획에 관한 고찰 1951-1963

김일현,Kim, Il-Hyun 한국건축역사학회 2008 건축역사연구 Vol.17 No.6

Main theme of this paper is the evaluation of the historical significance of Luciano Baldessari's exhibition works mainly during the Fifties. In order to understand the formal and logical basis of those project, his relationship with the historical Avant-gardes and the consequences expressed in his pavilion projects for the Breda Industrial Company are analyzed. The first part focuses on the influence of Italian Futurism, German Expressionism and Italian Rationalism on the formation and experience of Baldessari during the interwar years. The encounter with these movements determine the interest but also the principles along which Baldessari represents his idea of object, space and place. Specially his professional activities during Fascism would determine his attitude toward political power and the necessity of autonomy in artistic sphere. In the second part, different themes that Baldessari affronted in each project of Breda Pavilions is analyzed. Another important issue regard the historiography of the contemporary architecture. Often, many important works that lies in the threshold of the disciplines such as painting and sculpture and media art were excluded in the history of architecture just because they do not deal with the architectural object. Recently, many elements such as theatrical project and temporary objects are considered as part of urban reality and architecture with acknowledgment of their capacity to create event and situations. Along this thought, not just the reconfiguration on the territory of architecture in present but also the criterion to evaluate the past history of architecture is changing drastically. This study on the pavilions of Baldessari intends to contribute indirectly on the current issue of dominion of architecture, but also to evaluate objectively recent architecture. Consequently, architectural protagonists such as Baldessari and their ephemeral projects would be evaluated compressively in their multiplicity of significance.

역사와 개인사

김일현(Kim, Il-Hyun) 대한건축학회 2014 建築 Vol.58 No.2

將來人口推計와 人口學的 特徵

金日鉉(Il - Hyun Kim),崔鳳鎬(Bong - Ho Choi) 한국인구학회 1991 한국인구학 Vol.14 No.1