http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
의약분업 시행 후 피부과 외래 환자의 의료이용 행태에 관한 후향적 임상역학 연구
김재왕 ( Jae Wang Kim ),이일환 ( Il Hwan Lee ),김순택 ( Soon Taek Kim ),김충철 ( Choong Chul Kim ),송동훈 ( Dong Hoon Song ),김경진 ( Kyung Jin Kim ),전인기 ( Inn Ki Chun ),김준협 ( Jun Hyeob Kim ),양준성 ( Joon Seong Yang ),이민 대한피부과학회 2003 대한피부과학회지 Vol.41 No.6
N/A Background : Despite 2 years` separation of dispensary from medical prartice since year of 2000, many outpatients in Korea have a lack of understanding this separation. In addition, the illegalpractices of pharmacists such as medical examination have contributed to the recent problematic situation. Objective : We performed this study to evaluate the actual situation of the separation of dispensary from medical practice in the dermatologic field. Methods : The clinico-epidemiologic analysis of 17 months` data of 18,230 outpatients was conducted through the available medical records and serial questionnaires. Results : 1. The medical or non-medical institutions that 18,230 outpatients with skin diseases had chosen at first, were as follows by the order of frequency; pharmacy(78.5%), folk remedies or self-medication(9.8%), dermatologic institutions(5.5%), non-dermatologic medical clinics(3.4%), herb clinics(2.8%). Accordingly, most(94.5%, 17,223) of the new patients did not select a dermatologic institution for the care of their skin diseases. 2. The patterns of health care utilization of the patients mostly(72.9%) showed a fixed tendency to visit the one particular institution or formula continuously prior to final visit to the research hospitals. Most of the patients(62.8%) firstly visited a pharmacy for their disease care and did not revisit another institution. 3. Since the first visit to a pharmacy, 9.6% of the patients repetitively utilized one or more herb clinic(s) or folk remedies in addition to one or more medical institution(s). 4. The patients utilizing non-dermatology measures for skin disease care at first, were mostly in their fifties(25.3%). The patients seeking herb medicine or non-dermatologic medical clinics, were in their teens(27.3% and 24.3% , respectively). 5. Of the cases misdiagnosed as another disease or aggravated in the patients choosing non-dermatologic care, fungal infections are most common(24.0%). 6. In front of 97.1% of the patients seeking pharmacy at first, the pharmacists practiced medicine like a physician in a wrong way instead of dispensing a prescription. Conclusion : In Korea, the majority of dermatologic clinics has been deprived of a position as an institution for primary care of skin diseases. It is imperative that dermatologists should be granted independent and unconstrained authority in the medical profession for the benefit of their patients. (Korean J Dermatol 2003;41(6) : 740~753)
Merkel 세포암양 조직 소견을 동반한 전이성 소형 신경내분비 세포암
김재왕 ( Jae Wang Kim ),김순택 ( Soon Taek Kim ),김상석 ( Sang Seok Kim ),이종주 ( Chong Ju Lee ) 대한피부과학회 2003 대한피부과학회지 Vol.41 No.6
Metastatic small cell neuroendocrine carcinomas(MSCNC) from distant sites, such as the lung, are high grade tumors with poor prognosis. Histopathologically, it is difficult to distinguish between MSCNC and Merkel cell carcinoma solely on the basis of histologic morphology, electron microscopy, and immunohistochemistry. In recent years, differential expression of cytokeratin(CK) 20 and thyroid transcription factor(TTF)-1 has been proposed as useful distinguishing features. It must be emphasized that clinical correlation(e.g. symptomatology, chest X-ray) and a combination of CK 20 and TTF-1 markers, are essential to differentiate these two disease entities. We herein present a case of MSCNC of the lung that might be misdiagnosed as Merkel cell carcinoma. (Korean J Dermatol 2003;41(6) : 714~779)
무인이동체를 활용한 철도교량의 손상진단 자동화기술 적용성 검토에 관한 연구
김재왕 ( Jae-wang Kim ),김영철 ( Young-cheol Kim ),김기정 ( Ki-jung Kim ),박순응 ( Soon-eung Park ) 한국구조물진단유지관리공학회 2020 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.24 No.1
철도시설물의 안전점검은 인력점검을 통해 구조물의 손상 및 변상 정보를 조사하는데 이러한 방식은 점검자의 주관적인 판단이 개입되어 객관적인 결과를 도출하기 어려운 문제가 있으며 인력점검 시 시설물 근접이 어려운 교각 등 접근취약 개소의 안전사고 위험이 동반이 된다. 본 연구에서는 무인이동체를 활용하여 시설물 안전점검 시 안전성을 확보하면서 손상진단을 자동으로 분석하는 기술을 현장실험을 통해 그 적용성을 검토하였다. 현장실험 결과 균열 길이에 대한 오차율이 약 5.5%로 분석되어 손상진단 자동화 기술의 적용성을 확인할 수 있었다.
김재왕 ( Jae Wang Kim ),김광중 ( Kwang Joong Kim ),김종민 ( Jong Min Kim ),이종주 ( Chong Ju Lee ) 대한피부과학회 1998 대한피부과학회지 Vol.36 No.5
Herein we report two cases of leukemia cutis that were responsive to oral all-tratm retinoic acid(ATRA) therapy. The two presented patients, who had been diagnosed with acute pmmyelocytic leukemia, disclosed specific lesions of leukemia cutis through histopathological examinations. Leukemia cutis due to acute promyelocytic leukemia is characterized by PML/RAR-a chimeric fusion proteins which arise from chromosomal trmslocation. This PML/RAR-a transcript can be a valuable molecular therapeutic target to systemic retinoid therapy in that ATRA induces terminal differentiation of leukemic clones and PML/RAR-a transcript preserves the ATRA-responsive signal transduction pathway. We concluded that leukemia cutis might be treated by tretinoin therapy without notifi.able adverse effects. (Korean J Dermatol 19%;36(5): 901-905)
김재왕(Jae Wang Kim),박재용(Jae Yong Park),탁원영(Won Young Tak),김성록(Sung Rok Kim),김은영(Eun Young Kim),곽규식(Kyu Sik Kwak),최용환(Yong Hwan Choi),정준모(Jun Mo Chung) 대한내과학회 1990 대한내과학회지 Vol.39 No.1
N/A To investigate the hemodynamic and side effects of abdominal paracentesis in liver cirrhotics with tense ascites, this study was carried out on large volumes of paracentesis (about 5000 ml daily) in 12 liver cirrhotics with tense ascites who were selected from a group of patients not well controlled by ordinary treatment. The subjects were checked for difference of plasma volume, creatinine clearance, electrolyte change, etc., and also their side effects were observed between pre-and postapping at 24 and 48 hours. The results obtained were as follows: No significant change in serum soclium, urea nitrogen, creatinine and postural blood pressure difference was noted between pre-and post paracentesis, But urine volume (710±402; 1042±593 ml, p=0.0044) significantly increased after paracentsis. The plasma volume (3847±582:3659±317ml, p=0.2604) which was measured by direct method did not changed. These results suggest that large-volume paracentesis is one of the therapeutics in liver cirrhotics with tense ascites who were not well controlled by ordinary therapy, but much further study will be needed.
김재왕 ( Jae Wang Kim ),김광중 ( Kwang Joong Kim ),김종민 ( Chong Min Kim ) 대한피부과학회 1998 대한피부과학회지 Vol.36 No.1
We report herein two cases of leukemia cutis. One case is a 54-year-old woman who came to our department with complaints of a solitary ulcerating nodule on her left leg that had been present for 2 months since prior to her visit. Through histopathological studies, the diagnosis of myelocytic leukemia cutis was made before the final diagnosis of acute myelocytic leukemia was made by hematological studies. When combined chemotherapy was finished, she was in a partial remission state and the nodule disappeared after 1 month of chemotherapy. The other case is a 77-year-old man having multiple infiltrative nodules on the right forearm and right thigh for 1 month prior his visit. He was diagnosed as having leukemia cutis for his skin lesions histopathologically. This was redefined as chronic myelomonocytic leukemia of the myelodysplastic syndrome with blastic transfor- mation by hematological examination. He developed septicemia and died 3 weeks after the dermato- logical diagnosis. (Korean J Dermatol '1998;36(1): 133-138)
정맥성 궤양 환자에서의 활성형 C 단백질 저항성 및 Leiden 돌연변이 유병률에 관한 연구
김재왕(Jae Wang Kim),김수영(Su Young Kim),이종주(Chong Ju Lee),김상림(Sang Rim Kim) 대한피부과학회 2002 대한피부과학회지 Vol.40 No.10
N/A Background : Recently, resistance to activated protein C(APC) is known to be an important risk factor for venous leg ulcers. Leiden mutation in clotting factor V is the most common genetic defect leading to APC resistance in western countries. Until now, the prevalence of APC resistance and Leiden mutation in Korean patients with venous ulcers has been ill defined. Objective : We performed this study in order to investigate the prevalence of APC resistance and Leiden mutation in Korean patients with venous ulcers. Methods : The functional analysis for APC resistance(APC resistance ratio) and genetic study for Leiden mutation were conducted in 40 patients with venous ulcers. Results : 1. Of the 40 patien with venous ulcers, resistance to APC was documented in 11 individuals (27.5%). 2, We could not find factor V Leiden mutation in 40 patients. 3, Patients with APC resistance more frequently represented venous thrombosis than in their non-APC resistant counterparts. Conclusion : APC resistance may be one of the thrombophilic defects in relation with venous ulcers in Korea. However, Leiden mutation may be rate in Korean patients with venous ulcers than in Caucasians. These findings suggested that the other genetic or non-genetic factors may be involved in the pathogenesis of APC resistance in Korea.