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- 저자 : 정지선 ( Jee Sun Jeong ) (검색결과 4 건)
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개복 담낭절제술 후 오랜 기간 후에 발생한 혈액 담즙증
정지선 ( Jee Sun Jeong ),음영욱 ( Young Ook Eum ),장지혜 ( Ji Hye Jang ),정은 ( Eun Chung ),양현 ( Hyun Yang ),김현선 ( Hyun Seon Kim ),배일헌 ( Il Hun Bae ),박선미 ( Seon Mee Park ) 대한췌장담도학회 2014 대한췌담도학회지 Vol.19 No.1
A 77-year-old woman was admitted with 5 days history of melena. She had an open cholecystectomy 30 years ago. Abdominal computed tomography and duodenoscopy revealed massive hemobilia. Angiography showed right hepatic arterial fistula to common bile duct near the surgical clip. Embolization was done successfully and the patient recovered. We experienced a case of a massive hemobilia which was occurred after a long period of time since open cholecystectomy without pseudoaneurysmal change of the right hepatic artery. And we suggest the direct vessel injury and fistula between the bile duct and a blood vessel as a possible cause of hemobilia in this case. Korean J Pancreatobiliary 2014;19(1):42-46
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정지선(Jung Jee-Sun),이해출(Lee Hai-Chool),인치훈(In Chi-Hun),임홍철(Rhim Hong-Chul),정성훈(Jeong Seong-Hoon) 대한건축학회 2008 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.28 No.1(계획계)
Planning and construction of high-rise buildings are ever increasing, recently, To represent and promote economic growth of a country or a city, buildings over 500 to 600 meter height are not uncommon. Korea is not an exception in the world trend of high-rise building construction. However, building codes related to the safety and evacuation of those extremely high buildings are not readily available. In this paper, the necessity of evacuation floors for high-rise buildings are suggested as an emergency plan. Also, the effects of structural behavior with these evacuation floors are studied through preliminary structural analysis. It is expected that the results of this study will be beneficial both to the building planners and the occupants of high-rise buildings.
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척추후측만증 환자에서 급속히 진행된 비만성 저환기 증후군 1례
김민영,정지선,장유나,고세은,이상학,문화식,강현희,Kim, Min Young,Jeong, Jee Sun,Jang, Yu Na,Go, Se-eun,Lee, Sang Haak,Moon, Hwa Sik,Kang, Hyeon Hui 대한수면의학회 2015 수면·정신생리 Vol.22 No.1
비만성 저환기 증후군은 체질량지수 $30kg/m^2$ 이상의 비만 환자에서 낮 동안의 저산소혈증 및 고탄산혈증($PaCO_2$ 45 mmHg 이상, $PaO_2$ 70 mmHg 미만) 소견을 보이는 질환으로 90% 이상에서 무호흡-저호흡 지수가 시간 당 5회 이상인 폐쇄성 수면 무호흡이 동반되어 나타난다. 특히 고탄산혈증을 유발할 수 있는 심한 폐쇄성 환기장애나, 간질성 폐질환 혹은 심한 흉벽질환 및 신경근육질환을 배제하는 것이 진단에 필수적이나, 임상적으로 비만성저환기 증후군의 양상을 보인다면 조기에 질환을 의심하는 것이 예후에 매우 중요한 영향을 끼친다. 비만성 저환기 증후군 치료의 목표는 체중감소 및 폐쇄성 수면무호흡의 치료, 고탄산혈증과 저산소혈증의 개선으로 산소치료, 경비적 지속적 상기도 양압술, 비침습적 양압 환기요법 등으로 치료 효과를 얻은 증례들이 보고되어 있다. 특히 만성 호흡 부전의 급성 악화가 동반 환자이거나, 지속적 상기도 양압술로 치료가 실패한 환자, 폐쇄성수면무호흡을 동반하지 않은 비만성저환기 환자의 경우에는 이단 상기도 양압술을 적용하여 더 효과적인 치료 결과를 기대할 수 있다. 저자들은 폐포저환기를 유발할만한 다른 질병이나 상태를 가진 환자의 경우에도 중증 비만, 코골이 및 수면 중 무호흡, 낮 동안의 저산소혈증 및 고탄산혈증 등 비만성저환기증후군의 특징적 임상 양상에 근거하여 조기에 비만성저환기 증후군을 의심하였고 이에 대한 평가를 진행하여 이단 상기도 양압 치료를 통해 치료 효과를 거두고 환자의 예후에 매우 큰 영향을 끼치는 것을 경험하였기에 보고하는 바이다. Obesity hypoventilation syndrome (OHS) is characterized by severe obesity, excessive daytime sleepiness, hypoxemia and hypercapnea. Because OHS mimics pulmonary hypertension or cor pulmonale, clinicians should recognize and treat this syndrome appropriately. A 58-year-old female visited the emergency room because of dyspnea. She was obese and had kyphoscoliosis. The patient also experienced snoring, recurrent choking during sleep and daytime hypersomnolence which worsened after gaining weight in the recent year. The arterial blood gas analysis showed she experienced hypoxemia and hypercapnea not only during nighttime but also daytime. We suspected OHS and the patient underwent polysomnography to confirm whether obstructive sleep apnea was present. During the polysomnography test, sleep obstructive apnea was observed and apnea-hypopnea index was 9.2/hr. The patient was treated with bilevel positive airway pressure therapy (BiPAP). After BiPAP for 4 days, hypoxemia and hypercapnia were resolved and she is currently well without BiPAP. We report a case successfully treated with clinical improvement by presuming OHS early in a patient who had typical OHS symptoms, even while having other conditions which could cause hypoventilation.
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채영문,이해종,박창래,정지선,Chae, Young-Moon,Lee, Hae-Jong,Park, Chang-Rae,Jeong, Jee-Sun 대한예방의학회 1990 Journal of Preventive Medicine and Public Health Vol.23 No.1
Hospitals are experiencing an increasing amount of financial difficulty due to government control of hospital rates since national health insurance has been implemented. The decision support system (DSS) was developed to provide cost and revenue information for the services rendered by each department in an effort to reduce costs. This information may be used to identify the causes of financial loss if cost exceeds revenue and to conduct variance analysis or portfolio analysis to improve financial situation of hospitals. The DSS was developed using a micro-mainframe interface approach where the mainframe computer collects and summarizes daily cost and revenue data and the micro computer computes the cost for each department. The significances of this paper are to determine the cost allocation basis and methods which are suitable to Korean situation and to apply DSS technology to the cost analysis.
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