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1905년 혁명 후 러시아 사민당에서의 의회주의와 생디칼리즘
최대희 ( Choe Dae Hui ) 한국서양사학회 2003 西洋史論 Vol.0 No.78
The disagreement between Lenin and Left- Bolsheviks over the Duma question was not a narrow tactical one; rather it reflected fundamentally different analyses of the changes taking place inside Russia and in the international worker movement. In advocating a combination of parliamentary and extra- parlia mcntary nieans of struggle Leriin sought to model the RSDRP upon the German SPD with its preference for parliamentarism, and the Bolshevik fraction upon the Kautskyite `centre`. Lenin recognized after 1907 that Left-Bolsheviks with syndicalist ideas were now a major influence on Bolshevism which threatened party authority and his own standing as leader. Revolutionary syndicalism in Europe placed its hopes in action directe of workers, not parliamentary reform of political parties. Left -Bolsheviks inspired by many syndicalist ideas were not opposed to parliaments in principle, but they rejected the opportunist view that the Duma should be central to the Party work. It was for them essential that the Party should increase its efforts to spread socialist ideas among the most `conscious` workers. They believed that the working class would develop a new consciousness. The liberation of the working class would be the achievement of the working class itself. This profound belief in the workers creativity was a distinctive feature of Left-Bolsheviks collectivism. In this respect it was close to the political syndicalism. In order to overcome the critical situation, into which the Party since the 1905 revolution fell, Left-Bolsheviks drew up the thesis for a social revolution : the Party should not aim to achieve the political power by the means of parliamentary struggle, but strive to enhance the `consciousness` of the working class. This strategy for the revolution came in conflict with the parliamentarism, toward which Lenin leaned with Mensheviks.
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유지 혈액투석 환자에서 관상동맥 석회화와 C-반응단백 및 감염질환 항체가와의 상관관계
최대희 ( Choe Dae Hui ),한선숙 ( Han Seon Sug ),이성원 ( Lee Seong Won ),이희영 ( Lee Hui Yeong ),정해혁 ( Jeong Hae Hyeog ),이승준 ( Lee Seung Jun ),이상현 ( Lee Sang Hyeon ),한헌 ( Han Heon ) 대한신장학회 2004 Kidney Research and Clinical Practice Vol.23 No.2
목 적 : 말기신부전 환자에서 심혈관계 질환의 유병률과 그로 인한 사망률은 매우 높으나 그 원인 인자에 대해서는 명확히 밝혀져 있지 않다. 최근 고전적 위험인자 외에 염증반응이나 만성감염성 질환이 심혈관계 질환 발생에 관여함을 시사하는 연구 결과들이 나오고 있다. 저자들은 말기신부전 환자에서 관상동맥 질환의 발생을 관상동맥 석회화 수치 (coronary artery calcification score, CACs)를 측정하여 알아보고 이들 새로운 위험인자들과의 관련성을 밝혀보고자 하였다. 방 법 : 강원대학교병원에서 유지 혈액투석 중인 33명의 환자 (남:여=23:10, 연령=57±12세)를 대상으로 단면적 연구를 시행하였다. Multirow spiral CT (MSCT)를 이용하여 면적과 부피를 기준으로 CACs를 측정하였고, 염증반응의 지표로서 high sensitivi쇼 C-반응단백 (hs-CRP)과 IL-6를 측정하였으며, C. pneumoniae의 IgA 및 IgG 항체가와 H. pylori, cytomegalovirus, herpes simplex 등의 IgG 항체가를 측정하여 다음과 같은 결과를 얻었다. 결 과 : MSCT로 측정한 CACs는 중앙값 (범위)이 면적:379 (0-3662), 부피:338 (0-2,968)이었고, 면적 및 부피에서 100 이상의 높은 수치를 보인 경우는 각각 24명으로 73%에서 관찰되었다. Log (hs-CRP)와 log (CACs)는 상관관계 (면적:r=0.37, p<0.05, 부피:r=0.39, p<0.05)를 보였으나 log (IL-6)는 log (CACs)와 유의한 상관관계를 보이지 않았다. C. pneumoniae IgA와 IgG 양성률 (>1:64)은 각각 35%와 97%였고, C. pneumoniae의 IgA 및 IgG 항체가는 CACs와 유의한 관련성이 없었으며, H. pylori, cytomegalovirus IgG, herpes simplex 등의 IgG 항체가도 CACs와 관련성이 없었다. 환자의 연령과 log(CACs)는 양의 상관관계 (면적:r=0.39, p<0.05, 부피:r=0.39, p<0.05)를 보였으나, 당뇨유무, 흡력, 투석기간, 신체질량지수, 혈압, 혈중 cholesterol, albumin, PTH, calcium, phosphorous 등은 CACs와 유의한 관련성이 없었다. 결 론 : 혈액투석 중인 말기피신부전 환자에서 관상동맥의 심한 석회화를 흔하게 관찰할 수 있었고, 염증지표인 hs-CRP가 관상동맥 석회화와 관련이 있었다. C. pneumoniae 등 만성감염성 질환들의 항체가는 관상동맥 석회화와 유의한 관련성을 보이지 않았으나, 향후 보다 많은 환자를 대상으로 전향적인 연구가 필요할 것으로 생각된다. Background : Cardiovascular mortality is high in patients with end-stage renal disease (ESRD). Although the factors contributing to ESRD-related vascular disease are incompletely understood, recent studies suggest that inflammatory reaction or chronic infectious disease may play an important role as new risk factors. The aim of present study was to measure coronary artery caleification score (CACs) and to investigate the association with various markers of systemic inflammatory reaction. Methods : We conducted a cross-sectional study in 33 ptients (M : F=23:10, age=57±12 years) on maintenance hemodialysis. Multirow spiral CT (MSCT) was performed in all patients to measure CACs utilizing area and volume calculations. We measured high sensitivity C-reactive protein (hs-CRP) and interleukin-6 (IL-6) as indicators of inflammatory reaction, and measured IgA and IgG antibodies to C. pneumoniae, and IgG antibodies to H. pylori, cytomegalovirus, and herpes simplex. Results : Median CACs equaled 379 (range, 0-3,662) by area and 338(range, 0-2,968) by volume. CACs more than 100 was present in 24 (73%) patients. Log (hs-CRP) was positively correlated with log (CACs) (area : r=0.37, p<0.05, volume : r=0.39, p<0.05), but log (IL-6) was not. There was no significant relationship between CACs and antibody titers to C. pneumoniae, H. pylori, cytomegalovirus, and herpes simplex. Age was positively correlated with log (CACs) (area : r=0.39, p<0.05, volume : r=0.39, p<0.05), but the presence of diabetes, smoking history, the duration of dialysis, body mass index, blood pressure, and serum cholesterol, albumin, PTH, calcium, and phosphorous levels were not. Conclusion : Coronary artery calcification was common in ESRD patients on hemodialysis, and associated with increased hs-CRP, an indicator of the presence of inflammatory reaction. There was no significant relationship between antibodies to chronic infections such as C. pneumoniae, but large-scale longitudinal studies are needed to evaluate fully that. (Korean J Nephrol 2004;23(2):278-286)
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반복적인 급성 폐부종으로 나타난 신동맥 협착의 내과적 치험
한선숙 ( Han Seon Sug ),최대희 ( Choe Dae Hui ),이성원 ( Lee Seong Won ),이희영 ( Lee Hui Yeong ),김우진 ( Kim U Jin ),이상현 ( Lee Sang Hyeon ),정해혁 ( Jeong Hae Hyeog ) 대한신장학회 2003 Kidney Research and Clinical Practice Vol.22 No.4
Renal artery stenosis is a rare cause of acute pulmonary edema. So-called flash pulmonary edema is associated with bilateral renal artery stenosis or stenosis in a single functioning kidney. Most patients have co-morbid cardiovascular disease and a renovascular etiology is overlooked. Flash pulmonary edema has been recognized as an absolute indication for vascular intervention. However, our case could be treated with medical treatment directiong a complete inhibition of renin-angiotensin system. A 81-year old man was admitted with acute shortness of breath. During that admission, despite the dialysis therapy for renal insufficiency, he had four severe episodes of acute pulmonary edema requiring mechanical ventilation. CT angiography showed bilateral renal artery stenosis. After administration of ACE inhibitor, angiotensin receptor blocker, and spironolactone, there was no further attack of pulmonary edema. (Korean J Nephrol 2003;22(4):474-478)
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한국인에서 처음 분리된 Chlamydia pneumoniae
이승준 ( Lee Seung Jun ),정해혁 ( Jeong Hae Hyeog ),김숙경 ( Kim Sug Gyeong ),최대희 ( Choe Dae Hui ),한선숙 ( Han Seon Sug ),남의철 ( Nam Ui Cheol ),원준연 ( Won Jun Yeon ),박원서 ( Park Won Seo ),이명구 ( Lee Myeong Gu ),정기석 대한결핵 및 호흡기학회 2002 Tuberculosis and Respiratory Diseases Vol.53 No.5
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