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      • 側側門下空靜脈吻合術의 實驗的 硏究

        李文伯 고려대학교 의과대학 1974 고려대 의대 잡지 Vol.11 No.1

        Side-to-side portacaval shunt was constructed in 5 normal mongrel dogs, and the author observed the changes of protal and inferior vena caval pressures, liver function tests, blood nitrogens, hematologic values, histopathological findings of shunt stoma and liver tissues. The significant changes are as follows: 1. Portal pressures were decreased markedly and inferior vena caval pressures were decreased slightly. 2. In liver function tests, impairment of hepatic function was observed-serum globulin, indirect bilirubin, serum cholesterol, serum transaminases, alkaline phosphatase were increased and serum albumin was decreased and A/G ratio was reversed. 3. WBC and hematocrit and platelets were decreased. 4. The shunt stomata were stenosed partially due to fibrosis and foreign body granuloma. 5. Histopathological changes of the liver were degenerations of hepatic cells, disarrays of hepatic cell cords, and venous congestion.

      • 腸重疊症 92例에 對한 臨床的 考察

        李文伯 우석대학교 의과대학 1969 우석의대잡지 Vol.6 No.1

        While intussusception is by far the commonest cause of intestinal obstruction in children it is also true that it can occur at any age and must, therefore, always considered as a possible cause of intestinal obstruction. The 92 cases of intussusception include the clinical observation and experiences in Woo Sok University Hospital and Han Il Hospital from Jan., 1963 to Dec., 1967. Intussusception was 3.3% of abdominal diseases and 26% of intestinal obstruction, (except postoperative adhesive ileus). Age distribution consisted of 71.7% in children, 41.3% under one year of age. Sex distribution showed higher incidence in male than female with ratio of 3 : 2. The causes of intussusception were identified in 22.4% and they were intestinal tumor(13%), hypertrophy of mesenteric lymph node(3.6%), Meckel's diverticulum(3.6%), appendic it is(1.1%), and intestinal tuberculosis(1.1%). The four cardinal symptoms and signs were abdominal pain(82.6%), vomiting(80.4%), palpable abdominal mass(70.7%), and current jelly stool(50.7%). Types of intussusception were ileocecal(51.8%), ileocolic(29.4), ileoileal(10.7%), colonic(7%), and jejunojejunal(1.1%). 9 cases of intussuaception were completely reduced by barium enema with hydrostatic pressure, but 2 cases recurred 4 and 6 months later. Operative intervention was restored in 85 cases, in which 56 cases were treated by manual reduction and 25 cases by intestinal resection, and 4 cases were found to be reduced spontaneously under the general anesthesia. Our surgical mortality was 11.7%, with 34.8% in strangulated intussusception.

      • KCI등재

        Remnant Pacemaker Lead Tips after Lead Extractions in Pacemaker Infections

        김대훈,용수,이미솔,엄재선,박희남,이문,정보영 대한심장학회 2016 Korean Circulation Journal Vol.46 No.4

        Complete hardware removal is recommended in the case of patients with cardiovascular implantable electronic device (CIED) infections. However, the complete extraction of chronically implanted leads is not always achieved. The outcomes and optimal management of CIED infections with retained material after lead extractions have not been elucidated. In this case report, we present five patients with CIED infections with remnant lead tips even after lead extractions. Two patients had localized pocket infections, and were managed with antibiotics for a period of more than two weeks. The other three patients had infective endocarditis, and were managed with antibiotics for a period of more than four weeks. In one patient, the lead tip migrated to the right pulmonary artery, but did not produce any symptoms or complications. Only one of five patients experienced a resurgence of an infection

      • KCI등재
      • KCI등재

        The Trends of Atrial Fibrillation-Related Hospital Visit and Cost, Treatment Pattern and Mortality in Korea: 10-Year Nationwide Sample Cohort Data

        이한철,정보영,김태훈,용수,엄재선,박희남,이문 대한심장학회 2017 Korean Circulation Journal Vol.47 No.1

        Background and Objectives: The change of in-hospital and out-hospital treatments, and hospital costs for atrial fibrillation (AF) were not well known in rapidly aging Asian countries. This study is to examine the trends of AF management and outcomes in Korea. Subjects and Methods: In the sample cohort from Korean National Health Insurance Data Sample Cohort (K-NHID-Sample Cohort) from 2004 through 2013, we identified patients with AF and hospital visit records using Korean Classification of Diseases, 6th Revision (KCD-6). Hospital cost, prescribed medications, radiofrequency catheter ablation (RFCA), morbidity and mortality were identified. Results: AF-related hospitalization and outpatient clinic visits increased by 2.19 and 3.06-fold, respectively. While the total cost increased from 3.6 to 11.3 billion won (p<0.001), the mean cost per patient increased from 0.68 to 0.83 million won (p<0.001). Although the mean CHA2DS2-VASc score increased from 3.5 to 4.4 in the total AF population, the proportion of patients who receive anticoagulation therapy with warfarin showed no significant change for the decade. The proportion of hospitalization for RFCA was increased (0.4% to 1.1%, p<0.001). All-cause mortality (6.7% to 5.0%), cardiovascular mortality (1.4% to 1.1%) and stroke-related death (1.3% to 0.8%) showed a modest decrease from 2004 to 2013. Conclusion: During the last decade, AF-related hospitalization and outpatient clinic visits have increased with the increase of many other comorbidities, whereas the rate of anticoagulation did not improved. Although mortality in patients with AF showed a modest decrease from 2004 to 2013, proper anticoagulation therapy is warranted for the improvement of public health.

      • KCI등재

        성폭력 무고 사건의 유형과 동기에 대한 연구

        안재경(Jaekyung Ahn),수빈(Soobin Baek),이문(Yimoon Choi) 한국형사정책학회 2022 刑事政策 Vol.34 No.3

        성범죄는 인간의 삶을 파괴하는 잔인하고도 반인륜적인 범죄이며, 이를 근절하기위해 처벌을 강화하고 있다. 동시에 성범죄에 대해 증가하는 형량과 사법제도의 변화와 함께 무고범죄에 대한 우려도 증가하고 있다. 성범죄 무고의 경우 혐의가 제기된 사실 자체로 피고소인의 사회적관계와 삶의 질에 심각한 영향을 받는 등 트라우마적 영향을 미치고, 대중들의 관심은 무고죄에 대한 최종 판결보다도 더 높아 피해자에게 끼치는 해악이 결코 가볍지 않지만, 이에 대한 피해회복이나 명예회복이 쉽지 않다. 또한 무고범죄의 경우 피고인이 허위였음을 인식하고 있었다는 점을 증명해야 한다는 점에서 입증 또한 매우 어렵다. 성폭력 무고 범행의 심각성과 입증의 어려움은 성폭력범죄에 비해 가볍지 않음에도 불구하고, 이에 대한 조사와 연구는 이루어지지 않고 있다. 본 연구는 성폭력 무고범죄의 신고 유형과 고소인의 동기를 살펴보기 위해 2019년 1월 1일부터 2020년 12월 31일까지 2년간 성폭력범죄로 유죄가 선고된 1심 판결 180건을 분석하였다. 분석결과 성폭력 무고범죄의 경우 절반은 집행유예 선고를 받았고, 주된 무고 신고의 종류는 강간과 강제추행이 대다수를이루었다. 무고동기를 실증적으로 살펴본 결과 복수심, 재명명, 후회 등의 감정적 이득을 위한 신고가 대다수였으며, 물질적 이익이나 정서적 문제에 의한 신고는 상대적으로 적었다. 연구의 분석방법과 자료의 한계상 다소 제한적이지만, 본 연구는 상대적으로 경험연구가 부족한 성폭력범죄 무고죄의 유형과 그 동기를 계량적으로 살펴보았다는 의의를 지닌다. Sexual crimes are considered unethical and immoral, as they destroy human lives. The criminal justice system of South Korea mandates tough punishment for sexual criminals. At the same time, concerns about false accusations of sexual assault are also increasing. A false accusation of rape affects the accused on a very deep level, destroying their social relations and quality of life. Public opinion is largely based on the fact that the accused is under suspicion of sexual assault, rather than on the court’s ruling. In addition, because the accuser’s intent determines the legality or the illegality of the false accusation, accusations are hard to prove and even harder to defend against. Despite the significant social repercussions of false rape accusations, we lack accurate statistics of how frequently they occur and an in-depth discussion of the motives behind them. This study classifies the most reported types of false rape accusations and discusses common reasons and motives that underlie most cases. It analyzes a total of 180 cases that issued sentences for false rape accusations over the past two years, from January 1, 2019 to December 31, 2020. Nearly half of the offenders in these cases were sentenced to probation, while the two main types of reported crimes were rape and indecent act by compulsion. Emotional gains, such as sheer vengeance, re-labelling, and regret, as well as material gains and emotional problems stand out as common motivations for false rape accusations. This study has the potential to shed light on a topic that has so far eluded empirical analysis and open avenues for future research Although the study is limited in terms of analytical methods and data, the research has implications for quantitatively examining the types and motives of false rape accusations, which is relatively lacking empirical research.

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