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- 저자 : ( Se Woon Ham ) (검색결과 4 건)
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함세운,남기석,노혜진,홍경득,황래석,방지환,신형식 대한감염학회 2007 감염과 화학요법 Vol.39 No.4
목적 : 3차 의료기관에서 입원치료를 받았던 노숙자를 대상으로 감염성 질환의 유병율을 알아보고자 하였다. 재료 및 방법 : 2002년 1월부터 2004년 8월 사이에 국립의료원에서 입원 치료를 받았던 269명의 노숙자 환자들을 대상으로 의무기록을 조사하였다. 결과 : 연구 기간동안 입원치료를 받은 총 269명의 노숙자 환자 중 남자가 249명(92.9%), 여자가 19명(7.1%)이었다. 감염질환의 유병율은 B형 간염이 228명 중 15명(6.6%), C형 간염 113명 중 8명(7.1%), 결핵은 269명중 19명(7.1%), VDRL 양성인 경우는 234명 중 25명(10.7%), 항사람면역결핍바이러스항체 양성은 130명중 2명(1.5%)이었다. B형 간염표면항원에 대한 항체 형성자는 118명(51.7%), 항체 미형성자는 95명(41.7%)이었다. 결핵으로 진단된 19명 중 객담도말 및 배양검사와 조직검사로 확인된 경우가 14명, 균음성이나 임상적으로 의심되는 경우가 5명이었다. 간질환 및 관련된 합병증으로 입원한 환자 28명 중 B형 및 C형 간염바이러스에 관련된 경우는 5명(17.9%)에불과하였고 결핵은 19명중 13명(68.4%)이 폐결핵 및 림프절종대의 증상으로 입원치료를 받았다. 복합 감염의 경우는 총 9명이었는데 후천면역결핍증후군 환자였던 2명중 1명이 결핵에 이환되어 있으면서 VDRL 양성소견을 보였고 다른 1명이 HIV와 결핵의 동시감염이었다. 결론 : 노숙자 입원환자에서 결핵, C형 간염 및 매독의 유병율이 일반 인구에 비해 높았다. 노숙자환자를 담당하는 의료인력를 보호하고 환자의 감염질환 유무를 파악하기 위해 적절한 선별검사가 필요하며 감염질환의 확산을 방지하기 위한 정부의 적극적인 대책이 필요하다. Background : Despite the expected high prevalence of several infectious diseases among the homeless, a majority of them have not received screening test and early treatment. Materials and Methods : The subjects of this study were 269 homeless patients who had been hospitalized in the National Medical Center (Korea) between January 2002 and August 2004. Their medical histories and records were reviewed to analyze the prevalence and clinical characteristics of hepatitis B and C, syphilis, tuberculosis and HIV infection among them. Results : The entire 269 homeless patients being hospitalized during the period of this study consist of 249 male patients and 19 female patients. For the prevalence of infectious diseases, HBV was seen in 15 of 228 patients (6.6%); HCV in 8 of 113 patients (7.1%); VDRL positive in 25 of 234 patients (10.7 %); HIV antibody positive in 2 of 130 (1.5%); and tuberculosis in 19 of 269 (7.1%). The number of patients who had the antibody to hepatitis B was 118 (51.7%). Of 28 patients hospitalized with the chief complaints of liver diseases and/or their complications, the number of cases infected with hepatitis B and C viruses was only 5 (17.9%). On the other hand, for patients with tuberculosis, 13 of 19 cases (68.4%) were hospitalized with the chief complaints associated with symptoms of pulmonary tuberculosis or enlarged lymph nodes. The number of patients with multiple infectious diseases was 9 in total. Conclusion : As expected, the prevalence of some infectious diseases were higher among the homeless inpatients, than non-homeless population. Proper screening tests in order to determine the presence of any infectious diseases among the patients and protect involved medical staff are necessary. Further, the government should take proactive measures to prevent the spread of infectious diseases in the aspect of public health.
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함세훈 ( Se Hoon Ham ),황호원 ( Ho Woon Whang ) 한국항공운항학회 2011 한국항공운항학회지 Vol.19 No.2
The article specified in aviation legislation, ``The captain has the final authority and res ponsibility in flight safety`` could be one reason running counter to applying “Vertrauensg rundsatz”. In practice, however, captains do not have professional skills in every task an d they should distribute duties and responsibilities to flight attendents and other staffs to operate the flight as safely and efficiently as possible. Therefore, in aviation, fair criterion, namely, "Vertrauensgrundsatz" is necessary to bala nce between efficiency and legal interest for participants. In addition, when it comes to mutual trust of duty which was the starting point of this study, the standard in mutual advice or interference must be based on the duty specified in air law and flight regulations. Also, pervasive trust will not only be attributed to joint r esponsibility but an act that cannot be trusted.
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함세훈 ( Se Hoon Ham ),황호원 ( Ho Woon Whang ) 한국항공운항학회 2010 한국항공운항학회지 Vol.18 No.3
The prohibition of careless or reckless flight is the regulation specified not only in the national air law but ICAO ANNEX and FAR. This article(item) has not been categorized properly unlike other items and the question such as why this is described as a fundamental and essential act can be answered only by the party subjected to administrative measures in case of Korea and this kind of violation is so rare that it is not easy to understand the legal meaning and the function of the term, The prohibition of careless or reckless flight In case of U.S where aviation cases are common, the distinction between the term careless or reckless operation depends on whether to recognize the given situation. Some incidents happened by failing to aware NOTAM, violating ATC, or T/W landing where a pilot did not recognize the violation itself are considered to be Careless flight. Others such as low altitude high speed flight, approximate flight, Rejecting ATC instruction where a pilot intends to or is remiss in safety are regarded as Reckless flight. For pilots who are required to take the highest level of care from preparing for flight to stopping engines or completely disembarking passengers from a plane, the clear understanding of the most basic concept of careless or reckless flight should be emphasized for the safe flight and it is the time for the authorities to set a standard for proper measures by definite legal interpretations.
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( Hye Jin Noh ),( Se Woon Ham ),( Kee Suk Nam ),( Kyung Deuk Hong ),( Shin Bae Joo ),( Hong Soon Lee ),( Chang Min Song ),( Sung Chol Jung ),( Byung Yul Kim ) 대한천식 및 알레르기학회 ( 구 대한알레르기학회 ) 2007 천식 및 알레르기 Vol.27 No.3
특발성 과호산구 증후군은 특별한 원인 없이 말초혈액에서 호산구 증가가 1,500/mm3 이상으로 6개월 이상 지속되고, 침범된 장기의 기능장애가 초래되는 질환이다. 특히 심장을 침범한 경우 예후가 불량하며 국내에서 이에 대한 증례 보고는 매우 드물다. 저자들은 흉부 불쾌감 및 호흡곤란을 주소로 내원한 환자에서 승모판 폐쇄부전과 좌심실 혈전형성을 동반하고 있는 과호산구 증후군 1예를 경험하였으며, 좌심실 혈전제거술과 항응고제 및 스테로이드 투여로 호전을 보였으므로 이를 문헌고찰과 함께 보고한다. (Korean J Asthma Allergy Clin Immunol 2007;27:190-194)
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