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        전립선 암에서 Bicalutamide 사용으로 생긴 간질성 폐질환

        김양균 ( Yang Kyun Kim ),김이형 ( Yee Hyung Kim ),이재진 ( Jae Jin Lee ),최천웅 ( Cheon Woong Choi ),유지홍 ( Jee Hong Yoo ),박명재 ( Myung Jae Park ),강홍모 ( Hong Mo Kang ) 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.68 No.4

        Androgen deprivation therapy, which is the standard treatment for metastatic prostate cancer, includes nonsteroidal antiandrogenic drugs, such as flutamide, nilutamide and bicalutamide. Of them, bicalutamide rarely induces interstitial pneumonia. We report a case of bicalutamide-induced interstitial pneumonia. A 68-year old male diagnosed with prostate cancer and multiple bone metastases presented with dry cough and low grade fever for 3 days. He had taken bicalutamide (50 mg/day) for 13 months. High resolution computed tomography revealed ground glass opacity in his right upper lung. The laboratory studies showed no eosinophilia in the serum and bronchoalveolar lavage fluid. Despite the use of antimicrobial agents for 2 weeks, the extent of the lung lesions increased to the left upper and right lower lung. He had no environmental exposure, collagen vascular disease and microbiological causes. Under the suspicion of bicalutamide-induced interstitial pneumonia, bicalutamide was stopped and prednisolone (1 mg/kg/ day) was initiated. The symptoms and radiologic abnormalities were resolved with residual minimal fibrosis.

      • KCI등재
      • KCI우수등재
      • KCI등재

        모두루묘(牟頭婁墓) 묵서묘지(墨書墓誌)와 북조(北朝) 사경체(寫經體)

        김양균 ( Yang Kyun Kim ) 한국불교미술사학회(한국미술사연구소) 2013 강좌미술사 Vol.41 No.-

        牟頭婁墓는 고구려 고분 중에서 중급규모에 남겨진 벽화도 없었음에도 불구하고, 800 여 자의장문에 이르는 묘지가 씌어져 있는 독특한 고분이다. 100 여 자 내외의 묵서묘지가 일반적이었던 당시 고구려 고분 묘지와는 다른 장문의 묵서묘지에는 모두루 집안의 역사와 함께 4-5 세기 高句麗人들의 세계관을 보여주는 내용이 담겨져 있다. 그에 더하여 이러한 내용을 담고 있는 묵서들은 세련되고 유려한 필치로 정성스럽게 서사되어져서 일찍부터 관심의 대상이 되었다. 모두루묘 묘지는 문서의 형식을 빌어서 쓰여진 묘지로서 당시 北朝에서 유행하던 寫經體의 영향을 받아서 예서, 해서, 행서의 다양한 필획 특징을 가진 新隸書의 경향이 있으며, 서예 역사상 과도기적 경향을 가지고 있다. 다만 전대의 묘지문에 비해 결구가 위아래로 길어지고 해서 필획의 비율이 증가하는 등 楷書化의 경향이 더욱 두드러지고 있다. 이러한 서체의 유입을 통해 이후 정식서체로서 해서체 묵서명 등이 등장하게 되었고, 이는 고구려 서예를 더욱 발전시키는 결과를 낳았다. 다음으로 새로운 서체경향에서 주목되는 사경체의 유입과 관련하여서는 모두루묘 축조시기인 長壽王(재위 413-491) 당시 조공을 통한 대중국 관계 개선을 통해 供物과 報賜라는 많은 문물의 교환과, 5 세기 요동지방에서 활동하였던 구법승인 釋曇始, 釋阿道, 승랑법사 등의 적극적인 구법활동을 북조 사경체 유입의 루트로 제시하였다. 강력한 국력을 바탕으로 안정적 대외관계를 추구하였던 장수왕대에는 특히 북조와의 문물 교류가 활발하게 이루어졌고 이를 통해 북조 사경체라는 새로운 서체가 수입되었을 것이며, 이후 모두루묘 묘지와 같은 고구려 고분벽화의 묵서명이 유려한 해서풍을 띠게 된 배경이 되었다. Moduru Tomb which has an epitaph inscribed with as many as about 800 Chinese letters is quite unique, even though it has no mural paintings for medium-sized ancient tombs of Goguryeo. Unlike most epitaphs inscribed with around 100 letters in Chinese ink, the long epitaph in Moduru tomb contained history of Moduru family as well as world view from Goguryeo people in the 4th or 5th centuries. In addition, these letters in ink was neatly engraved in refined and graceful stroke and attracted attention from early on. The epitaph of Moduru tomb was inscribed in the form of a document, while it had a tendency of new Clerical style featuring various strokes including Clerical style, Running script style, and Standard script style under the influence of Sagyeong style(calligraphy style used for Buddhist scripture) popular in Northern Dynasty, which showed a period of transition in calligraphy history. Contrary to previous epitaphs, however, the structure was lengthened vertically and the rate of stroke was increased, which marked the trend of Standard style. Introduction of these script styles brought in Standard script style as an official font and an ink epitaph, resulting in development of calligraphy of the Goguryeo kindgom. When it comes to introduction of Sagyeong style, the style of Northern Dynasty was introduced through two routes: (1) increasing exchanges of cultural artifacts such as tribute and return presents due to improvement of tributary relationship with China during the reign of King Jangsu(412-491 A.D.) when Moduru tomb was established and (2) truth seeking activities for Buddhism by Buddhist pilgrims including Monk Damsi(釋曇始), Monk Ado(釋阿道), and Monk Seunglang who were actively searching for Buddhism in Liadong in the 5th century. King Jangsu pursued a stable foreign relationship based on Goguryeo`s powerful national strength, which enabled a vibrant cultural exchange with Northern Dynasty and, in turn, brought in new Sagyeong script style. As a result, an ink epitaph of the ancient tomb of Goguryeo was written in an elegant Standard script style.

      • KCI등재

        병원 구성원의 조직 충성도에 관한 연구 -서울의 한 대학병원 전체구성원을 중심으로-

        김양균 ( Yang Kyun Kim ),조철호 ( Chul Ho Cho ) 한국보건행정학회 2008 보건행정학회지 Vol.18 No.2

        This study examines organizational qualities such as vision, mission, teamwork, fairness, and empowerment and their effects on organizational members. As a result of analysis, these qualities are identified to affect member satisfaction, but not to affect job involvement. Member satisfaction affects job satisfaction, and this relationship retains indirect influence through an increase in member satisfaction. Further, improved member satisfaction and job involvement are found to affect organizational commitment. These results are derived from complete enumeration on members of an organization where particular traits such as member position, job classification, and the privity of contract are intermixed. In case where research is conducted on the aforementioned traits separately, different results would be anticipated depending on each trait. The implications of this study are as follows. First, clear-cut organizational vision and mission established by the top management of an organization prevent confusion amongst its members, and thus have the highest level of effect on member satisfaction. Second, teamwork in reference to the relationship amongst team members of a work group and goal awareness improves member satisfaction. Third, autonomy for job performance and related empowerment improve member satisfaction. Last, fairness in wages and promotion affects member satisfaction. Therefore, internal qualities of an organization perceived by its members have a higher degree of influence over external qualities including compensation and promotion on the members. In addition, these internal qualities indirectly affect job involvement through an increase in member satisfaction, and, in turn, member satisfaction and job involvement affect organizational commitment of the members. In case of member satisfaction, not only does it affect organizational commitment of the members of an organization directly, but also affects organizational commitment indirectly through job involvement. T his study is conducted with only one hospital in consideration, and thus its findings may not be generalized for every medical organization. However, this study retains distinct attributes of complete enumeration, and the precedence of each variable is closely investigated.

      • KCI등재후보
      • KCI등재
      • KCI등재

        차 의료기관의 경영성과에 대한 만족도 조사 1 : 네트워크 의원과 일반의원의 비교 연구

        김양균 ( Yang Kyun Kim ),문수정 ( Soo Jung Moon ) 경희대학교 경영연구원 2009 의료경영학연구 Vol.3 No.1

        The purpose of this study is to survey an actual profile of networking among domestic primary medical institutes, and analyze their satisfaction of management results through comparing general and networked clinics with each other, The purpose of the study is to analyze possible types of medical networking that influences management results. It is expected that network-based MSOs will face a series of challenges such as original identity, technologically competitive advantages, profitability, doctor shareholders`` corporate governance structure, development of outsourced services, and development of various franchise models.

      • KCI등재

        의료관광목적지별 선택에 영향을 미치는 요인에 관한 연구

        김양균(Yang Kyun Kim),최민식(Min Sik Choi),오영인(Young In Oh),윤태영(Tae Young Yu) 한국호텔외식관광경영학회 2010 호텔경영학연구 Vol.19 No.4

        A medical tourism as a blue ocean industry retains great potential for substantial profitability. Not only is health care the treatment and management of illness and the preservation of health through services offered to specific nationals, but it is also a part of global business provided to transnational citizens. The purpose of the study identifies the factors affecting the selection of medical tourism destinations by using the theory of consumption values. In this study, foreign tourists in Myung-Dong in Seoul, Nampo-Dong in Busan, and an anonymous university areas were directly surveyed through five international students from the US, China, Canada, and Australia. 87 responses were collected in Korea with 58 responses in foreign countries out of 145 questionnaires distributed. In case of survey for foreigners, foreign corporate employees and international students were fully explained of the details of this study. The researches did discriminant analysis to find factors affecting medical tourism destination. The factors influencing selection of medical tourism destination are professionalism on medical services, satisfaction of medical services, patriarchal males, and people with active health perspectives. People who want to visit Korea as medical tourism destination tend to focus professionalism on medical services and satisfaction of medical services however, people who want to visit other countries tend to be patriarchal males and have active health perspectives.

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