The Contributory Factors of CSF Shunt Failure

김영돈,황성규,황정현,성주경,함인석,박연묵,김승래,Kim, Young Don,Hwang, Sung Kyoo,Hwang, Jeong Hyun,Sung, Joo Kyung,Hamm, In Suk,Park, Yeun Mook,Kim, Seung Lae The Korean Neurosurgical Society 2001 Journal of Korean neurosurgical society Vol.30 No.1

목 적 : 뇌실 복강간 단락술 부전의 기여인자를 조사 및 분석하여 뇌실 복강간 단락술의 합병증 및 재수술의 가능성을 줄이는 데에 목적이 있다. 대상 및 방법 : 1995년 1월부터 1998년 12월까지 본원에서 뇌실 복강간 단락술을 시행 받은 237명의 수두증 환자를 후향적 방법으로 고찰하여 뇌실 복강간 단락 부전의 기여인자 및 단락기 생존율을 통계학적으로 분석하였다. 결 과 : 수두증의 원인은 종양, 출혈, 감염, 선천성 기형, 정상 뇌압 수두증, 외상 등이었다. 68명의 환자에서 109회의 재수술이 이루어졌다. 재수술의 이유는 폐색, 근위부 카세타의 위치이상, 감염 등이었다. 단락기 생존율은 1년, 2년, 3년에 각각 77.1%, 75.4%, 74.1%이었다. 10세 이하의 환자에서 재수술의 빈도가 통계학적으로 의의 있게 높았다. 그리고 수두증의 원인에 따라서 통계학적으로 의의 있게 재수술의 빈도 차이가 있었다. 결 론 : 대부분의 뇌실 복강간 단락 부전은 술후 1년내에 발생하였다. 환자의 나이 및 수두증의 원인이 뇌실 복 강간 단락 부전의 주요 기여인자였다. To investigate contributory factors of CSF shunt failure, 237 patients, who underwent shunt placement from January 1995 to December 1998 at our hospital, were reviewed retrospectively. The causes of the hydrocephalus were tumor, hemorrhage, infection, congenital anomaly, normal pressure hydrocephalus, trauma and others. One hundred nine revisions of CSF shunting were done during follow up periods. The causes of shunt revisions were mechanical obstruction, malposition, infection and others. The contributory factors of CSF shunt failure and shunt survival rate were analyzed using SPSS. The shunt survival rate at 1, 2 and 3 years after procedure was 77.1%, 75.4%, 74.1% respectively. In the young age group below 10 years old, postinfectous hydrocephalus was the most common high risk factor for shunt revision. In conclusion, the most shunt failures developed in the first year after surgery and the age and causes of the hydrocephalus were major determinant factors of shunt revision.

유비쿼터스 住宅의 支援性이 高齡者 삶의 滿足度에 미치는 影響에 관한 硏究

김영돈(Kim Young Don),최민섭(Choi Min Seub) 한국부동산학회 2008 不動産學報 Vol.33 No.-

  1. CONTENTS<BR>  (1) RESEARCH OBJECTIVES<BR>  The purpose of this study is to explore the impact of the affordability of ubiquitous home on the satisfaction of the elderly for their lifestyle based on quantitative statistical numerical values.<BR>  (2) RESEARCH METHOD<BR>  This study analyzes the introduction of the ubiquitous technology to the residential sphere by limiting its focus on the elderly population, which constitutes a group alienated from utilization of information pertaining to livelihood. The study will also pay close attention to the kind of impact such a technology has on the tenants and to the equipment that belongs to the priority application sector. Moreover, to analyze the impact of affordability on the lifestyle satisfaction level, the present study has adopted the multiple regression analysis.<BR>  (3) RESEARCH RESULTS<BR>  Since the ubiquitous is a technology that has been recently developed and applied, there is a limitation associated with the examination of the satisfaction level of the elderly. It is believed that a sample can be collected from the actual experience of living in a ubiquitous common home after several years from now, and the sample can then be analyzed for a more practical and efficient study,<BR>  2. RESULTS<BR>  The study has found that the residential affordability of the ubiquitous for the elderly, who are alienated in terms of the physical and psychological, exerts a notable influence on the lifestyle of the elderly in 6 support areas including convenience, safety, health, sociability, agreeability, and thriftiness but excluding information availability linked with their unfamiliarity with digital devices. Such residential affordability is seen as a positive social change in terms of responding to an aging society.

아포지단백(Apolipoprotein) ε4 유전자형과 치매환자의 인지기능, 일상생활기능 및 행동증상

김영돈(Young-Don Kim),이창화(Chang-Hwa Lee),엄기춘(Ki-Choon Eum),김동희(Dong-Hee Kim),윤경식(Kyeong-Sik Yoon) 대한노인정신의학회 2002 노인정신의학 Vol.6 No.1

Objectives:We investigated the relationship between apolipoprotein ε4 and clinical features of dementia. Methods:Samples were obtained from 33 dementia patients in Korea, Buyeo Geriatric Hospital and apolipoprotein E polymorphisms were analysed using polymerase chain reaction and restriction fragment length polymorphism. The multidimensional evaluating methods (MMSE-K, B-ADL, BEHAVE-AD, GDS, GMHR) for dementia were performed to analyze relationship with Apolipoprotein E genotypes. Results:The distributions of the apolipoprotein E genotypes of the dementia patients were presented by ε3/ε3 (58%), ε3/ε4 (22%), ε2/ε3 (15%), and ε4/ε4 (0%). There is no significant relationship between apolipoprotein ε4 and the findings of multidimensional evaluating measures. Conclusion:We could not find the association between apolipoprotein ε4 and the scores of the multidimensional evaluating measures of dementia patients. The results suggested that apolipoprotein ε4 might not play a main role in cognitive function, daily living ability and behavioral symptoms of dementia.

旌義고을의 實相과 그 研究課題

김영돈(Young-don Kim) 비교민속학회 1985 비교민속학 Vol.1 No.-

장애학 관점으로 바라본 교통학 문헌의 비판적 고찰

김영돈(Kim, Young-Don),이미영(Lee, Mi-Young) 한국장애학회 2021 한국장애학 Vol.6 No.1

이동권은 누구나 누려야 할 권리이다. 장애학 뿐만 아니라 교통학에서도 장애인의 이동권을 다루고 있지만, 장애를 어떻게 바라보고 있는지 분석이 된 적은 없다. 본 연구는 교통학의 이동권과 관련된 교통학 문헌을 장애학적 관점에 의해 비판적으로 고찰하였다. 교통학은 사회적 모델 측면에서 장애인에게 필요한 교통환경 및 정책을 이끌어간다는 점에서 긍정적으로 볼 수 있다. 하지만 ‘상호작용으로서의 장애’라는 측면에서 장애는 신체적인 손상 또는 한계가 있는 존재로 나타난다. 사회적으로 억압을 받는 장애인의 모습은 설문조사 또는 교통 데이터를 통해 통계적으로 거시적으로 표현된다. 이러한 표현을 통해 장애인이 교통환경에서 어떤 영향을 받는지 보여줌으로써 교통환경과 상호작용하고 있는 모습을 보여준다. 그러나 실제 장애인이 경험하는 교통에 대해서 나타나 있지 않고 있다. 교통학의 장애학적 관점을 갖기 위해 첫째, 장애인의 이동권 경험에 대한 질적 연구를 해야 하며, 둘째, 교통약자에 대한 정의를 재정립할 필요가 있다. 이에 따라 교통학은 모든 사람의 이동 욕구를 충족시킬 수 있는 학문으로 나아가야 한다. Mobility rights is a right which everyone should have. Transportation studies as well as disability studies research mobility rights for the disabled. But, Transportation studies has not analyzed how the disabled are viewed. To research the disability view in transportation studies, The paper reviews criticaly the literature about the moblity rigths of the disabled in transportation studies. Transportation studies is positive by the social model which deals with transportation policies for the moblity rigths of the disabled. However, the disability means physical damage or limitation by seeing disablity as a complex interaction. The image of a socially oppressed disabled person is macrospoic and statistical through a survey or a transportation big data. It shows how people with disabilities are affected by the transportation environment and interacts with the transportation environment through the disability image. In practice, the transportation environment experienced by disabled people is not described in detail in the transportation studies. In order for transportation studies to have a disability perspective, it is first necessary to conduct qualitative research on the mobility experience of disabled people; secondly, to redefine the definition of vulnerable people in the transportation service. Therefore, Transportation stduies should changes them which can staify everyone’s needs to move.

정의(旌義)고을 (3)

김영돈 ( Young Don Kim ) 제주대학교 탐라문화연구소 1986 탐라문화 Vol.0 No.5

Optimal Management of NUC’s Resistance in Patient with CHB

Young Don Kim(김영돈),Gab Jin Cheon(천갑진) 한국간담췌외과학회 2014 한국간담췌외과학회 학술대회지 Vol.2014 No.4

Increasing antiviral drug resistance, especially multi-drug resistance (MDR) is one of the main problem in the management of chronic viral hepatitis B (CHB). To prevent or treatment of antiviral drug resistance, it should be based on the precise clinical and regular virologic monitoring as well as an early change or add on with drug with higher genetic barrier without sharing cross resistance profile. This topic review will summarize the clinical issues related to antiviral resistance of hepatitis B, including mechanism of resistance, treatment, and prevention strategy.

메모의 자동분류 방법에 관한 연구

김영돈(Young-don Kim),서민석(Min-seok Seo),박현주(Hyun-ju Park) 한국통신학회 2010 한국통신학회 학술대회논문집 Vol.2010 No.6

단일 기관에서 경험한 원발성 간세포암의 10년간의 변화 양상

김영돈 ( Young Don Kim ),장우성 ( Woo Sung Jang ),권장훈 ( Jang Hoon Kwon ),홍종삼 ( Jong Sam Hong ),천갑진 ( Gab Jin Cheon ) 대한간암학회 2013 대한간암학회지 Vol.13 No.2

Background/Aims: Hepatocellular carcinoma (HCC) is common cause of liver related death in Korea, and the importance of alcohol as an etiology of chronic liver disease including cirrhosis is emphasized recently. We investigated the epidemiologic changes of HCC during last 10 years in single tertiary center in Gangneung, Korea. Methods: We retrospectively reviewed the medical records of admitted patients diagnosed as HCC in year 2002 and 2012 respectively, and their clinical characteristics were compared. Results: A total of 214 patients were enrolled. Mean age was 60.1 years and 179 (83.6%) was male. Number of patient with cirrhosis was 160 (74.8%) and with viral hepatitis was 164 (74.8%). Chronic hepatitis B (CHB) was the most common cause of HCC patients with liver cirrhosis (61.9%), and alcohol was 14.4%. The possible curative group (by BCLC stage 0 or A) was only 36.4% (n=78), and had not decreased during the study periods (36.3 % vs. 36.6%, P=0.144), and other clinical variables also had no statistical differences. Conclusions: The clinical characteristics of HCC including clinical stage at the time of diagnosis were not changed over the last 10 year period, and CHB was still the most common etiology of HCC in Gangneung, Korea.

일반논문 : 자진신고자 감면제도의 효과성 실증분석: 2순위 자진신고자와 담합주도자를 중심으로

김영돈 ( Young Don Kim ) 서울대학교 한국행정연구소 2013 行政論叢 Vol.51 No.3

본 연구에서는 자진신고자 감면제도의 쟁점들 가운데 두 번째 자진신고자와 자진 신고한 담합주도자의 감면혜택 부여 여부에 대해 이론적 논의들을 확인하고 실증 분석한다. 공정거래위원회 홈페이지에 공개된 2005년부터 2013년 2월까지 의결서에서 관련된 변수에 대한 정보를 추출하고 제도의 효과성은 실질과징금과 담합조사기간으로 측정하였다. 다중회귀분석을 통한 실증 분석결과에 따르면, 먼저 2순위 자진신고자에 대한 최근의 감면혜택 배제경향이 바람직하지 않을 수 있으며 2순위 자진신고자들의 전략적 행동을 방지하기 위한 제도 설계 방향이 필요하다는 함의를 도출할 수 있다. 그리고 정보제공이외의 효과와 제도 집행상 어려움이 없다면 담합 주도자에게 반드시 자진신고 감면혜택을 줄 필요는 없다고 해석할 수 있다. 마지막으로 2순위 자진신고자에게 감면혜택을 부여한 경우에는 담합주도자에게도 감면혜택을 함께 주는 것은 효과가 없으며 오히려 제도효과성에 부정적인 영향을 미치는 것을 확인할 수 있다. This paper first surveys the theoretical and empirical literature on corporate leniency programs regarding second applicants and ringleaders. Next, the paper empirically tests hypotheses about the topics on the second applicant and the ringleader using newly collected data on detected cartels from 2005 to February 2013. In this paper, the effectiveness of corporate leniency program is measured in the real amount of fines (both before and after reductions according to a corporate leniency program) and the duration of the investigation. It is found that it is not desirable to restrict the reduction of fines on second applicants and that programs need to be modified to prevent strategic behaviors by conspirators. We also find that the ringleader did not influence the effectiveness of the program. It means that there is no necessity for granting ringleaders the self-reported reduction of fines absent the execution problem and other theoretical grounds. The empirical results in this paper show that if we give second applicants the incentive, there is no need to reduce ringleaders` fines in order to improve the effectiveness of corporate leniency programs.