장기이식의 현황 및 추세 : 서울중앙병원 장기이식 프로그램 현황을 중심으로

손광현 울산대학교 의과대학 1994 울산의대학술지 Vol.3 No.1

우리나라의 의료환경속에서 장기이식분야는 1994년 현재까지 동양권에서 비교적 착실하게 그 실적을 진전시켜 왔다고 할 수 있다. 신장이식에 관한 한 특히, 생체신장이식의 경우 국내 33개 이식기관에서 총, 4,233 례(93년말 현재)가 실시되었으며, 말기 신장질환 환자에 대하여, 신투석에 이어 충분히 하나의 치료방법으로 확립된 분야라고 할 수 있다. 각막질환으로 인한 실명환자에 대한 각막이식의 경우는 더욱더 보편화되어 있으며, 백혈병 환자에 대한 골수이식 분야도 많이 진전되어 왔다고 본다. 이제, 우리가 당면한 장기이식의 과제는 개발단계에 있는 이식분야, 특히 간장, 췌장 및 심장이식 분야에서 그리고 아직까지는 초기 단계에 있는 폐장이식 분야에서 미국 및 구라파 여러나라의 장기이식의 이론과 실제를 우리의 것으로 현실화하고 적용하는 문제이다. 우선, 공여자(Donor) 확보를 위해서는 뇌사(Braindeath)가 확립되고 법제화되어 있어야 하나, 현재까지도 진척과정에 놓여있다. 법제화과정은 논리적으로는 의학적 이식술의 진도가 앞서가고 제도는 적절한 시기에 뒷받침되어도 무방하다는 관점이 있다. 즉, 학문적 수준이 높고, 인류와 사회에 대한 의학적 기여가 크게 인정받고 있는 선진 여러나라에서는 이식의 사회적, 윤리적 인식과 기준이 합리적으로 이해되어 있기 때문이다. 우리의 경우에는 현실적으로 장기인식에 관련된 진료비 또는 보험적용 문제라든가, 장기이식의 전문센터(기관)의 육성과 이식학회가 추진중인 장기공여제도 등이 현시점에서 잘 확립되어야 할 과제들이라고 여겨진다. 저자는 최근 2년 간의 서울중앙병원 장기이식의 국제적 동향에 맞추어 앞으로 전개해 나갈 이식의료의 방향을 파악하는데 필요한 기초자료를 삼고자 한다.

噴霧法에 依한 硫化亞鉛 薄膜의 電場發光 調査

손연규,윤지홍,권태향,한광수,이자현 안동대학교 기초과학연구소 1991 基礎科學 硏究論文集 Vol.2 No.1

The study of Electroluminescence has been begun with that the two Germans, B. Gudden & R. W. Pohl in 1920 examined the remaining lights by dint of adding Electric Field at the fluorescent substance, and from 1952 the study became brisk, in 1960 made a peak, and afterward it was diminished. The above facts were appeared through H. E. Ivey`s investigation. The cause was it that the light-efficiency and the brightness were very pessimistic, though the beginning of EL-Study was given in the development of illumination. In 1950, however, with the initiative that C. W. Jerome of Sylvania Co. deviced and announced EL-Lamp, EL-Fluorescent substances were embed and merchandised as EL-Panels, and after a while it was applied to EL-Lamps, Expression Apparatuses, Light Amplifier, Logic Circuit and so on, with which the use frequency got high, and it has been developed as a promising Electronic Industry. But in our country, considering the various conditions, in order to find out the possibility of EL-Production within the home country, Impurity was introduced to ZnS powder, EL of ZnS : Cu, Cl & ZnS : Cu, Mn, Cl could be manufactured, and surveying the Voltage Characteristics, the Frequency Characteristics, and the Spectral Response of the manufactured things, the fundamental technique-problems about the composition of ZnS powder, the introduction of impurity, the formation of thin-thickness, and the construction of Cell, etc were solved gradually. 1. The quantity of Cu must commonly be more one order than in the use of Photoluminescence, as a whole 10(-3)gm,atm/mole ZnS is fitted, and Mn suitable in about 10 times of Cu. 2. Yellow color must dope Cu as well as Mn, when the quantity of Cu fixed to a certain amount, in case that the quantity of Mn is decreased, it be turned into Yellow color, if it is increased, it be taken Orange color. 3. In vacuum flowing HzS gas and baking at the moment, it is said that EL of which brightness is high, but in the air we can secure ZnS : Cu, Cl EL. only. 4. In referring to the conditions 1, 2, 3, I can infer that EL-manufacture if possible in our country.

아파트 平面類型別 空間利用의 行態的 特性에 관한 硏究

손광제,정준현 대구대학교 과학기술연구소 1998 科學技術硏究 Vol.5 No.3

This study has a subject for the mass housing (alias dictus, Apartment) by unit plans on the Taegu urban area, and has a process of surveying and analyzing the actual using states of dweller in the residential space. It also investigates the spatial using corresponded to the living activities. As results, a cultural searching for urban housing is disciplined with the positive study for surveying the living contents emerged from the residential spaces. The finding of this study indicates the fuction of sleeping, eating, hosting, familiarity and family ritual differ among the housing and floor types. The similaries and differences among housing as well as floor types are discused and implications are provided.

(초)고층 아파트 거주자의 주거환경 스트레스 인식에 관한 연구

손광제,김주현,정준현 대구대학교 과학기술연구소 1998 科學技術硏究 Vol.5 No.4

The purpose of this study is to analyze about the stress for the residential and it's degree of resident's cognition for high-rised living and then to provide the basic data which contribute to improving the quality of the residental environment. This study was conducted to investigate the stressing of resident from residental environment of high-rised apartment on Taegu area. This investigation was achieved by the questionary field-surveying for housewives of the super high-rised apartments. The Spatial extents of residental environment ware limited by the housing unit plan, the clustered open space and the neighborhood environment. In the result of study was produced that the degrees of residental environment are relative to the human, at factor of residents and the physical factor of residental environment, and are evaluated as the mutual relation between it's variables.

폐장이식에서 수혜자 선정과 이식생존율

손광현 울산대학교 의과대학 1994 울산의대학술지 Vol.3 No.1

노인 환자에서 경피적 관동맥 중재술 후 조영제 유발 신부전의 발생률, 위험인자와 임상적 의의

김광일,배장환,강현재,채인호,김효수,손대원,김철호,오병희,이명묵,박영배,최윤식 대한노인병학회 2004 대한노인병학회지 Vol.8 No.1

Pulmonary Aspergilloma : 1 수술 치험례 A Case

신원창,손광현,홍성란 인제대학교 1985 仁濟醫學 Vol.6 No.4

심한 객혈을 동반한 우측 상엽부의 mycetoma 병조를 절제한 후 임상 경과 완쾌되었다. 병리조직학적 검사상 Aspergilloma의 균사 및 아포로 구성된 fungus ball이 증명되었다. Pulmonary aspergilloma with massive hemoptysis is an occasionally fatal condition. A 43 year old house wife has had a severe recurrent hemoptysis for about 3 months. She received various medical treatment including anti-tuberculous measures without improvement. Roentgenographic findings were multicystic and soft patchy appearance at the posterior segment of the right upper lobe by A-P and lateral tomogram and also in computed tomogram. Pre-operatively fungus in the sputum culture was identified at the laboratory. Choice of surgical excision of the involved lobe was decided. Specimen showed beautiful fungus ball in the cavity and bronchiectasis of the communicated bronchi. Pathologic examination showed beautiful aspergillus fumigatus involving the lung parenchyma. Post-operatively hemoptysis was disappeared and 6th months follow up showed good recovery, For the reasons of the complex clinical pictures of the patient, authers report the case with a literature reviews.

소록도 官舍施設의 建築的 特性에 관한 硏究

최인환,정준현,손광제 대구대학교 과학기술연구소 1998 科學技術硏究 Vol.5 No.4

This study is to analyze the architectural characteristics of official houses in Sorok Island. On twenty official house planes, which were constructed during 1927-1940, were surveyed and analized about house type, plane construction style and unit space scale. In the result of this study, first, official house type in Sorok Island was classified into multi-family type and one-family type, plane construction style was classified into the wooden verandah style, compact style and corridor style of the original housing form of Japanese. Second, unit plane was composed mainly of 2∼3 TADANII and an ONDOL room, stand-up kitchen style, bathroom, toilet etc. and added living room of Westem Style in the large scale plane. Third, for the seperation of rooms HUSIMA(wooden sliding doors) had been installed, and TADANII size was used 「Kyung Kahn」 scale of Japanes. In the unit space scale, multi-fanuly type is smaller size than Japanese house, and one-family type is common size.

Pulmonary Echinococcosis - A Case Report -

고일향,이진,구본일,손광현 인제대학교 1986 仁濟醫學 Vol.7 No.1

Pulmonary Echinococcosis (폐포충증)은 아직까지는 우리나라에서 보기드문 질환인 바 근래 국제 교류가 빈번해지면서부터 문제가 되기 시작하고 있으며, 특히 중동 지역에서 근무한 병력이 있는 환자에서 발생한 국내 보고가 수 예 있을 뿐이다. 저자들의 수술 치험 1례를 보고하는 바이다. Echinococcosis (hydatid disease) is endemic to the Mediterranean region, South America, Australia, and New Zealand where livestock, especially, sheep, are kept. The disease is considered to be rare in this country. However, recently, with increasing numbers of Koreans visiting those countries where hydatid disease is endemic especially Mid East region, the reports of hydatidosis are increasing, in the liver, but very rarelly in the lung. Authors experienced a case of pulmonary hydatid disease in the 30 year old male which was removed surgically on July 1985. We report the case to emphasize the need to consider this condition adding to other differential diagnosis of the mass lesion in the lung in our country and the literatures reviewed.

전기손상으로 인한 심장질환자의 회복 1례

장문준,황태식,최성욱,김인병,손대곤,조광현,이한식 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

An unconscious 20 year old male carried into the emergency department after an electric shock injury 20 minutes earlier. Cardiopulmonary resuscitation was undertaken when asystole appeared on the electrocardiograph monitor. A 12-lead electrocardiograph was taken when in that myocardial infarction was found after performing cardiopulmonary resuscitation on an electrical injury patient. We present out case's electrocardiographs with echocardio-graphic findings and radionuclide imaging studies.