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김세중,이무상,Kim, Se-Joong,Lee, Moo-Sang 대한생식의학회 1991 Clinical and Experimental Reproductive Medicine Vol.18 No.1
Although many therapies have been advocated in the treatment of idiopathic male infertility, the results of treatment are poor. This probably seems to be due to a lack of one or more proteins constituting the key structures of the spermatozoa. We evaluated the functional structures of the spermatozoa in 11 infertile patients whose semen showed severe oligoasthenozoospermia with immunochemical method and found a case with spermatozoa lacking acrosin. Evaluation of the spermatozoal defect with immunochemical method is desirable in patients with severe oligoasthenozoospermia, especially in cases unresponsive to medical therapy.
대학행정조직(大學行政組織)의 팀제 도입.운영(導入.運營)에 관한 연구(硏究)
김세중,Kim Se-Joong 대한경영정보학회 2000 경영과 정보연구 Vol.4 No.-
The purpose of this study is to present the problem of the introduction and management and the method of activation of the team organization in college administrative systems through the theoretical study about the team systems and the actual proof study already introduced and operated in colleges and enterprises. The scopes of the subject of theoretical study are the concept of team systems, the type of systems, the strategy of introduction and management, the problem of management and the tactics of activation. The scopes of the theoretical study are the field of systematic structure and that of introduction and management. In order to activate the team organization of college administrative systems, we must study three points such as empowerment, construction of learning team and the method of personal management. For the sake of conducting the team organization efficiently, we must consider four fields. They are as follows: First, considering the continual efforts for reorganization is the most important precondition. Second, the device of supplement related with introduction of systems such as evaluation of merits, promotion and budget must be prepared as soon as possible. Third, in order to introduce the systems, the improvement of systems is needed. Fourth, it must be accompanied by redesigning the whole business process. Especially, in the introduction of team organization, it is important above all to introduce suitable constitution or situation of business. And making a constant effort and preparation for solving problems is essential to successful management of team organization.
김세중,Kim, Sejoong 한국데이터정보과학회 2017 한국데이터정보과학회지 Vol.28 No.2
본 논문은 우리나라 생명보험산업의 장수리스크에 대한 자연헤지가 충분히 이루어지고 있는가를 평가해 보았다. 연금보험과 종신보험 준비금 계산 시 사망률 모형으로는 Lee-Carter 모형을 적용하였다. 사망률 개선 시나리오로는 연금보험과 종신보험 사망률이 모두 10%와 20% 개선되는 경우, 50세 이하 저연령 사망률은 10% 개선되고, 50세 이상 고연령 사망률은 20% 개선되는 경우, 마지막으로 연금보험 사망률은 20% 개선되지만 종신보험 사망률은 10% 개선되는 등 네 가지 시나리오를 살펴보았다. 분석결과 연금보험과 종신보험에 동일한 사망률 충격을 가하는 경우와 고연령의 사망률 개선이 저연령에 비해 빠르게 나타나는 경우 모두 연금보험과 종신보험 준비금의 합은 감소하는 것으로 나타났다. 네 번째 시나리오에서만 전체 준비금은 증가하였으나, 이 경우에도 연금보험 준비금 증가의 60% 이상이 자연헤지에 의해 상쇄하는 것으로 나타났다. 따라서 우리나라 생명보험산업의 장수리스크는 자연헤지를 통해 충분히 관리되고 있다고 판단된다. The objective of this paper is to evaluate whether longevity risk is properly managed in Korean life insurance industry by measuring longevity risk in the viewpoint of natural hedge. According to analysis, the sum of the reserve of annuity and that of whole life insurance appears to decrease in the case both reserve of annuity and whole life insurance are shocked by same degree and also the mortality rate of the aged policyholders is improved faster than that of the less aged policyholders. Although the sum of the reserves increases only when the mortality improvement of annuity policyholders is higher than that of whole life insurance policyholders by two times, more than 60% of reserve increase of annuity is found to be offset by natural hedge. Thus, it is judged that the longevity risk of Korea life insurance industry is properly managed by natural hedge.
조혈모세포 이식 후 발생한 급성 신부전의 원인과 급성 신부전이 예후에 미치는 영향
김세중(Se Joong Kim),김성균(Seong Gyun Kim),오윤규(Yoon Kyu Oh),김현리(Hyun Lee Kim),김연수(Yon Su Kim),안규리(Cu Rie Ahn),한진석(Jin Suk Han),박선양(Seon Yang Park),김성권(Shung Gwon Kim),김병국(Byoung Kook Kim),이정상(Jung Sang Lee 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.3
배 경 : 조혈모세포 이식(hematopoietic stem cell transplantation; HCT) 후 합병증으로 패혈증(sepsis), 이식편대숙주반응(graft versus host disease; GVHD), 정맥폐색성 질환(venoocclusive disease; VOD), 약물에 의한 부작용(drug induced nephrotoxicity; DT), 급성 신부전(acute renal failure; ARF) 등이 있다. HCT 후 발생하는 ARF는 환자의 생존율에 영향을 미치는 것으로 알려져 있으나 우리나라에서의 연구는 미흡한 실정이다. 저자들은 HCT 후 ARF의 발생빈도, 위험인자를 살펴보고, ARF의 발생이 HCT 후 환자의 예후에 미치는 영향을 알아보고자 본 연구를 시행하였다. 방 법 : 1985년부터 2000년까지 서울대학교병원에서 HCT를 받은 환자 163명 중 분석이 가능하였던 107명을 대상으로 하였다. 결 과: HCT 후 ARF는 총 107명의 환자 중 52명(48.6%)에서 발생하였다. VOD, sepsis, GVHD 중 VOD가 ARF의 위험도를 4.4(1.13-17.2)배 증가시켰다(p<0.05). ARF의 원인은 시기에 따라 차이가 있었으나, cyclosporin 신독성이 전 기간에 걸쳐 ARF의 주된 원인이었다. ARF 발생군에서 전체 생존율은 60%였으며, ARF 비발생군(NARF)에서는 73%로, ARF 발생군에서 생존율이 낮았다(p<0.05). ARF 발생군을 최고 혈청 크레아티닌 3.0 ㎎/dL을 기준으로 경증과 중증 ARF로 나누어, NARF 군, 경증 ARF 발생군, 중증 ARF 발생군을 비교하였을 때, 중증 ARF 발생군에서 생존율이 낮았다(p<0.01). 결 론 : HCT 후 VOD, sepsis, GVHD 등이 ARF의 위험도를 증가시켰으나, ARF의 주된 원인은 cyclosporin 신독성이었다. ARF는 중증인 경우 HCT를 받은 환자의 예후를 결정하는 인자였다. Background : Common complications after hematopoietic stem cell transplantation(HCT) include sepsis, graft versus host disease(GVHD), veno-occlusive disease(VOD), drug-induced nephrotoxicity, and acute renal failure(ARF). Prior studies report that the presence of ARF affects prognosis. However, we are unaware of such reports on the incidence of ARF after HCT in Koreans, and whether or not the development of ARF is related to prognosis. The purpose of our study was to investigate the cause of ARF after HCT and its relation to prognosis. Methods : 163 patients received HCT at Seoul National University Hospital since 1985, of which, 107 were available for review. Results : ARF after HCT developed in 52 patients (48.6%). In the three clinical causes, VOD, sepsis, and GVHD, risk factor related to the development of ARF was preexisting VOD. Logistic regression confirmed this association(odds ratio 4.4). The causes of ARF were different according to the periods it developed, and cyclosporin nephrotoxicity was the main cause through the whole period after HCT. The overall survival was worse in the ARF group(60 vs 73 %; p<0.05). ARF group was split into two groups : patients whose peak serum creatinine levels were below 3.0 ㎎/dL(mild ARF group) and those who were above 3.0 ㎎/dL(severe ARF group). Severe ARF group had worse survival than mild ARF group and patients without ARF(p<0.01). Conclusion : VOD, sepsis, GVHD after HCT increase the risk of the deveolopment of ARF, but cyclosprin nephrotoxicity is the main cause of ARF. Severe ARF is a factor influencing the prognosis of patients who received HCT.
복강 내압 항진증이 내과계 중환자의 예후에 미치는 영향
김세중 ( Se Joong Kim ),서정수 ( Jeong Su Seo ),손명희 ( Myeung Hee Son ),김수연 ( Soo Youn Kim ),정기환 ( Ki Hwan Jung ),강은해 ( Eun Hae Kang ),이승룡 ( Sung Yong Lee ),이상엽 ( Sang Yeub Lee ),김제형 ( Je Hyeong Kim ),신철 ( C 대한결핵 및 호흡기학회 2006 Tuberculosis and Respiratory Diseases Vol.61 No.1
연구배경: IAP의 증가는 혈류량을 감소시켜 여러 장기에 영향을 준다. IAH는 IAP가 12㎜Hg 이상 또는 APP가 60㎜Hg 이하로, ACS는 IAP가 20㎜Hg 이상이면서 동시에 하나 이상의 장기 손상이 있는 경우로 각각 정의한다. 저자들은 중환자에서 IAH 및 ACS의 유병률과 이들이 환자의 예후에 미치는 영향을 고찰하고자 하였다. 방법: 고려대학교 의료원 중환자실에 입원하는 내과계 환자를 대상으로 하여, APACHE II 및 III 점수, SAPS II 점수를 기록하였다. IAP는 삼중관 요도관을 통하여, 입원 7일째까지 매일 3회 측정하였고, 환자가 사망하거나 일반 병실로 전실 또는 요도관을 제거할 때까지 계속하였다. 환자의 예후는 28일을 기준으로 판단하였다. 결과: 총 111명 대상 환자들의 입원 1일 IAH 및 ACS의 유병률은 각각 47.7%, 15.3%였다. 사망군과 생존군 사이에 IAH의 유병률은 유의한 차이가 없었으나, ACS는 사망군에서 더 높았다 (p=0.004). 사망군에서 IAP는 더 높았고 (p=0.012), APP는 유의하게 낮았다 (p<0.001). 결론: 중환자에서 입원 1일에 측정한 IAP의 증가, APP의 감소 및 ACS 발생은 환자의 사망과 연관이 있을 것으로 판단된다. Background: Intra-abdominal hypertension (IAH) is defined as the presence of either an intra-abdominal pressure (IAP)≥12㎜Hg or an abdominal perfusion pressure (APP=mean arterial pressure-IAP)≤60㎜Hg. Abdominal compartment syndrome (ACS) is defined as the presence of an IAP≥20㎜Hg together with organ failure. The purpose of this study was to investigate the prevalence of IAH and ACS on the day of admission and the effects of these maladies on the prognosis of critically ill patients in the ICU. Methods: At the day of admission to the ICU, the IAP was recorded by measuring the intravesicular pressure via a Foley catheter. The APACHE II and III scores were checked and SAPS II was also scored during the days the patients were in the ICU. The primary end point was the prevalence of IAH and ACS at the day of admission and the correlation between them with the 28-days mortality rate. The measurement of IAP continued until the 7th day or the day when the patient was transferred to the general ward before 7th day, unless the patient died or a Foley catheter was removed before 7th day. Patients were observed until death or the 28th day. Results: A total of 111 patients were enrolled. At the day of admission, the prevalence of IAH and ACS were 47.7% and 15.3%, respectively and the mean IAP was 15.1±8.5㎜Hg. The rates of IAH for the survivor and the non-survivor groups were 56.5% and 71.4%, respectively, and these were not significantly different (p=0.593). Yet the rates of ACS between these two groups were significantly different (4/62, 6.5% vs. 13/49, 26.5%; Odds Ratio=5.24, 95% CI=1.58-17.30, p=0.004). Conclusion: In the present study, the prevalence of IAH was 47.7% and the prevalence of ACS was 15.3% on the day of admission. ACS was associated with a poor outcome for the critically ill patients in the ICU. (Tuberc Respir Dis 2006; 61: 46-53)
전립선암 환자에서 Leuprolide Acetate Depot (루피어<SUP>Ⓡ</SUP> 데포주 3.75mg)의 유효성과 안전성 평가를 위한 다기관 임상시험
김형진(Hyung-Jin Kim),유정현(Chong-Hyon Ryu),이영구(Yong-Goo Lee),김청수(Choung-Soo Kim),류수방(Soo-Bang Ryu),김법완(Bup-Wan Kim),장성구(Sung-Goo Chang),김세중(Se-Joong Kim),이현무(Hyun-Moo Lee),최한용(Han-Yong Choi),홍성준(Sung-Joon 대한비뇨기종양학회 2009 대한비뇨기종양학회지 Vol.7 No.1