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- 저자 : 김영돈(Young-don Kim) (검색결과 119 건)
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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.
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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.
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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.
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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.
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김영돈 ( Young Don Kim ) 대한주산의학회 2009 Perinatology Vol.20 No.3
Positive pressure ventilation (PPV) is one of the most commonly used treatment modalities in the field of neonatology to achieve adequate gas exchange for infants with respiratory difficulties. However, mechanical ventilation may cause lung injury through various mechanisms, including high airway pressure and high tidal volume, leading to acute respiratory distress syndrome, bronchopulmonary dysplasia or multiple organ failure. To prevent these injuries, clinicians, especially neonatologists, treating premature infants with respiratory distress syndrome, should be familiar with ventilator-induced lung injury and its preventive strategies. In this review, the mechanisms of lung injury, the effects of mechanical ventilation on pulmonary microvascular endothelium, extracelluar matrix and alveolar epithelium, and lung protective strategies of conventional ventilation are introduced. Several forms of conventional ventilation for preterm infants are also described.
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