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        이식신 제거후 발생한 장모균증 1 예

        김호철,김인호,주종수,이연재,주종은,옥승철,김영훈,최봉기 대한내과학회 1996 대한내과학회지 Vol.50 No.2

        Mucormycosis is a rare disease caused by fungi of the Group Phycomycetes. The Mucoraceae are ubiquitous fungi and are common inhabitants of decaying matter. They are pathogenic mostly in opportunistic situations, as diabetes, leukemias, chronic renal failure and immunocompromised patients, are acute and rapidly fatal. Intestinal mucormycosis is rare type of mucormycosis. We report an unusual case of a 56-year-old female patient with end stage renal disease complicated by intestinal mucormycosis. The patient presented with peritonitis during CAPD after resection of transplanted kideny by large amount of bleeding and was diagnosed by histopathologic finding of resected colon the fungal hyphe was non-septated with large diameter and branching at right angle in the mesenteric adipose tissue.

      • 環境破壞와 社會的費用

        金浩喆 東國大學校 1976 論文集 Vol.15 No.-

        As the environmental disruption is a result of the complex process of the various elements, social and material, no single branch of the traditional learning, including economics, can cope with the problem successfully by itself. However, economics should play the important role in the problem, and thus, we see recent development of the Public Economics. To cope with the problem; ⅰ. we should determine the scope in which the disruption should be allowed and it is desirable if the disruption continues beyond the scope, to decide to limit the production. The limitation of production prevents the waste of resources, which is related to the proper allocation of the resources. ⅱ. for the new investment, there should be a comparision between social facilities (or conveniences) and social costs with such methods as PPBS. ⅲ. the problem of distribution should be examined. The disruption problem could not be solved completedy with those determination and comparison alone, however perfect they may be. The soultion is possible with the cooperation of the individual citizens. While those with the upper income can cope with the problem effectively, those with the lower income have much difficulty in moving to the pollution-free area of installing the facilities for the prevention of pollution. Therefore the relative equality of distribution is necessary to cope with the problem effectively. iiii. international cooperation is required when the disruption is no longer limited within the boundary of a nation.

      • 뇌정맥 혈전증과 습관성 자연유산이 각각 합병된 발작성 야간 혈색소뇨증 2례

        김인호,류승환,김규환,조길현,김호철,손창학 인제대학교 1995 仁濟醫學 Vol.16 No.4

        발작성 야간 혈색소뇨증은 후천성 만성 용혈성 혈액질환으로서 다양한 임상 경과를 취하므로 진단이 늦어지거나 다른 질환으로 진단되는 경우가 많으며, 혈전증은 치명적인 합병증이다. 저자들은 뇌정맥 혈전증과 습관성 자연유산 후 2번의 자궁내 태아사망이 합병된 발작성 야간 혈색소뇨증 2례를 경험하였기에 보고하는 바이다. Paroxysmal nocturnal hemoglobinuria(PNH) is an uncommon acquired clonal disorder characterized by sensitive populations of erythrocytes, granulocytes, and platelets with increased susceptibility to complement-mediated lysis. Thrombosis, as complication of PNH, are common in the extremities, mesentery, portal system, or the cerebral venous system. Cerebral thrombosis is a major cause of death in patient with PNH, but only a few cases have been reported. Pregnancy in patient with PNH has been reported to have increased frequency of miscarriage, spontaneous abortion, hemolytic crisis, worsening of bone marrow aplasia and deep vein thrombosis. We report two cases of PNH complicated with cerebral thrombosis or spontaneous abortion. The first case is 21-year-old female who developed cerebral venous thrombosis during clinical follow-up. The second case is 36-year-old female who was admitted because of iron deficiency anemia with 5 times repeated spontaneous abortion.

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