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김훈진(Hun Jin Kim),류희선(Hee Seon Ryu),허영회(Young Hoe Hur),김정철(Jung Chul Kim),김신곤(Shin Kon Kim),박찬용(Chan Yong Park) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.5
Purpose: We are to describe the clinical characteristics and treatment outcomes in patients aged between 80 and 89 years who underwent inguinal hernia repair under local anesthesia. Methods: We retrospectively reviewed the medical records of patients aged between 20 and 89 years who underwent tension free hernia repair under local anesthesia by a single surgeon between June 2001 and January 2009 and compared clinical characteristics and outcomes between octogenarians who were the eldest and sexagenarians whose incidence was the highest. Results: Of the 514 patients, the number of octogenarians was 52 (8.6%) and sexagenarians were 225 (35.0%). Body mass index (BMI) was 22.5 ㎏/㎡ in octogenarians and 23.7 ㎏/㎡ in sexagenarians (P=0.003). Underlying diseases were present in 67.3% of octogenarians and 73.5% of sexagenarians (P=0.238). The incidence of liver disease was significantly lower in the octogenarians (1.9% vs 15.7%, P=0.004). The proportion of patients who underwent local anesthesia was significantly higher among the octogenarians (94.5% vs 82.2%, P=0.014). Operative time and postoperative hospital stay had no significant difference between both groups. Postoperative complications developed in 4 (7.7%) of the octogenarians and in 18 (9.7%) of the sexagenarians. Scrotal swelling was developed most frequently and surgery-related mortality did not developed in both groups. Conclusion: If local anesthesia is used appropriately, inguinal hernia repair in octogenarians is a safe procedure as like in sexagenarians and may reduce the psychiatric burden related to complications for both surgeons and elderly patients.
신이식 후 호전을 보인 Nephrogenic Fibrosing Dermopathy
김훈수 ( Hoon Soo Kim ),김수한 ( Su Han Kim ),고현창 ( Hyun Chang Ko ),김문범 ( Moon Bum Kim ),송상헌 ( Sang Heon Song ),김정섭 ( Jung Sup Kim ),곽임수 ( Ihm Soo Kwak ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.2
Nephrogenic fibrosing dermopathy (NFD) is a rare cutaneous fibrosing disorder that primarily affects patients with a history of renal disease. NFD manifests with induration, thickening and hardening of the skin with brawny hyperpigmentation. Lesions are typically symmetrical and usually develop on the limbs and trunk. Flexion contractures of the joints may be a feature of the disease. Histopathological features of NFD include proliferation of dermal fibroblasts and dendritic cells, thickened collagen bundles, increased elastic fibers and focal mucin deposition. Although the pathogenesis remains largely unknown, some of the factors implicated in the pathogenesis include renal dysfunction, circulating fibrocytes, vascular injury, and gadolinium which is a contrast material used in magnetic resonance imaging. Currently, no definitive or uniformly effective therapies are available for the treatment of NFD. We herein describe the case of a 44-year-old female NFD patient who undergoes significant improvement of skin lesions and associated joint contracture after renal transplantation. (Korean J Dermatol 2010;48(2):143∼147)
김훈기(Kim, Hoon-gi) 원광대학교 인문학연구소 2017 열린정신 인문학연구 Vol.18 No.2
봉한학설은 1960년대 초반 북한에서 등장했다가 갑자기 사라진 생명학설로서, 인체에 혈관계와 림프관계 외에 새로운 순환계가 존재하며 이는 한의학의 경락체계에 해당한다는 파격적인 주장을 담고 있었다. 당시 소련 과학계는 김봉한 연구실을 방문한 후 긍정적인 평가를 내리며 재현 연구를 시도하려 했지만, 알렉산드로프라는 과학자의 강력한 반발에 부딪혔다. 알렉산드로프는 20세기 중반까지 소련 과학계를 강압적으로 지배해온 리센코주의 생물학자들을 강력히 비판하는 과정에서 봉한학설을 거짓 학설로 단정했다. 이 글에서는 소련 과학계에서 봉한학설이 거부된 배경에 과학적 판단보다는 정치적 이념으로 인한 편견이 중요하게 자리하고 있다는 점을 밝혔다. 알렉산드로프는 봉한학설이 리센코주의 과학자 레페신스카야의 세포기원설와 유사하다고 파악했다. 레페신스카야는 세포가 기존의 세포에서 분열돼 발생한다는 주류 생물학계의 설명을 정면으로 반박하면서 ‘살아있는 물질’인 단백질로부터 세포가 만들어진다고 주장했다. 이에 비해 김봉한 연구진은 DNA를 주요 성분으로 한 ‘산알’로부터 세포가 만들어지고 세포는 다시 산알로 분열된다고 주장했다. 또한 산알이 경락체계를 통해 순환하면서 세포의 갱신을 일으킨다고 파악했다. 두 학설은 단지 물질에서 세포가 만들어질 수 있다는 점에서 공통됐지만, 전체적인 연구의 맥락과 결과는 전혀 다른 것이었다. 그럼에도 알렉산드로프는 봉한학설을 리센코주의의 아류로 인식해 소련에서 재현의 기회 자체를 강력히 저지했다. 이 연구는 새로운 학설이 정치적 편견으로 무시될 수 있고 후대에 다시 과학적으로 평가받을 수 있다는 역사적 사례를 보여주고 있다. The Bong-Han theory was a Life theory that appeared in the early 1960s and suddenly disappeared in North Korea. It contained an extraordinary claim that there was a new circulatory system in addition to the blood vascular system and the lymphatic system in the human body, which corresponded to the meridian system of oriental medicine. Although the Soviet scientific community visited Kim Bong-Han"s laboratory and tried to re-study under positive evaluation, a scientist Alexandrov strongly opposed it. Criticizing fiercely the biologists of Lysenkoism who had oppressively controlled the Soviet scientific community until the middle of the 20th century, Alexandrov judged Bong-Han theory as a pseudoscience. In this article, I pointed out that the prejudice of political ideology was more important than the scientific judgment in the background of the rejection of the Bong-Han theory in the Soviet scientific community. Alexandrov found that the Bong-Han theory was similar to that of Lepeshinskaya, who was one of the scientists of Lysenkoism. Lepeshinskaya argued that the cells could originate from proteins called ‘living substance’, refuting the explanation of the mainstream biology that cells were formed by division in existing cells. In contrast, Bong-Han Kim claimed that the cells were made from ‘sanal’ with DNA as the main ingredient and that cells were again broken down into sanal. Also, sanal circulated through the meridian system and caused cell renewal. Both theories were common in that cells could be made from matter, but the context and outcome of the whole study were quite different. Nevertheless, Alexandrov recognized the concept of the Bong-Han theory as an imitator of Lysenkoism, and strongly inhibited the opportunity of reproduction in the Soviet scientific community. This study shows a historical example that the new scientific theory could be ignored by political prejudice and later be scientifically evaluated again.
김훈순(Hoon-Soon Kim),김미선(Mi-Sun Kim) 한국언론학회 2008 한국언론학보 Vol.52 No.1
The study is interest in television drama as a cultural forum. From the ritual perspective, it analyzed the text of Korean contemporary television drama with three main objectives. First, this study investigate characteristics of major women characters as well as relationship with other characters. Second objective is to analyze the structure of story and the discourse. Third, this study attempts to question aspects of patriarchal ideology and feminist arguments. The drama text for the narrative analysis is <The Woman who wants to get married>, <My Name is Kim Sam-Soon>, and <The Fox! What it dose>. This study was basically interested in the single woman's sex, love, and work in their 30s. According to the results, it fined that the television drama text produces male-dominated discourse and the resistant female discourse simultaneously. The heroines are ordinary persons comparing with the stereotypes of traditional major woman in television drama who are young, beautiful and submissive and so on. They have professional jobs and work hard. And they express their sexual desires aggressively. Although they are very subversive, the women characters have integrated in the male-dominated love and marriage narratives. However, in the struggles of the patriarchal and the resistant feminist discourses, the drama gives the possibilities to interpret the text polysemously and dynamically. And ultimately it provided a experience and discussion about the new gender code.
관골골절에 있어 관상피판 접근법시 혈액학적 변화에 대한 연구
김훈,김철환,여환호,김수관,Kim, Hoon,Kim, Chul-Hwan,Yeo, Hwan-Ho,Kim, Su-Gwan 대한구강악안면외과학회 2001 대한구강악안면외과학회지 Vol.27 No.1
Background : The coronal incision is versatile surgical approach to upper and middle region of the facial skeletal including the zygomatic arch. The advantages of coronal approach are minimal injury of facial tissue including facial nerve and satisfactory cosmetic result by hidden scar at hair. But wide exposure of scalp, its disadvantages are operation time and massive blood loss. Methods : Thirty patients undergoing elective surgery were divided 3 groups. Group I used only coronal approach, group II used coronal with subciliary approach and group III used coronal with subciliary and intraoral approach. And then retrospected of the preoperative, postoperative red blood cell count, hemoglobin(Hb), hematocrit, transfused red blood cell units and platelet cell units, and the amount of infused crystalloids and colloids, and postoperative hemovac count was estimated. Results: 1. Red blood cell count were decreased in all groups at immediated postoperation and decreased in all group of postoperative first day and decreased in group I, II but increased group III of postoperative third day. 2. Hemoglobin and hematocrit were decreased in all group at immediated postoperation and decreased in all group of postoperative first day and decreased in group I, II., but increased group III postoperative third day. 3. Platelet was decreased in all group at immediated postoperation, and decreased in group II, III but increased in group I of postoperative first day and decreased in group I but increased group II, III of postoperative third day. 4. Mean postoperative hemovac mean drainage group I of first day is $48.63{\pm}21.12ml$ and second day is $23.92{\pm}19.53ml$ and third day is $7.82{\pm}5.32ml$ and group II of first day $60.45{\pm}22.65ml$ and second day is $22.14{\pm}13.21ml$ and third day is $7.32{\pm}6.25ml$. III group of first day $58.16{\pm}10.13ml$ and second day is $21.27{\pm}11.72ml$ and third day is $7.13{\pm}4.90ml$. 5. Infusion of group I is mean PRC $1.08{\pm}0.91$ pint, FFP $1.03{\pm}0.75$ pint, crystalloid $2562.23{\pm}1345.53ml$ and group II is mean PRC $1.05{\pm}0.89$ pint, FFP $1.71{\pm}0.78$, crystalloid $2650.47{\pm}1096.36ml$ and group III is mean PRC $1.79{\pm}1.45$ pint, crystalloid $3295.43{\pm}1472.432ml$.