복막투석 환자에서 발생한 후천성 천공성 피부병의 성공적 치료 1예

김희서 ( Hui Seo Kim ),이상희 ( Sanghee Lee ),이미지 ( Miji Lee ),주민숙 ( Mihnsook Jue ),이동영 ( Dong Young Lee ),문경협 ( Kyoung Hyub Moon ),김범 ( Beom Kim ) 대한내과학회 2020 대한내과학회지 Vol.95 No.3

Acquired perforating dermatosis (APD) triggers severe itching, and is observed most often in patients with diabetes mellitus (DM) and chronic kidney disease (CKD). Various treatments, such as topical steroids, topical and oral retinoids, allopurinol, and ultraviolet B (UVB) phototherapy, have been used. However, as the precise etiology is unknown, there are a lack of well-established treatment guidelines. We report a peritoneal dialysis patient with a diagnosis of APD who was resistant to topical steroids, phototherapy, allopurinol, and topical retinoids. Severe pruritus persisted, which compromised his ability to lead a normal life. As a final treatment option, we used oral isotretinoin and the patient experienced a dramatic improvement. (Korean J Med 2020;95:201-204)

해상적하보험에서 통지의무의 문제점에 관한 고찰

김희길(Kim, Hee Kil) 한국무역상무학회 2010 貿易商務硏究 Vol.46 No.-

According to the commercial law in Korea, a marine cargo insurance contractor (policyholder, insured person, agent) has the duty to disclose risks before establishing an insurance contract and the obligation to notify changes in risks after before establishing the contract. Marine cargo insurance policy clauses include one about the obligation to notify changes in risks. This clause assumes that an insurance contract should be implemented according to what has been answered to the important questions asked by the insurer in connection with the insurant’s duty to disclose before establishing an insurance contract, and it stipulates that, if any change in what has been disclosed should be notified to the insurer since it is regarded as a change in risks. Neglecting the obligation to notify may lead to the termination of the appropriate insurance contract by the insurer. The problems here concern the clauses about changes in risks and about the obligation to notify. The problems are like these. Can it be that the circumstances which might be seen in the past as changes in risks according to the territorial sea laws and institute cargo clauses stipulated long ago are considered as such still today? And a marine cargo insurance policy till valid when changes in risks have not been properly notified by the original discloser of risks to the insured who currently holds the marine cargo insurance policy, which, unlike other insurance policies, is a marketable security? In Korea, the commercial law has a clause the obligation to notify changes in risks established based on the territorial sea laws and institute cargo clauses. In this regard, this study aims to consider if the clause still valid today or not and, if not, to propose alternatives to the clauses.

근대 한중관계의 변화와 외교당안의 생성 : 「淸季駐韓使館保存檔」을 중심으로

김희신(Kim Hee-Sin) 중국근현대사학회 2011 중국근현대사연구 Vol.50 No.-

This study was conducted in order to advance content analysis on the history of Korea‐China relationship by enhancing accessibility to diplomatic documents called 'Juhansagwandang(駐韓使館檔:Documents of Chinese diplomatic offices in Korea)' in a historical, academic or practical sense. Based on the contents reviewed in this study, we can summarize the characteristics and values of 'Juhansagwandang' in the history of Korea‐China relationship as follows. First, the documents include extensive general materials, which mean unofficial documents worthy to be preserved. Official documents exchanged between Korean and Chinese diplomatic agencies include few general materials worthy to be preserved. Although some are included as accompanying documents, the scope of such documents is very limited. In the sense that they are documents of Chinese diplomatic offices in Korea, such records contain administrative information such as documents prepared, executed or received for administration. As they contain extensive unofficial documents (=general materials) worthy to be preserved, they have historical values. Second, 'Juhansagwandang' are in a mutually complementary relation with Korean diplomatic documents 'Cheongan(淸案).' It is presumed that even many of preserved documents might be lost due to instable political situations at home and overseas during the late Qing Dynasty and the late Yi Dynasty. In many cases, for example, there is jobok(照覆) but without johoi(照會) or vice versa, and this suggests that the continuity of documents could not be maintained due to various factors. Moreover, because diplomatic documents contained in Juhansagwandang and Cheongan were in a request‐reply relation with each other, their contents are sometimes complementary to each other. Furthermore, by comparing two documents on the same issue, we may find clues to differences between the two countries' positions. Third, media carrying contents have the characteristics that they are the tangible original documents. Previous studies on the Korea China relationship in the late Qing Dynasty have relied on diplomatic documents as the records of objective facts in order to examine factual contents related to the relationship of the two countries. Juhansagwandang, which was published as digital materials, is tangible original documents and also contains historical information, and in this sense, it has two values. They have crucial meanings in exploring not only contents but also the actual form and generation process of diplomatic documents. How to interpret such original documents is still a problem to be solved. Fourth, the documents were classified according to the principle of source classification. The classification system of Juhansagwandang followed 'the principle of source, ' which gives priority to the organization handling documents over the contents of documents. This classification system is advantageous in that it shows structure, context, and activity processes involved in an organization's production of records. That is, it is efficient for understanding association among records according to source, and the relation between records and their producers and the background of their production. Fifth, documents during a specific period were completely scattered and lost. Juhansagwandang includes documents generated and accumulated by Chinese diplomatic offices for around 30 years from 1883 to 1913. However, documents for around 4 years from the end of 1894 to the end of 1898 are completely omitted. A very small number of documents in this period have survived, but they are quite exceptional. Some institutions preserve only a part of documents according to their value, but the loss of documents in this period seems to be accidental. It is not clear where the lost records are kept at present.

20세기 전반 재조선 중화상회 연구 - 중화상회의 역사적 변천을 중심으로 -

金希信(Kim Hee-sin) 중국근현대사학회 2020 중국근현대사연구 Vol.86 No.-

The purpose of this study is to review the historical context of the birth of Chinese Commerce Organization and Chinese merchants formed in the process of moving to and settling in each city of Joseon. The establishment of the early Chinese commercial organizations was constituted in the process of establishing the Chinese diplomatic office in Korea(駐韓 中國公館) and forming the Concession(租界), centering on major open ports. The Chinese commercial organizations were not only autonomous, but also performed administrative affairs on the basis of the power entrusted by the Chinese diplomatic office in Korea. For the convenience of communication, the office was established in the Concession by the Chinese Legation in Korea (駐韓使館) as a way to give permanent lease on land to the Chinese organizations. Since each city had regionality, the establishment time and name of the early commercial organizations, and the remodeling and establishment into the Chinese Chamber of Commerce had a somewhat different process. Although the names varied somewhat by region, they are generally similar types of the Chinese commercial organizations. Since then, the Chinese Chamber of Commerce has been established on the basis of the existing Chinese commercial organizations. A key factor in the process of changing to the Chinese Chamber of Commerce was that the Chinese government gave it a legal basis. It was in Seoul that the Chinese Chamber of Commerce was first organized based on the Chinese government"s laws, and then the Chinese Chamber of Commerce, which had a common name and organization in other regions, was established.

Chloral hydrate 및 midazolam으로 진정되지 않는 환아에서 chlorpheniramine의 진정 효과

김희나(Hee Na Kim),윤병규(Byung Gyu Yoon),배시영(Si Young Bae),손영준(Young Joon Son),김영옥(Young Ok Kim),우영종(Young Jong Woo) 대한소아신경학회 2013 대한소아신경학회지 Vol.21 No.1

목 적 : Chloral hydrate 및 midazolam으로 진정되지 않는 신경계 질환 환아에서 chlorpheniramine의 진정 효과를 알아보고자 하였다. 방 법 :2007년 9월부터 2012년 9월까지 전남대학교병원 소아청소년과 외래에 방문하였던 신경계 질환을 가진 환아 중 뇌파 및 뇌 영상 검사를 위해 Chloral hydrate 및 midazolam으로 진정을 시 도하였으나 실패한 환아에서chlorpheniramine를 병용 투여하였던 총 33명을 대상으로 나이, 성별, 체중, 약물 용량 및 기저 신경계 질환에 따른 진정 효과를 조사하였다. 결 과: 총33명의 신경계 질환 환아들 중 26명(78.7%) 에서 진정에 성공하였으며 7명(24.2%) 에서 진정에 실패 하였다. 연령에 따르면, 0-4세에서는 100%, 5-9 세에서는 84.6%에서 진정에 성공하였으나, 10-14 세에서는 50%의 가장 낮은 진정 성공률을 보여 나이가 어릴수록 진정 효과가 높았다. 체중, 성별, 약물 용량에 따른 chlorpheniramine 진정효과의 차이는 없었으며, 발달 지연 및 경련성 질환,기질적 뇌병변의 유무에 따른 진정 효과의 유의한 차이는 없었으나 주의력 결핍과잉 행동 장애를 동반한 환아에서 28.5% 로 진정 성공률이 매우 낮았다(P= 0.002). 약제 투여 에 의한 심각한 부작용은 보이지 않았으며 1명에서 일시적인 청색증이 발생하였다. 결 론: 신경계 질환 흰아에서 chloral hydrate 및 midazolam으로 진정 효과가 없는 경우 chlorpheniramine을 추가했을 때 78.7%의 높은 진정 효과를 보였다. 특히 진정 효과는 연령이 낮을수록 높았으며 심각한 부작용은 관찰되지 않았다. 3가지 약물을 사용하였음에도 진정이 되지 않은 환아들 중에 는 주의력 결핍 과잉 행동 장애를 동반한 경우가 많았으며 이에 대한 추후 연구가 필요할 것으로 사료 된다. Purpose: To evaluate the sedative effect of add-on chlorpheniramine in children with neurologic diseases failed to sedate with chloral hydrate and midazolam. Methods: Thirty three patients who had not been successfully sedated with oral chloral hydrate and intravenous midazolam for diagnostic examinations were attempted for sedation with intravenous chlorpheniramine at Chonnam National University Hospital from September 2007 to September 2012. The sedative effects were compared on the aspects of age. sex. body weight. dosage of drug and underlying neurologic conditions with the retrospective review of medical records. Results: Among 33 patients, 26 (78.7%) were successfully sedated and 7 (24.2%) failed to sedate. The success rates were different by age and were decreased with age: 100% (0-4 y), 84.6% (5-9 y). 50% (10-14 y). The effectiveness of chlorphcniramine was not significantly different in terms of ages. sex. body weight. dosage of drug and the underlying neurologic conditions-developmental delay. seizures or organic brain lesions. Children with ADHD (attention-deficit hyperactivity disorder). however. showed a significantly lower success rate than the non-ADHD patient group (28.5%, P=0.002). No serious side effects were reported except for one case with transient perioral cyanosis. Conclusion: Chlorphenirarnine appeared highly effective in children with neurologic diseases who had not been sedated with chloral hydrate and midazolam. The efficacy seemed to be higher in the younger age groups and lower in children with ADHD.

소비자 주관성에 근거한 중국음식점 고객 유형 탐색

김희기(Kim hee-kee),서헌(Seo, Heon) 한국관광레저학회 2016 관광레저연구 Vol.28 No.10

폐유리를 이용한 발포여재의 수처리 성능 평가

김희서 ( Hee-seo Kim ),임병란 ( Byung-ran Lim ),이수구 ( Soo-koo Lee ),신현상 ( Hyun-sang Shin ),최성필 ( Sung-pil Choi ) 한국폐기물자원순환학회(구 한국폐기물학회) 2018 한국폐기물자원순환학회 춘계학술발표논문집 Vol.2018 No.-

기후 변화가 가속화되어 국내에서는 국지성 호우가 증가하는 추세이며, 이에 대해 도심지역 토지의 불투수층이 증가하여 도로 유출수, Combined Sewer Overflows(이하 CSOs라고 한다.) 등 도심에서의 비점오염원에 의하여 하천 수중생물의 폐사, 부영양화, 대장균 및 병원성 미생물의 증가, 중금속 오염 등의 방류 수계에 타격을 줄 수 있기 때문에 이에 따른 환경오염 문제가 대두되고 있다. 그 중에서도 CSOs는 합류식 하수도 시스템에서 강우 시에 처리시설을 거치지 않고 하천이나 해안 등의 수계로 직접 방류되는 경우를 의미하며, 해당 오염 부하량은 강우의 지속시간 및 강우량에 큰 영향을 받는다. 이 때 합류식 하수관로에서는 관로 내부의 퇴적물이 강우 초기에 유출되는 초기세척효과(first flush effect)에 의해 강우 초기에 오염부하량이 높은 값으로 유출된다. 이런 CSOs에 대하여 현재 국내에는 3Q로 차집한 용량에 대하여 2Q의 월류수를 스크리닝 및 완충저류로 이루어진 간이처리만을 통하여 수계로 배출되고 있는 실정이다. 이러한 CSOs의 주된 오염물질은 입자성 물질이 가장 큰 비율을 차지한다. 환경부에서 제시한 임의의 도시지역 하수 평균 SS는 60 mg/L의 값을 나타내는데 강우 초기의 CSOs의 SS는 1,936 mg/L의 값으로 고농도의 값을 나타낸다. 이러한 입자성 물질을 제거해 줌으로써 입자성 물질에 영향을 받는 다른 항목에 대해서도 그 농도를 낮출 수 있다. 이에 본 연구에서는 CSOs의 입자성 물질을 제거하기 위한 공정으로 여과(filtration)방법을 선정하였으며, 여과용 담체로는 폐유리를 발포시켜 제조한 여재를 사용하였다. 여과속도 및 여과층 구성에 따른 SS제거효율 및 폐색된 여재의 효율을 복구시키기 위한 역세척 조건에 따른 역세척 효율에 대해 알아보고자 하였다.

신라 지증왕의 王名과 그 성격

김희만(Kim Heui Man) 서강대학교 인문과학연구소 2016 서강인문논총 Vol.0 No.46

이 글에서는 신라 지증왕의 王名을 통해 당시 사회의 운영과 변화과정을 살펴보려고 하였다. 신라사회에서 지증왕이 차지하는 비중은 마립간에서 왕호로, 상고사회에서 중고사회로 전환하는 시점에 있다는 점에서 일찍부터 관심의 대상이 되었다. 여기서는 지증왕의 王名관련 자료를 검토하고, 이를 토대로 당시의 사회변화와 그 양상을 추구하여, 지증왕대 전후 王名의 추이와 성격을 규명해 보았다. 그 결과 지증왕의 王名은 이전의 王名과는 달리 유교적, 또는 漢化的표기로 변화하였으며, 이러한 과정에서 신라사회의 國號와 王號의 변화, 그리고 諡號를 중심으로 불교적 색채와 유교적 정책의 대응 등이 찾아졌다. 이는 기왕의 연구 성과에서 언급된 것과 일면 유사해 보이지만, 그 변화과정을 세밀하게 살펴서 어떠한 시대적 상황이 연출되어 나타나게 되었는지를 고찰해 보고자 하였다. In this thesis, through the Jijeungwang(智證王)’s King Name(王名), it was trying to look at the operation and evolution of society at the time, in Silla Dynasty. Jijeungwang proportion occupied by Silla in society was of interest early on in that at the time of switching from the King’s Official Name(王號), appeal to the community in Maripgan(麻立干) used society. In this article, King Name review the related materials Jijeungwang, and based on this social change and to pursue that aspect of time, I looked identify the trends and characteristics of Jijeungwang for around King Name. As a result Jijeungwang of King Name unlike previous King Name was changed to Confucianal(儒敎的), or Chinese(漢化的) ever mark, find the favor change National Name(國號) and the King of Silla society in this process, and Buddhist colors counterparts Confucianal policies. This was to investigate the similar to that mentioned in the study of already thesis, but investigate finer the process any change process is implied.

在朝鮮 中華商會의 설립과정과 존재양태

金希信(Kim Hee-sin) 중국근현대사학회 2017 중국근현대사연구 Vol.73 No.-

The purpose of this study is to trace the historical transition process of Chinese Chamber of Commerce in Gyeongseong and to examine how Chamber of Commerce(shanghui) of Gyeongseong, which grew up in relation to state power, played a role in overseas Chinese society. The establishment of Shanghui in Gyeongseong, Joseon was directly influenced by the legislation of the Chinese government. In accordance with the enactment of relevant laws and regulations, the names of ‘Zhonghuashangwuzonghui’, ‘Zhonghuazongshanghui’ and ‘Zhonghuashanghui’ were changed to use, and the organizational structure went through rebuilding process of change from ‘the president system’ to ‘the committee system.’ During the period of the Republic of China, the commercial association of overseas Chinese merchants in Gyeongseong was protected by China’s domestic law and incorporated into the national order system of China. Zhonghuazongshanghui has been granted the right to national management and economic construction by enabling effective legal protection for the status establishment of overseas Chinese merchants residing in Gyeongseong. On the other hand, Gyeongseong Zhonghuashanghui was supervised by the Party and the government from the remodeling process, and as compared with the Zhonghuashangwuzonghui or Zhonghuazongshanghui period, the autonomy of the merchant organization towards the nation’s power was likely to weaken. Shanghui in Gyeongseong has been operated by the same laws and regulations of the China government, and a commonality is found in name and organization. Nevertheless, since the overseas Chinese society has been formed in a political and social environment different from that of China, it has to have its own unique character. There was also a certain degree of different process in establishing Shanghui according to different overseas local conditions. Shanghui in Gyeongseong was founded on the basis of a voluntary organized private organization by local overseas Chinese merchants such as Huashangzonghui, and above it with the encouragement of Consulate General. A key change in the process of the transition of Huashangzonghui to Shanghui was that the China government granted Shanghui a legal basis for its existence. If Huashangzonghui was founded voluntarily, Shanghui was founded on government policy. On the other hand, there were aspects similar to Huashangzonghui in membership, organization, functions, etc. of Shanghui. The influence of Tongxiangbang was still strong, and the power arrangements of the leaders group are clearly made by the place of origin. Huashangzonghui not only strived to fulfill its role as an economic organization that provides the commercial interests and conveniences of the membership group in the residence, but also carried out various activities for the public interest of the overseas Chinese society. Shanghui was also required to serve as an advisory body to government agencies such as the China government and consulate general, while also including public service functions such as self-government and dispute settlement, such as trade and industrial disputes. The Shanghui organization has established a prominent position in the Joseon overseas Chinese society, especially by preserving and maintaining the cultural, religious, and social functions and roles traditionally held by Chinese merchants such as overseas Chinese education, sacrifices and charitable projects.

연구논문 : 신라(新羅) 관명(官名) “대사(大舍)”의 운용(運用)과 그 성격(性格)

김희만 ( Heui Man Kim ) 동국사학회 2013 동국사학 Vol.54 No.-

신라의 17관등 중에서 12번째 관등이며, 또한 관직체계로서 令-卿-大舍-舍知-史 중에서 세 번째에 해당하는 官名인 大舍의 운용과 그 성격 등에 대해서 살펴보았다. 사실 신라사회에서 大舍라는 官名은 大奈麻와 奈麻,大舍와 舍知,大鳥와 小鳥 등의 한 부류로서, 이들 관등과 관직 가운데 그것이 未分化로 인해 그 운영에 있어서 실체 파악에 어려움이 있었다. 大舍의 運用을 검토하기 위해서 관직으로서의 대사를 규명하고자 『三國史記』職官志에 보이는 각 관부의 관직체계 가운데 그 대표적인 예로 執事省을 중심으로 이 관부에 보이는 令-卿-大舍-舍知-史라는 관직체계 가운데 大舍와 인원과 건치연혁 등의 변동사항 등을 고찰하였으며, 또한 각 관부마다 각기 다른 점도 상호 비교해 보았다. 그 결과 大舍는 主書 와主事 그리고 主薄 등의 명칭에서 문서(書), 일(事), 장부(薄) 등을 주관하는 업무를 담당하거나, 또는 錄事 곧, 사원성전의 실무 관직으로 소속되어 어떠한 사항을 기록(錄)하는 업무를 담당하였으며, 설치시기는 진평왕 11년이 가장 이르며, 신라 행정 관부에서 실무를 전담하였다는 것을 알 수 있었다. 관등으로서의 대사는 신라 관등 가운데 대아찬과 대나마는 아찬과 나마가 분화하여 그 접두사로 大자를 관칭하는 것으로 정리할 수 있는 반면에, 大舍와 小舍, 大鳥와 小鳥는 그 분화의 성격이 다른데, 이는 대사와 소사는 舍知라는 관명에서 분화하여 대사와 사지는 대사가 먼저 설치되고, 이후 지덕왕 5년 내지 신문왕 5년에 사지가 설치되어 비로소 5등 관직체계가 마련된 것으로 볼 수 있다. 따라서 관직에서는 대사→사지로 분화하였다면, 관등에서는 사지→대사로 발전하였다고 볼 수 있다. 대사의 성격에서는 법흥왕 때의 色服志에 보이는 大舍와 황룡사찰주 본기에 보이는 대사를 비교하여 赤位에서 靑位, 黃位로 그 격에 변화가 수반되고 있음을 살표보았으며, 관등으로서의 大舍가 어떻게 성립하고 있는지를 검토하기 위해서 신라 관등의 말미에 보이는 餐系와 奈麻系 그리고 大舍이하의 知系를 구분하여 이해하고자 하였다. 인는 지금까지 餐系와 奈麻系에 대해서는 그 상층의 중요성을 반영하듯이 여러 연구가 있었으나, 知系라 할 수 있는 大舍 이하의 관등과 관직에 대해서는 상대적으로 소홀하게 취급되어 왔다는 점에 주목하였다. 그리고 大舍와 舍知, 또는 大舍와 小舍, 그리고 韓舍 등이 각기 기재된 자료뿐만 아니라, 관직으로서의 作韓舍와 관등으로서의 大舍를 동시에 볼 수 있는 자료를 소개하면서 그 성격에 주목해보았다. Silla`s official name(官名), Daesa大舍 is one of central administrative systems(5 step systems-Ryung(令)-Kyung(卿)-Daesa(大舍)-Saji(舍知)-Sa(史) and also official ranks and posts mixes themselves` name. Therefore this Daesa(大舍) stands for Silla` important office rank(官等) and office post(官職) but this article(particularly contents) not achieved many study better than other topics for a longtime Specially, Daesa(大舍) is in management of official post system(管職體系), 3rd main post systems and roles practical management in the central administrative systems(中央行政體系). Daesa(大舍) consists of Jige(知系), Daesa(大舍) and Saji(舍知). Jige(知系). Was distinguished three groups-Change(餐系)-Namage(奈麻系)-Jige(知系). Especilly Jige(知系) is 3rd official system of below Daesa(大舍) and Daesa(大舍) was a medium-administer or a working-level official. Daesa(大舍) calls Hansa(韓舍), that means office rank and office post. This study lasting continued new excavate many materials together.