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윤영진,이준원,안성균,이승환,윤정한,조병렬,정상식,김희열,이재환,배장호,이진배,서존,박금수,한규록,정명호,나승운,허성호,조윤행,김상욱 대한심장학회 2015 Korean Circulation Journal Vol.45 No.6
Background and Objectives: Although increasing evidence has indicated that radial access is a beneficial technique, few studies have focused on Korean subjects. The aim of this study was to evaluate current practice of coronary angiography (CAG) and percutaneous coronary intervention (PCI) using radial access in South Korea. Subjects and Methods: A total of 6338 subjects were analyzed from Korean Transradial Intervention prospective registry that was conducted at 20 centers in Korea. After evaluating the initial access, subjects intended for radial access were assessed for their baseline, procedure-related, and complication data. Subjects were categorized into three groups: group of overall subjects (n=5554); group of subjects who underwent PCI (n=1780); and group of subjects who underwent primary percutaneous coronary intervention (PPCI) (n=167). Results: The rate of radial artery as an initial access and the rate of access site crossover was 87.6% and 4.4%, respectively, in overall subjects. Those rates were 82.4% and 8.1%, respectively, in subjects who underwent PCI, and 60.1% and 4.8%, respectively, in subjects who underwent PPCI. For subjects who underwent CAG, a 6-F introducer sheath and a 5-F angiographic catheter was the most commonly used. During PCI, a 6-F introducer sheath (90.6%) and a 6-F guiding catheter were standardly used. Conclusion: The large prospective registry allowed us to present the current practice of CAG and PCI using radial access. These data provides evidence to achieve consensus on radial access in CAG and PCI in the Korean population.
지방정부 예산구조 하에서의사회복지 재정범위에 관한 논고[ Abstract ]
윤영진 한국지방재정학회 2006 한국지방재정논집 Vol.11 No.1
]This study indicates that many studies on social welfare expenditure of local government have statistical problem. Statistical problem is due to the inconsistent definition and classification of social welfare, and the diverse scope of social expenditure category in the budget structure of local government. Program structure in the program budget which will be introduced in 2007 has also some problems because each local government has different categories of program structure.This study suggests that the definition and classification of social welfare should follow the criteria of OECD social expenditure, which can be revised according to Korean context. Classification of budget items by function is the same category among central and local governments in the program structure. The program of program structure, not activities, should be standardized among local governments. Then we can get consistent statistics of social expenditure to compare.
급성 충수돌기염 천공으로 오인된 노인에서의 위막성 대장염 1예
윤영진,노지훈,한원석,박철우,박성환,박정익,남원욱 대한노인병학회 2012 Annals of geriatric medicine and research Vol.16 No.1
Pseudomembranous colitis is mostly related to antibiotics and it presents symptoms of diarrhea, abdominal pain, fever, hypoalbuminemia and hypovolemia. Diarrhea is the most common manifestation, but in geriatric patients, symptoms of pseudomembranous colitis can be different from those of usual cases and the course of disease can be more aggressive. For these reasons, it can be misdiagnosed. So physicians must take pseudomembranous colitis into consideration in older patients with acute abdominal pain, who have been treated with antibiotics. We reported a case of an older patient with pseudomembranous colitis which was misdiagnosed as acute appendicitis with perforation.