상부 위장관 질환에 있어 Campylobacter Pyloridis 에 대한 연구

이상종(Sang Jong Lee),이만호(Man Ho Lee),박영철(Young Chul Park),강진호(Jin Ho Kang),정을순(Eul Soon Jung),홍미재(Mi Jae Hong),김유경(You Kyoung Kim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.1

N/A Since the first description of an unidentified curved bicillus that was called campylobacter pyloridis and isolated from gastric mucosa by Warren and Marshall in 1983 the campylobacter pyloridis has been implicated as a bacteriologic agent for the etiology of gastritis and peptic ulcer. 171 patients with upper gastrointestinal symptoms referred to endoscopic study in our clinic between December 1987 and December 1988, 19 asymtomatic individuals were considered for study. By culture of Warthin-Starry silver stain and gram stain or both, we found that overall 73% (124/171) of patients were positive for compylobacter pyloridis. In other endoscopic groups, the following positive incidence were found: severe superficial gastritis, 76% (67/88): chronic superficial gastritis, 67 %(33/49); gastric ulcer, 81%(9/11): duodenal ulcer, 83%(5j6): gastric cancer 59%(10/17). In various histologic groups, we found the organism in 75%(81/108) of patients among severe superficial gastritis and 59%(10/17) of patients among gastric adenocarcinoma. But in the control group of 19 asymptomatic individuals, the organisms were found from only 5 cases (26%). In its antimicrobial sensitivity test, cephalosporin, chloramphenicol, erythromycin, carbenicillin, kanamycin and tetracycline have the sensitivity of 100%. Amikin, ampicillin and tobramycin were sensitive in 71% to 80% and gentamycin was sensitive in 50%, but colistin was resistant. 12 campylobacter pyloridis positive patients were treated by various therapeutic regimens for 4 weeks (ranitidines, sucralfate: colloidal bismuth substrate: antibiotics). Among the patients, the patients, the histologic improvement was in the group treated with colloidal bismuth substrate. These results support the hypothesis that campylobacter pyloridis might be etiologically related to gastritis and peptic ulcer.

한국 중고차 거래소의 건축적 개선 방안

이상아(Lee, Sang-Ah),송규만(Song, Kyu-Man) 대한건축학회 2018 대한건축학회 학술발표대회 논문집 Vol.38 No.2

Histamine H2 -receptor Antagonists 투약후의 (投藥後) 몇가지 부작용에 (副作用) 대한 관찰

이상종(Sang Jong Lee),이만호(Man Ho Lee),김향(Hyang Kim),노홍기(Hong Gi Roh),오동주(Dong Joo Oh),최성규(Sung Kyu Choi) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1

N/A Discovery of histamine H2-receptor antagonists is very important for clinician. They are used widely to treat peptic ulcer. However, the widespread use of these agents and the careful surveillance of patients receiving the drug by many researchers and practitioners, have led to a large number of reports identifying possible or proven complications of treatment with them. It is intention of this problem to consider the adverse effects which has been described in association with administration of these drugs. We observed fourtysix patients with peptic ulcer, who were given H2,-receptor antagonists by month over eight weeks period. Two different groups of this studies composed of cimetidine, 800 mg a day for thirtyfour patients, and ranitidine, 300 mg a day for twelve patients, respectively. Hemograms, some liver function tests, and measurement of sex hormones were undertaken before and after the treatment. The results showed no significant differences of all laboratory tests between both groups following the treatment, aside from only a case with administration of cimetidine showing transient mild elevation of S-GOT and and S-GPT. Further long term studies of both control and treatment groups are required.

조세평등주의에 부합하는 자동차세제의 합리적 개선방안에 관한 고찰 ― 「2050 탄소중립」시행에 따른 전기자동차의 자동차 소유분 세제개편을 중심으로 ―

이상만 ( Lee Sang-man ) 한양대학교 법학연구소 2021 법학논총 Vol.38 No.4

지구온난화에 따른 지구촌 곳곳에서 이상 기후변화를 겪으면서 하나 뿐인 지구를 살리기 위한 탄소중립이 글로벌 아젠다가 되고 있다. 우리나라를 포함한 많은 국가들은 탄소배출량을 줄이기 위해 탄소배출량이 많은 산업분야 등에 대해서 단계별 이행계획을 수립하고 시행하려고 하고 있다. 특히 탄소배출량이 많은 자동차 관련 수송분야도 자동차의 내연기관을 순수 전기자동차로 전환하거나 친환경에너지에 맞는 자동차로의 전환을 통해 도로이동 오염원을 줄이고, 화석연료의 소모를 줄여 탄소배출량을 줄이는 것이 시행과제 중의 하나이다. 이에 따라 세계 각국에서는 수송부문의 탄소중립을 위해 전기자동차 개발을 강화하고 있고, 우리나라도 완성 전기자동차 생산을 통해 세계시장 선점을 위해 노력하고 있다. 그러나 최근 생산되고 있는 전기자동차의 경우, 기존의 내연기관차에 비하여 출고가가 적게는 1.5∼4배까지 높다. 즉, 보조금이 없으면 일반 국민의 입장에서는 쉽게 구매를 결정할 수 없는 분위기이다. 이에 따라 정부와 지방자치단체는 국내의 탄소배출량을 줄이기 위해 전기자동차 보급확대를 위한 인프라를 구축하고 보조금 지원을 통한 친환경 자동차 수요 확대에 박차를 가하고 있다. 뿐만 아니라 현행 지방세법에 의하면, 내연기관 자동차(승용자동차)가 배기량을 기준으로 시시당 정해진 세액을 곱하여 산정한 세액을 연세액(年稅額)으로 하는 반면, 전기자동차의 경우는 내연기관이 없어 배기량을 기준으로 산정할 수 없기 때문에 1대당 100,000원(지방교육세 별도)의 연세액(年稅額)을 부과받고 있다. 일반 국민들의 입장에서는 전기자동차 보급확대라는 차원에서 정부의 정책과 관련 법제에 대해 공감하고는 있지만, 고가의 수입산 전기자동차를 구입하는 경우 정부 및 지방자치단체의 보조금을 받는 것 이외에도 자동차세까지 적게 납부하는 것은 탄소배출량을 줄이기 위한 정책이라고는 하지만 조세형평주의에도 위배된다며 자동차세 과세기준을 변경해야 한다는 불만이 나오고 있는 실정이고, 이를 위해 많은 연구가 진행되고 국회에 관련 법안이 상정되기도 하였다. 여기에서는 「2050 탄소중립」을 통해 국민들의 건강하고 쾌적한 환경에서 생활할 권리를 보장하도록 하기 위한 실천과제로 전기자동차 보급의 필요성을 검토하고, 전기자동차 보급에 따른 사회갈등이 될 수 있는 지방세법 관련 규정의 문제점을 검토한 후, 관련 개정 법률안과 외국사례 등을 통해 조세형평주의에 부합하는 전기자동차 세제의 개선방안을 모색하고 자 한다. With experiencing an abnormal climate change due to global warming in various parts of the world, the carbon neutrality for saving the one and only earth is becoming a global agenda. Many countries including our country are trying to establish and conduct a phased implementation plan for industrial fields of producing a lot of carbon in order to reduce the carbon emission quantity. Especially, even the transport area related to automobiles with high carbon emissions has one of the tasks to decrease carbon emissions with lessening the road traffic pollutant and curtailing the fossil fuel consumption through converting a car's internal combustion engine into a pure electric car or into a car suitable for eco-friendly energy. Accordingly, all the countries of the world are stepping up the development in an electric car aiming at the carbon neutrality of the transportation section. Our country is also striving to preoccupy world market through producing a completed electric car. However, in case of an electric car that is produced recently, its factory price is at least 1.5- 4 times higher than the existing internal combustion engine vehicle. In other words, it is the atmosphere unavailable for purchasing easily from the perspective of the general public if there is no subsidy. Hence, the central government and the local governments are gearing up in expanding a demand for eco-friendly car through implementing infrastructure to expand the supply of electric cars and through supporting subsidy aiming to diminish the domestic carbon emissions. Moreover, in accordance with the current local tax law, an internal combustion engine vehicle(automobile) has the annual tax assessment(年稅額) as the tax amount calculated by multiplying the tax amount per cc based on engine displacement. On the contrary, an electric car cannot be calculated on the basis of engine displacement because of having no internal combustion engine. Thus, the annual tax assessment(年稅額) at 100,000 won(local education tax separately) per 1 unit is being imposed. The people in general are sympathizing with the government policy and the related legislation in the dimension of expanding the supply of electric cars. But it is the real situation that there are complaints about which the automobile tax base should be changed with saying what pays less car tax even in addition to receiving subsidy from the government and the local government when buying the expensive imported electric cars violates even tax fairness despite being a policy to decrease the carbon emission quantity. To this end, many researches were progressed. And the related bills were ever presented to the National Assembly. As the practical task here to ensure the right of the people to live in a healthy and pleasant environment through 「2050 Carbon Neutrality」, the aim is to seek an improvement plan for a tax system of an electric car conforming with the tax equity through the relevant legislation and foreign cases after examining the necessity of supplying electric cars and after inquiring into problems about the provisions pertinent to the Local Tax Act, which can cause a social conflict owing to the supply of electric vehicles.

음주운전에 의한 복수 운전면허취소처분 판례의 문제점과 관련법제의 개선방안 - 대법원 2018.2.28.선고 2017두67476 판결을 중심으로 -

이상만 ( Lee Sang-man ) 홍익대학교 법학연구소 2018 홍익법학 Vol.19 No.2

현행 도로교통법 및 제반 관련 법규에서는 일정 자격을 취득한 해당 운전자에 한하여 운전면허 자격을 부여하고, 각 개별적 요건을 갖춘 경우에 복수의 운전면허를 발급함으로써 운전자의 운전면허를 통합관리하고 있다. 또한 음주운전 등 운전자가 준수해야 할 안전주의의무를 위반한 경우에는 운전자격을 박탈하는 등의 행정제재를 규정하고 있다. 오늘날 자동차 운전은 생활의 편리함을 추구하는 도구를 넘어 생계수단과 밀접한 관련이 있지만, 이러한 자동차 이용의 증가와는 달리 국민들의 자동차 운전에 대한 안전주의의무의 인식은 상대적으로 부족하다. 특히, 음주운전과 관련해서는, 한 번쯤 누구나 행할 수 있는 실수 정도로 취급하며 관용을 미덕으로 생각하는 것이 사회적 분위기였다. 그러나 지속적으로 증가하는 음주운전에 따른 사회 문제와 사회전체가 부담해야 하는 경제적 손실비용의 증가로 인해 음주운전은 더 이상 용인되어야 할 개인의 문제가 아니라 함께 공동대응해야 할 사회문제가 되었다. 이런 사회분위기를 반영하듯, 최근 대법원은 2018. 2. 28. 선고 2017두67476 판결을 통해 음주운전에 대한 일반 예방적 측면을 적극 반영하여 복수의 운전면허 취소가 위법·부당하지 않다는 내용을 판시하였다. 이 판결은 음주운전에 대해 현재 우리나라는 외국에 비해 제재가 약하기 때문에 음주운전 근절을 위해 제재를 강화하는 등의 예방적 대책이 필요하다는 측면에서 볼 때, 환영할 만한 판결이다. 반면, 과거의 유사한 사례와 음주운전에 의한 복수 운전면허의 취소범위가 상이한 결과를 가져왔다는 점에서는 그 타당성이 검토되어야 할 판례이다. 따라서 본 논문에서는 음주운전에 의한 복수 운전면허 취소와 관련한 기존 판례의 입장과 최근 대법원 판결을 비교 고찰하는 방법을 통해서 그 차이점과 문제점을 분석하고, 이를 기초로 일선 행정처분을 행하는 공무원들이 업무를 수행함에 있어 불필요한 혼란을 예방하고 행정행위의 실효성을 확보하기 위해 관련법제인 도로교통법 및 동법 시행규칙 등의 제반규정에 대한 개선방안을 모색함으로써 통일성 있는 행정제재와 행정기관의 재량권 행사의 기준을 마련하고자 한다. The current Road Traffic Act and all the related legislations are integrally managing a driver's license through giving the driver's license qualification with limiting to a corresponding driver who acquired the certain qualification, and through issuing multiple driver's license in case of having each individual requirement. Also, an administrative restriction such as disqualifying driving is being provided in case of violating safety precaution obligation that a driver will need to abide by such as drunk driving. A vehicle driving of the day has a close relationship with a means of living beyond a tool of pursuing the convenience of life. But people's recognition of safety precaution obligation on vehicle driving is relatively lacking unlike this rise in vehicles. Especially in terms of drunk driving, it was social atmosphere to think of generosity as a virtue with treating it just as a mistake that anybody can make at one time or another. However, due to a social issue according to drunk driving of growing continuously and to a rise in economic loss costs that the whole society needs to bear, the drunk driving resulted in a social issue of needing to be jointly confronted together, not a personal problem of being likely needed to be allowed any more. As if this social atmosphere is reflected, the Supreme Court ruled the contents as saying that the multiple driver's license revocation is not illegal and undue, through positively reflecting the generally preventive aspect on drunk driving recently through the Feb. 28, 2018 sentence-2017du67276 Judgment. As for drunk driving, this judgment is the one enough to be welcomed when considering from the aspect of being necessary for preventive measures such as stepping up a restriction for eradicating the drunk driving because our country has a weaker sanction against drunk driving compared to foreign countries. On the other hand, in that the similar case in the past and the revocation range of multiple driver's license caused by drunk driving brought about a different outcome, it is a precedent whose validity will need to be examined. Accordingly, this study analyzes its difference and problem through a method of comparatively considering the existing position relevant to the cancellation of multiple driver's license caused by drunk driving, and the recent judgement of the Supreme Court, and seeks an improvement plan for all the regulations such as the Road Traffic Act and the enforcement rules, which are the related legislations, in order to prevent unnecessary confusion and to secure effectiveness of the administrative act in which frontline public officials of taking an administrative measure carry out duty based on this. Hence, the aim is to arrange the criteria for the unified administrative restriction and for the exercise of discretionary powers in administrative agency.

연소실 직접분사식 성층급기 가솔린기관 개발에 관한 연구 - 연료분사압력과 부하변동에 따른 연소특성 해석 -

이상만,정영식,채재우,Lee, Sang Man,Jeong, Young Sik,Chae, Jae Ou 대한기계학회 1998 大韓機械學會論文集B Vol.22 No.9

In general, DI gasoline engine has the advantages of higher power output, higher thermal efficiency, higher EGR tolerance and lower emissions due to the operation characteristics of increased volumetric efficiency, compression ratio and ultra-lean combustion scheme. In order to apply the concept of stratified charge into direct injection gasoline engine, some kinds of methodologies have been adapted in various papers. In this study, a reflector was adapted around the injector nozzle to apply the concept of stratified charge combustion which leads the air-fuel mixture to be rich near spark plug. Therefore, the mixture near the spark plug is locally rich to ignite while the lean mixture is wholly introduced into the combustion chamber. The characteristics of combustion is analyzed with the variations of fuel injection pressure and load in a stratified -charge direct injection single cylinder gasoline engine. The obtained results are summarized as follows ; 1. The MBT spark timing approached to TDC with the increase of load on account of the increase of evaporation energy, but has little relation with fuel injection pressure. 2. The stratification effects are apparent with the increase of injection pressure. It is considered by the development of secondary diffusive combustion and the increase of heat release of same region, but proceed rapidly than diesel engine. Especially, in the case of high pressure injection (l70bar) and high load (3.0kgf m), the diffusive combustion parts are developed excessively and results in the decrease of peak pressure than in the case of middle load. 3. The index of engine stability, COVimep value, is drastically decreased with the increase of load. 4. To get better performance of DI gasoline engine development, staged optimizaion must be needed such as injection pressure, reflector, intake swirl, injection timing, chamber shape, ignition system and so on. In this study, the I50bar injection pressure is appeared as the optimum.

만성지속성간염 (慢性持續性肝炎) 환자에 병발한 (倂發) 다발성근염 (多發性筋炎) 1예

이상종(Sang Jong Lee),이만호(Man Ho Lee),박영철(Young Chul Park),김민자(Min Ja Kim),신재호(Jae Ho Shin),깅영희(Young Hee Kim) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1

N/A Polymyositis is an uncommon connective tissue disease characterized by an inflammatory destruction of the striated muscles. Although there appeared to be an increased incidence of polymyositis in other countries, there were only a few case reports and a case study on 12 patients in Korea to date. We experienced a case of polymyositis combined with chronic persistent hepatitis who had evidence of hepatitis B virus infection. This 52-year old male patient was presented with generalized muscle weakness and fever of 5 months duration. The patient was shown characteristic findings of polymyositis on electromyogram and muscle biopsy specimen, and also proved to be have chronic persistent hepatitis by liver function test and liver biopsy. The T-lymphocyte subpopulation analysis was abnormal. Considering that immune deficiency and viral infection have been suggested as possible causes of polymyositis, this case must be interesting although the role of immune deficiency and hepatitis B virus infection in development of polymyositis could not be elucidate in this case.

라돈 검출 침대 사건을 통해 본 천연방사성 물질의 관리체계에 대한 법적 문제점과 개선방안

이상만(Lee, Sang-Man) 강원대학교 비교법학연구소 2018 환경법과 정책 Vol.21 No.-

2018년 5월 경 우리 생활 속에서 신체의 가장 많은 부분을 밀착시키는 매트리스 및 침구류에서 음이온을 방출하는 원료물질인 모나자이트에 함유된 라돈과 토론이 검출되었다는 소식이 전해졌고, 국민들은 천연방사성 물질에 대한 공포에 휩싸여야 했다. 그런데 이런 일은 비단 오늘만의 문제는 아니다. 2004년에도 건축자재에 방사성 물질이 포함되었다는 민원이 제기되었고, 재활용 고철 중에 방사성물질이 포함되어 있다는 언론 보도로 인해 국민들은 공포에 떨어야 했다. 또한 2007년 2월에도 천연방사성핵종(天然放射性核種)이 포함된 원료물질을 사용한 온열매트에서 방사선이 과다 방출된다고 하여 사회적 이슈가 된 적이 있었다. 하지만 여전히 이러한 위험성을 모른 채 천연방사성핵종이 포함된 원료물질을 함유한 온열매트, 건강팔찌, 음이온 타올 등의 제품들이 건강보조제품으로 유통되고 있다. 이런 사실에 비추어 보면, 최근 발생한 사건은 예견된 일이었을지도 모른다. 과거 이러한 건강보조제품에서 천연방사성 물질이 검출되면서 제품의 사용자인 불특정 다수가 방사선에 피폭되었을 개연성과 위 건강보조제품을 생산하는 업체의 근로자들이 원료물질에 포함된 천연방사성핵종에 의해 방사선 피폭의 가능성이 있다는 것이 알려지면서 천연방사성 물질에 대한 관리 필요성이 제기되었고, 정부는 천연방사성 물질의 관리를 법제화하기 위해 2011년 7월 25일 생활주변방사선 안전관리법(법률 제10908호, 2011년 7월 25일 제정) 을 제정하였다. 그 결과 생활주변 방사능과 방사선 노출은 법적 규제를 받게 되었고, 국민들은 천연방사성 물질로부터 안전한 생활을 보장받는 듯 했다. 그러나 이번 사건을 계기로 생활주변방사선 안전관리법의 허점을 발견할 수 있었다. 본 논문에서는 라돈 검출 침대사건 사례를 통해 천연방사성 물질의 관리 체계에 대한 법적 문제점과 개선방안을 살피고자 하였다. 이를 위해 먼저, 천연방사성 물질을 관리하는 현행 법규정인 생활주변방사선 안전관리법 및 동법 시행령·시행규칙, 관련된 기타 법규정상의 천연방사성 물질의 관리 및 환경표지인증의 관리 체계, 생활방사선 관련 안전관리주체, 부적합하거나 결함이 있는 가공제품의 폐기처리 절차에 대한 문제점을 지적하였다. 그리고 문제점의 개선방안으로, 생활주변방사선 안전관리법상 관련 규정의 개정방안과 생활방사선 관련 안전관리를 효율적으로 할 수 있도록 관계기관으로 구성된 협의체 구성 및 운영에 대한 정책적 방안을 함께 제시하였다. 아울러 환경표지 인증제품군을 침구류 뿐만 아니라 신체와 접촉하며 생활과 밀접한 품목으로 확대하여 방사능 지수를 설정하고 적용할 수 있도록 관련 규정의 개선방안도 검토하였다. It was reported around May in 2018 that the mattress and bedding, which stick to the largest part of the body amidst our life, were detected radon and thoron of being contained in monazite, which is a raw material of emitting anions. People needed to be terrified by NORM(Naturally Occurring Radioactive Materials). By the way, this happening is not just the present day issue. A civil complaint was filed even in 2004 as saying that NORM was included in the construction supplies. People needed to be terrorized by the press release as saying that radioactive materials are involved in a recycling scrap metal. Also, even in February of 2007, it was reported that radiation was excessively emitted from a heat mat, which used a fertile material of being included natural radionuclide, thereby having ever become the social issue. However, still without knowing this dangerousness, the products such as a heat mat, a health bracelet and an anion towel with the content of a base material, which is included natural radionuclide, are being distributed as the health supplement goods. Seeing in light of this fact, the incident, which took place these days, might be what is anticipated. The necessity of managing NORM(Naturally Occurring Radioactive Materials) was raised while being known the possibility that the workers at a company of producing the health supplement products would be exposed to radiation by NORM of being involved in a raw material, along with the probability that many unspecified individuals as the product users would be exposed to radiation, with being detected NORM in these health supplement products in the past. The government enacted 「Act on Safety Control of Radiation Around Living Environment(Law Serial No. 10908, enacted on July 25, 2011)」 dated on July 25, 2011 in order to legalize the management of NORM. As a result, the Radiation Around Living Environment and the exposure to radiation came to be legally controlled. People seemed to be ensured a safe life from NORM(Naturally Occurring Radioactive Materials). But in the wake of this incident, the loophole of 「Act on Safety Control of Radiation Around Living Environment」 could be found. Accordingly, this study aimed to examine a legal problem and an improvement plan of the NORM management system through a case of the radon detection bed incident. For this, first of all, the problems were indicated about 「Act on Safety Control of Radiation Around Living Environment」, which is the current regulation of managing NORM, the enforcement ordinance·enforcement rule of the same Act, about the management system of NORM and eco-labelling certification in light of other relevant laws and regulations, about the safety management entity related to radiation around living environment, and about the procedure of scrapping the processed products that are inadequate or defective. And an improvement plan for the problems was suggested a revised bill of the regulation pertinent to 「Act on Safety Control of Radiation Around Living Environment」, and was clarified the necessity of amending relevant regulation so that the radioactivity index can be established and applied by expanding the product family with eco-labelling certification into items of being close to daily lives with touching body, as well as into bedding. A policy-based plan of forming and operating a consultative group of comprising the authority having jurisdiction was proposed together so that the safety control related to radiation around living environment can be made efficiently.

Fe(2)-DTPA 착물의 촉매작용을 이용한 루미놀 화학발광 시스템의 선택적 Fe(2) 정량

이상학 ( Sang Hak Lee ),김경민 ( Kyung Min Kim ),홍석주 ( Suk Joo Hong ),김규만 ( Gyu Man Kim ),조해진 ( Hae Jin Jo ),장택균 ( Taek Gyun Jang ),김영호 ( Young Ho Kim ) 한국공업화학회 2011 응용화학 Vol.15 No.2

A sensitive and selective determination method of Fe(Ⅱ) ion by luminol-H2O2 system using a chelating reagent has been presented. A metal ion-chelating ligand complex such as Fe(Ⅱ)-diethylenetriamine pentaacetic acid (DTPA) produced higher chemiluminescence (CL) intensity as well as longer lifetime in luminol-H2O2 system than metal exist as free ions. Furthermore, the catalytic activity of Cu(Ⅱ) and Pb (Ⅱ) complexes with chelating reagents in luminol-H2O2 system was lost since chelating reagents act as a masking agent although free Cu(Ⅱ) and Pb(Ⅱ) ions have high catalytic activity. On the optimized conditions, the calibration curve of Fe(Ⅱ) ion was linear over the range from 1.0×10-7 to 2.0ⅹ10-5 M with correlation coefficient of 0.996. The detection limit was calculated to be 4.0×10-8 M.

증례 : 위내시경검사상 발견된 궤양을 동반한 위전정부 익소성취장 1 예

이상종 ( Sang Jong Lee ),이만호 ( Man Ho Lee ),김인숙 ( In Suk Kim ),최붕태 ( Bung Tai Choi ),송준호 ( Jun Ho Song ),박영철 ( Yung Chul Park ),이명숙 ( Myung Suk Lee ),김명숙 ( Myung Suk Kim ) 대한내과학회 1983 대한내과학회지 Vol.26 No.9