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임의영(Lim Euy-Young) 서울행정학회 2003 한국사회와 행정연구 Vol.14 No.2
This article is to develop a concept of social equity. Since the 1970s, a little attention to the social equity has been paid. Generally academicians and practitioners in public administration think of the concept of social equity as ‘justice as fairness’ of J. Rawls. The social equity as a concept is based on the theory of justice. Theories of justice are very various. Therefore the concept of social equity should be developed by studying the various theories of justice. But academicians of public administration did not investigate the relationships between social equity and the various theories of justice except Rawls' theory. So this article is to study comparatively the theories of justice of R. Nozick, M. Walzer, and M.I. Young, who were influenced by Rawls. Entitlement theory of Nozick based on the liberalist position, theory of complex equality of Walzer based on the pluralism, and politics of difference of Young based on the multiculturalism are significant thinking points to develop the concept of social equity.
한국인 인슐린 비의존형 당뇨병 및 이차성 당뇨병 환자에서 글루코키나제 유전자 변이
남재현(Jae Hyun Nam),이현철(Hyun Chul Lee),김연의(Youn Euy Kim),권석호(Suk Ho Kwon),윤용석(Yong Suk Yoon),박석원(Suk Won Park),원영준(Young Jun Won),차봉수(Bong Su Cha),송영득(Young Duk Song),이은직(Eun Jig Lee),임승길(Sung Kil Lim) 대한내과학회 1998 대한내과학회지 Vol.54 No.6
N/A Objectives: Mutations in the glucokinase (GCK) gene are considered a possible cause of maturity-onset diabetes of the young. The purpose of this study was to evaluate the contribution of this gene to the development of non insulin dependent diabetes mellitus (NIDDM), gestational diabetes mellitus (GDM) and post-renal transplantation diabetes mellitus (PTDM). Method: Identification of GCK mutation was attempted on 39 NIDDM patients, 2 GDM patients and 58 selected renal allograft recipients with PTDM and 45 normal controls. The exons in the GCK gene were examined by polymerase chain reaction (PCR), followed by analysis of single-stranded DNA conformational polymorphism (SSCP). The abnormal bands were also confirmed by DNA sequencing analysis. The exons of affected family members were also investigated for mutations of the GCK gene. Results: Two of the 58 PTDM patients (3.4%) were found to have CKK mutations. One had the mutation on exon 5 and the other on intron 7. One control subject had the mutation on intmn 9. The mutation of exon 5 was identified as a substitution of CCT (proline) for CTT (leucine) at codon 164, which has not ever reported before. The family members of the PFDM patient with mutation of exon 5 were analyzed by PCR followed by SSCP, and two of them revealed the same mutation. The abnormal band on the SSCP analysis of exon 7 was identified as the insertion of base C/T at the 39th nucleotide in intron 7. Two family members of this patients also had same band on SSCP. The one mutation of 45 normal controls was CT located at the 8th nucleotide in intron 9, which was a common polymorphism. Conclusion: We found GCK mutations in subjects with PTDM and we speculate that these mutations may be one of the contributing cause of PTDM.
FCT 6 : Prevention of thyroidectomy scars in Asian adults with low-level light therapy
( Young Joon Park ),( Sang Jin Kim ),( Hyo Sang Song ),( Jeong Hun Lee ),( Euy Young Soh ),( You Chan Kim ) 대한피부과학회 2014 대한피부과학회 학술발표대회집 Vol.66 No.2
Background: Abnormal wound healing after thyroidectomy and a consequent scar is a common dermatologic consultation.Prevention of the possible hypertrophic scars and keloids is known to be challenging. Objectives: The objective of our study was to validate and confirm the efficacy and safety of low-level light therapy (LLLT) for the prevention of thyroidectomy scars on the neck. Methods: Fourty-one South Korean patients with linear surgical suture after thyroidectomy operation were treated with an 830/590nm light-emitting diode (Healite®). Each patient was treated daily of 60J/cm2(11 minutes) for a week starting on post-operation day one and treated 3 times per week for 3 more weeks. The control group consisted of 15 patients without any therapy except application of absorbent foam dressing. The scar prevention effects were evaluated at 1 month and 3 months after surgery.Colorimetric evaluation using a tristimulus color analyzer was done. The Vancouver Scar Scale (VSS), Global Assessment Score (GAS) and a subjective score ranging 1 to 4 was also measured. Results: The L* value and a* value decreased significantly on the 3 month follow up visit in the the treated groupcompared to the control group. Also, the average VSS and GAS was lower in the treated group. However, subjective measure did not show significant difference. Conclusion: LLLT using a 830/590nm light emitting diode may efficiently suppress the formation of thyroidectomy scars, and can be safely without noticeable side effects.
김영훈(Young Hoon Kim),최인석(In Suck Choi),박영태(Young Tae Park),최동섭(Dong Seop Choi),박정의(Jeong Euy Park) 대한내과학회 1986 대한내과학회지 Vol.31 No.1
N/A We have experienced a patient who had a blunt chest trauma by a fork-crane. The patient suffered a little externally visible wound but came in complaining of chest pain. The EKG showed complete RBBB with Wenckebach A-V block. On two dimensional echocardiography, the interventricular septum was longitudinally split for 4.1 cm long with it's proximal opening of the channel opened to RV. The patient had a permanent pacemaker put in and went back to his previous job and has been followed up at the clinic in good condition. The interventricular septal rupture following blunt chest trauma is a well recognized entity, but the longitudinal split of the septum is probably rare. We reported a patient with the review of literature.
혈액 투석 환자에서 투석중 정맥압과 요소재순환율 측정에 의한 동정맥루 협착의 조기진단
김영옥(Young Ok Kim),전희경(Hui Kyung Jeon),박용근(Yong Kun Park),윤선애(Sun Ae Yoon),송하헌(Ha Hun Song),김남일(Nam Il Kim),김용수(Yong Soo Kim),김석영(Suk Young Kim),최의진(Euy Jin Choi),장윤식(Yoon Sik Chang),방병기(Byung Kee Bang 대한내과학회 1998 대한내과학회지 Vol.54 No.6
N/A Objectives: The most cammon cause of vascular access loss is thrombosis, usually caused by venous stasis associated with venous stenotic lesions. Therefore early detection of venous stenosis is very important. We studied the correlation of venous dialysis pressure and urea recirculation ratio to venous stenosis in chronic hemodialysis patients. Methods: Venous dialysis pressure and urea recirculation ratio were measured at extracoporeal blood flow of 200 ml/min thruugh 16 gauge needles within initial 30 minutes in 80 chronic hemodialysis patients. Venography was performed in patients with elevated venous dialysis pressure (>100 mmHg) or urea recirculation ratio (>15%), and if significant stenosis was found, venous dialysis pressure and urea recirculation ratio were reevaluated after percutaneous transluminal angioplasty (PTA). Results: Of the total 80 patients, 30 patients had elevated venous dialysis pressure or urea recirculation ratio. In patients with elevated urea recirculation ratio, venous dialysis pressure was high (102±21 mmHg vs 71±20 mmHg, P<0.001) and the past history of subclavian catheterization ipsilateral to fistula site was also high (39.1% vs 15.8%, P=0.02). There were no differences between two groups in terms of age, sex, diabetes mellitus, duration of hemodialysis, fistula site, and interneedle length. Of the total 27 patients undergone venography, 14 patients (51.9%) had venous stenosis. PTA was performed in 11 significant stenotic lesions in 5 patients and initial success rate of 91% was obtained, After PTA, urea recirculation ratios significantly decreased (16.7±5.9% vs 5.0±3.6%, P=0.01) and venous dialysis pressures slightly decreased without statistical significance (117.4±23.0 vs 99.0±8.9 mmHg, P=0.058). Conclusion: Venous dialysis and urea recirculation ratio seem to be active indicator of venous stenosis and outcome of subsequent percutaneous transluminal angioplasty in hamodialysis patients.