정상면역을 가진 성인에서 발생한 식도 방선균증

김현수 ( Hyun Soo Kim ),천종운 ( Jong Woon Cheon ),김민수 ( Min Su Kim ),정창길 ( Chang Kil Jung ),김경록 ( Kyung Rok Kim ),최재원 ( Jae Won Choi ),강동우 ( Dong Woo Kang ),김선영 ( Sun Young Kim ) 대한소화기학회 2013 대한소화기학회지 Vol.61 No.2

Hyun Soo Kim, Jong Woon Cheon, Min Su Kim, Chang Kil Jung, Kyung Rok Kim, Jae Won Choi, Dong Woo Kang and Sun Young Kim1 Departments of Internal Medicine and Pathology1, DongKang Medical Center, Ulsan, Korea Actinomycosis is a chronic suppurative disease and caused by Actinomycosis species, principally Actinomyces israelii, which are part of the normal inhabitant on the mucous membrane of the oropharynx, gastrointestinal tract, and urogenital tract. It usually affects cervicofacial, thoracic and abdominal tissue. Cervicofacial type has the highest percentage of occurrence with 50%. Actinomycosis frequently occurs following dental extraction, jaw surgery, chronic infection or poor oral hygiene. It may also be considered as an opportunistic infection in immunocompromised patients such as malignancy, human immunodeficiency virus infection, diabetes mellitus, steroid usage or alcoholism. But, actinomycosis rarely occurs in adults with normal immunity and rare in the esophagus. We report an unusual case of esophageal actinomycosis which was developed in a patient with normal immunity and improved by therapy with intravenous penicillin G followed oral amoxicillin, and we also reviewed the associated literature.

HBsAg양성 원발성간암에 있어서 HBV-DNA표지자의 PCR성적

이원길,김재식,김정철,서장수,강은자,이중원,김기연,송경은,양정선 慶北大學校 醫科大學 1997 慶北醫大誌 Vol.38 No.2

목적 : HBV-DNA를 정성적 그리고 정량적으로 검출함으로써 강한 전염성과 높은 유병율로 인해 사회적으로 문제가 되는 B형 간염과 원발성간암의 연관성을 알아보고자 하였다. 대상 및 방법 : B형 간염 표면항원(HBsAg)이 양성을 보이는 원발성간암 환자 38명을 대상으로 하였으며 HBV-DNA 중합효소연쇄반응법을 이용하여 정성적 검출 그리고 luminometry법을 이용하여 정량적 검출을 하였다. 결과 : HBV-DNA 중합효소연쇄반응법과 luminometry법의 양성율은 각각 57.9%, 39.5%를 보였다. 그리고 HBsAg과 HBeAg가 동시에 양성을 보인 11명에서는 HBV-DNA 양성율이 81.8%를 보였다. 결론: HBV-DNA 중합효소연쇄반응법의 양성율이 luminometry법에 의한 양성율보다 높은 결과를 보였고 HBV-DNA 검사는 B형 간염을 조기 발견하고 치료하여 만성간질환으로의 진행을 예방하고 특히 원발성간암의 병율을 낮추는데 많이 기여할 것으로 사료되었다. Background : Primary hepatocellular carcinoma(PHCC) is the most common malignant neoplasm in most countries of Asia and Africa. Hepatitis B virus is known to be strongly related to the pathogenesis of PHCC. HBV-DNA PCR and HBV-DNA quantitation assay were attempted to apply to 38 cases of HBsAg positive PHCC. Methods : The ordinary HBV markers(HBsAg, anti-HBs, anti-HBc(Ig-G and -M), HBeAg and anti-HBe) were examined with ELISA. Qualitative screening of HBV-DNA PCR and HBV-DNA quantitation-luminometric measurement were performed. Results : Among 38 cases of HBsAg positive PHCC, positive rates for HBV DNA-PCR and HBV DNA-quantitation were 57.9% and 39.5%, respectively. And 11 cases which were positive for both HBsAg and HBeAg showed 81.8% positive rate in HBV-DNA PCR. Conclusion : For 38 cases of HBsAg positive PHCC, the positive rate for HBV DNA-PCR was higher than HBV-DNA quantitation-luminometry. In HBV-DNA PCR, both HBsAg and HBeAg positive cases showed high positive rate.

鬱血性心不全症에 對한 臨床的 觀察

徐明洙,金吉洙,金佑泰,張錫源,金承源,宋昌燮 대한적십자사 1983 적십자병원지 Vol.10 No.2

住民의 價値觀과 政策受容度에 關한 硏究

金秉燦,金學守,李相魯,鄭正佶,金元主 경북대학교 교육대학원 1973 논문집 Vol.4 No.-

1. Introduction Governmental policies should receive strong support from the general public to be effectively implemented. Therefore to find some clue as to how public policies might receive nation-wide support is very important. As the research objective was to find some factors which effect degree of policy acceptability, we interviewed 1,179 persons(633 citizens of Tae-gu city and 546 persons from rural communities in Kyung-puk Province) from July 10 to August 20, 1973, by stratified sampling. Stratifying criteria were sex, age, financial assets and educational background. X^2 was used as a tool to test the hypotheses that there may be differences in values and degree of policy acceptance among persons of different strata and that there may be differences in degree of policy acceptance among persons who have different values. 2. General Tendency Forty percent of those interviewed choose the item "None" among the choices to the following question; Question; Which one do you choose, if you can choose only one of three? Answer; 1) Money or wealth 2) Power 3) Honour 4) None Let us call the persons who choose 1) "Money-oriented" and so "Power-oriented", "Honour-oriented". More persons interviewed preferred a self-restraining life to a hedonistic life, and egoistic, to altruistic. Egoists here means the persons who choose item 1, 2, 3, and altruists, 4 and 5 in the following question; Question; For whom do you think you live? Answer; 1) My-self 2) Children 3) Ancestor 4) Community 5) Nation or country More persons believed that the moral order of a society is more important than economic affluence. Almost seventy percent of the interviewed preferred that public policies be formulated for a better future life for the people than for immediate present well-being. Economic policies including those for increasing national income and increasing export were believed to be goood and effective in their implementation. However, taxes were regarded as too heavy. This shows that people rely much on the government for economic development on the one hand, but do not recognize their responsibilities to support those governmental efforts through taxes on the other. The Sae-Ma-Ul movement received as strong support as the economic policies and city development policies received sufficient support. But educational policies such as school expenses and ethics and moral education were denounced, as were the public health policies. 3. Differences among Strata ⑴ Region: people of rural communities regarded power and honour with more value than their urban counterparts, while urban people were more money-oriented. Rural people accepted tax policies more readily than did urban people, but they denounced the public health policies and educational policies mentioned above more severely than urban people. ⑵ Sex: men were more power and honour-oriented than women. Men preferred the moral order of scociety more than women, while women preferred economic affluence more than men. Export increasing policies, public health policies and school expense policies were accepted more readily by women. However, city development policies were accepted more readily by men. ⑶ Education: the more educated persons were more honour-oriented, emphasized the moral order of society and the better future life of the people more strongly than less educated persons. All these reflect the effects of moral education. However, from non-educated persons to high school graduates, the more educated the more money and power-oriented they were, while college graduates were far less money and power-oriented than middle or high school graduates. This points out the good effects of college education and some problems of middle and high school moral and ethics education. The more educated regarded the present compulsory educational system as more effective and school expences less expensive than the less educated. However, college graduate gave less support to the new school entrance system, while they gave the highest support to the Sae-Ma-Ul movement. ⑷ Age: the older persons emphasized the moral order of society more frequently and showed more political apathy than younger persons. They also accepted the public health policies more readily than the younger people. ⑸ Assets: the richer persons were more honour-oriented and regarded school expenses as less expensive than the poor persons. 4. Correlation between Values and Policy Acceptance ⑴ Money-oriented persons(who choose Money among given items of Money, Power, Honour and None) were much more egoistic (mentioned above in General Tendency) than the honour-oriented persons. ⑵ Honour-oriented persons accepted more readily than the money-oriented persons policies for increasing national income, reestablishing law, moral order and a better atmosphere of a society and the Sae-Ma-Ul movement (three of five policies analized in detail to test our hyphotheses about correlation between people's values and the degree of policy acceptance). Altruists supported policies for increasing national income and city development policies more strongly than the egoists. Therefore we assume that honour-oriented persons or altruists accept the public policies more readily than money-oriented persons or egoists.

민영화 정책이 산업구조와 성과에 미치는 영향 : 주요국 통신산업을 중심으로

김헌,홍길표,설원식,여인갑 국제무역학회 2003 국제무역연구 Vol.9 No.1

통신산업의 기술적 진보와 그에 따른 다양한 서비스의 생성, 그리고 수요의 급증은 안정적이고 독점적인 설비중심 산업을 치열한 경쟁시장으로 전환시키고 있다. 특히 인터넷의 발달과 통신산업의 융합화 및 글로벌(global)화는 이러한 변화를 더욱 촉진하고 있으며, 그 결과 전통적인 종합통신사업자들이 경영에 어려움을 겪는 반면, 보다 유연하고 경쟁력을 갖춘 새로운 사업자들이 탄생하고 있다. 이러한 현상의 이면에는 변화하는 산업환경에 적절하게 대응하여 유연성과 효율성을 갖춘 기업들이 생겨날 수 있는 여건을 조성하는 산업정책이 중요한 역할을 하게 된다. 본 논문에서는 통신산업의 민영화에 있어 정부의 정책이 산업내 경쟁구조와 성과에 어떠한 영향을 미치는가에 대해 실증분석을 행하였다. 그 결과, 민영화의 속도와 목표가 개별 기업의 성과 뿐 아니라 산업구조에도 크게 영향을 미침을 발견하였으며, 이는 추가로 수행된 사례분석에서도 확연하게 나타났다. 결국, 민영화에 있어서도 공정한 시장경쟁을 촉진하려는 정부의 산업정책이 산업환경을 개선하고 기존 통신사업자 뿐 아니라 신규 통신사업자의 경쟁력도 제고할 수 있다는 시사점을 얻었다. Technical progress, enlargement of internet usage, the fusion of services, privatization, and globalization have changed the competition more fiercly in communication industry. This rapidly changing environment require the government to enhance the efficiency and competence using the proper industrial policy. This paper investigates whether privatization policy affects th competition structure and the firm's performance in communication industry. We find that the speed and objective of privatization policy have an significant effect on both firm/s performance and competition structure. The same results are obtained from the case study for BT and NTT. These results indicate that privatization policy which keeps the competition structure fair is able to improve the overall competence in communication industry.

CIO의 정보시스템감사대응과 감사품질에 관한 연구 : CIO를 중심으로

김길조,손원기,최훈 中央大學校經營硏究所 2002 經營學論集 Vol.28 No.2

프랑스 가곡 발전에 공헌한 폴 베를레느

김길원 민족음악학회 1997 음악과 민족 Vol.13 No.-

만성 경막하혈종의 단순 천공 배액술후 재발 및 두개강내 합병증 발생과 관련된 요인

김영규,민경수,이무섭,김동호,복원길,홍석기,김호재 충북대학교 의학연구소 2001 忠北醫大學術誌 Vol.11 No.2

연구목적: 만성 경막하혈종은 두개골 천두술및 혈종배액으로 쉽게 치료될 수 있는 예후가 양호한 질환으로 알려져 있으나, 혈종의 재발 및 합병증이 드물지 않게 발생하기도 한다. 본 연구는 두개골 천두술 및 혈종배액으로 치료받은 102예의 만성 경막하혈종 환자들을 분석하여 혈종의 재발 및 수술후 합병증과 관련된 요인들을 분석하고자 하였다. 대상 및 방법: 만성 경막하혈종으로 진단되어 두개골 천두술 및 혈종배액술법으로 본원 신경외과에서 수술치료받은 102명의 환자를 대상으로 하였고, 입원진료기록 및 방사선소견을 후향적으로 분석하였다. 재발 및 합병증의 발생과 관련된 요인으로는 수술전 환자의 나이, 의식상태, 양측성여부, 뇌실질의 위축정도, 수술후 기뇌의 양, 전신질환여부에 대하여 분석하였다. 결과: 재발의 빈도는 9.8% 였으며 재발과 관련된 요인으로는 양측성, 고령, 수술후 뇌실질재팽창정도(뇌 실질위축, 잔여수액, 기뇌)가 관계가 있었으나 환자의 예후에는 영향이 없었다. 합병증의 종류에는 수술후 급성출혈 5예 및 경막하 농양 1예가 있었으나 이는 모두 출혈성전신질환 또는 면역결핍증이 동반된 환자에서 발생하였고 예후가 불량하였으며, 긴장성 기뇌가 1예발생 하였다. 결론: 전신질환의 동반여부가 합병증의 발생 및 환자의 예후에 가장 중요한 영향을 미쳤으며, 비록 예후에는 영향이 적으나 혈종의 재발의 빈도가 드물지 않으며 기뇌의 방지 및 배액방법의 개선으로 재발의 빈도를 줄일 수 있을 것으로 생각된다. Purpose : Most of chronic subdural hematomas(SOH) are amenable disease with simple cranoistomy drainage, but the recurrence of SDH or development of complications after surgery is not uncommon. To see the prognostic factors related to outcome the recurrence of chronic subdural hematoma and development of complication were analysed in 102 cases of chronic SDH after craniostomy drainage. Materials and Methods: We studied 102 chronic SDH patients treated with craniostomy drainage. Clinical and radiological records were reviewed retrospectively. We analysed the recurrence and complication rate, factors related to the development of recurrence and complications. Results: The rate of recurrence of chronic SDH was 9.8% and factors related to recurrence were bilaterality, old age, and postoperative intracranial environments for brain reexpansion(degree of brain atrophy, amount of residual fluid, amount of intracranial air). Intracranial complications after surgery were developed in 7 cases(6.9%), 5 postoperative bleedings, 1 tension pneumocephalus, 1 subdural empyema. Conclusion : Preoperative clinical condition and association of serious sytemic disease were of major importance in prognosis. The recurrence of chronc SDH was not uncommon, Even though the recurrence was not related to the outcome, great care should be paid on the patients with high risk group.

고농도 Manitol용액의 관류에 의한 흰쥐 뇌혈관의 미세구조의 변화

엄순길,김경용,이원복,김동창 대한해부학회 1993 Anatomy & Cell Biology Vol.26 No.4

용혈성 요독 증후군이 합병된 출혈성 장염 1예

김능수,이원길,김기연,이종명,윤종수,김성한,전정훈 대한감염학회 1997 감염 Vol.29 No.3

저자들은 쇠고기에 의해 매개된 것으로 추정되는 출혈성 장염 및 이에 합병된 용혈성 요독 증후군 환자 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. We report case of hemolytic uremic syndrome(HUS) associated with hemorrhagic colitis. A 35-year0old man was admitted to a local hospital because of abdominal pain and watery diarrhea which had developed about 6 hours after taking roast beef. He was treated with intravenous fluids and antibiotics, but watery diarrhea changed to bloody in nature from the next day. He was transferred to our hospital due to progressive ascites and jaundice on his 8th day of illness. Examinations revealed ascites, jaundice, microangiopathic hemolytic anemia, thrombocytopenia and uremia. Sorbitol-negative Escherichia coli was isolated from his stool, which proved as Shiga-like toxin-negative E. coli, serotype O25. His conditions improved markedly after three times of plasmapheresis and intravenous fluids therapy, and the organism was not isolated from the follow-up stool culture.