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      • SCOPUSKCI등재

        Mycoplasma pneumoniae 폐렴에 합병된 간염

        이진태,김희섭,차한,Lee, Jin-Tae,Kim, Hee-Sup,Tchah, Hann 대한소아소화기영양학회 2001 Pediatric gastroenterology, hepatology & nutrition Vol.4 No.2

        목적: Mycoplasma pneumoniae 폐렴은 소아과 영역에서 비교적 흔한 질환인데 동반되는 다양한 폐외 소견에 대해서는 많은 보고들이 있었으나 간염에 대해서는 연구된 바가 적으며 특히 국내에서는 이에 대한 연구가 아직 없는 실정이다. 따라서 저자들은 M. pneumoniae에 의한 간염의 전반적인 임상적 특성들을 조사하여 보고하고자 한다. 방법: 1999년 1월 1일부터 2000년 12월 31일까지 서울적십자병원 소아과에 입원한 143명의 마이코플라스마 폐렴 환아들 중 AST와 ALT 수치가 각각 50 IU/L 이상 증가된 환아로서 hepatitis A, B, C 및 cytomegalovirus와 Ebstein-Barr virus가 음성인 19명을 대상으로 계절 분포, 연령 및 성별 분포, 주요 임상증상 및 이학적 소견, 혈액학적 검사, 간기능 검사, 방사선학적 검사, 재원기간, 회복기간 등을 전향적으로 조사하였다. 결과: 1) 마이코플라스마 감염 중 13.3%에서 발생하였으며 가을과 겨울에 호발하였고 평균연령은 4.86세였고 남녀비는 2.2 대 1이었다. 2) 소화기 증상들 중 구토는 21.1%, 설사는 36.8%이었으며 간종대는 21.1%에서 관찰되었고 비장종대는 한 명에서도 관찰되지 않았다. 3) 백혈구가 $10,000/mm^3$이상으로 증가된 경우는 21.1%이었으며 $4,000/mm^3$ 미만으로 감소된 경우는 없었고 호산구증이 15.4%에서 나타났다. 혈색소가 10 g/dl 이하로 감소된 경우는 10.5%이었으며 혈소판이 $450,000/mm^3$ 이상으로 증가된 경우는 5.3%이었고 $150,000/mm^3$ 미만으로 감소된 경우는 없었다. C-반응성 단백은 0.5 mg/dl 이하가 15.4%이었으며 가장 높은 수치는 16.2 mg/dl이었고 평균 $6.34{\pm}4.82$ mg/dl였다. 4) 고빌리루빈혈증을 보인 경우는 없었으며 알부민이 3.5 g/dl 미만으로 감소된 경우는 42.1%이었다. AST의 평균은 $214.05{\pm}183.22$ IU/L였으며 가장 증가된 경우는 630 IU/L였고 ALT의 평균은 $284.16{\pm}286.84$ IU/L였으며 가장 증가된 경우는 1,089 IU/L였다. 5) 흉부 방사선 쵤영상 대엽성 또는 소엽성 형태로 폐침윤을 보인 경우는 73.7%이었고 기관지성 형태의 폐침윤을 보인 경우는 26.3%이었으며 흉막삼출액은 31.6%에서 나타났다. 6) 재원 기간은 평균 7.9일이었으며 간기능 회복 시기는 평균 8.8일 이내였고 모든 환아에서 2주 이내에 간기능이 완전히 정상으로 회복되었다. 결론: Mycoplasma pneumoniae 간염은 대부분 2주 이내에 회복되는 양성 경과를 취하나 그 빈도가 낮지 않으므로 마이코플라스마 폐렴시 간기능 검사 소견에 주의를 기울여야 한다. Purpose: Mycoplasma pneumoniae infection is relatively common in childhood. Its extrapulmonary manifestations have been reported so much, but hepatitis associated with it has not been studied yet until now in Korea. Methods: We performed the prospective study of 19 cases that had AST and ALT>50 IU/L respectively without evidence of hepatitis A, B, C, cytomegalovirus, and Ebstein-Barr virus infections amongst 143 patients with M. pneumoniae pneumonia who were admitted to the Department of Pediatrics, Seoul Red Cross Hospital from Jan. 1999 to Dec. 2000. Results: 1) Hepatitis occurred in 13.3% of Mycoplasma pneumoniae infection, especially in fall and winter times. The average age was 4.86 years and male to female ratio was 2.2:1. 2) Vomiting was developed in 21.1%, diarrhea in 36.8%, and hepatomegaly in 21.1%, respectively. And leukocytosis was noted in 21.1%, eosinophilia in 15.4%, anemia in 10.5%, and thrombocytosis in 5.3%, respectively. The average level of C-reactive protein was $6.34{\pm}4.82$ mg/dl. 3) There was no hyperbilirubinemia, but hypoalbuminemia was detected in 42.1%. The average serum levels of AST and ALT were $214.05{\pm}183.22$ IU/L and $284.16{\pm}286.84$ IU/L, respectively. 4) Chest radiology showed lobar or lobular consolidation in 73.7%, bronchial infiltration in 26.3%, and pleural effusion in 31.6%. 5) The average length of hospitalization was 7.9 days, and the average length of normalization of serum transaminases was 8.8 days. All patients recovered within 2 weeks completely. Conclusion: The prognosis of M. pneumoniae hepatitis is good. However, its incidence is not so low that liver function should be considerately checked in case of M. pneumoniae infection.

      • SCOPUSKCI등재

        3세 소아에서 발생한 Gastric Volvulus 1례

        이진태,김화중,김희섭,차한,박호진,김한선,Lee, Jin-Tae,Kim, Hwa-Jung,Kim, Hee-Sup,Tchah, Hann,Park, Ho-Jin,Kim, Han-Sun 대한소아소화기영양학회 2000 Pediatric gastroenterology, hepatology & nutrition Vol.3 No.1

        위 염전증은 소아에서 드믈지만 응급을 요하는 질환으로 최근 비사출성, 비담즙성 구토를 주소로 내원한 3세 환아에서 치험하였기에 문헌 고찰과 함께 보고하는 바이다. Acute gastric volvulus is uncommon but surgically emergent. Normally, the stomach is held in position by four ligaments: gastrophrenic, gastrohepatic, gastrosplenic, and gastrocolic. In addition, relative fixation of the pylorus and esophagus provides further anchorage. A normal diaphragm also helps to prevent abnormal displacement of abdominal viscera and development of gastric volvulus. Volvulus may be organoaxial, mesenteroaxial, or a combination of both. Organoaxial volvulus is the rotation of the stomach around an axis extending from the hiatus of the diaphragm to the pylorus. Mesenteroaxial volvulus is the rotation of the stomach around an axis transecting the lesser and greater curvatures of the stomach. The symptoms of gastric volvulus depend on its type, the extent and degree of rotation and obstruction, and associated defects. Classic clinical features of acute gastric volvulus, as by Borchardt in 1904, include unproductive retching, acute, localized epigastric distention, and the inability to pass a NG tube. The presence and severity of these features depend on the degree of gastric obstruction of both the gastroesophageal junction and pyloric outlet. It may be suspected on plain abdominal radiographs and usually confirmed by upper gastrointestinal series. Acute volvulus requires immediate surgical repair, fixation to avoid recurrence, and correction of any underlying anatomic abnormality. Any associate defect should be repaired and the stomach must be fixed. The authors report a case of an 3-year-old girl who had a mesenterioaxial gastric volvulus.

      • KCI등재

        HANSFOR : 한글 프로그래밍 언어

        이진태,Lee Jin-Tae 한국국방경영분석학회 1984 한국국방경영분석학회지 Vol.10 No.2

        Hangout programming language, written in Hangout and having syntax of Korean, can enhance readability very much for its naturalness, and is suited for Hangout data processing. But there exist several problems in implementing it due to the peculiarities of Korean such as verb position, variation of termination. This paper proposes a solution for implementing Hangeul high level language and introduces a Hangout programming language HANSFOR (Hangout Structured Fortran), implemented according to the proposed method. HANSFOR satisfies such requirements of Hangout high level language as mentioned above and can handle Korean and Chinese character data efficiently. Especially, though it is based on Fortran, it is free-formatted and provides structured programming concept to compensate for defects of original Fortran. It is successfully implemented on NEC S/100.

      • KCI등재

        아이폰 탈옥(Jailbreaking)과 기술적 보호조치

        이진태 ( Jin Tae Lee ),임종인 ( Jong In Lim ) 단국대학교 법학연구소 2010 법학논총 Vol.34 No.2

        Korea`s user environment of smart phone has changed rapidly due to the introduction of the iPhone. These changes on user environment of smart phone also brought up some copyright issues. Especially the iPhone jailbreaking issue was at the center of heated controversy for quite a long time. There are two types of Technological Protection Measures(TPM) applied to iPhone. One is Separation of Partition and the other is Chain of Trust model. A Separation of Partition modifies the partition setting of the UNIX. So it is difficult to say that this kind of model is TPM that protects the work(computer program). As a result it is difficult to say that the Separation of Partition is a TPM. However the Chain of Trust model prevents installation of a modified firmware so it is actually protecting a firmware which is a copyrighted work. Therefore a Chain of Trust model is an access control. The Korean Copyright Act does not protect the act of circumventing an access control accordingly circumventing Chain of Trust model is not an circumvention of technological protection measures. Korea is planning to amend it`s Copyright Act due to the effectuation of the KORUS FTA in the near future. In the KORUS FTA implementation legislation access control will be recognized as an effective TPM. But at the same time, if we adopt rulemaking system modeled on American one, circumventing these kind of models is likely to be an exception of circumventing an effective TPM.

      • KCI등재

        IPTV 실시간 방송 재전송의 법적 성격과 저작인접권자 보호 문제

        이진태(Jin Tae Lee),임종인(Jong In Lim) 중앙법학회 2010 中央法學 Vol.12 No.2

        An important problem with the growing popularity of IPTV(Internet Protocol Television) is the issue of real-time retransmitting of the terrestrial broadcasting programs. Because IPTV service providers have little self-contents and Terrestrial Broadcasting service providers, such as MBC, KBS and SBS, occupy most of the ratings in reality, real-time retransmitting of the terrestrial broadcasting programs must be core contents. For this reason, Terrestrial Broadcasting service providers and IPTV service providers have had numerous debates over the copyright issues. However, aside from copyright problems of the both parties, it is a protection of neighboring copyrights holder that we tend to miss. A new problem of losing protection may arise depending on how one considers `real-time retransmitting of the terrestrial broadcasting programs of IPTV` as broadcasting or transmission in the case of neighboring rights holder. The paper looks into the legal nature through legal and technical analysis of IPTV to resolve this problem. IPTV should be accepted as a third type of public transmission that is different from broadcasting or transmission technically as well as legally. Though the rights of the neighboring rights holder was not protected when IPTV was considered as the third type of public transmission, it does not create conflicts with the international treaty. The right holder is not protected due to such problems, and thus a countermeasure to resolve the problem must be made available as soon as possible.

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