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안지오텐신 변환효소 억제제와 안지오텐신 II 수용체 차단제 투여 후 발생한 급성 신부전과 폐부종으로 전원된 선천성 단일신 환자의 치료 1예
백두현,김경진,홍성철,강석형,송하응,김혜인,김수현,오현정,강혜원,김서우,유민아,류동열,최규복,강덕희 이화여자대학교 의과대학 2010 EMJ (Ewha medical journal) Vol.33 No.1
Blockers of renin-angiotensin system(RAS) including ACE inhibitor or ARB are one of the most frequently prescribed medications for the treatment of hypertension, heart failure and proteinuria. One of the major side effects of these RAS blockers is the deterioration of renal function, mainly due to a reduction of intraglomerular pressure. Therefore, close monitoring of renal function is recommended when RAS blockers are initially prescribed, especially for the patients with impaired renal function. We report a patient who was transferred to our hospital due to the sudden development of oliguria and dyspnea after treatment for hypertension with ACEi and ARB. She was finally diagnosed as RAS blocker-induced acute renal failure with pulmonary edema complicated on congenital solitary kidney. After hemodialysis and conservative treatment, her renal function was recovered with maintenance of normal urine output. Conclusion:This case highlights the necessity of the functional and structural evaluation of kidney to prevent the serious complication such as acute renal failure before the administration of ACEi and/or ARB.
申鉉德 慶熙大學校 1988 論文集 Vol.17 No.-
The 1972 U.N. Conference on the Human Environment contains as one of its major recommendations the creation of information system for environmental decisions. The 1972 Annual Report of the U.S. Council on Environmental Quality also quotes as follows: “accurate and timely information on status and trends in the environment is necessary to shape sound public policy and to implement environmental quality programs effectively.” The present state of environmental information system can only be described as disjointed and piecemeal. Many different agencies, authorities and nations collect different pieces of information and data, and many are guided by the simple principle that any increase in the number of data is useful when i n effect it may not be. Furthermore, frequently the wrong type of data is collected. at the wrong location, and with the wrong frequency. Environmental problems cover the broader areas, giving direct and indirect influences to our environment, including rapid population growth, food shortage, resource depletion, industrialization, urbanization, ecosystem disruption, human health impact, etc. Possible solutions to these problems also require the cooperation of various different approaches, such as institutional, technological, ethical, educational, and international. Furthemore, the proper management of environmental quality needs the varied knowledge in the areas of pollution control, management of natural resources, and environmental planning. There are numerous information sources now available on the environment and more to be available in the future. Unfortunately, we are not quite aware of what information is actually available and how to use them. In other words, they are neither systematically collected nor efficiently utilized at present in most countries. The purpose of this paper is to present some idea on the approaches to environmental information system. First of all, the management of environmental quality is briefly reviewed as a precondition for selecting needed environmental information. Secondly, collecting methods of environmental information, primarily based on individual or group contacts and actual field surveys, are considered. Thirdly, some points on possible efficient utilization of environmental information are made.
신현덕 慶熙大學校 1998 論文集 Vol.27 No.-
The orthodox view that international law is concerned with the rights and obligations of states, whether inter se, or within the context of an international community, is open to two objections when applied to the protection of the environment. First, it fails to represent fully the reality of the international legal system as it applied to matters of environmental protection. Secondly there are arguments of principle in favor of more broadly based system which may accord rights, or in some cases obligations, to individuals, peoples, generations and animals or possibly to the natural environment itself. The purpose of this paper is to explore some legal problems concerning Environmental Rights and the Changing Roles of States. In regard to human rights and individual remedies, the right to a decent environment, equal access and non-discrimination, and civil liability for environmental damage in transboundary proceeding are considered. Then, in connection with criminal respnsibility, enforcement in national law, extra-territorial criminal jurisdiction, universal jurisdiction and crimes against international law are also considered. Finally, some comments on generational rights, animal rights and 'eco-rights' are made and conclude this study.