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김준명 大韓法醫學會 1998 대한법의학회지 Vol.22 No.2
Transmission of infectious diseases through transfusion is a fatal adverse reaction, and recently numerous cases of HIV infection have occurred which lead to serious medical disputes. These medical disputes are extended to law suits, and the judgements provoke various problems in medical and legal aspects, as well as in social and ethical aspects. According to a precedent case of the Supreme Court, in the case of transfusion-related HIV infection, the Korean Red Cross were obliged to compensate for the damage because the Korean Red Cross were to be responsible for the selection of adequate blood donors through necessary questionnaires and explanations. Also, the involved hospital was to pay for consolation for the lack of sufficient explanation of the possibility of transmission of infections although it may be rare. The Korean Red Cross are not absolutely innocent, but considering the reality that there is a shortage of supply compared to the demand of blood products, such situation may have been inevitable, and also considering the scientific limitation in the discrimination of HIV seropositivity, the above judgement may have been a requirement of an excessive responsibility of caution. On the hospital's standpoint, because transfusion is usually done in an emergent medical situation, the patient may have to be responsible on deciding on the need for transfusion despite the dangers, and to explain the risks on each and every transfusion despite the dangers, and to explain the risks on each and every transfusion in such an emergent situation is unrealistic. Therefore, admitting the responsibility of 'unfulfillment of the obligation to explain prior to treatment' on the hospital side is inadequate. However, victims, who have been infected unexpectedly to the dreadful disease, HIV infection, would want any kind of compensation. So every blood product should be imposed with a certain amount of fund which should be reserved to provide for the compensation of HIV infection through transfusion.
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이두희,고원기,염준섭,김창오,강웅철,최영화,정소영,송영구,한지숙,김준명 대한감염학회 1998 감염 Vol.30 No.5
톡소플라즈마 림프절염은 외국의 경우 비교적 흔하여 경부 림프절 종대와 양성 비후의 소견을 톡소플라즈마에 의한 경우가 많다. 국내에서는 항체양성율이 외국에 비해 낮아 실제 증례도 그리 많지 않을 것으로 추정되며 보고된 경우도 드물다. 그러나 외국인과의 접촉이 빈번해진 최근에는 예전에 비해 드물지 않을 것으로 추정되며, 따라서 경부에 림프절이 양성 비후와 특징적인 병리 소견을 보인다면 톡소플라즈마 림프절염의 가능성을 생각해 보는 것이 좋겠다. 이에 저자 등은 면역기능이 정상인 사람에서 톡소플라즈마 림프절염을 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Toxoplasma lymphadenitis is the most common clinical manifestation of toxoplasmosis in an immunocpmpetent host. In foreign countries, it is a relatively common etiology of reactive hyperplasia of lymph nodes, but it is still rare in Korea. The cervical lymph nodes are most commonly involved, whereas systemic manifestations are rare. We are reporting a case of toxoplasma lymphadenitis in an immunocompetent host. A 31-year-old man was admitted to the hospital because of submandibular lymph node enlargement for 3 months. Toxoplasma lymphadenitis was diagnosed by positive IgG and IgM toxoplasma antibody titer and specific pathologic findings of submandibular lymph node, such as reactive follicular hyperplasia, epitheioid histiocytes in the interfollicular area, and infiltrations of subcapsular monocytoid B lymphocytes. In Korea, travels to and from other countries and contacts with foreigners are increasing, possibly increasing the incidence of toxoplasma lymphadenitis, which should be considered in the differential diagnosis of lymphadenitis.
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김준명,정창봉,김용섭,황인관 한국통신학회 2000 韓國通信學會論文誌 Vol.25 No.5
In this paper, not only the problems which could not be solved with Conventional Importance Sampling and Improved Importance Sampling of the early simulation method, and but also the improvements obtained in terms of computer run-time were studied, by applying the central moment algorithm to the digital communication channels. That is, the channel performance evaluation is done for obtaining the cumulative probability function of the statistical characteristics of received signal with estimating the central moment of the received signal mixed the noise in the digital communication receiver. We confirm the simulation run-time after we implemented the quaternary phase shift keying(QPSK) satellite communication channels using the Signal Processing Worksystem(SPW) of the Cadence incorporation to verify the suggested algorithm. 본 논문에서는 센트럴 모우먼트 알고리즘을 디지틀 통신 채널에 적용함으로써 기존의 시뮬레이션인 기법인 Conventional Importance Samping와 Improved Importance Sampling 으로 해결할 수 없었던 문제점들의 해결 뿐 아니라 수행시간의 획기적인 개선도 가능하게 하였다. 즉 디지털 통신 채널의 수신단에서 잡음이 혼합된 수신신호의 센트랄 모우멘트를 측정하여 수신 신호의 확률적인 특성인 누적확률분포를 구함으로써 채널의 성능을 평가한다. 제안 알고리즘을 검증하기 위하여 Cadence사의 시뮬레이션 프로그램인 SPW를 이용하여 QPSK 위성통신 채널을 구현한 후 시뮬레이션 수행시간의 개선 효과를 확인하였다.
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김준명 대한에이즈예방협회 2003 레드리본 Vol.54 No.-
창립 당시만 하더라도 국내에 감염자가 많지 않아 에이즈는 다른 나라의 일로만 여겨졌고, 심지어는 에이즈 예방운동을 위한 민간단체의 필요성에 대한 회의적인 사람도 있었다. 그러나 10년이 지나 감염자 수가 2,300명을 넘어서고 동남아시아에서와 같은 급격한 증가가 예상되는 현 시점에서 볼 때 당시 협회 창립은 미래를 내다 본 시의 적절한 판단이었다
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