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한국형 출혈열 이환후 발생된 뇌하수체 기능 저하증 1예
김건영,김민철,박상균,유진우,한기옥,유제윤,김문중 대한신장학회 1990 Kidney Research and Clinical Practice Vol.9 No.3
Korean hemarrhagic fever may be accompanied with complication of hemorrhage which may occur at any organ. In the autopsy findinge of Korean hemorrhagic fever patients, coagulation necrosis of anterior pituitary gland is known as one of the most characteristic macroscopic finding and shows in almost all patients but there has been rare reporte of panhypopituitaryem in patients with Korean hemorrhagic fever. Recently we have experienced panhypopituitarysm in one patients. He was admitted to our hospital under the impression of Korean hemorrhagic fever and managed including hemodialysis therefore he was in recovery phase, but from 30th admission day, the symptom and sign were developed, suited hypopituitarysm. The patient was confirmed as panhypopituitarysm by combined anterior pituitary function test there was no evidence of hypothalamic or pituitary dseases by several test including brain CT scan. Korean hemorrhagic fever was confirmed by the high titers of antibody against Hantaan virus in patient serum. Our experience shows that Korean hemorrhagic fever can be a cause of panhpopituitarysm and we think that one should give attention to Korean hemorrhagic fever with atypical course and seasonal variation.
Self-Expandable Metallic Stent Placement for the Palliation of Esophageal Cancer
김건영,Jiaywei Tsauo,송호영,김평화,박정훈 대한의학회 2017 Journal of Korean medical science Vol.32 No.7
Esophageal stents have been used to palliate patients with dysphagia caused by esophageal cancer. Early rigid plastic prostheses have been associated with a high risk of complications. However, with the development of self-expanding stents, it has developed into a widely accepted method for treating malignant esophageal strictures and esophagorespiratory fistulas (ERFs). The present review covers various aspects of self-expanding metallic stent placement for palliating esophageal cancer, including its types, placement procedures, indications, contraindications, complications, and some of innovations that will become available in the future.
Evaluation Model of Transportation Sustainability by City Type in Korea
김건영 한국교통연구원 2016 交通硏究 Vol.23 No.1
Korean government has highly recognized the importance of various international agreements dealing with climate change and attempts to reduce greenhouse gas emission since the early 1990s. As part of the solution, the Korean government enacted the Sustainable Transportation and Logistics Development Act. The law prescribed transportation sustainability indicators that must be established and nationwide transportation sustainability of all cities must be evaluated on a regular basis. The purpose of this study is to suggest improvements to the Sustainable Transportation and Logistics Development Act in operation and include the following specific aspects. First, each city should be classified according to its characteristics because of diversified history and development processes. Thereby, we should compare and evaluate transportation sustainability and relative position among similar cities. Second, if the purpose of evaluating and managing transportation sustainability is to improve it, it is important to maximize its effectiveness. Lastly, the study seeks to improve transportation sustainability by diagnosing the current state of cities and predicting their future. The research findings can be summarized as follows: First, transportation sustainability evaluation is more meaningful in analyzing and suggesting alternatives when it targeting not all cities collectively but rather by categorized groups. Additionally, it was found that it is useless to divide cities into sprawl and compact types in the same group, which infers that city type can be determined depending on whether it is developed or still developing. Lastly, based on the results, the presumption that a compact city is sustainable and developing a city in a compact way can improve its sustainability in terms of transportation is deferred until further research is conducted. In short, it is necessary to closely examine the evaluation period, method, statistics, and serial data because categorizing cities with only a few factors, variables and statistical data leads to misleading results. As of now, grouping cities is more meaningful because a city is an entity which is alive and progressive.