뜨거운 계란찜을 먹은 후에 발생한 식도궤양 1예

김선문,정승현,김용문,구훈섭,이태희,임의혁,허규찬,김범경,최용우,강영우 대한소화기내시경학회 2006 Clinical Endoscopy Vol.32 No.3

The common causes of esophageal ulcers include severe reflux esophagitis, carcinomas, pill-induced esophagitis, viral diseases, caustic injury, foreign bodies and radiation injury. In rare cases, they can also be caused by Crohn's disease, Behcet's disease, syphilis and idiopathic causes. A thermal injury caused by the ingestion of hot food has not been reported to be a cause of esophageal ulcers. We report an alcoholic who developed an esophageal ulcer and odynophagia after ingesting part of an extremely hot steamed egg with a review of the few available reports regarding such injuries. We suggest that the ingestion of extremely hot food should also be considered a cause of esophageal ulcers. (Korean J Gastrointest Endosc 2006;32:190- 193) 식도궤양의 원인은 다양하며 심한 역류성 식도염, 식도암, 약제 유발성 식도염, 바이러스성 식도염, 부식성 손상, 식도 내 이물질에 의한 손상과 방사선 손상 등이 있다. 드물게는 크론병, 베체트병, 매독에 의한 경우도 있으나 뜨거운 음식에 의한 열손상은 식도궤양의 원인으로 보고되지 않았다. 저자들은 56세 남자가 만취상태에서 뜨거운 계란찜을 먹은 후에 흉통과 연하시 불편감을 주소로 내원하여 시행한 상부위장관내시경 검사에서 식도에 궤양이 있어 보존요법 후에 호전된 1예를 경험하여 문헌고찰과 함께 보고한다.

휘발유 승용차의 대기온도에 따른 배출가스 배출특성에 관한 연구

김선문,김대욱,엄동섭,류정호,유영숙,이우근 한국대기환경학회 2008 한국대기환경학회 학술대회논문집 Vol.- No.-

Erythropoiesis-stimulating Agents and Anemia in Patients with Non-dialytic Chronic Kidney Disease

김선문,김경민,권순길,김혜영 대한의학회 2016 Journal of Korean medical science Vol.31 No.1

Anemia is common in patients with advanced chronic kidney disease (CKD). Though erythropoiesis-stimulating agents (ESAs) have been strongly endorsed in guidelines, it is of particular financial interest. Recently, the reimbursement of ESAs in non-dialytic patients was started by the Korean National Health Insurance System. Thus, we investigated the impact of the reimbursement of ESAs on the anemia care in non-dialytic CKD patients. Medical records of patients with advanced CKD (estimated GFR < 30 mL/min/1.73 m2) were reviewed. Use of ESAs, blood transfusion, and hemoglobin concentrations were analyzed from one year prior to reimbursement to three years following. We used multivariable modified Poisson regression to estimate the utilization prevalence ratio (PRs). A total of 1,791 medical records were analyzed. The proportion of patients receiving ESAs increased from 14.8% before reimbursement to a peak 33.6% in 1 yr after reimbursement; thereafter, ESA use decreased to 22.4% in 3 yr after reimbursement (compared with baseline; PR, 2.19 [95% CI, 1.40-3.42]). In patients with Hb < 10 g/dL, the proportion of receiving ESAs increased from 32.1% before reimbursement to 66.7% in 3 yr after reimbursement (compared with baseline; PR, 2.04 [95% CI, 1.25-3.32]). Mean hemoglobin concentrations were 10.06 ± 1.54 g/dL before reimbursement and increased to 10.78 ± 1.51 g/dL in 3 yr after the reimbursement change (P = 0.001). However, the requirement of blood transfusion was not changed over time. With the reimbursement of ESAs, the advanced CKD patients were more likely to be treated with ESAs, and the hemoglobin concentrations increased.

자본주의체제와 도시화

김선문 명지대학교 교지편집위원회 1988 明大 Vol.17 No.-

韓國農村의 構造와 方向

金善文 建國大學校 1963 聯合學會誌 Vol.- No.1

식도 내 이소성 피지선 1예

김선문,임의혁,정승현,이태희,허규찬,이정의,김윤미,최용우,강영우 대한소화기내시경학회 2005 Clinical Endoscopy Vol.31 No.5

Ectopic sebaceous glands have been reported in the organs of an ectodermal origin such as the oral cavity, genitals, eye and orbit, nipples, palm and soles, and the parotid glands. Their presence in the esophagus, which is an organ of endodermal origin, is a very rare and interesting anomaly. Whether ectopic sebaceous glands in the esophagus are the result of congenital misplacement or acquired metaplastic change remains unclear. We report here on a patient with sebaceous glands in the esophagus, and this was diagnosed by endoscopic biopsy. 이소성 피지선은 주로 외배엽기원인 구강, 생식기, 눈과 안와, 유두, 손바닥, 발바닥과 이하선 등에서 발생하고 내배엽 기원인 식도에서는 드물게 보고되고 있으며 우리나라에서는 1예가 보고되어 있다. 저자들은 심와부 통증을 주소로 내원한 54세 남자의 상부위장관내시경 검사에서 식도에 다수의 황색조의 융기성 병변이 있어 황색종 추정진단하에 생검을 시행하였으며, 조직검사에서 이소성 피지선으로 진단한 1예를 문헌고찰과 함께 보고한다.

지방공기업 부채감축제도 도입이 지방공기업 부채비율에 미치는 영향에 관한 연구: 도시개발공사 및 기타 공사를 중심으로

김선문,정창훈 한국비교정부학회 2022 한국비교정부학보 Vol.26 No.3

(Purpose) This study empirically analyzes on how the Park Geun Hye government's introduction of the debt reduction policy for local public enterprises affected the debt of local public enterprises (Urban Development Cooperation, Other Urban Cooperations). In the process of overcoming the global financial crisis in 2009, the size of debt of affiliated public enterprises established and operated by local governments soared, and the government implemented a debt reduction policy for public enterprises to improve the financial soundness of local governments. (Design/methodology/approach) In order to analyze the effect of this debt reduction policy, the settlement data and management performance data of local public enterprises from 2011 to 2020 (panel data) were analyzed, and the results are as follows. (Findings) First, it was found that the government's implementation of the debt reduction system for local public enterprises had a negative (-) effect on the overall debt ratio. Second, it was found that the government's implementation of the debt reduction system for local public enterprises had a negative (-) effect on the current debt ratio. Finally, it was found that the non-current debt ratio did not have a statistically significant effect. (Research implications or Originality) In conclusion, it appears that the overall debt ratio and current debt ratio had been reduced due to the implementation of the debt reduction policy. However, this is because Park Geun Hye government's debt reduction policy was oriented to the debt ratio (debt/capital) reduction, not deb size itself. This study is meaningful in that it was the first empirical analysis of the effect on the debt ratio for local public enterprises since the government's debt reduction policy was implemented.

특집 - 건축과 윤리 : 출판계에서 본 건축계의 오늘과 내일 ( Today and Tomorrow of the Architectural World Looked in the Publishing World )

김선문 대한건축학회 1995 建築 Vol.39 No.2

21세기의 무한경쟁의 시대에서 우리가 해야 할 일은 철저하게 기초체력을 다져야 하는 일이다. 특히 전문분야의 세계적 경쟁이 더욱 치열해지면서 이러한 경쟁에서 이기기 위한 개인, 조직, 기업의 전문화, 차별화전략을 적극적으로 펴나가야 한다. 이러한 세계적 변화 속에서 우리 건축계와 건축출판계가 걷고 있는 현실을 정확히 보고 더이상 비난을 위한 비난이나 감정을 앞세운 상대방 깍아내리기 운동은 그만하고 서로를 밀어주어야 할 때이다.

Pseudostenosis at the Origin of the Vertebral Artery on Contrast-enhanced MRA: Correlation with Aortic Motion on Dynamic 3D Time-Resolved Contrast-Enhanced MRA

김선문,이승원,최현석,정소령,안국진,김범수 대한자기공명의과학회 2012 Investigative Magnetic Resonance Imaging Vol.16 No.3

Purpose : The origin of the vertebral artery (VA) is a frequent site of pseudostenosis on contrast-enhanced MRA (CEMRA). The purpose of this study is to evaluate the relationship between the motion of the aortic arch and pseudostenosis at the origin of the VA. Materials and Methods: Our study had approval of our institutional review board. 47 patients underwent CT angiography (CTA), CE-MRA, and 3D time-resolved contrast-enhanced MRA (TR-CEMRA) within 6.87±9.89 days (mean±SD). Percent stenosis using the NASCET criteria was measured on CTA and CE-MRA. CTA was used as a reference standard to classify the CE-MRA into pseudostenosis and control group. Pseudostenosis was determined as 50%-99% stenosis observed on CE-MRA but normal to less than 50% stenosis on CTA. Aortic motion (distance between the highest position and lowest position of aortic arch) was measured on TR-CEMRA. Age, route of intravenous contrast media, motion of aortic arch, and normal distal diameter of VA were compared between the two groups. Results: There were 17 patients and 23 vertebral arteries of pseudostenosis. Patients with pseudostenosis showed more aortic motion (3.61±1.88 vs. 2.05±1.97 mm) and older age (71.29±8.88 vs. 62.32±13.19 year-old). Route of intravenous contrast media and normal distal diameter of VA were not associated with pseudostenosis. Conclusion: VA origin is a frequent site of pseudostenosis. Older age and more motion of aortic arch are associated with pseudostenosis on CE-MRA.

장중첩증으로 내원한 고립성 회장 신경섬유종 1예

김선문,이태희,임의혁,허규찬,강영우,김범경,최용우 대한내과학회 2005 대한내과학회지 Vol.69 No.5S