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      • SCOPUSKCI등재

        본태성 다한증의 흉부 교감신경절 절제술

        김일현,김광택,이인성,김형묵,김학제 대한흉부심장혈관외과학회 1998 Journal of Chest Surgery (J Chest Surg) Vol.31 No.5

        고려대학교 안암병원 흉부외과에서는 1996년 1월1부터 1996년 12월말까지 1년동안 수술한 본태성 다한증 환자 137명을 대상으로 전향적으로 조사하였다. 대상 기간에 다한증으로 수술한 환자는 모두 137명이며, 남자가 83명, 여자가 54명이였다. 환자의 연령 분포는 최소 13세에서 63세까지였으며, 평균나이는 25세였으며, 이중 128명은 수부 다한증이었고 안면 다한증의 경우도 26명이었다. 수술시 교감 신경절 부위는 하부성상 교감 신경절 절제술 4례, 하부성상 교감 신경절과 흉부 2번 교감 신경절 절제술 18례, 흉부 제 2번 교감 신경절 절제술 86례, 흉부 2번, 3번 교감 신경절 절제술 10례였으며, 제 2번부터 4번까지 흉부 교감 신경절 절제술도 19례있었다. 평균수술시간은 59분 이였으며, 평균입원기간은 3.8일이었다. 흔한 합병증으로는 보상성 다한증(109례)과 통증(18례)이있었으며, 평균 8개월간 추적조사한 결과 97%에서 만족할만한 결과를 얻은 것으로 조사되었다. 본태성 다한증에서 비디오 흉강경을 이용한 흉부 교감 신경절 절제술의 적용은 효과면 에서 만족할만하며, 안전한 수술이다. From January 1996 to December 1996, we performed 137 thoracic sympathetic ganglionectomies with VATs for primary hyperhidrosis in the department of thoracic and cardiovascular surgery at Anam hospital, Korea university medical center. There were 83 men and 54 women whose ages ranged from 13 to 63 years old(mean age: 25years). Of these patients, 128 patients had complained of palmar hyperhidrosis and 26 of facial hyperhidrosis. Thoracoscopic sympathetic ganglionectomies procedures included lower 1/3 Stellate ganglionectomies in 4 patients; lower 1/3 Stellate ganglionectomies and T2-sympathetic ganglionectomies in 18 patients; T2-sympathetic ganglionectomies in 86 patients; T2 and T3 sympathetic ganglionectomies in 10 patients; and T2, T3 and T4 sympathetic ganglionectomies in 19 patients. The mean operating time was 59 minutes(range: 25 to 162 minutes), and the mean hospital stay was 3.8 days(range: 2 to 8 days). Common complications were compensatory hyperhidrosis(109 patients) and causalgia(18 patients). At the end of the follow-up period(mean: 8 months) ninety-seven percent of the patients reported satisfactory results. Thoracic sympathetic ganglionectomy with VATs is an efficient, safe, and minimally invasive surgical procedure for primary hyperhidrosis.

      • KCI등재

        Hilar Choledochal Cyst Mimicking Biliary Atresia on Hepatobiliary Scintigraphy: a Case Report

        김일현,안영실,이수진,홍정,윤준기 대한핵의학회 2021 핵의학 분자영상 Vol.55 No.2

        Hepatobiliary scintigraphy has been widely used for the differential diagnosis of neonatal cholestasis. Relatively good hepatic uptake with no evidence of excretion into the bowel for up to 24 h is a representative finding of biliary atresia. Hepatobiliary scintigraphy has very high sensitivity andmoderate specificity. Here, we report a false-positive case of hepatobiliary scintigraphy in a child with a choledochal cyst, which mimicked biliary atresia.

      • KCI등재후보

        Infra-structure : 도시공간의 연속성을 위한 건축적 방법 제안 : 울산광역시 북구 효문역을 중심으로

        김일현,주환신 경희대학교 부설 디자인연구원 2008 예술· 디자인학연구 Vol.11 No.1

        Contemporary urban's expansion is accomplished continuously and quickly. However, high completion urban infra such as road and railroad acts as an obstruction cause upon big space about quick change of contemporary urban's structure. The research is to define threshold's concept in the urban space, to analyze meaning and cause of urban space's interruption by urban infra, to construct plan in order to solve it. Recently the existing cities' developments have been partial except newtown plan, and progressed in several in South Korea. The fact is that an existence of high completion urban infra element is a main cause, so that a continuity of urban flow is absent, and it is hard to have an integrative and sequential progress in point of urban development. In addition, development speed around infra is lowed, ghettoization is given. In order to solve the problem, the urban infra pointed out as a main problem should be accommodated, urban context's continuity should be recovered through passive design method that inserts municipal structure system for macro urban development. Expected pursuit through the method is summarized like following four theme. First, the urban flow's continuity is granted. The linear urban infra passing over the urban center by urban's expansion acts as an obstruction cause, so the continuity of urban flow is recovered through design parameter's insertion on the boundary. Second the design method of transfer system is suggested through complexed transportation infra, and fortified position is acquired in order to connect transportation of inter-city later on. The target place is composed of spaces functioned as station buildings at past, it will be used as a terminal station of SLRT which would be established later. Because a large dwelling site and circulation complex have been progressed around the target place, the place will function as fortified position of transportation connecting cities as well as suggesting architecturalization of transfer system interlocking rail-light rail-bus. Third complexed function related with round program is conducted. The existing target place is used as farmland, but it will be changed on functional view totally by recent public land development and circulation complex plan. Complexed cultural commercial space related with expected program has been planed. Forth, formation of roadside's landscape in urban scale is incited. The target place is a field existing urban infra associated with a industrial road and rail as well as an entrance to Ulsan Bukgu, so visual architecture seen by driving road and railroad would be produced.

      • KCI등재

        Simulating dose reduction for myocardial perfusion SPECT using a Poisson resampling method

        김일현,이수진,안영실,최소연,윤준기 대한핵의학회 2021 핵의학 분자영상 Vol.55 No.5

        Purpose The purpose of this study was to determine the lowest Tl-201 dose that does not reduce the image quality of myocardial perfusion SPECT (MPS) by Poisson resampling simulation. Methods One hundred and twelve consecutive MPS data from patients with suspected or known coronary artery disease were collected retrospectively. Stress and rest MPS data were resampled using the Poisson method with 33%, 50%, 67%, and 100% count settings. Two nuclear medicine physicians assessed the image quality of reconstructed data visually by giving grades from−2 to+2. The summed stress score (SSS), summed rest score (SRS), and summed difference score (SDS) were obtained on the workstation. Image quality grades and semi-quantitative scores were then compared among these resampled images. Results The proportions of “adequate” image quality were 0.48, 0.75, 0.92, and 0.96 for the groups of images with 33%, 50%, 67%, and 100% data, respectively. The quality of the resampled images was significantly degraded at 50% and 33% count settings, while the image quality was not different between 67 and 100% count settings. We also found that high body mass index further decreased image quality at 33% count setting. Among the semi-quantitative parameters, SSS and SRS showed a tendency to increase with a decline in count. Conclusion Based on the simulation results, Tl-201 dose for MPS can be reduced to 74 MBq without significant loss of image quality. However, the SSS and SRS can be changed significantly, and it needs to be further verified under the different conditions.

      • KCI등재

        남아선호(男兒選好)의 결정요인(決定要因) 및 영향력(影響力) 분석(分析)

        김일현,최봉호,이삼식 한국보건사회연구원 1990 保健社會硏究 Vol.10 No.1

        本 硏究는 男兒選好思想이 안고 있는 여러 人口學的 · 社會學的 重要性에 立覺하여 첫째, 어떤 要素들이 어느 程度 韓國婦人의 남아선호사상에 影響을 미치며 둘째, 남아선호사상이 選好子女數, 避姙實踐 및 出産力 決定에 어떻게 役割을 하는지를 經濟企劃院 調査統計局에 의해 실시된 『´87動態 特別調査』 資料를 利用하여 分析한 논문이다.

      • KCI등재

        F-18 FDG PET/CT in NK/T-Cell Lymphoma that Progressed from Epstein-Barr Virus-Associated Hemophagocytic Lymphohistiocytosis

        김일현,안영실,이수진,윤준기 대한핵의학회 2022 핵의학 분자영상 Vol.56 No.1

        Hemophagocytic lymphohistiocytosis (HLH) is a syndrome involving an uncontrolled immune response with variable triggers. HLH is rare but highly fatal, even with proper treatment; therefore, early recognition and diagnosis are crucial for management. Although the role of F-18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/ CT) in HLH is poorly defined, it can provide valuable information on disease status and possible triggers. Herein, we report an F-18 FDG PET/CT study on a case of NK/T-cell lymphoma that progressed from Epstein-Barr virus-associated HLH.

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