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- 저자 : Gwan Sic Kim (검색결과 4 건)
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Gwan Sic Kim,김준범,Sung-Ho Jung,윤태진,주석중,정철현,이재원 대한흉부외과학회 2011 Journal of Chest Surgery (J Chest Surg) Vol.44 No.5
Background: The optimal timing of surgery for infective endocarditis complicated by embolic stroke is unclear. We compared early versus delayed surgery in these patients. Materials and Methods: Between 1992 and 2007, 56 consecutive patients underwent open cardiac surgery for the treatment of infective endocarditis complicated by acute septic embolic stroke, 34 within 2 weeks (early group) and 22 more than 2 weeks (delayed group) after the onset of stroke. Results: The mean age at time of surgery was 45.7±14.8 years. Stroke was ischemic in 42 patients and hemorrhagic in 14. Patients in the early group were more likely to have highly mobile, large (>1 cm in diameter) vegetation and less likely to have hemorrhagic infarction than those in the delayed group. There were two (3.7%) intraoperative deaths, both in the early group and attributed to neurologic aggravation. Among the 54 survivors, 4 (7.1%), that is, 2 in each group, showed neurologic aggravation. During a median follow-up of 61.7 months (range, 0.4∼170.4 months), there were 5 late deaths. Overall 5-year neurologic aggravation-free survival rates were 79.1±7.0% in the early group and 90.9±6.1% in the delayed group (p=0.113). Conclusion: Outcomes of early operation for infective endocarditis in stroke patients were similar to those of the conventional approach. Early surgical intervention may be preferable for patients at high risk of life-threatening septic embolism.
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이범관(Lee, Beom Gwan),유하영(Yu, Ha Young),김성우(Kim, Seong Woo),김태식(Kim, Tae Sic) 대한부동산학회 2012 大韓不動産學會誌 Vol.30 No.2
본 연구의 목적은 독도 최초 주민인 최종덕의 생활 실태를 조사ㆍ분석하고, 이를 토대로 최종덕의 사상이 무엇인가를 제시하는 것이다. 이를 위해 연구대상을 최종덕으로 한정하고, 시간적 범위는 1925년부터 1987년까지로 하고, 공간적 범위는 독도리로 한다. 조사방법은 문헌조사법과 면접법을 병행하며, 분석방법은 기술적(記述的) 분석방법을 사용하였다. 연구 결과 첫째, 최종덕의 직업은 본래 수산업종사자이었고 둘째, 최종덕이 독도에 입도한 목적은 더 많은 수산물을 생산하기 위한 것이었으며 셋째, 독도 기반시설 확충에 노력한 것은 장기적인 독도 거주를 위한 것이었다. 넷째, 최종덕은 자신의 활동이 독도를 실효적으로 지배하는 데 매우 중요한 역할임을 인식하면서 자신의 활동에 대한 중요성과 자긍심을 갖게 되면서 단순한 수산업경영자가 아닌 독도의 자연과 영원한 삶을 함께 하는 독도수호자가 되었다. The purpose of this study is to investigate and analyze the facts about the life of Choi Jong Deok, the first resident in Dokdo, while providing what the thought of Choi Jong Deok was from that point of view. To this end, the target of this study is limited to Choi Jong Deok during the period from 1925 to 1987 mainly with Dokdo-ri in terms of the area. Literature search method and interview method were adopted at the same time for the investigation while using descriptive analysis. The findings support that 1) Choi Jong Deok was occupied in fishery business, 2) the reason why he settled down in Dokdo was because he wanted to produce much more fishery products, 3) he made efforts to expand the infrastructure of Dokdo to live in Dokdo for long time and 4) his idea was mainly with a Dokdo guarder, not involving in the fishery business, as he acknowledged that his activity would play the most important role in governing Dokdo effectively.
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Anticoagulation Therapy during Extracorporeal Membrane Oxygenator Support in Pediatric Patients
Cho, Hwa Jin,Kim, Do Wan,Kim, Gwan Sic,Jeong, In Seok Chonnam National University Medical School 2017 CMJ Vol.53 No.2
<P>Extracorporeal membrane oxygenation (ECMO) is a salvage therapy for critically ill patients. Although ECMO is becoming more common, hemorrhagic and thromboembolic complications remain the major causes of death in patients undergoing ECMO treatments. These complications commence upon blood contact with artificial surfaces of the circuit, blood pump, and oxygenator system. Therefore, anticoagulation therapy is required in most cases to prevent these problems. Anticoagulation is more complicated in pediatric patients than in adults, and the foreign surface of ECMO only increases the complexity of systemic anticoagulation. In this review, we discuss the pathophysiology of coagulation, anticoagulants, and monitoring tools in pediatric patients receiving ECMO.</P>
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