• Childhood Kidney Diseases
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• 제25권1호
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• pp.8-13
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• 2021

Pediatric kidney transplantation is the best option since it can achieve near normal glomerular filtration rate, adequate fluid balance, and autonomic endocrine function of the kidney in end-stage kidney disease. However, pediatric kidney transplantation is difficult because children are developing and growing, management and complications of pediatric kidney transplantation are different from those of adults. This review covers the current status of pediatric kidney transplantation in Korea, key considerations that must be taken before kidney transplantation in children, and management strategy of immunosuppression and common complications.

• 셀메드
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• 제12권4호
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• pp.18.1-18.2
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• 2022

In Korea, liver cancer is the sixth most prevalent malignancy and the second leading cause of cancer-related mortality. The peak incidence of liver cancer deaths occurs between the ages of 40 and 59. (e.g. Yoon et al. 2021) The patient is a 69-year-old female with bronchiectasis as an underlying condition. She underwent left lower lobe resection for the disease, and in 2009 she was diagnosed with liver cancer and experienced a recurrence after a full recovery. In the case of such patients, the most effective OCNT prescription is recommended.

• 한국작물학회:학술대회논문집
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• 한국작물학회 2022년도 추계학술대회
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• pp.63-63
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• 2022

Wheat flour can be categorized into bread, all-purpose, cake flour according to its protein content. Since optimal wheat flour protein content is different for each end use, it is necessary to diversify the nitrogen fertilizer methods depending on the end use and cultivar. Optimal wheat flour protein content of soft wheat (for cake flour) is lowest (<=10%) among all end use, it is necessary to develop nitrogen fertilizer methods for high yield and low protein content. In order to analyze the yield and quality changes of soft wheat as nitrogen fertilizer amount and splitting timing, soft wheat cultivar 'goso' was sown on paddy soil in jeunju, Republic of Korea ('21.10). the amount of nitrogen fertilizer was divided into 4 levels by adjusting 2kg/10a increments from 5.1 to ll.lkg/lOa, and in the N 7.1 and 9.1 kg/1 Oa(standard) treatment, N amount divided into sowing date:regrowing stage=3:7,4:6(standard), 5:5. In regrowing stage, Tiller number and N fertilizer amount at sowing date showed a correlation; y=-121.14x²+792.66x-525.41 (R²=0.77^*, y: Tiller number/m², x: N amount at sowing date(kg/10a)). Tiller number in regrowing stage was the highest when the nitrogen fertilizer amount at sowing date was 3.23kg/10a. spike number per m² was the highest when N fertilizer was divided into sowing date:regrowing stage=3:7(N amount: 9.1kg/10a). If N fertilizer amount was fixed, grain yield was also the highest when N fertilizer was divided into sowing date :regrowing stage=3:7. Also, N amount at sowing date and grain yield showed no correlation, but N amount at regrowing stage and grain yield showed significant correlation. As N amount increased, protein content also showed a tendency to increase.

• Childhood Kidney Diseases
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• 제13권2호
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• pp.242-247
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• 2009

소아청소년기의 당뇨병은 대부분 제1형 당뇨병으로, 이 때 발생하는 혈관합병증으로서 당뇨병성 신병증은 소아에서 흔하지 않지만 신부전까지 초래할 수 있는 심각한 합병증이다. 혈당조절이 불량하고 사춘기나 그 이후에 당뇨병이 발생하는 경우에 혈관합병증의 발생이 증가하므로 소아청소년기의 당뇨병이 청소년기에 당뇨병성 신병증으로 발현하는 경우는 드물고, 더욱이 말기 신질환으로 진행하는 경우는 매우 드물다. 저자들은 혈당 조절이 불량했던 제 1형 당뇨병 소아 환자에서 혈뇨와 단백뇨가 관찰되어 조직 검사를 통해 사춘기 전에 발생한 당뇨병성 신병증을 확인하고 사춘기에 말기 신질환으로 진행한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• 대한족부족관절학회지
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• 제14권1호
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• pp.47-52
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• 2010

Purpose: We report the clinical and radiographic result of ligament reconstruction using plantaris and total ankle replacement in end-stage ankle arthritis with ankle instability. Materials and Methods: The study is based on the 9 cases among total 48 patients of end-stage ankle arthritis that were treated with total ankle prosthesis and ligament reconstruction from 2007 to 2009 at least 12 months follow-up. We evaluated the VAS (Visual analogue scale) pain score, AOFAS (American orthopedic foot and ankle society) score and radiographic measurements. Results: Average age was 59.4 years (53~67 years) old. VAS pain score improved from preoperative average $8.2{\pm}0.9$ (range, 7~10) to $2.7{\pm}1.7$ (range, 0~6) and the AOFAS score improved from $46.4{\pm}14.6$ points (range, 23~69) to $80.1{\pm}9.3$ points (range, 65~95) at final follow-up. Anterior draw test improved $15.2{\pm}3.4$ mm (range, 12~23 mm) to $8.8{\pm}2.6$ mm (range, 6~13mm), varus stress test improved from $13.9{\pm}4.6^{\circ}$ (range, $10-18^{\circ}$) to $6.2{\pm}4.7^{\circ}$ (range, $2-18^{\circ}$) at final follow up. Conclusion: Plantaris ligament reconstruction is good option as part of the management of ankle instability with end-stage ankle arthritis. We achieved good clinical and radiographic results.

• 대한족부족관절학회지
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• 제23권3호
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• pp.91-99
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• 2019

Purpose: This retrospective study reports the intermediate-term clinical outcomes including the practical function in daily and sports activities after total ankle arthroplasty for end-stage rheumatoid arthritis, as well as the effects of modification of perioperative anti-rheumatic medications. Materials and Methods: Twelve patients were followed for a minimum of 2 years after total ankle replacement for end-stage rheumatoid arthritis. Perioperative anti-rheumatic medications in all patients were modified based on a specific guideline. Clinical evaluations consisted of American Orthopaedic Foot and Ankle Society (AOFAS) scores, Foot and Ankle Outcome Score (FAOS), and Foot and Ankle Ability Measure (FAAM) scores. Periodic radiographic evaluation was conducted to detect changes in ankle alignment and postoperative complications. Results: Mean AOFAS, FAOS, and FAAM scores improved significantly from 37.5 to 81.2, 39.1 to 72.4, and 33.8 to 64.0 points at final follow-up, respectively (p<0.001). Functional outcomes in daily and sports activities at final follow-up were found to be 76.5 and 55.8 points for the FAOS and 70.5 and 57.5 points for the FAAM, respectively. As early postoperative complications, there was one case of local wound necrosis, one case of medial malleolar fracture, and one case of deep peroneal nerve injury. Radiological evaluation revealed two cases of asymptomatic heterotopic ossification and one case of progressive arthritis in the talonavicular joint. Reoperation was performed in only one patient (8.3%) with a medial soft tissue impingement at a mean of 35.6 months follow-up. Conclusion: Total ankle arthroplasty appears to be an effective surgical option for end-stage rheumatoid arthritis. Practical functions in daily and sports activities were significantly improved at intermediate-term follow-up. Modification of perioperative anti-rheumatic medications can be one of the solutions to reduce the postoperative complication rate.

• 대한설비공학회:학술대회논문집
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• 대한설비공학회 2006년도 동계학술발표대회 논문집
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• pp.9-9
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• 2006

• 한국가정과학회지
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• 제4권2호
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• pp.48-67
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• 2001

The purpose of this study is both to describe and to explain the shapes and the changes of Kwangju women's productive activities from the middle of 1950's to the end of 1990's. Productive activities in this study include wage labors as well as economic activities in informal labor sector and domestic labor. Three factors - economic structure, the family, and women's consciousness - are drawn to explain women's work in Kwangju. The period from the middle of 1950's to the end of 1990's has been divided into 5 stages and the characteristics of women's work at each stage are as follows : Kwangju women during 1950's worked hard and contributed to the family economy not only inside but also outside the family : during the second stage from 1960's to 1970's, they accomplished not only the traditional women's role but also industrial wage worker : the third period of the first half of 1980's was the time for the development of social consciousness : the fourth period from the end of 1980's to the beginning of 1990's was the time when women tried to solve their problems by themselves: during the last period from the middle of 1990's to the end of 1990's. Kwangiu women wanted to establish their identities in the independent area from their families.

• Journal of Chest Surgery
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• 제35권9호
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• pp.672-674
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• 2002

확장성 심근병증과 말기 심부전으로 진단된 40세 남자환자가 1997년 7월 좌심실 축소술(partial left ventriculectomy)을 시행하고 18개월 후 1999년 1월 심장 이식술을 시행하였다 좌심실 축소술 시행후 3개월에 시행한 심초음파 소견상 좌심실 구출율은 26%에서 42.6%로 증가하였고, 확장기 좌심실크기는 71 mm에서 45mm로 감소하여 심초음파로 측정한 심박출량 및 심박출지수는 각각 3.95 L/min, 2.28 L/min/m$^2$이었다. 술 후 11개월뒤 심초음파상 좌심실 크기가 56/51 mm(확장기/수축기 직경)로 증가하고 좌심실 구출율은 17%로 감소하여 약물을 더 증량하고 18개월째에 공여심장이 제공되어 심장이식을 시행하였다. 1, 3, 6개월만에 3회 시행한 심근 조직검사상 ISHLT(International Society of Heart and Lung Transplantation) 분류상 la로 판정됐고 현재까지 거부반응으로 인한 치료는 필요하지 않았다. 말기 심부전을 동반한 확장성 심근병증 환자에서 심장 이식을 기다리는 동안 좌심실 축소술이 성공적인 교량역할을 했기에 이를 보고하는 바이다.

• Journal of Chest Surgery
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• 제37권12호
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• pp.1015-1018
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• 2004

폐림프관 평활근종증은 주로 가임기 여성에서 발병하며 점진적으로 호흡부전에 이르게 하는 드문 질환이다. 폐의 혈관, 림프관 그리고 기관지를 구성하는 평활근 세포의 비정상적 과오종성 증식으로 인해 기관지 폐쇄, 낭성 기포로의 변환, 림프관 폐쇄 등의 특징이 있으며 대부분 호흡곤란, 기흉, 기침, 흉통, 객혈, 유미흉 등을 동반한다. 호흡부전을 동반한 말기 페림프관 평활근종증은 페이식이 유일한 치료법으로 국내에서 시도된 적은 있으나 아직 성공사례에 대한 보고가 없었다. 본원에서는 폐림프관 평활근종증을 앓고 있던 말기 호흡부전의 40세 여자 환자에게 좌측 단일 페이식술을 시행하여 좋은 결과를 얻었기에 이를 보고하는 바이다.