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대한소아외과학회 회원의 1995년도 진료현황 및 수련경력 설문조사
김우기,김상윤,김신곤,김인구,김재억,김종석,김현학,박귀원,박영식,박우현,박주섭,송영택,양정우,오수명,이두선,이명덕,이석구,이성철,장수일,정성은,정풍만,최금자,최순옥,허영수,황의호,Kim, W.K.,Kim, S.Y.,Kim, S.K.,Kim, I.K.,Kim, J.E.,Kim, C.S.,Kim, H.H.,Park, K.W.,Park, Y.S.,Park, W. 대한소아외과학회 1997 소아외과 Vol.3 No.1
To understand the current status of pediatric surgical practice of the members of the Korean Association of Pediatric Surgeons, a survey of the practice of the 31 members in both 1994 and 1995. Twenty five members(80%) representing 20 hospitals responded. An average of four hundred and seventy four cases pediatric surgical operations were performed at individual institution in 1995 with 40 newborn cases. Eighteen members(72%) are currently working at university hospital. Fourteen institutions(70%) are currently classified as tertiary by the health insurance agency. The majority(15 to 60%) of members are working in the metropolitan Seoul area, while five in Taegu area. Sixteen members reported having the title of department head/director. Four members reported occasional non-pediatric surgical practice. Nine members out of 20 reported having independent pediatric surgical out-patient clinic before the establishment of the association(1985). Eight out of 15 members reported being appointed chief of pediatric surgery before 1985. In 20 institutions, 34 full time physicians(27 members, reportedly) are working in pediatric surgery. In regarding to pediatric surgical training, 16 members(64%) received an average of 16 months of training abroad, 5 members trained at home and abroad, and 4 from only at home. There are no differences in length of training periods in these groups. Twenty one members received their basic pediatric surgical training before 1985, the year of inauguration of the association. Twelve members received post-pediatric surgery refresher courses averaging 11 months' duration, after 2-11 years. Thirteen participants of this study belongs to the founding members of the association.
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Hirschsprung's Disease의 진단과 치료 : 1992년도 현황 -대한소아외과학회 회원대상 선호도 설문조사-
유수영,김상윤,김우기,김인구,김재억,박귀원,박우현,박주섭,송영택,오수명,이두선,이명덕,이성철,장수일,정상영,정을삼,정풍만,주종수,최금자,최순옥,최승훈,허영수,황의호,Yeo, S.Y.,Kim, S.Y.,Kim, W.K.,Kim, I.K.,Kim, J.E.,Park, K.W.,Park, W.H.,Park, J.S.,Song, Y.T.,Oh, S.M.,Lee, 대한소아외과학회 1996 소아외과 Vol.2 No.1
This report present the result of the national survey of pediatric surgeons' preferences on diagnosis and treatment of Hirschsprung's disease(HD) carried out in 1993. The questionnaires were sent to twenty-seven members of the Korean Association of Pediatric Surgeons (KAPS) working in twenty-four institutions. The questionnaires were designed to determine the individual surgeon's preference for the methods of diagnosis and treatment of the disease. Twenty-three pediatric surgeons from twenty institutions returned completed forms. The total number of patients diagnosed with HD in 1992 was 190 in this group. The estimated incidence of HD was 1/3,900. The most important symptom was delayed meconium passing and the most preferred diagnostic procedure was barium study. Anorectal manometric examination was carried out by 13 pediatric surgeons and 19 confirmed the diagnosis before operation by rectal biopsy, 12 with full-thickness biopsy and 7 with suction. Frozen section biopsy during operation was done by 22 surgeons. Eight surgeons did one stage operation if the age of the patient is suitable. Definitive operation was usually done at the age of 6 to 11 months. The most preferred operation was Duhamel procedure done by 19. Enterocolitis was the most serious complication of HD. Most of patients had normal continence within 6 to 12 months after operation. The follow-up period was less than 6 years in 16 surgeons. The results were presented at the 9th annual meeting of KAPS in June of 1993. This is the first national survey of HD and it can provide guidelines of diagnosis and treatment of Hirschprung's disease even though it is not a detailed study of patient data.
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척수손상 환자를 위한 병원기반 사회복귀지원 프로그램의 개발 및 효과
호승희(S. H. Ho),유소연(S. Y. Yu),김예순(Y. S. Kim),방문석(M. S. Bang),이범석(B. S. Lee),김동아(D. A. Kim),김은주(E. J. Kim),김현경(H. K. Kim) 한국재활복지공학회 2015 재활복지공학회논문지 Vol.9 No.2
본 연구는 척수손상 환자를 대상으로 병원기반 사회복귀 지원프로그램을 개발하고, 프로그램 시행 전·후를 비교 분석함으로써 프로그램의 효과성을 평가하고자 하였다. 재활병원에 입원해 있는 25명의 척수손상 환자를 대상으로 2~3개월 동안 일주일에 2번 평균 6.1개의 프로그램을 실시하였다. 프로그램 시행 전, 후 COPM, HADS, AD-R, WHOQOL-BREF를 통해 작업 수행도 및 만족도, 불안과 우울, 장애수용, 삶의 질을 비교하였으며, 퇴원 시 CIQ로 지역사회통합 수준과 퇴원 후의 사회복귀여부를 측정하였다. 자료분석은 기술통계와 대응표본 t검정(paired t-test)을 실시하였다. 연구결과 병원기반 사회복귀 지원프로그램 실시 후 작업 수행도 및 만족도, 장애수용, 삶의 질에 향상을 보였다(p<0.05). 또한 퇴원 후 25명의 척수손상 환자 중에서 10명이 가정, 학업, 직업으로 복귀하였다. 이를 통해 병원기반 사회복귀 지원프로그램이 척수손상 환자들이 퇴원 후 그들이 속한 지역사회로 돌아가는데 효과적임을 알 수 있었다. 척수손상 환자들이 가정과 사회로의 빠른 복귀를 위해서는 사회복귀를 위한 다양한 프로그램 개발과 더불어 체계적인 사회복귀 연계시스템이 이루어져야 할 것으로 사료된다. The purpose of this research attempted to developed the Community Reintegration support Program(H-CRsP) on patients with Spinal Cord Injury(SCI) and identity the effect. To assess the effectiveness of a Hospital based H-CRsP with a comprehensive team approach for treating inpatients with Spinal Cord Injury(SCI), offered by the Korea National Rehabilitation Hospital. Participants with SCI were recruited from the Korean National Rehabilitation Hospital. Twenty-five participants who met inclusion criteria were provided with a H-CRsP. A H-CRsP with modules related to the training of daily living skills, driving, vocations and school support activities, leisure or recreational activities, peer counseling, sexual rehabilitation, and others support activities. The 25 enrolled patients had been treated with average of 6.1 programs 2 times a week for over 2 or 3months. COPM, HADS, WHOQOL-BREF, AD-R were administered before the treatment(pre-test) and also at the time of discharge(post-test) to compare the treatment outcomes in the 25 program participants. Measured level of community integration by CIQ at discharge. The data were analyzed by such statistical methods as frequency and paired t-test analysis. Significant improvements were found on the Occupational Performance and Satisfaction, Acceptance of Disability, Quality of Life score in the COPM, AD-R, WHOQOL-BREF (p<0.05). In addition, 10 of the 25 patients returned to home, work or school. These results demonstrated the effectiveness of the H-CRsP in helping patients with SCI return their communities to which they belong. It considered development of the variety of programs and prepare systematically related system.
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소아외과의 지수 질환 - 대한소아외과학회 정회원을 대상으로 한 2000년도 전국 조사 -
이명덕,김상윤,김우기,김인구,김성철,김신곤,김재억,김재천,김현학,박귀원,박우현,서정민,송영택,오수명,유수영,이두선,이석구,이성철,정상영,정성은,정을삼,정풍만,조마해,Lee, M.D.,Kim, S.Y.,Kim, W.K.,Kim, I.K.,Kim, S.C.,Kim, S.K.,Kim, J.E.,Kim, J.C.,Kim, H.H.,Park, K.W.,Park, W 대한소아외과학회 2001 소아외과 Vol.7 No.2
Membership qualifications and recognition of the subspecialty training programs by the Korean Association of Pediatric Surgeons(KAPS) have been determined by criteria based on the number of neonatal and total pediatric surgical cases registered, since 1989 (Index cases). The numbers are based on a survey of the 14 founding members of the society by Jung et al. in 1987. The current survey is to review the present status of the index cases from 1997 to 1999 among 36 members of the KAPS. Two surveys were undertaken for this study. In the first survey, cases were collected by the registration form, composed of neonatal(N), important pediatric surgical cases (I), tumor and other similar operations(T) and other common pediatric surgical cases(O). Thirty members responded. and the result was discussed at the Topic Discussion section of the 15th Annual Congress of KAPS, 2000. The second survey analyzed additive data, proposed during discussion at the Congress. Twenty-three members responded. This report is the analysis of the both surveys. The average numbers of the cases/year/surgeon of N, I, T, O and total were 19.5, 51.8, 9.5, 77.1 and 356.5. respectively. The number of index cases(N+I+T)/year/surgeon was 80.8. The ratio of (N+I+T)/total cases was 0.3. Seventeen of 30 members have more than 20 cases of N per year. Twelve members have more than 150 cases, and 13 do more than 100 cases of I per year. Fourteen members have more than 10 cases of T per year. Nineteen and 10 members experienced more than 150 and 100 of index cases(N+I+T) per year. A new list of the index cases and coding system are proposed for the future regular update. 대한소아외과학회의 연례 행사인 2000년도 주제토의를 소아외과의 지수 질환으로 정하여 1999년 말 현재 3년 이상의 진료 실적을 가진 대한소아외과학회 정회원 36명을 대상으로 미리 작성된 조사서에 의하여 2차례의 수술 증례 수 등록을 시행하였다. 대상 환자는 1997년부터 1999년 말까지 3년간 수술이 시행된 환자로 하였으며, 1차 조사에서 30명이 응답하였고, 미비점 보완을 위한 2차 조사에는 26명이 응답하여 이 성적을 요약하였다. 본 성적을 바탕으로 향 후 대한소아외과학회의 지수 질환 대상 목록표를 작성 제시하였으며, 이를 코드화 하고자 제안하였다.
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송영 극작술의 변곡점과 관통선 - 천리마시대의 문학과 <박연암>의 징후적 독해 -
이광욱 ( Lee Kwang Ouk ) 겨레어문학회 2022 겨레어문학 Vol.68 No.-
송영은 격동하는 한국사의 흐름에 유연하게 적응해 나가며 여러 차례의 작풍 변화를 보여 준 작가였다. 그러나 그는 변화의 순간에 직면했을 때 자신의 근본적 창작원리를 되돌아보며 변화의 정당성을 마련하고자 한 작가이기도 했다. 본 고는 송영의 마지막 작품인 <박연암>에도 이러한 특징이 드러난다고 가정하는 가운데, <박연암>에 내재된 그의 문제의식과 대응 방식의 의미를 살펴보고자 했다. 즉, 그는 ‘천리마 시대의 문학’을 선언한 이래 점차 경직되어 가는 북한 문예담론에 반감을 품고 있었으며, 자신의 정체성을 보존하기 위한 방안으로서 <박연암>을 창작했다는 것이다. 북한에서는 1950년대 중반부터 실학에 대한 연구가 활성화되었으며, 이러한 경향을 주도한 것이 박지원 연구였음을 고려할 때, <박연암>은 시류에 편승한 작품처럼 보이기도 한다. 그러나 <박연암>이 창작된 1960년대 초반에 실학 연구의 중심은 정약용 연구로 이동한 상태였다. 더욱이 <박연암>은 천리마 시대의 문학에서 요구되었던 유형의 작품과 거리가 멀었다는 점에서 그의 창작 동기를 보다 근본적인 차원에서 재검토할 필요가 있다. 본고는 <박연암>이 당대의 평단으로부터 외면받은 작품이었다는 점에 착목하여, <박연암>에 내재된 불화의 흔적을 살피고자 했다. 송영은 도식주의를 경계하는 가운데, 생활에 근거한 인물의 성격 발전을 보여 줘야 한다는 점을 창작의 근본 원리로 삼았던 작가였다. 그에게 최고의 영예를 안겨주었던 항일혁명극은 도식주의의 문제를 벗어나지 못했으며, 한계를 자각한 그가 택했던 방법은 역사극의 양식과 더불어 ‘글쓰기’에 대한 자의식을 형상화하는 것이었다. 이것은 공인된 역사적 위인의 권위를 안전판으로 삼아 당대의 북한 문예담론에 대해 간접적으로 발화하는 방식이기도 했다. 그러나 그 불온성은 희곡에서만 보존될 수 있었으며, 공연은 마지막 막의 상당량이 삭제된 상태로 종결될 수밖에 없었던 바, 송영의 의도 또한 완전히 빗나가게 되었다. 연극 <박연암>은 민중과 함께하는 연암의 영웅적 형상을 보여주며 끝나게 되는데, 이는 ‘천리마시대’의 긍정적 인간형을 역사 속에서 발견하려는 체제친화적 목적에 부합하는 방향이었던 것이다. <박연암>은 송영이 보여 준 갱신 노력의 소산이지만, 동시에 그것이 북한 사회의 경직성 속에서 사멸되는 장면을 보여 준 작품이었다. Song Young was a writer who flexibly adapted to the turbulent flow of Korean history and showed several changes in his writing style. However, he was also a writer who tried to establish the legitimacy of change by reflecting on his fundamental creative principles in the face of the moment of change. Assuming that these characteristics are revealed in Song Young's last work, this paper attempted to examine the meaning of his agenda inherent in Park Yeon-am. In other words, he was opposed to the North Korean literary discourse, which has gradually become stubborn since the declaration of literature in the Cheonlima era, and created Park Yeon-am as a way to preserve his identity. In North Korea, research on silhak has been active since the mid-1950s, and considering that it was Park Ji-won's study that led this trend, Park Yeon-am seems to be a work that jumped on the bandwagon. However, in the early 1960s, when Park Yeon-am was created, the central subject of silhak studies was moved to Jeong Yak-yong. Moreover, it is necessary to review his creative motivation at a more fundamental level in that Park Yeon-am was far from the type of work required in literature of the Cheonrima era. This paper aimed to examine the traces of discord inherent in this work, noting that Park Yeon-am was ignored by critics of the time. Song Young was a writer who was critical of schematics and used it as the fundamental principle of creation that the personality development of the character is based on real life. The anti-Japanese revolutionary drama, which gave him the highest honor, did not escape the problem of schematicism. Recognizing his limitations, he chose to embody his self-awareness of 'writing' along with the style of historical dramas. This was also a method of indirectly uttering North Korean literary discourse using the authority of a recognized historical great as a shield. However, the resistance could only be preserved in the play, and the performance was forced to end with much of the last act deleted, and Song Young's intention was completely missed. Park Yeon-am, which was staged ended with a heroic figure of the protagonist with the people, which was in a direction suitable for the system-friendly purpose of discovering the positive human form of the Cheonlima Era in history. Park Yeon-am is the product of Song Young's renewal efforts. But at the same time, it is the work showed his last attempt being frustrated with the rigidity of North Korean society.
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