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이종욱,박태선,이승연,이승오,Lee, Jong Wook,Park, Tae Sun,Lee, Seung Yeon,Lee, Seung Oh 한국방재안전학회 2020 한국방재안전학회 논문집 Vol.13 No.4
최근까지 무분별한 수자원 개발과 심각해지는 기후변화로 인한 극심한 가뭄이 지속되면서 물관리 문제에 대해서 관심이 급증하였다. 국내와 유사한 환경 아래 국가 차원에서 일관되고 친환경적이며 체계적으로 관리를 하고 있는 호주의 정책에 대한 분석과 사례검토가 필요하다. 호주는 강우량이 작고 건조하여 가뭄과 홍수가 반복되는 수자원적 특징을 가지고 있으며 1890년대부터 이민자 정착으로 물분쟁이 시작되었다. 일찍이 수자원의 효율적인 분배를 위한 물관리 협약, 물 사용량 규제 프로그램, 연방물법 제정 등이 이루어졌고 현재는 개발과 보전이 균형적으로 이루어지는 물관리 체계를 이루고 있다. 한편 우리나라는 과거 수질은 환경부, 수량은 국토부가 담당하여 물관리의 주무부처가 이분화되어 업무의 중복, 과도한 투자, 비효율 등의 문제로 통합적인 물관리가 어려웠다. 이를 해결하고자 2018년에는 물관련 기본법을 제정하는 등 물관리 기능이 일원화되면서 유역 단위 통합물관리 체계의 기틀이 마련되었고 2019년부터는 유역 단위의 통합물관리 체계를 수행하는 등 통합물관리를 바탕으로 지속 가능한 수자원 관리 효과를 도모하고 있다. 효율적이고 친환경적인 물관리를 위한 관리 정책 수립을 위해 여러 방안으로 강구해온 호주의 IWRM (Integrated Water Resource Management)와 우리나라의 현황과 사례를 비교해보았고 앞으로 나아가야 할 우리나라의 시사점을 제시하였다. Recently, as the extreme drought continued due to the reckless development and the dramatical climate change, national concern about the water management issues has been increased rapidly around the world, especially in Korea. Meanwhile, it is necessary to analyze and review the related cases in Australia, where they have developed the consistently, eco-friendly and systematically management from the national level, which is similar to that of Korea in difficult circumstances. Australia has been suffered by repeated droughts and floods due to low rainfall and dryness, and water disputes were begun with immigrant settlement in the 1890s. In the early days, water management agreements for efficient distribution of water resources, water use regulation programs, and federal water laws were enacted, and now the established water management system in which development and conservation are assumed to be well balanced. In Korea, however, in the past, the Ministry of Environment was responsible for water quality issues while the quantity was managed by the Ministry of Land, Infrastructure and Transport, and the main local departments for water management were divided. Therefore, it was difficult to manage the integrated water management due to problems such as duplicated works, excessive investments, and inefficiency. To resolve this situation, in 2018, all water management functions were unified, such as enacting the fundamental water-related laws, thereby laying the foundation for the integrated water management system for each basin. From 2019, even the integrated water management system was implemented, we are promoting the effect of sustainable water resource management. In order to establish a management policy for efficient and eco-friendly water management, the IWRM (Integrated Water Resource Management) of Australia, which has been devised in various ways, was analyzed and compared with the present situations and cases occurred in Korea, and the implications from this study would be suggested the future of IWRM in Korea.
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지각(枳穀) 약침이 고지방 식이 급여 흰쥐의 혈액 내 지질구성과 $TNF-{\alpha}$ 및 IL-6농도에 미치는 영향
이종욱,이지향,이은,이준무,Lee, Jong-Wook,Lee, Ji-Hyang,Lee, Eun,Lee, Joon-Moo 경락경혈학회 2006 Korean Journal of Acupuncture Vol.23 No.1
Objective : To investigate the effects of Poncirus trifoliata Pharmacopuncture on lowering lipid and contents of serum tumor necrosis $factor-{\alpha}$ $(TNF-{\alpha})$ and interleukin-6 (IL-6) in hyperlipidemic rats. Methods : Triglyceride, total cholesterol, $TNF-{\alpha}$, and IL-6 levels in Poncirus trifoliata Pharmacopuncture groups were compared with those in the control group. Results : Concentration of triglyceride and total cholesterol in plasma was decreased in the Poncirus trifoliata Pharmacopuncture groups. In Poncirus trifoliata Pharmacopuncre groups, plasma LDL-cholesterol showed a lower value and HDL-cholesterol showed a higher value than those of the control group. Contents of $TNF-{\alpha}$ was decreased in the Poncirus trifoliata Pharmacopuncture groups. Contents of IL-6, however, were not significantly different. Conclusions : The results suggest that Poncirus trifoliata Pharmacopuncture may have an impact on lipid metabolism to potentially prevent development of diabetes mellitus and accompanying cerebrovascular diseases.
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상부 180도 및 하부 180도 선택적 레이저 섬유주성형술의 효과 및 안정성 비교
이종욱,김은주,이태윤,이규원,Jong Wook Lee,MD,Eun Joo Kim,MD,Tae Yoon Lee,MD,Kyoo Won Lee,MD 대한안과학회 2012 대한안과학회지 Vol.53 No.11
Purpose: To compare the intraocular pressure (IOP)-lowering effect and safety between superior 180 degree and inferior 180 degree selective laser trabeculoplasty (SLT). Methods: Forty patients with primary open-angle glaucoma and normal tension glaucoma were treated with superior 180-degree SLT, and 28 patients with the same diagnosis were treated with inferior 180-degree SLT. IOP was checked at 1 day, and 1, 2, 3, and 6 months after SLT. Anterior chamber reaction and ocular pain was evaluated at postoperative 1 day. Peripheral anterior synechia was examined at 6 months postoperatively. Results: At the postoperative 6-month follow-up, the superior treatment group had a mean IOP of 15.53 ± 3.49 mm Hg with a mean reduction of 24.6%, while the inferior treatment group had a mean IOP of 17.18 ± 3.29 mm Hg with a mean reduction of 21.9%. There were no significant differences in IOP reduction between the 2 groups. There was a slightly higher anterior chamber reaction rate in the inferior treatment group. Conclusions: The site of SLT application is not important for IOP reduction. Both superior 180 degree and inferior 180 degree SLT are safe and effective procedures for glaucoma treatment because of successful IOP reduction and low complication risks.
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개심술환자의 심정지 시간에 따른 혈청효소치 변동에 관한 연구
이종욱,양기민,Lee, Jong-Uk,Yang, Gi-Min 대한흉부심장혈관외과학회 1989 Journal of Chest Surgery (J Chest Surg) Vol.22 No.5
In order to assess the correlation of the myocardial damage and the duration of cardiopulmonary bypass, measurement of creatine kinase [CK], lactate dehydrogenase [LDH], asparatate aminotransferase [AST], and MB band of CK [CK-MB] were carried out on the first, third, fifth, seventh, and ninth day in 44 patients following open heart surgery [POD 1,3,5,7,9]. And the patients were divided into three groups according to the duration of aortic cross clamp time [ACT]: Group I [ACT< 60 minutes. n=19], Group II [60 minutes < ACT< 90 minutes, n=7] and Group III[90 minutes > ACT, n=18]. 1. The leakage of CK in total patients increased to the highest level at POD 1, with rapid decrease and recovery at POD 7. The leakage of CK in Group III were greater than in Group I from POD 1 to POD 3 [P < 0.01]. The recovery time of CK level was shorter in Group I [POD 3] than in Group II and III [POD 7]. 2. The serum levels of LDH in total patients increased to the highest level at POD 1, with slow recovery until POD 9. The levels of LDH in Group III were higher than in Group I until POD 9 [P < 0.005]. The levels of LDH in Group I and II recovered but not in Group III. 3. The serum levels of AST in total patients increased to the highest level at POD 1, with rapid decrease and recovery at POD 7. The levels of AST in Group III were greater than in Group I from POD 1 to POD 5 [P < 0.05]. The recovery time of AST level was shorter in Group I and II [POD 5] than in Group III [POD 7]. 4. The positive cases for CK-MB in 36 patients were 22 [61.1 %] as a whole, 5[41.6%] in Group I, 4[57.1 %] in Group II, 13[76.4 %] in Group III at POD 1, and a case in each group at POD 3, and only a case in Group Ill at POD 5. It is concluded that the myocardial injury was closely related with the duration of cardiopulmonary bypass in open heart surgery.
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재발성군날개 치료에 있어 항혈관내피성장인자 항체 베바시주맙을 적용한 임상효과
이종욱,박영정,김인택,이규원,Jong Wook Lee,Young Jeung Park,In Taek Kim,Kyoo Won Lee 대한안과학회 2008 대한안과학회지 Vol.49 No.12
Purpose: To clinically establish the effectiveness and safety of bevacizumab on recurrent pterygium. Methods: Twenty patients with recurrent pterygium were given a subconjunctival injection of 0.3 cc bevacizumab, and were evaluated for periodic clinical results at 1 week, 2 weeks, 4 weeks, and every month thereafter. The patients were also evaluated for clinical results and complications. Results: Of recurrent pterygium patients with bevacizumab injection, the conjunctival injection decreased maximally after 1 to 2 weeks, but significantly increased at 4 weeks (above the lowest level measured at 1 to 2 weeks), and no patient presented conjunctival injection above the pre-injection level at 3 months, except in 2 cases. Two weeks after the injection, ICG anterior segment angiography revealed a significant decrease (30.14+17.69%) in vessel thickness of the pterygium 2 weeks after the bevacizumab injection compared to before the injection. There had been no cases of progression of pterygium, and no ocular or systemic complications due to bevacizumab. Conclusions: As shown above in the results, subconjunctival injection of 0.3 cc bevacizumab decreased the conjunctival injection and effectively suppressed any further progression of pterygium. Thus, bevacizumab subconjunctival injection appears to be effective in recurrent pterygium treatment instead of surgical methods.
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이종욱,신동수,이규원,Jong Wook Lee,Dong Su Shin,Kyoo Won Lee 대한안과학회 2007 대한안과학회지 Vol.48 No.10
Purpose: To evaluate the clinical efficacy of a reverse eyelid splitting technique that we performed in cases of trichiasis or distichiasis combined with entropion. Methods: The study comprised 43 eyes of 31 patients with trichiasis or distichiasis combined with entropion treated from November 2004 to December 2005. After skin incision, the muscular layer and tarsus were reversely dissected to find abnormal follicles. The abnormal hair follicle was cauterized under the muscular layer, and 23 rotating sutures were done with Ethilon 6-0 to fix the tarsus and skin. Success was defined as having the meibomian gland located in front of the junction of skin and mucosa, without an abnormal hair protruding into the eye for at least three months. Results: Fifteen patients were male and sixteen patients were female. The mean age was 62.115.2 years. The patients were followed up for an average of 12.42.0 months after surgery. Surgery was successful in 74.4% (32 of the 43 eyelids) of the cases, and the recurrence rate was 25.6% (11 of the 43 eyelids). No severe complications occurred, such as infection, hemorrhage, wound dehiscence, or granuloma. However, foreign body sensation (1 eye) and eyelid notch (l eye) did occur. Conclusions: This reverse eyelid splitting technique produced satisfactory results in both cosmetic and functional aspects. Moreover, it resulted in a low recurrence rate and low complication rate in patients with trichiasis or distichiasis combined with entropion.
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