공간구성 및 복지지원 서비스 측면에서 살펴본 공공업무시설의 시설적·제도적 개선 방안 : 전국 44개 시청 및 구청의 실태조사를 통하여

윤영삼,이인기,강병근,김상운,성기창,박광재 한국의료복지시설학회 2006 의료·복지 건축 Vol.12 No.2

The purpose of this study is to suggest institutional reformation of public office facilities by analysis the status of services on welfare for the aged and disabled. For this study, we have researched and analyzed on two different aspects. The aspects are space composition of public office facilities, welfare systems and service support within region. And we can get the following important points as conclusion; ① We need to consider on not only access for public office facilities site hut also the connection on business such as block plan on zone and connection between quarters. Architectural plan has to be considered. ② Most of the public office facilities use human service resources as a supporting system for shortage of convenient facilities. Variety of welfare services are required. ③ We need to secure various programs and space for local peculiarities and social demand.

경부에 발생한 침습성 지장종의 치험례

조은영,하종운,김영빈,정윤심 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

Lipomas make up 4∼5% of all benign tumors in the body and are most often located on shoulders and backs. Neck lipomas are often developed in the subcutaneous tissues of the posterior neck, Most lipomas have slow growth rate and the recurrence is very rare after surgical excision because of well-defined border. But lipoma originated from muscles(intramuscular and intermuscular lipoma), so called infiltrating lipoma, has ill-defined border and little or no evidence of encapsulation. Histologically the feature of infiltrating lipoma is distinctive. There is a consistent infiltration with dissociation of the surrounding muscle fibers. The overall recurrence rate is less than 5%, but rises to 62.5% when deep infiltrating lipomas are considered separately. Thus infiltrating lipoma is best excised with a margin of normal muscle to avoid recurrence. Its location in the head and neck is uncommon. 18 cases of infiltrating lipoma in the head and neck has been reported to date. Here we report a case of infiltrating lipoma that arises in the head and neck muscle with a review of the literature on the subject.

간세포암종에 대한 간동맥 화학색전술 후 발생한 급성호흡곤란증후군

조윤원,이정미,최자윤,유동훈,차라리,오혜원,김홍준,민현주,김현진,정운태,이옥재,하창윤,이선영 이화여자대학교 의과학연구소 2013 EMJ (Ewha medical journal) Vol.36 No.1

Transcatheter arterial chemoembolization (TACE) has become an effective alternative treatment strategy for patients with inoperable hepatocellular carcinoma (HCC). Although TACE is relatively safe, acute respiratory distress syndrome associated with pulmonary lipiodol embolism is a rare and potentially fatal complication. We report a rare case of acute respiratory distress syndrome after TACE for inoperable HCC. A 75-year-old man, with huge HCC in right lobe, was treated by TACE for the first time. Seven hours after uneventful TACE procedure, he felt dyspneic and his oxygen saturation recorded by pulse oximetry (SpO2) fell to 80% despite of applying non-rebreathing mask. He underwent mechanical ventilation with a protective ventilatory strategy. We experienced a case of acute respiratory distress syndrome after TACE for HCC.

급성 신우신염이 선행된 Escherichia coli 농흉 1예

차치운,조준형,김미진,오윤정,연재우,이성규,오미정,채지영,김수연 대한감염학회 2009 감염과 화학요법 Vol.41 No.5

We experienced a case of acute pyelonephritis which progressed to Escherichia coli bacteremia and later complicated by empyema in a 65-year-old female. She was successfully treated with intravenous antibiotic therapy and percutaneous drainage of empyema.

시각장애인 주택의 실태 및 요구도 분석에 관한연구

김상운,강병근,성기창,박광재,윤영삼,정은영 한국의료복지시설학회 2009 의료·복지 건축 Vol.15 No.1

Increasing the old and the senile disability, it is increased that the demand of barrier free house for the disabled the senior the pregnant and the young is strongly increasing recently. In this reason, this study focuses the problems of the house which is used by the Blind through the investigation of current status and tries to find out the differences between disability's demend and current design of their house. As well, through the research and analysis some cases of the residential alterations this study verifies what the demand is on each room and their need is committed correctly during the residential alterations. It is the purposes of this study finding the problems through these research and analysis Thus this study investigates houses of the Blind and finds out their house type scale and daily Iife through the statisticaI data and documentary survey and also investigates current status of their house. The basic standard for the current status and the demand analysis is researched by the barrier factors which are deducted from the former study.

국내·외 관련 제도 및 실태분석을 통한 한국형 장애인 자립생활센터의 계획방향에 관한 연구

강지혜,윤영삼,김상운,성기창,박광재,강병근 한국의료복지시설학회 2006 의료·복지 건축 Vol.12 No.2

The wealth of Korean disability people’s paradigm has developed by the meaning of whole rehabilitation of the small society for acception and protection. Today, that meaning has been changed to make and choose disability people’s future plans by themselves. The CENTER FOR INDEPENDENT LIVING in Korea has been accepted through the American and Japanese’s activity systems with no objection. Following result of the real reserching, because the CENTER FOR INDEPENDENT LIVING in Korea have no legal basement, so there are little support for these centers and no proper rules and check systems. Therefore, we have to make the legal basement of CENTER FOR INDEPENDENT LIVING and separate by each parts of system and to specialize about them. That means, each parts of system have to mark role mode for doing well, and each systems have to develop new programs and services, and to specialize for in Korea. To add, we should have more small CENTER FOR INDEPENDENT LIVING in each area, and the CENTER FOR INDEPENDENT LIVING which are already started should make network system to contact with other centers in society for giving support of proper information.

골아세포 MC₃T₃-E₁의 증식과 기능에 Insulin Like Growth Factor Ⅰ, Ⅱ 및 부갑상선 호르몬이 미치는 영향

윤현구,정호연,양인명,김성운,김진우,김광원,김영설,최영길,서광식 대한내과학회 1992 대한내과학회지 Vol.42 No.1

MC₃T₃-E₁골아세포군을 이용하여 IGF-Ⅰ과 Ⅱ를 투여하고 DNA합성과 골아세포기능을 측정하기 위해 PTH에 대한 C-AMP반응정도, alkaline phosphatase 활성도를 측정하여 다음과 같은 결과를 얻었다. 1) IGF-Ⅰ과 Ⅱ는 모두 DNA합성이 어느 농도까지는 증식효과를 나타내지만 그 이후에는 억제되는 양상을 보였다. 2) PTH에 대한 골아세포의 C-AMP반응으로 증가되었지만 IGF-Ⅰ과 Ⅱ의 투여시 농도변화에 따른 의미있는 변화는 없었다. 3) 본 실험의 조건에서 alkaline phosphatase 활성도는 증가되지 않았다. 이상의 결과로 MC₃T₃-E₁ 골아세포에 IGF-Ⅰ과 Ⅱ는 세포의 증식을 자극하여 PTH는 C-AMP생성을 촉진하는 효과가 있었다. The effect of insulin-like growth factor (IGF) Ⅰ and Ⅱ on cloned MC₃T₃-E₁ cells that had osteoblastic activity was examined by [³H] thymidine incorporation into DNA, cyclic AMP responsiveness to parathyroid hormone (PTH), and alkaline phosphatase activity. IGF Ⅰ and Ⅱ stimulated the growth and proliferation of osteoblastic cells at 20ng/㎖ and 50ng/㎖, respectively. We next examined the effect of IGF-Ⅰ and Ⅱ on the expression of osteoblastic activity. Adenylate cyclase response of PTH to IGF-Ⅰ and Ⅱ-treated cells showed maximal stimulation at 10 and 50㎚PTH, respectively, but IGF Ⅰ and Ⅱ induced limited activity of osteoblastic function. In conclusion, IGF-Ⅰ and Ⅱ were potent stimulators to the growth of osteoblastic cells but did not have an immediate effect on expression of osteoblastic function in this experiment.

Sedimentation Rate and Transport Features of Suspended Matter in the Changjiang Estuary and Adjacent Continental Shelf

윤정수,박상운,고윤영,오윤근 제주대학교 해양연구소 2000 해양자원연구소연구보고 Vol.24 No.-

The study area is situated between 31˚00' ~ 33˚30' N and 122˚30' ~126˚00' E as a part of the East China Sea continental shelf. The distribution of sediment in the study area can be classified three sedimentary types. Modern land derived muddy sediments consisting of silt and mud are distributed at mouth of the Changjiang River. and are also observed the southwest offshore of the Cheju Island. The sandsilt-clay miadre sediments are presented in the outer shelf area. The relict sand are distributed between the mordern and mixture sediment. The inner-shelf mud consisted of 8.89% sand. 59.05% silt. 32.06% clay and mean size of 6.90Φ. The offshore mud composed of 5.83% sand. 34.54% silt. 59.63% clay and mean size of 8.32). and also have higher water content and organic carbon. The C/N ratio showed higher in the inner-shelf mud (10.14) rather than that of the offshore mud (8.68). Most of the Changiiang River suspended matter is entrapped in the area around the Changjiang Estuary to the west of 123˚30' E. Only a small part of the suspended matter can be moved by Changjiang Diluted Plume to the southeastern and northeastern middle shelf. The higher suspended matter concentration gradient zone are observed in the northwest central region, and this plume zone separated from Changjiang Estuary by a low oncentration of less than 5 mg/ l or 15 mg/ l. The sediment accumulation rate in the inner shelf mud deposit near the mouth of the Changjiang River is 1.70 cm/yr and characterized by physical stratified mud. The sedimentation rate in the offshore mud deposit to the southwest of Cheju Island shows 0.28 cm/yr and characterized by homogenous mud. The difference in fine-scale stratigraphy is explained by the ratio of mixing rate to accumulation rate, which is much larger for the offshore mud deposit (27.34) than for the inner shelf mud deposit (1.65). these larger ratio allows biological mixing to destroy physical stratification.

장애인 및 노약자를 위한 생활관련 시설의 연계방향

강병근,성기창,박광재,윤영삼,김상운,정현정,류상오 한국의료복지시설학회 2009 의료·복지 건축 Vol.15 No.1

This study aims to plan connecting living facilities considering on the Barrier Free Walking of the disabled and the elderly in the residential area. We had found several physical problems on the peestrian's way that becomes the major factor of disturbing the barrier free movement for using living facilities in the local area by investigations and enquetes. We had suggested the arrangement method for these physical problems on the pedestrian's way and building the ideal area for living facilities by the disposition stages with the result of investigations and enquetes. After these process, we had planned connecting living facilities considering on the Barrier Free WaIking of the disabled and the elderly in the residential area.

전해산성수를 이용한 새로운 내시경 소독 시스템(Cleantop WM-1??)의 소독효율

이준행,이풍렬,송재훈,이남용,임윤정,장재권,김영호,김재준,백승운,이종철,최규완 대한감염학회 2001 감염 Vol.33 No.2

Background : Electrolyzed acid water (EAW) is a new liquid chemical germicide containing a mixture of oxidizing species and prepared by mixing a small amount of salt with tap water in an electrolyzer. We attempted an in-use evaluation of the high-level disinfection capability of Cleantop WM-1□, a new endoscope reprocessing system using EAW. Methods : Forty-seven flexible endoscopes were randomly collected just after upper endoscopic examinations and were disinfected using Cleantop WM-1□. Parts of the endoscopes without contact to EAW were disinfected with 75% ethyl alcohol. Immediately after the disinfection procedure, samples were taken from the biopsy channel (S-1), tip of the insertion tube (S-2), the umbilical cord (S-3), and the angulation knob (S-4). Results : In EAW-disinfected parts of the endoscopes, the culture-positive rates were 4.3% (2/47) in S-1 samples and 12.8% (6/47) in S-2 samples. In ethyl alcohol-disinfected area, the culture-positive rates were 2.1% (1/47) in S-3 samples and 25.5% (12/47) in S-4 samples. The colony counts of culture-positive samples ranged from 1 to 144. Pseudomonas aerugi-nasa was recovered from the angulation knob of an endoscope, but other contaminating organisms were mostly : normal flora or opportunistic pathogens. Conclusion : Although part of the endoscopes disinfected with 75% ethyl alcohol were contaminated with more organisms than EAW-disinfected areas, Cleantop WM-1□ showed a relatively good disinfection efficacy in reprocessing patient-used endoscopes. (Korean J Infect Dis 33:133∼138, 2001)