논문 : 효석문학과 로렌스문학의 비교시고 - 주로 쎅스 표현에 있어서 -

김찬우 겨레어문학회 1964 겨레어문학 Vol.3 No.-

온라인 뉴스 기반 촛불집회와 태극기집회의 정국 이슈 분석

김찬우,정병기 사단법인 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.1

본 연구는 2016년 10월 24일부터 2017년 3월 19일까지의 촛불집회 기간 동안 촛불집회와 태극기집회에 대한 온라인 뉴스들에 나타난 정국 인식을 개체명 인식기 분석을 통해 고찰하였다. 이것은 궁극적으로 탄핵 정국과 이후 한국 사회의 주요 정치 갈등을 알아보기 위함이다. 주요 분석 항목은 박근혜 정권의 실정에 대한 원인(탄핵의 책임 소재), 정국 해결의 주체와 방법이며, 그밖에 탄핵 이외의 주요 이슈들에 대해서도 살펴보았다. 분석 결과, 촛불집회는 박근혜-최순실 게이트의 책임 소재로 정당, 청와대, 재벌 등을 지목하며 시민과 정당에 의한 평화적 방식을 선호하고 탄핵 이후 정권 교체를 목표로 한다는 것이 밝혀졌다. 반면 태극기집회는 정당을 핵심 원인으로 지목하며 박근혜 지지 단체들을 중심으로 하는 애국 시민을 강조하면서 탄핵 이후보다는 탄핵 기각에 집중하는 것으로 나타났다. 이는 탄핵 정국 이후에도 탄핵을 둘러싼 정치 갈등이 그 강도와는 무관하게 일정하게 지속될 수 있음을 시사한다. This article aims to consider the political conflict in and after the recent impeachment in Southkorea carefully. The study focused on the political understanding of Candlelight Rally and the Tageukgi Rally. These rallies continued for 5 months, from October 24, 2016 to March 19, 2017. We found various issues about both rallies on the online news articles. Then we compared and analyzed the perception of the people who attended both rallies by using Named Entity Recognition. Political Party, Cheongwadae (the Blue House) and Chaebol were blamed for the Park Geunhye-Choi Soonsil Gate by people who took part in Candlelight Rally. However, people who took part in Tageukgi Rally have said that the opposition party should be behind the Gate. Candlelight Rally proceeded peacefully and participants paid more attention to regime change. However, Tageukgi Rally participants claimed that they were patriots and paid more attention to overturning the impeachment.

얼굴이식을 위한 운동과 감각신경을 가진 중하안면피판 모델 (파노라마 얼굴피판)에 대한 연구

김찬우,김홍태,도언록 대한두개안면성형외과학회 2011 Archives of Craniofacial Surgery Vol.12 No.2

A New Facial Composite Flap Model(Panorama Facial Flap) with Sensory and Motor Nerve from Cadaver Study for Facial Transplantation Peter Chan Woo Kim, M.D.1, Eon Rok Do, M.D.1, Hong-Tae Kim, M.D.21Department of Plastic and Reconstructive Surgery, Daegu Catholic University Medical Center,2Department of Anatomy, School of Medicine, Daegu Catholic University, Daegu, Korea Purpose: The purpose of this study was to investigate the possibility that a dynamic facial composite flap with sensory and motor nerves could be made available from donor facial composite tissue. Methods: The faces of 3 human cadavers were dissected. The authors studied the donor faces to assess which facial composite model would be most practicable. A "panorama facial flap" was excised from each facial skeleton with circumferential incision of the oral mucosa, lower conjunctiva and endonasal mucosa. In addition, the authors measured the available length of the arterial and venous pedicles, and the sensory nerves. In the recipient, the authors evaluated the time required to anastomose the vessels and nerve coaptations, anchor stitches for donor flaps, and skin stitches for closure. Results: In the panorama facial flap, the available anastomosing vessels were the facial artery and vein. The sensory nerves that required anastomoses were the infraorbital nerve and inferior alveolar nerve. The motor nerve requiring anstomoses was the facial nerve. The vascular pedicle of the panorama facial flap is the facial artery and vein. The longest length was 78mm and 48mm respectively. Sensation of the donor facial composite is supplied by the infraorbital nerve and inferior alveolar nerve. Motion of the facial composite is supplied by the facial nerve. Some branches of the facial nerve can be anastomosed, if necessary. Conclusion: The most practical facial composite flap would be a mid and lower face flap, and we proposed a panorama facial flap that is designed to incorporate the mid and lower facial skin with and the unique tissue of the lip. The panorama facial composite flap could be considered as one of the practicable basic models for facial allotransplantation. (J Korean Cleft Palate Craniofac Assoc 12: 86, 2011)

지역거주 만성질환 노인들의 장기요양 위험수준에 따른 케어 매니지먼트 효과 연구

김찬우 한국사회복지연구회 2004 사회복지연구 Vol.23 No.-

본 연구의 목적은 장기요양(long-term care) 위험요인의 다양한 유형분석을 통해 위험 수준을 살펴보고(1단계 분석), 이 수준에 따른 재가요양 케어 매니지먼트(Community-based care management)의 개입 효과들을 분석(2단계 분석)해 보는 것이다. 본 연구는 미국 남가주에 거주하는 540명의 75세 이상 노인들을 대상으로 하여 이루어졌다. 연구에서 사용된 장기요양 위험 요인은 의료모델과 사회모델의 통합 틀에 근거하여 제시되었다. 장기요양 위험요인은 케어 매니지먼트 개입이전의 기초선 자료에 나타난 의료 서비스 이용 여부, 기능장애(ADL/IADL), 기능 장애에 대한 수발여건, 우울증 등을 종합하여 결정되었다. 잠재 군집 모형분석(Latent Mixture Modeling Analysis)을 통해 세 가지 위험 수준집단이 결정되었고, 각 집단에 대한 케어 매니지먼트의 효과는 다중 회귀분석을 통해 분석되었다. 원 자료 설계에서 전조사 대상자들은 무작위화를 통해 세 가지 케어 매니지먼트 개입 집단으로 나누어졌다. 첫 번째 집단은 정보제공 및 의뢰 서비스만, 두 번째 집단은 케어 매니지먼트 서비스만, 세 번째 집단은 케어 매니지먼트 서비스와 추가된 서비스(Care management with purchase of service)를 제공받았다 . 2단계 연구에서 사용된 종속변수는 프로그램을 실시한 후 12개월 뒤에 측정된 기능에 대한 수발 여건, 우울 및 수발자 부담이다. 장기요양보호의 위험요인과 수준에 따른 1단계 분석에서 논의된 장기요양보호 위험요인들은 현재 미국의 의료/장기요양 서비스 제공자들이 초점을 두고 있는 요인들과 다르게 나타난다. 위험요인 수준과 개입모델간의 관계를 살펴본 2단계 회귀분석의 결과, 세 가지 개입 모델 중에서 케어 매니지먼트와 추가된 서비스를 받은 집단이 수발자여건의 향상과 수발자부담 정도를 감소시키는 효과를 보여주었고, 특히 경중 위험집단에서 이 효과가 더 큰 것으로 나타났다. 본 연구는 다양한 유형의 요보호노인을 몇 가지의 위험수준별 하부집단으로 판별하여 케어 매니지먼트에 대한 반응을 분석하는 새로운 유형의 프로그램 정가 방법이라 하겠다. 이 연구의 접근방식은 특정 위험그룹과 적절한 개입서비스를 연계(service alignment)하려는 제 연구들에 적용될 수 있다. 또, 사회복지사와 간호사의 팀으로 이루어진 케어 매니지먼트의 실증적 효과를 보여주는 연구라 하겠다. 장기요양 서비스 대상 노인들이 지역사회에 계속 거주하면서 시설화를 최대한 늦추며 삶의 질을 누릴 수 있게 하기 위해서는 위험요인수준에 따른 적절한 서비스 개발, 연계 그리고 평가가 지속적으로 연구되어져야 하겠다. This study utilized an innovative approach to evaluating the responses of community-dwelling frail elders to three different community-based care management models, based on analysis of heterogeneous patterns of long-term care risk, using data from a sample of 540 frail elders living in Southern California. Combining both bio-medical and social care frameworks, long-term care risk in this study was constructed from the baseline data by examining medical risk, physical functioning, caregiving conditions for functioning, and psychological risk prior to the care management interventions taking place. Latent Mixture Modeling Analysis resulted in the identification of 3 risk subgroups. The effects of three different care management models were evaluated through outcome data on caregiving conditions on functioning depression, and caregiver burden at 12 month past baseline across the three groups. This study demonstrated that it is possible to identify sub-groups within the elderly population with heterogeneous patterns of risk that reliably predict both health related outcomes and varied response to different models of care management. In addition, factors associated with increased risk of nursing home entry in this study were distinctly different from those factors typically addressed by medical and long-term care providers in the community. This suggests that one of the main limitations of current community-based long-term care programs is a failure to match interventions to the specific needs of sub-populations of community dwelling elders. Care management with a coherent package of community-based services was shown to have significant impacts on increasing caregiving support for functioning and reducing caregiving burden and depression status, particularly for the low-risk subgroup. The approach used here is broadly applicable to other studies attempting to evaluate efforts to match interventions to specific patterns of long-term care risk. This study shows that examining heterogeneous patterns of risk, especially taking social as well as medical-related risk into account, can serve as a basis for efficient targeting of resources. In order to sustain frail elders in the least restrictive environment, the identification of risk-based subgroups and the provision of targeted services should be an integral part of gerontological care management.

두개강을 침범한 비인강 혈관 섬유종

김찬우,최종욱 한국의학사 1992 診斷과治療 Vol.12 No.8

비골 골절 시 동시에 시행한 비주절개 없는 비개방성 비성형술: 121례에 대한 분석

김찬우,박상순,이용직 대한미용성형외과학회 2011 Archives of Aesthetic Plastic Surgery Vol.17 No.3

The traditional treatment of nasal bone fracture is closed manual reduction. Disadvantage of the method arises from frequent recurrence and inaccurate correction because open method is nonused in anatomical result. In addition, since the interest about cosmetic problems rapidly rises, people who want aesthetic correction during reduction surgery are increasing. From June 2007 to June 2009, This study includes 121 patients who had been performed by correction of nasal bone fracture in our center. 98 out of 121 patients, were undergone with nasal tip plasty, septoplasty was done in 51 patients. Cartilage graft for augmentation rhinoplasty was performed in 36 patients. Average period of follow-up was 6 months and existence of complications such as nasal deviation,nasal obstruction, infection and etc were investigated. Reoperation was done in one patient who showed nasal obstruction, and patients who complained about other complications, such as nasal deviation, were observed. There is the need of more accurate reduction method than traditional non-invasive reduction maneuver, in order to reduce the occurrence of secondary deformation after nasal bone fracture. Hence the authors operated precise reduction by extended endonasal approach without columellar scar, and aesthetic correction rather than anatomical correction was done with variable cartilage if needed. (Archives of Aesthetic Plastic Surgery 17: 165, 2011)

입자턱뼈이식술을 통한 이마윤곽증대성형

김찬우,이영배 대한미용성형외과학회 2011 Archives of Aesthetic Plastic Surgery Vol.17 No.1

Up to this date, the forehead contouring augmentation surgery was perfomed with silicone or microfat graft. However, augmentation with silicone has given complications such as postoperative infection, extrusion, long linear scar, and displacement of implant. Moreover, augmentation using microfat graft often requires re-operation due to fat resorption. Surgical technique was performed in 10 patients from September 2008 to April 2009. Eight patients had macrogenia and two had prognathism. Particulated bone was harvested from squared mandibular bone. The particulated mandibular bone was then grafted on the frontal bone through a 2cm incision posteriorly to the midforehead line. As a result from the three-dimensional Computer Tomogram, the frontal bone was engrafted 6 months after the particulated bone graft. Even though, traditional concept using prothesis for forehead augmentation is still popular, the author suggests autologous augmentation can make better facial contour which is named as 'facial bone redistribution concept'. Facial bone redistribution concept is the distribution of residual bone(mandible or zygoma) to deficient area(frontal bone) to achieve better facial contour. To achieve better survival rate of bone, bone marrow stem cell and platelet rich plasma(PRP) should be applied in next study to increase the survival rate of particulated bone.

노인장기요양보험제도의 평가판정도구와 기준에 관한 고찰: 요양시설의 서비스 제공시간과 입소노인의 기능상태관계를 중심으로

김찬우 한국노인복지학회 2009 노인복지연구 Vol.0 No.43

The aim of this study is to examine the screening system of the National long-term care insurance(NLTCI) in Korea and to suggest several future directions toward the better-designed policy. In particular, this study investigates the process of developing " care-needed time", the screening criteria , which have been derived from the relationship between the direct care service time and the functional status of elders. This study reviewed the LTC need assessment and screening systems of several countries which had launched LTC policies in recent years. This study also analyzed the results of the studies on the development of the screening system in 2003 - 2007. Because of the complication in assessing comprehensive long-term care needs of elders, the newly-designed the screening system suggested several concepts about long-term care needs such as "5 dimensions of long-term care needs, care-needed time. In addition, this study examined the functional statuses of each level in the NLTCI screening system. The result of this study suggests that elders in Level Four should be covered by NLTCI. The findings of this study suggests that the Korean screening system should be reviewed and remodeled through the further research on the care-needed time. 본 연구의 목적은 우리나라 노인장기요양제도 평가판정의 주요 기준인 요양인정점수 개발과정을 고찰해보고 향후 평가판정도구의 개선방향에 대해 살펴보는 것이다. 요양인정점수는 요양욕구를 가진 노인이 요양시설에서 제공받는 직접수발시간과 그 노인의 기능상태와의 관계에서 도출된 것이다. 주요 내용으로 첫째, 요양인정점수를 이해하기 위해 본 연구에서는 다른 나라 제도들의 평가판정도구 및 등급판정기준에 대해 살펴보았다. 다음으로 요양인정시간의 도출과정을 지금까지의 개발 연구 자료를 중심으로 구체적으로 고찰해보았으며, 마지막으로 각 등급의 상태를 한국보건사회연구원의 3차 시범사업평가 자료를 중심으로 살펴보았다. 현 노인장기요양제도의 등급별 상태를 보면 4등급 일부도 제도의 대상자로 고려해야 됨을 알 수 있다. 도구의 향후 개선방향으로 평가항목의 적절성, 운동능력이 있는 인지기능장애노인에 대한 개선책 및 비교도구지표 개발이 필요하다고 하겠다. 요양인정점수라는 기준은 지금까지 소득기준에 의해 대상자를 선별해오던 노인복지서비스제도와는 다른 보편적 사회서비스 방식에 의한 중요한 선정기준으로, 지속적인 연구를 통한 개념의 적용이 보완되어야 하며 도구 또한 수정되어야 하겠다. 노인장기요양제도의 평가판정체계를 이해하는 것은 노인복지관련 연구자와 서비스 제공자에게는 장기요양제도 관련 정책 설계 및 의견 제시에 핵심적 사항으로 고려되어야 하겠다.

데이터 거버넌스 구축 방향

김찬우 한국행정학회 2020 한국행정학회 학술발표논문집 Vol.2020 No.1

구강암 세포에서 혈관내피성장인자 수용체-3 억제제의 항종양 효과

김찬우,김성곤,박영욱,Kim, Chan-Woo,Kim, Seong-Gon,Park, Young-Wook 대한악안면성형재건외과학회 2012 Maxillofacial Plastic Reconstructive Surgery Vol.34 No.4

Purpose: Vascular endothelial growth factor (VEGF) plays a key role in tumor angiogenesis and lymphangiogenesis including induction of endothelial cell proliferation, migration and capillary tube formation. E7080 (S1164, Selleck chemical, Houston, TX, USA) is a muti-targeted kinase inhibitor, which targets VEGF receptor-2, 3 (VEGFR-2, 3) and inhibits survival and proliferation of tumor cell. The purpose of this study was to determine the anti-tumor effect of E7080 on oral squamous cell carcinoma. Methods: An oral squamous cell carcinoma cell line, SCC-9 was used in this study. E7080 was applied to SCC-9 cells by 3 different concentrations (1, 5, 10 ${\mu}g/mL$). Control means no application of E7080. The cellular growth was evaluated by real-time cell electronic sensing and MTT assay. The signal transduction was evaluated by Western blotting. Results: In experimental group, SCC-9 cell proliferation was decreased and the VEGFR-3 downstream pathways were inhibited compared with control. Furthermore, increasing the concentration of E7080, the ability of E7080 to disturbance of SCC-9 cell proliferation was increased. Conclusion: Proliferation of SCC-9 cells was inhibited by E7080, which was through by inhibition of VEGFR-3 downstream pathway. In vivo study with E7080 will be required to provide therapeutic benefits in oral squamous cell carcinoma.