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백두대간 생태 복원을 위한 시민참여 프로그램 개발과 적용
김찬국(Kim Chankook),안동만(Ahn Tong Mahn),김인호(Kim In Ho),이재영(Le Jae Young),김성진(Kim Sung Jin),채혜성(Chae Hye Sung),이영(Lee Young),이재원(Lee Jae Won),김민우(Kim Min Woo),신민종(Shin Min Jong),박효인(Park Hyo In),조경준(Cho K 한국환경교육학회 2010 環境 敎育 Vol.23 No.2
Ecological restoration aims to reverse the degradation of ecosystems that occurred as humans have affected landscapes. This study was conducted in part of a larger project to develop participatory ecological restoration procedures for disturbed areas in Baigdoodaegahn which is a major mountain range in the Korean Peninsula. The case of alpine farmland at Kangwon-do was selected to apply the theoretical framework of participatory restoration since the nutrient contents in alpine solid under vegetable cultivation degrade water quality in the watershed while farmers in the region are economically struggling due to imports of vegetables from China. The reciprocal model of restoration was applied to cope with interactions between human and ecosystem needs in ecological restoration. A series of environmental education and eco-tourism programs were developed and incorporated into the participatory restoration project to rebuild social-cultural aspects of the community as well as to restore the biophysically disturbed area while meeting both ecological needs and human needs. This study suggests that participatory projects will be more successful when experts support the local residents and citizens in restoration process, when leadership are developed through social learning, and when ecological, financial and social factors of restoration are integratedly considered.
김성배(Sung Bae Kim),김상희(Sang Hee Kim),김상위(Sang We Kim),서철원(Cheol Won Suh),이규형(Kyoo Hyung Lee),이정신(Jung Shin Lee),김해련(Hae Ryun Kim),민영일(Young Il Min),송호영(Ho Young Song),최은경(Eun Kyung Choi),이재원(Jae Won Le 대한내과학회 1995 대한내과학회지 Vol.48 No.5
N/A Objectives: Patients with esophageal cancer and a malignant tracheoesophageal fistula(TEF)have an extremely poor prognosis, with or without treatment. However, the presence of a TEF has historically been considered a relative contraindication to radiation therapy. Methods: To determine the appropriate treatmement(use of radiation therapy)for patients with esophageal cancer and malignant TEF, a review was performed of all such cases, obeserved at Asan Medical Center between 1989 and 1993. Results: 1) Six patients with malignant TEF were seen in total 130 esophageal cancer patients, so the incidence was 4.6%. 2) All of the patients were male, had squamous cell histologies. 3) Dysphagia as initial presenting symptom was a chief complaint in all six patients. 4) The number of TEF formation was one in five of six patients, two in the rest. 5) Three TEFs were developed during radiotherapy, two of them stopped radiation therapy, and one patient continued to treat with hyperfractionated radiation and cured. 6) The median survival length was 33(3-60) weeks after initial tumor diagnosis and 16(2-39) weeks after the first TEF occurred. The duration between initial tumor diagnosis and TEF formation was 17.6(0.6-22) weeks. 7) As a pllliative aim, gastrostomy was done in two patients, jejunostomy in one patient, and stent insertion in the other two patients. Associated symptoms with TEF were markedly improved after stent insertion. 8) The cause of death was sepsis as a resulf of aspiration pnenumonia and lung abscess in five of six patients, and advanced esophageal cancer with lung metastasis in the rest. Conclusion: Early detection and proper management were essential in malignant TEF and esophageal cancer. Stent insertion was good palliation. Radiation therapy might be initiated or continued in the presence of a TEF, and eventual resolution of the fistula might occur. Prospective randomized trials are necessary to define the role of radiation treatment, and further attempts to improve the malignt TEF are required.