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        Management of intractable oronasal bleeding using Sengstaken-Blakemore tubes in patients with facial trauma: a case series and technical notes

        김기운,최상천,한상수,이영환,강보라,정윤석 대한응급의학회 2021 Clinical and Experimental Emergency Medicine Vol.8 No.1

        Objective Intractable massive oronasal bleeding can become a life-threatening condition. The success rate of conventional bleeding control methods other than transarterial embolization (TAE) is not expected to be high. We investigated the efficacy of Sengstaken-Blakemore tube (SBT) balloon tamponade in patients with sustained and intractable oronasal bleeding secondary to facial injury. Methods This study is a retrospective chart review from traumatic patients with sustained and intractable oronasal bleeding who were admitted to the emergency center of Ajou University Hospital and Soonchunhyang University Bucheon Hospital from January 2014 to December 2016. Results Twelve patients were included in the study, of whom nine (75%) were male. The median age was 31 years (range, 20–73 years). Bleeding was controlled in 11 of the 12 patients (91.7%) either temporarily or definitively. One patient without hemostasis underwent TAE. TAE was performed in an additional three patients out of the 11 patients with hemostasis who experienced continued nasal bleeding after the removal of SBTs. There were no complications from performing the procedure. Conclusion Using SBTs as a hemostatic tool will aid patients with life-threatening intractable oronasal bleeding. Furthermore, this method may be used in patients with continual and intractable oronasal bleeding after facial trauma as a bridging procedure from the emergency department or the intensive care unit to the interventional radiology.

      • 고객관계관리(CRM) 프로세스에 관한 연구 : ㅅ 은행 사례를 중심으로

        김기운 경인여자대학 2003 경인논집 Vol.- No.10

        This paper is intended to analyze S Bank's CRM process based on previous research of the CRM process. In particular, this study investigates the function of each CRM process, as well as the closed looping relationship between CRM processes, through analysis of how S Bank's CRM system supports each CRM process and the information it provides. Additionally, this paper suggests improved CRM processes in banking industry to maintain the customer relationship and to provide personalized service to the individual customer.

      • KCI등재

        통합체육회의 구조적 연동체계 분석

        김기운,서희진 한국체육정책학회 2020 한국체육정책학회지 Vol.18 No.2

        The purpose of this study is to analysis the structure coupling with Korea sports organization system based on Luhmann’s system theory suggested that developmental direction to the rational system. Six research participants that are working for the Korean sports & Olympic Committee and two city sports council was selected by using the purposeful sampling. The data was collected via in-depth interview, media and various documents. Also the collected data was analyzed via qualitative content analysis. The results of the study are as follows. Firstly, ‘Non-coupling with related other organization’ was derived. Despite the need to maintain cooperative relations to various environments surrounding the organization of the production of a rational order, the Korean Sports & Olympic Committee maintained non-cooperative relations based on closed recognition and attitude of its members. Secondly, ‘Irrational couplings with political system’ was derived. The autonomy of the organization deteriorated due to political control based on the political sensitivity of the Korean Sports & Olympic Committee. Thirdly, ‘Illogical couplings with the laws and systems’ was derived. During the re-revision process, various discrepancies occurred due to the intervention of political elements and the gap between the places where the law is applied. In conclusion, the Korean sports organization system is working as a closed system, and this system is operated as a closed system that blocks structural combination with other functional systems.

      • KCI등재

        원천 시스템 환경을 고려한 데이터 추출 방식의 비교 및 Index DB를 이용한 추출 방식의 구현 : ㅅ은행 사례를 중심으로 S Bank Case

        김기운 한국경영과학회 2003 經營 科學 Vol.20 No.2

        Previous research on data extraction and integration for data warehousing has concentrated mainly on the relational DBMS or Partly on the object-oriented DBMS. Mostly, it describes issues related with the change data (deltas) capture and the incremental update by using the triggering technique of active database systems. But, little attention has been paid to data extraction approaches from other types of source systems like hierarchical DBMS, etc and from source systems without triggering capability. This paper argues, from the practical point of view, that we need to consider not only the types of informa- tion sources and capabilities of ETT tools but also other factors of source systems such as operational characteristics (i. e.,whether they support DBMS log, user log or no log, timestamp), and DBMS characteristics (I. e., whether they have the triggering capability or not, etc), in order to find out appropriate data extraction techniques that could be applied to different source systems. Having applied several different data extraction techniques ( eg, DBMS log. user log, triggering, timestamp-based extraction, file comparison) to S bank's source systems (e.g, IMS, DB2, ORACLE, and SAM file). we discovered that data extraction techniques available in a commercial ETT tool do not completely support data extraction from the DBMS log of IMS system. For such IMS systems, a new data extraction technique is proposed which first creates Index database and then updates the data warehouse using the index database. We illustrates this technique using an example application.

      • KCI등재

        스포츠의 사회·경제적 불평등은 어떻게 정당화되는가?: 바우만(Z. Bauman)의 시각으로

        김기운 한국스포츠사회학회 2020 한국스포츠사회학회지 Vol.33 No.3

        This study attempted to derived discourse justifying socioeconomic inequality of sports based on Bauman’s insights about inequality in capitalist society. So, this study analyzed media news related to sports stars salaries. Total 142 media reports were collected and analyzed through media frame analysis. As a results, four types of frames derived. First, ‘Competition frame’ which describes the economic inequality of sports star as a natural result of competition appearing in the capitalist economic system. This frame consisted of two key themes: ‘High salaries are a symbol of ability’ and ‘A world of harsh professionals where only valuable players survive’. Second, ‘Market economy frame’ which describes the economic inequality of sports star as rational changes according to the consumption growth mechanism of the market economy, the growth of consumption culture for the pursuit of happiness, and ways to meet the needs of the public. This frame consisted of three key themes: ‘Salary increasing according to market values’, ‘The order of capitalist market economy’ and ‘Investment to secure competitiveness’. Third, 'Social stratification frame' which describes the economic inequality of sports stars as the difference between social status and class. This frame consisted of three key themes: ‘Idolization of high-paying player’, ‘Measure of social status and status’, and ‘Means of social status rise’. Fourth, 'Moral expectation frame' that describes the economic inequality of sports stars as a difference between morality and humanity. This frame consisted of two key themes: ‘Responsibility as a morally exemplary player and predecessor’ and ‘Sacrifice of star players and expectation of them’. 이 연구는 자본주의사회의 사회·경제적 불평등과 관련된 바우만의 시각으로 프로스포츠선수들의 연봉과 관련된 언론 보도를 분석함으로써 스포츠에 투영된 사회·경제적 불평등과 이를 정당화하는 담론을 통찰해보고자 하였다. 이러한 연구목적 달성을 위해 신문 및 방송 매체를 중심으로 142건의 보도자료를 수집, 언론 보도 프레임 분석을 통해 총 4가지 형태의 프레임을 도출하였다. 첫째, 전체 프레임의 38%를 차지하는 경쟁 프레임을 통해 프로선수들의 경제적 불평등을 자본주의 경제체계에서 나타나는 경쟁의 자연스러운 결과로 정당화한다. 둘째, 전체 프레임의 34.5%를 차지하는 시장경제 프레임을 통해, 프로선수들의 경제적 불평등을 시장경제의 소비성장 메커니즘에 따른 합리적 변화, 대중들의 행복 추구를 위한 소비문화의 성장, 대중들의 요구를 충족 수단으로 정당화한다. 셋째, 전체 프레임의 17.6%를 차지하는 사회 계층화 프레임을 통해, 프로선수들의 경제적 불평등을 사회적 신분과 계급의 차이로 정당화하고, 유한한 자원에 따라 사회적 지위 및 위계가 피라미드 형태를 띨 수밖에 없음을 강조한다. 넷째, 전체 프레임의 9.9%를 차지하는 도덕적 기대 프레임을 통해, 고액 연봉을 유명 선수들의 도덕적 기대와 희생이 반영된 결과로 묘사하고 연봉의 격차를 도덕성과 인간성의 차이로 정당화한다.

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