가성장폐색으로 발현된 전신성 경화증

장선익,전성우,이순학,이응갑,오종택,조한진,배락천 대한내과학회 2008 대한내과학회 추계학술대회 Vol.2008 No.-

병원종업원의 직무특성과 임금체계 선호가 임금만족에 미치는 영향

장선익,이기효,김원중 한국보건복지학회 2006 보건과 복지 Vol.8 No.-

The main objective of this study is to investigate the influence of job characteristics and preferred pay system of hospital employees on pay satisfaction in order to provide the suggestion for improving motivation by pay administration in hospital settings. Data were collected from 364 employees in 5 general and university hospitals located in Busan Metropolitan City and surveyed with structured self-administered questionnaires. Major results of the empirical analysis are as follows: 1) Perception of surveyed employees was high in job importance, feedback and job identity, and performance system was preferred as the pay system. Their satisfaction in pay level was below average. 2) Regression analysis suggested that feedback was positively associated with pay satisfaction. 3) Also, it was found that pay satisfaction decreased as the preference for seniority system increased. 4) Among the job characteristic and preferred pay system variables, feedback was found to be the only significant factor that positively affected pay satisfaction.

포스터 전시 발표 순서 : 소화기 ; 가성장폐색으로 발현된 전신성 경화증 1예 (초)

장선익,전성우,이순학,이응갑,오종택,조한진,배락천 대한내과학회 2008 대한내과학회지 Vol.75 No.1S

혈성설사를 동반한 호산구성 대장염 1예

장선익,박형열,전인선 대한소화기내시경학회 2010 Clinical Endoscopy Vol.40 No.3

Eosinophilic colitis is a chronic inflammatory bowel condition of unknown etiology and a rare subtype of eosinophilic gastrointestinal diseases. It is characterized by gastrointestinal symptoms and increased eosinophil numbers in the intestinal mucosa and absence of other potential causes of gastrointestinal eosinophilia. The clinical presentation is varied and depends on the involved layer of the large intestine. There are no confirmatory laboratory tests, and the morphologic evaluation of biopsies or surgical specimens is required to confirm the diagnosis. A 65-year-old man presented with an 8 day duration of bloody diarrhea and lower abdominal pain. The patient was diagnosed with eosinophilic colitis by histopathological evaluation of biopsies and was further categorized as a nonatopic variant associated with non-IgE-mediated reaction. The patient was successfully treated with systemic corticosteroid for 2 weeks. On follow-up after 9 months, the patient remained well without relapse or new lesions. 호산구성 대장염은 호산구성 위장관 질환의 드문 아형이며, 두 연령대에서 호발하는데 한 그룹은 영아형으로 평균연령이 60일 정도이며, 다른 한 그룹은 청소년기와 성인 초기에 호발한다. 호산구성 대장염에서 아토피와 알레르기가 50%에서 관련되며, 아토피형과 비아토피형으로 나뉘는데 비아토피형은 아주 드물다. 저자들은 이전에 다른 병력이 없었으며 특별한 자각증상 없이 지내던 환자가 혈성설사와 하복통으로 내원하여 혈액검사에서 말초혈액의 호산구증가증과 정상범위의 혈청 IgE 소견을 보였고, 대장내시경검사에서 구불결장과 직장에 출혈성 미란과 궤양이 관찰되었으며 조직 검사에서 점막 고유층에 미만성 호산구 침윤 소견을 보여 비아토피형의 호산구성 대장염으로 진단하였고, 보존 치료에 반응이 없어 전신 스테로이드 치료로 호전을 보인 증례를 경험하여 보고한다.

피부병변과 다발성 뇌경색을 동반한 특발성 호산구 증다증 1예

장선익 ( Sun Ik Jang ),조일권 ( Il Kwan Cho ),박상준 ( Sang Jun Park ),김정현 ( Jung Hyun Kim ),최승호 ( Sung Ho Choi ),김선영 ( Sun Young Kim ),정성창 ( Sung Chang Jung ) 대한내과학회 2008 대한내과학회지 Vol.74 No.3

Idiopathic hypereosinophilic syndrome (IHES) is a rare systemic disorder that`s characterized by peripheral eosinophilia and eosinophilic infiltration of multiple organs, including the heart, lungs, skin, liver, gastrointestinal tract and nervous system. IHES is associated with a broad range of clinical findings, depending on the involved organ and the severity of the infiltration. The diverse modes of clinical presentation occasionally lead to a false clinical diagnosis. There are no specific tests for diagnosing IHES, and the therapies remain controversial. In this report, we describe a 34-year-old man with IHES that was associated with multiple brain infarctions in both cerebral and cerebellar hemispheres. Five months earlier, the patient presented with erythematous scaly hyperkeratotic skin lesions on both legs. He was treated with anticoagulation therapy, aspirin and topical corticosteroid for about 1 month. All his symptoms and signs dramatically improved, except for the persistent peripheral eosinophilia. On follow-up after 8 months, the patient remained well without relapse or new lesions. (Korean J Med 74:336-341, 2008)

전남 진도연안에서 조망어구에 채집된 어류 종조성과 계절변동

장선익(Sun-Ik JANG),이성훈(Sunh-Hoon LEE),이진(Jin LEE),한경호(Kyeong-Ho HAN) 전남대학교 어업기술연구소 2019 어업기술연구소보고지 Vol.12 No.1

The fishes were caught by beam trawl from December, 1999 to November, 2000 in coastal waters off Jindo. A total of 15,863 fishes were sampled and classified into 87 species, 46 families, and 10 orders. Of the 12 orders, Scorpaeniformes, Perciformes, Pleuronectiformes accounted for approximately 70.0% of the fishes in this area. Of 87 species identified, Erisphex pottii, Collichthys niveatus, Johnius grypotus, Acanthogobius flavimanus, Synechogobius hasta accounted for 74.6% of the fishes collected. The highest number of individuals was found in fall, while the lowest in spring. The richness index was the highest in winter(RI=7.447) and the lowest in fall(RI=3.985). The evenness index was the highest in spring(E=0.784) and the lowest in fall(E=0.412). The diversity index was the highest in winter(H’=3.058) and the lowest in fall(H’=1.499).

Gastric Endoscopic Submucosal Dissection Is Safe for Day Patients

안선영,장선익,이동욱,전성우 대한소화기내시경학회 2014 Clinical Endoscopy Vol.47 No.6

Background/Aims: Although the advantages of endoscopic submucosal dissection (ESD) are well established, there are important limitations that relate to its higher cost and higher rate of complications compared with endoscopic mucosal resection. This study assessed the therapeutic safety and efficacy of ESD in the treatment of small gastric dysplasia and early gastric cancer (EGC) located within the antrum in an outpatient setting, and it compared the results with those from patients admitted to hospital for ESD treatment. Methods: This study was a retrospective analysis of a prospectively maintained database. We reviewed consecutive patients with EGC or gastric dysplasia who underwent ESD between October 2007 and May 2008. The lesions were smaller than 2 cm and were located in the antrum. We analyzed 105 lesions in 105 patients. The patients were assigned to two groups according to each patient’s preference. Results: The overall rates of complete resection were 98.1% in the inpatients group and 94.3% in the outpatients group. Immediate bleeding occurred in four inpatients, which included one patient in the outpatient group. Delayed bleeding occurred in one inpatient within 24 hours of the procedure. Macroperforations did not occur in either group. A microperforation was found in one outpatient. Conclusions: The safety and efficacy of ESD used to treat small gastric tumors in the antrum in an outpatient setting appeared to be similar to the safety and efficacy of ESD used to treat patients who were admitted to the hospital.

상수도 자산의 경제적·효율적 관리를 위한 선제적 관리체계 구축 방안

이정훈,최태현,장선익 한국물환경학회 2020 한국물환경학회·대한상하수도학회 공동 춘계학술발표회 Vol.2020 No.-

대전광역시 상수도사업본부에서는 열악한 지방 재정범위내에서 노후화된 수도시설의 장래 개량 수요에 대응하여 최적의 투자계획을 수립하고자 환경부에서 예산을 지원받아 자산관리시스템 구축사업을 추진하고 있으며 대전광역시 상수도사업본부 자산관리시스템은 지방공기업법 시행령 제12조 규정에 의거 상수도사업본부 소유 유동자산과 비유동자산을 적용범위로 하고 있으며 지방공기업법령에 의거 공유재산 및 물품과 채권, 유가증권 및 현금을 기업자산으로 하고 비유동자산의 평가기준, 감가 상각기준 및 방법, 잔존가액 등 관련 법령 및 규정에 따라 추진할 계획이다. 본 시스템을 구축함에 있어 기존 상수도 분야 및 국가기반시설 등의 다양한 자산관리체계 연구보고서를 참조하여 지방자치단체 산하 공기업에서 공동 활용할 수 있는 범용시스템 구축을 목표로 자산의 취득·유지·폐기·대체 등 전 과정을 효율적으로 관리될 수 있도록 자산실사 및 재평가를 위한 지침의 개발, 재정운영적인 측면에서 자산과 관련된 재무정보와 예산과의 관계 및 재정적 관점의 자산관리시스템 구축 방향을 제시하고자 한다. 이를위해 자산관리 국제표준인 ISO55001의 자산관리 프레임워크와 환경부에서 제시하고 있는 자산관리 7단계(인벤토리DB구축, 운영자료조사 기술진단, 잔존수명 예측, 서비스 수준 분석 및 설정, 리스크 분석 및 개량 수요 분석, 취적투자계획수립, 재정계획 및 자산관리 기본계획 수립) 적용방안을 검토하고자 한다. 아울러 지방자치단체에서 사업을 수행함에 있어 다양한 사업규정을 준수할 수 있도록 추진절차를 검토하고 이에따른 수행조직 구성방안과 자산관리의 수행자별 핵심 업무, 표준 물품분류코드 적용방안, 효율적이고 경제적인 소요예산 산정방안 및 지방자치단체간 공동 활용 방안을 검토하여 제시하고, 특히 효율적이고 지속가능한 자산관리를 위하여 기존 기관별 운영하고 있는 다양한 업무용 시스템(수용가정보시스템, 시설물관리시스템, 예산·회계 등 재정정보시스템 등) 연계를 위한 방안을 모색함으로써 광역단위의 상수도사업본부뿐만 아니라 일반 시·군 등의 소규모 수도사업자도 공동 적용할 수 있는 방안을 모색하고자 한다. 최근 상수도분야에서 발생하고 있는 적수사태 및 유충발생사태 등을 통해 안전한 상수도 관리의 중요성이 대두됨에 따라 최적·적기 투자 계획수립을 수립하기 위한 지방자치단체 자산관리시스템 표준도입 모델을 제시하고자 한다.

역행성 경정맥 위정맥류 폐색술 후 위정맥류 재출혈에 관한 장기간 관찰 결과

이순학,조한진,장선익,오종댁,이응갑,배락천,박수영,정민규,전성우,조창민,탁원영,김성국,최용환,권영오 대한간학회 2008 Clinical and Molecular Hepatology(대한간학회지) Vol.14 No.3(S)

저질에 따른 바지락(Ruditapes philippinarum)의 염분내성

한경호,오성현,장선익,이우범,이원교 國立 麗水大學校 環境問題硏究所 2000 環境硏究論文集 Vol.3 No.-

Salinity tolerance of the manila clam, Ruditapes philippinarum in Gang-jin Bay on the from May to June was investigated in two different types of sedimentary composition. In the experimental groups of sandy-mud, the survival and infiltration rate were good at 20~40ppt, but all the manila clam, Ruditapes philippinarum died at more than 50ppt and less than 10ppt before the experiment finish. In the experimental groups of muddy, the survival and infiltration rate were the best at 25~35ppt and then 20ppt, 40ppt. All the manila clam, Ruditapes philippinarum died at more than 45ppt and less than 15ppt. The survival rate in the experimental groups of sandy-mud was higher than muddy ones, and the infiltration rate was the highest at 20~35ppt in the both of two experimental groups. In the sand-mud, the manila clam, Ruditapes philippinarum infiltrated half of their shells but in the muddy, they infiltrated more then half of their shells.