지방정부의 제4차 산업혁명 대응전략에 대한 정책 우선순위 분석

김건위(金虔?),현승현(玄承鉉) 한국지방자치학회 2018 韓國地方自治學會報 Vol.30 No.4

이 연구는 제4차 산업혁명 시대의 지방정부 대응전략 수립을 위한 방안으로서 정책우선순위를 분석하였다. 분석한 결과, 우선적으로 산업의 기초체질을 강화하는 것이 급선무이며, 이를 토대로 지역의 일자리 창출이 이루어져야 할 것이다. 또한, 공공부문의 지원도 병행되어야 할 것이다. 세부적으로 기존 정책의 상태 유지가 필요한 분야(창업 및 첨단화, 특화산업 등), 중앙정부의 선도적 지원이 필요한 분야(교육 및 핵심기술, 그리고 노사정 협업 등), 중장기적인 노력이 요구되는 분야(규제완화, 적극적 복지, 대학원 육성 등), 그리고 중요성은 낮으나 정책 실현 가능성이 높은 분야(동향분석 등) 등이다. 이를 통하여 중장기 대응책 마련과 지역산업의 집중적 육성이 필요하며, 아울러 교육까지 연계된 정책이 추진될 때에 시너지 효과를 거둘 수 있을 것이다. This study analyzed the priorities of policies as a way to establish a response strategy for local governments in the fourth industrial revolution. As a result of the analysis, it is imperative matter to strengthen the basic structure of the industry in the first place and create jobs in the region based on it. Also, public sector support will be needed. There are several areas in detail - areas that need to maintain the status of existing policies (start-up and modernization, special-purpose industries, etc.), areas requiring leading support of central government (education and core technologies, cooperation in labor, management, etc.), areas requiring active long-term efforts (deregulation, active welfare, graduate school development), and areas of low importance but highly likely to implement policies (trend analysis). This will require long-term countermeasures and intensive promotion of local industries, as well as synergy effects when policies linked to education are implemented.

용접공진폐증의 고해상 CT소견

김건일 대한영상의학회 1996 대한영상의학회지 Vol.34 No.3

Purpose : To describe the characteristic HRCT appearance and to evaluate the usefulness of HRCT in patientswith welders' pneumoconiosis. Materials and Methods : Chest radiographs and high-resolution computedtomography(HRCT) of 45 shipyard welders(male : female=41 : 4 ; age : 36-58 years, mean 47.8) with an occupationalhistory of 4-25(mean 15.8) years were evaluated. Small rounded opacities in chest radiographs were read accordingto the ILO standard films(1980). HRCT were evaluated with micronodules, ground-glass attenuation, and otherfindings. Serial HRCT scans of seven welders taken 27 months apart were also evalauted. Two of these were stillworking in that job ; five had not worked as welders for 1-6(mean 4.4) years. Results : HRCT of welders'pneumoconiosis showed poorly marginated centrilobular branching or dot opacities of low attenuation(n=36, 80.0%)with variable profusion and extent and ground-glass attenuation(n=8, 17.8%). HRCT abnormalities were seen in 39welders(86.7%). It was able to depict micronodules(n=13) and/or ground-glass attenuation(n=3) in 15(68.2%) of 22welders with normal chest radiograph. Serial HRCT revealed no changes in parenchymal abnormalities(n=6) andslightly decreased profusion of micronodules(n=1). There was no HRCT abnormality suggesting gross paren- chymalfibrosis. Conclusion : HRCT is more sensitive than chest radiography in detecting parenchymal changes in welders'pneumoconiosis, with characteristic poorly-marginated centrilobular branching opacities or dots and ground- glassattenuation. These HRCT appearances may be helpful in differentiating welders' pneumoconiosis from other diffuselung diseases.

요추간판수핵탄출증에 의한 신경근압박의 평가에 있어서 전산화단층촬영술의 가치: 척추강조영술과의 비교

김건일 대한영상의학회 1988 대한영상의학회지 Vol.24 No.2

High resolution computed tomography is the most accurate diagnostic tool to define a lumbar herniated disc disease because it provides a complete in vivo analysis of bony framework of lumbar spine as well as the supporting soft tissue structures and neural elements. The purpose of this study is to estimate the valve of CT in the evaluation of nerve root compression caused by herniated disc disease. We alalyzed 52 roots of 26 patients of single level herniated disc disease with definite evidence of bilateral or unilateral neurologic deficit who had both CT and myelography at Pusan National University Hospital from May 1983 to March 1987. The results were as follows: sensitivity and specificity of CT is 77% and 81% respectively in the diagnosis of nerve root compression caused by lumbar herniated disc disease. sensitivity and specificity of myelography is 77% and 81% respectively in the diagnosis of nerve root compres-sion caused by lumbar herniated disc disease. The results of this study indicate that high resoluation CT was equivalent to myelography in the diagnosis of nerve root compression caused by lumar herniated disc disease.

Right Coronary Artery Fistula and Occlusion Causing Myocardial Infarction after Blunt Chest Trauma

김건일,이원용,고호현,김형수,이희성 대한흉부외과학회 2014 Journal of Chest Surgery (J Chest Surg) Vol.47 No.4

Myocardial infarction (MI) secondary to coronary artery fistula and the subsequent occlusion of the distal right coronary artery (RCA) after blunt chest trauma is a rare entity. Here, we describe a case of coronary artery fistula and occlusion with an inferior MI that occurred following blunt chest trauma. At the initial visit to the emergency room after a car accident, this patient had been undiagnosed with acute myocardial infarction, readmitted five months after ischemic insult, and revealed to have experienced MI due to RCA-right atrial fistula and occlusion of the distal RCA. He underwent coronary surgery and recovered without complications.

영업양도와 근로관계의 승계 - 대법원 1994.6.28 선고 93다 33173 판결(공보 94 - 2082) -

김건일 한국사법행정학회 1994 사법행정 Vol.35 No.12

소프트 그리퍼를 이용한 움직이는 물체 파지 시스템 개발

김건,성찬우,김건호,홍아영 제어로봇시스템학회 2023 제어로봇시스템학회 국내학술대회 논문집 Vol.2023 No.6

겨울철 한반도 연근해 변동과 한반도 기온의 일별 상관관계

김건일,국종성 한국기상학회 2016 한국기상학회 학술대회 논문집 Vol.2016 No.10

시골집

金鍵一 세계평화교수협의회 1989 廣場 Vol.189 No.-

計理士制度에 對한 考察

金健一 成均館大學校 商學會 1962 成均商學 Vol.3 No.1

Hemoglobin Level to Facilitate Off-Pump Coronary Artery Bypass without Transfusion

김건일,고호현,김형수,정재한,이원용 대한흉부외과학회 2014 Journal of Chest Surgery (J Chest Surg) Vol.47 No.4

Background: Conservation of blood during cardiac surgery is important because of the shortage of donor blood, risks associated with transfusion, and the costs of allogeneic blood products. This retrospective study explored the feasibility of off-pump coronary artery bypass (OPCAB) without transfusion. Methods: One hundred and two consecutive patients underwent OPCAB from January 2007 to June 2012 at Hallym University Sacred Heart Hospital. Excluding 10 chronic renal failures patients, 102 patients were enrolled. Their characteristics, clinical data, and laboratory data were analyzed. We investigated the success rate of OPCAB without transfusion according to preoperative hemoglobin (Hb), and the cutoff point of the Hb level and the risk factors for transfusion. We implemented multidisciplinary blood-saving protocols. Results: The overall operative mortality and the success rate of OPCAB without transfusion were 2.9% (3/102) and 73.5% (75/102). The success rates in patients with Hb<11, 11 <Hb<14, and 14<Hb were 35.0%, 79.2%, and 89.7% (p=0.01), respectively. The risk factors for transfusion are age>70 years, diagnosis of acute myocardial infarction, preoperative Hb and creatinine levels, and operation time. The events precipitating the need for transfusion were low Hb level in 9 patients and hypotension or excessive bleeding in 18 patients. Conclusion: The preoperative Hb level of >11 facilitates OPCAB without transfusion. These results suggest that transfusion-free OPCAB can be performed by modifying the risk factors and correctable causes of transfusion and improving various blood salvage methods.