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김운성 장로회신대학교 2003 敎會와 神學 Vol.53 No.-
한 목사님이 있었다. 그 분은 첫 목회지에서 나름대로 열심히 목회를 했고 어느 정도 성과가 있었다. 그러던 중 좀 더 크지만 매우 어려운 교회로부터 청빙을 받게 되었다. 오랜 고민 끝에 목사님은 목회지 이동을 결정학 되었다. 그러나 이전 교회 교인들은 완강하게 목사님을 붙잡았다. 그 이유는 목사님을 사랑한다는 것이었다. 그러나 이면에는 왜 더 큰 교회를 선호하느냐는 항의도 담겨 있었다. 비록 교회의 크기에 따라 이동을 결심한 것은 아니었으나 교인들의 말은 목사님의 마음을 비수처럼 찔렀고, 신학교 시절 채플 시간마다 ‘부름 받아 나선 이 몸 어디든지 가오리다’라는 찬송을 목청껏 불렀던 것을 기억하면서, 좀 더 나은 여건을 따라 움직이려는 목회자로 비춰진 자신을 자책하며 결국 울었다. 결국 그 목사님은 원래의 사역지에 남았다.
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Blanching 條件 및 酸·알칼리 處理가 당근주우스의 品質에 미치는 影響
金雲成,金聖烈 충남대학교 농업과학연구소 1983 農業技術硏究報告 Vol.10 No.1
This study was conducted to obtain the fundamental data for the processing of carrot juices and know the effects of blanching conditions, acid and alkali treatments and sterilization on the quality factors of carrot juices. The result obtained was as follows. 1. Blanching condition, 100℃, 5min. was the most effective for the Brix, amino-N content, suspended solid, light transmittance and yield of carrot juices among 90℃. 15min., 95℃, 10min., and 100℃, 5min. 2. 0.05N-acetic acid solution was the most effective blanching solution for the suspended solid, light transmittance, viscosity and yield of the juices compared to 0.05N-citric acid and 0.03N-hydrochloric acid solution. 3. The color changes during the processing of carrot juices caused by blanching process rather than sterilization process. 4. The β-carotene in carrot juices was very stable and about 80 % of it was remained in the carrot juice which had been blanched, extracted and sterilized at 115℃ for 30min. 5. Alkali treatment for the juice from acid-blanched carrots formed discoloration after sterilization. 6. Relative content(%) of sugars in raw carrot juice were ribose, 8.51%; fructose. 10.15%; glucose, 12.25%; sucrose, 49.53% and oligosaccharide, 19.56%. When the carrots were blanched in boiling water, the contents of monosaccharide and disaccharide decreased slightly but that of oligosaccharide increased slightly, however, when the carrots were blanched in acid solution, and then neutralized and sterilized, relative contents of ribose and sucrose decreased remarkably but that of oligosaccharide increased considerably and those of glucose and fructose increased slightly. 7. Nineteen sorts of free amino acid were detected from the carrot juices and the mains of them were threonine+asparagine, alanine, serine+glutamine, aspartic acid, arginine, and glutamic acid.
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자궁경 자궁사이막절제술 후 발생한 폐부종과 저나트륨혈증의 경험 -증례 보고-
김운성,윤지영,정규연,권오선 대한마취통증의학회 2009 Anesthesia and pain medicine Vol.4 No.1
The hysteroscope has become a standard part of gynecologists’ armamentarium, and hysteroscopy is taught routinely in residency curriculums. In recent years, its use in gynecology has changed from a diagnostic tool only to an instrument for gynecologic operations. An electrolyte-free irrigation fluid is used for hysteroscopic surgery, and it has a possibility of substantial absorption of irrigation fluid. The absorption depends on the rate, volume and nature of the irrigation fluid. Fortunately, large-scale fluid absorption is rare but leads to symptoms severe enough to require intensive care. Several methods have been proposed to reduce the risk but none of them is capable of preventing the complication from fluid absorption. In this case, the patient had pulmonary interstitial edema with hyponatremia after hysteroscopic uterine septectomy but that had resolved without sequelae.
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김운성,이현정 대한의사협회 2013 대한의사협회지 Vol.56 No.9
Severe sepsis and septic shock are common and life-threatening medical conditions characterized by an overwhelming infection and the body’s inflammatory response to that infection. Early and appropriate management of sepsis significantly reduces short-term and long-term mortality. Fluid resuscitation for shock and appropriate early antibiotic therapy have the most impact on survival. Source control should be accomplished within 24 hours where appropriate. Optimal management of sepsis requires early, goal-directed therapy; lung-protective ventilation; and antibiotics. The use of corticosteroids, vasopressin, and intensive insulin therapy requires further study. In this review, we have summarized the key components in the management of sepsis and septic shock, including early recognition, early resuscitation, principles of antibiotic therapy, organ support, and role of adjunctive therapies.
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사회혁신기업 종사원의 회계분야 직무능력 향상을 위한 NCS 학습모듈 적용에 관한 연구: 직업기초능력의 조절효과를 중심으로
김운성 ( Un-sung Kim ),장석주 ( Seok-ju Chang ),권주형 ( Ju-hyoung Kwon ) 공주대학교 KNU 기업경영연구소 2019 기업경영리뷰 Vol.10 No.2
본 연구는 현재 가파른 양적 성장세를 나타내고 있는 사회혁신기업을 대상으로 사회혁신기업의 사회적 성과 및 재무적 성과를 계량적으로 나타낼 수 있는 회계분야를 중심으로 하여 NCS 교육 훈련 과정에 대한 NCS의 표준과 학습모듈에 대한 교육 활동이 사회혁신기업 종사자들의 직무능력 향상에 어떠한 영향을 미치는지를 살펴보는데 본 연구의 목적을 두고 있다. 또한 사회혁신기업에 대한 회계분야의 학습모듈의 적용이 직무수행능력에 미치는 영향에 관하여 실증하고 이들 관계에서 직업기초능력의 조절효과를 살펴보고자 하였다. 연구결과 가설1의 교육훈련과정의 적용이 전표/자금관리에 대한 경로는 통계적으로 매우 유의한 영향을 미치고 있는 것으로 나타나 가설 1-1과 1-2는 채택하였다. 가설2의 교육훈련과정의 적용이 결산/회계정보처리에 대한 경로가 통계적으로 매우 유의한 영향을 미치고 있는 것으로 나타나 가설 2-1과 2-2는 채택하였다. 또한 직업기초능력의 조절효과를 살펴본 가설 3의 분석결과 제약모형 1과 2는 모두 자유모형의 자유도 감소 값인 5를 상회할 만큼 χ2의 감소 값이 크게 나타나 자유모형이 제약모형보다 우수하다고 볼 수 있으며, 따라서 직업기초능력은 학습모듈의 적용과 직무수행능력간의 괸계에서 조절효과가 있다고 판단된다. 본 연구는 그동안 접근되지 않았던 사회혁신기업의 종업원을 대상으로 한 회계분야 NCS 학습모듈의 적용과 직무수행능력 향상에 관한 실증이라는 점에 의의를 두고 있다. 연구과정에 사회혁신기업의 경우 대부분의 교육지원 사업은 사회적경제의 이해나 협동조합의 실무, 마을기업 지정교육, 정부지원사업 설명회 등과 같이 아직도 사회적경제에 대한 이해 및 활용 정도에 국한되어 있으며, 인사, 세무, 법률 교육 등은 다소 미미하게 이루어지고 있다는 점이다. 사실 2019년 현재 약 2,000여개가 넘는 사회적기업 및 15,000여개의 협동조합이 존재하는 상황에서 이제는 좀 더 투명하고 경쟁력 있는 정보를 제공하기 위한 회계분야의 교육활동이 이루어져야 할 것으로 판단된다. 반면 본 연구 결과는 회계분야 학습모듈 적용의 실효성을 살펴본 것으로, 실제 NCS 학습모듈은 관련분야의 직무능력 향상에 유의한 영향을 미치는 것으로 볼 수 있어 다양한 산업분야에서 기 개발된 학습모듈의 적극적인 활용에 대한 이론적 기저를 제공할 수 있을 것이다. This study is a study on the application and results of the NCS learning module for improving the job skill of accounting innovators. As a result, it was found that the construction of the hardware as well as the application of the curriculum is very important for applying the learning module. In this regard, various studies such as curriculum development are being conducted. Therefore, the purpose of this study is to verify how the application of actual education activities to the learning modules in the accounting field affects the improvement of job performance in the field. The application of the training course of Hypothesis 1-1 shows that the path to the journal / fund management has a statistically significant effect, and the path of the hardware / This suggests that the hypotheses 1-1 and 1-2 are adopted. The hypothesis 2-1 shows that the application of the training and training process has a very significant effect on the path of accounting / accounting information processing, and the path of hardware / accounting information processing of the hypothesis 2-2 is also very strong The results of this study are as follows. As a result of the hypothesis 3, both the constraint models 1 and 2 show that the free model is superior to the constraint model because the decrease value of χ2 is larger than 5, which is the degree of freedom reduction of the free model, And the ability to perform job functions. This study implies that the application of the NCS module of accounting for the employees of the social innovation companies which have not been approached in the past and the improvement of the job performance ability are proved. In the case of social innovation companies, most of the educational support projects are limited to the understanding and utilization of the social economy, such as understanding of the social economy, cooperation of cooperatives, designation of village enterprises, Taxation, and legal education. In fact, as more than 2,000 social enterprises and 15,000 cooperatives exist in 2019, it is necessary to provide accounting education to provide more transparent and competitive information. The results of this study show that the effectiveness of the application of the learning module in the accounting field is examined and the actual NCS learning module has a significant effect on the improvement of the job ability in the related field.
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혈전색전억제 스타킹의 척추마취 후 저혈압에 미치는 효과
김운성 ( Won Sung Kim ),백승완 ( Seong Wan Baik ),김혜진 ( Hye Jin Kim ),윤지영 ( Ji Young Yoon ),이현정 ( Hyeon Jeong Lee ),김태균 ( Tae Kyun Kim ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.6
Background: Hypotension during spinal anesthesia is mainly result of sympathetic blockade, which causes pooling of blood into the lower extremities. Mechanical compression of lower limbs prevents venous pooling of blood. Thromboembolic deterrent (TED) stockings are in general surgical use for prophylaxis against lower limb deep vein thrombosis and TED stockings also supply pressure to lower limb. So we investigated the effect of TED stockings to prevent hypotension during spinal anesthesia. Methods: Sixty patients were randomized to receive fluid loading (crystalloid, 10 ml/kg) or TED stockings. After spinal anesthesia (heavy bupivacaine 14 mg), patients were placed in supine position for 12 minutes and in lithotomy position for 18 minutes. Blood pressure, pulse rates, shivering, and nausea were checked every 3 minutes for 30 minutes. If the systolic blood pressure was less than 90 mmHg or mean blood pressure was less than 80% of baseline mean blood pressure then i.v. ephedrine 5 mg was administered. Results: There was no statistically significant difference in baseline characteristics and blocked sensory level between the two groups. There was no statistically significant difference in the incidence of hypotension and mean arterial blood pressure at each time. Conclusions: We conclude that, under the conditions of this study, TED stockings decrease the pooling of blood into the lower limbs and prevent hypotension after spinal anesthesia. Although TED stockings prevent hypotension after spinal anesthesia, it does not reduce the incidence of hypotension. (Korean J Anesthesiol 2009; 56: 658~62)
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