경피적 동맥확장술을 이용한 당뇨족 허혈의 치료

김홍렬,한승규,나승운,김현석,김우경,Kim, Hong-Ryul,Han, Seung-Kyu,Rha, Seung-Woon,Kim, Hyon-Surk,Kim, Woo-Kyung 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.2

Purpose: In treating diabetic foot ulcers, satisfactory vascularity is an essential prerequisite. To improve vascularity, a bypass graft has long been carried out. Recently, however, percutaneous transluminal angioplasty (PTA) has also been tried since the PTA is less invasive than the bypass graft. However, publication demonstrating the improvement of vascularity after the PTA are lacking. Therefore, this study was designed to show usefulness of the PTA in treating vasculopathy of diabetic foot. Materials: and Methods This study included 30 feet of 24 ischemic diabetic foot patients. Inclusion criteria were diabetes (duration > 5 years) and a significant lower extremity ischemia, as determined by a transcutaneous oxygen pressure ($TcpO_2$) < 30 mmHg. The PTA was carried out in 61 arteries. PTA procedure was considered successful, when residual stenosis was less than 30%. The procedure was considered failed when residual stenosis was more than 50%. Residual stenosis between 30% and 50% was considered acceptable. For evaluation of PTA effect, foot $TcpO_2$ and infrared thermography were measured before and 7th day after PTA. Results: Immediately after PTA performed in 61 arteries, 58 and 3 arteries were evaluated as being successful and acceptable, respectively. Before PTA, average foot $TcpO_2$ was $12.6{\pm}8.8$ mmHg and its value was increased to $44.2{\pm}23.9$ on 7th day after PTA (p<0.01). Average skin temperature was $31.8{\pm}1.2^{\circ}C$ before PTA and it was increased to $33.5{\pm}1.1^{\circ}C$ on 7th day after PTA (p<0.01). Conclusion: PTA procedure increases tissue oxygenation of ischemic diabetic feet which do not have wound healing potential due to low tissue oxygenation, to the level of possible wound healing. In addition, PTA increases skin temperature of ischemic diabetic feet which can imply an improvement of peripheral circulation.

지방자치단체의 도서관 자치법규 분석

김홍렬,Kim, Hong-Ryul 한국도서관정보학회 2014 한국도서관정보학회지 Vol.45 No.2

본 연구는 전국 245개 광역 및 기초자치단체가 제정하여 운영하고 있는 도서관 자치법규를 전수 조사하여 분석하였다. 연구의 분석결과를 통하여 자치법규 제정현황을 점검하고, 도서관 설치 및 운영을 뒷받침하는 법제적 근거로 작용할 수 있는 자치법규 제정의 개선방안을 제시하고자 한다. 조사결과 우리나라 245개 광역 및 기초자치단체가 운영 중인 도서관 자치법규는 조례가 393건, 규칙이 187건, 훈령(규정)이 43건, 예규(지침)가 6건으로 모두 629건으로 조사되었다. 또한 도서관 관련 자치법규가 전무한 지방자치단체는 32개이며, 도서관운영 조례가 없는 지자체는 40개, 작은도서관 운영조례가 없는 지자체는 144개, 독서문화진흥조례가 없는 지자체는 196개에 이르고 있는 것으로 조사되었다. 본 연구결과는 향후 우리나라 지방자치단체에서 도서관 자치법규 제정의 기초자료로 활용할 수 있을 것이다. This study was to investigate and analysis the library-related laws and regulations enacted by local governments. As a result, library regulations are investigated all 629 cases in nationwide survey. Among them, library-related ordinances are 393 cases, library-related regulations are 187 cases, and library-related anweisung are 43 cases, such as the order was followed. The Library ordinance 393 cases consist of library management ordinance(205 cases), small library ordinance(101 cases), reading promotion ordinance(49 cases), and so on. The 32 local governments did not enact the Library laws and regulations. And the 40 local government did not enact Library management ordinance. It is suggested that local government did not enact library-related laws should be established the library laws as soon as possible.

'총각김치' 명칭의 시작과 확산, 그리고 보편화 과정 고찰: 음식문화 콘텐츠 관점을 연계하여

김홍렬,Kim, Hong Ryul 한국식생활문화학회 2022 韓國食生活文化學會誌 Vol.37 No.5

Research on the birth (起源) and names (語源) of foods such as kimchi is important to understand traditional food culture. kimchi, an 'add flavored, fermented, pickled, vegetable food' was initially prepared with the simple purpose of increasing storage capabilities, but later, through a complex process of change, morphological diversification occurred. In addition to the basic name of 'kimchi', each variety has its unique name and history. This study was conducted through qualitative research using various research methods, such as oral records and interviews, as well as investigation of data from literature, including ancient literature, modern cookbooks, newspapers, magazines, papers, and videos. The study sought to investigate the context and the meaning of the name Chonggak kimchi. In addition, it is a compilation of how the name spread through the ages and evolved to its current name. The name Chonggak kimchi did not exist during the Joseon Dynasty and Japanese occupation and first appeared in the records in the late 1950s. Nevertheless, the original name of 'Altarimu kimchi' evolved and finally became a part of the standard Korean language (標準語) in 1988. In the process of the name spreading and becoming popular, the movie "Chonggak kimchi (1964)," starring Shin, S.I., and Eom, A.R. played a significant role. It was also confirmed that this was a meaningful and valuable case of contentization of traditional food culture, regardless of the intention behind the same.

건강한 소아의 턱에 발생한 Mycobacterium abscessus에 의한 연부조직 감염: 증례 보고

김홍렬,김덕우,Kim, Hong-Ryul,Kim, Deok-Woo 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.3

Purpose: Mycobacterium abscessus belongs to the group of rapid-growing atypical mycobacterium. The organism is ubiquitous and is found in soil, dust, and water. Although it rarely causes disease in humans, Mycobacterium abscessus has been associated with soft tissue infection. To the best of our knowledge, this is the first case report of facial soft tissue Mycobacterium abscessus infection in a healthy child in Korea. Methods: A 12-year-old girl presented with an erythematous skin lesion with serous discharge on her chin, which had been present for 3 weeks. On her history, she had a laceration wound on her chin at public bath and the lesion was repaired at emergency department immediately. Although conventional soft tissue infecton treatment, her lesion remains unhealed state and had serous discharge for 2 months. Moreover, we found a 1 cm sized nodular mass on her chin. Therefore we performed excision operation and referred the specimen to the laboratory for microbial and histopathologic study. Results: Pathology report confirmed the mass was enlarged lymph node with chronic necrotizing granulomatous inflammation with central microabscess. Non-Tuberculous mycobacterium identification test through tissue specimen resulted Mycobacterium abscessus. We prescribed clarithromycin for three weeks by oral administration as well as performed wound debridement and mass excision via previous wound. This way, her lesion appeared to be complete healing with minimal scarring. There were no evidence of inflammation sign or palpable mass. Conclusion: Although the prevalence is rare, Mycobacterium abscessus infections of soft tissue should be considered even in a healthy child with a lesion caused by trauma or which fails to respond to conventional treatment.

림프부종에 의한 신경포착증후군: 증례 보고

김홍렬,안덕선,Kim, Hong-Ryul,Ahn, Duck-Sun 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.1

Purpose: One of the most common cause of upper extremity lymphedema is breast cancer surgery. We experienced the nerve entrapment syndrome which was associated with postmastectomy lymphedema. To the best of our knowledge, this is the first case report of lymphedema induced nerve entrapment syndrome on upper extremity in Korea. Methods: A 54-year-old woman presented with a tingling sensation on her right hand, which had been present for 1 year. On her history, she had a postmastectomy lymphedema on her right upper extremity for 20 years. Initial electromyography (EMG) showed that the ampulitude of the median, ulnar, and dorsal ulnar cutaneous nerve were decreased, and conduction block was also seen in median nerve across the wrist. In needle EMG, incomplete interference patterns were observed in the muscles innervated by median and ulnar nerves. In conclusion, electrophysiologic study and clinical findings suggested right median and ulnar neuropathy below the elbow. Therefore, we performed surgical procedures, which were release of carpal tunnel, Guyon's canal, and cubital tunnel. Results: The postoperative course was uneventful until the first two years. The tingling sensation and claw hand deformity were improved, however, the motor function decreased progressively. In 7 years after the operation, patient could not flex her wrist and thumb sufficiently. EMG which was performed recently showed that ulnar motor response was of low ampulitude. Moreover, median, ulnar, dorsal ulnar cutaneous, lateral antecubital cutaneous and median antebrachial cutaneous sensory response were unobtainable. Abnormal spontaneous activities were observed in upper arm muscles. In conclusion, multiple neuropathies were eventually developed at above elbow level. Conclusion: On treating nerve entrapments associated with lymphedema, medical professionals should be fully aware of the possibility of unpredictable results after the surgery, because of the pathophysiologic traits of chronic lymphedema.

KESLI 참여를 위한 패키지형 전자저널의 평가요소에 관한 고찰

김홍렬,Kim, Hong-Ryul 한국과학기술정보연구원 과학기술정보센터 2006 Journal of Information Science Theory and Practice Vol.37 No.4

본 연구의 목적은 KESLI 참여기관이 패키지형 전자저널을 구독하는 데 도움을 주고, 패키지형 전자저널의 선정을 위해서 반드시 고려되어야 할 평가요소를 제시하고자 한다. 이를 위하여 기존의 관련 연구에서 나온 전자저널의 선정기준들을 문헌적으로 고찰하고, KESLI 참여기관의 구체적인 전자저널 평가요소를 출판사나 대행사에서 제시한 컨소시엄 참여 제안서와 계약 및 구독조건을 토대로 선정하고자 한다. 그 결과 전자저널 평가요소로 10개의 평가범주에 따른 34개의 세부 평가요소를 선정하였다. 이러한 평가요소는 개별 도서관이 새로운 패키지형 전자저널을 선정하거나 구독중인 전자저널 패키지의 계속구독 여부를 결정할 때 참고할 수 있는 기초자료로 활용할 수 있을 것이다. The purpose of this study is to select factors that its impact on subscription of the package type e-journal in Korea. In order to accomplish this study, factors to select the package-type electronic journal are discussed through preceded research literatures, and presented the factors for subscription of the package-type electronic journal based on KESLI materials. As a result, ten evaluation categories and thirty-four evaluation factors are selected as e-journal evaluation elements.

지역대표도서관의 역할 및 추진 방향에 관한 사서들의 인식 연구

김홍렬,Kim, Hong-Ryul 한국도서관정보학회 2009 한국도서관정보학회지 Vol.40 No.1

지역대표도서관은 지역의 특성을 반영하여 운영되어야 하며, 그 기능과 업무내용도 우선순위를 설정하여 점진적으로 추진되어야 한다. 이러한 관점에서 본 연구는 지역대표도서관의 정책을 올바르게 이해하고, 해당지역의 도서관정책을 수립하거나 협력사업의 추진내용을 결정할 때 참고할 수 있는 기초 자료를 수집하기 위하여 지역대표도서관의 역할 및 추진방향에 관한 사서들의 인식을 조사하였다. 그 결과, 사서들은 도서관 발전방향 및 정책수립과 대외도서관협력을 지역대표도서관이 추진해야 할 가장 시급한 과제로 인식하고 있었으며, 자료의 납본 및 보존, 지역주민의 정보서비스에서는 상대적으로 낮은 인식을 보였다. 또한 향후 최우선으로 고려해야 하는 협력업무로 교육 및 문화프로그램의 협력과 도서관상호대차가 높게 나타났으며, 공동보존은 상대적으로 낮게 인식하는 협력사업으로 확인되었다. Regional central library have to reflect the characteristics of the each region. And it must to set priority the various tasks. The purpose of this study is to investigate and analyze the librarian's recognition about roles of regional central library for support to the local libraries. As a result, librarians was recognized the direction of library policy and cooperation between the local libraries as the most urgent task. Also, librarians was considered the educational and cultural programs and interlibrary loan as the top task to perform in the future. The results is very useful in deciding contents of library cooperation and establishing of the Library Policy.

KINITI의 문헌제공서비스에 관한 이용연구 - 1996년 이용데이터를 중심으로 -

김홍렬,Kim, Hong-Ryul 한국과학기술정보연구원 과학기술정보센터 1997 Journal of Information Science Theory and Practice Vol.28 No.2

국내 최대 문헌복사기관인 산업기술정보원의 문헌복사이용에 관한 통계를 기반으로 KINITI의 문헌복사활동현황과 국내 이용자들의 문헌복사 이용형태를 조사하였다. 1996년도 이용통계를 중심으로 문헌복사 처리건수, 이용자의 신청방법, 제공방법, 불능건수, 문헌처리일수, 연간물 이용빈도별 문헌순위 등을 통계적으로 산출하여 설명하였다. 1996년말 현재 문헌신청건수는 456,829건으로 전년도 대비(446,065건) 2.4% 증가하였다. The author describes document delivery services and document usage patterns of domestic users based on usage statistical data about photocopying service of KINITI that the most important document delivery organization in Korea. And investigated ordering procedures of users, number of document processed and rejected in photocopying service, and delivery methods for users and so on. In FY 1996, number of document in photocopying service increased 2.4 percent in proportion to previous year.

작은도서관 운영자의 직무특성과 직무만족도에 관한 연구

김홍렬,Kim, Hong-Ryul 한국도서관정보학회 2011 한국도서관정보학회지 Vol.42 No.4

본 연구는 작은도서관 운영자를 대상으로 그들이 지각하고 있는 직무특성과 직무만족도를 조사하고자 한다. 또한 작은도서관 운영자들의 개인적인 차이를 파악하고 특정 직무를 지각하는 개인적인 특성과 직무만족도를 고려한 작은도서관 운영자의 선발과 충원, 직무배치로 조직의 운영과 정보서비스 제공에 도움이 될 수 있는 기초자료를 제공하자고 하였다. 본 연구결과 결혼관계, 성별, 연령 등의 개인적 특성은 직무특성에 영향을 미치지 않았으나, 자격증과 고용형태는 직무특성에 유의미한 영향을 미치고 있었다. 직무만족에 있어서는 결혼관계, 성별, 연령, 고용형태 등의 개인적 특성이 영향을 미치고 있음을 확인하였다. This study is to investigate the job characteristics and the job satisfaction of the administrators in small libraries. Also, it is to catch individual differences between the administrators and provide the preliminary data which is helpful to the operation of organizations and offer of information service with selection, supplement of administrators in small libraries and employment placement which is regarding individual characteristics that perceive specific job, and the job satisfaction. As a result, individual characteristics, such as marital status, gender, and age, don't affect the job characteristics, but certificates, and formation of employment influences meaningfully to the job characteristics. It convinced that the individual characteristics, such as marital status, age, and formation of employment, influence to the job satisfaction.

지역주민들의 도서관불안에 관한 연구

김홍렬,Kim, Hong-Ryul 한국도서관정보학회 2008 한국도서관정보학회지 Vol.39 No.4

공공도서관이 지역주민들의 정부 교육, 문화센터로서의 기능을 충실히 수행하기 위해서 지역주민들이 자유롭게 방문하여 아무런 불편함이 없이 정보문화활동을 전개해야 한다. 이를 위해서는 현재 지역주민들이 가지고 있는 도서관불안을 해소할 수 있는 체계적인 프로그램이나 방안을 마련하는 것이 필요하다. 이러한 관점에서 본 연구는 공동도서관을 이용하는 다양한 계층의 지역주민들을 대상으로 LAS(Library Anxiety Scale)를 사용하여 도서관불안의 정도를 측정하고, 이를 해소할 수 있는 방안을 제시하였다. 대체로 지역주민들의 도서관 불안은 높게 나타났으며, 계층별, 연령별, 학력별, 도서관방문휫수별, 도서관교육프로그램 참여 여부에 따라 도서관불안의 정도 차이가 매우 높았다. This study was investigated and analyze the library anxiety of public library users utilize LAS. The main contents of this study contained the differences of library anxiety in sex, educational background, age categories, the frequency of library visit, the completion of information literacy program and library use instruction. Library anxiety is very differed according to the various factors, especially, the library anxiety of knowledge of library, barriers with staff was high, the average LAS score is 2.61, 2.60. Regard to results of this study, conclusion are suggested the recommendations for a decrease in library anxiety of public library users.