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      • 지역 창업생태계 분석을 통한 청년창업 활성화 방안 연구 - 대전지역 창업지원 프로그램 참여자를 중심으로 -

        이창구(Lee Chang Gu),서영욱(Seo Young Uk) 한국창업학회 2018 한국창업학회 Conferences Vol.2018 No.3

        본 연구의 목적은 경기침체로 인한 청년실업률 상승이 경제·사회의 구조적 문제를 해결하기 위하여 정부와 지자체에서 새로운 돌파구로 제시하고 있는 청년창업을 활성화시키기 위한 청년 창업생태계의 요소들에 대해 고찰하고자 하였다. 본 연구를 위하여 2010년부터 대전광역시와 대전경제통상진흥원의 청년창업사업을 지원받은 622개 기업을 대상으로 창업지원체계, 창업문화, 인재양성 및 자금지원 등 4가지 요소를 중심으,로 대전지역의 청년 창업생태계를 분석하고 청년 창업생태계 활성 화를 위한 방향을 제시하고자 하였다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 대전광역시의 청년 창업지원체계에서 공간지원과 자금지원 및 사업화지원 등에서 우수한 성과를 보인 것으로 분석되었으나 창업교육 등 인재양성 분야에서는 많은 개선이 필요한 것으로 보였다. 둘째, 청년 창업생태계의 장애요인으로는 창업자금 확보를 위한 금융 인프라 부족과 창업성공까지 생계유지를 위한 지원정책의 부족으로 조사되어 자금지원을 위한 금융지원과 창업 전문교육·멘토링 부문에 많은 관심을 기울여야 할 것으로 판단되었다. 이상의 연구로부터 대전지역청년 창업생태계 활성화를 위해서는 창업수당, 엔젤투자와 크라우드 펀딩 확대, 창업 세금감면 등 창업성장 단계와 금융지원의 정책을 활성화하는 정책을 제안하고자 한다. 본 연구에서는 지정학적 위치 여건, 풍부한 인적자원 및 협업기관(기업)이 대전지역 청년 창업생태계의 장점으로 분석된바 지역 창업생태계 구성 요소 간 연계성강화를 위한 정책이 우선되어 야 한다는 당위성을 밝혀냈다는 점이다. 또한 다양한 창업 금융정책을 통해 청년 창업가가 성공창업에 도달 할 때까지 지원 할 수 있는 금융정책을 우선적으로 시행해야 한다는 실무적인 시사점을 얻을 수 있었다. The purpose of this study is to examine the factors of young entrepreneurial ecosystem in order to revitalize young entrepreneurship which is presented as a breakthrough in the government and local governments to solve the economical and social structural problems of unemployment rate increasing in youth due to the economic recession. For this study, 622 companies got youth startup business support by Daejeon Metropolitan City and Daejeon Business Agency had selected for this study. Based on 4 factors such as start-up support system, start-up culture, training of talented and financial support, we analyzed the young entrepreneurial ecosystem and suggested the directions for revitalizing young entrepreneurial ecosystem in Daejeon. The results of this study are summarized as follows. First, it was analyzed that it showed excellent performance in the space support, financial support and commercialization support in the young start-up support system of Daejeon. However, it seemed that much improvement is needed in the field of training of talented such as entrepreneurship education. Second, the obstacles in the young entrepreneurs ecosystem were the lack of financial infrastructure to secure start-up funds and the supportive policies to keep a livelihood until start-up success. So, we are judged to be included considerable attention to financial support for start-up funding and professional education and mentioning. In order to activate the youth entrepreneurial ecosystem in the Daejeon, we propose a policy to revitalize the start-up growth stage and financial support policies such as start-up benefits, expansion of angel investment and crowd funding and start-up tax reduction. In this study, geographical location conditions, abundant human resources and collaborative organizations (companies) were analyzed as advantages of the young entrepreneurial ecosystem in Daejeon. We also found out the appropriateness that the policy for strengthening the linkage among the components of the entrepreneurial ecosystem should be prioritized. In addition, we have reached a practical implication that the financial policies to support young entrepreneurship until start-up success should prioritize through the various start-up monetary policy.

      • KCI등재후보
      • KCI등재
      • 산후에 발병한 특발성 부갑상선 기능저하증 I 예

        김정인,김상용,신병철,김경남,서영욱,이범주,김진화,배학연 朝鮮大學校 附設 醫學硏究所 2002 The Medical Journal of Chosun University Vol.27 No.2

        Hypoparathyroidism is usually the result of an inadvertent surgical removal of all the parathyroid glands, In some instances, not all the tissues are removed, but the remainder undergoes vascular supply compromise secondary to the fibrotic changes in the neck after surgery, Previously, the surgery for hyperthyroidism was the most frequent cause of acquired hypoparathyroidism. Idiopathic hypoparathyroidism is a relatively rare disease that is characterized by hypocalcemia and hyperphosphatemia due to a parathyroid hormone deficiency of an unknown cause, It usually develops at a young age, and shows various clinical symptoms and signs accompanied with hypocalcemia. In addition, it is rarely associated with polyglandular autoimmune syndrome during the follow-up. Hypocalcemia and idiopathic hypoparathyroidism associated with labor and lactation are rarely reported condition previously. We here describe a case of a woman in whom the symptomatic severe hypocalcemia appeared after her delivery. We reviewed all the previously reported cases and suggest a possible physiological explanation for the association between pregnancy, lactation, and the appearance of symptomatic hypocalcemia.

      • 유지 투석중인 만성 신부전환자에서 허혈성 심질환의진단 지표로서의 심장트로닌-I의 유용성

        신병철,강대웅,정지용,류봉관,서영욱,김정인,김범윤,김현리,정종훈 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

        Background : Coronary disease is highly prevalent in patient with end stage renal disease (ESRD) and account for much of their observed morbidity and mortality. Troponin-I consistently maintains a high sensitivity and specificity and is most sensitive marker for ischemic heart disease (IHD). Method : We examed 49 hernodialyzed patients (22 male, 27 female) without evidence of acute coronary syndrome (ACS) for 6 months. Biochemical markers were measured in serial predialysis blood samples. For analysis, we used two cardio-specific assays for troponin-T (cTnT) as well as for troponin-I (cTnI) and compared the results with CK-MB (reference value ≤ 4.0 ng/mL) concentration. Results : Myocardial ischemia was observed in 47% (23/49) of patients. cTnT level above 0.1 ng/mL. and cTnI level above 0.5 ng/mL, were observed in 22% (11/49) and 20% (10/49) of patients respectively. cTnI revealed significantly higher positive rate in patients with myocardial ischemia than the patients without myocardial ischemia (43 % vs 30%) (p<0.05). cTnT and CK-MB revealed no difference in positive rate between the patients with and without myocardial ischemia (cTnT : 30% vs 15% and CK-MB : 30% vs 19%). The sensitivity and specificity of cTnI to myocardial ischemia were higher than those of cTnT and CK-MB (sensitivity 43% vs 30% and 30%. specificity 100% vs 85% and 81%). Conclusion: Both cTnT and cTnI are useful in ruling out myocardial injury in chronic renal failure patients. But. cTnI is a more sensitivity and excellent specificity of ischemic heart disease than cTnT and CK-MB in hemodialyzed patients. In patients with ischemic heart disease, the presences of DM and advanced age were higher than those in patients without ischemic heart disease (p<0.05). Among the baseline characteristics old age, elevated LDH and diabeties were significant more frequent in the patients with elevation of cardiac troponin-I (p>0.5 ng/mL) than those with cardiac troponin-I (p<0.5 ng/mL), p=0.038, p=0.049, and p=0.045, respectively. Our results suggest that these cTnI is the potential diagnostic marker for the prediction of IHD in ESRD patients.

      • 급성 폐색전증의 경흉부 심초음파 검사소견

        이동민,고영엽,서영욱,우정주,장경식,홍순표 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1

        Background : Pulmonary embolism (PE) is a clinically important disease with high mortality if it was untreated, It is often clinically impossible to notice this disease only by symptoms, but it leads to significant dianosis and therapeutic delays. Accuratc diagnosis of PE is difficult due to variable symptoms and nonspecific clectrocardiographic & radiographic finding's, Pulmonary angiography has been considered as gold standard for diagnosis of pulmonary embolism, while pulmonary angiography is an invasive and cost procedure with significant morbidity and mortality, the echocardioraphy is nonUinvasive and available regardless of time and place. We investigated the diagnostic utility of echocardiography in identifying- pulmonary embolism. Methods : We retrospectively analyzed the recorded transthoracic echocadiography videotapes from 18 patients with confirmed pulmonary embolism from January 1996 to October 2001. As echocardiographic criteria of PE , we used the presence of any two of the following: 1) RV dilataton (RVEDA/LVEDA≥0.6), 2) TR (more moderate degree), 3) Pulmonary hypertension 4) RV hypokinesia, 5) Paradoxical septa] movement. Results : The most common symptom of these patients was dyspnea (83.3%), followed by by pleuritic chest pain, cough, leg swelling and hemoptysis. Howevcr, 11.1% patients have not shawn any symptoms. The most frequently observed electrocardiographic finding was a nonspecific ST-T change (89. 3%), which may be appeared on other cardiopulmonary diseases in precordial leads in patients with PE. We assessed retrospectively that the concordance rate of positive results of echocardiography with confirmatory diagnosis tools such as spiral CT and perfusion scan of lung were 77.8%. Conclusion : Echocardiography is non invasive, feasibility at bedside, available and low cost test. It may be sufficient for use as a screening test in patients with complaining unexplained chest pain and dyspnea which are developed abruptly and modality to decide immediate use of anticoagulant or thrombolytics.

      • KCI등재

        Carbamazepine에 의한 급성 간질성 신염 1예

        류봉관,정지용,김범윤,서영욱,김정인,정종훈,김현리 대한내과학회 2004 대한내과학회지 Vol.66 No.4

        저자들은 carbamazepine 복용 후 소변량 감소와 피부 발진을 주소로 내원한 환자에서 신장 조직 검사상 급성 간질성 신염으로 진단되어 유발 원인으로 보이는 약물 중단 및 부신피질 호르몬을 투여 후 증상이 완화된 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Acute interstitial nephritis often caused by drugs and infection. Interstitial nephritis by drugs is a kind of idiosyncratic reaction and is caused independently of dosage. This disease developed within several days or weeks after taking medicine but improved if discontinue medication. Adrenocortical hormone may shorten the period of disease if renal dysfunction continued. Acute interstitial nephritis by carbamazepine that is used for epilepsy cure is rarely reported. A 49-year-old male was admitted to our hospital because of skin rash and decreased urine volume which developed 10 days ago. Patient was diagnosed intracranial hemorrhage 6 months ago and was taking carbamazepine because of tingling sensation to lower extremity before 2 months. At admission, blood pressure 120/80 ㎜Hg, hemoglobin 12.6 g/dL, WBC 232,000/㎣, eosinophil count 2,790/㎣, platelet 166,000/㎣. Urine findings indicated protein 1+, blood 2+ and eosinophil was observed in microscopic examination. Abdominal sonography showed increase of both kidney size, shade of renal cortex and Resistance index (RI). Renal biopsy showed inflammatory cell consisted of lymphocyte, eosinophil in parenchyme was seen with tubular necrosis parially. Renal function was improved after carbamazepine withdrawal and adrenocortical hormone medication.

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