나사산 Steinmann 핀 고정 및 골 이식술을 이용한 쇄골 중간부 불유합의 치료

윤정로 ( Jeong Ro Yoon ),김학준 ( Hak Jun Kim ),김택선 ( Taik Seon Kim ),노행기 ( Haeng Kee Noh ) 대한골절학회 2005 대한골절학회지 Vol.18 No.4

인간유전체 연구와 인문사회과학적 접근 : ELSI 연구의 현황과 과제

윤정로(Yoon Jeong-Ro) 한국과학기술학회 2001 과학기술학연구 Vol.1 No.2

생명공학의 문제는 인문사회과학의 새로운 프론티어 영역이다. 이 글은 생명공학의 사회적 함의에 대한 외국과 국내의 연구 현황을 소개하고 향후 과제를 제시하고자 한다. 미국은 과학적 탐구와 동시에 그에 함축된 사회적 문제에 대한 분석과 대처방안을 동시에 추구한다는 목표로, 인간게놈프로젝트의 일환으로 ELSI(Ethical, Legal and Social Implications) 프로그램을 운영하였으며, 현재 ELSI가 생명공학의 사회적 함의에 대한 종합적인 접근방식을 지칭하는 용어로 통용되고 있다. 10여년간의 ELSI 프로그램 운영으로 사회적 인식의 제고와 보건의료 정책, 연구와 임상치료 활동에 성과를 거두었지만, 당초의 포부에는 미흡하며 새로운 이슈와 논란이 제기되고 있다. 유럽에서는 전통적으로 생명윤리의 문제에 적극적인 관심을 기울이고 규제장치를 마련하였다. 유럽에서는 국가별 내부 규약뿐만 아니라 EU 차원의 공동규약도 중요한 비중을 차지한다. HUGO, UNESCO, WHO 등의 국제기구도 ELSI 문제에 적극적 관심을 보인다. 한국의 ELSI 프로그램은 과학기술부 지원 21세기 프론티어사업 중 ‘인간유전체기능연구사업’의 일환으로 2001년부터 지원되기 시작했다. ELSI 프로그램은 생명공학을 둘러싼 사회적 이슈에 대하여 사회적 합의를 도출하고 국가적 전략과 정책으로 구체화하는 ‘사회적 학습’(societal learning)의 장을 제공할 수 있다. 향후 한국의 ELSI 프로그램은 생명공학 전반과 정보통신, 나노기술 등 광범위한 첨단기술 분야로 범위가 확대되고, 선택과 집중의 전략이 필요하며, 인문사회과학 뿐만 아니라 자연과학과 의학의 학제적 접근이 이루어져야 한다. Social issues surrounding biotechnology are the new frontier of humanities and social sciences. This article surveys the ELSI (ethical, legal, and social implications) programs, a generic term for comprehensive approach to explore the social implications of biotechnology, in the U. S. and Europe, and suggests the direction for the Korean ELSI program to take. In an effort to cope with the ethical and social issues involved in the scientific research of human genomics, the ELSI program has been included in the Human Genome Project of the U. S. since 1990. Despite the Significant impact on the raised social awareness and improvements in the ethical standard of research and clinical practice and public health policy, the vision of the ELSI program remains far from being realized in the U. S. Against the backdrop of traditional attentiveness to bioethical issues and rising industrial interest in biotechnology, ELSI programs have recently been launched in European counties and at EU level as well. International organizations, such as HUGO, UNESCO, and WHO, have been interested in ELSI programs. The first ELSI project in Korea was launched in 2001 as a research project of the Center for Functional Analysis of Human Genome, a 21st Century Frontier Project funded by the Ministry of Science and Technology. The author points out three issues to be urgently addressed for the promotion of ELSI programs in Korea: the expansion of funding, priority-setting, and active cross-fertilization among humanities, social sciences, and natural/medical sciences.

2개의 내측 유관나사를 이용한 관절경하에서의 족근 관절 고정술

김학준,김택선,윤정로,김경수,노행기,윤광섭,Kim, Hak-Jun,Kim, Taik-Seon,Yoon, Jeong-Ro,Kim, Kyoung-Soo,Noh, Haeng-Kee,Yoon, Kwang-Sup 대한족부족관절학회 2004 대한족부족관절학회지 Vol.8 No.2

Purpose: We evaluated the clinical and radiological results of arthroscopic ankle fusion using 2 medial screws which had advantages of less morbidity, early weight-bearing and high union rate. Material and Methods: From April, 2002 to March, 2004, 8 patients who had ankle osteoarthritis were treated by ankle fusion using 2 medial screws under arthroscopy; five patients with post-traumatic osteoarthritis, two with post-infectious arthritis and one with paralytic foot. There were 5 male and 3 female. Average age was 67 years old ranging from 57 to 71 years. We evaluated them clinically preoperative and postoperative using AOFAS score, VAS pain scale and patient's satisfaction. In regard to radiological fusion, we checked them by simple AP, lateral and mortise view. Follow up period was average 11 months (range, $6{\sim}24$ months). Results: All ankles were successfully fused with 2 medial screws under arthroscopy. The mean time of fusion was 10.5 weeks (range, $8{\sim}14$ weeks). Patient's satisfaction checked at 6 months after operation had favorable results (excellent and good 75%). One case had pain on medial malleolar area because of screw's protrusion. Conclusion: Arthroscopic ankle fusion using 2 medial screws was good modality of ankle fusion with less morbidity and early weight-bearing in some cases of ankle arthritis.

사물지능통신(M2M) 가사기술의 선택 요인

박혜경(Hye-Kyung Park),윤정로(Jeong-Ro Yoon) 한국기술혁신학회 2013 기술혁신학회지 Vol.16 No.4

이 연구는 소비자들이 사물지능통신(Machine-to-Machine: 이하 M2M) 기술을 활용한 가전제품을 구매 및 사용하고자 할 때, 어떠한 요인들이 그 제품을 선택하는 데 영향을 미치는지 고찰하였다. M2M 가사기술은 모바일 인터넷을 통해 가전제품과 가정 내 각종 시설을 원격제어하거나 전자동으로 작동시키는 새로운 정보통신기술로, 여성들의 가사노동 부담 해소와 사회 참여를 지지할 수 있는 기술이다. 이 논문은 이러한 점에 주목하여 성별, 소득 수준, 기혼여성의 취업 여부, 모바일 인터넷 기기의 보유 여부 등 4개의 독립변수가 소비자들의 M2M 가전제품의 구매 및 사용의사와 어떠한 상관관계에 있는지 분석하였다. 연구 결과 M2M 가전제품의 구매와 사용을 모두 결정할 수 있는 변수는 ‘스마트폰과 태블릿PC 등 모바일 인터넷 기기의 보유 여부’로 확인되었다. 이와 달리 기혼여성의 취업 여부는 구입의사에만 영향을 미쳤고 소득수준과 성별 요인은 거의 영향을 미치지 않았다. 이러한 결과는 ‘주부의 취업, 소득, 성별 변수에 의해 가사기술이 도입된다’는 기존 연구와 다른 새로운 성과이다. This paper investigates the factors to affect the consumer selection of machine-to-machine(M2M) technology in the purchase and utilization of home appliances. M2M technology, based on mobile internet, allows for automatic operation and remote control of home appliances and equipment. The introduction of M2M technology could lead to the saving of domestic housework and of active social participation for women. With a view to focusing on the liberating potential of M2M technology, this paper analyzes the correlation between four independent variables(gender, income, employment status of married woman, and possession of mobile internet devices) and two dependent variables (intention for purchase and utilization of M2M household appliances). The possession of mobile internet devices such as smart phone and tablet PC turns out to be the most significant factor to affect both the purchase and utilization of M2M household appliances. The employment status (employed or not-employed) affects only the intention for purchase. Neither the income level nor gender has significant correlation with the intention for purchase or utilization. The results differ from the conventional wisdom that the consumer selection of household technology is substantially affected by gender, income and employment of housewife.

외과 점액낭염의 내시경적 방법과 개방적 점액낭 절제술의 비교 연구

최재혁,김정렬,김동현,정우철,윤정로,오성록,이경태,Choi, Jae-Hyuck,Kim, Jeong-Ryoul,Kim, Dong-Hyun,Chung, Woo-Chull,Yoon, Jung-Ro,Oh, Seong-Rok,Lee, Kyung-Tai 대한족부족관절학회 2011 대한족부족관절학회지 Vol.15 No.2

Purpose: To compare the result of endoscopic versus open bursectomy in lateral malleolar bursitis, which was not treated conservatively. Materials and Methods: Between January 2008 and October 2009, We divided to two groups, endoscopy (group A) 11 cases, open bursectomy (group B) 11 cases. The average follow up period was 15 months (range, 12 to 18), the mean age was 66 (range, 38 to 79). We compared patients satisfaction, complete healing time, operation time, complications and recurrence. Results: Group A had significant difference in terms of the clinical satisfactions, complete healing time. operation time, complications. Group A showed satisfaction (excellent 9, good 2), mean complete healing time 11.9 (8~14) days, operation time 37 (25~45) minutes, 1 case recur. Group B showed satisfaction (excellent 4, good 3, fair 1, poor 3), complete healing time 32.7 (14~98) days, operation time 22 (18~26) minutes. complication were one case of skin necrosis, one case of wound dehiscence, two cases of superficial peroneal nerve injury, no recurrence. Significant advantages of endoscopic method include lower morbidity and rapid wound healing period (p<0.05). Conclusion: Endoscopic resection of the lateral malleolar bursitis is a promising technique and shows favourable results compared to the open resection. Significant advantages of this method include lower morbidiy and rapid wound healing.

인간 유전체 ELSI 연구에 대한 외국의 전문가 교육 실태

최경희(Kyunghee Choi),윤정로(Jeong-Ro Yoon) 한국생명윤리학회 2003 생명윤리 Vol.4 No.1

There are increasing concerns over the ethical, legal, and social implications spawned from the Human Genome Project. This study is about analysis and a summary of foreign cases for experts on ethical, legal, and social implications(ELSI) of the human genome project. In ELSI professional education of other countries, there are teaching-learning material development, teaching-learning model construction, an online education information center, experts' network for human genome education, academic research and seminars. The U.S. is laying out the most various, detailed, and professional education activities. In the ELSI research of Human Genome Project(HGP) hosted by the National Institute of Health(NIH) and the Department of Energy(DOE), the U.S. government set the protection of genetic privacy as their primary goal and supported various experts education programs. In addition, there has been active participation by experts from medical and science groups such as National Coalition for Health Professional Education in Genetics(NCHPEG), National Association of Genetic Counselors(NAGC), as well as American Society of Human Genetics(ASHG). In Europe, in line with the EU's inauguration, drawing an outline of ELSI has been actively pursued under the EU’s full support. European Initiatives for Biotechnology Education(EIBE), where 17 countries cooperated for 10 years since 1991, is a good example.

생명공학에 대한 사회적 인식

조성겸(Cho Sung Kyum),윤정로(Yoon Jeong-Ro) 한국과학기술학회 2001 과학기술학연구 Vol.1 No.2

생명공학의 사회적 함의에 대한 논의를 위해서는 일반 시민의 인식과 형성과정에 대해 파악할 필요가 있다. 이에 따라 생명공학에 대한 ELSI (Ethical, Legal and Social Implications) 연구의 일환으로 필자는 생명공학에 대한 사회적 인식의 지형을 정기적으로 조사하는 프로젝트를 시작하였다. 본 논문은 이 조사 프로젝트의 한 부분으로 생명공학에 대한 인지도 수준과 태도를 파악하고 관련 요인을 찾아보았다. 인식조사는 전국 성인남녀 500명을 대상으로 전화면접방법을 이용하여 이루어졌으며, 표본은 유층표집방법을 이용하여 추출하였다. 조사결과 의료 관련 생명공학에 대해서는 긍정적인 태도가 많았지만, 유전정보의 사회적 관리 및 유전자 변형식품에 대해서는 부정적 태도가 긍정적 태도와 비슷한 수준이거나 아니면 더 많았다. 그리고 인지도 수준이 높을수록 태도가 더 명확하였다. 또한 이러한 시민들의 태도는 아직 잠정적인 느낌 수준인 경우가 많으며, 매스미디어의 영향을 많이 받은 것으로 나타났다. 이러한 연구결과는 생명공학에 대한 사회적 함의에 대한 논의가 보다 건설적이기 위해서는 우선 생명공학에 대한 정보의 생산과 유통이 보다 활성화될 필요가 있다는 것을 보여준다. Understanding of the social perception of biotechnology would facilitate the public awareness and debate over the social implications of biotechnology, leading to strengthened basis for social consensus. As a part of the ELSI (Ehical, Legal and Social Implications) project in Korea, the authors have launched a series of social surveys on the social perception of biotechnology. This article is based on the analysis of the first survey, conducted in October 2001. The data were collected through telephone survey on 500 adult respondents nationwide selected by a stratified sampling method. The survey addresses the following questions:What is the present state of public awareness and attitude toward a variety of medical and social applications of biotechnology, such as genetic testing, prenatal genetic screening and testing, xenotransplant, genetic screening for employment, central collection and management of genetic information, and GM food? What factors are related with this perception? The analysis shows that a majority of respondents are in favor of the medical applications. Concerning the social applications and GM food, however, the respondents express a high level of negative attitude a with significant portion of 'do not know' responses. The public perception of the biotechnology is not crystallized in coherent manner yet. The public perception is strongly influenced by mass media, which tend to deliver rather positive information on biotechnology. The analysis suggests that the production and dissemination of diverse information should be activated to reach a sound decision on controversial issues surrounding the development of biotechnology both at individual and societal level as well.

인대 불안정성이 동반된 말기 족근 관절염 환자의 자가 인대 재건술과 인공관절 치환술의 치료 결과

최재혁,김정렬,김동현,정우철,윤정로,여의동,이경태,Choi, Jae-Hyuck,Kim, Jeong-Ryoul,Kim, Dong-Hyun,Chung, Woo-Chull,Yoon, Jung-Ro,Yeo, Eui-Dong,Lee, Kyung-Tai 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.1

Purpose: We report the clinical and radiographic result of ligament reconstruction using plantaris and total ankle replacement in end-stage ankle arthritis with ankle instability. Materials and Methods: The study is based on the 9 cases among total 48 patients of end-stage ankle arthritis that were treated with total ankle prosthesis and ligament reconstruction from 2007 to 2009 at least 12 months follow-up. We evaluated the VAS (Visual analogue scale) pain score, AOFAS (American orthopedic foot and ankle society) score and radiographic measurements. Results: Average age was 59.4 years (53~67 years) old. VAS pain score improved from preoperative average $8.2{\pm}0.9$ (range, 7~10) to $2.7{\pm}1.7$ (range, 0~6) and the AOFAS score improved from $46.4{\pm}14.6$ points (range, 23~69) to $80.1{\pm}9.3$ points (range, 65~95) at final follow-up. Anterior draw test improved $15.2{\pm}3.4$ mm (range, 12~23 mm) to $8.8{\pm}2.6$ mm (range, 6~13mm), varus stress test improved from $13.9{\pm}4.6^{\circ}$ (range, $10-18^{\circ}$) to $6.2{\pm}4.7^{\circ}$ (range, $2-18^{\circ}$) at final follow up. Conclusion: Plantaris ligament reconstruction is good option as part of the management of ankle instability with end-stage ankle arthritis. We achieved good clinical and radiographic results.

소아에서의 원판형 연골 절제술 후 장기 추시 결과

임홍철(Hong Chul Lim),박동(Dong Park),윤정로(Jeong Ro Yoon),김학준(Hack Jun Kim),정숭현(Soong Hyun Jung) 대한정형외과학회 2003 대한정형외과학회지 Vol.38 No.2

견봉 쇄골 관절 탈구에 사용된 K-강선의 경추부로의 이동

이우승(Woo-Seung Lee),김택선(Taik-Seon Kim),윤정로(Jeong-Ro Yoon),김영배(Young-Bae Kim),서동훈(Dong-Hoon Seo),권제호(Jae-Ho Kwon) 대한견주관절의학회 2006 대한견주관절학회지 Vol.9 No.2