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      • 동맥 카테터 삽입 후 발생한 말초 허혈성 변화에 대해 니트로글리세린 스프레이를 활용한 성공적인 치료 1례

        김지유 ( Ji Yoo Kim ),최용성 ( Yong Sung Choi ) 경희대학교 경희의료원 2022 慶熙醫學 Vol.37 No.1

        Artery catheterization is a common procedure done in neonatal intensive care unit. However, as a complication, vasospasm, thrombosis, embolism, infection, and peripheral ischemia or skin necrosis can happen. Peripheral ischemia may further damage adjacent skin, nerve, muscle. To prevent further damage, proper management is necessary. Although there are no proper guidelines on peripheral ischemia, nitroglycerin has been commonly used as a salvage treatment, after limb elevation and warm bag application. We report a case of a preterm infant who had ischemic change after artery catheterization and improved after nitroglycerin spray, and epidermal growth factor ointment application. The patient had a successful recovery in 14 days, without any complication.

      • 지역사회 기반 지역협치모델 정립 방안

        정병순(Byeong-Sun Jeong),김지유(Ji-Yoo Kim) 서울연구원 2016 서울연구원 정책과제연구보고서 Vol.- No.-

        Since the beginning of the 6th mayoral term, the ‘Collaborative Governance Seoul 2.0’ has been propelled as a key policy. Among various policy measures to achieve this goal, institutionalising collaborative governance(CG) at the local level is located at the core, as spatially collaborative projects are taking place in local communities. However, the current institutional grounds and the capacity of local communities are not yet sufficient for realising collaborative governance at the local level. Therefore, this research aims to build a collaborative governance model for the local community. The first step of the research was to identify the current projects in Seoul based on the principles of CG. It was identified that there were approximately 1,126 projects worth ₩7,661,500 million. Among them, the projects that received grants from the Seoul Metropolitan Government (SMG) accounted for the majority; 920 projects (81.7%) worth ₩6,060,700 million. This was followed by identification of formal processes of the CG projects in line with the budgetary processes in the SMG and borough(gu)-level governments. Subsequently, this research examined the current practices and governance structures of CG in three boroughs in more detail. Throughout this process, the following five pending issues were drawn out: - The SMG-led top down policy process - Inefficiencies due to the fragmentation of and duplication among policies and projects - ‘Illogicality’ caused by the public sector-led CG projects - Lack of opportunity for participation and lack of capacity of local communities - Lack of efficacy due to tokenism in CG projects In order to tackle these pending issues, a new model for the local-level CG was suggested. The new model consisted of the following three main components: 「Local CG Innovation Plan」(LCGIP), 「00 Borough CG Committee」(BCGC), and 「CG Friendly Budgeting System」(CGFBS). This research focused more on the BCGC and LCGIP, and the CGFBS will be studied more thoroughly in a separate research. The LCGIP is a strategic plan established and delivered by local communities. The aim of establishing the plan is to realise bottom up, participatory, and strategic planning which seeks convergence among relevant policies and projects through joint-up governance. The BCGCs have local partnerships, which are suggested to be established one in each borough and in charge of the establishment and delivery of the LCGIP. Realisation of the LCGIP and the BCGC will only be possible and effective if an appropriate budgeting system exists, and therefore, the CGFBS was briefly examined in this research.

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