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Anterior Urethral Valve and Diverticulum in a Neonate with Febrile Urinary Tract Infection
송진현,이민호,이지혜,이창호,전윤수,이남규,김두상 대한비뇨의학회 2012 Investigative and Clinical Urology Vol.53 No.7
Anterior urethral valve is a rare congenital anomaly that can cause obstructive uropathy. Herein, we report a case of an anterior urethral valve that led to the development of febrile urinary tract infection in a neonate
송진현 육군군사연구소 2019 군사연구 Vol.- No.147
Ground Operations Command(GOC) was activated on January 1st, 2019, in order to respond to variable defense environments and strategic situations and accomplish national defense missions more effectively and strongly. GOC, created after deactivation of FROKA and TROKA, is an operational command integrating ground operations in forward area and also a Ground Component Command of controlling ROK-US combined assets led by ROK forces in order for early OPCON transition. The roles and functions of GOC have changed a lot in the process of activation. The roles of supporting Corps with deep area operations in forward area, operations support, and sustainment were added, while in the early stages, they were limited to operational command for Corps. This change has been made in the process of reestablishing the GOC roles of ensuring practical operational condition of Corps, contributing to accomplishment of military strategic goals at operational level. Provisional GOC, tasked2 with GOC activation mission since 2017, established operational execution concepts in accordance with new operational execution concept of JCS, which based the Military Reform 2.0, and pushed ahead with organizing and fielding of weapons systems. Especially, they activated the GOC as it is now by newly organizing fires brigade including missile force, augmenting ground intelligence brigade with addition of drone-bot combat team, completing maneuver Corps which embodies multi-dimensional maneuver operations, and reflecting the concept of warrior platform by which each combatant can exert their best. All these new changes were based on the five game changers that the Army was promoting at that time. In the process, however, there were controversies over the expansion of Forward Boundary(FB) and airspace control. This reflects the necessity of newly formed battlefield organization and deliberate space control to achieve multiplier effects at crossed domains of Army·Navy·Air Force, through discarding the traditional three-way concept of being solely responsible for respective ground·naval·aerial domains as technological advancement is made. Each force ought to stray out of their collectivistic self-interest and set directions to strengthen their joint capabilities. 지상작전사령부(이하 지작사)는 변화하는 국방환경과 전략상황에 부응하며, 더 강하고 효율적으로 국방의 임무를 완수하기 위해 2019년 1월 1일 부로 창설되었다. 1ㆍ3야전군사령부를 해체하여 전방 지상작전을 통합지휘하는 작전사령부이자, 전시작전통제권을 조기 전환받기 위해 한국군 주도의 한미연합자산을 통제할 수 있는 지상군구성군사령부 역할도 병행하게 되었다. 지작사 역할과 기능은 창설과정에서 많이 변화되었는데, 초기단계에서는 군단에 대한 작전지휘에 국한되었던 것이, 군단 전방의 종심작전, 작전지원, 지속지원 기능까지 추가되었다. 이는 군단의 실질적인 작전수행 여건을 보장하고, 작전적 수준에서 군사전략목표 달성에 기여하기 위한 역할을 재정립하는 과정에서 보완된 결과였다. 2017년부터 창설 임무를 부여받은 임시지작사에서는 국방개혁 2.0의 기반이 된 합참 新작전수행개념과 연계하여 작전수행개념을 정립하고, 편성과 무기체계의 전력화를 추진하였다. 특히 육군의 5대 게임 체인저를 기반으로 미사일 전력을 포함한 화력여단 신편, 드론봇 전투단이 추가된 지상정보여단 증편, 입체기동작전을 구현할 기동군단의 완전성 확보, 각개전투원이 최상의 전투력을 발휘할 수 있는 워리어 플랫폼 개념을 반영하여 지작사를 창설하였다. 그러나 이러한 과정에서 FB(전방전투지경선) 확장, 공역통제 등에 대한 논쟁이 발생하였다. 이는 첨단과학기술의 발전에 따라 기존 지상, 해상, 공중을 육·해·공군이 담당한다는 3분법적 개념에서 탈피하여 교차영역에서 승수효과를 달성할 수 있도록 새로운 전장편성과 정밀한 공간통제가 필요하다는 반증이며, 각 군의 이기주의를 탈피하여 합동성을 강화하는 방향으로 정립해 나가야 한다.
Value and Safety of Midazolam Anesthesia during Transrectal Ultrasound-Guided Prostate Biopsy
송진현,두승환,양원재,송윤섭,김근우,구자현,이창호 대한비뇨의학회 2011 Investigative and Clinical Urology Vol.52 No.3
Purpose: Although transrectal ultrasound-guided prostate biopsy is useful for diagnosing prostate cancer, it is a painful procedure. There are many methods for providing pain relief and for treating discomfort during the procedure, but occasionally these are reported to be of limited use. We aimed to evaluate the value and safety of midazolam-induced anesthetic transrectal ultrasound-guided prostate biopsy. Materials and Methods: From August 2008 to December 2009, 104 male patients, who were examined with transrectal ultrasound-guided prostate 12-core biopsy, were randomly assigned to two groups. Group 1 (n=51) received ketorolac (TarasynⓇ) 30 mg. Group 2 (n=53) was treated with midazolam (DormicumⓇ) 3 mg, which was increased to 5 mg if necessary. Immediately after the procedure, the patients were asked to rate their comfort level by using a 10-point visual analog self-assessment pain scale. Results: The pain scale in group 2 was significantly lower than that in group 1 (p<0.05). The patients assigned to group 2 experienced no side-effects from midazolam and were more satisfied than the patients in group 1 (p<0.05). Conclusions: Midazolam anesthesia relieves pain effectively, and the patient’s satisfaction is better than with conventional transrectal ultrasound-guided prostate biopsy. Midazolam-induced anesthetic transrectal ultrasound-guided prostate biopsy is useful and safe.