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연안어업의 관리제도 개선방향 - 어선어업을 중심으로 -
신영태(Young Tae Shin),김승(Seung Kim) 한국수산경영학회 2002 수산경영론집 Vol.33 No.1
Reduction of fishing grounds, which was caused by the recent fisheries agreements between Korea, Japan, and China, is increasing the importance of coastal fisheries. Korea`s coastal fisheries, however, need special management measures owing to the following problems. First, there are too many fishing fleets even though fisheries resources are continuously decreasing. Despite the fact that some of the fishing vessels have been scrapped, there still remain too many vessels and especially approximately 27,000 vessels increased during 1997-1998. Second, as the condition of fisheries resources changed radically, many fishermen are fishing by methods which they were not permitted to. These fishing methods cannot be legally supported and so there is a huge gap between the system and the reality. Third, two or three licenses are given to each coastal fishing vessel because a single license cannot give sufficient income, but some of these are formally acquired. So under such circumstances, efficient management of fisheries is impossible. Fourth, absence of demarcation among regions and industries is causing frequent conflicts and there are concerns about the decreasing fisheries resources due to competitive fishing practices. Therefore, considering the above mentioned problems Korea`s coastal fisheries management should be developed as the following: First, new licenses should be limited while expanding the buy-back program. The government is currently planning to limit new licenses by introducing the fixed license number system in coastal fisheries but is somewhat passive about the buy-back program. Second, fisheries management which is based on self-regulation should be established. In order to increase the effect of fisheries management, the fishermen should decide by themselves the fish and fishing methods they would be exploiting and directly regulate them. Third, it is necessary to integrate the licenses of coastal fisheries. Since coastal fisheries management through the license system has distinct limitations, it is preferable to unify fishing licenses and let the fishermen decide specific matters on their own. Finally, it is necessary to establish boundaries among the regions and industries. Joint fishing areas among regions(cities and provinces) should be established and fishing in other areas should be permitted on condition of paying the required fees. On the other hand, it is also necessary to permit coastal fishing only within certain distances.
사전의사결정(Advance Directives, 死前意思決定)에 대한 사법연수원생들과 전공의와 수련의들의 인식도 조사
신영태 ( Young Tae Shin ),이일학 ( Il Hak Lee ),김선현 ( Sun Hyun Kim ),이희일 ( Hee Il Lee ) 한국의료윤리학회 2008 한국의료윤리학회지 Vol.11 No.1
Background: The legal and ethical issues related to advance directives have recently become controversial in Korea. This study was designed to determine whether there are any significant differences between judicial apprentices and medical trainees (including residents and interns) with respect to their attitudes toward advance directives. Methods: A questionnaire was administered to 283 judicial apprentices from May 29 to June 9, 2006, and to 254 medical trainees (150 residents and 104 interns) from May 1 to July 31, 2006. Thus, there were a total of 537 respondents in this study. Results: More medical trainees than judicial apprentices were familiar with advance directives (P < 0.05). More medical trainees than judicial apprentices claimed that a law for advance directives was necessary (P < 0.05). After adjusting for other predisposing factors, differences between the two groups were still statistically significant (P = 0.038). After adjusting other predisposing factors, it is found that the group which knew about advance directives beforehand responded more positively to the question whether legislation for advance directives was necessary than the group which didn`t(P=0.000). Conclusion: In this study, the difference in the number of medical trainees versus judicial apprentices who were familiar with advance directives was found to be statistically significant (P < 0.05). This caused statistically significant differences between the number of judicial apprentices versus medical trainees who believed that a law covering advance directives is needed. Therefore, greater awareness of advance directives is needed in order to establish a law governing them.
양규환,곽성욱,김선현,신영태,황희진,박노혁,염창환,Yang, Gu-Hwan,Kwak, Sung-Wook,Kim, Sun-Hyn,Shin, Young-Tae,Hwang, Hee-Jin,Park, No-Hyeok,Yeom, Chang-Hwan 한국호스피스완화의료학회 2009 한국호스피스.완화의료학회지 Vol.12 No.1
Purpose: Lymphedemas are tissue fluid swellings, usually on the arms or legs, and occur as a result of impaired lymphatic drainage. Presently, the most effective treatment available is complete decongestive physiotherapy (CDP). However, this therapy is ineffective in some patients and surgery may be indicated. Herein, we examined the efficacy of minimally invasive needle aspiration of the most enlarged areas in hypodermic adipose tissues, of patients who had failed CDP. Methods: We included 21 patients who were diagnosed with lymphedema stage II-III in the upper or lower extremities and visited the lymphedema clinic at a university hospital from September 1, 2003 to February 28, 2004. All patients had been treated with CDP at least once, but had failed to respond to the therapy for more than one year. Nine patients had breast cancer and 12 had cervical cancer. We identified the area with the most severe edema by using MRI and performed a 16-gauge angio-needle aspiration on the area. The patients were followed up for 3 months. Effectiveness of the treatment was evaluated by comparing the volume of edema before and after the treatment using Wilcoxon signed rank-test. Results: The mean reduction ratio of the volume of edema comparison normal volume was 41.1${\pm}$35.3% (P=0.001). There were no major or minor operative complications except localized hemorrhage. Conclusion: We conclude that a needle aspiration prior to other surgical treatments is relatively safe and effective for those patients who are unresponsive to CDP. 목적: 림프부종은 림프계 이상으로 림프액 이동이 원활하지 못하여 생기는 팔다리 조직의 팽창을 의미한다. 현재 가장 효과적인 치료법은 복합적인 림프부종 치료법이지만 이 치료는 수술적 치료가 요구되는 환자에게는 효과가 없다. 이번 연구에서는 물리 치료법에 실패한 환자의 피하 지방조직에 비침습적 바늘 흡인술을 실시하여 그 효과를 알아보고자 하였다. 방법: 2003년 8월 1일부터 2004년 2월 28일까지 일개대학 병원 림프부종 클리닉에 방문하여 상하지 림프부종 2${\sim}$3기를 진단받은 환자를 대상으로 실시하였다. 모든 환자는 1년 이상 복합적인 림프부종 치료법을 실시하였으나 치료에 반응이 없었으며 9명의 환자는 유방암, 12명의 환자는 자궁경부암 환자였다. 치료 전 자기공명영상(MRI)을 실시하여 부종이 가장 심한 부위를 찾아 바늘 흡인술을 실시한 후 3개월 동안 추적 관찰하였다. 치료의 효과는 치료 전과 치료 3개월 후 부종 부피를 계산하여 Wilcoxon signed rank-test를 통해 비교하였다. 결과: 치료 전과 치료 3개월 후의 평균 부종 감소율은 29.1%였다(P=0.001). 국소적 출혈 이외 다른 특별한 부작용은 없었다. 결론: 바늘 흡인술은 복합적인 림프부종 치료법에 반응이 없는 림프부종 2, 3기 환자에게 수술에 앞서 고려해볼 수 있는 안전하고 효과적인 방법이다.
김성숙(Seong Suk Kim),빈기태(Ki Tae Bin),정민수(Min Soo Jeong),이강욱(Kang Wook Lee),김선영(Sun Young Kim),신영태(Young Tai Shin),이정호(Jeong Ho Lee) 대한내과학회 1995 대한내과학회지 Vol.48 No.5
Objectives: Leptospirosis is known to be one of the most frequent zoonosis in Korea in addition to hemorrhagic fever with renal syndrome. The pathologic changes of leptospirosis are widespreaded and most prominent in lung, liver, skeletal muscle, adrenals, stomach, spleen, nervous ystem, and kidney. We evaluated the prevalence and clinical findings of leptospirosis associated renal insufficiency and nephropathy. Methods: This study was performed in 103 patients with leptospirosis admitted in Chungnam National University Hospital from Jan. 1985 to Dec. 1992. We classified three group, as uremic patients (serum creatinine21.4mg/dl) with abnormal urinary finding, non-uremic patients(serum creatinine< 1.4mg/dl) with abnormal urinary finding, and non uremic patients with normal urinary finding. Results: 1) Mean age was 49.2year old(17-75years). Ratio of man to woman was 1.5: l. 2) Eighty two patients(79.6%) showed abnormal urinary findings. Twenty patients(19.4%) showed elevated serum creatinine level above 1.4mg/dl, Sixty two patients(60.2%) showed abnormal urinalysis with normal renal function. 3) Fever and chills, maculopapular rash and myalgia were most frequent symptoms and signs. Dyspnea and confused mentality occrued more frequently in uremic patients than that in non-ruemic patients (p<0.01, p<0.05). 4) Platelet counts of uremic patients were significantly lower than those of patients who showed abnormal urinalysis findings with normal level of serum creatinine(p<0.01). 5) Hypoproteinemia was more prevalent in uremic patients than in non-uremic patients(p<0.05). Elevation of serum CPK and LDH level appeared more frequent in uremic patients than in non-uremic patients(p<0.05, p<0.05). 6) All patients with renal involvement recovered completely without renal replacement therapy. Conclusion: We thout that leptospirosis is a systemic infectious disease which shows renal insufficiency in one fifth of victims, and they manifest severe clinical features such as dyspnea or confused mentality. However the outcome of the patients with renal insufficiency is relatively good.