옹호연합모형을 통한 수도권 공장총량제 정책변동 분석

신용배(Shin Young-Bae),전진석(Chun Jin-Suk) 서울행정학회 2011 한국사회와 행정연구 Vol.21 No.4

This study analyzed the policy change process of the Total Industrial Site Volume Control System (TISVCS) through the Advocacy Coalition Framework (ACF) modified by Sabatier in 2007 as an analytical framework. It was introduced in the amended Capital Region Aligned Planning Legislation of 1994 in order to control effectively the concentration of population and economy in the Capital Region. This study explored the stable parameters and the dynamic variables, actors of pro-and con-advocacy coalitions within TISVCS sub-systems, policy intermediaries, and policy outcomes by the past separate government from President Young-Sam Kim to President Myung-Bak Lee. This study confirmed that the policy of TISVCS has been deregulated gradually passing through four governments. It was thus understood that our society does tend to put the economic efficiency (the unbalanced growth) which is a theoretical foundation of deregulation on the Capital region before the social equity (the balanced growth) which becomes the theoretical basis of regulation on it.

Direct effectiveness of pneumococcal polysaccharide vaccine against invasive pneumococcal disease and non-bacteremic pneumococcal pneumonia in elderly population in the era of pneumococcal conjugate vaccine: A case-control study

Kim, Jong Hun,Chun, Byung Chul,Song, Joon Young,Kim, Hyo Youl,Bae, In-Gyu,Kim, Dong-Min,Choi, Young Hwa,Jun, Yoon Hee,Choi, Won Suk,Kang, Seong Hee,Kwon, Hyun Hee,Jeong, Hye Won,Kee, Sae Yoon,Hur, Jia Elsevier Ltd. 2019 Vaccine Vol. No.

<P><B>Abstract</B></P> <P><B>Background</B></P> <P>While herd effects and serotype replacement by childhood pneumococcal protein conjugated vaccines (PCVs) continues to accumulate worldwide, direct effectiveness of 23-valent pneumococcal polysaccharide vaccine (PPV23) against pneumococcal diseases in the elderly has been challenged. We estimated the direct effectiveness of PPV23 in the elderly population.</P> <P><B>Methods</B></P> <P>For a hospital-based case-control study, cases of invasive pneumococcal disease (IPD) and non-bacteremic pneumococcal pneumonia (NBPP) (adults ≥ 65 years) were identified in 14 hospitals participated in the pneumococcal surveillance program from March 2013 to October 2015, following implementation of PPV23 national immunization program (NIP) for the elderly in the Republic of Korea. Controls matched by age, sex, and hospital were selected at ratios of 1:2 (IPD) or 1:1 (NBPP). Clinical data and vaccination records were collected. Vaccine effectiveness was calculated as (1-adjusted odds ratio) × 100.</P> <P><B>Results</B></P> <P>We enrolled 148 IPD and 557 NBPP cases, and 295 IPD and 557 NBPP controls for analyses. Overall effectiveness of PPV23 against IPD was 28.5% [95% confidence interval (CI) −5.8%–51.6%] and against NBPP was 10.2% (-15.1-30.6) in all patients ≥ 65 years. However, in subgroup analysis of patients aged 65–74 years, PPV23 was protective against IPD [effectiveness 57.4% (19.4–77.5)] and against NBPP [effectiveness 35.0% (2.3–56.7)]. Furthermore, serotype-specific effectiveness of PPV23 against IPD was 90.6% (27.6–98.8) for PPV23-unique serotypes and 81.3% (38.6–94.3) for PPV23 serotypes excluding serotype 3.</P> <P><B>Conclusions</B></P> <P>This study indicates that PPV23 with broad serotype coverage might be beneficial in preventing IPD and NBPP due to non-PCV13 serotypes in the young-elderly, with potentially increasing effectiveness in the setting of childhood PCV NIP.</P> <P><B>Highlights</B></P> <P> <UL> <LI> National immunization program for PPV23 for the elderly was implemented in Korea. </LI> <LI> PPV23 was effective against IPD and NBPP for young elderly patients aged 65–74. </LI> <LI> Effectiveness of PPV23 against IPD was higher for PPV23 unique serotypes. </LI> <LI> PPV23 was non-protective against IPD caused by PCV13 serotypes. </LI> </UL> </P>

활석을 이용한 사포나이트의 수열합성

배인국,장영남,채수천,류경원,최상훈 한국광물학회 2003 광물과 암석 (J.Miner.Soc.Korea) Vol.16 No.2

삼팔면체형의 스멕타이트계 사포나이트(saponite)를 천연 광물질인 활석을 이용하여 수열법에 의해 합성하였다. 출발물질은 활석에 Na₂CO₃를 첨가하여 공기중에서 800℃로 가열한 후, 화학양론적 조성에 맞게 Al(No₃)₃·9H₂O 및 Mg(No₃)₂·6H₂O 금속염 수용액을 첨가하였고, pH는 7∼12 범위 내로 NH₄OH 수용액에 의해 조절하여 제조하였다. 수열반응 조건은 약 1리터의 수열반응 용기에서 230 ℃, 압력은 25∼75 kgf/㎠의 범위 내에서 10∼60시간이었다. 실험결과, 반응온도 및 회전속도를 230℃와 180 rpm으로 고정시킨 수열조건 하에서 반응시간, 반응압력, pH 조건을 각각 40시간, 25 kgf/㎠, 약 10으로 하였을 때, 그리고, 화학조성을 화학양론적 조성에 필요한 Na₂O의 양보다 200% 과량 추가하였을 때, 양호한 사포나이트가 합성되었다. 또한 압력을 75 kgf/㎠까지 증가시켜도 결정도에 미치는 영향은 미미하였으며, 반응시간이 길수록 더 좋은 결정도를 나타냈다. Saponite was synthesized from talc by hydrothermal method. The starting material was prepared by adding Al(N0₃)₃·9H₂0 and Mg(N₃)₂·6H₂O solution to the talc powder, which was previously activated in air at 800℃ together with Na₂C0₃. The alkalinity of the solution was controlled by NH₄0H solution. The autoclaving was carried out in the closed stainless steel vessel (about 1 liter) for 40 hours under the pressure of 25 ㎏f/㎠ at 230℃. The characterization of the reaction product shows that saponite was crystallized successfully. After the experimental results, pressure was not sensitive parameter in the range of 25-75 ㎏f/㎠, but longer reaction time results in better crystallinity.

韓 ·日 兩國의 初等社會科 歷史敎材의 比較硏究 : On the Historical Materials of the 6th Grade 6學年 國史敎材를 中心으로

宋春永,裵漢極,原田智仁 大邱敎育大學校 1993 論文集 Vol.28 No.-

소각재 용융슬래그를 이용한 제올라이트 Na-A의 합성

장영남,채수천,배인국,류경원 한국광물학회 2005 광물과 암석 (J.Miner.Soc.Korea) Vol.18 No.1

소각재 용융슬래그를 출발물질로 하여 알카리 조건하에서 활성화시킴으로써 Na-A형 제올라이트를 합성하였다. 합성실험은 스텐레스 철재로 제작된 반응용기를 사용하였다. 출발물질은 슬래그 외에 수정인공합성 공장에서 배출되는 '규산질 수용액'과 NaA1O₂수용액을 사용하였는데, 전자의 화학조성은 SiO₂5.7 wt% Na₂O 3.2 wt%이고, 후자는 몰비가 Na₂O/A1₂O₃= 1.2와 H₂O/Na₂O=9의 조건으로 알루미늄 드로스와 NaOH 수용액을 반응시켜 제조하였다. 위에서 언급된 슬래그, '규산질 수용액' 그리고 NaAlO₂ 수용액을 혼합시킨 혼성물을 약 80℃에서 7~8시간 반응시키면 Na-A형 제올라이트가 단일상으로 합성되었다. 출발물질의 이상적인 혼합비율은 Na₂O : Al₂O₃: SiO₂의 물비가 1.3~l.4 : 0.8~0.9 : 2이었으며 반응용액과 슬래그의 비율은 1 : 7~10 (g/㏄)이었다. 합성된 제올라이트의 형태는 균일한 입방형이었으며 입도는 약 1 ㎛이었다. 한편, Ca^(²+)이온에 대한 이온교환 용량(CEC)은 180~210 meq/100 g이었으므로 통용되는 세제용 제올라이트와 비교하면 약 80% 수준이었으므로 폐수처리나 오염된 중금속처리와 같은 환경처리용으로 사용될 수 있을 것이다. Na-A zeolite were synthesized from melting slag of the incinerated ash by the alkaline activation processes. The experiments were performed in stainless steel vessels, with continuous stirring during the reaction periods. The silica-rich solution, a starting material, which was the waste of crystal growth factory, contains 5.7 wt% SiO₂ and 3.2 wt% Na₂O And NaAlO₂was made by the reaction of aluminium dross and NaOH solution and its molar ratios were Na₂O/ Al₂O₃ = 1.2 and H₂O/Na₂O=9. During the residence time of 7~ 8 h at 80℃, the mixing of the silica-rich solution, NaAlO₂and melting slag yields the production of homogeneous Na-A zeolite. The optimal reactant composition in molar ratio of Na_₂O : Al₂O₃: SiO₂was 1.3~l.4 : 0.8~0.9 : 2 and mixing ratio of solution and slag was 1/7~10 (g/㏄). Synthesized Na-A zeolite has cubic form uniformly and its size ranges about 1㎛. Ca^(²+) ion exchange capacity of the Na-A was about 180~210 meq/100 g, corresponding approximately 80% to the commercial detergent builder.

익수환아의 예후에 영향을 미치는 인자에 관한 연구

김용배,정대봉,조수형,조남수,박영봉,박상기,김춘호,양은석,문경래 大韓應急醫學會 1998 대한응급의학회지 Vol.9 No.3

Drowning is the second most common cause of accidental death of children in Korea. But the study of near-drowning is very rare in Korea. The purpose of our study is to determine the factors that may influence survival on the basis of submersion time, consciousness state upon admission to hospital, the kinds of water, laboratory findings and neurological outcomes. The survey was performed by a retrospective cohort study on 28 near-drowning victims of less than 15 years of age who were admitted to the emergency room in the Chosun University Hospital between May 1988 & May 1997. The results were as follows :1)Sex distribution was 22 males and 6 females. 2) Submersion time was <5 minutes in 9 cases, 5-9 minutes in 6 cases, 10-14 minutes in 5cases, 15-19 minutes in 3 cases, ≥20 minutes in 5cases. 3) Comatose patients upon arrival were 6/7 cases in the death group(86%) and 2/21 cases in the improved group(10%). They had unfavorable outcomes(P<0.05). 4) The first PH value was mean 7.02±0.12 in the death group and mean 7.31±0.13 in the improved group. There was a statistically significant difference between the death and the improved group(P<0.05) 5) The patients who gad increased blood glucose concentration were all 7 cases in the death group and 12/22 cases in the improved group(54%). The mean blood glucose concentration was mean 424.7235.6㎎/㎗ in the death group and mean 140.182.7㎎/㎗ in the improved group. There was a statistically significant difference between the death and the improved group(P<0.05). 6) The patients who had pulmonary edema upon arrival were all 7 cases in the death group and 1/21 cases in the improved group(46%). They had unfavorable outcomes(P<0.05). 7) The patients who had been submerged more than 15 minutes were all 7 cases in the death group and 6/21 cases in the improved group(5%). They had unfavorable outcomes(P<0.05). We conclude that pediatric victims of near-drowning can be assigned to high or low likelihoods of unfavorable our outcomes with the use of five variables ; comatose mentation upon arrival decreased initial blood pH, increased initial blood glucose concentration, pulmonary edema, and maximum submersion time estimated longer than fiften minutes. This prediction rule may be useful if it can be validated in another cohort.

SBA-15에 담지된 전이 금속 촉매상에서 p-Xylene의 불균일 액상 산화반응

김영호,손용배,류재춘,양현수,전기원,박상언 한국공업화학회 2004 공업화학 Vol.15 No.1

화학적으로 개조된 SBA-15 실리카 위에 활성 전이 금속 종들(Co, Mn, Ni, Fe, or Cu)이 담지된 불균일 촉매를 제조하였다. 제도된 촉매상에서 p-xylene의 불균일 액상 산화반응이 손쉬운 촉매 분리를 위한 불균일 공정의 개발 가능성을 검토하기 위하여 수행되었다. SBA-15 위에 결합된 Co 종(Co-SBA-15)은 다른 전이 금속 종들보다 대응하는 방향족 카르복실산으로의 산화 반응에 가장 효과적인 것으로 나타냈다. 더 나아가 Co-SBA-15 촉매상에서 반응시간(0.5~9 h), 반응온도(130~190 ℃), 전압(10~25 atm) 및 산소 분압(1~9 atm)과 같은 반응 변수의 영향을 연구하였다. 높은 전환율에서 고체 생성물인 terephthalic acid의 형성은 매우 낮고 그때 활성점 위에서 고체 생성물의 쌓임으로 인해 촉매가 쉽게 비활성화 되었을지라도, p-toluic acid로는 고려할만한 선택성이 관찰되었다. p-Toluic acid 및 terephthalic acid를 향한 중간 산화 생성물들의 선택성을 기초로 추정된 반응 경로는 균일 Co/Mn 촉매 반응계에서와 비교하여 거의 같다. 이것은 Co-SBA-15 촉매가 균일 촉매적 행동을 하는 불균일 촉매이고 고체 생성물을 생성하지 않는 탄화수소들의 액상 산화반응을 위하여 잘 적용될 수 있을 것임을 시사한다. Active transition metal species (Co, Mn, Ni, Fe, or Cu) supported on a chemically modified SBA015 silica were prepared as heterogeneous catalysts. The heterogeneous liquid phase oxidation of p-xylene on the prepared catalysts was carried out to investigate the possibility of the development of heterogeneous process for easier catalyst separation.The Co species bound on the SBA-15(Co-SBA-15) was found to be the most effective for the oxidation to corresponding aromatic carboxylic acids than the other transition metal species. In addition, the effects of reaction variables such as reaction time(0.5∼9h), reaction temperature (130∼190℃), total pressure (10∼25 atm) and the partial pressure of oxygen (1-9 atm) were studied on the Co-SBA-15 catalyst. At high levels of conversion, the considerable catalytic activities to p-toluic acid were observed, even though formation of terephthalic acid, an solid product, was very low and then the catalyst was easily deactivated due to build--up of solid products on active sites. The proposed reaction network based on the selectivities of intermediate oxidation products for p-toluic and terephthalic acid was similar to that on the homogeneous Co-Mn catalytic reaction system. This indicates that the Co-SBA-15 catalyst is a heterogeneous catalyst which can behave like a homogeneous catalyst and may be well applied to the liquid phase oridation of hydrocarbons without formation of solid products.

요하지통 환자에서 두 개의 캐눌라를 이용한 박동성 고주파 신경근 응고술의 임상 연구

김천숙,배재영,배덕구,강규식,안기량,권진형,김지은,유시현 순천향의학연구소 2003 Journal of Soonchunhyang Medical Science Vol.9 No.1

Dorsal root ganglion(DRG) block by the local anesthetics and steroids which has done classically in low back pain(LBP) patients with radiculopathy has high incidence of recurrence rate and side effects of steroids. Recently a new technique of pulsed radiofrequency thermocoagulation(P-RFTC) was introduced and substituted for it because of the benefits such as relatively low recurrence rate, low risk of nerve injury and comfort during the procedure. We experienced 15 patients who had LBP with radiculopathy and no or little response to epidural steroid injection. When we performed DR ganglionotomy by P- RFTC under the C-arm guide in these patients, we tried to approach the exact DR ganglion using tow cannulas - the one for obtaining patient's subjective symptoms and injection of contrast dye, the other for making a RF lesioning after identifying the impedance of sensory and motor stimulation. In conclusion, DR ganglionotomy by P- RFTC using two cannulas in LBP patients is an easy and safe procedure with satisfactory results.

정밀체성분 분석자료 및 복부지방율(WHR)과 임상검사 비교분석

박영원,최상철,이동춘,윤은희,이정화,김현숙,배경림,김은희 한국건강관리협회 1999 건협 Report Vol.2 No.-

물리치료사들의 대체의료에 관한 인식도 조사

김영희,김기열,배주환,김상수,남철현 경산대학교 보건복지연구소 2000 保健福祉硏究 Vol.5 No.-

This study was conducted to examine physical therapists' awareness of alternative medicine and their treatment. 250 physical therapists who were working in Daegu were selected as subjects of this study. Data were collected from February 21, 2000 to March 31, 2000. The results of this study are summarized as follows. 1. Among 218 respondents, 72.7% of them directly experienced alternative medicine. According to general characteristics of the respondents, 79.0% of them who were in thirties had experiences in alternative medicine. 83.3% of the respondents who had worked for above twenty years experienced alternative medicine and 90.0% of the respondents who were working in Oriental medical clinics had experiences in it. 79.8% of the respondents who had been married experienced alternative medicine and 88.4% of them who were Buddhists had experience in it. 2. The sources of information on alternative medicine were newspapers and broadcast (22.9%), seminars of related associations (22.5%), and Books (20.0%). 3. The respondents experienced alternative medicine for the purpose of treating their chronic diseases (67.0%), improving their energy and quality of life (20.5%), and improving their weak physical constitution (13.4%). 4. According to the respondents' trust in alternative medicine, 40.8% of them trusted chiropractic, while 25.2% of them trusted massage and finger-pressure therapy. 19.7% of them trusted taping therapy and 15.1% of them trusted sports massage. 5. 67.0% of the respondents treated patients by alter native medicine in the hospitals and clinics. In the case of treatment methods by alternative medicine, 35.3% of them gave patients the massage and finger-pressure. 33.0% of them adopted taping therapy and 24.3% of them tried to treat patients by chiropractic. 17.0% of them applied moxacautery, while 15.1% of them gave patients the sports massage. 6. The respondents adopted alternative medicine to treat following diseases: lumbago (57.5%), shoulder pain (51.8%), sciatica (39.9%), arthritis (36.2%), headache (31.1%), hypertension (24.3%), diseases of the peripheral nervous system (22.4%), diseases of digestive organ (14.6%), insomnia (12.3%), obesity (8.7%), stroke (5.5%), allergy and skin diseases (4.1%), cystitis (3.6%). 7. According to their motives of concern about alternative medicine, 59.1% of them were interested in it because they expected additional effect which could be obtained from it in parallel with Western medicine. 16.7% of them were concerned about alternative medicine because they lacked ability to solve patients' clinical problems, while 15.3% of them were interested in it because they acknowledged the effect of it. 8.9% of them had interest in alternative medicine because they were dissatisfied with medical and scientific approach of Western medicine. 8. 73.4% of the respondents thought that alternative medicine needed to be introduced in the college/university curriculum