내경동맥 지배 영역의 급성 허혈성 뇌졸중 환자에서 초 선택적 국소적 Urokinase주입술

김인규,김명규,김재규,조기현,김세종 대한신경과학회 1998 대한신경과학회지 Vol.16 No.5

번영로변 벚꽃 관광마을 조성에 관한 연구

金世泉,吳東炫 全北大學校 附設 都市및環境硏究所 1996 都市 및 環境硏究 Vol.11 No.1

First, The purpose of this study is improve the bad scene between Chonju and Kunsan about length of 40㎞ second, Establish new plans the area of Iksan city, Osan-Myun, Sinji-lee Buksinseok village which is seured ground of enter road around Bunyoung road, Kunsan city sungsan-Myun, sungduck-lee yo dong village. Also these studies divide into four areas, include the areas of teacher's traing school, Mokchun beach. Based on these studies, the plan was established

주변도시환경과 연계한 모악산 도립공원 조경계획에 관한 연구

김세천,오동현 全北大學校 附設 都市및環境硏究所 1997 都市 및 環境硏究 Vol.12 No.1

The purpose of this study is to conserve the existing forests of the Mt. Mo-ak. In addition, introduction of the CIP concept seeking for the desirable management plan of nature clinic and elrated aesthetic value of scenery, also pursuit for vision resources of forests. This study establishes construction plan of Mt. Mo-ak scenery and planting plan and divides for 11 sections.

관광휴양 및 환경보전을 고려한 마이산 도립공원 개발계획(Ⅱ) : 경관림 조성 및 불량 훼손지의 복구 공법 The study on Consititution of a View and Method of Construction to the a Scene

金世泉,吳東炫 全北大學校 附設 都市및環境硏究所 1996 都市 및 環境硏究 Vol.11 No.1

The purpose of a view and method of construction a place of scenic beauty figure of Mai-san of provincial which is located Jin-an kun in Jeon-buk, and promote proper using of it. The purpose of mai-san are contribution of health, recreation, emotion as a accept of CIP conception. The policies are trying to establish a best plan around the mai-san and increase of function, economic, sense of sight quality to the people as a place of tourist scenic beauty. Also, It is trying to establish a reasonable development plan and develop of method of construction, being based on the result of the analysic research around the view of injury mai-san.

만성 B형 활동성 간염에서 인트론-에이 500만 단위의 치료 효과 및 안정성에 관한 연구

김현수,나호영,최성규,유종선,김세종 全南大醫大 2001 전남의대학술지 Vol.37 No.1

群山市 군봉근린공원 自然體驗空間 조성에 관한 硏究

김세천,허준,노재현 又石大學校 附設 造景計劃硏究所 1997 造景硏究論叢 Vol.2 No.-

Urban parks were used as places that people can take a rest and enjoy the natural environment and scenery in the past. But the started to be changed and individualized by human activities in them. And the urban parks in suburbs are not only a public pleasure resort that people take a good rest; now they are used for more various purposes and as a place of education. history. culture landscape and ecology. During the process of urban planning and development under the rapid industralization and urbanization. various species and urban forest valuable enough to be preserved are disturbed. damaged and destroyed so that the opportunities of citizens to be friendly with nature are getting rarer. In he case of Kunsan City. there seems to be no ecological space in the parks. We have o intensity connection of green area line between main park of Kun-san city and have to endow the park situation and division of skill with a relationship connection through the positive formation of neighborhood park and reasonably based on Biotop. From he survey of kunbong Neighborhood Park. a spot of the green-belt located in the north-east suburb of Kunsan City. this study will suggest a detailed plan of a desirable ecological park on the purpose of preserving and restoring natural eco-system.

생태도시환경을 고려한 월명공원 계획에 관한 연구(Ⅱ)

김세천,오동현 全北大學校 附設 都市및環境硏究所 1997 都市 및 環境硏究 Vol.12 No.1

A section space plan accomplished divides for total six sections for example, physical exercise space, the exhibition space of sculpture, surrounding space of observational station, signal-fire platform, watershed space, foultry estuary.

관광휴양 및 환경보전을 고려한 마이산 도립공원 개발계획(Ⅰ) : 계획기조 및 기본구상 Development Basis & Basic Conception

金世泉,吳東炫,朴烽柱 全北大學校 1996 論文集 Vol.41 No.-

The purpose of this study is for providing of alternative tourism in Natural conservation areas by minimal development. This is different from the needs of the established real estate development, whis is regarded as a main sinner of environment destruction such as the large development of the entertainment complex. The tourism zone for efficient management and balanced development of tourism resource is divided into 5 large tourism zones and 24 Smaller zones. Mai-san provincial park in Jin-an was appointed as a provincial park with only 16.9 ㎢ on September, 16, 1979. It is involved in the Seonam tourism zone and the Chi·Duk mountain zone. The purpose and background of this study is the following: First, the endowment of the imagined originality of Mai-san provincial park as a forest landscape. Second, the utilization of Mai-san as a appropriate tourism and leisure resource centre doing conservation of the landscape or Mai-san provincial park. The development planning of Mai-san provincial park emphasizes the original image of Mai-san and the function as a recreation area for tourism. It also enhances the visible and mental quality and conserves the natural environment. The basic conception is the following: First, In spatial conception, it pursues appropriate harmony with development and conservation by accepting visitor's requests aggressively. Second, In make landscape forest by CIP concept, appropriate tree counterproposal and forest basic type are selected.

피로와 의료이용, 업무상 사고 및 질병결근

장세진,고상백,강동묵,김성아,정진주,이철갑,강명근,현숙정,조정진,차봉석,박종구 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

Objectives: This study examined the relationship of fatigue to medical utilization, occupational accident and sickness absence. Subjects and Methods: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project, 2002~2004). A total of 30,146 employees categorized within the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were recruited. A structured-questionnaire was used to assess the participants' sociodemo-graphics, job-related factors, health-related behaviors, personality trait, self=perceived fatigue (MFS) and the frequency of medical utilization, occupational accident and sickness absence. Data on medical utilization and occupational accident were confirmed from company health records. Chi-square test and logistic regression analysis were used to elucidate the relationship of self-perceived fatigue to medical utilization, occupational accident and sickness absence. Results: In logistic regression analyses, self-perceived fatigue was associated with medical utilization (outpatient), occupational accident and sickness absence although the strength of the associations was higher in the blue collar workers except for medical utilization. For medical utilization, the white collar worker's adjusted odds ratios of outpatient utilization for workers scoring in the third quartile and the highest quartile, compared to workers scoring in the lowest quartile were 1.50 (95% CI: 1.20-1.87) and 2.16 (95% CI: 1.69-2.75), respectively. The blue collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the second (OR: 1.23, 95% CI: 1.06-1.43), third (OR: 1.42, 95% CI: 1.22-1.66) and highest quartile (OR:1.83, 95% CI: 1.55-2.17), respectively, compared to workers scoring in the lowest quartile were statistically significant. However, no associations were found between fatigue and inpatient utilization for either the white or blue collar workers. The blue collar workers' adjusted odds ratios of being injured for workers scoring in the second, third and highest quartile were 1.41 (95% CI: 1.00-2.00), 1.57 (95% CI: 1.10-2.22) and 2.41 (95% CI: 1.69-3.44), respectively, compared to those scoring in the lowest quartile, but, those of the white collar workers were not significant. There was more likely to an increased risk of sickness absence in workers scoring in the second, third and highest quartile compared to those scoring in the lowest quartile in both white and blue collar workers, but the magnitudes of risk were higher in the blue collar workers than the white collars workers. Conclusion: This result suggests that fatigue is a determinant predictor of medical utilization, occupational accident and sickness absence, and that the pattern of risks for the three outcomes differs according to the occupational type. Some limitations of this study and considerations for future study were also discussed.

악성 흉막삼출액에서 Bleomycin을 이용한 흉막유착설의 시술효과

박정현,김학렬,양세훈,정은택 圓光大學校 醫科學硏究所 2002 圓光醫科學 Vol.17 No.1

목적: 악성 흉막삼출액이 반복적이고 지속적으로 발생하는 경우, 호흡곤란, 흉통등의 증상을 유발시키므로 흉막경화제에 의한 흉막유착술을 시행할 수 있다. 흔히 사용되던 talc의 심각한 부작용이 보고되고 있고, doxycycline 주사제도 국내에서 발매되지 않고 있다. 이에 연자들은 항암제로 소개된 bleomycin을 이용한 흉막유착술의 단기와 중기효과, 부작용 및 생존율 등을 전향적으로 확인하였다. 방법: 2000년 1월부터 2001년 12열까지 원광대학교 부속병원에 내원하여 반복적이고 지속적인 악성 흉막삼출액으로 흉막유착술이 필요한 26명의 환자를 대상으로 특별한 전 처치 없이 bleomycin 60 unit를 식염수와 함께 흉강 내 주입 후, 1일 후의 흉관에 의한 배액량을 확인하고 부작용을 관찰하였으며, 1개월 후에 흉부 방사선상으로 재 저류 유무를 확인하였다. 또한 시술 반응군과 비반응군으로 나누어 중앙생존기간을 비교분석 하였다. 결과: 시술 1일 후 26예중 10예(38%)에서 배액이 없었고, 8예(31%)에서 배액량이 100ml이하였으며, 8예(31%)는 100ml이상이었으나 시술 전보다 감소하였으며 증가된 경우는 없었다. 유의할만한 부작용은 4예(고열 3예, 흉통 1예)에서 발생하였으나, 대증요업으로 조절되었다. 시술 1개월 후 흉부 방사선과 26예중 9예(35%)는 재 저류액이 없었고, 10예(38%)는 저류액이 있으나 시술 전보다 감소하였으며, 1예(4%)는 이전과 변화가 없었고, 6예(23%)는 시술 전보다 저류액이 증가하였다. 시술 후 단기 및 중기효과를 반응군과 비반응군으로 나누어 중앙생존기간으로 양군간을 비교하였을 때, 반응군에서 연장이 되었으나 통계적으로 유의한 차이는 없었다. 결론: 이상의 결과로서 bleomycin에 의한 흉막유착술은 다른 경화제보다 특별한 전 처치가 필요 없는 간편하고, 비교적 부작용이 적은 안전한 방법이며, 효과적인 치료성적을 보이는 시술로 사료된다. Background : Malignant pleural effusions are common and significant problems in patients with advanced malignancy. Repeated thoracentesis provides temporary symptomatic improvement, but most patients progressively cause dyspnea or pleuritic pain. So pleurodesis with sclerosing agent is effective as a palliative treatment. There are many drugs used as pleural sclerosing agents. But doxycycline hasn't been used in Korea since 1999. And recently talc has been reported serious side effects. In this study, pleurodesis with bleomycin was prospectively investigated for its short term and middle period effects and its side effects. Methods : Twenty-six patients with malignant pleural effusion were prospectively analyzed to estimate the effects of bleomycin pleurodesis. Without special management before the procedure, 60 units of bleomycin in 50-100ml of normal saline were instilled into the pleural space via a small bore catheter(8-10 F). Andthen repeated positional changes and rotations were done for 2 hours. We measured the drainage amount and evaluated the side effects after 24 hours and checked the existence of the effusion by chest radiography after 1 month. Results : After 24 hours, the drainage amount showed that the responder group(none or ≤ 100ml) was 69%, and that the nonresponder group(> 100ml) was 31%. Side effects (high fever in 3 cases and severe pleuritic pain in 1 case) were 15%(4/26), but patients recovered easily by symptomatic management. After 1 month, chest radiography showed that the response rate(complete or partial response) was 73%. Differences of survival times between responder and nonresponder group was not statistically significant. Conclusions : We are suggest that bleomycin as a pleural sclerosing agent is a relatively simple, safe and effective agent. But a prospective study with a larger number of patients must be warranted.