김근호

김근호 충북연구원 2009 앞,뒤 바라보다 Vol.- No.1

선천성심질환(先天性心疾患)의 심폐기(心肺器) 개심수술(開心手術) - 4례(例) 보고(報告) -

김근호,박영관,지행옥,김영태,이종배,정윤채,오철수,Kim, Kun Ho,Park, Young Kwan,Jee, Heng Ok,Kim, Young Tae,Rhee, Chong Bae,Chung, Yun Chae,Oh, Chull Soo 대한흉부심장혈관외과학회 1976 Journal of Chest Surgery (J Chest Surg) Vol.9 No.1

The present. study reports four cases of congenital heart diseases, who received open heart surgery by the Sarn's Heart-Lung-Machine in the department of Thoracic Surgery, Hanyang University Hospital during the period between July 1975 and May 1976. The Heart-Lung-Machine consisted of the Sarn's five head roller pump motor system (model 5000), heat exchanger, bubble trap, the Rygg-Kyvsgaard oxygenator, and monitors. The priming of pump oxygenator was carried out by the hemodilution method using Hartman's solution and whole blood. Of the four cases of the heart diseases, three whose body weight were below 30kg, received the partial hemodilution priming and the remaining one whose body weight was 52kg received the total hemodilution priming with Hartman's solution alone. The rate of hemodilution was in the average of 60.5ml/kg. Extracorporeal circulation was performed at the perfusion flow rate of the average 94.0ml/kg/min, and at the moderate hypothermia between 35'5"C and 30'5"C of the rectal temperature. In the total cardiopulmonary bypass, arterial blood pressure was anged between 30 mmHg and 85 mmHg, generally maintaining over 60 mmHg and venous pressure was measured between 4 and $23cmH_2O$, generally maintaining below $10cmH_2O$. The first case: The patient, a nine year old girl having the symptoms and physical signs typical to cardiac anomaly was definitely diagnosed as isolated pulmonary stenosis through the cardiac catheterization. There was, however, no cyanosis, no pathological finding by X-ray and E.C.G. tracings. The valvulotomy was performed through the arteriotomy of pulmouary artery under the total cardiopulmonary bypass. Postoperative course of the patient was uneventful, and murmur and the clinical symptoms disappeared. The second case: A 12 year old boy with congenital heart anomaly was positively identified as having ventricular septal defect through the cardiac catheterization. As in the case with the first case, the patient exhibited the symptoms and physical signs typical to cardiac anomaly, but no pathological abnormality by X-ray and E.C.G. tracings. The septal defect was localized on atrioventricular canal and was 2 by 10 mm in size. The septal defect was closed by direct simple sutures under the cardiopulmonary bypass. Postoperative hemodynamic study revealed that the pressure of the right ventricle and pulmonary artery were decreased satisfactory. Postoperative course of the patient was uneventful, and murmur and the clinical symptoms disappeared. The third case: The patient, a 19 year old girl had been experienced the clinical symptoms typical to cardiac anomaly for 16 years. The pink tetralogy of Fallot was definitey diagnosed through the cardiac catheterization. The patient was placed on an ablolute bed rest prior to the operation because of severe exertional dyspnea, fatigability, and frequent syncopal attacks. However, she exhibited very slight cyanosis. Positive findings were noted on E.C.G. tracings and blood picture, but no evidence of pathological abnormality on X-ray was observed. All of the four surgical approaches such as Teflon patch closure (3 by 4cm in size) of ventricular septal defect, myocardial resection of right ventricular outflow tract, valvulotomy of pulmonary valvular stenosis, and pericardial patch closing of ventriculotomy wound were performed in 95 minutes under the cardiopulmonary bypass. Postoperative hemodynamic study revealed that the pressure of the right ventricle was decreased and pulmonary artery was increased satisfactorily. Postoperative course of the patient was uneventful, and murmur and the clinical symptoms disappeared. The fourth case: The patient, a 7 1/4 year old girl had the symptoms of cardiac anomaly for only three years prior to the operation. She was positively identified as having acyanotic tetralogy of Fallot by open heart surgery. The patient showed positive findings by X-ray and E.C.G. tracings, but exhibited no cyanosis and n

박태원 소설과 창작교육

김근호 구보학회 2013 구보학보 Vol.9 No.-

이 글은 창작교육이라는 핵심어로 지금까지 박태원 소설의 교육적 수용 양상을 살피고 앞으로의 교육적 전망을 모색하는 데 목적이 있다. 이 글에서 특히 주목하는 것은 창작교육이다. 이에 따라 문학교육과정의 흐름 속에서 창작교육의 위상을 검토해보고 박태원 소설의 교육적 수용 양상을 검토해보았다. 제7차 국어과 교육과정에서 창작교육이 자리잡은 이후 최근 교육과정에서는 수용과 창작의 통합적 활동을 지향한다는 사실을 확인할 수 있다. 그런데 국어 및 문학 교과서에 수록된 박태원 소설의 유형은 점차 협소해지는 양상을 보인다. 지금까지 국어 및 문학 교과서에 수록된 박태원의 소설을 보면, 「소설가 구보씨의 일일」이 지속적으로 교재화되면서 교육정전화의 가능성이 높아지고 있다. 하지만 그것은 독이기도 한데, 다양한 시각에서의 접근을 차단하는 작품으로 자리하게 될 가능성도 동시에 갖게 되기 때문이다. 이러한 문제를 타개하는 방안으로 창작교육에 주목할 필요가 있다. 창작교육은 근본적으로 충실한 작품 읽기를 바탕으로 해야 하는바, 수용과 창작은 동전의 양면과 같은 관계를 갖는다. 박태원 소설의 교육에서도 창작 경험은 충실한 작품 읽기를 바탕으로 해야 한다. 박태원의 경우 형식의 생산성에 주목할 필요가 있는데, 그것을 창작교육의 논리로 구체화할 필요가 있다. 아울러 박태원 소설의 상호텍스트성과 형식적 새로움을 교육하기 위해 작품 수록의 다양화를 기할 필요도 있다. Creative writing education is the key word in this paper. I tried investigate the aspects of accommodating Park, Tae-won’s novels in Korean literary education. And I explore the prospects of his educational vision. As a result, the flow of literature courses in creative education examined and the phase of the Park, Tae-won review of the novel aspects of the educational looked acceptable. Since creative writing education located in the 7th Korean language educational curriculum, integrated activities of acceptance literature and creative writing should be aimed. Park, Tae-won’s novels contained in the Korean language textbook and literary textbook seems to increasingly narrow aspect of collecting. So far, Among Park, Tae-won’s novels contained in the Korean language textbook and literary textbook, “A novelist, Mr. Kubo’s Daily Life” has the possibility of canonization. But this is a problematic phenomenon, to block access from a variety of place to works in various point of view. Creative ways to overcome these problems, we should focus on creative writing education. Creative writing education is fundamentally based on the text, so the reception and creation are two sides of the same coin relationship. The education of Park, Tae-won’s novel should be based on a faithful reading of the work. Park, Tae-won, the formal productivity of text is noteworthy, which needs to be embodied in the creative writing logic. And Park, Tae-won’s novels has a intertextuality of texts and the novelty of form, to maximize this merit in education acceptance of his novels in textbook need to be diversified.

“일의 의미” 실증연구 동향: 2009~2018년 국내⋅외 학술지 게재 논문을 대상으로

김근호,장지현,김성혜,조아로,장원섭 한국기업교육학회 2019 기업교육과인재연구 Vol.21 No.1

This study analyzed the trends of domestic and international empirical researches conducted over the past decade on ‘Meaning of work/Meaningful work’. The purpose of this study is to examine implications in the field of HRD based on a comprehensive understanding of the concept of ‘meaning of work’. We collected and analyzed a total of 161 papers(41 in Korea, 120 in other countries) on empirical research papers published in domestic and international journals from 2009 to 2018. The results of this study are as follows: First, the number of studies on the meaning of work has increased in the last 10 years, and this can be inferred to be influenced by economic and social changes. Second, as the research approach to the meaning of work has been diversified, the field of study and the method of research are widening. Third, the research base on intervention to enhance the meaning of work in the workplace is being reinforced. Based on the results of this analysis, we suggest the following implications practical and academic implications. In the field of practice, it is possible to develop an educational program to enhance the meaning of work for organization members or students. According to changes in the labor market and the world of work, in future research, it is necessary to study the "meaning of work" that can increase practical use in the workplace, and to establish a work concept from the viewpoint of HRD. Various research design and measurement tools should be developed to study the meaning of work. It is needed to a critical approach about simplifying the meaning of work and the performance of individuals and organizations. 본 연구는 ‘일의 의미(Meaning of Work; Meaningful Work)’에 관하여 지난 10년 간 이루어져 온 국내외 실증 연구 동향을 분석함으로써 ‘일의 의미’ 개념에 대해 종합적으로 이해하고, HRD 분야에서의 함의를 찾아보고자 하였다. 이를 위하여 지난 2009년부터 2018년 4월까지 국내외 학술지에 발표된 실증연구 총 161편(국내 41편, 국외 120편)의 논문을 수집⋅분석하였다. 분석 결과는 다음과 같았다. 첫째, 지난 10년 간 ‘일의 의미’에 관한 연구물의 수가 증가해왔으며, 이는 경제사회적 변화에 영향을 받은 것으로 유추할 수 있다. 둘째, 일의 의미에 대한 연구 접근이 다양해지며 학문 분야와 연구 방법의 폭이 넓어지고 있다. 셋째, 일터 현장에서 일의 의미를 고양하기 위한 개입방법에 대한 연구 기반이 확대되고 있다. 이러한 분석결과에 따라 다음과 시사점을 제시하였다. 실천 영역에서는 조직 구성원 또는 학생을 대상으로 일의 의미를 높이기 위한 교육프로그램을 개발할 수 있다. 향후 연구에서는 노동시장 및 직업세계의 변화에 따라 일터에서 실천적 유용성을 높일 수 있는 일의 의미연구와 HRD 관점에서 일 개념정립이 필요하다. 일의 의미를 연구하기 위한 다양한 연구 설계와 측정도구의 개발이 이루어져야 한다. 일의 의미와 개인과 조직의 성과를 단순화하는 것에 대한 비판적 접근이 필요하다.

식도게실의 외과적 치료에 대한 임상적 고찰

김근호,김영학,Kim, Geun-Ho,Kim, Yeong-Hak 대한흉부심장혈관외과학회 1989 Journal of Chest Surgery (J Chest Surg) Vol.22 No.1

This is a report of 12 cases of esophageal diverticulum treated surgically at the Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital during the 16 years. 10 patients were female and 2 were male and the age distribution was between 31 and 61 years. Various subjective symptoms were noticed preoperatively. Diagnosis was confirmed by esophagography. The type of esophageal diverticulum were pulsion type in 11 cases and traction type in one case, and they were all located on the mid-thoracic esophagus, but one case was associated with epiphrenic pulsion diverticulum After diverticulectomy with or without myotomy, subjective symptoms disappeared and there were no operative complications and mortality. Indication of myotomy evaluated with motilities status by fluoroscopic finding of X-ray barium study. Recurrence of symptoms was not noticed during follow-up.

폐암의 외과적 치료에 대한 임상적 고찰

김근호 대한흉부심장혈관외과학회 1969 Journal of Chest Surgery (J Chest Surg) Vol.2 No.1

A clinical evaluation was done on a total of 41 cases of primary bronchogenic carcinoma, which came to the department of thoracic surgery, Chonnam University Hospital for the period of 5 years from May 1964, and the various factors led the patients to an inoperable stage were searched. The incidence ratio of male to female was 5.8:1 and the age group of fifty and sixty decade occupied 78% of the total. The subjective symptoms of the patients were cough with or without sputum [83%], chest pain or chest discomfort [76%], and a few incidence of bloody sputum and hemoptysis. The histological findings were 40% of squamous cell carcinoma, 35% of adenocarcinoma and 25% of anaplastic carcinoma, including 5 cases of unclassified bronchogenie carcinoma in scalene biopsy. 12 cases [29%] of a total of 41 cases received thoracotomy, but 8 cases among them were operable and 4 cases inoperable. The rest of 29 cases [71%] could not receive thoracotomy because of the various contraindication. 23 cases [70%] out of inoperable 33 cases had wasted time over 2 months duration for an operation owing to physicians` misdiagnosis of bronchogenic carcinoma as pulmonary tuberculosis, chronic lung abscess, asthma, pleurisy, pneumonia. common cold, neuralgia in order. The delaying factors led the patients to an inoperable stage were physicians misdiagnosis of bronchogenic carcinoma due to non-specific symptoms and signs of the patients, old aged patients dependance on herb medicine, and poor economical condition of the patients.

현대소설 독서 체험에서의 시골과 도시의 장소성 : 문학교육사적 관점에서

김근호 한국독서학회 2019 독서연구 Vol.0 No.50

In reading novels, the placeness of country and city forms an important part of reading experience, and it is important to educate and encourage novel readers to feel such a sense of place in the course of their reading. According to this problem consciousness, I have reviewed the aspects and learning activities of modern novels in Korean language textbooks for middle and high schools. First of all, modern novels as textual materials, which have been included in the textbooks, show a proper mix of country and city backgrounds come to the curriculum recently, but country backgrounds had taken up an overwhelming in the past. It is not only in keeping with the changes of society, but it is also a condition that allows us to enjoy the rich spatiality. However, there is still a lack of equipment to feel and experience the placeness of the novel in the learning activities. Especially for country background novels, the so-called ‘placelessness’ is being reinforced, which erased the characteristic placeness of the novel’s space. On the other hand, there are two examples of learning activities that are considered and promoted to provide a sense of the place of city, but these tell us that we are at the starting point. The experience of placeness in reading novel promotes aesthetic experience and strengthens the reader’s identity and subjectivity. Therefore, we need to pay attention to plan learning activities and to develop supporting materials so that the reader as a learner can experience the country as a country and the city as a city in reading novels. 소설 독서에서 시골과 도시의 장소성은 중요한 독서 체험의 결을 형성하며, 소설 독서의 과정에서 그러한 장소성을 느끼도록 배려하고 촉진하는 소설교육은 중요하다. 이러한 문제의식에 따라 역대 중․고등학교 국어교과서에 수록된 현대소설 제재의 수록 양상과 학습활동을 검토해본 결과는 다음과 같다. 우선 교과서에 수록되어온 현대소설 제재는 시골이 압도적으로 많은 부분을 차지하다가 최근 교육과정으로 오면서 시골과 도시의 적절한 혼재를 보여준다. 그것은 사회의 변화에 호응하는 것이기도 하면서 소설의 풍부한 공간성을 향유할 수 있게 해주는 조건이 된다. 하지만 학습활동에서는 소설의 장소성을 느끼고 체험할 수 있도록 하는 장치가 여전히 빈약하다. 특히 시골 배경 소설의 경우, 소설의 공간이 갖는 특징적 장소성을 지워버린, 이른바 ‘무장소성’이 오히려 강화되고 있다. 한편 도시의 장소성과 서사세계의 실감을 느낄 수 있도록 배려하고 촉진하는 학습활동이 두 군데 정도 확인되는데, 아직 장소성 체험의 맹아 수준에 불과한 상황이다. 소설 독서 과정에서 장소성의 체험은 미적 체험을 촉진하며, 독자의 정체성과 주체성을 강화한다. 그러므로 소설 독서에서 독자가 시골을 시골답게, 또 도시를 도시답게, 즉 장소성을 감각적으로 수용하고 체험할 수 있는 학습활동의 기획과 보조 자료 개발 등에 관심을 기울일 필요가 있다.

개심술에서 술중 심근보호효과에 관한 임상적연구

김근호 대한흉부심장혈관외과학회 1987 Journal of Chest Surgery (J Chest Surg) Vol.20 No.2

Cardioplegia and myocardial protection were performed under cardiopulmonary bypass during open-heart surgery with the use of cold St. Thomas Hospital cardioplegic solution [4=C] for the coronary artery perfusion and normal saline solution [4- C] for the topical cardiac cooling. To maintain the state of myocardial protection, coronary artery reperfusion was carried out using St. Thomas Hospital cardioplegic solution at the interval of 30 minutes. A total number of patients studied were 57 cases, including 37 cases of correction for congenital cardiac anomalies and 20 cases for acquired heart valvular diseases. Cardiopulmonary bypass time during the surgery was observed to be average of 87.89*47.55 hours, aortic cross-clamping time to be average of 76.68~44.27 hours raging from 30 to 191 minutes. In order to evaluate the effects of myocardial protection in the surgery, serum enzyme levels were determined. To observe the relationship between aortic cross-clamping time and myocardial protection effects, patients studied were divided into the following 3 groups. I group: aortic cross-clamping time, 60 minutes, II group: aortic cross-clamping time, 90 minutes, III group: aortic cross-clamping time, over 91 minutes. 1. Changes in serum enzyme levels in postoperative period. [1] SCOT; The postoperative value [increased over 200 units] for ischemic myocardial injury during operation was observed in 11 cases [19.3% of the total] of the total patients studied, of which 4 cases [13.3%] in I group, 1 case [10.0%] in II group, and 6 cases [35.3%] in III group. [2] LDH; The positive value [increased over 900 units] for ischemic myocardial injury during operation was observed in 9 cases [15.7% of the total] of the total patients studied, of which 2 cases [6.6%] in I group, 1 case [10.0%] in II group, and 6 cases [35.3%] in III group. [3] CPK; The positive value [increased over 800 units] for ischemic myocardial injury during operation was observed in 10 cases [17. 5% of the total] of the total patients studied, including 4 cases [13. 3%] in I group, 1 case [10.0%] in II group, and 5 cases [29.4%] in III group. 2. The myocardial protection method used in the present study was demonstrated to be effective for the myocardial protection in the surgery with aortic cross-clamping time of up to 90 minutes. A few ischemic myocardial injury were observed in the surgery with aortic cross-clamping time over 91 minutes, but no significant cardiac dysfunction was noted. The surgery with aortic cross-clamping time of up to 191 minutes did not appear to give rise any significant interference with postoperative recovery.

음향기반의 악기 - 컴퓨터 인터페이스(MCI)에 관한 연구

김근호,김태혁 한국HCI학회 2013 한국HCI학회 학술대회 Vol.2013 No.1

식도섬책에 대한 외과적 치료

김근호,김영학,Kim, Geun-Ho,Kim, Yeong-Hak 대한흉부심장혈관외과학회 1989 Journal of Chest Surgery (J Chest Surg) Vol.22 No.1

A clinical evaluation was made on total 207 cases of corrosive esophageal stricture after ingestion of various corrosive substances and 173 cases of neoplasms in the esophagus and the cardia. The various complications associated with esophageal corrosion were observed on 28 cases [13.5%] in a total of 207 cases. Pathoanatomic findings of complication may be classified to the five category as follow; [1] stenosis in the pharynx due to adhesion of the epiglottis, [2] esophagobronchial fistula, [3] esophageal perforation with bougienation, [4] necrotic rupture of the esophagus and the stomach, and [5] so-called chronic corrosive gastritis. The comparative studies were done on a total of 165 cases of the various procedures of esophagoplasty to the reconstruction of the esophagus, which consists of antethoracal esophagoplasty with jejunum, retrosternal esophagoplasty with jejunum, retrosternal esophagoplasty with right colon, and retrosternal esophagoplasty with left colon. There is no hard and fast rule in selection of jejunum, right colon or left colon as the transplanting bowel and an operative method either antethoracal or retrosternal approach. When there was no possibility of the complication and no any defect of the anatomical states, one stage retrosternal esophagoplasty using right colon was better in various points of view. The 173 patients of the neoplasm of the esophagus consist of 28 cases of benign tumors and 145 cases of malignant tumors in the esophagus and cardia. 28 cases of benign tumors in the esophagus received the surgical treatment and they obtained with excellent results postoperatively. Of the 145 patients of esophageal carcinoma who received surgical managements, 101 cases [69.6%] were found to be operable and 44 cases [30.3%] were inoperable. Due to the various level of carcinoma in the esophagus, the following different surgical procedure was properly used case by case to get the best results in each case. Esophageal carcinoma in the upper and middle third segment received the total esophagectomy and the reconstruction of the esophagus using right colon by substernal procedure. Esophageal carcinoma in the lower third segment received an esophagojejunostomy in the mediastinum after the resection of lower third segment of the esophagus. Carcinoma in the esophago cardia and the stomach received also an esophagojejunostomy after the resection of the lower third segment of the esophagus and subtotal gastrectomy. For the 44 patients with inoperable carcinoma, the several palliative surgical managements such as gastrostomy or jejunostomy for feeding and esophagojejunostomy for bypass of the lower esophagus and the stomach were properly performed case by case for their maximum improvement.