Polyistotic Fibrous Dysplasia 1例 : Report of a Case

이승기,김덕정,김영조,김학현 최신의학사 1971 最新醫學 Vol.14 No.3

A case of the polyostotic polymeric fibrous dysplasia was reported with review of literatures which involved the both maxillary sinusese, mandibls, and left femur, humerus, ulna and all the metacarpals. Homogenous intramedullary bone graft was done for the treatment of the intertrochanteric fracture of the femur in this case.

기능성 재료의 액추에이터 응용

이승기,박정호 한국전기전자재료학회 2001 전기전자재료 Vol.14 No.2

최저생계비를 반영한 본인부담금 설계 모형 탐색 - 장애인활동지원제도를 중심으로-

이승기,심창호,류소영 한국장애인복지학회 2011 한국장애인복지학 Vol.- No.16

This article discusses the necessity of the change of current user fee's charging systems regarding personal assistance services for disabled people. The current system charges user fees on the basis of the roughly classified income levels, without the consideration of capacity of people's disposable income. Thus, the irrationality occurs like people with lower income pay more fees relatively than people with higher income. To overcome this problem, this article suggests a new model in which user fees should be charged on the basis of the disposable income with reflecting paying capacities of people compared to those of people with the highest income. The comparison between the current model and the new one about the amount of user fee shows that, under the current system, the majority of people with lower income expenses the fee above their paying capacities for personal assistance service. This result says that the current system needs to be changed to the system considering their paying capacity based on disposable income. 본 연구는 2011년 10월 5일부터 시행된 장애인활동지원에 관한 법률의 활동지원에 관한 본인부담금 부과체계를 현행의 단순한 소득구간 별 그리고 서비스 량 별 임의적 차등부과체계에서 최저생계비가 반영된 처분가능소득을 기준으로 부과하는 체계로 전환할 필요가 있음을 논의하였다. 처분가능소득을 기준으로 한 본인부담금 부과체계가 적용될 경우 현행의 활동보조서비스의 본인부담액이 상당부분 과다부과 되고 있음을 알 수 있었으며, 과소 부과된 경우는 전국 가구평균 소득의 150%~200%소득구간이면서 1등급인 구간과 200%초과 소득구간이면서 4등급, 3등급, 2등급, 1등급인 구간에 불과하였다. 이상의 결과는 현행 활동보조서비스의 본인부담금이 저소득계층일수록 그리고 활동보조서비스의 제공시간이 적을수록 많이 부담하는 구조라고 할 수 있다. 따라서 향후 본인부담금의 부과체계 검토 시 처분가능소득을 기준으로 한 부과체계로의 전환을 모색할 필요가 있음을 보여주고 있다.

개인별 지원계획과 지방자치단체의 역할 - 발달장애인 권리보장 및 지원에 관한 법률을 중심으로 -

이승기 한국지방자치법학회 2015 지방자치법연구(地方自治法硏究) Vol.15 No.1

The purpose of this article is to explore regional center for persons with developmental disabilities through investigating personal support plan which is included in Act for rights and support for persons with developmental disabilities. As personal support plan means conclusive plan based on life cycle needs for the persons and their families, it needs to secure their rights and benefits firstly. The Act is to say that it is most important to secure rights of the persons and it is expected that the welfare system for the persons is turned on stressing their needs. The personal support plan is one of the key words of the Act and thus it is said that the plan will play a role as a cornerstone for the service for people in need as well as persons with disabilities. It is because the plan changes the person oriented system as users from service providers. This article explores the roles of the regional center which carries the personal plan, and its establishment and process of the support plan. The plan is strikingly meaningful program, however, it is need to make cooperations between local government in order to attain the goal of the plan. It is also need to put the power of service organization to the regional center to secure the plan. Especially, this article says that local government in charge of the personal support plan make efforts and assistance to develop the plan. 본 연구의 목적은 발달장애인 권리보장 및 지원에 관한 법률(이하 발달장애인법)에서 규정한 개인별지원계획의 내용을 검토하여 지방자치단체에 설치될 지역발달장애인센터의 역할을 보다 선명히 하는 데에 있다. 개인별 지원계획이란 서비스 이용자와 가족의 복합적 욕구를 고려하여 생애주기에 따라 욕구에 맞는 서비스의 통합적인 지원 계획을 의미하는 것으로 발달장애인의 욕구와 이익을 최우선적으로 보장할 수 있는 방향으로 수립되고 시행되어야 할 것이다. 발달장애인법은 그간 논의가 지속되어온 장애인의 권리를 전면에 내세운 법으로 향후 장애인복지의 방향성이 장애인 중심적 체제로 전환될 것을 상징적으로 보여주고 있다. 특히, 개인별 지원계획에 관한 부분은 법의 중추적 개념 중의 하나로 장애인 서비스 지원의 기념비적 규정들이라고 평가할 만하다. 획일적인 서비스 지원이 아닌 개별화된 서비스로의 터닝 포인트를 제공하고 있기 때문이다. 본 연구에서는 개인별지원계획의 수립 및 운영 주체인 지역발달장애인센터에 대한 검토와 개인별 지원계획 수립 및 절차에 관한 규정을 검토하였다. 개인별지원계획은 서비스 지원에 있어서 매우 의미 있는 제도이지만, 동 계획이 실질적으로 운영되기 위해서는 지방자치단체 간의 협력 마련이 긴요하며, 개인별 지원계획에 따라 서비스를 제공할 수 있는 구속력 있는 장치가 마련되어야 할 필요가 있음을 제언하였다. 특히, 보다 의미 있고 성숙된 제도로 발전을 위해서는 제도를 직접 운영하는 지방자치단체의 노력과 지원이 필요함을 강조하였다.

유럽형 APR1400 해체고려설계

이승기,강상호,이정희,이동수,김병일,이교민,김주희,이승종,장재왕 대한방사선방어학회 2013 대한방사선방어학회 학술발표회 논문요약집 Vol.2013 No.04

유리체강내 주사 시 바늘 직경 차이에 따른 안구 통증 비교

이승기,김웅희,김성진,박종석 대한안과학회 2020 대한안과학회지 Vol.61 No.9

Purpose: To compare the ocular pain scores and injection times of patients during 30 and 40-gauge intravitreal injection procedures. Methods: This study was performed prospectively in patients who had not previously received intravitreal injection. Patients were randomly divided into two groups and intravitreal injections of bevacizumab, ranibizumab, and aflibercept were performed using a 30-gauge needle (30G Group) or a 40-gauge needle (40G group). The injection time defined as the time between conjunctival touching of the needle and finishing the hemostasis after needle removal was measured in each patient. Immediately after the injection, patients were asked to rate their pain level during the injection using a visual analogue scale (0, no pain; 10, unbearable pain). Results: Sixty eyes of 60 patients were included in this study and 30 patients were assigned to each group. The mean injection times of the 30G and 40G groups were 42.00 ± 37.18 and 32.73 ± 14.58 seconds, respectively, with no significant difference (p = 0.212). The visual analogue scale, pain scores in the 30G and 40G groups were 3.50 ± 1.25 and 2.87 ± 1.01, respectively, with a significant difference (p = 0.035). Conclusions: Intravitreal injection with a 40-gauge needle was less painful than that with a 30-gauge needle. 목적: 유리체강내 주사 시 주삿바늘 직경에 따른 안구 통증 및 주사 시간을 비교하고자 하였다. 대상과 방법: 본 연구는 이전에 유리체강내 주사를 받은 적이 없는 환자를 대상으로 전향적으로 실시하였다. 환자를 무작위 배정하여 30게이지(30G Group)와 40게이지(40G Group) 바늘을 이용하여 유리체강내 주사를 시행하였고, 약제로는 Bevacizumab, Ranibizumab, Aflibercept를 사용하였다. 유리체강내 주사 시간은 주삿바늘이 결막에 접촉하는 시점부터 바늘 제거 후 지혈을 마친 순간까지로 정의하였고, 안구 통증은 주사를 맞은 직후 환자들에게 0점(통증 없음)부터 10점(참을 수 없는 고통)까지의 visual analogue scale (VAS) 척도로 설문조사를 하여 평가하였다. 결과: 총 60명 60안이 연구에 포함되었고 30G Group, 40G Group에 각각 30명의 환자가 배정되었다. 유리체강내 주사 시간은 30G Group에서 42.00 ± 37.18초, 40G Group에서 32.73 ± 14.58초로 측정되었으나, 두 군 간의 유의한 차이를 보이지는 않았다(p=0.212). VAS 척도에 따른 통증 점수는 30G Group, 40G Group 각각 3.50 ± 1.25점, 2.87 ± 1.01점으로 두 군 간의 유의한 차이가 있었다(p=0.035). 결론: 유리체강내 주사 시 40G 바늘을 사용하는 것이 30G 바늘을 사용하는 것보다 환자의 안구 통증을 줄일 수 있었다.

장애인 실태조사가 우리 사회에 주는 울림

이승기 한국보건사회연구원 2018 보건복지포럼 Vol.263 No.-

지방의회 예산심의에 관한 연구 : 충청북도의회를 중심으로

이승기 충북연구원 2002 지역정책연구 Vol.13 No.1

The purpose of this study is to show how a local assembly works and to explain how it can be made move efficient by studying the realities of budget deliberations in order to achieve financial control. In this way we purpose an alternative political plan. What a local assembly takes an important predomination in controling a local a니tonomO니s body is to try to find a solution the problem found in budget deliberation by analyzing the realities of budget deliberation. In this paper, we have done as followings for this: First, the analysis of the result of preliminary investigation fulfilled by an executive committee has showed that most of increased budget was none at all and the investigation of special accounts budget was executed formally. Also in investing tax reven니e budget and annual expenditure one, only the investigation of the former was emphasized while the latter was not too. Second, the result of comprehensive investigation of the special budget committee showed that technical knowledge for budget investigation, a profitable academic career qualified to b니dget investigation, and the investigation experience influenced on budget deliberation, which was because a speciality was required for efficient budget deliberation. Third is the realities of regional egoism deliberation. Because a local assembly, an institute representing regional residents, has the right of decision of deliberating an important policy to need the agreement of residents in order to take a legislative action about the matter which a local autonomous body needs, it must play a leading part in criticized since a local assembly is concerned about investing to it's own region without distributing investment efficiently. Fourth is the rigidity of local finances which shows the possibility of development of an autonomous body as well as the degree of it's income. Therefore, a local assembly can satisfy the residents in the case of budget deliberation only when it understands the distribution ratio of the estimated revenue. However, there is a difficulty in deliberating it's budget since about 70 percent of local finances depends on the central government. Fifth is the local committee members as an honorary post are criticized since they don't have enough experience, speciality and information about budget deliberation, and are helped from the experts when they do their legislative action. In the case of budget deliberation, therefore, budget deliberation must be neutrally and objectively investigated and reported in accordance with the validity of b니siness and the reality on the basis of speciality of an expert committee. Based on the problems derived from the analysis of the above mentioned realities, this paper suggests the improved plans that budget deliberation is efficiently done as followings. First is the committee members' academic career and their experience about budget deliberation are considered, they have a difficulty in budget deliberation because they have no any experience about budget deliberation. Therefore, the speciality of the members of a local assembly must be promoted through continuous research study and training and the development of the practically used educational program in order to fulfil the Unction of budget deliberation efficiently. Second is since the committee members have their own political characteristics, most of them have interest in only the estimated revenue of their region without considering that of other regions. Therefore, budget deliberation must be executed under the condition that many regions can be developed equally. Third is since abo니t 70 percent of local finances depends on the central government, a local autonomous body is restricted in deliberating it's budget. Therefore, when the autonomy of budget deliberation in local assembly is secured, sound finances can be executed. Fo니rth is since the local committee members as an honorary post are not paid and they can't have their assista... -

동물 경조직 단백 성분의 조성과 생리기능에 관한 연구 우각 수우각 서각에서 분리한 경단백의 조성에 대하여

이승기,김영은 ( Seung Ki Lee,Young Eun Kim ) 생화학분자생물학회 1974 BMB Reports Vol.7 No.2

We have previously reported that the abstinence syndrom of narcotic addicts was relieved by the protein extracts of animal hard tissue (from Manis pentadactyla). The protein extracts of the hard tissue were found to be a sort of keratin. Keratins were extracted from three species of animal horns (bovine horn, water buffalo horn and rhinoceros horn) with 0.1 M-Thioglycolate at 40℃ and S-carboxymethyl derivatives (SCMK) of the keratin were synthesized by the method of Gillespie and his co-workers. The yields of the keratin derivatives were in the range of 16% to 30% of the dryweight of the horns. In an attempt to elucidate and compare the compositions of the keratin derivatives, the analysis for amino acids, monosaccharides, hexosamines, uronic acids, sialic acids among bovine horn, water buffalo horn, and rhinoceros horn, were performed. Eighteen kinds of amino acids were found in the three keratin derivatives and there were no differences in the composition among them, with the exception of lysine contents of bovine horn protein extracts(2.67%), which was distinctively lower than those of water buffalo horn protein extracts(5.57%) and those of rhinoceros horn protein extracts (4.99%). The amounts of carboxymethyl cysteine of bovine horn are twice of those of water buffalo horn and those of rhinoceros horn. In view of these results, it is presumed that the crosslinking rate of bovine horn keratin by cystine disulfide bridge is higher than those of water buffalo horn and Rhinoceros horn. The conjugated components of the keratin derivatives, such as monosaccharides, sialic acids, hexosamines, and uronic acids were totally contained 1.38% in bovine horn keratin, 0.47% in water buffalo horn keratin and 1.04 in rhinoceros horn keratin. There are some similarities among the keratin derivatives of the three species, such as these keratins do not contain galactosamine but glucosamine, and also the existance of glucuronic acid in these keratins is not detected but galacturonic acid. The sugar moieties of these proteins consisted of glucose, galactose, xylose, fucose in bovine horn protein extracts; glucose, galactose, xylose, fucose in water buffalo horn protein extracts; glucose, galactose, mannose, ribose in rhinoceros horn protein extracts.

탈곡기의 선별 성능을 측정하는 방법의 개발에 관한 연구

이승기,정창주 한국농공학회 1975 한국농공학회논문집 Vol.17 No.1

This study was intended to develop a method for measuring the grain separating performance of threshers. The grain separating apparatus used for the experiment was designed and constructed, the function of which was to separate pneumatically mature and immature grain, chaff, straw, dust, and other impurities from the products of threshing. The apparatus has five material outlets where grains and impurities are fallen down by separation depending upon the specific gravity of the material white it moves above the outlets. The principle of design was to separate the mixture of mature grain, immature grain and chaff as distinct as possible, and to induce the mature grains onto the first outlet, the immature grains onto the second and the third, and the straw wastes onto the forth and the fifth outlets. The developed apparatus was tested to evaluate its separating performance with two rice varieties (Tongil and Mine-hikari) at different moisture levels and air velocities. The optimum conditions for operating the apparatus were found from experiment. The results are summarized as follows; 1. The degrees of separation, especially the amount of immature grain contained in the mature paddy, were dependent upon air speed delivered. The optimum air velocities for this apparatus for each levels of grain moisture contents were found from a series of experiments as follows; 14.7-15.3m/sec. for grain of 16 percent moisture content in wet basis, 15.3-16.0m/sec. for 20 percent, and 16.0-16.4m/sec for 24 percent. 2. Composition ratios determined based on the brine separating method was fairly well acted upon the developed apparatus, indicating its recollecting rate of the mature grains as 97.6 to 99.9 percent. The developed separatus acted similarly upon the two rice varieties which had different composition of immature paddy grain. In other words, the separating performance by the apparatus had a good correlation with the one by the brine separating method. 3. As immature grains were separated out unsatisfactory in these experiments than the brine separating method, further investigation may be needed to improve a separating performance of these materials. But the results obtained suggested a possibility of using the tester to replace the current hand separating method, ther eby enabling more consistent test results and also eliminating nearly all costly hand seperating operations.