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    A Study on the Improvement of Conflict Related to the Preservation of Historical and Cultural Environment : Focusing on the conflicts related to the limitation of development act

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ๊ณต๊ณผ๋Œ€ํ•™ ๊ฑด์ถ•ํ•™๊ณผ, 2018. 8. ์ „๋ด‰ํฌ.์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ ๋ณด์ „์˜ ๋ฒ”์œ„๊ฐ€ ํ™•๋Œ€๋จ์— ๋”ฐ๋ผ ๋‹ค์–‘ํ•œ ์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ ๋ณด์ „์„ ๋ชฉ์ ์œผ๋กœ ํ•˜๋Š” ์ •์ฑ…์ด ๋‚˜ํƒ€๋‚˜๋ฉฐ, ๊ฐœ๋ฐœํ–‰์œ„ ์ œํ•œ์„ ์ฃผ๋œ ์ˆ˜๋‹จ์œผ๋กœ ํ•˜๋Š” ๋ณด์ „์˜ ํŠน์„ฑ์ƒ ๋‹ค์–‘ํ•œ ํ–‰์œ„์ž ๊ฐ„์˜ ๊ฐˆ๋“ฑ์ด ๋ฐœ์ƒํ•œ๋‹ค. ์ด ๋…ผ๋ฌธ์€ ์ด๋Ÿฌํ•œ ์ƒํ™ฉ์—์„œ ์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ์—์„œ ๋‚˜ํƒ€๋‚˜๋Š” ๊ฐˆ๋“ฑ์„ ๊ฐœ๋ฐœํ–‰์œ„์ œํ•œ์„ ์ค‘์‹ฌ์œผ๋กœ ํ•˜์—ฌ ๊ทธ ํŠน์ง• ๋ฐ ์›์ธ์ด ๋ฌด์—‡์ธ์ง€ ํƒ์ƒ‰ํ•˜์—ฌ ๊ทธ ๊ฐœ์„  ๋ฐฉ์•ˆ์„ ๋ชจ์ƒ‰ํ•˜๋Š” ๋ฐ์— ๋ชฉ์ ์ด ์žˆ๋‹ค. ๊ธฐ์กด ์—ฐ๊ตฌ๋“ค๊ณผ๋Š” ๋‹ฌ๋ฆฌ ๋‹ค์–‘ํ•œ ์‚ฌ๋ก€๋ฅผ ์กฐ์‚ฌํ•˜์—ฌ ์‚ฌ๋ก€๋“ค ๊ฐ„์— ๋‚˜ํƒ€๋‚˜๋Š” ๊ณตํ†ต์ ์ธ ๊ฒฝํ–ฅ์„ ํŒŒ์•…ํ•˜์˜€์œผ๋ฉฐ, ๊ฑด์ถ•๋ฌผ ํ˜•ํƒœโ€ค๊ทœ๋ชจ๋‚˜ ๋ฒ•๋ฅ  ์™ธ์˜ ์ฐจ์›์—์„œ๋„ ๊ฐœ๋ฐœํ–‰์œ„ ์ œํ•œ๊ณผ ๊ด€๋ จํ•œ ๊ฐˆ๋“ฑ์˜ ์›์ธ๊ณผ ๊ทธ์— ๋Œ€ํ•œ ๊ฐœ์„ ๋ฐฉ์•ˆ์„ ํƒ์ƒ‰ํ•œ ๊ฒƒ์— ์ด ๋…ผ๋ฌธ์˜ ์˜์˜๊ฐ€ ์žˆ๋‹ค๊ณ  ํ•  ์ˆ˜ ์žˆ๋‹ค. ์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ ๋ณด์ „ ๋ฐ ์ด์— ๊ด€๋ จํ•œ ๊ฐˆ๋“ฑ์˜ ์ด๋ก ์  ๋ฐฐ๊ฒฝ์„ ํŒŒ์•…ํ•˜๊ธฐ ์œ„ํ•ด ๋ฌธํ—Œ ์ž๋ฃŒ๋ฅผ ๊ฒ€ํ† ํ•˜์˜€๋‹ค. ์ด๋Ÿฌํ•œ ์ด๋ก ์  ๋…ผ์˜๋ฅผ ํ†ตํ•ด ๊ฐˆ๋“ฑ ์‚ฌ๋ก€๋“ค์„ ์œ ํ˜•ํ™”ํ•˜์˜€์œผ๋ฉฐ, ๊ตฌ์ฒด์ ์ธ ๊ฐˆ๋“ฑ ์‚ฌ๋ก€๋ฅผ ์กฐ์‚ฌํ•˜๊ธฐ ์œ„ํ•ด ์ฃผ๋กœ ๊ฐˆ๋“ฑ ์‚ฌ๋ก€๋ฅผ ๋‹ค๋ฃฌ ์–ธ๋ก  ๊ธฐ์‚ฌ๋ฅผ ์ฐธ์กฐํ•˜์˜€๋‹ค. ๊ฐˆ๋“ฑ ์‚ฌ๋ก€์˜ ์œ ํ˜•์€ ๊ฐœ๋ฐœํ–‰์œ„ ์ œํ•œ์˜ ํŠน์„ฑ๊ณผ ์ดํ•ด๊ด€๊ณ„์ž ์‚ฌ์ด์˜ ์ƒํ˜ธ์ž‘์šฉ์ด๋ผ๋Š” ๋‘ ๊ฐ€์ง€ ๊ธฐ์ค€์„ ๊ฐ€์ง€๊ณ  ๋ถ„๋ฅ˜ํ•˜์˜€๋‹ค. ๋จผ์ € ๊ฐœ๋ฐœํ–‰์œ„ ์ œํ•œ์˜ ํŠน์„ฑ์— ๋Œ€ํ•ด์„œ๋Š” ๋Œ€์ฒด๋กœ ๊ฐœ๋ฐœํ–‰์œ„ ์ œํ•œ์ด ์ผ๋ฐ˜์ ์ธ ํ–‰์œ„ ์ œํ•œ๋ณด๋‹ค๋Š” ํŠน์ • ๊ฐœ๋ฐœํ–‰์œ„๋ฅผ ์ค‘๋‹จํ•˜๋Š” ๊ฒƒ์ผ ๋•Œ, ์ œํ•œ์˜ ๊ทผ๊ฑฐ๊ฐ€ ๊ธฐ์กด ๋ฒ•๋ น๋ณด๋‹ค๋Š” ์‹ ๊ทœ ๊ณ„ํš์— ์˜ํ•œ ๊ฒƒ์ผ ๋•Œ ๊ทœ์ œ ๊ด€๊ณ„์ž๋“ค์˜ ํ™œ๋™์ด ํ™œ๋ฐœํ•ด์ง€๋ฉฐ, ๊ฐˆ๋“ฑ์˜ ๊ธฐ๊ฐ„ ๋˜ํ•œ ์žฅ๊ธฐํ™”๋  ๊ฒƒ์ด๋ผ๊ณ  ์ถ”๋ก ํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค. ํ•œํŽธ, ์ดํ•ด๊ด€๊ณ„์ž ๊ฐ„์˜ ์ƒํ˜ธ์ž‘์šฉ์€ ๊ทœ์ œ ๋Œ€์ƒ์ž๋“ค์ด ํ–‰์ •๊ธฐ๊ด€์— ๋Œ€ํ•ด ๊ทœ์ œ ์™„ํ™”๋ฅผ ์š”๊ตฌํ•˜๋Š” ํ–‰์ •๊ธฐ๊ด€๊ณผ ๊ทœ์ œ๋Œ€์ƒ์ž ๊ฐ„์˜ ์ƒํ˜ธ์ž‘์šฉ์ด ๊ฐ€์žฅ ๋‘๋“œ๋Ÿฌ์ง€๊ฒŒ ๋‚˜ํƒ€๋‚ฌ์œผ๋‚˜, ๊ฐœ๋ฐœํ–‰์œ„์ œํ•œ์˜ ์ง์ ‘ ๋‹น์‚ฌ์ž๊ฐ€ ์•„๋‹Œ ์ œ3์ž๊ฐ€ ๊ฐœ๋ฐœ์— ๋ฐ˜๋Œ€ํ•˜๋ฉฐ ๊ทœ์ œ ๋Œ€์ƒ์ž๋‚˜ ํ–‰์ •๊ธฐ๊ด€๊ณผ ๊ฐˆ๋“ฑ์„ ๊ฒช๊ธฐ๋„ ํ•˜์˜€๋‹ค. ๋˜ํ•œ ์ค‘์•™์ •๋ถ€์™€ ์ง€๋ฐฉ์ •๋ถ€, ํ˜น์€ ์ง€๋ฐฉ์ •๋ถ€ ๊ฐ„์— ์˜๊ฒฌ ๋Œ€๋ฆฝ์ด ๋ฐœ์ƒํ•˜๊ธฐ๋„ ํ•˜์˜€์œผ๋ฉฐ, ์ •๋ถ€์œ„์›ํšŒ์™€ ์ค‘์•™ํ–‰์ •๊ธฐ๊ด€ ์‚ฌ์ด์˜ ์˜๊ฒฌ ์ถฉ๋Œ๋„ ๋‚˜ํƒ€๋‚ฌ๋‹ค. ๊ทธ ๋’ค ์—ฌ๋Ÿฌ ์‚ฌ๋ก€๋“ค๋กœ๋ถ€ํ„ฐ ๊ฐˆ๋“ฑ์ด ์ผ์–ด๋‚˜๋Š” ์›์ธ์„ ๋„์ถœํ•˜์˜€๊ณ , ๊ทธ์— ๋Œ€ํ•œ ๊ฐœ์„ ๋ฐฉ์•ˆ์„ ๊ตญ๋‚ด์˜ ์—ฌ๋Ÿฌ ์‚ฌ๋ก€์™€ ๋‹ค๋ฅธ ๋ถ„์•ผ์˜ ์ œ๋„, ์—ฌ๋Ÿฌ ๋ฌธํ—Œ๋“ค์„ ํ†ตํ•˜์—ฌ ์ œ์‹œํ•˜์˜€๋‹ค. ๊ฐˆ๋“ฑ์˜ ์›์ธ์œผ๋กœ๋Š” ๊ฒฝ์ œ์  ์ธก๋ฉด์—์„œ๋Š” ์ง€์—ญ ์ฃผ๋ฏผ์˜ ์ผ๋ฐฉ์ ์ธ ์žฌ์‚ฐ๊ถŒ ์ œํ•œ, ๊ฐœ๋ฐœ์‚ฌ์—… ์ค‘๋‹จ์œผ๋กœ ๋ฐœ์ƒํ•˜๋Š” ๋งค๋ชฐ๋น„์šฉ์ด ์žˆ์—ˆ์œผ๋ฉฐ ํ–‰์ •โ€ค์ œ๋„์  ์ธก๋ฉด์—์„œ๋Š” ๋ณด์ „์˜ ๋ฒ”์œ„ยท๋‚ด์šฉ์— ๋Œ€ํ•œ ๋…ผ์Ÿ, ํ–‰์ •๊ธฐ๊ด€์˜ ์ƒˆ๋กœ์šด ์‚ฌ์—… ์ˆ˜๋ฆฝยท์ถ”์ง„, ์ค‘์•™์ •๋ถ€์™€ ์ง€๋ฐฉ์ž์น˜๋‹จ์ฒด ๊ฐ„ ์˜๊ฒฌ ๋Œ€๋ฆฝ, ๋ฌธํ™”์žฌ์œ„์›ํšŒ ์‹ฌ์˜์— ๋Œ€ํ•œ ์ดํ•ด๊ด€๊ณ„์ž์˜ ๋ถˆ๋ณต์ด ์žˆ์—ˆ๋‹ค. ๊ฐ€์น˜๊ด€ ์ธก๋ฉด์—์„œ ์ดํ•ด๊ด€๊ณ„์ž๋“ค ์‚ฌ์ด์˜ ์ƒ๋ฐ˜๋œ ๊ฐ€์น˜๊ด€์˜ ์ถฉ๋Œ ์—ญ์‹œ ๊ฐˆ๋“ฑ์˜ ์›์ธ์ด ๋˜์—ˆ๋‹ค. ์ด๋Ÿฌํ•œ ๊ฐˆ๋“ฑ์— ๋Œ€ํ•œ ๊ฐœ์„ ๋ฐฉ์•ˆ์œผ๋กœ ์ฒซ์งธ, ์„ธ์ œ ๊ฐ๋ฉด ๋ฐ ๋ณด์กฐ๊ธˆ ์ง€์›, ์†์‹ค๋ณด์ƒ ๋ฐ ๋งค์ˆ˜์ฒญ๊ตฌ๊ถŒ ๋ถ€์—ฌ, ๊ทœ์ œ ๋Œ€์ƒ ์ง€์—ญ์— ๋Œ€ํ•œ ์ฃผ๋ฏผ ์ง€์› ์‚ฌ์—… ๋“ฑ์˜ ๊ฒฝ์ œ์  ๋ณด์ƒ์„ ๊ณ ๋ คํ•  ์ˆ˜ ์žˆ๋‹ค. ๋‘˜์งธ, ์‹ ์ถ•์ด ์–ด๋ ต๊ฑฐ๋‚˜ ๊ธฐ์กด ๊ณ„ํš๋Œ€๋กœ ๊ฐœ๋ฐœ ์‚ฌ์—…์˜ ์ถ”์ง„์ด ์–ด๋ ค์šด ๊ฒฝ์šฐ ๊ฒฐํ•ฉ ๊ฐœ๋ฐœ ๋ฐฉ์‹์„ ๋„์ž…ํ•  ์ˆ˜ ์žˆ๋‹ค. ์…‹์งธ, ๊ฐœ๋ฐœํ–‰์œ„์ œํ•œ์˜ ๋Œ€์ƒ ๋ฒ”์œ„ ๋ฐ ๋‚ด์šฉ์— ์ด๊ฒฌ์ด ์žˆ์„ ๋•Œ ๊ทœ์ œ์˜ ์žฌ์กฐ์ •์ด ํ•„์š”ํ•˜๋‹ค. ๋„ท์งธ, ํ–‰์ •๊ธฐ๊ด€์ด ๋ณด์ „์‚ฌ์—…์„ ์ถ”์ง„ํ•  ๋•Œ ์ง€์—ญ ์ฃผ๋ฏผ์ด ์ฐธ์—ฌํ•  ์ˆ˜ ์žˆ๋Š” ์ ˆ์ฐจ๋ฅผ ๋งˆ๋ จํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ๋‹ค์„ฏ์งธ, ์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ ๋ณด์ „ ์ •์ฑ…์—์„œ ์—ญํ• ์„ ๋ถ„๋‹ดํ•˜๋Š” ์ง€๋ฐฉ์ž์น˜๋‹จ์ฒด์™€ ์ค‘์•™์ •๋ถ€๊ฐ€ ํ˜‘์—…์„ ๋„๋ชจํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ์—ฌ์„ฏ์งธ, ๋ฌธํ™”์žฌ์œ„์›ํšŒ๊ฐ€ ์ธํ—ˆ๊ฐ€๋ฅผ ๊ฑฐ๋ถ€ํ•  ๋•Œ ๊ฑฐ๋ถ€ ์‚ฌ์œ ๋ฅผ ์•Œ๋ ค์ฃผ์–ด ๊ฐœ๋ฐœ์‚ฌ์—…์•ˆ์„ ๋ณ€๊ฒฝํ•  ์ˆ˜ ์žˆ๋„๋ก ํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ์ผ๊ณฑ์งธ, ์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ ๋ณด์ „์— ๊ด€๋ จํ•ด ๊ฐˆ๋“ฑ์ด ๋ฐœ์ƒํ–ˆ์„ ๊ฒฝ์šฐ ๋Œ€์ฒด์  ๋ถ„์Ÿํ•ด๊ฒฐ์ œ๋„(ADR)๋ฅผ ํ†ตํ•œ ๋ถ„์Ÿ ์กฐ์ •์„ ๊ณ ๋ คํ•  ํ•„์š”๊ฐ€ ์žˆ๋‹ค. ์—ฌ๋Ÿ์งธ, ๊ฐˆ๋“ฑ์ด ์žฅ๊ธฐํ™”๋˜๊ฑฐ๋‚˜ ์—ฌ๋Ÿฌ ๊ฐ€์น˜๊ด€๊ณผ ๊ด€๋ จํ•œ ๊ฒฝ์šฐ ์ฐธ์—ฌ์  ์˜์‚ฌ๊ฒฐ์ •๊ธฐ๋ฒ•์„ ๋„์ž…ํ•˜์—ฌ ๊ฐˆ๋“ฑ์„ ๊ฐœ์„ ํ•  ์ˆ˜ ์žˆ์„ ๊ฒƒ์ด๋‹ค.1. ์„œ ๋ก  1 1.1. ์—ฐ๊ตฌ์˜ ๋ฐฐ๊ฒฝ ๋ฐ ๋ชฉ์  1 1.2. ์„ ํ–‰ ์—ฐ๊ตฌ์˜ ๊ฒ€ํ†  2 1.3. ์—ฐ๊ตฌ์˜ ๋Œ€์ƒ ๋ฐ ๋ฐฉ๋ฒ• 7 1.3.1. ์—ฐ๊ตฌ์˜ ๋Œ€์ƒ 7 1.3.2. ์—ฐ๊ตฌ์˜ ๋ฐฉ๋ฒ• 9 2. ์ด๋ก ์  ๊ณ ์ฐฐ 11 2.1. ์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ ๋ณด์ „์˜ ์˜์˜์™€ ๊ด€๋ จ ์ œ๋„ 11 2.1.1. ์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ ๋ณด์ „์˜ ์˜์˜ 11 2.1.2. ์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ ๋ณด์ „๊ณผ ๊ด€๋ จํ•œ ์ œ๋„ 13 2.2. ๊ฐˆ๋“ฑ์˜ ์ด๋ก ์  ๊ฒ€ํ†  27 2.2.1. ๊ฐˆ๋“ฑ์˜ ๊ฐœ๋… ๋ฐ ์˜์˜ 28 2.2.2. ๊ทœ์ œ์ •์ฑ…์—์„œ์˜ ๊ฐˆ๋“ฑ๊ณผ ๊ด€๋ จํ•œ ์ด๋ก  29 3. ์—ญ์‚ฌ๋ฌธํ™”ํ™˜๊ฒฝ ๋ณด์ „๊ณผ ๊ด€๋ จํ•œ ๊ฐˆ๋“ฑ์˜ ํŠน์„ฑ 34 3.1. ๊ฐˆ๋“ฑ์˜ ์œ ํ˜• ๋ถ„๋ฅ˜ 34 3.1.1. ๊ฐœ๋ฐœํ–‰์œ„ ์ œํ•œ์˜ ํŠน์„ฑ์— ๋”ฐ๋ฅธ ๊ฐˆ๋“ฑ ์œ ํ˜• 34 3.1.2. ์ดํ•ด๊ด€๊ณ„์ž ๊ฐ„ ์ƒํ˜ธ์ž‘์šฉ์— ๋”ฐ๋ฅธ ๊ฐˆ๋“ฑ ์œ ํ˜• 38 3.2. ๊ฐˆ๋“ฑ ์‚ฌ๋ก€์˜ ๊ฐœ์š” ๋ฐ ๋ถ„์„ 42 3.2.1. ๊ฐ•ํ™”์‚ฐ์„ฑ ๋ฐ ๊ฐ•ํ™”์™ธ์„ฑ ์ฃผ๋ณ€ 42 3.2.2. ํ˜„๋Œ€์ž๋™์ฐจ ๊ธ€๋กœ๋ฒŒ๋น„์ฆˆ๋‹ˆ์Šค์„ผํ„ฐ ์‹ ์ถ•์‚ฌ์—… 47 3.2.3. ํ’๋‚ฉํ† ์„ฑ ๋‚ด๋ถ€ ์ฃผ๊ฑฐ์ง€ 52 3.2.4. ์‚ฌ์ง2๋„์‹œํ™˜๊ฒฝ์ •๋น„๊ตฌ์—ญ 60 3.3. ๊ฐˆ๋“ฑ์˜ ์œ ํ˜•๋ณ„ ํŠน์ง• 67 3.3.1. ๊ฐœ๋ฐœํ–‰์œ„ ์ œํ•œ์— ๋”ฐ๋ฅธ ์œ ํ˜•๋ณ„ ๊ฐˆ๋“ฑ์˜ ํŠน์ง• 67 3.3.2. ์ดํ•ด๊ด€๊ณ„์ž ๊ฐ„ ์ƒํ˜ธ์ž‘์šฉ ์œ ํ˜•๋ณ„ ๊ฐˆ๋“ฑ์˜ ํŠน์ง• 73 3.3.3. ๊ฐˆ๋“ฑ์˜ ์ด๋ก ์  ์„ค๋ช… 78 4. ๊ฐˆ๋“ฑ์˜ ์›์ธ๊ณผ ๊ฐœ์„ ๋ฐฉ์•ˆ 81 4.1. ๊ฐœ๋ฐœํ–‰์œ„์ œํ•œ ๊ด€๋ จ ๊ฐˆ๋“ฑ์˜ ์›์ธ 81 4.2. ๊ฐœ๋ฐœํ–‰์œ„์ œํ•œ ๊ด€๋ จ ๊ฐˆ๋“ฑ์˜ ๊ฐœ์„  ๋ฐฉ์•ˆ 90 4.1.2. ๊ฐˆ๋“ฑ์˜ ๊ฐœ์„  ๋ฐฉ์•ˆ 90 4.1.2. ๊ฐœ๋ฐœํ–‰์œ„ ์ œํ•œ ์œ ํ˜•๋ณ„ ๊ฐˆ๋“ฑ ๊ฐœ์„  ๋ฐฉํ–ฅ 101 5. ๊ฒฐ ๋ก  108 ์ฐธ๊ณ ๋ฌธํ—Œ 111 Abstract 114Maste

    Impact of Mitomycin-C-Induced Neutropenia after Hyperthermic Intraperitoneal Chemotherapy with Cytoreductive Surgery in Colorectal Cancer Patients with Peritoneal Carcinomatosis

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    Background: Mitomycin-C (MMC) is the most commonly used chemotherapeutic agent for hyperthermic intraperitoneal chemotherapy (HIPEC) after cytoreductive surgery (CRS). However, MMC has a side effect of myelosuppression. This study aimed to evaluate the clinical manifestations and impact of MMC-induced neutropenia after CRS and HIPEC in colorectal cancer patients. Methods: A total of 124 colorectal cancer patients who underwent CRS with HIPEC between March 2015 and January 2019 were evaluated. Patients with malignancies of non-colorectal origin, hospital stay longer than 60 days, peritoneal cancer index > 30, and complete cytoreduction score > 2 were excluded. MMC 35 mg/m2 was administered for 90 min at 41-43 ยฐC. The patients were divided into three groups: no neutropenia, mild neutropenia (grade 1-2), and severe neutropenia (grade 3-4). Results: In total, mild and severe neutropenia occurred in 30 (24.2%) and 48 (38.7%) patients, respectively. Age and body surface area were significantly different among the neutropenia groups. Severe neutropenia developed significantly earlier than mild neutropenia (6.9 days vs. 10.4 days, p < 0.001) and also lasted significantly longer (4.6 days vs. 2.5 days, p = 0.005). The rate of major postoperative complications was significantly higher in the severe neutropenia group than in the no and mild neutropenia groups (8.3% vs. 6.7% vs. 6.5%, p = 0.015) CONCLUSIONS: Severe neutropenia starts earlier and lasts longer than mild neutropenia after CRS and HIPEC using an MMC triple method. The higher rate of major postoperative complications in patients with severe neutropenia highlights the importance of postoperative management during the neutropenia period.ope

    Changes in Automated Mammographic Breast Density Can Predict Pathological Response After Neoadjuvant Chemotherapy in Breast Cancer

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    Objective: Mammographic density is an independent risk factor for breast cancer that can change after neoadjuvant chemotherapy (NCT). This study aimed to evaluate percent changes in volumetric breast density (ฮ”Vbd%) before and after NCT measured automatically and determine its value as a predictive marker of pathological response to NCT. Materials and Methods: A total of 357 patients with breast cancer treated between January 2014 and December 2016 were included. An automated volumetric breast density (Vbd) measurement method was used to calculate Vbd on mammography before and after NCT. Patients were divided into three groups according to ฮ”Vbd%, calculated as follows: Vbd (post-NCT โˆ’ pre-NCT)/pre-NCT Vbd x 100 (%). The stable, decreased, and increased groups were defined as -20% โ‰ค ฮ”Vbd% โ‰ค 20%, ฮ”Vbd% 20%, respectively. Pathological complete response (pCR) was considered to be achieved after NCT if there was no evidence of invasive carcinoma in the breast or metastatic tumors in the axillary and regional lymph nodes on surgical pathology. The association between ฮ”Vbd% grouping and pCR was analyzed using univariable and multivariable logistic regression analyses. Results: The interval between the pre-NCT and post-NCT mammograms ranged from 79 to 250 days (median, 170 days). In the multivariable analysis, ฮ”Vbd% grouping (odds ratio for pCR of 0.420 [95% confidence interval, 0.195โ€“0.905; P = 0.027] for the decreased group compared with the stable group), N stage at diagnosis, histologic grade, and breast cancer subtype were significantly associated with pCR. This tendency was more evident in the luminal B-like and triple-negative subtypes. Conclusion: ฮ”Vbd% was associated with pCR in breast cancer after NCT, with the decreased group showing a lower rate of pCR than the stable group. Automated measurement of ฮ”Vbd% may help predict the NCT response and prognosis in breast cancer.ope

    ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ๊ณผ ์„ฑ์žฅ์— ๊ด€ํ•œ ์—ฐ๊ตฌ

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ํ™˜๊ฒฝ๋Œ€ํ•™์› : ํ™˜๊ฒฝ๊ณ„ํšํ•™๊ณผ(๋„์‹œ๋ฐ์ง€์—ญ๊ณ„ํš์ „๊ณต), 2014. 2. ๊น€๊ฒฝ๋ฏผ.์„œ์šธ์€ ๊ธ€๋กœ๋ฒŒ ๋„์‹œ๋กœ ์ง„์ž…ํ•˜๋ฉด์„œ ๊ธ‰๊ฒฉํ•œ ๋‹ค๋ฌธํ™” ํ˜„์ƒ์„ ๊ฒฝํ—˜ํ•˜๊ณ  ์žˆ๋‹ค. ๊ฑด์„ค, ์ œ์กฐ์—…๋ฟ ์•„๋‹ˆ๋ผ ๋Œ€๋ถ€๋ถ„์˜ ๋„์‹œํ•˜๋ถ€์„œ๋น„์Šค ๋ถ„์•ผ์—์„œ ์ €๋ ดํ•œ ์™ธ๊ตญ์ธ ๋…ธ๋™๋ ฅ์— ๋Œ€ํ•œ ์˜์กด๋„๋ฅผ ๋†’์—ฌ๊ฐ€๊ณ  ์žˆ๋‹ค. ํ˜„์žฌ ์„œ์šธ์˜ ์™ธ๊ตญ์ธ ๋…ธ๋™์ž ์ค‘์—์„œ ๊ฐ€์žฅ ์ค‘์š”ํ•œ ๋น„์ค‘์„ ์ฐจ์ง€ํ•˜๊ณ  ์žˆ๋Š” ์ด๋“ค์€ ์กฐ์„ ์กฑ๋“ค์ด๋‹ค. ์—ญ์‚ฌ์ ์œผ๋กœ ๋ณผ ๋•Œ ํ•œ๊ตญ์˜ ์žฌ์™ธ๋™ํฌ๋ผ ํ•  ์ˆ˜ ์žˆ๋Š” ์ด๋“ค์€ ์–ธ์–ด์†Œํ†ต์˜ ์ž์œ ๋กœ์›€๊ณผ ์™ธ๋ชจ์  ์œ ์‚ฌ์„ฑ์œผ๋กœ ์‹๋‹น, ์ฒญ์†Œ, ๊ฐ€์‚ฌ๋„์šฐ๋ฏธ ๋“ฑ ๋Œ€๋ถ€๋ถ„์˜ ๋„์‹œ ํ•˜๋ถ€์„œ๋น„์Šค์—์„œ ํƒ€ ์™ธ๊ตญ์ธ ๋…ธ๋™์ž์— ๋น„ํ•ด ๊ฒฝ์Ÿ๋ ฅ์„ ๊ฐ€์ง€๊ณ  ์žˆ๋‹ค. ์„œ์šธ์— ์ •์ฐฉํ•œ ์ด๋“ค ๋…ธ๋™์ด์ฃผ ์กฐ์„ ์กฑ๋“ค์€ ์˜๋“ฑํฌ๊ตฌ๊ณผ ๊ตฌ๋กœ๊ตฌ๋ฅผ ์ค‘์‹ฌ์œผ๋กœ ํ•œ ์„œ๋‚จ๊ถŒ ์ง€์—ญ์— ์ง‘์ค‘์ ์œผ๋กœ ๊ฑฐ์ฃผํ•˜๋ฉด์„œ ๋ฐ€์ง‘์ง€๋ฅผ ํ˜•์„ฑํ•˜๊ณ  ์žˆ๋‹ค. ํŠนํžˆ ๊ตฌ๋กœ๊ตฌ ๊ฐ€๋ฆฌ๋ด‰๋™๊ณผ ์˜๋“ฑํฌ๊ตฌ ๋Œ€๋ฆผ2๋™์—๋Š” ๋งŽ์€ ์ˆ˜์˜ ์กฐ์„ ์กฑ๋“ค๊ณผ ์ด๋“ค์„ ์ค‘์‹ฌ์œผ๋กœ ํ•œ ์ƒ์—…์ง€์—ญ์ด ํ˜•์„ฑ๋˜์–ด ์ด๊ตญ์ ์ธ ๊ฒฝ๊ด€์ด ๋‚˜ํƒ€๋‚˜๊ณ  ์žˆ๋‹ค. ์ด๋Ÿฌํ•œ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€๋“ค์€ ์ผ๋ฐ˜์ ์œผ๋กœ ์Šฌ๋Ÿผ๊ณผ ๊ฒŒํ† ์ง€์—ญ์œผ๋กœ ์—ฌ๊ฒจ์ง€๊ณ  ์žˆ์œผ๋ฉฐ, ์–ธ๋ก  ๋ฐ ๋„์‹œ๊ณ„ํš ์ธก๋ฉด์—์„œ์˜ ๊ด€์‹ฌ๋„ ์ฃผ๋กœ ๋ฐ€์ง‘์ง€์˜ ๊ทธ๋Ÿฌํ•œ ์„ฑ๊ฒฉ์— ์ดˆ์ ์ด ๋งž์ถฐ์ ธ์žˆ๋‹ค. ๊ทธ๋Ÿฌ๋‚˜ ์„œ์šธ์˜ ๋‹ค๋ฅธ ํ•œํŽธ ๊ด‘์ง„๊ตฌ ์ž์–‘4๋™์—์„œ๋Š” ์กฐ์„ ์กฑ ์–‘๊ผฌ์น˜ ๊ฑฐ๋ฆฌ๊ฐ€ ์กฐ์„ฑ๋˜์–ด ์ด์ƒ‰์ ์ธ ๋‹ค๋ฌธํ™” ์ง€์—ญ์œผ๋กœ ์•Œ๋ ค์ง€๊ณ  ์žˆ๋‹ค. ์ž์–‘4๋™ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์—์„œ์˜ ์ด๋Ÿฌํ•œ ํ˜„์ƒ์€ ๋น„๊ต์  ์ตœ๊ทผ๋ถ€ํ„ฐ์˜ ๋ณ€ํ™”๋กœ ์Šฌ๋Ÿผํ™”, ๊ฒŒํ† ํ™” ์šฐ๋ ค๋ฅผ ๋‚ณ๊ณ  ์žˆ๋Š” ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์— ๋Œ€ํ•œ ์ƒˆ๋กœ์šด ๊ฐ€๋Šฅ์„ฑ์„ ๋ณด์—ฌ์ฃผ๋Š” ์‚ฌ๋ก€๋กœ ์˜๋ฏธ๋ฅผ ์ง€๋‹Œ๋‹ค. ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” ํ˜„์žฌ ์„œ์šธ ๋‚ด ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€ ์‚ฌ์ด์—์„œ ๊ด€์ฐฐ๋˜๋Š” ์ด๋Ÿฌํ•œ ์„ฑ๊ฒฉ ๋ฐ ํŠน์„ฑ์ฐจ์ด์˜ ์‹ค์ฒด์™€ ๊ทธ ์˜๋ฏธ๋ฅผ ํŒŒ์•…ํ•˜๊ณ ์ž ํ•˜์˜€๋‹ค. ์ด์— ๋”ฐ๋ผ ๊ฐ€๋ฆฌ๋ด‰๋™, ๋Œ€๋ฆผ2๋™, ์ž์–‘4๋™์˜ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€๋ฅผ ๋Œ€์ƒ์œผ๋กœ ๋น„๊ต๋ถ„์„์„ ์ง„ํ–‰ํ•˜์˜€๋‹ค. ์™ธ๊ตญ์ธ ๋ฐ€์ง‘์ง€์— ๋Œ€ํ•œ ๊ธฐ์กด์˜ ์—ฐ๊ตฌ๋“ค์„ ๋ฐ”ํƒ•์œผ๋กœ ๊ฐœ๋…์  ์ธก๋ฉด์—์„œ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€๋ฅผ ์กฐ์„ ์กฑ ์ฃผ๊ฑฐ๋ฐ€์ง‘์ง€์™€ ์กฐ์„ ์กฑ ์ค‘์‹ฌ์˜ ์ƒ์—…์ง€์—ญ์œผ๋กœ ๋Œ€๋ณ„ํ•˜์—ฌ ๊ฐ๊ฐ์˜ ๊ด€์ ์—์„œ ๋น„๊ต๋ถ„์„ํ•˜์˜€์œผ๋ฉฐ, ๊ทธ ๊ฒฐ๊ณผ๋ฅผ ์ค‘์‹ฌ์œผ๋กœ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ ๋ฐ ์„ฑ์žฅ ๊ณผ์ •์„ ์ •๋ฆฌํ•˜์˜€๋‹ค. ๋ฌธํ—Œ์—ฐ๊ตฌ์™€ ํ˜„์žฅ์กฐ์‚ฌ, ๊ณต๊ฐ„๋ถ„์„, ์‹ฌ์ธต๋ฉด์ ‘ ๋“ฑ์˜ ๊ณผ์ •์„ ํ†ตํ•ด, ๊ฐ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€๋“ค์ด ์ฃผ๊ฑฐ์™€ ์ƒ์—…์ง€์—ญ ์ธก๋ฉด์—์„œ ๋‹ค์–‘ํ•œ ์ฐจ์ด๋ฅผ ๋ณด์ด๊ณ  ์žˆ์Œ์„ ํ™•์ธํ•˜์˜€๋‹ค. ๊ฐ ์ง€์—ญ์€ ์ฃผ๊ฑฐ๋ฐ€์ง‘์ง€ ํ˜•์„ฑ๊ณผ์ •๊ณผ ์„ฑ์žฅ์˜ ๊ณผ์ •์—์„œ ์—ฌ๋Ÿฌ ์š”์ธ์˜ ์˜ํ–ฅ์„ ๋ฐ›์•˜๋‹ค. ๋˜ํ•œ ํ˜„ํ™ฉ ๋ฉด์—์„œ ์กฐ์„ ์กฑ ์ธ๊ตฌ๋ฐ€๋„์™€ ๋ถ„ํฌ, ์ฃผ๊ฑฐ์˜ ์งˆ ๋“ฑ์—์„œ ์ฐจ์ด๋ฅผ ๋ณด์ด๊ณ  ์žˆ์œผ๋ฉฐ, ์ƒ์—…์ง€์—ญ ์ธก๋ฉด์—์„œ๋„ ์ƒ์—…์ง€์—ญ์˜ ์„ฑ์žฅ์†๋„์™€ ๊ทœ๋ชจ, ์ƒ์—…์‹œ์„ค์˜ ์ž…์ง€ ๋ฐ ๋ฐฐ์น˜ํ˜•ํƒœ, ์ด์šฉ๊ฐ๊ตฌ์„ฑ, ์ƒ์—…์ง€์—ญ์—์„œ์˜ ๊ฒฝ์Ÿ์˜์‹ ๋“ฑ์— ์žˆ์–ด์„œ๋„ ์ง€์—ญ๋ณ„๋กœ ์„œ๋กœ ๋‹ค๋ฅธ ํŠน์„ฑ์ด ๋‚˜ํƒ€๋‚˜๊ณ  ์žˆ์Œ์„ ํ™•์ธํ•˜์˜€๋‹ค. ๊ทธ๋Ÿฌ๋‚˜ ์ด๋Ÿฌํ•œ ์ฐจ๋ณ„์  ํŠน์„ฑ์—๋„ ๋ถˆ๊ตฌํ•˜๊ณ  ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ ๋ฐ ์„ฑ์žฅ์— ์žˆ์–ด์„œ, ์ž…์ง€๊ฒฐ์ •์œผ๋กœ๋ถ€ํ„ฐ ์ƒ์—…์‹œ์„ค์˜ ๋“ฑ์žฅ๊นŒ์ง€์˜ ๊ณผ์ •์€ ์„ธ ์ง€์—ญ ๋ชจ๋‘์—์„œ ๋™์ผํ•œ ์–‘์ƒ์œผ๋กœ ์ „๊ฐœ๋˜์—ˆ์Œ์„ ๋ฐœ๊ฒฌํ•˜์˜€๋‹ค. ์กฐ์„ ์กฑ ์ž์˜์—…์ž๋“ค์˜ ๋“ฑ์žฅ๊ณผ ์„ฑ์žฅ์ด ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€๋ฅผ ํ†ตํ•ด ์ž์—ฐ์Šค๋Ÿฝ๊ฒŒ ์ง„ํ–‰๋˜๊ณ  ์žˆ์—ˆ๋‹ค. ์ด๋Ÿฌํ•œ ๊ฒฐ๊ณผ๋Š” ๋„์‹œ ๋‚ด ๋‚™ํ›„ยท์‡ ํ‡ด์ง€์—ญ์— ์ž…์ง€ํ•˜๊ฒŒ ๋˜๋Š” ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€๊ฐ€ ์ž์ƒ์  ์„ฑ์žฅ๊ณผ์ •์„ ํ†ตํ•ด ์ง€์—ญ๊ฐœ์„ ์—๊นŒ์ง€ ์˜ํ–ฅ์„ ๋ฏธ์น  ์ˆ˜ ์žˆ์Œ์„ ์‹œ์‚ฌํ•˜๋Š” ๊ฒƒ์ด๋‹ค. ๋™์‹œ์— ๋„์‹œํ•˜๋ถ€๊ณ„์ธต์˜ ๋ฐ€์ง‘์ง€๋กœ์„œ ํ˜„์žฌ์˜ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์—์„œ ์šฐ๋ ค๋˜๊ณ  ์žˆ๋Š” ์Šฌ๋Ÿผํ™”์™€ ๊ฒŒํ† ํ™”์— ๋Œ€ํ•œ ์ƒํ’ˆํ™”๋  ์ˆ˜ ์žˆ๋Š” ๋ฌธํ™”๊ณต๊ฐ„์œผ๋กœ์„œ์˜ ๊ฐ€๋Šฅ์„ฑ๊ณผ ๋Œ€์•ˆ์„ ์ œ์‹œํ•˜๊ณ  ์žˆ๋‹ค.I. ์„œ๋ก  1. ์—ฐ๊ตฌ ๋ฐฐ๊ฒฝ ๋ฐ ๋ชฉ์  1) ์—ฐ๊ตฌ์˜ ๋ฐฐ๊ฒฝ 2) ์—ฐ๊ตฌ์˜ ๋ชฉ์  2. ์—ฐ๊ตฌ์˜ ๋ฒ”์œ„ 1) ๋‚ด์šฉ์  ๋ฒ”์œ„ 2) ์—ฐ๊ตฌ์˜ ๊ณต๊ฐ„์  ๋ฒ”์œ„ 3. ์—ฐ๊ตฌ์˜ ๋ฐฉ๋ฒ• II. ์„ ํ–‰์—ฐ๊ตฌ ๊ณ ์ฐฐ 1. ์ด๋ก ์  ๋ฐฐ๊ฒฝ 1) ์™ธ๊ตญ์ธ ๋ฐ€์ง‘์ง€์˜ ๊ฐœ๋… 2) ๊ธ€๋กœ๋ฒŒ ๋„์‹œ์™€ ์™ธ๊ตญ์ธ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ 3) ์™ธ๊ตญ์ธ ๋ฐ€์ง‘์ง€์˜ ๊ธฐ๋Šฅ ๋ฐ ์—ญํ•  4) ์ด๋ก ์  ๊ณ ์ฐฐ ์ •๋ฆฌ 2. ๊ตญ๋‚ด ์„ ํ–‰์—ฐ๊ตฌ ๊ณ ์ฐฐ 1) ์กฐ์„ ์กฑ์˜ ์—ญ์‚ฌ์  ๋ฐฐ๊ฒฝ๊ณผ ์ด์ฃผ ํŠน์„ฑ 2) ๊ตญ๋‚ด ์™ธ๊ตญ์ธ ๋ฐ€์ง‘์ง€ ํ˜•์„ฑ์— ๊ด€ํ•œ ์—ฐ๊ตฌ 3) ์กฐ์„ ์กฑ์˜ ์ด์ฃผ ๋ฐ ์ •์ฐฉ์— ๊ด€ํ•œ ์—ฐ๊ตฌ 4) ์„œ์šธ ์„œ๋‚จ๊ถŒ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ๊ณผ ํ˜„ํ™ฉ์— ๋Œ€ํ•œ ์—ฐ๊ตฌ 5) ๊ด‘์ง„๊ตฌ ์ž์–‘4๋™ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€๋ฅผ ๋Œ€์ƒ์œผ๋กœ ํ•œ ์„ ํ–‰์—ฐ๊ตฌ 3. ์„ ํ–‰์—ฐ๊ตฌ์™€์˜ ์ฐจ๋ณ„์„ฑ III. ์„œ์šธ์‹œ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€ ํ˜„ํ™ฉ 1. ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€ ํ˜„ํ™ฉ 1) ์กฐ์„ ์กฑ์˜ ์ธ๊ตฌ ๋ถ„ํฌ 2) ์„œ์šธ์‹œ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€ ํ˜„ํ™ฉ 3) ์„œ์šธ์‹œ ์กฐ์„ ์กฑ ์ธ๊ตฌ๋ฐ€๋„์˜ ๊ณต๊ฐ„์  ๋ณ€ํ™” 2. ์„œ์šธ์‹œ ์กฐ์„ ์กฑ์˜ ์œ ์ž… 1) ์กฐ์„ ์กฑ ๊ตญ๋‚ด ์œ ์ž… ๋ฐฐ๊ฒฝ 2) ์กฐ์„ ์กฑ ์œ ์ž…์ฆ๊ฐ€์™€ ์ •์ฐฉ๊ณผ์ •์—์„œ ์ œ๋„์  ์—ฌ๊ฑด ๋งˆ๋ จ IV. ์กฐ์„ ์กฑ ์ฃผ๊ฑฐ๋ฐ€์ง‘์ง€ ํ˜•์„ฑ๊ณผ์ • 1. ๊ฐ€๋ฆฌ๋ด‰๋™ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ 2. ๋Œ€๋ฆผ2๋™ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ 1) ๊ฐ€๋ฆฌ๋ด‰๋™ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€๋กœ๋ถ€ํ„ฐ์˜ ํ™•์žฅ ๋ฐ ์ดํƒˆ 2) ๋Œ€๋ฆผ2๋™ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ 3. ์ž์–‘4๋™ ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ 1) ์ค€๊ณต์—…์ง€์—ญ ์‚ฐ์—…์‡ ํ‡ด์™€ ์ธ๊ตฌ ๊ณต๋™ํ™” 2) ๊ตํ†ต์ ‘๊ทผ์„ฑ 4. ์†Œ๊ฒฐ 1) ์กฐ์„ ์กฑ ์ •์ฐฉ์ง€ ์ž…์ง€์š”์ธ์˜ ์œ ์‚ฌ์„ฑ 2) ์ง€์—ญ์˜ ๋‚™ํ›„์™€ ๋„์‹œ๊ณ„ํš V. ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํŠน์„ฑ์ฐจ์ด 1. ์ฐจ๋ณ„์  1) ๋ฐฐํ›„ ์ธ๊ตฌ๋ฐ€๋„ 2) ๋ฐฐํ›„์ธ๊ตฌ์˜ ๋ถ„ํฌ ๋ฐ ์ฃผ๊ฑฐ์˜ ์งˆ 3) ์—…์ข…๊ตฌ์„ฑ ๋น„์œจ 4) ์ƒ์—…์‹œ์„ค์˜ ์ž…์ง€ ๋ฐ ๋ฐฐ์น˜ํ˜•ํƒœ 5) ์ƒ์—…์ง€์—ญ์˜ ์„ฑ์žฅ์‹œ๊ธฐ ๋ฐ ๊ทœ๋ชจ 6) ๊ณ ๊ฐ๊ตฌ์„ฑ 7) ๊ฒฝ์Ÿ์˜์‹ 2. ๊ณตํ†ต์  1) ์šด์˜์ฃผ์ฒด 2) ์ž๋ณธํ˜•์„ฑ 3) ์ž…์ง€์„ ํƒ ์š”์ธ 4) ๋ถ€๋™์‚ฐ ๊ฐ€์น˜์ƒ์Šน 3. ์†Œ๊ฒฐ 1) ์š”์•ฝ 2) ์ง€์—ญ๋ณ„ ํŠน์„ฑ ์ฐจ์ด์˜ ์›์ธ ๋ถ„์„ 3) ๊ฒฐ๊ณผ ๋ถ„์„ VI. ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ํ˜•์„ฑ ๋ฐ ์„ฑ์žฅ๊ณผ์ • 1. ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ์ƒ์—…์ง€์—ญ ํ˜•์„ฑ๊ณผ์ • 1) 1๋‹จ๊ณ„: ์กฐ์„ ์กฑ ์ฃผ๊ฑฐ๋ฐ€์ง‘์ง€์˜ ์กฐ์„ฑ 2) 2๋‹จ๊ณ„: ์กฐ์„ ์กฑ์˜ ์ž๋ณธ์ถ•์ ๊ณผ ๋„คํŠธ์›Œํฌ ํ˜•์„ฑ 3) 3๋‹จ๊ณ„: ์กฐ์„ ์กฑ๊ด€๋ จ ์ƒ์—…์‹œ์„ค์˜ ๋“ฑ์žฅ 4) 4๋‹จ๊ณ„: ์กฐ์„ ์กฑ ์ค‘์‹ฌ ์ƒ์—…์ง€์—ญ์˜ ์„ฑ์žฅ 2. ์†Œ๊ฒฐ VII. ๊ฒฐ๋ก  1. ์š”์•ฝ 2. ์‹œ์‚ฌ์  1) ์กฐ์„ ์กฑ ๋ฐ€์ง‘์ง€์˜ ์—ญํ•  ๋ฐ ๊ฐ€๋Šฅ์„ฑ 2) ์ •์ฑ…์  ์‹œ์‚ฌ์  โ–  ์ฐธ๊ณ ๋ฌธํ—ŒMaste

    ์ž‘ํ’ˆ์˜ ๊ตฌ์กฐ์  ๋ณ€ํ™”๋ฅผ ์œ„ํ•œ ์—ญํ• ๋†€์ด ํ˜•ํƒœ์˜ ์ž‘์—…์—ฐ๊ตฌ

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ์กฐ์†Œ๊ณผ, 2013. 8. ์ด์šฉ๋•.๋ณธ์ธ์€ ์ฐธ์—ฌ์ž๊ฐ€ ์†Œํ’ˆ์„ ์ด์šฉํ•˜์—ฌ ์ฆ‰ํฅ์ ์ธ ์—ญํ• ๋†€์ด๋ฅผ ํ•  ์ˆ˜ ์žˆ๋„๋ก ๊ณต์—ฐ์žฅ์„ ๋งŒ๋“œ๋Š” ์ž‘์—…์„ ์—ฐ๊ตฌํ•˜์˜€๋‹ค. ์ด ๊ณต์—ฐ์žฅ์€ ๊ฐ์„๊ณผ ๋ฌด๋Œ€๊ฐ€ ๋ถ„๋ฆฌ ๋˜์–ด์žˆ์ง€ ์•Š๊ณ  ์†Œํ’ˆ์„ ์ค‘์‹ฌ์œผ๋กœ ์ฐธ์—ฌ์ž์˜ ์—ญํ• ๋†€์ด์— ๋”ฐ๋ผ ์ฆ‰๊ฐ์ ์œผ๋กœ ๋ฌด๋Œ€์™€ ๊ฐ์„์˜ ์œ„์น˜๊ฐ€ ์กฐ์ •๋˜๋Š” ํŠน์ง•์„ ์ง€๋‹ˆ๊ณ  ์žˆ๋‹ค. ์—ญํ• ๋†€์ด์˜ ์ค‘์‹ฌ์ด ๋˜๋Š” ์†Œํ’ˆ์€ ํ•™์Šต์„ ํ†ตํ•ด ์ถ•์ ๋œ ๋„์‹์ ์ธ ์ด๋ฏธ์ง€๋“ค์„ ํ†ตํ•˜์—ฌ ๊ด€๊ฐ์—๊ฒŒ ์˜ˆ์ˆ  ์ž‘ํ’ˆ๊ณผ์˜ ๋งŒ๋‚จ์ด๋ผ๋Š” ์ผ๋ฐ˜์ ์ธ ์ƒํ™ฉ์„ ์„  ์—ฐ์ถœํ•˜๋ฉด์„œ ์ฐธ์—ฌ์ž์— ์˜ํ•ด ๋ชจ์Šต์„ ๋ณ€์ดํ•˜๊ฑฐ๋‚˜ ์‚ฌ์šฉ๋˜์–ด์ง์œผ๋กœ์จ ๊ธฐ์กด์— ์žˆ์—ˆ๋˜ ์ต์ˆ™ํ•œ ์ผ๋ฐ˜์ ์ธ ์ƒํ™ฉ์„ ํ•ด์ฒด์‹œํ‚ค๊ณ  ์ƒˆ๋กœ์šด ์ฆ‰ํฅ์ ์ธ ์—ญํ• ๋†€์ด์— ์ฐธ์—ฌํ•  ์ˆ˜ ์žˆ๋„๋ก ์œ ๋„ํ–ˆ๋‹ค. ๋ณธ ์—ฐ๊ตฌ๋Š” ์˜ˆ์ˆ ๊ณผ ๊ด€๊ฐ์ด๋ผ๋Š” ์ด๋ถ„๋ฒ•์ ์„ ์˜ ๊ฒฝ๊ณ„๋ฅผ ๋ชจํ˜ธํ•˜๊ฒŒ ํ•˜๊ณ  ์œ ๋™์ ์œผ๋กœ ์ด๋™์‹œํ‚ค๋Š” ๊ฒƒ์œผ๋กœ๋ถ€ํ„ฐ ์‹œ์ž‘๋˜์—ˆ๋‹ค. ์ด๋Š” ์ฐธ์—ฌ์ž์—๊ฒŒ ์†Œํ’ˆ์„ ์ด์šฉํ•ด ์ฆ‰ํฅ์ ์ธ ๊ณต์—ฐ์ž์˜ ์—ญํ• ์„ ๋ถ€์—ฌํ•˜๊ฒŒ ํ•˜๋Š” ๋ฐฉ์‹์œผ๋กœ ๊ตฌํ˜„๋˜์—ˆ๋‹ค. ์ฐธ์—ฌ์ž์˜ ๊ฐœ์ธ์ ์ธ ์ƒํƒœ๋‚˜ ํ–‰๋™๋ฐฉ์‹, ๋˜๋Š” ์ฃผ๊ด€์ ์ธ ์ƒ๊ฐ์— ๋”ฐ๋ผ ์ž‘ํ’ˆ์˜ ํ˜•ํƒœ๋‚˜ ๋‚ด์šฉ์„ ๋ณ€ํ™”์‹œํ‚ฌ ์ˆ˜ ์žˆ๊ฒŒ ํ•จ์œผ๋กœ์จ ์ƒˆ๋กœ์šด ์ฃผ์ฒด์ž๋กœ์„œ์˜ ๊ฒฝํ—˜ ๊ฐ€๋Šฅํ•˜๊ฒŒ ํ•˜๋Š” ๋ฐฉ์‹์œผ๋กœ ์ž‘์—…์„ ์ง„ํ–‰ํ•˜์˜€๋‹ค. ์†Œํ’ˆ์ด ์ฐธ์—ฌ์ž์— ์˜ํ•ด ์‚ฌ์šฉ๋˜์–ด์ง์— ๋”ฐ๋ผ ์ „์‹œ๋˜์–ด ์žˆ๋Š” ์žฅ์†Œ์˜ ์˜๋ฏธ๋„ ์ž์—ฐ์Šค๋Ÿฝ๊ฒŒ ์ด๋™ํ•˜๊ฒŒ ๋จ์œผ๋กœ์„œ ์˜ˆ์ˆ ๊ณผ ๊ด€๊ฐ ๊ทธ๋ฆฌ๊ณ  ๋ฌด๋Œ€๋ผ๋Š” ์กด์žฌ๋ก ์ ์œผ๋กœ ๊ฒฐํ•๋œ ๊ด€๊ณ„์˜ ์˜๋ฏธ์— ๋Œ€ํ•œ ์งˆ๋ฌธ์„ ๋˜์ง€๋Š” ์‹์œผ๋กœ ๊ท€๊ฒฐ๋œ๋‹ค. ์ „์‹œ๋ผ๋Š” ํผํฌ๋จผ์Šค๋Š” ์ „์‹œ์žฅ, ์ž‘ํ’ˆ ๊ทธ๋ฆฌ๊ณ  ๊ด€๊ฐ์ด๋ผ๋Š” ์„ธ ์š”์†Œ๋กœ ๊ตฌ์„ฑ๋˜์–ด ์žˆ๋‹ค. ์ด ์„ธ ๋ถ€๋ถ„์€ ๋…๋ฆฝ์ ์œผ๋กœ ์กด๋ฆฝ๋˜์ง€ ์•Š๋Š” ์กด์žฌ๋ก ์  ๊ฒฐํ•์˜ ๋Œ€์ƒ์ด๋‹ค. ์ด ๋ถ€๋ถ„ ์ค‘ ํ•˜๋‚˜์˜ ๊ฒฐํ•์œผ๋กœ๋„ ์ด์ƒ์ ์ธ ํผํฌ๋จผ์Šค๋Š” ์ง„ํ–‰๋  ์ˆ˜ ์—†๋‹ค. ๋ณธ์ธ์€ ์ด๋Ÿฐ ์—ฐ๊ฒฐ๊ณ ๋ฆฌ๋ฅผ ๋งˆ๋ จํ•  ์ ๋ฒ•ํ•œ ์žฅ์น˜๋ฅผ ๊ณ ์•ˆํ•˜๋Š”๋ฐ ์ง‘์ค‘ํ•˜๊ฒŒ ๋˜์—ˆ๋‹ค. ๋ณธ์ธ์€ ์ž‘ํ’ˆ์ž์ฒด๋ฅผ ์ œ์ž‘ํ•˜๋Š” ์ œ์ž‘์ž์— ์œ„์น˜์— ๋จธ๋ฌด๋ฅด์ง€ ์•Š๊ณ , ๋ณธ ์ž‘์—…์„ ํ†ตํ•˜์—ฌ ์ „์‹œ๋ผ๋Š” ์žฅ์ด ์ง€๋‹ˆ๋Š” ์ด ์š”์†Œ๋ฅผ ๊ด€๊ณ„์„ฑ์— ๋Œ€ํ•œ ์งˆ๋ฌธ์„ ์ฐพ์•„๊ฐ์œผ๋กœ์„œ ์ด๋ฅผ ์กฐํ•ฉํ•œ ์‹ค์žฌ์ ์ธ ํผํฌ๋จผ์Šค๋ฅผ ๊ตฌํ˜„ํ•˜๊ณ ์ž ํ•œ๋‹ค.I researched ways to create venues in which participants could use props to engage in spontaneous role-plays. This venue has the characteristic that, instead of separating the stage from the seats, they could be moved around spontaneously depending on the audience's role-play. The props, which play a central part of the role-play, allow the audience to meet with a work of art through its schematic images. But as the props undergo change through the audience's participation, the familiar scenery changes and a spontaneous role-play unfolds. This study is premised on the ambiguation of the familiar art-audience dualism, and aims, through the use of props, to move the participants towards spontaneity. Thus, the audience is imbued with the role of the performer. According to the whim or idiosyncrasy of the participant, the form and content of the work is subject to change, thus allowing the audience to experience what it feels like to be an artist-subject. Through the participant's use of props, the meaning of the venue, too, changes, and this finally allows for the meaning of the ontologically deficient relationship between art, audience, and venue, to be critically questioned. The performance of displaying artwork is composed of three elements: the venue, the artwork, and the audience. None of these three elements can stand on their own, and are all subject to ontological deficiency. If any one element is lacking, the performance will be less than ideal. My work focused on finding the right connecting link between these elements. Thus, in this work, I was not content to remain merely as the manufacturer of my artwork. Rather, by questioning the relationship between the three elements in a display, I aimed to bring them together in an actual performance.๋ชฉ ์ฐจ I. ๋“ค์–ด๊ฐ€๋ฉฐ 1 โ…ก. ์ž‘์—…์˜ ํ˜•ํƒœ์  ํŠน์„ฑ - ์ž‘์—…์‹ค์—์„œ 2 1. ์™ธํ˜• ์„ค์ • ๋‹จ๊ณ„ 4 2. ๋‚ดํ˜• ์„ค์ • ๋‹จ๊ณ„ 4 โ…ข. ์ž‘์—…์˜ ์ „๊ฐœ โ€“ ์ „์‹œ ๊ณต๊ฐ„์—์„œ 5 1. ์ผ๋ฐ˜์  ์ž‘์—…์œผ๋กœ์˜ ์ธ์ค€ ๋‹จ๊ณ„ โ€“ ๊ด€๊ฐ ๊ธฐ๋งŒํ•˜๊ธฐ 5 2. ์—ญํ• ๊ทน์œผ๋กœ ์‹œ์ž‘์„ ์•Œ๋ฆฌ๋Š” ๋‹จ๊ณ„ - ์‚ผ๋ฉดํ™” ํ˜•์‹์„ ํ†ตํ•œ ๊ทน์  ์ „ํ™˜ 6 3. ๋‚ฏ์„  ์ƒํ™ฉ์˜ ์—ฐ์ถœ โ€“ ๊ฑฐ์ง“์ž‘ํ’ˆ์˜ ์†Œํ’ˆํ™” ๋‹จ๊ณ„ 7 4. ์—ญํ•  ๋†€์ด ๋‹จ๊ณ„ โ€“ ์ฐธ์—ฌ์ž์— ์˜ํ•œ ์™„์„ฑ 10 โ…ฃ. ์ด๋ฏธ์ง€์˜ ํŒŒ๊ดด์™€ ํ˜„์žฌ์˜ ์ „๊ฐœ 12 โ…ค. ์ „์‹œ์žฅ์˜ ๊ตฌ์กฐ ๋ณ€ํ™” 13 โ…ฅ. ๋‚˜๊ฐ€๋ฉฐ 15 Abstract 17Maste

    Effortism

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    ํ•™์œ„๋…ผ๋ฌธ(์„์‚ฌ) -- ์„œ์šธ๋Œ€ํ•™๊ต๋Œ€ํ•™์› : ์ธ๋ฌธ๋Œ€ํ•™ ์ฒ ํ•™๊ณผ(์„œ์–‘์ฒ ํ•™์ „๊ณต), 2023. 2. ๊น€ํ˜„์„ญ์†ก์ง€์šฐ.๋…ธ๋ ฅ์ฃผ์˜๋Š” ๊ฐœ์ธ์˜ ๋…ธ๋ ฅ ๊ฐ€๋Šฅ ์—ญ๋Ÿ‰ ํ•˜์—์„œ ๊ทธ๊ฐ€ ์‹ค์ œ๋กœ ์‚ฌํšŒ์˜ ๊ฒฝ์ œ ์ฒด์ œ์— ํˆฌ์—ฌํ•œ ๋…ธ๋ ฅ ์ •๋„์— ๋”ฐ๋ผ ๊ทธ์—๊ฒŒ ์†Œ๋“์ด ๋ถ„๋ฐฐ๋˜์–ด์•ผ ํ•œ๋‹ค๋Š” ๊ฒƒ์„ ๋Œ€์›์น™์œผ๋กœ ํ•˜๋Š” ๊ฒฝ์ œ์  ๋ถ„๋ฐฐ ์ด๋ก ์ด๋‹ค. ์‰ฝ๊ฒŒ ๋งํ•ด, ๊ฐœ์ธ์ด ์–ผ๋งˆ๋‚˜ ๋…ธ๋ ฅ์„ ํ•˜๋Š๋ƒ์— ๋”ฐ๋ผ ๊ทธ์˜ ์†Œ๋“์ด ๊ฒฐ์ •๋˜์–ด์•ผ ํ•œ๋‹ค๋Š” ๊ฒƒ์ด๋‹ค. ๋…ธ๋ ฅ์ฃผ์˜๋Š” ๊ฐœ์ธ์— ๋”ฐ๋ผ ๋‹ฌ๋ผ์ง€๋Š” ๋…ธ๋™ ํˆฌ์ž…์„, ๋ชจ๋‘๊ฐ€ ๋™์ผํ•˜๊ฒŒ ํ‰๊ฐ€๋  ์ˆ˜ ์žˆ๋Š” ํ‘œ์ค€ํ™”๋œ ๊ธฐ์ค€์— ์˜ํ•˜์—ฌ ์ƒ๋Œ€์ ์ธ ํˆฌ์ž…๊ฐ’์œผ๋กœ ๋ณ€ํ™˜ํ•œ๋‹ค. ๊ทธ๋ฆฌ๊ณ  ์ด๋ฅผ ๊ฒฝ์ œ ์ฒด์ œ์— ๋Œ€ํ•œ ๊ฐ์ž ๋‚˜๋ฆ„์˜ ๊ธฐ์—ฌ๋กœ ๊ฐ„์ฃผํ•œ๋‹ค. ๊ทธ ํ›„ ์ด๋Ÿฌํ•œ ๊ฐœ์ธ์˜ ๊ธฐ์—ฌ์— ๋Œ€ํ•˜์—ฌ ๊ฒฝ์ œ ์ฒด์ œ์˜ ์‚ฐ์ถœ๋ฌผ์„ ๊ตฌ์ž…ํ•  ์ˆ˜ ์žˆ๋Š” ํ†ตํ™”๋กœ์„œ์˜ ์†Œ๋“์„ ๋ณด์ƒํ•œ๋‹ค. ๋…ธ๋ ฅ์ฃผ์˜๋Š” ๊ฒฝ์ œ์  ๋ถ„๋ฐฐ๋ฅผ ๊ฒฐ์ •ํ•จ์— ์žˆ์–ด์„œ, ์šด์˜ ์˜ํ–ฅ ์ค‘ ๋…ธ๋ ฅ์„ ๊ตฌ์„ฑํ•˜๋Š” ๊ฒƒ์€ ๊ณ„์‚ฐ์—์„œ ๋ฐฐ์ œํ•˜์ง€ ์•Š๊ณ , ๊ทธ ์šด์— ์˜ํ•˜์—ฌ ์˜ํ–ฅ์„ ๋ฐ›์€ ๊ทธ๋Œ€๋กœ์˜ ๋…ธ๋ ฅ์„ ์ธก์ •ํ•ด ๊ทธ์— ๋น„๋ก€ํ•ด ๊ฐ์ž์—๊ฒŒ ๊ฒฝ์ œ์  ๋ชซ์„ ํ• ๋‹นํ•œ๋‹ค. ๋…ธ๋ ฅ ๋Šฅ๋ ฅ์ด๋ผ๋Š” ๊ฒƒ์ด ๊ผญ ๋‹ค๋ฅธ ์„ ํƒ์„ ํ•  ์ˆ˜ ์žˆ์—ˆ๋‹ค๋Š” ์ทจ์ง€์˜ ์ž์œ ์˜์ง€ ๊ฐœ๋…์— ์˜ํ•˜์—ฌ ์ „์ ์œผ๋กœ ์ด๋ฃจ์–ด์ง€์ง€ ์•Š๋Š”๋‹ค๋Š” ๊ฒฐ๋ก ์ด ๋„์ถœ๋˜๋”๋ผ๋„, ์ด๋ก ์ ์œผ๋กœ ์—ฌ์ „ํžˆ ๊ฐ ๊ฐœ์ธ์€ ์ฐจ๋“ฑ์ด ์žˆ๋Š” ๊ฒฝ์ œ์  ๋ถ„๋ฐฐ๋ฅผ ๋ฐ›์„ ์ˆ˜ ์žˆ๊ฒŒ ๋œ๋‹ค. ๋˜ํ•œ ๋…ธ๋ ฅ์ฃผ์˜์—์„œ๋Š” ๊ฐ์ž์˜ ๋…ธ๋ ฅ ๋Šฅ๋ ฅ์— ๋Œ€ํ•œ ์ž๊ธฐ ์†Œ์œ ๋ฅผ ์ธ์ •ํ•œ๋‹ค. ๋…ธ๋ ฅ์ฃผ์˜์—์„œ๋Š” ์šด ํ‰๋“ฑ์ฃผ์˜์™€ ๋งˆ์ฐฌ๊ฐ€์ง€๋กœ ๊ฐœ์ธ์„ ๋‘˜๋Ÿฌ์‹ผ ์ž์—ฐ์  ์žฌ๋Šฅ, ์‚ฌํšŒ์  ๋ฐฐ๊ฒฝ, ๊ฐ€์ •ํ™˜๊ฒฝ ๋“ฑ์ด ์šด์— ์˜ํ•˜์—ฌ ๊ฒฐ์ •๋˜์—ˆ๋‹ค๋Š” ์ ์„ ๋ฐ›์•„๋“ค์ด๊ณ , ๊ฒฝ์ œ์  ๋ถ„๋ฐฐ๋ฅผ ๊ฒฐ์ •ํ•จ์— ์žˆ์–ด์„œ๋Š” ๊ทธ๋Ÿฌํ•œ ์šด์  ์š”์†Œ ๋Œ€๋ถ€๋ถ„์— ๊ด€ํ•˜์—ฌ ์ž๊ธฐ ์†Œ์œ ๋ฅผ ์ธ์ •ํ•˜์ง€๋Š” ์•Š๋Š”๋‹ค. ๊ทธ๋Ÿฌ๋‚˜ ๋…ธ๋ ฅ ๋Šฅ๋ ฅ์˜ ๋ฐœํ˜„๊ณผ ์กด์žฌ๋Š” ๊ฐœ์ธ์˜ ๊ฒฐ์ •๊ณผ ์™„์ „ํžˆ ๊ฒฐํ•ฉ๋˜๊ณ  ์—ฐ๊ฒฐ๋˜์–ด ์žˆ๋‹ค๋Š” ์ ์—์„œ, ๋…ธ๋ ฅ ๋Šฅ๋ ฅ๋งŒ์€ ๋ณธ์งˆ์ ์œผ๋กœ ์ผ๋ฐ˜์ ์ธ ๋Šฅ๋ ฅ ๋“ฑ ์šด์  ์š”์ธ๊ณผ ์ฐจ์ด๊ฐ€ ์žˆ๋‹ค๊ณ  ๋ณด๊ณ  ๊ทธ ์†Œ์œ ๋ฅผ ์ธ์ •ํ•˜๋Š” ๊ฒƒ์ด๋‹ค. ์ด๋Ÿฌํ•œ ๋…ธ๋ ฅ์ฃผ์˜๋Š” ๊ฐœ๋…์ ์œผ๋กœ ์šด ํ‰๋“ฑ์ฃผ์˜์™€ ๋Šฅ๋ ฅ์ฃผ์˜์™€์˜ ๋น„๊ต ์†์—์„œ ๋“ฑ์žฅํ•˜๋Š”๋ฐ, ํŠนํžˆ ์šด ํ‰๋“ฑ์ฃผ์˜์˜ ์ตœ์‹  ๋…ผ์˜๋“ค์— ๋น„ํ•˜์—ฌ ์—ฌ๋Ÿฌ ์ด๋ก ์ , ์‹ค์ฒœ์  ์žฅ์ ์„ ์ง€๋‹Œ๋‹ค.Effortism is a philosophical economic theory that asserts income should be distributed according to how much of one's effort ability is actually used. In other words, according to effortism, an individual's income should be determined by how much effort one made. Effortism, in the economic system of society, standardizes labor input that varies by individual, converts it into a relative input value, and views it as each individual's own contribution to the economic system. Furthermore, in determining economic distribution, effortist does not exclude the influence of what constitutes effort among the effects of luck. Effortist rather accepts that there is self-ownership of the talent to make an effort. As a result, effortism has several theoretical and practical advantages compared to the latest discussions of luck egalitarianism and meritocracy.์ œ 1 ์žฅ ์„œ๋ก  1 ์ œ 2 ์žฅ ๋…ธ๋ ฅ์ฃผ์˜ ๋…ผ์ฆ 4 ์ œ 1 ์ ˆ ๊ฐœ๋…๊ณผ ํŠน์ง• 4 ์ œ 2 ์ ˆ ์ ์šฉ ๋‹จ๊ณ„, ๋ฒ”์œ„, ์‹œ๊ธฐ 7 ์ œ 3 ์ ˆ ๋Œ€์›์น™ ๋…ผ์ฆ 9 ์ œ 4 ์ ˆ ๋…ธ๋ ฅํ•œ ๋งŒํผ์˜ ๋Œ€๊ฐ€๋ฅผ ๋ฐ›์•„์•ผ ํ•˜๋Š” ์ด์œ  13 ์ œ 3 ์žฅ ์ด๋ก ์  ์œ„์น˜ ์ง“๊ธฐ 17 ์ œ 1 ์ ˆ ์šด ํ‰๋“ฑ์ฃผ์˜์˜ ๋…ธ๋ ฅ-๊ณ ์‚ ์ฑ„์šฐ๊ธฐ ๋ฌธ์ œ 17 ์ œ 2 ์ ˆ ์กด ๋กœ๋จธ์˜ ๊ธฐ์šธ์–ด์ง„ ์šด๋™์žฅ์˜ ํ‰ํƒ„ํ™” ์ด๋ก  21 ์ œ 4 ์žฅ ๋‚จ์€ ๋ฌธ์ œ๋“ค 26 ์ œ 5 ์žฅ ๊ฒฐ๋ก  36 ์ฐธ๊ณ ๋ฌธํ—Œ 38 Abstract 40์„

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    ํ•™์œ„๋…ผ๋ฌธ(์„์‚ฌ)--์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› :์ปดํ“จํ„ฐ๊ณตํ•™๊ณผ,2000.Maste

    ์ตœ์ ํ™” ํ•ด๋ฒ•์„ ํ†ตํ•œ ๋„คํŠธ์›Œํฌ ๊ด€๊ฒฝ ๊ฒฐ์ •๋ฌธ์ œ ํ•ด๋ฒ• ๊ฐœ๋ฐœ

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ์‚ฐ์—…๊ณตํ•™๊ณผ, 2016. 2. ํ™์„ฑํ•„.์ƒ์ˆ˜๋„ ๊ด€๋ง ์„ค๊ณ„์— ๋Œ€ํ•œ ์—ฐ๊ตฌ๋Š” ์ฃผ๋กœ ๊ด€๋ง ๋ ˆ์ด์•„์›ƒ ์„ค๊ณ„์™€ ๊ด€๋ง ๊ด€๊ฒฝ ๊ฒฐ์ •๋ฌธ์ œ์— ์ง‘์ค‘๋˜์–ด ์žˆ๋‹ค. ๋ณธ ๋…ผ๋ฌธ์€ ๊ด€๋ง ๋„คํŠธ์›Œํฌ์˜ ๋ ˆ์ด์•„์›ƒ์ด ์ฃผ์–ด์กŒ์„ ๋•Œ ๊ฐ ๊ด€์˜ ๊ด€๊ฒฝ์„ ๊ฒฐ์ •ํ•˜๋Š” ๋ฌธ์ œ๋ฅผ ๋‹ค๋ฃฌ๋‹ค. ๊ด€, ํŽŒํ”„, ํƒฑํฌ, ๋ฐธ๋ธŒ ๋“ฑ ๊ด€๋ง์˜ ๊ตฌ์„ฑ์š”์†Œ๋“ค์„ ์„ค์น˜ ํ•  ๋•Œ ๊ด€์ด ์ „์ฒด ๋น„์šฉ ์ค‘ ์ฐจ์ง€ํ•˜๋Š” ๋น„์ค‘์ด ํฐ ๋งŒํผ ์ตœ์  ๊ด€๊ฒฝ์— ์˜ํ•œ ๋น„์šฉ ๊ฐ์†Œ ํšจ๊ณผ๋ฅผ ๊ธฐ๋Œ€ํ•  ์ˆ˜ ์žˆ๊ธฐ ๋•Œ๋ฌธ์ด๋‹ค. ๋„คํŠธ์›Œํฌ ๊ด€๊ฒฝ ๊ฒฐ์ •๋ฌธ์ œ๋Š” ๊ด€์˜ ์šฉ๋Ÿ‰์„ ๊ฒฐ์ •ํ•˜๋Š” ๋ฌธ์ œ์ด๊ธฐ ๋•Œ๋ฌธ์— ์ƒ์ˆ˜๋„ ๊ด€๋ง์—๋งŒ ๊ตญํ•œ๋˜์ง€ ์•Š๊ณ  ๊ฐ€์Šค, ์˜ค์ผ, ํ†ต์‹ ๊นŒ์ง€ ์ ์šฉ๋  ์ˆ˜ ์žˆ๋‹ค. ์ด๋•Œ ๋ณด๋‹ค ํ˜„์‹ค์ ์ธ ๊ด€ ์„ค์น˜ ๋น„์šฉ์„ ์‚ฐ์ถœํ•˜์—ฌ ํšจ๊ณผ์ ์œผ๋กœ ๊ด€ ์„ค์น˜ ๋น„์šฉ์„ ๊ฐ์†Œ์‹œํ‚จ๋‹ค. ์„ค์น˜ ๊ฐ€๋Šฅํ•œ ๊ด€๋“ค์˜ ๊ด€๊ฒฝ์€ ์ด์‚ฐ์ ์œผ๋กœ ์ฃผ์–ด์ง€๊ณ  ๋น„์„ ํ˜•์„ฑ์„ ๊ฐ–๋Š” ์—๋„ˆ์ง€ ๋ณด์กด ์ œ์•ฝ์‹์— ์˜ํ•ด ๋„คํŠธ์›Œํฌ ๊ด€๊ฒฝ ๊ฒฐ์ •๋ฌธ์ œ๋Š” ๋น„์„ ํ˜• ์ด์‚ฐ ์ตœ์ ํ™” ๋ฌธ์ œ์— ์†ํ•œ๋‹ค. ๊ด€๋ง ํ† ํ”Œ๋กœ์ง€๋Š” ๋‚˜๋ฌด ๊ตฌ์กฐ๋ผ๊ณ  ๊ฐ€์ •ํ•˜๊ณ  ๋ฏธ๋ž˜์˜ ๋ฐœ์ƒ ๊ฐ€๋Šฅํ•œ ์ˆ˜์š”๋ฅผ ๋งŒ์กฑํ•˜๋Š” ๊ด€๊ฒฝ์„ ๊ฒฐ์ •ํ•œ๋‹ค. ์ด๋•Œ ๊ด€๋ง์˜ ๊ณต๊ธ‰์ง€๋Š” ์œ ์ผํ•˜๋‹ค๋Š” ๊ฐ€์ • ํ•˜์— ๋„คํŠธ์›Œํฌ ๊ด€๊ฒฝ ๊ฒฐ์ •๋ฌธ์ œ๋Š” ๋‹ค์ˆ˜์˜ ๋ฐฐ๋‚ญ ์ œ์•ฝ์‹๊ณผ ํ• ๋‹น ์ œ์•ฝ์‹์„ ๊ฐ–๋Š” ์„ ํ˜• ์ •์ˆ˜ ์ตœ์ ํ™” ๋ฌธ์ œ๊ฐ€ ๋œ๋‹ค. ๋ณธ ๋…ผ๋ฌธ์—์„œ๋Š” ๋ถ„์ง€ํ•œ๊ณ„๋ฒ•๊ณผ ๋ถ„์ง€์ ˆ๋‹จ๋ฒ•์„ ์‚ฌ์šฉํ•˜์—ฌ ์ตœ์  ๊ด€๊ฒฝ์„ ๊ตฌํ•˜๊ณ  ์„ ํ˜• ์™„ํ™” ๊ธฐ๋ฒ•, ํœด๋ฆฌ์Šคํ‹ฑ ๊ธฐ๋ฒ•, ๊ทธ๋ฆฌ๊ณ  ๋ผ๊ทธ๋ž‘์ง€์•ˆ ๊ธฐ๋ฐ˜ ํœด๋ฆฌ์Šคํ‹ฑ ๊ธฐ๋ฒ•์„ ์‚ฌ์šฉํ•˜์—ฌ ์ตœ์ ํ•ด์— ๊ฐ€๊นŒ์šด ๊ด€๊ฒฝ์„ ํƒ์ƒ‰ํ•œ๋‹ค. ์ œ์‹œํ•œ ๋ฐฉ๋ฒ•๋ก ๋“ค์„ ์‹ค์ œ ์กด์žฌํ•˜๋Š” ๊ด€๋ง์— ์ ์šฉํ•˜์—ฌ ํ•ด๋ฒ•์˜ ํƒ€๋‹น์„ฑ์„ ๋น„๊ตํ•ด๋ณธ๋‹ค.1 ์„œ๋ก  1 1.1 ์—ฐ๊ตฌ ๋ฐฐ๊ฒฝ ๋ฐ ๋ชฉ์  1 1.2 ๊ธฐ์กด์—ฐ๊ตฌ 2 1.3 ์—ฐ๊ตฌ ๋ฒ”์œ„ ๋ฐ ๋…ผ๋ฌธ ๊ตฌ์„ฑ 6 2 ๋ฌธ์ œ ์ •์˜ ๋ฐ ์ˆ˜๋ฆฌ๋ชจํ˜• 7 2.1 ๋ฌธ์ œ์ •์˜ ๋ฐ ๊ธฐ๋ณธ์  ๊ฐœ๋… 7 2.1.1 ์œ ๋Ÿ‰ ๋ณด์กด ๋ฒ•์น™ 8 2.1.2 ์—๋„ˆ์ง€ ๋ณด์กด ๋ฒ•์น™ 8 2.1.3 ์ˆ˜๋‘ ํ•˜ํ•œ 10 2.1.4 ๊ด€ ์„ค์น˜ ๋น„์šฉ 10 2.1.5 ์ˆ˜๋ฆฌ๋ชจํ˜• 11 2.1.6 ์žฌ๋ชจํ˜•ํ™” 13 3 ํ•ด๋ฒ• 16 3.1 ์„ ํ˜• ์™„ํ™” ๊ธฐ๋ฒ• 16 3.2 ๋ถ„์ง€ํ•œ๊ณ„๋ฒ• & ๋ถ„์ง€์ ˆ๋‹จ๋ฒ• 16 3.3 ํœด๋ฆฌ์Šคํ‹ฑ ๊ธฐ๋ฒ• 17 3.3.1 Greedy ์•Œ๊ณ ๋ฆฌ๋“ฌ 18 3.4 ๋ผ๊ทธ๋ž‘์ง€์•ˆ ๊ธฐ๋ฐ˜ ํœด๋ฆฌ์Šคํ‹ฑ ๊ธฐ๋ฒ• 20 3.4.1 ์ƒ์œ„๋ฌธ์ œ 20 3.4.2 ํ•˜์œ„๋ฌธ์ œ 21 4 ์‹คํ—˜ ๋ฐ ๊ฒฐ๊ณผ 24 4.1 ์‹คํ—˜ 24 4.2 ๊ฒฐ๊ณผ 24 4.2.1 ์„ ํ˜• ์™„ํ™” ๊ธฐ๋ฒ• 24 4.2.2 ๋ถ„์ง€ํ•œ๊ณ„๋ฒ• & ๋ถ„์ง€์ ˆ๋‹จ๋ฒ• 27 4.2.3 ํœด๋ฆฌ์Šคํ‹ฑ ๊ธฐ๋ฒ• 30 4.2.4 ๋ผ๊ทธ๋ž‘์ง€์•ˆ ๊ธฐ๋ฐ˜ ํœด๋ฆฌ์Šคํ‹ฑ ๊ธฐ๋ฒ• 32 4.3 ๊ณ„์‚ฐ์‹œ๊ฐ„ ์ •๋ฆฌ 35 5 ๊ฒฐ๋ก  ๋ฐ ์ถ”ํ›„์—ฐ๊ตฌ 37 ์ฐธ๊ณ ๋ฌธํ—Œ 39 ์˜๋ฌธ ์ดˆ๋ก 43Maste

    Evidence of Topographic Kelvin wave propagating along the east coast of Korea peninsula

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    ํ•™์œ„๋…ผ๋ฌธ (์„์‚ฌ)-- ์„œ์šธ๋Œ€ํ•™๊ต ๋Œ€ํ•™์› : ์ง€๊ตฌํ™˜๊ฒฝ๊ณผํ•™๋ถ€, 2015. 2. ์ž„๊ทœํ˜ธ.ํ•œ๋ฐ˜๋„์—์„œ ์˜๋™์ง€์—ญ์€ ์„œํ•ด์•ˆ ์ง€๋ฐฉ๊ณผ ๋”๋ถˆ์–ด ๊ฐ•์„ค์ด ๋งŽ์ด ๋‚ด๋ฆฌ๋Š” ์ง€์—ญ์œผ๋กœ ์•Œ๋ ค์ ธ ์žˆ๋‹ค. ์˜๋™์ง€๋ฐฉ์—์„œ ๊ฐ•์„ค์€ ํ•ด์–‘๊ณผ ๋Œ€๊ธฐ์˜ ์˜จ๋„์ฐจ, ์ง€ํ˜•์  ํšจ๊ณผ, ๊ฐ•์„ค์„ ์œ ๋ฐœํ•˜๋Š” ๊ธฐ์••๋ฐฐ์น˜์— ์˜ํ•ด ๋ฐœ์ƒํ•œ๋‹ค. ๋ณธ ์—ฐ๊ตฌ์—์„œ๋Š” 2013๋…„ 1์›” 16์ผ๋ถ€ํ„ฐ 17์ผ๊นŒ์ง€์˜ ๊ฐ•์„ค ์‚ฌ๋ก€๋ฅผ ์—ฐ๊ตฌํ•˜๋˜ ์ค‘ ๊ฐ•์„ค ์‹œ์ž‘์‹œ๊ฐ„์ด ์ผ์ •ํ•œ ์†๋„๋กœ ๋‚จ์ชฝ์œผ๋กœ ์ด๋™ํ•˜๋Š” ๊ฒƒ์„ ํ™•์ธํ•˜์˜€๋‹ค. ๋น„์Šทํ•œ ์†๋„๋กœ ๊ฐ•์„ค ์‹œ์ž‘์‹œ๊ฐ„์ด ๋‚จํ•˜ํ•˜๋Š” ๊ฒƒ์œผ๋กœ ๋ณด์•„ ์ด๋ฒˆ ์‚ฌ๋ก€๊ฐ€ Topographic Kelvin wave์ผ ๊ฐ€๋Šฅ์„ฑ์„ ๋ณด์•˜๋‹ค. Topographic Kelvin wave๋Š” ํ•ด์•ˆ๊ฐ€ ๊ทผ์ฒ˜์— ๊ธ‰๊ฒฝ์‚ฌ๋ฉด์ด ์กด์žฌํ•˜๊ณ  Inversion layer๊ฐ€ ์กด์žฌํ•  ๋•Œ ๋ฐœ์ƒํ•  ์ˆ˜ ์žˆ๋‹ค. ์˜๋™์ง€๋ฐฉ์€ ํƒœ๋ฐฑ์‚ฐ๋งฅ์ด ์žˆ์–ด ๊ธ‰๊ฒฝ์‚ฌ๋ฉด์ด ํ•ด์•ˆ๊ฐ€์— ์กด์žฌํ•˜๊ณ  ์žˆ๊ณ  ๊ฐ•์„ค์‚ฌ๋ก€๊ธฐ๊ฐ„ inversion layer๊ฐ€ ์กด์žฌํ•˜๊ณ  ์žˆ๊ธฐ ๋•Œ๋ฌธ์— Topographic Kelvin wave๊ฐ€ ๋ฐœ์ƒํ•  ์ˆ˜ ์žˆ๋Š” ์กฐ๊ฑด์ด ๋œ๋‹ค. ์ด๋ฒˆ ์‚ฌ๋ก€๊ฐ€ Topographic Kelvin wave์˜€์Œ์„ ์‚ดํŽด๋ณด๊ธฐ ์œ„ํ•ด AWS์™€ ์œ„์„ฑ์‚ฌ์ง„, Radar์ž๋ฃŒ, sounding์ž๋ฃŒ๋ฅผ ํ†ตํ•ด ์‚ดํŽด ๋ณด์•˜๊ณ  WRF model์„ ์‚ฌ์šฉํ•˜์—ฌ ์ด๋ฅผ ๋ชจ์˜ํ•˜์˜€๋‹ค. ๋จผ์ € AWS์ž๋ฃŒ๋ฅผ ์‚ฌ์šฉํ•˜์—ฌ Pressure anomaly๋ฅผ ๊ณ„์‚ฐํ•˜์˜€๊ณ  ํ’์†์ž๋ฃŒ๋ฅผ ์‚ดํŽด๋ณด์•˜๋‹ค. ๊ฐ•์„ค ์‹œ์ž‘์‹œ๊ฐ„์— Pressure anomaly๊ฐ€ ์ตœ์ €๊ฐ’์ด ๋‚˜์˜ค๋Š” ๊ฒƒ์„ ํ™•์ธํ•  ์ˆ˜ ์žˆ์—ˆ๊ณ  ํ’์† ๋˜ํ•œ Pressure anomaly๊ฐ€ ์ตœ์ €๊ฐ’์ด ๋‚˜์˜ฌ ๋•Œ ์ฆ๊ฐ€ํ•˜๊ณ  ๋น„๊ต์  ์ผ์ •ํ•œ ์‹œ๊ฐ„ ๊ฐ„๊ฒฉ์„ ๋‘๊ณ  ์ฆ๊ฐํ•˜๋Š” ๊ฒƒ์„ ๋ณผ ์ˆ˜ ์žˆ๋‹ค. ์œ„์„ฑ์‚ฌ์ง„์„ ์‚ดํŽด๋ณด๋ฉด ์›์‚ฐ๋งŒ์—์„œ ํฌํ•ญ๊นŒ์ง€ 500km์˜ ๊ฑฐ๋ฆฌ๋ฅผ 9.1m/s์˜ ์†๋„๋กœ ์ด๋™ํ•˜๋Š” ๊ฒƒ์„ ํ™•์ธ ํ•  ์ˆ˜ ์žˆ์—ˆ๊ณ  Radar echo๋Š” ์ง€ํ˜•์˜ ์ง๊ฐ ๋ฐฉํ–ฅ์œผ๋กœ ์ƒ๊ธฐ๋Š” ๊ฒƒ์„ ๋ณผ ์ˆ˜ ์žˆ๋‹ค. ์˜๋™์ง€๋ฐฉ์˜ Topographic Kelvin wave์˜ ์†๋„๋ฅผ ๊ณ„์‚ฐํ•˜๊ธฐ ์œ„ํ•ด Sounding์ž๋ฃŒ๋ฅผ ์‚ฌ์šฉํ•˜์˜€๊ณ  ์ด๋ฅผ ํ†ตํ•ด์„œ ๊ตฌํ•œ Topographic Kelvin wave์˜ ์†๋„๋Š” ์•ฝ 11m/s๋กœ ๊ณ„์‚ฐ๋˜์—ˆ๋‹ค. ๊ด€์ธก์ž๋ฃŒ์™€ ๋ฐฉ์ •์‹์—์„œ ๊ตฌํ•œ Kelvin wave์˜ phase speed๊ฐ€ ๋น„๊ต์  ๋น„์Šทํ•œ ๊ฒƒ์œผ๋กœ ๋ณผ ๋•Œ ์˜๋™์ง€๋ฐฉ์—์„œ ๋ฐœ์ƒํ•œ ๊ฐ•์„ค์ด Topographic Kelvin wave์—์˜ํ•œ ๊ฒƒ์ด๋ผ๊ณ  ์ƒ๊ฐํ•ด ๋ณผ ์ˆ˜ ์žˆ๋‹ค. ๋˜ํ•œ ๊ฐ•์„ค์ด ์‹œ์ž‘๋˜๊ธฐ ์ „ Sounding์ž๋ฃŒ์—์„œ inversion layer๊ฐ€ ์กด์žฌํ•˜๋‚˜ ๊ฐ•์„ค์ด ์‹œ์ž‘๋œ ์ดํ›„์—๋Š” inversion layer๊ฐ€ ์†Œ๋ฉธ๋˜๊ฑฐ๋‚˜ ๊ณ ๋„๊ฐ€ ์ƒ์Šนํ•˜๋Š” ๊ฒƒ์„ ์•Œ ์ˆ˜ ์žˆ๋‹ค. ์˜๋™์ง€๋ฐฉ์—์„œ๋Š” ๊ด€์ธก์ž๋ฃŒ๊ฐ€ ๋งŽ์ง€ ์•Š์•„ WRF model์„ ์‚ฌ์šฉํ•˜์—ฌ ์›์‚ฐ๋งŒ๋ถ€ํ„ฐ ํฌํ•ญ๊นŒ์ง€ ์•ฝ 400km์ง€์ ์˜ inversion layer์˜ ๊ณ ๋„ ๋ณ€ํ™”๋ฅผ ์‚ดํŽด๋ด„์œผ๋กœ์จ ์˜๋™์ง€๋ฐฉ์—์„œ ๋ฐœ์ƒํ•œ Topographic Kelvin wave๋ฅผ ๋ชจ์˜ํ•˜์˜€๋‹ค.1. ์„œ ๋ก  ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ - 1 - 2. ์ž๋ฃŒ ๋ฐ ๋ฐฉ๋ฒ• ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽโ€“ 3 - 3. Model ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽโ€“ 4 - 4. Observation ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽโ€“ 6- 4. 1. Synoptic overview ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ- 6 - 4. 2. AWS observation ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽโ€“ 10 - 4. 3. Soundings ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ- 12 - 4. 4. WRF Model ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ- 16 - 4. 4. 1. Inversion layer ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ- 18 - 5. ์š” ์•ฝ ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ- 24 โ€“ 6. References ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽ๏ผŽโ€“ 26 -Maste
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