우리나라 대학도서관행정에 관한 연구 - 국립대학사서직의 인사행정을 중심으로 -

현대사회의 특징의 하나로서 발전의 가속화를 들수 있는바 사회발전의 가속화에 발맞춰 「모든 행정체제가 발전행정체제로 전환됨에 따라 인사란 발전적인 사업을 추진하는데 제일 긴요한 인력을 공급하는데 우선순위를 두어야 하며 」따라서 오늘날의 인사행정은 「보다 좋은 사람들을 찾아 정부에서 일하도록 끌어드리고 그들이 열심히 일하면서 발전할 수 있는 조건을 갖추어 주는 적극적인 역할을 맡도록 요구되고 있다.」 그러나 우리나라 대학도서관의 인사행정에 있어서는 적극적인 역할은 거의 눈에 띠지 않고 있다. 국내에서는 비교적 나은 편이라고 보는 서울대학교도서관을 진단한 결과 「장서 및 봉사의 발전에 대한 가장 큰 장애는 잘 훈련되고 경력이 풍부한 훌륭한 사서직의 결핍이라」고 지적되었으며 「만일 이러한 결함을 가까운 장래에 극복못하는 한 아무리 좋은 조직기구나 관리기술도 그 교과는 극히 일부분에 그치고 말것이다.」라고 시사한 바 있다

Clinical outcomes of endoscopic removal of foreign bodies from the upper gastrointestinal tract

Background Ingested foreign objects frequently require emergency removal. This study aimed to investigate the clinical outcomes of endoscopic removal of foreign bodies from the upper gastrointestinal tract and the risk factors for adverse events. Methods Adults (> 18 years) who underwent endoscopic management of ingested foreign bodies at two centers, one inland and one on the coast, between January 2008 and December 2017 were eligible. Clinical characteristics and procedure-related outcomes were retrospectively reviewed. Patients were divided into two groups, based on whether the foreign bodies were sharp or blunt in shape. Results A total of 853 patients aged 19-96 years were analyzed. Ingestion of fish bones was more common in the coastal area, whereas ingestion of food boluses was more common in the inland area. The duration of impaction ranged from 1 h to over 1 month and was significantly longer in patients who ingested blunt than sharp foreign bodies (15 vs. 5 h, p < 0.001). Most (98.9%) foreign bodies were successfully removed. Adverse events occurred in 31.2 % of patients, including ulcers (4.0%) and perforations (3.3 %). Multivariate analysis showed that age (odds ratio [OR] 1.015, p = 0.012), sharp foreign bodies (OR 5.133, p < 0.001), location in the esophagus (OR 2.723, p = 0.018), and duration of impaction (OR 1.431, p < 0.001) were factors associated with adverse events. Conclusions Early recognition and timely endoscopic removal of ingested foreign bodies, particularly in elderly patients and those with sharp foreign bodies, may improve clinical outcomes