순천향대학교 부속 천안병원은 건강보험심사평가원이 발표한 ‘제11차 급성기 뇌졸중 적정성 평가’에서 1등급을 획득해 평가 시행 이후 11회 연속 최고 등급을 기록했다고 31일 밝혔다. 이번 평가는 2024년 10월부터 2025년 3월까지 6개월간 급성기 뇌졸중 환자를 진료한 전국 의료기관을 대상으로 실시됐다. 순천향대천안병원은 △Stroke Unit(인력·시설) 운영 △병원 도착 60분 이내 정맥 내 혈전용해술 실시율 △병원 도착 24시간 이내 지주막하출혈 최종 치료 실시율 △조기 재활 평가율 △입원 중 폐렴 발생률(출혈성·허혈성) 등 주요 평가지표에서 모두 우수한 점수를 받았다. 이문수 병원장은 “뇌졸중 환자의 골든타임을 지키고, 지역 환자들이 안심하고 치료받는 최상의 의료 서비스를 제공하기 위해 최선을 다하겠다”고 말했다.

순천향대학교 부속 천안병원(병원장 박형국)은 건강보험심사평가원이 실시한 ‘제10차 급성기 뇌졸중 적정성 평가’에서 1등급을 획득했다고 31일 밝혔다. 평가는 2022년 10월부터 2023년 3월까지 6개월간 급성기 뇌졸중 환자를 진료한 전국 249개 의료기관을 대상으로 이뤄졌다. 순천향대 천안병원은 △Stroke Unit(인력 및 시설) 구성 △정맥 내 혈전용해제(t-PA) 투여율(60분 이내) △조기 재활 평가율 △조기 재활 실시율 △입원 중 폐렴 발생률(출혈성·허혈성) 등 평가지표 대부분 만점을 받았다. 박형국 병원장은 “지역 대표 충남권역 심뇌혈관질환센터 운영기관으로서 10회의 적정성 평가에서 모두 1등급을 받았다”며 “뇌졸중 환자들의 건강을 지키고 최상의 의료서비스가 유지되도록 노력하겠다”고 말했다.

단국대병원은 건강보험심사평가원이 30일 발표한 ‘제10차 급성기뇌졸중 적정성 평가’에서 최우수 등급인 1등급을 받았다고 밝혔다. 이번 평가는 2022년 10월부터 2023년 3월까지 급성기뇌졸중 환자를 진료한 종합병원급 이상 의료기관 249곳의 의료기관을 대상으로 진행했다. 단국대병원은 구조지표인 전문인력 구성과 Stroke Unit 운영을 비롯해 △정맥 내 혈전용해제 투여율 △조기재활 평가율 △조기재활 실시율 △퇴원 시 기능평가(Functional outcome scale) 실시율 △입원 중 폐렴 발생률(출혈성) 등의 과정지표 대부분의 영역에서 만점을 받았다. 평가 기관 전체 평균은 88.13점이다. 김재일 단국대병원장은 “권역책임의료기관으로서 충남권역응급의료센터를 비롯해 충남권역외상센터, 닥터헬기 등을 성공적으로 운용하며 뇌졸중을 비롯한 중증 응급질환 치료에서 전국 최고 수준을 인정받은 것”이라고 말했다. 뇌졸중은 뇌혈관이 터지거나(뇌출혈) 막히면서(뇌경색) 뇌로 가는 혈류 공급이 중단돼 뇌세포가 죽는 질환으로, 뇌졸중 발생 3시간 이내에 적절한 치료를 받지 못하면 심각한 후유증을 남긴다.

충남 천안의 순천향대학교 부속 천안병원은 건강보험심사평가원이 발표한 ‘제9차 급성기 뇌졸중 적정성 평가’에서 1등급을 받았다고 2일 밝혔다. 이번 평가는 2020년 10월부터 2021년 3월까지 6개월 동안 급성기 뇌졸중 환자를 진료한 전국 233개 상급종합병원과 종합병원을 대상으로 이뤄졌다. 순천향대천안병원은 △전문인력 구성 △뇌졸중 집중치료실(Stroke Unit) 운영 △뇌 영상 검사 실시율 △정맥 내 혈전용해제 투여율 △조기 재활 평가율 △입원 중 폐렴 발생률 등 모든 평가지표를 충족했다. 순천향대천안병원의 경우 건강보험심사평가원이 지난 2007년 처음 실시한 이번 평가에서 9회까지 모두 1등급을 유지하고 있다. 박상흠 병원장은 ”최상의 진료시스템을 유지하고 발전시킴으로써 앞으로도 지역 뇌졸중 환자들의 건강한 삶을 든든하게 지켜나가겠다“고 말했다.

로버트 게이츠 전 미국 국방장관은 “북한이 결코 완전히 비핵화할 것이라고 믿지 않는다”고 말했다. 게이츠 전 장관은 12일(현지시간) 방송된 미국 CBS방송의 ‘페이스 더 네이션’ 프로그램 인터뷰를 통해 “그들은 최소한 어느 정도의 적당한 핵 능력을 갖추는 것이 국가 생존과 김씨 왕조의 생존에 필수적으로 생각한다”며 북핵 해결을 위한 트럼프 행정부의 대화 노력을 “대담한 것”이라고 긍정적인 평가를 내리면서도 성과가 있을 것으로 내다보지 않았다. 게이츠 전 장관은 “세 명의 전임 대통령이 재직한 지난 25년 동안 미국은 북한과 협상을 시도했지만 모두 실패했다”며 “그래서 트럼프 대통령이 김정은에게 손을 내밀고 개인적인 만남을 제안한 것은 분명히 위험이 있다”고 지적했다. 북한이 지난 2월 베트남 하노이 북미정상회담에서 꺼내든 영변 핵시설 폐기 카드에 대해선 “그들은 예전에도 그것을 제시한 적이 있다”고 평가 절하했다. 게이츠 전 장관은 ”김정은이 핵시설의 일부를 폐기하는, 그다지 대단하지 않은 변화의 대가로 제재 해제를 요구한 것은 북한이 트럼프의 전임자들에게 했던 ‘우리는 조금 하고, 당신은 많이 한다’는 과거의 전략과 기본적으로 다르지 않은 것”이라고 지적했다. 당시 트럼프 대통령이 아무런 합의 없이 회담장을 떠난 것에 대해서는 “그가 옳았다고 생각한다”며 “왜냐하면 북한의 완전한 비핵화를 이룰 수 있다고 믿는 것은 비현실적이라고 생각하기 때문”이라고 단언했다. 게이츠 전 장관은 “그렇기 때문에 만약 북한이 모든 핵무기를 포기하지 않으면 제한적인 것들을 추구할 가치가 있는지, 그리고 대안은 무엇인지가 문제”라고 진단했다. 그는 ‘김 위원장이 외교에 대해 진지하다고 보느냐’는 질문에 “그렇다”고 답하면서도 “내 생각에 그는 다른 목표를 갖고 있는 것 같다”고 말했다. 또 ‘핵 목록을 내놓지 않는 북한과 언제까지 대화해야 하느냐’는 질문에는 “적어도 당분간은 유지해야 할 것 같다”거나 “핵실험이 없는 한 (대화의) 문을 열어둘 가치가 있을 것”이라고 평가했다. 이어 “그러나 북한이 핵실험을 하지 않더라도 핵무기를 계속 생산하고 있기 때문에 현상유지는 받아들일 수 없다”면서 “이것(대화)을 오래 끌고 나가면 아무 일도 일어나지 않는다는 것을 깨달아야 한다”고 강조했다. 게이츠 전 장관은 ‘아버지 부시’ 행정부에서 중앙정보국(CIA) 국장을 역임하고 ‘아들 부시’ 행정부 시절인 2006년 12월 국방장관에 임명됐다. 그 뒤 오바마 정부가 출범한 뒤에도 계속 재직하다가 2011년 6월말 퇴임했다. 마가렛 브레넌과의 인터뷰는 40분 분량 남짓이며 중국과 이란, 베네수엘라를 다룬 다음 북한 관련 부분을 다루고 미국 대선 예상 출마자들에 관한 품평으로 넘어갔다. 북한 관련 녹취록은 다음과 같다. MARGARET BRENNAN: North Korea, another hotspot. Do you think the president is on the right track? FMR. SEC. GATES: You know, I thought- first of all, the United States for 25 years, under his- President Trump‘s three predecessors, all tried to negotiate with the North Koreans and all failed. And so after 25 years of failure, I thought that the president’s decision to reach out to Kim Jong Un and offer a personal meeting- sure there were risks. You gave up the prestige of a meeting with the president of the United States, but I thought it was a bold stroke that might create an environment where there could actually be progress toward getting limitations on on the North Korean nuclear program. I believe that the North Koreans will never completely denuclearize. I think they see at least- having at least some modest nuclear capability is essential to their national survival and the survival of the Kim dynasty, if you will. But I think that the outreach was- was a bold thing to do. And- and I think what Kim- when Kim was asking for a significant lifting of the sanctions for really modest changes in taking down part of the nuclear establishment-- MARGARET BRENNAN: The proposal in Hanoi-- FMR. SEC. GATES: --was basic- yes, was basically the same strategy that he‘s followed with- with Trump’s predecessors. You know, we‘ll do a little and you do some. You- we’ll do a little and you do more. MARGARET BRENNAN: So you don‘t think he’s serious about diplomacy? FMR. SEC. GATES: I think- Kim? I think he is. But I think he‘s got a different set of objectives. And- and so the problem is-over the years of negotiations, the nuclear facility at Yongbyon has been opened and closed so many times, it ought to have a revolving door. MARGARET BRENNAN: So that’s not a serious offer by North Korea, when they put it on the table in Hanoi? FMR. SEC. GATES: They‘ve done this before. MARGARET BRENNAN: So the president was right to walk away? FMR. SEC. GATES: I think he was. I think he was. Because now, I think they’re unrealistic in believing that they can get complete denuclearization. So the question is, if the North won‘t give up all of its nuclear weapons, are other limitations worth pursuing? And what’s the alternative to pursuing those other alternatives? MARGARET BRENNAN: Well, North Korea hasn‘t handed over its weapons inventory. They haven’t dismantled their missiles. They haven‘t broken down any part of their nuclear program. So how long do you keep talking before you say, this just isn’t gonna work? FMR. SEC. GATES: Well I think- I think you have to keep at it at least for a while, but there‘s no- that’s- the status quo is also not acceptable because they are continuing to produce nuclear weapons, even if they‘re not carrying out nuclear tests. And- and now they’ve resumed some of their ballistic missile testing, not the long- long range tests, but these shorter range missiles have the capacity to reach our allies, South Korea and Japan. So, you know, as long as there‘s no nuclear testing, it’s probably worth keeping the door open. But at some point, people have to realize that if you just drag this thing out, it‘s not going to lead to anything. Now the problem that Kim faces is their- the country is facing another famine, and the country is under severe stress. The Chinese will never go along with sanctions so severe that they break the North Korean regime. They will keep it minimally alive, if you will. So the notion that the North is going to collapse, I think, is probably unrealistic. But at the same time, if you just let this thing string out, the North is just continuing to build their capabilities. 임병선 평화연구소 사무국장 bsnim@seoul.co.kr

다음은 저커버그가 딸 맥스에게 보낸 편지 전문이다. A letter to our daughter 　Dear Max, 　Your mother and I don‘t yet have the words to describe the hope you give us for the future. Your new life is full of promise, and we hope you will be happy and healthy so you can explore it fully. You’ve already given us a reason to reflect on the world we hope you live in. 　Like all parents, we want you to grow up in a world better than ours today. 　While headlines often focus on what‘s wrong, in many ways the world is getting better. Health is improving. Poverty is shrinking. Knowledge is growing. People are connecting. Technological progress in every field means your life should be dramatically better than ours today. 　We will do our part to make this happen, not only because we love you, but also because we have a moral responsibility to all children in the next generation. 　We believe all lives have equal value, and that includes the many more people who will live in future generations than live today. Our society has an obligation to invest now to improve the lives of all those coming into this world, not just those already here. 　But right now, we don’t always collectively direct our resources at the biggest opportunities and problems your generation will face. 　Consider disease. Today we spend about 50 times more as a society treating people who are sick than we invest in research so you won‘t get sick in the first place. 　Medicine has only been a real science for less than 100 years, and we’ve already seen complete cures for some diseases and good progress for others. As technology accelerates, we have a real shot at preventing, curing or managing all or most of the rest in the next 100 years. 　Today, most people die from five things -- heart disease, cancer, stroke, neurodegenerative and infectious diseases -- and we can make faster progress on these and other problems. 　Once we recognize that your generation and your children‘s generation may not have to suffer from disease, we collectively have a responsibility to tilt our investments a bit more towards the future to make this reality. Your mother and I want to do our part. 　Curing disease will take time. Over short periods of five or ten years, it may not seem like we’re making much of a difference. But over the long term, seeds planted now will grow, and one day, you or your children will see what we can only imagine: a world without suffering from disease. 　There are so many opportunities just like this. If society focuses more of its energy on these great challenges, we will leave your generation a much better world. • • • 　Our hopes for your generation focus on two ideas: advancing human potential and promoting equality. 　Advancing human potential is about pushing the boundaries on how great a human life can be. 　Can you learn and experience 100 times more than we do today? 　Can our generation cure disease so you live much longer and healthier lives? 　Can we connect the world so you have access to every idea, person and opportunity? 　Can we harness more clean energy so you can invent things we can‘t conceive of today while protecting the environment? 　Can we cultivate entrepreneurship so you can build any business and solve any challenge to grow peace and prosperity? 　Promoting equality is about making sure everyone has access to these opportunities -- regardless of the nation, families or circumstances they are born into. 　Our society must do this not only for justice or charity, but for the greatness of human progress. 　Today we are robbed of the potential so many have to offer. The only way to achieve our full potential is to channel the talents, ideas and contributions of every person in the world. 　Can our generation eliminate poverty and hunger? 　Can we provide everyone with basic healthcare? 　Can we build inclusive and welcoming communities? 　Can we nurture peaceful and understanding relationships between people of all nations? 　Can we truly empower everyone -- women, children, underrepresented minorities, immigrants and the unconnected? 　If our generation makes the right investments, the answer to each of these questions can be yes -- and hopefully within your lifetime. 　• • • 　This mission -- advancing human potential and promoting equality -- will require a new approach for all working towards these goals. 　We must make long term investments over 25, 50 or even 100 years. The greatest challenges require very long time horizons and cannot be solved by short term thinking. 　We must engage directly with the people we serve. We can’t empower people if we don‘t understand the needs and desires of their communities. 　We must build technology to make change. Many institutions invest money in these challenges, but most progress comes from productivity gains through innovation. 　We must participate in policy and advocacy to shape debates. Many institutions are unwilling to do this, but progress must be supported by movements to be sustainable. 　We must back the strongest and most independent leaders in each field. Partnering with experts is more effective for the mission than trying to lead efforts ourselves. 　We must take risks today to learn lessons for tomorrow. We’re early in our learning and many things we try won‘t work, but we’ll listen and learn and keep improving. 　• • • 　Our experience with personalized learning, internet access, and community education and health has shaped our philosophy. 　Our generation grew up in classrooms where we all learned the same things at the same pace regardless of our interests or needs. 　Your generation will set goals for what you want to become -- like an engineer, health worker, writer or community leader. You‘ll have technology that understands how you learn best and where you need to focus. You’ll advance quickly in subjects that interest you most, and get as much help as you need in your most challenging areas. You‘ll explore topics that aren’t even offered in schools today. Your teachers will also have better tools and data to help you achieve your goals. 　Even better, students around the world will be able to use personalized learning tools over the internet, even if they don‘t live near good schools. Of course it will take more than technology to give everyone a fair start in life, but personalized learning can be one scalable way to give all children a better education and more equal opportunity. 　We’re starting to build this technology now, and the results are already promising. Not only do students perform better on tests, but they gain the skills and confidence to learn anything they want. And this journey is just beginning. The technology and teaching will rapidly improve every year you‘re in school. 　Your mother and I have both taught students and we’ve seen what it takes to make this work. It will take working with the strongest leaders in education to help schools around the world adopt personalized learning. It will take engaging with communities, which is why we‘re starting in our San Francisco Bay Area community. It will take building new technology and trying new ideas. And it will take making mistakes and learning many lessons before achieving these goals. 　But once we understand the world we can create for your generation, we have a responsibility as a society to focus our investments on the future to make this reality. 　Together, we can do this. And when we do, personalized learning will not only help students in good schools, it will help provide more equal opportunity to anyone with an internet connection. 　• • • 　Many of the greatest opportunities for your generation will come from giving everyone access to the internet. 　People often think of the internet as just for entertainment or communication. But for the majority of people in the world, the internet can be a lifeline. 　It provides education if you don’t live near a good school. It provides health information on how to avoid diseases or raise healthy children if you don‘t live near a doctor. It provides financial services if you don’t live near a bank. It provides access to jobs and opportunities if you don‘t live in a good economy. 　The internet is so important that for every 10 people who gain internet access, about one person is lifted out of poverty and about one new job is created. 　Yet still more than half of the world’s population -- more than 4 billion people -- don‘t have access to the internet. 　If our generation connects them, we can lift hundreds of millions of people out of poverty. We can also help hundreds of millions of children get an education and save millions of lives by helping people avoid disease. 　This is another long term effort that can be advanced by technology and partnership. It will take inventing new technology to make the internet more affordable and bring access to unconnected areas. It will take partnering with governments, non-profits and companies. It will take engaging with communities to understand what they need. Good people will have different views on the best path forward, and we will try many efforts before we succeed. 　But together we can succeed and create a more equal world. 　• • • 　Technology can’t solve problems by itself. Building a better world starts with building strong and healthy communities. 　Children have the best opportunities when they can learn. And they learn best when they‘re healthy. 　Health starts early -- with loving family, good nutrition and a safe, stable environment. 　Children who face traumatic experiences early in life often develop less healthy minds and bodies. Studies show physical changes in brain development leading to lower cognitive ability. 　Your mother is a doctor and educator, and she has seen this firsthand. 　If you have an unhealthy childhood, it’s difficult to reach your full potential. 　If you have to wonder whether you‘ll have food or rent, or worry about abuse or crime, then it’s difficult to reach your full potential. 　If you fear you‘ll go to prison rather than college because of the color of your skin, or that your family will be deported because of your legal status, or that you may be a victim of violence because of your religion, sexual orientation or gender identity, then it’s difficult to reach your full potential. 　We need institutions that understand these issues are all connected. That‘s the philosophy of the new type of school your mother is building. 　By partnering with schools, health centers, parent groups and local governments, and by ensuring all children are well fed and cared for starting young, we can start to treat these inequities as connected. Only then can we collectively start to give everyone an equal opportunity. 　It will take many years to fully develop this model. But it’s another example of how advancing human potential and promoting equality are tightly linked. If we want either, we must first build inclusive and healthy communities. 　• • • 　For your generation to live in a better world, there is so much more our generation can do. 　Today your mother and I are committing to spend our lives doing our small part to help solve these challenges. I will continue to serve as Facebook‘s CEO for many, many years to come, but these issues are too important to wait until you or we are older to begin this work. By starting at a young age, we hope to see compounding benefits throughout our lives. 　As you begin the next generation of the Chan Zuckerberg family, we also begin the Chan Zuckerberg Initiative to join people across the world to advance human potential and promote equality for all children in the next generation. Our initial areas of focus will be personalized learning, curing disease, connecting people and building strong communities. 　We will give 99% of our Facebook shares -- currently about $45 billion -- during our lives to advance this mission. We know this is a small contribution compared to all the resources and talents of those already working on these issues. But we want to do what we can, working alongside many others. 　We’ll share more details in the coming months once we settle into our new family rhythm and return from our maternity and paternity leaves. We understand you‘ll have many questions about why and how we’re doing this. 　As we become parents and enter this next chapter of our lives, we want to share our deep appreciation for everyone who makes this possible. 　We can do this work only because we have a strong global community behind us. Building Facebook has created resources to improve the world for the next generation. Every member of the Facebook community is playing a part in this work. 　We can make progress towards these opportunities only by standing on the shoulders of experts -- our mentors, partners and many incredible people whose contributions built these fields. 　And we can only focus on serving this community and this mission because we are surrounded by loving family, supportive friends and amazing colleagues. We hope you will have such deep and inspiring relationships in your life too. 　Max, we love you and feel a great responsibility to leave the world a better place for you and all children. We wish you a life filled with the same love, hope and joy you give us. We can‘t wait to see what you bring to this world. 　Love, 　Mom and Dad