• Title/Summary/Keyword: 가족확장성

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Prevalence of Metabolic Syndrome and Its Associated Factors among Health Checkup Examinees in a University Hospital (종합건강검진 수검자들의 대사증후군 유병률 및 관련요인)

  • Cho, Young-Chae;Kwon, In-Sun;Park, Jae-Young;Shin, Min-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5317-5325
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    • 2012
  • The purpose of this study was to estimate the prevalence of metabolic syndrome and determine the distribution of the clustering of the metabolic risk factors, and we wanted to evaluated the related factors in urban areas. 1,388 adults of 30 years and over, not recognized as taking medicines for or having cardiovascular diseases, who underwent health package check-up at the health promotion center of a university hospital. All subjects were measured by height, weight, waist circumference, blood pressure and blood chemistry(lipid profile). As a results, the prevalence rates of metabolic syndrome of study subjects were 21.7%, and the rates of metabolic risk factors were HDL-C, blood pressure, TG, abdominal obesity and FBS in that order. And the factors such influencing on metabolic syndrome as age, BMI, smoking habits, vegetable consumption and family history of the diabetes. Consequently, it is suggested that the evaluation and intervention for lifestyle factors may be needed in order to the risk management of metabolic syndrome.

AGREEMENT BETWEEN DSM-IV AND ICD-10 DIAGNOSIS ON ATTENTION-DEFICIT/HYPERACTIVITY DISORDER (주의력결핍과잉행동장애에 대한 DSM-IV와 ICD-10 진단의 합의)

  • Lee Soyoung Irene;Jung Han-Yone
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.2
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    • pp.192-198
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    • 2005
  • Objectives : This review examines the extent of harmonization between the Diagnostic and Statistical Manual (fourth edition) (DSM-IV) attention deficit hyperactivity disorder (ADHD) and International Classification of Diseases (tenth edition) (ICD-10) hyperkinetic disorder (HKD). Methods : PubMed review of the clinical literatures from 1980 to March 2005 was undertaken using the search term of ADHD, HKD, DSM, ICD, diagnostic criteria, algorithm, and validity. Results : There continues to be a substantial difference in the prevalence of ADHD and HKD. Based on the limited studies that directly compare the most recent two algorithms of ADHD and HKD, several implications for clinical practice and research are discussed. Conclusion : To understand further if the criteria for DSM-IV and ICD-10 for ADHD and HKD are converged or not, more researches on the validity of ADHD and HKD subtypes should be undertaken.

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Towards Next Generation Multimedia Information Retrieval by Analyzing User-centered Image Access and Use (이용자 중심의 이미지 접근과 이용 분석을 통한 차세대 멀티미디어 검색 패러다임 요소에 관한 연구)

  • Chung, EunKyung
    • Journal of the Korean Society for Library and Information Science
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    • v.51 no.4
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    • pp.121-138
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    • 2017
  • As information users seek multimedia with a wide variety of information needs, information environments for multimedia have been developed drastically. More specifically, as seeking multimedia with emotional access points has been popular, the needs for indexing in terms of abstract concepts including emotions have grown. This study aims to analyze the index terms extracted from Getty Image Bank. Five basic emotion terms, which are sadness, love, horror, happiness, anger, were used when collected the indexing terms. A total 22,675 index terms were used for this study. The data are three sets; entire emotion, positive emotion, and negative emotion. For these three data sets, co-word occurrence matrices were created and visualized in weighted network with PNNC clusters. The entire emotion network demonstrates three clusters and 20 sub-clusters. On the other hand, positive emotion network and negative emotion network show 10 clusters, respectively. The results point out three elements for next generation of multimedia retrieval: (1) the analysis on index terms for emotions shown in people on image, (2) the relationship between connotative term and denotative term and possibility for inferring connotative terms from denotative terms using the relationship, and (3) the significance of thesaurus on connotative term in order to expand related terms or synonyms for better access points.

Study on cyberbullying among adolescent bystanders - focusing on the empathy of middle school students - (사이버불링을 목격한 중학생 주변인의 실태 및 영향 변인 연구)

  • Ko, Ahra;Choi, Saeeun
    • Journal of Korean Home Economics Education Association
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    • v.28 no.4
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    • pp.79-95
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    • 2016
  • This study aims to explore the reality of middle school students witnessing cyberbullying and their types of behaviors after witnessing and to examine the role of empathy affecting the behaviors of bystanders of cyberbullying. For this purpose, we collected the survey data from 595 middle school students in the Gyeong-Gi region. Results show that 61.2% of the respondents report the witness of cyberbullying, Among which cyber slander is the most common, followed by spreading false information, outcast, sexual harassment, and extortion. The behaviors of bystanders who witnessed cyberbullying are categorized into spectating, defending, agreeing, or doing nothing. When it comes to the role of the students' empathy, findings show that the 'empathic concern' and 'personal pain' -, parts of emotional empathic abilities, can significantly influence behaviors of cyberbullying bystanders. These findings not only call the attention to the seriousness of cyberbullying among middle school students, but they also suggest the implication that emotion empathy education is required along with emotion control education.

Actual Condition & the Need of Education for Elderly Housing Education Perceived by Adolescents (청소년이 인식하는 중학교 노년기 주생활 교육 실태와 교육 필요도)

  • Lee, Young-Ja;Jang, Sang-Ock
    • Journal of Korean Home Economics Education Association
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    • v.20 no.4
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    • pp.59-75
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    • 2008
  • This study is designed to support the development and the teaching of revised curriculum of 2007 "Technology & Home Economics" by investigating the actual condition and the necessity of education for elderly housing education. Questionnaire survey was conducted with 488 high school students in Gyeongnam in 2008. The data analyzed by descriptive statistics, t-test, One-way ANOVA, Duncan's multiple range test by using SPSS 14 program. The results showed that most of the students were dissatisfied with their middle school education of elderly housing due to the lack of interesting and practical contents. Thus, various teaching-learning methods where student can experience and experiment is needed. Also, the students demanded more of factors of elderly housing, spacing plan, elderly welfare service and less of three-generation housing and senior housing in their elderly housing education. The needs of education contents differed among students depending on variables such as sex, graduated middle school, household income, dwelling space and length of residential years. Therefore, revised 2007 curriculum of "Technology & Home Economics" should include required contents in related chapters. Because there are significant differences among textbooks about elderly housing, further attention needs to be paid to the new textbooks in order to include education contents evenly. At the same time, teachers should organize their teaching contents considering the divergence of variables. The effect of elderly housing education will be maximized if the revised curriculum consists of more experimental activities such as elderly simulation in the local community.

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Surgical Complications in Heart Transplant Recipients - A Single Center Experience - (심장이식후에 발생한 외과적 합병증 - 단일 센터 경험 -)

  • Park, Kook-Yang;Park, Chul-Hyun;Jeon, Yang-Bin;Choi, Chang-Hyu;Lee, Jae-Ik
    • Journal of Chest Surgery
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    • v.42 no.6
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    • pp.719-724
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    • 2009
  • Background: As the patients who undergo heart transplantation have achieved better survival in recent years, growing number of recipients are at a risk for experiencing surgical complications in addition to rejection and infection. In this paper, we report on our experience with the surgical complications that occurred in heart transplant recipients. Material and Method: From April 1994 to September 2003, 37 heart transplantations were performed at our center by a single surgeon. The indications for transplantation were dilated cardiomyopathy, ischemic cardiomyopathy, valvular cardiomyopathy and familial hypertrophic cardiomyopathy. Result: Twenty postoperative complications required surgeries in 15 patients (41%). The types of operations required were; redo-sternotomy for bleeding (5), pericardiostomy for effusion (4), implantation of a permanent pacemaker (1), right lower lobe lobectomy for aspergilloma (1), removal of urinary stone (1), cholecystectomy for gall bladder stone (1), drainage of a perianal abscess (1), paranasal sinus drainage (1), total hip replacement (1), partial gingivectomy due to gingival hypertrophy (1), urethrostomy (1), herniated intervertebral disc operation (1) and total hysterectomy for myoma uteri (1). The locations of the complications were mediastinal in 10 (27%) cases and extramediastihalin 10 (27%) cases. Conclusion: The relatively high incidence of extrathoracic complications associated with heart transplantation emphasizes the importance of a multidisciplinary approach to the improve long-term survival when managing those complex patients.

Experiences of Institutions Utilization among Homeless Young Men with Mental Health Problems: Inevitable Repeated Usages between Two Facility Systems behind the Deinstitutionalization (정신장애를 가진 노숙 청년의 시설 이용 경험 : 탈시설화의 이면(裏面), 생존을 위한 두 체계의 반복 이용을 중심으로)

  • Kim, Soyoung
    • Korean Journal of Social Welfare Studies
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    • v.48 no.3
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    • pp.83-116
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    • 2017
  • The purpose of this study is to raise the issue of the existing deinstitutionalization debate, considering only the shipment process to these two spaces, and still leaving the inter-facility circulation of vulnerable mental handicapped who are still hanging around the facility. In particular, we sought to supplement the discussion of deinstitutionalization by illuminating the problems of those who have to rely on facilities, as well as the mental health facility system and the homeless facility system. In the case of homeless persons with mental disabilities who repeatedly use the mental health facility system and the homeless facility system, they confirmed the pattern of using the facilities by constantly changing the place to manage the overlapping risk of mental illness and homelessness. Also it is triggered by the voluntary nature of the parties with no resources and resources. This situation appeared to be inevitable in the absence of resources and supportive systems that would actually enable a life in the community. Nevertheless, I asserted that the life of the mentally handicapped, which is circling the facility, is extremely unstable and is not desirable from a welfare point of view.

Risk Assessment of the Accident Place Types Considering the Coastal Activity Time (연안활동시간을 고려한 장소유형별 위험도 평가)

  • Seo, Heui Jung;Park, Seon Jung;Park, Seol Hwa;Park, Seung Min
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.34 no.5
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    • pp.144-155
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    • 2022
  • The Korea Coast Guard evaluates the risk of major coastal activity places to prevent coastal accidents, and patrols and manages them based on that, but it is not responding properly to the continuously increasing number of coastal accidents. The reason for this is that, despite the gradual expansion of coastal activity places, there is a lack of manpower to manage and supervise them, resulting in blind spots in coastal accident safety management. Therefore, in order to solve this problem, it is necessary to prepare more efficient and effective measures that check and supplement the current coastal safety management system. Coastal accidents show different characteristics of accident causes and places due to differences in the activity characteristics of users according to time. As a result of analyzing coastal accident data (2017~2021), the frequency of daytime accidents is high in the case of sea rock, beach, and offshore, where family leisure activities are frequent. In the case of wharf, tidal flat and bridge, where accidents due to drinking, disorientation, and suicide mainly occur, the frequency of accidents at night is high. In addition, there were more accidents on weekends when the number of users increased compared to weekdays. This trend indicates that the user's temporal activity characteristics must be reflected in the risk assessment of coastal activity places. Therefore, in this study, based on the case of coastal accidents, the characteristics of accidents at coastal activity places according to time were identified, and the criteria were presented for risk evaluation by grading them. It is expected that it will be possible to lay the foundation for reducing coastal accidents by efficiently managing and supervising coastal activity places over time using the presented evaluation criteria.

A Structural Framework on Psychological Adaptation and Sequential Changes during the COVID-19 Pandemic (코로나19 팬데믹에 대한 심리적 적응과 연쇄적 변화의 구조 모형)

  • Ko, Dong-Woo;Seo, Hyun-Sook
    • Korean Journal of Culture and Social Issue
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    • v.27 no.4
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    • pp.351-389
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    • 2021
  • This qualitative study aimed to develop a structural framework that explains the process of psychological adaptation and sequential changes being perceived by Korean people under the COVID-19 Pandemic past year. Setting a tentative analysis frame induced from antecedent literatures about psychological phenomena during the COVID-19 pandemic, the qualitative data were collected from 6 Korean adults by semi structured individual interviews. For the data, content analysis applied from the grounded theory were performed. As a result, the initial framework was extended and revised to describe the psychological phenomena under the pandemic. This paradigm structure includes the process of 'causal factors ⇒ psychological main phenomena ⇒ sequential results' being intervened by personal contextual situations and psychological characteristics, as moderators. The category of causal factors were the COVID-19 pandemic, relevant critical incidents, and social distancing policy. The main phenomena reflected either positive, negative, or complicated experiences. The sequential psychological results included transformation of cognitive system or behavior patterns. Various variables such as psychological sense of community and social responsibility, psychological capability for leisure, and positive psychological capital were found out as moderating factors. In discussion and conclusion, theoretical/practical implications of the results and direction to study in the future were suggested.

사학연금 가입자들을 위한 점진적 퇴직제도의 도입방안에 관한 연구

  • Lee, Jeong-U
    • Journal of Teachers' Pension
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    • v.2
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    • pp.47-102
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    • 2017
  • 오늘날 대다수의 선진 국가들은 고령화 사회에 대비하여 자국의 노후소득보장 제도를 대대적으로 개혁해 오고 있다. 우리나라의 경우에서도 지난 2015년 사학연금제도의 개혁이 이러한 취지에 해당될 수 있을 것이다. 본 연구에서는 고령화 사회의 문제가 단순히 노인부양비용의 증가 그 자체가 아니라, 평균수명의 증가에도 불구하고 늘어나게 된 노후의 삶에 대한 시간적 배분이 근로와 여가에 걸쳐 균형적으로 이루어지지 않고, 사회적 부양을 필요로 하는 노후의 여가만 일방적으로 늘어나고 있다는 점을 문제점으로 지적하였다. 따라서 이러한 차원에서 볼 때 고령화 사회의 문제는 생애근로기간의 연장을 통해서만 효과적으로 극복할 수 있을 것으로 생각된다, 하지만 이와는 반대로 개인별로 건강상태나 가족상황 등의 이유로 생애근로주기의 연장이 불가능한 사람들을 위하여 별도의 제도적 장치가 추가적으로 마련되어야 할 것이다. 종합해 보면, 고령화 사회의 노동시장 문제는 개인별로 다양한 욕구나 능력을 반영하여 각자에게 다양한 선택권을 보장해 줄 수 있는 방향으로 개선되어야 할 필요가 있다. 본 연구에서는 고령화 사회에 대비하여 연금수급연령 상향조정의 필요성을 사학연금제도를 중심으로 살펴보고, 대신 그로 인해 발생할 수 있는 소득공백문제와 연금가입경력 공백문제 등 제반의 충격을 흡수할 수 있는 제도적 장치로서 점진적 퇴직제도의 도입방안을 제안하였다. 개략적으로 사학연금제도에 있어서 점진적 퇴직모형은 법정연금수급연령의 인상 일정에 따라 다음과 같이 운영하는 방안을 제안하였다. 먼저 법정연금수급연령이 60세로 유지되는 2022년까지의 단기적 대책으로서 여기서 점진적 퇴직의 자격연령은 모든 가입자에게 60세로 적용하도록 한다. 이 경우 가입자들의 신분구분에 따라 각각 교수 5년, 교원 2년(문제해결에 대한 정책적 의지에 따라 이행구간을 확장할 수도 있음) 그리고 교직원 0년의 조기의 점진적 퇴직이 허용되므로, 현재 교원이나 교수의 임용대란문제에 효과적으로 대응을 할 수 있는 장점이 있다. 다음으로는 2023년 이후 2033년 사이 법정연금수급연령의 인상단계에 해당되는 기간 동안의 대책으로서 여기서는 교수, 교원, 교직원에게 적용되는 정년연령과 매년도 법정연금수급연령 사이의 기간을 조기의 점진적 퇴직 이행구간으로 정하도록 한다. 그리고 이러한 이행구간에 상당하는 기간만큼 후기의 점진적 퇴직 이행구간을 별도로 설정하여 그에 적절한 혜택이 주어질 수 있도록 한다. 마지막으로 2033년 이후부터는 교수, 교사, 교직원의 신분구분 없이 모두에게 적용되는 사항으로서 65세를 기준으로 그 이전의 5년은 사학연금의 적용을 받는 조기의 점진적 퇴직 그리고 그 이후의 5년은 국민연금의 적용을 받는 후기의 점진적 퇴직이 이루어질 수 있도록 한다. 그리고 전체 10년의 점진적 퇴직 이행구간 동안 개인별로 퇴직시점이나 퇴직형태의 선택이 자유롭게 이루어질 수 있도록 하기 위하여 보험수리의 원칙에 입각한 감액률 또는 가산율의 엄격한 적용을 제안하였다. 그리고 고령계층이 자신의 근로시간을 단계적으로 단축할 수 있도록 하고, 그 과정에서 발생하게 되는 소득의 감소부분은 별도의 제도적 방법(가교연금, 시간가치적립계정 등)으로 충당하도록 하는 방안을 제안하였다. 나아가 점진적 퇴직제도의 운영방식은 근로시간의 단축뿐만 아니라 작업부담의 경감 등에 대해서도 인정을 해주도록 해줌으로써 임금피크제도의 기능과 연계가 가능할 수 있도록 할 것을 제안하였다.