• 재활간호학회지
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• 제20권1호
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• pp.42-51
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• 2017

Purpose: In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan. Methods: This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year. Results: Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved. Conclusion: Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program's benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.

• Journal of Information Science Theory and Practice
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• 제5권4호
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• pp.49-67
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• 2017

This article assesses the recent development of libraries in Myanmar and efforts to build the sector's capacity leading up to and after the first democratic elections held in the country in nearly 50 years, at the end of 2015. Cyclone Nargis in 2008 is viewed as a 'framing event' (Birkland, 1998) that led to national legal and policy reforms, an increase in national and international projects to support development of Myanmar libraries, and the strengthening of local actors including the Myanmar Library Association to coordinate and lead development activities. Although in need of modernisation, networking, and professional skills, the existence of a widespread number of all library types across the country provides an important foundation for further development. The current status and readiness of libraries is explored in the broader context of the rapid leap from limited to more widely available access to information and technology. The article finds that there is great potential for libraries in Myanmar to support the continued transition to democracy as evidenced by the role of libraries and access to information in other countries that have transitioned. Remaining challenges include the potential of backsliding on national reforms, and the need for significant investments in infrastructure and skills. Libraries must be transformed to meet the changing needs of information users in a young democracy.

• 환경정책연구
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• 제14권3호
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• pp.95-118
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• 2015

2015년 프랑스 파리에서 열릴 UNFCCC 제21차 당사국총회에서는 신기후체제를 위한 합의문인 2015 합의 채택을 목표로 하고 있다. 이러한 상황에서 신기후체제의 설계 특징을 살펴보고 신기후체제 협상에서 가장 중요한 쟁점사항 중 하나인 차별화의 기술적인 적용방법에 대해 논의하였다. 연구 결과 자국이 스스로 정하는 기여(INDC)의 순환적 구조와 감축기여진전 규정을 통해 당사국 스스로 감축상향을 자동적으로 이룰 수 있는 구조로 신기후체제가 설계되어 있는 것이 특징이다. 또한, 이원화된 차별화 적용 방안은 신기후체제에서는 우리나라가 감축과 이행수단 지원 의무국으로 편입될 가능성이 높기 때문에 지양하는 것이 바람직하며 새로운 차별화 적용 방안을 지지하는 것이 필요하다고 판단된다. 차별화의 적용은 INDC와 기본개념을 같이 하는 자체적 차별화가 우리나라의 국익에 부합하며 자체적 차별화를 추진하기 위해서는 이와 관련된 기본 규칙 마련이 필요하고, 기본 규칙은 감축상향을 유도할 수 있도록 설계되어야 한다.