• 대한간호학회지
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• 제26권4호
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• pp.768-781
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• 1996

The problem of care of patients and families with Alzheimer's disease has become a conscious raising social policy issue in Korea. The government of the Republic of Korea has become cognizant of the situation and has begun searching for ways to remedy it. Thus, there is a need for a comprehensive under-standing of the situation in which patients and their families are struggling and the enormous problems of care. With a realization of the urgent need, this study was done to investigate the situation and the care needs of families with patients with Alzheimer's Disease, and to compare the effectiveness of services utilized by the families in terms of cost and effects on patient's conditions and on family live. The Subjects for the study were 29 families with hospitalized patients, 25 families utilizing hospital outpatient clinics, 14 families utilizing day care facilities, and 16 families with homebound patients. A total of 84 families were interviewed by four trained interviewers using structured and semistructured questionnaires. The data produced from these interviews included : the patient's stage of Alzheimer's disease, patient's bizarre behavior, hours spent on patient care per day, family burden and quality of life, direct and indirect costs encountered in the care of patients, and the families' evaluation of the effectiveness of the services received. The data were analyzed to determine the relationships between family charactersistics, patient's conditions and services utilization. The effectiveness of each of the service entities was assessed through families evaluation and hoped for service and comparisons were made between services in terms of the cost-effectiveness ratios. After initial comparison of cost-effectiveness ratios, further analysis was done to compare between groups for incremental effectiveness for each incremental unit of cost to determine the most cost-effective service entities. The findings of the study are as fellows : 1. The choice of living arrangement and the types of services are a function of the stage of Alzheimer's condition and the economic status of the family. 2. Comparision of the cost of care showed that most expenses were encountered in by families with hospitalization, families using outpatient services, and families using day care services in that order. The least expense was involved in the care of homebound patients. The economic burden felt by families was in the same order as expenses. 3. The average number of hours spent on daily patient care was 9.9 hours for the outpatient clinic users, 9.7 hours for homebound patients, and 5.4 hours for day care users. 4. There were significant differences in the patient's conditions (CDRL), bizarre behaviors and the families's burden by living arrangement and /or types of service. However, no significant difference was found between groups in the family's quality of life. 5. The families rated the services of day care center as most effective for the care of the patients and families, except for a few families who had experienced some improvement in the patient's conditions. The outpatient clinic users expressed psychological comforts mainly in that the patient was being taken care of. For those hospitalized patients, families expressed the comfort of being relieved of the burden of care and that the patient is being professionally cared for. Form the analysis of the costs, hours of patient care, patient's bizarre behaviors, family's quality of life and burdens, and family's evaluation of services, it is concluded that up to the mid stage of Alzheimer's condition, the utilization of day care center services is found to be the most cost-effective, and toward the end stage of the Alzheimer's disease, it is hoped that there will be a establishment of long term or short term in-patient facilities for the protection of patients and preservation of the integrity of families for less cost. Thus. it was concluded that the family centered system of care is the most effective for Korea with systematic support systems developed for the care of patients and their families according to the needs of families as the patient's condition deteriorates.

• 한국조경학회지
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• 제16권2호
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• pp.43-57
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• 1988

지리산 국립공원의 이용자 행태특성과 과거실태에 대한 이용자의 만족도를 계량적 접근방법으로 제시하고자 5개 조사대상지역 이용자들의 이용전 기대도와 이용후 만족도를 리커트척도에 의하여 조사, 분석하였다. 또한 이용후 만족도 평가결과를 인자 분석 Algorithm을 통하여 행태유형과 지역별 인자점수를 밝혔으며 관리실태에 대한 이용자의 만족도를 다변량분석하여 주요 변수를 밝혔다. 1. 학생과 사무직의 청년층이 친구들과 또는 직장 동료와 3∼10명 정도의 그룹형태로 춘·하·추 계절에 2회 이상 탐방하는 패턴이 비교적 높게 나타난 반면, 사찰지역은 봄·가을에 1일 체류를 주로하는 관광객의 이용빈도가 현저히 높게 나타났다. 2. 각 지역별 공히 암벽등반 및 산속기도가 이용자 이용전의 기대도 보다 체험 후 높은 만족도를 보였고, 여타의 체험 후 평가는 불만족으로 나타났으며 이 결과는 고도의 유의성을 보였다. 3. 조사대상지의 이용후 만족도 평가에 의한 인자 분석 결과 5개의 인자군으로 분류할 수 있었고, 전체의 설명력은 50.85%를 나타냈으며, 학생이 주를 이룬 청년층의 이용행태를 함축하는 변인이 주성분을 나타내는 인자군에서 E.V와 C.V가 각각 높게 나타났다. 인자 II는 이용자의 각 속성과 인자 I은 연령과 직업에 각각 고도의 유의성을 보였다. 4. 인자점수를 이용한 Cluster분석결과 화엄사 및 쌍계사·대성계곡지역은 인자 IV가 중산리 인자 II·V, 백무동·한신계곡지역 인자I·III 및 뱀사골 지역은 인자 I·II가 높은 치를 나타내고 있어 지역에 따라 이들 인자의 주성분을 이룬 행태에 대해서는 비교적 만족한 체험을 보였다. 5. 식생관리에 대한 이용자의 만족도에 지피류 보호 및 인위적 피해의 복구가, 경관보전에서는 사찰 및 야영장 주변의 경관보전이, 시설물 관리 실태에 대해서는 안내판, 산장·야영장 및 쓰레기장 설치와 그 관리실태가, 그리고 공원운영에 대해서는 자연보호홍보 및 행락지도 실태가 각각 긍정적으로 작용하는 주요변수로 나타났다.

• 한국문헌정보학회지
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• 제10권
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• pp.39-70
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• 1983

The concept of the public library defined by the Korean Library Association does not describe the current state of the Korean public library but describes the public libraries in the western society. Korean public library was formed after the western public library but it was modified and reconciled with the tradition of Korea. The difference between the concepts occured in the acculturation process of the Korean public library. According to the International Encyclopeadia of the Social Sciences, acculturation comprehends those phenomena which result when groups of individuals having different cultures come into continuous firsthand contact, with subsequent changes in the original cultural patterns of either of both groups. Korea opened its door to western world in 1876, and it began to contact with the western world. As the consequence, the concept of the public library of the West diffused to Lee Dynasty which were characterized by the confucianism and the extended family system. These two characteristics were against the public library concept and it could not function as it was and it had to be modified to fit to Korean society. The American public library was formed by the diffusion of English public library. The concept fitted in the colonial American society which was characterized by the Christianity and nuclear family system. Religion and family life were closely knitted together and they contributed much to the formation of the American public library. Also the society needed various information to form their new nation. The need of the public library grew and the public library repidly developed as the American society was urbanized and industrialized. The changes of Korean public library has passed the following process of acculturation. 1. The Korean culture contacted with Western world. 2. The public library concept diffused to Korea, but the people were illiterate and the need of the public library was for the preservation of the old books. The collection was not for people. 3. The function of the public library in Korea was altered slightly as several intellectuals who formed the first modern public library tried to literate Koreans as a means of liberation :from Japan through the library service. 4. The traditional libraries such as sodandg and hyangyo disorganized and finally disappeared as the traditional elements of the culture disappeared and the new cultural elements prevailed in Korea. 5. When the traditional elements of culture were disorganized, a reinterpretation of the diffused culture appeared. With the appearance of the vouth group which was not existed in the traditional society, cultural facilities for them were needed. They began to use public library as their reading rooms. This pattern has been institutionalized ever since in Korean public library. 6. When the new element of the culture spread, the traditional cultural elements react against this element. As the new public libraries sprung out, there were movements to restore the old Korean tradition of the family libraries and Hyangyo to counteract to the new libraries. This movements were not successful and they all disappeared as they could not keep up the rapid social change occurred in the Korean society. 7. In the process of the cultral change, cultural lag occurred between the public library and the users who could not adopt to the new library. This has been continued to the present time. 8. This diffused concept of the public library was modified and became native to Korean society. However, the acculturation of the public library concept has not changed the traditional ideas of Korean people and their behavior. The Korean society recently has been changing rapidly and the function of the Korean public library is improving accordingly; 1. The extended Korean family system is disorganizing. As the consequence, the public library could substitute the family system offering information and recreation service, etc. 2. The growth of educated population is requiring a variety of library materials. An individual library can not meet the needs of them and cooperative library service will be needed to share resources. The public library will become the center of the cooperative service. 3. The Koreans are watching TV more hours than they read printed materials. For them, the public library needs to collect audiovisual materials. Especially the teaching materials should be all audiovisualized for the effective teaching. 4. Technology is developing rapidly in Korea, especially computer technology is applied in many parts of the society. This will also influence library service. The public library will be developing as the centralized library computer system. When the Korean public library functions as the extended family system and the center of the cooperative library system, the Korean public library will be functioning as the public library defined by the Korean Library Association.

• 한국조경학회지
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• 제47권3호
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• pp.60-70
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• 2019

오늘날 서울에서 대중적 인지도가 높은 덕수궁 돌담길은 역사유산으로서의 장소 인식과 공원으로서의 장소 인식 등 혼재된 장소성을 지닌 곳이다. 그러나 덕수궁 돌담길과 관련한 기존 연구는 장소성에 중요한 변수인 이용자를 배제한 채 장소성을 논하였다는 아쉬움이 있었다. 이에 본 연구는 이러한 점에 착안하여 덕수궁 돌담길 장소 인식과 이에 미치는 요인을 방문객을 대상으로 분석 해석하여 장소성을 더욱 풍부하게 해석하고자 한다. 연구결과로 덕수궁 돌담길의 대표 이미지는 '걷고 싶은 거리'로 차량 통제 및 보행환경 개선이라는 제도적 요인이 작용된 것으로 해석된다. 장소성을 형성하는 변수들을 물리적 환경, 활동, 의미로 분류해 분석을 실시한 결과, 물리적 환경에 대한 인식이 높았으며, 그 중에서도 '푸른 녹음의 가로수(3.95)', '곡선의 돌담길(3.88)'이 높게 나타났다. 활동의 범주에서는 '도심 속 산책 활동(4.01)'이, 의미에서는 '사랑과 낭만(3.57)'이 높게 나타났다. 이는 가로공간이라는 장소적 특성과 기존에 친숙하게 받아들여지던 장소이미지가 반영되었기 때문인 것으로 보인다. 요인분석을 통해 5개의 요인을 추출하여 장소인식을 보다 구체적으로 이해할 수 있는 단초를 제공했으며, 각 요인들과 덕수궁 돌담길의 장소적 분위기와의 상관관계 분석을 통해 '녹지 가로경관'과 '역사성'에 대한 높은 상관성을 확인했다. 이는 녹음으로 위요된 공간, 시지각적 체험, 자유로운 보행 여건 등이 반영되어 도심 속 공원의 역할을 수행하고 있기 때문이며, 또한 덕수궁이라는 역사문화유산에 영역이 포함되기에 오랜 시간 누적된 장소적 이미지와 행태가 반영된 결과이다. 덕수궁 돌담길 장소 인식 요인 및 장소적 분위기 형성에는 녹지와 관련된 것들이 강하게 인식되고 있음을 확인하였으며, 이는 향후 역사문화가로 또는 유산과 관련된 보존 및 관리활용에 있어 녹지에 대한 가치 및 중요도를 반영할 필요성이 있음을 밝혀냈다. 본 연구는 이용자의 장소 인식 관점에서 주목해야 할 방향을 제시하였으나, 장소 인식에 미치는 요인을 도출하는데 있어 다차원적 장소성의 일부분만을 고려했기에 추후 이러한 한계점을 보완한 지속적인 연구가 필요하다.

• 한국지구과학회지
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• 제42권6호
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• pp.662-676
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• 2021

여수 사도 공룡발자국 화석지는 많은 수의 공룡발자국 화석과 함께 공룡의 집단행동에 대한 연구로 잘 알려진 지역이다. 또한 다양한 종류의 지질유산 및 지형유산이 분포하고 있어 지질관광과 지질교육의 장으로 주목받고 있다. 그러나 지리적 위치에 따른 접근성, 조차에 의한 시간적 제약, 지속적인 풍화 및 훼손에 의해 학생들의 교육을 위한 야외조사는 매우 제한적으로만 이루어지고 있다. 따라서 이번 연구는 최근 다양한 분야에서 이용되고 있는 사진측량법을 이용하여 사도의 공룡발자국 화석들의 3D 모델과 이미지를 생성한 후 이를 통해 과거에 확인하지 못한 화석에 대한 세부적인 정보를 확인함과 동시에 이를 교육자료로 활용 할 수 있는 방안에 대하여 제안하고자 한다. 획득한 3D 이미지를 통해 확인한 결과 기존에 육안이나 사진으로 확인하지 못하였던 일부 발자국 화석들의 존재를 확인할 수 있었고 기존에 발견된 화석이라도 사진이나 해석 드로잉으로 표현하지 못하였던 세부를 이미지로 나타낼 수 있었다. 또한 발자국 화석의 3D 모델은 향후 반영구적인 데이터로 보존할 수 있어 여러 형태로의 활용과 보존이 가능하다. 이번 연구에서는 사진측량법으로 얻어진 3D 모델을 활용하여 3D 프린팅 및 가상야외조사에 활용할 모바일 증강현실 콘텐츠를 구현하였으며 향후 3D 모델이 필요한 다양한 교육 콘텐츠 분야에서 사진측량법을 활용할 수 있을 것으로 보인다.