• 대한간호학회지
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• 제30권6호
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• pp.1488-1502
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• 2000

This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services. 1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%). 2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%). As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status. Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers.

• 자원환경지질
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• 제53권1호
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• pp.23-32
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• 2020

이산화탄소 지중저장은 대규모로 포집된 이산화탄소를 지하 심부의 지질구조 내로 주입하여 대기중 방출을 제한하려는 지구온난화 대응기술이다. 본 연구에서는 국내 최초의 이산화탄소 지중주입 실증 연구 지역인 포항분지의 지하 800 m 이하에서 시추된 심부 코어 시료를 대상으로 FE-SEM, XRD, XRF, MICP 등 분석을 수행하여 덮개암층을 구성하는 이암의 광물학적 특성을 규명하고 이산화탄소 지중저장의 안정성과 신뢰성에 직접적인 영향을 미치는 수리지질학적 차폐능을 정량적으로 평가하고자 하였다. 광물학적 분석 결과 포항분지 영일층군 이암층은 주로 석영, K-장석, 사장석과 소량의 황철석, 방해석, 점토 광물로 이루어져 있는 것으로 나타났다. 수은 모세관 압입 시험 분석 결과, 시료는 대체적으로 균일한 입자 구성과 공극 분포를 가지고 있었으며, 산정된 공극률과 공기 투과도 사이에서 뚜렷한 상관관계는 나타나지 않았다. 산정된 공극진입압력과 돌파압력을 적용한 허용가능 CO₂ 기둥 높이는 이산화탄소 주입 대상층의 두께에 비해 현저하게 높은 것으로 나타났다. 이러한 결과는 포항분지 영일층군의 이암층이 이산화탄소 지중저장 주입실증 사업에서 시범 주입되는 이산화탄소의 누출을 억제하기에 충분한 차폐능을 보유하고 있음을 보여주었다. 그러나, 본 연구의 결과는 제한된 수량의 시료를 분석·평가한 것으로서 그에 상응하는 제한된 의미를 지닌다. 따라서, 실제적인 이산화탄소 지중저장 과정에서 수행되는 덮개암층의 차폐능 평가를 위해서는 지층 전체 규모에 대한 다수의 시료 채취와 그에 대한 다면적 분석과 평가가 이루어져야 할 것으로 판단된다.

• Journal of Nutrition and Health
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• 제13권1호
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• pp.15-26
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• 1980

The main purposes of the nutrition and clinical surveys were to provide baseline information on the nutritional status of pre-school children in rural health demonstration project areas of the Korea Health Development Institute (KHDI) for nutrition guidance services for the MCH target group. The survey covered a total of 222 pre-school children and 135 mothers in Okgu Gun, Cholla Pukto Province from August 10 to August 17, 1979. The survey results are summarized as follows: 1) Family Environment Seventy percent of the households had more than three children, and the mean family sire was 6. Sixty-nine percent of the mothers and 47% of the fathers of the surveyed households were educated at or below the primary school level. The majority, 70% of the mothers, were aged between 20 years and 35 years. 2) Anthropometric Measurements and Hemoglobin Value 4.5% of the children were lower than 80% weight for age of the Korean standard, and 5.4% were lower than 85% arm circumference for age of the Jelliffe's standard resectively, and those were suffering from protein-energy malnutrition. Angular stomatitis were observed on 66.2% of the subjects. Mean hemoglobin value was 11.1g/100m1, and 44.2% of the subjects were categorized as anaemia. 3) Food and Nutrient Intake of animal foods was very low, ranging from 2.9 to 17%. Consumption of eggs was less than 2% of total food intake, and intake of legumes was also very scanty, between 0.8 to 3.7%. These data present evidence of very poor protein intake, quality as well as quantity. Energy intake of children was 60.0 to 64.4% of the recommended allowance, and mean protein intake only met 47.4% of the recommendation. Low intake of vitamins except thiamin were also found. 4) Mother's Nutrition Knowledge Eighty-five percent of the mothers were entirely ignorant regarding the 'five basic food group' which is most important fact on food and nutrition guidance. Mean knowledge score from 14 basic questions about food and nutrition was as low as 5.1. There was a significant positive correlation between mother's educational level and nutrition knowledge score. 5) Family Planning Variable There were significant correlation among maternal, family planning variables, and some of the nutritional and physical measurements. The study revealed that the mother's educational level and nutrition knowledge score are more crucial factors than the family planning variables on effecting food intakes on children. Recommendation : According to the results of the surveys, there were high incident rates of nutritional anaemia and angular stomatitis among pre-school children, and most of rural women had very limited knowledge about food and nutrition. As a main part of the health education activities, the community health workers should provide nutrition education to the village mothers to improve the nutrional status of young children in rural areas. Nutrional promotion at the primary health care level should be mainly based on appropriate nutrition education.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.226-232
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• 2020

Stage-Gate 프로세스는 신제품을 아이디어에서 출시로 옮기기 위한 개념 및 운영 모델로, 다양한 신제품 개발 및 연구개발사업에 적용되고 있다. Stage-Gate는 신제품을 시장에 출시하는 것을 목표로 하는 시장 지향적 모델이므로, 대구광역시와 시흥시를 대상으로 실증사업을 진행 중인 스마트시티 혁신성장동력 프로젝트의 운영·관리에 적절히 도입 및 응용 가능하다. 또한 스마트시티는 다양한 혁신 기술 간 융·복합적 특성을 갖는데, Stage-Gate 도입 시, 이를 세분화하여 연구 기관별 성과물 중심의 성과 관리가 가능해진다. 따라서 스마트시티 혁신성장동력 프로젝트(NSSCP: National Strategic Smart City Program)는 국가연구개발사업 최초로 투자 효율성 제고와 연구 성과의 품질 향상, 성공적인 실증 및 사업화를 위하여 Stage-Gate를 적용하였다. 본 논문은 State-Gate 도입 1~2차년도 운영 결과를 검토하고 전문 기관, 연구 기관, 관문심사위원의 의견을 분석하여 향후 차년도 평가체계 운영과 타 연구과제에 적용을 위한 보완 및 개선사항을 제시하였다. Stage-Gate 방법론에 과도하게 몰입되어 경직된 운영에 따른 비효율을 경계하고 해당 사업의 실정에 최적화하여 운영한다면, 스마트시티의 융복합·다학제적 특성에 맞게 성과물 유형에 따른 유연한 평가가 가능할 것으로 기대된다.

• 농촌의학ㆍ지역보건
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• 제15권2호
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• pp.118-129
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• 1990

Socioeconomic status in this county progressed rapidly, this has brought about many changes in health care fields, namely, pattern of disease prevalence and morbidity, increase of the aged people, and also availability of health care in rural areas. According to the utilization study of medical care, it showed that the oriental medicine is used for the treatment of lasted chronic disease not the minor and common diseases which is quick in its effect. Particularly, in rural areas. prevalence of chronic disease is higher than that in urban areas. Although the health cafe need of the oriental medicine is high in rural areas, the distribution of manpower and facilities is lower than that in urban areas. Therefore the government has planned to implement the demonstration project for the oriental medicine at the designated 3 health centers in rural areas. The purpose of this study was to collect the utilization level of oriental medical care of the people in rural areas. To meet the purpose of this study, patient interview were applied. 790 patients visited to health center in project areas were selected and analyzed by experienced interviewers from 2 April to 21 April 1990. The major findings of this study were as follows ; 1) Of the 790 patients, 32.6 percent of the respondents had experience of using the oriental medicine. As for the utilization by age and sex. 54.8% of those was female and 70.7% was 40 years of age and more. 2) Reaction to the question of educational achievement showed that on schooling and primary school graduates accounted for 63.1%. 3) The most user of oriental medicine resides in country level, where the health center is located, and 80 percent of those users resides within 10Km. 4) More than 50% of the total was the chronic diseases which lingered for more than 3months. 5) 32.6 percent of the total cases used the oriental medicine. 61.2% among those was treated by oriental medical care hospital and 38.8% by oriental drug dispensaries etc. 6) The contont of oriental medical care varied ; 50.1% for prescription of herb drugs for treatment, 25.1% for health maintenance and 23.9% for acupuncture, moxibustion etc. 7) As for the motivation for using the oriental medicine. 56.6% of the respondents was for treatment of diseases and 27.9% wes for strengthening the physical weakness. 8) As for the effectiveness of the oriental medicine. 70.3% of the total cases satisfied with that treatment and 84.2% of the total cases will use the oriental medicine when is provided by health center.

• 사상체질의학회지
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• 제23권1호
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• pp.98-107
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• 2011

1. Objectives: In this research, job and stress of the staffs who is working on clinical trial of oriental medicine involved in the project of Korea Institute of Oriental Medicine (KIOM) was identified. And an efficient way to enhance the working ability of clinical trial of oriental medicine was developed by recognizing the relationship of job satisfaction, organizational commitment and job performance with their stress. 2. Methods: A survey was conducted on 18 staffs in 12 hospitals who is working in the project of The construction of constitutional information collecting system for the scientification of Sasang Constitution. The collected data was analyzed with computer software of SPSS 17.0 3. Results: The research results are as follows: 1. The staffs of clinical trial of oriental medicine responded that they want to receive the rewards for their work with a salary, and they felt that through clinical demonstration followed by SOP and front face photograph are the most difficult works in clinical trial of oriental medicine. 2. Permanent workers showed higher organizational commitment than temporary workers in the relationship of job satisfaction, organizational commitment and job performance with general characteristics(p=0.026). 3. In the relationship of job stress with general characteristics, the workers who are higher than college graduates had dissatisfaction in salary with the highest frequency(p=.004), and the workers whose monthly salary is higher than 2 millions won showed the lowest job stress(p=.021). 4. In the relationship of job satisfaction, organizational commitment and job performance with job stress, as job apprehension stress is increased, job performance is dramatically decreased(p=.027). And as improper salary stress is increased, job satisfaction and organizational commitment is dramatically decreased (p=.018, p=.050). 4. Conclusions: It was clearly evidenced that job satisfaction, organizational commitment and job performance is closely related with stress of the staffs who is working on clinical trial of oriental medicine. And it is highly recommended that the improvement of working condition and the decrease of job stress can enhance the working ability of them.

• 인터넷정보학회논문지
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• 제24권6호
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• pp.31-39
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• 2023

본 연구의 목표는 통합형 국가연구개발 사업에서 정보화사업, 공공조달 등 공공수요 기반의 상용화로 연계되는 복잡한 형태의 사업성과를 측정하고 관리하기 위한 과학적이고 효율적인 성과평가 프레임워크를 제안하는데 있다. 다수의 연구기관이 참여하여 하나의 최종성과물을 이루는 통합형 국가연구개발사업과 사업의 결과물이 수요기반의 실증 및 상용화까지 이루어지는 사업의 경우, 연구개발사업을 구성하는 세부과제의 단기적 산출물을 바탕으로 성과를 평가하는 기존의 평가체계로는 통합적 연구성과물에 대한 중장기적 효과와 실용성을 평가하기에는 한계가 있다. 더욱이 국가연구개발사업의 패러다임이 효율성을 중시하는 임무중심으로 변화함에 따라, 국가연구개발과제의 성과평가도 결과의 효과와 실용성을 중심으로 변화해야 할 필요성이 제기되고 있다. 본 연구에서는 Hourglass 모델을 활용하여 각 국가연구개발과제의 성과가 단순한 단기적 산출을 넘어, 실제 그 효과성 등 실용적 관점에서 완성도를 평가하기 위한 구조적 관점의 성과평가 프레임을 제시한다. 이는 연구개발과제의 구조에 따라 Tool-System-Service-Effect로 이어지는 하향식(Top-down) 및 상향식(Bottom-up) 접근을 연계한 통합적 프레임이라 할 수 있다. 제시된 세부 평가지표와 성과평가 프레임을 실제 국가연구개발사업에 적용함으로써 지표의 타당성과 제안된 성과평가 프레임의 효용성을 검증하였으며, 이러한 결과는 향후 효율성을 강조하는 국가연구개발사업의 성과평가 체계에 대한 학술적, 정책적, 산업적 시사점을 제시할 것으로 기대된다.

• 한국사회복지학
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• 제62권2호
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• pp.57-85
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• 2010

본 연구는 미국 위스컨신 주에서 수행된 아동양육비 이행 시범사업 서베이 자료를 이용하여, 자녀를 양육하지 않는 아버지와 자녀를 양육하는 빈곤층 어머니의 가족구조 특성이 아버지가 제공하는 비공식 양육비 수준과 관련이 있는지를 분석하였다. 분석결과, 비공식 양육비 수준은 해당 자녀 부모의 현재 결혼상태, 자녀의 출생 당시 결혼상태와 관련이 있었다. 아버지의 자녀를 낳은 배우자 수는 비공식 양육비 수준과 관계가 없었다. 여러 배우자 사이에 자녀를 가진 경우, 아버지는 첫 번째 배우자 사이에 출생한 자녀에게 더 많은 비공식 양육비를 제공하였다. 아버지 자녀의 구성과 관련하여, 해당자녀의 형제/자매의 존재, 해당자녀의 이복형제 등 또 다른 자녀의 존재도 비공식 양육비 수준과 관련을 맺었다. 또한 공식적 아동양육비와 비공식적 아동양육비는 보완적인 관계를 맺고 있음을 밝혔다.

• 한국도로학회논문집
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• 제13권2호
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• pp.41-48
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• 2011

아스팔트 혼합물을 중온에서 생산하여 다짐할 수 있는 중온 아스팔트 기술이 개발되었다. 중온 아스팔트 기술은 유해가스를 줄일 수 있어 친환경적 아스팔트 포장 기술로 인정받고 있으며 전 세계적으로 그 사용량이 점점 증가하고 있다. 최근, 국내에서도 순수 국산화 기술로 중온 아스팔트 혼합물용 첨가제를 개발하여 이에 대한 품질평가와 중온 아스팔트 혼합물에 대한 성능평가를 수행하고 있다. 2008년도부터 다수의 신설 국도 구간에 자체 개발한 중온 아스팔트 첨가제를 사용하여 생산한 중온 아스팔트 혼합물을 이용하여 시험포장을 성공적으로 완료하였다. 2010년 대전지방국도관리청 산하 신설 국도포장의 중간층에 두 종류에 중온화 첨가제(일반 중온화 첨가제(WMA), 폴리머 개질 중온화 첨가제(WMA-P))를 사용한 두 종류에 중온 아스팔트 혼합물과 한 종류에 가열 아스팔트 혼합물을 각각 생산하여 시험포장을 완료하였으며 시함포장에 사용한 혼합물을 사용하여 본 연구를 수행하였다. 현장 아스팔트 플랜트에서 생산된 두 종류의 중온 아스팔트 혼합물(WMA, WMA-P)과 일반 가열 아스팔트 혼합물(HMA)을 각각 채취하였으며 실내에서 실제 도로에서 발생하는 차량하중과 환경을 모사할 수 있는 소형 포장 가속시험기(MMLS3)를 사용하여 아스팔트 혼합물의 소성변형 저항성과 수분민감도를 비교 평가하였다. 소형 포장 가속 시험결과 현장 아스팔트 플랜트에서 생산한 중온 아스팔트 혼합물은 가열 아스팔트 혼합물보다 우수한 소성변형저항성과 수분민감도를 보여 주었다. 순수 국산화 기술로 중온 아스팔트 혼합물용 첨가제는 가열 아스팔트 혼합물 보다 낮은 온도에서 중온 아스팔트 혼합물을 생산하고 다짐하는데 효과적인 것으로 평가되었다.

• 농촌계획
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• 제20권2호
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• pp.71-80
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• 2014

This study intended for Cheongryongsan Community Garden in Gwanak-gu, one of the demonstration places for 'Community Garden' Project recently implemented by the Seoul Government. This study had two major purposes: investigating the current status of the management and usage and identifying its characteristics; investigating users' awareness to consider the construction and operation directions of sustainable community gardens. This study was conducted based on several surveys such as an investigation into the spatial configuration and the management system of parks through a field study, a use survey through a questionnaire survey for vegetable garden users and an awareness survey about the construction direction of gardens direction preferred by users through the analytical hierarchy process (AHP). As a result of a questionnaire survey for vegetable garden users, the usage status was summarized as follows: Considering the common trends in the 2012 and the 2013 user survey, women used Cheongryongsan Vegetable Garden more than men. Over fifties used it most of all users. Users were mostly neighborhood residents. They used to visit there three to five times a week and stayed for about 30 minutes to one hour. Users differently responded to the question related to the order of priority for the use of the garden in the 2012 and the 2013 survey. They had increasingly used it for individuals' production activities more than social exchanges. As a result of making an AHP analysis for general park users, vegetable garden users there were clear differences in the targets which each subject put emphasis on in relation to the construction and operation of vegetable gardens. General park users recognized a vegetable garden as a park where park functions and the functions of the vegetable garden coexisted. On the other hand, vegetable garden users viewed it as a space where they attached importance to the functions of the vegetable garden like an allotment. Last, this study contemplated subjects related to the construction and operation of vegetable gardens which had to be considered in the future. Vegetable gardens tended to be biased as personal hobby places. It was viewed that the main reason was insufficient support activities for vegetable garden education and exchange programs originally planned when vegetable gardens had been constructed. Vegetable garden users recognized vegetable gardens as places for individuals' farming activities like allotments. For the desirable operation of vegetable gardens, it would be necessary to give priority to the park management before the production activities in individuals' vegetable gardens. The important role of the government would be to build the base through the provision of education and opportunities so that a local resident organization could actively participate in the management of a vegetable garden after a vegetable garden was constructed. It would be necessary to make a use survey and an awareness survey for users conducted in this study on a regular basis because the surveys could be important basic data in the decision-making process for the sustainable operations of the vegetable garden.