• 제목/요약/키워드: Direct Problem

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2005년 전국 자살실태 분석 (An Analysis of the National Suicide Rate in Korea during 2005)

  • 김기정;곽정식
    • 대한수사과학회지
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    • 제2권1호
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    • pp.5-22
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    • 2007
  • 자살은 불균형적인 사회발달로 인해 발생된 많은 사회문제들과 사회 전반적인 생명 경시적인 흐름에서 그 원인을 엿볼 수 있다. 이로 인해 기존의 다른 사회문제들에 대한 부수적인 차원에서의 접근이 이루어져 왔던 것이 현 실정이다. 지금까지 자살의 정의와, 자살의 원인 및 자살의 예방법에 관한 이론적인 연구는 활발하게 이루어 왔으나 자살문제는 다른 사회문제와는 달리 치료, 해결이란 거의 불가능하다. 치료, 해결을 할 수 있는 경우는 자살이 실패로 끝난 경우에만 할 수 있기 때문이다. 이에 본 연구에서는 2005년 한 해 동안 발생한 전체 변사사건 중 자살사건이 차지하는 비율을 파악하고 실제적인 원인을 자살수단, 직업, 연령, 학력 등의 연관성에 따라 나타난 특성분석을 실시하여 날로 심각해져만 가는 자살문제에 대한 대안을 제시하고자 하였다. 2005년 전체변사에서 자살이 차지하는 비율은 약 52.4%를 차지하였고 남성이 69%로 31%를 차지하는 여성에 비해 높았으며, 이는 사회활동과 관련이 있는 것으로 판단되며, 자살방법에 있어서도 남성은 투신, 독극물, 목맴 등 적극적인 방법(80%)을 택하는 반면, 여성은 수면제나 손목동맥절단 등의 소극적인 방법(60%)을 선택하는 경우가 높게 나타났다. 원인에서는 비관, 병고, 부정, 정신이상 등이 75% 이상으로 대부분 우울증세를 표출 후 자살을 하는 경우가 많았다. 또한 가정생계형 비관 관련 대학교 이하 저학력의 직접 노동형 종사자 등 무직자들의 자살이 많았으며, 최근 대졸 이상의 고학력자들과 정년 이후의 사회적 위치의 급격한 변화로 인한 신병비관 등의 우울증 관련 자살도 증가하고 있는 추세로 파악되었다. 전체적으로 원인은 여러 가지이나 최종 자살하기까지는 대부분 우울 증세를 표출하는 경우가 많은 것으로 파악돼 정신과적인 자살문제의 심각성을 알 수 있었다. 이러한 본 연구 결과는 현재의 자살추이가 앞으로도 계속 지속될 것이라는 예측을 함으로써 이에 대한 사회 정책을 유도하는 한편, 환경적, 사회적, 정책적 차원의 계속적인 지원으로 개인적인 갈등차원을 떠나 하나의 유행처럼 번질 수도 있으며, 지금보다 더욱 더 큰 형태의 문제로 다가올 수 있는 현실적인 사회문제에 대처할 국가 차원의 대비책 및 관리책 마련과 연구계획 수립의 기초 자료로 활용될 것으로 사료된다.

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한국수산업의 해외진출전략에 관한 연구 (Foreign Entry Strategies for Korean Fishery Firms)

  • 김회천
    • 수산경영론집
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    • 제15권1호
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    • pp.131-153
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    • 1984
  • Fishery resources are still abundant compared with other resources and the possibility of exploitation is probably great. The Korean fishery industry has grown remarkably since 1957, and Korea is ranked as one of the major fishery countries. Its of fishery products reached the 9th in the world and the value of exports was 5th in 1982. But recently a growth rate has slowed down, due to the enlargement of territorial seas by the declaration of the 200 mile, Exclusive Economic Zone, the tendency to develop fishery resources strate-gically in international bargaining, the change in function of the international organizations, the expansion of regulated waters, the illegal arrest of our fishing boats, the rapid rise in oil prices, and the fall in fish prices, the development of fishery resources as a symbol of nationalism, the fishing boats decreptitude, the rise of crew wages, regulations on fishing methods, fish species, fishing season, size of fish, and mesh size, fishing quotas and the demand of excessive fishing royalties. Besides the the obligation of coastal countries, employing crews of their host countries is also an example of the change in the international environment which causes the aggravation of foreign profit of fishing firms. To ameliorate the situation, our Korean fishery firms must prepare efficient plans and study systematically to internationalize themselves because such existing methods as conventional fishing entry and licence fishing entry are likely to be unable to cope with international environmental change. Thus, after the systematic analysis of the problem, some new combined alternatives might be proposed. These are some of the new schemes to support this plan showing the orientation of our national policy: 1. Most of the coastal states, to cope with rapid international environmental change and to survive in the new era of ocean order, have rationalized their higher governmental structure concerning the fishery industries. And the coastal countries which are the objectives of our expecting entry, demand excessive economic and technical aid, limit the number of fishing boats’entry and the use of our foreign fishing bases, and regulate the membership of the international fishery commissions. Especially, most of the coastal or island countries are recently independent states, which are poorer in national budget, depend largely on fishing royalties and licence entry fees as their main resources of national finance. 2. Alternatives to our entry to deep sea fishing, as internationalization strategies, are by direct foreign investment method. About 30 firms have already invested approximately US $ 8 million in 9 coastal countries. Areas of investment comprise the southern part of the Atlantic Ocean, the Moroccan sea and five other sea areas. Trawling, tuna purse seining and five other fields are covered by the investment. Joint-venture is the most prominent method of this direct investment. If we consider the number of entry firms, the host countries, the number of seas available and the size of investment, this method of cooperation is perhaps insufficient so far. Our fishery firms suffer from a weakness in international competitive ability, an insufficiency of information, of short funds, incompetency in the market, the unfriendliness of host coastal countries, the incapability of partners in joint-ventures and the political instability of the host countries. To enlarge our foreign fishing grounds, we are to actively adopt the direct investment entry method and to diversity our collaboraboration with partner countries. Consequently, besides proper fishing, we might utilize forward integration strategies, including the processing fied. a. The enterprise emigration method is likely to be successful in Argentina. It includes the development of Argentinian fishing grounds which are still not exploited in spite of abundant resources. Besides, Arentina could also be developed as a base for the exploitation of the krill resources and for further entries into collaboration with other Latin American countries. b. The co-business contract fishing method works in American territorial seas where American fishermen sell their fishery products to our factory ships at sea. This method contributes greatly to obtaining more fishing quotas and in innovation bottom fishing operation. Therefore we may apply this method to other countres to diffuse our foreign fishing entry. c. The new fishing ground development method was begun in 1957 by tuna long-line experimental fishing in the Indian Ocean. It has five fields, trawling, skipjack pole fishing and shrimp trawling, and so on. Recently, Korean fisheries were successful in the development of the Antarctic Ocean krill and tuna purse seining. 3. The acceleration of the internationalization of deep sea fishing; a. Intense information exchange activities and commission participation are likely to be continues as our contributions to the international fishery organizations. We should try to enter international fishery commissions in which we are not so far participating. And we have to reform adequately to meet the changes of the function of the international commissions. With our partner countries, we ought to conclude bilateral fishery agreements, thus enlarging our collaboration. b. Our government should offer economic and technical aids to host countries to facilitate our firms’fishery entry and activities. c. To accelerate technical innovation, our fishery firms must invest greater amount in technical innovation, at the same time be more discriminatory in importing exogeneous fishery technologies. As for fishing methods; expanded use of multi-purpose fishing boats and introduction of automation should be encuraged to prevent seasonal fluctuations in fishery outputs. d. The government should increases financial and tax aid to Korean firms in order to elevate already weak financial structure of Korean fishery firms. e. Finally, the government ought to revise foreign exchange regulations being applied to deep sea fishery firms. Furthermore, dutes levied on foreign purchaed equipments and supplies used by our deep sea fishing boats thould be reduced or exempted. when the fish caught by Korean partner of joint-venture firms is sold at the home port, pusan, import duty should be exempted.

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변형술식에 의한 완전방실중격결손의 교정 (Repair of Complete Atrioventricular Septal Defect with Surgical Modification)

  • 김웅한;김수철;이택연;한미영;정철현;박영관;김종환
    • Journal of Chest Surgery
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    • 제32권7호
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    • pp.628-636
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    • 1999
  • 배경: 최근에 완전방실중격결손의 해부학적 구조에 대한 이해가 증가됨에 따라서 본원에서는 수술방법에 있 어서 여러 가지 변형을 시도하게 되었다. 대상 및 방법: 1997년 5월부터 1998년 7월까지 8명의 완전방실중 격결손 환자를 수술하였다. 남녀 각각 3명, 5명이었으며 나이는 2개월에서 28개월까지 분포하였고 평균 몸무 게는 6.0$\pm$2.2 Kg이었다. 심장의 해부학적 구조에 따라서 3명의 환아에서는 심실중격결손을 일차적으로 봉합 하여 수술을 단순화하였다(Group I). 좌심실유출로 협착의 가능성이 있는 2명의 경우에는 통상적인 방법대로 2개의 포편을 이용하였다(Group II). 그리고 불균형 완전방실중격결손의 경우에는 심실중격결손을 막는 포편 을 우심실에 치우쳐서 막고 심방중격을 새로 만들거나 좌측 방실판막의 부족한 판막부위를 자가 심낭막으로 메꾸어 주거나 좌측 방실판막이 parachute valve 인 경우에는 2개의 판막입구를 만들어 주었다(Group III). 결과: 모든 환자가 수술후 만족스러운 혈류역학을 보였으며 7명에서는 평균 3$\pm$1 일만에 인공호흡기 이탈이 가능하였으며 1명의 환자는 심장의 문제없이 폐질환으로 24일만에 인공호흡기를 이탈하였다. 수술후 합병증 으로 III군에서 판막성형을 시행한 좌측 판막이 찢어지면서 판막역류가 점진적으로 심해진 1명에서 2주만에 재수술을 하였다. 조기 및 만기사망은 없었으며 수술후 심장초음파검사에서 약간의 좌측 방실판막협착이 III 군에서 1명 있었으며(평균압력차 6.5 mmHg), 좌측 방실판막역류가 7명(87.5 %)의 환아에서 Grade I 이하였으 며, 우측 방실판막역류는 모든 환아에서 Grade I 이하였다. 결론: 완전방실중격결손의 수술시 해부학적인 구 조에 따라서 선택적으로 일부 환아에서는 심실중격결손을 일차적으로 봉합함으로써 수술을 단순화할 수 있 으며 우심실이 발달된 불균형 완전방실중격결손에서도 변형수술방법을 통하여 양심실성 교정을 하여 좋은 결과를 얻을 수 있었다.

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신용문제에 따른 재창업기업 성과 결정 요인에 대한 실증연구 (An Empirical Study on the Determinants of Re-startup Firm's Performance by the Condition of Credit Problems)

  • 김인수;이택구
    • 벤처창업연구
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    • 제13권2호
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    • pp.15-26
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    • 2018
  • 본 연구는 실패 이후, 재창업을 하는 기업인들을 대상으로 실패 경험, 재창업 동기, 정부지원사업경험과 재창업교육 등이 재창업기업성과에 미치는 영향과 함께, 상기 4가지 요인들이 채무/신용문제에 따라 재창업기업성과에 미치는 영향이 어떻게 변하는지 분석하였다. 분석결과 실패경험은 재창업기업성과에 유의미한 영향이 없게 나타난 반면, 재창업동기와 정부지원사업경험 그리고 재창업교육은 재창업기업성과에 유의미한 영향을 미치고 있었다. 한편, 신용문제를 고려한 분석에서는 상기 4가지 요인들 모두 신용문제의 유무에 따라 재창업기업 성과에 서로 다른 영향을 보이고 있다. 신용문제가 없는 재창업 그룹에서 재창업동기와 실패경험이 재창업기업성과에 유의미한 영향을 미치고 있는 반면, 신용문제가 있는 재창업 그룹에서는 정부지원사업경험과 재창업교육 참여가 재창업기업성과에 유의미한 영향을 미치고 있었다. 본 연구결과 첫째, 신용문제 유무에 따라 재창업기업성과에 영향을 미치는 요인들이 다르다는 것을 보여주고 있다. 이는 실패 및 재창업 관한 연구 뿐 아니라, 재창업 정책 개발을 함에 있어 신용문제에 따른 차별적 접근이 필요하다는 점을 말하고 있으며, 둘째, 실패경험이 재창업기업성과에 영향이 없게 나온 것은 폐업 후 재창업까지 소요되는 기간 (평균 56개월, 단, 경우에 따라 2년~ 7년 이상이 소요)이 실패경험이 자산화되는데 영향이 미칠 수 있기 때문이라는 것을 추정 할 수 있었다. 이는 기존 연구에서 다루지 않았던 부분으로 향후, 실패경험과 재창업에 대한 직/간접 영향을 연구하고, 정책을 수립할 때, 진부화라는 개념에서 실패 이후 재창업까지 소요되는 기간을 고려해야 할 필요성을 제시하고 있다.

농촌지역(農村地域) 노인(老人)의 방문보건의료(訪問保健醫療) 요구도(要求度) (The Want for Home-Visit Health Care in Rural Olders)

  • 곽화순;감신;김종연;안순기;진대구;이경은;차병준
    • 농촌의학ㆍ지역보건
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    • 제27권1호
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    • pp.143-153
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    • 2002
  • 경상북도 일개면 지역에 거주하는 65세 이상 재가노인 355명을 대상으로 방문보건의료 요구도를 알아봄으로써 향후 보건기관의 효율적이고 효과적인 방문보건의료서비스 제공방안의 기초자료를 제시하고자 하였다. 주관적 건강상태는 64.5%가 허약하다고 하였고, 저ADL과 저IADL이 각각 14.1%, 14.9%였다. 의료인의 도움을 받아야할 건강문제가 있다고 응답한 노인이 73.5%이었는데, 성, 연령, 결혼상태, 의료보장상태, 직업유무, 경제적 상태, 치료여건, 주관적 건강상태, 일상생활수행정도, 수단적 일상생활수행정도에 따라 차이가 있었다(p<0.05). 의료인의 도움을 받아야 할 건강문제가 있다고 느끼는 노인의 주관적인 방문보건의료 요구도는 19.5%였다. 방문보건의료 요구도는 75세 이상인 경우(p<0.05), 직업이 없는 경우(p<0.01) 유의하게 높았고, 가족이 화목하지 않을수록, 주관적 건강상태가 허약한 경우, 저 IADL인 경우 유의하게 높았다(p<0.01). 방문보건의료를 받기를 원하는 경우 이유는 돌봐줄 사람이 없어서가 64.7%로 가장 높았고, 거리가 너무 멀어서(지역적 문제)가 23.5%로 그 다음이었다. 제일원하는 방문보건의료서비스는 투약이 82.3%로 가장 높았다. 방문보건의료를 원하지 않는 경우 이유는 거동이 가능하므로 60.0%, 의사와 직접 만나기를 원하므로 25.7%의 순이었다. 방문보건의료 요구여부를 종속변수로 한 다중 로지스틱 회귀분석 결과, 가족이 화목하지 않을수록, 주관적 건강상태가 허약할수록 방문요구도가 높았다(p<0.05).

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입원환자의 투약체계와 방법의 개선을 위한 현장연구 (Field Study For The Improvement of Medication System and Method for Inpatients at General Hospital)

  • 유형숙;권영미;송미숙;김형애;박경숙
    • 간호행정학회지
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    • 제1권1호
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    • pp.147-211
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    • 1995
  • Medication is a kind of medical service and a therapeutic nursing function which takes large portion of nursing service and requires complicated procedures. So many different medical personnel should be involved and cooporate each other in order to accomplish medication. Medication is also a vital nursing service, So nurse feels heavy responsibi lity in that she gives medication to the patient finally, so she has much responsibility if medication error is happened. Therefore it seems very important to clarify the problem of medication system and method, and find the subculture of medication situation because it may promote nursing productivity. The study was conducted to 1. Describe and interpret medication situation. 2. Find out the problem of medication system and method and on alternatives. 3. Compare the medication system and method of hospitals which are located in Seoul with object hospital Ethnographic methodology was used to study medication situation by doing participant observation and interview of health care personnel. Ten nurses and three nurse aids were interviewed. Two residents and internists, two phamacists and two accountants were also interviewed. Data was obtained and analized according to Developmental Research Sequence introduced by Spradly. On the basis of this data the results were as follows. 1. The overall flow of medication system was devided into six stage : first, checking doctor's order : second writing doctor's order, : third, transfering slip into the related departments such as account department, pharmacy : fourth, distribution of medication from pharmacy to unit : fifth, identifing medication by nurses : and finally, medicating to the patient. Behaviorors have been under a lot of stress in that they have to do much works, especially paperworks, So too much time were needed. They also have been suffered interpersonal conflicts among health care personnel and role conflicts in the process of doing medication service. 2. In the process of checking order, the problem was that too much time was required for checking order and paperwork. The more the order changes the more the paperwork is. Nurses have been suffering difficulties in calling internist in order to get bill. Even if writing down slip for medication order is doctor's job, Sometimes nurse has been expected to write slip by doctors or nurse would write slip beacuse of two much complexities and efforts for calling doctors. If the slip were incorrect, much time complicated procedures were more required for correcting it. So delay of administering drug would be resulted consequently. Drugs were delivered from pharmacy to units by delivery agent and phamacist. But because drugs were delivered without arranging room number of patient. Nurse should rearrange drugs in order of the room number So it had made waste time and effort, and Even when emergency drugs were needed, Prompt delivery of drug was not easy because of many reasons. For nurses, it took too long in the identification of the right drug. Actually nurses have heavy burden when medication error happens because nurse is the final actor who gives medication to the patient, So every three shift nurse ought to check drugs as soon as every shift begins. That's why it took too much time due to repeated confirming procedure. When nurses had to go patient room in order to give medications, there were difficulties in watching patient until the patient take medicine correctly. So it was impossible to check every patient wheather he took medicine or not especially in hectic situation. 3. There were many hospitals in Seoul which have similar medication system and method as object hospital according to the results of questionaire. This means that many hospitals have been suffering srimilar problems which were identified in object hospital. 4. Recommendations for promoting simplification of medication system and method were the following : Redesigning of slip from two pieces of paper into one : early discharge announcement system, and slip confirming through computer and controlling of period of prescreption from one day to two or three days : designing personal drug storage box for each patient and using it. If nurses follow the recommendations, they will make medication short & simple, and also have enough time of direct nursing care 5. Even though there were many difficulties in medicating patients. Medication itself has been considered as a caring among nurses because it makes rapport between nurse and patient. So nurses had better accept medication as a portion of nusing service not a original portion of phamacist. There are some limits in this research in terms of confining to only one unit of one hospital, and treating it especially in view of nurses' aspects, So further researchs should be continnued from various kmds of viewpoints of doctors, phamacists and so on. ${\cdot\cdot\cdot}$. Especially esthnographic study of computerized medication system and method seems to be followed.

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수학영재의 특성에 관한 사례연구 (A Case Study on Characteristics of the Mathematics Gifted Children)

  • 김민정;류성림
    • 한국수학교육학회지시리즈C:초등수학교육
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    • 제10권1호
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    • pp.41-56
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    • 2007
  • 본 연구는 수학 영재에게서 나타나는 특성을 알아보기 위한 목적으로 초등학교 6학년에 재학 중이며 영재교육원에 다니고 있는 2명의 수학 영재를 약 4개월에 걸쳐 관찰 및 면접한 결과를 분석한 사례연구이다. 본 연구에서는 수학 영재의 특성을 입학하기 전, 일반 수업 시간, 방과 후로 나누어 그들이 보여준 주된 특성을 기술하고 있다. 본 논문을 통해 수학 영재가 그들의 자질을 잘 발휘하도록 하기 위해서 영재교육원, 일반 학급, 가정에서 어떻게 지도해야 할지에 대한 시사점을 주게 된다.

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액티브 시니어의 경력지향성과 창업교육 만족이 창업의지와 창업준비행동에 미치는 영향 (The Effect of Active Senior's Career Orientation and Educational Entrepreneurship Satisfaction on Entrepreneurship Intention and Entrepreneurship Preparation Behavior)

  • 박종범;양영석;김명숙
    • 벤처창업연구
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    • 제15권1호
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    • pp.285-301
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    • 2020
  • 국내의 고령화 문제를 인구학적 관점에서 바라보면 전체 인구수의 문제가 아니라 인구구조가 문제이다. 국내에서 규모가 가장 큰 인구집단은 베이비부머, 포스트 베이비부머 세대이다. 베이비부머 세대는 1955~1963년생으로 현재 인구는 700만 1,333명이며, 전체인구의 약 13.6%(2015년 기준)를 차지한다. 포스트 베이비부머 세대는 1964~1974년생으로 총인구는 956만 7,171명으로 총인구의 18.8%에 해당한다. 베이비부머 세대와 포스트 베이비부머 세대(총 인구대비 32.4%)가 은퇴를 시작하였고, 조만간 은퇴할 예정이다. 의학기술의 발달로 평균 수명이 지속해서 증가하고 있으며, 신생아의 출산율 저하, 생산인구의 감소는 국내의 경제를 어둡게 하고 있다. 이런 사회적 문제 인식과 문제 해결안으로 본 연구는 액티브 시니어들의 다양한 경력기반에 기초한 경력지향성과 창업 교육 만족도가 창업 의지, 창업 준비 행동에 미치는 영향 관계를 살펴보고, 또한 이들 간의 관계를 규명함으로써 액티브 시니어의 다양성에 대한 맞춤형 창업 교육중요성을 제안하고 시니어 창업정책 설계 및 자금지원, 창업 교육의 바람직한 방향을 제시하고자 한다. 이를 위해 이론적 배경을 바탕으로 액티브 시니어, 경력 지향성, 창업 교육 만족도, 창업 의지, 창업 준비 행동의 5개 요소의 개념을 정의하고, 특히 핵심이 되는 액티브 시니어의 개념적 정의를 베이비부머 세대인 50대, 60대로 비즈니스의 핵심소비 주체나 복지혜택의 수급대상자로 보는 것이 일반적이지만, 본 연구에서는 국내의 창업 시장에서의 40대, 50대, 60대 순으로 연령별 창업기업 수가 높은 것을 반영하여 액티브 시니어 창업가를 예비시니어(Pre Senior)를 포함한 경력, 경제력, 소비력을 갖추고 활발한 활동과 건강한 삶을 지향하는 40대에서 60대까지 세대를 액티브 시니어로 정의하였다. 가설검증 결과로 가설 1과 가설 5에서 경력 지향성은 창업 의지와 창업 준비 행동 영향을 미치는 것으로 검증되었다. 가설 3에서 창업 의지는 창업 준비 행동 간에 영향을 미치는 것으로 검증되었다. 가설 4에서 창업 교육 만족도는 창업 준비 행동에 영향을 미치는 것으로 검증되었다. 그러나 가설 2에서 창업 교육 만족도는 창업 의지에 영향을 미치지 않는 것으로 나타났다. 이와 같은 결과는 창업교육 만족도가 창업 의지에 직접적인 효과는 미치지 못하고 개인적인 경력 지향성의 영향을 통해 창업 의지를 높이는 것으로 나타났다. 본 연구 결과를 활용하여 액티브시니어 창업정책 수립 방향 수립에 의미를 제공한다.

질적 간호에 대한 환자와 가족의 지각 (Perceptions of Quality Nursing care of Patients and Families)

  • 지성애;권성복;박은희
    • 간호행정학회지
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    • 제4권1호
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    • pp.247-275
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    • 1998
  • The purpose of this study was to offer the results of content analysis and qualitative study that explored the perceptions about quality nursing care of patients and families as consumers and to identify the implications of this study for quality nursing care management and research. The data was collected from 12 adult patients and 9 families who were admmitted at medical and surgical nursing unit of one university hospital in Seoul from October, 1996 to January, 1997. Research participants were asked to response "what do you think quality nursing care?" and similar questions during the interviews was performed. Data were analyzed using open coding and content analysis with frequencies and percents of attributes of quality nursing care. Attributes of quality nursing care and meaning of quality nursing care that patients and families perceived were explored. 1. The attributes of quality nursing care that patient and families perceived were categorized into 56 attributes. The highest response rate among the attributes was 'one's heart at ease' (76.2%), and the next high response rates were ranked in order 'consideration' , 'care about' (each 61.9% 'expert skill' (57.1%), 'deal with problem promptly' , 'information offer' (42.9%), 'intimate feeling' (38.1%), 'smile' 'service spirit' , 'do one's best' (each 33.3%), 'frequent visit' (23.8%), 'observe the time' (23.8%), 'direct nursing care' , 'speaking warmly' , give a hope' , 'address kindly' , 'a sense of duty' , 'good facilities' (each 19.0%), 'inquire after a patient health' , 'patient-centered nursing care' , 'showing an example' , 'professional knowledge' , 'careless moraly patient' , 'give encourage to patients' , 'good answer a question' (each 14.3%), 'do not imprudently' , 'do not disregard' , 'broad knowledge' , 'emergency treatment skill' , 'dependability' ,'consolation' giving a sense of security' , 'a self sacrificing spirit' , 'a sense of responsibility' 'hard - working', 'enough disposition of nursing staff (each 9.5%), 'improve patient's pride' and the rest attributes exhibited 4.7%, respectively. 2. The attributes that were identified in patients' data only were 8 categories, 'service sprit' (58.3 %) 'expert knowledge' , 'good answer a question' (each 25.0%), 'hard working' (16.7%), 'a warm character', 'professional attainments', 'do without reserve', 'satisfaction' (each 8.3%), 3. The attributes were identified to families' data only were 31 categories, 'speaking warmly' , 'direct nursing care', 'adress kindly', 'patientcentered nursing care', 'showing an example' (each 33.3%). 'do not imprudently' , 'do not disregard' , 'consolation', 'giving a sense of security', 'broad knowledge' , 'emergency treatment skill', 'dependability' ,'a self - sacrificing spirit', 'a sense of responsibility' (each 22.2%), 'improve patient's pride' , 'without discrimination' , 'show kindness' , 'individual nursing care', 'being with patient' , 'helping' , 'accuracy' , 'without any mistake' , 'love' , 'self - confidence', 'self possession', 'a self - denying spirit' , 'a sense of duty' , 'tighten discipline' , 'disposed room with similar patient to diagnosis', 'compensatory relationship between me dical team' , 'role of connection' (each 11.1 %). 4. The attributes of quality nursing care were integrated into 11 categories that they were 'patientcentered nursing care' (25.1%), 'expertise' (22.1%), 'caring'(18.1%), 'kindness'(11.1%L 'nurse attainments(10.1%), 'sincerity' (7.5%), 'good environment' (2.0%), 'effective organizational management', 'coordination', 'enough nursing staff' ( each 1.0%), 'satisfaction' (0.5%) were showed in the order of the highest rate. 5. The concept of quality nursing care were defined as 'give a satisfaction to patients by patientcentered care based on professional skill and caring with kindness and sincerity'. The description of the meaning of quality nursing care provided by this research participants, patients and families can provide important information for quality nursing care management, medical marketing, education and researches of this field. On the basis of the above findings the following recommendations are made: to suggest to utilize this results for patient care in practice setting, development of quality assessment tool in nursing care, repeat study by the same subjects and method, and to a comparative study by the same method to nurse.

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풍(風)의 본질(本質)과 의학(醫學)에서의 운용(運用)에 관(關)한 고찰(考察) (Study on true nature of the Fung(風) and that of application to the medicine)

  • 백상룡;박찬국
    • 대한한의학원전학회지
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    • 제7권
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    • pp.198-231
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    • 1994
  • Up to now, after I had examined the relation between the origin of Fung(風) and Gi(氣) and the mean of Fung in medical science, I obtained the conclusion being as follows. The first, Fung(風) means a flux of Gi(氣) and Gi shows the process by virtue of the form of Fung, namely, Fung means motion of Gi. In other words, it is flow of power. Accordingly, the process of all power can give a name Fung. The second, Samul(事物) ceaselessly interchange with the external world to sustain the existence and life of themselves. And they make a adequate confrontation against the pressure of the outside. This the motive power of life action(生命活動) is Gi and shows its the process on the strength of Fung. The third, Samul(事物) incessantly releases power which it has to the outside. Power released to the outside forms the territory of the established power in the environment of them and keep up their substance(實體) in the space time(時空). It can be name Fung because the field(場) of this power incessantly flows. The fourth, man operates life on the ground of the creation of his own vigor(生氣) for himself as the life body(生命體) of the independence and self-support. The occurence of this vigor and the adjustment process(調節作用) is supervised by Gan(肝). That is to say, Gan plays a role to regulate and manage the process of Fung or the action of vigor with Fung-Zang(風臟). The fifth, because the Gi-Gi adjustment process(氣機調節作用) of Gan is the same as the process of Fung, Fung that operates the cause of a disease is attributed to the disharmony of the process of the human body Gi-Gi. Therefore, the generating pathological change is attributed to the extraordinary of the function by the incongruity of Gi-Gi(氣機) or the disorder of the direct motion of Gi-Hyul(氣血). Because the incongruity of this Gi-Gi of the human body gives rise to the abnormal of Zung-Gi(正氣) in the human body properly cannot cope with the invasion of 'Oi-Sa(外邪). Furthermore, Fung serves as the mediation body of the invasion of other Sa-Gi(邪氣) because of its dynamics, By virtue of this reason, Fung is named the head of all disease. And because the incongruity of the Gi-Gi has each other form according to Zang-Bu(臟腑), Kyung-Lak(經絡), and a region, the symptoms of a disease appear differently in line with them as well. The sixth, Fung-byung(風病) is approximately separated Zung-Fung(中風) and Fung-byung(猍義의 風病). Zung-fung and Fung-byung is to be attributed to the major invasion of each Jung-gi and Fung-sa(正氣와 風邪). But these two kinds stir up the problem to the direct motion of Gi-hyul(氣血) and the harmony of Gi-Gi in the human body. When one cures it, therefore, Zung-fung has to rectify Gi-Gi and the circulation of Gi-hyul on the basis of the supplement of Jung-gi(正氣) and Fung-byung must make the harmony of Gi-Gi with the Gu-fung(驅風). -Go-gi(調氣), Sun-Gi(順氣). Hang-Gi(行氣) - All existing living things as well as man maintain life on the ground of the pertinent harmony between the soul(精神) and the body(肉體). As soon as the harmony falls down, simultaneously life disappears as well. And Fung which means the outside process between Gi(氣) and Gi(氣) makes the action of their life cooperative and unified, Accordingy, the understanding of Fung, first, has to start wi th the whole thought that not only all Samul(事物) but also the soul and the body are one.

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