• 제목/요약/키워드: Economic

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가족발달단계에 따른 간호요구영역에 관한 연구 (Study of The Area of Nursing Need by the Family Developmental Stage)

  • 최부옥
    • 대한간호학회지
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    • 제7권2호
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    • pp.43-59
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    • 1977
  • The Community Health Service considers the family as a service unit and places the emphasis of its service on the health problems and the nursing needs of the family rather than the individual. From the conceptual point of view that tile community health service is both health maintenance and health promotion of the family, the community health nurse should have a knowledge of the growth and development of the family and be responsible for the comprehensive support of normal family development. The community health nurse often is in a position to make a real contribution to normal family development. In order to investigate the relationship between the areas of nursing need and family development, the following objectives were established 1. To discover the general characteristics of the study population by the stage of family development. 2. To discover specific nursing needs in relation to the family developmental stage, and to determine the intensity of the nursing needs and the ability of the family to cope with these needs. 3. To discover overall family health nursing problems in relation to the family developmental stage and determine the intensity of the nursing need and the problem solving ability of family. Definitions : The family developmental stages as classified by Dually were used stage 1. Married couples(without children) stage 2. Childbearing Families (oldest child birth to 30 months of age) stage 3. Families with preschool children (oldest child 2½-to 6 years) stage 4. Families with schoolchildren (oldest child 6 to 13 years). stage 5. Families with teenagers (oldest child 13 to 20 years) stage 6. Families as launching centers (first child gone to last child′s leaving home). stage 7. Middle- aged parents (empty nest to retirement) stage 8. Aging family member (retirement to death of both spouses) The areas of nursing need were defined as those used in the study, "A Comprehensive Study about Health and Nursing Need and a Social Diagram of the Community", by tile Nursing research Institute and Center for population. and Family Planning, July 1974. The study population defiled and selected were 260 nuclear families ill two myron of Kang Hwa Island. Percent, mean value and F- test were utilized in tile statistical analysis of the study result. Findings : 1. General characteristics of the study population by tile family developmental stage ; 1)The study population was distributed by the family developmental stage as follows : stage 1 : 3 families stage 2 : 13 families stage 3 : 24 families stage 4 : 41 families stage 5 : 50 families stage 6 : 106 families stage 7 : 13 families stage 8 : 10 families 2) Most families had 4 or 5 members except for those in stage, 1, 7, and 8. 3) The parents′ present age was older in the higher developmental stage and their age at marriage was also younger in the higher developmental stages. 4) The educational level of parents was primarily less than elementary school irrespective of the developmental stage. 5) More than half of parents′ occupations were listed as laborers irrespective of the developmental stage, 6) More than half of the parents were atheists irrespective of the developmental stage. 7) The higher the developmental stage(from stage 2 to stage 6 ), the wider the distribution of children′s ages. 8) More than half of the families were of middle or lower socio-economic level. 2. Problems in specific areas of nursing need by family developmental stage, the intensity of nursing need and the problem solving ability of the family : 1) As a whole, many problems, irrespective of the developmental stage, occurred in tile areas of Housing and Sanitation, Eating Patterns, Housekeeping, Preventive Measures and Dental care. Problems occurring ill particular stages included the following ; stage 1 : Prevention of Accident stage 2 : Preventive Vaccination, Family Planning. stage 3 : Preventive Vaccination, Maternal Health, Family Planning, Health of Infant and Preschooler. stage 4, 5 : Preventive Vaccination, Family Planning, Health of School Children. stage 6 : Preventive Vaccination, Health of School Children. 2) The intensity of the nursing need in the area of Acute and Chronic Diseases was generally of moderate degree or above irrespective of the developmental stages except for stage 1. Other areas of need listed as moderate or above were found in the following stages: stage 1 : Maternal Health stage 3 . Horsing and Sanitation, Prevention of Accident. stage 4 . Housing and Sanitation. stage 5 : Housing and Sanitation, Diagnostic and Medical Care. stage 6 : Diagnostic and Medical care stage 7 : Diagnostic and Medical Care, Housekeeping. stage 8 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Dental Care, Eating Patterns, Housekeeping. 3) Areas of need with moderate problem solving ability or less were as follows : stage 1 : Diagnostic and Medical Care, Maternal Health. stage 2 : Prevention of Accident, Acute and Chronic Disease, Dental Care. stage 3 : Housing and Sanitation, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of Infant and preschooler, Eating Patterns. stage 4 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of New Born, Health of Infant and Preschooler, Health of school Children, Eating Patterns, Housekeeping. stage 5 . Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Preventive Vaccination, Maternal Health, Eating Patterns. stage 7, 8 : Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measures, Dental Care, Preventive Vaccination, Eating Patterns , Housekeeping. Problem occurrence, the degree of nursing need and the degree of problem solving ability 1 nursing need areas for the family as a whole were as follows : 1) The higher the stages(except stage 1 ), the lower the rate of problem occurrence. 2) The higher the stage becomes, the lower the intensity of the nursing need becomes. 3) The higher the stages (except stages 7 and 8), the higher. the problem solving ability. Conclusions ; 1) When the nursing care plan for the family is drawn up, depending upon the stage of family development, higher priority should be give to nursing need areas ① at which problems were shown to occur ② where the nursing need is shown to be above moderate degree and ③ where the problem solving ability was shown to be of moderate degree. 2) The priority of the nursing service should be Placed ① not on those families in the high developmental stage but on those families in the low developmental stage ② and on those areas of need shown in stages 7 and 8 where the degree nursing need was high and the ability to cope low.

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간호원의 환자교육 활동에 관한 연구 (Study of Patient Teaching in The Clinical Area)

  • 강규숙
    • 대한간호학회지
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    • 제2권1호
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    • pp.3-33
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    • 1971
  • Nursing of today has as one of its objectives the solving of problems related to human needs arising from the demands of a rapidly changing society. This nursing objective, I believe, can he attained by the appropriate application of scientific principles in the giving of comprehensive nursing care. Comprehensive nursing care may be defined as nursing care which meets all of the patient's needs. the needs of patients are said to fall into five broad categories: physical needs, psychological needs, environmental needs, socio-economic needs, and teaching needs. Most people who become ill have adjustment problems related to their new situation. Because patient teaching is one of the most important functions of professional nursing, the success of this teaching may be used as a gauge for evaluating comprehensive nursing care. This represents a challenge foe the future. A questionnaire consisting of 67 items was distributed to 200 professional nurses working ill direct patient care at Yonsei University Medical Center in Seoul, Korea. 160 (80,0%) nurses of the total sample returned completed questionnaires 81 (50.6%) nurses were graduates of 3 fear diploma courser 79 (49.4%) nurses were graduates of 4 year collegiate nursing schools in Korea 141 (88,1%) nurses had under 5 years of clinical experience in a medical center, while 19 (11.9%) nurses had more than 5years of clinical experience. Three hypotheses were tested: 1. “Nurses had high levels of concept and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of a statistical method, the mean average. 2. “Nurses graduating from collegiate programs and diploma school programs of nursing show differences in concepts and knowledge toward patient teaching”-This was demonstrated by a statistical method, the mean average, although the results showed little difference between the two groups. 3. “Nurses having different amounts of clinical experience showed differences in concepts and knowledge toward patient teaching”-This was demonstrated by the use of the T-test. Conclusions of this study are as follow: Before attempting the explanation, of the results, the questionnaire will he explained. The questionnaire contained 67 questions divided into 9 sections. These sections were: concept, content, time, prior preparation, method, purpose, condition, evaluation, and recommendations for patient teaching. 1. The nurse's concept of patient teaching: Most of the nurses had high levels of concepts and knowledge toward patient teaching. Though nursing service was task-centered at the turn of the century, the emphasis today is put on patient-centered nursing. But we find some of the nurses (39.4%) still are task-centered. After, patient teaching, only a few of the nurses (14.4%) checked this as “normal teaching.”It seems therefore that patient teaching is often done unconsciously. Accordingly it would he desirable to have correct concepts and knowledge of teaching taught in schools of nursing. 2. Contents of patient teaching: Most nurses (97.5%) had good information about content of patient teaching. They teach their patients during admission about their diseases, tests, treatments, and before discharge give nurses instruction about simple nursing care, personal hygiene, special diets, rest and sleep, elimination etc. 3. Time of patient teaching: Teaching can be accomplished even if there is no time set aside specifically for it. -a large part of the nurse's teaching can be done while she is giving nursing care. If she believes she has to wait for time free from other activities, she may miss many teaching opportunities. But generally proper time for patient teaching is in the midmorning or midafternoon since one and a half or two hours required. Nurses meet their patients in all stages of health: often tile patient is in a condition in which learning is impossible-pain, mental confusion, debilitation, loss of sensory perception, fear and anxiety-any of these conditions may preclude the possibility of successful teaching. 4. Prior preparation for patient teaching: The teaching aids, nurses use are charts (53.1%), periodicals (23.8%), and books (7.0%) Some of the respondents (28.1%) reported that they had had good preparation for the teaching which they were doing, others (27.5%) reported adequate preparation, and others (43.8%) reported that their preparation for teaching was inadequate. If nurses have advance preparation for normal teaching and are aware of their objectives in teaching patients, they can do effective teaching. 5. Method of patient teaching: The methods of individual patient teaching, the nurses in this study used, were conversation (55.6%) and individual discussion (19.2%) . And the methods of group patient teaching they used were demonstration (42.3%) and lecture (26.2%) They should also he prepared to use pamphlet and simple audio-visual aids for their teaching. 6. Purposes of patient teaching: The purposes of patient teaching is to help the patient recover completely, but the majority of the respondents (40.6%) don't know this. So it is necessary for them to understand correctly the purpose of patient teaching and nursing care. 7. Condition of patient teaching: The majority of respondents (75.0%) reported there were some troubles in teaching uncooperative patients. It would seem that the nurse's leaching would be improved if, in her preparation, she was given a better understanding of the patient and communication skills. The majority of respondents in the total group, felt teaching is their responsibility and they should teach their patient's family as well as the patient. The place for teaching is most often at the patient's bedside (95.6%) but the conference room (3.1%) is also used. It is important that privacy be provided in learning situations with involve personal matters. 8. Evaluation of patient teaching: The majority of respondents (76.3%,) felt leaching is a highly systematic and organized function requiring special preparation in a college or university, they have the idea that teaching is a continuous and ever-present activity of all people throughout their lives. The suggestion mentioned the most frequently for improving preparation was a course in patient teaching included in the basic nursing program. 9. Recommendations: 1) It is recommended, that in clinical nursing, patient teaching be emphasized. 2) It is recommended, that insertive education the concepts and purposes of patient teaching he renewed for all nurses. In addition to this new knowledge, methods and materials which can be applied to patient teaching should be given also. 3) It is recommended, in group patient teaching, we try to embark on team teaching.

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비트코인 가격 변화에 관한 실증분석: 소비자, 산업, 그리고 거시변수를 중심으로 (Empirical Analysis on Bitcoin Price Change by Consumer, Industry and Macro-Economy Variables)

  • 이준식;김건우;박도형
    • 지능정보연구
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    • 제24권2호
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    • pp.195-220
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    • 2018
  • 본 연구는 비트코인 가격 변화량에 영향을 미치는 요인에 대한 실증 분석을 수행하였다. 기존 연구들은 암호화폐와 관련해 블록체인 시스템의 보안성, 암호화폐가 불러일으키는 경제적 파급효과 및 법적 시사점, 소비자 수용 및 사용 의도와 사회현상을 중심으로 이루어졌다. 그러나 암호화폐 가격 변화가 급등과 급락을 반복하면서 많은 사회적 문제를 야기했음에도 불구하고 암호화폐의 가격 변화에 영향을 미치는 요인에 대한 실증적 연구는 부족하다. 때문에 본 연구에서 암호화폐 가격 변화에 미치는 영향 요인을 도출하기 위해 암호화폐 중 가장 대표적인 비트코인을 중심으로 분석을 진행하였다. 분석을 위해 소비자, 산업, 거시경제 세 가지 차원에서 가설을 수립, 각 차원의 변수에 대한 시계열 데이터를 수집하였다. 단위근 검정을 통해 시계열 데이터에 대한 가성 회귀를 제거하고 안정성을 검증한 후, 비트코인 가격 변화량에 영향을 미칠 수 있는 요인들에 대한 회귀 분석을 실시하였다. 분석 결과 비트코인 가격 변화량은 비트코인 거래 금지에 대한 검색 트래픽, 미국 달러지수 변화량과는 음의 상관관계를, GPU 벤더의 주가 변화량, 원유 가격 변화량과는 양의 상관관계를 갖는 것을 확인했다. 그 이유로는 비트코인 거래 금지는 비트코인 존폐와 관련해 투자심리에 부정적 영향을 미친 것으로 판단되며, GPU 벤더 주가는 비트코인 생산 단가 증가와 관련해 비트코인 가격에 영향을 미친 것으로 해석된다. 미국 달러지수와는 반대로 움직임으로서 비트코인이 금의 성격을 갖고 있음을 확인하였으며, 원유 가격과의 관계를 통해 원자재와 같은 투자 자산의 역할도 갖고 있음을 확인하였다. 본 연구의 결과를 통해 비트코인이 가진 성격을 규명하였으며, 비트코인 가격 변화 요인에 대한 실증 검증을 통해, 그 동안 부족했던 비트코인 가격 변화 요인을 규명하였고, 해당 요인들을 통해 실무적으로 소비자나 금융기관, 정부 기관에 대해 비트코인에 대한 전략적인 접근방법에 대한 가이드를 제공할 수 있다는 점에서 의의가 있다.

SVM과 meta-learning algorithm을 이용한 고지혈증 유병 예측모형 개발과 활용 (Development and application of prediction model of hyperlipidemia using SVM and meta-learning algorithm)

  • 이슬기;신택수
    • 지능정보연구
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    • 제24권2호
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    • pp.111-124
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    • 2018
  • 본 연구는 만성질환 중의 하나인 고지혈증 유병을 예측하는 분류모형을 개발하고자 한다. 이를 위해 SVM과 meta-learning 알고리즘을 이용하여 성과를 비교하였다. 또한 각 알고리즘에서 성과를 향상시키기 위해 변수선정 방법을 통해 유의한 변수만을 선정하여 투입하여 분석하였고 이 결과 역시 각각 성과를 비교하였다. 본 연구목적을 달성하기 위해 한국의료패널 2012년 자료를 이용하였고, 변수 선정을 위해 세 가지 방법을 사용하였다. 먼저 단계적 회귀분석(stepwise regression)을 실시하였다. 둘째, 의사결정나무(decision tree) 알고리즘을 사용하였다. 마지막으로 유전자 알고리즘을 사용하여 변수를 선정하였다. 한편, 이렇게 선정된 변수를 기준으로 SVM, meta-learning 알고리즘 등을 이용하여 고지혈증 환자분류 예측모형을 비교하였고, TP rate, precision 등을 사용하여 분류 성과를 비교분석하였다. 이에 대한 분석결과는 다음과 같다. 첫째, 모든 변수를 투입하여 분류한 결과 SVM의 정확도는 88.4%, 인공신경망의 정확도는 86.7%로 SVM의 정확도가 좀 더 높았다. 둘째, stepwise를 통해 선정된 변수만을 투입하여 분류한 결과 전체 변수를 투입하였을 때보다 각각 정확도가 약간 높았다. 셋째, 의사결정나무에 의해 선정된 변수 3개만을 투입하였을 때 인공신경망의 정확도가 SVM보다 높았다. 유전자 알고리즘을 통해 선정된 변수를 투입하여 분류한 결과 SVM은 88.5%, 인공신경망은 87.9%의 분류 정확도를 보여 주었다. 마지막으로, 본 연구에서 제안하는 meta-learning 알고리즘인 스태킹(stacking)을 적용한 결과로서, SVM과 MLP의 예측결과를 메타 분류기인 SVM의 입력변수로 사용하여 예측한 결과, 고지혈증 분류 정확도가 meta-learning 알고리즘 중에서는 가장 높은 것으로 나타났다.

서울시 아파트단지의 녹지배치 및 식재구조 변화 연구 (Change of Green Space Arrangement and Planting Structure of Apartment Complexes in Seoul)

  • 이동욱;이경재;한봉호;장재훈;김종엽
    • 한국조경학회지
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    • 제40권4호
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    • pp.1-17
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    • 2012
  • 본 연구는 서울시 아파트단지의 시기별 녹지배치구조와 식재구조의 변화과정을 분석하여 보다 친환경적인 아파트단지 내 녹지조성 개선방안을 제시하고자 하였다. 연구대상지는 서울시에 조성된 아파트단지 중 조성시기, 용적률, 지하주차장에 의한 지반현황, 녹지율의 차이가 뚜렷한 아파트단지 12개소를 선정하였다. 연구대상지 유형화는 시기별로 녹지율과 지반현황을 기준으로 녹지율이 높은(40% 이상) 자연지반 아파트, 녹지율이 낮은(40% 미만) 자연지반 아파트, 녹지율이 낮은(40% 미만) 인공지반 아파트, 녹지율이 높은(40% 이상) 인공지반 아파트 네 가지로 구분하였다. 아파트단지 녹지배치 구조의 가장 근원적 변화요인은 녹지율과 인공지반 여부로 용적률이 상승하면서 주차장 면적비율도 높아져 상대적으로 녹지율은 낮아졌다. 녹지배치구조가 가장 많이 변한 녹지유형은 전면녹지와 완충녹지로 전면녹지는 녹지율이 높은 자연지반 아파트의 평균 녹지 폭 10.0m에서 3.5m, 2.7m, 4.5m로 시기별로 축소 변화하였다. 완충녹지는 녹지율이 높은 자연지반 아파트에서 평균 녹지 폭 15.0m로 단지외곽 경계부를 연결하였으나, 녹지율이 낮은 인공지반 아파트에서 주차장 확대로 평균 녹지 폭이 7.7m, 2.7m로 점차 축소되고 일부 구간은 단절되었으나, 2001년 이후 녹지에 대한 인식변화로 다시 평균 녹지 폭이 3.8m로 넓어지면서 연결되었다. 녹량 변화를 살펴보면, 녹지율이 높은 자연지반 아파트 녹지용적계수가 $1.27m^3/m^2$이었고, 식재밀도가 높아지면서 녹지율이 낮은 자연지반 아파트의 녹지용적계수가 $3.47m^3/m^2$로 가장 높았다. 반면에 녹지율이 높은 인공지반 아파트의 녹지용적계수는 $0.72m^3/m^2$로 매우 낮은 상태이었다. 식재밀도는 교목 아교목층의 경우 5.0주/$100m^2$에서 14.5주/$100m^2$로 증가하였다. 아파트단지 녹지를 보다 친환경적이고 기능적으로 조성하기 위한 방안으로 녹지율 40% 이상의 아파트단지 내 전면녹지는 녹지 폭 4.5m 이상으로 확대하여 정원개념의 경관 식재지로 조성하고, 후면녹지는 녹지 폭 5.0m이상으로 확대하고 복층구조로 식재하여 녹지량을 증진하는 것을 제시하였다. 측면녹지는 수고가 높은 수종을 식재하여 벽면 차폐와 녹음기능을 증진하고, 완충녹지는 자생수종을 자연림에 가까운 다층구조로 조성하는 생태적 배식기법을 적용하면서 단지내부녹지와 연결해야 할 것으로 판단되었다.

인력수급 대책을 위한 치과기공사의 보건지소 진출에 관한 연구 - 2012년 틀니보험화 정책을 중심으로 - (The study on the entry of dental technicians in the public health center for a manpower supply and demand plane (Centering around a denture insurance policy in 2012))

  • 이종도;김정숙;박광식
    • 대한치과기공학회지
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    • 제32권4호
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    • pp.417-433
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    • 2010
  • Purpose: This study evaluated the manpower planning of dental technicians. Methods: Methods : Survey was conducted regarding subject's general characteristics, characteristics of dental technician's occupational view and working conditions, and reason to enter into branches of the public health enter. The survey sample consisted of 323 dental technicians (221 male/ 102 female). Survey was conducted for one month from August 1 to September 1 in 2010. Following results were obtained. Results: 1. Regarding general characteristics of the subjects, there was a slight male predilection with 68.4%. Subjects in their 40s occupied the highest proportion of 32.2%. Majority of subjects worked in the big cities (71.5%). Favored working places were dental laboratory (57.6%) and dental hospital or dental clinic (19.5%). Although no position is available in the public sector such as public health center or health care civil servant, 9.3% preferred working in the public health center. Public sector is more favored than 2-year technical colleges or dental supply and equipment companies. In respect to education, 57% of the subjects graduated college. 67.8% were married. Subjects who specialize in the porcelain or all-ceramic were 57.9%. With regard to current position, head of the dental laboratory was most common. 2. Following occupation characteristics were found. Economic reason took the highest proportion when deciding their occupation (39.9%) followed by gaining social experience (36.5%). Majority of the subjects (76.5%) wanted to work as dental technicians until their retirement. 71.5% pursuit to become a manager of the dental laboratory. 76.1% agreed on opening a dental technician position in the public health center. Regarding an authority to lead developing the dental technician position in the public sector, majority of the subject chose ministry of health and welfare (35.6%) and Korean dental technologist association (34.7%). Employment (average, 30%) and turnover rate (average, 36.5%) of dental technology college graduates ranged from 40% to 60%. Most important factors for the employment were practical experience (41.2%) and competency (34.4%). With regard to job satisfaction, so-so as 46.7% and satisfactory was 42.7% 3. In respect to the reason for opening a position in the public health center, 'It is needed to continue denture rogram for elderly patients' obtained the highest score (4.14 point). 'Institutional devices are required to open a position for dental technicians as a public healthcare provider' received high score (4.11 point). 4. Concerning the working conditions, 'professional knowledge is required' received the highest score (4.23) followed by 'too short maternity and parental leave' (4.21). 5. Relationship between general characteristics of the subjects and favor of working in the public health center was investigated. Significant differences were found according to the current and favored working area, favored occupation, education level, marital status, and specialty. Working in the public health center was favored by following subjects: working in mid- or small-sized cities (4.16 point, p<0.05); PhD degree-holder (4.59 point, p<0.01). 6. Among general characteristics of the subjects, significant difference of working conditions was found in the following factors: gender; working areas; favored working areas; favored working positions, and education level. Majority of subjects favored working in big cities and currently work in big cities although satisfaction was comparatively low (3.75 score). 7. Future plan to work in public health center was evaluated according to occupational characteristics. Subject's intention to work in the public healthcare center was significantly affected by opening of dental technician position, leading authority, average turnover rate, and factors affecting employment. Working in the public health care center was favored by the following subjects: Dental technicians who actively supported opening of the dental technician position (4.34 point, p<0.001); subjects who thought the Korean dental technologist association is responsible for the opening of positions in the public sector (4.26 point, p<0.001); and subjects who thought that attitude and character are important for the employment (p<0.001). 8. Concerning difference of working conditions according to the occupational characteristics, significant difference was demonstrated by factors such as a reason to choose to be a dental technician, work plan, pursuing position, responsible authority, average employment rate, and job satisfaction. High standard of working conditions was required in subjects who selected to be a dental technician for the leisure time after work (s.05 point, p<0.01), who planted to work until their marriage (4.25 point, p<0.001), and who pursuit to be a manager (3.98, p<0.05). 9. In respect to influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.068 and age affected the working condition with significant difference according to the pvalue. 10. Regarding influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.335 and work plan, opening of dental technician position in the public sector, and responsible authority had significant influence over the subject's intention to work in the public health center according to the p-value. 11. With regard to the influence of general characteristics on the advancement to public health centers, the coefficient of determination (R2) was 0.091 and reason to choose to be a dental technician, work plan, and responsible authority significantly affected subject's working conditions. Conclusion: Korean society is becoming a super-aged society according to several statistics. As aged population is rapidly increasing, national health insurance plans to cover denture for senior citizen over 75 years old from 2012. Therefore, dental technicians are urgently needed in the public health centers all over the nation. Many subjects in this study planed to work until their retirement and recognized dental technician's expertise. Ministry of health and welfare and Korean dental technologist association should co-operate each other to prepare foundation and institutional devices for dental technicians to advance into the public health center. This will improve oral health of the population. This study showed urgency of medical facilities and services which meets increasing number of aged population and welfare of the population.

통일 한국의 적정 군사력에 관한 연구 - 분쟁 시나리오와 상대적 균형전략을 중심으로 - (A Study on Appropriate Military Strength of Unified Korea (Focused on relative balance strategy and conflict scenario))

  • 홍봉기
    • 안보군사학연구
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    • 통권13호
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    • pp.687-738
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    • 2016
  • To prepare for the complicated international relationship regarding Korean Peninsula after reunification, this thesis started off with the awareness that Unified Korea should build its international posture and national security at an early stage by determining its appropriate military strength for independent defense and military strategies that Unified Korea should aim. The main theme of this thesis is 'The research on appropriate military strength of the Unified Korean military'. To derive appropriate military strength of Unified Korea, this research focuses on conflict scenario and relative balance strategy based on potential threats posed by neighboring countries, and this is the part that differentiates this research from other researches. First of all, the main objective of the research is to decide appropriate military strength for Unified Korea to secure defense sufficiency. For this, this research will decide efficient military strategy that Unified Korea should aim. Than by presuming the most possible military conflict scenario, this research will judge the most appropriate military strength for Unified Korea to overcome the dispute. Second, after deciding appropriate military strength, this research will suggest how to operate presumed military strength in each armed force. The result of this thesis is as in the following. First, Unified Korea should aim 'relative balance strategy'. 'Relative balance strategy' is a military strategy which Unified Korea can independently secure defense sufficiency by maintaining relative balance when conflicts occur between neighboring countries. This strategy deters conflicts in advance by relative balance of power in certain time and place. Even if conflict occurs inevitably, this strategy secures initiative. Second, when analyzing neighboring countries interest and strategic environment after unification, the possibility of all-out war will be low in the Korean Peninsula because no other nation wants the Korean Peninsula to be subordinated to one single country. Therefore appropriate military strength of the Unified Korean military would be enough when Unified Korea can achieve relative balance in regional war or limited war. Third, Northeast Asia is a region where economic power and military strength is concentrated. Despite increasing mutual cooperation in the region, conflicts and competition to expand each countries influence is inherent. Japan is constantly enhancing their military strength as they aim for normal statehood. China is modernizing their military strength as they aspire to become global central nation. Russia is also enhancing their military strength in order to hold on to their past glory of Soviet Union as a world power. As a result, both in quality and quantity, the gap between military strength of Unified Korea and each neighboring countries is enlarged at an alarming rate. Especially in the field of air-sea power, arms race is occurring between each nation. Therefore Unified Korea should be equipped with appropriate military strength in order to achieve relative balance with each threats posed by neighboring countries. Fourth, the most possible conflicts between Unified Korea and neighboring countries could be summarized into four, which are Dokdo territorial dispute with Japan, Leodo jurisdictional dispute with China, territorial dispute concerning northern part of the Korea Peninsula with China and disputes regarding marine resources and sea routes with Russia. Based on those conflict scenarios, appropriate military strength for Unified Korea is as in the following. When conflict occurs with Japan regarding Dokdo, Japan is expected to put JMSDF Escort Flotilla 3, one out of four of its Japan Maritime Self-Defense Force Escort Fleet, which is based in Maizuru and JMSDF Maizuru District. To counterbalance this military strength, Unified Korea needs one task fleet, comprised with three task flotilla. In case of jurisdictional conflict with China concerning Leodo, China is expected to dispatch its North Sea fleet, one out of three of its naval fleet, which is in charge of the Yellow Sea. To response to this military action, Unified Korea needs one task fleet, comprised with three task flotilla. In case of territorial dispute concerning northern part of the Korean Peninsula with China, it is estimated that out of seven Military Region troops, China will dispatch two Military Region troops, including three Army Groups from Shenyang Military Region, where it faces boarder with the Korean Peninsula. To handle with this military strength, Unified Korea needs six corps size ground force strength, including three corps of ground forces, two operational reserve corps(maneuver corps), and one strategic reserve corps(maneuver corps). When conflict occurs with Russia regarding marine resources and sea routes, Russia is expected to send a warfare group of a size that includes two destroyers, which is part of the Pacific Fleet. In order to balance this strength, Unified Korea naval power requires one warfare group including two destroyers. Fifth, management direction for the Unified Korean military is as in the following. Regarding the ground force management, it would be most efficient to deploy troops in the border area with china for regional and counter-amphibious defense. For the defense except the border line with china, the most efficient form of force management would be maintaining strategic reserve corps. The naval force should achieve relative balance with neighboring countries when there is maritime dispute and build 'task fleet' which can independently handle long-range maritime mission. Of the three 'task fleet', one task fleet should be deployed at Jeju base to prepare for Dokdo territorial dispute and Leodo jurisdictional dispute. Also in case of regional conflict with china, one task fleet should be positioned at Yellow Sea and for regional conflict with Japan and Russia, one task fleet should be deployed at East Sea. Realistically, Unified Korea cannot possess an air force equal to neither Japan nor China in quantity. Therefore, although Unified Korea's air force might be inferior in quantity, they should possess the systematic level which Japan or China has. For this Unified Korea should build air base in island areas like Jeju Island or Ullenong Island to increase combat radius. Also to block off infiltration of enemy attack plane, air force needs to build and manage air bases near coastal areas. For landing operation forces, Marine Corps should be managed in the size of two divisions. For island defense force, which is in charge of Jeju Island, Ulleung Island, Dokdo Island and five northwestern boarder island defenses, it should be in the size of one brigade. Also for standing international peace keeping operation, it requires one brigade. Therefore Marine Corps should be organized into three divisions. The result of the research yields a few policy implications when building appropriate military strength for Unified Korea. First, Unified Korea requires lower number of ground troops compared to that of current ROK(Republic of Korea) force. Second, air-sea forces should be drastically reinforced. Third, appropriate military strength of the Unified Korean military should be based on current ROK military system. Forth, building appropriate military strength for Unified Korea should start from today, not after reunification. Because of this, South Korea should build a military power that can simultaneously prepare for current North Korea's provocations and future threats from neighboring countries after reunification. The core of this research is to decide appropriate military strength for Unified Korea to realize relative balance that will ensure defense sufficiency from neighboring countries threats. In other words, this research should precisely be aware of threats posed by neighboring countries and decide minimum level of military strength that could realize relative balance in conflict situation. Moreover this research will show the path for building appropriate military strength in each armed force.

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경로당 노인의 건강상태와 건강관리서비스 이용 관련요인 분석 (Health Status and Use of Health Care Services of the Elderly Utilizing Senior citizen Centers)

  • 신선해;김진순
    • 농촌의학ㆍ지역보건
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    • 제27권1호
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    • pp.99-113
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    • 2002
  • 보건소 인력이 노인의 건강을 유지, 증진시키기 위한 노인건강관리 프로그램을 개발하는데 필요한 기초자료로 활용하기 위해 경로당 이용 노인의 건강상태와 보건소에서 제공하고 있는 노인건강관리 서비스 이용실태를 파악한 조사연구로 S시의 C구에 거주하는 65세 남 녀 노인중 경로당을 이용하고 있는 남자노인 66명과 여자노인 139명 총 205명을 대상으로 하였다. 경로당 이용 노인의 일반적 특성, 신체적 건강상태, 사회적 건강상태, 노인건강관리 서비스 이용실태는 연구자가 제작한 질문지를 이용하였고, 수단적 일상생활 기능은 Lawton이 개발한 도구를 우리 나라 실정에 적합하게 수정보완하여 6개 문항으로 된 도구로 측정하였다. 정신적 건강상태는 Folstein(1975)이 개발한 것을 우리나라 실정에 맞게 수정한 Mini Mental State Examlnation-Korea(MMSE-K) 도구를 사용하였으며, 정서적 건강상태는 Radloff가 개발한 Center for Epidemiologic Studies-Depression Scale(CES-D)도구를 이용하여 측정하였다. 자료는 SPSS/WIN을 이용하여 남 녀 노인의 일반적 특성, 건강상태, 노인건강 관리서비스 이용실태에 대한 실수와 백분율을 구하고, 각 변수간의 차이에 대한 유의성 검정은 t-test, 카이자승법 및 ANOVA로, 노인겅강관리 서비스 이용관련요인은 카이자승검정 방법을 분석하였으며 연구결과는 다음과 같다. 1. 경로당 이용 노인중 남자노인 40.9%와 여자노인 17.3%만이 자신의 건강상태에 대해 건강하다고 생각하고 있는 것으로 나타났다. 흡연비율은 남자노인 46.9%, 여자노인 18.5%였으며, 음주는 남자노인의 57.6%가, 여자노인 16.5%만이 음주하는 것으로 나타났다. 남자노인 13.3%, 여자노인 14.4%가 수면이 불충분하다고 응답하였고, 운동을 규칙적으로 하는 노인은 남자가 47%, 여자 25.9%으로 나타났다. 남자노인 42.4%, 여자노인 43.9%가 지난 1년동안 건강검진을 받지 않았으며, 아침이닦기와 저녁 이닦기 등 구강보건은 94.6%, 83.4%의 노인이 생활속에서 실천하고 있었다. 2. 경로당 이용 노인의 일상생활기능(IADL)은 0-18점에서 평균 7.4점이였으며, 남자노인은 일상생활용품이나 약사러가기, 버스와 전철 혼자타기와 관련된 일상생활기능이 여자노인보다 유의하게 높았다. 정신적인 면에서 우울한 편에 속하는 남자노인은 7.6%, 여자노인은 21.6%로 나타났으며, 인지적인 측면에서는 남자노인의 48.5%, 여자노인의 28.8%가 치매의심군에 속하는 것으로 나타났다. 사회적인 측면에서는 남자노인의 57.6%, 여자노인의 62.6%에서 친밀한 사람이 없었으며, 친밀한 관계를 유지하고 있는 노인의 경우, 남자노인은 가장 친밀한 사람을 친구로 응답한 경우가 52.5%였고 여자노인은 자식이 53.8%로 나타났다. 3. 건강상태에 관련된 요인들 중 연령이 높아질수록 치매율이 유의하게 높았고(p=0.000), 치과방문회수가 유의하게 높았다(p=0.000). 4. 앞으로 더 강화해야 할 노인건강관리서비스 요구도와 관련된 요인들 중 교육 정도가 낮은 노인, 사별한 노인일수록 무료순회진료 및 진료서비스 요구도가 유의하게 높았고,운동을 안하는 노인, 수면만족도가 높은 노인, 구강보건수행 정도가 높은 노인, 사회적 친밀도가 높은 노인일수록 건강검진 서비스 요구도 및 노인건강증진운동 서비스 요구도가 유의하게 높았다. 또한 주관적 건강인식이 건강하지 않다고 응답한 노인은 건강하다고 응답한 노인에 비해, 흡연을 안하는 노인, 음주를 안하는 노인일수록 노인건강증진운동 서비스애 대한 요구도가 유의하게 높았다. 결론적으로 경로당 이용노인을 대상으로 한 건강관리서비스 제공은 노인의 주관적 건강인식, 배우자 유무, 가족동거유형, 용돈과 같은 사회 심리 경제적인 요인과 흡연, 음주 등의 신체적 건강상태를 고려할 필요가 있으며, 노인들의 건강행동을 실천하게 하는 프로그램을 시행함과 동시에 사회 심리 경제적인 문제해결이 병행되어야 할 것이다. 보건소의 노인건강관리서비스는 이러한 특징과 차이를 기초로 수행되어야 하나 향후 반복적인 연구를 통하여 노인에 대한 건강관리 서비스가 개발되어져야 할 것이다.

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기록관리학의 발전을 위한 교육과정연구 -준하태(駿河台)(스루가다이)대학(大學)의 경우를 중심(中心)으로- (A Study on the Curriculum for Record Management Science Education - with focus on the Faculty of Cultural Information Resources, Surugadai University; Evolving Program, New Connections)

  • 김용원
    • 한국기록관리학회지
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    • 제1권1호
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    • pp.69-94
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    • 2001
  • 본 논문의 목적은 일본에서의 기록관리학 교육의 현황을 개관하고, 몇 가지 중요한 이슈와 문제점을 언급하면서 이 분야의 급속한 성장의 영향을 살펴보는 것이다. 기록관리학 교육의 목적은 정보서비스의 질을 향상시키고 정보전문가의 적절한 공급을 보장하는 것이다. 기록관리학프로그램은 학생들에게 전문직업 교육을 하는 것이므로 교육과정에는 교육과 실무 훈련이 모두 포함되어야 한다. 이점은 흔히 이론과 실제의 대비로 표현된다. 학습이 이루어지는 환경의 사회적, 경제적 및 기술적 현실의 합류점이 양자에게 모두 영향을 준다. 본 논문은 일본에서의 기록관리학 교육의 역사적 배경과 현황을 검토한다. 또한 교육기관들의 다양한 형태의 교과과정과 교수진을 분석하되 일본 최초의 종합적인 대학 수준 프로그램인 스루가다이대학교의 학부프로그램에 초점을 둔다. 스루가다이대학교 문화정보학부는 정보학 분야를 통합한 새로운 학부로서 다양한 문화정보자원관리의 이론과 실제를 연구하기 위해 1994년도에 설립되었다. 그 목적은 archival science, records management, 박물관 학예직 및 사서직 분야에서 전문적 훈련을 제공함으로써 정보학 분야의 연구를 촉진하고 장려하는 것이다. 학부에는 두 개의 학과가 있고 각각에는 두 개의 코스가 있다; 문화정보학과. - 영상정보코스, - 관광정보코스 지식정보학과: 지식커뮤니케이션코스, 레코드 아카이브스코스 전체 교과과정의 구조는 역시 기본과목 교육부터 단계적으로 조직된다. 학생이 대학교에 입학하면 바로 수강하는 오리엔테이션과목들은 전문교육의 입문이 되며, 대학에서의 기본적인 학습 연구방법을 배운다. 1학년과 2학년 동안 학생들은 전문화를 위한 필수단계로서 기초과목과 기간과목들을 수강한다. 이를 위해 광범위한 주제의 과목들이 개설된다. 개설코스수는 약 150개에 이른다.3학년부터는 자신의 주전공이 해당하는 특정 코스를 시작하며 세미나와 실습을 통해 습득한 지식을 실제에 적용하게 된다. 각 학과에 속한 코스들은 2학년을 시작하는 학생들에게 개설된다. 그러나 두 학과 간에 넘을 수 없는 장벽은 없으며 졸업필요요건에 약간의 차이만 있을 뿐이다. 학생들은 자신이 속한 학과에 관계없이 3 4학년 세미나를 선택할 수 있다. 문헌정보학 학사학위를 받으려면 기초과목군(예: 문헌정보사회사, 문화인류학, 과학사, 행동과학, 커뮤니케이션 등)에서 34학점, 외국어에서 16학점(영어 10학점 포함), 정보처리에서 14학점(이론과 실습 포함), 그리고 자신의 전공코스에서 60학점을 취득해야 한다. 마지막으로 일본 기록관리학교육이 당면하고 있는 몇 가지 과제와 문제점을 아래와 같이 간단히 요약한다. - 관련 분야 및 유사 프로그램과의 결합 및 조화, - 교과과정 개선, - 교과서 부족, - 유능한 교수의 부족, - 졸업생의 취업문제 정보서비스가 점점 더 복합, 통합, 멀티미디어어화 되어감에 따라 정보전문직들은 다른 분야의 전문가들과 더욱 긴밀하게 협력할 필요가 있을 것이다. 아키비스트, 레코드메니저 및 박물관 큐레이터와 함께 일하는 것이 정보전문직으로서의 사서직의 생존에 필수적이 될 것이다. 더욱 정보화되는 사회에서 변화를 견뎌내려면 문화기관 내 모든 사람들의 강력한 연대가 요구된다. 미래의 동료들이 경쟁력을 갖게 하기 위해서는 정보전문직 간에 그리고 국경을 넘어서 파트너쉽을 구축하고 강화할 필요가 있을 것이다.

방화범죄의 실태와 그 대책 - 관심도와 동기의 다양화에 대한 대응 - (The Reserch on Actual Condition of Crime of Arson Which Occurs in Korea and Its Countermeasures)

  • 최종태
    • 시큐리티연구
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    • 제1호
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    • pp.371-408
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    • 1997
  • This article is the reserch on actual condition of crime of arson which occurs in Korea and its countermeasures. The the presented problem in this article are that (1) we have generally very low rate concern about the crime of arson contrary to realistic problems of rapid increase of crime of arson (2) as such criminal motives became so diverse as to the economic or criminal purpose unlike characteristic and mental deficiency of old days, and to countermeasure these problems effectively it presentation the necessity of systemantic research. Based on analysis of reality of arson, the tendency of this arson in Korea in the ratio of increase is said to be higher than those in violence crime or general fire rate. and further its rate is far more greater than those of the U.S.A. and Japan. Arson is considered to be a method of using fire as crime and in case of presently residence to be the abject, it is a public offense crime which aqccompany fatality in human life. This is the well It now fact to all of us. And further in order to presentation to the crime of arson, strictness of criminal law (criminal law No, 164 and 169, and fire protection law No. 110 and 111) and classification of arsonist as felony are institutionary reinforced to punish with certainty of possibility, Therefore, as tendency of arson has been increased compared to other nations, it is necessary to supplement strategical policy to bring out overall concerns of the seriousness of risk and damage of arson, which have been resulted from the lack of understanding. In characteristics analysis of crime of arson, (1) It is now reveald that, in the past such crime rate appeared far more within the boundary of town or city areas in the past, presently increased rate of arsons in rural areas are far more than in the town or small city areas, thereby showing characteristics of crime of arson extending nation wide. (2) general timetable of arson shows that night more than day time rate, and reveald that is trait behavior in secrecy.(3) arsonists are usually arrested at site or by victim or report of third person(82,9%).Investigation activities or self surrenders rate only 11.2%. The time span of arrest is normally the same day of arson and at times it takes more than one year to arrest. This reveals its necessity to prepare for long period of time for arrest, (4) age rate of arson is in their thirties mostly as compared to homicide, robbery and adultery, and considerable numbers of arsons are in old age of over fifties. It reveals age rate is increased (5) Over half of the arsonists are below the junior high school (6) the rate of convicts by thier records is based on first offenders primarily and secondly more than 4 time convicts. This apparently shows necessity of effective correctional education policy for their social assimilation together with re-investigation of human education at the primary and secondary education system in thier life. The examples of motivation for arosnits, such as personal animosity, fury, monetary swindle, luscious purpose and other aims of destroying of proof, and other social resistance, violence including ways of threatening, beside the motives of individual defects, are diverse and arsonic suicide and specifically suicidal accompany together keenly manifested. When we take this fact with the criminal theory, it really reveals arsons of crime are increasing and its casualities are serious and a point as a way of suicide is the anomie theory of Durkheim and comensurate with the theory of that of Merton, Specifically in the arson of industrial complex, it is revealed that one with revolutionary motive or revolting motive would do the arsonic act. For the policy of prevention of arsons, professional research work in organizational cooperation for preventive activities is conducted in municipal or city wise functions in the name of Parson Taskforces and beside a variety of research institutes in federal government have been operating effectively to countermeasure in many fields of research. Franch and Sweden beside the U.S. set up a overall operation of fire prevention research funtions and have obtained very successful result. Japan also put their research likewise for countermeasure. In this research as a way of preventive fire policy, first, it is necessary to accomodate the legal preventitive activities for fire prevention in judicial side and as an administrative side, (1) precise statistic management of crime of arson (2) establishment of professional research functions or a corporate (3) improvement of system for cooperative structural team for investigation of fires and menpower organization of professional members. Secondly, social mentality in individual prospect, recognition of fires by arson and youth education of such effect, educational program for development and practical promotion. Thirdly, in view of environmental side, the ways of actual performance by programming with the establishment of cooperative advancement in local social function elements with administrative office, habitants, school facilities and newspapers measures (2) establishment of personal protection where weak menpowers are displayed in special fire prevention measures. These measures are presented for prevention of crime of arson. The control of crime and prevention shall be prepared as a means of self defence by the principle of self responsibility Specifically arsonists usually aims at the comparatively weak control of fire prevention is prevalent and it is therefore necessary to prepare individual facilities with their spontaneous management of fire prevention instead of public municipal funtures of local geverment. As Clifford L. Karchmer asserted instead of concerns about who would commit arson, what portion of area would be the target of the arson. It is effective to minister spontaveously the fire prevention measure in his facility with the consideration of characteristics of arson. On the other hand, it is necessary for the concerned personnel of local goverment and groups to distribute to the local society in timely manner for new information about the fire prevention, thus contribute to effective result of fire prevention result. In consideration of these factors, it is inevitable to never let coincide with the phemonemon of arsons in similar or mimic features as recognized that these could prevail just an epedemic as a strong imitational attitude. In processing of policy to encounter these problems, it is necessary to place priority of city policy to enhancement of overall concerns toward the definitive essense of crime of arson.

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