• 사회복지연구
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• 제40권1호
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• pp.297-322
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• 2009

아동정책은 주로 보건복지부에서 요보호아동을 위한 사후적인 복지제도를 중심으로 집행된 반면 청소년정책은 국가청소년위원회에서 일반청소년을 위한 육성제도를 중심으로 실시되어 왔다. 하지만 아동청소년정책의 부처별 산발적 추진으로 인해 서비스 중복 현상이 나타나고 정책의 체계적 집행이 부족하였다. 따라서 일관성 있는 아동청소년정책의 추진을 위해 이명박 정부에서는 국가청소년위원회를 보건복지가족부로 흡수하면서 아동청소년정책의 통합작업을 진행하고 있다. 본 연구에서는 아동청소년정책에서 통합의 의미가 무엇인지, 이명박 정부의 전달체계 통합방안의 문제를 검토하고 이를 보완하기 위한 방안이 무엇인지를 제언하였다. 바람직한 통합정책을 추진하기 위해서는 부처통합에 따른 보건복지가족부내의 아동정책과 청소년정책의 단순 결합을 넘어서 국가 전체의 인적자원개발계획과 경제정책을 고려하여 통합적인 아동청소년정책이 수립되도록 전면적인 재설계가 필요하다. 또한 정책대상의 비효율적인 중복이 강조되기보다는 정책의 공공성과 적정예산의 확보를 위해 아동청소년정책예산의 획기적인 증가가 선결되어야 한다는 점이 강조되었다.

• 가족자원경영과 정책
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• 제19권2호
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• pp.1-26
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• 2015

The purpose of this study was to analyze the quality of life (QoL) of elderly women and the effect of social support on their QoL. The data were used 'urvey on the Elderly in 2011', which was held from 'Ministry of Health & Welfare' and 'Korea Institute for Health and Social Affairs'. Among the total 15,146 respondents, 3,880 of elderly women whose age was over 65, and who did not live together with their married children were included in the analysis. Multiple regression analysis and path analysis were used to analyze the research model. The findings were as follows. First, from the fact that the elderly women showed the highest mean in 'contact frequency with friends' among social support, it seemed that the elderly women contacted their friends more than their children in their old age. Among the support types from their children, elderly women received emotional support, physical support, instrumental support in order and irregular cash as a way of economic support. Second, from the regression results, the most critical factor that affected the QoL of elderly women was 'subjective physical condition level' and 'subjective standard of living' comes next. Third, the most important factor was 'subjective standard of living' from path analysis results, and 'subjective physical condition level' and 'total amount of annual income' in order. Also, social supports such as 'phone call contact frequency with children', 'emotional support from children', phone call contact frequency with relatives', 'phone call contact frequency with friends' positively affected the QoL of elderly women. Therefore, raising social supports from children, relatives, and friends positively contributes to improve the QoL of elderly women directly and indirectly. The results show that social supporters, which is a part of the structural aspects of social support, and types of social support, which lies in functional aspects, directly affect QoL of the elderly women and turn out to be factors that improve the QoL as mediating variables. It is concluded that the social supports can be the most important resources that make up declining personal and social resources in old age and maintain the QoL of elderly women.

• 한국환경보건학회지
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• 제41권2호
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• pp.61-70
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• 2015

Objectives: The purpose of this research was to examine radon exposure in terms of the relationship between the living environment and indoor radon concentrations among vulnerable households. Methods: Nationwide, 1,129 subjects were selected using personal questionnaires for adequately understanding the living environment, installation of E-PERM radon gas detectors, and investigation of the structure of the housing. Results: The mean concentration of indoor radon for all subjects was $130.2Bq/m^3$ (GM=101.7), and a total of 438 subjects (38.8%) exceeded the recommended standards ($148Bq/m^3$) for public facilities by the Ministry of the Environment. By location, the highest concentrations ($164.3Bq/m^3$, GM=124.1) were seen in North Chungcheong Province. In the case of the Seoul/Gyeonggi Province metropolitan area, they showed $125.6Bq/m^3$ (GM=105.1) and $118.9Bq/m^3$ (GM=96.5), respectively. By type of housing, indoor radon concentrations in single-family housing were higher than in row/multi-family housing (p<0.01). Although indoor radon concentrations raised in accordance with year of construction (p<0.05), the difference between indoor radon concentrations in underground residences was not observed to be statistically significant (p=0.633). Conclusion: More studies are necessary in the future regarding the difference in indoor radon concentrations that may occur due to different of types of indoor construction, building materials, and the amount of building materials.

• Journal of Preventive Medicine and Public Health
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• 제31권3호
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• pp.471-480
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• 1998

This study was undertaken in order to estimate the accuracy of disease code of the Korean National Medical Insurance Data and disease the characteristics related to the accuracy. To accomplish these objectives, 2,431 cases coded as notifiable acute communicable diseases (NACD) were randomly selected from 1994 National Medical Insurance data file and family medicine specialists reviewed the medical records to confirm the diagnostic accuracy and investigate the related factors. Major findings obtained from this study are as follows : 1. The accuracy rate of disease code of NACD in National Medical Insurance data was very low, 10.1% (95% C.I. : 8.8-11.4). 2. The reasons of inaccuracy in disease code were 1) claiming process related administrative error by physician and non-physician personnel in medical institutions (41.0%), 2) input error of claims data by key punchers of National Medical Insurer (31.3%) and 3) diagnostic error by physicians (21.7%). 3. Characteristics significantly related with lowering the accuracy of disease code were location and level of the medical institutions in multiple logistic regression analysis. Medical institutions in Seoul showed lower accuracy than those in Kyonngi, and so did general hospitals, hospitals and clinics than tertiary hospitals. Physician related characteristics significantly lowering disease code accuracy of insurance data were sex, age group and specialty. Male physicians showed significantly lower accuracy than female physicians; thirties and fortieg age group also showed significantly lower accuracy than twenties, and so did general physicians and other specialists than internal medicine/pediatric specialists. This study strongly suggests that a series of policies like 1) establishment of peer review organization of National Medical Insurance data, 2) prompt nation-wide expansion of computerized claiming network of National Medical Insurance and 3) establishment and distribution of objective diagnostic criteria to physicians are necessary to set up a national disease surveillance system utilizing National Medical Insurance claims data.

• Nutrition Research and Practice
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• 제11권3호
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• pp.214-222
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• 2017

BACKGROUND/OBJECTIVES: Glutathione S-transferase (GST) forms a multigene family of phase II detoxification enzymes which are involved in the detoxification of xenobiotics by conjugating substances with glutathione. The aim of this study is to assess the antioxidative status and the degree of DNA damage in the subclinical hypertensive patients in Korea using glutathione S-transferase polymorphisms. SUBJECTS/METHODS: We examined whether DNA damage and antioxidative status show a difference between GSTM1 or GSTT1 genotype in 227 newly diagnosed, untreated (systolic blood pressure $(BP){\geq}130mmHg$ or diastolic $BP{\geq}85mmHg$) subclinical hypertensive patients and 130 normotensive subjects (systolic BP < 120 mmHg and diastolic BP < 80 mmHg). From the blood of the subjects, the degree of the DNA damage in lymphocyte, the activities of erythrocyte superoxide dismutase, the catalase, and the glutathione peroxidase, the level of glutathione, plasma total radical-trapping antioxidant potential (TRAP), anti-oxidative vitamins, as well as plasma lipid profiles and conjugated diene (CD) were analyzed. RESULTS: Of the 227 subjects studied, 68.3% were GSTM1 null genotype and 66.5% were GSTT1 null genotype. GSTM1 null genotype had an increased risk of hypertension (OR: 2.104, CI: 1.38-3.35), but no significant association in GSTT1 null genotype (OR 0.982, CI: 0.62-1.55). No difference in erythrocyte activities of superoxide dismutase, catalase, or glutathione peroxidase, and plasma TRAP, CD, lipid profiles, and GSH levels were observed between GSTM1 or GSTT1 genotype. Plasma levels of ${\alpha}-tocopherol$ increased significantly in GSTT1 wild genotype (P < 0.05); however, plasma level of ${\beta}-carotene$ increased significantly in GSTT1 null genotype (P < 0.01). DNA damage assessed by the Comet assay was significantly higher in GSTM1 null genotype than wild genotype (P < 0.05). CONCLUSIONS: These results confirm the association between GSTM1 null genotype and risk of hypertension as they suggest that GSTM1 null genotype leads to an increased oxidative stress compared with wild genotype.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.94-101
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• 2020

본 연구는 기본형건축비 내 PHC-pile 공사비를 가산비로 제외함에 따라 분양가에 미치는 영향을 분석하였다. '20년 3월 이전 기본형건축비에는 15m PHC-pile 공사비가 포함되어 있었다. 그러나 분양가 심사에서 설계된 pile 물량을 고려하여 공사비를 조정해야 하지만, 이를 조정하지 않는 문제가 발생하였다. 이에 국토부에서는 '20년 3월 고시에서, PHC-pile 공사비를 기본형건축비에서 제외하고, 설계된 pile만을 가산비로 인정하도록 하였다. 따라서, 본 연구는 기존방식과 개선된 방식의 pile 공사비를 추정하고, 이를 비교함으로써 분양가에 미치는 영향을 분석하였다. 이를 위하여 최근 수도권에 분양된 7개 사례를 선정하여 PHC-pile 공사비를 추정하였다. 기존방식은 기본형건축비에서 pile 공사비가 차지하는 비율로 추정하였고, 개선된 방식은 설계내역서의 물량을 기반으로 예정가격산정기준을 적용하여 추정하였다. 그 결과 개선된 방식으로 pile 공사비를 산출할 경우 기본형건축비가 약 2~3% 하락하였다. 또한 PHC-pile 공사비를 제외한 분양가격과 수도권 분양가격을 비교한 결과 수도권 대비 약 1%정도 하락하는 것으로 나타났다. 본 연구를 통하여 기본형건축비 산출에 대한 이해를 높일 수 있을 것으로 기대한다. 마지막으로, 제도적인 개선을 통하여 국민 주거안정 도모에 기여할 수 있을 것으로 판단된다.

• 대한방사선기술학회지:방사선기술과학
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• 제33권2호
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• pp.149-154
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• 2010

고용량 방사성요오드 $^{131}I$ 투여환자의 퇴원 이후 환자 가족이나 간병인, 가옥에 대한 외부피폭 방사선량을 개인선량계인 OSL(Optically Stimulated Luminescence dosimeter) 선량계를 사용하여 평가하였다. 3.37~5.55 GBq(100~150 mCi)의 $^{131}I$을 투여한 환자가 2박3일 또는 3박4일의 입원 기간이 지난 후 요양을 위하여 가정으로 귀가 한 후부터 5일에서 8일 동안 간병을 담당한 사람이 피폭한 방사선량과 집안 내 주요 지점에서의 누적 공간방사선량인 주변선량을 OSL 선량계를 이용하여 측정하였다. 고용량 치료 환자의 가족이나 간병인, 집안내 주요 지점에서의 누적피폭방사선량은 1 mSv의 1/10 수준인 0.1 mSv 내외로 측정되어 원자력법에서 정하고 있는 일반인에 대한 선량한도를 초과하지 않는 것으로 평가되었다. 소수의 표본임에도 불구하고 환자 주변인에 대한 측정값의 표준편차가 0.087 mSv로 크지 않았음을 볼 때 모집단인 전체 환자가족의 피폭 방사선량도 표본집단의 결과와 큰 차이를 보이지 않을 것으로 유추할 수 있어 환자의 입원 치료기간을 현재보다 단축하는 방안을 추가로 검토하거나 연구할 필요가 있을 것으로 보인다.

• 한국간호교육학회지
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• 제8권1호
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• pp.51-60
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• 2002

The purpose of this study was to identify the relationship between self-esteem, self- efficacy and clinical practice performance, academic achievement, decision making of major field in clinical practice . The study subjects consisted with 244 students from G. junior nursing college that will adapt a new majoring program of clinical nursing practice funded by Ministry of human and resources development. Data were analyzed using descriptive statistics, and t-test, Pearson correlation, and multiple regression. The results of this study were summarized as follows: 1. The students were relatively performed well in clinical practice setting (total M :3.78). The item of student's personal relationship between patients, patient's family, and professional staff showed high score (M=3.96). However students did not feel comfortable to communicate with patients, patient's family and professional staffs in clinical setting(mean=3.56). 2. Students who had experiences of temporal absence from school showed significant difference in the variable of academic achievement and decision making of major field in clinical practice Students who entered to nursing school with self-motive revealed statistically significant difference in the variable of clinical practice performance, academic achievement, self-esteem, self-efficacy, and decision making of major field in clinical practice. 3. There was a significant correlation between self-esteem and clinical practice performance, (r=.512, p<.000). And the relation between self-esteem and decision making of major field in clinical practice was significantly correlated(r=.377, p<.000). Self-efficacy and clinical practice performance(r=.567, p<.000), and decision making of major field in clinical practice (r=.441, p<.000) showed significant correlations. Also relation between academic achievement and self-esteem reveled a significant correlation(r=.129, p<.05) but correlation between self-efficacy and academic achievement was not significant. 4. Correlation between clinical practice performance and decision making of major field in clinical practice also identified a significant relation(r=.498, p<.000). 5. Self-esteem and self-efficacy variables predicted clinical practice performance and explained 37.7% of clinical practice performance. 6. Aptitude and personal interests(m=4.07) reveled important factor affecting to select majoring area in clinical practice, and advice from parents reflected low percentage on selecting places(m=2.42). In conclusion, the variables of self-esteem and self-efficacy showed significant correlations with the variables of student's clinical practice performance, academic achievement, and decision making of major field in clinical practice. Thus it is recommended that student's affective domain of self-esteem and self-efficacy should be developed by nursing intervention before clinical nursing education.

• 한국가정과교육학회지
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• 제31권3호
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• pp.117-134
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• 2019

본 연구는 고등학교 학교부적응 학생을 대상으로 예비부모교육 프로그램을 실시하고 그 효과를 알아보는 데 있다. 연구목적을 달성하기 위하여 여성가족부에서 개발한 청소년 대상 예비부모교육 프로그램 17차시 중 9차시를 일부 수정하여 제주도 일반계 고등학교 대안교실에 참여하는 학생 10명에게 실시하였다. 예비부모교육의 참여는 관찰과 면담을 통해 학교부적응 학생들의 자아개념 및 가족가치관의 긍정적 변화와 피임, 기초 돌봄, 자녀발달단계별 부모의 역할의 변화 필요성에 대한 정보획득, 의사소통 및 감정조절에 대한 문제해결능력이 향상되었음을 알 수 있었다. 이에 여성가족부에서 개발한 예비부모교육프로그램은 부모로부터 정서적 지원과 올바른 양육환경에서 자라지 못한 경우가 많은 학교부적응 학생들에게 올바른 부모역할 수행에 도움을 주어 개인에게는 삶에 대한 만족도를 높이고 사회적으로는 학대의 대물림을 방지하여 가정의 건강성을 높이는 데 도움을 줄 것으로 보인다. 더불어 학교부적응 학생의 긍정적인 신념의 변화와 의사소통 및 감정조절 등의 문제해결능력의 향상은 학생의 학교생활의 적응력을 향상시키는 결과를 가져와 학교부적응 학생 예비부모교육 수업은 효과적인 학업중단예방 프로그램으로서 활용이 가능할 것으로 기대된다.

• 환경생물
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• 제27권1호
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• pp.100-109
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• 2009

한국산 강도래목의 연구는 1921년에 시작되어 1980년대 이후부터 최근 20년간 연구가 가장 활발하였고.과별로 종수는 Nemouridae가 가장 많고, 다음이 Chloroperlidae였다. 한편 북한산 강도래목의 연구는 1938년에 시작되었고, 외국인에 의해 1970년대에 많은 진전이 있었고, 그 이후 적은 수의 종들이 추가적으로 보고되고 있으며, 과별 종수를 보았을 때 Perlidae가 가장 많고, 다음이 Nemouridae였다. 한국산 강도래목은 총 10과 25속 43종이었고, 북한산 강도래목은 총 10과 20속 37종이었으며, 남북한 공통으로 보고된 종은 13종이었다. 그리고 강도래목 국명표기는 한국은 우리말식과 한자식이 혼용되었으며, 북한은 우리말식 종명 표기가 많았지만 대부분의 종의 명명이 안 되어 있었다. 특히 국내 생물자원으로서 강도래목은 환경부가 지정한 '국외반출 승인대상 생물자원' 822종 중에 강도래목 9종이 포함되어 있으며, 한국 고유 생물종 2,322종 중 강도래목은 11종이 지정되어 있었다. 그리고 추가적으로 2속의 국명 신칭, 즉 Megaleuctra 속은 큰꼬마강도래속, Haploperla 속은 한녹색강도래속으로 신칭을 붙였고, 4종 국명 신칭 즉, Nemoura brevicercia는 민강도래, Nemoura espera는 꽃민강도래, Amphinemura baeisms 제주아가미민강도래, Amphinemura rai는 아가미민강도래로 신칭을 붙였다.