• 농업과학연구
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• 제47권3호
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• pp.533-544
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• 2020

In this paper, we conducted a dynamic ex-post assessment on the grape business cessation support System. Based on the analysis results, in the short term, there was an increase in grape price due to a decrease in production and accompanying increases in the prices of consumption substitution items. However, in the long run, grape prices fell again due to an increase in grape production because of the entry of new grape farmers and the growth of adult grape trees. In addition, the analysis showed that the balloon effect caused by the conversion of crops caused indirect damage such as an increase in the production volume of substitution crops and a decrease in prices. When analyzing the social welfare measurement, the results showed that the support system for business cessation increased the overall social welfare due to an increase in producer welfare because of a price increase in the short term, but in the long term, both producer and consumer welfare decreased. In the end, it is necessary to review the system because the government's intervention may cause market distortion and inefficient resource allocation. Above all, it is necessary to minimize the indirect effect of the industry's contraction and balloon effect due to excessive business cessation. For this, conditional support should be provided in parallel with post management rather than unconditional support. In addition, it is necessary to provide a strategic support system that considers substitution items in addition to those items to be supported.

• 대한예방한의학회지
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• 제12권2호
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• pp.73-83
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• 2008

The rapid change of the health and medical environment and the globalization of medicine has driven doctors to converge and analyse of new and up-to-date medical information and decide to what to make decision for diagnosis and treatments in clinical practice. Medical environment goes with the changes with social environment such as rapid increase of aging population, changes of disease pattern, formation of new area of experts except doctors, government intervention for the medical system, medical insurance of the charges of medical treatment, a increased desire for human rights. These trends should be adopted rapidly to the education system for the students of medical school. The learning objectives of the preventive medicine was developed in 1995 and underwent necessary revision of the contents to create the first revision in 2006. However, the required educational contents of health promotion and disease prevention have been changed by the new trends of medical education such as PBL and integrated curriculum and the 2006 revision does not satisfy these needs. We formed a task force which surveyed all the Western and Traditional Korean medical colleges to describe the state of preventive medicine education in Korea, analyzed the changing education demand according to the change of health environment and quantitatively measured the validity and usefulness of each learning objective in the previous curriculum. With these results, for the good education for preventive medicine, each Traditional Korean medicine schools need more preventive medicine faculties and teaching assistants and opening of some required subjects such as Yangsaeng and Qigong. And future studies of the learning process and ongoing development of teaching materials according to the new learning objectives should be undertaken with persistence in order to ensure the progress of preventive medicine education.

• The Korean Journal of Pain
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• 제33권1호
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• pp.40-47
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• 2020

Background: Duloxetine is an antidepressant that is also useful in chronic neuropathic and central origin pain. In this study, the role of duloxetine in decreasing acute postoperative pain after lumbar canal stenosis surgery is explored. Methods: In this single center, triple blinded, and placebo-controlled trial, 96 patients were randomized for statistical analysis. The intervention group received oral duloxetine 30 mg once a day (OD) for 2 days before surgery, 60 mg OD from the day of surgery to the postoperative second day and 30 mg OD for the next 2 days (a total duration of 7 days). A placebo capsule was given in the other group for a similar time and schedule. The same standard perioperative analgesia protocols were followed in both groups. Results: Total morphine consumption up to 24 hours was significantly decreased in the duloxetine group (P < 0.01). The time to the first analgesia requirement was similar in both groups but the time to the second and third dose of rescue analgesia increased significantly in the duloxetine group. The time to ambulation was decreased significantly (P < 0.01) in the duloxetine group as compared to the placebo group. Pain scores remained similar during most of the time interval. No significant difference was observed in the complication rate and patient satisfaction score recorded. Conclusions: Duloxetine reduces postoperative pain after lumbar canal stenosis surgery with no increase in adverse effects.

• 한국사회정책
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• 제25권2호
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• pp.243-280
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• 2018

본 논문은 문재인 정부의 핵심 국정운영 전략으로 '알려진' 소득수도성장과 관련된 논의를 한국 복지체제의 관점에서 검토했다. 소득주도성장 전략에 대한 다양한 논점들을 제시했지만 소득주도성장 전략은 1980년대 이래 공급중심의 성장전략이 장기침체를 유발하고, 불평등을 심화시켰다는 점을 고려하면 수요측면을 강조한 시의 적절한 대안 담론으로 보인다. 특히 소득주도성장 전략은 한국 복지체제의 관점에서 사회지출이 인적자본을 향상시켜 성장에 기여한다는 사회투자전략의 협소한 공급측면의 논리와 사회지출을 안정화 장치로 접근했던 전통적 접근을 넘어 생산과 소비를 선순환시키는 중요한 성장 동력으로 위치시켰다는 점이 중요하다. 하지만 본 논문은 단순히 임금을 높이고, 사회지출을 늘린다고 해서 총수요가 증가하고 투자와 생산이 증가해 경제가 성장하는 것은 아니라는 것을 확인했다. 더욱이 경험적 연구에 따르면 대외부문과 부채를 분석에 포함할 경우 한국 성장체제의 임금주도성은 약해지는 것으로 나타났다. 이러한 이유로 본 연구는 실질임금의 증가와 사회지출 증가가 경제성장과 선순환하기 위해서는 정부의 정교한 정책개입이 필요하다는 결론을 내렸다.

• 한국노년학
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• 제38권3호
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• pp.435-452
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• 2018

본 연구는 체계적 리뷰 및 메타분석 방법을 활용하여 한국에서 발행된 노인 자원봉사활동에 대한 다양한 연구 결과를 체계적으로 수집하여 노인의 심리사회적 건강에 미치는 자원봉사활동의 효과를 계량적이고 종합적인 결과로 제시하는 데 그 목적이 있다. 6개의 데이터베이스와 3개의 홈페이지에서 발견한 연구 중 포함조건을 충족한 총 47편의 연구가 분석에 활용되었고, 추출된 데이터의 수는 53개였다. R 프로그램을 활용하여 평균 효과 크기를 산출한 결과, 생활만족도에 대한 노인 자원봉사활동의 평균 효과 크기는 r=0.340이었으며, 우울은 r=-0.310이었다. 이러한 결과는 노인의 심리사회적 건강을 위해 자원봉사활동이 효과적임을 보여주며, 정책과 실천영역에서 자원봉사활동 제공의 근거가 된다.

• 사회복지연구
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• 제48권1호
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• pp.143-171
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• 2017

본 연구는 노숙인의 성장기와 노숙 이전의 노숙 위험요인 경험을 확인하면서, 특히 성장기의 불행한 경험이 성인기의 노숙 발생에 미치는 영향을 살펴보고자 하였다. 기존의 노숙에 대한 개인적 원인에 관한 연구들은 노숙 전후의 알코올 문제, 정신건강 문제, 약물중독, 노숙인의 비행과 일탈 등에 주로 초점을 맞추어 온 반면, 본 연구는 노숙의 개인적 요인을 더욱 세분화하면서 그 시점을 노숙인의 성장기까지 앞당겨 이들이 경험한 위험요인의 중복, 상호작용, 노숙에 미친 영향 등을 파악하고자 하였다. 60명의 노숙인 생애사 자료에서 추출한 경험을 분석해 본 결과, 노숙인들은 이미 성장기부터 중첩된 많은 위험요인을 경험하였고, 이것은 성인기로 오면서 이들 위험요인간의 상호작용을 통해 증폭되는 경향을 보이기도 하였다. 또한 위험요인 경험 정도가 높은 그룹과 낮은 그룹을 비교해 보았을 때, 노숙에 이르게 된 원인의 차이도 발견할 수 있었다. 이러한 연구결과를 바탕으로 노숙의 개인적 원인이 일찍부터 시작된 불가항력적인 불행과 배제, 피해의 경험으로부터 시작된 면도 존재한다는 점을 강조하면서, 결과적 노숙의 예방은 고위험 아동청소년에 대한 적극적 개입과 위험요인의 중첩을 방지하는 전략이 수반되어야 함을 지적하였다.

• 대한예방한의학회지
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• 제24권3호
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• pp.27-38
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• 2020

Background : The study aimed at examining the awareness and satisfaction level of Korean medicine treatment of musculoskeletal patients and non-musculoskeletal patients. Method : The frequency and percentage were calculated to identify the overall characteristics, and to identify the characteristics of the respondents who visited the hospital to treat musculoskeletal diseases and those who visited for the treatment of non-musculoskeletal diseases, the correlation between the variables was analyzed using the chi-square analysis (χ2-test). Furthermore, analysis items were compared depending on detailed diseases within the musculoskeletal disorder (lumbar pain, sprains, arthritis, frozen shoulders, spondylitis, disc) Result : Respondents who used Korean medicine for the purpose of treating musculoskeletal diseases had answered that costs involved in Korean medicine was expensive, and answered that herbal decoction was the preferred Korean medicine treating method for expanding health insurance benefits. Regarding the safety awareness of Korean medicinal herbs, responses that said it was safe was high, and their willingness to use and recommend Korean medicine in future was also high. Respondents who used Korean medicine for the purpose of treating musculoskeletal diseases said they were overall satisfied along with the attitude of Korean medical doctors, treatment results, and costs of treatments. Conclusion : The study was aimed at securing basic data to indirectly identify the national demand for Korean medicine, through investigating the level and degree of differences that exist in the perception and satisfication level and further find a point where policy intervention is possible in future.

• 한국보건간호학회지
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• 제35권3호
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• pp.430-447
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• 2021

Purpose: The purpose of this study was to analyze the role and tasks of nurses who were working for the elderly in the visiting health services at the public health centers. Methods: Literature reviews, two rounds of meetings with 5 experts and a two-round Delphi technique with 15 experts were performed in this study. Results: The nurses' role and job analysis revealed 5 roles, 16 duties and, 71 tasks. The nurses' roles, including discovery and registration of households/groups in visiting health service in the community, case manager, administrative management, program planning, operation and evaluation, and development of job competency. Sixteen duties included client registration and management, need assessment and plan establishment, education, consultation and support, seasonal health care, prevention and monitoring of infectious diseases, basic nursing care, chronic disease management, linkage and utilization of resources, team cooperation and coordination, home environment management, monitoring and support for intervention outcomes, evaluation, administrative management, program planning, operation and evaluation, development of professional competency and, adoption of fourth industrial revolution technology. Conclusions: Based on the results, the government should provide sufficient nursing personnel to provide universal preventive health services for the elderly and a job training program to perform these roles well.

• 대한통합의학회지
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• 제11권1호
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• pp.141-148
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• 2023

Purpose : This study examined the relationship between suicidal thoughts, hand grip strength, socioeconomic status, educational level, and disease occurrence. Methods : Korean national health and nutrition examination survey 2017 were used in this study. 5,449 were analysed. For comparison between groups, cross-tabulation analysis and mean comparison were performed. Logistic regression analysis were performed to analyze the influencing factors between grip strength and suicidal ideation. Results : Our results are consistent with the literature on the importance of socioeconomic status in health. The lower the level of education, the higher the suicidal thoughts. Being single or divorced was also significantly associated with suicidal ideation. Moreover, a lower income level was significantly associated with a higher suicide intention. Furthermore, older ages, lower educational levels, and lower income were significantly associated with a higher odds ratio of suicidal thoughts. Interestingly, suicidal thoughts were significantly lower among non-smokers. In contrast, suicide intention did not differ significantly according to gender, age, monthly drinking habit, aerobic physical activity, and disease occurrence. Suicidal thoughts decreased as grip strength increased and this was statistically significant. Socioeconomic status, disease occurrence, and handgrip strength level affected the security of an individual's livelihood and were significant risk factors for suicidal thoughts. These associations remained significant in multiple logistic regression even after controlling for all covariates. Conclusion : Future prevention intervention efforts to reduce suicide risks should consider handgrip strength. Studies to explore the possible proximal risk factors and mediators between handgrip strength and suicidal thoughts are also warranted.

• 한국항만학회지
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• 제9권2호
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• pp.9-24
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• 1995

The intensification of the competition among container terminals has led to important affect such as, decision making or aggressive intervention of customers for terminal operation. Therefore, in case of developed ports, the large transition of port operation is composed of the press of terminal customer than decision making of terminal manager. Overall port tariffs for using terminal is made out by the conference of terminal customers than the supreme headquarters of terminal operation, and the related investment of terminal has been made according to requisition or proposal of customers. Therefore, among decision making problems that shippers, shipping companies, and freight forwarder among decision making problems that shippers, shipping companies, and freight forwarder face, the choice of the container terminal is one of the most important problems. So, the decision making of the users seems to have a significant impact on the competitive power of container terminals. The main objective of this study is to design port marketing strategy for strengthening the competitive power of container terminals. The results of this study were found as follows: Firstly, port authority should establish user-oriented operation policy of terminal as the means of activating the opinion window, using terminal monitoring system(TMS). Secondly, terminal planning and development of government should be made to minimize the lead time, to induce the civil capital and to utilize the economies of scale. Thirdly, port authority needs to endeavor to analyze the information of competing foreign terminals as well to promote the concentrated marketing for the terminal on the users, to train the expert and to develop the new port charge system. Fourthly, to improve the competitive power of the container terminal, Port Authority should optimize the subsystems related to port marketing, far more these systems should be joined organically to work effectively. Finally, port authority system should be introduced, Namely, port should have the enterprise inclination as well s the public inclination.