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이슬람 원리주의를 통해 본 중동지역테러리즘의 이해 (A Study on Understanding of Middle-East Terrorism : Focusing on Islamic Fundamentalism)

  • 박기범;강민완;전용태
    • 시큐리티연구
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    • 제12호
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    • pp.149-175
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    • 2006
  • 이슬람 원리주의를 표방하는 무장테러 단체들의 테러가 전 세계적으로 자행되고 있는 가운데 이슬람 문화를 바라보는 우리의 시각은 서구의 시각에서 바라보아 온 것이 사실이다. 이젠 올바른 우리의 입장에서 그들을 이해하고 객관적으로 연구하는 풍토와 시각의 대전환이 필요하다는 것이다. 우리 자신이 갖고 있는 종교적 편견과 이데올로기로부터도 벗어나야 한다. 이러한 측면에서 거대한 지구촌 문화권을 형성하고 있는 이슬람 사회와 그들의 문화에 관심을 기울이고, 편견 없는 시각을 갖는 태도는 매우 중요한 일일 것이다. 이슬람원리주의에 따른 중동테러리즘에 대한 최선의 방지책은 테러의 원인들이 되고 있는 상황들을 개선하는 것이다. 미국과 서방세계에 의한 신 세계질서차원에서의 이분법적인 기준으로 이슬람국가들을 차별해서는 안 된다. 더구나 그들의 종교나 문화에 대한 간섭이나 무조건적인 배척은 또 다른 이데올로기를 만들 뿐이며, 세계평화에 역행하는 일이 될 것이다. 한국 내에서도 많은 이슬람 관련 국가에서의 외국인 노동자들이 들어오고 있는 시점에서 정부 차원에서도 대테러 차원뿐만이 아닌 많은 관심과 배려가 필요하고 이제부터라도 제대로 된 시각과 사고를 통해 이슬람 문화를 새롭게 재조명할 필요가 있다. 이를 바탕으로 한 중동지역 국가들과의 관계 개선의 외교적 노력을 다함으로써 경제적, 정치적, 전략적인 차원에서의 국가적인 이익을 위해 위기를 또 다른 기회의 발판으로 삼는 노력이 요구된다. 더 나아가 전 세계 타 문화에 대한 다양성을 인정하고 올바른 세계화에 대한 인식이 필요한 때이다. 우리나라 역시 테러로부터 안전지대가 아니기에 더더욱 이슬람 문화에 대한 올바른 이해를 통해 국익을 위한 세계화 전략에 더욱 관심을 갖고 노력해 나가야 할 것이다. 대변해 줄 수 있는 좋은 척도이다. 학력이 낮을수록 임금의 수준과 격차에 관심도가 높지만, 학력이 높을수록 임금제도 및 복지후생에 관심이 더 높았다. 임금에 대한 만족감은 학력과 직위, 근무경력에 영향을 미침으로 오랜 시간을 근무한 경력자들은 임금에 대한 만족과 함께 조직에 대한 몰입 또한 높았다. 따라서 민간경비 산업의 발전과 민간경비원의 조직몰입을 높이기 위하여, 민간경비원의 임금수준 체계화 및 복지후생 처 후의 질을 개선하는 한편, 산${\cdot}$학 협력을 통한 하나의 직업군으로써 자리매김 하기위해서는 임금과 복지후생에 대한 많은 요인들이 지속적으로 연구 분석이 되어야 할 것이다.호 부분에 있어서는 21.2%가 민간 경호, 경비업체를 선호하는 것으로 나타났다.로 분석하여 특정시기(월)에 국한되어 폐각근과 내장낭의 생화학적 함량변화가 역상관관계를 나타내는 현상을 보였다. 특히, 폐각근과 내장낭내 총 RNA 함량 변화 양상은 총단백질 함량 변화 양상과 유사한 경향을 보여 RNA 함량 증가시 단백질 함량의 증가가 일어나고 있음을 알 수 있었다.순응이 초기에 높을 때 약물 순응률이 보다 높았다. 결국 약물치료 효과에 대한 만족도가 순응률 결정에 가장 중요한 요인이라고 생각되며, 약물치료효과를 높이기 위한 다양한 전략을 사용하여, 약물 순응도를 향상 시킬 필요가 있다고 생각된다.으나, 주의력에서는 전두엽의 실행능력(executive function)과 관련되는 검사들에서 산소흡입이 특이한 효과를 보여준다는 것이 확인되었고, 기억능력에서는 단기기억능력 평가에서 산소흡입군이 대조군보다 유의한 효과를 보여주는 것으로 평가되었다. 이러한 연구결과는 산소흡입이 전두엽과 관련된 수행능력, 작동기억능력 향상에 도움이 될

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간질환자(癎疾患者)에 대(對)한 보건학적(保健學的) 조사연구(調査硏究) (A Survey on Epilepsy Patients from Public Health Aspects)

  • 김명호;경영후;박종구;서신영
    • 농촌의학ㆍ지역보건
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    • 제4권1호
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    • pp.41-61
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    • 1979
  • Two interview surveys (1976 for 800 patients, 1978 for 200 patients) and an inventory survey through medical records(1978) for epileptic patients who have registered with the Korean Epilepsy Association (Rose Club) since 1971 were carried out by trained health workers in advance of survey. The data obtained from the analysis showed as follows: 1) 35.2% of patients were born in Seoul and 70. 6% of patients born elsewhere have lived in Seoul. 2) 50-60% of patients were 15-30 years cid. 3) 33.4%, 24,6 and 24.6 of all pupils and students went to elementary, junior and senior high schools respectively. 4) 21.2% of all pupils and students had dropped out of school and 51.4% of them were away from school because of epilepsy. 5) 3.1% of all patients had no job at all and students comprised 20.9% of patients followed by clerical work, commercial business and farming with about 6% in each group.6) Reasons given for unemployment such as dismissal (4.3%), quit (27.7%), hesitation to employ (42.5%)and discontinuance of job (25.5%) were basically due to epilepsy. 7) About half(46.2%) of all patients have become Christian since the Rose Club was a voluntary agency which has been sponsored by Christians. 8) 82. 6% of patients were diagnosed as having grand mal as the most. 9) 29.4% of patients explained aura with psychomotor disturbances and 13.8% with sensory disorders. 10) 46.3% of patients were attacked with seizures when they were tired and others(11.6% and 4.9%) after excessive eating and hunger. 11) Patients suffered more seizures in spring and summer rather than in autumn and winter and most patients had attacks 1-5 times a month. 12) For etiologic reasons of epilepsy, 35.5% of patients considered it was caused by psychological stress and 11.5% by trauma. Only 1.1% of patients considered it as having hereditary components. 13) 51% of patients were slow in caring for their own illnesses. They started to reat epilepsy after spending 5 years of time from the initial seizure. Only 5.4% of patients had received the modern anti-epileptic therapy right after the nitial seizure. 14) 62.1% of patients had no therapy or irregular or incomplete treatment before registration at the Rose Club Clinic. 15) Before registration at the Rose Club, 42.4% of patients received medical care. On the other hand, 25.6% went to herb doctors and 12.5% used to go to the drugstore in order to get anti-epileptic drugs. 16) 41. 6% of patients who took anti-epileptic drugs had more or less side-effects. Indigestion was the most common. 17) For continuation of treatment, 30.3% have received treatment for more than 5 years and the evident showed that epilepsy took a longer time to be cured. 18) Regarding the medical care received 44.2% of patients were very satisfied with effective care and 26.5% felt as good. 19) For attitudes toward epilepsy. 27.0% of patients and 68.2% of patients family were pessimistic. 20) 65.9% of patients had optimistic attitudes toward effectiveness of medical care of epilepsy. 21) 64.8% of wives and husbands had better understanding and cooperative for their spouses who had epilepsy. 22) 33.3% of patients were under-treated at the place of work. 23) 70.2% of patients wished to marry when they reach childbearing age and 63% wished to have children. Through the above results it is recommended for nation-wide epilepsy control that the sound and correct health education not only from health aspect but also from welfare aspect should be planned and implemented as soon as possible.

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급성(急性) 기아(饑餓)마우스의 간단백질(肝蛋白質), 핵산(核酸) 및 Guanine Deaminase 활성(活性)에 관(關)한 연구(硏究) (A Study on The Content of Liver Protein, Nucleic Acids, and Guanine Deaminase Activity of Mouse During Acute Starvation)

  • 박승희;김승원
    • Journal of Nutrition and Health
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    • 제1권2호
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    • pp.107-115
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    • 1968
  • Number of aspects, not only nutritional but social as well as political involved in human starvation pose nowadays global problems. In order to help establish the minimum nutritional requirements in the daily life of a man and to free people as well from either undernourishment, malnutrition or even starvation many workers have devoted themselves so far on the research programs to know what and how number of metabolic events take place in animals in vivo. It is the purpose of the present paper to examine in effect to what extent both of the protein and nucleic acids (DNA & RNA) together with an enzyme, guanine deaminase, which converts guanine into xanthine and in turn ends up to uric acid as an end product, undergo changes, quantitatively during acute starvation, using the mouse as an experimental animal. The mouse was strictly inhibited from taking foods except drinking water ad libitum and was sacriflced 24, 48, and 72 hours following starvation thus acutely induced. The animals consisted of two experimental groups, one control and another starvation groups, each being consisted of 6-24 mice of whose body weights ranged in the vicinity of 10 g. The animals were sacriflced by a blow on the head, followed by immediate excision of their livers into ice-cold distilled water, washing adherent blood and other contaminant tissues. The liver was minced foramin, by an all-glass homogenizer immersing it in an ice-bath, followed by subsequent fractionatin of the homogenate (10% W/V in 0.25M sucrose solution made up with 0.05M phosphate buffer of pH 7.4). For the liver protein and guanine deaminase assay, the 10% homogenate was centrifuged at 600 x g for 10 minutes to eliminate the nuclear fraction; and for the estimation of DNA and RNA, the homogenate was prepared by the addition of 10% trichloroacetic acid in order to free the homogenate from the acid-soluble fraction, the remaining residue being delipidate by the addition of alcohol and dried in vacuo for later KOH (IN) hydrolysis. The changes in body and liver wegihts during acute starvation were checked gravimetrically. Protein contents in the liver were monitored by the method of Lowry et al; and guanine deaminase activities were followed by the assay of liberated ammonia from the substrate utilizing the Caraway's colorimetry. The extraction of both DNA and RNA was performed by the Schmidt-Thannhauser's method, which was followed by Marmur's method of purification for DNA and by Chargaff's method of purification for RNA. The determinations of both DNA and RNA were carried out by the diphenylamine reaction for the former and by the orcinol reaction for the latter. The following resume was the results of the present work. 1. It was observed that the body as well as liver weights fall abruptly during starvation, and that the loss of body weight showed no statistical correlation with the decreases in the content of liver protein. 2. The content of liver protein and activity of liver guanine deaminase activity as well decline dramatically, and the specific activities of the enzyme (activity/protein), however, decreased gradually as starvation proceeded. 3. Both of the nucleic acids, DNA and RNA, showed decrements in the liver of mouse during acute starvation; the latter, however, being more striking in the decline as compared to the former. 4. The decreases in the liver protein content as resulted from the acute starvation had no statistically significant correlation with the decrements of DNA in the same tissue, but had regressed with a significant statistical correlation with the fall of RNA in the tissue. 5. The decrease in the activity of guanine deaminase in the liver of mouse during acute starvation was functionally more proportional to the decrease in RNA than DNA, and moreover correlated with the changes in the content of the liver protein. 6. The possible mechanisms involved during in this acute starvation as bring the decreases in the contents of DNA, protein, and guanine deaminase were discussed briefly.

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공공기관 업무관리시스템 성과평가 모형 개발에 관한 연구: 청와대 업무관리시스템(e지원시스템)을 중심으로 (A Model to Measure the Success of a Web-based Information System at a Government Agency - the Chungwadae Case)

  • 배이철;홍일유
    • Asia pacific journal of information systems
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    • 제18권1호
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    • pp.97-115
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    • 2008
  • Introduction The e-government is concerned with using Internet and Web technologies to exchange information and services with citizens, businesses and other related organizations, and it centers on three functions, namely informational, interactive, and transactional [UN, 2001]. Many developed countries like the U.S. have been actively involved in e-government projects, since they enable both more effective public services for citizens and more efficient internal operations. Korea is among these leading countries that are planning to leverage computer and communication technologies to provide for integration of work processes and information as well as convenient access to information and services. For this reason, evaluating e-government projects is becoming a crucial issue for both researchers and policy-makers. However, most research to date has primarily focused on a model of success of an e-government system designed for citizens, overlooking internal systems specifically created for employees working in a public organization. This paper is intended to propose a model to measure the success of a Web-based information system designed for use by internal users at Chungwadae, the executive branch of Korea's central government. The paper is also aimed at applying the model to the assessment of the present system being used at Chungwadae in comparison with the preceding system. Evaluating an e-Government System The most widely cited model of information systems success today is that of DeLone and McLean[1992, 2003, 2004]. The original model states that the success of an information system can be measured using six dimensions, including system quality, information quality, use, user satisfaction, individual impact, and organizational impact. Although the ultimate success of an information system may be reflected in the impact that the system has upon individuals as well as an organization, aspects of using the system such as system use and user satisfaction can play an important role in determining the system success, because the system would be a sheer failure if users don't like and use the system. As a response to criticisms given by numerous researchers, the authors adapted their model to fit the emerging Web-based environment. The revised model[DeLone and McLean, 2003] they offered included an additional quality dimension, namely service quality, and combined individual and organizational impacts into net benefits which can also influence user satisfaction. The e-government system success model can be built around this updated model. Our model incorporates information quality, system quality, and service quality as in the DeLone and McLean model. However, the 'system use' dimension has been replaced by perceived usefulness, as suggested by Seddon[1998]. In addition, because the e-government systems that this paper focuses on are internal public systems used in government agencies, the 'net benefits' dimension has been replaced by perceived work efficiency. Based on the proposed model, a total of nine hypotheses have been formulated which we tested using an empirical analysis. Methods A questionnaire form has been created with items that are designed to examine the relationships among the variables in the model. The questionnaire has been handed over, in person, to 65 members of Chungwadae staff who are now actively using the E-Support System, the present information system created to support internal work at Chungwadae. We made arrangements to meet with each individual who agreed to participate in our survey, and helped to fill out the survey form with explanations. Of the 65 copies that were delivered, only 33 were returned, and 30 responses of these have been adopted for our analysis, since three were not valid. The extremely small sample size was due to the limited number of staff members who had adequate experience required of this study. Results We gathered data from the questionnaire survey and analyzed them using a regression analysis to test the hypotheses. As shown in the table below, the results indicated that all three dimensions of an information system’s quality are positively related to user satisfaction. However, information quality and system quality were found to be positively related to perceived usefulness, while service quality was not. In addition, perceived usefulness is not positively related to user satisfaction, implying that a user may find a system useful, but may not be satisfied with it. Finally, user satisfaction and perceived usefulness both are positively related to perceived work efficiency. This suggests that workers' positive experience with the system is important to guarantee favorable work efficiency. Conclusions We conclude that the proposed model proved useful in measuring the success of an internal information system used by a government agency. To demonstrate the applicability and usefulness of the model in the paper, we applied the model to the assessment of the present internal system used at Chungwadae in comparison with the preceding system. The results showed that the present system outperforms the preceding one in a statistically significant way. Future research will have to focus on applying the model to Korea's governmental agencies other than Chungwadae and examine whether it proves applicable in different types of governmental organizations.

Wearable Computers

  • Cho, Gil-Soo;Barfield, Woodrow;Baird, Kevin
    • 섬유기술과 산업
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    • 제2권4호
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    • pp.490-508
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    • 1998
  • One of the latest fields of research in the area of output devices is tactual display devices [13,31]. These tactual or haptic devices allow the user to receive haptic feedback output from a variety of sources. This allows the user to actually feel virtual objects and manipulate them by touch. This is an emerging technology and will be instrumental in enhancing the realism of wearable augmented environments for certain applications. Tactual displays have previously been used for scientific visualization in virtual environments by chemists and engineers to improve perception and understanding of force fields and of world models populated with the impenetrable. In addition to tactual displays, the use of wearable audio displays that allow sound to be spatialized are being developed. With wearable computers, designers will soon be able to pair spatialized sound to virtual representations of objects when appropriate to make the wearable computer experience even more realistic to the user. Furthermore, as the number and complexity of wearable computing applications continues to grow, there will be increasing needs for systems that are faster, lighter, and have higher resolution displays. Better networking technology will also need to be developed to allow all users of wearable computers to have high bandwidth connections for real time information gathering and collaboration. In addition to the technology advances that make users need to wear computers in everyday life, there is also the desire to have users want to wear their computers. In order to do this, wearable computing needs to be unobtrusive and socially acceptable. By making wearables smaller and lighter, or actually embedding them in clothing, users can conceal them easily and wear them comfortably. The military is currently working on the development of the Personal Information Carrier (PIC) or digital dog tag. The PIC is a small electronic storage device containing medical information about the wearer. While old military dog tags contained only 5 lines of information, the digital tags may contain volumes of multi-media information including medical history, X-rays, and cardiograms. Using hand held devices in the field, medics would be able to call this information up in real time for better treatment. A fully functional transmittable device is still years off, but this technology once developed in the military, could be adapted tp civilian users and provide ant information, medical or otherwise, in a portable, not obstructive, and fashionable way. Another future device that could increase safety and well being of its users is the nose on-a-chip developed by the Oak Ridge National Lab in Tennessee. This tiny digital silicon chip about the size of a dime, is capable of 'smelling' natural gas leaks in stoves, heaters, and other appliances. It can also detect dangerous levels of carbon monoxide. This device can also be configured to notify the fire department when a leak is detected. This nose chip should be commercially available within 2 years, and is inexpensive, requires low power, and is very sensitive. Along with gas detection capabilities, this device may someday also be configured to detect smoke and other harmful gases. By embedding this chip into workers uniforms, name tags, etc., this could be a lifesaving computational accessory. In addition to the future safety technology soon to be available as accessories are devices that are for entertainment and security. The LCI computer group is developing a Smartpen, that electronically verifies a user's signature. With the increase in credit card use and the rise in forgeries, is the need for commercial industries to constantly verify signatures. This Smartpen writes like a normal pen but uses sensors to detect the motion of the pen as the user signs their name to authenticate the signature. This computational accessory should be available in 1999, and would bring increased peace of mind to consumers and vendors alike. In the entertainment domain, Panasonic is creating the first portable hand-held DVD player. This device weight less than 3 pounds and has a screen about 6' across. The color LCD has the same 16:9 aspect ratio of a cinema screen and supports a high resolution of 280,000 pixels and stereo sound. The player can play standard DVD movies and has a hour battery life for mobile use. To summarize, in this paper we presented concepts related to the design and use of wearable computers with extensions to smart spaces. For some time, researchers in telerobotics have used computer graphics to enhance remote scenes. Recent advances in augmented reality displays make it possible to enhance the user's local environment with 'information'. As shown in this paper, there are many application areas for this technology such as medicine, manufacturing, training, and recreation. Wearable computers allow a much closer association of information with the user. By embedding sensors in the wearable to allow it to see what the user sees, hear what the user hears, sense the user's physical state, and analyze what the user is typing, an intelligent agent may be able to analyze what the user is doing and try to predict the resources he will need next or in the near future. Using this information, the agent may download files, reserve communications bandwidth, post reminders, or automatically send updates to colleagues to help facilitate the user's daily interactions. This intelligent wearable computer would be able to act as a personal assistant, who is always around, knows the user's personal preferences and tastes, and tries to streamline interactions with the rest of the world.

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출산력 억제정책의 영향과 변천에 관한 고찰 (Change in the Korean Fertility Control Policy and its Effect)

  • 홍문식
    • 한국인구학
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    • 제21권2호
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    • pp.182-227
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    • 1998
  • 정부는 1960년대 초기의 높은 인구증가율이 경제개발의 저해 요인임을 인식하여 1962년부터 시작되는 5개년 단우의 경제개발 장기계획의 일환으로 가족계획사업을 출산조절정책 수단으로 수용하였다. 초창기부터 가족계획사업은 정부의 보건조직망을 통하여 가족계획요원에 의한 피임보급 활동과 지정시술의사에 의한 자궁내장치 및 불임시술 서비스 등이 무료로 제공되었고 특히 피임방법별 목표량 제도와 규제 및 보상 등 사회제도적 지원시책으로 1980년대까지 지속적으로 사업이 강화되었다. 민간단체의 지원활동으로는 대한가족계획협회에 의한 계몽교육사업과 한국 보건사회연구원(초창기에는 가족계획연구원)에 의한 사업평가 및 조사연구사업이 활발히 이루어 졌다. 결과적으로 1960년에 6명 수준이던 합계출산율이 1980년대 중반에 대치수준(2.1)으로 저하되어 30년도 못되는 단기간에 인구전환을 이룩하는 획기적인 성과를 갖게 되었다. 그후 합계출산율은 1.6에서 1.7 범위의 저출산을 유지하고 있으며 이러한 수준이 지속된다면 현 1% 미만인 인구성장률은 2028년에 총인구가 5,060만 수준에서 그 성장을 멈추고 그 후로는 인구의 감소가 초래될 것으로 예상된다. 이에 정부는 1996년 6월에 기존의 인구억제정책을 전면적으로 폐지하고 인구자질향상에 역점을 두는 방향으로 공식적인 정책전환을 이룩하였다. 한편 남아선호사상 등 영향으로 태아의 성감별에 의한 성선별적 인공임신중절로 인하여 출생성비의 불균형이 심화되고 유배우 부인의 인공임신중절도 아직 상당수준으로 높게 지속되고 있어 삶의질 차원에서의 새로운 인구자질향상 정책이 특히 모자보건과 노인보건을 포함하는 전반적인 국민건강증진 프로그램과 함께 더욱 효과적으로 추진되어 복지사회 구현에 기여할 수 있는 사업으로 발전되는 것이 바람직할 것이다.

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의료인의 호스피스가정간호에 대한 지식과 태도 조사연구

  • 김옥겸
    • 호스피스학술지
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    • 제2권2호
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    • pp.28-48
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    • 2002
  • The advances of medical technologies have not only prolonged human life span, but also extended suffering period for the patients with incurable medical diseases. Hospice movement was developed to help these patients keep dignity and lives peaceful at the end of their life. Since many patients prefer to spend the last moment of life at home with their family, hospice home care has become very popular worldwide. The purpose of this study for a promotion and development of hospice home care in Korea, and features basic research on medical profession's knowledge and attitudes to hospice home care. This study which was used for the research questionnaires developed by the researcher that were answered by 100 physicians and 127 nurses in a general hospital. Data were collected from April 22, 2002 to May 10, 2002. The SPSS was used to make a comparative analysis of the frequency, percentile, ANOVA, and x2-test. The results of the study were as follows; 1.The medical profession showed high level of knowledge of the definition and philosophy of hospice. However, the physician group of the examinees showed insufficient knowledge of the fact that hospice care includes bereavement care, while the nurse group's response to the same question showed a significant difference(x2=10.752, p=.001). 2.For whom the hospice home care is provided, 95.6% of the respondents showed very high level of knowledge as answering that the incurable terminal illness patients and their families are the beneficiaries of hospice care. The respondents counted nurses, volunteers, pastors, physicians and social workers, consecutively, as hospice care providers. More nurse were positive toward pastors than physicians in regarding as a hospice care provider by a significant difference(x2=11.634, p=.001). 3.For when to referral hospice home care to the patients, only 34.2% answered that patients with less than 6 months of survival time are advised to receive hospice care, reflecting very low level of knowledge. 23.0% of the physicians and 48.0% of the nurses answered that hospice care should be provided when death is imminent, making a significant difference between the two groups(x2=6.413, p=.000). 4.To promote hospice activities, 87.2% pointed out that it is crucial to make general people, including those engaging in the medical field, more aware of hospice. 79.7% answered that a national hospice management should be developed, marking a significant difference between the physician group and nurse group(x2=10.485, p=.001). 5.Advantages of hospice home care are 87.2% responded that patients can have better rest at home receiving hospice home care. Economical merit was brought forward as one of the advantages also, where there was a significant difference between the physicians group and nurse group(x2=7.009, p=.008). 6.The medical professions' attitude to hospice home care are 92.8% of the physicians answered that they would advise incurable terminally ill patients to be discharged from hospital, with 44.3% of them advising the patients to receive hospice home care after leaving the hospital. From the nurses' point of view, 20.9% of the terminally ill patients are being referred to hospice home care after discharge, which makes a significant difference from the physicians' response(x2=19.121, p=.001). 7. 30.6% of physicians have referred terminally ill patients to hospice home care, 75.9% of whom were satisfied with their decision. Those physicians who have never referred their patients to hospice home care either did not know how to do it(66.7%) or were afraid of losing trust by giving the patients an impression of giving up(27.3%). 94.9% of the physicians responded that they would refer their last stage patients to a doctor who is involving palliative care. 8.Only 36.2% of nurses have suggested to physicians that refer the terminally ill patients discharged from the hospital to hospice home care. Once suggested, 95.8% of the physicians have accepted the suggestion. Nurses were reluctant to suggest hospice home care to the physicians, as 48.8% of the nurses said they did not want to. From the result of this study the following conclusion can be drawn, the medical profession's awareness of general hospice care has been increased greatly compared to the results of the previously performed studies. However, this study result also shows that their knowledge of hospice home care is not good enough yet. There is a need for high recommended that medical education institute and develop regular courses on various types of hospice care. Medical field training courses for physicians and nurses will be very helpful as well. It is also important to train hospice experts such as palliative physicians and develop a national hospice management urgently in order to improve the hospice care in Korea.

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황화수소로 인한 화학성 폐렴 2예 (Two Cases of Chemical Pneumonitis Caused by Hydrogen Sulfide)

  • 김정하;이경주;정진용;이은주;정기환;강은해;이승룡;이상엽;김제형;신철;심재정;인광호;강경호;유세화
    • Tuberculosis and Respiratory Diseases
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    • 제64권3호
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    • pp.210-214
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    • 2008
  • 화학성 폐렴은 유독한 화학물질의 흡입 혹은 흡인으로 발생한다. 황화수소는 자연적으로 발생하기도 하지만, 석유 정제, 약품 제조 과정 등에서 발생하여, 고농도로 노출될 경우 화학성 폐렴을 일으킨다. 두 명의 근로자가 제약회사의 폐수처리장에서 작업하던 중 황화수소가 포함된 혼합가스에 노출된 후 의식을 잃었다가, 구조된 이후에 의식은 회복되었으나, 호흡곤란과 기침을 호소하며 내원하였다. 단순 흉부 방사선 검사 및 고해상도 전산화 단층촬영에서 폐침윤이 관찰되어, 화학성 폐렴으로 진단하였고, 동맥혈가스 분석에서 저산소혈증을 보여 산소공급 및 보존적 치료 후 임상 및 방사선학적으로 회복되었다.

웨딩산업종사자의 교환관계가 직무만족과 자발적 서비스 의도에 미치는 영향에 관한 연구 (The Effect of Wedding Industry Employees Exchange Relationship on their Job Satisfaction and Voluntary Service Intentions)

  • 변상우;이향숙
    • 경영과정보연구
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    • 제32권5호
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    • pp.69-88
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    • 2013
  • 본 연구의 목적은 웨딩산업종사자의 교환관계에 따라 구성원의 직무만족에 어느 정도 영향을 미치게 되며 그 결과로 인해 고객에 대한 자발적 서비스 의도에 미치는 영향을 분석하기 위한 것이다. 본 연구에 사용된 자료를 분석하기 위해 SPSS 21K, AMOS 20 통계패키지를 이용하여 가설을 검증하였다. 실증 분석결과 리더-구성원의 긍정적 교환관계(F1)는 종사자의 직무만족에 정(+)의 영향을 미칠 것이라는 가설1을 검증한 결과 표준경로계수는 .334, 표준오차 .048, t-값 6.958, p<.01로 분석되어 정(+)의 영향을 미치는 것으로 나타났다. 팀(동료)-구성원의 긍정적 교환관계(F2)가 직무만족에 정(+)의 영향을 미칠 것이라는 가설2를 분석한 결과 표준경로계수는 .318, 표준오차 .037, t-값 8.594, p<.01로 분석되어 직무 만족에 정(+)의 영향을 미치는 것으로 나타났다. 고객-구성원의 긍정적 교환관계는 직무만족에 정(+)의 영향을 미칠 것이라는 가설3을 분석한 결과 고객-구성원의 긍정적 교환관계(F3)요인에서 직무만족(F4)의 표준 경로계수는 .296, 표준오차 .061, t-값 4.852, p<.01로 분석되어 정(+)의 영향을 미치는 것으로 나타났다. 구성원의 직무만족이 자발적 서비스 의도에 정(+)의 영향을 미칠 것이라는 가설4를 검증한 결과 직무 만족(F4)요인으로부터 자발적 서비스 의도(F5)요인으로의 표준경로계수는 .673, 표준 오차 .056, t-값 12.017, p<.01로 분석되어 구성원의 직무만족은 자발적 서비스 의도에 정(+)의 영향을 미치는 것으로 나타났다. 따라서 조직의 효율적 운영관리를 통한 수익을 제고시키기 위해서는 조직의 리더는 구성원과 양질의 교환관계를 형성할 수 있도록 노력하며, 팀(동료)과 구성원들이 잘 지내고, 팀워크를 향상시킬 수 있도록 지원을 하며, 구성원들이 고객에 대한 친절한 응대와 높은 수준의 서비스 질을 향상시켜 나갈 수 있도록 유도해야 한다.

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柔軟的 專門化(Flexible Specialization) : 현대 産業社會의 새로운 패러다임 ? (Flexible Specialization: A New Paradigm for Modern Industrial Society ?)

  • 이덕안
    • 대한지리학회지
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    • 제28권2호
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    • pp.148-162
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    • 1993
  • 현대 자본주의 사회가 대량생산체제에서 유연적 전문화 생산체제로 질적인 변화를 겪고 있다는 주장이 사회과학계를 풍미하고 있다. 이 글의 목적은 이러한 柔軟化論者들의 주장을 개관하고 그 문제점을 살피는 데 있다. 유연적 전문화 논의는 개념 자체가 지극히 관념적이고, 상대적일 뿐만 아니라 학자들 간에 용어사용에 대한 의견일치가 이루어지지 안하아 현재 혼란의 와중에 있다. 유연적 생산체제로의 移行은 二分論的인 설명방식의 사용으로 과장된 측면이 많은데, 실제는 선진 자본주의 국가에 있어서도 매우 부분적으로만 진행되고 있는 상태이다. 한국의 경제와 국토공간은 대규모 기업집단과 그들의 중층적 하청조직에 의해 그 골격이 형성되어 있는 관계로 柔軟化論의 한국에의 적용은 많은 注意를 요한다. 현재의 혼란으로부터 벗어나기 위해 가장 우선적으로 해결해야 할 문제점은 용어의 적용대상 및 적용범위를 통일하는 일이다.

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