• 제목/요약/키워드: ITS Service

검색결과 7,234건 처리시간 0.044초

민담 <외쪽이>의 분석심리학적 해석 (The Interpretation of a Korean Folk Tale from the Perspective of Analytical Psychology)

  • 김지연
    • 심성연구
    • /
    • 제32권2호
    • /
    • pp.122-168
    • /
    • 2017
  • 한국 민담 <외쪽이>를 분석심리학의 관점에서 해석하였다. <외쪽이> 민담은 전국적으로 분포되어 있으며, 인도와 아프리카에 유화가 있다. 대상 민담을 보면 아이를 낳지 못하는 부인이 수태 음식 두 개 반을 먹고 온전한 아들 두 명과 팔도 하나, 다리도 하나, 눈도 하나인 반쪽 아들을 낳았다. 형들은 과거 보러갈 때 외쪽이가 따라오는 것을 싫어해서 바위와 나무에 묶어 놓지만, 외쪽이는 힘이 세서 쑥 뽑아서 집의 뜰에 가져다 놓았다. 형들은 외쪽이를 칡으로 묶어서 호랑이 앞에 던져 놓지만 외쪽이는 호랑이와 칡 끊기 내기에서 이겨 호랑이 가죽을 벗겨 돌아온다. 호랑이 가죽을 탐낸 숙소 주인과 장기 내기에서 이겨 주인의 딸을 데려오기로 하고 노끈과 북, 벼룩, 빈대를 가지고 가서 주인집 사람들을 곯려주고 처녀를 데려와서 잘 살았다는 이야기이다. 아이를 낳지 못하는 부인이 부처에게 비는 제시부는 창조성이 고갈된 의식의 한계 상황에서 의식의 자아가 무의식에 겸허한 태도를 취하며 정신의 자발적 활동을 기다리는 태도이다. 하얀 영감이 와서 고기 세 마리를 주는데 고양이가 와서 반 마리를 먹어서 부인은 고기를 두 마리와 반 마리만 먹고 온전한 아들 둘과 막내 아들 외쪽이를 낳는다. 노현자 상으로 나타난 정신(Geist)과 고양이로 나타난 동물적 본성이 작용하여 무의식에서 낯설고 새로운 형상을 지닌 정신적 내용이 생성되었다. 반쪽 존재는 전 세계적으로 나타나는 원형상으로 많은 문화에서 신과 정령이 반쪽만 있는 모습으로 그려진다. 창조 신화에서 반쪽 존재는 생식 능력이 없지만, 죽지 않고 불멸한다고 전해진다. 인도네시아와 아프리카의 설화에서는 반쪽으로 태어난 소년이 하늘나라에 가서 자신의 반쪽을 만나 합쳐져서 온전한 몸이 된다. 반쪽 정령이 인간에게 해로운 경우도 있지만, 반쪽만 있는 새, 닭, 정령이 인간에게 도움을 주는 이야기도 있다. 반쪽 존재는 하늘에서 곡식을 훔쳐 오거나 대나무를 다루는 방법을 배워 오는 문화영웅이다. 반쪽 존재가 나중에 온전한 몸이 되는 이야기도 있지만, 대상 민담과 대부분의 유화에서는 이야기의 결말까지 반쪽 형상이 그대로 유지된다. 외쪽이는 무의식에서 태어난 정신적 체험의 상징이다. 형들이 외쪽이를 싫어하는 것에서 보이듯이 무의식의 내용은 처음에는 이상하고 기괴하게 보일 수 있으며 집단적 의식은 무의식의 내용을 받아들이지 않으려 하지만 새로운 정신은 영향력을 행사하며 의식의 태도를 변화시킬 수 있다. 외쪽이는 호랑이를 퇴치하고 호랑이 가죽을 벗겨 오는데 호랑이는 집어 삼키려는 무의식이며 집단적 무의식의 부정적 모성 원형으로 무의식을 의식화하는 과정에서 극복해야 할 괴물이다. 숙소 주인의 딸을 데려올 때 외쪽이는 떨어져 있는 것을 연결해 주는 끈과 음악과 무속에 쓰이는 악기, 하찮아 보이는 벌레를 들고 가서 점잖은 척 하는 사람들을 놀려주는 동시에 활기와 창조성을 가져다준다. 외쪽이는 트릭스터로서 유교적 신분 사회였던 우리 사회의 집단적 의식을 보상하는 역할을 했다고 보여진다. 외쪽이는 비정상적인 것으로 보이지만 우리가 잘 알지 못하는 세상 혹은 존재와 연결되어 있고, 어려움이 있을 때 도움을 주며 그전에 없던 것을 가져다 주는 문화 영웅이기도 한 정신적 내용으로 집단적 무의식에 존재하며 점차 드러날 심성이다.

Incidence of Dental Discoloration After Tetracycline Exposure in Korean Children: A Nationwide Population-Based Study

  • Ji Young Lee;Eun Hwa Kim;Myeongjee Lee;Jehee Shin;Sung Min Lim;Jee Yeon Baek;MinYoung Kim;Jong Gyun Ahn;Chung-Min Kang;Inkyung Jung;Ji-Man Kang
    • Pediatric Infection and Vaccine
    • /
    • 제31권1호
    • /
    • pp.25-36
    • /
    • 2024
  • 목적: 테트라사이클린 (tetracycline, TC)은 소아청소년을 대상으로 복용하였을 시 영구적 치아 변색의 위험이 증가된다는 보고에 따라 미국에서는 8세 이하, 국내에서는 12세 미만으로 처방이 가이드라인상 추천되지 않고 있는 실정이다. 이에 본 연구에서는 TC에 노출된 소아청소년을 대상으로 치아 변색의 발생률을 분석하고, TC에 노출되지 않은 일반 인구 집단과의 발생률 차이를 비교하고자 하였다. 방법: 본 코호트 연구는 2008년 1월부터 2020년 12월 사이 최소 1일 이상 TC에 노출된 소아청소년(0-12세)에 대한 건강보험심사평가원 데이터베이스 정보를 기반으로 분석하였다. TC 노출 6개월 이후 치아 변색 관련 진단코드의 입력여부를 기준으로 치아 변색 발생률을 도출하였고, 추가적으로 연령 보정이 된 TC에 노출되지 않은 일반 인구집단을 추출하여 이를 변수로 한 표준화한 치아 변색 발병률(standardized incidence ratio, SIR)을 구하였다. 결과: 총 56,990명이 포함되었으며, 이 중 8세 미만은 1,735명, 그리고 8-12세는 55,255명이었다. 이 중 61%가 14일 미만 동안 TC를 처방받았으며, 독시사이클린(61%)과 미노사이클린(35%)을 포함한 2세대 TC가 가장 많은 비중을 차지하였다. 0-7세 연령군에서의 5년 및 10년 누적발생률은 4.1% (95% confidence interval [CI], 3.0% to 5.7%) 및 5.7% (95% CI, 4.1% to 7.8%)으로 확인되었고, 이에 비해 8-12세 연령군에서는 0.8% (95% CI, 0.7 to 0.9%) 및1.3 (95% CI, 1.1% to 1.4%)으로 상대적으로 낮았다. TC노출 후 치아 변색의 발생률은 연령 보정된 일반 인구 집단과 비교하였을 때 통계학적으로 유의미한 차이는 없었다 (SIR, 1.08; 95% CI, 0.69 to 1.60). 결론: TC 노출은 일반 인구에 비해 치아 변색 위험을 유의하게 증가시키지 않았으며, 특히 8-12세 사이의 TC 노출군은 그 이하 연령군에 비해 유의미하게 낮은 발생률을 보였다. 따라서, 국내에서 TC 처방에 대한 연령 제한 완화를 고려할 필요가 있다.

養蠶適地選定에 관한 調査硏究 (Survey Studies on Serviceable Sericultural Communities in Korea)

  • 최병희;권영하;문재유;백현준;이건영;이상풍;이원주;임수호;조동옥;김성호;황홍도;김기석;김수경;고낙용;소병주;이건우;이재옥;임동락;조진구
    • 한국잠사곤충학회지
    • /
    • 제25권1호
    • /
    • pp.34-43
    • /
    • 1983
  • 1. 우리나라 養絲業은 ‘60年代 以後 ’70年代 前半期까지 急伸長하여 ‘76年에는 蠶繭生産量은 年平均 18.5%, 뽕밭面積은 年平均 16.4%가 減少하여, 養蠶生産基盤이 約 1/3로 萎縮되어, 生絲類 供給不足 現狀이 深化되어 養蠶基盤確保問題가 重要課題가 되고 있다. 2. 養蠶基盤 激減의 原因은 70年代 後半期 以後 國際景氣沈帶에서 오는 絲價의 下落, 輸入觀制等의 外部的 要因과 繭價引上率의 鈍化, 養蠶收益性의 相對的 底現狀이 두드러지게 나타났다. 이 現狀은 農業地帶別로 보면 ‘76年 대비 ’80年의 蠶繭生産量이 嶺南의 山間混作地帶가 33%減으로 가장 安定된 反面 江原道를 비롯한 準山間 田作地帶가 70%減으로 가장 크게 變動되었고, 이를 다시 行政單位別로 보면 慶南山淸等 6個郡은 20%未滿減인데 비해, 江原三陟等 16個郡은 80% 以上減이다. 面單位로 細分하여 보면 25個面은 오히려 增産되었고 143個面은 80% 以上이나 減少하는등 地域單位가 적어질수록 그 격차가 크게 나타나고 있음을 알 수 있다. 4. 蠶繭生産量의 增減과 가장 깊은 상관관계가 있는 것은 農家戶當 蠶繭生産量의 減少率로서 各道 다같이 正의 상관관계를 나타내었으며, 10a當 蠶繭生産量의 多寡와 一般耕地面積 및 밭面積中의 뽕밭面積 比率도 主要한 要因으로 作用하였다. 5. 養蠶經營 및 技術實態를 (79年 대비 81年) Computer에 의하여 精密調査하고자 農業地帶別로 17個郡 464里洞을 대상으로 調査한 결과는 다음과 같다. 1) 戶當蠶繭生産量 農業地帶別은 大差 없으나 比較的 安定된 里洞(79대비 81, 20%未滿減)은 戶當生産量이 ‘79年 100.8kg에서 81年이 122kg로 增産, 不安定里洞(40% 以上減)은 102.9.kg에서 82kg로 減産되었다. 2) 10a當 收繭量 山間地 보다 平野地가 많으며 安定里洞은 73.4kg, 不安定里洞은 55kg였다. 3) 가지뽕치기 普及率 山間地 보다 平野地가 높으며 安定里洞은 79年3 養蠶의 普及率.이 24.2%, 秋蠶은 16.7%에서 ‘81年4은 34.3% 10.1%로 各各 擴大된 경향이나, 不安定里洞은 81年이 春蠶 13.3%, 秋蠶 12.6%로 安定里洞에 비하여 크게 떨어지고 있다. 4) 養蠶複合經營의 類型 <養蠶十水稻十特作>이 55%로 가장 많고 <養蠶十水稻十一般作物>과 <養蠶十水稻가 各各 14%를 차지하고 있으며 養蠶所得이 農業所得에서 占하는 比重이 20%未滿 里洞이 81%나 되어 完全複合經營管 形態에는 이르지 못하고 있다. 5) 農業公害와 農藥型態 農業公害는 平野地에서는 主로 水稻에서 오는 것이 많고 그 被害 時期는 秋蠶期가 大部分을 차지하고 撒布農藥은 液劑가 65%, 粒劑가 35%로 粒劑使用 比重이 낮은 것은 價格이 비싼 때문이다.

  • PDF

한국가족계획사업(韓國家族計劃事業)의 문제점(問題點) (Problems in the Korean National Family Planning Program)

  • 홍종관
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제2권2호
    • /
    • pp.27-36
    • /
    • 1975
  • The success of the family planning program in Korea is reflected in the decrease in the growth rate from 3.0% in 1962 to 2.0% in 1971, and in the decrease in the fertility rate from 43/1,000 in 1960 to 29/1,000 in 1970. However, it would be erroneous to attribute these reductions entirely to the family planning program. Other socio-economic factors, such as the increasing age at marriage and the increasing use of induced abortions, definitely had an impact on the lowered growth and fertility rate. Despite the relative success of the program to data in meeting its goals, there is no room for complacency. Meeting the goal of a further reduction in the population growth rate to 1.3% by 1981 is a much more difficult task than any one faced in the past. Not only must fertility be lowered further, but the size of the target population itself will expand tremendously in the late seventies; due to the post-war baby boom of the 1950's reaching reproductive ages. Furthermore, it is doubtful that the age at marriage will continue to rise as in the past or that the incidence of induced abortion will continue to increase. Consequently, future reductions in fertility will be more dependent on the performance of the national family planning program, with less assistance from these non-program factors. This paper will describe various approaches to help to the solution of these current problems. 1. PRACTICE RATE IN FAMILY PLANNING In 1973, the attitude (approval) and knowledge rates were quite high; 94% and 98% respectively. But a large gap exists between that and the actual practice rate, which is only 3695. Two factors must be considered in attempting to close the KAP-gap. The first is to change social norms, which still favor a larger family, increasing the practice rate cannot be done very quickly. The second point to consider is that the family planning program has not yet reached all the eligible women. A 1973 study determineded that a large portion, 3096 in fact, of all eligible women do not want more children, but are not practicing family planning. Thus, future efforts to help close the KAP-gap must focus attention and services on this important large group of potential acceptors. 2. CONTINUATION RATES Dissatisfaction with the loop and pill has resulted in high discontinuation rates. For example, a 1973 survey revealed that within the first six months initial loop acceptance. nearly 50% were dropouts, and that within the first four months of inital pill acceptance. nearly 50% were dropouts. These discontinuation rates have risen over the past few years. The high rate of discontinuance obviously decreases the contraceptive effectiveness. and has resulted in many unwanted births which is directly related to the increase of induced abortions. In the future, the family planning program must emphasize the improved quality of initial and follow-up services. rather than more quantity, in order to insure higher continuation rates and thus more effective contraceptive protection. 3. INDUCED ABORTION As noted earlier. the use of induced abortions has been increase yearly. For example, in 1960, the average number of abortions was 0.6 abortions per women in the 15-44 age range. By 1970. that had increased to 2 abortions per women. In 1966. 13% of all women between 15-44 had experienced at least one abortion. By 1971, that figure jumped to 28%. In 1973 alone, the total number of abortions was 400,000. Besides the ever incre.sing number of induced abortions, another change has that those who use abortions have shifted since 1965 to include- not. only the middle class, but also rural and low-income women. In the future. in response to the demand for abortion services among rural and low-income w~men, the government must provide and support abortion services for these women as a part of the national family planning program. 4. TARGET SYSTIi:M Since 1962, the nationwide target system has been used to set a target for each method, and the target number of acceptors is then apportioned out to various sub-areas according to the number of eligible couples in each area. Because these targets are set without consideration for demographic factors, particular tastes, prejudices, and previous patterns of acceptance in the area, a high discontinuation rate for all methods and a high wastage rate for the oral pill and condom results. In the future. to alleviate these problems of the methodbased target system. an alternative. such as the weighted-credit system, should be adopted on a nation wide basis. In this system. each contraceptive method is. assigned a specific number of points based upon the couple-years of protection (CYP) provided by the method. and no specific targets for each method are given. 5. INCREASE OF STERILIZA.TION TARGET Two special projects. the hospital-based family planning program and the armed forces program, has greatly contributed to the increasing acceptance in female and male sterilization respectively. From January-September 1974, 28,773 sterilizations were performed. During the same time in 1975, 46,894 were performed; a 63% increase. If this trend continues, by the end of 1975. approximately 70,000 sterilizations will have been performed. Sterilization is a much better method than both the loop and pill, in terms of more effective contraceptive protection and the almost zero dropout rate. In the future, the. family planning program should continue to stress the special programs which make more sterilizations possible. In particular, it should seek to add the laparoscope techniques to facilitate female sterilization acceptance rates. 6. INCREASE NUMBER OF PRIVATE ACCEPTORS Among the current family planning users, approximately 1/3 are in the private sector and thus do not- require government subsidy. The number of private acceptors increases with increasing urbanization and economic growth. To speed this process, the government initiated the special hospital based family planning program which is utilized mostly by the private sector. However, in the future, to further hasten the increase of private acceptors, the government should encourage doctors in private practice to provide family planning services, and provide the contraceptive supplies. This way, those do utilize the private medical system will also be able to receive family planning services and pay for it. Another means of increasing the number of private acceptors, IS to greatly expand the commercial outlets for pills and condoms beyond the existing service points of drugstores, hospitals, and health centers. 7. IE&C PROGRAM The current preferred family size is nearly twice as high as needed to achieve a stable poplation. Also, a strong boy preference hinders a small family size as nearly all couples fuel they must have at least one or more sons. The IE&C program must, in the future, strive to emphasize the values of the small family and equality of the sexes. A second problem for the IE&C program to work. with in the: future is the large group of people who approves family planning, want no more children, but do not practice. The IE&C program must work to motivate these people to accept family planning And finally, for those who already practice, an IE&C program in the future must stress continuation of use. The IE&C campaign, to insure highest effectiveness, should be based on a detailed factor analysis of contraceptive discontinuance. In conclusion, Korea faces a serious unfavorable sociodemographic situation- in the future unless the population growth rate can be curtailed. And in the future, the decrease in fertility will depend solely on the family planning program, as the effect of other socio-economic factors has already been maximumally felt. A second serious factor to consider is the increasing number of eligible women due to the 1950's baby boom. Thus, to meet these challenges, the program target must be increased and the program must improve the effectiveness of its current activities and develop new programs.

  • PDF

동해안 오구굿 중 판염불에 나타난 불교음악의 영향 - 김장길의 소리를 중심으로 - (The influence with buddhist music appearing in PanYeombul out of Ogu exorcism of East coast - focused on the song by Kim Janggil -)

  • 서정매
    • 공연문화연구
    • /
    • 제34호
    • /
    • pp.277-313
    • /
    • 2017
  • 본 연구는 동해안 오구굿 중 김장길이 소리한 판염불의 악곡 중 6곡을 대상으로 선율을 분석하여 무가(巫歌) 판염불에 나타난 불교음악의 영향을 살펴본 것이다. 그 결과를 요약해보면 다음과 같다. 첫째, 2016년 10월 16일에 연행된 김장길의 판염불의 구성은 <창혼>, <예불>, <망자축원>, <장엄염불>, <대다라니>, <오방례>, <지장보살 정근>, <법성게>, <극락세계십종장엄>, <아미타불 정근>, <지옥가>로 구성된다. 다만 판염불은 같은 양중이 연행한다 하더라도 상황에 따라 더 추가되고 생략될 수 있으므로 그 절차구성은 매우 유동적이다. 그러나 김용택의 것과 비교했을 때 <지옥가> 외에 <대다라니>가 공통되는 것으로 보아 동해안 오구굿의 판염불에는 <대다라니>가 중요한 위치를 차지하는 것으로 보인다. 둘째, <대다라니>는 불가에서는 일반적으로 '신묘장구대다라니'라고 칭하고 있고 김용택도 이 명칭을 그대로 수용하고 있는데 반해, 김장길은 '염화장구대다라니'라고 하여 차별되는 명칭을 사용한다. 염화는 '손가락에 꽃을 집어들었다'는 뜻으로 불가적 의미이지만 보편적으로 사용하는 명칭이 아니다. 이로보아 김장길은 불경의 '대다라니'를 수용하되 차별된 명칭을 사용함으로써 불교의례와는 구별되는, 무의례만의 의미를 부여하고자 한 것으로 보인다. 셋째, 동해안 오구굿의 판염불은 크게 두 부분으로 나누어진다. 전반부의 <판염불>과 후반부의 <지옥가>이다. <판염불>은 양중이 앉아서 직접 징 반주를 하며 독송하고, <지옥가>는 양중이 꽹과리를 들고 일어서서 독송하는데 이때 악사들이 삼공잽이 장단으로 반주한다. 노래와 반주가 이중주처럼 주고받는 형식으로 이루어지므로 음악적으로도 가장 고조되고 강조된다. <판염불>은 판염불 지옥가로 구분해서 보기도 하지만, 한 명의 양중에 의해 독송되는 절차이므로 일반적으로 하나의 절차로 해석한다. 넷째, 김장길의 판염불에서 반주역할을 하는 징은 악구를 구분하고 악곡의 단락을 짓는 역할이다. 일자일음의 염불을 노래할 때, 숨을 고르거나 목을 가다듬는 등 호흡의 정리가 필요한데 이때 징이 그 사이를 메운다. 징은 악구를 구분하여 음악적 단락을 지어주므로, 가사의 전달을 명확하게 한다. 징의 리듬은 균등한 2소박을 제외하고는 대부분 3소박으로 이루어져 있으며, 암쇠(♩♪)보다는 숫쇠(♪♩)의 빈도가 압도적으로 많다. 또한 당김음이 자주 사용된다. 균등한 2소박의 반주에서도 엇박 또는 단장(短長) 리듬을 자주 사용하여 단조로운 균등리듬에 변화를 주어 음악적 활력을 준다. 이와 같은 엇박과 단장리듬은 긴장감을 자아내는 숫쇠리듬과 일맥상통하는 것으로, 양중 김장길만의 리듬특징으로 보아진다. 다섯째, 모든 악곡은 mi, sol, la, do, re의 5음구성이며, do'${\searrow}$la${\searrow}$sol${\searrow}$mi의 하행선율이 압도적으로 많다. 하행선율은 슬픈 느낌을 자아내는 것으로 망자에 대한 슬픔을 음악적으로 잘 표현한 것이므로, 김장길의 음악적 감각을 엿볼 수 있다. 악곡은 전체적으로 la${\searrow}$sol${\searrow}$mi의 완전4도 하행에서 sol의 시가가 짧게 나타나는 전형적인 메나리토리로 이루어져 있다. 여섯째, 김장길은 기존 염불의 가사를 수용하되 그대로 부르지 않고 그 사이사이에 '원왕생'이나 '나무아미타불' 등과 같은 가사를 삽입하였고 한문으로 구성된 예불가사에서는 '합소사~'와 같은 한글가사를 추가하였다. 또 슬픈 느낌을 표현하기위해 '이이이이이이이~'와 같은 구절을 삽입하기도 하였다. 이는 망자를 극락왕생하고자 하는 염원을 극대화함과 동시에 불교의 색채를 감소시키고 무속적인 느낌을 주고자한 것으로 보인다. 일곱째, 불교의 색채를 감소시키고자 하는 특징은 가사붙임새에서도 마찬가지이다. 예를 들어, <다게>의 끝 가사와 <칠정례>의 시작가사 사이에서는 일반적으로 휴지를 주어 단락을 구분하지만, 김장길은 오히려 휴지 없이 하나의 곡조로 진행하여 불교 독송의 색채감을 배제하였다. 선율도 일반 불교독송의 것과는 차별된다. 이는 불교의례문을 수용하되, 불가식의 염송과는 구별되는 무의례만의 특징을 부여하고자 하는 김장길의 의지로 해석된다. 여덟째, 분석한 곡목은 크게 4가지 장단으로 나눌 수 있다. 일정한 장단이 없는 <창혼> <망자축원>, 2소박의 균일한 장단의 <예불> <대다라니>, 3+2+3+2의 혼소박으로 된 10/8박자의 엇모리장단으로 된 <지장보살 정근>, 3+2+3의 혼소박으로 구성된 삼공잽이 장단의 <지옥가> 등 악곡에 따라 각기 구분되는 장단으로 이루어져있다. 이중 <지장보살 정근>은 불가에서도 자주 연행되는 의식이지만, 엇모리장단으로 되어서 무속적인 느낌을 자아내며, <지옥가> 역시 삼공잽이 장단으로 연주되어 동해안 무의례만의 특징을 이룬다.

대순진리회의 효 윤리에 나타난 종교성 연구 (A Study on the Religiosity of Filial Piety Ethics in Daesoonjinrihoe)

  • 차선근
    • 대순사상논총
    • /
    • 제27집
    • /
    • pp.171-200
    • /
    • 2016
  • 이 글은 전통 효(Filial Piety) 윤리와 대순진리회(Daesoonjinrihoe)의 효 윤리를 비교의 지평에서 분석한 것이다. 그동안 한국의 전통 효 윤리는 현대와 맞지 않는다는 이유로 변화를 요구받아 왔고, 그 핵심은 부모와 자식 간의 관계가 수직적·일방적인 게 아닌 수평적·상호 호혜적이어야 한다는 것이었다. 하지만 이에 대한 구체적인 이념과 대안에 대한 깊이 있는 연구는 거의 없었다. 이런 측면에서 한국의 대표적인 민족종교인 대순진리회가 근대화 이후에 전통과 현대의 충돌을 경험하면서 성장해 왔다는 점을 감안하면, 그 교리체계에서 효 윤리가 어떻게 구축되어 있는지를 관찰하는 작업은 전통 효가 현대적 감각에 맞게 어떻게 윤색될 수 있는지를 살피게 하는 하나의 좋은 사례를 제공해줄 수 있으리라 본다. 이것을 요약하면, 첫째, 유교와 대순진리회는 봉친(奉親)을 효 윤리로 삼지만, 유교는 가부장적인 봉건성에 입각하여 아랫사람의 일방적·맹목적 희생을 강조하고, 대순진리회는 어느 한쪽의 일방적인 희생을 지양하며 부모와 자식 사이의 상생(mutual beneficence)을 도모하고 있다. 이러한 차이는 유교적 효가 봉건질서를 추구하는 이념 속에서, 대순진리회 효가 새로운 종교적 세계인 후천 신세계의 원리인 보은상생과 인존(Respect For Man)의 이념 속에서 구축된 결과로 나타난 것이다. 둘째, 불교와 도교의 효는 부모 생전에 수복(壽福)을 누릴 것을 기원하고 사후에는 천도를 위해 발원하는 소극적·수동적인 것이다. 대순진리회의 효 역시 그러한 관념을 일부 포함하지만, 거기에 그치지 않고 부모 스스로가 죄를 벗고 앞길을 닦아나가도록 유도하는 것까지 효의 범주를 더 넓게 잡는다. 부모와 자식의 수행을 동시에 요구하는 이런 효 윤리는, 자식이 수행 끝에 종교적 목표를 이룬 연후 받게 되는 복록을 부모도 동시에 누릴 수 있게 하고자 하는 대순진리회 세계관 때문에 성립된다. 셋째, 유교와 대순진리회는 선령향화를 효 윤리로 삼지만, 무속적 사고를 배제한 본래 유교(성리학)적 세계관 속의 효는 향화의 대상을 비인격적 존재로, 대순진리회는 인격적 존재로 상정한다. 따라서 유교에 비해 대순진리회의 선령향화는 관념에 치우치지 않는다는 점에서 보다 현실적이다. 넷째, 유교와 대순진리회는 모두 조상들의 은혜를 갚고자 하나 그 은혜의 내용과 보은에 차이가 있다. 유교에서는 조상들이 생명을 준 존재이기에 그에 대한 감사로써 향화를 올리는 것만으로 효가 성립되지만, 대순진리회에서는 조상신들이 자손의 도성덕립을 목적으로 60년 적공(積功)으로써 생명을 주면서 동시에 수도를 하도록 독려하는 존재로 설정되어 있기 때문에 향화를 올리는 것과 더불어 수도까지 해야 효가 성립된다. 다섯째, 유교에서는 세속에서의 출세를 의미하는 입신양명이 효이지만, 대순진리회에서는 그 보다는 수도를 성공시켜 종교적 목표를 달성시키는 것이 더 큰 효로 규정된다. 여섯째, 유불도는 모두 도덕에 기반한 가족윤리로 효를 규정한다. 대순진리회 역시 그러하지만, 그 외에도 효에 종교적 구원을 위한 필수 윤리라는 위상을 더 부여한다. 왜냐하면 효의 부재는 세상을 병들게 하고 멸망케 하는 직접적인 원인이면서, 동시에 60년 동안 적공(積功)을 한 조상신들과 직접적으로 생명을 준 부모들의 은혜를 저버리는 배은이 개벽시대에는 용납되지 않는다고 보기 때문이다. 이러한 사실들로부터, 대순진리회는 자신의 독특한 사상을 바탕으로 하여 유불도의 전통 효 윤리들을 일부는 수용하고 일부는 재해석과 재창조 과정을 거쳐 윤색해 두고 있음을 살필 수 있다. 즉 대순진리회의 효는 인간 존중의 이념, 구체적으로는 보은상생과 인존(Respect For Man)사상 위에서 정립된 윤리 규정이며, 인격 완성과 도통이라는 종교적 목표에 도달하기 위한 나 자신의 수행이자 복록을 더불어 누리기 위한 부모의 일정한 수행까지 요구하는 개념으로 이해되고, 개벽시대에 구원을 받기 위한 필수 윤리라는 대단히 강화된 종교적 색채를 띠고 있는 것이라고 크게 그려 볼 수 있다는 말이다.

우리나라 농촌(農村)의 모자보건(母子保健)의 문제점(問題點)과 개선방안(改善方案) (Problems in the field of maternal and child health care and its improvement in rural Korea)

  • 이성관
    • 농촌의학ㆍ지역보건
    • /
    • 제1권1호
    • /
    • pp.29-36
    • /
    • 1976
  • Introduction Recently, changes in the patterns and concepts of maternity care, in both developing and developed countries have been accelerating. An outstanding development in this field is the number of deliveries taking place in hospitals or maternity centers. In Korea, however, more than 90% of deliveries are carried out at home with the help of untrained relatives or even without helpers. It is estimated that less than 10% of deliveries are assisted by professional persons such as a physician or a midwife. Taking into account the shortage of professional person i11 rural Korea, it is difficult to expect widespread prenatal, postnatal, and delivery care by professional persons in the near future, It is unrealistic, therefore, to expect rapid development of MCH care by professional persons in rural Korea due to economic and sociological reasons. Given these conditions. it is reasonable that an educated village women could used as a "maternity aid", serving simple and technically easy roles in the MCH field, if we could give such a women incentive to do so. The midwife and physician are assigned difficult problems in the MCH field which could not be solved by the village worker. However, with the application of the village worker system, we could expect to improve maternal and child hoalth through the replacement of untrained relatives as birth attendants with educated and trained maternity aides. We hope that this system will be a way of improving MCH care, which is only one part of the general health services offered at the local health centre level. Problems of MCH in rural Korea The field of MCH is not only the weakest point in the medical field in our country hut it has also dropped behind other developing countries. Regarding the knowledge about pregnancy and delivery, a large proportion of our respondents reported having only a little knowledge, while 29% reported that they had "sufficient" knowledge. The average number of pregnancies among women residing in rural areas was 4.3 while the rate of women with 5 or more pregnancies among general women and women who terminated childbearing were 43 and 80% respectively. The rate of unwanted pregnancy among general women was 19.7%. The total rate for complications during pregnancy was 15.4%, toxemia being the major complication. The rate of pregnant women with chronic disease was 7%. Regarding the interval of pregnancy, the rates of pregnancy within 12 months and within 36 months after last delivery were 9 and 49% respectively. Induced abortion has been increasing in rural areas, being as high as 30-50% in some locations. The maternal death rate was shown 10 times higher than in developed countries (35/10,000 live births). Prenatal care Most women had no consultation with a physician during the prenatal period. Of those women who did have prenatal care, the majority (63%) received such care only 1 or 2 times throughout the entire period of pregnancy. Also, in 80% of these women the first visit Game after 4 months of gestation. Delivery conditions This field is lagging behind other public health problems in our country. Namely, more than 95% of the women deliveried their baby at home, and delivery attendance by a professional person occurred only 11% of the time. Attendance rate by laymen was 78% while those receiving no care at all was 16%. For instruments used to cut the umbilical corn, sterilized scissors were used by 19%, non-sterilized scissors by 63% and 16% used sickles. Regarding delivery sheets, the rate of use of clean sheets was only 10%, unclean sheets, vinyl and papers 72%, and without sheets, 18%. The main reason for not using a hospital as a place of delivery was that the women felt they did not need it as they had previously experience easy deliveries outside hospitals. Difficult delivery composed about 5% of the total. Child health The main food for infants (95%) was breast milk. Regarding weaning time, the rates within one year, up to one and half, two, three and more than three years were 28,43,60,81 and 91% respectively, and even after the next pregnancy still continued lactation. The vaccination of children is the only service for child health in rural Korea. As shown in the Table, the rates of all kinds of vaccination were very low and insufficient. Infant death rate was 42 per 1,000 live births. Most of the deaths were caused by preventable diseases. Death of infants within the neonatal period was 83% meaning that deaths from communicable diseases decreased remarkably after that time. Infant deaths which occurred without medical care was 52%. Methods of improvement in the MCH field 1. Through the activities of village health workers (VHW) to detect pregnant women by home visiting and. after registration. visiting once a month to observe any abnormalities in pregnant women. If they find warning signs of abnormalities. they refer them to the public health nurse or midwife. Sterilized delivery kits were distributed to the expected mother 2 weeks prior to expected date of delivery by the VHW. If a delivery was expected to be difficult, then the VHW took the mother to a physician or call a physician to help after birth, the VHW visits the mother and baby to confirm health and to recommend the baby be given proper vaccination. 2. Through the midwife or public health nurse (aid nurse) Examination of pregnant women who are referred by the VHW to confirm abnormalities and to treat them. If the midwife or aid nurse could not solve the problems, they refer the pregnant women to the OB-GY specialist. The midwife and PHN will attend in the cases of normal deliveries and they help in the birth. The PHN will conduct vaccination for all infants and children under 5, years old. 3. The Physician will help only in those cases referred to him by the PHN or VHW. However, the physician should examine all pregnant women at least three times during their pregnancy. First, the physician will identify the pregnancy and conduct general physical examination to confirm any chronic disease that might disturb the continuity of the pregnancy. Second, if the pregnant woman shows any abnormalities the physician must examine and treat. Third, at 9 or 10 months of gestation (after sitting of the baby) the physician should examine the position of the fetus and measure the pelvis to recommend institutional delivery of those who are expected to have a difficult delivery. And of course. the medical care of both the mother and the infants are responsible of the physician. Overall, large areas of the field of MCH would be served by the VHW, PHN, or midwife so the physician is needed only as a parttime worker.

  • PDF

제주도 토양인 제주통의 분류 및 생성 (Taxonomical Classification and Genesis of Jeju Series in Jeju Island)

  • 송관철;현병근;문경환;전승종;임한철;이신찬
    • 한국토양비료학회지
    • /
    • 제43권2호
    • /
    • pp.230-236
    • /
    • 2010
  • 제주도 중산간지대의 용암류대지에 분포하며 현무암 및 현무암에서 유래된 화산분출쇄설물을 모재로 하는 토양으로 Andisols로 분류되고 있는 제주통을 재분류하고, 그 생성에 대하여 고찰하고자 제주통 대표단면의 형태적 특성을 조사하고, Soil Taxonomy의 표준 분석방법인 Soil survey laboratory methods manual에 따라서 토양을 분석하여 Laboratory data sheets를 작성하였다. 제주통은 oxalate 침출성 (Al + 1/2 Fe) 함량이 1.3~2.1%, 인산보유능이 65.3~72.2%, 용적밀도가 0.99~1.27 Mg $m^{-3}$으로 andic 토양 특성을 보유하고 있지 않으므로 Andisols로 분류할 수 없다. 반면에 22~150 cm 깊이에서 argillic층을 보유하고 있으며, 전 토층에서 염기포화도 (양이온 합)가 35% 미만으로 낮기 때문에 Ultisols로 분류되어야 한다. 제주통은 argillic층의 상부 15 cm 깊이에서의 유기탄소 함량이 0.9% 이상이므로 Humults 아목으로 분류될 수 있다. 또한 기준깊이에서 fragipan, kandic층, sombric층, plinthite 등을 보유하지 않으며, Haplohumults의 분류기준을 충족시키고 있다. 제주통은 무기질 토양 표면에서 75 cm 이내 깊이에서 세토의 용적밀도가 1.0 Mg $m^{-3}$ 이하이고, oxalate 침출성 (Al + 1/2 Fe) 함량이 1.0% 이상인 토층의 두께가 18 cm 이상이므로 Andic Haplohumults로 분류할 수 있다. 토성속 제어부위에서의 점토함량이 35% 이상이고, thermic 토양온도상을 보유하므로 제주통은 Ashy, thermic family of Typic Hapludands가 아니라 Fine, mixed, themic family of Andic Haplohumults로 분류되어야 한다. 비교적 건조한 제주도 서부 및 북부 해안지방에는 non-Andisols 토양이 주로 생성 발달되고, 보다 습윤한 그 외의 지역에서는 알로판 또는 Al-유기복합체가 주가 되는 Andisols 토양이 주로 생성 발달한다. 제주도 서부와 북부 지역에서 해발이 높아짐에 따라 온도가 낮아지고 강우량이 많아져 증발산량이 감소되기 때문에 Andisols이 생성되기 시작한다. 제주도 북부 중산간 지역의 용암류대지에 분포하는 제주통은 Andisols이 아니라 Ultisols로 생성 발달되고 있다. 그러나 non-Andisols 토양에서 Andisols 토양이 분포하는 전이 지대에 분포하고 있어서 Andisols로 분류되지는 않으나 그 특성을 많이 보유하고 있는 Ultisols의 Andic 아군으로 발달되고 있다. Andisols로 생성 발달되지 않은 제주통은 안정한 지형인 용암류 대지에 분포하고 있으므로 토양이 거의 침식되지 않고 충적물이 별로 퇴적되지 않기 때문에 오랫동안 토양수의 하향이동에 따른 점토 집적작용과 염기용탈작용을 받게 된다. 그 결과 점토집적층인 argillic 층이 생성되고, 기준깊이에서의 염기포화도 (양이온 합)가 35% 미만인 강산성 토양인 Ultisols로 생성발달한 것이라고 생각된다.

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

  • 강규숙
    • 대한간호학회지
    • /
    • 제2권1호
    • /
    • pp.3-33
    • /
    • 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.

  • PDF

소셜 미디어에서 정보공유를 위한 애착의 매개역할: 사회적 자본이론 관점 (Mediating Roles of Attachment for Information Sharing in Social Media: Social Capital Theory Perspective)

  • 정남호;한희정;구철모
    • Asia pacific journal of information systems
    • /
    • 제22권4호
    • /
    • pp.101-123
    • /
    • 2012
  • Currently, Social Media, it has widely a renown keyword and its related social trends and businesses have been fastly applied into various contexts. Social media has become an important research area for scholars interested in online technologies and cyber space and their social impacts. Social media is not only including web-based services but also mobile-based application services that allow people to share various style information and knowledge through online connection. Social media users have tendency to common identity- and bond-attachment through interactions such as 'thumbs up', 'reply note', 'forwarding', which may have driven from various factors and may result in delivering information, sharing knowledge, and specific experiences et al. Even further, almost of all social media sites provide and connect unknown strangers depending on shared interests, political views, or enjoyable activities, and other stuffs incorporating the creation of contents, which provides benefits to users. As fast developing digital devices including smartphone, tablet PC, internet based blogging, and photo and video clips, scholars desperately have began to study regarding diverse issues connecting human beings' motivations and the behavioral results which may be articulated by the format of antecedents as well as consequences related to contents that people create via social media. Social media such as Facebook, Twitter, or Cyworld users are more and more getting close each other and build up their relationships by a different style. In this sense, people use social media as tools for maintain pre-existing network, creating new people socially, and at the same time, explicitly find some business opportunities using personal and unlimited public networks. In terms of theory in explaining this phenomenon, social capital is a concept that describes the benefits one receives from one's relationship with others. Thereby, social media use is closely related to the form and connected of people, which is a bridge that can be able to achieve informational benefits of a heterogeneous network of people and common identity- and bonding-attachment which emphasizes emotional benefits from community members or friend group. Social capital would be resources accumulated through the relationships among people, which can be considered as an investment in social relations with expected returns and may achieve benefits from the greater access to and use of resources embedded in social networks. Social media using for their social capital has vastly been adopted in a cyber world, however, there has been little explaining the phenomenon theoretically how people may take advantages or opportunities through interaction among people, why people may interactively give willingness to help or their answers. The individual consciously express themselves in an online space, so called, common identity- or bonding-attachments. Common-identity attachment is the focus of the weak ties, which are loose connections between individuals who may provide useful information or new perspectives for one another but typically not emotional support, whereas common-bonding attachment is explained that between individuals in tightly-knit, emotionally close relationship such as family and close friends. The common identify- and bonding-attachment are mainly studying on-offline setting, which individual convey an impression to others that are expressed to own interest to others. Thus, individuals expect to meet other people and are trying to behave self-presentation engaging in opposite partners accordingly. As developing social media, individuals are motivated to disclose self-disclosures of open and honest using diverse cues such as verbal and nonverbal and pictorial and video files to their friends as well as passing strangers. Social media context, common identity- and bond-attachment for self-presentation seems different compared with face-to-face context. In the realm of social media, social users look for self-impression by posting text messages, pictures, video files. Under the digital environments, people interact to work, shop, learn, entertain, and be played. Social media provides increasingly the kinds of intention and behavior in online. Typically, identity and bond social capital through self-presentation is the intentional and tangible component of identity. At social media, people try to engage in others via a desired impression, which can maintain through performing coherent and complementary communications including displaying signs, symbols, brands made of digital stuffs(information, interest, pictures, etc,). In marketing area, consumers traditionally show common-identity as they select clothes, hairstyles, automobiles, logos, and so on, to impress others in any given context in a shopping mall or opera. To examine these social capital and attachment, we combined a social capital theory with an attachment theory into our research model. Our research model focuses on the common identity- and bond-attachment how they are formulated through social capitals: cognitive capital, structural capital, relational capital, and individual characteristics. Thus, we examined that individual online kindness, self-rated expertise, and social relation influence to build common identity- and bond-attachment, and the attachment effects make an impact on both the willingness to help, however, common bond seems not to show directly impact on information sharing. As a result, we discover that the social capital and attachment theories are mainly applicable to the context of social media and usage in the individual networks. We collected sample data of 256 who are using social media such as Facebook, Twitter, and Cyworld and analyzed the suggested hypotheses through the Structural Equation Model by AMOS. This study analyzes the direct and indirect relationship between the social network service usage and outcomes. Antecedents of kindness, confidence of knowledge, social relations are significantly affected to the mediators common identity-and bond attachments, however, interestingly, network externality does not impact, which we assumed that a size of network was a negative because group members would not significantly contribute if the members do not intend to actively interact with each other. The mediating variables had a positive effect on toward willingness to help. Further, common identity attachment has stronger significant on shared information.

  • PDF