• 제목/요약/키워드: Improve of the Quality of Life

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삶의 질 향상을 위한 강원도 스포츠복지 정책방향 연구 (A Study on the Policy Directions of Sports Welfare in Gangwon Province for Improving Quality of Life)

  • 김흥태;김태동
    • 한국엔터테인먼트산업학회논문지
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    • 제13권8호
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    • pp.411-424
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    • 2019
  • 본 연구는 강원도민의 건강을 통한 삶의 질 향상은 물론 행복하고 즐거운 삶을 영위할 수 있는 실현가능한 스포츠복지 정책방향을 모색하는 것이 목적이다. 연구의 주요내용은 스포츠복지 개념 및 정책동향, 강원도 스포츠강좌이용권 사업 현황, 스포츠복지정책 방향 등 크게 세 부분으로 구성하였다. 스포츠강좌이용권 사업 중심의 강원도 스포츠복지 정책 방향으로는 다음과 같은 방향을 제시하였다. 첫째, 수요자 맞춤형 스포츠복지정책 추진이다. 이를 실현하기 위해, 스포츠강좌이용권 사업 고도화를 추진하여야 한다. 또한 생애주기별 보편적 복지로의 접근 강화 추진을 제안하였다. 둘째, 공공체육시설 활용과 다양한 프로그램 개발을 제안하였다. 강원도내 스포츠강좌이용권 사업 활성화를 위한 공공체육시설을 적극 활용할 것을 제안하였다. 또한 다양하고 차별화된 교육프로그램을 개발·보급하고, 수혜 대상자에게 효과적으로 전달하기 위해, 강원도체육회 또는 강원도 사회복지모금공동회에 「스포츠복지 관련 교육 프로그램」을 개설하고 「스포츠복지 전문가 육성」을 통해 스포츠복지 중요성에 대한 인식의 확산 도모, 「지역 스포츠복지 연구회를 구성하여 적극적인 활동을 지원토록 할 것을 제안하였다. 셋째, 인적자원 육성과 네트워크화이다. 이의 효율적인 추진을 위해, 「스포츠복지사 교육기관 설립」을 설립과 함께 전문가의 시각에서 스포츠복지 진흥 발굴 및 활용을 위한 「스포츠복지 연구·개발」 네트워크 구축 등을 제안하였다. 넷째, 제도 정비 및 지원체계구축이다. 이는 가칭 「강원도 스포츠복지추진위원회」의 구성, 행정지원체계의 일원화를 위해 단기적으로는 보건복지여성국 또는 문화관광체육국내에 가칭 「스포츠복지 사업 지원팀」 신설, 도내 인구학적 특성을 반영한 수요에 대응하여 장기적으로는 가칭 「강원도스포츠복지 지원센터」로 확대할 것을 제안하였다. 또한 강원도 지역 특성에 적합하고 전 도민이 혜택을 부여받을 수 있는 맞춤형 스포츠복지 실현을 위해서는 예산과 인력이 필요하기 때문에 「강원도스포츠복지 진흥 조례」 제정으로 법적 근거를 마련하고, 스포츠 복지진흥의 저변 확대를 목적으로 스포츠강좌이용권 사업을 보완한 가칭 「강원도 스포츠복지 경진대회」 개최를 추진할 것을 제안하였다.

병동형 호스피스 대상자를 위한 전인적 호스피스 간호중재 프로그램의 개발 (Development of Wholistic Hospice Nursing Intervention Program for In-patient of Hospice Palliative Care Unit)

  • 강은실;최성은;강성년
    • 호스피스학술지
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    • 제7권1호
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    • pp.29-45
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    • 2007
  • People in the end of life and their families suffer in their physical disease and other aspects as a whole person. They need hospice care to palliate their total suffering in physical, emotional, social and also spiritual aspect through professional hospice team. To care their whole personal needs, hospice team must be a multi-discipline team which consists of medical doctors, nurses, social workers, pastors and volunteers. Recently those who die in hospice palliative care unit have trend to increase more than in home year by year. So it is necessary to develop the nursing intervention program to be performed by multi-discipline team approach for in-patient of hospice palliative care unit. The purposes of this study were to develop of wholistic hospice nursing intervention program for inpatient of hospice palliative care unit. The subjects of study were collected from 30 patients those who were over 18 years old and admitted in hospice palliative care unit of S hospital in P city with agreement in hospice palliative care in their terminal disease. The period of data collection was from December 15, 2003 to March 15, 2004. The result were as follows : 1. The result of Wholistic Hospice Nursing Program's development was as follow : A Wholistic Hospice Nursing Program was developed by me in this study is one of the service program for hospice palliative care unit. It was named as ‘Rainbow Program’ to be approached easily by hospice patients. The purposes of it are to improve the quality of life of the terminal patients with their dignity, to help them live in abundant and meaningful in their lives, to care them in peaceful in dying process with understanding them in whole personal, and also to palliate the grief and suffering of the bereaved. It was provided by hospice professionals(nurses, medical doctors, social worker, pastors, art therapists) and volunteers those who were educated in hospice for multi-diciplinary team approach to collaborate with each role play I 20-30 minuters of each through visiting their rooms individually and a place of hospice palliative care unit of S hospital in P city. The subjects of it were the terminal patients those who admitted hospice palliative care unit and their familes. with agreement in hospice palliative care in their terminal disease. The characteristics of it were multi-disciplinary team approach, whole personal care, individual care and total care according to their needs in their condition. The contents of it were pain control, symptom control, counseling patient, counseling family, hair cutting, hair shampooing, bed bath, recreation, taking a walk, event of culture(screen, recital, festival of praises, exhibition and so on), pastoral counseling, ritual service in bed, praying, service in bed, sing a worship praise, listening to the music, sharing remembrance of life, individual visiting music service(sing and praying), meditation Bible, art therapies(dance and drawing), social worker's counselling, confessing and sharing love and thanksgiving. The experimental group subjects participated in Wholistic Hospice Nursing Program which takes 120 minutes per session, total 10 sessions(total 1,200 minutes) altogether. In conclusion, this Wholistic Hospice Nursing Intervention can be used actively for whole personal well-being of the patients in hospice palliative in hospice palliative care unit and also applied in hospice practice as an useful model of multi-disciplinary team approach by hospice professionals.

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Spinal cord stimulation in chronic pain: technical advances

  • Isagulyan, Emil;Slavin, Konstantin;Konovalov, Nikolay;Dorochov, Eugeny;Tomsky, Alexey;Dekopov, Andrey;Makashova, Elizaveta;Isagulyan, David;Genov, Pavel
    • The Korean Journal of Pain
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    • 제33권2호
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    • pp.99-107
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    • 2020
  • Chronic severe pain results in a detrimental effect on the patient's quality of life. Such patients have to take a large number of medications, including opioids, often without satisfactory effect, sometimes leading to medication abuse and the pain worsening. Spinal cord stimulation (SCS) is one of the most effective technologies that, unlike other interventional pain treatment methods, achieves long-term results in patients suffering from chronic neuropathic pain. The first described mode of SCS was a conventional tonic stimulation, but now the novel modalities (high-frequency and burst), techniques (dorsal root ganglia stimulations), and technical development (wireless and implantable pulse generator-free systems) of SCS are becoming more popular. The improvement of SCS systems, their miniaturization, and the appearance of new mechanisms for anchoring electrodes results in a significant reduction in the rate of complications and revision surgeries, and the appearance of new waves of stimulation allows not only to avoid the phenomenon of addiction, but also to improve the long-term results of chronic SCS. The purpose of this review is to describe the current condition of SCS and up-to-date technical advances.

The Meaning and Usefulness of Simulation Method for Business Process Reengineering -Focused on the Korean Supreme Court BPR Project (1994-2003)-

  • Hong, Sung-wan;Roh, Tae-hoon;Kang, Sung-min;Lee, Jung-woo;Kang, Ga-na
    • 한국시뮬레이션학회:학술대회논문집
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    • 한국시뮬레이션학회 2001년도 The Seoul International Simulation Conference
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    • pp.170-202
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    • 2001
  • Simulation is used to reduce a risk involved in the new project and decision-making in an organization and to save cost and time by forecasting different situations. The objectives of this research are to acknowledge the need of simulation through the real life sample and to encourage the use of the simulation method in the future consulting project by continuously making the necessary improvements. This research analyzed the effectiveness of the simulation based on the sample use of simulation method in 1994 and 1997 for the BPR project of certification issuance process at the Supreme Court. In order to evaluate the value of the proposed simulation model, we examined the gap, which existed between the simulation result and the operational data collected by visiting the actual sites where AROS (Automated Registry Office System: automation system developed by LG-EDS Systems) is being utilized. We also identified the causes for the existing gap. According to the analysis result, (1) the gap came from the status change of thinking that the concentration of certification issuance request has eased after the computerization, (2) the gap existed in the operational process because they failed to consider the situational factors of each registry office in the simulation model, and (3) lastly the gap came from the difficulty of formulating the mathematical model for predicting the complex and diverse behavior pattern of individuals requesting the certification issuance. In order to narrow the existing gaps, we made a proposal to improve the certification issuance process where software of certification issuance vending machine was upgraded in order to help the people to use the service conveniently, more part time workers were hared when there was a overload of certification issuance request, and the quality of the certification Issuance vending machine is improved, In this research, we examined an efficient way of resource allocation based on the simulation conducted in 1994 and 1997. By reflecting changes since the simulation of 1994 and allocating the clerk and machine based on the predicted results of the simulation, we maximized the efficiency of the certification issuance process. In conclusion, this research examined the future usability of simulation method based on the analysis result and identified the key issues to consider when using the simulation method in the future consulting project.

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토지 및 건축물특성에 따른 정비사업 추진 분석 - 부산광역시 사례를 중심으로 - (Analysis of the Implementation of the Residential Improvement Project Considering Land and Building Characteristics - The Case of Busan Metropolitan City)

  • 장진혁;문재순;최열
    • 대한토목학회논문집
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    • 제38권2호
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    • pp.337-347
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    • 2018
  • 정부는 노후불량주거지에 대한 개선책으로 "도시 및 주거환경정비법"을 통한 주거지정비사업을 시행하고 있다. 하지만, 최근 경제성장 하락을 포함한 다양한 요소가 복합적으로 작용하여 정비사업 추진은 난항을 겪고 있다. 정비사업의 추진실적이 저조함에 따라, 그 원인을 규명하여 사업의 추진성을 향상시키고자 다양한 연구가 진행되어 왔다. 이러한 연구의 동향에서, 본 연구는 부산시를 대상으로 토지 및 건축물특성에 따른 정비사업 추진 분석을 진행하였다. 분석 간 종속변수는 "도시 및 주거환경정비법"에서 명시하는 바와 같이, 추진단계를 종합적 단계적으로 구성하였다. 그리고 정비(예정)구역 지정 시 기준이 되는 토지 및 건축물특성을 독립변수로 설정하였다. 순서형로짓모형을 통해 이를 분석하였으며, 지형적 여건, 조합원 수와 관련된 요인, 분양가에 영향을 미치는 요인, 입지적 여건이 사업 추진에 유의미한 영향을 미치는 것으로 추정되었다. 분석결과를 종합하면, 다수의 요인이 사업의 경제성과 연관되어있음을 알 수 있다. 노후불량주거지에 대한 도시계획사업의 일환으로 진행되는 주거지정비사업은 공공성이 요구되는 사업인 만큼, 단순 사업의 경제성과 연관된 요인에 편중되기보다 해당 정비구역의 주거환경을 고려하여 정비 시급성에 의한 사업추진이 필요해 보인다. 이에 따라, 신속하고 합리적인 사업 추진을 당부하는 바이며, 사업추진 지연에 따른 행정적 경제적 손실 등을 미연에 방지해야 할 것이다.

지속가능발전 및 지속가능발전교육에 대한 대학생과 교사들의 인식 (The Awareness of Teachers and College Students towards Sustainable Development and Education for Sustainable Development)

  • 이선경;이재영;이순철;이유진;민경석;심숙경;김남수;하경환
    • 한국환경교육학회지:환경교육
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    • 제19권1호
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    • pp.1-13
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    • 2006
  • This study was aimed to explore the level of awareness of Korean teachers and college students towards sustainable development(SD) and education for sustainable development(ESD). A survey was conducted to understand the present status of awareness of SD and ESD among 317 college students and 625 teachers in Korea from April to May of 2005. The questionnaire included items asking whether they heard about terms such as sustainability or sustainable development, the source of information on SD, the level of understanding or the urgent task for SD in Korea. It also included questions about experiences in participating in or conducting ESD, the need for ESD, important areas in and the modality for ESD and the willingness to participate in ESD. The results showed that the level of awareness on SD among teachers was low compared to college students, who have a relatively high level of access on SD issues through textbooks and classes in high school. Interestingly, most of college students replied that they never received any ESD, even though they learned SD in class. Both the teacher and student group thought that tile priority of sustainable development should be an 'environment-related' area in the social, economical and environmental perspectives. Most of the students and teachers considered the concept of SD as 'pursuing the balance between environmental protection and economic development.' Some of the teachers recognized the concept of sustainable development in the paradigm of continuous economic development. Both groups responded that the urgent task related to sustainable development is 'environmental protection' and the 'reduction of poverty.' On the other hand, they had experiences in teaching related to natural resources, gender equity, health, human rights, climate changes and other SD issues in class, but not under the name of ESD. They also emphasized 'critical thinking and problem solving & decision-making' in education. Most of the students and teachers responded that it was needed to carry out ESD, and that the way of life for SD would be the priority. It is suggested that various pedagogy and modalities according to various target groups should be considered in providing ESD. It is necessary to use more effective strategies for ESD rather than just introducing the concept of SD. Also, it is needed to review the ESD practices of teachers and improve the quality of education within the scope of ESD.

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지역사회 재가 암환자 관리 체계 구축 - 일 시 지역을 중심으로 - (Development of a Community-Based Management System of Home-Stay Cancer Patients)

  • 김분한;정연
    • Journal of Hospice and Palliative Care
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    • 제4권2호
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    • pp.154-160
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    • 2001
  • Purpose : This study, as the first year project of setting up a community based management system, was attempted for the cancer patients and their family to improve their quality of life; investigating and managing the cancer patients, educating volunteers and connecting the patients with the volunteers were performed. Method and result : The education of managing cancer patients for the volunteers was done once in lune for 2 days to the 80 volunteers. Questions about education effect, volunteer motivation and so on were made up. The survey showed, generally, education satisfaction level was high and a longer education and an intensive course were needed and was suggested that organizing a volunteer community be needed for the continuous further education and systematic management. As the result, after the public health center and volunteers deliberated, a volunteer community consisting of 4 teams, 28 members was organized, launched in Oct. and operated for the cancer patients and their family. For investigating and enrolling the patients, advertising on a local information paper, recommending of local doctors, publicizing by educating the heads of a subdivision of the city, the heads of a neighborhood association and the people in charge of the related local communities such as women's society, and surveying the community by volunteers were performed and the total, 41 patients were registered. Management of cancer patients was carried out by volunteers in a community and in a nursing school. A regional volunteers' community is composed of 23 members and they have worked 87 times, that is 3.8 times per capita on an average. The content of duties is attending the education (41.1%) the most. A volunteers' community of nursing students composed of 12 members have worked 135 times, that is 11.3 times per capita on an average. The content of duties - consulting with patients and home visiting (37.8 %) were the most and survey for investigating the cancer patients was the second. Conclusion : This study has the meaning that this is the guiding attempt in building a community based management system, and especially the achievement of this study is that a regional society organized a volunteer community for the cancer patients by itself and went into action for the cancer patients and their family. Furthermore, to activate this volunteering, it is necessary to keep managing volunteers and running continuing education or the intensive course of the volunteers. Indeed we should let the patients have good impression on this program through publicity and education for the residents to keep track of more cancer patients. For that, systematic and powerful cooperation of a self-administrative organization is required.

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선형가속기의 10년간 관리 자료를 바탕으로 한 통계분석 (Statistical analysis of failures of a medical linear accelerator over ten years)

  • 주상규;허승재;한영이;서정민;김원규;김태종;박영환
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2004년도 제29회 추계학술대회 발표논문집
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    • pp.158-161
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    • 2004
  • 방사선 치료의 핵심 장비인 선형가속기의 10년간 관리 기록을 분석하여 효율적인 관리 지표로 활용하고자한다. 장비의 장애 요인을 다각적으로 분석하기위해 고장 원인을 치료기 부위별로 세분했고 각각이 미치는 영향을 세 단계로 구분하여 조사했다. 또한 장비 사용량이 고장에 미치는 영향을 분석하기 위해 년도별 치료 환자수와 고장건수, 중요 부속의 평균 수명 등을 분석했다. 10년간 전체 고장건수는 587건 이였으며 이중 조사헤드부의 고장이 20%를 자치해 가장 높게 나타났으며 고장이 미치는 영향에 의한 분석에서는 일시적 장애해 당하는 중간 정도의 고장이 41%를 차지해 가장 높게 나타났다. 장애 영향이 가장 큰 조사 불가능 상태의 고장은 가속부에서 49%로 가장 높게 나타났으며 고장과 관련된 지표는 사용연수 및 치료건수와 밀접한 관계를 나타냈다. 중요 부속의 평균 수명은 클라이스트론과 싸이라트론의 경우 치료건수가 증가함에 따라 교체 주기가 빨라져 각각 제조사 권고치의 42%, 83% 수준이였다. 안정적인 치료서비스 제공을 위해서는 사용 연수가 증가함에 따라 장비 관리의 필요성이 더욱 중요시 되어야하며 10년간 장비 관리기록을 통해 얻은 각종 지표가 향후 효율적 관리의 좋은 지침이 될 것으로 사료된다.

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아인산염 처리에 따른 철원양파의 페놀화합물 비교 연구 (Comparative Study on Phenolic Compounds of Cheorwon Onion by Phosphite Treatment)

  • 김연복;이희종;박철호;김동현;구현정;장광진
    • 현장농수산연구지
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    • 제20권2호
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    • pp.105-114
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    • 2018
  • 본 연구는 다른 지역에 비해 일교차가 큰 철원 지역에서 재배되고 있는 양파에 친환경제제로 사용되는 아인산염을 농도별로 처리하여 생육특성과 페놀화합물 함량의 변이를 알아보기 위해 수행되었다. 그 결과 아인산염 처리 후 양파의 구무게, 너비, 폭과 당 함량에는 큰 영향을 미치지 않았다. 반면 페놀화합물에는 영향을 미쳐 아인산 500ppm을 처리했을 때 벤조산, 카페산, 쿠마린산, 캠페롤, 쿼르세틴 함량이 무처리구보다 다소 높은 함량을 보였다. 따라서 아인산염은 생육에는 큰 영향을 주지는 않았지만 물질 변화에 영향을 미쳐 물질 촉매제 역할과 수용성 인산과 칼리를 공급하여 장마기에 질소와 균형을 이룰 수 있는 방법으로도 큰 역할을 할 수 있다고 사료된다.

중대뇌동맥 영역에 발생한 다발성 뇌경색 환자의 보행장애에 대한 한의 복합 치료: 증례보고 1례 (Case Report of Multiple Cerebral Infarction in Middle Cerebral Artery with Gait Disturbance Treated by Korean Medicine)

  • 채인철;최인우;양지혜;강지윤;유주영;정은선;김윤식;설인찬;유호룡
    • 대한한방내과학회지
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    • 제42권2호
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    • pp.75-85
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    • 2021
  • Objectives: This study reported about a patient with a right middle cerebral artery infarction whose gait disturbance was improved by Korean medicine treatment. Methods: The patient was treated with a Korean herbal medicine (Gami-yukmijihwang-tang) along with acupuncture, electroacupuncture, moxibustion, cupping, and physical therapy. The treatment effect was evaluated with the manual muscle test (MMT) and the Korean version of the modified Barthel index (K-MBI). The gait of the patient was evaluated by a 10-m walk test (10MWT), the timed up and go (TUG) test, the functional ambulation profile (FAP) score, and the functional ambulatory category (FAC) score. Spatiotemporal parameters were evaluated using a walkway system (GAITRite®, CIR Systems, Inc., USA). Results: After 83 days of traditional Korean medicine treatment, the K-MBI and FAC scores improved from 50 to 70 and from 1 to 4, respectively. The 10MWT and TUG tests also improved from 24.86 to 16.66 sec and from 22.35 to 17.62 sec, respectively. GAITRite® measurements reflected gait improvements: the FAP score improved from 55 to 86 sec; the step time improved from 0.72 to 0.669 sec; the step length improved from 31.076 cm to 41.284 cm; the gait velocity improved from 42.8 cm/sec to 64.1 cm/sec; the cadence improved from 93.6 steps/min to 90.8 steps/min. No adverse effects resulting from treatment or evaluation occurred during the admission period. Conclusions: This study suggests that traditional Korean medicine treatment may reduce symptoms and improve the quality of life in patients with cerebral infarction.