• 생물정신의학
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• 제17권2호
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• pp.94-102
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• 2010

Objectives : Eye movement desensitization and reprocessing(EMDR) is a novel, time-limited psychotherapy originally developed for treatment of psychological trauma. The effectiveness of this therapy has been validated only for posttraumatic stress disorder ; however, EMDR is often applied to other psychiatric illnesses, including other anxiety disorders and depression. This pilot study tested the efficacy of EMDR added to the routine treatment for individuals with acute stage schizophrenia. Methods : This study was conducted in the acute psychiatric care unit of a university-affiliated training hospital. Inpatients diagnosed with schizophrenia were randomly assigned to either three sessions of EMDR, three sessions of progressive muscle relaxation(PMR) therapy, or only treatment as usual(TAU). All the participants received concurrent typical treatments(TAU), including psychotropic medication, individual supportive psychotherapy and group activities in the psychiatric ward. The Positive and Negative Syndrome Scale(PANSS), the Hamilton Depression Rating Scale and the Hamilton Anxiety Rating Scale were administered by a clinical psychologist who was blinded to the patients' group assignment. Results : Forty-five patients enrolled and forty patients(89%) completed the post-treatment evaluation. There were no between-group differences in the withdrawal rates of patients during the treatment or at the three-month follow-up session. All three groups improved significantly across each of the symptomatic domains including schizophrenia, anxiety, and depressive symptoms. However, a repeated measures ANOVA revealed no significant differences among the groups over time. Effect size for change in total PANSS scores was also similar across treatment conditions, but effect size for negative symptoms was large for EMDR(0.60 for EMDR, 0.39 for PMR and 0.21 for TAU only). Conclusion : These findings supported the use of EMDR in treating the acute stage of schizophrenia but the results failed to confirm the effectiveness of the treatment over the two control conditions in three sessions. Further studies with longer courses of treatment, more focused target dimensions of treatment, and a sample of outpatients are necessary.

• 한국ITS학회 논문지
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• 제16권6호
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• pp.182-194
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• 2017

그동안 교통관리에서 적용되던 드론 관련 연구는 도로나 차량을 검지하고 추적하는 연구가 대분이었다. 교통분야에서 영상이미지를 분석하는 목적은 기존 교통자료 수집체계(차량검지기, DSRC 등)의 한계를 극복하기 위함이다. 그런 의미에서 드론은 상당히 좋은 대안이나 최대 비행시간이 제한되어 있어 기존 수집체계를 대체하기 보다는 보완적 성격으로 활용되는 것이 타당하다. 따라서 교통조사분석을 위한 드론 활용방안에 대한 연구가 더 필요한 실정이다. 교통문제의 경우 특정 구간이나 지점에서 발생한 문제가 네트워크 전체로 확대되는 경우가 많아 드론을 이용하여 이러한 구간들에 대한 분석이 필요하다. 본 연구는 교통조사분석 활용을 위한 기초 연구로 드론으로 촬영된 고속도로 구간(800~1000m)을 단위 구간으로 분할하여 교통류 변수들을 추출하였다. 또한 영상기술의 발전으로 고고도에서 영상 촬영을 수행하였다.

• 대한지역사회영양학회지
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• 제22권4호
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• pp.307-322
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• 2017

Objectives: This study examined the effects of nutrition education focused on personalized daily energy requirement and food units using Food Exchange System on anthropometric, biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes for overweight and obese in a public health center. Methods: The subjects were 60 overweight/obese women based on BMI (educated 30 vs. non-educated 30, 50~64 years). Educated group was provided individual and/or group lessons (40 min/lesson/week, 5 week), 'Introduction: obese & health', '6 nutrients and 6 food groups', 'My obesity & daily needed energy', 'Meal planning for personalized daily energy and food units using Food Exchange Systems', and 'Smart food choices'. After education, we examined the differences in anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes between educated group and non-educated group. Results: After nutrition education, in the educated group, there were improvements on anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes in the educated group compared to the non-educated group. We observed a decrease in the mean weight, total cholesterol (TC) and the incidence of overweight/obesity and hypercholesterolemia and an increase in the mean lean body mass. The scores of nutrition knowledge, 'Function of carbohydrate, protein, vitamin, mineral' and 'Food Sources of fat, vitamin, mineral' were increased. The scores of dietary attitudes, 'Taking a joyful meal, a leisurely meal, a balanced meal, a meal with sufficient vegetables, a meal with diversity, a meal with spicy foods, a meal with overeating' were increased. The intakes of energy, carbohydrate, fat, protein, vitamin A, thiamin, Zn and cholesterol were decreased. The scores of INQ, protein, vitamin A, vitamin C, thiamin, riboflavin, vitamin B6, folate, Ca, P, Fe, Zn were increased. Conclusions: The nutrition education focused on personalized daily energy requirement and food exchange unit using Food Exchange System for overweight and obese may improve food behavior, dietary intakes and symptoms of overweight and obese, even in a community health center.

• 한국사회복지학
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• 제63권1호
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• pp.57-84
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• 2011

본 연구는 네트워크 내 개별 조직의 연계활동이 아닌 네트워크 수준의 조직간 연계인 전체 네트워크를 분석단위로 하여 전체 네트워크의 효과성을 분석하는 것을 목적으로 한다. 분석자료는 2006년 11월부터 2009년 11월까지 3년에 걸쳐 사회복지공동모금회가 후원하고, 한국사회복지행정학회가 관리운영한 '지역사회네트워크지원사업'의 대상인 10개 지역사회 네트워크 중 3개 사업단을 선정하여 사업수행 결과보고서를 포함한 관련자료와 설문조사(기관장, 중간관리자, 실무자 대상)를 통해 확보하였다. 분석을 위해 각 네트워크의 참여조직과 네트워크 사무국을 대상으로 한 설문을 통하여 조직간 네트워크의 전체적 특징을 파악하였다. 또한, 네트워크 전체의 효과성 분석을 위해 다중이해관계자관점(multiple stakeholders perspective)을 반영하여 전체 네트워크의 구조적 특징과의 관계를 규명하였다. 마지막으로, 네트워크 참여조직과 네트워크 사무국을 대상으로 한 설문조사와 문헌조사를 바탕으로 네트워크의 효과성에 영향을 줄 수 있는 환경적 요인들을 검토하였다. 분석결과 네트워크 참여조직들은 핵심 기관을 중심으로 집중되어 있는 전체적 구조를 보여주고, 네트워크가 안정적일수록 전체 네트워크의 효과성은 높은 것으로 분석되었다. 이 연구는 지역사회 네트워크 효과성 분석을 전체 네트워크 관점에서 시도하고, 개별조직, 네트워크수준, 지역사회수준의 다차원적인 다중이해관계자관점을 반영한 효과성 분석을 시도하였다는 점에서 의의가 있다. 그러나, 연구의 성격상 분석결과를 일반화하기 위해서는 광범위한 후속 연구를 통해 검증을 시도해야 한다는 한계가 있다.

• 한국인구학
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• 제28권2호
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• pp.205-217
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• 2005

이호흡기 질환에 영향을 미치는 요인을 규명 하고져 대기오염 측정망이 있는 우리나라 52개 주요 도시의 오존 측정 자료와, 전국 건강보험 자료에서 같은 도시의 만성 호흡기 질환 이환율을 측정하고, 통계청 자료를 이용하여 52개 도시를 생태적 특성으로 분류하였고 52개 도시를 분석단위로 생태적 연구를 실시하였다. 연구 결과 우리나라 주요도시의 만성 호흡기 질환 이환율은 서울이나 수도권 보다 해안 산업화 도시가 높은 경향을 보였다. GIS에 의한 만성 호흡기 질환 이환율과 오존농도의 분포는 매우 유사하였다. 호흡기질환에 영향을 주는 요인은 호흡기 질환 입원율과 외래 방문을 모두 오존 농도와 해안지역이 영향을 미친 것으로 보이나 노인인구 비율 변수를 추가하면 노인인구 비율이 높은 영향을 미쳤고 흡연비율과 해안지역이 영향을 미치는 것으로 분석되었다. 본 연구 결과로 만성호홉기질환에 영향을 주는 요인은 노인인구비율은 물론이고, 오존농도와 흡연비율, 해안 도시 등이 위험요인으로 작용할 가능성 있는 것으로 보이지만 이 연구결과 만으로 단정 하기는 어렵다. 따라서 향후 만성호흡기 질환관리를 위하여 보다 구체적인 위험요인 규명이 필요하다고 생각된다.

• 지구물리와물리탐사
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• 제17권2호
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• pp.74-87
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• 2014

동해 울릉분지에서 취득된 2차원 다중채널 탄성파 탐사자료의 해석에 의하면, 연구지역에 분포하는 제 4기 퇴적층은 침식부정합면에 의해 4개의 층서단위로 구분된다. 각 층서단위는 서로 다른 특징을 갖는 18개의 질량류 퇴적체로 구성된다. 탄성파 단면상에서 질량류 퇴적체는 캐오틱 혹은 투명한 음향상 특징을 보이며, 쐐기 혹은 렌즈상의 외부형태를 가진다. 질량류 퇴적체는 주로 울릉분지 남쪽사면 일대에 중첩되어 분포하며, 분지중앙으로 향하면서 층후가 얇아지는 경향을 보인다. 시간구조도에 의하면 연구지역의 중앙에는 주변보다 융기된 지형과 북서 및 북동방향의 저지대가 발달한다. 등시층후도에 의하면 연구지역의 남쪽으로부터 기원한 질량류 퇴적체는 사면을 따라 분지중앙으로 유입되었으며, 지구조운동으로 형성된 융기지형에 의해 두 방향으로 분리되어 발달하였다. 결과적으로 울릉분지에 분포하는 제 4기 질량류 퇴적체의 발달은 다량의 퇴적물 공급, 저해수면시기 동안의 가스하이드레이트 해리, 중앙부에 위치한 융기지형 등의 요인에 의해 크게 조절되었다.

• 한국습지학회지
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• 제11권1호
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• pp.75-82
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• 2009

기존의 하천 수질을 규제하던 농도규제방식은 오염부하의 양적증가를 통제할 수 없어 수질개선에 한계성을 지니고 있었다. 수질오염총량관리제도는 폐수 중 오염물질의 총량을 규제하여 환경기준을 달성할 수 있는 허용부하량 이내로 배출 오염물질의 총량을 할당, 규제할 수 있다. 수질오염총량관리제도의 하수발생량 산출시 실측한 값을 사용하지 않고 오염원별 발생원단위를 곱하여 산출하여 실측한 data를 이용한 산출값과 차이가 있다. 수질오염총량관리에 의한 산출결과를 보면 건기시 관거유입량 $26,460.9m^3$/d, 관거이송유량 $17,778.6m^3$/d로 실측한 data를 이용하여 산출한 관거유입량 $17,106.1m^3$/d, 관거이송유량 $19,033.9m^3$/d로 차이가 났으며, 우기시의 경우 수질오염총량관리에 의한 관거유입량 $49,512.2m^3$/d, 관거이송유량 $18,628.7m^3$/d로 실측한 data를 이용하여 산출한 관거유입량 $30,918.2m^3$/d, 관거이송유량 $19,700.7m^3$/d로 차이가 났다. 오염 부하량의 기초값인 하수발생량이 실측한 하수발생량과 차이를 보여 효율적인 제도 수행에 문제점이 있는 것으로 판단된다.

• Journal of Preventive Medicine and Public Health
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• 제9권1호
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• pp.109-116
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• 1976

Reorganization of myun health care service is one of the main issues in health care delivery in rural Korea. The fundamenta, concept of the role and function of the myun health subcenter is that it is the basic unit of rural health care service and is to provide comprehensive health care service through the integration of curative and preventive services. The aim of this study is to analyze the patterns of curative activities in the myun health subcenter in terms of the most prevalent types of diseases, necessary diagnostic methods and required equipment, types of treatment, necessary drugs and materials, and finally the cost of curative services. The population on which this study was done was the 1596 patients who visited the two myun health subcenters (Sunwon Myun and Naega Myun) in Kang Wha County, the area of the Yonsei University Community Health Teaching Project, during period from May 1, 1975 to June 10, 1976. For the patient's record in the clinic, problem oriented medical records were used. Decisions regarding the disease classification, the diagnostic methods used and selection of the most appropriate and adequate medical treatment were made by a group of three experienced physicians after reviewing the medical records which had been written by public physicians who were treating patients in the study area. The records were reviewed by resident staff members of the Department of Preventive Medicine, of Yonsei University College of Medicine. A brief summary of results of the study is as follow: 1. 29.9% of the patients who visited the clinics were ages between 0-4. No sex difference was observed among patients less than 20 years of age. However, among patients over 20 years old, females predominated. Thus it is evident that the majority of patients were either children or mothers and grandmothers. 2. The distance from the individual villages to the myun health subcenter was one of important factors in determining the ratio of clinic visits. However, other factors such as the activities of the health workers also affected the rates substantially. 3. The most common 25 diseases comprised 90.2% of all the diseases recorded. Acute respiratory infection (25.5%), Skin (12.7%) , diarrheal diseases (6.8%), neuralgia and back pain (4.9%) and. all other injuries (3.9%) were the five most common diseases. 4. Of all the diseases diagnosed and treated, 9.2% required simple laboratory tests for diagnosis, 6.5% required X-ray examination, and altogether 13.6% required either laboratory test or X-ray examination. 5. Treatment and management of 42.0% of the cases could be accomplished with simple, inexpensive drugs, 12.8% required the use of more expensive drugs (mostly antibiotics) and injections were required in 19.7% of the cases. Minor surgery and referral were necessary in 5% of the cases. 6. The cost for diagnosis and treatment was estimated with a standard which was set by general concensus. The average cost of diagnosis was 144 per case and the cost of treatment was 726 per case, The Total average cost per visit was 870.

• 가정과삶의질연구
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• 제10권2호
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• pp.209-229
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• 1992

The purpose of this study is to develop Family Life Education program for Marital education in Korea. In order to realize the about research purpose, this study is divided into three sections. First, nature conception and contents f Family Life Education, second, patterns and models for Family Life Education Program in USA and Korea, and Third, the future of Family Life Education. Family Life Education (FLE) is an education originated in reaction to changing social conditions, industrialization and urbanization, it deals with the perceived inadequacies of families to cope with these changes, thereby reduction social problems involved with, and improving family life. With and assumption that the studies about FLE have not been so active in Korea, the present thesis examines the FLE in Korea. The necessity of marital education in Korea Is based upon the theories of FLE in the United States of America. Also, it atempts to formulate a tentative plan for the promotion of a FLE program in Korea. The concept of FLE in Korea was manifested in the social educational law and life-span education. specified as 4th among ten presidential regulations. It is defined as " the Life-span developmental education to enhance the quality of human life, to solve family problems, to develop an individual's potentiality and to strengthen the family relations. of the FLE programs, the marital education is considered one of the furcial wubjects becaused it is the core of the family life. With this premise, FLE tries to wupport the healthy mrital relations. subsequently helping to explore the family potentiality and to strengthen family ties. The objects of the FLE program are unmarried, pre-marred , and married persons. For the married persons, the FLE program should be arranged in accordance with their rrital status divided by the family life cycle so that they may prevent possible family problems at each stage of the family life. Also, to prevent the problems occurred in the course of carrying out family functions, the FLE program should be provided with on the basis of a family unit, thereby improving the quality of the family functions. The FLE is to hep persons begin smoothly the adaption process for a successful marital relations. For the FLE to be practised more widely systematically, research on family education--that is basic study, research and production and evaluation or the FLE to be carried out by research institute wholly responsible for it-- should be done first.

• 가정과삶의질연구
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• 제28권6호
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• pp.35-46
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• 2010

The purpose of the study was to identify the potential buyers' consciousness of single-family housing to provide useful data to help future single-family housing supplies in Ulsan. The study selected residents in Ulsan, who were over twenty and had an interest in living in a single-family housing. A survey was conducted from September 11, 2008 to September 25, 2008. The sample consisted of 364 persons who are currently live in Ulsan metropolitan area. The results are as following. About two thirds of the sample had the desire to live in a single-family housing. Moving into a single-family housing had financial preparation as the greatest issue. When moving into a single-family housing, the convenience of the residential district was the greatest consideration, whether or not it is a green environment, pollution level, etc. The potential buyers valued environment-friendly features and also had a very strong desire to own their own house. Many of them wanted to design and build their own single-family housing within a budget of 100-200 million KRW. In terms of the location, there was a higher preference for the riverside or lakeside rural areas outside the city. In terms of size, the preference was less than $330m^2$, which includes $99-132m^2$ for residential. When considering a single-family housing the direction was the most important feature, along with eco-friendly and safer materials and equipments. When building the single-family housing the potential buyers considered the community spaces first with a preference for having three bedrooms and two bathrooms. For the exterior, they wanted a unique shape of roof and there were high preferences for brown and beige colors. In terms of housing complexes, the potential buyers preferred individual unit types over complexes. If they preferred housing complexes, they wanted the cluster form complex with about 10-30 units. The complex also required a park-like setting with a guard system, which shows that convenience and safety were the most important features. In terms of complex management, they considered environmental management as the most important feature. The potential buyers were willing to pay belw 200,000 KRW, which showed their desire to minimize financial burdens.