• 제목/요약/키워드: Information support

검색결과 13,674건 처리시간 0.048초

국방분야 민간자원의 효율적 활용방안 - 정비, 보급, 수송, 교육훈련분야를 중심으로 - (Efficient Utilization of Private Resources for the National Defense - Focused on maintenance, supply, transportation, training & education -)

  • 박균용
    • 안보군사학연구
    • /
    • 통권9호
    • /
    • pp.313-340
    • /
    • 2011
  • The National Defense Reformation bill of "National Defense Reformation 2020" which have been constantly disputed and reformed by the government went through various levels of complementary measures after the North Korean sinking on the Republic of Korea (ROK) Naval Vessel "Cheonan". The final outcome of this reform is also known as the 307 Plan and this was announced on the 8th March. The reformed National Defense Reformation is to reduce the number of units and military personnel under the military structure reformation. However, in order for us to undertake successful National Defense Reformation, the use of privatized civilian resources are essential. Therefore according to this theory, the ROK Ministry of National Defense (MND) have selected the usage of privatized resources as one of the main core agenda for the National Defense Reformation management procedures, and under this agenda the MND plans to further expand the usage of private Especially the MND plans to minimize the personnel resources applied in non-combat areas and in turn use these supplemented personnel with optimization. In order to do this, the MND have initiated necessary appropriate analysis over the whole national defense section by understanding various projects and acquisition requests required by each militaries and civilian research institutions. However for efficient management of privatized civilian resources, first of all, those possible efficient private resources which can achieve optimization will need to be identified, and secondly continuous systematic reinforcements will need to be made in private resource usage legislations. Furthermore, we would need to consider the possibility of labor disputes because of privatization expansion. Therefore, full legal and systematic complementary measures are required in all possible issue arising areas which can affect the combat readiness posture. There is another problem of huge increase in operational expenses as reduction of standby forces are only reducing the number of soldiers and filling these numbers with more cost expensive commissioned officers. However, to overcome this problem, we would need to reduce the number of positions available for active officers and fill these positions with military reserve personnel who previously had working experiences with the related positions (thereby guaranteeing active officers re-employment after completing active service). This would in tum maintain the standards of combat readiness posture and reduce necessary financial budgets which may newly arise. The area of maintenance, supply, transportation, training & education duties which are highly efficient when using privatized resources, will need to be transformed from military management based to civilian management based system. For maintenance, this can be processed by integrating National Maintenance Support System. In order for us to undertake this procedure, we would need to develop maintenance units which are possible to be privatized and this will in turn reduce the military personnel executing job duties, improve service quality and prevent duplicate investments etc. For supply area, we will need to establish Integrated Military Logistics Center in-connection with national and civilian logistics system. This will in turn reduce the logistics time frame as well as required personnel and equipments. In terms of transportation, we will need to further expand the renting and leasing system. This will need to be executed by integrating the National Defense Transportation Information System which will in turn reduce the required personnel and financial budgets. Finally for training and education, retired military personnel can be employed as training instructors and at the military academy, further expansion in the number of civilian professors can be employed in-connection with National Defense Reformation. In other words, more active privatized civilian resources will need to be managed and used for National Defense Reformation.

  • PDF

중국 간호교육관련 연구실태 분석 (An Analysis of Nursing education Research in China : 1990-1998)

  • 고일선;이춘옥;김경애
    • 한국간호교육학회지
    • /
    • 제5권2호
    • /
    • pp.177-190
    • /
    • 1999
  • This study has been conducted on the basis of the literature review of Nursing Education Research in China from 1990 through August 1998. Its purpose was to support the basic data of nursing education which is risen as major revolutionary of nursing in China and those for exchange of information between Korea-China nursing education. It is retrospective and descriptive research analyzing one hundred eighty articles published in The Journal of China Nursing. The results of the study were as follows. 1. Only 33.3% of the professors of Technical Nursing School who have played of major role of nursing education in China have carried out the study related to nursing education. Baccalaureate program professors have marked 22.2% of all studies, and diploma program professors have done 12.2% of all. Therefore, the professors of above the diploma program have done total 44.4%. It explains that the professors of baccalaureate and diploma programs have done more studies related to nursing education than those of Technical Nursing School. 2. In terms of the study design, most of the studies(38.8%) were case studies introducing the curriculum contents that were done at education institutions. And then, 28.5% were reviewing the articles, and 15.6% were descriptive studies. 3. In terms of the content of the study, 38.3% were relevant to education of Technical Nursing School, 15.0% were about baccalaureate education, and 10.4% is about diploma. 4. To analyze the specific contents of the studies ; a. In baccalaureate program, human resources (professor or teaching), course extension, lab, classes, teaching method, education philosophy, goal of education, evaluation method, and human resource development were included. b. In diploma program, teaching contents evaluation method, teaching method, and educational system were included c. In the technical school, there were qualification of professors , teaching method, evaluation method, opening the courses, teaching contents, goal of education and so on. d. Beyond these, there were practice guidance and appraisement, teaching method, and opening new courses which were not specially indicated as educational curriculum and score management as continuing education. What is above tell us that the study regarding development of university system has been progressed actively and widely. It has been for the effort of revolution which based on the China government force to reform of nursing education process during last 10 years. On the base of the result, we suggest the following questions and the alternatives. 1) Since most articles are case studies related to teaching methods and the others doesn't propose the research method. the study which is applied more exact research method is needed. 2) No study is regarding social change and health policy. Because University program, founded in 1983 is on the beginning point, the research about curriculum have to be taken as a top priority as well as to reflect social needs which are based on social changes and national health policy 3) Only one review article study tells nursing Human resource. To appear in large numbers in nursing manpower, avoid the present hospital nurses training system. Then, the study for manpower development which is able to accomplish in many fields has to be advanced. 4) Most studies did not have literature review processes, so it was impossible for researcher to know the past study tendency and there is no relation among studies as to same subject, the education about research method is needed.

  • PDF

국제상사조정 및 중재제도 개선에 관한 UNCITRAL 논의동향 (Discussion by UNCITRAL for Development of International Commercial Conciliation and Arbitration Systems)

  • 이강빈
    • 한국중재학회지:중재연구
    • /
    • 제10권1호
    • /
    • pp.3-25
    • /
    • 2000
  • At its thirty-second session in 1999, the UNCITRAL had before it the requested note entitled "Possible future work in the area of international commercial arbitration." After concluding the discussion on its future work in the area of international commercial arbitration, it was agreed that the priority items for the working group should be conciliation, requirement of written form for the arbitration and enforceability of interim measures of protection. the Commission entrusted the work to the Working Group on Arbitration which held its thirty-second session at Vienna from 20 to 31 March 2000. The Working Group discussed agenda item 3 on the basis of the report of Secretary General entitled "Possible uniform rules on certain issues concerning settlement of commercial disputes : conciliation, interim measures of protection, written form for arbitration agreement." At its thirty-three session in 2000, the UNCITRAL had before it the report of Secretary General on agenda item 3 discussed by the Working Group. The Working Group discussed the issues relating to certain aspects of conciliation proceedings ; (1) Admissibility of certain evidence in subsequent judicial or arbitral proceedings ; (2) Role of conciliatior in arbitration or court proceedings ; (3) Enforceability of settlement agreements reached in conciliation proceedings ; (4) Other possible items for harmonized treatment : a) Admissibility or desirability of conciliation by arbitrators b) Effect of an agreement to conciliate on judicial or arbitral proceedings c) Effect of conciliation on the running of limitation period d) Communication between the conciliator and parties ; disclosure of information e) Role of conciliator. It was generally considered that decisions as to the form of the text to be prepared should be made at a later stage when the substance of prepared solutions would become clearer. However, it was noted that model legislative provisions seemed to be appropriate form for a number of matters proposed to be discussed in the area conciliation. There was general support in the Working Group for the proposition to perpare a legislative regime governing the enforcement of interim measures of protection ordered by arbitral tribunals. It was generally considered that legislative regime should apply to enforcement of interim measures issued in arbitration taking place in State where enforcement was sought as well as outside that State. It was generally observed that there was a need for provisions which conformed to current practice in international trade with regard to requirements of written form for arbitration agreement. The view was adopted by the Working Group that the objective of ensuring a uniform interpretation of the form requirement that responded to the needs of international trade could be achieved by : preparing a model legislative provision clarifying, for avoidance of doubt, the scope of article 7(2) of the UNCITRAL Model Law on International Commercial Arbitration : and adopting a declaration, resolution or statement addressing the interpretation of the New York Convention that would reflect a broad understanding of the form requirement. There was general agreement in the Working Group that, in order to promote the use of electronic commerce for international trade and leave the parties free to agree to the use of arbitration in the electronic commerce sphere, article II(2) of the New York Convention should be interpreted to cover the use of electronic means of communication as defined un article 2 of the Model Law on Electronic Commerce and that it required no amendment to do that. The UNCITRAL may wish to consider to the desirability of preparing uniform provisions on any of those issues concerning conciliation and arbitration proceedings, possibly indicating whether future work should be towards a legislative text or non-legislative text.

  • PDF

주부의 환경관리지식 인지도와 환경관리행동에 관한 연구 (A Study on awareness of environmental management Knowledge and enviromental management behavior of Housewives)

  • 노남숙
    • 한국환경교육학회지:환경교육
    • /
    • 제7권1호
    • /
    • pp.106-122
    • /
    • 1994
  • The purpose of this study to investigate the awareness of environmental management knowledge and behavior and the effect of independent variables (The environmental management behavior of housewives are composed of five activities-clothing, eating, housing, buying, family management. The independent variables are composed of objective variable and subjective variable). The Research Questions are as follows; 1. Are there significant differences in the housewife's awareness of the environmental management knowledge according to the objective variable and the subjective variable? 2. How much are the effects of related variables on the awareness of environmental management knowledge? 3. Are there significant differences in the housewife's environmental management behavior according to objective variable and subjective variable and awareness of environmental management knowledge? 4. How much are effects of related variables on the housewife's environmental management behavior? For these purpose, a theoretical framework was developed by literature review and applied to empirical test. The data was collected through the questionnaire those respondents were 477 housewives in seoul. It was analyzed by various statistical methods such as Frequency. Percentile, GLM, F-test, T-test, Duncan's Multiple Range Test, Pearson's Correlations Analysis Simple Regression Analysis, and Multiple Regression Analysis. The results of this research are as follows; 1. The awareness of environmental management knowledge had significant differences according to the variables such as housewife's age, husband's job, family number, education experience of environment, frequencies of contracting mass media, the perceived adequacy of resources, social-altruistic orientation. 2. Among all of these variables affecting the awareness of environmental management knowledge, the perceived adequacy of resources had the highest effects and the next were family number, social-altruistic, type of residence in order. 3. Total Environmental management behavior of housewives had significant differences according to the variables such of environment, frequencies of contracting mass media, the satisfaction of household labor, the perceived adequacy of resources, biospheric orientation, social-altruistic orientation, egoism orientation, the awareness of environmental management knowledge. The clothing, eating, housing, family management behavior had the high level, the buying management behavior had the average level. The clothing, eating, housing, buying, family management behavior had significant differences according to the variables such as the satisfaction of household labor, the perceived adequacy of resources, biospheric orientation, social-altruistic orientation, egoism orientation, the awareness of environmental management knowledge. In particular, the clothing, eating, housing, buying management behavior had significant differences according to the variables such as education experience of environment. And the housing, buying management behavior had significant differences according to the variables such as frequencies of contracting mass media. 4. Among all of theses variables affecting environmental management behavior, the most influence variables was awareness of environmental management knowledge and the next were influence of housewife's job, biospheric orientation, the satisfaction of household labor, education experience of environment, frequencies of contraction mass media, egoism orientation in order. Among all of theses variables effecting the clothing, eating, housing, buying management behavior the variables affecting the family management behavior, the most influences variables was housewife's job. In the result of analysing the housewife's environmental management behavior and awareness of environmental management knowledge, influences of education experience of environment had the highest effect and frequencies of contracting mass media may more influencial than other variables. And Concrete and systematic knowledge and technique of environmental education is requisite. The result of this study could be attributed to develop the efficient environmental information. More emphasis should be given to environmental education and a long range environmental policy. in particular, environmental education be effectively related to environmental behavior, life-education and systematic support must be provided. In addition, further study of environmental problem is needed for and application of various theoretical approaches and research method.

  • PDF

호스피스 자원봉사자의 부담감에 관한 연구 (A Study on the Burden of Hospice Volunteers)

  • 최의순;한지은
    • Journal of Hospice and Palliative Care
    • /
    • 제8권2호
    • /
    • pp.173-182
    • /
    • 2005
  • 목적: 본 연구는 호스피스 자원봉사자들의 부담감 정도와 관련요인들을 파악함으로서 바람직한 봉사활동을 할 수 있도록 돕는 중재프로그램 마련에 기초 자료를 제공하는데 그 목적이 있다. 방법: 연구대상은 가톨릭대학교 부속 8개 병원에서 호스피스 자원봉사 활동을 하고 있는 봉사자 243명이었다. 연구도구는 설문지로서 부담감 측정도구(25문항)와 삶의 질 측정도구(47문항)를 사용하였고 자료처리는 SAS program을 이용하여 t-test, ANOVA, Duncan test, Pearson's correlation coefficient로 분석하였다. 결과: 1. 조사 대상자 중 50대 연령군이 44.0%, 여성이 85.6%, 고졸 학력이 51.9%, 기혼상태 86.8%, 중정도의 생활정도 85.6%, 무직인 경우 45.3%, 삶의 질이 보통인 경우 78.6%였다 2. 조사대상자의 주당 봉사 시간은 평균 5.0시간, 자원봉사활동기간은 평균 41.7개월 봉사 대상자 임종경험은 평균 13.9회, 자원봉사자 교육을 받은 횟수는 평균 12.8회이었다. 11.5%에서 가족 중 호스피스를 받은 적이 있었으며 봉사활동 시작 동기는 이웃에 봉사하기 위하여 35.0%였다. 조사대상자의 72.9%에서 자원봉사활동에 대해 만족하고 있었으며 90.4%에서 호스피스 봉사활동에 대한 가족들의 반응이 긍정적이라고 하였다. 47%에서 본인이 자원봉사로서의 자질이 적절하다고 답하였고 94.3%에서 자원봉사자 교육이 필요하다고 답하였으며 32.9%에서 호스피스 봉사활동 중 영성적 돌봄이 가장 어렵다고 답하였다. 3. 조사 대상자의 전체 부담감 평균 평점은 $53.3{\pm}10.4$이었다. 일반적 특성에 따른 부담감 정도는 각 특성별로 유의한 차이는 없었다. 4. 호스피스 자원봉사관련 특성에 따른 부담감 정도는 호스피스 봉사활동에 대한 가족들의 반응이 긍정적인 경우 유의하게 낮았으며, 봉사활동 유형에 따른 부담감 정도는 가족 돌봄, 신체적 돌봄에서 유의하게 높았다. 5. 각 영역별 부담감 정도는 환자 돌봄에 대한 부담감, 봉사 후 자아성취감에 대한 부담감, 봉사 활동에 대한 부담감의 순으로 높았다. 각 항목별 부담감 정도는 "환자나 보호자가 죽음을 어떻게 받아들일지 염려된다", "환자에게 최선을 다하지 못할 때 죄책감을 느낀다", "환자를 돌볼 때 긴장된다"의 순으로 높았다. 6. 부담감과 삶의 질과는 역상관관계가 있었다. 결론: 이상의 결과를 토대로 호스피스 자원봉사자들의 부담감을 감소시키고 효율적인 자원봉사를 할 수 있도록 돕기 위해서는 교육정도와 가족들의 지지정도 가장 어렵게 느끼는 봉사활동을 고려하고 특히 환자들의 가족 돌봄과 환자의 신체적인 돌봄과 관련한 교육을 강화하며 삶의 질을 높이기 위한 방안이 모색되어야 할 것이다.

  • PDF

Do Not Resuscitate (DNR)와 Advance Directives (AD)에 대한 환자 보호자와 의료인의 인식 (Perceptions of Caregivers and Medical Staff toward DNR and AD)

  • 이선라;신동수;최용준
    • Journal of Hospice and Palliative Care
    • /
    • 제17권2호
    • /
    • pp.66-74
    • /
    • 2014
  • 목적: 본 연구의 목적은 소생술 포기(Do Not Resuscitate, DNR)와 사전의료의향서(Advance Directives, AD)에 대한 환자 보호자와 의료인의 인식을 파악하고 비교하고자 함에 있다. 방법: 이 연구에서는 5개 종합 병원에 입원한 환자 보호자 145명과 이를 담당한 의료인 272명을 대상으로 2009년 9월 21일부터 15일간 조사를 실시하였다. 조사내용은 소생술 포기에 대한 인식 14문항, 연명 의료 중지 선택제에 대한 인식 3문항, 직업유무, 성별, 연령을 포함한 20문항으로 구성하였다. 결과: 소생술 포기와 사전의료의향서에 대한 필요성은 환자 보호자와 의료인에서 모두 높았으며, 특히 의료인이 환자 보호자보다 그 필요성을 더 많이 인식하였다(DNR ${\chi}^2=44.56$, P<0.001; AD ${\chi}^2=16.23$, P<0.001). 의료인은 소생술 포기에 대한 설명을 환자나 환자 보호자에게 제공해야 한다는 인식이 높았으나 환자 보호자의 경우 환자 보다 환자 보호자에게 제공해야 한다는 인식이 높았다. 소생술 포기와 사전의료의향서의 필요성에 대한 주 이유는 '회복 불가능한 환자의 고통 경감'으로 나타났다. 또 소생술 포기 결정 시기는 '말기질환 입원 즉시'가 가장 많았으며 의사결정은 '환자와 환자 가족이 상의하여 결정한다'는 의견이 가장 많았다. 소생술 포기에 대한 지침서의 필요성과 이로 인한 요구도 증가 역시 환자 보호자 보다 의료인이 높게 인식하였다(${\chi}^2=7.41$, P=0.0025). 결론: 이 연구 결과 한국 사회에서 소생술 포기와 사전의료의향서의 결정은 환자 보호자에 의존하는 경향이 높을 것으로 사료되며 따라서 환자와 환자 보호자가 이에 대한 객관적인 정보를 제공받아야 한다. DNR과 AD의 적용은 말기환자의 고통 경감이 주요한 이유로 나타나 호스피스와 연계한 후속 연구의 필요성이 나타났다. 의료인도 환자 보호자와의 인식 차이를 인지하고 DNR과 AD 결정을 위한 의사소통 시 이를 충분히 고려해야 한다.

접근성 개념을 적용한 문화서비스 평가 -남양주시를 대상으로- (Accessibility Analysis in Mapping Cultural Ecosystem Service of Namyangju-si)

  • 전배석;강완모;이재혁;김성훈;김벼리;김일권;이주은;권혁수
    • 환경영향평가
    • /
    • 제27권4호
    • /
    • pp.367-377
    • /
    • 2018
  • 인간이 생태계로부터 취하는 비물질적인 혜택인 문화서비스에 대한 수요가 최근 국민총소득과 함께 증가하고 있다. 이에 대한 정량적 가치평가를 위해 국내외에서 다수의 연구가 이루어져 왔으나 개인의 사회, 문화적 이질성 등의 주관적 성향과 규모의 차이로 인해 국내 전 지역에 적용하기에는 어려움이 있다. 문화서비스가 발생하기 위해서는 자연생태계와 인간의 접촉이 이루어져야 하며 이러한 관점을 바탕으로 본 연구에서는 접근성이라는 개념을 활용하여 기존 문화서비스 가치평가방법이 가지는 사회, 문화적 주관성을 보완하고자 한다. 국내 전 지역 규모에 적용 가능하며 다양한 이해관계자의 공감대를 형성시킬 수 있는 포괄적인 문화서비스 평가 방법을 제시하는 것이 본 연구의 목적이다. 본 연구에서는 접근성을 근거로 개발된 유럽의 여가 서비스 평가방법 고찰을 통해 국내에 구축된 도로 네트워크와 인구분포현황과 함께 국립생태원에서 수행한 '생태자산 간이평가' 결과를 활용하여 '문화서비스 접근성 평가 (CSOS)'를 남양주시에 시범 적용하였다. 그 결과 남양주시에 산재한 특정 생태자산 및 주거지를 중심으로 우수한 문화서비스 접근성이 존재하는 특정 공간을 도출할 수 있었다. 또한 이를 바탕으로 오늘날 보편적으로 이용되고 있는 SNS 데이터를 활용한 InVEST의 Recreation 평가 모형과 조망점을 활용한 Scenic quality평가 모형간의 차별성과 시범연구로서 가지는 가중치 설정에 대한 한계점을 고찰하였다.

영상실감을 위한 유사성 기반 대표냄새 사용의 제안 (Suggestion of Similarity-Based Representative Odor for Video Reality)

  • 이국희;최지훈;안충현;이형철;김신우
    • 감성과학
    • /
    • 제17권1호
    • /
    • pp.39-52
    • /
    • 2014
  • 영상실감을 위한 시각과 청각의 이용은 많은 발전을 이루어 왔다. 그러나 후각을 이용한 영상의 실감증대는 기술적 한계와 기초연구의 부족으로 구현되지 못하고 있다. 특히 다양한 영상에 필요한 냄새를 각각 구현하는 것은 반드시 해결해야하는 과제이다. 한 가지 방법은 유사한 냄새들의 군집을 발견하여 각 군집의 대표냄새를 사용하는 것이다. 이를 해결하기 위한 한 가지 방법은 서로 유사한 다양한 냄새를 포괄하는 냄새군집을 발견하여 각 군집의 대표냄새를 사용하는 것이다. 이를 위해 본 연구에서는 냄새 간 쌍유사성 평정에 근거하여 영상에 빈번하게 등장하는 냄새의 군집을 탐색하였다. 먼저 300개의 다양한 냄새를 수집하여 11개의 범주로 구분한 후 각 범주별로 빈도, 선호도, 구체성에 근거하여 152개의 냄새를 선별하였다. 참가자들은 선별된 냄새로 구성 가능한 1,018개의 냄새쌍에 대해 유사성 평정을 실시하였고 이 결과는 다차원척도법(multi-dimensional scaling, MDS)으로 분석하였다. 냄새들의 구체성이 낮을수록 대표냄새의 사용이 용이할 것이라는 판단 하에 MDS 결과를 냄새 구체성이 낮은 순서부터 높은 범주순서로 제시하였다. 즉 꽃, 식물, 과일, 채소범주는 냄새 구체성이 낮아 대표냄새 사용이 용이할 것 같은 범주로 (그림 1), 화학제품, 개인생활용품, 생리적 냄새, 일상적 장소는 구체성이 높은 것과 낮은 것이 섞여 있어 대표냄새 사용에 신중해야하는 범주로 (그림 2), 식재료, 음료, 음식은 구체성이 높아 대표냄새 사용에 어려운 범주로 (그림 3) 분류하였다. 본 연구의 결과는 냄새제작 비용과 시간을 줄이고 소비자에게 합리적인 가격의 실감서비스를 제공하는데 기여할 수 있을 것이다.

한국의 해양예측, 오늘과 내일 (Korean Ocean Forecasting System: Present and Future)

  • 김영호;최병주;이준수;변도성;강기룡;김영규;조양기
    • 한국해양학회지:바다
    • /
    • 제18권2호
    • /
    • pp.89-103
    • /
    • 2013
  • 경제 발전에 따라 레저, 해운, 수산, 국방, 해난사고 등 해양을 이용하는 활동이 증가하면서 해양예보에 대한 수요가 크게 증가하고 있다. 기상에서 해양의 역할이 새롭게 인식되면서 정확한 기상 및 기후변화를 예측하기 위한 해양 예측의 필요성도 증가하고 있다. 사회적인 요구와 관련 기술의 발전에 힘입어 선진국을 중심으로 해양예측시스템이 수립되어 왔다. 이 연구에서는 세계적으로 해양예측시스템을 발전시키고 확산시킨 국제협력프로그램 GODAE(Global Ocean Data Assimilation Experiment)의 진행과정과 기여를 정리하였다. 그리고 현재 해양예측시스템을 운용 중인 미국, 프랑스, 영국, 이탈리아, 노르웨이, 호주, 일본, 중국이 해양예측시스템을 구축하면서 세웠던 목적과 비전, 역사, 연구 동향을 조사하고 각 나라의 해양예측시스템 현황을 비교하였다. 우리보다 앞서 해양예측시스템을 구축하여 사용하고 있는 나라들이 취한 개발 전략의 특징은 다음과 같이 요약해 볼 수 있다. 첫째, 국가적인 역량을 집중하여 성공적인 현업 해양예측시스템을 구축하였다. 둘째, 국제적인 프로그램을 통해 선진 기술을 공유하고 상호 발전시켰다. 셋째, 각 기관의 역할과 고유 목적에 따라 기여분야를 나눠가졌다. 국내에서도 최근 현업 해양예측시스템에 대한 수요가 증대되고 있다. 기상청, 국립해양조사원, 국립수산과학원, 국방과학연구소의 해양예측시스템 개발에 관한 현재 상황과 향후 장기적 계획을 조사하였다. 국지 해양예측 또는 기후예측 모델을 위한 개방경계 초기장 제공이 가능한 광역의 정확도 높은 해양예측시스템을 구축하기 위해서는 국내의 유관 기관 간 협력 관계가 필수적이다. 이를 위해 관련 기관과 연구자들이 함께 참여하는 컨소시엄 형성이 바람직하다. 컨소시엄을 통해 경쟁력 높은 예측 모델과 시스템을 구축할 수 있으며, 제한된 재원을 효율적으로 활용할 수 있고, 연구 개발 인력이 전문분야에 집중할 수 있으며, 중복 투자를 막고 각 기관은 고유 업무에 역량을 집중할 수 있다. 비록 해양예보에 있어 우리나라가 현 단계로는 국제적인 수준에 뒤쳐져 있지만, 각 유관 기관들이 고유 업무를 정립하고 국가적인 역량을 집중하여 현업 해양예측시스템을 공동 개발하면 곧 추격하여 해양예보 분야를 선도할 수 있을 것이다.

Association between Socioeconomic Status and Altered Appearance Distress, Body Image, and Quality of Life Among Breast Cancer Patients

  • Chang, Oliver;Choi, Eun-Kyung;Kim, Im-Ryung;Nam, Seok-Jin;Lee, Jeong Eon;Lee, Se Kyung;Im, Young-Hyuck;Park, Yeon Hee;Cho, Juhee
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제15권20호
    • /
    • pp.8607-8612
    • /
    • 2014
  • Background: Breast cancer patients experience a variety of altered appearance - such as loss or disfigurement of breasts, discolored skin, and hair loss - which result in psychological distress that affect their quality of life. This study aims to evaluate the impact of socioeconomic status on the altered appearance distress, body image, and quality of life among Korean breast cancer patients. Materials and Methods: A cross-sectional survey was conducted at advocacy events held at 16 different hospitals in Korea. Subjects were eligible to participate if they were 18 years of age or older, had a histologically confirmed diagnosis of breast cancer, had no evidence of recurrence or metastasis, and had no psychological problems at the time of the survey. Employment status, marital status, education, and income were assessed for patient socioeconomic status. Altered appearance distress was measured using the NCI's cancer treatment side effects scale; body image and quality of life were measured by the EORTC QLC-C30 and BR23. Means and standard deviations of each outcome were compared by socioeconomic status and multivariate linear regression models for evaluating the association between socioeconomic status and altered appearance distress, body image, and quality of life. Results: A total of 126 breast cancer patients participated in the study; the mean age of participants was 47.7 (SD=8.4). Of the total, 83.2% were married, 85.6% received more than high school education, 35.2% were employed, and 41% had more than $3000 in monthly household income. About 46% had mastectomy, and over 30% were receiving either chemotherapy or radiation therapy at the time of the survey. With fully adjusted models, the employed patients had significantly higher altered appearance distress (1.80 vs 1.48; p<0.05) and poorer body image (36.63 vs 51.69; p<0.05) compared to the patients who were unemployed. Higher education (10.58, standard error (SE)=7.63) and family income (12.88, SE=5.08) was positively associated with better body image after adjusting for age, disease stage at diagnosis, current treatment status, and breast surgery type. Similarly, patients who were married and who had higher education had better quality of life were statistically significant in the multivariate models. Conclusions: Socioeconomic status is significantly associated with altered appearance distress, body image, and quality of life in Korean women with breast cancer. Patients who suffer from altered appearance distress or lower body image are much more likely to experience psychosocial, physical, and functional problems than women who do not, therefore health care providers should be aware of the changes and distresses that these breast cancer patients go through and provide specific information and psychosocial support to socioeconomically more vulnerable patients.