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한방병원에 내원한 척추측만증 환자의 특성에 대한 후향적 연구 (Retrospective Study on the Characteristics of Patients with Scoliosis at the Korean Medicine Hospital)

  • 강신우;박현선;박서현;성원석;김은정;금동호
    • 한방재활의학과학회지
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    • 제32권1호
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    • pp.63-72
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    • 2022
  • Objectives This study was conducted to characterize scoliosis patients visiting Korean medicine hospital and to analyze the demands and factors affecting discomfort. Methods This retrospective study analyzed 33 scoliosis patients who visited Korean medicine hospital from March, 2021 to October, 2021. The data analysis consisted of three factors: (1) demographic characteristics, (2) characteristics of demands on Korean medicine (reasons for choosing Korean medical treatment, preferred treatment methods, most uncomfortable part, treatment priorities) and (3) discomfort factors (treatment experiences, diagnosed age and Cobb's angle). Statistical analyses were performed and a p-value≤0.05 was considered to be statistically significant. Results 43.75% of the patients chose 'effectiveness' for the reason why they preferred Korean medicine treatment. 'Chuna treatment' was the most preferred treatment method. The patients chose 'lower back' for the most uncomfortable part and 'pain' for the highest priority of improvement. The Cobb's angle of included patients was 16.02±7.65° and it is not much differ to average of Cobb's angle in Korean. Discomfort was more severe in the patients with treatment-experienced than treatment-naive. The score of discomfort in appearance and psychological were higher in the patients diagnosed in childhood or adolescent period than who were diagnosed after adult. Classification based on Cobb's angle showed no statistical difference. Conclusions Not only Cobb's angle but also other clinical factors should be considered for effective treatment in scoliosis. Also, It is necessary to pay attention to adult scoliosis patients.

Emergence of New Business Mode in the Chinese Water Market - Hefei Wangxiaoying Wastewater TOT Project -

  • Lee, Seung-Ho
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2011년도 학술발표회
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    • pp.20-20
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    • 2011
  • The purpose of this research aims to evaluate the emergence of new business mode in the Chinese water market since the mid-2000s - Transfer-Operate-Transfer(TOT) Projects. The study pays special attention to the case of the Hefei Wangxiaoying Wastewater Treatment TOT Project, which was awarded to the consortium of Berlin Water International and its Chinese partner in late 2004. The consortium secured an exclusive operating right for 23 years on the basis of a TOT scheme and would take responsibility of all the profits and losses in the operation of the plant. The total investment for the transfer amounted to RMB 491 million(US$70 million). The price was more than 288% of the original value, RMB 170 million (US$24 million). The project can be regarded as a successful case because of the following three causes. First, the Hefei government followed a series of standardized procedures in the international bidding, which ignited best-performed international players' competition for the project. Second, the project will bring in cutting-edge operation skills and management know-how. Third, the government succeeded in raising public asset values, and thanks to this, the government is able to consider other similar projects not only in the water sector but also other sectors in public utility services. Nevertheless, Berlin Water's point of view, there are several challenges. First, the company took a risk to pay such a large amount of cash to the Hefei government. Although such premium can be recouped in the operation period of 23 years, whether or not the company would be able to recover the initial investment and realize profits is in question due to an uncertainty of socio-political circumstances in China. Second, Berlin Water should expect a steep rise of water tariffs over the contract period in order to get the investment back. Water pricing is still a sensible matter to Chinese authorities, and therefore, it is uncertain if such rise of water tariffs would be possible. Third, the TOT mode leads to creation of a large amount of cash to government officials, which might have caused corruption between those who are involved in TOT deals. Then, the final contract fee would soar, which often results in the burden of normal customers. As discussed, the TOT mode has drawn much attention of foreign investors as a new alternative to enter into the Chinese water market. But it is important to note that foreign investors should be aware of possible risks in water TOT projects, which reflects some features of the Chinese political economy landscape and social norms. The Hefei case indicates that benefits can overshadow risks in TOT projects, which will continue to attract foreign investors that are dedicated to establishing their strongholds in the Chinese water market.

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감산사(甘山寺) 아미타불상(阿彌陁佛像)과 미륵보살상(彌勒菩薩像) 조상기(造像記)의 연구 (Dedicatory Inscriptions on the Amitabha Buddha and Maitreya Bodhisattva Sculptures of Gamsansa Temple)

  • 남동신
    • 미술자료
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    • 제98권
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    • pp.22-53
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    • 2020
  • 본 논문에서는 감산사(甘山寺)의 아미타불상(阿彌陁佛像)과 미륵보살상(彌勒菩薩像)의 광배(光背)에 각각 새겨진 조상기(造像記)를 재검토함으로써, 통일신라기 불상을 대표하는 걸작이자 기준작인 두 상을 새롭게 이해하고자 하였다. 이를 요약하면 다음과 같다. 먼저 I장에서는 '근대적 발견' 이래 지난 100년간의 연구 성과를 네 시기로 나누어 검토한 다음, 필자의 새로운 관점과 방법론을 제시하였다. 이어서 II장에서는 기왕의 미륵보살상>아미타불상의 위차(位次)를 비판하고 조상기를 재검토한 후 두 상의 배치와 외관에 근거하여 아미타불상>미륵보살상의 위차가 옳음을 논증하였다. III장에서는 마지막까지 판독 불능으로 남았던 두 글자를 처음으로 판독하고, 이를 포함하여 기존에 의미가 불분명하였던 몇몇 구절을 새롭게 해석하였다. 아울러 아미타불상조상기와 미륵보살상조상기의 문장 구조를 비교하고 조상기의 찬자와 서자에 대하여 새로운 해석을 시도하였으며, 서체(書體) 연구는 앞으로의 과제로 남겨두었다. 끝으로 IV장에서는 조상기의 내용을 조상주(造像主)와 조상(造像) 및 발원(發願)으로 나누어 재검토하였다. 특히 필자는 '돌아가신 부모님을 위하여'라는 조상기의 구절이 상투적인 표현에 그치지 않고 실질적인 의미가 있음을 밝히고자 하였다. 결론적으로 말하자면 다음과 같다. 김지성(金志誠)이 돌아가신 부모를 모두 화장해서 동해 바닷가에 산골하였기 때문에, 나중에 부모를 추모하려 해도 그 마음을 의지할 물질적 표지(標識)가 없었다. 그래서 만년의 김지성은 감산전장(甘山田莊)을 희사하여 절로 삼고, 여기에 돌아가신 부모님을 위하여 돌로 각각 아미타불상과 미륵보살상을 조성하되, 부모님의 실제 모습을 투영하여 상(像)의 존용(尊容)을 사실적으로 조각하고 그 정혈(頂穴)에 부모의 상징물을 안치하였다고 해석하였다. 두 상 가운데 특히 미륵보살상은 관(冠)에 화불(化佛)이 있는 입상(立像)인데, 미술사학자들이 지적하였듯이, 이러한 도상(圖像)의 미륵보살상은 동아시아 불교조각사에서 그 유례를 찾아보기 어려워서, 도상적 특징만 본다면 십중팔구 관음보살상이라고 간주할 것이다. 반대로 조상기만 읽는 사람들에게는 의심할 여지없이 미륵보살상이다. 김지성은 돌아가신 어머니가 내세(來世)에는 도솔천에 상생(上生)하기를 기원하였기에 도솔천을 주재하는 미륵보살상을 만들기로 하되, 그 상에 자모(慈母)의 이미지를 투영하기 위하여 자비(慈悲)의 화신인 관음보살상의 도상을 취했던 것이다. 이것은 아미타불상도 마찬가지여서, 돌아가신 아버지의 극락왕생을 희구하여 아미타불상을 조성하되 모든 불교도의 자부(慈父)인 석가여래상의 도상을 차용하였다고 유추된다. 후대의 추모자들이 정면에서 상[Image]을 친견하고 뒤로 돌아가서 조상기[Text]를 읽었다면, 그들은 김지성의 부모님을 향한 추모의 마음에 깊이 공감하였을 것이다.