• 대한지리학회지
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• 제49권6호
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• pp.935-948
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• 2014

고혈압과 같은 만성 질환의 관리는 국가보건정책에서 중요한 사업이다. 본 연구는 지역사회 특성이 고혈압의 유병률에 어떻게 영향을 주는지를 분석하였다. 분석을 위해 237개 시군구 소지역의 건강상태 및 건강 행태를 포함한 다년간의 자료를 수집하였다. 지표는 2009~2011년 질병관리본부의 지역사회건강조사와 국민건강보험공단 등의 자료를 사용하였다. 지역간 변이 분석을 위해 지리적 가중회귀분석과 의사결정나무 모형을 이용하였다. 연구결과 다년간 자료를 이용하는 것이 단년간 자료를 이용하는 것보다 더 적합도가 높았는데 이것은 대부분의 변수에서 연도별 유의한 차이가 있었기 때문이다. 또 고혈압 유병률은 당뇨병 및 비만 유병률과 양의 관련성이 있었으며 인구밀도와는 음의 상관관계를 보였다. 특히 이러한 요인들의 지역적 변이는 지리적 가중회귀분석 결과에서 더욱 뚜렷하였다. 이상의 결과를 바탕으로 분석한 의사결정나무 모형에서는 고혈압 유병률에 영향을 미치는 중요한 변수가 지역별로 매우 상이하다는 것을 확인할 수 있었다. 지역주민의 건강상태, 건강행태, 사회경제적 요인의 지역간 차이를 규명하는 것은 고혈압 유병률을 감소시키기 위한 지역별 맞춤형 보건정책을 수립하는데 매우 중요하다. 본 연구의 결과는 만성질환 관리를 위한 맞춤형 지역보건정책을 수립하는데 기초자료를 제공할 수 있다는 데 의의가 있다.

• 의료법학
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• 제15권1호
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• pp.211-237
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• 2014

Because of unpredictability and high possibility of abnormal results by clinical trials compared to general medical behaviors, a procedure for ensuring with sufficient explanations by investigators must be secured. Therefore, in a sequence of clinical trials, what kinds of scope, stage, and method of explanations provided by investigators, including doctors or researchers, to trial subjects are closely related to the compensation for damages by violation of liability for explanation. In case of application of clinical trials to patients who have critical illness such as cancer, issues of "Quality of Life" regarding trial subjects, cancer patients, should be discussed. Especially, in case of clinical trials for terminal cancer patients, the right of subjects' self-determination, which is a fundamental principle in medical behaviors, should be discussed. The right of self-determination includes participation in clinical trials for the possibility of life-sustaining even a little bit, or no participation in clinical trials in order to have a time for completing the rest of his life. Like this, if the extent and scope of explanations related to the issues of "Quality of Life" are raised as main issues, the evaluation of "Quality of Life", should be a prerequisite. In many occasions, realistically, despite bad results such as deaths or serious adverse drug reactions after clinical trials, it may not be easy for compensating to trial subjects or their survivors, who requested civil compensation for damage. Futhermore, in abnormal results after concealment of clinical trials or performance of clinical trials without permission, and in the case of trial subjects' failures of proving proximate cause between the clinical trials and abnormal results, problematic results such as no protection to the trial subjects could be occurred. In performing clinical trials, investigators should provide sufficient explanations for trial subjects and secure voluntary informed consents from the trial subjects. Therefore, clinical trials without trial subjects' permissions and the informed consent process violate trial subjects' rights of self-determination, and the investigators shall be liable for compensation for damages. Then, issues might be addressed are what are essential contents of patients' "rights of self-determination" infringed by clinical trials without subjects' permissions. Two perspectives about patients' rights of self-determination might be considered. One perspective regards physical distress of patients (subjects) from therapies without sufficient explanations as the crux of the matter. The other perspective regards infringement of human dignity caused by being subjects without permission as the crux of the matter irrespective of risks' big and small influences. This research follows perspective of the latter. Forming constant fiduciary relation between investigators (doctors) and subjects (patients) pursuant medical contracts, and in accordance with this fiduciary relation, subjects, who are patients, have expectations of explanations and treatments by the best ways. If doctors and patients set this forth as a premise, doctors should assume civil liability when doctors infringe patients' expectations.

• 한국콘텐츠학회논문지
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• 제21권10호
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• pp.138-148
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• 2021

<스위트홈>의 기본 서사는 감염 증세를 보인 아파트 입주민들이 외부와 단절된 공간 속에서 괴물과 싸우며 생존하는 이야기이다. 이 논문은 넷플릭스 오리지널 드라마 <스위트홈> 서사를 분석하여 그 특징을 밝히고, 작중 서사의 중핵인 감염에 따른 윤리 문제를 다룬 것이다. 논의 결과는 다음과 같다. 첫째, <스위트홈>은 서사분석을 통해 감염에 따른 인간과 괴물의 경계가 허물진 드라마이다. 감염에 따른 묵시론적 세상이 전개되는 양상을 시각 이미지를 통해 제시하였으며, 주된 감염 요인은 타자를 지배하고자 하는 인간의 욕망과 분노임을 보여주었다. 이 드라마는 작중 인물들이 연대하기도 하고 타자를 이용하는 이중성이 나타난다. 이러한 이야기는 2000년대 이후 인간과 괴물의 경계가 사라진 시대를 반영한다. 둘째, <스위트홈>은 감염 이후 나타난 타자의 윤리가 폭력적이며 전체주의로 귀결될 수 있음을 보여준 드라마이다. 아파트 입주민을 감염인으로 간주하고 군대를 동원하여 사살하는 장면은 국가 권력이 폭력적으로 제시된다. 이 상황에서 아파트 입주민은 자신의 지난 행위를 성찰하고 타자를 포용한다. 그러나 작중 인물들이 보여준 이타적인 희생이 자칫 2000년대 청년세대의 불만과 분노를 덮을 수도 있다는 점에서 <스위트홈>은 문제적인 드라마로 볼 수 있다.

• 보건교육건강증진학회지
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• 제18권3호
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• pp.37-58
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• 2001

This study placed its objectives in suggesting the basic data for setting up an approach to protect the educational environment, by analyzing the relevance between the misconducts of adolescence and the harmful environment around the school, as an object of study, middle school students and high school students all over the country. Thus, this study carried out the questionnaire survey, by the multi-stage of stratified sampling in 2,114 middle school and high school students from June 29, 2000 through July 29, 2000. And the results of analysis were as follows: 1. In case of the ratio of students using harmful environment, the electronic game room had the highest ratio (78.3％); next, the PC room (75.6％), the singing room (71.6％), and the cartoon room (34.3％). 2. In terms of the experiences of using the harmful environment according to the personal characteristics, high school students used it in a higher ratio, compared with middle school students (p〈0.001); the students, whose father graduated from a high school, comparatively used it much more(p〈0.05). Also, when a school is located near to amusement quarters or shopping centers, students used the harmful environment most highly (p〈0.001). And the differences were found to be statistically significant. 3. In case of the perceived susceptibility factors, the harmful environment was found to be used in lower ratio, by the students who answered “very so” to the question item, The more harmful environment facilities are positioned around school, the more student have the opportunities to use them. (p〈0.001). That is, the findings showed that the higher students' degree of perceived susceptibility factors was the less students used harmful environment facilities. The differences were statistically significant. In terms of the ratio of using harmful environment according to perceived seriousness factors, it was founded out that the students, who answered, “If I use any harmful environment facilities, it will be very harmful to myself.”. had the less opportunities of having used them, compared with the students who did not answer so (p〈0.001). This indicated that the higher the degrees perceived seriousness of students, the less they used harmful environment facilities. And the differences were statistically significant. In the side of the ratio of using harmful environment according to the perceived barriers, it was found out that there were any special large differences. That is, perceived barriers had nothing to do with students' using harmful environment. 4. As the result of having analyzed the factors influencing the behaviors of using harmful environment, the factor to explain the behaviors of using harmful environment was found to be the degree of perceived seriousness, among individual perceiving factors; next, the location of a school - one of personal characteristics, the degree of perceived susceptibility and ages, m sequence. 5. Among students' misconduct experiences, drinking was highest (21.6％), next, smoking (11.9％), drug abuse (4.3％), and sexual relations (1.6％), In sequence. Among other problematic behaviors, excessive waste was highest (14.6％); next, disobedience and lie (10.7％), night wandering (7.8％), and bad dressing and making-up (5.5％), in sequence. 6. In terms of the misconducts according to the behaviors of using harmful environment, compared with the students who did not commit any misconducts, harmful environment facilities were used more highly, by each group of students who experienced drinking (p〈0.00l), smoking (p〈0.001), sexual relations (p〈0.05), excessive waste (p〈0.001), disobedience ＆ lie (p〈0.001), and bad dressing ＆ making-up (p〈0.05). And the differences were statistically significant.

• 초등상담연구
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• 제5권1호
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• pp.227-253
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• 2006

It seems common for students living at a small county and islands to experience psychological conflicts and be unaccustomed in the peer society because they are not familiar with peer interaction and social skills. This is a case study of L (hereinafter called L) who was grown up in the sheltered school at a small county. L was psychologically disturbed because he couldn't get along well in the transferred school. It is the reason why he had lived in the sheltered school at a small county, so he had not enough exposure to interact with peer and social skills. Sometimes he was obstinate irrationally and when he had trouble with friends, he threw something out or went out of school and tricked juniors dangerously. The fact of disperse with families, parent's indifference, and hate of older brother made L to have ill feeling against family. He had low motivation and low self confident in learning because of short attention time and accumulated poor learning progress. In this study, he was evaluated at various area, such as, intelligent, affective, personal and inter-personal, before counselling. To evaluated the effect of the counselling, K-WISC-III, KPRC, sentence filling test, social adaptation ability test, etc, were administered right after the counselling was over and 8 weeks later. For specific information gathering and analysing, observation diary and deepen counselling were accomplished by homeroom teacher, his mother, and his peers. To correct his problematic behaviors, 13 counseling sessions were accomplished for 6 months and those counselling sessions were recorded and analysed definitely. Followings are the result of this case study. First, he was recovered from the anxiety of inter-personal interaction and he started to interact with peers. The result of sac scale score of KPRC profile was lower than before as much as average student after counseling and 8 weeks later. This reveals that the distress against interpersonal relation have settled. Especially, through the result of sentence filing test, he seemed to feel attachment to peers and be positive, active in the relation of peer. For instance, he was active in the open class lesson and interacted well with peers. It could be said that he overcame the psychological distress comparing with previous time. Second, he could apologize to his peer and juniors for his fault. His attitude were well shown in the letter from an old friend at the sheltered school, average KPRC profiling score comparing with previous counseling time, and remarkable decrease of attack scale score of teacher and peer. Third, his view toward family turn out positive. He recognized his situation that he lived apart from family and even worried about his parent's financial difficulty. Through solving the confliction with his older brother, he could acquire the feeling of family reunion. Fourth, his learning motivation and self-confidence were increased. He confirmed his future positively and he might be judged more attentive because his intelligence index was higher than before as much as average student. With the main goal of this study, verification for effectiveness of counseling. understanding and helping problematic students such as L who lives at a small county and island through investigation of their real situation and problems with the method of counseling and socio-cultural analysis is worthwhile. Identification of ideal relationship with peer is related with positive self-conception, harmonic social adaptation and development of child. It is time to investigate easy adaptive in classroom and well-organised program to acquire general social skills for sheltered school students at a small county and islands.

• 대한간호학회지
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• 제23권2호
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• pp.187-206
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• 1993

The study was done to better understand problem behavior in high school students as described in family system theory, which explains the individual’s problem within the family interactions. The purpose of the study 1. To analyze the difference in the parents’ relationship as a couple between the two groups. 2. To analyze the difference in the parent-adolecent relationship between the two groups. 3. To analyze the difference in the family function (cohesion adaptability) between the two groups. The method of the study The staudy subjects consisted of a total of 176 families (528 persons), 109 high school students (End grade) with problem behavior and their parents (problem family group) ,and 69 high school students (same grade) with normal behavior and their parents (normal family group) residing in the Seoul area. Data were gathered from structured, self-reporting qestionaires which included a Couple Relation measurement (95 items) , Parent-Adolescent communication measurement (20 items), Family Cohesion Adaptability Scale (20 items) by DavidH. Olson et al., and a behavior evaluation tool. The results of the study 1. The results as related to the hypothesis were as follows. Hypothesis 1 : “satisfaction within The couple's relationship of the parents of problem family group will be lower than the normal family group was supported significantly(t=3.07, p=.005). Hypothesis 2: “The parent-adolescent relationship of the problem family group will be more negative and problematic than the normal family group” was supported significantly(t=4.06, p=.000). Hypothesis 3: “The family function (cohesion adaptability) of the problem family group will be lower than the normal family group" was supported significantly(t=2.20, p=.022) 2. The results of related analysis were as follows 1) Analysis of a causal relation between the couple’s relationship, the parent-adolescent relationship, family function and adolescent behavior showed that the Above 3 variables influenced adolescent behavior.. In cases where couple’s relation-ship, the parent-adolescent’s relationship, the family function are the better, their adolescent’s behavior is better. 2) Discriminant analysis of the research tool showed The discriminant ability of couple’s relationship tool was 75.57%, the Parent-Adolescent communication tool, 67.05, the family adaptability cohesion tool.67. 61%. In summary, interpersonal relationships in the family subsystems are interactive and their relation influences the behaviors. of adolescents in the family. Therefore, family therapy would be a more effective method than individual therapy, to resolve negative problem for adolscents, and the research tool used in this study are very useful for family system diagnosis and nursing intervention.

• Perspectives in Nursing Science
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• 제3권1호
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• pp.35-45
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• 2006

In Korea, about 8.3% over aged 65 are suffering from Alzheimer's disease or other type of dementia. Among dementia-related behaviors, wandering is the one of strongest factors on burden and stress of caregivers. On Lee and Kwon's report with community living persons with dementia, upto 85% of caregivers reported wandering as a problem. Wandering is a frequently encountered problem in communities and long-term care facilities, but it is among least understood dementia. related behavior. Despite the prevalence of wandering, its significant adverse outcomes, and the increase in persons with dementia in Korea, no systematic research has been conducted in Korea. The purpose of this study is to review on literature related to wandering behavior among persons with dementia. The specific topics related to wandering are included: definition, the prevalence of dementia and wandering behavior, the influencing factor on wandering, outcomes of wandering behavior, and the measurement method. Wandering is defined as "aimless walking" and "Meandering, aimless or repetitive locomotion that exposes one to harm and is incongruent with boundaries, limits, or obstacles". Wandering is viewed as a problematic behavior, however, it has to be understood as need-driven compromised behavior. For example, wandering may be an expression of searching for familiar person and/or place. Recently, in Korea, there is an effort for establishing the therapeutic environment for elders who are wanderers in long-term-care facilities. Cognitive impairment of persons with dementia is found to be a consistent factor on wandering behavior through many national and international studies. The adverse outcomes of wandering are serious problem in persons with dementia as well as their caregivers. The adverse outcomes include falls, fractures, getting lost, use of restraints, or even death. In fact, wandering is one of the major reasons for a patient to be institutionalized. For measurement of wandering behavior, two methods are broadly used: observation using stop watch, and survey form. A revised instrument of the Korean version of Algase wandering scale (K_RAWS) is established the psychometric properties (Son, Song, & Lim, 2006) demonstrating valid and reliable instrument in measuring wandering behavior among persons with dementia who are residing in communities. K_RAWS has a 39 items with six subscales including persistent walking, repetitive walking, spatial disorientation, eloping behavior, negative outcome, and mealtime impulsivity. In conclusion, studies including the prevalence of wandering behavior and predictive factors on wandering should be conducted to understand wandering clearly before developing any types of intervention.

• 한국사회복지학
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• 제37권
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• pp.357-379
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• 1999

본 연구는 중학교에서의 또래따돌림에 영향을 미치는 요인을 서열프로빗 분석을 이용해 살펴보고자 한 연구이다. 특히, 개인, 가족 특성이외의 폭력에의 노출, 교칙의 공정성, 부정적인 또래관계 등 환경적 요인이 또래따돌림에 어떠한 영향을 미치는가 살펴보고자 하였다. 아울러 또래따돌림의 경험이 따돌림과 같은 또래폭력에 대한 방관적 태도와 어떠한 관계에 있는지 알아보았다. 조사대상자들은 서울시내에 소재한 12개 중학교 20개 학급에서 총 714명의 중학생들로 구성되었다. 서열프로빗 분석은 LIMDEP 7.0을 통해 분석되었고, 기술통계와 변량분석은 윈도용 SPSS 8.0을 사용하였다. 조사 결과 조사대상학교의 학생들중 35.8%가 다른 학생들을 따돌려본 적이 있다고 응답했고, 25.9%의 학생들이 또래따돌림을 당하는 것으로 나타났다. 남녀별로는 또래따돌림 가해경험의 차이가 없었으며, 대신 저학년에서 많이 발생하고 있었다. 개인적 특성으로는 공격성과 교칙위반행동의 경험이 많을수록, 또래따돌림에 더 많이 참여하고 있었다. 하지만, 부모의 양육태도, 결손가족여부, 학업성적, 학업에 대한 태도 등 가족 및 학교생활 요인은 또래따돌림행위에 유의미한 영향을 미치지 못하였다. 반면 또래따돌림을 당한 적이 있거나, 주변에서 따돌림이 많이 발생하는 학교에 재학중인 학생일수록 또래따돌림에 참여할 가능성이 높은 것으로 나타났다. 이러한 결과는 또래따돌림의 문제를 단순히 개인차원의 상담으로 풀어나가기 힘듦을 보여주는 것이다. 아울러 가해자와 피해자가 이분적으로 구분되는 형태가 아니라, 피해경험을 통해 가해경험을 학습하고 심화시킬 수 있는 중첩적인 관계에 있음을 발견하였다. 궁극적으로 또래따돌림의 문제를 해결하기 위해서는 학교를 개입단위로 하는 예방프로그램과 전문적 원조체계의 도입이 시급함을 제언하였다.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.338-348
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• 2020

본 연구는 아버지와 어머니의 우울수준의 종단적 상호관계를 파악하고, 아버지와 어머니 우울수준이 초등학교 자녀의 언어발달, 문제행동 및 학교적응에 미치는 영향은 어떠한지를 살펴보았다. 본 연구는 한국아동패널 4-8차년(2011~2015년)도 자료를 활용하여, 변수들 간의 종단적인 변화 관계를 추정하는데 적합한 잠재성장모형을 이용하여 분석하였다. 분석대상은 1,754 가구의 아버지, 어머니, 자녀였다. 분석결과 아버지 우울수준 초기값이 어머니 우울수준 변화율에 미치는 영향과 어머니 우울수준 초기값이 어머니 우울수준 변화율에 미치는 영향만이 통계적으로 유의한 것으로 나타났다. 즉, 어머니 우울은 어머니 자신의 우울 문제 뿐 아니라 아버지 우울 문제에 의해서 영향을 받는 우울의 자기효과와 상대방 효과가 동시에 나타났다. 아버지의 우울수준 초기값과 어머니 우울수준 초기값은 어머니 우울수준 변화율을 매개로 하여 자녀의 수용어휘, 내재화 및 외현화 문제행동, 학교생활적응, 학업적응, 또래적응에 간접적인 영향을 미치는 것으로 나타났다. 따라서 학령기 자녀의 건강한 발달과 학교적응을 위해 아버지 및 어머니 둘 다를 위한 우울 예방 및 개입 프로그램이 마련되어야 할 것이다.

• 한국콘텐츠학회논문지
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• 제15권3호
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• pp.78-87
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• 2015

최근 경찰공무원의 청렴성에 관한 우려의 목소리가 언론매체를 통해 끊임없이 회자되고 있으며, 이는 경찰조직 전체에 대한 신뢰를 저하시키는 요인으로 작용된다고 할 수 있다. 경찰공무원은 여타 직군에 비해 국민에게 법적 강제력을 행사함으로 인해 높은 수준의 청렴성과 도덕성을 요구하고, 경찰청에서는 청렴성 제고를 위한 다양한 정책을 시행하고 있으나 부정부패가 근절되지 못하는 현실에 처해있다. 이러한 시점에서 본 연구는 경찰부패와 청렴도 제고에 관련되는 국내 외의 선행연구 및 통계자료를 활용하여 청렴도 제고를 위한 시사점을 도출하도록 하였다. 경찰공무원의 청렴도 제고를 위한 제도적 장치의 문제점으로 내부고발을 통한 감찰시스템의 운영을 지적하고 경찰공무원을 잠재적 범죄자로 바라보는 인식 또한 문제점으로 지적하였다. 이와 더불어 경찰공무원 징계시 징계양형의 기준제시가 명확하지 않으며, 조직충성도를 제고하기 위한 징계경험자에 대한 배려가 이루어지지 않 는다는 점 등을 문제점으로 제시하였다. 이를 토대로 청렴성 제고를 위한 대국민 신뢰를 회복하기 위한 정책적 제언을 제시토록 하였다. 그 내용으로는 부패행위의 유형별 분류를 명확히 제시하여 경찰공무원에게 경종을 울릴 필요가 있으며, 적발위주의 감찰제도를 탈피하기 위해 미국 및 호주경찰의 조기경보체계시스템(EWS : early waring system)도입을 통해 문제경찰관을 조기에 발견하여 보다 큰 과오를 저지르지 않도록 방지장치를 마련하는 제도에 대한 검토의 필요성을 피력하였고, 신규채용과정에서 청렴성 검증을 강화하도록 해야 할 것이다.