• 제목/요약/키워드: Rational

검색결과 4,054건 처리시간 0.033초

농업용수의 가격구조에 관한 연구 (A Study On Irrigation Water Price Structure and Prescription)

  • 심기영
    • 한국농공학회지
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    • 제15권4호
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    • pp.3170-3180
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    • 1973
  • This study of the subject will review past and present irrigation development in Korea. Particular attention will be given to water pricing structure and a case study on the purpose of rational operation and management of irrigation water and organizations, and the optimum irrigation water and organizations, and the optimum irrigation water fee inorder to reduce farmers burden and to rationalize the farmland associations management so as to achieve development of the rural environment. In 1971, the reservoir of the Farmland Improvement A sociation (FIA) produced only 775 millison $m^3$ of irrigation water or 77% of planned capacity of 1,015 million $m^3$. It was caused by inefficient maintenance of irrigation facilities; for instance, about 21% of reservoirs, pumping stations and weirs in Korea have been silted by soil erosion which hinder to water production according to an ADC survey. The first Irritation Association was established in 1906, whcih was renamed the Farmland Assoeiation by the Rural Development Enouragement Law in 1970. By the end of 1971, 411,000 ha of rice paddies were under the control of 267 associations nationwide. The average water price assessed by Associations nationwide rose from 790 won per 0.1 ha. in 1966 to 1,886 won in 1971. The annual growth rate was 20%. The highest water price in 1971 was 4,773 won her 0.1 ha. and the lowest was 437 won. This range was caused by differences in debt burden, geographic conditions and management efficiency among the Associations. In 1971, the number of Associations which exceeded the average water price of 1,886 won per 0.1 ha. was 144, or 55.1% of all Association. In determination of water price, there are two principles; one is determined by production cost such as installation cost of irrigation facilities, maintenance cost, management cost and depreciation ect. For instance, the Yong San River Development project was required 33.7 billion won for total construction and maintenance cost is 3.1 billion won for repayment, maintenance and management cost per year. The project produces 590 million $m^3$ of irrigation water annually. Accordingly, the water price per $m^3$ is 5.25 won. The other principle is determined by water value in the crop products and in compared with production of irrigated paddy and non-irrigated paddy. By using this method, water value in compared with paddy rice vs. upland rice(Average of 1967-1971) was 14.15 won per $m^3$ and irrigated paddy vs. non-irrigated paddy was 2.98 won per $m^3$. In contrast the irrigation fee in average association of 1967-1971 was 1.54 won per $m^3$. Accordingly, the current national average irrigation fee(water price) is resonable compared with its water value. In this study, it is found that the ceiling of water price in terms of water value is 2.98 won per $m^3$ or 2,530 won per 0.1 ha. However, in 1971 55% of the associations were above the average of nationwide irrigation fees. which shows the need for rationalization of the Association's management. In connection with rationalization of the Association's management, this study recommends the following matters. (1) Irrigation fee must be assessed according to the amount of water consumption taking intoaccount the farmer's ability. (2) Irrigation fee should be graded according to behefits and crop patterns. (3) Training personnel in the operation and procedures of water management to save O&M costs. (4) Insolvent farmland association should be integrated into larger, sound associations in the same GUN in order to reduce farmers' water cost. (5) The maintenance and repair of existing irrigation facilities is as important as expansion of facilities. (6) Establishment of a new Union of Farmland Association is required to promoted proper maintenance and to protect the huge investment in irrigation facilities by means of technical supervision and guidance.

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조경기사 필기시험 중 조경시공구조 및 관리학 분야의 출제경향 분석 (An Analysis of Test Trends for Landscape Structure Construction and Management in Engineer Landscape Architecture Examination)

  • 정용조
    • 한국조경학회지
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    • 제46권4호
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    • pp.76-83
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    • 2018
  • 본 연구는 2007년부터 2016년까지 최근 10년 동안 조경기사 필기시험 응시자 및 합격자 현황, 조경시공구조 및 조경관리학 출제유형별 빈도와 추이, 유형별 출제경향과 특성을 분석하여 조경기사 필기시험 중 조경시공구조 및 조경관리학 분야의 출제경향을 파악하고자 하였으며, 그 결과는 다음과 같다. 2007년부터 2016년까지 최근 10년 동안 조경기사 필기시험 응시자 및 합격자 현황을 분석해 본 결과, 응시자는 2011년부터, 합격자는 2012년부터 줄어들고 있으며, 최근 10년 동안 조경기사 필기시험의 평균 합격률은 11.2%를 나타냈다. 조경시공구조학 기출문제에 출제된 유형별 빈도와 추이, 출제경향과 특성을 분석해 본 결과, 시공계획 및 공정관리, 조경재료, 조경식재기반, 공종별 공사, 조경적산, 기본구조역학, 측량 등 7개 항목의 키워드 중 공종별 공사를 묻는 문항이 25.2%로 가장 많았으나, 조경식재기반시설에 대한 문제는 3.3%를 차지, 타 항목보다 출제빈도가 낮아 중요성에 비해 출제빈도가 낮은 것으로 파악되었다. 조경관리론 기출문제에 출제된 유형별 빈도와 추이, 출제경향과 특성을 분석해 본 결과, 운영 및 이용 유지관리, 전정관리, 시비관리, 잡초관리, 관수 및 배수관리, 월동관리, 병해충관리, 잔디관리, 조경시설관리 등 9개 항목의 키워드 중 운영 및 이용 유지관리를 묻는 문항이 37.2%로 가장 많았으며, 시비관리와 관수 및 배수관리는 2011년부터 조경시설관리 중 수경시설관리는 2015년부터 증가 추세에 있는 것으로 파악되었다. 이상에서 조경시공구조 및 조경관리론의 출제 경향을 살펴본 결과, 광범위하고 다양한 항목들이 출제되고 있으며, 조경시공구조에서는 합리적인 가격과 우수한 품질을 확보하기 위해 공종별 공사, 조경재료, 조경적산분야, 조경관리학에서는 기후변화 등의 환경적 요인들로 인하여 시비관리, 관수 및 배수, 조경시설관리 중 수경시설관리 등에서 출제빈도가 높아지고 있는 실정이다.

("황제내경소문(黃帝內經素問)" 중(中) 사혈(瀉血)에 관한 연구(硏究) (A Study on the Blood-Letting Therapy in Elementary Questions)

  • 이준근
    • 대한한의정보학회지
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    • 제14권1호
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    • pp.19-42
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    • 2008
  • Blood-Letting Therapy is a rational and ecological medical treatment by which we can heal most of the diseases by removing the static blood which precipitates in the blood vessel and blocks the flowing of blood. And the static blood is the generic term for the injurious, bad, dead and precipitated blood which is blocked the capillary vessel. The Yellow Emperor's Canon of Internal Medicine says that "the patient is treated with drugs internally and stone acupuncture externally. "In the old texts, the blood-letting therapy is mentioned as blood-letting, network vessel pricking, bloodletting, pricking, and arousing pulses etc and it is noted down as the method of network vessel pricking in 'On the Application of Needles' of Spiritual Pivot. Nine-pricking therapy, twelve-pricking therapy and five-pricking therapy are recorded in the methods of network vessel pricking and among them, the method of squeezing blood after pricking the affected part is explained as the network vessel pricking. There are four methods of network vessel pricking, pricking, picking, cluster needling and scatter-pricking and they are fluidly applied to the various symptoms of diseases. In 'On Discriminative Treating for Patients of Different Regions' in Elementary Questions, Ki-baek emphasizes "most of the local people, there are black in skin and loose in striate, and their diseases are mostly of carbuncle kind. It is suitable to treat the disease with stone therapy to prick with stone, so the stone therapy is transmitted from the east. "And in 'On the Corresponding Relation Between the Eum and Yang of Man and All Things' in Elementary Questions, when the Emperor asked Ki-Back, he answered "sthenia means the sthenia of evil, and deficiency means the deficiency of healthy energy. When the blood is sthenic, the evil should be discharged by pricking when out letting the blood; deficiency of vital energy is the asthenia of channels and network vessels, so the energy should drain from the channel which is not deficient, to replenish. "And in this case we can use the methods of 'Breaking out the static bloods', 'driving out the static bloods', blood-letting'. With this we can infer that the blood-letting therapy is made use of the important medical treatments from the ancient times. Especially in referring to the principles of treatment in The Yellow Emperor's Canon of Internal Medicine, it mostly alluded to acupuncture therapies and only eleven times to medicinal treatments. This is to verify that the blood-letting therapy formed the foundation of the medical art. In Dong's Therapy of Acupuncture-Moxibustion and Bloodletting, Dong Kyeong-Chang gave emphasis on the points that there must be extravasated bloods without exception in the serious illnesses which is old, unnatural, accompanying acute pains and so we can revive our body‘s sprit by circulating 'gi' and static blood piled up in the network vessel, regulating the weakness and strength, and controling the disharmony of the internal organs. The blood-letting therapy has effect on the orifice in emergency, such as fore draining, freeing network vessels, harmonizing gi and blood, relieving pain, dispersing swelling and concretion, sedation, resolving toxin as well as strengthening the heart, relieving itching. So it has distinguished effect on all kinds of medical treatment to the modern people. But by the change of social customs and the confucianism of confucius - it is widely spread on the period of North and South Dynasties, 'Wi' and 'Jin' in china and the period of the Three States in korea - The blood-letting therapy which was regarded as the most important medicinal treatment withered rapidly. And Confucius accentuated the importance of our body and all its members, loyalty and filial piety and banned any damage of our body under no circumstances. As a result of it, the therapy of blood-letting had a rapid decrease and barely kept itself in existence in both countries. What is worse, at the period of Japanese colonial rule of korea and our nation's founding of early stage, it has been withered by the high-handed policy to change Oriental Medicine into modern medical science. So the therapy of blood-letting barely kept itself in existence in some Buddhist temples. Another case, it has handed down as a old-fashioned quick fix in folk remedies. But all kinds of the contamination of heavy metals and the misuses of antibiotics are widely spread nowadays, which increased diseases of adult people and incurable diseases as modern society unavoidably made its way into a highly industrial society. To make us more miserable, the western medical science - the antibiotics and surgical operation medical science - already reveals itself into a limit. The necessity of a new medical science which can give a security to the patients who are suffering from the diseases of adult people and the incurable diseases is especially come into the force nowadays. In view of the results after bibliographically studying on the blood-letting Therapy in Elementary Questions of the Yellow Emperor's Canon of Internal Medicine, the blood-letting therapy has acted for the important Oriental medicinal science and has been clarified the prominent effects on the diseases of adult people and the incurable diseases. So it is regarded as an appropriate thing that we lay out a determined theory of the blood-letting therapy and of course prevent the unwanted side effects from inappropriate medicinal treatments, and make full use of clinic by elevating the curative value and that we win back our self-respect of medical treatment which is dominated from the western medical science and ultimately contribute to national medical welfare.

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일부지역 산업재해환자 실태 조사 연구 -대구${\cdot}$경북지역 일부 종합병원 중심으로- (A Study of Industrial Patients from Selected General in the Kyung Pook and Taegu City areas)

  • 허춘복
    • The Journal of Korean Physical Therapy
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    • 제3권1호
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    • pp.151-174
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    • 1991
  • The purpose of this study is to research the actual conditions of industrial accident patients and to produce worker satisfaction and a rational and effective counter measure plan. Direct interviews with 179 cases (in and out patients) were carried out during a three month period from April to July 1990, at six hospitals : two general hospitals Sun Lin and Sung Mo in Po Hang, and four general hospitals in Taegu : Kyung pooh University Hospital, Dong San Medical Center, Young Nam Medical Center and Catholic Hospital. The results of this study are summarized as fellows : 1. Among the 179 cases, $51.6\%$ were male and $48.4\%$ were female. The two largest age groups were 30-39, $31.8\%$ and 20-29, $27.4\%$. Among the 179 cases, $51.6\%$ were married, the largest family number was 2 to 3, $41.1\%$ and 4 to 5, $25.6\%$. Educationally, graduation from high school was the largest group, $46.4\%$ among ,the patients, followed by middle school and primary school. The largest group income level was from 40-69 만원, $45.2\%$. The largest group of patients who worked over 50 hrs. a week was $52.0\%$. The largest group of patients who worked less than 1 year was $44.7\%$, of the patients in work places of less than 100 people, $60.3\%$ were injured and in work places of 100-299 people, $20.1\%$ were injured. In manufacturing, the largest group injured was $55.3\%$, the next group was transport, storage, communication. The largest group of production workers injured was $40.2\%$. 2. The cause of injury in the largest group was facility problems, $33.5\%$. The next group was unsafe habits, $30.2\%$ ; a lack of safety knowledge, $17.9\%$ ; and insufficient supervision, $12.3\%$. The 30-39 year age group head the highest number of injuries, $40.4\%$ ; work places with more than 10 years of work, $44.4\%$ ; work places with more than 1000 people, $56.3\%$ and mining accidents, $80.0\%$. Among. these groups the highest cause of injury was due to facility problems. 3. The accident pattern showed machinery injuries $28.5\%$ as the largest group, followed by falls & falling objects $17.3\%$, fire & electric $15.1\%$, strucke by an object $14.5\%$, followed by overaction and vehicular accidents. The accident pattern showed $46.4\%$ among workers over the 50 year age group, workers in the 5-10 year group, $50.0\%$ ; places employing more than 1000 workers, $35.3\%$ ; construction $73.7\%$, and construction workers $57.1\%$, among these fall & falling objects caused the greatest number of injuries. 4. The largest group of injuries was fractures $54.8\%$, trauma $14.5\%$, amputation $11.7\%$, open wound, and burns. The largest number of fractures occurred in people in the 30-39 year age group, $63.2\%$ : over 10 years of work, $55.0\%$ ; in work places of 300-490 people, $63.6\%$ ; construction $63.2\%$ and general workers $57.2\%$. 5. The largest group of injuries was upper extremity $45.3\%$, lower extremity $24.0\%$, trunk $18.5\%$ and head or neck $12.2\%$. Of these groups, upper extremity injuries were the highest in those less than 20 years old $75.0\%$, less than 1 year or work $59.5\%$, in work places of 500-999 people $60.0\%$, manufacturing $56.6\%$ and production workers $55.6\%$. 6. Periods of injury showed 34 people injured in September, to be the largest followed by October, 32 ; August, 22 people : July, 19 people and the lowest December, 2 people. During the week, Friday had the largest group injured, 35 people ; followed by Saturday, 26 people and the lowest was Wednesday, 17 people, During the day 1400 hours had the largest group injured, 38 people ; followed by 800 hours, 31 people. 7. On a basis of 5 as the highest mark, the average, according to worker satisfaction showed facility safety 3.55, work environment 3.47, income 3.44, job 3.21 and treatment 2.98. 8. The correlation between general characteristics and injury showed that age was directly correlated to the duration of work (r=2591) p<0.01, age was directly correlated to industry (r=2311) p<0.01, and the duration was directly correlated to occupation (r=4372) p<0.001.

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농촌지역 성인의 요통 유병률과 치료방법 조사 (Survey on Period Prevalence Rate and Therapeutic Practice For Low Back Pain in Adult Population of Rural Area)

  • 이승주;박정한
    • The Journal of Korean Physical Therapy
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    • 제3권1호
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    • pp.109-121
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    • 1991
  • 농촌지역 성인의 요통 유병율과 요통 치료형태를 조사하기 위하여 1991년 4월 1일부터 20일 까지 경상북도 안동군 서후면에 거주하고 있는 만 20세에서 59세 사이 남${\cdot}$여 주민 총 2,024명을 대상으로 가정방문하여 면담이 완료된 1,106명을 대상으로 분석하였다. 면담된 1,l06명 중 530명이 요통을 경험하여 기간 유병율이 $47.9\%$였는데 연령교정한 남자의 유병율은 $43.7\%$, 여자는 $52.3\%$로 남여간에 통계적으로 유의한 차이를 보였다(p<0.005). 요통환자들의 요통 경과양상은 재발성이 남여 각각 $57.0\%,\;55.2\%$로 가장 높았고, 만성이 $28.9\%,\;35.8\%$, 급성미 $14.1\%,\;9.0\%$였다. 요통원인은 '원인은 잘 모르겠으나 나이가 들면서' $48.1\%$, '일을많이 해서' $15.1\%$, '외부의 물리적 충격'이 $11.3\%$ 등이었다. 요통환자 가운데 요통으로 일상생활을 제대로 못하거나 누워서 생활하는 사람이 $2.5\%$, 1시간 이상서 있거나 걸을 수 없는 사람이 $12.5\%$나 되었다. 요통환자의 $56.6\%$는 요통진단을 받기 위해 의료기관을 이용한 적이 없었고 $31.3\%$ 는 병${\cdot}$의원을 이용하였다. 아무 진단을 받지 않은 이유는 '별로 심하지 않고 견딜만 해서'가 $75.7\%$였다. 요통 치료양상은 첫번째 치료로 약물치료와 물리치료를 받은 경우가 남여 각각 $34.1\%,\;36.3\%$였고, 두 번째 치료로는 한약을 제일 많이 이용했고, 세번째 치료로는 침술을 제일 많이 이용했다. 요통환자들의 $15.5\%$가 민속요법을 사용한 경험이 있는데 그 내용을 '익모초를 삶아서 즙을 마셨다'. '닭 삶은, 국물에 소주를 섞어 마셨다'는 등 35가지로 다양하였다. 본 연구결과로 요통이 농촌주민들에게 중요한 보건문제임을 알 수 있었고, 요통이 발생하여도 병${\cdot}$의원을 이용한 사람은 3분의 1밖에 되지 않았고, 비과학적인 치료법을 많이 사용하고 있음을 알 수 있었다. 따라서 합리적인 요통치료법에 관한 보건교육 실시와 비과학적인 민속요법의 모용과 남용으로 인한 부작용과 의료비의 낭비를 막기 위한 홍보활동이 요구된다.

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요소유래(尿素由來) NO3-N 및 동반(同伴) 양(陽)이온의 토양(土壤) 중 행동(行動) -I. NO3-N 동반(同伴) 양(陽)이온의 용탈(溶脫) (Behavior of NO3-N and Accompanying Cations Derived from Urea under Upland Condition -I. Leaching of NO3-N and Accompanying Cations)

  • 윤순강;류순호
    • 한국토양비료학회지
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    • 제27권1호
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    • pp.15-20
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    • 1994
  • 나지(裸地)와 목초가 재배(栽培)되고 요소(尿素)가 시용된 초지에서 질소행동(窒素行動)과 이들에서 유래(由來)한 $NO_3-N$ 및 동반용탈양(同伴溶脫陽)이온의 행동을 구명(究明)하여 환경보전적(環境保全的)인 질소관리(窒素管理)를 위한 정보(情報)를 얻고자 우리나라 밭 토양(土壤)의 토성점유율(土性占有率)이 높은 사양토(砂壤土)를 공시(供試)하여 Lysimeter 시험으로 수행(遂行)하였다. 목초수량(牧草收量)과 질소흡수량(窒素吸收量)은 질소시용량(窒素施用量)이 많을수록 증가하였으나(p<0.05), Lysimeter로 부터 나오는 용탈수량(溶脫水量)은 질소시용량(窒素施用量), 건물수량(乾物收量)과 밀접한 부(負)의 상관이 있어서 시용된 질소량(窒素量)과 건물수량(乾物收量)이 많을수록 감소하였다($r=-0.95^{**}$). 용탈(溶脫)된 $NO_3-N$은 질소시용량(窒素施用量)이 가장 많았던 35kg N/10a 구(區)에서 230 g $NO_3-N$/10a였으나 질소(窒素) 무시용나지구(無施用裸地區)에서는 1,607g $NO_3-N$/10a으로 질소시용구(窒素施用區)에 비하여 8.5~17.8배(倍)가 많았다. 양(陽)이온 용탈량(溶脫量)은 질소시용량(窒素施用量)이 많을수록 감소하는 부(負)의 상관을 보였으며 [$r=-0.92^{**}(Ca)$, $-0.88^{**}(Mg)$, $-0.94^{**}(K)$, $-0.89^{**}(Na)$], Ca의 용탈량(溶脫量)이 가장 많았다. 양(陽)이온 용탈율(溶脫率)은 나지구(裸地區)의 경우 Ca가 6.48%로 가장 높았고, 요소(尿素)와 인산(燐酸), 가리(加里)가 시용되고 목초(牧草)가 재배(栽培)된 처리구에서는 K이 14.0%로 가장 높았다. 용탈수(溶脫水)에 양(陽)이온의 당량(當量)은 질소시용량(窒素施用量)이 많을수록 경미하게 감소하였으나 $NO_3-N$ 당량(當量)은 증가하는 경향을 보였다. $NO_3-N$ 당량(當量)에 대한 양(陽)이온 당량(當量) 합(合)의 비율은 나지(裸地)의 경우 3.17였으나 목초가 재배(栽培)되고 질소(窒素)가 시용된 구(區)에서는 크게 증가하였으며 질소시용량(窒素施用量)이 많을수록 낮아지는 경향(傾向)을 보였다.

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1세 미만 여아 난소 탈장의 특성과 임상 경과 (Characteristics and Clinical Course of Ovarian Hernias in Infants)

  • 최경은;안소윤;김경아;고선영;이연경;신손문;한병희
    • Neonatal Medicine
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    • 제15권1호
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    • pp.80-83
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    • 2008
  • 목 적 : 서혜부 탈장은 소아에서 비교적 흔하지만, 여아 탈장의 15-31%를 차지하는 난소 탈장은 아직까지 정립된 치료 원칙이 없고 국내에서는 질병의 경과에 대한 보고가 없다. 이에 연구자들은 난소 탈장 환아들의 특성과 임상 경과에 대하여 알아보고자 하였다. 방 법 : 2001년 3월부터 2007년 2월까지 관동대학교의과대학 제일병원에서 난소 탈장으로 진단받은 1세미만 여아 8명을 대상으로 환아들의 재태 연령, 출생체중, 난소 탈장 발견시기와 주 호소, 수술 시기 및 수술법, 수술 후 합병증 여부, 현재의 상태, 서혜부 초음파결과를 의무기록지와 전화 통화를 통해 후향적으로 조사하였다. 난소 탈장은 서혜부 종괴 여부와 초음파 검사 결과 난소가 서혜부에 위치하는 경우에 진단하였다. 결 과 : 환아들의 재태 연령은 $32^{+5}-40^{+1}$주 범위였으며, 이 중 37주 미만 미숙아는 4명(50%)이고, 출생체중은 1,600-3,505 g 범위였다. 대상 환아 중 7명(87.5%)은 좌측 난소 탈장이 있었으며, 1명(12.5%)은 우측에 난소 탈장이 있었다. 종괴를 발견한 시기는 생후 13-144일 사이로 다양하였으며, 수술 받은 환아들의 수술시기는 생후 50${\pm}$15일(35-65일)이었다. 현재까지 8명중 5명이 탈장 봉합술을 시행 받았으며, 합병증은 없었다. 수술을 시행하지 않은 3명은 경과 관찰 중에 수술없이 저절로 정복되었으며, 종괴가 사라진 나이는 생후121${\pm}$46일(70-161일)이었고, 관찰 기간 중(69-1,925일)감돈이나 재발은 없었다. 결 론 : 미숙아 여아인 경우 탈장의 빈도가 만삭아에 비해 높으므로 신체 검진을 통한 대음순 종괴의 발견이 중요하며, 초음파 검사를 통하여 확진한다. 소아의 난소 탈장은 아직까지 일관된 치료 방침이 없고, 외과의 의견을 따라 가능한 한 빠른 시일 내에 수술을 시행하였었기에 경과를 제대로 알 수 없었으나, 저자들이 경과 관찰을 하던 3명의 여아에서 생후 6개월 이내에 난소탈장이 저절로 정복되는 예를 경험하였고, 관찰 기간동안 재발은 없었다. 난소 탈장의 환자를 대상으로 추적관찰을 하여 적절한 치료 방침을 마련하여야 하겠다.

분만관련 불가항력적 의료사고 보상제도에 있어 분담금부과에 관한 연구 -헌법재판소 2018. 4. 26. 선고 2015헌가13 사건을 중심으로- (A Study on Imposing Contribution in the Compensation for Uncontrollable Medical Malpractice during Delivery)

  • 범경철
    • 의료법학
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    • 제19권2호
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    • pp.139-171
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    • 2018
  • 「의료사고 피해구제 및 의료분쟁 조정 등에 관한 법률」(이하 '의료분쟁조정법'이라 한다)에서는 보건의료인이 충분한 주의의무를 다하였음에도 불구하고 분만 중 불가항력적으로 발생한 의료사고에 대하여 국가가 예산의 범위 안에서 그 피해자에게 보상하도록 하고 있다(의료분쟁조정법 제46조). 지금까지 의료사고 피해자가 소송을 통해서만 피해회복을 기대할 수 있었던 것에 비한다면 획기적인 법률이라 할 수 있다. 그런데, 이러한 의료사고보상사업에 드는 비용의 100분의 30은 보건의료기관개설자 중 분만 실적이 있는 자가 부담하고 있는 바(의료분쟁조정법 시행령 제21조), 이 분담금 부과 조항이 분만 과정에서의 산모·신생아 사망 등의 사고가 의사의 과실이 없이 불가항력적으로 발생했음에도, 의사들에게 책임을 묻는 것은 아닌지 문제가 되어 왔다. 그러나 최근 헌법재판소에서 분담금 부과와 관련한 의료분쟁조정법법 제46조 제3항 중 '보건의료기관개설자의 범위' 및 '보상재원의 분담비율' 부분에 대하여 합헌 결정을 내린 바 있다(헌법재판소 2018. 4. 26. 선고 2015헌가13 결정, 이하 '이 사건 결정'이라 한다). 이 사건 결정에서는 법률유보원칙 및 포괄위임입법금지원칙에 의하여만 판단하였으나, 본고에서는 실질적인 판단도 가미하였다. 이 사건 분담금운 과잉금지원칙에 비추어 보더라도 보건의료기관개설자들의 재산권을 침해하지 않는 점을 논증하였다. 불가항력 의료보상제도의 분담금 부과가 민사책임의 중요 원칙인 과실책임원칙에 거스르는 측면이 존재한다. 그러나 의료사고보상사업은 의료사고 피해자를 위한 국가정책으로 합리성이 있으며, 동시에 의료분쟁의 조기종결 효과로 의료계 역시 이익을 얻는 측면이 분명 존재한다. 분담금의 납부를 통한 보상재원의 확충은 이러한 의료사고보상제도를 빠르게 정착시킴으로서 분만과정에서 발생한 의료사고 피해자의 고통과 오해를 경감시키고 의료인의 안정적 진료환경 구축에 큰 도움이 될 것이다.

PLEIADES 영상을 활용한 비접근지역의 1/5,000 수치지형도 제작 가능성 평가 (Possibility Estimating of Unaccessible Area on 1/5,000 Digital Topographic Mapping Using PLEIADES Images)

  • 신진규;이영진;최해진;이준혁
    • 한국측량학회지
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    • 제32권4_1호
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    • pp.299-309
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    • 2014
  • 본 연구에서는 최근 서비스화 된 PLEIADES의 GSD 0.5m 영상을 이용하여 1/5,000 수치지형도 제작의 가능성을 평가하였다. PLEIADES 영상의 초기 RPC 계수를 적용한 결과, 검사점에 대한 RMSE가 $X={\pm}1.806m$, $Y={\pm}2.132m$, $Z={\pm}1.973m$이며, 초기 RPC 계수와 지상기준점 16점으로 기하보정한 결과, RMSE가 $X={\pm}0.104m$, $Y={\pm}0.171m$, $Z={\pm}0.036m$이며, 검사점에 대한 RMSE는 $X={\pm}0.357m$, $Y={\pm}0.239m$, $Z={\pm}0.188m$로 1/5,000 수치지형도 제작에 대한 허용오차의 기준에 부합하는 것을 확인할 수 있었다. 또한, TerraSAR 기준점을 평가하여 활용 가능성 여부를 확인하기 위해 좌표 변환하여 GPS 측량성과와 비교한 결과, RMSE가 $X={\pm}0.818m$, $Y={\pm}0.200m$, $Z={\pm}0.265m$의 결과를 도출하였다. 본 연구 결과로 PLEIADES 영상과 정확한 지상기준점을 이용하면 1/5,000 수치지형도 제작이 가능하다는 것을 확인하였으며, 비접근 지역의 수치지형도 제작을 위한 기준점 확보 방안으로 TerraSAR 기준점을 평가한 결과, 1/5,000 수치지형도를 제작하기 위한 기준점에는 부합하지는 않았지만, 향후 대안으로써 TerraSAR 기준점을 활용하는 방안에 대하여 추가 연구가 필요하다고 사료된다.

미술의 공공성과 키스 해링(Keith Haring)의 사회적 개입에 관한 연구 (A Study on Art's Public Features and Social Intervention by Keith Haring)

  • 김지영
    • 미술이론과 현장
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    • 제8호
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    • pp.59-87
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    • 2009
  • This thesis started from the attempt to make it clear that 80's American artist Keith Haring(1958-1990) had conducted social intervention of criticism, resistance, and participation through his works, and so pursued public value. Haring of graffiti fame left popular and familiar cartoon style pictures on the street wall, the billboards, the posters and so on. Popular and playful works was explained as his unique characteristics, but Haring's creative way at the field has more value than just being grasped as artist's personal characteristics. Haring's work pieces became everyday art by joining with people's life, and are working as a social speaking place. So I think that these Haring's art works possess characteristics of 'the public sphere'. 'The Public Sphere' means that is independent and free from the government or partisan economic forces, so that is not connected with the interested relations, and that is the sphere of rational argumentation without 'disguise' or 'fabrication', and that is the sphere where general public can participate in and is inspected by them. The public sphere between the sphere of public authority such a nation and a market and the private sphere of free individual, it is mutually connected with them and works as the space forming public opinion. Private individuals communicate with this public sphere and perform a role of direct and indirect check, balance, and social criticism way off from power. Openness that should include the voice of not only leading power but also the socially weak such as citizens, women, homosexuals, minority races, and so on, and alienated class, is an index of the public characteristics. The public sphere is not working just with speech and mass media. Many artists as well as Haring open their mouth and act through an art at the center of society, and create another public sphere by an art. I understood that the real participatory and practical characteristics on the Haring's work is a phenomenon and current of a part of the art world including Haring. Such current started from 1960s is the in-depth effort to be connected with the life more closely, to communicate with people, and to improve problems of life. And it has pursued public value on the different way from the nation or public power. Artists have intervened in the society with strategic and positive ways in order to raise pushed-out value and sinked rights as the public agenda, and labored to accept the value of variety and difference at the society. The aspect of such social intervention is the notable features, findable on the Haring's works and process. Haring's works include art historical meanings and are expressed with familiar and plastic language, so they were able to communicate with various classes. And he secured various customers at the field and the street. This communicative and public approach factor raised the possibility much for his works to work as the public sphere. Haring presented critical and resistant speech toward society with his works based on this factor. He asserted his position and justice of gender identity as a sexual minority. And his such work continued to movement for alienated class and social week over his own rights. His speech and message on the wall painting, poster, T-shirts, billboard of the subway, and so on worked as a spectacle and pressed concern with social issues and consciousness shift. And he's been trying to protect and care people who is injured by HIV and drug and to realize social justice through social week protection. Haring's works planned to meet many people as much as possible performed its role of intervening in society through criticism, resistance, speech, and participation, and controlling and checking social issues. These things considered, Haring's works show his consciousness about public attributes of art, and obviously include public value seeking. And also we can find the meaning of such his work as that an art is working as the public sphere and shows the possibility to discuss and practice public issues.

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