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A Study on Nursing Diagnoses and Nursing Intervention Classification -focused on Home Health Care Clients- (간호진단과 중재분류에 관한 조사연구 -가정 간호 대상자를 중심으로-)

  • 김조자;최애규;김기란;송희영
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.72-83
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    • 1999
  • The purpose of this study was to classify, from collected home health care records data, nursing diagnoses according to the NANDA system and nursing interventions according to the NIC system, and to link nursing interventions to nursing diagnoses. For this study, 101 home health care records of clients seen between September, 1994 and November, 1996 at Yonsei Medical Center, Seoul, were analyzed. The results of this study are summarized as follows : 1. The most frequent nursing diagnoses were ‘Risk for infection’ and ‘Altered nutrition : Less than body requirements’, then ‘Impaired skin intergrity’ and ‘Ineffective airway clearance’ in the Exchange pattern of NANDA nine human response patterns. 2. The most frequent nursing interventions were the interventions in the Physiological : Complex domain, there were 690(50.7%) interventions among a total 1347 interventions. This results corresponds to Yom, Young Hee(1995)’s research, both Korean and U.S. nurses used the interventions in the Physiological : Complex do main most often on a daily basis. And respiratory nursing interventions were most frequent because 32.7% of the subjects were respiratory patients. 3. The next step was to link the nursing interventions to nursing diagnoses. The most frequent nursing diagnosis was ‘Risk for infection’ and 19 interventions for ‘Risk for infection’ were used 267 times. Then 14 interventions for ‘Impaired skin integrity’ were used 258 times, 12 interventions for ‘Ineffrective airway clearance’ were used 193 times, 12 interventions for ‘Altered nutrition : Less than body requirements’ were used 122 times, 10 interventions for ‘Activity intolerance’ were used 75 times, and 11 interventions for ‘Knowledge deficit’ were used 52 times. 4. The use of standardized classification in the areas of nursing diagnoses and nursing interventions facilitates clinical decision making and prompt nursing activity, and so enhances the effectiveness of nursing care.

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Development of validated Nursing Interventions for Home Health Care to Women who have had a Caesarian Delivery (조기퇴원 제왕절개 산욕부를 위한 가정간호 표준서 개발)

  • HwangBo, Su-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.1
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    • pp.135-146
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    • 2000
  • The purpose of this study was to develope, based on the Nursing Intervention Classification (NIC) system. a set of standardized nursing interventions which had been validated. and their associated activities. for use with nursing diagnoses related to home health care for women who have had a caesarian delivery and for their newborn babies. This descriptive study for instrument development had three phases: first. selection of nursing diagnoses. second, validation of the preliminary home health care interventions. and third, application of the home care interventions. In the first phases, diagnoses from 30 nursing records of clients of the home health care agency at P. medical center who were seen between April 21 and July 30. 1998. and from 5 textbooks were examined. Ten nursing diagnoses were selected through a comparison with the NANDA (North American Nursing Diagnosis Association) classification In the second phase. using the selected diagnoses. the nursing interventions were defined from the diagnoses-intervention linkage lists along with associated activities for each intervention list in NIC. To develope the preliminary interventions five-rounds of expertise tests were done. During the first four rounds. 5 experts in clinical nursing participated. and for the final content validity test of the preliminary interventions. 13 experts participated using the Fehring's Delphi technique. The expert group evaluated and defined the set of preliminary nursing interventions. In the third phases, clinical tests were held at in a home health care setting with two home health care nurses using the preliminary intervention list as a questionnaire. Thirty clients referred to the home health care agency at P. medical center between October 1998 and March 1999 were the subjects for this phase. Each of the activities were tested using dichotomous question method. The results of the study are as follows: 1. For the ten nursing diagnoses. 63 appropriate interventions were selected from 369 diagnoses interventions links in NlC., and from 1.465 associated nursing activities. From the 63 interventions. the nurses expert group developed 18 interventions and 258 activities as the preliminary intervention list through a five-round validity test 2. For the fifth content validity test using Fehring's model for determining lCV (Intervention Content Validity), a five point Likert scale was used with values converted to weights as follows: 1=0.0. 2=0.25. 3=0.50. 4=0.75. 5=1.0. Activities of less than O.50 were to be deleted. The range of ICV scores for the nursing diagnoses was 0.95-0.66. for the nursing interventions. 0.98-0.77 and for the nursing activities, 0.95-0.85. By Fehring's method. all of these were included in the preliminary intervention list. 3. Using a questionnaire format for the preliminary intervention list. clinical application tests were done. To define nursing diagnoses. home health care nurses applied each nursing diagnoses to every client. and it was found that 13 were most frequently used of 400 times diagnoses were used. Therefore. 13 nursing diagnoses were defined as validated nursing diagnoses. Ten were the same as from the nursing records and textbooks and three were new from the clinical application. The final list included 'Anxiety', 'Aspiration. risk for'. 'Infant behavior, potential for enhanced, organized'. 'Infant feeding pattern. ineffective'. 'Infection'. 'Knowledge deficit'. 'Nutrition, less than body requirements. altered', 'Pain'. 'Parenting'. 'Skin integrity. risk for. impared' and 'Risk for activity intolerance'. 'Self-esteem disturbance', 'Sleep pattern disturbance' 4. In all. there were 19 interventions. 18 preliminary nursing interventions and one more intervention added from the clinical setting. 'Body image enhancement'. For 265 associated nursing activities. clinical application tests were also done. The intervention rate of 19 interventions was from 81.6% to 100%, so all 19 interventions were in c1uded in the validated intervention set. From the 265 nursing activities. 261(98.5%) were accepted and four activities were deleted. those with an implimentation rate of less than 50%. 5. In conclusion. 13 diagnoses. 19 interventions and 261 activities were validated for the final validated nursing intervention set.

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Negative Impedance Converter IC for Non-Foster Matching (비 포스터 정합을 위한 부성 임피던스 변환기 집적회로)

  • Park, Hongjong;Lee, Sangho;Park, Sunghwan;Kwon, Youngwoo
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.26 no.3
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    • pp.283-291
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    • 2015
  • In this paper, a negative impedance converter, the key element of non-Foster matching to enhance the bandwidth of matching high Q-factor passive element, is presented. Proposed negative impedance converter is implemented by the topology of Linvill's transistor negative impedance converter circuit. It is hard to forecast the operation of negative impedance circuit, because it is composed of gain element and positive feedback. Therefore the negative impedance circuit is implemented by hybrid type beforehand to check out the feasibility and it is designed by integrated circuit. The integrated circuit is fabricated by commercial $0.18{\mu}m$ SiGe BiCMOS process, and non-Foster matching is observed at 700~960 MHz band by cancelling the target reactance.

Construction of the Nursing Diagnosis Ontology in Obstetric and Gynecologic Nursing Unit using Nursing Process and SNOMED CT (산부인과 간호단위의 간호과정과 SNOMED CT를 이용한 간호진단 온톨로지의 구축)

  • Park, Jeong-Eun;Chung, Kwi-Ae;Cho, Hune;Kim, Hwa Sun
    • Women's Health Nursing
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    • v.19 no.1
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    • pp.1-12
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    • 2013
  • Purpose: This study was performed to propose an ontology methodology based on standardized nursing process as framework in obstetric and gynecologic nursing practice. Methods: The instrument used in this study was based on the nursing diagnosis classification established by North American Nursing Diagnosis Association (NANDA) (2009-2011), fifth edition of the Nursing Interventions Classification (NIC) (2008), forth edition of the Nursing Outcomes Classification (NOC) (2008) developed by Iowa State University and systematized nomenclature of medicine clinical terms (SNOMED CT). The nursing records data were collected from electronic medical records of one hospital from August to October 2010. Results: One hundred and forty-one nursing diagnosis statements used in obstetric and gynecologic nursing unit were linked standardized nursing classifications and constructed nursing diagnosis ontology including interoperability. Conclusion: Not only will this result be helpful to complete nurse's lack of knowledge and experience, it will also help to determine nursing diagnosis logically by using standardized nursing process. It will be utilized as the method to construct ontology including interoperability in other nursing units. It will be presented nursing interventions according to nursing diagnosis and thus will be easier to establish nursing planning. This can provide immediate feedback of the nursing process application.

An Implementation of Socket Interface for TOEs (TOE를 위한 소켓 인터페이스의 구현)

  • Son, Sung-Hoon
    • Journal of Korea Multimedia Society
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    • v.8 no.11
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    • pp.1472-1482
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    • 2005
  • In this paper, we propose a socket interface layer for large-scale multimedia servers that adopt TCP/IP Offload Engines (TOE). In order to provide legacy network applications with binary level compatibility, the socket interface layer intercepts all socket-related system calls to forward to either TOE or legacy TCP/IP Protocol stack. The layer is designed and implemented as a kernel module in Linux. The layer is located between BSD socket layer and INET socket layer, and passes the application's socket requests to INET socket layer or TOE. The layer provides multimedia servers and web servers with the following features: (1) All standard socket APIs and file I/O APIs that are supported (2) Support for binary level compatibility of existing socket programs (3) Support for TOE and legacy Ethernet NICs at the same time.

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Studies on Press Drying and Dynamic Elastic Modulus of Plywood Treated with Boric Acid (붕산처리(硼酸處理) 합판(合板)의 열판건조(熱板乾燥) 및 동적(動的) 탄성율(彈性率)에 관(關)한 연구(硏究))

  • Kim, Jong-Man
    • Journal of the Korean Wood Science and Technology
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    • v.15 no.3
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    • pp.56-67
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    • 1987
  • Plywoods used for construction as a decorative interior material are inflammable and can make fire accidents, causing destruction of human life and property. Therefore, it is indeed required to make fire-retardant treated plywood. In this study, 3.7mm yellow meranti plywoods were soaked in 18% boric acid solutions and tap water by hot-cold bath for 1/2, 2/2, 4/2, 6/2 hours and redrying of treated plywoods was carried out by press drying at the platen temperature of 110, 130, 160, $180^{\circ}C$ and then it was conducted to investigate solution absorption, drying rates, dynamic young's modulus. specific gravity and fire-retardant factors such as burning point, flame spread length. flame exhausted time, back side carbonized area and weight loss by treating time, treating solutions and platen temperature. The results are as follows; 1. When plywood was impregnated with the hot bath temperature of $70^{\circ}C$ for 1. 2, 4, 6 hours and the cold bath temperature of $15^{\circ}C$ for 2 hours respectively, retentions of boric acid were 1.565, l.597, 1.643, 1.709kg/$(30cm)^3$ and all of them exceeded the minimum retention [1.125kg/$(30cm)^3$] even in the shortest treatment. 2. In hot-cold bath method for 1/2 hours, the drying rates of treated plywood remarkably increased with the extension of platen temperature of 110, 130, 160, $180^{\circ}C$ and the values of boric acid treated plywood were 5.900, 10.196, 45.42, 54.958m.c%/min and the values of water treated plywood were 6.014, 12.373, 46.520, 55.730m.c%/min and drying rates of water treated plywood were faster than those of boric acid treated plywood. 3. The values of boric acid treated plywoods in dynamic young's modulus were widely higher than those of water treated plywoods. And it can be observed that there were highly significant differences for treating time between dynamic young's modulus, and the values of boric acid plywoods increased with the extension of treating time but on the contrary water treated plywoods were decreased values with prolonged time 4. It was observed that there were highly significant differences for platen temperature between dynamic young's modulus. When the values of water treated plywoods in dyna nic young's modulus were abruptly decreased according to the rise of platen temperature. boric acid treated plywoods showed rather increased values at $160^{\circ}C$ of platen temperature. And in 2- way interactions, there were also highly significant for dynamic young's modulus between treating time x treating solutions and platen temperature x treating solutions. 5. Correlation coefficients of fire-retardant factors were shown in table 5. It could be recognized that there were close correlations between the treating solutions and burning point, flame spread length, back side carbonized area, flame exhausted time and weight loss, but there was no correlation between fire-retardant factors and treating time and platen temperature. 6. From table 6, it can be observed that there were highly significant differences for burning point, flame spread length, flame exhausted time, back side carbonized area, weight loss between treating solutions. And in 2-way interactions, there were highly significant for burning point, flame spread length, weight loss between treating time $\times$ treating solutions.

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A Study on the Costume of Khotan (우전(Khotan)의 복식에 관한 연구)

  • 김소현
    • Journal of the Korean Society of Costume
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    • v.34
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    • pp.169-182
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    • 1997
  • Focusing on khotan located in the southern Silk Route which was one of the most important kingdoms in the Tarim Basin this study attempts to examine the changes of costume in Khotan by compar-ing the costumes in the painted panel showing the story of silk princess with the excavated costumes from ancient tombs. Furthermore this study attempts to inves-tigate the impacts of cultural exchange be-tween China and its western neighboring country Eastern and Western Turkestan on costume. Excavated costumes from the Shanpula ancient tomb in the region of Khotan and from ancient Niya in the esat-ern border of Khotan and discoveries from Rawak and Dandan-oilik near by Yotkan the ancient capital of Khotan are exam-ined. Basic Khotan's costume was the two piece style of tops and trousers. Over the basic costume wearing a top wear with half sleeves was popular. Skirt was worn by women. Even though there were many kinds tops were classified into the two types kaftan and tunic. Thouth Khotan maintained a association with China for a long time the style of Khotan costume had imbued to China. Top wear with half sleeves was worn frequently in Khotan. Also in China top wear with half sleeves was worn as over-wear which was called ban-xiu ban-bi bei-zi Costume style of China is covering the body profoundly and wrapping front edge toward the right. The types of chi-nese top wear with half sleeves for exam-ple round-neck·confronting front edge crossing-neck·confronting front edge tu-nic type discord with the traditional chi-nese costume style There were many cas-es that half sleeved top wear was worn as over wear in T'ang dynasty. The phenom-enon was due to the prevalence of 'ho' (foreign) and half sleeved top wear was introduced by the countries to the west of China Khotan. A round neck garment was a general type for the men of cuntries to the westof China. Also Chinese wore round neck garment since South and North Dynasty The type of Chinese round neck garment was not tunic but kaftan. From costume relics and ancient paintings the type of Khotan's round neck garment was tunic which was recorded on the Chinese histori-cal documents as " guan-tou-shan" that is tunic the type of persian costume, Even thgough the painted panel showing the sto-ry of silk princess was made in the it me when Turks was a dominion on Central Asia Khotan's costume style was not changed toward Turk's costume style and remained tunic style.

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Design and Implementation of Initial OpenSHMEM Based on PCI Express (PCI Express 기반 OpenSHMEM 초기 설계 및 구현)

  • Joo, Young-Woong;Choi, Min
    • KIPS Transactions on Computer and Communication Systems
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    • v.6 no.3
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    • pp.105-112
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    • 2017
  • PCI Express is a bus technology that connects the processor and the peripheral I/O devices that widely used as an industry standard because it has the characteristics of high-speed, low power. In addition, PCI Express is system interconnect technology such as Ethernet and Infiniband used in high-performance computing and computer cluster. PGAS(partitioned global address space) programming model is often used to implement the one-sided RDMA(remote direct memory access) from multi-host systems, such as computer clusters. In this paper, we design and implement a OpenSHMEM API based on PCI Express maintaining the existing features of OpenSHMEM to implement RDMA based on PCI Express. We perform experiment with implemented OpenSHMEM API through a matrix multiplication example from system which PCs connected with NTB(non-transparent bridge) technology of PCI Express. The PCI Express interconnection network is currently very expensive and is not yet widely available to the general public. Nevertheless, we actually implemented and evaluated a PCI Express based interconnection network on the RDK evaluation board. In addition, we have implemented the OpenSHMEM software stack, which is of great interest recently.

A Study for the Present Conditions and the Service Satisfaction with Hospital Home Care Service (병원가정간호사업 운영 현황 및 서비스 만족도에 관한 연구)

  • Hong, Chun-Sil;Oh, Kyong-Ok;Park, Mi-Young;Sim, Hee-Sook;Cha, Young-Nam
    • Journal of Home Health Care Nursing
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    • v.8 no.2
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    • pp.121-134
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    • 2001
  • The purpose of this study were to analyze the home care services and to evaluate the client's satisfaction with the home care services provided by home care service center in the C hospital. The data were collected by reviewing charts of 128 home care clients who were receiving home care services at C hospital from October 1997 to September 2000. The subjects for satisfaction of home care service were 20 clients from July 10 to September 30, 2000. The tool for measurement of present condition of home care service was developed by the researchers. The satisfactions of the home care services were measured by using the instrument developed by Im(997). The data were analyzed by using the SPSS/PC+. The results of this study were as followings : 1. Majority of the subjects was female(61.7%). The average of age was 63.5 years. The service has been used mostly by the elderly 60 years of age or older(71.1%). The economic level of most of subjects was in middle class(94.5%). 2. Majority of the subject had a cancer(55.4%), following stroke(25.0%). The average duration of disease for the subjects was 31 months. The average time of hospitalization for the subjects was 3.3 times. The duration of hospitalization was 10$\sim$30 days(26.6%), 30$\sim$60 days(23.4%) and above of the 210 days(9.4%). 3. Most of the subjects used his/her doctor (47.7%), as a consultant, following his/her nurse (28.1%), other patients or their family (21.9%). Most of reasons for a consultation were supportive management(Infusion or medication, 60.94%), following tube management(L-tube or T-tube, 25%), Foley catheter management (15.63%) etc. 4. 28 types of nursing diagnoses were used by the home care service. The nursing diagnosis altered nutrition: less than body requirement were used mostly by the home care service, following risk for infection, impaired skin integrity, impaired swallowing, ineffective airway clearance altered comfort: pain, impaired physical mobility. By the human-response pattern, exchanging(63.2%), moving(7.5%), feeling(10.4%), knowing(5.2%), communicating (2.6%), relating(0.5%) perceiving(0.4%) and choosing(0.3%). There were 42 nursing intervention types were performed by the home care service. By the NIC(nursing intervention classification. McCloskey. Bulech. 1996). physiologic: complex (30.3%) was the most, safety(28.3%), behavioral(20.0%), physiologic: basic(10.8%) and health system(1.7%). Observation or assessment was the most nursing intervention performed by the home care service. following IV infusion. vital sign observation. infusion management and fluid-electrolyte balance management. 5. The level of client's satisfaction with provided home care services showed considerably high(2.67/ 3).

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공업화(工業化) 속도(速度)에 대한 세계시장(世界市場) 규모(規模)의 영향(影響)

  • Yu, Jeong-Ho
    • KDI Journal of Economic Policy
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    • v.19 no.2
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    • pp.73-157
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    • 1997
  • 19세기(世紀) 중반(中盤)에 시작된 선진국(先進國)들의 공업화(工業化)는 약 100년이 소요(所要)되었는데 동(東)아시아 신흥공업국(新興工業國)(NICs)들의 경우에는 20~30년이 소요(所要)된 것으로 추정된다. 후자(後者)의 공업화(工業化) 경험은 흔히 '동(東)아시아의 기적(奇蹟)'이라 불린다. 그러나 이 고속성장(高速成長) 혹은 압축성장(壓縮成長)이 가능했던 이유가 무엇이냐에 관해 경제학계(經濟學界) 내외(內外)에서 그리고 국내외(國內外)에서 일치된 의견이 없고, 특히 이 과정에서의 정부(政府)의 역할(役割)을 어떻게 평가하느냐에 관하여는 더욱 그러하다. 신고전(新古典) 경제학(經濟學)은 이 나라들의 가격왜곡(價格歪曲)의 최소화(最小化), 시장기구(市場機構)의 활용(活用), 국제분업(國際分業)에의 참여(參與)에서 주된 이유를 찾고 있는데 비해, 소위 수정주의(修正主義)는 이같은 견해가 사실과 크게 괴리가 있으며 '기적(奇蹟)'은 시장(市場)의 자원배분(資源配分)에 대한 정부개입(政府介入)이 주효(奏效)하였기 때문이라 주장한다. '동(東)아시아의 기적(奇蹟)'은 동(東)아시아란 지역(地域)에서 일어난 현상일 뿐 아니라 20세기(世紀) 후반(後半)에 일어난 동시대적(同時代的) 현상이기도 하다. 공업화(工業化)를 이룬 나라들은 모두 세계시장(世界市場)과 활발히 교역(交易)하였다는 공통점이 있는데, 세계시장(世界市場)의 규모(規模)를 대표하는 세계총수출(世界總輸出)이 19세기(世紀) 중반(中盤)과 20세기(世紀) 후반(後半) 사이에 실질기준(實質基準)으로 100배 이상 커졌다. 이 글은 세계시장(世界市場)의 규모증대(規模增大)가 동(東)아시아 NICs들의 고속성장(高速成長)의 이유(理由)였을 가능성(可能性)을 이론적(理論的)으로, 실증적(實證的)으로 검토해본 것이다. 이론적(理論的)으로는, A Lewis의 무한노동공급(無限勞動供給)(unlimited supply of labor)이 존재하는 경제(經濟)에서는 세계시장((世界市場) 상대가격(相對價格)이 불변(不變)인 한 제조업내(製造業內) 노동집약도(勞動集約度)가 높은 산업(産業)에 대한 투자유인(投資誘因)이 지속된다는 점에 고속성장(高速成長)의 근거가 있다고 보았다. 이러한 투자(投資)의 지속은 제조업부문(製造業部門)의 산출(産出)과 고용(雇傭)이 경제(經濟)에서 점하는 비중(比重)을 낮은 자원비용(資源費用)으로 증대(增大)시킬 것이기 때문이다. 실증분석(實證分析)에서는, 필요한 통계자료(統計資料)가 있는 19개국의 공업화(工業化) 경험(經驗)을 검토하였는데, 한 나라가 공업화(工業化)를 시작하는 시점(時點)의 세계총수출(世界總輸出)이 클수록 그 나라의 공업화(工業化) 소요기간(所要期間)이 단축(短縮)된다는 매우 확실한 증거가 있었다. 또한 동(東)아시아 NICs의 공업화(工業化) 소요기간(所要期間)이 선진국(先進國) 경험에 비해 약 1/4의 길이로, 혹은 그보다 더 짧게 단축(短縮)된 것은 거의 모두 세계총수출(世界總輸出) 규모(規模)의 증가(增加)로 설명될 수 있었다. 이같은 이론적(理論的) 근거(根據)와 실증적(實證的) 증거(證據)를 감안할 때, 우리 경제(經濟)는 정부주도형(政府主導型)이었으나 고속성장(高速成長)을 가능하게 한 것은 정부주도(政府主導)보다는 그 규모(規模)가 대폭 증대한 세계시장(世界市場)에서의 국제분업(國際分業)이었다.

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