• 대한토목학회논문집
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• 제36권2호
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• pp.285-295
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• 2016

건설공사 사후평가 제도는 공공건설사업의 계획단계에서 예측한 이용수요 사업비 사업기간 등에 대한 예측치를 준공 후에 평가함으로써, 차후 유사사업 추진 시 그 평가결과를 참고하여 발주청의 시행착오를 줄이기 위한 목적으로 2000년도에 도입되었다. 그러나 객관성 및 신뢰성이 결여된 평가 수행체계 및 부재한 활용주체로 인하여 건설공사 사후평가 제도 정착 및 활성화에 걸림돌이 되고 있다. 이에 본 연구에서는 선진외국의 건설사업 평가수행 및 관리 활용 체계를 벤치마킹하여 국내 사후평가 체계 개선을 위한 시사점을 도출하였고, 공공 발주청 사후평가 담당자 및 사후평가위원회 활동경험이 있는 전문가를 대상으로 설문조사를 실시하여 사후평가 전문기관 설치의 필요성 및 전문기관에서 담당해야 할 기능 및 업무내용 등을 도출하였다. 도출된 분석결과를 바탕으로 최종적으로 본 연구결과가 실효성이 확보될 수 있도록 관련 법령 및 지침 개정안을 마련하였다. 본 연구 결과를 통해 향후 전문기관이 설치된다면 대규모 건설사업 시행과정을 면밀히 분석하여 차후 유사사업 수행 시에 많은 시행착오를 줄일 수 있으며, 관행적 반복적으로 적용되는 건설사업 수행방식을 개선하여 기술경쟁력이 제고될 수 있다.

• 법제연구
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• 제53호
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• pp.375-418
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• 2017

최근 전문병원 지정제도가 도입되었는데, 이와 관련하여 인터넷 온라인검색에서 '전문병원' 내지 '전문'이라는 용어를 사용하여 병원을 검색할수 있는지가 문제되고 있다. 이에 본 논문에서는 광고에서 '전문병원' 내지 '전문' 개념을 사용하였을 때 소비자에게 당해 의료기관이 보건복지부지정 전문병원으로 오인될 가능성이 발생할 수 있는지, 그래서 의료법상허위 과대광고에 해당할 수 있는지를 살펴보고 다음과 같은 결론을 도출하였다. 전문병원이라는 명칭은 기본적으로 3가지의 일반적 의미를 가질 수 있고 이러한 일반적 의미와 연관하여 혼동 오인가능성을 가져 온다면 허위 과장광고가 될 수 있을 것이다. 법률에서 이러한 일반적인 의미와 다른 개념을 사용한다고 하여 일반적인 의미가 소비자의 인식에서 사라진다고 할 수 없다. 따라서 전문병원 지정제도를 통하여 의료법에 전문병원을 특수한 의미로 개념정의하고 있더라도 일반적인 인식에 따라 전문병원이라는 단어가 갖는 의미도 고려해야 한다. 첫째, 의료법상으로는 전문병원 지정제도와 연관하여 전문병원을 지정받은 병원만이 전문병원 명칭을 사용할 수 있고 지정받은 진료과목 한도에서만 명칭표시가 가능하다. 따라서 전문병원으로 지정받지 않은 경우및 전문병원 진료과목에 없는 진료과목을 사용한 명칭은 허위 과장광고에 해당할 것이다. 둘째, 전문병원이라는 명칭은 독일법상 사용하는 바와같이 일반병원에 대립되는 개념으로서 제한된 특수영역 한도에서 진료를한다는 의미를 가질 수 있다. 이러한 경우에는 해당 특수 영역에 한해서진료를 하지 않음에도 불구하고 전문병원으로 광고를 한다면 허위 과장광고에 해당할 수 있을 것이다. 셋째, 전문병원이라는 명칭은 전문의에대응하는 개념으로 특정 진료과목에 전문성을 갖춘 병원이라는 의미를가질 수 있다. 따라서 특정 진료과목에 전문성이 없는 병원에서 전문병원명칭을 사용하는 것은 허위 과장광고가 될 것이다. 이러한 결론을 토대로 보건복지부에서 제정한 "전문병원 광고관련 가이드라인"를 살펴보면 광범위한 금지영역을 설정함으로써 의료기관이 갖는 표현의 자유 및 직업 활동의 자유를 제한하고 있음을 알 수 있다. 또한 소비자가 의료기관을 검색할 때 전문성을 갖는 의료기관을 광범위하게 검색하고 싶어 하는데, '전문', '특화', 첨단' 등의 용어를 포괄적으로 금지하여 소비자가 전문성을 갖는 의료기관을 적합하게 찾을 수 있는자유를 부당하게 막고 있다. 전문성을 갖춘 의료기관이 자신을 적절히 광고할 기회를 박탈하고 있는 해당 가이드라인은 전면적으로 재검토 되어야 한다고 생각된다.

• Journal of Trauma and Injury
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• 제35권3호
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• pp.151-158
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• 2022

Purpose: There is a strong correlation between trauma and pain. Pain increases the rate of depression, posttraumatic stress disorder, and even mortality in trauma patients. Methods: This institution-based, provider-blinded and patient-blinded, observational study was conducted among trauma patients treated at Tikur Anbessa Specialized Hospital. Over the course of 3 months, this study included patients who had no prior pain management at other hospitals before presentation, and who presented within 24 hours of the traumatic event. Results: Of the 74 patients evaluated, none of the patients had their pain level scored. The researcher-provided pain scale showed a severe subjective pain score for 79.7% of the patients and a severe functional activity score for 59.5% of the patients. Analgesia was provided at an average of 55.4 minutes after presentation and all patients received either diclofenac or tramadol. Satisfactory pain reduction after analgesia was 28.8% for patients initially complaining of severe pain, 54.6% for moderate pain, and 66.7% for mild pain, with the difference being statistically significant (P<0.05). Forty percent of patients discharged home received no analgesia after the first dose provided upon presentation. Conclusions: Pain scoring was nonexistent during the course of the study. The poor utilization rate of analgesia combination and opioids led to unsatisfactory pain outcomes in patients evaluated and followed for 24 hours after presentation.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2005년도 추계학술대회 논문집
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• pp.371-374
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• 2005

As the aging of this society, instead of growing numbers old protective functions of families decreased according to increasing tendency of nuclear families, increasing rates of females' participation of economic activities. Now, the problem of supporting the old is in need of social supporting system the cope with this are based on these factors are like this: 1) It is necessarily the instruction of medical welfare service. 2) The overlapped service is avoided and the service of specialized. 3) Most of the welfare service institution is Seoul and local city hall, so it needs the institution is transferred. 4) It needs the increase the number of home helper. 5) When the service is offered, the government must considers finance, elderly health condition and preference. 6) It needs the department for the welfare service for the old who stay at home.

• 대한한방부인과학회지
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• 제26권2호
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• pp.151-165
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• 2013

Objectives: The purpose of this study is to investigate use condition of Korean medical institution and demand of Korean Medical Treatment Project of Infertility in infertile couple. Methods: Questionnaires were distributed to all members of the incorporated association AGAYA(http://www.agaya.org/) via e-mail and to infertile women who visited to Korean medicine OB & GY outpatient clinic of university Korean medicine hospitals of the country and an infertility specialized Korean medicine hospital. One hundred twenty four of completed questionnaires were analyzed. Results: 1. Korean medical institution utilization rate of infertile couple was 89.6% and was similar with western medical institution utilization rate of 87.1%. 2. 96.8% of infertile couple answered that Korean Medical Treatment Project of Infertility is necessary. And 90.3% of infertile couple answered that herbal medicines should be supported first of all. 3. 90.3% of infertile couple answered that they will participate if Korean Medical Treatment Project of Infertility go ahead. Conclusions: It was confirmed that most of the infertile couple have been received Korean medical treatment for infertility, and think that Korean Medical Treatment Project of Infertility is necessary.

• 융합보안논문지
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• 제19권2호
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• pp.123-128
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• 2019

2016년 3월 대한민국 국회에서 대(對)테러법인 "국민보호와 공공안전을 위한 테러방지법"이 통과되었고, 이에 근거하여 대테러관련기관의 기능과 역할도 부여되었다. 그러나 대테러관련기관이 그 임무를 수행하는 과정에서 다수의 문제점이 제기되었으며, 이에 관한 다양한 논의가 진행 중이다. 이 연구는 대테러시스템과 관련한 쟁점에 대하여 전문가들에게 '상대적 중요도 분석(AHP)'을 실시하였다. 현행 대테러시스템 개선을 위한 분석결과는 다음과 같다. 첫째, 측정영역의 우선순위는 법제도, 협력, 운영 측면으로 밝혀졌다. 다음으로, 측정요소의 우선순위는 대테러전담기구의 정비, 대테러관련부서의 유기적 공조, 대테러업무의 전문인력양성으로 도출되었다. 이를 통하여 대테러시스템 개선을 위한 정책적 고려사항으로 대테러전담기구의 정비 등에 관한 논의가 필요하다.

• Korean Journal of Acupuncture
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• 제27권2호
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• pp.35-47
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• 2010

Objectives : Chim-Gu-Kyung-Heom-Bang(CGKHB; 鍼灸經驗方) is the needle and moxa specialized document written by the doctor specialized in needle and moxa treatment of Joseon(朝鮮), Heo Im(1570-1647). The document was published in April 1644(22nd year of King Injo). CGKHB contains the needle and moxa treatment techniques accumulated by the Joseon Dynasty as well as the personal experience of Heo Im. The aim of this study is to restore the past treatment method as a method of Needle Insertion Method at CV12(NIM-CV12, needle to penetrate blood vessel technique) in CGKHB.. Methods : Through Dong-Yi-Bao-Gam(DYBG; 東醫寶鑑), the implication of Korean medicine study of the Jungwan(CV12) has been studied. Next is the contemplation of the NIM-CV12 of CGKHB with the Acupuncture Treatment Using Jungwan(中脘鍼法) of Park Tae-won and Acupuncture Treatment for Byeokjeok(癖積鍼法) of "Geup Yubang". Results and Conclusions : 1. CV12 is one of the acupuncture points representing stomach(脾胃), middle energizer(中焦), phlegm-fluid retention(痰飮) and greater yin(太陰). 2. NIM-CV12 of CGKHB is the technique to penetrate the needle into the CV12 strictly relying on tactile sense of a person who give the penetration. This CV12 administration was carried out at intervals of every 7 or 8 day. During the administration period, the patient was not allowed to intake excessive amount of food. 3. The Acupuncture Treatment Using Jungwan(中脘鍼法) of Park Tae-won and Acupuncture Treatment for Byeokjeok(癖積鍼法) of "GeupYubang", existed in the same era of the NIM-CV12 of CGKHB, have similar linkage to the NIM-CV12 of Heo Im.

• Korean Journal of Acupuncture
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• 제28권1호
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• pp.101-112
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• 2011

Objectives : This research is aimed to consider the arranging process of the expertise on acupuncture & moxibustion in the corrective process of "Uibangyuchi" by studying the relationship between "Uibangyuchi" and "Compilation of Chimgutaekil". Methods : This researcher scrutinized the compilation & corrective process of "Uibangyuchi" through royal family records and considered the relationship between "Compilation of Chimgutaekil" and "Uibangyuchi" from the historial viewpoint. Results and Conclusions : 1. In the corrective process of "Uibangyuchi", the specialized knowledge of acupuncture & moxibustion were erased. 2. The contents related to "Chimgutaekil" among the erased contents are included in "Compilation of Chimgutaekil". 3. The method of arranging the knowledge in "Compilation of Chimgutaekil" coincides with that of "Uibangyuchi", which showes this book has a deep association with "Uibangyuchi" in the aspect of the period, organization of authors, and arrangement form. 4. The "Chimgutaekil"(Pick-a-date Method) is of no big consequence in the science of acupuncture & moxibustion but considers the example of medical procedures in the royal family of the Chosun Dynasty : the "Chimgutaekil" was the operation to be done at the very first beginning in time of the medical procedures using acupuncture & moxibustion. 5. Through such historical facts, the conclusion was made that the reason why specialized knowledge of acupuncture & moxibustion of specialty book was deleted in the compilatory process of "Uibangyuchi" is that its writing staff decided to compile these separately, thereby hurriedly publishing "Compilation of Chimgutaekil" as an example.

• 종양간호연구
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• 제9권2호
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• pp.95-103
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• 2009

Purpose: The purpose of this study was to examine nursing students' attitude toward death and perception on hospice care. Methods: The survey was performed with 277 nursing students in three universities in Daegu and Busan. The data was collected by questionnaires and were analyzed using descriptive statistics. Results: Regarding the attitude on death, 93.9% of the subjects had ever thought about death. They worried about separation and sadness with family (39.7%). About half (48.7%) of the subjects considered death as a final process of the life. With regard to the perception of hospice, 93% of the subjects heard about hospice through books or nursing courses (83.8%). The best hospice management institution was considered the one run by religious groups or non-profit organizations with government support (33.9%). Ideal model of hospice setting in Korea was hospital or institution specialized with hospice care (47.7%). The barriers the subjects thought to effective hospice care in Korea was the lack of the public consensus on the need for hospice program (37.9%). The average perceptions about the purpose of hospice care was 4.38, whereas, the average of the need of hospice care was 4.06. Conclusion: The findings of the study provides the basis for expanding nursing practice and education related to hospice care.

• 한국주거학회논문집
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• 제18권1호
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• pp.95-102
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• 2007

As the aging of this society, instead of growing numbers old protective functions of families decreased according to increasing tendency of nuclear families, increasing rates of females' participation of economic activities. Now, the problem of supporting the old is in need of social supporting system the cope with this situation. Thus it needs that welfare service for the elderly who stay at home that have local basis. The results are based on these factors are like this: 1) It is necessarily the instruction of medical welfare service. 2) The overlapped service is avoided and the service of specialized. 3) Most of the welfare service institution is Seoul and local city hall, so it needs the institution is transferred. 4) It needs the increase the number of home helper. 5) When the service is offered, the government must considers finance, elderly health condition and preference. 6) It needs the department for the welfare service for the old who stay at home.