• 지질공학
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• 제17권1호
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• pp.27-40
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• 2007

한반도 동남부의 제3기 어일분지와 와읍분지를 대상으로 층서를 검토하고, 단층 이동자료 분석을 통하여 분지의 생성 및 진화와 연관이 있는 지구조사건의 과정을 살펴보고자 하였다. 어일분지와 와읍분지는 거의 동시에 각각 별개로 형성되어 제3기 지층들로 충전된 것으로 판단된다. 어일분지와 와읍분지를 충전하고 있는 제3기 지층의 지층단위 분류와 상호관계가 부분적으로 기존 층서와 달라 새롭게 지층명을 첨삭하였다. 어일분지의 장기층군을 하부로부터 감포역암, 홍덕현무암, 노동리역암, 연당현무암으로 분류하였으며, 와읍분지의 범곡리층군을 와읍리응회암, 안동리역암, 용동리응회암, 호암리화산각력암으로 분류하였다. 기반암과 제3기 지층의 11개 지점에서 단층면상 미끄럼선이 발달하는 소단층들의 자료를 수집하여 고응력장을 해석하고, 순서별로 (I) 북서-남동 횡인장, (II) 북서-남동 횡압축 (III)북동-남서 순수 인장, (IV) 남-북 내지 북북동-남남서 횡압축, (V)동-서 내지 동북동-서남서 순수 압축이 작용한 지구조 사건들로 구분하고, 제3기분지 진화와 연관하여 해석하였다. 지구조사건 I은 올리고세 후기 내지 마이오세 초기의 동해 생성과 관련하여 제3기분지의 형성과 발달을 주도하였고, 지구조사건 II, III, IV는 필리핀해판의 섭입경사 및 방향 변화와 관련된 사건으로 본 연구지역에서는 분지 발달의 종료 및 지각 융기를 야기시켰으며, 지구조사건 V는 태평양판의 강한 섭입으로 인한 압축응력이 동해안을 융기시키며 현재까지 지속되고 있는 것으로 해석된다.

• 한국수학사학회지
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• 제22권3호
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• pp.207-254
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• 2009

초등(elementary), 중등(secondary)교육에 이어지는 대학 및 직업 교육을 총칭하여 고등(tertiary) 교육이라고 한다. 본 연구는 한국의 근대 고등수학 도입과정과 정규대학 교과과정으로의 정착 과정을 확인한다. 우리의 고등 수학교육은 산학자의 전통수학, 육영공원, 원산학사, 1895년 교육과정에 수학을 필수과목으로 도입한 성균관, (교동)소학교, (교동)한성사범학교, (한성)중학교, 민족 사립학교, 종교학교, 배재학당 및 이화학당의 대학부, 숭실대학, 사범학교, 관 공립전문학교, 사립전문학교, 경성제국대학, 경성대학, 국립서울대, 김일성대를 시작으로 해방과 함께 전국의 주요대학을 통하여 전수, 발전 확산되며 오늘에 이르렀다. 1900년 근대 수학교과서의 발간을 시작으로 1909년까지 한글로 쓰인 근대 수학책이 봇물 터지듯 발간되었다. 그러나 오랜 수학적 연구의 전통과 1880년대에 시작된 고등교육에서의 서구식개혁노력은 1905년 이후 러일전쟁에서 승리한 일제의 간섭부터 시작하여 1910년 한일합방을 계기로, 특히 중등교육이상의 수학교육과 수학적 연구의 전통은 천천히 붕괴되었다. 최소한 1910-1945년 사이에는 한반도에 중등교육이나 교양수학의 수준을 넘어서는 진정한 고등 수학교육은 이루어지지 못했다. 한반도가 일제로부터 해방이 되었을 때 한국은 모든 전문 직종에서 심각한 인력난을 겪었다. 특히 수학과가 단 하나도 없어 수학분야 이학사가 10여 명도 못되는 수학분야의 교수인력의 부족은 심각하였다. 단 한명의 교수도 연구경험을 가지지 못한 수학분야의 상황은 한국이 21세기 현대수학의 주류에 진입하는 과정에 큰 걸림돌이 되었다. 그러나 이러한 난관을 극복하면서 신설된 다양한 국 공립 및 사립학교들에서 대학수학이 교수되었고 교육과정이 국제기준으로 정착되었다. 본 연구에서는 한국에 근대 고등수학이 누구에 의하여 어떻게 도입되었으며, 어떤 교재로 누구에 의하여 지도 되었으며, 어떤 과정을 거쳐 정규 대학과정의 교육과정으로 정착되었는지를 확인하였다.

• Bulletin of the Korean Chemical Society
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• 제23권1호
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• pp.23-24
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• 2002

• Bulletin of the Korean Chemical Society
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• 제33권12호
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• pp.4194-4196
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• 2012

• Bulletin of the Korean Chemical Society
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• 제30권11호
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• pp.2825-2826
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• 2009

• Bulletin of the Korean Chemical Society
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• 제27권11호
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• pp.1913-1914
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• 2006

• 한국초전도학회:학술대회논문집
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• 한국초전도학회 2005년도 High Temperature Superconductivity Vol.XV
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• pp.59-59
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• 2005

• Journal of Trauma and Injury
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• 제19권2호
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• pp.159-163
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• 2006

Purpose: The number of patients transported by the Helicopter Emergency Medical Service (HEMS) has increased recently. In our review of the Korean HEMS, there was no established helicopter utilization criteria or triage tool on the scene, so many patients with minor injuries were transported to tertiary care centers. The aim of this study is to evaluate the percentage of patients with minor injuries and to propose a more appropriate triage tool for predicting the need for transport to a tertiary care center. Methods: The subjects of this study were 59 trauma patients transported to Asan Medical Center (AMC) from the scene by Seoul HEMS from January 2004 to December 2005. The Triage score (TS), Injury Severity Score (ISS), and modified Canadian Triage and Acuity Scale (mCTAS) were calculated as severity scales. Patients with minor injuries were defined as those with TS=9, ISS${\leq}15$, and mCTAS${\geq}3$. We evaluated the association of TS, ISS, and mCTAS with the appropriateness of transport. Results: Many of the patients transported to tertiary medical centers were classified as having a minor injury: TS=9 group 35 cases (72.9%), ISS${\leq}15$ group 30 cases (62.5%) and mCTAS${\geq}3$ group 27 cases (56.2%). However, 56.2% (27/59) of the patients were appropriately transported according to need for admission or an operation. The more severely injured patients classified by TS, ISS, and mCTAS were more appropriately transported to a tertiary center (p<0.05). Conclusion: Many patients with minor injuries were transported to a tertiary center from the scene directly. The TS can be easily calculated by an emergency medical technician at the scene. Thus, we propose the TS as a useful triage tool for determining the necessity of transport to a tertiary center by helicopter.

• 보건행정학회지
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• 제5권1호
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• pp.31-58
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• 1995

The Korean government achieved the universal coverage of health insurance in July 1989, and concomitantly introduced a new measure of regulated health care delivery system in using medical care. There are three reasons why the government took the new health care delivery system. Firstly, there was ample room for improving the allocative efficiency in the use of medical facilities. And the second one was to constrain the dramatic increase of medical demand under health insurance. Thirdly, and the most important reason was to alleviate the patient crowdedness in big general hospitals, particularly tertiary hospitals. There are essentially two different ways to control the use of health care : one is to cut the demand for health care, and the other to regulate behaviors of providers through the use of incentives/disincentives, demand-side approach or supply-side approach. The objective of this study is to examine whether or not medical care utilization behaviors under health insurance scheme have been changed among medical facilities such as clinic, hospital, general hospital and tertiary hospital in comparison with those before and after the introduction, particularly whether the patient crowdedness in tertiary hospitals has been alleviated or not. In order to conduct this study, the insurance claim data during the period of January 1989 and July 1992 were analyzed by focusing on diagnosis of both inpatients and outpatients, and especially the fifteen most frequent diseases in ambulatory care and the seven most frequent diseases in hospitalizatio. In addition, the same analyses were made on the changes in medical care utilization by specialty department. This was because the five departments, such as family medicine, ENT, eye, dermatology and rehabilitation, were exempted from applying the regulated health care delivery system in tertiary hospitals. The study revealed that a remarkable alleviation effect in the crowdness was noted for tertiary hospitals. This effect was most conspicuous for the most frequent mild diseases of both inpatient and outpatient care. For example, the fifteen most frequent OPD care at tertiary facilities have decreased as much as by 40%, of which 34% belonged to the cut in initial visits. Meanwhile, the proportion of those who used general hospitals and private practitioner's clinics have increased due to the shift of patients. The cases from the five special departments were also decreased, but not so much as other departments. A problem was noted that, as time passed by, the decreasing tendencies of crowdness at tertiary hospitals due to the regulated system became slightly smaller. Therefore, through complementary remedies are needed for the future implementation.

• 대한영양사협회학술지
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• 제20권3호
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• pp.183-198
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• 2014

The purpose of this study was to investigate the status of clinical nutrition services provided at tertiary hospitals and general hospitals in Korea. In total, 157 questionnaires were distributed to the departments of nutrition at hospitals on September 2013. The results of this study are as follows. The median number of beds was 607 and average length of stay was 8 days. 63.1% of dietitians had over 5 years of career experience. Nutritional screening rate was 97% in tertiary hospitals but only 67.2% in general hospitals (P<0.001). The rate of equipment with computerized nutritional screening system was 100% in tertiary hospitals but 71.9% in general hospitals (P<0.001). Hospitals with the best regarding nutritional care were hospitals accredited by JCI (Joint Commission International). On the other hand, hospitals not accredited by the JCI but KOIHA (Korea Institute for Healthcare Accreditation) showed the lowest performance rate of nutritional care. Nutrition support teams (NSTs) were established in all tertiary hospitals but in only 73% of general hospitals (P<0.001). The rate of actively operating NSTs was 89% in tertiary hospitals but only 62% in general hospitals (P<0.001). There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service between hospitals. Therefore, local solutions are needed to implement nutritional programs and policies for improved service and care.