• 제목/요약/키워드: The basic-need approach

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남북 건강보장공동체 형성을 위한 초기단계의 과제와 전략 (Challenges and Strategies for Unified Health System of South and North Korea)

  • 정형선;신현웅;김소윤
    • 보건행정학회지
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    • 제28권3호
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    • pp.315-319
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    • 2018
  • This paper aims to make a step-by-step strategy to formulate an unified health system by clarifying and overcoming challenges facing South and North Korea and to estimate costs needed for South Korea to assist North Korea to recover to normal health delivery system. We explored implications through literature review and estimated costs under the assumption that supportive activities be provided for 5 years in three ways: support for the development of health and medical care manpower; support for health and medical facilities; and support for the provision of both preventive and primary health care. Step-by-step strategy is formulated for a unified health system with the cost estimation resulting as follows: in case of basic scenario, a total of 3 trillion and 341 billion won (at present value of the year 2017) is in need for the 5-year period at the initial 'recovery support stage' with 135.9 billion won for the development of health and medical care manpower, approximately 2 trillion won for health and medical facilities, and 1.2 trillion won for the provision of both preventive and primary health care. Step-by-step approach is more realistic and applicable in formulating unified health system. Suggested stages are 'recovery support stage,' 'system homogenization stage,' and 'unified system stage.' Strategies at 'recovery support stage' suggested in this paper need to be pursued and followed by those at 'system homogenization stage' and 'unified system stage.'

문화, 제국, 민족 -비판적 전유를 위한 에드워드 사이드의 『문화와 제국주의』 읽기 (Culture, Empire, and Nation: A Critical Appropriation of Edward Said's Culture and Imperialism)

  • 고부응
    • 영어영문학
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    • 제58권5호
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    • pp.903-941
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    • 2012
  • This essay examines Edward Said's Culture and Imperialism focusing on the concepts of 'culture,' 'empire,' and 'nation'. The approach is critical, theoretical, and historical rather than explicatory. Consequently, the range of the essay is not limited to Said's own explanation and argument about Western imperialism and its culture presented in the book. In doing this, this essay finally purposes to be a discursive resistance to the current global empire, the United States, via a critical reading of Said's work. Said's notion of culture is set upon to disclose the function of culture as an apparatus of ideological consent of the dominated to the dominant. When applied to imperial practice, Western culture functions to subject the colonized to the colonizer. Said's geographical approach to imperialism complements the historical understanding of imperialism. Imperialism is not only the practice of Western-centered historicism but also the spatially mutual interaction between the West and the rest of the world. Along with European imperialism, Said poses the current global empire of the United States as his main target of criticism. Said's problem is that he takes the United States as a nation-state. When examined, the United States is not a nation-state, but today's empire. The empire in the appearance of the nation-state United States does not work for the interest of the American nation, that is, the American people. The empire is the transnational and postnational political and economic institution that works for the interest of global capital. In order to resist the current global empire, this essay suggests that the building or restoration of nation-states with its basic principle of people's sovereignty is in need.

18650 리튬-이온 단일 배터리 모듈의 냉각 성능 비교에 관한 실험적 연구(공기 냉각과 PCM 기반 냉각) (Experimental Study of Cooling Performance Comparison of a 18650 Li-ion Unit Battery Module (Air Cooling vs. PCM-based Cooling))

  • 백승수;유시원;김한상
    • 한국수소및신에너지학회논문집
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    • 제29권2호
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    • pp.212-218
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    • 2018
  • Li-ion battery system is regarded as one of the most potent power sources for electrified power-trains. For the Li-ion battery system to be widely adopted in automotive applications, the performance, safety, and cycle life issues need to be properly addressed. These issues are closely related to the thermal management of battery system. Especially, the effective cooling module design is the core part for the novel battery thermal management system development. In this paper, an experimental approach was carried out as a basic part of comprehensive battery thermal management research. The main goal of this paper is to present a comparison of two cooling systems (air cooling and phase change material (PCM) based cooling) of the unit 18650 battery module. The temperature rise with different battery discharge rate (c-rate) was mainly investigated and analyzed for two types of battery cooling systems. It is expected that this study can properly contribute to providing basic insights into the design of robust battery thermal management system for vehicular applications.

우리나라 공공의료의 쟁점과 해결책 (Issues Facing the National Health Insurance System in Korea and Their Solutions)

  • 이은혜
    • 의학교육논단
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    • 제24권1호
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    • pp.10-17
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    • 2022
  • South Korea is not a wasteland of publicly funded health care-instead, it has a good medical social security system known as the national health insurance (NHI). The NHI of Korea has three unique features; (1) low premiums, low insurance fees, and low coverage; (2) obligatory designation of medical institutions; (3) and allowance of non-benefit services. These features have made hospitals and doctors interested in profit-seeking. However, the commercialization of medical institutions has taken place in both private- and public-established sectors. A basic problem of commercialization is the co-existence of the obligatory designation of medical institutions and non-benefit services. The problem became worse in the Kim Dae-Jung government because it officially permitted non-benefit services. Since 2000, the Korean government has consistently pursued benefit extension policies, but the coverage rates of the NHI have stagnated. In addition, premiums and current medical expenses have markedly increased because policy-makers have emphasized accessibility to the NHI, while ignoring important principles of medical social security such as a needs-based approach and patient-referral system. In order to resolve the commercialization problem, the obligatory designation of medical institutions to the NHI should be changed to a contract system, and non-benefit services should be prohibited at NHI institutions. We must re-establish the patient-referral system via a needs-based approach. We also need to build a primary healthcare system and public health policies. We should make a long-term plan for healthcare reform.

디자인에 있어서 지식경영의 도입에 관한 기초연구 (A Basic Study on the Implementation of Knowledge Management for Design)

  • 서홍석
    • 감성과학
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    • 제5권4호
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    • pp.33-43
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    • 2002
  • 세계는 지금 정보화사회를 넘어 지식사회(Knowledge Society)에 돌입하였다. 즉, 지식이 가장 강력한 경쟁력의 원천이 되고 있다. 이러한 환경변화는 디자인에 있어서도 새로운 경영 패러다임을 요구하고 있으며, 지식경영에 대한 체계적인 연구와 실무적 접근이 필요한 시점이라 할 수 있다. 따라서 본 연구는 디자인 분야에 지식경영을 도입하여 디자인적 맥락에서 지식경영에 대한 이론적 체계를 재구축하고, 디자인을 통한 지식창출 패러다임을 제시하고자 하였다. 본 연구의 목적은 디자인에 지식경영을 도입하기 위한 기초 연구로서 디자인에 적합한 지식경영의 이론적 프레임웍을 개발하는 것이다. 이에 본 연구에서는 이론적 고찰로서 지식경영과 지식경영시스템에 관련된 선행 연구들을 살펴보고, 디자인에 적합한 지식경영 도입 방안과 이론적 프레임웍을 제시하였다 또한 지식경영시스템을 크게 디자인 인프라, 지식정보시스템, 의사결정지원시스템, 지식역량으로 구성하였으며, 지식경영시스템의 기술적 특성을 정보기술측면에서 분석하였다.

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다문화 시각에서 접근한 다문화 가정의 결혼이주여성을 위한 영양교육 방안 - 결혼이주여성 및 영양교육 전문가를 대상으로 한 심층인터뷰 - (Nutrition Education for Female Immigrants in Multicultural Families Using a Multicultural Approach: In-depth Interviews with Female Immigrants and Nutrition Education Professionals)

  • 김지은;김지명;서선희
    • Journal of Nutrition and Health
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    • 제44권4호
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    • pp.312-325
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    • 2011
  • The purpose of this study was to investigate dietary behaviors and nutritional knowledge among immigrant women in multicultural families. In addition, this study reveals a necessity for nutrition education, which is apparent to both immigrant women living in multicultural families as well as nutrition education experts. The survey was conducted with 30 immigrant women within multicultural families in Seoul. The dietary behaviors of the women were significantly different by their period of residence. The longer they had resided in Korea, the higher their dietary behavior score. However, there was no significant difference in nutrition knowledge by their period of residence. This study also conducted in-depth personal interviews with 8 immigrant women who lived in Seoul, and with 4 nutrition education experts. These interviews were performed to provide profound insights regarding the content and means of nutrition education for immigrant women. Nutrition education for immigrant women living in multicultural families should proceed at a basic level in terms of language and content, using bilingual (Korean and their native language) education materials. Education topics and content need to be developed differently according to the level of Korean comprehension and period of residence in Korea. Also, this multicultural approach should be adapted when planning nutrition education since immigrant women have various acculturation levels, and the content and means of education should be adjusted to these acculturation levels. Management after nutrition education is necessary for immigrant women who do not have sufficient understanding of the Korean language. Practical educational methods such as real cooking practices and food purchasing simulations must be developed. Finally, the results suggest that the government needs to establish a systematic plan for nutrition education among immigrant women living in multicultural families. Policy support such as training nutrition educators on multicultural individuals residing in Korea is necessary for active and effective nutritional education.

Slice 모델을 이용한 유한상태머신의 트랜지션 축약 알고리즘 (A Transition Reduction Algorithm of Finite State Machines using Slice Models)

  • 이우진
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제35권1호
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    • pp.12-21
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    • 2008
  • 실생활과 밀접한 환경에서 컴퓨터 시스템의 사용이 늘어남에 따라 이러한 시스템들의 신뢰성, 안전성 등을 철저히 확인할 수 있는 검증 기술의 필요성이 한층 증가되고 있다. 유한상태머신은 이러한 시스템 모델링 및 분석에 활용되는 다양한 정형적 기법의 기본 모델로 널리 이용되고 있으며 효율적인 분석을 위해 내부 이벤트에 대한 추상화 기법이 제공된다. 하지만 기존의 추상화 방법은 유한상태머신 모델을 생성한 후에 적용될 수 있으므로 상태폭발에 효과적으로 대처하지 못하는 문제점이 있다. 이 연구에서는 유한상태머신 정보를 효과적으로 표현할 수 있는 새로운 표기법으로, 병행적 특성을 나타낼 수 있는 slice 모델 개념을 제시하고 이를 근간으로 내부 트랜지션을 축약하는 추상화 알고리즘을 제시한다. 기존의 유한상태머신 기반의 추상화 방법은 모든 상태를 나열하여야만 분석할 수 있는데 반해, 제안된 추상화 방법은 필요한 분석 공간만을 부분적으로 생성함으로 시간 및 공간적인 관점에서 효율적이다.

윤리교과교육의 학문적 정체성비판과 근본적 문제 (The Criticism of Scientific Identity of Moral Subject and It's Basic Problem)

  • 장영란
    • 한국철학논집
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    • 제27호
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    • pp.387-415
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    • 2009
  • 한국 사회에서 도덕, 윤리 교육의 위기는 학문적 정체성을 명확히 확립하지 못한 데에서 출발한다. 일제시대에는 식민지 의식을 고취하기 위해 '수신'과목으로 출발하여, 미군정기 이후에는 '국민윤리'로서 개칭되면서 순수한 의미의 도덕교육과 일종의 반공교육과 정치 이데올로기 교육을 결합시켜 정체불명의 교과목을 만들어 정권 선전의 의도와 역할을 공공연히 담당하도록 만들었다. 그러나 윤리교육의 학적 근거는 윤리학이며, 윤리학은 철학의 분과 학문이다. 이러한 명확한 사실을 피하기 위해서 일부 학자들은 도덕, 윤리 교과의 학제적 성격은 말하지만, 이것이 오히려 기존의 도덕, 윤리 교과의 학적 근거를 다른 학문에 나눠주는 예상치 못한 결과를 초래하여 교육학에 교사 자격을 허용하게 만들고, 나아가 사회학에 교과가 통합될 위기에 처할 빌미를 제공해버리고 말았다. 윤리학의 모학문인 철학은 이미 고대로부터 학제적 성격이 아닌 통합학문의 이념을 가지고 있었으므로 다른 학문들에서 학적 근거를 찾을 필요가 없다. 이제 도덕, 윤리 교육은 다시 순수한 의미의 도덕, 윤리의 역할을 되찾을 필요가 있다. 과거의 체제수호적인 반공교육이나 사회과학적 정치 교육은 해당 과목에 귀속시키고 윤리교육의 본래적 목적을 구현하여 현행 도덕 교과서의 학습 목표에 따라 다양한 도덕 문제들을 "합리적으로 해결할 수 있는 판단능력"과 "삶의 이상과 원리를 체계화하여 실천할 수 있는 도덕적 성향을 길러" 주는데 역점을 두어야 할 것이다.

한방간호접근을 위한 이론적 고찰 (A Literature Review for Approach of Oriental Nursing)

  • 강현숙
    • 대한간호학회지
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    • 제23권1호
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    • pp.118-129
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    • 1993
  • In order to approach the nursing care of clients who are using oriental medicine and to understand the perception of the client who uses oriental medicine practices and the need to develop a model of nursing related to oriental medicine it is important to examine the major nursing concepts as they are found in oriental medicine and as they are differently defined according to the basic thought, theory and philosophical perspectives between East and West. Oriental medicine developed based on Sung Confucianism the teachings of Chut-zu, especially Tai-Chi-Tu Shuo and energy thought which are similar to traditional Korean Sasang Constitutional medicine. The basic theory on which oriental medicine is build is the theory of the five elements of Yin / Eum-Yang Theory(cosmic dual forces) and Meridian Theory. The most important attribute of Yin Yang is the concept of duality, confrontation and dependence, within Yin Yang but which do not exist separately. That is, the universe is a vast, indivisible entity within which all things exist in harmonious interdependence and balance. Harmony is achieved only when the two primorial forces, Yin and Yang, are brought into perfect balance. Each is contained within the other and there is a continuing interchange between the two. This also applies to the human body including human health which is defined as balanced harmony. The most universal connection of Yin and Yang is found in the universe where the five elements of life, fire, water, earth, wood and metal can be explained as having either Yin or Yang and therefore being in a state of connectedness but systematically circulating between the two, that is essentalilly one (the control of the unified ) or as coexistant poles of individual wholes (the pluralism of Yin Yang Theory) so that it is all unified(balanced) in the Great Absoulte. Human beings also maintain a balance of Yin and Yang in the five elements and this relationship is very important in approaching ·oriental medicine, The meridians are the channels in the body through which the life force flow throughout the body. In oriental medicine the meridians are seen as the railroad, the acupuncture points on the meridians as the stations and energy as the train. In the normal healthy organism, all are maintained in balance and in a contiuous circulation of energy. illness is the result of the energy flow becoming disarranged. Although practitioners of oriental medicine approach the client differently than do practitioners of Western medicine and their method of examining the patient is different, the basic objectives of the examination are the same for practitioners of both types of medicine. Therefore if each could be used to supplement the defiencies in the other and achieve a harmonious cooperation between the two, a higher level of care which is culturally appropriate to korean culture could be achieved. The traditional korean concept of health is a naturalistic view which emphasizes being in harmony with nature. Any manifestation of disease is considered a sign that the body is in a state of disequilibrium and is thus no longer in harmony with the universe. The wholistic view of the world held by practitioners of oriental medicine can be used by nursing in the development of a world view of nursing in which the human being is seen within the macrocosm as part of the natural phenomenon of the universe and but also as a microcosm of the universe, a universe which is a vast and indivisible entity within which all things exist in harmonious interdependence and balance. Interaction between human beings and their environment and the relationship of this interaction to health are concepts that are also found in nursing. Nursing views human brings, not as an accumulation of separate cells and organs but, as unified wholes interacted in very close relationship nth their environment. Nursing also maintains a view of human beings in which emphasis is placed on the role of the mind in explaining the concepts of harmony and balance in health. Although there are differences between oriental medicine and nursing in approaches to clients, the basic point of view and philosophy have many fundamental similarites. An understanding of the basic thought and philosophy of oriental medicine if applied to nursing, would allow for the development, not only of nursing related to oriental medicine, but of a nursing theory appropriate to the korean context.

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토지정보를 이용한 빈곤관리의 모델 (New Landscape of Poverty Management in Land Information System)

  • 류재익;오민수;신영철
    • 한국지리정보학회지
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    • 제5권1호
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    • pp.1-19
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    • 2002
  • 디지털 기술의 발전과 사회 경제적인 성숙을 추구함과 더불어 주택과 토지에 대한소유 및 접근은 공간적 분포의 삶의 질과 빈곤을 평가하는데 있어 매우 중요하고 어려운 문제이다. 첨단 IT 기술과 매우 향상된 지리 및 토지정보 시스템이 공간적 인간 정주문제, 토지이용과 개발, 환경악화 등을 분석하는데 이용되고 있지만, 시공간 차원에서 발생하는 가난의 원인과 결과를 이해하는데 있어 초기연구 단계에 있는 듯 싶다. 이 연구는 육하원칙 인자를 이용하여 공간적 위치의 가난을 해석하고자 하였다. 또한 정보격차로 인하여 생기는 가난한 환경을 토지정보의 공간적 개념과 연계하고 빈곤을 해소하는 관점에서 새로운 모델을 제시하였다.

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