• 보건행정학회지
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• 제10권1호
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• pp.31-56
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• 2000

A purpose of this study is to study on Rene Descartes's mind-body theory in medical aspect. Though Rene Descartes was not so much a doctor as a philosopher, he had health and medical science at heart. When he came into the world in 1596, he was in poor health. Therefore, he suffered from his bad health. Descartes's ideas absolutely colored Western thought for three hundred years, especially, his mind-body theory, mechanistic life-view, and reductionism had important effect on medical study and science of public health. As a rule, we know that his mind-body theory was applicable to mind-body dualism, and his mind-body dualism was connected with biomedical model of medicine. But by this study, his mind-body theory was not only mind-body dualism but also mind-body monoism. And he asserted mind-body interaction too. In other words, he advocated mind-body dualism in scientific aspect, but he knew mind-body monoism from his experence. He confessed this fact to Princess Elizabeth of Bohemia, he wrote mind-body interaction in $\boxDr$Discours de la methode$\boxUl$, $\boxDr$Meditationes de prima philosophia$\boxUl$, and $\boxDr$Traite des passions de 1'ame$\boxUl$ etc. However, only mind-body dualism of his mind-body theories was written in our medical text book, morever mental realm was excluded from the persuit of learning Descartes advocated a mechanistic world-view and mechanistic life-view, he regarded human body as a machine part. And a paticent corresponds to a troubled machine, a doctor deserves a repairman. But this point of view made holistic understanding of man impossible. Descartes divide the whole into basic building blocks, we named the approach Reductionism. Reductionism led to ontological concept in medical science, bacteriology established 'specific cause-specific disease-specific therapy'. We examined medical influence of Descartes's thought, we need to draw out a philosophic basis of medical science and science of public health by a close study of his records.

• Neonatal Medicine
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• 제28권3호
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• pp.124-132
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• 2021

Purpose: Neonatal near miss (NNM) allows for the detection of risk factors associated with serious newborn complications and death, the prevention of which could reduce neonatal mortality. This study was conducted with the objective of identifying predictors for NNM in a tertiary hospital in Bangalore city. Methods: This was an unmatched case-control study involving 120 NNM cases and 120 controls. NNM was determined using Pileggi-Castro's pragmatic and management criteria. Data was collected from in-patient hospital records and interviews of postpartum mothers. Multiple logistic regression of exposure variables was performed to calculate adjusted odds ratio (AOR) with 95% confidence interval (CI). Results: Significant predictors were maternal age ≥30 years (AOR, 5.32; 95% CI, 1.12 to 9.29; P=0.041), inadequate antenatal care (ANC) (AOR, 8.35; 95% CI, 1.98 to 51.12; P=0.032), <3 ultrasound scans during pregnancy (AOR, 12.5; 95% CI, 1.60 to 97.27; P=0.016), maternal anaemia (AOR, 18.96; 95% CI, 3.10 to 116.02; P=0.001), and any one obstetric complication (hypertensive disorder in pregnancy, diabetes in pregnancy, preterm premature rupture of membranes, prolonged labour, obstructed labour, malpresentation) (AOR, 4.34; 95% CI, 1.26 to 14.95; P=0.02). Conclusion: The predictors of NNM identified has important implications for public health policy and practice whose modifications can improve NNM. These include expanding essential ANC package to include ultrasound scans, ensuring World Health Organization recommendations of eight ANC visits, capacity building at all levels of health care to strengthen routine ANC and obstetric care for effective screening, referral and management of obstetric complications.

• 문화기술의 융합
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• 제1권2호
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• pp.1-19
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• 2015

한국의 근대화 시기는 1920년대 식민지 시기와 1960년대 경제개발시기 두 시기 나누어진다. 근대화시기에 만들어진 공간들은 대다수 국가주도형으로 생산된 공공의 공간들이다. 이러한 근대공간들은 기능성이 강조되는 공공 생산의 장소이자 근대 국가시스템의 장소정체성을 상징하는 국가권력 공간들 이었다. 사회의 변화에 따라 근대공간들은 이제 더 이상 장소적 기능을 상실한 채 모뉴멘트 건축물로 존재하며 과거의 장소정체성에 새로운 가치를 부여할 개념규정이 필요한 시기이다. 간이역, 발전소, 탄광, 물류창고, 폐 공장 등... 근대공간에 새로운 장소정체성이 확립되는 과정과 장소와 기억의 문제를 영상기록 하여 근대화의 큰 특징인 사고의 변화과정과 공간에 투영된 근대적 개념들, 근대사회의 제도, 체계 수립 과정에서 장소성, 공간 속 사람들의 관계성에 주목하고자 한다. 근대공간과 기억의 관계는 < 서울역 >에서, 근대공간과 근대 기록의 관계는 <온양민속박물관>에서, 근대공간과 장소정체성은 <옥포 조선소>에서 찾아본다. 각 장소의 정체성과 기억의 관계는 구술목소리와 영상기록을 통하여 근대공간(장소성)과 개인구술(기억)의 모순된 힘의 관계를 알아본다.

• 콘크리트학회논문집
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• 제17권6호
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• pp.975-982
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• 2005

면진은 현재 설치 공법의 단순함 그리고 지진하중에 대한 진동제어 효과의 탁월성 등으로 인하여 세계 여러 나라에서 강진으로부터 중요한 건물들을 보호하고, 구조물의 장수명화와 내진성능 향상을 도모하기 위한 실무적인 해결책으로서 받아들여지고 있다. 하지만, 국내의 경우, 재해 시 항상 문제가 되는 정보, 통신, 의료체계 및 사회공공 시설물의 피해로 인한 혼란 방지라는 차원에서 면진 구조의 도입이 종종 거론되고는 있으나 아직까지 구체적인 설계기술은 정착되지 못하고 있는 실정이다. 따라서 본 연구에서는 면진 기술의 국내 기반 구축을 위하여 순수 국내기술에 의해 제작된 면진 장치(NRB)를 채용함에 따른 면진 효과를 실험적으로 검증함으로서, 향후 유사 구조 설계를 위한 기초 자료를 제공하고자 하였으며, 철근콘크리트 구조를 대상으로 지진파의 특성 및 지진동의 입력 레벨에 따른 면진 효과가 US 축소 모델 진동대 실험을 통해 제시되었다. 실험 결과, 본 연구에서 적용한 NRB는 응답가속도의 감소와 층 전단력의 감소가 확실히 관측되어 면진 설계의 기본 개념과 일치하게 건물의 주기를 장주기 영역으로 이동시켜 지진동에 의한 하중 효과를 크게 줄일 수 있는 것으로 나타났으며, 면진 효과는 지진파의 특성에 따라 그 정도의 차가 다르게 나타나는 것으로 확인되었고, 장주기 성분이 많이 포함되어 있는 Mexico지진파와 같은 지진동 고려 시 특히 설계허용수평변위 설정에 주의가 필요한 것으로 나타났다.

• 농촌의학ㆍ지역보건
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• 제33권1호
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• pp.37-45
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• 2008

본 연구는 시설 신축 여부에 따른 환경요인이 고혈압 조절에 미치는 영향을 미치는 지 여부를 파악하기 위해 1994년부터 약 10여년 동안 시행되어 온 농촌의료서비스 개선사업에 의한 보건기관 신축 여부와 인구학적 개인 요인, 전문의 여부 등 의사 요인의 영향을 함께 고려하여 분석한 연구이다. 고혈압 조절에 영향을 미치는 요인에 관한 연구천성아, 나백주, 김철웅, 이무식 7는 주로 개인 특성에 대한 연구가 이미 수행되었지만 의사의 특성 요인 및 의료 조직 및 시설의 위치 등 환경 요인에 대한 분석은 미흡하였다.조사는 충청도 일부 지역 6개 시,군으로 농어촌의료서비스 개선사업 대상지역이다. 해당 지역의 6개 보건소 및 산하 59개 보건지소에 2005년 7월 1일부터 2006년 6월 30일까지 한번이라도 고혈압 진료를 위해 환자가 내원하거나 보건소 직원이 직접 방문하여 투약 혹은 상담을 한 내용이 기록된 자료 가운데 분석에 적합한 약 2만5천건의 고혈압 환자 진료 자료를 분석하였다.연구결과 전체적인 보건기관에 혈압수치 조절율은 53.9%이었으며 여성이 남성보다 혈압이 잘 조절되었으면 60대와 70대의 혈압 조절율이 유의하게 높았다(p<0.01). 또한 개선지역이 미개선 지역에 비해 혈압조절율이 유의하게 높았다(p<0.01). 전문의 기준으로 일반의에서 혈압조절율이 다변량 분석에서 유의하게 낮았다(p<0.01). 이 연구는 진료에 적합한 시설이 환자진료 과정에서 의료진의 만족도와 환자의 안정감을 향상시키고 이는 결국 환자관리의 순응도 등을 높이는데 기여하여 진료결과의 질적 향상에도 영향을 미칠 수 있음을 실증적으로 확인하였다. 이는 향후 농어촌의료서비스개선사업이 지역사회 건강결과 향상에 미치는 효과를 계량화 하는 기초 자료가 될 수 있을 것으로 판단한다.연구 기금본 연구는 한국개발연구원이 발주하고 한국보건사회연구원이 수행한 “농어촌의료서비스개선사업의 심층평가” 연구의 지원으로 수행하였습니다.감사의 말씀본 연구에 적극 협조해 주신 프로그램 개발업체 GST 이재익 사장과 민상익 연구원에게 깊은 감사를 드립니다.

• 기록학연구
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• 제16호
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• pp.303-339
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• 2007

'일제강점하 강제동원 피해'라 함은 만주사변 이후 태평양전쟁에 이르는 시기에 일제에 의하여 강제동원 되어 군인 군속 노무자 위안부 등의 생활을 강요당한 자가 입은 생명 신체 재산 등의 피해를 말한다. 강제동원 피해 역사를 복원하기 위한 노력이 피해당사자, 유족, 시민단체, 학계 등에서 이루어져왔고, 그 결과 2004년 3일 5일 ${\ll}$일제강점하 강제동원피해 진상규명등에 관한 특별법${\gg}$ (2007년 5월 17일 일부 개정)이 제정 공포되었다. 이를 근거로 2004년 11월 10일 국무총리 소속으로 일제강점하 강제동원피해진상규명위원회(이하 강제동원위원회)가 발족하였고, 2005년 2월 1일부터 일제강점하 강제동원 피해의 진상을 규명하여 역사적 진실을 밝히는 것을 목적으로 업무를 수행하고 있다. 주요 업무는 강제동원 피해신고접수 및 피해신고조사(피해자 및 유족 심사 결정), 진상조사신청접수 및 진상조사, 진상조사 및 피해판정 불능에 관한 사항, 피해판정에 따른 호적정정, 강제동원 관련 국내외 자료수집 분석 및 보고서 작성, 유해발굴 및 수습 봉환, 사료관 및 추도공간 조성사업 등이다. 강제동원위원회는 피해조사 및 진상조사 업무를 위해 다양한 기록을 발굴 수집해 오고 있다. 여타 피해의 역사가 그러하듯이 이미 공개되었거나 새롭게 발굴되는 기록은 강제동원의 다양한 역사상을 확인하기 어려울 만큼 그 양이나 질에 면에서 부족하다. 피해의 역사에서 피해당사자의 이야기는 기록의 부재를 메우기도 하고, 기록 이상의 근거적 가치를 갖기도 한다. 강제동원위원회는 피해생존자와의 구술면담을 통해 다수의 구술자료를 생산하였고 조사업무에 활용하며 체계적인 관리방법을 토대로 관리하고 대중적인 활용까지 꾀하고 있다. 강제동원위원회의 구술자료는 생산 당시부터 철저한 기획에 의해 이루어졌고, 생산단계부터 관리와 활용의 편의성을 염두에 두고 디지털매체의 생산을 유도했다. 또한 조사업무 과정에서 생산되는 구술자료의 한계를 극복하기 위해 수차례 면담자 교육을 실시하고, 면담자로 하여금 구술당시의 상황을 면담일지로 남기도록 했다. 강제동원위원회는 소장 기록을 관리하는 별도의 기록관리시스템을 갖고 있지 않다. 디지털 아카이브는 피해 진상 관리시스템과 전자결재시스템을 통해 생산되어 관리되지 않는 생산 수집 기증 기록을 등록 검색하는 역할을 한다. 구술자료는 디지털 아카이브에 등록이 되어, 실물과 중복 보존되고 있다. 구술자료는 등록과 동시에 분류, 기술행위가 이루어지고 구술자료의 관리 아이디인 등록번호, 분류번호, 비치번호 등을 부여받게 된다. 강제동원위원회는 구술자료의 적극적인 활용을 위하여 구술기록집의 발간을 지속적으로 해오고 있고, 영상물 등의 제작을 계획하고 있다. 강제동원위원회의 구술자료는 정부차원의 조사 업무 과정에서 생산된 것이라는 한계, 예산부족이나 기록관리시스템 등의 부재 등을 넘어서 한시조직으로서 가능한 적극적인 방법으로 생산 관리 활용되고 있다. 축적된 구술자료는 향후 특별법에 규정되어 있는 대로 사료관 등이 건립된다면 대중 이용자들을 위해 더 체계적으로 관리 활용될 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권3호
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• pp.1069-1072
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• 2015

Background: Colorectal cancer (CRC) is an important cause of mortality and morbidity in many communities worldwide. This population based study was conducted to assess determinants of colorectal mortality in Iranian patients. Materials and Methods: A cohort of 1,127 cases of confirmed colorectal cancer registered in a population based registry covering 10 referral hospital in Tehran, Iran, were followed for five years. Information about tumor characteristics, smoking status and family history were collected at base line and survival status were followed every six months by contacting patient or next of kin (if patients died during the follow-up). The cause of death for each case was validated by verbal autopsy and referring to patient medical records at the time of death. The data were analyzed by Stata software using univariate and multivariate analysis (Cox regression). In building the model a p value of less than 5% was considered as significant. Results: The age at diagnosis was $53.5{\pm}14$ years. Sixty one percent were male. Colorectal mortality among the patients was 96.9 person-years among men and 83 person-years among women. Seventy five percent of patients lived for 2.72 years, 50% for 5.83, and 25% for 13 years after the diagnosis of colorectal cancer. The age at diagnosis was significantly different between men and women (p<0.03). Higher tumor grade predicted higher death rate; the adjusted hazard ratios were 1.79 (95%CI, 0.88-3.61), 2.16 (95%CI, 1.07-4.37), and 3.1 (95%CI, 1.51-6.34) for grades II, III, and IV respectively when they were compared with grade I as reference. Ethnicity, marital status, family history of cancer, and smoking were related to survival with different degrees of magnitude. Conclusions: Among many factors related to survival among the colorectal patients, tumor grade and smoking showed the highest magnitudes of association.

• 건축역사연구
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• 제29권6호
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• pp.101-112
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• 2020

This study focuses on the construction of Gyeongbokgung Palace in the second year of King Gojong's reign, which has been spotlighted for political and economic history. The author analyzed the contents of wood procurement with the Yeonggeon Diary, which records each day of construction site. The results are as follows: First, the 2nd year of King Gojong's reign, Yeonggeon of Gyeongbokgung Palace, was a new building that reflected the old system and 270 years of changed environment on the existing site. Despite the poor economic conditions, it began with years of effort and voluntary volunteer work and dedication. Second, the priority of timber transport was recruiting people in the whole process and the supply and demand of transportation tools. Carrying lumber from the mountains to the riverside and floating it at the right time were all a matter of manpower. Soldiers and carts were used to carry timber that arrived in Hangang River to the construction site. The cart was a consumable product, so it was necessary to continuously use the wood to make cart at the site. Third, fire and flood were the biggest obstacles to the Yeonggeon schedule of Gyeongbokgung Palace. Especially the fire was fatal. It was difficult to extinguish the fire in temporary structure, where was the storage for wood to construct. These disasters greatly affected the construction cost and construction period. Wood procurements of Gyeongbokgung Palace were based on public offerings. At the same time, recycled materials from other palace wood and nearby houses, nationwide buying of private mountain wood, the logging of royal tombs and some of the buildings of Gyeonghui Palace and Changgyeong Palace were relocated.

• 한국보건간호학회지
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• 제4권2호
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• pp.35-57
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• 1990

This study was conducted to provide information useful in developing a nursing curriculum. The sample consisted of 158 nursing students in Hanyang University and 34 faculty members who has taught them in their college & the practical area. Data were collected by using a structured questionnaire, which consisted of general characteristics of the students & their self-concept, teacher's perception of student's professional roles. The results are summarized as follows; 1. General characteristics of the students When the students applied for the university, they decided what they would specialized in. Because the motive of application for their major was simply based on their high school records, they were admitted to their university without previous knowledge of their major. The reason why they wanted to tranfer to another course after the admission was the same as above. The level of satisfaction of their major was the highest in Freshman, but in other grades the higher the;, grades were, the more they satisfied with their major and they had a better prospects about their speciality. 2. Self-concept in profermance for their major Self-concept in horne aspects was more positive perception than in social aspects & self control aspects. It resulted from tile fact that all students were females and the nursing uniqueness was based on the spirit of humanity & service. The students who had graduated from the high school in rural area wanted to tranfer to another course and taken counsel their personal problems with their parents had higher self-concept in horne aspects. As their grades were higher, the self-concept in social aspects bacame higher. The students who were satisfied with their major and took counsel their personal problems with their parents had more positive self - concept in social aspects. Self-concept in self control aspects was lower than other aspects. The students who didn't take counsel their problems with their parents, were burdened with their educational expenses and their curriculum had more negative self-concept in self control aspects. Therefore the university should be concerned about student's welfare and provide detailed orientation about their curriculum. 3. Teacher's perception about learner's professional role The role model of democratic group leader, role models for learners facilitator in a students' reach for knowledge and teaching based on soundly researched theory showed more positive perception than other factors. Their mean values were over 4. 32. The professionalism of allnurshing area, reinforcement with reinforcement for learning, nursing as part of the meaningful context of the whole showed nagative perception. Their mean values were below 3. 00. Therefore the nurse as a teacher should try to promote the locus of nursing profession and participate in their research actively.

• 한국학교보건학회지
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• 제17권2호
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• pp.127-150
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• 2004

Objectives: The purpose of this study is to provide a basic structure for the establishment of the direction of school health programs, an overview of the historical changes of school health programs and their results, and a conceptual framework on school health programs. Methods: The data analysis has been done using a statistical almanac, relevant laws and regulations, operation handbook of the program, theses, reports, records of public hearings, and other reports as a technical research primarily based on evidence. The methodology of this research classifies the development and growth transition of school health programs during a historical period through the investigation of regulations, organization, manpower, and its program via its development process and to provide a basic tool to design a solid school health policy. Results: A The growth and development of school health programs The development of school health programs was classified into three different periods including the forthcoming period (1945~1967), the completion period (1967~1993), and the actualization period based on the establishment of legislation for School Health Law, other relevant legislation, and the contents of school health programs (1993~present). B. Policy direction of school health programs School health programs have reestablished their goals and range based on basic direction, and developed the W1it model of information structure for school health program management and its basic structure. Finally, the stepwise support system through the building of the school health support center is recommended. (1) The basic direction of school health programs has proposed 7 basic goals to reestablish the policy direction of health improvement based on total health. (2) The W1it model of information system and the school health information system for school health program management has been developed to utilize positive management. (3) School health policy through the study of the health laws and systems has been developed. The necessity of school health support center for the policy support, functional support and operation support has also been proposed. Conclusions: It is necessary to build a school health support center that consists of health professionals in charge of policy support, functional support, and program support of school health programs in order to realize and develop new policy.