• 제목/요약/키워드: reintegration

검색결과 41건 처리시간 0.025초

발전전략으로서의 과거청산 - 엘살바도르 이행기 정의의 특수성 사례 분석 - (The Study of Transitional Justice in El Salvador)

  • 노용석
    • 이베로아메리카
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    • 제13권1호
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    • pp.41-67
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    • 2011
  • El Salvador had suffered some 75,000 casualties, mostly civilian, from violent civil conflict(1980-92). In 1992, after negotiations, the government and FMLN signed a historic comprehensive peace accord which brought an end to the war and instituted wide-reaching political and social reforms. Many scholars call it as Transitional Justice in El Salvador. Transitional Justice in El salvador has had two identifiable stages. In the First stage, institutional reforms, such as DDR(disarmament, demobilization, reintegration), and a truth commission were implemented. The second phase corresponds to the period subsequent to the truth commission report, with the failure to implement the commission's recommendations, including those related to reparations and justice. This essay explain how was transitional justice in El salvador different from the other cases, and what was the purpose of extraordinary transitional justice in El Salvador. In detail, the first section of this essay examines the history of the civil war and peace process in El Salvador, and then explores the relationships between cold war and transitional justice in El Salvador. Finally, this essay suggests that truth commission's mandate which investigate 'serious acts of violence that have occurred since 1980' was very important role to accomplish peace and transitional justice in El Salvador.

젊은 비운동선수인 성인에서 발생한 양측 대퇴 목의 피로골절 (Bilateral Stress Fracture of Femur Neck, Fatigue Type of Non-Athlete Young Adult)

  • 윤여준;나용재;정지원;이규훈
    • Clinical Pain
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    • 제18권2호
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    • pp.126-129
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    • 2019
  • Bilateral femoral neck stress fractures have been rarely reported. When diagnosed, they are usually limited to athletes or military personnel. A 35-year-old man, previously healthy, visited the emergency department for right inguinal pain. On physical examination, no external wound, tenderness or limitation of motion were found in either lower extremity. Plain radiography showed normal findings but an magnetic resonance image showed a linear fracture in the femoral neck. In this case, bilateral femoral neck stress fractures were found in a young non-athlete adult with no prior medical history of related injuries. Surgery is generally not performed for stress fractures but considering the patient's early mobilization and the need for quick reintegration into society, surgery was done in this case.

Perceptions regarding the multidisciplinary treatment of patients with severe trauma in Korea: a survey of trauma specialists

  • Shin Ae Lee;Yeon Jin Joo;Ye Rim Chang
    • Journal of Trauma and Injury
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    • 제36권4호
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    • pp.322-328
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    • 2023
  • Purpose: Patients with multiple trauma necessitate assistance from a wide range of departments and professions for their successful reintegration into society. Historically, the primary focus of trauma treatment in Korea has been on reducing mortality rates. This study was conducted with the objective of evaluating the current state of multidisciplinary treatment for patients with severe trauma in Korea. Based on the insights of trauma specialists (i.e., medical professionals), we aim to suggest potential improvements. Methods: An online questionnaire was conducted among 871 surgical specialists who were members of the Korean Society of Traumatology. The questionnaire covered participant demographics, current multidisciplinary practices, perceived challenges in collaboration with rehabilitation, psychiatry, and anesthesiology departments, and the perceived necessity for multidisciplinary treatment. Results: Out of the 41 hospitals with which participants were affiliated, only nine conducted multidisciplinary meetings or rounds with nonsurgical departments. The process of transferring patients to rehabilitation facilities was not widespread, and delays in these transfers were frequently observed. Financial constraints were identified by the respondents as a significant barrier to multidisciplinary collaboration. Despite these hurdles, the majority of respondents acknowledged the importance of multidisciplinary treatment, especially in relation to rehabilitation, psychiatry, and anesthesiology involvement. Conclusions: This survey showed that medical staff specializing in trauma care perceive several issues stemming from the absence of a multidisciplinary system for patient-centered care in Korea. There is a need to develop an effective multidisciplinary treatment system to facilitate the recovery of trauma patients.

Clinical Experience of Surgical Treatment for Penetrating Pulmonary Gunshot Wound of a Civilian in Korea: A Case Report

  • Seonyeong Heo;Jung Hee Kim;Younggi Jung;Kwanghyoung Lee;Sungho Lee;Eunjue Yi
    • Journal of Chest Surgery
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    • 제57권1호
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    • pp.87-91
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    • 2024
  • Gunshot-induced chest trauma is exceedingly rare among civilians in South Korea due to strong firearm control policies. In contrast to military reports emphasizing the use of emergent open thoracotomy to increase chances of survival, most penetrating non-cardiac injuries in civilian settings are managed conservatively, such as through chest tube insertion, as they typically result from lower-energy bullets. However, early surgical intervention for penetrating gunshot wounds can help reduce delayed fatalities caused by septic complications from pneumonia or empyema. The advent of minimally invasive thoracic surgery has provided cost-effective and relatively non-invasive treatment options, aided in the prevention of potential complications from undrained hematomas, and facilitated functional recovery and reintegration into society. We successfully treated a patient with a penetrating gunshot wound to the chest using video-assisted thoracoscopic surgery.

Ludwig Mies van der Rohe의 가구 디자인 특성에 관한 연구 (A Study on the Characteristics of furniture design of Ludwig Mies van der Rohe)

  • 이란표
    • 한국실내디자인학회논문집
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    • 제14권1호
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    • pp.134-141
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    • 2005
  • Ludwig Mies van der Rohe, one of the influential modernist architects in early 20th century, had an great effort to found the modern architecture through various kinds of works. Conceptually he tried to develop the trans-temporal architecture language by involving a reintegration of countermanding principles in both ideas and practices for designing buildings. The model for his striving to find such a synthesis or a dynamic form was the neo-classicism of K. F Schinkel, inasmuch as Schinkel endeavored to combine the classical rationalistic order with the creative act of construction and to make these two melt into his age. In the same horizon with that Mies van der Rohe attempted to express the industrialized civilization of his time as a given fact, though this phenomenal substance was the only authentic form that has been conceivable to the people. For him the modern technology was regarded as the manifestation of rationalistic transcendency, which can be interpreted always consequentially. Here In this context this study is purposed to consider through the analysis of the ground ideas of architecture and the designed chairs, how commensurable the tectonic value (in the architecture) that is constantly evident in his works and the various autonomous drives toward deformalization (in the furniture design) that is concerned with his interest for cultural situation and materiality of form are with each other. And then it will be tried to prove, that on the ground of the trans-temporal achitecture language the furniture design of Mies van der Rohe, which emphasizes curves as individual forms, could correspond to his architecture that lays priority to space and construction

페인트 신나에 의한 수지 고압 손상의 경험 (High-Pressure Finger Injection Injury Caused by Paint Thinner: Case Report)

  • 송진우;최환준;김미선
    • Archives of Plastic Surgery
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    • 제34권2호
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    • pp.269-273
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    • 2007
  • Purpose: High-pressure injection(HPI) injury is an injury caused by accidental injection of substances by industrial equipment. HPI injury of the hand is a serious injury that can be potentially devastating. There have been a number of publications on the results of its treatment and its functional outcome of these hands. Unfortunately, the clinical outcomes were unsatisfactory following an initial treatment approach of digital expression of the injection material, elevation, soaks, dressing changes, and antibiotics. Methods: A 43-year-old right handed man sustained a high pressure injection injury to the tip of the left index finger. The injected material was industrial paint thinner. Tissue necrosis was noted at the pulp of the finger. Several debridements and irrigation were required. A pedicled chest flap transfer was performed on the eighteenth day after injury as the dorsal nail complex remained viable. This is a retrospective review of our experience with high-pressure finger injection injury caused by paint. A literature review, retrospective chart and radiologic review were presented. Results: Follow-up length was about 1 year. The injuried hand was left nondominant hand, the index. Patient complaints were cold intolerance, paresthesia, contact pain, and impairment of activities of daily living. Conclusion: The outcome of high-pressure injection injuries of the hand is affected by many factors. The time between injury and operative treatment has been regarded as a key determinant by a number of authors. The nature of the injected material is probably more important. It has been noted by many authors that injuries with paints have a worse outcome than those with oil or grease. This study confirms the fact that high-pressure injection injury caused by paint thinner to the hand is a significant problem. Virtually a patient suffers sequelae of this injury. The injury has significant repercussions for future function and reintegration into the work force.

Simulink와 X-Plane을 이용한 모의 근접비행 시뮬레이션 환경 개발연구 (Development of Simulation Environment for Proximity Flight Using Simulink and X-Plane)

  • 이상훈;박찬휘;박영후;이대우
    • 한국항공우주학회지
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    • 제49권6호
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    • pp.465-472
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    • 2021
  • 고정익 모선과 자선의 공중에서의 분리-재결합 상황에 대한 실제 비행시험 이전에 시뮬레이션을 통해 자선의 비행제어 시스템을 검증할 필요가 있다. 본 논문에서는 X-Plane의 후류 기능을 기반으로 연구실 환경에서 자선의 비행제어 시스템 개발을 위한 시뮬레이션 환경을 구축하였다. 이를 위해 자선의 공력해석을 수행하고 Simulink를 사용하여 항공기를 모사하였으며, X-Plane을 활용하여 시각화와 바람, 돌풍, 모선의 이동을 구현하였다. 유도제어 알고리즘을 Simulink 내 자선 모델에 적용하여 모의 근접비행을 수행함으로써 구축된 시뮬레이션 환경을 검증하였다. 또한 비행 결과를 통해 자선이 모선 후방에서 안전하게 비행할 수 있는 영역을 확인하였다.

병원의 입지전략과 내부역량이 재이용의도에 미치는 영향 -병원유형의 조절효과- (Effects of Hospital Location Strategy and Internal Competence on Reintegration Intention -Adjustment of Hospital Types-)

  • 김덕기;김우종
    • 한국콘텐츠학회논문지
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    • 제18권11호
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    • pp.75-86
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    • 2018
  • 본 연구는 요양병원 입지전략과 내부역량의 복합적인 상호작용을 전제로 하여 재이용의도와의 관련성을 동시추정방식으로 분석하였다. 연구결과는 다음과 같다. 첫째, 재이용의도에 대한 상대적 영향력은 병원입지전략(${\beta}=0.313$) 보다 병원내부역량(${\beta}=0.490$)이 크지만 두 요인 모두 재이용의도에 통계적으로 유의미한 영향을 미친다는 점에서 선행연구 결과를 확인해 주고 있다. 둘째, 재활기능강화형 요양병원의 경우 입지전략의 중요성이 일반요양형 병원에 비해 더 중요하다는 점이 확인되었다(${\beta}=0.443$). 재활기능강화형 요양병원 개원시 특히 입지시장성, 교통인프라, 건물매력도, 의료집적성 등 입지요인에 근거하여 면밀한 준비가 선행되어야 한다는 점이 제시되고 있다. 셋째, 병원내부역량은 병원유형에 따른 조절효과는 나타나지 않았으며, 일반요양형 병원과 재활기능강화형 병원에 있어 모두 중요한 요인임이 확인되었다.

보하야 학살과 기억 보존을 위한 연극의 역할: 펠리페 베르가라의 『킬렐레』를 중심으로 (The Massacre of Bojayá and the Role of Theatre for Preservation of Memory: A Study of Kilele by Felipe Vergara)

  • 송병선
    • 이베로아메리카
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    • 제21권2호
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    • pp.53-81
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    • 2019
  • 일반적으로 콜롬비아의 이미지는 위험한 국가이며, 게릴라와 전쟁 중이고, 최대의 마약 생산국 중의 하나라는 것이다. 이 글의 분석 대상인 펠리페베르가라(Felipe Vergara)의 극 작품 『킬렐레Kilele』의 중심을 이루는 보하야(Bojayá) 학살은 부조리함과 규모 측면에서 2000년대 들어 콜롬비아에서 일어난 가장 충격적인 사건이었다. 이 작품은 보하야 지방의 쓰라리고 악몽 같은 과거의 사건을 다루는데 그치지 않고, 생존자들이 죽음의 덮개를 찢고서 연옥에서 괴로워하는 영혼들과 소통하면서, 분열의 재통합을 향해 나아간다. 이것은 연옥의 여러 공간을 떠돌아다니는 죽은 사람들에게 마땅한 장례식을 치러주는 것으로 이루어진다. 이 글은 『킬렐레』에 나타나는 서사시 구조와 아프리카의 영혼성과 관련된 제의의식을 비롯해 창작과정과 이 작품의 파편적 구조를 분석하면서, 학살이라는 외상에서 어떻게 회복되는 데 도움이 되었는가를 살펴본다.

지역사회에 거주하고 있는 뇌졸중 환자의 라이프케어를 위한 사회적 지지와 사회참여의 상관성 및 관련요인 (Correlation and Associated Factors of Social Support and Social Participation for Life Care of in Stroke Patients Living in Community)

  • 김은주
    • 한국엔터테인먼트산업학회논문지
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    • 제13권3호
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    • pp.259-268
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    • 2019
  • 본 연구에서는 지역사회에 거주하고 있는 뇌졸중 환자를 대상으로 사회적 지지와 사화참여의 상관성 및 관련요인을 분석하고자 하였다. 2018년 9월 3일부터 2019년 1월 10일까지 뇌졸중 환자 92명을 대상으로 사회적 지지와 사회참여척도를 사용하여 조사하였다. 그 결과 사회적 지지와 사회참여에서는 높은 상관관계를 보였고, 사회적 지지와 관련 있는 요인으로는 동거 유무, 사회참여였고, 사회참여와 관련 있는 요인으로는 뇌졸중 유형, 환자와의 관계, 가족 지지였다. 본 연구의 결과를 통해 사회적 지지와 사회 참여가 관련이 있음을 알 수 있었다. 본 연구의 결과를 통해 지역사회에 거주하고 있는 뇌졸중 환자의 재활 중재에 근거로 사용할 수 있을 것이다.