• 한국산학기술학회논문지
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• 제22권6호
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• pp.431-440
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• 2021

본 연구에서는 초등학교 교사의 직무스트레스를 유발하는 다양한 원인에 기초했을 때 어떤 프로파일이 존재하는지 확인하고, 확인된 잠재계층 분류에 영향을 미치는 변인이 무엇인지, 확인된 잠재계층에 따라 교사-아동 관계, 학부모 학교 참여 수준에 차이가 있는지 탐색하였다. 이를 위해 육아정책연구소 한국아동패널 11차(2018년) 자료의 초등학교 교사 709명의 자료를 사용하였으며, 잠재프로파일 분석 방법을 활용하였다. 분석 결과, 첫째, 초등학교 교사의 직무스트레스를 유발하는 다양한 원인(학부모와의 관계, 생활지도, 수업지도, 행정업무)에 기초했을 때 4개의 독립적인 특성을 갖는 잠재프로파일(직무스트레스 하 집단, 직무스트레스 중상 집단, 행정업무 관련 직무스트레스 중상 집단, 학부모와의 관계-생활지도 관련 직무스트레스 중상 집단)이 존재하는 것으로 나타났다. 둘째, 잠재계층 분류에 교사의 성별, 연령, 경력, 최종 학력, 월 평균 근무 시간 중 최종 학력과 월 평균 근무 시간이 영향을 미치는 것으로 확인되었다. 셋째, 잠재계층에 따라 교사-아동 관계 중 갈등 영역과 학부모 학교 참여 수준에 차이가 있는 것으로 나타났다. 잠재계층 4집단(학부모와의 관계-생활지도 중상 집단)이 다른 잠재계층보다 아동과의 갈등 수준은 높지만, 학부모 학교 참여 수준은 낮은 것으로 나타났다. 본 연구는 초등학교 교사가 경험하는 직무스트레스 특성은 다양한 유형으로 나타날 수 있으며, 이에 기초한 직무스트레스 해소 및 예방을 위한 맞춤형 방안을 마련할 필요가 있음을 시사한다.

• 한국철학논집
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• 제57호
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• pp.91-125
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• 2018

본 논문은 사회복지 관점에서 바라 본 맹자에 대한 새로운 해석이다. 맹자에게서 찾아볼 수 있는 사회복지 사상은 현세적이고 인본주의적으로 이는 지금의 사회복지 이념에 근접해 있다. 사회복지는 18세기 산업혁명 이전부터 박애사업, 구제사업, 자선사업 혹은 사회사업 등의 이름으로 시작되었다. 복지란 사회 구성원의 기본적 욕구를 충족시키고 삶의 조건을 보장하는 것으로 궁극적으로는 사회 통합과 안녕을 달성하려는 사회적 활동의 총체를 뜻하기도 한다. 이는 사회구성원의 생활하는 삶의 상태이며 안정(Well bing)을 의미한다. 안정은 최소한의 물질적 욕구와 심리적 안정을 말한다. 맹자의 항산 항심론과 공정한 조세 제도, 정전제를 통한 경제제도의 실현은 사회복지 이념인 사회구성원의 안정적인 삶을 보장하고 행복을 증진 충족시키며, 궁극적으로는 사회 통합과 안녕을 달성하려는 사회적 활동의 총체와 뜻을 같이 한다. 맹자의 사상에는 백성을 중시한 민본사상이 내재해 있으며, 현대 자본주의 사회가 구조적으로 안고 있는 불안과 불평등의 문제를 왕도정치에서 적극적으로 해결하고자 했다. 맹자의 왕도정치는 물질적 안정을 기반으로 한 민본사상과 효제를 근본으로 하여 도덕성의 교육으로 백성들의 행복감을 증진시킬 수 있다는 것이다. 인간이 인간다운 생활을 영위하고 최소한의 물질적 안정과 심리적 안정을 사회복지제도와 복지정책의 주요 요소로 하여 최저생활 보장, 사회적 평등, 인간의 존엄성과 자유의 확대 및 생활의 질 향상 등이 사회복지의 주요 이념이다. 맹자의 사상 안에는 이와 같은 사회복지의 주요 이념이 모두 포괄되어 있다. 특히 맹자는 정치적으로는 위정자의 인정을 바탕으로 하고, 경제적으로는 주나라의 정전제를 시행하여, 윤리 도덕적으로 안정된 사회가 확립되기를 원했다. 그 사회는 바로 백성을 근본으로 하는 사회이며, 그러한 사회의 실현이 맹자가 원했던 이상사회였고, 맹자 사회복지사상의 목표라고 할 수 있을 것이다. 본 논문은 맹자의 사상 속에서 오늘날의 시대적 요구에 부응할 수 있는 사회복지 이념과 이를 현실에 적용할 수 있는 실천윤리로서의 규정을 살펴보았다. 또한 맹자의 사회복지 사상을 이해하기 위해 당시의 사회적 배경과 경제적 상황, 정치적 관념에 대해 고찰하였다. 이는 맹자의 사상 속에 본질적으로 내재되어 있는 사회복지적 요소를 심층적으로 고찰하는 계기가 될 것으로 판단된다.

• 농촌의학ㆍ지역보건
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• 제13권1호
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• pp.3-18
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• 1988

The general objective of this research is to study behavioral pattern of health care utilization and to measure the level of utilization of the traditional medicine. The specific objective is to study utilization pattern and content of folk medicine which is the indegenous medical technology recognized part of traditional medicine. This research was under taken to generate valid information that will provide basis data for formulating general direction for health education activities and for designing service package for general population. A social survey method was employed to obtain required information for the research activities, The survey field team consisted of 20 surveyors who all participated is an intensive 2 day training course. A total of 3091 households were visited and interviewed by the field team during the period 7 September to 6 October 1987. The major findings obtained from the information collected by the field survey are as follows ; 1) General characteristics of the study households 2562 households out of 3091 households visited were selected for final data process, 80.2 of the selected households were nuclear families ; 17.4%, extended families ; others 2.4%. Only 4.3 percent of the study population in the urban households indicated "no schooling" whereas 14.2% of the rural household members falls within this category. Study population in the urban areas are more protected against diseases by the national medical insurance system than those in rural areas. In their self appraisal of living standard, those who responded with low group are 39.6% and 50.3% respectively by urban and rural households. 2) Morbidity status Period prevalence rate for all diseases during the preceding 15 days before the date of the household interview v as 243,0 per 1,000 study population. For cases with the illness duration of within 15 days, the initial points of medical entry were diversied ; 56.9%, drug stores ; 30.9%, clinics and hospitals ; 4.6% folk medicine ; 1.7% clinics of Korean oriental medicine. Among the chronic case; with illness duration of over 90 days, 34.6% of these people utilized clinics and hospitals of modern medicine ; 31.6%, drug stores ; 18.6% clinics of Korean oriental medicine ; 6.8% folk medical techniques. Noticeable is the almost ten fold increase from the mere 0.9% in the utilization of Korean oriental medicine, whereas in the utilization of folk medicine, it is short of two-fold increase. 3) Folk medicine and its utilization Households that use folk medicine for relief and care of signs and symptoms commonly encountered in daily life, number 1969 households, which accounts for 76.9% of all the study households. This rather high level use of folk medicine is not different from rural to urban areas. The order of frequency of utilizing folk medicine among the study people are : the highest 14.3% for the relief of indigestion ; 8.6% for burns ; 5.1% for common cold ; 4.7% for hiccough ; and 4.2% for hordeolum. A present various procedures of folk medicine is being used to relieve all kinds of symptoms. 192 symptoms are identified at present. The most frequently used procedures of folk medicine appear to be based either on principles of the Korean oriental medicine or of scientific knowledge. Based on these survey findings, proposals for utilizing folk medicine are as follows First, this survey's findings will be feed back to both on the job training and on the spot guidance of community health practitioners, public health nurses and other peripheral work force in the health field, who are in daily contacts with community. This feed back will assure that the health personnel carry out their health education and information activities that are based on the utilization pattern of folk medicine as found in the survey result. Second, studies will be soon implemented that are designed to measure the efficiency and potency of these procedures and to improve these procedures of folk medicine were most frequently used by the community. Third, studies will continue to systematize medicinal plants and skills of Korean oriental medicine that are easily available at minimal cost in daily life for the prevention of diseases and management of emergency cases.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제21권2호
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• pp.89-109
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• 1999

Vascular spasm which has been reported to occur in 25% of clinical cases continues to be a problem in microvascular surgery; When prolonged and not corrected, it can lead to low flow, thrombosis, and replant or free flap failure. Ischemia, intimal damage, acidosis and hypovolemia have been implicated as contributors to the vascular spasm. Although much work has been done on the etiology and prevention of vasospasm, a spasmolytic agent capable of firmly protecting against or reversing vasospasm has not been found. Therefore vascular freezing was introduced as a new safe method that immediately and permanently relieves the vasospasm and can be applied to microsurgical transfers. Cryosurgery can be defined as the deliberate destruction of diseased tissue or relief the vascular spasm in microvascular surgery by freezing in a controlled manner. 96 Sprague Dawley rats each weighing within 250g were used and divided into 2 group, experimental 1 and 2 group. In the experimental 1 group, right epigastric vessels (artery and vein) were freezed with a cryoprobe using $N_2O$ gas for 1 min. In the experimental 2 group, after freezing for 1 min, thawing for 30 secs and repeat freezing for 30 secs. Left side was chosen as control group in both group. We sacrified the experimental animals by 1 day, 3 days, 1 week, 2 weeks, 4 weeks & 5 months and observed the sequential change that occur during regeneration of epigastric vessels using a histologic, histomorphometric, immunohistochemical and SEM study after the vascular freezing. The results were as follows1. In epigastric arteries, internal diameters had statistically significant enlargement in 1 day, 3 days of Exp-1 group and 1 day, 3 days, 1 week & 2 weeks of Exp-2 group. Wall thickness had statistically significant thinning in 2 weeks of Exp-2 group. 2. In epigastric veins, internal diameters had enlargement of statistical significance in 1 day of Exp-1 and Exp-2 group. 3. The positive PCNA reactions in smooth muscle appeared in 1 week and increased until 2 weeks, decreased in 4 weeks. There was no statistical significance between Exp-1 and Exp-2 group. 4. The positive ${\alpha}$-SMA reaction in smooth muscles showed weak responses until 1 week and slowly increased in 2 weeks and showed almost control level in 4 weeks. 5. The positive S-100 reactions in the perivascular nerve bundles showed markedly decrease in 1 day, 3 days and increased after 1 week and showed almost control level in 4 weeks. Exp-1 group had stronger response than Exp-2 group. 6. In SEM, we observed defoliation of endothelial cell and flattening of vessel wall. Exp-2 group is more destroyed and healing was slower than Exp-1 group. To sum up, relief of vasospasm (vasodilatation) by freezing with cryoprobe was originated from the damage of smooth muscle layer and perivascular nerve bundle and the enlargement of internal diameter in vessels was similar to expeimental groups, but Exp-2 group had slower healing course and therefore vessel freezing in microsurgery can be clinically used, but repeat freezing time needs to be studied further.

• Journal of Hospice and Palliative Care
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• 제6권1호
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• pp.34-44
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• 2003

목적 : 본 연구는 호스피스 간호가 말기암환자의 통증정도에 미치는 효과를 파악하고 분석함으로써, 말기암환자의 안위를 도모하여 전인적이고 개별화된 간호를 제공하는데 도움을 주기 위하여 시도된 단일군 전후설계(one group pre-post test)이다. 방법 : 2000년 7월부터 11월까지 전주시에 소재하는 1개 종합병원의 호스피스에 의뢰되어 연구참여에 동의한 말기암환자 37명을 대상으로 하였다. 호스피스 간호는 1주일에 $5{\sim}6$회를 조주 동안 제공하였으며, 자료분석은 실수, 백분율, 평균, 표준편차 등의 서술통계와 paired t-test로 분석하였다. 결과 : 1) 통증정도의 중증도는 통증정도가 24시간 동안 가장 심했을 때 통증점수는 중재전이 6.35점, 중재후가 4.76점이었다. 통증으로 인한 지장정도는 중재전에는 인생을 즐김(8.22점), 통상적인 일(7.46점), 보행(7.08점), 일반적인 활동(7.08점)순이었으며, 중재후에는 인생을 즐김(6.62점), 통상적인 일(6.43점), 보행(6.11점), 일반적인 활동(5.78점)순으로 중재전과 후가 동일한 순위를 보였다. 2) 통증의 중증도는 중재전보다 중재후에서 각각 유의하게 감소하였다. 영역별로 분석하였을 때 24시간 동안 가장 심했을 때 통증(t=4.085, P=0.000), 24시간 동안 가장 약했을 때 통증(t=4.020, P=0.000), 평균통증(t=4.254, P=0.000), 조사당시 바로 지금 느끼는 통증(t=5.017, P=0.000)영역에서 중재후 통증이 중재전보다 유의하게 감소하였다. 3) 통증으로 인한 지장정도는 중재전보다 중재후에서 각각 유의하게 감소하였다. 영역별로 분석하였을 때 일반적인 활동(t=3.137, P=0.003), 기분(t=6.713, P=0.000), 보행능력(t=2.027, P=0.050), 통상적인 일(t=20.132, P=0.040), 대인관계(t=4.143, P=0.000), 수면(t=4.071, P=0.000), 인생을 즐김(t=3.881, P=0.000)에서 통계적으로 유의한 차이가 나타났다. 결론 : 호스피스 간호를 제공받은 말기암환자는 제공받지 않은 말기암환자에 비해 통증정도와 삶의 치장 정도에서 모두 낮아짐이 확인되었으며, 유의한 차이를 보였다. 이상과 같이 말기암환자에 대한 호스피스 간호는 통증감소와 통증이 생활에 지장을 주는 정도를 감소하는데 효과적인 것으로 확인되었으므로 앞으로 말기암환자를 위해 적극적인 활용을 권장한다.

• 대한간호학회지
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• 제29권2호
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• pp.336-345
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• 1999

This study looks at the various alternative therapy methods used in day to day life by elderly, over 60 years of age. The elderly have come to know and practice these methods for the following reasons it is good for the health ; it is the method used in the of fen days when there wesn't modern medicine ; it has been passed down from generations ; it can be done at home without having the need to go to the hospital ; acupuncture or poulticing can be used ; it can be done at home, which was an important factor in rural areas where hospitals are few and far between ; and 〔herbal〕 medicine could be prepared at home at no cost ; it derives from experience ; it is impossible to ignore tradition passed down through the generations. Diet control and plants (herbs) are methods most often used. as they are easy to find and can be readily used in critical situations. Other methods include oriental medicine practices of moxibustion with moxa cone, negative therapy, hand and finger acupunture, finger press method. ordinary acupunture, manual healing methods of massage. diaphoretic therapy and meditation to reach a state of calm, and qigong dirigation. The reasons for its use are as follows ; it has been used before ; it is effective ; there is some improvement after the treatment ; it is not harmful to the body ; medicine cannot be obtained and it is the only thing available ; it is not good for an old person to go to the hospital everyday. the symptoms are not serious enough to go to a hospital : and acupuncture is for these things. The means that the elderly have come to practice these methods are : it has been used since the past ; it has been told by the elders ; they have been told by friends ; it was part of their knowledge ; and they have come to know by watching their mother. Further, to regain vitality lost through old age, the elderly have relied on hot soup. a hearty meal. brewed honey water, pumpkin, or ginseng. Humans, by instinct. would rub or massage the areas that caused pain. These actions, combined with a breathing technique have been recognized in Tong-Eui-Bo-Gam(the essential of eastern medicine), the complete work of early modern medicine, are a useful means to revive chi(기). This knowledge is thought to have greatly affected our heathy lifestyle. Furthermore, though the demand for medical services would increase with age, the elderly have not always been able to tend to their needs at the hospital for reasons economic or other. Hence, these alternative therapy methods seem to have been practiced as a temporary means of relief. The excellence of our traditional therapeutic custom has not received full recognition due to the argument relating to its scientific merits. As a result, it has become vital to prove their effectiveness through scientific and other experimental means. The potency of moxibustion with moxa cone and hand and finger acupunture have been proven scientifically. but diet and herbal methods appear to be practiced as a result of customs passed down from generations. In addition, it is submitted that the effectiveness of the traditional methods of disease control and our heathy lifestyle that are easily found in the nursing field must be verified.

• 한국화재소방학회논문지
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• 제15권1호
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• pp.127-138
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• 2001

재난관리업무 자체가 매우 복잡하고 각 부처간에 서로 연계되는 분야가 많아 여러 가지 어려움이 많지만 행정조직상으로 볼 때 재난관리업무가 분산되어 있으면서도 총괄 조정하는 기능이 미흡하고, 재난관리 담당인력이 부족할 뿐만 아니라 전문성도 결여되어 있고, 대개는 이들 부서들이 업무가 과중하여 기피하는 부서 정도로 인식되고 있는 실정이다. 특히 우리나라의 경우 재난을 크게 양분화하여 인위재난 및 자연재해를 분리하여 그 소관부서 및 법체계를 달리하고 있어 비효율적 재난관리체제를 취하고 있어 현재 미국에서의 재난이론의 개념 즉 "재난은 그 유형에 관계없이 계획, 수습 및 복구의 양태는 동일하다"는 원칙에 반하는 것이다. 그것은 지방자치제가 시행되면서 아직은 중앙과 지방의 역할이 불분명하거나 분명하더라도 서로 그 역할을 해 내기를 바라는 점은 철저한 계획수립과 점검으로 해결해 나가야 할 사항이다.

• 미술이론과 현장
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• 제13호
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• pp.35-71
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• 2012

The purpose of this essay is to examine the responses of artists on nuclear experiences through an analysis of the nuclear images represented in contemporary Japanese art. Japan has previously as twice experienced nuclear disaster in 20th century. The first atomic bombs were dropped in 1945 as well as the 5th Fukuryumaru, Japanese pelagic fishing boat, exposed by hydrogen bomb test operated by the US in 1954 nearby Bikini atoll. Due to Tsunami taken place by the great earthquake that caused the meltdown of Fukushima Nuclear Power Plant in March 2010, Japan is being experienced a nuclear disaster again. Despite practical experiences, comtemporary Japanese art has avoided the subject of nuclear disasters since the end of the Asia-Pacific War for a variety of reasons. Firstly, GHQ prohibited to record or depict the terrible effect of atomic bomb until 1946. Secondly, Japanese government has tried to sweep the affair under the carpet quite a while a fact of nuclear damage to their people. Because Japan has produced numerous war record paintings during the Second World War, in the aftermath of the defeated war, most of Japanese artists thought that dealing with politics, economics, and social subject was irrelevant to art as well as style of amateur in order to erase their melancholic memory on it. In addition, silence that was intended to inhibit victims of nuclear disasters from being provoked psychologically has continued the oblivion on nuclear disasters. For these reasons, to speak on nuclear bombs has been a kind of taboo in Japan. However, shortly after the atomic bomb dropped on Hiroshima, the artist couple Iri and Toshi Maruki visited to ruin site as a volunteer for Victim Relief. They portrayed the horrible scenes of the legacy of nuclear bomb since 1950 based on their observation. Under the condition of rapid economical growth in 1960s and 1970s, Japanese subculture such as comics, TV animations, plastic model, and games produced a variety of post apocalyptic images recalling the war between the USA and Japanese militarism, and battle simulation based on nuclear energy. While having grown up watching subculture emerged as Japan Neo-Pop in 1990s, New generation appreciate atomic images such as mushroom cloud which symbolizes atomic bomb of Hiroshima. Takashi Murakami and other Neo-Pop artists appropriate mushroom cloud image in their work. Murakami curated three exhibitions including and persists in superflat and infantilism as an evidence in order to analyze contemporary Japanese society. However, his concept, which is based on atomic bomb radiation exposure experience only claimed on damage and sacrifice, does not reflect Japan as the harmer. Japan has been constructing nuclear power plants since 1954 in the same year when the 5th Fukuryumaru has exposed until the meltdown of Fukushima Nuclear Plant although took place of nuclear radiation exposures of Three Mile and Chernobyl. Due to the exploding of Fukushima Nuclear Power Plant, Japan reconsiders the danger of nuclear disaster. In conclusion, the purpose of this paper may be found that the sense of victim which flowed in contemporary art is able to inquire into the response of artist on the subject of nuclear as well as the relationship between society, politics, culture, and modern history of Japan and international political situation.

• 보건행정학회지
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• 제29권4호
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• pp.513-522
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• 2019

Background: South Korea operates a Medical Aid (MA) program targeting selected low-income individuals to ensure medical service delivery to the disadvantaged while enhancing self-sufficiency of work-capable beneficiaries. However, as reasons behind welfare exits are diverse and do not always infer poverty relief or the provision of appropriate levels of health care services, this study aimed to investigate the association between changes in MA status and health care utilization. Methods: This study used the 2006 to 2015 National Health Insurance claims data. The impact of changes in annual MA status on health care utilization (yearly number of outpatient visits, inpatient visits, length of stay, and emergency department [ED] visits) was investigated using the generalized estimating equation model. Results: In 117,943 adult subjects aged 20 to 64, compared to the 'MA to MA' group, the 'MA to MA exit' group showed general decreases in utilization (outpatient visits: β=-3.93, p<0.0001; hospital admissions: relative risk [RR], 0.87; 95% confidence interval [CI], 0.83-0.91; length of stay: β=-3.64, p<0.0001; ED visits: RR, 0.83; 95% CI, 0.77-0.90). Similar patterns were found in the 'MA exit to MA exit' group (outpatient visits: β=-5.72, p<0.0001; admissions: RR, 0.91; 95% CI, 0.87-0.94; length of stay: β=-5.87; p<0.0001; ED visits: RR, 0.81; 95% CI, 0.75-0.88). Likewise, in 74,747 older adult subjects aged 65 or above, the 'MA to MA exit' group showed reduced levels of utilization (outpatient visits: β=-1.51; p=0.0020), as well as the 'MA exit to MA exit' group (admissions: RR, 0.92; 95% CI, 0.89-0.95; length of stay: β, -5.45; p<0.0001; ED visits: RR, 0.90; 95% CI, 0.83-0.97). Conclusion: MA exit was associated with general decreases in health care utilization. Utilization patterns of individuals with experiences of receiving MA benefits should be monitored to promote the ideal use of health care services while preventing potential financial barriers present in accessing medical care.

• 대한공간정보학회지
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• 제18권4호
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• pp.141-149
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• 2010

3차원 공간정보는 효율적 국토이용 및 관리, 지자체의 도시계획수립, 도시관리 등 도시 활동의 입체적인 표현과 분석을 위한 중요한 정보로써 공공분야뿐만 아니라 공간정보 서비스 산업 활성화로 민간분야에서도 다양하게 이용되고 있다. 고품질 3차원 공간정보의 생성을 위해서는 원시영상 및 3차원 지형모델의 품질 뿐만 아니라 LoD 수준, Texturing과 같은 가시화 수준이 중요한 요소가 된다. 하지만 기존 3차원 국토공간정보는 구축 공정이 복잡하고, 기 제작된 수치지도를 이용하여 자료의 최신성이 부족하다. 또한 일반정사영상의 이용으로 영상의 기복변위가 존재하여 가시성이 낮고, LoD 수준이 2～3급 정도로 인공지물의 3차원 모델이 단순화 되어 현실감이 다소 부족하다는 단점이 있다. 이에 본 논문에서는 기존의 대축척 디지털항공사진카메라와 다방향 촬영 디지털카메라로 촬영된 디지털항공사진영상을 이용하여 수치사진측량기법을 적용한 3차원 모델링 기법으로 제작된 3차원 공간정보의 품질 분석을 수행하였다. 3차원 모델의 가시화 정보의 정확도 분석결과 별도의 가시화 정보의 획득 없이 원영상만으로 84% 이상의 정확도를 확보할 수 있었다. 촬영시기와 동일한 3차원 공간정보 구축이 가능하여 자료의 최신성 확보가 용이 하였고, 작업공정의 실감정사영상의 위치정확도 분석결과 1:1,000 수치지도의 수평위치 허용정확도보다 양호한 결과를 나타냈다.