• 제목/요약/키워드: Abstract

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Variation of Hospital Costs and Product Heterogeneity

  • Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • 제11권1호
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    • pp.123-127
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    • 1978
  • The major objective of this research is to identify those hospital characteristics that best explain cost variation among hospitals and to formulate linear models that can predict hospital costs. Specific emphasis is placed on hospital output, that is, the identification of diagnosis related patient groups (DRGs) which are medically meaningful and demonstrate similar patterns of hospital resource consumption. A casemix index is developed based on the DRGs identified. Considering the common problems encountered in previous hospital cost research, the following study requirements are estab-lished for fulfilling the objectives of this research: 1. Selection of hospitals that exercise similar medical and fiscal practices. 2. Identification of an appropriate data collection mechanism in which demographic and medical characteristics of individual patients as well as accurate and comparable cost information can be derived. 3. Development of a patient classification system in which all the patients treated in hospitals are able to be split into mutually exclusive categories with consistent and stable patterns of resource consumption. 4. Development of a cost finding mechanism through which patient groups' costs can be made comparable across hospitals. A data set of Medicare patients prepared by the Social Security Administration was selected for the study analysis. The data set contained 27,229 record abstracts of Medicare patients discharged from all but one short-term general hospital in Connecticut during the period from January 1, 1971, to December 31, 1972. Each record abstract contained demographic and diagnostic information, as well as charges for specific medical services received. The 'AUT-OGRP System' was used to generate 198 DRGs in which the entire range of Medicare patients were split into mutually exclusive categories, each of which shows a consistent and stable pattern of resource consumption. The 'Departmental Method' was used to generate cost information for the groups of Medicare patients that would be comparable across hospitals. To fulfill the study objectives, an extensive analysis was conducted in the following areas: 1. Analysis of DRGs: in which the level of resource use of each DRG was determined, the length of stay or death rate of each DRG in relation to resource use was characterized, and underlying patterns of the relationships among DRG costs were explained. 2. Exploration of resource use profiles of hospitals; in which the magnitude of differences in the resource uses or death rates incurred in the treatment of Medicare patients among the study hospitals was explored. 3. Casemix analysis; in which four types of casemix-related indices were generated, and the significance of these indices in the explanation of hospital costs was examined. 4. Formulation of linear models to predict hospital costs of Medicare patients; in which nine independent variables (i. e., casemix index, hospital size, complexity of service, teaching activity, location, casemix-adjusted death. rate index, occupancy rate, and casemix-adjusted length of stay index) were used for determining factors in hospital costs. Results from the study analysis indicated that: 1. The system of 198 DRGs for Medicare patient classification was demonstrated not only as a strong tool for determining the pattern of hospital resource utilization of Medicare patients, but also for categorizing patients by their severity of illness. 2. The wei틴fed mean total case cost (TOTC) of the study hospitals for Medicare patients during the study years was $11,27.02 with a standard deviation of $117.20. The hospital with the highest average TOTC ($1538.15) was 2.08 times more expensive than the hospital with the lowest average TOTC ($743.45). The weighted mean per diem total cost (DTOC) of the study hospitals for Medicare patients during the sutdy years was $107.98 with a standard deviation of $15.18. The hospital with the highest average DTOC ($147.23) was 1.87 times more expensive than the hospital with the lowest average DTOC ($78.49). 3. The linear models for each of the six types of hospital costs were formulated using the casemix index and the eight other hospital variables as the determinants. These models explained variance to the extent of 68.7 percent of total case cost (TOTC), 63.5 percent of room and board cost (RMC), 66.2 percent of total ancillary service cost (TANC), 66.3 percent of per diem total cost (DTOC), 56.9 percent of per diem room and board cost (DRMC), and 65.5 percent of per diem ancillary service cost (DTANC). The casemix index alone explained approximately one half of interhospital cost variation: 59.1 percent for TOTC and 44.3 percent for DTOC. Thsee results demonstrate that the casemix index is the most importand determinant of interhospital cost variation Future research and policy implications in regard to the results of this study is envisioned in the following three areas: 1. Utilization of casemix related indices in the Medicare data systems. 2. Refinement of data for hospital cost evaluation. 3. Development of a system for reimbursement and cost control in hospitals.

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편물의 역사적 고찰 -유럽의 편물 전통문양을 중심으로 - (The Historical Survey on Knitted Works - On the Basic of the Traditional Knitting Patterns of Europe -)

  • 이순홍;이선명
    • 복식
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    • 제50권7호
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    • pp.195-218
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    • 2000
  • This study investigates the characteristics of European knitted works from a historical perspective. Specifically, this study deals with the following research topics: 1) the origin and development of knitting. 2) the characteristics of knitting industry according to the change of times, 3) the comparison of local knitting patterns and cultures. 4) 7he symbolic meaning of the designs in the knitted works and theire functions. This research is barred on the survey of the relevant literature and photographs. The results of the study are summarized as follows. 1) The introduction of knitted works was closely connected with the climatic and socio-economic conditions of the places of the origin. Knitted work developed mostly in Northern Europe, a cold area, and the barren, mountainous coastal areas where people frequently used woolen materials for clothes. 2) In ancient times, abstract and geometric patterns have developed in Europe under the influence of Arabian knitted work. Middle Ages saw the flourishing of Arabian knitted works representing the authority of the church. In early modern times, the knitted work assumed the wealth of the royal families and the nobles. But afterward it was gradually Popularized among the middle classes. Knitting was then regarded as one of the women's major cultural activities. However, recently in the interwar periods. the knitting industry did not flourish and the knitted works came to serve merely as comfort goods by political urge. Knitted works were introduced in Korea around 1870 (the 7th or 8th year of king Kojong era) by Catholic missionaries and they started to be made by machine in 1917. 3) As for the propagation of the knitted work into Europe, there are three routes estimated. The traditional knitting patterns of local areas and their characteristics are summed up as follows : (1) England Guernseys are thick dark blue wool, whereas Jerseys are thinner and of various colors. The knitted shawls of Shetland are world-famous for their fine, lace-like texture that they can be through a wedding-ring. The knitted work of Fair Isle shows several distinctive features, such as the use of no more than two colors, patterns with diagonal lines. symmetry within the patterns, the prominent OXO patterns, and horizontal bands of patterning. The representative knitted work of Aran is Aran sweater made for fishermen to developed from guernseys of Scotland. (2) Scandinavian countries are distinguished from other countries by their conservative but creative cultural tradition. Their knitting patterns are characterized by small geometric figures such as dots, triangles, squares, rhombuses, and crosses used often with stars and roses. Scandinavian knitting is also salient for its vertical stripes and simple motifs repeating at short intervals. (3) Baltic area : The Latvian and Lithuania stockings have very ornate patterns. Many of the Estonian knit stockings and mittens share designs. Komi was well-known for its symmetric diamond pattern. Komi patterns include colored stripes, borders of pattern and all-over designs of complex diagonals. (4) Balkan area : In Yugoslavia, the patterns of roses, leaves and flowers were used for stockings, gloves and leggings. Greek knitting resembled southern Russian knitting, which utilized light colored patterns with dark colors for a background. Turkish patterns are symmetric vertically or horizontally. 4) The traditional knitting patterns net only carried symbolic meanings but also served as means of communication. First of all, patterns had incantatory meanings. Patterns also represented Power or authenticity Patterns were symbolic of one's social standing, too. The colors, motifs and their arrangements were very important features symbolizing one's social position or family line. People often communicated by certain pieces of knitted work or patterns.

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의료서비스 마케팅을 위한 품질지각과 만족에 관한 연구 (A Study on Qulity Perceptions and Satisfaction for Medical Service Marketing)

  • 유동근
    • 간호행정학회지
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    • 제2권1호
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    • pp.97-114
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    • 1996
  • INSTRODUCTION Service quality is, unlike goods quality, an abstract and elusive constuct. Service quality and its requirements are not easily understood by consumers, and also present some critical research problems. However, quality is very important to marketers and consumers in that it has many strategic benefits in contributing to profitability of marketing activities and consumers' problem-solving activities. Moreover, despite the phenomenal growth of medical service sector, few researchers have attempted to define and model medical service quality. Especially, little research has focused on the evaluation of medical service quality and patient satisfaction from the perspectives of both the provider and the patient. As competition intensifies and patients are demanding higher quality of medical service, medical service quality and patient satisfaction has emerged as a critical research topic. The major purpose of this article is to explore the concept of medical service quality and its evaluation from both nurse and patient perspectives. This article attempts to achieve its purpose by (1)classfying critical service attibutes into threecategories(satisfiers, hygiene factors, and performance factors). (2)measuring the relative importance of need criteria, (3)evaluating SERVPERF model and SERVQUAL model in medical service sector, and (4)identifying the relationship between perceived quality and overall patient satisfaction. METHOD Data were gathered from a sample of 217 patients and 179 nurses in Seoul-area general hospitals. From the review of previous literature, 50 survey items representing various facets of the medical service quality were developed to form a questionnaire. A five-point scale ranging from "Strongly Agree"(5) to "Strongly Disagree"(1) accompanied each statement(expectation statements, perception statements, and importance statements). To measure overall satisfaction, a seven-point scale was used, ranging from "Very Satisfied"(7) to "Very Dissatisfied"(1) with no verbal labels for scale points 2 through 6 RESULTS In explaining the relationship between perceived performance and overall satisfaction, only 31 variables out of original 50 survey items were proven to be statistically significant. Hence, a penalty-reward analysis was performed on theses 31 critical attributes to find out 17 satisfiers, 8 hygiene factors, and 4 performance factors in patient perspective. The role(category) of each service quality attribute in relation to patient satisfaction was com pared across two groups, that is, patients and nurses. They were little overlapped, suggesting that two groups had different sets of 'perceived quality' attributes. Principal components factor analyses of the patients' and nurses' responses were performed to identify the underlying dimensions for the set of performance(experience) statements. 28 variables were analyzed by using a varimax rotation after deleting three obscure variables. The number of factors to be extracted was determined by evaluating the eigenvalue scores. Six factors wereextracted, accounting for 57.1% of the total variance. Reliability analysis was performed to refine the factors further. Using coefficient alpha, scores of .84 to .65 were obtained. Individual-item analysis indicated that all statements in each of the factors should remain. On 26 attributes of 31 critical service quality attributes, there were gaps between actual patient's importance of need criteria and nurse perceptions of them. Those critical attributes could be classified into four categories based on the relative importance of need criteria and perceived performance from the perspective of patient. This analysis is useful in developing strategic plans for performance improvement. (1) top priorities(high importance and low performance) (in this study)- more health-related information -accuracy in billing - quality of food - appointments at my convenience - information about tests and treatments - prompt service of business office -adequacy of accommodations(elevators, etc) (2) current strengths(high importance and high performance) (3)unnecessary strengths(low importance and high performance) (4) low priorities(low importance and low performance) While 26 service quality attributes of SERPERF model were significantly related to patient satisfation, only 13 attributes of SERVQUAL model were significantly related. This result suggested that only experience-based norms(SERVPERF model) were more appropriate than expectations to serve as a benchmark against which service experiences were compared(SERVQUAL model). However, it must be noted that the degree of association to overall satisfaction was not consistent. There were some gaps between nurse percetions and patient perception of medical service performance. From the patient's viewpoint, "personal likability", "technical skill/trust", and "cares about me" were most significant positioning factors that contributed patient satisfaction. DISCUSSION This study shows that there are inconsistencies between nurse perceptions and patient perceptions of medical service attributes. Also, for service quality improvement, it is most important for nurses to understand what satisfiers, hygiene factors, and performance factors are through two-way communications. Patient satisfaction should be measured, and problems identified should be resolved for survival in intense competitive market conditions. Hence, patient satisfaction monitoring is now becoming a standard marketing tool for healthcare providers and its role is expected to increase.

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지리정보 DB 설계 지침의 표준화 연구 (A study on the Standardization of Design Guidelines for Geographic Information Databases)

  • 임덕성;문상호;시종익;홍봉희
    • 한국공간정보시스템학회 논문지
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    • 제5권1호
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    • pp.49-63
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    • 2003
  • 현재 ISO, OGC 등의 국제표준화 기관들을 중심으로 지리정보 표준화에 대한 작업이 활발하게 진행 중에 있으며, 이러한 결과로 다수의 GIS 표준이 제정되었다. GIS DB 들간의 공간정보 공유, 상호 교환, 유통 등의 상호운용성을 높이기 위한 표준화 작업들은 개방형 인터페이스 설계 표준에 중점을 두고 있다. 그러나 이러한 표준화 작업에서는 지리정보 DB 자체에 대한 스키마 설리 절차 및 방법 등은 고려하고 있지 않고, 상호운용을 위한 인터페이스를 표준화하거나 공간 DB의 추상스키마 표준만을 제안하고 있다. 설계 표준 없이 서로 다른 데이터 모델에 따라 개별적으로 구축된 지리정보 DB들간의 표준 인터페이스를 통한 데이터공유는 데이터 모델의 상이성으로 인해 정보의 손실이 발생하는 문제가 있다. 본 논문에서는 GIS DB를 구축할 때 서로 다른 GIS S/W를 이용하더라도, 구축된 지리정보시스템들간의 공간 데이터 모델, 논리적 구조, 의미 구조 등을 통일할 수 있도록 하기 위한 지리정보 DB의 설계 지침을 제시한다. 특히, ISO 추상 스키마 표준을 관계형 모델, 객체-관계형 모델, 객체 중심 모델, 기하 중심 모델로 변환하는 표준 지침을 제안한다. 그리고 기존의 상용 GIS S/W를 대상으로 논리적, 물리적 설계 지침에 따른 각 S/W의 적용 예제 모델을 제시하여 DB 설계 지침으로 활용하기 위한 토대를 제공한다. 본 논문에서 제시한 지리정보 DB 설계 지침의 응용 스키마, 개념적 및 논리적/물리적 구현 스키마를 적용하여 GIS DB를 구축하는 경우에는 각 DB들 간의 상호운용성이 원활해지고 각 스키마들의 산출물을 통하여 통일화된 스키마 정의 및 카탈로깅 지원이 가능해진다.템 개발은 지자체 GIS 재사용의 문제를 해결해 줄 수 있을 것이다.정들이 단계적으로 성과를 확보하며 이루어져야 가능하다. 여러 지자체를 중심으로 수행된 지자체 GIS 감리와 컨설팅의 경험을 통해 도출된 문제점들을 일반화시켜 정리하였으며, 이를 통해 지자체 GIS사업의 추진 및 운영모델을 제시하였다. 표시할 수 있음으로서 의사결정에 보다 많은 도움을 줄 수 있을 것이다. 비트율의 증가와 화질 열화는 각각 최대 1.32%와 최대 0.11dB로 무시할 수 있을 정도로 작음을 확인 하였다.을 알 수 있었다. 현지관측에 비해 막대한 비용과 시간을 절약할 수 있는 위성영상해석방법을 이용한 방법은 해양수질파악이 가능할 것으로 판단되며, GIS를 이용하여 다양하고 복잡한 자료를 데이터베이스화함으로써 가시화하고, 이를 기초로 공간분석을 실시함으로써 환경요소별 공간분포에 대한 파악을 통해 수치모형실험을 이용한 각종 환경영향의 평가 및 예측을 위한 기초자료로 이용이 가능할 것으로 사료된다.염총량관리 기본계획 시 구축된 모형 매개변수를 바탕으로 분석을 수행하였다. 일차오차분석을 이용하여 수리매개변수와 수질매개변수의 수질항목별 상대적 기여도를 파악해 본 결과, 수리매개변수는 DO, BOD, 유기질소, 유기인 모든 항목에 일정 정도의 상대적 기여도를 가지고 있는 것을 알 수 있었다. 이로부터 수질 모형의 적용 시 수리 매개변수 또한 수질 매개변수의 추정 시와 같이 보다 세심한 주의를 기울여 추정할 필요가 있을 것으로 판단된다.변화와 기흉 발생과의 인과관계를 확인하고 좀 더 구체화하기 위한 연구가 필요할 것이다.게 이루어질 수 있을 것으로 기대된다.는 초과수익률이 상승하지만, 이후로는 감소하므로, 반전거래전략을

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20세기 후기회화에 있어서 유기 이미지의 문제 (A Study on the Problem of Organic Image in the 20th Post-paintings)

  • 박지숙
    • 조형예술학연구
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    • 제3권
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    • pp.145-177
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    • 2001
  • The artist's interest has been captivated by ecological phenomena in Nature. Her keen captivation has then been focused into plastic art depicting the image of primitive life. The wide sweep of her work encompasses the totality of nature which consists of the human's subconscious power and imagination which she then portrays by organic images. These organic images are in contrast to scientific, mathematical and logical inference and consciousness. This research examines the character of the organic images in modern art by her analysis of some representative works by others. The image is an essential concept in the art which appeared in very different ways and in different perspectives. The image in the artwork appears to be the realistic expression until the early part of the 20th Century. Well into the 20th Century, it began being expressed in various ways such as combined images by imagination which is combined or rejected in the story of artwork. It also began being expressed by transferred images by changed original conditions. It is the main purpose of this research is to study of various expressions of organic images in the artwork of the Post-Modernism era. The character and meaning of organic image painting helps people to approach the human instinct more easily to find out the natural essence. It is also an objective of the organic image to tenderise our human sensibilities, thus helping us to regain vitality and recover our poor humanity in the barren wilderness of modern society. 'Life communion with nature' is a meeting point and common ground for Oriental Philosophy and organic image painting. Through this research, organic image painting is characterised in the four following ways : 1st) Organic image painting seeks regularity and perfection of outer shapes, in contrast to disordered and deformed nature, resulting in organic and biotic formalistic mode of plastic art. 2nd) Organic image painting seeks the formative. 3rd) Organic image painting pursues the priceless dignity of life by researching the formatted arrangement and figure, which contains primitive power of life. 4th) Organic image painting makes crystal clear the power of human and nature, which is a historic and biological phenomenon. This, in turn, exposes the humanistic view of the world from modern society best characterised in lost self-understanding, isolation and materialism. The representative organic image painting artists are Elizabeth Murray, Kusama Yayoi, and Niki do Saint Phalle. Elizabeth Murray used shaped canvas and a round construction of relief works. Kusama Yayoi used Automatistic expressionism originating from the realms of unconsciousness and which is represented by the mass and shape of a water drop. Niki do Saint Phalle shows the transcendence of universal life and anti-life to respect the dignity of life and the eco-friendliness relationship of human and nature in the post-modernism in art history. This is accomplished by surrealistic, symbolic, fantastic and humoristic expression. These three artists' works express the spirit of the organic image in contemporary art. It contains the stream of nature and life to seek not only the state of materialism in the reality, but also the harmonized world of nature and human which has almost lost the important meaning in modern times. Finally, this organic image is the plastic language of the majestic life. It is the romantic idea that the intimacy of nature and the universe and Surrealism, which emphasizes the unconsciousness , is the source of truth and spirit. Also it is influenced by primitive art and abstract art. According to this research, the subject 'Research About Organic Images' is not only an important element in the plastic arts from primitive society to the present, but is also fundamental to an true understanding of Post-Modernism.

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인물화(人物畵)의 사의성(寫意性)에 관한 연구(硏究) (A study on expressing an artist's inner world as well as the external shape of a figure in a figure painting)

  • 이소영
    • 조형예술학연구
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    • 제11권
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    • pp.153-199
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    • 2007
  • 동양회화에서 '형사(形似)'와 '신사(神似)'는 대상을 표현하는데 중요한 화두로 인식되었으며 특히 인물화에서는 인물의 정신을 전달하는데 있어 '형사'와 '신사'는 더욱 중요하게 다루어져 왔다. 고개지(顧愷之, 약$345{\sim}406$)는 형사와 신사를 표현하는데 있어 '전신(傳神)'의 개념을 명확하게 제시함으로써 회화비평의 중요한 기준으로 삼았다. 그는 먼저 형(形)을 통해 정신을 드러낼 수 있음(이형사신(以形寫神))을 제시함으로써 창작자는 작품에 '의(意)'를 그려내고 감상자는 표현된 '의'를 체험하는 것을 중요한 예술행위로 인식하였다. 따라서 인물화는 형상의 재현이라기보다는 그려진 대상의 인격과 성품을 드러내는 것이며, 창작자 스스로 인격을 도야하여 성인의 도(道)를 표출하는 것을 예술이라 여김으로써 예술적 심미주체인 작가의 의를 중시하였는데 이른바 이것이 전신의 개념으로 발전되었다. 본고에서는 고개지의 '전신사조론(傳神寫照論)'이 소식(蘇軾)의 '사의론(寫意論)'으로 계승되고 이러한 사상이 한국에서는 이형사신(以形寫神)의 원리에 충실한 윤두서(尹斗緖)의 '화도론(畵道論)'으로 이어지는 사의론의 전개과정을 알아보고자 한다. 또한 인물화에 내재된 사의성에 대하며 논하고자 하는데 작품에서 형사와 신사의 구분이 모호하듯 '사의성(寫意性)'의 판단의 기준 또한 명확하게 정의하기는 쉽지 않으나, 역대 작품분석을 통하여 보면 작품제작 시 입의단계(立意段階)에서 작가와 대상과의 관계가 중요하며 본고에서는 그 요소를 네 가지로 제시하였다. 현대미술은 기법의 홍수라 여길 정도로 많은 기법들이 혼재하고 있으며 마치 상품 특허를 내듯 기법이 작가를 대신하는 현상이 벌어지고 있는 현실이다. 본 논문은 인물화에 내재된 '사의성을 파악함으로써 기법 보다는 작가의 구사인 의(意)가 중요함을 입증하여 무분별하게 유행에 편승하는 기법의 남용보다는 창작자의 철학적 기반과 정신적 수양이 중요함을 주장하고 사의론과 실제 인물화를 대입시켜 살펴봄으로서 동양회화의 특성인 사의성을 규명하여 살펴보는데 그 목적이 있다.

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한국미술에서의 동양성 개념의 출현과 변형 (Birth and Transformation of the Concept of "Oriental-ness" in Korean Art)

  • 정형민
    • 미술이론과 현장
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    • 제1호
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    • pp.109-144
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    • 2003
  • Orientalness is a concept that expresses the collective identity of the Orient in relation to the West. The concept itself is mutable and defined by the relationship between the two regions at different points in time. Changes in the concept depend on a number of factors, such as cultural influence, the political balance of power between the two regions, and on the interpretative scheme that defines the relationship. In addition, the geographical notion of the concept evolves culturally, socially and politically. During this process, Oriental-ness becomes Oriental-ism at times. I will attempt to survey and measure the progression of Orientalness from its emergence in early 17th century to its subsequent transformation in modern Korea as reflected in art theory and art works. The recognition of the comparative characteristics of Oriental art began when the Orient was exposed to the art of the West in the late Ming dynasty during the early 17th century. The changes in the artistic climate in China affected the late Chosun. I will start with a brief introduction of this time and the birth of Orientalness. The concept gradually changed during the period of Enlightenment(開化期) towards the end of the 19th century, and during the colonial period( 1910-1945) it took on a new form. Establishment of the concept of "Orient"as a single, unifying concept spanning across cultures and national boundaries has been attributed to late Meiji period Japan, whose intention at that time is believed to have been to build a pan-Asia(亞細亞) empire with Japan at its commanding center. It has been stressed that the real motive behind the formation of one single cultural unit, where the shared common written language was Chinese and Confucianism and Taoism were the common metaphysical traditions, was to build one political unit. When the notion of a geographical unit of Asia was replaced by the concept of Asia as a cultural and political unit, a massive growth of interest and discourse were provoked around the concept of Orientalism. When Orientalism was being formulated, Korea automatically became member of "one Asia" when the country became colonized. For Koreans, the identity of the Orient had to be defined in cultural terms, as the political notion of a nation was non-existent at that time. The definition of identity was pursued at two levels, pan-Asian and local. If Orientalism was an elite discourse centered in pan-Asian philosophical and religious tradition, localized Orientalism was a popular discourse emphasizing locality as the byproduct of natural geographic condition. After the liberation in 1945 from colonial rule, a thrust of movement arose towards political nationalism. Two types of discourses on Orientalism, elite and popular, continued as central themes in art. Despite the effort to redefine the national identity by eradicating the cultural language of the colonial past, the past was enduring well into the present time. As discussed above, even when the painting themes were selected from Korean history, the tradition of using history painting as a manifestation of political policy to glorify the local identity had its founding during the Meiji period. The elevation of folk art to the level of high art also goes back to the colonial promotion of local color and local sentiment. Again, the succession of the past (colonial) ideal was defended as the tradition assumed a distinct modern shape that was abstract in style. The concept of the "Orient" is of relative and changing nature. It was formulated in relation to Western culture or civilization. Whatever the real motive of the adoption of them had been, the superiority of the Orient was emphasized at all times. The essence of the Orient was always perceived as the metaphysical tradition as a way to downgrade Western culture as materialistic. This view still prevails and the principle of Orient was always sought in Confucianism, Taoism, and Buddhism. Even when Orientalism was employed by imperialist Japan in an effort to establish her position as the center of the Orient, the spiritual source was still in Chinese philosophy and religion. In art also, the Chinese literati tradition became the major platform for elite discourse. Orientalism was also defined locally, and the so-called local color was pursued in terms of theme and style. Thus trend continued despite the effort to eradicate the remnants of colonial culture long after liberation. These efforts are now being supported politically and also institutionalized to become the aesthetic ideal of the modern Korean art.

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유영국(劉永國)의 초기 구성주의: <랩소디>(1937)에 나타난 유토피아니즘 (Yoo Young-kuk's Early Constructivism: Utopianism in (1937))

  • 유영아
    • 미술이론과 현장
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    • 제9호
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    • pp.93-121
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    • 2010
  • This study is about Yoo Young-kuk's early works which show constructivism, especially focus on his debut painting, for the 7th Dokuritsu Bijutsu Kyokai(獨立美術協會, the Independent Fine Arts Association) in Tokyo in 1937. The work was painted 2 years after he had started his study in Japan in 1935. It was the first painting that applied Constructivism. played an important role for Constructivism to be a leading art in his abstraction. After this picture, Yoo was soon devoted to the principles of Constructivism-- Faktura(material), Tektonika (tectonics), Tekhnika(technique), space, construction-- in his painterly reliefs. This article examined why Yoo concentrated on Constructivism for , what the characteristics were, and what influences were on other works from 1935 to 1949. In addition, I investigated in which period was painted and how Constructivism was spread in 1930s and early 1940s in chapter 2. I scrutinized Rhapsody in chapter 3. When Yoo created Japan was under the Fifteen Years War(1931-1945), and a major discourse was the Japanese Spirit at that time. It was connected with construction of an ideal nation which the Japanese ultra-national fascism pursued. This ideological pursuit was intended to unite the Japanese people for total war system and to restore a national dignity which had been fallen down due to Manchurian Incident(1931). Thus, on the hand, Kokusai Bunka Shinkokai(國際文化振興, The Society for International Cultural Relations) and the Nippon Kosaku Bunka Renmei(日本工作文化連盟, Japanese Werkbund) were supported financially by the Japanese government. On the other hand, the government enacted regulations to opposing parties which would distract Japanese people's unification. As for the Japanese art world, the merge of art groups was carried out through remodeling of Teikoku Bijutsuin(帝國美術院, The Imperial Fine Arts Academy) in 1935. This brought out continuous dispute and disorder. Young artists who felt difficulty of entering an entry of Imperial Fine Arts Exhibition repeatedly grouped and disbanded for small art groups to build their standing, which they pursued Surrealism and Abstract art. Among them Constructivism was considered as the latest trend and was popular in craft, design, architecture as well as fine arts. In the year before he painted , Avant-garde theatres including Constructivism theatre were introduced in a feature article of September, 1936 in Atelier, which was dealing with mainly avant-garde arts. Books related with Constructivism were translated into Japanese, and Gestaltung Education had become active since the publication of A Compendium of Gestaltung Education("構成敎育大系"(1934)), Salvador Dali(1904-1989) was also introduced, so Surrealism was drawn more attention by young artists. reflected popular trends. Yoo analyzed the Japanese avant-gardists' archaic taste in the Independent Art Association that he submitted his painting to. And then he entitled 'Rhapsody' which derives from Ancient Greek's epic poetry and deliberately set up images in a scene. In chapter 3, I examined a theme which was planned carefully by sorting favorite images from the Japanese Surrealism. was a result that Yoo Young-kuk observed objectively the phenomenon that young artists dreamt of Utopia or longed for Nostalgia passively and lethargically under wars. And then he otherized himself from that circumstance. First of all, for he used the typical icons of Japanese Surrealism such as the horizon, flowing clouds, and vast plain that were considered stereotypes of Arcadia. He, however distinguished himself form those Japanese Surrealists. He made his own vision about Utopia by referring Lyubov Popova(1889-1924)'s stage design. His objective point of view was expressed by positive and dynamic images of structure and human's actions. Constructivism which was attempted in had an effect on other early constructive works, and the principles of Constructivism were sought hard in reliefs, paintings, and photos.

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수학적 사고력에 관한 인지신경학적 연구 개관 (A Review of the Neurocognitive Mechanisms for Mathematical Thinking Ability)

  • 김연미
    • 인지과학
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    • 제27권2호
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    • pp.159-219
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    • 2016
  • 수학적 사고력은 STEM(science, technology, engineering, mathematics) 분야에서의 학업적인 성취와 과학기술의 혁신에서 중요한 역할을 하고 있다. 본 연구에서는 학제 간 연구 분야인 수 인지(numerical cognition) 및 수학적 인지와 관련된 최근의 인지신경학적 연구 결과들을 종합하여 개관하였다. 첫째로 수학적 사고의 기초가 되는 뇌 기제의 위치와 정보처리 메커니즘을 확인하였다. 수학적 사고는 영역 특정적(domain specific)인 기능인 수 감각과 시공간적 능력뿐만 아니라 영역 일반적(domain general)인 기능인 언어, 장기기억, 작업 기억(working memory) 등을 기초로 하며 이를 토대로 추상화, 추론 등의 고차원적인 사고를 한다. 이 중에서 수 감각과 시공간적 능력은 두정엽(parietal lobe)을 기반으로 한다. 두 번째로는 수학적 사고 능력에서 관찰되는 개인 차이에 대하여 고찰하였다. 특히 수학 영재들의 신경학적인 특성을 신경망 효율성(neural efficiency)의 관점에서 고찰해 보았다. 그 결과 높은 지능이란 두뇌가 얼마나 많이 일하느냐가 아니라 얼마나 효율적으로 일하는가에 달렸다는 사실을 확인하였다. 수학 영재들의 또 다른 특성은 좌반구와 우반구 간의 연결과 반구 내에서 전두엽과 두정엽의 연결이 뛰어나다는 사실이다. 세 번째로는 학습과 훈련, 그리고 성장에 따른 변화 및 발전에 대한 분석이다. 개인이 성장하며, 수학 학습과 훈련을 하게 될 때 이에 따라 두뇌 피질에서도 변화가 반영되어 나타난다. 그 변화를 피질에서의 활성화 수준의 변화, 재분배, 구조적 변화라는 관점에서 해석하였다. 이 중에서 구조적 변화는 결국 신경 가소성(neural plasticity)을 의미한다. 마지막으로 수학적 창의성은 수학적 지식(개념)을 기초로 하여 수학적 개념들을 결합하는 단계가 요구되며, 그 후 결합된 개념들 중에서 심미적인 선택을 통해 수학적 발명(발견)으로 연결된다. 전문성이 높아질수록 결합과 선택이라는 두 단계가 더욱 중요해진다.

두부외상 후 장애평가 환자들의 임상적 특징 -뇌영상검사 이상유무에 따른 비교- (Clinical Characteristics in Patients for Mental Disability Assessment Following Traumatic Brain Injury -Comparison between Patients with and without Abnormal Brain Imaging-)

  • 하강수;김상훈;김학렬;박상학;표경식;조용래
    • 정신신체의학
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    • 제9권1호
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    • pp.28-36
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    • 2001
  • 연구목적 : 두부외상 후 장애평가를 받기 위해 정신과에 입원했던 환자들의 뇌 영상검사 이상유무에 따른 인구 통계학적 특성, 정신의학적 증상, 두부외상형태, 임상 심리학적 특성 등을 비교하고자 하였다. 방법 : 1994년 1 월부터 1998년 12월까지 두부외상 후 장애 평가 목적으로 조선대학교병원 정선과에 입원한 환자 중 뇌 영상검사를 실시한 59명의 환자를 대상으로 하였다. 병록기록지와 장애 평가서를 근거로 하여 뇌 영상검사 이상소견이 있는 27명의 환자군과 이상소견이 없는 32명의 환자군 사이의 임상적 특정을 비교 분석하였다. 결과 : 뇌 영상검사에 이상소견이 있는 환자군(병변군)은 이상소견이 없는 환자군에 비해 나이가 더 많았으며, 학력은 더 낮았다. 정신의학적 증상측면에서, 병변군은 수상 후 정신증 발생빈도가 유의하게 높았으며 식욕 감퇴, 허무사고, 기억력 감퇴소견이 더 많았다. 그러나 환청의 빈도는 오히려 더 적었다. 두부외상형태에서 병변군은 수상시 뇌출혈, 뇌수술빈도가 유의하게 더 높게 나타났다. 임상심리학적 검사에서 병변군은 BGT상 이상소견이 유의하게 더 많았고, 지능검사에서는 공통성문제와 토막짜기에서 더 낮은 점수를 받았으며, MMPI 검사에서는 F척도, 건강염려증척도, 우울증척도 히스테리척도, 반사회성척도, 정신쇠약증척도, 정신분열증척도등에서 유의하게 더 낮았다. 결론 : 수상시 뇌출혈이 있고 뇌수술을 받았던 환자에서 뇌 영상검사 이상소견의 빈도가 많았고, 인지증상과 정서증상을 더 많이 호소하였다. 뇌 영상검사 이상소견이 있는 환자군은 추상적 개념형성과 지각적 조직화능력이 떨어지고, MMPI 하위척도들에서 전반적으로 더 낮은 점수를 받았다.

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