• 산학경영연구
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• 제22권2호
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• pp.35-59
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• 2009

관광개발을 통한 국가발전을 도모하기위한 전략은 모든 국가들의 공통된 사안이다. 특히 경제적으로 안정된 선진국보다는 개발도상국이나 미개발국가에서 매우 선호되는 국가성장대안이 된다. 특히 인문자원보다는 자연자원을 활용하여 관광개발을 추진하려는 국가에서는 매우 신중한 개발전략 모색이 요구되며, 관광개발의 효과를 극대화하기위한 방안들이 수립되어지고 있다. 본 연구는 미개발국의 성장동력을 관광개발로 지정하고, 모든 가용자원을 접적화하여, 미래의 생존전략을 모색하기위한 방안을 강구하기위한 실증분석을 목적으로 한다. 이를 위해 아프리카 카메룬의 관련 전문가들을 중심으로 설문과 면접을 통해 국가성장동력으로의 관광산업을 지속가능하게 추진할 있는 전략을 제시하였다.

• Journal of Chest Surgery
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• 제32권2호
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• pp.175-180
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• 1999

배경: 연세대학교 영동세브란스병원 흉부외과에서 1992년 다한증환자에서 흉곽내시경을 이용한 교감신경절제술을 시행한이래로 교감신경절제술은 원발성 다한증환자에서 간편하고 효과적인 치료방법이다. 수술직후의 만족도는 94∼98%로 보고되는 반면 6개월이 지난 장기 추적조사에서의 만족도는 약 66%로 보고되고 있고 만족도가 떨어지는 원인으로 보상성다한증에 의한 일상생활의 불편이 가장큰 요인이다. 대상 및 방법:연세대학교 영동세브란스 흉부외과에서 1992년부터 1998년 까지 783례의 다한증 수술환자중 T2 교감신경절단술 환자 89명(1군), T2 교감신경절제술 88명(2군), T2-4 교감신경절제술 138명(3군)을 대상으로 각각의 수술방법에 따라 보상상다한증의 발생 빈도와 정도을 비교하였다. 보상성다한증의 정도를 1, 없다(Absence); 2, 약간있다(Mild); 3, 눈으로 보일정도이나 생활에 지장이 없다(Embarrassing); 4, 생활에 불편할정도로 많으며 하루에 2-3번내의를 갈아입는다(Disabling)로 구분하였다. 결과: 모든 환자에서 증상이 소실되었으며 전체적인 보상성 다한증의 발생율은 1군이 64%, 2군이 73.8%, 3군이 87.8%였으며 Embarrassing 과 Disabling 의 경우 1군 15.7%, 2군 32.2%, 3군 58.0% 로 수술방법에 따른 보상성 다한증의 발생과 정도에 차이가 있었다(p<0.05) 결론: 이와 같은 결과로 보상성 다한증의 발생과 정도는 교감신경절제의 범위와 밀접한 연관이 있으며 보상성 다한증을 줄이고 장기 추적조사에서의 만족도를 증가 시키기 위해서는 T2 교감신경절제술 보다는 T2 교감신경절단술이 종 더 유용할 것으로 생각됩니다.

• 가정∙방문간호학회지
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• 제8권2호
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• pp.148-158
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• 2001

Purpose: This study is to investigate the attitudes on the Home Health Care among the physicians and nurses in P University. Method: Data were gathered from 71 physicians and 264 nurses. working at P University Hospital. from May 1 to May 15, 2001 and analyzed using descriptive statistics and Fisher exact test. Results: 1) As to the previous information about home health care program, those who have been familiar to it were 100% of physicians, and 99.6% of nurses, and 39% of the physicians and 66.1% of the nurses. were found to have responded with right answers, 2) As to the acceptance of the home health care program, 87% of physicians and 98.5% of nurses were found to be positive and there showed a significant difference(p= .019), 3) The main reasons for accepting the system were: the alleviation of the family burden of time, the maintenance of continuity of care, and the reasons for opposing the system were incomplete legal assurance. the possibility of providing illegal medical services. 4) The physician's intention rate of patient referrals to home care program reveled 49.2%. 5) According to the services related to Home Health Care. the orders of acceptance rates were medical tests related services (77.8%, 92%); therapeutic nursing interventions(69.0%, 88.2%): and services for medication(68.3%, 82.5%) among physicians and nurses. respectively. Conclusion: For the stabilization and successful implementation of home health care system. it should be accompanied with education for physicians about home care. setting specific laws and regulations for home care. legal assurance of home care business. outcome research for home care recipients. and support systems of hospital administration.

• 한국사회복지학
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• 제65권2호
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• pp.179-201
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• 2013

1960년대의 개발 연대 이후 1990년대 중반까지 우리나라의 복지체제는 개발국가형 복지체제로 특징지을 수 있는데, 연복지를 비롯한 숨겨진 복지국가의 영역은 그것을 구성하는 핵심적 요소의 하나였다. 그러나 한국의 개발국가형 복지체제는 1990년대 중반 이후 대내외적인 변화 상황에서 더 이상 순조롭게 작동하지 못하고 해체되었다. 본 연구는 개발국가형 복지체제의 해체를 연복지의 쇠퇴에 초점을 두고 살펴보았다. 분석결과에 따르면, 지난 20년간 가족 간 이전소득과 공적 이전소득은 각각의 소득이 경상소득 중 차지하는 비중에 있어서, 또한 빈곤을 완화하는데 기여하는 정도에 있어서 상당히 변화하였음을 확인할 수 있다. 즉, 국가복지는 지난 20년 동안 성장한 반면, 연복지는 지난 20년간 쇠퇴한 것이다. 한국 복지체제의 변화를 위해서는 국가복지의 확대와 그에 기초한 재분배라는 생활조직화 방식의 강화가 필요하지만, 동시에 열린 공동체와 그에 기초한 호혜라는 생활조직화 방식의 발전 또한 필수적이다. 그러나 호혜의 발전가능성은 개발국가형 복지체제에서 중요한 역할을 수행했던 연복지를 복원하는 방식을 통해서는 불가능하다. 본 연구는 세 가지의 원리에 기초하여 작동하는 사회적 경제, 혹은 제 3섹터의 발전이 열린 공동체에 기초한 호혜를 발전시키는데 필요하다고 보며, 협동조합이 그와 관련하여 중요한 대안이 될 수 있음에 주목한다.

• Korean Journal of Acupuncture
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• 제21권2호
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• pp.47-67
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• 2004

Objectives : In the present study, the effect of Scolopendrid Water-Alcohol Extract (SWAE) applied to acupuncture point BL23 (Shinsu) on the neuropathic pain was examined. A common source of persistent pain in humans is the neuropathic pain. Anti-convulsant drugs are used to treat the neuropathic pain. In the oriental medicine, Scolopendrid was used for long time to treat convulsant syndrome and back pain, etc. Methods : On the bases of the Scolopendrid clinical application, the effect of SWAE applied to the acupuncture point was tested in the rat model of neuropathic pain. Neuropathic pain was induced by tight ligation of L5 spinal nerve. When rats developed pain behaviors, One hundred microliter of SWAE was applied into the ipsilateral BL23 point at a dose of 10 mg/ml under enflurane anesthesia. The foot withdraw latency of the hind limb was measured for an indicator of pain level after each manipulation. Results : SWAE injection increased the mechanical threshold of the foot in the rat model of neuropathic pain significantly for the duration of 4h, suggesting a partial alleviation of pain. SWAE applied to BL23 point produced a significant improvement of mechanical sensitivity of the foot lasting for at least 4h. However, neither contralateral BL23 point, ST25 (Chonchu) point, nor LR3 (Taechung) point produce as much increase of mechanical sensitivity as ipsilateral BL23 point. And, this increase of mechanical sensitivity was dose-dependent. The improvement of mechanical threshold was interpreted as an analgesic effect. In addition, the analgesic effect of Scolopendrid 4 mg/kg injection is equivalent to that of gabapentin 50 mg/kg injection. The relations between SWAE-induced analgesia and endogenous nitric oxide(NO), inducible NO synthase (iNOS)/neuronal NO synthase (nNOS) were also examined. Results were turned out that both NO production and nNOS/iNOS protein expression which are increased by nerve injury were suppressed by SWAE injection applied to BL23 point. Conclusions : The data suggest 1) that SWAE produces a potent analgesic effect on the neuropathic pain model in the rat and 2) that SWAE-induced analgesia modulate endogenous NO through the suppression of nNOS/iNOS protein expression.

• 보건행정학회지
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• 제5권1호
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• pp.31-58
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• 1995

The Korean government achieved the universal coverage of health insurance in July 1989, and concomitantly introduced a new measure of regulated health care delivery system in using medical care. There are three reasons why the government took the new health care delivery system. Firstly, there was ample room for improving the allocative efficiency in the use of medical facilities. And the second one was to constrain the dramatic increase of medical demand under health insurance. Thirdly, and the most important reason was to alleviate the patient crowdedness in big general hospitals, particularly tertiary hospitals. There are essentially two different ways to control the use of health care : one is to cut the demand for health care, and the other to regulate behaviors of providers through the use of incentives/disincentives, demand-side approach or supply-side approach. The objective of this study is to examine whether or not medical care utilization behaviors under health insurance scheme have been changed among medical facilities such as clinic, hospital, general hospital and tertiary hospital in comparison with those before and after the introduction, particularly whether the patient crowdedness in tertiary hospitals has been alleviated or not. In order to conduct this study, the insurance claim data during the period of January 1989 and July 1992 were analyzed by focusing on diagnosis of both inpatients and outpatients, and especially the fifteen most frequent diseases in ambulatory care and the seven most frequent diseases in hospitalizatio. In addition, the same analyses were made on the changes in medical care utilization by specialty department. This was because the five departments, such as family medicine, ENT, eye, dermatology and rehabilitation, were exempted from applying the regulated health care delivery system in tertiary hospitals. The study revealed that a remarkable alleviation effect in the crowdness was noted for tertiary hospitals. This effect was most conspicuous for the most frequent mild diseases of both inpatient and outpatient care. For example, the fifteen most frequent OPD care at tertiary facilities have decreased as much as by 40%, of which 34% belonged to the cut in initial visits. Meanwhile, the proportion of those who used general hospitals and private practitioner's clinics have increased due to the shift of patients. The cases from the five special departments were also decreased, but not so much as other departments. A problem was noted that, as time passed by, the decreasing tendencies of crowdness at tertiary hospitals due to the regulated system became slightly smaller. Therefore, through complementary remedies are needed for the future implementation.

• 한국초지조사료학회지
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• 제13권1호
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• pp.31-37
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• 1993

수분장애조건에서 오차드그라스(cv. Potomac) 종자의 발아력을 향상시키기 위하여 Polyethylene glycol 6,000(PEG) 및 생장조절제(GA$_3$, Kinetin, NAA)를 종자에 전처리하여 0 bar와 -5 bar의 두 수분조건하에서 17일간 발아양상을 비교, 검토하였는데 그 결과는 다음과 같다. 1. 전처리를 하지 않은 종자는 수분 삼투압 -5bar 조건에서 대조구(0 bar)에 비해 총 발아율은 감소되었으며 평균발아 소요일수와 발아종료 일은 지연되었다. 2. 대조구에서 PEG 종자 전처리는 무처리에 비해 발아율에 영향을 미치지 못하였으나 평균발아소요일 수는 -10 bar와 -15 bar에서 각각 5일 및 7일 처리한 것이 효과가 있었다. 3. 수분삼투압 -5 bar 조건에서는 PEG 종자 전처리시 무처리에 비해 발아율이 향상되었고 평균발아 소요일수가 단축되었는데 특히, -10 bar에서 7일 전처리 했을 경우 무처리에 비해 발아율이 1.9배로 향상되었고, 평균발아 소요일수는 모든 PEG 처리구에서 5일과 7일 전처리한 것이 단축되었다. 4. 대조구에서 생장조절제의 전처리는 GA$_3$와 NAA 공히 발아율에 영향을 미치지 못하였으나 Kinetin은 농도가 증가할수록 발아율을 감소시켰다. 평균발아 소요일수는 NAA와 Kinetin 전처리시 효과가 없었으나, GA$_3$ 전처리시에는 모든 처리구에서 단축되었다. 5. 수분삼투압 -5 bar 조건에서는 각각의 생장조절제가 공히 발아율과 평균발아 소요일수에 있어서 무처리에 비해 유의차가 인정되었는데, Kinetin과 NAA는 농도가 증가할수록 발아율을 감소시켰고 반면, GA$_3$는 농도에 관계없이 무처리에 비해 발아율이 향상되었다. 평균발아 소요일수에 있어서도 Kinetin 과 NAA는 무처리보다 지연되는 경향이었으나 GA$_3$는 100 ppm 전처리시 무처리 대비 2.0일이 단축되었다. 6. PEG나 GA3의 종자 전처리는 수분장애 조건에서 공히 무처리에 비해 발아율이 향상되었고 평균발아 소요일수도 단축되어, 수분장애시 오차드그라스의 균일한 발아 유도와 발아속도를 개선하는데 효과가 있을 것으로 생각되나, 어떠한 처리에 있어서도 대조구의 무처리구 발아율(79.0%)을 능가하지 못하여 오차드그라스의 발아에 관한 수분장애 요소를 완전히 극복할 수는 없었다.

• 패션비즈니스
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• 제6권1호
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• pp.43-52
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• 2002

The purpose of this study was to present the plan for activation and rationalization of production of ladies' jacket and provide basic materials for improvement of the development of technologies in relation to the productivity improvement of ladies' jacket and the achievement of high quality product. For this purpose, this study attempted to investigate the present situation of jacket manufacturing process. The data is related with local ladies' jacket manufacturing companies in Seoul snd Kyonggi area. The results of this study are as follows. 1. 87.8% of the business firms responded that they acquired the productive process of jacket based on their own knowhow and 80.5% was aware of the need for the analysis of each process. The highest proportion of the business firms(65.9%) pointed out that the advantage of process analysis was the alleviation of the production time. 2. The jacket manufacturing process was made up of 4 stages such as the process of frontal/rear plate $\rightarrow$ the process of accessories $\rightarrow$ the process of completion $\rightarrow$ the process of finishing in a broad sense but composed of a total of 19 stages in detail. 3. Attachment of the sleeves(73.2), attachment of the collar(41.5%) and the formation of the overall silhouette(22.0%) were raised as the challenge in manufacturing ladies' jacket. 4. Most of the sewing business firms made use of the method of completing the collar and then stitching the outer material and the inner collar, and the line of the bodice and the outer collar as the method of stitching the tailored collar. and many of them used the method of completing the collar and then inserting it between the line of the bodice and the outer material and stitching it as the method of stitching the stand collar. They had a preference for the method of completing the sleeve and connecting it to the bodice as the method of stitching the sleeve. and used the method of treating the margin to seam of semi-lined and unlined jacket by treating it with the bias tape.

• 한국환경교육학회지:환경교육
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• 제4권1호
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• pp.89-211
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• 1993

The Korean government embarked upon ambitious economic development plans in the 1960's the goals of development policy at that time were the elimination of absolute poverty and the alleviation of unemployment. With scant natural resources, the government had to push for industrialization based upon borrowed foreign raw materials with surplus local labor. Preoccupation with the economic goals of industrialization and export expansion left little room for considering environmental protection. It is evident that Korea's exported industrialization strategy of the past three decades has been a success in terms of income, production, and other macroeconomic indicators, but it cannot be denied that a host of undesirable side-effects have been created. These include environmental problems. congestion in several large cities, poor wealth distribution, and regional disparities. The environmental problems were recognized even in the early stage of development, but preoccupation with the pending economic goals of industrialization and export expansion left little room for considering environment protection. The perceived and actual seriousness of the problems, however, has reached such a level that further negligence may imperil political stability and developmental problems facing the world arise from a world economic order characterized by ever expanding consumption and production, which exhausts and contaminates natural resources and creates and perpetuates gross inequalities between and within nations. It will be necessary to develop new culture and ethical values, transform economic structures, and reorient, our lifestyles. Changing lifestyles can not be promoted by government policy initiative alone but through self=generated educational efforts and mutual training by people themselves. The citizens group for environment (NGOs) should assume these educational and training responsibilities starting from grass-root level of people. It must be reawakened to the reality that the environmental preservation for better quality of life is based on the development of human relationships, creativity, spirituality, reverance for the natural world and celebration of life, and is not dependent upon increased consumption of non-basic material goods. To carry on such environment education social movements and NGOs should (1) provides educational methodologies, which focus on values clarification and moving beyond clarification and moving beyond blame to constructive action. (2) provide training for leaders of business and industry, government, union and others on consumption and production. (3) initiate and support the training and work of environmental counselor who encourage responsible consumption. (4) cooperative with media to initiate and strengthen educational programs on the social environmental programs on the social environmental impacts of consumption and production and to build awareness of consumer responsibility and potential. Economic and social development can be compatible with environment protection : both can be achieved simultaneously. Effective environmental management depends on the various factors : political will, institutional arrangements, appropriate legislation, and availability of the requistite financial and technological resources, which is possible with a strong public awareness of the importance of environmental preservation.

• 기본간호학회지
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• 제2권1호
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• pp.37-43
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• 1995

This study was conducted to compare the severity of cannulation pain in hemodialysis patients after topical application of EMLA cream and local injection of lidocaine and evaluated side effects and problems accompanied by the former. Twenty patients, who were on hemodialysis from September 1 to October 15, 1994 at the Kangnam St. Mary's Hospital, Catholic University Medical College, were divided into two groups of ten. To conduct a cross over study, two groups were placed on four repeated methods with lidocaine followed by four repeated methods with EMLA cream and vice versa, respectively, while the severity of cannulation pain was being measured according to a Visual Analogue Scale with each methods. The results are follows : 1) The scale of pain was recorded as $4.56{\pm}1.38$ and $2.05{\pm}1.36$ points for methods with lidocaine and EMLA cream, respectively, indicating the less severe pain with EMLA cream. 2) Local side effects such as itching(4 cases, 5.0%)and pallor (5 cases, 6.3%)were observed with methods with EMLA cream but disappeared before the completion of hemodialysis. 3) Problems associated with local lidocaine were pain at the injection of anesthetic (27cases, 16.9%)and fear for needle insertion(6 cases, 3.8%). The most frequent problems with EMLA cream application were an inconvenience in use (11 cases, 6.9%)and tedious long pretreatment time(11 cases, 6.9%), those associated with inconvenience in cream applying procedures. 4) Twelve out of twenty patients(60.0%) responded with yes to a continued use of EMLA cream in spite of problems with cream application and economical difficulties in purchasing. These results indicate that 5% EMLA cream used as a local anesthetic in hemodialysis significantly reduces cannulation pain and lacks side effects, thus serving as a suitable method for the alleviation of cannulation pain and inconvenience in hemodialysis and the relief of psychological stress of nurses.