• 제목/요약/키워드: Community space

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원주기독병원 응급실로 내원한 치과 응급환자에 관한 임상적 연구 (THE CHARACTERISTICS ON THE DENTAL EMERGENCY PATIENTS OF WONJU CHRISTIAN HOSPITAL FOR LAST 10 YEARS)

  • 문원규;정영수;이의웅;권호근;유재하
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권1호
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    • pp.34-42
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    • 2004
  • The appropriate care to the dental emergency patients is much important in the aspect of community dental service. To attain such a purpose, the sacred duty of the training of oral and maxillofacial surgeons is required. So, a retrospective study on the characteristics of dental injuries and diseases in emergency care unit will be very meaningful. This study was carried by reviewing the charts and radiographic films of 3,394 patients, treated for dental emergency at Wonju Christian Hospital, Republic of Korea, from January 1, 1993 to December 31, 2002. All patients were classified to 6 groups including trauma, toothache, infection, hemorrhage, TMJ disorder and the others. The clinical characteristics of diseases and treatment modalities according to each group were analyzed. The trauma (73.9%) was the most frequent cause in dental emergency patients, and acute toothache, odontogenic infection, oral hemorrhage, and TMJ disorder were next in order. Gender prediction was male (68%), there were many patients on May and December in the monthly frequency, and the most frequent age group was from 0 to 9 years. In the trauma group, male (68.6%) was predominant, and soft tissue injuries and primary closures were the most frequent type of injury and treatment. In jaw fractures, traffic accidents were the most cause and the weakest site was mandibular symphysis area, and mandibular angle, condyle, and body area were next in order. In the acute toothache group, the cause was dental pulpitis mostly and treatment for that was drug administration mainly. Buccal space abscess in infection group had the largest incidence (24.5%), and common treatments were incision and drainage and medications. In the hemorrhage group, a major cause was postoperative bleeding (60.3%) and hemostasis was obtained by pressure dressing, curettage and suture. For the TMJ disorder group, the peak incidence (63.8%) was shown in the post-traumatic myofascial pain dysfunction syndrome and its primary care was medication such as analgesics and sedatives. In the other group, the various specific symptoms were complained due to acute sialadenitis, trigeminal neuralgia, acute stomatitis, chemical burn, terminal stage neuritis of head and neck cancer, and foreign body aspiration. In conclusion, for the rapid and proper care of the emergency dental diseases, well-trained education should be presented to the intern and resident course of oral and maxillofacial surgery. And it is demanded that oral and maxillofacial surgeons must be prepared in knowledge and skill for such emergency care.

보건소장의 한방진료에 대한 태도와 관련 요인 분석 (A study on the current status of oriental medical care services in health centers and implications for its expansion)

  • 류규수;김문수
    • 보건교육건강증진학회지
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    • 제18권2호
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    • pp.157-168
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    • 2001
  • Currently the oriental medical care services in the health centers is getting popularity because of their unique aspects which western medicine can not cover. This study was conducted to speculate the current status of oriental medical care services in health centers and possibility of how to effectively provide the oriental medical care services(or traditional medical care services) in health centers. For the study, the survey questionnaires were distributed to all 269 health centers and 138(51.3%) of them were collected. Eight of the collected were inadequate for the analysis and 130 of 269 questionnaires were finally chosen for the study. The SPSS/PC WIN 8.0 was used for the statistical analysis. The results are as follows. First, 91 out of 130 sample health centers(70%) are providing oriental medical care services. The results show that the willingness of the directors and the public awareness in community are the most important factors to provide oriental medical care services in health centers. In contrast, the lack of cooperative efforts between western and oriental medical doctors and the lack of government supports are considered as factors that intervene the oriental medical care services in health centers. About 80% of the sample health centers respond that the government supports is needed for oriental medical care services in health centers. Second, it was asked to the directors of 39 health centers which do not provide oriental medical care services regarding their future plan to include the services. About 70% of health centers respond that no plan is available now. They acknowledge that the demand on the services is the most important factor to consider the oriental services as their future medical services. Third, 69.2% of the oriental medical doctors in health centers are public health doctor. 95.6% of the sample health centers have space for the oriental medical care services in their facilities and some health centers provide the services through the private clinics nearby facilities. Finally, the surveyors consider both budgetary constraints and difficulty in recruiting doctors as barriers for the effective oriental medical care services in health centers. Finally, t-test and LSD were employed to find out the difference among several groups. The analysis shows statistically significant difference among groups about their recognition on health care policy, health care system, and effectiveness of oriental medical care services. To be conclude, the study shows the necessity of oriental medical care services in health centers. To do so, the government supports, cooperative efforts between oriental and western medical doctors, and providing job security for doctors should proceed to provide effective oriental medical care services in health centers.

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상품으로서의 온라인 게임 세계와 역할 놀이자로서의 온라인 게임 소비자의 행동특성 (The Online Game World as a Product and the Behavioral Characteristics of Online Game Consumers as Role Player)

  • 황상민;김지연;임정화
    • 감성과학
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    • 제7권3호
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    • pp.37-50
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    • 2004
  • 본 연구에서는 현재 한국 사회에서 가장 대표적인 디지털 컨텐츠 제품으로 등장한 온라인 게임 중 물리적으로 유사한 특성을 지니고 있지만 전혀 다른 형태의 세계로 발전해간 두 개의 제품, 리니지와 에버퀘스트를 대상으로 소비자의 게임 인식과 소비 행위에 따라 게임의 성격이 어떻게 다르게 규정되고, 그리고 소비자의 행동 특성이 특정 제품의 성격을 어떻게 변화시키는지를 탐색하였다. 첫째로 각각의 게임에 대한 소비자의 인식의 차이를 알아보기 위해, 게임의 매력과 만족을 주는 주된 활동, 친구관계, 캐릭터의 선택과 육성의 측면에서 비교해 본 결과, 리니지 게이머들은 리니지 세계를 현실과 유사한 가치와 의미를 지닌 새로운 생활공간으로 인식하고 있는 반면, 에버퀘스트 게이머들은 에버퀘스트 세계를 게임 자치로서의 기능에 초점을 둔 환타지 세계로 인식하고 있었다. 또한 게임 인식에 따른 게임 소비 행동을 게임 속 공동체 활동과 연애와 같은 사적인 관계의 측면에서 비교해본 결과, 구체적인 게임 소비 행동에서 차이가 나는 것으로 나타났다. 이러한 결과는 온라인 게임과 같은 사이버 공간의 가상의 디지털 이미지 또는 컨텐츠 제품들의 경우, 소비자가 지닌 경험이나 가치에 따라 제품에 대한 인식이 달라질 수 있으며, 이런 인식의 차이는 각각의 소비자들이 동일한 제품도 다르게 소비할 수 있음을 시사한다. 즉 디지털 이미지 또는 컨텐츠 제품들의 가치와 의미는 소비자에 의해 결정된다는 것을 시사한다고 할 수 있다.

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Comparative Analysis of Spontaneous Infectious Spondylitis : Pyogenic versus Tuberculous

  • Lee, Yangwon;Kim, Bum-Joon;Kim, Se-Hoon;Lee, Seung-Hwan;Kim, Won-Hyung;Jin, Sung-Won
    • Journal of Korean Neurosurgical Society
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    • 제61권1호
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    • pp.81-88
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    • 2018
  • Objective : Spondylitis is often chemotherapy resistant and requires long-term treatment. Without adequate chemotherapy, the outcome can be fatal or result in severe neurologic damage. Therefore, differentiating the etiology of spondylitis is very important, particularly in spontaneous cases. As the prevalence of tuberculosis in Korea has decreased in recent years, updated clinical research about spondylitis is warranted. Methods : From April 2010 to March 2016, data from spondylitis patients were collected retrospectively. In total, 69 patients (51 with pyogenic spondylitis and 18 with tuberculous spondylitis) were included. Clinical data, laboratory findings including erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level, measurements of Cobb angles at the initial and final follow-up, and radiologic features on magnetic resonance imaging (MRI) scans were evaluated. To test differences between the pyogenic and tuberculous groups, numerical data were compared using the student's t-test and Mann-Whitney U test, and categorical data were compared using the chi-square test and Fisher's exact test. Results : The patients' mean age was 60.0 years. Male sex was slightly predominant (56.5%). There was no difference in mean age and sex between the two groups. The pyogenic group had a relatively higher proportion of immunocompromised patients. The peak CRP value was higher in the pyogenic group than in the tuberculous group (14.08 mg/dL and 8.50 mg/dL, respectively, p=0.009), whereas the ESR was not significantly different between the groups (81.5 mm/h and 75.6 mm/h, respectively, p=0.442). Radiologically, the presence of disc space sparing and vertebral body collapse differed between the groups. In the tuberculous group, the disc was more commonly preserved on contrast-enhanced MRI (50% and 23.5%, respectively, p=0.044), and vertebral body collapse was more common (66.6% and 15.7%, respectively, p<0.001). The mean length of hospitalization was longer in the pyogenic group (56.5 days and 41.2 days, respectively, p=0.001). Four mortality cases were observed only in the pyogenic group. The most commonly isolated microorganism in the pyogenic group was Staphylococcus aureus(S. aureus) (methicillin susceptible S. aureus and methicillin resistant S. aureus [MRSA] in 8 and 4 cases, respectively). Conclusion : The clinical and radiological manifestations of spontaneous spondylitis differ based on the causative organism. Pyogenic spondylitis patients tend to have a higher CRP level and a more severe clinical course, whereas tuberculous spondylitis patients present with destruction of the vertebral body with disc sparing more frequently. The presence of MRSA is increasing in community-acquired spondylitis cases.

한국 농촌마을의 옥외공간체계 변화에 관한 연구 - 취락구조 개선사업에 따른 주거환경의 변화 비교를 중심으로- (A Study on the Changes of Outdoor Space System in Korean Rural Villages - A Comparative Study of Changes in Residential Environment Accompanied by the Rural Village Improvement Projects -)

  • 엄붕훈
    • 한국조경학회지
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    • 제18권2호
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    • pp.31-44
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    • 1990
  • This study was carried out to investigate the changes of rural residential environmemts accompanied by the rural village improvement projects. The results of this study can be a guidoline for further betterment works of rural village envirnments. This sutdy is composed of the survey of two major parts, one Is the interview of the residents and the survey of existing conditions of residential environments, and the other is a questionnaire survey of the mental image, preference and satisfaction for each village residential environments. Based on preliminary investigation, five rural villages, located In Kyungsamgun., Kyungbuk province, were selected as sutdy sites. The major results are summarized as follows; 1. In socio-cultural enveronments, the ratio of compound and non - agricultural household are increased with the modernization of rural villages. On the ocher hand, the numbers of neighbor's association are considerably decreased. This means the traditional community of korean rural villages are diminishing. 2. In physical environments, the ratio of improved western type gouses are increased In modprnized villages. And the modernization is most remarkable in the palls of fences and gardens. 3. By the result of the analysis of residfnt's environmental image and preference, the image scores of urban, formal, mdoern, etc. are showed to be high. And the preference is also high in modernized villages. But in general, the Preference for the village environment is comparatively low in all villages. This means the improvememt work should be continuous and systematic. 4. By the result of stepwise regression analysis, the variables, affecting the preference of village environment. are regularity, familiarity, amount of greenery, beauty of surrounding scenery, convenience, cleanness, etc. The R2s of the perference models were 0.4486 ∼0.9395, Which are considered to be high. 5. In the satisfaction for each residences, the toilets are mostly dis - satisfying. With the modernization of vilelages, the needs for environmental quality by residents are increased. 6. In the satisfaction for village enveironments, the satisfaction level is most low in service facilities, such as public bath, barbershop. And the satisfaction for the scenic beauty, the amenity of surrondings, and the com munity of the traditional villages, are commparatively high in conventional villges. 7. The imporvement works, based on the characteristics of each rural villages, are recommended. And the tradition of Jung - ja tree spaces and harmony with surrounding landscape of traditional villages, must be conserved with good regards.

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지역주민 의식에 기초한 문화예술도시 구축방안 -2012 세계엑스포 개최지인 여수를 중심으로- (Establishing the Culture-art City based on Citizenship to their Community -Case fo Yeosu World Expo in 2012-)

  • 이준엽;최광환
    • 한국콘텐츠학회논문지
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    • 제11권6호
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    • pp.449-458
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    • 2011
  • 여수시는 2012년 여수세계엑스포의 개최 확정으로 문화도시로 자리바꿈할 큰 기회를 맞고 있으며, 여수시 또한 주요업무추진계획을 통하여 문화예술도시를 중심으로 한 국제해양관광 레저도시 건설을 천명하고 있다. 따라서 본 연구는 여수시의 지역주민의 의식에 기초하여 여수시의 현재 문화 상황을 조명하고 여수시 지역주민이 인식하는 문화도시와 문화도시 구축방안을 도출하고자 수행되었다. 분석결과 첫째, 여수지역의 문화예술에 불만족하고 있는 것으로 나타나 여수시민에게 다양한 문화예술공간을 제공할 수 있는 시설을 확보하고 강화하는 것이 필요하다고 판단된다. 둘째, 여수시의 문화예술행정에 대해 불만족하고 있는 것으로 나타나 성공적인 문화예술도시 추진과 세계엑스포의 성공적 개최를 위해 지역주민이 참여하고 호응할 수 있는 행정을 진행해야 할 것으로 판단된다. 셋째, 여수시의 문화예술도시의 추진방향은 2012 세계엑스포 진행과정과 세계 엑스포 이후 설립된 시설에 대하여 소규모의 문화예술행사를 수행할 수 있는 공간의 확충과 손쉬운 임대와 대관의 전략수립이 필요하다. 또한 여수지역의 문화예술인에게 창작과 예술 활동과 여수시민의 문화예술에 대한 참여의 기회를 확대하는 것이 필요하다고 분석된다.

콩군낙(群落)의 열수지특성(熱收支特性)과 건물(乾物)로의 물이용효율(利用效率) (Heat Balance Characteristics and Water Use Efficiency of Soybean Community)

  • 이양수;임정남
    • 한국토양비료학회지
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    • 제23권2호
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    • pp.94-99
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    • 1990
  • 콩군낙(群落)(팔달(八達)콩 ; 재식밀도(栽植密度) $45{\times}10cm$)에서의 열수지성분(熱收支成分) 변화(變化)를 계절별(季節別)로 관측(觀測)하고 열수지법(熱收支法)으로 증발산량(蒸發散量)을 계산(計算)하여 건물생산량(乾物生産量)과의 관계(關係)를 구한 결과(結果)는 다음과 같다. 1. 맑은날의 전단파복사량(全短波輻射量)에 대한 순복사량(純輻射量)의 비율(比率)은 59~76%로 흐린날의 63~83%보다 낮았다. 2. 순복사량(純輻射量)에 대한 잠열전달량(潛熱傳達量)의 비율(比率)은 흐린날에 100%를 넘는 경우가 있어 때때로 이류(移流)에 의한 열복사(熱輻射)의 수평전도(水平傳導)가 있었다. 3. 1시간(時間)마다 적산(積算)한 일적산순복사량(日積算純輻射量)(Rn)과 증발잠열(蒸發潛熱)($LE_{(+)}$) 및 화간순복사량(畵間純輻射量)($Rn_{(+)}$)과 증발잠열(蒸發潛熱)과의 관계(關係)는 각각(各各) 다음과 같은 직선관계(直線關係)가 성립(成立)하였다. $$LE_{(+)}=0.971\;Rn+1.122\;R^2=0.9017$$ $$LE_{(+)}=0.882\;Rn_{(+)}+1.945\;R^2=0.8836$$ 4. 열수지계산(熱收支計算)에 의한 군낙증발산량(群落蒸發散量)(ETa)과 대형(大型) pan 증발량(蒸發量)(Epan)과의 관계(關係)는 다음과 같았다. ETa = 1.049 Epan + 1.657 $$R^2=0.6589$$ 5. 생육초기(生育初期)를 제외(除外)한 생육기간중(生育期間中) 건물(乾物)로의 물이용효율(利用效率)은 $2.31g{\cdot}DM{\cdot}kg^{-1}\;H_2O$이었으며, 평균일증발산량(平均日蒸發散量)은 5.29mm, 일사량중(日射量中) 군낙(群落)의 증발산(蒸發散)으로 소비(消費)된 열량(熱量)의 비율(比率)은 85%이었다.

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다문화사회와 지구.지방적 시민성: 일본의 다문화공생 개념과 관련하여 (Multiculturalism and Glocal Citizenship: In Reference to Japanese Concept of 'Multicultural Coexistence')

  • 최병두
    • 한국지역지리학회지
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    • 제17권2호
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    • pp.181-203
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    • 2011
  • 다문화사회로의 전환은 국민국가에 근거한 국가적 시민성의 개념에서 벗어나 새로운 시민성에 관한 논의를 요구하고 있다. 시민성은 개인이나 공동체 간의 관련성으로 정의되며, 또한 정체성의 개념과 상호 관련적인 것으로 이해된다. 뿐만 아니라 시민성의 개념에는 다양한 공간적 요소들, 즉 위치/이동, 장소 및 공적/사적 공간, 경계/영토, 흐름/네트워크, 층위/규모 등이 포함되어 있으며, 특히 지방적, 국가적, 지구적 층위의 다규모성을 내재하고 있다. 다문화 사회로 전환하고 있는 일본에서도 시민성에 관한 논의가 새롭게 전개되고 있다. 특히 외국인 이주자의 국가-영토적 시민성을 철저히 통제하고자 하는 중앙정부와는 달리, 지역사회 생활공간에서 이들의 복지서비스 지원과 권리 보장을 담당하는 지방정부와 지역사회단체들의 역할을 강조하기 위하여 국지적 시민성의 개념이 강조되고 있다. 그러나 이 개념은 국지적 시민성을 실질적인 것으로 간주하고 국가적 형식적 시민성 및 지구적 보편적 시민성으로부터 분리시키는 문제를 안고 있다. 이 문제의 해소를 위해, 지방적, 국가적, 지구적 시민성이 상호관련적으로 연계된 다규모적 지구 지방적 시민성의 개념을 제시한다. 지구 지방적 시민성의 개념은 학문적으로 보편성과 특수성을 변증법적으로 포용하는 세계시민주의의 새로운 견해를 가능하게 하며, 또한 현실적으로 일본의 다문화공생 정책과 담론 그리고 국지적 시민성에 관한 논의에 내재된 문제들을 해소하기 위한 방안이 될 수 있다.

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영양 서석지원(瑞石池園)의 경관요소를 통한 외원 규모 추정 및 프랙탈 구조(Fractal Structure) (Scale Estimation of External Garden by Landscape Components and Fractal Structure in Seoseokjiwon(瑞石池園))

  • 길승호;양병이
    • 한국조경학회지
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    • 제41권5호
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    • pp.57-67
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    • 2013
  • 지금까지 별서정원과 관련된 연구들은 고문서 및 현장조사를 통한 통시적인 접근을 많이 해왔다. 전통조경공간의 상징성, 입지 특성 등 그 공간에 내재된 특성에 초점을 둔 연구들이 많았다. 하지만, 입지 특성 중 내원, 외원, 영향권에 대한 특성은 많았으나, 외원 규모에 대한 정량적 연구는 미진하였다. 사생활권역인 내원과 달리 공동생활권역으로서의 역할인 외원에 대하여 정량적인 분석을 하기 위해 서석지원를 대상으로 실시하였다. 서석지원를 대상으로 기존 문헌들과 GIS 프로그램을 통해 가시권 분석을 실시하였으며, 외원 규모를 추정하였다. 선행연구와 일부 차이가 있었지만, 부용봉과 입암 중심으로 확인해본 결과, 거의 유사한 면적으로 나타났다. 또한, 추정된 외원 규모를 통해 서석지원의 다양한 상징성에 대한 프랙탈 차원을 분석해본 결과, 주요 경관요소에서 프랙탈 차원이 상대적으로 집중화되는 경향을 알 수 있었다. 특히, 주요 경관요소는 청기천을 제외하고, 일반 자연경관(논, 밭 등)에 비해 상대적으로 높은 수치 및 넓은 범위의 프랙탈 차원을 가지고 있었다. 이를 통해 외원규모가 그동안 별서정원의 형태 중 내원에 대한 문화재 보호에서 벗어나, 외원에 대한 문화재 보호수단을 위한 기초자료로 활용될 수 있을 것으로 기대한다. 또한, 이번 연구가 경관분석 요소 중 하나로서 프랙탈 구조 개념을 도입하여 주요 경관요소에 대한 시각적 복잡성에 대해 고려하였지만, 각 경관요소에 대하여 시문학과 더불어 좀 더 융합적인 사고의 결과물에 대한 연구가 필요할 것으로 기대한다.

한국(韓國) 공동주택(共同住宅) 변천(變遷)에 관(關)한 고찰(考察) - 근대기(近代期) 아파트의 정착과정(定着過程)을 중심으로 - (A Study on the Alteration of the Collective Housing- in Modern Times, Korea - Focused on the Settled Process of Apartment Housing -)

  • 정순영;윤인석
    • 건축역사연구
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    • 제11권2호
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    • pp.37-56
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    • 2002
  • The purpose of this study is to examine the changing process of the collective housing in Korea; focusing on the alteration process of the apartment housing, which became a representative housing type in Korea, nowadays. The alteration process of the apartment housing in Korea can be divided into three stages: the introduction stage, the trial stage and the settled stage. The introduction stage is the period between 1920, when the collective-housing buildings were constructed in Korea for the first time, and the Liberation of Korea(1945). The trial stage is the period between 1945 and 1975. During this period, common housing has been constructed. And the massive apartment buildings were started to be supplied after 1975. The settled stage is the period between 1975 and the present. The main scope of this study will be the introduction and trial stages, since a lot of in-depth studies have been executed on the settled stage. The history of the collective housing of Korea starts with City Housing of Seoul, in 1921. It is guessed that this housing was to be small-sized and row-housing type. The first-built, apartment-type building, in Korea, was Mikuni Apartment House, which was constructed as a boarding room of Mikuni Company. In the introduction stage, apartment buildings were built by Japanese architects, with Japanese housing style. Most of them were planned in dormitory type, and some of them were run as tenant houses. Most of them were constructed by bricks, but sometimes by timbers. Tadami was laid in every room and inside-corridor was located in the middle of the house. Although the major style of the apartment buildings was Japanese, the Korean dwellers of those apartments has been influencing the housing type of them. In the trial stage, apartment housing has been experienced in diverse ways. With the development of building technology, floor heating system was settled in apartment housing. This improved the amenities of apartment dwelling remarkably. Although some heterogeneous characteristics still remained in the apartments of Korea, in terms of housing style, the housing style of apartments has been changed into own style of Korea, in accordance with Korean people's life style. The results of this study give us some good implications regarding contemporary housing plan: First, if the unit size of a collective housing is small, the more space could be available for community activities. Second, when planning of collective housing, more concerns should be payed on surroundings. Third, more attention should be payed about low-rise apartment housing, and more land-friendly planning would be required.

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