• 한국도서관정보학회지
• /
• 제46권2호
• /
• pp.337-366
• /
• 2015

본 연구는 사회 전반적으로 국내 거주 외국인 등의 사회적응 및 통합프로그램이 부족하다는 사실과 동일 지역 내 다문화 서비스 중복이 발생한다는 사실이 상충되고 있음에 시작되었다. 본 연구에서는 문헌연구와 전문가 인터뷰를 실시하여, 우리나라 다문화정책의 현황과 문제점을 도출하고, 이를 통해 세 단계로 세분화된 다문화정책 수립 과정을 제시하였다. 첫 번째 단계는 다문화정책을 수립하는 장을 단일화하여, 관련된 부처 기능을 강조하는 동시에, 부처 간의 협력을 이끌어 내는 것이며, 두 번째 단계에서는 지리적 행정적 환경을 고려한 특정 지역 단위의 다문화기관 연계망 구축을 제안하였다. 세 번째 단계에서는 개별 기관들의 활동에 초점을 두어, 관종별 도서관, 학교, 다문화지원센터, 사회복지기관, 체력증진센터, 주민센터, 문화시설 등 관련기관들의 협력을 도출하였으며, 부가적으로 시민단체의 역할을 강조하였다. 또한 본 연구에서는 문화 정책 방향성과 모형화를 위한 도서관계의 구체적인 노력으로 다문화프로그램 운영에 필요한 정보 공유의 장인 메타 플랫폼을 제안하였으며, 다문화정책 수립 시 고려해야 할 사항들도 제시하였다. 결과적으로 본 연구를 통해 다문화정책의 모형을 구축하고 세분화하여, 다문화주의의 통합에 도달하는 단계를 구체화하였으며, 다문화정책 수립 시 고려되어야 할 인구학적 지리학적 특성 등을 제시하였다.

• 재활간호학회지
• /
• 제1권1호
• /
• pp.61-71
• /
• 1998

Defining prediction variables related to metamemory for the adults in aging process has worthwhile meaning from the perspective that the produced results can be helpful to reducing the difficulty of memorizing efforts and it can also enhance quality of life of aged. This study attempted to analysis relationship between perceived health status, depression, memory self-efficacy and meta memory for the subjects of middle age and old age adults. This study was designed by adopting descriptive correlational analysis method for the 468 middle and old age adults who are living in Seoul. Samples were selected by convenience sampling. Data collection was done over 1 month period in june 1998. The instruments used in this study were health status measuring scale including depression measuring scale, memory self efficacy measuring scale and metamemory measuring scale which were verified for reliability. Data collected were analized by using SPSS for frequency, Peason correlation, t-test and ANOVA according to the variables character and the study purposes. Results of the study were as follows. 1. Relationship between perceived health status, depression, memory self-efficacy and metamemory. Relational analyses between perceived health status, depression, memory self-efficacy and metamemory supported the hypotheses of 1st, 2nd and 3rd(p < .01). These results suggested that the aged perceived great health status then their memory self-efficacy, and metamemory showed the high scores. In the case of depression when its level became decreased metamemory was inclined to increased. Thus, it is identified that strong relationship exists between these variables. 2. Perceived health status, depression, memory self-efficacy by subject's general characteristics. Scores of perceived health status were high in the group of man compared to the group of women, and also highly educated group showed great perceived health status. Group of persons having occupation showed high score of perceived health status and low depression score. The score of memory self-efficacy and metamemory showed higher in the middle aged than the old aged. The high scores of memory self-efficacy and metamemory were found in the group of highly educated people and who have continuing education. The high scores of memory self-efficacy were found in the group of persons having their job and high metamemory scores found in the group of persons having religion. In summary, the greater perceived health status and memory self-efficacy, the more metamemory scores were likely increased and the more depression level was decreased, the more metamemory was likely increased. Also it was found that general characteristics like educational level, continuing education and religion influenced the metamemory of the aged. Therefore, prevention the aged from getting depression and activation of health promotion are needed to delay time of memory loss.

• Tuberculosis and Respiratory Diseases
• /
• 제43권6호
• /
• pp.903-915
• /
• 1996

Background: Combination chemotherapy is now considered to be the cornerstone of small cell lung cancer (SCLC). management but the optimal management of limited SCLC is not well defined. The role of thoracic radiotherapy (TRT) is less well established. Recent meta-analyses reports revealed that TRT combined with chemotherapy produce "good" local control and prolonged survival. But other reports that survival was not changed. The liming, dose, volume and fractionation for TRT with the combined chemotherapy of SCLC remains unsettled. In this study, we analyzed the effects according to the timing of thoracic radiotherapy in limited SCLC. Method: All fifty one patients received cytoxan, adriamycin and vincristine(CAV) alternating with etoposide and cisplatin(VPP) every 3 weeks for 6 cycles were randomized prospectively into two groups: concurrent and sequential. 27 patients received 4500cGy in 30 fractions(twice daily 150cGy fractional dose) over 3 weeks 10 the primary site concurrent with the first cycle of VPP(concurrent gorup). 24 patients received 4000 to 5000cGy over 5 or 6 weeks after completion of sixth cycles of chemotherapy(sequential group). Results: 1. Response rates and response duration : Response rates were not significantly different between two groups(p=0.13). But response duration was superior in the concurrent group(p=0.03). 2. Survival duration was nor different between two groups(p=0.33). 3. Local control rate was superior in the concurrent group(p=0.00). 4. Side effects and toxicities: Hematologic toxicities, especially leukopenia, infection and frequency of radiation esophagitis were higher in the concurrent group (p=0.00, 0.03, 0.03). Conclusion: The concurrent use of TRT with chemotherapy failed to improve the survival of limited stage SCLC patients compared with the sequential use of TRT but response duration and local control rate were superior in the concurrent group. Frequency of radiation esophagitis, life threatening hematologic toxicities and infection were more frequent in the concurrent group than sequential group. So, the selection of an optimal schedule of chemotherapy combined with TRT that would lead to a major increase in survival with minimal toxicity is remained to be validated in large scale study in the future.

• 대한지하수환경학회지
• /
• 제7권3호
• /
• pp.116-124
• /
• 2000

본 연구에서는 남한에 분포하는 23개의 약수지역을 대상으로 탄산수의 수질 특성과 탄소의 기원을 연구하기 위하여 용존 이온 및 동위원소 분석연구를 수행하였다. 지질 특성별로 분류.비교된 국내 탄산수는 대체로 Ca-HC $O_3$형에 속하며 pH는 5.3~6.3의 범위이다. 탄산수내 대부분은 양이온과 음이온의 농도가 각각 $Ca^{2＋}$>$Na^{＋}$>M $g^{2＋}$>S $i^{4+}$>F $e^{2＋}$> $K^{＋}$ 와 HC $O_3$$^{－}$>S $O_4$$^{2－}$ >C $l^{－}$의 순이다. 탄산수의 수질 유형은 대체로 Ca-HC $O_3$형에 해당되나 지역별로 다소 차이가 나타나 강원 지역의 선캄브리아기 변성암류 및 쥬라기 화강암지역(GI)의 탄산수는 Ca-HC $O_3$형이 우세하나 전형적인 Na-HC $O_3$형을 보여주는 경우도 있다. 경상 퇴적분지내의 중생대 퇴적암 및 화강암류 지역(GII)의 탄산수는 Ca-HC $O_3$형 내지 Ca(-Mg)-HC $O_3$형이 우세하다. 옥천 변성퇴적암류 및 화강암류 지역(GIII)의 탄산수는 Ca-HC $O_3$내지 Ca(-Na)-HC $O_3$형을 보여준다. 산소 및 수소 동위원소 분석 결과, 탄산수의 기원은 탄산수 지역 부근의 순환수 기원이며 지형 특성에 따라 동위원소 고도 효과 및 위도 효과를 반영하고 있다. 탄산수의 탄산이온의 탄소의 $\delta$$^{13}$C(PDB)값은 -6.2~0.0$\textperthousand$범위이며, 그 기원은 대수층인 지층내 탄산염암 또는 탄산염 광물의 용해에서 유래한 무기기원 탄소로 해석된다.다.

• 대한예방한의학회지
• /
• 제23권2호
• /
• pp.67-76
• /
• 2019

Objectives : The publication of systematic reviews (SRs) has increased significantly over the years, and systematic reviews are considered to have the strongest evidence as they are at the top of the hierarchy of evidence pyramid. In this study, a thorough assessment of all SRs published in Journal of Society of Preventive Korean Medicine (JSPKM) was performed to evaluate their reporting quality and methodological quality to better improve the quality of SRs in JSPKM. Methods : JSPKM website was searched to include all SRs published in JSPKM from 1997 to 2018. Two independent researchers assessed the SRs using A MeaSurement Tool to Assess systematic Reviews (AMSTAR, formerly known as Assessment of Multiple Systematic Reviews) tool checklist for methodological quality assessment, and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline checklist for reporting quality assessment. Results : Out of 618 published articles published in JSPKM from 1997 to 2018, only 3 SRs were identified as SRs. For AMSTAR methodological quality scoring, the average score of 3 SRs was 3.0 out of 11 which is low quality level. For PRISMA reporting quality items, the 3 SRs reported 17.3 items on average out of 27 items. The 3 identified SRs did not provide information on protocol or registration which is included in both AMSTAR assessment tool and PRISMA guideline. Conclusions : Improvements on reporting quality and methodological quality of SRs using relevant tools or guidelines are needed to assure the quality of SRs published in JSPKM so that their conclusions will be more transparent and reliable for decision-making in healthcare and the best clinical practice.

• 한방재활의학과학회지
• /
• 제32권3호
• /
• pp.13-27
• /
• 2022

Objectives This study investigated the trends in domestic and international clinical research in craniosacral therapy, classified as a type of Chuna manual therapy, and suggested further directions in Korean medicine. Methods This scoping review was performed using the Arksey and O'Malley methodological framework and preferred reporting items as per the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist. Eight electronic databases (PubMed, EMBASE, Cochrane Library, Koreanstudies Information Service System [KISS], KMBASE, Oriental Medicine Advanced Searching Integrated System [OASIS], Research Information Sharing Service [RISS], ScienceON) were searched to identify articles with the search terms "craniosacral therapy" and "cranial osteopathy" until December 2021. Results Forty-five studies were eligible as per our inclusion criteria. Most research studies (n=44) were conducted in the field of medicine and pharmacy, especially in rehabilitation medicine (n=16). As a result of the study design, randomized controlled trials (n=20) were the most common, and chronic pain (n=9) was the most frequently targeted disease, followed by headache (n=7). Thirty-two studies suggested interventions and 20 studies used Upledger's 10-step protocol. The average duration of craniosacral therapy was 41 min per session, administered 1.4 times per week. Outcome measurements were analyzed and categorized with the examination procedure for the patient. Conclusions This is the first scoping review of craniosacral therapy in Korea, and we believe that our findings could support its utility as Chuna. In the future, more studies should be conducted to establish the evidence of clinical efficacy of craniosacral therapy and develop standard techniques in Korean medicine.

• Animal Bioscience
• /
• 제35권11호
• /
• pp.1808-1816
• /
• 2022

Objective: The study of Hanwoo (Korean native cattle) has mainly been focused on meat quality and productivity. Recently the field of microbiome research has increased dramatically. However, the information on the microbiome in Hanwoo is still insufficient, especially relationship between vagina and feces. Therefore, the purpose of this study is to examine the microbial community characteristics by analyzing the 16S rRNA sequencing data of Hanwoo vagina and feces, as well as to confirm the difference and correlation between vaginal and fecal microorganisms. As a result, the goal is to investigate if fecal microbiome can be used to predict vaginal microbiome. Methods: A total of 31 clinically healthy Hanwoo that delivered healthy calves more than once in Cheongju, South Korea were enrolled in this study. During the breeding season, we collected vaginal and fecal samples and sequenced the microbial 16S rRNA genes V3-V4 hypervariable regions from microbial DNA of samples. Results: The results revealed that the phylum-level microorganisms with the largest relative distribution were Firmicutes, Actinobacteria, Bacteroidetes, and Proteobacteria in the vagina, and Firmicutes, Bacteroidetes, and Spirochaetes in the feces, respectively. In the analysis of alpha, beta diversity, and effect size measurements (LefSe), the results showed significant differences between the vaginal and fecal samples. We also identified the function of these differentially abundant microorganisms by functional annotation analyses. But there is no significant correlation between vaginal and fecal microbiome. Conclusion: There is a significant difference between vaginal and fecal microbiome, but no significant correlation. Therefore, it is difficult to interrelate vaginal microbiome as fecal microbiome in Hanwoo. In a further study, it will be necessary to identify the genetic relationship of the entire microorganism between vagina and feces through the whole metagenome sequencing analysis and meta-transcriptome analysis to figure out their relationship.

• 대한조현병학회지
• /
• 제21권2호
• /
• pp.43-50
• /
• 2018

Objectives : Genome-wide association studies (GWASs) and meta-analyses indicate that single-nucleotide polymorphisms (SNPs) in the a-1C subunit of the L-type voltage-dependent calcium channel (CACNA1C) gene increase the risk for schizophrenia and bipolar disorders (BDs). We investigated the association between the genetic variants on CACNA1C and schizophrenia and/or BDs in the Korean population. Methods : A total of 582 patients with schizophrenia, 336 patients with BDs consisting of 179 bipolar I disorder (BD-I) and 157 bipolar II disorder (BD-II), and 502 healthy controls were recruited. Based on previous results from other populations, three SNPs (rs10848635, rs1006737, and rs4765905) were selected and genotype-wise association was evaluated using logistic regression analysis under additive, dominant and recessive genetic models. Results : rs10848635 showed a significant association with schizophrenia (p=0.010), the combined schizophrenia and BD group (p=0.018), and the combined schizophrenia and BD-I group (p=0.011). The best fit model was dominant model for all of these phenotypes. The association remained significant after correction for multiple testing in schizophrenia and the combined schizophrenia and BD-I group. Conclusion : We identified a possible role of CACNA1C in the common susceptibility of schizophrenia and BD-I. However no association trend was observed for BD-II. Further efforts are needed to identify a specific phenotype associated with this gene crossing the current diagnostic categories.

• 한국학교ㆍ지역보건교육학회지
• /
• 제24권4호
• /
• pp.39-50
• /
• 2023

Objectives: This study aimed to provide a scoping review of the impact of COVID-19 on people with disabilities. Methods: PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) Group's key questions (PICO) for systematic reviews, a literature search was conducted from January 1, 2020 to June 30, 2023 using the "AND" search formula. The databases used were Korea DB: RISS, SCIENCEON, and KoreaMed, and International DB: PubMed, CINAHL, and Embase. Results: Among a total of 22 selected articles, 4 studies were published in korea journals: 3 were survey studies (75.0%), 1 was an analysis study (25.0%), and 18 studies were published in international journals. Through a literature review, we confirmed the differences in difficulties between PwD (People with Disability) and PwoD (People without Disability) in the COVID-19 situation, differences by disability type, and post-COVID-19 impact. In order to examine this systematically and objectively, the results were examined by dividing them, which are components based on the International Classification of Functioning, Disability and Health (ICF). Conclusion: In order to respond well to crises and establish effective health policies in similar pandemic situations in the future, understanding and exploration of more diverse types and areas of disability are necessary. In addition, the development and application of appropriate health education and health promotion programs for disability type and ICF component area are required. In addition, it is necessary to develop and apply appropriate health education and health promotion programs tailored to the type of disability and ICF component area.