• 기독교교육논총
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• 제63권
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• pp.13-37
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• 2020

중국 우한에서 발생한 코로나바이러스(COVID-19)의 전파력과 치사율에 주목한 WHO는 글로벌 비상사태를 선언했으나, 효과적인 치료제를 확보하지 못한 채 상황이 악화되자 팬데믹으로 상향 조정했다. 사회적 거리두기와 자가 격리 및 여행 제한에 따른 경제위기 때문에 자유무역 중심 세계 경제체제 붕괴와 세계화의 퇴조가 거론되고 있다. 팬데믹에 제대로 대처하지 못한 정치리더십이 도전받고, 사회는 비접촉과 부동성 문화로 급속히 전환 중이다. 교육 분야에서는 탈학교화라는 개념이 디지털 매체를 통해 물리적 공간에서 현실화하고 있다. 교회교육 역시 심각한 위기에 처했다. COVID-19 팬데믹 상황에서 교회들은 팬데믹에 관한 신앙 및 신한적 성찰, 온라인 예배와 체계적인 신앙교육, 그리고 비대면 중심의 목회까지 포괄하는 이른바 뉴노멀을 기대하고 있다. 포스트 코로나 시대에 교회교육은 급변하는 주변 상황에 부응해서 적극적으로 대안을 모색하면서 의미 있는 기독교적 가치에 초점을 맞춘 교육신학을 새롭게 재구성해야 한다. 아울러서 오프라인과 온라인을 결합한 모바일(또는 온라인) 교회학교를 운영하는 한편, 비대면과 면대면 학습을 혼용하는 학습방식(Blended Learning)을 도입하고, 교회학교와 홈스쿨링을 결합해서 교회와 가정이 교육의 책임을 분담할 필요가 있다.

• 대한간호학회지
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• 제6권1호
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• pp.72-79
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• 1976

Contemper nursing literature place much importance on human- centered and individualized care. Nursing research has related stress during hospitalization of adolescent patients to adaptation to a new environment, isolation from friends, limitation due to illness, over protection of parents and communication with member of the medical team. The investigator conducted this study in the hope that an understanding of adolescents responses to hospitalization, their perceptions, the kinds and levels of stress, and the relationships between stressors and individual characteristics would contribute to the improvement of adolescent patient care. The objective of the study was to obtain informations related to the adolescents psychological stress experience during hospitalization, specifically stress from interpersonal relationships and communication, isolation from the family, social or economic problems, illness and from the treatment environment and nursing care. An interview schedule adopted from Holmes and Rahe's Social Readjustment Rating Scale and selected items from Voicer's instrument on stress-producing events was used with 120 adolescent inpatients aged 13 to 18 years three general hospitals in Seoul during Aug. 10, to Sep. 30, 1975. 1. The sample consisted of 66 male and 54 female patients. Sixty-six percent were late adolescents, aged 16 to 18 years: 4% were early adolescents, aged 13 to 15 years. The primary cause for hospitalization was for orthopedic problems (35.8%). More than half of these (54.4%) were due to injury or accident. 2. Stress eclated to illness revealed the highest score (4.97), followed by stress related to treatment environment and nursing care (4.34) , isolation from family and social or economic problems (4.01) and interpersonal relationships and communication (3.96). 3. The perceived indifference of doctors and nurses was a serious cause of stress (mean=4.83). Fellow patients and visitors caused least stress (mean=2.06). 4. Discontinuation of education or unemployment were major stressful events (mean=4.71). Least stressful was isolation from the family (mean=3.47). 5. More than 94% of the respondents expressed fears related to body image (mean=4.97) 6. Within the category of treatment environment and nursing care, items related to restrictions because of treatment, discomfort because of treatment, inadequate explanation from nurses about procedures were rated as severe stress events (mean=4.6). Items related to the ward environment and to having a relative stay with them were seen by the group as less serious events (mean=3.7). 7. Stress related to interpersonal relationships and communication was correlated positively with female patients and those preferring passive activities. (P〈0.05) 8. Stress related to family problems was positively related to female and early adolescent patients (P< 0.05). Stress related to social problems was positively , elated to students and those preferring active pursuits (P< 0.05). 9. There were no correlation between the high stress related to disease and any of the characteristic items. (P> 0.05) 10. Stress related to treatment environment and nursing care was positively related of early adolescent and female and student patients. (P< 0.05) This group of hospitalized adolescents reported high level of stress related to treatment environment and nursing care, due to lack of consideration of normal growth and development and individual characteristics. The findings have important implications for the planning of effective, individualized, comprehensive nursing care of adolescents during hospitalization.

• 디지털융복합연구
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• 제18권11호
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• pp.595-605
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• 2020

본 연구는 여성 결혼이민자의 한국문화에 관한 적응과정과 스트레스 경험이 무엇인지를 알아보고 그에 대처하는 삶의 경험과 의미를 탐색하기 위한 질적연구이다. 참여자는 인천시 ◯◯구에 소재하는 건강가정·다문화가족지원센터를 이용하는 결혼생활 5년 이상된 여성 결혼이민자 5명을 대상으로 개별 심층인터뷰를 통해 자료를 수집하였다. Braun & Clarke의 주제 분석기법 6단계를 활용하여 중점주제 3개, 하위주제 13개가 도출되었다. 연구 결과 첫째, 여성 결혼이민자가 한국생활에서 경험한 문화차이(일상생활문화, 전통성, 가족관계) 둘째, 여성 결혼이민자의 경험한 문화적응과정(어려움과 두려움-문화차이 이해-극복노력) 셋째, 여성 결혼이민자의 경험을 통한 문화적응이란 모국과 한국문화에서의 생활방식 차이를 알고 한국 사람들과 함께 생활하려는 방법을 스스로 찾아 실천함으로써 한국의 생활방식이 자연스럽고 익숙해짐으로 나타났다. 연구결과를 기반으로 여성 결혼이민자의 성공적인 문화적응을 위한 실천적 개입방안을 제시하였다.

• 대한간호
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• 제36권2호
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• pp.73-83
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• 1997

Bed rest is recommended to prevent postlumbar puncture headaches(PLPHA), but the period of bed rest varies in the literature from 6 hours to 24 hours. In clinical practice the period of bed rest varies but nursing methods for adults and children have little difference. In Seoul National University Hospital, children have been given at least 6 hours bed rest after a lumbar puncture. Pediatric oncology patients require a lumbar puncture for an initial diagnosis, follow up treatment or administration of chemotherapeutic agent. But it is difficult for young children to lie supine or to refrain from their usual activities in any way, and unpleasant problems related to a shortage of beds often occurs during discharge or in an outpatient setting. The purpose of this study is to substantiate the preventive effect of PLPHA by the period of bed rest, to identify the other factors that influence PLPHA, and to use the nursing methods proper to children. The subjects were 65 children, ages 1-17, undergoing treatment in the children's cancer center at SNUCH during the period June 1, 1995, to Aug. 31, 1995. The team nurses asked questions about PLPHA of the parents and children in order to fill out a questionnaire. The data were evaluated by percent, t-test, Chi-square test and Mann-Whitney U test. Result; 1. There was no significant difference relating the bed rest time spent to the occurrence of postspinal headaches (t-test). 2. There was a significant risk of PLPHA in the children who were irritable before procedure and/or had experienced previous PLPHA(p<0.05, ${x^2}-test$). 3. The following factors were not found to be associated with increased risk of PLPHA: previous puncture experience, giving analgesics, the choice of puncturist, inpatient/outpatient status, gauge of needle, purpose, the amount of CSF removed, gender, diagnosis, the number of peripheral WBCs, previous lumbago experience after LP, position after bed rest, age, the number of aural puncture at the time. A longer period of bed rest is unlikely to be more effective to prevent PLPHA and seems impractical. A shorter period will save time and effort. Perhaps it will also allay some of the fears which surround LP. So 1 hour bed rest after LP is suggested and nursing methods for emotional support should be investigated to reduce PLPH.

• 동의신경정신과학회지
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• 제31권3호
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• pp.197-211
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• 2020

Objectives: The purpose of this study was to introduce the progress of treatment and improve clinical use after conducting Mentalizing the Rooms of Mind, the main technique of Mindfulness & Loving Beingness psychotherapy, for a patient with panic disorder. Methods: We conducted a Mentalizing the Rooms of Mind for 10 sessions on an age 23 female diagnosed with panic disorder based on the DSM-5 diagnostic criteria. After receiving consent from the subject, through chart review, the progress of treatment was observed focusing on the MMPI-2 and CSEI-s (The Core Seven Emotions Inventory-short form) conducted pre- and post-treatment. This study was approved by the Institutional Review Board of Wonkwang University Sanbon Hospital (WMCSB202007-55). Results: 1. The MMPI-2 clinical scales of an age 23 female with panic disorder showed a 7 (Pt)-1 (Hs)-3 (Hy) profile pre-treatment, but for post-treatment, the scale showed 1 (Hs)-3 (Hy) profile, and the 7 (Pt) scale showed significant decline. In the MMPI-2 reconstructed clinical scales, RC7 (Dysfunctional Negative Emotions) and RC8 (Aberrant Experiences) showed significant decline. 2. In the pre- and post-treatment MMPI-2 content scales, Anxiety, Fears, Obsessiveness, Social Discomfort, and Work Interference scores decreased, showing overall positive stability. On the MMPI-2 supplementary scales, the Anxiety and Post-Traumatic Stress Disorder scores decreased, and the Ego Strength increased, resulting in improved overall psychological adaptation. 3. Pre- and post-treatment of an age 23 female with panic disorder, CSEI-s showed significant decline of 恐, 驚, 悲, and 思. So it seems that the emotions caused by Chiljeongsang (七情傷) were more stable than before treatment. Conclusions: As shown above, the treatment of panic disorder through Mentalizing the Rooms of Mind, a major technique of Mindfulness & Loving Beingness psychotherapy, showed positive changes in MMPI-2 as well as improvement of the subjective symptoms. Thus, Mentalizing the Rooms of Mind has high clinical use, and it seems that it is necessary to create a manual for this in the future.

• 한국수산과학회지
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• 제24권3호
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• pp.153-166
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• 1991

Laver is sea weeds that might have been eaten by Korean people since ancient times. The begining of laver culture is not known exactly, but it appears to be prehistoric age. Some laver culture complexes have been built in southern coastal sea of Korea around 1910. This paper was considered about the origin and development process of Korean laver culture industry by investigating Korean and Asian old books concerned. The results are as follows. 1. According to the Korean old books ralated, the name of laver is classified into 10kinds. Gim and Hae-I were called by Korean. Gim means weeds and Hae-I means the manufactured laver by cutting and drying like paper sheet. Ja-Chae and Hae-Tae are come from Chinese, however they are commonly called by Korean, Japanese and Chinese. Rest six names are come from Chinese botany. 2. As Chinese used laver as medicine for wen, scrofula, fever, vomiting, diarrhoea and. so on, they didn't regard it as foods and took into account an warning by Chinese botany that they could take ill when overeating it. On the other as Korean people have eaten it with pleasure nevertheless the Chinese warning, various foods using laver have been developed. The typical food is rice covering laver sheet. It is also popular to Japanese. 3. Laver culture can be carried out in all coastal seas around Korean peninsula, the best sea area for it is the middle west of south sea. 4. Seopkkoji type is a laver culture method that when branches of tree are put in tidal flat laver sporules are attached and gronm on them. It was begun by Hae-Jak Kun(a group of fishery slaves) on Kwang-Yang bay the most suitable for. laver growth at the beginning of King $Sung-long(1469{\~}1481)$. It is assumed that when Hae-Jak Kun set Oe-Jeon(a sort of fixing fishing gear) to catch tributary fish for king, they could find grown laver attached on Oe-Jeon and invent Seopkkoji type for exclusive laver culture. That was carried out 200 fears earlier than in Japan. Dde-Bal type is more advanced and productive laver culture method with thinly spilt bamboo tied like screen(one end fixed on bottom and other end set free in water), It is assumed that Dde-Bal type was begun in Wan-Do county in King Chull-Jong(1830). All laver culture methods developed were transfered to Japan.

• 한국컴퓨터정보학회논문지
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• 제17권12호
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• pp.23-30
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• 2012

본 논문에서는 교육시설내의 CCTV 설치에 따른 대학생의 인식을 조사하고 이를 통해 교육시설내 CCTV에 대한 인지성, 기대성, 수용성 등 다양한 항목을 분석하고자 한다. 이를 위해 기존의 다양한 CCTV 관련 설문을 분석하고 이를 통해 적절한 설문문항 요소를 추출 개발하여 이를 통한 향후 인식변화에 대한 설문조사 연구를 완성하고자 한다. 설문 조사전에 4가지 가설을 세웠으며 설문 결과 첫째, CCTV 설치에 따라 범죄예방 기대효과가 높으며 둘째, 절도 등에 대한 두려움, 폭력범죄에 대한 두려움이 감소되고 셋째, CCTV설치에 따른 인권침해부분을 감수하겠다는 의견이 높게 나타났고 넷째, 계열별 CCTV 인지에 대한 차이가 있었다. 또한 설치장소에는 조사에서는 학생편의시설내 설치에 부정적 의견이 많았다. 본 연구로 단순한 설치여부에 대한 찬반을 조사하는 설문이 아니라 최종적으로 개발된 설문에 의해 교육시설 내 CCTV에 대한 설치효과에 대한 다양한 가설의 검증과 인식의 변화를 효과적으로 파악하는 설문양식을 새롭게 제시하게 되었다.

• Radiation Oncology Journal
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• 제3권1호
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• pp.41-50
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• 1985

한국에서는 식도암의 임상적 관찰과 치료성적이 아직까지는 광범위하게 연구 및 보고되지 않았지만, 소화기계통에서 발생하는 악성종양 중에서는 비교적 적지 않은 것으로 알려져 있다. 의학적 지식, 진단적 설비, 방사선 치료의 적용, 외과적 수술의 진보, 그리고 최근의 화학요법의 재발 등과 같은 괄목할만한 향상에도 불구하고 예후는 극히 불량하여 5년 생존율이 10%이하로서, 과거에 비하여 크게 향상되지 않은 것으로 보고되고 있다. 이에 저자들은 1970년 1월부터 1980년 12월까지 만 11년 동안 식도암으로 진단되어 연세 암 센터에서 근치적 목적으로 방사선 치료를 받았던 63예에 대한 철저한 추적조사를 통하여 후향성 분석을 시행한 바 다음과 같은 결과를 얻었다. 1. 전 63예의 식도암 환자의 85.2%인 52예는 조직병리학적 소견에서 상피성세포암(Epidermoid Carcinoma)으로 확진되었다. 그리고 $T_1$인 17예를 제외한 46예73%의 병변은 상당히 진행되였던 예들이였다. 2. 방사선 조사선량은 일일 일회 2Gys가 조사되였으며 총 조사선량 $50{\sim}74Gys$가 $5{\sim}8$주간에 조사되었다. 3. 전 63예중 28예에서 방사선 치료 후 1개월만에 식도조형상을 통하여 식도암에 대한 방사선치료 효과를 평가하여 본 결과, 완전관해는 7예였으며 나머지 15예는 부분적 관해, 그리고 6예는 변화가 없었다. 4. 전 63예의 3년, 5년 생존율은 11.8%, 8.8%였으며 그리고 $T_1$인 17예의 3년, 5년 생존율은 24.7%, 20.8%였다.

• 대한간호
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• 제36권3호
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• pp.49-69
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• 1997

The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

• 철학연구
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• 제147권
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• pp.239-260
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• 2018

기술의 시대에 새롭게 등장한 비인간존재인 인공지능로봇(A.I)은 인간에게 위협적인 존재인가 아니면 인간과의 상호협력 또는 앙상블을 이루는 존재인가? 인간이 과학기술의 힘을 빌어 자연을 지배하고자 하는 욕망은 인간이 자신을 소멸시킬 수 있다는 두려움으로 나타나고 있다. 본 연구는 이러한 물음과 두려움의 근저에 있는 데카르트적 인식론의 문제를 확인하고 시몽동과 라투르의 존재론 및 기술철학을 활용하여 메를로-퐁티의 몸살존재론을 토대로 이 물음들에 답하려는 시도이다. 데카르트 철학이 도출한 코기토는 인간-이성을 주체로 하여 '주관과 객관이라는 이분법적 인식론의 구조'의 토대가 되었다. 인간이 중심인 세계에서 인간 아닌 모든 존재들은 인간을 위한 도구이거나 통제의 대상이었다. 근대인의 문제는 인간을 비롯한 자연을 통제하는 방식에 자연과학적 방법에서 도움을 얻을 뿐 아니라, 과학적 방법만이 세계를 이해하는 유일한 방법이라고 생각한다는데 있다. 이를 비판하면서 메를로-퐁티는 몸이 인간과 비인간존재들을 매개한다는 것을 보여주며, 살존재론으로 그것이 가능한 존재론적 토대를 마련한다. 메를로-퐁티의 현상학적 방법론과 존재론은 기술철학자이자 현상학의 영향 아래에 있는 시몽동에 의해 새롭게 전개된다. 시몽동에 의해 인간과 비인간존재의 관계는 인간과 기술적 대상의 앙상블 또는 인간과 기술적 대상과의 상호협력적 공진화로 나타난다. 특히 라투르는 시몽동에서 한발 더 나아가 근대의 핵심 개념인 주체를 부정하고 세계에 거주하는 모든 몸들을 행위자네크워크이론으로 규정한다. 메를로-퐁티의 현상학적 관점은 기술시대의 철학적 논의에 새로운 가능적 근거가 될 수 있다. 우리는 근대적 두려움이 현상학적 태도로 전환함으로써 그 문제 자체가 해소될 수 있음을 확인할 것이다.