• 가정∙방문간호학회지
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• 제5권
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• pp.20-31
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• 1998

The purpose of this study was to develop the framework of community-based home care nursing delivery system, and to examine the validity of it. For these, home care nursing study team of College of Nursing, Seoul National University has studied home care nursing system since September, 1996, and has operated home care center since August, 1997. This study has been supported by the Korean Sience Foundation. We organized Committee of rules, and Clinical specialist consultant group for more efficient running of the home care center. In nursing station, research assistant controlled general work, and 5 home care nurses were hired for home visiting. We developed the Standards for operations, that included criteria for clients, central supply system of nursing materials, central management of nursing care cost, advertisement, patient referral system, and so forth. In our center, 108 patients enrolled, and neurologic disorders including cerebrovascular accident, and cancer were the most prevailing diseases. We tried to overcome the limitations of hopital -based home care, and to provide more accessible, efficient, safe, and stable home care nursing. Therefore, we were referred clients from patients and families, public health care center, industries, as well as from hospitals. Meanwhile, we developed home care recording system and assessment-intervention algorithm for various diseases for quality control and standardization. Also, we did continuing education, and tried to detect problems and to find solutions by regular meeting between the committee of rules and home care nurses. As the results of this study, several limitations of operation were found. First, it was difficult to manage and communicate with the doctor in the emergency situation, Second, we spent too much time for trasnsportation, because only five nurses covered all areas of Seoul and nearby cities. Third, preparation for special care of home care nurses were lacked. Forth, criteria for termination of care and frequency of home visit were ambiguous. Fifth, some difficulties were found in retrospective payment system. And finally, interconnection with home care machinery company were needed. Strategies for solving these problems were suggested.

• 농촌의학ㆍ지역보건
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• 제19권1호
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• pp.31-39
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• 1994

We carried out this study by analyzing the annual reports, surveyed by medical college student(Ewha Woman's University) through the medical records of new patients of Su-Dong Myon Health Subcenter from 1982 to 1992, and the specific survey data of 247 in Su-Dong Myon area which consists of 5,454 population and 1,651 household(43.6% farm household), in December, 1993. Results were as follows: 1) The number of population in Su-Dong Myon is 5,265 in 1982, 4,905 in 1984, 4,885 in 1986, 4,820 in 1988, 4,663 in 1990, 5,454 in 1992. 2) Since 1982, the annual utilization rate of a rural health subcenter showed decreasing tendency: such as 609(the highest rate) per 1,000 inhabitants in 1982, 485 in 1984, 525 in 1985, 281 in 1988, 316 in 1990 and 197 in 1992. The utilization rate by sex was decreasing chronologically in male, and age-specific utilization rate showed rapidly decreasing tendency since 1982 : 1,037 per 1,000 inhabitants in 1982, 877 in 1984, 1,084 in 1986, 519 in 1988, 538 in 1990 and 333 in 1992, in age group of 0-14, but not changing tendency in age-groups of 65 and over. 3) The monthly utilization rate of a rural health subcenter showed increasing tendency in March, July and August from 1982 to 1987, and in March and May from 1988 to 1992. 4) The patient rate of medical insurance showed increasing tendency since 1983: 17.0% per 100 patients(the lowest rate) in 1983, 21.3% in 1985, 20.4% in 1987, 70,0% in 1989 and 77.8% in 1991. However, the patient rate of Medicaid showed no specific change. 5) The utilization rate by the remedial measures for primary health care showed 30.8% of the answered in private special clinic, the highest rate, and 30.0% in drug stores, 25.5% in health subcenter, 10.5% in hospital and 1.2% in oriental clinic. In favorite physicians for primary health care, specialist was the highest rate, 48.6% of the answered, and general practitioner, 39.7% and home doctor, 8.9% in next order. And 70.8% of the answered experienced to visit the health subcenter more than once. 6) Disfavorite reasons of health subcenter were insufficient equipment(42.1%, the highest), and the next order, short cure time per day(25.1%), "be not cured"(12.2%), "be not(6.9%) and unkindness(3.6%), And the major obstacles in utilizing the medical facilities for primary health care were farm works(41.7%, the highest), distance(27.1%) and medical cost(11.4%).

• 한국산림과학회지
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• 제108권4호
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• pp.645-654
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• 2019

본 연구는 연령별 맞춤형 산림교육의 활성화를 위한 기초연구로서 우리나라 성인의 연령별 산림교육 이용현황 및 요구도를 분석하였다. 전국의 일반 성인 1,542명을 대상으로 설문을 실시한 결과, 우리나라 국민들의 산림교육 인지도와 이용경험에는 연령에 따른 차이가 존재하는 것으로 나타났다. 구체적으로 산림교육 인지도와 이용경험, 향후 산림교육 이용의향 및 산림교육이 전인적 성장에 기여하는 정도에 대한 인식에서 상대적으로 높은 연령대가 더 긍정적인 응답을 보였다. 또한, 산림교육 유경험자의 동반자 유형과 참여 동기에서 연령대별 특징이 나타났다. 산림교육 참여 동기는 '산림경관을 즐기기 위해', '새로운 것을 경험해보기 위해', '기분전환을 위해'라는 응답이 모든 연령대에서 공통적으로 높았으나, 30대는 다양한 배움에 대한 욕구, 50대 이상은 건강에 대한 욕구를 가지고 있는 것으로 나타났다. 40대는 모든 연령대 중 자녀를 포함한 가족과 산림교육에 참여하는 비율이 가장 많았다. 산림교육프로그램 운영기간과 진행시간에 대해서는 연령대가 높을수록 장기간을 선호하였고, 산림교육 선택에 있어 모든 연령층이 공통적으로 가장 중요하게 고려하는 것은 '접근성'인 것으로 드러났다. 향후 본 연구를 통해 연령별 산림교육 이용현황과 요구도의 차이를 고려한 맞춤형 산림교육프로그램 개발과 보급이 활성화될 수 있기를 기대한다.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.56-70
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• 2005

Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.

• 가족자원경영과 정책
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• 제25권1호
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• pp.63-75
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• 2021

이 연구의 목적은 가족친화 컨설팅 컨설턴트, 인증심사원, 직장교육 전문강사 등 가족친화 전문인력의 활동 경험을 통해 전문인력의 필요 역량을 살펴보고, 전문인력 양성 교육과정 개선 방안을 마련하는 것이다. 이를 위해 10명의 전문인력을 대상으로 포커스그룹 인터뷰를 실시하였다. 본 연구 결과에 따르면, 세 영역에서 활동하는 가족친화 전문인력 모두 가족친화제도 및 가족친화사업 이해라는 공통 역량을 필요로 하지만, 활동 영역에 따른 필요 역량이 상이하므로 공통 교육과 함께 전문인력별로 차별화된 교육과정을 마련하는 것이 필요하다. 교육과정 개편 방향과 관련하여 전문인력별 교육과정 간 연계성 강화, 가족친화 전문인력 교육 시수 확대, 신규 양성교육과 보수교육 간의 차별화가 제안되었다. 이와 함께 교육 운영과 방법의 다양화, 시의성 있는 주제의 심화보수 교육의 필요성 등이 제안되었다. 이러한 결과는 가족친화 전문인력에게 요구되는 역량과 활동 중인 전문인력의 교육 요구에 따라 가족친화 전문인력 교육과정이 재구성될 필요가 있음을 시사한다.

• 한국과학교육학회지
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• 제39권2호
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• pp.249-261
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• 2019

본 연구의 목적은 과학자들의 문제 해결 과정에서 공감요소를 추출하고 그 공감요소가 과학자들의 문제 해결 상황에서 어떤 영향을 주고 있는지 확인해보고자 한다. 이에 본 연구는 창의성 연구자들이 언급한 과학자들 중 공통인물 6명을 분석대상으로 선정하고 그들의 자서전 및 그들의 일대기에 관련한 논문을 통해 그들의 문제 해결 사례에서 공감요소를 추출하여 이를 유목화 하였다. 총 12개의 서적과 50여개의 논문에서 제시한 사례를 Davis의 공감척도를 분석틀로 분석하였고 공통요인을 추출하였다. 그 결과 총 182개의 사례에서 과학 공감요소가 추출되었고, 이 중 33개의 공통요소가 발견되었다. 과학교육전문가집단의 내용타당도 검사를 통하여 본 사례의 타당도를 확인한 결과, 전문가의 내용타당도 I-CVI 평균은 .86, S-CVI 평균 .90값이 확인되었다. 과학자들이 문제 해결사례에서 활용하고 있는 공감요소는 인지적 공감으로 관점 취하기 측면에서 3가지(다른 학문 분야를 통한 공감, 연구대상의 관점에서 공감, 다른 사람의 의견 수용), 상상하기 측면에서 3가지(관찰 근거의 상상, 사고 실험, 연구 대상에 대한 유기체적 느낌), 정서적 공감으로 공감적 관심측면에서 3가지(동료 연구자의 의욕에 따른 반응, 연구대상에 대한 감동, 더 연구하고 싶은 흥분), 개인적 각성 측면에서 2가지(타인의 연구실패에 대한 불편한 감정, 문제에 대한 민감성)가 추출되었다. 이는 Davis의 공감요소와 완벽하게 일치한다고 할 수 없었으나 과학자들의 사례에서 발견되는 이러한 공통되는 요소를 기초로 과학 공감요소에 대한 정의가 가능할 것이다.

• 식품과학과 산업
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• 제51권3호
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• pp.209-217
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• 2018

본 연구는 식품안전 분야 기술수준을 주요 5개국과 비교하여 현재의 기술수준에 대한 평가와 기술개발의 기초자료로 활용하기 위하여 수행하였다. 식품안전 분야 기술수준 평가 결과 미국이 모든 분야에서 최상의 기술을 보유한 것으로 나타났으며, 우리나라의 경우 최고기술 보유국인 미국과 비교할 때 4위를 차지하는 것으로 나타났다. 또한, 우리나라는 논문 점유율과 영향력은 주요 5개국 기준으로 최하위를 차지하였으며, 특허 기술력으로 볼 때, 특허 인용도는 3위, 특허 영향력은 1위로 나타나 점유율은 낮으나 질적으로 우수한 특허를 보유하고 있는 것으로 나타났다. 본 연구결과로 볼 때 식품안전 분야의 현재 수준의 기술을 향상시키기 위해서 전문인력 양성을 위한 정책적 접근이 필요할 것으로 사료되며, 해당 분야의 논문 저술활동이 저조하므로 연구결과 확산활동에 노력이 필요하다고 판단된다. 전문가들의 추가 제언 내용으로는 식품분야 관련 연구자 및 종사자의 역량강화를 위한 제도 마련과 지속적인 교육을 통해 안전기술에 대한 이해도 증진이 지속적으로 필요하다는 것과 향후 연구 기획시 실수요자의 의견을 반영할 수 있는 상향식 연구지원 방식도 고려하는 것이 필요하다는 의견이 제시되었다. 또한, 식품 안전기술은 정부 주도의 투자 뿐만 아니라 산업계 및 연구계가 함께 발전시켜 나가야하는 분야로 민간 투자 활성화를 유도할 수 있는 제도마련도 필요하다는 의견이 있었다. 본 연구를 통해 도출된 결과를 바탕으로 평가대상 기술의 속성이나 특성을 고려하여실효성 있는 기술개발 및 진흥 관련 계획수립이 이뤄져야 할 것으로 생각되며, 이번 연구에서는 식품안전 분야의 식품과 영양 안전관리 15개 기술로 제한하였으나, 향후 에는 식품안전 분야 신기술 및 세부기술에 대한 기술수준 평가도 개별적으로 수행하는 것을 고려하여야 할 것이다.

• Tuberculosis and Respiratory Diseases
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• 제52권6호
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• pp.597-607
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• 2002

Background : Even though it is well known that pulmonary rehabilitation (PR) improves exercise capacity, and the quality of life, in patients with chronic lung diseases, not many patients can attend hospital based intensive PR in Korea. The purpose of this study was to develop a method for a home-based PR program, and study its effectiveness. Materials and Methods : Twenty patients with chronic lung diseases were randomly divided into two groups : a home PR group comprising of 10 male patients, with a mean age of 70 years, and a control group comprising of 10 male patients, with a mean age of 65 years. We developed exercise programs, depending on the exercise capacity of each patient, which were easy to do at home. The PR program consisted of a 12 week period of enforced aerobic (mostly walking) and muscle strengthening exercises, as prescribed by the exercise specialist, in accordance with the functional capacity of the patient. In addition to the education, nutritional and psychiatric consultation was undertaken, and respiratory muscle training arranged. Patients visited hospital every 2 weeks for evaluation and exercise prescription. Results : All patients finished the 12 week course of therapy. Following the home PR, the endurance times and work capacity of the upper and lower extremities were significantly increased in the treatment group in comparison to the controls. The six minute working (Eds note:should) 'working' read "walking"?) distance was increased from $465{\pm}60m$ to $508{\pm}37m$ and the maximal inspiratory pressure from $72.8{\pm}27.2cmH_2O$ to $91.4{\pm}30.9cmH_2O$. The quality of life, as assessed by St Georges Respiratory Questionnaire (SGRQ), was also improved following PR. (Eds note:do you have figures for before and after, and a reference for the SGRQ?i.e. for the main paper.) Conclusion : The home PR program we developed seemed to be applicable, and effective, to most of the patients with chronic lung diseases in this study.

• 한국연극학
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• 제49호
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• pp.5-47
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• 2013

Among the styles of performing arts, perhaps the genre that has attracted the largest audience would be musical. Popularity of musical has brought diverse changes in our performing arts market, and, upon emerging another musical genre, called 'Korean Traditional Musical Comedy,' it has been well-received by the audiences. 'Korean Traditional Musical Comedy' is a word that are formed by merging two other terms such as 'Korean Traditional Music' and 'Musical (Comedy).' In the meantime, however, it has yet some problems in order to be defined as the genre that has concrete concepts. It is because the term such as Korean Traditional Musical Comedy was created being closely associated with a marketing purpose rather than a term that defines the characteristics of a genre of performing arts. Although this new musical genre has drawn attentions of many audiences by adding 'Musical Comedy' to 'Korean Traditional Music' that was not quite popular to the public, it still does not have any established forms so that there is a fine line between "Korean Traditional Musical Comedy" and another genre like traditional style folk opera ("Changgeuk"). Looking at the characteristics of the musical work called 'Korean Traditional Musical Comedy, in general, first of all, it is a performance where music and drama are played. Here, the distinctive characteristic of this musical is that 'Korean Traditional Music' is sung. And the kinds of Korean traditional musics being sung are mainly Pansori (dramatic story-singing) and folk-songs, and, in most cases, Korean traditional musical instruments are being used as accompanying music. In this paper, the researcher investigated the aspects of experiment centering around Korean Musical Group, Taroo. These days, various experiments has been repeated not only for the works of Taroo but other musical work presently called 'Korean Traditional Musical Comedy' also. Having encompassed overall performance factors including use of musical instruments, dance, acting, materials for drama as well as music in drama, the researcher has gone through experiments repeatedly. Meanwhile, however, the subject matters that make 'Korean Traditional Musical Comedy' mostly attractive to the audiences are music and songs or sounds. ["Sori" also called "Chang" (唱)] Particularly, under the current situation of our musicals, the role of "Sori" is extremely important. The factor that plays absolutely most important role in acceptance and transformation of "Sori" is the created Pansori. Since the created Pansori is composed with new rhythmic patterns and new narrative poems, it tells the present story. Also it draws good responses from the audiences owing to easy conveyance of dialogues. And, its new style brings diversification to organization of musical instruments, so then this leads to the arrangements of music for Korean traditional music instruments, as well as instrumental music ensemble, orchestra, and jazz band, etc. Likewise, upon appearing creative musics in 'Korean Traditional Musical Comedy,' professional music and vocal compositions have begun to emerge naturally. And, the song specialist and writer, of course, staffs including direction, lighting, and sounds, etc are required. That is, professional composition method are forced to be introduced to all areas. Other than this, there are many music pieces which are based on our unique songs and sounds ("Sori") and such traditional factors as use of lead singer for ceremony or chorus, and the method that puts weight on Pansori. Accordingly many things accomplished. However, it is required that 'Korean Traditional Musical Comedy' go through numerous discussions and more experiments. Above all, the most important things are the role of actor and actress, and their changes, and training of actor and actress further. Good news is there are good audience responses. 'Korean Traditional Musical Comedy' is an open genre. As musicals are divided into several domains according to the characteristics thereof, 'Korean Traditional Musical Comedy' will be able to show its distinctive features in various styles according to embodiment.

• 한국보육학회지
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• 제18권4호
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• pp.39-50
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• 2018

최근 보육교사가 수행하는 업무의 다중성 및 법적 신분과 관련된 쟁점이 부각되고 있다. 보육교사는 "근로기준법"상의 근로자이면서, "영유아보육법"상의 보육교직원이고, 누리과정 실시로 인해 "유아교육법"상의 유치원 교사의 업무도 수행한다. 영유아를 보호하고 양육하는 보육교사의 주업무를 기본으로 유아를 대상으로는 누리과정을 통한 교육프로그램을 진행하는 것이다. 하지만 보육교사의 직업적 의무가 법적인 권리와 부합되지 않는 부분이 있어 보육교사의 권리와 의무는 불균형적인 상황에 놓여 있게 된다. 본 연구는 해석주의 인식론에 기반한 질적방법을 활용하여 보육교사들이 현장의 경험을 통해 자신의 권리를 어떻게 인식하는지를 실증적으로 고찰하였다. 연구참여자는 수도권에 근무하는 보육교사 61명이며, 자료수집을 위해 프로토콜(protocol) 서술과 포커스그룹면접(FGI: focus group interview)을 활용하였다. 수집된 자료는 Creswell(2013)이 제안한 자료분석법에 따라 중심주제로 도출되었다. 연구결과를 보면, 보육교사들은 전문직으로서 교육권과 자율권, 근무여건 개선 및 복지후생 요구권, 고충처리 및 신분보장권에 대한 경험적 인식을 구체적으로 진술하였다. 보육교사들은 어린이집의 열악한 근무여건 및 복지후생을 지적하는 동시에 교육권과 자율권이 양질의 보육활동을 위해 강화되어야할 필요조건임을 강조하였다. 한편, 연구참여자들은 고충처리 및 신분보장권이 자신의 권리라는 점에 대한 인식 자체가 낮았고, 해당 권리의 침해를 감수하는 경향을 보였다. 본 연구결과는 보육교사들의 의무와 권리 사이의 간극을 드러내면서 이에 대한 제도적 마련이 필요함을 보여준다. 영유아 전문가로서 인성 및 전문성 강화에 대한 사회적 기대가 높아짐과 동시에 근로에 대한 사회적 가치관의 변화를 고려하여, 보육 현장에 근무하는 교사의 권리 향상을 위한 실천적 대안이 필요하다는 점을 논의하였다.