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嬰幼兒權利尊重保育의 實際에 대한 小考: 예비보육교사의 인식을 중심으로
윤호열(Yoon, Ho-Yeol) 동아인문학회 2020 동아인문학 Vol.53 No.-
본 소고(小考)는 영유아권리존중보육과 관련하여 보육교사 윤리강령에 포함된 아동권리의 개념을 탐색하고 예비보육교사를 대상으로 嬰幼兒 보육현장에서의 嬰幼兒權利尊重保育의 필요성과 그 실행에서의 어려움에 대한 인식을 알아보고자 하였다. 보육교사 윤리강령에 포함된 아동권리의 개념이 사용된 단어들과 주제어 유목화를 통해 추출되었으며 2018년부터 2019년까지 K시와 P시에서 진행되는 보육교사양성과정에 등록한 총 244명의 예비보육교사들을 대상으로 嬰幼兒 보육시설에서 嬰幼兒權利尊重保育이 시행되어야 할 필요성, 그 실행과정에서의 장해(障害)요인에 대해 자유롭게 기술하도록 비구조화된 서술식 설문조사가 진행되었다. 수집된 서술자료로부터 아동권리 전문가 2인의 토론을 거쳐 유목화된 주요 단어들이 추출되었으며, 추출된 단어들은 빈도분포와 워드클라우드(word cloud)를 통하여 제시되었다. 보육교사 윤리강령에는 아동권리 및 보육교사 책무와 관련된 개념들이 상당수 포함되어 있는 것으로 나타났다. 예비보육교사들 대부분은 嬰幼兒權利尊重保育이 當爲的으로 실시되어야 한다고 인식하였으며, 영유아권리존중보육에서 교사, 알아야하는 것, 인식해야하는 것을 가장 많이 서술했다. 嬰幼兒權利尊重保育을 방해하는 장해 요인으로는 교사의 과도한 업무와 인력부족 등 교사의 복지 및 처우에서의 미흡함, 부모관련 변인, 그리고 교사의 전문적 기술 등을 인식하는 것으로 나타났다. 이러한 결과들은 嬰幼兒權利尊重保育과 관련된 선행연구들과의 관계 맥락에서 연구의 한계점과 함께 논의되었다. This article explores the concept of child Rights included in the Code of Ethics for Child Care Teachers in relation to Child Care with Respect for Young Children’s Rights’, and aims at preliminary child care teachers in ‘Child Care with Respect for Young Children’s Rights’. It was conducted to find out the recognition of the necessity of, and the difficulties in its implementation. First, as included in the Code of Ethics for Childcare Teachers, the concept of children’s Rights was extracted through classification of used words and main words. Secondly, a survey was conducted of a total of 244 preparatory child care teachers enrolled in the childcare teacher training courses held in K city and P city from 2018 to 2019. The two questions for the rest of the study goals were as follows: 1) What is the need to implement ‘Child Care with Respect for Young Children’s Rights’ in infant care institutions? 2) What are the obstacles in the process of implementing ‘Child Care with Respect for Young Children’s Rights’? An unstructured narrative survey was conducted to freely describe the above two questions. From the collected narrative data, through discussions of two experts on child rights, nomadized main words were extracted, and the extracted words were presented through frequency distribution and word cloud. The result is as follows. First, it was found that the ‘Code of Ethics for Childcare Teachers’ contains many concepts related to child Rightsand responsibility of childcare teachers. Second, most of the preparatory child care teachers recognized that ‘Child Care with Respect for Young Children’s Rights’ should be carried out naturally, and they most often described ‘teacher’, ‘what you need to know’, and ‘what you need to recognize’ in respect for infants’ rights. Third, obstacles that hinder ‘Child Care with Respect for Young Children’s Rights’ include ‘excessive work of teachers’, ‘lack of teacher manpower’, ‘insufficiency in the welfare and treatment of teachers’, ‘parent-related variables’, and ‘teacher’s professional skills’. These results were discussed along with limitations of the study in the context of the relationship with previous studies related to ‘Child Care with Respect for Young Children’s Rights’.
SCO 확장을 통해서 본 Quad의 지향점과 한국의 선택
윤호랑 ( Yoon Ho Lyang ) 한국군사학회 2022 군사논단 Vol.110 No.-
China changed their foreign policy to reformation and opening which leaded them to compete against US, while Biden administration strengthens its relationship with alliances in Indo-Pacific area through Quad. Quad is expand its realm and make diversity in cooperation. In this report, we will review the SCO’s example to clarify the direction of the policy and the choice Republic of Korea should make in this international environment. In 1990s, after the dissolution of the USSR, President Jiang Zhe-Min made Shanghai-5 with Central Asian countries to deal with border and Islam issues which developed into SCO In 2001. SCO having connection with core interest was expanded in Hu Jin-Tao era, and Xi Jin-Ping is using SCO in BRI to restraint US and strengthen China’s influence. SCO have expanded after the departure, and especially democratic India participated in it to make SCO approach universal value and open attitude. However, conflicts between member state including China and Russia, and Central Asia’s alienation with participation of India came up as a problem to solve. Meanwhile, US used multilateral cooperation including Quad with the states which share alliance, value, and law to conquest China’s challenge over democracy. However, there is different voices in Quad member state about how to restraint china, so flexible and resilient partial meeting was needed per agenda. US expanded its relationship with whoever shares democratic values and posture against China. Also agenda is expanded to make the country not reluctant to participate because of the anti-Chinese frame. US promised infrastructure investment and economic support to whom damaged by BRI. The most important thing for Quad is to coordinate different opinions in member state and to do so, it is needed to diversify cooperation agenda to make multilateral agreement. Now Republic of Korea should free itself from ‘Strategic Vagueness’. ROK is the alliance of US and its priority is democratic value and ideology, so it has to go with US-led international organization. In conclusion, it Is the most needed attitude for Korea to be with the organization with shares comprehensive value and law.
특집: 주요 알레르기질환의 진단과 치료 : 기관지천식의 최신 약물 치료 지침
윤호주 ( Ho Joo Yoon ) 대한내과학회 2009 대한내과학회지 Vol.76 No.3
Asthma is a serious health problem throughout the world with high prevalence and increased socioeconomic burden. So in order to have a better understanding and medication for this illness, many scientific advances have been made. To specify, Global Initiative for Asthma (GINA) and National Asthma Education and Prevention Program (NAEPP) have played a leading role in disseminating information about the care for patients based on a process of continuous review of published scientific investigations. For these outstanding accomplishments, GINA and NAEPP guidelines are now being widely adopted, translated and reproduced, forming the basis for many national guidelines throughout the world. These guidelines recommend a change in approach to asthma management with asthma control, rather than asthma severity, being the focus of treatment decisions. Most importantly, these provide stepwise drug therapy of asthma based on the level of control. This session will mainly focus on updated stepwise drug therapy. (Korean J Med 76:260-267, 2009)
만성폐쇄성폐질환 환자에서 열량섭취와 폐기능지표와의 상관관계
윤호일 ( Ho Il Yoon ),박영미 ( Young Mi Park ),조여원 ( Ryo Won Choue ),강영애 ( Yeong Ae Kang ),권성연 ( Sung Youn Kwon ),이재호 ( Jae Ho Lee ),이춘택 ( Choon Taek Lee ) 대한결핵 및 호흡기학회 2008 Tuberculosis and Respiratory Diseases Vol.65 No.5
연구배경: 이전의 연구에서 섭취의 제한은 폐기종과 유사한 변화를 유발할 수 있음이 알려져 왔다. 그러나 이러한 현상이 만성폐쇄성폐질환 환자에서 갖는 의미는 밝혀진 적이 없다. 저자들은 만성폐쇄성폐질환 환자에서 영양섭취량과 폐기능지표와의 상관관계를 알아보고자 본 연구를 수행하였다. 방법: 분당서울대학교병원에서 2006년 3월부터 1년 동안 진료받은 만성폐쇄성폐질환 환자들을 대상으로 하였으며 폐활량검사, 확산능검사, 폐용적검사와 함께 영양섭취상태평가를 시행한 후 분석하였다. 결과: 총섭취열량과 1초간노력호기량이나 최대노력호기량(%예측치)과는 아무런 상관관계를 찾을 수 없었다. 반면 폐확산능의 지표인 DLCO (%예측치), DLCO/VA (%예측치)와는 양의 상관관계를, 총폐용량(%예측치)과는 음의 상관관계를 보임을 관찰할 수 있었다. 섭취한 열량 중 단백질섭취열량과 폐확산능 DLCO (%예측치), DLCO/VA(%예측치)은 통계적으로 의미 있는 상관관계를 보였다. 그러나 탄수화물 및 지방섭취에 의한 열량과 폐기능지표는 의미 있는 상관관계를 보이지 않았다. 결론: 만성폐쇄성폐질환 환자의 하루 섭취 열량은 그 환자의 폐확산능과는 양의 상관관계, 총폐용량과는 음의 상관관계에 있어 섭취열량과 폐기종의 관련성에 대한 추가 연구가 필요하다. Background: There are reports that food deprivation causes emphysematous changes in the lungs of rats and humans. However, the meaning of this phenomenon in patients with chronic obstructive pulmonary disease has not been evaluated. The aim of this study was to determine the correlations between the caloric intake and parameters of the lung function in patients with chronic obstructive pulmonary disease. Methods: Patients with chronic obstructive pulmonary disease who had visited the respiratory clinic from March, 2006 for one year were enrolled in this study. The patients underwent pulmonary function tests, and a dietitian evaluated their nutritional intake using a food record method. Results: There was no correlation between the total caloric intake and forced vital capacity (FVC, %predicted) or forced expiratory volume in one second (FEV1, %predicted). The total caloric intake showed a positive correlation with the diffusing capacity of carbon monoxide (DLCO %predicted, DLCO/VA %predicted), and a negative correlation with the total lung capacity (TLC, %predicted). Of the calories taken, only calories from protein intake correlated with the diffusing capacity of carbon monoxide (DLCO %predicted, DLCO/VA %predicted). Conclusion: The total caloric intake of patients with chronic obstructive pulmonary disease showed a positive correlation with the diffusing capacity of the lung, and a negative correlation with the total lung capacity. Further study on the linkage between the caloric intake and severity of emphysema is needed. (Tuberc Respir Dis 2008;65:385-389)