Decentralization Policies of the Park Geun-Hye Administration in Korea - Characteristics and Future Policy Directions - PDF icon

Chang-Ho Geum,Young-Chool Choi,Ji-Hye Lee 한국자치행정학회 2014 한국자치행정학보 Vol.28 No.4

본 연구는 박근혜 정부의 지방분권 정책의 특징을 일정한 분석틀에 의거하여 분석해 보고 향후 바람직스러운 분권정책의 방향을 제시해 보고자 하는데 목적이 있다. 이를 위해서 지방분권 정책의 성공적 추진을 담보하는 요소를 살펴보고, 이러한 요소들을 역대정부의 지방분권 정책에 적용하여 일반적인 한계들을 도출한 이후 박근혜정부의 지방분권 정책을 성공적으로 추진하기 위한 대안들을 제시하고자 하였다. 본 연구의 결과를 간추리면 다음과 같다. 박근혜정부의 지방분권도 기본적으로는 이전정부와 연속성을 갖는 것이다. 현재까지 발굴된 지방분권 국정과제의 전반적인 내용도 이전정부에서 핵심적으로 추진하던 다수의 과제들이 포함되어 있다. 물론 이전정부에서 제시하지 않았던 새로운 과제들도 추가적으로 발굴 및 포함됨으로써 신규수요의 대응성도 구비하고 있다. 이와 같은 지방분권 국정과제의 성공적 추진이야말로 지방분권의 수준을 한 단계 높이는 결과를 가져 올 것이다. 그러기 두 가지의 전략에 대한 충분한 고려가 필요하다. 하나는 이전정부와 달리 박근혜정부에서 제시한 지방주도 및 국가지원의 접근방법에 대한 구체적이고 체계적인 내용이 사전에 제시되어야 한다. 이전정부의 지방분권 정책이 성공적이지 못했다는 경험에 따르면, 박근혜정부의 새로운 접근방식은 과거의 오류를 개선할 수 있는 효과를 기대할 수도 있으나, 중요한 것은 구체적 내용여부에 달려 있다는 점이다. 다른 하나는 이전정부의 시행착오가 반복되어서는 아니 된다는 것이다. Despite policy efforts made by previous Korean governments to implement decentralization, the outcomes from promoting a system of local government have so far been insufficient. The evaluations that various groups, including academic ones, have made of local decentralization policies of past governments have largely concluded that the original plans were not successfully accomplished, for many reasons, and thus the current level of local decentralization also is insufficient for fulfilling its ultimate goal, supporting the development of a local government system. To dispel concerns of these kinds, the Park Geun-Hye administration is required to continuously conduct in-depth and objective examination of its overall local decentralization policies, successfully carry out local decentralization, and provide discussion in support of its cause. As the result of this problem recognition, this research aims to examine the factors that secure successful implementation of local decentralization policies, apply these to the local decentralization policies of previous governments to ascertain their general limitations, and present alternatives wherewith the Park Geun-Hye administration can successfully advance local decentralization policies.

Understanding sleep and sleep disturbances in autism spectrum disorder, and management of insomnia: an update

( Hye-geum Kim ) 영남대학교 의과대학 2021 Yeungnam University Journal of Medicine Vol.38 No.4

Spontaneous rupture of uterine artery during pregnancy

( Hye Ri Hong ),( Yung Taek Ouh ),( Hye Mi Jin ),( Geum Joon Cho ),( Min Jeong Oh ),( Hai Joong Kim ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-

BACKGROUND: Spontaneous rupture of uterine artery during pregnancy is extremely rare but can be life threatening. Presenting symptoms include acute-onset abdominal pain and maternal hypovolemic collapse due to hemoperitoneum. An atypical case of uterine artery rupture at 35 weeks of gestation occurred in a woman without either fetal distress or hemodynamic collapse. CASE: A 31-year-old, nulliparous woman without any medical history admitted at 35 weeks of gestation for pain on rt lower quadrant and radiated to the whole abdominal area. The first diagnosis included acute appendicitis and placenta abruptio. At the abdominal ultrasonography and fetal monitoring by ultrasound and cardiotocography, we were not find any finding. But, we had to emergency cesarean section due to increasing abdominal pain. Laparotomy revealed an about 1L hemoperitoneum. Active bleeding from a ruptured fundus uterine artery was observed and successfully treated by selective suture. CONCLUSION: Spontaneous rupture of a uterine vessel during pregnancy is an extremely rare complication. We should considered in cases presenting with severe abdominal pain without either fetal distress or hemodynamic collapse.

Effects and mechanisms of a mindfulness-based intervention on insomnia

( Hye-geum Kim ) 영남대학교 의과대학 2021 Yeungnam University Journal of Medicine Vol.38 No.4

Medication alone is not sufficient to treat insomnia. In addition, the side effects of sleep medications themselves cannot be ignored during treatment. Insomnia begins with poor sleep quality and discomfort, but as it continues, patients fall into a vicious circle of insomnia with negative thoughts and dysfunctional and distorted perceptions related to sleep. Mindfulness-based intervention for insomnia corrects these sequential cognitive and behavioral processes. The mindfulness technique basically recognizes all the thoughts, feelings, and experiences that occur to us as they are, nonjudgmentally, and then trains them to return to the senses of our body. In this way, while noticing all the processes of the sequential vicious cycle and training them to return to our bodies (e.g., breathing), mindfulness determines whether we are really sleepy or just fatigued. This mindfulness-based intervention can be a useful nonpharmaceutical intervention for insomnia, and its stability and efficacy has been proven by many studies.

The Effect of Antenatal Corticosteroids between 24 and 34 weeks on perinatal Outcomes in Late Preterm Birth

( Hye Mi Jin ),( Geum Joon Cho ),( Hye Ri Hong ),( Yung Taek Ouh ),( Ji Hye Lee ),( Yeon Sun Kim ),( Hai Joong Kim ),( Min Jeong Oh ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-

The objective of the study was to evaluate the effect of antenatal corticosteroids administration between 24 and 34 weeks of gestation on the incidence of respiratory disorder in neonates born between 34 0/7 and 36 6/7 weeks of gestation. The medical records of 146 women who delivered between 34 0/7-36 6/7 weeks` gestational age at Guro Hospital, Korea University Medical Center from January, 2009 through March, 2012 was retrospectively reviewed. Maternal medical histories, including diagnoses of antenatal diseases and medication, and gestational age at delivery documented in medical records, and neonatal information were reviewed. Then the incidence of respiratory distress syndrome (RDS) and requirement of respiratory assistance among neonates was analyzed. The gestational age at delivery was younger in the group with exposure to corticosteroids (246.9±6.7 vs 249.3±5.6 days; p=0.020). Respiratory assistance in the exposed group was more frequently required as compared to the exposure group (5(3.4%) vs 24(16.4%); p=0.05). There were no significant differences in the rate of RDS (2(4.3%) vs 8(8.1%); p=0.5). The administration of corticosteroids and females were significantly and independently associated with decreased need for respiratory assistance (aOR 0.215, 95% CI 0.066=0.703, p=0.01, aOR 0.316, 95% CI 0.121-0.824, p=0.02) It appears that the exposure to antenatal corticosteroids between 24 and 34 weeks of gestation is associated with a less need for respiratory assistant among neonates born at 34 0/7 to 36 6/7weeks of gestation. Further studies are needed to determine whether the administration of antenatal steroids to women that have experienced preterm labor is associated with a similar benefit.

Characteristics of the Pelvic Floor During Pregnancy by 2d and 3d Ultrasound

( Hye Ri Hong ),( Geum Joon Cho ),( Ae Ra Kang ),( Hye Mi Jin ),( Yung Taek Ouh ),( Min Jeong Oh ),( Hai Joong Kim ) 대한산부인과학회 2011 Obstetrics & Gynecology Science Vol.54 No.8

The aim of this study was to evaluate morphological characteristics of the pelvic floor in pregnant women using 2- and 3-dimensional (D)-transperineal ultrasound and compare our findings with findings in non-pregnant women. Methods This case-control study included 40 nulliparous pregnant women at term and 28 nulliparous, non-pregnant women (age-matched). The 2D- and 3D-transperineal ultrasounds were carried out in the semi-supine position, after voiding, at rest and during the Valsalva maneuver. Various biometric parameters related to characteristics of the pelvic fl oor were measured. Results Satisfactory biometric measurements were obtained in all cases. The mean thickness of the levator ani muscle was significantly greater in pregnant women than in non-pregnant women ( P<0.05). The mean levator hiatus angle and transverse diameter of the levator hiatus were significantly lower in pregnant women than in non-pregnant women ( P<0.05). The anteroposterior diameter of the levator hiatus was not significantly different between pregnant women and non-pregnant women. Conclusion Pregnant women had significantly thicker the levator ani muscles but smaller hiatal areas, as measured by the levator hiatus angle and transverse diameter, than did non-pregnant women. Pregnancy itself may cause morphological changes to the pelvic floor to support the birth canal by closing the lower end of the pelvic cavity as a diaphragm. Further studies are needed to evaluate morphologic changes of the pelvic floor following delivery as measured by 2D and 3D-transperineal ultrasound.

Can common carotid artery ultrasonography help in screening high-risk pregnant women?

( Moon Hye Yeon ),( Park Hyeon Ji ),( Jeon Hye Jin ),( Kwan Heup Song ),( Ho Yeon Kim ),( Geum Joon Cho ),( Ki Hoon Ahn ),( Soon Cheol Hong ),( Min Jeong Oh ),( Hai Joong Kim ) 대한산부인과학회 2022 대한산부인과학회 학술대회 Vol.108 No.-

Objective: Pregnancy at advanced maternal age has become more common in Korea. There are many studies between pregnancy induced complication such as pre-eclampsia, gestational diabetes mellitus (GDM) and advanced maternal age. Therefore, screening for high-risk pregnant women with pregnancy induced complications is important. Carotid intima-media thickness (CIMT) and peak systolic velocity (PSV) are well known indicators of atherosclerosis and cardiovascular disease. CIMT and PSV are affected by endothelial dysfunction and inflammation. This is similar to the mechanism that causes placental dysplasia and vascular disorders, leading to pregnancy induced complication. In this study, CIMT and PSV were compared between high-risk pregnant women and normal pregnant women. Methods: This study had been performed at Korea University Ansan Hospital between March 2019 and August 2022. All enrolled women measured CITM, PSV, and end-diastolic velocity by ultrasonography between 20 and 24 weeks of gestation. In addition, perinatal complications, clinical characteristics, delivery method, gestation age, birth weight of the fetus, neonatal intensive care unit administration, and Apgar score were compared among these pregnant women. Results: Maternal common carotid artery (CCA) IMT and PSV did not show a significant correlation with overt diabetes mellitus (DM) and GDM. However, pregnant women with pregnancy induced hypertensive disorder (PIH) showed decreased the PSV of CCA that compared to normal pregnant women. (p=value 0.043) In addition, CCA IMT showed a positive correlation with gestational age and birth weight. (p-value 0.02, 0.028 / r-value 0.277, 0.2262) Conclusion: In pregnant women with PIH, the PSV of CCA was decreased compared to normal pregnant women. This may help screening pregnant women who had high risk for PIH in the second trimester of pregnancy.

웨이브렛 다중 - 규모 공간에서 한글단어의 매칭 성능 분석

김혜금(Hye-Geum Kim),최윤근(Youn-Keun Choi),오일석(Il-Seok Oh) 한국정보과학회 1999 한국정보과학회 학술발표논문집 Vol.26 No.1B

디지털 도서관 같은 응용에서는 대용량 인쇄 한글 문서에서 단어 검색 문제가 매우 중요하다. 이러한 응응은 초고속의 매칭 알고리즘을 필요로 하는데, 속도 향상을 위해 웨이브렛 다중 규모 공간 (wavelet multiscale space)을 이용하는 아이디어는 매우 유용할 것이다. 본 논문은 다중 규모 공간에서 매칭 정확도와 속도 간의 관계를 실험으로 분석함을 목적으로 한다. 분석 자료는 고속 알고리즘을 설계하는 기초 자료로서 유용하게 사용할 수 있다.

폐유를 이용한 재생비누의 특성 및 피부 자극도에 대한 연구

하금 ( Geum Ha ),이혜자 ( Hye Ja Lee ),유혜자 ( Hye Ja Yoo ) 대한가정학회 1998 Human Ecology Research(HER) Vol.36 No.1

최우수논문상 (모체태아의학)

조금준 ( Geum Joon Cho ),이은성 ( Eun Sung Lee ),( Hye Mi Jin ),( Ji Hye Lee ),( Yeun Sun Kim ),( Min-jeong Oh ),( Hyun-joo Seol ),( Soon-cheol Hong ),( Hai-joong Kim ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-

Objective: The purpose of this study was to investigate the expression of the D6 decoy receptor that can bind chemokines and target them for degradation, resulting in inhibition of inflammation in placentas from preeclamptic and normal pregnancies. Methods: The current study was carried out in 35 pregnant women (23 patients with preeclampsia and 12 healthy, normotensive pregnant women) during the third trimester of pregnancy. The expressions of D6 decoy receptor in the placenta were determined with real time reverse transcriptase polymerase chain reaction and western blotting. Results: The mRNA and protein of D6 decoy receptor were detected in all of placentas from preeclamptic and normal pregnancies. Placental D6 decoy receptor mRNA expression was significantly lower in patients with preeclampsia than in patients with normal pregnancies. Western blot analyses revealed decreased protein expression in cases of preeclampsia. Conclusion: The expression of the D6 decoy receptor in preeclamptic placentas was signiAcantly lower than in normal placentas. Further studies are needed to clarify the underlying mechanisms that link decreased expression of placental D6 decoy receptor and preeclampsia.