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      • KCI등재

        광역자치단체별 재정지출이 고용에 미치는 구조적 영향 - 재정지출구조와 산업구조를 중심으로 -

        강성범 ( Seong Bum Kang ),이종하 ( Jong Ha Lee ) 한국재정정책학회 2020 財政政策論集 Vol.22 No.3

        본 연구는 최근의 수요부족 사태에 대응하기 위한 정부의 확장적인 재정정책의 유효성을 확인하기 위해 광역자치단체 재정지출과 지역 고용 사이의 관계를 분석한다. 광역자치단체 재정지출의 직접적인 총수요 유발효과와 지역 경제와의 선순환 구조를 확인하기 위해 본 연구는 첫째, 광역자치단체 재정지출 자료를 정부 소비지출과 투자지출(고정자본형성)으로 구분하였으며, 둘째, 지역별 산업특성에 따라 정부지출의 효과가 달라질 수 있음을 고려하여 16개 광역자치단체를 서비스업 중심 지역과 제조업 중심 지역으로 구분하였다. 또한 경제이론에 기초해 고용에 영향을 미칠 수 있는 변인들을 노동의 공급적 측면과 수요적 측면으로 구분하여 고려하고자 하였다. 실증분석 결과, 정부소비와 고용 사이의 관계는 명확하지 않은 반면, 서비스업 중심 지역에서 정부투자는 고용을 증가시키는 것으로 나타났다. 이러한 결과는 향후 재정정책 수립에서 지역별 산업 특성을 고려해야 한다는 시사점을 제공한다. 또한 서비스업 중심지역에서 실질임금과 고용률 사이에 양(+)의 상관관계가 존재한다는 결과를 통해 서비스 산업에 대한 더욱 면밀한 분석을 토대로 서비스 산업의 고부가가치화를 위한 방안을 마련해야할 필요성이 있음을 보였다. This study analyzes the structural relationship between local government spending and local employment rate to confirm the effectiveness of the government’s expansionary fiscal policy to cope with the recent shortage of demand in Korea. To identify the direct demand-inducing effect of local government spending on local economy, this study divide the local government spending data into consumption expenditure and investment expenditure. Secondly, 16 local government were divided into serviceindustry centered and manufacturing-centered regions considering that the effect of government expenditure could be changed by regional industrial characteristics. Finally, it was also intended to consider both labor supply and labor demand aspects based on the theoretical background of the variables that could affect employment. The result of estimation confirmed the robustness of the estimated results by checking the consistent analysis results between the expenditure employment in both the random effect model and the fixed effect model. As a result of empirical analysis, local government investment expenditure in service-industry centered regions increases local employment rate, while there is no statistical significant relationship between government consumption expenditure and employment rate. These results suggest that regional industrial characteristics should be considered in fiscal policy establishment. In addition, the existence of the positive correlation between real wages and employment rates in the service-industry centered region showed the need to come up with measures to make the service industry more value-added based on a closer and clearer analysis of the service industry.

      • 대장절제술 환자에서 수술 전 경구용 Carbohydrate-Rich 음료 복용과 인슐린 저항성 관계

        체리안시오 ( Cherry Ann Sio ),정규환 ( Kyuw Han Jung ),강성범 ( Seong Bum Kang ),김덕우 ( Duk Woo Kim ),오흥권 ( Heung Kwon Oh ),윤미옥 ( Miok Yoon ) 한국정맥경장영양학회 2015 한국정맥경장영양학회지 Vol.7 No.2

        Purpose: Reducing preoperative fasting time showed positive effects in several studies, and current guidelines suggest use of a preoperative oral carbohydrate-rich solution before elective surgeries. For elective colectomy procedures, some surgeons favor two-day bowel preparation with diet restriction and administration of laxatives. Aside from patients experiencing the discomfort of nil per os (NPO), there are reported benefits regarding intake of liquids until at least two hours prior to surgery, including decrease in insulin resistance, without additional postoperative surgical complications. The aim of this study is to show the benefits of administration of oral rehydration solution (ORS) two hours prior to surgery for patients undergoing elective colectomy, particularly postoperative insulin resistance. Methods: This is a randomized controlled trial. All patients undergoing elective colectomy were included and randomized to the control arm or treatment arm. The control arm consisted of the standard bowel preparation and one day of NPO, while the treatment arm consisted of the standard bowel preparation and allowing intake of carbohydrate-rich ORS until 2 hours before surgery. The insulin, glucose, cortisol, and triglyceride levels were determined immediately after induction, 6 hours, 24 hours, and 48 hours post-op, and compared. The homeostatic model assessment-insulin resistance, insulin, glucose, cortisol, and triglyceride levels were determined and compared between the two groups. Anxiety and postoperative complications were monitored and assessed as well. Results: There was less insulin resistance in patients who received ORS 2 hours prior to surgery. Insulin, glucose, cortisol, and triglyceride levels were lower in the treatment group compared to the control group. Taking ORS 1 day prior and until 2 hours before surgery decreased anxiety and discomfort, and alleviated hunger. Conclusion: Regarding complications, there was no difference in the incidence of aspiration and postoperative complications. There were fewer wound complications and incidence of paralytic ileus in the treatment group.

      • KCI등재

        The State of Patient Satisfaction after Hernioplasty on an Ambulatory Basis

        Taek-Gu Lee(이택구),Jun-Seok Park(박준석),Sang-Il Lee(이상일),Yoo-Shin Choi(최유신),Do Joong Park(박도중),Ho-Seong Han(한호성),Hyung-Ho Kim(김형호),Yoo-Seok Yoon(윤유석),Sung-Bum Kang(강성범) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.1

        Purpose: There have been no studies employing a specific questionnaire relating to patient satisfaction following ambulatory hernioplasty. Via the production of a novel specific questionnaire, attempts were made to determine the factors associated with patient satisfaction following hernioplasty on an ambulatory basis. Methods: Patient satisfaction was evaluated via cross-sectional telephone surveys administered 10.5 (range of 2∼23) months after their operations, consisting of six questions, regarding; anesthetic technique, surgical method, necessity for admission, necessity for follow-up, intraoperative pain, and postoperative pain. Each of the questions was then scored using a 4-point scoring system, with global satisfaction determined via the addition of each score. Factors related to global satisfaction were determined among preoperative, intraoperative and postoperative factors. Results: Telephone questionnaire interviews were conducted on all 131 consecutive patients. Four respondents (3.1%) expressed dissatisfaction with the ambulatory surgery. Twelve (9.2%) had been admitted overnight after the operation. Thirteen (9.9%) required analgesics for over 3 days. No patients required a re-operation, although 20 (15.3%) experienced minor postoperative complications. Significant factors for global dissatisfaction were analgesic requirement for over 3 days and the presence of surgical complication (P value <0.05). Time until return to work and required overnight admission were important factors for patient satisfaction, but these were not significant. Conclusion: Patient satisfaction was associated with postoperative pain and surgical complications. Therefore, a more appropriate method for pain control and prevention of minor surgical complication are suggested might serve to enhance patient satisfaction after hernioplasty on an ambulatory basis.

      • SCOPUSKCI등재
      • SCOPUSKCI등재

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