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지방정부 인재풀의 운용이 지역주민의 삶의 질에 미치는 영향 요인분석
김정현(Kim, Jeong Heon) 한국지방정부학회 2016 지방정부연구 Vol.20 No.2
본 연구는 지방 정부의 인재풀 구성 및 활용이 지역 주민의 삶의 질에 미치는 영향 관계를 분석하고자 하였다. 이를 위해 대구광역시 인재풀의 현황에 대한 설문조사 및 면접조사를 실시하였다. 연구 분석결과 첫째, 인재풀의 구성에 대한 인지도는 매우 낮은 것으로 나타났지만 인재풀의 구성 및 활용의 필요성에 있어서는 인재풀 공무원과 참여자 모두 공식적인 필요성을 높게 인식하는 것으로 나타났다. 둘째, 인재풀 구성 필요성 이유에 있어, 공무원과 인재풀 참여자 모두 전문성 확보를 그 이유로 들었고, 그 다음 이유로, 공무원은 행정 투명성 확보를 인재풀 참여자는 주민참여 확대를 선택한 것으로 나타났다. 셋째, 인재풀의 구성과 활용 등 그 운영에 필요한 주요 요인으로 인재풀 공무원과 참여자 모두 공무원과 참여자 간의 상호협력 및 파트너쉽을 가장 주요한 요소로 인식하고 있는 것으로 나타났다. 또한, 인재풀 구성요인이 지역주민의 삶의 질 제고요인에 미치는 구성 요소들에는 상당한 차이를 보이는 것으로 확인되었다. 여기에, 이러한 분석결과를 토대로 정책적 함의를 도출하면 첫째, 일차적인 과제는 지방정부의 공식적인 인재풀의 구축 및 다양한 커뮤니케이션 채널을 활용한 전향적 PR(pro-active PR) 노력이 이루어져야 한다는 것이다. 둘째, 공식적인 인재풀의 구성을 위한 지방의회 조례를 통한 법적 타당성 확보와 함께 인재풀 참여자들의 참여방법도 과거의 인위적 참여와 함께 오늘의 자발적 참여를 혼용하는 등의 관리 과제도 마련되어야 한다는 점이다. 셋째, 지방정부의 주요문제 해결을 위한 공무원과 참여자간의 상호협력과 동반자의식(파트너쉽)의 확보 전략과 실천이 또한 필요한 것으로 보여, 지방정부 책임자가 관심, 에너지, 시간 등을 쏟겠다는 의지(will)를 보이는 것이 무엇보다 중요한 것으로 판단된다. The goal of this study is to propose the key factors and activation strategies which desirable human resource pool of local (Daegu City) governance. To enhance of QOL and result of local governance, It’s necessary to use the human resource pool, namely public officials and the human resource pool (local residents, private experts, NGO, volunteers). We design network and participation and service for variables, and also select cooperation and partnership for network indicators, and autonomous and object participation and service indicators We use surveys, interviews and study methods for analysis of the real and present conditions about Human Resource pool in Daegu Metropolitan City. The result of the analysis this study confirmed that the factors of effect of human resource pool of local governance (Daegu City) and enhance of QOL (Quality Of Life) showed considerable difference. First, as for the satisfaction factor of QOL, Service, mutual cooperation, partnership, object and autonomous participation factors had a strong influence in order. Second, as for the desirability factor, the mutual cooperation factor was the most powerful explanatory variables, and the partnership and object participation were important independent variables. Third, as for the contribution factor, mutual cooperation, service, object and autonomous participation, participation factors have the positive correlation in order. Conclusionally, we propose desirable composition strategies and application strategies of HRP (Human Resource Pool), and that Daegu City governance construct hardwares of HRP (institution, human resources, and budget), and construct softwares of HRP (plan to recruit the human resource, pro-active PR, institutional activation etc.).
당뇨 환자에서 활차 운동 후 혈중 t-PA 및 PAI-1 의 변화
최정혜(Jung Hye Choi),김순길(Sun Gil Kim),이응수(Woong Soo Lee),김태화(Tae Wha Kim),김태영(Tae Young Kim),신진호(Jin Ho Shin),이재웅(Jae Ung Lee),김경수(Kyung Soo Kim),김정현(Jeong Hyun Kim),임헌길(Heon Kim Lim),이방헌(Bang Hun Lee) 대한내과학회 1999 대한내과학회지 Vol.56 No.5
N/A Objectives : Plasma fibrinolytic activity is determined by the balance between plasmonogen activators and their inhibitors. The aim of this study was to compare the fibrinolytic activity before and after exercise of the type 2 diabetic patients with control group. Methods : We measured plasma tissue-plasminogen activator (t-PA) and plasminogen activator inhibitor-1 (PAI-1) antigen before and after standardized treadmill exercise in 21 type 2 diabetic patients (14 men, 11 women, ages 46.2±5.6 years) and 21 sex and age- matched control group (10 men, 11 women, ages 48.6±5.4 years). Results : 1) Post exercise t-PA antigen increased in both diabetic group (from 7.36±3.89 to 10.62±4.81 ng/ml, p<0.05) and control group (from 8.30±3.99 to 10.99±5.52 ng/ml, p<0.05). But the rise in t-PA antigen with exercise was similar in both group. 2) Both base line and post exercise PAI-1 antigen levels were similar between the diabetic group (from 29.46±10.35 to 31.48±12.94 ng/ml, p>0.05) and control group (from 30.04±10.40 ng/ml to 31.06±10.88 ng/ml, p>0.05). 3) In diabetic group, significant correlations between base line PAI-1 antigen levels and serum triglyceride levels were observed. And post exercise PAI-1 antigen levels were correlated with systolic blood pressure. Conclusion : The results show that plasma t-PA antigen level is increased after vigorous exercise in patients with type 2 diabetes mellitus and plasma PAI-1 antigen level is not changed. The increment of plasma t-PA level is not different with healthy subjects.
이방헌(Bang Hun Lee),김경수(Kyung Soo Kim),김정현(Jeong Hyun Kim),임헌길(Heon Kil Lim),이정균(Chung Kyun Lee),김기순(Kee Soon Kim),김진혁(Jin Hyuk Kim),김찬(Chan Kim) 대한내과학회 1995 대한내과학회지 Vol.49 No.6
N/A Objectives: Hyperinsulinemia has been reported as a risk factor for coronary artery disease in western society. However, Koreans have shown about half of western people in fasting insulin and insulin secretion levels during oral glucose tolerance test (OGTT). The purpose of this study was to determine the relationship of serum insulin levels to various cardiovascular risk factors in healthy middleaged Koreans. Methods: We studied 143 subjects including 97 women and 46 men. Subjects had not received any medication for diabetes, hypertension or hyperlipidemia and had normal liver and kidney function. Anthropometric parameters and abdominal fat areas by computed tomography at the umbilical level were measured. Blood pressure, nutrient intake, total energy expenditure, serum levels of lipids and the levels of glucose, C-peptide, insulin and free fatty acid during OGTT were determined. Hyperinsulinemia was defined as both fasting and 2-hour serum insulin levels above the 80th percentile of respective serum insulin distributon in study subjects after an oral glucose load. Characteristics of hyperinsulinemic subjects were compared to normoinsulinemic subjects matehed for age, sex, and body mass index. Results: In subjects with normal glucose tolerance, hypertriglyceridemic subjects showed significantly higher serum insulin levels at 30, 60, 120 minutes during OGTT than normotriglyceridemic subjects. Similar results were observed in hypertension and low HDL cholesterolemia. A less significant difference was shown in the insulin pattern during OGTT between subjects with high LDL cholesterol and subjects with normal LDL cholesterol. Hyperinsulinemic subjects had significantly higher levels of systolic blood pressure, serum triglycerides, total cholesterol and glucose than normoinsulinernic subject. HDL cholesterol level was significantly lower in hyperinsulinemic subjects than in normoinsulinrnic subjects. No significant difference in the serum LDL cholesterol was found between two groups. Hyperinsulinernic subjects showed an increase in visceral fat area and percent calorie intake per total energy expenditure, compared with normoinsulinemic subjects. Conclusion: Our results showed that insulin levels in middle-aged Koreans are closely related to serum triglycerides and HDL cholesterol levels. In addition, healthy Koreans with normal glucose tolerance and hyperinsulinemia have an increase in risk factors for coronary artery disease such as hypertension, hypertriglyceridemia and low HDL cholesterol levels as compared with healthy subjects with normal insulin level. Therefore, it is recommended that insulin resistance subjects increase insulin sensitivity and decrease serum insulin level through lifestyle modification to prevent coronary artery disease,