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박정한 ( Jung Han Park ) 한국보건행정학회 2018 보건행정학회지 Vol.28 No.3
A rapid decrease of total fertility rate to 1.08 in 2005 prompted the Korean government to plan and implement a ‘5-year plan for ageing society and population policy’ starting from 2006. The 1st and 2nd 5-year plans had not shown any discernible impact on the fertility and the 3rd 5-year plan was launched in 2016. However, the fertility rate is going down further. The author reviewed the contents and assessment reports of the fertility promotion plan to suggest ideas for complementing the shortcomings of it. Author defined the major determinants of marriage and child birth as philosophy, politics, sense of value, social norm, culture, healthcare, and education. The plan was examined in view of these determinants. Transformation of Korea from an agricultural society to an industrialized society in a short period of time had brought about changes in most of the determinants of marriage and child birth; in particular philosophy and sense of value. These aspects were not put into consideration in the plan. Author suggested to launch a social education program for the general public to establish a sound philosophy of life, reform the sense of value on family, child birth and education, and cultivate the skill to draw a consensus through discussions on the social issues. A special program to promote marriage of women at the optimum age for child birth was proposed. The government should implement well balanced policy for economic development and labor. Multidisciplinary approach was recommended for these tasks.
정신건강의학과 치료 과거력이 없는 외상후 스트레스 장애 환자에서 나이와 손상 심각도가 중증 불안에 미치는 영향
박운영,박상학,김상훈,김승곤,박정인,추일한,Park, Woon Yeong,Park, Sang Hag,Kim, Sang Hoon,Kim, Seung Gon,Park, Jung In,Choo, Il Han 대한불안의학회 2013 대한불안의학회지 Vol.9 No.1
Objectives : Posttraumatic stress disorder (PTSD) is classified as an anxiety disorder. PTSD occurrence is known to be increased in middle-aged and older people, female, and individuals with a previous history of psychiatric disorders, lower education levels, low socioeconomic status, and severely injured patients. Anxiety symptoms are also related to later development of PTSD. In this study, we investigate the influences of injury severity and sociodemographic factors on severe anxiety in PTSD patients with no previous history of psychiatric disorders. Methods : Forty-one PTSD patients without previous history of psychiatric disorders were recruited from the psychiatric clinic at Chosun University Hospital. Subjects underwent psychiatric and physical examinations including the Injury Severity Score (ISS), Beck Anxiety Inventory (BAI), and Korean-Wechsler Adult Intelligence Scale (K-WAIS). We defined severe anxiety as a BAI scores of 30 or more. Logistic regression analyses and multi-step model selection were applied to identify predictive factors for severe anxiety. Results : In univariate analysis, age, ISS, and socioeconomic status were found to be significant factors. Through multivariate logistic regression analyses and a stepwise model selection, we found the combination of age and ISS to be the best-fitted model for affecting severe anxiety in PTSD patients without a previous history of psychiatric disorders. Conclusion : Our findings suggest that the combination of age and ISS could develop severe anxiety in PTSD patients with no previous history of psychiatric disorders.
호산구증가증 환자에서 Toxocara canis에 대한 특이 IgE 항체의 진단적 의의
박한정 ( Han Jung Park ),최성진 ( Sung Jin Choi ),김현미 ( Hyun Mi Kim ),최길순 ( Gil Soon Choi ),성준모 ( Jun Mo Sung ),이진우 ( Jin Woo Lee ),예영민 ( Young Min Ye ),박해심 ( Hae Sim Park ) 대한천식알레르기학회 2009 천식 및 알레르기 Vol.29 No.2
Background: Toxocariasis is one of the major causes of peripheral eosinophilia and it provokes eosinophilic infiltration in the internal organs. Diagnosis of toxocariasis has relied mainly on the immunological methods including measurement of serum specific IgG to Toxocara canis excretory-secretory antigen (TES-Ag) in which the detection rate by ELISA was 68% in patients with eosinophilia. Objective: The aim of this study is to measure serum specific antibodies to TES-Ag in patients with peripheral eosinophilia in order to evaluate the clinical significance. Method: Twenty-one patients with peripheral eosinohilia (>500 cells/uL or >10% of total white blood cell count), who have no identifiable cause of eosinophilia such as drugs, well known parasite infection, malignancy or allergic diseases, were enrolled. Serum specific IgE, IgG1 and IgG4 antibodies to TES-Ag were determined by ELISA (Phadia, Uppsala, Sweden) which were compared to those of specific IgE by immunoCAP system (Phadia), and specific IgG to TES-Ag by ELISA (Bordier). Serum total IgE and ECP levels were measured by immunoCAP system. Result: The detection rate of serum specific IgE by ELISA was the highest (90.5%) followed by serum specific IgG1 (65%) and IgG4 (75%). Concordance rate of specific IgE by ELISA and immunoCAP was 100%, while that between specific IgE by ELISA (home-made) and specific IgG by ELISA (Bordier) was 60%. The most commonly involved organ was liver (57.1%). Serum total IgE level in patients with liver involvement was significantly higher than those without it (P<0.01). Conclusion: Toxocariasis should be considered as one of the major causes of the patients with eosinophilia in this country. Measurement of serum specific IgE to TES-Ag may be useful to evaluate the Toxocara canis infection. (Korean J Asthma Allergy Clin Immunol 2009;29:105-111)
TMN을 이용한 통합망 성능관리와 QoS 정보 모델 설계
박석천(Seok Cheon Park),박석원(Seok Won Park),정영호(Young Ho Jung),한기호(Ki Ho Han),양용석(Yong Seok Yang),정일(Il Jung) 한국정보과학회 1998 한국정보과학회 학술발표논문집 Vol.25 No.1A
통신망이 다양화되고 이질화됨에 따라 망을 효과적으로 관리하기 위한 TMN(Telecommunication Management Network)개념이 등장하게 되었고, 관리 대상이 실자원이나 시스템, 소프트웨어 등에 국한 된게 아니라 서비스 영역으로 확대됨에 따라 이 서비스 영역의 관리가 필요하게 되었다. 따라서 본 논문에서는 통합망의 성능과 서비스 관리를 위한 정보 모델을 설계 하기위해 기본적인 TMN 구조와 성능관리, QoS관리를 분석하였다. 그리고 객체지향적인 개념이 적용된 TMN 정보구조 중 관리자/대행자 구조에서 관리정보의 전달 수단인 MO(Managed Object)를 정의하고, MO 클래스들을 GDMO에 따라 표현하였으며, 정의된 MO에 따라 상속트리 및 포함트리를 설계 하였고, E-R 도표를 통해 정의된 객체 클래스들의 관계를 명시하였다.