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자활사업 참여자의 자립 의지와 인지된 고용 장벽이 경제적 자활에 미치는 영향
신영신(Shin Young Sin) 한국비영리학회 2016 한국비영리연구 Vol.15 No.2
자활사업은 참여자의 자립능력을 향상시키고, 공공부조제도에서 벗어나게 하기 위하여 시행되었다. 이후 자활사업의 효과성을 측정하는 연구들이 진행되어 왔으며, 성공적인 경제적 자활로의 과정으로 자활의지의 중요성이 강조되어 왔다. 또한, 자활사업은 참여자들의 취업·창업을 통하여 탈수급을 목표로 하고 있고, 인지된 고용 장벽은 취업에 영향을 미치는 중요한 요인으로 경제적 자활에 영향을 미친다. 본 연구는 자활사업 참여자들의 경제적 자활에 영향을 미치는 요인으로 자립의지와 인지된 고용 장벽이 경제적 자활에 미치는 영향을 검증하고자 하였다. 이를 위해 경기 지역 자활센터 참여자 288명을 대상으로 설문한 자료를 이용하여 다중회귀분석을 실시하였다. 분석결과, 독립변수인 자립의지는 경제적 자활에 정적인 영향을 미치고, 인지된 고용 장벽은 부적인 영향을 미치는 것을 확인할 수 있었다. 즉, 자활사업 참여자의 자립의지가 높아지고, 인지된 고용 장벽이 낮아지면 경제적 자활이 높아진다고 해석할 수 있다. 이러한 연구결과를 바탕으로 본 연구에서는 자활사업 참여자의 경제적 자활을 높일 수 있는 방안으로서 자립의지 향상 프로그램 시행 및 사례관리의 중요성에 대한 방안을 제시하고자 하였다. A self-support program is intended to improve self-reliance of its participants so that they are able to stay away from or at least minimize their dependence on the public assistance system. A lot of studies have been conducted in a bid to measure the effectiveness of self-support programs with emphasis on the importance of employment hope as part of the process toward successful economic self-sufficiency. In addition, self-support programs aim to enable their participants to stand on their feet instead of relying on help from government through employment or starting their own business, and the perceived employment barriers affect economic self-reliance as a major factor that influences employment. Against this backdrop, this study intends to verify the effect of employment hope and perceived employment barriers of self-support program participants on economic self-reliance. For this, multiple regression analysis has been conducted using data obtained from surveys among 288 participants of Gyeonggi Regional Self-Support Center. The surveys have found that the employment hope as an independent variable has a statistically significant effect on the economic self-sufficiency while the perceived employment barrier has a negative effect on it. In other words, it can be interpreted that the higher the employment hope of self-support is and the lower the perceived employment barriers become, the higher the economic self-sufficiency will be. Based on these findings, this study aims to propose ways as to the implementation of employment hope improvement programs and case management as a way to enhance the economic self-reliance of those who participate in self-support programs.
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유지한 ( Ji Han Yu ),신영신 ( Yeong Sin Shin ),정현주 ( Hyun Ju Jung ),윤유선 ( Yu Seon Yun ),김현경 ( Hyun Gyung Kim ),김영수 ( Yooung Soo Kim ),윤선애 ( Sun Ae Yoon ),김용수 ( Yong Soo Kim ),김영옥 ( Young Ok Kim ) 대한신장학회 2011 Kidney Research and Clinical Practice Vol.30 No.1
Purpose: Acute alcohol intoxication (AAI) causes various complications such as electrolyte imbalance, alcoholic ketoacidosis (AKA), rhabdomyolysis, and acute kidney injury (AKI). Although there have been some reports about AKA and rhabdomyolysis, AKI due to acute alcohol intoxication is rarely reported. Methods: We retrospectively evaluated the medical records of 371 patients with AAI between January 2004 and May 2010 in Uijeongbu St. Mary`s Hospital. We compared the clinical findings, morbidity and mortality rate between AKI and normal kidney function (NKF) groups. Results: Of the total 371 patients with AAI, AKI occurred in 107 patients (28.8%). The peak serum creatinine level in AKI patients was 2.9±1.9 mg/dL. Thirteen of the 107 patients (12.1%) received renal replacement therapy. AKI group had higher incidence of decreased mentality (29.0% vs 16.3%, p= 0.006), dyspnea (11.2% vs 4.9%, p=0.029) and hypotension (66.0% vs 41.7%, p<0.001), and lower incidence of gastrointestinal bleeding (22.4% vs 34.8%, p=0.019), compared to NKF group. The AKI group also had higher incidence of ketoacidosis (78.5% vs 28.8%, p<0.001), rhabdomyolysis (19.6% vs 4.2%, p<0.001), and pneumonia (22.4% vs 8.0%, p<0.001), compared to NKF group. The length of ICU stay was longer (7.4±10.8 vs 4.1±6.1 days, p=0.003) and the mortality rate was higher (17.8% vs 2.3%, p<0.001) in AKI group. Conclusion: This study demonstrated that incidence of AKI in patients with AAI was 28.8% and AKI was associated with high morbidity and mortality. And multivariate analysis demonstrated that independent risk factors of AKI were ketoacidosis and increased serum osmolality.
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신이식환자에서 B 형 및 C 형 간염의 유병율과 임상경과
양철우(Chul Woo Yang),신영신(Young Shin Sin),윤선애(Sun Ae Yoon),진동찬(Dong Chang Jin),안석주(Suk Joo Ahn),김용수(Yong Soo Kim),최의진(Euy Jin Choi),장윤식(Yoon Sik Chang),윤영석(Young Suk Yoon),방병기(Byung Kee Bang) 대한내과학회 1994 대한내과학회지 Vol.47 No.5
N/A Objectives: To evaluate the prevalence and clinical course of HBsAg positive and anti-HCV positive renal transplant recipients. Methods: According to serologic result, we divided the patients into HBsAg positive (HBV) and anti-HCV positive (HCV) group, and evaluated the clinical course based on duration and severity of hepatic dysfunction. Mean duration of observation was 3.8 years. Results: 1) HBsAg positivity was 11.3% and anti-HCV positivity was 13.3%, respectively. Before transplantation, in HBV group, HBsAg positivity was observed in 83.5% before renal transplantation, and 16.5% patients acquired HBsAg after renal transplantation, In HCV group, anti-HCV positivity was observed 54% before transplantation and 19.6% acquired anti-HCV after renal ransplantation. 2) The prevalence of chronic hpatitis in HBV and HCV grup was not different (25.7% vs. 25.5%). Among those with chronic hepatitis in HBV group, four cases progressed to fulminant hepatic failure, one case progressed end-stage of liver cirrhosis and one case progressed to hepatocelluar carcinoma. However, in HCV group, no case showed progression of chronic hepatitis. 3) Overall mortality of HBV and HCV group 25.3% and 7.8%, respectively (p=0.001): Among twenty fatal cases in HBV group 9 cases were liver disease-related but no liver disease-related death was observed in HCV group. Conclusion: HCV as well as HBV infection is quite prevalent and implortant cause of posttransplant chronic hepatitis, and clinical course of anti-HCV-posi- tive recipients are less aggressive than HBsAg positive recipients.
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