다문화가정 초등학생의 자아존중감과 건강행위 간의 관련성

유빛나,박경옥,최진영 한국학교・지역보건교육학회 2010 한국학교지역보건교육학회지 Vol.11 No.1

초기 거란의 성장과 국제적 위상 -태조·태종시기(907~947)를 중심으로-

유빛나 만주학회 2014 만주연구 Vol.- No.17

This thesis studied a growth process of the Kitan through transition phase in the East Asia since the ninth century. Especially, The Kitan’s Royal power establishment and the Liao Taizu ․ Liao Taizong age focused on. With the circumstance that other neighboring countries rendered tribute to the Kitan, The Kitan’s Status of International Standing went over. Liao Taizu had staged a coup and seized a political power. And he gave priority to The Kitan’s Royal power establishment. Liao Taizu negotiated with Later Liang for external phases as well as he draw in empress and established Ordo in internal phases. He had quelled a quarrel among brothers and acceded to the throne in 916. Since Royal power was stabilized, Liao Taizu made expedition on a large scale twice. First, Liao Taizu strove for uyghurroute of acquisition through west territorial conquest. And then, he established Dongdan Kingdom through east territorial conquer. However, Liao Taizu dead on his way coming back to the capital after finish work. But, Liao Taizu’s foreign expansion served as a momentum in that he taken the readership between the Kitan and Zhongyuan. Since then, Liao Taizong attacked Later Tang because Shi Jingtang had risen a revolt against Later Tang. Consequently, Liao Taizong won the war with the Later Tang. And he was involved in a establishing Later Jin. Liao Taizong taken the readership between the Kitan and Zhongyuan. He acquisited the Sixteen Prefectures and 300,000 annual tributes. And he changed the name of a country from the Kitan into Great Liao. In this, Liao Taizong adopted the Chinese culture and established the dualistic system of government. Liao Taizong tried to govern Zhongyuan after Shi Jingtang had dead. After he had overthrown a Later Jin, he governed the Hebei in a while. In this, the Kitan enhanced the nation’s position in the Kitan Liao Taizu ․ Liao Taizong period. In other words, other countries with uyghurroute as the center in west rendered tribute to the Kitan. While The Kitan established the Dongdan Kingdom Balhae took influence. The Later Jin as well as Southern Tang maintained a close relationship with the Kitan. The Wuyue even used to the Kitan’s era name. Liao Taizu ․ Liao Taizong’s efforts were the driving force and established the dynasty of conquest. In the Five Dynasty with the Tang-Song Transition as the center, his roles overthrow a supremacy and laid a cornerstone of the Multistate system. 본 논문은 9세기 이후 동아시아의 변화 양상을 통해 나타난 거란의 성장 과정을 연구한 논문이다. 거란의 왕권확립과정과 태조ㆍ태종대 대외관계의 추이에 주목하여 나타난 변화요인을 살펴보았다. 특히 이를 통해서 주변 세력들이 변화하는 대외양상을 통해 거란의 국제적 위상을 검토하였다. 거란 태조의 대외원정을 통해 서쪽으로는 回鶻路에 위치했던 세력들이 거란에 자주 조공을 바쳤다. 거란의 동쪽 또한 태조가 발해를 멸망시킨 이후에 동단국을 세우면서 발해 고토내 거란의 영향력이 강해졌다. 태종은 대중원관계에 집중하여 후진의 석경당을 도운 대가로 燕雲16주를 할양받았다. 태종은 938년에 국호를 大遼로 바꿔 적극적으로 중국문물을 받아 들였고, 더불어 이원적 통치체제를 구축하였다. 태종은 석경당 사후 후진과 관계가 악화되면서 3차례에 걸친 원정 끝에 후진을 멸망시키고, 잠시 화북 일대를 지배할 수 있었다. 이러한 태조ㆍ태종대 대내외적인 성장의 결과, 거란의 위상은 높아졌다. 특히 거란은 대중원관계의 주도권을 확보할 수 있었고, 거란과 오대왕조의 주변 세력들이 점차 거란을 중심으로 관계를 형성하기 시작하였다. 또한 오대왕조 뿐만 아니라 남쪽의 남당과 오월은 적극적으로 거란과의 연대를 꾀했고, 심지어 吳越은 거란의 연호를 사용하기도 하였다. 이러한 태조ㆍ태종의 노력은 거란이 대제국으로 성장할 수 있는 원동력이 되었고, 정복왕조로 나아가는 기틀이 되었다. 또한 당송변혁의 중심에 있었던 오대시대에 두 황제의 역할은 중원왕조의 패권의식을 무너뜨리고, 새롭게 다원적 국제질서로 나아가는 초석을 마련하였다.

契丹과 高麗의 사절 왕래 - 東京使를 중심으로

유빛나(Ryu Vit Na) 한국외국어대학교 역사문화연구소 2019 역사문화연구 Vol.70 No.-

이 논문은 거란과 고려의 조공책봉관계 속에서 나타난 사절왕래 중에서 거란동경과 고려국왕 사이에 나타났던 사행을 분석한 글이다. 거란과 고려사이의 사절 왕래를 통해 지금까지 황제가 파견한 것으로 인식되었던 동경사에 대해서 재검토하고, 동경사의 파견의 목적과 특징을 분석하고자 했다. 동경사는 거란이 고려에 파견한 사행 중에 2번째로 많은 횟수로, 총 35차례 파견되었다. 다만 고려는 거란에 총 10차례 동경사를 파견하였지만, 거란에서 고려로 파견한 사행의 명칭이 回禮使 혹은 回謝使이기 때문에 고려에서 보낸 답례차원에서 파견되었을 것으로 생각된다. 이러한 동경사는 거란 황제와 고려 사이에 나타났던 외교문서 형식과 다른 ‘致書’ 형식을 통해 대등한 관계에서 사행이 오고 갔음을 알 수 있다. 이러한 동경사의 파견에는 거란 동경의 중요성을 들 수 있다. 처음에 거란동경은 발해를 멸망시키고 그 잔존세력을 통제하기 위한 목적이 강했지만, 고려와의 관계뿐만 아니라 더 나아가 거란 동방을 책임지는 동쪽의 수도역할을 담당하였 다. 따라서 동경유수는 동경의 행정권과 군사권을 가져 대부분 거란인으로 임명되었고, 특히 그중에서도 상당한 권력을 소유한 사람들이 임명되는 경우가 많았다. 동경사는 이러한 배경 속에서 나타나기 시작했고 초반기에 거란 조정과 고려사이에서 중재자 역할로 활용되었다. 이를 통해 동경유수와 고려국왕 사이에서는 우호적인 관계가 형성되었다. 특히 사적인 교류도 나타나기 시작했고, 더 나아가 양국 조정의 교섭창구 역할과 양국의 긴장을 완화시키는 역할을 담당하였다. 이러한 양국 간의 동경사는 거란의 외교제도와 오경제를 답습했던 금에서도 나타나는데, 금대의 동경사 또한 거란과 비슷한 사행으로 추정된다. This paper anyalizes envoys’ exchages between Khitan Dongjing and Goryeo emperors under the conditions of tribute-investiture system of Khitan and Goryeo Dynasty. It also seeks to reexamine the Dongjingshi which was considered to be sent by the emperors between Khitan and Goryeo and to find out the purpose and features of it. Dongjingshi was the envoy that was sent by Goryeo, and was used thirty-five times which means the second frequency among envoys. Goryeo sent the Dongjingshi to Khitan eight times, and Khitan sent Goryeo envoys that was named with ‘回禮使(Huilishi)’ or ‘回謝使 (huixieshi) of which meaning was reponding to Goryeo. Dongjingshi was thought to be equally changed, because they used the ‘致書(zhishu)’ which was different from the diplomatic document beteen the two. The history of Dongjingshi implied the importance of Khitan Dongjing. At first, Khitan Dongjing had the role of controlling the remnants of the Balhae, but later it has changed the role into not only making relationship with Goryeo but also taking charge of the eastside of Khitan. So 東京留守(Dongjing-liushou) was filled with Khitan people because it had administrative and military power of Dongjing, so especially people who has considerable authority in that area were in charge of it. Dongjingshi was started in this background, and in the beginning it played an intemediary role between the Khitan and Goryeo courts. Dongjing-liushou and the emperor of Goryeo made an amicable relationship through Dongjingshi. Particulary, private exchanges were shown throught it, and it was also played as the window of negotiation and the control tower of solving problems between the two. This history of Dongjingshi between the two was also shown in the Jin Dynasty which stuck to the diplomatic institutions and Five-capital System of Khitan, so Dongjingshi in the Jin Dynasty was assumed to be the same as Khitan’s.

거란과 송의 국신사 파견과 그 양상

유빛나(Vit-Na Ryu) 한국세계문화사학회 2021 세계 역사와 문화 연구 Vol.- No.59

1004년에 거란과 송이 전연의 맹약을 체결하면서 양국은 평화가 정착되었고, 화평관계를 유지하기 위해서 국신사의 파견이 이루어졌다. 국신사는 다양한 형태로 나타났는데, 거란과 송의 특수성을 반영한 새로운 명목의 사행들이 생겨났다. 정기적인 사행으로는 양국은 해마다 황제의 정단과 생신을 축하할 뿐 아니라, 의제가족관계의 성립에 따라 황태후와 태황태후에게도 사행을 파견하였다. 반대로 황태후와 태황태후 또한 자신의 명의로 사행을 파견하여 황제의 정단과 생신을 축하하였다. 상장의례 관련 사행으로는 다양한 형태가 나타나는데, 양국의 특수한 상황을 반영한 사행들이 새롭게 등장하였다. 마지막으로 범사는 다른 사행들과 달리 사행의 명칭을 통해서 그 파견된 목적이 드러나지 않고, 특별한 임무의 성격을 띠고 파견된 사행이다. 이러한 범사는 크게 3가지 형태로 구분하여 거란과 송 사이에 일어난 대소사의 문제를 해결하거나, 상대국에 중요한 정보를 알려야 할 때 파견되었다. 이처럼 거란과 송 사이의 국신사의 파견은 이전 왕조에서 나타났던 사행 교류와 다른 형태를 띠었다. 이러한 사행 교류는 양국 사이에서뿐 아니라 동아시아 고려, 서하, 여진 관계속에서도 찾아볼 수 있어, 거란과 송 사이의 사행 교류가 이 동아시아 외교형태의 모델을 제시했다고 볼 수 있다. 더불어 외교적 긴장을 해소하고 10-13세기 동아시아의 다원적 외교질서를 유지하는 하나의 큰 틀로서 작용했다고 볼 수 있다. Khitan and Song made Treaty of Shanyuan in 1004, promoting the settlement of peace. They dispatched guoxinshis to maintain their peaceful relations. There were various forms of guoxinshis with Sahaengs of new names emerging reflecting the unique situations of Khitan and Song. There were regular Sahaengs to celebrate emperors’ zhengdan and birthdays every year in both the countries. Sahaengs were even dispatched to empress dowagers and grand empress dowagers according to the formation of Uije family relations. Empress dowagers and grand empress dowagers would also dispatch Sahaengs in their own names to celebrate emperors’ zhengdan and birthdays. There were various forms of Sahaeng in relation to sangzangli with new Sahaengs emerging reflecting the unique situations of the two states. Finally, fanshi did not reveal its dispatch purpose through its name unlike other Sahaengs. It was a special Sahaeng with a special mission. There were three major forms of fanshi dispatched to solve all sorts of matters between Khitan and Song and inform each other of important information. These findings show that the dispatch of guoxinshi between Khitan and Song took different forms from the Sahaeng exchanges of previous dynasties. These Sahaeng exchanges were found in relations among other East Asian states including Goryeo, Xixia, and Jurchen as well as between the two states, which suggests that the Sahaeng exchanges between Khitan and Song presented a diplomatic model to other East Asian countries. They also served as a big framework to resolve diplomatic tension and keep the multi-state system of East Asia in the 10th-13th century.

국내 학교기반 보건교육 연구에 대한 설명적 문헌고찰(1990-2008)

박경옥,유빛나,송혜영,남영희,배정원,박신영,손우승,이송이,유현진 한국학교・지역보건교육학회 2009 한국학교지역보건교육학회지 Vol.10 No.1

국내 노쇠(frailty) 관련 연구의 체계적 문헌고찰

이은환,김희선,유빛나 사단법인 대한보건협회 2022 대한보건연구 Vol.48 No.2

Objective: This study aims to conduct systematic literature review on the studies related to frailty in Korea, and to suggest implications necessary for the direction of studies in the future. Methods: A systematic literature review was performed on all literature published in Korea related to frailty. The criteria for selection of the target literature were those that had frailty as the main research topic and that presented methods such as cohort studies, case-control studies, and clinical trials. Studies not related to frailty, studies with unclear methodologies, genetic studies, studies on animals, and studies not targeting Koreans were excluded. After reviewing the 45 documents finally selected through the above criteria, the literatures were classified and categorized according to the similarity of the research topic. Results: In this study, three categories of frailty studies were established: ‘risk factors of frailty’, ‘health outcomes due to frailty’, and ‘effects of the intervention program’. According to the selection criteria for this study, a total of 45 articles were included, 30 articles on factors related to frailty and health outcomes, and 15 articles on the effects of the intervention program. Conclusions: In order to overcome frailty, it is essential to conduct a comprehensive study using multiple interventions and effects from multiple angles. In future studies on frailty in Korea, it is necessary to study various and comprehensive risk factors on frailty and the characteristics of the elderly. It is also necessary to develop and study various indicators of health outcomes due to frailty. Finally, it is necessary to study the effects of a comprehensive and complex intervention program using a cohort and to prove a causal relationship. Through this, it is ultimately necessary to prepare a strong evidence for the risk factors, health outcomes, and intervention programs of frailty, thereby laying the foundation for national policy implementation for overcoming frailty among the elderly in Korea. 연구목적: 이 연구는 체계적 문헌고찰을 통해 국내 노쇠 관련 연구들을 살펴보고, 향후 우리나라 노쇠 관련 연구의 방향에 필요한 시사점을 제시하는 것을 목적으로 한다. 연구방법: 노쇠 관련 국내에서 출판된 모든 문헌에 대해 체계적 문헌고찰을 수행하였다. 연구대상 문헌의 선정기준은 노쇠를 연구주제로 하는 문헌이면서 코호트 연구, 환자-대조군 연구, 임상시험 등 연구방법론을 제시하는 문헌으로 하였다. 연구주제가 노쇠가 아니거나, 방법론이 명확하게 제시되지 않은 문헌, 유전 연구나 동물을 대상으로 한 연구, 한국인을 대상으로 하지 않은 연구는 제외하였다. 상기 기준을 통해 최종 선정된 45건의 문헌을 검토하여 연구주제의 유사성에 따라 문헌을 분류 및 범주화하였다. 연구결과: 이 연구에서 분류한 노쇠 연구의 범주는 총 세 가지로 ‘노쇠 관련 요인’, ‘노쇠로 인한 건강결과’, 그리고 ‘노쇠 중재프로그램 효과’로 범주화하였다. 이 연구의 선정기준에 따라 연구대상으로 포함된 문헌은 총 45편으로, 노쇠 관련 요인 및 건강결과에 대한 연구는 30건, 노쇠 중재 프로그램 효과와 관련된 문헌은 15건으로 나타났다. 결론: 노쇠의 극복을 위해서는 복합적인 중재를 사용하여 다각도에서 그 효과를 살펴보는 포괄적 연구를 수행하는 것이 핵심이다. 향후 우리나라의 노쇠 관련 연구에서는 노쇠 위험요인과 노쇠 노인의 특성에 대한 다양하고, 포괄적인 요인연구가 필요하다. 또한 노쇠로 인한 건강결과의 다양한 지표를 개발하고 연구하는 것이 필요하다. 끝으로 노쇠 코호트를 활용한 종합적이고 복합적인 노쇠 중재프로그램의 효과를 연구하고, 인과관계를 증명하는 연구가 필요하다. 이를 통해 궁극적으로는 노쇠의 위험요인, 건강결과, 중재 프로그램에 대한 체계적인 근거를 마련함으로써 우리나라 고령자들의 노쇠 극복을 위한 국가적인 정책추진의 기반을 마련하는 것이 필요하다.

의료기술평가연구에서 연구주제와 질병부담과의 관련성

김희선,이지수,유빛나 대한의사협회 2016 대한의사협회지 Vol.59 No.7

The National Evidence-based Healthcare Collaborating Agency (NECA), an institution for health technology assessment in Korea, has used public solicitation of research topics since its establishment in 2009. This creates a necessity for examining whether a given research topic was selected to be considered when prioritizing healthcare technology assessment and distributing healthcare resources. This study aimed to investigate the relationship between the research topics suggested to NECA and the disease burden in Korea. To find the correlation between disease burden and 1,112 suggested topics and 91 performed topics that were classified by Human Research Classification System a linear auxiliary trend line and scatter plot were constructed using disability-adjusted life years (DALYs), and Pearson’s correlation coefficients were calculated. The results suggested that cancer was most common, followed by cardiovascular diseases, among suggested research topics and research topics performed by NECA, as well as in terms of the ratio of performed to suggested topics. The correlation between research topic and disease burden index indicated a strong correlation with DALYs and years of life lost (YLLs). However, years lived with disability and research topic had no relationship. Suggested topics showed a greater correlation with YLLs than DALYs, whereas performed topics showed a greater correlation with DALYs than YLLs, showing that despite the fact that the diseases with a high burden from morbidity were appropriately considered with respect to selecting research topics, a statistically significant difference was not found. As the first Korean study to assess the correlation between research topics and disease burden, our results will be used as base data for prioritizing the allocation of healthcare resources in the future. With development of medicine and health technology and increased social benefits in Korea, medical resource is becoming more and more scarce [1]. This is also becoming a problem in developed countries, such as the USA and the UK, where public health assessment institutes are being operated to solve this problem. In Korea, the National Evidence-based Healthcare Collaborating Agency (NECA) was established in 2009 to support reasonable decision-making in the nation’s social insurance system, which lacked evidence-based decision-making system at the time [2]. Since its establishment for this purpose, NECA has conducted research which reflected opinions of various groups on the healthcare priorities by way of open topic suggestions. Being one of the methods to investigate research topics by health technology assessment institutes around the world, the open topic suggestion is capable of reflecting public opinions [3] but not of deciding whether or not a selected topic is a high priority. This creates a necessity to examine whether or not a research topic was selected properly based on the priority list, which would be possible by exploring correlation between a research topic and disease burden [4-6], an important factor to be considered when prioritizing healthcare technology assessment and distributing healthcare resources. NECA currently prioritizes the effect of burden of disease over those of other factors when deliberating the appropriateness of a selected research topic. Still, there is a need to develop an approach that allows experts to make quantitative comparisons between disease burdens, thereby allowing a more systematic selection of research topics of research topics. The UK Clinical Research Collaboration (UK-CRC) have conducted studies to find gaps and opportunities between research associated with World Health Organization between 2006 and 2007 and worldwide disease burden [7-9]. Other studies have also explored the correlation between research fund and disease burden in the health and medical research and development [10-13] or analyzed research trends among published health technology assessment articles [14]. However, none of the previous studies have conducted a study of topics suggested or researched by government or institute for health technology assessment. This study was aimed at exploring topics suggested and researched between 2009 and 2014 by NECA, an institute for health technology assessment in Korea, classifying them according to the Human Research Classification System (HRCS) of UK-CRC, and examining their correlation with disability-adjusted life years (DALYs), YLLs and YLDs in the global burden of diseases (GBD) 2010. Health Technology Assessment (HTA) research in this study refers to studies conducted by NECA.

WHO-ICOPE를 통해 살펴본 건강 노화를 위한 지역사회 노인통합케어 방안

김희선,박주현,유빛나,하은미,원장원 한국보건의료기술평가학회 2021 보건의료기술평가 Vol.9 No.1

As people are getting older, the needs for their health are more likely to become chronic and complex. However, existing health systems are not suitable to deal with these needs. The WHO Integrated Care for Older People (ICOPE) includes guidelines on community-level interventions to manage declines in intrinsic capacity with 13 evidence-based recommendations for health. It offers an approach that helps health necessity and social care providers to comprehend, design, and enact a person-centered and coordinated model of care. This study confirms that it provides us with the following implications by analyzing the ICOPE program. First, this study confirms through empirical analysis 13 recommendations of ICOPE proposed by systematic literature reviews that are organically linked, enabling evidence-based integrated management. Second, this study demonstrates that ICOPE provides the necessary elements for integrated care among older adults within the community through an evidence-based approach, including guidelines, implementation frameworks, and handbooks. Furthermore, this study confirms that ICOPE proposed micro and macro elements based on individual evaluation and organization of mediation services and systems. It also means that ICOPE emphasizes the importance of national governance for the organization and services implementation other than service design and the evaluation of individual units. Third, this study shows that ICOPE refers to a robust primary care-based system as an essential factor for integrated management of older adults. It also reveals that ICOPE emphasizes efforts to strengthen primary care policies to receive integrated services without weakening the intrinsic function of older people within the community. In conclusion, as suggested in ICOPE based on primary care enhancement policies for elderly integrated care, this study suggests making efforts to provide a link between medical care and long-term care services, and another between medical and welfare services organically. This study presents the need for continuous research, policy development, and monitoring, focusing on 13 recommendations and implementation strategies proposed by ICOPE.

중고령자에서의 건강행위 군집과 건강결과와의 상관성 연구

이은환 ( Eun-whan Lee ),유빛나 ( Bit-na Yoo ),김욱 ( Wook Kim ),김희선 ( Hee-sun Kim ) 대한보건협회 2017 대한보건연구 Vol.43 No.3

연구목적 : 이 연구는 급격한 고령화가 진행되고 있는 우리나라에서 노년기를 바로 앞든 중고령자들을 대상으로 포괄적인 건강행태 군집 유형을 분류하고, 유사 건강행위 군집별 특성을 분석하기 위해 수행되었다. 연구방법 : 본 연구에서는 흡연, 음주, 규칙적 운동 여부를 표준화하고 이에 대한 군집분석을 실시하여, 수동적 태도군, 적극적 태도군, 흡연군, 음주군, 건강염려군, 건강무관심군 등 총 6개의 군집으로 분류하였다. 연구결과 : 수동적 태도군은 흡연/음주/운동 점수가 모두 낮은 군이었고, 적극적 태도군은 흡연/음주는 낮고 운동 점수는 높았다. 흡연군은 음주/운동은 낮고, 흡연 점수가 높았고, 음주군은 흡연/운동 점수는 낮고 음주 점수가 높은 군이었다. 건강염려군은 흡연/음주 점수가 높으면서 운동 점수 또한 높았고, 건강무관심군은 흡연/음주 점수가 높고 운동 점수는 낮은 군이었다. 결론 : 본 연구는 개별 건강행태들이 분절적이 아닌 상호 연계성을 가지고 있는 것을 고려하여 이를 종합한 포괄적 지표를 제공하였다는데 의의가 있다. 특히 이 연구에서는 선행연구에서 고려하지 못한 다양한 중고령층의 특성을 반영하여 군집을 분류하였고, 그 결과 모든 연령층을 대상으로 한 선행연구의 군집 특성과 다른 양상을 보임을 확인할 수 있었다. 이 연구는 건강한 노년을 위한 중고령층의 건강위험행위 중재 정책에 있어서 유용한 기초자료로 활용될 수 있을 것이다. Objective : This study focuses on the types of health-related behavior clusters in middle-aged persons and examines the nature of each cluster, the relationship between the clusters, and health-related outcomes. Methods : Cluster analysis was performed on standardized items, such as smoking, drinking, and exercise. Results : As a result of cluster analysis, we categorized the items into the following clusters: passive attitude cluster, active attitude cluster, smoking cluster, drinking cluster, health anxiety cluster, and health indifference cluster. Conclusion : This study contributes to the field by conducting exploratory research on clustering health behaviors and examining the correlation between their general characteristics and chronic disease status. Especially, we found that the results of this study have different aspects compared to previous studies that were conducted in all ages. This study can be valuable information to serve as a foundational source for mediating middle-aged persons` health risk factors.

대학생 주거 실태 조사 및 창업공간에 관한 연구

장수진(Jang, Su-Jin),유빛나(Lyu, Bit-Na),황성은(Hwang, Sung-Eun),강부성(Kang, Boo-Seong) 대한건축학회 2018 대한건축학회 학술발표대회 논문집 Vol.38 No.2