남·북한 인구보건지표와 보건의료서비스제도의 비교연구

조성남 이화여자대학교 한국문화연구원 1994 韓國文化硏究院 論叢 Vol.64 No.2-3

This paper has sketched the health indicators and the systems of health services in North and South Korea. It is a picture drawn with broad strokes in an attempt to portray the distinguishing features of each. It provides some comparisons between the North Koreas health care system and that of the South Korea. Until very recently, little has been known about population conditions and health status of the population in the North Korea. The almost complete statistical blackout has prevailed over North Korea to the present day and North Korea has been a country of demographic mystery. The unavailability of statistical information about North Korea reflects the longstanding determination by the political leadership of this closed nation control information about the country. In 1989, however, North Korean officials released to the United Nations a set of tables on its population and related social indicators. While these statistics are more limited, and perhaps less accurate, than the data commonly available for many other countries, they constitute vastly more information on the population than has ever before been available about North Korea. Based on these recent statistics available, general information about the populations of two Koreans and such basic health indicators as life expectancy, fertility and mortality levels, and the cause of death were compared. Though the medical, social, economic, and political systems of North and South Korea are very different, both countries have achieved a fairly low mortality and fertility level, and are characterized by similar patterns of cause-of-death. Both Koreas also seem to have achieved a relatively high expectations of life at birth and low infant mortality for developing countries. In this paper, I have also shown that each health service system has its own unique response to the social, political, and economic conditions of the country. In order to understand how the health service systems are organized and operated in South & North Korea, the differences between planning and regulation of the health care systems have been compared. They are different in the mechanism that they use to provide care. The North Koreas health service system operates on the principles of state ownership and management of medical and public health facilities, and provision of care at no direct cost to the patient. It is essentially a socialized health service system for the provision of health care. The North Koreas health care system appears to be strongly geared toward extensive and preventive treatment. North Korea has a system of universal comprehensive care for its population. All people can use the system at no direct cost, and there are virtually no economic barriers in obtaining health care. North Korea has made the delivery of health services a function of government. The government has a central role in planning and regulating health care. The government also employs physicians, nurses, and other professionals to provide health care to patients at public expense. In North Korea, health professionals are government employees. They work for a salary and the system is funded through general taxation. In comparison to the North Korean system, the health service system in South Korea is a complex and often bewildering process. South Korea has established democracy with a market economy. Most people is South Korea feel that health care is commodity to be allocated through a market system. Health care delivery in South Korea therefore is guided by the demand and supply mechanism with the value of personal liberty and free choice. There also has been a system of public welfare that has provided health care for the poor and other selected groups of individuals. South Korea has a mixed arrangement by free market and social welfare system that uses health insurance, patient fees, public funds, and some general taxes to pay for health care. In South Korea, most of health care professionals are independent. There is relatively less centralized planning and regulation, and no unified system of health care delivery in South Korea. Programs are enacted in piecemeal fashion in efforts to "close the gaps" in a loosely connected set of health services. It is flexible and innovative, but it is also expensive and piecemeal. In South Korea, regional differences in the distribution of health services remain an issue, even though public concern over inequalities in health and health care in general has been increased since the inception of the health insurance. Both South and North Korea have to find its solution with a mutually agreeable and acceptable system of health care for the population of the unified nation in the future.

무마취 가토에서 일측 신장내에 투여한 Angiotensin Ⅱ와 Angiotensin Ⅲ가 신장기능에 미치는 영향

조성남,김선희,박태선,이대열,박성광,강성귀,조경우 대한신장학회 1989 Kidney Research and Clinical Practice Vol.8 No.1

Angiotensins have been proposed to play a key role in the renal regulation of water and electrolyte balance. But a direct effect of angiotensin Iiand angiotensin III on renal function is still controversial. So experiments were carried out in unanesthetized rabbits to compare the changes of renal function after angiotensin II and angiotensin III were infused into the renal artery. Both angiotensin II and angiotensin III caused a dosedependent decrease on urine volume along with a decrease of GFR, renal blood flow, fractional excretion of sodium, free water clearance and excreted amount of sodium, potassium, and chloride. There was no significant change of filtration fraction. The changes seemed to be the consequence of increased tubular sodium reabsorption and modulation of glomerular hemodynamics. There was no significant change of blood pressure throughout the infusion. Angiotensin II and angiotensin III appeared to be equipotent in their abilities to change several parameters of renal function. The present study suggests that angiotensin II and angiotensin III appear to share the same receptors in the kidney.

전통옹기의 계승과 융합에 의한 현대옹기의 확장과 변용

조성남 한국전시산업융합연구원 2019 한국과학예술융합학회 Vol.37 No.4

본 연구는 한국적인 아름다움의 표상으로서 전통 옹 기문화 계승의 필요성을 인식하고 시작되었다. 근대화로 인하여 우리의 문화지형은 과거와의 단절과 급격한 서구화를 경험하고 문화적 정체성을 계승하는 방안으로 전통문화의 가치를 새롭게 인식하게 되었다. 전통옹기는 생활과 가장 밀착된 문화의 하나로서 인 간의 삶의 요건인 식문화를 비롯한 주거공간에서도 요 긴한 생활용품으로 생산되어 광범위하게 활용되었다. 그러나 현대 사회는 기술의 발전과 새로운 매체의 출현으로 옹기의 효용가치가 축소되어 이제는 소수의 계승자들에 의해 명맥을 유지하고 있는 실정이다. 본 연구의 목적은 현대적인 시각으로 재해석된 전통 옹기의 현대적인 변용과 현대화 현황을 살펴봄으로써 옹기문화의 현대적 의미를 논하고자 한다. 본 연구의 결과는 다음과 같다. 첫째, 전통옹기의 계승에서 전통공방을 운영하는 옹 기장들은 전통기법의 계승에도 치중하지만, 현대옹기의 달라진 개념을 동시에 추구함으로써 옹기에 대한 관점을 현대적 인식으로 확대하였음을 알 수 있었다 둘째, 현대미술의 영역으로서 옹기를 해석하는 현대의 도예가들은 옹기의 물리적 성질이나 제작공정 등 실재하는 것에 대하여 실험적 태도로 접근하고 있으며, 작가의 내면과 연속성을 갖고 옹기조형을 탐구하는 자세를 취하고 있음을 알 수 있었다. 셋째, 실용성을 중심으로 한 현대의 옹기는 현대사회의 감성이나 요구에 따라 변화되고 있으며, 도예가들은 옹기를 표현매체로 선택하여 디자인 감각을 접목한 옹 기실용기의 제작이 이루어짐을 알 수 있었다. 전통사회에서 옹기는 그릇으로서의 목적이 중심이 되었으나 현대사회에서의 옹기는 실용의 범위를 넘어 서 예술로서 인식되고 있다. 옹기를 제작하는 장인 및 도예가들은 옹기의 외적조형 이외에도 옹기의 정신적 인 기반을 이해하고 해석함으로써 옹기의 현대화를 추 구하고 있다. 현대옹기의 많은 부분이 전통옹기의 그 것과는 이질감을 갖기도 하지만 의식의 변화에 적극적 으로 반응해온 전통옹기의 기본정신이 오늘날에도 이 어지고 있어서 전위적인 자세로 현대사회의 변화를 해 석하고 적응하는 현대옹기와 같은 맥락으로 이해할 수 있다. 또한 이러한 현대옹기의 변용을 이해함으로써 미래의 옹기전통의 새로운 틀을 이어갈 수 있을 것으 로 기대된다. This study was started after cognizing the necessity to succeed to the traditional pottery culture as a symbol of Korean beauty. The value of traditional culture was newly cognized as the measures for succeeding to the cultural identity after experiencing the severance of the past and the rapid westernization due to the modernization. As one of the culture the most closely related to our living, the traditional pottery was extensively used as essential household items even in residential space including food culture as a requirement for human’s life. However, with the technical development and appearance of new media, the effective value of pottery has been reduced in modern society, so that its existence is barely kept by a few successors now. The objective of this study is to discuss the modern meanings of pottery culture, by examining the current state of modernization and modern transformation of traditional pottery reinterpreted in the modern perspective. The results of this study are as follows. First, in the succession of traditional pottery, the potters who were running the traditional workshops not only concentrated on the succession of traditional techniques, but also expanded the perspective on pottery to the modern perception by pursuing the changed concept of modern pottery at the same time. Second, the modern potters interpreting the pottery as an area of modern art, had the experimental attitude toward the existence such as physical property or production process of pottery. Based on the inner side and continuity of artists, they had an attitude to explore the pottery formation. Third, the modern pottery focusing on the practicality was changing in accordance with the sensitivity or needs of modern society while the potters were producing the practical pottery items by selecting the pottery as a medium of expression and combining a design sense. Even though the main purpose of pottery was the tableware in traditional society, the pottery in modern society is cognized as an art after exceeding the range of practical use. The master artisans producing pottery and potters are pursuing the modernization of pottery by understanding and interpreting the spiritual basis of pottery, on top of the external formation of pottery. Even though a lot of the modern pottery are different from traditional pottery, the basic spirit of traditional pottery that has actively responded to the change of consciousness, is continued till today, which could be understood in the same context with the modern pottery that interprets and adapts to the change of modern society based on the avant-garde attitude. Also, by understanding this transformation of modern pottery, the new frame of pottery tradition could be continued in the future.

클라우드 환경에서 헬스케어 데이터를 위한 효율적인 암호화 기법

조성남,정윤수,오충식 중소기업융합학회 2018 융합정보논문지 Vol.8 No.3

최근 의료 서비스 분야는 사용자의 헬스케어 데이터를 효율적으로 관리하기 위해서 클라우드 서비스를 이용하고 있다. 그러나, 클라우드 환경에서 처리되는 사용자의 헬스케어 데이터의 안정성을 보장하는 연구는 미진한 상태이다. 본 논 문에서는 클라우드 환경에서 헬스케어 데이터를 효율적으로 암호화하는 부분 랜덤 암호화 기법을 제안한다. 제안 기법은 병원 의료 서비스에 최적화하도록 사용자가 생성하는 랜덤키(p, q)를 2개 생성하여 공개키와 개인키 생성에 반영한다. 제안 기법에서 사용되는 랜덤 키는 데이터를 전체 암호화하지 않고 일부분만을 암호화하여 사용자의 헬스케어 데이터 처리 효율 을 향상시켰다. 성능평가 결과, 제안 기법은 암호화 생성 비용을 평가한 결과 기존 기법에 비해 21.6% 낮추었고, 병원 내 사용자 헬스케어 데이터 처리 시간도 18.5% 향상된 결과를 얻었다. Recently, healthcare services are using cloud services to efficiently manage users' healthcare data. However, research to ensure the stability of the user's healthcare data processed in the cloud environment is insufficient. In this paper, we propose a partial random encryption scheme that efficiently encrypts healthcare data in a cloud environment. The proposed scheme generates two random keys (p, q) generated by the user to optimize for the hospital medical service and reflects them in public key and private key generation. The random key used in the proposed scheme improves the efficiency of user 's healthcare data processing by encrypting only part of the data without encrypting the whole data. As a result of the performance evaluation, the proposed method showed 21.6% lower than the existing method and 18.5% improved the user healthcare data processing time in the hospital.

질염

조성남 대한산부인과학회 2004 연수강좌 Vol.33 No.-

전라도 무형문화재 옹기장의 융복합적 환경변화에 따른 전통옹기공방 운영현황

조성남 한국전시산업융합연구원 2019 한국과학예술융합학회 Vol.37 No.1

This study aimed to seek for the measures for succeeding the expansive pottery culture based on the tradition of Jeolla-do pottery. The Western culture adopted with the modernization has brought the ground-breaking changes in the traditional lifestyle. With the introduction of new raw materials and power, and the development of machines, the large quantity of industrial products replacing the traditional household items like pottery was spread. The flow of change was led to the decreased demand for pottery. With the decrease of pottery workshops and pottery masters, diverse policies for the preservation of traditional pottery were implemented. The designation of pottery masters as intangible cultural heritages could be a part of this preservation policy. Currently, the intangible cultural heritage pottery masters in Jeolla-do include Jeong, Yoon-Seok, Lee, Hak-Soo, Ahn, Si-Seong, and Lee, Hyeon-Bae. The intangible cultural heritage pottery masters are facing the situation of inheriting the pottery tradition and also adapting themselves to the changed manufacturing consumption environment of modern times. The purpose of this study is to establish the foundation for succession and modernization of Jeolla-do pottery tradition. Therefore, this study was intended to investigate traditional pottery succession done in the actual field and the current situation of workshops based on Onggijang, the intangible cultural asset of Jeolla-do. The details and the results are as follows. First, the utilization of heavy equipments in the clay process of pottery workshops was the measures for replacing the labor force, which was the change for the succession of pottery tradition. Second, the Surejil technique in the pottery shaping was an important process containing the strong tradition of handwork, compared to other processes. Third, the production of board fence as a differentiated characteristic of the shaping technique of Jeolla-do pottery showed the crossed will to stick to the tradition and also to pursue the efficiency of pottery production through the coexistence of production by handwork and wedging table. Fourth, the improvement of pottery spinning wheel and shaping tools showed the characteristics of pottery culture based on the practicality by pursuing the practicality in the selection of spinning wheel and tools. Fifth, as the pottery masters performed the whole processes of pottery production, the omission of hand-painting accompanied in the glazing process reflected the simplification of manufacturing process and the change of production items like daily dishware. Sixth, the efficiency of pottery production was sought for by adjusting the production period in accordance with the decreased products, reducing the size of kilns for reducing the production cost, or utilizing the modern-style kiln. Seventh, the traditional pottery like pots was standardized with less items while the small-size living pottery and work pottery emphasizing the formative elements were diversified, which showed the changes in pottery products considering the changes of consumption pattern. The purpose of succession of tradition is toestablish the identity of pottery culture, and also to create the new cultural value, instead of simply maintaining the old stuff. Based on these results, this study is expected to become a practical foundation for understanding of the current situation of pottery workshops and for succession of future-oriented pottery tradition. 본 연구는 전라도 옹기의 전통을 토대로 발전적인 옹기문화의 계승방안을 모색하고자 시작되었다. 근대화와 함께 수용된 서양의 문물은 전통적인 생활 방식의 획기적인 전환을 가져왔다. 새로운 원료 및 동 력도입, 기계의 발달로 옹기와 같은 전통 생활용품을 대체하는 산업제품들이 대량으로 보급되었다. 변화의 흐름은 옹기 수요의 감소로 이어졌으며 옹기 공방과 옹기장이 줄어들면서 전통옹기의 보존을 위한 다양한 정책들이 실시되었다. 옹기장에 대한 무형문화재 지정은 이러한 보존정책 의 일환이라고 할 수 있는데 현재 전라도 무형문화재 옹기장은 정윤석, 이학수, 안시성, 이현배 옹기장이 있 다. 무형문화재 옹기장은 옹기전통을 계승하면서 현대 의 변화된 생산 및 소비환경에 적응해야 하는 상황에 직면해있다고 할 수 있다. 본 연구의 목적은 전라도 옹기전통 계승과 현대화를 위한 토대가 되고자 하는 것이다. 따라서 본 논문은 전라도 무형문화재 옹기장을 중심으로 실제 현장에서 이루어지는 전통옹기 계승과 공방현황에 대한 조사·연 구를 시도하였다. 연구결과 및 내용은 다음과 같다. 첫째, 옹기공방의 점토가공에서 중장비의 활용은 노 동인력을 대체하는 방안이며 이는 옹기전통의 계승을 위한 변화임을 알 수 있었다. 둘째, 옹기성형에서 수레질은 각 무형문화재의 옹기 제작에서 다른 공정에 비해 수작업의 전통이 강하게 남아있는 중요한 공정임을 알 수 있었다. 셋째, 전라도옹기 성형기법의 차별적 특징인 판장제 작은 수작업과 토련기에 의한 제작이 공존함으로써 전 통고수와 옹기제작의 효율성을 추구하려는 의지가 교 차됨을 알 수 있었다. 넷째, 옹기물레와 성형도구의 개량은 물레와 도구의 선택에서 실용성을 추구함에 따라 실용성을 바탕으로 한 옹기문화의 특징을 살펴볼 수 있었다. 다섯째, 옹기장이 옹기제작 전 과정을 수행함에 따 라 시유과정에서 수반되는 수화문의 생략은 생산 공정 의 단순화와 일상식기류 등 생산품목의 변화를 반영하는 것임을 알 수 있었다. 여섯째, 생산수량의 감소에 따른 생산주기 조정과 생산 비용 절감을 위하여 가마크기를 줄이거나 현대식 가마의 활용을 통해 옹기번조의 효율성을 꾀하는 것을 알 수 있었다. 일곱째, 항아리류와 같은 전통적인 옹기는 획일화되 고 품목이 줄어든 반면 조형적 요소를 강조한 작품옹 기와 작은 규모의 생활용기가 다양해짐에 따라 소비패 턴의 변화를 고려한 옹기생산품의 변화양상을 살펴 볼 수 있었다. 전통계승의 목적이 단순히 옛것을 고수하는 것이 아 닌 옹기문화의 정체성을 확립하고 이를 바탕으로 새로 운 문화적 가치를 창출하는데 있을 것이다. 이러한 연구결과를 바탕으로 옹기공방의 현황을 이 해하고 미래지향적인 옹기전통 계승을 위한 실질적인 토대가 되기를 기대한다.

사회계층별 의료서비스 이용행태에 관한 일 연구

조성남 이화여자대학교 한국문화연구원 1992 韓國文化硏究院 論叢 Vol.61 No.2

This study examines the process of care-seeking behavior for medical treatment among different social classes. The investigation of the relationship between social class and care-seeking behavior in this study emphasizes the process by which people in different social classes come to be perceived as ill and how they respond to illness. Five main aspects of care-seeking behavior and health service utilization are investigated : (1) the types and quantity of health services used for different purposes of care, (2) the perceived severity of illness symptoms and perceived efficacy of different types of health service, (3) the values of health, beliefs about different types of health services, (4) attitudes toward providers as well as general health care orientations, and (5) sources of information about health services among social classes. The data set used in this study is drawn from a small sample survey conducted with a questionnaire by the author in 1990. A total of 355 cases with reasonably homogeneous subsets of different social classes were collected and analyzed. Families in different social classes were treated as the unit of analysis for this study. The occupation of the household head was used as a basic indicator of the social class variable. Housewives were chosen as respondents, who would provide the most information about care-seeking behavior of all members of the family as well as their own values and beliefs about health and health services. The research findings show that people from the upper classes used health services more than those from the lower classes. Moreover, visiting physicians was the primary source of care for most people in the higher class, while pharmacies were the primary source of care for the lower class. Whether in regard to actual use or in response to hypothetical symptoms, people in the higher class were more likely to use physicians while the lower class were more likely to use pharmacies. For symptoms such as a sudden feeling of weakness and joint pains, the respondents, regardless of social class, preferred to use Chinese medicine. In terms of actual utilization, however, the higher class respondents used Chinese medicine more often than the lower class. It was also found that the higher class were more likely to use Chinese medicine, particularly herbal medicine, for the purpose of maintaining good health while the lower class used mostly acupuncture for symptom relief and treatment of acute problems. In order to account for differences in the patterns of health services use among social classes, social psychological factors which have been shown to be associated with the use of health services, were examined. These variables included definition of health and illness, perceived susceptibility, perceived severity of symptoms, perceived efficacy, health locus of control, health care orientation, attitudes toward doctors, and social networks. Findings show that more people in the higher class perceived themselves more susceptible to illness than the lower class. However, there seems to be no significant social class difference in their perception of seriousness of symptoms. Although there were minor differences in the perceived seriousness of symptoms, the rank order of perceived seriousness was nearly identical for social classes. This suggests that cultural knowledge about illness may be homogeneous for social classes. Class differences of beliefs in health locus of control were also not significant. However, the higher class people were found to have more positive orientations toward health services as well as more positive attitudes toward doctors than the lower class. These findings suggest that the positive attitudes among the higher class toward doctors and health services may lead to more visits to physicians, while more negative attitudes by the lower class may become a barrier to seek physicians and health services.

국내 산업도자디자인의 현실과 방향성연구 : 식기디자인을 중심으로

조성남 대불대학교 2001 論文集 Vol.7 No.1

The concept of ceramics as fine art and industrial ceramic as products of machineries are not different from each other and in the side of utilization in human life or stimulus of senses they play the same role. Generally, things that are called art-pictures, sculptures, constructions, industrial arts and so forth- are related to human instinct ultimately and accepts the sensitivity of humans. There are common in the way they express the mental world of humans and they have existed for an important purpose of managing life. Reaching the 19th century, pictures and sculptures were classified as fine art, industrial arts as applied arts and applied arts were considered as a lower concept of fine art. However today, in the times where the practical use and artistics of industrial arts are recognized, ceramic arts including industrial ceramic are being accepted as a concept of broad sense. This, in other words means that the practical use and artistics of the industrial ceramics field is being recognized. In the past, when the principle of industrial design were decide upon the commercialization and production, today it takes serious consideration on human sensitivity. With this, with the demands of function, the artistic sense or the beauty is being expressed. These recognition have increased recently and in the modern society, even in the field of industrial ceramics, the functions of the patte군 are not emphasized but the function and formation factors are harmonized so it can be expected to influence the emotions. In this study, these changes were researched and with the development of harmonized design of formative beauty and functional beauty and through the research of design that influences us psychologically, the understanding of the state of industrial ceramic design and the direction of the future is presented as an aim.

韓國 知識人의 役割과 課題

조성남 이화여자대학교 문리과대학 사회학과 사회학회 1977 社會學硏究 Vol.- No.13

세계체계 분석의 사회과학 방법론적 쟁점

조성남 이화여자대학교 대학원 사회학과 1991 이화 사회학 Vol.- No.1