http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
사람면역결핍바이러스 감염인 및 후천면역결핍증후군 환자 지원을 위한 보건의료정책
최재필 대한의사협회 2024 대한의사협회지 Vol.67 No.3
Background: Individuals living with human immunodeficiency virus (HIV) encounter challenges throughout the care continuum, right from the time of diagnosis to the culmination of the treatment process. Current Concepts: The Republic of Korea, like many other countries, has been addressing the needs of people living with HIV (PLWH) by providing financial support for medical expenditures. Currently, HIV counseling specialist nurses offer psychological support at 28 institutions, assisting patients in maintaining viral suppression state and adhering to antiretroviral therapy. Care and welfare services are also provided by non-governmental organizations funded by the Korean Disease Control and Prevention Agency (KDCA). The accessibility of medical institutions for PLWH has seen gradual improvement, with KDCA issuing guidelines for healthcare facilities catering to this population. In addition, the legal and medical insurance coverage issues related to long-term care institutionalization have been addressed. However, PLWH continues to face challenges in treatment and hospitalization, especially with a recent increase in immigrant PLWH, highlighting a lack of support for undocumented immigrants seeking treatment. Discussion and Conclusion: Healthcare policies are shifting from merely managing, isolating, and treating PLWH to prioritizing their human rights. Going forward, it is imperative to empower PLWH and support their self-care efforts.
최재필,조형규,최현철,황용하 대한건축학회 2003 대한건축학회논문집 Vol.19 No.11
The purpose of the ERAM model proposed in this paper is to analyze the spatial importance immanent in the intrinsic structure of spaces. Use of the adjacency matrix representing the connection of spaces makes it possible to analyze the spatial structure itself. On the assumption that a large number of people move continually at random in the system, the ratio of elements in any row of the n-th power of the adjacency matrix means the ratio of people of all nodes in equilibrium. Mathematically, it is the ratio of eigenvector corresponding to the dominant (maximum) eigenvalue, Therefore it is the attribute immanent in the structure of spaces itself. Moreover, it is possible to consider the relative level of attraction of spaces and the relative flow from spaces to spaces only by putting the gravity on the adjacency matrix. The ERAM model brings forth the flexible result reflecting the relativity of spaces and flows.
초고층 건축물의 ‘대피층’ 및 ‘대피공간’ 개념 도입 방안
최재필,박영섭,강범준,이윤재 대한건축학회 2005 대한건축학회논문집 Vol.21 No.11
In recent years there has been a rapid growth in construction of high-rise residential buildings. Fire safety in high-rise residential buildings has become the most significant problem among the related issues, many of which focus on the development of ‘refuge floors' or ‘refuge areas'. The objective of this study is to discuss the fire codes in other countries and the applications of a designated refuge floor or refuge area in them, and to develop the concept of them in finding a way to ensure the safety performance in high-density buildings. The current domestic code prescribes the ‘refuge floor' only as a story having exits directly linked to the ground floor. Whereas the building codes for fire protection in some countries require the provision of refuge floors/areas as a requisite part of the exit system, the definition of a ‘refuge floor' in domestic codes is only limited to the ground floor. In this concern, it is intended in this study to discuss the schematic development of ‘refuge floors' in search of improvement in current regulations, and to analyse the effectiveness of the application of it through the evacuation simulation using SIMULEX. The simulation results are as follows : the evacuation time can be evidently reduced if refuge floors are provided in the intermediate floors, and in terms of the accumulative empty time through the whole evacuation process, the time efficiency can be much improved in case refuge floors are provided, which means the more people can escape in the relatively earlier stage of emergency. The estimated required refuge area takes up less than one household unit in our simulation case study, so the additional cost for the refuge area can be of less burden.
최재필,최소영,한규빈,유세원 대한건축학회 2020 대한건축학회논문집 Vol.36 No.6
As a result of the recent growth in children’s spaces in urban entertainment centers targeting family customers, the concerns on child losshas been increasing as well. This research develops a guideline to prevent child loss in advance through the environmental design in urbanentertainment centers. The guideline was prepared by reviewing literatures in order to determine the planning factors and environmentalfactors that prevent child loss in urban entertainment centers. In addition, it was finalized by deleting and editing the list that has no effecton child loss or problems in performance through consultations with experts. This guideline suggests the method of preventing child loss inthe direction(aim) of the prevention required for each process of children getting lost, finding directions, and discovering their guardians. Inother words, it focuses on enhancing guardian’s child-watching, and preventing children’s breakaway in the aspect of children getting lost. The guideline also concentrates on improving children’s wayfinding abilities and employee’s searching abilities in the aspect of childrenfinding directions and reuniting with their guardians. 최근 가족고객을 타깃으로 한 복합상업시설 내 키즈공간이 증가하고 있고, 이에 따라 미아 발생에 대한 우려 또한 증가하고 있다. 따라서 본 연구에서는 복합상업시설의 환경설계를 통해 사전에 미아를 방지할 수 있는 가이드라인을 개발하고자 하였다. 이를 위해 문헌고찰을 함으로써 복합상업시설 계획요소와 미아방지 환경요소를 도출하였고, 가이드라인을 작성하였다. 그리고 전문가 자문을 통해 미아방지 효과가 없거나 실적용에 문제가 있는 항목들을 삭제하거나 수정보완함으로써 최종 미아방지 환경설계 가이드라인을 제시하였다. 본 가이드라인은 미아발생, 길찾기, 발견의 과정(단계)별로 요구되는 미아방지 방향(목표)에 대한 미아방지 방안을 제시하였다. 즉, 미아발생의 측면에서 보호자의 아동관찰 용이성을 향상시키는 방안과 아동 이탈을 방지하는 방안을 제시하였다. 그리고 길찾기와 발견의 측면에서 아동의 길찾기와 직원의 미아 수색의 용이성을 향상시키는 방안을 제시하였다. 해당 가이드라인이 실제로 복합상업시설에 적용된다면, 미아발생을 감소시킬 수 있을 것이다.
Analysis on the Causes and Characteristics of Child Loss through Surveys
최재필,최소영,유세원,한규빈 대한건축학회 2022 Architectural research Vol.24 No.3
Since lost child occurs frequently around us and there is a possibility of leading to an accident or a crime subsequently, it is necessary to study and have a plan for preventing child loss in advance. However, the preceding studies do not systemize the causes of child loss by places or situations, and the policy focuses only on the countermeasures afterward instead of prevention. In such perspective, this study derived the causes of child loss through the analysis of 202 cases by the bottom-up method. In addition, the causes were analyzed by dividing them into as negligence of guardian, breakaway of child, and environmental characteristics. As a result, it is found that children get lost by complex reasons usually with two or three causes combined together. And children got lost when guardians were not able to pay attention to their children, or when children moved away from their guardians. Furthermore, the environmental characteristics act as the catalyst by arousing child loss or making it more difficult for guardian to find the lost child. As a fundamental research, this study may be helpful in developing a environmental design certification system for preventing child loss in advance.
최재필,Choi, Jae-Phil 연세대학교 의과대학 2012 의학교육논단 Vol.14 No.2
As North Korea passed from the Devotion (Jeongseong) movement to the black market (Jangmadang) system, the medical service system in that country was effectively destroyed. North Korean physicians who have successfully defected to South Korea (North Korean defector physicians, NKDPs) have experienced socio-economic hardships on their way to becoming incorporated into the South Korean medical system due to different medico- social cultures, different (English-based) medical terminology, and the clinical knowledge gap between North and South Korea. Since 2009, we have operated programs at the Seoul Medical Center to help NKDPs prepare for the South Korean medical licensing examination. These programs consist of clinical education at the medical center, personal mentoring, arrangement of educational programs at the medical college, mock tests at the consortium, and administrative aid. Looking forward, we hope to achieve the following: 1) More systematic support plans are needed involving medical education experts, field physicians, and experts on reunification. 2) An evaluation of defector physicians' current medical knowledge may provide information about the areas where supplementary education is most needed and the standards for certificating licenses. 3) In the short term, a customized glossary should be developed to assist defector physicians prepare for the examination. 4) To secure internships and residencies is the most important issue for further sustained training of NKDP physicians to become good clinicians after certification. Hopefully, this short report on the current ongoing educational course will lead to more extensive discussion.