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황혜신 한국열린교육학회 2003 열린교육연구 Vol.11 No.2
The Very Early Education and Parents PerceptionsHwang, Hae-Shin Sangmyung UniversityMany parents in Korea let their children have so-called very early education and manypeople worry about the negative effects of very early education. This study examined thecurrent practices and parents’ perceptions of very early education. Questionnaires developed bythe researcher were presented to 700 parents whose children are less than 7 years old. Theresearch used 626 returned questionnaires to analyze the data. Major findings on very earlyeducation are as follows; Most of the parents spend about 100,000-200,000 won per month fortheir children’s early education. Most of them also want their children to have English
말의 그물막구멍포착 교정을 위한 소장 절제 및 문합 1례
황혜신,박철규,황준석,천용우,Janet Han,이인형 한국임상수의학회 2015 한국임상수의학회지 Vol.32 No.4
A 10-year-old gelding Warmblood weighing 560 kg was referred to J&C Equine Hospital with the history of hyperpnea, depression, pawing, and rolling for 7 hours. According to the results of clinical and ultrasound examination, it was considered that intestines were distended with thickened wall. The horse had been treated with lactated Ringers’ solution (14 L, IV), flunixin meglumine (1.1 mg/kg, IV), and mineral oil (1 L, PO), but he did not show any responses to those treatments. Exploratory laparotomy was performed and identified incarcerated small intestine through the epiploic foramen. The horse received resection and anastomosis of the entrapped small intestine. After surgery, the horse was treated with intensive postoperative care of fluid therapy (5 L with 20 mEq/L KCl, every 2 hours), flunixin meglumine (1.1 mg/kg, IV, sid), antibiotics (penicillin 22,000 IU/kg, IV, qid and gentamicin 6.6 mg/ kg, IV, sid), lidocaine constant rate infusion (bolus 1.3 mg/kg over 15 minutes then 0.05 mg/kg/minute), common nutritional supplements, nasogastric intubation every 2 hours and trunk bandage. Postoperative feeding program had started with small amount of hay every 4 hours and gradually increased to normal amount till 5 days. At 77 days after surgery, he showed sudden outbreak of colic and was euthanized. The causes of colic were small intestinal strangulation by passing through the mesenteric rents and postoperative adhesion between small intestines. According to the results, it is recommended to perform perioperative intensive care of horse with colic and to use several methods to prevent adhesions during abdominal surgery of horses.
황혜신 한국행정학회 2005 韓國行政學報 Vol.39 No.1
This study aims to evaluate the performance of contracting-out public health services. Since the publication of ‘Privatization : The key to better government’ by Savas, privatization has been regarded as a panacea to government problems. The author asks whether the key also works in the cases of health services. Three contracting-out cases of local public hospitals are compared and analyzed. The results are as follows. First, the effect of saving the government's budget was insignificant on the whole. Only one case showed some budget reduction. Second, contracting-out fairly improved the profitability but decreased the publicness of the hospitals. Third, hospitalization charges increased considerably. In short, the results show that the outcomes of contracting-out varies for public health services and that the promise of a small government is not easy to attain. 본 논문은 공공의료서비스의 경우에도 민간위탁이 더 효율적인 정부를 가져오는가라는 문제에 답하기 위해 1990년대 중반 이후 민간위탁된 세 곳의 지방공사의료원의 위탁성과를 비교․분석하였다. 연구대상으로 아직 그 위탁성과에 관한 연구가 이루어진 바 없는 지방공사의료원 위탁 사례들을 선정하였으며, 기존의 공공의료기관 위탁 관련 연구들과는 달리 위탁으로 인한 정부와 소비자의 비용 부담의 변화도 고찰하였다. 세 지방공사의료원의 위탁성과를 평가한 결과, 민간위탁이 약속한 비용의 절감은 별로 나타나지 않았으며, 정부가 부담하는 비용과 소비자가 부담하는 비용이 오히려 위탁으로 상승하는 경우가 더 많았음을 확인할 수 있었다. 또한 대체로 위탁으로 수익성은 증대하였으나 공공성은 저해되었다는 결과가 나타났다.