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안전약자를 위한 맞춤형 서비스 체계 및 접근성 프로파일 연구 : 생활안전 예방 및 대응 정보시스템을 중심으로
이용직,이춘엽,지석연,김상화 대한지역사회작업치료학회 2021 대한지역사회작업치료학회지 Vol.11 No.3
목적 : 본 연구에서는 생활안전 예방 및 대응 정보시스템을 개발하기 위한 안전약자 맞춤형 서비스 체계를 제안하고, 이를 활용할 수 있는 안전약자 접근성 프로파일을 제시한다. 연구방법 : 전문가 집단 회의를 거쳐 맞춤형 정보시스템 서비스의 프레임워크를 도출하고, Lee, Ji와 Kim(2020)의 연구결과 와 포커스그룹 인터뷰 결과를 토대로 국제 기능·장애·건강 분류(International Classification of Functioning, Disability and Health; ICF) 기반의 안전약자 맞춤형 서비스 체계를 도출하였다. 마지막으로 접근성 프로파일을 도출하고자 전문가 집단 회의를 추가적으로 진행하였으며, 이는 다른 전문가 집단의 자문에 의해 수정 및 보완이 이루어졌다. 결과 : 안전약자가 생활안전 예방 및 대응 정보서비스를 이용하는데 불편함이 없도록 안전약자 접근성 프로파일 활용 구조를 제시하였다. 이는 표현 계층과 정보 계층으로 구성된 프레임워크로, 표현 계층은 사용자가 수용할 수 있는 방식으로 정보를 제공하는 것이고, 정보 계층은 사용자의 상황에 맞게 정보의 내용을 다르게 제공하는 것이다. ICF 기반의 안전약자 맞춤형 서비스 체계는 총 36개의 코드로 서비스 요구사항을 도출하였다. 마지막으로 안전약자를 위한 접근성 프로파일은 일반정보, 의료정보, 접근성 선호도 정보의 3영역으로 총 15항목을 도출하였다. 결론 : 본 연구에서는 ICF 분류체계를 활용하여 사용자의 다양한 특정 욕구에 맞는 서비스를 맞춤형으로 제공하는 방 법을 제시하였다. 이는 작업치료사들이 재난 준비단계에서 안전약자의 대피 계획을 수립하는데 다양한 안전약자의 상황을 고려한 해결책을 제시하여 재난상황을 체계적으로 대비하는 근거를 마련하였다. Objective : The purpose of this study is to propose a customized accessible service structure for the preventive safety and disaster service information system according to the requirements derivation model proposed in the previous study, and presents an accessibility profile to utilize it. Methods : Through expert group meetings, the framework of customized information system services was derived, and based on the research results of Lee, Ji, and Kim (2020) and focus group interviews, the International Classification of Functioning, Disability and Health (ICF) customized service system was derived. Finally, an additional expert group meeting was conducted to derive the accessibility profile, which was revised and supplemented by advice from other expert groups. Results : The structure of utilizing the safety vulnerable accessibility profile was presented so that the safety vulnerable would not have any inconvenience in using the life safety prevention and response information service. This is a framework consisting of an expression layer and an information layer, wherein the expression layer provides information in a way acceptable to the user, and the information layer provides different information content according to the user's situation. The ICF-based safety vulnerable customized service system derived service requirements with a total of 36 codes. Finally, the accessibility profile for the vulnerable was derived from a total of 15 items in three areas: general information, medical information, and accessibility preference information. Conclusion : In this study, a method of customizing services tailored to various specific needs of users was proposed using the ICF classification system. This provided the basis for systematically preparing for a disaster by suggesting a solution considering the situation of various safety vulnerable people in establishing an evacuation plan for the safety vulnerable in the disaster preparation stage.
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李龍淵 서강정보대학 1992 論文集 Vol.11 No.-
Urban Planning means the plan of city's furture development idea and work activement carring out appearance have an imfortant effect on a citizen's individual life, however, modern standarized urban space and uniformed inhumanes shape bring about the serious question of urban planning. In the research, we can find modern urban space's inhuman urban planning which focus on pursuit of maximization of efficiency and benefit on the basis of a theory in planning view. Also, it is basically caused by a subject for urban planning, decision, establishment, process of performance, and unreasonableness of procedure. Thus, it starts from assumption that rationality of urban planning itself can be raised by reasonableness of the policy process and procedure of urban planning. Therefore, in this research, urban planning's final object is the persuit of rationality and it is decided on determinants of urban planning policy decision. Thus, the research tries practical approach aimed on analysing policy determinants of urban planning policy decision for raising the rationality of Korea's urban planning policy decision. If planning is ruled by rational decision making process for efficient tools, the planning's principal factors is decision making and final aim is a rationality. The physical planning and rational comprehensive planning are explained by the theory which pursues economic rationality. The alternative theory ; Disjointed incrementalism, Mixed scanning planning, Transactive planning, and Advocacy planning, and so on, is explained by the planning theory aimed on political rationality. The Korea's urban planning policy decision, the planning process is greatly affected by the change of political, administrative environment, political will and interect of president, ranking government officials and so on. The planning authority also focus on ranking government and officials such as centural government and so forth. In addition, planning bureaucracy mechanically supports and perfoms them. However, the trend of biased view has problems which can not expect the compromise, balance, harmony of the person concerned and maximize preference. Therefore, The ames of Korea's urban planning policy decision is to generate to political rationality.
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이용연,염일열 서강정보대학 1998 論文集 Vol.17 No.-
In hopes of nation's new reform, let alone regional development and local communities transformation, the first era of public local self-government, starting in 1995, had gotten its curtain dropped in the wake of the local election on June 4, followed by the second era of its kind teeing off on July 1. The mechanism of local self-government had went through rise and fall for the past three years. The lack of sufficient preparation for the prerequisites of successful localization such as the proper share of power with the central government, the reshuffle of administrative organization, the procurment of local governments' good finance, the ironing-out of various conflicts, etc., is asking for the price now. One of the most serious is the problem of regional conflicts. The completion of national policies has been postponed because of local opposition. The difference of private mutual interests has prevented public works from moving. Without resolving those regional conflicts, it is a great distance to catch up with international comparativeness and enhance the standard of living. Unaccustomed to negotiation culture each party concerned with its negotiation are prone to indignation. Taking its own stubborn stance in a haste is preferred to taking a cool picture of a situation and trying to solve the problem involved. Regional conflicts are those all of the people stand together to solve. This study, rested upon these kinds problems, is intended to search for cooperative alternatives between local governments and their inhabitants, by applying negotiation theory to the process of city planning, on the ground that systematic negotiation theory doesn't almost exist yet although the operation of local self-government must try to seek ways to reflect taxpayers's interests on the actual city planning.
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폐경후 당뇨병 환자의 영양소 섭취수준과 골밀도와의 관련성 : 강원지역 폐경후 여성을 대상으로
연현주,이종호,이민준,이용미,김문규,신영구,정춘희 대한당뇨병학회 2001 임상당뇨병 Vol.2 No.4
연구배경 : 최근 연구에서는 제2형 당뇨병 환자가 정상대조군보다 더 골손실이 심하다는 연구가 있는 반면 골소실이 있는 환자와 없는 환자사이에 혈당의 조절상태는 별 차이가 없었다는 보고도 있었다. 이에 영양소의 섭취에 따른 골밀도의 차이를 보고자 본 연구에서는 제2형 당뇨병환자 중 폐경 후 여성을 대상으로 영양소 섭취와 골밀도와의 관련성을 살펴 보았다. 방법 : 연세대학교 원주기독병원 내분비대사내과에 내원하는 폐경후 여성 당뇨병 환자 50명을 대상으로 조사하였고, 이 중 갑상선기능항진증, 조기폐경, 간경변증이 있는 환자를 제외하여 총 40명이었다. 본 연구는 예비조사에서 개발한 반정량 식품 섭취 빈도 조사지를 이용하여 영양소를 산출하였다. 결과: 대상자들의 영양 섭취 상태는 열량 섭취량이 RDA(Recommended daily Dietary Allowances for Koreans, 2000)의 94%, 단백질 118%, 회분 170%, 인 154%, 철분 91%, 비타민 B1 110%, niacin은 100%으로 적절한 것으로 나타났으나, 칼슘 섭취량은 498mg으로 RDA의 71%였고, 비타민 A는 75%, 비타민 B2는 66.6%, 섬유소는 27%로 낮게 나타났다. 대퇴부의 골밀도는 연령과 음의 상관관계, 제지방 체중, 칼슘과 인의 섭취량과는 양의 상관관계를 나타내었다. 대퇴부의 골밀도는 체질량지수, 당뇨병 유병기간, 체지방량, protein, albumin, cholesterol, TG, LDL, Ca,P, 공복혈당, HbA1c , 열량 섭취량, 단백질, 지방, 탄수화물 섭취량과는 유의성이 나타나지 않았다. 흰밥은 섭취횟수가 정상군이 골다공증군보다 유의하게 적었으며, 골결핍군과는 유의한 차이를 보이지 않았으며, 잡곡밥과 검정콩은 정상군이 골다공증군보다 유의하게 많았으며, 골결핍군과 는 유의한 차이를 보이지 않았다. 결론 : 본 연구의 대상자들은 골밀도와 공복혈당, HbA1c , 당뇨병 유병기간 등의 혈당조절상태와는 관련성이 나타나지 않았으며, 1일 칼슘섭취량은 498mg으로 RDA의 71%로 적게 나타나 칼슘섭취를 적극 권장하여야 하겠으며, 골다공증군에서 식물성 단백질과 인의 영양소 섭취가 적었으며, 이는 잡곡밥과 검정콩의 섭취횟수가 적었기 때문으로 사료된다. Background : Some studies currently suggest that the patients with type 2 diabetes me llitus have an increased incidence of osteoporosis. But glycemic control is not significantly different between osteopenic and nonosteopenic patients and many otherrisk factors are associated with the increased prevalence of osteoporosis. Methods : We investigated the correlation between bone mineral density and nutritional statusby food frequency questionnaire in 40 postmenopausal women with type 2 diabetes me llitus. Results : Nutritional status was that energy intake rate was 94% of RDA, protein 118%, phosphorus 154%, and but calcium intake was 498 mg and it was short by 71% of RDA. The bone mineraldensity of femur had negative correlation with age and positive correlation with LBM, calcium and phophorus intake. There were significant differences in age, height, LBM, blood giucose , HbA_(1c), duration of diabetes a mong normal, osteopenia, osteoporosis groups, and also in the intake frequencies of boild rice and cereals, yellow corvina and black soybean among them. Conclusion: The calcium intake was short by 71% of RDA. Vegetable protein and phosphorus intake which were derived in the boiled rice and cereals and black soybean were significantly decreased in the group with osteoporosis.
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