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주민주도형 전통문화축제의 문화거버넌스 구조에 대한 연구: 태국 쏭크란 축제 사례로
송시은(Song, Si-Eun),공용택(Kong, Yong-Taeg) 한국문화산업학회 2019 문화산업연구 Vol.19 No.3
본 연구는 태국의 세계적 축제인 ‘송크란 축제’를 전통문화 계승이라는 차원에서 중요성을 인식하고 축제의 참여주체를 문화거버넌스 관점에서 분석하여 이를 이론적으로 체계화한 모형을 구축하기 위한 연구이다. 연구주제 분야 선행연구 자료 및 관련 문헌을 1차 분석한 후, 현재 태국을 왕래하는 연구자의 송크란 축제 경험을 기반으로 태국의 전통문화를 계승한 송크란 축제의 유래에서부터 프로그램, 참여자, 특징 등 실무적 관점의 2차 분석과 실질적으로 송크란 축제를 주관하는 태국 관광청(TAT)의 자료를 3차 병행 조사하여 전통문화 축제를 매개로 정부, 기업, 시민의 역할과 상호관계성을 분석하였다. 연구결과, 이 축제의 가장 두드러진 특징은 전통과 현대 놀이가 결합되기까지 자발적 시민참여가 두드러졌다는 점이며, 전통 의식을 치르던 행위가 축제의 모습으로 완성되기까지 시민들의 자연스러운 물놀이 참여 활동이 중심이었으며 전통문화를 재해석하여 현대적으로 계승하고 있는 점이다. 매년 이러한 자발적 시민참여 축제가 거듭되면서 관광객의 참여로 이어지고 여기에 정부의 전통문화 보호차원의 지원까지 상호호혜적 협력관계가 구축되었다. 또한 태국 정부는 각종 행사를 주최하고 기업의 참여를 적극 활용하며 태국의 대표 맥주인 싱하맥주와 세계적 브랜드인 코카콜라, 펩시콜라 등 물과 관련한 기업을 연계하고 있는데 2019년 송크란은 약 7,000억의 수익을 거두는 등 마케팅 측면에서도 큰 성과를 거주고 있다. 태국의 전통문화를 매개로 한 쏭크란 축제를 통해 국가, 지역주민, 기업 모두가 상호 win-win하며 태국의 전통문화를 세계인들이 함께 하는 관광산업으로 발전시키는데 핵심 역할을 하고 있는 연구의 결과가 우리나라 전통문화콘텐츠의 중요성 및 활용과 축제 발전에 기여하기를 기대한다. This study is to analyze the structure of the participatory subject of the Songkran Festival, Thailand"s world-class traditional cultural festival, from the perspective of cultural governance and systematize it to build a theoretical cultural festival model. Prior research data and literature on the research subject field were carried out as the first analysis, and the origin, program and characteristics analysis of Songkran festival as a traditional culture in Thailand was carried out through the experience of Songkran festival by researchers living in Thailand. Based on data from the Thai Tourism Authority(TAT), the third analysis was conducted to analyze the roles and interrelationship of the government, businesses and citizens through traditional culture festival. The festival"s most prominent feature is that voluntary civic participation was prominent until the combination of traditional and modern play, and citizens" participation in natural water games has played a very important role until the act of holding traditional ceremonies was completed as a form of the festival. Each year, the repeated repetition of these voluntary civic participation festivals brought in many foreigners, and based on the full support of the government, Songkran earned about 700 billion won in revenue in 2019. In addition, the Thai government has played a great role in hosting various events and developing them into a tourism industry with support from businesses. Through this study, the festival cases formed based on tradition and custom are reviewed and analyzed to contribute to the development and development of domestic festivals.
( Min Young Shin ),( Yea Eun Kang ),( Si Eun Kong ),( Ji Min Kim ),( Sang Hyeon Ju ),( Koon Soon Kim ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Vitamin D is important for bone mineralization to absorb dietary calcium and for taking negative feedback on parathyroid hormone secretion. Vitamin D deficiency contributes to calcium loss from bone and results in osteoporosis and osteomalacia at final stage. Osteomalacia is an end stage bone disease that is characterized with softening of bone secondary to defective bone mineralization. Here, we report a case of osteomalacia caused by prolonged lactation with vitamin D deficiency in 35-yearold female. She was a housewife who usually stay at home and her body mass index was 11.81 kg/m2. After delivering her first child, she had been breastfeeding him for 5 years. She was diagnosed with severe osteoporosis in regular health check-up 2 years ago, but did not received any medication. 9 month ago, she was diagnosed with active stage of pulmonary tuberculosis and had been treated with anti-tuberculosis medications for 6 month. Although she was in complete remission state after treatment, she had lost her appetite severely due to abdominal discomfort caused by anti-tuberculosis medications. Also she experienced gait dif. culty and suffered from generalized bone pain progressively. On serologic examination, hypocalcemia, hypophosphatemia, high alkaline phosphatase, low 25-hydroxyvitamine D and high parathyroid hormone level were showed. In the bone mineral density, Z-score from her lumbar spine was -6.5. She was diagnosed with osteomalacia caused by prolonged lactation with vitamin D deficiency due to combinations of inadequate dietary intake and lack of sunlight exposure. She was treated with oral calcium daily and 50,000U of injectable 25-hydroxyvitamin D per week. 12 months after treatment, she felt significant improvement in bone pain and could walk alone. Also her serum calcium, phosphate and 25-hydroxyvitamine D level are all normalized.
이경자,공은숙,김남초,김주희,김춘길,김희경,송미순,안수연,이영휘,장성옥,전시자,조남옥,조명옥,최경숙 노인간호학회 2004 노인간호학회지 Vol.6 No.1
Purpose : The elderly population in the Republic of Korea was over 8.3% in 2003. This segment is projected to grow to 14.4% by 2019, with average life expectancy at 77.5 years for men and 84.1 year for women. According to significant increases in elderly population over 80 years of age, the demand of expert care for the bedridden and those suffering from dementia will be increased. The expanding role of nurses caring for the elderly requires that we properly define the role of the gerontological nurse practitioner (GNP). Method : The authors collected and analyzed the following sources available from nations where systems have already been in place for the gerontological nurse practitioner: educational manuals, textbooks, research papers, and Web sites for American Nurses Credentialing Center and Gerontological Nurse Practitioners. Result : The facilities and settings where GNPs serve are in-patient and out-patient acute care settings, long term care facilities, respite care facilities, day care centers, home-care agencies, community centers for the elderly, continuing care retirement communities. Although there are differences in role by setting of service, GNPs are nurse clinicians, educators, counselors, coordinators, facility administrators, researchers, advisors in ethical decision making, health services managers, self-care trainers, preventative-care administrators, environmental managers, advocates, program evaluators, information providers, and emergency responders. Conclusion : The role and functions of GNPs according to the facilities and settings in South Korea should be analyzed and developed.
( Sun Seob Park ),( Hye Won Lee ),( Young Ju Choi ),( Weon Seo Park ),( Sun Young Kong ),( Sang Il Choi ),( Mi Hong Choi ),( Si Won Lee ),( Eun Jeong Ko ),( Hyeon Seok Eom ) 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1
Cryptococcus spp. other than Cryptococcus neoformans is generally nonpathogenic to humans. However, opportunistic infections associated with non-neoformans species including Cryptococcus laurentii have been reported in severely immunocompromised patients. C. laurentii infection, especially cutaneous manifestation has been rarely reported so far. Here we report the first case of cutaneous cryptococcosis caused by C. laurentii in Korea. A 47-year-old female who had a refractory AML after allogeneic hematopoietic stem cell transplant underwent salvage chemotherapy resulting in prolonged neutropenia. On the 18th day after the chemotherapy, multiple erythematous umbillicated papules were developed over both arms, back and right thigh, with high spiking fever. Skin biopsy revealed yeast-like organisms with round to oval budding. Despite of empirical antibiotics and oral posaconazole, fever persisted and skin lesions aggravated. Subsequent blood cultures identified that the organisms were C. laurentii. We administered liposomal amphotericin B with a dose of 5 mg/kg, and then her body temperature started to decrease (After 3 days, we changed it to amphotericin B because of the insurance problem). Skin lesions were completely disappeared after the treatment for 21 days. Unfortunately, the patient was deceased after 2 months by progressive leukemia and recurrent infections. We showed that C. laurentii might present with skin lesions as an initial manifestation. Such infection is rare, but it should be considered as a possible pathogen in immunocompromised patients with multiple skin lesions. We also suggest that amphotericin B can be an effective treatment for C. laurentii infection.
헬리코박터 관련 소화성궤양 환자에서 위산펌프길항제 사용이 요소호기검사 결과에 미치는 영향
옥주현 ( Ju Hyun Oak ),정우철 ( Woo Chul Chung ),정성훈 ( Sung Hoon Jung ),최강현 ( Kang Hyun Choi ),김은정 ( Eun Jung Kim ),강봉구 ( Bong Koo Kang ),강보라미 ( Bo Ra Mi Kang ),공시은 ( Si Eun Kong ),백창렬 ( Chang Nyol Paik ),이 대한소화기학회 2011 대한소화기학회지 Vol.57 No.1
Background/Aims: Revaprazan (Revanex(R)) is a novel proton pump inhibitor (PPI) that has a somewhat different effect on proton pump compared with the other PPI`s, also (called as `acid pump antagonist`). We aimed to examine the false negative rate of (13)C-urea breath test (UBT) in the patients with Helicobacter pylori (H. pylori) associated peptic ulcer disease who were treated with revaprazan and evaluate the anti-urease activity of revaprazan. Methods: Total 55 patients were enrolled in this study. They received EGD examination between January 2009 and December 2009 and diagnosed histologically as H. pylori associated peptic ulcer disease. All patients took revaprazan only. Three patients were excluded because of underlying chronic disease and inappropriate breath sampling. The remaining 52 patients had UBT at 0, 2 and 4 weeks of revaprazan use. After 2 weeks of the cessation of revaprazan, they had the fourth UBT. Results: At 2 and 4 weeks, the false negative rates of UBT were 5.8% and 23.1%, respectively (p=0.05). After 2 weeks of the cessation, the cases of the false negative result were five. Four out of five patients had prolonged negative results on two or three successive tests, and baseline (13)C difference value did not predict the false negative results. Conclusions: False negative results of UBT were common and increased with prolonged use of acid pump antagonist. As PPI, it had also anti-urease activity and most patients (47/52, 90.4%) reverted to positive results by 2 weeks after the cessation of taking the medication. (Korean J Gastroenterol 2011;57:8-13)