보건복지예산의 투자방향과 과제

박인화,Park, In-Hwa 대한병원협회 2003 대한병원협회지 Vol.32 No.1

교통사고 상해증후군의 한의 임상진료 현황조사를 위한 웹기반 설문조사

박인화,황의형,황만석,허인,김병준,임경태,신병철,Park, In-Hwa,Hwang, Eui-Hyoung,Hwang, Man-suk,Heo, In,Kim, Byung-Jun,Lim, Kyeong-Tae,Shin, Byung-Cheul 한방재활의학과학회 2017 한방재활의학과학회지 Vol.27 No.4

Objectives The purpose of this study is to understand current status of Korean Medicine treatment practice patterns for traffic injuries by web-based survey. Methods The structured questionnaire was distributed by a web based survey to 1,630 potential respondents by email from December 19th in 2016 to February 13th in 2017. All data were statistically analysed. Results The response rate was 79.4%. According to the analysis of the outcome of the survey, 88.0% of the participants felt necessity of the development of Korean medicine clinical practice guidelines (CPGs) for traffic injuries. Survey results showed cognitive degree about Korean Medicine CPGs' necessity, individual Korean medicine treatments and requirement for extending insurance coverage for patients with traffic injuries. Conclusions This survey study helps to determine current clinical practice patterns of Korea medicine treatments for traffic injuries. These results further anticipate to provide basic data for CPGs for traffic injuries.

이상근증후군의 근막 추나 요법에 대한 문헌 고찰 연구 보고

박인화(In-hwa Park) 척추신경추나의학회 2021 척추신경추나의학회지 Vol.16 No.2

Objectives The purpose of this study was to assess the effect of fascia chuna therapy in the treatment of piriformis syndrome. Methods A literature search was conducted using 8 databases to identify all randomized controlled clinical trials (RCTs) that investigated fascia chuna therapy as a treatment for piriformis syndrome. The selected studies are analyzed the risk of bias through Cochrane risk of bias tool. Results Among 37 articles that were searched, 3 RCTs met our inclusion criteria and were included in this analysis. These studies demonstrated positive results of Fascia Chuna Therapy with respect to the reduction of pain scale and functional scale compared with other treatment methods. Conclusions Based on results, fascia chuna therapy could be effective in piriformis syndrome. However there are limitations that the number of selected studies was small and risk of bias was unclear. More well-designed RCTs are required to provide clearer evidence.

가족보건연구(家族保健?究)를 위한 가족주기(家族週期)의 변동추이분석(變動推移分析)

박인화 ( In-hwa Park ),김정근 ( Jong-kun Kim ) 한국보건사회연구원 1990 保健社會硏究 Vol.10 No.2

低死亡, 低出産의 人口轉換과 社會的 文化的 요인의 變化에 수반되어 小家族, 核家族化 추세에 있는 최근 결혼부인의 家族은 그 이전에 형성된 家族에 비하여 形成期 및 擴大期의 短縮, 擴大完了期의 延長, 縮小期의 短縮, 그리고 縮小完了期 및 解體期의 延長이라는 특징을 갖는 쪽으로 變化해 갈 展望이다. 한편 慢性疾患 有病狀態를 통하여 家族週期別 保健問題의 樣相을 보면, 縮小期以後 家族의 同疾患 有病水準은 形成期 및 擴大期 家族의 그것에 비하여 3~4배 정도나 높은 것으로 나타났다. 그러므로 保健部門에서는 점차 延長되고 있는 家族週期의 後期段階에 속한 가족의 保健醫療需要에 효율적으로 대처해 나갈 수 있도록 現行 地域保健事業의 方向을 再定立하여 老人保健 서비스등의 提供基盤을 擴充해 나가야 할 것이다. 더욱이 인구의 高齡化가 家族構造 뿐만 아니라 疾病構造의 變化와 더불어 진행되고 있다는 사실은 이 부문의 保健醫療 要求度에 대한 대응방안수립이 절실함을 부각시키고 있다. This study analyses the phasic changes in the family life cycle(FLC) in Korea during the most recent four decades, and examines the health implications associated with these demographic changes. Using data from the 1986 National Sample Survey on FLC, a total of 2,644 women married during the period 1945~84 and their families were studied. The analytic framework employed in this study is based on the Basic Model of Nuclear FLC proposed by WHO for use in health studies. The methods of analysis include : 1) estimation of the duration and timing of six phases in FLC by marriage cohort of women, and 2) application of life table technique and the Cox`s proportional hazards model to estimate survival function and quantify the relationship between survival and a set of explanatory variables for the early phases in FLC. The results of this study indicate that both lowered mortality and fertility have led to changes in FLC which are characterized by shortening of the formation(I). extension(Ⅱ) and contraction phases(Ⅳ), and lengthening of the completed extension(Ⅲ), completed contraction(V), and dissolution phases(VI). According to the cohort measurements, phase I/II is estimated at 14.7 years for the 1945~54 marriage cohort which has a median age of 18.1 at marriage, while it is 3.1 years for the 1975~84 marriage cohort with a median age of 23.0 at marriage. Phase Ⅲ requires 13.1 years for the 1945~54 cohort which has a median age of 32.8 at last birth, and 24.2 years for the 1975~84 cohort with a median age of 26.1 at last birth. Phase Ⅳ tends to decrease from 12.4 years for the 1945~54 cohort which has a mean age of 45.9 at the time of first child`s marriage, to 2.1 years for the 1975~84 cohort with a mean age of 50.3 at the corresponding time. Phase V/VI is estimated at 5.4 years for the 1945~54 cohort which has a mean age of 58.3 at the time of last Child`s marriage, while 22.2 years for the 1975~84 cohort with a mean age of 52.4 at the corresponding time. In survival analysis with covariates, two variables, age at marriage and family type, are associated with hazard rates on the termination of family formation phase, and three variables, family type, age at first birth and number of children ever-born, with the extension phase. As family patterns play a determining part in the health of the individual members and their use of health services, the FLC changes have important implications for the reorientation and adaptation of the health care system. Accordingly, the following are considered necessary for the effective operation and management of community health services. First, together with the decreasing trend in the family expansion period, the family planning and maternal and child health services will be changed from their present orientation on quantitative to qualitative management. Especially, in connection with the preference of the general public for the private sector under the national health insurance system, the public sector will focus its functions primarily on the provision of preventive and promotive health services that are less well provided by the private sector. Second, the provision of comprehensive health services for the aged will be expanded along with an increasing trend toward the empty nest and widowhood periods. In addition, the aging of the population and changes in major health problems strongly suggest that community health services such as chronic disease control be developed and strengthened.

345kV 가공(4B)-지중(3B) 혼합선로 연결금구류 개발

박인화(In-Hwa Park),임철순(Chul-Soon Lim),현진욱(Jin-Wook Hyun),이주란(Choo-Ran Lee),이호(Ho Lee) 대한전기학회 2017 대한전기학회 학술대회 논문집 Vol.2017 No.7

경사지 관로에서의 지중송전 케이블 활락방지대책 연구

박인화(In-hwa Park),현진욱(Jin-wook Hyun),이호(Ho Lee),양기윤(Gi-youn Yang) 대한전기학회 2018 대한전기학회 학술대회 논문집 Vol.2018 No.-

지중송전선로 금속시스 유기전압 최적 기준 도출

박인화(In-Hwa Park),임철순(Chul-Soon Lim),현진욱(Jin-Wook Hyun),이주란(Choo-Ran Lee),이호(Ho Lee) 대한전기학회 2017 대한전기학회 학술대회 논문집 Vol.2017 No.7

초등학교에서 PBL 기반 영어 수업을 위한 학습 모형 설계

박인화(In-Hwa Park) 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.3

급격히 변화하고 있는 현대 사회에서 학습자들에게 반드시 필요한 창의적 사고, 문제 해결 능력, 발표력, 자신감, 자기 주도적 학습 능력, 협동심, 의사소통능력 향상을 위해 PBL(Problem-Based Learning) 학습법은 다양한 과목에 적용되고 있다. 그 중 세계 공용어로 자리매김 된 영어는 영어 교육 전문기업인 윤선생에 따르면 사교육 현장에서 타과목에 비해 2.3배나 더 투자되고 있는 만큼 영어교육 현장에서도 PBL은 빠질 수 없는 중요한 학습법이다. 하지만 여전히 현실은 교사 중심 수업, 모범 답안을 위한 지식 습득, 획일적인 평가가 주체가 되고 있다. 이러한 점들을 보완하고 현대 사회에서 능동적으로 대처할 수 있기 위하여 본 연구는 Barrows&Myers(2002), ADDIE 모형이 기반된 영어 교과수업을 위한 학습 모형을 설계하였다. 이 모형은 5가지 절차로 구성되어 있는데 즉, 분석, 설계, 개발, 실행, 평가로 구성된다. ADDIE 모형이 기반이 된 PBL 영어 수업이 진행된 결과 그렇다, 이상 응답한 학습자들이 발표력 향상에 86%, 학습에 대한 흥미도 86%, 학습에 대한 이해력 86%이며 무엇보다 학습에 대한 문제 해결 능력(100%) 및 협동력(100%)을 향상할 수 있어 좋았다는 의견이 가장 높았다. 이와 같이 PBL 수업을 통해 21세기 영어 교육의 목적인 학습자들의 의사소통 능력 함양 및 영어로 된 정보 처리 능력에 도달할 수 있기에 지속적으로 이러한 학습 모형 설계에 관한 연구가 이루어져야 한다. Problem-based learning (PBL) is applied to various subjects for the sake of learners" creative thinking, problem-solving skills, presentation skills, confidence, self-directed learning, cooperation, and for the communication skills required in a rapidly changing society. Among them, the English language-an official language-is invested in 2.3 times more than other subjects, according to the English education company Yoon"s Teacher. Therefore, PBL is an important learning method. However, the reality is that teacher-centered instruction, acquiring knowledge of the best answers only, and traditional evaluations are the main subjects. In order to supplement these weak points, this study designed a learning model for English subjects based on Barrows & Myers (2002) and the analyze, design, develop, implement, and evaluate (ADDIE) model. As a result of a PBL English class based on the ADDIE model, the learners were able to improve their presentation skills by 86%, their interest in learning by 86%, their understanding of learning by 86%, and cooperation by 100%. As such, studies on designing the learning model should be carried out continuously to achieve the purpose of 21st century English education, which is to improve learners" communication skills and information processing skills.

초등학교에서 PBL 기반 영어과학수업을 위한 문제 개발 연구

박인화(In-Hwa Park) 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.4

PBL(Problem-Based Learning)에서 가장 중요하며 학습자들의 창의성 및 문제 해결 능력을 성공적으로 이끄는 열쇠는 문제 개발하는 것이다. 본 연구의 목적은 PBL 수업을 효과적으로 운영하기 위해 문제 개발 절차를 구체화하고 초등학교 영어과학 수업에 적합한 PBL학습의 문제를 개발하는 것이다. 본 연구에서 문제 개발을 위해 교육 내용 파악단계, 학습자 특성 파악 단계, 문제 발견 단계, 역할과 상황 설정 단계, 문제 작성 단계로 요약할 수 있다. 이와 같은 문제 개발 단계를 바탕으로 Y 초등학교에서 시행되고 있는 영어 교과 과정 중 하나인 영어과학 수업에서 PBL 학습법이 적합한 주제를 선정하여 5개의 문제를 개발하였다. 여전히 많은 영어 교육 현장에서 이루어지고 있는 교사 중심 수업, 모범 답안을 위한 지식 습득, 획일적인 평가가 아닌 21세기 급격히 변화하고 있는 사회에 반드시 요구되는 창의적 사고, 문제 해결 능력, 발표력, 자신감, 자기 주도적 학습 능력, 협동심, 의사소통능력 향상을 위해 PBL 학습법에 적합한 문제개발은 지속해서 연구되어야 한다. Problem development is important to Problem-Based Learning (PBL) and is key to the creativity and problem-solving skills of successful learners. The purpose of this study is to have PBL classes that effectively materialize problem development stages, and to develop learning using problems suitable for elementary school English Science classes. In this study, the steps for developing the problems are identifying educational content, identifying learners" characteristics, discovering problems, setting up roles and situations, and writing problems. Based on these steps, five PBL problems were developed by selecting a subject suitable for the PBL method of an English Science class, which is one of the English curriculums in elementary schools. Creative thinking, problem-solving skills, presentation skills, confidence, self-directed learning, cooperation, and communication skills are required in the rapidly changing society of the 21st century, rather than teacher-centered instruction, acquiring knowledge for correct answers only, and uniform assessments, which still take place in many English education settings. Therefore, developing problems suitable for PBL learning should be continuously studied.

도시저소득층(都市低所得層) 영유아(?幼兒)의 영양상태(營養狀態) 평가(評價)

박인화 ( In-hwa Park ) 한국보건사회연구원 1986 保健社會硏究 Vol.6 No.1

The nutritional status of children in an urban slum area was investigated by assessing growth performance of the children who reside in an urban primary health care (UPHC) demonstration area, one of the most economically depressed areas of Seoul City. Relevant information was collected through the community health volunteers who recorded growth measurements on the growth chart that was utilized in the project. A total of 546 growth measurements covering 106 children aged up to one year was managed from August 1984 through July 1985. Based on these data, the nutritional status of the study children was assessed with the percentage classification of weight deficit as proposed by Jelliffe. The Harvard standard was employed as a reference. This study reveals that the prevalences of undernutrition, defined as below 90 percent of standard weight-for-age, are seven percent in the first year and 26 percent in the second year of life. The first-level undernutrition, a moderate one makes up most of all the undernutrition cases with 91 percent. Further analysis indicates that the satisfactory growth shown in the early infancy takes a downward trend beginning from nine or ten months of age. In the light of the experiences gained through the UPHC demonstration project, the following are recommended to complete effective child health care services: - Systematic use of growth chart will be maintained, since the chart offers a simple and inexpensive means of monitoring child health especially in the poverty-affected areas by a manpower category such as community health volunteer. - Child growth will be monitored every two months during the first two years and thereafter at least every six months before school age. - Community-based education activities including supplementary feeding practices will be developed and implemented to prevent growth faltering during childhood.