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      • KCI등재후보

        미세변화형 신증후군 환아에서 발생한 우측총장골동맥 혈전증 1례

        남현주,김지홍,김병길,장병철,Nam Hyun-Joo,Kim Ji-Hong,Kim Pyung-Kil,Chang Byung-Chul 대한소아신장학회 1998 Childhood kidney diseases Vol.2 No.1

        Thromboemolism is one of the severe complications of nephrotic syndrome. And arterial thromboembolism is rare than venous thromboembolism. Hypercoagulability is the main pathophysiologic factors of thromboembolism in nephrotic syndrome with severe hypoalbuminemia. We experienced one case of arterial thromboembolism which occured in right common iliac artery. It was seen in a 6 year-old male child that presented with generalized edema and rigth ankle joint pain. Emergency embolectomy and anticoagulant therapy (heparin and antithrombin III) was performed. He didn't have to be amputated and recovered to self ambulation. This is an uncommon case that successful recovery was possible by early diagnosis and invasive surgical management with proper anticoagulant therapy.

      • KCI등재후보

        여성 노인이 지각하는 통제감이 우울감과 만족도에 미치는 영향

        남현주(Hyun Joo Nam),이현지(Hyun Ji Lee) 한국노인복지학회 2005 노인복지연구 Vol.0 No.27

        본 연구는 여성노인들의 사회 인구학적 특성과 그들이 지각하는 통제감이 우울감과 삶의 만족도에 어떠한 영향을 미치는지 분석함으로써 여성노인들의 우울감과 만족도에 관련된 변인을 규명하고자 하였다. 이를 위해 대구 ·경북 지역에 거주하는 1130명의 여성을 대상으로 실시한 설문조사에서 60세 이상인 213명의 여성노인을 추출하여 그들이 지각하는 통제감, 우울감 그리 고 삶의 만족도에 관해 분석하였다. 분석결과에 따르면 여성노인들이 지각하는 통제감은 거주유형, 사회활동참여 유무, 교육수준, 경제수준에 따라 유의한 차이가 있는 것으로 나타났으며, 그들이 경험하는 우울감은 경제적 수준과 경제적 사정에 대한 염려수준에 따라 유의한 차이가 있는 것으로 나타났다. 또한 여성노인들이 경험하는 우울감의 정도에 가장 큰 영향을 미치는 변인은 그들이 지각하는 통제감으로 보고 되었으며, 그 다음으로 경제적 사정에 대한 염려와 결혼상태가 중요한 변인으로 나타났다. 본 연구의 결과를 기초로 여성노인들이 지각하는 통제감과 우울감 및 삶의 만족도에 관한 객관적인 이해와 이들을 대상으로 하는 정신건강 관련 서비스 및 프로그램의 필요성과 후속연구에 대한 방안이 제시되었다. This study investigates the impact of the perceived control on depression and life satisfaction of elderly women. For the purpose of this study, secondary data were used. Specifically, 213 elderly women over 60 years old selected from the original data collected from 1130 women reside in Daegu and Kyungpook province were analyzed. The result of the study indicated that type of residence, involvement of social activity, educational status and economic status made statistically significant differences in elderly women`s perceived control. Economic status and financial worry made significant difference in elderly women`s depression, while the involvement of social activity and financial worry were statistically significant in their life satisfaction. In addition, elderly women`s perceived control was the strongest predictor in explaining their depression, while financial worry was the strongest factor in explaining the variance of life satisfaction. Financial worry and marital status were also significant predictors in explaining depression, while perceived control and marital status were significant factors in explaining life satisfaction. Based on the result of the study, implications for mental health services and programs for elderly women as well as further study were provided.

      • KCI등재

        독일의 새 장기요양 평가판정도구 시안에 관한 고찰

        남현주 ( Nam Hyun Joo ) 한국보건사회연구원 2014 保健社會硏究 Vol.34 No.1

        독일은 현행 평가판정도구가 대상자의 장기요양필요성을 확정하는데 한계가 있다는 비판적 논의를 인정하고, 시간개념을 대체하면서 대상자의 기능상태뿐만 아니라 전체 적이고 포괄적인 관점을 고려하는 모듈화 된 평가시스템을 도입하고자 시안을 마련하였다. 이 시안이 장기요양보험조합 연방총연합회가 2011년 발표한 `장기요양필요성 확정을 위한 새로운 평가판정도구`(Das neue Begutachtungsinstrument zur Feststellung von Pflegebedurftigkeit = NBI)이다. 본 연구의 목적은 NBI의 구조와 내용을 분석하고, 이에 대한 평가와 시사점을 도출하는 것이다. NBI의 이론적 근거가 되는 새로 정립된 장기요 양필요성의 개념과, 이를 토대로 설계된 NBI의 구조와 내용, 그리고 무엇보다 NBI 안의 핵심기제인 `새로운 평가판정어세스먼트`(neues Begutachtungsassessment = NBA)의 모듈화 구조는 독일 학계와 정부의 장기요양보험 제도개혁의 의지를 잘 보여준다. 특히 장기요양필요성을 사정하는데 기본이 되는 시간개념의 한계를 인정하고 이를 새로운 시스템 개발을 통해 보완하려는 NBI 연구자들의 노력은 제도의 성숙한 정착을 모색하는 과정에서 요양인정점수의 객관성과 타당성을 제고하려는 우리나라 연구자들에게도 분명 시사하는 바가 크다. 비록 요양인정점수를 포기하지 않더라도, 도구의 한계를 극복하고 개선하기 위해서는 새로운 시스템을 고민하는 다른 나라의 경험을 참고할 필요가 있다. 독일의 NBI 시안은 시대적 요청에 부합하는 적절성 내지 타당성을 도구가 어느 정도 담보해야 하는지 현 시점에서 고민할 필요가 있음을 우리에게 시사하고 있다. In recognition of the criticism that the current tool is limited in terms of assessing the need for a long-term care, Germany introduced a measure to adopt the modular assessment system that replaces the existing concept of time and considers not only the functional condition of the care recipient but also the comprehensive perspectives. This measure is `Das neue Begutachtungsassessment zur Feststellung von Pflegebedurftigkeit (NBI; the new assessment tool for determining eligibility for long-term care)`, announced by Federal Association of Long-term Care in 2011. The purpose of this study is to analyze the structure and key points of the NBI for assessment and implications. The determination of the German academia and government to reform the long-term care insurance system can clearly seen in the newly defined concept of the `Pflegebedurftigkeit` - the theoretical basis of the NBI - as well as the structure and content designed based on the concept, not to mention the modular structure of `the new assessment` - the key element of the NBI. What is particularly notable with the NBI is that the designers have accepted the limitations of the time concept, which is fundamental to the long-term care eligibility evaluation, and have developed the new system to fill the gap. This is an element to be noted by the Korean researchers who seek to enhance objectivity and feasibility of the eligibility score while working toward adopting a more dependable system. Even if the decision is made that the eligibility score stays, it will be useful to refer to the experiences of other countries with the new system in order to overcome the limitations of the tools. Germany`s experience with the NBI provides a perspective that it is necessary to ponder on the extent to which the tool warrants the appropriateness or feasibility to respond to the call of times.

      • KCI등재
      • KCI등재

        장애인의 여가활동참여와 여가만족, 삶의 질과의 관계

        남현주(Hyun Joo Nam),이현지(Hyun Ji Lee) 한국장애인재활협회 2017 재활복지 Vol.21 No.1

        본 연구는 장애인의 여가활동참여가 여가만족과 삶의 질에 미치는 영향을 파악하고, 여가활동참여와 삶의 질과의 관계에서 여가만족의 매개효과를 분석하기 위해, 장애인복지관을 이용하는 장애인 192명을 대상으로 설문자료를 수집 하였다. 수집한 자료는 SPSS를 활용하여 분석하였으며, 분석결과, 체육관련활동, 여행관련활동, 사회참여활동이 장애인의 여가만족에 영향을 미치는 것으로 나타났으며, 장애인의 삶의 질은 체육관련활동, 여행관련활동, 문화예술활동, 사회참여활동이 영향을 미치는 것으로 나타나, 적극적 여가활동 유형이 여가만족과 삶의 질에 영향을 미치는 것으로 해석되었다. 또한, 장애인의 연령, 교육, 경제수준, 장애등급을 통제한 후, 여가활동참여가 여가만족과 삶의 질에 미치는 영향을 분석한 결과, 여가활동참여는 여가만족과 삶의 질에 유의한 정적 영향을 미치는 것으로 제시되었으며, 장애인의 여가활동참여와 삶의 질과의 관계에 여가만족은 통계적으로 유의한 부분매개효과를 가지는 것으로 나타났다. 이러한 연구결과바탕으로, 장애인의 여가활동과 여가만족과 관련된 삶의 질 증진을 위한 함의 및 후속연구를 위한 방향을 제시하였다. The purpose of the this study was to investigate the association of the participation of leisure activities, leisure satisfaction and quality of life, and analyze the mediating effect of leisure satisfaction in the relationship between the participation of leisure activities and quality of life among people with disabilities. For the purpose, the data were collected by using non-random purposive and convenient sampling methods and 192 disabled people who reside in Daegu city and Kyungpook provinces filled out self-administered questionnaires for this study. Findings of the study indicated that there were statistically significant relationships among the participation of leisure activities, leisure satisfaction, and quality of life and active types of leisure activities such as physical activities, travel activities, and social participating activities were significantly related with leisure satisfaction and quality of life. In addition, the mediating effect of leisure satisfaction in the relationship between the participation of leisure activities and quality of life was statistically significant. Based on the findings of the study, possible practice implications for improving quality of life among disabled people and recommendation for further study were provided.

      • KCI등재

        분배정의와 사회복지정책: 한국사회의 합리적 복지담론을 위한 인문과학과 사회과학의 융합연구로서의 한 시도

        남현주 ( Nam Hyun Joo ) 아시아.유럽미래학회 2016 유라시아연구 Vol.13 No.3

        Can`t a policy study as an area of social science culturally contribute to forming a reasonable and productive welfare discussion in the Korean society? Isn`t the culture of reasonable discussions and debates formed based on social scientific analysis and philosophical and cultural insight? Then, isn`t it possible to try a policy study in a level to fuse cultural sciences and social science? From this critical mind, this study explores the types of social welfare policies with major concepts of the ideology of distributive justice as the analytic frame. The conventional policy studies on welfare states have focused on analyzing welfare systems with the standards of the western typology or other various approaches and establishing the directions of social welfare policies, and this study categorizes and analyzes social welfare policy models based on the normative relationship between the ideology of distributive justice and the types of social welfare policies. First, this study positively interprets the normative relationship between the ideology of distributive justice and social welfare policies, and categorizes the types of social welfare policies into four categories by two-dimensionally arranging four symmetric factors of desire, performance, individual, and group. Here, the four factors of desire, performance, individual, and group are normative standards of value which constitute the ideology of distributive justice. With this as the standard, four social welfare policy models (compensatory and corrective, productive, free market-type, and democratic social welfare policies) are placed in the value areas categorized, analyzed, and used for drawing a theoretical implication. This attempt has a metatheoretical personality for connecting policy studies to normative value areas, and, more fundamentally, has an academic significance as a convergence study of cultural sciences and social science in that it analyzes the types of social welfare policies in a way of social science based on the normative scale of distributive justice. In addition, this study aims to contribute to forming a more productive and reasonable welfare discussion and debate culture in the Korean society by systematizing the normative and value theoretical basis of studies on social welfare policies.

      • KCI등재
      • KCI등재

        여대생들의 일반적인 특성에 따른 미용실 서비스 만족도 연구

        남현주 ( Hyun Joo Nam ),엄수정 ( Su Jung Eum ) 대한미용학회 2011 대한미용학회지 Vol.7 No.2

        To analyze the satisfaction factors of beauty parlor services depending on the general characteristics of females college students, the survey has been performed through random sampling aimed at 300 college students in Daegu and North Kyongsang province and collected 288 sheets of questionnaire have been analyzed. The purpose of this research is to provide new customers, female college students information about beauty parlor management satisfying them and fundamental data necessary to establish more systematic beauty treatment system. Regarding skill satisfaction and sanitation satisfaction, there was a statistically meaningful difference in religions, average monthly allowance, residential areas. As for hair treatment satisfaction, customer service satisfaction, facility satisfaction and price satisfaction, there was a statistically meaningful difference in average monthly allowance and residential areas. In addition, concerning brand satisfaction and satisfaction of employee qualities, there was a statistically meaningful difference in grades, religions, average monthly allowance and residential area. The more women have average monthly allowance and live in a metropolis, the more satisfied with skills they are, so it is a crucial key to the success in beauty treatment business to be more sensitive in trends and to provide differentiated services. Regarding the intention to revisit depending on the features of subjects, there was a statistically meaningful difference in average monthly allowance and residential areas. Females college students living in a large city and having more average monthly allowance tend to have more interest in beauty. The variables of the intention to revisit is summarized as follows; a statistically meaningful difference in skill satisfaction, customer service satisfaction, employees` quality satisfaction, price satisfaction, facility satisfaction, average monthly allowance and residential areas in order have an effect on the intention to revisit. Beauty treatment managers should meet customers`s needs of differentiated high skills and services and make every effort to improve employees` job satisfaction because employees`s professional knowledge level and customer service in person have a important role in the success of beauty parlors.

      • KCI등재
      • KCI등재

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