Asthma-COPD Overlap Syndrome: What We Know and What We Don`t

( Don D. Sin ) 대한결핵 및 호흡기학회 2017 Tuberculosis and Respiratory Diseases Vol.80 No.1

Approximately one in four patients with chronic obstructive pulmonary disease (COPD) have asthmatic features consisting of wheezing, airway hyper-responsiveness or atopy. The Global initiative for Asthma/Globalinitiative for chronic Obstructive Lung Disease committee recently labelled these patients as having asthma-COPD overlap syndrome or ACOS. ACOS also encompasses patients with asthma, ≥40 years of age, who have been cigarette smokers (more than 5-10 pack years) or have had significant biomass exposure, and demonstrate persistent airflow limitation defined as a post-bronchodilator forced expiratory volume in 1 second (FEV₁)/forced vital capacity of <70%. Data over the past 30 years indicate that patients with ACOS have greater burden of symptoms including dyspnea and cough and show higher risk of COPD exacerbations and hospitalizations than those with pure COPD or pure asthma. Patients with ACOS also have increased risk of rapid FEV₁ decline and COPD mortality. Paradoxically, experimental evidence to support therapeutic decisions in ACOS patients is lacking because traditionally, patients with ACOS have been systematically excluded from therapeutic COPD and asthma trials to maintain homogeneity of the study population. In this study, we summarize the current understanding of ACOS, focusing on definitions, epidemiology and patient prognosis.

전자통관 단일창구 활용 및 성과에 관한 실증 연구

김창봉(Chang-Bong Kim),이돈현(Don-Hyun Lee) 한국관세학회 2010 관세학회지 Vol.11 No.3

This study is to develop research models suitable for e-Customs Clearance Single Window and empirically analyze them in order to examine and verify factors affecting e-Customs Clearance system in Korea on the basis of previously-verified studies such as Technology Accept Model(TAM), Task-Technology Fit Model(TTF) and managing tool like a Plan-Do-Check-reAct(PDCA) Model. Among many factors, this paper comprehensively analyzes an acceptance factor, which is one of the factors affecting the implementation and performance of e-Customs Clearance Single Window, from the Information Technological context, the Public Administration Task context in the customs clearance office, and the quality management environmental context. The finding from this paper are four factors which affecting on the e-Customs Clearance Single Window. The planing phase's factors affecting on the Do, Check, reAct, use rate and effect. The doing phase's factors don't affecting on the Check, reAct, use rate and effect. The checking phase's factors affecting a little bit on the reAct and effect but don't affecting on use rate. The reActing phase's factors don't affecting on use rate, but affecting on the effect. The use rate of e-Customs Clearance Single Windows affecting on the effect a little bit. So we can say there are the correlation between IT acceptance and performance on the e-Customs Clearance Single Window.

Error Analysis in Two Nigerian Newspapers

Don’ Emenike,Success Asuzu 한국중원언어학회 2016 언어학연구 Vol.0 No.41

The purpose of this study was to explicate the nature of errors shown in two Nigerian newspapers, Punch and Vanguard. For the purpose, the authors of this study first identified errors shown in the newspapers, and then classified them into some categories. Finally, they made an attempt to explain the causes of the errors. In analyzing errors, this study employed theoretical frame works of Corder’s error analysis and Selinker’s interlanguage. Through a qualitative analysis, the authors identified and analyzed twenty-one errors in both newspapers. Some types of errors that were more frequently identified were prepositional errors, capitalization errors, malapropism, and others. It was found that error types in both newspapers were identical, probably because the writers/journalists would experience the same sociolinguistic background and educational system. The errors shown in the two newspapers could be instances of interlanguage transfer or poor knowledge of English grammar rules. The study made some implications for L2 language teaching as the analyzed errors could serve useful resources in terms of curriculum design for educating L2 learners in professional and other language learning situations.

Asthma-COPD Overlap Syndrome: What We Know and What We Don't

Sin, Don D. The Korean Academy of Tuberculosis and Respiratory 2017 Tuberculosis and Respiratory Diseases Vol.80 No.1

Approximately one in four patients with chronic obstructive pulmonary disease (COPD) have asthmatic features consisting of wheezing, airway hyper-responsiveness or atopy. The Global initiative for Asthma/Globalinitiative for chronic Obstructive Lung Disease committee recently labelled these patients as having asthma-COPD overlap syndrome or ACOS. ACOS also encompasses patients with asthma, ${\geq}40$ years of age, who have been cigarette smokers (more than 5-10 pack years) or have had significant biomass exposure, and demonstrate persistent airflow limitation defined as a post-bronchodilator forced expiratory volume in 1 second ($FEV_1$)/forced vital capacity of <70%. Data over the past 30 years indicate that patients with ACOS have greater burden of symptoms including dyspnea and cough and show higher risk of COPD exacerbations and hospitalizations than those with pure COPD or pure asthma. Patients with ACOS also have increased risk of rapid $FEV_1$ decline and COPD mortality. Paradoxically, experimental evidence to support therapeutic decisions in ACOS patients is lacking because traditionally, patients with ACOS have been systematically excluded from therapeutic COPD and asthma trials to maintain homogeneity of the study population. In this study, we summarize the current understanding of ACOS, focusing on definitions, epidemiology and patient prognosis.

청소용역노동자 노동조건 및 생활 실태 분석

조돈문 가톨릭대학교 사회과학연구소 2007 社會科學硏究 Vol.23 No.-

청소노동자들의 노동조건은 열악하고 이는 파견용역이라는 고용형태에서 비롯된 것임은 익히 잘 알려져 있다. 하지만 청소용역노동자들에 대한 심층연구는 찾기 어렵다. 본 연구의 연구목적은 청소노동자들 가운데 파견용역직 노동자들의 노동조건과 생활실태를 파악하는 것이다. 본 연구로 확인한 청소용역노동자들의 노동조건과 생활실태를 다음과 같이 정리될 수 있다. 청소용역노동자들의 노동조건은 근무 기관들 사이에 큰 편차를 보이고 있으며, 대학과 병원이 타 기관들에 비해 열악하며, 사적부문에 비해 공적부문이 더 열악한 것으로 나타났다. 청소용역노동자들은 물질적 곤궁으로 취업했음에도 불구하고 노동자들에 대한 물질적 보상 수준은 매우 열악하여 저임금 수준과 그로 인한 생활고는 청소용역노동자들 불만의 핵심을 형성하고 있다. 청소용역노동자들은 저임금과 열악한 노동조건에도 불구하고 사회에 대한 기대수준이 별로 높지 않아 기대와 희망까지 포기한 체념상태의 삶을 영위하고 있음을 보여준다. 청소용역노동은 도급용역계약의 외양을 띠고 있지만 원청업체 관리자의 실질적 개입 현상은 불법파견의 성격도 지니고 있음을 확인시켜준다. 청소용역노동자의 노동기본권은 존중되지 않고 부당노동행위 등 노동관계법 위반 현상이 확산·고착되어 일상화·보편화되고 있는 것으로 나타났다. 노동부를 중심으로 한 정부에 대한 청소용역노동자들의 불신의 정도는 매우 높은 것으로 나타났다. 청소용역노동자들의 노동기본권에 대한 지식정보가 매우 부족하여 권리의식이 발달하지 못하고 결국 적극적으로 노동조건을 개선하기 어렵게 하는 것으로 나타났다. It is well known that working conditions of cleaning workers are very inferior owing to their status of subcontracting. It is not easy, however, to find in-depth studies of subcontracted cleaning workers. This study aims to study working and living conditions of subcontracted cleaning workers. There are significant variations across types of employer in terms of working conditions, while universities and hospitals turn out to be the worst employers and the public sector is worse than the private sector. Although cleaning workers entered into labor market out of poverty, they ended up with those jobs of low wages so that they come to complain of poor wages more than any other things. Despite their poor working conditions, cleaning workers don’t expect too much because they see very little possibility of improvement. Although subcontracted cleaning jobs take the form of legal subcontracting, they turn out to be illegal dispatching in many cases with the direction of contractor firm personnels. Basic labor rights of subcontracted cleaning workers are not respected in work places. Subcontracted cleaning workers do not dare to appeal to government authorities including the branches of Labor Ministry which don’t look dependable. Subcontracted cleaning workers have very little knowledge of labor rights and labor laws, so that they have consciousness of labor rights underdeveloped and thus they are not so capable of improving their working conditions for themselves.

2007년(年) 개정(改正) 교육(敎育) 과정(課程)에 따른 한문(漢文) 교과서(敎科書) 『검정(檢定) 기준(基準)』과 『편찬상(編纂上)의 유의점(留意點)』의 특징(特徵)과 문제점(問題點)

이돈석 ( Don Suk Lee ) 東方漢文學會 2009 東方漢文學 Vol.0 No.40

이 논문은 2007년 개정 교육과정의 『검정 기준』과 『편찬상의 유의점』이 어떻게 달라졌는지 그 특징을 점검하고 한문 교과서 검정 제도의 문제는 무엇이며 이에 따른 보완 방향에 대해 살펴보았다. 이상의 논의를 바탕으로 필자는 다음과 같은 의견을 제시한다. 우선, 7차 교육과정과 2007년 개정 교육과정의 『검정 기준』과 『편찬상의 유의점』이 연례행사처럼 반복되고 있는 문제점이 있었다. 따라서 반복되어지는 기준들은 과감하게 제거하고 교과서 집필에 있어 최소한의 기준인 `공통 기준`만을 제시고 나머지 부분은 집필진들이 스스로 판단하도록 하는 새로운 검정 방법이 새로운 교과서를 만들기 위한 방법이 아닐까 생각되어진다. 다음으로 일반적, 추상적으로 진술되어 있는 『검정 기준』과 『편찬상의 유의점』을 가지고 교과서 합격, 불합격을 심사 하는 검인정 제도를 과감하게 타파하고 교과서 집필에 근간이 되는 『교육과정 해설서』를 지금 보다 구체적으로 진술하여 교과서 집필의 최소 기준으로써의 역할을 하도록 해야 할 것이다. 마지막으로, 교과서 `외형 체계`를 교과서 가격이 상승된다는 이유만으로 억제하고 있어 시각 매체에 길들여진 학생들에게 흥미를 잃게 만드는 문제점도 있었다. 따라서 교과서의 `외형 체계`에 대한 기준을 삭제하여 학생들의 흥미와 동기를 부여 해 줄 수 있는 창의적 교과서를 집필할 수 있도록 해야 할 것이다. 이상을 종합 했을 때 교과서의 검인정 제도를 유지 할 것이 아니라 교과서 집필의 최소 기준만을 제시하여 교과서를 검정하거나 교과서를 자유롭게 발행할 수 있는 자유 발행제로의 이행이 요구되어진다. A new revised curriculum in 2007 has been applied to the educational situation by textbooks. However, in Korea, when the textbooks are published, they are based on `standards for authorizing` and `instructions for publishing textbooks`, not on curriculum. This thesis is focused on revealing the problems of the current authorizing system by analyzing the `common standards` and `standards by subjects`, which are presented in `standards for authorizing` and `instructions for publishing textbooks` which are used in both the 7th national curriculum and the new revised curriculum in 2007. First, standards which are applied to both curriculums are almost same. As a result, `standards for authorizing` and `instructions for publishing textbooks` don`t play an effective role in publishing helpful textbooks. This shows that, rather than `standards for authorizing` and `instructions for publishing textbooks`, `the guide for curriculum` should be a standard for authorizing textbooks. Also, the current standards for authorizing textbooks force the publishing companies not to change the physical factors of textbooks, such as size, color, paper quality, which makes students lose interest in textbooks. Consequently, it is required that the current official approval system be abolished and the new system for publishing textbooks, that is free publishing system, be introduced.

On Form-function Mismatch Puzzles in Fragments

Hee-Don Ahn(안희돈),Sungeun Cho(조성은) 담화·인지언어학회 2006 담화와 인지 Vol.13 No.1

Fragmentary utterances refer to short answers smaller than grammatically complete sentence. Interestingly, the fragments convey the same propositional content that their full sentential counterparts do and have assertoric force. To capture this form-function mismatch, two types of analyses have been made so far: direct interpretation analyses and ellipsis analyses. The former assumes that fragments don't have hidden sentential structure and consist of non-sentential XPs. Hence, the expository burden from form-function mismatch is placed on syntax-semantics. The latter assumes that fragments have full sentential structure prior to ellipsis. Hence, compared with direct interpretation analyses, less simple syntactic structure is assumed. The ellipsis analyses have a crucial advantage such as preservation of usual syntax-semantic mapping: uniform factors in interpretation must stem from uniform syntactic source. This paper aims to show that the ellipsis analyses are more plausible in explaining grammatical properties of fragments. We claim that ellipsis approach is superior to alternatives in explaining both case-marked and non-case-marked fragments in Korean. Diverse evidence from case-matching, scope, P-stranding is presented to confirm our analysis.

"덕은 가르쳐질 수 있는가?"라는 물음의 도덕교육적 함의

김상돈 ( Sang Don Kim ) 한국윤리교육학회 2009 윤리교육연구 Vol.0 No.20

소크라테스는 『프로타고라스』와 『메논』에서 "덕은 가르쳐질 수 있는가?"라는 물음을 제시한다. 프로타고라스와 메논은 미묘한 차이가 있기는 하지만 모두 덕은 가르쳐질 수 있다고 주장한다. 하지만 소크라테스는 덕의 교육가능성과 덕의 지식가능성을 논리적으로 연결시키면서 만약 프로타고라스와 메논이 덕의 지식가능성을 입증하지 못한다면 그들은 부당 전제의 오류를 범하게 되는 것임을 주장한다. 왜냐하면 덕의 교육가능성은 덕의 지식가능성에 의존하기 때문이다. 덕의 지식가능성에 대한 논의는 "덕이란 무엇인가?"라는 물음에 관한 논쟁으로 이어진다. 그러나 두 대화편 모두에서 덕의 본질에 대한 최종적인 결론은 발견되지 않는다. 따라서 덕의 교육가능성 역시 미해결의 과제로 남게 된다. 소피스트의 상대주의적 관점을 비판하고 이성에 근거한 객관적인 지식을 추구한 것으로 알려진 소크라테스가 덕의 지식가능성과 교육가능성에 대해 확신하지 않았다는 점은 다소 의아한 것이다. 그렇다면 프로타고라스, 메논과의 논쟁에서 보여준 소크라테스의 의구심은 어떤 의미로 해석될 수 있는가? 본 논문은 덕의 교육가능성에 대한 물음과 논쟁을 분석하여 그것에 담긴 도덕교육적 함의를 탐색한다. This study is focused on Socratic question, "Can be virtue teachable", in Protagoras and Meno. In Protagoras, Protagoras insists that he can teach virtue, in particular, civic virtue, and he know what it is. But Socrates presents some questions to him. According to Socrates, we cannot have a conviction about the possibility, if we don`t have the knowledge about what virtue is. Similarly in Meno, Meno also ask a question to Socrates. The teachability of virtue and the possibility as knowledge of virtue are correlated. Socrates examines two theses. But the conclusion is disappointed. Socrates still open the question those two possibilities. This means that he, too, has not a cogent argument on what virtue is. Socrates`s hesitation shows a lot of implications about moral education. Can we teach morals? What is the moral that we intend to teach. Is it the same as Socratic virtue? Or, Is it different with ancient Greek virtue. Greek, arete, can it be interpreted as virtue, modern language? We can find the answer about these questions, by distinguishing and moral. Virtue can be totally reduced into moral. It has some different logical structure. Here, we can find the true meaning of virtue ethics. In moral education, moral virtue and moral principle or moral rule have competed each other. Nevertheless, without principle, virtue cannot be justified as contents of moral education, because teaching is possible by principle. Moral principle, moral rule, and moral knowledge cannot be separated in concept. Contrarily, moral knowledge with virtue is ineffective in moral education.

치매가족의 부양부담 측정도구 개발

권중돈 연세대학교 사회복지연구소 1996 연세사회복지연구 Vol.3 No.-

Although Korea has preserved the cultural norms of family-centered eldercare, family caregivers for the demented elderly may still perceive caregiving as burdensome. Few studies of gerontological research on the dimensions and levels of caregiver burden has been carried out in Korea. This study was aimed at developing a scale for the measurement of caregiver burden which has taken into consideration of Korean cultural traditions and family characteristics, investigating the content and dimensions of caregiver burden, and comparing differences in the levels of caregiver burden between different caregiver groups. The scale developed by the author in this study, $quot;Korean Caregiver Burden Scale,$quot; is consisted of 28-items scored on a 5-point scale, such as $quot;I don't have free time,$quot; $quot;Family members don't understand the trouble that I am experiencing in caregiving$quot;; $quot;I am almost distressed to death$quot;; $quot;I feel often fatigued$quot;. This scale had high internal consistency, content validity and construct validity. The six dimensions of caregiver burden identified in a factor analysis based on data from the 28 items were social activity restriction, negative change of elderly-caregiver relationship, negative change of family relationship, psychological burden, financial and job-related burden, and health-related burden. The contents and levels of caregiver burden were significantly different between groups which were classified by severity of dementia, elderly-caregiver relationship, and caregiving hour per day. The difference in the contents and levels of caregiver burden was not significant when assessed by caregiver's sex, and occupation. The scale developed in this study can be used by clinical social worker prior to more detailed multidimensional assessment. It should lead to a better understanding of dimensions of caregiver burden and should aid clinical social worker in alleviating the level of caregiver burden.

베네수엘라 차베스정부의 국유화 정책과 국민여론

조돈문(Cho Don-Moon) 한국라틴아메리카학회 2011 라틴아메리카연구 Vol.24 No.4

The politics of nationalization tended to evolve in the mode of direct confrontation between government and capitalists as the Chavez government began to push ahead with its nationalization policy after winning a referendum in February 2009. Once nationalization measures came to reach the food industry which in turn further sharpened socio-political conflicts, the tide of public opinion began to exercise influence on the form and direction of nationalization policy. However, public opinion on the nationalization policy has not been well studied by social scientists. It is the aim of this study to analyze public opinion on the nationalization policy, and identify significant causes and causal mechanisms in the formation of public opinion so as to make sense of the background and implications of the strategic choices made by the protagonists of nationalization policy. This study of public opinion came up with three findings. First, an overwhelming majority are in opposition to the nationalization policy, siding with capitalists in their confrontation with the government. Second, Chavez’s reputation exerts greater influence on public opinion about the nationalization policy in comparison with the capitalists’ reputation, a factor with countervailing effect against the capitalists’ edge in reputation. Third, among the various explanatory variables the evaluation of Chavez’s performance turned out to be most influential, while not only Chavez’s evaluation but also his ideological orientation has exerted significant effects on citizens’ opinion about the nationalization policy. The current tide of public opposition to the nationalization policy demonstrates the failure of the Chavez government to form a national consensus on the issue of nationalization. It implies that calls for nationalization based upon the need to deal with poor working conditions, violations of basic labor rights, the problem of industrial monopolies, the possible consequence of productivity improvements, and the public good and workers’ control fell short of convincing the Venezuelans of the inevitable need for nationalization measures. The failure of the Chavez government to form favorable public opinion largely owes to the strategic choices made by Chavez and his government. They chose to take advantage of Chavez’s high popularity which far exceeds the proportion of public opinion in favor of nationalization policy. They intended to persuade Chavez’s supporters to endorse Chavez’s transformative policies such as the nationalization policy rather than to engage in dialogue with those who give low approval ratings to Chavez. It was a rational choice for their strategy. However, this typical dichotomization strategy could make it difficult to build up public opinion in favor of the nationalization policy because it could alienate those who don’t give a positive rating to the performance of the Chavez government. As a result, the nationalization policy may face serious national resistance as the political polarization of Venezuelan society intensifies further.