조깅과 중량운동의 혼합 운동 프로그램이 에너지 소비량에 미치는 영향

한상철,장희정,이수영,이상호,이상현,하민수 한국스포츠리서치 2003 한국 스포츠 리서치 Vol.20 No.1

Since any exercise program is related with health, we cannot but take into consideration the efficiency of fat consumption. This study was aimed at determining the effects of the exercise programs combining jogging and weight training on nutrient-wise energy consumption in order to facilitate consumption of fat during exercise. To this end, 10 male students attending department of sports science of T University located in Incheon were sampled to be subject to exercise programs combining jogging and weight training. The subjects were urged to do weight training before jogging or vice versa. Then, intake of oxygen and output of carbon dioxide were measured after each session to analyze the amount of carbohydrate and fat based on the breathing exchange rate. The results of this study can be summarized as follows; There was found no significant difference of oxygen and calorie consumption between two exercise programs, but carbohydrate was more consumed by weight training after jogging, while fat was more consumed by jogging after weight training. During rest after exercise, more oxygen, carbohydrate, fat and calorie were consumed when weight training followed jogging, and during recovery time, more oxygen, carbohydrate, fat and calories were consumed when jogging followed weight training.

야뇨증 환아들의 심리사회적 특성에 대한 다기관 연구 : 행동 및 정서 문제를 중심으로

조수철,김재원,신민섭,황준원,한상원,박관현,이상돈,김경도,김건석,서홍진,이유식,정재용,김영균,문두건,남궁미경,한창희,조원열,김영식,배기수,이종국,정우영,신의진 大韓神經精神醫學會 2005 신경정신의학 Vol.44 No.6

Objectives : The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group. Results : Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

신장이식 환자에서 HCMV 항원혈증 검사의 임상적 유용성

김탁,성흥섭,박관태,김송철,김성한,최상호,김양수,우준희,박수길,한덕종,이상오 대한감염학회 2009 감염과 화학요법 Vol.41 No.2

Background : This study was performed to determine the cut-off value and the predictability of symptomatic human cytomegalovirus (HCMV) infection according to the peak value of HCMV antigenemia assay in kidney transplant recipients. Materials and Methods : We reviewed the results of HCMV antigenemia assay (Chemicon, CA, USA) in patients who received kidney transplantation at our institution from May 2003 through May 2008, and investigated the existence and the type of HCMV infection by the medical record review. Patients who underwent the test only once during the episode or those who received ganciclovir for more than 48hrs before the test were excluded. The receiver-operator characteristic curve was drawn and the point showing maximum likelihood ratio (LR) was chosen as the cut-off value of symptomatic HCMV infection. Results : A total of 689 episodes were screened and 134 episodes were enrolled. Thirty-three (24.6%) episodes were symptomatic HCMV infection, 23 (17.2%) episodes were associated with HCMV syndrome, and 10 (7.5%) episodes were tissue-invasive diseases. The maximum LR was 7.5 (95% confidence interval, 4.014.2) and the cut-off value was 29.5 cells/200,000 WBC. The sensitivity, specificity, Positive predictive value, and negative predictive value were 66.7%, 91.1%, 71.0%, and 89.3%, respectively. Conclusions : The cut-off value of symptomatic HCMV infection by the peak value of HCMV antigenemia assay in our study was similar with previous results, although the sensitivity was relatively low.

강원도 화천군 수달(Lutra lutra) 서식지의 식생 구조

서형수 ( Hyung Soo Seo ),신영섭 ( Young Seob Shin ),이경은 ( Kyung Eun Lee ),김윤미 ( Yoon Mi Kim ),전미나 ( Mina Jeon ),남택우 ( Taek Woo Nam ),한성용 ( Sung Yong Han ),정연숙 ( Yeonsook Choung ) 한국하천호수학회 2014 생태와 환경 Vol.47 No.special

In order to determine whether vegetation would be one of the factors for the selection of otter home range, vegetation structure and other potential factors were studied in Hwacheon, Korea. Thirteen sites, otter’s activity found and not found, were investigated in North Han River and connected tributary streams of Hwacheon-gun. Three types of vegetation were classified by cluster analysis, which is short grass, tall grass and shrub type. Vegetation zone of each channel is composed of either one type, or mosaic of tall grass and shrub type. Short grass type is common in Lake Paro and upper North Han-river where water level is highly variable throughout a year. Therefore, annual species such as Persicaria nodosa, Fimbristylis dichotomam and Chenopodium ficifolium are the most dominant. Shrub type is common at the downstream sites of Jichon stream and along mainstream of North Han River down Lake Paro. A shrub species, Salix koreensis, is the most common. Tall grass type is dominant occupying the most vegetation zone of the tributary channels. Phragmites japonica is absolutely dominant. Due to its dense cover, a few plant species are co-existed. Otter activity was found in all three vegetation types and no marked activity was found at some sites of tall grass type. There is no difference in species composition and physiognomy between tall grass sites with and without otter activity, while it shows significant difference in fish availability between two groups. Overall we found that home range of otters in the region is along the mainstream and downstream of tributary streams with high fish availability in all vegetation types and in various human activity levels.

정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

靑少年의 社會 및 國家意識에 關한 調査와 그 强化策

李宇榮,金相漢,韓點洙,洪亮杓 慶北大學校 平和問題硏究所 1977 평화연구 Vol.2 No.-

1. Problems Our people and nation are in serious ordeal and also aur concentration of attention and effort to overcome the ordeal are, we can say, very praisable. The violent changes in the aspects of politics, culture, society and economy are at last exposed of the danger of loss of our values. In such changing social phenomena, we with no exception are all experiencing the morbidness caused by them. It is exactly the Yu-Shin (Revitalizing Reform in 1971) and Saemaul(New Community Movement) that supplied and showed the direction of nation-state as r revolution in climate of unestablishment of new values with loss of old ones. It can be true tht we have reaped great fruits in political, economic, social and cultural fields in such hard environments. Then it is very useful project not only in academic and policy-reponse fields, but also in education areas that we try to survey and analyze the Juvenile's response to the national mevements and the changes of concious-structures. 2. Purposes The purposes of the study are: ① to grasp the reality of the Juveniles' view of value by sex, region, age etc., ② to review their responses to government's achievements, policy and its direction, ③ and to diagnose their approach to desirable view of values and degree of achievement. We belive in that concious-reality whcih we can find in process the study will be very important materials to education-policy. 3. Study-methods ① We did survey and analysis of juvenile's veiw of values. ② We set the juveniles of whole nation as the mother group, however, excluding bipolar ones such as Seoulities and the juveniles living in islands and remote hamlet, finally selected the objects of three regions such as Kyeong sang, Chung Cheong and Cheol Ra regions and compared them by various dimensions. Except for detail-survey of Kyung Buk province, we set the objects of students of 3rd grade of sr. high school, professional school (Jr. College) and college in other regions, and surveyed subregionally by large city, medium size city and ruralfishing villages, and by sex. ③ Total number of the surveyed is 3,229 and by regionally, they are 1,725 in Kyung Sang, 616 in chung cheong and 888 in Cheol Ra. ④ The questionairs are handed directly by surveyers and colloected on the spot as soon as they are filled out. ⑤ The view of value by social strata and response degree to policy are tested by %² including the differences among regions, sexes, ages and ect., and to the question required quantitative evaluation, we gave +10, +5, 0, -5, -10 pionts as consent-dissent continuum and calculated the mean number and to other questions, the responses were shown by %. 4. the Juvenile's social and collective life ① Social and collective life of the Juvenile is relatively good in social-conciousness. The view or moral-order was shown 5.31 of f(R)/N. Generally juveniles are answered "waiting for one's turn" in the line at the station of public transit. Girls are shown to be a little better-observer in public order than boys, and teenagers better than the twenties. The view on law-abiding is shown 3.97 of f(R)/N and generally in case of minor offence, they expressed around "be shame". Criminal conciousness is getting stronger from large city to rural and fishing village. There are great differences between the two. Girls are stronger in the conciousness than boys and teenagers stronger than twenties. It is particularly a problem that twenties' f(R)/N is less than 1.72 and theyt are inclining to "may commit so". To the degree of success in the Reform of General Administrative Affairs by our government, f(R)/N is shown 4.94, responding generally "there are a bit fruitful". To the question, degree of recognition is getting stronger to rural-fishing village. Male is stronger than female and teenagers stronger than twenties. And in the hot-bed of corruption, enterprises and tax office are shown 29.63%, and politician 23.27%. General administrative office, judicial and police offices are high in distrust in rural-fishing villages, and tax office, enterprises and politician are getting higher in distrust to larger cities, however, educational institutions are high of trust in medium-size city. Judicial office, enterprises, tax-office, education instution and politician are in high ofdistrust by female, and general administrative office is in high of distrust by male. Teenagers are in side distrust in judicial, police, enterprise and education institutions, and twenties are in side of distrust in general administration and politician. And degree of trust in shamanism is low of 4,76, generally selecting"almost deny", rural-fishing village, female and twenties are higher trust on superstition than large city, male and teenager respectively. The view on national value is shown 2.42. In the village, female, and twenties, cohesion is shown stronger than in city, male and twenties respectively. ② In measurement of juvenile's conciousness on inter-relationship, they are strong in degree of participation of family and community affairs, but in conciousness on collective life, unsatisfactory. They degree of satisfaction in family life is 4.68, generally "in side of satisfaction". It is getting more satisfaction from the villages to large cities. Juveniles in the villages seem to be much unsatisfied with their family, and females than males and twenties than teenagers are higher in satisfaction. Participation degree in community affairs is shown 8.00, generally close to "active participation". Villager than city-dweller and teenagers than twenties are higher in conciousness of participation. The degree of non-alienation from collective life is 2.71 showing the response of "relativelly no particular alienation" and "so on so" generally. Villager than citizen, male than female and twenties than teenagers are higher in alienation. The degree of acception of individual idea in collective life is shown 1.81, close to "so on so". Male's unsatisfaction is higher a little. Their preferable occupations are in priority of production enterprises(28.73%), public service(26.32%) and agriculture-forestry(19.23%). The popular occupations are agriculture-forestry and public service in rural-fishing villages, production-enterprises in medium -size cities and commerce-industry in large cities. Males are favorable to take agriculture-forestry, production and free enterprise and females are to bublic servidce. For teenager, agriculture-forestry and public service are high in priority and for twenties other areas of occupation are high. ③ In conciousness on traditional culture and identity, they are supporting the thought of "loyalty and filial piety", showing 5.36 and generally selected "It is great view on social order though required a lot of revision". females and teenagers are more active on the though required a lot of revision". Females and teenagers are more active on the thought than males and twenties respectively. The capability of foreign affairs in aspects of independent diplomacy was measured to 2.25 barely approaching to "be seen independent efforts". Trust was seen in females, teenagers and the villagers. In cultural conciousness, national superiority was shown very apparently as 28.67%. ④ In aspects of democratic and national conciousness, they showed the degree of satisfaction at democratic society. It was measured through the fruits of Yu-Shin Reform and resulted in 2.17, responding better in females, teenagers and the rural than in males, tweenties and the urban. On 6 years of current term of congressmen, 45.46% responded on "too long", 38.24% on "ordinary" while in rural-fishing villages, they showed high support of 48.90% selecting"appropriate". Many urbans are on "too long" (49.51% in large cities and 49.62% in medium). 44.04% out of females showed the response of "appropriate" while 47.22% of males did that of "too long". 44.43% of teenagers responded "appropriate" while 53.13% of twenties did "too long". National conciousness measured through "degree of confident explanation on national flag" was shown 2.87, responding "can explain to a certain extent" and "can explain" as medium quantity. The villagers, males and teenagers are shown high confidence of it. To the present big increase in national power, juveniles resopnded high motive of "people's self-conciousness" and "great leader" while female showed relatively hgh response on "New Community Movenment" and "Result of education" and so on. teenagers showed "great leader" and twenties did "Result of Education". The view of ideal nation measured through "approach to welfare state" showed 3.87, close to "be seen the effort for welfrare state". The villager, female and teenager showed high response to the positive side. as the way of education how to plant Korean Democracyh among the people they replied "Explaining Korean particular environments" is most useful as 41.40%. Juveniles in medium-size cities, males and twenties showed mainly the above answer. The patriotic attitudes measured through participation of nationa defense showed 8.47, responding close to "participate battle immediately". It can be said very active response that significant number of females selected the attitudes of "support in rear theater". The villagers, males and teenagers are strong in loyalty. If we consider females' particularity, we cannot say they are weaker in loyalty. However it is very considerable that there are responses of "may decide on the scene then", "immigrate abroad" and "negociate with enemy and live together though a few. We are sure that our goverment be required educate and enlighten them immediately. 5. Juvenile's view of Security and National Unification ① Through the measurement of conciousness on communism the surveyer saw that critical ability and attitudes of it is the nearest short cut to anti-communism a key to victory over it. In this dimension, the surveyer analyzed sources of knowledge from masscom 971.47%) and exposed the weak points on lectures and those on government's activities of public information, while rising of masscom's importance. The comparison of South-North living standards showed that 51.34% responded "South Korea is much superior" and 35.08% "superior". Then total 87% of juveniles are on our superio9rity and the rest (13%) showed "equal" or "don't know". In large cities "superiority" was low in % of males and twenties. The confidence in pursuading North Korean on our democratic society's strong points was shown 73.55% of "be confident". However it is very insufficient in education on communism that out 87% of "Our superiority", some 13% are not confident in pursuasion. 13.47% are shown "will decide on the spot to meet" and 5.85% "need not pursuade". The villager, male and teenager have strong response to the above 7.6% of "national symbols". Legality of national foundation" for the urbans and males and twenties "legitimacy of the country" for villagers, and "national culture" for females and teenagers are shown as the grounds of the legitimacy. ② The conciousness of national security measured through the question on aug. 18 Incident(1976) at Pan Mun Jeom appeared following; the causes of the Incident are shown in order of "domestic unstability of North Korea" 928.92%) "shifting responding dissent, 48.77% are on " a little humiliating" and 21.12% are on "utter humiliating". Only 23% showed satisfaction at the counteraction. They showed youthful active counteraction of purnishment, however, it also may cause some anti-American or uncredibility over United States. By region, sex and age, the re3sponses were diffeent greatly. Juvenile's predictions on the possibility of Sino-Soviet Support in case of total war are following; some 80% calculate psychologically that both China and Russia will surely support North Korea militarily and materially, 45.09%, "material support by both". To the way of spritutal militarization, they responded in order of "introduction of North Kjorean affairs" (29.48%), "explanation of N. K's attitudes"(26.20%), "education on N.K's strategy to the South"(20.50%), "to criticize communist thory"(17.96%) and so on. Different responses among regions, sexs and ages are apparent. The Juvenile's pride to foreigner is shown 0.92% of f(R)/N, a little higher to "equality". Villagers are relatively high, medium-size urbans are lowest, and females and teenagers are high in pride to foreigners. ③ To the question on Unification time as one of the conciousnesses of Unification, they responded in order of "impossible forever" (40.16%), "in 30 years"(23.59%) and "in 10 years" (17.99%). It is very undesirable that possibility of Unification is renounced gradually among juveniles. Juveniles are in deadly need of education and enlightenment on increase of Unification conciousness. Differences among the given variable are very apparent. In large city, females and twenties, the re3nunciation is shown greatly. The reasons of Unification are shown in order of "single-nation" (36.38%), "political stability"(32.48%), "preferable to international competition"(20.53%) and so on. Urbans of large cities, males, twenties responded "preferable to Int'l competition", female did "political stability" and teenagers did "single-nation". To "the factors of obstacles to Unification" are shown "antagonistic ideologies" (64.16%), interest situations among Big Four" (18.14%), "North Korean reluctance"(9.60%)and so on. "Interest Situation among Big Four" is shown in large cities and twenties, "N.K's reuctance" in males and teenagers. and "antagonistic ideologies" in females. The ways of Unification are appeared in "economic development"(46.67%). "South-North Dialogue" (26.72%) and so on. "S.N Dialogue" in the villagers, females and teenagers, "Military March for Unification" in males, and "none available" in twenties are expressed relatively high. 6. Conclusion As mentioned above, social conciousness among juvenile is generally good, however, their alienation may be problematic a bit and capabbilty to foreign countries and national conciousness on democratic society are insufficient. However, defence conciousness is highly praisable. That the main sources on communism appeared to be masscom is required to reconsider. Juvenile's view of superiority in living to the North is very confident attitudes and their demandes of more information on North Korean reality and their attitdes toward S. N. Talk as a way of spiritual strengthening is needed to consider by goverment, and some policy-arrangements must be required. Renunication of Unification possibility as "impossible forever" is terrible and therfore, we need to educate and enlighten them for increase of the condiousness. "Military march for Unification"(11.30%) and "no way available"(3.37%) on Unification are surely problematic. In these re3spects, the education on Unification and anticommunism should be strengthended more. To the idea of "loyalty and filial piety", our juveniles are very positive, but indicated "requring a lot of revisions" Then the idea is required significant study and analysis in order to establish as a new value.

결절성경화증 환자에서의 SPECT 뇌영상 : 예비적 연구 A preliminary report

한설희,이상수,정승연 충북대학교 의과대학 충북대학교 의학연구소 1991 忠北醫大學術誌 Vol.1 No.1

간질발작을 포함한 전형적인 삼징후가 동반된 결절성경화증 환자를 대상으로 뇌파검사, 뇌전산화단층촬영술 및 단일광자방출단층촬영술을 시행하였다. 뇌전산화단층촬영술에서는 상의하석회화병소와 조영제증강이 뚜렷하지 않은 피질에 연한 저음영 소견이 관찰되었으며 이어서 시행한 단일광자방출단층촬영술에서는 뇌전산화단층촬영술 소견보다 더 광범위한 부위에 관류결손이 관찰되었다. 단일광자방출단층촬영술은 결절성경화증 환자에서 간질발현 병소인 피질결절을 발견하는데 있어서 전산화단층촬영술 및 뇌파검사보다 더 유용한 방법이며 치료방침 결정이나 예후판정에 있어서도 큰 도움을 줄 것으로 기대된다. Two patients with a well-established diagnosis of tuberous sclerosis and epilepsies as their principal clinical symptom were examined by conventional surface electroencephalography(EEG), computed tomography, and single photon emission computed tomography(SPECT) using the 99mTc hexamethyl prophyleneamine oxime(99mTc-HMPAO). The interictal EEG showed various abnormalities of poor localizing value. Brain computed tomography surely demonstrated subependymal calcifications, although the cortical lesions were not so conspicuous. However, the SPECT images of each patient clearly demonstrated decreased cerebral perfusion in cortical areas. It may be assumed that such perfusion defect areas represent the epileptic cortical tubers or those of altered myelination, which are characteristics of the disease.

통일을 대비한 남북한 도서관 정책과 제도에 관한 연구

한상완,김태수,전현주,이승채 한국문헌정보학회 1996 한국문헌정보학회지 Vol.30 No.1

동서간의 냉전을 종식하고 탈 이데올로기 시대에 돌입한 세계정세는 체제와 이념을 극복하고 자국의 경제적 이익과 국민의 복지를 중심으로하여 자국 우위의 경제 중심으로 변해가고 있다. 이러한 세계 정세속에서 경쟁력을 확보하고 분단된 민족의 화합을 위하여 남북한이 통일되어야 할 것이다. 남북한이 통일되면 문명의 큰 흐름이 정보사회로 변전하는 이때에 정보를 효과적으로 수집, 가공, 축적, 제공하는 제도적 장치인 도서관 정책과 제도를 어떻게 운용할 것인가 하는 과제는 국가의 중대사이다. 그런 관점에서 이 연구는 다음과 같은 결론을 얻었다. 첫째, 통일을 대비하여 민족도서관을 건설하는데 있어서 1)정보사회형 정책과 제도 개념 2)민족문화중심의 정책과 제도개념을 도입하는 것이 필요하다. 둘째, 통일에 앞서 우선적으로 남북한 도서관간의 협력구도를 마련하는 것이 필요하다. 이러한 협력은 종합목록의 작성, 자료의 상호대차, 자료의 공동활용을 위한 표준화된 목록규칙의 작성, 학위논문의 교환 등과 같은 실질적 이익을 가져다 주는 부분에서부터 시작해서 점차 자원을 필요로 하는 영역으로 확산되어야 한다. 셋째, 통일을 대비한 도서관 정책과 제도를 개발하는 일은 지배 모델로서의 통합흡수형이 아닌 상호의존 모델로서의 병존협력의 개념위에서 수행되어야 한다. 넷째, 통일을 대비한 도서관 정책원리에는 1)자유경쟁의 논리 2)사회교육을 통한 의식의 개혁 3)자주의식과 인류애 4)과학적 내지는 합리적 사고 5)직업에 대한 소명의식 6)민주시민정신 7)공동체의식 8)공익정신 9)세계정신을 포함시킬 것이 요구된다. 다섯째, 통일을 대비한 도서관 제도모형은 남북한의 도서관이 1)도서관의 위상통일 2)도서관 정책 및 제도 전문연구기관의 설립 3)전문인력의 교류 4)정보자료의 교류 5)학술정보망의 구축 6)문헌정보학 교육체계의 확립과 수준향상 7)현대화 및 정보기술 개발과 이양 등을 내용으로 갖추고 그 구체적인 사안들을 공동개발할 필요가 있다. 끝으로, 남북한의 도서관은 그 개념, 운영목적, 자원의 내용 및 이용방법 등이 모두 상이하다고 할 수 있다. 도서관의 존재이유와 그 실용성의 측면들을 고려할 때, 남북한의 도서관은 통일이라고 하는 사회적 변화에 직면하여 그 충격이 최소한의 것이 되도록 상호 공조체제를 구성할 필요가 있다 The world has moved from the Cold War between the east and the west, and moved toward the age without idealogy. It places emphasis on economic benefit and welfare of its own nation as its main point. With this world trend, in order to secure the competitiveness and the reconciliation of the divided nation, the north and the south Korea should be united. Once the north and the south are united, information society will be altered with the huge flow of the civilization. At the same time, the issue of how to operate library policies and system, in which effective acquisition, manipulation, accumulation, and dissemination of information occurs, would be very important. From this point of view, the following conclusions are obtained in this study. Firstly, when building a national library preparing for the national unification, it is essential to introduce 1)the concept of policy and system for information society and 2)that of policy and system which has national-culture as its focus. Secondly, it is essential to prepare the cooperative-structure between libraries prior to the national unification. This kind of cooperation should gradually expand to an extent that allows actual benefits such as building union catalog, inter-library loan system, resource sharing, standardized cataloging rules, and exchange of dissertation... etc. Thirdly, developing the library policies and systems for the national unification must be based on the concept of the mutual cooperation as inter-dependent model, rather than on the concept of the incorporation-absorption as a dominant model. The next point, the principles of the followings in preparing the library policies should be considered: 1)free-competition, 2)revolution of consciousness through the social education, 3)independence and love for humanity, 4)scientific or reasonable thinking, 5)job responsibility, 6)democratic citizenship, 7)mind for collective life, 8)spirit of public interest, 9)globalization In addition, the model of the library systems preparing for the national unification should include the followings: 1)uniformity of library system and its authority, 2)establishment of research institutes for library policy and system, 3)exchange of library experts and information resources, 4)building library networks, 5)establishment of education systems for the library and information science and enhancement of its quality, 6)modernizing and developing information technology and its transfer. Finally, the libraries in the north and the south has different concepts, goals, information resources, and the different ways of using them. Considering the practical aspects of the libraries and the reasons for their existence, they must structure the mutual cooperative system so as to minimize the shock when confronting the social changes, so-called the national unification

우리나라 農村 保健支所에서 高血壓患者의 追求管理 方案 및 그 效果에 關한 硏究

韓聖鉉,金琅昊,李成秀 순천향대학교 1987 논문집 Vol.10 No.2

As a follow-up of the case-control study of some risk factors and status of hypertension control in rural community undertaken in May 1985, a brief assessment survey was carried out in May 1987 in order to evaluate the effectiveness of a special hypertension clinic set up at a health sub-center in Eumseong community for one year period, beginning from April 1986. The objectives of this paper were : (1) To describe a hypertension control model designed for primary care at health sub-center level (2) To present the results of follow-게 care of 39% of hypertension for one year in terms of the change in health indicator(BP level) and the factors related to compliance & non-compliance with prescribed regimen. For this study, data was obtained from 24 hypertension patients diagnosed in the previous study, dividing them into two groups : 42% as the compliance group(C-group) and 58% as the noncomplance group(NC-group). In comparing the two groups, the following results were obtained : 1. There were some difference between the two groups. In their characteristics : For example, (a) in sex composition, C-group was consisted of more female than NC-group(60% vs 50%) (b) C-group had shorter history of hypertension than NC group : the proportion of patients under 4 years group(60% vs 36%) 2. During one year period, 24 sessions of special hypertension clinics were operated at HSC. But the mean number of visits of C-group was 21.9, while NC group had 5.3 visits. 3. Knowledge & attitude toward the needs of hypertension treatment were not different between both groups. Also there were less appreciation on the prescribed duration of care to comply in both groups. 4. C-group had expressed their reliance on the treatment at the special clinic services at HSC, but NC-group *) This investiation was surpported by 1986 research grant of Soonchunhyang University. O.K. also partially sup ported by the GTZ grant. had less relied on the special clinic services at HSC and more prefered to the clinic services of the hospital. But there patients attended hospital were not referred back to HSC. 5. Main reason for compliance of C-group was their concern to prevent from stroke attack and other CV diseases. The reasons for NC-group were mainly due to (1) Geographical in accessibility, (2) Economic problems to pay, (3) Less satisfaction on progress in treatment. 6. As a results of this program in average level of BP, it was found that an average BP of C-group were decreased from 187.6㎜Hg in systolic BP and from 112.2㎜Hg to 103.4㎜Hg in diastolic BP. But, the same of NC-group increased from 169.1㎜Hg to 176.0㎜Hg in systolic & form 100.0㎜Hg to 102.3㎜Hg in diastolic BP. While it is too early to claim the success of special clinic program for hypertension control at primary care(HSC) level, this assessment survey led us a tentative conclusion that public doctor assigned at health sub-center can reasonably manage the hypetension control program if there are some support to overcome clients problems in economic & geographic accessibility and if patients adequately comply with the each special clinic sessions at HSC. In order to further strengthen the hypertension control program at primary care level, the following recommendation can be made ; (1) A set of portable EKG instrument should be equipped at health sub-center when public physicians wish to initate the community-based hypetension control program. (2) Taking into account the size of population & geographical area of each health sub-center(or township), and their work load, the HSC can inititate the H.C. program, starting from the accesible villages near HSC where & when their villages wish to participate in the program. (3) To formulate an effective community-based hypertension control program, there is a need of systematic referral system between HSC(primary) & Hospital(secondary), linking the available health resources in the community(e.g. VHW-CHP-HSC-GP-Hospital) as now being developed by the Eumseong CH project.

가속실험을 이용한 상업적 멸균처리 한식 탕반류의 유통기한 평가

한경수,이은정,홍상필 한국조리과학회 2005 한국식품조리과학회지 Vol.21 No.2

The objective of this research was to estimate the shelf-life of 4 kinds of Korean soup (Yukkaejang, Sagol-woogeojitang, Kalbitang, and Seolleongtang), under an accelerated experiment, based on the changes in the selected physico-cliemical, microbiological and sensory characteristics. The 4 kinds of Korean soup (Yukkaejang, Sagol-woogeojitang, Kalbitang and Seolleongtang) were treated at 121℃: for 30 min. and the shelf life was evaluatcdthrough accelerated experiment, based on the changes in the physico-chemical, microbiological and sensory characteristics. No viable cells were detected in any of the treatments and no significant differences were shown in pH, T13A and Hunter's color values for 3 weeks at 37℃. The periods found to he acceptable by sensory evaluation were 7 days for Yukkaejang and Kalbitang, 14 days for Sagol-woogeojitang, and 21 days for Seolleongtang. For an assumed Q_(10) value of 2.5, shelf-life was predicted as 109 days for Yukkaejang and Kalbitang, 219 days for Sagol-woogeojirang, and 328 days for Seolleongtang at 5℃, suggesting that these 4 hinds of Korean soup are suitable for commercial distribution.