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        人口政策과 人口資質向上을 위한 硏究

        金正根(Jong Kun Kim),許程(Jung Huh) 한국인구학회 1980 한국인구학 Vol.3 No.1

        Vast volumes of studies of the medical and public health aspects of fertility and family planning have been published by the various institutes of health related research and university scholars in Korea. None of them, however, have dealed with the population problems associated with biologically and mentally handicapped people. It must be emphasized that the purpose of Korea's population policy should be to improve the quality of the population rather than to decrease its rate of increase. In this spirit, the first report of this study is to identify problems related with mentally and physically less fitted population, and to attempt to offer the possible solutions to the health planners and policy-makers. Several nation-wide surveys of the handicapped people in Korea have been compared. Each survey shows a wide range of difference in the prevalence of the handicaps (see Table 13). In this study, the data on the handicaps are collected by two independent system; one by the nationwide survey and the other by the reporting system existing at the Seoul National University Demonstration Health Project. The Chandrasekar-Deming technique was used to estimate the total number of handicaps. The estimates are summarized in the tables 8, 9 and 10. Estimate of total number of handicapped people in Korea is 601,400 with the prevalence rate of 16.1 per thousand persons. Even if taking a number of conditions which may result in a biased estimate of the total number of the handicaps into consideration, the proportion of handicapped people in Korea has increased in the past two decade as the result of the rapid decline in fertility and childhood mortality, which consequently prolonged life expectancy of persons with congenital or acquired impediment. An increase in the proportion of handicapped people will eventually bring about serious problems of social welfare, medical care, and population qualities from various aspects including eugenics. To tackle the problem, there must be an increased emphasis on the prevention of handicaps from the government and private sector. Based on the amount and quality of data, and from the practical point of view, this study prepared a set of recommendations for the government to strengthen its programs of the preventive activities during the prenatal period and early childhood, early finding from routine examinations, and proper social and medical rehabilitation.

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      • 우리 나라 種痘法實施에 關聯된 保健史的 考察

        許程 서울大學校 保健大學院 1987 보건학논집 Vol.24 No.1

        An Egyptian mummy was found to show skin marks possibly caused by smallbox. In the early medical manuscripts of the West such as in Philo, Herodotus, Galen, and Aron of Alexandria, references were found that could be interpreted as pointing to smallpox. In the sight of historical records, smallpox prevailed in China at least between A.D. 300 and 500. It is certain that smallpox was introduced into Korea from the north-western part of China in the middle of the Age of Three Kingdoms(三國時代) as most of epidemics were. We can see the descriptions related to smallpox in History of the Three Kingdoms(三國史記). One-tenth of all deaths in Europe in the eigthteenth century as well as the majority of all cases of blindness were attributed to smallpox. On 14 May 1796, Edward Jenner(1748~1823), an English country practitioner, vaccinated a boy named James Phipps with lymph taken from the cowpox vesicles on the finger of a dairy maid. This much more effective and harmless method against smallpox was introduced into China in 1805 and into Korea in secret from Peking by Chung Ta San and his colleague in 1830s when it was thirty years after development of vaccination. But from the start the practice of smallpox vaccination met with opposition in Korea because of the persecution and oppression of the Western School. So smallpox vaccination could not be generally applicable and was limited to a very small area and finally was suspended. The most reliable smallpox vaccination in Korea was introduced by Chi Suck Young in 1879. Ater the establishment of the Korea-Japanese Friendship Treaty in 1876, he was trained practical instruction in Japan and learned everything related to smallpox, e.g., the skill of the vaccination and that of manufacturing the variolar vaccine. Through all difficulies he and his fellows made efforts to disseminate smallpox vaccination. The introduction of compulsory vaccination was in 1895 after the Kap-O-Reformation(甲午改革).

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