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장애인 평생학습도시 참여 경험 및 발전 방안 탐색 연구
김원호,박지석 한국지체·중복·건강장애교육학회 2024 지체.중복.건강장애연구 Vol.67 No.2
연구목적: 이 연구는 장애인 평생학습도시 참여 인력의 경험을 탐색하여 운영 경험에 기반한 발전 방안을 도출하는 데 목적이 있다. 연구방법: 김원호 외(2023)의 연구에서 제시한 것처럼 장애인 평생학습도시 참여 인력을 기초지자체 담당자, 기관 종사자, 교강사의 3개 집단으로 구분하여 FGI를 실시하였다. 눈덩이 표집을 활용하여 기초지자체 담당자를 통해 기관 종사자와 교강사를 섭외하였으며 결과적으로 기초지자체 담당자 10명, 기관 종사자 6명, 교강사8명을 연구 참여자로 선정하였다. 연구결과: FGI를 통해 5개의 상위범주와 20개의 하위범주, 106개의 의미단어를 도출하였다. 구체적으로 장애인 평생학습도시 운영 현황, 기관/지자체 담당자의 참여 경험, 교강사의 참여 경험, 평생학습도시의 제도적 제한점, 장애인 평생학습도시 발전 방안의 참여 경험을 도출하였다. 결론: 장애인 평생학습도시의 참여 경험을 기반으로 장애인 평생교육 전문인력 배치, 신규 인프라 구축, 새로운학습자 발굴, 지역 특성화 프로그램 개발의 장애인 평생학습도시 환류체계를 제언하였다. Purpose: The purpose of this study was to explore the experiences of people working to lifelong learning cities for the people with disabilities and to derive development plans based on operational experiences. Method: As suggested in the study by Kim Won-ho et al. (2023), focus group interviews(FGI) were conducted by dividing the participants into three groups: local government officials, institutional employees, and instructors. Using snowball sampling, institutional workers and instructors were recruited through local government officials. As a result, 10 local government officials, six institutional employees, and eight instructors were selected as research participants. Results: Through FGI, five high-level categories, 20 low-level categories, and 106 semantic words were derived. Specifically, the operation status of the lifelong learning city for the people with disabilities, the participation experience of agency/local government officials, the participation experience of instructors, the institutional limitations of the lifelong learning city, and the participation experience of the development plan of the lifelong learning city for the people with disabilities, were derived. Conclusion: Based on the experience of participating in the lifelong learning city for the people with disabilities, a feedback system for the lifelong learning city for the people with disabilities, was proposed by deploying lifelong education experts for the people with disabilities, building new infrastructure, discovering new learners, and developing local specialized programs.
Clostridium difficile-Associated Disease 에 대한 임상적 고찰
김원호,조용석,이경원,이준규,유효민,이충렬 대한소화기학회 1999 대한소화기학회지 Vol.33 No.3
Background/Aims: Clostridium difficile-associated disease (CDAD) is a common cause of anti biotics-associated diarrhea. The purpose of this study is to understand the clinical, microbiological endoscopic and pathological features of CDAD. Methods: The analysis was performed for 31 patients who were diagnosed as CDAD by positive stool culture from Jan, 1988 to Dec, 1997 and subsequently underwent flexible sigmoidoscopy or colonoscopy. Results: Generally, CDAD occurred in elderly patients who were admitted and treated with antimicrobial agents for a long time. Majo symptoms were watery diarrhea, fever, hematochezia, abdominal pain, and vomiting. On endoscopy pseudo membranous colitis (PMC) and nonspecific colitis were observed in 58.1% and in 22.6% o the patients, respectively. Noraml findings was observed in 19.4% of them. Pathologic finding sho wed PMC in 19.4% of the patients, nonspecific colitis in 48.4%, normal finding in 22.6%. Most o CDAD were cured when the use of the presumptive causative antimicrobials was quitted and van comycin, metronidazole, or cholestyramine was used. Eight recurred cases were also cured by using vancomycin or metronidazole. Conclusions: CDAD is a common cause of antibiotics-associated diar rhea and shows a spectrum of endoscopic and pathologic findings from normal to PMC. CDAD i treated well by oral vancomycin or metronidazole, even in the recurred cases.