활동보조서비스의 제도화 방안동보조서비스와 한국에서의제도화 모색김경미

김경미 한국사회복지정책학회 2007 사회복지정책 Vol.29 No.-

Exploring the Possibility of Establishment of Personal Assistance Services(PAS) to Korea: Focusing on USA This study aims to explore the possibility of establishing personal assistance service(PAS), which is a very important issue in Korea disability policy. PAS assists s people whit disabilities to participate fully in society. First, PAS systems of USA was investigated in terms in terms of eligibility, benefit, delivery system, financing, and current issues. The reason to select USA is that USA is highly influential to Korea. Next, services similar to PASin Korea were reviewed. Finally, the article proposes some guidelines for establishing PAS. Ideally, the only criteria for eligibility are the individual’s income and the severity of disabilities. Current instruments to measure the severity of disability are insufficient; new instruments are required. Recommended services include transportation, accompaniment, and employment support as well as general assistance with general care and housework/chores. Additionally, it is recommended that demonstration programs be established to allow for the comparison of the advantages and disadvantages of various delivery systems. Most importantly, people with disabilities must be guaranteed a central role in the planning implementation of PAS. Key word: Personal assistance services, establishing PAS in Korea, choice and control 본 연구는 현재 장애인복지에서 주요 이슈이며 장애인의 완전한 사회참여를 가능하게 하는 필수적인 서비스인 활동보조서비스의 한국적 적용을 위한 모색을 목적으로 한다. 이를 위해 활동보조서비스를 우선적으로 실시하였고, 현재 한국의 자립생활과 활동보조서비스에 강한 영향을 주고 있는 미국 활동보조서비스의 배경과 역사, 대상선정 기준, 급여의 내용과 급여액, 전달체계, 재정, 그리고 문제점을 살펴보았다. 다음으로는 한국적 상황을 감안하여 활동보조서비스 제도화를 위해 고려해야 할 점들을 논의하였다. 활동보조서비스의 제도화를 위한 대상 선정의 기준으로서는 장애인 개인의 소득과 장애의 정도를 고려해야 할 것이다. 장애의 정도를 측정하기 위해서는 현재의 장애등급을 적용하기 보다는 새로운 도구의 개발이 필요하다. 서비스의 내용은 기존의 간병과 가사 위주의 서비스에서 장애인의 자립을 지원하는 서비스, 예를 들어 이동이나 외출보조, 직업보조 등의 서비스를 포함하여 장애인의 적극적인 사회참여를 지원하는 서비스가 포함되어야 할 것이다. 급여의 양은 개인의 장애정도에 따라 결정되어야 할 것이다. 전달체계는 다른 나라의 모델들의 장단점을 충분히 고려하여 시범사업을 거친 뒤 확정할 필요가 있다. 활동보조서비스 운영원칙 중 중요한 부분은 서비스 계획단계부터 실행단계에 장애인의 적극적인 참여가 보장되어야 하며, 서비스에 대해 장애인이 최상의 수준의 선택권과 통제권을 행사할 권리를 보장하는 것이어야 한다.

우리에게 다가온 사랑의 손길

김경미 인구보건복지협회 2000 가정의벗 Vol.33 No.3

Prevotella nigrescens에서의 Hemin조절 세포막 단백질의 순수분리 및 특성분석

김경미,최점일,김성조,Kim, Kyung-Mi,Choi, Jeom-Il,Kim, Sung-Jo 대한치주과학회 2002 Journal of Periodontal & Implant Science Vol.32 No.2

In the study presented here, identification, purification, and partial characterization of a hemin-regulated protein in Prevotella nigrescens were carried out. The results of this study confirm that the availability of hemin influences the expression of a selected membrane protein as well as the growth rate of P. nigrescens ATCC 33563. The 50 kDa cell envelope associated protein, whose expression is hemin regulated, is considered to be a putative hemin-binding protein from P. nigrescens. Disulfide bonds were not present in this protein, and N'-terminal amino acid sequence analysis revealed that this protein belongs to a new, so far undescribed protein. The 50 kDa protein was found to be rich in hydrophilic amino acids, with glycine comprising approximately 60% of the total amino acids. The study described here is the first to identify, purify, and biochemically characterize a putative hemin-binding protein from P. nigrescens. Work is in progress to further characterize the molecular structure of this protein.

양주 회암사지 석조불상의 양식과 가치 연구

김경미 한국미술사학회 2021 美術史學硏究 Vol.312 No.312

This study focus on the characteristics and of the Fragment of Stone Buddha of Hoeamsa Temple(檜巖寺). As is well known, this temple had been developed rebuilding by supporting of the royal family from the late of Korea Dynasty to the early of Joseon Dynasty(朝鮮). The Hoeamsa Temple Site in Yangju(陽州) is believed to have been destroyed in a fire in the late 16th century, and various artifacts have been excavated after several excavations since 1999. This Temple has been excavated a variety of Fragment of Stone Buddha statues. The Buddha statue of Hoeamsa Temple in Yangju has a hole on top of high usnisa(肉髻), and special folds in the left arm and a thick clothing style. It was reflects the sculptural Joseon style modified by the Tibet-Chinese style. This style is very similar to that of Buddha statues produced in the 15th century, supported by the royal family of Joseon. In particular, these statues were believed to have been produced around the first half of the 15th century when the temple was heavily fortified with the support of Prince Hyo-ryeong(孝寧大君). It is also interesting to note that these statues show the sculptural features of the early Joseon Dynasty, reflecting the Tibetan-Chinese sculptures style, compared to those of the Buddhist sculptures in the first half of the 15th century during the year of Yeongrak (1403~1424) and Seondeok (1426~1435), the kings of the Ming Dynasty. This reflects the development of Buddhist sculptures in the early Joseon Dynasty in line with the trend of Buddhist art in East Asia. 본 연구는 양주 회암사 석조불상(편)의 특징과 조성 시기를 고찰하였다. 양주 회암사지는 고려말기부터 조선 초까지 왕실의 지원을 통해 발전한 대표적인 왕실 원찰이다. 양주 회암사지는 16세기후반에 소실되었으며, 1999년 이후 수 차례의 발굴로 다양한 유물이 출토되었다. 〈양주 회암사석조불상〉은 완전한 형태가 없고, 훼손된 편이지만, 머리 형태와 몸체를 통해 다음과 같은 특징을확인하였다. 머리 부분은 육계 위에 구멍이 있어서 정상계주를 얹었던 것으로 추정되며, 왼쪽 팔부분의 Ω형 옷 주름, 그리고 두터운 법의 등이 특징이다. 이러한 형식은 조선 왕실의 지원을 받아 15세기에 제작된 〈영주 흑석사 목조아미타여래좌상〉 (1457년), 〈경주 왕룡사원 목조아미타여래좌상〉(1466년) 등 효령대군 등이 관여한 왕실발원 불상 형식과매우 유사하다. 이러한 조선 전반기 조각 양식은 명나라 영락(永樂, 1403-1424), 선덕(宣德, 1426-1435) 연간에발전했던 티베트계 명 양식이 반영된 불상 양식과 매우 유사한 특징이 있다. 이와 같은 형식 특징을 고려할 때 〈양주 회암사지 석조불상〉은 효령대군이 중창 불사 시기를전후한 15세기 전반경에 제작되었을 것으로 판단된다. 또한, 명 영락·선덕 연간(1402-1435)의 조각과의친연성을 가진 〈양주 회암사지 석조불상〉은 조선 전반기 불상 조각이 동아시아의 불교미술 발전흐름에서 공통가치를 교환하는 것을 반영한다.

수학 노트를 활용한 학습활동이 수학 학업 성취도, 수학적 태도 및 반응에 미치는 영향

김경미,박종서 한국초등수학교육학회 2010 한국초등수학교육학회지 Vol.14 No.2

This study purposes to examine the learning achievements, attitude and reactions of elementary school students in fifth grade in mathematics after inducing to use of learning-notebook on mathematics. To achieve the purpose, this study focuses on the following matters. First, we develop the ways to write thoughts and activities in solving problems on learning-notebook for elementary school student in fifth grade. Second, we analyze the effects of the students' learning achievements after applying the ways to them in every mathematics learning activities at home and in school, etc. Third, this study examine the attitudes and reactions of the students toward mathematics after observing the learning activities and interviewing them. The results are summarized as follows. First, using learning-notebook helps to improve the performance of students. The average point of the final examination went up to 90.67 while the average of the first level test was 70.75. And almost each student's result have improved. Second, the interviews with the students show that they feel sense of accomplishment, their mathematical attitude has changed to be positive, and they've actively participated in class by using the learning-notebook. The students felt confidence and achievement and they were more interested in studying mathematics when they use the learning-notebook. Further, the students used the notes in doing their homework and at home studying. Finally, the learning-notebook had a good influence on the relationships between students and teachers. Moreover, learning-notebook serves as a medium that connects teacher and student's work. 본 연구는 초등학교 소수의 학생들에게 모든 수학 학습 활동에서 학습노트를 적극적으로 활용하도록 유도하는 가운데 지필검사, 관찰 및 면담을 통해 수학 학업 성취도 및 태도에 어떠한 영향을 미치는지 알아보며 학생들 반응의 변화를 살펴보는 양적 연구와 질적 연구를 병행하였다. 이를 위해 다음과 같은 연구문제를 설정하였다. 첫째, 사교육이 없는 N초등학교 5학년 9명을 대상으로 자신의 생각이나 문제해결 활동을 할 수 있는 수학 노트 쓰는 방법을 고안하고, 둘째, 개발한 수학 노트 쓰기를 모든 수학 학습 활동에 활용한 후 수학 학업 성취도 및 태도에 미치는 영향을 분석하며, 셋째, 수학 노트 쓰기를 지속하는 과정에서 학생들의 수학에 대한 반응 등의 변화를 살펴본다.

Effects of Medetomidine and Tramadol Administration on the Minimum Alveolar Concentration of Isoflurane in Dogs

김경미,정종태,박현정 한국임상수의학회 2010 한국임상수의학회지 Vol.27 No.6

This study was to evaluate the effects of tramadol and medetomidine administration on minimum alveolar concentration (MAC) of isoflurane in dogs. MAC of isoflurane was determined in four occasions; 1 ml saline (Control),2 μg/kg medetomidine (M2), 4 mg/kg tramadol (T4), 2 μg/kg medetomidine-4 mg/kg tramadol combination (M2T4). Heart rate, blood pressure, respiratory rate, end-tidal carbon dioxide concentration, saturation of hemoglobin with oxygen and body temperature were recorded. After administration of M2 (0.81 × 0.18%), T4 (0.81 × 0.14%) and M2T4(0.62 × 0.12%), less isoflurane was required than the control value (1.13 × 0.19%). Significantly lower heart rate than the control value was detected after treatment of M2, T4, and M2T4. When only M2T4 was administered, blood pressure was significantly higher than the control value. In conclusion, administrations of tramadol, medetomidine and medetomidine-tramadol combination decreased the MAC of isoflurane in dogs. Especially, medetomidine-tramadol combinations could be useful as a premedication because of the anesthetic sparing effect and moderate changes in cardiovascular system.

감각통합치료의 역사적 고찰

김경미,Kim, Kyeong-Mi 대한감각통합치료학회 2003 대한감각통합치료학회지 Vol.1 No.1

The significant historical events and developments in the area of approach for sensory integration in Korean Society of Sensory Integration Therapists(KSSIT) are reviewed to stimulate future planning and clinical application in professional and health promotion. The paper reviewed the purposes of establishment, the role of members, progress of regular meetings and education for members and seminars in KSSIT. This review is placed within the context of the progressive period of KSSIT history, 1997-2003. Historical data are used as primary sources as records of events in KSSIT's homepage, official transcripts, professional articles, and secondary sources such as news letters for occupational therapists and oral information from first members. This review examined current actions and thinking, and suggests further actions and thinking for progressive professional education programs, research, clinical applications and public relations in sensory integration approach in KSSIT.

청각자극의 세기에 따른 노인의 인지 반응시간 분석

김경미,장문영,홍은경,Kim, Kyeong-Mi,Chang, Moon-Young,Hong, Eun-Kyoung 대한감각통합치료학회 2007 대한감각통합치료학회지 Vol.5 No.1

Objective: The purpose of this study was to get the cognitive reaction time according to the intensity of auditory stimuli in older people and to differentiate the cognitive reaction time between older people and adults. Method: 49 subjects consisted of 32 older people and 17 adults. Cognitive reaction time was assessed with Simple Auditory Reaction of Foundation I in PSS CogReHab. Analysis of the data was done by using independent t-test. Results: The results were as follows: 1. There was a significant difference of the mean of cognitive reaction time to the intensity of auditory stimuli. 2. There was no significant difference from older people regardless of sexual distinction in mean of cognitive reaction time. However, there was a significant difference of the mean of cognitive reaction time in adults. 3. There was a significant difference between older people who got a job or not in 90 dB of auditory stimuli. 4. The mean of cognitive reaction time to the intensity of auditory stimuli in older people was slower than adults. There was a significant difference of the mean of cognitive reaction time between older people and adults in 70 dB of auditory stimuli. 5. The mean of cognitive reaction time to the intensity of auditory stimuli in older people did not have the significant difference in scholastic ability. Conclusions: The results of the study showed slowing of the cognitive reaction time in auditory stimuli to aging in older people. Therefore, applying silver industry and development of equipment for older people may maintain independent life.

대학생의 환경친화적 소비의식과 자원절약행동에 관한 연구

김경미,계선자 한국가족자원경영학회 2010 가족자원경영과 정책 Vol.14 No.4

Biological Nitrogen Removal System의 세균 군집 분석

김경미,이상일,이동훈,Kim, Kyung-Mi,Lee, Sang-Ill,Lee, Dong-Hun 한국미생물학회 2006 미생물학회지 Vol.42 No.1

To understand the efficient process of biological nitrogen removal (BNR) system, the structure of bacterial communities in nitrification reactors was analyzed using PCR and terminal restriction fragment length poly morphism (I-RFLP) methods. In this study, we used an advanced treatment system with plotting media, Nutrient Removal Laboratory system, or the rumination type sequencing batch reactor (SBR) system. The terminal restriction fragments of ammonia-oxidizing bacteria (AOB) and other $\beta-proteobacteria$ were observed in all of three BNR systems. The nucleotide sequence analysis of terminal restriction fragments showed that Nitrosomonas and Nitrosolobus were major populations of AOB in SBR system, whereas uncultured $\beta-proteobacteria$ and Cardococcus australiensis were the predominant groups in other two BNR systems. Also the SBR system may be more efficient to enrich AOB. These results indicate that the different structure of bacterial community may be developed depending on the wastewater treatment systems, although the same influent is used.