OECD 11개 국가의 사회서비스 지출수준에 영향을 미치는 요인에 관한 연구

신희준 ( Hee Jun Shin ),홍경준 ( Kyung Zoon Hong ) 한국사회복지연구회 2012 사회복지연구 Vol.43 No.4

본 연구는 탈산업사회 복지국가의 사회서비스 지출수준을 설명하기 위해 사회, 정치, 경 제적 측면을 탐색한다. 이에 본 연구는 사회서비스 지출수준에 영향을 미치는 요인으로 신 사회위험 요인, 친복지동맹 요인, 서비스경제 요인을 연역하고, 이를 확인하기 위해 OECD 11개 국가를 대상으로 1997년부터 2007년까지의 결합시계열회귀분석을 실시한다. 회귀추정 에는 Parks-Kmenta의 방법에 따른 FGLS 모형과 Beck and Katz의 방법에 따른 PCSE 모 형을 활용한다. 분석 결과는 다음과 같다. 첫째, 신사회위험 요인으로서 돌봄공백의 규모가 증대될수록 사회서비스 지출수준이 높아지는 것으로 나타났다. 둘째, 친복지동맹 요인으로 서 복지서비스 제공자 지위에서 사회서비스의 확대에 이해를 갖는 정치적 세력인 공공부문 에 종사하는 여성이 전체 노동인구에서 차지하는 비중이 클수록 사회서비스 지출수준이 높아지는 것으로 나타났다. 셋째, 서비스경제 요인으로서 임금압축 수준이 높을수록 사회서비스 지출수준이 높아지는 것으로 나타났다. 이와 같은 연구결과는 사회서비스 지출수준의 증 가가 탈산업사회의 복지국가가 직면한 사회, 정치, 경제적 요인의 복합적인 작용에 의한 결 과이며, 이와 더불어 탈산업사회 복지국가의 발달을 이해하기 위해서는 그들이 직면한 새로 운 정책적 환경을 고려할 필요가 있다는 것을 시사한다. This study was intended to explore the public expenditure on social service focusing on the following factors: the new social risks, welfare status, and service economy. To verify the effect of these factors, this study analyzed the pooled time series cross-section data of the 11 countries among the OECD from 1997 to 2007 using the pooled time series cross-section regression analysis. FGLS model designed by Parks-Kmenta and PCSE model designed by Beck and Katz were both applied to the regression. Following is the analysis results obtained. First, the extent of the lack of care as a factor of new social risks raises the level of public expenditure on social service. Second, the greater proportion of women who work in the public in total number of employments increases the level of public expenditure on social service, as a factor of welfare status. Third, as the level of the wage compression is greater, it is shown that public expenditure on social service is more increased, as a factor of service economy. This study may include the following meanings: firstly, by attempting to focus on the expansion of social services in the other aspect of the changes from the de-industrial society`s welfare states, described as "decrease" and "at-risk," it provides us with basic information to understand the "development" of the welfare states. Secondly, by exploring the developmental factors of public expenditure on social service as a whole, not as an individual program, in the social, political, economic phase of de-industrial society, this study may suggest basic guideline for the future studies for further details. Lastly, the study which explains the expanding of social service, regarded as the important strategic means of the welfare states in de-industrial society, could be utilized for the design of the sustainable welfare states.

산업장 화학 사고로 응급실에 내원한 환자의 임상적 고찰: 일개병원의 후향적 연구

신희준 ( Hee Jun Shin ),오세광 ( Se Kwang Oh ),유병대 ( Byeong Dai Yoo ),전덕호 ( Duck Ho Jun ),이동하 ( Dong Ha Lee ),우극현 ( Kuck Hyeun Woo ),윤성용 ( Seong Yong Yoon ),최성용 ( Sung Yong Choi ) 대한임상독성학회 2015 대한임상독성학회지 Vol.13 No.2

Purpose: The purpose of this study is to understand what kinds of chemical substances have been used annually and to investigate incidents that occurred due to chemical hazard release and to analyze statistically clinically chemical injury patients who visited one regional emergency medical center in Gumi city with documented references review. Methods: Annual chemical waste emission quantity (Kg/Year) (Cwep) was reproduced using national web site data governed by the Ministry of Environment and 5 years (from 1 .Jan. 2010 to 31. Dec. 2014) of medical records of chemical injury patients who visited our emergency department were reviewed retrospectively. By applying exclusion criteria, 446 patients of 460 patients were selected. Results: Dichloromethane, Toluene, Trichloroethylene, and Xylene were always included within Top 5 of Cweq. Six cases of chemical incidents were reported and in 3 of 6 cases involving Hydrogen fluoride were included during the study period. Male gender and twenties were the most prevalent group. Injury evoking chemicals were Hydrogen fluoride, unknown, complex chemicals (over 2 substances) in sequence. The most frequent site of wounds and injuries was the respiratory tract. Gas among status, intoxication among diagnosis, and discharge among disposition was most numerous in each group. Conclusion: There have been no uniform clinical protocols for chemical wounds and injuries due to various kinds of chemicophysical properties and ignorance of antidotes. Therefore conduct of a multicenter cohort study and experiments for ruling out chemicals according to chemicophysical priority as well as development of antidotes and clinical protocols for chemical injury patients is needed.

정맥 내 지질 유탁액 치료 후 성공적으로 회복한 초오 중독 1례

신희준 ( Hee Jun Shin ),임훈 ( Hoon Lim ) 대한임상독성학회 2016 대한임상독성학회지 Vol.14 No.1

Aconitum is a genus of various species of flowering plants that belongs to the Family Ranunculaceae. Most Aconitum sp. have extremely toxic alkaloid substances such as aconitine, mesaconitine and hypaconitine. Among these substances, aconitine can cause fatal cardiotoxicity by activating sodium channels followed by calcium channels in myocardial cells. Even though there have been various therapeutic plans suggested comprising antidotes based on diverse case reports and studies, there is no confirmatory treatment protocol for aconite poisoning. Here, we report an aconite poisoning patient who had refractory ventricular tachyarrhythmia that did not respond to intravenous amiodarone therapies even though they were sustained for over 2 hours, but showed successful recovery following intravenous fat emulsions (IFE) therapy.

스텝퍼모터 구동과 안테나혼의 공진에 의한 XAPM 미소진동 영향 분석

엄상철(Sang Cheol Eom),신희준(Hee Jun Shin),문용준(Yongjun Moon) 한국항공우주학회 2019 한국항공우주학회 학술발표회 논문집 Vol.2019 No.11

게임 컨트롤러 기반 소방 고가 굴절사다리차 컨트롤러 디자인 제안

남승근(Nam Seung Geun),신희준(Shin Hee Jun),박소희(Park, So hee) 한국디자인학회 2020 한국디자인학회 학술발표대회 논문집 Vol.2020 No.11

황산 손상 환자의 임상적 고찰

오세광 ( Se Kwang Oh ),신희준 ( Hee Jun Shin ),유병대 ( Byeong Dai Yoo ),전덕호 ( Duck Ho Jun ),이동하 ( Dong Ha Lee ),김기환 ( Ki Hwan Kim ) 대한임상독성학회 2016 대한임상독성학회지 Vol.14 No.1

Purpose: This study was conducted to identify the characteristics associated with sulfuric acid injury in the emergency department. Methods: Data were collected retrospectively from January 2007 to December 2015 on all sulfuric acid injuries presenting to the emergency department in Gu-mi Soonchunhyung University Hospital. Patients injured by sulfuric acid were recorded over a nine year study period and collected data included demographics, injury mechanism, injured body part, hospital care and final diagnosis. Results: A total of 26 cases were identified. Most patients were male (88.5%) and the face was the most commonly injured body part. The most common mechanism of injury was splashing injury. A total of 16 (61.5%) patients were identified as having lesions worse than second degree burns. Conclusion: Sulfuric acid can cause severe and fatal skin burn. When working with sulfuric acid, acid proof protect clothing, goggles and glove should be worn. Furthermore, safety education and workplace environment improvement are necessary to reduce sulfuric acid injury.

Why did she lose her sight?

Sangsoo Han(한상수),Hee-Jun Shin(신희준) 한국산학기술학회 2018 한국산학기술학회논문지 Vol.19 No.11

본 메탄올은 공업용 용매로 흔히 사용되는 무색의 휘발성, 유독성 액체이다. 메탄올 중독에 의해서 시각 장애는 흔히 나타나는 증상 및 후유증의 하나지만, 흡입으로 인한 중독에서는 잘 나타나지 않는 것으로 알려져 있다. 그렇기 때문에 메탄올을 흡인한 이후에 시력저하가 생긴 증례는 잘 발표되어 있지 않다. 우리는 산업장에서 호흡기를 통해서 메탄올이 흡입된 이후에 시력손실이 발생한 케이스를 보고하고자 한다. 한국의 한 휴대폰 공장에서 일하던 28세 여자환자가 의식저하로 응급실로 내원하였다. 그녀는 이틀 전부터 시야가 흐릿하게 보였지만 대수롭지 않게 여겨 따로 병원을 찾아가지 않았고, 의식저하가 발생하여서야 병원에 오게 되었다. 내원시 환자는 글래스고혼수척도 9점의 의식저하를 보였으며, 혈액 검사 결과 심한 대사성 산증을 보이고 있었다. 중환자실에 입원하여 응급 투석을 비롯하여 메탄올 중독에 대한 치료를 시행하였다. 치료 후 의식이 회복되어 퇴원할 수 있었으나, 6개월 후까지 재활치료를 받고 있으며, 영구적으로 시력저하가 남았다. 흡입을 통해서도 메탄올 중독이 발생 할 수 있으며, 이는 초기에 알아차리기가 쉽지 않다. 하지만 메탄올 중독의 치료는 시간과의 싸움이 며, 초기에 빠르게 치료해야 예후가 좋다. 그러므로 흡입에 의한 중독 가능성을 항상 염두에 두어야 하며, 의심시에는 빠르게 치료를 해야만 한다. Methanol is a clear, colorless, volatile, and poisonous liquid that is commonly used as an industrial solvent. Visual impairment is a common symptom of methanol poisoning; however, visual impairment rarely occurs after exposure through inhalation. Therefore, visual loss after methanol intoxication via respiration has rarely been reported. We report a case of visual damage associated with methanol poisoning via respiratory exposure in an industrial setting. In this case in South Korea, a 28-year-old woman who worked at a cell phone factory was admitted to the emergency department with mental changes. She had blurred vision that began two days prior, but she did not come to the hospital until she experienced mental changes. She ranked 9 on the Glasgow Coma Scale and presented with severe metabolic acidosis. So, she was admitted to intensive care, and continuous renal replacement therapy was performed. Finally, she was discharged after recovery of her mental state, but had to undergo rehabilitation for six months. Also, her visual impairment was permanent. Methanol intoxication can occur through inhalation, which is difficult to detect initially. However, treatment of methanol poisoning is time-critical. Therefore, doctors should always keep in mind that methanol intoxication may occur via respiration. If in doubt, treatment should be given as soon as possible.

중증 외상 특성화 센터에서 사망률에 영향을 미치는 인자 분석

장익완 ( Ik Wan Chang ),김훈 ( Hoon Kim ),신희준 ( Hee Jun Shin ),전우찬 ( Woo Chan Joen ),박준민 ( Joon Min Park ),신동운 ( Dong Wun Shin ),박준석 ( Jun Seok Park ),김경환 ( Kyung Hwan Kim ),박제훈 ( Je Hoon Park ),최승운 ( Seun 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4

Purpose: An increase in the demand for specialized Trauma Centers led to a government-driven campaign, that began in 2009. Our hospital was selected as one of the Trauma Centers, and we reviewed data on trauma patients in order to correlate the mortality at a regional Trauma Center with its contributing factors, such as the severity of the injury, the means of arrival, and the time duration before arrival at our center. Methods: Data on the patients who visited our Trauma Center from January 2010 to November 2011 were retrospectively reviewed using electronic medical records. The patients who had revised trauma scores (RTSs) less than 7 or injury severity scores (ISSs) greater than 15 were included. The patients were categorized as survivors and non-survivors, and the means of arrival as transferred or visited directly. Time durations before arrival of less than one hour were also taken intoconsideration. Results: Two hundred(200) patients were enrolled, and the mortality rate was 36.5%. The most common cause of the accident was an automobile accident, and the most common cause of death was brain injury. The RTSs and the ISSs were significantly different in the non-survivor and the survivor groups. The mortality rate of the patients who were transferred was not statistically different from that of patients who visited directly. However, a time duration before arrival of less than one hour was statistically meaningful. Conclusion: The prognosis of the trauma patients were correlated with the severity of the trauma as can be expected, but the time between the incidence of accident and the arrival at hospital and whether the presence of transfer to trauma center were not statistically significant to the prognosis. (J Trauma Inj 2012;25:188-195)

어린이 기호식품 중 트랜스지방 및 포화지방 실태조사

윤태형(Taehyung Yoon),이성민(Sungmin Lee),신희준(Hee Jun Shin),이수연(Soo Yeon Lee),홍진(Jin Hong),노기미(Ki-Mi No),박경식(Kyoung Sik Park),임동길(Donggil Leem),이광호(Kwangho Lee),정자영(Jayoung Jeong) 한국식품영양과학회 2011 한국식품영양과학회지 Vol.40 No.11

어린이 기호식품 중 트랜스지방 및 포화지방 함량을 조사하고 그 지방산 조성을 확인하기 위하여 과자류 134건, 제빵류 55건, 도넛류 74건, 햄버거 60건(20종)을 서울 및 경기지역을 중심으로 수거하여 분석하였다. 조지방 함량은 과자류가 24.2±6.9(범위: 4.6~41.1)g/100 g으로 가장 높았고, 도넛 23.9±5.8(범위: 14.1~39.5), 제빵류 15.7±7.9(1.4~30.0), 햄버거 9.5±3.4(4.5~18.5)의 순이었다. 트랜스지방 최고값은 제빵류에서 1.3 g/100 g으로 업계의 저감화 노력을 확인할 수 있었다. 포화지방은 과자류가 11.6±4.8(범위: 2.0~22.7) g/100 g, 도넛 11.2±4.0(범위: 4.8~23.2) g/100 g, 제빵류 6.9±4.1(범위: 0.6~15.4) g/100 g, 햄버거 3.0±1.0(1.0~5.8) g/100 g의 순이었으며 조지방 함량에 의존성이 있는 것으로 확인하였다. 지방산 중 포화지방산 및 불포화지방산의 비율은 제품의 특성에 따라 매우 다양하게 나타났으며 식물성 유지를 사용하여 유탕하는 제조공정의 제품군이 다른 제품과 비교 시 포화지방산이 낮은 경향을 나타내었다. We studied the amounts of trans fatty acids and saturated fatty acids in child-favored foods. Confectioneries, breads, donuts and hamburgers were included in this study. The total fatty acid content and the amount of each type of fatty acid were determined by gas chromatography with a flame-ionized detector. Confectioneries were shown to have the highest content of crude fat. The mean content was 24.2±6.9 (range: 4.6~41.1) g/100 g food. The mean content of crude fat in donuts, bread and hamburgers was 23.9±5.8 (range: 14.1~39.5) g/100 g food, 15.7±7.9 (range: 1.4~30.0) g/100 g food, and 9.5±3.4 (range: 4.5~18.5) g/100 g food, respectively. Bread had the most trans fatty acids at 1.3 g/100 g food. This result inferred that manufacturers have tried to reduce the trans fat content. The mean content of saturated fatty acids in confectioneries, donuts, bread, and hamburgers was 11.6±4.8 (range: 2.0~22.7) g/100 g food, 11.2±4.0 (range: 4.8~23.2) g/100 g food, 6.9±4.1 (range: 0.6~15.4) g/100 g food, 3.0±1.0 (range: 1.0~5.8) g/100 g food, respectively. This content depended on crude fat. The composition of fatty acids varied according to the oil and fat used in the manufacturing process of each food, and the natural content. Foods that were fried in vegetable oil tended to be especially low in saturated fat.

Lg=80nm InP HEMT 소자 DC/RF 특성 및 EEHEMT 모델

최안식(An-Sik Choi),김상국(Sang-Kuk Kim),신희준(Hee-Jun Shin),박종근(Jong-Keun Park),윤상진(Sang-Jin Yun),김태경(Tae-Kyung Kim) 대한전자공학회 2022 대한전자공학회 학술대회 Vol.2022 No.11