韓國 在來 醬類製造史 : 특히 古農書類 나타난 醬類를 中心으로 Referred especially on Changes which appeared in Old Texts of Korean Agriculture

張智鉉 고려대학교 민족문화연구소 1969 民族文化硏究 Vol.3 No.-

According to the historical records, though the accurate origins were unknown, the history of Korean "Changs" may date back to about 1200 years ago. The age of early unified Shilla dynasty. The records reveal the first evidence of "Chang"―like soy products in this age. However, since it is generally believed that was imported from China about 2000 years ago, in the beginning of Sam-Kuk-age(三國時期初期) probably "Chang" manufacturing had started earlier. The records on Korean "Changs", however, are available not until the early stage of Yi dynasty. Undoubtedly during these long unrecorded period, the "Changs" manufacturing technology might had developed to certain degrees, since Koreans had been using continuously "Changs" as the basic cereal supplementing foods. But there is noway to know the history. In the records of the early Yi dynasty there appered, for the first time, the separate manufacturing and usage of Toenjang (fermented soybean mash) and Kanjang (soy sauce). Especially the Chinkanjang (陳甘醬―much concentrated or on aged soy sauce including Toenjang within) manufacturing was recorded already. These technology may be undoubtedly the result of long development during the unrecorded period. Later ku-Hwang-Chal-Yo (救荒撮要; a guide book for the relief of farmine) which was published in the age king Myung-Chong (明宗)recorded the various aspects of "Chang" manufacturing technology. According to this book, the "Chang" technology had especially progressed in the age of king Sae-Chong. (世宗). Koreans started to use wheat flour as the raw material of Toenjang meju (메주, soy sauce and soybean mash fermenting startar) in addition to soybean. A new device of expressing of soy sauce from soy sauce waste was also invented at that time. Therefor it can be said that the separate or independent manufacture of Kanjang and Toenjang was Completed in this age. According to the Sa-Si-Chan-Yo (四時纂要; a monthly farm guide) which was published in the year of king Hyo-Chong(孝宗) the "Changs" manufacturing had became one of the annual practices of Korean family and various kinds of characteristic "Changs" Kae-Chang (蟹醬), Jup-Chang (汁醬), Po-Chang (泡醬) were listed as the popular "Changs" at that times. Probably the fundamental technologies of many specific "Changs" manufacturing had been gradually established from the begining of the Yi dynasty to this age together with the development of food substitutes. A large modification in "Chang" manufacturing technology was brought in the middle ages of Yi dynasty. According to San-Lim-Kyung-Chai(山林經濟; a scientific encyclopedia) Chung-Chang (汁醬; the same as Kanjang) and Toenjang were described as the general purpose "Chang" of daily use and Jup-Chang (汁醬), Chung-Kuk-Chang (淸國醬) and Tam-Su-Chang (淡水醬) were listed as the popular specific "Changs" at that time. A new specific "Chang", Man-Cho-Chang (蠻椒醬, red pepper sauce) was deviced also in this age. Amang them the Chung-Chang is basically similar to the Present type of Korean Kanjang. It was described to be prepared entirely from soybean and Toenjang was the by-product of soy-souce, Undoubtedly the Present Korean Kanjang manufacturing technology may derive its origin to this Chung-Chang, using entirely soybean as the sole raw material. Probably further minor modifications, continued to improve "Chang" manufacturing technology and to adapt for home making method and scale, but essentially the similar "Chang" products which originated in the middle ages of Yi dynasty were conveyed to the present. Thus we can list the present day "Changs" as follows.; Chung-Chang, Toenjang, Nam-Cho-Chang (the same as Man-Cho-Chang) Jup-Chang, Chung-Kuk-Chang, Tam-Su-Chang. Among them the Chung-Chang and Nam-Cho-Chang are the only products of extensive general use by Korean of the Present day and others are only for occasional uses for an epicurism etc. The manufacturing procedures of present Korean Kanjang and Toenjang consist of three major steps; that is, the preparation of Meju, Kanjang fermentation, and expressing of sauce. The history of development of these three Kanjang manufacturing procedures are as the follows. I) The history of Kanjang-Meju Preparation method- The first record of Meju is found is San-Lim-Kyung-Jai. In this text it was described as: Cooked soy beans were mashed and made into small clumps and they were left in the room covered with brossonetia leaves, straw, grass leaves or morus bombysis leaves: Probably for microorganisms grow. From the middle ages Yi dynasty the Mejus were left piled in straw woven bages. The present day method, hanging the Mejus under the ceiling with straw ropes in the room, had been already described in the above San-Lim-Kyung-Jai also. It had been generally recogniged in the old texts of agriculture that coverage of Meju by yellow molds (黃衣) yielded good results. Without the present knowledge of pure culture technique of microbiology, it might hardly be expected to have a good growth of yellow molds by such primitive methods of Meju preparation, we can imagine. Probably such conditions rather might had favored the growth of bacteria and making Meju to Natto type soy product. We can think only of the effect of grass coverage on a good growth of yellow molds. There appeared many other very specific methods of Meju preparations described in the old texts, but none of them survived to be practiced and accepted among Koreans until to the present day. 2) The history of Kanjang fermentation- Until the middle age of Yi-dynasty Chin-Kanjang fermentation method which had been a device chiefly to obtain much concentrated soysauce so that it used small quantities of brine compared to the amount of Meju had been practiced. Later the tendency had come to obtain more quantities of dilute soy sauce and from the end of Yi dynasty the present day Chung-Chang fermentation method had emerged. This method has been using Meju: salt: water in the quantity ratio of 1 : 1 : 4. 3) History of method of expressing soy sauce- In the beginning the soy sauce had not been expressed from soybean mash but the whole mixtures had been consumed as "Chang". From the beginning of Yi dynasty as the need of soy sauce alone had become large the expressing method started to develope. In Ku-Hwang-Chal-Yo expressing by wood curtain was already described. In the middle ages of Yi dynasty, a hole was made in "Chang" and sauce exeeded in the hole was scooped out, or Yong-Su (a bamboo woven basket) were used to separate soy sauce from "Chang". From the end of Yi dynasty the present filtration method (for ex. using sive) were started to be used.

Wi-Fi 핑거프린트 기반 실내 이동 경로 데이터 생성 방법

윤창표(Chang-Pyo Yoon),황치곤(Chi-Gon Hwang) 한국정보통신학회 2021 한국정보통신학회 종합학술대회 논문집 Vol.25 No.1

최근, 실내 위치 기반 서비스에서 정확한 서비스를 위해 Wi-Fi 핑거프린트 기반의 딥러닝 기술을 이용한 연구가 이루어지고 있다. 딥러닝 모델 중에서 과거의 정보를 기억할 수 있는 RNN 모델은 실내측위에서 연속된 움직임을 기억할 수 있어 측위 오차를 줄일 수 있다. 이때 학습 데이터로서 연속적인 순차 데이터를 필요로 한다. 그러나 일반적으로 Wi-Fi 핑거프린트 데이터의 경우 특정 위치에 대한 신호들만으로 관리되기 때문에 RNN 모델의 학습데이터로 사용이 부적절하다. 본 논문은 RNN 모델의 순차적인 입력 데이터의 생성을 위해 클러스터링을 통한 영역 데이터로 확장된 Wi-Fi 핑거프린트 데이터 기반 이동 경로의 예측을 통한 경로 생성 방법에 대해 제안한다. Recently, researches using deep learning technology based on Wi-Fi fingerprints have been conducted for accurate services in indoor location-based services. Among the deep learning models, an RNN model that can store information from the past can store continuous movements in indoor positioning, thereby reducing positioning errors. At this time, continuous sequential data is required as training data. However, since Wi-Fi fingerprint data is generally managed only with signals for a specific location, it is inappropriate to use it as training data for an RNN model. This paper proposes a path generation method through prediction of a moving path based on Wi-Fi fingerprint data extended to region data through clustering to generate sequential input data of the RNN model.

Allogenic succession of Korean fir (<i>Abies koreana Wils.</i>) forests in different climate condition

Lim, Chi Hong,An, Ji Hong,Jung, Song Hie,Lee, Chang Seok Springer Japan 2018 Ecological research Vol.33 No.2

<P><B>Abstract</B></P><P>This study was conducted to clarify the changes in vegetation that occurred due to changing environmental factors, especially climate, at Korean fir (<I>Abies koreana</I>) stands with different climatic conditions established on Mt. Halla, which is located on a southern island of South Korea. The difference of species composition between sites was large and depended on elevation and slope aspect at lower elevations, whereas not as much among stands or between sites at the highest elevations of each slope aspect. It was interpreted that differences and similarities among sites were dominated by the microclimate determined by the topographic conditions of each site. The result of vegetation dynamics analysis predicted that the Korean fir forests would be replaced by temperate forests such as Mongolian oak (<I>Quercus mongolica</I>) forests or shade intolerant forests composed of early successional species such as Korean cherry (<I>Prunus maximowiczii</I>) and Spreading yew (<I>Taxus cuspidata</I>) at lower elevations, while would continuously persist at the highest elevations. We interpreted the vegetation changes appeared at the lower elevations as an allogenic succession, as the recent rapid climate changes directly and indirectly dominated the change. The species distribution modeling predicted that the distributional range of Korean fir would decrease to 13.4 and 10.1% of the current distribution in 2050 and 2070, respectively. Further, the distribution modeling showed that the sites located at lower elevations would no longer be within the distributional range of Korean fir forest, and those at the highest elevations would be sparsely scattered in fragmented states.</P>

복강경 담낭절제술 300예의 임상분석

김호성,김상준,장인택,지경천,이정효 대한소화기내시경학회 1992 Clinical Endoscopy Vol.12 No.2

Depiartment of General Surgery, Cdlege of Medicine, Chung-AstB University With advancement of endoscopical instruments and technique, gallstone diseases can be managed with laparoscopic cholacystectomy which had rapidly and radically changed the surgicl treatment of gallstone diseases. The ideas of laparoacopic surgery was introduced 11y Germany gynecologist Serum, in 1967 and was first performed by French surgeon Mouret, Dtbois in 1987. Although many reports of early laparoscopic cholec,stectomy were excellent, many surgeons want to know the surgical results of laparoscopie cholcystectomy are enough good to perform comparing with the conventional cholecystectomy, especially in early complications and late complications. To know about above problems, we had clinical analysis of 300 patients with laparoscopic cholecystectomy who were admitted to the Departme$gt;tt of Surgery, Yong San Hospital, Chung Ang University from September 1990 to December 1991. The authors intentionally divided the observation periods into 3 groups. The first group including from 1st case to 100 cases, the second group f#om IOlth to 200th cases, the third group from 201th cases to 300th cases and observed periodical change of early and late complications fo laparoscopic cholecystectomy with accumulations kf surgical experience and improvement of surgical techniques. It's results were as follows. 1) The most prevalent age group was 4th decades arid the male to female ratio was 1 : 1.5 and had no periodical change. 2) Coexistent diseases were obesity of 30 cases(35%), hypertension of 20 cases(24%), pulmonary tuberculosis of 16 cases(19% ) in order. 3) The number of previous abdominal operations were appendectomy of 29 cases(38%), TAH of 18 cases(24%), C-section of 14 cases(l8%) in order. 4) The average operation time was 42.5 minutes and decreased compared with the past period. 5) The average postoperative hospitalization was 6 days. 6) The most predominant type in pathalogical clasfication was chronic cholecystitis(79%) and next common type was cholesterolosis(12%) 7) The most common postoperative complications mere bleeding of 3 cases(1%). bile leakage of 3 cases(1%) in order and had no periodical change. 8) The number of p41c),ts that needed Parentral'narcotics were as follows: Postoperative day: 163 casest54%)$gt; Pf.1D I: 154 cas(5L.3%), Pt7D 2: 96 cases(32.0%) and had no periodical change. 9) The frequency of parenteral narcotics were as follow: Postoperative day: 1.8, POD 1: 1.6, POD 2: 1.4 and had no periodical change. 10) According to oral cholecystogram, opacification correlated with operation time of laparoscopic cholecystectomy.

Blocking of Cell Proliferation, Cytokines Production and Genes Expression Following Administration of Cordyceps Sinensis in the Bronchoalveolar Lavage Fluids Cells

Kuo, Yuh-Chi,Wu, Chia-Lin,Tasi, Wei-Jern,Wang, Jir-Yenn,Chang, Shi-Chung,Lin, Ching-Yuang,Shiao, Ming-Shi 경희대학교 동서의학연구소 1999 INTERNATIONAL SYMPOSIUM ON EAST-WEST MEDICINE Vol.1999 No.1

Yuh-Chi Kuo¹,Chia-Lin Wn¹,Wei-jern Tasi¹,Jir-Yenn Wang²,Shi-Chung Chang₃,Ching-Yung Lin⁴,and Ming-Shi Shiao⁴¹National Research Institute of Chinese Medicine, ²Department of Biology,Fu Jen University, ³Department of Chest, ⁴Department of Pediatrics, □De[art,amt of Medical Research and Education. Taipei Veterans General Hospital, Taipei, Taiwan Yuh-Chi Kuo¹,Chia-Lin Wn¹,Wei-jern Tasi¹,Jir-Yenn Wang²,Shi-Chung Chang²,Ching-Yung Lin³,and Ming-Shi Shiao⁴.¹National Research Institute of Chinese Medicine, ²Department of Biology,Fu Jen University, ³Department of Chest, ⁴Department of Pediatrics, □De[art,amt of Medical Research and Education. Taipei Veterans General Hospital, Taipei, Taiwan. Blocking of Cell Proliferation, Cytokines Production and Genes Expression Following Administration of Cordyceps sinensis in the Bronchoalveolar Lavage Fluids Cells. Proceedings of international Symposium on East-West Medicine, Seoul. 44-64, 1999.-Cordyceps sinensis is a major parasitic fungus on larva of Lepidoptera. It is one of the well know fungi used in traditional Chinese medicine for treatment asthma, lung and kideney diseases. Many fungi belonging to the genus Cordyceps have been demonstrated to produce natural products with various biological activities. Reported biological activities of genus cordyceps include:(a)inhibition of DNA and RNA synthesis;(b)enhancement of cell differentiation;(c)restruction of cytoskeleton;(d)inhibition of protein kinase activity;(e)antitumor activity on bladder, colon, lung carcinoma as well as fibroblastoma;(f)inhibition of the infection and revers transciptase activity of human immunodeficiency virus type 1; and(g) inhibition of methylation of nucleic acid. Thus, it is suggested that the extracts of Cordyceps sp. Contain antitumor, antiviral, and many other biological activities. In our previous studies, we proved that C. sinensis contains the antitumor and immunomodulatory agents. In the present studies, effects of C. sinensis on bronchoalveolar lavage fluids(BAL)cells were demonstrated. The crude methanolic extracts of C. sinensis were fractionated into 15 fractions by silica gel column chromatography. Effects of various fraction on BAL cells proliferation and lipopolysaccharide(LPS) stimulated interleukin-1β(IL-8),platelet activating factor(PAF), interleukin-6(IL-6), tumor necrosis factor-α(TNF-α),and interleukin-8(IL-8) production on BAL cells were determined. The result indicated that the CS-19-22 fraction suppressed BAL cells proliferation activated by LPS. The median inhibitory concentration(IC50) was 6㎍/ml. The CS-19-22 fraction also decreased IL-1β,PAF,IL-6, TNF-αand IL-8 production.The results of revers transcription-polymerase chain reaction(RT-PCR) demonstrated that the CS-19-22 fraction did not affect IL-1β,PAF,IL-6, TNF-α,and IL-8 mRNAs expression in BAL cells activated by LPS. By contrast, it inhibited the IL-10 mRNA expression but enhanced IFN-γand IL-12 mRNAs expression in activated BAL cells. Moreover, the CS-19-22 fraction blocked PAF-induced platelet aggregation. It is unlikely that cytotoxicity was involved. Because no cell deths were observable. We hypothesize that inhibitory mechanisms of CS-19-22 on BAL cells proliferation may be related to the impairments of gene expression and production of cytokines in BAL cells. The explanation of C. sinensis antiasthma function may involved the following(1)C.sinenesis contained immunomodulatory agents that stimulated IFN-γand IL-12 expression in TH1cells.(2)Enhanced secretion of IFN-γand IL-12 will inhibit the Tγcells immune responses Ex. Decreasing of IL-6 and IL-10 production.(3) The impairments of cytokines production in TH2 cells suppressed th BAL cells proliferation then more cytokines production Ex.IL-1β,PAF,IL-6,TNF-αand IL-8 in activated BAL cells were decreased. (4)The suppression of TH2cells immune responses will inhibit the growth and differentiation of B cells then IgE production will be decreased. (5)Reduced production of IgE will decreased asthma attack occurring in individuals. However, the results of the present study suggested that C. sinensis may also have acted to treat asthma in part by inhibiting BAL cells proliferation and cytokine gene expression and production. Future, experiments with treatment of animals with asthma with C. sinensis will be necessary to defined whether C. sinensis can reduce asthma injury. Plans are underway for the isolation of pure principal growth inhibitors and their mechanisms of action are subjected for further study.

Clinicopathological study on metastatic skin cancer

( Chang Il Kwon ),( Seo Mi Gon Jeong ),( Young Bin Shin ),( Yun Sun Moon ),( Eui Chang Jung ),( Chi Yeon Kim ),( Tae Jin Yoon ) 대한피부과학회 2020 대한피부과학회 학술발표대회집 Vol.72 No.1

Background: Various primary tumors can cause metastatic skin cancer. Metastatic skin lesion should be distinguished from other skin lesion. Objectives: We studied patients with metastatic skin cancer to find out average age, gender distribution, frequency of primary tumor, time interval between manifestation and primary cancer, and their clinical appearance, location and other metastatic sites. Methods: We reviewed the medical records, clinical photographs and histopathologic records of patients who had been diagnosed with metastatic skin cancer. Results: In the comparison according to clinical records, the mean age at the time of diagnosis was 60.6 years. The ratio of men to women was 1.05:1. The most frequent primary tumors were breast cancer (22.0%), lung cancer (17.0%), head and neck cancer (17%), melanoma (17.0%), gastrointestinal cancer (11%), urologic cancer (11%), and gynecologic cancer (6%). Metastatic skin cancers usually presented as discrete, painless, hard nodules, with sudden onset (88%). Conclusion: Based on the results of this study, it is believed that it is important to recognize the metastatic lesion between various skin lesion such as infections and granulomatous changes of other cause due to drugs and reactive changes.

中國의 WTO 加入 이후 韓中交易 協力 方向

張致順 중앙대학교 산업경영연구소 2002 산업경영연구 Vol.11 No.2

중국의 WTO가입과 눈부신 경제발전은 세계무역환경과 동북아 경제권을 포함한 한국의 대외 교역구조에 심대한 영향을 가져왔다. 앞으로 중국의 대외 교역전망은 장기적으로 국제교육의 활성화와 자유무역의 확대발전으로 전개될 것으로 전망되고 있으나 단기적으로는 통상 상대국과의 한국의 대 중국 교역실태의 현황과 문제점을 새롭게 점검하여 발전적 협력관계를 모색하는 것은 무엇보다도 중요한 의미를 가지고 있다. 한국과 중국은 동북아 경제권의 안정적 발전을 위하여 심도있는 협력관계의 설립이 무엇보다도 중요한 것으로 지정학적, 문화적, 사회적 발전과정에서 공유하고 있는 이 지역의 인민들의 이해관계와 협력관계를 모색하는 것은 양국의 이익을 위하여 필수 불가결한 사안으로 판단된다. 따라서 본 연구는 한중양국의 교역실태와 발전적 협력관계와 방향을 제시하는데 그 목적이 있다. The purpose of this study is to give and analyze the way of cooperative trade relationship between Korea and China after China's entry to WTO. Chinese market, the second largest export market of Korean firms will be changed as first market instead export market of Korean firms will be changed as first market instead of U.S market, the future of Korean export industry will be deeply influenced and depend on China's market fluctuation, and after China's join with WTO, a flood of cheap Chinese imports will be increased in Korea. The pressure of China putting on the regional economy will be real and enormous and China's economic power will destroy some of Korea firms as a competitors, but Chinese companies still have a long way to go, while many Chinese products could pass for leading international brands, others are clearly not up to current standards in industrial design or quality. Therefore China needs special trade relationship and experiences of Korea, through ASEAN Free Trade Agreement, or AFTA, under AFTA preferential tax treatment will be given by ASEAN's 10 member countries to exports from other nations in the trade group. In order to promote progressive trade relationship, there must set up FTA system as soon as possible, this paper will suggest basic attitude of cooperative trade relationship which can overcome practical problems of trade between China and Korea.

악하선 암의 치료성적과 예후인자

임치영(Chi Young Lim),남기현(Kee Hyun Nam),이잔디(Jan Dee Lee),장항석(Hang Seok Chang),정웅윤(Woong Youn Chung),차인호(In Ho Cha),이창걸(Chang Geol Lee),최은창(Eun Chan Choi),박정수(Cheong Soo Park) 대한두경부종양학회 2005 대한두경부 종양학회지 Vol.21 No.2

Purpose: Submandibular gland tumor is rare, less than 6% of head and neck tumor. The purpose of this article is to analysis the clinical experience and treatment outcomes of malignant submandibular gland tumor, suggesting a guideline of management. Methods: We retrospectively evaluated 26 patients who underwent operation for malignant submandibular gland tumor at Severence hospital between 1986 and 2004. Statistical analysis was performed by Kaplan-Meier method, log rank test, Chi-square test, Fisher's exact test using SPSS v12.0 for Windows. Results: They consisted of 18 males and 8 females whose median age was 47 years(range: 20-71). 10 cases of adenocystic carcinoma, 8 cases of carcinoma ex pleomorphic adenoma, 4 cases of mucoepidermoid carcinoma, 1 case each for acinic cell carcinoma, undifferentiated carcinoma, adeno carcinoma, epithelioid hemangioendothelioma. Sialoadenectomy only was performed in 10 cases(36.5%) and sialoadenectomy with neck node dissection was performed in 16 cases(63.5%). Adjuvant radiotherapy was done in 22 cases(84.6%). 10 year disease free survival rate for malignant submandibular gland tumor was 63.1 % and 10 year overall survival rate for malignant submandibular gland tumor was 70.1%. In univariate analysis, prognostic factors affecting recurrence of malignant submandibular gland tumor was initially papable lateral neck node in physical examination and metastasis of lateral neck node in pathologic confirmation. The prognostic factors affecting survival of malignant submandibular gland tumor was tumor size, TNM stage, recurrence and type of recurrence. Conclusion: In this study, prognostic factors affecting recurrence of malignant submandibular gland tumor was initially papable lateral neck node in physical examination and metastasis of lateral neck node in pathologic confirmation. The prognostic factors affecting survival of malignant submandibular gland tumor was tumor size, TNM stage, recurrence and type of recurrence. To prevent recurrence and to improve survival, early diagnosis and aggressive surgery must be considered.

수술 전 이하선 종괴의 위치파악에 이용하는 해부학적 경계표의 유용도

임치영(Chi Young Lim),김국진(Kook Jin Kim),임성주(Sung Ju Lim),이잔디(Jan dee Lee),남기현(Kee Hyun Nam),장항석(Hang Seok Chang),정웅윤(Woong Youn Chung),최홍식(Hong Shik Choi),박정수(Cheong Soo Park) 대한두경부종양학회 2006 대한두경부 종양학회지 Vol.22 No.1

Background: The location of parotid gland tumors can influence the duration and the difficulty of the operation. If the information about tumor location was available preoperatively, it would allow accurate operative planning and counseling of patients in terms of the length of the operation and the potential morbidity. Methods: This study was based on a retrospective review of 100 patients with parotid gland tumors underwent parotidectomy from January 2000 to October 2005 at Yong-Dong Severance Hospital. Based on computed tomographic(CT) scan findings, 4 landmarks such as facial nerve(FN) line, Utrecht(U) line, Conn's are(CA), and retromandibular vein (RV) were drawn on the scans in same plane. The location of tumors were determined by the landmarks and confirmed by the operative findings. The accuracy of each landmarks was evaluated. To find out the accuracies according to tumor size, the tumors were divided into 2 groups; less than 2 cm and larger than 2 cm in diameter. Results: U line was the most accurate(94%), sensitive(89.3%) and specific(97.7%) in predicting tumor location of the parotid gland. However, in small tumors less than 2cm, FN line (p=0.022) and RV criteria (p=0.028) were more reliable in accuracy. Conclusion: CA, FN line, U line, and RV are all useful landmarks in preoperative prediction for the location of parotid gland tumors. However, U line was the most accurate, but we must consider that proper landmark should be used in prediction according to the size of tumor because the accuracy of landmark may change.

우리나라 시 · 군 · 구 지역보건의료계획의 비전(Vision) 문구 분석

안치영(Chi-Young Ahn),김현수(Hyun-Soo Kim),김원빈(Won-bin Kim),오창훈(Chang-hoon Oh),홍지영(Jee-Young Hong),김은영(Eun-Young Kim),이무식(Moo-Sik Lee) 한국농촌의학 지역보건학회 2017 농촌의학·지역보건 Vol.42 No.1

지역보건의료계획서에서 비전은 각 지역의 보건의료계획을 나타내는 핵심요소임에도 불구하고 작성방법에 대한 구체적인 지침이 부재하여 각 지역의 비전은 매우 다양하게 표현되어 있다. 이에 이 연구에서는 제6기 지역보건의료계획에서 제시한 비전 문구를 보건소 유형별, 권역별로 분석하였다. 전국 229개 지역의 제6기 지역보건의료계획서의 비전 문구와 이와 관련된 미션, 전략체계도, 중장기 추진과제 등을 대상으로 하였다. 지역을 권역별 4개, 읍·면·동 구성에 따른 보건소 유형을 4개로 분류하였고, 각 지역 비전의 글자 수, 문장 평가, 단어 빈도, 문구 평가를 빈도분석과 카이제곱검정, 일원배치분산분석을 이용하여 분석하였다. 비전의 글자 수가 17자 이하인 보건소가 172개소(75.1%)였고, 보건소 유형별로 유의한 차이가 있었다(p<0.05). 문구에 대한 수사표현에서 비유법(37.1%)이, 한글 외에 표현 언어 사용에서는 특수문자(43.2%)가 많았으며, 보건소 유형별로 유의한 차이가 있었다(p<0.01). 비전에 사용된 단어들은 ‘건강’, ‘행복’, ‘함께’, ‘군민’ 또는 ‘시민’, ‘도시’, ‘100세’ 등이었다. 문구평가 점수에서는 특·광역시 및 수도권에서 가장 높았으며, 보건소 유형 및 권역별로 유의한 차이를 보였다(p<0.05). 보건소 유형별로 과정 및 평가 영역, 공유가능성 등에서 유의한 차이가 있었다(p<0.01). 방향성은 충청권, 수도권 순으로 권역별로 유의한 차이가 있었으며(p<0.01), 미래지향성 및 공유가능성은 영남권이 가장 높아 권역별로 유의한 차이가 있었다(p<0.01). 비전은 지역보건의료계획에 가장 중요 요소 중 하나이다. 이 연구는 지역사회 특성별로 비전의 설정이 다름을 확인하였으며, 이러한 결과를 통하여 지역보건의료계획 등 보건소 비전 수립시 참고가 될 수 있는 기초적인 자료가 될 것으로 판단된다. Objectives: In this study, we analyzed vision statements of the 6th community health plan of local government in Korea. Methods: We examined vision statements letters, missions and strategy plans, and long-term missions of 6th community health plans of 229 local government in Korea. We also analyzed the numbers of vision letters, sentence examination, word frequency, each vision statement with frequency analysis, chi-square test, and one-way ANOVA. Results: Among 229 local government, 172(75.1%) of local government had the number of letters (Korean) less than 17 of vision statements, and there were a significant differences according to type of community health centers (p<0.05). Figuration (37.1%) were the most used in an expression of vision statement sentence, and special characters (43.2%) were the most used language except Korean. The most commonly used words of vision statement in order of frequency were ‘health’, ‘happiness’, ‘with’, ‘citizen’, ‘city’, ‘100 years old’ etc. Chungcheong provinces and Daejeon metropolitan city had a highest score in directionality on phrase evaluation, and there were a significant differences according to regional classes of local government (p<0.01). Gyeongsang provinces, Ulsan, Daegu, and Busan metropolitan cities had a highest score in future orientation and sharing possibilities on phrase evaluation, and there were a significant differences according to regional classes of local government (p<0.01). Conclusions: Vision is one of the most important component of community health plan. We need more detailed ‘vision statement guideline’ and the community health care centers of local government should effort to make more clear and complete their vision.