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      • 강릉시 의료기관 수요공급 분석

        김상아,곽연희,박웅섭,송재석,이상욱,강명근 關東大學校 醫科大學 醫科學硏究所 2002 關東醫大學術誌 Vol.6 No.1

        This study was conducted to use for the Community Health Care Plan through the demand-supply analysis of medical institution in Gangneung. The study data were obtained from the Korean National Health Insurance Corporation and the government of Gangneung. The major findings is follows; First, the hospital beds in Gangneung was 793 beds, but supply was 2,187 beds. Second, the demand of clinic in rural area was 43, and supply was 21. But demand of clinic in urban area was 115, and supply was 144. Third, the pubic medical institution in rural covered 4.7% of outpatient demand, and that in urban covered 0.9% of outpatient demand.

      • KCI등재

        유아의 성별에 따른 놀이성과 의사소통 능력 및 또래놀이 상호작용의 관계

        김상아,이윤선 한국생태유아교육학회 2021 생태유아교육연구 Vol.20 No.3

        The purpose of this study was to analyze the gender differences in playfulness, communicative competence, and peer play interactions among children and determine how they were associated with one another by gender. A total of 294 children in the age group 4–5 years participated in this study. The participants were from national/public, home-based, and employer-supported nurseries in Seoul and Gyeonggi Province in South Korea. We conducted an online survey to collect data. Frequency test, independent t-test, and Pearson’s product moment correlation analyses were performed for each question. The results of this study can be summarized as follows: First, playfulness, communicative competence, and peer play interactions differed by gender. Second, both boys and girls had playfulness positively and negatively correlated with peer play interaction. Third, both boys and girls had communicative competence positively and negatively correlated with peer play interaction. Fourth, both boys and girls had initiative playfulness which was positively correlated with communicative competence. 본 연구는 유아의 성별에 따른 놀이성과 의사소통 능력, 또래놀이 상호작용의 차이를 알아보고 성별에 따른 유아의 놀이성과 의사소통 능력 및 또래놀이 상호작용 간에 어떠한 관계가 있는지 알아보고자 하였다. 연구 대상은 서울, 경기 지역에 소재한 국공립, 가정, 직장 어린이집에 재원 중인 만 4, 5세 유아 294명이었으며 수집된 자료는 빈도, 백분율, 평균, 표준편차를 산출하였고 연구 문제에 따라 독립표본 t검증, 적률상관분석을 실시하였다. 주요 연구 결과는 다음과 같다. 첫째, 유아의 놀이성, 의사소통 능력, 또래놀이 상호작용은 성별에 따라 차이가 있었다. 둘째, 남녀 유아 모두 놀이성은 또래놀이 상호작용의 놀이 상호작용과는 정적 관계, 놀이단절과는 부적 관계가 있었으며 남아는 주도적 참여와 자발적 몰입, 여아는 주도적 참여가 놀이방해와 부적 관계가 있었다. 셋째, 남녀 유아 모두 의사소통 능력은 또래놀이 상호작용의 놀이 상호작용과는 정적 관계, 놀이방해, 놀이단절과는 부적 관계가 있었다. 넷째, 남녀 유아 모두 놀이성과 의사소통 능력 간에 정적 관계가 있었다.

      • 병원정보시스템이 의료기관 성과에 미치는 영향

        김상아,박웅섭,이상엽,이승근,송재석,이상욱,곽연희,박성준 關東大學校 醫科大學 醫科學硏究所 2003 關東醫大學術誌 Vol.7 No.1

        This study is conducted to established integrated principal framework for the effects of the Hospital Information System(HIS) specially Physician Order Entry system(POE), Laboratory Information System(LIS), and Picture Archiving and Communication System(PACS) on the performance of medical institute. We had reviewed and analyzed the literature of POE, LIS, and PACS, and then formulated principal framework. In conclusion, the implementation of HIS could improve the satisfaction of medical staff and reengineer the work process, and those leaded improving the quality of service, and that also leaded increasing the number of patients and case mix of disease, and then those leaded increasing the performance of medical institute.

      • 강릉시 사망원인 분석

        김상아,곽연희,박웅섭,송재석,이상욱,박덕영,강명근 關東大學校 醫科大學 醫科學硏究所 2002 關東醫大學術誌 Vol.6 No.1

        This study was conducted to use for the Community Health Care Plan through analyzing the specific cause of death in Gangneung. The study subject were death in Gangneung that happened from January 1, to December 31 in 2000, and that were enrolled as the citizen of Gangneung. The causes of death were classified according to the 56 selected list for ranking of causes of death in Korean National Statistical Office in order to compare the data of nation. We also estimated Years of Potential Life Lost in order to evaluate the burden of disease in Gangneung.

      • KCI등재

        청소년 스트레스 요인과 PC방 이용과의 관련성

        김상아,전진용,구민성,박웅섭,정상혁 大韓神經精神醫學會 2003 신경정신의학 Vol.42 No.6

        Objectives : This study was designed for the evaluation of relationships between PC-Bang (the place where people surf the internet, play computer games and etc) visit and stress in adolescents. Methods : 66 adolescents in city of Kangnung were interviewed in June, 2000. The independent variables were general characteristics of adolescents, the characteristics related to school activities and the length of time using PC-Bang. The amount of stress was measured by the Korean version BEPSI (Brief Encounter Psychosocial Instrument) scale. Results : The multiple regression analysis shows that the BEPSI score of female was higher than that of male by 0.18 (p<0.05) and the adolescents with more communication with their friends scored lower 4.04 (p<0.001) than others in the BEPSI. As the time used in PC bang increased, the BEPSI score was also increased 0.18 point per hour (p<0.01). Conclusion : This result shows that the time of PC-Bang usage is significantly related with the BEPSI score of adolescents.

      • KCI등재

        강릉시 빈곤 가정 아동들의 음주, 흡연 및 건강행동 실태 -방과 후 공부방 프로그램 이용 아동을 중심으로-

        김상아,박웅섭,권세원,김윤경,송인한 한국모자보건학회 2010 한국모자보건학회지 Vol.14 No.2

        Objectives: This study examined alcohol drinking, smoking, and health behaviors among children in low income families in the after-school program. Methods: Data were collected from 443 children in the 23 free after-school programs which had a network in Gangneung city in South Korea. The items of the questionnaire were selected from the 2005 Korean National Health and Nutrition Survey (K-NHANS), and the same age group were examined as K-NHANS. Results: The results showed that children in the after-school program had significantly high rate of suicidal ideation, smoking and alcohol drinking, compared to children in general in Korea. The results also showed that participation in physical activities and subjective health status in the children enrolling the free after-school programs were significantly lower than those of general children in Korea. Conclusion: These findings implied that special consideration should be given to the health status and health behaviors of children in low income families who enrolled in the free after-school programs. Based on the findings, we discussed the issue of health inequality of this population and policy implications to alleviate disparities in health status and improve health outcome in this population.

      • 비틂변형으로 발생되는 응력을 고려한 강교의 피로강도

        김상아,박영석 명지대학교 공학기술연구소 1994 공학기술연구소 논문집 Vol.9 No.-

        A Fairly large of welded steel bridge girders have developed fatigue cracking due to out-of-plane distortion. These occurances of cracking are often found at unstiffened gaps at the ends of connection plates of transverse and longitudinal members. In this paper the stresses at the gap region of multigirder bridge are analyzed using finite element analysis model. The results show good agreement with the field test result. These out-of-plane bending stresses are highly localized in the vicinity of the gap regions. The stress redistribution at the gap region after the development of a through thickness crack is studied analytically. Parametric study on multigirder bridge systems using the calibrated analytical model is also carried out to examine the effects of the global structural parameters on the stress distributions in these gap regions. A parametric study on loading and geometric condition is also conducted. Subsequently, the S-N curves corresponding to different loading and geometric conditions are established utilizing the Paris rule and integrating through the half thickness of the web plate. The results show that the S-N curves for out-of-plane bending are very close to the Category C fatigue strength line of AASHTO for in-plane stresses. Several by-products of the fatigue strength investigation are quite important. The sensitivity test shows that the relative weldment size(i.e. h/t) does not render a significantly different fatigue strength. Results of this study also show that stress gradient in the web along the gap direction is insignificant with respect to the fatigue strength of details subjected to out-of-plane distortion.

      • KCI등재후보

        청소년의 스트레스 요인과 PC방 이용과의 관련성

        김상아,전진용,구민성,박웅섭,정상혁 대한신경정신의학회 2003 신경정신의학 Vol.42 No.6

        Objectives:This study was designed for the evaluation of relationships between PC-Bang (the place where people surf the internet, play computer games and etc) visit and stress in adolescents. Methods:66 adolescents in city of Kangnung were interviewed in June, 2000. The independent variables were general characteristics of adolescents, the characteristics related to school activities and the length of time using PC-Bang. The amount of stress was measured by the Korean version BEPSI (Brief Encounter Psychosocial Instrument) scale. Results:The multiple regression analysis shows that the BEPSI score of female was higher than that of male by 0.18 (p<0.05) and the adolescents with more communication with their friends scored lower 4.04 (p<0.001) than others in the BEPSI. As the time used in PC bang increased, the BEPSI score was also increased 0.18 point per hour (p<0.01). Conclusion:This result shows that the time of PC-Bang usage is significantly related with the BEPSI score of adolescents.

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