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활동보조서비스를 이용하는 지체 뇌병변장애인의 자기결정의 구성요소와 자기결정의 실현
임지선 한국장애인복지학회 2008 한국장애인복지학 Vol.- No.9
The main purpose for this study is to find out components of self-determination by mobility disabilities and practiced self-determination of mobility disability who are using personal assistance services. This study is attended according to case-study which is one of the qualitative research method, and researchers progressed with agreement for research participation after choosing 8 mobility disability. Data collection is given from interview according to open-ended questionaries. The results of the study are as the followings. First, mobility disability who use personal assistance services are concreted their components of self-determination as a 'obstacles of self-determination', 'choice', 'management and control'. Second, we can find out Each components of self-determination have a corelation. 'obstacles of self-determination' have a effect on 'choice', 'management and control'. 'Choice', 'management and control' have a effect on practiced self-determination. Third, we can find out mobility disability who are using personal assistance services's practiced self-determination are 'practiced choice', 'develop of ability', 'give to information', 'negotiate', 'make a role'. From, the findings of the study, the following suggestions are provided in this paper. First, for self-determination's spread and satisfaction of mobility disability who use personal assistance services, we need to extense personal assistance services time. Second, for self-determination's spread and satisfaction of mobility disability who use personal assistance services, we need to extense of choice right about person who give personal assistance services. 본 연구는 활동보조서비스를 이용하는 지체 뇌병변 장애인이 생각하는 자기결정의 요소와 요소간의 상관관계를 확인하고 실제 서비스를 이용하는 지체 뇌병변 장애인이 자기결정행사를 어떻게 행사(실천)하고 있는지 알아보고자 하였다. 이를 위해 유의적 표본추출방법을 사용하여 총 8인의 지체 뇌병변 장애인을 면접조사 하였다. 그 결과 활동보조서비스를 이용하는 지체 뇌병변 장애인의 자기결정 요소는 ‘자기결정실현의 장애요인’, ‘선택’과 ‘관리 및 통제’로 확인되었다. 자기결정 요소들간의 상관관계는 다음과 같았다. ‘자기결정실현의 장애요인’이 ‘선택’과 ‘관리 및 통제’라는 자기결정 요인에 영향을 주며, ‘선택’과 ‘관리 및 통제’라는 요인은 다시 ‘장애인의 일상생활의 자기결정행사’에 영향을 주었다. 서비스를 이용하는 지체 뇌병변장애인의 자기결정 요소를 바탕으로 확인한 장애인의 일상생활에서의 자기결정 실현은 선택의 실현, 능력의 개발, 정보주기, 자세히 설명하기, 함께 하기, 절충하기, 영역 설정하기로 구체화 되어 실현되고 있음을 확인 할 수 있었다.
정상 범위 내 혈청 GGT와 심혈관계질환의 위험요인과의 관련성
임지선,김유진,양진훈,이덕희,감신,천병렬,Lim, Ji-Seun,Kim, Yu-Jin,Yang, Jin-Hoon,Lee, Duk-Hee,Kam, Sin,Chun, Byung-Yeol 대한예방의학회 2005 예방의학회지 Vol.38 No.1
Objectives : We conducted this study to examine the association between serum GGT levels within the normal range and the risk factors of cardiovascular diseases Methods : We examined the cross-sectional association between serum GGT and the systolic and diastolic blood pressure, fasting blood glucose, total cholesterol, triglyceride, high density lipoprotein cholesterol (HDLcholesterol), and uric acid among 975 subjects that participated in the health examination of a university hospital located in Daegu city. All the patients' GGT levels were within the normal range. Results : After adjustment were made for age, body mass index (BMI), smoking status, drinking frequency, exercise frequency and coffee intake, the serum GGT level was positively associated with fasting blood glucose (p<0.01), total cholesterol (p<0.01), and triglyceride (p<0.01) in men, and it was positively associated with fasting blood glucose (p<0.01), total cholesterol (p<0.05), triglyceride (p<0.01), and uric acid (p<0.01) in women. The associations were not significantly different depending on the status of alcohol drinking or obesity, except for the associations of serum GGT with diastolic blood pressure (P for interaction=0.04) and uric acid (P for interaction=0.04) between the lean and obese subjects. Conclusions : Serum GGT levels within the normal range were positively associated with fasting blood glucose, triglyceride and uric acid in most subgroups irrespective of the drinking or obesity status. These results suggest that GGT has important clinical implications as being more than just a marker of alcohol consumption and hepatobiliary disease.
Preparation of Lithium ion battery anode synthesized by petroleum residue
임지선 한국공업화학회 2018 한국공업화학회 연구논문 초록집 Vol.2018 No.0
To enhance electrochemical performances, we have performed the surface modification of pitch based carbon by the chemical activation with KOH. The experimental method was optimized by proceeding various experiment parameters such as molar concentration of KOH solution and stirring time. In this study, the effect of activated solution malar ratio and stirring time on electrochemical performances was investigated. The prepared modified carbon was analyzed by FE-SEM and BET. Also the electrochemical performances of carbon as the anode were investigated by rate capability, cyclic voltammetry and electrochemical impedance tests. The half-cell using modified carbon (KOH 7M 2h stirring) has better electrochemical properties than that of other composition anode materials. Also, modified carbon anode appeared initial columbic efficiency and the retention rate capability. It is found that prepared carbon anode showed improved cycling and rate capacity performance.
Governmental or Social Support of Bariatric Surgery in the Asia-Pacific Region
임지선,조영혜,Hiroshi Yamamoto,Alvin Eng,Tania Markovic,김경곤 대한비만학회 2017 The Korean journal of obesity Vol.26 No.1
Herein we review the management status of governmental financial support of bariatric surgeries in several Asia-Pacific areas of Japan, Singapore, and Australia, which were discussed in the 2016 International Congress on Obesity and Metabolic Syndrome (ICOMES). Patient’s body mass index criteria of bariatric surgery for public support are different one another in the three countries. Whereas laparoscopic sleeve gastrectomy (LSG), Roux-en Y gastric bypass (RYGB), and laparoscopic adjustable gastric banding (LAGB) are applicable in both Singapore and Australia, the coverage of insurance is limited to LSG in Japan. In addition, the surgical fees and equipment costs are not fully covered by public health insurance for performing sleeve gastrectomy in Japan, but patients with morbid obesity can still use public health insurance. In Singapore, the waiting time for surgery in public hospitals is longer on average than for private hospitals. However, patients can obtain subsidies of up to 80% of the costs of surgery in public hospitals, while particularly needy patients may even be able to obtain completely free bariatric surgery through Medifund. In Australia, bariatric surgeries in public sectors are publicly funded, but most bariatric surgeries occur in the private sector and Medicare only reimburses surgical costs in the private sector. Although certain characteristics need to be improved, the access to bariatric surgery has shown steady progress through public support in each of these countries.