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      • 제7차 고등학교 체육과교육과정에 대한 인식

        신승호,한상준 江原大學校附設體育科學硏究所 2003 江原大學校附設體育科學硏究所論文集 Vol.- No.26

        The purpose of this study was to examine how much the high school students understand the 7th physical education curriculum, to find out the better teaching method for physical training class and to give basic data needed for using selection focused curriculum. To attain this purpose, this paper dealt with the survey with the 1st-2nd grade students, 1173 students who live in cities and counties whose population is more than 200,000 and less than 100,000. The results are as follows. Most students felt positive about the structures and class aims of the 7th curriculum in high school physical education. boy students and high graded group had relatively higher regards and participation of the 7th physical education curriculum. They also had positive regards about the present physical training evaluation. In other words, boy students, high graded group and county's group had more positive thought about the evaluation process and results of the physical training class than girl students, low graded group and city's group.

      • 福祉財源의 獲得管理

        신상준 대구대학교 (한사대학) 사회복지연구소 1981 社會福祉硏究 Vol.10 No.-

        This is an atticle, which is written as a text book for the purpose of the lecturing on the Financial Administration in Public Welfare. Ⅰ. Financial Sources in Public Welfare: Funds for public welfare services are derived from the respective government revenues through taxes, and the funds shared by the welfare beneficiaries themselves and their employers under the name of contributions and fees or charges. Sometimes, the donations from the general community also can be identified as a important financing methods especially in social services. Expenditures for social insurance programs are financed from funds contributed by the insured and their employers or government, while those for public assistance and social service programs are usually derived from government revenues and partly from receipients fees or charges as well as non-governmental organization's donations. Accordingly, public welfare receipients may be asked to participate in the financing of welfare programs in free democratic societies unlike communist societies. The joint contributions by employees and employers besides states in welfare financing is to encourage the mutual responsibility in social welfare, a kind of mutual commitment towards public welfare. The issues of government's involvement in welfare financing might be understood in terms of not only the above-mentioned welfare methods but also the govern-mental system, that is, it is prevalent tha tthe greater the sense of state's responsibility for citizen's life, the more the state assumes welfare spendings. In sharing the public welfare spendings, there could be such as types; fully funded central government's appropriations, fully-funded local government's appropriations and central/local government's matching appropriations. Public taxes affect the effect of the distribution of resources in a particular society through the taxation itself and the- reallocation of the taxes collected. The distribution through taxation itself is accomplished by a progressive tax system or tax exemptions, and the redistribution through allocations is implemented by income trasfer system, that is, the providing of social welfare benefits to the recipients in social insurance. In contradistinction to social insurance programs those are financed only in part from general revenues of government for his cost-share, public assistance and public service systems are, in principle, financed wholly through government's general revenues excepts such as medical or social services which is asked clientele to cost-share in the form of fees or charges. . The contributions by employers and employees are also the important funding sources in social insurance 'operations. The employer's participations in the case of privately administering firms are aimed at maintaining of sound labor relations as well as supplementing state's financial obligations. Under the employee's contributory system, all those who receive a benefit at the time when they face a risk have to pay insurance premiums during their working days. Accordingly, this system is able to enhance the recipient's sense of social responsibility and to make them less feel any sense of stigma about being a beneficiary. Fund provisions system, in general, may be classified as of either the cash disbursement or the acturial reserve type, that is, a funded plan. The former is the method that its revenues are provided every year sufficient to pay only the benefits due that year, while, under the latter system, all portions of the benefits payable to each recipients in the future is presumed to be accrued during the active service periods. Under the fee or charge arrangements, services are provided on a non-profit basis even though the beneficiaries' cost-sharings are required. Ⅱ. Characteristics and Financial Effects of Public Welfare Expenditures; Public welfare expenditures are kinds of transfer payments, so it does not cover any part of national income, because of the fact that the money has to be transfered from higher income tax-payers to lower income benefit recipients. As the goals of public welfare are to provide minimum welfare aid to lower income peoples who have no other means of supporting themselves, and then public welfare expenditures have to be precisely provisioned in the statutes with regard to beneficiary eligibilities and benefit amounts, the public welfare expenditures extremely could not be but rigid in the operational aspects. The public welfare expenditures exert either pressure or easing effects upon governmental public finance conditions. As the expenditures for public assistance and social services are appropriated to recipients from government revenues collected by taxes, it may create none of financial resoures as a part of revenues, only burdening to governmental finance. Nevetheless, in case of social insurance, it could be said that the rfundsJ contributed by employers and employees or government comprise of a part of state's financial resources and maintain the financial balance of government, on the other hand, even though the government's outlays for its obligations exert pressure upon its financial equilibrium. Ⅲ. Classificational Structure of Welfare Expenditures; The government budget can be classified by means of organizations, objects, functions, economic-characters, performance units and planning programs. Viewing with public welfare expenditures, it must be understood and analyzed under the condition of not classification by organized, units and objects but financial or economic-functional classifications, because the welfare functions are being undertaking by the various kinds of departmental agencies. And also, as the public welfare is rather qualitative in nature, it is difficult to applicate wholly such as the mechanism of performance budgets or PPBS. The central government's budget, in Korea, classifing according to functional basis, it is usually categorized into general administration, national defense, social development, economic development, grants-in-aids to local governments, interest on general debts and others, and then public welfare expenditures as a part of social development items are categorized into social security, medicaid and medicare, veterance relief, employees welfare, and others. Presently, the expenditures for public assistance and social services are being managed in the form of general accounts, and others of social insurance are separately administered in the form of special account in order that concerned funds be devoted to a specific purpose, such as the special accounts of civil servant pension, military pension, relief, worker's accident insurance and national welfare pension. Besides conventional budgets, that is, administrative budgets, separated trust funds are established for social insurance from the proceeds of earmarked revenues with the requirements that those funds be devoted to a specified purpose. Ⅳ. Budgeting Procedure in Public Welfare; In Korea, the budget process for the public welfare is the part of the general government budget process, basically same in government, so, all sorts of the public welfare expenditures including both general accounts and special accounts, according to the Budget and Accounting Act, are being managed in accordance with the same procedure as other general fields's expenditures unlike specil accounts in the case of government's enterprises accounts. So, the public welfare expenditures, like the general accounts of other field, are being made and accounted according to the following procedures; the budget preparation of program activities by the Executive, the budget authorization of the Executive's requests by the Legislative, budget execution by the Executive and the closing accounts and audit by the Legislative and Audit Office. In comparison with other general consumption area, the welfare expenditures are much more precisely made and rigidly managed as already mentioned. So, during the process of budget preparation and authorization, there could be less room for modificational adjustment of budget through the so-called program review. The appropriations for public welfare programs are drawn from the Ministry of Finance Treasury. In general, the appropriation schemes follow the prevailing organizational assignments of the respective programs to the Ministry of Health and Social Affairs, the Ministry of Labor, Administration of Relief and others. The flow of public welfare funds from government treasuries through the welfare agencies to each beneficiaries are vary with each program.

      • KCI등재

        Chlorpromazine으로 유발된 음경지속발기증 1례

        신유호,윤도준,이충현,송지영,이상철 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.3

        저자들은 항정신병약물 chlorpromazine 치료 중에 음경지속발기증이 발생하여 수술까지 시행하여 회복된 환자 1례를 체험하였기에 문헌고찰과 함께 보고하였다. 항우울제 trazodone과 함께 chlorpromazine, thioridazine과 같은 항정신병약물이 음경지속발기증의 원인과 관련이 있는 것으로 알려지고 있다. 이러한 약물에 의해 유발되는 음경지속발기증의 기전에 대해서는 알파-아드레날린 차단으로 인한다는 설이 많은 지지를 받고 있다. 치료는 보존적인 치료와 외과적인 치료가 있으며, 외과적인 치료로는 음경해면체 천자와 흡입 세척술 그리고 분로를 만들어 주는 방법들이 있다. 음경지속발기증은 신속한 진단과 치료를 하지 않을 경우 영구적인 발기불능을 초래할 수도 있는 부작용이므로 향정신약물 투여시 이에 대한 관심과 주의를 가져야 할 것이다. Antipsychotic drugs can induce several sexual side effects. Priapism, one of the side effects, is defined as "the persistent abnormal erection of the penis, which usually occurs without sexual desire". There has been an increasing number of reports recently linking the etiology of priapism with psychotropic medication. The drugs known to be associated with priapism are psychotropic drugs such as trazodone, chlorpromazine, thioridazine as well as antihypertensives, anticoagulants and so on. The mechanism of a drug which induces priapism is proposed to be mediated by its alpha-adrenergic blocking effect. Prompt diagnosis and treatment are essential. Priapism is a severe side effect, which can lead to impotence if prompt diagnosis and treatment are not carried out. There are medical and surgical treatments for priapism. The surgical treatments usually involve aspiration, irrigation and the creation of shunt. We report a case of priapism which developed after two years of chlorpromazine treatment. He is a 20-year-old man with schizophrenia. He experienced two times of brief episode of prolonged penile erection before developing intractable priapism. He was treated by shunt operation which showed satisfactory relief of priapism. It seemed by this case that duration and dosage of chlorpromazine were not closely related with priapism. Psychiatrist is needed to give attention to the priapism as one of sexual side effects due to antipsychotics though it is not common.

      • 골반 골절 환자에 있어서 골절 위치에 따른 하부 요로 손상의 연관성

        신대은,문형윤,박성운,노준 朝鮮大學校 附設 醫學硏究所 2008 The Medical Journal of Chosun University Vol.33 No.3

        Background and Objectives: Lower urinary tract injuries in pelvic bone fracture can lead to significant complication. We tried to find out the relationship between the fracture location and the bladder, urethra injury in patients who sustaining pelvic bone fracture. We thought that the fracture locations could serves as markers for injury. Materials and Methods: A clinical study was made on 43 patients who sustaining pelvic bone fracture with bladder or urethra injury in the Chosun University hospital during the period of 5 years from January, 2002 to December 2006. Diagnosis was done by retrograde cystography, retrograde urethragraphy, abdomenpelvic computed tomography. Results: Of the 43 patients reviewed, 27 patients had intraperitoneal type bladder rupture, and 12 patients had extra-peritoneal type bladder rupture. 9 patients had urethral rupture. Intraperitoneal type bladder rupture cases are most commonly associated with infrapubic ramus, suprapubic ramus and acetabulum. but the statistically significance is abscent (p= 0.642). Also extraperitoneal type bladder rupture cases are most commonly associated with infrapubic ramus, suprapubic ramus and acetabulum. but the statistically significance is abscent (p= 0.548). And all type bladder rupture cases are most commonly associated with infrapubic ramus, suprapubic ramus and acetabulum. but the statistically significance is abscent (p= 0.775). And urethral rupture cases are most commonly associated with infrapubic ramus, suprapubic ramus and acetabulum but the statistically significance is abscent (p= 0.528). Lastly, Combineded bladder rupture and urethral rupture cases are most commonly associated with infrapubic ramus, llium, Symphysis pubis. But the statistically significance is abscent (p= 0.462). Conclusions: In our study when there is a pelvic bone fracture, the fractured site of pelvic bone have no statistically association with lower urinary tract injury. But most common pelvic bone fracture site of all lower urinary tract injury cases is infrapubic ramus. Therefore, if infrapubic ramus fracture is found in the condition of pelvic bone fracture, it is highly likely to have lower urinary tract injury. More careful observation and diagnosis is necessary for this case.

      • 학동기 이후의 성장 주기별 신장 및 체중 증가율에 관한 연구

        신상만,박경배,박준수,김창휘 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.2

        This study was carried out to know the growth rate of height and weight in Korean children which was conducted on semi-longitudinal research method. For this study, health records of the sample group that carry information for the period from their first grade of elementary school to the third grade of high school were used, 120 males and 120 females who became third grade of high school in 1994 were selected at random from each of the four cities; Seoul, Chonan, Kumi and Eumsung. Among 917 candidates, 460 males and 457 females born between March 1976 and December 1976 were finally selected as a sample for the purpose of this research. The results are as follows; 1. Measurement of the physique Both male and female samples showed constant growth in height and weight. Male grew from the range of 115.8±4.8㎝ at the age of 6 to 171.5±5.6㎝ at 17 while females grew from the range of 114.6±4.7㎝ to 158.9±5.1㎝. The Weight of males rose from the range of 19.9±2.5Kg at the age of 6 to 62.5 ±8.1Kg at 17 while that of females increased from the range of 19.3±2.4Kg to 54.1±6.9Kg. 2. Growth and Nutritional Indices The study revealed that relative weight of the sample group increased as they grew older. The Kaup index also showed an increase in line with the advancement in their ages, and exceeded 2.0 at the age of 15 for males and at the age of 14 for females. The Rohrer index, on the other hand, showed a declining trend for the first several years but began to increase at the age of 13 for males and at the age of 11 for females. 3. Comparative analysis with similar regardless that were performed using sample groups born in 1965 and 1970 revealed the followings; ① Height - The average height of male samples(born in 1976) under this survey was bigger than that of male samples born in 1965 in their respective age from 6 to 17. - The average height of male samples born in 1970 was bigger than that of male samples born in 1970 from 6 to 14 but showed no difference after 15. - Female samples born in 1976 showed height that was bigger than the other sample groups born in 1965 and 1970 in their respective age from 6 to 17. ② Weight Both male and female samples under this survey weighed more than their counterpart sample groups born in 1965 and 1970 in their respective age. 4. The Maximum Growth Age was 12.3 for males and 10.4 for females. Males grew 5.92±2.77㎝ a year on an average when they were 12 and 13 years old while females grew 5.93±2.69㎝ when they were 11 and 12 years old. In conclusion, the study revealed that like in other countries males and females experienced the second growth spurt during their adolescence and relatively slow growth thereafter. Unlike height which showed constant growth, weight varied; there were incidences where females even experienced weight loss after years of diminishing growth rate in the wake of the adolescence.

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