무상의료 제도 도입에 대한 쟁점 분석

유은주,이근무 한국사회복지정책학회 2004 사회복지정책 Vol.19 No.-

본 연구의 목적은 무상의료제도에 대한 쟁점과 이슈들을 분석하고 실현가능한 대안은 제시하기 위함이다. 이를 위해 통합된 준거틀을 만들어 분석했는데 이 준거틀은 문제의 구조화, 예측, 영항평가로 구성되었다. 분석결과 첫째로, 경계분석기법을 사용하여 문제를 구조화한 결과 정책문제는 '전문가적 자율성의 침해', '의료자본주의', '의료공공성 강화', '의료제도의 합리화', '분배정의의 실현'으로 나타났다. 둘째, 델파이기법을 사용한 판단적 예측의 결과 이해당사자간 심한 갈등과 불일치를 보이는 것으로 나타났다. 마지막으로 사회 경제적 영향 평가모형을 사용하여 무상의료제도의 실시가 국민건강 환경과 경제에 미치는 영향은 분석한 결과 긍정적인 영향과 부정적인 영향이 공존할 것이라는 예측이 나왔다. 이상에서와 같이 무상의료제도는 규범적 가치와 당위성은 있으나 비용과 형평성에 문제가 있는 것으로 판단되었다. 이에 대한 대안으로 의료공개념을 제시했고 구체적인 방안으로는 공공병원의 확충과 진료비 지불제도를 총액예산제로 전환할 것을 제언했다. The purpose of this paper is to analyze the issues and disputes on National Health Service(NHS) and suggest the realizable alternatives. For this, this study makes united conformity frame and this consists of problem structuring, forecasting, and evaluation. Firstly, the result of problem structuring by boundary analysis that political problems appeared an invasion of professional autonomous rights, medical capitalism, reinforcement of medical public sector, rationalization of medical system, and accomplishment of distribution justice. Secondary, the result of forecasting for judgment by Delphi technique appeared terrible conflict and discord among the persons concerned. Finally, socio-economically, the effect of analysis which affected environment of peoples' health and economy by effective evaluation model was forecasted to coexist affirmative effect and negative effect. According to our analysis, NHS was turned out to have normative value and what might be but to have troubles in cost and equality. We suggested the public concept of medical treatment, an expansion of public hospital, and a shift of global budget system from the payment system of medical fee by this alternatives.

대전광역 시민의 골다공증 검진에 관한 고찰

유은주,이관우,박현모,이수배,김광현,강희구,박성오 한국건강관리협회 1999 건협 Report Vol.2 No.-

면접조사를 통한 초등학생의 영양교육 실태 및 실천도 조사

오유진,이영미,김정현,안홍석,김정원,박혜련,서정숙,김경원,권오란,박혜경,이은주,성현이 대한지역사회영양학회 2008 대한지역사회영양학회지 Vol.13 No.4

This study investigated the experience and practice of elementary school students on nutrition education. The data were collected from 217 male and female students attending 5-6th grade elementary schools in Seoul and Kyunggi-Do from March to June 2007, interviewing face to face by a nutrition teacher and 3 interns of a nutrition teacher. The results were as follows: 86.5% of the subjects learned about ‘Table etiquette’, ‘Reasons for eating fruits and vegetables’ (78.7%), ‘Food waste and environment’ (72.3%), ‘Healthy snacks’ (55.7%), ‘Food sanitation’ (52.3%), ‘Food culture of foreign countries’ (48.1%). Nutrition education experience was significantly different by gender. A total of 43.5% boys responded that they never learned about ‘basic food preperation’ (p < 0.01). They had learned ‘Nutrients for body’ and ‘Food waste and environment’ in school, ‘Healthy weight loss’, ‘Food culture of foreign countries’, ‘Food circulation’ on television, Most content (‘Table etiquette’, ‘Simple cooking’, ‘Food sanitati n’, ‘Eating behaviors for health’, ‘Reasons for eating fruits and vegetables’, ‘Healthy snacks’) was learned from parents. The practice after nutrition education was higher in ‘Table etiquette’ (2.14), ‘Eating fruits and vegetables’ (2.07) than others compared with education experience. The most reason of non-practice on nutrition information was ‘Troublesome’. In ‘Nutrients for body’, a boy answered ‘Difficult for practice’ 20.0%, a girl answered ‘Difficult to understand’ 32.6%, showing a significant difference between the gender groups (p < 0.001). They remembered the ‘Nutrients for body’ (49.6%), ‘Food sanitation’ (44.5%) because of ‘important content’,‘Basic food preparation’ (40.6%), ‘Food culture of foreign countries’ (36.3%) because of ‘interesting content’, ‘Healthy weight loss’ (52.0%), ‘Eating behavior for health’ (44.5%) and ‘Healthy snacks’ (33.7%) because of ‘need for my health’.

灌漑用 小溜池의 內容積에 關한 硏究

宋錫銀,周栽洪,李裕根 진주산업대학교 1982 論文集 Vol.20 No.-

Obtained results for study as above are as follows. 1. The unit depth of water of the present state of reservoirs was below 160 millimeter on the average. 2. The frequency of drought happened one time per three years. 3. The ratio of a well irrigated paddy field was less than 40%. 4. When the unit depth of water of reservoirs is at least 300 millimeter, it is regarded as a well irrigated paddy field. 5. If possible technically, when we raise the present state of dam height of reservoirs more than 1 meter, we can store up the irrigation water for somehow 20 days.

다중 쓰레드 기반의 병렬처리서버용 안티바이러스 엔진

유주영;김미애;박은옥;박유미;최주영;최은정;김명주 서울여자대학교 컴퓨터과학연구소 2004 정보기술논문지 Vol.2 No.-

악성코드에 대한 보다 바람직한 예방은 클라이언트측이 아닌 서버측에서 이루어지는 것이다. 본 논문에서는 새로운 개념 의 서버용 안티바이러스 엔진인 SAVE 1.0을 설계 구현하여 제시한다. SAVE는 기본적으로 1개의 AV모니터와 다수의 AV에이전트로 구성되어 있는데 다중 CPU를 장착한 병렬처리서버의 특징을 직접 활용하기 위하여 관리자가 다중쓰레드 기법을 직접 지정할 수 있도록 하고 있다 악성코드를 5가지 부류로 구분하여 바이러스 시그너쳐 DB를 구축 제공함으로써 부류별 진단을 지정할 수 있도록 하고 있으며 실시간 네트워크 패킷 검사를 통한 악성코드 유입 점검 기능도 제공한다. 웹 기반의 관리자 인터페이스는 뛰어난 사용자 편의성을 제공하고 있다. 성능실험결과 악성코드 검색율은 국내외 상용제품과 비교해서 매우 우수한 것으로 나타났으며 검색속도에 있어서도 서버의 CPU 수 증가에 거의 선형 비례하여 향상되는 특징을 보이고 있다. It is more desirable to prevent and detect the malicious codes in server system rather than in client PCs. In this paper, we suggest a new anti-virus engine, SAVE 1.0, which is executed on a parallel processing server. SAVE consists of 1 AV monitor and several AV agents. A system administrator can control the degree of multi-thread directly in order to enhance the utilization of parallel processing servers. Virus signature DBs in SAVE are classified into 5 categories, which support system administrator's options to use the classifier or not. By real-time checking of network packets, the influx of malicious codes can be prevented. Web-based GUI is one of the convenient functions provided in SAVE. In performance tests, we have confirmed that SAVE has higher virus detection ratio than any other AV engine, and SAVE has a desirable feature as an software of parallel processing servers since the performance of SAVE is improved almost linearly as the CPUs in a parallel processing server increases.

고비중 Bupivacaine과 Tetracaine에 의한 척추마취의 비교

조남수,유병식,박은주 최신의학사 1989 最新醫學 Vol.32 No.11

흡연에 의한 급성 호산구성 폐렴 2예

박종빈,김학렬,주현준,유태양,신성남,신정현,송정섭,황기은,김소영,양세훈,정은택 圓光大學校 醫科學硏究所 2008 圓光醫科學 Vol.23 No.2

최근 흡연을 시작한 젊은 성언에서 급성 호산구성 폐렴의 발생에 대한 증례가 보고되고 있다. 급성 호산구성 폐렴은 대개 발열을 동반하기 때문에 초기에는 감염성 폐렴으로 잘못 진단, 치료되는 경우가 많다. 아직 정확한 병태 생리 및 조직학적 소견은 밝혀져 있지 않지만 병력 청취 및 임상 양상, 방사선 소견의 관찰을 통해 급성 호산구성 폐렴을 의심하고, 진단을 위해 기관지 폐포 세척액 검사를 시행한다면 좀 더 쉽게 진단 내릴 수 있을 것이다. 본 저자들은 최근 처음 시작한 흡연에 의해 발생한 급성 호산구성 폐렴을 진단하고, 스테로이드를 투여하여 성공적으로 치료한 환자 2예를 경험하였기에 이를 문헌 고찰과 함께 보고하는 바이다. Acute eosinophilic pneumonia(AEP) is characterized by acute febrile respiratory illness associated with diffuse pulmonary infiltration and pulmonary eosinophilia. The specific etiology for acute eosinophilic pneumonia is elusive. By some investigators, cigarette smoking is suggested as a causative substance which can cause AEP. In recent, the authors experienced two cases of AEP following cigarette smoking. Both cases had characteristic features including age around 20 years, new onset smoking before occurance of AEP, diffuse infiltration on chest radiography, pulmonary eosinophilia based on bronchoalveolar lavage and acute improvement after steroid therapy. These clinical features are resemble with previous smoking induced AEP case reports. Base on these clinical features, cigarette smoking associated AEP could be diagnosed more easily.

남성 건강검진 수진자에서 간기능 장애 및 비알코올성 지방간과 대사 증후군과의 관련성

최태성,유재영,김진석,장은철,박주언,김병익 순천향의학연구소 2006 Journal of Soonchunhyang Medical Science Vol.12 No.2

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迎日灣의 ECOSYSTEM 硏究 2. 기후적 要因 : 氣溫, 日射量, 증발량, 바람, 강우량

朴相來,金基台,崔銀珠,李東澈,安由煥,尹伊鏞 嶺南大 海洋科學硏究所 1988 Marine Nature Vol.1 No.1

In order to understand phytoplankton ecology in the Gulf of Yeong-il, climatic factors such as air-temperature, solar-radiation, evaporation, direction and strength of winds, and precipitation are studied from January 1982 to December 1985. Annual average of air-temperature during the four-years period is about 13.6C, ranging from 1.7C (January) to 26.5C (August). The maximum value of solarradiation is measured in spring (520MJm²in May), the minimun : in winter (62 MJm²in December, January or February), and the total annual value : about 4987MJm². Annual average of evaporation is about 1200mm (Maximum: 169 in May : Minimun: 56 in February), close to precipitation (about 1050mm). Annual average of strength of "North Winds" (350°-90°)is about 550m·sec for 156 frequences during 191 days, "West Winds" (170°-340°) : 511m·sec¹for 185 frequences during 148 days, and "South Winds" (100°-160°) about 61m·sec¹for frequences during 24 days. "N" winds is about 30% more violant than "W" winds, but both winds are influential in terms of water movements in the Gulf.

분만 후 심한 저혈당이 동반된 림프구성 뇌하수체염 1예의 경과 관찰

손장명,고승현,안유배,주강,이정록,양성은,송기호,손호영,전정수 대한내분비학회 2003 Endocrinology and metabolism Vol.18 No.3

저자들은 출산 후 발생한 심한 저혈당을 주소로 내원한 31세 여자 환자에서 뇌 자기공명영상검사에서 뇌하수체종괴가 관찰되고 복합 뇌하수체 기능검사 결과전반적인 뇌하수체 기능저하증의 소견을 보여 림프구성 뇌하수체염을 진단하고, 호르몬 보충요법만으로 경과를 관찰하여 호전된 예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Lymphocytic hypophysitis, an inflammatory disease of the pituitary gland that is often associated with pregnancy, is caused by autoimmune destruction of the pituitary gland evidenced by diffuse inflammatory cell infiltration of the pituitary gland and some kinds of detectable autoantibodies. We report a case of lymphocytic hypophysitis in a 31-year-old woman presenting with severe hypoglycemia and hyponatremia after delivery. Hormonal study revealed panhypopituitarism and magnetic resonance imaging with enhancement showed the bulging contour of the right side pituitary gland with an ill-defined mass-like lesion and nodular thickening of the stalk The patient's symptoms and biochemical data improved greatly with replacement of L-thyroxine and glucocorticoid. Partial recovery of panhypopituitarism was also seen. The follow-up tests revealed dramatic resolution of the pituitary lesion (J Kor SOC Endocrinol 1 8 : 3 25 -33 1, 2003).