목적 : 본 연구의 목적은 통합심리치료의 인지훈련이 만성 조현병 환자의 인지기능과 일상생활활동 수행능 력 향상에 미치는 영향을 알아보는 것이다. 연구방법 : 연구대상자는 만성 조현병 환자 19명이었으며, 6주간 주 3회씩 총 18회기에 걸쳐 통합심리치료의 인지훈련(IPT－cog)을 실시하였다. 연구설계는 사전사후 연구(pre－test and post－test design)이며 이 프로그램이 인지기능 향상에 효과가 있는지를 알아보기 위해 실행기능평가인 길 만들기 검사, 기억력검사인 단어목록기억검사, 로웬스타인 작업치료 인지검사(Loewenstein Occupational Therapy Cognitive Assessment; LOTCA)의 일부인 사고조작력 평가를 사용하였고, 수단적 일상생활활동 수행능력의 향상을 확인하기 위하여 운동처리기술평가(Assessment of Motor and Process Skills; AMPS)를 실시하였다. 결과 : 인지능력에 있어서 실행기능(p<.01), 기억력(p<.01), 사고조작력(p<.01)에서 유의미한 향상을 보였 으며, AMPS를 이용한 수단적 일상생활활동 수행능력의 변화에서는 운동기술과 처리기술에 유의미한 향 상이 있었을 뿐 아니라 독립수준의 변화에서 연구 대상자 19명 중 7(36.84%)명이 약간의 감독이 필요 한 수준에서 안전하고 독립적인 생활이 가능한 수준으로 향상되었다(p<.05). 결론 : 통합심리치료(Integrated Psychological Therapy; IPT)의 인지훈련(IPT-cog)은 만성 조현병 환 자에게 인지기능 향상과 일상생활활동 수행 능력에 대해 긍정적인 영향을 주는 것으로 나타났다. 추후 연구에서는 이러한 기능향상이 중재 후에도 지속되는지에 대한 연구와 함께 대조군 설정을 통한 연구로 인지훈련의 효과성 검증이 이루어져야 할 것이다.

우리나라 해양환경 행정조직 및 법체계의 역동적인 진화과정은 환경법적 관점에서 수많은 연구과제들을 제공하고 있다. 이 글에서는 환경의 개념과 범위 설정에 대하여 간략히 설명하고, 이를 바탕으로 최근 논의가 필요한 생활환경으로서 해양환경의 보전을 위한 법체계의 개선방향을 논의하고자 한다. 과거 해양은 인간의 환경으로 인식되지 않거나, 혹은 주로 인간으로부터 거리가 먼 자연환경으로 인식되는 대상이었다. 그러나 최근 해양환경에 대한 인식의 중심축이 자연환경에..

The purpose of this study is to present improvement for classification system of current neighborhood living facility to correspond rapid social change and various industries after understanding its status and problem. In current Building Standard Law, various kinds of buildings are classified for their structure, purpose of use, and building types. The Neighborhood Living Facility is divided into First Neighborhood Living Facility and Second Neighborhood Living Facility with applying area standards, according to facilities of convenience degree for neighborhood inhabitants. This classification, however, has problem in an arbitrary decision and applying of buildings without any definition or standards to adopt. And, there are some mixed neighborhood public functional facilities and amusement business affecting public morals among the Neighborhood Living Facility, so hazard environmental problems are also existed. According to the improved program, the study presents a prompt adoption of new facilities according to various industry increase, with minimum public discontent over adopted area standards. This study suggests making a clear scope through reclassification of Neighborhood Living Facility within the scope of the law on current Neighborhood Living Facility and an improvement plan of introducing necessary definitions on purpose of facility.

The objective of this study was to discover the effects of the short-term home visiting physical therapy program involving patients with some chronic brain disorders at Gimhae City, Kyongnam. Recovery of activities of daily living (ADL) is a very important factor of rehabilitative procedures, and Functional Independence Measure (FIM) is a useful standard of evaluation for it. The FIM is widely used in brain disorder research because it measures real functional activities of daily living. We applied the physical therapy exercise program twice per week (10~15 times repeatedly); a warm-up and cool down exercise performed every ten minutes by active & active-assistive ROM and stretching exercises. Main exercises were composed of getting up & laying down in bed, standing training, walking exercise in the room, and window or wall sliding exercise using affected upper limbs for a total duration of 30 minutes. We collected the data from 20 patients with chronic brain disorders at his/her home and analyzed by means of SPSS/PC+ program (Ver. 10.0). After the six week long physical therapy exercise program, the average was 56.10±22.59 point compared with initial 50.55±19.12 point by FIM, improved functional ADL ability about 5.55 point, and these changed scores were statistically significant (p=.000). We also studied another factor regarding patient's satisfaction. The majority of subjects (10 people) rated the program with the maximum score of ten points (50.0%), and three people rated it a seven point program (15.0%), the other two subjects gave a rating of nine and eight points (10.0%). Because the program was effective at improving the physical ADL ability and satisfaction of each subject, we suggest continual development and implementation of a home visiting physical therapy program. Further study should involve a longer period of observation with a larger population that is involved in an individually designed home physical therapy program.

Composting toilet is accepted for environmentally sound and cost effective alternative of flushing toilet. In this paper, advantages of using composting toilet compared to flushing or pit toilet in terms of environmental quality were described. And principles of human waste decomposing processes within composting toilet were explained. The potential problems of adopting composting toilet to our rural area were also discussed. Treatment efficiency was tested on-site and results confirmed that the composting toilet could be used as alternative one in rural area.

This study was carried out to identify the problems and policy alternatives for the improvement of living conditions and environmentally friendly agriculture. The results of surveys on the current situations of living conditions in the rural areas revealed that the main cause of depopulation in Korean rural villages was the lack of social infrastructure and income sources. The current government policies for agriculture geared mainly for improvement of international comparative competitiveness will result in the further disadvantage against the mountainous regions with marginal agricultural lands. Therefore, it is recommended that the agricultural policy should be complemented by the environmental and social policies in the less favoured areas. This can be justified by the fact that the demand for environmental public goods such as recreational opportunities in rural settings uncontaminated by the industrial wastes is growing.