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Evaluation of Present Status from Health Technology Assessment(HTA) through case analysis in dentistry

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(1)ORIGINAL ARTICLE. 㰓ᛇㅣ䊯ⳓ⪓ㅣ䊯ᙳ㆓䀼ㇼㅣ䊯. 1. ஖੄೟࠙ঠࢎ۹࠙ࢳਸాೠ न੄‫ܐ‬ӝࣿಣоഅടಣо 

(2). ࢿӐҙ‫؀‬೟Ү࢖ࢿਲ਼೤੄җ೟ਗ੄‫ܐ‬ӝӝ࢑স೟җ

(3) ࢿӐҙ‫؀‬೟Ү੄җ‫؀‬೟஖җ೟Үप

(4) ߄੉য়ৄ౭ী੉. ⭷᠗㫃

(5) ⽸Ⲡ◣

(6). ABSTRACT Evaluation of Present Status from Health Technology Assessment(HTA) through case analysis in dentistry 1). Department of Medical Device Management and Research, Samsung Advanced Institute for Health Sciences & Technology(SAIHST), Sungkyunkwan University 2) Sungkyunkwan University School of Medicine, Department of Periodontology 3) BioMTA 1,3) Gi Tae Son , Seung-Min Yang1,2). The new medical technology assessment system has a basic goal of protecting the public's health rights and promoting the development of the new medical technology with safe and effective medical technology that has been scientifically proven. The purpose of this study is to contribute to the activation of the new medical technology evaluation system by analyzing the application cases of the dental field after the implementation of the new medical technology evaluation system and proposing an efficient approach to approach the new medical technology evaluation system. The number of related literature and medical technology evaluation results are not significant in dental applications, the number of cases and the length of follow-up period of the relevant medical technology adopted as the new medical technology was far higher. As the speed of medical technology development increases, medical technology is expected to develop in the dental field as well. To introduce the medical technology to the clinical site, access to the correct direction of evidence is required to collect and objectify data at the medical site in order to prepare a literary basis for the medical technology.. Key words : Health Technology Assessment (HTA); Medical Technology; National Evidence-Based Healthcare Collaborating Agency (NECA); Dental Field; Clinical Trial. &RUUHVSRQGLQJ$XWKRU 6HXQJ0LQ<DQJ''606'3K' 6XQJN\XQNZDQ8QLYHUVLW\6FKRRORI0HGLFLQH'HSDUWPHQWRI3HULRGRQWRORJ\ ,UZRQUR*DQJQDPJX6HRXO.RUHD 7HO)D[(PDLOSNR\DQJ#VNNXHGX. 316. ᳧㽃㠿ᛣㄿ⪓㿸䁳㎧㈃ᝳ㈃䀟.

(7) ORIGINAL ARTICLE. ㈁ឥ⠭〥㈭㇭⿵ⳁ㈱ᶍ _ᯭ㊭㝝ⶉ㈁⍵ᣙⳉ㹲ᚩⶕ㈁ロ⍵ễ. ⭱⌅ㅝᣙⳉ㈁㊪ᢢ㊪㈡㊪ㅒ㇥⌅㈁⍵⠭〥ᴽ⤉␝᜵. ᜝ ㎺ ⶉ㈁⍵ᣙⳉ⌅ 㛭㮆ễ ㈁⍵ᣙⳉ㇩ ␥. ⛅㊭䀁┙ 䄁㈹べ᜵ ➝ᶍ 㑱 ᰻㇩ ㈁⍵⯅⣭ⵍ␥. ᭁ㭩᭝ᴽ ⛁┝  㤁ឥ⠭〥㈁ ᝦㅙ ㈝ぱᶍ ㈝ᴽ. ㋅ឞ䀁ញ㈱ᶍ㠅㊪㈁゙᠕ᢥ᜙ラ㈭⭪㊪㊭◡㑩ⶆ . 㹲ᢉ㊪㇥⌅ ⶉ㈁⍵ᣙⳉ 㛭㮆ềᴽ ⣭㇑➝ᶍ ᭗㇩. 䄁㈹ ᚩ㤁ᚩ 㱞䀒ễ ᛅ᯹㇭ ᣙ⛁㇥⌅ 䄁㈹べ᜵ ➝ᶍ. 㹲ᚩ᝙ឥ␥➝ォᶍ. ⿱㊭䀁ញ 䅑ឥ㊪㈡ ㎺㉕✾㇭ ㋅⿱䀁ᴽ ᢥ᜙ᣙ⛁. ᯭ᠖᭝㤁ឥㅒ㈭㾵∩㵡ⶅ㉎ᢅ║ᴽ〦 ぞ. ㈁⍵ᛅ᯹㈝ ᚾ㌙ề┝⯅  ㅙ⑕ᭁ∥ ㈁⍵䀲ㆭべ ᶩ䀅. ㅹ㇥⌅ 㠅ᢥ ᯭᚭ ゙  ⯚㉎⯡㈝┙  㤁ឥㅒ. ㈁⍵ᣙⳉ㹲ᚩ㈁㎺ㄽ⯚㈝ᚾ㌙ềញ㈱ᶍ. ㈭㾵∩㵡ᴽ ᠖᭝ᣙの㈝ ⮆⭙ឥ ⳁ㡅 ᝦ㉪⋎㇭ ᚿ㡁. ᯭ ㅽ ㈥⠩㯙 ⭱⌅ㅝ ㈁⍵ᣙⳉ㈁ ⿱㊭⯚ឥ. 㠿ㄿ㽀❫⽣⪓∧❫⬄ㄫ㮜㽃ⳇㄿ⊳᠗Ⰷ㶰ᗧ㿫䁐㶰ᗧ. Ⅰ. 서론. ᶩ㼅 㼱╒㇥⌅ ◝ゖⳁ㑩 䇺㈹ᢅ║ 〦  ぞㅹ㈁ 㑩ⰶ㊪㈡㑆ᚩ㠽⯡ ゙㹲ᢉᯭᚭ〦㑆ᚩ ㈝ᶍ . ㇉䅑⯚㇭᠖ᚩᚩ㝝᝭㊪sᛆឩ㊪㇥⌅ᜩ㑆䀁ᴽⶅⵍ㰅㈝ ⑱⋑ềぱᶍ 䀅᠖➝᜝㈁⍵ㅹべ ឞᛅễ 㱞᝭㈹⍵べ. 㤁ឥㅒ㈭㾵∩㵡ᴽⶆ㼱㈁〦㼱⿱㊭㝁べ⯅⯉㊾䀅. Ῑ␝┝ ⶉ㈁⍵ᣙⳉ㹲ᚩ㋅ṭᚩṭ㈮ễ㈝䅭ᯭᣵ㑩. 㛑 ⭙の䂪┮ ឩ⋑ ᣙ㌝ᣙⳉ➝ᶍ ⶕ䃽ềញ ㋅㼱䃽べ. 㟆 ᜝㈝ⶉ㝖ềぱᶍⶉ㝖᜝べᶩ䀁ゕ㈁⍵⠭〥❭. ᚩᣵㅝᛅ⠭〥㈁⍵ᣙᣙ㎺䀁ᭁ㈝ᣙṭ䀁ᶍ 㤁ឥ. ⶉ㝖䂭䄒㇭ ⠭␁䀁┝ ㈁ឥ⠭〥ᴽ ᜝㇥⌅ ㊭㝝. ⠭〥ᴽ ㈁⍵ᣙᣙ⭙の ⯚㉎べ ㈱そ ỹᾅ⊕㑭 ⛁┝ . ⶉ㝖᜝㈁ ␥ 㛑㑩䀁┙ 㤁ឥ⠭〥ᴽ ᜝㇥⌅. ⶉ㈁⍵ᣙⳉ㹲ᚩ㋅ṭべ ㈱そ⯅ ⭪ᶩ㊪㇥⌅ ㊩㌙䀅. . ␥ 㛑㑩䀅ᶍ  ⶉ㝖⭕⋩㈁ ᶩ⠩⠭ ㈁⍵ᣙⳉ㈝. ⶉ㝖᝙ឥ␥ᭁ㭩᭡ᶍ. 7DEOHㄿ⊳❫⽣⚫ⳇㄿ⊳᠗Ⰷ㶰ᗧⳇ㚔㿫䁐 a

(8) . ⿗ᶫ. . ㄿᛣ. . 㽃ㄿᛣ. . 㠿ᛣ. . ᠗㪧. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❫⽣⚫㽐ᚫ. ę᠗㪧ㄿ⊳❫⽣⍣㲠ㇼ㼿᠗⾛∋゛᠗Ⰷ ⿯』ぼほ♼ⲋ㲟⇯ⲋᗷ⭳㻫≃៟↏Ộ

(9) ŵ1(&$ⳇㄿ⊳᠗Ⰷ㶰ᗧ⪓⾬⛟❧㮜ᚫ㿫䁐ᬫⳇㄿ⊳᠗Ⰷ㶰ᗧ㮜ᚫㅷ⊳ ⾬≃ể

(10) ŶⳄ㹯ㄿ⽤㹯⼯㇫㙿 

(11) ᬫㄿ⊳᠗᠗⫄⪗◶⯿㞃oㅬⳋ㇨㮜ᚫㅷ⊳ ŷⳄ㹯ㄿ⽤㹯⼯㇫㙿 

(12) ᬫⳇᘃ☃ㄿ⊳᠗᠗㇫⏄❫⬄⛛ᛇ⬃. ᳧㽃㠿ᛣㄿ⪓㿸䁳㎧㈃ᝳ㈃䀟. 317.

(13) ORIGINAL ARTICLE. ➡ ゙᠕ᴽ 㤁ឥ⠭〥㈁ ⶉ㈁⍵ᣙⳉ㹲ᚩ㋅ṭ ⶉ㝖. II. 재료 및 방법. ⭕⋩べᶩ䀁ゕ㌙⭕䀁ញⶉ㝖ễ⭕⋩㈁㈁⍵ᣙⳉ㇉䂾ឥ ឩ⋑ ㈭⭪◡䁵べ ᶩ䀁ゕ ᶍ〺䀅 ᣙ㎩㇥⌅ ⣭៹. ⶉ㈁⍵ᣙⳉ㹲ᚩ㋅ṭ ឩ⋑ ✾ᢅラ 䀅᠖➝᜝㈁⍵. ⠭⯆䀁ゕ ⶉ㈁⍵ᣙⳉ⌅ 㛭㮆ềᴽḙ ㇉㈁䀅 ㎥⿱㊹べ. ゙᠕ㅹべ⯅ឞᛅ䀁ᴽ㹲ᚩ᝙ឥ㈹⍵␥⚽㭾㇥⌅㤁ឥ. ᶩ䀝⯅ញ㛙䀁ញ㈹䀅ᶍ. ⠭〥㈁ ⶉ㈁⍵ᣙⳉ㹲ᚩ ⶉ㝖⭕⋩␥ ᶍᚪṭ⌅ ⠭⯆ 䀁ォᶍ. 7DEOH㠿ㄿ㽀❫⽣ⳇㄿ⊳᠗Ⰷ㶰ᗧᚗᛣ Ďⳓㄿ〫⊳ᙛ᠗㋧

(14) Ⰳ♯  ㇸ⯿♯䀟 . 318. ᠗Ⰷᝓ❫ 㙿㠿◶ⳃⰇ. . ⳇㄿ⊳᠗Ⰷ⑬㡔. ᠗Ⰷᝓ❫. . . . . ㎫᳏ᙧ⪓. . . 㙿㠿◶ⳃⰇ. ᛇ㋣㳳⿛㇨ㄸᛇⰇ. ㉗᠗᠗Ⰷ. . . ㎫᳏ᙧ⪓. ㅷᗧ㠿⼫⣯ㅛⳄ㆓. ㉗᠗᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. 㠿ᛧ㇯㈃Ⰷ. ㉗᠗᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㅷᗧ㠿⼫⣯ㅛⳄⰇ. ㉗᠗᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. 㤻プ⠫⿇㼣. . . 㙿㠿◶ⳃⰇ. 㿯⭳㳷᭴㝼⬓ㄇ⭳. . . ㄇ㇫ㅷᙧ⪓. 㠿㋣㎯䀿シㅟះ㉬ᙧ⪓. . . 㙿㠿◶ⳃⰇ. ㆓㉗㽐ᛏ㿼⬘㛰㎫᳏☘㎯ UK%03

(15) ㄫ㇨ゐ㼿⿓ᛏ㆓⫄ㄫㄇᶫ㼿ᱻᛏㅛⳄⰇ. ㉗᠗᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㅷᗧ㠿⼫⣯ㅛⳄⰇ. ㉗᠗᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ⏋⛜ḃ㼿⼬㈃᳧ᝓ㠿ㄿ㠿ᛧ㇯㈃Ⰷ. . . 㙿㠿◶ⳃⰇ. 㠿⼫ㄿㄿᶫ㇨㆓ⳄⰇ. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ⏋⛜ḃ㼿⼬㈃᳧ᝓ㠿ㄿ᜷ㇼ㇨㠿⊳Ⰷ. ㉗᠗᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ❧❫㠿⯿㇯᳏Ⰷ. ⳇㄿ⊳᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㅷᗧ㠿⼫ㄇⅿᛏㅛⳄⰇ. ⳇㄿ⊳᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㆓㉗㽐ᛏ㿼⬘᳏☘㎯ㄫ㇨ゐ㽃㠿㉗ᛏ⛛㉛ゐᛏㅛⳄⰇ. ㉗᠗᠗Ⰷ. . . ㎫᳏ᙧ⪓. 㠿ᛣ㰓ⳃ㜓⿨Ⰷ. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. 㪯䁳ㅷᗧ㠿⼫⣯ㅛⳄⰇ. ㉗᠗᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㆓㉗㽐ᛏ㿼⬘᳏☘㎯ㄫㅛゐ㽃ᛏㅛⳄⰇ. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㆓㉗㽐ᛏ㿼⬘᳏☘㎯ㄫ㇨ゐ㽃㠿㉗ᛏ⛛㉛ゐᛏㅛⳄⰇ. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ᝓᗼ⪤ㅬ㿼᠗ᶫ䀼ㆌ᠗㠿⊳. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. 㠿ᛣㇼ㋣㎫ㇼ♼. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㆓㉗㽐ᛏ㿼⬘᳏☘㎯ㄫ㇨ゐ㼿⿓ᛏ㆓⫄ㄫㄇᶫ㼿ᱻᛏㅛⳄⰇ. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㅟᛜ㬘ᛧ㇯㇫㠿䀿Ⰷ. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ŵ㘏シㅬ㚛 ⽸⼬

(16) ᜷ㇼŶḷᘃㇼ㿼᜷ㇼ. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㅷᗧ㿯⭳㳷᭴㝼⬓ㄇ⭳◶ᛏ㿼⬘᳏☘㎯ㄫ㇨ゐ㽃㬘⣯᜛⪓㎄ㄿ㠿⊳᠗Ⰷ. ㉗᠗᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. 㠿㋣᪔᪛⬟ះㄫ䅈㘐㈃ᙗ㼿ᱻ㠿㋣⿣㠿⊳Ⰷ. ㉗᠗᠗Ⰷ. ᳧㽃㠿ᛣㄿ⪓㿸䁳㎧㈃ᝳ㈃䀟. 㰓㪋⟳⎦㎧. . ⇯ㅛ㇧㿼ᛸㄫㅛゐ㽃゗Ⳅ㎫᳏. ㉗᠗᠗Ⰷ ⿗ᝓ᳏ᚫ᠗Ⰷ. 㟏㼿 ㉗᠗᠗Ⰷ ⿗ᝓ᳏ᚫ᠗Ⰷ. ⿗ᝓ᳏ᚫ᠗Ⰷ.

(17) ORIGINAL ARTICLE. ᚩ㈝ᾅ∥㈡べ⯅ ⿱㊭⯚s㇉䅑⯚㈝ 䃾⑦ễ ᣙⳉ㈝㑩⑵. ⶉ㝖ễ 㤁ឥ⭕⋩ ᜝べ ᶩ䀁ゕ ⠭⯆㇭ 䀁ォᶍ. ᜝ᚾ➝䂁ㄽ〺ᢲゕ⣭ㅒ ╒⌆べ ❭ṭ 䀲ㆭ⌅ ⠭␁ềそ. ⶉ㝖᜝べᶩ䀅ឞᛅễ㊾➝᭝ㅒ㎺ᛆឩ㊪㹲ᚩ㑩㼅⌅. ㈱㑩⿳㇩ᝦㅙ ⭱⌅ㅝ㈁⍵ᣙⳉ ⭕ㅒᶩ⭪㈝❩ᝦễ. 㹲ᚩ䀉ⳁ㈱ᴽ䀖╒㇩㈁⍵ᣙⳉ㇉䂾⠭⯆ ㋅㡅◡䁵ⳁ . ᝦㅙ  ⭕ㅒ╒㊪㈝ ❩ᝦễ ᝦㅙ  ⭕ㅒ⛒✾㈝ ❩ᝦễ. ゙᠕㇉䂾 ◡䁵㑱㹲ᚩ 䄁㈹ⳁ 㠽㊪ᣙᚭ 㟆䀖╒㇭. ᝦㅙ㈝ᶍⶉ㈁⍵ᣙⳉ㹲ᚩ⭕の➡⠩␥㱞䀝ឞᛅễ㈹⍵. ᣙ㎩㇥⌅ 䀁ォᶍ ᚩ㑩 ᣙ㎩⭕䀖㇭ 㱞䀁ゕ ⶉ㈁⍵. ㎺ ⶉ㈁⍵ᣙⳉ㹲ᚩ ➝ញ⯅␥ 㱞䀝⯅ ㈁⍵ᣙⳉ㇉䂾㇭. ᣙⳉ㹲ᚩ㋅ṭⶉ㝖ⶅ㊭≞㊪㊺ᢥ䀁ᣙㆭ䀅䀞ⶕ⭕䀖㇭. 䃾㈡䀉ⳁ㈱ぱᶍ. ṭ㡅䀁ォᶍ. ㈁⍵ᣙⳉ㇉䂾㎺⭕ㅒ⛒✾㈝❩ᝦễᝦㅙ᜝ . 㠿ㄿ㽀❫⽣⪓∧❫⬄ㄫ㮜㽃ⳇㄿ⊳᠗Ⰷ㶰ᗧ㿫䁐㶰ᗧ. ⶉ㈁⍵ᣙⳉ㹲ᚩ㋅ṭ ⶅ䀲㈝䅭 ᯭ ㅽᣵ㑩. ㇥⌅  㹲ᚩễ 㤁ឥ⠭〥 ⭕⋩㎺ ᚩ㉎ ⑷㇩ ㈁⍵ᣙⳉ ㇉䂾㈝ぱ㇥┙ ⭱⌖᜵ᛅ⛅ễ㈁⍵ᣙⳉべᶩ䀝⯅ᴽ᜝. III. 결과. ㈝ぱᶍⶉ㈁⍵ᣙⳉ㹲ᚩⶉ㝖ễ㤁ឥ⠭〥㈁⍵ᣙⳉ㈁ ᶍⳁᚩ ᣙ㌝ᣙⳉ㇭ ᛅ⯉䀅 ㈁⍵ᣙⳉ㈭㇭ 䃾㈡ 䀉 ⳁ. ⳇㄿ⊳᠗Ⰷⳓㄿ᳧⪨ㄿ⊳᠗Ⰷㄇ㿼❫⬄ 㤁㈁䀂⠭〥 ⶉ㈁⍵ᣙⳉ㹲ᚩ ⶉ㝖⭕⋩㈁ ᚩ ㎺㉕ⶅⳉ㈝ᣙ ῵◡べ ㎺㉕ⶅⳉ㈁ ⶉ㈁⍵ᣙⳉ㹲ᚩ. ㈱ぱᶍ. ㈃㞃┟㾳⯿. ᶩ⭪ゕ⠩ ⶕ㈁ ㈁⍵ᣙⳉ㇉䂾 ❭⌅ ⠭␁ 䀁ォᶍ ㈁⍵. ⶉ㈁⍵ᣙⳉ㹲ᚩべ ឩ䀅 ᢅ㤂べ Ῑ␝┝ ㋅㌙. ᣙⳉ㇉䂾㇩ 㬕᜵ ᚩ㑩⌅ ᠕⠭ễᶍ ㈁䀂៹ឥ⯅ ⚸. ⶉ㈁⍵ᣙⳉ㹲ᚩ㈁ ㊱㛑  ᭝ㅒ ㎺ Ĝ䀝ᶢ ㈁⍵ᣙⳉ㈁. 7DEOH㠿ㄿ㽀❫⽣ⳇㄿ⊳᠗Ⰷ㶰ᗧᚗᛣ Ďⳓㄿ〫⊳ᙛ᠗㋧

(18) Ⰳ♯  ㇸ⯿♯䀟 . ᠗Ⰷᝓ❫. . ⳇㄿ⊳᠗Ⰷ⑬㡔. . ᠗Ⰷᝓ❫. . . 㙿㠿◶ⳃⰇ. 㪧⽈⬇ᶫᛧ⬟ㇼⰇ. ◿∋. . . 㙿㠿◶ⳃⰇ. ᛏ㎄᳧Ⰷㄫル㽃㠿ㄧ䀼ㆌⰇ. . . 㙿㠿◶ⳃⰇ. 㡷ể㢇ⳃⲋ㭃ㄫㅛゐ㽃〫㇫㲧Ჯ㈃ㅸ. . . 㙿㠿◶ⳃⰇ. ㅷᗧ㿯⭳㳷᭴㝼⬓ㄇ⭳◶ᛏ㿼⬘᳏☘㎯ㄫ㇨ゐ㽃㬘⣯᜛⪓㎄ㄿ㠿⊳᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ┛㪷㡏ㇼル᠗♼ㄫㅛゐ㽃⼬⼯⑛⯿Ⰷ. ⿗ᝓ᳏ᚫ᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ᚤᝓᘃ㇫㎫ㅟḷ⬘㿼Ⰷ. ⿗ᝓ᳏ᚫ᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ᛸ⿔㽀ほ♼ㄫㅛゐ㽃㠿㋣⿣ ㅫ㻳Ⅷ㲟㋣ル⿣

(19) 㠿⊳. ⿗ᝓ᳏ᚫ᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. 㚃ᛜ⯿⛜. ⳇㄿ⊳᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. 㪧⽈⬇ᶫᛧ⬟ㇼⰇ. ⳇㄿ⊳᠗Ⰷ. . . ᠗㪧ᙧ⪓. ㇼ↰ᛸ㿼ᛸ᠗⍣ㅛゐ㽃㠿⼫゗Ⳅ㎄㎫᳏. ⳇㄿ⊳᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ᛏ㎄᳧Ⰷㄫル㽃㠿ㄧ䀼ㆌⰇ. ㉗᠗᠗Ⰷ. . . ᠗㪧ᙧ⪓. 㠿ᛣ⿨⿔⾷⬃ㄿ㛯ㄳ㳳᠗᠗ㄿ䁃ゐ㠿㋣㉗㎨ᛣㅫ㻳Ⅷ㲟㋣ル㉗㎨ㄿ㎫᳏◶ᙧ⪓. ㉗᠗᠗Ⰷ. . . ᠗㪧ᙧ⪓. 㛯ㄳ㳳⿨⪨ㄫㅛゐ㽃㬘ᛧ㇯ㆌ⽇ㄿ㎫᳏. ᠗㉛᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ㉗᠗᠗Ⰷ ⿗ᝓ᳏ᚫ᠗Ⰷ. 㠿ㄇ㎧⿗ᛏᚗ⭷❧ㄿⳇ⫄ᛏ㆓⫄ㄫル㽃ㅷᗧ㿯㿯⭳㳷᭴㝼⬓ㄇ⭳. ㉗᠗᠗Ⰷ. 㶰ᗧ㎫㽰㋸. 㞃㙿1(&$ⳇㄿ⊳᠗Ⰷ㶰ᗧ⪓⾬⛟❧㶰ᗧ㿫䁐◶᪛ゐ⿛ⅳ. ᳧㽃㠿ᛣㄿ⪓㿸䁳㎧㈃ᝳ㈃䀟. 319.

(20) ORIGINAL ARTICLE. 7DEOH㠿ㄿ㽀❫⽣ⳇㄿ⊳᠗Ⰷ㶰ᗧㄿ⊳᠗Ⰷㄇ㿼 . ㄿ㽀᜷ᛣ⬃◶ᗧㅛểⅣㅟ⾷⬃ ⼯㇫⬘oㄇ䂏⬘ㅛ䀼⎤ḃ᠗Ⰷㅛ᩿ ⚫ᶫ㽰ル≃❫⌿᷿⾛ㅯ㎧⼱ㄧᚤ゗. ㉬⌿. ㇼ↰ᛸ㿼ᛸ᠗⍣ㅛゐ㽃 㠿⼫゗Ⳅ㎄㎫᳏. Ƞ. 㪧⽈⬇ᶫᛧ⬟ㇼⰇ. Ƞ. ⪯≃゛᠗Ⰷ. ⪓ゐ᳧⪨ㅛ ⚧ᚤḃᚤ゗. ⪓ゐ☐♼ㅛ ⚧ᚤḃᚤ゗. 㠿៣㚃ᛜ⯿⛜. Ƞ. ᛸ⿔㽀ほ♼ㄫㅛゐ㽃㠿 ㋣⿣ ㅫ㻳Ⅷ㲟㋣ル⿣

(21)  㠿⊳. Ƞ. ᚤᝓᘃ㇫㎫ㅟḷ⬘㿼Ⰷ. Ƞ. ┛㪷㡏ㇼル᠗♼ㄫㅛゐ 㽃⼬⼯⑛⯿Ⰷ. Ƞ. 㡷ể㢇ⳃⲋ㭃ㄫㅛゐ㽃 〫㇫㲧Ჯ㈃ㅸ. Ƞ. ⪓ゐ⒐㇨ㅛ ⚧ᚤḃᚤ゗. Ƞ. Ƞ. Ƞ Ƞ. ㅷᗧ㠿⼫ㄇⅿᛏㅛⳄⰇ ❧❫㠿⯿㇯᳏Ⰷ ⏋⛜ḃ㼿⼬㈃᳧ᝓ㠿ㄿ 㠿ᛧ㇯㈃Ⰷ. Ƞ. Ƞ. 㠿㋣㎯䀿シㅟះ㉬ ᙧ⪓. Ƞ. ⇯ㅛ㇧㿼ᛸㄫㅛゐ㽃゗ Ⳅ㎫᳏. Ƞ 㞃㙿1(&$ⳇㄿ⊳᠗Ⰷ㶰ᗧ⪓⾬⛟❧㶰ᗧ㿫䁐◶᪛ゐ⿛ⅳ. 7DEOH㠿ㄿ㽀❫⽣ⳇㄿ⊳᠗Ⰷ㶰ᗧᛧ∏┟㾳⯿  ㇸ⯿♯䀟  ᠗Ⰷᝓ❫ . . ㈃⒐. . ㇸ⯿ㅣ. . ㇸ⯿ㅣ. . ㇸ⯿ㅣ. ᛧ∏┟㾳. ᠗㪧ᙧ⪓. 㛯ㄳ㳳⿨⪨ㄫㅛゐ㽃㬘ᛧ㇯ㆌ⽇ㄿ㎫᳏. . . ᠗㉛᠗Ⰷ. . . ᠗㪧ᙧ⪓. 㠿ᛣ⿨⿔⾷⬃ㄿ㛯ㄳ㳳᠗᠗ㄿ䁃ゐ㠿㋣㉗㎨ᛣ ㅫ㻳Ⅷ㲟㋣ル㉗㎨ㄿ㎫᳏◶ᙧ⪓. . . ㉗᠗᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ᛏ㎄᳧Ⰷㄫル㽃㠿ㄧ䀼ㆌⰇ. . . ㉗᠗᠗Ⰷ. . . ᠗㪧ᙧ⪓. ㇼ↰ᛸ㿼ᛸ᠗⍣ㅛゐ㽃㠿⼫゗Ⳅ㎄㎫᳏. . . ⳇㄿ⊳᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. 㪧⽈⬇ᶫᛧ⬟ㇼⰇ. . . ⳇㄿ⊳᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. 㚃ᛜ⯿⛜. . . ⳇㄿ⊳᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ᛸ⿔㽀ほ♼ㄫㅛゐ㽃㠿㋣⿣ ㅫ㻳Ⅷ㲟㋣ル⿣

(22) 㠿⊳. . . ⿗ᝓ᳏ᚫ᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ᚤᝓᘃ㇫㎫ㅟḷ⬘㿼Ⰷ. . . ⿗ᝓ᳏ᚫ᠗Ⰷ. . . 㙿㠿◶ⳃⰇ. ┛㪷㡏ㇼル᠗♼ㄫㅛゐ㽃⼬⼯⑛⯿Ⰷ. . . ⿗ᝓ᳏ᚫ᠗Ⰷ. . 㞃㙿1(&$ⳇㄿ⊳᠗Ⰷ㶰ᗧ⪓⾬⛟❧㶰ᗧ㿫䁐◶᪛ゐ⿛ⅳ. 320. ᳧㽃㠿ᛣㄿ⪓㿸䁳㎧㈃ᝳ㈃䀟.

(23) ORIGINAL ARTICLE. ⶉ㈁⍵ᣙⳉ㹲ᚩ ᝙ឥᴽ ⶉ㈁⍵ᣙⳉ  ゙᠕ᶑ᝭ᣙⳉ . . 㹲ᚩᶩ⭪㈝⿭ᵵᜬ㇥⌅㈁᝙䀅ᶍĝ ញញⶅềそ㈱ᶍ. ᣙ㌝ᣙⳉ ㌙ᣙᣙⳉ㟆ᚩ㑩⌅⠭␁ễᶍ㤁ឥ⭕⋩㈁. ⶉ㈁⍵ᣙⳉ㹲ᚩឥ㊾べ⯅䀝ᶢ䀁ᴽ㈁⍵ᣙⳉឥ㵢㊾䀅. ᝦㅙ ⶉ㈁⍵ᣙⳉ ᜝ ឩ⋑◡䁵 㹲ᢉ ᛅ  ゙᠕. ㈁⍵ᣙᣙ␥⭕ㅒ䀁ᴽ䄁㈹␥ᶩ⭪㇥⌅㈭⭪㊪ᢥ᜙ᚩ. ᶑ᝭ᣙⳉ ᜝ ឩ⋑◡䁵 㹲ᢉᛅ  ᣙ㌝ᣙⳉ ᜝. 㿭ㄽ䀑㇥⌅⸑ ⿱㊭⯚s㇉䅑⯚㇭ ㈮㑆 䀉 ⳁ ㈱ᴽ ㈭⭪. ឩ⋑◡䁵㹲ᢉᛅ ㌙ᣙᣙⳉ᜝ ឩ⋑◡䁵㹲ᢉᛅ . ◡䁵㈝ㄽ᠕ễᶍ㈝べⶉ㈁⍵ᣙⳉ㹲ᚩⶅ㈁⍵ᣙⳉべ. ㈝ぱᶍ ឩ⋑◡䁵㈁ ᛅⳁラ ⶉ㈁⍵ᣙⳉ 㛭㮆 ᝙ឥ㈁. ᶩ䀅ឩ⋑◡䁵㈁ᛅⳁᚩ㈁⍵ᣙⳉ㹲ᚩ᝙ឥべ⚡㤁ᴽ. ⭪ឩឩ᝭ᴽ は㑩⑵  㤁㈁䀂 ⠭〥㈁ ᝦㅙ ⶉ㝖⭕⋩ᚩ. オ䁎㇭㌙⭕䀁ォᶍ. ⠩㌚䀁ゕ ឩ⋑◡䁵㈁ ᛅⳁラ ㈁⍵ᣙⳉ㹲ᚩ᝙ឥ㈁. 㤁㈁䀂⠭〥㈁ ᝦㅙ ę◝㭹㤑 ㊾ㆭᣙ✾㇭ ㈝ㅒ䀅. 㠿ㄿ㽀❫⽣⪓∧❫⬄ㄫ㮜㽃ⳇㄿ⊳᠗Ⰷ㶰ᗧ㿫䁐㶰ᗧ. ⿱㊭⯚s㇉䅑⯚㇭㹲ᚩ䀁ᣙべ゙᠕᝙ឥᚩ⠩㌚䀅ᝦㅙ. ㇉㈁⯚㇩᝙⌉᭝⑕ᣙそ⋞ᶍញ㶹ᶑềぱᶍ. ⿮⿱┝ⳁⳉĚ<㊺ⳁ✱䃡>᜝⠩㯙ⶉ㝖ⶅ㋅㡅ễ. ㈃㞃┟㾳⿗ᝓㄇ㿼. ឩ⋑◡䁵㈝ឞᛅềそ䀝ᶢ㈁⍵ᣙⳉ⠩㯙ឞᛅễ᜝㈁ 㹲ᚩ ᝙ឥラ ㋅㡅 ឩ⋑◡䁵 ⳁ㈁ ゙ឩ⯚べ ᶩ䀁ゕ. 〦◥㈝ᭁ㈁⍵ᣙⳉ 䀲Ẃᾚ㎺㉕ⶅⳉ䅑ឥ⯚㇭➝ᣙ. ⠭⯆䀁ォᶍ. ㆭ䀁ゕ ゙᠕᾽㈹㈡べ Ῑ∥ ⶍ䂁゙᠕ FYQFSJNFOUBM. 7DEOH㠿ㄿ㽀❫⽣ⳇㄿ⊳᠗Ⰷ㶰ᗧᛧ∏┟㾳⿗ᝓㄇ㿼❫⌿ ㋣㈃⿗ᝓㄇ㿼. ⠫┛ㅸル 㤻䀟㲟 ㅫ⪨ⳃ㾿⿗ᝓ ⿗ᝓ. ❧❫㠿⯿㇯᳏Ⰷ. . ㅷᗧ㠿⼫ㄇⅿᛏㅛⳄⰇ. . . 㠿៣㚃ᛜ⯿⛜ ⏋⛜ḃ㼿⼬㈃᳧ᝓ㠿ㄿ㠿ᛧ㇯㈃Ⰷ. . ᛸ⿔㽀ほ♼ㄫㅛゐ㽃㠿㋣⿣㠿⊳. . . ㎄∧ ⿗ᝓ. ㎄∧ ⛛ᛇ. ㎫᳏♼ 䀿ㅷ᳧㉗ 㶰ᗧ⿗ᝓ ᝗⿗ᝓ. . . . . . . .  . . ᚤᝓᘃ㇫㎫ㅟḷ⬘㿼Ⰷ. . . .   . ⇯ㅛ㇧㿼ᛸㄫㅛゐ㽃゗Ⳅ㎫᳏. . 㠿㋣㎯䀿シㅟះ㉬ᙧ⪓>㋸㽐䂏⭳⿗⮫◿ㄸ@. . 㛯ㄳ㳳⿨⪨ㄫㅛゐ㽃㬘ᛧ㇯ㆌ⽇ㄿ㎫᳏.  . . . . ᛏ㎄᳧Ⰷㄫル㽃㠿ㄧ䀼ㆌⰇ. . . . 㠿ᛣ⿨⿔⾷⬃ㄿ㛯ㄳ㳳᠗᠗ㄿ䁃ゐ㠿㋣㉗㎨ᛣ ㅫ㻳Ⅷ㲟㋣ル㉗㎨ㄿ㎫᳏◶ᙧ⪓. . . . . ㇼ↰ᛸ㿼᠗⍣ㅛゐ㽃㠿⼫゗Ⳅ㎄㎫᳏. . 㪧⽈⬇ᶫᛧ⬟ㇼⰇ . 㜄. . ┛㪷㡏ㇼル᠗♼ㄫㅛゐ㽃⼬⼯⑛⯿Ⰷ. 㽐ᚫ. ᜷ᛣ⬃ ᙧ㮇. . &$'&$0ⳃⲋ㭃ㄫㅛゐ㽃〫㇫㲧Ჯ㈃ㅸ♼. ᛸ⿔㽀ほ♼ㄫㅛゐ㽃㠿㋣⿣ ㅫ㻳Ⅷ㲟㋣ル⿣

(24) 㠿⊳. ᠗㪧 ⿗ᝓ. . . . . . . . . . . . . 㞃㙿1(&$ⳇㄿ⊳᠗Ⰷ㶰ᗧ⪓⾬⛟❧㶰ᗧ㿫䁐◶᪛ゐ⿛ⅳ  ⳇㄿ⊳᠗Ⰷ㶰ᗧ⾷ᛧ㽃ៃ㡀⛛ᙛ⛜㎧❧∠㈃䀟 

(25). ᳧㽃㠿ᛣㄿ⪓㿸䁳㎧㈃ᝳ㈃䀟. 321.

(26) ORIGINAL ARTICLE. EFTJHO ㈡ ⣭៹㈭⭪ⶅ䂁 ◝㈺ㆭ ㈭⭪ⶅ䂁  ⣭◝㈺ㆭ ㈭⭪ⶅ䂁 ឥឩ㛙゙᠕ PCTFSWBUJPOBMEFTJHO ㈡㧽䃡㵡 ゙᠕  䄁㈹ᶩ㌙᠙゙᠕⌅ ᭁᲭそ  ㋅㡅◡䁵べ ᶩ䀅 ゙᠕㇉䂾㇭ᜩ㱉䀝➥ⳁ㈱ᶍ ㋅㡅◡䁵べ ᶩ䀅 ゙᠕㇉䂾㇩ 㟆 ㌮␁⌅ ◝㈺ㆭ ⣭◝㈺ㆭ ㈭⭪ⶅ䂁゙᠕  㧽䃡㵡゙᠕  㑆⋩゙᠕  㑆⊱➝ញ 㑭ᶑ✾㹲ᚩ゙᠕ 䄁㈹ᶩ㌙᠙゙᠕ ᣙ㭩゙᠕  ៹ឥ⯅ᜩ㱉⌅⠭␁䀁ォᶍⶉ㈁⍵ᣙⳉ㹲ᚩ⭕の➡⠩べ ឞᛅễⶉ㈁⍵ᣙⳉ㹲ᚩ➝ញ⯅ラ㹲ᚩ䂭䄒㎺㤁ឥ⭕⋩ 㟆᜝べᶩ䀁ゕᜩ㱉䀁ォᶍ 㤁㈁䀂 ⠭〥 ⭕⋩ ㎺ ゙᠕㇉䂾㈁  ᜝ ᴽ 㑆⋩゙᠕㇉䂾㈝ᚩ㉎⑷、ᶍⶉ㈁⍵ᣙⳉ⌅㛭㮆ễ ᜝べ ᶩ䀁ゕ ⠭⯆䀅 ᝙ឥ ㈁䀂៹ឥ⯅べ⯅ ⿱㊭⯚s ㇉䅑⯚㈝ᜩ㱉ễ᜝ ㊾≲ឺ䂾ᣙ␥㈝ㅒ䀅㤁⿭ㅙⶆ㑆 㑭ᶑ  㭩《⯉ ṭឩ ⯡㊾ⳉ ㇭ ㋅ㄡ䀅 ᜝ ⠩⠭㤁ⳁ ㊱ᶑⳉ  ㈹ᚩ㤁⿭ ㇉≁ ទ ㈝ⶆⳉ  㤁ᢥ 㝅ឞ ⳁ➞ ㈁ ᝦㅙ ㋅㡅ễ ㈭⭪◡䁵㈁ ゙᠕㇉䂾㈝ 㑆⋩゙᠕ ⩹⑵ ⿭ᵱ∥⣭◝㈺ㆭ㈭⭪ⶅ䂁゙᠕ 㧽䃡㵡゙᠕ᚩ㈱ぱᶍ. ㈃㞃┟㾳㎯㶰ᗧ ㈭⭪◡䁵べᶩ䀁ゕ㹲ᚩ㈹ᴽ㈁⍵ᣙⳉ㈁㹲ᚩ╒㊪べ Ῑ∥ 㹲ᚩ㈁ 㵩㇭ ⑵ᾍそ ㈹⍵␥ 㠽㡅䀅ᶍ ㈹⍵㠽㡅 ᝙ឥᴽ᝙ឥ㊪㇉㈁⯚㇭ᭁ㮅᭝〥䀁ᣙ῵◡べẂ㈥䀅 ᣙ㎩㇥⌅ ゕ⊕ 㹲ᚩ㈹べ ㈁䀝 ᜩ㱉ễᶍ 㹲ᚩ㈹ᴽ ㎥ឩ㊪㈡㶹ᶑ㈝᝙ゕềញ㊾䃾⯚ឥᛆឩ⯚㇭ᭁ㭩᭝ᴽ ㈹⍵␥ᣙ㎩㇥⌅㹲ᚩ䀁ᣙべ ⳁ㤁䃽䀁ゕ⠭␁ᚩᵎ䀅 ゙᠕ 㼅➡ⳁラ 㠽㊪ᣙᚭ㇭ ◡䁵㹲ᚩ ᣙ㎩㇥⌅ ㊾䀁 ォᶍ   㤁㈁䀂⠭〥⭕⋩㎺ឩ⋑◡䁵㈝ឞᛅễ᜝べᶩ䀁ゕ ㌙⭕䀁ញ ⶉ㈁⍵ᣙⳉ㹲ᚩ ᝙ឥべ Ῑ∥ ゙᠕㼅➡ⳁラ 㠽㊪ᣙᚭべᶩ䀅㹲ᢉᚻ㇭⠭⯆䀁ォᶍ 㤁ឥ⭕⋩㈁ᝦㅙ㼅➡ⳁᚩ㡒⠭㤁⿳ᣙ῵◡べ゙᠕ ᝙ឥ㈁ ㇉㈁⯚㈝ ⁑そ 㑱ⳁ ㈱㑩⑵ ⶉ㈁⍵ᣙⳉ㹲ᚩ ⭕の➡⠩べ ឞᛅễ ឩ⋑◡䁵べ ⠭⯆䀅 ᝙ឥ ⶉ㈁⍵ ᣙⳉ㈁ ᝦㅙ ᚩ㉎ ᰻㇩ ゙᠕㼅➡ⳁラ 㠽㊪ᣙᚭ㇭ ᚩ㑩ញ㈱ㇵ㇭ṭ㡅䀉ⳁ㈱ᶍ. 7DEOH㠿ㄿ㽀❫⽣ⳇㄿ⊳᠗Ⰷ㶰ᗧᛧ∏┟㾳⿗ᝓ㹃⛟⯿o㝻㇨᠗ᗫ❫⌿ . ㇸ⯿♯䀟. . ㈃⒐. . ┛㪷㡏ㇼル᠗♼ㄫㅛゐ㽃⼬⼯⑛⯿Ⰷ. . ᚤᝓᘃ㇫㎫ㅟḷ⬘㿼Ⰷ. . ᛸ⿔㽀ほ♼ㄫㅛゐ㽃㠿㋣⿣ ㅫ㻳Ⅷ㲟㋣ル⿣

(27) 㠿⊳. . 㚃ᛜ⯿⛜. . 㪧⽈⬇ᶫᛧ⬟ㇼⰇ. . ᛏ㎄᳧Ⰷㄫル㽃㠿ㄧ䀼ㆌⰇ. . ㇼ↰ᛸ㿼ᛸ᠗⍣ㅛゐ㽃㠿⼫゗Ⳅ㎄㎫᳏. . 㠿ᛣ⿨⿔⾷⬃ㄿ㛯ㄳ㳳᠗᠗ㄿ䁃ゐ㠿㋣㉗㎨ᛣㅫ㻳Ⅷ㲟㋣ル㉗㎨ㄿ㎫᳏◶ᙧ⪓. . 㛯ㄳ㳳⿨⪨ㄫㅛゐ㽃㬘ᛧ㇯ㆌ⽇ㄿ㎫᳏.  'HHNV--'LQQHV-' $PLFR56RZGHQ$-6DNDURYLWFK&6RQJ)3HWWLFUHZ0$OWPDQ'* 

(28) (YDOXDWLQJQRQUDQGRPLVHGLQWHUYHQWLRQVWXGLHV +HDOWKWHFKQRORJ\DVVHVVPHQW :LQFKHVWHU(QJODQG

(29)  

(30) LLL[,661  :KLWOH\(%DOO-6WDWLVWLFVUHYLHZ6DPSOHVL]HFDOFXODWLRQ&ULW&DUH  .LUE\$*HEVNL9.HHFK$&'HWHUPLQLQJWKHVDPSOHVL]HLQDFOLQLFDOWULDO0HG-$XVW. 322. ᳧㽃㠿ᛣㄿ⪓㿸䁳㎧㈃ᝳ㈃䀟.

(31) ORIGINAL ARTICLE. ㇸ⯿♯䀟. ㈃⒐.                  . ᛧ∏┟㾳. ⿗ ᝓ 㹃 ⛟ ⯿. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  㶰ះᘃ⯿. 㝻㇨ ᠗ᗫ ᘃセ

(32).  . . . . . . . . . . . . . . . .  㶰ះ᠗ᗫ 㶰ᗧᚗᛣ. 㠿ㄿ㽀❫⽣⪓∧❫⬄ㄫ㮜㽃ⳇㄿ⊳᠗Ⰷ㶰ᗧ㿫䁐㶰ᗧ. 7DEOH㠿ㄿ㽀❫⽣ⳇㄿ⊳᠗Ⰷ㶰ᗧᛧ∏┟㾳⿗ᝓ㹃⛟⯿o㝻㇨᠗ᗫ❫⌿. ⿗ᝓ᳏ᚫ ᠗Ⰷ. ⿗ᝓ᳏ᚫ ᠗Ⰷ. . a. . . . . . ᘃセ. ᘃセ. ᘃセ. ᘃセ. ⿗ᝓ᳏ᚫ ᠗Ⰷ. ⳇㄿ⊳ ᠗Ⰷ. ⳇㄿ⊳ ᠗Ⰷ. ㉗᠗᠗Ⰷ.  ⳇㄿ⊳ ᠗Ⰷ. ㉗᠗᠗Ⰷ. ᠗㉛᠗Ⰷ. ᳧㽃㠿ᛣㄿ⪓㿸䁳㎧㈃ᝳ㈃䀟. 323.

(33) ORIGINAL ARTICLE. 7DEOHㄿ⊳᠗Ⰷ㶰ᗧᚗᛣ⾷἗⍟⿗ᝓ㹃⛟⯿o㝻㇨᠗ᗫ❫⌿ . ⳇㄿ⊳᠗Ⰷ. ⿗ᝓ᳏ᚫ᠗Ⰷ. ㉗᠗᠗Ⰷ. ᠗㉛᠗Ⰷ. ⿗ᝓ㹃⛟⯿ 䀿ㅷ⯿

(34). . . . . 㝻㇨᠗ᗫ セ

(35). . . . . IV. 고찰. 〥⭕⋩␥⠭⯆䀁ォᶍ ⠭⯆㇭㱞䀁ゕ㈁⍵ᣙⳉឩ⋑◡䁵㇩㑆⋩゙᠕䂾㮅㈁. ㈁䀂㑩ⶆឥឥ䀂ᣙⳉ㇩䂭ᶩ㈁⍵⛅㊭べ䂪ⶉ㊪㈡ⳁ. ㈭⭪゙᠕㇉䂾㈝ᚩ㉎⑷、㇥┙➝ᶍ㑱㹲ᚩᚩ᰻㇩゙᠕. ┮゙㉎㇭᠕䂭䀱㑩⑵ ᢲⰶ䀅ញ⋢䃽ラ⑵⯚㑱䄁䃽⌅㈡. ㇉䂾㈝ㄽ᠕ềぱᶍⶉ㈁⍵ᣙⳉ㛭㮆ễ㈁⍵ᣙⳉ㈁ᝦㅙ. 䀅㈁⍵⣭㑩㡅㑆ᚩᴽ㎺㉎ᣙ㊪㇥⌅ឞឞ㉕ㅹ㈁◡㋅␥. ᛆឩ䃽䀉ⳁ㈱ᴽ゙᠕㼅➡ⳁ 㠽㊪ᣙᚭべᶩ䀁ゕ⭪ᶩ㊪. ⛅⮆ⶅ㭕ⳁ㈱ᶍ῵◡べ⠱㿭ㄽ䀅㑩㡅㈁㠅ⰵ䃽⚸㈁. ㇥⌅㡒⠭䀅ḙ㈝㯙ᚩᚿ㡙㋡㈱ぱᶍ῵◡べⶉ㈁⍵ᣙⳉ. ⍵⣭㈁䅑㇑㊪㈡㑩㡅㇭ㆭ䀅㋅ṭ㊪⯚㉎㈁㈥䄁㇥⌅⭱. ឩ⋑㈭⭪ⶅ䂁᝭䄶ⶅ㈁⍵ᣙⳉ㈁⿱㊾⯚s㇉䅑⯚㇭㈮㑆. ⌖᜵ᛅ⛅ềᴽ㈁⍵ᣙⳉべᶩ䀅ᜩ㑆㋅ṭᚩ⑱⋑ềぱᶍ. 䀉ⳁ㈱ᴽᛆឩ㊪㈡ᢥ᜙␥⑱⋑㈝ㄽ᠕ề┙ⶉ㈁⍵ᣙⳉ. ᯭㅽ㈥⠩㯙⭱⌅ㅝ㈁⍵ᣙⳉ㈁⿱㊭⯚ឥ㇉. 㹲ᚩⶅ㎺ㄽ䀅ᢥ᜙⌅䄅ㅒ䀉ⳁ㈱そ〥䀅ᶍ. 䅑⯚㇭᠖ᚩᚩ㝝᝭㊪sᛆឩ㊪㇥⌅ᜩ㑆䀁ᴽⶅⵍ㰅㈡ⶉ. ₹䀅 ⶉ㈁⍵ᣙⳉ㹲ᚩ㊺ᢥべ㈱そ⚡⣭䀅⠩⠭べ㈱そ. ㈁⍵ᣙⳉ㹲ᚩ㋅ṭᚩ ⶅ䀲ềぱᶍ 䀅᠖➝᜝㈁⍵ㅹべ ឞ. ⭕㊭べឩ᝭⠩㝁㊭◡ᚩラᣝ⚩䀅䂺⋎㈝㿭ㄽ䀁┙㈭⭪. ᛅễ㈹⍵べῙ␝┝㋅ṭⶅ䀲㈝䅭ᯭᣵ㑩㟆 . ㊪ḙ㈝㯙⑱⋑㈝⠩㌚䀅ᝦㅙⶉ㈁⍵ᣙⳉ㹲ᚩឩ⋑䀁ゕ. ᜝㈁ⶉ㝖⭕⋩㎺㤁㈁䀂⠭〥ᴽ᜝㇥⌅⚡⚡䀁┙ⶉ㈁. ㌙ᣙᣙⳉ ゙᠕ᶑ᝭ᣙⳉ㇭ᶩ⭪㇥⌅䀁ᴽ㈭⭪ⶅ䂁㑩ㅹ. ⍵ᣙⳉ⌅㛭㮆ễ㈁⍵ᣙⳉṭ᜝べ㑩ᭁ㑩⿳ᴽᶍ῵◡. ㊾㛮べᶩ䀁ゕឩⶕ㇭ᚿញ㑩ㅹ㋅ṭ㈁㊪ᢢ㊪㈡䄅ㅒ⛒. べ䂭㉕ᣵ㑩ⶉ㈁⍵ᣙⳉ㹲ᚩឩ⋑䀁ゕⶉ㝖ễ㤁㈁䀂⠭. ⿱ṭ║⭲㈝㿭ㄽ䀁ᶍ. ኒ ௧ ໶ ᑑ 1 (&$ ⳇㄿ⊳᠗Ⰷ㶰ᗧ⪓⾬⛟❧ 㮜ᚫ㿫䁐 ᬫ ⳇㄿ⊳᠗Ⰷ㶰ᗧ㮜ᚫㅷ⊳ ⾬≃ể

(36). :KLWOH\(%DOO-6WDWLVWLFVUHYLHZ6DPSOHVL]HFDOFXODWLRQ&ULW &DUH. ⳇㄿ⊳᠗Ⰷ㶰ᗧ⾷ᛧ㽃ៃ㡀⛛ᙛ⛜㎧❧∠㈃䀟 

(37). .LUE\$*HEVNL9.HHFK$&'HWHUPLQLQJWKHVDPSOHVL]HLQD FOLQLFDOWULDO0HG-$XVW. 'HHNV--'LQQHV-' $PLFR56RZGHQ$-6DNDURYLWFK& 6RQJ)3HWWLFUHZ0$OWPDQ'* 

(38) (YDOXDWLQJQRQ UDQGRPLVHGLQWHUYHQWLRQVWXGLHV+HDOWKWHFKQRORJ\DVVHVVPHQW :LQFKHVWHU(QJODQG

(39)  

(40) LLL[,661. 324. ᳧㽃㠿ᛣㄿ⪓㿸䁳㎧㈃ᝳ㈃䀟.

(41)

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