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      • 성인 서혜부탈장 환자에 대한 표준진료지침(Critical Pathway)의 적용 효과

        조용훈 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.23

        (Purpose) A critical pathway has been designed to improve and standardize patient management. Usually this has been applied to several clinical cases, such as an acute appendicitis, a prostatectomy and a hysterectomy, etc. This study was performed to discover such known effects in caring the inguinal hernia which is a relatively common case at the surgical department. (Subjects and Methods) Critical pathway applied group(CP) included 42 patients from Jan, 2007 to Dec, 2007. Critical pathway not-applied group(non-CP) included 35 patients and was chosen as a control group. Author compared a few clinical factor between two groups. (Results) There were 42 patients in CP group and 35 patients in control group. All patients had unilateral inguinal hernia and no accompanied critical disease. Revealed a significant difference(p=0.037) in mean hospitalizations between two groups, showing 3.0 ± 1.0 days in CP group and 3.5 ± 1.1 days in control group. There were no significant differences in a medical cost and a patient satisfaction. (Conclusions) A critical pathway may show some positive effects in our clinical environment, such as a hospitalization, a medical cost. But it seems to be an ongoing process and need more studies to validate its effectiveness in our health care system.

      • KCI등재

        환경윤리의 창조신학적 기초

        조용훈 한국기독교사회윤리학회 2000 기독교사회윤리 Vol.3 No.-

        적지 않은 환경론자들은 기독교를 반생태학적 종교로 규정하면서 오늘의 환경위기를 극복하기 위해서는 기독교 대신에 고대종교나 동양종교에서 대안을 찾아야 한다고 주장한다. 비판적 환경론자들이 기독교를 '반생태학적 종교'로 규정하는 데는 몇 가지 이유가 있다. 첫째, 기독교의 유일신관이 범신론(泛神론)과의 차별성을 강조하기 위해서 하나님의 초월성만을 일방적으로 강조함으로써 피조세계와 무관하게 되었다는 점이다. 둘째, 구약성서의 창조이야기에 나타난 자연관은 인간중심적이어서 인간의 자연지배와 자연착취를 정당화하고 있다는 점이다. 그들은 창세기 1,28의 '땅의 지배와 정복'(dominium terrae)에 대한 명령을 그 근거로 제시한다. 셋째, 영혼과 물질의 이원론은 인간을 초자연적이고 영적 존재로 파악하는 반면에, 물질세계를 악마화하고 열등한 것으로 생각하고 있다는 점이다. 마지막으로 신학사에 등장하는 서구 신학의 주류가 인간중심적 자연관의 입장에 서서 자연은 다만 인간적 목적을 위한 재료로만 생각하고 있는 점이다. 그러나 우리는 성서의 창조신앙이 인간중심적이지도 않을뿐더러, 자연파괴적이지도 않다는 점을 논구했다. 인간중심적 자연이해의 직접적 원인은 서구의 르네상스로부터 시작된 인본주의적 전통에서 찾아야 한다. 그럼에도 불구하고 서구의 기독교가 자연에 대한 인간의 착취 가능성을 충분히 예견하고 견제하지 못했다는 점에서 오늘의 지구환경위기에 대한 간접적 책임은 피할 수 없다. 우리는 이러한 기독교 신학의 자기비판과 반성적 입장에서 창조신앙에 대한 새로운 해석과 수정을 통해서 하나님 중심적인 자연이해와 거기서 도출되는 창조질서에 대한 인간의 신앙적, 윤리적 책임을 논하게 된다. 자연세계는 하나님의 피조물로서 신성을 지닌 신적 존재도 아니지만, 인간이 마음대로 처분할 수 있는 재료에 불과한 것도 결코 아니다. 자연세계는 하나님과의 관계 안에서 독자적인 고유의 권리와 가치를 지닌다. 하나님의 형상으로서 인간의 하나님의 소유인 자연세계에 대해 청지기직을 수행해야 한다. 자연의 고유가치와 권리를 인정하고, 돌보고 가꾸어야 한다. 이런 이유에서 우리는 창조신앙이 오늘날의 환경위기를 극복하는데 있어서 중요한 역할을 할 수 있다고 생각한다.

      • 1920-30년대 리얼리즘 아동문학의 전개 양상에 관한 연구

        조용훈,김은중 청주교육대학교 교육대학원 2004 論文集 Vol.8 No.-

        This study examined the development pattern of realistic juvenile literature in the 1920s~30s focused on key constructs of realism, which are reality, the masses. practice, etc. That is, it analyzed how concepts that form the major turning points of realism were represented in juvenile literary works and what displacement and transposition process they had underwent. The author looked into how the major concepts of realism had been transformed and accepted into Juvenile literature based on minor KAPF writers who pursued the inspiration of the sense of purpose through class struggle during the period from the late 1920s to the early 1930s and Lee Ju-hongs works that looked for the possibility of KAPF juvenile literature. The late 1930s was examined separating Lee Gu-jo, Rho Yang-geun and Song Chang-il from Hyeon Deok, a new generation writer. Durins the Period of KAPF, most writers uniformly reflected the realities class-consciously. That is. they viewed the realities as conflicts and struggle between classes and natural processes under socialistic prospects. As for the concept of the masses writers trendily had the image of children as masses who will lead social reforms. Thus the angel-like image of children had been transformed into a class-conscious image and the image of children as the vanguard. In addition, the concept of practice as political strugg1e with the sense of purpose was strong and as a result conflicts seemed to be resolved through revolutionary struggle. Although he was one of KAPF writers, Lee Ju-hong made efforts to give aesthetic shapes to the ideology of classism. In viewing the realities. he re-illuminated them satirically through wit and humor rather than recognizing and describing the crude realities, and pursued the inclusion of children into the masses through an allegorical form. In addition, in resolving conflicts, he attempted not only direct confrontations but also indirect ones such as warm human love like family love and the prospect of future class struggle. In the late 1930s, Lee Gu-jo, Rho Yang-geun and Song Chang-il, who wrote works opposed to the view of children and the view of literature of KAPF literature, sought for post-ideological transition of juvenile literature. Unfortunately, however, their activities were limited to listing plain daily routines in understanding the realities, lacked thematic sense and attempted horizontal resolution of conflicts. However. a new generation writer Hyun Deok struggled to overcome the limitation of juvenile literature in the period of KAPF, which did not take the peculiarity of children into account, and depicted the post-ideological mid of children much more sophisticatedly than other writers in his days. The realities viewed by him were not destined ideological ones as viewed by KAPF juvenile literature but the world of life as specific daily routines directly experienced and felt by children. When describing the world of chitdren specific daily life, he gave shape to the scene of poverty reflected in children eye and children life viewed from the original mind of children. What is more, he saw children as ones who are grewing into individual beings rather than as the masses leading the struggle. In the structure of resolution of conflicts, he attempted to solve conflicts through reconciliation rather than revolutionary Practice. This attempt was represented as the resolution of conflicts through the order of the juvenile world and internal turning points. In this way, factors causing changes in the development pattern of realistic juvenile literature can be found in the change of epistemological grounds. That is, we can say that the development was determined by the attitude of pursuing modernism. Along with changes in epistemolosical grounds, realistic juvenile literature in the 1920s and 1930s evolved from the instrumental rationality of literature to its aesthetic rationality. This study examined the development pattern of juvenile literature in the 1920s and 1930s focused on realism. There should be further researches on the development pattern of realistic juvenile literature after the Liberation.

      • KCI등재후보

        지역문화 활성화를 위한 지역교회의 과제

        조용훈 한국기독교사회윤리학회 2005 기독교사회윤리 Vol.10 No.-

        This study aims to investigate the responsibility of the local church for the improvement of local culture. Local culture defined as a shared set of beliefs, customs, and ideas that held residents in a certain region together in self-identified groups. Local culture plays a key role to improve the quality of life of residents and make a community. However, local culture in Korea has been destructed by Japanese rule, modernization, urbanization, and now threatened by globalization. As the inauguration of the local self-government 1995 in Korea, more 1,000 local cultural festivals as the highlight of local culture held in nationwide. But they have many problems like as commercialization, uniformization, and alienation of the residents etc. What is the tasks of the local church for the revival and improvement of local culture? First, we need the theology of the local church. A church is universal as well as local. Every Church is finding its place in the local culture and its congregation are mostly residents in a certain region. In this background, the branch church strategy for the church growth by a mega church is to be criticized. Second, we need the indigenization theology. Originally Korean culture stood apart from Christianity. For this reason there was conflict between Church and the local culture when Christianity was first introduced into Korea. Every local culture are rooted in traditional culture, we should make a great efforts to reconcile Christianity with the traditional culture and make harmony. Third, we need the theology of culture and the theology for culture. Culture is nothing but a means of evangelization by the church but also the missionary goal. Therefore we need to the theology that interpret the meaning of culture from the perspective of gospel. And every church has to be equipped its members to take the responsibility of cultural mandate in this secular world. Last, we need the refine strategy for the culture mission of the church. The church should be open its material and human resources to the local community. And the finding and training the experts for the culture mission, the developing the historic and cultural site related to the Christianity, and the construction of the church building with an aesthetic value are included to the tasks of the local church.

      • KCI등재

        지역공동체운동을 통한 농촌교회 활성화 방안

        조용훈 장로회신학대학교 기독교사상과문화연구원 2015 장신논단 Vol.47 No.2

        The problem of church and society in rural area has become one of the hottest issues in contemporary society and the Korean church. The rural churches should concentrate their ministries on developing the local communities because church and society share a common destiny particularly in rural area. This paper investigates how the Korean rural churches should contribute to the development of rural communities through the Christian rural movement. In the history of Korean Protestant Church there have been several Christian rural movements propelled by the rural churches such as the “Jesus Village Movement”, the “Ideal Village Movement”, the “Canaan Farmer’s Welfare Movement” and the “Doorae Maul Movement”. This paper analyzes the idea, the history, and the development of the five well known Christian rural movements for today: the “Songak Ecological Community”; the “Wondeung Welfare Community”; “Zion Cultural Community”; “Changdae Economical Community”; and “Sangjoo Multi-cultural Community”. The rural churches have to play a major role in developing the rural community. In this regard, the pastors should have a solid theological foundation equipped with theology of rural ministry, ecological theology, theology of the land and labour, welfare theology, and multi-cultural theology. This paper presents also five practical tasks for the Christian rural community movement: establishing the pastor’s vision; catching the issues of rural society; analyzing the regional socio-cultural characteristics; training the church members to leaders, and developing social networks among various agents including the local government. 한국의 농촌교회는 과거 교회 성장과 사회 발전의 토대였다. 하지만 근대화과정과 신자유주의 시장경제체제로 인해 농촌사회와 더불어 농촌교회도 위기상황에 놓이게 되었다. 농촌사회와 농촌교회는 운명공동체이기 때문에 농촌교회는목회적 관심을 지역사회공동체 형성에 두어야 한다. 이 논문은 농촌교회를 중심으로 한 지역공동체 형성의 가능성을 다양한 성공사례를 통해 확인해보고, 성공의 조건이 무엇인지 탐색하는데 목적을 두었다. 한국교회 역사 속에는 예수촌운동, 이상촌운동, 가나안복민운동, 두레마을등 다양한 형태의 기독교 농촌공동체운동이 존재했다. 최근 농촌교회에서 성공적으로 진행되고 있는 농촌공동체운동을 다섯 가지 유형, 곧 송악교회 ‘생태공동체’, 원등교회 ‘복지공동체’, 시온교회 ‘문화공동체’, 창대교회 ‘경제공동체’, 상주교회‘다문화공동체’로 살펴 보았다. 성공한 사례들을 보면 농촌교회 목회자의 역할이 중요함을 알 수 있다. 농촌교회 목회자는 농촌교회론과 농촌목회론에 기초한 생태신학과 생명목회, 땅의 신학과 노동의 신학, 사회복지 신학과 목회, 다문화 신학과 목회에 대한 분명한 신학적 이해와 목회철학을 지녀야 한다. 그 외에도 현실적 문제들을 해결할 수 있는역량들로서 목회자의 비젼, 지역현안 파악, 지역의 특수성과 교회 형편에 대한 정확한 분석, 교인과 지역민의 참여와 리더십 훈련, 그리고 네트워킹 능력 등이다. 지역공동체의 형태나 방향은 결국 농촌교회가 위치한 지역의 문화, 경제, 교회적특성에 따라야하기 때문에 모든 농촌교회에 적용될 수 있는 보편화 모델의 개발은 불가능하다.

      • 1980年度 痢疾樣 大便을 가진 患兒들에 對한 臨床的 細菌學的 觀察

        趙龍勳,南聖枝,具滋薰,安斗洪,薛盛用 慶北大學校 醫科大學 1980 慶北醫大誌 Vol.21 No.2

        1980年 1月부터 1980年 8月까지 滿 8個月間 痢疾樣 大便을 主訴로 本 小兒科에서 入院및 來院한 患兒 75名을 對象으로 臨床的, 細菌學的 觀察을 하여 다음과 같은 咸績을 얻었다. 年齡別 分布는 1歲에서 5歲 사이가 35例(47%)로 가장 높았으며 이들中 Shigella는 23例(30%), Entameba histolytica는 13例(17%)였고 Vibrio parahaemolyticus는 한 例도 檢出되지 않았다. 檢出된 Shigella 23菌株는 모두 Shigella flexneri 였다. 月別分布는 6月 16例(20%), 7月 30例(40%)로서 最多數를 占하였으나 細菌性 痢疾의 경우 月別에 관계없이 均等하게 分布하고 있었다. 臨床症狀및 理學的 所見으로는 細菌性痢疾의 경우 38℃ 以上의 發熱 19例(83%), 嘔吐 6例(26%), 腹痛 8例(35%), 痙攣 5例(22%)였으며, 아메바性 痢疾에서는 發熱 4例(31%), 痙攣 1例(8%)로서 細菌性 痢疾에서 아메바性 痢疾보다 發熱과 痙攣이 빈번히 나타났다. 泄瀉의 性狀에서는 細菌性 痢疾 23例中 血粘液性이 19例(83%)였는데 비해 아메바性 痢疾 13例에서는 粘液性이 8例(62%)였다. 泄瀉의 回數에서도 細菌性 痢疾에서는 대부분이 11回以上이었는데 比해 아메바性 痢疾에서는 대부분이 10回未滿이었다. 末梢血液에서의 白血球數는 全例의 35%에서 白血球 增多症을 보였다. 分離된 Shigella 23菌株에 對한 抗生劑 感受性 檢査를 平板混合포稀釋法에 依해 調査해 본 結果 kanamycin, gentamicin, amikacin, cephaloridine, rifampin이 100%의 感受性을 나타내어 가장 높았고, nalidixic acid에서도 87%의 感愛性을 나타냈으며, sulfonamide, chloramphenicol, streptomycin, tetracycline, ampicillin, bactrim 에서는 한 菌株를 제외한 모든 菌株에서 耐性을 나타냈다. 그리고 이들 Shigella 23菌株中 1菌株를 제외한 나머지 모든 菌株에서 6種 以上의 抗生物質에 對해 多抗生物質耐性을 보여 주었다. A clinical and laboratory study was conducted on 75 children with dysentery-like stool, who were admitted or visited to our pediatric department during 8 months period from January to August 1980. The following results were obtained: One to five years of age group was affected most frequently (47%). Shigella flexneri was identified by stool culture in 23 cases (30%) and Entameba hitolytica in 13 cases (17%). In bacillary dysentery group, fever was the most common symptom occuring in 83%, followed by abdominal pain in 35%, vomiting in 26% and convulsion in 22%. In amoebic dysentery group, fever was noted in 31% and convulsion in 8%, showing some contrast to the frequency of fever and CNS manifestation. About the character of diarrheal stools, 83% of bacillary dysentery group showed bloody, mucoid stool and 62% of amoebic dysentery group mucoid ones. Frequency of diarrhea was 11 times per day or more in 73% of bacillary dysentery patients, and 10 times per day or less in 92% of amoebic dysentery patients. The result of sensitivity test of isolated Shigella to various antibiotics were as follow: 100% sensitive to kanamicin, gentamicin, amikacin, cephaloridine and rifampin. 87% to nalidixic acid, and 4.3% to sulfonamide, chloramphenicol, streptomycin, tetracyclin, ampicillin and bactrim. And 22 out of 23 isolated Shigella strains revealed multiplydrug-resistance patterns to 6 or more antibiotics.

      • 安城市 都市·建築 保全方案

        趙庸薰,金大翼 안성산업대학교 1998 論文集 Vol.30 No.2

        During high speed economic growth period, our society has focused it's energy on the demolition and destruction of all our natural and man-made environment. In progress with that trend, our small cities a1so have just followed the metropolitan physical change and considered that imitation be the same meaning as "modernization". Therefore, our valuable urban and architectural heritages have been constantly destructed and that situation has been same in this small city, ANSUNG. But in spite of many environmental destruction and new development, ANSUNG has still more historic architectures and urban districts than other cities, i.e. PYONGTAEK or CHEONAN, because of comparatively low speed growth. By using this comparatively good condition, the execution of gradual development strategy with conservation method of urbanity and architecture should be carried immediately, and that strategy should be accompanied with the participation of citizens, local authority, and expert groups.

      • KCI등재후보

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