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      • KCI등재

        近代飜譯小說における受身表現の機能について -新情報の提示と視点を中心に-

        이해미 ( Hae Mi Lee ) 한국일어일문학회 2015 日語日文學硏究 Vol.94 No.1

        本稿においては、李海渼(2014)に續き、「新情報提示受身文パタ-ン(①これから始まる新しい場面(情況)の登場、または新しい人物との出會い、②視覺的情報の說明的な描寫、③受身表現による描寫、④主人公の動作描寫/④´主人公の心情描寫、⑤本格的な物語が始まる)」の形成時期·背景及びその類型·機能を考察するため、受身文形成の轉換点に該當する近代日本の飜譯小說を分析した。分析對象とした4編の小說においても、現代小說に見られる<新情報提示受身文パタ-ン>が現われ、ⅰ)視点コントロ-ルによって舞台の外側にいた讀者を內側に引き入れることで、臨場感を持たせる機能、ⅱ)舞台の外側にいる讀者の視線を引き、重要な素材または人物へ集中させる機能、ⅲ)舞台の外側にいる讀者の視線を連續的に移動させながら距離感を調節して主な素材の登場に劇的效果をもたらす機能も同じく用いられた。 パタ-ンの形態面から見ると、パタ-ン內の要素の省略及び重複·結合の現象が現われ、現代小說に比べて<新情報提示受身文パタ-ン>の固着性が弱い方であると言える。しかし、小說の前半及び場面の重要度が高いほど①~⑤の完全な形のパタ-ンの形態を成し、ある程度物語が進むにつれて、類推可能な部分または主人公に感情移入し終えた小說の後半などにおいては縮約された形のパタ-ンが用いられるなど、このようなパタ-ンの構造の柔軟なバリエ-ションによって讀者の視点及び視線のコントロ-ルの機能の程度を調節しながら效率的に新しい情報を示している。 また、すべての新情報が<新情報提示受身文パタ-ン>として示されるのではなく、脇役(特に、主人公の前にたちはだかる「影」)のように感情移入する必要のない人物が新しく登場する場合、または新聞のようなメディアによって客觀的な事實報道が前揭され場合などでは<新情報提示受身文パタ-ン>が用いられないということを明らかにした。 以上のことから、主語に焦点を當てるような視点調節機能が他の文と有機的に結び付つことによって、效率的に新しい情報を提示する機能をもたらす受身文の效果は近代飜譯小說においても現われているということが分かった。 This paper, followed by Hae-mi, Lee(2014), considers the formation period, background and types and functions of the <Passive sentence pattern of new information presentation(It is called "Passive pattern" afterwards)>. Four translated fictions in modern Japan were analyzed and they were classified as the turning point of formation of passive sentence. There were five types of patterns for "passive sentences" ①The story shows a new scene(situation)/②Explanatory description of a visual information/③Description using passive expressions/④Movement of the main character/Feeling and thoughts of the main character/⑤It begins full-fledged story" There were "Passive pattern" for the subjects of analysis, and they had 3 functions in common with Japanese contemporary fictions: ⅰ) perspective controlled to draw the reader who was on the outside of the stage on the inside, and a sense of realism function to impart, ⅱ) pull the line of sight of the reader who is on the outside of the stage, the ability to focus to critical material or person, ⅲ) adjust the sense of distance while continuously moving the line of sight of the reader who is on the outside of the stage function that causes a dramatic effect on the appearance of the main materials. In the formal aspects of the pattern, the fixation of "Passive pattern" was weaker than contemporary fictions because of omissions, overlapping and combination of the elements in the pattern. However, the complete form of the pattern was appeared at the beginning of the fiction or the more important scene. Also, the variation of the form was used at the back of the fiction and situations that readers can guess the scene because of the background. In addition, not all of the new information is shown as " the Passive pattern" and supporting roles who do not need empathy or news did not use "Passive pattern". From the above, "Passive pattern" was used in the modern fictions as the same as comtemporary fictions.

      • KCI등재후보

        위절제술 환자의 표준진료지침 개발 및 적용 효과

        김은희,김철규,이순교,김순덕,이혜옥,권정순,이경미,이민미,심순미,유용만,신종식,강은희,이상일,김병식,오성태,육정환,박수길 한국의료QA학회 2003 한국의료질향상학회지 Vol.10 No.2

        Background : Gastric cancer is the most common malignant tumor in Korea. surgical operation is one of the major treatment modalities for gastric cancer patients. Therefore, gastrectomy is one of the most common procedures in General Surgery. There were variation in length of hospital stay and medical treatment for gastrectomy between three surgeons at Asan Medical Center. Clinical pathways have received considerable attention as a tool for recucing the medical practice variation, increasing the efficiency of care process, and improving the quality of care. The aim of this study was to evaluate the effect of a clinical pathway for gastrectomy in gastric cancer patients. Methods : The clinical pathway for gastrectomy was developed and implemented by a multidisciplinary group in Asan Medical Center. A computerized clinical pathway program was developed and revised after a pilot test. A total of 145 patients underwent gastrectomy by three surgeons at Asan Medical Center. We compared the length of hospital stay, patient satisfaction, and unplanned readmission rate between the pre-pathway group(n=67) and the post-pathway group(n=78). We also investigated the degree of satisfaction among the physicians and nurses who were main end-users of the clinical pathway. Results : The clinical pathway was applied to all target patients. The average length of hospital stay was shortened from 12.7days to 10.6days(p<0.01). The degree of patient satisfaction with the care process changed from 90.3% to 89.2% after the implementation of the clinical pathway, but the difference was of satistically significant(p=0.761). Unplanned readmission rate was 2.9% in the pre-pathway group. More than 90% of physicians and nurses answered that the clinical pathway had been a useful tool in their medical practice. Conclusions : The findings of the study demonstrated that implementation of the clinical pathway for gastrectomy produced substantial reduction in the length of hospital stay while improving the quality of patient outcomes. The computerized clinical pathway program can be used as one of the powerful patient management tools for reducing the practice variations and increasing the efficiency of care process in Korea hospital settings.

      • 대학생의 노인에 대한 태도에 관한 연구

        이영희,권미경,김남선,김혜원,최미경,이규은,홍윤미 關東大學校 醫科大學 醫科學硏究所 2003 關東醫大學術誌 Vol.7 No.1

        The purpose of this study is to identify the perception, the future and images, and prejudice toward old people. And to examine difference the group of gerontological education (educated group) with the non-educated group. 189 students in K university were participated in this study. The educated group was composed 101 students who enrolled liberal arts course that learned this title. Data were collected from May to June, 2002. The results are as follows; 1) Many students perceived the elderly that was started 60~64 years. 2) The perception, the future and images, and prejudice of both groups were some positively. 3) Each variables were not significantly difference. But the mean level of the educated group were more higher. 4) The educated group was found significantly related to the perception and prejudice(r=.303, p=.002). The non-educated group was found significantly related to the perception and the future and image(r=.421, p=.000), the perception and prejudice(r=.321, p=.003), the future, image and prejudice(r=.272, p=.012).

      • 골반 초음파 감시 하에 16 Gauge Angioneedle™을 사용하여 치료적 더글라스와 천자를 시행하여 치유된 복강 내 출혈 1예

        김미영,이해혁,유애리,박정희,이임순,정수호,레앙소팔,배동한,김태희,이권해 순천향의학연구소 2008 Journal of Soonchunhyang Medical Science Vol.14 No.1

        Culdocentesis is a procedure that checks for abnormal Quid in the space just behind the vagina (cul-de-sac). First, a pelvic examination is done. Then, after exposing the postehor vaginal fonix with a bivalve vaginal speculum the posterior lip of the cervix is grasped with a tenaculum. The cul-de-sac is then entered through the postehor vaginal wall with an 18-20 gauge needle with a syringe inserted. As the cul-de-sac is entered, suction is applied, and the intraperitoneal contents are aspirated. In the recent past, culdocentesis was commonly used in the evaluation of a vahety of common intraperitoneal conditions, principally, the hemorrhage associated with ectopic gestations and ruptured ovarian cysts the presence and/or drainage of purulent associated with pelvic inGammatory disease, and as a screening procedure to facilitate early diagnosis of ovarian neoplasms. Usually 16-18 gauge needle with a syhnge attached was used for culdocentesis. But we have experienced a case of therapeutic culdocentesis with 16 gauge angioneedle in patient of hemoperitoneum. So, report it with a bhef review of literature.

      • SCOPUSKCI등재

        신규간호사 배치후 교육시 프리셉터쉽 적용 사례연구

        김창희,김혜숙,조혜성,이순옥,함형미,박미미 성인간호학회 2000 성인간호학회지 Vol.12 No.4

        The purpose of this study was to examine the effect of preceptorship on On the Job Training of new nurses. The research design was a retrospective survey and one group pre-rost test design. The subjects were 49 entry nurses and 49 preceptors The data were collected from Feburary 1, 1998 to December 1, 1998. One questionnair applied in this study consisted of general characteristics, the responses of new entry nurses and their preceptors and their qualities. The other questionnair consisted of job satisfaction of new entry nurses and Preceptors and their competencies. The data were analyzed for frequencies, mean score, standard deviation, t-test, and ANOVA. The results of the study were as follows : 1) Preceptees's responses were that the nurses' affiliation of unit. cooperation of other nurses, and competencies of nursing skills improved after OJT applied preceptorship. 2) Preceptors's answers were that preceptorship had a positive effect on their continuing education. 3) While preceptees's job satisfaction scores were high in interaction, administration, and organization, they were low in autonomy and pay. 4) Pre-competency scores were the same as post-competency scores. 5) After preceptorship, preceptors responded that their nursing skill & communication competency increased, but their nursing administration competency decreased. 6) Finally, preceptorship's other effects were as follows: ① Checklists for preceptee education at the nursing unit were developed separately. ② It was proved that 'preceptor interview note' was effective on manage preceptorship. ③ We obtained duty orierlap periods, medical-surgical units-1 month. 5 ICU-2 months. operaction room-3 months ④ We prepared a preceptor program based on the study results.

      • Southern Blot Hybridization법을 이용한 악성 림프종의 면역유전형에 관한 연구

        전호종,기근홍,김윤신,이미숙,이미자,장원재,장숙진,박영진,정춘해,정종훈,양성훈,이광민 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2

        Immunogenotyping using gene rearrangement analysis has emerged as a precise laboratory aid in the diagnosis and classification of malignant Iymphoid neoplasms. The lineage and clonality of the malignant Iymphoid neoplasms can be identified by the demonstration of rearrangements of antigen receptor genes of the immunoglobulin and T-cell receptor genes. The analysis of the gene rearrangements on the malignant Iymphoid neoplasms are also useful as a sensitive unique clonal markers to detect early recurrence in patients with malignant Iymphoid neoplasms after treatment. To analyze the sensitivity and specificity of gene rearrangements in the diagnosis of malignant Iymphoid neoplasms. 24 cases of malignat Iymphoma were examined by Southern blot hybridization using CTβ-T cell receptor β chain gene-DNA probe and JH-immunoglobulin heavy chain gene-DNA probe. The results of the immunogenotypings using Southern blot hybridization disclosed high correlation between the immunophenotyping using immunohistochemical stain with monoclonal antibodies (B-cell Iymphoma 84.2%. T-cell Iymphoma 75% ). The analysis of the gene rearrangement of the angioimmunoblastic lymphadenopathy(AILD) and unclassifiable Iymphoma using immunohistochemical stain could resolve the monoclonality and lineage . Rearranged bands to the CTβDNA probe were observed in one case out of 2 cases of AILD. One case of unclassifiable Iymphoma showed rearranged bands to the CTβ DNA probe. There were no rearrangements in reactive follicular Iymphoid hyperplasia and paracortical Iymphoid hyperplasia. In conclusion, DNA gene rearrangement study should be applied to differentiate the clonality and cell lineage in the malignant Iymphoma with indistinctive immunophenotype.

      • 소아의 위장관 이물질에 대한 임상적 고찰

        이보형,이현경,김미정,최광해 영남대학교 기초/임상의학연구소 2001 Yeungnam University Journal of Medicine Vol.18 No.1

        Background: The accidental swallowing of foreign body is a common problem in the children. Ingested foreign bodies may be managed by endoscopy, observation, or surgery. So we analyzed the methods of removal, type, location and complications of foreign bodies. Materials and Methods: This report reviewed 37 cases of ingested foreign body in the gastrointestinal tract at the Department of Pediatrics, Yeungnam University Hospital between January 1997 and April 2001. Results: The age ranged from 8 months to 8 years. The most prevalent age group was between 1 year and 2 years of age(19%). The male to female ratio was 2.1:1 with 25 male and 12 female patients. The type of foreign bodies were coins in 20 cases(54%), nail in 4 cases(11%), key in 4 cases(11%), pin in 2 cases(5.5%), necklace in 2 cases(5.5%) and others. The locations of foreign bodies were upper esophagus in 12 cases(32.5%), lower esophagus in 4 cases(10.8%), stomach in 16 cases(43.2%), small bowel in 5 cases(13.5%). 4. Presenting symptoms were variable with asymptomatic(59.4%), vomiting(19.0%), epigastric pain(8.1%), dysphagia(5.4%) and others. The methods for removal of foreign bodies included 20 cases of endoscopic removal(54.0%), 3 cases of spontaneous removal(8.1%) and there was no surgical removal. 14 cases(37.9%) did not confirmed removal of foreign body because of no revisit of our hospital. Endoscopic finding of patients were normal(15 cases), ulceration(2 cases), erosion(1 case), inflammation(1 case) , mucosal scratch(1 case). Conclusion: It appears that the endoscopic approach is the preferable method for the removal of upper gastrointestinal foreign bodies in the children.

      • 진피내 모반, 경계 모반 및 악성 흑생종에서 p53과 Ki-67의 발현 양상

        이정훈,양승하,오미혜,김의한 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1

        The authors analyzed immunohistochemical expression of mutant p53 and Ki-67 in eleven cases of intradermal nevus, 7 cases of junctional nevus and 6 cases of malignant melanoma, so following results were obtained. Results: 1. The positive reaction of p53 protein was 0%(0/11) in intradermal nevus, 43%(3/7) in junctional nevus and 83%(5/6) in malignant melanoma. 2. The positive reaction of Ki-67 was 9%(1/11) in intradermal nevus and 14%(1/7) in junctiona nevus, but the labelling index were below 10% in both nevi. In malignant melanoma, the positive reaction of Ki-67 was appeared in 50% (3/6). but the labelling index were below 20% in all positive cases Above results suggested that the p53 expression was stronger in poor differentiated tumors, so the p53 protein expression appeared to be related to the histological differentiation degree. But the Ki-67 expression appeared to be more related to the prognosis according to tumor growth rate than histological differentiation degree Because the Ki-67 labelling index was low in malignant melanoma as expected, it was difficult to justify the idea that the growth and prognosis of malignant melanoma were justified only by the Ki-67 positive reaction and labelling index. But the Ki-67 positive cells were not almostly observed in intradermal nevus and junctional nevus, So the differnetial diagnosis between benign and malignant melanocytic tumors were appeared to be possible by Ki-67 positive reaction and labelling index.

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