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      • KCI등재

        Prepubertal unilateral gynecomastia in the absence of endocrine abnormalities

        강민,이찬재,황일태,이관섭,강민 대한소아내분비학회 2014 Annals of Pediatirc Endocrinology & Metabolism Vol.19 No.3

        Gynecomastia is defined as the excessive development of breast tissue in males, which can occur as unilateral or bilateral. Although the overall prevalence of gynecomastia is 40%–65%, the prepubertal unilateral gynecomastia in the absence of endocrine abnormalities is unusual, with only a few case reports in literature. Idiopathic gynecomastia in prepuberty is benign but a diagnosis of exclusion. We here report two cases of healthy prepubertal boys aged 8.8 and 9.6 years old, respectively, presented with painful palpable mass in their unilateral breast. Breast tissue with glandular proliferation was confirmed on ultrasonography. Serum levels of estradiol, testosterone, and other laboratory findings were within normal range. They seem to have the prepubertal idiopathic gynecomastia but further follow-up to see their progression is needed.

      • KCI등재

        취약계층 청소년을 위한 효과적인 멘토링 슈퍼비전의 요소

        강민철(姜旻哲),김수임(金秀任),이아라(李아라) 서울대학교 교육연구소 2015 아시아교육연구 Vol.16 No.2

        본 연구의 목적은 취약계층 청소년의 특성을 확인하고 이를 바탕으로 이들에 대한 멘토링을 효과적으로 진행하기 위해 멘토링 슈퍼비전에서 필요한 요소들을 알아보는 데 있다. 이를 위해 먼저, 취약계층 멘토링에 참여하고 있는 중학생 144명과 일반 중학생 418명을 대상으로 개인내적 특성, 사회성, 진로, 학업의 4가지 영역에서 잠재적 능력을 비교하였다. 다음으로 멘토링 슈퍼비전 경험을 가진 상담전문가 7인을 대상으로 포커스 그룹 인터뷰를 실시하였다. Kruger(1997)가 제시한 단계별 지침에 따라 실시된 포커스 그룹 인터뷰를 통해 우선 취약계층 멘티의 특성과 이들에게 효과적인 도움을 주기 위해 요구되는 멘토의 역량에 대해 확인한 후, 이를 바탕으로 멘토들을 성공적으로 지도하는데 필요한 슈퍼비전의 내용은 무엇인지 살펴보았다. 연구 결과, 취약계층 청소년은 일반 청소년에 비해 자신감, 자기조절, 진로목표설정, 진로가치 건전성, 진로목표달성 효능감, 학습태도, 학업적 효능감에 있어 유의하게 낮은 잠재력 수준을 보였다. 포커스 그룹 인터뷰 결과, 취약계층 멘티의 특성으로 자신감부족, 낮은 진로포부, 사회적 기본교육 부족, 비행의 위험 등의 네 범주가, 취약계층 멘티들을 효과적으로 돕기 위해 멘토에게 요구되는 역량으로 멘티 특성의 이해, 신뢰감 형성, 다양한 교육 및 생활지도 기술 등의 세 범주가 각각 도출되었다. 효과적인 슈퍼비전의 요소는 멘토 역량 강화와 멘토 지원의 두 범주로 구분되었고, 전자는 멘티 이해 교육과 멘티 정보 제공, 신뢰할 만한 관계형성 및 경계설정 지도, 다양한 교육 콘텐츠 제공의 세 가지 하위범주로, 후자는 격려 및 지지, 책임한계 설정의 두 가지 하위범주로 도출되었다. 이러한 결과가 멘토링과 상담영역에 갖는 함의에 대해 논의하였다. This study explored the characteristics of at-risk adolescents, and sought to identify factors essential to mentoring supervision in order to implement effective mentoring for at-risk adolescents. For this, potential capacity in domains of intrapersonal characteristics, sociality, career, and academics of 144 middle school students participating in a mentoring program for at-risk adolescents were compared with those of 418 regular middle school students. Then, focus group interviews were conducted to find out the characteristics of at-risk mentees and the essential competencies required by mentors as well as the contents of supervision that will successfully guide the mentors. Quantitative study results revealed that at-risk middle school students had significantly lower levels of confidence, self-control, career goal setting, career value integrity, career goal attainment efficacy, study attitude, and academic efficacy compared with the regular student group. According to the focus group interview, at-risk students showed lack of confidence, low career aspirations, insufficient basic social education, and vulnerability to delinquency. To effectively help these students, mentors should have a good understanding of these characteristics of mentees, establish trusting relationships, and possess capacity for diverse teaching and guidance capabilities. Lastly, supervision for mentors should include educating about mentee’s characteristics, delivering information on mentees, giving guidance for developing trusting relationships and setting adequate boundaries, offering diverse educational contents, establishing clear-cu lines of responsibility, and providing encouragements.

      • 新興工業國의 國家役割 : 比較論的 接近 A Comparative Perspective

        姜珉 단국대학교 1989 論文集 Vol.23 No.-

        The role of the state in the South Korea and Taiwan as newly industrializing countries is correctly understood in the context of the reproduction of the state structure. The state structure is constituted by the state role and institutional organizations, and the structure has two dimensions: one is class domination, the other is organizations. These dimensions induce influence to the reproduction process of the state structure through the state power. The author has concluded in this article as follows: First, the roles as entreprenur and planner in the economic intervention by the state are important functions in industrializing the South Korea and Taiwan. Second, the state plays a crucial role in controlling the working class in both countries. Third, security-oriented state in the South Korea and Taiwan has institutionalized the coersive apparatus systematicly, enioying the strong state autonomy and powers. Fourth, the bureaucratic system in both countries was expanded in the process of economic growth, and the system has tended toward technocratic orientations. Fifth, the class conflicts has been increasing during the dependent development in the South Korea and Taiwan.

      • KCI등재후보

        대동맥 판막 치환술 후 발생한 자발성 뇌경막외출혈 -증례 보고-

        강민,김대희,문봉기,김건수,박성용 대한마취통증의학회 2013 Anesthesia and pain medicine Vol.8 No.3

        Epidural hematomas are usually traumatic in origin. Non-traumatic spontaneous epidural hematoma is rare and its incidence is not known. It can occur in the presence of coagulopathy and hypotension. We report a case of spontaneous intracranial epidural hematoma following the aortic valve replacement, possibly arising from excessive anticoagulation and hypotension during ventricular fibrillation.

      • KCI등재

        프록시 모바일 IPv6 네트워크에서 3S를 고려한 도메인간 이동성관리 기법

        강민,정종필 한국인터넷방송통신학회 2012 한국인터넷방송통신학회 논문지 Vol.12 No.3

        PMIPv6(Proxy Mobile IPv6)는 MN(Mobile Node)의 적극적인 참가를 요구하지 않는 네트워크 기반의 이동성관리 방법으로 통신 및 인터넷 커뮤니티 사이에서 상당한 주목을 받고 있다. 그것은 낮은 핸드오버 지연을 유지하면서 다수의 MN를 지원할 수 있는 확장성 있는 PMIPv6 도메인의 구축방안은 여전히 연구가 진행 중에 있다. 본 논문에서는 확장성과 안전성 그리고 끊김없는 PMIPv6 도메인을 구축하기 위한 3S 접근 방식을 제안한다. 제안기법에서 모든 MAG(Mobility Access Gateway)는 LMA(Local Mobility Anchor)와 같은 역할을 하고 다른 MAG와 가상 링을 구성한다. 일관된 해싱은 각 MN과 모든 MAG의 MN의 LMA간 효율적인 분산 매핑에 사용된다. MAG와 MN은 대칭키를 이용하여 인증한다. 수학적 분석을 통하여 3S의 안전성, 확장성 그리고 끊김없는 서비스를 검증한다. 또한 3S의 핸드오버 절차를 제안하고 이전의 기법에 비해 낮은 핸드오버 지연이 발생함을 보여 준다. Proxy Mobile IPv6 (PMIPv6) has received considerable attention between telecommunications and the Internet communities and does not require active participation of the Mobile Node (MN) by way of network-based mobility management. The PMIPv6 domain is studying establishment in progress to support extensively a number of MN by using a low handover latency. In this research, we are propose a novel 3S scheme for building Scalable and Secure and Seamless PMIPv6 domains. In the proposed scheme, all of Mobility Access Gateway (MAG) are acting as the Local Mobility Anchor (LMA) and composing a virtual ring with another MAG. General hashing is used in the efficient distribution-mapping between each MN and the MN's LMA of all MAGs. And, MAG and MN are authenticated using the symmetric key. Through mathematical analysis, we verifies the safety, scalability, and seamless service for 3S. Also, we're propose a handover procedure of 3S and show better than the existing schemes in terms of handover latency.

      • 政策形成展開過程에서의 參與와 葛藤에 관한 硏究

        姜珉 단국대학교 1976 論文集 Vol.10 No.-

        A policy is 'a social practice,' solving problems and guiding changes in a society. Therefore, the evolutional process of public policymaking is a social learning process, including the process of issue emergence, or agenda building, governmental policymaking and the response process, or policy implementation. So policies are continually being shaped even through implementation, or process of issue emergence. Hence, I speak of 'policymaking' and not of'policy decision'. An issue originates with the idea in someone's mind that some real-world situation is unsatisfactory, and so the dynamics of agenda building, or participation has its base on the policy evaluation by the citizens, bureaucrats and political leadership. In this viewpoint, there are some tensions and conflicts among policy evaluations of citizen, bureaucrats and political leadership because policy choices occur only when personal values are in conflicts, and we can expect that the conflicts can be solved by participations. There are two kind of participation in the process of policymaking. For one thing, 'political participation' stems from the evaluation of policy impacts (Goal-free) mainly by the people, and for another,'Administrative participation' stems from the evaluation of policy products(objective-based), the context, the input and the process of governmental policymaking by the bureaucrats and citizens. It is often difficult to distinguish between the political and administrative phenomena. However, there is a qualitative difference between 'political participation' and the 'Administrative participation'. And modern policy decision-making theory must be capable or accounting for the evolution of policy or policymaking. Hence, this model of evolution of policymaking is ideally suited to comparative policy analysis.

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