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      • KCI등재후보

        Etomidate의 간대성 근경련에 대한 Midazolam 전투여효과

        권미숙,김종학,백희정 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.4

        Background: Etomidate is a rapid action sedative agent used for the induction of general anesthesia. One of the side effects of etomidate limiting its usage is myoclonus. This study was designed to determine whether a small dose of midazolam decreases the incidence of myoclonus after infusion of etomidate. Methods: Eighty ASA physical status 1 or 2, 16-60 year old patients undergoing elective surgery were randomly allocated into two groups. Group 1 (n = 40) received normal saline 0.04 ml/kg and group 2 (n = 40) received midazolam 0.04 mg/kg 3 minutes before the administration of etomidate 0.3 mg/kg. We measured and compared the incidence, severity, onset time and duration of myoclonus, and blood pressure and heart rate. Results: There were significant differences in the onset time and severity of myoclonus, but no significant differences in the incidence and duration of myolonus. Systolic blood pressure was significantly higher in group 1 than group 2 at 3 minutes after pretreatment drug administration, immediatly after etomidate administration and 3 minutes after etomidate administration. conclusions: An infusion of 0.04 mg/kg midazolam 3 minutes before etomidate decreases the severity of myoclonus and the onset of myoclonus. (Korean J Anesthesiot 2002; 43: 395~400)

      • KCI등재

        집중적 음성언어지도방법과 통합적 음성언어 지도방법이 유아음성언어획득에 미치는 효과

        권미숙 한국아동교육학회 1991 아동교육 Vol.1 No.1

        Because there is a mature language acquisition device(LAD) in language acquisition, it is often said that until 4-5, the infants are internally prepared to absorb the sounds, words, grammar and so on critically. So, various methods to help language development must be prepared in one's infancy on the basis of phonetics, the essence of language. This study was designed to investigate the different effect between intensive and integrative teaching method of phonetic language on the acquisition of infants' phonetic language. 120 infants who had the similar language environment(parent's academic level, age, the experience of kindergarden, the priority of birth) were sampled from city and country. They were identified to have the same entry skills by the homogeniety test. T and ANOVE test were used to compare the effect between the class taught 20 min. per day and the class taught everyday in the whole work. Construction game which can be chosen actively, vocabulary and sentence which are fit to the stage fo devolopment were used. And according to the patterns of language experience on daily life, various media were used. The stages of lesson plan of the phonetic language were synthesized the David DeCamp(1969)'s teaching process of phoneic language which is structually systematized the cognitive theory and selectice theroy ( recongition -imitation -explanation comparision contrast-repetition exercise-conbination, dilogue-free conversation)with Taylor(1973)'s hearing process(to be heard-hearing-understanding). Speaking and listening were tried at the same. The objectives of phonetic language(speaking, hearing) in language domain presented in the curriculum of kindergarten were analysed and developed according to the subject of a week. To investigate the effect of the acquisition of phonetic language according to the patterns of teaching, summative evaluation was implemented. And the results were as follows. First, in the effect of the teaching method of infants' phoneic language the effect of intensive teaching method was higher than integrative teaching method. Second, in the effect of the teaching method of infants' phoneic language both the infants of city and country were high. But the infants of city were higher than the country. Especially, the infants of city expressed well to the object and situation, but no signfant difference is comprehension(heraring). Third, there is no significant sexual difference, but male infants are superior in the ability of word transformation and substitution according to the situation. Female infants are superior in the ability which pronounce the words exactly and relate the. In comprehension(hearing), male infants are distracted and female infants are superior in the discrimination ability. In this study, the importance of the opportunity of language exposure and the interaction of teacher's language model was recognized. It is thought that for the generalization of language education these must be studied specifically. The ability of language acquisition is developed with sufficient time. But if the results of the effect of intensive phonetic language teaching are examined during short time, it can be seen that the period of infant is sensitive to the language absorbtion. For the qualitative effect of this program it is necessary to develop the program to cultivate the competent teachers. If the intensive thaching method which centered game is implemented, it seems that the language of infants is much more elaborated and basic skills fo the comprehension(hearing) and expression (speaking) of language are sufficiently developed to the infants.

      • KCI등재

        20세기 중반 영덕・울진 지역의 고전소설 향유 양상

        권미숙 영남대학교 민족문화연구소 2014 민족문화논총 Vol.56 No.-

        One had believed that the classic novels disappeared completely, by appearing the New-style Novels(신소설). But the users who enjoyed consistently the classic novels continued to increase, and the trend reached the peak of his popularity in the moment when ‘YooK-Jeon novels(육전소설), that is printed novels, was published. Even the growth of readership was done also in the country where the traffics were inconvenient through the drifter bibliopoles. Especially in the Northern Kyeungpook, the classic novels was enjoyed popularly by individuals and groups until TV replaced the ludic cultures. Of course, there were some differences in the enjoyment modes by region. The people in Yeongdeok and Uljin who lived in the seashore and made their living from fishing enjoyed not the classic novels or the classic lyrics(가사).This was because they didn't have enough leeway in their households to enjoy them. They hadn’t been involved in the cultural exchanges with the single clan villages, though they lived in the same zone of life. And Uljin exchanged more with Gangwon-do than Yeongdeok. For all that, the users of the classic lyrics had a genre recognition between ‘the classic lyrics’ and ‘the classic novels.’ The classic lyrics were both the Yangban literature(양반문학) and the necessary cultures. It was common to Andong region. But the readers of the classic novels considered the novels just as ‘old tales.’ Especially for the aged men in Uljin, the classic novels were simply stories were handed down by tradition such as the folk-tales and legends etc. In conclusion, We can know that there are some differences in the enjoyment ways which the readers of the classic novels used, depending on the regional characteristics and conditions. 신소설이 나오고 근대소설이 나오면서 고전소설은 완전히 사라진 것이라 생각하기 쉽다. 그러나 1910년대 활자본으로 고전소설이 간행되면서, 근대적 유통체제를 갖춘 서적상에 의해 고전소설은 비로소 전국적인 보급이 가능해졌다. 그리고 1920, 30년대에 가장 많이 팔린 출판물은 고전소설이라는 사실을 통해, 고전소설은 근대소설이 나타난 시기에도 여전히 가장 높은 인기를 누리는 소설이라는 것을 알 수 있다. 이와 같은 고전소설의 인기는 20세기 중반까지도 계속되는데, 특히 지방에서는 1970년대까지도 고전소설은 여전히 읽히고 있었다. 라디오와 TV가 보급되기 전까지 고전소설은 중요한 놀이문화의 하나였고, 이러한 양상은 경북 북부 지역에서도 마찬가지였다. 이 논문은 20세기 중반 경상북도 영덕과 울진에서 고전소설이 어떠한 방식으로 향유되었으며, 그 특징은 어떤 것인가를 보기 위한 것이다. 필자는 이 연구를 위해 2011년 4월부터 2012년 2월까지 영덕과 울진의 현지답사를 통해 자료를 수집해서 이를 분석했다. 이를 통해, 1960년 후반~ 70년대 초반까지도 영덕과 울진 지역에서는 고전소설이 주된 서민 문화의 하나였다는 사실을 알 수 있었다. 그러나 고전소설을 즐긴 사람들은 거주 지역이나 계층에 따라 다르다는 사실도 이번 조사에서 밝혀졌다. 또한 고전소설은 가사와 함께 다루어야 한다는 사실도 이번 조사를 통해 얻은 수확이다. 영덕과 울진 지역에서 바닷가에 살거나 어업에 종사하는 사람들은 소설이나 가사를 향유하지 않았다. 이는 경제적으로도 심적으로도 소설을 향유할 여유가 전혀 없었기 때문이다. 이들 어업 종사자들은 같은 지역에 살면서도 양반 집성촌의 사람들과는 교류를 하지 않았다. 반면 영덕 지역의 집성촌 사람들은 안동, 혹은 영덕 내의 다른 집성촌 사람들과 혼인이나 문화적 교류가 이루어졌다. 그리고 울진은 행정구역의 특성으로 인해 영덕 지역보다는 강원도와 좀 더 많은 교류가 이루어졌던 것으로 보인다. 영덕・울진 지역에서는 가사 향유층에서는 ‘가사’와 ‘소설’에 대한 장르 인식을 분명히 가지고 있었다. 이들에게 ‘가사’는 ‘양반문학’이면서 동시에 배우지 않으면 안 되는 부녀자들의 필수 교양이었다. 이는 안동 지역과 동일하다. 그러나 ‘소설’은 그저 ‘옛날이야기’ 정도에 지나지 않았다. 특히 울진 지역의 노인들은 고전소설은 민담이나 전설과 같은 ‘옛날부터 전해져 내려오는 이야기’에 지나지 않는다고 생각하고 있었다. 20세기 중반 영덕과 울진 지역에서 고전소설을 향유할 수 있는 방법은 개인적으로 시장에서 서점이나 책장수에게 책을 구입하는 것과 다른 사람에게 책을 빌려서 필사를 하는 것, 그리고 마을의 강독사를 통한 집단적 향유 방식 등을 들 수 있다. 이처럼 고전소설의 향유 방식은 지방의 특색, 지리적 조건 등에 따라 조금씩 그 양상을 달리 한다는 것을 알 수 있다.

      • KCI등재후보

        제왕절개술시 태아분만 전 사용된 마취제가 임산부의 Bispectral Index (BIS)와 신생아에 미치는 영향

        권미숙,김치효,이귀용,김동연 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.5

        Background: The problem of psychological complications (trauma) by intraoperative awareness is a well discussed issue recently. The bispectral index (BIS) is reported to be closely related to the sedation & consciousness of anesthetics. This study was to observe the effects of ketamine injection and enflurane inhalation on the BIS, Apgar score of the neonate and blood gas analysis of umbilical cord artery and vein with general anesthesia for a Cesarean section. Methods: The subjects of the study were 30 pregnant women who received a Cesarean section with general anesthesia. Before the delivery enflurane 1.0% inhalation group (group 1, n = 10), ketamine 20 mg injected group (group 2) and both ketamine 20 mg injected and enflurane 1.0% inhalation group (group 3) were assessed by BIS, blood pressure, heart rate, induction-delivery time, Apgar score of the neonate at 1, 5 minutes and blood gas analysis of the umbilical artery and vein. Results: The BIS of all groups was over 70 after tracheal intubation and the ketamine injected group (group 2) was higher than the enflurane inhalation group (group 1) from 2 minutes after tracheal intubation. The BIS of the both ketamine 20 mg injected and enflurane 1.0% inhalation group (group 3) was lower than the ketamine injected group (group 2), 4 minutes after tracheal intubation. The Apgar score of neonates and blood gas analysis of the umbilical cord artery and vein had no significant differences between these groups. Conclusions: In the anesthetics injected before delivery in a cesarean section under general anesthetics, a small dose of ketamine can increase the BIS while a small dose of ketamine with 1.0% enflurane inhalation decreases the BIS, but in all groups the BIS was over 70 which can cause intraoperative awareness. Thus to avoid this problem, more studies are needed on the methods of anesthesia and multifactorial approaches to increase the utility of BIS monitoring. (Korean J Anesthesiol 2002; 43: 548~553)

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