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      • KCI등재
      • KCI등재

        천공성 급성 담낭염에 의한 복막염으로 복강경적 담낭절제 수술 후 다시 복막투석으로 복귀한 증례 1예

        민진수 ( Jin Soo Min ),장세나 ( Se Na Jang ),김형욱 ( Hyung Wook Kim ),신영신 ( Shin Young Shin ),원용성 ( Yong Sung Won ),진동찬 ( Dong Chan Jin ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.1

        We experienced a 59 year-old female diabetic CAPD patient with severe peritonitis due to perforated acute cholecystitis. Because of heart failure due to old myocardial infarction and cerebral infarction she had been treated with CAPD for 5 years in bed-ridden state. Initial presentation was dark brown colored peritoneal dialysate effluent (changed greenish bile color later) and septic shock. We diagnosed perforated acute cholecystitis by computerized tomography three days after improvement of sepsis. She was received laparoscopic cholecystectomy and continuous venovenous hemodiafiltration for two weeks and returned to peritoneal dialysis without complication. Secondary CAPD peritonitis with cholecystitis or bowel disease should be carefully considered in patients with specific dialysate color, which could be cured with laparoscopic surgery, and then patients can be returned to CAPD again without complication.

      • KCI우수등재
      • KCI등재
      • KCI등재

        論文(논문) : 기후변화 협약 이행관련 국내,외 항공정책에 관한 연구

        민진아 ( Jin Ah Min ),김선이 ( Sun Lhee Kim ) 한국항공운항학회 2012 한국항공운항학회지 Vol.20 No.2

        The United Nations (UN) has tried to make international agreement to restrict artificial greenhouse gas emissions and the UN has concluded the UN Framework Convention Climate Change (UNFCCC) and the Kyoto protocol. Moreover, in 2012, the European Union announced that they will enforce the Directive 2008/101/EC. Therefore, after 2012, aircraft carriers that depart or arrive from EU will follow that regulation. For these reasons, Korea should prepare systematic and effective policy to reduce greenhouse gas emission from aviation activities. The purpose of this study is to find out effective measures to reduce greenhouse gas emission from aviation activities through research by countries all over the world. Here are the 4 measures to reduce greenhouse gas emission from Aviation activities that were found through research UK and Japan`s policies. First, Korea should implement aggressive incentive policies. Providing proper incentive can attract voluntary participation of aircraft carriers to reduce greenhouse gas emission. Second, the government should adopt environmental tax on use of fossil fuels. Third, Korea should adopt the greenhouse gas Emissions Trading Scheme (ETS). Lastly, the Korea government should pull in with the international community to establish world-wide environmental policies.

      • KCI등재

        특집 - 폐쇄성 수면 무호흡증 : 폐쇄성 수면 무호흡증의 내과적 치료

        민진수 ( Jinsoo Min ),김세중 ( Se Joong Kim ) 대한내과학회 2015 대한내과학회지 Vol.89 No.1

        Obstructive sleep apnea (OSA) is a prevalent disorder characterized by repeated episodes of obstructive apnea and hypopnea due to repetitive collapse of the upper airway during sleep. OSA should be suspected in patients that are obese, hypertensive, habitual snorers, and hypersomnolent. Standard overnight polysomnography is essential for proper diagnosis. OSA is a chronic disease that requires long-term multidisciplinary care. Management of this condition begins with patient education. Behavior modifications, such as weight loss, exercising, changing the sleep position, abstaining from alcohol, and avoiding certain medications, are essential for most patients with OSA. Positive airway pressure (PAP) is the mainstay therapy for OSA, and its initiation requires selection of an appropriate device and mode of PAP. The optimal pressure is determined by titration during the second polysomnography. Continuous positive airway pressure (CPAP) is the first-line therapy for moderate to severe OSA. Due to low compliance rates of CPAP, it is important to educate patients and manage complications associated with mask and pressure-related discomfort as early as possible. Bi-level PAP or auto-titrating PAP is an acceptable options for patients that cannot tolerate CPAP. In cases of mild to moderate OSA, an oral appliance can be used as a reasonable alternative therapy. (Korean J Med 2015;89:21-26)

      • KCI등재

        쌍매당 안경직의 「종사일기」 연구

        민진경(Jin-Kyoung Min) 교육사학회 2017 교육사학연구 Vol.27 No.1

        종사강학이란 스승과 제자가 처음으로 면대면으로 진행하는 강학이며, 학습자가 새로운 사제관계에 입문하게 되는 과정이다. 쌍매당 안경직의 「종사일기」는 1739년 1월 15일부터 2월 24일까지 진행한 제산 김성탁과의 종사강학의 기록이다. 안경직은 「종사일기」에서 그날의 학습 중 인상적인 부분을 대화체로 서술하였다. 일기의 내용은 주제에 따라 교재인 대학과 중용의 학습에 관한 문답, 예법에 관한 문답, 학습에 관한 조언으로 분류할 수 있다. 경서에 대한 이론적인 탐구보다는 예법에 대한 문답, 학습조언 등을 기록하는 것에 더 치중했다. 안경직은 김성탁과의 종사강학을 통해서 이론적인 의문을 해결하기보다는 학습 전반에 걸쳐 주체적이고 적극적인 학습태도와 목표를 확립하는 것에 목표를 두었다. 예법에 대한 문답에서는 지식과 실천의 조화와 상황에 따른 판단을 중요하게 다루며, 삶과 배움이 동떨어진 것이 아님을 배웠다. 독서법, 독서순서와 같은 기초적인 학습과정에 대한 안내와 학습전반에 대한 조언이 있었다. 이를 통해 학습자가 초학자의 자세로 목표를 세우고 그 뜻을 유지해야 함을 강조했다. 안경직과 김성탁의 종사강학은 둘 사이의 종사관계와 학습의 시작을 알리는 것으로, 학습자의 목표와 태도를 확인하고 재정비하는 것에 중점을 두었다. 입문 과정으로서의 종사강학은 일정한 의례를 거쳐 시작되었다. 스승의 문하에 입문한다는 것은 스승의 학문과 학맥에 참여하게 되는 것으로, 안경직의 학문적 성장과 사회적 성장을 의미한다. 본 연구는 종사강학의 사례로서 「종사일기」의 내용과 특징을 드러내는 것에 주력했다. 그러나 「종사일기」라는 하나의 사례만으로는 종사강학의 형식과 내용의 일반적 특성, 학습경험으로서의 보편성에 대한 점은 의문으로 남아있다. 다른 강학사례에 대한 후속 연구를 통해 종사강학의 형태와 형식, 의의를 보다 명확히 할 수 있기를 기대한다. The isagoge of learning to become a sage was the first face-to-face concentrated learning between teacher and student and was the process that the learner made entry into a new teacher and student relationship. Ssangmaedang Ahn Gyeong-jik’s 「Jongsa-ilgi」 is a diary about the isagoge of learning to become a sage with Kim Seong-tak, held from the middle of January to the end of February, in 1739. Ahn Gyeong-jik described the impressive part of the day learning from 「Jongsa-ilgi」 as dialogue. The contents of 「Jongsa-ilgi」 can be classified into advice throughout learning, questions and answers on Confucian rituals, and learning with regards to 『Daehak』 and 『Jungyong』. He had written questions and answers on Confucian rituals, Advice on learning rather than Theoretical inquiry of the Confucian classics. Ahn Gyeong-jik is directly aimed to establish the subjects and active learning attitude and learning goals across the broad, rather than solving theoretical questions through the isagoge of learning to become a sage engaged with Kim Seong-tak. The topic of Questions and answers on Confucian rituals put stress on Judgments of the situation in harmony with the knowledge and practice, and he learned this life and learning are not far from each other. And it has an introduction to the basic learning process, such as a method of reading, reading order and advice. Furthermore, it emphasized learners set a goal with the attitude of Learners and should keep its meaning. The isagoge of learning to become a sage between Kim Seong-tak and Ahn Gyeong-jik was that relationship of imitating the teacher and start of the learning and focused on the confirmation and the redevelopment of learner’s goals and attitudes. Also, The isagoge of learning to become a sage was an introductory course. that couse began after a regular ritual. He became one of the pupil was participate in the study of teachers and teacher"s community. This means his academic growth and social growth. This study is focused to reveal content and features of a 「Jongsa-ilgi」 as the case study of the isagoge of learning to become a sage. But for that, it is doubtful that 「Jongsa-ilgi」 can explain the form of isagoge of learning to become a sage, the content of general characteristics and universality as a learning experience. Further studies expect to be able to clarify the form and the meaning of the isagoge of learning to become a sage.

      • KCI등재

        현대사회의 발병인자에 대한 고찰

        민진하 ( Jin Ha Min ),백유상 ( You Sang Baik ),장우창 ( Woo Chang Jang ),정창현 ( Chang Hyun Jeong ) 대한한의학원전학회(구 대한원전의사학회) 2011 대한한의학원전학회지 Vol.24 No.2

        In spite of the development of scientific and medical technology, the rate of prevalence and death of the chronic disease gets higher. Therefore people come to know prevention is more important than treatment in disease. In Western, it is nearly after 1970`s when it is revealed that the major factor of chronic disease comes from habitual behaviors in everyday life. But that is common idea in Oriental Medicine since thousand years. In Oriental Medicine, the main cause of disease is composed of natural factor including climate condition, living-life factor, psycho-social factor, constitutional factor, inbody-pathologic-substance factor, and other factors including habits of using drug and medical service, injury, environmental pollutions, and occupational etiologic factors. Among these, the major factors of disease in modern society are lifestyle factors like the tendency of choosing and intaking food, the level of physical activity and labor, smoking and drinking alcohol, psychological tendency, the habits of using drug and medical service and so on. This is a practical aspect of oriental medicine where the most important etiologic factor comes from human behaviors, not from external factors like germ or virus. So that etiology in Oriental Medicine where improvement in the way of life is needed to prevent disease would play an important role in modern society.

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