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        대량의 혈변으로 발현되어 내시경 처치로 지혈된 장결핵

        박주경 ( Joo Kyung Park ),이상협 ( Sang Hyup Lee ),김상균 ( Sang Gyune Kim ),김휘영 ( Hwi Young Kim ),이정훈 ( Jeong Hoon Lee ),심주현 ( Joo Hyun Shim ),김주성 ( Joo Sung Kim ),정현채 ( Hyun Chae Jung ),송인성 ( In Sung Song ) 대한소화기학회 2005 대한소화기학회지 Vol.45 No.1

        The clinical manifestations of intestinal tuberculosis are non-specific. But, abdominal pain, low grade fever, weight loss, anorexia, and diarrhea are major symptoms of intestinal tuberculosis. Massive bleeding has been reported as a rare manifestation of

      • KCI등재후보
      • KCI등재후보

        수술 불가능한 췌장암 환자에서 생존율 및 예후 인자 분석

        박주경 ( Joo Kyung Park ),윤용범 ( Yong Bum Yoon ),김용태 ( Yong Tae Kim ),류지곤 ( Ji Kon Ryu ),이준규 ( Jun Kyu Lee ),윤원재 ( Won Jae Yoon ),이상협 ( Sang Hyub Lee ) 대한내과학회 2007 대한내과학회지 Vol.72 No.2

        목적: 근치적 절제술이 불가능한 췌장암 환자를 대상으로 생존율 및 생존에 영향을 미치는 예후인자를 규명하였다. 방법: 1999년 1월부터 2004년 12월까지 서울 대학교병원에서 조직학적으로 확진된 245명의 췌장암 환자를 대상으로 하였다. 이들은 우회술, 항암 화학 요법, 동시항암 화학 요법, 고식적 방사선 치료, 지지적 치료 등을 받았다. 또한 저자들은 의무기록을 면밀히 검토하여 임상 소견 및 검사 소견들을 조사를 하였고, 생존자료는 국립 통계청 자료, 전화 인터뷰, 우편 등의 방법으로 조사하였다. 결과: 연구가 시행된 췌장암 환자의 평균 연령은 60세였다. 평균 생존율은 5.5개월이었다. 환자들의 연령, 성별, 활동도, 내원 주소, 체중 감소, 진단 시 당뇨 유무 및 유병기간, 황달, 배액술 여부 및 방법, 흡연 여부, 췌장암의 위치, AJCC 병기, 진단 당시 CA 19-9 수치, 치료방법(항암 화학 치료, 동시 항암 화학 방사선 치료, 지지적 치료)에 대한 단변량 분석이 시행 되었다. 이들 중, 연령, 활동도, 종괴의 위치, 진단 당시 CA 19-9 수치, 병기, 치료 방법만이 생존율에 통계학적으로 유의한 영향을 미쳤다. 그리고 다변량 분석에서는 활동도, 종괴의 위치, AJCC병기, 치료 방법이 생존율의 독립적인 예후 인자로 작용했음을 알 수 있었다. 그룹간 분석에서 제3병기의 동시 항암 화학 요법(median OS 10.6개월) 및 항암화학 요법을 (median OS 12.7개월) 받은 환자군은 지지적 치료만(median OS 6.1개월) 받은 환자군에 비해 생존율 향상을 보였고, 제4병기에서도 마찬가지로 항암 화학 요법을(6.3개월) 받은 환자군에서 지지적 치료만(3.4개월) 받은 환자군에 비해 생준율 향상을 보였다. 결론: 수술이 불가능한 췌장암 환자에서 활동도, AJCC 병기, 종양의 위치, 치료 방법 등이 독립적인 예후인자였다. 지지적 치료만 받은 환자군에 비해, 동시 항암화학 요법이나 항암화학 치료를 받은 환자군의 생존율이 통계 적으로 유의 하게 증가했다. 그러므로 본 연구결과에 의하면 수술이 불가능한 췌장암 환자에서 보다 적극적인 치료는 반드시 고려되어야 한다. Background: The prognosis of pancreatic cancer is very poor and it is generally unresectable when it is diagnosed. The aim of this study is to evaluate the prognostic significance of the clinical and laboratory variables, and the survival for unresectable pancreatic cancer patients. Methods: We retrospectively collected 245 unresectable pancreatic cancer patients who were diagnosed and had their disease pathologically proved between Jan. 1999 to Dec. 2004. They underwent palliative interventions, including surgical bypass, palliative chemotherapy, palliative radiotherapy or supportive care. We also reviewed the medical records for the clinical and laboratory variables, and we investigated their survival data. Results: The mean age of the patients was 60 years old (range: 28-87) and the median overall survival was 5.5 months. Age, performance status, tumor location, initial CA 19-9 level, AJCC staging and the treatment modality had prognostic significance on univariate analysis. On multivariate analysis, performance status, tumor location, AJCC staging and the treatment modality were independent prognostic factors. On the subgroup analysis, stage III patients who underwent concurrent chemoradiotherapy (CCRT, median OS 10.6 months) or chemotherapy alone (12.7) showed survival benefit over the best supportive care (6.1). Stage IV patients who underwent chemotherapy (6.3) alone showed survival benefit over the best supportive care (3.4). Conclusions: The performance status, AJCC staging, tumor location and the treatment modality were independent prognostic factors of unresectable pancreatic cancer. The patients who received chemotherapy or CCRT showed better survival than those who received the best supportive care group. Therefore, active treatment modality should be considered for unresectable pancreatic cancer. (Korean J Med 72:151-161, 2007)

      • KCI등재

        Korean College Students` Perception of the Pronunciation of English as an International Language

        박주경 ( Joo Kyung Park ) 21세기영어영문학회 2012 영어영문학21 Vol.25 No.3

        Ever since American English was introduced in the First National Curriculum, it has been ``the English model`` in English classes as well as social practices in Korean context. It is still the case even in the age of English as an international language. The present study focuses on the Korean college students of English, one of the key stakeholders, and examines how they perceive learning English for international communication, pronunciation in particular. It also aims at identifying their problems and concerns with acquiring English pronunciation. Three hundred and ten Korean college students participated in the questionnaire survey. The results showed that the Korean students lack confidence in their own pronunciation and the major issues in learning pronunciation include the lack of pronunciation instruction, grammar and reading-focused English classes and some teachers` poor English pronunciation. It was suggested that teacher education program needs to be developed to build confidence and promote an ownership of English among the Korean teachers and learners of English.

      • KCI등재후보

        문화 이해와 인성계발을 위한 중학교 영어 교수,학습자료 개발

        김소연 ( Soyeon Kim ),박주경 ( Joo Kyung Park ),한은희 ( Eun Hee Han ) 한국중등영어교육학회 2014 중등영어교육 Vol.7 No.1

        This study aims to identify culture and character-related items in middle school English textbooks and develop English teaching and learning materials to enhance middle school students`` cultural understanding and human character. Twenty middle school textbooks were analyzed in terms of 19 cultural elements suggested in the 2009 revised national curriculum and two characteristic features of ``care`` and ``responsibility.`` Based on the results of textbook analysis, five middle school teachers designed five lesson plans. Each lesson plan includes a culture and/or character related topic, teaching and learning activities, basic English communicative functions, performative evaluation criteria, and notes for better culture and character teaching and learning as basic elements. The study implies the lack of English lessons in cultural understanding and nurturing character and suggests the necessity of developing more lessons and class materials for students and teachers.

      • KCI등재후보

        췌장의 전이성 종양

        윤원재 ( Won Jae Yoon ),박주경 ( Joo Kyung Park ),이상협 ( Sang Hyub Lee ),이준규 ( Jun Kyu Lee ),류지곤 ( Ji Kon Ryu ),김용태 ( Yong Tae Kim ),윤용범 ( Yong Bum Yoon ),장진영 ( Jin Young Jang ),김선회 ( Sun Whe Kim ),김우호 ( Woo 대한내과학회 2007 대한내과학회지 Vol.72 No.3

        목적: 췌장의 전이성 종양은 드물게 발생하며, 대개의 경우는 전신적인 전이에 동반된 경우이다. 그러나 췌장에 국한된 전이성 종양은 절제할 경우 비교적 장기간의 생존을 기대할 수 있다. 본 연구는 우리 나라의 췌장의 전이성 종양의 특징을 평가하기 위해 시행 되었다. 방법: 1997년 1월부터 2005년 6월까지 서울대학교병원에서 병리학적으로 확진된 췌장의 전이성 종양 환자 25명의 임상적 특징 및 치료 결과를 조사하였다. 결과: 남자는 19명, 여자는 6명이었으며 췌장의 전이 진단시 평균 연령은 58.2세였다. 원발 종양은 신세포암이 8예로 가장 많았고 위선암 5예, 대장직장암 2예, 간암, NK-T 세포 림프종, 흉선 카르시노이드, 위장관 간질 종양, 지방육종, 담관암, 골육종, 흑색종, 비소세포성 폐암, 소세포성 폐암이 각각 1예였다. 11명의 환자는 전이 진단시 증상이 없었다. 원발 종양의 진단 후 평균 5.8년 경과 후 췌장 전이가 진단되었다. 치료는 수술 7예, 수술과 항암 화학요법 병행 7예, 항암 화학요법 5예, 방사선 치료 1예, 고식적 치료 5예였다. 췌장 전이 진단 후 평균 생존 기간은 44.3개월이었다. 단변량 분석에서 원발 종양이 신세포암인 경우, 무증상인 상태에서 췌장 전이가 발견된 경우, 원발 종양 진단부터 췌장 전이 진단까지의 기간이 43개월 이상인 경우, 치료 방법에 수술이 포함된 경우가 그렇지 않은 경우에 비해서 평균 생존 기간이 길었다. 결론: 췌장의 전이성 종양은 원발 종양 진단 후 긴 시간이 지난 후 발생할 수 있다. 악성 종양, 특히 신세포암의 기왕력이 있는 환자에서 췌장의 종양이 발견되는 경우에는 적극적인 치료를 하는 것이 바람직할 것으로 생각한다. Background: Metastases to the pancreas are uncommon, and are usually a part of widespread disease. However, isolated metastatic lesions can be resected, which can lead to prolonged survival of the patient. The aim of this study was to evaluate the characteristics of metastatic tumors of the pancreas in a Korean poulation. Methods: We evaluated clinical features and treatment results in patients with a pathological confirmation of metastasis to the pancreas from January 1997 to June 2005. Results: Twenty-five patients were included in the study. Nineteen patients were male. The mean age at the diagnosis of the metastasis was 58.2 years. Renal cell carcinoma was the most frequent primary malignancy (n=8), followed by gastric carcinoma (n=5), colorectal carcinoma (n=2), hepatocellular carcinoma (n=1), lymphoma (n=1), thymic carcinoid (n=1), gastrointestinal stromal tumor (n=1), liposarcoma (n=1), cholangiocarcinoma (n=1), osteosarcoma (n=1), small cell lung cancer (n=1), and non-small cell lung cancer (n=1). Eleven patients were asymptomatic upon diagnosis. The mean interval between the primary diagnosis and diagnosis of the metastases was 4.9 years. Fourteen patients underwent surgery with or without chemotherapy, five patients received chemotherapy, one patient received radiation therapy, and five received palliative care. The mean survival after the diagnosis of metastasis was 44.3 months. Renal cell carcinoma as the primary tumor, asymptomatic upon diagnosis of the metastasis, the interval between primary diagnosis and diagnosis of the metastases of more than 43 months, and surgery with or without chemotherapy were associated with a prolonged survival. Conclusions: Metastasis to the pancreas can occur after a prolonged period from an initial diagnosis. In selected patients (e.g., renal cell carcinoma), aggressive treatment can prolong survival. (Korean J Med 72:266-271, 2007)

      • KCI등재

        초등영어 문화교육 연구 분석

        박용규 ( Yong Gyu Park ),박주경 ( Joo Kyung Park ) 21세기영어영문학회 2010 영어영문학21 Vol.23 No.3

        The purpose of this paper is to examine teaching culture in Korean elementary English classrooms from a critical point of view based on the results of the research analysis and to suggest an appropriate direction for the elementary English language and culture education. To this end, one hundred and thirty two research papers published from 1997 to 2009 on teaching culture in elementary school English classes were analyzed by the publishing year and the contents. It was found out that 30(22.7%), 78(59.1%), and 24(18.2%) papers were published during the 6th, 7th, and further revision periods of national curriculum respectively. The largest number of papers were about culture teaching programs(33%), teaching material analysis(39%) and the effects of teaching culture(34%) in each of the three periods. The results show that there is a gap between curriculum rhetoric and the classroom reality and that more cultural component needs to be incorporated in teaching English language.

      • KCI등재

        초등영어 지도교사의 문화 가치관과 문화 교육에 관한 인식

        박용규 ( Yong Gyu Park ),박주경 ( Joo Kyung Park ) 21세기영어영문학회 2011 영어영문학21 Vol.24 No.2

        The purpose of the present study is to examine the Korean elementary school teachers` cultural value and perception of teaching culture reflected in elementary school English education. To this end, a questionnaire survey was conducted with one hundred and twenty one elementary school teachers of English based in G City. The result showed that most of the subjects possessed appropriate cultural values and fully understood the importance of recognizing cultural diversity and teaching cultural aspects in English classes. Also, most of them agreed to the necessity of teacher training for teaching culture, but only a few of them received relevant training. Courses on culture education need to be designed and included both in a university curriculum for pre-service teachers and in-service teacher training programs so that they develop appropriate cultural values and build their knowledge on cultural aspects of the English language and confidence in teaching culture.

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