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      • KCI등재

        부적응적 완벽주의 경향을 가진 대학생을 위한 자기자비 단기개입 프로그램 개발 및 효과성 검증

        이수민,양난미 서강대학교 학생생활상담연구소 2018 人間理解 Vol.39 No.2

        The purpose of the study was to develop a self-compassion short term intervention program for college students with maladaptive perfectionism tendencies. This study aimed to examine the effectiveness of a self-compassion short-term intervention program. The treatment group consisted of 8 college students and the control group consisted of 13 college students with maladaptive perfectionism. In each group, we measured participants' self-compassion, happiness variables and psychological distress. Pre, post, and harvest tests showed that self-compassion scores significantly changed in treatment group. The happiness variables also significantly changed. Psychological distress scores significantly decreased. In the control group, there were no significant changes. Finally, implications and limitations of this study were discussed. 본 연구는 비난적 자기메세지로 심리적 어려움을 경험하는 부적응적 완벽주의 경향을 가진 대학생을 대상으로 자기자비 단기개입 프로그램을 개발하고, 그 효과를 검증하기 위해 수행되었다. 특히 기존에 개발된 프로그램 대비 시간과 회기수를 줄이면서도 자기자비 개입이 효과적으로 적용되고 그 효과성이 지속되는지 확인하고자 하였다. 부적응적 완벽주의 성향을 가진 대학생 중 프로그램에 참여한 처치집단은 8명, 프로그램에 참여하지 않고 설문 실시만 시행한 통제집단은 13명이었다. 각 집단에서 자기자비전체 점수와 하위요인인 자기친절, 마음챙김, 인간보편성을 측정하고 행복관련요인으로 정적정서, 부적정서, 삶의 만족을 측정하였으며 심리적 디스트레스 관련 요인으로 우울과 불안을 측정하였다. 사전, 사후, 추수 측정 결과 처치집단에서 자기자비는 전체 값과 모든 하위요인에서 유의한 변화를 보였고, 행복관련 변인에서는 부적정서가 유의하게 감소하고 삶의 만족이 유의하게 상승하였다. 심리적 디스트레스 관련 변인에서는 우울과 불안이 모두 유의하게 감소하였다. 통제집단에서는 의미 있는 변화가 나타나지 않았다. 마지막으로 본 연구의 의의와 제한점 및 후속연구를 위한 제언이 논의되었다.

      • KCI등재

        Colorectal Cancer in Octogenarian and Nonagenarian Patients: Clinicopathological Features and Survivals

        이수민,신준상 대한대장항문학회 2020 Annals of Coloproctolgy Vol.36 No.5

        Purpose: Elderly population will comprise a substantial proportion of colorectal cancer (CRC) patients. We Purpose: Elderly population will comprise a substantial proportion of colorectal cancer (CRC) patients. We examined patients older than 80 years according to their clinical and pathological characteristics to fully understand the elderly patients.Methods: CRC patients, 60 years or older at diagnosis, admitted between 2009 and 2014 at our hospital were enrolled. The patients were divided into 2 groups: elderly (aged > 80 years, n = 133), and controls (aged 60 to 79 years, n = 596). Patient’s demographics, risk factors for prognosis of CRC, Clinicopathological parameters, treatment, and survival rates were compared.Results: The mean ages were 83.9 and 64.8 years, respectively. Male-to-female ratio and tumor sidedness were comparable in both groups. Prognostic factors found in univariate analysis; differentiation, stage, lymphovascular invasion, and carcinoembryonic antigen showed no statistical difference. The microsatellite instability status and number of retrieved lymph nodes were also similar (17.2 vs 21.6, P = 0.505). A significant difference was found in the treatment approach for chemotherapy as the elderly patients with stage III and IV tend to have omitted adjuvant (43.6% vs. 92.8%, P < 0.001) or palliative (35.8% vs. 89.4%, P = 0.016) chemotherapy. Except in stage I, elderly patients showed significantly lower overall survival rates.Conclusion: Current study shows far-elderly patients with CRC were less likely to receive standard treatments, which might have resulted in an inferior outcome. As the number of elderly patients with CRC increase, our results provide a basis for further clinical and molecular investigations of elderly CRC patients.examined patients older than 80 years according to their clinical and pathological characteristics to fully understand the elderly patients.Methods: CRC patients, 60 years or older at diagnosis, admitted between 2009 and 2014 at our hospital were enrolled. The patients were divided into 2 groups: elderly (aged > 80 years, n = 133), and controls (aged 60 to 79 years, n = 596). Patient’s demographics, risk factors for prognosis of CRC, Clinicopathological parameters, treatment, and survival rates were compared.Results: The mean ages were 83.9 and 64.8 years, respectively. Male-to-female ratio and tumor sidedness were comparable in both groups. Prognostic factors found in univariate analysis; differentiation, stage, lymphovascular invasion, and carcinoembryonic antigen showed no statistical difference. The microsatellite instability status and number of retrieved lymph nodes were also similar (17.2 vs 21.6, P = 0.505). A significant difference was found in the treatment approach for chemotherapy as the elderly patients with stage III and IV tend to have omitted adjuvant (43.6% vs. 92.8%, P < 0.001) or palliative (35.8% vs. 89.4%, P = 0.016) chemotherapy. Except in stage I, elderly patients showed significantly lower overall survival rates.Conclusion: Current study shows far-elderly patients with CRC were less likely to receive standard treatments, which might have resulted in an inferior outcome. As the number of elderly patients with CRC increase, our results provide a basis for further clinical and molecular investigations of elderly CRC patients.

      • KCI등재후보

        류마티스 관절염 환자에서 Abatacept치료 중 발생한 판상건선 1예

        이수민,고병창,박혜진 대한건선학회 2020 대한건선학회지 Vol.17 No.2

        Abataceptis a fully human soluble costimulation modulator that selectively targets the CD80,CD86-CD28 co-signaling pathway required for T cell activation. A 66-year-old woman with a history of rheumatoid arthritis for 20 years presented with scaly erythematous patches and plaques on her whole bodysince 4 months ago. She has been treated with abatacept for rheumatoid arthritis during the last 5 years and had no previous history of psoriasis. The patient was diagnosed with psoriasis, she was treatedwith NBUVB, topical ointment, and oral acitretinfor 3 months but, her skin lesionswerewaxed and waned.After abatacept was discontinued,her psoriatic skin lesion was improved with oral cyclosporin. Herein, we report a rare case of psoriasis during abatacept treatment.

      • KCI등재

        주의력결핍 과잉행동장애 아동의 타이밍에 따른 운동기능과 실행기능의 차이

        이수민,김경미 대한감각통합치료학회 2018 대한감각통합치료학회지 Vol.16 No.2

        Objective: The purpose of this study was to examine the differences motor function and executive function according to the timing of children with Attention Deficit Hyperactivity Disorder (ADHD). Methods: The subjects were 32 children with ADHD aged between 6 and 12 in B Region. To assess the timing, Long Form Assessment (LFA) of Interactive Metronome (IM) was used. Bruininks-Oseretsky of Motor Proficiency, Second Edition (BOT-2) were also used to assess motor function. STROOP Color And World Test and Children’s Color Trails Test were used to assess executive function. The Mann-Whitney U test was used to determine the difference between the executive function and the motor function according to the timing. Results: Comparing the inter-group motor functions according to the timing function of ADHD children, there was a statistically significant difference in the Fine manual control and Fine motor precision in BOT-2 (p<.05). Comparing the inter-group executive functions according to the timing function of ADHD children, there was not statistically significant difference (p>.05). Conclusion: Among the deficits in ADHD children, we could see the difference between motor and executive function according to timing function. This study is meaningful in that the results could be a basic data for study on the timing of children of ADHD in the future. 목적 : 본 연구는 주의력결핍 과잉행동장애 아동(Attention Deficit Hyperactivity Disorder; ADHD)의 타이밍에 따른 운동기능과 실행기능의 차이를 알아보고자 하였다. 연구방법 : 연구 대상은 부산지역에 거주하며, ADHD 진단을 받은 만 6∼12세 아동 32명을 대상으로 하였다. 연구도구로는 타이밍 기능 평가를 위해 상호작용식 메트로놈(Interactive Metronome; IM), 운동기능 평가를 위해 Bruininks-Oseretsky Test of Motor Proficiency, Second Edition(BOT-2)를 사용하였고, 실행기능 평가를 위해 스트룹 아동 색상 단어 검사와 아동 색 선로 검사를 사용하였다. 타이밍에 따른 운동기능과 실행기능의 차이를 알아보기 위해 Mann-Whitney U 검정을 실시하였다. 결과 : ADHD 아동의 타이밍에 따른 운동기능의 차이를 알아본 결과 BOT-2의 영역 중 미세한 손의 조절 영역에서 유의한 차이가 있었다(p<.05). 각 영역의 하위 항목에서는 미세운동 정확성에서 유의한 차이가 있었다(p<.05). ADHD 아동의 타이밍에 따른 실행기능의 차이를 알아본 결과 스트룹 아동 색상 단어 검사와 아동 색 선로 검사에서 유의한 차이를 보이진 않았다. 결론 : ADHD 아동의 결함들 중에서 타이밍 기능에 따른 운동과 실행기능의 차이를 알아 볼 수 있었다. 본 연구는 추후에 진행될 ADHD 아동의 타이밍에 관한 연구를 하는데, 기초자료로 사용될 수 있다는 점에서 의미가 있다.

      • KCI등재

        『姑妄言』의 풍자성 탐색

        이수민 중국학연구회 2017 中國學硏究 Vol.- No.82

        『姑妄言』은 명말 청초 사회를 다각도로 반영한 世情小說로『金甁梅』의 영향을 받고『紅樓夢』에도 영향을 끼친 작품이다. 또한 諷刺喜劇, 諷書로도 평가되며『儒林外史』에도 영향을 끼쳤다고 언급되기도 한다. 봉건사회의 어두운 세태와 추악한 인성에 대한 비판과 풍자성이 뛰어난 『姑妄言』을 끝없는 탐욕, 위선과 무능, 무너진 인륜이라는 세 가지 영역으로 나누어 작품 속에서 드러나는 풍자성을 살펴보았다. 첫째, 끝없는 탐욕 부분에서는 주로 관료들의 권력남용, 사욕 챙기기 행태를 통해 당시에 만연된 타락한 정치와 그들의 탐욕에 대해 살펴보았는데 주로 직설적인 질책으로 풍자 효과를 드러내고 있다. 둘째, 연납제도에서 양산된 거짓 지식인의 위선과 방탕한 품성, 무능함을 嘲笑와 諧謔的인 서술로 풍자 효과를 드러내고 있다. 셋째, 이득을 위해 패륜까지 거리낌 없이 저지르는 인물들을 통해 윤리 기강이 무너진 행태를 嘲笑와 對比 기법을 통해 적나라하게 풍자를 가하였다. 작가는 이를 통해 세인들이 악행에 동화 되는 것을 막고 풍속을 순화시켜 세상을 선도 하고자 하였다.

      • KCI등재

        도로변 초등학교 실내외 미세먼지 및 블랙카본 분포

        이수민,강석원,이태정,조영민 한국냄새환경학회 2022 실내환경 및 냄새 학회지 Vol.21 No.3

        Black carbon (BC), which is mainly contained in fine particulate matters, is one of the typical anthropogenic air pollutants that are generated from the incomplete combustion process and discharged into the atmosphere, and its various health effects particularly on children have been a growing concern. In this study, BC and particulate matters were closely analyzed in an elementary school adjacent to a high- traffic road in a large metropolitan city. The investigation showed that black carbon behaved similarly to ultrafine dust of 0.3 μm or less in the air, accounting for 20%-40% of it. The occurrence of high concentration outdoor pollution influences the BC content in indoor particulate matters. The average I/O value was 0.7 during the class-hours, and 0.8 without students. However, when students played in the classroom, the range of BC concentrations varied from 0.25 to 1.15, wider than 0.41-1.13 without students. Although this study was conducted with regard to just one elementary school, it can be considered to represent the typical air quality status of domestic schools, and it is believed to present valuable data which can be utilized to assist with preparing measures to enhance the air quality management of schools. .

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