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플로베르 소설에 나타난 몇 가지 혼재성(2) : - ‘이미지’를 중심으로
정수철 대구대학교 인문과학연구소 2008 人文科學硏究 Vol.31 No.-
Nous avons essay? de prendre si possible beaucoup d'exemples concrets de l'image mixte qui est un des caract?ristiques de la description flauberienne et aussi ? cause de laquelle on appelle souvent Flaubert artisant de la description. C'est la base de l'?tude sur la narration de Flaubert D'abord nous avons cit? des exemples de l'image d'eau et de l'image de feu; ensuite nous avons observ? des cas divers de la m?tamorphose de l'image d'eau et de celle de feu et surtout des cas mixtes de ces deux images dans la description de la r?alit? et de l'objet; et puis nous avons recherch? la ph?nom?ne mixte de ces deux images aussi dans la description psychologique ou imaginaire. Nous avons surtout remarqu? que ces images mixtes de l'eau et du feu impliquent la suggestion discr?te du d?veloppement de l'intrigue, c'est-?-dire du destin tragique des principaux personnages. Ainsi nous pouvons conclure que cet image mixte est moyen par lequel Flaubert tente de chercher en effet un univers ordonn? ? partir d'une sorte d'un petit chaos, c'est-?-dire de chercher un ordre d'un d?sordre.
Learning Curve of Capsule Endoscopy
Korean Gut Image Study Group,임윤정,주용성,정대영,예병덕,김지현,천재희,김성은,도재혁,장병익,문정섭,김진오,전훈재,최명규 대한소화기내시경학회 2013 Clinical Endoscopy Vol.46 No.6
Background/Aims: Capsule endoscopy (CE) has become an important tool for the diagnosis of small bowel disease. Although CE does not require the skill of endoscope insertion, the images should be interpreted by a person with experience in assessing images of the gastrointestinal mucosa. This investigation aimed to document the number of cases needed by trainees to gain the necessary experience for CE competency. Methods: Fifteen cases were distributed to 12 trainees with no previous experience of CE during their gastroenterology training as clinical fellows. Twelve trainees and an expert were asked to read CE images from one patient each week for 15 weeks. The diagnosis was reported using five categories (no abnormalities detected, small bowel erosion or ulcer, small bowel tumor, Crohn disease, and active small bowel bleeding with no identifiable source). We then examined, using the κ coefficient, how the degree of mean agreements between the trainees and the expert changed as the training progressed each week. Results: The agreement rate of CE diagnosis increased as the frequencies of interpretation increased. Most of the mean κ coefficients were >0.60 and >0.80 after week 9 and 11, respectively. Conclusions: Experience with approximately 10 cases of CE is appropriate for trainees to attain CE competency.
Guidelines for Bowel Preparation before Video Capsule Endoscopy
송현주,문정섭,도재혁,차인혜,양창헌,최명규,진윤태,김현정,Korean Gut Image Study Group 대한소화기내시경학회 2013 Clinical Endoscopy Vol.46 No.2
The preparation for video capsule endoscopy (VCE) of the bowel suggested by manufacturers of capsule endoscopy systems consists only of a clear liquid diet and an 8-hour fast. While there is evidence for a benefit from bowel preparation for VCE, so far there is no domestic consensus on the preparation regimen in Korea. Therefore, we performed this study to recommend guidelines for bowel preparation before VCE. The guidelines on VCE were developed by the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy. Four key questions were selected. According to our guidelines, bowel preparation with polyethylene glycol (PEG) solution enhances small bowel visualization quality (SBVQ) and diagnostic yield (DY), but it has no effect on cecal completion rate (CR). Bowel preparation with 2 L of PEG solution is similar to that with 4 L of PEG in terms of the SBVQ, DY, and CR of VCE. Bowel preparation with fasting or PEG solution combined with simethicone enhances the SBVQ, but it does not affect the CR of VCE. Bowel preparation with prokinetics does not enhance the SBVQ, DY, or CR of VCE.
Guidelines for Video Capsule Endoscopy: Emphasis on Crohn’s Disease
박수경,예병덕,김경옥,박철희,이완식,장병익,진윤태,최명규,김현정,The Korean Gut Image Study Group 대한소화기내시경학회 2015 Clinical Endoscopy Vol.48 No.2
Video capsule endoscopy (VCE) is an ingestible video camera that transmits high-quality images of the small intestinal mucosa. This makes the small intestine more readily accessible to physicians investigating the presence of small bowel disorders, such as Crohn’s disease (CD). Although VCE is frequently performed in Korea, there are no evidence-based guidelines on the appropriate use of VCE in the diagnosis of CD. To provide accurate information and suggest correct testing approaches for small bowel diseases, the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy, developed guidelines on VCE. Teams were set up to develop guidelines on VCE. Four areas were selected: diagnosis of obscure gastrointestinal bleeding, small bowel preparation for VCE, diagnosis of CD, and diagnosis of small bowel tumors. Three key questions were selected regarding the role of VCE in CD. In preparing these guidelines, a systematic literature search, evaluation, selection, and meta-analysis were performed. After writing a draft of the guidelines, the opinions of various experts were solicited before producing the final document. These guidelines are expected to play a role in the diagnosis of CD. They will need to be updated as new data and evidence become available.
임윤정,이오영,진윤태,임지연,정대영,천재희,예병덕,송현주,김진수,도재혁,이광재,심기남,장동경,박철희,장병익,문정섭,전훈재,최명규,김진오,Korean Gut Image Study Group 대한소화기내시경학회 2015 Clinical Endoscopy Vol.48 No.5
Background/Aims: Capsule endoscopy (CE) is widely used. However, CE has limitations including incomplete examination, inadequate bowel preparation, and retention. The aim of this study was to estimate the indications for and detection, completion, and retention rates of small intestine CE based on the 10-year data from the Korean Capsule Endoscopy Registry. Methods: Twenty-four hospitals participated in this study. Clinical information, such as reasons for CE, method and quality of bowel preparation, and incomplete examination and capsule retention rates, was collected and analyzed. Results: A total of 2,914 CEs were registered. The most common reason for CE was obscure gastrointestinal bleeding (59%). Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases. The preparation method did not significantly affect the quality of bowel preparation for CE. The overall incomplete rate was 33%, and was high in the elderly and those with poor bowel preparation. Capsule retention was 3% and high in patients with small bowel tumors and Crohn’s disease and in children under 10 years of age. Conclusions: CE is a valuable technique; while the overall detection rate is high, incompletion and retention rates are also relatively high. CE should be carefully considered in the elderly and children less than 10 years of age, as well as in patients with small bowel tumors and Crohn’s disease.
김라경(Rah-Kyung Kim),이정은(Chung-eun Lee),이미지(Mi-Ji Lee) 한국직업재활학회 2020 職業再活硏究 Vol.30 No.2
본 연구의 목적은 일반교사가 생각하는 장애인 초등교사에 대한 능력, 역할, 교사 자질에 대한 인식과 이미지를 탐구한 연구로써 장애인 초등교사 고용에 대한 기초자료를 제공하는데 있다. 이를 위하여 주관성 연구방법인 Q-방법론을 사용하여 일반초등교사들이 인식하고 있는 장애인 초등교사의 이미지 유형 및 유형별 특성을 알아보았다. 일반교사 5명을 대상으로 반구조화 면담을 실시하고, 초등교사의 역할과 자질과 관련된 선행연구를 분석하여 일차적으로 약 300개의 Q-모집단을 추출하였다. 특수교육을 전공한 교수 3인에게 모집단의 적절성과 내용 타당도를 확인하여 최종적으로 40개의 Q-표본을 선정하였다. 선정된 40개의 Q-표본 진술문은 총 30명의 일반교사에 의해 분류되었다. 일반초등교사가 지각하는 장애인교사의 이미지에 대한 유형을 분석한 결과 4가지 유형으로 분류되었다. 제 1유형은 ‘학생을 위해 헌신적이나 제한된 교육자원을 가짐’, 제 2유형은 ‘스스로 전문성 개발을 추구하나 행정업무의 한계가 있음’, 제 3유형은 ‘교실을 안전하게 유지하려고 하나 다양한 학생 관계에 어려움을 겪음’, 4유형은 ‘다문화·세계문화 감수성을 함양하나 학부모 관계에서 미흡함’으로 명명되었다. 네 가지 유형의 가장 긍정적 진술문과 부정문을 중심으로 하여 각 유형의 특성을 설명하고, 마지막으로 질적 자료를 보강하기 위해 각각의 유형을 대표하는 4명의 일반초등교사에게 추가 인터뷰를 요구하였다. 이를 통해 선행연구와 비교하여 장애인 초등교사 고용증진을 위한 제언 및 어려움을 극복하기 위한 대한 제도적 방안을 제시하였다. The purpose of this study was to investigate the image of the ability, roles, qualities, and expectation of elementary teachers with disabilities by general education teachers in South Korea. Around 300 Q-samples were extracted by analyzing previous research about elementary education teachers and by conducting semi-structured interviews of five general education teachers. Final 40 Q-classifications were selected and administered to 30 general elementary education teachers. The types of images of teachers with disabilities by general education teachers were classified into four different types of belief system; (a) showing commitment to students but shortage of educational resources, (b) pursuing professional development but a lack of classroom management, (c) keeping safe learning environment but limited communication with diverse students, and (d) cultivating muticultural and global interests but limited relationships with parents. The characteristics of each type were explained focusing on the most positive and negative statements of the four types and In order to reinforce the qualitative data representative of each type, additional interviews were requested from four general teachers representing each of the four types. Compared to previous studies implications for employment issues for hiring elementary teachers with disabilities were suggested.
O2O 플랫폼의 환경에서의 온라인상에서의 우산 효과(Umbrella effect)
이미지(Miji Lee),백유진(Ujin Baek),류민호(Min Ho Ryu),이종태(Jongtae Lee),김은혜(Eunhye Kim) 한국정보사회학회 2018 정보사회와 미디어 Vol.19 No.1
정보통신기술의 발전으로 온라인과 오프라인이 결합하여 하나의 판매 플랫폼을 형성하는 O2O(Online to Offline)비즈니스가 출현하게 되었다. 이에, 본 연구는 O2O 플랫폼의 이미지, 가치, 신뢰성 등이 협력하는 쇼핑몰에게도 전가되는 현상인 ‘우산 효과’에 대해서 연구하고자 하였으며, 대표적인 O2O 플랫폼인 네이버 온라인 쇼핑을 한 소비자를 대상으로 연구 모델을 검증하고자 하였다. 네이버 온라인 쇼핑을 이용한 230명의 소비자들을 대상으로 구조방정식 모델을 검증한 결과, 브랜드 효과와 기대된 기술적 지원으로 대표되는 우산 효과는 지각된 가치와 사용의도 간의 관계에 매개효과가 있음을 밝혀내었다. 또한, 지각된 가치에 미치는 선행요소로는 인지된 유용성, 인지된 용이성, 신뢰임을 확인하였으며, 사용 의도가 충성도에 미치는 영향도 확인할 수 있었다. 본 연구의 결과를 바탕으로 O2O 비즈니스에 관한 실무적, 학문적 시사점을 도출하였다. The advancement of information and communication technology led to the emergence of O2O (Online to Offline) businesses which combine the online and offline to form a sales platform. This study aims to investigate how the umbrella effect, which occurs when a popular brand is linked with a new brand to transfer its image, value, and trustworthiness to the new brand, takes place on O2O platforms. Based on 230 consumers who use Naver shopping window, a representative O2O platform in Korea, as an empirical study, we verify the structural equation model on the umbrella effect represented by the brand effect and the technical support. As a result, our study confirmed the mediating effects on the relationship between perceived value and intention to use. We also found that perceived usefulness, perceived ease of use, and trust are antecedent variables of perceived value, and that the intention to use significantly affects loyalty. Based on our findings, we discuss their practical and academic implications on O2O businesses.