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        한 정신병원에서의 강박 처치에 대한 입원 환자 및 병원 직원의 지각의 차이

        채정호,차성조,함웅,이규항,이정균 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.5

        한 정신병원에서 강박처치의 적응증, 합병증, 대체법, 감정적 영향, 적당한 처치 시간, 처치의 효능과 필요성등을 병원에 입원 중인 환자들과 직원들에게 설문조사를 하여 양 집단간에 차이가 있는 지를 알아봄으로써 환자들과 직원들간에 있는 강박처치에 대한 지각 차이를 조사하고 나아가 강박처치 시행의 규준을 확립하기 위한 기본 자를 제시하기 위하여 본 연구를 시행하였다. 강박처치의 적응증에 대해서 입원환자들은 대부분의 항목에 대해 부정적으로 보았고 단지 타환자에 대한 신체적 공격에 대해서만 다소 긍정적인 반응을 보인 반면 직원들의 경우 자해, 타환자에 대한 신체적 공격, 치료진에 대한 공격 등에 높은 응답율을 보였다. 강박처치의 부작용에 대한 지각은 입원환자의 경우 정신상태의 악화, 자해의 증가 등에 대해 보다 민감하게 반응 하였고, 실제로 경험한 부작용에 있어서는 직원들의 경우 피부박탈을 더 강조한 반면 환자군에서는 호흡곤란, 정신 상태의 악화 등을 강조하였다. 강제 처치에 대한 대체치료 방법으로는 환자군에서 면담을 중요시한 반면 직원군에서는 격리실의 이용을 강조하였다. 신체억제와 고용량의 정온화를 비교한 것은 환자군에서 신체억제가 더 효과적이라고 하였다. 신체억제 동안 느끼는 감정에 대한 지각에서 환자군은 슬픔을 가장 많이 보고하였고, 직원군은 적개심을 가장 많이 느낄 것으로 추정하였다. 신체억제의 시간에 대해서는 환자군이 긴 것으로 지각하고 있으며, 이상적인 신체억제의 시간은 환자군이 짧은 것이 좋다고 생각하고 있었다. 본 연구 결과 정신과 입원환자들과 병원직원들은 강박처치에 대하여 유의한 지각의 차이가 있다는 것을 알았으며 정신병원내에서 강제처치를 실시할 때에는 명확한 강박처치 시행에 대한 규준에 따라야 할 것임을 확인할 수 있었다. Objectives : The purpose of this study was to examine different perceptions of physical restraint and their nature between psychiatric inpatients and hospital staffs in a mental hospital and to provide baseline data for establishing the practicing standard of this therapeutic maneuver. Methods : Two hundred and two psychiatric inpatients who experienced physical restraint and 103 hospital staffs who frequently used this maneurer were surveyed with a questionnaire regarding indications, complications, alternative methods, emotional influences, duration of treatment and subjective effects of restraint. Results : Regarding indications of physical restraint, the inpatient group had negative viewpoint on the most items except "physical assault to other patients". Regarding the perception about possible complications of this treatment, the inpatient group had more concerns about "deterioration of mental status" and "increasing risk of self-injury". For experienced complications, staffs stressed "skin abrasion " while inpatients believed of "respiratory difficulties" and "deterioration of mental status" more frequently. As alternative methods of physical restraint, "increasing frequency of interview" was suggested by the inpatient group and "using seclusion room" was favored by the staff group. The inpatient group had an impression that physical restraint was more effective than high-dose neuroleptic tranquilization. For suspected emotion during this procedure, the inpatient group reported "sorrow" most frequently while the staff group presumed that "hostility" might be most frequent. Inpatients estimated that the average duration of physical restraint was longer than staffs did. Ideal duration of physical restraint was shorter in the inpatient group. Conclusion : These results suggest that there are definite differences in the perception of physical restraint between psychiatric inpatients and hospital staffs. Formal practing guideline for restraint should be set up with careful attention for these differences to maximize the therapeutic effect of this maneuver.

      • 과학 문제해결 과정을 활용한 초등 과학 수행평가 도구의 개발과 적용

        최회정,임채성,김은진 부산교육대학교 과학교육연구소 2003 科學敎育硏究 Vol.28 No.-

        In this study, the performance assessment tools using processes of solving problems in science were developed and applied to instruction, then their effects were analyzed both quantitatively and qualitatively. The results of the research can be summarized as follows: First, among the performance assessment tools developed in the study, the students' response formats were shown to be a useful method to understand collectively the processes and products of learning, and the students' appreciation toward it was also found to be positive. Second, in science instruction which proceeded through each step of science problem solving the science attitudes of the experimental group, although not statistically significant, showed more improvement than comparison one. Among the categories of science attitudes, 'attitudes toward science subject and the unit or topic studied' showed statistically significant improvement, which is interpreted as results of making harmony of preexisting students' interests with difficulty levels of tasks. Third, for overall several science process skills, there were no significant improvement. However, the subskills of inferring, data interpretation, and drawing conclusion were found to be increased significantly, which might be due to the frequency and depth of use of these skills in real instruction. Fourth, for aspect of the understanding of science knowledge and applying of it, there were statistically significant increase. That is, it was interpreted, through active participation in learning task across the whole range of performance of problem solving, that the abilities to applying science knowledge to the given problems were significantly increased.

      • KCI등재후보

        8년간(1992~1999) 산업안전보건연구원에 의뢰된 직업병 심의 사례 분석

        강성규,김규상,김양호,최정근,안연순,진영우,최병순,양정선,김은아,채창호,최용휴,김대성,박정선,정호근 대한산업의학회 2000 대한직업환경의학회지 Vol.12 No.2

        Objectives : Pneumoconisis and noise-induced hearing loss (NIHL) have been reported as main occupational diseases by the Special Health Examination. The Industrial Accident Compensation Insurance has reported various work-related diseases, however, these two diseases occupied almost a half of compensated cases. Therefore, it was not well known about the status of occupational diseases other than pneumoconiosis, NIHL, and cardio-cerebrovascular accident (CVA). This study was conducted to analyze claimed cases as an occupational disease, that was requested to the Korea Industrial Safety and Health Agency (KOSHA). Methods : The local office of the Korea Labor Welfare Corporation (KLWC) has asked the KOSHA for confirmation of claimed cases as an occupational disease. We analyzed 379 cases requested from KLWC, the Ministry of Labor, employers, unions and occupational health agencies from 1992 to 1999. Results : Male was 80.7 % of the requested cases. Their mean age was 42 years old and 75.5 % of them were more than 35 years old. The requested cases were increased rapidly from 25 cases in 1992 to 108 cases in 1999 and the accept rate was 50.7 %. The majority of requested cases were respiratory diseases(22.4%), cancers(18.5%), Neuropsychiatric problems(14.5%), and musculoskeletal problems(13.5%). The accept rate was high in reproductive, respiratory, musculoskeletal and digestive disorders and low in neuropsychiatric, renal and otologic problems and occupational cancers. 73.6% of them were caused by chemical agents, especially 28.5 % were by organic solvents. 67% of them were clinically confirmed at university hospitals. A half of the cases were from KyongIn area, even the request came from the whole country. Conclusions : A claim was common in workers whose age was over 35 years old and exposure history was over 10 years. The respiratory diseases and neuropsychiatric disorders were still main problems in occupational health and occupational cancers was increasing even though its accept rate was not high yet.

      • 초등학교 책가방 없는 날의 운영 실태와 개선 방안 : 자연과를 중심으로

        임채성,이정구 부산교육대학교 과학교육연구소 1996 科學敎育硏究 Vol.21 No.-

        In elementary schools, the 'FREE-LEARNING DAY' program has very important roles and potential in several aspects in light of the anticipated future situations and social needs in which require various forms and opened approaches for children's learning. Children's motivation and excitement are usually high and so children are apt to learn and retain more on nature than in the classroom. Likewise, many phenomena can be explored in the field that simple cannot be brought into the classroom or laboratory. It was found that most teachers have many difficulties in implementation of the program, mainly because of poor materials, specific guidelines to consult, and self-confidence of themselves. In particular, the real natural environment provides opportunities to encourage children to develope their creative and critical thinking skills essential to problem solving. In addition, when this program is implemented successfully, science teachers can ensure the possibility of achieving the scientific literacy of children. Therefore, the key point is to make certain that children are challenged to conduct their own investigations in realistic problem situations. It should be kept in mind that the desired means and fundamental basis of this program is interdisciplinary, integral approach to learning.

      • 부산교육대학교 교과교육 사이버 문답교실 과학 영역의 질문 분석을 통한 활용상의 문제점과 개선 방안

        김정아,임채성 부산교육대학교 과학교육연구소 2002 科學敎育硏究 Vol.27 No.-

        The purpose of this study was to find out potential problems associated with cyber questioning and answering system of science areas of Busan National University of Education and to suggest ways of improvements of its system. The total of 145 questions raises in the system were critically analyzed in terms of six categories such as including misconception, task performance, simple information, detailed information, application of knowledge, and synthesis of information. The major results are as follows: First, most questions raised through the questioning and answering system were lower levels of cognition, which is incompatible to the intention of the system. Second, the questioners, in general, were not recognized the intention of the system. Third, the questions were often repeated. Fifth, there was a lack of interactions between the questioner and responder. Sixth, there was systematic problems, that is, the system had no places to notify the information on questioners and to check the degree of satisfaction of questioners on the questions they raised. Based on these results, we suggest several ways for improvements of the systems, including the providing of opportunities to interaction and immediate feedback to the question.

      • 다중지능을 활용한 과학 수업에 대한 초등학교 아동의 기억 유형과 기억의 지속도와의 관계

        임채성,최윤정 부산교육대학교 과학교육연구소 2001 科學敎育硏究 Vol.26 No.-

        To investigate the relationship between the type and degree of persistence of memories of elementary school children on the science instruction that primarily used multiple intelligence (MI) activities, we analyzed quantitatively and qualitatively their memories on the science topics covered at instruction. Children of experimental group experienced various MI activities and those of comparison group on received traditional instruction. The results are as follows. First, the most improvement of MI in individual learners appeared at the area of intrapersonal intelligence and the least improvement appeared at naturalist intelligence. Second, in the experimental group, the amount of semantic and emotional memories of the instruction was significantly higher than that of comparison one. Also, the degree of persistence of those memories showed such trend. Thirdly, for the aspect of learner's interests, the children showed more interest and more amount of memories, furthermore they had more memories at seven days after the instruction. These findings provide some important implication of MI activities in science instruction for both teacher and learner, that is, teachers should provide experiences and create environments which encourage the children to use their various intelligences in their learning of science.

      • SOL-GEL법을 이용한 강유전체 BaTiO₃박막 및 Ceramics 제조

        조채룡,이수재,장민수,김호종,정세영,노동택,김성철 동의대학교 기초과학연구소 1993 基礎科學硏究論文集 Vol.3 No.1

        Concentrated solution was prepared for a sol-gel process of BaTiO₃. Barium hydroxide and Ti-isopropoxide were used as the raw materials with methanol and isopropanol as solvents. Dense ferroelectric polycrystalline BaTiO₃thin films with the perovskite structure were fabricated by spin coating of the prepared concentrated solution on a few substrates. From XRD investigation, it was confirmed that tetragonal phase of polycrystalline BaTiO₃powders are formed after heat treatment above 550℃ in air and grain-oriented BaTiO₃thin films are obtained by coating of 0.06M concentrated solution on the substrates. It was observed that surfaces of thin films deposited on the substrates by our methods were formed crack-free and uniformly. The thickness of thin film which depends the concentration of the solution was 400∼900Å for 1 time coating, which was confirmed by SEM analysis. Ceramics and thin films show dielectric constant of 4600 (at 1㎑) and capacitance 300∼800㎊ (at 1㎑) at room temperature, respectively.

      • 4MAT system을 활용한 과학 교수·학습

        김정용,임채성 부산교육대학교 과학교육연구소 2002 科學敎育硏究 Vol.27 No.-

        The purpose of this study was to investigate effects of the science teaching and learning through 4 MAT system on learning of elementary school students with various learning styles. In this study, 29 sixth grade students took the Learning Style Inventory and Brain Hemisphericity Inventory, then received instruction designed according to the MAT system. The major results are as follow: First, the proportion of the stuents was classified, in order, into the dynamic, innovative, common sense, analytic learners. This trend might be associcted with the concrete level of cognitive development of the elementary school students. Also, this result implied that the students prefer the ways they perceive information to their ways of processing of information. Second, the brain hemisphericity of the students were biased toward light hemisphere. Finally, the degree of interest toward the teaching and learning based on 4 MAT system was concentrated on quadrants 3 and 4 which were student-directed. However, the students' science misconceptions were corrected mainly in quadrant 2 involving textbook reading or lecture. These results have fundamental implications for the development of brain-based science instruction and for the design of further research on the students' science learning styles.

      • 박물관 브랜드 마케팅 및 공간 프로모션 전략 -숙명여자대학교 내 정영양자수박물관 C·E·M 공간디자인을 중심으로-

        김은애,김예은,정채림,이진민,장미정,이성애 숙명여자대학교 산업디자인연구소 2017 숙명디자인학 연구 Vol.24 No.-

        본 연구는 정영양자수박물관의 콘텐츠를 활용한 통합 브랜드를 개발함에 있어 브랜드·디자인 ·마케팅을 융합한 시점에서 바라보고 그래픽아이덴티티, 제품아이덴티티, 공간아이덴티티 통합브랜드를 구축하는 일련의 프로세스를 밝히는데 목적이 있다. 이에 본 연구는 기존의 박물관 방문자들과 20-30대 여성을 대상으로, 디자인과 마케팅의 융합된 측면에서 도출된 ‘C·E·M’을 物, 事, 人, 場가 융합된 문화로 한정한다. 그 결과, ‘C·E·M’은 디자인과 마케팅 전략을 융합하여 로고 및 사인물의 그래픽디자인부터 제품디자인, 공간디자인에 이르기까지 일관성과 객관성, 스토리성을 도출한다. 끝으로 본 연구는 브랜드가 디자인과 마케팅을 융합하여 더 체계화된 G·I, P·I, S·I의 통합 브랜드 매뉴얼을 만든 것에 의의가 있다. 아울러 향후 이와 관련된 통합브랜드 디자인 개발에 있어서 기초 자료로 활용될 것으로 기대된다

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