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      • KCI등재후보

        후두적출자의 의사소통 태도

        강수균,박선희,백은아,이현혜,최경희,강은희,박은실 대구대학교 특수교육재활과학연구소 2005 특수교육재활과학연구 Vol.44 No.3

        본 연구는 후두적출자의 주된 발성방법과 후두적출 경과 시기에 따른 의사소통 태도를 살펴보고자 하였다. 연구의 대상은 성인 남자 55명으로 후두암으로 인한 후두적출자들로 구성되었다. 이들에게 실시한 의사소통 태도 설문지는 Erickson의 의사소통 태도 척도-수정판(Modified Erickson Scale of Communication Attitudes: S-24)을 본 연구에 맞게 수정 보완하여 사용하였다. 본 연구의 결과는 첫째, 주된 발성방법에 따라서는 인공후두기 사용자와 식도발성자간의 의사소통 태도에 차이가 없었다. 둘째, 후두적출 경과 시기에 따라 10년 초과된 후두적출자들과 10년 이하의 후두 적출자들 간의 의사소통 태도에 차이가 없었다. 그러므로 이들의 의사소통 태도의 긍정적 태도를 증가시키기 위하여 다양한 방법을 활용하고 습득하여 이들의 의사소통 능력을 빠르게 재습득 하여 긍정적인 의사소통 능력을 가질 수 있도록 해야 한다. The purpose of this study was to determine laryngectomee's communication attitude. 55 laryngectomees, who were in the range of 40 years old to 80 years old participated in the study. Communication attitude measurements were taken by S-24(Modified Erickson Scale of Communication Attitudes). The results showed as follows: First, score of laryngectomees with artificial larynx and esophageal speakers were no significant. Second, score of laryngectomees with over 10 years after latyngectomy and 10 years after latyngectomy were no significant.

      • 방광의 이행상피암에서 p53과 PCNA 분포에 관한 연구

        최은정,강상균,양승하,김대중,김의한 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.2

        Immunohistochemical studies were carried out to observe the expression of p53 protein and PCNA in transitional cell carcinoma (TCC), then analyzed according to the tumor grade and progression. 38 cases of TCC consist of 13 cases grade Ⅰ, 12 cases grade Ⅱ and 13 cases grade Ⅲ respectively. Results obtained are as follows. 1. p53 protein expression was seen in 60% of cases(15 out of 38 cases) In the poorly differentiated area and infiltrated lesion, tumor cell showed more strong positive reaction of p53 protein compared with well differentiated area. 2. All of 38 cases of TCC showed PCNA positive expression. The more strong positivity was seen in the poorly differentiated area and the more intense positive reaction was noted in the basal layer of the tumor nests. 3. The above results showed that positivity of p53 protein and PCNA are closely related with tumor cell differentiation(grade) and progression. It is concluded that positive reaction of p53 protein and PCNA may contribute to detection of tumor growth and prognosis of patient.

      • 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 체험학습장으로서 경상남도수목원 분석

        최영미,박강은 晋州敎育大學校 科學敎育硏究院 2006 科學敎育硏究 Vol.29 No.-

        The purpose of this study is to provide the basic materials for more positive meaningful spot learning through survey and comparison of the science textbook of the elementary school and plant materials within the Gyeongsangnam-do arboretum and linkage with the science textbook for more systematic and efficient learning plan of the spot learning in the Gyeongsangnam-do arboretum of the field schools. Accordingly the following study questions were established in order to accomplish the purpose of the study. First. the textbook will be analyzed to figure out how many species are suggested in the science textbook of the elementary school and how many numbers they are. Second, it will be examined what kind of plants are planted in the Gyeongsangnam-do arboretum. Third, it will be examined what kind of plants can be taught in each grade of the elementary school by a small glower garden of the Gyeongsangnam-do arboretum Fourth. it will compose illustrating teaching materials for the subject of plants shown in common in each small flower garden of the Gyeongsangnam-do arboretum and the science textbook. The results of this study are as following. First, total plant species presented in the science textbook of the elementary school are 159 and 49 species in the 1st grade (25%), 38 species in the 2nd grade (23%), 81 species in the 3rd grade (51%), 41 species in the 4th grade, 74 species in the 5th grade and 37 species in the 6th grade (23%) were proved so that the most species were presented in the 3rd grade. Second, 509 species plants in 17 small flower gardens of the Gyeongsangnam-do arboretum are planted and the flowering tree garden out of each flower garden showed the most plant holding amount as 127 species and the following is 109 species in the tropical plant botanical garden, 193 species in broadleaf tree garden and 95 species in Third, the common plants in the science textbook and the Gyeongsangnam-do arboretum are all 76 species and around 48% of total 159 species plants presented in the science textbook are planted in the arboretum. Fourth, practically learning allowed plants in each flower garden of the Gyeongsangnam-do arboretum related the science textbook was shown as 50 species and among them, more kinds of plants of 14 species in the subject garden, 14 species in the flowering tree garden and 13 species in the broadleaf tree garden were planted than other flower gardens. Accordingly these flower gardens is considered to has a high utilizable possibility in comparison with the flower gardens as an experience learning place linked with the elementary grade science textbook. Through this study, it was found out that the Gyeongsangnam-do arboretum is a wonderful resource as teaching materials for learning linked with the educational courses of the schools. It is expected that based on these results, a more concrete ecosystem experience learning program by each flower garden and by grade will be developed to help the school spot.

      • Pleurotus eryngii 분말을 이용한 양갱특성 및 품질평가

        최진상,강은오 진주산업대학교 산업과학기술연구소 2006 산업과학기술연구소보 Vol.- No.13

        느타리 버섯과에 속하는 새송이 버섯(Pleurotus eryngii)을 기능성 식품재료로 사용하여 그 이용성을 확대하고 소비를 증대시킬 목적으로 분말로 제조하여 농ㅈㄷ별 첨가에 따른 양갱의 물리적 변화를 측정하여 다음의 결과를 얻었다. 버섯 분말가루를 첨가하여 제조한 양갱의 당도는 대조구에 비하여 버섯 분말가루의 첨가량이 증가함에 따라 감소하였고, 색도에서 명도 값이 점차적으로 증가하였다. 양갱의 물성을 측정한 결과 버섯 분말가루 첨가량이 증가함에 따라 견고성 및 씹힘성이 높은 결과를 보였고, 관능평가에서 전체적인 기호도는 1 % 첨가에서 가장 좋은 반응을 나타내었다. In order to expand their usefulness and consumption as a functional foodstuffs of Pleurotus eryngii, which belongs to a family of Pleurotus ostreatus. Physicochemical properties were tested in sweet jelly that was made with the addition of Pleurotus eryngii powder. The results are as follows : Brix value of sweet jelly was decreased as the added amount of Pleurotus eryngii powder was increased, but brightness of color was increased. And hardness, chewiness in the textural properties were increased in accordance with the added amount of powder. The best overall acceptability by sensory evaluation was obtained when 1% of Pleurotus eryngii powder was added.

      • 횡문근융해증과 급성 신부전 및 범발성 혈관내 응고장애를 동반한 열사병 1예

        최대은,박수진,권오경,이한규,이영모,이상주,나기량,이강욱,신영태 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

        Heat stroke is a life-threatening illness characterized by an elevated core body temperature that rises above 40% and central nervous system dysfunctions that results in delirium, convulsions, or coma. Heat stroke is subdivided into two forms, classic and exertional. Since strenuous exercise is one of the major exacerbating and precipitating factors, the incidence of exertional heat stroke is high among young adult, especially military personnel undergoing military training. Exertional heat stroke commonly causes rhabdomyolysis, lactic acidosis, acute renal failure, shock and pulmonary edema. We report a case of heat stroke with rhabdomyolysis, acute renal failure, disseminated intravascular coagulopathy(DIC) after strenuous exercise. A 18 year old man was admitted to the hospital because of loss of consciousness. He was a wrestler and he had tried to lose 6kg in weight by jogging and strenuous exercise on that summer day with hot temperature. The development of this illness was favoured by much clothes inappropriate for that environmental condition with a purpose to enhance sweating, and by restricted intake of water and food. On admission, the blood pressure was 80/50mmHg, and body temperature was 39.4℃ with stuporous mentality. Laboratory finding were as follows : in complete blood cell count, hemoglobin was 16.7g/dL and platelet count was 158,000/ mm³. In blood chemistry, AST 1061U/L, ALT 201U/L, BUN 30mg/dL, Cr 2.2mg/dL, LDH 941IU/L, CK 696IU/L were resulted. In arterial blood gas analysis, pH 7.39, pCO₂ 30mmHg pO₂ 86mmHg, HCO₃ 18.4mEq/L, O₂ saturation 96.7% were resulted. In urinalysis, specific gravity 1.025, protein 3+, erythrocyte 2+ were resulted. In brain imaging study, brain CT finding was normal. After appropriate treatments with rapid cooling, hydration and supportive care, he improved with alert mental status. On 2nd hospital day, in laboratory result, thrombocytopenia and coagulopathy were appeared and renal insufficiency was aggravated. So he was treated with platelet concentrate and fresh frosen plasma for DIC, and enough hydration for appropriate urine volume preservation. After all, On 22nd hospital day, he fully recovered and discharged. Nowadays, with followed for some duration, he is wellbeing with no complications.

      • 집속이온빔 장치를 위한 액체갈륨이온원의 빔에너지 분포 및 퍼짐특성

        최은하,조광섭,강승언 光云大學校 1993 論文集 Vol.22 No.-

        Energy distribution, Energy deficit and its spread of ions emitted from liquid gallium ion source were investigated with a retarding potential analyzer under the source temperature of 670K. It is found that the energy distributions of liquid gallium ion source are shown to be the Maxwellian and its most probable ion energies are shifted toward positive values with respect to beam extraction energies as the total emission current is increased from 7 to 50㎂. However, at the lower emission currents less than 7㎂, it s most probable ion energies are shown to e shifted toward negative values with respect to beam extraction energies. The cluster ??+ion beam is believed to be generated mainly by field ionization mechanism from energy deficit measurements in this experiment. The energy spread of ions are shown to be broadened form 5 to 40 eV as the total emission current is increased from 5 to 50㎂, respectively.

      • 가출청소년의 분노감소를 위한 REBT 미술치료 사례연구

        강은숙,최은영,공마리아 대구대학교 특수교육재활과학연구소 2008 再活科學硏究 Vol.26 No.2

        본 연구는 가출청소년에게 REBT에 근거한 미술치료를 실시하여 가출청소년의 분노 경감에 효과가 있다는 것을 검증하였다. D시에 있는 가출청소년 쉼터에서 의뢰된 3명의 가출소녀에게 2007년 3월 1일부터 4월 19일까지 약 6주 동안 1주일에 2회기씩 미술치료를 실시하였다. 연구의 효과를 측정하기 위해 비합리적 신념 검사(Irrational Belief Test)를 사전 사후에 검사하여 점수를 보았고, 척도의 내용의 변화를 비교하였으며, 미술치료 회기별로 사고의 변화의 질적 분석을 하였다. 그리고 분노 경감의 효과를 측정하기 위해 분노행동인 이차적 분노사고적 언어 사용 빈도를 관찰하여 빈도 변화를 도표화하여 비교 제시 하였다. 미술치료 프로그램의 단계는 친밀감 형성과 목표 정하기, REBT이론 설명단계, 비합리적인 신념에 대한 논박 단계, 사고 탐색 단계, 문제해결 단계, 종결로 구성하여 진행하였다. 본 연구 결과는 REBT에 근거한 미술치료가 가출청소년의 분노로 인한 비합리적인 신념들을 합리적인 신념으로 바꾸는 교육과 연습을 미술 작업과 함께 함으로써 분노의 수준이 낮아지는 효과가 있음을 확인하였다. 가출청소년을 대상으로 하는 미술치료는 1회성 실시가 아니라 지속적인 프로그램 실행이 필요하고 대상에 대한 관심과 애정으로 접근하는 것이 중요하다. The purpose of this study was to investigate the effect of art therapy based on REBT that affects the anger alleviation of runaway homeless youths. The study was conducted on three girls from runaway and homeless shelter in D city, and the art therapy program was carried out weekly 2 sessions for 6 weeks from March 1 to April 19, 2007. The change of the grade was examined between the pre/post Irrational Belief Test, the changes of items in each scale were compared and the change of thought was analysed in each session to evaluate the effectiveness of the research. And for evaluation of the effectiveness of anger alleviation, the changes of frequency were presented and compared as graphs after observing secondary anger thought-verbal, which is an anger behavior. The art therapy program was composed of following steps: rapport, establishing goal, explaining REBT theory, investigation track dysfunctional schema, problem solving and a close. The conclusion of this study ascertained the fact that the art therapy based on REBT resulted in positive changes on the level of anger by applying the education and practice which change the irrational belief caused by runaway and homeless youths' anger to rational belief. It is suggested that art therapy for runaway and homeless youths has to be carried out not as an one-off performance but as a continuing program with concern and affection to them. 본 연구는 가출청소년에게 REBT에 근거한 미술치료를 실시하여 가출청소년의 분노 경감에 효과가 있다는 것을 검증하였다. D시에 있는 가출청소년 쉼터에서 의뢰된 3명의 가출소녀에게 2007년 3월 1일부터 4월 19일까지 약 6주 동안 1주일에 2회기씩 미술치료를 실시하였다. 연구의 효과를 측정하기 위해 비합리적 신념 검사(Irrational Belief Test)를 사전 사후에 검사하여 점수를 보았고, 척도의 내용의 변화를 비교하였으며, 미술치료 회기별로 사고의 변화의 질적 분석을 하였다. 그리고 분노 경감의 효과를 측정하기 위해 분노행동인 이차적 분노사고적 언어 사용 빈도를 관찰하여 빈도 변화를 도표화하여 비교 제시 하였다. 미술치료 프로그램의 단계는 친밀감 형성과 목표 정하기, REBT이론 설명단계, 비합리적인 신념에 대한 논박 단계, 사고 탐색 단계, 문제해결 단계, 종결로 구성하여 진행하였다. 본 연구 결과는 REBT에 근거한 미술치료가 가출청소년의 분노로 인한 비합리적인 신념들을 합리적인 신념으로 바꾸는 교육과 연습을 미술 작업과 함께 함으로써 분노의 수준이 낮아지는 효과가 있음을 확인하였다. 가출청소년을 대상으로 하는 미술치료는 1회성 실시가 아니라 지속적인 프로그램 실행이 필요하고 대상에 대한 관심과 애정으로 접근하는 것이 중요하다. The purpose of this study was to investigate the effect of art therapy based on REBT that affects the anger alleviation of runaway homeless youths. The study was conducted on three girls from runaway and homeless shelter in D city, and the art therapy program was carried out weekly 2 sessions for 6 weeks from March 1 to April 19, 2007. The change of the grade was examined between the pre/post Irrational Belief Test, the changes of items in each scale were compared and the change of thought was analysed in each session to evaluate the effectiveness of the research. And for evaluation of the effectiveness of anger alleviation, the changes of frequency were presented and compared as graphs after observing secondary anger thought-verbal, which is an anger behavior. The art therapy program was composed of following steps: rapport, establishing goal, explaining REBT theory, investigation track dysfunctional schema, problem solving and a close. The conclusion of this study ascertained the fact that the art therapy based on REBT resulted in positive changes on the level of anger by applying the education and practice which change the irrational belief caused by runaway and homeless youths' anger to rational belief. It is suggested that art therapy for runaway and homeless youths has to be carried out not as an one-off performance but as a continuing program with concern and affection to them.

      • 영도지역 남녀 중ㆍ고교 학생들의 성지식에 관한 연구

        강혜숙,남은우,박성빈,최재임 고신대학교 영도발전연구소 2000 영도연구 Vol.2 No.-

        The purpose of this study was to grasp the sex knowledge in middle and high school students in Youngdo-Gu, Busan, and to provide some basic data for the needs and the direction of sex education for the teenagers. The survey was conducted by using questionnaires in two middle schools and two high schools in Youngdo-Gu. The questionnaires were took back after record by the respondents. The survey was conducted at September 15∼17, 2000 and a total of 791 were completed. The respondents were 200 (25.3%) males and 199 (25.2%) females in middle schools and 196 (24.8%) males and 196 (24.8%) females in high schools. For the statistical analysis, χ2-test, t-test and one-way ANOVA were used by using SPSS/PC+ WIN 8.0 program. The conclusions based on the results obtained from this study are as follows: 1) An attitude of the sexual matters showed that boys, students and non-christians were more progressive than girls, parents and christians, respectively (p<0.01). 2) The sexual agonies of students were in order of having a date 36.2%, sexual drive 11.1%, sexual intercourse 8.8%, masturbation 8.6% and sexual abuse 6.7%. 3) The points for sexual knowledges appeared 40.6 points out of 100 points from boys and 42.3 points from girls in middle schools, and 57.3 points from boys and 66.1 points from girls in high schools. Therefore, the girls had much knowledges on sexuality than those of the boys. There were a significant differences of knowledge on sexuality between boys and girls (p<0.001). Over 60% of both boys and girls had not enough knowledges on sexually transmitted diseases (STDs). 4) Satisfaction of sex education was common or unsatisfied as over 90% of respondents. The reasons were a textbook-like general information (50%) and nothing practically to help (29%). 5) The students wanted sex education for the practice in future life such as male and female relationship with etiquette(23%); and pregnancy and delivery (17%) in middle school students, and contraceptive and abortion (34%) and preventive STDs (18%). There was not enough to understand whole adolescent in Youngdo area because the study subjects were only public middle and hight school students in Youngdo-Gu, Busan. Conclusively, it is necessary to educate to give right information of sexuality to the adolescents in Youngdo, and to have systematically sex education from the kindergartens to the high schools by long range sex educational program. Also, a proper program for integrated sex education is necessary to build healthful sexual consciousness and worth in cooperation with sex educators, universities and health centers.

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