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        Quality assessment of Japanese clinical practice guidelines including recommendations for acupuncture

        Okawa Yuse,Yamashita Hitoshi,Masuyama Shoko,Fukazawa Yohji,Wakayama Ikuro 한국한의학연구원 2022 Integrative Medicine Research Vol.11 No.3

        Background: The quality of clinical practice guidelines (CPGs) should be extensively evaluated. This study aimed to evaluate Japanese CPGs that include recommendations for acupuncture. Methods: In a literature search, CPGs including recommendations for acupuncture published in Japan until October 2021 were sought. We assessed (1) whether the CPGs were developed in accordance with the Grading Recommendations Assessment, Development and Evaluation (GRADE) system, (2) the quality of the CPGs using the Appraisal of Guidelines for Research and Evaluation (AGREE) II, and (3) whether the strength of the recommendations for acupuncture was consistent with each CPG’s predefined procedure. Results: Seventeen CPGs including 23 recommendations in total were identified and assessed. (1) Three CPGs were in accordance with the GRADE system. (2) The mean score of overall assessment using AGREE II was 4.5 on a 7-point Likert scale. The mean domain scores were 77% for domain 1 (scope and purpose), 54% for domain 2 (stakeholder involvement), 48% for domain 3 (rigor of development), 78% for domain 4 (clarity of presentation), 20% for domain 5 (applicability), and 51% for domain 6 (editorial independence). (3) The strength of the recommendations for acupuncture in two CPGs was judged to be underestimated. Some of the CPGs contained elementary problems that were not considered in AGREE II. Conclusion: The methodological quality of Japanese CPGs including recommendations for acupuncture was not necessarily high. Since technical issues exist in each field of therapy, the respective experts should be involved in developing and reviewing CPGs to disseminate accurate health information. Background: The quality of clinical practice guidelines (CPGs) should be extensively evaluated. This study aimed to evaluate Japanese CPGs that include recommendations for acupuncture. Methods: In a literature search, CPGs including recommendations for acupuncture published in Japan until October 2021 were sought. We assessed (1) whether the CPGs were developed in accordance with the Grading Recommendations Assessment, Development and Evaluation (GRADE) system, (2) the quality of the CPGs using the Appraisal of Guidelines for Research and Evaluation (AGREE) II, and (3) whether the strength of the recommendations for acupuncture was consistent with each CPG’s predefined procedure. Results: Seventeen CPGs including 23 recommendations in total were identified and assessed. (1) Three CPGs were in accordance with the GRADE system. (2) The mean score of overall assessment using AGREE II was 4.5 on a 7-point Likert scale. The mean domain scores were 77% for domain 1 (scope and purpose), 54% for domain 2 (stakeholder involvement), 48% for domain 3 (rigor of development), 78% for domain 4 (clarity of presentation), 20% for domain 5 (applicability), and 51% for domain 6 (editorial independence). (3) The strength of the recommendations for acupuncture in two CPGs was judged to be underestimated. Some of the CPGs contained elementary problems that were not considered in AGREE II. Conclusion: The methodological quality of Japanese CPGs including recommendations for acupuncture was not necessarily high. Since technical issues exist in each field of therapy, the respective experts should be involved in developing and reviewing CPGs to disseminate accurate health information.

      • KCI등재
      • KCI등재

        日本語と韓國語の魚に關する諺の意味分析

        오카와다이스케 ( Okawa Daisuke ) 한국언어문화학회(구 한양어문학회) 2017 한국언어문화 Vol.0 No.64

        본고는 일본어와 한국어의 물고기 관련 속담을 대상으로 속담 속에 담겨진 뜻과 유래에 대해서 살펴본 것이다. 물고기는 섬나라인 일본과 국토의 삼면이 바다에 둘러싸인 한국 사람들에게 중요한 음식의 하나이다. 따라서 식생활 속에서 아주 가까운 존재인 물고기가 속담 속에서 어떤 식으로 다루어졌는지 주목하였다. 그 결과 한국어에서 물고기를 포함하는 속담이 일본어에서는 전혀 다른 표현으로 존재한다. 마찬가지로 일본어에서 물고기를 포함하는 속담이 한국어에서 전혀 다른 표현이 보였다. 아울러 한국어와 일본어에서 속담에 등장하는 물고기가 전혀 다른 것이 확인되었다. 일본어에서는 특히 도미, 잉어, 멸치가 보이고 한국어에서는 망등이, 조기, 명태, 북어가 쓰였는데 이들 물고기가 속담에 등장한다는 것은 옛날부터 양국간에서 흔히 먹었다고 생각된다. 아울러 사람들과 이들 물고기의 관계가 오래된 것이 말할 수 있다. 한국어 속담 속에서 물고리란 우유부단, 욕심, 시치미떼는 것, 과대황장, 분수를 모름, 허풍을 떪, 추하고 어리석음을 상징하여 그것을 경계, 자제하는 교훈이 담겨져 있다. 한국어에서 여러 속담에 나타나는 망등이라는 물고기는 긴 거리를 지속적으로 헤엄치지 못 하고 짧은 거리를 조금씩 헤엄치면서 이동한다는 낮은 운동 능력을 속담 속에서 망등이 = 어리석음, 게으름뱅이라는 뜻으로 쓰인 것으로 보인다. 한편 일본어 속담 속에서 물고기란 행운, 감사, 유호관계, 출세 등 상징으로 도미, 잉어, 멸치가 쓰였다. 멸치는 일본인들 평상시에 늘 먹던 물고기라 늘 식사할 수 있는 것에 대한 감사의 뜻을 속담 속에서 쓰인 것으로 보인다. 그리고 도미와 잉어의 화려한 색깔과 돋보이는 모습으로 인해 재수 좋은 고급어로서 옛날부터 일본인들에게 사랑을 받았기 때문에 속담 속에서 행운을 상징하는 물고기로 쓰인 것으로 보인다. 이와 같이 속담 비교를 통해서 추측되는 사람들의 의식과 가치관의 공통성을 이해하는 것은 일본과 한국의 상호 이해에도 연결될 것으로 생각된다. This paper researched meanings and origin of proverbs related with fish in Korean and Japanese. Fish are the important food for Japanese people and Korean people surrounded by water on three sides of territory. Therefore this paper took note ways dealing with fish which is the ubiquitous thing of dietary life in proverbs. As a result, expressions of proverbs containing fish in Korean were different from Japanese proverbs. Likewise expressions of proverbs containing fish in Japanese were different from Korean proverbs. In addition, kind of fish in Korean proverbs are not same with in Japanese at all. While snapper, carp, and anchovy are often showed in Japanese proverbs, goby, croaker, pollack and dried pollack are often showed in Korean. These kind of fish have been eaten by people of both countries long time ago. So, relation between these kind fish and people might be old. In Korean proverbs, fish symbolized indecision, desire, feigning ignorance, delusion of grandeur, failing to know oneself, bulling, ugliness, and stupidity. These proverbs contain lessons to guard them. Goby showed in several Korean proverbs have low capacity for locomotion not consistently moving long distance but gradually moving short distance. So in proverbs, goby might indicated meaning stupidity and lazybones. Meanwhile, fish such as snapper, carp, anchovy in Japanese proverbs symbolized luck, gratitude, friendly relations and success. Anchovy ordinary eaten by Japanese people could have had gratitude, because of being able to eat in daily life. And snapper and carp might have luck because Japanese people have loved these kind fish due to their gay colors and brilliant appearances, they considered these fish as lucky and rare things. To understand consciousness and values of people through comparison of proverbs can be connected mutual understanding between Japan and Korean.

      • KCI등재
      • KCI등재

        正義の再生を目指して ―李退溪思想が持つ可能性を考える―

        大川真 ( Makoto Okawa ) 사단법인 퇴계학부산연구원 2019 퇴계학논총 Vol.34 No.-

        本稿は、從來の硏究では見られなかった法哲學からのアプロ一チ、具體的には正義論の觀点から、李退溪思想の持つ新たな可能性を發見する試みである。李退溪は、 四端にも理の主宰が完全に行われて純善無惡になっている狀態と、主宰が不完全のために善に惡が混ざった不純な狀態とに分けている。このことは、私たちが謬りから免れ得ない存在であり、だからこそ自己の內面への徹底した省察と理の追求を行わねばならないという倫理的な要請が迂められており、正義論の基礎的な考え方となる可謬主義が表れていると考えられる。また退溪は、自己の善惡を点檢する際には他者という存在が有效であることを述べ、自己內で完結する閉鎖的な世界ではなく、異なる價値觀を持つ他者存在を前提にし、善の定立を目指す重要性を說いている。 This paper is an attempt to discover new possibilities regarding the thought of I T'oe-gye (李退溪) via a philosophy of law based approach, applying theories of justice. This approach has not been seen in previous research. I T'oe-gye divides si duan (四端) into the following two states: a state in which the supremacy of the Li (理) is completely realized, becoming the complete good without the presence of evil. Another is an impure state in which evil is mixed in with the good. This may be understood to imply that we cannot avoid error, and thus we face the ethical imperative to realize a thorough introspection and pursuit of Li (理). This exhibits the fallibilism that is a basic principle of the theory of justice. I T'oe-gye also states that the existence of others is effective in examining one’s own good and evil; arguing for the defining of goodness not by reference to a closed world complete within oneself, but in relation to others who uphold different values.

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