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      • 美國大學의 特異性 : 近大美國 文學을 中心으로

        鄭卨秀 忠州大學校 1968 한국교통대학교 논문집 Vol.2 No.-

        Every literature of Europe began before the time of printing. This was a period of folklore, legends, and ballads. Such a collection of simple songs and stories represents the "childhood" of a literature, in which it is starting to grow up and develop. But American literature had no such childhood. American literature was begun by the colonists who came from England to settle the New Condinent. We can divide Ameracan literature as the following : 1. The Period of the American Colonies ; The writings of this period dealt with religion, morals, and church teachings by Puritanism and Frontier Mind. 2. The Period of the American Revolution ; Because of Independence War, American literature did not develop in this period. 3. Romanticism ; The romantic writers dealt with admiration of nature, individual dignity freedom, right and to sing the rustic life. The active writers of this Period were Irving, Cooper, Emerson, Thoreau and Poe. 4. Realism ; American realism was led by Mark Twain who wrote「The Adventure of Tom Sawyer」,「The Adventure of Huckleberry Finn」etc. with American humour and style. From this period American literature, completely, escaped from the literature of another counntry. 5. Naturalism ; American realism was grown up by naturalists. Naturalists wrote the exposing novels to American society of this period. In this treatise, I described only about the peculiarity of modern American literature. I think what we know of the peculiarity of a period is very important. By understanding the literature of another country, we must know the peculiarity of that peroid well. As a result we can understand their literature deeply.

      • Henigway의 主人公들에 關한 考察

        鄭卨秀 忠州大學校 1976 한국교통대학교 논문집 Vol.8 No.1

        When we read Hemingway's works, we can find that Hemingway offers three Patterns of his heroes in his works. One is the pattern of Nick Adams, another is the pattern of Jake Barnes, a third is the pattern of Frederic Henry. Hemingway's heroes have 'moral code' which Hemingway made in his works in order to express his literary ideas. Nick Adams does not have moral code, but Nick experiences, Violence, evil and death which man has in this world. Jake has moral code receiving and enduring his conditions given him. Henry has moral code conquering his conditions. Hemingway's heroes must conduct acoording to these codes. If heroes and charaters in his works do not observe them, he regard as a coward. Hemingway exoressed all his literary ideas through his heroes. And we can guess Hemingway's heroes are Hemingway himself because all the contents of his works agree with his practical life.

      • KCI등재

        경도인지장애 : 알쯔하이머병의 초기단계인가? Is it an Early Stage of Alzheimer's Disease?

        한설희 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2

        Aging causes deterioration of various aspects of memory performance in norma adults In recent years. a great deal of interest has been generated around the concept of a boundary or transitional state between normal aging and dementia or, more specifically, Alzheimer's disease (AD). This condition has received a number of descriptions including incipient dementia. questionable dementia. age-associated cognitive decline, isolated memory impairment and mild cognitive impairment (MCI) Commonly accepted guidelines for MCI have been established-memory complaint, preferably corroborated by an informant. objective memory impairment for age and education. normal general cognition, preserved activities of daily living, and not demented The precise definitions need to be explicated. but these will probably simply be a refinement of a concept. rather than a major re-definition Importantly, clinical and neurobiological evidence suggests that patients with MCI are at an increased risk for developing AD. Current research efforts are geared with MCI are at an increased risk for developing AD. Current research efforts are geared towards intervention strategies aimed at preventing the development of AD among persons with MCI.

      • 결절성경화증 환자에서의 SPECT 뇌영상 : 예비적 연구 A preliminary report

        한설희,이상수,정승연 충북대학교 의과대학 충북대학교 의학연구소 1991 忠北醫大學術誌 Vol.1 No.1

        간질발작을 포함한 전형적인 삼징후가 동반된 결절성경화증 환자를 대상으로 뇌파검사, 뇌전산화단층촬영술 및 단일광자방출단층촬영술을 시행하였다. 뇌전산화단층촬영술에서는 상의하석회화병소와 조영제증강이 뚜렷하지 않은 피질에 연한 저음영 소견이 관찰되었으며 이어서 시행한 단일광자방출단층촬영술에서는 뇌전산화단층촬영술 소견보다 더 광범위한 부위에 관류결손이 관찰되었다. 단일광자방출단층촬영술은 결절성경화증 환자에서 간질발현 병소인 피질결절을 발견하는데 있어서 전산화단층촬영술 및 뇌파검사보다 더 유용한 방법이며 치료방침 결정이나 예후판정에 있어서도 큰 도움을 줄 것으로 기대된다. Two patients with a well-established diagnosis of tuberous sclerosis and epilepsies as their principal clinical symptom were examined by conventional surface electroencephalography(EEG), computed tomography, and single photon emission computed tomography(SPECT) using the 99mTc hexamethyl prophyleneamine oxime(99mTc-HMPAO). The interictal EEG showed various abnormalities of poor localizing value. Brain computed tomography surely demonstrated subependymal calcifications, although the cortical lesions were not so conspicuous. However, the SPECT images of each patient clearly demonstrated decreased cerebral perfusion in cortical areas. It may be assumed that such perfusion defect areas represent the epileptic cortical tubers or those of altered myelination, which are characteristics of the disease.

      • KCI등재

        치매의 행동심리증상의 개관 : An Overview

        한설희 대한치매학회 2004 Dementia and Neurocognitive Disorders Vol.3 No.1

        Behavioral and psychological symptoms of dementia (BPSD) are among the most distressing manifestations of dementia and results in considerable social and economic burden. They are highly prevalent in Alzheimer's disease (AD) and other progressive degenerative dementias. BPSD are one of main reasons for premature institutionalization and are major causes of significant loss of quality-of-life for the patient and his/her family and caregivers. Recent investigations indicate that BPSD are not an epiphenomenona of cognitive impairment, but could be attributed to specific biological brain dysfunction. This brief review provides an overview of recent advances in the field of BPSD research.

      • KCI등재

        부검으로 확진된 알쯔하이머병 1예 : An Autopsy Report

        한설희,이건국,양기화,장순환 대한치매학회 2002 Dementia and Neurocognitive Disorders Vol.1 No.1

        While the clinical diagnostic accuracy of probable Alzheimer′s disease (AD) is 87-96% with a diagnostic sensitivity/specificity of 0 81-0 87, the unequivocal diagnosis of AD rests on histopathological evidence at brain autopsy and/or biopsy We report here a 92-year-old woman whose clinical presentation suggested a far advanced Alzheimer′s disease Formal neuropsychological evaluations were not applicable due to severe cognitive impairments With a relatively good general physical condition she could walk with aid during her last days no focal neurological signs were noted on a detailed examination Brain MRI revealed a diffuse cortical atrophy with a marked reduction in the hippocampal volume The brain obtained weighted 780g The cerebral hemispheres examined after fixation disclosed moderately severe atrophy in prefrontal and temporal lobes on coronal section, the hippocampus was likewise severely atrophied the lateral ventricles were moderately dilated On microscope examination, there were numerous senile plaques and neurofibrillary tangles in the neocortices. hippocampus and amyglada, compatible with advanced Alzheimer′s disease In summary we report the first Korean autopsy-proven case with advanced Alzheimer′s disease.

      • KCI등재

        일 초등학교 1·2학년 아동과 학부모의 시력관련 지식 및 행태에 관한 조사

        김설이,강혜영 韓國學校保健學會 2002 韓國學校保健學會誌 Vol.15 No.1

        The purpose of this study was to investigate the visual acuity and the degree of vision-related knowledge and behaviors of the 1st and 2nd graders of primary school and their parents in a city. The research design was a descriptive study and the subjects were 579 pupils and their parents in Namwon City, Chonbuk province. Children's vision screening was conducted with Han's test by author, school nurse according to the guidelines. The data were analyzed by frequency, percentage, mean, S.D., t-test, ANOVA, Pearson's correlation coefficient, χ^2-test with SAS program. Subnormal visual acuity group (SVAG) in children was 17.3%, and was higher in girls and in the 2nd graders, but there were no significant differences statistically. The mean score of the vision-related knowledge in children was 6.8 points out of 10 points and that of vision-related behaviors was 23.5 points out of 33 points. The mean scores of the vision-related knowledge were significantly higher in 2nd graders (p= .02), in girls (p= .02) and SVAG (p= .01) and the group of high scores in vision-related knowledge presented significantly high scores in vision-related behaviors(p= .001). The mean score of the vision-related knowledge in parents was 6.4 points out of 10 points and that of vision-related behaviors was 28.4 points out of 33 points. The group with high scores of vision-related knowledge in parents presented significantly high scores in vision-related behaviors (p= .003). As SVAG were higher in 2nd graders and the group of high scores of vision-related knowledge showed also high scores in vision-related behaviors in both children and their parents, From the above results, the author suggests a school-based visual health program for them.

      • KCI등재

        노인체조프로그램 참여가 뇌졸증으로 인한 거동장애노인의 신체조성과 생활동작능력에 미치는 영향

        김설향 한국특수체육학회 2003 한국특수체육학회지 Vol.11 No.1

        The study examined the effect of the body composition and life activity of seniors suffered from movement disturbances due to Cerebral Vascular Accident (C.V.A). The gymnastics was designed to improve the health of seniors. Twenty seniors were put into the exercise three times a week for twenty four weeks. In-Body 3.0 and Barthel's life movement index scal recorded the improvement in the seniors' health. The following changes in data was observed 1. The mean body weight from 64.1(±9.39)kg to 63.8(±8.62)kg 2. The mean body fat weight from 18.6(±3.24)kg to 17.8(±4.07)kg. the mean body fat percent from 29.3(±4.83)% to 27.9(±5.51)% 3. Lean body mass from 45.5(±9.39)kg to 46(±8.62)kg, Basal Metabolic Rate(BMR) from 1228.4(±157.69)Kcal to 1241.8(±140.51)Kcal 4. Through movement therapy the seniors acquired higher independent life activity index after program: (42.8±5.1); those who lacked had (20.8±5.3). 5. Higher movement index: (46.78±15.86) was observed in the seniors under movement therapy; those who lacked had (38.35±20.7).

      • 치매환자의 비인지 기능장애에 관한 예비적 연구

        한설희 충북대학교 의과대학 충북대학교 의학연구소 1999 忠北醫大學術誌 Vol.9 No.2

        연구목적: 행동장애/행동이상(behavioral disturbances)는 치매환자에서 비교적 흔히 관찰되는 증상이기는 하나 기억장애와 같은 인지기능이상이 두드러진 현상이기 때문에 최근까지 연구대상에서 제외되어 있었다. 그러나 환자들이 나타내는 비인지기능 증상들 (non-cognitive symptoms; NCS)은 치매의 진단, 예후 및 치료에 있어 매우 중요한 의미를 갖는다. 본 연구의 목적은 치매환자의 NCS의 임상적 특징을 면밀히 파악하여 향후 치매환자의 치료에 있어 인지기능을 개선시키려는 노력 이외에 NCS에 대한 적극적인 치료방침을 마련하는 데 있다. 대상 및 방법: 충북대학교병원 치매크리닉에 내원한 환자중 DSM IV 및 NINDS-ADRDA 진단기준에 맞는 알쯔하이머형 치매환자 42명, NINDS-AIREN 진단기준에 적합한 혈관성치매환자 13명, 혼합형치매환자 12명을 대상으로하여 이상행동적도를 평가하였다. 결과: 치매척도인 Hasegawa scale과 행동척도인 Behavioral Rating Scalerks의 상관지수는 0.805로 상당한 유의성이 관찰되었다. 질병의 종류에 무관하게 과격한 행동, 밤-낮의 뒤바뀜, 초조증 등이 가장 흔히 관찰되는 행동장애이었다. 결론: 본 연구의 결과 치매환자의 치료에 있어 비인지기능장애의 중요성을 인식할 수 있었으며 이를 조기에 발견 치료해줌으로써 환자들를 돌보는 간호인력이나 보호자들의 삶의 질을 향상시키는데 많은 기여를 할 것으로 기대된다. 비인지기능 장애의 발병기전을 밝히기 위하여 향후 좀더 잘 기획된 전향적 방법으로 치매환자에서 비인지기능 장애가 어떻게 진행되는 가에 대한 추시 연구가 필요할 것으로 생각된다. Purpose: Behavioral symptoms in dementias, although common, have not received much attention until recently. This report attempts to describe the frequencies and characteristics of such symptoms in patients with dementia. Materials and Methods : The author cross-sectionally investigated the prevalence, phenomenolgy, and clinical correaltes of noncognitive symptoms (NCS) in a consecutive series of 67 patients with dementia (42 with Alzheimer's disease, 13 with vascular dementia, 12 with mixed dementia). Cognitive function was rated using the Hasegawa scale and NCS was measured with modified Behavioral Rating Scale (BRS). Results: The correlation between Hasegawa scale and BRS was 0.805 at the time of initial evaluation. Among various delusional symptoms, picture sign was noted only in patients with Alzheimer's disease. Aggressive behavior, day-night-disturbances, and agitation were most frequently observed NCS regardless of disease entities. Conclusion: The findings of the present study underlie the importance of NCS in the management of patients with dementia. Further longitudinal study using well-designed structured interview should be performed to clarify the evolution of NCS in patients with dementia.

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