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      • KCI등재

        외로운 청년의 ‘생의 반려’ 찾기

        신정숙(Shin, Jung-Suk) 한국어문학회 2017 語文學 Vol.0 No.137

        This article attempts to define a driving force that shaped Kim Yujǒng’s literary world, often characterized by the struggle to overcome his distrusts and deep-looted skepticism about people, and feelings of alienation and separation from the people. Simultaneously, Kim Yujǒng’s literary world engages with the world of others, and especially a series of his autobiographical novels, including A Companion for Life (From July to September, 1936), Elder Brother (November 1939), A Sad Story (December 1936), and Yaaeng (July 1936), deals with his anxiety as well as aspiration to be a part of the world. The distrusts of people, rooted in his bitter experience with his own family, have significantly influenced his work. He considered literature as a tool to overcome feelings of hatred and reconnect himself to the outside world. The creation of literature was therefore the most reliable and effective medium for Kim to experience people in an indirect way. Also, he stressed ‘power of delivery’ and ‘scope’ (contents of delivery) rather than literary technique and expression. The main topic of Kim’s literary works is love. In this regard, love means a possibility to restore the bonds of affective relationship. The feelings of alienation and severance ironically also drove Kim to overcome the fear through writing. His two biographical works, A Companion for Life and Elder Brother , contain the feelings of hatred derived from the family. On the other hand, A Sad Story describes that a couple and family has separated and conflicted by the lust of money, narrated from the viewpoint of ‘I,’ which reflects the writer’s own ego. In contrast, Yaaeng reveals a possibility of the reconciliation of a broken family and restoration of affection. Conclusively, literary works of Kim Yu-jǒng communicate with the outside world and restore the relationship. The trauma originated from his childhood, marred by unhappy family, which helped him to focus on the literary work and bridge himself with the outer world. Therefore, Kim’s novels can be understood as the process of communication and, the process of life and dream, liberating from isolation and separation.

      • 곰쓸개 복용 후 발생한 육안적 혈뇨와 신유두부 괴사증 1예

        김우진,한민석,김수항,박인형,박진석,선제형,홍세인,박옥영,신정현,이숭,신병철 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.3

        Renal papillary necrosis occurs most commonly in association with urinary tract infection, diabetes mellitus, sickle cell disease, vascular disease, and analgesic nephropathy. Clinical presentation may be related to symptoms of pyelonephritis such as flank pain, renal colic, hematuria, Proteinuria, recurrent fever. The necrotic tissue may be sloughed off, and the diagnosis can sometimes be made by finding piece of renal medullary tissue in the urine. Pyelography may demonstrate cavities and sinuses in the resion of papillae. Anuria & oliguria can lead to the acute renal failure, and especially prognosis and progress may be affect influenced by urinary infection. We report a case of renal papillary necrosis with ingestion of bear gallbladder. On pyelography, Persistent contrast is diagnostic clue of renal papillary necrosis. This case is not be related to urinary tract infection, but occurred acute renal failure. Expectant treatment was gone.

      • 정신분열증의 장기예후에 영향을 미치는 증상에 관한 연구

        신윤오,신석철 충남대학교 의과대학 지역사회의학연구소 1988 충남의대잡지 Vol.15 No.1

        This study was attempted to clarify the phenomenological factors which determine the longterm prognosis of schizophrenia. 137 schizophrenic patients on Screening Schedule were applied 36 items of Present State Examination, Psychological Impairment Rating Schedule, Scale for the Assessment of Negative Symptoms. The long-term prognosis of the Diagnostic and Prognostic Schedule was classified in 3 groups as good prognostic group(52), poor prognostic group(38) and the worst'prognostic group(47). To investigate the differentiating components among good prognostic group, poor prognostic group and the worst prognostic group and the component factors of good prognostic group, poor prognostic group and the worst prognostic group, the author tried ANOVA and factor analysis using SPSS/PC^+based on the scores of each subitems. The results of ANOVA and factor analysis were as follows: 1. The results of ANOVA; Good prognostic group and poor prognostic group was discriminated by the severity of negative symptoms, psychological impairments and the degree of lack of insight, poor prognostic group and the worst prognostic group by the severity of social skills and negative symptoms, good prognostic group and the worst prognostic group by the severity of psychological impairments, negative symptoms. and the degree of lack of insight. 2. The results of factor analysis; In good prognostic group, 5 factors were extracted as negatve symptoms, psychological impairments, neurotic symptoms, obsession and perceptual disorders(not hallucinations) and incooperation. In poor prognostic group, 6 factors were extracted as neurotic symptoms, negative symptoms, psychological impairments, poverty of affect-activity withdrawal and lack of insight, disorder of affect display and derealization and obsession. In the worst prognostic group, 6 factors were extracted as impairments of social skills, neurotic symptoms, perceptual disorder and lack of insight, negative symptoms, obsession and delusions and incooperation and depression.

      • KCI등재

        스타트 블록의 각도에 따른 하지의 각운동량 분석

        신성휴,김태완,권문석,고석곤,박기자 한국운동역학회 2004 한국운동역학회지 Vol.14 No.3

        S. H. SHIN, T. W. KIM, M. S. KWON, S. G. GO, K. J. PARK. Analysis of the angular momentum on the lower extremity by change of starting block angles. Korean Journal of Sport Biomechanics, Vol. 14, No. 3, pp. 165-175, 2004. The aim of this study is to show the effect of starting block angle on the starting motion of sprinters using a crouching start. After installing starting blocks on forced platform, and having four highly comparative sprinters use the starting blocks, I analyzed the angular momentum of a crouching start. From the results of the analysis, the following conclusions could be drawn: There were differences of angular momentum both in body's X, Y, and Z axes and in the thighs' X axes, but not in the pelvis and lower legs. As to the general change of block angle, we noticed that an angular momentum for each segments was higher at an angle of 50 to 55 degrees.

      • 精神科 外來 患者의 The Self-Rating Depression Scale(SDS)에 關한 硏究(第二編) : 憂鬱神經症과 不安神經症의 症候論的 比較 硏究 Chiefly on the comparative study of symptoms between depressive and anxiety neurotic outpatients

        申石澈 충남대학교 의과대학 지역사회의학연구소 1977 충남의대잡지 Vol.4 No.1

        Author has tested 953 normal subjects who live in the area of Chungnam and Chungbuk Provinces from March 1, 1976 with the translated form of The Self-Rating Depression SCa1e(SDS) of W.W.K. Zung. Author has tested outpatients with SDS before initial interview, and the results were classified into 333 for depressed neurosis and 183 for anxiety neurosis by diagnosis at the outclinic of department of psychiatry, Chungnam National University Hospital from March 1, 1976 to December 31, 1976. The results of normal subjects have been compared with those of depressive neurotics by each test item. And also the results of depressive neurotics have been compared with those of anxiety neurotic outpatients by each test item. The results were as follow: 1. Depressive neurotic group differentiated from normal control group at the level of p<0.001 in all of 20 tested item. 2. In the comparative study between anxiety neurotic group and depressive neurotic group, there is no difference in 7 items of anxiety and its concomitants. Other 13 items differentiated at the level of P<0.001.

      • KCI등재

        아스퍼거 증후군의 진단과 관련된 혼돈들

        신석호 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.3

        Asperger syndrome (AS) is a disorder of early childhood characterized by impaired social interaction, communication difficulties, play and imagination deficits and a range of routines and rituals. A review of the literature explores current issues concerning the diagnosis of AS. Despite its increasing popularity as a distinct condition, it seems to be still controversial to what extent AS differs from high-functioning autism. Especially in European perspectives, AS is a variant of autism typically occurring in high-functioning individuals, and not a separate disorder. However, the validity of AS as a different diagnostic entity has been recognized through several lines of evidence in the US. AS and nonverbal learning disabilities are often confused with some authors and practitioners not differentiating at all, others perceiving as different points along a continuum, and still others seeing them as different, albeit overlapping, disorders. The major difference is that AS is a pervasive developmental disorder, with chronically restricted repetitive and stereotyped patterns of behavior, interests, and activities, which are far beyond the narrow range of activities, social awkwardness, and slightly eccentric behaviors that are sometimes found individuals with nonverbal learning disabilities.

      • KCI등재

        광주광역시 치매의 유병률과 위험인자의 도시-농촌 지역 비교

        신일선,김재민,윤진상,김석재,양수진,김웅장,이승현,강순아,곽지영,이형영 大韓神經精神醫學會 2002 신경정신의학 Vol.41 No.6

        연구목적 : 본 연구의 목적은 광주광역시의 도시 및 농촌 지역에 거주하는 노인에서 치매의 유병률과 위험인자를 조사하고자 하였다. 부가적으로 이 두 지역간에 치매의 유병률과 위험인자를 비교하고자 하였다. 방 법 : 광주광역시의 전형적인 도시와 농촌지역의 65세 이상의 노인(N=1,598)을 대상으로, 2단계의 역학연구를 수행하였다. 1차 선별 단계에서는 38명의 훈련된 연구보조원이 대상노인을 면담하여, 사회인구학적 특징을 조사하고 한국판 간이정신상태검사(Korean version of Mini-Mental State Examination ; MMSE-K)로 평가하였다. 2차 임상 진단 단계에서는 1차 단계에서 MMSE-K 점수가 24점 이하인 노인(N=431)을 대상으로, 전문연구팀의 임상적 평가를 통해 치매를 진단하고 원인질환별로 알쯔하이머병(Alzheimer's disease ; AD), 혈관성 치매(vascular dementia ; VaD) 및 기타 치매로 분류하였다. 대상노인에서 치매의 유병률을 측정한 후, 광주광역시 전체 노인의 연령보정 유병률을 산출하였다. 전체 대상에서 AD의 위험인자를 조사한 후, 도시와 농촌군으로 나누어 분석을 다시 시행하였다. 결 과 : 1차 및 2차 단계의 참가율은 각각 71.0%(N=1,134) 및 83.2%(N=410) 였다. 연구 참여 노인(N=1,134)에서 전체 치매, AD 및 VaD의 유병률은 최소 각각 9.7%, 5.2%, 1.8%였다. 광주광역시 전체 노인의 연령 보정 유병률은 각각 10.7%, 5.7%, 1.9%인 것으로 산출되었다. AD의 독립 위험인자는 고령, 여성, 무학이었다. 도시와 농촌에 따른 유병률의 차이는 파악되지 않았다. 그러나 AD의 위험인자는 지역에 따라 차이가 있었다. 도시 노인에게는 무학만이, 농촌 노인에게는 고령과 여성인 경우가 독립 위험인자였다. 결 론 : 광주광역시 노인에서 치매의 유병률은 높았고, 이는 국내 다른 지역에서 수행된 선행연구 결과와 유사하였다. 알쯔하이머형 치매의 위험인자는 도시와 농촌에 따라 다른 결과를 보였다. 본 연구 결과는 한국에서의 치매의 실태를 반영하며, 치매의 적절한 관리와 예방을 위해서는 지역성 특성이 고려되어야 함을 시사한다. Objectives : The purpose of this study was to investigate the prevalence rate and risk factors of dementia in an urban and a rural sample of older persons in the metropolitan Kwangju area, Republic of Korea. In addition, the prevalence rate and risk factors of dementia between the two samples were compared. Methods : A two-phase epidemiological study of residents aged 65 or over(N=1,598) was conducted in a highly developed, urban and a non-contiguous, poorly developed, rural area of metropolitan Kwangju. In the first(screening) phase, 38 trained research assistants collectively peformed in-home interviews for all participants. Detailed sociodemographic characteristics were gathered and the Korean version of Mini-Mental State Examination (MMSE-K) was administered. In the second (diagnosing) phase, diagnosis of dementia was established for those scoring 24 or less on the MMSE-K in the screening phase(N=431), and etiological types of dementia were classified to Alzheimer's disease(AD), vascular dementia(VaD) or miscellanous type by two teams of experts. Prevalence rate of dementia was determined in the participants, and age-standardized prevalence rate adjusted by age distribution in metropolitan Kwangju was estimated. For AD, the risk factors were investigated in all participants, and analyses were repeated for the urban and rural samples separately. Results : The participating rates in the first and second phases were 71.0%(N=1,134) and 83.2%(N=410), respectively. In the participants, the prevalence rates of dementia(all types), AD and VaD were 9.7%, 5.2% and 1.8%, respectively. The age-standardized prevalence rates were 10.7%, 5.7% and 1.9%, respectively. Aging, female gender and no education(complete lack of formal education) were identified as independent risk factors for AD. No difference between the urban and rural samples was observed in the prevalence rates of dementia(all types), AD and YaD. However, risk factors for AD differed between these areas. In the urban sample, no education was the only significant factor ; whereas, aging and female gender were identified as risk factors in the rural sample. Conclusion : A high prevalence rate of dementia was observed among old persons in metropolitan Kwangju, consistent with previous studies conducted in other Korean areas. The risk factor profi1es for AD differed between urban and rural settings. The results of this study reflect the current status of dementia in Korea and suggests that appropriate management and prevention strategies for dementia should be tailored toward the geographic settings.

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