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      • 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.

      • SCOPUSKCI등재

        Pharmacologic Management of Chronic Pain

        Park, Hue-Jung,Moon, Dong-Eon The Korean Pain Society 2010 The Korean Journal of Pain Vol.23 No.2

        Chronic pain is a multifactorial condition with both physical and psychological symptoms, and it affects around 20% of the population in the developed world. In spite of outstanding advances in pain management over the past decades, chronic pain remains a significant problem. This article provides a mechanism- and evidence-based approach to improve the outcome for pharmacologic management of chronic pain. The usual approach to treat mild to moderate pain is to start with a nonopioid analgesic. If this is inadequate, and if there is an element of sleep deprivation, then it is reasonable to add an antidepressant with analgesic qualities. If there is a component of neuropathic pain or fibromyalgia, then a trial with one of the gabapentinoids is appropriate. If these steps are inadequate, then an opioid analgesic may be added. For moderate to severe pain, one would initiate an earlier trial of a long term opioid. Skeletal muscle relaxants and topicals may also be appropriate as single agents or in combination. Meanwhile, the steps of pharmacologic treatments for neuropathic pain include (1) certain antidepressants (tricyclic antidepressants, serotonin and norepinephrine reuptake inhibitors), calcium channel ${\alpha}2-{\delta}$ ligands (gabapentin and pregabalin) and topical lidocaine, (2) opioid analgesics and tramadol (for first-line use in selected clinical circumstances) and (3) certain other antidepressant and antiepileptic medications (topical capsaicin, mexiletine, and N-methyl-d-aspartate receptor antagonists). It is essential to have a thorough understanding about the different pain mechanisms of chronic pain and evidence-based multi-mechanistic treatment. It is also essential to increase the individualization of treatment.

      • SCOPUSKCI등재
      • SCOPUSKCI등재

        임상연구 : 혈액가스 분석기와 휴대용 혈당측정기로 측정된 혈당 수치의 평가

        박휴정 ( Hue Jung Park ),박철수 ( Chul Soo Park ),박종민 ( Chong Min Park ),유건희 ( Keon Hee Ryu ),장혜원 ( Hae Wone Chang ),조은정 ( Eun Jeong Cho ),이윤기 ( Yoon Ki Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.5

        Background: A portable glucometer is commonly used to immediately check the blood glucose level. In the anesthetic field, some blood gas analyzers can also give a rapid indication of the blood sugar level but the accuracy is unknown. Therefore, this study assessed the accuracy of the blood glucose values measured by either a blood gas analyzer or portable glucometer. Methods: Venous blood from diabetic patients was used to measure the glucose level with either a blood gas analyzer or a portable glucometer. The difference and 5% deviation from reference values was analyzed. These values were also assessed using a Bland-Altman plot and clinical significance was examined using a Clarke error grid. Results: The differences from the reference values were smaller using the blood gas analyzer (1.3 ± 7.8 mg/dl) than using the portable glucometer (-5.1 ± 16.7 mg/dl)(P < 0.01). 73.4% of the values measured by the blood gas analyzer and 40.0% of those measured by the portable glucometer were within 5% of the reference value. The 95% limits of agreement in the difference ranged from -14.3 to 16.9 in the blood gas analyzer and -38.5 to 28.2 in the portable glucometer. Error grid analysis showed that 100% of the values measured by the blood gas analyzer were located in zone A. When locating the values measured using the portable glucometer, 95.6% were located in zone A, and the remaining 4.4% are located in zone B. Conclusions: The blood gas analyzer measures the blood glucose more accurately than the portable glucometer. However, the blood glucose values measured by the portable glucometer are clinically acceptable. (Korean J Anesthesiol 2006; 50: 506~10)

      • Conference Summary of the 2022 Fall Conference of the Korean Pain Research Society

        Donghwi Park,Sang-heon Lee,Hue Jung Park,Nackhwan Kim,Jin-Young Oh,Min Cheol Chang 대한통증연구학회 2022 International Journal of Pain Vol.13 No.2

        On October 30, 2022, the 2022 Fall conference of the Korean Pain Research Society (KPRS), the Korean branch of the International Association of the Study of Pain (IASP), is a pivotal academic society that promotes research, exchange, and collaboration in all foundational disciplines and clinical fields related to pain (e.g., anesthesiology, neurosurgery, neurology, orthopedic surgery, rehabilitation medicine, mental health, and dentistry) and aims to attain the goals of the IASP, namely pain treatment and a multidisciplinary research approach. In this review, we summarized the programs of the 2022 Fall conference of the KPRS.

      • KCI등재

        놀이~배움 기록 다시보기를 통해 발견한 유아의 긍정적 차이생성

        허정민(Hue, Jung Min),박소연(Park, So Yeun) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.9

        목적 본 연구에서는 유아교실에서 이루어진 놀이~배움 기록을 함께 다시보면서 놀이~배움의 의미와 가치를 환원주의적 접근을 탈피하여 긍정적이고 다채로운 시선으로 그 의미를 읽어내고 생성하고자 노력하였다. 방법 이를 위하여 유아⋅놀이 중심 교육과정을 진지하게 실천하고자 노력하고 있는 한 어린이집의 유아반 교실에서 이루어진 ‘가게 놀이’ 기록을 새로운 시선으로 다시보기를 시도하였다. 2019년 5월 중순부터 7월 중순까지 두 달 동안 이루어진 가게 놀이의 다양한 놀이 기록(사진, 동영상, 저널, 스케치 등)을 다시보며 기록에서 떠오르는 놀이~배움의 의미와 가치를 발견하기 위해 노력하였다. 연구자들은 2021년 10월부터 2022년 1월까지 놀이 기록에서 각자가 마주하는 푼크툼(punctum)을 공유하며 대화를 시작하였고, 대화를 이어가며 함께 철학서를 나누어 보는 등 데이터에서 빛나는 이론을 발견하고 생성하기 위해 노력하였다. 또한, 놀이 기록을 작성한 담임교사를 세 차례 만나 놀이 기록에서 자신의 시선이 어디에 머물러져 있었는지를 함께 돌아보면서 긍정의 시선으로 놀이 기록을 마주하기 위해 노력하였다. 결과 이러한 과정에서 발견한 유아 놀이~배움의 의미와 가치는 다음과 같다. 교실 곳곳에서 유아들은 ‘업그레이드’를 외치며 어제와 다른 나를 만들어가고 있었다. 또한, ‘충분해요. 나는 돈을 더 벌면 된다.’고 이야기하며 강한 자기긍정의 모습을 보이고 있었다. 마지막으로 유아들은 삶의 ‘주인’으로 가게놀이 속에서 다양한 실험을 하며 살아가고 있었다. 결론 유아 놀이~배움 기록을 바라보면서, 유능한 유아들이 세계구성원으로 힘있게 살아가는 모습을 마주할 수 있었다. 유능한 유아들과 함께 얽혀 교육과정을 생성해 나가는 과정에서 허무주의(nihilism)에 빠지기보다는 생성과 창조에 경이로움을 느끼며 함께 얽혀나갈 수 있기를 기대한다. 놀이의 의미와 가치를 더욱더 다채로운 시선으로 함께 읽어내며 새로운 언어들이 계속 발견되고 생성되기를 희망한다. Objectives We tried to read and become the meaning and value of play~learning through positive and multiple perspectives, breaking away from the reductionist approach by reviewing the documents of play~learning made in the early childhood classroom. Methods We tried to review the documents of ‘store play’ made in the early childhood classroom that is trying to seriously practice an early childhood play-based curriculum fro a new perspective. We tried to discover the meaning and value of play and learning by reviewing the various play documents of store play that took place for two months from mid-May to July 2019. From October 2021 to January 2022, we started a conversation by sharing the punctum we each face in the play documents, and worked hard to discover and become a theory that shines in the data, such as sharing a philosophy book while continuing a conversation. We met the early childhood teacher who wrote the play documents three times and tried to face the play documents with a positive perspective while reviewing where the teacher’s gaze stayed in the play documents. Results The meaning and value of the children’s play~learning discovered in this process are as follows. Everywhere in the classroom, children were making a different me from yesterday, shouting ‘upgrade’. Also, children were showing strong self-affirmation, saying ‘It’s enough. I just need to make more money’. Finally, children were living their lives through various experiments in the store play as ‘master’ of their lives. Conclusions By looking at reviewing the children’s play~learning, we were able to face competent children living vigorously as members of the world. Rather than falling into nihilism in the process of becoming a curriculum entangled with competent childhood, we expect to be entangled together, marveling at becoming and creating. We hope that new languages will continue to be discovered and become by reading the meaning and value of play together with more and more multiple perspectives.

      • KCI등재

        텅드럼과 0세반 영아들의 마주침, 그리고 교사의 함께-되기

        허정민(Jung Min Hue),이진희(Jin-Hee Lee),박소연(So Yeun Park) 한국영유아교육과정학회 2023 영유아교육과정연구 Vol.13 No.4

        이 연구는 0세반 영아들과 교사가 마주치게 된 텅드럼이 어떤 기억들을 불러일으키고, 어떤 이야기를 생성하게 하며, 어떻게 관계 맺고 행위하게 하는지를 조명한다. 아울러 함께-되기(becoming-with)의 관계적 페다고지에 주목하면서, 영아중심, 놀이중심 교육과정을 함께 만들어가는 시간공간물질화를 이해하고자 하였다. 2022년 4월부터 2023년 2월까지 교사와의 12차례의 면담, 상시적인 비공식적 대화, SNS를 통한 놀이기록 공유, 교실 관찰, 원장 면담, 부모기록물 수집 등으로 데이터를 생성하였으며, 연구자들도 함께 얽혀 서로 횡단하고 중첩하며 리좀적 운동을 이어 나갔다. 연구결과, 텅드럼과의 마주침이 영아들로 하여금 다양한 감각과 기억을 불러일으켜 주체적이고 창발적으로 행위하게 만듦을 발견하였다. 아이들은 텅드럼의 물질성을 감각하고 고유한 의미를 부여하여 놀이를 이어 나갔으며, 교사는 이러한 영아들의 힘에 감탄하면서 함께 교육과정을 만들어가는 공동주체가 되어갔다. 교육적 행위에는 학습자와 교사라는 존재, 놀이와 배움의 담론을 바라보는 철학적 시선의 변화가 필요하며, 놀이기반 관계적 페다고지를 실천하기 위하여 함께 차이를 생성해가는 배움공동체가 중요함을 제안한다. This study illuminated how encounters with a tongue-drum invited specific memories, stories, relations, and actions from 0-year-old classroom children and their teacher. Paying close attention to the relational pedagogy of ‘becoming-with’, we hoped to understand spacetimematterings of the child-centered, play-centered curriculum, co-created by stakeholders. From April 2022 to February 2023, we generated research data through 12 interviews and frequent informal talks with the teacher, as well as sharing play observational records through SNS, classroom observations, interviewing the director, and collecting relevant documents including parental responses. Simultaneously, researchers also became engaged in mutual entanglement, transecting across and overlapping with one another through continuous rhizomatic movements. We discovered that encounters with a tongue-drum made the infant-toddlers respond with a variety of senses and memories, leading to agential, emergent actions. They sensed specific materiality of the tongue-drum, endowed unique meanings, and responded with various plays, while their teacher marveled at powerful capacities of infant-toddlers and became a co-actor of their co-created curriculum. We suggest that shifts of philosophical perspectives upon the ontology of learners and teachers as well as discourses of play and learning are needed for implementing the play-based, relational pedagogy, along with facilitating learning communities among everyone involved to make differences together.

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