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      • KCI등재후보

        양성 갑상선결절의 비수술적 영상 유도하 치료

        신정희 대한갑상선학회 2014 International Journal of Thyroidology Vol.7 No.2

        Most thyroid nodules are cytologically benign and can be managed nonsurgically. Asymptomatic benign nodules require follow-up without treatment. Cosmetic problems and/or compression-related symptoms may be indications for treatment. Until now in clinical practices, nonsurgical image-guided therapy includes percutaneous ethanol injection, radiofrequency ablation, laser ablation, and high intensity focused ultrasound. Percutaneous ethanol injection should be used as the first-line therapy for recurrent symptomatic cystic nodules. Radiofrequency ablation is an effective procedure for obtaining shrinkage and improving symptoms of solid thyroid nodules. Better understanding of image-guided therapy makes physicians personalize the management of benign thyroid nodules according to a cost-benefit analysis.

      • 인삼 사포닌이 일산화탄소중독 및 노화과정에서 생쥐의 뇌신경세포 분포에 미치는 영향

        신정희,이인란,조금희,윤재순 이화여자대학교 생명과학연구소 1992 생명과학연구논문집 Vol.3 No.-

        The effects of ginseng saponins on the distribution of nerve cells in cerebral cortex of carbon monoxide (CO)-intoxicated mice were studied in the young (5~8 weeks) and aged (43~52weeks) mice. Mice were exposed to 5000 ppm of CO for 40 minutes (72%HbCO). After that, nerve cells in motor(area 4), somatosensory(area 3) and visual ((area 17) area of cerebral cortex was observed. In young mice, the number of nerve cells in each area was significantly decreased on 1st. 7th and 14th day after CO intoxication. In aged mice, that was also decreased after CO intoxication. Especially the number of the nerve cells in motor and somatosensory area was significantly decreased on 1st and 7th day, while that in visual area was decreased only on 1st day. The number of nerve cells in young mice pretreated with ginseng sapoinins were significantly decreased less on 7th and 14th day than that of untreated mice. The number of nerve cells in each area of normal aged mice was larger than that of normal young micel. The resultssuggest that CO exposure causes local degeneration or disturbance of nerve cells and delayed neurologic sequelae, while ginseng saponins might play a role of protetive action on the nerve cells which were damaged by CO.

      • KCI등재

        유방암에서 신보강화학요법 후 잔류암에 대한 유방촬영술, 유방초음파, 유방자기공명영상의 정확성의 비교

        신정희,최혜영,채유미 대한영상의학회 2006 대한영상의학회지 Vol.54 No.4

        Purpose: The purpose of our study was to determine the relative accuracy of mammography, ultrasonography and MRI for evaluating residual tumor after neoadjuvant chemotherapy for breast cancer, as compared with the pathological results. Materials and Methods: From December 2004 through August 2005, 13 patients who had mammography, ultrasonography and MRI performed for evaluating tumor response were enrolled in our study from a total of 47 patients who received neoadjuvant chemotherapy for breast cancer. The therapy response was defined by ultrasonography that was able to compare the images taken before and after therapy, and each imaging was retrospectively analyzed by two board-certified radiologists who specialized in breast imaging. The presence or absence of residual tumor was investigated and the tumor measurement according to the imaging was divided into underestimating, being equal to or overestimating the size of the residual tumor, compared with that of the pathological results. The relative accuracy of these modalities was then assessed. Results: Eight of 13 patients showed a partial response and 5 patients showed stable lesion. Agreement rates about the residual tumor, as measured by mammography, ultrasonography and MRI and then compared with the pathological results, were 39%, 54% and 77%, respectively. Of the three methods, MRI agreed with the pathological results significantly more often, but it may overestimate (8%) or underestimate (15%) (p = 0.102). When there was disagreement with the pathological results, mammography exhibited a tendency to underestimate (38%) and ultrasonography exhibited a tendency to overestimate (31%). Conclusion: MRI had a higher relative accuracy than did mammography and ultrasonography for evaluating the residual tumor in patients receiving neoadjuvant chemotherapy for breast cancer. However, MRI may overestimate (8%) or underestimate (15%) the residual tumor. 목적: 신보강화학요법을 받은 유방암 환자의 잔류암 진단에 있어 유방촬영술, 유방초음파, 유방자기공명영상의 상대적 정확성을 병리 결과와 비교하여 알아보고자 하였다. 대상과 방법: 2004년 12월부터 2005년 8월까지 신보강화학요법을 받은 총 47명의 유방암 환자 중 치료 반응을 보기 위해 유방촬영술, 유방초음파, 유방자기공명영상을 모두 시행한 13명을 대상으로 하였다. 치료 반응은 치료 전후의 영상 비교가 가능했던 초음파검사 소견으로 판정하였고, 각각의 영상은 후향적으로 두 명의 유방 영상전문의에 의해 분석되었다. 영상에서 잔류암의 존재 여부 및 측정된 잔류암의 크기를 병리결과와 비교하여 과소측정, 일치, 과대측정으로 나누었고 각각의 검사 방법들의 상대적 정확성을 알아보았다. 결과: 총 13명 중 8명은 부분 반응을 보였고, 5명은 안정 병변을 보였다. 잔류암을 진단하는 데 있어 유방촬영술, 유방초음파, 유방자기공명영상 소견을 병리 결과와 비교했을 때 일치율은 각각 39%, 54%, 77%였다. 유방자기공명영상의 경우 다른 두 검사에 비해 통계적으로 유의하게 일치율이 높았지만 과대측정(8%)되거나 과소측정(15%)될 수 있었다 (p=0.102). 일치하지 않는 경우, 유방촬영술은 과소측정되는 경향이 있었고(38%), 초음파는 과대측정되는 경향이 있었다(31%). 결론: 신보강화학요법을 받은 유방암 환자에서 잔류암을 진단하는 데 있어 자기공명영상은 과대측정(8%)되거나 과소측정(15%)될 수 있으나 유방촬영술과 초음파에 비해 상대적 정확도가 높았다.

      • KCI등재후보

        발레뤼스(1909-1929)의 작품 성향 연구

        신정희 韓國舞踊敎育學會 2004 韓國舞踊敎育學會誌 Vol.15 No.1

        This paper studied the art character and the choreographic inclination of choreographers be led by Serge Diaghilev who newly made the whole artistic forms of the Ballets Russes(1909-1929). Therefore, his achievement was acknowledged as the thoughtful and aesthetic base and was much affect on the representation field of modern ballet. Michel Fokin, the choreographer of the Ballets Russes, had a plenty of knowledge on music and folk dances, and made an integration of both a fine art designer and an artistic work With a strong will about the new innovation, he represented a dramatic dance and brought a male dancer into relief in his works. Also, he emphasized that the style of ballet is fitted for the subject, the step always has to be new, and the dance has to be represented by the whole body. It was an inclination of his works that he tried on the condensed ballet into one act, showed to be unified completely both the subject and the emotional representation, and particularly, the stage fine art and the costume by Leon Bakst in <Scheherazade> were regarded to an epoch making stage for Fokin. Vaslav Nijinsky, as well a born dancer as the choreographer, sought after the new representation of modern ballet through his four works at period of the Ballets Russes. In <L'Apres-midi d'un faune> and <La Sacre du printemps>, he showed remarkably the primitive inclination with the Stravinsky's music. Also, he emphasized the primitive character by the individual choreography which made a trial of the new experimental motions both using a straight line and an acute angle and getting out of the tradition. Leonid Massine, the choreographer, who was excellent and choreographed the ballet on the basis of characteristic dances and folk dances, he represented the rhythmical melody which put emphasis on the importance of both music and dance, emphasized the dramatic representation which took much more of the interchange between dancers and spectators. In <Parade>, he tried the typical modernism and made a new motion vocabularies by using of both the music and the various acoustic effects which were mixed with the fine art of the Picasso's geometrical cubism style and the theories of dances. And he had an originative choreographic inclination. Therefore, he was able to make not only a symphonic ballet but also a story ballet to the comic satires. Bronislava Nijinska, the choreographer composed an actual choreograph with the characteristic motions of animals which represented the fabled contents on the basis of <Le Renard>. Also, in <Le Train Blue>, she tried to compose the classical ballet with the dynamic and acrobatic motions which was related to the sport games, and she showed the choreographic inclination of new modern senses. The <Les Noces>, which used the constructive composition with her excellent musical talent, was represented through the rhythmical character of Stravinsky and rhythmic movements. The various representations of folk, comedy, fable, and etc. were included in her works. So, she expanded the representative extent of arts. George Balancine, as the last choreographer of the Ballets Russes, accepted the thought of Diaghilev and made his own art character with the artistic aesthetics. In <Apollon Musagete>, he represented the excellence of the tradition on the logical techniques as the purity and the classical balance, created newly the elegant and angled motions with the combination of between music and choreograph. The inclination of works of the Ballets Russes showed the modern characters with the subject, the form, and the pursuit of new as an imagination which were totally included the realism, the primitivism, the expressionism, the new classicism, and so on. And Diaghilev as an art planner, five choreographers, and the famous artists at that time created together the new values which were developed the change of needs and responses in those days. Therefore, their works became wide spread around the world by a lots of choreographers and dancers who acted In the Ballets Russes. Finally, the Ballets Russes made a great contribution periodically and culturally to the history of modern Ballet.

      • 경기력을 향상시키는 역도선수들의 영양관리 및 식이섭취에 대한 문헌 연구

        안효작,신정희 한국체육대학교 2000 敎養敎育硏究所 論文集 Vol.- No.5

        서론 Ⅰ. 평상기 영양관리 1. 근력 향상을 위한 식사 2. 잊어서는 안될 체지방 체크 Ⅱ. 역도 선수들에게 효과적인 ergogenic aids 1. 아미노산 ergogenis aids 2. 무기질 ergogenis aidser 3. 비타민 ergogenis aids 4. 기타 ergogenis aids 5. ergogenis aids의 안전성 Ⅲ. 체중감량 식이 1. 체중감량 2. 부산을 예방하는 효과적 식사법 3. 피로회복 식사 4. 시합전의 올바른 식사법 결론 * 인용문헌 * ABSTR The purpose of this is to research nutritional management and ergogenic aids which may improve competitive performance of weight-lifter. Increased protein intake for the weight-lifters is significantly important during training for increasing muscle mass. The optimal protein intake for weight-lifter tranining may be 2g/kg. Moderate dose of arginine and ornithine may have enhanced body fat loss associated with resistance training an attribute partially modulated by somatotropin. Thus, it is recommended to intake arginine/ornithine during weigh-lifter training. Nutrition considerations for weight loss recommends daily low-fat, high protein diet since short-term weight loss decreases muscle mass. Continuous efforts for food pattern and ergogenic aids are needed to improve competitive performance.

      • KCI등재

        법인단체보험을 통해 개인에게 보험금이 지급되는 경우의 과세문제 ― 상속세 및 증여세법을 중심으로 ―

        신정희,양인준 서울시립대학교 서울시립대학교 법학연구소 2019 서울법학 Vol.27 No.3

        최근 우리나라의 보험시장은 급격히 성숙되어 사망보험금의 지급 및 보험금의 증여도 빈번해지고 있는 추세이다, 특히 개인보험에 비해 단체 소속 전원이 하나의 보험계약을 체결하므로 보험료에 규모의 수익이 존재하고, 급격히 변화되는 영업환경에서 임직원의 재해 및 안전의 보장, 복리후생 등을 위해 그 수요가 꾸준히 증가되고 있으며 보험사고가 발생하여 법인단체보험을 개인이 수령하는 경우도 증가하고 있으나, 다른 세법분야에 비하여 보험세제와 관련된 학문적 연구가 미진한 편이다. 법인단체보험을 통해 퇴직이나 상속의 개시를 이유로 개인에게 보험금이 지급되는 경우의 과세문제에 대한 연구가 이 글의 목적이다. 첫째, 법인단체 상해보험 계약에 따라 피보험자인 임원 등이 사망사고로 그 상속인이 사망보험금을 수령하는 경우 해당 사망보험금에 대하여 과세여부를 논하고자 한다. 현행 상속세 및 증여세법은 보험금에 대한 과세대상을 생명보험과 손해보험으로 한정하여 규정하고 있어 상해보험은 과세대상에서 제외되는 것으로 해석할 여지가 있으나, 상해보험에서도 사망보험금이 지급되므로 생명보험과 손해보험의 절충적 성격인 상해보험의 사망보험금을 달리 볼 이유가 없으므로 과세대상으로 명확하게 규정할 필요가 있다. 둘째, 과세방법에 대해서도 단체보험의 사망보험금의 경우 법인이 보험료를 납입하므로 현행 상속세 및 증여세법상 보험금의 과세요건인 “피상속인이 부담한 보험료”가 아니므로 상속세 및 증여세법 제8조에 의해 보험금으로 과세되지 않고, 해당 법인이 상속인에게 사망보험금을 증여한 것으로 보아 증여세를 과세하도록 하고 있다. 그러나, 해당 사망보험금은 보험수익자를 기준으로 상속세 및 증여세법의 규정을 적용하여 상속세로 과세하여야 한다. 즉, 보험수익자가 임직원인 경우 보험료 납입시 근로소득을 구성하여 실제 임직원이 보험료를 부담한 것과 동일하므로 상속세 및 증여세법 제8조의 보험금으로 보아 상속세를 과세함이 타당하고, 보험수익자가 법인인 경우 법인이 보험금을 수령하여 상속인에게 지급하게 되므로 해당 보험금은 피상속인의 근로계약 등에 기인하여 퇴직금, 공로금 이와 유사한 것이 피상속인의 사망으로 인하여 지급되는 금전에 해당하므로 상속세 및 증여세법 제10조에 따라 상속세로 과세하여야 한다. 이는 조세 공평성의 측면에서 볼 때도 해당 보험금을 별도의 증여 건으로 보아 증여세로 과세하는 현행 과세방법은 상속재산이 많을수록 세 부담이 줄어들어 공평한 과세방법이라 볼 수 없다. 셋째, 법인이 보험계약을 체결하고 보험료를 납입하다가 퇴직 등의 일정한 사유로 임원 등에게 해당 보험계약자 및 수익자의 지위를 이전하는 경우, 보험계약자의 변경시점에 퇴직소득이나 근로소득으로 과세하는 것이 적정하며, 그 과세가액의 산정의 문제에 있어서는 현행 기 불입한 보험료 상당액이라고 보는 것은 적절한 시가에 해당하지 아니한다. 보험계약자 변경시 과세가액은 보험사고 발생 전으로 실제 환급되는 보험금이 없어 보험계약상의 권리 평가문제가 발생하고, 추가적으로 연금의 형태로 지급받을 수 있는 선택권이 부여된 경우에도 해당 가액에 대한 평가방법의 정립이 필요하다. 보험은 그 특성상 만기 이전 해약시 기 불입한 보험료 상당액을 수령할 수 없는 경우가 많으므로, 최근 대법원 판례 ... Fewer academic studies have been performed on the taxation of insurance policies according to the interpretation of the Inheritance and Gift Tax Law (‘IGTL’) than any other tax law. Corporate-owned group insurance (‘CGI’) is increasingly used as a means of funding compensations for accidents or safety and security of directors and employees as well as employee benefits in a rapidly changing business environment. Nonetheless, it is acknowledged that there have been no studies done on the property transfer through the use of CGI. In case any death benefit is paid to heirs of insured directors, etc. under the terms of the CGI upon the death of the insured directors, etc. it is necessary to make certain whether this type of death benefit can be taxed according to the IGTL. Also, in the event of taxation, it should be clarified whether it is appropriate to apply the inheritance tax or the gift tax on the death benefit paid upon the death of the insured. Currently, the inheritance and gift tax is limitedly applicable to life insurance or non-life insurance policies. According to the Commercial Code and the Insurance Business Act, an accident insurance does not constitute a life insurance nor a non-life insurance policy. However, given that the death benefit is paid from an accident insurance policy, there may be no reasons to apply a different tax treatment to the death benefit paid from an accident insurance policy which combines characteristics of life insurance and non-life insurance. Accordingly, the tax treatment of death benefits under the CGI must be codified to ensure that they would be taxed. On the method of taxation, the tax authorities takes an approach that the rules of Article 8 of the IGTL - which treats insurance proceeds as deemed inherited property - cannot apply to group insurance and it cannot be taxable, given that group insurance premiums are paid by a corporation and there are no insurance premium cost born by a decedent under the IGTL. In case where heirs of the insured decedents receive the death benefit paid upon the death of decedents according to the term of the decedent's employment contract, it is considered that the death benefit includes, in substance, severance pay, monetary reward or similar payment made by a corporation to the heirs upon the death of decedents. Therefore, this type of payment meets the criteria for deemed inherited property and it is appropriate to apply the inheritance tax under Article 10 of the IGTL (i.e. severance pay as deemed inherited property) in this case. Moreover, from the viewpoint of fairness in taxation, it cannot be fair to levy the gift tax by considering that the corporation give the gift to the heirs, given the fact that it would be more favorable to high net worth individuals with more inherited assets in terms of reducing actual tax burden. As such, it is appropriate to apply the inheritance tax on the death benefit the heirs receive according to the CGI and this should be codified in the tax law. Meanwhile, in case where a corporation purchases an insurance policy and pays the insurance premiums for directors, etc. who work for the company and then owners or the beneficiaries of insurance policy change to individuals for reasons of leaving the company and other specific reasons, there can be issues of whether it is taxed at the point when the insurance policyholder or beneficiary changes and of how to assess the tax base. In case where a company transfers the ownership of insurance policy to the insured directors, etc., the tax authorities interprets that the equivalent amount of premiums paid by the company for the insured directors, etc. should be treated as employment income or retirement income of these directors, etc. Due to the characteristics of insurance, it is not possible to receive the equivalent amount of premiums paid when an insurance contract is terminated before its maturity and thus, it cannot be appropriate market prices. In cas...

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