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        안면신경마비 환자의 재건에 관한 증례보고

        최문기,Choi, Moon-Gi 대한악안면성형재건외과학회 2005 Maxillofacial Plastic Reconstructive Surgery Vol.27 No.3

        Rehabilitation of the paralyzed face as a result of trauma or surgery remains a daunting task. Complete restoration of emotionally driven symmetric facial motion is still unobtainable, but current techniques have enhanced our ability to improve this emotionally traumatic deficit. Problems of mass movement and synkinesis still plague even the best reconstructions. The reconstructive techniques used still represent a compromise between obtainable symmetry and motion at the expense of donor site deficits, but current techniques continue to refine and limit this morbidity. In chronically paralyzed face, direct nerve anastomosis, nerve graft, or microvascular-muscle graft is not always possible. In this case, regional muscle transposition is tried to reanimate the eyelid and lower face. Regional muscle includes maseeter muscle, temporalis muscle and anterior belly of the digastric muscle. Temporalis muscle is preferred because it is long, flat, pliable and wide-motion of excursion. In order to reanimate the upper and lower eyelid, Upper eyelid Gold weight implantion and lower eyelid shortening and tightening is mainly used recently, because this method is very simple, easy and reliable.

      • KCI등재

        우췌성 백반증에서 기원한 우췌성 암종의 치험례

        최문기,Choi, Moon-Gi 대한악안면성형재건외과학회 2006 Maxillofacial Plastic Reconstructive Surgery Vol.28 No.4

        Oral leukoplakia is the most common premalignant lesion and malignant transformation has been reported from verrucal lekoplakia. Homogenous, benign leukoplakia develops into a line of squamous cell carcinoma such as verrrucous carcinoma, papillary squamous cell carcinoma and invasive squamous cell carcinoma. Early diagnosis and intervention of premalignant leukoplakia is up-most important to prevent transformation into a oral squamous cell carcinoma. Any change in surface, size and color warrants repeated biopsy. If verrucous carcinoma is evidently derived from the previous leukoplakia, wide surgical excision and periodic follow up is needed. Surgically removed lesion of leukoplakia has the tendency to recur. Follow-up is very important to patient and clinician. Although many therapies have been reported to oral leukoplakia and verrucal carcinoma, accepted treatment principle is not exist so far. But surgical removal is recommended as the treatment of choice.

      • KCI등재

        법랑아세포종의 냉동수술 치험례

        최문기,Choi, Moon-Gi 대한악안면성형재건외과학회 2012 Maxillofacial Plastic Reconstructive Surgery Vol.34 No.3

        Although an ameloblastoma is a benign tumor histologically, it may act malignantly. It has locally destructive and recurrent tendencies. Many different strategies have been attempted in order to cure an ameloblastoma including curettage, enucleation, marsupialization, and resection with a safty margin. Curettage, enucleation, and marrsupialization can be classified into a conservative treatment and resection with a safty margin can be classified into a radical treatment. Radical treatment has better results than the conservative treatment. Thus, more radically conservative treatment methods are needed in order to improve the treatment results. The cryosurgery can be applied an ameloblastoam. In particular, with regards to the solid and intramural type, the application of the cryosurgery has its advantages over the conservative treatment. After resection of the diseased area we don't need to discard the diseased segment. Instead, by placing the segment in liguid nitrogen, the diseased segment can use the autogenous tray for packing several bone materials.

      • KCI등재

        진행성 반안면위축환자의 치험례

        최문기,Choi, Moon-Gi 대한악안면성형재건외과학회 2010 Maxillofacial Plastic Reconstructive Surgery Vol.32 No.4

        A progressive hemifacial atrophy is characterized by progressive atrophy of subcutaneous fat and rarely muscle and bone. Its contour follows the underlying muscle. Unilateral involvement is common. The treatment goal has been focused on the augmentation of the soft tissue. Many materials such as implants, collagen, fat graft, fat injection, dermal fat graft, filler and vascualized autogenous graft have been used. Although these materials have been used, the best treatment hasn't been achived. In severe cases underlying soft tissue, muscle and bone may be atrophied and massive soft tissue graft, implant and orthognathic surgery must be used. The author used the dermal-fat tissue for the pupose of soft tissue augmentation. We can get the massive soft tissue by the dermolipectomy procedure through the mini-abdominoplsty. The facial augmentation was done by augmentation of the dermal-fat tissue. The progressive hemifacial atrophy is hard to treat by only one procedure and many modalites must be considered.

      • KCI등재
      • KCI등재

        COVID-19 위기 거버넌스에 대한 시스템 접근

        최문기 ( Choi¸ Moon Ki ) 한국윤리학회 2021 倫理硏究 Vol.134 No.1

        세계가 긴밀하게 서로 연결되고 의존할수록 그만큼 더 취약성에 노출되기 쉽고, 그래서 생태계 파괴, 지구 온난화, 해수면 상승, 새로운 전염병, 경제 침체 같은 글로벌 위기에 직면할 가능성은 더 커진다. 그 중의 하나인 COVID-19 위기는 전 세계적으로 엄청난 인적 및 물적 피해를 양산하였고, 변이 바이러스로 진화하면서 갈수록 심각하게 위협하고 있다. 이러한 보건 위기 상황을 전체적 맥락에서 다루기 위해서는 ‘국내외 거버넌스’ 구축이 요구된다. 본 연구는 ‘시스템 접근’(systems approach)을 통해 COVID-19 위기를 다룰 수 있는 ‘보건 거버넌스’(health governance) 문제를 다루었다. 주요 내용은 1) COVID-19 위기가 본성상 ‘시스템 위기’임을 밝혔고, 2) 이를 다루기 위해서는 단순한 ‘위기-관리’(crisis-management) 접근이 아니라 근본적인 ‘시스템-회복’(systemsresilience)을 강화하는 접근이 필요함을 강조하였다. 3) 그리고 COVID-19 위기에 대처하기 위한 ‘글로벌 보건 거버넌스’ 강화 과제를 제시한 후, 4) 이를 ‘우리나라의 포괄적이고 민주적인 보건 거버넌스’ 강화에 적용해서 주요 과제를 탐구하였다. The characteristics of the world in the 21st century can be summarized as complexity and vulnerability. The closer the world is connected and dependent, the more vulnerable it is, and the more likely it is to face global crises such as ecosystem destruction, global warming, new infectious diseases and economic downturns. It is necessary to establish ‘global and domestic governance’ to cope with these crises in a holistic context. COVID-19 occurred in December 2019 caused a serious health crisis. It has been a year and a half, but it shows no signs of abating, and it is trapping daily lives by producing enormous human and material damage. It is evolving into new viruses which is several times more powerful. The purpose of this paper is to study health governance that can address the COVID-19 health crisis through systems approach. The main content is 1) that the COVID-19 crisis is a ‘systemic crisis’ in nature, and 2) that it needs an approach that strengthens the fundamental ‘systems-resilience’ rather than ‘crisis-management’ approach. 3) After presenting tasks to establish ‘global health governance’ related to legal and institutional as well as norm and value aspect to deal with the COVID-19 crisis, 4) apply them to ‘Korea’s comprehensive and democratic health governance’ and explore our major tasks.

      • KCI등재
      • KCI등재
      • KCI등재후보

        다문화 시대에 [도덕과] 교육의 과제

        최문기 ( Moon Ki Choi ) 한국윤리교육학회 2008 윤리교육연구 Vol.0 No.17

        이 논문의 목적은 다문화 시대에 [도덕과] 교육이 추구해야 할 역할이나 과제를 탐색하는데 있다. 세계화와 더불어, 많은 사람들이 세계 각국을 빈번하게 옮겨 다니고 있다. 다문화주의는 인종, 종족, 언어 등과 관계없이 문화적 다양성을 존중할 것을 요구한다. 다문화교육은 다문화주의를 토대로 하면서 다문화에 관한 이해, 신념, 태도 등을 촉진하고자 한다. 외국 근로자, 국제결혼 등에 의한 이주민의 증가로 인해, 우리나라도 1990년대 이후 다문화 사회에로 진입하고 있다. 이에 우리도 다문화 사회에 적합한 [도덕과] 교육의 역할이나 과제를 진지하게 모색할 시점에 이르렀다고 본다. 연구자의 논문은 다음과 같이 세 부분으로 구성되었다 : 1) 오늘날 우리에게 다문화 사회가 왜 문제인가?, 2) 다문화 교육의 이론적 토대는 무엇이고, 다문화 교육을 실시하고 있는 주요 외국의 사례들이 시사하는 바는 무엇인가?, 3) 우리 사회가 처한 상황을 수용하여, [도덕과] 교육이 추구해야 할 역할이나 과제는 무엇인가? 이다. 두 번째 물음과 관련해서 도출한 시사점은 호주, 캐나다, 미국, 독일, 프랑스, 일본 등은 공통적으로 다문화 교육을 지원하는 법적, 제도적 체계를 확립하는 한편, 학교교육에서의 교육과정을 통해 접근한다는 점이다. 이에 우리도 법적 및 제도적 지원체계의 확립, 교육과정의 구비라는 두 가지 과제를 동시에 달성하기 위해 노력해야 한다. 세 번째 물음과 관련해서 연구자는 네 가지 역할이나 과제를 제시하였다: 1) 학교 내에서 [도덕과] 교육을 담당하는 우리만의 다문화 교육의 교육과정을 개발해야 하고, 2) 학교 밖에서 이루어지는 다양한 다문화 교육 활동에 제공할 수 있는 보조적인 교육 프로그램을 개발해야 한다. 그리고 3) 다문화 교육과 관련된 이념적 관점을 정립해야 하는데, 예를 들면, 다문화주의와 민족주의, 자유주의와 공동체주의 간의 이념적 조화를 모색하는 것이다. 4) 다문화 교육의 윤리적 토대나 원리를 배려윤리, 타자윤리, 도덕심리학, 사회심리학, 시민교육 등에서 찾아 정립하는 것이다. 연구자는 하나의 가능한 예로서, 커뮤니케이션 이론에 기초하여 간-문화 혹은 다문화 커뮤니케이션을 위한 세 가지 윤리적 원리들을 소개하였다. The purpose of this paper is searching for the role or tasks of moral education in multi-cultural age. With globalization, many people move among the world frequently. Multi-culturalism advocates respect for the cultural diversity regardless of race, ethnicity, language etc. Multi-cultural education accommodates multi- culturalism, and promotes multi-cultural understanding, perception, belief, attitude. Owing to the increasing immigration of foreign workers, international marriage, our country has also entered a multi-cultural society since 1990. So we need to seek for the role or tasks of moral education suitable to multi-cultural society. My paper consists of three parts as follows: 1) Why is multi-cultural society an issue to us nowadays?, 2) What are the theoretical foundations of multi-cultural education and what are the implications of the main countries` educational cases?, and 3) What are the role and tasks of moral education in our situations. Related to the 2nd question, the main countries(Australia, Canada, U.S.A., Germany, France, and Japan) on the one hand have established the legal and institutional supporting systems, on the other have approached through the educational curriculum. We also need to look for two solutions : legal and institutional supporting systems; educational curriculum. Related the 3rd question, I suggest the important role or tasks : 1) to make our own(moral educational) curriculum inside the school education; 2) to make the supplementary educational programs suitable to the multi-cultural education activities outside the school; 3) to balance the theoretical perspectives, for example, between multi-culturalism and nationalism, between liberalism and communitarianism; 4) to set up the ethical foundation or principle of multi-cultural education among care ethics, others ethics, moral psychology, social psychology, civic education etc. As an example, I introduce three ethical principles for inter-cultural or multi-cultural communication based upon communication theory.

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