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        구개열 아동의 자음정확도, 말 명료도 및 말 용인도 간의 상관연구

        한진순(Jin Soon Han) 한국언어청각임상학회 2009 Communication Sciences and Disorders Vol.14 No.2

        배경 및 목적: 조음장애에 대한 임상적 의사결정에는 자음정확도 외에 의사소통의 효율성에 대한 지표도 포함시키는 것이 중요하다. 본 연구는 구개열 아동의 문장발화에 대해 산출된 자음정확도, 말 명료도 및 말 용인도가 어떠한 관계를 갖는지 알아보는 데 그 목적이 있다.방법: 연령을 일치시킨 구개열 아동, 기능적 조음장애 아동, 일반 아동 각각 9명에게 8음절문장 7개를 따라 말하게 하여 63개 문장 발화의 자음정확도를 산출하였다. 그 다음, 문장 발화를 무선화하여 청취자료로 제작한 뒤 일반인 청취자 40명에게 들려주고 시각적 아날로그 척도를 사용하여 말 명료도와 말 용인도를 평정하게 하였다. 이후 전체 문장, 문장 유형별, 자음정확도, 말 명료도 및 말 용인도 수준별로 산출된 자음정확도, 말 명료도 및 말 용인도 간의상관분석을 실시하였다. 결과: 전체 문장에서 판정된 자음정확도와 말 명료도, 자음정확도와말 용인도, 그리고 말 명료도와 말 용인도 간의 상관은 세 아동 집단에서 모두 유의하였다.문장의 유형을 구분하여 자음정확도와 말 명료도, 자음정확도와 말 용인도의 관련성을 분석한결과, 각 집단별로 유의한 상관을 보인 문장 유형은 다르나 대체로 혓소리와 발달상 늦게습득되는 자음 문장에서 상관이 유의하였다. 자음정확도, 말 명료도 및 말 용인도의 수준에 따라 세 변인 간의 관련성을 분석한 결과, 대체로 말 명료도와 말 용인도 간의 상관 외에는유의하지 않았다. 논의 및 결론: 문장발화에서 판정된 자음정확도가 높을수록 말 명료도와말 용인도도 높게 평가될 수 있다. 자음정확도 외에 말 명료도와 말 용인도의 판정에 미칠수 있는 여러 조음 변인을 논의하였다. 말 명료도와 말 용인도 간의 상관도가 매우 높게 나타났으나, 두 변인에 작용하는 조음 변인이 다를 수 있음을 논의하였다 Background & Objectives: It is important to account for the index of communication effectiveness as well as the percentage of correct consonants (PCC) in clinical decision-making when treating patients with articulation-phonological disorders. The purpose of the current study was to examine whether there is a correlation among the PCC, speech intelligibility, and speech acceptability of children with cleft palate (CP). Methods: Nine children with cleft palate, nine children with functional articulation disorder, and nine children without developmental abnormalities, all three to six years of age and age-matched, participated in this study. All subjects were asked to repeat seven eight-syllable sentences. Each utterance was judged in regard to correct articulation of the target sounds, and a PCC score was calculated for each sentence. After listening to each sentence, 40 naive listeners were asked to rate both the speech intelligibility and speech acceptability of each sentence on a 10㎝ Visual Analog Scale. Results: The PCC scores, speech intelligibilities, and speech acceptabilities of the sentences produced by children with cleft palate were significantly related. A significant relationship among the PCC score, speech intelligibility, and speech acceptability ratings for lingual consonants and consonants that are generally acquired later during development was detected. The correlations between the PCC scores and the speech intelligibility ratings, and the PCC scores and the speech acceptability ratings were not significant when analyzed by level of PCC, speech intelligibility, and speech acceptability. Discussion & Conclusion: Although speech intelligibility and speech acceptability are influenced by PCC score, they are not interchangeable measures. Variables that may underlie the relationships between PCC, speech intelligibility, and speech acceptability was discussed.

      • KCI등재
      • KCI등재후보

        한국형출혈열에서 Kallikrein - Kinin 활성에 관한 연구

        한진석(Jin Suk Han),이정상(Jung Sang Lee),이상구(Sang Koo Lee),김성권(Suhng Gwon Kim),고창순(Chang Soon Koh),이문호(Mun Ho Lee) 대한내과학회 1989 대한내과학회지 Vol.37 No.2

        N/A Although it has been suggested that the basic lesion of hemorrhagic fever with renal syndrome in Korea (Korean hemorrhagic fever) is the vasculopathy consisted of dilatation of generalized small vessels, increased permeability, permeation of plasma components and diaphedesis of blood cells, its pathophysiologic mechanism has been under debate. We purposed to investigate the role of kallikrein-kinin in the vasculopathy and its relation with the clinical findings of Korean hemorrhagic fever. We measured serially plasma prekallikrein, kallikrein and kallikrein inhibitor activities by amidolytic assay with synthetic substrate and compared with the variable clinical indices that has been regarded as the prognostic factors. The results obtained as follows; 1) The plasma prekallikrein activities were significantly reduced and kallikrein activities were significantly elevated in the group of the 5~7th day of illness compared to those of .15~21st and over 22nd day (p<0. 05, Scheffe's test). But those of kallikrein inhibitor were elevated in the earlier day of illness without significant change during the course. 2) The plasma prekallikrein activities were significantly reduced in the hypotensive phase compared to those of the febrile phase, and in the hypotensive and oliguric phases compared to those of the diuretic and convalescent phases (p<0.05, Scheffb's test). The plasma kallikrein activities were significantly elevated in the hypotensive phase compared to those of all the other phases, and in the oliguric phase compared to the diuretic and convalescent phases (p<0.05, Scheffe's test), But those of kallikrein inhibitor were elevated without significant change in each phase. 3) The plasma prekallikrein activities were significantly reduced in the groups with primary shock, severe azotemia, leukocytosis and thrombocytopenia. Those of kallikrein were significantly elevated in the group with primary shock, hemoconcentration, leukocytosis, thrombocytopenia and higher scores of clinical severity. 4) In the 11 cases with kallikrein activation, clinical characteristics were shorter days from onset to admission, higher scores of clinical severity, hematocrit, leukocyte counts, and lower thrombocyte couots and initial creatinine. 5) The plasma Cl inhibitor were elevated without significant change in the day of illness or each phase. And there was a good correlation between plasma kallikrein inhibitor and C1 inhibitor (r=0.76, p<0.01). Thus we concluded that the activation of kallikrein-kinin in Korean hemorrhagic fever plays significant role in the pathophysiologic mechanism and is related with primary shock, hemoconcentration, leukocytosis, thrombocytopenia and clinical severity.

      • KCI등재후보

        만성 대사성 산증에서 요 음이온차를 이용한 요 산성화능의 평가

        한진석(Jin Suk Han),주권욱(Kwon Wook Joo),정윤철(Yoon Chul Jung),임춘수(Choon Soo Lim),김연수(Yon Su Kim),안규리(Cu Rie Ahn),김성권(Suhng Gwon Kim),이정상(Jung Sang Lee),김근호(Gheun Ho Kim) 대한내과학회 1993 대한내과학회지 Vol.45 No.4

        N/A Objectives : The clinical usefulness of the urine anion gap as an indirect index of theammonium excretion was reported only in patients with hyperchloremic metabolic acidosis. And the significance of the urine anion gap and its relation with other indices of urine acidification are not clearly defined yet. We are aimed to evaluate the clinical usefulness of the urine anion gap and its relations with other indices of urine acidification in normal and high anion gap metabolic acidosis. Methods : We measured the urine acidification indices (ammonium, titratable acid, net acid) and the urine anion gap in 24 patients with chronic renal failure, 7 patients with dista1 renal tubular acidosis, and 8 healthy adults with acid loading (normal controls), whose arterial blood bicarbonate concentrations were 14.0 mmol/ L (7.0 to 20.0 mmol/L)(median;range), 18.1 mmol/L(15.0 to 20.0 mmol/L), 19.5 mmol/L(16.8 to 22.D mmol/L), respectively. Results: The urinary excretion of ammonium in chronic renal failure(4.5 mmol/day; 1.6 to 11.8 mmol/ day) and renal tubular acidosis (19.8 mmol/day; 6.9 to 27.2 mmol/day) were lower than in normal controls (52. 5mmol/day; 37.3 to 69.4mmol/day)(p<0.05). The urinary excretion of titratable acid in chronic renal failure (4.9 mmol/day; 0.1 to 19.7 mmol/day) and renal tubular acidosis (2.8 mmol/day; 0.1 to 20.2 mmol/day) were lower than in normal controls (6.2 mmol/day; 20.6 to 36.9mmol/day)(p<0.05) The urinary excretion of net acid in chronic renal failure(8.8 mmol/day; 0.1 to 28.2 mmol/day) and renal tubular acidosis (12.9 mmol/day; 0. 1 to 33.6 mmol/day) were also lower than in normal controls (77.9mmol/day; 62.7 to 98.9 mmol/day)(p<0. 05). The urine anion gap in chronic renal failure (22.9 mmol/L; 13.0 to 43.2 mmol/L) and renal tubular acidosis (36.0 mmol/L; 7.0 to 82.0 mmol/L) were higher than in normal controls (-14.6 mmol/L; 40.7 to 2.2 mmol/ L) (p<0.05), and had inverse relation with urine ammonium (r=-0.71, p<0.01), titratable acid (r=-0.76, p<0.01), and had inverse relation with urine ammonium (r=-0.83, p <0.01), respectively. The urine anion gap in chronic renal failure and renal tubular acidosis were all above 5.0 mmol/L. Conclusion : We concluded that the urine anion gap in chronic metabolic acidosis would be a good clinical index of the impairment of urine acidification in the distal nephron, and reflect not only urine ammmonium excretion but also urinary excretion of net acid.

      • KCI등재

        패밀리레스토랑의 고객가치, 고객만족, 행동의도간의 구조적 관계에 관한 연구

        한진수(Jin Soo Han),현경석(Kyung Suk Hyun) 한국호텔외식관광경영학회 2009 호텔경영학연구 Vol.18 No.1

        The purpose of this study was to examine the effect of family restaurants` customer value on satisfaction and behavior intention using a structual equation model. Especially, the First-order dimensions of customer value consisted of quality, emotional response, monetary price, behavioral price and reputation. The results of structural equation modelling showed that monetary money and reputation were a significant effect on customer value. In addition, customer value was found to influence on satisfaction and behavior intention. Also satisfaction influenced on behavior intention significantly.

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