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최건수(崔健壽) 한국교육학회 1998 敎育學硏究 Vol.36 No.2
신 Piaget 이론가인 Case에 의하면, 연령에 따른 생득적인 정보처리용량 이외에도 문화적 경험에 따르는 특정 개념의 이해가 아동의 사고에 영향을 미친다. 예를 들어, 수세기선 (counting line) 이라는 개념적 표상체제는 아동의 양적 사고에서 중요한 역할을 하는 중심 개념구조 (central conceptual structures) 라고 간주된다. 지금까지 양적 사고를 포함하여 사회적 인지, 공간적 인지 등 세 영역에서 중심개념구조의 존재가 경험적으로 입증되었고, 최근에는 청소년의 사고에서 중심개념구조의 존재와 그 발달이 연구되고 있으며, 또한 미국, 일본, 중국 등에서 문화간 연구를 통해서도 중심개념구조의 가정이 연구되고 있다 앞으로 우리나라 아동들을 대상으로 중심개념구조의 발달현상을 검증하기 위해 양적 사고 및 사회적 사고에서 중심개념구조에 관한 여러 가정과 연구를 이론적으로 분석하였다.
崔建植(최건식) 동북아시아문화학회 2014 동북아 문화연구 Vol.1 No.39
This study discusses various aspects of 164 Chinese characters used in Ancient literature for transcribing Japanese Gods" names by means of pronunciations. Previous studies tend to exclude proper names such as Gods" names, which have been considered different from common nouns. This study, however, argues that the way of transcribing Japanese Gods" names in homophonic Chinese characters correspond to that of other nouns found in Ancient Japanese literature. The reason for the same way of transcribing common and proper nouns is that the same principle was applied to all the transcriptions in the ancient literature such as Ki and Shoki in the early eighth century. This study analyses the ratio of the consonants and vowels commonly found in both Gods" names and people"s names. The most popular pattern is Ryakuon-gana, which is followed by Rengō-gana and Nigō-gana: Ryakuon-gana, a new pattern of transcription, began to be dramatically and widely used, compared to Rengō-gana and Nigō-gana, old patterns of transcription. The ratio is higher in Ki than in Shoki since using Chinese characters for meaning as well as for pronunciation is common in Ki, where there are noteworthily the same Chinese characters that are used for both their meaning and pronunciation.
최건무,곽재영 대한응급의학회 2014 大韓應急醫學會誌 Vol.25 No.3
Purpose: The main purpose of this study was to achieve abroad perspective of the clinical problem with regard to itsoverall presentation and relation to anticoagulant andantiplatelet therapy, and to describe common managementstrategies and clinical outcomes. Methods: We initially screened 262 patients who wereadmitted from the Emergency Department between June,1996 and June, 2013, with International Classification ofDiseases code of K66.1 (hemoperitoneum), R58 (retroperitonealhemorrhage) and D68.3 (hemorrhagic disorder dueto anticoagulants). We excluded patients with retroperitonealhemorrhage (RH) associated with trauma, vascularlesions, tumors, liver cirrhosis, renal failure, and surgicalcomplications. A total of 24 adult patients were found tohave retroperitoneal hematoma due to spontaneous lumbarartery rupture and were included in the study for furtheranalysis. Results: Male to female ratio was 14:10 and the mean agewas 75.3±10.4 years old. Overall, 19 patients (79.1%)were taking warfarin, 20 patients (83.3%) were takingaspirin and/or clopidogrel, and 15 patients (62.5%) weretaking both anticoagulant and antiplatelet medications. Themost common presenting symptom was acute back pain. CT scan showed extravasation of contrast in 20 patients. The mean hematoma size was 12.5±6.4 cm. Elevenpatients (55%) underwent arterial embolization and 22patients (91.6%) received blood transfusion. No surgicalintervention was performed. Conclusion: Retroperitoneal hematomas caused by spontaneousrupture of the lumbar artery showed a strong associationwith use of anticoagulant and/or antiplatelet therapy. For patients, particularly elderly patients, who present withacute back pain or hemodynamic instability and who are onanticoagulant and/or antiplatelet therapy, ER physiciansshould consider retroperitoneal hematoma as a differentialdiagnosis and to rule it out vigilantly.
소화성 궤양 천공의 복강경하 일차 봉합술과 개복 일차 봉합술의 비교
최건무,곽진호,장혁재,한명식,김지훈 대한내시경복강경외과학회 2009 Journal of Minimally Invasive Surgery Vol.12 No.2
Purpose: Simple closure, regardless of using an omental patch, continues to be the preferred option for many surgeons. It is a easy, quick and safe operation, and it can be applied to all situations by every surgeon. The purpose of this study was to investigate the feasibility of routinely using laparoscopic repair for treating perforated peptic ulcer. Methods: A retrospective review was carried out on 68 consecutive patients who underwent patch repair for a perforated peptic ulcer; 11 underwent laparoscopic repair and 57 underwent open repair. Laparoscopic repair was performed by one surgeon at the same hospital between March, 2006 and February, 2009. Both groups were compared according to the Mann-Whitney U-test. A p value<0.05 was considered to be significant. Results: Statistical significance (p<0.05) between two groups (laparoscopic vs. open) was present regarding to the postoperative morbidity (0 vs. 16 cases, respectively), the hospital stay (4.8 vs. 12.7 days, respectively), the postoperative day of resuming an oral diet (3 vs. 5.7 days, respectively). The mean operative time of laparoscopic repair (78 minutes) was shorter than that of open repair (82 minutes) but this was not statistically significant (p=0.81). We excluded using a pain scale or assessing the use of analgesics in this study because of the popularity of IV PCA (intravenous patient-controlled analgesia). Conclusion: Laparoscopic primary repair is a safe emergency procedure for treating perforated peptic ulcer patients.