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      • KCI등재후보

        Early Bile Duct Cancer Detected by Direct Peroral Cholangioscopy with Narrow-Band Imaging after Bile Duct Stone Removal

        김희경,문종호,최현종,김희경,민슬기,박종규,조영덕,박상흠,이문성 거트앤리버 소화기연관학회협의회 2011 Gut and Liver Vol.5 No.3

        Cholangioscopy not only enables the direct visualization of the biliary tree, but also allows for forceps biopsy to diagnosis early cholangiocarcinoma. Recently, some reports have suggested the clinical usefulness of direct peroral cholangioscopy (POC) using an ultra-slim endoscope with a standard endoscopic unit by a single operator. Enhanced endoscopy, such as narrow band imaging (NBI), can be helpful for detecting early neoplasia in the gastrointestinal tract and is easily applicable during direct POC. A 63-year-old woman with acute cholangitis had persistent bile duct dilation on the left hepatic duct after common bile duct stone removal and clinical improvement. We performed direct POC with NBI using an ultra-slim upper endoscope to examine the strictured segment. NBI examination showed an irregular surface and polypoid structure with tumor vessels. Target biopsy under direct endoscopic visualization was performed, and adenocarcinoma was documented. The patient underwent an extended left hepatectomy, and the resected specimen showed early bile duct cancer confined to the ductal mucosa.

      • KCI등재

        Bon의 간투사적 기능 - 화용적 기능을 중심으로 -

        김희경 한국프랑스학회 2011 한국프랑스학논집 Vol.75 No.-

        Ce travail consiste à décrire le fonctionnement interjectif de Bon dans la situation de l'énonciation. On comprend l'abondance de Bon dans toutes les situations de dialogue. Dans un premier temps, on examine les exemples analysés par Winther ainsi que le fonctionnement de Bon dans le débat. Le fonctionnement de Bon qui pontue, selon Winther, la clôture des interventions a été un point crucial ainsi que l'idée d'acceptation défendue par Hansen au travers des exemples dans lesquels Bon se trouve. Ensuite, on explique comment l'interjection Bon fonctionne dans la situation de l'énonciation en question. Le locuteur réagit à la situation donnée et manifeste l'attitude positive en disant Bon. C'est cet aspect de réaction spontanée qui fait de Bon une interjection. Enfin, on examine d'une part l'expression Ah bon et le contexte dans lequel s'inscrivent Bon et Ben d'autre part. L'énonciation de Bon s'interprète de la manière suivante. Premièrement, Bon fait réfèrence à une action (ou un fait) qui peut être présentée d'une certaine manière, en gros, comme terminée. Deuxièmement, le locuteur désire qu'une action en cours soit terminée par le biais de Bon. D'où vient l'effet de sens moins menaçant qu'une injonction. On conclue en insistant sur le fait que Bon introduit dans la situation de l'énonciation l'intention du locuteur. C'est à partir de cette précision de la direction de sens visée par le locuteur que l'on essaie de décrire l'intention argumentative du locuteur marquée par l'interjection Bon.

      • KCI등재

        메타텍스트의 기능적 특성 연구

        김희경 한국언어문화교육학회 2013 언어와 문화 Vol.9 No.2

        This research explores the various textual characteristics of Korean material. Korean material can be categorized as either ‘Object Text’ or ‘Meta Text’. While object texts contain knowledge of Korean and Koran Culture, Meta Texts function as a tool for teaching and learning of Object Texts. So the Object Text is included teaching and learning contents, whereas the Meta Text is included teaching and learning methods. On this basis, an analysis of the characteristics of Meta Texts serves as a clear explanation for the educational functionality of Korean materials. However, Meta Texts have not been researched as much as Object Texts have until now. This study aims to reveal the textual characteristics of Meta Text through representative Meta Text such as a learning objective and an activity directions etc. A learning objectives is a text that states the objective of a relevant text. A activity directions on the other hand illustrates the progress of the implementation process of lessons, especially its chronological aspect. As evidenced by how the two Meta Texts types comprise a significant proportion of material's elements, those can be defined as the main Meta Text used to determine the characteristics of Meta Text.

      • KCI등재

        청소년 여가공간의 구성을 위한 전제조건에 관한 연구

        김희경 여가문화학회 2010 여가학연구 Vol.7 No.3

        This study compared the children or adults-only space is relatively low teens feel the need for leisure space, and its construction before the necessary preconditions to find out what purpose. First look at the actual conditions of use leisure young people, young people leisure space, which means that if you want young people through the comprehension leisure area was to identify the behavior. Being such a precondition for the establishment of a leisure area -desire of young people, the playing culture of young people, the experience of young people leisure space-3 elements are present. To identify each, presented the direction of leisure spatial founding which the young people are healthy based on the correspondence between preconditions. 본 연구는 어린이나 어른에 비해 전용 공간이 상대적으로 부족한 청소년 여가공간의 필요성을 느끼고, 그것의 건립에 앞서 필요한 전제조건이 무엇인지를 알아보는 것이 목적이다. 우선 청소년 여가 활용의 실태를 살펴보고, 청소년에게 여가공간은 어떤 의미가 있는지의 고찰을 통해 청소년들이 원하는 여가공간의 행태를 파악하였다. 이어서 그러한 여가공간의 건립을 위한 전제조건을 청소년의 욕구․청소년의 놀이문화․청소년 여가공간의 체험이라는 3가지 요소를 제시하고 각각을 파악하여 전제조건 간의 연관성을 바탕으로 한 청소년의 건전한 여가공간 설립의 방향을 제시하였다.

      • KCI등재

        Voilà 에 대한 몇 가지 고찰

        김희경 한국프랑스어문교육학회 2012 프랑스어문교육 Vol.39 No.-

        Ce travail a pour but principal d'expliquer le sens et le fonctionnement du présentatif Voilà et ainsi de décrire la situation de l'énonciation dans laquelle Voilà s'inscrit. Diachroniquement, le présentatif Voilà est formé de l'impératif du verbe voir accompagné d'un adverbe de lieu là. En partant du fait de l'absence de flexion de sa partie verbale, et surtout de la présence du déictique, nous dirons d'une part que Voilà est lié à l'attitude du locuteur, qui détermine le lieu de l'énonciation. Et nous dirons que Voilà est rivé au lieu et à l'instant présent d'autre part. Ce travail se devise en deux parties. En premier lieu, nous réfléchissons à ce qui peut être comme sens essentiel de Voilà. Dans ce cas, il est nécessaire de comprendre le fait suivant. En français contemporain, Voilà a perdu toute trace du fonctionnement morphologique verbal. Mais de son origine verbale, Voilà conserve éanmoins les propriétés verbales, et la construction du groupe nominal qui le suit est celle d'un complément. Et sur le plan sémantique, Voilà, à cause du déictique à valeur spatiale qu'il comprend, est démonstratif et situationnel. En deuxième lieu, nous essayons de cerner le fonctionnement de Voilà ainsi que le sens de l'énonciation. Pour conclure, nous énumérerons les résultats de ce travail. Premièrement, Voilà en tant que présentatif comportant un impératif du verbe voir, permet au locuteur de désigner ce qui est positivement dans le moment même de la parole, d'attirer l'attention de l'allocutaire sur quelqu'un ou quelque chose qui se trouve dans le lieu de l'énonciation et enfin d'inviter ainsi l'allocutaire à en prendre connaissance. Deuxièmement, Voilà marque la possibilité d'extention de la situation de l'énonciation dans laquelle l'esprit du locuteur se situe. Troisièmement, Voilà, dans l'emplois temporel, a pour le point de repère le moment de l'énonciation d'où vient l'effet rétrospectif. Quatrièmement, Voilà cesse de renvoyer au lieu de l'énonciation pour désigner ce qui est positivement dans le moment même de la parole, et marque la fin d'un développement en induisant ce qui a été dit antérieurement. Quoi qu'il en soit, nous constaterons que dans les emplois de Voilà, l'idée d'une perception visuelle reste dominante.

      • KCI등재

        남녀 청소년이 지각한 부모의 심리적 통제와 우울 및 공격성의 관계: 거부민감성의 매개효과를 중심으로

        김희경,김해란 한국청소년학회 2017 청소년학연구 Vol.24 No.1

        This study is intended to confirm that parental psychological control with its rejection sensitivity has different influences of depression and aggression with male and female adolescents. The results of this study can be summarized as follows: First, In the influences of depression, male adolescents are not affected from both of their parents psychological control but female adolescents are affected only from their mothers. In the influences of aggression, male adolescents are affected from their father's psychological control but female adolescents are affected from their mother's psychological control. Second, It is recognized that male adolescents are influenced from their maternal psychological control through rejection sensitivity and female adolescents are not influenced from both of their parent's psychological control. In other words, Male adolescents are influenced from their mother's psychological control with the self related thinking and emotion which gives causes of depression and aggression. 본 연구는 청소년의 성별에 따라 아버지와 어머니의 심리적 통제가 거부민감성을 통해 우울과 공격성에 미치는 영향이 다르게 나타남을 확인하고자 하였다. 연구대상은 서울, 경기, 대구의 남녀 중․고등학생을 대상으로 설문조사하여, 513명(남 240, 여 273)명을 최종 분석에 사용하였다. 구조방정식 분석 결과는 첫째, 여자 청소년은 어머니의 심리적 통제가 우울과 공격성에 유의한 영향을 미치는 것으로 나타났다. 남자 청소년은 아버지의 심리적 통제가 공격성에 유의한 영향을 미치는 것으로 나타났다. 둘째, 남자 청소년에게서 어머니의 심리적 통제가 거부민감성을 통해 우울과 공격성에 영향을 미치는 매개효과가 발견되었다. 결론적으로, 남자 청소년에게 어머니의 심리적 통제는 거부민감성이라는 자기관련 사고가 정서에 영향을 주어 우울과 공격성으로 나타날 수 있으며 이는, 정서뿐만 아니라 인지적 개입이 효과적으로 제공되어야 함을 시사한다. 또한, 상담 프로그램이 남녀 성별에 따라 왜 다르게 제공되어야 하는지에 대한 기초 자료로 활용될 수 있다는 점에서 의의가 있다.

      • KCI등재

        지역사회 기반 SBIRT-AC 효과성 연구

        김희경,이인숙,고윤우,이미형 한국중독정신의학회 2020 중독정신의학 Vol.24 No.2

        Objectives : The purpose of this study was to examine the effect of screening, brief intervention, and referral to treatment (SBIRT-AC) for alcohol use on drinking behavior, the stages of change, drinking refusal self-efficacy, and insight in a community-based intervention. Methods : This study used a quasi-experimental study design. SBIRT-AC was conducted once per week for four weeks. The data were obtained from October 2017 to December 2019. A total of 65 subjects from two addiction management centers with Korean Version of Alcohol Use Disorder Identification Test (AUDIT-K) scores of 10 or above in males or 6 or above in females, which were used to identify alcohol use disorder, were included in the study. The data were analyzed using descriptive statistics, independent t-test, χ2 test, and Cronbach’s alpha. Results : Of the 65 subjects, 34 subjects in the experimental group participated in SBIRT-AC and 31 subjects in the control group did not participate in SBIRT-AC. SBIRT-AC improved drinking behavior, and the stages of change, drinking refusal self-efficacy, and insight in the experimental group compared to the control group (p<0.05). Conclusion : This study showed that SBIRT-AC was effective in improving drinking behavior, increasing the stages of change, and improving drinking refusal self-efficacy and insight in patients with alcohol use disorder. Therefore, SBIRT-AC should be considered a useful community-based intervention.

      • KCI등재

        할마쇼크: 한국 가족주의의 그림자와 할머니–모성의 사회문화적 구성

        김희경 한국문화인류학회 2019 韓國文化人類學 Vol.52 No.2

        본 연구에서는 어머니가 아님에도 집중적인 어머니노릇(intensive mothering)을 수행하고있는 “할마(할머니와 엄마의 합성어)”들을 주목한다. 현대의 노년기 여성들은 세대 간 지원의한 양식으로 진행되어 왔던 손자녀를 돌보는 행위를 왜 부담스러운 일로 인식하고 있는지, 그럼에도 왜 이들은 손자녀 돌보는 일에서 벗어나지 못하고 있는지를 한국의 가족주의와 연관하여 분석한다. 또한, 할마들이 자녀 세대의 양육을 지원하는 미시적 실천을 젠더 질서라는 거시적 차원과 교차하는 지점을 포착한다. 이를 위해 본 연구에서는 첫째, 노년기 여성들이 조모에서 돌봄 노동자로 이행하게 된 과정에 주목한다. 둘째, 노년기 여성들이 젊은 엄마들 및 또래 할마들과의 네트워킹 노동을 통해 교육 경쟁의 장에 접속하는 과정을 분석한다. 셋째, 손자녀와 다른 가족들과의 관계를 고찰함으로써 정상가족 규범에서 할머니–모성의위치를 논한다. 이러한 논의를 통해 본 연구에서는 한국 사회에서 할머니–모성이 구성되는과정과 특징을 비판적으로 고찰한다. In this paper I study the “Halma” (combination of grandmother and mother, grand-mum), who are continuing to undertake intensive mothering of their grandchildren despite the fact that they are not their mothers. I analyze why the modern elderly women consider it burdensome to take care of their grandchildren as a form of generational support, and why it is that despite the burden, they are unable to escape it. First, I review the act of taking care of grandchildren and I show how it can be analyzed as a form of shadow-labor. Second, I identify the experiences of the elderly women amidst their interactions with other subjects such as their family members, their grandchildren and their playmates, young mothers, and the other halmas; these interactions are examined in order to reveal how they manage adjusting their roles in this context. In this perspective, the focus is on the elderly women not merely as the victims of familism, but rather as independent actors that are on one hand affected by Korean familism, but on the other hand are also the ones that stabilize it. Thus, I critically review the process by which grandmother-motherhood is created through the alternation of Korean familism and the practices of elderly women, and the characteristics of this phenomenon.

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