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      • KCI등재후보

        6·25 전쟁 전사자 유해발굴사업 발전방안: 조직수명주기와 활동이론을 중심으로

        이문규 ( Lee Mun-gyu ),곽헌구 ( Kwak Hun-gu ),김찬선 ( Kim Chan-sun ) 한국안전문화연구원 2020 현대사회와 안전문화 Vol.3 No.3

        연구목적: 지난 20여 년간 시행된 6·25전쟁 전사자 유해발굴사업에 대하여 SWOT 분석과 조직수명주기, 활동이론의 연동체제 등 다양한 측면에서 분석하여 발전 방안을 제시하는데 있다. 연구방법: 본 연구는 SWOT 분석을 적용하여 유해발굴사업의 주기관인 국방부 유해발굴감식단(MAKRI)의 현상황을 조망하고, 조기수명주기 이론에 근거하여 조직 및 기능의 성장의 방향을 제시 하였다. 또한, 임파워된 발굴팀장의 운용 효율성을 분석하고, 활동이론(Activity theory)에 근거 하여 기연구되 연동체제의 보완성과 국방부 훈령에서 제시된 군단 단위 집중발굴의 여건 보장을 위한 발전 방안을 제시 하였다. 결론: 이 연구는 국책사업으로 추진되고 있는 유해발굴사업의 성과를 제고하는데 기여하고자 제안하였으며, 연구결과는 아래와 같다. 첫째, 유해발굴임무수행기관 편성을 보강하기 위하여 국유단은 확대, 군단은 편제 정상화가 되어야 한다. 둘째, 유해발굴활성화를 위한 관련법령 개정이 요구된다. 셋째, 자격인증제 시행을 통하여 군단 발굴팀장의 여건이 보장되어야 한다. 넷째, 국유단 팀장은 지역전담제 방안을 시행하여 전문성을 제고시켜야 한다. 다섯째, 성과평가 방안의 검토 및 적극 시행되어야 한다. 궁극적으로 국가를 위해 희생하고도 아직도 산야에 묻혀있는 약 12만 5천여 전사자분들의 안식에 작은 도움 및 기틀이 될 수 있는 정책자료로서 가치가 있다. Purpose: To present development plans by analyzing SWOT analysis, organizational life cycle, and linkage system of activity theory for the excavation project of remains of Korean War dead that has been implemented for the past 20 years. Methods: This study applied SWOT analysis to view the current situation of the Ministry of National Defense's Recovery Detection and Identification (MAKRI), the main body of the hazardous excavation project, and based on the theory of early life cycle, suggested the direction of growth of organization and function. In addition, the operation efficiency of the team leader was analyzed, and a development plan was proposed to supplement the interlocking system based on the Ctivity theory and to guarantee conditions for intensive excavation of corps units presented in the Ministry of National Defense Directive. Conclusion: This study was proposed to contribute to enhancing the performance of the excavation project for the remains of Korean War dead, being promoted as a national project. The findings of the study are as follows: First, it is necessary to expand MAKRI and normalize Corps organization in order to strengthen the task organization of excavation missions organizations. Second, it is necessary to amend the project-related laws and regulations to foster the discovery activities. Third, conditions for the leader of the Corps command excavation team must be guaranteed through the implementation of the qualification certification system. Fourth: A regional exclusive system for the team leaders of the MAKRI should be implemented to improve professionalism of them. Fifth: It is necessary to review the performance evaluation plan. The study ultimately expressed the desire to provide a small help to the rest of the 125,000 soldiers who sacrificed themselves for the nation and are still buried in the mountains.

      • KCI등재

        크론씨 병의 질병 활성도 평가에 있어서 CT의 유용성

        하현권,김표년,이문규,Ha, Hyeon-Gwon,Kim, Pyo-Nyeon,Lee, Mun-Gyu 대한영상의학회 2001 대한영상의학회지 Vol.45 No.4

        목적:크론씨 병 환자에서 질병 활성도를 반영하는 CT 소견을 알아보고,질병 활성도 평가에 있어서 CT의 유용성을 알아보고자 하였다. 대상과 방법:크론씨 병으로 진단된 36명의 환자에서 시행된 50예의 CT를 대상으로 하였다. 모든 환자에서 임상 소견을 바탕으로 Crohn ’s disease activity index (CDAI)를 구하였으며 아울러 C-reactive protein (CRP)수치를 조사하였다.CT는 임상적 질병 활성도를 모르는 상태로 분석하였으며,분석한 CT 소견은 침범 부위,과녁 징후의 유무,침범 된 장벽의 조영 증강 양상,침범 된 장벽의 증가된 조영 증강 유무,병변의 길이,장벽 비후의 두께,과혈관성의 유무,복수의 유무,임파절 비대 유무,지방섬유 증식의 유무,및 장 주변 침윤의 정도이었다. 각각의 CT 소견을 CDAI,CRP와 비교하였다. 결과:CDAI와 CRP 모두 유의하게 높았던 CT 소견은 과혈관성 (p=0.005,0.028),복수 (p=0.001,0.008),심한 장 주위 침윤 (p=0.009,0.003),40 cm 이상의 병변 길이 (p=0.001,0.001)였으며,CRP만 유의한 차이를 보였던 CT 소견은 비균질한 장벽의 조영 증강 (p=0.001),증가된 조영 증강 (p=0.042),과녁 징후 (p=0.031),심한 장벽 비후 (r=0.410,p=0.003)였다.그 외에 침범부위,임파절 비후,지방 섬유 증식의 유무는 CDAI와 CRP의 유의한 차이가 없었다. 결론:여러 CT 소견들이 크론씨 병의 활성도와 관련성이 있었으며,이러한 소견을 이용하면 CT가 크론씨 병의 활성도를 평가하는데 유용할 것으로 사료된다. Purpose: The purpose of this study is to determine the CT features indicating active disease as well as to evaluate the usefulness of CT in assessing disease activity in patients with Crohn's disease. Materials and Methods: Thirty-six patients with Crohn ’s disease underwent a total of 50 abdominal CT scans. To characterize clinical disease activity, the Crohn ’s disease activity index (CDAI) was calculated using clinical and laboratory patient data, and C-reactive protein (CRP), levels were also measured. Without knowledge of clinical disease activity, computed tomograms were evaluated in terms of site, target sign, degree of bowel wall enhancement, length, bowel wall thickness, extraluminal hypervascularity, ascites, lymphadenopathy, fibrofatty proliferation, and degree of pericolic or perienteric infiltration. Each finding was compared with the clinical parameters of disease activity. Results: Both CDAI and CRP were significantly higher in patients with hypervascularity (p=0.005 and 0.028,respectively), long length of involved bowel (p=0.001, 0.001), moderate to severe pericolic or perienteric infiltration (p=0.009, 0.003), or ascites (p=0.001, 0.008). Only CRP was significantly higher in those with heterogeneous bowel wall enhancement (p=0.001), marked bowel wall enhancement (p=0.042), target sign (p=0.031), or severe bowel wall thickening (r=0.410, p=0.003). For other CT findings such as the location, lymphadenopathy, and fibrofatty proliferation, there were no statistically significant differences in CDAI or CRP levels. Conclusion: A number of CT findings varied according to clinical disease activity. These findings are, therefore, useful for evaluating disease activity in patients with Crohn’s disease.

      • KCI우수등재

        브랜드 제휴의 유형에 따른 소비자 평가

        김현경(Kim Hyeon Gyeong),이문규(Lee Mun Gyu) 한국경영학회 2003 經營學硏究 Vol.32 No.3

        In order to survive and grow in the stiff market competition, many companies today work together with each other by creating combination brands or so-called, brand alliances. In fact, brand alliances are gaining popularity these days in Korea or elsewhere in the world. Despite their expected advantages, however, they have not always been successful in the marketplace in the long-run. The purpose of this research was to examine how consumers evaluated brand alliances in the physical goods as well as services categories. The focus was on how they reacted to the consistency and inconsistency created by the combination of two ingredient brands. The results showed that the respondents evaluated brand alliances in the physical product category in a quite different way than they reacted to those in the service category. Implications of the results are discussed from a theoretical and practical standpoint.

      • SCOPUSKCI등재

        특이한 췌관조영 소견을 보인 췌 지방치환

        민영일(Young Il Min),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),이문규(Mun Gyu Lee),이선영(Sun Young Yi) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.3

        Fat replacemtnet of pancreas (also termed lipomatosis, adipose atrophy or fat infiltration) is defined as increase in size and mass of pancreas with fatty infiltration. Pathologic characteristics of lipomatosis are the replacement of pancreatic parenchymal cells with normal adipose tissue and almost complete abscence of acinar cell except the preserva.tion of islets of Langerhans. Pathogenesis is not well established but it has been said to be associatecl with variable disease but the most have major clinical significance. Unique endoscopic retrograde pancreatogram of fat repalcement of pancreas is not yet reported in Korea. We experienced a 57- years-old woman whose endoscopic retrogade cholangiopancreatogaphy (ERCP) showed sudden stenotic main pancreatic duct at the body and tail portion and multiple common bile duct stones. Fat replacement of pancreas was diagnosed by computed tomogram. So the case history was presented and revieweci.

      • SCOPUSKCI등재

        간장 ( 肝臟 ) , 담도 ( 膽道 ) 및 췌장 ( 膵臟 ) : 급성 담낭염의 치료에 있어서 경피적 담낭루 설치술의 이용

        민영일(Young Il Min),이성구(Sung Koo Lee),안세현(Sei Hyun Ahn),김명환(Myung Hwan Kim),이승규(Sung Gyu Lee),전용철(Yong Cheol Jeon),성규보(Kyu Bo Seong),조경식(Kyung Sik Cho),이문규(Mun Gyu Lee) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.3

        N/A Percutaneous cholecystostomy is a techniue to obviate cholestectomy or surgical cholecystostomy in high risk patients. We evaluated 12 relatively high risk patients who underwent percutaneous cholecystostomy in recent 1 year. Overall success rate of percutaneous cholecystostomy was 92%(12/ 13). Relief of pain and defervescence could be observed promptly in almost all patients. In 4 cases of acalculous cholecytstitis, the catheters were removed successfully after resolution of acute inflammation. 3 cases of calculous cholecystitis were treated with elective cholecystectomy after resolution of septic condition. Percutaneous stone removal was performed via the enlarged tract with stone basket or other mechanical devices in 3 cases of calculous cholecystitis. Two cases of tube dislodge and 1 case of mild bile leakage were the complications of this procedure without significant mortality or morbidity. Percutaneous cholecystostomy is a fast, low risk and effective treatment of acute cholecystitis in poor surgical risk patients.

      • SCOPUSKCI등재

        직장암 환자의 수술전 병기 판단을 위한 내시경적 초음파 단층촬영술의 유용성 평가

        김해련(Hae Ryun Kim),김진천(Jin Chun Kim),이문규(Mun Gyu Lee),민영일(Young Il Kim) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.3

        N/A Endoscopic transrecta) ultrasonography (EUS) is used to stage rectal cancer by assessing depth of invasion through rectal wall layers and/or involvement of lymph nodes. Preoperative ElJS and pelvis CT findings were compared with post operative pathologic findings to evaluate the effectiveness of EUS in staging rectal cancer. We performed EUS in 38 patients (male 24, female 14, mean age 53 years) with rectal cancer diagnosed with colonoscopic biopsy. The Olympus GF-UM3 and EU-M3 endoscopic ultrasound and display system (7.5/12 MHz) was used. Examination was performed with saline enema and diazepam injection. Water filled ballon and free filling of rectum with deaerated water provide good image. Postoperative find- ing showed 1 case of mucosal cancer, 3 cases of submucosal involvement, 9 cases of proper muscle invasion and 25 cases of serosa and peri-rectal fat involvement. Overall accuracy of EUS in determination of depth of invasion was 84% (32/38). And in cases of relatively early stage of rectal cancer (mucosa and submucosa involvement), the accuracy was 75% (3/4). Moreover 1 case of prostate involvement could be correctly diagnosed with EUS. With preop- erative pevis CT, it was impossible to diffrentiate layers of rectal wall. The sensitivity of peri- rectal fat invasion was 33% (8/24) and the false positivity was 15% (2/13). In conclusion, EUS appears to be promissing method for depth of invasion in pre-operative staging of rectal concer whereas CT scan is useful method for detection of distant metastasis. (Korean J Gastroenterol 1994; 26: 491 497)

      • KCI등재후보

        주문맥침범이나 원격전이가 있는 간세포암 환자에서 Cisplatin 간동맥투여 및 전신적 알파인터페론 병합요법의 효과

        송일한(Il Han Song),정영화(Young Hwa Chung),고문수(Moon Soo Koh),이영상(Yung Sang Lee),이문규(Mun Gyu Lee),성규보(Kyu Bo Sung),오용호(Yong Ho Aoh),서동진(Dong Jin Suh) 대한내과학회 1996 대한내과학회지 Vol.50 No.5

        N/A Objectives: Hepatocellular cearcinoma(HCC) patients presenting with vascular involvement or extrahepatic metastasis are usually contraindicated to surgery or chemoebolization, and median survival of those has been reported to be only a few weeks. Recent several studies suggested that certain chemotherapeutic agent or recombinant interferonalpha(rIFN-α) may be useful in a proportion of patients with inoperable HCC. Methods: To evaluate the effect of intraarterial cisplatin infusion and systemic rlFN-α in the treatment of HCC, 68 HCC patients with major portal vein thrombosis or distant metastasis were randomized to three groups: group A(n=19) treated with cisplatin and rIFN-α, group B(n-23) with cisplatin and group C(n=26) with supportive care only. Cisplatin of 2mg/kg body weight was infused transarterially every 8weeks and rIFN-α of 3×10(6) IU/m2 Bady Surface area was administered subcutaneously three times per week. Patients with severe hepatic decompensation(serum bilirubin>3.0 mg/dL, albumin<3.0g/L, prothrombin time<60%), hypersplenism(peripoheral WBC count <3,000/mm3, platelet count<40,000/mm3), uncontrolled ascites, active gastrointerstinal bleeding, cardiac or renal dysfunction were excluded in this study. The effects of therapy were assessed by the changes of tumor size and durations of survival. Results: The partial response rate assessed by the change of tumor size in group A was significantly higher than that in group B(33 vs 14%: p<0.05). 1 year survival rate of group A (27%) was also significantly higher than that of group B (9%) or C (0%) (p<0.05, p<0.01, respectively). Furthermore, median survival period of group A (19weeks) was significantly longer than that of group B(11weeks) or C(5weeks) (p<0.05, p<0.01, resectively). Side effects of combined therapy were flu-like symptoms, gastrointestinal upset, transient elevation of serum creatinine or ALT level, leukopenia, thrombocytopenia, and oral ulcer. However, these were transient and well tolerated by all of the patients. Conclusion. These data suggest that combined therapy of intraarterial cisplatin infusion and systemic rIFN-α administration may be useful in the treatment of HCC patients with major portal vein thrombosis or distant metastasis, in terms of tumor response or prolonging survival period.

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