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1992년 11월 18일부터 두씨색시(Doos SACSIH)수술을 받은 31명과 같은 기간동안 전자궁적출술( TAH)를 받은 31명을 대상으로 수술후 최소 5개월이상 경과된 상태에서 그 배우자와 함께 실시한 성적 및 심신의학적면의 비교 추적조사 연구결과 다음과 같은 결론을 얻었다. 1. 수술후 환자자신이 느끼는 심적 부담요인은 두씨색시(Doos SACSIH)군에서는 체중증가가 32.3%로 가장 높았으나 전자궁적출술(TAH)군에서는 성욕감퇴가 29.1%로 가장 높았다. 2. 수술후 골반통이나 요통의 정도는 고통을 호소하지 않는군이 두씨색시(Doos SACSIH)군에서는 51.6%이었으나 전자궁적출술(TAH)군에서는 32.2%이었다. 3. 수술전과 비교하여 수술후 성적욕구의 변화정도는 성욕감퇴 현상을 보여주고 있는 군이 두씨색시(Doos SACSIH)군은 19.3%인 반면 전자궁적출술(TAH)군은 32.3%이었다. 4. 수술후 연령별 성교횟수는 연령별로 가장 많은 40대를 살펴보았을때 2주당 1회이하의 적은 성교횟수를 보여주고 있는 군이 두씨색시(Doos SACISIH)군은 33.3%이었으나 전자궁적출술(TAH)군은 78.9%이었다(p$lt;0.05). 5. 수술후 성적오르가즘의 변화정도는 수술후 나빠졌다고 호소하는 군이 두씨색시(Doos SACISIH)군에서는 12.9%이었으나 전자궁적출술(TAH)군에 있어서는 41.9%이었다(p$lt;0.05). 6. 수술후 남편이 느끼는 성생활 관계에 대한 욕구정도는 욕구가 감소되었다고 호소하는 군은 두씨색시(Doos SACISIH)군은 14.4%이었으나 전자궁적출술(TAH)군은 50.0%이었다. Since November 18 of 1992, we have undertaken a comparative study concerning the patients and their spouses at least five months after the operation. We chose 31 patients who were operated by Koos SACSIH operation and the same number of the patients who and psychsomatic aspects occured after each operation. And we cmae to the following conclusion: 1. Of the patients subjective complaints, weight gain was the highest after Koos SACSIH:32.3%; decrease in sexual desire was the highest after TAH: 29.1%. 2. 51.6% of the patient after Koos SACSIH had no complaint of pelvic pain and lumbago and 32.3% after TAH. 3. 19.3% of the patients after Koos SACSIH complain of decrease in sexual desire and 32.3% after TAH. 4. 33.3% of the patients in their forties after Koos SACSIH had coital frequency less than once in 2 weeks and 78.9% after TAH(P$lt;0.05). 5. 12.9% of the patients after Doo's SACSIH complained that their sense of sexual orgasm has become deteriorated and 41.9% after TAH(p$lt;0.05). 6. 14.4% of the patients' spouses after Doo's SACSIH complained that their sexaul desire has decreased and 50.5% after TAH.
이상에서 논의한바대로 Doo`s SACSIH operation 법에 의한 경부내 부분자궁적출술 (subtotal abdominal intracervical hysterectomy)은 CASH operation의 적응증은 되나 기구 및 인력에 의한 준비가 마련되지 않은 상태이거나 CASH operation이 보편화된 수술법으로 정착되기 전까지 또는 CASH operation이 불가능한 경우에 실시할 수 있지만 CASH operation에 비해 다양한 장점을 가지고 있으면서 현실적이어서 여성생식기의 양성질환으로 개복수술에 의한 전자궁 자궁적출술이 요구되는 환자들에게 쉽게 적용할 수 있는 좋은 방법이며 기존의 부분자궁적출술(subtotal abdominal hysterectomy)의 잔유자궁경부에서의 암(malignant neoplasm)과 이형성(dysplasia)에 대한 우려를 지운 새로운 수술법으로 평가될 수 있으며 앞으로의 과제라면 많은 예의 축적에 따른 객관성의 확보와 수술후 충분한 추적검사로 심신의학적인 면과 종양학적인 면에 있어서의 신뢰성을 확보하는 일이 될 것이다. 수술명(Doo`s SACSIH operation: 두씨 색시 수술)에 대해서 한마디: 본 수술의 명칭인 SACSIH는 Subtotal Abdominal Cylindrical resection of Squamocolumnar junction in Intracervical Hysterectomy의 각 구성 단어에서 첫글자를 따다가 붙인 이름이다. 그러나 공교롭게도 발음상 $quot;색시$quot;로 읽혀지게 되어 우리나라 말의 예쁜색시, 촌색시, 새색시 등의 젊은여성(색시)이라는 단어처럼 나타나 비록 어떠한 원인에서든 자궁적출술을 받아 여성의 상징적 존재인 자궁을 잃어버리지만 본 수술법을 통하여 여성 성적주체(female sexual identity)인 자궁을 일부나마 남김으로써 심리적안정감을 얻을 수 있고 수술후 성감(sexual sense)에 대한 장애를 줄일 수 있어 성적매력(sex appeal)의 뜻인 영어발음의 Sexy와 비슷하게 불려져서 수술명을 기억하고 알리는데 좋은 이름이라 할 수 있을 것이다. Hysterectomy has been one of the most frequent surgical operations since Freund succeeded in it for the first time in 1878. Diseases for which hysterectomy is found efficaciuous are uterine myoma(40-60%)and other disease such as DUB, Endometriosis Adenomyosis PID,etc. There have been the 239 cases of hysterectomy due to benign uterine disease in 1992 at the department of Obstrics and Gynecology, Chonbuk National University Hospital and it is supposed that there are tens of thousands of women in thirties and forties who go through hysterectomy each year. It is mostly young women in thirties and forties who go though the operation: more than 70%, and they afterwards reported psychological conflict and sexual disssatisfaction stemming from loss of their uterus. I modified Kurt Semm`s CASH and devised a different surgical operation to work out women`s problems after hysterectomy. What characterizes Doo`s SACSIH(Subtotal-abdominal-Cylindrical resection of-Squamocolumnar junction in-Intracervical-Hysterectomy) operation is, fist, that while CASH is done under laparoscopy Doo`s SACSIH operation is, considering edonomical, technical as pect involved in operation, done under laparotomy and, second, to remove cylindrically transformation zone and endocervical columnar epitheelium, using the instrument I devised by modifying Semm`s and therby making it more convenient for use and, third, to remove uterus in upper one-third cervix and make a stump out of the remaining cervix composed of pure fibromuscular tissues. Doo`s SACSIH operation still has strength that the existing sub-total hysterctomy has had and will, at the same time, eliminate the possiblity of getting stump cancer that can be developed after the operation. The twenty-nine patients have been operated by Doo`s SACSIH operation method between the 18th of November of 1992 and the 12nd of May of 1993 and the results have been highly satisfactory.
Lee, Doo-Won, 2012, The Dative Goal and Intervention Effeds, The Linguistic Association of Korean Journal, 20(3), 91-108, The so-called intervention effect may be driven by the dative argument when the nominative object undergoes Agree with T. At this point, the nominative object cannot move to spec-T. The goal- or object-oriented honorific morpheme tuli or the subject-oriented honorific morpheme si, which is marked on the verb, can appear only when its target is honorific. In this respect, as a Probe, the honorific morpheme tuli or si with an uninterpretable honorification feature, which is active due to the feature, should search down for its matching feature in a Goal. If an uninterpretable honorification feature in a Probe finds a matching feature in a Goal in its local c-command domain, then both features come into an operation called Agree (Chomsky, 2000). However, an intervention effect occurs whenever a non-honorific dative argument intervenes between an honorific v (i.e., tuli on v, here) and an honorific object. The dative argument in the higher clause triggers the intervention effect against its own anaphor binding when the coindexed anaphor phrase in the lower clause moves over the dative argument; hence, the anaphor binding in the copy position is cancelled. To sum up, the VP-dative argument triggers an intervention effect against both honorication agreement and anaphor binding.
This study demonstrates that low processing rate for producing polyacrylonitrile (PAN)-based carbon fiber is a critical to obtain a homogeneous radial microstructure with high resistance to oxidation, thereby resulting in their improved mechanical strength. The dry-jet wet spun PAN organic fibers were processed (e.g., stabilized and then carbonized) utilizing two different rates; one is 1.6 times longer than the other. The effect of processing rate on the microstructural evolutions of carbon fibers was analyzed by scanning electron microscopy after slow etching in air, as well as Raman mapping after graphitization. The rapidly processed fiber exhibited the multilayered radial structure, which is caused by the radial direction stretching of the extrusion in the spinning. In case of the slowly processed fiber, the layered radial structure formed in the spinning process was changed into a more homogeneous radial microstructure. The slowly processed fibers showed higher oxidation resistance, higher mechanical properties, and higher crystallinity than the rapidly processed one. Raman mapping confirmed that the microstructure developed during spinning was sustained even though fiber was thermally treated up to 2800 °C.
우리는 본 병원에서 시행된 313예의 SACSIH 수술의 결과에 대한 후향적 조사 결과 다음과 같은 결론을 얻을 수 있었다. 1. 두씨색시수술을 시행받은 환자들의 평균 연령분포 는 41.4±6.0세였고, 40∼49세사이가 184예(59%)로 가장 많았다. 2. 평균 분만 횟수는 2.28±1.01회로 2회가 157예(50%) 로 가장 많았다. 3. 수술을 결정하게된 주증상으로는 비정상적인 자궁 출혈 128예(41%), 하복부 불편감 70예(22%), 생리통 55예 (18%) 순이었으며, 무증상인 경우도 24예(8%)를 차지하였다. 4. 수술의 임상적인 적응증을 살펴보면 자궁근종 220 예(70.3%). 자궁근종과 골반내 유착증이 동반된 경우 29 예(9.3%)로 가장 많았으며, 그 외 자궁선근증, 자궁부속 기 종양, 자궁내막증, 골반내유착증, 융모성질환, 자궁내 막증식증 등이었다. 5. 수술 후 병리조직학적 소견을 보면, 자궁의 평활근 종이 184예(58.8%)로 가장 많았고 자궁 선근증 93예 (29.7%), 자궁근층비대 9예(2.9%), 자궁부속기 종양 5예 (2.2%), 자궁내막증식증, 자궁내막증 등을 보였으며 유착을 포함한 비특이소견을 보인 경우도 10예(3.2%)를 차지하였다. 6. 수술 후 발생한 합병증의 총 빈도는 66예(21.3%)였 고, 열성 유병률은 48예(15.3%), 창상감염 10예(3.2%), 자 궁경부 출혈 6예(1.9%)로 나타났으나 의미있는 합병증으로 간주될만한 것은 없다고 본다. 그 외에 질 절주암 2예 (0.6%)순 이었다. 7. 평균 입원기간은 8.47±1.06일이었다. 8. 수술 시간은 평균 97.72±22.59분이었으며, 61~90 분과 91~120분 사이가 86.9%로 대부분을 차지하였다. The 313 cases of Doo`s SACSIH operation were performed at Chonbuk National University Hospital from the 16th of November in 1992 to 30th of June in 1997. The results were as follows : 1. The mean age of patients was 41.4±6.0 years old and most common age group were ranged from 40 to 49 years old (59%). 2. The mean parity of patients was 2.28±1.01 and most common parity group was 2 (50%). 3. According to the initial chief complaints, abnormal uterine bleeding were in 128 cases (41%), lower abdominal discomfort were in 70 cases (22%),dysmenorrhea were in 55 cases (18%), and no symptoms and signs were in 24 cases (8%). 4. Preoperative clinical diagnosis were myoma (70.3%), myoma with pelvic adhesion (9.3%), adenomyosis, adnexal tumor, endometriosis, TRD, endometrial hyperplasia in orders. 5. According to the histopathologic type, there were 184 cases (58.8%) of leiomyoma, 93 cases (29.7%) of adenomyosis, 9 cases (2.9%) of myometrial hypertrophy, 5 cases (2.2%) of adnexal tumor, and 10 cases of no symptoms and signs. 6. According to the postoperative complications, there were 48 cases (15.3%) of febrile morbidity, 10 cases (3.2%) of wound infection, 6 cases (1.9%) of cervical bleeding, and 2 cases (0.6%) of stump cancer. 7. The mean hospitalization were 8.47±1.06 days. 8. The mean operation time was 97.72±22.59 minutes.
The methods of hysterectomy for intrapelvic benign disease include total, subtotal, la-paroscopic-assisted transvaginal, and SACSIH operation. There have been 298 cases of SACSIH operation for benign uterine or pelvic diseases at the Chonbuk National University Hospital from November 16, 1992 to March 31, 1997. Patients were 41.8 years old on the average ranging from 29 to 50. Their indications cover uterine myoma(211), adenomyosis(37), uterine myoma with pelvic adhesion(16), uterine myoma with endometriosis(11), and others(23), the uterine myoma being the most common. Both CIN and CIS is excluded after the full evaluation of the cervical disease through Pap. smear, cervicography, ECC biopsy, and HPV typing etc, and the consent of patient is secu- red. The modified SACSIH operation, when compared with other simple hysterectomy oper- ation, has the following advantages;1) minimal surgery, 2) easy adaptation, 3) avoidance of stump cancer, 4) rapid recovery and 5) less postoperative care as far as psychosomatic posthysterectomy problems are concerned. One of the new equipment for new modified technique is the Electro-Surgical Unit system with Electrode for endocervical canal resection. This is developed at this hospital as a part of the G-7 project supported by the Ministry of Health and Welfare. It is made of electrode and rod from electrosurgical unit system and operated by high frequency of current. Thus, we introduce, herein, the modified SACSIH operation and propose the postoperational scoring system to estimate postoperative sequelae and to help carry on personal well- being in terms of sexuality and normal life.
본 연구는 제도가 초래하는 동질화 압력에 대한 조직 반응의 결정요인을 내부의사결정프로세스의 관점에서 고찰하였다. 즉, 조직 내부의사결정프로세스가 제도적 동질화에 어떻게 영향을 미치는가를 규명하고자 한다. 이 목적을 달성하기 위해 해외사업을 전개하고 있는 중견기업들의 글로벌인적자원시스템의 도입검토의사결정과정을 대상으로 사례분석 중심의 질적 연구방법을 적용하였다. 인터뷰 자료와 관련 문헌자료를 바탕으로 한 사례분석 결과, 글로벌인적자원제도의 검토도입 시기는 외적 정당성에 대한 민감도와 같은 의사결정프로세스에 내재되어 있는 요인에 큰 영향을 받는 것으로 파악되었다. 조기검토도입 기업은 의사 결정프로세스에 있어서 외부규범만이 바람직한 방향을 제시하는 것으로 높게 평가하여 합리적 필요성과 관계없이 스스로 동질화를 추구하였다. 후기검토도입 기업은 정당성을 처음부터 마지막까지 자체조직내의 합리적 판단에서 찾고 합리적 필요성이 인정되기까지 동질화를 거부하였다. 본 연구의 공헌은 첫째, 제도의 영향 하에서 조직행동의 설명요소로서 외적 정당성에 대한 민감도와 같은 조직 내부프로세스 요인의 영향을 확인하였다는 것, 둘째, 이에 따라 제도 도입의 동기부여에 관한 기존 모델의 반례를 제시하였다는 것이다. 셋째, 조직변혁의 착수방법에 따른 그 이후의 조직변혁에의 영향 등의 연구영역 확장의 가능성을 제시하였다. The paper identified the determinant factor of the organizational reaction to institutional isomorphism in the view of internal decision making process. The study used the qualitative method based on the case study about the global human resource system in the medium-sized corporation. From the result of the analysis, the paper showed that the external legitimacy as one of the factors of the internal decision making process effected the adoption timing of the global human resource system. The early adoption corporation pursued the institutional isomorphism itself regardless of the reasonal necessity for the external legitimacy in the internal decision process. The later adoption corporate rejected the institutional isomorphism until to accept the reasonal necessity according to the internal decision process. The paper contributed to confirm the factor of the internal decision making process to explain the organizational behavior under the institutional impact, and suggested the counterexample of the exist model to the motivation of the institution adoption and the possibility of the research domain about the organizational change.
In 1930s Yoon Gon-kang introduced a few of Abercrombie`s poetic principles into Korea. In China Ju Kwang-jam as literary theorist referred to Abercrombie`s idea of communication as a source for theoretical works during the western literature`s incoming period. Recently Jang Doo-hyun has attempted to study Abercrombie for a doctoral thesis only for the purpose of studying Georgian poetry. However, the overview of Abercrombie studies in Korean journals shows that researches on him have been rarely made relatively, compared to representative modern poets. Therefore, the purpose of this paper is to study Abercrombie`s poetic theory and to examine relevant poems, mainly on his communication theory and aesthetic experience. I discuss his theory theoretically based on conceptional analysis. The “communication” is defined as “publication” by him. He argues that a poet`s aesthetic experience has possibility of its delivery by symbolic words as stimuli. His emphasis on ‘aesthetic experience’ means characteristics of his theory founded on anti-rationalism. In this paper, with the aim of inducing Korean scholars into researches for him as poet as well as poetic theorist, I also exam poetic theories in his poems demonstratively by reviewing his poems rooted in his life-long aesthetic desire.
[연구목적] 본 연구는 높은 환경불학실성에 직면한 오늘날 기업들에게 효과적인 전략적 의사결정을 위한 새로운 접근을 위한 논리와 기법을 고찰함으로서 실질적인 적용 가능성을 제안한다. [연구방법] 본 연구는 경영학의 인접학문인 인지과학연구로부터 상황론적 접근이라 불리는 일련의 연구와 사고 연구에서의 하나의 흐름인 유추와 관련된 선행연구를 검토하고 집단의사결정의 역동성을 높이기 위한 구체적인 기법들에 대한 선행연구를 고찰하여 새로운 전략적 의사결정프로세스를 이론적이고 실무적 가능성을 검토한다. [연구결과] 본 연구는 전략적 의사결정프로세스의 새로운 접근으로서 최고경영층-중간관리층 역동적 의사결정프로세스를 제안한다. 이것은 최고경영층은 주로 직관과 경험, 중간관리층은 주로 자료와 분석이라는 인지 활동 논리에 기반하여 이들의 역동적 상호작용의 효과를 최대화하기 위한 기법으로서 집단의사결정프로세스에 구조화된 갈등 기법의 활용을 제안한다. [연구의 시사점] 본 연구는 새로운 전략적 의사결정프로세스의 제안을 통해 이론적으로 는 전략적 의사결정프로세스의 창의적 접근과 논리의 확장을 시도하였으며, 실무의 경영자들에게는 전략적 의사결정을 보다 현실적이고 실천 가능한 구체적인 방법을 제시하였다는 점에서 의의를 찾아볼 수 있다. [Purpose] This study proposes practical applicability by examining the logic and techniques for a new approach for effective strategic decision-making in today’s companies facing high environmental uncertainty. [Methodology] This study examines a series of studies called situational approach from cognitive science research, which is an adjacent discipline of business administration, and previous studies related to analogy, a flow in thinking research, and examines specific techniques to increase the dynamics of group decision-making. The theoretical and practical feasibility of a new strategic decision-making process is reviewed by examining previous studies on the subject. [Findings] This study proposes a dynamic decision-making process for the top management and middle management as a new approach to the strategic decision-making process. This is a model for maximizing the effect of their dynamic interaction based on the cognitive activity logic of top management-intuition and experience and middle management-data and analysis. [Implications] Through the proposal of a new strategic decision-making process, theoretically, the creative approach and logical extension of the strategic decision-making process were attempted, and practical managers were presented with a more realistic and practical strategy for strategic decision-making.
This paper focuses on the history of Korea-Sudan relations during the years 1969-1985, particulary the May regime mainly in political and economic terms. Both Korea and Sudan had been colonized. Korea was liberated in 1945 from Japan. On the other hand, Sudan went through a similar historical experiences with some differences it was liberated from British colonial rule in 1956. Sudan knew well Korea through the Korean war. South Korea sent goodwill missions Sudan since independence in 1945 for the purpose of normalization of relations. South Korea established diplomatic relations with Sudan in 1977, but North Korea had already established diplomatic ties with Sudan in 1969. Nimeiri's policy was directed toward the Soviet Union and the socialist camp. However, Nimeiri government made a complete u-turn from pro-Soviet stance to pro-Western one by 1976. On the other hand, In South Korea on June 23, 1973, the Park government issued a special Presidential declaration stating that it would open its doors to all countries that differ from it in ideology and political system. Korea made various efforts to establish diplomatic relations with Sudan through exchange of visits, mediation of influential figure, etc. As a result, Korea established consular and diplomatic relations respectively. The competition between was intense in Sudan for Sudan's support for their position in the non-aligned movement and in the international arena. Sudan supported sometimes South Korean position since 1976. Korea and Sudan concluded trade promotion agreement in December 1976 and cultural agreement in November 1977. The trade volume of two countries has been increased. Korea stressed diplomacy of visit and invitation with Sudan. Exchanges of visits of government officials Seoul in March 1983. President Chun Doo-Hwan and President Nimeiri agreed to extend bilateral cooperation in various field. they agreed to set up a joint ministerial ommission and a vocational training center with grant-type aid which cost more than 4.5 million. Nimeiri's visit to Seoul made bilateral relations reach a peak. During the May regime, South Korea's grant aid was $453,000 such as cultivator, water-pumps, etc. and its loan was $20 million for construction of guest house. the Daewoo Group invested directly capital in Sudan $7 million ITMD(tire maker) $33.02 million to SKCCC(construction), $20 million to BNB(bank). The total was $60.02 million. On the other hand, North Korea's grant aids were $750,000 for construction of the youth and Children Palace and $2 million for construction of four model towns, together with $2 million loans. Though the period is short, South Korea-Sudan cooperation has rapidly developed especially in economic fields. Thus the two countries became a good cooperative partner based on reciprocity and equity.