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      • KCI등재

        The effects of different physical activities on atrial fibrillation in patients with hypertension and chronic kidney disease

        ( Márcio Galindo Kiuchi ),( Shaojie Chen ),( Neil Alexander Hoye ) 대한신장학회 2017 Kidney Research and Clinical Practice Vol.36 No.3

        Background: Atrial fibrillation (AF) is highly common, and is most frequently observed in individuals with hypertension and structural cardiac disease. Sympathetic hyperactivity plays a fundamental role in the progression, maintenance and aggravation of arrhythmia. Endurance exercise training clearly lowers sympathetic activity in sympathoexcitatory disease states, and is well-tolerated by patients with chronic kidney disease (CKD). Methods: We assessed 50 CKD patients with hypertension. Each patient provided a complete medical history and underwent a physical examination. We used an implantable cardiac monitor over a 3-year follow-up period to evaluate the effects of high-intensity interval training (HIIT) and moderate exercise (ModEx) physical activity protocols on AF occurrence, and determined the effectiveness of these protocols in improving renal function. Subjects were followed up every 6 months after the beginning of the intervention. Results: During the 3-year follow-up, AF onset was higher in CKD patients who engaged in HIIT (72%) than in those who engaged in ModEx (24%) (hazard ratio, 3.847; 95% confidence interval, 1.694-8.740, P = 0.0013 by log-rank test). Both groups exhibited significant intra-group changes in the mean systolic 24-hour ambulatory blood pressure measurements (ABPM) between baseline and 12, 24, and 36 months. There were also significant differences in the mean systolic 24-hour ABPM between the groups at the same time points. Conclusion: In CKD patients with hypertension, improvements in AF onset, renal function and some echocardiographic parameters were more evident in subjects who engaged in ModEx than in those who engaged in HIIT during 3 years of follow-up.

      • KCI등재

        정신과 응급 입원환자에 관한 임상적 고찰

        하희경 大韓神經精神醫學會 1978 신경정신의학 Vol.17 No.4

        Hospital records of 161 neuropsychiatric emergency patients admitted to Busan National University Hospital via emergency room from Jan.1, 1973 to Dec. 31, 1977 were studied to obtain the following results. 1. The rate of emergency admissions was 13.4% of total admissions. 2. About 60% of the emergency admissions were in twenties and thirties in age. It was slightly more common in men than in women with the ratio of 1.2 to 1. 3. Almost all of the patients were forced to visit the emergency room by their relatives of their unfamiliar and frightening thoughts, affects or behaviors. 4. In most cases the dutation of hospitalization was 2 weeks or less for neurotics and over 2 weeks in schizophrenics. 5. Improvement was seen in 85.9% of the patients but recovery or remarkable improvement was noticed only in 11.4%, because most of them were discharged too early against doctor's advice on account of theireconomic problems. 6. The diagnostic categories in order of frequency were 1) Schizophrenia, 2) hysterical neurosis and 3) alcoholism. Tentative diagnosis was in concordance with final one at discharge in 84.8%. 7. There was no case of antisocial personality disorder and the rate of alcoholism was lower than those of foreign countries.

      • KCI등재
      • 『메논』에 나타난 교수의 교육철학적 고찰

        김회용 진주교육대학교 1996 論文集 Vol.40 No.1

        The purpose of this study was to review philosophically Socrates's teaching methodology in Plato's Meno. I attempted first to analyze Socrates's failure to help Meno acquire the answers to questions about the nature and acquisition of virtue and Socrates's success to teach the slave-boy on mathematics. One reason was that the teaching on virtue was the traditional Socratic method and it on mathematics was Plato's method. Another reason was that Socrates had a bad student. Meno was shown as a student who refused to follow the direction of his teacher while the slave-boy followed it. The third reason was resulted from students' wills to seek their answers to questions about study. In case of Meno, he was not interested in even his own question about the acquisition of virtue. The fourth reason was stemmed from Socrates's homosexuality feeling to Meno. Because of this, Socrates subverted his teaching to please his student, Meno. The fifth reason was caused from different characters between moral knowledge and mathematics, In contrast to mathematics where the teacher can easily and logically replace the slave-boy's false opinions with knowledge, moral knowledge cannot be acquired while the student hold false opinions. Because of these reasons, Socrates failed to help Meno acquire the answers about virtue. Next, I tried to get a hint from Socrates's educational methodology for current education. First, teachers should know essential knowledge on subject matters ahead of teaching students those. Second. "power over" in classroom was replace with "power with" between teacher and students. Finally, the notion of good teachers was to be changed from good teachers who organized the knowledge about subject matters logically and systematically to good teachers who can give a chance for studennnts to have a time for seeking answers about questions.

      • KCI등재

        어린이 철학 교육의 방법론 및 도덕교육에의 활용

        김희용 한국초등교육학회 2002 초등교육연구 Vol.15 No.2

        이 연구는 어린이 철학교육의 이론적 근거를 토대로 어린이 철학교육의 방법론 및 도덕교육과의 관련성을 명료히 하는데 목적이 있다. 어린 철학교육에서의 철학은 '사고에 대한 사고'로서의 '철학함(philosophieren)을 의미하며, 아동은 철학적 추론 능력을 소유한 존재로 간주되었고, Vygotsky의 근접발달지대 이론은 어린이 철학교육의 이론적 근거가 되었다. 어린이 철학교육은 교사의 '열린질문'과 학습지의 탐구를 강조하는 소크라테스식 대화법을 근간으로 한 철학적 탐구 공동체를 교수방법으로 활용하였다. 철학적 탐구는 도덕교육과 결코 별개일 수 없는 긴밀한 관계에 놓여있고, 특히 탐구를 통해 도덕적 원리를 학습하고, 공동체를 통해 도덕적 덕목을 경험하는 통합적 도덕교육은 새로운 도덕교육방법론으로 홀용 가능할 것으로 기대된다. The purposes of this study clarify to show the methodology of the philosophy for children and its application for moral education. When I advocated philosophy in the schools, I was not talking about the traditional academic philosophy taught in the graduate schools of the universities. What I was talking about was a philosophy redesigned and reconstructed so as to make it available and acceptable and enticing to children. In each and every discipline, higher-order, complex thinking needs to be cultivated. this means that ultimately each course in a discipline must devote some time to consideration of the methodology of that discipline; its assumptions, its criteria, its procedures, and its modes of reasoning and judgement. So does philosophy for children. And so the philosophy I advocate is 'philosophieren' or 'doing philosophy.' Doing philosophy has been for thousands of years one of the main characteristics of children activities. Doing philosophy is a natural human act, like doing music, and other forms of controlled play. The method of the philosophy for children was the community of philosophical inquiry using socratic dialogue and backed up by the ZPD theory of Vygotsky. socratic dialogue is generated by the questions and the questions emerge because of the need of comprehension. It does not aim to get the conclusion of a problem but is taking a serious view of the process itself. The community of inquiry proceeded the popular demand for critical, creative and caring thinking in the schools, and is arguably the best example of what the kind of educational reform can be. and so it has some implications for moral education. in a genuine community of inquiry, the dialogue enters into the subject matter through the critical, creative and caring thinking. Also it is a new integrated approach to moral education, teaching moral principles though inquiry and experiencing moral virtues th community activity

      • KCI등재

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