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      • 한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

        최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

        The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

      • KCI등재

        중학교 과학 수업에서 교사와 학생의 언어적 상호작용 분석

        최경희,박종윤,최병순,남정희,최경순,이기순 한국과학교육학회 2004 한국과학교육학회지 Vol.24 No.6

        이 연구의 목적은 중학교 과학 수업에서 교사와 학생간의 언어적 상호작용이 실제로 어떻게 이루어지고 있는지를 관찰ㆍ분석하여 이에 대한 특징을 추출함으로써 과학 수업에서 교사와 학생간의 언어적 상호작용에 대한 기초 자료를 제공하는데 있다. 이를 위해 수업 분석 준거를 개발하였으며, 8명의 과학 교사의 수업 12차시를 관찰 및 녹화하였으며, 교사와의 면담을 실시하였다. 수업 분석 결과, 관찰한 과학 수업에서 교사와 학생간의 언어적 상호작용은 주로 교사의 단순 확인/기억 질문, 학생의 단답형 응답, 교사의 즉각적 피드백이 주를 이루었다. 교사가 사고 질문을 하고 지연 피드백을 부여 하는 경우 학생들이 자신의 생각을 드러내고 이를 기반으로 사고를 진전시켜 나갈 수 있었으나 이러한 사례는 그 수가 상당히 적었다. 교사들은 학생들의 사고를 유발하고 이를 진전시키기 위한 노력보다는 수업 내용을 논리적 흐름에 맞추어 체계적으로 제시하는 것에 더 큰 중점을 두는 경향이 있었다. 또한 관찰한 수업에서 교사가 시범 실험, 모형 혹은 실물 수업자료 등을 활용할 때 보다 많은 수의 학생들이 적극적으로 수업에 참여하여 자신의 생각을 드러내었으나 교사가 학생들의 생각을 바탕으로 학생들의 사고과정을 진전시켜 나가는 과정을 도모하지 않음으로써 학생들의 사고과정을 단절시키는 경우가 많았다. 따라서 수업 활동과 수업 자료 활용이 효과를 거두기 위해서는 각각의 활용에 있어서 학생들과 구체적으로 어떠한 상호 작용을 형성해야 하는지에 대해 연구가 이루어져야하며, 또한 교사는 교사의 질문이나 피드백이 학생들의 학습에 중요한 역할을 함을 인식해야 한다. The purpose of this study is to analyze verbal interaction between teachers and students in order to collect qualitative data on the characteristics of the interaction to enhance teaching efficacy. Total of 12 classes of eight science teachers were observed and were interviewed. The classes were video taped and all the verbal interactions were transcribed. The transcribed content and interviews were further analyzed to draw any conclusions on the verbal interaction between teachers and students. Analysis criteria for the data on the class and interview were developed based on the literature review and applied to analyze the collected content. The analyzed data showed that verbal interactions composed of confirmation questions for memorization, students' short responses and teacher's immediate feedbacks. The results of the study also suggested that there needs to be further studies on the interactional techniques for teacher in utilizing the class materials and activities. The teachers should acknowledge the importance of the questions and feedbacks of teachers for students to stimulate their sound learning through literatures.

      • 우리나라 長壽者의 生活 및 意識調査에 관한 硏究 - Ⅴ. 過去의 健康疾病 및 苦痛에 대한 態度 -

        최진호(Jin-Ho Choi),변재형(Jae-Hyeung Pyeun),임채환(Chae-Hwan Rhim),양종순(Jong-Soon Yang),김수현(Soo-Hyun Kim),김정한(Jeung-Han Kim),이병호(Byeong-Ho Lee),우순임(Soon-Im Woo),최선남(Sun-Nam Choe),변대석(Dae-Seok Byun),김무남(Mu-Nam 군산대학교 수산과학연구소 1994 군산대학교 수산과학연구소 연구논문집 Vol.1 No.-

        The present study was designed to be link a part of the research on the investigation on daily life and consciousness of the longevous people in Korea, and to investigate the health conditions, and the attitude on disease and suffering of longevous people in the past. 1. By the health conditions of longevous people between 40 and 60 years, ""very good"" showed the highest figure of 71.0%, followed by ""ordinary"" (21.6%). Consequently it is found that 92.6% of total longevous people surveyed maintained the good health conditions above ordinary. 2. Of the experiences of disease and/or injury after 60 years of longevous people, ""never"" showed the highest figure of 74.7%, while ""had"" showed the only 22.6% of total longevous people surveyed. 3. Of the details of disease and/or injury after 60 years of longevous people. ""digestive disease"" showed the highest figure of 32.6%. followed by ""apoplexia cerebri & hypertensions""(14.0%) and ""heart disease""(14.0%), and followed by ""respiratory disease""(12.3%). 4. Of the experiences of suffering between 40 and 60 years of longevous people, ""never"" showed 53.7% of total longevous people surveyed, while the frequency of suffering decreased in the order of ""once""(22.7%), ""2 times""(15.8%) and ""3 times""(4.7%). By the details of suffering between 40 and 60 years of longevous people. ""family life"" showed the highest figure of 85.1%, followed by ""business""(10.1%). 5. By the attitude on suffering of longevous people, ""tried to forget soon"" showed the highest figure of 54.2%, followed by ""continuous worried""(23.3%), and followed by ""not worried""(7.2%).

      • 최근 10년간 원광의대병원에서 시행한 소아 심장혈관 수술의 임상적 고찰

        윤향석,정수미,최두영,오광수,오연균,김종덕,양현웅,이삼윤,김형곤,최종범,최순호,노병석 圓光大學校 醫科學硏究所 1995 圓光醫科學 Vol.11 No.2

        We reviewed 10 years experiences of the clinical aspects and early postoperative results in 544 pediatric patients(age less than 16 years old). Among them. 529 cases had the congenital heart diseases, and 15 had the acquired diseases. Open heart surgery was performed in 413 patients. 115 cases were treated with non-open heart surgery. 16 with interventional catheterization. Annual increase of the cardiac patients was not significant in recent 10 years, except slight increase in 1994. The mean age of the study patients had been evidently changed to younger year by year. Total mortality rate of the open heart surgery was 6.4%. The cyanotic congenital heart diseases were high in early postoperative mortality by 25.7%, whereas 4% in acyanotic group. The age group less than one month was most highest in surgical mortality(66.7%). There were no deaths in patients with patent ductus arteriosus(103 cases), atrial septal defect(83 cases) or pulmonary stenosis(17 cases). Among 220 patients with ventricular septal defects(VSD). 10(4.5%) were died early postoperatively. In cyanotic group, the patients with pulmonary atresia with ventricular septal defects(PAVSD), transposition of the great arteries(TGA), interrupted aortic arch(IAA), complex cardiac anomalies with isomerism seemed to be most susceptible to an early death.

      • 적응-강인 제어기법을 이용한 유압 굴삭기의 궤적 제어

        최종환,김용석,김승수,양순용 한국공작기계학회 2003 한국공작기계학회 추계학술대회논문집 Vol.2003 No.-

        This paper proposes a combined controller frame of the adaptive robust control(ARC) and the sliding mode control(SMC) for the trajectory tracking control of the excavator to preserve the advantages of the both methods while overcoming their drawbacks, namely, asymptotic stability of adaptive system for parametric uncertainties and guaranteed transient performance of sliding mode control for both parametric uncertainties and external disturbance. The suggested control technique is applied for the tracking of a straight-line motion of end-effector of manipulators, and through computer simulations, its trajectory tracking performances and the robustness to payload variation and uncertainties are illustrated.

      • KCI등재후보

        일부지역 성인의 생의 의미

        최순옥,김숙남,신경일,이정지 성인간호학회 2002 성인간호학회지 Vol.14 No.3

        Purpose: The purpose of this study was to measure meaning in life for a normal adult and to offer basic data for developing nursing strategies for improving the meaning in life of adults. Method: There were 351 subjects, from 20 to 60 years old, staying in Busan and KyungNam Province. The data was collected from August to October 2000. The instrument was designed by researchers. The data were analyzed with frequency, mean(±SD), t test & ANOVA. Result: 1. The mean MIL for adult was 187.7(±18.1). 2. The mean MIL of basic premise phase for discovery of meaning was 30.5, method phase for discovery of meaning was 111.1, and result phase for discovery of meaning was 46.4. 3. The levels of MIL, 56.4% of the subjects were in pursuit of meaning in life, 23.3% felt a loss of meaning in life. 4. There were significant differences in MIL according to the level of education(p=0.00), marital status(p=0.01) and monthly income (p=0.00). Conclusion: On the viewpoint of the above results, 23.3% of the subjects were in a level of existential vaccum which required keens Logotherapy. Therefore, it shows that developing nursing-logotherapy to improve the meaning in life for adults is demanded.

      • KCI등재후보

        Goretex를 이용한 융비술

        최진영,민철기,명훈,황순정,서병무,이종호,정필순,김명진 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.4

        융비술시 실리콘 고무는 다루기 쉽고 조직 반응이 적어 현대 많이 돌출의 합병증이 생길 수 있다. 저자등은 이러한 실리콘의 단점을 보완할 수 있는 goretex를 사용하여 융비술을 시행하고 비첨에 대해서 자가연골을 이식하여 만족할 만한 결과를 얻었기에 goretex가 안면부 연조직의 증강을 위한 이식재료로 적합하다고 생각되어 문헌고찰과 함께 보고하는 바이다. Many different materials have been used to provide augmentation of the nasal dorsum. this include both autogenous and homogenous materials,as well as allografts. Silicone among the artificial materials has been most widely used. The silicone has some advantages and disadvantages. Goretex(expanded polytetra-fluoroethylene) which has widely used in vascular surgery and abdominal surgery can be used for facial soft tissue augmentation. The author presemts 2 cases of nasal augmentaion using goretex with literature review.

      • KCI등재후보

        CASE 프로그램에 의한 초등학생들의 인지가속 효과

        최병순,한효순,신애경,김선자,박종윤 한국초등과학교육학회 2003 초등과학교육 Vol.22 No.1

        과학교과 내용이 요구하는 인지수준과 학생들의 인지수준이 맞지 않아 생기는 문제점을 극복하는 적극적인 대처 방안으로 학생들의 인지발달을 촉진시켜 과학교과 내용의 이해를 도모하기 위해 구안된 CASE 프로그램의 효과를 조사했다. 초등학교 5학년(11세) 420명의 학생들이 연구에 참가하였으며, 같은 분량의 시간동안 실험반에서는 교육과정에 따른 과학교과 수업과 ‘생각하는 과학’ 활동을 병행하였고, 통제반에서는 과학교과 수업만을 수행하였다. 연구 초기에 논리적 사고력 검사(SRT Ⅱ)를 이용하여 집단의 동질성을 비교하구, 2년 동안 실험반에 CASE 프로그램을 처치한 후 처치별, 성별, 인지수준별 인지가속 효과를 조사했다. 2년간 지도한 결과 CASE 프로그램이 인지가속에 매우 효과적인 것(MS=16.883, F=10.360,p=.001; ES=0.40)으로 확인되었다. 특히 초기 1년 동안 인지가속에 매우 효과적인 것 (MS=10.491, F=9.302, p=.002; ES=0.41)으로 확인되었다. 학생들의 성별에 따라 CASE 프로그램의 효과를 비교한 결과 남학생들 보다 여학생들이 (ES 남:여=0.27:0.59) 좀 더 나은 효과를 보였다. 학생들의 사전 인지수준에 따른 CASE 프로그램의 효과를 분석한 결과, 전기 구체적 조작기(2A) 학생들은 중간검사에서 인지발달이 있는 것(ES=0.23)으로 나타났으며, 이러한 효과가 꾸준히 증가하여 사후검사에서는 인지발달이 아주 현저하게(ES=0.70) 나타났다. 중기 구체적 조작기(2A/2B)와 후기 구체적 조작기 (2B) 학생들에게서도 인지가속 효과가 (ES=0.30, 0.23) 나타났으나, 과도기 (2B/3A)와 전조작기(<2A) 학생들에게는 CASE 프로그램의 효과가 없는 것으로 나타났다. 학생들의 사후 인지수준이 형식적 조작기 (3A 이상)로 상향 변화된 비율이 실험반(21.8%)이 통제반(8.6%)보다 2.5배나 높았다. 이와 같은 인지가속은 초기, 중기, 그리고 후기 구체적 조작기 학생들에게서 명백하게 나타났다. 우리나라 과학교과내용이 요구하는 인지수준과 학생들의 실제 인지수준과의 격차로 인해 생기는 과학교육의 문제점을 좀 더 적극적으로 대처하는데 CASE 프로그램과 관련된 여러 가지 자료가 활용될 수 있을 것이다. This study investigated the effects of the cognitive acceleration program devised for accelerating the development of formal reasoning ability of students. 'Thinking Science' activities developed by the Cognitive Acceleration thtough Science Education(CASE) project were implemented to 420 students in 5th grade aged 10+ in four elementary schools over a period of two years. Homogeneity between the experimental group and control group was tested with SRT Ⅱ, and the improvement of formal reasoning ability of the students was tested with SRT Ⅲ. The results weer shown in the CASE group compared with those in the control group. Cognitive level of girls in the CASE group increased as compared with control group, while there was moderate effect in boys for the primary school. These results implied that much more CASE students in concrete operational level shifted to formal operational level as compared with the control group while there were no significant effects in the other levels for primary school.

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