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진단 전 흡연과 음주 행태와 위암 환자의 생존율: 전향적 환자 코호트 연구
김신아,최보율,송규상,박찬혁,은창수,한동수,김용성,김현자 대한소화기학회 2019 대한소화기학회지 Vol.73 No.3
Background/Aims: Behavioral factors, such as smoking and heavy alcohol consumption, increase the risk of gastric cancer (GC), but their effects on survival are not clear. We examined associations between prediagnostic smoking and alcohol drinking behavior and GC death by long-term follow-up. Methods: The participants were 508 GC patients enrolled at Chungnam University Hospital and Hanyang University Guri Hospital from 2001 to 2006. Information on clinicopathologic and behavioral risk factors was collected, and patient survival was prospectively followed until 2016 by medical chart review and telephone survey. Results: During above 10 years follow-up period, overall death was 46.2% (n=226) and GC deaths was 38.2% (n=187) among the 489 GC patients included in the analysis. No significant association was found between smoking habits and overall or GC survival. However, after stratification by histological type, the hazard ratio (HR) of GC death for current smokers tended to be higher for the diffuse type (HR 1.61, 95% CI 0.57-4.59 for current vs. never) rather than for the intestinal type (HR 0.78, 95% CI 0.28-2.19 for current vs. never). Light alcohol consumption was found to be associated with a significantly lower risk of GC death (HR 0.52, 95% CI 0.36-0.75 for <20 g/day for women or <40 g/day for men vs. never and past), and the effects of alcohol drinking habits had similar effects on GC death for the intestinal and diffuse types. Conclusions: These results suggest smoking and alcohol drinking behaviors before a diagnosis of GC are weakly associated with GC survival. Nevertheless, the effect of smoking behavior on prognosis appears to depend on the histological type of GC.
공감적 의사소통훈련 프로그램이 수치심경향 고등학생의 자아존중감과 공감능력에 미치는 효과
김신아,황영식 한국심리협회 2012 심리행동연구 Vol.4 No.1
본 논문의 목적은 Rosenberg의 공감적 의사소통훈련 프로그램이 수치심 경향 고등학생들의 자아 존중감과 공감능력에 미치는 효과를 증명하는 것이다. 연구대상은 부산에 소재한 B교회 학생들 중 수치심 경향이 높은 16명을 선발하여 실험집단과 통제집단을 무선배치하였다.실험집단에게는 Rosenberg의 공감적 의사소통훈련 프로그램을 10회기 실시하였다. 통제집단은 아무런 조치를 취하지 않았다. 본 연구에서 사용된 자아존중감 검사는 Coopersmith(1967)가 제작한 Self-Esteem Inventory 를 강종구(1986)가 한국판으로 표준화한 것을 사용하였고, 공감능력 검사는 Davis(1980)가 개발한 대인관계반응지수(Interpersonal Reactivity Index : IRI)를 박성희(1994)가 번안하고 홍기묵(2004)이 중·고등학생을 대상으로 타당화한 것이다. 자료처리는 SPSS/WIN 14.0 프로그램을 이용하여 통계적 분석을 실시하였으며 이에 따른 연구결과는 다음과 같다. 첫째, Rosenberg의 공감적 의사소통훈련 프로그램은 수치심경향 고등학생의 자아존중감 향상에 효과가 있는 것으로 나타났으며, 둘째, Rosenberg의 공감적 의사소통훈련 프로그램은 수치심경향 고등학생의 공감능력 향상에 효과가 있는 것으로 나타났다.
Phraseologie im DaF-Unterricht - Didaktische Überlegungen für koreanische Deutschlernende
김신아 한국독일어교육학회 2014 외국어로서의 독일어 Vol.34 No.-
Phraseologie im Deutsch als Fremdsprache-Unterricht – ja oder nein? Wenn man nur bedenkt, wie oft man beim Erlernen der deutschen Sprache nicht zuletzt im Alltagsgespräch Phraseologismen begegnet, dürfte es außer Frage stehen, dass „eine minimale Beherrschung der Phraseologie“ für eine auch nur begrenzte Kommunikation in dieser Sprache unentbehrlich ist. In Bezug auf die Phraseodidaktik herrscht jedoch die vorsichtige Meinung, Phraseologismen sollten erst in den Unterricht für Fortgeschrittene eingesetzt werden. Diese Vorsicht gründet sich in erster Linie auf die Praxis-Erfahrung, wonach Phraseologismen selbst weit Fortgeschrittenen oft erhebliche Schwierigkeiten bereiten und Ausländer nicht selten in ihrer Deutung oder stilistischen Einordnung fehlgehen. In der vorliegenden Arbeit werden zunächst einige didaktische Probleme aufgegriffen, die für die Vermittlung der Phraseologismen im DaF-Unterricht relevant erscheinen. Anhand einer kontrastiven Analyse ausgewählter deutscher und koreanischer Phraseologismen werden dann einige interessante Aspekte bei der Vermittlung der deutschen Phraseologismen für koreanische Lernende zur Diskussion gestellt.
청소년 자살생각 유형화와 관련요인 분석: 성남시청소년상담복지센터를 중심으로
김신아,김형경,황미화 한국청소년상담복지개발원 2023 청소년상담연구 Vol.31 No.2
The purpose of this study was to identify latent classes of adolescents’ suicidal thoughts, based on the levels and patterns, and to further explore the associations of individual psychological and social environmental factors with the classes identified. Using the data from 918 first-grade high school students derived from the 2022 Mental Health and Prevention Survey of the Seongnam-City Youth Counseling Welfare Center, this study conducted latent class analysis and multinomial logistic regression. From the analyses, four latent classes of suicidal ideation were determined that clustered participating adolescents falling in the following groups: High risk group(3.6%), moderate risk group(5.8%), mild risk group(10.1%), low risk group(80.5%). The four latent classes differed according to psychological and environmental factors such as self-efficacy, school type, parental support, and peer support. Based on these findings, implications and practical suggestions for better addressing the risk of adolescent suicidal ideation were discussed. Particularly, the results using the data collected by the Seongnam-City Youth Counseling Welfare Center are anticipated to inform evidence-based practice, specifically in making policy decisions and facilitating interventions tailored to youths’suicide issues at the local level.