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      • KCI등재

        고등학교 화학 수업에서 CAI의 효과성 연구 : 화학 평형 단원을 대상으로

        서정쌍,김주래,성숙,한인,이진승,정대홍 한국과학교육학회 1998 한국과학교육학회지 Vol.18 No.3

        본 연구는 화학 평형 단원에 대한 멀티미디어 CAI를 제작하고, 고등학교 화학수업에 적용하여 성취도와 태도 면에서 전통적 수업과의 효과를 비교하였다. 이를 위하여 수업처치 전에 화학수업과 컴퓨터에 대한 태도 검사를 하였고, 중간고사 성적을 공변인으로, 중간고사의 과학성적을 구획변인으로 사용하였다. 화학 평형 단원을 대상으로 각각 전통적인 수업과 CAI를 수행한 후에 성취도 검사와 태도 검사를 실시하였다. 컴퓨터를 이용하여 화학수업을 받은 학생은 전통적인 수업을 받은 학생에 비하여 성취도는 유의미하게 향상되었으나, 태도의 향상은 유의미하지 않았다. 또한 학습자의 사전 성취수준과 수업처치와의 상호작용은 관찰되지 않았다. 성별로 분석해 보니 여학생은 CAI에 의해 성취도가 향상되었으나, 남학생은 차이를 보이지 않았다. 이해와 적응의 하위범주 중 적용문제 영역에서 CAI에 의한 성취도의 향상이 있었으며, 화학 평형의 법칙, 화학 평형의 개념, 평형 이동의 적용 세 부분으로 나누었을 때 화학 평형의 개념에서 성취도의 향상이 가장 컸 다. CAI가 컴퓨터에 대한 태도와 화학수업에 대한 태도에 긍정적인 변화를 주지 않았으며, 남학생은 CAI에 의해 화학수업에 대한 태도와 컴퓨터에 대한 태도 모두 긍정적으로 변했으나 여학생은 그렇지 못하였다. 이상의 결과에 대한 교육적 의미를 논의하였다. In this study, the multimedia CAI program for chemical equilibrium in high school grade 3 was developed and the effect of CAI on achievement and attitude toward chemistry instruction and computer was investigated. Before instruction, the test of attitudes toward chemistry instruction and computer were administered, and the grade in the mid-term examination was obtained. These scores were used as covariates. Mid-term science score was used as blocking variable. For chemical equilibrium instruction, traditional and computer assisted instruction were used. After instruction, the achievement test and the test of attitudes toward science instruction and computer were administered. The results indicated that students in the treatment group achieved significantly better than those in the control group, but did not show improvement of attitude to chemistry instruction and computer compared to those in the control group. No significant interaction between the treatment and the level of students' prior achievement was found. Female achieved significantly better under CAI than under traditional instruction. In two subtests(understanding and application), treatment group achieved better in the subtest of application than control group. CAI had an effect on chemical equilibrium state (about reversibility) significantly. While female of the treatment group did not show more positive attitude toward both chemistry instruction and computer significantly than that of the control group, male showed more positive attitude significantly. Educational implications are discussed.

      • KCI등재

        임신 시 비정상 자궁경부 세포진 검사를 보이는 여성에 대한 임상적 고찰

        정순지 ( Soon Ji Jeong ),성숙 ( Sung Suk Seo ),김정헤 ( Jeong Hye Kim ),순애 ( Soon Ae Oak ),문은정 ( Eun Jeong Moon ) 대한주산의학회 2008 Perinatology Vol.19 No.2

        목적: 본 연구는 임신 시 비정상 자궁경부 세포진 검사의 임상적 중요성과 이들의 추적 관찰을 위한 세포진 검사와 질확대경검사의 효용성을 평가하기 위해 시행되었다. 방법: 2002년 1월부터 2007년 12월까지 ASCUS 이상의 비정상 자궁경부 세포진 검사의 결과로 질확대경 클리닉에 전원되어진 임산부들을 후향적으로 분석하였다. 첫 질확대경검사는 임신 제 1 삼분기 말에 시행되었다. 남은 임신 기간 동안 1~2회 그리고 산후 6~8주에 자궁경부 세포진 검사와 질확대경검사가 반복 시행되었다. 질확대경검사상 이상소견을 보이면 질확대경하 조준 생검이 시행되었다. 침윤의 증거가 없다면 임신 중에는 어떠한 침습적 시술도 시행치 않았고 지속적 CIN2 이상의 병변은 산후에 치료되었다. 산후 진단 결과를 최종 산전진단명 및 초기 세포학적 진단과 비교하였다. 결과: 5년 동안 103명의 임산부가 질확대경검사 클리닉에 의뢰되었다. 산전에 침윤성 자궁경부암은 보이지 않았다. 53명의 환자가 산후 확진을 위해 추적 관찰되었고 이중 CIN2이상의 병변을 가지는 17명의 환자가 치료되었다. 2례의 미세침윤성 펀평상피세포암, 1예의 침윤성 샘상피암이 산후에 진단되었다. 처음 세포학적 진단상 ASCUS 소견을 보인 33명군에서는 7례의 CIN2, 3 병변과 3례의 침윤성 암이 진단되었다. 11 LSIL군에서는 1례의 CIN3 병변을 보인 반면 모든 HSIL 환자는 CIN3 병변을 보였다. 임신 중 CIN2, 3로 진단되어진 16명에서는 산후 2례의 미세침윤성 편평상피세포암이 진단되었다. 결론: 임신 시 자궁경부 세포진 검사장 ASCUS 소견을 보인 환자는CIN2, 3 그리고 암으로의 진행 가능성이 30%이다. LSIL은 85%에서 정상소견을 보였고 HSIL군은 100% CIN3였다. 산전 CIN2, 3가 미세침윤성 편평상피세포암으로 진행될 위험성은 12.5% 이나 조준 생검상 침윤 소견이 보이지 않으면 세포학적 검사와 질확대경 검사에 의한 추적 관찰 그리고 보전적인 관리는 합리적인 치료 방법이다. Purpose: This study was performed to evaluate the clinical significance of abnormal cervical cytology in pregnancy and the effectiveness of cytologic and colposcopic surveillance of these women. Methods: A retrospective analysis was conducted in pregnant women referred to the colposcopic clinic with abnormal cervical cytologic results above ASCUS between Jan. 2002 and Dec. 2007. The Initial colposcopy was performed at the end of 1st trimester. Cervical cytology and colposcopy were repeated once or twice during remaining period of pregnancy and at postpartum 6~8 weeks. Colposcopy directed cervical biopsies were taken in case of colposcopic abnormalities. Without evidence of invasion, no invasive procedure was attempted during pregnancy. Above CIN2 patients were treated postnatally. The postpartum diagnoses were compared to the worst antepartum impressions and initial cytologies. Results: One hundred three pregnant women were referred to colposcopic clinic for 5 years. There was no invasive cervical cancer antenatally. After delivery, 53 patients were followed up and 17 patients above CIN2 lesions treated. Two microinvasive squamous cell carcinoma and 1 invasive adenocarcinoma were found postnatally. In 33 initial ASCUS cytologies, there were 7 CIN2,3 lesions and 3 invasive cancers. One CIN3 was found in 13 LSIL cytologies. All 7 HSIL patients had CIN3 lesions. There were 2 microinvasive cancers postnatally in 17 antenatal CIN2,3 patients. Conclusion: ASCUS cervical cytologic results in pregnancy have 30% possibility of CIN2,3 and cancer. LSIL results are normal in 85% and HSIL group 100% CIN3. Even though there is 12.5% risk of microinvasion in antenatal CIN2,3 lesions, noninvasive conservative management is reasonable.

      • 원저(原著) : Delta 및 Panic치 검증을 이용한 혈액검사결과의 내부정도관리에 관한 연구

        김재우 ( Jae Woo Kim ),성숙 ( Sung Suk Cho ),정란 ( Chong Lan Ok ),오현득 ( Hyun Duk Oh ) 대한임상병리사협회 1994 임상혈액검사학회 발표자료집 Vol.1 No.1

        The diagnosis hematology test is not only the most of patient medical examination and treatment based on use, but also in representative routine CBC test a kind of patient therapy along with variable be exchange, in capillary blood have each blood component exactly calculation diagnosis and therapy important mean. Recently, computer industry development be owing to quality control the concept of delta\and panic value checks has been received the wide acceptance and practical popularity as the means of reducing the various errors. Sysmex NE-8000 is a new breed automated blood cell analyzer, which performs simultaneously the complete blood cell count and white blood cell differential count, based on the principles of light scattering and impedance electronic counting method. In the departement of clinical hematology laboratory, the established data-input and management system between Sysmex NE-8000 hematology analyzer and main computer is accomplished by RS-232C port. As the serial test results of each patient accumulated and data management system enabled us to review the cummulated data. We tried in delta and panic value checks of each parameter in routine hematology test. In our laboratory, we succeeded in detecting and correcting preanalytical errors such as label mis-identification and clerical errors, so the performance of internal quality control was greatly enhanced. We analyzed Sysmex NE-8000 scattergram & histogram and delta & panic value check of CBC have been used of quality assurance from September 15th of 1993 to January 15th of 1994, in Dong-A University Hospital. The results are as follows; 1. Among 12,363 specimens evaluated, proportion of results out of delta & panic value was 6,752 cases(54.6 %). Among the 6,752 cases, ratio of delta value check was 4,313 cases (33.4 %) and ratio of panic value check was 2,621 cases(21.2 %). 2. The proportion out of ranged delta value was WBC 1,198 cases(9.7 %), Platelet l,056cases(8.5 %), Hemoglobin 273cases(2.2 %) and panic value was WBC 609cases (4.9 %), Platelet 722cases(5.8 %), Hemoglobin 162cases(1.3 %), respectively. 3. The chief causes of delta & panic analysis were transfusion of patient, inadequate samples, platelet aggregation and clotting of samples etc.

      • SCOPUSKCI등재

        일부 남자 중학생의 흡연에 대한 지식 및 태도

        양순,김신정,최은진,성숙,양순분 지역사회간호학회 2002 지역사회간호학회지 Vol.13 No.2

        This study was conducted to provide basic data to develop a smoking prevention and non-smoking education program. Data were collected, using a questionnaire, from 438 male middle school students living in Chunchon, Kwangwon- do. The data collection period was from September 2 to 30, 2000. The questionnaire used to measure the subjects' knowledge and attitude toward smoking was based on the guideline for the contents of tobacco smoking surveys for the general population designed by WHO. The collected data were analyzed using the SPSS-Win program. The results were as follows. 1. The subjects' average score for smoking knowledge was 58.52 out of 100 points. 2. The subjects' average score for attitude toward smoking was 63.54 out of 100 points. 3. Smoking knowledge of the subjects was significantly different by their grade (F=9.187,p=.000), father's smoking behavior (t=2.261, p=.024), aware of harmfulness of smoking(F=8.911, p=.000). The subjects' attitude toward smoking was significantly different by mother's smoking behavior (t=-2.557, p=.011), brother's smoking behavior (t=-3.959, p=.000), having a smoking friend or not (t=-4.422, p=.000), subjects' smoking experience (t=-8.304,p=.000), present smoking behavior (t=7.001, p=.000), quantity of smoking (F= 3.297,p=.041), abstinence period of smoking (F= 3.858, p=.013), thinking about smoking behavior (F=20.999, p=.000), aware of harmfulness of smoking (F=20.964, p=.000), and amount of drinking (F=8.316, p=.000). 4. There was a significant correlation between subjects' knowledge and attitude toward smoking (r=.514, p=.000).

      • SCOPUSKCI등재

        강원도 중학생의 성 태도와 경험

        양순,정금희,성숙,Yang, Soon-Ok,Jeong, Geum-Hee,Paik, Sung-Sook 한국지역사회간호학회 1998 지역사회간호학회지 Vol.9 No.2

        As an initial step toward the improvement of sexual education in middle school students, a survey on sexual attitudes and experience was done in Kangwon - Do, Korea. Questionnaires consisted of 68 items distributed to 240 boys and 240 girls from November 1 to December 20, 1996. Answers from 420 students were subjected to an analysis with SPSS. 92.4% of the girls experienced menstruation. Of them, 74.0% showed a negative reaction. 52.0% of the boys experienced night ejaculation. Of them, 81. 7% showed a negative reaction. Boys (64.3%) masturbated more than girls (17. 6%) (p= 0.0000). The understanding of masturbation was higher in boys than in girls (p = 0.0000). 87.2% of the subjects wished meetings with the opposite sex. During the meeting with the opposite sex, 12.9% of the students enjoyed drinking or smoking, 8.8% had intercourse. Boys(91.9%) watched pornography or porno-video more than girls(40.5%)(p=0.0000). 83.3% of the girls thought that both males and females should keep their virginity untill marriage. However, only 48.6% of boys thought that(p=0.0000). Of boys who had experienced sexual touch, 34.8% had intercourse. Of the 30 students(26 boys, 4 girls) who experienced sexual intercourse, 22 students had partners of the opposite sex and were friends. First intercourse 63.4% of these students had their in middle school period. The frequencys of sexual intercourse (more than 6times) was written by 12 students (40.0%). 24 students(16 boys and 8 girls) experienced sexual violence. As for dealing with sexual violence, 14 suffered by him or herself whill 7 students discussed it with a friend. There was a significant difference in the sources of information between boys and girls(p= 0.000), 36.0% had learned from an official sexual education source, usually from school nurses (74.0%). 92.6% of the students thought that sexual education was necessary. They believed that the appropriate person for sexual education was from a school nurse (53.1%) or from parents (19.5%). According to the above results, the following might be suggested: Realistic and future-directed sexual education material should be developed : Education programs to improve students insight and control sexual desire should be prepared: a systematic approach to activate the role of school nurse in sexual education should be prepared.

      • KCI등재

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