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      • KCI등재

        메타콜린 기관지유발검사 시행방법: 대한천식알레르기학회 의견서

        손경희,김환수,김병근,김주희,이상민,이재현,우성일,김철홍,정재원,김세훈 대한 소아알레르기 호흡기학회 2023 Allergy Asthma & Respiratory Disease Vol.11 No.2

        The Korean Academy of Asthma, Allergy, and Clinical Immunology task force report aims to provide new protocols for methacholine challenge test (MCT). Although new devices have different delivery system compared to old ones, previous protocols are still used, which cannot guarantee adequate diagnoses of asthma. Another important issue is the recent recommendation in European Respiratory Society (ERS) technical standard guideline to use a delivered methacholine dose that causes a 20% decrease in forced expiratory volume in 1 second (FEV1) (PD20). Although the previous protocol based on the methacholine concentration causing a 20% decrease in FEV1 (PC20) has been used globally, several studies have reported that PD20 is more reliable and applicable for new protocols of MCT. Indeed, a tidal breathing inhalation protocol using a breath-actuated or continuous nebulizer is recommended. Herein, we recommend 3 protocols for the MCT using new devices and provide a brief summary of the change in strategy based on the updated ERS guideline. .

      • KCI등재

        일본 대외직접투자와 GVC의 구조변화 - 2010년대를 중심으로 -

        손경희 동국대학교 일본학연구소 2022 일본학 Vol.56 No.-

        본 논문은 2010년대 일본기업의 GVC(Global Value Chain) 전개 과정과 국제 적인 산업연관에 대해 검토하고, 대외직접투자 관점에서 동아시아를 중심으로 한 일본 GVC의 구조적 변화와 경쟁력 및 국제통상환경 변화에 따른 재편과 향후 방향성에 대해 고찰하고자 하였다. 일본의 GVC 참여는 후방으로의 참여도가 높아짐에 따라 전방・후방 격차가 크 게 좁혀졌으며, 일본 GVC 전방 참여에 의한 국제적인 산업연관과 관련해서는 중 국의 부상으로 제조업에서 일본의 생산파급력이 낮아졌다. 반면 일본을 비롯해 중국, 한국 등의 GVC 후방 참여 증가로 아시아 역내에서 중간재 생산 증가 효과 를 가져왔다. 한편 일본의 GVC는 1980년대 동아시아를 중심으로 한 무역 중심의 2 국가 간 ‘공정간 분업’의 제조 형태를 시작으로 무역과 대외직접투자가 결합한 복수국 간 ‘네트워크형 대외직접투자(Networked FDI)’형태로 전환되어 구조적 변 화가 나타났다. 또한 중국과 아세안의 對세계 최종재 수출로 유발된 주요국의 부 가가치에 있어서 일본 제조업의 경쟁력은 하락하였으나 對아세안 직접투자액에 서는 주요국 가운데 일본의 비중이 가장 컸다. 2010년대 말부터 본격화된 미・중 통상마찰은 이전부터 확산하고 있던 일본기업의 ‘China+1’의 움직임을 더욱 가속 하였으며 코로나 19 확산 이후 기업의 관리・경영체제의 재검토에 대한 비중이 더 욱 높아졌다. 또한 판매에서는 온라인・디지털화를 중심으로 한 새로운 비즈니스 모델들이 주목받고 있으며 이러한 국제통상환경 변화는 이전과는 다르게 아시아 를 넘어 국제 생산 네트워크의 지역 확대와 서비스업으로 업종 확대가 예상되는 만큼 디지털 기술 활용에 의한 공급망의 강인화가 요구되고 있다. This thesis looks at how Japanese companies participated in GVCs in the 2010s and reviews international input-output from a foreign direct investment standpoint. Using this perspective, the report aims to study the structural changes in Japan's East Asia-focused GVC and its future direction based on its competitiveness and the evolving international trade environment. As Japan increased participation in GVC downstream activities, the gap between its upstream and downstream involvement narrowed significantly. In relation to international input-output resulting from Japan's participation in GVC upstream activities, the emerge of China undermined Japan's influence in manufacturing. Along with Japan, China and Korea also increased its participation in downstream GVC activities which created growth in the production of intermediate materials in Asia. In the 1980s, Japan's GVC started in the form of ‘division of labor’ in manufacturing between two countries, mostly in East Asia, and moved on to ‘Networked FDI’ among multiple countries combining trade and foreign direct investment. In addition, Japan lost its competitiveness in manufacturing as China and ASEAN countries started exporting more end products to the rest of the world, being responsible for added-value in key countries, but Japan still represented the largest share of foreign direct investments into ASEAN countries. Trade conflicts between the U.S. and China that started at the end of the 2010s expedited the ‘China+1’ strategy that had already been spreading, and the outbreak of COVID19 placed more weight on revisiting the business management systems of companies, especially in terms of sales. Therefore, online and digital based new business models have come into the spotlight. As such changes in the international trade environment go beyond Asia with international production networks expected to expand in terms of regional coverage and service industries, leveraging digital technology is being demanded to strengthen supply chains.

      • 매체, 소비자, 제품 특성이 지각된 위험과 구매의도에 미치는 영향

        손경희,이현규 한국정보시스템학회 2003 情報시스템硏究 Vol.12 No.1

        The purpose of this study is to be aware of the relationship between the perceived risk and purchasing intention after investing the impacts by 3 factors - consumer, media, and product characteristics on the perceived risk. The influence on perceived risk is categorized based on the 3 factors' combinations. The result of this study shows that the each characteristics of media, consumer, and product affect consumer's perceived risk and also this risk is affected by the relationship among these 3 independent variables. These results mean that the consumer's perceived risk about buying goods at the internet shopping mall or TV home shopping cannot be measured by a single dimension. Finally, it has a negative relationship between the perceived risk and purchasing intention. Implications for managers' use of shopping media are discussed in terms of the product and media characteristics fit.

      • KCI등재
      • KCI등재

        일제시기 경상북도 경주군 서면수리조합의 재정운영

        손경희 한국민족운동사학회 2009 한국민족운동사연구 Vol.0 No.59

        The purpose of this paper is to analyze the financial management of the Seo Subcounty Irrigation Association which was founded in 1930. I have mainly made a comparative analysis of the Association’s <<prospectus>> and <<proceedings>>(1935-1955) and have studied the particular condition of its financial management. The irrigation association was set up in the Seo township by a small minority of landlords who had interdependent relations to Japanese colonial government machinery, financial capital, and agencies for land improvement at that time. The Oriental Development Company and the Kyungju County Office took the lead in establishing the Seo Subcounty Irrigation Association as part of carrying out the plan to increase rice production in 1930. The association had no careful concern for the interests of a great majority of the Seo subcounty residents who consisted of owner-farmers, owner-tenants, and pure tenants, and for this reason they also offered a strong resistance against it. People of the Seo township, however, secured 90% of agricultural water through irrigation facilities and couldn’t repay a funded debt annually for 21 years. And they had a strong opposition to the irrigation association on the ground that it wouldn’t produce more rice than before its organization. Regardless of the Seo town’s objection, the association expected that its membership dues would gradually decrease and a rice production be on the increase. By the way, its members started agitating against the dues from the early period of its foundation, because the membership fee went on increasing and the rice production didn’t continue to augment. Because the Seo township irrigation association carried out its irrigation projects forcibly, paying no regard to the interests of owner-tenants and pure tenants, the latter had no share in the profits. Moreover, they had even serious monetary difficulties, as the water charges were substantially increased and the price of newly irrigated first-rate rice field fell off. To all outward appearances the Seo township irrigation association was in the red only for 1933 and 1934, but thenceforth it went into the black because of state subvention and flotation of a loan. The Irrigation Association issued bonds twelve times on a grand scale in the 1930’s, but it repaid little principal. In other words, the association at that time was supported by state subvention and issues of bonds. In consequence, with its administration depending on borrowing money, the Seo subcounty irrigation made its involuntary members of owner-tenants fall under the control of banking facilities. In addition, it was not so healthy irrigation association internally as externally. 본 연구는 1930년에 설립된 경북 경주군 서면수리조합의 재정운영 상황을 분석한 것이다. 연구 방법은 주로 서면수리조합 측에서 만든 『설립계획서』와 』報告例에 의한 文書』(1935~1955년) 등의 내용을 비교 분석했다. 이러한 분석을 통해 서면수리조합의 구체적인 재정운영 상황을 살펴보았다. 당시 서면수리조합 사업은 식민지 통치권력, 금융자본, 토지개량사업 대행기관과 상호의존 관계를 맺고 있었던 수리조합 지역내 극소수의 지주에 의해 설립되었다. 즉 서면수리조합은 동양척식주식회사와 경주 군수의 실적 쌓기의 일환으로 서면 면장과 경주군청 주도로 설립되었다. 서면수리조합은 경주군 서면의 대다수를 차지하던 자작농ㆍ자소작농ㆍ소작농 등의 이익은 전혀 고려되지 않은 채 설립이 추진되면서 강한 반발을 야기했다. 서면 면민들은 몽리구역 가운데 90%가 水源이 풍부하고, 21년간 장기에 걸쳐 매년 장기채를 부담할 재력이 없었다. 또한 수리조합 설립 후에도 설립 전보다 수확고에 이익이 없다는 이유로 강하게 반대했다. 서면 면민들의 강한 반대와는 달리 서면수리조합 측에서는 조합비는 점차 낮아질 것이며 수확은 크게 늘어 날 것으로 계획했다. 그러나 실제 운영 과정에서는 수리조합비의 부과 총액이 계속 늘어나 설립 초기에 조합비 불납동맹까지 벌어졌다. 또한 기대했던 증산은 계속 이루어지지 못했다. 서면수리조합은 서면의 대다수를 차지하던 자소작농 이하의 이익을 전혀 고려하지 않은 채 추진되었기 때문에 그들에게 돌아갈 이익이 전혀 없었다. 오히려 막대한 수리조합비와 수리조합 공사로 인한 양답의 저가 매수로 인해 피해만 컸다. 서면수리조합의 재정 상태는 겉으로 보면 1933년, 1934년 동안만 적자를 냈을 뿐, 그 이후에는 오히려 수익을 내는 구조였다. 그 이유는 국고보조금과 起債 발행 때문이었다. 서면수리조합에서는 1930년대 12번에 걸쳐 대규모의 기채 발행을 했으나 원금상환은 거의 이루어지지 않았다. 당시 서면수리조합의 재정 상태는 조합의 운영을 잘하여 수익을 내는 구조가 아니라 기채와 국고보조를 통해 유지하는 입장이었다. 결국 수리조합의 차입에 의한 운영은 강제적으로 조합원이 된 서면의 자소작농들을 금융기관의 지배망 속에 편입시켜는 결과를 가져왔다. 한편 서면수리조합은 외형과는 달리 재정이 불건전한 불량수리조합에 불과했던 것이다.

      • KCI등재
      • KCI등재

        한국의 정신분열병 환자 재활을 위한 웹기반 약물 및 증상 자가 관리 교육 프로그램 개발

        손경희,박시성,박성화 한국자료분석학회 2009 Journal of the Korean Data Analysis Society Vol.11 No.2

        This study was purposed to develop web-based education program for schizophrenic patients in order to identify symptom, facilitate medication and prevent recurrence. Research methodology was two phases as following: 1) Web-based education program was developed based on the learning objectives. 2) The effectiveness of the program was studied on quasi experimental research with experimental group and control group. The experimental group received web-based education and the control group received face-to-face education. After receiving the education each with different methods, the experimental group attainted the higher learning achievement in the knowledges of medication and symptom management. And there was a significant difference between the experimental group and the control group. This result proves that the effect of the web-based education better than that of the face-to-face education in the increase of knowledges. 본 연구는 정신분열병환자를 대상으로 약물 및 증상관리 교육을 위한 웹기반 교육프로그램을 개발하고 그 효과를 검증하고자 시도되었다. 본 연구는 2 단계로 구성되었다. 1 단계에서 정인성(1999)의 교수-학습 체제 설계 모형에 근거하여 정신분열병환자의 인지적 특성이 고려된 개별화 학습을 위해 약물 및 증상관리 내용을 주제별로 나누어 웹기반 교육 프로그램을 개발하였다. 연구의 2단계에서는 개발된 웹 기반 교육 프로그램의 효과를 구체적으로 규명하기 위해 비동등성 대조군 유사 실험 연구를 시행하여 웹 기반 교육 프로그램을 적용한 실험군과 면대면 약물 및 증상 관리 교육 프로그램 적용한 대조군 간에 약물 및 증상에 관한 지식, 약물 복용도 및 질병 재발경고증상 변화의 차이를 파악하고자 하였다. 연구결과 실험군과 대조군의 비교에서 약물 및 증상에 관한 지식에서 두 집단 간에 유의한 차이가 있는 것으로 나타났다.

      • KCI등재후보

        정신질환자와의 약물 및 증상관리에 대한 자가간호 교육 효과

        손경희 이화여자대학교 간호과학연구소 1997 Health & Nursing Vol.9 No.1

        An etiology and progress of major mental illnesses (psychiatric diseases) is a product of complex interaction between biological and environmental factors. With biopsychiatric vulnerability to mental illness and lack of coping skill to deal with social-environmental stress, out-patients are often relapsed. One of important strategy to prevent relapse involves to educate them an active coping method in which patients have a long -term compliance for psychiatric drug therapy and willingness to taking care of themselves, as well as knowledge of mental illness being under treatment. Despite of emerging concern and interest, it is just beginning to diffuse clinical and theoretical implications of the active coping method. Of course, very few attention has been given to the active coping method with regard to nursing service. This study is an attempt to evaluate the efficacy in terms of relapse prevention of medication and symptom self-care education (MSSE) as one of active coping method for psychiatric patients who were discharged. The patients were educated to take care of themselves with regard to taking medication and managing symptoms. This exploratory study was designed to do a quasi-experiment of pretest-posttest with a nonequivalent control group. A dependent variable for the study include relapse warning symptoms and social skill with an independent variable being MSSE. Subjects of 137 patients who were discharged from a mental hospital in Pusan were selected to be assigned randomly to the experiment and control group, with each group consisting of 20. Only 28 subjects who have been remained for whole research period of 29 weeks, from August 19,1996 to March 8, 1997, were included for the analysis in this study. A pretest was given before implementing MSSE to both experiment and control grop. When the subject finished MSSE, lasting 12 weeks, they were given a posttest(time 1), followed by a follow-up test in 2 month later(time 2). A program developed by Liberman at UCLA, with revised to have relevance to Korean, was adopted to educate the patients. An instrument to measure the dependent variable consists of relapse warning symptoms(RWS) scale of including 42 items, positive negative symptom (PNS) scale of 30 items, social behavior (SB) scale of 23 items, interpersonal relationship change (IRC) scale of 25 items, and self-esteem (SE) scale of 25 items. Data were collected by observing the subjects doing role-play and interviewing them. Data were analyzed by nonparametric statistical techniques, including Wilcoxon test and Kruskal -Wallis test. The result findings are summarized as follow: 1. Subjects who attended MSSE reported less PNS at both time 1 (Z=4.166, p=0.000) and time 2(Z = 3.889, p= 0.000) than those who are in control group. Also, those who were assigned to the experiment group had less RWS at time 2 than ttheir counterpart in the control did. This indicates that MSSE have an effect of reducing relapse symptoms. 2. Those who were in the experiment group scored higher than their counterpart in SB at time 1(z=-3. 450, p = 0.000) and time 2(Z=-3.716, p = 0.000). No significant differences were found between the two group in terms of IRC and SE at both time 1 and time 2. It is shown that MSSE has a little effect in improving social skill. 3. For subjects under experiment several differential soores over time 1, time 2, and time 3 were found in terms of RWS, PNS, and SB, all of which were statistically significant. No significant differences were observed across the test in terms of IRC and ES. On the other hand, chi-square statistics indicated that for the control group statistically significant differences were not among the three tests in terms of RWS, PNS, SB, IRC, and SE. The study concluded that medication and symptom self-care education by a psychiatric nurse for discharged patients make some contribution to reduction in relapse symptoms and to improvement of social skill. It was suggested to complement the educational program, MSSE, with techniques for skill training.

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