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      • 현대교회의 커뮤니케이션 모형

        김숙현 국제기독교언어문화연구원 1999 기독교언어문화논집 Vol.3 No.-

        Dr Suk Hyon Kim. 1999. A Model of Communication in Mordern Churches. Collected Papers on Christian Language Culture. The 21st century we are facing is called a Multi-media Age, whose characteristic is interaction of sender or speaker and receiver or hearer. This paper aims at examining and establishing Christian linguistic model in focus of language activity for ministry, missionary work, and evangelical work in a Multi-media Age of the 21st century we are facing. And the purpose of this paper is to inquire into a desirable Christian communication model by making an analysis of the Bible as well as by applicating the theory of communication. On the basis of the purpose, this paper makes an introductory remark in Chapter 1. And, the Incarnation communication in Chapter 2, an evangelical way of Gospel found in the Bible in Chapter 3, an application of the theory of communication in Chapter 4 have been argued and systematially organized. And finally, in Chapter 5, this paper proposes that communication holds a key post in all fields of religion as well as in Christian field, so that we may continue to make a special study of communication in the institute like our "International Institute for Christian Language Culture" And this paper hopes that the theories from the results in the study will be put into practice in our real Christian life. (Professor of Hansei University)

      • KCI등재
      • 성경에 나타난 예수 커뮤니케이션의 특성 : 설득 커뮤니케이션과의 비교

        김숙현 한세대학교 2001 敎授論叢 Vol.17 No.-

        The words and behaviors of Jesus Christ have exerted great influence on the numberless people for two thousand years. Bible, which records the communication behaviors of Jesus Christ, has been the best-seller for centuries. In Korea, however, only few studies have been attempted to investigate into His communication behaviors. This paper studies the characteristics of Jesus Christ communication behaviors in comparison with general persuasion theories. As the analytic framework, this study uses David Berlo's communication model: source, receiver, message, channel. Feedback is added to these four communication ingredients. The research questions of this study are: was Jesus Christ a successful communication?; What are the characteristics of Jesus Christ as the source?; What are the characteristics of His messages and channels?; What are the characteristics of His communication receivers?; What is the peculiar Christian feedback? During his lifetime, Jesus Christ's communication behaviors were welcomed by his disciples, the sick, the poor and those who have problems. However, He was rejected by priests, pharisees, scribes and the rich. Those who are poor in mind have been the main receivers of his messages. As a communicator, he did not achieve such a great success in his lifetime. His communication has been achieving great success after his death until now. Jesus Christ maintained high credibility among his disciples and message receivers, and high identification with them. Jesus Christ organized his messages considering the needs of communication partners. He favored the real-life stories, parables, proverbs. He used to give questions to his disciples in order to help them find answers by themselves. Christ also taught that the human beings and their behaviors are the message. Jesus Christ regarded the seeing, listening, contacting, drinking and eating as effective channels. When these channels were vitalized, even miracles occurred. The ideal feedback emphasized by Jesus Christ includes repentance, patience, love and delightfulness.

      • 국내 5개 종합병원에서 분리된 주요 원내감염 세균에 대한 Cefepime의 시험관내 항균력

        용동은,김현숙,박연준,홍석일,구선회,이경원,정윤섭 대한화학요법학회 2001 대한화학요법학회지 Vol.19 No.3

        목적 : Enterobacter, Citrobacter, Serratia, A. baumannii 및 P. aeruginosa 등의 원내 감염균은 AmpC β-lactamase 과량 생산으로 인하여 여러 가지 β-lactamase 항균제에 내성인 균주가 많다. Cefepime은 제 4세대 cephalosporin으로 AmpC β-lactamase 과량 생산균에 대한 항균력이 우수하고, oxacillin 감수성 포도구균과 penicillin 내성 S. pneumoniae에도 항균력 있는 것으로 알려져 있다. 그러나 국내분리균주에서 cefepime의 항균력은 시험된 바 적다. 본 연구에서는 우리나라 병원에서 분리되는 원내감염 세균에 대한 cefepime의 항균력을 다른 광범위 β-lactamase 항균제의 항균력과 비교하고자 하였다. 방법 : 1999년 전국 5개 병원에서 분리한 원내 감염세균에 대한 항균제 감수성을 각각의 병원에서 Etest strip (AB Biodisk, Solna, Sweden)으로 시험하였다. 시험 균주는 균종별로 약 10주씩이었고, 대상균종은 E. coli, Klebsiella spp., C. freundii, Enterobacter spp., Serratia spp., Indole-positive Proteeae, Acinetobacter spp., P. aeruginosa, oxacillin-suspectible S. aureus, and oxacillin-suspectible coagulase-negative Staphylococcus이었다. 시험 항균제는 cefepime, cefpirome, ceftazidime, ceftriaxone, imipenem, oxacillin 그리고 piperacillin-tazobactam이었다. 결과 : 총 407주 그람음성 간균에서 cefepime의 MIC_(90)는 E. coli에 대하여 0.75㎍/mL, Klebsiella spp. 12㎍/mL, C. freundii 2㎍/mL 및 E. cloacae 48㎍/mL로서 imipenem을 제외한 다른 시험항균제의 MIC_(90)보다 낮았다. 전체 균종의 감수성율은 imipenem 89%, cefepime 78%, cefpirome 74%, ceftazidime 66%, piperacillin-tazobactam 65% 및 ceftriaxone 51%이었다. Oxacilin 감수성 포도구균의 감수성율은 cefepime, cefpirome 및 imipenem에 대해 100%이었다. 결론 : Cefepime의 원내감염 세균에 대한 시험관내 항균력은 imipenem을 제외한 다른 광범위 항균제보다 우수하여, 이 항균제는 원내감염증 환자의 치료에 유용할 것으로 판단되었다. Background : Common nosocomial pathogens such as Pseudomonas aeruginosa, Acinetobacter baumannii, and species of Enterobacter, Citrobacter, and Serratia, are often resistant to various β-lactam antibiotics by Amp C β-lactamase hyperproduction. Cefepime, a fourth generation cephalosporin, has been reported to have higher activity against AmpC β-lactamase-producing strains. It is also reported to be active against oxacillin-susceptible S. aureus, and penicillin-resistant S. pneumoniae. However, few studies were reported with Korean isolates. The purpose of this study was to compare the in vitro activities of cefepime and other broad-spectrum β-lactam antibiotics against nosocomial pathogens isolated in Korean Hospitals. Methods: In 1999, each of five participating hospitals in Korea tested the antimicrobial susceptibility for nosocomial pathogens using Etest strip. The number of isolates tested were about ten per species, which were E. coli, Klebsiella spp., C. freundii, Enterobacter spp., Serratia spp., Indole-positive Proteeae, Acinetobacter spp., P. aeruginosa, oxacillin-susceptible S. aureus, and oxacillin-susceptible coagulase-negative Staphylococcus. Antimicrobials used were cefepime, cefpirome, ceftazidime, ceftriaxone, imipenem, oxacillin and piperacillin-tazobactam. Results: A total of 407 isolates were tested. The MIC_(90s) of cefepime were 0.75 ㎍/mL for E. coli, 12 ㎍/mL for Klebsiella spp., 2 ㎍/mL for C. freundii, and 48 ㎍/mL for Enterobacter spp., which were generally lower than those of other antibiotics except imipenem. The following were the susceptibility rates of gram-negative bacilli to various antimicrobials, respectively: imipenem, 89%; cefepime, 78%; cefpirome, 74%; ceftazidime, 66%; piperacillin-tazobactam, 65% and ceftriaxone, 51%. To cefepime, cefpirome and imipenem, 100% of oxacillin-susceptible S. aureus were susceptible. Conclusion: The higher in vitro activities of cefepime than other broad-spectrum β-lactam antibiotics except imipenem suggests cefepime is useful for the treatment of patients with nosocomial infections.

      • 동종 골수이식환자에서의 C형 간염

        정소영,김현숙,이석,민유홍,한지숙,고윤웅 대한조혈모세포이식학회 1996 대한조혈모세포이식학회지 Vol.1 No.1

        연구배경: C형 간염은 골수이식후 발생하는 간기능 이상의 주요원인 중의 하나로, 동종 골수 이식을 시행 받은 환자에서 골수이식 전후의 C형 간염 바이러스 감염의 빈도를 알아보고, 간 기증 검사소견과 임상경과를 관찰하여 골수이식 환자에서 C형 간염의 임상적 의의를 알아보고자 하였다. 방법: 1991년부터 1996년 1월까지 연세의료원 세브란스병원에서 동종 골수이식을 시행받고 최소한 6개월 이상 추적 관찰할수 있었던 27례의 환자를 대상으로 간기능 검사. C형 간염 항체검사 및 RNA PCR을 시행하고 임상결과를 관찰하였다. 결과: 1) 대상환자의 평균연령은 26.2세(17-40세)였고 남자가 11례, 여자가 16례였으며, 골수이식을 시행받은 원인질환은 급성 골수성 백혈병 13례, 급성 림프구성 백혈병 4례, 만성 골수성백혈병 2례, 중증 재생불량성 빈혈이 8례였다. 2) C형 간염 항체검사는 골수이식 전에 27례중 1례 (3.7%)에서만 양성반응을 나타내었으나, 골수이식 후에서는 27례중 17례(62.9%)에서 양성으로 나타나 16례에서 양성으로 전환되었으며, 항체검사가 음성에서 양성으로 전환된 시기는 골수이식 후 평균 187.8일 (21-797일)이었다. 골수이식 전에 시행한 C형 간염 바이러스 RNA에 대한 PCR 검사는 16례중 8례(50%)에서 양성 소견을 보였다. 이식 전 PCR 결과와 이식 후 C형 간염 항체검사간에 유의한 상관관계를 나타내었다.(p=0.02). 3) 이식후 C형 간염 항체검사상 음성인 군과 양성인 군간의 이식전 수혈량(89.89±82.62 vs 115.39±100.47) 및 이식후 수혈량 (43.44±38.32 vs 30.06±25.55)의 유의한 상관관계는 관찰되지 않았다. 4) 골수이식 후 C형 간염 항체가 음성인 군과 양성인 군으로 나누었을 때, 입원기간동안 간기능 검사상 유의한 이상을 보인 경우는 각각 5례 (50.0%) 및 10례(58.8%)었고, 골수이식 후 퇴원후에는 유의한 간기능 이상이 각각 7례(70.0%) 및 15례(88.2%)에서 관찰되었으나 통계적인 차이는 없었다. Cyclosporin A의 감량이 투여 중단 후 간기능 검사가 악화되었던 예는 이식후 C형 간염 항체 음성군에선 2례, 양성군에서는 10례로 유의한 상관관계가 관찰되었다(p=0.04). 결론: 골수이식 환자에서 C형 간염의 정확한 진단을 위하여 골수이식 전후에 C형 간염 항체검사 및 RNA PCR을 시행해야 하며, C형 간염으로 진단된 환자에서는 면역억제제의 감량시에 보다 면밀한 관찰이 요구된다고 하겠다. Background: Hepatitis C is one of the major cause of liver function abnormalities after bone marrow transplantation(BMT). We evaluated the prevalence of hepatitis C viral infection and followed the clinical course and liver function tests in allogeneic BMT recipients. Methods: 27 patients who recieved HLA matched sibling allogeneic BMT from December 1991 to January 1996 and followed at least 6 months were tested for liver function test, anti-HCV antibody and HCV ribonucleic acid(RNA) by polymerase chain reaction(PCR). Results: After BMT 62.9% of patients were anti-HCV positive in contrast with only 3.7% prevalence before BMT. The seroconversion was detected at mean 187.8(range 21-797)days after BMT. Reverse transcriptase PCR for HCV RNA of pre-BMT serum of 16 patients were positive in 8 patients. Correlation between positive pre-BMT HCV PCR and positive post-BMT anti-HCV was statistically significant(p=0.02). There was no significant correlation between post-BMT HCV positivity and transfusion amount. The incidence of significanf liver function abnormalities during and after BMT were not different according to post-BMT anti-HCV positivity. After tapering of cyclosporin A, aggravation of liver function test was observed more frequently in post-BMT anti-HCV positive group(p=0.04). Conclusion: In BMT patients, RNA PCR method is more informative than anti-HCV antibody test and withdrawal of immunosuppression may cause exacerbation of C viral hepatitis. Therefore, careful monitoring of liver function test for patients with hepatitis C in BMT is suggested.

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