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      • 원발성 복막수염의 방사선학적 소견 : 초음파와 CT 소견

        구자홍,송순영,이재균,김홍자,원영준 關東大學校 醫科大學 醫科學硏究所 1999 關東醫大學術誌 Vol.3 No.1

        Purpose : To describe ultrasound(US) and CT findings of primary epiploic appendicitis Materials and Methods : From March, 1999 though Novemer 1999, clinical, US, and CT findings were reviewed in nine patients with primary epiploic appendicitis (eight women and one men, aged 27-54 year[mean, 36 years]). All patients performed US and four patients performed abdominal CT. The main symptoms were rapid onset, localized abdominal pain and tenderness(left lower quagrant pain[n=8], right abdominal pain[n= 1]) Results: US revealed small, ovoid, and mass are echogenic(n=7) or isoechoic(n=2) mass, located anterolateral to the colon. The echopattern of the mass are echogenic(n=7), or isoechoic(n=2). CT performed in four patients shown small oval fatty mass with a thin peripheral rim and central high attenuation area at anterolaeral side of the colon. Some streaky infiltration are associated around the fatty mass. Conclusion: Primary epiploic appendicitis has fairy. characteristic US and CT findings that enable a rapid diagnosis and valuable far differential diagnosit of other condition of acute abdomen.

      • 복강동맥 협착 혹은 폐쇄 환자에서 상장간막동맥으로부터의 측부순환로: 혈관조영술 소견의 분석

        송순영,구자홍,정진욱 關東大學校 醫科大學 醫科學硏究所 1999 關東醫大學術誌 Vol.3 No.1

        The purpose is to evaluate angiographic finding, various collateral pathways from the superior mesenteric artery(SHA) in patients with celiac stenosis or occlusion. We selected ninety-four patients with angiographic findings of celiac stenosis or occlusion. All patients underwent SMA angiography. Thirteen patients has variations of hepatic artery, which were right hepatic or all of hepatic arteries originating from the SMA. We retrospectively evaluated the types and incidence of dominant collateral routes from the SMA on angiographic finding's. The most common collateral routes from the SMA were via pancreaticoduodenal arcades(PDA) in 59 patients(95%) and dorsal pancreatic arteries(DPA) and their braches in 70 patients(74%). Miscellaneous collaterals other than PDA and DPA were found in 20 patients. All 13 patients with hepatic arterial variation showed miscellaneous collaterals, which were interlobar intrahepatic collaterals(n=11), right-to-left gastric arterial anastomosis(n=2), accessory left gastric artery(n=2) and peribiliary arterial plexus(n=1). Two miscellaneous collaterals in 7 patients with normal hepatic arterial anatomy were the direct aeterial channel between the SMA(n=6) and middle colic artery(n=2). In conclusion, the most common and important collaterals from the SMA are the PDA and DPA in patients with celiac stenosis or occclusion. Presence of hepatic arterial variation is main cause of development of miscellaneous collaterals.

      • KCI등재

        디지털 및 일반 측방두부규격방사선사진에서 측정 방법에 따른 계측치의 비교

        김미자,허경회,이원진,허민석,이삼선,이진구,안병근,최순철 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.1

        Purpose : To compare cephalometric measurement between measuring methods in digital and conventional lateral cephalometric radiograph. Materials and Methods : Twenty digital and conventional lateral cephalometric radiographs were selected. In digital group, cephalometric measurements were performed manually using hardcopies and automatically using VCeph^(TM) program on the monitor. In conventional group, the same measurements were performed manually on conventional films, and for automatic measurement conventional films were digitized by scanner. All measurements were performed twice by 4 observers, and 24 cephalometric variables were calculated and the time spent for each measurement was recorded. The differences in measurements data and the time spent for each measurement were compared within each group. Intra-observer and inter-observer comparisons were performed. Results : In both groups, no statistically significant difference between manual and automatic measurements was observed and most of the variables didn’t show statistically significant differences between methods. The observer with less experience tended to show statistically significant differences of measurements between methods, and differences from other observers. The differences of measurements between methods in digital group were lesser than those of conventional group with statistical significance in 8 variables out of 24. With automatic method and in digital group, the spent time was shorter. Conclusion : With direct digital radiograph, automatic method using manually idenitified landmarks can be preferable in cephalometric analysis.

      • 후지(厚地) 면직물의 특성에 관한 연구(Ⅰ) : Frazier법에 의한 통기도

        변희윤,김덕리,구자길,황백순 부산대학교 1999 生産技術硏究所論文集 Vol.56 No.-

        This paper describes the properties and air permeability of heavy cotton fabrics. The physical properties (air permeability and water vapor transmission in fiber assembly) have considerable effects on hygiene and comfort. The studies on air permeability and water vapor transmission were carried out using many types of apparatus. In this study, air permeability, open free area, relative open free area, pore diameter, and water vapor transmission were obtained by computerized Frazier Method. Air permeability of heavy cotton fabrics has correlation with open free area and relative open free area, respectively (r=0.9 over). By controlling the fabric count and yarn diameter, we could predict air permeability. As the ratio of open free area, relative open free area, and air permeability were increased, the value of water vapor transmission resistance was decreased. 본 연구는 후지 면직물의 특성에 관한 첫 번째 연구로 후지 면직물의 통기도에 관해서 조사하였다. 섬유집합체의 통기성과 투습성은 위생성능면과 쾌적성 평가면에서 매우 중요한 인자중의 하나이다. 따라서 섬유집합체의 통기성과 투습성에 관한 연구는 오래 전부터 행해졌으며 여러 가지형의 시험기도 개발되어 왔다. 그중 본 연구에서는 Frazier법으로 측정하여 통기성과 평면기공률, 상대평면기공률, Pore diameter 및 투습저항과의 관계를 조사해본 결과 면 후지직물의 통기성은 평면기공률, 상대평면기공률과 각각 정상관의 관계이고(r=0.9이상), 직물의 밀도와 실의 지름을 제어함으로써 통기성을 예측할 수 있었고 직물의 평면기공률, 상대평면기공률, 공기투과도가 크면 투습저항이 적어졌다.

      • KCI등재

        The Effects of Interferential Current and Kaltenborn-Evjenth Orthopedic Manual Therapy on Functional Constipation

        Koo, Ja-Pung,An, Ho-Jung,Koo, Hee-Seo,Park, Ji-Hwan,Kim, Suhn-Yeop,Kim, Yong-Kwon,Choi, Jung-Hyun,Kim, Soon-Hee,Min, Kyung-Ok International Academy of Physical Therapy Research 2010 Journal of International Academy of Physical Ther Vol.1 No.1

        2 week study was conducted to investigate the effects of Interferential Current(IC) and Kaltenborn-Evjenth Orthopedic Manual Therapy(KEOMT) on functional constipation. Interventions were applied to spinal segments between $T_9-L_2$ which provides innervations to the gastrointestinal tract. Subjects(n=24) were randomly allocated to two treatment groups: the IC group or the KEOMT group. Results for the IC therapy demonstrated significant decrease with the colonic transit time(CTT) as well as scores on the constipation assessment scale(CAS). The frequency of defecations per week had increased significantly(p<0.05). The KEOMT displayed decreased CTT in the left colon region. The scores on the CAS were reduced and frequency of defecations per week had increased significantly (p<0.05). This study not only showed that both modes of therapy improved symptoms of constipation, but also optimized gastrointesti. nal content movement, eventuating in a more normalized CTT. In conclusion, both the IC therapy and the Kaltenborn-Evjenth Orthopedic Manual Therapy have shown to be effective interventions for improving functional constipation.

      • AHCISCOPUSKCI등재
      • KCI등재

        The Effects of Interferential Current and Kaltenborn-Evjenth Orthopedic Manual Therapy on Functional Constipation

        Ja Pung Koo,Ho Jung An,Hee Seo Koo,Ji Hwan Park,Suhn Yeop Kim,Yong Kwon Kim,Jung Hyun Choi,Soon Hee Kim,Kyung Ok Min 국제물리치료학회 2010 Journal of International Academy of Physical Ther Vol.1 No.1

        2 week study was conducted to investigate the effects of Interferential Current(IC) and Kaltenborn-Evjenth Orthopedic Manual Therapy(KEOMT) on functional constipation. Interventions were applied to spinal segments between T9-L2 which provides innerva˗ tions to the gastrointestinal tract. Subjects(n=24) were randomly allo˗ cated to two treatment groups: the IC group or the KEOMT group. Results for the IC therapy demonstrated significant decrease with the colonic transit time(CTT) as well as scores on the constipation assessment scale(CAS). The frequency of defecations per week had increased significantly(p<0.05). The KEOMT displayed decreased CTT in the left colon region. The scores on the CAS were reduced and frequency of defecations per week had increased significantly (p<0.05). This study not only showed that both modes of therapy improved symptoms of constipation, but also optimized gastrointesti˗ nal content movement, eventuating in a more normalized CTT. In conclusion, both the IC therapy and the Kaltenborn-Evjenth Orthopedic Manual Therapy have shown to be effective interventions for improving functional constipation.

      • KCI등재

        韓國老人 健康保護 體制의 問題點과 對策

        Ja soon Koo(具滋順) 한국노년학회 1986 한국노년학 Vol.6 No.1

        The purpose of this paper is examine existing health care systems of the aged in Korea. The term health care system is used in this paper in a very broad sense to integrate also non-professional subsystems like the family. Two questions will be focused: What are the main problems in the health care systems of the aged in Korea? Secondly, what measures should be undertaken to reduce or prevent these problems? The specific topics what will be discussed are: 1) demographic trends of aging in Korea; 2) general health status of elderly; 3) medical policy; 4) community health care system, and 5) family care. This discussion therefore identifies the problems and solutions. In order to describe the health care systems of the Korean elderly, we rely on data on the aged from various sources, such as ethnolographic materials, government statistical data, surveys done by Korean gerontologists, newspaper reports and so on. The existing data on the health care systems of the aged in Korea indicate a number of problems. The significant problems concerning health care systems of Korean elderly and recommended solutions are: First, there are many more older people who wlll suffer chronic disease since the population aged 75 and over has been increased continuously and will be a much larger group in the future. More health services will be needed but resources are lacking. More burdens will fall on the family unless institutions are created to help. The role of the family in health care and illness of the elderly should be defined. The need for home health care serivices or the need for institutional places will rise. Also, the shifting of the burden of health care of the aged from the family to the public is an issue. Second, Korea needs to develop health care programs which can reach the majority of the aged. The elderly tend to use less of health services than other age groups. Only 3.6% of the Korean elderly were treated under the medical insurance in 1983. Moreover, health care systems of the aged are varying in according to sex, geographic location (rural/urban) and socio-economic status. The distribution of medical and health care services has favored males, urban areas, and higher socio-economic class. It is not only a problem of health but also one of social justice for the majority. Third, the negative reinforcement of portraying physical and mental illness as the normal course of aging is deeply embeded into Korean culture. Also, Korean elderly do not have correct knowledge of nutrition. Old people tend to accept their illness and to have a low expectation of services. Preventive geriatrics should be practiced. More geriatic care personnel, information and training should be used with old people. This needs great involvement of community. Fourth, no establishment has been made for the concept of medical assistance for the aged. Current medical policy does not meet the needs of the eldery's health care. This has not been designed for the elderly population. To plan health development for the aged, a national committee on aging should be established. The committee should study, examine, and guide the elderly with reference to their needs and desires for their health care. Fifth, Kroea is lacking in reliable demographic, economic, health, and other data on the aged population which are necessary for effective planning and implementation process for helth care of the aged. Without reliable information, most decisions on policy or programs for the elderly seem to be based on hunches or political expediences. Under such conditions, effective health care is impossible. There must be a national effort to promote and support accelerated research on the health care of the elderly. Sixth, aging is not national priority. Unless the political and social leaders recognize the value of the health care for the aged, it may never be a priority. Health care for the aged has been constrained by various problems, political, cultural, e

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