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1974년 11월 1일부터 1975년 1월 10일 까지 2개월간 경상북도 칠곡군 지천면 소재 칠곡농장(구 칠곡병원)과 경상북도 칠곡군 지천면 낙산동 소재에 정착하고 있는 음성나환자 자녀를 둔 기혼남성 149명을 대상으로 전기와 같이 조사한 결과는 다음과 같이 요약할 수 있다. 나환자 특성에서 본 기혼 남성 나환자에서 가장 많은 년령분포는 30-34歲군이 20.8%이고, 20-24歲군이 0.7%로 낮은 율이다. 결혼 경과 년수는 5-9년이 30.9%으로 가장 높고, 이들의 교육수준은 국졸이 38.9%로 높았다. 직업별로 보면 양계업이 전체의 89.3% 나타나며, "양계로 생활이 유지된다"가 75.8%로 높았다. 환자 자녀 실태 및 문제점에서 학령미달자가 49.6%로 가장 높은 율에 비해 대재학이 0.4%로 가장 낮았다. 이들 자녀들이 신체적, 정신적, 결함에 있어서 62.9%로 이상이 없다고 보였고, 이상자는 단지 1.6%만이 낮은 율이다. 자녀의 양성보유자는 "없다"가 85.2%로 가장 높으며, "있다"는 2.7%로 저율을 나타냈다. 자녀들의 복약여부는 "복약치 않는다"가 49.7%이며 복약자중. "생각나면 복약한다"는 32.9%, 로 가장 높으며 다음은 "규칙적 간헐적 복약"으로 17.4%이다. 환자 가족계획 실시현황에서 피임기구사용자의 년령은 40-44歲이 36.1%로 가장 높고, 사용치 않는 경우의 년령은 30-34歲군과 45-49歲군이 각각 20.4%로서 피임사용이 잘 되지않코 있다. 현재 사용되고 있는 피임법은 정관수술이 50%로 고율을 보였다. The result of research for the realities, subject to 149 married male lepers who have their atonic leper children that have been settled down both at Chilgog Form(Former Chilgog Hospital), Jicheon-myeon, Chilgog-gun, Gyeongsangbug-do, Korea and in Nagsan-dong, Jicheon-myeon, Chilgog-gun, Gyeongsangbug-do, Korea for two months during the period of November 1, 1974 through January 10, 1975 can be summarized as follows. From the view point of lepers'characteristics, the age distrubution of married male lepers has been dominant at the age of 30-34 years old which shows 20.8%, while 20-24 years old for 0.7% which shows the lowest ratio. The years of wedded life show the highest ratio in 5-9 years (30.9%). Their children's educational standard is to be primary school graduates which show 38.9% of highest. Their occupational ratio show that chickens raising is to be 89.3% out of total, and the posititve answer to the following question as “Is it possible to self support by raising chickens?” shows 75.8%. In the realities or problem for lepers children, the uneducated show 49.6% of highest while schooling at college shows 0.4% in lowest. Refering to their physical or mental defect of their children, it shows 92.6% that has nothing to do with them but only 1.6% of them have something to do with them. It shows 85.2% that has nothing to do with positive possession of leper among their children while 2.7% that has something to do with the possession of leper. Refering to the question such as “Do they care of medicine?”, it shows 49.7% of their children who don't care of medicine. It shows 32.9% that care of medicine whenever necessary. But it shows only 17.4% that care of regular dose. Refering to the situation of lepers family planning, the use of birth control has been dominant at 40-44 years old which shows 36.1% while disregarding of birth control has teen 30-34 years old. But 20.4% from 47-49 years old have not been using the birth control. The dominant method of family planning has been using the vasectomy at 50% of highest ratio.
We report, a 1-day-old male with congenital cutaneous candidiasis who had generalized erythematous papules and pustules on the whole body including palms and soles from birth. At 5th month of pregnancy, his mother had a history of vaginal candidiasis for a month KOH mount of pus from pustules of several different sites showed budding spores and pseudohrphae and fungus culture revealed the growth of Candida albicans We believe this to he the first documented case of congenital cutaneous candidiasis in Korean literature.
Telangiectasia macularis eruptiva perstans(TEMP) is an unusual type of urticaria pigmentosa, the eruption of which usually occurs in adults and consists of red telangiectatic macules. The lesions tend to be very persistent and unresponsive to treatment. We report a case of TEMP occurred in a 26 year-old woman. The patient had numerous pea sized reddish brown telangiectatic macules with positive Darier's sign on the trunk and extermities for 7 years. Histopathologic findings were remarkable for numerous mast cells and telangiectasia on the upper dermis. With a trial of PUVA therapy(total 215J/㎠), the skin lesions almost completely resolved.
We reported a case of cutaneous focal mucinosis in a 19 year-old male, which occured by multiple nodules on the both dorsa of hands, extensor surface of elbows, intergluteal folds and shins, and responded well to intralesional injection of triamcinolon acetonide. Histopathologically, most of the collagen in the dermis is replaced to homogeneous mucinous material which was confirmed as hyaluronic acid.
There have been no standard treatments for recurrent aphthous stomatitis, and clinical management is usually directed toward symptomatic relief. Recent immunological investigations have focused on possible imrnunopathogenesis of the disease. Several reparters suggested that levamisole, nonspecific immune-stimulator, had a beneficiaI effect in controlling attacks of recurrent a,phthous stomatitis and in reducing subsequent episodes. The present study was undertaken to evaluate the therapeutic effectiveness of levamisole in patients with recurrent aphthous stomatitis. A total of 8 patients who had had recurrent aphthous stomatitis for 2 to 20 years and who had experienced at least one episode per month were selected for this study from the department of dermatology, National Medical Center, through March 1979 to September 1979, Levamisole (Decaris') was given 150mg, p.o., once daily on 3 consecutive days every week for 2 months. The results were as follows. 1) One patient had to have levamisole discontinued due to a high fever and exacerbations of tbe oral ulcerations. 2) 5 patients showed beneficial effects in reducing tbe number, frequency, pain and severity of recurrent aphthous stomatitis. 3) One patient showed no therapeutic response. 4) One patient, who has experienced new oral ulcerations continuously before starting levamisole, showed no recurrences of the lesions during the follow-up period of 3 months. 5) Side effects during levamisole administration were transient and generally mild, They included nausea, headache, dizziness and high fever.
Background : Dermatophytoses show marked differences in their incidences, distributions, and causative organisms by age, sex, occupations, environmental conditions and geographic distributions. Objective : We evaluated thcv recent distributions of dermatophytes an ~ compared them with the previous reports in Seoul. Methods : We evaluated the incidences of dermatophytes according to the patient's age and sex, isolated month, and the infection ;sites with 387 strains of dermatophytes ieolated from the various forms of dermatophytoses during the period from August 1985 to July 1991 in Seoul. Results : T. rubrum was the most prevalent dermatophyte in all age groups except the first decade. The incidence of M. cams was iioigh in age groups below 20 years old an3 relatively high incidences of T. mentagrophytes and T. interdigitale in age groups over 30 years old. Derrnatophytes were frequently isolated in summer season, but the incidence of M. canis was relatively high in October and December. T. rubrum was the most prey-dent dermatophyte from all forms cf c',ermatophytoses except tinea capitis, but the incidence of T. rubrum was relatively low in tine,i corporis. The incidence of T. mentagrophytes was relatively high in tinea unguium and tinea manus, and M. canis was isolated only in tinea corporis and tinea capitis. From the cases shoeing more than t�,vo forms of dermatophytoses, T. rubrum was isolated for the most part. Conclusion : This study suggested that there was a rise in the case: of T rubrum infections in Seoul and in recent years the prevalence of M. cams infections has mar:ced'ly increased but those of E. floccosum and T. mentagrophytes have decreased. (Kor J Dermatol 19!4 ; 32(1) : 24^-33)
We experienced a case of childhood derrnatomyositis associated with calcinosis universalis in a 3-year-old boy. The skin lesion showed generalized, hard nodules and ulcers, 0, 3-1 cm in cliameter, or the trunk and buttock. The hitopathologic findings revealed patch fat necrosis and calcium deposits in the subcutis.
We reviewed the clinical features and the skin biopsy slides of 27 patients who were diagnosed as PLEVA clinically or histapathologically in order to evaluate the clinical characteristics and the specific histopathological findings of PLEVA. The results were as follows : 1. 13 of these 27 cases(48%) were confirmed as PLEVA. 2. PLEVA was more frequent in males(85% ), most of whom were young adults. 3. In most cases of PLEVA, the predilection site was on the trunk and extremities, and mild pruritus was a characteristic complaint. 4. Most cases of PLEVA were treated with tetracycline or PUVA therapy with temporary remission, but this therapy did not decrease the rate of recurrence. 5. Some histopathological findings previously described as typical in PLEVA(eg, trapped RBC in the epidermis, exocytosis of lymphocyte, dermal hernorrhage and lymphocytic perivasculitis) seemed not to be specific and were often seen in a variety of other dermatoses. 6. The histopathological findings of linear parakeratosis(85%) and dyskeratotic cells in the middle and upper epidermis(92% ) seemed to be significant findings for PLEUA. 7. The above mentioned histopat,hological findings for PLEVA were frequently found from the vesicular lesions or necrotic hemorrhagic papules.