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      • 골다공증의 위험인자 : 아산시 지역 주민을 대상으로

        김용배,장원기,황보영,김화성,안규동,이병국,이용진,이남수,이상건,이상범,이상우,이선정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

        Objective : As the average lifespan of human increases, osteoporosis and osteoporosis-related fractures have become major health care problems. Despite recent advances in medical treatment, few studies have assessed the recognition of osteoporosis in general adults. This study examined the recognition of osteoporosis and analyzed the relating factors. Method : A population-based sample of 1086 adults in Asan-city, Korea was investigated with questionnaires and height, weight, Information regarding the general characteristics(gender, age, economic state), lifestylef exercise, smoking, alcohol),medical history(progestin, GH, steroid, calcitonin, PTH), demographic parameter, obesity, stress, and family history was collected through an interview using a structural questionnaire. The level of obesity was measured by the body mass index(BMI). BMD(Bone mineral density) at the lumbar spine and femoral neck was measured by dual energy X-ray absorptiometry. Osteoporosis was considered to be T-score below -2.5. Results : The prevalence of osteoporosis increased progressively with age, decreased with BMI and predominant in women by the result of x^(2) -test, T-test. Age, weight, BMI were significantly correlated with osteoporosis by the result of Pearson correlation ana1ysis(P<0.05). And age, gender, BMI, family history of osteoporosis were proved to be significant risk factors of osteoporosis by the result of multiple logistic regression(P<0.05). Conclusion : These results suggest that age, gender, BMI might be the most important risk factors of osteoporosis. And the history taking about family history of osteoporosis is helpful for diagnosing osteoporosis.

      • KCI등재후보

        2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

        이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

        목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

      • KCI등재
      • KCI등재후보

        GC-ECD를 이용한 유기염소계 및 Pyrethroid계 농약 동시 분석법

        김우성,이선화,김재이,정지윤,이명자,박영채,이영자,정성욱,이봉헌,박흥재 한국환경과학회 2003 한국환경과학회지 Vol.12 No.4

        Pesticides were extracted from samples with 70% acetone and methylene chloride in order, and then cleaned up via open-column chromatography apparatus packed with florisil, and finally analyzed simultaneously the organochlorine and pyrethroid pesticides using GC(ECD). An ultra-2 fused silica capillary column was used to separate and identify the products. The resolution between the last isomeric peak of cypermethrin(59.987min) and the first isomeric peak of flucythrinate(60.043min) was not satisfactory. The last isomeric peak of fenvalerate(62.344min) and the first isomeric peak of fluvalinate(62.397min) were overlapped. Recoveries of soybean sample for the most pesticides were 73.3% to 102.4%. Detection limits were between 0.004 and 0.063 ㎍/㎎ when this method was used.

      • KCI등재후보

        서울 가로경관의 시대적 변천 : 세종로와 태평로를 중심으로

        이선화,김유일,정기호 경희대학교 부설 디자인연구원 1998 예술· 디자인학연구 Vol.1 No.1

        The purpose of this study is to find out the changes of the landscape of the Sejong Street and the Taepyung street from 1945 to 1998 by using the 'KBS YOUNGSANGSILLOCK'. A Phenomenological Model was adapted and reinterpreted by way of historical connection. The characteristic of landscape change of them are as follows; 1. After liberation the width of road, the terminal of vista, the height of buildings were the main determinant factors of urban space structure. 2.Each landscape changes were associated with the political and social situation. The landscape before the liberation (1945) was a colonial shape which showed the urban scene of the Chosun Dynasty. The landscape of The Confusion Period (1946-1951) under age of the political unrest and the Korean War showed a depressive urban shape. And the landscape of the city became the base of a modern city form the influence of American aid at The Recovery Period(1952-1964). During The High Grown Period(1965-1974), the road sides were covered with the tall buildings as the result of the economic growth and it became the frame of present street landscape. During The Modernization Period(1975-1984), the traditional type of a building such as the Sejong Cultural Center was in a tend. After The Stabilization Period(1985-1994), the street landscape appeared to the shape of present. The city has been observed as time passes but the changes of landscape have been analized by historical books and two dimensional pictures. The "KBS Youngsangsilock" is objective data which is consistent with historic situation and made this study to overcome the limitation of two dimensional method.

      • 가사노동 관리자유형과 관련 변인에 관한 연구

        이선화,채옥희 圓光大學校大學院 1996 論文集 Vol.17 No.-

        The purpose of this study is to investigate household work manager style and it's related variables. The subjects of this study were 111 homemakers living in Ik-San. Survey methods were qustionnaire. Data analysis strategies were percentile, frequency, and X2 - test. Following are the results: 1. The characteristics of management in household work have the person orientation. 2. Household work manager style exhibit the related style in his study. The related style is higher the person orientation than the task orientation. 3. Household work manager styles exhibit different in socio-demographic variable such as homemaker's job. Employed wives show the dedicated style but full-time homemakers show the seperated style.

      • KCI등재

        氣體一液體 크로마토그래피에 의한 C_1-C_5 탄화수소류의 同時分析과 그 適用

        李善行,李華心,徐幀起 경북대학교 과학교육연구소 1989 科學敎育硏究誌 Vol.13 No.-

        The 18 components of C_1-C_5 hydrocarbons were well separated on a single, packed column operated around 40℃ within 20 min. The chromatographic column is 25% sebaconitrile/chromosorb P-AW(10m x 0.3㎝, 60-80 mesh). The optimum flow rate was determined by making a simple Van Deemter plot of the number of theoretical plates VS. Iinear gas velocity. The most efficient flow-rate of N_2 carrier gas was at 35㎖/min, and the mumber of theoretical plates was 5,000-10,000. The linearity of calibration curves were checked ranging ppm to % concentration of CH_4 and C_3 H_8. Peak area was used for quantitating the C_1 hydrocarbon through C_5 hydrocarbons, and relative standard deviations of 10 measures were less than 2.1%.

      • 경기도 안성군내 초등학교 학생들의 요충감염 양상

        이선화,이옥란,남해선 순천향의학연구소 1998 Journal of Soonchunhyang Medical Science Vol.4 No.1

        We examined the prevalence rate of Enterobius vermicularis infection by single examination of cellotape anal swap for 658 children of 4 primary schools and attatched kindergartens in Ansung of Korea in June, 1996. The total positive rate was 12.9%, and that of female children(15.9%) was higher than male(10.0%). Treatment was achieved by three different ways with albendazole 400 mg as a total. Six months later, follow-up examination was done. Overall egg positive rate of follow-up study was 6.8%. The change of egg positive rates between first and follow-up examination of each group were as follows: 1. A group of single medication for egg positive children only : 13.3% to 7.5% (reduction rate, 43.6%). 2. A group of single medication for all individuals in a class : 9.2% to 4.6% (reduction rate, 50.0%). 3. A group of twice medication at an interval of 20 days for all individuals in a class : 19.3% to 8.6% (reduction rate, 55.4%). These results suggest that medication of albendazole of every six months may be reduce the egg positive rate of Enterobius vermicularis remarkably, especially the group that has relatively low prevalence rate of enterobiasis.

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