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      • 국민건강영양조사 자료를 통한 천식과 비만의 상관성 연구

        장규진 ( Kyu Jin Chang ),구현숙 ( Hyun Sook Koo ),이현승 ( Hyeun Seung Lee ),조영아 ( Young A Jo ) 대한천식알레르기학회 2005 천식 및 알레르기 Vol.25 No.4

        Background: Many studies have suggested the association between asthma and obesity both of which are important chronic health problems and socioeconomic problems. There are few studies about the association of adults in foreign nations and the association of all ages in Korea, especially based on the representative population. Objective: Authors analyze the association between asthma and indices such as BMI (body mass index), age, gender, smoking, alcohol drinking and diet habit in Korea National Health and Nutrition Survey. Method: National Survey was done from November to December 2001 and this study enrolled 27,331 men and women above 19 years of age. A structured questionnaire, weight and height were used to collect information. Obesity is defined above 25 kg/m2 of BMI. The criterion of asthma is a diagnostic history by medical doctor. Result: The overall prevalence of asthma in this study is 1.54% (male 1.50%, female 1.57%). The prevalence is higher in elderly (≥60), smokers, obese person, someone who has low educational level and does not have current partner. The significant predictors of asthma in multiple logistic regression are BMI (female OR=1.685 (95% CI=1.047∼2.713)), age (male OR=3.250 (95% CI=0.999∼10.567), female OR=6.798 (95% CI=1.583∼29.195)), educational level (male OR=5.381 (95% CI=1.857∼15.598)) and alcohol drinking (OR=0.549 (95% CI=0.323∼0.933)). Conclusion: Obesity is a risk factor of asthma in women. Old age and low educational level are social risk factors in asthma in men. (Korean J Asthma Allergy Clin Immunol 2005;25:262-268)

      • KCI등재

        허베이 스피리트호 유류유출사고 지역주민의 급성건강영향

        이철헌,강영아,장규진,김창훈,허종일,김재연,이종구,Lee, Cheol-Heon,Kang, Young-A,Chang, Kyu-Jin,Kim, Chang-Hoon,Hur, Jong-Il,Kim, Jae-Youn,Lee, Jong-Koo 대한예방의학회 2010 예방의학회지 Vol.43 No.2

        Objectives: On December 7, 2007, the Hebei Spirit oil tanker spilled out 12,547 kl of crude oil on the Yellow Sea 10 km away from the cost of Taean Province, Korea. As the coastline has been contaminated, local residents have been exposed to crude oil. Because the residents were showing many symptoms, we investigated the acute health effects of this oil spill on them. Methods: We conducted a cross-sectional study consisting of the heavy and moderately oil soaked area in Taean and the lightly oil soaked area in Seocheon. Ten seashore villages were selected from each area, and 10 male and female adults were selected from each village. We interviewed the subjects using a structured questionnaire on the characteristics of residents, the cleanup activities, the perception of oil hazard, depression and anxiety, and the physical symptoms. The odds ratios and 95% confidence intervals were analyzed using logistic regression analysis. The logistic regression model was adjusted for age, gender, education, smoking, the perception of oil hazard and anxiousness. Results: The more highly contaminated the area, the more likely it was for residents to be engaged in cleanup activities and have a greater chance of exposure to oil. The indexes of anxiety and depression were higher in the heavy and moderately oil soaked areas. The increased risks of headache, nausea, dizziness, fatigue, tingling of limb, hot flushing, sore throat, cough, runny nose, shortness of breath, itchy skin, rash, and sore eyes were significant. Conclusions: The results suggest that exposure to crude oil is associated with various acute physical symptoms. Long-term investigation is required to monitor the residents' health.

      • SCOPUSKCI등재

        2008년 상주시 일개 고등학교에서 발생한 바실루스 세레우스 식중독 유행에 관한 역학조사

        이현동(Hyun-Dong Lee),이순옥(Sun-Ok Lee),임현술(Hyun-Sul Lim),이경찬(Kyoung-Chan Lee),장규진(Kyu-Jin Chang),강영아(Young-A Kang) 한국역학회 2008 Epidemiology and Health Vol.30 No.2

        Purpose: In May 2008, a diarrhea outbreak occurred among students of in a girls’ high school (S school) in Sangju-si, Korea. An epidemiological investigation was carried out to clarify the cause and transmission route of the outbreak. Methods: S school has been providing meals directly since July 2007. We conducted a questionnaire survey among 591 persons, and examined 283 rectal swabs and 98 environmental specimens. The patient case was defined as a member of S school who had diarrhea more than one time in a day, accompanied with one or more symptoms among abdominal pain or tenesmus from May 19th to May 26th 2008. Results: The attack rate was 24.0%. Bacillus cereus were cultured from three of the rectal swabs and five of the preserved foods. It was suspicious that contamination was possible in seasoning vegetables, and we found some foods were seasoned with spices after being cooled by moving cooler for about 20 minutes. Enterotoxin positive B. cereus were cultured from two foods cooled by moving cooler. Enterotoxin negative B. cereus were cultured from two environmental specimens of the moving cooler. Conclusions: We presumed the cause of the diarrhea outbreak in S school was food poisoning by B. cereus. Because enterotoxin positive B. cereus were cultured from rectal swabs and foods, and the symptoms were corresponded. We estimated the outbreak was occurred by this process that B. cereus in the moving cooler contaminated foods during cooling and then rapidly proliferated.

      • KCI등재후보
      • KCI등재

        메틸렌 클로라이드에 의한 폐장염

        장규진,박종태,,김은경,김병권,김해준 大韓産業醫學會 2005 대한직업환경의학회지 Vol.17 No.4

        Objectives: The authors report a case of pneumonitis caused by methylene chloride (MC). Methods: The patient was examined and diagnosed by clinical, radiologic, laboratorial and medical evaluation. The concentration of MC in the factory was measured to determine the exposure level. Results: The patient had an infiltration in chest X-ray, which underwent rapid relief of radiological finding, respiratory acidosis and hypoxemia in arterial blood gas analysis, and a ground-glass opacity in high resolution computerized tomography. MC was the only exposed chemical compound in this case. The concentration of MC was 39.9 ppm in the factory. Conclusions: We diagnosed this to be a case of pneumonitis by MC based on clinical laboratory findings, exposure history to MC and MC concentration in the factory.

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