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      • 소규모사업장 용접근로자들의 소음·용접흄·망간 노출에 관한 연구

        김동구,문덕환,이채관,박명희,함성애,손병철,김대환,이창희,김휘동,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5

        Objective : This study was conducted for the purpose of investigating the level exposure of welders to noise, welding fume and Manganese(Mn) related to this process. Methods and Material : All subjects in this study were welders engaged in CO2 arc and coated arc welding process especially in small-scale enterprises classified by type of manufacture of ship building, repairing and of other fabricated metal products, which is located in Gimhae and Milyang of Kyeongsang province in south Korea. Air sampling of welding fume was measured, shipped and analyzed on the basis of national institute for occupational safety and health(NIOSH) method in U.S. and work environment measurement method established in south Korea. To measure Noise in the work environment, Noise dosimeter was used on the basis of work environment measurement method established in south Korea. Result : This study was performed during a period from January, 2000 to December, 2001 and Results were as follows: 1. Noise level measured in this work environment was higher than national criteria for permissible exposure limit on health examinations related to hearing loss. 2. The concentration of welding fume and Mn in manufacture of ship building and repairing was higher than those in manufacture of other fabricated metal products. 3. In conditions of existing in ventilation system installed and operated, the concentration of welding fume and Mn was slightly lower than those of not existing. 4. In conditions of existing in sufficient air supply from out door into the work place relied on natural exhaust system, the concentration of welding fume and Mn was slightly lower than those of in not sufficient. 5. In all subjects, a rate of wearing ear plug and respiratory mask for dust and fume was lower than that of not wearing. Conclusion : According to above results, this study suggests that more positive work environment managements such as the use of portable local ventilation system, the supply of highly qualified personal protective equipment, and consecutive education and training related to health protection should be need to acquire suitable health protection program for welders engaged in small-scale enterprises in Korea.

      • 유기용제 폭로가 여성 근로자들의 월경에 미치는 영향

        김대환,이채관,김휘동,강동묵,문덕환,김정호,손병철,이창희,이채언 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.1

        유기용제는 산업장에서 널리 사용되고 있다. 특히 여성근로자들의 폭로기회가 증가하고 있으며 이로 인한 자연유산, 수태능력 감소, 월경이상 등이 보고되고 있다. 따라서 유기용제 폭로가 여성근로자들의 월경에 미치는 영향을 보기 위해 설문조사와 월경주기별 여성생식 호르몬(progesterone, estrogen) 분석을 하였다. 그 결과 폭로군에서 progeterone의 억제효과가 유기용제에 폭로되는 여성근로자들의 다양한 월경이상을 초래할 가능성이 있는 것으로 생각된다. ■ Objectives This study was conducted to evaluate the effects of menstrual function in female workers exposed to organic solvents. ■ Methods Rates of menstrual disorders were studied in 87 female workers with exposure to organic solvents(Cn/Hn-value 0.713) in a factory manufacturing shoes and compared with 83 general female workers who had no exposure to organic solvents, Detailed menstrual and reproductive histories were obtained by personal interview using structured questionnaire, and plasma concentrations of progesterone and estrogen were assayed by radioimmunoassay(RIA). ■ Results The rates for menstrual irregularity, menstrual duration, blood clot in menstrual flow and dysmenorrhea were not significantly different in both groups. Number of using menstrual pad was significantly higher and the plasma level of progesterone during 6-11th day of menstrual cycle was significantly lower in the exposed group compared with non-exposed group(P<0.05). ■ Conclusions It seemed to be suppression effect of organic solvents on the reproductive hormones(progesterone and estrogen) in female workers. But there was no evidence that menstrual disorder was likely to result from exposure to organic solvents, because other behavioral, psychological and work related factors may also affect menstrual function.

      • 최근 10년간 발생한 신손상 분석

        최동은, 김원태, 김용준, 윤석중, 이상철, 김원재 충북대학교 의과대학 충북대학교 의학연구소 2012 忠北醫大學術誌 Vol.22 No.1

        연구목적: 신손상은 보통 복부외상 환자의 10% 정도에서 발생하며 비뇨기계에서 발생하는 손상 중 가장 높은 빈도를 차지하고 있다. 신손상 치료의 궁극적인 목표가 환자의 생명을 구하는 것이고, 가능 하면 신조직을 최대한 보존하면서도 합병증은 최소화하여야 하므로 정확하게 평가된 진단을 내려, 혈류 역학적으로 안정된 경우 보존적 요법을 시행하는 빈도는 증가하고 있다. 본 연구에서는 10년간의 신손 상을 분석하여 손상의 원인, 정도, 치료 방법 등을 알아보고자 하였다. 대상및방법: 2000년 2월부터 2010년 6월까지 본원 응급실에 방문하여 신손상으로 진단된 59명의 환 자들을 후향적으로 분석하였다. 결과: 환자의 성별은 남자가 39례 (66.1%)였고, 여자가 20례 (33.9%)였다. 신손상의 원인은 교통 사고가 37례 (62.7%)였고, 낙상이 7례 (11.9%), 외상이 12례 (20.3%), 자상이 1례 (1.7%), 원 인미상이 2례 (3.4% )였다. 손상의 정도는 I 등급이 11례 (18.6%), II 등급이 10례 (16.9%), III 등급이 20례 (33.9%), IV 등급이 10례 (16.9%), V 등급이 8례 (13.6%)였다. 신손상 환자의 치료 는 대증치료가 46례 (77.9%)였고, 신절제술이 5례 (8.5%), 신혈관색전술이 5례 (8,5%), 그외 다른 치료들이 3례 (5.1%)였다. 결론: 신손상의 원인은 교통사고와 외상 등이 가장 많은 비중을 차지했으며, 3 등급의 손상이 가장 많 았고, 치료는 대증요법이 주를 이루었지만, 점차 신혈관색전술이 늘어나고 있다. 앞으로 지역단위로의 추가적인 연구가 필요할 것으로 생각된다.

      • 日本腦炎患者의 豫後 및 後遺症에 關한 疫學的 調査硏究

        李棟培,深雲澤 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.1

        This study was designed to find out the epidemiological features and factors influenced on the prognosis and sequelae of Japanese encephalitis on 333 patients, reported to the Health Centers in Chungnam, in 1982. The survey was conducted from June 20, 1983 through September 20, 1983. Followings are the results therefrom. 1. Among the total patients, 62.2 percent were male, 37.8 percent were female. The ratio of male to female was 1.64 to 1. 2. Main epidemic period of the outbreak was one month from the middle part of August to that of September in the year. Unvaccinated patients formed 85.3 percent and completely vaccinated 4. 5 percent. Serologically confirmed patietns formed 60. 4 percent. 3. As for the prognosis, the follow: death 13.8 percent, sequelae 49.2 percent, and complete cure 36.9 percent, the rate of sequelae after 1 year was 36.6 percent, and Japanese encephalitis sequlae of 28.4 percent disappeared within a year. 4. The main sequelae of Japanese encephalitis, during the outbreak were cognitive function impairment with 69.5 percent, motor paralysis with 45.7 percent, personality change with 44.5 percent, tremor with 35.4 percent, parkinsonism with 20. 7 percent and, choreoathetosis with 16. 4 percent. After one year, the rates of the main sequelae of Japanese encephalitis were cognitive function impairment with 63. 1 percent, personality change with 49. 1 percent, motor paralysis with 30.3 percent, tremor with 18.9 percent, parkinsonism with 12.3 percent, choreoathetosis with 10.7 percent. 5. Average duration of transient sequeae was 2.1 months, t7.5 percent of them disappeared within 6 months. 6. The prognosis of Japanese encephalitis patients have nothing to do with age and sex, types of medical facility treated and occured month. But geographical distribution, vaccination status, level of consciousness, duration of hospitalization, result of HI-test were revealed to be influencing factors to the Japanese encephalitis prognosis.

      • 부산지역 모 공단 및 인근지역 사업체의 산업보건 실태에 관한 조사연구

        이동영,손혜숙,이채언,박형종,김대환,엄상화,최성용,유병철 인제대학교 1993 仁濟醫學 Vol.14 No.4

        부산지역 공단 및 인근지역 사업체의 산업보건실태를 파악하기 위하여 205개 사업체의 보건담당자를 대상으로 1990년도의 보건실태에 관한 설문조사를 하였다. 조사내용을 일반사항, 보건관리실태에 관한 사항, 작업장 유해환경 및 보호구 지급사항, 건강관련 사항 및 근무조건에 관한 사항 등으로 대별하여 분석ㆍ관찰하였다. In order to obtain the fundamental data for developing more effective and acceptable programs of public health manegement in an industrial complex, 205 health manager in the plants answered the questionaire of the status of industrial health during 1990. The questionaire consisted of general charateristics, health care status, environmental problems, health problems, and others. 72.4% of 205 plants had less than 100 workers. Fabricated metal manufacture was 32.4%. Although Footwear manufacture was 6.4%, the percentage of workers was 33.1% of total workers. The percentage(56.2) of retired women was higher than that(38.2) of men. 51.9% of total plants has recieving group health care services. 85.4% of plants was exposed to noise, 66.5% was exposed to dust. Ear plug and mask were given to prevent noise and dust in 69.2% and 68.6%, respectively. Among 22,299 workers, 618(2.8%) were diagnosed as suspected non-occupatinal disease. 85.9% of them worked on continuously and had their disease treated. The cases suspected for occupational disease was 100 workers. 82.5% of them changed their post. 45% had the compensation for their occuaptional disease. The rate of working: accidents was 2.3%.

      • 위성측지측량을 위한 GPS 신속 관측기법의 활용에 관한 연구

        이동락,박운용,신상철 東亞大學校 大學院 1995 大學院論文集 Vol.20 No.-

        The NAVSTAR GPS(NAVigation System with Time and Ranging Global Positioning System)is a satellite-based radio navigation system providing precise three-dimensional position, navigation, and time information to suitably equipped users. The system will be continuously avilable on a world-wide basis, and is independent of meteorological conditions. The Global Positioning System was primarily designed for military navigation system by the US Department of Defense(DoD) in 1973. It has been successfully used in civilian geodetic surveying since 1983. Thereafter, it has been proved that GPS is the most valuable and excellent method, that ever exist in positionong system. Previous application of GPS was mainly based on the time-consuming static measurement which is combined with the results of existing triangulation or trilaterlation. Presently, however, new rapid methods are developed by using the experience of static method. These satisfy the most advantage of GPS in aspect of rapidity, accuracy and economy. In the relative kinematic methods, one antenna is always fixed at reference station and the other one travels sequentially to measuring points. Although rapid measurement method takes a few seconds or minutes, it cope with the accuracy of static method. In this paper, the characteristics of new methods are presented. Also many experiences are discussed about the coastal GPS experiment where the Kinematic Differential GPS is needed to detect the morphologic changes.

      • KCI등재

        Chinese Tourist’s Goals, Expectation and Confirmation in Korea: Importance-Performances Analysis

        Lee,Un-Kon,Shi,Yanchao,Dong,Ximei 한국상품학회 2019 商品學硏究 Vol.37 No.2

        Many Chinese tourists visit in Korea, but somebody complains that his expectation has not be fulfilled in Korea. We performed the importance-performance analysis to find the gaps between Chinese tourists expectation and confirmation in the various tourism goals. Results indicate that all values of expectations and performances are higher than the median value of 4 in each tourism goal and such tourism goals as Safety and K-wave are elected as the critical area which needs promotion to attract the more Chinese tourists in Korea. This paper could contribute to provide the basic information to make the tourism promotion strategy for Korean tourism agencies.

      • 市販 加工食品類의 細菌汚染度 調査

        李棟培,沈雲澤 충남대학교 의과대학 지역사회의학연구소 1983 충남의대잡지 Vol.10 No.2

        In order to findout the bacterial contamination of the manufactured foods on sail, we conducted bacteriological test on the 756 samples from January 10, 1983 to December 20, 1983. We obtained some results therefrom. 1. Average numbers of Standard Plate Count(SPC) were 9.5×10 exp (4)/ml. As for the SPC, positive rates of tested foods were as follows : milk products 80.5 percent, meat products 76.7 percent, fish products 60.0 percent, breads 69.1 percent. 2. Average Coliform MPN were 2.4×10 exp (4)/ml. As for the Coliform MPN, the positive rates were as follows : milk products 41.7 percent, fish products 33.3 percent, meat products 28.3 percent, ice products 25.8 percent. But most canned foods obtained negative results. 3. Both positive rates of SPC and Coliform MPN were highest during summer season. As for the SPC, over 80 percent of the positive rates of breads, ice products, meat products and fish products revealed during summer season. But the seasonal fluctuation was not seen among milk products and meat products. As for the Coliform MPN, over 50 percent of the positive rates of breads, meat products and fish products revealed during summer season.

      • 대전·충남지역 와병노인의 실태에 관한 연구

        이동배,심운택,이태용,오장균,정성훈 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.1

        This study was conducted to investigate the prevalence rate and the relationship between causative diseases and self-help abilities in bed ridden patients of the elderly. The study group was composed of 1.568 peoples aged 65 or more, living in Taejeon city and Chungnam provincial area. The results obtained were as follows : 1. The prevalence rate of bed ridden patients were 5.7% in male, and 4.3% in female. The rates revealed increasing basis with the ages. 2. The prevalence rate was higher in city area with 6.1% than inland and seaside area with 4.3%, 3.7% respectively. 3. The mean age of bed ridden patients were 75.9 years in male. 78. 0 years in female. The rates were variable with residential area. As the cause of bed ridden patients the cerebrovascular disease was higher in urban than rural area. 4. The mean age of causative diseases was the highest in contusion and fracture with 82.8 years. The period of bed ridding was the highest in muscular disease and arthropathy with 60.2 monthes. 5. The average score of activity of daily living was the highest in muscular disease and arthropathy and followed by respiratory disease, other disease, senility, cerebrovascular disease, contusion and fracture with decreasing basis. But most bed ridden patients did the activity of daily living similar to those of normal persons. 6. The causative diseases were diagnosed mainly in general hospital, hospital. and herb medicine. but muscular disease and senility were in self-diagnosed. 7. The helper of bed ridden patients were mainly wives or daughters in law.

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