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      • 결핵 환자의 치료 순응도 향상을 위한 자기 간호교육의 효과

        오영주,전진호,손혜숙,이종태 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2

        Objectives : Good compliance to standard guideline might be the most important factor for success of tuberculosis treatment. This study was performed to propose the way to promote the compliance through evaluating the effect of self-care education in pulmonary tuberculosis treatment. Methods : The subjects were 100 patients(male 82, female 18) admitted in the national tuberculosis hospital, and study period was from December 1, 2000 to March 31, 2001. Study method was a direct interview survey with questionnaire that consisted of knowledges, attitudes, compliances about tuberculosis treatment, and some characteristics of subjects. The pre- and post-educational data were compared by chi-square test and paired t-test using SPSS(ver 10.0) with α-error=0.05. Results : The mean age of the subjects was 41.8±12.8years, and most of them was male. Half of them was still drinking and smoking, and the tuberculosis treatment categories of WHO was categoryⅢ 42%, categoryⅣ 22%, categoryⅡ 21%, categoryⅠ 15% when admitted. Average prevalent period was 56.8 months, and 68% of them showed positive sputum smear test. The average knowledge level was increased from 6.88±1.85 when admitted, and 8.02±1.57 when two months after(p〈0.001), that means, the effect of education was recognized. In contrast, recognition and attitudes showed no difference. And, the frequency of subjective aggravation was higher in the group of low compliance: voluntary medication stop(p=0.022). Conclusions : This study had some limitations; lack of representativeness because the subjects were limited to the patients in one tuberculosis hospital, and, not sufficient sample size etc. Nevertheless, because the effect of the education was partly recognized, to enhance the effect of tuberculosis treatment, the contents of self-care education would be changed toward the practice with a close monitoring of the patients' compliance.

      • KCI등재후보

        수목장(樹木葬)의 특성에 관한 고찰

        서주환,최현상,정해천,승지현 경희대학교 디자인연구원 2005 예술· 디자인학연구 Vol.8 No.2

        To secure a space for graveyard in a funeral has become one of the new issues in Korea. This caused the problems of graveyard shortage, destruction of national landscape, inroad of territory, and ecological environment. However, In eco-friendly method of funeral, the Woody Plant Funeral is a new form of Funeral to bury the ashes of the deceased under the wood so it participate with eternal life in wood and forest by provision of nature(wood and people return to nature to be born in nature). The purpose of this paper is to explain one of the counterplan which the Woody Plant Funeral solve graveyards problem.

      • 국내에서 유행하는 HIV의 전파 경로에 따른 Subtype 분포

        이주실,남정구,김성순,강춘,최병선,김옥진,박미선,성봉모,서순덕,전수경,변승옥,신영오,조해월 대한감염학회 2001 감염 Vol.33 No.5

        Background : Previous data have been reported that subtype B is prevalent in South Korea, but neither the extent nor the proportion of subtypes could be evaluated. This study was designed to analyze the distribution of HIV-1 subtypes, temporal instructions and transmission dynamics between epidemiological groups. Methods : 1,280 Koreans had been diagnosed as HIV seropositive during the period 1985 to 2000. Among them, 134 individuals were selected for this molecular epidemiological study. 134 DNAs were isolated from uncultured or cultured peripheral blood mononuclear cells. V3-V5 (0.7 kb) fragment of HIV-1 env gene was amplified by nested polymerase chain reaction and was sequenced. Results : HIV-1 isolates from thirty-seven homosexuals were all subtype B (100%). On the other hand, 66 isolates from 94 heterosexuals were subtype B (70%) and 28 were non B subtypes (30% : 13 A, 4 C, 2 D, 8 E , 1 G). Only subtype B strains were isolated from 73 males who were infected with HIV inside Korea while 16 B and 20 non B subtype strains were isolated from 36 males who were HIV infected outside of Korea. However, B and non B strains were isolated half and half from females who were infected inside Korea except one. Conclusion : The HIV-1 subtype B strains are prevalent in Korea from the early HIV infection until present in both homo and heterosexuals. Non B strains have been transmitted from men who were infected outside Korea to their spouses and casual partners. So, we need further study to monitor subtype B and non B HIV transmission in epidemiological groups of Korea, (Korean J Infect Dis 33:311∼318, 2001)

      • KCI등재후보
      • KCI등재

        응급실에 내원한 약물중독환자의 지역별 비교분석

        임근우,박일영,유승진,나병호,오동렬,전해명,황주일,김세경 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

        We reviewed retrospectively 230 patients who came to emergency room of Kang Nam St. Mary's Hospital and Uijongbu St. Mary's Hospital between 1. January and 31. December 1994. We classified them according to their age, sex, a sort of drug, the cause of poisoning, prehospital care, time-lapse to arrive at hospital after poisoning, psychiatric problem the status of patients. *We conclude as follows; 1. The male to female ratio was totally 1 : 1.98, 1 : 1.24 in a urban area, 1 : 2.43 in a rural area. 2. On age of the patients in this study, the peake incidence was between 20 and 39(55.2%). 3. On seasonal prevalence, the poisoning was most common in summer and spring, in urban area(35.7%) and rural area(37.0%) respectively. 4. The common drug were as follow; Doxylamine, Organophosphate, Acetaminophen in urban area, Paraquat, Organophospate, Doxylamine in rural area 5. The percentage of suicidal attempt were 81.8% and 87.7% in urban area and rural area respectively. 6. The poisoning patients had psychatric problem in 19.4% and 24.6%, in urban area and rural area respectively. 7. Before arrival to emergency room, 27.7% of patient was done prehospital care in rural area. 8. On arrival to emergency room, 95.1% and 73.8% of patients show stable vital sign in urban area and rural area respectively.

      • Welfare State Regimes, Gender, and Depression: A Multilevel Analysis of Medium and High Income Countries

        ( Hae Joo Chun ),( Edwin Ng ),( Selahadin Ibrahim ),( Bjorn Karlsson ),( Joan Benach ),( Albert Espelt ),( Carles Muntaner ) 한국정책학회 2013 한국정책학회 춘계학술발표논문집 Vol.2013 No.-

        Using the 2002 World Health Survey, we examine the association between welfare state regimes, gender and mental health among 26 countries classified into seven distinct regimes: Conservative, Southeast Asian, Eastern European, Latin American, Liberal, Southern/Ex-dictatorship, and Social Democratic. A two-level hierarchical model found that the odds of experiencing a brief depressive episode in the last 12 months was significantly higher for Southern/Ex- dictatorship countries than for Southeast Asian (odds ratio [OR]=0.12, 95% confidence interval (CI) 0.05-0.27) and Eastern European (OR = 0.36, 95% CI 0.22-0.58) regimes after controlling for gender, age, education, marital status, and economic development. In adjusted interaction models, compared to Southern/Ex-dictatorship males (reference category), the odds ratios of depression were significantly lower among Southeast Asian males (OR = 0.16, 95% CI 0.08-0.34) and females (OR = 0.23, 95% CI 0.10-0.53) and Eastern European males (OR = 0.41, 95% CI 0.26-0.63) and significantly higher among females in Liberal (OR = 2.00, 95% CI 1.14-3.49) and Southern (OR = 2.42, 95% CI 1.86-3.15) regimes. Our results highlight the importance of incorporating middle-income countries into comparative Welfare regime research and testing for interactions between welfare regimes and gender on mental health.

      • 시금치에서 분리한 광계2 복합체의 불활성화와 재활성화에 대한 연구

        全鉉植,朴仁虎,李惠珠,鮮于洋一,李鎭範 東亞大學校附設基礎科學硏究所 1991 基礎科學硏究論文集 Vol.8 No.1

        산소발생 기구의 불황성 및 재활성에 대한 시금치(Spinanacia oleracea L.)에서 분리한 광계 2복합체를 이용하여 산소발생 활성 및 전기영동을 통해 조사하였다. 이와 더불어 방출되는 형광양상을 함께 보았다. Tris와 urea를 처리하였을 경우 광계 2 복합체로부터 외재성 단백질인 33 kDa, 24 kDa, 18kDa이 제거되었고, NaCl을 처리하였을 경우에는 24 kDa과 18 kDa 단백질이 제거되었다. 이들 외재성 단백질의 제거에 따라 광계 2 복합체는 산소방출활성을 상실하여 불활성화 되었다. 불활성화가 이루어진 광계 2 복합체에 양이온을 첨가하였을 때, ?? 재활성화를 시키지 못하였으나 ?? NaCl을 처리하여 24 kDa과 18 kDa이 제거된 복합체에서 부분적으로 산소 발생 기능을 회복시켰다. 그러나 3개의 polypeptide가 모두 제거되는 Tris 및 urea의 처리는 ?? 첨가에도 활성의 회복이 나타나지 않았다. 한편 이들 외재성 단백질의 제거(특히 33 kDa)는 FⅤ의 뚜렷한 감소를 가져왔으며, 이는 안테나에 의한 열로서의 빛에너지의 소산에 기인할 것이라고 사료된다. Inactivation and reactivation of photosynthetic oxygen evolving complex were studied with isolated spinach (Spinacia oleraceda L.) photosystem Ⅱ particles by the activity of oxygen evolution and chlorophyll fluorescence. When the particles were treated with Tris and urea, the oxygen evolution was inactivated and three polypeptides having molecular weights of 33 kDa, 24 kDa and 18 kDa were simultaneously released. But in NaCl-treated particles, two polypeptides of 24 kDa and 18 kDa were removed from PS Ⅱ particles. The oxygen evolution activities of Tris and ureatreated particles were not restored by adding cation ions??, but the NaCl-treated particles were restored by exogenously added ??. The removal of these extrinsic polypeptides, especially 33 kDa, markedly showed the decrease of the variable fluorescence (Fv). These results are likely to be due to dissipate thermal energy by antenna of photosystem Ⅱ complexes.

      • 시금치에서 분리한 광계 2 복합체의 불활성화와 재활성화에 대한 연구

        全鉉植,朴仁虎,李蕙珠,鮮于洋一,李鎭範 동의대학교 기초과학연구소 1991 基礎科學硏究論文集 Vol.1 No.1

        Inactivation and reactivation of photosynthetic oxygen evolving complex were studied with isolated spinach (Spinacia oleraceda. L.) photosystem Ⅱ particles by the activity of oxygen evolution and chlorophyll fluorescence. When the particles were treated with Tris and urea, the oxygen evolution was inactivated and three polypeptides having molecular weights of 33 kDa, 24 kDa and 18 kDa were simultaneously released. But in NaCl-treated particles, two polypeptides of 24 kDa and 18 kDa were removed from PS Ⅱ particles. The oxygen evolution activities of Tris and urea-treated particles were not restored by adding cation ions (Mg^2+, Mn^2+ and Ca^2+), but the NaCl-treated particles were restored by exogenously added Ca^2+. The removal of these extrinsic polypeptides, especially 33 kDa, markedly showed the decrease of the variable fluorescence (Fv). These results are likely to be due to dissipate thermal energy by antenna of photosystem Ⅱ complexes.

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