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      • 임부의 연령에 따른 보완대체요법에 관한 인식 태도 경험 비교 연구

        김연진,김지연,노경민,신혜리,유예지,이지민,장희조,정아인,최소정,강숙정,이향연,민혜영 이화여자대학교 간호과학대학 2016 이화간호학회지 Vol.- No.50

        Purpose: This study aims to test if the age of pregnant women affects the perception, experience, and attitude towards complementary alternative therapy (CAT), by investigating the perception, experience, and attitude of pregnant women under the age of 35, and above 35 (Advanced Maternal Age). The study will 1) find the general characteristics of pregnant women under and over the age of 35 2) compare the perception, behavior, and experience of pregnant women under and over the age of 35, and 3) find the comparison of the perception, behavior, and experience according to the general characteristics of pregnant women under and over the age of 35. Method: The subjects of this study are composed of 44 women under the age of 35 and 44 women above the age of 35, totaling 88 pregnant women visiting midwiferies, obstetrics and gynecology, and baby fairs in Seoul and Gyeong-Gi area. Data for this study was collected from November 28, 2015 to January 6, 2016 for 40 days. The collected data analyzed mean, standard deviation, t test, ANOVA, and chi-square by using SPSS 23.0. Result Results show that there is a significant difference in the perception, attitude, and experience of the two-sample groups in the use of CAT. The question of “what is most necessary when applying CAT in a hospital clinical environment” for the perception criteria came out with the results of t=9.980, p<.05. For the attitude, results showed that the answers of pregnant women under the age of 35 displayed a more positive attitude towards CAT. (t=2.421, p<.05) Lastly, in the experience section, pregnant women under the age of 35 showed more CAT use than the other sample group. Conclusion Results have shown that there is a difference in the perception, behavior, and experience between the two sample groups. Therefore further research on the efficacy and the adverse effects of CAT needs to be done.

      • KCI등재후보

        동아시아에서의 HIV/AIDS 역학

        신소연,최준용,김영근,박윤선,김연아,김명수,송영구,Shuzo Matsshita,Taisheng Li,Hsi-Hsun Lin,Patrick Li,김준명,동아시아 HIV 네트워크(East-Asia Network on HIV; EAN-HIV) 대한감염학회 2007 감염과 화학요법 Vol.39 No.1

        목적 : 최근 동아시아에서의 HIV 감염자 수의 급속한 증가는 여러 가지 심각한 문제를 야기하고 있다. 따라서 이지역에서의 HIV/AIDS 역학에 대해서 정확한 조명 및 분석이 무엇보다 필요하다. 이에 저자들은 동아시아 HIV 네트워크(East Asia Network on HIV; EAN-HIV)를 통하여 동아시아 HIV/AIDS 유행의 시작, 변천 및 현황에 관하여 알아보고자 한다. 재료 및 방법 : 동아시아에 HIV/AIDS가 처음 유입된 1984년부터 2005년까지 한국, 일본, 중국, 대만, 홍콩의 HIV/AIDS 관련 역학 자료를 동아시아 HIV 네트워크(East Asia Network on HIV; EAN-HIV)를 통하여 수집하고 분석하였다. 결과 : 동아시아에서의 HIV/AIDS 유행은 1980년대 중반에 시작되었다. 2005년 말까지 한국에서는 3,829명, 일본에서는 7,078명(혈우병 환자 제외), 대만에서는 10,423명,홍콩에서는 2,825명의 HIV 감염자가 보고되 었으며, 중국에서는 141,241명이 보고되었으나 실제로는 84만명 이상의 감염자가 존재할 것으로 추정하고 있다. 주사마약사용, 혈장매매, 성접촉에 의한 감염이 주를 이루고 있으며, 감염자중 남자가 많고 20-30대가 다수를 차지하였다. 중국이나 대만의 경우에는 최근 감염자 수가 급증하고 있으며 주사마약사용에 의한 감염이 주로 문제가 되고 있는 반면, 한국, 일본, 홍콩의 경우에는 남성동성애자에 의한 전파가 주가 되고 있다. 동아시아에서 유행하는 HIV의 주 아형은 B, C, CRFO1_AE 형이며, 최근에는 CRF07_BC형이 확산되고 있다. 결론 : 동아시아의 HIV 감염률은 빠르게 증가하며, 또한 HIV/AIDS 역학도 빠르게 변화하고 있다. 이 지역의 유행은 중국이 부분적으로 커다란 영향을 미치고 있다. Background : Recent predictions of catastrophic epidemic surge of HIV infection in East Asia concern experts and governmental organizations. As in many other areas, countries in East Asia show diversities in their HIV epidemics, both geographically and temporally. However, they have similar regional, cultural and racial characteristics which allow them to have certain common factors. Having a clear picture of the current extent and feature of HIV/AIDS in this region is a very difficult task largely due to the fast pacing of expending epidemic and difficulty in data-sharing among countries in the region. Hence, we decided to study the epidemiologic feature of HIV/AIDS in East Asia through East Asia Network on HIV (EAN-HIV). Materials and Methods : The epidemiological patterns of HIV/AIDS in East Asian countries were investigated by collecting data through EAN-HIV. Results : The HIV/AIDS epidemic in East Asia started relatively late at mid 1980s. Since then, the number of newly infected HIV/AIDS cases has been steadily increasing with stiffer escalation in recent years. In China and Taiwan, IDU plays an important part in the swiftly growing HIV epidemics; however, in other regions like Korea, Japan, and Hong Kong, MSM (men who have sex with men) seems to be more of a problem. The major subtypes of HIV in East Asia are subtype B, C, and CRF01_AE, and rapidly evolving circulating recombinant forms (CRF) between subtypes such as CRF07_BC give dynamic change to the current status. Conclusion : The incidence of HIV/AIDS is rapidly increasing in East Asia. The epidemic pattern has undergone dynamic changes over time. China seems to be the leading source of HIV/AIDS epidemic in East Asia due to its large population and rapidly growing epidemics.

      • 청주공항 주변지역의 항공기 소음 실태 조사

        신택수,연익준,김창환,주소영,김광렬 충북대학교 건설기술연구소 2002 建設技術論文集 Vol.21 No.2

        The present study is aimed to survey the aircraft noise around Cheongju International Airport, so the survey on the aircraft noise was undertaken from July 7 to July 13, 2002 continuously. As a result, it was found that number of passing aircrafts and WECPNL value per day are different with days of the week. On Wednesday, Saturday, and Sunday the influence of aircraft noise was lower than that on Tuesday and Thursday. The aircraft noise level of three residential areas around the airport was examined. The noise levels of 1.2km, 1.0km and 4.0km away from the airport runway were 74.7, 83.3, 67.7 WECPNL respectively. It was found that there is little affect of noise on residential life in two surveyed areas, but in the other area, noise is so loud that it should be anticipated to be noise damaged area.

      • 한국과 미국 실내디자이너의 업무, 계약서와 보수기준 비교

        신경주;윤소연;캔디 카멜길프렌 한양대학교 2006 韓國 生活 科學 硏究 Vol.26 No.2

        This study examined the differences between South Korea and the United States of America’s interior designer's contract duty, standard documents, and reward. The research methodology analyzed many documents including AIA, ASID, and KOSID professional standards. The research process was as follows: First, find out the evolution of the two countries interior design professions and how each acknowledged contract documents. Second, identify the document guidelines established by professional organizations to determine suitable materials. Third, compare the two countries contract duty, standard documents, and reward. The results are as follow: Duty of Interior Designer: Little difference was found between South Korea and US interior design duties. Owner and Designer Contract Documents: In South Korea KOSID published contract documents in 1982 with first general revisions occurring in 1997. Designers work by using a variety of contracts including verbal, personal, office, and KOSID. In the United States the cooperation of National Association of Builder first published documents in 1888 with revisions occurring from 1911-1987. Today over 100 contract documents are published by the AIA and 7 residence documents are published by ASID. Reward of Interior Designer: In South Korea the table of duty rewards sets the base price with owner and designer making the final decision. Different rates are set according to total construction price and type of building. The highest billable rate comes from a museum, while an education facility has a lower rate; rates range between 5.0-25.5. In the United States firms use different strategies dependent upon project constraints and demand. Choices include fixed fee, hourly rate, percentage of cost, area fee, and retail method.

      • 취업모 가정의 유아 컴퓨터 활동 환경 연구

        이재연,신소영 숙명여자대학교 아동연구소 2000 兒童硏究 Vol.14 No.1

        The purpose of this study was to examine the children's computer activity concerning their working mother's recognition, home environment and current operation at their home. 109 working mothers who sampled in 5 day care centers were selected as the subjects of this study. This study was performed by the questionnaire made by this researcher, and the data were analyzed with Frequency, Percentage. The results of this study are as follows, Working mother's recognition on the need of young children's computer activity was positive(91.8%0. Working mother thought that young children's computer activity was needed for young children's various experiences(24.7%) and the preparation for the future life(22.6%). The most important objective of young children's computer activity was to help children get familiar with the computer(30.3%). And working mothers recognized that the effect of young children's computer activity was to promote their children's originality, imagination and insight. The environment of young children's computer activity in the working mother's home was sufficient(75.3%). Most have their own computer hardware and peripheral equipment. And the computer's installation environment was set up well. Young children did computer activities with parents(33.3%) or brothers(47.4%) at their livingroom. It took one hour for young children to do the computer activity at home(75.7%). The degree of possession of the software in working mother's home was 1-5(50.0%). Working mother put a software at young children's computer activity from the beginning(65.4%). And they confirmed the contents of the software. A standard of buying the software was mainly inducement that people had ever that software(24.1%). Working mother recognized on the possessing software that were appropriate for their children's age and educational. An obstacle about children's computer activities in their home was shown to be insufficient of possessing appropriate software for the child. For the activation of the children's computer activity, it was required to possess various and appropriate softwares. For children's computer activity was connected with day care center's, working mother wanted to take part in parent's seminar(36.6%) or participation class for parents(23.4%).

      • KCI등재후보
      • KCI등재
      • KCI등재

        중합효소연쇄반응을 통해 확진되고 Atovaquone과 Azithromycin으로 치료한 Human Babesiosis 1예

        윤기태,김연아,구남수,김준형,정세진,김홍정,송경호,최유경,신소연,김영근,김명수,박윤선,최준용,송영구,김준명 대한감염학회 2006 감염과 화학요법 Vol.38 No.5

        저자들은 국내에서 처음으로 중합효소연쇄반응 검사를 통하여 B. microti에 의한 인체 바베시오시를 진단하였으며, atovaquone과 azithromycin 병합요법을 사용하여 치유한 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Human babesiosis is a tick-borne infectious disease caused by Babesia species. The clinical diagnosis is difficult because of nonspecific symptoms like flu. Rapid diagnosis of human babesiosis is microscopic examination in peripheral blood smear (Giemsa-stain) which reveals characteristic forms of an intracellular quadruplet parasite. But differentiation between Babesia microti and Plasmodium species can be quite difficult because of the morphologic similarity. We experienced a case of human babesiosis. The patient was a 62-year old Korean male who had been in New Jersey, U.S.A for 2 months. We initially diagnosed as malaria infection because the peripheral blood smear revealed intracellular single ring form organism. But the patient was not improved significantly by the treatment with chloroquine regimen. Finally we confirmed human babesiosis by polymerase chain reaction for Babesia microti. We treated the patient successfully with a regimen of atovaquone and azithromycin which has fewer adverse reactions than a regimen of clindamycin and quinine.

      • KCI등재후보

        국내 HIV 감염자에 있어서 Highly Active Antiretroviral Therapy (HAART)의 치료효과 및 영향분석

        김명수,신소연,박윤선,김연아,구남수,김준형,김영근,최준용,송영구,김준명 대한감염학회 2007 감염과 화학요법 Vol.39 No.3

        목적 : 전 세계적으로 에이즈 감염자가 4,000만명을 넘고 우리나라에서도 최근 하루에 2.1명의 신규 감염자가 발생하며 2006년까지 누적 감염자가 4,500명을 넘고 있다. 여러 가지 항레트로바이러스제가 개발된 이후 우리나라에서는 1997년부터 HIV 감염자에 대한 3제 병합요법이 시작되었으나 그 효과에 대한 우리나라의 연구는 미미한 실정으로 이에 대해 알아보고자 하였다. 재료 및 방법 : 연세대학교 의과대학 세브란스병원에서 2005년 12월까지 진료한 HIV 감염자 중 1997년 10월이후 항레트로바이러스 치료제를 투여 받은 환자 가운데 이전의 항레트로바이러스에 대한 치료력이 없으면서, 1년 이상 HIV-RNA 및 CD4+ T 림프구 수의 정기적인 측정인 가능한 141명의 환자를 대상으로 후향적 의무기록 분석을 통해 임상적인 특징과 6개월과 12개월째 HAART에 대한 치료효과를 분석하고 이와 관련된 요인을 찾고자 하였다. 결과 : 세브란스병원에서 2005년 12월까지 451명이 에이즈로 진료를 받았고, 1997년 이후 HAART를 시행받으면서 1년 이상 HIV RNA 및 CD4+ T 림프구수의 정기적인 측정이 가능한 환자는 141명으로 127명(90.1%)이 남자였다. 연령별 분포를 보면 30대가 50명(35.5%), 40대가 50명(35.5%)로 가장 많았다. HAART 시작 당시에 28명(19.9%)이 에이즈 정의질환을 동반하고 있었고, 74명(52.5%)은 에이즈 정의질환은 아니지만 기회감염을 동반하고 있었다. 121명(85.8%)의 환자에게 단백분해효소억제제를 기반으로 하는 처방이 이루어졌고, 20명(14.2%)의 환자에게는 비뉴클레오시드 역전사억제제를 기반으로 하는 처방이 이루어졌다. 치료 시작 당시 CD4+ T 림프구수는 평균 207/mm³(IQR 73-299)였고, 평균 HIV RNA는 70,800 copies/mL (4.85 log copies/mL)였다. HAART 시행 12개월 후에 평균 CD4+ T 림프구는 143 cells/mm³증가하였고, 96명(68.1%)에서 100 cells/mm³이상의 증가를 나타냈다. 치료반응에 따라 두 군으로 나누어 분석한 결과 12개월 후 100 cells/mm³이상 증가한 군이 초기 CD4+ T 림프구수가 적었다(P=0.01). HIV RNA 바이러스는 치료 당시보다 6개월후에 1.76 log copies/mL만큼 감소하였고, 12개월 후에는 1.88 log copies/mL만큼 감소한 결과를 보였다. 그리고, HAART 시행 후 HIV RNA는 6개월째 103명(73%)이 400 copies/mL 미만의 결과를 보였고, 12개월 후 90명(63.8%)에서 50 copies/mL 미만으로 측정되지 않는 결과를 나타냈다. HIV RNA를 치료반응에 따라 두 군으로 나누어 비교한 결과 6개월째는 두 군간의 차이가 없었으며, 12개월 후에는 50 copies/mL 미만인 군이 나이가 더 많은것으로 나타났다(P=0.009). 대상 환자 141명 가운데 초기처방을 중간에 변경한 경우가 57명(40.4%)이었고, 처방 변경의 주된 이유는 약제 부작용과 관련된 것이었다. 결론 : 국내에서 에이즈 감염자가 지속적으로 증가하고 있는 상황에서 HAART의 치료효과를 분석한 결과 기존의 치료 결과와 유사한 성적을 보였다. 앞으로 대규모의 코호트 연구를 통해 국내 에이즈 환자들의 특성 규명과 이에 알맞은 치료에 대한 연구가 더 필요하겠다. Background : Recently, 2.1 persons per day are reported to be HIV infected and totally more than 4,500 HIV infected persons have been officially reported until 2006 in Korea. We started highly active antiretroviral therapy (HAART) for HIV patients from 1997. Data on the efficacy of antiretroviral therapy are limited in Korea. Materials and Methods : HIV infected patients treated with HAART for more than 1 year were included. We studied the therapeutic response of antiretroviral therapy in patients with AIDS and without previous antiretroviral therapy who were treated until Dec 2005 in Severance hospital. Results : More than 450 were diagnosed as HIV infected in Severance hospital. Among these HIV infected patients, 141 patients including 14 females were included. 121 of the 141 patients (85.8%) were treated with PI based regimen, and 20(14.2%) were treated with NNRTI based regimen. The initial mean CD4 T cell count was 207/mm³ (IQR 73-299) and the mean HIV RNA level was 70,800 copies/mL. After 6 months of HAART, 103 patients (73%) had fewer than 400 copies of HIV RNA copies/mL. After 12 months of HAART, 90 patients (63.8%) had fewer than 50 copies of HIV RNA copies/mL. The mean increase in the CD4 T cell count from baseline to 12 months was 143 cells/mm³. After 12 months, 96 patients (68.1%) had increased more than 100 cells/mm³. Conclusion : This report the therapeutic response of HAART in Korea which the prevalence of HIV infection is now increasing. Overall, the outcomes are similar to those in other developed countries. Further large scale prospective cohort study is needed.

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