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      • KCI우수등재

        한국 비만 여성의 신체 계측에 의한 체지방 추정

        심경원,김지연,서희선,이홍수,이상화,강지현 대한비만학회 2002 The Korean journal of obesity Vol.11 No.2

        연구배경 : 국내 비만 여성을 대상으로 비용이 적게 들고 단순하면서도 보다 정확하게 체지방률을 추정할 수 있는 체지방률 추정식을 작성함으로써 쉽게 체지방률과 조절해야하는 지방의 양을 판단할 수 있도록 하고자 한다. 방법 : 이대목동병원 비만클리닉을 처음으로 내원한 19세 이상의 성인 여자 607명 중 체질량지수가 25 kg/㎡ 이상인 500명을 연구대상으로 하여 목, 가슴, 허리, 엉덩이, 대퇴, 하퇴, 발목, 상완, 전완, 손목의 10부위의 둘레와 생체전기저항분석법 (bioelectrical impedance analysis, BIA) 방식의 체성분 분석기를 이용하여 체지방률을 측정하였다. 체지방률 추정식을 구하기 위해 BIA에 의한 체지방률을 종속변수로 하고 , 신체 둘레 계측기 및 신장, 체중, 체질량지수, 연령을 독립변수로 하여 단계별 다중회귀분석 (multiple stepwise regression)을 시행하였다. 결과 : 신장과 체중, 연령, 체질량지수 및 신체 둘레 측정치 중 체지방률을 반영하는 지표는 체질량 지수, 전완둘레, 신장, 엉덩이 둘레, 하퇴둘레였고, 이 다섯가지 지표를 이용한 체지방률 추정식은 66.1%의 예측력과 2.86%의 측정 오차를 나타냈다 (R^2=0.661, SEE=2.86). 결론 : 비만한 성인 여성에서 신장과 체중, 연령 및 신체 둘레 계측치를 이용한 본 연구의 추정식은 체지방률(%)을 적은 오차범위로 비교적 정확하게 반영하였다. Background : This study was conducted to develop a regression equation that accurately estimates body fat percentage using relatively easy and inexpensive method in adult obese Korean women. Method : Data were collected among 500 obese Korean women visiting obesity clinic in Ewha woman's university Mokdong hospital, Seoul, Korea. Height, weight, and circumferences at ten body sites (neck, chest, waist, hip, thigh, calf, ankle, arm, forearm, wrist) were measured s well as total body bioelectrical impedance. Results : The full regression equation estimates body fat percentage included six variables : BMI, forearm circumference, height, hip circumference, thigh circumference. This equation accounted for 66.1% of the variance in body weight measured by bioelectrical impedance, and their standard error of estimate was 2.86%. Conclusion : For the obese Korean women in this study, circumference measurements provided a s relatively good estimation of body fat percentage.

      • 화농성 슬관절염이 동반된 수막구균성 수막염 1예

        김태연,유진홍,박성환,김연식,임상현,신완식,강문원,정창훈,최문구,강지민 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.2

        저자들은 최근 화농성 슬관절염과 병발한 수막구균성 수막염 1예를 체험하였고, 이는 국내에서 아직 보고되지 않은 드문 예로 사료되어 문헌고찰과 함께 보고하는 바이다. We recently experienced a case of meningococcal meningitis associated with pyogenic arthritis in a 37-year old male patient. Pyogenic arthritis developed in right knee joint during treatment for meningococcal meningitis. He was treated successfully by appropriate antibiotics and arthroscopic irrigation. To our knowledge, such a rare case has not ever been reported in Korea, Hence we report this case with a review of related literatures.

      • Flavobacterium meningosepticum에 의한 균혈증 1예

        장성원,유진홍,진승원,김선우,김연식,박순민,이대훈,최민호,최주연,신완식,강문원,강지민 대한화학요법학회 1997 대한화학요법학회지 Vol.15 No.1

        1996년 6월 카톨릭대학교 부천성가병원에 뇌경색으로 입원했던 61세 남자 환자의 혈액에서 Flavobacterium meningosepticum을 분리하였다. 환자는 폐렴을 동반한 패혈증의 예로 ceftriaxone과 metronidazole을 투여하였으나 입원 48시간만에 사망하였다. Flabovacterium meningosepticum is a rae cause of nosocomial infection which shows multi-drug resistance. It mainly invades patients with impaired immunity. Recently, we experienced a case of F. meningosepticum bacteremia in a patient with chronic debilitated state owing to stroke. The clinical progress was so rapid that he died within 48 hours. Blood culture revealed F. meningosepticum which showed characteristic yellow colony in blood agar plate.

      • KCI등재

        Clinical Effects of Probiotics are Associated with Increased Transforming Growth Factor-β Responses in Infants with High-Risk Allergy

        ( Ji Yeun Kim ),( Young Ok Choi ),( Jung Hyun Kwon ),( Kang Mo Ahn ),( Myeong Soo Park ),( Geun Eog Ji ) 한국응용생명화학회(구 한국농화학회) 2011 Applied Biological Chemistry (Appl Biol Chem) Vol.54 No.6

        We recently demonstrated that the administration of probiotics resulted in a significantly reduced occurrence of atopic dermatitis in infants with high allergic risk. Therefore, the underlying immunological effects that are associated with these apparent clinical benefits were determined. In a randomized, double-blind, placebo-controlled trial, the pregnant women and their infants with a family history of allergic diseases were supplemented with either probiotics (mixture of Bifidobacterium bifidum BGN4, Bifidobacterium lactis AD011, and Lactobacillus acidophilus AD031) or placebo once daily from 4·8 weeks before delivery to 6 months of infants` age. At 1 year of age, the levels of transforming growth factor (TGF)-β produced by peripheral blood monuclear cells from infants fed probiotics were significantly increased compared with those from infants fed placebo (p =0.042). Thus, reduction of atopic dermatitis prevalence with probiotics supplementation was associated with significant increases in the capacity of TGF-β responses.

      • Effect of probiotic mix (<i>Bifidobacterium bifidum, Bifidobacterium lactis, Lactobacillus acidophilus</i>) in the primary prevention of eczema: a double-blind, randomized, placebo-controlled trial

        Kim, Ji Yeun,Kwon, Jung Hyun,Ahn, So Hyun,Lee, Sang Il,Han, Young Shin,Choi, Young Ok,Lee, Soo Young,Ahn, Kang Mo,Ji, Geun Eog Blackwell Publishing Ltd 2010 Pediatric allergy and immunology Vol.21 No.2

        <P>Kim JY, Kwon JH, Ahn SH, Lee SI, Han YS, Choi YO, Lee SY, Ahn KM, Ji GE. Effect of probiotic mix (<I>Bifidobacterium bifidum, Bifidobacterium lactis, Lactobacillus acidophilus</I>) in the primary prevention of eczema: a double-blind, randomized, placebo-controlled trial.Pediatr Allergy Immunol 2010: 21: e386–e393.© 2009 John Wiley & Sons A/S</P><P>Controversy exists regarding the preventive effect of probiotics on the development of eczema or atopic dermatitis. We investigated whether supplementation of probiotics prevents the development of eczema in infants at high risk. In a randomized, double-blind, placebo-controlled trial, 112 pregnant women with a family history of allergic diseases received a once-daily supplement, either a mixture of <I>Bifidobacterium bifidum</I> BGN4, <I>B. lactis</I> AD011, and <I>Lactobacillus acidophilus</I> AD031, or placebo, starting at 4–8 wks before delivery and continuing until 6 months after delivery. Infants were exclusively breast-fed during the first 3 months, and were subsequently fed with breastmilk or cow’s milk formula from 4 to 6 months of age. Clinical symptoms of the infants were monitored until 1 yr of age, when the total and specific IgE against common food allergens were measured. A total of 68 infants completed the study. The prevalence of eczema at 1 yr in the probiotic group was significantly lower than in the placebo group (18.2% vs. 40.0%, p = 0.048). The cumulative incidence of eczema during the first 12 months was reduced significantly in probiotic group (36.4% vs. 62.9%, p = 0.029); however, there was no difference in serum total IgE level or the sensitization against food allergens between the two groups. Prenatal and postnatal supplementation with a mixture of <I>B. bifidum</I> BGN4, <I>B. lactis</I> AD011, and <I>L. acidophilus</I> AD031 is an effective approach in preventing the development of eczema in infants at high risk of allergy during the first year of life.</P>

      • SCIEKCI등재

        Clinical Effects of Probiotics are Associated with Increased Transforming Growth Factor-${\beta}$ Responses in Infants with High-Risk Allergy

        Kim, Ji-Yeun,Choi, Young-Ok,Kwon, Jung-Hyun,Ahn, Kang-Mo,Park, Myeong-Soo,Ji, Geun-Eog The Korean Society for Applied Biological Chemistr 2011 Applied Biological Chemistry (Appl Biol Chem) Vol.54 No.6

        We recently demonstrated that the administration of probiotics resulted in a significantly reduced occurrence of atopic dermatitis in infants with high allergic risk. Therefore, the underlying immunological effects that are associated with these apparent clinical benefits were determined. In a randomized, double-blind, placebo-controlled trial, the pregnant women and their infants with a family history of allergic diseases were supplemented with either probiotics (mixture of $Bifidobacterium$ $bifidum$ BGN4, $Bifidobacterium$ $lactis$ AD011, and $Lactobacillus$ $acidophilus$ AD031) or placebo once daily from 4-8 weeks before delivery to 6 months of infants' age. At 1 year of age, the levels of transforming growth factor (TGF)-${\beta}$ produced by peripheral blood monuclear cells from infants fed probiotics were significantly increased compared with those from infants fed placebo ($p$=0.042). Thus, reduction of atopic dermatitis prevalence with probiotics supplementation was associated with significant increases in the capacity of TGF-${\beta}$ responses.

      • KCI등재

        제주도 서사무가 <이공본풀이>에서의 `분노`의 감성 연구

        강지연 ( Kang Ji-yeun ) 민족문학사학회·민족문학사연구소 2016 민족문학사연구 Vol.62 No.-

        오늘날 제주도 무속신화가 그 전승력을 유지하는 데에는 신화의 내용과 더불어 사람들에게 전하는 `감성`요인이 중요한 기능을 한다. 무가가 구송되는 제의의 현장에서 심방과 참여자들은 함께 울고 웃으며 그 신을 기억한다. 그들이 울거나 웃을 수 있었던 데에는 신화를 텍스트로만 보지 않고, 감성으로 받아들였기 때문이다. 최근 들어 관심을 보인 문학의 감성 연구는 더욱이 신화 연구에서 주목을 요하는 바이다. <이공본풀이>는 폭력과 살인, 복수의 내용을 주로 하여 서사를 이루며, 이때 분노의 감성은 담화 전체를 지배하며 서사를 추동한다. 신성한 의미에서 신(神)의 분노는 세속적 인간의 감성과는 달라야 할 것 같지만, <이공본풀이>의 주인공인 할락궁이는 지극히 인간적이며 원초적인 욕망을 여실히 보여주고 있다. 하지만 그가 보여준 폭력과 분노의 의미는 개인의 사사로운 감정이 아니며, 악(惡)으로부터 응당한 처벌과 질서의 회복을 꾀하는 것으로 신이 한 능력을 대변해 준다. 감성에 주목하여 신화를 이해할 때에, 그래서 신화의 내용과 그 감성이 함께 전승 될 때에 그 의미는 더욱 생생하며, 비로소 신화가 과거에 불리던 이야기만이 아닌 살아 있는 신화로 우리에게 전해질 수 있다. 신화적 인물의 감성은 신화를 구송하는 심방이 함께 공유하며, 제의의 참여하고 그 신화를 기억하는 우리 모두의 것이기도 하다. 이러한 문제적 시각에서 본고는 제주도 무가 <이공본풀이>에서 `분노`의 감성을 고찰하고, 그 의미를 밝히는 것을 목적으로 한다. 신화의 감성 연구는 초월적이고 신이하게 다루었던 신성획득의 과정을 재조명하고, 감성의 논리라는 새로운 시각으로 기존 연구의 보탬이 될 것이다. Nowadays, it is true that `sentiment`, which is conveyed to people, as well as the content of a myth plays a key role for Jeju shamanistic myths to maintain their transmission. During the religious ceremony where a shaman`s song is recited do Simbang, which refers to a shaman in Jeju dialect, and participants weep and laugh together, remembering the god. The reason they could cry and laugh together is that they not just read a myth through a text but also take it sentimentally. The study on sentiment of literature, which has recieved much attention recently, is to be focused on in the field of mythology as well. < Yigongbonpulee > mainly consists of violence, murder, and revenge, where wrath dominates the whole discourse and drives narration. Although god`s wrath should be different from secular human`s in the sense of holiness, Hallakgungee, the main character in < Yigongbonpulee >, shows quite basic human desire clearly. However, the violence and wrath that he shows are not to be explained as a kind of personal feelings but rather are used as means of delivering appropriate punishment and recovering order, through which we can regard him as god. When we comprehend a myth based on sentiment, its meaning becomes more vivid, and therefore it is then when the myth is conveyed to us in a live form. Mythical figure`s sentiments are shared by Simbang who recites it, and it can be said that they are also all of ours, who participate in a religious ceremony and remember the myth. Considering the viewpoint mentioned above, this study aims to consider one specific sentiment, `wrath`, in < Yigongbonpulee > at the discourse analysis perspective and reveal its meanings behind. In short, with this analysis, it becomes possible to shed new light on divine acquisitioin process, which has been dealt with only transcendentally and extraordinarily. Moreover, this study will help established studies to view mythologies with a new perspective : logic of sentiment.

      • SCOPUSKCI등재

        에나멜 상피종성 및 유두상 두개인두종의 임상상과 자기공명영상 ( MRI ) 소견의 비교

        강태욱,양태영,김광원,이문규,민용기,이명식,정재훈,김종현,나동규,정인경,함종렬,권성욱,조건영,이지민,배문희,서연림,유재욱 대한내분비학회 2000 Endocrinology and metabolism Vol.15 No.2

        Background : Craniopharyngioma is a suprasellar or intrasellar epithelial neoplasm that occurs in both children and adults. It accounts for 1.2 to 3 % of intracranial tumors with an incidence of 0.5 to 2 cases per one million populations each year. Recently, it has been postulated that it may have two pathogenetically separate subtypes, which are adamantinous and papillary craniopharyngioma, and that their clinical features may be different. However, there are some disagreements in this postulation. Therefore, we studied 22 consecutive patients with craniopharyngioma to evaluate the differences in clinical features and MRI findings between two subtypes. Methods : We studied 22 patients with histologically proven craniopharyngioma after surgery at Samsung Medical center from 1995 to 1999. Thirteen patients were male, and nine patients were female. The average age was 30 years, with a range from 1 to 58 years. We divided 22 patients into two histopathologically separate subtypes; adamantinous and papillary subtypes. We compared the clinical features and MRI findings of two subtypes by reviewing medical records. Results : Out of 22 patients with craniopharyngioma, 19 patients had an adamantinous subtype and 3 patients had a papillary subtype. The adamantinous subtype occurred frequently in the fifth decade and below twenty years, while the papillary subtype occurred predominantly in forth and fifth decades. The adamantinous subtype located in suprasellar or intrasellar portion as well as extrasellar portion, while the papillary subtype was restricted to the suprasellar location. The average tumor size of the adamantinous subtype was 3.7 cm, with a range from 1.4 to 6.0 cm, which was larger than that of the papillary subtype (average size 1.8 cm with a range from 1.5 to 2.3 cm, p $lt; 0.05). The adamantinous subtype was predominantly cystic, while the papillary subtype was predominantly solid (p $lt; 0.05). There were no significant differences in the preoperative clinical features and the postoperative complications between two subtypes. Conclusion : The adamantinous subtype had two peaks of occurrence in the fifth decade and below twenty years, while the papillary subtype occurred predominantly in forth and fifth decades. The adamantinous subtype was larger and had cystic portion, while the papillary subtype was smaller and had solid portion. The preoperative clinical features and the postoperative complications between two subtypes seemed not to be different (J Kor Soc Endocrinol 15:170-178, 2000).

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