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      • KCI등재

        CT Characteristics of Pleural Plaques Related to Occupational or Environmental Asbestos Exposure from South Korean Asbestos Mines

        김유경,명준표,이정경,김정숙,김윤경,정순희 대한영상의학회 2015 Korean Journal of Radiology Vol.16 No.5

        This study evaluated the CT characteristics of pleural plaques in asbestos-exposed individuals and compared occupational versus environmental exposure groups. This study enrolled 181 subjects with occupational exposure and 98 with environmental exposure from chrysotile asbestos mines, who had pleural plaques confirmed by a chest CT. The CT scans were analyzed for morphological characteristics, the number and distribution of pleural plaques and combined pulmonary fibrosis. Furthermore, the CT findings were compared between the occupational and environmental exposure groups. Concerning the 279 subjects, the pleural plaques were single in 2.2% and unilateral in 3.6%, and showed variable widths (range, 1–20 mm; mean, 5.4 ± 2.7 mm) and lengths (5–310 mm; 72.6 ± 54.8 mm). The chest wall was the most commonly involved (98.6%), with an upper predominance on the ventral side (upper, 77.8% vs. lower, 55.9%, p < 0.001) and a lower predominance on the dorsal side (upper, 74.9% vs. lower, 91.8%, p = 0.02). Diaphragmatic involvement (78.1%) showed a right-side predominance (right, 73.8% vs. left, 55.6%, p < 0.001), whereas mediastinal plaques (42.7%) were more frequent on the left (right, 17.6% vs. left, 39.4%, p < 0.001). The extent and maximum length of plaques, and presence and severity of combined asbestosis, were significantly higher in the occupational exposure group (p < 0.05). Pleural plaques in asbestos-exposed individuals are variable in number and size; and show a predominant distribution in the upper ventral and lower dorsal chest walls, right diaphragm, and left mediastinum. Asbestos mine workers have a higher extent of plaques and pulmonary fibrosis versus environmentally exposed individuals.

      • KCI등재후보

        한국화 재료를 통한 집단미술치료가 초등학생의 자기효능감에 미치는 효과

        김유경,박정환,전순영 한국미술치료학회 2006 美術治療硏究 Vol.13 No.1

        본 연구는 미술치료가 초등학생의 자기효능감에 어떠한 효과를 미치는지 알아보고자 하였다. 연구대상은 제주시 S초등학교 4학년에 재학 중인 아동 222명에게 자기효능감 검사를 측정한 결과 평균 73.4점이 나왔다. 이를 기준으로 평균 점수 이하의 아동들 중 본인이 희망하고 부모동의서를 제출한 12명의 남녀를 고려하여 실험집단에 6명, 통제집단에 6명을 각각 무선으로 배치하였다. 프로그램 실시는 2004년 9월 12일부터 2004년 12월 2일까지 주 2회, 총 20회기를 90분씩 학교 내의 미술실에서 방과 후 시간을 이용하였다. 본 연구의 척도는 Bandura(1977)의 효능이론을 근거로 개발한 차정은(1997)의 일반적 자기효능감 척도를 김수진(2003)이 수정 보완하여 초등학생에게 알맞게 표현한 것을 본 연구자가 재사용하였다. 본 연구결과를 통해 얻은 결론은 다음과 같다. 첫째, 자기효능감을 살펴본 결과, 초등학생의 자기효능감이 사후검사에서 긍정적으로 향상되었음을 알 수 있었다. 그러나 하위영역인 과제난이도 선호 영역에서는 통계적으로 유의미한 결과를 얻지 못했다. 이는 여러 가지 요인이 있겠지만 짧은 회기로 인해 긍정적인 영향을 거의 미치지 못했다고 본다. 둘째, 회기별 자기효능감을 살펴본 결과, 긍정적으로 변화되었음을 알 수 있었다. 셋째, K-HTP와 KSD 사전ㆍ사후검사를 살펴본 결과, K-HTP와 KSD에 나타난 아동들의 심리적 상태가 사전보다 사후검사에서 긍정적으로 변화되었음을 알 수 있었다. 넷째, 교사보고서에 의한 사전ㆍ사후 변화를 살펴본 결과, 학습에 의욕이 전혀 없던 아동이 사후에는 학습 능력이 많이 나아졌다는 보고가 있었고 사전에 소극적이었던 아동이 사후에는 즐겁게 발표하고 학습활동에 흥미를 가졌다는 보고가 있었다. 이러한 결과를 볼 때 한국화 재료가 아동들에게 흥미를 유발하여 집단의 상호작용과 응집력을 활성화시키고 스스로 터득한 여러 기법을 자신의 심리에 적절하게 표현하는 과정에서 성취감과 자신감에 영향을 끼친 것으로 본다. The purpose of this study was to determine how art therapy affected self-efficacy among elementary school children. For this purpose, a test for self-efficacy was conducted with 222 fourth-graders from S Elementary School in Jeju, obtaining an average of 73.4 points. On this ground, among the children who got mark under average point, they who hoped to participate in this study and submitted their parents' consent were randomly assigned to the experimental and control groups, six children for each group, in consideration of gender. The program was implemented in an art room of the school after school over a total of 20 sessions, two sessions a week, 90 minutes per session, from September 12 to December 2, 2004. This study used the General Self-Efficacy Scale developed by Cha Jung Eun(1997) on the basis of Bandura's(1977) efficacy theory and then revised and complemented by Kim Su Jin(2002) with expressions suitable for elementary school children. From the results of this study, the following conclusions were drawn. First, elementary school children improved positively in self-efficacy as a result of the follow-up test. However, there was no statistically significant result in the area of preference for task difficulty as a sub-area. Among many other factors, it seems that there were few positive effects due to the short session. Second, there were positive changes in self-efficacy by sessions. Third, there were positive changes in children's psychological state for K-HTP and KSD from the pretest to the post-test. Fourth, as for teachers' reports, some reported that children with no will to learn in the pretest showed a better ability to learn in the post-test while others reported that those who were passive in the pretest enjoyed presentation and took interest in learning activities. From these results, Korean painting materials aroused children's interest, activated interaction and cohesion within a group, and ultimately made contributions t

      • KCI등재

        대도시 지역 학령 전 아동의 영양소 섭취량과 비만 및 빈혈과의 관계 연구

        김유경,천종희 한국식생활문화학회 2001 韓國食生活文化學會誌 Vol.16 No.5

        This study was designed to investigate nutrition intakes and its relation to the obesity and the prevalence of anemia in 252 children(136 boys, 116 girls) aged 2-6 years. The hematological parameters, daily nutrient intakes and height and weight were measured. Calorie intakes of 2 and 3 year-old-children were over their RDA while those of 4-6 years were below the RDA. Intakes of protein, P, and vit B complex were far over the RDA in all ages of children. Fe and vit A intakes were insufficient in all ages except 3 years while Ca intakes were insufficient in all ages except 2 and 3 years. About 18.2% of the children were evaluated as obese. However, very few children were anemic by hematologic parameters. The mean Hb concentrations were 12.2㎎/dl in boys and also in girls. The mean Hct was 36.2% in boys, 35.8% in girls. Serum Fe concentration was 100.l㎎/dl in boys, 101.1㎎/dl in girls. RBC count was significantly higher in boys while MCH was significantly higher in girls. Intakes of protein, P, Fe, vit B_l, niacin, vit C were significantly higher in obese group compared to underweight group. There were significant positive correlations between protein intake and Hb, Hct, MCH, and MCHC. The correlation between Fe intake and Hb or Hct was not significant. In conclusion, it seems that the nutritional status of the most children was in very good condition. However, they needed to take more foods supplying Fe, Ca, and vit A.

      • KCI등재

        신 제형 클로렐라제품의 총 엽록소 시험법 개선

        김유경,박영식,이은숙,한재갑,노기미,임동길,정자영 한국식품위생안전성학회 2011 한국식품위생안전성학회지 Vol.26 No.1

        A new and improved analytical method involving alkaline pyridine extraction was proposed to quantity chlorophyll contents in syrup and candy type chlorella products. The performance of analytical method was compared with the conventional Korea food standard method which involves acetone extraction. The application of sonication chlorophyll extraction form alkaline pyridine sample was also explored. The analytical procedure was validated by evaluating accuracy, precision and reproducibility. For liquid samples, the pyridine extraction method showed higher accuracy and precision compared to acetone extraction method. The CV values of pyridine extract method and the acetone extraction method were 18.82 and 40.0, and the accuracy to theoretical values were 106.3%and 78.1%, respectively. When sonication extraction method was applied to the pyridine extraction, the precision was improved as indicated by reduced CV values from 18.82 to 11.36. The improved performance of pyridine-sonication extraction was also validated by recovery test of chlorophyll that was previously spiked into the sample matrix. For solid matrix, the pyridine extraction method showed better performance in analysis of chlorophyll in solid food matrix (CV = 7.05) compared to conventional acetone extraction method (CV = 30.0). However, the accuracy to theoretical values of pyridine and acetone extraction methods only showed only 62.7% an 40%, respectively. The relatively low accuracy of pyridine extraction method (62.7%) was improved to 99.4% by applying additional sonication extraction method. The improved performance of applying additional sonication extraction was validated by standard deviation,CV values and accuracy to theoretical values.

      • 양압조절환기에서 CobraTM PLA와 ProSealTM LMA의 임상적 유용성 비교

        김유경 대한마취통증의학회 2007 Anesthesia and pain medicine Vol.2 No.3

        Background: Supraglottic airway devices are currently available. We compared the efficacy of the Cobra perilaryngeal airway (CobraPLATM) and the ProSealTM laryngeal mask airway (PLMA) during anesthesia with controlled ventilation for the insertion success rate, hemodynamic stability after insertion, intraoperative ventilatory parameters, and postoperative laryngeal discomfort. Methods: Forty-three patients received either a CobraPLATM or a PLMA after induction with thiopental 5 mg/kg, fentanyl 1μg/kg and rocuronium 0.6 mg/kg, and manual controlled ventilation with N2O: O2 (1:1) and sevoflurane 5 6 vol% for 2 minutes. Unblinded observers collected the intraoperative data, and blinded observers collected the postoperative data. Results: The two devices were similar for hemodynamic stability after insertion, and for the intraoperative ventilatory parameters. The success rates of first-attempts were similar, but the insertion time was longer for the CobraPLATM. The cuff volume and pressure changes were significantly higher for the PLMA than the CobraPLATM. The cuff pressure was significantly higher for the CobraPLATM than the PLMA from insertion to 10 minutes after insertion, but at 30, 60 and 90 minutes after the insertion, there was no significant difference for the two devices. There were no differences with respect to the incidence of adverse events. Conclusions: During anesthesia with controlled ventilation, these two devices can be used successfully and effectively. We suggest that the CobraPLATM could be used an alternative device for airway management and further investigation is required.

      • KCI등재

        클리펠-트레노네이증후군 환자에서 발생한 재발척수병

        김유경,엄영인,주인수,Kim, Yue Kyung,Eom, Young In,Joo, In Soo 대한임상신경생리학회 2015 Annals of Clinical Neurophysiology Vol.17 No.2

        Klippel-Trenaunay syndrome (KTS) is a rare congenital malformation syndrome involving blood and lymph vessels, which is characterized by triad of cutaneous hemangioma, venous varicosities, and overgrowth of the affected limbs. Because vascular malformation in KTS can be located anywhere except the face and brain, the clinical presentation could be extremely variable. But there are only rare case reports that KTS is associated with spinal cord lesion. We report a case of recurrent myelopathy in a patient with KTS.

      • KCI등재
      • KCI등재

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