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      • KCI등재

        급성 충수돌기염 진단 시 연령에 따른 Alvarado Score의 진단적 가치

        오보영(Bo-Young Oh),김광호(Kwang-Ho Kim),이령아(Ryung-Ah Lee),정순섭(Soon Sup Chung) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.78 No.2

        Purpose: This study aims to assess the diagnostic efficacy of the Alvarado score and to determine cut-off values of Alvarado score according to age for deciding on the options for patients with suspected appendicitis. Methods: From October 2008 to January 2009, we prospectively reviewed 152 patients with suspected appendicitis. The patients were classified into adults and children groups. We then determined cut-off values of the Alvarado score by analyzing each score’s sensitivity and specificity. Results: Of the 147 patients, 96 patients were adults and 51 were children. The mean Alvarado score for adults and children were 6.08±1.85, and 6.69±1.43 in appendicitis and 4.32±2.02, and 4.60±1.81 in non-appendicitis, respectively. In adults, the sensitivity of the Alvarado scores 7 or higher for appendicitis was 66.2%, and the specificity was 67.7%. And the sensitivity of the Alvarado scores 4 or lower for non-appendicitis was 58.1%, and the specificity was 81.5%. In children, the sensitivity of the Alvarado scores 7 or higher for appendicitis was 80.8%, and the specificity was 68.0%. And the sensitivity of the Alvarado scores 4 or lower for non-appendicitis was 52.0%, and the specificity was 92.3%. Conclusion: The cut-off values for Alvarado score were not different according to age of the patient. If the Alvarado score is 7 or higher, surgical management is recommended, and if the Alvarado score is 4 or lower, observation without CT or US is recommended. In equivocal appendicitis as defined by the Alvarado scores 5 to 6, adjunctive CT or US are recommended to confirm appendicitis.

      • KCI등재

        신생아 기복증의 수술 후 생존 예후 인자

        오보영(Bo-young Oh),최금자(Kum-ja Choi) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.2

        Purpose: This study aims to determine the prognostic factors of pneumoperitoneum in neonates. Methods: We reviewed 35 neonates who underwent operations for pneumoperitoneum between 1999 and 2007. The prognostic factors on survival were evaluated. Results: Twenty-eight patients were male and 7 were female. Mean gestational age was 35.9±4.6 weeks and birth weight was 2,703.1±999.2 gr. Mean apgar-score were 6.0±2.9 at 1 min, and 6.7±2.6 at 5 min. The most common clinical finding was abdominal distension. Most patients were diagnosed with a simple abdominal X-ray. Perforation sites were stomach (n=8), small bowel (n=20), colon (n=5), and small bowel and colon (n=2). Operative methods were bowel resection with enterostomy (n=15), resection with anastomosis (n=9), wedge resection (n=4), primary closure (n=3), primary closure with enterostomy (n=3), and penrose-drain insertion (n=1). Postoperative complications occurred in 16 patients, and 26 patients survived and 9 expired. Mortality rate was significantly higher in lesser gestational age, lower birth weight and apgar-score, need of preoperative ventilator, and abnormalities in ABGA or platelet count. Conclusion: The significant prognostic factors were gestational age, birth weight, Apgar-score, need of preoperative ventilator, and abnormal laboratory findings in ABGA and platelet count. The other variables including sex, symptom duration, underlying diseases, perforation sites, and operation methods were not correlated with survival.

      • KCI등재

        디자인사고(Design Thinking) 과정을 적용한 고등학교 디자인수업 모형 연구

        오보영 ( Bo Young Oh ),문철 ( Chul Moon ) 한국기초조형학회 2015 기초조형학연구 Vol.16 No.6

        디자인사고(Design Thinking)는 혁신적인 비즈니스를 위한 방법론을 일컫는 말로 현재 통용되며 디자인 실무에서 적용되고 있다. IDEO의 팀 브라운(2010)은 혁신을 이끌어내는 ‘방법론’이며, 교육과 경영의 ‘새로운 패러다임’이라고 하였다. 디자인사고는 확산적사고와 수렴적사고의 반복적인 프로세스를 통해 창의적인 문제해결이 가능하므로 교육에서의 적용이 유용하다. 현대는 지식이 빠르게 증가하고 있다. 단편적 지식의 암기와 표현 위주의 교육에 의지하는 교육은 미래를 대비할 수 없다. 수많은 정보 중에서 필요한 지식을 식별하고 적용할 수 있는 인재가 요구되어지므로 학습자 중심 교육이 되어야 할 것이다. 디자인사고는 발견하기, 해석하기, 아이디어내기, 실험하기, 발전시키기의 다섯 단계 프로세스를 중심으로 이루어져있다. 각 단계마다 고등학생의 인지 수준에 맞도록 학습목표와 학습과정을 재구성하여 수업지도안을 작성하였다. 고등학교 학생들에게 ‘디자인사고’는 낯선 용어이므로 어려워 할 것이라 예상했으나 많은 학생들이 적극적으로 반응했다. 자료를 통합하고 분석하여 스스로 문제점을 찾아내고 대안을 제시하였다. 교수자와 학습자는 단계별 과정중심의 교육을 통해 문제를 능동적으로 발견하고 해결할 수 있음을 확인하였다. 고학년의 프로젝트 중심 교과목과 연계되어있는 학업에서 성취도를 높일 수 있을 것이다. 본 연구는 ‘디자인사고’ 방법론을 활용하여 디자인 교육 모델의 가능성을 발견하고 교수학습과정을 제안하여 새로운 디자인 교육을 시도하는 것에 그 의의가 있다. Design education is an integrative activity that solves various problems in everyday life through practical operations. “Design Thinking” is a term commonly used today as an innovative business design methodology. It has already been applied in actual design operations. According to Tim Brown of IDEO (2010), it is a ‘methodology’ that leads to innovation, a ‘new paradigm’ towards education and management. Since it encourages creative problem solving through the repetitive process of diffusive thinking and convergent thinking, Design Thinking has many useful applications in the field of education. Today``s information is increasing at a rapid rate. Education which relies on the memorization of fragmentary information or which centers around expression cannot prepare for the future. Because this age requires the human resources who are able to select and apply necessary information out of overflowing information, there is a need for learner-oriented education. Design Thinking is composed of a five-step process that includes the following: finding, analyzing, giving ideas, experimenting, and developing. The curriculum was designed by restructuring educational goals and processes for each step of “Design Thinking” according to cognitive levels of high school students. Contrary to the expected difficulty that the term “Design Thinking” would be unfamiliar to the students, they responded positively to the curriculum. When it was applied in actual design classes, students integrated information, analyzed, discovered problems and offered suggestions for alternatives all on their own. It was confirmed that instructors and learners could actively find and solve problems through a step-by-step oriented education. It has the ability to enhance the academic achievement of the upper grades in regards to their studies particularly related to a project-centered curriculum. This study’s significance lies in its attempt to redesign education by discovering the possibilities of the Design Education model through the application of the methodology of “Design Thinking”, and by presenting it to the teaching-learning process.

      • KCI등재

        커피음용행동의 의미와 목적에 대한 개념도 분석

        오보영 ( Bo-young Oh ),이상희 ( Sang-hee Lee ) 한국감성과학회 2016 감성과학 Vol.19 No.4

        본 연구는 커피를 마시는 대학생들이 커피음용 행동의 의미에 대해 어떻게 지각하고 있는지를 알아보기 위해 수행되었다. 이를 위해 대학생 15명을 연구 참가자로 선정하여 커피음용 행동의 의미에 대한 아이디어를 산출하고, 그 내용을 바탕으로 69개의 진술문을 도출해냈다. 이후 다차원 척도 분석과 위계적 군집분석을 사용하여 개념도분석을 실시하여 참가자들의 개념적 구조를 확인하였다. 그 결과 대학생들이 지각하는 커피 음용 행동의 의미에 대한 구성 요인으로 7개의 군집이 도출되었다. 각 군집은 `개인이 원하는 신체적 효과를 얻기 위한 방법`, `사교 활동의 수단`, `심리적 위안을 얻기 위한 방법`, `공간 활용 및 사적인 시간을 보내기 위한 음용`, `습관적 음용 및 카페인의 효과 이용`, `커피만의 다양한 특성과 매력을 즐김`, `커피의 도시적이고 고급스러운 이미지 선호`로 나타났다. 또한 각 군집을 분류하는 두 가지 차원을 알아본 결과, 커피 내적고려-커피 외적고려 차원과 정서적 요인-물리적 요인의 두 차원을 확인할 수 있었다. 한편 군집별 중요도를 살펴본 결과, 대학생이 커피음용의 행동의 의미로 가장 중요하게 생각하는 요인은 `공간 활용 및 사적인 시간을 보내기 위한 음용`으로 나타났다. 마지막으로 연구의 의의 및 후속연구를 위한 제한점을 제시하였다. It has been suggested that few studies were completed on psychological aspect of coffee drinking behavior though coffee researches have been mainly focused on marketing or business purposes. In this study, fifteen university students were participated to a group interview for concept mapping analysis asking about their meaning and purpose of coffee drinking behavior. Sixty nine statements were extracted from the interview, and categorized into seven clusters using multi dimensional scaling analysis and hierarchical cluster analysis. Seven clusters were Personal method of getting the desired physical effect, As a method of social activities, Method to get psychological consolation, Drink for spending time and using space, Habitual drink and use of caffeine`s effect, Enjoying coffee`s various characteristic and attraction, and Enjoying coffee`s various characteristic and attraction. Two factors were identified based on these clusters such as internal-external motivation to drink coffee and emotional-physical effect of coffee. Participants ranked their priority of those clusters; the cluster of “Drink for spending time and using space” was first ranked. Limitations and suggestions for future research were also discussed.

      • 데이터센터의 CFD 해석을 통한 공기분배방식별 공조시스템 비교 연구

        오보영(Bo Young Oh),김영일(Young Il Kim),김선혜(Sean Hay Kim) 대한설비공학회 2017 대한설비공학회 학술발표대회논문집 Vol.2017 No.6

        Recently, IT industries such as cloud and IoT(Internet of Things) are rapidly evolving, and Improved cooling efficiency is required due to increased high-density IT equipment growth. This study concerns the performance analysis of air conditioning systems base on the air distribution of data centers configured with high-density IT equipment. The environmental impact of IT equipment was analyzed through CFD simulation by dividing the CRAC units for cooling IT equipment into normal operation conditions and abnormal conditions. Servers with high-density IT equipment must be separated cold aisle and hot aisle, and it is also effective to install containment system in cold aisle or hot aisle. In CFD analysis, it is more effective to install an hot aisle containment than cold aisle containment, and also non-raised(wall fan) floor system is more effective than raised floor system in abnormal operations of CRAC unit.

      • KCI등재후보

        신기능을 고려한 $H_2$-receptor antagonist의 용량, 용법 및 투여경로의 적절성 및 약사자문의 수용성

        보영,오정미,Hwang, Bo Young,Oh, Jung Mi 한국의료질향상학회 2002 한국의료질향상학회지 Vol.9 No.2

        Background : The purpose of this study was to develop, implement and evaluate the pharmacist intervention program designed to identify and correctly adjust the dosage of $H_2$-receptor antagonists ($H_2RA$) in renally impaired patients and promote timely conversion of $H_2RA$ from IV to PO therapy. Methods : The study population consisted of renally impaired patients who received $H_2RA$ therapy from April 9 to May 8, 2001 at Hallym Medical Center. Each morning a specifically developed software program identified patients with serum creatinine (Scr) greater than 1.2 mg/dl or age greater than 65 years. The pharmacist, then screened the pharmacy profiles of the identified patients to determine if the patient was on $H_2RA$. For these patients on $H_2RA$ with renal impairement the creatinine clearance (CrCl) was calculated using Cockroft & Gault equation. The pharmacist determined the proper dosage for each identified patients based on the calculated CrCl and the oral dosage that would be appropriate for whom IV therapy was no longer indicated. Result : A total of 149 cases (101 patients) were monitored during the study period. The dosage was inappropriately prescribed for renal function in 61 of 149 cases (41%), and of those, pharmacist made recommendations for 58 cases of which 33 cases (57%) were accepted by the physicians. The administration route of H2RA was inappropriately used as IV in 22 of 53 cases (42%), and pharmacist made recommendations for those 22 cases of which 15 cases (68%) were accepted. Conclusion : Monitoring of patients with renal dysfunction by a pharmacist improved the dosing of $H_2RA$ and a dosing program of patients with renal impairment would be of benefit to other clinicians and institutions seeking to optimize patient care.

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