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        녹내장 환자의 의료이용에 대한 5년간(2008-2012)의 변화추이 - 한국의료패널 자료를 활용하여 -

        이중형,김효진 한국융합학회 2018 한국융합학회논문지 Vol.9 No.10

        본 연구는 20세 이상의 남녀를 대상으로 녹내장 환자의 5년간의 안과 외래이용을 분석하여 한국인에서 녹내장 발병에 대한 변화추이를 조사하고자 시행하였다. 연구 자료는 한국의료패널의 2008년부터 2012년도의 연간자료를 활용하여 의료이용에 대한 빈도와 교차분석을 실시하였다. 녹내장환자의 안과외래 이용은 2008년 0.43%, 2009년 0.47%, 2010년 0.49%, 2011년 0.61%, 2012년 0.75%로 매년 유의하게 증가하였다(p<0.001). 안과외래를 이용한 녹내장 환자는 20대에서 70대까지 고 연령층으로 갈수록 더 높은 이용률을 보였고(p<0.001), 각 연령대에서 매년 증가하는 경향을 보였다(p<0.001). 이와 같은 결과에서 한국인에서 녹내장으로 인한 최근 의료이용은 매년 증가추세를 보여 각 연령대에 맞는 조기발견과 관리가 중요한 과제임을 알 수 있다. The purpose of this study is to analyze outpatients of glaucoma aged 20 or older about their five-year use of ophthalmology and investigate trend of prevalence in glaucoma patients. The Korea Health Panel (KHP) data from 2008 to 2012 were analyzed using frequency and chi-square tests. The outpatients of glaucoma have increased significantly from 0.43% in 2008 to 0.47% in 2009, 0.49% in 2010, 0.61% in 2011, and 0.75% in 2012 (p<0.001). The outpatients of glaucoma are in the 20’s to 70’s, and higher utility rate is shown in those who are older (p<0.001), and the rate of use tends to increase each year in all the age groups (p<0.001). The medical care utilization attributed to glaucoma in Korea tends to increase lately; therefore, it is a crucial task to realize early detection and management according to the characteristics of different age groups.

      • 북한의 군사노선과 한반도 군사위협

        이중형 고려대학교 북한학연구소 2000 北韓學硏究 Vol.1 No.-

        "Ideology, gun, and the science & technology are the three pillars of the strong and prosperous county," "Militarism is the basic and the most fundamental strategy to keep forever and the number one national affairs once there is imperialism and continuity for revolution," The Korean Revolution initiated by the guns should be completed till the end," are the steal-like belief of the Great Leader Kim Jong-Il.... Rodong Shinmun (January 1, 2000) Under Kim Il Sung's guidance the Democratic People's Republic of Korea (DPRK) adopted four major military lines (self-reliant military policy) at the fifth meeting of the 4th Central Committee of the Korean Workers Party in December 1962. The economic policy centered on heavy industry was successful in building strong military forces, but it has resulted in the collapse of general economy. Millions of people starved to death and North Korea has appealed to the international society for help by revealing the starvation of its people. But the food shortage and disdain from the world cannot stop the DPRK from reinforcing its military forces as well as frequent provocations. It launched its first long-range missile, or its first satellite (called Bright Star) on August 31, 1998, and continues to develop mass destruction weapons such as chemical weapons, nuclear bombs and lone-range missiles. The military-oriented policy of North Korea has contributed greatly to the building of a militarily strong state, but it has filed to develop its economy. The construction of self-reliant socialism was nothing but an empty slogan which could never present solutions to its staggering economic problems. North Korea now maintains the fifth largest military forces in the world, and its goal for maintaining such large forces has been the communizatin of the entire Korean peninsula. The DPRK has developed three major first-strike strategies towards South Korea. First, a blitzkrieg! The Korean People's Army of the DPRK has developed surprise and simultaneous attack strategies to turn the Korean peninsula into a battlefield, and complete the war before the arrival of additional U.S. forces by penetrating deep into the center with rapid mechanized forces. Second, the brinkmanship. The DPRK has benefited economically from its brinkmanship tactics used against the U.S., Japan, and the Republic of Korea (ROK), In spite of such tactics, one cannot rule out the possibility of direct use of the strategic weapons. Third, provocative tactics of lower degree. Kim Il Sung proclaimed during a 1960 rally of the KWP that the critical mass of revolutionary forces could not be produced by waiting that is long prolonged. Revolutionary struggles should continue with a proper mixture of politics, economy, violence, non-violence, legal and illegal means in accordance with changing situations. Following the spirit of Kim Il Sung's speech, North Korea initiated a couple of provocations, including the intentional infiltration into the West Sea in June 1999. The major elements of threat of the Korean People's Army against South Korea are as follows: Special Commandos: The special troops of 100,000 men organized as the Light Infantry Division, are the major forces for provoking low intensive strife, but are also capable of launching simultaneous attacks both on the frontline and in the rear area by facilitating combined operations with the regular army. Conventional Long-range Artillery: North Korea's long-range artillery that include 170㎜ self-propelled guns, 240㎜ emission guns, and FROG-5/7 ground-to-ground rockets installed in the early 1990s are capable of creating havoc in the Seoul metropolitan areas, whenever used. Fighter Bombers: The most serious threat against the strategic targets are 6000 fighter planes and 80 more bombers. The 60MIG-l7s deployed on the frontline areas can reach Seoul in 6minutes. Mechanized Units: The mechanized units, major combat forces, are rapid penetration forces armored with impulse, firepower, bombproof and speed. The Korean People's Army maintains four mechanized corps, one tank corps, and two artillery corps that can carry out brigade-level operations independently, and they can surround the northern part of Suwon (40㎞ south of Seoul) in 24hours. Strategic Weapons: North Korea that maintains the NCND has developed strategic weapons in secret. South Korea has complied with the international agreements of IAEA, CWC, MTCR, and BWC, and does not develop any strategic weapons. However, the DPRK continues to develop such weapons in violation of these agreements, and it thus threatens Japan, the United States and South Korea with its kill rates and long-range delivery system. George J. Tenet revealed at the U.S. Senate Special Intelligence Committee on February 2, 2000 that the test launcing of the DPRK Rodong 1 long-range missile has confirmed North Korea's capability for launching the nuclear bomb-tipped Rodong 2 (ICBM) against the United States within this year. Caspar W. Weinberger, former U.S. Secretary of Defense, and Jun Ik Chang, former principal at of the Korean Military Academy, put these three strategies and five elements of threat in realistic terms in their articles, '"The Next War," and "North Korean Nuclear&Missile War," respectively. These authors have sent us warning signals about the dangers of war on the Korean peninsula. Can or is North Korea suffering front the severe shortage of food, provoke a war? Does a danger of war on the Korean peninsula exist? These ambiguous questions only tend to paralyze people whose concerns with their safety are lulled into superficial peace. North Korea has continued to strengthen ifs war capability in spite of the agony of its people over the lack of their daily necessities. And yet, North Korea is today superior to South Korea in the areas of manpower, military equipment, organization and strategies. The engagement policy of South Korea can never succeed without its strong defense capabilities and the security concerns of its people. The government should be prepared for the threat of North Korea's military power for conventional and other wars. At the same time, South Korea should actively participate in the cooperative system of defense with the U.S. and Japan.

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