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      • 치과 기공사들에게서 나타나는 호흡기 증상과 이의 관련 요인

        김웅철,오세윤,김지환,김진완,이준석,이가영,이세훈,유진호,김태석 高麗大學校 倂設 保健大學 保健科學硏究所 2001 保健科學論集 Vol.27 No.1

        This study was carried out to investigate subjective respiratory symptoms and their attributable factors in Korean dental laboratory technicians. A questionnaire was mailed to randomly selected 1,900 dental laboratory technicians. Among them, 1,344 dental technicians completed the questionnaires and returmned them. Validity and reliability tests on the questionnaires were carried out before the main survey. To investigate risk factors on respiratory subjective symptoms, we performed analysis on distribution of characteristics, and then investigated univariate analysis and multiple logistic regression analysis. The prevalence rate of wheezing, cough and phlegm, and dyspnea was 4.8%, 33.9%, 54.9%, respectively. Statistically significant factors inducing subjective respiratory symptoms by multiple logistic regression analysis were sex, smoking, exercise, health examination, work hours a day, investment gas, investment dust, metal fume, resin vapor, and asbestos dust. Considering the results above, it seems that most subjective respiratory symptoms are related with health habits and occupational environmental-related factors. The result, consideration in mind, suggest that health promotion programs for smoking cessation, regular health examination, and physical exercise in health habit, and improvement on casting and resin work in dental technological environment be necessary.

      • 치과기공사의 스트레스 증상과 직무요인과의 관련성 연구

        김지환,오세윤,김웅철,유진호,김태석,이준석,이원철 高麗大學校 倂設 保健大學 保健科學硏究所 2001 保健科學論集 Vol.27 No.2

        This study was carried out to investigate psychiatric stress symptoms and stress- inducing factors, such as role overload, work demand, work procedure and so forth in korean dental laboratory technicians. Questionnaires were mailed to randomly selected 1000 dental technicians who were systematically selected. Among them, 786 dental technicians completed the questionnaires and returned them. Validity test and reliability test on the questionnaires were done prior to the main survey, using the SCL-90-R as a standard. Stress-inducing factors were identified with a multiple regression analysis on the continuous variables. To investigate stress-inducing factors on stress symptoms, analysis on distribution of characteristics was performed, and then correlation analysis and multiple regression analysis was carried out. The results of the study were as follows: According to multiple regression analysis, there was a statistical correlation between stress symptoms and role overload, work procedure, occupation conflict, interpersonal relationship, social support, personality traits in stress symptom(GSID). The stress symptoms in korean dental laboratory technicians seemed to be mostly job related ones, and considering the results obtained from the study, it is suggested that reducing work load and proper health promotion programs for dental technicians be necessary.

      • 부산지역 수돗물과 지하수의 중금속 농도

        김준연,손지언,김형수,김두희,원미숙,김인식,이혜령 동아대학교 산업의학연구소 2000 산업의학연구소 논총 Vol.- No.5

        This study investigated mean airborne CO concention of 15 workplaces, suspected of CO exposure and conducted self-reported questionnaire completion and indirect COHb concentration measure using Micro II Smokerlyzer to healthy 702 adult subjects from 1999 May to 1999 September in order to find a relation of CO exposure and occupational factors, socioeconomic factors, and health related behaviors and confirm the related conditions in the screening test for CO exposure. The results of this study were summarized as follows : 1. In the CO exposed and non exposed group, COHb concentrations of the smokers were 2.55±0.96% and 2.21±0.97% and that got a statistically significant difference, There were not statistically significant differences in the age and total smoking index. Passed times after the last smoking, Working time/day, and working duration were statistically significant difference (p〈0.05). 2. In the CO exposed and non exposed group, COHb concentrations of non-smoking group were 0.94±0.35% and 0.68±0.47% and that got a statistically significant difference. There were not statistically significant differences in the age and working duration but Working time/day was a statistically significant difference(p〈0.05). 3. In the CO exposed group, r-square of multiple regression of the smokers was 38.5 % and passed time after the last smoking, working time/day, and job category were statistically significant differences (p〈0.05). And r-square in the CO non-exposed group was 38.3 % and age, passed time after the last smoking, and total smoking index were statistically significant difference. 4. In the CO exposed group, r-square of multiple repression of the non-smokers was 66.3% and job category and airborne CO concentration were statistically significant differences(p〈0.05). But r-square of non-smokers in the CO non-exposed group was 1.0% and there was not a statistically significant difference(p〈0.05). 5. In the smokers of CO exposed and non exposed groups, relation of COHb concentration and passed time after the last smoking was expressed as exponential function, Y = 2.9182e-0.0083x and r-square of this function was 37.4%. Therefore it was more than 150 minutes that passed time after the last smoking was when COHb concentrations were measured as less than 1%. In conclusion, variable, that was statistically significant to COHb concentraion in the both CO exposed and non-exposed smokers, was a passed time after the last smoking. We suggest that you have to restrict the smoking of smokers at least 150 minutes in the exposed and non exposed group before COHb concentration measure in order to exclude smoking effects

      • 자가 말초혈액 조혈모세포 이식술의 임상적용

        김혁,안명주,오석중,이영열,김인순,정태준,최일영,오미란,임호준,이항,김신규 한양대학교 의과대학 1999 한양의대 학술지 Vol.19 No.1

        Responses to chemotherapy correlate with the increased dose of chemotherapeutic agents in some cancers, e.g. breast cancer, Ewing's sarcoma, Hodgkin's disease(HD) and non-Hodgkin's lymphoma(NHL), then for the improvement of the chemotherapy responsiveness, high-dose chemotherapy(HDCT) was proposed. But, it's application was limited due to complications, especially bone marrow suppression. HDCT and succeeding autologous peripheral blood stem cell transplantation(APBSCT) was introduced to overcome this problem. This study was designed to determine the clinical pictures including clinical parameters and the responsiveness of HDCT followed by APBSCT in Hanyang University Hospital. Ten patients were enrolled. They were 8 adults (3 breast cancers, 3 multiple myelomas, 1 HD, 1 NHL) and 2 children (1 acute myelogenous leukemia (AML), 1 neuroblastoma). Mobilization chemocherapy(MCT) followed by Granulocyte Colony Stimulating Factor(G-CSF) was administered to mobilize stem cells from bone marrow to peripheral blood. The stem cells were collected by using CS-3000 and cryopreserved at -196℃ with programmed controlled rate freezer as the mixture with 10% dimethyl sulfoxide(DMSO). HDCT was administered and cryopreserved peripheral stem cells were infused on day 0 as planned. Patients' mean age was 41 years old. After induction chemotherapy three patients achieved complete response and 5 partial response. The median time for bone marrow recovery after MCT was 11.5 days for neutrophil(〉500/㎣) and 4.8 days for platelet(〉20,000/㎣). There were three cases of neutropenic fever and one case of gingivitis. After HDCT with APBSCT, one patient was converted partial response to complete response, and one patient achieved complete response after HDCT without induction chemotherapy. The median time for bone marrow recovery was 12.7 days for neutrophil(〉500/㎣) and 14.7 days for platelet(〉20,000/㎣). Eight patients developed neutropenic fever and required systemic antibiotics. Transfusion was required 1.6 pints for packed red cell and 23.4 pints for platelet concentrates. Toxicity consisted mainly of vomiting, diarrhea, and mucositis which were mild. HDCT with APBSCT can be performed safely with minimal complications. For the evaluation of the exact role of HDCT with APBSCT in malignant diseases, further studies are required as a large scale of patients and lung-term follow up.

      • 악안면 골격 형태에 따른 교합평면각의 변화에 관한 두부 방사선학적 연구

        오세윤,김웅철,김지환,이준석,김진완,유진호,김태석 高麗大學校 倂設 保健大學 保健科學硏究所 1999 保健科學論集 Vol.25 No.1

        A correlation analysis was made to understand the interaction between the growth patterns of some craniofacial skeletal components and occlusal plane inclination. 5 angular measurements(S.a. Ar.a, Go.a, UGo.a, LGo.a), 6 linear measurements(ACBL, PCBL, RH. MBL. AFH. PFH) and OP/SN. obtained from 83 cephalometric tracing records, were selected and the relationship between the occlusal plane angle and those measurements were analyzed statistically. Ramus Height(r=-0.55), Posterior Facial Height(r=-0.41), were found to be negatively related with Occlusal Plane angle, while Lower Gonial angle(r= 0.35), Saddle angle(r= 0.24) were found to be positively related with Occlusal Plane angle(p(0.05). The results obtained from the above analysis were further assessed with stepwise regression analysis, using Occlusal Plane angle as a dependant variable, and RH, LGo.a and S.a as explanatory variables. Stepwise regression analysis revealed that all the explanatory variables were found to be significant.(p<0.05) [OP/SN] = -8.74-0.33(RH)+0.23(S.a)+0.20(LGo.a). (R²=0.44). This stepwise regression analysis explains, to some extent, the relationship between the growth patterns of some craniofacial skeletal components and the occlusal plane inclination. 1. The inclination of Occlusal Plane angle is noticeably related with the growth patterns of some craniofacial skeletal components, i.e. RH, PFH, Saddle angle and Lower Gonial angle 2. In high Occlusal Plane angle, the Ram us Height tends to be shorter, and the Saddle angle and Lower Gonial angle tend to be obtuse.

      • 치과기공사의 직업만족도 측정을 위한 설문도구의 개발

        오세윤,김웅철,김지환,이병기,유진호,김태석,이준석,이주호 高麗大學校 倂設 保健大學 保健科學硏究所 2002 保健科學論集 Vol.28 No.2

        Conflicts between individuals are quite natural and they can act as an positive contributing factor not only to the development of an individual but also to the organization to which one belongs. But too much conflicts will always induce dissatisfaction and stresses, which will be destructive and harmful to all of them, and that is why we are always tying to seek(find) out the causes for the origination of conflicts and remedies to cope with them effectively. The present study, as the first one in a series of studies which our researchers contemplate executing, was designed to develop a measure of job satisfaction for dental laboratory technicians. One job satisfaction measure and two job satisfaction related measures, one for faithfulness for the job and the other for environmental characteristics of dental laboratory were newly developed. The newly developed measures were comprised of a total of 38 items, which were each 12 items for job satisfaction and faithfulness for the job and 14 items for environmental characteristics of dental laboratory With the aid of factor analysis for principal components and categorization of items by panel of professionals, items of each measure were grouped into 2-4 subscales. Contribution to internal consistency was the fina) criterion for an item's inclusion in a subscale. Internal consistency reliability of each item was attested through the statistical analysis on the data obtained from 55 structured questionnaires. Reliability of internal consistency of subscales in each measure of job satisfaction and faithfulness for the job ranged from 0.74 to 0.79 and 0.90-0.91 respectively. The result from this research came to draw the following conclusions. 1. Validity and internal consistency reliability of all the items of each measure was attested. 2. The newly developed measure of job satisfaction was found to be appropriate for (measuring the degree of job satisfaction of) dental technicians, as well as for (other) dental office personnels.

      • 분절간 척추경 나사 고정과 척추전이법을 이용한 특발성 척추 측만증의 치료

        석세일,김진혁,이상민,정의룡,김성수,이정희,박준석 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2

        Objective : To report the clinical result of segmental pedicle screw fixation and translation technique in surgical correction of idiopathic scoliosis. Methods and materials : Ten idiopathic scoliosis. patients treated with segmental pedicle screw fixation and translation technique were analyzed retrospectively. The mean follow-up interval was 23.8months, with a minimum of 12 months. Eighteen structural curves were fused in one double curves(King type Ⅰ), seven double thoracic curve(King type Ⅴ) and two thoracolumbar curve. Deformity correction, apical vertebral rotation(AVR), apical vertebral translation(AVT), trunk balance, shoulder balance and complications were evaluated. Result : The structural curve was corrected from 47.4±10.6° to 20.3±5.9° at 1week after surgery and 55.6±14.1° at latest follow-up. AVR was corrected from 2.06±0.4 to 0.94±0.41 at 1week after surgery and latest follow-up. AVT was improved from 25±15.7㎜ to 11.5±7.3㎜ at 1week after surgery and 12.3±7.3㎜ at latest follow-up. There were no trunk imbalance(less than 10㎜ distance from C7 plumb line), no shoulder imbalance(less than 10㎜ shoulder height difference) and no screw related complications. Conclusions : The segmental pedicle screw fixation and translation technique is an effective method in treating for idiopathic scoliosis.

      • 都市政策에 있어서 公益과 環境의 質

        金錫俊 慶北大學校 産業開發硏究所 1982 硏究報告 Vol.10 No.-

        This study intends to explain Public Interest and Environmental Quality, and their relation in Urban Policy Making. For this, urban environmental system is explained by classifying into three sub-systems such as urban natural environment, urban physical environment, and urban socio-economic environment. And urban policy and its role in urban environmental system is descrived in Ⅱ. The nature and content of Public Interest in Urban Policy are specified in Ⅲ. By general theory of public interest, the nature of public interest is analyzed in relation with private interests, and with decisions about public interest. The specific content of public interest in urban policy making is defined as; Health, Safety, Convenience, Efficiency, Energy Conservation, Environmental Quality(natural), Social Equity, Social Choice, and Amenity. The urban environmental quality, and its elements are explained in Ⅳ. The elements of urban natural environment are classified as; Air Quality, Water Quality, Noice and Vibration, Geological Quality, Soil Quality, and Ecosystem. The elements of urban physical environment is explained in relation with urban

      • 政策認知와 私人主義的 行政機關接觸에 關한 實證的 考察

        김석준 한국사회사업대학 지역사회개발연구소 1979 地域社會開發論叢 Vol.2 No.-

        1. The objectives of this study are to explain the residents attitudes' for policy and administrative agencies. For the purpose, the author intends to analysis and to varify the relationship between independent variables and dependent variables. The formers are such as formal education, age, mass media, training, administrative support and consciousness development, the latters are such as policy concern, policy perception, policy participation, policy expectation and personal attitudes. 2. The relationship between Policy Concern and Independent Variables. The first, correlation coefficient between formal education and policy concern is r=0.62, and to test the significance of correlation coefficient by the method of analysis of variance, F=154.8>F_(α)=9.76 The third, correlation coefficient between mass media and policy concern is r=0.47, F=70.31>F_(α)=6.76 The forth, correlation coefficient between training and policy concern is r=0.75, F=318.86>F_(α)=6.76 The fifth, correlation coefficient between administrative supports and policy concern is r=0.78, F=385.3<F_(α)=6.76 The sisth, correlation coefficient between consciousness development and policy concevn is r=0.82, F=599.02>F_(α)=6.76 3. The relationship between Policy Perception and Independent Variables. The first, correlation coefficient between formal education and policy perception is r=0.52, F=91.91>F_(α)=6.76 The second, correlation coefficient between age and policy perception is r=0.39, F=44.84>F_(α)=6.76 The third, correlation coefficient between mass media and policy perception is r=0.35, F=34.62>F_(α)=6.76 The forth, correlation coefficient between training and policy perception is r=0.64, F=172.05>F_(α)=6.76 The fifth, correlation coefficient between administrative supports and plicy perception is r=0.58, F=125.72>F_(α)=6.76 The sisth, correlation coefficient between consciousness development and policy perception is r=0.61, F=146.97>F_(α)=6.76 4. The realtionship between Policy Participation and Independent Variables. The first correlation coefficient between formal education and policy participation is r=0.30, F=24.52>F_(α)=6.76 The second, correlation coefficient between mass media and policy participation is r=0.37, F=39.34>F_(α)=6.76 The third, correlation coefficient between mass media and policy participation is r=0.43, F=56.26>F_(α)=6.76 The forth, correlation coefficient between training and policy participation is r=0.57, F=119.35>F_(α)=6.76 The fifth, correlation coefficient between administrative supports and policy participation is r=0.59, F=132.42>F_(α)=6.76 The sisth, correlation coefficient between consciousness development and policy participation is r=0.51, F=87.18>F_(α)=6.76 5. The relationship between Policy Expectation and Independent Variables. The first, correlation coefficient between formal education and policy expectation is r=0.46, F=66.56>F_(α)=6.76 The second, correlation coefficient between age and policy expectation is r=0.40 F=47.23>F_(α)=6.76 The third, correlation coefficient between mass media and policy expectation is r=0.62, F=74.24>F_(α)=6.76 The fifth, correlation coefficient between administrative supports and policy expectation is r=0.60, F=139.5>F_(α)=6.76 The sixth, correlation coefficient between consciousness development and policy expectation is r=0.57, F=119.35>F_(α)=6.76 6. The relationship between Personal Attitude and Independent Variables. The first, correlation coefficient between formal education and personal attitude is r=-0.1737, F=7.71>F_(α)=6.76 The second, correlation between age and personal attitude is r=0.1214, F=3.71<F_(α(α=0.01))=6.76, F=3.71<F_(α(α=0.06))=3.89; r is not significant. The third, correlation coefficient between mass media and personal attitude is r=0.0453, F=0.509<F_(α(α=0.06))=3.89; i is not significant. The forth, correlation coefficient between training and persoral attitude is r=0.0625, F=0.969<F_(α(α=0.06))=3.89; r is not significant. The fifth, correlation coefficient between administrative supports and personal attitude is r=0.1907, F=9.35>F_(α(α=0.01))=6.76 The sixth, correlation coefficient between consciousness development and personal attitude is r=0.1454, F_(α(α=0.01))=6.76>F=5.35>F_(α(α=0.01))=3.89 7. Accordingly, independent variables are somewhat correlated to policy concern, policy perception, policy participation and policy expection, but those are not correlated to personal attitude. This means that Korean rural society is alike to the Prismatic Society of Fred. W. Riggs, which is in the changing stage from fused society (or agricultural society) to diffracted society (or industrial society). Byt the modernization which includes factors such as formal education, age, mass media, training, administrative supports and consciousness development, the consciousness of rural residents such as policy concern, policy perception, policy participation and policy expectation are deeple effected, but their behavior (or action) such as personal contact to the administrative agencies is not effected. This means that rural residents are deeple changed in their consciousness, but their behavior (or action) is not changed at the same degree as their consiousness because of their heritage, Confucianism.

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