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      • 三叉神經痛의 治療穴에 對한 文獻的 考察

        柳垠相,李賢,李秉烈 대전대학교 한의학연구소 2001 혜화의학회지 Vol.10 No.1

        As mentioned above, I have acquired some valuable results about medical treatments with acupuncture for "Trigeminal neuralgia" after studying oriental medical books. 1.The course of medical treatments with acupuncture was, first of all, applying general ones, and then, assisting ones based on occuring area of pain and the cause. 2.For general treatments, "Chok-yangmyong-Wi-Kyong", disributed widely on the face, was used in great numbers. The order, according to the number of using times, of spots for acupuncture was Ha-kwan(11 times), Hap-kok(10), Chan-juk(7), Hyop-geo, Tae-yang, Sa-baek(individually 6). 3.For assisting treatments based on occuring area of the pain, spots of the Kyong-rak, passing through occuring area of the pain, and Kyoung-woe-ki-hyol were used in great numbers. 4.The order was O-je, Chan-juk, Yang-baek(individually 8), Tae-yang(5) for the pain of first branch of the trigeminal nerve; Sa-baek(12), Kwan-ryo(6), Go-ryo(5) for the pain of second one; and Hyop-geo. Ha-kwan(individually 6), Dae-young, Hyop-seung-jang(individually 5). Seung-jang(4). 5.for assisting treatments based on the cause, "One-hyol(原穴)", "Rak-hyol(絡穴)" and "5-soohyol(五輸穴)" were used in great numbers. 6.The order was Pung-ji(10), Hap-kok(9), Woe-kwan(5) for "Woe-Kam(外感)"; Nae-jong(12), Tae-chung(10), Chok-sam-ri(7) for "Kan-Wi-Sang-Seung(肝胃火升)"; Tae-gue(7), Sam-um-kyo, Pung-ji(individually 2) for "Ho-Hwa-Sang-Seung(虛火上升)"; Pung-ryung(4) for "Pung Dam-Jo-R ak (風痰阻絡)"; Kyok-su (2) for "Ki-Che-Hyol-Ho(氣濟血虛)".

      • TLD를 사용한 고층건물의 수치해석

        홍은호,이충렬 부천대학 2004 論文集 Vol.25 No.-

        現代의 高層建物設計는 强風이나 地震荷重으로부터 構造物의 安全性 및 使用性과 居住者의 便安함을 提供하는 問題들을 包含한다. 現代 高層建物의 剛性과 質量은 더 강한 材料와 複合 構造시스템을 使用하여 줄이고 있다 剛性과 質量의 減少는 과도한 水平振動으로부터 構造物에 발생할 수 있는 問題의 가능성을 줄여 준다. 居住者의 便安함과 安全性을 增加시키는 效果的인 方法을 硏究하는 革新的인 엔지니어들은 2가지 形態의 振動制御시스템을 사용한다. 하나는 受動制振시스템이고 다른 하나는 能動制振시스템이다. 이 論文은 受動制振시스템중에 同調液體댐퍼(Tuned Luquid Damper)에 대해 다루고자 한다. 선박에서 널리 사용되어진 TLD는 最近 構造物의 振動制御를 위해 사용되고 있다. TLD는 움직이는 質量으로서 물 또는 다른 液體를 사용하고 復原力은 重力을 사용한다. 에너지 吸收는 液體와 容器의 摩擦과 液體流動시의 출렁거림으로 한다. 構造物의 運動에너지를 吸收하는 TLD의 基本 原理는 TMD와 같다. The design of modern tall buildings involves certain problems, such as safety and serviceability of the structure and comfort of occupants result from strong wind or earthquake loads. The stiffness and mass of modern tall buildings have been reduced by using higher strength materials and better integrated structural systems. These decreases in stiffness and mass have increased the possibility of structural problems arising from excessive lateral vibration. Innovative engineers in their search for effective ways of increasing the comfort and safety of occupants make use of two types of vibration control system. One is passive control system and the other is active control system. This thesis deals with the tuned liquid damper of passive control systems Tuned liquid dampers which have been widely used in ships are recently implemented for vibration control of structures. A TLD uses water or other liquids as the moving mass and restoring force is generated by gravity. Energy absoption comes from boudaries between liquid and containers and turbulence in the liquid flow. The basic principle of TLD to absorb kinetic energy of the main structure is the same as TMD.

      • 항정신성 약물 사용에 따른 체중변화에 관한 연구

        변은하,김상훈,김재민,박상학,김학열,박찬원 朝鮮大學校 附設 醫學硏究所 2002 The Medical Journal of Chosun University Vol.27 No.2

        Objective : Weight gain is one of the common side effects of antipsychotics and it has been known that the quality of life is decreased by weight gain. Therefbre the purpose of this study is to compare weight gain among the antipsychotics, which are frequently used in the clinical practice. Methods : We performed a retrospective chart review of 124 patients with schizophrenia who were treated at least 12 weeks with typical antipsychotics (chlorpromazine and halopehdol) or atypical antipsychotics (risperidone, olanzapine, and clozapine). They were divided into three groups as treated with chlorpromazine (N=44), with haloperidol (N=60), and with atypical antipsychotics (N=20) and body weight and Body Mass Index (BMI) were compared at O (Baseline), 8 and 12 week between the three groups. Additionally, we examined possible correlations of changes in body weight with baseline factors. Results : 1) Significant change in body weight and BMI were found during 12 weeks in all groups, received different kinds of antipsychotics but there were no significant differences between three groups. 2) Weight gain was prominent within 8 weeks in the treatment, but not significant after then in all the three groups. 3) Lower body weight in baseline was correlated with more weight gain with the treatment with antipsychotics. Conclusions: Antipsychotics were associated with weight gain in patients with schizophrenia, Particularly in the early stage of treatment. Therefore to increase the quality of life and improve the compliance of medication in treatment of schizophrenia and other psychotic disorder, we must choice medication which are consistent with a individuality

      • 1996년도 신입생 실태조사

        유병렬,김세훈,이은진 한국체육대학교 학생생활연구소 1996 學生生活硏究 Vol.- No.2

        The purpose of this survey was to obtain information about the status. attitudes and values KNUPE' 1996 freshmen. A questionnaire was administered to 345 KNUPE freshmen. Data was analyzed by SPSS, a computer statistical package and the results of comparing the responses to each question with respect to sex and department were presented. The conclusions obtained from the results and discussions of this study are as follows: First, freshmen could be categorized into two groups having different views towards university life and in their plans for the future. Therefore the faculty and staff should take these into consideration when they establish university policies. Second, great concern was shared by many with regards to their career and systematic help is needed to develop mature occupational identity. therefore, the student guidance center is planning to introduce a group counseling program starting in the spring of 1997. This study is limited because the survey had a low response rate. It is imperative that the faculty and staff be more cooperative in this survey to better understand the interest of all students.

      • KCI등재

        Chlorhexidine 처리가 상아질 접착제의 미세인장결합강도에 미치는 영향

        오은화,최경규,김종률,박상진 大韓齒科保存學會 2008 Restorative Dentistry & Endodontics Vol.33 No.2

        본 연구는 상아질 혼성층의 교원섬유를 가수분해하는 효소인 MMPs (Matrix metalloproteinses) 억제제로 알려진 chlorhexidine (CHX)을 적용 후 결합강도를 측정하였으며, 이를 각각 열순환 처리 후 결합강도를 측정하였다. 또한 주사전자현미경으로 접착계면메서의 파괴 양상을 비교 분석하였다. 우식이 없는 발거한 32 개의 제 3 대구치의 교합면 상아질을 노출시키고 GI그룹에서는 dentin conditioner를 처리 후 2% chlorhexidine을 적용시키고, 산부식 접착제 그룹에서는 인산 산부식을 시행하고 2 % chlorhexidine을 적용 후 3단계 산부식형 상아질 접착제 (Scotchbond Multipurpose, SM), 2단계 산부식형 상아질 접착제 (Single Bond, SB)를 도포하고, 자가부식 접착제 그룹에서는 2 % chlorhexidine 적용 후 자가부식 상아질 접착제 (Clearfil Tri-S, TS)를 도포한다. 이후 복합 레진 (Z-250)과 GI (Fuji-II LC)를 충전한 시편을 1 ㎟의 단면을 갖는 beam으로 제작하여 열순환 하지 않거나, 10,000 회 열순환 (5 ~ 55 ℃)하였다. Universal testing machine (EZ-test: Shimadzu, Japan)에서 cross head speed 1 mm/min로 인장력을 가하여 , 미세인장결합강도를 측정하였다. 실험 결과는 유의수준 0.05 1evel에서 two-way ANOVA를 이용하여 통계분석하였다. 그 후 파절된 시편의 파괴 양상을 현미경 (SEM)으로 관찰하여 다음과 같은 갈론을 얻었다; 1. 2 % CHX을 적용한 모든 실험군에서 상아질과의 미세인장결합강도가 증가하였고, 열순환은 상아질과의 미세인장 결합강도를 감소시켰다 (P>0.05). 2. CHX 적용 후 열순환 한 군은 CHX을 적용하지 않고 열순환한 군에 비하여, 상아질과의 미세인장결합강도가 높았으며 , 특히 GI와 TS군에서 유의한 차이를 나타내었다 (P<0.05). 3. 파괴 양상 분석 결과, 혼성층에서의 접착성 파괴를 보이며, CHX을 적용하면 혼성층 기저부에서 상부로 파괴 부위가 옮겨가는 양상을 나타내었다. 이상의 연구 결과를 토대로, MMPs 억제제인 2 % CHX은 글래스 아이오노머 시멘트와 상아질 접착제의 초기 미세인장결합강도에는 영향을 미치지 않으며 ,CHX 적용이 접착 내구성을 유지하는데 도움이 되었다. The purpose of this study was to evaluate the effect of chlorhexidine (CHX) on microtensile bond strength (μTBS) of dentin bonding systems. Dentin collagenolytic and gelatinolytic activities can be suppressed by protease inhibitors. indicating that MMPs (Matrix metalloproteinases) inhibition could be beneficial in the preservation of hybrid layers. Chlorhexidine (CHX) is known as an inhibitor of MMPs activity in vitro. The experiment was proceeded as follows : At first, flat occlusal surfaces were prepared on mid-coronal dentin of extracted third molars. GI(Glass lonomer) group was treated with dentin conditioner, and then, applied with 2 % CHX. Both SM (Scotchbond Multipurpose) and SB (Single Bond) group were applied with CHX after acid-etched with 37% phosphoric acid. TS (Clearfil Tri-S) group was applied with CHX, and then, with adhesives. Hybrid composite Z-250 and resin-modified glass ionomer Fuji-II LC was built up on experimental dentin surfaces. Half of them were subjected to 10,000 thermocycle, while the others were tested immediately. With the resulting data, statistically two-way ANOVA was performed to assess the μTBS before and after thermocycling and the effect of CHX. All statistical tests were carried out at the 95 % level of confidence. The failure mode of the testing samples was observed under a scanning electron microscopy (SEM). Within limited results, the results of this study were as follows; 1. In all experimental groups applied with 2 % chlorhexidine, the microtensile bond strength increased, and thermocycling decreased the microtensile bond strength (P > 0.05). 2. Compared to the thermocycling groups without chlorhexidine, those with both thermocycling and chlorhexidine showed higher microtensile bond strength, and there was significant difference especially in GI and TS groups.

      • 악성 흉막삼출액에서 Bleomycin을 이용한 흉막유착설의 시술효과

        박정현,김학렬,양세훈,정은택 圓光大學校 醫科學硏究所 2002 圓光醫科學 Vol.17 No.1

        목적: 악성 흉막삼출액이 반복적이고 지속적으로 발생하는 경우, 호흡곤란, 흉통등의 증상을 유발시키므로 흉막경화제에 의한 흉막유착술을 시행할 수 있다. 흔히 사용되던 talc의 심각한 부작용이 보고되고 있고, doxycycline 주사제도 국내에서 발매되지 않고 있다. 이에 연자들은 항암제로 소개된 bleomycin을 이용한 흉막유착술의 단기와 중기효과, 부작용 및 생존율 등을 전향적으로 확인하였다. 방법: 2000년 1월부터 2001년 12열까지 원광대학교 부속병원에 내원하여 반복적이고 지속적인 악성 흉막삼출액으로 흉막유착술이 필요한 26명의 환자를 대상으로 특별한 전 처치 없이 bleomycin 60 unit를 식염수와 함께 흉강 내 주입 후, 1일 후의 흉관에 의한 배액량을 확인하고 부작용을 관찰하였으며, 1개월 후에 흉부 방사선상으로 재 저류 유무를 확인하였다. 또한 시술 반응군과 비반응군으로 나누어 중앙생존기간을 비교분석 하였다. 결과: 시술 1일 후 26예중 10예(38%)에서 배액이 없었고, 8예(31%)에서 배액량이 100ml이하였으며, 8예(31%)는 100ml이상이었으나 시술 전보다 감소하였으며 증가된 경우는 없었다. 유의할만한 부작용은 4예(고열 3예, 흉통 1예)에서 발생하였으나, 대증요업으로 조절되었다. 시술 1개월 후 흉부 방사선과 26예중 9예(35%)는 재 저류액이 없었고, 10예(38%)는 저류액이 있으나 시술 전보다 감소하였으며, 1예(4%)는 이전과 변화가 없었고, 6예(23%)는 시술 전보다 저류액이 증가하였다. 시술 후 단기 및 중기효과를 반응군과 비반응군으로 나누어 중앙생존기간으로 양군간을 비교하였을 때, 반응군에서 연장이 되었으나 통계적으로 유의한 차이는 없었다. 결론: 이상의 결과로서 bleomycin에 의한 흉막유착술은 다른 경화제보다 특별한 전 처치가 필요 없는 간편하고, 비교적 부작용이 적은 안전한 방법이며, 효과적인 치료성적을 보이는 시술로 사료된다. Background : Malignant pleural effusions are common and significant problems in patients with advanced malignancy. Repeated thoracentesis provides temporary symptomatic improvement, but most patients progressively cause dyspnea or pleuritic pain. So pleurodesis with sclerosing agent is effective as a palliative treatment. There are many drugs used as pleural sclerosing agents. But doxycycline hasn't been used in Korea since 1999. And recently talc has been reported serious side effects. In this study, pleurodesis with bleomycin was prospectively investigated for its short term and middle period effects and its side effects. Methods : Twenty-six patients with malignant pleural effusion were prospectively analyzed to estimate the effects of bleomycin pleurodesis. Without special management before the procedure, 60 units of bleomycin in 50-100ml of normal saline were instilled into the pleural space via a small bore catheter(8-10 F). Andthen repeated positional changes and rotations were done for 2 hours. We measured the drainage amount and evaluated the side effects after 24 hours and checked the existence of the effusion by chest radiography after 1 month. Results : After 24 hours, the drainage amount showed that the responder group(none or ≤ 100ml) was 69%, and that the nonresponder group(> 100ml) was 31%. Side effects (high fever in 3 cases and severe pleuritic pain in 1 case) were 15%(4/26), but patients recovered easily by symptomatic management. After 1 month, chest radiography showed that the response rate(complete or partial response) was 73%. Differences of survival times between responder and nonresponder group was not statistically significant. Conclusions : We are suggest that bleomycin as a pleural sclerosing agent is a relatively simple, safe and effective agent. But a prospective study with a larger number of patients must be warranted.

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