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        방사선치료 Patterns of Care Study 개발을 위한 2002년 한국 방사선종양학과 전문의들의 직장암 방사선치료 원칙 조사연구

        종훈(Jong Hoon Kim),대용(Dae Yong Kim),김용호(Yong Ho Kim),우철(Woo Cheol Kim),철용(Chul Yong Kim),성진실(Jinsil Seong),송승창(Seung Chang Sohn),신현수(Hyun Soo Shin),안용찬(Yong Chan Ahn),오도훈(Do Hoon Oh),오원용(Wong Yong 대한방사선종양학회 2003 Radiation Oncology Journal Vol.21 No.1

        목 적 : 한국에서 발생빈도가 높은 암의 하나인 직장암의 치료에 있어 전국의 각 병원 치료방사선과(방사선종양학과)에서 시행하고 있는 치료 형태를 세부 항목별로 파악하여 방사선종양학 전문의 간의 치료원칙의 차이점을 분석하고 이를 바탕으로 향후 Patterns of Care Study를 위한 연구의 기본 자료로 제시하고자 한다. 대상 및 방법 : 경인지역 소재 18개 대학병원 및 방사선종양학과가 있는 병원들의 방사선종양학과 전문의들이 모여 직장암의 방사선치료 원칙 분석을 위한 consensus committee를 구성하고, 회합 및 설문조사를 통하여 각 의사들의 방사선치료 원칙을 파악하기 위한 세부 항목 설정과 이를 토대로 직장암 환자 개개인의 치료 내용을 측정하는 구체적인 항목들을 개발하였다. 이 항목들을 이용하여 직장암의 방사선치료를 담당하고 있는 전국의 방사선종양학과 전문의들을 대상으로 설문조사를 시행한 후 각 전문의들의 의견이 일치하는 부분과 상이한 부분들을 분석하였다. 결 과 : 전문의 별 치료원칙의 측정에 사용된 항목들은 1) 치료대상환자의 선정기준 8개 항목, 2) 수술 전후 병기 및 예후 인자 검사 20개 항목, 3) 수술 및 항암화학요법과의 병용기준 7개 항목, 4) 환자의 setup 및 처치 9개 항목, 5) 모의치료시 조사야 결정 19개 항목, 6) 치료계획 5개 항목, 7) 치료 중 상태 확인 위한 이학적/병리학적 검사 4개 항목, 8) 치료 후 추적 관찰시 검사할 10개 항목 등 총 82개의 항목이 개발되었다. 이 항목들은 전국 각 병원들의 방사선종양학과 전문의를 대상으로 설문조사 되어 치료원칙에 대한 분석이 항목별로 이루어졌다. 설문조사 결과 전국의 각 병원 방사선종양학과에서 시행되고 있는 직장암의 방사선치료 형태는 일정 범위를 유지하고 있으나, 일부 항목에 있어서는 치료자 간 의견차이가 큰 것으로 나타났으며 이들 중 전체 응답자의 50% 이상에서 합의가 되지 못한 항목들은, 1) 치료환자의 선정 기준 중 수술 전 방사선치료 대상, 2) 병기 결정 검사 중 직장내 초음파(EUS, endorectal ultrasound), 흉부 CT, 뼈 스캔 등의 시행 여부, 3) 항암제와의 병용 원칙, 4) 모의치료시 소장 위치 확인을 위한 조영제 사용, 5) 조사야의 경계선 결정, 6) 치료 후 추적 관찰 시 CEA와 대장내시경의 시행여부 등이었다. 결 론 : 이견이 많은 항목들에 대해선는 향후 담당 전문의들을 대상으로 consensus meeting등을 통한 체계적인 분석 및 합의의 도출이 필요한 것으로 보이며, 본 연구에서 밝혀진 각 병원들의 치료 내용을 토대로 향후 표준화된 치료 모델 개발을 위한 Patterns of Care Study가 진행될 예정이다. Purpose : To conduct a nationwide survery on the principles in radiotherapy for rectal cancer, and develop the framework of a database of Korean Patterns of Care. Study. Materials and Methods : A consensus committee was established to develop a tool for measuring the patterns in radiotherapy protocols for rectal cancer. The panel was composed of radiation oncologists from 18 hospitals in Seoul Metropolitan area. The committee developed a survey format to analyze radiation oncologist's treatment principles for rectal cancer. The survey items developed for measuring the treatment principles were composed of 1) 8 eligibility criteria, 2) 20 items for staging work-ups and prognostic factor, 3) 7 items for principles of combined surgery and chemotherapy, 4) 9 patient set-ups, 5) 19 determining radiation fields, 6) 5 radiotherapy treatment plans, 7) 4 physical/laboratory examination to monitor a patient's condition during treatment, and 8) 10 follow-up evaluations. These items were sent to radiation oncologists in charge of gastrointestinal malignancies in all hospitals (48 hospitals) in Korea to which 30 replies were received (63%). Results : Most of the survey items were replied to without no major differences between the repliers, but with the following items only 50% of repliers were in agreement : 1) indications of preoperative radiation, 2) use of endorectal ultrasound, CT scan, and bone scan for staging work-ups, 3) principles of combining chemotherapy with radiotherapy, 4) use of contrast material for small bowel delineation during simulation, 5) determination of field margins, and 6) use of CEA and colonoscopy for follow-up evaluations. Conclusion : The items where considerable disagreement was shown among the radiation oncologists seemed to make no serious difference in the treatment outcome, but a practical and reasonable consensus should be reached by the committee, with logical processes of agreement. These items can be used for a basic database for the Patterns of Care Study, which will survey the practical radiotherapy patterns for rectal cancer in Korea.

      • KCI등재

        플라즈마 전해 산화 코팅에 있어서 인산염 전해액과 모재 성분 변화가 Al 산화피막 물성에 미치는 영향 I. PEO층의 물성

        배연,정곤,이득용,전민석,김용,성엽,광엽,Kim, Bae-Yeon,Kim, Jeong-Gon,Lee, Deuk-Yong,Jeon, Min-Seok,Kim, Yong-Nam,Kim, Sung-Youp,Kim, Kwang-Youp 한국세라믹학회 2012 한국세라믹학회지 Vol.49 No.3

        Physical properties of plasma electrolytic oxidized layers of 8 different kinds of Al alloys, A-1100, A-2024, A-5052, A-6061, A-6063, A-7075, ACD-7B and ACD-12 were investigated. The electrolyte for plasma electrolytic oxidation was mixture of distilled water, $Na_2P_2O_7$, KOH and some metal salts. Growth rate of oxide layer was slower in $Na_2P_2O_7$ electrolyte system than in $Na_2SiO_3$ system, and Ra50 surface roughness of oxidized layer was below $1.2{\mu}m$. Surface hardness in $Na_2P_2O_7$ electrolyte system is higher than in $Na_2SiO_3$ system, and roughness was lower in $Na_2P_2O_7$ electrolyte system than in $Na_2SiO_3$ system.

      • KCI등재

        이탈리안 라이그라스 춘파재배에서 조 · 만성 품종간 생산성 비교

        기용(Ki-Yong Kim),지희정(Hee Chung Ji),이상훈(Sang-Hoon Lee),이기원(Ki-Won Lee),원호(Won Ho Kim),정민웅(Min Woong Jung),서성(Sung Seo),최기준(Gi Jun Choi) 한국초지조사료학회 2010 한국초지조사료학회지 Vol.30 No.2

        본 시험은 이탈리안 라이그라스 춘파재배 가능성을 확인하기 위하여 2007년부터 2008년까지 2년간에 걸쳐 농촌진흥청 국립축산과학원 초지사료과 시험포장에서 수행한 연구 결과이다. 출수기는 이탈리안 라이그라스 조생종 ‘코스피드’가 평균 5월 14일이었으나 중만생종인 ‘화산101호’는 수확할 때까지 출수되지 않았다. 건물수량은 조생종 ‘코스피드’가 6,819 ㎏/㏊로 중만생종 ‘화산101호’ 4,409 ㎏/㏊ 보다 55%나 증수되었다. CP와 TDN은 ‘코스피드’와 ‘화산101호’ 각각 15.6%, 62.1% 및 20.3%, 67.5%로서 만생종인 화산101호가 높았다. 이상의 결과에서 이탈리안 라이그라스를 춘파재배할 경우 조생종을 선택하여 재배하는 것이 유리할 것으로 판단된다. This experiment was carried out to know the possibility for cultivation of Italian ryegrass (Lolium multiflorum Lam.) by spring seeding in Grassland and Forages Division, National Institute of Animal Science, RDA, Cheonan from 2007 to 2008. In spring seeding cultivation, heading date of early maturity variety, ‘Kospeed’, was on 14 May, but late maturity variety, ‘Hwasan 101’, was not heading up to harvesting date. Dry matter yield of ‘Kospeed’ (6,819 ㎏/㏊) was higher than that of ‘Hwasan 101’ (4,409㎏/㏊) by 55%. Crude protein (CP) and total digestible nutrients(TDN) of ‘Kospeed’ were 15.6% and 62.1%, respectively and that of ‘Hwasan 101’ were 20.3%, and 67.5%. In these result, when cultivation of Italian ryegrass by spring seeding, selection of early maturity variety have a decided advantage for high productivity.

      • KCI등재후보

        응급중환자실에서의 중증외상환자 치료

        지주 ( Ji Ju Kim ),서길준 ( Gil Joon Suh ),정기영 ( Ki Young Jeong ),권운용 ( Woon Yong Kwon ),경수 ( Kyung Su Kim ),이휘재 ( Hui Jai Lee ),영철 ( Yeong Cheol Kim ),최석호 ( Seok Ho Choi ),이영호 ( Young Ho Lee ),이경학 ( Ky 대한외상학회 2011 大韓外傷學會誌 Vol.24 No.2

        Purpose: The aim of this study was to evaluate the quality of the trauma care system of our hospital, in which emergency physicians care for major trauma patients in the emergency intensive care unit (ICU) in consultation with intervention radiologists and surgeons. Methods: This was a retrospective observational study conducted in an emergency ICU of a tertiary referral hospital. We enrolled consecutive patients who had been admitted to our emergency ICU with major trauma from March 2007 to September 2010. We collected data with respect to demographic findings, mechanisms of injury, the trauma and injury severity score (TRISS), emergency surgery, angiographic intervention, and 6-month mortality. Then, we compared the observed and predicted survivals of the patients. The Hosmer-Lemeshow test and calibration plots by using 10 groups, one for each decile, of predicted mortality were used to evaluate the fitness of TRISS. P-values of greater than 0.05 represent a fair calibration. Results: Among 116 patients, 12 (10.34%) were dead within 6 months after admission to the ICU, and 29 (25.00%) and 38 (32.80%) patients received emergency surgery and angiographic intervention, respectively. The mean injury severity score and revised trauma score were 36.97±17.73 and 7.84±6.75, respectively. The observed survival and the predicted survival of the TRISS were 89.66% (95% confidence interval [CI]: 84.03~95.28%) and 69.85% (95% CI: 63.80~75.91%), respectively. The calibration plots showed that the observed survival of our patients was consistently higher than the predicted survival of the TRISS (p<0.001). Conclusion: The observed survival for the trauma care system of our hospital, in which emergency physi-cians care for major trauma patients in the emergency ICU in consultation with intervention radiologists and surgeons, was higher than the predicted survival of the TRISS.

      • KCI등재

        유아기 자녀를 둔 아버지의 놀이 관련 국내 연구동향 분석: 2001년부터 2020년을 중심으로

        김용익(Kim, Yong-Ik),낙흥(Kim, Nak-Heung),방효국(Bang, Hyo-Kook) 한국열린유아교육학회 2022 열린유아교육연구 Vol.27 No.3

        본 연구는 유아기 자녀를 둔 아버지의 놀이에 대한 국내 연구동향을 분석하고, 추후 유아기 자녀를 둔 아버지의 놀이 관련 연구의 방향성을 제시하여 아버지교육 프로그램 등을 개발하기 위한 기초자료를 제공하기 위한 목적이 있다. 연구 대상은 2001년부터 2020년까지 발행된 학위논문 46편, 학술지논문 25편, 총 71편이다. 분석 결과는 첫째, 1990년대는 관련 연구가 거의 진행되지 않았으나 2000년대 들어서면서 조금씩 증가했고, 2015년을 전·후로 연구가 점차 증가하면서 현재까지 꾸준히 이어지고 있다. 둘째, 연구방법은 양적연구가 대다수이고 그중에서도 상관연구가 주를 이루며, 질적연구나 혼합연구 등은 미흡하여 다양한 연구방법의 적용이 필요하다. 셋째, 연구의 핵심주제를 분석한 결과 아버지의 놀이참여, 놀이성, 놀이신념/인식, 거친 신체놀이/놀이행위 그리고 놀이프로그램 순이었다. 아버지의 놀이와 연관된 관련 키워드 분석 시, 아버지의 놀이 그 자체에 대한 관심보다는 유아와의 연관성을 확인하는 연구가 많았다. 추후 유아기 자녀를 둔 아버지의 놀이가 아버지 본인, 배우자 등에 미치는 다양한 영향력을 확인하는 연구로 확대되길 기대한다. This study analyzes domestic research trends regarding the play of fathers with young children, suggests the directions for future play-related research for such fathers, and provides basic data for developing father education programs. The study subjects are 46 dissertations and 25 academic journals published from 2001 to 2020, totaling 71. The results of the analysis are as follows: First, there were few related studies in the 1990s, but they gradually increased in the 2000s and the research has increased rapidly around 2013-2015 and has been steadily continuing to the present. Second, quantitative research accounts for the majority of research methods. Among them, correlation research is the main part, and qualitative research and mixed is insufficient, so it is necessary to apply various research methods. Third, analysis of the core themes of the study revealed fathers’ play participation, playfulness, play beliefs/ recognitions, rough-and-tumble play/play behaviors, and play programs, in that order. In addition, when analyzing related keywords related to father’s play, there were many studies that confirmed the relationship with young children rather than the interest in the father’s play itself. In the future, this research will be expanded to a study that confirms the various influences of the father’s play with young children on the father himself and his spouse.

      • KCI우수등재

        2019 광주 세계수영선수권대회 관련 중앙일간지와 지역일간지의 보도내용 비교분석

        김용은 ( Kim¸ Yong-eun ),준 ( Kim¸ Jun ) 한국체육학회 2021 한국체육학회지 Vol.60 No.1

        본 연구는 2019 광주 세계수영선수권대회 보도내용을 중앙일간지와 지역일간지로 구분한 후 보도특성과 취재원 유형, 뉴스 프레임 유형을 비교 분석함으로써 상호 간의 관련성을 살펴보고자 하였다. 2019년 5월 1일부터 9월 30일까지 조선일보, 중앙일보, 경향신문, 한겨레, 광주일보, 전남일보, 무등일보, 광주매일신문에 보도된 774건의 기사를 대상으로 내용분석 방법을 적용하여 빈도분석과 x<sup>2</sup>검정을 실시하였다. 도출된 결과는 다음과 같다. 첫째, 중앙일간지와 지역일간지 구분에 따른 보도특성의 차이를 분석한 결과, 기사유형은 중앙일간지가 스트레이트(50.7%), 지역일간지는 기획/심층(46.4%)의 비중이 가장 높은 것으로 나타났다. 또한, 보도논조는 중앙일간지가 중립/객관(45.6%), 지역일간지는 긍정/옹호/지지(63.3%)의 비중이 가장 높은 것으로 나타났다. 둘째, 취재원 유형은 중앙일간지가 선수/지도자(44.1%), 지역일간지는 조직위(23.2%)의 비중이 가장 높은 것으로 나타났다. 셋째, 뉴스 프레임 유형은 중앙일간지가 인간적 흥미 프레임(39.1%), 지역일간지는 도덕성 프레임(39.5%)의 비중이 가장 높은 것으로 나타났다. 보도시기에 따라 중앙일간지는 1시기 도덕성 프레임(49.1%), 2시기 인간적 흥미 프레임(45.7%), 3시기 책임 귀인 프레임(43.2%)이며, 지역일간지는 1시기 인간적 흥미 프레임(37.1%), 2시기 도덕성 프레임(52.4%), 3시기 경제성 프레임(43.1%)으로 나타났다. The purpose of this study was to analyze the news characteristics, reporter type, and news frame type after dividing the report contents of the FINA World Championships Gwangju 2019 into national and local newspapers. From May 1 to September 30, 2019, 774 articles reported in THE CHOSUNILBO, Korea JoongAng Daily, The Kyunghyang Shinmun, HANKYOREH, The Kwangju Ilbo, The Chonnam Ilbo, Moodeung Ilbo, and Kwangju Maeil Shinmun were analyzed based on content analysis Frequency analysis and Chi-square test were conducted. The result was as follows. First, as for the article types, the national newspapers were straight (50.7%), and the local newspapers were planned/depth (46.4%). In addition, as for the reporting tone, the national newspaper was neutral/objective (45.6%), and the local newspaper was positive/advocacy/support (63.3%). Second, as for the type of reporter, the national newspapers were the athlete/leader (44.1%), and the local newspapers were the organization committee (23.2%). Third, as for the news frame type, the national newspapers were a human interest frame (39.1%), and the local newspapers were a morality frame (39.5%). According to the reporting period, the national newspapers were the 1st period morality frame (49.1%), the 2nd period human interest frame (45.7%), and the 3rd period responsibility attribution frame (43.2%). local newspapers were the 1st period human interest frame (37.1%), the 2nd period morality frame (52.4%), and the 3rd period economics frame (43.1%).

      • 염해 및 중성화의 복합열화작용에 따른 콘크리트의 내구특성 평가에 관한 실험적 연구

        영봉(Kim Young-Bong),조봉석(Cho Bong-Suk),영덕(Kim Young-Duck),나철성(Na Chul-Sung),규용(Kim Gyu-Yong),무한(Kim Moo-Han) 대한건축학회 2007 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.27 No.1

        Durability evaluations to assess the deterioration of reinforced concrete structures in the present have been considered only individual deterioration factors such as salt damage and carbonation. Also, indoor accelerated experiments have not been able to realize the combined deterioration factors that actually affect real concrete structures. Therefore, in this study, mixing design was proportioned with the various water-binder ratio 0.55 binder compositions corresponding to Type I cement without any supplementary materials(OPC), Type Ⅱ cement with 50% blast-furnace slag replacement (BFS50), TypeⅢ cement with 15% fly ash replacement (FA15), and ternary cement with TypeⅣ cement, 15% fly ash, and 35% slag replacement (BFS35+FA15). And this study is carried out to compare individual deterioration test with combined deterioration test and to investigate the effect of the permeation of deterioration factors such as CO₂ and chloride ion under the combined deterioration environments. After setting up various deterioration factors and levels such as carbonation, salt damage, and the repetition of drying-wetting, items such as carbonation depth, chloride ion penetration depth were evaluated under the combined deterioration environments. The results showed that carbonation depth, chloride ion penetration depth were increased according to the elapsed of ages. Also mixing design with BFS50% and BFS35%+FA15% exhibited higher durability factor than that made with OPC only.

      • SCOPUSKCI등재

        경피적 관동맥 확장술의 시술량과 조기 시술결과의 관련성

        김용,창엽,이영성,선민,이진석,오병희,강영호,Kim, Yong-Ik,Kim, Chang-Yup,Lee, Young-Sung,Kim, Sun-Mean,Lee, Jin-Seok,Oh, Byung-Hee,Khang, Young-Ho 대한예방의학회 2001 Journal of Preventive Medicine and Public Health Vol.34 No.1

        Objectives : To explore the relationship between Percutaneous Transluminal Coronary Angioplasty(PTCA) volume and the associated immediate outcome. Methods : A total of 1,379 PTCAs were peformed in 25 hospitals in Korea between October 8 and December 31 in 1997. Data from 1,317 PTCAs (95.5%) were collected through medical record abstraction. Inter-observer reliability of the data was examined using the Kappa statistic on a subsample of 110 PTCA procedures from five hospitals. Intra-observer reliability of the data was also examined. PTCA success and immediate adverse outcomes were selected as the outcome variables. A successful PTCA was defined as a case that shows less than 50% diameter stenosis and more than 20% reduction of diameter stenosis. Immediate adverse outcomes included deaths during the same hospitalization, emergency coronary artery bypass graft (CABG) within 24 hours after PTCA, and acute myocardial infarction within 24 hours after PTCA. The numbers of PTCAs performed in 1997 per hospital were used as the volume variables. Results : Without adjusting for patient risk factors that may affect outcomes, procedures at high volume hospitals ($\geq200$ cases per year) had a greater success rate (P=0.001) than low volume hospitals. There was a marginally significant difference (P=0.070) in major adverse outcome rates between high and low volume hospitals. After adjusting for risk factors, there were significant differences in procedural failure and major adverse outcome rates between high and low volume hospitals. Conclusions : After adjusting for patient clinical risk factors, the hospital volume of PTCA was associated with immediate outcomes. It is recommended that a PTCA volume per year be established in order to improve the immediate outcome of this procedure in Korea.

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