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      • 교통사고 관련 외상후 스트레스 장애 환자에서 신체적 외상의 정도와 외상후 스트레스 장애 증상의 심각도 사이의 관계

        이지,나철,조주연,Lee, Ji-Youn,Na, Chul,Cho, Ju-Yeon 한국정신신체의학회 1998 정신신체의학 Vol.6 No.1

        Objective: This study was designed to evaluate the etiological factors of the PTSD(post traumatic stress disorder) by examining the relationship between severity of physical trauma and subsequent the severity of PTSD symptom in traffic accident related PTSD patients. Method: Subjects were 21 psychiatric inpatients with history of traffic accident related PTSD(DSM-IV criteria), the purpose of evaluation of mental disability and no evidence of organic brain leisons. The severity of physical trauma was assessed by McBride number of nonpsychiatric department and the presence / absence of loss of conciousness. The severity of PTSD symptom was assessed by Hovens' self rating inventory for PTSD. And then we evaluated the correlation between these two factors. And we also evaluated relationship between severity of PTSD symtom and clinical variables. Results : There were no significant relationship between McBride number of nonpsychiatric department severity and symptomatic severity(r= 0.17, p<0.05), the presence / absence of loss of conciousness and symptomatic severity(p>0.05). And significant relationship between symptomatic severity and clinical varibles such as sex, education level, marital status(p<0.05). Conclusions : These data did not support data of previous studies that traumatic severity was correlated with symptom severity but, suggested that other variables affecting the severity of PTSD symptom is more important indirectly. And that the 'trauma' in PTSD is psychological meaning rather than physical meaning is also suggested.

      • KCI등재

        에밀리오 푸치(Emilio Pucci) 패션디자인의 색채 특성 -2005년부터 2009년 밀라노 컬렉션을 중심으로-

        정영선 ( Young Sun Chung ),조주연 ( Ju Yeon Cho ),이연희 ( Youn Hee Lee ) 한국패션디자인학회 2011 한국패션디자인학회지 Vol.11 No.3

        본 연구의 목적은 에밀리오 푸치(Emilio Pucci)의 패션디자인에서 나타난 색채의 특성을 분석하고 브랜드의 색채 특성을 규명해 봄으로 패션디자인 분야의 조화로운 색채 개발에 도움을 주고자 하는데 있다. 연구의 방법은 2005년 S/S부터 2009년 F/W까지의 에밀리오 푸치 작품을 웹사이트 자료를 통하여 수집하였으며, 수집된 사진들을 일정한 형식(jpg)으로 저장한 후, Munsell Conversion(10.0 version)을 이용하여 HV/C 값으로 변하여 색채를 추출하였다. 연구의 결과는 다음과 같다. 2005년 S/S~2009년 F/W 컬렉션의 멘셀 40색상의 특징은 7.5YR에서 10Y 계열의 노란 기를 띠는 색상과 7.5PB에서 5RP 계열의 붉은 기를 띠는 색상의 사용 빈도가 두드러지며 S/S 컬렉션의 색 사용이 F/W 컬렉션보다 다양하게 보여 진다. 2005년S/S~2009년 F/W 컬렉션의 먼셀 10색상과 PCCS 색조의 특징은 색상은 Y가 가장 많이 나타났으며, 그 다음으로는 PB, P순으로 색조는 고명도·저채도의 p, 고명도·중채도의 lt, 고명도·중채도의 sf순으로 보여 지며, 계절에 상관없이 Y, PB 계열의 색과 고명도·저채도의 p, 고명도·중채도의 lt의 출현 빈도가 높다. 2005년 S/S~2009년 F/W 컬렉션의 색상과 색조에서 G, BG, B와 v, dp, dk의 출현 빈도는 현저하게 낮게나타난다. 2005년 S/S~2009년 F/W 컬렉션의 배색 특징은 대비색상 배색의 출현 빈도가 높았으며, 무채색은 W, B순으로 보여 지고, 2009년 컬렉션으로 갈수록 사용빈도수가 줄어들고 있다. The aims of this study were to analyze the color characteristics of designs by Emilio Pucci, to identify the color characteristics of the Emilio Pucci brand, and contribute to the development of harmonious colors. Data was collected from the web sites about the works of Emilio Pucci from the 2005 S/S season to the 2009 F/W season. After storing the collected photos in jpg format, the investigator converted them into HV/C values and extracted colors using Munsell Conversion. The analysis results were as follows: the 40 Munsell hues of the collections from the 2005 S/S season to the 2009 F/W season can be characterized by the outstanding frequency of yellows from 7.5YR to 10Y and reddish colors from 7.5PB to 5RP. The color uses were more diverse in the S/S collections than the F/W collections. The 10 Munsell hues and PCCS colors of his collections from the 2005 S/S to 2009 F/W seasons can be characterized by the highest frequency of Y, which is followed by PB and P, in order of most frequent. The most frequent shades in order were p of high luminosity and low chroma, lt of high luminosity and medium chroma, and sf of high luminosity and medium chroma. The frequency of Y and PB colors, p of high luminosity and low chroma, and lt of high luminosity and medium chroma was high regardless of the season. The frequency of colors such as G, BG, and B and shades such as v, dp, and dk was considerably low in from the 2005 S/S to 2009 F/W seasons. The color arrangements of the collections from 2005 to 2009 can be characterized by the high frequency of arrangement of contrasting colors, the frequent use of achromatic colors in the order of W and B, and the increasingly lower frequency of achromatic colors towards the 2009 collections.

      • KCI등재

        적혈구 침강속도 자동측정기기안 TEST 1의 유용성 평가

        박경희 ( Kyong Hee Park ),조주연 ( Ju Youn Cho ),조창호 ( Chang Ho Cho ),서헌석 ( Hun Suk Suh ) 대한임상검사과학회 2001 대한임상검사과학회지(KJCLS) Vol.33 No.2

        Although the erythrocyte sedimentation rate (ESR) is a diagnostically nonspecific test, it is widely used for monitoring of inflammatory disorders. Conventional methods have disadvantages of difficu1ty in standardization and quality control. Thus we compared automatic TEST 1 system with the conventional Westergren method and Ves-Matic 60 for correlation with 205 patients. The results are summarized as follows l. The TEST 1 showed acceptable reproducibility(CV: <10.0 %). 2. The correlation between TEST 1 and conventional Westergren method showed good correlation(r=0.9 10, P<0.001). 3. The correlation between TEST 1 and Ves-Matic 60 showed good correlation(r=0.918, P<0.001). We conclude that TEST 1 is a suitable automated ESR analyzer that is accurate and easy to use for ESR

      • 외상후 스트레스장애 환자의 불안 및 우울 증상과 압통역치 간의 비교 연구

        김은영,나철,남범우,조주연,Kim, Eun-Young,Na, Chul,Nam, Bum-Woo,Cho, Ju-Youn 한국정신신체의학회 1999 정신신체의학 Vol.7 No.1

        This study was designed to evaluate anxiety & depression symptoms and pressure pain threshold in patients with posttraumatic stress disorder(n=23) and to find out the relationship between the affective symptoms and the pressure pain threshold scores. And this was compared with healthy control subjects(n=18). The scores of pressure pain threshold were checked with algometer. The results were as follows : PTSD patients showed higher scores of anxiety & depression symptoms than that of the control group. In contrast with our hypothesis, pressure pain threshold in PTSD patients presented statistically significant higher scores than that of the control group. These results may be derived from following factors. First, chronic depression has influenced the pain perception of patients with PTSD rather than anxiety symptoms, second, abnormal state of the opiate system in PTSD patients, third, the sick role of the PTSD patients, fourth, the socio-environmental factor of the PTSD patients. In conclusion, affective symptoms, especially depression, were related to the chronic pain in patients with PTSD, however, the causality of elevated pressure pain threshold was uncertain in this study. To understand more clearly the relation between affective symptoms and chronic pain, it will be necessary to control the other specific factors. 본 연구에서는 불안과 우울감과 같은 정서상태가 만성적인 통증 인지와 상관관계가 있는지를 알아보고자 PTSD 환자군의 압통에 대한 역치와 불안증상, 우울증상의 정도를 측정하였고, 불안, 우울증상의 정도와 압통역치의 상관관계를 대조군과 비교하였다. 연구대상 환자군은 1997년 10월부터 1998년 3월까지 중앙대학교 의과대학 부속필동병원 및 용산병원 신경정신과에 입원한 환자와 외래환자들 중에서 PTSD에 진단된, 20-60세에 해당되는 성인 남자환자 23명을 대상으로 하였다. 결과는 다음과 같다. 1) PTSD 환자군에서 통계적으로 의미있게 높은 우울증상과 불안증상을 보였다(p<.05). 2) 압통에 대한 역치는 환자군에서 유의하게 높은 결과를 보였다(p<.05). 이런 결과를 보인 요인으로는, 환자군의 불안증상보다는 만성적인 우울증상이 통증역치의 증가에 부분적으로나마 영향을 주었을 것으로 추정되며 그외에 환자군에서의 opiate system의 이상, 환자군의 질병역할, 환자군이 처한 여러 사회환경적인 상황의 영향 등과 같은 여러 요인이 관련되었을 것이라고 생각한다. 결론적으로 PTSD의 만성 통증은 감정, 특히 우울증과 관련이 있을 것으로 보였으나, 그 인과관계에 대한 결론을 내리기에는 미흡한 점들이 있다. 앞서 언급한 여러 제한점들을 보완한 향후 연구를 통해 정서적 증상과 동통과의 보다 특이적인 연관성을 규명하는 연구가 필요할 것이라 생각한다.

      • 노령층의 말초혈액 참고치에 대한 고찰

        조창호 ( Chang Ho Cho ),김창일 ( Chang Il Kim ),박경희 ( Kyong Hee Park ),이숙정 ( Suk Jeong Lee ),조주연 ( Ju Youn Cho ) 대한임상병리사협회 1999 임상혈액검사학회 발표자료집 Vol.5 No.1

        1998년 3월부터 1998년 10월까지 60세 이상 건강한 노령층 228명(남:110명, 여:118명)을 대상으로 Coulter Counter Model GEN - S를 이용하여 얻은 노령층의 말초혈액 참고범위는 다음과 같다. 1. 적혈구 수는 남자 3.70 - 5.18 ×10(6)/㎣, 여자 3.43 - 4.64 ×10(6)/㎣ 이었다. 2. 혈색소는 남자 12.2 - 16.5 gm/dL, 여자 11.1-14.4 gm/dL 이었다. 3. 적혈구용적 백분율은 35.5 - 49.0 %, 여자 32.4 - 42.1% 이었다. 4. MCV, MCH, MCHC는 남자가 각각 88.1 - 102.2 fl, 29.8 - 35.0 pg, 32.9 -35.1 %, 여자는 각각 85.5 - 99.5 fl, 28.9 - 34.2 pg, 32.7 - 35.4 % 이었다. 5. 적혈구 분포폭은 남자 11.7-14.0, 여자 11.4 - 13.7 이었다. 6. 혈소판수 및 혈소판 용적비는 남자가 120 - 304×10(3)/㎣, 0.100-0.235 %, 여자는 138 - 317 × 10(3)/㎣, 0.113-0.250 이었다. 7. 평균 혈소판용적 및 혈소판 분포폭은 남자가 7.0 -9.5 fl, 14.7 - 16.4, 여자는 7.1 - 9.8 fl, 14.6 - 16.2 이었다. 8. 백혈구 수는 남자가 4.3 - 9.7 × 10(3)/㎣, 여자는 4.1 - 9.6 × 10(3)/㎣ 이었다. 9. 백혈구 백분율 계산은 호중구, 호산구, 호염기구, 림프구 및 단구는 각각 37.1 - 72.3%, 0.4 - 7.3%, 0.1-1.9%, 19.4-51.4%, 3.5-9.7% 이었다. To establish the hematological reference values in healthy geriatric population, we measured the RBC count, Hgb, Hct, MCV, MCH, MCHC, RDW, Platelet count, Platelet-crit, MPV, PDW, WBC count and Differential count, determined by Coulter Counter model GEN-S in 228(M : 110, F : 118) persons over 60 years. The results were summarized as follows : 1. Reference value of RBC count: 3.70~5.18×10(6)/㎣ in male, 3.43~4.64×10(6)/㎣ in female. 2. Reference value of Hgb : 12.2~16.5 gm/dL in male, 11.1~14.4 gm/dL in female. 3. Reference value of Hct : 35.5~49.0 % in male, 32.4~42.1 % in female. 4. Reference value of MCV : 88.1~102.2 fl in male, 85.5~99.5 fl in female. 5. Reference value of MCH : 29.8~35.0 pg in male, 28.9~34.2 pg in female. 6. Reference value of MCHC : 32.9~35.1 % in male, 32.7~35.4 % in female. 7. Reference value of RDW : 11.7~14.0 in male, 11.4~13.7 in female. 8.

      • 건강 신생아의 모세혈액에 대한 혈액학적 고찰

        조창호 ( Chang Ho Cho ),이종훈 ( Jong Hoon Lee ),박경희 ( Kyong Hee Park ),조주연 ( Ju Youn Cho ) 대한임상병리사협회 2001 임상혈액검사학회 발표자료집 Vol.6 No.1

        건강 신생아 115명(남 : 60명, 여 : 55명)을 대상으로 발뒤꿈치에서 모세 혈액을 채취하여 Coulter Counter Model GEN-S를 이용하여 얻은 적혈구, 혈색소, 적혈구 용적비, 적혈구 지수, 백혈구, 혈소판, 혈소판 지수, 망상적혈구 및 망상적혈구 지수의 성적을 요약하면 다음과 같다. 1. 적혈구수는 5.04±0.53×10(6)/㎣(남 : 4.97±0.53, 여 : 5.10±0.52), 혈색소는 17.8±1.8gm/dl(남 : 17.5±1.7, 여 : 18.1±1.7), 적혈구 용적비는 53.5±5.3 %(남 : 52.6±5.5, 여 : 54.4±5.0) 이었다. 2. 평균 적혈구용적은 106.3±3.4fl (남 : 105.9±3.6, 여 : 106.7±3.3), 평균 적혈구혈색소량은 35.4±1.5pg(남 : 35.2±1.5, 여 : 35.6±1.5), 평균 적혈구혈색소농도는 33.3±1.1%(남 : 33.2±0.9, 여 : 33.3±1.2), 적혈구 분포폭은 15.9±0.8%(남 : 15.9±0.8, 여 : 15.9±0.9)이었다. 3. 백혈구수는 20.2±7.7×10(3)/㎣(남 : 18.1±6.5, 여 : 22.2±8.3)이였으며, 여자가 남자보다 통계학적으로 유의하게 높았다. 4. 혈소판수는 241.1±63.3×10(3)/㎣(남 : 244.4±62.1, 여 : 237.9±64.9)이었다. 5. 평균 혈소판용적은 8.1 ±0.5fl(남 : 8.0±0.6, 여 : 8.1±0.5), 혈소판 용적비는 0.186±0.05 %(남 : 0.186±0.05, 여 : 0.187±0.05), 혈소판 분포폭은 16.0±0.8%(남 : 16.0±0.8, 여 : 16.0 ±0.8)이었다. 6. 망상적혈구수는 2.83±1.08%(남 : 2.74±1.05, 여 : 2.93±1.12)이었다. 7. 평균망상적혈구용적은 135.3±13.6 fl(남 : 133.6±15.3, 여 : 137.0±11.2), 미성숙 망상적혈구 분획은 0.44±0.10 (남 :0.44±0.10, 여 : 0.45±0.10), HLR은 1.33±0.65(남 : 1.29±0.64, 여 : 1.37±0.67)이었다. 8. 망상적혈구수가 증가할수록 HLR, 미성숙 망상적혈구분획 및 평균 망상적혈구용적도 증가하는 양의 상관관계를 보였다. To hematologic findings of capillary blood in healthy newborn infants population, we measured the WBC, RBC, Hgb, Hct, MCV, MCH, MCHC, RDW(Red cell Distribution Width), Platelet, MPV(Mean Platelet Volume), PCT(Platlet-crit), PDW(Platelet Distribution Width), Reticulocyte, MRV(Mean Reticulocyte Volume), IRF(Immature Reticulocyte Fraction) and HLR(High Light Scatter Reticulocyte), determined by Coulter Counter model GEN-S in 115(M : 60, F : 55) persons. The results were summarized as follows : 1. The mean value of RBC count, Hgb and Hct were 5.04±0.53 ×10(6)/㎣(M : 4.97±0.53, F : 5.10±0.52), 17.8±1.8 gm/dl (M : 17.5±1.7, F : 18.1±1.7) and 53.5±5.3 %(M : 52.6±5.5, F : 54.4±5.0), respectively. 2. The mean value of MCV, MCH, MCHC and RDW were 106.3±3.4 fl(M : 105.9±3.6, F: 106.7±3.3), 35.4±1.5 pg(M : 35.2±1.5, F : 35.6±1.5), 33.3±1.1 %(M : 33.2±0.9, F : 33.3± 1.2) and 15.9±0.8 %(M : 15.9±0.8, F : 15.9±0.9), respectively. 3. The mean value of WBC count was 20.2 ± 7.7 ×10(3)/㎣(M : 18.1 ± 6.5, F : 22.2±8.3), and the value of female was significantly higher. 4. The mean value of platelet count was 241.1±63.3 ×10(3)/㎣(남 : 244.4±62.1, 여 : 237.9±64.9). 5. The mean value of MPV, PCT and PDW were 8.1±0.5 fl(M : 8.0±0.6, F : 8.1±0.5), 0.186±0.05 %(M : 0.186±0.05, F : 0.187±0.05) and 16.0±0.8 %(남 : 16.0±0.8, 여 : 16.0±0.8), respectively. 6. The mean value of reticulocyte count was 2.83±1.08 %(M : 2.74±1.05, F : 2.93±1.12). 7. The mean value of MRV, IRF and HLR were 135.3±13.6 fl(M : 133.6±15.3, F : 137.0±11.2), 0.44±0.10(M : 0.44±0.10, F : 0.45±0.10) and 1.33±0.65 (M : 1.29±0.64, F : 1.37±0.67), respectively. 8. There was linear relation of HLR, IRF and MRV to reticulocyte count(P <0.01).

      • KCI등재

        Azathioprine 치료 중 유방 편평세포암종이 발생한 크론병 1예

        박경찬 ( Kyoung Chan Park ),주동욱 ( Dong Uk Ju ),허성욱 ( Seong Wook Heo ),류정일 ( Jung Ii Ryu ),조주연 ( Ju Youn Cho ),김의정 ( Eui Jung Kim ),오훈규 ( Hoon Kyu Oh ),김은영 ( Eun Young Kim ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.6

        Azathioprine (AZA) treatment in transplant or autoimmune patients and subsequent appearance squamous cell carcinomas at various sites, particularly skin and cervix, has shown a close relationship. However, it remains uncertain whether this is true for the patients with Crohn`s disease. We report a case of squamous cell carcinoma of the breast occurred in a 35-year-old female with Crohn`s disease taking AZA. She was first diagnosed with Crohn`s disease 10 years ago and has taken AZA with 5-aminosalicylic acid (5-ASA) on regular follow up in gastrointestinal department for 9 years. She had no family history of breast cancer. She visited breast cancer clinic due to incidentally found right breast mass. A mastectomy on the right breast was performed and 6.3×5.5 cm mass was removed. The mass was microscopically proven to be poorly differentiated squamous cell carcinoma with focal keratin pearl formation. At age of 25, she was first diagnosed with active Crohn`s disease. 5-ASA and corticosteroid induced remission. Then, steroid was tapered off and AZA was maintained at 1 mg/kg due to leukopenia at higher dose. She stopped taking AZA at her discretion during her two pregnancies and reported total of 67 months of AZA medication on her breast cancer diagnosis.

      • KCI등재

        인지과학적 발견에 기초한 주의집중 방략

        조주연 서울敎育大學校 初等敎育硏究所 1996 한국초등교육 Vol.8 No.2

        This study had two purposes. The first one was to synthesize the cognitive science research on attention mechanisms and processes in the human brain. The second was, considering the cognitive scientific discoveries, to explore instructional strategies to get students' attention in an effective way. The major research method in this study was the integrative literature review method. The research results are as follows: After analyzing about 380 articles on attention in the cognitive science, this study classified the attention processes into five groups, and discussed major features/mechanisms of each attention process. The attention processes classified and discussed in this study are passive attention, active attention, selective attention, divided attention, and monitoring attention. The teacher's attention getting strategies discussed in this study are classified into three groups; instruction material-oriented strategy, learning content-oriented strategy, and instructional process-oriented strategy. In general, materal-oriented strategy is powerful at the beginning of the instruction process. Content-oriented strategy is more effective when children understand the meaning/importance of the learning content. In getting students' continuous attention, the latter instruction strategy has more strength than the former. The third strategy, process-oriented strategy, is also important strategy to get students' attention, and further, to lead a successful classroom, although the first and second strategies are major attention getting strategies.

      • ‘문장제 문제풀이 전략’ 훈련이 초등학교 수학 학습장애 아동의 문장제 문제해결력과 자아개념에 미치는 효과

        조주연, 설양환, 김윤옥 공주교육대학교 초등교육연구소 2005 초등학교교육연구 = Elementary school education research Vol.4 No.-

        본 연구는 ‘문장제 문제풀이 전략’ 훈련이 초등학교 수학 학습장애 아동의 문장제 문 제해결력과 자아개념에 미치는 효과를 검증하고자 실시되었다. 연구에 참여한 대상은 충청도 소재 초등학교 6학년 수학 학습장애 아동 3명이었다. 연구자들이 제작한 나눗셈 전략 검사지를 이용하여 아동들의 전략 활용 능력을 측정하였으며, 문장제 문제해결력 과 자아개념도 함께 검사하였다. 본 연구에서는 문장제 문제풀이 전략을 전략 교수 8단 계 과정을 통해 적용하였으며, 대상자간 중다 기초선 설계를 이용하여 전략 교수의 효 과를 검증하였다. 연구 결과,학습장애 아동들아 문장제 문제풀이 전략을 완전학습 할 수 있었으며,전략 훈련이 문장제 문제해결력과 자아개념을 향상시킬 수 있는 것으로 나타났다. 또한 문장제 문제풀이 전략이 나눗셈뿐만 아니라 수학과의 다른 연산에도 파 급되어 성취도를 향상시키는 데 기여할 수 있는지에 대해서 논의하였다. The purpose of this study was to verify the effects of 'word problem solving strategies', applied to the students with arithmetic disabilities on word problem solving skills and self-perception. The participants in this study were three children with arithmetic disabilities in 6th grade of an elementary school, City of Cheon-an. The subjects were testified by a 'word problem solving strategy’ tests that developed by the researchers to measure children's ability to utilize strategies, word problem solving abilities. The level of self-perception was also measured. The 'word problem solving strategies’ applied through 8 steps of strategy teaching and the researcher examined the effects of the strategy using a multiple baseline design across the subjects. The followings were the results of this study: First, students having arithmetic disabilities could accomplish above the mastery level on the 'word problem solving strategies' learning. Second, the word problem solving strategies improved the targeted students' word problem solving abilities. Third, it improved self-perception of students having arithmetic disabilities. The findings in this study showed that the word problem solving strategies had positively influenced on word problem solving abilities and self-perception of elementary students with arithmetic disabilities. It has some implications that the following studies with relation to the strategy should be made through targeting wider range of region and more diverse grades. Further, it is needed to support students in connection with home in order to maintain the effectiveness of the strategy.

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