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      • SCOPUSKCI등재

        농촌(農村) 주민(住民)들의 의료필요도(醫療必要度)에 관(關)한 연구(硏究)

        이성관,김두희,정종학,정극수,박상빈,최정헌,홍순호,라진훈,Lee, Sung-Kwan,Kim, Doo-Hie,Jung, Jong-Hak,Chunge, Keuk-Soo,Park, Sang-Bin,Choy, Chung-Hun,Heng, Sun-Ho,Rah, Jin-Hoon 대한예방의학회 1974 Journal of Preventive Medicine and Public Health Vol.7 No.1

        Today most developed countries provide modern medical care for most of the population. The rural area is the more neglected area in the medical and health field. In public health, the philosophy is that medical care for in maintenance of health is a basic right of man; it should not be discriminated against racial, environmental or financial situations. The deficiency of the medical care system, cultural bias, economic development, and ignorance of the residents about health care brought about the shortage of medical personnel and facilities on the rural areas. Moreover, medical students and physicians have been taught less about rural health care than about urban health care. Medical care, therefore, is insufficient in terms of health care personnel/and facilities in rural areas. Under such a situation, there is growing concern about the health problems among the rural population. The findings presented in this report are useful measures of the major health problems and even more important, as a guide to planning for improved medical care systems. It is hoped that findings from this study will be useful to those responsible for improving the delivery of health service for the rural population. Objectives: -to determine the health status of the residents in the rural areas. -to assess the rural population's needs in terms of health and medical care. -to make recommendations concerning improvement in the delivery of health and medical care for the rural population. Procedures: For the sampling design, the ideal would be to sample according to the proportion of the composition age-groups. As the health problems would be different by group, the sample was divided into 10 different age-groups. If the sample were allocated by proportion of composition of each age group, some age groups would be too small to estimate the health problem. The sample size of each age-group population was 100 people/age-groups. Personal interviews were conducted by specially trained medical students. The interviews dealt at length with current health status, medical care problems, utilization of medical services, medical cost paid for medical care and attitudes toward health. In addition, more information was gained from the public health field, including environmental sanitation, maternal and child health, family planning, tuberculosis control, and dental health. The sample Sample size was one fourth of total population: 1,438 The aged 10-14 years showed the largest number of 254 and the aged under one year was the smallest number of 81. Participation in examination Examination sessions usually were held in the morning every Tuesday, Wenesday, and Thursday for 3 hours at each session at the Namchun Health station. In general, the rate of participation in medical examination was low especially in ages between 10-19 years old. The highest rate of participation among are groups was the under one year age-group by 100 percent. The lowest use rate as low as 3% of those in the age-groups 10-19 years who are attending junior and senior high school in Taegu city so the time was not convenient for them to recieve examinations. Among the over 20 years old group, the rate of participation of female was higher than that of males. The results are as follows: A. Publie health problems Population: The number of pre-school age group who required child health was 724, among them infants numbered 96. Number of eligible women aged 15-44 years was 1,279, and women with husband who need maternal health numbered 700. The age-group of 65 years or older was 201 needed more health care and 65 of them had disabilities. (Table 2). Environmental sanitation: Seventy-nine percent of the residents relied upon well water as a primary source of dringking water. Ninety-three percent of the drinking water supply was rated as unfited quality for drinking. More than 90% of latrines were unhygienic, in structure design and sanitation (Table 15). Maternal and child health: Maternal health A

      • SCIESCOPUSKCI등재
      • SCIESCOPUSKCI등재
      • 大邱地方 영幼兒 離乳에 關한 硏究 : 人工榮養兒의 離乳와 成長發育

        崔正憲,李貴蘭,吳福得,朴點姬 慶北大學校 醫科大學 1973 慶北醫大誌 Vol.14 No.1

        Growth and its rate in the young are very important to the general health and welfare of an individual. and infancy is the period of most rapid extrauterine growth. There are many factors influencing growth such as genetic, nutritional, socioeconomic and emotional factors etc. Among them nutritional factors are fundamental to the optimal growth. In most of developing countries, also in Korea, infant feeding for weaning and malnutrition are fundamantal health problems, and considerable growth retardation and malnutrition are common findings among the infants and young children. Prologed breast feeding and delayed weaning are common pattern. This prolonged breast feeding and improper weaning without supplementary nutriants are the main causes of poor growth and malnutrition during weaning period (Age of 6 to 12 months) The purposes of the present study are to determine the growth tin weight and length from birth through 12 months of life especially during the weaning period. We selected artificially fed infants registered in the Christian Adoption Program of Korean in Daegu (CAPOK). All of them were orphans neglected by their parents and were raising in foster homes. Foster mothers were low in educational level and poor in socioeconomic state. However, the foster mothers were taught about well-baby care and infants were examined monthly by a pediatrician and nurse. Whole milk powder, cereals (rice and soy bean powder) and sugar were supplied as their nutriants including multivitamines and iron preparation by CAPOK Total number of infants were 110 comprising 52 male and 58 female under 12 months of age. For evaluation of growth, body weight and body-length were recorded from birth thirough 12 months of age The following results were obtained, 1. Comparing growth data, the males were superior to females in all measurements. 2. Comparing growth data, the infants of CAPOK were inferior to those of Korean Standard from birth to 4 or 6 months of age and after that period superior to those of Korean Standard 3. There was no slow growth during weaning period form 6 months to 12 months of life 4. The conclusion from these results is that growth in infancy especally during weaning period can be improved by education of the mothers and improvement of weaning diets.

      • 最近2年間 經驗한 Typhoid fever의 臨床的 觀察

        崔正憲,韓東燮,安斗洪,朴英海 慶北大學校 醫科大學 1963 慶北醫大誌 Vol.4 No.1

        The clinical observation on 51 cases of typhoid fever Under 15 years of age who were admitted to Kyungpook University hospital during 1961 to 1962 are reviewed.

      • Hexachlorophene, Dithiazaine, Fuadin, Chloroquine 및 Gentian violet 投與後 肝吸蟲 蟲體의 變化에 關한 病理組織學 및 組織化學的 硏究

        崔正憲 慶北大學校 1964 論文集 Vol.8 No.-

        Clonorchiasis has been known to be one of the most important prarasitic disease in the Asiatic nations including korea,Japan, China, Formosa, Thailand, etc. The etiologic agent, Clonorchis sinensis was first discovered by McConnel in 1874, and the treatment for this infection was first tried by Brug in 1919 with an antimony compound. A few other drugs have been tried, but so far no reliable therapeutic agent has been found for clonorchiasis. In 1960 sinensis using some 60 different chemicals and found Dithiazanine iodide to be best in clonorchicidal effect. In 1962 Takagi Studied on the histological changes in adult worms of Clonorchis sinensis treated with antimony preparatiion and Dithiazanine iodide and demonstrated both the antimony preparation and Dithiazanine iodide to have high cloorchicidal activity, but their modes of action are fundamentally different from each other. More recently Kim, at al. and Chung have found hexachlorophene to have the best clonorchicida effect in test tube and animal experiments, and further found it to be a very promising drug for the clinical treatment of human cases of clonrchiasis. In order to find any histological and histochemical changes in the body of Cloorchis sinensis from the use of various drugs used as clonorchicides I have carried out the following studies. Materials and methods; 1. Thirty healthy rabbits weighing 1.5 to 2.0㎏ were divided into six groups of five each, and each of the five groups was given about 300 to 500 of active metacercariae per os, and one group was set aside as a control. 2. In 60 days all the rabbits passed the eggs in teh excrements showing the infection. 3. Each group was given the following drugs, hexachlorphene 10㎎ per ㎏ of body weight, dithiazanine iodide 30㎏ per ㎏ of body weight, faudin 0.1㎖ per ㎏ of body weight, chloroquine diphosphate 50㎎ per ㎏ of body weight, and gentian violet 10.㎎ per ㎏ of body weight respectively daily for six days. 4. On the seventh day the animals were killed, and the adult worms were collected from the liver. 5. the worms were properly fixed in Carnoy's solution and 10% buffer formal water, and were embeded in usual manner for a serial sections in 6μthichness. The staining methods used for the experiments were as follows: 1. Hematoxyline-Eosin method. 2. Iron-hematoxylin method. 3. Carbohydrates a. The Periodic acid Schiff(PAS) reaction(McMannus method) b. PAS reaction after salivary digestion. 4. Nucleic acids a. Feulgen reaction b. Taft method c. Methylgreen-Pyronin method 5. Lipase a. Gomori-Tween method. Results: Hexachlorophene was given to the experimental rabbit chlornorchiasis and the changes in the body of the worm was carefully observed hsitologically and histochemically and the changes were also compared with those present from the use of the drugs such as dithiazanine iodide, faudin, chloroquine diphosphate, and gentian violet. 1 Group A with hexachlophen; Most of the changes were presnt in the sustentacular tissue, with hyaline degeneration. The amount of polysaccharides, glycogen and RNA were decreased. There were also granular degeneration in the digestive and excretory bladder and vitelline glands. In uterus there were hyaline degeneration and a few deformed eggs. 2. Group B with dithiazanine iodid;ln sustenticular tissue there was hyaline degeneration, but in the intesine and excretory bladder and in the uterus there was hyaline degeneration, and many more deformed eggs were found. 3. Group C with faudin; In the sustenticular tissue there was hyaline degeneration, but in a lesser degree. In intestine and excretory bladder there was a change similar to the Group A. In teh uterus there was a hyaline degeneration and the eggs were mostly deformed and much decreased in number. In this group most of teh changes are seen in the reproductive system 4. Group D with chloroquine diphsophate; The changes in sustenticular tissue, the sucker and intestine, and excretory bladder were similar to those of Group C, but in a lesser degree. There were a hyaline degeneration in subcuticular tissue and granular degeneration in the parenchyma cells. There was also granular degeneration in the sucker and vittelline glands. The intestine and exretory bladder and uterus were stained very poorly. There were also many deformed eggs. 5. Group E with gentian violet; The changes in the sustenticular tissues was very similar to the Group D, and the subduticular tissue showed hyaline degeneration, and the parenchyma cells showed granular degeneration. The cuticules were partially detached, and the sucker and the excretory bladder showed granular degeneration, ang the intestine and the uterus were stained very poorly, and the deformed eggs were moderate in number. The above experiments have demonstrated that all of the chemicals used in this experiments showed some cholonorchicidal activity, but their modes of action are fundamentally different from each other.

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