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      • KCI등재

        외음부의 기저세포암

        김보영 ( Bo Young Kim ),황선정 ( Sun Jung Hwang ),박병준 ( Byung Joon Park ),이은실 ( Eun Sil Lee ),한호섭 ( Ho Suap Han ),김용욱 ( Yong Wook Kim ),김태응 ( Tae Eung Kim ),노덕영 ( Duck Yeong Ro ),이안희 ( An Hi Lee ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.9

        Basal cell carcinoma (BCC) is the most common human malignant neoplasm, accounting for 75% of all non-melanoma skin cancer. The incidence of BCC is strongly correlated with sun exposure as well as older age. Therefore, the vast majority of BCCs is observed in elderly patients on the sun-exposed skin of the head and neck with a frequency of more than 80%. BCC is very rare on sun-protected skin such as the perianal and genital regions and other etiologic factors must be considered in these cases. Although the pathogenesis of vulvar BCC is unclear, early diagnosis is very important. Because BCC in these areas sometimes seems innocuous, it is recommended that a biopsy of all suspect lesions be performed. We report a woman with BCC of the vulva treated with wide local resection and reviews the literatures on this subject.

      • KCI등재

        한국 중년기 남녀의 건강상태 및 건강 관리 행동 : 성별, 연령집단별 차이를 중심으로 Focused on Gender and Age-group Differences

        한경혜,이정화,Ryff. C.,Marks. N.,옥선화,차승은 대한가정학회 2003 Human Ecology Research(HER) Vol.41 No.1

        The purpose of this study is to examine the health status and health behavior of middle-aged Korean men and women. Even though there has been increased concern about extremely high mortality rate of Korean middle-aged men and mental health problems of middle aged women, there is a dearth of empirical studies which examine the health status and health behavior of middle-aged men and women in Korea. This study atternpts to frll these gaps. Data gathered from 1,667 men and women aged between 30-59 are analyzed to examine the level of physical health, mental health, perceived health and health behavior and to explore the gender and age group differences in these aspects. The results show that there exist gender difference and age group difference in health status: Women are less healthy than men and as age increased health status declined. Women at their 50s are least healthy and most unhappy suggesting age and gender interaction in health status. There exist a gender difference in health behavior: Mne have regular check-ups more frequently than women and exercise more. These results are discussed in terms of the gender difference in the experiences, social roles and life styles over the life course.

      • SCOPUSSCIEKCI등재
      • KCI등재

        주의력결핍/과다활동장애(ADHD)아동에서 사회기술훈련

        한은선,안동현,이양희 대한소아청소년정신의학회 2001 소아청소년정신의학 Vol.12 No.1

        목적 : 주의력결핍/과다활동장애(ADHD) 아동들은 또래관계를 영위하는데 필요한 것을 포함한 다양한 사회기술에 결함을 보인다. 이들의 치료에 약물치료를 포함한 부모훈련, 교육적 접근 등이 필요하지만 이와 함께 이들에 대한 사회기술훈련이 시도되고 있다. 이들에게서 사회기술훈련을 적용하여 그 효과를 검증해보고자 한다. 방법 : ADHD로 진단 받은 초등학교 아동 5명과 그들의 부모 5명을 대상으로 Pfiffner와 McBurnett이 제안한 프로그램을 중심으로 총 8회기의 프로그램을 수행하고, 사회기술, 문제행동, 또래의 사회적 수용도, 양육태도 및 양육스트레스, 프로그램 만족도를 비교해 보았다. 결과 : 교사와 부모가 평가한 내용이 다소 달랐는데, 교사는 사회기술과 또래의 사회적 수용도에서, 부모는 문제행동의 감소에서 유의미한 호전을 보고하였다. 부모들은 양육태도에서는 별 변화가 없었지만 양육스트레스에서는 현저한 감소를 보고하였으며, 프로그램 만족도는 상당히 높았다. 결론 : ADHD 아동에서 사회기술훈련은 최근에, 주로 보조적이거나 매우 제한적으로 시행되고 있다. 하지만 상당히 많은 아동들이 사회기술의 결함을 호소하고 있기 때문에 이들이 통합적 접근에서 이들의 치료 프로그램에 포함되어 시행하는 것이 바람직하겠다. 중심단어 : 주의력결핍/과다활동장애ㆍ사회기술훈련ㆍ일반화. Objectives : The children with ADHD have some deficits in social skills including the peer relationship. There are several approaches to teaching social skills to children with ADHD, and many are combined in comprehensive programs to maximize treatment effects. We conducted this study to explore the direct effects of social skills training program applied to children with ADHD. Method : Five children and their mothers who were diagnosed to Attention Deficit-Hyperactivity Disorder (ADHD) in Y elementary school survey participated to the study. We performed the 8- session program with the modified the Pfiffner and McBurnett's program(1997), and assessed the social skills, problem behaviors, peer acceptance, parenting behaviors, and parenting stress. Results : Parent's reports were some different from teacher's reports ; teacher reported improvement in social skills and peer acceptance, but parent notified decrement in problem behaviors. And also, there were no changes in maternal behaviors, but significant reducing effects in parenting stress. Conclusion : The stimulants are mainstream in treatment of children with ADHD. The social skills training programs are combined in comprehensive treatment programs in children with ADHD to maximize treatment effects. KEY WORDS : ADHD ㆍ Social skill training ㆍ Generalization.

      • 大氣汚染物質의 變異原性에 關한 硏究 : 마우스 母體 및 胎仔의 小核試驗을 中心으로

        韓東宣,車喆煥,張聖薰,裵思相 고려대학교 의과대학 1989 고려대 의대 잡지 Vol.26 No.3

        This Study aimed at identifying the cytogenic effect of air pollutants in pregnant mouse and her fetus. Samples of air pollutants were collected by the high volume air sampler in several sites of Seoul from May through December in 1988. Total suspended particulates (TSP) were measured and those of benzene and methanol were extracted and dissolved in dimethyl sulfoxied (DMSO). Those were injected into peritoneal cavity by the concentration and the micronucleated polychromatic erythrocyte (MNPCE) was observed in the bone marrow of mother mice. IN addition, the liver of fetus was extracted and MNPCE was observed. Transplacental genetic toxicity due to air pollutants in both cases was measured in the end. 1. In case of the tar concentration equivalent to those residing in the volume of 100m³ of air, the MNPCEs in the mother's bone marrow were 0.57±0.15% and 0.70±.20% in Shinchon; 0.27±0.17% and 0.40±0.13 In Jungrung and in the underground shopping center ; 0.33±0.10% and 0.55±0.13% in the subway station. The MNPCEs measured in the sample of the tunnels, of which tar concentration was equivalent to that in 50m³ and 100m³ of air, were 0.86±0.24% and 1.06±0.17% in tunnel A and 0.70±0.15% and 0.96±0.23% in tunnel B; those were the highest MNPCE in the samples of mother mice. 2. The MNPCEs measured in the liver of featus were 0.60±0.25% and 0.80±0.15% in Shinchon. In Jungrung and the underground shopping center, the MNPCEs in the liver of fetus were the same as those in mothers. In the sample of the subway station, the MNPCEs in the liver of fetus, 0.73±0.20%, were higher than in mothers only in the 200? tar concentration. The MNPCEs in the 50m³ and 100m³ tar concentration were 0.87±0.10% and 1.27±0.27% in tunnel A, and 0.68±0.41% and 1.07±0.23% in tunnel B. It showed that the MNPCEs only in the 100m³ tar concentration were higher than those in mothers.

      • SCOPUSSCIEKCI등재
      • KCI등재후보

        강교의 도장방식에 따른 안전수명간 생애주기비용분석

        조선규,한상철,김은겸 한국산업안전학회 2002 한국안전학회지 Vol.17 No.2

        Life Cycle Cost analysis technique is introduced to evaluate cost-effectiveness of two paint systems of steel bridges. The systems are a conventional paint system and a galvanized paint system. The all costs during safe life such as initial cost, repainting costs, disposal costs are considered for the life cycle cost analysis. The NIST model is used and BridgeLOC 1.0 developed by the NIST is utilized as the life cycle cost analysis tool. It is concluded that, in spite of expensive initial cost, the durable paints system may be cost-effective compared with conventional paint system.

      • KCI등재후보

        한국해안으로부터 Purple, Non-Sulfur Photosynthetic Bacterium, Rhodobacter sp. EGH-24의 분리 및 특성

        차미선,김기한,조순자,이나은,이정은,이재동,이상준,박재림 한국환경과학회 2003 한국환경과학회지 Vol.12 No.12

        A species of facultative photo-organotrophic, purple, non-sulfur bacterium was isolated from the 47 point at west and south coast of Korea in September 2001. Separated 13 samples of changes with red color under 28~32 ℃, 3000 lux, anaerobe conditions for 7 days cultivated in basal medium. For pure isolation from 13 samples, we used agar-shake tube method (0.4 % agar) and separated 5 strains through 13-repetition test. EGH-24 and EGH-30 was identified as the same strain through the RAPD(Random Amplified Polymorphic DNA)-PCR of strain EGH-9, EGH-13, EGH-23, EGH-24, EGH-30. Four isolates cultivated in synthesis wastewater for wastewater biodegradation test. EGH-24 was selected with efficient wastwater treating strain. Based on the results obtained from morphology, nutrient requirements, major bacteriochlorophyll content, 16S-rDNA phylogenetic analysis, EGH-24 strain may be identified as a new strain of the genus Rhodobacter and named Rhodobacter sp. EGH-24.

      • 경남지역의 사무직 노동자와 육체적 노동자의 요통특성에 관한 조사 연구

        이한기,구봉오,문상은,김경,조희선 마산대학 보건과학연구소 2002 保健科學論集 Vol.3 No.-

        This study has been attempted to be helpful for the back rehabilitation of Korean workers by analyzing the general, occupational, social aspects of low back pain and to identify possible risk factors for back pain in White and Blue collar workers. The primary data collected from 339 workers in Kyungnam by means of a questionnaire with random which was distributed from January 10 to 18, 2001. For the test of statistical significance, chisquare analysis was used to compare the back pain characteristics between the two groups. The results were as follows: 1.The incidence of low back pain in all workers studied was 81.1 %. The incidence of Blue collar with low back pain(88.2%) was higher than that of White collars(74.1%) (p<0.01) 2.With regard to the relationship of back pain to the occupational characteristics, statistically significant differences were observed between workers with and without back pain concerning the job factors on work-time, mental stress, work posture, trunk rotation, weight lifting, vibration, and heavy noise(p <0.05). 3.With regard to the relationship of back pain to the social characteristics, there were no differences with respect to traffic time. However, significant differences were showed between no pain and pain groups for the using bed, sleeping posture, walking amount, body type, health state, and physical exercise(p<0.05). 4.The comparative analysis of back pain related to work factors showed significant differences with respect to mental stress, work posture, trunk rotation in White collar group(p<0.05); and mental stress, trunk rotation, work posture, monotonus repetitive work, weight lifting, exposure to vibration in blue collar group(p<O.05). 5.The comparative analysis of social factors in two groups showed differences with respect to the using bed, walking amount, health state, physical exercise in White collar group(p<0.05); and walking amount, physical exercise in Blue collar group (p<0.05). Especially, Blue collar group showed high differences with respect to the health state(p<0.01). 6.In regard to the general aspects of back pain between two groups, there were differences concerning etiolgy of back pain, pain duration, counselling partners, treatment types, and sick-leaves(p<0.05), except awareness of back pain.

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