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      • KCI등재

        월경주기 증상의 요인 분석

        이수일,유태혁,강종선,안석철,이병욱,김헌,석재호 大韓神經精神醫學會 1986 신경정신의학 Vol.25 No.1

        404 nurses and nurse-aids rated their experiences of 45 symptoms(Moos' Menstrual Distress Questionnaire) of the menstrual, premenstrual and intermenstrual phase on a 4 point scale separately. The 45 symptoms were inter-related and factor analyzed separately for each phase. six common clusters of symptoms emerged from 3 phases, which were labeled concentration, motor tension, pain, pleasurable affect, autonomic reactions and water retention. Four clusters of symptoms emerged from premenstrual phase. These clusters were labeled instabillity, withdrwal reactions, depression and headache. The factor named unpleasurable affect emerged from intermenstrual and menstrual phase. Above findings were differed from the results of Moos' study in which eight basically replicated clusters of symptoms emerged from three phases. Through discussion of validity of this scale, and differences between results of Moos' and this study, we came to the conclusion that sampling of subjects, prospective longitudinal symptoms reporting, amount of variance in a symptom over the course of menstrual cycle and proper choice of factor analysis method would be salient variables to construct valid scale for measuring menstrual cycle symptoms.

      • KCI등재
      • KCI등재

        중, 고등학생의 한국판 상태-특성 불안척도의 적용 연구

        이영진,방수영,최선,이해국,김병후,김원,이상혁 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.5

        Objectives : This study aimed to investigate the validity and standardize the Spielberger State-Trait Anxiety Inventory (STAI) in middle and hi? school students and find the factors which influenced their anxiety. Methods : 1,033 middle and hi? school students were selected randomly from 7 regions around the country. The State-Trait Anxiety Inventory (STAI) was applied in all subjects and the Beck Anxiety Inventory (BAI) was applied with it to calculate the coexistence validity. To find the causes of adolescent anxiety, Beck Depression Inventory (BDI), Subjective Happiness Scale, The Satisfaction With Life Scale, Rosenberg Self-Esteem Scale (RES), Parent-Adolescent communication family inventories, In family social scene were all applied and correlation with STAI was investigated. Results : Reliability issues, such as internal coherence, the coherence between specific phobia and anxiety state were Satisfactory and the coexistence validity with BAI was high. The result of factor analysis shows that factor structures were similar to previous studies. High school students showed higher anxiety levels than middle school students, and girls higher than boys. For socio-economical factors, Poverty and poor grades related to higher anxiety. Among psychological factors, happiness and Self-esteem showed high correlation wi anxiety. Conclusion : The State-Trait Anxiety Inventory (STAI) showed high validity and reliability in middle and hi? school students and proved itself a reliable scale. When treating their anxiety, age, sex, socio-economical and psychological factors should all be considered.

      • KCI등재

        월경주기 증상에 영향을 주는 변인들에 관한 연구

        유태혁,이수일,김미영 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.1

        300 nurses and nurse-aids rated their experiencies of 45 symptoms (Moos' Menstrual Distress Questionnaire) of the premenstrual, menstrual and intermenstrual phase on a 4 point scale separately. 11 predictive variables were selected through review of literatures. The names of predictive variables were as follows : chronological age, length of menstrual cycle, menstrual regularity, duration of menstruation, age of menarche, feminine hobbies or occupation, attitudes toward body parts, reaction to menarche, information of menarche, subjective evaluation of premenstrual distress and subjective evaluation of menstrual distress. 11 criterion variables were constructed on the basis of previous study "Factor Analysis of Items on the Menstrual Cycle Symptoms". The names of 11 criterion variables were as follows: concentration, pleasurable affect, motor tension, water retention, pain, autonomic reactions, unpleasurable affect, instability, withdrawal reaction, headache and depression. The scores of each criterion variables were total scores of items composing the each variables. Through multiple regression analysis, the relationships between 11 predictive and 11 criterion variables were obtained. The results were as follows: 1) Concentration was significantly correlated with duration of menstruation and length of menstrual cycle in intermenstrual phase and attitudes toward body parts, feminity and subjective evaluation of menstrual distress in menstrual phase. 2) Pleasurable affect was significantly correlated with age of menarche in premenstrual phase and feminity in menstrual phase. 3) Motor tension was significantly correlated with age of menarche in premenstrual phase and feminity in menstrual phase. 4) Water retention was significantly correlated with length of menstrual cycle and subjective evaluation of menstrual distress in premenstrual phase, menstrual regularity and length of menstrual cycle in menstrual phase and length of menstrual cycle in intermenstrual phase. 5) Pain was significantly correlated with length of menstrual cycle in intermenstrual phase. 6) Autonomic reaction was significantly correlated with feminity in premenstrual phase and feminity, reaction to menarche and subjective evaluation of menstrual distress in intermenstrual phase. 7) Unpleasurable affect was significantly correlated with age of menarche in premenstrual phase and length of menstrual cycle in intermenstrual phase. 8) Instability was significantly correlated with subjective evaluation of menstrual distress in menstrual phase and length of menstrual cycle in intermenstrual phase. 9) Headache was significantly correlated with menstrual regularity and feminity in premenstrual phase and menstrual regularity in menstrual phase. 10) Depression was significantly correlated with age of menarche in premenstrual phase, attitudes toward body parts and feminity in menstrual phase and age of menarche and length of menstrual cycle in intermenstrual phase.

      • 축산폐수 슬럿지의 단백질 이용

        김수생,최창혁,이현주 동아대학교 환경문제연구소 1991 硏究報告 Vol.14 No.2

        The results of study forced on protein reuse of livestock wastewater sludge are as follows : 1. Generally incresing COD and BOD sludge loading, protein content was a tendency to increse. 2. The more SRT increse, the less protein content sludge was a tendency to decrese. 3. For the purpose of improving treatmentment efficiency of livestock wastewater and incresing protein products, it was profitable to treat more two-step aeration process than activated sludge process in treatment efficiency and volume.

      • 항응고제 치료와 연관된 자발성 근육내 혈종

        김수성,조재훈,이학승,박현영,장혁,김요식,조광호 원광대학교 의과학연구소 2009 圓光醫科學 Vol.24 No.1

        항응고제 치료의 주된 합병증은 출혈로서 주로 뇌실질과 복강 내에 발생하며 사지 근육에 발생하는 근육내 혈종은 매우 드문 것으로 알려져 있다. 이러한 항응고제 치료 후 발생하는 자발성 근육내 혈종은 발생빈도가 드물 뿐 아니라, 심부정맥혈전증과 그 증상이 유사하여 감별하기가 쉽지 않다. 저자들은 항응고제 치료 후 운동 마비가 발생한 사지 근육에서 자발성 근육내 혈종이 발생한 증례를 경험하여 이를 보고한다. Spontaneous intramuscular hematoma(SIH) is an uncommon but serious bleeding complication of anticoagulation therapy that has received little attention. We present a patient of spontaneous muscular hematoma during anticoagulation therapy for acute stroke management. A-74-year old man was admitted with sudden onset of dysarthria and left hemiparesis. Brain MRI and MRA showed acute cerebral infarction along right middle cerebral artery territory and severe stenosis of right proximal cervical internal carotid artery. During intravenous heparin treatment, he complained acute pain and swelling on left leg. Muscular CT showed enhancing focal soft tissue mass on left gastrocnemius muscle and ultrasonography demonstrated multiple hematomas on left gastrocnemius muscle. Treatment of heparin was stopped immediately. After conservative management for hematomas, symptoms were subsided.

      • KCI등재

        TRISS Method와 ASCOT Method를 이용한 외상환자의 생존율 분석

        김형수,배성만,양혁준,박철완,이근,고영관 대한응급의학회 1995 대한응급의학회지 Vol.6 No.2

        Despite traumatic injuries cause serious problems in our society, there are few adequate and objective scoring system that assess the severtiy of trauma patients. The Major Trauma Outcome Study(MTOS)in United States deisgned the TRISS(Trauma Score & Injury Severity Score)method by means of Revised Trauma Score(RTS),Injury Severity Score(ISS0,and age,while Champion et al deviced ASCOT(A Severtriy Characterizaiton Of Trauma)method to overcome the limitation of TRISS. This study attempted to make a comparison between TRISS and ASCOT by using date for 422 injured patients which were collected form September,1993 to February,1994. Ascot and TRISS were compared in their sensutivity,Specificity,disparity and Z-statistics. 1)Sex ratio of male to female was 2.8:1 and the commonest age of trauma patients was thirties (23.8%). 2)The average probability of survival(Ps)for 442 patient by TRISS method was 0.9228 and that of ASCOT method 0.9356. 3)Disparity of Ps between survival and non-survival using TRISS and ASCOT was relatively low for both indexes as 0.3507 and 0.3296, respectively. 4)The sensitivity rates(number of patients predicted to die who actually died/total who actually died)for the non-survival of both TRISS and ASCOT method were low (35.0%),but the specificity rates(number of patients predicted to live who actually lived/total who actually lived)for the survival of TRISS and ASCOT were 99.1%and 99.6%respectively. 5)Z-statistics(difference between predicted and actual number of death)of both TRISS(1.3224)and ASCOT(1.2234)resulted in positive value which meant that actual number of death exeeded predicted number of death. 6)The ASCOT that have presumed to be more accurate method for patients with head trauma and with multiple injuries to one portion of body,had its intricacy and difficult points in practical application. And the difference between the result of ASCOT and TRISS was not so significant. 7)It is thought that a new, more comprehensive index would like to be developed and thoroughly tested on a variety of data sets in order for it to be used in trauma system quality assurance evaluation.

      • Rifampicin에 의한 것으로 추정되는 위막성 대장염1예

        김수현,이은우,정종혁,문승현,김동한,양혁승,오영상,김호동,김도현,박혁,박정환,박경옥,이영직 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.2

        Pseudomembranous colitis, caused by altering the normal colonic flora and allowing the multiplication of Clostridium difficile, is an deleterious adverse effect of antibiotics. But it is rarely reported by rifampicin. Rifampicin is one of the first line drug in the treatment of tuberculosis and many patients are exposed to its potential adverse effects. We experienced a patient that had abdominal discomfort and hematochezia due to pseudomembranous colitis after receiving antituberculous medication, and which was probably caused by rifampicin. A 82 years old man was admitted with abdominal discomfort and hematochezia for one week. On the past history he had been diagnosed as endobronchial tuberculosis about 4 months ago. Colonoscopy revealed multiple discrete whitish mucosal lesion on rectosigmoid colon, and histologic findings were consistent with pseudomembranous colitis. The antituberculous agents were discontinued and vancomycin was administered. The patient's symptoms were resolved within several days. There was no recurrence after reinstitution of the antituberculous agents excluding rifampicin. We report here on a case of pseudomembranous colitis probably due to rifampicin.

      • 삼출성 중이염 환자에서의 혈중 및 아데노이드 면역글로불린 E의 면역혈청학적 연구

        장혁순,강성호,유창수,김성현,이병돈,박영진,윤세동,안희영,강주원 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.1

        Otitis media with effusion (OME) is one of the most common disease in children but its pathogenesis is not clear. In particular the role of allergy has revealed conflicting support with widely varing opinions as to its importance. Within recent years, striking biochemical and immunochemical analytic techniques have opened a new approach the study of otitis media with effusion. So we focused on distributions of IgE in adenoid tissue and serum IgE levels. Authors compared the serum IgE and the distribution of IgE in adenoid tissue between the 20 patients underwent tonsillectomy, adenoidectomy and ventilating tube insertion and control group of 11 patients underwent tonsillectomy and adenoidectomy. The results were as follows; 1. In the distribution of IgE in adenoid tissue, there was a significant increase in the group of patients with OME compared to the control group (P<0.01). 2. In the analysis of serum IgE levels, the levels of IgE in the OME patients an control group were higher than normal level, although the level of IgE in the OME patients were less than that of control group, there was no significance P>0.05).

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