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      • FC 1-4 : A survey of attitudes, knowledge, and behavior regarding sun exposure and sunscreen use

        ( Sih Yeok Jang ),( Hyeong Ho Ryu ),( Eun Jung Hwang ),( Hyun Sun Park ),( So Yun Cho ),( Hyun Sun Yoon ) 대한피부과학회 2013 대한피부과학회 학술발표대회집 Vol.65 No.2

        Background: Although sunscreen is used as a primary strategy to prevent sunburn, photoaging and skin cancer, only a few people regularly use sunscreen. Objectives: To investigate the awareness of effects of sunlight, the extent of sun exposure, and the behaviors about sunscreen uses in Korean. Methods: A questionnaire was administered 255 adult patients visited Dermatology Department at Seoul National University Boramae Hospital. It included questions about the awareness of benefit or harm of sunlight, perceived and actual extent of sun exposure, the use of sun-protective methods including sunscreen. Results: Sun exposure was chosen as the major cause of dyschromia (61.2%), skin cancer (62.8%) and wrinkle (28.6%). Respondents were likely to underestimate the extent of sun exposure. On average, quite a few respondents stated that they were exposed to sunlight more than one hour per day (23.1% on weekdays, 53.4% on weekends). But, only 8.7% thought that their sun exposures were problematic and 62.2% of respondents considered moderate sunlight exposure good for health. People`s sun protective behaviors were inadequate: only 30.8% used sunscreen regularly; 18.4% have never used sunscreen. SPF was the most important factor choosing sunscreen and 86.0% used sunscreen labeled SPF over 30. In contrast, only 40.3% used PA+++ sunscreen. Conclusion: Despite a fairly good knowledge about harmful effects of sunlight, people underestimated the risks of their sun exposure and behaviors were suboptimal.

      • SCOPUSKCI등재

        한국인에서 일광노출과 자외선차단제에 대한 인식과 사용 행태 연구

        장시혁 ( Si Hyeok Jang ),박현선 ( Hyun Sun Park ),조소연 ( So Yun Cho ),윤현선 ( Hyun Sun Yoon ) 대한피부과학회 2015 대한피부과학회지 Vol.53 No.1

        Background: Although sunscreen is used as a primary strategy for the prevention of sunburn, photoaging, and skincancer, few people regularly use sunscreen. Objective: To investigate awareness regarding the effects of sunlight, the extent of sun exposure, and sunscreen usebehaviors in Korean subjects. Methods: A questionnaire was administered to 467 adult patients who visited the Dermatology Department at SeoulNational University Boramae Hospital. The questionnaire covered demographic characteristics, causes of wrinkles,sunspots, and skin cancer, awareness of the harmful effects of sun exposure, perceived and actual extent of sunexposure, and the use of sun-protective methods including sunscreen. Results: Sun exposure was selected as the major cause of age spots (60.6%), skin cancer (60.9%), and wrinkles(25.9%). Respondents were likely to underestimate the extent of sun exposure. On average, quite a few respondentsstated that they were exposed to sunlight for more than one hour per day (22.7% on weekdays, 52.4% onweekends). However, only 9.4% of respondents thought that their sun exposure was problematic and 62.7% ofrespondents considered moderate sunlight exposure healthy. Respondents`` sun-protective behaviors were inadequate:only 29.8% used sunscreen regularly, and 16.5% have never used sunscreen. SPF was the most important factor inchoosing sunscreen, and 83.3% used a sunscreen with a labeled SPF over 30. By contrast, only 34.6% ofrespondents used PA+++ sunscreen. Conclusion: Despite fairly good knowledge regarding the harmful effects of sunlight, subjects underestimated therisks of their sun exposure and sun-protective behaviors were suboptimal. Education on the risk of UV exposure andeffects of sunscreen is still needed. (Korean J Dermatol 2015;53(1):16∼22)

      • SCOPUSKCI등재

        Differentiation of Desmoplastic Spitz Nevus from Similar Conditions

        ( Min-woo Kim ),( Ji Soo Lim ),( Yun Seon Choe ),( Jung Ho Kim ),( Hyun-sun Yoon ),( Soyun Cho ),( Hyun-sun Park ) 대한피부과학회 2016 대한피부과학회지 Vol.54 No.9

        The diagnosis of classic Spitz nevus with characteristic histopathologic findings is often straightforward, but unusual variants can cause diagnostic difficulties. Desmoplastic Spitz nevus (DSN) is of particular importance, as its differential diagnosis from other diseases, including desmoplastic malignant melanoma (DMM), is essential but often difficult<sup>1</sup>. A 38-year-old Caucasian woman presented with a 6-mm brownish papule of unknown onset on the dorsum of her left hand (Fig. 1A). She did not report any change in the papule size, trauma history, or related symptoms, but she wanted to have the lesion removed. Punch excision of the specimen revealed proliferation of individual spindle and epithelioid cells with scanty pigmentation within dense colla-genous dermal stroma (Fig. 1B, C). The specimen was focal positive for S-100 and HMB-45, positive for Melan-A, and 1% positive for Ki-67 (Fig. 2A∼C). The lesion did not recur after punch excision at the 1-year follow-up. Since its first report in 1975, there have been only a few case series of DSN owing to the rarity of this disease and its under-recognition, except for intermittent case reports<sup>1-3</sup>. DSN usually presents as a small red-brown papule on the trunk and extremities. It can occur at any age, but is mostly observed in young adults, with a slight female predominance. The distinctive histopathologic features of DSN―an intradermal growth pattern of large spindle or epithelioid nevus cells embedded in a fibrotic stroma, sparse melanin pigment, no junctional activity, no Kamino bodies, no prominent nest formation―can aid its differentiation from clinical simulators. Additionally, immunohistochemistry is essential for a differential diagnosis. DSN tests positive for S-100, Melan-A, and HMB-45, whereas dermatofibroma is negative for all three<sup>3</sup>. Hypomelanotic blue nevus shows uniform positivity for HMB-45, whereas DSN shows differential expression in most spindled cells3. The distinction between DSN and DMM is the most important. DMM is more common in elderly patients and tends to occur on sun-damaged head and neck areas. It also shows cellular atypia, strong mitotic activity and Ki-67 expression, less frequent S-100 and Melan-A positivity, and almost exclusive negativity for HMB-45<sup>2,3</sup>. Some researchers regarded DSN as an end stage of Spitz nevus that had lost continuity with the epidermis and undergone fibrosis. Paniago-Pereira et al.<sup>2</sup> also reported that DSNs occurred in patients older than 30 years. These findings suggest that desmoplasia might be an aging process of Spitz nevus. However, Barr et al.1 found no significant difference in patient age, disease duration, or trauma history between patients with DSN and common variants of Spitz nevus, and suggested that desmoplasia may be a tumor-induced reactive stromal induction rather than a regressive phenomenon. The pathogenesis of desmoplasia has not yet been clearly elucidated. Moreover, it is controversial whether DSN should be regarded as a variant of Spitz nevus or whether it belongs to a spectrum of desmoplastic nevus as a distinctive entity<sup>3,4</sup>. Some researchers5 suggested strict diagnostic criteria for de-smoplastic nevus, including greater cellularity in the super-ficial portion, and a mixture of melanocytic nevus cells, ovoid and dendritic melanocytes, and spitzoid melanocytes. Further, they mentioned that lesions in which one particular type of melanocyte predominates over others are more likely to represent DSN. Dermoscopic findings can also aid the distinction, because DSN shows dotted vessels and reticular depigmentation whereas desmoplastic nevus demonstrates a delicate pigment network over a pinkish background<sup>4</sup>. Although it is regrettable that we did not acquire dermoscopic image to support the diagnosis, our case overall seems more com-patible with DSN. However, the probability of a morphologic spectrum that embraces DSN and desmoplastic nevus cannot be excluded, and requires further studies. Here, we report an unusual desmoplastic variant of Spitz nevus with a literature review, and propose keynotes for differential diagnosis from its simulators, especially DMM.

      • KCI등재

        임플란트의 collar design이 변연골과 연조직에 미치는 영향

        유현상,강선녀,정창모,윤미정,허중보,전영찬 대한치과보철학회 2012 대한치과보철학회지 Vol.50 No.1

        연구 목적: 임플란트 경부가 잘 설계된 경우 양호한 연조직 반응을 통해 변연골을 보존하는데 도움이 된다. 본 실험에서는 연, 경조직 경계부에 가장 가까이 위치하는 임플란트의 collar design이 변연골 변화와 연조직 반응에 미치는 영향을 동물실험을 통해 알아보고자 하였다. 연구 재료 및 방법: 2마리의 건강한 Beagle dog에 임플란트 collar design만 다른 두 종류의 임플란트(Neobiotech Co. Seoul, Korea)를 식립하였다. Collar에 bevel 을 부여한 군(Bevel 군)과 "S"자 형태를 부여한 군(Bioseal 군)으로 나누어 마리 당 7개, 군당 7개, 총 14개의 임플란트를 무작위로 식립한 후 Healing abutment를 즉시 체결하였다. 디지털 표준구내 방사선사진을 이용해 4주 간격으로 총 12주간 근원심 변연골 변화를 관찰하였고, 12주에 희생하여 조직학적 분석을 통해 협설 변연골 흡수 및 임플란트 주변 연조직 반응을 평가하였다. Mann-Whitney test를 통해 동일한 방사선 사진 촬영 시점에서 근원심 변연골 변화량 및 조직계측치를 군 간 비교하였고, Kruskal-Wallis test를 통해 방사선 사진상 근원심 변연골 변화량이 시간에 따른 차이가 있는지 군 내 분석 한 후 Duncan test를 통해 사후 검증하였다(α=.05). 결과: 방사선학적 분석 결과 각 촬영 시점에서 두 군간 근원심 변연골 변화량의 차이를 보이지 않았다(P>.05). 군 내에서 시간에 따른 근원심 변연골의 흡수량을 분석한 결과 Bevel 군에서는 시간에 따른 차이를 보이지 않았으나 (P>.05), Bioseal 군에서는 시간에 따른 차이를 보였으며, 4주및8주와 비교했을 때 12주에서 변연골의 증가를 보였다(P<.05). 조직학적 분석 결과 협설측 변연골 흡수량에서 두 군간 차이를 보이지 않았으나 (P>.05), Bevel 군에 비해 Bioseal 군에서 더 견고한 결합조직부착을 관찰할 수 있었으며, 생물학적 폭경의 값은 두 집단 간 차이를 보이지 않은 반면에 (P>.05), 접합상피부착은 Bevel 군에서 유의하게 길었고, 결합조직부착은 Bioseal 군에서 더 길게 나타났다(P<.05). 결론: Bevel 군에 비해 Bioseal 군에서 결합조직부착은 길게 형성된 반면에 접합상피부착은 더 짧게 나타났으며, 생물학적 폭경과 초기 변연골 흡수에는 차이가 없음을 알 수 있었다. 연조직 반응의 차이가 실제 기능하중 하에서 변연골 변화에 미치는 영향에 대해서 향후 연구가 필요할 것으로 생각된다. PURPOSE. The purpose of this study was to investigate the effects of implant collar design on marginal bone change and soft tissue response by an animal test. MATERIALS AND METHODS. Two types of Implant (Neobiotech Co. Seoul, Korea) that only differs in collar design were planted on two healthy Beagle dogs. The implants were divided into two groups, the first group with a beveled collar (Bevel Group) and the second group with "S" shaped collar (Bioseal group). Standardized intraoral radiographs were used to investigate the mesio-distal change of the marginal bone. Histological analysis was done to evaluate the bucco-lingual marginal bone resorption and the soft tissue response adjacent to the implant. Mann-Whitney test was done to compare the mesio-distal marginal bone change at equivalent time for taking the radiographs and the tissue measurements between the groups. RESULTS. Radiographic and histological analysis showed that there was no difference in marginal bone change between the two groups (P>.05). Histological analysis showed Bioseal group had more rigid connective tissue attachment than the Bevel group. There was no difference in biological width (P>.05). Bevel group showed significantly longer junctional epithelium attachment and Bioseal group showed longer connective tissue attachment (P<.05). CONCLUSION. For three months there were no differences in marginal bone change between the Bevel group and the Bioseal group. As for the soft tissue adjacent to the implant, Bioseal group showed longer connective tissue attachment while showing shorter junctional epithelium attachment. There were no differences in biologic width.

      • 인터넷을 통해서 본 미국 고등학교의 생물교육 내용 분석

        윤한선,김종균,김현섭 공주대학교 사범대학 과학교육연구소 1999 과학교육연구 Vol.30 No.1

        컴퓨터 통신과 인터넷에 힘입어 앞으로의 교육은 온라인 교육이 보편화될 것이다. 생물 교육에도 온라인 교육이 교육의 한 형태로 자리매김할 것으로 예상되므로 인터넷상의 학습 정보가 어느 정도인가를 파악하는 것은 매우 의미있는 일이라 생각된다. 따라서, 본 연구는 우리 나라보다 인터넷이 먼저 도입되고 또 많은 정보가 실려 있는 미국 고등학교 홈페이지의 생물 교과 내용을 조사 및 분석하여 우리 나라 고등학교의 생물 교과 온라인 교육 자료 제작에 참고할 수 있도록 함으로써 생물 교과의 수업에 조금이나마 도움을 주는 데 목적을 두고 수행되었다. 생물 교과 내용이 우수한 고등학교를 선정하기 위해서 미국에서 일반적으로 많이 적용하고 있는 4개의 홈페이지에 실린 19개 Topic을 기준으로 삼았다. 미국의 고등학교 홈페이지에 실린 내용이 그 기준에 어느 정도 접근하였는지를 조사하여, 접근률이 가장 큰 것에서부터 10개의 홈페이지를 선정, 그 내용을 분석하였다. 그 결과는 다음과 같다. 1. 미국 고등학교 훔페이지에는 학생들이 스스로 공부할 수 있는 생물 교과 내용이 충분히 있었고, 각 Topic에는 관련 사이트들이 많이 연결되어 있어서 각자의 능력에 맞는 내용을 선택하여 이용할 수 있게 되어 있었다. 2. 또한 전자우편을 통하여 질문과 답변뿐만 아니라 시험문항에 대한 답을 교환할 수도 있었다. 3. 표준으로 삼은 4개의 홈페이지와 상위 10개 홈페이지에 주로 소개되는 Topic은 Classical Genetics, The Cell, Biological Evolution, Chemistry of Life, Plants, Molecular Basis of Heredity, Energy, Diversity of Organisms, Behavior of Organisms, Cellular Respiration의 순서로 나타났는데, 이들 내용은 우리 나라 고등학교의 생물 교과 온라인 수업에 이용될 내용을 선정하는 데 참고로 삼을 만하였다. The continuous development of internet makes us not only use many types of information such as letters, pictures, sounds, animations and video-visions synthetically, but ?? communicate with each other. In a short time, we will make use of the computer with multimedia instead of the blackboard in education. And the on-line education will be world-wide by the help of telecommunication and internet. Naturally, it also will be applied to biology education. The purpose of this study is to analyze the homepages of the United States high school in order to help building up the data-base for high school biology curriculum of our country. For this study, we first investigated the references. Next, we classified and standardized the curriculums of the United States high school. After that, we searched for the high school home pages in the registered engine. Finally, we selected and analyzed the home pages close to the standard biology curriculum of them. The analyzed results were as follows. 1. The homepages of the United States high school were contained much biology related contents, and linked to various related topic sites including many animations to stimulate interest of students. It means that United States high school make good use of internet for the biology learning. 2. The homepags of the United States high school were also contained the teaching plan, the informations and questions for examination so that students may catch the way of learning. 3. It may be possible that students self-study using them. because the homepages were composed of the simple and systematic structure.

      • KCI등재

        철근콘크리트 장방형 전단벽의 비선형 유한요소 해석

        윤현도,한민기,김선우,박완신,양일승,한병찬 대한건축학회 2005 大韓建築學會論文集 : 構造系 Vol.21 No.2

        The major objective of the present study is to conduct parametric study and to propose a finite element analysis(FEA) technique of the reinforced concrete rectangular shear walls using ABAQUS under constant axial and monotonic lateral load. A FEA of the reinforced concrete walls are different to aspect ratio and a detailed finite element models are created to study the post-cracked mode of failure in plastic region of the walls. The proposed models account for the effect of material inelasticity, concrete cracking, and geometric nonlinearity. The prossed FEA model is verified by Lefas's benchmark data and validated through comparisons with experiment result of reinforced concrete shear walls. Finally, the study considered various parameters and compared with ACI 318-02 to confirm accuracy of this study: aspect ratio, axial force ratio, vertical and horizontal reinforcement ratio.

      • KCI등재

        와동내에 조사된 열의 전도양상에 관한 연구

        윤현두,허선,김재곤,이두철,백병주 大韓小兒齒科學會 1998 大韓小兒齒科學會誌 Vol.25 No.3

        The purpose if this study was to evaluate temperature change occurred in enamel, dentin and pulp due to the heat from cavity prepration with laser. We made three models had different cavity depth : cavity depth of model Awas 3.52mm, model B was 2.32mm, model C was 1.16mm. We irradiated cavity base with thermal capacity of 30J,100J,300J/㎤s during few seconds and studied the change of temperature in tooth during 10 seconds, and estimated change of thermal capacity by different irradiated site and exposure time. AT 300j/㎤s irradiation for 2 seconds, the temperature of irradiated surface was elevated fast according to irradiated thermal energy during I second, In proportion to continuous exposure time, temperature elevated slowly The surface temperature was 1370℃. After discontinue of thermal irradiation, the heat of irradiated surface was diffused in dentin and pulp and the greatest temperature was made, The greatest temperature was disappeared within 10 seconds The greatest temperature of the inner part of model brought about very severe change by different depth. Temperature in pulp was raised by the greater irradiated energy density and exposure time.

      • KCI등재후보

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