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      • 2% Dorzolamide 점안액을 사용한 녹내장환자에서의 안압 변화 : A Clinical Study

        김창식,조항진,이강일 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

        2% dorzolamide solution (Trusopt ^TM) is commercially available recently, and we applied this new agent to glaucoma patients to assess the effect on the korean glaucoma patients. We prescribed 2% dorzolamide solution three times a day for the patient who had not shown a significant fluctuation of intraocular pressure (IOP) under the same regimen at least 4 weeks interval. We assessed the IOP of the 30 eyes of 18 patients before and 4 weeks and 8 weeks after initiation of this agent retrospectively. The patients were divided into 3 groups ; group 1 composed of 3 eyes of 2 patients who had not used any ocular hypotensive drugs before this study. Group 2 was composed of the patients who had used more than 1 ocular hypotensive solutions, and 2% dorzolamide was added to their regimen. Patients who had used more than 1 ocular hypotensive agents including oral acetazolamide was classified as group 3, and one of their regimen was substituted to 2% dorsolamide solution. The mean IOP of group 1 was decreased by 27.3% at 4 weeks and 21.6% at 8 weeks after initiation of new drug. In group 2, there was an additional decrement of mean IOP by 19.0% at 4 week and 23.6% at 8 weeks. And in group 3, there was a decrement of mean IOP by 19.4% at 4 weeks and 20.9% at 8 weeks for the 3 eyes for which we substituted pilocarpine solution with dorzloamide. In the 4 eyes to which we exchanged beta-blockers with dorzolamide, the IOP decreased slightly by 9.9 and 6.3% respectively. In the 11 eyes for which we discontinued acetazolamide and used dorzolamide, the IOP was decreased by 7.1% at 4 weeks, but the IOP was increased by 13.0% at 8 weeks after substitution. Although we need more long term study with more large numbers of subjects, from the above result we can expect hypotensive effect when we use this drug as a single regimen, and additional hypotensive effect when we add this solution to other regimen. And this drug may substitute pilocarpine or beta-blocker effectively, but we should be careful when we are trying to replace the acetazolamide with dorzolamide.

      • 도시계획 의사결정 지원시스템의 구성에 관한 시론적 고찰

        김항집 광주대학교 1998 産業技術硏究 Vol.11 No.-

        도시계획과 관련된 단편적인 데이터베이스나 단일업무 시스템은 도시계획 관련자료를 부분적으로 전산화하거나 도시계획 실행과정의 업무흐름 중 일부 업무만을 대상으로 삼고 있다. 이와 같이 특정 업무만을 위한 단일시스템의 개발로 인해 전체 개발비용의증대, 도시계획 업무영역 내에서 자료구축의중복성, 도시계획업무 응용시스템 개발의 중복성, 개별적인 자료구축으로 데이터의 비호환성, 도시계획 업무영역 내에서 시스템간의 연계성 부족으로 활용 미비 등의 문제점이 노출되고 있다. 이러한 불합리한 도시계획 의사결정 지원체계를 개선하기 위해서는 도시계획 의사결정 지원시스템이 단일 업무시스템이 아닌 도시계획에 관련된 모든 정보를 통합하는 종합적인 의사결정시스템이 되어야 하고, 시민의 의견을 수렴하고 도시정책 결정 과정을 투명하게 제시해 줄 수 있는 양방향 시스템이어야 한다. 그러므로 도시계획 의사결정 지원시스템을 구축하기 위해서는 도시계획 의사결정 체계의 분석, 도시계획 의사결정 지원시스템의 구축, 도시계획업무의 재구축 등 단계별로 시스템의 구축을 진행하는 것이 바람직하다. Rational spatial decision making can be made by the datum that exactly describe phenomena in some area and the informations that systematically analyzed it. It is urban planning that spatial development technique which used to analyze enormous urban phenomena and to describe detailed spatial decision making process. It has been tried to establish systematically decision making process for urban planning. Especially in recent years, many studies and projects are carried out to apply GIS into urban planning. But most parts of these are just constructing partial data base or developing stand alone system on urban planning. This causes many problems in urban planning operations of local government : redundancy of data base, data and system incompatibility, increase of system development cost and etc. To resolve this problems, it is urgent to construct the schema of the integrated urban planning decision support system(UPDSS). That is, in computerization of urban planning operation, first of all it is important to set up the system schema of entire urban planning work, and later subsystem(for example, land use planning system, sewer management system, road management system, etc.) has to be developed under the entire system structure. The purpose of this study is to establish the structure of UPDSS and to suggest the schema of that system. UPDSS is comprised of three parts : urban planning data base, urban planning application base and citizen's participation system in urban planning by internet.

      • SWAP을 이용한 金融機關의 ALM전략에 관한 연구

        金興植 동국대학교 경주대학 1995 東國論集 Vol.14 No.-

        In this paper swap-based asset and liability management is introduced with an emphasis on how the strategy can be utilized in controlling the impact of volatile financial market conditions. In recent years, swap markets have become one of the most popular and effective financial markets available to the manager's of financial institutions for controlling the interest rate sensitivity of their balance sheet positions. In a high and volatile interest rate environment of Korean financial markets, management of interest rate risk exposure of financial institutions is very important to keep an competitive edge. Opportunities in off-balance sheet activities amy be one possible way to provide yield enhancement while controlling risk over traditional strategy, such as duration-based strategy.

      • 일차의료기관 방문환자의 지속성지수에 관한 조사 연구 : 서울지역 의료보험환자를 대상으로

        김영열,최보율,박항배 한양대학교 의과대학 1988 한양의대 학술지 Vol.8 No.2

        Continuity is considered as an essential attribute of primary care but interruption and duplication are frequent in actual health care system. Continuity of care is conceptually defined as "personal responsibility neither limited by the nature of the illness nor by the time spent with the patient and uninterrupted succession of events consistent with the medical care needs of patients." Several authors proposed various statistical measures for quantifying the continuity and studied the relationship between continuity and it's determinants. Although controversy exists in the relationship between the continuity and the quality of care, there have been increasing evidences suggesting the continuity of carebrings better outcomes. This study was carried out to estimate the score of some continuity indices and investigate the relationship between these indices and type of illness and characteristics of patients and providers using the records of medical insurance patients (527 persons) visiting primary care units in Seoul, Korea. The selected continuity indices in this study were UPC (usual provider continuity), COC (continuity of care), CI (continuity index), MCI (modified continuity index) and MMCI (modified modified continuity index). Major findings are as follows: 1. The mean of UPC, COC, CI, MCI and MMCI were 0.464, 0.496, 5.932, 0.672 and 0.763 respectively. 2. The scores of continuity indices for chronic illness were higher than acute illness, statistically significant in COC, CI and MMCI. 3. Age groups of 14 years or younger and 45 years or older had higher scores of continuity indices than other remained age group but statistically significant in MCI and MMCI only. Male had higher scores than female, significant in CI, MCI and MMCI. 4. There was no relationship between scores of UPC and age, sex, board certification of providers and duration of practice at present location.

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