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      • KCI등재후보

        NIHSS 활용을 통한 뇌졸중 환자 간호의 질향상 전략

        박경현,송경애,공혜성,나화주,유수경,박소영,김상희,최혜림,배희준,한문구,양미화 한국의료QA학회 2009 한국의료질향상학회지 Vol.15 No.2

        문제: 뇌졸중 환자를 돌보는 간호현장에서는 급성기 뇌졸중 환자의 증상악화에 대한 조기사정과 적절한 대처가 매우 중요한 문제이다. 그러나 임상현장에서는 이를 객관화하고 수치화하여 모든 의료진이 의사소통할 수 있는 유용한 도구를 사용하고 있지는 못하는 실정이다. 이러한 문제를 해결하기위해 NIHSS(National Institute of Health Stroke Scale)를 신경과 진료의사를 중심으로활용하고 있지만 아직 간호현장에서는보편적으로사용하지 않고있다. 이에 뇌졸중환자간호에 NIHSS를 활용하여 뇌졸중 증상악화의 조기사정과 빠른 대처로 궁극적으로는 뇌졸중환자 간호의 질을보다 향상시키기 위하여 본활동이 시도되었다. 목적: 첫째, 간호사의 NIHSS 측정 신뢰도의 현수준을 점검하고 이를향상시키기 위한 프로그램을 개발·적용한다. 둘째, 간호사가급성기 뇌졸중환자에게 NIHSS 측정을 통하여 뇌졸중악화를 얼마나 예측할 수 있는지 분석하고 이를 향상시킬수있는 방법을 모색한다. 셋째, 궁극적으로 급성기 뇌졸중 환자의 증상악화의 조기 발견과치료를위한의료진의 올바른 대처지침을 마련하여 이를 적용한다. 의료기관: 경기도에 소재한 대학병원의 뇌졸중 집중치료실 질 향상 활동: 첫째, 간호사의 NIHSS 측정 신뢰도 향상을 위해 「NIHSS 간호사 교육 프로그램」을 마련하였다.

      • 미생물 증식과 대사에 미치는 고추 및 마늘 oleoresin의 영향

        박미숙,박재림 신라대학교 자연과학연구소 1996 自然科學論文集 Vol.2 No.-

        향신료로서 중요한 위치를 차지하는 고추(Capsicum annuum L.)와 마늘(Allium sativum L.)의 저장과 이용도를 높이기 위하여 oleoresin 형태로 제조하여 그 oleoresin이 미생물 증식 및 대사(α-amylase activity, ethanol 생산, lactic acid 생산, 세포형태)에 미치는 영향을 조사하였다. 실험에 이용된 미생물은 세균 B. subtilis, E. coli, L. plantarum., St. aureus, 효모 S. cerevisiae 였다. 고추 oleoresin은 그 첨가농도가 증가(0.1%, 0.2%, 0.3%) 할수록 증식이 촉진되는 것으로 나타났으며 특히, 고추 oleoresin(3%) 첨가로 E. coli가 대조군의 170%, St. aureus가 130%로 촉진되었다. 마늘 oleoresin은 첨가농도가 증가(1%, 2%, 3%)할수록 B. subtilis와 S. cerevisiae의 증식이 저해되는 것으로 나타났으며, 특히 S. cerevisiae는 1% 첨가로 증식을 크게 억제하여 대조군의 2%에 그쳤다. 그러나 L. plantarum의 증식은 고추와 마늘 oleoresin의 영향을 받지 않았으나 고추 oleoresin(0.3%)은 lactic acid 생산을 촉진시키고 마늘 oleoresin(2%)은 그 생산을 억제하였다. 마늘 oleoresin은 S. cerevisiae ethanol 생성도 대조군의 50% 이하로 현저히 감소시켰다. 마늘 oleoresin은 B. subtilis의 세포벽에 손상을 주고 형태와 크기가 일정하지 않게 영향을 끼쳤다. The oleoresins from red pepper and garlic were tested to investigate the effects on the growth and metabolic activities of several microorganisms. The organisms tested were : Bacillus subtilis IFO 3026, Escherichia coli ATCC 25922, Lactobacillus plantarum KCCM 11322, Staphylococcus aureus KCTC 1927, and Saccharomyces cerevisiae IAM 4597. The growth of the organisms were activated more than the control cultivating with pepper oleoresin in accordance with the concentration increased from 0.1% to 0.3% in the medium. The growth of E. coli was activated markedly about 170% of the control group by pepper oleoresin(3%) and St. aureus was about 130%. However, garlic oleoresin inhibited the growth of B. subtilis and S. cerevisiae, especially, the growth of S. cerevisiae were inhibited markedly by 2% of the control using 1% of the oleoresin. The growth of L. plantarum did not affected by the use of both oleoresins. While pepper oleoresin(0.3%) activate lactic acid production by L. plantarum, garlic oleoresin(2%) inhibit it. Ethanol production by S. cerevisiae were inhibited less than 50% of the control group by the garlic oleoresin. The abnormality of cells such as, damaged cell wall, and irregular shape and size, were observed in B. subtilis by the garlic oleoresin.

      • 생물학적 처리공정을 거친 돈사폐수의 영양염류 제거를 위한 Duckweed(Lemna Species)의 이용 및 생장특성(Ⅰ)

        박미란,김병욱,임재명 江原大學校 附設 環境硏究所 2000 環境硏究 Vol.17 No.-

        This study was performed to investigate nutrient removal characteristics of swine wastewater using duckweed as floating aquatic plant, and growth characteristics of duckweed with retention time. As the result of experiments, nutrient removal efficiency was very high in a retention time of 3 days, and was more than 90 % on the all operation conditions in a retention time of 10 days. Growth rate was most effected by the change of retention time. Growth rate was very high as 0.280 day^(-1) in a retention time of 3 days. Growth rate decreased gradually as retention time increased, so it was very low as 0.084 day^(-1) when a retention time was 10 days. Crude protein content was very high with ranges of from 23.9 % to 37.6 % as dry content during operating periods. Consequently, duckweed can be used to treat the swine wastewater and its biomass can be used for the alternative protein source as animal food, very effectively.

      • KCI등재

        PISA 2012 결과에 나타난 성별에 따른 학업성취 영향요인 비교

        송미영,임현정,임해미,박혜영,구자옥 이화여자대학교 교육과학연구소 2015 교육과학연구 Vol.46 No.4

        The existence of gender gaps in the Programme for International Student Assessment (PISA) scores has been documented in the literature. In particular, it was revealed that on average Korean female students underperform/outperform their male counterparts in mathematics/reading scores for PISA 2012. This study was conducted to examine crucial determinants in understanding gender differences. We examined whether or not the influence of educational contextual variables on mathematics, reading and science achievement differs by gender using multilevel model with each group of male and female students. As a result, there were variables that had more influence on male or female students, though there were some differences by subject. It can be concluded that females have been affected more by teachers than by parents, while males have been affected more by parents. Also, creative extracurricular activities had much more of an effect male students than females. In addition, participation in math-related activities only influenced females, and academic and vocational expectation in math and class management of math teachers only influenced male students. Based on the results, we proposed an educational and political plan that may bridge disparity gaps in academic achievement by gender.

      • 대학생의 수면양상과 수면장애요인에 관한 연구

        김유진,박미경,박이랑,이보람,이혜림,전선미,양난영,김수지,이자형 이화여자대학교 간호과학대학 2004 이화간호학회지 Vol.- No.38

        The results of this Study are as follows:33.6% of all participants have insomnia; 22.5% of those who have insomnia are DIS(difficulty in initiating sleep), 17.3% are DMS(difficulty returning to sleep once awakened) and 7.0% awakened too early. 3 4.8% experience sleepiness during daytime. Type 1, experiencing insomnia and sleepi ness during daytime together, is 12.0%, Type 2, with insomnia only, is 21.6%, Type 3, with sleepiness during daytime only, is 22.8% and 43.5% experience no sleeping disturbances. After studying only those with 3 types of sleeping disturbances, it is found that the most common cause of such disturbance is stress 88.4%, anxiety 56.0%, no apparent reason 33.8%, anxiety/fear/terror 29.3%, hurry 23.6%, alcohol/caffeine 16.9%, bedroom tem perature 11.1%, urination during nighttime and persons living together 10.7%, noise from inside 8.9%, illumination 8.0%, and pain/itch 5.8%. The one group revealed significant differences in residential environment(p=0.003). Sex, age, education level, medicine, monthly earning revealed no meaningful differences. Of sleeping behavior, mean duration of sleep latency(p=0.000), whether or not feeling freshness(p=0.000), whether taking enough sleep(p=0.029), whether taking regular sleep(p=0.005) showed significant differences depending on whether or not having insomnia, and mean duration of sleep time, time to sleep, time of rising, whether taking naps did not reveal significant differences. Of sleep behavior, time to sleep(p=0.000), whether taking naps(p=0.000), indicated significant differences. Of sleeping behavior, mean duration of sleep latency(p=0.000), whether or not feeling freshness(p=0.000), and whether taking enough sleep(p=0.000), time of going to bed (p=0.002), whether or not taking nap(p=0.000), whether or not taking regular sleep(p=0.010) indicated significant differences among the sleeping disturbance types.

      • 시각적 피드백을 병행한 어깨복합운동프로그램이 어깨비대칭 청년들의 어깨 근력과 정렬에 미치는 영향

        강순희, 강은지, 목미경, 박지연, 손혜림, 연우정 한국교통대학교 2016 한국교통대학교 논문집 Vol.51 No.-

        The purpose of this study was to identify whether shoulder complex exercise program with visual feedback could improve the shoulder muscular strength and postural alignment in adolescents with shoulder asymmetry. Twenty eight subjects were recruited from the K university and divided into three groups: experimental 1, 2group(Each n=10) and control group(n=8). For 4 weeks, the experimental group 1 performed shoulder muscle complex exercise program and the experimental group 2 performed shoulder complex exercise program with visual feedback. The control group did not perform exercises. The shoulder muscle strength and difference between the height of left and right shoulders were assessed before, after training using the hand-held dynamometer and Global Posture System. Subordination variables, general characteristics analysis, χ² test and Kruskal Wallis H test were conducted to evaluate differences between groups and training before, after changes were checked Wilcoxon signed rank test with using the PASW 18.0 statistical program. The results of the study were as follows. 1) Both the experimental 1, 2group showed improvements in muscle strength of several muscles following training (p<.01). The control group showed significant reduction in the left posterior deltoid (p<.05), and did not show significant changes in examining other muscles (p>.05). And there were differences among three groups in shoulder muscle strength (p<.001). Muscle strength changes in several muscles were greater in the experimental 1, 2group compared with the control group (p<.001). Muscle strength changes in the several muscles were greater in the experimental group 2 compared with the experimental group 1 (p<.001) 2) Both the experimental 1, 2group showed significant decreases in the difference between the left and right shoulder heights following training (p<.01). The control group did not show change (p>.05). Changes in the difference between the left and right shoulder heights were greater in the experimental 1, 2group compared with the control group (p<.001).

      • Propylthiouracil에 의한 중증 급성간염 1예

        임종주,심미령,이명수,김태현,오석규,안선호,박무림,김남호,박병현,조성구 圓光大學校 醫科學硏究所 2002 圓光醫科學 Vol.17 No.2

        PTU에 의한 간염의 발생은 매우 드물게 발생하는 것으로 알려져 있으나 저자들은 Graves씨 병으로 진단 받고 propylthiouracil 투여를 받고있던 환자에서 중증의 급성 간염이 발생한 1예를 경험하였기에 보고하는 바이다. Propylthiouracil is widely used to treat patients with hyperthyroidism. This drug has been associated with severe hepatotoxicity rarely. We presented the case of jaundice and profound liver dysfunction from a 23-year old woman treated with propylthiouracil for hyperthyroidism. Viral, metabolic, and autoimmune liver disease could be excluded and liver biopsy revealed a pattern of acute hepatitis. After discontinuing the drug, there was a progressive resolution of hepatic symptoms and decrease in biochemical data of the liver. Despite propylthiouracil induced hepatitis in rare case, patients receiving propylthiouracil are exposed to develope severe hepatotoxicity. Therefore it might be advisable to monitor level of the transaminase on regular base from patients receiving propylthiouracil.

      • 한글대장경 웹 검색 시스템의 구현

        구현우,선수림,박미화,이재수,이용규,이금석,홍영식,한보광 동국대학교 전자불전연구소 2007 전자불전 Vol.9 No.-

        본 연구는 한글대장경 전산화 6차 사업으로 한글대장경 30책 분량을 전산화하여 검색 시스템을 구축하는데 목적이 있다. 고려대장경의 우리말 번역본인 한글대장경을 전산화하기 위해 개역된 고문헌을 입력하여 데이터베이스로 구축하고, 인터넷을 통해 그 내용을 검색할 수 있도록 한다. 한글대장경 고문헌은 확장한자, 누락문자, 특수문자 등을 포함하고 있어서, 본 연구에서는 효과적인 입력과 저장을 위해 유니코드(Unicode)를 사용하며, 유니코드로 표현하지 못하는 문자들은 이미지 폰트를 생성하여 표현한다. 데이터베이스를 구축하기 위해서 DBMS로는 MS-SQL 7.0을 사용하고, 운영체제로는 윈도우 2000 서버를, 웹 서버로는 IIS(Internet Information Server)를 사용하여 검색 시스템을 구축하였다. 또한 다양한 검색 방법을 제공하는 검색 엔진을 개발하여, 유니코드로 저장된 한글대장경 고문헌의 내용을 웹(http://ebtc.dongguk.ac.kr/)을 통해 보다 쉽게 전 세계에서 접근할 수 있도록 한다. This research aims for constructing retrieval system by digitizing thirty books quantities of Hangul Tripitaka in the 6th Hangul Tripitaka Digitization Project. For digitizing Hangul Tripitaka which is a Korean version of the Tripitaka Korean, we can input, store the retranslated archaic documents in database, and search their contents through the Internet. Because the archaic documents of Hangul Tripitaka includes extension characters of Chinese origin, missing characters and special characters, we input and store documents use Unicode and make image fonts that cannot be represented by Unicode. Also, for developing retrieval system in this research, we use MS-SQL 7.0 and IIS(Internet Information Server) on Windows 2000 Server. By developing search engine which provides variety of retrieval methods, people who concern the archaic documents in the whole world can access Hangul Tripitaka saved as Unicode using the Web.

      • 일부 흡연 대학생의 지각된 스트레스와 흡연실태에 대한 상관관계 연구

        강초록,권시내,권혜림,박수경,송인혜,오해인,이미지,한승아,황선아,김수지 이화여자대학교 간호과학대학 2003 이화간호학회지 Vol.- No.37

        In spite of the seriousness of smoking harm has been developed these days. the increase of national smoking rate and that the people in the twenties are especially leading the rise of national smoking rate is an important issue of national health. Smoking of the university students can occur health problem and cause loss of manpower and expenses in their social activity period. So then the actual state for prevention of smoking and development of a program to prohibit smoking has to be seized urgently and starting with the study of the realities of university students, the effort to find a related fluent of smoking has to be studied. Related to this, the purpose of this study is to seize the general characteristics of smoking university students and to find out the relationship between perceived stress and smoking status among smoking university students. In addition, by collating the relationship between perceived stress and smoking status among smoking university students we have the purpose to furnish the basal data of stress care, the best way to cope with stress through group training and the plan for nursing implementation to decrease the smoking rate. For this study, a survey was conducted for 204 smoking university students of 13 universities in Seoul from 9th of May to 16th of May, 2003. The collected data was analyzed by t-test, Pearson Correlation and ANOVA in the statistical packages SPSS/PC. Major findings of this study are as follows; 1. Of the 204 respondents 85.4% of them were male and 14.6% of them were female. The average age of the sample was 23.19 years old and 41.8% of them were in senior, 21.4% in junior, 16.9% in sophomore, 19.9% in freshman grade. The major motivation to start smoking was 'because of curiosity'(33.8%) and the first smoking experience was at 'senior high school' (41.9%) and at 'college' (41.9%). 2 The highest scored stress factor of smoking university students were stresses about school work. 3. 72.7% had experience to quit smoking at least one or more times. Most of the reason to keep on smoking was 'short will to quit'(51.0%) and the smoking place was usually at 'school' (41.4%). Most respondents for the number ofsmoking friends were '5 people and above' (73.2%). 4. There was a negative relationship between the general characteristics and the entire perceived stress, however, there was a positive relationship between the general characteristics and the perceived stress in 4 categories which is 'sex distinction', 'major of study', 'residence form' and' inmate'. 5. There was a negative relationship between the general characteristics and the entire smoking status, however, there was a positive relationship between the general characteristics and the smoking status in 2 categories which is 'presence of hobby' and 'number of smoking friends'. 6. There was a negative relationship between the perceived stress and the smoking status. Through this study we have seized the relationship between the general characteristics, perceived stress and the smoking status of smoking university students. There was a positive relationship between some of the general characteristics with the perceived stress and the smoking status of smoking university students. Also there was a negative relationship between the perceived stress and the smoking status.

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