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        전경대원에서 발생한 결핵의 임상 양상

        문창기,박상준,조민구,김영중,김소연,김윤권,정준오,안석진,김은실,서승오,김지훈,최원제,이윤영,박형기,최규영,김현근 대한감염학회 2006 감염과 화학요법 Vol.38 No.6

        Background: The purpose of this study was to document the incidence and clinical characteristics of patients with tuberculosis (TB) in combat and auxiliary police, living in a group, in Korea where the incidence rate of active TB in a general population is higher than in Western countries. Materials and Methods:We retrospectively reviewed the medical records of all tuberculosis patients diagnosed at National Police Hospital from January 2002 through December 2004. Results:In 2002-2004, a total of 156 cases of tuberculosis were identified with the mean (Standard deviation) age of 20.6 (±1.0) years. Of these, 134 (85.9%) patients were registered as new cases, 11 (7.1%) as relapse, 2 (1.3%) as failure, 5 (3.1%) as treatment-after-default cases whereas 4 (2.6 %) patients were not included in any categories. Average annual new TB rate and smear-positive TB rate were 86.5/10^(5) and 17.4/10^(5) person-years, respectively. In 12 of 31 smear-positive cases, time from onset of symptoms to diagnosis was more than 30 days. Two multidrug-resistance TB cases were identified and two suspected outbreak episodes of TB had occurred during 3 years. Conclusion:There was no statistically significant difference in the incidence rate of new cases of TB between the general population aged 20 to 29 years and combat and auxiliary police in Korea. 배경 : 국내 결핵의 발생은 감소 추세에 있으나 여전히 후진국형 발생양상을 보이고 있다. 특히 집단생활을 하는 젊은이들에서 발생하는 결핵의 유행이 간헐적으로 알려지고 있어 우려를 낳고 있다. 이에 저자들은 최근 전경대원의 결핵 발병 양상에 대해 알아보고자 본 연구를 시행하였다. 재료 및 방법 : 2002년 1월부터 2004년 12월까지 3년간 경찰병원에서 결핵 진료를 받은 전경대원의 의무기록을 후향적으로 분석하여 연도별 결핵 신환발생률, 도말양성결핵 신환율, 진단 지연, 집단발병, 다제내성결핵을 조사하였다. 결과 : 연도별 결핵 신환자 수(10만명당 발생추정치)는 2002년 50명(83.6명), 2003년 42명(83.7명), 2004년 42명(93.5명)이었고 도말양성 폐결핵 신환자 수는 2002년 10명(16.7명), 2003년 11명(21.9명), 2004년 6명(13.4명)이었다. 3년간 도말양성 폐결핵 환자는 31명이 있었고 그 중 12명은 호흡기 증상 발생 30일이 지나서 진단을 받았다. 다제내성 결핵은 2명이 있었으며 결핵의 집단발병이 의심되는 사례는 2차례 있었다. 결론 : 전경대원과 20-29세 연령군 일반인의 결핵 신환발생률, 도말양성 폐결핵 발생률의 통계적으로 유의한 차이는 없었다.

      • 동양 복식의 연구 동향 분석

        은영자,최윤혜,형승희 啓明大學校 生活科學硏究所 1999 科學論集 Vol.25 No.-

        In this study, we investigate the transition of studies in the history of the Eastern costume every 5 years from 1959 to 1998 by sorting the researches into 8 classes in accordance with their topics, in order to grasp earlier and current trends in the discipline and seek a desirable direction to future research. The results of this study are summarized as follows. 1. Research papers in costume are published steadily since 1970, but it appears that the quantity of papers has increased since 1990. Master's theses make the majority of the total researches, occupying 44.8%. 20.4% of the papers appear in college periodicals or else, and 19.6% in Journal of the Korean Society of Costume. The rests are 4.5% in Journal of the Korean society of Clothing and Textiles, 3.7 % in Journal of Korean economic association, and 2.1% in Research Journal of the Culture in order. 2. Based on the classification of the topics of the papers, we have loamed that studies in materials such as patterns, textile, and colors occupy 19.5% making themselves the majority. Other topics are presented in similar frequency. 3. The most frequent topic in Men's costume is the study on Simuy, a Korean traditional jacket and Topho, a Korean traditional coat. The researches in Men's costume, focusing on historical changes, morphology, and colors, are generally performed in bibliographic historical methodology or through analyses of archaeological materials such as relics and paintings. Some papers present ways of draft from the viewpoint of clothing construction. And others include studies on variations of life emotion reflected in local properties and costume and the comparative study of the aspects of costume appeared in Confucian books and I-Ching (易經). 4. The majority of researches on Women's costume are concerned with the Korean traditional jacket Chogori, in which the focus is put on the form of Chogori and some other details. Then, the Korean traditional dress Chima-Chogori, ceremonial dresses, and the Buddhist costume are major research subjects in Women's costume in order. They analyze types and forms of the above mentioned clothes, and hence characterize contemporary aesthetic senses to corroborate the cultural inherence and beauty of the Korean traditional costume. 5. Researches on accessories, in general, concentrate on the diversity of the sorts of them, but lack enough varieties and independence in that they tend to only review the earlier work. Therefore, they need be more diverse and varied in subjects. Nonetheless, it has been found from the papers on accessories that the accessory is not so much a part of costume as an independent object of the discipline. 6. Of the subjects of Studies on materials such as patterns, textile, and colors, the pattern is the most prominent, and the researches on the pattern applied to design and the comparison with other nations' patterns has been increasing, from which we have learned that those researches will be important references in future research. In the case of textile, much work on that in Corye, a Dark Age in the field of costume study has been presented currently, which seems to signify a new breakthrough should be open. 7. Most papers on military and police uniforms have to do with history of changes based on bibliographic data, and investigations into dancing clothes, musicians' costume, and the shamanist costume are also mainly concerned with changes or systems of costume. On the other hand, studies on Kisaeng' Clothes discuss the Chosun Kisaeng's Costume and idiosyncrasies of their status. 8. About a half of papers on archaeological costume and paintings deal with exhumed clothes and textile and record paintings, from which we can tell that the researches in these topics take part in the positivistic study of the history of costume. 9. In the field of the comparative study of costume, researchers have most frequently compared the Korean costume with the Chinese costume, especially concentrating on clothes rather than on ornaments and accessories. On the other hand, it is expected that more interest should be taken in the Japanese costume, because it is not sufficiently investigated in comparison with the Chinese costume. Moreover, it is desirable to extend research interest to countries other than those in the Northeastern Asia since the tendency of the discipline has been to give more attention to the Northeastern Asia than other areas. Needless to say, the comparative study requires the researchers to have enough knowledge of historical backgrounds and local characteristics of other countries. 10. Researches on the costume in the enlightening period and the post-independence era are different than those on other periods' costume in that they are generally interested in the change of costume and the factors of the change.

      • KCI등재
      • KCI등재

        고정함축과 전제

        윤영은 서울대학교 어학연구소 2000 語學硏究 Vol.36 No.3

        This paper investigates two important semantic phenomena, conventional implicature and presupposition. Bach (1999: 327, 365) proposes that "there is no each thing as conventional implicature," and that "the propositions that are alleged to be conventional implicatures are actually aspects of what is said." He also suggests that the expressions that have been thought to generate conventional implicatures do not seem to contribute to the truth-conditional aspects of the sentence, since their contribution is secondary to the main point of the utterance. This paper reexamines the nature of the so-called conventional implicatures. It further searches into the issue of whether conventional implicature and presupposition are identical notions.

      • KCI등재
      • KCI등재

        Leukocyte adhesion deficiency type I 환자의 치험례

        윤은영,이난영,이상호 大韓小兒齒科學會 2009 大韓小兒齒科學會誌 Vol.36 No.4

        Leukocyte adhesion deficiency type I(LAD I)은 혈관 내피 세포에 백혈구가 부착하는 과정에 결함이 발생하여 혈관에서 감염부위로의 백혈구의 이주가 방해되어 발생하는 질환으로, 재발성 감염증과 백혈구 증가증을 보이는 희귀 질환이다. 피부와 점막의 괴사성 감염, 장내 패혈증, 제대염, 중이염, 뇌수막염 등의 임상 증상을 보이며, 이러한 환자들의 주요한 구강 내 증상은 심각한 치주 질환과 치조골 소실, 치주낭 형성, 유치열과 영구치열의 부분적 또는 전체적 조기 상실을 보인다. 본 증례는 심한 사춘기전 치주염 소견을 보이는 LAD type I환자로 국소적, 전신적 감염을 예방하기 위해 정기적인 치과 내원으로 치면 세균막 관리를 시행하였다. 감염 시 항생제 투여 및 세균 도말 검사를 시행하였다. Leukocyte adhesion deficiency is rare inherited defect on phagocytic function resulting lack of leukocyte cell surface expression of β2 integrin molecule that are essential for leukocyte adhesion to endothelial cells and chemotaxis. Clinical features of patients with leukocyte adhesion deficiency type I include recurrent necrotic infection of the skin mucous membranes, and intestinal tract with septicemia, and omphalitis arising from delayed umbilical cord separation. Oral manifestations are severe progressive periodontitis with alveolar bone loss, periodontal pockets, and partial and total premature loss of the deciduous and permanent dentitions. We report a case of leukocyte adhesion deficiency type I in a 5-year-old child with severe periodontitis. In order to prevent local and systemic infection, we controlled periodontal disease with periodic oral prophylaxis. Oral swabs and blood cultures were perfomed for suspected infection, so that optimal measures were taken through the use of appropriate antibiotics.

      • 여성 노인을 대상으로 한 분노조절 프로그램이 부정적 기분 개선에 미치는 효과

        윤은영,박중규 대구대학교 특수교육재활과학연구소 2008 再活科學硏究 Vol.26 No.2

        여성 노인을 대상으로 분노조절 프로그램을 활용하여 부정적 기분 개선에 미치는 효과를 검증하고자 하였다. 실험집단 4명, 통제집단 3명을 대상으로 프로그램 적용 전․후에 특성분노, 분노표현, 우울, 자아존중감 수준을 측정하여, 프로그램 사후에 각 측정영역별로 반복측정 변량분석을 실시하였다. 프로그램은 주 1회, 90분 씩 10주 동안 총 10회기로 진행되었으며, 내용은 회상요법, 이완적 요소, 인지적 요소 등을 적용하였고, 참가 노인의 동기유발, 적극적인 참여에 중점을 두어 실시하였다. 분노조절 프로그램은 특성분노와 분노억제 수준을 감소시키고 분노표출 수준은 증가시켰으나, 분노통제 수준에서는 유의미한 차이가 나타나지 않았다. 또한 분노조절 프로그램은 우울 성향을 감소시켰고 자아 존중감을 향상시켰다. 이러한 결과로 보건데 여성 노인을 대상으로 한 분노조절 프로그램은 분노, 우울, 자아존중감에 영향을 미치며, 여성 노인의 부정적 기분을 개선시키는데 효과적이라고 판단할 수 있었다. This study was conducted to prove the effect of an anger management program on the improvement of negative mood in elderly women by utilizing the program for elderly women, and identify implications in the execution of the program. In order to prove the effect of the execution of the program, the study aimed at 4 participants in a test group and 3 participants in a control group, and measured their trait anger, anger ventilation, depression, and self-esteem before and after the application of the program. Then, the study conducted a pre-and post analysis of variance with repeated measures by the scale of each measured area, and the program was given once a week, 90 minutes per session, for 10 weeks, totaling 10 sessions. The program was delivered through the application of reminiscence therapy, a relaxation factor, and a cognitive factor, and it was focused on motivation and active participation. The research results include the following. 1) The anger management program decreased the trait anger and anger suppression levels, and increased the anger ventilation level; however, there was no significant difference in the anger control level. 2) The anger management program diminished a depressive tendency, and improved self-esteem. Therefore, the anger management program aimed at elderly women was found effective for improving the negative mood of elderly women, while affecting their anger, depression, and self-esteem. 여성 노인을 대상으로 분노조절 프로그램을 활용하여 부정적 기분 개선에 미치는 효과를 검증하고자 하였다. 실험집단 4명, 통제집단 3명을 대상으로 프로그램 적용 전․후에 특성분노, 분노표현, 우울, 자아존중감 수준을 측정하여, 프로그램 사후에 각 측정영역별로 반복측정 변량분석을 실시하였다. 프로그램은 주 1회, 90분 씩 10주 동안 총 10회기로 진행되었으며, 내용은 회상요법, 이완적 요소, 인지적 요소 등을 적용하였고, 참가 노인의 동기유발, 적극적인 참여에 중점을 두어 실시하였다. 분노조절 프로그램은 특성분노와 분노억제 수준을 감소시키고 분노표출 수준은 증가시켰으나, 분노통제 수준에서는 유의미한 차이가 나타나지 않았다. 또한 분노조절 프로그램은 우울 성향을 감소시켰고 자아 존중감을 향상시켰다. 이러한 결과로 보건데 여성 노인을 대상으로 한 분노조절 프로그램은 분노, 우울, 자아존중감에 영향을 미치며, 여성 노인의 부정적 기분을 개선시키는데 효과적이라고 판단할 수 있었다. This study was conducted to prove the effect of an anger management program on the improvement of negative mood in elderly women by utilizing the program for elderly women, and identify implications in the execution of the program. In order to prove the effect of the execution of the program, the study aimed at 4 participants in a test group and 3 participants in a control group, and measured their trait anger, anger ventilation, depression, and self-esteem before and after the application of the program. Then, the study conducted a pre-and post analysis of variance with repeated measures by the scale of each measured area, and the program was given once a week, 90 minutes per session, for 10 weeks, totaling 10 sessions. The program was delivered through the application of reminiscence therapy, a relaxation factor, and a cognitive factor, and it was focused on motivation and active participation. The research results include the following. 1) The anger management program decreased the trait anger and anger suppression levels, and increased the anger ventilation level; however, there was no significant difference in the anger control level. 2) The anger management program diminished a depressive tendency, and improved self-esteem. Therefore, the anger management program aimed at elderly women was found effective for improving the negative mood of elderly women, while affecting their anger, depression, and self-esteem.

      • 인터넷을 이용한 영양교육 프로그램 개발

        윤은영,김윤정 대전대학교 생활과학연구소 1999 생활과학연구 Vol.5 No.-

        The purpose of this study was to develop nutrition education program via internet and evaluate the response of this nutrition education program. For this study, nutrition education media via internet was developed with CGI program. And also to evaluate this program, a survey was conducted with 127 students who lived in Taejon. This survey carried out in May, 1999. This nutrition education program : Step 1 shows one's physical status. Step 2 shows good food habits. Step 3 shows requirement of calorie for weight control, high calorie foods, low calorie foods, recipes to reduce calorie and calorie of fast foods. Step 4 shows methods of exercise for health. Step 5 help to maintain normal weight. Step 6 provides internet site related with obesity. The result of this survey is summarized as follow; Most of the subjects answered this program was very useful(35.4%) or useful(50.4%). By using this information, they could increase their knowledge of nutrition(96.1%), change their food attitude(87.2%) and increase the practice capability of meal management(76.2%). Therefore, internet nutrition education program should be developed much more.

      • 천연자원의 간기능 보호 효과에 관한 연구 : Benzo(a)pyrene에 의해 유도된 간기능 장해에 미치는 강활의 효과 The Effect of Angelica koreana on Benzo(a)pyrene Induced Hepatotoxicity

        윤수홍,이송애,박은주,이주영 효성여자대학교 부설 한국환경위생연구소 1992 환경위생연구 Vol.2 No.1

        민간에서 주로 사용되는 약용식물들 중 간독성의 발현 저해 및 간기능 보호 효과가 우수한약물을 찾아 임상적인 약효를 밝혀보고자 하는 실험과정으로 탄소화물의 불완전 연소 및열분해에 의해 생성되는 간장해 물질인 benzo(a)pyrene으로 유도한 rats의 간독성 발현에미치는 강활 수침액의 예방 및 치료 효과를 실험하여 다음과 같은 결과를 얻었다. 1. 강활 수침액의 투여는 B(a)P투여로 현저하게 증가된 혈청 및 간장의 AST, ALT, LDH,ALP 활성의 유의성 있게 감소시켰다. 2. B(a)P투여로 증가한 혈청 total cholesterol 및 phospholipid 함량은 강활 수침액의 투여로감소시킬 수 있었다. 3. 강활의 투여는B(a)P에 의한 간독성 발현을 유의성 있게 감소시켰으며 그 효과는 전처리가후처리에 비해 우수하였다. The present study was undertaken to compare the pharmacologicalactivities of crude Angelica koreana reported with the clinical uses in the orientalmedicine. Crude angelica. used for the treatment of common cold, headache, neu-ralgia and arthralgia. Therefore we tested the effects of Angelica water extract on the liver-protec-live activities in the rats. The results obtained from liver microsomal enzymeassay, measurement of serum and liver alanine' aspartate aminotransferase andlipid accumulation indicated that angelica extract showed significant liver-protec-tive activities against benzo(a)pyrene poisoning.

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