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      • 동국대학교 의과대학생들의 스트레스 요인과 대처방식

        이광현,한미라 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

        본 연구는 동국대학교 의과대학생들이 경험하는 스트레스 요인을 분석하고 대처유형을 알아보고자 실시되었다. 동국대학교 의과대학생의 스트레스 영역을 알아보기 위해 의과대학 의학과 학생 191명을 대상으로 대학생용 생활스트레스 척도를 실시하여 이를 주성분분석(Principal Component Analysis)하였다. 또한 동국대학교 의과대학생의 대처방식을 알아보기위해서는 대학생용 다차원적 대처척도를 실시하여 이를 주성분(Principal Component Analysis)분석 하였다. 실시한 결과, 학생들은 가치관 및 종교관 영역에서 가장 스트레스를 많이 느끼는 것으로 나타났으며, 스트레스에 대한 대처로는 사회적 대처를 가장 많이 사용하는 것으로 나타났다. 본 연구 결과의 의의와 시사점, 추후 연구의 필요성과 방향을 논의하였다. We found out and analyzed stress factors and coping strategies of DongGuk University medical students. To find out stress factors, Life_Stress Scale for Undergraduate was performed by 191 DongGuk University medical students. We analzed these data into factors by Principal Factor Solution. Likewise, To find out coping factors, Multidemensicnal Coping Scale for Undergraduate was performed by 191 DongGuk University medical students. We analzed these data by Principal Component Analysis. As a result, DongGuk University medical students are suffering from identity or religious problems, economic problems, relationship problems with other sex , relationship problems with other family members and so on, as stress factors. And DongGuk University medical students are coping stresses with seeking for social resource, religious resource, preservation, emotional outburst. We discussed results and meanings of this study

      • 동국대 경주병원에서의 정신과 자문 현황

        이광헌,사공정규 동국대학교 경주대학 1998 東國論集 Vol.17 No.1

        1997년 1월 1일부터 1997년 12월 31일까지 1년동안 동국대학교 경주병원 입원환자 11988명중 정신과에 의뢰된 132명중에서 병록지를 통한 조사가 가능했던 118명을 대상으로 조사분석한 결과 다음과 같은 결과를 얻었다. 1) 전체 입원 환자에 대한 자문율은 1.10%였고, 남자가 더 많았으며, 연령별 분포는 남녀 모두 30대(24.6%)가 가장 많았고, 40대(17.0%), 50대(17.0%) 순이었고, 60대 이상의 노인들이 25.4%로 이전의 연구들에 비해 많았다. 2) 자문의뢰과는 내과가 50.8%로 가장 많았고, 신경외과(14.4%), 신경과(10.2%), 정형외과(9.3%) 순서였다. 과별입원환자에 대한 자문율에서는 재활의학과(7.02%), 신경외과(2.50%), 신경과(2.33%), 내과(2.32%) 순으로 나타났다. 월별로 살펴보면 9월, 6월, 11월, 4월이 많았고, 10월, 2월, 8월이 자문의뢰가 가장 적었다. 3) 자문의뢰된 이유는 불안, 우울 등의 감정적인 문제가 있는 경우(23.7%)와 알콜 및 약물남용 문제, 이학적 이상 소견 없이 신체증상이 지속되는 경우 등의 순으로 나타났다. 의뢰 환자들의 주증상으로는 위장관계(39.0%)와 두부와 중추신경계(26.3%)가 가장 많은 것으로 나타났다. 4) 자문전에 향정신성 약물이 사용되고 있던 경우는 38.1%였으며, 항불안제가 가장 빈번히 사용되었다. 5) 자문후 진단은 기질성 장애(42.5%)와 우울장애(26.2%)가 많은 것으로 나타났다. 6) 자문의의 권고사항은 약물치료가 92.3%로 가장 많았으며, 가장 많이 처방된 약물은 항우울제와 항불안제였다. 이상의 소견들에 대해 국내외의 자료들과 비교 검토하였다. To obtain relevant data on current trends of psychiatric consultation in a general hospital, the authors reviewed 118 cases of inpatients who referred for psychiatric consultation from January 1. 1997 to December 31. 1997 at the Dongguk University Kyongju Hospital. The results were as follows: 1) The overall consultation rate was 1.1% of all inpatients, and age distribution was heavily concentrated at the age of 30's, 40's and 50's. 2) A majority of referrals came from the department of internal medicine(50.8%) and department of neurosurgery(14.4%). 3) The most common reason of psychiatric consultation were to evaluate excessive emotional reactions(23.8%), while the most frequent symptoms of the referred patients where those related to gastro-intestinal systems(39.0%). 4) The rate of psychotropic drugs use prior to psychiatric consultation was 38.1% and the most frequently prescribed ones were antianxiety drugs(47.3%). 5) Organic mental disorders(42.5%) and depressive disorders(26.2%) were the most common diagnoses given after psychiatric consultation. 6) Use of psychotropic drugs was the most frequent recommendations given after psychiatric consultation.

      • Michael Oaseshott의 대학교육관

        林泰平 동국대학교 경주대학 1993 東國論集 Vol.12 No.-

        A university, according to Oakeshott, is a number of people engaged in a certain sort of activity. Thus, a university is not a machine for achieving a particular purpose or producing a particular result ; it is a manner of human activity. The Middle Ages called it studium ; we may call it 'the pursuit of learning.' A university, moreover, is a home of learning, a place where a tradition of learning is preserved and extended. Those who compose a university are three classes of person : the scholar, the scholar who is also a teacher, and the undergraduate who come to be taught. And the presence of these three classes, and the relations that prevail between them, determine the distinction place of a university in the wider enterprise that the pursuit of learning is called. The university, to the scholars, is a place where they expect to devote an unbroken leisure to learning his fellows having the advantages of their knowledge from their conversation and writings, to the scholars as teachers, is a place where they will engage themselves to teach as well as to learn, and to the undergraduates is a place where they have the opportunity of education in conversation with their teachers, their fellows and themselves. And here again, it is the special manner of the pedagogic enterprise which distinguishes a university. This article aims to consider Oakeshott's view of university education. In order to do so, the following questions will be analyzed : 1) His view of education based on the view of a person. 2) The distinctions between school-education, vocational education, and university education in his idea of university. 3) The roles of scholars, scholars as teachers and undergraduates, the components of a university, with priority given to the functions of it, that is, pursuit of learning and 4) Finally, the results of university education under the point of the undergraduates.

      • 동국대학병원 재활의학과 근전도실의 전기진단학적 검사 분석

        권용욱,안재홍 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

        1995년 12월부터 1996년 8월까지 신경근육계질환이 의심되어 동국대학교 경주병원 재활의학과 근전도실에서 근전도검사를 시행한 482례를 대상으로, 환자 분포 및 검사전 의뢰 진단과 전기진단학적 결과를 비교 분석하였다. 환자의 연령은 1개월에서 80세까지로, 평균 43세였고, 남자는 60%로 여자환자에 비해 약간 많은 것으로 나타났다. 의뢰 건수에서는 정형외과가 근전도를 가장 많이 의뢰한 것으로 나타났고 재활의학과, 신경외과 순이었다. 의뢰 진단은 radiculopathy가 가장 많았고, 의뢰 당시 의심하는 진단을 밝히지 않은 경우가 7례였다. 검사전 의뢰 진단과 검사 시행후 전기진단학적 진단의 일치율은 46.5%로 나타났고, 가장 일치율이 낮은 것은 radiculopathy였다. 근전도 검사에 대한 깊은 이해와 관심이 검사의 활용도를 높일 수 있으리라 사료된다. The electrodiagnostic findings and pre-test diagnosis of 482 patients with neuromuscular disorder, who were referred to our EMG laboratory from Dec. 1995 to Aug. 1996, were analyzed. Of 482 cases, 290(60%) were male, and the mean age was 43years old. Frequent referring departments orthopedic surgery, rehabillitation medicine, and neurosurgery in order. The most common referring diagnosis was radiculopathy. The case without climical information were 7 cases. The concordance rate of pre-test diagnosis and electrodiagnostic findings was 46.5%. Radiculopathy had the lowest concordance rate. The understanding of electrodiagnosis was needed for increasing utility of electrodiagnosis.

      • 大學 敎職員의 體位 및 健康實態 : 東國大 慶州캠퍼스 敎職員을 中心으로

        李德成 동국대학교 경주대학 1988 論文集 Vol.7 No.-

        In 1988, the results of the first medical examination of the professors' and personnel the physical standards and the present condition at Dongguk university kyungju campus are as follows. 1. normal condition. 1) In 262 examined, individuals male and female ratio is 4.8 : 1 and 69.1% are 30 to 40 years old. 2) The average height of men ; 169.5cm in men, women ; 159.0cm-is higher than the average korean height. 3) In the average of Weight(men ; 67.8kg, women ; 50.7) Men's weight is higher than the average of korean weight, whereas women's weight is lesser than the average of korean weight. 4) Eyesight In the case of men, both eyes are 1.2. In women, it shown as follows ; left : 1.0 right : 0.9 5) In the case of the sense of hearing, both sexes show normal appearance. 6) blood pressure is shown as follows ; ◁ 표삽입 ▷ (원문을 참조하세요) 2. abnormal condition 1) Corpulence is found in 23.2%, hyperpisia is found in 17.9% of the whole group. Corpulence and hyperpisia rate increases in accordance to growing age. 2) The Number of corpulence patience is 61. And the number of due to hyperpisia patience is 47. Complication corpulence and hyperpisia is found in 24.6%. 3. the present condition 1) It shows that 58% state "well condition", and "unwell condition" is idicated at the rate of 33.6% and "maybe one is sick" is replied by 8.5%. The reply of an affirmative response (well condition) is increasing in men of growing age. In case of women, it is vice versa. 2) The methods of health care were as follows : regular exercise : 18.3% control by catings : 17.2% In any other case, the health care, was said to be neglected. Especially 71.1% of responding women are indifferent to health care. 3) In this survey, 48.8% of the whole group are taking irregular meals. The older they grow, the more regular are their meal habit. All individuals take meat more than once a week. Women, professors and personnel in their sixties prefer vegetable. Women prefer salty and hot taste. 4) 100% drink a cup of tea daily. 77.8 of the female group do not drink alcohol, whereas men's habit are as follows : "sometimes drink but sober' : 32.1% "sometimes drink and get drunken: : 21.2% Women are non smokers in general, whereas mer in their 30ies-40ies consuming one or more packages of cigarettes daily rank as follows. (1) skilled labors (2) personnel (3) professors 5) The change of weight-more than 3kg per year-is found out as follows : (1) no change : 77.9% old age indicate few change. (2) The ranking concerning "know the reason of change" is as follows : - professors - skilled labors - personnel (3) The ranking concerning "do not recognize the change" is as follow : - skilled labors - coadjutor 4. symptoms whthin the latest 3 months The results of the analysis of simptoms within the latest 3 months are as follows : - languid and tired : 64.5% - eyestrain and feeling of misty : 42.7% - breathing hard when climbing stairs : 42% - feeling dizzy on standing up : 34.3% In the case of women, remarkable phenomena are as follows : - dizziness : 64.7% - facial swelling : 48.9% - feeling pain in arm, leg and shoulder : 46.7%

      • 노인환자에서 시행된 부위마취의 분석

        원유흥,김 웅 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

        부위마취 방법은 노인환자에서 심부 정맥혈전증과 술후 섬망을 줄일수 있는등 잇점을 갖는 마취방법이다. 이 연구는 동국대학교병원에서 1991년 10월부터 1996년 7월까지 마취를 받은 노인환자중에서 495명의 부위마취환자를 후향적으로 분석하였다. 전체 마취례수는 13,932건이었으며 이 중 노인환자의 비율은 8.0%였다. 노인환자의 부위 마취는 전체환자의 3.6%를 차지하였다. 연령상 가장 많았던 군은 65~74세 군으로 전체의 63.1%를 차지하였고 부위마취 방법으로는 척추 마취가 83.6%의 환자에서 시행되었다. 과별분포는 정형외과 환자가 전체의 52.9%를 차지하였고, 노인환자에서 가장 흔히 동반된 질환은 고혈압으로 41.1%를 차지하였다. 합병증으로는 저혈압(66.3%)과 서맥(22.9%)을 관찰할 수 있었으며 부위마취제의 중독증상을 나타낸 경우는 찾아볼 수 없었다. 노인환자에서 부위마취는 비교적 안전하고 잇점이 많은 방법으로 향후 술자와 환자에게 만족을 줄 수 있는 다양한 부위마취방법의 개발이 필요하다고 사료된다. The regional anesthetic method give many advantages to geriatric patients. which reduce the deep vein thromboembolism and postoperative delirium. This study based on geriatric patients receiving anesthesia in DongGuk university hospital since Oct. 1991 to July 1996. We analyzed retrospectively 495 geriatric patients received regional anesthesia. Total anesthetic case was 13,932 and the proportion of geriatric patient was 8.0%. The 3.6% of patient received regional anesthesia. The frequent aged group in our hospital was 65-74yr group, 63.1%. The most frequent used anesthetic method was spinal anesthesia (83.6% of patients).Orthopedic surgery placed 52.9% of the geriatric regional anesthetic patient. The most concurrent disease was hypertension(41.1%) and complications were hypotension(66.3%). bradycardia(22.9%). No severe regional anesthetic toxicity was seen. The regional anesthesia on geriatric patients was revealed relatively good and safe method and need further evaluation for aged patient. For provide good operative condition and fine result of patient, various regional anesthetic technique is required recently.

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