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      • 黃龍江中流에 있어서 肝吸蟲症의 疫學的 調査硏究

        鄭耀翰,文宰奎 朝鮮大學校 文理科大學 1975 論文集 Vol.2 No.-

        Form 1st April to 30th October 1974, the epidemiological studies on Clonorchiasis were carried out on the 3,392 inhabitants who living in the middle area of the Hwang-Yong river. The stool specimens were examined with cellophane thick smear method and Stoll's dilution egg counting technique. The skin reaction with V. B. S. (veronal buffered saline) antigen was employed to the surveyed population. The results obtained are as follows. 1. The ova of C, sinensis was detected from 43.3% (male 47.9%, female 38.2%) of inhabitants by cellophane thick smear method and 44.7% (male 49.3%, female 39.8%) of inhabitants by skin reaction with V.B.S. antigen. 2. The infection rates by both skin reaction and cellophane thick smear method were getting higher with age and they were lower in young age groups. The infection rates were higher in male than in female by skin reaction and cellophane thick smear method. 3. The average E.P.G. was 9,103 (male 10.791 female 7,215). The average E.P.G in male was significanlty higher than in female. The average E.P.G. count of Clonorchis infection in the surveyed area was found higher among the higher age group. 4. The degree of the intensity of Clonorchis infection by E.P.G. count in the surveyed area was evenly distributed to the medium and heavy infection groups in the above 31 years old.

      • 腸炎 Vibrio 感染에 대한 疫學的 硏究 : 慶北 安東地方에 發生한 食中毒 患者를 中心으로한 硏究

        鄭耀翰 최신의학사 1973 最新醫學 Vol.16 No.12

        An epidemiological survey on vibrio parahaemolyticus food poisoning was done with the 278 cases occurred in An-Dong area, Kyung Buk, in July 1969. The results were as follows. 1. The most predominant age group among the food poisoning patients were the adult gorup between the ages of 30 and 59 years old which constitutes 55.8% of the total cases. However, it is interesting to notice the fact that considerable number of patients were under the age of 20. 2. The 167 cases (60.5%) out of 278 cases occurred among the farmers. It appears that food poisoning has no relationship with the patients occupation in this incidence, but the fact that the patients took part in some kind of village parties eating contaminated fish the with vibrio parahaemolyticus appears the epidemic mode. 3. The contaminated vibrio parahaemolyticus organisms grow and multiply o the marine fish and shell fish during transfer from the seaport to the whole sale market, and to the retailes during summer season. In the view of the health administration, marine fish and shell fish must be keep in the refrigerator during summer season, and health education must be emphasized to prevent from consuming raw fish in the community. 4. The exprosive food poisoning was caused by the follows: it is a custom for. the people to eat raw fish in this community. The causative fish was cheap. The fish was distributed at once in this community. 5. Regarding incubation period, it was from 4 to 16 hours. 6. After removing the causative fish, the explosive food poisoning was not followed by secondary infection. 7. The major symptom of the patients were vomitting, diarrhea, abdominal pain and mild fever. Blood pressure was lower moderately in all cases. 8. Usually, most of the patients recovered from the disease treatment for 2 to 3 days.

      • KCI등재

        Diphenylhydantoin에 의한 全身 剝脫性 皮膚炎

        金光日,鄭榮翰,權寧信 대한신경정신의학회 1967 신경정신의학 Vol.6 No.1

        The writers reported a fatal case of generalized exfoliative dermatitis with pyrexia, stomatitis, generalized lymphadenopathy and hepatitis due to diphenylhydantoin medication. This dermatitis appeared on the 19th day of medication and this patient expired on the 41st day after first medica-tion.

      • 一部 農村地域의 母子保健現況에 關한 調査硏究

        文宰奎,全雲天,鄭耀翰 朝鮮大學校 醫學硏究所 1978 The Medical Journal of Chosun University Vol.- No.-

        This survey was conducted by the 10 interviewers for 2 months, from January 1 to Fe-bruary 28, 1977, aimed at grasping the maternal and child health status of mothers, who were residing in Noahn Nyun, Naju Gun area. The interiewers visited the 533 mothers, who have : spouse who are living, are between the ape of 20-49, and children. Major findings from this study can be summarized as follows ; 1) The majority of the mothers, 25.5% were 30-40 years of age. The average age at interview is 32.8 years. 2) The majority of the mothers, 51.7% graduated from elementary school. 3) 57.3% of the mothers were found to have married between the age of 20 to 24 years old. Mothers in the study area were found to be marrying at the average age of 21.0 years. 4) The majority of the spouses, 87. 2% were employed in agriculture. 5) 62.8% of the mothers were found to hare delivered their first babies at ages of 20 to 24, while only 15.7% had their first babies at 23 to 29. 6) 22.8% of the mothers had 3 children, while 19. 5% and 19.0% had 2 and 4 children. respectively. 7) 79.1% of the mothers hadn't experienced a single death of a child within the family, while 15.3% of the mothers had experienced the death of one child. 8) The average frequency of pregnancies is 4.1. 19.9%, 17.8% and 17.2% of the mothers had 5, 3 and 4 pregnancies, respectively. 9) 24.4% of the mothers experienced an induced abortion at least once. 2.2% of them were found to have experienced 4 or more induced abortions. 10) 51.3% of the mothers were found to have received prenatal guidances a t last their Pregnancy by maternal and child health workers at least one or more times. 11) 10.1% of the mothers received professional prenatal care in their previous pregnancy. 12) The majority(91.0%) of the mothers had their last born child delivered at home. And only 9.0% were delivered by a physician or midwife. 13) Materials used at delivery are comprised of vinyl(36.3%), clothes(25.0%), cement bags(l6.3%), gauze or absorbent cotton(l4.8%), others(7.1%). 14) The majority of the attendants at delivery were found to be mothers-in-laws(68.2%). Only 16. 2% were found to be attended by either doctors, midwives, a nurse, or M. G. H. (maternal and child health) field workers. 15) In most(96.7%) of the deliveries, scissors were used to cut the umbilicus. But most (71.6%) of them used unsterilized scissors, while only 25.1% of them used sterilized ones. 16) 92.9% of the umbilical cords were buried, 2.9% burned, the rest were 4.2% disposed of by other means. 17) 78.0% of the last-born babies were breast-fed for 1 year or longer, those who were weaned during 6-12 months were 15.4%. 18) During the first year, 72.3% of the last-born babies were breast-fed, while 18. 4% were given a combination of breast milk and cooked rice. 19) 89. 9% of babies received smallpox vaccination, while 78.8%, 43.9%, 40.5% and 6.3% received BCG, poliomyelitis, DPT and measle vaccinations, respectively. 20) 87.9% of the mothers recognized the existence of the goverment-sponsored maternal and child health guidance program.

      • 一部都市地域主婦의 寄生蟲 感染과 그 知識 및 態度에 關한 調査

        文宰奎,趙建國,鄭燿翰 朝鮮大學校 醫學硏究所 1979 The Medical Journal of Chosun University Vol.- No.-

        A survey was conducted during the period of February 20 to April 10, 1978 to obtain Information on knowledge, attitude and infection status of parasites among housewives in Gwang Ju city. Major findings from this study can be summarized follows ; 1) The positive rates of intestinal heImirths were 333(72.7%) among 458, Ascaris lumbricoides 37.8%. Trichocephalus trichiurus 65.9%, Hookworm 3.5%, Trichostrongylus orientalis 1.5%, Enterobius vermicularis 0.6% and Clonorchis sinensis 0.4% respectively. 2) About the source of knowledge on parasitic infection, 28.8% learned from school, 13.1% from drug stores, 12.9% from hospitaIs, 7.2% from magazines and 4.4% from mass communication such as radio or newspapers. 3) 48.7% of them had knowledge of the need of periodic stool examination, but 29.7% though that hey need not examination and 21.6% thought that they needed examination only when they have a suspicion of parasitic infection. 4) 58.3% of them believed on the result of Stool examination, but 41.7% did not compltely trust it. 5) Only 1.5% of them has had the stool examination once or twice a year, and the majority of them(98.5%) had not it a year. 6) 56.6% of them had used anthelmintics at drug store without specific diagnosis when they have a suspicion of parasitic infection37.8% of them go to hospital or clinic for diagnosis and 5.7% of them had not any treatment. 7) Only 4.6% of them had administration of anthelmintics once or twice a year. and the majority of them(95.4%) had not at a year. 8) On the habit of hand wa shing, it appeared that only 24.5% of them have regularly washed their hand before meals, 49.1% of them irregularly, and 24.6% of them have not washed their hands before meals. 55.9% of them have regularly washed their hand after the defection, 29.7% of them have irregularly, and 14.4% of them have not washed their hand after the defection. 9) 85.5% of them wed to eat fresh water fish cooking them before eating and 14.2% of them eating the fish raw. 81.6% of them wed to eat beef cooking before eating frequently eating it raw. 10) 17.7% of them had an experience of eating fresh water fish and 84.1% hd an experience of eating beef.. 11) 63.5% used to carefully wash vegetables and 36.5% carelessly washed them.

      • 小兒의 頭部外傷에 關한 臨床統計學的 考察

        金炯根,文宰奎,鄭耀翰 順天鄕大學校 1978 의대논문집 Vol.3 No.-

        421 cases age 16 and under who were sustained head injuries because of accidents and later admitted to several university hospitals in Seoul,Korea; from May 1,74 to April 30, 76 were analyzed in the points of sevcral age groups, causes, post-trauinatic cpilepsy, and result of treatment. The results were as follows: 1. Highest cause was road-traffic accidents(64.6%) and next, home accidents(29.0%). 2. Among the road-traffic accidents, 0-6 aged graup occupied 48.5%, 47.0% was caused by the high speed of taxis which could have prevented with proper echication and political management. 3. According to seasonal variations of accidental head injuries in this paper, May(15.7%), June(12.2%) and July(12.4%) were high incidence. 4. Comparing with road-traffic accident in adults, frontal and facial bone fractures were involved frequntly; in home and sohool accidents, occipital area was traumatized most frequently. 5. Cerebral concussion(47.5%) and linear and basilar skull fractures(31.1%) were recorded in the aspects of types and degrees of head trauma. 6. Contrary to adult cases, acoustic nerve(26.5U6), facial nerve(17.2%) and olfactorv-nerve(6.0%) were invoived in incidence of post-traumatic cranial nerve palsy. 7. Incidence of post-traumatic epilepsy was 6.0% in children and 5.0% in adults. 8. High fataiity rate(5%) being due to all cases of this analysis were seriously injured and 20 of 21 of deaths had expired within 48 hours after trauma.

      • 寄生蟲의 管理 및 知識에 關한 調査 : 一部農村地域의 住民을 中心으로

        申蓮心,文宰奎,鄭耀翰 順天鄕大學校 1980 의대논문집 Vol.5 No.-

        In this survey attempts were made to investigate the degree of medical knowledge and conrrol to parasitic infections from 632 inhabitants at Om-chun Myeon and Sin-jun Myeon, Gang-jin Gun, Chonnam, Korea for a month (from 1979, August 1st to 31th). Major findings obtained from this survey can be summarized as followings : 1) Respondents who recognized all resources of parasitic infections wcre 8.2% (M : 12.8%, F:4.2%), who recognized them partially 68.5% (M : 77.8%, F : 60.3%) and who recognized none 23.3% (M : 9.4%, F : 35.5%). 2) 31.8% (M : 34%, F : 29.9%) of examiness after examination of parasites were reinfected with parasites, and 68.2% (M : 66.0%, F : 70.1%) of them not reinfected. 3) Examinees who were injured severely in their health by parasitic infections were 47.0% (M : 53.9%, F : 40.9%), 27.4% (M : 21.2%, F : 32.8%) with little injuries and 25.6% (M : 24.9%, F : 26.3%) with no injuries. 4) Only 0.3% (M : 0.7%) of respondents were given a stool test once a year and 99.7%(M : 99.3%, F : 100.0%) of thein were not made it. 5) 81.5% (M : 87.2%, F : 76.4%) of examinees did not believe in the results of the stool test and 4.3% (M : 2.7%, F : 5.7%) of them were not confident it and it was not known by 14.2% (M : 10.1%, F : 17.9%) of them. 6) 3.5% (M : 6.1%, F: 1.2%) of respondents, had a suspicion about parasitic infections, had gone into the hospital or clinic for diagnosis, 88.3% (M : 90.9%, F : 86.0%) of them were administered anthelmintics, and 8.2% (M : 3.0%, F: 12.8%) of them were non-treated. 7) The respondents who were not given anthelmintics for extermintion of parasites were 94.2% (M : 93.3%, F : 94.9%), but once a year 4.4% (M : 4.8%, F : 4.2%) and twice a year 1.4% (M : 2.0%, F : 0.9%). 8) 2.4% (M : 0.7%, F : 3.9%) of respondents washed their hands regularly before every meal and 70.2% (M : 25.9%, F : 34.0%) of them irregularly, but 67.4% (M : 73.4%, F : 62.1%) of them did not. 9) 12.2% (M : 8.4%, F : 5.5%) of the examinees washed their hands regularly after every defecation and 37.7% (M : 43.1%, F : 32.8%) of them irregularly, but 50.2% (M : 48.5%, F : 51.6%) did not. 10) 78.2% (M : 93.3%, F : 64.8%) of respondents had experienced eating an uncooked fresh-water fish, but 21.8% (M : 6.7%, F : 35.2%) of them did not. Respondents who have eaten uncooked meet were 92.4% (M : 93.6%, F : 91.3%), but 7.8% (M : 6.4%, F: 8.7%) of them do not.

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