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      • 참전재향군인에서 외상후 스트레스 장애의 유병상태와 관련요인 분석

        정문용(Moon Yong Chung),서일(Il Suh),정일진(Il Jin Jeong),김동기(Dong Ki Kim),민경호(Kyung Ho Min) 대한사회정신의학회 2002 사회정신의학 Vol.7 No.2

        연구목적: 본 연구는 한국전과 월남전 참전 국가 유공자에서 외상후 스트레스 장애의 유병률을 조사하고 이들 집단의 여러 특징 변인들을 관찰함으로써 이들 인자들이 질병발생에 대하여 상호 관련 효과를 가지는지를 알아보기 위하여 조사하였다. 방 법: 서울에 있는 한국보훈병원에 입원하고 있는 전상환자 304명을 대상으로 1994년 9월부터 1996년 3월까지 전투 노출 척도 (Combat Exposure Scale), 미시시피 척도(Mississippi Scale for Combat Related PTSD), 우울 특정 도구(Beck Depression Inventory)를 사용하여 설문조사 및 정신과적 면담을 실시하였다. 변인들관의 관계를 알아보기 위하여 상관분석을 실시하였으며 외상후 스트레스장애에 영향을 미치는 변인을 알아보기 위하여 다변량분석방법인 로지스틱회귀분석을 실시하였다. 결 과: 한국전 참전 집단에서 외상후 스트레스 장애의 유병률은 204명중 18명으로 8.8%였고 월남전 참전집단에서 100명중 23명으로 23%였다. 한국전 참전 집단에서 결혼상태에 따라 외상후 스트레스 장애의 여부가 차이를 보였는데 독신상태에서 유의하게 많았으며(p<0.05) 월남전 참전집단에서 독신상태, 무직, 교육정도 고졸이상, 과거 정신과적 치료경험 등이 외상후 스트레스 장애 환자군에서 비환자군에 비하여 통계적 유의성이 있었다(p<0.05). 외상후 스트레스 장애에 관련된 요인을 로지스틱 회귀분석한 결과, 한국전 참전집단에서는 독신상태가 외상후 스트레스 장애에 영향을 주는 요인이었으며, 월남전 참전 집단에서는 교육수준이 높을수록, 독신상태, 수입이 낮을수록 장애에 영향을 주는 요인이었다. 결 론: 외상후 스트레스 장애는 감수성과 취약성을 가진 개체들에서 만성적, 치료 저항적 경과를 가져오기 쉬운 질환이다. 본 연구의 결과에서 결혼상태, 직업유무 및 교육정도가 외상후 스트레스 장애와 유의한 상호관련이 있었으며, 이들 참전 국가유공자의 건강한 사회 재적응을 위하여 반드시 고려해야 할 것으로 본다. Objectives:The purpose of this study was to investigate the prevalance of posttraumatic stress disorder in Korean War veterans and Vietnam War Veterans who had been hospitalized at Korea Veterans Hospital, and to find the correlation between the disorder and the characteristics of the variables. I also collected and analysed these data as a preliminary study for the management of the disorder and healthy social readjustment of the veterans. Methods:Two hundred and four Korean War veterans and one hundred Vietnam War veterans were collected consecutively who had been admitted to the hospital. These patients were evaluated using psychiatric interview and measurement instruments by psychiatrist for eighteen months since September, 1994. Results:The current prevalence of posttraumatic stress disorder in Korea War veterans and Vietnam War veterans were 8.8% and 23%, respectively. There was statistically significant difference in prevalence according to the marital status of Korea War veterans. Marital status, education level, occupation, and previous psychiatric treatment were statistically significant variables in Vietnam War veterans. From logistic regression analysis, I found that marital status in Korean War veterans, and education level, marital status, and low income in Vietnam War veterans were statistically significant variables. Conclusion:The posttraumatic stress disorder is chronic and treatment-resistant illness especially to the individuals who are sensitive and vulnerable. Marital status, education level and occupation have statistically significant relationship with the posttraumatic stress disorder. Based on the results of this study, we must consider these variables for the health social readjustment of war veterans in the future.

      • 스포츠센터 실내음악의 친숙도와 조화도가 감정, 고객만족, 재구매 의도 및 구전의도에 미치는 영향

        이봉현(Lee, Bong Hyun),정문용(Jeong, Moon Yong) 인하대학교 스포츠과학연구소 2014 스포츠과학논문집 Vol.26 No.-

        본 연구의 목적은 스포츠 센터의 실내음악의 친숙도와 조화도가 감정, 고객만족과 재구매 의도 및 구전효과에 미치는 영향을 분석하고, 스포츠 센터 실내음악 관리를 통하여 스포츠 센터 서비스 향상과 고객만족을 위한 경영전략을 수립할 수 있는 기초자료를 제시하는데 있다. 연구대상은 경인지역의 스포츠센터에 회원으로 등록하여 시설을 이용하고 있는 20세 이상의 회원들을 대상으로, 총 6개 스포츠센터에서 391명을 대상으로 설문조사를 실시하였다. 코딩된 자료는 SPSS 20.0과 AMOS 20.0 프로그램을 이용하여 분석하였다. 조사도구의 타당도와 신뢰도를 분석하기 위하여 확인적 요인분석(confirmatory factor anlysis)과 Cronbach"s a 계수를 산출하였으며. 연구가설의 검정을 위해 구조방정식모형분석(structural equation model: SEM)통계기법을 사용하였다. 연구 결과는 다음과 같다. 첫째, 실내음악의 특징(친숙도, 조화도)은 스포츠 센터에 대한 감정에 영향을 미친다. 둘째, 감정은 고객만족에 영향을 미친다. 셋째, 고객만족은 재구매 의도에 정(+)적인 영향을 미친다. 넷째, 고객만족은 구전의도에 정(+)적인 영향을 미친다. 결론적으로 스포츠센터에서 운동을 할 때 음악은 중요한 요소로 작용된다. 그 음악을 선정하는데 있어서 스포츠 관리자들은 신중을 기해야 할 것이다. 또한 재구매 의도와 구전의도에 중요한 요소로 작용하는 고객만족을 높일 수 있는 있는 방안을 모색해야 할 것이다. This research is purposed to inquire the influences that middle school students’ after-school physical education activity participation affects sentiment and personality. In order to reach the goal of this research, four major middle schools that is located in Seoul or Kyung-gi province area, was conducted survey to total of 379 male and female students who is participating after-school physical education activity, and was drawn next following conclusion through Cronbach"s α computation credibility analysis, t-test, one-way analysis of variance and post analysis (Tukey HSD test) using SPSSWIN 18.0 statistics program. Physical activity can be influenced to sentiment. This research explains that a group that executes physical activity continuously has more positive influences, and less negative sentiments. Schools should mandate adolescentpeople to execute to have more physical activity due to the result of this research and adolescent people need to have continuous physical activity. The survey shows the influences that affect personality. No significant result was found regarding activity history, frequency, time period, sex, and grade level of physical activity. To have positive influencesto sentiment through after-school physical education can be contributed to the advancement of motivation of physical activity.

      • KCI등재
      • KCI등재

        소아치과에 내원한 환자의 전신마취에 관한 연구

        강덕일,정문용,이창섭,이상호 朝鮮大學校 口腔生物學硏究所 1997 口腔生物學硏究 Vol.21 No.1

        The use of general anesthesia as a special method of behavior management is necessary if certain handicapped or unmanaged patients be to receive dental treatment. This study was designed to report the result of 13 cases of complete oral rehabilitation under general anesthesia. The data were obtained from 13 patinents managed under general anesthesia at the Dept. of Pedodontics, Chosun Universit. The distribution of age, source of referral, primary reason for general anesthesia, preoperative physical status, oral condition, intubation methods, drugs used for maintaining the general anesthesia, types and extent of dental treatment, duration of procedure, duration of hospitalization, and postoperative complications were surveyed. The results were obtained as follows : 1. In distribution of age, most(92.3%) were younger than 10 years and mean was 5.2years. The major sources of patients(69.2%) came to the practice at their own intiative and the other(30.7%) were refered local dentist. 2. In the primary reason for general anesthesia, the majority of the patients(76.9%) were management problem and others(13.1%) were received general anesthesia because of mentally or physical handicapped. 3. In the preoperative physical status, the majority of the patients(92.3%) were in ASA class Ⅰ or class Ⅱ. In the preoperative oral condition, the mean number of caries teeth was 12. 4. Nasotracheal intubation was used in all patients and the drug used for maintaining the general anesthesia were Enflurane. 5. In the performed dental treatment, the mean number of teeth treated with amalgam 1.5, G-Ⅰ filling 2.1, resin filling 3.6, sealing 1.4, pulpotomy 0.7, pulpectomy 1.6, preformed crown 3.7, and Extracted teeth was 0.2 . The mean duration of procedure was 178 min, and the mean duration of hospitalization was 1.6days. 6. Of the 13 patients, postoperative complications developed in 3 patients(23%). Complication were postoperative fever.

      • KCI등재

        불화나트륨이 조골세포의 생리적 활성에 미치는 영향

        김대업,정문용,김형태,이상호 朝鮮大學校 口腔生物學硏究所 1998 口腔生物學硏究 Vol.22 No.2

        The clinical use of fluoride with a well known osteogenic action in osteoporotic patients is rational, because this condition is characterized y impaired bone formation. However, its anabolic effect has not been demonstrated well in vitro. The purpose of this study was to investigate the effects of sodium fluoride on the physiological role of osteoblastic cell. Osteoblastic cells were isolated from fetal rat calvaria. The results were as follows : 1. Considerable number of mineralized nodules were shown in osteoblastic cell cultures, which had been maintained in the presence of ascorbic acid and β-glycerophosphate up to 21 days. The number of mineralized nodules was not increased significantly by continuous treatment of cultures with 10μM sodium fluoride. When cultures were treated with pulses of 48 hr duration before apparent mineralization was occurring, 2-fold increased in their number was detected. 2. Alkaline phosphatase activity of osteolastic cells was inhibited by sodium fluoride in dose-dependent manner. 3. Sodium fluoride stimulated proliferation in osteoblastic cells. The effect of sodium fluoride on the cell proliferation was measured by the incroporation of [3^H]-thymidine into DNA. As a result, sodium fluoride at a∼100μM increased the [3^H]-thymidine incroporation into DNA in a dose dependent manner. These results taken together suggested that sodium fluoride enhanced bone formation and that the stimulatory effect of fluoride on the proliferation of osteoblastic cells was probably most relevant to its mechanism underlying augmented bone formation. Sodium fluoride, which was probably the molecule responsible for the mitogenic effect of fluoride in MC3T3E1 osteoblast-like cells, modulated a tyrosine phosphorylation pathway linked to mitogen-activated protein kinase(MARK). 4. The signaling mechanism activated by sodium fluoride dose-dependently enhanced the tyrosine phosphorylation of the adaptor molecule She^p66 and their association with Grb2. one of earlier events in a MAP kinase activation pathway cascade used by a significant subset of G protein-coupled receptors. 5. The phosphorylation of CREB(cAMP response element binding protein)was inhibited by the sodium fluoride in MC3T3E1 cells. In conclusion, the results of this study suggested that the mitogenic effect of the sodium fluoride in MC3T3E1 cell was stimulated in a dose-dependent manner and suggested "an important role for the interaction between Shc and Grb2" in controlling the proliferation of osteoblasts.

      • KCI등재

        Midazolam의 비강내 분무시의식진정효과에 관한 연구

        강덕일,정문용,김형태 朝鮮大學校 口腔生物學硏究所 1998 口腔生物學硏究 Vol.22 No.2

        The purpose of this study was to assess the sedative effect of intranasal spray with midazolam for management of the uncooperative 20 children aged from 24 months to 92months required extensive treatment. The patients were given randomly a dose of 0.2㎎/㎏ of intranasal placebo, intranasal spray with midazolam, and intranasal drop with midazolam. All the children were restrained in a pediwrap and were monitored with pulse oximeter for assessing the pulse rate and peripheral oxygen saturation. According to Fukuta's behavior rating scale, behavior were checked for evaluation of the clinical sedative effect. The obtained results were as follows : 1. Behavior score of intranasal spray with midazolam was inferior to intranasal drop with midazolam(p<0.01). 2. Pulse rate was not affected significantly by adiministration route of drug, however there was a significant change as a function of dental procedure (F + 22.6, P<0.001). 3. The peripheral oxygen saturation was not influenced significantly by either adiministration route of drug or dental procedure. 4. There were no clinical signs of significant cyanosis and respiratory depression. Clinically intranasal spray with midazolam were safe and effective sedation in young children undergoing pediatric dental procedures.

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