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      • 요트선수와 체육학과 학생과의 체력에 관한 비교

        최보열,정종석 韓國海洋大學校 附設 海洋科學技術硏究所 2001 硏究論文集 Vol.10 No.2

        The following conclusions have been obtained in a comparative study of the physical fitness of yacht racers and the students enrolled in the department of Physical Education. 1. The yacht racers are taller than the students of Physical Education by 9.1cm. The statistical variance is p<0.1, indicating no significance difference. The weight of the yacht racers is higher than of the students by 4.5kg with no statistical significance difference. 2. The subcutaneous fat in the yacht racer's upper arm triceps brachia is thinner than that of the students by 0.46mm and the fat in the subscapula of the yacht racers is also thinner by 0.67mm. There is no significance difference. 3. The abdominal subcutaneous fat of the yacht racers is thicker than that of the students by 1.25mm. 4. The righthand grip strength of the yacht racers is 5.83 kg and 4.66kg for the lefthand, both higher than those of the students of Physical Education. The back strength of the yacht racers is higher than that of the students by 10.4kg with no significance difference. Such findings can be attributed to the fact that yacht racers are naturally developing their grip strength of both hands as they are trained to pull the sheet to make a turn or to sustain the balance of the run of boat in high waves or winds. 5. The students of Physical Education do 3.9 times more chin-ups than the yacht racers, and in a 100 m race the students of Physical Education run faster by 0.88 second, showing large significance difference. Such findings indicate that the reason for the better muscle strength and better performance in speed events of the students of Physical Education can be the fact that students are required and trained all-round exercises on land. However, the yacht racers do mostly upper limbs exercises in small cock pits. This draws a conclusion that the yacht racers need also more all-round exercises than the restricted strength and such combined training can contribute to the competence of the yacht races.

      • KCI등재
      • KCI등재

        Effect of Uric Acid on the Development of Chronic Kidney Disease: The Korean Multi-Rural Communities Cohort Study

        문광호,유경임,최보열,김미경,신민호,신동훈 대한예방의학회 2018 Journal of Preventive Medicine and Public Health Vol.51 No.5

        Objectives: Several studies have investigated the effects of serum uric acid (SUA) levels on chronic kidney disease (CKD), with discrepant results. The effect of SUA levels on CKD development was studied in the Korean rural population. Methods: A total of 9695 participants aged ≥40 years were recruited from 3 rural communities in Korea between 2005 and 2009. Of those participants, 5577 who participated in the follow-up and did not have cerebrovascular disease, myocardial infarction, cancer, or CKD at baseline were studied. The participants, of whom 2133 were men and 3444 were women, were grouped into 5 categories according to their quintile of SUA levels. An estimated glomerular filtration rate of <60 mL/min/1.73 m2 at the time of follow-up was considered to indicate newly developed CKD. The effects of SUA levels on CKD development after adjusting for potential confounders were assessed using Cox proportional hazard models. Results: Among the 5577 participants, 9.4 and 11.0% of men and women developed CKD. The hazard ratio (HR) of CKD was higher in the highest quintile of SUA levels than in the third quintile in men (adjusted HR, 1.60; 95% confidence interval [CI], 1.02 to 2.51) and women (adjusted HR, 1.56; 95% CI, 1.14 to 2.15). Furthermore, CKD development was also more common in the lowest quintile of SUA levels than in the third quintile in men (adjusted HR, 1.83; 95% CI, 1.15 to 2.90). The effect of SUA was consistent in younger, obese, and hypertensive men. Conclusions: Both high and low SUA levels were risk factors for CKD development in rural Korean men, while only high levels were a risk factor in their women counterparts.

      • 자가 또는 동종 이식물을 이용한 후방 십자 인대 재건술 후의 결과

        전재균,김의순,최보열,윤창훈,이정웅,선두훈,문명상,Chon Je-Gyun,Kim Eui-Soon,Choi Bo-Yeul,Yoon Chang-Hoon,Lee Jeong-Woung,Sun Doo-Hoon,Moon Myung-Sang 대한관절경학회 2001 대한관절경학회지 Vol.5 No.2

        목 적 : 후방 십자 인대 손상의 치료로서 관절경적 후방 십자 인대 재건술을 시행하여 임상 결과를 분석하고자 하였으며, 특히 추시상 후방 불안정의 재발 여부와 자가 골-슬개건-골을 이용하여 재건한 경우 및 동종 이식물을 이용한 결과를 비교 분석하였다. 대상 및 방법 : 1994년 1월부터 1999년 5월까지 본원에서 수술 치료한 총 34례의 후방 십자 인대 손상의 환자 중에서 전외측 다발만을 관절경적으로 재건술을 시행하고 12개월 이상 최종 추시가 가능했던 25례 중 자가 반건양건을 이용한 1례를 제외한 24례를 대상으로 하였으며, 24례 중 자가 골-슬개건-골을 이용하여 재건한 경우를 제 I군(11례), 동종 아킬레스 건을 이용하여 재건한 경우를 제 II군(7례), 동종 골-슬개건-골을 이용하여 재건한 경우를 제 III군(6례)으로 하였다. 평가 방법은 24례 모두를 International Knee Documentation Committee(IKDC) knee ligament standard evaluation form, Lysholm knee scoring scale을 이용하여 세 집단을 비교하였으며 전 후방 안정도의 측정을 위해서 $KT-2000^{TM}$ knee ligament arthrometer MED metric, USA(KT-2000)를 사용하였다. Kruskal-Wallis test와 Mann-Whitney U(Wilcoxon Rank Sum) 검정법을 이용하여 세 집단을 비교 통계 분석하였다. 결과 : IKDC 최종 평가상 B(거의 정상)이상은 전체 24례 중 11례$(46\%)$로 만족스러운 결과는 아니었고, KT-2000으로 측정시 양측 비교하여 6mm 이상 차이가 나는 경우는 제 I군 4례$(36\%)$, 제 II군 2례$(29\%)$, 제 III군 2례$(33\%)$에서 후방 불안정성을 보였다. Lysholm knee scoring scale을 이용한 평가 결과는 제 I군이 평균 78점 (fair), 제 II군이 75점(fair), 제 III군이 76점(fair)이었다. 재료에 따른 각 군간의 객관적, 주관적 결과의 차이는 보이지 않았다. 결론 : 후방 십자 인대 손상시 불안정의 정도가 심하지 않은 단독 손상을 제외하고는 관절경적 재건술이 보편화 되는 추세이나, 보다 정확한 수술 술기와 동반 손상에 대한 치밀한 치료 계획이 요구되며, 새로운 시도와 그에 따른 많은 연구가 필요할 것으로 생각된다. Purpose : The purpose of this study is to evaluate the clinical results after arthroscopic PCL reconstruction and to compare the clinical results after arthroscopic PCL reconstruction using BPTB(bone patellar tendon bone) autograft(Group I : 11 cases), Achilles tendon allograft(Group II : 7 cases) and BPTB allograft(Group 111.6 cases). Materials and Methods : We reviewed the result of 24 patients who had been managed with arthroscopic reconstruction using different graft materials such as BPTB autograft, Achilles tendon allograft and BPTB allograft. Twenty-four patients(average age, 37 years) with PCL rupture were retrospectively evaluated more than one year(average, 31 months) after having arthroscopic posterior cruciate ligament reconstruction. The clinical results were evaluated by IKDC ligament standard evaluation form, using $KT-2000^{TM}$ knee ligament arthrometer and also evaluated Lysholm knee scoring scale. Results : The final evaluation was nearly normal in 11 patients($45\%$ in Group I, $43\%$ in Group II, $50\%$ in Group III). The corrected posterior sagging was abnormal(side to side difference more than 6mm) in 8 patients($36\%$ in Group I, $29\%$ in Group II, $33\%$ in Group III). We could not find significant difference among three groups by IKDC scale. Conclusion : Comparing with other reports, our overall results were not satisfactory. And also, we could not find any remarkable difference among the three groups. Further research is necessary to evaluate new surgical approaches as well as improved techniques for capsular and collateral ligament injuries.

      • KCI등재

        Disparity in the Fear of Falling Between Urban and Rural Residents in Relation With Socio-economic Variables, Health Issues,and Functional Independency

        조형필,설승준,윤도현,김미정,최보열,김태곤 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.6

        Objective To investigate disparities in the fear of falling between urban and rural communities in relation to socio-demographics, health status, and functional level.Methods A total of 974 subjects aged 40 years or older participated in this study (335 urban residents and 639 rural). They completed a questionnaire about socio-demographics, health-related variables, and experience with falls. We employed both direct questioning and the Korean version of Falls Efficacy Scale-International (KFES-I) to investigate fear of falling in terms of perceptive fear and higher level of concern over falling during daily activities. The Korean version of Instrumental Activities of Daily Living was used to assess functional independency.Results Aging, female gender, fall history, and the presence of chronic medical problems were independently associated with higher prevalence for the fear of falling. Both perceptive fear of falling and a higher level of concern over falling were more prevalent in the rural senior population compared with those in the urban population when they had the following characteristics: lower income or educational background, physical laborer or unemployed, no chronic medical morbidity, or functional independency in daily activities.Conclusion The disparity in the fear of falling between the two areas is thought to be related to age structure, and it may also exist in healthy or functionally independent senior populations under the influence of socio-environmental factors. A senior population with lower socio-economic status residing in a rural area might be related with a greater vulnerability to the fear of falling. We should consider regional characteristics when we design fall-related studies or develop fall-prevention programs at the community level.

      • KCI등재

        Do Lifestyle Factors Affect Lower Urinary Tract Symptoms? Results from the Korean Community Health Survey

        김규식,조정기,이지안,최보열,문홍상 대한배뇨장애요실금학회 2019 International Neurourology Journal Vol.23 No.2

        Purpose: To evaluate the relationships between lower urinary tract symptoms (LUTS) and lifestyle factors (physical activity, smoking, alcohol consumption, body mass index, and stress) in Korean men. Methods: We analyzed the survey results of South Korean men (n=64,439) who were 40 years of age or older among whom interviews were conducted using questionnaires. Trained interviewers performed face-to-face surveys using computer-assisted personal interviewing, the International Prostate Symptom Score (IPSS), and standard questions. We assessed the relationships of lifestyle factors (physical activity, cigarette smoking, alcohol intake, height, weight, and stress) with LUTS. Results: We observed higher IPSS scores in participants who engaged in no exercise (n=46,008 [71.7%], IPSS=3.19±5.36) than in those who engaged in vigorous physical activity (n=10,657 [17.6%], IPSS=2.28±4.15). Former smokers showed higher total, storage, and voiding symptom IPSS scores than current smokers and nonsmokers. Nondrinkers had higher IPSS scores than current alcohol drinkers. In multivariable logistic regression analysis, we detected no relationship between LUTS and current alcohol drinking in the moderate and severe LUTS groups, using the mild LUTS group as a reference (moderate: 0.91; 95% confidence interval [CI], 0.91–0.91; P<0.001, severe: 0.78; 95% CI, 0.78–0.78; P<0.001). Participants with moderate to severe stress showed higher total IPSS scores than those with no or mild stress (3.38±5.77 vs. 2.88±4.90), with significant relationships between stress and LUTS found in the moderate and severe LUTS groups. In logistic regression analysis, stronger relationships were found for storage and voiding symptoms in the moderate and severe stress groups compared to the mild stress group. Conclusions: A history of smoking, low levels of physical activity, low body mass index, and moderate to severe stress were associated with a greater severity of LUTS. Moderate to severe stress was also related to voiding symptoms. However, there was no association between alcohol intake and LUTS severity.

      • KCI우수등재

        운동생리학 : 해양스포츠 여자선수의 체력, 혈액성분 및 영양섭취에 관한 연구

        강신범(KangShin-Beum),최보열(CholBo-Yeol),하해동(HaHael-Dong) 한국체육학회 2001 한국체육학회지 Vol.40 No.4

        본 연구는 해양스포츠(카누, 조정) 참여 여자선수들의 체격과 체력, 혈액성분 및 영양섭취 상황을 비운동군(여자대학생)과 비교 분석하여 생리기능적 안전과 경기력 향상에 다소나마 이바지 하고자 하였다.이 연구에서 얻은 결론은 다음과 같다.첫째, 여성선수와 대조군의 연령, 신장, 체중을 매치시켜 본 결과 체지방율은 여성선수가 19±3%, 대조군 23±2%로써 여성선수가 유의하게 낮게 나타났다.둘째, 여성선수의 추정최대산소섭취량은 38.3±3.7㎖/㎏/min으로써 대조군 31.3±3.0㎖/㎏/min에 비해 유의하게 높게 나타났다.셋째, 여성선수에게 혈청일탈효소인 LDH 및 CPK의 상승이 인정되었다.넷째, HDL-C는 여성선수가 대조군에 비해 유의하게 높게 나타났다.다섯째, 여성선수의 Hb, Hb(%) 및 Hct는 정상범위에 들어있긴 했으나 대조군에 비해서는 낮았다.여섯째, 여성선수들의 섭취에너지, 당질, 단백질, 칼슘 및 철 섭취량이 표준권장량에 비해 낮은 것으로 나타났다. This study compared the physical fitness, blood properties, and nutritional intake of female marine sports athletes with those of age-matched college students.The results were summarized as follows;1) %Fat of female marine sports athletes were significantly lower than those of sedentary students: 19±3% vs 23±2%.2) Estimated VO<sub>2</sub> max of female marine sports athletes were significantly higher than those of sedentary students: 38.3±3.7㎖/㎏/min vs 31.3±3.0㎖/㎏/min.3) Serum concentrations of LDH and CPK of female marine sports athletes were higher than those of sedentary students.4) Serum concentrations of HDL-C of female marine sports athletes were also higher than those of sedentary students.5) Blood Hb and Hct values of female marine sports athletes were lower than those of sedentary students.6) Nutritional intake of female marine sports athletes were slightly higher than those of sedentary students, however their intake was considered less than the required intake for athletes who perform regular training.

      • KCI등재

        경골과 골절의 수술적 치료

        이철형,문명상,최원태,이정웅,선두훈,김의순,최보열 대한골절학회 2001 대한골절학회지 Vol.14 No.2

        Purpose : To evaluate the results of operative treatment for tibial condyle fracture of the proximal tibia. Material and Methods: From March 1995 to June 1999, 15 patients with more than one year follow-up periods were treated by operative method at Sun General Hospital. 10 of them were treated by open reduction and internal fixation(plate & screw for 8, screw & K-wire for 2) and 5 of them by closed reduction and Ilizarov fixation. Preoperative prognostic factors were considered as the fracture type of Schatzker classification, associated injury, and closed or open fracture. Functional outcome was evaluated results by Blokker`s criteria. Results: According to Schatzker classification, type III were 4 cases, type IV were 6 cases, and type V were 5 cases. At last follow up, average range of motion was 115° (Internal fixation was 110°, External fixation was 130°) The results was according to Blokker`s criteria, 11 cases(73%) had satisfactory acceptable results, among 4 cases(27%) of non-acceptable criteria. Conclusion: For treatment of tibia condyle complicated communited fracture, we are able to consider that rigid internal fixation with anatomical reduction and external fixation for early range of motion.

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