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      • KCI등재

        경막 내 colistimethate 투여로 치료한 다제 내성 cinetobacter baumannii 뇌실염

        홍유아,유진홍,김진진,모은영,안건희,정희경,김진석,이현정,정미향,윤승배 대한감염학회 2009 감염과 화학요법 Vol.41 No.4

        Acinetobacter species is a non-fermentative aerobic gram-negative coccobacillus that is an important pathogen found in nosocomial infections. Recently, multi-drug resistant Acinetobacter baumannii (MDR-AB) infections have been increasing and pose a serious problem. Most such infections present as bacteremia, pneumonia, or a wound infection; however, CNS infections are very rare. We herein present a case of ventriculitis caused by MDR-AB in a 37-year old man after a neurosurgical intervention. The patient was successfully treated with intrathecal colistimethate.

      • 도시지역 합류식 하수관거 월류수의 오염부하 특성

        윤현식,이두진,이영대 漢陽大學校 環境科學硏究所 2003 環境科學論文集 Vol.24 No.-

        합류식 하수관거 월류수(Combined sewer overflow, CSOs)는 도시 인근 방류선 수체의 주요한 오염원의 하나로 알려져 있으며, 특히 강우초기 월류수의 경우 높은 오염부하가 일시에 방류되어 심각한 문제를 야기시킨다. 본 연구에서는 도시지역 합류식 하수관거 월류수의 발생 및 오염부하 특성을 분석하고, 초기강우에 의한 세척효과, 오염원 기여도 평가 등을 수행하였다. 강우사상에 따라 다소 차이가 있었으나, 합류식 하수관거 월류수가 건기하수에 비하여 오염부하가 전반적으로 높았으며, 특히 월류초기에는 매우 고농도로 측정되었다. 근사적인 오염물질 수지식을 통하여 관거퇴적물의 재부유에 의한 오염기여도가 가장 높았다. 무차원 L(V)곡선이 초기세척현상(First flush)을 잘 표현하였으며 SS, CODcr, T-P, T-N의 순으로 초기세척효과가 크게 나타났다. Combined sewer overflows(CSOs) have been considered as a major cause of water quality deterioration of natural water-courses in the vicinity of the heavily urbanized areas. The factors defining the magnitude and occurrence of CSOs are site specific. It is important to know exact properties of pollutants contained in CSOs to address water quality impacts that are caused by CSOs inputs to the receiving waters. This should be accompanied with an integrated analysis, evaluation programs, thus allowing us to an appropriate technology to alleviate the impacts. Pollutant concentrations measured during the storm events were generally higher than those of dry weather conditions except for T-N parameter and observed significant higher concentrations at the initial phase of CSOs. Based on the rough estimation by the proposed pollutant mass balance, it was found that a main part of wet weather pollutional loads originates from the resuspension of sewer bottom sediments. The dimensionless L(V) curves for determining whether first flush phenomenon occur or not were well described the pollutant flushing. These results show that a given fraction of volume contains a load of SS higher than CODcr, T-P, T-N in the initial phase of wet weather runoff.

      • 대학교양체육의 운영 실태분석

        진윤수,정문현,이종길 忠南大學校體育科學硏究所 1996 體育科學硏究誌 Vol.14 No.1

        The purpose of this study was to analyze the present condition of college physical education the survey was carried out with thirty seven national or private colleges the findings of this study could be summarized as followings; 1. College physical educaion was largely devided into three fields-physical education, art education, and education transforted from required subject. The most widely carried field was that of art education. 2. Various opportunities for college physical education were given to students, and there were thirteen col-leges where more than ten subjects were taken. Especially in Seoul National University, forty subjects were tak-en. But the number of colleges where less than four subjects was sixteen. 3. Twenty two colleges took subjects concerned with high-class sports such as leisure, recreation, golf, ski and so on. The subjects were composed to make students go through high-class sports so they are suppposed to strengthen students' abilities to adapt themselves to modern society. 4. To take a unit, students could freely choose subjects among three diffrent fields of college physical edu-cation. And the larger part of students took one or two subjects.

      • 부모보고형 자아탄력성 척도의 개발

        윤현희,홍창희,이진환 서울대학교 심리과학연구소 2001 心理科學 Vol.10 No.1

        자아탄력성이란 외적 스트레스와 내적 긴장에 대해 융통성 있고 효과적으로 대처하는 일반적인 능력을 의미한다. 최근 아동과 청소년들을 위협하는 유해환경이 급하고 이에 따른 정신적ㆍ행동문제가 심각해져 감에 따라, 내적 긴장을 적절하게 해소하고 환경적인 스트레스에 대처해 나갈 수 있는 적응능력의 중요성이 절실하게 인식되고 있다. 이에 아동과 청소년 개개인의 자아탄력성 정도를 알아보는 것은 두 가지 점에서 의미가 있다고 하겠다. 첫째, 학교 장면에서는 자아가 취약한 아동들에게 예방적 개입을 실시할 기회를 얻을 수 있을 것이며, 둘째, 임상 장면에서는 현재 아동이 겪고 있는 장애에 대한 아동의 대처능력과, 장애로부터의 회복 가능성을 판단해 볼 수 있는 자료가 될 수 있을 것이다. 아동은 언어적인 표현능력이 제한됨에 따라 아동을 평가하는 데 있어 부모가 가장 좋은 정보원이 된다. 이에 본 연구에선, 1차 연구에서 아동의 인지, 정서, 행동 특징들을 기술하는 문항에 부모가 응답하게 함으로써, 아동의 자아탄력성을 측정할 수 있는 문항들을 선별, 척도를 구성하였다. 이 때 문항분석은 1. 안면타당도에 의한 문항분석 2. 교사평정으로 구분한 교사평정으로 구분한 자아탄력성 상/하위 집단 차이에 따른 문항분석 3. 정상집단과 환아집단 차이에 따른 문항분석 4. 문항-척도 상관에 의한 문항분석 5. 요인분석 과정을 거쳐 최종적으로 24문항을 선정하였다. 2차 연구에서 척도의 타당도를 검증하기 위하여, 개발된 척도에 의해 탄력적/ 비탄력적인 값으로 평가된 아동의 간의 스트레스 정도에 따른 적응양상을 비교하여 보았다. Ego-Resilience refers to the general capacity for flexible and resourceful adaptation to external stressors and internal tension. As children-adolescent's behavior problems become severe, to know the individuals Ego-resilience level is important in two aspect. First, at school setting. We can distinguish ego-resilient individual from ego-brittle individual by administration of Ego-resilience scale. So, We can put ego-brittle individual in program to promote Ego-resilience. Second, at clinical settings, administration of Ego-resiliency scale can be helpful to know the individual's coping with his/her pathology and prognosis. It is difficult for children to know and express himself/herself exactly and objectively. In case of preschool children, their ability to read and write is limited. So parents are the most important information for children. This is the reason why construct Parent Form Ego-resilience Scale. The item in the scale are selected from the Korea Personality Inventory for Children Preliminary Form. All items need to answer 'yes' or 'no'. Item analysis is made through five steps. 1. clinical psychologists' judgement for the face validity 2. group(ego-resilient vs ego-brittle) contrast is done according to teachers judgement 3. group(normal vs abnormal) contrast is done according to psychiatric diagnosis 4. item-scale correlation 5. factor analysis According to the result of principal component analysis, five factors such as 'peer-relationship and optimism', 'empathy and self-acceptance', 'attention and self-esteem', 'comprehension' and 'leadership' are extracted. The cut-off score discriminating abnormal and normal is 16 point. According to KPI-C profile the Ego-brittle groups are subject to maladaptive when external and internal stress increases. To find out ego-brittle children and to let them put in the situation to promoting capacity for flexible and resourceful adaptation are important.

      • SCOPUSKCI등재
      • 셀룰로스계 혼화제를 사용한 수중불분리성 콘크리트의 최적 배합

        진치섭,엄장섭,박현재,윤재환 부산대학교 생산기술연구소 2001 生産技術硏究所論文集 Vol.60 No.-

        수중불분리성 콘크리트는 통상적인 수중 콘크리트와는 개념부터 다르다. 콘크리트에 수중불분리성 혼화제를 혼합하면 콘크리트의 점성이 증가되고 수중에서의 재료분리에 대한 저항성이 현저히 증가된다. 이 효과는 수중콘크리트 자체의 신뢰성을 높여줄 뿐만 아니라 타설지역의 환경보존에도 현저한 기여를 하게 된다. 본 연구에서는 셀룰로스계 수중불분리성 혼화제 (수용성 셀룰로스 에틸계)와 고유동화제 (고축합 트리아진계)의 첨가량 변화에 따른 수중불분리성 콘크리트의 제반 물성 변화를 검토하고 비교적 정온 상태의 해상 환경에 적용할 수 있는 수중불분리성 콘크리트의 치적 배합을 결정하였다. Antiwashout underwater concrete is quite different in concept from conventional underwater concrete. By mixing an antiwashout admixture with concrete, the viscosity of the concrete is increased and its resistance to segregation under the washing action of water is enhanced. The effect of this is not only to greatly improve the reliability of concrete placed under water, but it also has remarkable effects on environmental preservation in the construction area. In this study, property tests of antiwashovt underwater concrete have been carried out, as variable add of special admixture, i.e antiwashout underwater agent (Hydroxy Ethyl Cellulose), superplasticizer (High condensate Tri - Azine). We made the antiwashout underwater concrete have enough strength to endure with easy construction. And we have decided the optimal mix proportion far antiwashout underwater concrete under standard state.

      • SCOPUSKCI등재
      • KCI등재

        Paraquat 중독환자의 초기검사로서 sodium dithionite를 이용한 소변내 paraquat검출의 임상적 의의

        윤갑준,임경수,이진웅,김영식,이부수,박덕우,김선만,이강현,황성오,안무업 대한응급의학회 1995 대한응급의학회지 Vol.6 No.1

        Background : Mortality from paraquat intoxication depends upon plasma paraquat concentration. To know the severity of paraquat intoxication is important for directing therapeutic modality and predicting prognosis. Sodium dithionite test for urinary paraquat provides an easy and simple method to determine the severity of paraquat intoxication in emergency department. purpose : To determine whether the result urinary paraquat test by sodium dithionite can predict outcome in patients with paraquat intoxication in emergency department. Subjects : 48 patients(male 31, female 17, mean age 37 years) who had exposure to paraquat and presented within 24 hours after exposure. Result : Thirty five patients were positive in paraquat urine test and thirteen patients were negative. Clinical manifestations were more severe in positive patients than in negatives. Complication was much more in positives than in negatives. 28 of 35 patients(80%) in positives and 2 of 13 patients(15%) in negatives died. Conclusion : Positive test for urinary paraquat is associated with high mortality and morbidity from paraquat intoxication, and qualitative test for urinary paraquat by sodium dithionite is an useful method to determine the severity of paraquat intoxication in emergency department.

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