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      • 고식적 직접 도말법과 $MonoPrep2^{TM}$ system 법에 의한 자궁경부질 세포검사 성적의 비교 검토

        전윤경,김옥란,박기화,강순범,박인애,Jeon, Yoon-Kyung,Kim, Ok-Ran,Park, Ki-Wha,Kang, Soon-Beom,Park, In-Ae 대한세포병리학회 2004 대한세포병리학회지 Vol.15 No.1

        We compared the diagnostic accuracy of liquid-based cervicovaginal cytology using $MonoPrep2^{TM}$ system (Monogen, Herndon, Virginia, USA), a manual system based on membrane filtration method, with conventional Pap smear. Study population included 92 patients visiting the gynecologic department under the suspicion of uterine cervical disease. In thirty of them, surgical biopsy was performed. $MonoPrep2^{TM}$ system provided well-preserved monolayer specimen with good nuclear morphology. However, about 19% of specimens were inadequate to interpret due to low cellularity. The detection rate of abnormal cells more than ASCUS (atypical squamous cells of unknown significance) was 23.9% and higher than 19.4 % of conventional Pap smear. Diagnostic concordance rate with conventional Pap smear was 81%, and severe discordance rate influencing on the management of patient was 7.6 %. Among these seven cases, $MonoPrep2^{TM}$ system was more diagnostic only in four. In comparison with histology, the sensitivity of diagnosis of $MonoPrep2^{TM}$ system was 78.9% and slightly higher than 73.5% of conventional Pap smear. However, the specificity was 81.1% and lower than 90.9% of Pap smear. In conclusion, $MonoPrep2^{TM}$ system provided diagnostic accuracies similar to the conventional Pap smear. The inexpertness of slide preparation and the low cellularity were considered to endow a limitation in more accurate evaluation.

      • SCOPUSKCI등재
      • KCI등재후보

        늑막액에서 Cholesterol 측정의 진단적 의의에 관한 연구

        이원돈(Won Don Lee),김옥란(Ok Ran Kim),이재용(Jae Young Lee),성천모(Chun Mo Sung),배혜상(Hae Sang Bae),서승천(Seung Cheon Seo),최병휘(Byung Hue Choi),허성호(Sung Ho Hue) 대한내과학회 1989 대한내과학회지 Vol.36 No.1

        N/A The cholesterol of pleural fluids was measured in 30 patients various diseases with pleural effusion to investigate the utility of differential diagnosis of exudates from transudates. Six cases were pleural transudates and 24 cases were pleural exudates as by classified predefined criteria. The results were as follows: 1) Mean protein level in group 1 (transudates) was l.9±0.8 g/dl and 4.8±0.9 g/dl in group 2 (exudates). Mean pleural fluid to serum ratio in group 1 was 0.30±0.11 and 0.80±0.48 in group 2. 2) Mean LDH level was 40X29 IU in group 1 and 325+271 IU in group 2. Mean pleural fluid to serum ratio was 0.20±0.11 in group 1 and 2.01±1.90 in group 2. 3) Mean cholesterol level was 37±14 mg/dl in group 1 and 97±42 mg/dl in group 2. Mean pleural fluid to serum ratio was 0.18±0.06 in group 1 and 0.71±0.32 in group 2. 4) A protein level of 3.0 g/dl, LDH level of 200 IU, cholesterol level of 60 mg/dl and their pleural fluid to serum ratios of 0.5, 0.6 and 0.3 respectively were used as dividing lines separating transudates from exudates, and 0% was misclassified in group 1. Misclassified effusions in group 2 for each single parameter were: protein 0%, protein ratio 4%, LDH 29%, LDH ratio 20%, cholesterol 20%, cholesterol ratio 0%, and Light criteria 4%. We found the use of cholesterol level to be superior to the measurement of LDH level and inferior to protein level. The ratio of pleural fluid to serum cholesterol markedly improved the result. On the basis of the above results, it is suggested that pleural fluid cholesterol is a useful index in differentiating exudative from transudative pleural effusions.

      • SCOPUSKCI등재

        일부 경북지역 산업장의 제특성에 따른 건강진단과 보건관리 실태

        김상순,김정남,박정,김옥란,차경미,곽오계,박경민,최연희,백경신,Kim, Sang-Soon,Kim, Jung-Nam,Park, Jung,Kim, Ok-Ran,Cha, Kyung-Mi,Kwak, Ou-Ke,Park, Kyung-Min,Choi, Yoon-Hee,Bak, Kyung-Shin 한국지역사회간호학회 1993 지역사회간호학회지 Vol.4 No.1

        The purpose of this study was to find the status of health examination and health management of industrial companies located in Taegu and Kyung book areas. It will provide basic information for the provision of effective health management of industrial workers. 49 companies were selected as a study sample group, and data was collected by using a structured Questionnaire which was developed by the members of the Community Health Nursing Academy of Korean Nursing. The health managers of the companies filled out the Questionnaire. The data was gathered from Dec 20, 1992 to Jan 20. The results of the study was as follows : 1. The Study sample showed 85.7% manufacturing companies having 300 or more workers. 2. All the companies had health managers, and companies which had 1,000 or more workers had industrial physicians and nurses. Only 12.2% of the industrial physicians were full time employees, and almost all industrial nurses were full time employees. Except for industrial physicians and nurses, the proportion of hygienists (6.1%), nurses aids (4.1%), and environmental engineers (22.4%) with full time employment statuss was very low. The mean age of industrial physicians was 49.2 while that of industrial nurses was 27.2. The length of work experiences currently ranges for 1 to 3 years for all health workers: physicians, nurses, hygienists, and environmental engineers. 3. Health examination and follow up care 94.31% took general health examinations. Of those, the proportion of the workers, who were determined as C grade(in need of close examination) was 43.86%. The proportion of the workers who were determined as D grade was 22.19%. 13.28% of the workers evaluated at the D grade were taken as a gauge for temporary leave from work. While 8.7% and .09% of them were taken as gauge for a change in job, and or shortening work hours respectively. The proportion of workers who must have taken special examination was 65.04% and of those the proportion of the workers who actually took, the examination was 98.55%. 75% of the workers who were recommended for follow up care were given follow up care. The special examinations were done the most frequently to detect the effects of physical agents (59.2%). Direct notice to individual workers was used the most frequently as a method of notification after a special examination (61.2%). The length of time taken to receive the result of a special examination was less than 1 month (38.9%) and 36.7% had taken up to two months (36.7%.). Most results of special examination were obtained within 2 months. The referral rate of consulting special examination by health managers was estimated at 95.9%. 4. 89.8% of the companies had. their own company dispensaries and 75.5% of those. had separate dispensaries. 32.7% of the companies designated local clinics for health management of workers. Industrial nurses performed health examination the most frequently(1.4 points). Health appraisal for work places were. done the least(0.83 points).

      • KCI등재

        기독교 상담자의 상담 경험에 관한 현상학적 연구 : 목회 경험이 있는 상담자를 중심으로

        이경직 ( Lee Kyung Jik ),김옥란 ( Kim Ok Ran ) 21세기기독교사회문화아카데미 2022 신학과 사회 Vol.36 No.4

        This study examines the counseling experience of Christian counselors with pastoral experience through a phenomenological research method. It was found in previous studies that counselors with Christian faith may differ from non-Christian counselors in counseling motives, preparation, training, and process methods, etc. In particular, The purpose of this study is to reveal the characteristic experiences of counselors with pastoral experience who have a deep understanding of the Christian faith through counseling. For the study, in-depth interviews were conducted with 5 people who are currently pastors or have more than 5 years of pastoral experience in H area, and who are working as counselors using the snowball method. The collected data were analyzed by applying Colaizzi's method. As a result of the study, first, it was possible to find the reason for starting counseling, and what they had in common was understanding people and seeking ways to solve their pain. Second, the study participants were experiencing exhaustion in counseling and were overcoming them in various ways, including religious methods. Third, as Christian counselors with pastoral experience, they were experiencing dilemmas and concerns about their identity in counseling. This study provided practical information on the counseling experiences characteristic of counselors with pastoral experience, and the results are expected to be used as data for Christian counseling and Christian counseling factors studies.

      • SCOPUSKCI등재
      • 國民學校 6學年의 性敎育 必要度와 性敎育에 의한 性知識과 性役割에 對한 態度의 變化

        金玉蘭 김천과학대학 1987 김천과학대학 논문집 Vol.15 No.-

        본 연구는 국민학교 6학년 학생들의 성적 성숙도와 성에 대한 지식수준과 그 습득경로, 그리고, 성역할에 대한 태도등을 조사하여 성교육의 필요성 여부를 알아보고, 실제 성교육의 실시로 어떤 변화를 나타내는지를 알아보기 위하여 실시되었다. 대구시내 1개 국민학교 6학년 (남 180명, 여 168명), 김천시내 2개 국민학교 6학년(남 336명, 여 297명), 금릉군내 1개 국민학교 6학년(남 171명, 여161명) 학생 전원 총 1,313명 (남 687명, 여 626명)을 대상으로 1987년 4월 2일 부터 4월23일까지 설문조사를 하였다. 김천시내 1개 국민학교 대상 학생 전원에게는 사전 설문 조사 후, 미리 준비된 성교육 자료를 이용하여 1시간동안 교육을 실시하고 2주뒤에 사전 조사와 똑같은 설문지로 사후 조사를 하였다. 여학생들의 초경 경험율은 4.2%이었으며, 남학생들의 몽정 경험율은 0.4%이었다. 성에 대한 지식수준은 남학생보다 여학생이, 농촌학생보다는 중도시 학생이, 중도시 학생보다는 대도시 학생이 더 높았다. 성에 대한 지식의 습득경로는 친구와 신문ㆍ잡지, 그리고 T.V.,라디오가 50.0% 이상이었으며, 아버지와 선생님을 통해서 지식을 얻는 율은 비교적 낮았다. 성역할에 대한태도는 남ㆍ녀 모두 농촌이 대도시와 중도시보다 더 많은 학생들이 남성의 권위를 인정하는 태도를 보였으나, 모든 지역에서 남학생이 여학생보다 인정하는 율이 유의하게 높았다. 성교육 실시 후 성에 대한 지식수준은 유의하게 높아졌으나, 성역할에 대한 태도는 변화하지 않았다. 국민학교 6학년에서 초경과 몽정을 경험하는 학생들이 있고 또 그에 대한 지식이 없어 대부분의 학생들이 당황하고 있는 것으로 보아 국민학교 6학년에서부터 성생리에 대한 교육이 시작되어야 할 것이며, 이를 위해 교과 과정의 개편이 필요할 것으로 생각된다. 그리고 성역할에 대한 건전한 태도를 갖게하기 위해서는 짧은 시간의 집단교육보다는 정규 교과과정 내에서 장기적으로 교육을 실시하여야 효과를 거둘 수 있을 것으로 생각된다. This study was attempted to assess the need for sex education in 6th grade of elementary school and the effect of a short term sex education on knowledge of sex physiology and the attitude toward gender role. The study population included 1,313 students (687 boys, 626 girls) in 6th grade of elementary schools in 3 areas; Taegu City 348(180 boys, 168 girls), Kim cheon City 633 (336 boys, 297 girls), and Kum nung County 332 (171 boys, 161 girls). A questionnaire was administered to all the study population to test knowledge of sex physiology and the attitude toward gender role in April 1987. After the pre-test all the students of one school in Kim cheon city (159 boys, 157 girls) was given one hour lecture for sex physiology and gender role and two weeks later the same questionnaire was administered. Girls had menarche in 4.2% whereas 0.4% of the boys had the experience of wet dream. Knowledge level of sex physiology was higher in students of Taegu City and Kim cheon city than in students of Kum nung County, and girls had a higher knowledge level than boys in three areas. Major sources of knowledge of sex were friends, newspaper, journals, T.V and radio. Fathers and teachers were not important source of knowledge. A higher percentage of students in rural area approved the man's authority and the approval rates of boys were significantly higher than those of the girls in three areas. The short term sex education increased knowledge level of sex physiology remarkably in both boys and girls but it did not change significantly the attitude toward gender role. The results suggest that sex education should be started in 6th grade of elementary school and the curriculum should be reviced to comply with this need.

      • 간호전문대학생의 임상실습 만족도에 관한 일 조사 연구

        金玉蘭,孫貞台 김천과학대학 1982 김천과학대학 논문집 Vol.10 No.-

        To ascertain if students' general characteristies affect the level of satisfaction in clinical practice, this study investigated students' perceptions on contents, guidance, environment, hours and evaluations of clinical practice associated with their characteristics. Study was conducted, from the 14th of September to the 21st of October, to 481 nursing Students from 6 diploma programs. Results are as follows. 1. On the hours of clinical practice, sophomore was significantly higher than junior. (P〈0.1) On the evalution sophomore was significantly lower than junior. (P〈0.005) 2. Satisfaction level on the academic achievement was significantly different in the order of upper, middle and lower. (P〈0.01) 3. Level of satisfaction of students who had school-hospital, on the contents, significantly higher than who had none. (P〈0.01) 4. The better health states students had, on the contents, the higher satisfaction level was significantly.(P〈O.05) 5. Students were preferred professor as clinical instructor rather than nurse on the contents, guidance and hours. (P〈0.005, P〈0.05) 6. Enterance motive made by herself was scored significantly higher than the other on the contents and hours. (P〈0.05) 7. The better interpersonal relationship students had, the higher satisfaction level was significantly on the guidance, environment and hours. (P〈0.01)

      • 看護學生의 臨床實習 滿足度에 關한 調査 硏究 : 각 지방 간호전문대학과정을 중심으로

        金玉蘭 김천과학대학 1981 김천과학대학 논문집 Vol.9 No.-

        As nurse educators arc faced with the urgnt problem of clearly distinguishing, for all concerned, the differences in the purpose and nature of professional and technical education in nursing. This study was designed to measure the Level of satisfaotion in according with the contents, guidance, environment, hours and the evaluation of clinical practice, and investigate the extent of influence of the variables have on the Level of satisfaction. Four hundred and eighty one nursing students from junior nurse college programs in six urban were randomly sampled. Results are follows,: 1. Level of Satisfaction according to the class revealed to be higher 2 than 3. 2. Level of satisfaction according to the Hospital and no Hospital school revealed no significant difference. 3. Level of satisfaction according to the health revealed to be higher bad than good students. 4. Level of satisfaction according to the academic achievement revealed to be higher high than low students. 5. Level of satisfaction according to motives revealed no significant difference. 6. Level of satisfaction according to the clinical instructor revealed to be higher clinical nurse than nursing Proffesor. 7. Level of satisfaction according to the interpersonal relationship revealed to be higher good than bad students. 8. Level of satisfaction of contents (mean score = 3.28), hours(mean score = 3.02). revealed to be high. 9. Lelel of satisfaction of guidance(mean score= 2.76), environmont(mean score = 2.88). and evaluation(mean score = 2.78)revealed to be low. 10. Level of satisfaction revealed to be low. (total mean satisfaction score = 2.04)

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