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자동혈압계 (UDEXⅡ α - UEDA)의 유용성을 평가하기 위하여 1996년 6월 10일부터 7월 30일까지 모대학병원 건강관리과를 방문하여 건강진단을 받는 사람 852명 (남자 539명, 여자 313명)을 대상으로 혈압을 측정하였다. 혈압은 4회 측정되었는데 수은혈압계로 간호사, 의사가 각각 측정하였으며 자동혈압계로는 우측 전박을 위로 향한 방법과 좌측으로 돌려서 측정하는 두가지 방법을 차례로 이용하였다. 의사에 의한 수은혈압계 측정치를 표준치로 하여 자동혈압치의 신뢰도, 타당도, 상관성, 희귀성 등을 조사하였다. 자동혈압계에 의한 혈압치가 수은혈압계에 의한 혈압치보다 약간 낮은 수치를 보였으며 이것은 성, 연령군, 각 혈압군, 비체중군 별로 일정하게 나타나고 있었다. 그러나 약간 낮은 수치는 작은 차이로 상관성과 일치도에 있어서 고혈압군을 제외하고는 유의성을 보이고 있었다. 또 팔의 위치에 있어서 우측 상박을 위로 향한 방법이 좀 더 높은 특이도와 예측도를 보였다. 그러나 두가지 방법 모두 민감도는 낮게 나타났다. 그러므로 자동혈압계는 이미 기존 고혈압 환자에게 있어서 혈압의 자기측정으로 혈압을 조절하는데는 도움이 될 것으로 사료되며 새로운 고혈압 환자를 발견하고자 할 경우에는 다른 보조적인 방법이 함께 고려되어야 할 것이다.
Background and Objects : Problem based learning (PBL) was practiced the 2nd grade students of Soonchunhyand medical school for two weeks from Dec. 10th through 24th, 2001. This is to evaluate the effect of the PBL practice Materials and Methods : On study module was discussed each week for 17 small groups. Each group had 6-7 students and 1 tutor. Questionnaire was applied to both students and 20 tutors. The questions were grouped in 6 categories, that is, understanding and satisfaction about the PBL, the process of small group discussion and group activity in self-learning method, PBL module and tools for study, opinion about tutors evaluation method etc. And advantages, disadvantages and other opinions were described in self-administration. Results : Both students and tutors had satisfied the PBL practice positively. Practices of "self-learning and active discussion instead of spoon-feeding methods", "problem-solving ability and medical reasoning" were described as advantages, "inefficiency and loss of time because of poor process during the discussion", "time consuming and much loading problems in self-learning practice because lack of training" "time consuming and mush loading problems in self-learning practice because lack of training" "lack of study room" were described as disadvantages.
목적: 채용을 목적으로 건강진단을 실시한 무증상의 성인들을 대상으로 경계성 고혈압을 포함한 고혈압 유소견자를 파악하고, 입사 1년 후 혈압상태를 추적관찰하여 고혈압으로의 진행 변화를 보고자 하였다. 방법: 2001년도에 채용건강진단을 받은 사람들 중에서 1년 후 2002년도에 정기 추적검사를 받은 사람들과 2002년도에 채용건강진단을 받은 사람들 중에서 1년 후 2003년도에 정기 추적검사를 받은 사람들을 1년간 추적 연구대상으로 하여 처음 입사시의 혈압과 1년 후 추적 혈압의 변화를 조사하였다. 결과: 연구대상자는 1116명(남자 621명, 여자 495명)으로 연령분포는 18-29세군이 77.9%(남자 68.8%, 여자 89.3%) 이었다. 평균혈압은 남자의 경우 수축기 혈압 127.6±12.1 mmHe, 이완기 혈압 79.4±11.0 mmHg, 여자의 경우 수축기 혈압 116.6±11.7 mmHg, 이완기 혈압 72.0±9.9 mmHg 이었으며, 평균 BMI는 남자 23.3±3.2 ㎏/m^(2), 여자 20.7±2.8㎏/m^(2)이었다. 1년 후 추적 관찰시에 남자의 경우 수축기 혈압은 유의한 감소를 보였으며(p<0.01). 이완기 혈압, 체중 및 BMI 는 통계적으로 유의한 증가를 보였다(p<0.01). 여자의 경우는 이완기 혈압과 체중(p<0,01), BMI(p<0.05) 가 통계적으로 유의한 증가를 보였다. 1년 후 추적 관찰시에 성-연령을 보정한 고혈압 유병률은 22.1%로 1년 전(17.3%%에 비하여 유의하게 증가 하였으며, 고혈압 전단계군의 유병률 역시 47.6%로 1년 전(45.4%%에 비하여 유의하게 증가하였다. 기저혈압상태에 따른 1년후 고혈압 전환률은 정상혈압군 에서 7.6%(남자 9.5%% 여자 6,7%), 고혈압 전단계군 에서 18.8%(남자 22.9%, 여자 9.4%%이었고, 고혈압군 에서는 57.1%(남자 61.8%% 여자 36.3%가 계속 고혈압상태로 변화가 없었다. 고혈압 전환에 관련된 위험 요인들의 다변랑 분석에서는 기저 수축기 및 이완기 혈압,수측기 및 이완기 혈압의 1년 후 기저 혈압과의 차이가 고혈압에 영향을 주는 유의한 위험요인으로 나타났으며 설명력은 76.2%이었다. 결론: 전체적으로 고혈압 유병률이 증가하였으며 기저 혈압수준에 따라 고혈압 발생률이 증가하였다.고혈압의 관련요인으로는 기저 혈압수준이 영향을 미치는 것으로 나타났다. 본 연구는 비교적 젊은 연령층에서 발견된 고혈압 전단계 유병률과 고혈압 유병률이 높고 또한 고혈압으로의 전환률이 높으므로 이들을 대상으로 한 직장에서의 혈압 관리의 중요성을 보여 주고 있다. Objectives: This is the 1 year follow-up study to investigate the change of blood pressure status among the preemployment examinees and to suggest the importance of blood pressure management in the workplace. Methods: Subjects whose blood pressure were measured in 2001 and 2002 at the time of preemployment examination were matched with the periodic health examination data 1 year later respectively. Their blood pressure status and their changes and possible relative factors were observed. Results: Total 1116 people (621 males, 495 females) were studied. 77.9% (68.8% males, 89.3% females) were aged between 18 and 29. There were slightly decrease of systolic blood pressure in males (p<0.01). And there were increase of diastolic blood pressure, body weight and BMI in both males and females (p<0.01). Age-sex adjusted prevalence of hypertension and prehypertension were both significantly increased 1 year later from 17.3% to 22.1%, and from 45.4% to 47.6% respectively (p<0.01). Conversion rate to hypertension 1 year later were 7.6% (9.5% among males, 6.7% among females) in the normal blood pressure group, 18.8% (22.9% among males, 9.4% among females) in the prehypertension group. Related factors to the development of hypertension were baseline systolic and diastolic blood pressure, differences of blood pressure between baseline and 1 year later, either systolic and diastolic, by multiple regression analysis. Conclusions: There were significant increase of prevalence of hypertension and conversion rate to hypertension 1 year later, especially depending on the baseline blood pressure status. This study suggests that blood pressure management in the workplace is necessary.
This study was done to observe the change of risk factors and health behavior among health examines between baseline and 5 year follow-up examinations. For the study, 484 subjects who had regular health examinations on 1900 and on 1995 were selected. The subjects were divided into 3 subgroups, i.e., Normal, IGT-Ⅰ, IGT-Ⅱ groups depending on the criteria combined with fasting and 1 hour postprandial blood sugar. The results were as follows; 1. The subject was consisted of 383 male (79.1%) and 101 female (20.9%), 484 in total. Subgroups were consisted of 306 Normal group (63.2%), 159 IGT -Ⅰ group (32.9%) and 19 IGT-Ⅱ group (3.9%). The highest age distribution was in the 40-49 age group all three groups. Most of them were office workers for males and housewives for females. 2. The mean levels of risk factors at baseline were ccompared to the mean levels after follow-up. Age, fasting and 1 hour postprandial blood sugar levels, relaive body weight, triglyceride, total cholesterol were significantly increased after follow-ups, especially in the Normal group. And also the majority of risk factors were increasing according to the level of subgroups i.e., the IGT-Ⅱ, IGT-Ⅰ, Normal group in order, for both baseline and followup examinations. 3. The changes of various health behaviors were observed between baseline and follow-up examinations. Such habits as regular exercise, change of weight, smoking, liquor, coffee drinking significantly changed to more desirable health behavioral patterns during follow-ups, but consuming salty, greasy or regular meals, concept on one's body weight, and daily activity did not significantly changed. In conclusion, more intensive interventions such as screening, health education, etc., were needed for all subgroups.
A study on population and socio-medical status was carried out in the Korean rural communities, Hwa-do and Wa-boo area from July 20 to July 27, 1973. This study was directed by the department of preventive medicine, Ewha medical college as a part of the student training program for community health. The survey team composed of two staff and nine medical students visited to the 205 households in the area. The results were obtained as follows; 1. Total population in the study area was 1248 composed of 667males (53.5%) and 581 female (46.5%). 2. Education level of househead was prominent in primary school with 47.8% and in secondary school with 20.5%. 3. Among the occupation of house head, farmer was prominent in Hwa-do area with 75.7% and labourer in Wa-boo with 34.1%. 4. Average monthly living allowance of the 205 families in the study area was 15,000±10,000(￦). 5. Average size of family in number was 6.1 person. 6. Utility rate of radio in families was 89 percent and that of news-paper was 25 percent. 7. Current users of contraception among the fecund women was 29.2 percent. 8. Morbidity rate for all causes was 198 per 1,000 inhabitants and that of male and female was 164 and 208 respectively. 9. The order of the five maajor diseases according to the morbidity rate (per 1,000) was as follows; 1) Symptoms and Illdefined Condition (65) 2) Diseases of the Digestive System (48) 3) Disease of the Respiratory System (18) 4) Infectious and parasite disease (18) 5) Disease of Hervous System and Sense Organs (16) 10) Current utility rate of doctor's clinic and drug store was 38.2 percent and 37.2 percent respectively.
Dancing in any form makes considerable demands on the foot. It must be strong, supple and as expressive as hands and face, for it is used in positions and movements quite beyond its natural range. This requires a perfect formation of bones and muscles achieved by years of hard work and therefore a detailed understanding of its structure is important. The way of teaching anatomy in dance should be different from that of medical doctor. Names of bones, ligaments and muscles are not necessary but appriciation of the position and shape of them is he pful to the dancers. Therefore the study of the body structure should be Learant by drawing rather than memorizing the names of it to have a clear picture in the eyes. Sweigard developed a teaching method which improves body alignment and movement performance through visualizing the inside of body. It is considered as the result of her lifelong endeavor to close the gap between anatomy and movement profession. Therefore her method has been adapted for teaching dancers in the universities of America. This study was planed to understand how to use it for dancer`s training. It is presumend that the introduction of her method will serve to increase dancer`s performing ability as well as interest of anatomy.