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      • KCI등재
      • KCI등재

        악성 배세포 종양의 임상적 고찰

        이선경,김승보,이상욱,최현우,김범수,윤현하,조윤제 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.7

        경희대학교 의과대학 산부인과학교실에서는 1979년 1월부터 1996년 12월까지 만 17년간 악성 배세포종양으로 진단받고 치료했던 20명의 환자를 대상으로 연구한 결과 다음과 같은 결과를 얻었다. 1. 악성 배세포종양은 20예로서 배세포종양 중 3 %, 전체 난소종양 중 1.52%를 차지했다. 2. 환자의 연령 분포는 20대가 45%로 가장 많았고 다음 으로는 10대로 25%를 차지하였고 평균 연령은 24세였다. 3. 출산력에 있어 미산군의 환자는 15명(75%)였고 한 번의 출산력의 환자는 1명(5%), 두 명 이상의 출산력을 가진 환자는 4명(20%)이었다. 4. 환자의 증상으로는 복부 종괴 촉지가 11명으로 가 장 많았고 복부 통증 혹은 불편감이 4명이었다. 5. 악성 배세포종양의 조직학적 분류에 따른 분포는 미성숙 기형종이 38.08%, 미분화 배세포종양이 33.32%, 내배엽동 종양이 14.28%, 태생암, 기형종에서 유래된 상피암, 혼합배세포종 등이 각각 4.76%를 보였다. 6. 임상적 병기는 Ⅰ기가 12명(60%), Ⅱ기가 0명(0 %), Ⅲ기가 7명(35%), Ⅳ기가 1명(5%)였다. 7. 발생 부위는 좌측이 8명(40%), 우측이 8명(40 %), 양측성의 환자는 4명(20%)이었다. 8. 종양의 크기에 있어 15 cm 이상인 경우가 9명(45 %), 15 cm 미만인 경우가 11명(55%)였다. 9. 종양표지물질은 CEA가 10명 중 5명이, αFP이 12 명 중 7명이, βhCG는 10명 중 3명이, LDH는 8명 중 4명 이, CA 125는 7명 중 6명이, CA19-9는 7명 중 5명이 의미 있게 증가된 소견을 보였다. 10. 5년 생존율은 81.82%였고 통계학적 유의성을 갖 는 예후인자로는 환자의 병기, 종양의 편측성, 잔류종양, 병리조직학적 형태 등이다. A clinical study was made on 20 cases of malignant germ cell tumors that were treated at the Department of Obstetrics and Gynecology in Kyunghee University Hospital between January 1979 and December 1996. The cases of malignant germ cell tumor were 20 cases and the frequency of malignant germ cell tumor was 1.52% among ovarian tumors in this period. The mean age was 24 years. Malignant germ cell tumors classified by histologic type were 8 cases with immature teratoma, 7 cases with dysgerminoma, 3 cases with endodermal sinus tumor, 1 case with embryonal carcinoma, 1 case with teratoma with malignant change, and 1 case with mixed germ cell tumor. Sixty percent of the patients were FIGO stage I at the time of initial diagnosis. All patients were underwent operation and 13 patients were treated with adjuvant combination chemotherapy (BEP, VBP, VAC). The actuarial 5-year survival rate was 81.82% and significantly prognostic factors were stage, laterality, residual mass and pathologic diagnosis.

      • KCI등재후보
      • KCI등재

        진료 과목별 개원 입지의 특징

        이선경,조은성,김정은,김민정,김선은,현수정 대한가정의학회 2009 Korean Journal of Family Medicine Vol.30 No.4

        Background: While a great amount of practical attention has been paid to the location of medical specialists’ office, little research has been published in Korean medical journals. This study examines the concentration level and the related factors of the location of medical specialists’ offi ce. For the related factors of the location, this study considers 1) the relative infl uence of resident vs. daytime population, 2) the relative infl uence of resident vs. university-graduate population, and 3) the ratio of aged population. Methods: This study utilized the Korea Medical Association’s “2006 Annual Report Membership Statistics” and the Korea National Statistical Offi ce’s “2005 National Population and Housing Census” as data sources. Results: The location of plastic surgeons, dermatologists, psychiatrists, ophthalmologists, and urologists’ offi ce was more concentrated than the average, while the reverse was true for obstetricians, gynecologists, orthopedic surgeons, internists, family physicians, and general surgeon’s offi ce. Daytime population was more correlated with the location of doctors’ office than resident population in most specialties, with the exception of pediatrics, orthopedic surgery and internal medicine. While university-graduates population was more associated with the location than resident population in most specialties, the reverse was true for orthopedic surgery, obstetrics & gynecology, and pediatrics. The ratio of aged population was negatively associated with the location in all the specialties. Conclusion: The concentration level showed considerable differences across specialties. Daytime population and university-graduate population were more related with the location of doctors’ offi ce than resident population in most specialties. 연구배경: 개원 입지에 대한 높은 실무적 관심에도 불구하고, 그 동안 의학 분야에서 입지 문제에 대한 학술조사는 거의 발 표된 바 없다. 본 연구는 전문의들의 개원 입지의 집중도 및 입 지와의 관련 요인을 분석한다. 입지 관련 요인으로는 1) 거주 인구와 주간인구와의 관련성, 2) 거주인구와 대졸인구와의 관 련성, 3) 노인 인구비율의 영향력을 검토한다. 방법: 자료는 대한의사협회의 ‘2006년 전국회원실태 조사 보 고서’와 통계청의 ‘2005년 인구주택 총조사’를 이용하였다. 결과: 성형외과, 피부과, 정신과, 안과, 비뇨기과는 평균에 비 해 지역 집중도가 높은 것으로 나타났으며, 산부인과, 정형외 과, 내과, 가정의학과, 일반외과는 평균에 비해 지역 집중도가 낮은 진료 과목으로 조사되었다. 소아과, 정형외과, 내과의 예 외를 제외하면, 대부분의 진료과목에서 주간인구가 거주인구 보다 입지와의 관련성이 더 높았다. 마찬가지로 대부분의 진 료과목에서 대졸인구가 거주인구보다 입지와의 관련성이 더 높았으나, 외과, 정형외과, 산부인과, 소아과의 경우 거주인구 의 관련성이 더 높은 수준이었다. 노인 인구비율은 모든 진료 과목에서 개원 입지와 음의 상관관계를 나타냈다. 결론: 입지 집중도는 진료과목별로 큰 차이를 보였다. 입지 관 련 요인 중에서는 대부분의 진료과목에서 거주인구보다는 주 간인구와 대졸인구가 각각 개원입지와의 관련성이 더욱 큰 것으로 조사되었다.

      • KCI등재

        이성교제를 하는 십대여학생의 성접촉과 자아존중감, 자기주장의 관계

        이선경 여성건강간호학회 2001 여성건강간호학회지 Vol.7 No.2

        This is a cross-sectional descriptive correlation study that aimed to understand the relationship between the level of sexual contacts during the dates arid psycho-social factors in teenage girls who have or had boyfriends. The purpose of this study was to describe the relationship between sexual contacts and self-esteem and self-assertiveness. The subjects of the study were 6,130 teenage girls who have or had boyfriends. They were selected conveniently 12,733 teenage girls from 254 secondary schools located in 7 large cities and 9 provinces in Korea. A structured questionnaire was used it included items one general characteristics, the levels of sexual contacts, self-esteem and self-assertiveness. Seven levels of sexual contacts were rated they were holding a hand, putting arms around each other's shoulders, kiss, french kiss, touching breast, petting genitalia, and sexual intercourse during the dates. Self-esteem and self-assertiveness were measured by the "Self-esteem scale" of Rogenberg (1971) and the questionnaires developed by S. B. Chang et al (2000), respectively. The self-reported questionnaires were collected from October 2, to October 28, 2000 and analyzed by using SPSS 10.0 Program. The data were analyzed by descriptive statistics, reliability, One-way ANOVA with Duncan method & Scheffe method. The results of the analysis were as follows. 1. An average Percentage of the respondents who have (46.1%) or had (53.9%) boyfriends were 48.1% (n=6,130) and the most common sexual contact during the dates was french kiss (26.7%, n=1,634). While 7.5%(458) of respondents had a sexual intercourse, 13.7%(842) of respondents didn't have any sexual contact during the dates. 2. Distribution of starting point of the first sexual contact demonstrates that 1,950 respondents (31.8%) held partners hand at the first date and 1,367 respondents (22.3%) put arms around each other's shoulders at the 2nd or 3rd date. Sexual contacts such as kiss, french kiss, touching breast, petting genitalia, or sexual intercourse were experienced mostly at the later than the 10th date. However, surprisingly large number (1.7%) of respondents had genital contact and sexual intercourses at the first date. 3. The means of self-esteem and self-assertiveness scores of the respondents who have or had boyfriends are 27.43(±4.03) and 17.96(±2.55), respectively. The range of scores for self esteem was 10-40, 40 with most self esteem. The range of scores far self assertiveness was 7-21, 21 with most self-assertiveness. 4. As sexual contacts proceeded, the means of self-esteem and self-assertiveness values decreased. In detail, the respondents having no or light sexual contacts (kiss, putting arms around each other's shoulder, holding a hand) had similar self-esteem values(p≤0.05). However, ones having relatively intensive sexual contacts (french kiss, touching breast) showed significantly lower self-esteem values(p≤0.05). Same trend has been obtained for self-assertiveness value. 5. The higher values of self-esteem and self-assertiveness values the respondents had, the later they started the moderate sexual contact (kiss, french kiss) during the dates. Interestingly, among the respondents having intensive sexual contacts (petting genitalia, sexual intercourse) during the dates, those who experienced the such contacts at the first date or later than 10th date have higher self-esteem and self-assertiveness values than ones experienced the such contacts during the 2nd∼9th dates, giving U-shape curve. 6. There was a significant relationship between self-esteem and self-assertiveness in girls who have or had boyfriends (P≤.001). In conclusion, the research shows that self-esteem and self-assertiveness values are significantly related with the sexual contacts of the teenage girls who have or had boyfriends. These results strongly suggest that proper sex education program for teenage girls should contain the program on improving the self-esteem and self-assertiveness. We believe that sex education program is the one of the best ways to prevent the unwanted sexual contacts and pregnancy of teenage girls.

      • KCI등재

        Sleep patterns and school performance of Korean adolescents assessed using a Korean version of the pediatric daytime sleepiness scale

        이선경,Kyu Young Chae,Sihyoung Lee 대한소아청소년과학회 2011 Clinical and Experimental Pediatrics (CEP) Vol.54 No.1

        Purpose: Korean adolescents have severe nighttime sleep deprivation and daytime sleepiness because of their competitive educational environment. However, daytime sleep patterns and sleepiness have never been studied using age-specific methods, such as the pediatric daytime sleepiness scale (PDSS). We surveyed the daytime sleepiness of Korean adolescents using a Korean translation of the PDSS. Methods: We distributed the 27-item questionnaire, including the PDSS and questions related to sleep pattern, sleep satisfaction, and emotional state, to 3,370 students in grades 5-12. Results: The amount of nighttime sleep decreased significantly with increasing age. During weekday nights, 5- 6^th graders slept for 7.95±1.05h, 7-9^th graders for 7.57±1.05 h, and 10-12^th graders for 5.78±1.13 h. However, the total amounts of combined daytime and nighttime sleep during weekdays were somewhat greater, 8.15±1.12 h for 5- 6^th graders,8.17±1.20 h for 7-9^th graders, and 6.87±1.40 h for 10-12^th graders. PDSS scores increased with age, 11.89±5.56 for 5- 6th graders, 16.57±5.57 for 7-9^th graders, and 17.71±5.24 for 10-12^th graders. Higher PDSS scores were positively correlated with poor school performance and emotional instability. Conclusion: Korean teenagers sleep to an unusual extent during the day because of nighttime sleep deprivation. This negatively affects school performance and emotional stability. A Korean translation of the PDSS was effective in evaluating the severity of daytime sleepiness and assessing the emotional state and school performance of Korean teenagers.

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