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        다문화 가정 신생아의 출생률과 주산기 위험 인자 및 예후 변화: 단일기관에서의 10년간 경험

        장해인,최준식,송은송,최영륜 대한신생아학회 2013 Neonatal medicine Vol.20 No.1

        Purpose: The aim of this study is to investigate the periodical changes of birth rate, perinatal risk factors and outcome of newborns in multi-cultural families with Korean male and non-Korean, Asian female in Gwangju, Chonnnam province. Methods: We enrolled newborns born in or transferred from other hospital to Chonnam National University Hospital between January 2001 and December 2010. They were categorized into two periods: data from 2001 to 2005 was defined as period I and from 2006 to 2010 was defined as period II. The clinical data of the birth rate, perinatal risk factors and outcome were retrospectively reviewed. Results: Number and rate of newborns in multicultural families increased significantly. The nationality of the mother changed: Vietnamese, Chinese and Cambodian significantly increased; and Japanese and Filipino significantly decreased. As the maternal age tended to be younger in period II, the age gap between the spouses increased, and the paternal age significantly increased, especially in age group of over 45 year-old. Among other perinatal risk factors, premature rupture of membranes and oligohydramnios were decreased. There were no statistical difference in morbidity (except hyperbilirubinemia) and mortality. However, congenital anomalies significantly increased. Conclusion: As the number of newborns in multicultural families has increased, the incidence of congenital anomalies also increased. We carefully presumed this result could be caused by increasing paternal age. Careful concern and management are needed for these families and further prospective studies are needed in a larger number of subjects. 목적: 한국인 남성과 아시아계 결혼이주자 여성과의 다문화 가정을 대상으로, 최근 10년간 빈도와 주산기 위험 인자 및예후에 어떤 변화가 있었는지 알아보고자 한 후향적 연구이다. 방법: 2001년 1월부터 2010년 12월까지 전남대학교병원에서 태어났거나 또는 외부병원에서 분만 후 이송되었던 다문화가정 산모와 신생아를 대상으로 하였다. 2001년부터 2005년까지를 I기, 2006년부터 2010년까지를 II기로 나누어,두 기간 사이에 빈도와 주산기 위험 인자 및 예후를 분석하였다. 결과: 다문화가정 신생아 수와 빈도는 의미있게 증가하였고, 결혼 이주자 산모 국적은 베트남, 중국, 캄보디아는 증가하고, 일본, 필리핀은 감소하였다. 엄마 연령이 더 어려지면서 배우자와의 나이 차가 커졌으며, 특히 45세 이상 고령아빠가 증가하였다. 다른 주산기 위험인자 중, 조기 양막파수와 양수과소증은 감소하였다. 다문화가정 신생아에서 황달 이외 다른 질환의 이환율에 변화는 없었고 사망률도 변화가 없었으나 선천 기형이 증가하였다. 결론: 다문화가정 신생아의 증가와 더불어 이들에서 선천 기형이 증가하는 추세인데, 이는 아빠 나이가 고령화되면서 초래되는 현상일 가능성이 추측되었다. 따라서 다문화 가정에 대한 각별한 관심과 관리가 필요하며, 앞으로 더 많은수를 대상으로 한 전향적 연구가 있어야 할 것으로 사료되었다.

      • KCI등재
      • KCI등재

        Transvenous proximal closure of large congenital coronary arteriovenous fistula using the single Amplatzer vascular plug in a 3-year-old girl

        장해인,최영얼,조화진,조영국,마재숙 대한소아청소년과학회 2013 Clinical and Experimental Pediatrics (CEP) Vol.56 No.2

        Congenital coronary arteriovenous fistulas (CCAFs) are rare coronary artery abnormalities in which blood is shunted into a cardiac chamber or great vessel. If the fistula itself is large and tortuous, it is generally recommended to occlude the fistula to prevent several complications. In approaches of transcatheter occlusion, the transvenous approach is preferred over the transarterial approach. The transvenous approach would enable the cannulation of a relatively larger catheter or sheath without potential damage to the femoral vessels or normal coronary arteries, which can occur in the transarterial approach. The transvenous approach may also minimize the blind pouch after releasing the devices. Herein, we report the success of transvenous proximal closure of a CCAF using an Amplatzer vascular plug (AVP) in a 3-year-old patient with cardiomegaly. Complete occlusion was achieved by a single AVP and thrombus formation of the distal aneurysmal portion of the fistula. We suggest that this strategy of closing the proximal end with a dilated fistula using a single AVP by the transvenous approach may be a good option in treating CCAFs in a young child.

      • KCI등재

        온라인 구전 신뢰성의 선행요인과 2차 구전의도에 미치는 영향 - 온라인 구전 관여도의 조절효과를 중심으로 -

        장해,박주식 대한경영정보학회 2015 경영과 정보연구 Vol.34 No.1

        본 논문은 온라인 구전의 성격을 설득 커뮤니케이션이 아닌 확산 커뮤니케이션 측면에 초점을 두고 온라인 구전 확산에 영향을 미치는 요인 및 영향관계를 검증하였다. 온라인 구전 확산과정은 크게 1차 구전(최초 구전전달)과 2차 구전(기존 구전정보의 재전달)으로 나눌 수 있으며 본 연구는 2차 구전의도에 미치는 온라인 구전의 정보적 특성의 영향을 밝히고자 하였다. 연구대상은 인터넷 환경에 익숙한 20대, 30대 젊은 층을 주로 하였으며, 소셜 미디어 사이트에 실제로 게시된 온라인 구전정보를 읽게 한 후 본 연구의 설문에 응답하도록 하였다. 연구결과, 온라인 구전의 동의성, 생생함, 중립성 모두 온라인 구전 신뢰성에 긍정적인 영향을 미치는 것으로 나타났으며, 온라인 구전 신뢰성은 2차 구전의도에 긍정적인 영향을 미치는 것으로 나타났다. 그리고 온라인 구전에 대한 관여도는 온라인 구전 신뢰성과 2차 구전의도간의 관계에서 조절변수 역할을 하는 것으로 나타났다. 이러한 연구결과를 기반으로 시사점 및 연구의 의의를 제시하였다. This study considered eWOM communication not as persuasion process but as diffusion process and identified factors affecting eWOM spread. eWOM diffusion process can be divided into initial transmitting process and retransmission process. The current study analyzed the effects of informational traits(level of agreement, vividness, neutrality) of eWOM on the intention to retranmit eWOM and moderating effect of eWOM involvement. Research sample was gathered from young people because they are familiar with online communication process. Statistical analysis showed informational traits of eWOM all had a significant effects on the credibility of eWOM, credibility of eWOM influenced on the intention to retransmit eWOM significantly, and eWOM involvement moderated the relation between information traits of eWOM and the intention to retransmit eWOM. And then academic and managerial implication was discussed based on these findings.

      • KCI등재

        Application of Social Network Analysis to Health Care Sectors

        장해,이영성,안지영 대한의료정보학회 2012 Healthcare Informatics Research Vol.18 No.1

        Objectives: This study aimed to examine the feasibility of social network analysis as a valuable research tool for indicating a change in research topics in health care and medicine. Methods: Papers used in the analysis were collected from the PubMed database at the National Library of Medicine. After limiting the search to papers affiliated with the National Institutes of Health, 27,125 papers were selected for the analysis. From these papers, the top 100 non-duplicate and most studied Medical Subject Heading terms were extracted. NetMiner V.3 was used for analysis. Weighted degree centrality was applied to the analysis to compare the trends in the change of research topics. Changes in the core keywords were observed for the entire group and in three-year intervals. Results: The core keyword with the highest centrality value was “Risk Factor,” followed by “Molecular Sequence Data,” “Neoplasms,” “Signal Transduction,” “Brain,” and “Amino Acid Sequence.” Core keywords varied between time intervals, changing from “Molecular Sequence Data” to “Risk Factors” over time. “Risk Factors” was added as a new keyword and its social network was expanded. The slope of the keywords also varied over time: “Molecular Sequence Data,” with a high centrality value, had a decreasing slope at certain intervals, whereas “SNP,” with a low centrality value, had an increasing slope at certain intervals. Conclusions: The social network analysis method is useful for tracking changes in research topics over time. Further research should be conducted to confirm the usefulness of this method in health care and medicine.

      • KCI등재
      • KCI등재

        Social Network Analysis of Elders' Health Literacy and their Use of Online Health Information

        장해,안지영 대한의료정보학회 2014 Healthcare Informatics Research Vol.20 No.3

        Objectives: Utilizing social network analysis, this study aimed to analyze the main keywords in the literature regarding the health literacy of and the use of online health information by aged persons over 65. Methods: Medical Subject Heading keywords were extracted from articles on the PubMed database of the National Library of Medicine. For health literacy, 110 articles out of 361 were initially extracted. Seventy-one keywords out of 1,021 were finally selected after removing repeated keywords and applying pruning. Regarding the use of online health information, 19 articles out of 26 were selected. One hundred forty-four keywords were initially extracted. After removing the repeated keywords, 74 keywords were finally selected. Results: Health literacy was found to be strongly connected with ‘Health knowledge, attitudes, practices’ and ‘Patient education as topic.’ ‘Computer literacy’ had strong connections with ‘Internet’ and ‘Attitude towards computers.’ ‘Computer literacy’ was connected to ‘Health literacy,’ and was studied according to the parameters ‘Attitude towards health’ and ‘Patient education as topic.’ The use of online health information was strongly connected with ‘Health knowledge, attitudes, practices,’ ‘Consumer health information,’ ‘Patient education as topic,’ etc. In the network, ‘Computer literacy’ was connected with ‘Health education,’ ‘Patient satisfaction,’ ‘Self-efficacy,’ ‘Attitude to computer,’ etc. Conclusions: Research on older citizens’ health literacy and their use of online health information was conducted together with study of computer literacy, patient education, attitude towards health, health education, patient satisfaction, etc. In particular, self-efficacy was noted as an important keyword. Further research should be conducted to identify the effective outcomes of self-efficacy in the area of interest.

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