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      • 폐분리증의 치료와 흉강경적 절제술의 경험

        조민정,김태훈,김대연,김성철,김인구,Cho, Min-Jeng,Kim, Tae-Hoon,Kim, Dae-Yeon,Kim, Seong-Chul,Kim, In-Koo 대한소아외과학회 2010 소아외과 Vol.16 No.2

        Pulmonary sequestration (PS) is a rare congenital malformation of the lower respiratory tract. The anomaly is characterized by absence of communication with the tracheobronchial tree and isolated blood supply from an anomalous systemic vessels. With the utilization of antenatal ultrasound, the diagnosis of asymptomatic neonatal PS has increased. Treatment options include observation, arterial embolization and surgical resection. The aim of the present study is to review the clinical course of PS and to share our experience with thoracoscopic resection. A total of 96 patients with PS were treated at Asan Children's Hospital between 1999 and 2010. The diagnosis of PS was established by CT in the cases managed by observation or embolization, and by tissue pathology in the surgical cases. Medical records and radiographic images were retrospectively reviewed. Thirty-nine patients were managed by embolization and 30 patients by surgery. The remaining 27 patients have been under observation without any procedures. Among 27 observation patients, 1 patient regressed completely and 10 patients were lost to follow up. Of the 39 embolizations patients, 2 had their lesion regress and sepsis was suspected after embolization. In 1 patient, the microcoil migrated to the iliac artery during the embolization procedure, and another patient developed renal abscess caused by renal artery embolization. Among 30 surgical cases, resection by thoracotomy was performed in 27 at the Department of Thoracic Surgery, and thoracoscopic resection in 3 at the Division of Pediatric Sugery. Only one wound complication ocurred. We conclud that surgical excision should be recommended for pulmonary sequestration, whether the sequestration is symptomatic or not because of the risk of infection, the low rate of natural regress, poor compliance, severe complications after embolization, and to exclude other pathology. In summary, thoracoscopic resection of the pulmonary sequestration is feasible, efficacious, safe and cosmetically superior even in neonatal period.

      • KCI등재

        좌심실 비대와 고혈압성 심혈관 합병증: 소아 심장 의사의 관점

        조민정,Cho, Min-Jung 대한소아신장학회 2011 Childhood kidney diseases Vol.15 No.1

        좌심실 비대는 심부전, 허혈성 심질환, 부정맥과 같은 심혈관계 질환의 이환율 및 사망률을 높이는 강력한 위험 인자이며 고혈압으로 초래되는 가장 초기 단계의 심장 변화 이기도 하다. 소아청소년 고혈압 환자들은 분명한 심혈관계 합병증 보다는 무증상의 좌심실 비대만 볼 수 있는 경우가 대부분이나 치료하지 않는 경우 성인에서의 심혈관 합병증으로 이행될 위험이 크다. 표적장기 손상의 가장 대표적인 증거이기도 한 좌심실 비대는 소아청소년에서 고혈압 전 단계 상태에서도 나타나므로 고혈압의 진단 당시와 추후의 추적 진료 중 정기적으로 심초음파를 통한 좌심실 질량의 측정이 이루어 져야 한다. 좌심실 비대가 보인다면 적극적인 약물 치료가 또한 이루어져야 한다. Although left Left ventricular hypertrophy (LVH) is not only an adaptive response of the heart to increased cardiac workload in hypertension, it surelybut also is the most potent risk factor of overt cardiovascular complications such as coronary heart disease, heart failure, arrhythmia and stroke in the hypertensive population. Also it has become generally accepted that subclinical cardiovascular disease begins in childhood and LVH is the most readily assessed marker for that. As LVH can be seen in children and adolescents with even mild blood pressure elevation with the reported prevalence of 10 to 47%, aggressive antihypertensive treatment is critical in preventing the development of hypertensive heart disease in that those cases.

      • KCI등재

        일부 군인들의 입대 전후 간식섭취횟수 변화에 따른 구강건강관리실태와 구강건강증진행위에 대한 조사

        조민정 ( Min Jeong Cho ),박영민 ( Young Mim Park ) 한국치위생과학회 2016 치위생과학회지 Vol.16 No.1

        The purpose of this study was to find the attitude change for snack by military soldiers before and after entering military service. To investigate oral health status and improving activities, this survey was done for 318 soldiers at Gyeong-gi province Paju city and the results were as follows. After entering military service, the soldiers take more snacks than before and take snacks 2 or more times a day. Both smokers and non-smokers take more snacks after entering military service than before entering. The soldiers did not go dental clinic regularly. But they have lots of interests about oral health. As higher position and older, soldiers restrain themselves to taking sugar contained food, and the elder soldiers showed higher practical character for nutrition intake than younger soldiers. Private soldiers were least practical for brushing after meal and showed the highest level of fulfill for using fluoride contained toothpaste, regular scaling and checkup at dental clinic and flossing.

      • 강화학습 기반 구조설계 최적화 알고리즘 개발

        조민정 ( Cho Min-jeong ),황현종 ( Hwang Hyeon-jong ),이종욱 ( Lee Jong Wook ) 한국구조물진단유지관리공학회 2023 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.27 No.1

        강화학습이란 임의의 환경 안에서 정의된 에이전트가 현재의 상태를 인식하여 보상을 최대화하는 행동을 선택하도록 하는 기계학습 방법이다. 강화학습의 특성상 학습데이터가 필요하지 않으므로 설계 데이터 확보가 어려운 구조설계 문제해결에 적합하다. 이 논문에서는 오픈소스 OpenAI Gym과 강화학습 알고리즘을 이용하여 구조설계 최적화 알고리즘 개발의 가능성을 연구하였다.

      • KCI등재
      • KCI등재
      • 유아의 정서지능, 어머니의 또래관리전략, 가정환경이 유아의 또래유능성에 미치는 영향

        조민정(Min-Jeong Cho),문혁준(Hyuk-Jun Moon) 가톨릭대학교 생활과학연구소 2015 생활과학연구논집 Vol.34 No.1

        In this research we investigated the effect of social demographic factor (especially childs gender and mothers job occupation), emotional intelligence of child, mothers peer relationship management strategy and home environment on the childs peer competence. Participants in this study were in total 319 five-years-old children, recruited from five child care facilities located in Seoul and Kyung-gi-do. SPSS WIN 17.0 program was used for the analysis of T-test, pearsons correlation and regression for the collected data, and the analysis results are as follows. Firstly, the gender of child and job occupation of mother had significant correlation with the child peer competence. Secondly, it was shown that childs peer competence has relation with childs emotional intelligence, mothers peer management strategy and home environment. Children with better self and others emotion usage, self emotions recognition and expression, emotion control and impulse suppression, peer relation skill and relation with teacher showed better peer competence. Thirdly, relative impact analysis showed that childs emotional quotation had most significant impact on childs peer competence, while mothers peer management strategy and home environment showed the second and third impact respectively.

      • KCI등재

        의료소비자가 인식하는 치과의원의 감염관리와 외부자극을 통한 재이용의사에 관한 연구

        조민정 ( Min Jeong Cho ) 한국치위생학회(구 한국치위생교육학회) 2011 한국치위생학회지 Vol.11 No.4

        Objectives : This study focused on examine the relevance between behavioral changes of customers and re-use intention on medical institution after experiencing infection control through external stimuli. Methods : This research was based on self-standing survey conducted from August to November 2010, 214 people who randomly selected from five dental clinics located in Busan were analyzed as the final group. Collected data were performed using SPSS 12.0 for Window. Results : 1. 82.8% of those surveyed who experienced external stimulation have changed their behavior on hospital environments and facilities, and 80.5% of them answered the stimuli influenced their re-use intention on medical institution. 2. There were no significant differences between participants by general characteristics on ``The reason why medical team wear sanitary appliances``. In age group 30~39, 85.4% of participants chose the answer so the difference were statistically significant(p<.001). Result by household income showed significant difference in group over $1,000 to $2,000 as 82.7% response(p<.05). 3. 94.4% of participants chose ``Required`` for both surgical suits and gloves in research of ``The necessity level of personal sanitary appliances`` which medical teams wear for treatment and 79.4% agreed that medical teams need to change their medical gloves whenever treating each patients. 4. The survey revealed that the most important appliance in patient`s awareness were surgical gloves and protective goggles has chosen as the least important one. Conclusions : Patients as medical consumer were highly noticed of importance of the infection control in dental clinic and necessity of personal sanitary appliances. The patients who has accessed dental infection control information by external stimuli in advance showed objectival changes of their visit and behavioral changes with bringing medical environments together. This aspects influenced those patient`s re-use intention in conclusion. (J Korean Soc Dent Hygiene 2011; 11(4): 571-580)

      • KCI등재

        PRECEDE 모형을 이용한 구강건강의 영향요인에 대한 진단적 연구

        조민정 ( Min Jeong Cho ) 한국치위생학회(구 한국치위생교육학회) 2013 한국치위생학회지 Vol.13 No.3

        Objectives : This study aimed to improve school health program by investigation of several variables through educational diagnostic factors which influence the level of subjective oral health perception and DMFT of students on the basis of PRECEDE model. Methods : A total of 286 high school students in Busan completed the self-reported questionnaire from September 3 to 28 in 2012. Results : 1. Social and epidemiologic diagnosis suggested that the level of subjective oral health perception of male students was not better than that of female students and DMFT number of the male was more than that of the female(p<0.001)(p<0.001). 2. Oral health diagnosis indicated that once a day tooth brushing group showed lower level of oral health perception(p<0.001) and high DMFT number(p<0.001). 3. Predisposing factor of educational diagnosis implied that more than 4 times a day snack intake group and sweet diet and soda friendly group showed lower level of oral health perception and high DMFT number(p<0.001). 4. Tooth brushing of the reinforcing factors had the most important effect on the level of oral health perception and the number of dental caries. Daily snack intake was the most important effect on DMFT number. Conclusions : The informed consent from each family was the important factor in implementing PRECEDE model. School health program improved oral health care. Oral health program can correct the risk oral health behavior in children and adolescents.

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