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        • KCI등재

          Study of a measure to improve the fit of U.S. apparel products directly imported to Korea - With a focus on female casual pants -

          최선윤,천종숙 복식문화학회 2015 服飾文化硏究 Vol.23 No.2

          This study intends to analyze the fit of directly-imported American casual pants for Korean female college students in terms of appearance and comfortableness. The authors carried out a wearing test with sample pants from 3 brands (DKNY: A, Gap: B, Polo: C) that had the most market share and that were mostly preferred by Korean female college students. Results showed that pants A had insufficient ease in the crotch, as the depth of the crotch was short. The hip girth received a low assessment in terms of appearance. Moreover, the hem widths were wide while the pants length was long. Pants B were expected to be most appropriate for Korean women's bodies, as they had the longest crotch depth among the three brands. However, the pants appeared to pull downward due to the narrow thigh and the knee girth and hem width. Moreover, the crotch girth and hip girth received a poor appearance assessment. Pants C were rated as satisfactory for their thigh girth, knee girth, and hem width. However, the crotch was uncomfortable, as it had a short crotch depth. The hip girth received a low appearance assessment. This study suggests that a pattern adjustment is required for directly-imported American pants to provide a better fit for the bodies of Korean women. The crotch depths should be approximately 17.5 cm. The hem widths should be approximately 20 cm. We also suggest a leg length of 75 cm, a waist girth of 86 cm, and a hip girth of 97 cm.

        • S-347 : Concurrent type 2 diabetes and multiple endocrine neoplasia type 1 with a novel ME

          최선윤,김남규 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1

          Multiple endocrine neoplasia type 1 (MEN 1) is an autosomal dominant inherited disorder that is characterized by the combined occurrence of primary hyperparathyroidism, enteropancreatic neuroendocrine tumors and anterior pituitary adenomas. Increased insulin resistance and a higher prevalence of glucose intolerance have been noted in MEN 1 families and are associated with increased cardiovascular mortality. Mutations in the MEN1 tumor suppressor gene cause multiple tumors in MEN1 but can also be associated with glycemic dysregulation. A 52-year-old man was admitted for blood glucose control. He had been diagnosed with diabetes three years previous. Hypercalcemia was incidentally detected during a blood test. After examination, he was diagnosed with primary hyperparathyroidism caused by parathyroid hyperplasia. On genetic analysis, he was found to have a novel mutation in the MEN1 gene (exon 10, c.1590_1606_del; p.Gly532AlafsX20). We report a case of MEN type 1 with a novel MEN1 gene mutation associated with type 2 diabetes in a patient with no family history of diabetes. This is the first case of MEN 1 associated with type 2 diabetes before pancreatic surgery in Korea.

        • KCI등재후보

          식품 단백질 유발성 직결장염의 임상 소견과 식이 조절에 관한 연구

          최선윤,박문호,최원정,강유나,오훈규,감신,황진복,Choi,,Seon,Yun,Park,,Moon,Ho,Choi,,Won,Joung,Kang,,Una,Oh,,Hoon,Kyu,Kam,,Sin,Hwang,,Jin-Bok 대한소아소화기영양학회 2005 Pediatric gastroenterology, hepatology & nutrition Vol.8 No.1

          목 적: 식품 단백질 유발성 직결장염(dietary protein induced proctocolitis, DPIPC)의 임상적 특성과 장기 추적 관찰에 따른 자연 경과 과정을 알아보고, 모유 수유아에서의 어머니 식이 조절에 관한 새로운 방안을 모색하여 보고자 본 연구를 시행하였다. 방 법: 2003년 3월에서 2004년 7월까지 계명의대소아과 외래와 병동을 방문하여 DPIPC로 진단되고 6개월 이상 추적 관찰된 30명을 대상으로 후향적으로 조사되었다. 모유 수유아는 진단 직후 우유를 포함한 유제품, 계란, 견과류 및 콩류, 어패류, 밀가루 및 메밀의 5가지 음식을 어머니의 식단에서 7일간 제거 한 후 혈변의 소실을 관찰하였으며, 분유 수유아, 모유 부족의 경우는 단백가수분해물을 이용하였다. 결 과: 1) DPIPC의 발병 당시 모유 수유아는 28례(93.3%)이었으며, 2례(6.7%)는 분유 수유아였다. 2) 발병 연령은 생후 $11.5{\pm}5.1$ (5~24)주, 진단 연령은 $17.8{\pm}9.5$ (8~56)주이었다. 발병에서 진단까지 $6.3{\pm}6.7$ (0~36)주가 소요되었다. 3) 진단 당시의 말초 혈액 검사상 호산구수가 $250/mm^3$ 이상 증가된 경우가 27례(90.0%)로 $478{\pm}320$ (40~1,790)/$mm^3$으로 관찰되었고, 혈중 IgE가 증가된 경우는 없었다. 알레르기 MAST 검사를 시행한 26례 중 13례(50.0%)에서 양성 반응을 보였다. 4) S상 결장경을 시행한 15례 중 14례(93.3%)가 결절성 비후(nodular hyperplasia)와 미란에 의한 점막 출혈이 함께 관찰되었으며, 1례(6.7%)에서 국소적 발적만 관찰되었다. 5) 어머니 식단에서 5가지 음식을 배제한 27례 중 20례(74.1%)가 혈변이 소실되었으며, 7례(25.9%)에서 지속되었다. 혈변이 사라진 20례에서 5가지 음식을 선호도에 따라 하나씩 식단에 추가하였을 때 18례(90.0%)에서 혈변을 보였으며, 혈변을 보인 식품은 40건으로 중복 관찰되어, 우유 37.5%, 밀가루 27.5%, 어패류 20.0%, 견과류와 계란이 각각 7.5%로 관찰되었다. 6) 어머니 식단이 혈변없이 완전히 자유로워진 때는 관찰된 27례에서 환자 생후 $29.4{\pm}8.7$ (9~44)주이었다. 7) 환자의 식단이 혈변없이 완전히 자유로워진 시기는 관찰된 25례에서 생후 $37.5{\pm}9.7$ (12~56)주였다. 결 론: DPIPC는 일반적으로 알려진 바와 달리 모유 수유아에 집중되고, 호산구의 증가가 높게 관찰되었다. 어머니의 식단 중 5가지 식품을 제거하여 높은 혈변 소실률을 보였으므로 식이 조절의 방안으로 활용될 수 있을 것으로 판단된다. DPIPC는 생후 12개월까지 96.0%에서 완전한 소실이 관찰되었다. Purpose: The aim of this study was to identify the clinical features and natural history of dietary protein induced proctocolitis (DPIPC) and to detect the causative foods of DPIPC, and to evaluate the effect of elimination of the foods on the course of the disease. Methods: Between March 2003 and July 2004, data from 30 consecutive patients with DPIPC who were followed for over 6 months, was reviewed. The diagnostic criterion used for DPIPC was an increase in the number of eosinophils in the lamina propria (${\geq}60per$ 10 high-power fields). In breast feeding mothers, 5 highly allergenic foods were eliminated from the maternal diet for 7 days, namely, allergenic food groups such as dairy products, eggs, nuts and soybean, fish and shellfish, and wheat and buckwheat. We observed the disappearance or appearance of hematochezia after elimination or challenge with the offending foods. Results: Before diagnosis infants were breast-fed (93.3%) or formula-fed (6.7%). Mean age at symptom onset was $11.5{\pm}5.1$ (5~24) weeks, and mean age at diagnosis was $17.8{\pm}9.5$ (8~56) weeks. Duration from symptom onset to diagnosis was $6.3{\pm}6.7$ (0~36) weeks. Mean peripheral blood eosinophil count was $478{\pm}320$ (40~1,790)/$mm^3$ and eosinophilia (> $250/mm^3$) was observedin 90.0% of patients. None of patients were found to have an increased serum IgE level. Of 15 patients that received sigmoidoscopy, nodular hyperplasia with erosion was observed in 93.3%. Of 27 patients whose mother ate the diet eliminated the 5 food groups, hematochezia diappeared in 74.1% of patients. Offending foods were identified as dairy products (37.5%), wheat and buckwheat (27.5%), fish and shellfish (20.0%), nuts and soybean (7.5%) and eggs (7.5%). A free maternal diet without patient's clinical symptoms was achieved at $29.4{\pm}8.7$ (9~44) weeks of patient's age, and a free baby diet without blood in stools was achieved at $37.5{\pm}9.7$ (12~56) weeks of age. Conclusion: DPIPC commonly occurs in exclusively breast-fed babies. Elimination of the above-mentioned 5 hyper-allergenic food groups from the maternal diet for 7days enables the detection of the offending foods. DPIPC is a transient disorder and 96.0% of patients can tolerate the offending foods at 12 months of age.

        • KCI등재

          어머니의 우울과 청소년의 자아존중감이 청소년의 사회불안에 미치는 영향

          최선윤,이지민 한국생활과학회 2008 한국생활과학회지 Vol.17 No.5

          The purpose of this study was to identify the effects of maternal depression, adolescent's self-esteem and adolescent's sex, grade, birth order on the adolescent's social anxiety. For this purpose, data from 334 middle school students and their mothers were collected. frequency, percentage, Cronbach's α, MANOVA and multiple regression analysis were used for data analysis. The main results were as follows. First, there were not significant differences of adolescent's social anxiety according to adolescent's sex, grade and birth order. Second, there were not significant effects of adolescent's sex, grade, birth order and maternal depression on three subordinate factors of adolescent's social anxiety, but adolescent's self-esteem had significant effects on fear of negative evaluation, social avoidance and distress(new), and social avoidance and distress(general) as subordinate factors of adolescent's social anxiety. The purpose of this study was to identify the effects of maternal depression, adolescent's self-esteem and adolescent's sex, grade, birth order on the adolescent's social anxiety. For this purpose, data from 334 middle school students and their mothers were collected. frequency, percentage, Cronbach's α, MANOVA and multiple regression analysis were used for data analysis. The main results were as follows. First, there were not significant differences of adolescent's social anxiety according to adolescent's sex, grade and birth order. Second, there were not significant effects of adolescent's sex, grade, birth order and maternal depression on three subordinate factors of adolescent's social anxiety, but adolescent's self-esteem had significant effects on fear of negative evaluation, social avoidance and distress(new), and social avoidance and distress(general) as subordinate factors of adolescent's social anxiety.

        • KCI등재

          응급실과 일반병동 간호사의 밤번 근무시 Circadian rhythm과 피로도 비교

          최선윤,홍해숙 대한기초간호자연과학회 1999 Journal of korean biological nursing science Vol.1 No.1

          '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

          The purpose of this study is to find out the difference in circadian rhythm and level of fatigue between ER and General Ward Nurse. This study was done through analyzing body temperature, heart rate and major electrolytes such as Na^(+) and K^(+) concentration on urinalysis, which are related to factors of circadian rhythm and level of fatigue. The subjects, 17 nurses from Emergency Room and 25 nurses from general ward, were selected from a General Hospital in Taegu City on August 8 to 23, 1998. And the data were analyzed by proportion, t-test, chi-square and Pearson's Correlation, ANCOVA, using SAS program. The results of this study were shown as follows : First, The difference of Maximal and minimal heart rate was significant between ER group and general ward group. However, body temperature difference wasn't notable. Second, Urine Na^(+) concentration on urinalysis was lower and K' concentration on urinalysis was higher in ER group than general ward group significantly. Third, Fatigue level was higher in ER group than general ward group significantly. Fourth, through urine concentration, significant relations in circadian rhythm of ER nurse group and general ward group and their fatigue level were found. Urine Na^(+) concentration on urinalysis of ER nurse was significant related with their fatigue level. In conclusion, the effect of fatigue on circadian rhythm is greater in ER group than general ward group during night shift. This study could be a help in improvement of nurse' s health and understanding the effect of fatigue on health.

        • KCI등재

          성인여성의 등면형상 유형화와 길 원형 설계

          최선윤,이정란 한국의류학회 2003 한국의류학회지 Vol.27 No.7

          In this research, I classified adult women's back types through anthropometric measurement and photographic measurement to present a judging individual body size according to the type. Also I calculated regression formula by types and presented the basic bodice pattern. The results were as follow: 1. The result of factor analysis indicated that 5 factors were extracted and those factors comprised 75.89% of total variance. 2. According to the cluster analysis, I classified the back types into 6 types. Type 1 was passive posture in the upper and the lower parts of the back. Type 2 was active posture in the upper and the lower parts of the back. Type 3 had the lowest protrusion of the back. Type 4 had the upper part of the back which is mostly bent downward. Type 5 was the most suitable shape. Type 6 had the lower part of the back which was turned over the most. 3. I conducted a discriminant analysis to judge the body types of individuals. 4. For the calculation of measurements necessary for the basic bodice pattern, I presented regression formulas by each type. 5. By conducting the wearing experiments, I successfully made the final basic bodice patterns by types. As a result of comparative experiments between the basic bodice patterns and comparison bodice pattern, the suitability of basic bodice patterns were more highly assessed.

        • KCI등재후보

          선천성 부신피질 과형성증(Congenital Adrenal Hyperplasia)에 동반된 신생아 담즙정체증 1례

          최선윤,변준철,최원정,김흥식,강유나,황진복 대한소아소화기영양학회 2005 Pediatric gastroenterology, hepatology & nutrition Vol.8 No.1

          It has been suggested that cortisol deficiency may be responsible for the cholestasis. Although congenital hypopituitarism was reported as a possible cause of neonatal cholestasis, congenital adrenal hyperplasia with neonatal cholestasis is a very rare report in the literature. We experienced a case presenting with neonatal cholestasis associated with congenital adrenal hyperplasia. This case provides a clinical evidence supporting the notion that cortisol has an important physiological role in bile acid synthesis and transport 저자들은 색소침착과 기력저하, 담즙정체증을 보인 2개월 여아에서 호르몬 검사와 복부 MRI 검사로 선천성 부신피질 과형성증으로 진단하고 히드로코르티손과 광물부신겉질호르몬을 투여하여 담즙정체증과 색소 침착의 완전한 회복을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

        • KCI등재SCOPUS

          Impact of Pheochromocytoma on Left Ventricular Hypertrophy and QTc Prolongation: Comparison with Takotsubo Cardiomyopathy

          최선윤,조경임,한유진,유가인,김제훈,허정호,김현수,차태준,이재우 대한심장학회 2014 Korean Circulation Journal Vol.44 No.2

          Background and Objectives: Excessive catecholamine causes the alteration of cardiac structure and function. This study evaluated if there is any difference in left ventricular hypertrophy (LVH) and QTc prolongation in conditions with pheochromocytoma and Takotsubo cardiomyopathy (TC). Subjects and Methods: We reviewed the medical records of 20 pheochromocytoma patients for cardiovascular events prior to diagnosis. The patient's clinical history and electrocardiographic and echocardiographic findings were compared to those of 20 patients diagnosed with TC. Results: Left ventricular (LV) mass index (133.3±37.8 vs. 113.3±17.3, p=0.031), relative wall thickness (0.55±0.15 vs. 0.47±0.07, p=032) and elevated blood pressure (BP) were more prominent in pheochromocytoma compared to TC. The mean creatinine kinase-MB elevation, reduced LV systolic function and ST segment changes were more prominent in the TC group compared to the pheochromocytoma groups (all p<0.05). The prevalence of QTc prolongation was high in patients with pheochromocytoma (45%) and TC (55%), and TC male patients appeared to have a more prolonged QTc interval. Urine epinephrine (r=0.844, p=0.004) and norepinephrine level (r=0.782, p=0.013) were significantly correlated with LV mass index, and the predictors for the QTc prolongation were male gender and the presence of LVH. Conclusion: A prolonged QTc was prominent in pheochromocytoma and TC regardless of BP and systolic LV function, and LVH was more prominent in pheochromocytoma than TC.

        • KCI등재
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