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      • 體力鍛鍊이 心藏 收縮期時間間隔에 미치는 效果

        崔時浩,金亨鎭,李元晶,朱永恩 慶北大學校 醫科大學 1983 慶北醫大誌 Vol.25 No.1

        心臟收縮機能 評價와 心臟疾患의 診斷에 有用하게 使用되고 있는 收縮期時間間隔이 長期間 體力鍛鍊을 쌓은 運動選手에서 어떠한 變化를 보이는지를 究明하기 爲해 男女大學生 運動選手群 및 非運動選手群 總 128名을 對象으로 하여 安靜時 收縮期時間間隔을 測定하였다. 測定된 收縮期時間間隔은 心搏數와 線型回歸分析을 한 後 그 回歸方程式을 使用하여 分當心搏數 60回에 對하여 補正하였다. 結果를 要約하면 다음과 같다. 모든 收縮期時間間隔은 心搏數와 逆相關關係에 있었다. RR 間隔(cycle length)은 男女 모두 選手群이 各各의 非選手群에 比해 有意하게 길었고, 女子의 RR間隔은 男子에 比해 긴 傾向을 보였다. 電氣機械的收縮期(QA_2) 및 機械的收縮期(M_1A_2)의 測定値는 男女 모두 選手群이 各各의 非選手群에 比해 有意하게 길었으나, 補正値는 男女에서만 그 差異가 有意하였다. 女子의 測定値 및 補正値는 男子에 比해 길었으며, 非選手群에서는 그 差異가 有意하였다. 左心室驅血時間(LVET)의 測定値는 男女 모두 選手群이 各各의 非選手群에 比해 有意하게 길었으나, 補正値는 男女에서만 그 差異가 有議하였다. 女子의 測定値는 男子에 비해 길었으며, 補正値는 男子에 比해 有意하게 길었다. 驅血前期(PEP)의 測定値 및 補正値는 男女 모두 選手群이 各各의 非選手群에 比해 짧은 傾向을 보였다. 女子의 惻定値 및 補正値는 男子에 比해 짧았으며, 非選手群의 補正値에 있어서는 그 差異가 有議하였다. 變形期(Q_1M_1)의 惻定値 및 補正値는 男女 모두 選手群이 各各의 非選手群에 比해 짧았으며, 男子에서는 그 差異가 有意하였다. 女子의 惻定値 및 補正値는 男子에 比해 짧았으며, 非選手群에서는 그 差異가 有意하였다. 等容收縮時間(ICT)의 惻定値 및 補正値는 男女 모두 選手群이 非選手群에 比해 긴 傾向을 보였고 女子의 惻定値 및 補底値는 男子에 比해 긴 傾向을 보였다. 遲聯時間(A_2D)의 惻定値 및 補正値는 選手群이 非選手群에 比해 긴 傾向을 보였으며, 男自에서는 그 差異가 有意하였다. 選手群에서는 女子의 惻定値 및 補正値가 男子에 比해 짧은 傾向을 보였으나 非選手群에서는 女子가 男自에 比해 길었고, 補正値에 있어서는 그 差異가 有意하였다. PEP/LVET 比는 男女 모두 選手群이 各各의 非選手群에 比해 작았고, 男子에서는 그 差異가 有意하였다. 女子의 PEP/LVET 比는 男子에 比해 작았으며, 非選手群에서는 그 差異가 有意하였다. LVET/PEP 比는 PEP/LVET 比와 正反對의 結果를 나타내었다. LVET/ICT 比는 男女 모두 選手群이 各各의 非選手群에 比해 큰 傾向을 보였으며, 女子의 LVET/ICT 比는 男子에 比해 작은 傾向을 보였다. In an effort to elucidate the effect of physical training on the systolic time intervals, resting systolic time intervals were measured in 128 college students aged around 20 years who were divided into male and female athletic and non-athletic groups. A linear regression analysis between measured systolic time intervals and the heart rate was made and the resultant regression equations were used in correcting the measured intervals for a heart rate of 60/min. The results obtained are summarized as follows. All of the systolic time intervals showed a negative correlation with the heart rate. RR interval was significantly longer in athletes than in non-athletes and was longer in the female than in the male. Electromechanical systole (QA_2) was significantly longer in athletes than in non-athletes and was significantly longer in the female than in the male. Mechanical systole (M_1A_2) was significantly longer in athletes than in non-athletes and was significantly longer in the female than in the male. Left ventricular ejection time (LVET) was significantly longer in athletes than in non-athletes and was significantly longer in the female than in the male. Pre-ejection perid (PEP) was shorter in athletes than in non-athletes and was significantly shorter in the female than in the male. Transformation period (QM_1) was significantly shorter in athletes than in non-athletes and was significantly shorter in the female than in the male. Isovolumic contraction time (ICT) was longer in athletes than in non-athletes and was longer in the female than in the male. Delay time (A_2D) was significantly longer in athletes than in non-athletes, In athletes, it was shorter in the female than in the male, while in non-athletes, it was significantly longer in the female than in the male. PEP/LVET ratio was significantly lower in athletes than in non-athletes and was significantly lower in the female than in the male. LVET/PEP ratio was significantly higher in athletes than in non-athletes and was significantly higher in the female than in the male. LVET/ICT ratio was higher in athletes than in non-athletes and was lower in the female than in the male.

      • 강선 고정술을 이용한 관골골절의 치료

        최시호 영남대학교 의과대학 1988 Yeungnam University Journal of Medicine Vol.5 No.1

        저자는 관골 골절 환자중 일부 안저 골절로 안와내용물의 탈출이 동반된 관골 골절, 경구개 골절이 동반된 관골 골절, 소아의 관골 골절을 제외한 대다수의 삼각면 관골 골절 환자 37례를 구강내 절개와 K-강선고정술을 이용하여 수술하였던 바, 첫째, 안면부 반흔을 남기지 않고, 둘째, 간단하며, 셋째, 직시하 수술이 가능하여 만족할 만한 결과를 얻을 수 있었다. To avoid external facial scar which resulted from ordinary infraorbital and lateral eyebrow incision in surgical treatment of zygomatic tripod fractures, the author used intraoral incision and K-wire fixation method in 37 selected patients. This method contraindicated for the patient with multiple comminuted zygomatic fracture, patient combined with hard palatal fracture, and patient combined with herniated orbital floor fracture. The advantages of this method are simple, no external facial scar, and operate under direct visual field. The postoperative results were satisfactory. Balanced facial symmetry and good cosmetic results were obtained.

      • 植皮術後 皮膚供給部의 創傷處置를 위한 各種治療方法의 比較檢討

        崔時浩,白鳳壽 慶北大學校 醫科大學 1980 慶北醫大誌 Vol.21 No.2

        1978年 9月부터 10月까지 慶北大學校 醫科大學 成形外科學 敎室에서 植皮術을 施術한 178例의 患者를 對象으로 그 供給部 創傷을 羊膜, madecassol gauze, sofra-tulle gauze 및 vaseline gauze 등으로 被覆시켜 半開法으로 處置하였던 바 다음과 같은 結果를 얻었다. 感染率은 sofra-tulle群이 가장 낮았으며, 그 다음이 madecassol群, vaseline群의 順이었으며 羊膜群이 가장 높았다. 感染의 主된 要因은 創傷面과 被覆한 材料 사이의 血漿 및 血腫의 貯留였으며 羊膜群에서 顯著하였다 治療期間은 羊膜群에서 가장 빨랐으며 madecassol群, sofra-tulle群, vaseline群의 順이었다. 羊膜群을 除外한 나머지 3群을 比較하였던 바, thin S.T.S.G.에서는 madecassol群이 가장 效果가 있었고, sofra-tulle群은 vaseline群과 별 差異가 없었다. Intermediate S.T.S.G.에서는 madecassol群, sofra-tulle群, vaseline群의 順이었으며, madecassol群과 sofra-tulle群 間에는 큰 差異가 없었다. Thick S.T.S.G.에서는 sofra-tulle群이 가장 效果가 있었으며, madecassol群은 vaseline群과 별 差異가 없었다. 羊膜群에서 感染率이 높으면서 治療期間이 가장 빨랐다는 것은 感染된 7例(14%) 外는 治療期間이 다른 群에 比하여 顯著히 빨랐기 때문이며, 또 感染된 例에서도 感染部位의 羊膜과 貯留된 血漿 및 血腫을 除去한 후 새로운 羊膜으로 再被覆 時 創傷治療가 대체로 빨랐기 때문이다. The principal objectives in the treatment of the donor site of the skin graft are to achieve rapid re-epitheligation and to minimize discomfort of the patient. During the past two years, skin grafts were performed on 178 patients, which were divided into 3 groups; thin split-thick-ness skin graft (S.T.S.G.), intermediate S.T.S.G. and thick S.T.S.G. Immediately after harvesting the skin from the donor sites, they were covered with wet saline gauze, containing 1:50,000 adrenaline. The wound, being controlled bleeding, were covered with various dressing materials and then pressure dressings were applied over them. These pressure dressings were removed about 24 hours after application. One hundred and seventy eight cases were divided into 4 groups; amniotic membrane group (50 cases), medecassol gauze group (39 cases), sofra-tulle gauze group (38 cases) and vaseline gauze group (51 cases). The infection rate of the donor site was lowest in the group of sofra-tulle gauze and highest in the amniotic membrane group. The time for reepithelization was shortest in the amniotic membrane group, followed by madecassol group. But there were no significant differences between the sofra-tulle group and the vaseline group, except in thick S.T.S.G. The main cause of infection seemed to be the depositions of seroma and hematoma under the dressing materials. The good contact between the dressing materials and the donor site is probably the most important factor in rapid re-epithelization by reducing infection and improving micro-circulation.

      • 韓·美 初期 外交關係 考察 : 韓·美修好通商條約이 체결되기까지

        崔時浩 성균관대학교 정치학회 1961 정치학보 Vol.5 No.-

        한, 미 수호통상조약은 앞서도 말했지만 한국의 자주적인 외교로 이루어진 것이 아니라 청국의 소개로 이루어졌으며 청국의 중개이유가 종주권 인정을 위하고 또한 일본의 북정야망과 러시아의 남하야욕을 막기 위한 것이었다.

      • 근륜(Levator Sling)재건술식을 이용한 구개성형술 : 일차보고 Preliminary Report

        최시호 영남대학교 의과대학 1990 Yeungnam University Journal of Medicine Vol.7 No.2

        구개열이 있는 10명의 환자를 대상으로 근륜재건술식을 이용한 구개성형술을 실시 한 후, 발음평가표를 이용한 언어발성평가는 많이 호전 (평균 점수 3.5 상승)됨을 나타냈었다. 생후 12개월에서 18개월사이에 수술 한7명의 환자에서는 상악발육 평가는 4세, 언어발성 평가는 6세에 실시하기 위한 추적검사 중에 있다. 새로운 방법의 구개성형수술 술식의 임상적 응용 및 발음평가표 작성을 통한 정확한 언어 발성평가를 시도 하였음에 일차적인 의의가 있다고 하겠다. Ten cleft palate patients were operated with reconstruction of levator sling without pushback for the purpose of not to make raw surface in the anterior portion of hard palate to prevent maxillary retrognathia. Speech was evaluated by using speech assessment list. Maxillary growth was not evaluated due to in-growing age in majority patient. The report will be followed in next chance. We could impose the significance in clinical application of levator sling palatoplasty without any complications but improving speech.

      • KCI등재
      • SCOPUSKCI등재

        Tissue Expansion의 임상적 이용 및 그 조직학적 변화

        설정현,이태숙,이대훈,정재호,최시호 大韓成形外科學會 1987 Archives of Plastic Surgery Vol.14 No.3

        Soft-tissue expansion is a new clinical technique of providing donor tissue for modern reconstructive surgery. This technique provides a quantity of tissue of similar color, texture, and hair-bearing qualities for reconstruction of adjacent defects and makes secondary reconstruction of donor site unnecessary. Recently, we performed soft-tissue expansion in ten patients with various defects including postburn alopecia, postburn scar, and breast deformity due to paraffinoma removal. Clinical results, histological changes, and complications were evaluated. Excellent or good results were observed in eigth patients out of a total of ten patient. The major complication rate was 30% in our series due to three major complications, such as infection, esposure of expander, and skin necrosis. On histological study, the epidermis was minimally thickened. Dermis and subcutaneous tissue became thinner, and markedly increased vascularity and collagen synthesis in the dermis compared to preoperative normal histologic findings were also observed. Skin appendages showed no structural changes. In our experience, the application of the soft-tissue expansion technique has proven to be successful. We have determined that the method is safe, simple, and provides good aesthetic results.

      • SCOPUSKCI등재

        口脣癌의 治療

        白鳳壽,崔時浩 大韓成形外科學會 1980 Archives of Plastic Surgery Vol.7 No.1

        Treatment of carcinoma of the lip should involve two considerations: therapy for the primary lesion and the approach to th regional nodes. The excsion of the primary lesion must be adequate and aesthetically acceptable. Successful reconstruction of the lip is a difficult problem and about eighty different procedures for this operation were discovered in reviewing the literature but they may be classified into three broad categories: Stein-Abbe-Estlander principle, fan flap principle, utilizing flaps from the cheek, chin and neck. They possess advantages and disadvantages but most of them focused on anatomical structures about the mouth together with their physiologic action. Authors report the 6 cases of lower lip carcinoma. After adequate excision of the tumors, the defects of the lips were reconstructed by Estlander or modified Estlander flap in 3 cases, Gillies "fan flap" in 1 case, advancement flap from the chin and neck in 1 case and fan flap combined with advancement flap from the cheek in 1 case. The results of each procedure were discussed.

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