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        2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

        이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

        목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

      • 간호대학생의 영적안녕에 관한 연구

        강은실(Kang Eun-Sil),김숙자(Kim Sook-Ja),강성년(Kang Sung-Nyun),최성은(Choi Sung-Eun) 고신대학교 전인간호과학연구소 2008 전인간호과학학술지 Vol.3 No.-

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 9시까지 원문보기가 가능합니다.

        The purpose of this study was to describe the spiritual well-being of nursing students to provide a basic data for the development the curriculum of Spiritual Nursing Care in nursing collages. The subjects for this study were consist of 58 nursing students in K University of Pusan city in Korea. All of them were educated about Spiritual Nursing Care for 100 minutes in a week, during totally 8 weeks in one semester. The data were collected during 7days from July 11 to July 18,2004 by using structured questionnaire method. The measurement of the spiritual well-being was performed with 6 points-index which is composed of 21 items and is modified by Sang-Soon Choi(1990)from Palau tzian & Ellison(1983) s. Its high score means that the degree of spiritual well-being of the subject is high. The data were analyzed by using the SPSS WIN 10.1 program according to the purpose of this study. The general characteristics of the subjects were analyzed by calculating the real quantity and the percentage, and the spiritual well-being scores were identified through calculating the mean value of individual domain. The significant difference of the general characteristics with the spiritual well-being was analyzed by t-test and ANOVA, Scheffe s test. The results of this study were as follow; 1.The spiritual well-being of the subjects The average value for the spiritual well-being of the subjects was 97.78(SD=±10.53) among the possible ranges of 21-126. The mean value of all items was 4.66(SD=±0.502) and high relatively. 2. The spiritual well-being according to general characteristics of subjects The analysis of the spiritual well-being according to general characteristics of the subjects showed statistically significant difference on the degree of life satisfaction in faith(F=4.327, P= .004),the degree of recognition about God s initiation in their daily life(F=3.933, P= .013),the degree of satisfaction about Nursing as their major(F=6.608, P= .000), their assurance of salvation(t=4.557,P= .037). among the personal religious actions, praising(F=3.32,p= .017), The group of nursing students responded that they were satisfied in their faith life, always God has the initiative in their daily lives personally, they were satisfied about Nursing as their major very much, and they have their assurance of salvation showed the highest degree of the spiritual well-being than any other group. In conclusion, in this study we observed that the spiritual well-being of nursing students was high relatively. The general characteristics of subjects were related to the spiritual well-being of them were the degree of satisfaction in their faith lives,their recognition about God s initiation in their daily life, their satisfaction about Nursing as their major, among the personal religious actions, regular praising and their assurance of salvation. Therefore this study s results can be used for developing a spiritual nursing education and program to strengthen nursing student s spirituality to practice in spiritual nursing care.

      • KCI등재

        제주도 감귤원 토양에서 GUS, RF, AF 지수를 이용한 농약의 용탈잠재성 평가

        오상실,현해남,문두길,정종배 한국환경농학회 2002 한국환경농학회지 Vol.21 No.1

        유기물함량이 다른 감귤원 토양을 대상으로 CUS, RF 및 AF값을 비교하여 감귤원에서 많이 사용되고 있는 농약 종류별 지하수 오염 잠재성을 평가하였다. GUS에 의하면 metribuzin과 metolacholr는 조사된 모든 토양등에서 용탈 가능성이 큰 것으로 평가되었으며, alachlor와 lin-uron도 대부분 토양에서 용탈가능성이 높은 것으로 평가되었으며 linuron의 경우에는 특히 비화산회토양에서 용탈의 가능성이 매우 높은 것으로 나타났다. Diuron과 diniconazole은 대부분 토양에서 용탈 가능성이 없는 것으로 평가되었고, chlorothalonil과chlorpyrifos는 유기물 함량에 관계없이 용탈 가능성이 없는 것으로 평가되었다. RF에 의한 평가에서는 diniconazole, chlorothalonil, chlorpy-rifos는 모든 토양에서, linuron과 diuron은 일부 비화산회토를 제외한 모든 토양에서 이동성이 매우 낮은 것으로 분류되었으며,metolachlor와 alachlor는 대부분의 토양에서 이동성이 보통인 것으로, metribuzin은 유기탄소함량이 낮은 토양에서 오염 잠재성이 있는 것으로 평가되었다. AF에 의하면 diniconazole, chlorothalonil, chlorpyrifos는 화산회토, 비화산회토에 관계없이 지하수 오염 잠재성이 없는 것으로 평가되었으며, 반면 metribuzin은 화산회토, 비화산회토에 관계없이 오염 잠재성이 있는 것으로 평가되었다. Metolachlor는 비화산회토에서 지하수 오염 잠재성이 있는 것으로 평가되었고, al-achlor, linuron 및 diuron은 유기물 함량이 낮은 일부 비화산회토에서만 지하수 오염 잠재성이 우려되는 것으로 나타났다. 농약의 용탈잠재성은 용해도, 흡착성, 잔류성 등의 약제 자체의 특성과 함께 유기물 함량, 투수성 등 토양의 물리화학적 특성에 따라서 결정된다. 본 연구의 결과를 보면 이러한 일반적인 원칙이 각 농약의 용탈잠재성 지수에 그대로 반영되었는데, 용해도가 높고, 흡착성이 약하며 잔류성이 긴 약제일수록 대부분의 토양에서 용탈잠재성이 큰 것으로 나타났다. 토양의 특성 중에서는 특히 농약의 흡착에 직접 영향을 미치는 유기물 함량이 용탈잠재성 지수를 결정하는 중요한 요인으로 볼 수 있는데, 본 연구의 결과에서도 일반적으로 유기물 함량이 높은 화산회 토양에서는 농약의 용탈잠재성이 비화산회토양에 비교하여 낮은 것으로 나타났으며, 용해도가 높고 흡착성이 매우 낮은 약제인 metribuzin의 경우에도 투수성이 상대적으로 높은 화산회 토양에서보다 투수성이 낮은 비화산회토양에서 용탈 가능성이 높게 평가된 것으로 보아 대부분 농약의 용탈잠재성을 결정하는데 있어 토양의 투수성보다도 유기물 함량이 더욱 중요하게 영향을 미치는 것으로 판단할 수 있다. 따라서 비화산회토를 위주로 한 유기물 함량이 낮은 토양이 분포된 지역의 지하수가 농약의 오염에 취약할 것으로 판단할 수 있으며, 이들 지역에서는 용탈잠재성이 높은 것으로 평가된 약제들의 사용을 최대한 제한함으로써 제주도 지하수의 농약 오염을 방지할 수 있을 것이다. 물론 제주도 감글원에서는 토양의 유기물 함량과 약제의 흡착성을 우선적으로 고려하여 사용할 농약을 선택해야 할 것으로 보이나, 그 외 약제의 잔류성, 사용량, 사용시기와 함께 기후조건, 토양의 투수성, 토충의 깊이, 지하수 깊이 등의 지역적인 특성들이 농약의 용탈잠재성에 미치는 영향도 더욱 구체적으로 파악되어야 할 것이며 농약의 선택 과정에서도 이러한 특성들이 앞으로 고려되어야 할 것이다. Contamination of groundwater by agrochemicals used in the regional-scale is now a major environmental problem, and this is especially true for Cheju island where virtually all potable water is from groundwater. The objective of this study was to assess leaching potential of eight pesticides in soils of citrus orchards using groundwater ubiquity score (GUS), retardation factor (RF) and attenuation factor (AF). Considering GUS estimated in 30 citrus orchard soils, metribuzin and metolachlor were classified as leacher, alachlor in volcanic ash soils and linuron in non-volcanic soils were classified as leacher, but chlorothalonil and chlorpyrifos were classified as non-leacher. For RF values, metribuzin was classified to be mobile in soils of low organic carbon, metolachlor and alachlor were classified to be moderately immobile in most soils, but linuron, diuron, diniconazole, chlorothalonil and chlorpyrifos were all classified to be very immobile. For AF values, diniconazole, chlorothalonil, and chlorpyrifos were classified to be very unlikely leachable in all of the soils, metribuzin was classified to be likely leachable, and metolahclor, alachlor, linuron and diuron were classified to be leachable only in non-volcanic soils. Although there were some variations in the relative potential of leachability of pesticides estimated with the three different indices, the ranking was essentially determined on the base of the intrinsic properties of the chemicals and environmental properties. Among the eight pesticides, metribuzin, metolachlor, and alachlor, which have high water solubility and low K_(oc) values, have a significant leaching potential especially in non-volcanic ash soils of low organic carbon. But diniconazole, chlorothalonil, and chlorpyrifos, which have low water solubility and high K_(oc) values, were classified to be very immobile in all of the soils. Therefore, to lower the possibility of pesticide contamination of the groundwater in Cheju island, those pesticides which have high water solubility and low K_(oc) values should be used with care in soils of low organic carbon including non-volcanic ash soils.

      • SCOPUSSCIEKCI등재

        Linear Accelerator를 이용한 Stereotactic Radiosurgery

        정상섭,윤도흠,오성훈,김선호,서창옥,추성실,노준규,김동익,서정호 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.6

        A Modified irradiation technique utilizing a linear accelerator for radiation surgery within the brain was performed in 4 patients. Three of them had brain tumors and one small arteriovenous malformation in midbrain. A Hitchcock stereotactic apparatus and a 10 MeV linear accelerator have been adapted and special computer programs for dosimetry were obtained and studied experimentally with a phantom model. Stereotactic radiosurgery is a valuable tool in the treatment of inoperable, deep seated intracranial lesions, the major advantage being high efficacy and smoothness of the procedure, as well as short hospitalization times.

      • 4.6.9 歲 兒童의 親社會的 行動發達에 關한 硏究

        林聖惠,朴銀實 진주여자전문대학 1989 論文集 Vol.11 No.-

        The main purpose of the present study was to examine the development of children's prosocial behavior. To achieve this purpose, following problems were put forward. (1) Are there any differences in the level of prosocial behavior according to age? (2) Are thers any differences in the level of prosocial behavior according to sex? (3) Are there any differences in the level of prosocial behavior according to socio-economic leves. Subjects were 60 children(30 boys and 30 girls) in three age groups ; 20 kindergarten children(10 boys and 10 girls) aged 6 ; and 20 third-grade children(10 boys and 10 girls) aged 8. To solve the above problems, 60 subjects were administered a prosocial behavior test by Bar-Tal(l979) and socio-economic level scale. These tools were revised to fit the purpose of this study. The data of the present study were processed with Mean, standard Deviation. ONE-WAY ANOVA, T-test and scheffe'-test by SPSS Program. The findings of this study are summerized as follows : First, there was significant differences in the children's prosocial behavior according to age [F=32.02, P< .01]. That is, children's prosocial behavior increased with age increase. Especially, as result of Scheffe'-test, there were more differences between 6 to 9 years old. second, there was no significant differences in the prosocial behavior according to sex. Third, there was significant differences in the childrens prosocial behavior according to socio-economic levels[t[59]=2.59, p[ .01]. Namely, high socio÷ economic level group was more prosocial than low sociof economic level group.

      • 전치 견인시 상순의 긴장도와 입술반응의 변화

        홍현실,김상철 원광대학교 치의학연구소 2003 圓光齒醫學 Vol.12 No.2

        The purpose of this study was to evaluate dental and integumental soft tissue changes by the orthodontic treatment and relationship of upper lip strain to lip response by anterior teeth retraction. Lateral cephalometric head films of 90 cases, before and after treatment, were traced and statistically analyzed. The results were as follows; 1. Upper lip strain was alleviate by anterior teeth retraction and high lip strain group was more alleviate than low lip strain group. 2. Upper incisor was posterior and inferior positioned by the orthodontic treatment and integumental soft tissue also was posterior and inferior positioned. 3. Basic lip thickness was decrease by anterior teeth retraction, whereas vermilion lip thickness was increase.

      • 재가노인의 일상생활동작수행의 의존성과 생활만족에 관한 연구

        홍춘실,김현리,이상화 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.1

        This study was conducted to analyse the correlation between the ADL dependency and life satisfaction. Data were collected from the 102 home resident eldery who have no dementia by cognition test. The age distribution f subjects were 65 years and over The data were collected from January 16th to February 15th, 1997. The instruments used for this study were a survey of general characteristics(10 items), physical function(15 items), life satisfaction(20 items). The data were analysed by using an SPSS program and included percentage, t-test, ANOVA & Pearson correlation coefficient. The result of the study are summarized as follows: 1. The mean of ADL dependency score was 5..912 in a possible range of 15 to 60 when 15 indicates high dependency and 60 incicates low dependency. 2. The mean of life satisfaction score was 20.363 in a possible range of 0 to 40 when 0 indicates low life satisfaction and 50 indicates high life satisfaction. 3. The relationship between ADL dependency and life satisfaction for old people in home proved to be of statistically highly negative correlation(r=-.2553 P=.01). 5. General characteristics related to life satisfaction was educational status, household status, economic status, personality, perception of health(P<0.05). In conclusion, it was identified that ADL dependency is the important variable influencing the life satisfaction of the elderly. Therefore, more efforts are needed to decreased the ADL dependency of the elderly to enhance life satisfaction of the elderly.

      • 강원도지역의 음료수 수질에 관한 통계적 조사

        김성실 中央醫學社 1972 中央醫學 Vol.23 No.1

        Statistical investigation of sanitery water analysis was conducted by author on 838 wells and pumps of service trade during the period from January to December 1969 in all area of Kang-won province. From the results of this investigation the following conclusion were obtained. 1) Among the sampls of the pumps and wells tested, 70.8% of the wells were contaminated. 2) The biological contamination rate was higher in summer and the physichemical contaminated rate was lower in summer. 3) The biological contamination of 90.5% in Ko-sung Kun was highest and 33.0% in Chul-won Kun was lowest. 4) The number of wiable bacteria over 100/cc was 41.9% and below 10/cc was 53.6%. 5) The sample test resulted of KMnO4 consumption over 4.1 ppm were 22.4%. 6) Below 100 ppm were 80.7% and over 250 ppm were 3.0% 7) The results of physio-chemical analysis the contamination rate of order and teste and the next in order was No. 2 appearance, NH3, KMn04 consumption No. 3 chlorine ion, and hardness.

      • KCI등재

        농업의 특성을 고려한 자유무역 일반균형효과 분석모형의 체계

        김충실,이상호 한국농업정책학회, 한국축산경영학회 2000 농업경영정책연구 Vol.27 No.3

        '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 9시까지 원문보기가 가능합니다.

        The main purpose of this study is to construct Multiregional General Equilibrium Model which is generally used to analyze general equilibrium effects of trade liberalization and changes in various international or national economic variables like as Free Trade Agreement, WTO new Round, and changes of price, exchange rate, and tariff rate. This multiregional general equilibrium model handles the multilateral trade liberalization and various kinds of policy shocks. Especially, this model emphasizes the speciality of agricultural demand and production system. Key words : 아밍턴 함수(Armington Function), 불변전환탄력성 함수(CET Function), 다국간 일반균형모형(Multiregional General Equilibrium), 소비체계(Demand System), 생산체계(Production System)

      • 돼지 신장세포(PK15)의 이종이식 거부반응에 대한 재조합 IL-18의 영향

        최연실,김은미,김영관,박상연,심정현,윤도영,강형식,명평근 충남대학교 형질전환복제돼지연구센터 2004 논문집 Vol. No.8

        Various cytokines including IL-1β, IL-2, IL-4, IL-10, IL-12p40, IFN-r, and TNF-α have been recently reported to play important roles in both host and donor cell activations during xenotransplantation. Interleukin (IL)-18, a proinflammatory cytokine, can induce IL-4 and IL-13 production in T cells, NK cells, B cells, mast cells, and basophils. IL-18 has the capacity to stimulate innate immunity and both Th1-and Th2- mediated responses, but little is known to involve in the xenograft rejection. In order to investigate the role of IL-18 in xenograft rejection, we transplanted the pig kidney (PK15) cells to C57BL/6 mouse with or without intraperitoneal injection of mouse recombinatant IL-18, It was analyzed the population of T cell, B cell and NK cell in the mice transplanted with PK 15 cells and recombinant IL-18 by flow cytometry. We found that splenic CD3+ T cells were increased in mice injected PKl5 cells with recombinant IL-18. These results suggest that recombinant IL-18 is critical in the xenograft rejection by increasing T cell population of the recipients.

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