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      • KCI등재후보

        Granular Cell Tumor of Brachial Plexus Mimicking Nerve Sheath Tumor: A Case Report

        김영임,이철규,조기홍,김상현 대한척추신경외과학회 2012 Neurospine Vol.9 No.3

        Primary tumors of the brachial plexus region are rare and granular cell tumors arising from the brachial plexus region is an extremely rare disease. We present a case of granular cell tumor arising from of the brachial plexus which appeared to be a usual presentation of nerve sheath tumor before the pathological confirmation. We report a granular cell tumor of the brachial plexus with literature review. Total resection is important for good clinical outcome and prognosis in the treatment of granular cell tumor.

      • KCI등재후보
      • SCOPUSKCI등재

        외래내원여성의 유방암 조기검진행위에 영향을 미치는 요인

        김영임,이창현,양수형,정혜선 지역사회간호학회 2004 지역사회간호학회지 Vol.15 No.1

        Purpose: The purpose of this study was to identify factors affecting early detection behaviors of breast cancer such as breast self examination(BSE), breast physical examination, mammography. Method: The subjects were 141 women on an island and materials were collected through an organized questionnaire from March, to August 2002. The data were analyzed by using descriptive statistics, x2-test, and logistic analysis by SAS program. Results: 52.7% of the subjects performed breast self examination, 67.2% did breast physical examination and 67.7% did mammography. That is, about 60% of the subjects performed early detection behavior to find the breast cancer. Practice of breast self examination was significantly correlated with experience of physician examination and mammography. The most significant factor on BSE was a normal salted diet, and the most significant factor on physical examination and mammography was the high education level of subjects. Conclusions: According to the results of this study, it suggests that intensive education and information strategies for breast cancer early detection need to be developed. In particular, early detection programs for lower educated women should be activated. key words : Early detection behaviors of Breast Cancer, Breast self examination (BSE), Breast physical examination, Mammography

      • KCI등재

        ICNP를 적용한 학교간호현상 및 특성과 초·중·고등학교의 학교간호현상 비교

        김영임,왕명자,양순옥,현혜진,박은옥 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.1

        Purpose : this study purposed to investigate school nursing phenomena in Korea by applying ICNP, the international standard nursing classification system developed by ICN, and to compare school nursing phenomena at elementary, middle and high schools. Method : The subjects of this study are 110 nursing teachers from 82 elementary schools, 16 middle schools, and 12 high schools. In the survey, subjects were asked to score the degree to which phenomena and characteristics of Koran school nursing, identified in previous research, on a 5 point scale. Questionnaires were distributed and recovered by mad and email. The period of data collection was 6 months from July to December 2003. The general characteristics of schools and nursing teachers were represented with frequencies and percentages, the phenomena and characteristics of school nursing with the score of the questions, and the phenomena school nursing by school grade with ANOVA and Duncan's posterior analysis. Results : 1) As for the characteristics of schools according to school nursing phenomena related to human behavior, the mean score of questions on inadequate stress management was highest at 3.24 points followed by the score on inadequate weight control (3.23), inadequate eating habits (3.22), the risk of spine disorders (2.68), inadequate emergency management (2.62), inadequate response to sex -related problems (2.19), and smoking and drug use (1.85). 2) As for the characteristics of schools according to school nursing phenomena related to human function, the mean score of questions on oral health management was highest at 3.11 points followed by the score on the risk of digestive system disorder (2.87), improper eyesight management (2.81), the risk of respiratory system disorders (2.75), lack of sexual identity (2.52), and inadequate contagious disease control (2.12). 3) As for the mean score according to school nursing phenomena related to environment, the score of the risk of accidents in classroom was highest as 2.68 points followed by the score of the risk of accidents around the school (2.66), maladjustment to school (2.62), the risk of accidents outside the classroom (2.43), inadequate learning environment (1.83), the risk of exposure to socially and physically harmful environment factors (La), and inadequate waste disposal (1.77). 4) This study tested the m n scores of questions corresponding to each school nursing phenomenon in order to see if there is a difference in the school nursing phenomenon among elementary, middle and high schools, and performed Duncan's posterior comparison for school nursing phenomena. A significant difference was found at p<.l. According to the results, school nursing phenomena found to be significantly different among elementary, middle and high schools was smoking and drug use (p<.05), which appeared more problematic in high school than in elementary school. phenomena such as inadequate eating habits, inadequate weight control, inadequate response to sex-related problems and inadequate waste disposal were also found to be statistically different at p<.l; however, according to the result of Duncan s posterior comparison, no difference was found among groups in improper eating habits and improper response to sex-related problems, and a significant difference was found between middle and high schools in inadequate weight control and inadequate waste disposal. Conclusion: Based on the results of this study, it is necessary to plan school health projects focused on the characteristic school nursing phenomena that had high scores and to develop and execute school healthe projects in accordance with the characteristics of elementary, middle and high schools. Considering that the scores of school nursing phenomena related to human behavior are high, it is necessary to introduce school health promotion projects in a systematic way.

      • KCI등재

        성인의 운동실천양상과 건강수준간 관련요인분석 : 초등학교 교직원을 중심으로

        김영임 韓國學校保健學會 2000 韓國學校保健學會誌 Vol.13 No.2

        The purpose of this study is to analyze the relationship between life style and health status of the staffs of an elementary school to understand exercise practices and life styles and to analyze the self-efficacy and the factors that affect it concerning walking exercise. The subjects were 259 staff member of the 10 elementary school in Seoul and materials were collected through an organized examination table from October, 1999 to May 2000. The people health awareness table was used as a variable for life style, the 13 questionnaires made of a 5 points measure was for the self efficacy concerning walking exercise. The data was analyzed through a statistics package made of a Chisquare-test, t-test, ANOVA and a repression analysis. The major results of this study were as follows; 1) 50% of the staffs were practicing regular exercise, 3/4 of them practiced walking, jogging and mountain climbing that don't need equipment and exercise frequency was 1-2 times per week 64% of the time and exercise span was under 30 minutes in 38%, the highest. 2) The average of self-efficacy concerning walking exercise was 3.6 points but the answers "I can walk enough to be in a sweat", "I can walk according to my exercise plan" were relatively low. 3) The explanation degree of the Model was 14% in a regression analysis between self efficacy concerning walking exercise and as a dependent variable for a regular walking exercise plan, regular health examination, routine health status, and breakfast might serve as an explanation degree. According to the results of this study, the suggestions were as follows: 1) The chronic invalid was not enough in the change of life style after chronic disease, most of all, it need the awareness of change, of active health education and of public information for health promotion action practice through the prohibition of smoking, abstinence from drink, exercise and nutritional balance. 2) Concrete practice program enlargement is needed to enhance related walking exercise or of a type lecture meeting fur subjects who have a positive attitude about walking exercise plans. 3) A program that can actively recommend a health promotion life style is needed when we make allowance for those who have an ordinarily healthy life style and show a high wafting exercise self-efficacy.

      • KCI등재
      • KCI등재

        한국학교보건학회의 발전과정과 전망에 관한 논고

        김영임 韓國學校保健學會 1998 韓國學校保健學會誌 Vol.11 No.1

        The Korean society of school Health was opened to research school health, Publish a journal, survey activities, educate members, and exchange information etc. This society has operated these services actively since 1987. The objectives of this study are: (1) To review the quantitative development process of the society of school health. (2) To review the qualitative development process of the society. (3) To suggest improvement and new directions of the society. The quantitative aspects include number of members, number of conferences, and number of journals published; the qualitative aspects deal with comprehension and sufficiency of these activities. A literature review method was uses for this study. The results are as follows: (1) The number of members increased to 987 from 200. (2) The number of conferences total led 15 at an average of 1.5 per year since 1987 (3) The journal of the Korean society of school health wart published a total of 20 times at an average of 2 per year. (4) Many health behavior and student-oriented articles were published. (5) There are few activities that exchange international information, suply data to members, and investigate the opinions of society concerning school health. Consequently, positive activities concerning major school health themes, research concerning the health rights of teachers in a school environment, and a more systematic management of members should be developed. Also, it is necessary to develope an in-service education program fur those same member.

      • KCI등재

        학교건강증진 지표개발 및 측정에 관한 연구

        김영임 韓國學校保健學會 1998 韓國學校保健學會誌 Vol.11 No.2

        The objectives of this study are first to develop the index of school health promoting behaviors, two, to measure those, third, to analysis the relative importance of factors that effect on school health promoting behaviors. School health promotion indexes were composed of 60 components of six areas which modify the element of health promoting schools are developed by world health organization. The survey data were collected by questionnaires from June to September in 1998. The number of subjects was 294 school nurses. The SAS-PC program was used for the statistical analysis. The major results were as follows: 1. The six areas of school health promoting behaviors are: school health politics (20 components), the school physical environment (17 component), the school social environment (7 component), community relationships (6 component), personal health stills (7 component) and health services (3 component). 2. The mean of total school health promotion indexes was highest at elementary school as 3.46. The order of area was health services, the school physical environment, school health politics, the school social environment, personal health skills, community relationships. 3.7he regression model used in this analysis presented significant relationships between school health promoting behaviors and independent variables. The important variable affecting the area of school physical environment was education level of school nurses. The important variable affecting the area of the school social environment and personal health services were the location of school, credential education program. Age or career also were significant variables affect the community relationships and health services. In summary, The health promoting behavior of elementary school was higher than other school. It is mean that have to perform active promoting behavior at middle school and high school. Health service level was highest among areas of school health promoting behaviors. It is mean also that school nurse teachers is interested in activity for other areas to improve of school health. furthermore, it is necessary to develop the specific program for school health promoting behavior.

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