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      • KCI등재

        우리나라 정신질환자의 의료이용 현황과 장기입원 관련 요인

        서수경,김윤,박종익,이명수,장홍석,이선영,이진석,Suh, Soo-Kyung,Kim, Yoon,Park, Jong-Ik,Lee, Myung-Soo,Jang, Hong-Suk,Lee, Sun-Young,Lee, Jin-Seok 대한예방의학회 2009 예방의학회지 Vol.42 No.6

        Objectives : This study was performed to examine medical care utilization of psychiatric patients and to explore patients' characteristics associated with extended hospitalization. Methods : Data were extracted from information of Korean Health Insurance Review and Assessment Service. All data associated with admission and outpatient clinic visit were analysed by patient characteristics. We selected first psychiatric admission patients who diagnosed mental and behavioral disorders due to use of alcohol (main disease code: F10), schizophrenia and related disorders (F20-29) and mood disorders (F30~33) from January to June 2005. We analysed status of admission, mean length of stay, regular access to outpatient clinic and rates of extended hospitalization during 3 years. Bivariate and multivariate analyses were conducted to identify factors associated with extended hospitalization. Results : The number of psychiatric patients during the first six month of 2005 was 30,678. The mean length of stay was longest for schizophrenia and related disorders but shortest for mood disorders. Patients who experienced an extended hospitalization were 18.8% of total subjects. An extended hospitalization was more common in schizophrenia and related disorders than other diagnostic groups. The factors associated with the extended hospitalization were age, sex, diagnostic group, type of insurance and medical care utilization groups. Conclusions : The study indicates the problem of an extended hospitalization for psychiatric patients in Korea. It is suggested that variations in rates of extended hospitalization among medical care utilization group may need an active early intervention system in psychiatric treatment service. Particular attention needs to be devoted to planning and funding for reducing extended hospitalization.

      • 가족학 연구를 위한 이론적 대안으로서의 비판이론 고찰

        서수경(Soo Kyung Seo) 한국가족관계학회 2001 한국가족관계학회지 Vol.6 No.2

        In this paper I wanted to discuss the theoretical basis to be applied for the research of the social status of the modern Korean family, which has changed a lot in the process of industralization of the country. During the last decades the research of the social status of Koran family was carried out mainly on the basis of empirical studies which resulted in one-sided approach to the problem. For this reason I want to point out to various theoretical concepts which should be taken into consideration when doing research with respect to the Korean family. In this paper I have tried to outline the communication theory of J. Habermas because I am the opinion that his Critical Theory, which he elaborated for the analysis of the German society and its pathological phenomina can also be applied for the analysis of the Korean society and its problems.

      • KCI등재

        독일과 한국의 가족교육 비교 연구

        서수경(Seo Soo Kyung) 한독교육학회 2001 교육의 이론과 실천 Vol.6 No.2

        As our society is changing so quickly, there are many problems concerning the family which cannot be solved by family members alone. They must be supported by the state through sociopolitical programs. In the modern states of our time out of all social institutions the family is regarded as the most important one for the upbringing of children, because it is the family which supports the children financially and above all it is the family which protects them and helps them to strengthen their self-confidence and to solve all their problems including socialisation. In the modern rates the conviction is prevailing that the children guarantee continuity in the development of society. that is way the state supports families with children through various sociopolitical programs. Without the support of the state families would not be able to bring up responsible citizens who in the future are the gist of societies. In this study I want take this fact in account and create a theoretical basis which may serve as a sociopolitical perspective for the study of how families in Korea are educated, especially by studying the “Familienbildung” in Germany. I tried to analyse family life education in Korea on the basis of its legalistic aspects, education and social welfare. I hope that this kind of study will induce the state to take over responsibility for the family life education and thai it may serve as basis for its sociopolitical support.

      • KCI등재

        미세먼지 자극으로부터 지모추출물, 베타글루칸, 폴리감마글루탐산 혼합물의 안티폴루션 효능 평가

        서수경 ( Soo-kyung Seo ),구창섭 ( Chang-sub Ku ),손보미 ( Bomi Son ),이수경 ( Su-gyeong Lee ),강은미 ( Eun Mee Kang ),김미옥 ( Miok Kim ),홍정현 ( Jung Hyun Hong ),김선화 ( Seonhwa Kim ),신문삼 ( Moon Sam Shin ) 대한미용학회(구 대한미용과학회) 2016 대한미용학회지 Vol.12 No.4

        This study characterized Prostaglandin E2 (PGE2) production from Raw264.7 cells stimulated with particulate matter (PM1648a) and tested anti-pollution capacity of mixtures of Anemarrhena asphodeloides root extract, β-glucan and poly- γ-glutamic acid (the complex). In order to assess cytotoxicity, we treated the Raw264.7 cells with the complex using the lactase dehydrogenase (LDH) assay method. To measure cell viability, we treated HaCaT cells with the complex using the MTT assay method. To test scavenging activity, the DPPH assay method was used. To test the anti-oxidant effect of the complex, we treated HaCaT cells with the pro-inflammatory mediator particulate matter (PM1648a) and with PM1648a and the complex, then measured the concentration of reactive oxygen species (ROS) within the cells using the dichlorofluorescin diacetate (DCF-DA) assay method. The complex had cytotoxicity below 6.5% and cell viability above 91.3% at a concentration of 0.05%. Also, the complex showed scavenging activity above 50% at a concentration of 1.0%. In addition, ROS production at the 0.05% complex concentration was reduced to 61.0%. In a clinical experiment, the subjects who had skin urtication used a cosmetic product containing mixtures of 1.0% Anemarrhena asphodeloides root extract, 0.4% β-glucan and 0.5% poly-γ-glutamic acid for 4 weeks. The experimental group showed a statistically significant improvement in skin humidity, desquamation index and skin urtication. Based on the results with in vitro test and clinical experiment, mixtures of Anemarrhena asphodeloides root extract, β-glucan and poly-γ-glutamic acid could be used as cosmetic anti-pollution materials.

      • Octylmethoxycinnamate의 SPF 지수와 피부자극지수와의 상관성 연구

        서수경(Soo Kyung Suh),김종원(Jong Won Kim),최주영(Ju Young Choi),서경원(Kyung Won Seo),박창원(Chang Won Park),김규봉(Kyu Bong Kim),김광진(Kwang Jin Kim),이선희(Sun Hee Lee) 한국환경성돌연변이발암원학회 2002 한국환경성돌연변이·발암원학회지 Vol.22 No.4

        In recent years, the safety of sunscreens have been challenged based on the reports of its adverse effects on users; dermatitis, allergic contact dermatitis, photoallergic contact dermatitis. In the toxicological aspect, the need to investigate the safety of sunscreens is steadily increasing. However, there were few studies on the correlation between sun protection factor (SPF) and the safety of sunscreens. The objective of this study was to assess whether there was a correlation between SPF and the skin irritation index of sunscreens. Octyl methoxycinnamate (OMC) was selected, which was the most frequently used (about 92% in korea and about 90% in the world) in sunscreens. In vitro SPF test was performed using the standard samples recommended by KFDA guideline. We examined primary and cumulative skin irritation and eye irritation of OMC standard sample as well as homosalate. As in vitro SPF was increased, skin irritation index was increased in primary skin irritation test (r²=0.986) and cumulative skin irritation test (r²=0.939). In addition, OMC was non-irritating and non-sensitizing.<br/> In this results, there was a good correlation between SPF index and skin irritation index.

      • 서구의 " 포스트모던 가족 " 연구에 대한 고찰

        서수경(Soo Kyung Seo) 한국가족관계학회 2002 한국가족관계학회지 Vol.7 No.1

        Generally known socio-demographic statistic show that marriage and family are traditional institutions which are continuously loosing importance and are increasingly getting weaker. Some scientists explain this phenomenon with the concept of post-modern time. They use this concept as a "model to explain" the diagnosis of our time. I will try to analyse some studies about the family and the post-modern time which are published in the German-speaking area. And I will try to find out, above all in Western countries, how much the concepts "Plurality", "Individuality", "Deinstitutionalisation", "Relation" and "Post-modern" are linked to each other. `Postmodern Family` is an interesting topic for the understanding of recent changes in the family, providing much stimulus for the family research area. I hope that this study about the Western concept of `Postmodern Family` may contribute to the understanding of the going and coming changes in the Korean family.

      • KCI등재

        시험관내 용출 및 장관막 투과도와 생체이용률과의 상관성

        서수경(Soo Kyung Suh),손수정(Soo Jung Sohn),박인숙(In Sook Park),최기환(Ki Hwan Choi),김순선(Soon Sun Kim),유태무(Tae Moo Yoo),조혜영(Hea Young Cho),이용복(Yong Bok Lee),김동섭(Dong Sup Kim),양지선(Ji Sun Yang) 대한약학회 2000 약학회지 Vol.44 No.5

        A biopharmaceutics drug classification system for correlation between in vitro dissolution and in vivo bioavailability is proposed based on recognizing that drug dissolution and gastrointestinal permeability are the fundamental parameters controlling the rate and extent of drug absorption. The objective of this study was to assess whether in vitro dissolution profiles of immediate-release beta-blocker tablets can be correlated with intestinal membrane permeability and/or in vivo bioavailability. In vitro dissolution of the beta-blocker tablets was examined using KP VII Apparatus II methods at various pH. Intestinal membrane permeability was determined in vitro using the diffusion chamber method. Bioavailablity parameters were cited from literatures. The dissolution profiles did not accurately represent the in vivo bioavailablity. However, there were good correlations between intestinal membrane permeability and log P (n-octano/buffer). The correlations obtained in this study indicated that in vitro diffusion chamber method could be used to predict intestinal absorption in vivo.

      • 의료보호 정신분열병 환자의 의료이용 양상

        서수경(Soo-Kyung Suh),신영전(Young-Jeon Shin),남정현(Jung-Hyun Nam),임민경(Min-Kyoung Lim) 대한사회정신의학회 2001 사회정신의학 Vol.6 No.1

        연구목적: 1992년부터 1998년까지 7년간 우리나라 의료보호 정신분열병 환자수, 치료유병률 및 구성변화와 의료이용 양상의 변화를 파악함으로써, 정신질환과 관련한 의료보호 정책수립과 시행에 필요한 기초적인 자료를 제공하고자 한다. 방 법: 1992년 1월 1일부터 1998년 12월 31일까지 의료보호관리공단의 의료보호 청구자료와 의료보호통계연감을 가지고 의료보호 청구명세서에서 주상병이 정신분열병인 의료보호 대상자를 대상으로 하여, 환자의 특성과 이용양상을 살펴보았다. 결 과: 1) 의료보호 대상자 중 정신분열병 환자수는 1992년 24,373명이었으나 1998년에는 32,285명이었다. 치료유병률도 1992년 대상자 100명당 1.12명에서 1998년에는 2.44명이었다. 치료유병률은 여성에 비해 남성이 높았다. 연령군별로는 모든 연도에 걸쳐 30-39세군의 치료유병률이 가장 높았다. 유형별 치료유병률은 시설수용자가 가장 높았다. 2) 의료보호 정신분열병 환자는 남성이 여성보다 높은 비율을 차지하였으며 연령별로는 입원, 외래모두에서 젊은 군의 비율이 증가하고 있었다. 유형별로는 입원군에서는 거택보호환자의 비율이, 외래군에서는 시설수용자군의 비율이 높았으나 점차 거택보호대상자군의 비율이 높아지고 있었다. 3) 의료보호 정신분열병 환자의 이용률, 1인당 내원일수, 진료일수 및 1인당 진료비는 입원서비스의 경우, 1996년과 1997년에 모두 급격히 증가하는 양상이었고, 외래서비스는 1995년부터 급격히 감소하는 경향을 보였다. 성별로는 입원서비스에서 여성이 차지하는 비율이 높았지만 외래서비스에서는 남녀간 차이가 분명하지 않았다. 연령별로는 입원서비스에서 50대군, 외래서비스에서는 3·40대군이 가장 높았다. 유형별로는 입원서비스에서 거택보호대상자, 외래서비스에서는 시설수용자가 차지하는 비율이 높았다. 결 론: 의료보호 대상자 군내에서 정신분열병 환자의 비율과 진료비가 지속적으로 증가하고 있는 것으로 나타나 의료보호 정책상의 정신분열병 환자에 대한 효과적인 관리의 중요성이 더욱 커지고 있다. 1995년부터의 입원서비스 이용의 급증과 외래서비스 이용의 감소가 관찰되었는데 이는 병상수의 증가, 의료보호 기간의 연장 등과 같은 정책요인이 작용하였을 것으로 추측된다. Objective:To understand the trend in the numbers of schizophrenic patients, treatment prevalence, composition and health care utilization of schizophrenic patients under the Medical Aid Program(Sch-MA) from 1992 to 1998, and to provide basic information necessary to establish and conduct the Medical Aid Program. Method:The analysis is based on claims data of the Medical Aid Program from 1992 to 1998. Results:1) The number of schizophrenic patients among of beneficiaries of the Medical Aid Program are 24,373 in 1992, and has gradually increased to 32,258 in 1998. The treatment prevalence is 1.12 per 100 persons in 1992, and has gradually increased to 2.44 per 100 persons. Sex and age differences are both present. Treatment of men through Sch- MA is more prevalent than that of women, and the prevalence of treatment of patients in the age bracket 30-39 is the highest. 2) Sch-MA is composed of more male than female patients, and this trend is more prominent in patients that used admission services. Among patients that used outpatient services, younger groups have increased in size gradually. Among patients that used admission services, patients in type-1 households form the largest group, and among the patients that used outpatient services, institutional residents form the largest group. However, the number of Sch-MA (type-1) patients has increased from year to year. 3) Service utilization rates, visit days per person, prescribing days per persons, and the medical costs per person in utilization of admission services have increased since 1995, and was highest in 1996 and 1997. In contrast, the utilization of outpatient services, service utilization rates, visit days per person, prescribing days per person, and medical costs per person have decreased since 1995. Utilization of admission services is highest among 50-59 years-olds, and utilization of outpatient services is highest among 30-39 years-olds, with 40-49 years-olds utilization being higher than that of 50-59 years-olds. Utilization of admission services is highest among those utilizing type-1 household, and utilization of outpatient services is highest among the institutional residents. Conclusion:The proportion of schizophrenic patients among the Medical aid clients and the cost of service utilization is increasing continually. Therefore the importance of effective policy and management for Sch-MA is also increasing. Especially, the rapid increase in the utilization of admission services and the rapid decrease in the utilization of outpatient services since 1995 which has been observed, may be due to policy factors such as the increase in the number of beds and the prolongation of the duration of service utilization.

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