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      • 일부 성인남성에 있어서 비만지표에 관한 연구

        오창현,김공호,오경재 의과학연구소 1997 全北醫大論文集 Vol.21 No.1

        In order to evaluate the validity on obesity indieces and to find the relationship between the central obesity and some cardiovascular disease risk factors(serum cholesterol levels and blood pressure), 204 male teachers were randomly selected from five schools in Chonju, Chonbuk, and their serum cholesterol levels and some anthropometric variables(height, weight, BMI, katsura index, skinfold thickness, etx) were determined. In non-smokers, serum cholesterol levels were significantly lower than those of past-smokers and smokers, but there were no significant difference in systolic and diastolic blood pressure according to smoking status. There were significant difference in obesity indices according to self-consiousness of obesity. Serum cholesterol was positively correlated with WHR, katsura index, and BMI. Systolic blood pressure was positively correlated with WHR, katsura index, weight, BMI, and SST/TST. Diastolic blood pressure was positively correlated with WHR, katsura index, and weight. To adjust the age and behavioral foactos, we calculated partial correlation coefficient. Serum cholesterol was positively correlated with WHR and katsura index. Systolic blood pressure was positively correlated with katsura index, weight, and SST/TST. Diastolic blood pressure was positively correlated with katsura index. 중심형비만 지표와 혈중 콜레스테롤 및 혈압과의 관련성 정도를 비교 검토하고자 전주시내 5개 중고등학교를 임의추출하여 이들 학교에서 근무하고 있는 남자교사 203명을 연구 대상으로 본 연구를 시행한 결과 다음과 같다. 1. 음주군이 비음주군에 비하여 혈중 콜레스테롤, 수축기 및 이완기 혈압 등이 증가하는 양상을 보이고 있으나 두군간에 현저한 차이는 없었으며, 커피 역시 음주와 비슷한 양상을 보이고 있다. 흡연여부에 따른 혈중 콜레스테롤, 수축기 및 이완기 혈압을 비교한 결과 혈중 콜레스테롤은 흡연군이 과거흡연군 및 비흡연군에 비해 현저하게 높았으며 (p < 0.01), 수축기 및 이완기 혈압은 흡연군이 과거흡연군과 비흡연군에 비해서 높았으나 현저한 차이를 보이지는 않았다(p > 0.05). 2. 본인의 비만에 대한 인지도에 따른 비만지수의 차이를 비교한 결과 본인이 비만하다고 인지한 군이 다른 군에 비하여 체중, katsura 지수, BMI, WHR 등이 현저하게 높았으며(p <0.01), 비만인지도와 비만지수와의 상관관계는 katsura 지수(r_s = 0.08051, p < 0.01), BMI(r_s = 0.7963, p < 0.01), 체중(r_s = 0.6707, p < 0.01), WHR (r_s = 0.5278, p < 0.01)와 관련성이 있었다. 3. 혈중 콜레스테롤과 비만지수와의 상관관계는 WHR(r = 0.2853, p < 0.01), katsura 지수 (r = 0.1762, p < 0.05), BMI(r = 0.1657, p < 0.05)와 관련성이 있었으며, 수축기혈압은 katsura 지수(r = 0.2179, p < 0.01), 체중(r = 0.1928, p < 0.01), WHR(r = 0.1900, p < 0.01), BMI(r = 0.1771, p < 0.05), WHR(r = 0.1527, p < 0.05), 체중(r = 0.1438, p < 0.05)과 관련성이 있었다. 4. 연령 및 생활습관에 의한 효과를 보정한 혈중 콜레스테롤은 WHR(r = 0.1630, p < 0.05), katsura 지수(r = 0.2100, p < 0.05)와, 수축기 혈압은 체중(r = 0.1983, p < 0.01), katsura 지수(r = 0.1759, p < 0.05), SST/TST(r = 0.1483, p < 0.05)와, 이완기 혈압은 kat-sura 지수(r = 0.1453, p < 0.05)와 관련성이 있었다.

      • KCI등재후보

        19세 남자 청소년에서의 특발성 척추 측만증의 유병률

        오창현,장윤종,이재환,윤승환,박형천,박종운 대한척추신경외과학회 2010 Neurospine Vol.7 No.3

        Objective: To evaluate the prevalence and the epidemiological findings of scoliosis in 19-year-old Korean males. Methods: We applied chest radiographs for scoliosis screening from the examinations for conscription at Regional Military Manpower Administration in Seoul, Korea, from April 2009 to December 2009. A total 28,779 males, aged 19 years, were screened for scoliosis. Additional thoraco-lumbar radiographs were obtained for every examinee identified with scoliosis of more than 20 degrees using Cobb’s angle. Results: The prevalence of scoliosis of more than 10 degrees of Cobb’s angle was 5.3%(1532 of 28,779 males). The most common category for these 19-year-old males was scoliosis of 10 to 19 degrees. The most common pattern of scoliosis was thoracic(57.6%), followed by thoracolumbar(32.1%), lumbar(7.0%), and double major curves(3.3%) scoliosis. Conclusions: Among 28,779 19-year-old Korean males, the prevalence of scoliosis of more than 10 degrees Cobb angle was 5.3%, and thoracic scoliosis was the most common.

      • KCI등재

        Cervical Arthroplasty for Moderate to Severe Disc Degeneration: Clinical and Radiological Assessments after a Minimum Follow-Up of 18 Months -Pfirrmann Grade and Cervical Arthroplasty-

        오창현,윤승환,김도연,지규열,김여주,동근,김은영,박현선,박형천 연세대학교의과대학 2014 Yonsei medical journal Vol.55 No.4

        Purpose: Clinical outcomes and radiologic results after cervical arthroplasty have been reported in many articles, yet relatively few studies after cervical arthroplasty have been conducted in severe degenerative cervical disc disease. Materials and Methods: Sixty patients who underwent cervical arthroplasty (Mobi-C®) between April 2006 and November 2011 with a minimum follow-up of 18 months were enrolled in this study. Patients were divided into two groups according to Pfirrmannclassification on preoperative cervical MR images: group A (Pfirrmann disc grade III, n=38) and group B (Pfirrmann disc grades IV or V, n=22). Visual analoguescale (VAS) scores of neck and arm pain, modified Oswestry Disability Index(mODI) score, and radiological results including cervical range of motion (ROM) were assessed before and after surgery. Results: VAS and mean mODI scores decreased after surgery from 5.1 and 57.6 to 2.7 and 31.5 in group A and from 6.1 and 59.9 to 3.7 and 38.4 in group B, respectively. In both groups, VAS and mODI scores significantly improved postoperatively (p<0.001), although no significant intergroup differences were found. Also, cervical dynamic ROM was preserved or gradually improved up to 18 months after cervical arthroplasty in both groups. Global, segmental and adjacent ROM was similar for both groups during follow-up. No cases of device subsidence or extrusion were recorded. Conclusion:Clinical and radiological results following cervical arthroplasty in patients with severe degenerative cervical disc disease were no different from those in patientswith mild degenerative cervical disc disease after 18 months of follow-up.

      • KCI등재

        조선 중기 선물 관행에 관한 경제인류학적 시론: 의례적 선물과 사회의 재생산

        오창현 역사문화학회 2022 지방사와 지방문화 Vol.25 No.2

        This article is a basic study to interpret the public culture from fragmentary gift records found in diaries of the mid­Joseon period. Through examining the theoretical achievements on gift researches in the anthropological field, this study points out that the characteristics of gift that Marcel Moss called “total presentation” were overlooked in the former researches on gifts during the Joseon Dynasty. This study shows that ritualistic gifts appear among the various gift practices in fragmentary records of the diary, and that such gifts from a local official implies a public relationship between the state and the family. Furthermore, this suggests that it is necessary to analyze the way the individual and social identities works by clarifying 'public' or ceremonial gifts related to the reproduction of society in the diaries. 이 글은 조선 중기 일기에 산견되는 단편적인 선물 기록으로부터 당대 문화를 해석해내기 위한 기초 연구이다. 인류학계가 거둔 선물 연구의 이론적 성과를 검토한 뒤, 기존의 조선시대 선물 연구에서 마르셀 모스가 “전체적 급부”라고 칭했던 증여의 특성을 간과했음을 지적한다. 나아가 일기에 단편적으로 등장하는 다종다양한 선물 관행 중 의례적인 선물 관행이 나타나며, 지방관을 매개로 한 국가의 의례적 선물은 국가와 사족 간의 공적인 관계를 함의함을 보여준다. 이처럼 일기 속에서 사회의 재생산과 관련한 공적인 혹은 의례적 선물을 선별해 개인과 사회 정체성의 작동 방식을 분석할 필요가 있음을 제안한다.

      • KCI등재

        Synthesis and Antiviral Evaluation of 1'-Branched-5'-Norcarbocyclic Adenosine Phosphonic Acid Analogues

        오창현,유경호,홍준희 대한화학회 2010 Bulletin of the Korean Chemical Society Vol.31 No.9

        Novel 1'-methyl-5'-norcarbocyclic adenosine phosphonic acid analogues were synthesized using an acyclic stereoselective route from commercially available 3,3-diethoxy-propan-1-ol 4. The synthesized nucleoside phosphonate 19and phosphonic acid 21 were subjected to antiviral screening against various viruses.

      • KCI등재

        Paralytic Ileus and Prophylactic Gastrointestinal Motility Medication after Spinal Operation

        오창현,윤승환,지규열,동근,박형천,김여주 연세대학교의과대학 2015 Yonsei medical journal Vol.56 No.6

        Purpose: To investigate the prevalence of paralytic ileus after spinal operation in the supine or prone operative position and to determine the efficacy of prophylactic gastrointestinal motility medications in preventing symptomatic paralytic ileus after a spinaloperation. Materials and Methods: All patients received spinal surgery in the supine or prone operative position. The study period was dividedinto two phases: first, to analyze the prevalence of radiographic and symptomatic paralytic ileus after a spinal operation, and second, to determine the therapeutic effects of prophylactic gastrointestinal motility medications (postoperative intravenous injectionof scopolamine butylbromide and metoclopramide hydrochloride) on symptomatic paralytic ileus after a spinal operation. Results: Basic demographic data were not different. In the first phase of this study, 27 patients (32.9%) with radiographic paralytic ileus and 11 patients (13.4%) with symptomatic paralytic ileus were observed. Radiographic paralytic ileus was more often noted in patients who underwent an operation in the prone position (p=0.044); whereas the occurrence of symptomatic paralytic ileus was not different between the supine and prone positioned patients (p=0.385). In the second phase, prophylactic medications were shown to be ineffective in preventing symptomatic paralytic ileus after spinal surgery [symptomatic paralytic ileus was observedin 11.1% (4/36) with prophylactic medication and 16.7% (5/30) with a placebo, p=0.513]. Conclusion: Spinal surgery in the prone position was shown to increase the likelihood of radiographic paralytic ileus occurrence, but not symptomatic paralytic ileus. Unfortunately, the prophylactic medications to prevent symptomatic paralytic ileus after spine surgery were shown to be ineffective.

      • KCI등재
      • KCI등재

        미국의 사회 통합 방식 변화와공공 박물관의 역할 변화-스미소니언 박물관과 민속 축제를 중심으로-

        오창현 역사문화학회 2017 지방사와 지방문화 Vol.20 No.2

        이 논문의 목적은 1970년대 이후 미국 공공 박물관의 역할이 변화하는 사회 문화적 배경을 검토하고, 이러한 박물관 역할 변화를 보여주는 대표적인 사례가 스미소니언 민속 축제였음을 보여주는 것이다. 이를 위해 이 논문은 먼저, 미국 사회의 변동과 그에 따른 사회 통합 방식의 변화를 간략히 검토한다. 신생국가이자 다양한 민족 출신의 이민자들이 세운 국가인 미국은 20세기에 다다라 비로소 영토 확장이 완료되었다. 곧이어 유럽의 민족주의와 제1, 2차 세계대전 참전은 미국이 국가 정체성을 고민하고 미국식 문화 민족주의의 필요성을 경험하는 계기가 되었다. 미국 사회는 문화적 다양성을 미국식 민족주의의 가치로 놓는 과정에서 공민권 운동을 비롯한 주변부로부터 다양한 사회적 요구에 맞닥뜨리게 되었다. 1960년대 후반 이후 스미소니언 박물관(Smithsonian Institution) 정책 변화와 스미소니언 민속 축제(Smithonian Folklife Festival)의 기획은 이러한 당대 미국의 사회적 요구를 진지하게 탐색하는 과정에서 나타난 것이었다. The aim of this paper is to explore changes in cultural integration patterns of the United States in accordance with its social challenges. Within this context, this paper examines how roles of public museums in the US have changed focusing on the Smithsonian museums and its folk festivals. The United States of America, a new country and a nation of immigrants, almost completed its territorial expansion in the end of 19th century. Rising nationalism in Europe and the outbreak of World WarⅠ, Ⅱ greatly impacted how Americans viewed their own country and furthermore lead to a further growth of American cultural nationalism. Since the 1960s, while aiming at American cultural nationalism, American society faced complex challenges such as Civil Rights Movement(1954~68) etc.. The changing role of the Smithsonian and its folk festivals in late 1960s should thus be understood as the result coping with those issues. This paper approaches shifting role of museums in the US in terms of social integration patterns‘ changes caused by the expansion of American society.

      • KCI등재

        천공지기저피판을 이용한 다양한 하지 재건

        오창현,심정수,박대환 대한성형외과학회 2009 Archives of Plastic Surgery Vol.36 No.6

        Purpose: Fasciocutaneous flap with random pattern flap has limitation in mobility and length - width ratio. This characteristic is more pronounced in lower extremity which has relatively poor vascularity. Perforator based flap in lower extremity reconstruction has various advantages as a axial flap, allowing abundant blood supply and widening of mobility range. So if it is not a case of wide defect, free flap can be replaced by perforator based flap. Methods: From April 2007 to March 2009, 18 cases of perforator flap were performed. 8 had defect in upper 1/3 of calf, 6 in middle 1/3, and 4 in lower 1/3. In 10 cases island flap were used, 3 case had transposition flap, 2 cases used advancement flap, 2 case had propeller flap and 1 case had rotation flap. Results: 17 cases survived without flap necrosis. Partial flap necrosis occurred in 1 case, so secondary split thickness skin graft was done. Chronic wound with pseudomonas infection occurred in 1 case, but it was completely cured with conservative treatment. Conclusion: Perforator based flap is useful in lower extremity reconstruction because of relative freedom in changing the size and thickness of the flap depending on the recipient site, good mobility, and abundant vascularity. And donor site morbidity can be minimized. Lower extremity reconstruction using perforator based flap is a good method because it can minimize the complication and obtain effective result.

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