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      • SCOPUSKCI등재

        유료노인전문요양원 입주의사 결정요인에 관한 연구

        유영순,조은희,유병철,정귀원,엄상화,김성준,전진호,Yoo, Young-Soon,Cho, Eun-Hi,Yu, Byung-Chul,Jeong, Ki-Won,Urm, Sang-Hwa,Kim, Sung-Jun,Chun, Jin-Ho 대한예방의학회 2001 예방의학회지 Vol.34 No.1

        Objectives : To gather information about the factors which influence the interest and intention of admission into charging nursing hones for the elderly(CNH), as these homes represent an important method for resolving the problems related to the rapid population aging occurring in Korea. Methods : A face-to-face interview survey was carried out with 320(men 159, women 165) patients over 60 years old who were admitted at 2 university hospitals and 5 general hospitals in the Busan area between December 1998 and March 1999. Data were analyzed through t-test, ANOVA, correlation and multiple regression analysis. Results : The mean age and years of education of the study population was 67.0 and 7.7 years, and the types of chronic degenerative disease included musculoskeletal disorders(20.1%), cerebrovascular disease(17.1%), and diabetes(14.3%). The major forms of household living arrangement prior to admission were elderly alone(22.6%), and elderly couple(33.5%), while about half of them(55.5%) didn't want to live with their children id the future. Almost half were paying medication fees by themselves(46.6%). The level of actual intention of admission$(3.07{\pm}1.39)$ into a CNH was lower than that of interest$(3.22{\pm}1.33)$(p<0.01). Multiple analysis revealed that the intention of admission increased with decreasing number of future supportive persons$(\beta=-0.107)$, lower level of activity in daily life$(\beta=-0.447)$, and longer years of education$(\beta=-0.447)$ with 32.7% of $R^2$. As for the factors which determined the admission into a CNH, the fee and facilities were considered to be most important, and professional nursing and physician's care were the most desired services. In nomenclature, they preferred 'elderly hospital' or 'elderly health center' to CNH. Conclusions : Interest in CNH is increasing recently, but existing studies about patient experiences in CHN are still limited. This study may form a basis for future examinations of the needs and uses for CNH. Active financial support and public information are considered by the authors to be important factors for the induction of welfare services for the elderly, though CNH.

      • SCOPUSKCI등재

        악성위질환의 (惡性胃疾患) 감별에 있어서 위액 (胃液) CEA 치 측정의 진단적 (診斷的) 의의

        송인성 ( In Sung Song ),김정용 ( Chung Yong Kim ),유병철 ( Byung Chun Yoo ) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.1

        Recently, carcinoembryonic antigen (CEA) assays of body fluids directly bathing tumor tissues were performed to increase the sensitivity and specificity of this tumor marker. The present study analyzed carcinoembryonic antigen levels of serum and gastric juice in gl patients with benign or malignant gastric diseases,,'who were dignosed by gastroscopy and histologic examination, and the results were as followings. In the gastric carcinoma group, gastric juice CEA was elevated in 95% of patients, whereas serum CEA was elevated only in 56%. Gastric juice CEA levels in patients with gastric cancer(median level with 892 ng/ml) were significantly higher than in other patient groups with gastritis(median; 22 ng/ml) or gastric ulcer (median; 14. 2 ng/ml), and gastric juice CEA was never elevated in patients with no gastric pathology. 2. In the gastric carcinoma group, gastric juice CEA levels in patients with well differe- ntiated adenocarcinoma were higher than those with poorly differentiated adenocarcinoma. In patients with benign disorders, elevated levels of gastric juice CEA were highly well correlated with presense of intestinal metaplasia. 3 Gastric juice CEA levels were elevated in cancer patients regardless of the extent of disease, whereas elevation of serum CEA levels were directly proportional to the degree of extent of the disease. 4, Serum CEA values returned to normal, 3 to 5 days after curative resection in patients with gastric cancer, but those of gastric juice were persistantly elevated or increased in these selected intervals of observation period. We concluded from these results that CEA assay of gastric juice is valuable as a diagno- stic adjunct to distinguish between benign and malignant conditions, and may be useful in screening populations for detection of gastric cancer.

      • SR-B1의 유전적 변이와 대사증후군간의 관련성

        박춘호,유병철,이용환 KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1

        Background and Objectives: Several lifestyle habits may predispose to the metabolic syndrome. Among them there is evidence that quality and quantity of fatty acids could play a key role in the development of metabolic syndrome. There is also evidence for the involvement of genetic factors in the etiology of this condition. The association between polymorphism in the scavenger receptor class B type Ⅰ(SR-BI) gene and variations in basal plasma concentrations of cholesterol in humans recently has been described. The objective of this study was to determine whether the exon 1 variant (G→A) at the locus of SR-BI gene is associated with metabolic syndrome. Methods: A total of 364 health screen examinees were enrolled in this study who were examined in Kosin University Gospel Hospital from December 2004 to July 2005. The height, weight, waist circumference, and systolic and diastolic blood pressure of the subjects were examined and fasting blood glucose, total cholesterol, HDL cholesterol, LDL cholesterol, and triglyceride were measured by sampling in venous blood. The metabolic syndrome was defined as the presence of three or more of the following: waist circumference in men ≥90 cm, in women ≥80 cm, blood pressure ≥130/85 mmHg, fasting glucose ≥110 mg/dL, HDL cholesterol in men <40 mg/dL, in women <50 mg/dL, and triglyceride ≥150 mg/dL. The blood pressure, fasting glucose, HDL cholesterol, triglyceride were evaluated by using the criteria of NECP ATP Ⅲ and waist circumference was assessed by using the criteria of WHO Asia-Western Pacific. Allelic discrimination of the SR-BI exon 1 was performed by PCR-RFLP method. Results: The frequences of AG of the SR-BI exon 1 polymorphism were 29.0% for the metabolic syndrome, 16.7% for the control, and 25% in total subjects. There were no significant differences in the comparisons of components of metabolic syndrome according to polymorphism at the SR-BI exon 1 locus. Conclusion: It is necessary to study about the relationship between polymorphism exon 1 variant at the locus of SR-BI gene and metabolic syndrome.

      • KCI등재후보

        분진의 작업환경농도와 개인폭로농도 비교연구

        김성천,이채언,전진호,김찬호,유병철,최성용,손혜숙 大韓産業醫學會 1993 대한직업환경의학회지 Vol.5 No.2

        The goal this study is to provide the basic data for health management of workers who are working in the dust emissing process and for improving the quality of working environment of manufacturing industries. The author selected 32 dust emissing processes(8 as the first class of dust. 22 as the second class of dust, 2 as the third class of dust) from 10 types of industries which placed in an Industrial Complex of Kyungsangnam-Do, Korea. The level of total dust was measured as atmospheric concentration and personal exposure concentration by low volume air sampler and personal air sampler respectively. This study was performed from March 1 to December 31, 1991. The permissible value of dust used in this study was that of Korean Ministry of Labour-2mg/㎥ in the first class of dust, 5mg/㎥ in the second class of dust, 10mg/㎥ in the third class of dust. The results of this study were as follows; 1. Geometric mean of atmospheric concentration exceeded the permissible value at the 5(15.6%) of the 32 processes-desanding(3.75mg/㎥) in gray iron foundries industry, pulverization (2.35mg/㎥) and ball mill (2.04mg/㎥) in manufacture of sanitary ceramic wares industry, ingot molding(2.15mg/㎥) in manufacture of basic steel industry as the first class of dust. and gausing(5.36mg/㎥) in forging of metal industry as the second class of dust. 2. Geometric mean of personal exposure concentration exceeded the permissible value at the 11(34.4%) of the 32 processes-molding (2.69mg/㎥) and desanding (2.99mg/㎥) in gray iron foundries intrustry, pulverization(2.55mg/㎥) and forming (2.25mg/㎥) in manufacture of sanitary ceramic wares industry, and ingot molding (2.44mg/㎥) in manufacture of basic steel industry as the first class of dust, grinding (5.10mg/㎥) and gausing (12.40mg/㎥) in forging of metal industry, parts-welding(7.94mg/㎥) in manufacture of parts for railway rolling stock industry, welding(7.63mg/㎥) in gray iron foundries industry, melting (7.01mg/㎥) in manufacture of basic steel industry, welding (5.69mg/㎥) in manufacture of metal cutting machinery industry as the second class of dust. 3. Regardless of within the permissible value as atmospheric concentration, there showed exceeding the permissible value as personal exposure concentration at the process of forming in manufacture of sanitary ceramic wares industry, melting in manufacture of basic steel industry, grinding in forging of metal industry, welding in manufacture of metal cutting machinery industry, molding and welding in gray iron foundries industry, parts-welding in manufacture of parts for railway rolling stock industry. 4. Personal expoure concentration (B) was higher than atmospheric concentration (A) in 28 (87.5%) of the 32 processes, and the ratio(B/A) of personal exposure concentration to atmospheric concentration was above 2.0 at the process of melting (2.37) in manufacture of basic steel industry, grinding (2.36) and gausing (2.31) in forging of metal industry, welding (2.52) in manufacture of metal cutting machinery industry, welding (2.11) in gray iron foundries industry, parts-welding (4.62) in manufacture of parts for railway rolling stock industry. In conclusion it is considered that the dust control program might be focused on the processes which have the relatively higher exposure concentration than atmospheric concentration, and lowering personal exposure level by exhausting ventilation system and personal protective equipment is very important for protecting the health of workers who are working in the processes.

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