• 제목/요약/키워드: S24-7

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한국의 초록서비스에 대하여 (Abstracting Services in Korea)

  • 최성진
    • 한국문헌정보학회지
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    • 제24권
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    • pp.9-51
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    • 1993
  • The purpose of this study is twofold: to investigate into general characteristics of the abstracting services in Korea and to discuss general directions of development of the abstracting services in the country. This study is designed to achieve the purpose by gathering and analysing data related to the abstracting journals published in the past ten years and by comparing the results with similar data gathered by the investigator in 1984. The major conclusions made in this study is summarised as follows. (1) Researchers and professionals working in limited numbers of subject fields are benefited by abstracting services of recent achievements in research and development in Korea. Those in most of the fields have essentially no abstracting services of such achievements. Even many researchers and professionals in the limited numbers of the fields that have some elementary abstracting services are not informed of research results in their fields because the abstracting journals are scattered in many narrow subjects and in many cases, the abstracting journals only cover publications in some specific forms and kinds. (2) Abstracting journals of general subjects, which are supposed to be of more or less help to the researchers in the subject fields that have no abstracting journals of their own, have rapidly increased in number in the past ten years. Most of such abstracting journals carry thesis and dissertation abstracts, and the rest those of research papers published in specific places, in specific forms, by specific institutes, and of reports of research projects sponsored by specific foundations. These abstracting journals are not of the kind that comprehensively provide general readers with current awareness of publications of research results in Korea. (3) Most of the abstracting journals existing in Korea are published by institutions of higher education and research institutes, and the rest by commercial publishers, industrial firms, libraries, information centers, government agencies, research foundations, learned societies, etc. Those which publish many titles are small in number and those publish one or two titles are large in number. The former is largely made up of institutions of higher education and research institutes. (4) Ten years ago, there was not a single publishing house that produced abstracting journals. Three commercial publishing houses now produce abstracting journals. As this change occurs, centers of excellence are founded and competitive elements are introduced in abstracting services. This change, in turn, is expected to improve quality of the other abstracting journals in Korea. (5) The abstracting journals published in Korea are classified by type into those of dissertations, research papers, journal articles, patent specifications in that descending order. The fact that Master's and doctoral dissertation abstracts are dominating in Korea is due to the irrational practice of publishing those abstracts at many institutions. (6) Most of the abstracting journals existing in Korea are published by national or government-supported research institutes in order to publicise their own research outputs. Their coverage of literature is normally narrow, and naturally their value to users is limited. (7) The abstracting journals published in Korea increased in number at the rate of $77.8-100\%$ every five years in the past twenty-five years. Most of the abstracting journals that ceased to be published during the period survived for two years. (8) Korean is the desirable language for the abstracting journals designed to be distributed within Korea. About half of the abstracting journals published in Korea is printed in Korean and the other half in foreign languages, and in Korean with foreign languages. All the abstracting journals in foreign languages are printed in English xcept one, which is printed in Japanese. (9) Some twenty percent of the abstracting journals in Korea is published monthly, bimonthly, and quarterly. Others are published annually, biannually, and irregularly. The latter may not function properly as a current-awareness tool due to long intervals between their issues. It is particularly undesirable that about half of the abstracting journals in Korea is published irregularly. Most of the abstracting journals published in Korea are distributed freely to individuals and institutions selected by the publishers. (10) The abstracting journals published by the use of computers increased drastically in the past ten years. The abstracting journals produced by the conventional type-setting method will probably disappear In Korea in another ten years to come. Automation of the production of abstracting journals does not simply mean technical, economic improvement of publishing processes but availability of machine-readable databases that can be used for other purposes, including the generation of other publications and the provision of machine literature searching capabilities. Necessary steps should be taken for this important development that is occurring in the abstracting services in Korea.

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동송근(Pinus densiflora root) 추출물의 기능성식품 활성 (Functional food activities of extracts from Pinus densiflora root)

  • 이은호;김나현;박미정;홍은진;박기태;안봉전;안동현;조영제
    • 한국식품저장유통학회지
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    • 제23권1호
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    • pp.110-116
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    • 2016
  • 소나무 뿌리로부터 phenolic compounds를 추출 후 생리활성을 검정하여 기능성 소재로 활용가능성을 살펴보았다. 동송근에 함유된 페놀성 물질은 물과 80% ethanol을 용매로하여 24시간 이상 추출하였을 때 각각 1.86 mg/g, 6.85mg/g 함량을 나타내었다. 추출물의 phenolic 농도를 $50{\sim}200{\mu}g/mL$로 조절하여 DPPH를 측정한 결과, 물 추출물과 ethanol 추출물 $100{\mu}g/mL$ phenolics 농도에서 각각 86%, 85%였고, ABTS radical decolorization은 물 추출물과 ethanol 추출물에서 각각 48%, 68%였다. Antioxidant protection factor는 $50{\mu}g/mL$ phenolics 농도에서 물 추출물과 ethanol 추출물에서 각각 1.74 PF와 1.96 PF로 측정되었으며, TBARs값은 $100{\mu}g/mL$ phenolics농도에서 물 추출물이 93%, ethanol 추출물에서 98%를 나타내었다. Xanthine oxidase 저해능은 물 추출물과 ethanol 추출물에서 각각 84%, 80%로 측정되었으며, ${\alpha}$-glucosidase 저해능은 ethanol 추출물에서만 92%의 높은 효능을 보였다. 이러한 결과로 보아 동송근 추출물이 항산화활성 또는 기능성 식품소재로서 활용이 가능할 것으로 판단되었다.

삼척지역 특산물인 곰치, 풍덕구이, 곰취, 곤드레의 향토식품 소재화를 위한 영양적 특성 연구 (Nutritional Properties, as Food Resources for Menu Development, of Cubed Snailfish, Shaggy Sea Raven, and Two Kinds of Wild Vegetables that are Staple Products in Samcheok)

  • 서정희;김종옥;김미현;이재철;양희완;이병용;김미영;윤선주;정혜련
    • 한국식품조리과학회지
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    • 제25권6호
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    • pp.690-702
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    • 2009
  • 본 연구에서는 강원도 삼척지역에서 생산되는 농 수특산물인 곰치, 풍덕구이, 곰취, 곤드레의 화학적 영양학적 조성을 평가하고 이를 메뉴에 적용함으로써, 이들 4종의 식품소재 및 이를 활용한 메뉴의 식품영양학적 가치를 평가하고자 하였다. 겨울철에 수집된 삼척산 곰치와 풍덕구이는 일반성분 조성에 있어 유기물에 해당하는 단백질과 지방의 함량이 다소 낮은 경향이 관찰되었고, 이는 계절적 인자, 즉 산란기와 연관되어 있을 것으로 해석하였다. 삼척산 건조 곤드레는 100 g 당 조단백질 24.2 g, 칼슘 1356.0 mg, 철 33.9 mg이 함유되어 있었고, 이는 전국 규모로 수집되어 평가된 식품성분표 상의 수치보다 각각 4.3배, 15배, 13배나 높은 함량이었다. 또한, 필수 미량원소 중 하나인 아연은 삼척산 곤드레에서 정선산보다 6.2배나 높은 함량인 26.2 mg/100 g이 함유되어 있었다. 건조 곤드레와 더불어 곰취 나물의 경우에도 칼슘의 함량이 높았는데, 이는 삼척 지역이 석회석 생산지라 토양 내 칼슘 함량이 다른 지역보다 높다는 사실과 관련되어 있을 것으로 해석하였다. 아미노산 조성 평가에 있어서는, 4종의 식품 소재 모두 풍미와 직접적으로 관련된 아미노산인 glutamic acid, aspartic acid, glycine, alanine이 전체 아미노산 중 높은 비율을 차지함으로써, 메뉴의 단맛과 감칠맛에 기여할 것으로 평가되었다. 또한, 곰치와 풍덕구이는 n-3 PUFA와 n-6 PUFA로 구성된 고도불포화지방산(PUFA)에 속하는 지방산들이 전체 지방산 중 각각 30.6%와 31.6%를 차지하였고, 특히 곰치는 n-3 PUFA의 함량이 n-6 PUFA보다 2배 이상 높게 함유되어 있어, 지방산 조성과 연관된 영양 지표인 n-6/n-3 비율을 기준으로 한 식품의 가치 평가에서는, 영양학적으로 우수한 식품이라 할 수 있다. 앞서 평가한 이들 식품소재의 영양학적 가치가 메뉴로 적용 가능한지를 탐색한 두 번째 단계의 연구에서는, 기존 상용 메뉴의 주재료를 삼척지역 농·수 특산물로 대체하여 음식을 제조한 후 영양학적 측면에서 이들 메뉴를 평가하였다. 그 결과, 칼슘과 아연의 함량이 높았던 삼척산 곤드레를 주재료로한 곤드레 해장국은 단백질, 칼슘, 철분, 아연의 함량이 1일 권장섭취량(RI) 대비 31.5%, 49.3%, 100.0%, 77.8%로 각각 평가됨으로써, 단백질과 무기질의 함량이 매우 높은 메뉴로 확인되어 한국인의 건강식으로 개발될만한 가치가 있다고 평가되었다. 또한, 곰치어죽, 풍덕구이 조림, 곰취 산채 찜만두 1인분은 낮은 열량 임에도 불구하고 단백질과 철분의 제공량이 1일 권장섭취량의 30%를 초과하는 것으로 나타나, 빈혈 발생이 높은 성장기 어린이와 가임기 여성, 임산부 등을 대상으로 하는 영양성이 강조된 차별화된 메뉴 개발의 가능성을 시사하였다.

참복과(복어목) 어류의 속별 척추골과 담기골 특징 (Generic Characters of Vertebrae and Pterygiophore of the Fishes of the Family Tetraodontidae (Teleostei: Tetraodontiformes))

  • 한경호;김용억
    • 한국수산과학회지
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    • 제31권5호
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    • pp.645-653
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    • 1998
  • 참복과 (Tetraodontidae) 어류의 형태와 골격 및 분류를 연구하기 위하여, 1991년 3월부터 1994년 3월까지 우리나라 20개 지점에서 10속 27종의 표본을 채집하여, 척추골 및 담기골의 형태에 대하여 조사하였다. 1. 참복과 어류의 척추골수는 밀복속(Lagocephalus), 은띠복속 (Pleurancanthus), 불룩복속 (Spheoides), 꺼끌복 속(Arothron), 첼로복속(Chelonoeon) 및 청복속(Canthigaster)이 17$\~$19개이며, 수지복속(Ephippion), 별복속 (Boesemanichthys) 및 대치복속(Feroxodon)의 어류는 20개이고, 반면에 참복속(Takifugu) 어류는 19$\~$25개였다. 2. 참복과 어류의 척추골수는 17$\~$25개로, 밀복속의 밀복 (L. lunaris과 은띠복속의 은띠복 (P. sceleatus), 청복속 등이 17개로 최소치를, 참복속의 황복 (T. obscurus)이 24$\~$25개로 복어과 가운데 최대치를 보였다. 3. 밀복속의 척추골수는 밀복이 17개, 민밀복 (L. inermis)이 18개, 흑밀복 (L. gloveri), 은밀복 (L. wheeleri) 및 은민밀복 (L. larigatus)이 19개로 다른 속 어류들 보다 적은 수의 척추골을 가지고 있는 점에서 더 분화되어 있다. 4. 척추골 가운데 복추골의 신경극이 참복속의 졸복(T. pardalis)과 황복이 제$1\~5$번째 척추골의 신경극까지 쌍으로 되어 있고, 나머지 다른 종과 속 어류들은 제1$\~$4 번째 척추골의 신경극이 쌍으로 되어 있다. 5. 밀복속과 은띠복속의 큰 특징은 등쪽과 배쪽 담기골에 뒷 돌기가 있으며, 상미축골 (epural)이 넓은 판 모양이고, 복추골의 혈관극에 돌기가 없는 점에서 다른 속과 쉽게 구별된다. 6. 은띠복속의 은띠복은 꼬리자루 부분이 날씬하고 측편되어 있어서, 미추골 뒷부분의 신경극과 혈관극이 다른 속 어류와 비교해 짧은 점에서 구별된다 7. 청복속은 등지느러미와 뒷지느러미를 지지하는 제1 담기골이 다른 속에 비하여 매우 비대하여 큰 편이다. 또한 복추골의 뒷부분에 혈관극과 혈관궁이 둥글고 판판하게 잘 발달되어 참복과의 다른 속과 큰 차이를 보였다.

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일 지역 성인의 흡연실태 (A Study on the Actual Condition of the Adult-smoking in a Region)

  • 정영숙
    • 한국보건간호학회지
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    • 제13권1호
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    • pp.97-113
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    • 1999
  • To investigate the actual condition of the adult-smoking in Chinan County. I used self-reporting questionnaires among 923 residents living in nine districts selected at random among the sites of eleven eup-myons from December 28. 1998 to January 6. 1999. collected data and analyized using SPSS. The smoking rate of adults in Chinan County was $36.9\%$. There was a significant difference in smoking rate according to the age. gender, education and job among general characteristics. The smoking rate in group of above 40s was about $40\%$ and that of the male took $55.5\%$ which was higher than that of female and the smoking rate of the people having high-school education was the highest$(46.2\%)$. With regard to the career. the smoking rate of the farmers ranked first$(46.1\%)$. Therefore anti-smoking business for smokers should be focused on above 40 years old, males. people having high school education and farmers. As the result of the survey of smoking habits of 340 people who smoke currently, the average smoking begining age was 21.8 and $81.5\%$ among them was between 16-25 years old. $4.4\%$ was under 15. during around the elementary school. Most motives to smoke were as followed; curiosity or taste$(33.6\%)$, relief of stress $(31.2\%)$, peer presure$(26.5\%)$ And considering the amount of the cigarette which is smoked per day, the case which is less than a pack of cigarettes was highest as $75.5\%$ and the people who smoke over one pack of cigarettes took $24.5\%$. As for the kind of tobacco which is smoked, how to smoke and the desire for the smoking, most case was toxin was moderate$(47.8\%)$ or mild$(46.9\%)$. shallowly$(49.0\%)$ or deeply$(46.3\%)$ and under stress$(33.4\%)$. after meals$(27.8\%)$, during drink$(15.7\%)$ and so on. The highest point marked among the factors of smoking motives was 'the reduce of negative emotion' $(3.27\pm1.00)$. followed by 'uncomfortable habits' $(2.87\pm1.02)$, 'addiction' $(2.84\pm1.06)$. 'habit' $(2.74\pm1.12)$. 'pleasure' $(2.70\pm1.04)$. 'stimulus' $(2.59\pm.90)$, 'sensation-exercise satisfaction' $(2.42\pm.97)$. Smokers smoke to reduce the negative emotions when angry in most common case. depressed. anxious. uncomfortable. lone. ashamed or embarrased. and intend to solve the certain problem. etc. Other motives are uncomfortable habit. addiction. habit. pleasure and the pursuit of stimulus. The level of nicotine dependence of adults m Chinan County was 10.57 which amount to 'high' wholly. As the resulf of the level of nicotine dependence score. the people who are low in the level of nicotine was $33.5\%$. the people who are high was $48.2\%$. very high was $18.4\%$. The approach for anti-smoking for smokers should be conducted differently according to the level of the nicotine. For the people who are in low level of nicotin dependence the prohibition of the smoking should be guided through the approach to foster strong will. for those who are in 'high' by acquiring proper method for the prohibition of smoking. and for those who are 'very high' the anti-smoking should be induced by providing proper program because of the possibility of the suffer from abstinence syndrome. The difference of the level of nicotine with the general characteristics of the objects had not statistically significant difference. The difference of the level of nicotine dependence accompanied by smoking habit had statistically significant difference according to the amount of smoke, the kind of tobacos. smoke inhale habit. In other words, the group of heavy smokers had higher level of the nicotine dependence than that of the light smokers relatively and the group which smoke strong taboaco has higher level of nicotine than that of which smoke mild or moderate. And the group of smokers who smoke deeply has higher level of nicotine than that who smoke shallowly or nonswallow. Aa a result of the analysis of the correlation between smoking motive factors and the level of nicotine, there was the indication that people who smoke for the decrease of the negative emotion. habit, pleasure. stimulus. sensation-exercise satisfaction had high level of the nicotine dependence. As the result of the anti-smoking will of smokers. $65.0\%$ of them had prohibition of smoking will. $29.3\%$ had no will to quit smoke. The most important reason for anti-smoking was health. $67.9\%$ had experience to try to quit smoke and the biggest reason to fail to quit smoking was the lack of the will power to keep anti-smoking. $52.8\%$ of them were advised to stop smoking from their spouses or children. only $2.8\%$ were by medical. The people who have the opinion to need anti-smoking education were $69.6\%$. Therefore when the business for the hygine of the mouth for adult is set. it should be centered on the people who have intention of prohibition of the smoking and help to quit smoking by way of other affirmative counter-program not smoking under stress.

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갱년기 증상과 생활스트레스의 관계에 관한 연구 (An Analytical Study of the Relationship between Climacteric Symptoms and the Stress of Life Events)

  • 임은옥
    • 한국보건간호학회지
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    • 제8권2호
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    • pp.1-34
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    • 1994
  • This study has been done in order to analyze the relationship between climacteric symptoms and the stress of life events. For the purpose of this study. objectives set up were as followings. : 1. Climacteric symptoms complained by middle aged women are studied. 2. The stress of life events experienced by middle aged women is studied. 3. The relationship between climacteric symptoms and the stress of life events is studied. 4. The relationship between climacteric symptoms and general characteristics is studied. and the relationship between the stress of life events and general characteristics is also studied. The sample size of this study was 462 cases. The subjects were middle-aged women. who were from 40 to 60 years old and resided in Seoul. Data were collected by using questionnaires which consisted of 122 questions from Jan. 1 to Feb. 7 in 1992. The questionnaires include questions about general characteristics. climacteric symptoms and life events. The measurement scales for this study were adopted from the climacteric symptoms scale developed by Chi. Sung-Ai and the measurement scale of stress related to life events devised by Lee. Pyoung Sook. The analysis of data collected was done by using SPSS-pc package. Firstly. general characteristics were analyzed by using descriptive statistical methods. Secondly. climacteric symptoms were analyzed by using descriptive statistical methods. the analysis of variance and correlation analysis. Thirdly. the stress of life events was studied by using descriptive statistical methods. the analysis of variance. and tests of independence. The results of this study are as followings. 1. General characteristics of the respondents are as followings: The average age is 49. 13. and the age group from 46 to 50 has $30.5\%$ in the respondents. Christianity is the major religion $(42.6\%)$. and the respondents with a high school diploma are $(43.1\%)$ of the respondents. $60\%$ of all respondents are housewives. and $90.5\%$ are married. The average number of children is 2.71. and the average number of family is 4.24 Monthly income of $39.1\%$ of the respondents is from l,010,000 Won to 2,000,000 Won. The premenopausal group is $4.9\%$. and $45.5\%$ of all respondents are satisfied with marrital life. $43.3\%$ of all feel happy. and $13.9\%$ feel economic frustration. $27.9\%$ of respondents are satisfied with sexual life. and $45\%$ of all report that the amount of recreational activities are more needed. 2. The average score of climacteric symptoms is 1. 8461 (The maximum score is 5.0). The symptoms complained frequently are nervousness. muscle-ache. fatigue. headache and knee-ache. Climacteric symptoms are significantly different in menopausal states. age groups. the number of children, marrital satisfaction. the feeling of life. self-reported health states and sexual satisfaction. 3. The life events occurred frequently were 'discord with husband', 'children's important exams', 'separation from husband related to works' and 'vacation'. When life events are analyzed by factors. the most frequently mentioned factor is 'marrital life'. The stress of life events is significantly different in a few general characteristics (age. the number of children, the number of family, monthly income, menopausal status, the feeling of life. self-reported health states, economic satisfaction). 4. The score of climacteric symptoms complained is significantly different according to the stress of life events (p<0.051, Especially, the difference is the widest in psychological symptoms according to the factor of 'couple. marrital life' among stressful life events. In Summary, climacteric symptoms complained by middle-aged women are related to the amount of the stress of life events. Whether life events are positive of negative is not important. Yet. climacteric symptoms and stressful life events are deeply related to general characteristics. so we can not insist strongly that one be directly related to the other.

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정상 교합자와 adenoid가 과식증된 부정교합자의 악골 형태의 비교 (A comparison study of the effects of hypertrophied adenoid tissue on jaws morphology)

  • 유형석;박선형
    • 대한치과교정학회지
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    • 제32권1호통권90호
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    • pp.19-31
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    • 2002
  • 과증식된 아데노이드가 악골의 성장에 영향을 미치는가에 대한 대답은 아직도 논란의 여지가 많다. 일부에서는 구호흡의 병력을 가진 환자에서 좁은 안면 폭경, 돌출된 치아, 안정시 입술의 이개, 전안면고경의 증가, 큰 수평피개와 감소된 수직피개를 보이는 아데노이드 안모(adenoid face)라는 특징적인 안모형태를 가진다고 보고하였다. 반면에 일부에서는 과증식한 아데노이드를 지닌 환자 중 적은 수에서만이 이러한 소견을 나타내면서 아데노이드와 두개악안면 성장과의 관련성을 부인하였다. 이에 본 연구의 목적은 비호흡을 하며 측모두부규격방사선사진 상에서 과증식된 아데노이드가 보이지 않는 정상교합자를 대조군으로 하고 구호흡을 하며 아데노이드가 과증식된 환자들을 실험군으로 하여, 골 연령(bone age)별로 비교함으로써 각 시기마다 구호흡과 악골 형태간의 연관성 여부를 관찰하였으며, 다음과 같은 결론을 얻었다; 1. 악골의 형태에 있어서 실험군과 대조군간의 유의차는 남자에서는 CVMI 3과 CVMI 4(사춘기 전후)에 가장 많이 나타났으며, 여자에서는 CVMI 1부터 유의차를 보였다. 2. 실험군 하악골이 남자는 CVMI 4부터, 여자는 CVMI 5부터 하방에 위치하고 있었다. 3. 남자는 CVMI 3부터, 여자는 CVMI 1부터 실험군이 대조군보다 큰 전안면고경을 보였으며, 이는 주로 전하안면고경의 차이에 의해 발생되었다. 4. 아데노이드는 대조군 남자에서는 CVMI 2(10.58 ${\pm}$ 1.07세, 사춘기 성장 직전)에 최대크기를 보였고, 대조군 여자에서는 CVMI 1(6.92 ${\pm}$ 0.53세)부터 아데노이드의 크기가 감소하였다.였다. 3. 상하순의 돌출도 모두 유의성 있는 감소를 나타내었다. 4. 상악 전치의 치관은 통계적으로 유의할 만한 후방이동(7.08 ${\pm}$ 2.14 mm, p<0.01)을 보였고, 상악 전치의 치근에서는 통계적으로 유의할 만한 수직고경의 감소(2.38 ${\pm}$ 1.15 mm, p<0.01)를 보였다. 5. 상악 구치의 치관, 치근 모두에서 통계적으로 유의할 만한 전방이동(2.48 ${\pm}$ 0.99 mm, 2.05 ${\pm}$ 0.91 mm,p<0.01)을 보였다.다.olus의 변화는 동해내에서 대마난류의 세기가 반복되었음을 지시하고 있다./3 수준으로 높다. 결론적으로 풍부한 화학물질들을 함유한 제주해류는 남해 및 동해의 생지화학적 과정들에 있어 상당히 중요함을 시사한다.다. 수조 상층수 중 Cu, Cd, As 농도는 모든 FW, SW수조에서 시간이 지남에 따라 일관성 있게 감소하였고, 제거속도는 Cu가 다른 원소에 비해 빨랐다. 제거속도는 FW 3개 수조 중 FW5&6에서 세 원소 모두 가장 느렸고, SW 3개 수조 중에서는 SW1&2에서 가장 빨랐다. SW와 FW간 제거속도 차이는 세 원소 모두 명확치 않았다 Cr은 FW에서 전반적으로 감소하는 경향을 보였지만 SW에서는 실험 초기에 감소하다 24시간 이후에는 증가 후 일정한 양상을 보였다. Pb은 FW에서 전반적으로 감소했지만 SW에서는 초기에 급격히 증가 후 다시 급격히 감소하는 양상을 보였다 Pb 또한 Cu, Cd, As와 마찬가지로 SW1&2에서 제거속도가 가장 빠르게 나타났다. FW 상층수 중 Hg는 시간에 따라 급격히 감소했고,

비결핵성 기관지탄분섬유증의 임상적 특징과 방사선학적 특징 (Clinical and Radiological Characteristics of Non-Tuberculous Bronchial Anthracofibrosis)

  • 장시진;이숙영;김석찬;이소영;조현선;박기훈;문화식;송정섭;박성학;김영균;박현진
    • Tuberculosis and Respiratory Diseases
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    • 제63권2호
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    • pp.139-144
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    • 2007
  • 연구배경: 기관지내시경 시행 시 기관지점막에 탄분침착을 보이는 경우가 종종 있다. 이러한 기관지탄분섬유증은 결핵과 연관이 있다고 여겨지는데 최근 논문들에 의하면 결핵 이외의 만성폐쇄성 폐질환이나 폐렴 등의 다양한 폐질환과 관련이 있음이 보고되어 진다. 방법: 2003년 1월부터 2006년 7월까지 강남성모병원에서 기관지내시경 검사를 시행 받은 환자들 중 기관지 탄분침착이 있는 환자들을 대상으로 진료기록지를 통해 후향적 분석을 하였다. 기저질환, 임상소견, 폐기능 검사 및 조직소견, 방사선소견을 분석하였고 비결핵성 기관지탄분섬유증 환자에서 기관지협착이 동반된 경우 스테로이드 투여 시 그 치료성적을 분석하였다. 결과: 총 74명 중 비결핵성 기관지탄분섬유증 환자가 54명(73%)이었다. 이 중 41명(76%)에서 협착이 동반되었고 13명(24%)은 탄분침착만 보였다. 비결핵성 기관지탄분섬유증 환자 중 협착이 동반된 경우 14명에서 고식적 치료로 스테로이드를 투여하였는데 이 중 9명(64%)에서 임상적인 호전을, 6명(43%)에서 방사선학적인 호전을 보였다. 결론: 기관지 탄분섬유증은 결핵뿐만 아니라 만성폐쇄성 폐질환, 폐렴등의 다양한 호흡기 질환과 관련이 있다. 비결핵성 기관지 탄분섬유증 환자에서 고식적인 치료에 잘 반응하지 않을 경우 스테로이드를 고려해 볼 수 있다.

부모에 의한 간접흡연 및 부모의 알레르기성 질환력과 소아 천식과의 관계에 관한 연구 (Environmental Tobacco Smoking, Parental Allergy History and Pediatric Asthma and Wheezing)

  • 이근복;이원영
    • 농촌의학ㆍ지역보건
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    • 제34권2호
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    • pp.175-187
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    • 2009
  • 이 연구는 부모의 알레르기 질환력을 고려해 간접흡연 노출과 소아 천식의 관계를 밝히는 것을 목적으로 이루어졌다. 이를 위해 경기도의 농촌과 도시를 대표하는 두 개 지역 소재 3개 초등학교 학생을 대상으로 이루어진 설문조사 자료를 이용하였다. 이 자료 중 이 연구는 설문에 응답한 대상자 중 평생 천명, 최근 천명, 의사진단 천식을 비롯해 간접흡연, 부모 알레르기 질환 여부에 응답한 2,301명을 최종 분석 대상으로 삼았다. 천식 및 천명을 이 분형 종속 변수로 삼고 로지스틱 회귀 분석을 통해 최근 1년간 간접흡연에의 노출과 부모의 알레르기 질환력이 천식 및 천명 질환에 미치는 독립 적인 효과를 분석하였으며 둘 간의 상호작용 효과를 추정하였다. 분석 결과 아버지와 어머니의 알레르기성 질환 병력은 평생 천명, 최근 천명에 유의한 영향력을 미치는 것으로 나타났으며 어머니의 천식 병력의 경우에는 의사 진단 천식에도 유의한 영향을 미치는 것으로 밝혀졌다. 그러나 어머니나 아버지의 최근 흡연과 소아 천식과의 관계는 통계적 유의성을 확보하지 못했다. 부모의 알레르기 질환력과 간접흡연간의 상호작용효과는 ‘부모알레르기 질환도 없고 간접흡연 노출도 없는 집단’, ‘부모 알레르기 질환력은 없지만 최근 흡연 노출은 있는 집단’, ‘부모 알레르기 질환력은 있지만 최근 흡연 노출은 없는 집단’, 그리고 ‘부모 알레르기 질환도 있으며 간접흡연 노출도 있는 집단’을 비교해 평가하였다. 분석 결과 부모의 알레르기 질환력과 간접흡연의 노출간의 상호작용효과는 어머니의 최근 흡연의 경우에 자녀의 최근 천명에서 유의한 효과를 보였으며 아버지의 최근 흡연의 경우에는 평생 천명과 최근 천명에서 유의한 효과를 타나냈다. 부모의 알레르기 질환과 최근 어머니의 흡연이 모두 없는 집단에 비해서 두 요인 다 있는 집단에서 자녀의 최근 천명이 나타날 교차비는 4.83배(95%CI:189-12.33)로 높았다. 또 아버지가 최근 1년간 흡연을 했으며 부모의 알레르기 질환력이 있는 집단에서는 아버지가 흡연하지도 않고 부모의 알레르기질환도 없는 집단에 비해 자녀의 최근 천명이 나타날 확률이 2.50배(95%CI:1.34-4.70) 높았으며 평생천명이 나타날 확률 역시 2.47배(95%CI:1.64-3.72)높았다. 이러한 연구 결과는 부모의 알레르기 질환력이 있는 경우에는 간접흡연의 노출이 자녀의 천식 및 천명의 유의한 위험 요인이라는 사실을 보여 준다. 따라서 향후에는 간접흡연의 노출과 상호작용하는 특정한 유전자 군에 대한 연구가 필요 할 것이다. 또한 소아 천식의 위험을 낮추기 위해서는 부모의 금연을 중심으로 한 간접흡연 노출을 줄일 수 있는 개입이 필요하며 나아가 부모가 알레르기질환이 있는 집단에 대한 집중적인 금연 교육이 소아 천식을 효과적으로 줄일 수 있을 것으로 여겨진다.

대학전공별(大學專攻別) 전문직학생(專門職學生)들의 인구관련문제(人口關聯問題)에 대한 연차적(年次的) 변화(變化) 연구(硏究) (A Prospective Study on Attitude of Professional Student toward Population Related Issues in Korea)

  • 이경식;김화중
    • Journal of Preventive Medicine and Public Health
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    • 제9권1호
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    • pp.11-24
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    • 1976
  • This study was a part of large scale of a prospective study on attitudes of professional students in medicine, nursing and teaching toward population related issues in Korea. The study was first conducted in May 1974 and then in May 1975 for the 1974 class cohot using a questionaire consisted of attitude scales and other items developed by Lee. The purpose of stuay was twohold, namely, to determine the difference in students among specializations on one hand and between the first and second years in the 1974 class cohot regarding tile subject matter. A one-way analysis of variance was used for attitude scale, and absolute and relative frequency were computed for the analysis of non-attitude scale items by employing Fishers' Ratio and Duncan's multiple range test at 5% level and chi square test at 5% level as significance tests. The hypothesis 'students in health profession are more likely to have positive attitudes toward population related issues progressively as class year advances than students in teaching profession' was tested and the following results were obtained: 1) Nursing students were more likely to display favarable attitudes toward family planning than medical or teaching students although the class cohot showed slightly negative improvement in the second year. Medical and teaching students apperaed to have slightly improved attitudes in the second year. 2) Respondents in general perceived national family planning program as a means of population control and this tendency was more true among nursing students as the class year advances than two other professional groups of students. Students in teaching profession appeared to perceive it more as a means to improve individual family welfare while health students were likely to see as to improve maternal and child health. This tendency was progressively improved as the class year advanced. 3) The majority of students regardless of their respective specializations believed that family planning program should be directed toward the improvement of individual family welfare. No progressive changes in the class cohot were observed. 4) About the plan to use contraceptives in future, no singnificant differences were observes among different specializations nor in different class years. However, the majority was confirmed to have a plan to use contracepives in future. An increasing proportion of the undecided category was observed, as class year advanced among health students. 5) Students in health profession were found to be more favorable about 'more leisure opportunities' as motive for limiting number of children whereas education students indicated the reasons as 'facilitate ambitions' and 'economic base' The progressive changes toward positive direction in both groups were observed as the class years advanced. 6) Attitudes toward induced abortions of the health students were observed to be positively related to class years while an inverse relationship was found in teaching students who showed much less favor in the subject matter than health students. This phenomenon may be due to the different exposure to learning environments unique to respective specializations. 7) Health students were found to have more favorable attitudes toward population education in general than the teaching students. The teaching students appeared to have changed more to the negative direction when they became the second year while no such development was observed in health students. The teaching students seemed to hold a very conservative position with regard to sex education in schools. 8) About the equality of sexes, the nursing group was found to be most favorable while the reverse was true in the teaching group. A change in the negative direction as the class year advanced was found in the teaching group. 9) About questions related to fertility values-the 10 percent of respondents regardless of specialization indicated that they would maintain their single status in future, however no change was observed in the second year. The desired number of children was found to be two by the majority of students in nursing, medicine and teaching in order of high proportion. No changes in a different class year were observed. The childless marriage was seen by nursing students as a problem more than other students, but a slight change in positive direction was found when the nursing students became the second year. In summing, as data supported in the above, students in health profession demonstrated more favorable attitudes toward population related issues than the teaching students and this tendency became more apparent in the second year. It was noticed that health students were more conscious about the health aspect of population and family planning program while the teaching students gave more attention to the socioeconomic aspect. The sex variable seemed to have operated in the item related to the equality of sexes. In conclusion, as data presented in the above, the hypothesis of this study was accepted except in the few items. It should be noted that the limitation of this study is the short duration of the observation in measuring the possible attitude changes. It should include curriculum analysis for the respective specializations in order to indentify the area of curriculum impact on students in future study.

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