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H : 소장처정보

T : 목차정보

예방의학회지 = Korean journal of preventive medicine 18건

  1. [국내논문]   한국농촌인구(韓國農村人口)의 종신적(終身的) 노동능력상실(勞動能力喪失) 빈도(頻度)와 원인(原因)  

    노인규 (서울대학교 보건대학원)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 1 - 10 , 1976 , 0254-5985 ,

    초록

    한국(韓國)의 종신적(終身的) 노동능력상실자(勞動能力喪失者)의 빈도(頻度)와 원인(原因)을 조사(調査) 파악(把握)함으로써 그 관리방안(管理方案)의 모색(模索)을 위한 기초자료(基礎資料)를 얻고자 함이 본(本) 연구(硏究)의 목적(目的)이다. 조사대상(調査對象)은 1974년(年) 전국대학생(全國大學生) 하계연합봉사국(夏季聯合奉仕國)의 활동지역(活動地域)이었던 81개군내(個郡內)의 대상(對象) 지역사회(地域社會)에서 제비를 뽑아 선택(選擇)된 총(總) 4,174가구(家口)의 전가일원(全家日員)인 총(總) 27,172명(名)이었다. 조사원(調査員)으로서의 대학생(大學生) 1명당(名當) 1가구(家口)씩을 방문(訪問)하여 가구원중(家口員中)의 종신적(終身的) 노동능력상실자(勞動能力喪失者)의 유무(有無), 있는 경우 그 원인(原因) 및 시작연령(始作年齡) 등을 조사(調査)하였으며 그 성적(成績)의 개요(槪要)는 다음과 같다. 종신적(終身的) 노동능력상실자(勞動能力喪失者)(가구당(家口當) $1{\sim}4$ 명(名))가 있는 가구(家口)는 전체적(全體的)으로 8.9%로 나타났다. 종신적(終身的) 노동능력상실자(勞動能力喪失者)의 전체적(全體的)인 조유병률(粗有病率)은 1,000당(當) 15.1로 나타났으며, 연령표준화율(年齡標準化率)로 본 성별(性別) 유병률(有病率)(1,000당(當))은 남(男) 16.3, 여(女) 13.4로 나타났다. 그리고 그 율(率)은 연령(年齡)의 증가(增加)에 따라 점차 증가(增加)되었다. 종신적(終身的) 노동능력상실(勞動能力喪失)의 원인별(原因別) 유병률(有病率)(1,000당(當))을 보면 노쇠(老衰) 10.2, 사지장애(四肢障碍) 2.4, 내장기계(內臟器系)의 만성질환(慢性疾患) 1.2, 근육골격계(筋肉骨格系)의 기타(其他) 이상(異常) 0.5, 양면맹(兩眠盲) 0.4, 척추장애(脊椎障碍) 0.2, 정신병(精神病) 0.2 및 전간(癲癎) 0.1의 순(順)으로 나타났다. 그중(中) 사지장애(四肢障碍)의 원인(原因)으로는 뇌졸중증(腦卒中症), 폴리오, 사고(事故), 관절염(關節炎) 및 전상(戰傷) 등으로 나타났다. 원인별(原因別) 및 성별(性別)로 종신적(終身的) 노동능력상실(勞動能力喪失)의 발생연령별(發生年齡別) 빈도비(頻度比)도 계산(計算) 관찰(觀察)하였다.

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  2. [국내논문]   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)  

    이경식 (서울대학교 보건대학원 ) , 김화중 (서울대학교 보건대학원)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 11 - 24 , 1976 , 0254-5985 ,

    초록

    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 ch

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  3. [국내논문]   전라북도(全羅北道) 공무원(公務員)의 체격(體格)에 관(關)한 연구(硏究)  

    이상규 (전북대학교 의과대학 예방의학교실)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 25 - 29 , 1976 , 0254-5985 ,

    초록

    A study was conducted on 2,210 officials in Jeonbug Province to check out their physical growth, development and nutritional state during the period June 1st 1975 to August 31, 1915. As the results of this study, the following conclusions were reached: 1. Physical measurement a. Body height: The mean body height of male was $166.8{\pm}4.6cm$ and that of female was $156.3{\pm}4.9cm$ . The highest value of mean body height was $167.1{\pm}3.9cm$ , showing by male of administrative job. The lowest valthe of that was $165.7{\pm}5.2cm$ , showing by the male functional job, while the difference of body height was not significant in female. b. Body weight: The mean body weight of male was $61.5{\pm}4.6kg$ and that of female was $51.2{\pm}3.9kg$ . The administrative job heavier than functional job of male by type of job, while that of female of functional job heavier than administrative job. c. Chest-girth: The mean chest-girth of male was $90.8{\pm}3.2cm$ and that of female was $83.6{\pm}3.6cm$ . 2. Physical growth and developmental state a. The relative body weight was normal in male except the young man under 25 years, while that of female was under the level of standard. b. The relative chest-girth was showed standard values by all age group of officals. c. The Rohrer and Kaup indices were showed standard values except under 19 years officials and 30 to 34 years female officials. 3. Vervaeck index for nutritional status was appeared normal in male but under the values of standard in female.

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  4. [국내논문]   농촌주민(農村住民)의 의료비지출(醫療費支出)에 관(關)한 연구(硏究)  

    문해선 (서울대학교 보건대학원)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 31 - 37 , 1976 , 0254-5985 ,

    초록

    This study was conducted for the purpose of obtaining basic information on the patterns of medical care expenditures, and identifying some determinants of medical care expenditures in the rural Korea. Nine guns were chosen from the eight provinces, excluding Cheju island. One gun in each province and two villages were selected from the each myon or ub within the selected guns. The total number of households was 1,789 and the sample size was 9,826 non-institutionalized people. Followings are the major findings of the study : 1) Medical care expenditures increase proportionally with age in terms of cost per patient, per episode of illness, per treated case, and per person. Averagely, it cost 2,756 won per patient, 2,614 won per spell of illness, 4,361 won per treated case, and 413 won per person. 2) Medical care expenditures increase proportionally with educational level of patients. College graduates spent the most, 4,726 won per patient, 5,987 won per treated case, and 670 won per person. 3) The male spent a little more than the female in terms of per patient, per episode, and per person. For example, a male spent 23 won more than a female. 4) Those who were suffering from illnesses longer than 1 year spent three times more than that had illnesses of less than 1 year duration. 5) The simple correlation coefficient between activity restriction and medical care expenditures was the highest among others, 0.491. The next was 0.294 between duration of illness and medical care expenditures. 6) Attempts are made to identify the explanatory variables in medical care expenditures. Thirty one per cent of the variances in tile expenditures can be accounted for by the selected 15 predictors. Those predictors belonged to clinical renditions, such as activity restriction, duration of illness, and nature of conditions, are proved to be the most potent independent variabes. Level of education and monthly family income are also significant in terms of beta coefficient. Further studies are called for to unreveal the determinants of medical expenditures.

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  5. [국내논문]   가정단위(家庭單位) 보건관리사업(保健管理事業)에 관(關)한 연구(硏究)  

    맹시선 (서울특별시 도봉구 보건소 보건지도과)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 39 - 47 , 1976 , 0254-5985 ,

    초록

    The organized community is the one of the best system for the effective public health administration, and a model area was selected for the study to see what would be achieved when a certain small community is placed under the special public health control based on the family unit. The 178 families involved total of 875 populations. The rate of vaccination with B.C.G. among 191 infants and children could be increased upto 100.0% from 72.5% of the time when the basic study was performed after 8 months period of this study; 99.0% from 47.1% with D.P.T.; 96,9% from 71.7% against smallpox; 83.2% from 69.1% against poliomyelitis; but only 25,7% from 21.5% against measles. The status of family planing was 36.8% among 155 women of possible conception at the time of the basic research. And, at the end of this study, the number of women utilizing one of the methods of contraception for family planning were increased upto 52.9% among the same number. The most frequently utilized method was 34.1% of oral pills followed by 30.5% of intrauterine device; but both of which had higher rate of interruption of use because of the complications, 14.3% and 16.0% respectively. The 10 pregnant women at the time of basic research experienced normal deliveries during the period of study and they had received pre and postnatal health care through this health center. The status of oral hygiene, pulmonary tuberculosis control, and parasitological examination were also reported as well as the cases with diseases seen among the population and vaccinations performed against other infectious diseases. The stress on discussion was placed upon the effectiveness of public health administration when it is undergone on the individual family unit to achieve the best results. However, the shortness of both personnel and material resources were considered to be the one of the major difficulties retarding the generalization of the idea obtained through this study based on family unit public health administration.

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  6. [국내논문]   대기오염물질(大氣汚染物質) 배출량(排出量)의 연도별추세(年度別趨勢)에 관(關)한 연구(硏究)  

    조문환 (인천시 중구 보건소)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 49 - 54 , 1976 , 0254-5985 ,

    초록

    In order to provide bases for the control of air pollutants in Korea, the author figured out the trend on the annual increase of air pollutants emitted in the process of combustions, and estimated the amounts of air pollutants of the future years from 1975 to 1981. 1) In 1973 the consumption rate of coal was 1.2 times of that of fuel oil. The consumption rate of them would be same in 1975 and 1977. However, the rate of fuel oil would exceed that of coal in 1979. Incontrast with the rate in 1979. The one of coal would be increased faster and faster to show reverse trend of consumption in 1981. 2) The estimated amounts of air pollutant emissions in the years of 1973, 1975, 1977, 1979 ana 1981 were 1,561,800, 1,921,700, 2,253,300, 2,769,000, and 3,145,700 tons respectively. These indicated that the amount of air pollutants in 1981 would be about 2 times of that in 1973. 3) The amounts of sulfur oxides emissions in 1981 would be 2.3 times of that in 1973, nitrogen oxides 2.2 times, carbon monoxide 1.7 times, particulate 2.0 times and hydrocarbon 2.0 times. 4) The estimated amounts of air pollutant emissions per unit area( $km^2$ ) in the years of 1965, 1971, 1975 and 1980 were 5.2, 14.5, 19.5 and 28.7 tons respectively. These indicated that the amount of air pollutant emissions per unit area would increase 5.5 times in 1980 comparing the one in 1965.

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  7. [국내논문]   감음신경성난청(感音神經性難聽)의 원인(原因)에 관(關)하여  

    이규식 (한국사회사업대학 언어청각장애연구실 ) , 김영순 (한국사회사업대학 언어청각장애연구실 ) , 권도하 (한국사회사업대학 언어청각장애연구실 ) , 김주호 (한국사회사업대학 언어청각장애연구실 ) , 권요한 (한국사회사업대학 언어청각장애연구실 ) , 이태영 (한국사회사업대학 언어청각장애연구실 ) , 백준기 (연세대학교 의과대학 ) , 김두희 (경북대학교 의과대학 예방의학교실)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 55 - 64 , 1976 , 0254-5985 ,

    초록

    This paper presents the results of a survey for the causes of sensori-neural hearing impairment in Korea, The subjects were 1,676 children of total 2,928 enrolled in 16 Deaf Schools; two schools in each area of Seoul, Busan, Kyoungbook, Kyoungnam, Kyounggi and Chunbug, and each one in Chungnam, Chungbug, Chunnam and Jaeju. The data were collected by questionaire with 28 items distributed to their parents. The filling in the check lists were performed by their class teachers, interviewer, for 18 months from September, 1975 to february, 1976. The questionable or missed problems were reaffirmed. The results obtained were as follows. Most of the reasons, 78.5% were acquired characters that could be developed during pregnant period, the time of delivery and the time of after birth. The pure hereditary reasons except the cases complexed with one or two were only 11.3%. Those who could not be defined with any reasons were 10.2%. Among the acquired causes, 5.8% of total subjects were developed for pregnancy: 3.3%, during delivery; and 69.7%, after birth. In the pregnant period, the drug intoxications were 2.4% of total subjects, several diseases such as influenja, bleeding, surgical operation, venereal diseases and rubella etc. were about one percent, and the accompanied with some symptoms of pregnancy intoxication and traumatic events were 2.4%, During time, the cases with delayed rhythmical pain were 16 persons, the immaturities were 11, the asphyxial cases were nine, the errors of forceps delivery were seven, the cases of low body weight inspite of full term were four, the cases with cesarian section were three, the head injuries were two, and the accompanied with three kinds of above reasons were three. During after birth, the cases with acute communicable diseases were 35.4% of total subjects, the fever unknown origin were 16.1%, the chronic otitis media were 3.7%, the meningitis were 3.5%, the gastric and nutritional diseases were 3.5%, the drug intoxications were 4.8%, the blood diseases were 0.3% and the other causes were 2.2%. Here by acute communicable diseases, some importants were measle, 10.1% of total subjects; meningitis, 7.3%; convulsion with some reasons, 4.9%; poliomyelitis. 3.2%; encephalitis, 2.4%; and mumps, rubella, pertusis, scarlet fever, and small pox were somewhat played a role in. Among 59 cases with train diseases, 53 were concussion by the accidents, such as traffic and falling or sliping down etc., the cerebral paralysis and hydrocephalus were two, respectively. And the blood diseases were severe newjaundice in all five cases. If we were summarized with the above mentioned, most of the hearing impairments were introduced by the combined reasons with familial or hereditary factors and the acquired, than by a simple disease. Among the congenital or hereditary hearing impairments classified to now a day, we suppose that the many cases with the acquired causes during pregnancy, delivery and after birth were complexed. Subsequently, the maternal and child health should be more and more developed in our country, also.

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  8. [국내논문]   중도시내(中都市內) 도서(島嶼)와 육지거주부인(陸地居住婦人)의 모성보건실태비교(母性保健實態比較)  

    김규철 (전남대학교 의과대학 예방의학교실)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 65 - 75 , 1976 , 0254-5985 ,

    초록

    To compare the maternal health status between women in island and land, the study was conducted to adjacent land (kukdong) and island (kyonghodong) areas in Yosoo city during April 1976. The results obtained from 174 interviewee in island and 192 in land areas were the same as follow, 1. General characteristics of both area. Age: Land, group 20-29 year of age was the largest. Island, 30-39 year of age was the largest. Education; Low educated group, less than primary grade (land 88.6%, island 93.1%), was predominant in both area. Occupation of herself; agriculture and labor was the main occupation (land 50%, island 82.2%) in both area. Occupation of husband: labor and fishery was general (81.2%) in land, and agriculture and fishery was general (81.6%) in island. Duration of residence; Land, 25.0% being resided here more than 10 years. Island, 64.3% being resided here more than 10 years. 2. Marriage, Pregnancy, and Present children. Average age at marriage; Land, 20.7 years. Island, 20.9 years. Average frequency of pregnancy; Land, 4.4 times. Island, 4.3 times. Wastage of pregnancies: Land, 236 per 1000 pregnancies. Island, 151 per 1000 pregnancies. Wastage occupied by induced abortion; land, 73.5%. island, 60.5%. Number and sex of present children; Land, 3.3 per family, sex ratio 52.4 to 47.6. Island, 3.6 per family, sex ratio 53.3 to 46.7. 3. Prenatal and postnatal care. Prenatal consutation: Land, 16.1% received by doctor or midwife. Island 9.2% received by doctor or midwife. Complications during last pregnancy; Land, 46.6% complained. Island, 51.1% complained. Return to work within 1 week after delivery; Land, 40.6%. Island, 50.6%. 4. Delivery environment Home delivery; Land, 97.4% Island, 97.3%. Delivery attdended by non medical professions at home; Land, 80.2% Island, 93.7%. Solo home delivery; Land, 13.0%, Island, 12.9%. Delivery attended by layman without taking any disinfective preparations; Land, 48.1%, Island, 49.1%. Material mainly used to cut umbilical cord at home; Land, scissors (97.4%). Island, scissora (98.8%). Cord cutting material used without giving any disinfective preparations; Land, 79.9%, Island, 84.0%. Delivery sheets used at home; Cement bag paper (land 50.0%, island, 31.3%). Vinyl sheets (land,17.5%, island, 27.6%). News paper (land, 3.2%. island, 11.7%). No sheets (land 19.5%. island, 12.9%). etc. Maternal Meal; Seaweed soup with rice was the most general in both area. (land 95.3%, island, 91.4%).

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  9. [국내논문]   진균류(眞菌類)의 상호작용(相互作用)에 의한 Aflatoxin 생성능(生成能)에 관(關)한 연구(硏究)   피인용횟수: 1

    김운주 (충북대학교 가정교육과 ) , 정용 (연세대학교 의과대학 예방의학교실 ) , 권숙표 (연세대학교 의과대학 예방의학교실)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 77 - 86 , 1976 , 0254-5985 ,

    초록

    This study was attempted to know that the interactions of various fungi, and methionine and $MgSO_4$ introduced as the substrate of culture media for fungi were affected to produce aflatoxins by Asp. flavus. 5 different fungi were isolated from the fermented soybean mash and were cultured in Chemically Defined medium (C. D. media) and soybean mash at $25^{\circ}C$ for 10 days. (1) It was confirmed that Asp. flavus produced aflatoxins in the C. D. medium and soybean mast, but that Asp. niger, Asp. oryzae, Asp. awamori and Asp. terreus did not produced them respectively. (2) Asp. flavus cultured with Asp. niger did not produce aflatoxins in C. D. medium, but produced in soybean mash, in other hand, Asp. flavus with other fungi except Asp. niger produced aflatoxins in C. D. medium and soybean mash. (3) The growth of fungi were more prosperous in the seperate culture than in the mixed culture. (4) In the C. D. medium added 20% of cultured medium of Asp. niger, Asp. flavus did not produce aflatoxins but other cultured medium did not prohibit the production of aflatoxins by Asp. flavus. (5) On the contrary, $MgSO_4$ increasing the productivity of aflatoxins by Asp. flavus in the C. D. medium, methionine known as one of precursor of aflatoxins did not affected the increasing productivity with significance.

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  10. [국내논문]   D-Penicillamine 이 연 배설농도에 미치는 영향  

    박정일 (가톨릭의과대학 예방의학통계학교실)
    예방의학회지 = Korean journal of preventive medicine v.9 no.1 ,pp. 87 - 94 , 1976 , 0254-5985 ,

    초록

    In order to study the chelating action of d-penicillamine on lead and the possibility of its application to the provocation test for diagnosis of lead poisoning, urinary excretion of lead was measured from 24-hour urine samples before, during and after administration of d-penicillamine by oral route for 5 days on 18 lead workers. The results were as follows: 1. Oral d-penicillamine 600 mg/day raised the excretion of urinary lead by approximately 3 times as compared with initial urinary lead level. 2. Initial urinary lead level was the better indicator of urinary lead excretion in d-penicillamine administration than initial blood lead ${\delta}-ALA$ and hemoglobin level. 3. Oral d-penicillamine may be quite useful in provocation test for lead poisoning.

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