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      • KCI등재

        증례 : 소화기 ; 간세포암의 복강경하 고주파 소작술 후 천자침 경로를 통한 흉벽 전이 1예

        김의식 ( Eui Sik Kim ),윤정 ( Yun Jeung Kim ),이수윤 ( Su Youn Lee ),이엄석 ( Eaum Seok Lee ),석현 ( Seok Hyun Kim ),이병석 ( Byung Seok Lee ),이헌영 ( Heon Young Lee ) 대한내과학회 2012 대한내과학회지 Vol.82 No.3

        Radiofrequency ablation (RFA) is a popular technique and shows excellent local tumor control and acceptable morbidity. Although RFA is considered much safer than surgical treatment, it is not a complication-free procedure. The most common complications of percutaneous RFA areabdominal hemorrhage, abdominal infection (abscess), biliary tract damage, and ground-pad burns. Laparoscopic RFA (LRFA) is a safe, feasible treatment modality to achieve tumor destruction. LRFA has proven superior to the percutaneous approach for lesions that are difficult or impossible to treat percutaneously. Needle-track implantationafter LRFA is a rare complication in HCCs. We report a case of needle-tract implantation of HCC found in the chest wall, ribs,and diaphragm 11 months after LRFA in a 49-year-old man. Although treatment for needle-track implantation is not well established, the metastatic mass was surgically removed. (Korean J Med 2012;82:326-330)

      • KCI등재

        참전명예수당 인상 및 배우자 승계문제 개선방안 연구

        김의식(Eui-sik Kim) 한국보훈학회 2020 한국보훈논총 Vol.19 No.1

        세계 각국은 국제평화유지 혹은 자국의 안보를 지키기 위해 전투현장에 참가했던 군인들의 희생을 기리고 그들의 명예를 고양시키기 위해 다양한 보상과 보훈제도를 운영하고 있다. 우리나라도 6․25전쟁과 월남전에 참전하여 희생되었거나 임무를 완수하고 생존한 군인들을 위해 국가차원에서 각종 보훈제도를 시행하고 있다. 그러나 우리나라의 보훈정책은 기본적으로 일제치하에서 독립운동을 하거나 6․25전쟁 기간 중 사망하거나 부상을 입으신 분들에게 중점을 두고 시행하고 있으므로, 전쟁에 참전하였으나 무사히 귀향했던 참전 군인들을 위한 국가 보훈정책은 매우 미흡한 실태이다. 군복무기간 중 전쟁이 발생하거나 국가정책에 따라 해외로 파병된다면, 본인의 의사와 무관하게 전투임무를 수행하다가 전사하거나 부상을 입을 수도 있고, 전역이후에도 참전당시 전투현장에 대한 기억으로 인해 상당기간동안 외상 후 스트레스와 같은 각종 후유증에 시달릴 수도 있다. 따라서 국가의 명령으로 참전했던 군인들에 대한 보상은 국가차원에서 충분히 이루어져야 함에도 불구하고, 전쟁터에서 무사히 귀향했던 참전 군인들에게는 국가에서 참전명예수당으로 30만원을 지급하고, 일부 지방자치단체가 자체예산으로 소액의 수당을 추가로 주고 있는 것이 현실이다. 이것은 국가를 위해 공헌했던 것에 비하면 너무나 미흡한 수준이라고 볼 수 있다. 국가보훈처에서 관리하는 여러 가지 유형의 다른 국가유공자들과 비교하더라도 턱없이 미흡한 수준의 보상을 받고 있는 것이다. 특히, 6․25참전 군인들은 전쟁으로 인해 경제활동 기회를 잃어버렸거나 축소된 가운데 지금은 대부분이 고령화되면서 힘들게 살아가는 사람들이 많다. 그리고 참전 군인들의 곁에서 참전 군인들의 외상 후 스트레스를 치유하며 살아온 배우자들은 참전 군인이 사망하면 30만원에 불과한 참전수당조차 못 받게 되므로 심각한 생계문제를 겪어야 한다. 이것은 다른 유형의 국가유공자들과 형평성의 문제가 될 수 있다. 국가가 안보위기 상황을 해소하거나, 국제평화유지 활동에 기여하기 위해서는 국민들로 하여금 자신들의 희생에 대해 국가가 충분히 보상해준다는 믿음을 가지도록 해야 한다. 그렇게 하기위해서는 국가가 위기에 처했을 때 혹은 국가의 명령으로 참전했던 군인들을 위한 참전명예수당을 다른 유형의 국가유공자들과 균형을 맞춰서 대폭 인상해야 하며, 참전 군인이 사망한 이후 남겨지는 배우자를 위해서 일정부분이 승계되도록 국가보훈제도가 개선되어야 한다. Countries around the world operate various rewards and reward systems to honor the sacrifices of soldiers who took part in combat sites to maintain international peace or protect their own security. South Korea also implements various military service systems at the national level for soldiers who were sacrificed or completed their duties during the Korean War and the Vietnam War. However, since the Korean veterans policy focuses on those who fought for independence, and died or were injured during the Korean War under Japanese colonial rule, the veterans policy for those who returned home safely after participating in the war is very insufficient. If a war breaks out during the military service of a young man or woman, or they are dispatched overseas according to national policy, he/she may be killed or injured in performing combat duties regardless of his/her will, and even after his/her discharge from the military, he/she may suffer from various aftereffects such as post-traumatic stress for a considerable period of time due to memories of the combat sites during the war. Therefore, the compensation for soldiers who enlisted and fought in the military under the orders of the nation should be made at the national level. However, the Korean government pays 300,000 won to veterans who returned home safely, and some local governments offer them a small amount of additional benefits in their own budget, which is far less than what they have contributed for the nation. Even when compared with various types of national merit, they are receiving far less compensation. In particular, most of the Korean War veterans are now very old and struggling for life, with losing or diminished their economic opportunities by the war. In addition, spouses who have lived by the veterans side to heal their post-traumatic stress will have to face serious livelihood problems as they will not be able to receive even a war allowance of 300,000 won upon the death of the veterans. This could be a matter of equity with other types of national merit. In order for the nation to resolve the security crisis or contribute to international peace-keeping efforts, the people must have the belief that the nation will fully compensate them for their sacrifice. To do so, the state should drastically increase the allowance for war veterans, who sacrificed themselves at the time of national crisis or answered for the order of the state, to balance with other types of national merit. The system of national veterans also should be improved so that some portion will be succeeded to their spouses left after the war veteran s death.

      • CuO 촉매상에서 일산화탄소의 산화반응 : 소성온도의 영향

        김의식 ( Eui Sik Kim ),박정현 ( Jung Hyun Park ),조경호 ( Kyung Ho Cho ),신채호 ( Chae Ho Shin ) 충북대학교 산업과학기술연구소 2010 산업과학기술연구 논문집 Vol.24 No.1

        CuO catalyst was prepared by surfactant-templated method using CTAB. The influence of calcination temperature on the catalytic performance of CuO catalysts for CO oxidation has been studied and their physicochemical properties were characterized by XRD, N2 sorption, and H2-TPR techniques. H2-TPR showed the existence of several forms of CuO species which were the highlydispersed CuOx species and the bulk-like CuO or larger CuO particles. The increase of calcination temperature of CuO catalyst could be directly correlated with the decrease of textural properties as surface area and pore volume and crystallite particle size. Also, CuO catalyst calcined at 300oC exhibits the highest catalytic activity, and the CO conversion achieves 100% at 175oC. Water vapor has a prohibiting effect on the efficiency of the catalyst for it competes directly with CO for the active sites on the catalyst.

      • KCI등재후보

        남북한 군대 복무환경 연구

        김의식(Eui-sik Kim) 북한학회 2012 북한학보 Vol.37 No.1

        In order for the Unification of the Korean peninsula to meet success, we must focus on building a foundation for national development and prosperity; in order to meet this goal, the stable integration of politics, the economy, society, culture, and military is an absolute necessity. During the separation, the North and the South have maintained dually alert military programs which will face great difficulty if (eventually) reconciled and integrated. In order to integrate these military forces harmoniously, many studies on the particular environment of each force will need to be conducted in so that their strengths can be maintained and adapted to one another. The Korean People’s Army was founded in 1948. After adopting ‘economy and military catching-up line’ in 1962 and establishing ‘4main military line’ in 1966, the army has steadily built up their military strength and currently maintains a force of 1,190,000. In 2006 and 2009 the Korean People’s Army carried out nuclear tests. Due to the rapid deterioration of the country’s economy in the early 1990’s rations were decreased, supplies reduced, and the term of military service extended. The extension of the military service delayed the servicemen’s entrance into the civilian world, and thus the military and civilian environment experienced social and financial exacerbation. On the other hand, ROK armed forces have grown based on ‘one side military one side economy’ policy and thus developed a balanced private defense industry. After the Seoul Olympics in 1988, ROK armed forces improved military facilities, shortened the term of military service, as well as upgraded the medical care support system. These series of changes have led us to a much further advanced, prosperous, and responsible military culture. Consequently, upon further consideration the difficulty of integrating the two militaries is not as daunting as it seems at first glance. The major issues would focus on the promises made by the North Korean government to it’s servicemen. Currently, the North Korean fulfillment of military duty affects both entrance to University programs as well as employment, or ‘work placement’. Furthermore, the North Korean army currently receives more rations than the civilian populace, thus turning the military into something of a ruling class, in which the servicemen have a disproportionate influence on society. In order to successfully implement military integration, it is important to instill a feeling of expectancy regarding the integration of lower classes of North Korean army. The Korean government should not appraise the North Korean service environment in Korean perspectives and not suggest immediate improvement of the environment on the same level as that of Korea. Although ROK armed forces are superior to The Korean People’s army according to the objective criteria, the level of satisfaction differs from individual to individual. With reference to research findings, Korea government should minimize the North Korean army’s impact, setup the proper criteria for stable integration and present integration suggestion. 한반도의 통일은 정치ㆍ경제ㆍ사회ㆍ문화ㆍ군사 등 모든 분야가 안정적으로 통합되므로써 민족의 발전과 번영의 기초가 되도록 해야 하는데, 남북한은 지난 60여년간 높은 수준의 군사적 긴장상태를 유지해왔으므로 군사분야에서의 통합은 매우 어려운 과제가 될 것이다. 특히, 서로 다른 체제에서 적응해온 병력들을 어느 한쪽으로 통합하기 위해서는 각각의 복무환경에 대한 많은 연구가 필요하다. 북한군은 1948년 창군이후 1962년에 ‘경제ㆍ국방건설 병진노선’을 채택하고, 1966년에는 ‘4대 군사로선’을 확립한 이후 꾸준히 군사력을 건설하여 현재 119만명의 병력을 유지하고 있으며, 2006년 10월과 2009년 5월에는 핵실험까지 실시하였으나, 1990년대 초반부터 급격히 악화된 경제사정으로 인해 일일 급식량이 줄어들고, 병영생활에 필요한 보급품 지급이 감소되었으며, 의무복무기간이 연장되어 사회로 진출하는 시기가 지연되는 등 복무환경이 매우 악화되었다. 반면에 한국군은 1948년 창군이후 ‘일면국방 일면건설’ 정책으로 민간ㆍ군수산업이 균형있게 발전됨에 따라 1988년 서울올림픽이후 안정된 경제력을 바탕으로 급식상태와 병영시설을 꾸준히 개선하였으며, 의무복무 기간을 단축하고, 환자들에 대한 의료지원체계를 개선하는 등 선진화 된 복무환경을 갖추고 있다. 따라서 남북한 군대의 복무환경 수준을 객관적으로 비교한다면 군사통합에 어려움이 없을 것 같으나, 북한군은 군복무 결과가 대학 진학과 직장 배치에 영향을 주고, 식량 배급 등 여러 분야에서 일반 주민들보다 우선적으로 혜택을 받으며, 군부가 북한사회에 많은 영향력을 발휘하는 특권층으로 군림하고 있으므로 한국군 주도의 군사통합에 쉽게 응하지 않을 것이다.

      • SCOPUSKCI등재

        수막종과 병발한 외투막세포 림프종

        김의식 ( Eui Sik Kim ),고평곤 ( Pyung Gohn Goh ),윤정 ( Yun Jeung Kim ),이수윤 ( Su Youn Lee ),문희석 ( Hee Seok Moon ),성재규 ( Jae Kyu Sung ),이병석 ( Byung Seok Lee ),정현용 ( Hyun Yong Jeong ) 대한소화기학회 2012 대한소화기학회지 Vol.60 No.1

        Mantle cell lymphoma (MCL) is an uncommon type of gastrointestinal lymphoma. MCL is a distinct subtype of B-cell non-Hodgkin lymphomas. The major subtype of MCL is characterized by the presence of multiple lymphomatous polyposis (MLP), in which multiple polyps are observed along the gastrointestinal tract. The malignant cells express pan B-cell marker and the T-cell marker cluster of differentiation 5. The chromosomal translocation t(11;14)(q13;q32) that causes cyclin D1 overexpression is commonly observed on the cytogenetic analysis of MCL. Survival improvement has recently been achieved for patient with MCL by the successful introduction of monoclonal antibodies and dose-intensified approaches for treatment, including autologous stem cell transplantation strategies. Some reports suggest that there is an increased incidence of second malignancies in patients with MCL or lymphoma. We report a case of MCL involving the colon; the patient was a 60-year-old man who complained of low abdominal discomfort during defecation. During the workup, a meningioma was unexpectedly discovered. On analysis, the tumor was found to be a t(11;14)-negative and non-MLP-type MCL. (Korean J Gastroenterol 2012;60:56-60)

      • KCI등재후보

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