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      • KCI등재

        Statistical energy analysis of non-resonant response of isotropic and orthotropic plates

        Chieh-Yuan Cheng,Rong-Juin Shyu,Der-Yuan Liou 대한기계학회 2007 JOURNAL OF MECHANICAL SCIENCE AND TECHNOLOGY Vol.21 No.12

        The conventional SEA model considers only the resonant part of the structural response to an acoustic excitation. Therefore, this study investigates non-resonant responses of isotropic and orthotropic plates to acoustically induced vibrations in a reverberation chamber. A modified SEA model is introduced to predict the non-resonant plate response. The estimated non-resonant and resonant responses are then compared with those obtained experimentally, and good agreement is observed for isotropic and orthotropic plates. For an isotropic plate with a small dissipation loss factor, when the non-resonant part is ignored, the estimated response can lead to significant errors at frequencies near and above the critical frequency, while large errors may occur at frequencies below the critical frequency for an orthotropic plate with a high dissipation loss factor. The experimental study indicates that the non-resonant response component should be included in the estimated responses to enhance predictive accuracy.

      • KCI등재

        Trends in incidence and survival outcome of epithelial ovarian cancer: 30-year national population-based registry in Taiwan

        Ying-Cheng Chiang,Chi-An Chen,Chun-Ju Chiang,Tsui-Hsia Hsu,Ming-Chieh Lin,San-Lin You,Wen-Fang Cheng,Mei-Shu Lai 대한부인종양학회 2013 Journal of Gynecologic Oncology Vol.24 No.4

        Objective: To investigate the changes of incidence and prognosis of epithelial ovarian cancer in thirty years in Taiwan. Methods: The databases of women with epithelial ovarian cancer during the period from 1979 to 2008 were retrieved from the National Cancer Registration System of Taiwan. The incidence and prognosis of these patients were analyzed. Results: Totally 9,491 patients were included in the study. The age-adjusted incidences of epithelial ovarian cancer were 1.01, 1.37, 2.37, 3.24, 4.18, and 6.33 per 100,000 person-years, respectively, in every 5-year period from 1979 to 2008. The age-specific incidence rates increased especially in serous, endometrioid and clear cell carcinoma, and the age of diagnosis decreased from sixty to fifty years old in the three decades. Patients with mucinous, endometrioid, or clear cell carcinoma had better long-term survival than patients with serous carcinoma (log rank test, p<0.001). Patients with undifferentiated carcinoma or carcinosarcoma had poorer survival than those with serous carcinoma (log rank test, p<0.001). The mortality risk of age at diagnosis of 30-39 was significantly higher than that of age of 70 years or more (test for trend, p<0.001). The mortality risk decreased from the period of 1996-1999 (hazard ratio [HR], 0.90; p=0.054) to the period after 2000 (HR, 0.74; p<0.001) as compared with that from the period of 1991-1995. Conclusion: An increasing incidence and decreasing age of diagnosis in epithelial ovarian cancer patients were noted. Histological type, age of diagnosis, and treatment period were important prognostic factors for epithelial ovarian carcinoma.

      • KCI등재

        Prevalence and impacts of male urinary incontinence on quality of life, mental health, work limitation, and health care seeking in China, Taiwan, and South Korea (LUTS Asia): Results from a cross-sectional, population-based study

        Ming-Chieh Cheng,Shih-Ping Liu,Yao-Chi Chuang,Karina Chin Po Hsu,Po-Ming Chow 대한비뇨의학회 2022 Investigative and Clinical Urology Vol.63 No.1

        Purpose: Male urinary incontinence (UI) is a global health issue associated with bothersome symptoms which affect daily life. This study aims to evaluate the prevalence of male UI in China, Taiwan, and South Korea and to determine if UI is an independent risk factor affecting the health-related quality of life (HRQoL), mental health, work limitations, and healthcare seeking behavior. Materials and Methods: A post-hoc analysis was conducted on the LUTS Asia database which was collated from a cross-sectional, population-based internet survey in China, Taiwan, and South Korea. Prevalence of male UI was assessed, and the effect on HRQoL, Hospital Anxiety and Depression Scale (HADS) depression and anxiety scores, work performance, and healthcare seeking behaviors was determined using univariate and multivariate analyses. Results: A total of 4,076 male participants were surveyed. Prevalence of male UI was 17.3%. UI adversely affected the HRQoL in both physical and mental domains. Both multivariate and univariate analyses showed that male UI could be correlated with a negative effect on the HADS anxiety and depression scores. Multivariate analysis suggested that work difficulties were correlated to the presence of UI. Up to 28% of participants who reported urge UI only did not adopt any management measures. Conclusions: UI is common in men over 40 years and adversely impacts HRQoL. It is an independent risk factor for anxiety and depression and may cause significant work limitations. Despite these negative effects, many men still do not seek any intervention.

      • Poster Session : PS 0589 ; Psychiatry ; Holistic Care Unit Improves Access Block in Emergency Department in Taiwan

        ( Meng Chieh Wu ),( Hsin Kai Huang ),( Chun Cheng Zhang ),( Li Sheng Chang ),( Yung Ze Cheng ),( Chien Chin Hsu ),( Kao Chang Lin ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

        Background: Emergency department (ED) overcrowding is a problem in many countries including Taiwan. Access block refers to a situation where patients in the emergency department requiring inpatient care are unable to gain access to appropriate hospital beds within a reasonable time frame (more than 8 hours total time in the emergency department). Access block is one major reason of ED overcrowding. Methods: A new holistic care unit was established in our medical center in Taiwan in July 2012, with the attending physicians including internal medicine physicians and a neurologist. The patients who required hospitalized treatment were referred to internal medicine physicians in the emergency department. The new department was comprised of seven experienced medical attending physician to take care of the patients directly, with 8-hour duty work shifts within 24 hours, in collaboration with emergency physicians, radiologists, nurses, social workers and case managers to form a team. This team had similar three-shift work duty, education and training programs, and they shared medical devices and resources. If beds in the intensive care unit or ward are not available immediately, procedures and treatment can be performed in the holistic care unit. The pediatric patients were excluded from this study. Results: In total, 26,623 patients were admitting to ward from our emergency department from August 2011 to July 2012, and 23,790 patients from August 2012 to July 2013. The rate of access block decreased from 55.29% to 50.01% ( p < 0.01) after holistic care unit was established. The mean time of ED length of stay was also improved from 18.04 hours to 15.43 hours ( p < 0.01). Conclusions: The newly established holistic care unit in our hospital improved the quality of medical care, not only physiologically but also psychologically.

      • Investigation into Shearing Behaviour of Loess-Post Harvest Waste Mixture

        ( Wen-chieh Cheng ),( Lin Wang ),( Zhong-fei Xue ) 대한지질공학회 2019 대한지질공학회 학술발표회논문집 Vol.2019 No.2

        Loess-PHW (post-harvest waste) mixture is easily accessible in Chinese Loess Plateau and widely applied to construction of the residential houses that have been utilised over decades under freeze-thaw cycles. However, the shearing behaviour of the loess-PHW mixture is rarely discussed by published literatures. Thus, a consensus has not yet reached. This study investigates the shearing behaviour of the loess-PHW mixture using small-scale and large-scale direct shear (SSDS and LSDS) tests. Four typical shear stress versus horizontal displacement curves are recognised where one is featured with strain-softening shape and the other three strain-hardening shape. Two out of the three curves with strainhardening shape present a gradual increase in the shear stress at additional displacement and larger displacement respectively. Comparisons of the shear strength measured in SSDS and LSDS are made indicating that the scatter exists between SSDS and LSDS. The effect of the PHW dosage on an improvement of the shear strength is assessed to determine the optimal dosage. The improvement is initiated with the added PHW and developed with the aid of adding more water to specimen. Particle-box interaction behaviour is also assessed, and the findings satisfactorily address the gradual increase in the shear stress observed in the strain-hardening curves. The improved shearing behaviour exhibits a great potential of application to sustainable development of urban areas.

      • KCI등재

        日本1968 の記憶をめぐる思考

        張政傑(Chang, Cheng-Chieh) 일본어문학회 2016 일본어문학 Vol.73 No.-

        日本の六〇年代末期における若者の大規模な叛乱は、一般に教科書にお いては記載されておらず、存在しない空白のように忘れられている。一方、かつて80%以上の大学キャンパスをバリケードによって封鎖していた 全共闘運動は、新聞記事、回想録、学術的な著作、文学作品、テレビ番組の特集などによって表象されている。特にマス․メディアはテレビの普及 以降、1968 という時代のイメージの形成に多大な影響力を与えている。 本稿は、キャロル․グロックの記憶論を援用しつつ、日本の1968 をテー マとした新聞記事と学術著作と文学作品における忘却と想起の闘争とその 表象を明らかにし、1968 を語る新たなパースペクティヴを提案すること を試みた。 本稿の前半では、1968 は同時代のメディアにおいていかに映されてい るのかについて分析を試みた。そして、時間の流れに従い、あいまいになっ ている1968 の記憶が、いかに回想録と学術著作と文学作品という三つの ジャンルにおいて異なる形で表象されているのか(= 回収されているのか)について考察し、その差異と限界を明らかにした。後半は1968 に関する 記憶論の検討から、映画作品の消費を考察した上で記憶の商品化と記憶の 脱領域の影響を意識しながら、複数の相対的視点によって1968 がいか に集団的な記憶に編入されたかについて論じた。最後に、日本の1968 を 語るために東アジアの1968 を有効なパースペクティヴとして提出し、そ の可能性と限界を考えながら、1968 の新たな記憶論の構築を試みた。 The large-scale revolts raised by the young generation in late 1960’s in Japan have been forgotten for a long time, even not mentioned in historical textbooks. By contrast, the Zenkyoto movement, where the 80% of university campuses in Japan were occupied by students, is represented in several genres such as news, memoirs, academic works, literature and TV shows. Especially the mass media have a powerful influence on the formation of image of “1968”. This paper addresses the issue of memories about “1968” in Japan with special reference to Carol N. Gluck’s memory theory. Further, in order to provide a new perspective to approach “1968”, I clarify the struggles between forgetting and remembering as well as the representations of them. First, I analyze how the memories of “1968” are represented by the mass media in the late 1960’s. Then I elucidate its diverse representations (= confiscations) in memoirs, academic works and literature, and discuss its differences and limitations. In the second part, based on the examination of the memory theory about “1968”, I focus on how the mass media - especially films - form the memories through the film consumption. According to this analysis, I discuss nhow “1968” was transformed into collective memories from multiple relativized perspectives. In conclusion, I attempt to construct a new methodology to approach “1968” which is based on a relative perspective - “1968” in East Asia - by considering its possibility and limitation.

      • KCI등재

        Comprehensive profiles and diagnostic value of menopausal-specific gut microbiota in premenopausal breast cancer

        Hou Ming-Feng,Ou-Yang Fu,Li Chung-Liang,Chen Fang-Ming,Chuang Chieh-Han,Kan Jung-Yu,Wu Cheng-Che,Shih Shen-Liang,Shiau Jun-Ping,Kao Li-Chun,Kao Chieh-Ni,Lee Yi-Chen,Moi Sin-Hua,Yeh Yao-Tsung,Cheng Chi 생화학분자생물학회 2021 Experimental and molecular medicine Vol.53 No.-

        In Western countries, breast cancer tends to occur in older postmenopausal women. However, in Asian countries, the proportion of younger premenopausal breast cancer patients is increasing. Increasing evidence suggests that the gut microbiota plays a critical role in breast cancer. However, studies on the gut microbiota in the context of breast cancer have mainly focused on postmenopausal breast cancer. Little is known about the gut microbiota in the context of premenopausal breast cancer. This study aimed to comprehensively explore the gut microbial profiles, diagnostic value, and functional pathways in premenopausal breast cancer patients. Here, we analyzed 267 breast cancer patients with different menopausal statuses and age-matched female controls. The α-diversity was significantly reduced in premenopausal breast cancer patients, and the β-diversity differed significantly between breast cancer patients and controls. By performing multiple analyses and classification, 14 microbial markers were identified in the different menopausal statuses of breast cancer. Bacteroides fragilis was specifically found in young women of premenopausal statuses and Klebsiella pneumoniae in older women of postmenopausal statuses. In addition, menopausal-specific microbial markers could exhibit excellent discriminatory ability in distinguishing breast cancer patients from controls. Finally, the functional pathways differed between breast cancer patients and controls. Our findings provide the first evidence that the gut microbiota in premenopausal breast cancer patients differs from that in postmenopausal breast cancer patients and shed light on menopausal-specific microbial markers for diagnosis and investigation, ultimately providing a noninvasive approach for breast cancer detection and a novel strategy for preventing premenopausal breast cancer.

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