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      • 재발한 가와사끼병(Kawasaki disease) 1례

        길홍량,한헌석,하태선,이경희,박범수 충북대학교 의과대학 충북대학교 의학연구소 1995 忠北醫大學術誌 Vol.5 No.1

        가와사끼병은 5세 미만의 영유아에서 호발하는 급성 전신성 혈관염으로 아직 원인이 밝혀지지는 않았으나 감염성질환 또는 자가면역질환 등으로 추정되고 있다. 1967년 일본의 Tomisaku Kawasaki에 의해 처음 보고되었으며 국내에서도 많은 증례보고가 있어왔다. 가와사끼병은 발열, 발진, 안결막 충혈, 사지말단의 변화, 구강과 입술의 변화, 경부 림프선증 등을 특징으로 하며, 치료로는 면역글로블린의 대량 정주요법과 아스피린이 사용되고 있으며 합병증에는 관상동맥류를 비롯한 심혈관질환이 있고 이로 인한 사망율이 1-2%정도인 것으로 보고되고 있다. 이 질환의 재발은 드문 것으로 되어 있고 일본의 한 보고에 의하면 2-3%로 추정된다. 환아는 6세 남아로 14개월 전 처음 가와사끼병으로 진단받고 감마글로블린과 아스피린을 투약 받았고 당시 심혈관질환은 없었으며 본원 내원시에는 발열, 발진, 안결막 충혈, 붉고 갈라진 입술, 좌측 림프선병증과 손, 발의 부종이 있어 가와사끼병의 진단기준을 만족하였다. 환아는 역시 감마글로블린과 아스피린으로 치료받고 증세가 호전되었으며, 심초음파 검사상 관상동맥의 확장이나 관상동맥류의 증거는 없었다. 저자들은 가와사끼병의 재발 1례를 경험하였기에 보고하는 바이다. Kawasaki disease, acute systemic vasculitis, that usually occurs in infant and young children. The etiology is unknown, but is supposed to be infectious disease or autoimmune disease. Kawasaki disease was first reprted by Tomisaku Kawasaki at 1967 and then many cases have been reported in Korea. Kawasaki disease was characterized by fever, rash, conjunctival injection, changes of extremities, changes of oral cavity and lips, lymphadenopathy and has been treated with intravenous gammaglobulin and aspirin. The complications are cardiovascular lesions including coronary aneurysm and coronary thrombosis. Mortality is approximately 1-2%. Recurrence is rare and 2-3% in Japanese reports. A 6-year-old boy presented with the fever, rash, conjunctivitis, red fissured lips, left lymphadenapathy, and hands and feet edema. He had been treated with intravenous gammaglobulin and aspirin for Kawasaki disease 14 months ago. At that time, he didn't have cardiovascular lesion. He was also treated with intravenous gammaglobulin and aspirin at this episode. We didn't detect coronary artery dilatation or coronary aneurysm. So, authors report a case of recurrent Kawasaki disease.

      • KCI등재

        인도 스와데시 운동의 성격에 관한 연구

        조길태 서울대학교 국제지역원 1995 국제지역연구 Vol.4 No.4

        스와데시 운동은 그 성격상 영국상품을 배척하는 보이코트 운동과 밀접하게 연결될 수 밖에 없었다. 스와데시가 긍정적 의미를 가지고 있다면, 보이코트는 부정적이었다. 그러나 두 운동은 상호보완적이었으며 외국 상품에 대한 배척없이는 自國商品의 애용운동은 효과적일 수 없었다. 스와데시 운동의 본격적인 시작은 오직 행정적 능률만을 강조한 커어즌(Lord Curzon)총독의 벵골州 분할조치에 대한 항거의 표현으로 나타났다. 國民會議를 중심으로 한 인도 국민지도자들은 벵골州 분할이 결국 동질적인 벵골 주민을 힌두와 모슬렘으로 분리 대립시킴으로써 민족주의 세력의 약화를 도모하려는 분리통치의 제국주의적 책략이라고 비난하였다. 각계각층이 카스트와 교의에 구별없이 자발적으로 일어나 고동으로 저항하였다. 스와데시.보이코트 운동이 주요 목표로 삼았던 것이 품질 좋은 만체스터 수입 면직물이었지만 벵골 지방의 上位카스트에 속한 교육받은 중간계급이라고 할 수 있는 바드라록 계급이 이 애국운동에 적극적으로 다수 참여한 점이 주목할 만하다. 스와데시 운동은 인도민족주의운동 내지 독립운동에서 새로운 전환점을 마련하였다. 국민 대중의 마음속에 민족의식의 씨앗을 심어준 사건이 스와데시 운동이었다. 스와데시 운동을 계기로 조용한 국민회의 활동이 하나의 거대한 민족주의운동으로 변모하였다. 국민회의가 교육받는 중간계급을 공동의 광장으로 이끌어 냈다면, 일반대중을 공동의 광장에서 규합했던 것은 스와데시 운동이었다. 따라서 스와데시 운동은 간디의 汎國民的인 대규모 사티야그라하 운동의 豫行演習과 같은 것이었다. This paper traces the British imperialistic policy in Bengal, India, and the growth of the Swadeshi Movement from 1903 to 1908. The Swadeshi literally meaned "of one's own country", or "manufactured in one's own country" was to be certain to associate with the Boycott Movement which aimed at to abstain from the purchase of British manufactures. Swadeshi was positive in character while Boycott was negative. But the two terms were complementary. Swadeshi would have remained an impotent and aesthetic idea without boycott of foreign goods. The Swadeshi Movement was begun as an expression against the partition of Bengal planed by the Viceroy, Lord Curzon who was an ardent admirer of the doctrine of efficiency. The government regarded the size of the province to be too unwiedly to be properly administered by a single person, the lieutenant governor of Bengal. Many of the leaders of Indian people looked upon the partition as an imperialistic scheme on the part of the Viceroy government to isolate the Muslims from Bengal and to keep the homogeneous Bengali speaking commuity under two divided administration. The Indian National Congress and other nationalist bodies interpreted unfavorably the partition as tactics related to the weakening of national unity. When the partition scheme came to be known to the public of Bengal, the Congress leaders and inhabitants of the province rised to make resistance against the 'divide and rule' policy of the government. All sections of the Indian community have been moved by a common impulse without distinction of caste or creed and acted together in offering resistance to a common wrong. Even though it was against the superior cotton goods of Manchester that the Swadeshi and Boycott movements were mainly directed, what is worth special attention was the fact that the Bhadralok class was active participants in the anti-partition movement. The Swadeshi movement constituted a landmark in the history of Indian nationalist movement. It was the Swadeshi movement that planted the seeds of national self-consciousness in the minds of the great masses. The Swaseshi movement brought about a change in the nerveless attitude of the Congress towards the government and opend the way to the vigorous nationalist movement. While the Congress brought the educated middle classes on the same platform, it was the Swadeshism that rallied the classes and the masses together on the open forum. So the Swadeshi movement may be said as a rehearsal of the future massive Satyagraha Movement which Mahatma Gandhi will take the lead in the independence movement.

      • 도시녹지의 대기환경개선 효과 : 서울시 중구를 중심으로;Focusing on Jung-gu in Seoul

        조현길,조용현,안태원 江原大學校 附設 環境硏究所 2003 環境硏究 Vol.20 No.-

        This study explored effects of urban greenspace on improving atmospheric environmcnt, which is concerned with CO₂, SO₂and NO₂ uptake, and with reduction of summer air temperatures. The site of this study was focused on Jung-gu in Seoul. Tree density and cover were1.1trecs/l00 m₂and 12.5% respectively for the study area except forest lands. Atmospheric purification by greenspace was associated with changes in tree cover per unit area of each land use type. The mean C02 storage by woody plants was 19.4t/ha, and annual uptake averaged 2.2t/ha/yr for C0₂, 1.9kg/ha/yr for SO₂and 5.0kg/ha/yr for NO₂. Entire tree plantings in the study area played a significant role by annually offsetting CO₂emissions of about 1,8301 from fossil fuel consumption by 330 persons, SO₂emissions of 1,620kg by 1,080 persons, and NO₂emissions of 4,230kg by 450 persons. The smnmer air temperature was 3.6℃ cooler at a location with 54% cover of woody plants and 4.5℃ cooler at a forest site with 100% cover, compared to a place with no planting. A 10% increase of woody plant cover was estimated to decrease slimmer air temperature by approximately 0.6℃ until a certain level of canopy cover. Analyzing data from the Automatic Weather Stations in Seoul revealed that increasing tree cover decreased mean air tern-perature for the smruner season (Jun∼Aug) in a nonlinear function. Woody plant cover was the best predictive variable of summer temperature reduction. The results from this study are expected to be useful in emphasizing the environmental benefits and importance of urban greenspace enlargement, and in urging the necessity for planting and management budgets.

      • 초등학교 자연과 교사용지도서 활용에 관한 분석

        유병길,이태우 부산교육대학교 과학교육연구소 1999 科學敎育硏究 Vol.24 No.-

        There is a gap between intended-curriculum and executed-curriculum. Teachers have many problems in practice when teachers execute intended-curriculum. In light of this, teacher's guide has very important roles in that teachers depend on teacher's guide when they teaches their learners. In this paper, we analyze problems with teacher's guide when they use it, and suggest some improvements.

      • 道德的 價値와 人間性 : Spinoza 및 Hume의 見解를 中心하여 On Spinoza and Hume as Ethical Relativists

        金泰吉 연세대학교 대학원 1962 延世論叢 Vol.1 No.1

        The ethial relativism which holds that moral values are necessarily dependent on some sentient being's attitudes, especially human attitudes, seems to have influence over many contemporary moral philosophers. Few, however, would be really satisfied with the sceptical conclusion that moral standards cannot have any vapidity, Thus empirical minds ask themselves whether it is possible for an ethical relativist to find some valid criteria of morals. The present writer regards Spinoza and Hume as classic relativists in the ethical field who have sought to avoid moral anarchism in spite of their relational view-points. It is the main purpose of this paper to study the basic conceptions through which Spinoza and Hume attempted to find universal criteria for morals from their relativrstic point of view The main criticism brought forth in this paper against both Spinoza and Hume is that they did not make clear ditsinction between the factual and normative aspects of ethical inquiries. When Spinoza says, for example, that human goods are what are desired by man, it is not quite clear whether he is passing a psychological fact-judgment or an ethical value-jvdgmeut. Doubtless both Spinoza and Hume were chiefly engaged in analytic probems even when they concerned themselves with ethics. But the present writer believes that they were something of the moralist. And it seems to have been this moralirtic side which made them endeavor to find some univeral grounds for morals. Spinoza showed, to some extent, what is universally desired by man. Hume believed that he had explained how moral sentiments, though they are not given a priori, can universally agree with each other. But their psychological enquiries as such cannot afford any universal criterion for morals since purely factual propositions do not, in principle, involve any normatwie principles. It seems to be the task of contemporary ethical philosophers to find principles which may bridge the gap between a factual proposition and a normative one. The present writer suggests that there may be two ways of approach towards these "bridging principles."

      • 증기발생기 전열관 검사를 위한 차동형 원격장와전류 탐촉자 설계

        신영길,신상호,정태언 국립7개대학공동논문집간행위원회 2001 공업기술연구 Vol.1 No.-

        As steam generator (SG) tubes have aged, new and subtle flaws have appeared. Most them start growing from outside the tubes. To find outer diameter defects more easily, the author had shown that the remote field eddy current (RFEC) technique, which had shown equal sensitivity to inner diameter (ID) and outer diameter (OD) defects, is feasible for the inspection of SG tubes. Based on the results obtained in that study, this paper designed a differential RFEC probe and studied the characteristics of differential RFEC signal. Finite element modeling studies show that the differential signal still has the equal sensitivity to ID and OD defects and at the same time it is possible to distinguish one from the other. Also noticed is that there is few degrees of signal rotation but sensitive changes in signal length when the depth of small defect varies. If the volume of defect is large, the changing rate of signal length is higher than that of defect size variation. The characteristics of signal show that the proposed differential RFEC technique can be a good alternative for the initial inspection of SG tubes.

      • SCOPUSKCI등재

        간세포암의 십이지장침윤에 의한 상부위장관 출혈 1 예

        유태현,한광협,박성하,김형길,문영명,한재호,조상호 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.2

        Recent advances in both the diagnosis and treatment of hepatocellular carcinoma have improved the prognosis and changed the clinical significance of the recently increasing distant metastases. Distant metastases found after successful treament of the primary lesions are of great clinical significance for the treatment of hepatocellular carcinoma. The duodenum is a rare site of hematogenous metastases or direct invasion from hepatocellular carcinoma. A 23 year old man was admitted with upper gastrointestinal bleeding. He had been diagnosed with hepatocellular carcinoma and treated by a left lobectomy and chemoembolization. The patient was admittted for 12 months after the treatment of the primary tumor. Endoscopic examination revealed a mass in the duodenal bulb that protruded into the lumen. He died due to massive hematemesis. We report on a rare case of hepatocellular carcinoma with duodenal invasion in a 23-year-old male patient.

      • 韓國 現代 公演場建築의 使用者評價에 관한 硏究

        이태은,유길준 동아대학교 건설기술연구소 2000 硏究報告 Vol.24 No.2

        The main purpose of this study is to give the basic information for the planning of the theater through the taxonomy of the needs of performing artists in various genre. The results of this study are as follows: 1) the evaluation points of performing artists are below than average. It means that there are many things to improve in such parts of the performing environment as acoustics, lightings, stage hygiene, narrow distance between front and rear seat, a dead angle zone in auditorium, excessively wide stage and auditorium, lack of convenience facility and lack of green room etc. in today's Korean theaters. 2) Korean theater have the tendency that intensifies variety and contiguity in the composition of the main space. It is needed to have the stage and auditorium types which improve the variety, flexibility and contiguity. 3) The purpose and characteristics of use must be considered in the planning and investment of theater buildings. It must be possible to promote the adaptability for various genre of performing arts in multipurpose theater which are majority of today's domestic theater buildings. And the development and adoption of the floor plan types for specialized theaters are also needed. It gives better sympathy between performing artist and audience, and helpful for the accommodation of various performing arts. 4) The planning directions for the theater must have the various ways of approach which are specialized and multi-used according to the size of city, population and location etc. 5) The theater for the future needs to have the flexible main space which never restraint writer's and producer's imagination, and it also demands the equipmentizing of theater building to accommodate various performing arts and to make the interchange between various genre possible in transitional period.

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