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      • 소아의 천공성 충수염에 대한 임상적 고찰

        김재천 의과학연구소 1989 全北醫大論文集 Vol.13 No.1

        A retrospective survey of 150 children 15years of age and younger treated for perforated appendicitis during a period of 13 years was conducted. A 77.8 porcent incidence of perforation was noted in the group under the age of five, after which the frequency of perforation declined, and operative finding of diffuse peritonitis was observed most frequently(42.7%). Atypical sequence of symptoms was shown in 62.0 percent and the only one symptom was complained in 52.7 percent at the time of hospital admission, but there were one or more physical signs indicating laparotomy in all the patients. The specific causes of delayed treatment were presented in 22.0 percent, and misdiagnosis was the most common among them(19.3%). There was no nortality and the overall complication rate was 49.3 percent. The most common complication was wound infection(36.7%), and others were adhesive ileus(17.3%), intraabdominal abscess(4.0%), wound dehiscence(3.3%), etc. According to operative findings, a complication rate of 60.9 percent in the cases associated with diffuse peritonitis was greater than those noted in the cases associated with localized peritonitis(33.3%) and periappendiceal abscess(46.0). (p<0.05). Concerning the timing administration of antibiotics with regard to the incidence of infectious complications, preoperative use was not effective compared to postoperative use statistically(368% vs 52.9%). (p>0.05). In regard to the incidence of wound complications, Davis-Rockey skin incision was more effective than right paramedian incision statistically(20.0% vs 41.7%). (p<0.05). As regards the incidence of abdominal complications according to operative methods, appendectomy was the best method compared to appendectomy with drainage, right hemicolectomy with drainage or drainage(11.5% vs 54.7%, 50.0%, and 40.0% respectively). (p<0.05). In the 10.5 percent among the 124 patients who underwent drainage procedure with/without appendectomy or right hemicolectomy, reoperation was done due to various complications. Incidence of drain-related complications such as wound infection, adhesive ileus and others was 54.0 percent in the drainage group and 11.5 percent in the nondrainage group, and the difference was significant statistically(p<0.05). Among the various methods of operative wound management to prevent infection, primary wound closure after high pressure syringe irrigation with saline or 0.5% kanamycin solutions was the most efficient method to decrease the rate of wound infection(4.8) compared to other methods, i.e. primary closure after simple irrigation(46.3%) or delayed primary closure after simple or high pressure syringe irrigation(57.7%) with the above mentioned solutions(p<0.05). This study suggests that use of adequate systemic antibiotics from preoperative period, transvorse skin incision, and primary wound closure after high pressure syringe irrigation and avoidance of drains woud significantly decrease the sequelae from perforated appendicitis in children.

      • KCI등재
      • 선천성 보흐다레크 횡격막 탈장 - 대한소아외과학회 회원 대상 전국 조사 -

        김재천,김대연,김상윤,김성철,김인구,김재억,김해영,김현영,박귀원,박우현,박진영,백홍규,서정민,송영택,오수명,이남혁,이두선,이명덕,이석구,이성철,정상영,정성은,정연준,정을삼,정풍만,Kim, Jae-Chun,Kim, D.Y.,Kim, S.Y.,Kim, S.C.,Kim, I.K.,Kim, J.E.,Kim, H.Y.,Kim, H.Y.,Prak, K.W.,Prak, 대한소아외과학회 2006 소아외과 Vol.12 No.1

        This is a survey on congenital posterolateral diaphragmatic hernia, conducted by the Korean Association of Pediatric Surgeons(KAPS). A registration form for each patient during the 5-year-period between 1998 and 2002 and a questionaire were sent to each member. Twenty-ninemembers in 22 institutions returned completed forms. The average number of patients per surgeon was 1.4 cases a year. The male to female ratio was 1.64: 1, and annual incidencewas 1/14,522 live births. In this review, factors influencing survival in congenital posterolateral diaphragmatic hernia were age at admission, birth weight, time of antenatal diagnosis, birth place, Apgar score, onset time of symptoms and signs, preoperative cardiopulmonary resuscitation, associated anomalies of themusculoskeletal system, central nervous system, or chromosomes, preoperative stabilization, levels of preoperative $FiO_2$, pH, and $AaDO_2$, perioperative complications, bilaterality of defect, size of the defect, and presence or absence of hernia sac.

      • KCI등재후보

        Religious Nationalism and India’s Policy toward the US and China: A Second Image Analysis of India’s Hedging Policy

        김재천,강 윌리엄,주인애 한국외국어대학교 글로벌정치연구소 2019 글로벌정치연구 Vol.12 No.2

        Under the leadership of Narendra Modi, India has pursued a hedging policy against China by seeking much closer alignment with the United States and at the same time maintaining stable bilateral diplomatic relations with China. Such policy behavior of Modi’s government is considered deviant from the past foreign policy decisions conducted by the previous Prime Minister, Manmohan Singh. This paper argues that one of the key determinants to India’s hedging against China is the political ideology of Modi’s Bharatiya Janata Party. The underpinning ideology of Hindu nationalism led the policy decision makers to depart from previous Nehruvian principle and to react more sensitively to India’s security challenges

      • KCI등재

        Neutron Science Facility for Neutron Time-of-flight and Fission Cross-section Measurements at RAON

        김재천,김기동,손재범,이철우,이영욱 한국물리학회 2015 THE JOURNAL OF THE KOREAN PHYSICAL SOCIETY Vol.66 No.3

        In the middle of 2018, a heavy-ion accelerator complex that will be built in South Korea plans toprovide the first primary beams into the neutron science facility (NSF) for producing fast neutrons. Deuteron with a maximum energy of 53 MeV and protons with a maximum energy of 88 MeVaccelerated by superconducting driver linac (SCL1) will be delivered into the target hall at theNSF. A pulsed neutron beam will be provided for neutron time-of-flight (TOF) and neutron-inducedreaction cross-section measurements. At the NSF, white and mono-energetic fast neutrons will beproduced when either a deuteron or a proton beam bombards a light nuclei target such as C andLi. Preliminary thermal calculations have been performed with a rotating C (graphite) target andits maximum temperature was about 530◦C, much less than its melting point. For neutron TOFmeasurements, two flight paths of 5 m and 20 m are considered for high-flux and low-energy neutronbeams, respectively. Basically, 0◦and 30◦neutron collimators will be considered to obtain variousneutron energies for the neutron TOF measurements. A clearing magnet is used to deflect theproton beam to a beam dump when it crosses a thin target. In addition, the neutron beam dumpwill be designed to generate a background due to back-scattered neutrons and photons that shouldbe as low as possible in the TOF area. Fission cross-section measurements with a few percentuncertainties are set to be a short-term ultimate goal after building the neutron TOF facility atthe NSF. In order to achieve few-percent fission cross-section measurements at the NSF, we plan toemploy a time projection chamber (TPC). It can measure charged particle trajectories in the activevolume in three dimensions, as well as the energy deposition, and it can significantly improve theaccuracies of the fission cross-section measurements.

      • KCI등재후보

        惡과 苦의 비교연구 ─ 기독교와 불교의 인간세상 해석 ─

        김재천 동국대학교 동서사상연구소 2011 철학·사상·문화 Vol.0 No.12

        I want to know what the problem of the world is, and what the solution of it is in Christianity and Buddhism. It provide the world for evil, and the sin of the mortal is the cause of the evil in Christianity. If human being lives up to action the love to God and neighborhood and offers a prayer with modesty, peace, justice, and joy comes on world. It is a Heaven. People is filled with suffering in Buddhism. The ignorance of mankind on the truth and thirsty with attachment is the cause of it. Suffering and agony will disappear with the mercy to all people and 8 right path. It is a nirvāṇa. The metaphysical principle of world system is God's providence in Christianity and retribution followed with man's action in Buddhism. That is the difference in the two religions. 기독교와 불교에서 세상을 어떻게 보고 있으며, 그 문제점에 대한 해법은 무엇인지 알아보고자 한다. 기독교에서는 세상을 악의 세계로 규정하고 있으며 자유의지를 오용한 인간의 죄가 그 원인이라고 한다. 인간이 신과 이웃에 대한 사랑을 실천하고 겸허하게 기도하는 자세를 갖게 된다면 평화와 정의와 기쁨이 넘치는 세상이 도래한다고 하며, 그것이 천국이다. 불교에서는 세상을 고통이 가득한 것으로 보고 있으며, 인간의 진리에 대한 무지와 욕망과 집착으로 이루어진 갈애가 그 원인이라고 한다. 만인에 대한 자비행과 팔정도라는 수행법에 의해 번뇌는 소멸하게 되니, 그것이 열반이다. 세상을 움직이는 형이상학적 원리에 대해서는 신의 섭리와 인간 각자의 행위에 의한 인과법이라는 차이를 보이고 있다.

      • KCI등재

        바이올린 음원을 이용한 스펙트랄 롤오프 포인트의 최적점 검출

        김재천,Kim, Jae-Chun 한국컴퓨터정보학회 2007 韓國컴퓨터情報學會論文誌 Vol.12 No.1

        음악을 분류하기 위해 특성함수를 사용하여 추출한 특성값 벡터를 사용한다. 본 실험에서는 특성값 벡터를 추출하기 위해 스펙트랄 롤오프, 분산, 평균 피크레벨을 사용하였다. 이중에서 스펙트랄 롤오프는 저음프레임과 고음프레임의 상대적인 비를 나타낸다. 최적의 롤오프 포인트를 찾기 위하여 롤오프 포인트를 0.05에서 0.9까지 0.05간격으로 증가시키며 반복실험 하였다. 롤오프 포인트를 증가시키며 분류성공률을 관찰하였다. 그리고 실험에 사용된 음원데이터는 바로크바이올린과 현대바이올린 연주이다. 두 종류의 악기는 모양과 주파수대역에 있어서 유사하지만 약간의 대역차와 질감의 차이를 가지고 있다. 이러한 특성이 최적의 롤오프 포인트를 찾는데 유용할 것으로 판단하였다. 실험결과 롤오프 포인트 0.85에서 가장 높은 분류성공률 85%를 나타냈다. Feature functions were used for the classification of music. The spectral roll-off, variance, average peak level, and class were chosen to make up a feature function vector. Among these, it is the spectral roll-off function that has a low-frequency to high-frequency ratio. To find the optimal roll-off point, the roll-off points from 0.05 to 0.95 were swept. The classification success rate was monitored as the roll-off point was being changed. The data that were used for the experiments were taken from the sounds made by a modern violin and a baroque one. Their shapes and sounds are similar, but they differ slightly in sound texture. As such, the data obtained from the sounds of these two kinds of violin can be useful in finding an adequate roll-off point. The optimal roll-off point, as determined through the experiment, was 0.85. At this point, the classification success rate was 85%, which was the highest.

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