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      • KCI등재

        Anesthetic management for emergent Cesarean section in a patient with toxic epidermal necrolysis -A case report-

        이정향,양현정,양병국,이수연,박정현,김동현 대한마취통증의학회 2010 Korean Journal of Anesthesiology Vol.59 No.-

        Toxic epidermal necrolysis (TEN) is rare but serious cutaneous reaction with significant mortality and long-term morbidity. Various etiologies, particularly numerous medications and infectious agents have been implicated. It is characterized as inflammatory bullous lesions of the skin and mucous membrane and can develop serious complications such as pneumonia, pneumothorax, sepsis and renal failure. In general, patients with TEN are managed as severe second-degree burn patients with preventing excessive fluid deficit and infections. In this case,we aimed to present anesthetic management of a 26-year-old pregnant woman with TEN who received general anesthesia during emergent cesarean section.

      • KCI등재

        Amniotic fluid embolism that took place during an emergent Cesarean section -A case report-

        이정향,양현정,김지형,이수연,길현주,김병국,김민구 대한마취통증의학회 2010 Korean Journal of Anesthesiology Vol.59 No.-

        Amniotic fluid embolism (AFE) is a rare but fatal obstetric emergency, characterized by sudden cardiovascular collapse, dyspnea or respiratory arrest and altered mentality, disseminated intravascular coagulation (DIC). It can lead to severe maternal morbidity and mortality, but the prediction of its occurrence and treatment are very difficult. We experienced a case of AFE during emergent Cesarean section in a 40+6 weeks healthy pregnant woman, age 33. Sudden dyspnea, hypotension, signs of pulmonary edema and DIC were developed during Cesarean section,and cardiac arrest followed after these events. The course of these events was so rapid and catastrophic, which was consistent with AFE. Thus, we report this case precisely and review pathophysiology, diagnosis, treatment of AFE by referring to up-to-date literatures.

      • KCI등재후보

        제왕절개술을 위한 척추 마취 시 0.5% 고비중 bupivacaine에 혼합된 fentanyl의 용량에 따른 임상적 비교

        이정향,정금희,양현정,이종연,홍승기,권대은,전덕희,송지은,이병상,정성희 대한마취통증의학회 2012 Anesthesia and pain medicine Vol.7 No.3

        Background: Spinal anesthesia for cesarean section is widely used technique for rapid induction, high success rate and excellent intraoperative and postoperative analgesia. Potentiating the effect of intrathecal local anesthetics by addition of opioid for cesarean section is well known. In this study, we compared the clinical effects when different doses of fentanyl were combined with intrathecal hyperbaric bupivacaine. Methods: Ninety six healthy term parturients were randomly divided into four groups: Group C (control), : Group F10 (fentanyl 10 μg), : Group F15 (fentanyl 15 μg), F: Group F20 (fentanyl 20μg). In every group, 0.5% heavy bupivacaine was added according to the adjusted dose regimen. We observed the maximal level of the sensory block and motor block, the quality of intraoperative analgesia, the duration of effective analgesia and the side effects. Results: There were no significant differences between four groups in maximal level and recovery rate of sensory and motor block. Quality of intraopertive analgesia and muscle relaxation was increasing by increasing dosage of intrathecal opioids. Duration of effective analgesia was significantly prolonged in Group F15 and F20 than Group C and F10, but there were no differences between Group F15 and F20. And the frequencies of side effects such as hypotension, max sedation level were increasing by increasing dosage of intrathecal opioids. The Apgar scores were normal, and there were no differences between the four groups. Conclusions: The addition of fentanyl 15 μg for spinal anesthesia provides adequate intraoperative analgesia and good postoperative analgesia without significant adverse effects.

      • KCI등재후보

        결혼이민여성의 인권행위에 관한 탐색적 연구

        이정향 사단법인 한국민족연구원 2013 민족연구 Vol.0 No.53

        Marriage migrant women brought into the Korean society since the early 1990s have been the focus of the discussion on a multicultural society. It is highly likely that marriage migrants are vulnerable to human rights violations such as domestic violence, financial difficulty, and discrimination in the community. In addition, they are more likely to be subject to conflicts in the family and difficulties of children's education due to the cultural difference. Multicultural Family Support Act was enacted for the purpose of their adjustment to our society and social integration, however, it is pointed out that the Act fails to fully protect their human rights. In the eye of marriage migrant women the discrimination still remains in our society. A fact finding survey on the human rights acts showed that 46.2%, 238 out of 510 participants experienced discrimination. Although most of the discrimination by the state was corrected, the discrimination in daily life can not be solved only by the political ideology of multiculturalism in light of the limit of law and people's prejudice against marriage migrant women. Human rights acts are defined as the acts that a person, the subject of rights with personality, demands fair treatment and protests against the discrimination in the face of unfair treatment and discrimination. Focused on the human rights acts of marriage migrant women, this study aims to examine the meaning and value of their human rights acts and explore the clue for the correction of the discrimination through the comparative analysis of groups with and without human rights acts against the discrimination.

      • KCI등재

        <특집> 한국사회 이주민의 생활세계 : 다문화사회에서의 인종차별 -일본의 [외국인] 차별사건을 중심으로-

        이정향 ( Jung Hyang Lee ) 한국민족연구원 2015 민족연구 Vol.0 No.62

        Today, dubbed as the era of migration or moving world, the borders of nation-states have been blurred by the sharp increase of migration in the Asia-Pacific region and this is also the case in Korea, a racially homogeneous country. As noted by the United Nations Special Rapporteur on racism, Mutuma Ruteere, who visited Korea last year, our government has enacted a wide-ranging anti-discrimination law, thereby building on the progress made in addressing the issue of discrimination at the institutional level. However, awareness-raising of foreigners or migrants is not done in a short time, in the meantime, they are vulnerable to racial discrimination at the individual level. There was an incident of racism in Busan in September 2011. A naturalized marriage migrant woman from Uzbekistan was refused access to a sauna, but this case did not receive a complaint from a victim. Unlike the Korean case, in 1999, when foreigners living in Japan were refused access to a public bath, they filed a suit against the public bath and Otaru city for racial discrimination. This case was settled in January 2005 by the Supreme Court ruling. Japan has an experience of colonial rule, causing more diverse migration from foreigners compared to Korea. Although there are regional differences between foreigners staying in Japan and the regionally specific multicultural policy is enacted by the local government, anti-discrimination legislation at the national level has yet to be adopted. The issue of private acts of racism, that is, racial discrimination has never been addressed in a South Korean court, while discrimination cases were raised by foreigners or naturalized citizens in Japan, leading to compensation for damages. The compensation for damages or judicial precedents is based on the convention on the elimination of racial discrimination, signed by Japan as well as Korea. This study aims to examine the interpretation of the law applied to the settlement of disputes or legal relief against discrimination in a multicultural society by explaining the case of a refusal of access to a public bath in Otaru and discussing points of judicial precedents.

      • KCI등재

        한국 이주 노동자의 “사이버 공동체”에 관한 연구

        이정향(Lee Jeong Hyang),김영경(Kim Yeong Kyeong) 한국지역지리학회 2013 한국지역지리학회지 Vol.19 No.2

        본 연구의 목적은 한국 이주 노동자의 근접성 없는 공동체 중 사이버 공동체의 특성과 공동체에서 형성되고 재생산되는 사회적 자본과 한국 사회에서의 문화적응과 관련성에 대한 고찰이다. 연구 결과 이주 노동자 사이버 공동체 참여 특성에 의하면 민족 단위의 사이버 공동체와 비 민족 공동체 간에는 응집의 강도(强度), 공간 제한성, 외부 사회와의 연결성 등에서 차이가 나타났다. 민족단위의 공동체는 ‘국지화된 공동체’ 유형의 특징을 보이고 있으며 주된 참 여 동기는 협업과 공유 보다는 구성원 간의 ‘소통과 친목, 교류’ 등이며 이를 위해 소통·관계형 매체를 주로 이용하는 것으로 나타났다. 이에 비해 비 민족 단위의 공동체는 ‘통합형’ 유형의 특징을 지니고 있으며 ‘필요한 정보를 획득하기 위해서’ 참여하는 비율이 비교적 높으며 가입 절차의 까다로움이나 한국어로 정보가 제공되는 점 등이 참여의 어려움으로 부각되고 있다. 사이버 공동체 내부에서 이주 노동자 속성에 따른 사회자본의 유의미한 추의는 보이지 않았으나 사회자본 요소인 신뢰, 규범, 네트워크, 정치 참여의 네 범주는 서로 유의한 관련성을 보이고 있다. 사이버 공동 체 사회 자본이 한국 사회에서의 통합형 문화적응에 정비례적인 영향력을 가지는 것으로 나타나고 있으며 특히 이주 노동자의 사이버 공동체에서 형성되는 정치 이슈 토론, 개인(인권) 문제 토로, 시민운동 참여 등이 다문화사회에서의 문화적응과 밀접한 관련성이 있음을 보여주고 있다. 이와 같은 연구의 결과로 한국 이주노동자의 사이버 공동체가 한 국의 원 문화와 이주 문화가 소통하고 통합되는 부분에서 중요한 매개로 작동되고 있음을 알 수 있으며 향후 긍정적인 사회. 문화적 호명의 대상이 될 필요성이 있음을 확인할 수 있다. This study aims to investigate the characteristics of cyber communities composed of migrant workers from communities without propinquity in Korea. Its methods are both qualitative and quantitative. It further seeks to discover the relationship between the social capital formed and reproduced within these cyber communities and participants` cultural adaptation to Korean society. The study revealed that ethnic and non-ethnic communities differed in terms of strength of cohesion, space constraints, and links with the outside world. The former showed characteristics of a localized community type. The main motivations for migrant workers` participation in the ethnic cyber community were communication and friendship rather than cooperation and sharing among members. They usually used cyber communication media to communicate with one another. Conversely, the latter showed characteristics of an integrative type. Despite the difficulties in applying for membership and information provided in Korean, a high percentage of migrant workers participated in the community to obtain crucial information. The results did not show a significant correlation between social capital and migrant workers` traits within the cyber community, while a strong correlation emerged among four factors of social capital: faith, norms, networking, and political participation. The study showed that social capital in the cyber community was in direct proportion to an integrative type of cultural adaptation to Korean society. In particular, there was a strong connection between the cultural adaptation exhibited by members of the migrant subculture and their participation in discussions on political issues and human rights, with some migrants even functioning as agents of social change as participants in citizens` movements. The findings suggest that the cyber community facilitates the migrant subculture`s communication with and integration into the indigenous Korean culture. Migrant workers` participation in the cyber community is therefore validated as an instrumental practice for members of this subculture to adapt to Korean society.

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