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Objective:Terminal myelocystocele(TMC) is a closed form of neural tube defect, presenting a large, fully epithelialized, cystic lumbosacral mass containing fat, cerebrospinal fluid and neural tissue. This report demonstrates the clinical manifestation, surgical management, and the outcome of TMC patients. Methods:The medical records of the six patients(male/female=3/3) with surgically and histologically proven TMC, registered between 1991 to 2001, were retrospectively reviewed. The initial presentation, features of the lumbosacral mass, urodynamic study, motor function of the lower extremity, the age at the repair and postoperative status were investigated. Results:Initial symptoms and signs were low back mass, urinary/fecal incontinence, and lower limb deformity. One patient was associated with cloacal exstrophy, one patient had imperforated anus, and three patients had foot anomalies. All patients had urological problems on urodynamic study. Neurosurgical correction of the TMC was undertaken at the median age of three months. The mean follow-up period was 71 months(range:9-136 months). Four patients voided with clean intermittent catheterization postoperatively. One patient underwent augmentation ileocystoplasty and Malone operation. One patient had orthopedic operation. Conclusion:Understanding about the characteristic features of TMC and its embryogenesis is necessary for the diagnosis of this entity. For the management of the TMC, early prophylactic surgical intervention is recommended to prevent secondary deterioration in neurological function. Postoperatively all patients must be followed-up long-termly on urological function and lower extremity status. Key words:Terminal myelocystocele;Occult spinal dysraphism;Lumbosacral mass.
A four year old boy was admitted to the hospital due to an open skull fracture and severe cerebral contusion with acute subdural hematoma caused by head trauma. The patient underwent emergency operation by craniectomy and duroplasty. Five weeks later, he received a second operation in which autologous cranioplasty and duroplasty was applied using artificial dura mater (Redura), but he experienced transient severe thrombocytopenia immediately after the second operation, necessitating that he receive three platelet transfusions. The patient fully recovered from thrombocytopenia six days after operation. Here, we report a case of abnormal response resulting in acute severe transient thrombocytopenia immediately after cranioplasty using artificial dura mater. The experience of this case suggests that close cooperation with the blood bank is required before a cranioplasty, since severe thrombocytopenia may occur during surgery when employing an absorbable artificial dura mater. 4세 남아가 두부 외상이 발생하여 개방성 두개골 골절과 급성 경막하혈종을 동반한 중증대뇌부종으로 병원에 내원하여 응급수술로 두개골절제술 및 경막성형술을 시행하였다. 5주간의 치료이후 2차 수술로 두개골 성형술 및 인공경막(Redura)을 이용하여 경막성형술을 시행하였으나수술 직 후 급성중증혈소판감소증이 일시적으로발생하였다. 환자는 수술 시행 6일 이후 혈소판감소증에서 완전히 회복하였다. 저자는 두개골성형술 및 인공경막을 이용하여 경막성형술을 시행한 환자에서 이상반응으로 급성중증혈소판감소증을 경험하였던 환자를 보고하는 바이다. 본증례의 경험으로 흡수성 인공경막을 사용하는 수술에서 중증혈소판감소증이 발생할 수 있으므로수술 전에 혈액은행과 긴밀한 협력이 필요할 것으로 여겨진다.
This study investigated the difference between loanword of North-South Korean from the perspective of natural language processing and discussed effective ways to build up the North Korean corpus. Chapter 2 examined trends in research on existing North-South Korean loanword and pointed out that discussions on processing information on North-South Korean loanword are insufficient. In Chapter 3, the differences in loanword, which showed a lot of heterogeneity of North-South Korean languages, were examined by type through the headings of large dictionaries Urimalseam and Joseonmaldaesajeon. First, the type of difference in notation, second, the type of difference in etymology, and third, the type of difference in vocabulary due to socio-cultural factors were divided and explained through actual examples. Chapter 4 discussed how to deal with North Korean loanword for the construction of North Korean corpus. In terms of lexical aspects, etymological aspects, phonological aspects, notation aspects, and socio-cultural vocabulary, North Korean corpus construction and loanword processing methods were explored. The study is meaningful in that it laid the preliminary foundation for the study of North Korean corpus treatment from a natural language processing perspective.
The purpose of this study is to compare and analyze regional language in the Korean dictionaries. The study investegated several problems of the regional language in Korean dictionaries, focusing on the 『Standard Korean Dictionary of the Korean Language』(Web) and 『Joseonmal Dictionary』(revised edition). We examined the status and the microstructure of the regional language in the Korean dictionaries. We analyzed some of the problems that appeared in the microstructure of the regional language, origin of a word, etymology information, pronunciation information, dictionary definitions, related words. We proposed some examples for the compilation a dictionary regarding of the regional variations in pronunciation, sense of the word definition, and related words. We provided a direction for the microstructure of regional language in the Korean dictionary.
This purpose of this study is to compare and analyze Korean etymological dictionaries. As the popularization of knowledge and the growing interest in the etymology of the Korean people, it is important to provide appropriate etymological information. This study is to review the existing etymological dictionaries. In chapter 2, we examined the characteristic and range of the Korean etymological dictionary. The Korean etymology information can be characterized into three categories: first, etymological information that recurs the origin of words; second, lexical history information that includes the first appearance type of words, morphological and semantic changes, examples, and literatures; third, cultural history information includes folklore, terminology, history, political economic history. In Chapter 3, we analyzed the micro items of the exiting etymological dictionaries based on this view. Kang(2010) and Seo(2018) can be divided into etymological information and Kim(1997) and Kim(2015) can be divided into dictionaries focused on lexical history information. As a result of analyzing the existing etymological dictionary, few studies focused on cultural historical information. The cultural historical information should be included in the etymological dictionary and more actively collected and presented. It is also possible to construct a database in which vocabulary history information can be accumulated, and to build a system that can link with corpus or research results in other fields such as folklore, history, terminology, political economic history, religious history information of Korean vocabulary.
We report on a case of successful management of a patient with abdominal aortic rupture requiring massive blood transfusion during the peri-operative period. The patient had fully recovered 19 days after the operation, through intra-operative cardiac arrest and massive transfusion. We analyze a process of blood transfusion and related complications resulting from massive transfusion in order to establish a treatment for peri-operative patients with hypovolemic shock. 저자들은 수술 중 대량수혈을 시행하였던 복부 대동맥 파열 환자에 대한 성공적인 수술전후관리의 예를 경험하였다. 환자는 수술 중 심정지가 발생하고 대량 수혈을 받았지만 수술 19일 후에는 완전히 회복하였다. 이에 저혈량성 쇼크를동반하여 대량수혈을 받은 환자의 수혈진행과 수술전후 치료과정과 수혈과 관련된 상황을 분석하여 보고한다.
Over the past 70 years, there have been concerns about the differentiation of North and South Korean language. Especially, the differentiation of North-South Korean language emerged as an ideological vocabulary in the two Korean lagnauge society. The purpose of this paper is to extract the ideological vocabulary from the PyojunGugeo dictionary(Web) and the Joseonmal dictionary(Revised edition) and examine the degree of differenciation through quantitative analysis. In chapter2, we define the concept of ideological words. In chapter 3, we describe how to extract ideological words from large scale data and list extracted vocabularies. In chapter 4, we discussed the degree to which the ideological words are differentiated between North and South through the quantitative analysis of extracted vocabulary. In this study, we searched for a methodology for objectively extracting ideological vocabularies and analyzed the degree of ideology through large scale data. This is a preliminary study to solve the differenciation of North and South Korea, and it is meaningful that it can help language education after North-South unification. 분단 이후 70여 년이 지나는 동안 남북 언어의 이질화에 대한 우려가 있어왔다. 특히, 남북 언어의 이질화는 남북의 언어사회에서 이념적 어휘로 나타났다. 이 논문은 표준국어대사전과 조선말큰사전에서 이념적 어휘를 추출하고 계량적 분석을 통해 이질화 정도를 살피는 데에 그 목적이 있다. 2장에서는 이념적 어휘의 개념을 정의하였고, 3장에서는 대규모 자료에서 이념적 어휘의 추출 방법을 기술하고 추출된 어휘를 목록화했다. 4장에서는 추출된 어휘의 계량적 분석을 통해 이념적 어휘가 남북 간에 어느 정도 이질화되어 있는지 논의하였다. 이 연구에서는 이념적 어휘를 객관적으로 추출하는 방법론을 모색하였고 대규모 자료를 통해 이념화 정도를 분석하였다. 이는 남북한 이질화를 해결하는 데에 기초적인 연구로 통일 이후 언어 교육에도 도움이 될 수 있다는 데에 그 의의가 있다.