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1992년 11월 18일부터 두씨색시(Doos SACSIH)수술을 받은 31명과 같은 기간동안 전자궁적출술( TAH)를 받은 31명을 대상으로 수술후 최소 5개월이상 경과된 상태에서 그 배우자와 함께 실시한 성적 및 심신의학적면의 비교 추적조사 연구결과 다음과 같은 결론을 얻었다. 1. 수술후 환자자신이 느끼는 심적 부담요인은 두씨색시(Doos SACSIH)군에서는 체중증가가 32.3%로 가장 높았으나 전자궁적출술(TAH)군에서는 성욕감퇴가 29.1%로 가장 높았다. 2. 수술후 골반통이나 요통의 정도는 고통을 호소하지 않는군이 두씨색시(Doos SACSIH)군에서는 51.6%이었으나 전자궁적출술(TAH)군에서는 32.2%이었다. 3. 수술전과 비교하여 수술후 성적욕구의 변화정도는 성욕감퇴 현상을 보여주고 있는 군이 두씨색시(Doos SACSIH)군은 19.3%인 반면 전자궁적출술(TAH)군은 32.3%이었다. 4. 수술후 연령별 성교횟수는 연령별로 가장 많은 40대를 살펴보았을때 2주당 1회이하의 적은 성교횟수를 보여주고 있는 군이 두씨색시(Doos SACISIH)군은 33.3%이었으나 전자궁적출술(TAH)군은 78.9%이었다(p$lt;0.05). 5. 수술후 성적오르가즘의 변화정도는 수술후 나빠졌다고 호소하는 군이 두씨색시(Doos SACISIH)군에서는 12.9%이었으나 전자궁적출술(TAH)군에 있어서는 41.9%이었다(p$lt;0.05). 6. 수술후 남편이 느끼는 성생활 관계에 대한 욕구정도는 욕구가 감소되었다고 호소하는 군은 두씨색시(Doos SACISIH)군은 14.4%이었으나 전자궁적출술(TAH)군은 50.0%이었다. Since November 18 of 1992, we have undertaken a comparative study concerning the patients and their spouses at least five months after the operation. We chose 31 patients who were operated by Koos SACSIH operation and the same number of the patients who and psychsomatic aspects occured after each operation. And we cmae to the following conclusion: 1. Of the patients subjective complaints, weight gain was the highest after Koos SACSIH:32.3%; decrease in sexual desire was the highest after TAH: 29.1%. 2. 51.6% of the patient after Koos SACSIH had no complaint of pelvic pain and lumbago and 32.3% after TAH. 3. 19.3% of the patients after Koos SACSIH complain of decrease in sexual desire and 32.3% after TAH. 4. 33.3% of the patients in their forties after Koos SACSIH had coital frequency less than once in 2 weeks and 78.9% after TAH(P$lt;0.05). 5. 12.9% of the patients after Doo's SACSIH complained that their sense of sexual orgasm has become deteriorated and 41.9% after TAH(p$lt;0.05). 6. 14.4% of the patients' spouses after Doo's SACSIH complained that their sexaul desire has decreased and 50.5% after TAH.
이상에서 논의한바대로 Doo`s SACSIH operation 법에 의한 경부내 부분자궁적출술 (subtotal abdominal intracervical hysterectomy)은 CASH operation의 적응증은 되나 기구 및 인력에 의한 준비가 마련되지 않은 상태이거나 CASH operation이 보편화된 수술법으로 정착되기 전까지 또는 CASH operation이 불가능한 경우에 실시할 수 있지만 CASH operation에 비해 다양한 장점을 가지고 있으면서 현실적이어서 여성생식기의 양성질환으로 개복수술에 의한 전자궁 자궁적출술이 요구되는 환자들에게 쉽게 적용할 수 있는 좋은 방법이며 기존의 부분자궁적출술(subtotal abdominal hysterectomy)의 잔유자궁경부에서의 암(malignant neoplasm)과 이형성(dysplasia)에 대한 우려를 지운 새로운 수술법으로 평가될 수 있으며 앞으로의 과제라면 많은 예의 축적에 따른 객관성의 확보와 수술후 충분한 추적검사로 심신의학적인 면과 종양학적인 면에 있어서의 신뢰성을 확보하는 일이 될 것이다. 수술명(Doo`s SACSIH operation: 두씨 색시 수술)에 대해서 한마디: 본 수술의 명칭인 SACSIH는 Subtotal Abdominal Cylindrical resection of Squamocolumnar junction in Intracervical Hysterectomy의 각 구성 단어에서 첫글자를 따다가 붙인 이름이다. 그러나 공교롭게도 발음상 $quot;색시$quot;로 읽혀지게 되어 우리나라 말의 예쁜색시, 촌색시, 새색시 등의 젊은여성(색시)이라는 단어처럼 나타나 비록 어떠한 원인에서든 자궁적출술을 받아 여성의 상징적 존재인 자궁을 잃어버리지만 본 수술법을 통하여 여성 성적주체(female sexual identity)인 자궁을 일부나마 남김으로써 심리적안정감을 얻을 수 있고 수술후 성감(sexual sense)에 대한 장애를 줄일 수 있어 성적매력(sex appeal)의 뜻인 영어발음의 Sexy와 비슷하게 불려져서 수술명을 기억하고 알리는데 좋은 이름이라 할 수 있을 것이다. Hysterectomy has been one of the most frequent surgical operations since Freund succeeded in it for the first time in 1878. Diseases for which hysterectomy is found efficaciuous are uterine myoma(40-60%)and other disease such as DUB, Endometriosis Adenomyosis PID,etc. There have been the 239 cases of hysterectomy due to benign uterine disease in 1992 at the department of Obstrics and Gynecology, Chonbuk National University Hospital and it is supposed that there are tens of thousands of women in thirties and forties who go through hysterectomy each year. It is mostly young women in thirties and forties who go though the operation: more than 70%, and they afterwards reported psychological conflict and sexual disssatisfaction stemming from loss of their uterus. I modified Kurt Semm`s CASH and devised a different surgical operation to work out women`s problems after hysterectomy. What characterizes Doo`s SACSIH(Subtotal-abdominal-Cylindrical resection of-Squamocolumnar junction in-Intracervical-Hysterectomy) operation is, fist, that while CASH is done under laparoscopy Doo`s SACSIH operation is, considering edonomical, technical as pect involved in operation, done under laparotomy and, second, to remove cylindrically transformation zone and endocervical columnar epitheelium, using the instrument I devised by modifying Semm`s and therby making it more convenient for use and, third, to remove uterus in upper one-third cervix and make a stump out of the remaining cervix composed of pure fibromuscular tissues. Doo`s SACSIH operation still has strength that the existing sub-total hysterctomy has had and will, at the same time, eliminate the possiblity of getting stump cancer that can be developed after the operation. The twenty-nine patients have been operated by Doo`s SACSIH operation method between the 18th of November of 1992 and the 12nd of May of 1993 and the results have been highly satisfactory.
In 2007, the United States Supreme Court in Leegin Creative Leather Products,Inc. v. PSKS, Inc., 551 U.S. 877, 127 S.Ct. 2705 held that application of per serule is unwarranted as to vertical agreements to fix minimum resale prices,overruling almost century-long Dr. Miles Medical Co. v. John D. Park & SonsCo., 220 U.S. 373, 31 S.Ct. 376, 55 L.Ed. 502; that administrative convenienceof per se rule cannot justify its application to resale price maintenance (RPM)agreements; and that alleged higher prices caused by minimum RPM did notjustify application of per se rule. The Monopoly Regulation and Fair Trade Act (hereinafter "Fair Trade Act")defines that "RPM means an act by which an enterpriser compels, in tradingthe goods or services, a counterpart enterpriser or an enterpriser by nextstage of transaction to sell them only at the price fixed in advance, ortransacts under any agreement or binding conditions thereon for suchpurpose" in Article 2 No. 6 and provides that "no enterpriser shall engage ina resale price maintenance, except the case where there exist justifiablereasons in terms of the maximum resale price maintenance preventing thetransactions of products or services in excess of specified prices" in Article29(1). The exception for justifiable maximum RPM was introduced to the FairTrade Act by the Amendment Act No. 6371, Jan. 16, 2001, which wasmotivated by the U.S. Supreme Court``s decision in State Oil Co. v. Khan, 522U.S. 3 of 1997. And the Korea Fair Trade Commission and Korean courtshave treated harshly the minimum RPM, allowing no justification subject tothe Fair Trade Act until the Korean Supreme Court in Hanmi PharmaceuticalCo. case Number 2009-Doo-9543 in November 25, 2010 held that "evenminimum RPMs could have some justifications such as promotion ofinterbrand competition and expansion of consumer welfare under some exceptional circumstance." Many commentators have regarded the HanmiPharmaceutical case deeply influenced from the U.S. Supreme Court``s Leegincase decision. And the Korean Supreme Court has kept friendly position tothe minimum RPMs in subsequent cases including Korea Callerway Golf Ltd. Co. case Number 2010-Doo-9976 in March 10, 2011. The purpose of this article is to discuss the illegality test that can be applied tothe minimum RPMs under the Fair Trade Act and to find and suggest anadequate framework for weighing and balancing relevant factors. For thatends, the meaning and influences of the U.S. Leegin case should be observed. I think that minimum RPMs should be condemned illegal as coercingindependent enterpriser into reluctant pricing and giving rise toanti-competitive effect. In other words, the illegality of minimum RPMscomes from both factors, firstly coercion of a transacting party into pricingwhich deprives the party``s freedom of action, and secondly the resultinganti-competitive effect. And provided the difficulties courts should bear inapplying full-rule-of-reason approach, we should choose quick-look,abbreviated or structured rule-of-reason approach as a framework. I criticize Hanmi Pharmaceutical Co. case and subsequent cases in the light ofthe contents and frame of the Article 29(1) of the Fair Trade Act. I believethat courts in civil law countries such as South Korea can not make lawthemselves but interpret the applicable law instead. Consequently, I suggestamendment of Article 29(1) to include provision allowing exceptional plea forminimum RPMs.
This study demonstrates that low processing rate for producing polyacrylonitrile (PAN)-based carbon fiber is a critical to obtain a homogeneous radial microstructure with high resistance to oxidation, thereby resulting in their improved mechanical strength. The dry-jet wet spun PAN organic fibers were processed (e.g., stabilized and then carbonized) utilizing two different rates; one is 1.6 times longer than the other. The effect of processing rate on the microstructural evolutions of carbon fibers was analyzed by scanning electron microscopy after slow etching in air, as well as Raman mapping after graphitization. The rapidly processed fiber exhibited the multilayered radial structure, which is caused by the radial direction stretching of the extrusion in the spinning. In case of the slowly processed fiber, the layered radial structure formed in the spinning process was changed into a more homogeneous radial microstructure. The slowly processed fibers showed higher oxidation resistance, higher mechanical properties, and higher crystallinity than the rapidly processed one. Raman mapping confirmed that the microstructure developed during spinning was sustained even though fiber was thermally treated up to 2800 °C.
Lee, Doo-Won, 2012, The Dative Goal and Intervention Effeds, The Linguistic Association of Korean Journal, 20(3), 91-108, The so-called intervention effect may be driven by the dative argument when the nominative object undergoes Agree with T. At this point, the nominative object cannot move to spec-T. The goal- or object-oriented honorific morpheme tuli or the subject-oriented honorific morpheme si, which is marked on the verb, can appear only when its target is honorific. In this respect, as a Probe, the honorific morpheme tuli or si with an uninterpretable honorification feature, which is active due to the feature, should search down for its matching feature in a Goal. If an uninterpretable honorification feature in a Probe finds a matching feature in a Goal in its local c-command domain, then both features come into an operation called Agree (Chomsky, 2000). However, an intervention effect occurs whenever a non-honorific dative argument intervenes between an honorific v (i.e., tuli on v, here) and an honorific object. The dative argument in the higher clause triggers the intervention effect against its own anaphor binding when the coindexed anaphor phrase in the lower clause moves over the dative argument; hence, the anaphor binding in the copy position is cancelled. To sum up, the VP-dative argument triggers an intervention effect against both honorication agreement and anaphor binding.
We study the paper Zhernovyi and Zhernovyi [Zhernovyi, K.Y. and Y.V. Zhernovyi, “An M <SUP>θ</SUP>/G/1/m system with two-threshold hysteresis strategy of service intensity switching,” Journal of Communications and Electronics, Vol.12, No.2(2012), pp.127-140]. In the paper, authors used the Korolyuk potential method to obtain the stationary queue length distribution. Instead, our note makes an attempt to apply the most frequently used methods : the embedded Markov chain and the supplementary variable method. We derive the queue length distribution at a customer"s departure epoch and then at an arbitrary epoch.
우리는 본 병원에서 시행된 313예의 SACSIH 수술의 결과에 대한 후향적 조사 결과 다음과 같은 결론을 얻을 수 있었다. 1. 두씨색시수술을 시행받은 환자들의 평균 연령분포 는 41.4±6.0세였고, 40∼49세사이가 184예(59%)로 가장 많았다. 2. 평균 분만 횟수는 2.28±1.01회로 2회가 157예(50%) 로 가장 많았다. 3. 수술을 결정하게된 주증상으로는 비정상적인 자궁 출혈 128예(41%), 하복부 불편감 70예(22%), 생리통 55예 (18%) 순이었으며, 무증상인 경우도 24예(8%)를 차지하였다. 4. 수술의 임상적인 적응증을 살펴보면 자궁근종 220 예(70.3%). 자궁근종과 골반내 유착증이 동반된 경우 29 예(9.3%)로 가장 많았으며, 그 외 자궁선근증, 자궁부속 기 종양, 자궁내막증, 골반내유착증, 융모성질환, 자궁내 막증식증 등이었다. 5. 수술 후 병리조직학적 소견을 보면, 자궁의 평활근 종이 184예(58.8%)로 가장 많았고 자궁 선근증 93예 (29.7%), 자궁근층비대 9예(2.9%), 자궁부속기 종양 5예 (2.2%), 자궁내막증식증, 자궁내막증 등을 보였으며 유착을 포함한 비특이소견을 보인 경우도 10예(3.2%)를 차지하였다. 6. 수술 후 발생한 합병증의 총 빈도는 66예(21.3%)였 고, 열성 유병률은 48예(15.3%), 창상감염 10예(3.2%), 자 궁경부 출혈 6예(1.9%)로 나타났으나 의미있는 합병증으로 간주될만한 것은 없다고 본다. 그 외에 질 절주암 2예 (0.6%)순 이었다. 7. 평균 입원기간은 8.47±1.06일이었다. 8. 수술 시간은 평균 97.72±22.59분이었으며, 61~90 분과 91~120분 사이가 86.9%로 대부분을 차지하였다. The 313 cases of Doo`s SACSIH operation were performed at Chonbuk National University Hospital from the 16th of November in 1992 to 30th of June in 1997. The results were as follows : 1. The mean age of patients was 41.4±6.0 years old and most common age group were ranged from 40 to 49 years old (59%). 2. The mean parity of patients was 2.28±1.01 and most common parity group was 2 (50%). 3. According to the initial chief complaints, abnormal uterine bleeding were in 128 cases (41%), lower abdominal discomfort were in 70 cases (22%),dysmenorrhea were in 55 cases (18%), and no symptoms and signs were in 24 cases (8%). 4. Preoperative clinical diagnosis were myoma (70.3%), myoma with pelvic adhesion (9.3%), adenomyosis, adnexal tumor, endometriosis, TRD, endometrial hyperplasia in orders. 5. According to the histopathologic type, there were 184 cases (58.8%) of leiomyoma, 93 cases (29.7%) of adenomyosis, 9 cases (2.9%) of myometrial hypertrophy, 5 cases (2.2%) of adnexal tumor, and 10 cases of no symptoms and signs. 6. According to the postoperative complications, there were 48 cases (15.3%) of febrile morbidity, 10 cases (3.2%) of wound infection, 6 cases (1.9%) of cervical bleeding, and 2 cases (0.6%) of stump cancer. 7. The mean hospitalization were 8.47±1.06 days. 8. The mean operation time was 97.72±22.59 minutes.