http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
개별검색 DB통합검색이 안되는 DB는 DB아이콘을 클릭하여 이용하실 수 있습니다.
통계정보 및 조사
예술 / 패션
<해외전자자료 이용권한 안내>
- 이용 대상 : RISS의 모든 해외전자자료는 교수, 강사, 대학(원)생, 연구원, 대학직원에 한하여(로그인 필수) 이용 가능
- 구독대학 소속 이용자: RISS 해외전자자료 통합검색 및 등록된 대학IP 대역 내에서 24시간 무료 이용
- 미구독대학 소속 이용자: RISS 해외전자자료 통합검색을 통한 오후 4시~익일 오전 9시 무료 이용
※ 단, EBSCO ASC/BSC(오후 5시~익일 오전 9시 무료 이용)
Purpose: The question of surgical versus non-surgical treatment for diabetic foot osteomyelitis remains subject to debate. The aims of this study were to analyse the outcome of conservative treatment (antibiotic treatment and conservative surgery) for diabetic foot osteomyelitis and identify the predictive factors of remission in conservative treatment of diabetic foot osteomyelitis. Materials and Methods: Seventy-seven patients with diabetic foot osteomyelitis who initially received conservative treatment from January 2004 to July 2013 were identified, and their medical records were reviewed. Diabetic foot osteomyelitis was defined by imaging studies or histological evidence. Remission was defined as the absence of any sign of infection at the initial or contiguous site assessed at least 12 months after the end of treatment. The demographic, clinical, and therapeutic factors were analysed. Results: The mean age of the patients was 62.7±12.2 years, and 47 patients (61.0%) were male. The median diabetes duration was 15.7±11.2 years and mean HbA1c was 8.7%±2.4%. Forty-eight patients (62.3%) healed with conservative treatment (antibiotic treatment and conservative surgery). Twenty-five patients (32.5%) underwent amputation. In the multivariate analysis, concomitant peripheral artery disease and inadequate antibiotic therapy were associated with failure of conservative treatment. Conclusion: Antibiotics alone, or with conservative surgery, were successful in treatment of diabetic foot osteomyelitis in 62.3% of the patients. Concomitant peripheral artery disease and inadequate antimicrobial therapy were risk factors for remission in conservatively treated diabetic foot osteomyelitis
This study examines the details and characteristics of prizewinning plans of Cho-Sun housing plan competition promoted by Daily Cho-Sun Company during Japanese colonial period. The main features of Cho-Sun housing plan competition were that the competition held with an application of popular newspaper readers and a judging committee was composed of only Korean architects, especially Park, Gil-Ryong as the president of the board of examiners. Cho-Sun housing plan competition put ideological factors for the improvement of living as like advancing to the cultured(modem) life, respecting for family life, respecting for privacy of family members and so on. First of all, the competition suggested the direction of the improvement of dwelling spaces which focused on making harmonious home life. This study found common characteristics of prizewinning plans of Cho-Sun housing plan competition as the result. First, Cho-Sun housing plan competition introduced a centralized house plan as a model of the improvement of small-sized houses. Second, architectural orders of western or Japanese style mingled with ones of korean traditional style in prizewinning plans as entrance hall, western style reception room(parlour), maid's room, bathroom for example. And a manner of seating using chairs was brought into the style of living which would be assumed in the prizewinning plans. Third, traditional way of composing dwelling spaces was maintained, receiving the characteristics of dwelling spaces of japanese style simultaneously, which central corridor was put at the heart of house for improving arrangement of rooms and flow lines. Fourth, lavatory and bathroom were placed inside of the house.
Intelligent Tutoring System(ITS)이 다양한 학습자 변인을 고려한 개별화된 학습 환경을 제공하여 영역 전문가를 대신할 효율적인 대안으로 인식되어짐에 따라, Learning Companion System(LCS)에 대한 연구도 긍정적으로 검토되어지고 있다. 하지만 LCS에서의 원활한 상호작용을 위해서는 동일한 역할을 하는 복수 LC의 결합이 필요하고, 이는 개별적 지식베이스의 확보를 선행 조건으로 요구한다. 따라서 본 연구에서는 인지구조의 연결주의적 관점을 근거로, 지식베이스 자체의 자기 학습(self learning)이 가능하고, 지식베이스 객체의 소유자에 의해 적응적으로 성장 가능한 지식베이스 객체 모형을 설계하고, 이를 검증하였다. 이 지식베이스 객체 모형은 개별적 지식베이스의 구축을 가능하게 하여, 지식베이스 객체를 이용한 적응적 ITS 개발의 기회를 제공한다. Intelligent Tutoring System(ITS), which offers individualized learning environment that consider many learners' variable, is realized by the effective alternative to take the place of domain expert. Accordingly, research on Learning Companion System(LCS) is currently noticing. However, to develop LCS which applies effective interaction, it is necessary to combine several LCs, and personalized knowledge base have to be made first. Therefore, in this paper, we propose the 'Knowledge Base Object Medel', which is based on connectionist‘ in cognition structure, represents learner's knowledge to self-learnig object, and grows adaptive object by proprietor, verify the validity. This model lays the groundwork for design of personalized knowledge base, offers clue to development of adaptive ITS using knowledge base object.
B a c k g ro u n d: Contrast-enhanced magnetic resonance angiography (CEMRA) has begun to replace time-offlightmagnetic resonance angiography (TOFMRA) because it reduces imaging time and improves signal-to-noiseratio. However CEMRA may overestimate the degree of arterial stenosis. O b j e c t i v e s: With digital subtractionangiography (DSA) as a reference standard, we tried to find out if CEMRA overestimates carotid artery stenosismore than TOFMRA. M e t h o d s: From April 2003 to August 2005, fifty-five consecutive patients underwentTOFMRA, CEMRA and DSA. The degree of stenosis was measured using North American Symptomatic CarotidEndarterectomy Trial (NASCET) method and classified as mild (1~49%), moderate (50~69%), and severe(70~99%). Results: Five patients were excluded because of the poor quality of images. In 100 carotid arteries of50 patients, 23 arteries had various degree of stenosis, 8 were occluded, and 69 were normal. CEMRA overestimatedthe severity of carotid stenosis in 8 out of 92 but TOFMRA did in 3 out of 92. We calculated the agreementby κin CEMRA vs. DSA (κ= 0.79, p 〈 0.05) and TOFMRA vs. DSA (κ= 0.92, p 〈 0.05). For detection of severestenosis, CEMRA had the sensitivity of 100% and the specificity of 90% while TOFMRA had 100% and 97.5%,r e s p e c t i v e l y. The rate of misclassification of patients as an appropriate candidate for carotid endarterectomy(CEA) was 40.4% in CEMRA and 14.8% in TOFMRA. Conclusion: CEMRA has many advantages over TOFMRAbut it tends to overestimate the severity of carotid stenosis. The results of CEMRA should be compared withthose of TOFMRA or DSA when surgical intervention is considered.(Korean Journal of Stroke 2005;7(2): 172~178)