RISS 학술연구정보서비스

검색
다국어 입력

http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.

변환된 중국어를 복사하여 사용하시면 됩니다.

예시)
  • 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
  • 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
닫기
    인기검색어 순위 펼치기

    RISS 인기검색어

      검색결과 좁혀 보기

      • 좁혀본 항목

      • 좁혀본 항목 보기순서

        • 원문유무
        • 음성지원유무
          • 원문제공처
          • 등재정보
          • 학술지명
          • 주제분류
          • 발행연도
          • 작성언어
          • 저자

        오늘 본 자료

        • 오늘 본 자료가 없습니다.
        더보기
        • 무료
        • 기관 내 무료
        • 유료
        • KCI등재

          열공망막박리에서 공막돌륭술 후 발생한 중심와앞색소증식 1예

          박수환,박성후,이지은,변익수,이승민 대한안과학회 2020 대한안과학회지 Vol.61 No.4

          '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

          목적: 공막돌륭술 후 중심와에 발생한 망막앞색소증식 1예를 경험하여 이를 보고하고자 한다. 증례요약: 49세 여자 환자가 5일간 지속된 우안 시야장애를 주소로 내원하였다. 최대교정시력은 0.8이었다. 안저검사에서 중심와를 침범하지 않은 열공망막박리가 관찰되었고 11와 11시 30분 방향에 열공이 있었다. 공막돌륭술, 망막하액배출술, 냉동망막유착술을 시행하였다. 술 후 4일에는 망막하액이 거의 감소하였으나 시력이 0.2로 감소하였다. 안저검사에서 갈색의 색소 덩어리가 중심와앞을 덮고 있었다. 빛간섭단층촬영에서 고반사의 신호를 보이는 증식성 조직이 중심와 오목앞을 덮고 있었다. 경구 스테로이드를 투여하였고 술 후 2주부터 색소증식은 감소하였으며 3개월 이후에는 거의 소실되었다. 교정시력도 0.8로 회복되었다. 결론: 열공망막박리로 공막돌륭술을 시행한 환자에서 중심와에서 색소증식이 관찰될 수 있으며, 다른 증식질환과 감별을 위해 주의깊게 경과 관찰하는 것이 필요하다. Purpose: To report a case of preretinal pigmentary proliferation on the fovea after scleral buckling for rhegmatogenous retinal detachment. Case summary: A 49-year-old female visited out clinic complaining of a visual field defect in the right eye for 5 days. The best-corrected visual acuity (BCVA) was 0.8 in her right eye. Fundus examination of the right eye revealed an upper rhegmatogenous retinal detachment without macular involvement and retinal breaks were found at 11 o'clock and 11' 30” direction. She underwent scleral buckling, subretinal fluid drainage, and cryoretinopexy under general anesthesia. At postoperative day 4, the subretinal fluid was reduced, but the BCVA decreased to 0.2. The fovea was covered with a brownish pigmentary clump and preretinal hyperreflective proliferative tissue was observed on the fovea by optical coherence tomography. Oral steroid was administered and a decrease of pigmentary proliferation was observed at 2 weeks after surgery. At 3 months postoperatively, the pigmentary proliferation had almost disappeared and the BCVA recovered to 0.8. Conclusions: Pigmentary proliferation on the fovea may be observed in patients treated with scleral buckling for rhegmatogenous retinal detachment, so careful observation is needed to differentiate this process from other proliferative diseases.

        • KCI등재

          면역저하환자에서 발생한 안와의 괴사근막염 2예

          박수환,안정효 대한안과학회 2020 대한안과학회지 Vol.61 No.4

          '스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 7시까지 원문보기가 가능합니다.

          Purpose: To report two cases of periorbital necrotizing fasciitis in immunocompromised patients. Case Summary: (Case 1) A 55-year-old female with a history of diabetes and hepatic liver resection visited our clinic complaining of periorbital edema in her left eye 4 days prior to her visit. The visual acuity of the left eye was no light perception. Erythematous edema of the periorbital area and a black necrotic lesion in the left eye were observed. Periorbital necrotizing fasciitis was diagnosed and broad-spectrum antibiotics were injected. Urgent debridement was recommended but the patient went to another hospital and orbital exenteration was performed. K. pneumoniae was isolated in her blood culture. (Case 2) A 56-year-old female with a history of ovarian cancer chemotherapy visited our clinic complaining of periorbital pain and skin necrosis in her right eye 3 days prior to her visit. The visual acuity of the right eye could not be measured because of severe lid edema. Periorbital necrotizing fasciitis was diagnosed and antibiotic injection and urgent debridement were performed. P. aeruginosa was isolated in her blood culture. Postoperative infection progression and recurrence were not observed and eyelid reconstruction was performed. Conclusions: Early detection and treatment of periorbital necrotizing fasciitis is important in immunocompromised patients. Proper antibiotic therapy and necrotic debridement are needed to remove the periorbital inflammation. 목적: 면역저하환자에서 안와주위에 발생한 괴사근막염 2예를 보고하고자 한다. 증례요약: (증례 1) 당뇨 및 간암 간절제술 과거력이 있는 55세 여자 환자가 4일 전부터 발생한 좌측 안와주위 부종을 주요 소견으로 내원하였다. 좌안 시력은 광각이 없었고, 홍반성 부종 및 검은색의 괴사 병변이 관찰되었다. 안와주위 괴사근막염으로 진단하여 항생제를 투여하고, 괴사조직제거술을 권유하였다. 타 병원에 전원한 후 눈확내용물제거술을 시행하였으며, K. pneumoniae가 배양되었다. (증례 2) 난소암 항암치료 과거력이 있는 56세 여자 환자가 3일 전부터 발생한 우측 안쪽눈구석 부위 통증 및 피부괴사를 주소로 내원하였다. 우안 시력은 부종으로 측정이 불가능하였다. 안와주위 괴사근막염을 진단하여 항생제를 투여하고 괴사조직제거술을 시행하였으며, P. aeruginosa가 배양되었다. 술 후 감염 진행 및 재발은 관찰되지 않았고, 우안 눈꺼풀재건술 이후 발생한 노출성 각막염으로 경과 관찰 중이다. 결론: 면역저하환자에서 안와주위 괴사근막염은 조기 발견과 치료가 중요하며, 적절한 항생제 치료 및 괴사조직제거술로 안와주위염증을 제거해 주는 것이 필요하다.

        • KCI등재

          체질량지수가 복압성요실금 환자의 Tension-free Vaginal Tape 수술 결과에 미치는 영향

          박수환,이경섭,김대곤 대한비뇨의학회 2004 Investigative and Clinical Urology Vol.45 No.4

          Purpose: The aim of the study was to evaluate the clinical outcome, according to the body mass index(BMI), of tension-free vaginal tape(TVT) for the surgical treatment of stress urinary incontinence. Materials and Methods: Women were classified as being of normal weight (BMI 20-25), overweight(BMI 26-30) or obese(BMI>30). The patients characteristics and clinical outcomes of the operation were analyzed according to the BMI. Results: There were no significant differences in the patients characteristics, with the exception of the pre-operative posterior urethrovesical angle(PUVA). The subjective cure rate, satisfaction rate and complications of the normal BMI patients did not significantly differ from the women with the high BMI. Conclusions: The TVT procedure in stress urinary incontinence patient's results in similar subjective cure rates, satisfaction rates and post-operative complications, irrespective of the BMI, which makes it safe for overweight and obese women, and would appear to be an adequate treatment for future use. (Korean J Urol 2004;45:337-340)

        • 정보시스템 감리에 대한 VAL IT 적용방안

          박수환,권호열 강원대학교 정보통신연구소 2008 정보통신논문지 Vol.12 No.-

          This paper present an application note for how to adapt the VAL IT scheme to the information system audit. First, we discussed the information audit effectiveness and the VAL IT framework. And then, we present the relation of VAL IT and COBIT and the VAL IT based information audit. Finally, we suggest a VAL IT based information audit with an example of VAL IT governance.

        • KCI등재

          반성적 평형에 대한 실용주의적 해석

          박수환 대한철학회 2020 哲學硏究 Vol.153 No.-

          The main purpose of this paper is to re-interpret Rawls' conception of ‘reflective equilibrium' from Dewey's pragmatic point of view, so as to show that it can work as one of the crucial phases of ‘moral deliberation'. Dewey envisioned moral deliberation as a key element in solving moral problems, and his view can certainly contribute to explain the nature and structure of moral experience in naturalistic terms. However, since the way of applying moral deliberation to concrete moral cases is in principle infinite, it seems necessary and useful to show how moral deliberation can be circumscribed in more concrete terms. I propose that reflective equilibrium can work as one of the key notions to do this job. In this respect, this paper attempts to re-interpret reflective equilibrium from Dewey's naturalistic perspective, and this will be done in the following three respects. First, reflective equilibrium assumes ‘fallibilism cum antiskepticism'. Reflective equilibrium presupposes that our moral position can grow without bringing about 'certainty' in moral judgments and moral principles underlying them. Second, reflective equilibrium works between universalism and particularism. That is to say, it aims at a moral inquiry that reflects the particularity of the specific situation without overlooking the usefulness of a moral principle as a summary of experience in the past. Third, reflective equilibrium aims at naturalistic investigation. Reflective equilibrium will work as a primary method of moral inquiry which actively reflects the research achievements of natural and social sciences, in that it requires a background theory as its axis. 이 논문의 주된 목적은 듀이(J. Dewey)의 실용주의적 관점에서 롤즈(J. Rawls)의 ‘반성적 평형'(reflective equilibrium)을 재해석함으로써 그것이 듀이가 말한 ‘도덕적 숙고'(moral deliberation)의 구체적 방법으로 기능할 수 있음을 주장하는 것이다. 듀이는 도덕적 숙고가 도덕적 문제 해결의 핵심적 요소라고 주장했다. 도덕적 숙고에 대한 듀이의 입장은 우리의 도덕적 경험의 본성에 대한 섬세한 해명에 근거해 이루어졌다는 점에서 분명 현실의 도덕적 문제를 해결하는 데 기여할 수 있다. 그러나 듀이가 말한 도덕적 숙고의 구체적 적용 방식이 원리적으로 무한하다는 측면에서, 도덕적 숙고에 부합하는 구체적인 도덕적 탐구 방법을 드러내는 것은 필요하고 유용한 것으로 보인다. 그리고 필자는 롤즈가 제시한 반성적 평형이 도덕적 숙고를 구체적으로 적용할 수 있는 핵심적인 방법의 하나로 기능할 수 있다고 본다. 이러한 관점에서 듀이의 입장에 근거한 반성적 평형의 재해석은 다음의 세 가지 차원을 통해 이루어질 것이다. 첫째, 반성적 평형은 ‘오류주의 겸 반회의주의'(fallibilism cum antiskepticism)의 입장을 전제한다. 반성적 평형은 그것의 축이 되는 도덕판단이나 도덕원리 등에 대해서 ‘확실성'을 부여하지 않으면서도 우리의 도덕적 경험이 성장할 수 있음을 전제로 한다. 둘째, 반성적 평형은 보편주의와 특수주의 사이에 위치한다. 즉 그것은 경험의 요약으로서의 도덕원리의 유용성을 간과하지 않으면서도 구체적인 상황의 특수성을 반영하는 도덕적 탐구를 지향한다. 셋째, 반성적 평형은 자연주의적 탐구를 지향한다. 반성적 평형은 배경이론을 평형의 한 축으로 삼는다는 측면에서 자연과학・사회과학의 연구 성과를 적극적으로 반영하는 도덕적 탐구 방법이라고 할 수 있다.

        • KCI등재

          부분방광출구폐색 후 비마취하 흰쥐의 요역동학검사 결과에서 폐색과 과민성방광 모델로서의 적용과 한계점

          박수환,김룡호,권용현,윤상민,류지간,이택 대한비뇨의학회 2009 Investigative and Clinical Urology Vol.50 No.5

          Purpose: Partial bladder outlet obstruction (PBOO) in rats leads to changes in bladder function, such as obstruction and detrusor overactivity (DO). The aim of our study was to observe factors essential for the objective descriptions of PBOO rats as an overactive bladder model as well as an obstruction model under awake cystometry. We also aimed to investigate the urodynamic effects of PBOO objectively in view of DO-related parameters as well as conventional pressure and volume-related parameters. Materials and Methods: PBOO was produced in 10 female Sprague- Dawley rats by ligating the proximal urethra over a 0.9 mm metal rod; 10 sham-operated rats were used as controls. Intravesical pressure (IVP) was recorded via an open catheter in the bladder, and intraabdominal pressure (IAP) via an intraabdominal balloon catheter. Continuous cystometry was performed 2 weeks after the PBOO procedure. Conventional and newly developed DO-related urodynamic parameters were investigated. Results: PBOO led to a significant increase in bladder weight. Three rats showed the picture of decompensated bladder and were excluded from the analysis. The obstructed group showed some increased pressure- and volume-related parameters. They showed a DO frequency of 1.5±0.3/min, but the sham group did not. Conclusions: Our results showed that bladder decompensation can happen after PBOO, and we need to describe those exclusions accurately in reports. In conscious PBOO rats, simultaneous registration of IAP and IVP is needed for accurate investigations of DO, because PBOO can lead to DO as well as bladder hypertrophy. Purpose: Partial bladder outlet obstruction (PBOO) in rats leads to changes in bladder function, such as obstruction and detrusor overactivity (DO). The aim of our study was to observe factors essential for the objective descriptions of PBOO rats as an overactive bladder model as well as an obstruction model under awake cystometry. We also aimed to investigate the urodynamic effects of PBOO objectively in view of DO-related parameters as well as conventional pressure and volume-related parameters. Materials and Methods: PBOO was produced in 10 female Sprague- Dawley rats by ligating the proximal urethra over a 0.9 mm metal rod; 10 sham-operated rats were used as controls. Intravesical pressure (IVP) was recorded via an open catheter in the bladder, and intraabdominal pressure (IAP) via an intraabdominal balloon catheter. Continuous cystometry was performed 2 weeks after the PBOO procedure. Conventional and newly developed DO-related urodynamic parameters were investigated. Results: PBOO led to a significant increase in bladder weight. Three rats showed the picture of decompensated bladder and were excluded from the analysis. The obstructed group showed some increased pressure- and volume-related parameters. They showed a DO frequency of 1.5±0.3/min, but the sham group did not. Conclusions: Our results showed that bladder decompensation can happen after PBOO, and we need to describe those exclusions accurately in reports. In conscious PBOO rats, simultaneous registration of IAP and IVP is needed for accurate investigations of DO, because PBOO can lead to DO as well as bladder hypertrophy.

        맨 위로 스크롤 이동