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      • 천마총 출토 채화판(彩畵板)에 대한 기초적 검토 : 서조도와 기마인물도를 중심으로

        유병하,성재현 국립중앙박물관·한국고고미술연구소 2010 동원학술논문집 Vol.11 No.-

        최근 국립중앙박물관은 ‘한국박물관 개관 100주년 기념 특별전’에 천마도를 특별 공개할 목적으로 정밀 적외선 촬영을 실시하였다. 적외선 촬영을 통해 무덤 내부에서의 부장맥락과 제작기법, 용도를 상세하게 살펴볼 수 있었다. 또한 채화판 전면에 그려진 서조도와 기마인물도를 검토하고, 이를 주변국의 관련 자료와 비교·분석해볼 수 있었다. 그 결과 채화판은 여러 종류의 유물과 함께 일정한 순서 하에 수장궤에 부장된 사실을 알 수 있었다. 채화판의 제작은 형상 만들기와 그림 그리기의 순서로 이루어졌다. 완성된 채화판은 신라 고분의 부장 양상과 고구려 벽화에 묘사된 그림을 통해, 관모의 부속구로 사용되었거나 말 등에 올리는 장식판으로 추정되었다. 채화판에 그려진 서조도와 기마인물도는 5~6세기 신라 고분에서 출토된 채화칠기나 금속공예품에서도 나타난다. 그리고 주변국이었던 고구려의 벽화, 백제의 목칠·금속 공예품에서도 다수 확인되었다. 따라서 서조도와 기마인물도는 신라, 백제, 고구려에서 비슷한 시기에 널리 이용되었던 도상이라고 할 수 있다. 뿐만 아니라 중국의 위진남북조 시대에도 유사한 사례를 폭넓게 확인할 수 있는데, 4~7세기에 만들어진 동북·서북·남방·남경지역 무덤의 벽화와 화상전이 그러하다. 이러한 사실은 신라를 포함한 동아시아의 여러 나라들이 오랫동안 긴밀한 관계를 유지하고 있었으며, 그 범위가 우리가 일반적으로 알고 있는 것 같은 당시의 정치·경제·문화적 친연(親緣) 관계를 넘어서고 있었음을 보여준다. The painted plate excavated at the Heavenly Horse Tomb was recently photographed with infrared light, providing information about its burial contexts, manufacture technology as well as function. This study also examines auspicious birds and horseback riding figures painted on the entire surface of the plate and as compared with related materials of the neighboring countries. The results of the analysis are as follows. The painted plate was buried in the coffin together with a number of different objects in a specific order. The plate seems to have been buried at the end with a saddle flap depicting the heavenly horse, saddle and stirrups. The manufacture of the painted plate is comprised of two phases: forming the shape and painting of the plate. The painted plate is assumed to have been attached to a crown or used as an ornament on the horseback, judging from its burial contexts and painted examples in Goguryeo wall paintings. Auspicious birds and horsemen painted on the plate can be seen on the painted lacquer and metal works excavated from Silla tombs dating to the 5th and 6th centuries. They are also found in the wooden and metal crafts of Baekje and Goguryeo wall paintings. Therefore, it can be assumed that the bird-horseman iconography was popular and widely used in Silla, Baekje and Goguryeo during the same period. Moreover, such iconography can be seen in numerous examples from Wei, Jin and Northern and Southern dynasties of China as evidenced in wall paintings and pictorial stones of tombs in the northeast, northwest, and south regions and Nanjing area. This fact clearly shows that East Asian countries, including Silla, were culturally tied to each other.

      • SCOPUSKCI등재

        승모판막질환에 대한 재수술: 21례 보고

        유병하 대한흉부심장혈관외과학회 1985 Journal of Chest Surgery (J Chest Surg) Vol.18 No.4

        After first successful mitral valvotomy by Harken and Bailey in 1948, improvement of surgical technique and cardiac device may last rapidly for several years, but there after many patients deteriorate because of various causes, so incidence of reoperation for cardiac valvular disease has increased time by time. This paper is concerned with 21 patients in whom a second operation has been carried out from Jan. 1963 to Aug. 1984 at the department of Thoracic and Cardiovascular department, National Medical Center. Of 21 patients, 7 were male and 14 were female, and ages ranged from 14 to 37 years The second operation are classified into groups of secondary closed mitral commissurotomy [3 cases], open commissurotomy following closed mitral commissurotomy [1 case], Valve replacement following closed mitral commissurotomy [14 cases] or bioprosthetic valve replacement [3 cases]. Main cause of reoperation was restenosis or steno insufficiency, and that of bioprosthetic valve failure was bacterial endocarditis [1 case], fibrous tissue overgrowth on the Xenograft [1 case] and technical failure [1 case]. Early operative mortality was absent, but during follow-up, 4 patients died, so late mortality was 19.0%, and main cause of death was congestive heart failure.

      • SCOPUSKCI등재

        하행대동맥-총장골동맥간 Long Bypass Graft 를 실시한 원발성 동맥염 1예

        유병하 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.3

        Since John Davy reported the first well-documented case of occlusive disease involving the branches of the aortic arch in 1839, many similar cases have been reported in literature, especially from oriental countries. The prognosis and symptoms depend on the degree and extent of the occlusive lesions and also on the importance of the arteries affected. The course may progress slowly or rapidly with remissions and exacerbation, and death may result from acute CVA, cardiac failure or pulmonary edema, and renal failure. No medical therapy has been able to alter conclusively the course of the disease, so various surgical procedures have been applied to relieve the obstruction and to prolong the life. We present the case of an 18 year-old female with multiple stenosis of the aorta, and performed the long bypass graft from descending aorta to common lilac artery, and the result was excellent.

      • SCOPUSKCI등재

        판막치환수술의 조기 및 장기성

        유병하 대한흉부심장혈관외과학회 1984 Journal of Chest Surgery (J Chest Surg) Vol.17 No.4

        Between Jan. 1978, and Dec. 1983, a total and consecutive 117 patients have undergone cardiac valve replacement using various artificial tissue valve. Out of 117 patients, single valve surgery was 78 consisted of MVR 74, AVR 3 and AVR & supracoronary ascending aorta replacement 1. Multiple valve surgery was 39 cases consisted of MVR+TAP 20, MVR+AVR 13 and so on. Early death with 30 days after operation was 12 cases [early mortality 10.3%] and causes of death were cardiac origin 5, technical problem 4, and others 3. The 105 early survivors were followed-up for a total of 190.5 years over a period of 2 to 64 months [Mean\ulcornerD:21.9\ulcorner4.9 months]. During follow-up, 7 cases died [late mortality:6.7%]. The rate of thromboembolism was 2.1% episodes per patient-year and bleeding due to anticoagulant was 3.1% episodes per patient-year and valve failure was 1.6% episodes per patient-year. Actuarial analysis of late results indicated an expected survival rate at 5 years of 84.6% for patients with single valve surgery and 82.1% for patient with multiple valve surgery and overall was 83.8%. Symptomatically, 86.7% of patients were in NYHA class I or II at the end of follow-up.

      • SCOPUSKCI등재

        삼첨판폐쇄증 [IIb 형] 에 대한 Blalock-Taussig 단락후 Modified Fontan 수술: 1례 보고

        유병하 대한흉부심장혈관외과학회 1985 Journal of Chest Surgery (J Chest Surg) Vol.18 No.4

        Tricuspid atresia is the third most common cause of cyanotic heart disease, following T.O.F. and T.G.A. It is seen in about 30% of patients with congenital heart disease on postmortem examination. Recently, we experienced a case of tricuspid atresia, who had received Blalock-Taussig Shunt operation 10 years ago. The Patient was 15 year-old girl with the complaints of persistent cyanosis and exertional dyspnea. Cineangiography revealed Keith type lib tricuspid atresia, so, RA appendage was anastomosed to the right pulmonary artery and ASD was also closed using patch. Postoperative course was very difficult because of persistent right heart failure and weak respiratory power, but from postoperative 15th day, all cardiac and respiratory problems were resolved. We followed up this patient for about 1 year, and her condition is excellent up to now.

      • SCOPUSKCI등재
      • SCOPUSKCI등재

        대동맥전환증 및 단일심실과 동반된 대동맥궁 결손 1례 보고

        유병하 대한흉부심장혈관외과학회 1979 Journal of Chest Surgery (J Chest Surg) Vol.12 No.2

        Interruption of the aortic arch may be defined as discontinuity of the aortic arch in which either an aortic branch vessel or a patent ductus arteriosus supplies the descending aorta. This uncommon lesion was described first by Raphe Steidele in 1778 and was later classified into 3 types by Celoria and Patton. This anomaly rarely occurs as an isolated anomaly. Most commonly, a ventricular septal defect, patent ductus arteriosus, and abnormal arrangement of the brachiocephalic arteries occurs together with arch anomaly. Rarely, more complex anomaly, such as transposition of the great vessel, or single ventricle, is coexistent. We present the case of an 6 year-old boy with D-transposition of great vessel single ventricle, patent ductus arteriosus and patent foramen ovale with interruption of the aortic arch (Type A).

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