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      • 가토의 안면-두피 피판 동종이식을 위한 실험용 모델 연구

        서영민,정승문,Seo, Yeong-Min,Chung, Seung-Moon 대한미세수술학회 2005 Archives of reconstructive microsurgery Vol.14 No.2

        The aim of this study was to investigate the major vascular system to supply flap, flap survival rate and complications after flap elevation in order to evaluate possibility of the vascularized face/scalp allotransplantation. Forty New Zealand white rabbits were divided into two groups: control group and experimental group. Individuals of control group had a face/scalp composite unit which was composed of skin, subcutaneous tissue and platysma muscle, supplying by bilateral facial artery, temporal artery and auricular artery and draining by external jugular vein. After a flap was elevated, bilateral facial artery, temporal artery and auricular artery were ligated. On the other hand, those of experimental group had the same composite unit as control group with bilateral facial artery, temporal artery and auricular artery being not ligated. We had measured survival area of flaps of the sixteen individuals survived for four weeks in the control group and fourteen in the experimental group by Grid method. The mean survival durations of the flap were 3.7days in the control group, 20.0days in the experimental group. The significant differences in the mean survival durations and survival rate at the 28days were found between the control and experimental group (p<0.05). Mean values about the survival area's fractions of all were $1.3{\pm}4.%$ in the control group and $63.1{\pm}4.8%$ in the experimental group. Those of experimental group was significantly higher than control group statistically (p<0.05). The composite face/scalp flap which we have elevated, supplied by bilateral facial artery, temporal artery, auricular artery and drained by external jugular vein has flap viability enough to be transplanted after its elevation.

      • KCI등재

        문장의 길이와 구조에 따른 3-5세 아동의 문장 따라말하기 수행력

        김정숙(Jung Sook Kim),정승문(Seung Moon Chung) 한국언어치료학회 2011 言語治療硏究 Vol.20 No.2

        The linguistic competence of children develops gradually as they age. As a result, several types of errors can occur in their speech until they have achieved complete fluency. Accordingly, many clinicians have evaluated the basic linguistic competence of children through the repetition of sentences with varying structures. The purpose of this study is to examine the performance of 3 to 5-year-old children when repeating sentences of different length and structure and to analyze any errors identified in the process.As children age, their linguistic competence improves. In sentence repetition according to structures, sentences which include more than five words show different phenomena according to each age. In each age group, errors of omission are highest, followed by substitution, addition, and displacement. In particular, errors such as omission and substitution are remarkable in 3-year-old children. Therefore, in the case of speech-language intervention of language development disorders, it is necessary to pay attention not only to length of sentences rather than sentence structure, but also to omission and substitution rather than addition and displacement.

      • KCI등재

        이중결함가설에 근거한 취학 전 단순언어장애아동의 읽기장애 요인

        김남영(Nam Young Kim),황하정(Ha Jeong Hwang),정승문(Seung Moon Chung) 한국언어치료학회 2012 言語治療硏究 Vol.21 No.2

        Specific language impairment is closely related to reading disability. The double-deficit hypothesis is very effective in explaining the characteristics of reading disabilities in the Korean language. In the double-deficit hypothesis, the major factors of reading disabilities, phonological awareness and naming speed, were analyzed to provide the mediation strategy to improve the early reading ability for children with specific language impairment.The double-deficit hypothesis can also explain the possibilities that children with specific language impairment will show both a defect of phonological awareness and naming speed, and therefore will have reading disability. In both groups in this study, phonological awareness and naming speed were predicting factors for reading ability and this supported the double-deficit hypothesis. Therefore a phonological awareness training program at the syllable level on syllable blending and the mediation strategy of naming speed on naming speed of numbers should be applied for children with deficits in both phonological awareness and naming speed.

      • 만성 호산구성 백혈병 1례

        정승문,김창욱,허경무,김미자,전용준,이호준,이호영,정회상,박유환,정춘해 朝鮮大學校 附設 醫學硏究所 1996 The Medical Journal of Chosun University Vol.21 No.2

        Chronic eosinophilic leukemia is a rare myeloproliferative disorder, It is considered by some to be a variant of chronic myelogenous leukemia. Still, others classify persistent eosinophilia accompanied by an unexplained organ system dysfunction with no underlying cause, under the broad classification of hypereosinophilic syndrome. It is characterized by a persistent eosinophilia of an immature form due to the infiltration of tissue by eosinophil and hepatosplenomegaly, anemia, thrombocytopenia and a brief clinical course. We report a case of eosinophilic leukemia. A 72-year-old man presented anorexia, dizziness and generalized weakness. The peripheral blood showed persistent eosinophilia of an immature form, anemia and thrombocytopenia. The bone marrow study showed a shift to the left, with many eosinophilic myelocyte and marrow fibrosis. The LAP score and chromosome analysis showed normal findings.

      • 통풍성 관절염의 임상적 고찰

        윤채중,정승문,김영학,김동규,허광식,김태원,배학연,정종훈,이승일,김평남 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.2

        통풍은 Purine 대사의 이상으로 발생하는 질환으로, 고뇨산혈증인 사람의 전부가 통풍으로 발현되지 않고 증상의 출현 양상이 다양하여 진단과 치료에 주의가 필요하며, 조기에 적절한 조치를 한다면 충분히 조절이 가능한 질환이다. 본대학 내과학교실에서는 통풍으로 치료한 32명의 환자에서 임상양상, 병력과 검사소견을 분석하여 다음과 같음 결과를 얻었다. 1. 32명 모두 남자이며, 최초 발병 시기는 24세에서 72세로 평균 43.8±11.9세이었으며, 30대에서 40대까지가 19명(59.4%)으로 대부분을 차지하였다. 내원 당시 나이는 27세에서 75세까지로 평균 52.3±10.4세였으며, 내원시 까지 평균 유병기간은 8.5±6.8년으로 나타났다. 2. 동반 질환으로는 고지혈증 12례, 신장질환 10례, 고혈압 12례, 비만 8례, 당뇨 2례 등이었다. 3. 이환된 관절은 단관절 침범이 19례(59.4%), 다관절 침범이 13례 이었으며, 최초 이한된 관절은 족무지 중족골지골 관절로 19례(59.4%)로 가장 많았고, 통풍 결절은 20례(62.5%)에서 관찰되었으며, 유병기간이 10년 이상된 12례중 11례 (91.7%)에서 결절이 관찰되었다. 4. 평균 혈중 요산치는 9.17±1.75 ㎎/dl이었으며, 8.0 ㎎/dl에서 9.9 ㎎/dl 사이가 19명으로 전체의 59.4%를 차지하였다. Objective: The gout is a heterogeneous group of diseases resulting from tissue deposition of monosodium urate or uric acid crystals from extracellular fluids supersaturated with respect to this end product of human purine metabolism. The clinical manifestations are such as hyperuricemia, gouty arthritis, gouty nephropathy, uric acid nephrolithiasis. We analyze of clinical manifestations and associated factors in gout. Method: We have reviewed the medical records, radiologic findings and clinical results of thirty-two patients admitted at our department from April 1996 to July 1997. Result: 1) All patients were male. The mean age at initial attack was 43.8 years old, ranging from 24 to 72 years old. 2) The mean level of serum uric acid was 9.17mg/dl on admission. 3) The first metatarsopharyngeal joint was involved in 19 cases (59.4%). Tophus was observed in 20 cases (62.5%). 4) Hyperuricemia was associated with hypertension, obesity, nephrolithiasis and hyperlipidemia.

      • 우심부전을 동반하지 않은 66세 Ebstein 기형 1례

        김창욱,정승문,윤채중,유기동,허경무,조영신,김상용,장경식 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.2

        Ebstein's anomaly of the tricuspid valve is a rare congenital malformation, which has a wide spectrum of morphologic abnormalities. Varying, both as to nature and degree, from minimal displacement of the adjacent parts of the septal and inferior leaflets of the tricuspid valve to presence of an imperporate membrane or muscle shelf between the inlet and trabecular zones of the right ventricle. The clinical manifestations of Ebstein anomaly are also quite variable, depending upon the spectrum of pathology and the presence of associated malformations, It is well documented that a considerable proportion of these patients are able to survive into adult life. However, the patient who survives into the seventh decade without a sign of heart failure is extremely rare. We speculate that this patient had not developed right heart failure until her seventh decade because she had a milder form of Ebstein's anomaly and did not have any other congenital heart disease. As we experienced an Ebstein's anomaly which was confirmed by echocardiogram, we presented a 66-year-o1d female case with the literature review.

      • KCI등재후보

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