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      • 가성동맥류와 심장눌림증으로 발현된 좌심실 파열 1례 : 승모판 치환술 후 후기에 발현된 좌심실 파열

        황정인,조진성,이정훈,이승철 동국대학교 의학연구소 2008 東國醫學 Vol.15 No.1

        Rupture of left ventricle following mitral valve replacement may be a highly lethal complication. This complication is classified according to the time of presentation and to the site of rupture. Depending on the site and location of rupture, this complication is classified as type Ⅰ(posterior atrioventricular groove), type Ⅱ(posterior wall of the left ventricle at the base of the papillary muscle), and type Ⅲ(area between the type Ⅰ and Ⅲ). Additional classification by time patterns are early, delayed, and late rupture. Late onset left ventricle (LV) rupture after mitral valve replacement is rare and presents as pseudoaneurysm. We report type Ⅲ, late left ventricular rupture presented as pseudoanuerysm and cardiac tamponade. Early diagnosis of this lethal complication by echocardiography and computed tomography is needed for appropriate therapy. 승모판 치환술 이후 발생하는 좌심실 파열은 치명적인 합병증이다. 발생한 시간과 발생 위치에 따라서 분류되며, 발생 위치에 따라 제Ⅰ형(방실 골짜기 후부), 제Ⅱ형(유두근이 있는 좌심실 후벽 부위), 제Ⅲ형(제Ⅰ형과 Ⅱ형의 발생 위치 사이)으로 나누어 진다. 또한 발생시간에 따라 초기(early), 지연성(delayed), 후기(late) 파열로 나눈다. 후기 좌심실 파열은 매우 드물고, 주로 가성 동맥류로 나타난다고 알려져 있다. 초음파와 전산화 단층촬영술을 이용한 빠른 진단은 치명적인 합병증에 대한 정확한 치료와 환자의 생존률 향상에 도움이 될 수 있다. 저자들은 가성 동맥류와 심장눌림증으로 나타난 제Ⅲ형의 후기 좌심실 파열을 경험하여 보고하고자 한다.

      • KCI등재

        수사절차에서의 진술내용에 관한 증거방법 : 전문법칙상 수사기관이 작성한 조서의 증거능력을 중심으로

        황정인 경찰대학교 2011 경찰학연구 Vol.11 No.2

        This article examines how 'Hearsay Rule' in US regulates admissibility of statement evidence, especially statements collected during interrogation by law enforcement officers. According to the Federal Rules of Evidence in US, written statement by law enforcement officers can't be presented to the court or tribunals. To use statements of an accused or a witness as an evidence in the court, the inspector who interrogated the accused or the witness should give his testimony in the court, unless the accused or the witness takes their own stands by themselves. Moreover, Hearsay Rule regulates more strictly the inspector's testimony of the statement of the witness than that the statement of the accused. To affect the jury's decision, the inspector's testimony should be about name or descriptions of the suspect which the inspectors have collected from victims or witnesses at the crime scene during or just after the crime. If the inspector give testimony about statement collected during interrogation, the testimony couldn't be accepted as an evidence in the court without guarantee of cross-examination. From the point of 'Hearsay Rule', the evidence rules under the law of Criminal Procedure has some problems. Under criminal justice system in Korea, documentary evidence is used more easily as an evidence in the court than the testimony of a witness. The court denies the admissibility of written statement by the law enforcement agency, moreover, doesn't guarantee the right of cross-examination. This article criticizes that criminal justice system in Korea both neglects the intent and the purpose of 'Hearsay Rules' and concentrates only on efficiency of criminal justice system.

      • KCI등재

        An efficient ship detection method for KOMPSAT-5 synthetic aperture radar imagery based on adaptive filtering approach

        황정인,김대성,정형섭 대한원격탐사학회 2017 大韓遠隔探査學會誌 Vol.33 No.1

        Ship detection in synthetic aperture radar (SAR) imagery has long been an active research topic and has many applications. In this paper, we propose an efficient method for detecting ships from SAR imagery using filtering. This method exploits ship masking using a median filter that considers maximum ship sizes and detects ships from the reference image, to which a Non-Local means (NL-means) filter is applied for speckle de-noising and a differential image created from the difference between the reference image and the median filtered image. As the pixels of the ship in the SAR imagery have sufficiently higher values than the surrounding sea, the ship detection process is composed primarily of filtering based on this characteristic. The performance test for this method is validated using KOMPSAT-5 (Korea Multi-Purpose Satellite-5) SAR imagery. According to the accuracy assessment, the overall accuracy of the region that does not include land is 76.79%, and user accuracy is 71.31%. It is demonstrated that the proposed detection method is suitable to detect ships in SAR imagery and enables us to detect ships more easily and efficiently.

      • KCI등재

        우리나라 신장암의 소득 수준별 발생률과 진단시 병기의 차이

        황정인,기명,손미아 한국콘텐츠학회 2022 한국콘텐츠학회논문지 Vol.22 No.9

        A study was conducted to determine whether there is a difference in the incidence of kidney cancer according to income level and the difference in delayed diagnosis. To this end, the incidence of kidney cancer in Korea was analyzed by income level and by stage. From 2015 to 2017, a national kidney cancer cohort was established by linking the KCCR(Korea Central Cancer Registry), NHISS(National health insurance sharing service), and the HIRA(Health insirance review and assessment service) database to calculate the kidney cancer incidence by stage and income level. During the study period, the incidence of kidney cancer in Korea increased in all income deciles, but decreased only in the medical aid population. The incidence of kidney cancer in Korea was 7.35 per 100,000 people, and 83.54% of them were locoregional kidney cancer. In the top 20% of the income decile, there was a high incidence of 21.46 cases per 100,000 people, among which 18.37 cases were locoregional kidney cancer. On the other hand, even after adjusting for risk factors related to kidney cancer, it was confirmed that the lower the income level, the higher the risk of being diagnosed with kidney cancer with distant metastasis (lowest income 20% adj.OR 1.807, 95% CI 1.411-2.222). In the insured population, the risk ratio of being diagnosed with unknown stage was 1.926 (95% CI 1.317, 2.816). The higher the income level, the higher the frequency of early cancer diagnosis, but the lower the income level, the higher the risk of being diagnosed with metastatic kidney cancer or an unknown stage, so health inequality according to income level was observed. 우리나라 신장암 발생을 소득 수준에 따라 확인하고 병기별로 분석하여 소득 수준에 따른 지연된 진단 정도의 차이를 확인하기 위하여 2015년부터 2017년까지 중앙암등록자료 및 국민건강보험공단, 건강보험심사평가원 데이터베이스를 연계하여 국가 단위 신장암 코호트를 구축하여 병기별, 소득수준별 신장암 발생률을 산출하였다. 연구 기간 중 우리나라 신장암 발생률은 모든 소득 분위에서 증가하나 의료보장인구에서만 감소하는 양상을 보였다. 신장암 발생률은 인구 10만 명 당 7.35 명이었고 이 중 83.54%가 국한 및 국소 신장암으로 소득 상위 20%에서 인구 10만 명 당 21.46명의 높은 발생률을 보였다. 그 중 국한 및 국소 신장암이 18.37명으로 소득 수준이 높을수록 국한 및 국소 신장암 발생률이 높은 것으로 확인된 반면 소득 수준이 낮을수록 원격 전이된 상태로 신장암을 진단받을 위험이 높음(소득 하위 20% adj.OR 1.807, 95% CI 1.411-2.222)을 확인하였고 의료보장인구에서는 병기 미상으로 진단받을 위험비가 1.926(95% CI 1.317, 2.816)으로 관찰되었다. 소득 수준이 높을수록 조기에 암을 진단하는 빈도가 높지만 소득 수준이 낮을수록 전이 신장암으로 진단받거나 병기 미상으로 진단받을 위험이 높아 소득 수준에 따른 건강 불평등이 관찰되었다.

      • 살균제 Flusilazole 및 Myclobutanil의 사과 중 잔류양상

        황정인,김장억,Hwang, Jeong-In,Kim, Jang-Eok 경북대학교 농업과학기술연구소 2013 慶北大農學誌 Vol.31 No.4

        사과 중 triazole계 살균제 flusilazole 및 myclobutanil의 생물학적 반감기와 출하전 잔류허용기준을 산출하기 위해 안전사용기준에 근거한 기준량과 3배량의 약제를 살포하고 그 잔류량을 조사하였다. 시험기간 중 두 농약의 잔류량은 각각의 MRL 이하로 나타났으며, 사과 중 생물학적 반감기는 flusilazole의 경우 기준량 처리구에서 6.7일, 3배량 처리구에서 6.2일로 나타났다. 반면에 myclobutanil의 반감기는 기준량 처리구에서 13.3일, 3배량 처리구에서 24.8일로 나타나 flusilazole보다 더 긴 반감기를 가지는 것으로 조사되었다. First order kinetics에 근거한 감소지수식을 이용하여 산출된 각 농약의 감소상수는 flusilazole에 대하여 0.0513, myclobutanil에 대하여 0.0244이었으며, 산출된 감소상수들을 이용하여 출하 전 잔류허용기준(PHRL)을 계산한 결과, 안전사용기준을 준수한 농약살포를 가정하였을 때 flusilazole은 수확 일주일 전 0.43 mg/kg, myclobutanil은 같은 시기 0.59 mg/kg 이하로 잔류하면 수확 시 잔류농도가 MRL 이하로 잔류할 것으로 예측된다. The dissipation patters of the triazole fungicides flusilazole and myclobutanil in apples were investigated to establish the biological half-lives and pre-harvest residue limits (PHRLs). The residual amounts of the fungicides sprayed with single or triple doses were below the maximum residue limits (MRL) for apples established by Ministry of Food and Drug Safety. The dissipation constants of the fungicides in the apples were 0.0513 for flusilazole and 0.0244 for myclobutanil meaning their biological half-lives were calculated as 6.2-6.7 days for flusilazole and 13.3-24.8 days for myclobutanil. The PHRLs calculated using the dissipation constants indicated that the residual amounts of flusilazole and myclobutanil in the apples at the harvesting date would be below the MRLs if their residual amounts were 0.43 and 0.59 mg/kg, respectively, at 7 days prior to harvesting the apples.

      • KCI등재

        Effects of cuticular waxes on permeation of fungicides azoxystrobin and chlorothalonil into apples

        황정인,석다롱,김장억 한국응용생명화학회 2019 Applied Biological Chemistry (Appl Biol Chem) Vol.62 No.3

        Time-dependent permeation characteristics of two fungicides azoxystrobin and chlorothalonil into apples were investigated in the presence and absence of the cuticular waxes. Either apple samples which were subjected to waxremoving treatment or not (raw) were individually submerged in each dilution solution of the tested fungicides for a short time, and some of each submerged sample were then washed in running tap water. All apple samples were incubated under controlled conditions and collected sequentially after 1, 24, and 48 h. The collected apple samples were divided into four tissue parts before fungicide residue analysis: peel, pulp-1, pulp-2, and pulp-3. Most residues of azoxystrobin (70.7‒86.4%) in apples were present in the peel, and the residual extents in the pulps increased by removal of cuticular waxes. By washing treatment, 52.3–69.2% of azoxystrobin residues in raw apples were removed. Meanwhile, all chlorothalonil residues were determined in the peel of apples, and their concentrations slightly increased by wax removal. However, significant chlorothalonil residues (84.5–91.1%) were removed by washing the apple surface. Results in this study may be extensively utilized as basic data to understand characteristics of cuticular permeation and translocation of fungicides applied on fruit crops.

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