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      • KCI등재

        How We Have Treated Severe to Critically Ill Patients With Coronavirus Disease 2019 in Korea

        Park Do Hyeon,Kang Chang Kyung,Choe Pyoeng Gyun,Kim Nam Joong,Park Wan Beom,Oh Myoung-don 대한의학회 2022 Journal of Korean medical science Vol.37 No.49

        Since 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread worldwide, and the coronavirus disease 2019 (COVID-19) pandemic currently continues. In response to this unprecedented pandemic, several researchers and medical staff have struggled to find appropriate treatments for COVID-19. Patients with mild symptoms can recuperate with symptomatic care, however establishing treatment for severe to critically ill patients who can have a high mortality has been essential. Accordingly, the guidelines for COVID-19 treatment have evolved through numerous trials and errors and have been relatively well established to date. In the Republic of Korea, several evidence-based guidelines for COVID-19 treatment were released and revised, reflecting various research and regional medical conditions. To date, approximately 3 years after the beginning of the COVID-19 pandemic, we are reflecting on the changes in the guidelines thus far and have summarized the treatment experience of severe to critically ill patients with COVID-19. The Korean guidelines for COVID-19 treatment have been updated continuously as the National Institutes of Health (NIH) guidelines have changed. Dexamethasone is currently used as the backbone for the treatment of severe to critically ill patients with COVID-19, and remdesivir, baricitinib, and tocilizumab can be added depending on a patient’s situation. In addition, venous thromboembolism prophylaxis is one of the important adjunctive therapies for patients with severe COVID-19. In the clinical field, treatment of severely ill patients with COVID-19 based on guidelines is widely practiced by medical staff and established currently.

      • Salt and pepper appearance of the skin associated with mixed connective tissue disease

        ( Sang-hyeon Won ),( Woo-il Kim ),( Min-young Yang ),( Won-ku Lee ),( Tae-wook Kim ),( Sung-min Park ),( Hyun-joo Lee ),( Gun-wook Kim ),( Hoon-soo Kim ),( Hyun-chang Ko ),( Byung-soo Kim ),( Moon-bum 대한피부과학회 2018 대한피부과학회 학술발표대회집 Vol.70 No.1

        The salt-and-pepper appearance of skin is composed of salt (vitiligo-like depigmentation) and pepper(perifollicular pigmentation). This characteristic feature can be a clinical clue for the diagnosis of systemic sclerosis. Mixed connective tissue disease(MCTD) is a distinct disease entity with mixed features of systemic lupus erythematosus, systemic sclerosis, myositis and rheumatoid arthritis with high titers of antibodies to U1 small nuclear ribonucleoprotein(U1 snRNP). Therefore, MCTD is known to have a wide spectrum of cutaneous manifestations which may be the presenting signs of the disease. However, there are few reports of pigmentary changes in MCTD. A 51-year old woman presented with variably sized hypopigmented macules along with relative hyperpigmentation of the perifollicular areas. She was diagnosed with MCTD by Raynaud’s phenomenon and high titer anti-RNP corresponding to a speckled antinuclear antibody of 1:1280 in Rheumatology clinic. A biopsy specimen showed dermal sclerosis. Pigment loss and melanophages were observed in the papillary dermis. Hypo- and hyperpigmentation were confirmed histologically by S100 and Fontana-Masson stain. To our knowledge, ‘salt and pepper appearance of the skin’ has rarely been reported in MCTD. The diagnosis of MCTD can be challenging due to its diverse characteristics. Therefore, we suggest that MCTD should be regarded as a differential diagnosis in patient with this pigmentary change.

      • Fatigue analysis of floating wind turbine support structure applying modified stress transfer function by artificial neural network

        Kim, Hyeon-Jin,Jang, Beom-Seon,Park, Chang-Kyu,Bae, Yoon Hyeok Elsevier 2018 Ocean engineering Vol.149 No.-

        <P><B>Abstract</B></P> <P>The frequency-domain approach has been studied as a potential replacement modality for the time-domain method in fatigue analysis of offshore wind turbine structures. It is assumed that in the frequency-domain approach, the stress response spectra induced by wind and wave loads can be expressed by a stress transfer function. To obtain the stress transfer function, coupled analysis should be performed in advance. However, since the response of a wind turbine to different average wind speeds is non-linear, the stress transfer function is bound to change with wind speed. This means that repeated simulation is needed in order to calculate the stress transfer function according to wind speed change. The problem, though, is that if the number of simulations is large, prohibitively high computational and time costs probably will be incurred. In this study, to reduce the number of simulations and, at the same time, increase the accuracy of results, a correction factor of the stress transfer function induced by wind load was artificial-neural-network-approximated as a function of mean wind speed and frequency. Sensitivity analysis was conducted to determine how many sample points are required and how to select them. Also, a superposition model is proposed to improve the accuracy of the ANN model. This model is designed so that the peaks in the stress spectrum have a dominant influence on fatigue damage. In order to better simulate the correction factor around the peak, the model considering only the data of the periphery of the peaks and the model reflecting the whole data are superimposed. The total stress spectrum were calculated by summing stress spectrum induced by wind load from the ANN model and induced by inertia load from motion analysis based on linear wave theory. Numerical analysis for a 10 MW class wave and offshore wind hybrid power generation (WWHybrid) system, which is a kind of semi-submersible wind turbine platform, was performed to verify the performance of the proposed model. It was confirmed that the superposition model improves the accuracy by 20–50% compared with the single ANN model.</P> <P><B>Highlights</B></P> <P> <UL> <LI> This paper proposes a procedure to apply the regression model to predict the fatigue life of a floating wind turbine support structure. </LI> <LI> The proposed procedure shows the stress transfer function induced by wind loads as a function of mean wind speed and frequency through a neural network model. </LI> <LI> A sampling strategy for constructing a model and a superimposed model concept for reflecting different weights between samples to a model are suggested. </LI> </UL> </P>

      • A two-photon ratiometric probe for hydrogen polysulfide (H<sub>2</sub>S<sub>n</sub>): Increase in mitochondrial H<sub>2</sub>S<sub>n</sub> production in a Parkinson’s disease model

        Choi, Hyeon Jin,Lim, Chang Su,Cho, Myoung Ki,Kang, Ji Su,Park, Soo Jin,Park, Sang Myun,Kim, Hwan Myung Elsevier 2019 Sensors and actuators. B, Chemical Vol.283 No.-

        <P><B>Abstract</B></P> <P>Hydrogen polysulfide (H<SUB>2</SUB>S<SUB>n</SUB>, n>1), which is primarily generated during the crosstalk between H<SUB>2</SUB>S and reactive species (ROS and RNS), is receiving increasing attention in biochemical research. H<SUB>2</SUB>S<SUB>n</SUB> is mostly generated in the mitochondria, and abnormal mitochondrial function and oxidative stress are directly related to many disorders including Parkinson's disease (PD). We now report a two-photon fluorescent probe (<B>SPS-M1</B>) for in situ detection of H<SUB>2</SUB>S<SUB>n</SUB> and its application to a PD model to account the H<SUB>2</SUB>S<SUB>n</SUB> levels. The probe exhibited selective and fast response to H<SUB>2</SUB>S<SUB>n</SUB> along with a marked blue-to-green color change. <B>SPS-M1</B> is sensitive enough to quantitative detection of endogenous H<SUB>2</SUB>S<SUB>n</SUB> content in mitochondria using two-photon microscopy (TPM). Ratiometric TPM imaging of live neurons and brain slices using <B>SPS-M1</B> revealed that H<SUB>2</SUB>S<SUB>n</SUB> production is increased to a greater extent in the A53 T α-synuclein (α-syn) overexpressing model than in the wild-type control. These findings suggest that the interactions of H<SUB>2</SUB>S and the increased ROS caused by α-syn overexpression may generate more H<SUB>2</SUB>S<SUB>n</SUB>. By employing our recently published TP probe for mitochondrial H<SUB>2</SUB>S, we also found the relationship between the H<SUB>2</SUB>S<SUB>n</SUB> and H<SUB>2</SUB>S; increased H<SUB>2</SUB>S<SUB>n</SUB> and decreased H<SUB>2</SUB>S levels, indicating that H<SUB>2</SUB>S and H<SUB>2</SUB>S<SUB>n</SUB> may play a significant role in the pathogenesis of PD. This result may be useful to biomedical studies, including PD.</P> <P><B>Highlights</B></P> <P> <UL> <LI> A two-photon excitable and emission ratiometric probe for hydrogen polysulfide (H<SUB>2</SUB>S<SUB>n</SUB>) in mitochondria was developed. </LI> <LI> The probe is able to direct visualization of the endogenous H<SUB>2</SUB>S<SUB>n</SUB> level using two-photon microscopy (TPM). </LI> <LI> Ratiometric TPM imaging revealed that H<SUB>2</SUB>S<SUB>n</SUB> production is increased in a Parkinson’s Disease model. </LI> </UL> </P> <P><B>Graphical abstract</B></P> <P>[DISPLAY OMISSION]</P>

      • KCI등재

        Effects of one or two applications of all-in-one adhesive on microtensile bond strength to unground enamel

        Son, Chang-Yong,Kim, Hyeon-Cheol,Jur, Bock,Park, Jeong-Kil 대한치과보존학회 2006 Restorative Dentistry & Endodontics Vol.31 No.6

        이 연구에서는 미세인장결합강도 실험과 주사전자현미경을 이용하여 unground enamel에 대한 all-in-one adhesive의 1회 또는 2회 적용에 따른 효과를 평가하였다. 발거된 하악 대구치의 설측 치관부를 사용하여 3개씩 5개의 군으로 분류하였다. SE군은 Clearfil™ SE Bond를 적용하였다. LP1 군, LP2 군은 Adper Prompt L-Pop™을 각각 1회 , 2회 적용하였다. XN1 군, XN2 군은 Xeno^(®) Ⅲ를 각각 )회, 2회 적용하였다. 그런 다음 복합 레진 Z100을 적층 충전하였다. 법랑질 표면의 접착제를 아세톤으로 제거하고 주사 전자 현미경을 이용하여 산 부식 양상을 관찰하였다. 미세인장결합강도 측정을 위해 표본을 절단하여 레진과 치아의 접착 계면이 1 ㎟이 되도록 하여 실험하였다. 실험의 결과는 One-way ANOVA를 사용해 분석한 다음 Duncan's post-hoc test로 사후 검정 하였다. 본 연구의결과 a11-in-one adhesive의 1회와 2회 적용간에는 유의한 차이가 나타나지 않았으며 two-step self-etching adhesive와 a11-in-one adhesive의 산 부식 양상 모두 얕고 불규칙 하였다. The purposes of this study were to compare the effects of one or two applications of all-in-ne adhesives on microtensile bond strengths (TBS) to unground enamel and to investigate the morphological changes in enamel surfaces treated with these adhesives using a scanning electron microscopy (SEM). Twenty-five noncarious, unrestored human mandibular molars were used. The unground enamel surfaces were cleansed with pumice. The following adhesives were applied to lingual, mid-coronal surfaces according to manufacture's directions; Clearfil SE bond in SE group, Adper Prompt L-Pop™1 coat in LP1 group, 2 coats in LP2 group, Xeno^(®) Ⅲ1 coat in XN1 group, and 2 coats in XN2 group. After application of the adhesives, a hybrid light-activated resin composite was built up on the unground enamel. Each tooth was sectioned to make a cross-sectional area of approximately 1.0 ㎟ for each stick. The microtensile bond strength was determined. Each specimen was observed under SEM to examine the morphological changes. Data were analyzed with one-way ANOVA. The results of this study were as follows; 1. The microtensile bond strength values were; SE (19.77 ± 2.44 MPa), LP1 (13.88 ± 3.67 MPa), LP2 (14.50 ± 2.52 MPa), XN1 (14.42 ± 2.51 MPa) and XN2 (15.28 ±2.79 MPa). SE was significantly higher than the other groups in bond strength (p < 0.05). All groups except SE were not significantly different in bond strength (p < 0.05). 2. All groups were characterized as shallow and irregular etching patterns.

      • KCI등재

        물-에너지-식량-탄소 넥서스를 이용한 통합물관리 모델 평가 연구 - 영산강 수계를 중심으로 -

        나라 ( Na Ra ),박진현 ( Park Jin-hyeon ),주동혁 ( Joo Donghyuk ),김하영 ( Kim Hayoung ),유승환 ( Yoo Seung-hwan ),오창조 ( Oh Chang-jo ),이상현 ( Lee Sang-hyun ),오부영 ( Oh Bu-yeong ),허승오 ( Hur Seung-oh ) 한국농촌계획학회 2023 농촌계획 Vol.29 No.1

        Active attention and effort are needed to develop an integrated water management system in response to climate change. In this study, it proposed models for cross-use of agricultural water and river maintenance water using sewage treatment water as an integrated water management system for the Yeongsan River. The impact of the integrated water management models was assessed by applying the concept of Nexus, which is being presented worldwide for sustainable resource management. The target year was set for 2030 and quantitatively analyzed water, energy, land use and carbon emissions and resource availability index by integrated water management models was calculated by applying maximum usable amount by resource. An integrated water management system evaluation model using the Nexus concept developed in this study can play a role that can be viewed in a variety of ways: security and environmental impact assessment of other resources. The results of this research will be used as a foundation for the field of in the establishment of a policy decision support system to evaluate various security policies, as we analyzed changes in other factors according to changes in individual components, taking into account the associations between water, energy, food, and carbon resources. In future studies, additional sub-models need to be built that can be applied flexibly to changes in the future timing of the inter-resource relationship components. 1)

      • KCI등재

        Eco-friendly and efficient in situ restoration of the constructed sea stream by bioaugmentation of a microbial consortium

        유장연,김인수,김수현,칼루 엑페게어,장재수,박영인,고성철,Yoo, Jangyeon,Kim, In-Soo,Kim, Soo-Hyeon,Ekpeghere, Kalu I.,Chang, Jae-Soo,Park, Young-In,Koh, Sung-Cheol The Microbiological Society of Korea 2017 미생물학회지 Vol.53 No.2

        부산시 영도구의 혁신지구의 인공해수천은 높아진 하상과 조류의 특성으로 인해 물이 순환되지 않고 더구나 주위의 오수가 유입되고 있어서 수질이 나빠지고 악취를 발생하고 있다. 이 문제를 해결하기 위한 방안으로 가장 오염되고 조류이동을 감안한 하천의 지점에 생물증강법을 적용하여 친환경적, 효율적으로 하천을 정화하고자 하였다. 현장에서 활성화된 복합미생물을 가장 오염된 지점(Site 2)에 7~10일 간격으로 투입하여, 수질의 pH, 온도, DO, ORP, SS, COD, T-N, 및 T-P를 측정하였고 또한 하상퇴적토의 COD 및 미생물군집을 분석하였다. 13개월 후 Site 2의 수질 SS, COD, T-N 및 COD (퇴적토)의 처리효율은 각각 51%, 58%, 27% 및 35%으로 나타났으나 T-P는 오히려 47% 증가를 보였다. 대부분의 측정지점에서 황산염환원세균(sulfate reducing bacteria)그룹 (Desulfobacteraceae_uc_s, Desulfobacterales_uc_s, Desulfuromonadaceae_uc_s, Desulfuromonas_g1_uc and Desulfobacter postgatei)과 Anaerolinaeles의 밀도는 대체적으로 생물증강에 의한 정화가 진행될수록 감소하였으며, 반면에 Gamma-proteobacteria (NOR5-6B_s and NOR5-6A_s), Bacteroidales_uc_s, 및 Flavobacteriales_uc_s의 밀도는 증가하는 경향이었다. 상대적으로 COD가 낮고 DO가 높은 청정지점인 St. 4에서는 호기성미생물인 Flavobacteriaceae_uc_s가 우점하였다. 이러한 미생물군은 하천의 정화과정을 추적할 수 있는 지표미생물로 활용될 수 있을 것으로 판단되었다. 생물증강 시행 후의 대표적 시점 퇴적토시료의 미생물군집 alpha diversity 지수(OTUs, Chao1 및 Shannon 지수)는 시행 전에 비해 감소하는 경향을 보였으며, 또한 beta diversity 분석기법(fast unifrac 분석)으로 분석한 결과 정화 전이나 초기에 비해서 정화가 진행될수록 전반적으로 시료에 무관하게 미생물군집의 유사성을 보여 생물증강이 현장 토착 미생물의 군집구조를 변화시키고 있음을 확인하였다. 이러한 사실로 보아 본 복합미생물에 의한 현장 생물증강법은 brine water 및 담수로 이루어진 오염된 하천을 환경친화적, 경제적으로 정화할 수 있는 대안으로 판단이 되었다. A constructed sea stream in Yeongdo, Busan, Republic of Korea is mostly static due to the lifted stream bed and tidal characters, and receives domestic wastewater nearby, causing a consistent odor production and water quality degradation. Bioaugmentation of a microbial consortium was proposed as an effective and economical restoration technology to restore the polluted stream. The microbial consortium activated on site was augmented on a periodic basis (7~10 days) into the most polluted site (Site 2) which was chosen considering the pollution level and tidal movement. Physicochemical parameters of water qualities were monitored including pH, temperature, DO, ORP, SS, COD, T-N, and T-P. COD and microbial community analyses of the sediments were also performed. A significant reduction in SS, COD, T-N, and COD (sediment) at Site 2 occurred showing their removal rates 51%, 58% and 27% and 35%, respectively, in 13 months while T-P increased by 47%. In most of the test sites, population densities of sulfate reducing bacterial (SRB) groups (Desulfobacteraceae_uc_s, Desulfobacterales_uc_s, Desulfuromonadaceae_uc_s, Desulfuromonas_g1_uc, and Desulfobacter postgatei) and Anaerolinaeles was observed to generally decrease after the bioaugmentation while those of Gamma-proteobacteria (NOR5-6B_s and NOR5-6A_s), Bacteroidales_uc_s, and Flavobacteriales_uc_s appeared to generally increase. Aerobic microbial communities (Flavobacteriaceae_uc_s) were dominant in St. 4 that showed the highest level of DO and least level of COD. These microbial communities could be used as an indicator organism to monitor the restoration process. The alpha diversity indices (OTUs, Chao1, and Shannon) of microbial communities generally decreased after the augmentation. Fast uniFrac analysis of all the samples of different sites and dates showed that there was a similarity in the microbial community structures regardless of samples as the augmentation advanced in comparison with before- and early bioaugmentation event, indicating occurrence of changing of the indigenous microbial community structures. It was concluded that the bioaugmentation could improve the polluted water quality and simultaneously change the microbial community structures via their niche changes. This in situ remediation technology will contribute to an eco-friendly and economically cleaning up of polluted streams of brine water and freshwater.

      • KCI등재

        신규로 건설된 군 위댐 호내 어류 군집 및 생태적 특성에 관한 연구

        이진웅 ( Jin Woong Lee ),윤주덕 ( Ju Duk Yoon ),김정희 ( Jeong Hui Kim ),박상현 ( Sang Hyeon Park ),백승호 ( Seung Ho Baek ),장광현 ( Kwang Hyeon Chang ),장민호 ( Min Ho Jang ) 한국하천호수학회(구 한국육수학회) 2015 생태와 환경 Vol.48 No.4

        To secure water resources, dams are normally constructed on the upper - middle part of streams, and it generates physical disturbances such as habitat alteration and stream fragmentation. Such construction can restrict movement of aquatic organisms, especially for freshwater fish which is one of top predator in aquatic ecosystem, and cause genetic fragmentation and community change. In this study, to investigate impact of habitat alteration after dam construction on freshwater fish, we monitored fish community changes, and compared fish fauna between dam reservoir and inflows. Additionally, movement characteristics and habitat boundaries of four species were identified by radio telemetry method. The study was conducted in the Gunwi Dam which was constructed in December 2010. Radio telemetry was applied to Pungtungia herzi, Zacco platypus (living lotic and lentic), Silurus asotus (lentic preferred species) and Zacco koreanus (lotic preferred species). The number of species was remarkably decreased (4 family, 10 species) comparing with before the dam construction (7 family, 15 species). Specifically, Coreoleuciscus splendidus, Niwaella multifasciata, Liobagrus mediadiposalis, Coreoperca herzi and Odontobutis platycephala that inhabit in the lotic environment were not collected in the study area. A total of 8 species were caught in both the dam reservoir and tributaries except 2 species (C. auratus and S. asotus). Sorenson``s similarity between the reservoir and its tributaries was high (0.842). All of the radio tagged species stayed in the reservoir except S. asotus which moved to the tributary. These species mainly utilized the shallow littoral zone as a habitat. These results could be useful as a baseline data for efficient management of fishes in lakes.

      • 인터넷 기반의 다중 사용자용 게임 개발 환경의 구축

        박창현 영남대학교 공업기술연구소 1999 工業技術硏究所論文集 Vol.27 No.1

        Recently, according to the rapid progress of high-speed network and internet technologies, new kinds of software related to them are being researched and developed massively. Multiuser games are a kind of network-based softwares. This paper presents a game development environment in which a multiuser and multimedia game can be developed easily with the effective use of necessary components for a certain game. The presented environment contains a game engine which supports the production and the execution of a game scenario, and a user interface library which is a collection of classes necessary for the decoration of client screen.

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