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      • SCOPUSKCI등재
      • 《文筆眼心抄》考論

        張宇超(장우초) 한국교통대학교 동아시아연구소 2020 동아문헌연구 Vol.- No.-

        《문필안심초(文筆眼心抄)》는 일반적으로 《문경비부론(文鏡秘府論)》의 축약본으로 인식되고 있다. 《문경비부론》은 일본 승려 편조 금강(遍照金剛, 속명은 좌백 공해/佐伯空海:774 ~ 835)이 편찬한 중국문론사 저서이다. 남북조에서 중당시기에 이르기까지 시가 작법이라거나 시가 이론에 관한 저작을 모은 것인데, 이들 중 다수가 이미 중국에서는 실전되어 문학연구에서 자료 가치가 높은 책이다. 그러나 《문필안심초》는 현존본 《문경비부론》과 완전히 포함관계에 있지 않다. 대표적으로, 《문경비부론》에 보이지 않는 시가작품으로 5언시 15수 (행 수는 30구), 7언시 1수(행은 2구)가 수록되어 있다. 때문에 진충(陳翀) 같은 경우는 《문필안심초》가 위서(僞書)라고까지 하였는데 자세히 관찰 해 보면 이것은 《문필안심초》가 완성 된 뒤 후세 사람들이 끊임없이 수정하였기 때문임을 알 수 있다. 한편, 진충은 《문필안심초》의 저본이 일본의 와카(和歌) 창작 지도를 위한 교재라고도 하였다. 이것은 겸창(가마쿠라:鐮倉)막부 시대의 《화원천황신기(하나조노텐노신키:花園天皇宸記》에 《문필안심초》가 언급되어 있다는 것에 근거를 두고 있다. 그러나 이것은 원문에 보이는 “兼”자를 일본어 훈독으로 보아 “予て(かねて)”, 즉 “애당초부터, 처음 시작할 때부터 이미”의 의미로 본 것인데, 이 부분에서 “爲兼”은 인명으로 보는 것이 타당하다. 그래서 와카 창작의 지도용 서적 같은 것은 아니며, 《시인옥설(詩人玉屑)》 같은 시론, 시화서의 성질을 갖는 것이고, 아울러 일본 평안(헤이안:平安)시대 한시학(漢詩學)가 밀접한 관련을 갖는다. Wenbiyanxinchao is generally considered to be the abridged version of Wenjingmifulun, in which poems not quoted in Wenjingmifulun are retained, including, 15 poems 30 sentences of five characters poem, 1 poem 2 sentences of seven characters poem. Almost all of them come from the newly added contents of Wenbiyanxinchao, which reflects that the appearance of Wenbiyanxinchao is constantly modified by later generations, rather than the original appearance of Konghai at that time. At the same time, Wenbiyanxinchao is not a guide book for Waka writing. Its nature is similar to Shirenyuxie, and it is still closely related to the Chinese character poetics in the Heian era of Japan.

      • SCOPUSKCI등재
      • KCI등재

        Comparison of Second- and Third-Generation Cephalosporin as Initial Therapy for Women with Community-Onset Uncomplicated Acute Pyelonephritis

        장우임,위성헌,김형욱 연세대학교의과대학 2015 Yonsei medical journal Vol.56 No.5

        Purpose: This study examined the clinical effectiveness of parenteral cefuroxime and cefotaxime as empirical antibiotics for treating hospitalized women with uncomplicated acute pyelonephritis (APN). Materials and Methods: This study was based on the clinical and microbiologic data of 255 hospitalized women with APN. Of these 255 women, 144 patients received cefuroxime and 111 received cefotaxime. Results: There were no marked differences in the demographic features, clinical characteristics, and treatment duration between the populations of the cefuroxime and cefotaxime groups. The rates of defervescence showed no significant differences in the two groups at 48, 72, 96, and 120 hours. The clinical cure rates observed at the follow-up visit 4 to 14 days after the completion of antimicrobialtherapy were not statistically different between the cefuroxime and cefotaxime groups [94.9% (129 of 136) versus 98.0% (100 of 102), respectively; p=0.307], and the microbiological cure rates were also not significantly different [88.3% (91 of 103) versus 95.0% (76 of 80), respectively; p=0.186]. The median hospitalization periods in the cefuroxime and cefotaxime groups were 7 (6–8) and 7 (6–8) days (p=0.157), respectively. Microbiological success rates after 72–96 hours of initial antimicrobial therapy were also not statistically different in the cefuroxime and cefotaxime groups, 89.4% (110 of 123) versus 94.9% (93 of 98; p=0.140). Conclusion: Cefuroxime, a second-generation cephalosporin, is an appropriate antibiotic option for the initial treatment of uncomplicatedAPN and its efficacy does not differ from cefotaxime, a third-generation cephalosporin, in the initial parenteral therapyfor community-onset APN.

      • KCI등재

        A comparison of the clinical characteristics of elderly and non-elderly women with communityonset, non-obstructive acute pyelonephritis

        장우임,김형욱,노용선,위성헌 대한내과학회 2015 The Korean Journal of Internal Medicine Vol.30 No.3

        Background/Aims: Acute pyelonephritis (APN) is the most common cause of community-onset bacteremia in hospitalized elderly patients. The objectives of this study were to investigate the differences in the clinical and microbiological data of hospitalized elderly and non-elderly women with community-onset APN. Methods: Women with community-onset APN as a discharge diagnosis were identified from January 2004 to December 2013 using an electronic medical records system. We compared the clinical and microbiologic data in elderly and non-elderly women with community-onset APN due to Enterobacteriaceae. Results: Of the 1,134 women with community-onset APN caused by Enterobacteriaceae, 443 were elderly and 691 were non-elderly women. The elderly group had a lower frequency of upper and lower urinary tract symptoms/signs than the non-elderly. The incidence of bacteremia, extended-spectrum β-lactamase (ESBL)- producing Enterobacteriaceae, patients with a C-reactive protein (CRP) level ≥ 15 mg/dL, and patients with a leukocyte count ≥ 15,000/mm3 in the blood, were significantly higher in the elderly group than in the non-elderly group. The proportion of patients requiring hospitalization for 10 days or more was significantly higher in the elderly group compared to the non-elderly group (51.5% vs. 26.2%, p < 0.001). The clinical cure rates at 4 to 14 days after the end of therapy were 98.3% (338/344) and 97.4% (519/533) in the elderly and non-elderly groups, respectively (p = 0.393). Conclusions: Elderly women with APN exhibit higher serum CRP levels, a higher frequency of bacteremia, a higher proportion of ESBL-producing uropathogens, and require a longer hospitalization than non-elderly women, although these patients may not complain of typical urinary symptoms.

      • SCOPUSKCI등재
      • KCI등재후보

        한국인 쯔쯔가무시병 환자에서 사이토카인 유전자의 다양성 조사

        장우임,김수연,위성헌,김태규 대한감염학회 2010 감염과 화학요법 Vol.42 No.1

        Background: Scrub typhus is caused by Orientia tsutsugamushi and can become severe and potentially life-threatening. It is suggested that specific host factors can modify the host response during O. tsutsugamushi infection. It is known that susceptibility and outcome of infectious disease are associated with genetic polymorphisms of some cytokines. Materials and Methods: Peripheral blood of 144 patients who were diagnosed with scrub typhus and of 311 unrelated healthy subjects were collected. A diagnosis of scrub typhus was made upon demonstration of a fourfold rise in antibody titer to O. tsutsugamushi in paired serum specimens in an indirect immunofluorescent (IFA) test. Genomic DNAs were extracted from peripheral mononuclear cells and genotypings for IL-1 (-511C/T), IL-1β (+3953T/C), IL-2 (-330T/G), IL-4 (-590C/T), IL-4R(-1902G/A), IL-10 (-1082G/A), IL-10 (-819C/T), TNF-α (-238G/A) and TNF-α (-308G/A) were performed simultaneously using PCR-SSP (sequence specific polymorphisms) assay. Results: The frequency of IL-1 (-511T/T) (OR=0.53, P<0.01) and IL-2 (-330T/T) (OR=0.56, P<0.01) were significantly decreased, but that of IL-2(-330G/G) (OR=4.49, P<0.01) was increased, in the scrub typhus patients compared to the healthy controls. And, there were no statistically significant differences in the genetic polymorphisms of IL-4 (-590C/T), IL-4Rα (-1902G/A), IL-10 (-1082G/A), IL-10 (-819C/T), TNF-α (-238G/A), TNF-α (-308G/A) genes, in the scrub typhus patients compared to the unrelated healthy controls. Conclusions: Cytokine polymorphisms in the IL-1 (-511T/T) and the IL-2 genes may influence the host response to O. tsutsugamushi.

      • KCI등재후보

        한국인 쯔쯔가무시병 환자에서 사이토카인 유전자의 다양성 조사

        장우임,김수연,위성헌,김태규 대한감염학회 2010 Infection and Chemotherapy Vol.42 No.1

        Background: Scrub typhus is caused by Orientia tsutsugamushi and can become severe and potentially life-threatening. It is suggested that specific host factors can modify the host response during O. tsutsugamushi infection. It is known that susceptibility and outcome of infectious disease are associated with genetic polymorphisms of some cytokines. Materials and Methods: Peripheral blood of 144 patients who were diagnosed with scrub typhus and of 311 unrelated healthy subjects were collected. A diagnosis of scrub typhus was made upon demonstration of a fourfold rise in antibody titer to O. tsutsugamushi in paired serum specimens in an indirect immunofluorescent (IFA) test. Genomic DNAs were extracted from peripheral mononuclear cells and genotypings for IL-1 (-511C/T), IL-1β (+3953T/C), IL-2 (-330T/G), IL-4 (-590C/T), IL-4R(-1902G/A), IL-10 (-1082G/A), IL-10 (-819C/T), TNF-α (-238G/A) and TNF-α (-308G/A) were performed simultaneously using PCR-SSP (sequence specific polymorphisms) assay. Results: The frequency of IL-1 (-511T/T) (OR=0.53, P<0.01) and IL-2 (-330T/T) (OR=0.56, P<0.01) were significantly decreased, but that of IL-2(-330G/G) (OR=4.49, P<0.01) was increased, in the scrub typhus patients compared to the healthy controls. And, there were no statistically significant differences in the genetic polymorphisms of IL-4 (-590C/T), IL-4Rα (-1902G/A), IL-10 (-1082G/A), IL-10 (-819C/T), TNF-α (-238G/A), TNF-α (-308G/A) genes, in the scrub typhus patients compared to the unrelated healthy controls. Conclusions: Cytokine polymorphisms in the IL-1 (-511T/T) and the IL-2 genes may influence the host response to O. tsutsugamushi. Background: Scrub typhus is caused by Orientia tsutsugamushi and can become severe and potentially life-threatening. It is suggested that specific host factors can modify the host response during O. tsutsugamushi infection. It is known that susceptibility and outcome of infectious disease are associated with genetic polymorphisms of some cytokines. Materials and Methods: Peripheral blood of 144 patients who were diagnosed with scrub typhus and of 311 unrelated healthy subjects were collected. A diagnosis of scrub typhus was made upon demonstration of a fourfold rise in antibody titer to O. tsutsugamushi in paired serum specimens in an indirect immunofluorescent (IFA) test. Genomic DNAs were extracted from peripheral mononuclear cells and genotypings for IL-1 (-511C/T), IL-1β (+3953T/C), IL-2 (-330T/G), IL-4 (-590C/T), IL-4R(-1902G/A), IL-10 (-1082G/A), IL-10 (-819C/T), TNF-α (-238G/A) and TNF-α (-308G/A) were performed simultaneously using PCR-SSP (sequence specific polymorphisms) assay. Results: The frequency of IL-1 (-511T/T) (OR=0.53, P<0.01) and IL-2 (-330T/T) (OR=0.56, P<0.01) were significantly decreased, but that of IL-2(-330G/G) (OR=4.49, P<0.01) was increased, in the scrub typhus patients compared to the healthy controls. And, there were no statistically significant differences in the genetic polymorphisms of IL-4 (-590C/T), IL-4Rα (-1902G/A), IL-10 (-1082G/A), IL-10 (-819C/T), TNF-α (-238G/A), TNF-α (-308G/A) genes, in the scrub typhus patients compared to the unrelated healthy controls. Conclusions: Cytokine polymorphisms in the IL-1 (-511T/T) and the IL-2 genes may influence the host response to O. tsutsugamushi.

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