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      • KCI등재
      • 한의진단명과 진단요건의 표준화 연구 III : 3차년도 연구결과 보고

        최선미,양기상,최승훈,박경모,박종현,심범상,김성우,노석선,이인선,정진홍,이진용,김달래,임형호,김윤범,박성식,송태원,김종우,이승기,최윤정,신순식 한국한의학연구원 1997 한국한의학연구원논문집 Vol.3 No.1

        The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analyzing and differentiating of epidemic febrile disease - analyzing and differentiating in accordance with the Sasang constitution medicine based on four-type recognition - differentiation of disease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance (-muscle. born, joint, etc.) - standards for diagnosis of neuropsychiatric disease - standards for diagnosis of five sense organ disease - standards for diagnosis of external disease The indivisual diagnosis pattern was arranged by the diagnostic requirements in the following order : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattern, prognosis, a way of curing a disease, prescription, herbs in common use, disease appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirements in the following order : another name, notion of disease, the main point of diagnosis, analyzing and differentiating of disease, analysis of disease, discrimination of disease, prognosis, a way of curing and prescription of disease, disease in western medicine appearing the disease in oriental medicine, documents.

      • 돼지 난포란의 동결보존

        최인경,송해범 대구대학교 생명과학연구소 2004 생명과학연구 Vol.3 No.1

        Abstract : The cryopreservation of embryos has become a powerful tool in assisted reproduction in several mammalian species. Embryos are cryopreserved by slow freezing or by vitrification. However, consistently high survival has not been obtained in most oocytes and in some embryos. The main reasons for the low survival would be sensitivity to low temperatures, which leads to chilling injury, and low permeability of the cell membrane, which leads to the formation of intracellular ice. As a strategy aiming to overcome these injuries, modified vitrification methods have been devised in which the cooling and warming rate is markedly incresed by minimizing the column of the solution and the container. Furthermore, porcine oocytes and embryos are influenced just by chilling to below 15℃.

      • KCI등재

        관상동맥 누공에 의한 급성 심근 경색 1예

        서유승,최재웅,송창섭,조용범,양진수,박준섭,정인수 대한내과학회 2003 대한내과학회지 Vol.65 No.2

        관상동맥 동정맥루 기형은 매우 드문 질환으로 치료가 불필요한 경우가 대부분이나 coronary steal 현상으로 인해 증상이 발생하거나 합병증이 발생한 환자에 대해선 치료를 요한다. 최근에는 시술에 적합한 누공을 가진 선택된 환자군을 대상으로 카테터를 이용한 중재적 시술이 시행되어 수술적 치료와 유사한 결과를 얻고 있다. 저자들은 젊은 남자에서 관상동맥 동정맥루 기형과 동반된 급성 심근 경색증을 진단하여 비 수술적 방법인 카테타 코일 색전술로 성공적 치료 후 증상 및 심근 재관류에 호전을 보인 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. We report a case of coronary fistula between the left anterior descending and main pulmonary artery complicating acute non-Q wave myocardial infarction. A 27-year-old man visited emergency department because of severe chest pain lasting two hours. The electrocardiogram showed ST segment elevation in precordial leads V3~6. Cardiac enzymes were as follows;CK-MB:36.44 IU/L T-T:0.489 ng/mL, CPK:542 IU/L, and LDH:475 IU/L. The thallium-201 dipyridamole stress perfusion scan showed perfusion defect and reversed redistribution in the anteroseptal wall. The coronary angiogram revealed coronary artery fistula between the proximal left anterior descending artery and main pulmonary artery without significant stenoses of coronary arteries. The result of ergonovine test was negative. After micro-coil embolization to the coronary fistula, symptoms were improved. Follow-up thallium-201 scan showed normalized blood flow in the left anteroseptal wall.

      • SCOPUSKCI등재

        소화성 궤양 출혈에 대한 내시경적 순수에탄올 국소주사요법의 치료 효과 및 예후

        김태호,이동호,김유선,정현채,송인성,김용태,이경미,박민정,김정룡,김주성,윤용범,이진혁,이국래,최일주 대한소화기내시경학회 1999 Clinical Endoscopy Vol.19 No.3

        Background/Aims: Endoscopic injection therapy improves the outcome in bleeding peptic ulcer, but the optimum regimen is unknown. Although endoscopic injection therapy is effective in controlling initial hemorrhage from a peptic ulcer, between 10% to 30% of patients suffer rebleeding. The aim of this study was to evaluate the initial and ultimate success rate of hemostasis, the rebleeding rate, hospital stay (days), and the emergency operation rate in patients who had undergone endoscopic ethanol injection for bleeding peptic ulcer. Methods: Thirty nine patients presented with active bleeding (spurting), visible vessels, or blood clots on endoscopic findings were given an endoscopic ethanol injection with a total of 1.0∼3.0 ml of ethanol. The initial and ultimate success rate of hemostasis, rebleeding rate, and emergency operation rate after the endoscopic injection was evaluated. Results: 1) The initial success of hemostasis was 38/39 (97.4%). 2) The rebleeding rate after ethanol injection was 8/39 (20.5%). ) The success rate of the second trial of ethanol injection was 3/8 (37.8%). 4) Emergency operations were conducted in5/39 (12.8%). 5) The ultimate success rate of hemostasis was 34/39 (87.2%). 6) There were no mortalities [0/39 (0%)] related to the ethanol injections and bleeding peptic ulcers. 7) There were no complications [0/39 (0%)] related to the ethanol injections. 8) The mean duration of hospitalization was 9.5 4.5 days. Conclusions: Endoscopic ethanol injection in the treatment of bleeding peptic ulcers was as effective and safe as any other injection or mechanical hemostatic method. Further prospective studies or endoscopic trials for hemostasis are needed to reduce the rebleeding rate and emergency operation rate of bleeding peptic ulcer.

      • KCI등재후보

        백서 소장 점막 이당류 분해 효소 순응에 대한 연구

        임경욱(Kyong Wook Yim),고광철(Kwang Chul Koh),김유철(Yoo Chul Kim),임용철(Yong Chul Lim),이효석(Hyo Suk Lee),윤용범(Yong Bum Yoon),송인성(In Sung Song),김정룡(Chung Yong Kim) 대한내과학회 1988 대한내과학회지 Vol.35 No.1

        N/A There is plenty of evidence that the intestinal disaccharidases such as sucrase and maltase are adaptive by their substrates. However the intestinal lactase adaptiveness is still controversial despite results which positively suggest its adaptiveness in young experimental animals. The authors designed the following experiment with six groups of adult Wistar rats, each of which consists of ten 210 g average adult rats, to investigate whether dietary lactose solutions would increase the intestinal lactase specific acitivity and to observe the effects of various dietary solutions on other intestinal enzyme specific activities at the same time. All of the animals were fed by standard rat chow ad libitum and the first group (control) was made to suck tap water the second group a 5% glucose solution, the third group a 10 sucrose solution, and the fourth, fifth, and sixth groups 5%-, 10%- and 15% lactose solutions respectively, also ad libitum as the fluid source for a six week period. At the end of the experiment, the small intestines were divided into three segments of equal length from the Treitz ligament to the terminal ileum, from each of which one tissue section was made and specific enzyme activities (lactase, sucrase, trehalase, alkaline phosphatase and aminopeptidase N) were assayed. The results were as follows: 1) There was no difference in mean body weight during the experimental period. (mean±S.D; 230±12.3) 2) No histological differences between the groups were noted in each of the three segments. 3) The intestinal trehalase, alkaline phosphatase, aminopeotidase N, and lactase, which was the key enzyme of this experiment, were not adapted by these experimental solutions. 4) The intestinal sucrase specitic activities, especially of the middle segment, from animals fed with 5% glucose, 10% sucrose, 10%-and 15%-lactose solutions, in- creased from a control group value of 41.8±18.4 to 72.1±15.1, 73.0±12.0, 71.3±24.9 and 66.4±11.0mu/mg protein (p<0.01 in all) respectively, confirming again its adaptiveness. We concluded that the intestinal lactase was not adapted by these 5-15% lactose solutions in six weeks, To the contrary, the sucrase was adapted by various carbohydrate solutions which suggested that the adaptation was substrate non-specific and was by local effect rather than distant hormonal or neural effects.

      • SCOPUSKCI등재

        내시경적 (內視鏡的) 역행성 췌담관조영술의 (膵膽管造影術) 합병증에 (合倂症) 대한 Gabexate mesilate ( FOY ) 의 예방적 (豫防的) 효과

        송인성(In Sung Song),김정용(Chung Yong Kim),윤영범(Yong Bum Yoon),배순기(Soon Kie Bae),송제일(Je Il Song) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.2

        N/A The development and prevalence of endoscopic retrograde cholangiopancreatography(ERCP) has resulted in great progress in the diagnosis of the disease of the pancreas, and biliary tract. At the same time, however, the rise of serum amylase level has been often point out as the complication of ERCP. To assess the effect of synthetic protease inhibitor, Gabexate mesilate(FOY), in hyperamylasemia following ERCP, the authors carried out a controlled trial in 39 patients who were underwent ERCP under the impression of pancreatic or biliary system disease. Of them 20 patients were allocated to FOY@ treated group and 10 patients to control group. The following results were obtained: 1) There was no significant difference in serum amylase level between FOY treated group and control group before ERCP, however significant difference was observed in seram amylase level at 2 hour and 2 day after ERCP between FOY treated group and control group Before ERCP the serum amylase level was 107. 6 45. 1 I.U./dl in control group and 105. 7+-42.1 I.U./dl in FOY treated group.At 2hour after ERCP the serum amylase level was 186.7 +-150.1 I.U./dl in control group and 103.2+-47.9 I.U./dl in FOY treated group. On 2nd day after ERCP, the serum amylase level was 167.7+-84. 1 I.U,/dl in control group and 109.6+-59.1 I.U./dl in FOY treated group 2) The change in serum amylase levels at 2 hour and 2 day after ERCP by the extent of visualization showed a tendency that a greater extent of visualization was associated with a higher incidence of serum amylase levels. Such a tendency was more pronounced in control group and the mean serum amylase level was significantly higher in the control group. 3) FOY did not cause any serious side effect such as shock, fall of blood pressure, itching, eruption, chest pain etc. in all cases. 4) There was some report that FOY has a relaxant action on the Oddis sphincter and helps the cannulation to the opening of Papilla of Vater, however it more depended upon the skill of the endoscopist, anatomical variation of the Papilla of Vater and FOY did not give any great advantage to the cannulation.

      • SCOPUSKCI등재

        한국성인 에서의 NANB 형 급성바이러스 간염과 D 형 간염 바이러스 감염

        윤용범(Yong Bum Yoon),송인성(In Sung Song),김정룡(Chung Yong Kim),이효석(Hyo Suk Lee),정현채(Hyun Chae Jung),변종훈(Jong Hoon Byun),이계희(Ke Hee Lee),김웅(Woong Kim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.4

        N/A The prevalence of AVH NANB and D was 35.4% and 0.9%, B and A; 60.3% and 3.4%, respectively, in 116 Korean adult patients with biopsy proven AVH in whom paired serum samples from acute and convalescent phases were tested by the most sensitive RIA. The most common causes were infection with hepatitis B virus, whereas hepatitis D superinfection is very infrequent. AVH NANB was distributed in all age groups with peak age of forties and D in forties, while almost all cases of AVH B were in between twenties and forties with peak age of thirties and A in teens, respectively. Chronic hepatitis developed in 17.1% and 12.8% in patients with acute hepatitis NANB and B, respectively. In patieiints with AVH B, 27% remained postive for HBsAg. Progression to chronic hepatitis in AVH NANB and B is more likely associated with absence of jaundice and prescnce of bridging necrosis in male patients, but not with age. The prevalence rate of anti-HD in Korean adults was shown to be less than 1%. Anti-HD was detected in the patients with AVH B, HBsAg positive CAHI and LC, but not in HBsAg chronic carriers.

      • KCI등재

        단위가축영양 : 모돈에 대한 생강 및 황금 분말 급여가 초유와 혈청의 항산화력과 IgG 농도에 미치는 영향

        김상범 ( Sang Bum Kim ),김인철 ( In Cheul Kim ),송영민 ( Young Min Song ),이성대 ( Sung Dae Lee ),정현정 ( Hyun Jung Jung ),박준철 ( Jun Cheol Park ),조성백 ( Sung Back Cho ) 한국동물자원과학회 ( 구 한국축산학회 ) 2010 한국축산학회지 Vol.52 No.5

        본 연구에서는 생강과 황금 건조 분말의 급여가 모돈의 유질과 자돈의 면역력에 미치는 영향을 구명하고자 수행하였다. 공시동물은 2산차 F1 임신모돈 24두를 이용하였다. 시험사료는 대조구(CON) 사료에 생강건조분말(GDP)과 황금건조분말(SDP)를 0.3 % 대체하여 분만 전 30일부터 이유 21일까지 시험사료를 급여하였다. 모돈 혈청에서 항산화력과 IgG는 처리구간에 유의적인 차이를 나타내지 않았다. 초유에서 항산화력은 처리구가 대조구보다 높은 수치를 나타내었지만, 처리구간의 유의적 차이를 나타내지 않았다. 초유의 IgG 함량은 GDP구가 다른 처리구에 비해 유의적으로 높게 나타났다(P<0.05). 초유의 유성분 함량에서, 단백질 함량은 GDP구가 다른 처리구에 비해 유의적으로 높게 함유하였다 (P<0.05) 지방과 유당 함량은 처리구간에 유의적 차이를 나타내지 않았다. 초유의 아미노산 조성은 SDP구가 다른 처리구에 비해 각각의 아미노산 함량이 유의적으로 높게 나타났다. 0일령과 21일령에서 자돈 혈청의 항산화력은 처리구간에 유의적 차이를 나타내지 않았지만, 다른 구에 비해 GDP구가 높은 함량을 유지하였다. IgG 함량은 0일령에서는 측정되지 않았고, 21일령에서는 GDP구가 다른 구에 비해 유의적으로 높은 함량을 나타내었다(P<0.05). 이상의 결과로, 생강 건조분말은 초유의 IgG 함량과 자돈 혈청 IgG 함량을 개선시키는 효과가 확인되어 모돈 사료의 유질개선용으로 활용이 가능할 것으로 판단된다. The objective of this study was to investigate the effects of dietary ginger and Scutellaria on antioxidant capacity and IgG concentration in plasma and colostrum of sows. Twenty-four sows (Landrace x Yorkshire) in parity 2 were assigned to 3 treatment groups (8 sows per treatment) from 30 day before farrowing up to weaning on day 21 after farrowing. The treatment diets included I) CON (Basal diet), 2) GOP (0.3% ginger dry powder was used as the replacement of wheat in basal diet) and 3) SOP (0.3% Scutellaria dry powder was used as the replacement of wheat in basal diet). No differences were found in antioxidant capacity and IgG concentration in plasma of sows among all the three treatments. Antioxidant capacity in colostrum was not affected by replacement of ginger and Scutellaria dry powder. IgG and protein concentration in colostrum was significantly higher (P<0.05) in GOP than that in CON and SOP. However, fat and lactose concentration were not affected by treatments. The total amino acid concentration in colostrum was significantly higher (P<0.05) in GOP than that in CON and SOP. Plasma antioxidant capacity was not affected by treatments in piglet on 0 day and 21 day, but tended to increase by supplementation of ginger. On o day, plasma IgG in piglet was not detected by replacement of ginger and Scutellaria dry powder. However, plasma IgG concentration in piglets on 21 day was significantly higher (P<0.05) in GOP than that in CON and SOP. These results indicate that colostrum IgG concentration in sows and plasma IgG concentration in piglets were improved by feeding ginger dry powder 30 days before farrowing in comparison to basal diet.

      • SCOPUSKCI등재

        간경변 (肝硬變) 환자와 (患者) 이와 동반된 간암 (肝癌) 환자에서의 혈중 Estrogen 과 Testosterone 치에 대한 연구

        윤용범(Yong Bum Yoon),송인성(In Sung Song),김정룡(Chung Yong Kim),이효석(Hyo Suk Lee),이동호(Dong Ho Lee),박중원(Joong won Park),임용철(Yong Chul Lim) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.1

        N/A The purpose of this study was to evaluate whether or not estrogen acts as promoter or initiator of primary liver cancer in liver cirrhosis. The serum levels of estrone (E1), estradiol (E2), estriol (E3) and testosterone were estimated by radioimmunoassay in twenty men of liver cirrhosis (LC) and twenty men of primary liver cancer (PLCa) with liver cirrhosis. The results were summerized as following 1) Serum El was 7.90+3.22 ng/dl in the patient of LC and 6.02+0.88 ng/dl in the patient of PLCa with LC. There was statistically significant difference between two goups (p<0.05). 2) Serum E2 was below 10 pg/ml in both group of patient of LC and PLCa with LC. 3) Serum E3 was 4.33+2.34 ng/ml in the patient of LC and 6.78+6.87 ng/ml in the patient of PLCa with LC. There was no statistically significant difference between two groups (p>0.05). 4) Serum testosterone and El/testosterone ratio was 2.26+1.43ng/ml, 9.13+19.8 in the patient of LC and 2.86+1.90 ng/ml, 6.40+13.1 in the patient of PLCa with LC. There was no statistically significant difference between two groups (p>0.05). 5) The comparison of liver function test and Childs classification in both group showed more poor condition in the patient of LC than those of PLCa with LC. These results suggested that serum levels of E2, E3, testosterone and El/testosterone ratio are not significantly different in the patient of LC and PLCa with LC and increase of serum E1 level observed in the patient of LC is probably due to more poor liver function. These results also suggested that estrogen does not seem to have the role of hepatic carcinogenesis at least in men of HBsAg positive nonalcoholic cirrhosis in Korea.

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