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      • 릴레이 경주 중에 발생한 대퇴직근 기시부의 완전 파열 - 증례보고 -

        전승주,전호승,문찬삼,노행기,하승주,Jeon, Seung-Ju,Jeon, Ho-Seung,Moon, Chan-Sam,Noh, Haeng-Kee,Ha, Seung-Joo 대한정형외과스포츠의학회 2008 대한정형외과스포츠의학회지 Vol.7 No.2

        대퇴직근은 슬관절을 신전하고 고관절을 굴곡하는 근육이며, 빠르고 강한 수축을 하는 제 2형 근섬유로 이루어져 있으며 두개의 관절을 거치므로, 운동 경기 중에 근위부 대퇴직근의 손상이 흔히 발생할 수 있다. 소아에서 발생하는 전하장골극에서의 대퇴직근 견열 골절이 가끔 보고가 되고 있고, 성인에서의 대퇴직근 근위부의 근-건 결합부 완전 파열은 반복적인 운동에 의해 드물게 발생하며, 외상과 관련이 없는 경우 대퇴부에서의 연부조직 종양으로 오인될 수 있다. 그러나, 릴레이 경주 중에 대퇴직근 근위부의 기시부가 급성으로 완전 파열된 예는 아직까지 보고된 바가 없다. 이에 저자들은 릴레이 경주 중에 발생한 중년 남성의 대퇴직근 기시부의 급성 완전 파열에 대하여 자기공명영상을 통하여 확인한 후 수술적 치료를 시행하였으며, 이를 문헌 고찰과 함께 보고하고자 한다. During sports activity, rectus femoris muscle can be commonly injured as the quadriceps contracts forcefully to extend the knee and flex the hip, and rectus femoris muscle has a high percentage of type II muscle fibers which enable it to produce rapid forceful activity and the muscle is the only biarticular muscle of the quadriceps. Avulsion fractures by the traction of rectus femoris from the anterior inferior iliac spine in children are often reported. Rarely, complete rupture of proximal musculotendinous junction of rectus femoris muscle in adult may occurs by chronic repetitive stimulation and may mimic soft tissue neoplasm in the case of no history of antecedent trauma. However, there has been no report of acute complete rupture of origins of the rectus femoris muscle during relay race till now. So, we report a case of acute complete rupture of origins of the rectus femoris muscle occurred during relay race in middle-aged man, diagnosed by magnetic resonance image and treated by surgical repair with review of current literature.

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        소아에서 상완골 과상부 골절과 동반된 신경손상의 회복

        전승주,전호승,조계남,윤형구,강철원 대한골절학회 2000 대한골절학회지 Vol.13 No.1

        Purpose: The purpose of our study is to determine the incidence of spontaneous recovery from neural injuries associated with supracondylar fractures of the humerus and to assess the results of electromyographic study and nerve conduction velocity. Materials & Methods: The 160 displaced supracondylar fractures of the humerus which had operation at the Sung Ae general hospital between April 1994 and June 1998 were reviewed. Twelve(7.5%) were associated with complete neural injuries involving 16 nerves; 9 radial, 5 ulnar and 2 median nerves. The mean age was 7.8 years old and boys outnumbered girls by 9 to 3. The follow-up period ranged from 1 year to 5 years 2 months. 11 fractures were managed with closed reduction and one with open means. All of the neural injuries were initially managed only by closed observation. At recent follow-up examination, we assessed the motor and sensory neurological status with Seddon’ s modification, grip strength and two-point discrimination in the autonomous zone. Electromyography(EMG) and nerve conduction velocity(NCV) were performed in 13 nerves of 10 patients who were assessed as completely recovered clinically. Result: Spontaneous neurological recovery occurred in 11 patients(15 nerves) at a mean of 2.4 months(range, 2 to 3.5 months). Clinically, these nerves were assessed as normal. In the EMG and NCVs, 4 of 13 nerves resulted in adnormal findings. 2 radial and 1 ulnar nerve showed mild sensory neuropathy and 1 ulnar nerve showed mild denervation potentials in EMG and slow motor and sensory NCVs. Conclusion: We think that neural injuries associated with the displaced supracondylar fractures of the humerus tend towards spontaneous recovery within 4 months. And even though the neurologic recoveries are clinically complete, these are not always completely recovered in electromyographic study and nerve conduction velocity.

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        삽관 나사못을 이용한 경골 고평부 골절의 치료

        전승주,전호승,조계남,윤형구,정강우 대한골절학회 2001 대한골절학회지 Vol.14 No.1

        Purpose: The results of treatment of tibial plateau fractures by extensive soft tissue exposure were less satisfactory even if anatomical reduction was achieved. The purpose of this study is to assess the functional and radiological results of the treatment of tibial plateau fractures by cannulated screw fixation to decrease soft tissue injury and operation time. Materials and Methods: From January 1996 to February 2000, 19 patients were treated by limited open reduction and internal fixation by cannulated screw. According to scoring of Rasmussen, the functional results were rated. Results: In all cases, Bony union was obtained and according to scoring of Rasmussen, excellent in 1 case, good in 14, fair in 4 cases. There were 2 cases of limitation of joint motion and 2 cases of persistant pain as sequale. Conclusion: We considered that if accurate preoperative evaluation was done, Cannulated screw fixaction was easier and faster method than other methods for treatment of tibial plateau fractures.

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        가명진술조서의 증거능력 : 조서 작성 절차와 방식의 적법성을 중심으로

        전승주 한국형사판례연구회 2014 刑事判例硏究 Vol.22 No.-

        The Criminal Procedure Act of Korea prescribes that a written statement prepared by the investigative authority is admissible as evidence, only if it was prepared in compliance with the due process and proper method. The requirement of ‘due process and proper method’ means the legality of the process and method of preparing a written statement by the investigative authority. On the other hand, the Article 7 of the Korean act on protection of specific crime informants(hereinafter referred to as “the informants protection act”) provides that when any retaliation is likely to be taken against an informant of a crime or his/her relatives, prosecutors or police officers are not required to note all or part of information which verifies the identity of the informant of the crime, such as a name, age, address or occupation. In regard to the requirement of ‘due process and proper method’, it is questionable whether a written statement of witness under a pseudonym is admissible as evidence where it is prepared on the crimes other than the specific crime prescribed in the informants protection act. In this case, the lower court and the appellate court decided that a written statement of witness under a pseudonym was not admissible because the questioned crime of blackmail was not the specific crime and the statement under a pseudonym did not comply with the due process and proper method. On the contrary, the Supreme Court of Korea decided that the investigative authority could prepare the protocol of a written statement under a pseudonym, if there had been a probable cause considering a combination of circumstances such as the relation between witness and the defendant, the type of crime, the necessity of protecting the witness because the Criminal Procedure Act did not require a real name in the written statement to verify the identity of witness. And the Court ruled that the meaning of ‘due process and proper method’ prescribed in the Article 312 of the Criminal Procedure Act was that the investigative authority must comply with all process and methods provided in the Criminal Procedure Act, like informing of the right to remain silent where a written statement was prepared. However, the balancing test of a probable cause in the ruling has a problem with not presenting a bright-line rule in the investigative procedure and arousing new controversies.

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        1950년대 批評에서의 ‘現代性’ 인식

        田承周 한국어문교육연구회 2002 어문연구(語文硏究) Vol.30 No.3

        The Recognition of Modernity in the 1950's Literary Criticism Jun, Seung-ju The times of 1950's is circumscribed by the colonial liberation (1945), war(1950~53), and revolution(1960) in Korea. It was a very specific era, but its condition as the modern in universal was also determinate. In postcolonial Korea of 1950's, the problem of modernity was nothing but the problem of underdeveloped and distorted realities. In the struggle to go beyond the unsatisfactory realities, literary critics adopted different strategies ; (1) the emphasis of ‘the contemporary’ and the underestimation of ‘the modern’ (2) the assertion of universal contemporariness by the reception of western philosophies (3) the proposition of humanitarianism which aims to the recovery of humanity (4) the attention to Korean tradition for the reconstruction of self identity. Through all these strategies, 1950's literary criticism tried to overcome the violent evils of modernity, to protect the value of humanity, and to adopt the precedent practices of western philosophies. Their discontent stemed from Korean modern history, nevertheless their solution oriented to so called western universality. They defaulted the thoughtful reflection on Korean reality. The controversy centered on tradition theory was the only exception, which doubted the universal modernity and reestablished the nation identity. While the literary mainstream was akin to western existentialism, the attention to tradition awakened the need of Korean identity. It gave the exit from the obsession of being underdeveloped and pioneered the road to new literature. 전후 현실에서 ‘近代性’을 문제삼는 것은 당대 사회의 후진성, 즉 ‘한국적 근대’의 特殊性이라는 문제를 제기하기 때문이다. 1950년대 문학비평에서 이러한 문제제기는 전통에 대한 부정과 서구사조의 수용을 통한 世界的 同時性의 강조, 휴머니즘 논의를 통한 인간성의 강조와 현실저항의 논리, 전통계승을 통한 문학적 주체성의 강조로 모아진다. 50년대 비평의 체계와 질서를 확립하는 일은 바로 이러한 ‘近代性’인식에 관한 문제로 歸結되는 것이라 할 수 있다. 新世代 문학은 ‘현대사회’의 여러 가지 弊害와 합리적 메카니즘으로부터의 인간구원, 즉 휴머니즘의 논리로 기울어진다. 이들이 주장하는 서구와의 동시성 추구란 서구문학의 수용을 통한 문학적 普遍性의 獲得을 목적으로 한 것이지만, 이는 한국의 현실에 대한 인식의 缺如라는 한계를 드러내고 있다. 따라서 傳統論은 문학의 普遍性과 한국적 特殊性에 대한 인식의 결과라는 점에서 중요성을 띠고 있다.

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