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      • 18–30세 사이에 발생하는 뇌경색의 특징, 다기관 레지스트리 연구

        장윤경,송태진,김용재,허지회,이경열,김영은,장민욱,조수진,강석윤 이화여자대학교 의과학연구소 2017 EMJ (Ewha medical journal) Vol.40 No.3

        Objectives: Although there have been several reports that described characteristics for young age stroke, information regarding very young age (18–30 years old) has been limited. We aimed to analyze demographic factors, stroke subtype, and 3-month outcome in acute ischemic stroke patient who have relatively very young age in multicenter stroke registry. Methods: We evaluated all 122 (7.1%) consecutive acute ischemic stroke (within 7 days after symptom onset) patients aged 18 to 30 from 17,144 patients who registered in multicenter prospective stroke registry, 1997 to 2012. Etiology was classified by Trial of Org 10172 in Acute Stroke Treatment criteria. Stroke severity was defined as National Institutes of Health Stroke Scale (NIHSS) and stroke outcome was defined by modified Rankin scale (mRS) at 3 months after index stroke. Results: The mean age of all included patients was 25.1±3.7 years and 76 patients (62.2%) were male. The median NIHSS at admission was 4. Considering stroke subtype, 37 patients (30.3%) had stroke of other determined etiology (SOD), 37 (30.3%) had undetermined negative evaluation (UN) and 31 (25.4%) had cardioembolism (CE) were frequently noted. After adjusting age, sex and variables which had P<0.1 in univariable analysis (NIHSS and stroke subtype), CE stroke subtype (odds ratio, 4.68; 95% confidence interval, 1.42–15.48; P=0.011) were significantly associated with poor functional outcome (mRS≥3). Conclusion: In very young age ischemic stroke patients, SOD and UN stroke subtype were most common and CE stroke subtype was independently associated with poor discharge outcome.

      • KCI등재

        노치 형상 및 냉각속도에 따른 Zr-2.5Nb 압력관의 DHC거동

        김상재,김영석,임경수,김성수,정용무 대한금속재료학회 2003 대한금속·재료학회지 Vol.41 No.1

        The objective of this study is to investigate the delayed hydride cracking (DHC) velocity and the incubation time for the water-quenched and furnace-cooled Zr-2.5Nb tube with the different radius of a notch tip. DHC tests were carried out at constant K_1 of 20 MPa√m and 250℃ on the cantilever beam (CB) specimens subjected to furnace cooling or water quenching after electrolytic charging with 57 or 72 ppm hydrogen, respectively. An acoustic emission sensor was attached to the CB specimens to detect the incubation time before the start of DHC. The shape of the notch tip changed from the fatigue crack to the dull crack with its radius ranging from 0.1 to 0.15 mm. The DHC incubation time increased remarkably with the increasing radius of the notch tip, which appeared more strikingly on the furnace-cooled CB specimens than on the water-quenched ones. However, both furnace-cooled and water-quenched CB specimens indicated little change in the DHC velocity with the radius of the notch tip unless their notch tip exceeded 0.125mm. These results demonstrate that the uncleation rate of hydrides at the notch tip determines the incubation time and the DHC velocity becomes constant after the concentration of hydrogen at the notch tip reaches the terminal solid solubility for dissolution (TSSD). This observation agrees well with Kim's DHC model. A difference in the incubation time and the DHC velocity between the furnace-cooled and water-quenched specimens is discussed in terms of the uncleation rate of hydrides at the notch tip and the hysteresis of hydrogen solubility.

      • 여가활동 유형이 여가만족에 미치는 영향

        김의영,김의영,김영숙,윤대중,이병기 龍仁大學校 武道硏究所 2002 武道硏究所誌 Vol.13 No.1

        This research is designed to make a comparative analysis of the types of leisure activities and the degree of leisure satisfaction by demographic background variable and to present basic materials necessary for the development of programs for local policies on leisure in accordance with the local autonomous system with a view to determining the relationship between leisure and life satisfaction by type of leisure activity. The following are the findings. First, the survey on testing the difference of leisure satisfaction by gender failed to test the difference in psychological and physiological satisfaction, but there were a statistically significant difference in educational, social and relaxation satisfaction at a level of 1 percent. And the survey failed to test the difference in psychological satisfaction by age, but there was a statistically significant difference in leisure satisfaction by society, education, job, monthly income, and health. Second, the survey on the influences of the types of leisure activities on leisure satisfaction revealed that there was a statistically significant influences in all the subordinate variables of leisure satisfaction.

      • 網膜色素上皮細胞의 Lysosomal acid phosphatase의 活性値 測定

        김복희,김은경,김윤화,백미화,이지숙,조영숙,황응숙 曉星女子大學校 藥學大學 學生會 1988 曉星藥誌 Vol.4 No.-

        Measurement of lysosomal enzyme activity in the rabbit eye was effected using acid phosphatase as enzyme markers. Acid phosphatase in the retinal pigment epithelium of the rabbit eye was studied using standard enzymological techniques. The enzyme activity in the lysosomal extract of the pigment epithelium was 54.9±23.0 King-Armstrong Unit/dl.

      • SCISCIESCOPUS

        Delayed Hydride Crack Velocity of Zirconium Alloys with the Direction of an Approach to Temperature

        KIM, Young Suk,KIM, Kang Soo,CHEONG, Yong Moo Atomic Energy Society of Japan 2006 Journal of nuclear science and technology Vol.43 No.9

        <P>The delayed hydride cracking (DHC) tests were conducted on Zr-2.5Nb compact tension specimens with the test temperatures reached by a heating and a cooling. The Zr-2.5Nb specimens were either furnace-cooled or water-quenched after a hydrogen charging treatment to contain 10 to 100 ppm H. On an approach to the test temperatures by a cooling, both the Zr-2.5Nb specimens showed the DHC velocity increasing with an increasing temperature over a temperature range of 100–300°C, irrespective of the cooling rate. However, on an approach to the test temperatures by heating, the furnace-cooled Zr-2.5Nb showed a DHC arrest at temperatures over 180°C and no DHC at 250°C, and the water-quenched ones did have a DHC growth, even at 250°C. Using Kim’s DHC model we elucidate the DHC arrest in the furnace-cooled Zr-2.5Nb at temperatures over 180°C and the DHC growth in the water-quenched specimen, even at 250°C, upon an approach by a heating.</P>

      • SCOPUS

        Critical Temperatures for Initiating and Arresting Delayed Hydride Cracking in a Zr-2.5Nb Pressure Tube

        Kim, Young Suk,Im, Kyung Soo,Cheong, Yong Moo Trans Tech Publications, Ltd. 2005 Key Engineering Materials Vol.297 No.-

        <P>The hydrogen concentration limit and critical temperatures for a delayed hydride cracking (DHC) in zirconium alloys have been reanalyzed using Kim’s DHC model that a driving force for DHC is not the stress gradient but the supersaturated hydrogen concentration or ∆C arising from a hysteresis of the terminal solid solubility on a heating and on a cooling. The DHC initiation occurs generally at the temperatures corresponding to the terminal solid solubility for precipititation (TSSP), demonstrating that the supercooling from the terminal solid solubility for dissolution (TSSD) is required to initiate the DHC. The DHC arrest temperatures correspond to the temperatures where the ∆C is reduced to zero. Therefore, we conclude that the ∆C is the driving force for the DHC and that the Kim’s DHC model is feasible.</P>

      • HMG-CoA 환원효소 억제제에 의한 ICAM-1 유전자의 발현조절

        김현진,정효균,홍우정,김군순,조영석,김도희,채수흥,구본정,송민호,노흥규,김영건 충남대학교 의과대학 지역사회의학연구소 2001 충남의대잡지 Vol.28 No.1

        Background : ICAM-1 act as one of major adhesion molecules in the atherosclerotic lesion. ICAM-1 expression is mainly regulated at the level of transcription and depend on IFN-γ signal transduction pathway in which the STAT1 transcrption factor is a critical intermediate. IFN-γreceptor not only initiates tyrosine 701 phosphorylation of STAT1 by Jak1 and Jak2, but also phosphorylates serine 727 through the activation of Raf-1/MAP kinases. HMG-CoA reductase inhibitors have anti-atherosclertic effects, beyond normalization of hypercholesterolemia, by directly acting on endothelial cells, macrophages and vascular smooth muscle cells. HMG-CoA reductase inhibitors suppress the synthesis of isoprenoid intermediates such as geranylgeranyl-pyrophosphate or farnesylpyrophosphate. These effects results inhibitors suppress the synthesis of isoprenoid intermediates such as geranylgeranyl-pyrophosphate or farnesylpyrophosphate. These effects results inhibition posttranslational farnesylation and geranyl-geranylation processing of small GTP-binding preoteins and inhibition of normal signaling activities. Method : We made several 5'-deletion constructs of rat ICAM-1 promoter and analyzed the promoter activities by measuring the luciferase activity after transfection into ECV304 cells and smooth muscle cells. We checked the level of total and phosphorylated STAT1 protein by immunoblot analysis using specific antibodies. Results : Lovastatin inhibits IFN-γ-induced ICAM-1 gene expression in the ECV304cell. The cells pretreated with PD98059, MEKK inhibitor showed significantly low ICAM-1 RNA induction with IFN-γ stimulatio. IFN-γ induced phosphorylation of tyrosine 701 was not significantly changed by the pretreatment of lovastatin. But lovastatin suppresses IFN-γ-induced phosphorylation of ERK1/ERK2 which are responsible for the seine 727 phosphorylation in STAT1. Conclusion : We showed that HMG-CoA reductase inhibitors, lovastatin, suppresses IFN-γ mediated ICAM-1 gene expression through the inhibition of transcription. HMG-CoA reductase inhibitor suppresses IFN-γ-induced phosphorylation of serine 727 in STAT1 through the modulation of MAP kinases.

      • 생체분해성 망막압정을 이용한 망막고정에 대한 실험적 연구

        김용백,민병무,김창식,박근성,김승영,길숙종,조항진,이성복,노승무,송규상,강대영,조준식,양준묵,정경수,최선웅,이진호,김학용,인현빈 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1

        Biodegradable retinal fixation devices obtain mechnical fixation of the retina with desirable chorioretinal scarring and with the potential for local, sustained release of antimetabolites and steroids to inhibit proliferative vitreoretinopathy. We manufactured a biodegradable retinal tack with barb that was designed in order to prevent intrusion from implantation of retinal tacks. This study was carried to evaluate the efficacy for retinal fixation and the capability for sustained release of drugs with a newly designed biodegradable retinal tack Biodegradable retinal tacks were made of polymers of glycolic acids and were designed with barbs in a shape to prevent the disinsertion. Biodegradale retinal tacks are divided into 3 parts, a conical portion that is inserted into the sclera, a cylinder portion that remains in the vitreous, and a neck portion between the pin and the cylinder. The tapered conical end was manufactured to allow easy insertion through the retina and choroid into the sclera. A cylinder portion was manufactured with a tapered angle that fixes firmly into the orifice of 19 gauge spinal needle. A neck portion, 0.4 mm in diameter, was designed to prevent disinsertion from following implantation of retinal tack. The applicator was a 19 gauge spinal needle and its orifice was prepared to 15°angle to accept the tapered cylinder portion of the retinal tack. The retinal tacks, secured in the needles, were passed through the formed vitreous and inserted into the retina, choroid, and sclera and were released by pushing the internal needle, usually within 2-3mm of the medullary ray of the posterior rabbit retina A retinal tack was placed in each of 8 pigmented rabbit eyes. Slit-lamp biomicroscopy, indirect ophthalmoscopy and fundus photography were performed periodically from 1 day to 8 weeks after surgery. Eight eyes were enucleated and studied by light microscopy at 8 weeks. Biomicroscopic evaluation of the animals revealed edemas adjacent to the retinal surfaces immediately after insertion of the biodegradable retinal tacks in all the animals. These edemas disappeared after 1 week. The first noticeable change in the size of retinal tacks was shown after 2weeks. The size of the retinal tacks gradually got smaller, decreasing to about one-half at 4 weeks and about one-third at 8 weeks. All retinal tacks remained in inserted places without any movement for an 8 week period. On light microscopy, epiretinal proliferations were seen to extend into the vitreous cavity. Cellular capsules that lined the inner aspect of the scleral defect caused by tack insertion were found. However the adjacent retina had a normal cytologic appearance and architecture in all specimens. We manufactured a biodegradable retinal tack that is designed to prevent intrusion from implantation of retinal tacks. All biodegradable retinal tacks reduce in size with time, but no retinal tacks extruded from the inserted place. The newly designed biodegradable retinal tack can be used for retinal fixation and may be used as a vehicle for the introduction of pharmacologic agents to prevent the cellular events that promote proliferative vitreoretinopathy.

      • SCOPUSKCI등재

        New Stress-Strain Model for Identifying Plastic Deformation Behavior of Sheet Materials

        김영석(Young Suk Kim),팜콕트완(Quoc Tuan Pham),김찬일(Chan Il Kim) Korean Society for Precision Engineering 2017 한국정밀공학회지 Vol.34 No.4

        In sheet metal forming numerical analysis, the strain hardening equation has a significant effect on calculation results, especially in the field of spring-back. This study introduces the Kim-Tuan strain hardening model. This model represents sheet material behavior over the entire strain hardening range. The proposed model is compared to other well known strain hardening models using a series of uniaxial tensile tests. These tests are performed to determine the stress-strain relationship for Al6016-T4, DP980, and CP Ti sheets. In addition, the Kim-Tuan model is used to integrate the CP Ti sheet strain hardening equation in ABAQUS analysis to predict spring-back amount in a bending test. These tests highlight the improved accuracy of the proposed equation in the numerical field. Bending tests to evaluate prediction accuracy are also performed and compared with numerical analysis results.

      • Temperature Dependence of Delayed Hydride Cracking Crack Velocity in Zr-2.5Nb Tubes

        Young Suk Kim(김영석) 대한기계학회 2005 대한기계학회 춘추학술대회 Vol.2005 No.11

        Delayed hydride crack tests were conducted on Zr-2.5Nb tubes with different distributions of the β-Zr at temperatures ranging from 125 to 300 ℃. Compact tension specimens charged to 27 to 100 ppm hydrogen were used to determine temperature dependences of their DHC velocity (DHCV) and striation spacing. The Zr-2.5Nb tube with a higher yield strength and a seimi-continuous β-Zr has a higher DHCV and a smaller striation spacing than that with a fully discontinuous β-Zr and a lower yield strength. It is found that the activation energy for the DHCV is the sum of the activation energy for hydrogen diffusion and the striation spacing representing the hydrogen concentration gradient at the crack tip. Quantitative contribution of hydrogen diffusion nad the hydrogen concentration gradient to the DHCV is discussed. This study provides supportive evidence to the feasibility of Kim’s DHC model.

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