• Title/Summary/Keyword: 간부

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Therapeutic Plan for Traumatic Truncal Arterial Injury Associated with Truncal Organ Injury (체간부 장기 손상을 동반한 외상성 체간부 동맥 손상 환자의 치료 방침)

  • Jo, Choong Hyun;Jung, Yong Sik;Kim, Wook Hwan;Cho, Young Shin;Ahn, Jung Hwan;Min, Young Gi;Jung, Yoon Seok;Kim, Sung Hee;Lee, Kug Jong
    • Journal of Trauma and Injury
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    • v.22 no.1
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    • pp.77-86
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    • 2009
  • Purpose: The appropriate management of traumatic truncal arterial injury is often difficult to determine, particularly if the injury is associated with severe additional truncal lesions. The timing of repair is controversial when patients arrive alive at the hospital. Also, there is an argument about surgery versus stent-graft repair. This study's objective was to evaluate the appropriate method and the timing for treatment in cases of truncal abdominal injury associated with other abdominal lesions. Methods: The medical records at Ajou University Medical Center were reviewed for an 8-year period from January 1, 2001, to December 31, 2008. Twelve consecutive patients, who were diagnosed as having had a traumatic truncal arterial injury, were enrolled in our study. Patients who were dead before arriving at the hospital or were not associated with abdominal organ injury, were excluded. All patients involved were managed by using the ATLS (Advanced Trauma Life Support) guideline. Data on injury site, the timing and treatment method of repair, the overall complications, and the survival rate were collected and analyzed. Results: Every case showed a severe injury of more than 15 point on the ISS (injury severity score) scale. The male-to-female ratio was 9:3, and patients were 41 years old on the average. Sites of associated organ injury were the lung, spleen, bowel, liver, pelvic bone, kidney, heart, vertebra, pancreas, and diaphragm ordered from high frequency to lower frequency. There were 11 cases of surgery, and one case of conservative treatment. Two of the patients died after surgery for truncal organ injury: one from excessive bleeding after surgery and the other from multiple organ failure. Arterial injuries were diagnosed by using computed tomography in every case and 9 patients were treated by using an angiographic stent-graft repair. There were 3 patients whose vessels were normal on admission. Several weeks later, they were diagnosed as having a truncal arterial injury. Conclusion: In stable rupture of the truncal artery, initial conservative management is safe and allows management of the major associated lesions. Stent grafting of the truncal artery is a valuable therapeutic alternative to surgical repair, especially in patients considered to be a high risk for a conventional thoracotomy.

Erection Method for Marine Section of Double Deck Warren Truss in Young Jong Grand Bridge (영종대교 복층 Warren Truss 해상구간 가설공법)

  • Kim Jeong-Woong;Seo Jea-Hwa;Yang Mu-Seok;Yuk Il -Dong
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.232-239
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    • 2001
  • Young Jong Grand Bridge is approach traffic road of New Inchon International Airport which covers hub airport function in northeast asia. The total span length of this bridge is $4,420{\cal}m$ and this main bridge type is, the first in the world, Double Deck Self Anchored Suspension Bridge, designed as double deck systems to be arranged by road and railroad. Approach bridges to be connected with main span also are composed double deck steel truss and steel box girder to consider a continuity with this span. Our company erected $1,375{\cal}m$(about 60,000tons) of double deck steel truss bridge type which is composed by 6 traffic lane on upper deck and 4 traffic lane and Double track railroad on lower deck. The original installation method of this bridge was planed to install about 75 meters bridge blocks to use floating crane, after temporary bent was constructed between permanent piers. But this method which had to construct many temporary bents in the sea had the matter that construction periods can become lengthen and construction cost can be risen. To overcome the uncertainty to ensure high qualify of bridge and economic project execution, our company developed new bridge erection method to assure both quality control and economic construction work. The new erection method which was developed by us was one that could transport and install long bridge block, $120{\cal}m$ unit at a time and that temporary bent was not required. We hope that this paper is used as technical data which will erect bridge in the western sea and others marine region.

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Antioxidant and Antigenotoxic Activities of Extracts from Anglerfish (아귀 추출물의 항산화 및 항유전독성 활성)

  • Lee, Suck-Hee;Shin, Jin-Hwa;Koo, Myoung-O;Jung, Eun-Sil;Jeon, Geong-Im;Park, Eun-Ju;Park, Hae-Ryong;Lee, Seung-Cheol
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.36 no.10
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    • pp.1229-1234
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    • 2007
  • Antioxidant activities of extracts from anglerfish (Lophiiu Zitulon) were evaluated. Each part of fresh (skin, flesh, stomach, and liver) or dried (skin and flesh) anglerfish was extracted by four different solvents (methanol, ethanol, acetone, and distilled water). Antioxidant activities of the extracts were determined by radical scavenging activity (RSA) and reducing power (RP). Relatively higher RSA and RP were found in methanol and water extract of fresh anglerfish liver. Antigenotoxic effect of the extracts, which was measured by Comet assay, was shown in most of the extracts except methanol, acetone and distilled water extracts of fresh stomach sample. These results indicated that antioxidant and antigenotoxic properties of extracts from angler fish were variable depending on parts, solvent, and/or physicochemical state. The appropriate extraction process could provide some valuable bioactive materials from anglerfish.

Primary bone tumors of fibula (비골에 발생한 원발성 골 종양)

  • Park, Jang-Won;Lee, Seung-Hwan;Shin, Kyoo-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.2
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    • pp.112-117
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    • 2006
  • Purpose: The purpose of this study was to investigate on primary bone tumors of fibula. Materials and Methods: Patients who received operative treatment from January 1993 to December 2005 for primary bone tumors of fibula were analyzed for clinical outcomes. Results: There were 17 patients(10 males, 7 females) who were diagnosed for primary bone tumors of fibula. Osteochondroma was the most common diagnosis and others were osteosarcoma, fibrous dysplasia. The malignant bone tumors were 10.5% of all fibula tumors. There were 12 cases on proximal, 4 cases on mid shaft, and 1 cases on distal part of fibula. At the final follow up, 14 patients reported patient satisfaction of either excellent or good. Conclusion: Bone tumor of fibula doesn't need reconstruction after the resection unless it invades tibia or its site distal, which enables easy surgical resection. However, generally it is rare and accompany with vague symptoms, so careful approach to diagnosis is necessary because late diagnosis can mean the needs for amputation.

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Factors Affecting the Period of Bone Union When Treating Femoral Fractures with a Retrograde Intramedullary Nail (역행성 골수강 내 금속정을 이용한 대퇴골절의 치료 시 골유합 기간에 영향 미치는 인자)

  • Kim, Bum-Soo;Kim, Seong-Tae;Shin, Seungyup;Jeon, Seong Man
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.326-333
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    • 2021
  • Purpose: A retrograde intramedullary nail is commonly used to treat femoral shaft and distal femur fractures. The authors analyzed the treatment results and the factors affecting the period of bone union for thirty-five patients treated with a retrograde intramedullary nail. Materials and Methods: Thirty-five patients who could be followed up for more than twelve months after the treatment with retrograde intramedullary nailing were analyzed retrospectively. The treatment results and the relationship between the period of bone union and the patient's age, sex, comminution of fracture, presence of open fracture, location of the fracture, and accompanying fractures were evaluated. Results: The average bone union time was 4.50 months. The period of bone union was unaffected by the age, sex, location, and presence of open fractures but was affected by the presence of comminution and accompanying fractures. Conclusion: Retrograde intramedullary nailing is effective for distal and shaft of fractures of the femur. The period of bone union is affected by the presence of comminution and accompanying fractures.

The Effect of Group Success on Organizational Commitment: Collective Efficacy and Group Cohesiveness of Naval Officials (집단의 성공 경험이 조직몰입에 미치는 영향: 해군 간부들의 집단효능감과 집단응집성을 중심으로)

  • Gil-Hwan Kim ;Ju-Hyun Kim ;Dong-Gun Park
    • Korean Journal of Culture and Social Issue
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    • v.23 no.4
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    • pp.527-556
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    • 2017
  • The purpose of this study was to examine the effect of group success on organizational commitment in organizational situations. It also aimed to investigate the dynamics in the relevance of motivational attitudes to the individual and group level variables(collective efficacy, group cohesiveness). This study used a multi-level model and tested a series of hypotheses through meso-mediation procedure. The results from 613 naval officials in 36 groups provided evidence that; (1) collective efficacy mediated the relationship between group success and group cohesiveness, (2) the cross-level main effects of group success and collective efficacy were shown on vocationa[l self-efficacy, (3) group cohesiveness exerted positive influence on organizational commitment and (4) the meso-mediation effects among the variables at the multi-level were revealed. It was found that the degree of work motivation and motivational attitudes depended on the group's contextual factors, and that each group's shared perceptions on group performance outcomes could be an important motivational source and cornerstone leading to group cohesiveness. The implications and limitations of these study as well as the direction for future study were discussed.

The Study of Relationship between Trigger Points and Acupoints (I) - From Head To Trunk - (근육의 Trigger Points와 경혈(經穴)의 연관성에 관한 연구(I) - 두부(頭部)부터 체간부(體幹部)까지 -)

  • Kim, Jin-Gi;Youn, Il-Ji;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.16 no.1
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    • pp.115-126
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    • 2007
  • Objectives : The purpose of this study is to find out relationship between Trigger points and Acupoints. Methods : We have researched some of oriental and western medical books about Trigger points and Acupoints from head to trunk. Conclusions : 1. In the head, there are 46 trigger points Among them, 19 trigger points correspond to Acupoints and 25 trigger points are similar to them 2. In the thorax, there are 33 trigger points Among them, 17 trigger points correspond to Acupoints and 20 trigger points are similar to them 3. In the upperimb, there are 20 trigger points Among them, 9 trigger points correspond to Acupoints and 13 trigger points are similar to them. 4 In the trunk, there are 11 trigger points. Among them, 5 trigger points correspond to Acupoints and 11 trigger points are similar to them.

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NCO candidates through fitness programs Appropriate staff training to national security (부사관 후보생 체력단련프로그램운영을 통한 국가안보에 적합한 인력양성)

  • Song, Jun-Hwa
    • Convergence Security Journal
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    • v.14 no.6_1
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    • pp.113-120
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    • 2014
  • Recent changes made lack of volunteers is ready for a lot of the black students lack basic physical fitness and to increase this by itself is a lot to announce the final selection from the first notes, the secondary Fitness NCO selection process and interview process. The trend of course, but also to life as a career soldier passed the sergeant exam showed the important need is ready to run out of the old basic fundamentals that can be said that a lot of beginners executives. Therefore, we propose an appropriate national security with the mental and physical knowledge that our military needs the basic data ingest through analysis of model train to make excellent NCO personnel by fitness programs.

Army Field Training and the Affect It Has On the Commissioning of Students Who Hope to Become NCOs (병영실습 훈련이 부사관과 학생들의 임관에 미치는 영향)

  • Jung, Jae-Keak
    • Convergence Security Journal
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    • v.14 no.3_1
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    • pp.71-77
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    • 2014
  • Students in the NCO department who have concluded the agreement with army headquarters, exercise camp education environment and the method on how to carry out the education. In order to raise awareness on NCOs and obtain pride as a future army NCO, army field training is held once a year. The stress on the education is the establishment of national security awareness, proficiency in basic army training, awareness of NCO pride, and basic posture as a soldier. The demand for commissioning only those with satisfactory army field training results is becoming stronger. The satisfaction of the education states a clear goal as a future NCO. This army field training has a meaning when the demands and expectations of the trainee leads to a form of commissioning.

On the study of war history education - On the focus of noncommissioned officer's department - (전쟁사 교육방안 연구 - 부사관 학과를 중심으로 -)

  • Kim, Gyu-Nam
    • Convergence Security Journal
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    • v.14 no.3_1
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    • pp.55-63
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    • 2014
  • The history of mankind has been at war with the war now going on in this moment. To prepare for this war, war history has been studied and its importance can be summarized in three main points. First, to understand the predictions of war and, second, to develop doctrines to fit changing circumstances, and to hone tactics through indirect war experiences. The curriculum of war history education for noncommissioned officer's department(two-year program) must include war lessons and skills to prepare the war. By indirect experiences through training they will have the ability to perform their duties in the field. This paper focuses to review the contents and methods of war history education which is being taught and to propose the new model for war history education for the students who are commissioned as officers after graduation.