• Title/Summary/Keyword: 관통상

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Clinical Patterns of Penetrating Torso Injury at Emergency Department (응급실을 통하여 입원한 체간부 관통상 환자에 관한 임상적인 고찰)

  • Yun, Soon Young;Cheon, Young Jin;Won, Tae Hee
    • Journal of Trauma and Injury
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    • v.18 no.1
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    • pp.47-52
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    • 2005
  • Background: This study was undertaken to evaluate the clinical pattern of the patients with penetrating torso injury. We retrospectively analyzed the clinical symptoms, mechanism of injury, injury type including injured organ, and ultimate outcome of treatment. Our purpose of the study was to establish guideline of management in penetrating torso injury. Methods: This study consists of an analysis of a consecutive series of 94 patients with penetrating injury of trunk treated at one general hospital during 7year period (from January 1995 to April 2003) who was admitted through in our emergency department. All data were collected from the medical records and entered in a database for analysis on the following: age, sex, mechanism of injury, vital sign at admission, clinical outcome including hospital mortality, length of hospital stay, length of intensive care unit stay, requirement of crystalloid fluid and blood product. Results: Among 94 patients, there were 68 men and 26 women, with ages ranging from 19 to 82 years (average 38.2 years). The most frequent mechanism of injury was violence by others including rob (n=54, 57.4%) followed by suicidal attempt (n=24, 25.5%) and accidental injury (n=16, 17.0%). No injury was inflicted from gun. In 37 patients, systolic blood pressure at admission was under 90mmHg. The time interval from injury to admission, and from admission to operation was 57.8minutes and 4hour 12minutes each. Laparotomy was required in 70 patients, thoracotomy in 5 patients, and 3 patients required thoracotomy and laparotomy. Among 94 patients, an average of 1.7 organs were injured. The small bowel and colon were the organs most commonly wounded followed by liver, mesentery, pleura. Of the 94 patients, 6 died for an overall mortality rate of 6.4%, and two of them were not related with hemorrhage. The average length of hospital stay was 18.1 days, and 40 patients required ICU care. Conclusion: Of the 94 patients who were admitted from penetrating torso injury, no patient was injured from firearm. Overall mortality rate was 6.4%. In our hospital, firearm injury was relative rare.

Characteristics of Water Quality in Hyeongsan River Watershed (형산강 수계의 수질 특성)

  • Kim, Yu-Pyo;An, Kwang-Guk
    • Korean Journal of Ecology and Environment
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    • v.43 no.1
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    • pp.150-160
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    • 2010
  • The objective of this study was to analyze long-term temporal trends of water chemistry and spatial heterogeneity for 7 sampling sites of the Hyeongsan River watershed using water quality dataset during 1999 to 2008 (obtained from the Ministry of Environment, Korea). The water quality, based on eight physical and chemical parameters, varied largely depending on the years, seasons and sampling sites. Seasonal and annual means of conductivity, used as a key indicator for a ionic dilution declined during the monsoon season and TN, based on overall mean of all sites, showed marked declines during the monsoon, compared to those of the premonsoon. In the mean time, BOD and COD had no significant relations with a precipitation, in spite of some differences in the sampling sites. In contrast, major input of SS occurred during the period of summer monsoon season. Spatial trend analyses of all parameters, except for DO and temperatures, showed that gyeongju city acted as a point source, and thus, water quality at the location of Site 4 declined abruptly, compared to locations of Site 1~2. Based on overall dataset, efficient water quality management in the point source tributary streams is required for better water quality of the main Hyeongsan River.

Study on High Degree of Efficiency Chemical Reactor for Air Purification Using the Glow Discharge (글로우 방전을 이용한 고효율 공기 정화용 화학 반응기의 특성관찰에 관한 연구)

  • Kim, Gi-Ho;Bu, Min-Ho;Lee, Sang-Cheon
    • Journal of the Korean Chemical Society
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    • v.50 no.1
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    • pp.14-22
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    • 2006
  • the basic model of chemical reactor using glow discharge, we used cathode discharge cell with vacant cavity in the middle. Currently glow discharge is widely studied as a radiation source or atomization device in atomic spectroscopy and remarkable technological achievements are made through the graft with other analysis devices such as microanalysis and steel analysis.1 Additionally, as the characteristics of basic glow discharge and radiation have been reviewed many times, those results could be used in this experiment.2-3 In 1993, an article regarding the treatment of poisonous gas in the air using low temperature plasma was published. According to this article, if DC Glow Discharge is used under continuous atmospheric flow, poisonous gases such as SO2 and NO can be removed.4 Based on those findings, we designed highly efficient reactor where stable air plasma is composed and all air flow pass the negative glow area passing through the tube. It was observed that the cathode tube type glow discharge developed in this study would be economical, easy to use and could be used as radiation source as well.

NON SURGICAL TREATMENT OF SOFT PALATE LACERATION (연구개 열창의 비외과적 처치술)

  • Chae, Kyu-Ho;Choi, Byung-Jai;Choi, Hyung-Jun;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.3
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    • pp.450-454
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    • 2002
  • Laceration of soft palate and oropharynx is relatively common in children. Soft palate laceration has been reported patients of all ages, ranging from new born to geriatric patients. However, young children often place objects their mouth, they may fall on the object or receive a direct force on the object which then perforates the soft palate tissue. Most frequently affected site is the left supra-tonsillar area. Lesions are predominately in the soft palate with-out perforation. Linear and superficial wounds are frequent. A typical injury is the flat- U-, or V-shaped with apex directed anteriorly. In those cases without any through-and-through lacerations or any tissue loss, suture is not necessary. Furthermore, suture of the affected site may hinder wound healing. Healing of the wound should be complete by three weeks with minimal scarring. There have been reports of carotid artery injury due to soft palate laceration causing neurologic complications. For such reasons, traumatized child must be in close observation for 2-3days, and if symptoms of complication are noticed consultation with oromaxillofacial surgeons, E.N.T., or neurologist is required. These are two reports of boys 2 and 3 years of age who had soft palate laceration caused by a falling-down-in jury with an object in their mouth. They were treated non-surgically and neurologic evaluation was carried out for 1 week with complete healing.

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Study on the Surface Characterization of Structure made of Polyamide 12 manufactured by Additive Manufacturing Process (적층 기법으로 제작한 polyamide 12 소재 적용 구조물 표면 특성 분석 연구)

  • Kim, Moosun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.9
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    • pp.481-487
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    • 2019
  • Additive manufacturing is a state-of-the-art manufacturing process technology in which three-dimensional structures are fabricated by laminating two-dimensional sections of a structure using various materials such as plastic, ceramics, and metals. The additive manufacturing technology has the advantage of high design freedom, while the surface property (roughness) of the finished product varies depending on the process conditions, which necessitates performing a post-process after the products are manufactured. In this study, the surface roughness of a structure made of polyamide 12, which was manufactured by SLS (Selective Laser Sintering) and MJF (Multi Jet Fusion) process was compared. The processing condition was classified by the building orientation of structure as 0, 45, and 90 degrees, which is the angle between the analytical surface and the horizontal plane of the fabrication platform. Structures with a hole of various diameters ranging from 1mm to 10mm were manufactured and the hole characteristics (ratio of hole depth to diameter) and results of the specimens were compared. As a result of the surface characteristics analysis, the surface roughness value of the specimens manufactured with a building orientation of $45^{\circ}$ was the highest in both technologies. In the case of the through-hole structure fabrication, the shape was maintained with 5mm and 10mm diameter holes regardless of the building orientation, although the hole forming was difficult for the smaller holes.

A Study on the Fish Fauna of the Samcheon and Jeonjucheon Stream in Urban Area at Jeonju, Korea (전주 도심구간 삼천과 전주천의 어류상)

  • MinYeong Im;Yu-Shin Sin;Cheol-Woo Park;Jong-Wook Kim;Youn Choi;Eun-Bi Kim;Jae-Goo Kim
    • Korean Journal of Ecology and Environment
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    • v.57 no.1
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    • pp.17-27
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    • 2024
  • This study investigated the fish fauna of Jeonjucheon and Samcheon Streams, flowing through the city of Jeonju, through surveys conducted at 10 sampling sites using kick net and cast net. The fish fauna collected included 10 families and 36 species, with a total of 2,064 individuals. Samcheon had 8 families and 30 species with 1,074 individuals, Jeonjucheon had 8 families and 26 species with 986 individuals. The dominant species was Zacco platypus with 1,202 individuals, and a total of 153 individuals of the subdominant were Pseudogobio esocinus. In Jeonjucheon Stream, a total of 567 individuals of the dominant species were collected as Z. platypus and 99 individuals of the subdominant species were collected as Pungtungia herzi, and there was no significant change in the stream environment except for the confluence site. Further expanded research covering the entire Jeonjucheon and Samcheon Streams region, accompanied by regular monitoring, is essential to record and understand fluctuations in fish fauna.

Management of Vascular Injuries to the Extremities after Trauma (외상 후 사지 혈관손상의 치료)

  • Kim, Han Yong;Park, Jae Hong;Kim, Myoung Young;Hwang, Sang Won
    • Journal of Chest Surgery
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    • v.42 no.1
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    • pp.46-52
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    • 2009
  • Background: Vascular injuries to the extremities are potentially devastating and they can lead to limb loss and mortality if they are not appropriately managed. The vascular trauma caused by traffic and industrial accidents has recently increased according to the developing industry and transport system in Korea. Early recognition and treatment of these injuries are mandatory to achieve satisfactory outcomes. Material and Method: We retrospective reviewed 43 patients with vascular injuries that were due to blunt and penetrating trauma and they underwent emergency operations from January of 1998 to December of 2006. Result: There were 38 men and 5 women patients with a mean age of $42.0{\pm}16.8$ years (range: 17~77). The cause of vascular injuries were 28 traffic accidents (65%), 6 industrial accidents (14%), 6 glass injuries (14%) and 3 knife injuries (7%). The average time from admission to the operating room was $319.0{\pm}482.2$ minutes (range: 27~2,400 minutes). The average time from admission to discharge was $53.1{\pm}56.0$ days (range: 2~265 days). The anatomic injuries included the femoral artery in 16 cases (37%), the popliteal artery in 8 cases (19%), the brachial artery in 8 cases (19%), and the subclavian and axillary arteries in 7 cases (16%). The associated injuries were 23 bone fractures (53%), 18 muscle injuries (42%) 5 nerve injuries (12%) and 11 vein injuries (26%). The operation methods were 20 end to end anastomoses (46%), 16 interposition grafts (36%), 2 repairs with using patches (5%) and 5 others (12%). The number of amputations and cases of mortality were 3 cases (7%) and 4 cases (9%), respectively. Conclusion: Minimizing ischemia is an important factor for maximizing salvage of extremities. Prompt diagnosis and treatment can reduce the amputation and mortality rates.

Statistical Study of Failure-Modes around the Pibanryeong Region, Boeun-Gun, Chungbuk (충북 보은군 피반령 부근 절취사면의 파괴양상에 대한 통계학적 연구)

  • Cheong, Sang-Won;Choi, Byoung-Ryol
    • The Journal of Engineering Geology
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    • v.19 no.4
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    • pp.517-528
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    • 2009
  • Statistical analyses of cut-slope stability were performed over approximately 5.7 km section along the National road No. 25, which cross-cuts in NW-SE direction the Cheongwon and Boeun-Gun area, Chungbuk. A measure of slope-stability was established by using direct reinforcement and indirect protection methods in whole section. Orientations(dip/dip direction) of the slopes, foliations(bedding), cleavages and joints were measured in total of 30 slope sites. The results analyzed using stereographic projection indicate that major directions of the slopes come out predominantly in three directions: 1) $58^{\circ}/095^{\circ}$, 2) $60^{\circ}/296^{\circ}$ and 3) $59^{\circ}/212^{\circ}$. In analyses of dip direction and frequency of cut-slopes established by reinforcement and protection methods, slopes with dip direction of $80-120^{\circ}$ and $280-320^{\circ}$ mostly occur. However, slopes with dip direction of $0-80^{\circ}$(N and NW) and $120-160^{\circ}$(SE) are not distributed in the study area. Failure aspects were analyzed for three major directions of the slopes, respectively. The results of failure aspects analyzed indicate that slopes in the study area could generate various failures as the results of intersection and/or intersection combination among joints, foliations(bedding) and cleavages. However, possibility of failure in a slope of major direction No. 3 is statistically very low because of low frequency in total number of slopes with the direction and of formation of small scale-slopes geographically, although the slope might generate all aspects of failure-modes.

Change of Ichthyofauna and Fish Community on Natural Stream Restoration In Jeonju-chon stream, Jeollabuk-do, Korea (전주천의 자연형 하천 복원에 따른 어류상 변화 및 군집분석)

  • Park, Jong-Young;Kim, Su-Hwan;Ko, Myeong-Hun;Oh, Min-Ki;Shin, Jin-Cheol
    • Korean Journal of Environment and Ecology
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    • v.23 no.5
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    • pp.381-391
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    • 2009
  • This is the study of the effects and changes on the ichthyofauna and fish community in Jeonju-cheon stream (located in Jeonju Cit, Jeollabuk-do, South Korea) after the implementation of the Natural Stream Restoration Project. The restoration of the stream was carried out between April 2000 and December 2002, and it covered the mid-section of the stream starting from the upstream of Hanbyeok Bridge down to Samcheon where branches of water join. It is 7.2 km long and passes through the downtown area. In this study, comparisons were made before and after the restoration. Before the restoration (1975 to 1999), the number of fish species collected from the Jeonju-cheon stream turned out to be 12 to 18 species, whereas after the restoration (2003 to 2008), it increased up to 34 species in total. Especially in the case of the middle and downstream sections running across the central regions of the city (Daga Bridge to Seosin Bridge), the number of fish species significantly increased from 5 species to 22 species. Such a dramatic increase of fish species appears to be directly related to the restoration of the stream which was designed to improve the quality of water by preventing polluted sewage water from running into the stream. Besides, the structure of stream bed which became more diversified into various components such as marshes and shallows, as well as rocks, Pebbles, sand and clay, also contributed to the increase of fish species.

A Study on the Development of Philosophical Notions of the Higher Power in the Middle and Late Joseon Periods and in the Ideas of Daesoon: Focusing on Toegye, Dasan, Suwun, and Jeungsan (조선 중·후기 종교적 천관(天觀)의 전개양상 - 퇴계, 다산, 수운, 증산을 중심으로 -)

  • An, Yoo-kyoung
    • Journal of the Daesoon Academy of Sciences
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    • v.36
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    • pp.79-116
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    • 2020
  • This paper examines the nature of the transcendent, absolute, and personal host of ancient philosophical notions of the Higher Power (天觀 cheongwan, literally 'view of heaven'), which flows through Toegye's Principle of Reality (Li), Dasan's Supreme God (Sangje), Suwun's Lord of Heaven (Cheonju), and Jeungsan's Supreme God (Sangje). This confirms the sentiment that despite the conceptual differences relating to appearance, as represented by the Principle of Reality, the Dasanian Supreme God, the Suwunian Lord of Heaven, and the Jeungsanian Supreme God, the contents of these notions do not substantially differ from one another. Moreover, the nature of the ancient philosophical notions of the Higher Power lead to Toegye's Principle of Reality, the Dasanian Supreme God, the Suwunian Lord of Heaven, and the Jeungsanian Supreme God. Toegye emphasized the nature of the Principle of Reality as transcendental and absolute, and also as a personal host. This led to Dasan's Supreme God, and furthermore, it also inspired the Suwunian Lord of Heaven and the Jeungsanian Supreme God. In other words, although Dasan criticizes the Principle of Reality and presupposes a Supreme God, a personal host, this is not especially different from the character or role of Toegye's Principle of Reality. It likewise does not especially differ from the Suwunian Lord of Heaven or the Jeungsanian Supreme God. On the contrary, without the foundation of the religious tradition behind Toegye's Principle of Reality, it would have been difficult to establish a theoretical system leading to the upper system of the Dasanian Supreme God, the Suwunian Lord of Heaven, or the Jeungsanian Supreme God. Of course, the construction of heaven and earth, which in Daesoon Thought is actually performed by the Jeungsanian Supreme God, is, in fact, fundamentally different from Toegye, Dasan, and Suwun's previous notions of the Higher Power. In this sense, it is necessary to present more clearly the religious character of Toegye's Principle of Reality.