• Title/Summary/Keyword: 교감(校勘)

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Clinical Analysis of Palliative Treatments in Occlusive Vascular Disease (폐쇄성 혈관 질환을 가진 환자의 고식적 치료에 관한 임상적 고찰)

  • 김학제;조원민;류세민;황재준;송영상;최영호
    • Journal of Chest Surgery
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    • v.35 no.4
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    • pp.283-289
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    • 2002
  • Backgrouds: It is almost universally accepted that occlusive vascular diseases are best managed by anatomical reconstruction. However, the mortality and the morbidity have limited this operation for patients with high operation risks. In these patients, palliative operations such as extra-anatomic bypass and lumbar sympathectomy, are accepted as useful treatment. Material and Method: A retrospective study was conducted in 38 patients who underwent palliative operations for occlusive vascular disease at Korea University Guro Hospital between 1996 and 2000. Mean age of the patients was 60.37 $\pm$ 17.65 years, and preoperative diagnoses were atherosclerosis in 32 patients, Buerger's disease in 4 patients, Raynaud's syndrome in 1 patient and SVC syndrome in 1 patient. Result: Extra-anatomic bypass(40procedures), lumbar sympathectomy(17), thromboembolectomy(7) and femoral artery graft interposition(1) were performed. Six patients were required reoperation due to graft flow failure or fistula. Three year primary patency rate of entire operations was 78.29 $\pm$ 8.81%, and the correlation between type of operation and patency rate was not statistically significant. Conclusion: Palliative operations for occlusive vascular disease are useful treatment in limited patients with high operation risks or limited life expectancy.

Videothoracoscopic Sympathectomy in Hyperhidrosis (다한증의 흉강경을 이용한 교감신경절 절제술)

  • 이재영;김명천;조규석
    • Journal of Chest Surgery
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    • v.31 no.3
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    • pp.279-285
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    • 1998
  • Exessive sweating of the palms and soles, is a psychologically and occupationally distressing and sometimes disabling condition. Hyperhidrosis is one of the common abnormalities in autonomic nervous system. There were no specific treatment on hyperhidrosis, so invasive thoracic sympathectomy via axillary thoracotomy or cervical approach had been used. Video-assisted thoracic surgery(VATS) is now mostly performed for treating of the palmar and axillary hyperhidrosis. From March 1996 to March 1997, 15 patients with bilateral palmar hyperhidrosis had been treated by the bilateral thoracic sympathectomy(T2, T3, T4) with thoracoscopic resection. The patient were evaluated preoperative and postoperative Digital Infrared Thermographic Imaging (DITI) at Kyung-Hee University Hospital. There were no case of the thoracotomy conversion. There were 3 complications ; pulmonary edema in 1 case, Horner's syndrome in 1 case, and gustatory hyperhidrosis in 1 case. More than half of the patients also had compensatory sweating in the lower abdomen, the buttocks, the back and the thighs. In conclusion, most of the patients were satisfied with the postoperative results of the thoracoscopic sympathectomy, including no more palmar and axillary sweating, less pain, better cosmetic appearances, decreased sweating of the face and soles. In addition, intraoperative temperature monitoring of the hands could estimate the successful thoracoscopic sympathectomy and the preoperative and postoperative Digital infrared thermographic imaging(DITI) could especially be the technique for the objective manifestation of the successful results of the thoracoscopic sympathectomy.

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Autonomic Nervous System response affected by 3D visual fatigue evoked during watching 3D TV (3D TV 시청으로 유발된 시각피로가 자율신경계 기능에 미치는 영향)

  • Park, Sang-In;Whang, Min-Cheol;Kim, Jong-Wha;Mun, Sung-Chul;Ahn, Sang-Min
    • Science of Emotion and Sensibility
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    • v.14 no.4
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    • pp.653-662
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    • 2011
  • As technology in 3D industry has rapidly advanced, a lot of studies primarily focusing on visual function and cognition have become vigorous. However, studies on effect of 3D visual fatigue on autonomic nervous system have not less been conducted. Thus, this study was to identify and determine the effect that might have a negative influence on sympathetic nervous system, parasympathetic nervous system, and cardiovascular system. Fifteen undergraduates (female: 9, mean age: $22.53{\pm}2.55$) participated and were sat on a comfortable chair, viewing a 3D content during about 1 hour. Cardiac responses like SDNN(standard deviation of RR intervals), RMS-SD(root mean squared successive difference), and HF/LF ratios extracted from the measured PPG(Photo-PlethysmoGram) before viewing 3D were compared to those after viewing 3D. The results showed that after subjects watched the 3D, responses in sympathetic nervous system and parasympathetic nervous system were activated and deactivated, respectively relative to those before watching the 3D. The results showed that HF/LF ratio, Ln(LF), and Ln(HF) after viewing 3D were significantly reduced relative to those before viewing 3D. No significant effects were observed in SDNN and RMS-SD. Results obtained in this study showed that visual fatigue induced by watching 3D adversely influenced autonomic nervous system, and thereby reduced heart rate variability causing sympathetic nervous acceleration.

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Influence of Electronic-cigarette Smoke on Cardiac Autonomic Nerve Responses in Comparison with Conventional-cigarette Smoke (전자담배흡연이 심장자율신경조절에 미치는 반응: 궐련담배와의 비교 검증)

  • Kim, Choun Sub;Kim, Maeng Kyu
    • Journal of Life Science
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    • v.28 no.5
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    • pp.587-596
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    • 2018
  • This study aims to observe changes in heart-rate variability (HRV) indices induced by e-cigarette and conventional-cigarette smoking and to compare the differences in acute cardiac autonomic regulation. All participants (n=41) were exposed to both e-cigarette smoke (ES) and conventional cigarette smoke (CS) in a randomized crossover trial. HRV analysis was performed during each smoking session based on a recorded r-r interval 10 minutes before smoking and at specified recovery periods (REC1, 0-5 min; REC2, 5-10 min; REC3, 10-15 min; REC4, 15-20 min; REC5, 20-25 min; and REC6, 25-30 min). ES led to a significantly increased cardiac sympathetic index (LF/HF ratio) compared with the baseline, and it shifted the sympathovagal balance toward sympathetic predominance, including reduction in the complexity of the interbeat interval (SampEn). In REC1 after ES, only decreases of parasympathetic indices such as rMSSD, pNN50, HF, and SD1 were indicated. CS sessions produced not only an increased LF/HF ratio during smoking and recovery periods (REC1 and REC4) but also enhanced sympathetic predominance on autonomic balance during smoking and recovery periods (REC1, REC2, and REC4). In the CS trials, parasympathetic indices of time and non-linear analysis (rMSSD, pNN50, and SD1) were decreased during smoking and in REC1 to REC5. SampEn was also reduced during smoking and REC1 to REC4. Acute sympathoexcitatory effects induced by e-cigarette use produced statistically significant results. Parasympathetic withdrawal after smoking suggests that e-cigarettes may cause increased cardiovascular risk.

Effect of the increased sympathetic outflow on the changes of muscle tone and central nervous system excitability in chronic stroke patients (만성 편마비 환자에 대한 교감신경 활동 강화가 근 긴장도와 중추신경흥분성 변화에 미치는 영향)

  • Kang, Byeong-Kil;Nam, Ki-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5019-5026
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    • 2011
  • The purpose of this study was to investigate the effect of the increased sympathetic outflow on the changes of muscle tone and central nervous system excitability in the chronic stroke patients. This study was conducted from October 12th 2009 to December 4th 2009. 30 patients with chronic hemiplegia for at least 6 months were participated. Before and during the mental arithmetic, static handgrip and post-handgrip ischemia tasks, the central nervous system action potentials and global synkinesis level were compared. The central nerve action potentials were measured with H/Mmax ratio and V/Mmax ratio. To obtain global synkinesis level, surface electromyography data were digitized, processed to root mean square. In our study, The global synkinesis level during knee flexion and extension was decreased in the mental arithmetic and in the post-handgrip ischemia task(p<.05) but not in the grip task. Also, V/Mmax ratio was decreased all in the three task(p<.05). In conclusion, we know that the central nervous system excitability and the muscle tone in chronic hemiplegic patients were decreased by the increased sympathetic outflow.

REGULATION OF PULPAL MICROCIRCULATION BY CALCITONIN GENE-RELATED PEPTIDE (Calcitonin Gene Related Peptide에 의한 치수미세순환 조절)

  • Kim, Sung-Kyo;Kim, Young-Kyung;Jin, Myoung-Uk
    • Restorative Dentistry and Endodontics
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    • v.30 no.6
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    • pp.470-476
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    • 2005
  • The purpose of this Study was to invest)gate the function or calcitonin gene-related peptide (CGRP) in regulatory mechanism of pulpal microcirculation with the aim of elucidating neurogenic inflammation. Experiments were performed on twelve cats under general anesthesia. CGRP was administered through the femoral vein to see the systemic Influence and through the external carotid artery to see the local effect. Sympathetic nerve to the dental pulp was stimulated electrically and pulpal blood flow (PBF) was measured with a laser Doppler flowmeter on the canine teeth to the drug administration. The paired variables of control and experimental data were compared by paired t-test and differences with p < 0.05 were considered statistically significant. Systemic administration of CGRP $(0.3{\mu}g/ka)$ exerted decreases in systemic blood pressure and caused changes in PBF with an initial increase i311owed by decrease and a move marked second increase and decrease. Close intra-arterial (i.a.) injection of CCRP $(0.03{\mu}g/kg)$ resulted in slight PBF increase. The effect of CGRP resulted in no significant increase in PBF in the presence of $CGRP_{8-37}$. The electrical stimulation of the sympathetic nerve alone resulted in PBF decreases. The j.a. administration of CGRP following the electrical stimulation of the sympathetic nerve compensated the decreased PBF. Therefore, CGRP effectively blocked the sympathetic nerve stimulation-induced PBF decrease. Results of the present study have provided evidences that even though the local vasodilatory function of CGRP are weak, CCRP is effectively involved in blocking the vasoconstriction caused by sympathetic nerve stimulation in the feline dental pulp.

나눔으로 고객과 하나되는 KIHA - 건강한 꿈이 자라는 경기북부 산업보건센터 경은학교 무료검진

  • Hong, A-Reum
    • 월간산업보건
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    • s.360
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    • pp.48-51
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    • 2018
  • 선생님의, 그리고 친구들의 손을 잡아본 지 얼마나 됐을까. 접수를 마치고 혈압을 재러 갈 때도 서로의 손을 꼭 잡고 이동한다. 채혈하는 선생님의 손을 꼭 잡는다. 선생님은 아이의 눈을 바라보며 괜찮다고, 걱정하지 말라고 속삭인다. 경은학교에서의 경기북부산업보건센터 무료 건강검진은 아이들과의 교감을 시작으로 진행됐다.

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A Study on the Media of Internet for Apartment Construction Information (웹을 통한 아파트건설정보 전달매체의 특성에 관한 연구)

  • 구본춘;김석태
    • Proceedings of the Korea Society of Design Studies Conference
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    • 2000.11a
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    • pp.76-77
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    • 2000
  • 모델하우스는 수요자와 기업이 교감할 수 있는 만남의 장소임과 동시에 아파트라는 상품의 정보를 수요자에게 제공하는 공간이며, 아파트에 대한 이미지를 직접적으로 전달할 수 있는 공간으로 건설산업에서 모델하우스를 짓는 것은 필수적이었다. (중략)

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한국의 전통 - 건강을 지켜주는 여름철 전통 음료

  • Lee, Chun-Ja
    • 식품문화 한맛한얼
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    • v.2 no.2
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    • pp.28-33
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    • 2009
  • 계절에 따라 혹은 상황에 따라 다른 음식에 앞서 먼저 찾게 되는 것이 음료다. 음료를 마심으로써 더위를 식히기도 하고 추위를 녹이기도 한다. 그리고 좋은 사람들을 만났을 때, 한 잔의 음료를 두고 마음의 문을 열어 교감하기도 한다. 밥을 대접하기가 번거롭다고 생각하는 사람들도 한 잔의 음료를 대접하는 일은 귀찮아하지 않는다. 사람과 사람이 만나는 곳에만 음료가 있는 게 아니라 혼자 있을 때에도 한 잔 앞에 두고 깊은 사색에 잠기기도 하는 것이 음료다.

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김은주의 Theme Photo - 두 번째 - 인물사진 Portrait

  • Kim, Eun-Ju
    • The Optical Journal
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    • s.132
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    • pp.66-69
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    • 2011
  • 포트레이트 사진은 인물이 촬영된 장소와 주변의 소품을 통해 직업, 취미, 관심사에 관한 많은 것들을 함께 담아내며 손과 몸의 자세, 특히 얼굴의 경우는 상당히 심리적인 비중을 전달한다. 얼굴의 표정에 중점을 둔 포트레이트의 경우는 인물의 인격을 강렬하게 말해주기 때문에 서로와의 교감이 중요하다. 이 때문에 충분한 시간을 가지고 인물을 탐구해야 한다. 또 마음의 장으로 대변되는 눈동자에 나타나는 표정을 세심하게 포착해야 한다. 이번 호에서는 인물사진 포트레이트에 대해서 알아보자.

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