• KOREAN POULTRY JOURNAL
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• v.49 no.9
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• pp.144-149
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• 2017

가을 환절기에는 환기를 낮추면서 낮에 과도한 잉여 온도를 빼주고, 밤에 암모니아와 습도를 제거하면서 공기의 질을 우수하게 가져가야 하는 세밀한 관리가 필요하다. 우리의 가을 환절기 사육 목표는 한여름과 한겨울처럼 키워내 출하하는 것이 아니고, 흔히 말하는 "홈런 = 어닝서프라이즈"를 실현해야 하는 것이다. 그러나, 많은 분들이 So So(그저 그런)에 눈물 짓고, 자칫 잘못하면 "어닝 쇼크"에 빠지시는 분들도 많은 것이 현실이다. 가급적 매년 수없이 올라오는 단편 지식의 향연에 한 줄 더 추가할 마음이 없었기에 이번 글에는 "개념역량"의 관점에서 기술해 보았다. 2000년대 이미 농장의 경영시대가 시작되어 무르익었으므로 이제는 가업으로 물려줘야 하는 바, 시선의 관점을 바꿔보는 계기가 되었기를 바란다.

• Journal of the Korean neurological association
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• v.36 no.4
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• pp.399-401
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• 2018

• Journal of Chest Surgery
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• v.31 no.6
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• pp.604-609
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• 1998

Trauma to the thorax represents a significant portion of injuries seen in an inner-city emergency room. Although most of these patients may be sucessfully managed without thoracotomy, a certain percentage requires operative intervention either immediately or within several hours. 126 records of patients who had early thoracotomy for chest trauma from March 1986, to June 1997, in the Department of Thoracic and Cardiovascular Surgery in Masan Samsung General Hospital were reviewed. There were 96 males and 30 females whose ages ranged from 4 to 72 years, with a mean age of 32.8 years. The modes of injury were as follows : stab wounds, 55 cases(44%), blunt trauma, 70 cases(55%), and gunshot wound, 1 case(1%). Immediate operation was performed in 105 cases(84%) and delayed operation in 21 cases(16%). Indications that operation was necessary were hemorraging and shock in 66 cases(52%), cardiac tamponade in 27 cases(21%), and rupture of the diaphragm in 33 cases(27%). Most of these patients were sucessfully treated but 21 cases were resulted in death. The mortality rate was 16.6% and common causes of death were irreversible shock and hypoxia.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.6
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• pp.3416-3422
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• 2014

A shock absorber rod is located in the center of the absorber piston and is responsible for the reciprocating movement portion. If it has surface defects, the damping performance of product will be adversely affected. A rod surface has gloss by heat treatment. Therefore, it is difficult to find a defect, such as dust, imprints, and blowholes. Because a total inspection is achieved by visual inspection by workers, it causes eyestrain and the quality of the product is not constant. In this paper, a machine vision system was developed to find a defect using a line-scan camera. The machine can detect surface defects than 0.3mm. To minimize the occurrence probability of defects on the inspection process, the developed auto inspection system had an automatic feeding system and incorporated a protection system. Through the development of this system, which relies on the operator's visual inspection of the surface of the shock absorber, the Rod inspection system constructed quality inspection standards and standardized tests to ensure improved reliability.

• Journal of Digital Convergence
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• v.16 no.4
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• pp.371-378
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• 2018

The purpose of this study is to investigate the effect of family relations on facility adaptation of the elderly. In January and February of 2018, a questionnaire survey was conducted on 5 ~ 6 elderly residents of each long-term care facility, and finally 353 data were used for analysis. The main results of the study were as follows: First, the adaptation level of the elderly was high. As for 'maladjustment of group behavior' and 'movement shock', the level of maladjustment is low as 2 points, and adaptation dimension such as 'accept of new residence' and 'making friend' is above the middle level. Second, the influence of family variables was more influential than the demographic characteristics of the elderly and the influence of the facility-related variables. Among them, the closeness with family is the most influential. Therefore, it is suggested that the elderly need active support and efforts to maintain the intimacy with the family from the entrance to the facility and the time after the entrance.

• Journal of Korean Academy of Nursing
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• v.44 no.2
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• pp.219-227
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• 2014

Purpose: To assess whether the Modified Early Warning Score (MEWS) predicts the need for intensive care unit (ICU) transfer for patients with severe sepsis or septic shock admitted to general wards. Methods: A retrospective chart review of 100 general ward patients with severe sepsis or septic shock was implemented. Clinical information and MEWS according to point of time between ICU group and general ward group were reviewed. Data were analyzed using multivariate logistic regression and the area under the receiver operating characteristic curves with SPSS/WIN 18.0 program. Results: Thirty-eight ICU patients and sixty-two general ward patients were included. In multivariate logistic regression, MEWS (odds ratio [OR] 2.02, 95% confidence interval [CI] 1.43-2.85), lactic acid (OR 1.83, 95% CI 1.22-2.73) and diastolic blood pressure (OR 0.89, 95% CI 0.80-1.00) were predictive of ICU transfer. The sensitivity and the specificity of MEWS used with cut-off value of six were 89.5% and 67.7% for ICU transfer. Conclusion: MEWS is an effective predictor of ICU transfer. A clinical algorithm could be created to respond to high MEWS and intervene with appropriate changes in clinical management.

• Journal of Veterinary Clinics
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• v.31 no.6
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• pp.544-546
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• 2014

A 1.5-year-old, female domestic rabbit was diagnosed with uterine torsion accompanying hydrometra of the right uterine horn and pyometra of the left horn. The exploratory laparotomy revealed the torsion of bilateral uterine horns in the region of the uterine cervix. No growth was detected in fluid collected from the right horn of the uterus; however, Gram-positive micrococcus and bacilli were cultured from the left horn. The pathophysiology of the simultaneous occurrence of these disorders was suspected considering that abdominal distension progressed over 4 months and the rabbit's condition deteriorated abruptly within 2 days, hydrometra was the initial disease and then infection to the left uterine horn and torsion developed later due to the large volume of fluid within the uterus. This report is the first case showing uterine torsion accompanying hydrometra and pyometra in each uterine horn.

• Pediatric Infection and Vaccine
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• v.18 no.2
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• pp.207-211
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• 2011

Dengue is an acute febrile viral disease which is found in tropical and sub-tropical regions around the world. Dengue fever has steadily increased in both incidence and distribution over the past 50 years. Even though Korea is not an endemic country for dengue fever, with the increasing numbers of overseas travelers in Korea, the numbers of imported dengue cases are steadily increasing. Here, we report a case of imported dengue hemorrhagic fever in a Korean child presenting with fever and epistaxis. Dengue fever should be considered if a patient who has a recent travel history to endemic areas showed classical symptoms.

• Journal of Chest Surgery
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• v.37 no.6
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• pp.504-510
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• 2004

Background: Vasodilatory shock after cardiac surgery may result from the vasopressin deficiency following cardio-pulmonary bypass and sepsis, which did not respond to usual intravenous inotropes. In contrast to the adult patients, the effectiveness of vasopressin for vasodilatory shock in children has not been known well and so we reviewed our experience of vasopressin therapy in the small babies with a cardiac disease. Material and Method: Between February and August 2003, intravenous vasopressin was administrated in 6 patients for vasodilatory shock despite being supported on intravenous inotropes after cardiac surgery. Median age at operation was 25 days old (ranges; 2∼41 days) and median body weight was 2,870 grams (ranges; 900∼3,530 grams). Preoperative diag-noses were complete transposition of the great arteries in 2 patients, hypoplastic left heart syndrome in 1, Fallot type double-outlet right ventricle in 1, aortic coarctation with severe atrioventricular valve regurgitation in 1, and total anomalous pulmonary venous return in 1. Total repair and palliative repair were undertaken in each 3 patient. Result: Most patients showed vasodilatory shock not responding to the inotropes and required the vasopressin therapy within 24 hours after cardiac surgery and its readministration for septic shock. The dosing range for vasopressin was 0.0002∼0.008 unit/kg/minute with a median total time of its administration of 59 hours (ranges; 26∼140 hours). Systolic blood pressure before, 1 hour, and 6 hours after its administration were 42.7$\pm$7.4 mmHg, 53.7$\pm$11.4 mmHg, and 56.3$\pm$13.4 mmHg, respectively, which shows a significant increase in systolic blood pressure (systolic pressure 1hour and 6 hours after the administration compared to before the administration; p=0.042 in all). Inotropic indexes before, 6 hour, and 12 hours after its administration were 32.3$\pm$7.2, 21.0$\pm$8.4, and 21.2$\pm$8.9, respectively, which reveals a significant decrease in inotropic index (inotropic indexes 6 hour and 12 hours after the administration compared to before the administration; p=0.027 in all). Significant metabolic acidosis and decreased urine output related to systemic hypoperfusion were not found after vasopressin admin- istration. Conclusion: In young children suffering from vasodilatory shock not responding to common inotropes despite normal ventricular contractility, intravenous vasopressin reveals to be an effective vasoconstrictor to increase systolic blood pressure and to mitigate the complications related to higher doses of inotropes.

• Proceedings of the KIEE Conference
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• 2005.05b
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• pp.80-83
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• 2005

우리나라의 실내의 배전로는 접지방식(Grounded System)이 일반적이고, 전로의 일선 지락 시에는 누전전류 차단기 혹은 과전류 차단기에 의해 전로를 차단하여 전기적인 사고 예방을 도모하고 있다. 그러나, 생명 유지 장치(Life-Sustaining Equipment)를 사용하고 있는 수술실 등 의료실의 배전 계통에 있어서의 전로의 차단은 치명적인 사고를 유발 할 수 있다. 이에 비하여, 비접지 배선방식(Isolated Power System)은 일선 지락 시에도 지락 전류 ((Ground-Fault Current)를 현저히 적게 할 수 있기 때문에 전원 공급은 계속되어 질 수 있다. 그러므로, 전원 공급의 높은 신뢰성이 요구되는 의료용 전기기기의 회로에는 비접지배선 방식으로 시설토록 규정 하고 있다. 또한, 지락 전류가 현저히 적기 때문에 선로 절연 감지기(Line Isolation Monitor)를 설치하여 의료진이나, 환자를 누설 전류에 의한 전기적 쇼크(Electrical Shock)를 방지하는 시스템이다.