• Title/Summary/Keyword: 장기보호

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The Effects of Superior Cervical Sympathetic Ganglion Block on the Acute Phase Injury and Long Term Protection against Focal Cerebral Ischemia/Reperfusion Injury in Rats (백서의 국소 뇌허혈/재관류로 인한 신경손상에서 상경부 교감 신경절 블록의 급성기 및 장기 보호효과)

  • Jeon, Hae Young;Joung, Kyoung Woon;Choi, Jae Moon;Kim, Yoo Kyung;Shin, Jin Woo;Leem, Jeong Gill;Han, Sung Min
    • The Korean Journal of Pain
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    • v.21 no.2
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    • pp.119-125
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    • 2008
  • Background: Cerebral blood vessels are innervated by sympathetic nerves from the superior cervical ganglia (SCG), and these nerves may influence the cerebral blood flow. The purpose of the present study was to evaluate the neuroprotective effect of superior cervical sympathetic ganglion block in rats that were subjected to focal cerebral ischemia/reperfusion injury. Methods: Eighty male Sprague-Dawley rats (270-320 g) were randomly assigned to one of two groups (the ropivacaine group and a control group). In all the animals, brain injury was induced by middle cerebral artery (MCA) reperfusion that followed MCA occlusion for 2 hours. The animals of the ropivacaine group received $30{\mu}l$ of 0.75% ropivacaine, and their SCG. Neurologic score was assessed at 1, 3, 7 and 14 days after brain injury. Brain tissue samples were then collected. The infarct ratio was measured by 2.3.5-triphenyltetrazolium chloride staining. The terminal deoxynucleotidyl transferase mediated dUTP-biotin nick-end labeled (TUNEL) reactive cells and the cells showing caspase-3 activity were counted as markers of apoptosis at the caudoputamen and frontoparietal cortex. Results: The death rate, the neurologic score and the infarction ratio were significantly less in the ropivacaine group 24 hr after ischemia/reperfusion injury. The number of TUNEL positive cells in the ropivacaine group was significantly lower than those values of the control group in the frontoparietal cortex at 3 days after injury, but the caspase-3 activity was higher in the ropivacaine group than that in the control group at 1 day after injury. Conclusions: The study data indicated that a superior cervical sympathetic ganglion block may reduce the neuronal injury caused by focal cerebral ischemia/reperfusion, but it may not prevent the delayed damage.

The Changes of Timespace and Locality in the Yoseba, Kotobuki (요세바 고도부키에서의 시공간과 로컬리티의 변화)

  • Jo, Hyun-Mi
    • Journal of the Korean association of regional geographers
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    • v.22 no.2
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    • pp.383-396
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    • 2016
  • The most direct influence on the development of Yoseba Kotobuki was the end of World War II. As city rebuilding projects began vibrantly overlapping, the vitalization in Kotobuki was adopted by the laborers coming in from various parts throughout of the country. Just as the period of economic revival from the special demand created by the Korean War got underway, the aftermath of the worldwide economic recession due to the oil crisis had a direct effect on even the labor market. Moreover, as the vitality of the labor market gradually fizzled out from the long-term economic recession caused by the burst of the economic bubble, the labor base that had once been the pillar of the Japanese economy began to age and could no longer perform this role. As these aging laborers came to receive public assistance, the doya managers began repairing the doya and Kotobuki began to change again. The historical times which affected the changes in Yoseba Kotobuki's locality are in the lives of its members--the laborers--and the times themselves, which operate on the micro level; however, in those times, the national and the global time of the nation-state interact and are linked in multiple layers.

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Disaster Overall Prevention System for Beach Erosion and its Applications (해안침식 관리시스템과 그 적용)

  • Kim, Kyu-Han;Yoo, Hyung-Seok;Joung, Eui-Jin
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.20 no.6
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    • pp.602-610
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    • 2008
  • A beach has such functions as disaster prevention, providing an amenity place, attracting people and maintaining the coastal ecosystem. Already well known that a beach provides an amenity place, it has also been ascertained through various examples that a sand beach performs a very important function to maintain the coastal ecosystem as well. However, Beach erosion began to occur in Korea in the 1990's and posed a social problem in the late 1990's. Nowadays, along the shorelines of Korea's many beaches, about 400 beaches have reported erosion. This study demonstrate the Disaster Overall Prevention System for Beach Erosion and it's application. The Disaster Overall Prevention System for Beach Erosion is a coastal management system established for managing the implementation of long-term countermeasures to protect eroded beaches effectively in this study. Especially, the economic feasibility test and adaptive management for sustainable mitigation included in DOPS. The coastal prevention work applied to Namae beach is carried out by Disaster Overall Prevention System. Consequently, beach nourishment is proposed as a main countermeasure. Also, submerged artificial reefs and groin integrating artificial rock are proposed as secondary countermeasures for beach erosion. This resulted to be the optimal beach erosion countermeasure from DOPS, considering the economic and environmental conditions of the study area.

Fabrication of a palladium alloy composite membrane by vacuum electrodeposition (Vacuum electrodeposition에 의한 팔라듐 합금 금속막 제조 및 수소 분리에 관한 연구)

  • 남승은;이규호
    • Proceedings of the Membrane Society of Korea Conference
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    • 1998.10a
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    • pp.96-98
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    • 1998
  • 1. 서론 : 팔라듐이나 이의 합금막들은 높은 선택적 투과특성으로 인해 수소 정제나 분리막 반응기와 같은 산업응용 분야에서 매우 높은 관심을 갖고 있다. 상업적으로 이용되고 있는 이러한 막들은 통상적인 metallugical process에 의해 제조괸 self-supported type으로 수소 투과 속도가 낮을 뿐만 아니라 팔라듐 등은 고가의 귀금속이므로 비경제적이다. 따라서 현재 대부분의 연구자들은 기계적 강도를 유지하기 의한 다공성 지지체 위에 얇은 금속 박막을 코팅함으로서 투과성을 높이는 동시에 경제적인 복합막 형태의 막을 만드는데 연구의 촛점을 맞추고 있다. 이러한 형태의 막을 제조하기 위한 금속 박막 제조법은 무전해 도금법(electroless deposition), 화학증착법(CVD), 스퍼터링(sputtering), 전해도금법(electrodeposition) 등이 시도되었다. 그러나 수소에 대한 우수한 선택적 투과 특성을 갖기 의해서는 대부분 5$\mu$m 이상의 두꺼운 막을 제조하였으며 이보다 얇은 막의 제조에 한계가 있기 때문에 이들 막에 대한 기체 투과 특성에 대한 연구결과는 많지 않다. 본 연구에서는 기존의 전기도금법을 응용한 소위 'vacuum electrodeposition' 이란 새로운 기술을 도입함으로써 우수한 선택적 투과성을 갖는 2$\mu$m 이하의 팔라듐 합금 박막 제조를 가능하게 하였다. 지지체 표면의 거칠음 정도, 평균 기공 크기 등의 지지체 성질의 조절에 의한 금속 박막의 핀홀을 최소화함으로써 질소와 같은 inert gas의 투과도는 거의 없게 유지하는 동시에 금속 박막 두께, 결정 구조(e.g. grain size), 합금 조성 등을 조절함으로써 수소의 투과도를 높이고자 하였다. 있다. 후자의 경우, 미량의 과산화수소수 (1~10,000 ppm)를 이용해 처리 해주는 방법의 경우 경제적으로 큰 장점이 있고, 처리가 단순하다는 장점이 있으나 과산화수소수 자체에 포함하고 있는 높은 impurit level, 그리고 처리후 장시간의 flushing time을 가져야 한다는 단점등이 존재 하고 있다.요구된다. 몰입이 가능하여 임계치가 저하된 것으로 여겨진다. 또한 광학적 이득의 존재는 이 구조에 의한 극단파장 반도체 레이저다이오드의 실현 가능성을 나타내는 것이다.548 mL에 비해 통계학적으로 의의 있게 적었다(p<0.05). 결론: 관상동맥우회로 조성수술에서 전방온혈심정지액을 사용할 때 희석되지 많은 고농도 포타슘은 fliud overload와 수혈을 피하고 delivery kit를 사용하지 않음으로써 효과적이고 만족할 만한 심근보호 효과를 보였다.를 보였다.4주까지에서는 비교적 폐포는 정상적 구조를 유지하면서 부분적으로 소폐동맥 중막의 비후와 간질에 호산구 침윤의 소견이 특징적으로 관찰되었다. 결론: 분리 폐 관류는 정맥주입 방법에 비해 고농도의 cisplatin 투여로 인한 다른 장기에서의 농도 증가 없이 폐 조직에 약 50배 정도의 고농도 cisplatin을 투여할 수 있었으며, 또한 분리 폐 관류 시 cisplatin에 의한 직접적 폐 독성은 발견되지 않았다이 낮았으나 통계학적 의의는 없었다[10.0%(4/40) : 8.2%(20/244), p>0.05]. 결론: 비디오흉강경술에서 재발을 낮추기 위해 수술시 폐야 전체를 관찰하여 존재하는 폐기포를 놓치지 않는 것이 중요하며, 폐기포를 확인하지 못한 경우와 이차성 자연기흉에 대해서는 흉막유착술에 더 세심한 주의가 필요하다는 것을 확인하였다. 비디오흉강경수술

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Utilization of Medical Assistance Patients in Nursing Hospital (의료급여환자의 요양병원 이용에 관한 연구)

  • Lee, Yong-Jae
    • The Journal of the Korea Contents Association
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    • v.17 no.5
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    • pp.366-375
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    • 2017
  • The purpose of this study is to analyze the use of hospital, hospitalization, medical service, discharge and power of medical care patients who are concerned about moral hazard. We conducted focus group interview with 3 medical care patients and their families and 5 workers who had worked for more than 4 years in a nursing hospital. The main results and implications are as follows. First, admission to nursing hospitals was mostly based on the linkage between the medical institutions and the competition to attract the patients rather than the choice of the patients. Second, the main cause of the long-term hospitalization of medical assistance patients was the lack of social protection measures such as absences of residence and care giver, although there are factors that cause moral hazard such as low self-pay. Third, most of the patients were in need of treatment, but they were admitted to the hospital even though their needs were not higher than those of the health insurance patients. Fourth, the rehabilitation service is the mainstay of the medical service of the nursing hospital, and the roles of nursing staff and care givers are important. Fifth, medical care patients are paying medical expenses for nursing hospitals due to cost of living and family support, but they are exempted from the hospital expenses or the burden of their own expenses in the hospital. Sixth, public institutions and social welfare institutions have not managed continuously since commissioning patients to nursing hospitals and have neglected the connection with community services after discharge.

Constructing Topographies of EMF Risks from Underground Power Lines (전자파 위험 지형도의 상이한 구성: 지중 송전선로 위험 논쟁을 중심으로)

  • Kim, JooHui
    • Journal of Science and Technology Studies
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    • v.19 no.3
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    • pp.119-166
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    • 2019
  • The risk of electromagnetic field(EMF) from power lines has been heavily disputed whenever high-voltage power line towers were built in South Korea. Local communities and civic groups had regarded burying the lines in the ground as an alternative to building power line towers. In 2014, however, when an elementary school science teacher reported the results of EMF measurements over the underground power lines to the Asian Citizens' Center for Environment and Health (ACCEH), the risk controversy over underground power lines took a whole new turn. The level of EMF from underground power lines turned out to be higher, and therefore more harmful than that from power line towers. In the debates that took place from then on over the EMF risk, ACCEH and NIER(National Institute of Environmental Research) presented conflicting topographies of EMF risk. This paper examines measuring practices of ACCEH and NIER by analyzing the measuring sites, measuring devices, and measuring heights chosen by each organization. This paper further examines how ACCEH and NIER mobilized various standards(EMF exposure limit, measurement guideline, categorization of carcinogens) differently. This controversy on the EMF from underground power lines of Seoul has raised concerns on the non-thermal effects of EMF in the long-term exposure and has led people to question whether burying the power lines is the safe alternative to building power line towers. Furthermore, this suggests conflicting answers on whether Seoul, where 90 % of transmission lines were already buried, is a safely managed place or not.

Overweight & Obesity in Children & Adolescents with Autism Spectrum Disorders - Retrospective Chart Review - (자폐스펙트럼장애(Autism Spectrum Disorder) 소아청소년에서의 과체중 및 비만 연구 - 후향적 의무기록 조사 -)

  • Im, Woo Young
    • Korean Journal of Psychosomatic Medicine
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    • v.23 no.2
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    • pp.129-135
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    • 2015
  • Objectives : In children and adolescents, the prevalence of overweight has increased in the last 20 years. little research is available on the prevalence of obesity in children with autism spectrum disorders(ASD). The purpose of our study was to determine the prevalence of overweight among a clinical population of children diagnosed with autism spectrum disorders(ASD). Methods : Retrospective chart review of children ages 3-18 years seen between 2012 and 2015 at a Konyang University hospital psychiatric clinic. Diagnostic, medical, and demographic information was extracted from the charts. Body mass index(BMI) was calculated from measures of height and weight recorded in the child's chart. The Center for Disease Control's BMI growth reference was used to determine an age and gender-specific BMI z-score for the children. Results : In our study, children with ASD compared to non ASD group had significantly higher BMI percentiles (p=0.032). The prevalence of overweight($BMI{\geq}85th$ to 95th percentiles) and obesity($BMI{\geq}95th$ percentiles) was 35% and 19% respectively in children with ASD and without ASD. Conclusions : Despite noted limitations, our data suggest that overweight and obesity in children with ASD are more prevalent than without ASD. Longitudinal and further study is needed to examine the factors associated with obesity in this population.

Analysis of the Differences in the Vascular Flora Distributed in the Gatbawi District of Palgongsan Natural Park (입지환경 특성에 따른 팔공산 자연공원 갓바위 지구에 분포하는 관속식물상 차이 분석)

  • Kim, Tae Kyu;Ra, Jung Hwa;Lim, Won Hyeon
    • Korean Journal of Plant Resources
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    • v.32 no.1
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    • pp.72-85
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    • 2019
  • This study was conducted to investigate the vascular flora distributed in the Gatbawi District of Palgongsan Natural Park and to provide basic data for the conservation and management of the natural resources. The results of the investigation of the flora with the Gatbawi District from April 2015 through October 2017 are as follows. As a result of drawing up a list of flora based on the specimens of evidence, as for the entire flora, 238 taxa were identified in total: 75 families, 167 genera, 214 species, 3 subspecies, 18 variants and 3 varieties. Also, one species of rare plant, 20 particular floristic species and a total of 18 species of naturalized plant were found.

A Case Study on the Conservation and Value Improvement of Korean Geological Heritage (우리나라 지질유산의 보존과 가치 증진을 위한 사례 연구)

  • Lim, Jong-deock
    • Korean Journal of Heritage: History & Science
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    • v.46 no.2
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    • pp.114-135
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    • 2013
  • Among the UNESCO World Heritage Sites, the proportion of natural heritage to cultural heritage is relatively small. In 2007, the "Jeju Volcanic Island and Larva Tubes" was the first one that was designated as an UNESCO World Natural Heritage Site in Korea. The growing Korean geological heritage condition and conservation case studies on management of the geological heritage were examined in this study. Furthermore, the purpose of this study is to show future driving strategy for conservation and improvement plan on our geological heritage. Natural Monuments as a state-designated natural property and Geoparks as a new application system for geological heritage are important to conserve our geological heritage. Public engagement through establishment of visitor centers is definitely needed to improve education and promotion. The study includes field investigation for the "Wadden Sea", an World Natural Heritage Site for a mud flat, interviews with staffs and experts who are responsible for investigating and managing the site. Three factors can likely be attributed to its successful management and conservation policy for the "Wadden Sea". First of all, there is an operation for integrated management system and joint secretariat for research and monitoring. Next, researchers invigorate the visitor centers for promotion and education on geological heritage. Finally, experts and staffs implement various research topics and projects based on a long-range plan. The study was carried out to evaluate the present condition of our geological heritage and to make a proposal as a policy to improve value and conserve them. In conclusion, this study provided future discussion that may help researchers to make a decision on long-term policies for the geological subject of Korean natural heritage.

Comparison of the Cognitive Function and Nutrient Intakes of Elderly Women with Dementia in a Long-Term Care Facility and a Day-Time Care Facility in Incheon (인천지역 장기요양시설과 주간보호시설 여성치매노인의 인지기능 및 영양섭취 비교)

  • Bae, Mi Ae;Lee, Young Whee;Kim, Hwa Soon;You, Jeong Soon;Chang, Kyung Ja
    • Journal of the Korean Society of Food Culture
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    • v.34 no.4
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    • pp.389-400
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    • 2019
  • In this study we compared the cognitive function (Mini-Mental State Examination for Dementia Screening: MMSE-DS) and nutrient intake of elderly women with dementia in a long-term care facility (EW-LCF) and a day-time care facility (EW-DCF). This survey was conducted from July 2015 to May 2017 on 73 elderly women with dementia (47 women in LCF and 26 women in DCF) in the city of Incheon. The data obtained from interviews with the subjects and caregivers were analyzed using the SPSS 20.0. The total score of the MMSE-DS and intakes of most nutrients in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). The nutrient adequacy ratios (NAR) of protein, vitamin A, C, $B_6$, $B_{12}$, thiamin, riboflavin, niacin, folic acid, calcium and phosphorus in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). However, the indexes of nutritional quality (INQ) of vitamin C, $B_6$, thiamine, niacin, calcium, magnesium, and iron in the EW-LCF were significantly higher compared to the EW-DCF (p<0.05). As a result, the subjects showed an unbalanced and insufficient nutrition intake status regardless of the type of care facility. Most nutrient intakes of the EW-LCF with lower cognitive function were very significantly lower compared to the EW-DCF (p<0.001). Therefore, it is necessary to assess the cognitive function and nutritional status regularly at care facilities for the elderly women suffering with dementia and to provide specialized individual nutritional management.