• Title/Summary/Keyword: 침상

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Case of Abdominal Compartment Syndrome Treated by using a Bedside Open Linea Alba Fasciotomy (외상에 의한 후복막 출혈환자에서 발생한 복부구획증후군을 침상 옆 백선 근막 절개술로 치료한 증례)

  • Kim, Ji-Hoon T.;Han, Myung-Sik;Choi, Gun-Moo;Jang, Hyuck-Jae;Kwak, Jin-Ho;Kim, Ji-Hoon S.
    • Journal of Trauma and Injury
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    • v.24 no.1
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    • pp.56-59
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    • 2011
  • Abdominal compartment syndrome (ACS) is a life-threatening disorder caused by rapidly increasing intra-abdominal pressure. ACS can result in multiorgan failure and carries a mortality of 60~70%. The treatment of choice in ACS is surgical decompression. There are very few reports of ACS and experience in Korea. We report 12-year-old male patient who developed an abdominal compartment syndrome due to traffic-accident-induced retroperitoneal hematomas, Which was successfully treated by performing a bedside emergency surgical decompression with open linea alba fasciotomy with intact peritoneum. When patients do not respond to medical therapy, a decompressive laparotomy is the last surgical resort. In patients with severe abdominal compartment syndrome, the use of a linea alba fasciotomy is an effective intervention to lower intra-abdominal hypertension (IAH) without the morbidity of a laparotomy. Use of a linea alba fasciotomy as a first-line intervention before committing to full abdominal decompression in patients with abdominal compartment syndrome improves physiological variables without mortality. Consideration for a linea alba fasciotomy as a bridge before full abdominal decompression needs further evaluation in patients with polytrauma abdominal compartment syndrome.

Effect of Ondol on physiological Responses during Sleep (I) -On the focus of Bedclimate in Autumn and Winter- (온돌환경이 수면시의 생리반응에 미치는 영향(제1보) -가을, 겨울철 수면시 침실내 온열환경과 침상기후-)

  • Lee, Sun-Won;Gwon, Su-Ae;Choe, Jeong-Hwa
    • Journal of the Korean Society of Clothing and Textiles
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    • v.20 no.4
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    • pp.697-706
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    • 1996
  • The actual conditions of bed climate are investigated depending on the regions and housing styles used on ondol in autumn and winter. Sixty healthy men and women (30 of them live in apartmrnt and 30 of them live in detached house, 20 of them live in Wonju, 20 of them live in Wonju, 20 of them live in Cheongju and 20 of them live in Pusan) The results are as follows: 1) No significant differences was shown between the seasons of bedclothes thickness. 2) In the autumn, the temperature and humidity of bedroom, on the mattress, inside the bedquilt, and inside the sleep-wear were higher than those in the winter. The temperature of ondol floor and under the mattress in winter were higher than those in the autumn. 3) The differences of the temperature and humidity of bedroom, the bed climate, and the clothing microclimate were significant by the regions and housing styles in both seasons. In both seasons, the temperature of bedroom, on the mattress, inside sleep-wear in the apartment were higher than those in the detached house. 4) The differences of subjective sensation on the bedroom conditions were not significant by the sextons, the regions, and the housing styles. Most subjects perceived that the conditions of bedroom were somehow hot and dry, but comfortable.

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A Phenomenological Study of Experience about Family Caregivers' Caring for Their Terminal Cancer Patient (호스피스 병동 말기 암 환자 가족의 돌봄 경험에 관한 현상학적 연구)

  • Yang, Eun-Sook;Lee, Dong-Hun
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.667-685
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    • 2017
  • The purpose of this study was to explore the meaning and essence of experience of family members as care-givers of terminally ill cancer patients at hospice wards. This study was based on the Giorgi phenomenological method, which describes the experiences about the family caregivers. We had in-depth interview with spouses and orthogonal families of nine terminally ill cancer patients. Results were drawn into 13 essential themes, 45 sub themes, and 122 main points. The essential themes are as follows: "cling of life", "bed-keeper", "sacrifice of care", "physical and mental exhaustion during care process","feeling of love and hatred", "avenge on a patient", "self-condemnation", "futility after exhaustion", "consolation of other caregivers", "utmost efforts in resignation", "freedom from suffering", "paradoxical blessing of cancer", "introspected revolution", and "preparation of a dignified death". Implications and limitations are discussed based on study results.

Chemical Homogeneity and Dispersoid Formation in Mechanically Alloyed Al-Ti Composite Metal Powders (기계적 합금화한 Al-Ti 복합금속분말의 화학적 균질성과 분산상 형성)

  • Lee, Kwang-Min;Moon, In-Hyung
    • Analytical Science and Technology
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    • v.5 no.1
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    • pp.103-110
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    • 1992
  • Chemical homogeneity and dispersoid formation in mechanically alloyed Al-Ti composite metal powders were investigated in order to fabricate the high temperature Al-Ti alloys. The homogeneity of composite particles was able to be obtained by MA milling time more than 10 hours with the milling velocity of 400 rpm. The amounts of titanium, carbon and oxygen elements in MA Al-Ti alloys by chemical analysis were 8.2, 1.135 and 0.233 wt.%, respectively. The amount of carbon analyzed corresponds to 90 pet. of carbon contained the PCA of stearic acid. TEM analysis has revealed the presence of the rounded $Al_3Ti$ dispersoids with the size of 250nm and the $Al_4C_3$ dispersoids of cylindrical shape with a size of 50nm in thickness and 150nm in length. Also, the some rounded $Al_2O_3$ dispersoids with a size of about 20nm were found in grain boundaries as well as in matrix.

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A Study on Gonad in Pieris rapac L. I. An electron microscopical observations on testis (배추흰나비 (Pieris rapae L.) 의 생식소에 관한 연구 I. 정소의 전자현미경적 연구)

  • Kim Chang-Whan;Kim Woo-Kap;Han Sung-Sik;Lee Keun-Ok
    • Applied Microscopy
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    • v.11 no.1
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    • pp.11-19
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    • 1981
  • Testis of Pieris rapae L. was observed by using light microscope and electron microscope. The results were as follows 1. Pieris rapae L. possesses a ovoid single testis colored red. 2. Peritoneal sheath consists of three layers; outer cuticular layer, middle filamentous layer, inner layer with no filaments. 3. Follicles enclosed by peritoneal sheath are compacted by the folds of the. epithelium of follicle. They are opened together toward the duct of vas deferens. 4. Epithelium of follicle have high electron density and contain needle shaped structures and glycogen. Tracheoles are extended into the epithelium of follicle. 5. Cyst cells have a irregular shaped nucleus and cell organelles are abundant in cytoplasm. 6. Typical acrosomes were not observed, but the other structure smillar to the acrosome of the other insect or vetebrate were observed. 7. After releasing the sperm bundle, cyst cells seem to be autolyzed.

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A Study on Characteristics of Fatigue Failure and Fatigue Life in Full Penetrated Cruciform Fillet Weld Zone (완전 용입 십자형 필릿용접부에서 피로파괴특성과 피로수명에 관한 연구)

  • Lee, Yong-Bok
    • Journal of the Korean Institute of Gas
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    • v.16 no.4
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    • pp.16-22
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    • 2012
  • The use of welding process has been increased for manufacture of machine, bridges, ships, gas facilities and so on together with development of welding technique. Accordingly, it has been needed to develop the welding methods considering higher productivity and safety design for manufacture of their welding structures. In this study, it was studied basically on characteristics of fatigue strength and fatigue life in full penetrated cruciform fillet weld zone in relation to material thickness, welding passes, loading direction and notch radius of toe zone. Most of fatigue failure occurred in toe zone of cruciform fillet weld joint. Fatigue strength and fatigue life are under the influence of stress concentration due to notch radius and flank angle of toe zone. The metal of toe zone annealed and diffused by multi-layer welding and acicular ferrite structure formed by the result improved fatigue strength and fatigue life.

A Study on the Change of ADL in the Elderly Disability Women after the Self Rehabilitation Exercise at Bedside (신체 장애 여성노인들의 침상 재활운동 후 일상생활수행능력 변화 연구)

  • Kim, Soo-Min
    • The Korean Journal of Health Service Management
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    • v.5 no.4
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    • pp.127-136
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    • 2011
  • The improving in physical activity of Disability elder is the most important and effective way of prevent and treatment. Especially, It improves ADL(Activities Daily of Living) by decreasing restrictive function and dependence. This study was researched on change by comparing before and after about ADL of Women elders who were instructed self rehabilitation exercise in bedside and have been take that. The whole subjects are 92 persons. Elders aged 65 to 69 are 32 persons. elders aged 70 to 74 are 22 persons 38 persons are over the age of 75. This study shows that the whole subjects have been improved ADL. especially, "Take a bath" in detail items of ADL comes to the most improvement rate. Next, "Sit to stand on the bed and transfer" comes to the second highest rate. According to findings upon the age group. "Take a bath" is also the highest improvement rate. Elders aged 60 to 65 show "Sit to stand on the bed and transfer" is the second highest rate of improvement" and elders aged 70 to 74 show that "control urine" is the second highest rate of improvement. and elders over the age of 75 shows that "sit to stand on the bed and transfer" is the second highest rate of improvement. This study have some problems on having possibilities of results because hospitalized persons have answered imperfect statement and being compare progressed for short term with rehabilitation exercise. so, There are some causes that is early to be generalized.

Effect of Reaction Conditions on Crystals in the Reaction Crystallization of Lanthanum Oxalate (란타늄 옥살레이트 반응성 결정화에서 반응조건에 따른 결정입자 연구)

  • Kim, Hong-Ju;Kim, Woon-Soo;Kim, Woo-Sik
    • Applied Chemistry for Engineering
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    • v.9 no.7
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    • pp.1004-1010
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    • 1998
  • Effects of reaction conditions such as power input and feeding time and feeding mode of reactants on the reaction crystallization of lanthanum oxalate in semi-batch reactor were investigated experimentally. Even though the crystal size distribution of lanthanum oxalate was always monomodal, its mean crystal size was significantly varied with the reaction conditions. As the power input and reactant feeding rate increased, the mean crystal size was reduced and the relative induction time was prolonged. The mean crystal size produced in oxalic acid feeding mode was smaller than that in lanthanum chloride feeding mode, but the trend of the relative induction time with the feeding mode was reverse to that of the mean crystal size. The crystal morphology of lanthanum oxalate, which was produced within the ranges of the reaction conditions in our experiment, was maintained as a needle shape.

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Studies on the Antifungal Antibiotics Produced by a Streptomyces sp. (Part 1) Selection of the Antibiotics Producing Organism and Isolation of the Antibiotics (Streptomyces sp. 가 생산하는 항진균성 항생물질에 관한 연구(제 1 보) 생산균주의 선별과 항진균성 항생물질의 분리정제)

  • Bae, Moo;Ko, Young-Hee
    • Microbiology and Biotechnology Letters
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    • v.10 no.1
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    • pp.33-37
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    • 1982
  • The work has been carried out for the development of antifungal antibiotics possessing curative effect in the control of sheath blight disease of rice plant. Soil samples were collected from over 1600 spots throughout the country. More than 1300 specimens which seem to be the genus Streptomyces were isolated from the soil samples. Screening procedures consist of respective processes by four steps. Those are growth inhibition test in liquid culture, paper disk method, dendroid test and green house test. 102 isolates appeared to be active against Pellicularia sasakii when all specimens isolated were examined by the first growth inhibition test. Finally a strain of Streptomyces forming strong antifungal substances against P. sasakii was selected from a soil sample of Mt. Soyo, Kyeongi Province. Antifungal substances formed by the strain were isolated and purified from the culture broth and examined for antimicrobial activities as to be specific against fungi but not active on bacterial growth.

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Study on Photocatalytic Reaction Using Acicular TiO2 Rutile Powder (침상구조의 루틸상 TiO2 초미분체를 이용한 광촉매 반응에 대한 연구)

  • Hwang, Doo-Sun;Ku, Suk-Kyeong;Kim, Kwang-Su;Min, Hyung-Seob;Lee, Eun-Gu;Kim, Sun-Jae
    • Korean Journal of Materials Research
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    • v.12 no.8
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    • pp.641-649
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    • 2002
  • The redox properties of a homogeneously-precipitated $TiO_2$ rutile powder with a BET surface area of ~$200 m^2$/g, consisting of an acicular primary particle, were characterized using photocatalytic reaction in aqueous 4-chlorophenol, Cu-EDTA and Pb-EDTA solutions under ultraviolet irradiation, compared to those of commercial P-25 X$200 m_2$ powder with a spherical primary particle as well as home-made anatase $TiO_2$ powder with ~$200 m^2$/g BET surface area. Here, the anatase powder also includes mainly the primary particles very similar to the acicular shapes of the rutile $TiO_2$ powder. The rutile powder showed the fastest decomposition rate and the largest amount in the photoredor, compared with the anatase or P-25 powder, while the anatase powder unexpectedly showed the slowest rate and the smallest amount in the same experiments regardless of almost the same surface area. From results, the excellent photoredox abilities of this rutile powder appears to be due to specific powder preparation method, like a homogeneous precipitation leading to direct crystallization from the solution, regardless of their crystalline structures even when having the similar particle shape and surface area.