• Title/Summary/Keyword: 회복재

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A Study on Family Caregivers' Preferences for Utilization of Community-based Welfare and Health-care Services (요보호 노인 부양가족의 재가복지 및 재가보건 서비스 유형별 이용의향에 관한 연구 - 2002년도 서울시 노인복지 기초수요조사 자료 분석 -)

  • Kim, Hye-Kyung
    • Korean Journal of Social Welfare
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    • v.56 no.4
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    • pp.123-147
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    • 2004
  • The purposes of this study are, 1) to explore the factors related to the family caregivers' preferences for service utilization both of the community-based welfare and health-care services, and 2) to examine the reasons why not want to use services analyzing a survey data obtained from family caregivers(n=1,000). Anderson and Newman's Behavior model was employed to examine the factors related to the preferences for service utilization. The main results are as follows. 1) Logistic regression analyses demonstrated that predisposing factor(such as age and relations with frail elderly) and enabling factor(such as economic status, secondary caregiver, informal informational support provider, etc) were significant predictor for caregivers' preference for service utilization. Contrary to an expectation, needs factor was negatively related to the preference for service. More specifically, the more they have service needs, the less they show their willingness to use community-based service both in welfare and health-care services except for care education program. 2) Caregiver identified 'family caregiving consciousness'(family should take care of frail elderly, elderly dislike be taken care of) as an important reason not want to use community services next to financial factor. These findings have several implications for policy making especially for 'public long-term care insurance' which was planned to start in 2007.

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Full mouth rehabilitation of a partially edentulous patient with crossed occlusion using implant-retained RPD with zirconia occlusal table (엇갈린 교합을 가진 부분 무치악 환자에서 지르코니아 교합면을 가지는 Implant-Retained RPD 이용한 전악 수복 증례)

  • Kwon, Tae-Min;Seo, Chi-Won;Kim, Kyung-A;Ahn, Seung-Geun;Seo, Jae-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.4
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    • pp.314-321
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    • 2016
  • Conventional removable partial dentures (RPDs) with distal extensions are associated with some problems, including lack of stability that calls for frequent relining, and cantilever actions of claps that can produce excessive loading to abutment teeth, and the need for unesthetic retentive arm clasps. Therefore, IARPDs (Implant-assisted RPD) that use implants to support or retain RPDs has been reported to improve stability, esthetics and masticatory performance of RPDs. Also, an IARPD that has zirconia occlusal table can prevent the incongruity of occlusal plane and the extrusion of antagonistic tooth. In this case of partially edentulous patient with crossed occlusion, each edentulous area was restored with implant fixed prosthesis and implant retained partial denture to suit each situation. Through the procedure, satisfactory outcomes were achieved both in functional and esthetic aspects.

Hydrologic and Environmental Assessment of an Infiltration Planter for Roof Runoff Use (지붕 빗물이용을 위하여 개발된 침투화분의 환경·수문학적 평가)

  • Moon, So-Yeon;Choi, Ji-Yeon;Hong, Jung-Sun;Yu, Gi-Gyung;Jeon, Je-Chan;Flores, Precious Eureka D.;Kim, Lee-Hyung
    • Journal of Wetlands Research
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    • v.17 no.4
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    • pp.325-331
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    • 2015
  • Due to urbanization and increase in impervious area, changes in natural water circulation system have become a cause of groundwater recharge reduction, streamflow depletion and other hydrological problems. Therefore, this study developed the infiltration planter techniques applied in an LID facility treating roof stormwater runoff such as, performance of small decentralized retention and infiltration through the reproduction of natural water circulation system and use of landscape for cleaning water. Assessment of an infiltration planter was performed through rainfall monitoring to analyze the water balance and pollutant removal efficiency. Hydrologic assessment of an infiltration planter, showed a delay in time of effluent for roof runoff for about 3 hours and on average, 79% of facilities had a runoff reduction through retention and infiltration. Based on the analysis, pollutant removal efficiency generated in the catchment area showed an average of 97% for the particulate matter, 94% for the organic matter and 86-96% and 92-93% for the nutrients and heavy metals were treated, respectively. Comparative results with other LID facilities were made. For this study, facilities compared the SA/CA to high pollutant removal efficiency for the determination to of the effectiveness of the facility when applied in an urban area.

Palliative Management of Gastric Cancer with Outlet Obstruction: Stent versus Bypass (위배출구 폐색을 동반한 위암환자의 치료)

  • Kim, Hyung-Ho
    • Journal of Gastric Cancer
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    • v.9 no.1
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    • pp.6-9
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    • 2009
  • Gastric cancer with gastric outlet obstruction has a high incidence of direct invasion into neighboring organs, with a low resection rate and a poor prognosis. Traditionally, open gastrojejunostomy has been the standard palliative treatment in these patients. Recently, endoscopic self-expanding metal stents have been used increasingly for the palliative treatment of malignant gastric outlet obstruction, but the choice of modality to treat the obstruction caused by gastric cancer is still controversial. Many studies have shown that endoscopic stenting is less invasive and offers not only a shorter time to oral intake and length of hospital stay, but also less frequent complications compared to open gastrojejunostomy. However, recurrent obstruction by tumor overgrowth and ingrowth occur more frequently and re-intervention for recurrent obstructive symptoms are more frequently performed after stent placement than after gastrojejunostomy. Thus, stent placement may be associated with more favorable results in patients with a relatively short life expectancy, while gastrojejunostomy is preferable in patients with a more prolonged prognosis. Also, open surgery affords a greater chance for curative surgery. However, most underlying diseases analyzed in previous studies were pancreaticobiliary malignancies, and there have been few prospective studies specific for patients with gastric cancer. Additional randomized controlled trials with larger sample sizes are expected to decide the treatment modality for unresectable gastric cancer with gastric outlet obstruction.

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A Study on the Effectiveness of Remanufacturing Technology for the Catalyzed Diesel Particulate Filter-trap(DPF) Deactivated by Diesel Exhaust Gas (촉매가 담지된 사용후 경유차 매연저감장치 DPF의 재제조 효과에 관한연구)

  • Choi, Kang-Yong;Park, Hea-Kyung
    • Journal of Korean Society of Environmental Engineers
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    • v.32 no.10
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    • pp.957-964
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    • 2010
  • The deactivated catalyzed diesel particulate filter-trap (DPF) was remanufactured by ultrasonic wave treatment with various prepared solutions, followed by active component re-impregnation, and the emission control performance and surface properties of remanufactured DPF were studied at various remanufacturing conditions. The proper ultrasonic wave cleaning time at various prepared solutions and optimal re-impregnation amounts of active component for the best emission control performance of DPF were investigated and its performance tests were also carried out with various temperatures for the conversions of CO, THC (total hydrocarbon) and PM (particulate matter) by catalytic reaction test unit using bypass gas from the diesel engine dynamo system. It was found that the emission control performance of DPF remanufactured with the high-temperature air washing, ultrasonic wave cleaning at acid/base solutions and active component re-impregnation method was recovered to 95% level of its activity compared to that of the fresh DPF, which was caused by removing the deactivating materials from the surface of the DPF, through the analyses of performance test and their surface characterization by Optical microscope, EDX, ICP, TGA, and porosimeter.

A Study on the Treatment of Wastewater from Ion Removal Process for Purifying Electrocoat Paint in the Bath by Use of Reverse Osmosis (역삼투압을 이용한 전착도료 정제공정폐수처리에 관한 연구)

  • 김진성
    • Membrane Journal
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    • v.8 no.2
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    • pp.77-85
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    • 1998
  • To treat effectively EDIR (electrodeposition ion removal) wastewater in terms of CO$_{Mn}$ 1,500~2,000 ppm generated from aluminum painting process, a RO (reverse osmosis) process was designed and installed to recover and reuse the concentrated solvent sent back to the electrocodeposition tank while the permeate reused as rinse water. A RO system in which three polyamide-spiral wound modules ($102\Phi \times 1,016L$ mm) connnected in series had been running to treat 20 m$^3$ in waste volume in 3 days batch operation at the condition of system recovery of 30 %, applied pressure 11.5 $kg_f/cm^2$ and room temperature. During 42 hours continuous operation leading to 5-fold decrease in waste volume, nearly constant permeation flux of 390 l/m$^2$-hr was maintained and the permeate with average CO$_{Mn}$, 300 ppm was obtained which could be used for washing the remaining paint solution in ion-exchange tower instead of demineralized water. Also COD$_{Mn}$ rejection as a function of running time was observed to be in the range of 78~87 % and the observed solvent rejections for ethyl cellusolve, buthyl cellusolve and n-butanol were 79 %, 87 % and 70 %, respectively.

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Effect of Glutathione on Lead Induced Modulation of NO Synthesis in RAW 264.7 Cell (RAW 264.7 Cell에서 납에 의한 NO 생성의 조절에 미치는 Glutathione의 효과)

  • Oh, Gyung-Jae;Kwon, Keun-Sang;Yoon, Wook-Hee;Shin, Sae-Ron
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.4
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    • pp.269-274
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    • 2002
  • Objectives : To evaluate the elect of glutathione(GSH) on lead induced modulation of nitric oxide(NO) synthesis, and to examine how lead modulates NO production in macrophages. Methods : This study was observed in a culture of RAW 264.7 cells, which originated from a tumor in a Balb/c mouse that was induced by the Abelson murine leukemia virus. The compounds investigated were lead chloride, N-acetyl-cystein(NAC), and Buthionine Sulfoximine( BSO). Results : ATP synthesis in RAW 264.7 cells was unchanged by each lead concentration exposure in a dose dependent manner. The NO synthesis was decreased when exposed to lead($PbCl_2$) concentration $0.5{\mu}M$. The presence of $300{\mu}M$ NAC, used as a pretreatment in the culture medium, caused the recovery of the lead induced decrease in NO synthesis, but in the presence of $300{\mu}M$ BSO as a pretreatment, there was no recoverey. Pretreatment with NAC and BSO had no affect on ATP synthesis at any of the lead concentrations used. Conclusions : These results indicated that GSH has a protective effect toward lead toxicity, and suggested that the inhibition of NO production in macrophage due to lead toxicity may be related to cofactors of iNOS (inducible nitric oxide synthase)

Preliminary Research of the Sedimentary Environment in Bupyeng Reservoir Region, Soyang Lake in Chuncheon - Focus on Sentinel-2 Satellite Images and in-situ data - (춘천시 소양호 상류 부평지구의 퇴적환경에 대한 선행연구 - 현장조사와 위성영상자료를 중심으로 -)

  • Kim, GeonYoung;Kim, Dain;Kim, TaeHun;Lee, JinHo;Jang, YoSep;Choi, HyunJin;Shim, WonJae;Park, SungJae;Lee, Chang-Wook
    • Korean Journal of Remote Sensing
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    • v.34 no.6_1
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    • pp.1119-1130
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    • 2018
  • Soyang Lake has been contributing to economic growth by preventing flood damage in the metropolitan area, the water level in the middle to upper flow of lake has been greatly decreased due to the drought in 2015. In order to restore the existing flow rate, Bupyungbo has been built in Bupyeong-ri, Shin Nam-myeon, Inje-gun to cause artificial changes on the sedimentary environment of Bupyeong freshwater region. Therefore, this study intends to confirm the changes of sedimentary environment since Bupyeongbo has been utilized. For this study, we used the Sentinel-2 satellite image data periodically to measure the dimension of water according to the volume of water kept near Bupyung district and analyzed the particle size and the percentage of water content of the sediments through field study. The Sentnel-2 satellite images showed us how the water surface has been changed and that during the period from September 2017 to October 2018, the minimum and maximum area of water surface was observed in June 2018 and in January 2018, respectively. In addition, we find that the smaller being the particle size, the higher having the water content and that there is higher the correlation between the water content and the grain size of the sediment layer. Hereafter, if we will acquire the drone images at Bupyung district, we expect that we will be able to measure the distribution of sediments in the same area according to different time periods and observe various kinds of sediment through field work.

Computer-Assisted Navigation in Total Knee Arthroplasty (내비게이션 장치를 이용한 슬관절 전치환술)

  • Jeong, Hwa-Jae;Park, Yong-Beom;Lee, Han-Jun
    • Journal of the Korean Orthopaedic Association
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    • v.53 no.6
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    • pp.478-489
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    • 2018
  • Total knee arthroplasty has become a standard procedure for advanced knee arthritis to relieve pain and improve function. Computer-assisted navigation systems have been used in total knee arthroplasty to improve the mechanical axis of the limb as well as the alignment and position of the components. A computer-assisted navigation system has the advantage of real-time feedback during surgery, such as mediolateral balance in extension and flexion gap, alignment of the lower limb, and components. On the other hand, the computer-assisted navigation system requires an additional stab wound for tracker fixation, which can increase the likelihood of superficial wound infection and stress fractures and increase the operation time and cost of surgery. The clinical efficacy of computer-assisted navigation in total knee arthroplasty is also controversial. Compared to the conventional technique, computer navigation improves the accuracy of the postoperative mechanical axis within outliers of $3^{\circ}$ varus or $3^{\circ}$ valgus. This paper reviews the surgical technique, pitfalls, clinical and radiological outcomes, useful clinical cases, and future perspectives in computer-assisted navigation total knee arthroplasty.

Fe-doped beta-tricalcium phosphate; crystal structure and biodegradable behavior with various heating temperature (Fe 이온 치환 beta-tricalcium phosphate의 하소 온도에 따른 미세구조 및 분해 특성)

  • Yoo, Kyung-Hyeon;Kim, Hyeonjin;Sun, Woo Gyeong;Yoon, Seog-Young
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.30 no.6
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    • pp.244-250
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    • 2020
  • β-Tricalcium phosphate (β-TCP, Ca3(PO4)2) is a kind of biodegradable calcium phosphate ceramics with chemical and mineral compositions similar to those of bone. It is a potential candidate for bone repair surgery. To improve the bioactivity and osteoinductivity of β-TCP, various ions doped calcium phosphate have been studied. Among them, Iron is a trace element and its deficiency in the human body causes various problems. In this study, we investigated the effect of Fe ions on the structural variation, degradation behavior of β-TCP. Fe-doped β-TCP powders were synthesized by the coprecipitation method, and the heat treatment temperature was set at 925 and 1100℃. The structural analysis was carried out by Rietveld refinement using the X-ray diffraction results. Fe ions existed in a different state (Fe2+ or Fe3+) with different heat treatment temperatures, and the substitution sites (Ca-(4) and Ca-(5)) also changed with temperature. The degradation rate was fastest at Fe-doped β-TCP with heated at 1100℃. The cell viability behavior was also enhanced with the substitution of Fe ions. Therefore, the substitution of Fe ion has accelerated the degradation of β-TCP and improved the biocompatibility. It could be more utilized in biomedical devices.