• Title/Summary/Keyword: ?치 및 회복

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Effect of Ischemic Preconditioning on Myocardial Protection - A Comparative Study between Normothermic and Moderate Hypothermic Ischemic Hearts Induced by Cardioplegia in Rats - (허혈 전처치가 심근보호에 미치는 영향 - 적출 쥐 심장에서 상온에서의 심근허혈과 중등도 저체온하에서 심근정지액 사용 시의 비교 연구 -)

  • 조성준;황재준;김학제
    • Journal of Chest Surgery
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    • v.36 no.5
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    • pp.242-254
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    • 2003
  • Background: Most of the studies conducted have investigated the beneficial effects of ischemic preconditioning on normothermic myocardial ischemia. However, the effect of preconditioning could be attenuated through the use of multidose cold cardioplegia as practiced in contemporary clinical heart surgical procedures. The purpose of this study was to investigate whether preconditioning improves postischemic cardiac function in a model of $25^{\circ}C$ moderate hypothermic ischemic heart induced by cold cardioplegia in isolated rat hearts. Material and Method: The isolated Sprague-Dawley rat hearts were randomly assigned to four groups All hearts were perfused at 37$^{\circ}C$ for 20 minutes with Krebs-Henseleit solution before the baseline hemodynamic data were obtained, Group 1 consisted of preconditioned hearts that received 3 minutes of global ischemic preconditioning at 37$^{\circ}C$, followed by 5 minutes of reperfusion before 120 minutes of cardioplegic arrest (n=6). Cold (4$^{\circ}C$) St. Thomas Hospital cardioplegia solution was infused to induce cardioplegic arrest. Maintaining the heart at $25^{\circ}C$, infusion of the cardioplegia solution was repeated every 20 minutes throughout the 120 minutes of ischemic period. Group 2 consisted of control hearts that underwent no manipulations between the periods of equilibrium and 120 minutes of cardioplegic arrest (n=6). After 2 hours of cardioplegic arrest, Krebs solution was infused and hemodynamic data were obtained for 30 minuts (group 1, 2: cold cardioplegia group). Group 3 received two episodes of ischemic preconditioning before 30 min of 37$^{\circ}C$ normothermic ischemia and 30 minutes of reperfusion (n=6) Group 4 soloed as ischemic controls for group 3 (group 3, 4: warm ischemia group). Result: Preconditioning did not influence parameters such as left ventricular systolic pressure (LVSP), left ventricular end-diastolic pressure (LVEDP), rate-pressure product (RPP) and left ventricular dp/dt (LV dp/dt) in the cold cardioplegia group. (p=NS) However, preconditioning before warm ischemia attenuated the ischemia induced cardiac dysfunction, Improving the LVSP, LVEDP, RPP, and LV dp/dt. Less leakage of CPK and LDH were observed in the ischemic preconditioning group compared to the control group (p<0.05). Conclusion: Ischemic preconditioning improved postischemic cardiac function after warm ischemia, but did not protect cold cardioplegic hearts.

UNERUPTED PRIMARY MOLARS (미맹출 유구치의 치험례)

  • Kang, Sun-Hee;Yang, Young-Sook;Lee, Kwang-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.2
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    • pp.217-223
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    • 2005
  • The term 'impaction teeth' is used to designate a tooth which remains unerupted in jaw beyond the time at which it should normally be erupted. Most cases of impacted teeth reported in the literature are permanent teeth. The impaction of primary teeth occur rarely whereas impaction of second primary molars is more numerous than all other impactions. Failure of eruption of primary teeth may cause a number of complications, such as interference with development and eruption of successive permanent teeth, malocclusion, cystic change of tooth follicle. The clinican should consider the various treatment option available (a) No treatment and observation, (b) surgical extraction (c) space regainer. Proper treatment plan should be established after thought consideration of impacted tooth and it's relation with successive permanent tooth.

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Treatment Methods for Functional Recovery after Total Knee Arthroplasty (슬관절 전치환술 후 기능 회복을 위한 치료법)

  • Kim, Young-mo;Joo, Yong-bum;Park, Il-young
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.2
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    • pp.117-126
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    • 2020
  • Total knee arthroplasty is performed widely in degenerative arthritis of the knee joint, and the frequency of use is increasing. Efforts should be made to achieve functional recovery, such as returning to daily life, and the recovery of strength and range of motion after surgery. The procedure should be approached from a range of perspectives, such as patient factors, surgical technique and rehabilitation. The patient's age, degree of obesity, sex, and strength of the quadriceps muscle can affect the functional recovery after surgery. In addition, the patient's mental state, such as expectation value and satisfaction, can also have an effect. For functional recovery, patient education, pain control, and strengthening of the quadriceps muscle can be performed prior to surgery. Postoperative physiotherapy, such as icing and compression, transcutaneous electrical nerve stimulation therapy, neuromuscular electrical stimulation therapy, low frequency low intensity magnetic field therapy, strengthening of quadriceps muscle, and range of motion exercise can also be applied. In recent years, hydrotherapy, which restores the strength and balance of the leg, is being performed increasingly. These treatments are not only performed shortly after surgery, but are also performed continuously. In addition, the surgeon should apply it appropriately considering the patient's condition, compliance, and social and psychological conditions.

Effect of Sternal Closure Method on Sternal Dehiscence With or Without Infection (흉골 봉합 방법이 흉골 열개 및 감염에 미치는 영향)

  • 이삼윤;박권재;고광표;최종범
    • Journal of Chest Surgery
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    • v.34 no.6
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    • pp.485-489
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    • 2001
  • Background: The most important factor in preventing sternal complications is stable sternal approximation. We have tried to find the most effective sternal closure method by examining the incidence of sternal dehiscence with or without infection in patients with cardiac surgery through median sternotomy. Material and Method: This study was performed in 489 patients over 45 years of age with median sternotomy for open cardiac surgery. Simple closure with interrupted 6 wires was performed in 159 patients, figure-of-8 closure technique in 119, overlapping interrupted closure using 10 wires in 150, and combined closure technique of interrupted simple closure and figure-of-8 suture closure in 61. Two hundred thirty-four patients underwent valve and aortic operations and 213 patients coronary artery bypass surgery. Result: Sternal dehiscence with or without infection occurred in 12 (2.5 %) patients. The complication developed in 5 of 159 patients (3.1%) with six interrupted simple closure, in 4 of 119 patients (3.4%) with figure-of-8 closure, and in 3 of 150 patients (2.0%) with overlapping interrupted closure using 10 wires, but there was no complication in 61 patients with combined closure technique (relative risk for other closure techniques, p<0.05). There was no significant difference in the incidence of the sternal complication between valve and aortic operation group and coronary artery bypass group (3.0% vs 2.3%, not significant), but diabetes mellitus was a significant independent risk factor (odds ratio and multivariate analysis, p<0.05). Conclusion: The sternal closure technique that combines simple interrupted suture closure and figure-of-8 suture closure may be a more useful technique to enhance sternal stabilization compared to other closure techniques, such as simple interrupted closure, 8-figure closure, and overlapping interrupted closure.

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Recovery Mechanism for Base Station Failure in Wireless ATM Networks (무선 ATM 망에서 시지국 고장시 회복 기법)

  • Im, Ji-Yeong;Jeong, Tae-Myeong
    • The KIPS Transactions:PartC
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    • v.8C no.2
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    • pp.182-188
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    • 2001
  • 이동 호스트에서 기지국으로의 데이터 전송 시 예상치 못한 기지국 전체 고장은 필연적으로 버퍼에 있는 데이터의 손실을 초래하고 적절한 손실 보상이 필요하다. 기지국의 고장시의 회복을 위한 기존의 기법들은 오버헤드가 많고 단순히 무선 링크 장애만을 고려하므로 기지 국 전체 고장에는 적합하지 않다. 유무선망 전체의 신뢰성 있는 전송을 위한 End to End 전송 방식도 비효율적으로 이동 호스트가 보상할 데이터 량을 알기 위해 필요한 기지국 버 퍼의 정확한 손실 정도를 알기 어렵다. 본 논문에서는 기존에 제안된 기법들의 문제점을 분 석하고 무선 ATM망에서 기지국 고장 시에 효율적으로 손실 보상을 하도록 하는 기법으로 CPS(Checkpoint Scheme)을 제안한다. CPS는 기지국이 버퍼의 출력 정보를 통보하여 고장 시에 이동 호스트가 seamless한 전송을 할 수 있도록 한다. 기존의 기법들과 시뮬레이션 및 비교 분석을 통하여 CPS의 효율을 증명한다.

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일본 광산업의 동향 및 전망

  • Korea Optical Industry Association
    • The Optical Journal
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    • s.99
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    • pp.57-63
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    • 2005
  • 1980년 일본광산업기술진흥협회(OITDA)가 설립된 이후 지속적인 성장을 거듭해 온 일본의 광산업은 설문조사가 시작된 이후 처음으로 전세계적인 IT 침체의 영향으로 인해 2001년 한해 마이너스 성장(-15.1%)을 기록했다. 그러나 광산업은 다른 어떤 산업분야보다 훨씬 빠른 속도로 회복하여 다음해인 2002년에는 2.7%의 플러스 성장을 기록했고 다음해인 2003년에는 성장 곡선을 그대로 유지해 전년도 성장 예측 치를 뛰어넘는 19.8%라는 기록적인 성장을 달성했다. 2004년에는 8조 엔의 매출(전년도 대비 13.8% 성장)을 기록했고 2005년에는 9조엔(10.4%상향 조정)이상의 매출 목표를 세우고 있다. 이처럼 일본의 광산업은 계속해서 성장해 나갈 것이며 고부가가치 산업 중 하나로서 일본 경제 회복의 일익을 담당하고 있다.

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Biological Studies on the Sand-eel , Ammodytes Personatus GIRARD (까나리의 생물학적 연구)

  • 전찬일
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.13 no.2
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    • pp.5-7
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    • 1977
  • The sand-eel Ammodytes persona/us GIRARD, one of the important fish species in commercial fishing, is found abundantly around the coast of Korea. The author determined the morphological index of the fish after spawning. The samples were caught by the set-net at Jllmllnjin, located ['I Ihe east coast of Korea. 1. The relation between the total length L and the body weight W is represented as $$ W=O. 00l0114L^{2.7281024} $$ 2 Vertebrae number is represented as 64.597 \ulcorner 1.307

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2007년 경제 및 산업 전망

  • Korea Optical Industry Association
    • The Optical Journal
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    • s.107
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    • pp.30-36
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    • 2007
  • 산업연구원이 지난 12월 21일 발표한 '2007년 경제.산업 전망'을 통해 2007년 성장률을 4.5%로 예상했다. 이는 한국은행(4.4%), 삼성경제연구소(4.3%)가 제시한 전망치 중 가장 높은 수치이다. 산업연구원은 올해 민간소비 증가율이 3.7%로 완만한 회복세를 지속하는 가운데 설비투자 증가율도 전년과 비슷한 7.2%에 이를 것으로 예상했다. 반면 건설투자는 민간 부문의 부진으로 2.3% 증가에 그치고 수출 증가율도 10%선에 머물러 전년(14.6% 추정)보다 주춤할 것으로 내다봤다. 이와 함께 경기순환 주기가 짧아진 가운데 올해 경기가 1.4분기 중 저점을 통과한 뒤 상승세로 전환될 것으로 내다봤다. 이에 따라 성장률은 상반기 4.0%로 다소 부진하다가 하반기 5.0%로 회복되는 '상저하고'의 양상을 보일 것으로 내다봤다. 산업연구원은 그러나 세계 경기에 따라 1.4분기 저점이 3%대로 떨어질 가능성도 배재할 수 없다고 전망했다. 올해 주요 기간산업 가운데 반도체 분야는 마이크로소프트의 윈도비스타 출시 등의 영향을 받아 고성장을 이룰 것으로 내다봤다. 생산은 IT제조업이 성장을 주도하고 수출은 기계산업군이 주도 할 것으로 내다봤다.

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The Effect of Resilience of Middle-aged Employees on Job Satisfaction: Meditating Effect of Retirement Attitude (중년재직자의 회복탄력성이 직무만족도에 미치는 영향: 퇴직태도의 매개효과)

  • Jung, Kyung Hwa;Kim, Ki Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.452-462
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    • 2020
  • This study analyzed the impact of resilience on the job satisfaction of middle-aged employees and the meditating effect of retirement attitude. The survey was administered to 468 regular workers aged 40 or older in Seoul and the surrounding metropolitan area. This study utilized SPSS 19.0 statistical program, and multiple regression and mediated effect analyses were applied with descriptive statistics, reliability and validity of measurement tools to analyze differences between correlations and groups. First, male workers had higher self-regulation ability and job satisfaction than women. Female workers had higher old age rest than male ones. The higher the educational background, the higher the recognition of retirement as a new beginning, The longer the working years, the higher the self-regulation ability and job satisfaction. The higher the household income, the higher the positiveness. Second, the Resilience had a positive effect on job satisfaction. Third, resilience had had a negative impact on the forced frustration and a positive influence on the new beginning of retirement attitudes. Fourth, the forced frustration and new beginning showed mediating effects of resilience and job satisfaction. The study results confirmed the importance of resilience and demonstrated the need for measures to enhance resilience in order to reduce anxiety about retirement and increase job satisfaction.

Comprehensive understandings in the shape of retromolar pad and its classification based on clinical application (임상적인 적용에 기반한 후구치삼각융기 형태와 분류의 포괄적인 이해)

  • Park, Chan-Jin;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.2
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    • pp.64-71
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    • 2019
  • Retromolar pad is one of anatomical landmarks to use clinically for determining of specific occlusal plane level in edentulous patients and is inherently a soft tissue mass; located at the distal end of mandible and should be covered with denture. The shapes of retromolar pad show variability because it might be inevitable to be resultant forms from healing and remodeling process after the extraction of last molars. Considerations would be focused on those resultant shapes and classification with anatomical relationships and clinical significances.