• Title/Summary/Keyword: Asan area

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Comparison of Intraperitoneal and Retroperitoneal/Pelvic Contrast Extravasation: The Characteristics and Prognosis of the Each Patient Group with Arterial Embolization according to the Abdominal Computed Tomography Scanning after Blunt Trauma (둔상 후 복부 전산화단층촬영에서 조영제 유출로 동맥색전술을 시행받은 환자의 복강내와 후복막강/골반강내 출혈 비교)

  • Yoon, Ji Young;Kim, Sun Hyu;Ahn, Ryeok;Hwang, Jae Cheol;Hong, Eun Seog
    • Journal of Trauma and Injury
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    • v.22 no.2
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    • pp.199-205
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    • 2009
  • Purpose: This study compared the characteristics of and the prognosis for intraperitoneal and retroperitoneal/pelvic contrast extravasation, which had been confirmed by enhanced abdominal CT scan, after blunt trauma in patients who had undergone angiographic embolization. Methods: From January 2001 to March 2009, data were retrospectively collected regarding patients who had undergone contrast extravasation (CE) on CT scanning and arterial embolization after blunt trauma. The study patient group was divided into the intraperitoneal and the retroperitoneal/pelvic groups according to the area of contrast extravasation. We reviewed the initial demographic data, the location of injury, the solid organ injury, the embolized vessel, and the clinical outcome. Results: The mean age of the study subjects was $40.2{\pm}2.6$ years old, and there were 24 male patients. The intraperitoneal group included 10 patients, and retroperitoneal/pelvic group was comprised of 17 patients. The amount of transfusion from presentation to intervention and during the first 24 hours was greater in the retroperitoneal/pelvic group than in the intraperitoneal group. The intraperitoneal group showed a higher frequency and severity of liver injury than the retroperitoneal/pelvic group. Angiography revealed that the hepatic artery (n=4) was the most frequently embolized vessel in the intraperitoneal group, while the internal iliac artery (n=6), followed by the renal artery (n=4), internal pudendal artery (n=3), and the gluteal artery (n=2), were the most frequently injured vessels in the retroperitoneal/pelvic group. Conclusion: In patients with intra-abdominal contrast extravasation found on CT scanning and arterial embolization after blunt trauma, the need for transfusion was less in the intra-abdominal group than in the retroperitoneal/pelvic group. Liver injury was also more frequent and severe in the intraperitoneal group than in the retroperitoneal/pelvic group.

Morphological Study on the Changes in the Kidney of the Water-deprived Mongolian gerbil (Meriones unguiculatus) (절수에 의한 Mongolian gerbil 신장조직의 변화에 관한 형태학적 연구)

  • Kim, Moo-Kang;Lee, Keun-Jwa;Jeong, Young-Gil;Song, Chi-Won;Lee, Kyeng-Youl;Park, Il-Koun;Lee, Chul-Ho;Lee, Ki-Houn;Hyun, Byung-Hwa;Kim, Gil-Soo
    • Applied Microscopy
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    • v.27 no.4
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    • pp.433-452
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    • 1997
  • Mongolian gerbil (Meriones unguiculatus) has been as an animal model for studing the neurological diseases such as stroke and epilepsy because of the congenital incompleteries in Willis circle, as well as the investigation of water metabolism because of the long time-survival in the condition of water-deprived desert condition, compared with other species animals. In order to accomplish the this research, first of all another divided the laboratory animals 5 groups of which each group include the 5 animals. In this study were investigated the histological structure in the kidney, measured the plasma osmolalities at the time of sacrifice of indivisual animals, and the body weights every day during water-deprived. The results obtained in this study were summarized as followings: 1. The body weights and decreasing rates of the body weight in water-deprived mongolian gerbil groups were continuosly decreased. 2. The plasma osmolalities were increased from the 5th water-deprived day, after then the gradually increasing reached nearly its equilibrium state at the 10th water-deprived day. 3. The urine volumes were abruptly decreased from the 2th water-deprived day, after then the gradually decreasing patterns were reached nearly its equilibrium state at the 10th day, and stopped the 11th day. 4. In the light microscopical observation of the kidney, glomerular capillary loop thickening, mesangial matrix increasing, sclerosis, glomerular cystic atrophy, interstitial fibrosis, tubular dilatation, mononuclear interstitial inflammation, interstitial mineralization, and hyperplasia of the collecting duct epithelium in the cortex area, were observed from the 10th water deprived day, and the lesions were gradually severe changed as the time lapse. 5. In the electron microscopical findings of the kidney, the degenerative changes of endothelial cell, podocyte and mesangial cell in glomeruli were initially observed on the 10th water-deprived day as well as the degeneration of microvilli and intracellular organelle in the renal tubules.

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A Study of Antimicrobial Resistance in Escherichia coli and the Distribution of Indicator Microorganisms in Asan City (아산시 지표미생물의 분포와 Escherichia coli의 항생제 내성에 관한 연구)

  • Lee, Geun-Yeol;Kim, Keun-Ha;Kwon, Mun-Ju;Kwon, Hyuk-Ku;Kim, Yeon-Hee;Lee, Jang-Hoon
    • Journal of Environmental Health Sciences
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    • v.36 no.3
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    • pp.229-235
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    • 2010
  • Efforts to evaluate water pollution using indicator microorganisms have been underway for decades, and driven by research on water purity control applications, water quality criteria are growing more and more strict. Furthermore, recent reports indicate that high concentrations of antibiotics are not absorbed, and are present in excrement from animals and humans dosed with unnecessarily high levels of antibiotics. This has emerged as very important issue from the standpoint of being an ecological and health hazard. In this study, water pollution was analyzed through physicochemical and microbiological means, and antibiotic resistance in indicator microorganisms was assessed. In physicochemical analysis, biochemical oxygen demand (BOD)$_5$ and chemical oxygen demand (COD)$_{Mn}$ evaluation showed that pollution by organisms was highest at the G1 location with a high human population, and the DP location which has many livestock-containing households. The indicator organism levels at the G1 location were: Total Coliforms (1205 colony forming units (CFU)/100 ml), Fecal Coliforms (270 CFU/100 ml), Escherichia coli (253 CFU/100 ml) and Fecal Streptococci (210 CFU/100 ml), while for the DP location levels were: Total Coliforms (1480 CFU/100 ml), Fecal Coliforms (438 CFU/100 ml), E. coli (560 CFU/100 ml), and Fecal Streptococci (348 CFU/100 ml). Levels of fecal indicator microorganisms such as Fecal Coliforms, E. coli and Fecal Streptococci were high at all locations in the fall (the period after the rainy season), and the yearly distribution was similar between these organisms. If the number of livestock-containing households was high, almost all strains of E. coli (as distinct from the other indicator organisms) showed resistance to antibiotics, with the degree of resistance varying between areas. E. coli strains from the OY area in particular, which has a high population density, showed strong resistance to AM10 and Va30. While strong antibiotic resistance was observed overall at the DP and OY locations, no resistance was observed at the EB location.

Application of 2-pass DInSAR to Improve DEM Precision (DEM 정밀도 향상을 위한 2-pass DInSAR 방법의 적용)

  • 윤근원;김상완;민경덕;원중선
    • Korean Journal of Remote Sensing
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    • v.17 no.3
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    • pp.231-242
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    • 2001
  • In 2-pass differential SAR interferometry(DInSAR), the topographic phase signature can be removed by using a digital elevation model(DEM) to isolate the contribution of deformation from interferometric phase. This method has an advantage of no unwrapping process, but applicability is limited by precision of the DEM used. The residual phase in 2-pass differential interferogram accounts for error of DEM used in the processing provided that no actual deformation exits. The objective of this paper is a preliminary study to improve DEM precision using low precision DEM and 2-pass DInSAR technique, and we applied the 2-pass DInSAR technique to Asan area. ERS-1/2 tandem complex images and DTED level 0 DEM were used for DInSAR, and the precision of resulting DEM was estimated by a 1:25,000 digital map. The input DEM can be improved by simply adding the DInSAR output to the original low precision DEM. The absolute altitude error of the improved DEM is 9.7m, which is about the half to that of the original DTED level 0 data. And absolute altitude error of the improved DEM is better than that from InSAR technique, 15.8m. This approach has an advantage over the InSAR technique in efficiently reducing layover effects over steep slope region. This study demonstrates that 2-pass DInSAR can also be used to improve DEM precision.

Correlation Analysis of the Lumbar Spine and Femur Neck BMD using Dual Energy X-ray Absorptiometry in Rehabilitated Patients (재활치료 환자에서 DXA를 이용한 요추부와 대퇴경부 골밀도 검사의 상관관계)

  • Jung, Myo-Young;Ji, Yun-Sang;Kim, Chang-Bok;Dong, Kyung-Rae;Ryu, Jae-Kwang;Choi, Ji-Won
    • Journal of Radiation Industry
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    • v.12 no.4
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    • pp.311-316
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    • 2018
  • Average life expectancy is getting longer due to medical developments and improvements in living standards. So much so that the elderly have an increased risk of developing osteoporosis. Therefore, it is important to prevent, diagnose, and treat the senile disease at an early stage through a bone density test. Bone density is measured by dual energy X-ray absorption (DXA). In this study, while using DXA, in cases when the measurements for both the lumbar and the femur could not be taken simultaneously, the correlation between both measurements were known, and the measurement of one area was used to make a clinical inference for the value of the other. Measurements were taken using Lunar Prodigy Advance (GE) for 43 participant with clinically significant fractures. Statistical calculations were produced and analysed regarding bone density. In case of T-score, lumbar spine produced a statistical result of $-2.112{\pm}1.836$ and femur neck was $-1.716{\pm}1.565$. In case of Z-score lumbar spine produced a statistical result of $-0.151{\pm}1.513$, and femur neck $-0.026{\pm}1.283$. It is indicated that the pearson correlation coefficient of T-score between lumbar spine and femur neck is high at 0.699, and the pearson correlation coefficient of Z-score is considered relatively high at 0.503. The correlation of bone density between lumbar spine and femur neck is shown to be statistically meaningful in T-score's p-value at 0.000 and Z-score's p-value at 0.001. In conclusion, it seems to have clinical usefulness that we can infer the result of one measurement through that of the other part tested, based on the knowledge of the correlation coefficients between lumbar spine and femur neck.

The First Report on Clinical Manifestation of Cryopyrin-Associated Periodic Syndrome in Korean Children

  • Kim, Kwang Yeon;Kim, Sae Yun;Park, Su Eun;Lee, Jina;Lee, Hyunju;Lee, Soyoung;Kim, Joong Gon
    • Pediatric Infection and Vaccine
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    • v.25 no.3
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    • pp.113-122
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    • 2018
  • Purpose: The aim of this study was to evaluate the clinical characteristics of children diagnosed as cryopyrin-associated periodic syndrome (CAPS) in Korea. Methods: Diagnosis was made based on clinical features and confirmed by a mutation in the cold-induced autoinflammatory syndrome 1 (CIAS1) gene. Especially, osteocartilaginous overgrowth in the patella or distal femur was so characteristic that its presence warranted a diagnosis of chronic infantile neurologic cutaneous and articular/NOMID. Results: We observed the clinical features of 9 Korean CAPS patients. All the patients suffered from an urticarial rash with recurrent fever. Among the 9 patients, 6 presented with rash and 4 with fever on the 1st or 2nd days of birth. Eight patients showed myalgia, and 7 patients showed arthralgia in the joints, and 6 patients showed radiologic findings of arthropathy including cupping of the metaphysis, excessive growth of the epiphysis, osteopenia or overgrowth of the cartilage. Four patients showed brain atrophy, enlarged ventricles or leptomeningeal enhancement on magnetic resonance imaging. Intellectual disability was observed in 1 patient. Five patients had eye involvement as conjunctivitis, uveitis, chorioretinitis, avascular area or papillary edema, and 3 patients showed progressive hearing loss. All 9 patients showed increased C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR). Conclusions: All the patients carried a mutation on exon 3 of the CIAS1 gene. After the anakinra (interleukin-1 receptor antagonist) therapy, the fever and rash immediately disappeared, and CRP and ESR were improved.

A Study on the Architectural Characteristics of Genjaegotaek Galabjib (건재고택 가랍집의 건축적 특성에 관한 연구)

  • Kim, Suk-Hee
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.263-269
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    • 2018
  • Asan Oeam village is a town that has been formed since about 500 years ago. It is a folk village centered on Yean Lee and designated as National Folk Cultural Property No. 236. However, the original shape of the thatch, which has regional characteristics, is disappearing. Therefore, I want to study the architectural characteristics of the house which is well preserved in the original shape. The Genjaegotaek is located in the center of the Oeam village. The composition of the house consists of a Munganchae, Salangchae, Anchae, Sadang. The Anchae is an 'ㄱ' shaped house, and it is shaped like a 'ㅁ' which is opened by facing. The wide yard in front of the Salangchae is made of strangely shaped rocks, a hundred-year-old pine, old pagodas, ponds, pavilion. Outside the main gate, there is an 'ㅡ' shape thatch on the west. The Galabjib of Geonjaegotaek is a servant house, and the shape is a ㄱ type. The plane remained well in its original shape, thatch is consisting of a kitchen-room-daecheong maru-room. A Galabjib of Geonjaegotaek can not represent all the thatch of a Oeam village. However, it is expected that this study will be used as a basic data when the study by the thatch in this area is conducted through the analysis of the type.

A Study on the Feasibility of the Improvement of Traffic Congestion : Focusing on Small and Medium-Sized Cities in Chuncheong Province (중소도시 교통혼잡도로 적용범위에 관한 연구 : 충청권 중심으로)

  • Kwon, Hyun Joong;Oh, Ju Taek
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.18 no.3
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    • pp.34-45
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    • 2019
  • Based on the analysis of congestion conditions in small cities with a population of less than 500,000 in Chungcheong Province, this study conducted a feasibility study on the scope of congestion improvement projects. Further, traffic congestion management standards were further established by analyzing LOS as well as the speed of traffic presented by congestion criteria in the existing Project. According to the analysis according to the congestion management standard LOS suggested in this study, Asan city has the most major number of highways where LOS E occurs for more than 3 hours, followed by Sejong City and Gongju City. In addition, when comparing the ratio of the busy main roads according to the frequency of LOS E by city size, it was analyzed that the ratio and extension of the busy highways relative to the overall extension of the large Chungcheong area are similar to the ratio in small cities in the Chungcheong region. Therefore, traffic congestion occurred in small cities and the feasibility of the improvement project was revealed.

Effects of Innovativeness on Customer Satisfaction in Long-Term Care Hospitals: The Effect of Internal Capacity and Location Strategy in Hospital (요양병원의 혁신성이 고객만족도에 미치는 영향 : 내부역량과 입지전략의 매개효과)

  • KIM, Duck-Ki;KIM, Woo-Jong;KIM, Mi-Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.110-124
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    • 2019
  • In recent years, over-supply of hospitals has made hospital management more difficult and hospitals have introduced innovative hospital management to enhance customer satisfaction. The purpose of this study is to investigate the effect of innovativeness of hospitals on customer satisfaction by using mediating effects of hospital capacity and location strategy. The subjects of this study were selected from 120 patients and caregivers who were hospitalized in Seoul and Metropolitan area hospitals and conducted questionnaire and statistical analysis. The results of this study are as follows: Firstly, this paper shows hospital Innovativeness does not significantly affect customer satisfaction. Unlike private companies, it is urgent to develop innovativeness measuring tools that are unique to hospitals differentiated from those of general companies. Secondly, although the impact of Innovativeness on hospital internal competency and location strategy was similar, location strategy(${\beta}=0.357$) had a greater impact on customer satisfaction than internal competency(${\beta}=0.283$). This suggests that the medical institution should take precedence over the detailed preparations based on its location marketability, traffic infrastructure, building sales and medical concentration from the time of its opening. Thirdly, this paper confirms through empirical analysis that the relationship between hospital Innovativeness and customer satisfaction is completely mediated by internal capacity and location strategy. The hospital's Innovativeness is affecting customer satisfaction by enhancing the hospital's internal competencies and inducing an active attitude toward establishing a location strategy.

Conservation of Chungmugong's Artifacts (보물 제326호 이충무공유물의 과학적 보존)

  • Kwon, Hyuk Nam;Seo, Jung Eun;Ha, Eun Ha;Lee, Han Hyoung;Lee, Eun Woo
    • Korean Journal of Heritage: History & Science
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    • v.44 no.3
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    • pp.62-77
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    • 2011
  • Yi Sunsin's artifacts had been exhibited at Hyeonchungsa in Asan-si, Chungchungnam-do. These artifacts include Janggeom(Long swords), Okno(Jade ornament of Korea traditional hat), Yodae(Waist belt) and Dobae(Peach shaped wine cups) Gudae(Yodae's saucers). These were covered with dust and corroded due to long term display. Condition of these artifacts was examined for a re-opening of Yi Chungmugong Memorial Pavilion on 28 March 2011. Before conservation treatment of the artifacts, scientific analysis was conducted to identify the material of the artifacts. The result showed that the red paint on the hilt of the sword is composed of two layers. Pigments of two layers were found to be hematite and cinnabar mixed with red lead respectively. Mixed layer was assumed to have been applied recently. Also it was found that the blade of the sword was repainted using chrome yellow($PbCrO_4$). Considering the time limit, conservation treatment focused on stabilization of damaged area and prevention of futher risk during display.