• 제목/요약/키워드: Degree of decline

검색결과 132건 처리시간 0.03초

Epidemiologic Impact of Rapid Industrialization on Head Injury Based on Traffic Accident Statistics in Korea

  • Kim, Dong Ho;Chung, You Nam;Park, Young Seok;Min, Kyung Soo;Lee, Mou Seop;Kim, Young Gyu
    • Journal of Korean Neurosurgical Society
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    • 제59권2호
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    • pp.149-153
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    • 2016
  • Objective : The aim of the present study is to estimate the incidence trend of head injury and the mortality based on traffic accident statistics and to investigate the impacts of rapid industrialization and economic growth on epidemiology of head injury in Korea over the period 1970-2012 including both pre-industrialized and post-industrialized stages. Methods : We collected data of head injury estimated from traffic accident statistics and seven hospital based reports to see incidence trends between 1970 and 2012. We also investigated the population structure and Gross National Income (GNI) per capita of Korea over the same period. The age specific data were investigated from 1992 to 2012. Results : The incidence of head injury gradually rose in the 1970s and the 1980s but stabilized until the 1990s with transient rise and then started to decline slowly in the 2000s. The mortality grew until 1991 but gradually declined ever since. However, the old age groups showed rather slight increase in both rates. The degree of decrease in the mortality has been more rapid than the incidence on head injury. Conclusion : In Korea during the low income stage, rapid industrialization cause considerable increase in the mortality and the incidence of head injury. During the high income stage, the incidence of head injury gradually declined and the mortality dropped more rapidly than the incidence due to preventive measures and satisfactory medical care. Nevertheless, the old age groups revealed rather slight increase in both rates owing to the large population structure and the declining birth rate.

Agonist-induced Desensitization of Muscarinic Acetylcholine Receptor in Rat Brain

  • Lee, Jong-Hwa;Esam-E.El-Fakahany
    • Archives of Pharmacal Research
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    • 제10권4호
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    • pp.212-218
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    • 1987
  • Intact brain cell aggregates were dissociated from adult rat brains without cerebellum using a sieving technique. This proparation was used to elucidate the binding characteristics of agonist to muscarinic acetylcholine receptors (mAchR) in brain. Incubation of cells with carbamylcholine (carbachol) was shown agonist-induced receptor down-regulation depending on the concentration of agonist, not depending on the incubation time. This effect of carbachol was due to a reduction in the maximal binding capacity ($B_{max}$) to the mAchR without decreasing the affinity of the remaining receptors in incubation at 37.deg.C but was not apparent inincubation at $15^{\circ}}C$In addition, it was abolished when the receptors were blocked by atropine. The decline in ($^3H$)N-methylscopolamine (($^3H$)NMS) binding induced by agonist was reflected as a significant reduction in the receptor density with no change in receptor affinity, suggesting that 'true' receptor down-regulation takes place. Moreover, when the receptors were labeled with the lipophilic antagonist ($^3H$) quinuclidinyl benzilate (($^3H$) QNB) insted of the hydrophilic ligand ($^3H$)NMS, the magnitude of the observed receptor down-regulation was significantly lower in case of the former than the latter. This suggested that exposure of intact brain cells to muscarinic agonists might induce a slight degree of accumulation of receptors in intracellular sites before the receptors are actually degraded.

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주사형 황산 칼슘($MIIG^{TM}$)을 이용한 전위성 종골 관절내 골절의 수술적 치료 (The Operative Treatment of Displaced Intra-articular Calcaneal Fracture with Injectable Calcium Sulfate ($MIIG^{TM}$))

  • 안성준;김부환;송무호;유성호;서상혁
    • 대한족부족관절학회지
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    • 제11권2호
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    • pp.221-225
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    • 2007
  • Purpose: To evaluate the clinical results of operative treatment of the intra-articular calcaneal fracture with injectable calcium sulfate ($MIIG^{TM}$). Materials and Methods: Between March 2004 and October 2006, a total 19 intra-articular calcaneal fracture (16 patients) with a large bony defect that underwent operative treatment with plate fixation and injectable calcium sulfate ($MIIG^{TM}$) with minimum follow-up of one year following. The mean age at time of surgery was 44.7 years (23 to 54). All of the cases were type 2 and 3 on the basis of Sanders classification. The lateral L shaped approach was used in all cases. Full weight bearing on the affected extremity was regained at an average 10 weeks postoperatively. Results: The mean Bohler angle was improved from $2^{\circ}$ ($-18.5{\sim}12.5^{\circ}$) preoperatively to $23.8^{\circ}$ ($12{\sim}37.5^{\circ}$) and the angle at last follow-up was $22.5^{\circ}$ ($11.5{\sim}37.5^{\circ}$), showing about 0.3 degree decline compared to postoperative Bohler angle. Only two case of whitish leakage of graft material but other complication were none. Conclusion: $MIIG^{TM}$ augumentation of displaced intra-articular calcaneal fracture with large bone defect seems to bo useful method for initial stabilized and plate fixation.

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냉(cold)적용 방법에 따른 동통 역치 및 피부 온도의 변화 (The Changes in the Electrical Stimulation Induced Pain Threshold and Skin Temperatures According to Methods of Cold Application)

  • 김선엽;류이화;박은화;배혜진
    • 대한물리치료과학회지
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    • 제3권3호
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    • pp.25-34
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    • 1996
  • The purpose of this experimental study was conducted to examine the most effective modality between two methods of cold application(ice pack and cold spray), the most effective length of time for the application and the continuing effect after each type of cold application. Sixty students were assigned randomly to each of two cold application methods; (a) ice pack, (2) cold spray. Each methods was applied to the posterior surface of right forearm with subject in the sitting position. Skin temperature and the electrical stimulation induced pain threshold were measured before each application and every five degree ($^{\circ}C$) decline point after ice pack application. They were also measured point of minimum skin temperature after cold spray application. The results of this study are as follows; 1. Skin temperatures according to the cold spray application decreased to a range of $4.2^{\circ}C{\sim}9.2^{\circ}C$(male, p<0.001), $3.6^{\circ}C{\sim}7.6^{\circ}C$(female, p<0.001). 2. Pain threshold according to the cold spray application increased to a range of $0.6mA{\sim}1.9mA$(male, p<0.01), $1.2mA{\sim}3.86mA$(female, p>0.05).

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허리둘레변화 감지의 실시간 되먹임을 통한 의도적인 복근수축이 요추관 협착증 환자의 골반경사와 기능적 능력 그리고 신경근 조절에 미치는 영향 (The Effects of Intentional Abdominal Muscle Contraction Through Real-Time Feedback on Sensed Changes in Waist Circumference on Pain, Functional Capacity and Neuromuscular Control in Adults With Lumbar Spinal Stenosis)

  • 성재현;김창범;최종덕
    • 한국전문물리치료학회지
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    • 제25권1호
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    • pp.1-11
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    • 2018
  • Background: The continuous co-contraction of the trunk muscles through trunk stabilization exercises is important to patients with lumbar spinal stenosis (LSS). However, intentional abdominal muscle contraction (IAMC) for trunk stabilization has been used only for specific training in the treatment room. Objects: The purpose of this study was to provide feedback to adults with LSS to enable IAMC during activities of daily living (ADLs). Methods: The participants with spinal stenosis were divided into an experimental group of 15 adults and a control group of 16 adults. Electromyographic signals were measured while the subjects kept their both hands held up at $90^{\circ}$. The measured muscles were the rectus abdominis (RA), external oblique (EO), internal oblique (IO), and erector spinae (ES). Pelvic tilt was measured using a digital pelvic inclinometer. The degree of pain was measured using the visual analogue scale (VAS) and functional capacity was measured using the Korean version of the Oswestry disability index (KODI). Results: While the experimental group showed statistically significantly higher activities in the RA, EO, and IO after the intervention compared with the control group. Pelvic tilt was significantly decreased only in the experimental group. Both the experimental and control groups exhibited statistically significant declines in the VAS and KODI (p<.01). In terms of the levels of changes, the experimental group exhibited a statistically significant larger decline only in the VAS and the pelvic tilt when compared with the control group (p<.05). Conclusions: The subjects could stabilize their trunks, and relieve their pain and dysfunctions and reduce pelvic tilt by learning abdominal muscle contraction during ADLs. The combination of therapeutic exercises and IAMC may have greater effects on patients with LSS.

게임욕구조절 프로그램이 인터넷게임 중독완화와 자기효능감에 미치는 효과 (The Effects of Game Control Program on the mitigation of Internet Game Addiction and Self-Efficacy)

  • 표명화;이영만
    • 한국초등상담교육학회:학술대회논문집
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    • 한국초등상담교육학회 2004년도 학술대회
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    • pp.105-118
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    • 2004
  • The purpose of this study was to examine the effects of a group training program designed to control the desire for internet games and to promote self-efficacy and alternative activities. The subjects participating in this study were 32 fifth graders, divided into the experimental group of 16 and the control group of 16, who were carefully selected from 175 children in the fifth grade in S elementary school in J city. All the subjects belong in the top 20% according to the internet game addiction level and spend more than two hours and thirty minutes a day playing computer game. And they participated in the game desire control program, which were consisted of total eight-session' treatment for six weeks. The results of the game addiction diagnosis and self-efficacy measurement were verified and analyzed by ANOVA to verify the effects of the program. As well as, data about average playing time spent on computer games and time the children spent on playing computer games alternative activities were analyzed and collected by the interview and other written materials such as letters from the parents to their children and writings of the children on their feelings about interret games. The results of this study were as follows: The internet game control program was effective in decreasing the degree of game addiction. The children participating in the internet game control program showed greater increase in self-efficacy than those of the control group. The children participating in the program showed a sharp decline in the time spent on playing computer games and greater increase in the time spent on alternative activities than those of the control group.

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수치적 시뮬레이션과 충격 시험을 통한 수직방향 진동절연 완충기 설계 및 성능 평가 (Design and Performance Evaluation of the Vibration Absorber of Vertical Direction Using Numerical Simulation and Shock Test)

  • 박상길;방승우;권오철;이정윤;오재응
    • 한국소음진동공학회논문집
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    • 제18권5호
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    • pp.558-563
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    • 2008
  • Vibration/shock affects biggest taking a train subtraction of vehicle and durability decline. Therefore, absorber is used for vibration/shock isolation and various qualities of the material and design are applied to isolation. This paper proposes vibration/shock absorber that applies 'Disc' spring. Through comparison with 'Disc' spring that has nonlinearity and coil spring that is having linearity, see effect that nonlinearity of isolation gets in vibration/shock Isolation. Coil spring and 'Disc' spring are non-linear numerical analysis and simulation through theory for this, get and investigate comparison result through an experiment finally. Expressed and formulated shock through 'Runge-Kutta' method/impact response to nonlinear-vibration-equation of 1 degree of freedom for numerical analysis. Double half sine pulse of excitation used and analyzed result through spectrum response analysis here. Response of disc spring is compared to response of coil spring by changing $h_o/t$ ratio with computer simulation and the usage of disc spring is increased through analysis of effect of design factors. The purpose of this paper is that the shock response of disc spring is calculated through numerical simulation and to design the optimal absorber under the limited condition. And then, the isolation effect was analyzed through the shock test.

수치 모델링과 충격 시험을 통한 수직방향 진동절연 완충기의 성능 평가 (Performance Evaluation of the Vibration Absorber of Vertical Direction using Numerical Modeling and Shock Test)

  • 박상길;방승우;권오철;이정윤;오재응
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2008년도 춘계학술대회논문집
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    • pp.990-993
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    • 2008
  • Vibration/shock affects biggest taking a train subtraction of vehicle and durability decline. Therefore, absorber is used for vibration/shock isolation and various qualities of the material and design are applied to isolation. This paper proposes vibration/shock absorber that applies 'Disc'spring. Through comparison with 'Disc' spring that has nonlinearity and coil spring that is having linearity, see effect that nonlinearity of isolation gets in vibration/shock isolation. Coil spring and 'Disc' spring are non-linear numerical analysis and simulation through theory for this, get and investigate comparison result through an experiment finally. Expressed and formulated shock through 'Runge-Kutta' method/impact response to nonlinear-vibration-equation of 1 degree of freedom for numerical analysis. Double half sine pulse of excitation used and analyzed result through spectrum response analysis here. Response of disc spring is compared to response of coil spring by changing ho/t ratio with computer simulation and the usage of disc spring is increased through analysis of effect of design factors. The purpose of this paper is that the shock response of disc spring is calculated through numerical simulation and to design the optimal absorber under the limited condition. And then, the isolation effect was analyzed through the shock test.

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제조업 위기지역의 산업구조 및 경쟁력 변화: 군산시를 사례로 (Changes in Industrial Structure and Competitiveness of Manufacturing Crisis Region: Focusing on Gunsan City)

  • 송주연
    • 한국경제지리학회지
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    • 제25권3호
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    • pp.299-319
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    • 2022
  • 2010년 이후 한국에서는 주력업종의 침체가 지역경제 전반에 영향을 미쳐 지역적 위기로 번지는 현상들이 나타나고 있다. 본 연구는 조선과 자동차 산업의 쇠퇴로 위기에 놓인 군산시를 대상으로 지역의 산업구조와 제조업 경쟁력이 어떻게 변화하고 있는지 분석하는데 목적을 둔다. 분석결과, 군산시의 산업구조는 2010년 이후 변화의 속도가 빨라지고 다양성이 높아지고 있지만, 이는 주력산업을 중심으로 한 고용방출이 타 산업으로 흡수되었기 때문이며, 제조업 내에서는 주력산업의 위기를 대체할 수 있는 업종이 부재했다. 군산시 제조업 중 기반산업들의 특화도는 점차 약화되고 있고, 입지경쟁력 마저 약화되면서 제조업의 성장률 시차에 부정적인 영향을 미치고 있었다. 군산시가 제조업 위기에 대응할 수 있는 방향을 모색하기 위해서는 본 연구와 같이 지역의 산업구조적인 특성 변화를 면밀히 검토하는 일이 선행되어야 할 것이다.

제왕절개 환자에서 적극적 가온 요법의 효과: 체계적 문헌고찰 및 메타분석 (Effectiveness of Active Warming Intervention for Women Undergoing Cesarean Section: A Systematic Review and Meta-analysis)

  • 최정은;김미선;송진란
    • 기본간호학회지
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    • 제24권3호
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    • pp.167-180
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    • 2017
  • Purpose: The aim of this study was to synthesize the best available evidence for active warming interventions during cesarean section. Methods: A database search was done for randomized controlled trials utilizing active warming interventions. Maternal temperature, shivering and neonatal temperature were evaluated as outcome variables. Data were analyzed using Cochrane Review Manager software Version 5.3. Results: Thirteen studies including 1306 patients were reviewed. The degree of lowering of maternal temperature decreased in the warmed fluids (MD 0.51; p=.004) and warming mattress interventions (MD 0.22; p<.001) compared with control groups. Incidence of shivering was also lower in the active warming group (OR 0.55; p=.003). There was no statistically significant difference in maternal temperature with a forced air warming intervention (MD 0.64; p=.15) or in neonatal temperature (MD 0.12; p=.26). Conclusion: Findings show that with warmed fluids and warming mattresses applied during cesarean sections maternal temperature decline was reduced and also the incidence of shivering declined, but no significant effect was observed for forced air warming interventions. These findings provide a basis for developing a warming guideline for women having a cesarean section and will help to improve the quality of care for cesarean section patients.