• 제목/요약/키워드: History from Below

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Low Plasma Insulin Level Prolonged Hypoglycemia after High dose Insulin Lispro Injection (고용량 Insulin lispro 피하 주사 후 저 인슐린 혈증을 보인 지속적 저혈당성 혼수 환자 1례)

  • Kang, Jeong Ho;Park, Hyun Soo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.14 no.2
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    • pp.151-154
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    • 2016
  • Increased plasma insulin levels are often observed in exogenous insulin overdose patients. However, plasma insulin level may decrease with time. We report a case of low plasma insulin level hypoglycemia after insulin lispro overdose. The patient was a 37-year-old man with no previous medical history who suspected insulin lispro overdose. Upon arrival, his Glasgow coma scale was 3 points and his blood sugar level (BSL) was 24 mg/dl. We found five humalog-quick-pen (insulin lispro) in his bag. There was no elevation of glucose level, despite an initial 50 ml bolus of 50% glucose and 150 cc/hr of 10% dextrose continuous intravenous infusion. He also suffered from generalized tonic-clonic seizure, which was treated with lorazepam and phenytoin. We conducted endotracheal intubation, after which he was admitted to the intensive care unit (ICU). There were recurrent events of hypoglycemia below BSL<50 mg/dl after admission. We repeatedly infused 50 ml 50% glucose 10 times and administered 1 mg of glucagon two times. The plasma insulin level was 0.2 uU/ml on initial blood sampling and 0.2 uU/ml after 5 hours. After 13 hours, his BSL stabilized but his mental status had not recovered. Diffuse brain injury was observed upon magnetic resonance imaging (MRI) and severe diffuse cerebral dysfunction was found on electroencephalography (EEG). Despite 35 days of ICU care, he died from ventilator associated pneumonia.

Floristic composition and species richness of soil seed bank in three abandoned rice paddies along a seral gradient in Gwangneung Forest Biosphere Reserve, South Korea

  • Cho, Yong-Chan;Lee, Seon-Mi;Lee, Chang-Seok
    • Journal of Ecology and Environment
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    • v.42 no.3
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    • pp.90-102
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    • 2018
  • Background: We sought to understand the relationship between the seed bank and vegetation in abandoned rice paddies in South Korea, in order to guide management of these sites. We investigated the floristic composition and species richness of the soil seed bank and ground vegetation in former paddies along three seral gradients (wet meadow, young forest, and mature forest) in Gwangneung Forest Biosphere Reserve. Results: Seed bank samples contained 59 species, of which the dominant families were Cyperaceae, Gramineae, and Polygonaceae. Species richness and seedling density (59 taxa and 19,121 germinants from all samples) were high. Carex spp. (11, 921 germinants) were the dominant taxa. The species composition in the seed bank changed gradually as the land transitioned from wet meadow to mature forest. Sørensen's index of similarity between above- and below-ground vegetation was 29.3% for wet meadow, 10.8% for young forest, and 2.1% for mature forest. Germinant density also declined, with 10, 256 germinants for wet meadow, 6445 germinants for young forest, and 2420 germinants for mature forest. Conclusions: Changes in aboveground environment and life history traits such as amphicarpic plants, likely affect the composition of soil seed bank species. Abandoned paddy fields may be good sites for restoration of wetland forest and conservation of wetland habitat. Some intervention may be required to promote the recovery of a natural species assemblage.

Behavior of dry medium and loose sand-foundation system acted upon by impact loads

  • Ali, Adnan F.;Fattah, Mohammed Y.;Ahmed, Balqees A.
    • Structural Engineering and Mechanics
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    • v.64 no.6
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    • pp.703-721
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    • 2017
  • The experimental study of the behavior of dry medium and loose sandy soil under the action of a single impulsive load is carried out. Different falling masses from different heights were conducted using the falling weight deflectometer (FWD) to provide the single pulse energy. The responses of soils were evaluated at different locations (vertically below the impact plate and horizontally away from it). These responses include; displacements, velocities, and accelerations that are developed due to the impact acting at top and different depth ratios within the soil using the falling weight deflectometer (FWD) and accelerometers (ARH-500A Waterproof, and Low capacity Acceleration Transducer) that are embedded in the soil and then recorded using the multi-recorder TMR-200. The behavior of medium and loose sandy soil was evaluated with different parameters, these are; footing embedment, depth ratios (D/B), diameter of the impact plate (B), and the applied energy. It was found that increasing footing embedment depth results in: amplitude of the force-time history increases by about 10-30%. due to increase in the degree of confinement with the increasing in the embedment, the displacement response of the soil will decrease by about 25-35% for loose sand, 35-40% for medium sand due to increase in the overburden pressure when the embedment depth increased. For surface foundation, the foundation is free to oscillate in vertical, horizontal and rocking modes. But, when embedding a footing, the surrounding soil restricts oscillation due to confinement which leads to increasing the natural frequency, moreover, soil density increases with depth because of compaction, that is, tendency to behave as a solid medium.

Colorectal Cancer Mortality in Shiraz, Iran

  • Dianatinasab, Mostafa;Ghaem, Haleh;Rezaianzadeh, Abbas;Hosseini, Seysd Vahid;Khazraei, Hajar
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.4101-4105
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    • 2016
  • Background: Mortality among Iranian patients with colorectal cancer has not been fully examined and the factors associated with their survival are still controversial. This study aimed to determine the mortality rate and its related factors among the patients with colorectal cancer in southwestern regions in Iran. Materials and Methods: This prospective cohort study was conducted on 220 patients with colorectal cancer referred to Fahighi Hospital, Shiraz, Iran from 2009 to 2014. Data were collected from the patients' medical records and were analyzed using Cox regression analysis. Results: Over a median follow-up of 29.3 months, 56 out of the 220 patients (25.5%) died, 32 (14.5%) aged below 40 years, and 45.5% were female. Based on the results of multiple Cox regression analysis, family history of gastrointestinal cancer, stage III, former smoking, type of lesion (fungative and polypoid), and opium use were associated with a greater risk of colorectal cancer mortality (all P<0.05). Conclusions: This cohort study found that the mortality rate of colorectal cancer in Iran is lower than that in European countries. In addition, behavioral and clinical factors were significantly associated with the survival rate. Addressing the related factors would help healthcare providers and physicians provide the best care and improve the survival rate.

The Relationship Between Bone Mineral Density and The Environmental Factors in Korean Pubescent Girls (한국 사춘기 소녀들의 골밀도와 환경요인들과의 관계(I))

  • 최미자
    • Journal of the East Asian Society of Dietary Life
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    • v.4 no.3
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    • pp.21-30
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    • 1994
  • The relationship between bone mineral density and the environmental factors were investigated from the view point of preventing osteoporosis in Korean pubescent girls. The effects of calcium, nutrient intake, physical activity on total bone mineral density, lumbar spine and femoral bone mineral density and total bone mineral content were evaluated 33 healthy pubescent girls aged 14∼16y. A convenient method was used to assess nutritional and energy intake and calcium index was used together. Calcium intake in childhood was estimated by asking whether subjects usually drank milk as children. Eating habits data and history of menstruation were obtained by questionnaire and interview. Average energy expenditure was calculated. Bone mineral density and content were measured by dual energy x-ray absorptiometry using a Lunar DPX+Scanner (Lunar, Madison, WI). The lumbar spine(L2∼L4) and three sites in the proximal femur (femoral neck, trochanteric region, and Ward's triangle)were measured. Height and weight were measured, and the body mass index(BMI) was derived from the formula : BMI=kg/㎡ Statistical analysis was performed by simple correlation using the SAS package. The mean calcium intake (736mg) was below the RDA of 800mg/d. Twelve percent of the total subjects did not drink milk at all because they did not like the taste. Skipping meals, low calcium intake and low energy intake were significantly correlated with the low BMD. Also the data indicate that girls who reported drinking milk with every meal during childhood had significantly higher bone densities than girls who reported drinking milk less frequently. The results suggest that milk consumption in childhood appears to be needed not only for growth and development, but possibly also to assure an optimal peak of bone mass and thus greater latitude for the maintenance or skeletal integrity in the face of bone losses. There was a highly significant correlation between the total BMD and overall level of physical activity. Body weight was a better predictor of total BMD than was and other factor. Simple mechanical loading may explain why body weight, but total BMC was positively relatd to height. Conclusively, increasing calcium intake and physical activity in the pubescent girls could influence BMD.

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A Study on the Knowledge, and Attitude of Health Examination of Industrial Workers -In Kangwon Province- (산업장 근로자들의 건강진단에 대한 지식 및 태도 조사연구 -강원도 영서지역을 중심으로-)

  • So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.4 no.2
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    • pp.117-130
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    • 1993
  • There has been a rapid growth in Korea since 1962 because of the success of the 5-year Economic Plan. The number of industrial work and workers has also made had a rapid increase. Consequently, the management of occupational health for the purpose of promoting health in industrial workers is needed especially in the health examination program. The purpose of this study was to analyze the Knowledge, and Attitude among industrial workers of health examination programs. The target population was 402 industrial workers from 4 factories in Kangwon province. A survey was conducted to collect data by a self administered questionnaire from October 29 to November 5. A sixty four item questionnaire was designed to collect data concerning Knowledge, and Attitude of health examination of industrial workers. The data was analyzed by means of percentage, mean, T-test, ANOVA, Pearson's correlation coefficient. The major findings were as follows : 1. The respondents presented the following picture : The male population was 88%. 57% of respondents were age 25-34 years old. 69.4% of respondents were married. 73.4% of respondents were high school graduates. 80.8% of the respondents were working over 48 hours per week. The respondents with over 10 years on the job were 31.9% of the respondents. Health examination were given to the respondents as: pre-employment health examination 90.5%, general health examination 91.5%, and special health examination 31.5%. 2. The Knowledge level was different in health examination items. 80.5% of respondents had knowledge about hearing test, body weight, visually, chest X-ray like simple things. Below 50% of respondents had knowledge of urine test, liver function test, and career history. 3. Attitude status about health examination showed an average score 36.5(median 33) of satisfaction, 26.93(median 21) of importance, 13.84 (median 21) of content, 10.46(median 12 of reliability on health examination results. 4. The level of Attitude on health examination was significantly different than the Knowledge level. 5. The relationship among stated variables such as satisfaction, the perceptions of importance on health, health examination, the result and follow up after health examination were shown to reflect neither positively nor negatively on each other.

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Play Costume from the Mural Paintings of Goguryeo (고구려 고분벽화에 나타난 놀이복식)

  • Yim, Lynn;Lee, Tae-Ho
    • Journal of the Korean Society of Costume
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    • v.60 no.3
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    • pp.10-25
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    • 2010
  • The culture of the play of Korean ancient times is well described in the mural painting of Goguryeo. The example is people appearing in the play painting of performance, dance, hunting, and acrobatics out of 20 mural painting of genre. Their costume is broadly classified into performance, dance, hunting, and acrobatic costume and can be subdivided according to the types of costume. First, the head gear of play costume reflected the formality and social conditions of play. In the performance and hunting costume, all performers wore gwanmo(official hats), which seemed to make it a rule to wear gwanmo. Gwanmo was borrowed intactly from Goguryeo without any changes or decorations, which showed that the status symbolism of head gear was applied intactly to play costume. Second, the play costume of Goguryeo enhanced efficiency by blending daily costume with elements and decorations needed for play performance. Specifically the change of length was prominent: the short sleeves of jeogori(traditional blouse), the long sleeves of dance costume, and fastening below the knee or putting into the long shoes to shorten the length of baji(traditional pants). Finally, as it is well known that there was some differences in the expression modes of daily clothes in Goguryeo between Tonggu and Pyeongyang. Similarly, play costume tried to change costume according to the subject of play but maintained the locality and peculiarity of Goguryeo costume. Although performance costume showed many local differences, it also had similarity and peculiarity. In dance costume, long sleeves and patterns which frequently appeared in the Tonggu area reappeared in the Pyeongyang.

Manufacturing Techniques of Tile in Anchang-ri Historical Site of Wonju-city, Korea (안창리 기와의 제작기법)

  • Yang, Dong-Yoon;Kim, Ju-Yong;Shin, Suk-Jeong;Park, Jun-Beom
    • The Korean Journal of Quaternary Research
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    • v.23 no.2
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    • pp.13-33
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    • 2009
  • Mineralogical analysis with petrographic microscope and XRD was carried out to verify manufacturing technique of the tiles(9 samples) and kiln wall materials(5 samples) from the Anchang-ri history site in Wonju county. One of the results we found is such that during the tile manufacturing process fine tile fragments or wall materials might be added instead of chamottes to maintain tile pattern. Abandoned tiles or wall materials were recycled repeatedly, which may be supported by the recycled chamottes that made from iron-rich fine aggregates or disposed kiln wall materials in many samples analyzed. The tiles and wall materials are divided into 3 types, including low temperature type (below $800^{\circ}C$), intermediate temperature type ($800-930^{\circ}C$) and high temperature type ($930-1470^{\circ}C$) as a function of firing temperature which deduced by mineral assemblages identified under petrographic microscope and by XRD composition. Both Kiln A8 of Choseon Dynasty and wall material AW5 were burned at the highest temperature among the all analyzed samples.

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Change and Application of Lace in Europe (유럽에서의 레이스의 변천과 활용)

  • Lee, Kyung-Hee
    • Fashion & Textile Research Journal
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    • v.4 no.1
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    • pp.19-30
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    • 2002
  • The word 'lace' comes from the Latin, lacium, meaning a knot. There are two broad categories of lace: needlepoint lace and bobbin lace. Lace has enjoyed a multitude of uses, embellishing both liturgical and domestic objects. It has also played a major role in the history of western fashion, adorning the apparel of men as well as women. Lace lappets and cap crowns, cravat ends and veils were made for those who could afford them. Before the end of the sixteen century, more complex techniques were employed. The baroque period, needlepoint lace evolved from the early simple geometric patterns of punto in aria Which enhanced ruffs, to deeply scalloped designs, often referred to as collar lace, and thence to the bold and magnificent relief effects of Venetian gros point. Through the seventeenth century is noted for the infinite variety of its cravat, collar and kerchief, most of them lace trimmed and all artfully contrived for the wearer. The type of sleeve in women's dress reaching just below the elbow, ending in ruffles of lace which was called engageantes. Sometimes the ends of a fichu or headdress decorated of lace. In the nineteenth century, empress Eugenie's love of lace resulted in a marked increase in the use of that lovely, delicate fabrication. It was lavished upon sleeves, hats, capes, and handkerchieves. Entire flounces, parasols, jackets, and shawls of lace were created by skilled lace makers of Europe. By the time this magnificent piece was created, most lace was being produced by machine. Today, the tradition of handmade lace continues, but glorious examples are no longer made. However, the techniques have been taken up and revitalized within the fiber art movement.

A Case of Tracheobronchopathia Osteoplastica (기관기관지골형성증 1예)

  • Yum, Ho-Kee;Jeon, Woo-Ki;Kim, Dong-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.6
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    • pp.714-718
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    • 1993
  • Tracheobronchopathia osteoplastica(TPO) is a rare disorder characterized by submucosal cartilaginous or bony projections into the tracheobronchial lumen with sparing of the posterior membranous portion of tracheobronchial tree. The etiology of TPO is still unknown. A 44-year-old male was admitted to Seoul Paik Hospital Inje University due to left chest pain for 10 days. On the past history he had sufferred from symptoms of bronchitis for several months. He showed radiologically massive pleural effusion in left lung field. Pleural biopsy revealed chronic pleuritis with hemorrhage. Bronchoscopic findings showed multiple intraluminal portruding nodule from just below the vocal cord to carina and both main bronchi. Pathology of bronchoscopic biopsy showed abnormal proliferation of atypical bony and carilagious nodules in the tracheal submucosa. We experianced a case of tracheobronchopathia osteoplastica involving the trachea and main bronchus in 44-year old male, associated with massive pleural effusion. This report is a case of TPO with review of literature.

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