• Title/Summary/Keyword: Post Management

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The Prognosis of Spontaneous Intracerebral Hemorrhage in over the Seventies with Poor Initial Conditions (초기상태가 불량한 자발성 뇌출혈 환자의 예후 - 70세 이상의 고령환자를 대상으로 -)

  • Kim, Joo Han;Lee, Ja Kyu;Lim, Dong Jun;Kwon, Tack Hyun;Park, Jung Yul;Chung, Hung Seob;Lee, Hoon-Kap;Suh, Jung Keun
    • Journal of Korean Neurosurgical Society
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    • v.30 no.2
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    • pp.207-210
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    • 2001
  • Objective : The prognosis of spontaneous intracerebral hemorrhage often depends on initial neurologic condition, size and location of hemorrhage and associated intraventricular hemorrhage. However, age of patient, coagulation state and other associated vascular diseases may also play a role when present. In recent years, the geriatric population has been increasing. The age distribution of the patients with intracerebral hemorrhages also has been increased, accordingly. However, such patients, especially when associated with poor initial conditions often tend to be managed rather conservatively. The authors analyzed retrospectively on forty-five patients with spontaneous intracerebral hemorrhage over the seventies with poor initial condition to find out whether there exists a difference of outcome between surgery and non-surgery group. Material and Method : A total of 45 patients over seventies with spontaneous intracerebral hemorrhage with Glasgow Coma Scale(GCS) 4-8 treated over last six years were included. The validity of surgical management for these patients as well as clinical variables which might have been operated on the outcome of these patients were evaluated. The Glasgow Outcome Scale(GOS) after three months was used for comparison of outcome. Results : In surgical group(19 cases), mean age was 74.5 years old, mean hematoma volume 67.2ml and mean GCS score 5.7 points. In nonsurgical group(26 cases), mean age was 79.3 years old, mean hematoma volume 32.1ml, and mean GCS score 6.8 points. Mortality rate in surgical group was 47.4%(9 patients), including 2 cases of post-operative rebleeding, while that in nonsurgical group was 46.2%. However, when patients with initial GCS 4-6 points and over 30ml in hematoma volume were regrouped, mortality rate in surgical group was 46.2%, whereas mortality rate in nonsurgical group was 66.7%. Conclusion : It is concluded that the mortality rate is much low in surgery group with initial GCS less than 6 points and hematoma volume over 30cc. There was no significant difference of outcome in patients with basal ganglia and thalamic hemorrhage. However, surgical treatment lowered the mortality and morbidity rate in patients with subcortical and cerebellar hemorrhage.

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Study on the Production and Management of Aquatic Animal : Application of ELISPOT-Assay for the Detection of Antibody Secreting Cells in Flounder, Paralichthys olivaceus (수산생물의 생산과 관리에 관한 기초연구 : ELISPOT 기법을 이용한 넙치의 항체생성 세포분석)

  • HA Jai Yi;PARK Jun-Hyo;KIM Myoung Sug;CHUNG Joon-Ki;JEONG Hyun Do
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.32 no.4
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    • pp.420-426
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    • 1999
  • We examined the immune response in flounder, Paralichthys olivaceus, with immunization of formalin killed Edwardsiella tarda as an antigen. The ELISPOT-assay (enzyme-linked immunospot assay) was optimized technically and applied to count the number of total and specific antibody secreting cells (TASC and SASC) in lymphocytes of different lymphatic organs. Incubation of lymphocytes on 96 well plate for more than 2.5hrs came out enough time in ELISPOT-assay for counting the antibody secreting cells in the anterior kidney and spleen. However, too much of plate-coated antigen or rabbit anti-flounder immunoglobulin for SASC or TASC counting, respectively, was appeared to decrease the sensitivity of the assay system. Specificity of the system was also confirmed by the absence of TASC in lymphocytes treated with cycloheximide to prevent protein synthesis. The peak numbers of SASC appeared at wk 3 post immunization after that there was a sharp decrease and reached to almost zero at wk 7. In the spleen and kidney, the timing and numbers of SASC on peak response were concurrent without preferential organ distribution. The specific antibody level in the sera increased rapidly between wk 2 and 3 after immunization, i.e. like the specific cellular response found with ELISPOT-assay on that period, However, the remained high level of specific serum antibody from wk 5 after immunization until the end of experiment was clearly distinguishable from the kinetics of SASC response decreased sharply.

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Qualitative Changes in Precooling and Storage Temperatures on the Post-harvest Management of the Fruits in Strawberry for Export (수출딸기의 수확 후 예냉 및 저장온도에 따른 품질변화)

  • Park, Ji-Eun;Kim, Hye-Min;Hwang, Seung-Jae
    • Journal of agriculture & life science
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    • v.46 no.6
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    • pp.67-74
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    • 2012
  • A study was conducted to examine the effect of precooling and storage temperatures on the storage life of 'Maehyang' strawberry for export. Fruits at a 80% ripe stage were harvested from a commercial greenhouse in Gyeongsangnamdo Jinju on January 11, 2011. Fruits were precooled at 0, 2, $4^{\circ}C$ for 2-5 hours, and then transported for about 30 minutes. And stored in set chamber at 4, 8, $10^{\circ}C$, immediately. Fruits were examined for their changes in weight, hardness, Hunter color values, soluble solid content (SSC), acidity, and incidence of gray mold (Botrytis cinerea) during storage. The fresh weight decreased during storage at all temperatures. Especially, strawberry treated the lowest precooling and storage temperatures was the greatest in quality. The hardness was drastically decreased in precooled at $4^{\circ}C$ and stored at $10^{\circ}C$ after storage 10 days. SSC was the greatest when strawberry stored at the lowest temperature. Acidity increased during storage at all temperatures. But in the last day after storage, the strawberry of precooled at $4^{\circ}C$ and stored at $10^{\circ}C$ was the highest as 0.7%. Gray mold was the greatest at $10^{\circ}C$ storage temperature. The results indicate that effectiveness for keeping the freshness was best achieved by precooling at $0^{\circ}C$ and storage at $4^{\circ}C$.

Bottom-up Approach: the Effects of Performing Arts Fostering Program, Chang-jak-san-shil (상향식접근(bottom-up approach)이론을 이용한 창작산실육성지원사업의 효과연구)

  • Kim, InSul;Shin, Hyesun;Lee, Heungjae
    • Review of Culture and Economy
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    • v.19 no.2
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    • pp.97-120
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    • 2016
  • This study aims to identify how performing artists in Korea, who are the target beneficiaries of the Arts Council Korea's Performing Arts Fostering Program, Chang-jak-san-shil(CJSS), would perceive and assess the current state of CJSS and its effects. To do so, this paper has adopted a bottom-up approach as a theoretical lens for policy evaluative analysis. This research engages with qualitative research design by conducting a series of in-depth interviews and FGIs with 28 participants in total. The interview participants consist of CJSS grantees(n=21) and peer-review panels(n=7) based on the intension to enhance objectivity and reliability of the study. Results of the data analysis suggest that the grant program still carries pressing needs to achieve a success as follows: providing post-program support, enhancing transparency of the panel appointment process and the peer review process, reflecting different nature of each arts discipline, and having more open communications with arts professionals. Based on these findings, this paper will provide and discuss about policy implications which can contribute to the performing arts domain at large.

A Review and Its Implications on School-based Crisis Response Team in the U.S. (미국의 학교기반 위기대응팀에 대한 고찰과 시사점)

  • Lee, Dong Hun;Jeong, Bo Young;Kang, Eun Jin;Myung, So Yeon
    • Korean Journal of Comparative Education
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    • v.27 no.1
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    • pp.1-28
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    • 2017
  • In this study, the school crisis response system and intervention are examined in the U.S. by reviewing Crisis Response Team(CRT) to give a direction for establishing and improving the school crisis response system in Korea. To do this, a literature review has been conducted focusing on domestic and foreign literature on the school - based crisis response system about the U.S. and Korea. The characteristics of the school-based CRT in the U.S. are as follows. First, in the U.S., the organizational structure and financial support for school - based crisis response has been stated by law so that the roles and responsibilities of region, district, school have been clearly defined. Second, in the event of a school crisis, the school have been shared the role of professional crisis response according to the Incident Command System and coordinates communication smoothly between each area of society through cooperation with CRT. Third, CRT prevents burnout by showing flexibility in team composition so that CRT members are not tired or overwhelmed by a crisis event, and focuses on strengthening the crisis capability of the school itself through cooperation between the school and CRT. Fourth, the school-based CRT in the U.S. conducts a step by step crisis intervention from prevention to prolonged post management. Based on these results, implications for the establishment and improvement of school-based crisis response system in Korea are discussed.

Profile of sexual violence experiences among the survivors using victim support services in Korea (성폭력 피해특성에 따른 피해경험자 유형화와 지원 서비스 이용양태 연구)

  • Kim, Kihyun;Kim, Jae-Won;Park, Haeyoung;Ryou, Bee
    • Korean Journal of Social Welfare Studies
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    • v.47 no.4
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    • pp.255-280
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    • 2016
  • This study examined sexual violence characteristics among the individuals who utilized victim support services provided by National Rape Crisis Intervention Centers in Korea. The study is the part of a Korean longitudinal study on sexual assault characteristics and its implications for post-abuse adjustments, which is supported by Korean Mental Health Technology R&D Project. Eleven national rape crisis centers nationwide and 29 NGO's participated in the study. The participating centers provided the data on sexual abuse characteristics from their standardized case management system. The cases were randomly selected from the system. Total of 1077 cases were gleaned from the system and utilized for this analysis. Results indicated that the abuse characteristics differed by victims' age (children, adolescent vs. adults) as well as relationship with perpetrator. We could identify six different profile groups based on the detailed violence characteristics. The results assured us of the importance to understand the detailed characteristics of sexual violence and the old notion that 'one size may not fit all'. The results from the profile analyses may have important implication for developing victim support programs and appropriately allocating agency resources according to the different profiles of the service users.

Effects of river space restoration on biodiversity in the Mankyung river (만경강 하천공간 복원이 생물다양성에 미치는 영향)

  • Jeon, Ho-Seong;Kim, Kyuho;Hong, Il;Kim, Ji-Sung
    • Journal of Korea Water Resources Association
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    • v.52 no.spc2
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    • pp.865-873
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    • 2019
  • The purpose of this study is to develop and apply a river space restoration framework considering various functions of river basin system. In particular, we will present sustainable river basin management directions by quantifying the effect of improving the aquatic ecosystem through the restoration of river space. For this purpose, the present problems are derived from functional aspects of the river basin, and the river area restoration framework linked with the individual outcome indicators is constructed to evaluate the restoration effect by each function. The ecological impact of restoration of river area was quantitatively analyzed by introducing ecotope concept. As a result of the comparison of restoration effects by creating three kinds of river area restoration scenarios, the construction of suitable habitat such as backswamp in the expanded area has shown favorable results in expanding biodiversity. The diversity evaluation of ecotope in conjunction with the hydraulic and hydrological characteristics of the year will not only provide the expected effects of restoration of river space but will also serve as a criterion about post-project monitoring for outcome evaluation.

Development of Response Scenario for a Simulated HNS Spill Incident (위험유해물질 유출사고 대응을 위한 가상시나리오 개발)

  • Lee, Moonjin;Oh, Sangwoo
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.20 no.6
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    • pp.677-684
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    • 2014
  • In response to possible HNS (Hazardous and Noxious Substance) spill accident, HNS spill accident scenario and response scenario were developed. The accident area listed in scenarios is the coastal area of Busan, and scenario for possible accident in the designated area and strategies to respond the accident were developed, respectively. The scenario for accident was developed by designating HNS spill according to risk evaluation of HNS and analysis of HNS spill probability along the coastal area of Busan, and then estimating possible and potential impact from the accident. The scenario for response has been suggested as a systematical responding operations in order to effectively reduce the estimated impact from the accident. The possible HNS spill accident on the seas around Busan, has been designated by the spillage of 1,000ton of xylene due to collision accident in Gamcheon Port, and the possible impacts occurred by the accident has been simulated with the help of the atmospheric and oceanic dispersion model of xylene. In the responding scenario for the accident, a phased strategies regarding emergency rescue of peoples, protection and recovery of xylene, protective measures for the responders, and post management of the accident have been suggested.

Journal of Body Mass Index, Body Shape Dissatisfaction, Eating Behavior (대학생의 체질량지수(BMI:Body Mass Index), 체형 불만족도와 식이행동에 관한 연구)

  • Shin, Mee-Kyung
    • Journal of Convergence for Information Technology
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    • v.9 no.12
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    • pp.98-103
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    • 2019
  • The purpose of this study was to identify the correlation and level of Body Mass Index, Body Shape Dissatisfaction, Eating Behavior in college students. Methods: A total of 383 students were asked. The survey was analyzed by SPSS Win 21.0 program. 293 were female students and most of the students were normal in BMI(58.2%), and underweight students were the next(14.9%). There were positive correlation between body shape non satisfication and eating behavior and BMI(r=.587, p=.000; r=.174, p=.001), and negative correlation between body shape non satisfication and age and sleeping time. According to BMI the body shape non satisfication was different in normal and 1 stage obesity students. and 2 stage obesity and under weight students (F=2.993, p=.019;F=2.993, p=.109). As a result of this study, students with body mass index overweight have low body satisfaction, so it is necessary to educate the right dietary exercise therapy for weight management. And even underweight groups should be mediated so that they undergo normal diet behaviors, rather than restrained dietary behaviors, to maintain health.

Effect of Different Slaughter Weights on Meat Quality, Fatty Acids and Flavor Component of Korean Woori Black Pig Loin and Belly

  • Hoa, Van-Ba;Song, Dong-Heon;Seol, Kuk-Hwan;Kang, Sun-Moon;Kim, Yun-Seok;Min, Ye-Jin;Cho, Soo-Hyun
    • Journal of the Korean Society of Food Culture
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    • v.36 no.4
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    • pp.362-372
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    • 2021
  • The present study was undertaken to investigate the quality characteristics of Korean Woori black pig (KWP) bellies and loins by different slaughter weight (SW) groups. The loin and belly samples collected from KWPs with different body weights (50, 75, 90, 105, and 120 kg) at 24 h post-mortem were used in the present investigation. The samples were analyzed for quality traits, fatty acid profiles, and volatile flavor compounds. Results showed that the fat content of the loin (8.64%) and belly samples (46.78%) was significantly higher in the 120 kg SW group compared to those of other SW groups (p<0.05). However, a lower protein content (12.20-12.67%) was found in the belly cuts of the heavier SW groups (105-120 kg) compared to those of the lighter SW groups (p<0.05). The lowest cooking loss (24.34%) was found in the loin cuts of the 120 kg SW group (p<0.05). Both the loin and belly cuts were observed to be redder in color with increasing SW (p<0.05). Higher oleic acid (C18:1, n9) and total monounsaturated fatty acid content and lower linolenic acid(C18:3, n3) and total polyunsaturated fatty acid content were observed in both cuts of the 120 kg SW group (p<0.05). Out of the flavor compounds identified, 11 and 17 compounds in the loin and belly, respectively, were associated with the SW. An increase in the SW resulted in increased concentrations of C18:1n9- and amino acid-derived flavor compounds. Overall, the meat samples of the heavier SW groups (120 kg) exhibited better quality and higher concentrations of volatile compounds associated with pleasant flavors. However, the meat of the 120 kg SW group also contained a much higher fat level (8.64 and 46.78% in the loin and belly, respectively) that may result in high trimming loss and hence a high rejection risk by consumers.