• 제목/요약/키워드: ST41

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암생존자를 대상으로 한 사상체질에 따른 건강수준 평가기준 개발 연구 (A Study on the Development of Criteria for the Assessment of the Sasang Constitutional Health Level of Cancer Survivors)

  • 권진혁;박성운;박병주;홍승민;김아리;오현주;이준희
    • 사상체질의학회지
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    • 제35권4호
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    • pp.23-41
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    • 2023
  • Objectives This study is aimed to develop criteria for assessing the health level of cancer survivors through patient reported outcome based on sasang constitutional symtomology. Methods As a result of the researchers' meetings and the first round of expert group consultation, the constitutional health level assessment items that would be common to all Sasang constitutions were extracted, and constitutional health level assessment items for cancer survivors were selected. A second round of expert group consultation was conducted to determine the importance and weighting of these items for each constitution. Results & Conclusions For soeumin, the importance ranking and calculated weight were as follows: 'I had sweats even when I was not hot or exercising.(1st, 4.09)', 'I had night sweats while sleeping(2nd, 3.94)', 'I lost weight.(3rd, 3. 75)', etc. For soyangin, as follows: 'I had night sweats while sleeping.(1st, 3.08)', 'I had vomiting.(2nd, 3.02)', 'I felt hot flashes in the afternoon or at night. (3rd, 2.73)', etc. For taeumin, as follows: 'I was out of breath.(1st, 3.48)', 'My heart was pounding for no reason.(2nd, 3.45)', 'My body was swollen.(3rd, 3.22)', etc. For taeyangins, as follows: 'I couldn't urinate well.(1st, 4.49)', 'I vomited(2nd, 4.44).', 'My upper abdomen were hard.(3rd, 3. 14)', etc. Based on the results, we developed a draft of a questionnaire to assess the Sasang constitutional health level of cancer survivors, weighted for each item.

이하선에 발생한 혼합 아형의 암종들로 구성된 다형선종 유래 암종 1예 (A Case of Parotid Carcinoma Ex Pleomorphic Adenoma with Mixture of Malignant Subtypes)

  • 조윤진;조영록;이상엽;이혜란
    • 대한두경부종양학회지
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    • 제40권1호
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    • pp.37-41
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    • 2024
  • Carcinoma ex pleomorphic adenoma is an uncommon malignant salivary gland tumor that arises from a long-standing pleomorphic adenoma. The carcinomatous component of carcinoma ex pleomorphic adenoma can possess virtually any histologic subtype of salivary gland cancer. We experienced a case of a 61-year-old patient who presented with a right parotid mass that was initially palpated 20 years ago, with a sudden increase in size in the last few months. Radiological and cytological findings from fine needle aspiration biopsy could not exclude malignancy. Total parotidectomy and selective neck dissection were performed for treatment, and carcinoma ex pleomorphic adenoma with mixed carcinoma components of salivary duct carcinoma and myoepithelial carcinoma was diagnosed. After receiving postoperative radiation of 6000 cGy over 6 weeks, there has been no recurrence up to the 18-month follow-up. We report this rare case of carcinoma ex pleomorphic adenoma with mixed malignancy subtypes, accompanied by a review of literature.

Enhancing ketamine anesthesia with midazolam and fentanyl for children's ear surgery: a prospective randomized study

  • Seong Min Han;So Young Kwon;Jang Hyeok In;Jin Deok Joo
    • Journal of Yeungnam Medical Science
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    • 제41권3호
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    • pp.207-212
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    • 2024
  • Background: Myringotomy with tympanostomy tube insertion (MTI) is a superficial surgical procedure used to prevent hearing loss in children with serous otitis media. Intravenous anesthesia, often ketamine, is preferred for this procedure because of its ability to induce sedation without compromising airway reflexes. However, ketamine alone may be insufficient and potentially lead to spontaneous movement during surgery. This study evaluated the effectiveness of midazolam and fentanyl as adjuvants to ketamine in reducing spontaneous movement during MTI and enhancing the quality of recovery. Methods: This study involved two groups of 30 patients each: one group received intravenous ketamine (1.5 mg/kg) with an equal volume of normal saline (K group), while the other received a combination of midazolam, fentanyl, and ketamine (0.05 mg/kg, 1 ㎍/kg, and 1.5 mg/kg, respectively; MFK group). We assessed side effects, intraoperative patient movement, surgeon satisfaction, and emergence agitation scores. Results: The MFK group exhibited significantly lower scores for patient movement (p<0.01) and emergence agitation (p<0.01) and markedly higher surgeon satisfaction scores (p<0.01) than the K group. Conclusion: Administering a midazolam-fentanyl-ketamine combination effectively reduced spontaneous movement during surgery and emergence agitation during recovery without prolonging discharge times in children undergoing MTI.

SEVERE ACCIDENT MANAGEMENT CONCEPT OF THE VVER-1000 AND THE JUSTIFICATION OF CORIUM RETENTION IN A CRUCIBLE-TYPE CORE CATCHER

  • Khabensky, Vladimir Benzianovich;Granovsky, Vladimir Semenovich;Bechta, Sevostian Victorovich;Gusarov, Victor Vlasmirovich
    • Nuclear Engineering and Technology
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    • 제41권5호
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    • pp.561-574
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    • 2009
  • First ex-vessel core catcher has been applied to the practical design of NPPs with VVER-1000 reactors built in China (Tyanvan) and India (Kudankulam) for severe accident management (SAM) and mitigation of SA consequences. The paper presents the concept and basic design of this crucible-type core catcher as well as an evaluation of its efficiency. The important role of oxidic sacrificial material is discussed. Insight into the behaviour of the molten pool, which forms in the catcher after core relocation from the reactor vessel, is provided. It is shown that heat loads on the water-cooled vessel walls are kept within acceptable limits and that the necessary margins for departure from nucleate boiling (DNB) and of vessel failure caused by thermo-mechanical stress are satisfactorily provided for.

키르키스탄 일부 초등학교 아동들의 요충 감염 양성율 보고 (Enterobius vermicularis egg positive rate of primary school children in a part of Kyrgyzstan)

  • 주종필;조유정;김덕곤
    • 대한한방소아과학회지
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    • 제15권2호
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    • pp.189-193
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    • 2001
  • School children were examined for the presence of Enterobius vermicularis egg by perianal swab method at 52nd and 41st primary school between September 30, 1998 and October 7, 1998 in Kyrgyzstan, 281 children examined, 80(28.5%) were found to be positive for E. vermicularis egg. The egg positive rate of boys and girls were 41(29%) and 39(28%), respectively. Through this survey, we found that E. vericularis infection is still prevalent among children in Kyrgyzstan.

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환축에서 분리한 대장균의 항균제 감수성 및 독소생산능 (Antibiotic susceptibility and toxin production of Escherichia coli isolated from diseased domestic animals)

  • 김영환;장지택;장영술;오강희;박영구
    • 한국동물위생학회지
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    • 제21권2호
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    • pp.149-156
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    • 1998
  • The present study was carried out to investigate the biochemical characteristics, antibiotic susceptibility and toxin(ST, LT, VT1.2 type) production test of 60 Escherichia coli isolated from diseased domestic animals in southern area of Kyungbuk province from April to December 1997. 1. The biochemical and cultural reaction were consistent with the classification criteria of Edwards and Ewing. 2. In antibiotic susceptibility test, 60 E coli showed highly susceptible to CL(96.7%), XNL(86.7%), AN(81.7%), SXT(61.7%), Lin(55%), GM(53.3%), KM(41.7%), N(41.7%), ENR(40%), AM(40%), CF(30%), 5(13.3%) and Te(11.7%), in order. 3. Sixty E coli isolates were multiful resistant to seven or more antibiotics incombination. 4. Three strains for 60 E coli were detected heat-labile enterotoxin(LT) and that's titers were 2, 8 and 16, respectively.

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The Analysis of Computational Thinking Practices in STEAM Program and its Implication for Creative Problem Solvers in the 21st Century

  • Park, Young-Shin;Green, James
    • 한국지구과학회지
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    • 제41권4호
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    • pp.415-434
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    • 2020
  • The purpose of this study was to explore if, what kinds of, how much computational thinking (CT after this) practices could be included in STEAM programs, and what kinds of CT practices could be improved to make STEAM revitalized. The CT analyzing tool with operational definitions and its examples in science education was modified and employed for 5 science-focused and 5 engineering-focused STEAM programs. There was no discerning pattern of CT practices uses between science and engineering STEAM programs but CT practices were displayed depending on their topics. The patterns of CT practices uses from each STEAM program could be used to describe what CT practices were more explored, weakly exposed, or missing. On the basis of these prescription of CT practices from each STEAM program, the researchers could develop the weakly exposed or missing CT practices to be improved for the rich experience in CT practices during STEAM programs.

담즙 역류가 동반된 위 운동성 장애의 기능성 소화불량증에 대한 한방치료 경험 2례 (Two Cases of Korean Traditional Treatment of Functional Dyspepsia of Gastric Dysmotility Complicated by Bile Juice Reflux)

  • 윤상협
    • 대한한방내과학회지
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    • 제41권6호
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    • pp.1162-1171
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    • 2020
  • Objectives: The aim of this study was to determine the therapeutic effects of a traditional Korean treatment on the symptom improvement and loss of bile juice in cases of functional dyspepsia of gastric dysmotility complicated by bile juice reflux. Methods: Dyspeptic symptoms, gastric motility (electrogastrography and bowel sound analysis), and gastric mucosa (gastroendoscopy) were evaluated. The treatment consisted of Banwhasashim-tang (extract) used as a herbal drug. Both ST36 electrical stimulation and simple immersion stimulation of CV11, 12, and 13 in the abdomen were also applied. Results: Dyspeptic symptoms, including a foreign body sensation in the throat, indigestion, and upper abdominal pain, were all relieved by the treatment and gastric myoelectrical activity and gastric pyloric function were improved. Bile juice disappeared from the gastric mucosa. Conclusion: The traditional Korean treatment was effective at relieving dyspeptic symptoms and bile juice reflux by improving the pyloric sphincter function.

다발성 폐 양성 전이성 평활근종 (Multiple Pulmonary Benign Metastasizing Leiomyoma)

  • 사영조;심성보;윤형규;유창영;문영규;박재길;이선희
    • Journal of Chest Surgery
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    • 제41권6호
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    • pp.777-781
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    • 2008
  • 양성 전이성 평활근종은 조직학적으로 양성 종양의 소견을 보이나 임상적으로 폐나 다른 장기로 전이하는 매우 드문 질환이다. 저자들은 2개월간 지속된 기침을 주소로 입윈한 53세의 여자환자에서 좌우 다발성으로 퍼져 있는 폐결절들을 가진 전이성 평활근종 1예를 경험하였다. 증례는 과거력상 13년전 자궁근종으로 전자궁적출술을 받았으며, 자궁근종은 병리조직 검사상 평활근종으로 진단되었었다. 환자는 전이성 폐암 의심 하에 흉강경 폐 조직검사를 실시하였다. 폐 결절들은 낮은 세포 분열을 보이는 양성 종양의 소견을 보이며, 평활근 세포의 다발성 결절들로 이루어져 병리학적으로 양성 전이성 평활근종과 일치하는 소견을 보였다. 환자는 현재 별다른 치료 없이 추적 관찰 중이다.