• 제목/요약/키워드: body parts

검색결과 1,985건 처리시간 0.042초

외상성 흉부대동맥 파열 수술 (Surgical Treatment of Traumatic Rupture of Thoracic Aorta)

  • 함시영;주석중;송현;이재원;송명근
    • Journal of Chest Surgery
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    • 제37권9호
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    • pp.774-780
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    • 2004
  • 외상성 흉부대동맥 파열은 수술적 치료가 요구되는 치명적 손상이며 이외에 다른 부위에 복합손상이 동반되면 심폐 바이패스에 의한 위험도를 크게 증가시킬 수 있다. 여기서 저자들은 심한 동반손상을 먼저 치료한 후 대동맥수술을 하고 그 결과를 관찰하였다. 대상 및 방법: 1997년부터 2003년까지 외상성 흉부 대동맥질환으로 수술을 받은 24명의 환자를 대상으로 의무기록을 후향적으로 검토하여, 동반손상 여부, 수술방법, 수술 후 경과, 합병증 등을 분석하고 국내외 문헌들과 비교하였다. 수술은 초저온 심정지법하에서 심폐 바이패스를 이용한 개흉술로 하였는데 근위부 연결 후 곁가지를 통해 뇌관류를 시행하였고 요추 카테터를 통한 뇌척수액 배액으로 하반신 마비를 예방하였다. 결과: 대상환자 전원에서 83예의 동반손상이 발생하였는데, 흉부손상이 49예, 근골격계 손상 18예, 복부 손상 13예였고, 수상 후 12명의 환자에서 7.6$\pm$12.6일에 16예의 동반손상에 대한 수술이 행해졌다. 수상당시 18예에서만 대동맥 손상이 진단되었다. 중환자실에서 혈압을 약물투여로 조절하면서 안정시키고 수상 후 693 $\pm$ 1350일에 지연수술을 시행하였는데, 관찰기간 중 사망이나 대동맥 파열의 진행은 없었다. 수술 사망은 없었으며, 술 후 큰 합병증은 없었다. 결론: 외상성 흉부대동맥 파열에 있어서 다른 부위 손상이 동반되면 심한 동반손상을 먼저 치료한 후 수술하는 것이 수술 사망률이나 이병률 면에서 좋은 결과를 가져온다.

다양한 피판술을 이용한 후족부 연부조직의 결손 (The Usability of Various Flaps for Hindfoot Reconstruction)

  • 이정환;이종욱;고장휴;서동국;최재구;오석준;장영철
    • Archives of Plastic Surgery
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    • 제37권2호
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    • pp.129-136
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    • 2010
  • Purpose: Anatomically, the foot is provided with insufficient blood supply and is relatively vulnerable to venous congestion compared to other parts of the body. Soft tissue defects are more difficult to manage and palliative treatments can cause hyperkeratosis or ulcer formation, which subsequently requires repeated surgeries. For weight bearing area such as the heel, not only is it important to provide wound coverage but also to restore the protective senses. In these cases, application of flaps for hind foot reconstruction is widely recognized as an effective treatment. In this study, we report the cases of soft tissue reconstruction for which various types of flaps were used to produce good results in both functional and cosmetic aspects. Methods: Data from 37 cases of hind foot operation utilizing flaps performed between from June 2000 to June 2008 were analyzed. Results: Burn related factors were the most common cause of defects, accounting for 19 cases. In addition, chronic ulceration was responsible for 8 cases and so forth. Types of flaps used for the operations, listed in descending order are radial forearm free flap (18), medial plantar island flap (6), rotation flap (5), sural island flap (3), anterolateral thigh free flap (2), lattisimus dorsi muscular flap (2), and contra lateral medial plantar free flap (1). 37 cases were successful, but 8 cases required skin graft due to partial necrosis in small areas. Conclusion : Hind foot reconstruction surgeries that utilize flaps are advantageous in protecting the internal structure, restoring functions, and achieving proper contour aesthetically. Generally, medial plantar skin is preferred because of the anatomical characteristics of the foot (e.g. fibrous septa, soft tissue for cushion). However alternative methods must be applied for defects larger than medial plantar skin and cases in which injuries exist in the flap donor / recipient site (scars in the vicinity of the wound, combined vascular injury). We used various types of flaps including radial forearm neurosensory free flap in order to reconstruct hind foot defects, and report good results in both functional and cosmetic aspects.

다차원 컬러벡터 기반 백태 및 황태 분류 판별함수 설계 (Design of Discriminant Function for White and Yellow Coating with Multi-dimensional Color Vectors)

  • 이전;최은지;유현희;이혜정;이유정;박경모;김종열
    • 한국한의학연구원논문집
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    • 제13권2호통권20호
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    • pp.47-52
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    • 2007
  • In Oriental medicine, the status of tongue is the important indicator to diagnose one's health, because it represents physiological and clinicopathological changes of inner parts of the body. The method of tongue diagnosis is not only convenient but also non-invasive, therefore, tongue diagnosis is one of the most widely used in Oriental medicine. But tongue diagnosis is affected by examination circumstances a lot. It depends on a light source, degrees of an angle, doctor's condition and so on. So it is not easy to make an objective and standardized tongue diagnosis. As part of way to solve this problem, in this study, we tried to design a discriminant function for white and yellow coating with multi-dimensional color vectors. There were 62 subjects involved in this study, among them 48 subjects diagnosed as white-coated tongue and 14 subjects diagnosed as yellow-coated tongue by oriental doctors. And their tongue images were acquired by a well-made Digital Tongue Diagnosis System. From those acquired tongue images, each coating section were extracted by oriental doctors, and then mean values of multi -dimensional color vectors in each coating section were calculated. By statistical analysis, two significant vectors, R in RGB space and H in HSV space, were found that they were able to describe the difference between white coating section and yellow coating section very well. Using these two values, we designed the discriminant function for coating classification and examined how good it works. As a result, the overall accuracy of coating classification was 98.4%. We can expect that the discriminant function for other coatings can be obtained in a similar way. Furthermore, if an automated segmentation algorithm of tongue coating is combined with these discriminant functions, an automated tongue coating diagnosis can be accomplished.

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마왕퇴의서, 황제내경, 금궤요약에 나타난 중국 고대 외치병법 (The Early External Medical Treatment of China described in the Mawangtew medical books, the Hwangjenaekyeong and Geumgweyoryak)

  • 박태열;고우신
    • 동의생리병리학회지
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    • 제16권4호
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    • pp.617-625
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    • 2002
  • At present in many cases the methods of medical treatment in Oriental medicine Korea lays emphasis on internal use, but to improve the curative value and for the diversity of medical treatment it is desperately needed to study external medical treatment more deeply. From the viewpoint of medical science history, as various additives and new discoveries are developed this has made it easy to use and improved the curative value of it ; thus external medical treatment has been rapidly progressed both in quality and quantity. Therefore, in studying the external medical treatment, it is very important to know it's history. So, I intend to study the early external medical treatment first. The external medical treatments mentioned in the Mawangtew medical books (52Byeongbang, Yangsangbang, Japryobang, Taesanseo), Hwangjenaekyeong, and Geumgweyoryak which were written or presumed to be written in early times were examined to study the early external medical treatments. The parts of body or diseases in which external medical treatments were applied; the methods of external application and the administration of medicine; the number of prescriptions, and the herbs used are also examined. I came to the following conclusions as I compared the kinds of books with the itemized lists based on the results of examination. 1) Though Mawangtew medical books (52Byeongbang, Yangsangbang, Japryobang, Taesanseo) was written earlier than Hwangjenaekyeong and Geumgweyoryak, there are more incidents of the disease in which external medical treatments were applied, the methods of external application and the administration of medicine, the kinds of prescriptions , and the different herbs used in Mawangtew medical books than in Hwangjellaekyeong and Geumgweyoryak. 2) In the six medical books mentioned above there are more prescriptions for external diseases and dermatitis than for internal diseases. 3) From the viewpoint of the number of prescriptions, the most frequent use of a medicine type was a natural type of medicine. The second was ointment type, and the third was liquid type. A powder type was the fourth. 4) In the administration of medicine, combination types such as both pasting and plastering were used most frequently. 5) Vegetable, mineral and animal nature herbs were used diversely for the early external medical treatments. Things such as wine and vinegar were also used as a herb.

자동차 사용의 정체성 표출 수단으로서의 드레스업 튜닝에 대한 고찰 (A Study on Dress-up Turning as Means of Expressing Automobile Drivers' Self-identity)

  • 이호숭
    • 디자인학연구
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    • 제11권3호
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    • pp.219-228
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    • 1998
  • 자동차에 대한 사용자의 욕구 다양화와 개성화가 '차량 꾸미기'로 표출되는 현상이 심화되고, 그에 따른 디자인 측면의 질적 저하와 성능과 기능 측면에서의 안정성에 우려가 발생되고 있다. 한국에 있어서의 튜닝은 관련 법규 및 전문 업의 미비상태와 무절제한 튜니으올 인해 전체적인 조형성과 기능적인 측면이 무시된 덧 대기식 작업이라는 지적과 함께 사회적 문제까지 비화되고 있는 현실이다. 본 연구에서는 커스터마이징을 도입하여 드레스업 용품과 다양한 튜닝 부품을 개발하여 고객 만족에 접근하고 있는 해외 양산 차 메이커와 전문 튜너(tuner)들을 중심으로 튜닝 사례와 드레스 업 용품 류를 차량의 부위별로 고찰해 보았다. 향후 자동차 스타일링의 방향설정에 있어서의 과제는 일반 소비자의 의식이 개인의 특성이 강조된 코디네이션에 대한 개념추구가 더욱 심화될 것이며, 라이프 스타일에 보다 밀착된 형태로의 소비자 니즈의 세련 화는 한층 진전될 것이다. 그 동안 국내 자동차시장의 소비자는 제품디자인을 생사자 중심에서 제시된 틀 안에서 수용하여 왔으나, 생산구조, 사회구조, 산업형태의 변화와 그에 따른 디자인 행위 그리고 디자인 가치의 변화를 초래할 것이다. 그에 따라 메이커와 디자이너는 이러한 환경 구조의 전환을 인지하고 또 다른 가능성을 모색하는 관계로써 상품 이면에 내재한 사회 문화적 의미, 즉 기호의 생산과 소비에 대해 진지하게 성찰할 필요가 있으리라 사료된다.

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섬진강의 유로변갱이 동진강 어류군집에 미치는 영향 (Effects of Stream Modification in the Seomjin River on the Fish Communities of the Dongjin River in Korea)

  • 김익수;이완옥
    • 한국수산과학회지
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    • 제17권6호
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    • pp.549-556
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    • 1984
  • 1982년 7월부터 1984년 5월까지 동진강의 본류와 여러 지류에서 채집된 담수어류는 모두 10과 38속48종이고 기수역에서는 해산어류 17속 18종이 동정되었다. 동진강 본류의 우점종은 Rhinogobius brunneus 와 Zacco platypus이고, 각 지류에서는 Abbottina springeri, Hemiculter eigenmanni 및 Moroco oxycephalus 등이며 특히 본 조사 수역에서 Pelteobagrus nitidus 와 Lefua costata의 서식이 확인된 것은 담수어의 지리적 분포에 있어 주목되는 사실이다. 한편 섬진강 수류가 동진강에 유입되므로 인하여 섬진강에 서식하던Hypomesus olidus, Hemiculter eigenmanni, Pseudobagrus sp., Liobagrus mediadiposalis, Cobitis taenia striata 및 Lepomis macrchirus가 도입되었으나 이 어류들은 모두 생태적으 로 안정되지 않았다. 동진강 본류의 중간수역에는 섬진강에서 도입된 Cobitis taenia striata와 동진강 중하류에 서식하는 C. taenia lutheri의 2아종이 재결합하여 형성되었다고 추측되는 중간형의 많은 표본이 출현하였다. 한편 동진강 본류와 상중류에 서식하는 C. koreensis의 체측반문의 모양자 수는 C. koreensis의 다른 지리집단의 것과 비교하여 볼 때 큰 차이가 있었는데, 이것도 섬진강 수류의 유입에 의한 찬 수온과 빠른 유속 등의 환경에 기인된 것이라 사료된다.

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본태성 진전 환자의 검지에서의 자세성 진전에 대한 감각자극 효과 (The Effect of Sensory Stimulation on Postural Tremor at Index Finger of Patients with Essential Tremor (ET))

  • 이상기;김지원;권유리;이영재;이정환;엄광문;권도영;이찬녕;서유미;김미경;박건우;정호춘
    • 대한의용생체공학회:의공학회지
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    • 제34권3호
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    • pp.129-134
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    • 2013
  • The essential tremor is an involuntary oscillatory movement of body parts. Conventional treatments of essential tremor have little effects in some patients and also leads to significant side effects. Alternative to these treatments, sensory stimulation may have beneficial effects on the essential tremor. The purpose of this study was to analyze an effect of sensory stimulation on essential tremor. Ten patients with essential tremor ($67.4{\pm}8.82$ yrs, 5 men and 5 women) participated in this study. Three-axis gyro sensors were attached on index finger, hand and forearm of patients. Task of 'arms outstretched forward' was performed with and without sensory stimulation. Vectorsum of three dimensional angular velocities (pitch, roll, yaw) was calculated. Outcome measures included root-meansquare (RMS) mean of the vector-sum amplitude, total power, peak power and peak frequency. RMS amplitude, total power and peak power were reduced by sensory stimulation (p < 0.05). Peak frequency was not affected by sensory stimulation. The results indicate that the sensory stimulation is useful to suppress the essential tremor.

뇌전도 기반 마우스 제어를 위한 동작 상상 뇌 신호 분석 (Motor Imagery Brain Signal Analysis for EEG-based Mouse Control)

  • 이경연;이태훈;이상윤
    • 인지과학
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    • 제21권2호
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    • pp.309-338
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    • 2010
  • 본 논문에서는 사지가 마비되어 신체를 움직이지 못하지만 뇌의 기능은 살아있는 장애인들을 위하여, 생각만으로 외부의 장치를 제어할 수 있도록 하는 뇌-컴퓨터 인터페이스(BCI: Brain-Computer Interface) 기술을 연구하였다. 신경생리학 분야에서의 연구 결과에 의하면, 신체를 움직이는 상상을 할 경우, 뇌의 운동/감각 피질 영역에서는 $\beta$파(14-26 Hz)와 $\mu$파(8-12 Hz)가 억제/증가되는 ERD/ERS(Event-Related Desynchronization / Synchronization) 현상이 발생한다고 알려져 있다. 본 연구에서는 이를 기반으로 혀, 발, 왼손, 오른손의 동작 상상을 자극으로 이용하여 변화하는 뇌 신호 패턴을 실시간으로 분석하여 피험자의 생각을 읽을 수 있도록 하였으며, 상 하 좌 우의 네 방향으로 이동할 수 있도록 하는 마우스 제어 인터페이스를 구현하였다. 동작 상상 시 발생하는 뇌 신경 활동의 변화를 관측하기 위해서 뇌에 손상을 주지 않으면서도 높은 시간 해상도로 측정이 가능한 비침습적 뇌전도(EEG: ElectroEncephaloGraphy)를 이용하였다. 그러나 뇌전도 신호는 특성상 신호의 크기가 미약하고, 잡음의 영향을 많아 분석이 어렵다. 따라서 이를 극복하기 위해 통계적 방법을 기반으로 한 기계학습 기법인 CSP(Common Spatial Pattern)와 선형판별 분석(Linear Discriminant Analysis)을 이용하여 서로 다른 동작 상상에 의해 발생하는 뇌 신호들 간의 분산이 최대가 되도록 신호를 변환하여 인식 성능을 높일 수 있었다. 또한 분석된 뇌 신호의 시각화를 통해, 기존에 알려진 뇌의 해부학적, 신경생리학적 지식과 일치하는 ERD/ERS 현상이 발생하는 것을 확인할 수 있었다.

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인삼이 흰쥐의 성 행위에 미치는 영향 (Influence of Panax Ginseng upon mating Behavior of Male Rats)

  • 김철;최현;김정진;김종규;김명석;안병태;박형진
    • The Korean Journal of Physiology
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    • 제8권1호
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    • pp.15-22
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    • 1974
  • The influence, upon male rat's mating behavior, of Korean Panax Ginseng administered for 3 and 5 days was investigated by direct behavioral observation and also by counting the number of copulation plugs the animals deposited. Four쇼-four male albino rats were used. Part of the animals received ginseng for 3 days (ginseng-3 day group, N= 12) or for 5 days(ginseng-5 day group, H=10), while the remaining animals received saline for 3 days (saline-3 day group, N=12) or for 5 days (saline-S day group, N=10). Each animal belonging to the 2 ginseng groups received subcutaneously 0.5 ml/100 g body weight of ginseng alcohol extract solution (4 mg of the ethyl alcohol extract in 1 ml of physiological saline), and each rat belonging to the 2 saline groups received the same amount of saline per day. During the dark period of the light-dark cycle on the next day following the last drug administration, a female rat in the artificial estrus was introduced to each male and the mating behavior was observed for 45 minutes. The observation session was divided into two parts and, in the early part which terminated with the first ejaculation and succeeding intromission, following behavioral measures were taken: mounting latency, intromission latency, inter-intromission period, ejaculatory latency(time from the first intromission until the first ejaculation), occurrence of mounting with intromission, occurrence of mounting without intromission, and postejaculatory interval. Behavioral measures taken in the later part of the session after the first ejaculation were: occurrence of mounting with intromission, occurrence of mounting without intromission, and occurrence of ejaculation. Immediately after the behavioral observation session the experiment turned to measure, for 10 days, the number of copulation plug which each pair of rats deposited. Following results were obtained: 1. After several mountings mounting with intromission, males of the 2 ginseng groups finished the first ejaculation significantly earlier than the corresponding 2 saline groups did. 2. The postejaculatory latency was significantly reduced in the ginseng-5 day group compare with the value of the saline-5 day group and also compared with the value of the ginseng-3 day group. 3. The 2 ginseng groups ejaculated significantly more often in 45 minutes' observation session than the corresponding 2 saline groups did. 4. The number of copulation plug deposited in 10 days by the animals of the 2 ginseng groups. significantly exceeded the number deposited by the corresponding 2 saline group animals. The animals of the ginseng-5 day group deposited copulation plugs significantly more than the animals of the ginseng-3 day group did. It is inferred from the above results that the ginseng facilitates mating behavior of male rats, and that the degree of facilitation may be influenced by the duration of drug administration.

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식이섬유류(食餌纖維類)의 종류(種類)와 수준(水準)이 흰쥐의 분내 지방대사(脂肪代謝)에 미치는 영향(影響) (Effects of Dietary Fiber Sources and Levels on Lipid Metabolism in Rats)

  • 이용억;노장숙;이재민
    • 한국응용과학기술학회지
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    • 제2권1호
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    • pp.45-55
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    • 1985
  • The present study was designed to investigate the effects of dietary fiber sources and levels on serum lipids in rats fed a hypercholesterol diet containing 0.5% cholesterol. Male Sprague-Dawley rats weighing 52.7 ${\pm}$ 7.27g were devided into sevel groups by completely randomized block design and fed various dietary fibers which were prepared from Rice bran, Siraegi (The dried green parts of a radish) and Bracken Fern at a level of 5% and 10% respectively. The results obtained in this study are summarized as follows: 1. Body weight gains were not significantly different among the groups and food intake was significantly higher in rats fed a diet of Siraegi 10% than those fed the control diet. 2. Fecal wet weights were significantly increased in all experimental groups. 3. Levels of serum total cholesterol in all experimental groups were significantly lower than that of the control group except the level in the R 10(Rice bran 10%) group. 4. Free Cholesterol levels in the serum were increased in all experimental groups, especially the levels in the R 10 (Rice bran 10%) and S 10 (Siraegi 10%) groups were significantly higher than that of the control group. 5. Ester Cholesterol levels in the serum were significantly lower in rats fed the experimental diets than those fed the control diet. 6. There was a tendency of higher serum HDL-Cholesterol levels in R5 (Rice bran 5%), R10 (Rice bran 10%) and B5(Bracken 5%) groups compared to the control group however no significant differences were found between the control group and all the experimental groups except in the case of the S5 (Siraegi 5%) group. 7. LDL, VLDL-Cholesterol levels in the serum sere significantly reduced in the S5 (Siraegi 5%), B5 (Bracken 5%) and B10 (Bracken 10%) groups. 8. The HDL-C./Total-C. Ratio was increased in all experimental group especially the Ratios in the S5 and B5 groups were significantly higher than that of the control group.