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9 Cases of Pressure Ulcers Cured by Acupuncture Treatment and Open Wet Dressing Therapy (침치료와 Open Wet Dressing Therapy로 완치된 3,4단계 욕창환자 9례에 대한 증례보고)

  • Seo, Jung Bok;Lee, Tae Jong;Lee, Ji Won;Kim, Kyoung Ah;Yoon, Jung Jeh
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.34 no.5
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    • pp.269-278
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    • 2020
  • The purpose of this study is to report the effect of the Korean acupuncture treatment and Open Wet Dressing Therapy(OPWT) for pressure ulcer. From November 2015 to January 2020, 9 patients with 3rd or 4th graded pressure ulcer over 70 years of age who were admitted to a care hospital with underlying diseases such as cerebral infarction, brain hemorrhage, and Parkinson's disease were treated by acupuncture and OPWT. Photographs of lesions were used to evaluate the changes in condition of pressure ulcer. Acupuncture was performed 4 times a week along the border between the normal epidermal region and the pressure ulcer granulation tissue in contact with the pressure ulcer interface. OPWT to create a wet environment for wounds by washing the wounds 1-2 times a day with normal saline solution and covering them with food wrap was combined. In addition, for objective treatment progress evaluation, size, stage and condition of pressure ulcer were regularly monitored using the classification method of The National Pressure Ulcer Advisory Panel (NPUAP) according to the condition and depth of the damaged tissue and The Pressure Ulcer Scale for Healing(PUSH tool 3.0). After acupuncture treatment and OPWT, the pressure ulcer of patients was cured in as short as 66 days and as long as 274 days (average 170 days). This study shows that acupuncture treatment and OPWT were effective to treat pressure ulcer.

Parturition and Morphological Development of Larvae and Juvenile in Hippocampus kuda from Korea

  • Lee, Gi-Seok;Lee, Sung-Hun;Lee, Jin;Park, Jea-Min;Han, Kyeong-Ho
    • Development and Reproduction
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    • v.22 no.4
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    • pp.361-367
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    • 2018
  • The newborn, Hippocampus kuda larvae were 6.97-8.81, standard length (SL) mm (mean 7.89 mm) and mouth and anuse were open. Dorsal fin rays 15-18 and pectoral fin-rays were counted 8 and had 10-11+21 myotomes, body's bony plate ring being developed strongly in the central axis of myotomes part. 4 days after bearing, the SL was 7.02-9.47 mm (mean 8.24 mm) and nostrils began to open. 12 days after bearing, larvae attained to 8.91-11.2 SL mm (mean 10.0 mm). From this time, their unique predation habit appeared. 21 days bearing, larvae attained to 12.1-14.8 SL mm (mean 13.4 mm) the and thorn of back was enlarged among the plate formed around ring. 41 days bearing, seahorses attained to 17.1-17.8 SL mm (mean 17.4 mm) and the number of body's bony plate ring of the top of rings trunk was 11 and on the tail of them was 33-36, similar to figure of adult.

Physiological Responses of One-year-old Zelkova serrata Makino Seedlings to Ozone in Open-top Chamber (Open-top chamber 내(內)에서 오존에 폭로(暴露)시킨 1년생(年生) 느티나무(Zelkova serrata Makino) 묘목(苗木)의 생리적(生理的) 반응(反應)에 관(關)한 연구(硏究))

  • Kim, Hyun Seok;Lee, Kyung Joon
    • Journal of Korean Society of Forest Science
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    • v.84 no.4
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    • pp.424-431
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    • 1995
  • This study was conducted to evaluate resistance and physiological responses of Zelkova serrata Makino seedlings to ozone in open-top chamber. One-year-old seedlings of Zelkova serrata were planted in pots in April and grown in greenhouse until August. The plants were transferred into two out-door open-top chambers with a dimension of 2.0 m in diameter and 2.0 m in height. First chamber served as a control and was supplied with ambient air. Ozone was added to the second chamber for 5 hours per day(10.00 AM-15.00 PM) for 23 consecutive days at 0.1 ppm. Each chamber housed 70 pots. Every two, three or five days after initiation of exposure, ten pots were randomly removed from the chamber and determined for the contents of chlorophyll a, b, total chlorophyll and ${\beta}$-carotene in the leaves. Photosynthesis and dark respiration were estimated by measuring $CO_2$ absorption in a gas exchange chamber and oxygen absorption by oxygen monitoring system, respectively. Superoxide dismutase(SOD) activity in the leaves was assayed by a xanthine oxidase method. First visible injury of translucent(water-soaked looking) spots appeared on the leaves 14 days after the initial exposure, and ozone accelerated senescence of old leaves. Contents of chlorophyll a and b decreased by 17%, and 31%, respectively, in ozone treatment two days after exposure. The decrease in chlorophyll b was greater than that of chlorophyll a. Content of ${\beta}$-carotene in ozone treatment decreased by 25% two days after initiation of exposure, but the reduction was recovered with time. Photosynthesis decreased by 45%, and the respiration increased by 28% in the ozone treatment. SOD activity started to increase 4 days after beginning of exposure and increased by 285% 7 days after exposure, and decreased to the level below the control treatment with the advancement of the visible injury.

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A clinical study of acute respiratory failure following open heart surgery (개심술후 급성 호흡부전에 관한 임상적 고찰)

  • Lee, Jae-Seong;Kim, Gyu-Tae
    • Journal of Chest Surgery
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    • v.17 no.3
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    • pp.409-417
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    • 1984
  • In the early days of open heart surgery, acute respiratory failure following extracorporeal circulation was a significant deterrent to an uncomplicated recovery. Although a marked improvement in prevention and treatment of postoperative respiratory failure has been achieved, the problem has not been completely eliminated and continues to be a causative factor in morbidity and mortality Fates following open heart surgery. We have attempted to evaluate postoperative respiratory failure in patients undergoing cardiac operation with the aid of extracorporeal circulation. Our series comprised 92 patients who underwent elective open heart surgery at the Department of Thoracic and Cariodvascular Surgery, School of Medicine, Kyungpook National University, from January, 1980 to December, 1982. In our study, the overall incidence of acute respiratory failure following open heart surgery was 18.8 percent. The duration of extracorporeal circulation in a series of 18 patients who developed postoperative respiratory failure [Group B] was longer in the mean value [120.3 minutes] than the uncomplicated 74 patients [Group A] [85.8 minutes]. The duration of artificial ventilation after open heart surgery in Group A averaged 13.4 hours as contrasted with 76.5 hours in Group B. In Group B, the inspired oxygen concentration [FiO2] in artificial ventilation was continued in the higher level than Group A until 18 hours after operation. Upon pulmonary function test performed pre-and postoperatively, residual volume[RV], RV/TLC and FEV 1.0/FVC were remained essentially unchanged following extracorporeal circulation, whereas forced vital capacity [FVC], FEV 1.0 and FEF 25-75% were significantly decreased in the early postoperative days. The incidence of acute respiratory failure was significantly higher in a series of patients who developed postoperative complications, such as re- exploration due to massive bleeding, low cardiac output, acute renal failure and arrhythmias. A total of 9 patients died, giving an overall mortality was 33.3 percent whereas the mortality was only 1.1 percent for patients without respiratory failure.

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Effects of Dried Days on Properties of Seawater and Freshwater Flooded CSPE in NPPs

  • Jeon, Hwang-Hyun;Lee, Jeong-U;Jeon, Jun-Soo;Lee, Seung-Hoon;Shin, Yong-Deok
    • Journal of Electrical Engineering and Technology
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    • v.10 no.3
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    • pp.1162-1168
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    • 2015
  • Accelerated thermal aging of chlorosulfonated polyethylene (CSPE) was performed for 0 days, 80.82 days, and 161.63 days at 100℃, which is equivalent to 0 y, 40 y, and 80 y of aging, respectively, at 50℃. After freshwater flooding, the volume electrical resistivity of CSPE was highest after 180 days of drying, and its insulating property recovered when dried for more than 300 days. The dielectric constant of the CSPE was not measured after seawater flooding. The dielectric constant of the accelerated thermally aged CSPE was higher after freshwater flooding than that before seawater flooding. The bright, open pores of CSPE were converted into dark, closed pores after seawater flooding, and the dark, closed pores of the accelerated thermally aged CSPE samples were partly converted into bright, open pores after freshwater flooding. The apparent density of CSPE increased slightly whereas its elongation at break (EAB) decreased until 80 y of accelerated thermal aging before seawater flooding. The peak binding energies of oxygen in the non-accelerated and accelerated thermally aged CSPE for 40 y and 80 y were shifted by more than 1.0 eV after seawater and freshwater flooding. The CH2 content in the non-accelerated and accelerated thermally aged CSPE for 40 y and 80 y after seawater flooding for 5 days was lower than that before seawater flooding whereas atoms such as Cl, O, Pb, Al, Si, Sb, and S that are related to conducting ions such as Na+, Cl-, Mg2+, SO4 2-, and K+ were relatively increased.

A Study on the Open Die Forging Preform Shape of Crank Throw for Large Ship Engines (선박용 크랭크스로우의 자유 단조 예비성형체 형상)

  • 김동영;김영득;김동권;김재철
    • Proceedings of the Korean Society for Technology of Plasticity Conference
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    • 2003.05a
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    • pp.191-194
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    • 2003
  • A crank throw, which is one of the part of crankshaft for a large diesel engine, is manufactured by both closed die forging and open die forging. For the improvement of productivity the open die forging method is usually adopted to manufacture it these days. In case of the open die forging for the crank throw, a preform shape is very important because it seriously affects final dimensions of the product. The purpose of this study is to investigate affective factors of the preform to obtain a good shape of final product through simulation and the results are compared to downsized lead experiments.

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A Numerical Prediction of Residence Time According to Freshwater Influx in Enclosed Bay (담수유입에 의한 폐쇄성 내만의 물질체류시간 수치예측)

  • Kim, Jin-Ho;Lee, In-Cheol
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.17 no.4
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    • pp.339-343
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    • 2011
  • This study is to examine the effect of freshwater influx on residence time to understand a long-term material transportation in enclosed bay. To predict the residence times of the coastal water in Masan bay, we were carried out the numerical simulations by using a EFDC model to simulate seawater circulation and particle tracking. The average residence times of Masan bay obtained from the particle release simulations under the condition to neglect a freshwater influx were estimated to be about 110 days in northern part of the bay to near Dotseom, 40 days in around Modo and 20 days in Budo to open sea. However, the average residence times under the condition consider with freshwater influx decreased about 81 days in both Region 1(northen Masan bay to near Dotseom) and Region II (Dotseom to Modo), but the Region III(Modo to Budo) and Region IV(Budo to open sea) incresed about 58 days and 17 days, respectively.

Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time

  • Hamza Wani;Sadananda Meher;Uppalapati Srinivasulu;Laxmi Narayanan Mohanty;Madhusudan Modi;Mohammad Ibrarullah
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.27 no.3
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    • pp.271-276
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    • 2023
  • Backgrounds/Aims: Laparoscopic cholecystectomy within one week of acute cholecystitis is considered safe and advantageous. Surgery beyond first week is reserved for non-resolving attack or complications. To compare clinical outcomes of patients undergoing laparoscopic cholecystectomy in the first week and between two to six weeks of an attack of acute cholecystitis. Methods: In an analysis of a prospectively maintained database, all patients who underwent laparoscopic cholecystectomy for acute cholecystitis were divided into two groups: group A, operated within one week; and group B, operated between two to six weeks of an attack. Main variables studied were mean operative time, conversion to open cholecystectomy, morbidity profile, and duration of hospital stay. Results: A total of 116 patients (74 in group A and 42 in group B) were included. Mean interval between onset of symptoms & surgery was five days (range, 1-7 days) in group A and 12 days (range, 8-20 days) in group B. Operative time and incidence of subtotal cholecystectomy were higher in group B (statistically not significant). Mean postoperative stay was 2 days in group A and 3 days in group B. Laparoscopy was converted to open cholecystectomy in two patients in each group. There was no incidence of biliary injury. One patient in group B died during the postoperative period due to continued sepsis and multiorgan failure. Conclusions: In tertiary care setting, with adequate surgical expertise, laparoscopic cholecystectomy can be safely performed in patients with acute cholecystitis irrespective of the time of presentation.

Limited Open Repair Technique of Achilles Tendon Ruptures - Operative Technique and Early Results - (최소 절개 봉합술을 이용한 아킬레스건 파열의 치료 - 수술 방법 및 초기 결과 -)

  • Lee, Keun-Bae;Park, Yu-Bok;Kim, Byung-Soo;Choi, Jin;Jung, Sung-Taek
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.1
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    • pp.37-41
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    • 2006
  • Purpose: To investigate the early results of limited open repair technique of Achilles tendon ruptures, and to describe the surgical technique. Materials and Methods: From October 2004 to February 2005, a total of 10 patients with Achilles tendon rupture underwent limited open repair. The average age of the patients was 39.3 years, and the average follow-up period was 9 months. The causes of injury were sports injuries in 8 cases, and slip down in 2. The mean interval between the injury and the operation was 9 days. The clinical results were assessed by patient's satisfaction, incision length, hospitalization, the ankle-hindfoot scale of American Foot and Ankle Society (AOFAS), and complications. Results: Of 10 patients, 8 were very satisfied, and the remaining 2 were satisfied. The mean incision length was 2.0 cm, and the mean hospitalization was 2 days. The mean AOFAS score was 97 points, and there was no complications such as infection, rerupture, or nerve injury. All patients returned to work at approximately 2 months, and resumed light exercise such as jogging at approximately 3 months. Conclusion: Limited open repair technique of Achilles tendon ruptures is provided for better cosmetic results, high patient's satisfaction, and functionally successful results without postoperative complications.

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Leaf Litter Processing and Patterns of Shredder Distribution in Headwater Steams in Southeastern Korea (한국 남동지역 상류 하천에서의 낙엽 분해기작과 shredder 분포 유형)

  • Kim Hyun-woo;Gea-Jae Joo;Jong-hoon Choi
    • The Korean Journal of Ecology
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    • v.19 no.6
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    • pp.529-541
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    • 1996
  • During the period of December 1992 (winter-spring) and from February 1995 (winter-spring), the leaf processing rates of oak (Quercus serrata) and tulip (Liriodendron tulipifera) tree was investigated in the headwater streams in southeastern part of Korea in conjunction with the distribution pattern of macroinvertebrate fauna. Using two types of bags ($10\times30cm$ with 5 g of dry leaves; open bag with holes, closed bag without holes), decomposition rates of oak and tulip tree by shredder and/or microbiota at a reatively undisturbed 2nd-order stream were compared, Regardless of leaf type, leaves in the open bage decomposed slightly faster than those in the closed bags. In the 1992 experiment, osk leaves decomposed much slower than tulip leaves (after 138 degree days, osk : closed, 0.006% loss/day ; open, 0.008 ; tulip: closed, 0.021 ; open, 0.023; n=2). The of the first experiment using oak leaves in 1995 were similar to those of the first experiment (after 151 degree days, oak: closed, 0.005% loss / day; open, 0.006; n=6). Over 50% of invertebrates from 122 leaf pack samples collected from 12 streams during the winter period of 1994 were identified as shredders (shredder, 56.2; collector, 32.7; scraper, 8.65; predator, 2.45%). Among shredders, Gammarus sp. and Tipula sp. were dominant species in terms of number and biomass (8.2 ind./g, 1.0 ind./g AFDW of leaves). Among many physico-chemical parameters, the width of stream channel was found to be the most influential factor in the distribution of Gammarus and Tipula (Gammarus: r=-0.34, P<0.001;Tipula:r=0.40, P<0.001). Considering the fact that oak is one the dominant riparian vegetation in the southeastern part of korea, the patterns of oak processing and shredder distribution shown in theis study may well represent some of the important characteristics of headwater steams in southeastern Korea.

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