• Journal of Acupuncture Research
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• 제17권1호
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• pp.89-105
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• 2000

In order to obtain the clinical data on the different effects of the three different methods of indirect moxibustion, moxa-combustion time, peak temperature, average temperature, maximum gradient temperature, average gradient temperature, and moxa-combustion calorie rate of the input period in ARIRANG, JANG, PUNG were measured through this experiment. The results of the experiment were as follows : 1. In the combustion time, during the input period ARIRANG had the longest combustion time followed by PUNG, JANG in a descending order but these were not acknowledged to have significant difference each other. 2. In the peak temperature of the input period, PUNG had the highest temperature followed by ARIRANG, JANG in a descending order. ARIRANG and JANG were acknowledged to have significant difference with PUNG. ARIRANG and JANG however were not acknowledged to have difference each other. 3. In the average temperature, during the input period, PUNG had the highest temperature followed by JANG, ARIRANG in a descending order. ARIRANG and JANG were acknowledged to have significant difference with PUNG. ARIRANG and JANG however were not acknowledged to have difference each other. 4. In the maximum gradient temperature, during the input period, PUNG had the highest temperature followed by ARIRANG, JANG in a descending order. ARIRANG and JANG were acknowledged to have significant difference with PUNG. ARIRANG and JANG however were not acknowledged to have difference each other. 5. In the average gradient temperature, during the input period, PUNG had the highest temperature followed by ARIRANG, JANG in a descending order. ARIRANG and JANG were acknowledged to have significant difference with PUNG. ARIRANG and JANG however were not acknowledged to have difference each other. 6. In the moxa-combustion calorie rate, during the input period, JANG had the highest temperature followed by ARIRANG, PUNG in a descending order. ARIRANG and PUNG were acknowledged to have significant difference with JANG. ARIRANG and PUNG however were not acknowledged to have difference each other.

• 한국기계가공학회지
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• 제19권5호
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• pp.21-26
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• 2020

A descending lifeline is the only self-escape fire apparatus for fire in high-rise buildings and is installed in most buildings according to fire-fighting law. However, it is difficult to properly use and quickly evacuate during an emergency due to its complex installation methods and procedures, even if users are pre-educated. In this paper, a new one-touch descending lifeline, which simplifies usage procedures and can be used regardless of whether users are educated, is proposed to solve the drawbacks of the conventional descending lifeline. All separate parts that require additional installation are initially assembled in a box, and the concept of a double square linkage is proposed to enable escape in a single motion of pushing the handle attached to the box. Three steps of kinematic design are explored to determine an appropriate configuration of double square linkage, and its dimensions are determined using Matlab and NX CAD software. The proposed all-in-one descending lifeline also follows the enforcement decree of the Fire Control Act, and its feasibility is verified through fabrication.

• Journal of Chest Surgery
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• 제48권4호
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• pp.238-245
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• 2015

Background: Some patients show favorable changes in the descending aortic false lumen after conventional repair of acute type A dissection, although the incidence of favorable changes has been reported to be low. We aimed to investigate the incidence of positive postoperative changes in the false lumen and the factors associated with positive outcomes. Methods: In 63 patients who underwent surgery for type A acute dissection as well as serial computed tomography (CT) scanning, morphological parameters were compared between the preoperative, early postoperative (mean interval, 5.4 days), and late CT scans (mean interval, 31.0 months) at three levels of the descending thoracic aorta. Results: In the early postoperative CT images, complete false lumen thrombosis and/or true lumen expansion at the proximal descending aorta was observed in 46% of the patients. In the late images, complete thrombosis or resolution of the proximal descending false lumen occurred in 42.9% of the patients. Multivariate analysis found that juxta-anastomotic false lumen thrombosis was predictive of favorable early changes, which were in turn predictive of continuing later improvement. Conclusion: Even after conventional repair without inserting a frozen elephant trunk, the proximal descending aortic false lumen showed positive remodeling in a substantial number of patients. We believe that the long-term prognosis of type A dissection can be improved by refining surgical technique, and particularly by avoiding large intimal tears at the anastomosis site during the initial repair.

• 한국전문물리치료학회지
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• 제16권3호
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• pp.24-31
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• 2009

This study aimed to investigate the effect of differing heel heights on the electromyographic (EMG) activity in vastus medialis (VM) and vastus lateralis (VL) during stair ascending and descending activities. A total of 26 healthy women volunteered to perform stair-ascending and stair-descending tasks with 3 heel heights: barefoot, 3 cm, and 7 cm. The EMG activities of the VM and VL were recorded during the tasks. During the stair ascending and descending tasks, the EMG activities of both VM and VL significantly changed with differing the heel heights (p<.05). Moreover, the EMG activities of VM and VL during the stair ascending task were significantly higher than the corresponding values during the stair-descending task (p<.05). However, there were no significant differences between the VM:VL EMG ratios for the 3 heel heights (p>.05). The VM:VL EMG ratios between the 2 tasks differed significantly in the 7 cm high heel condition (p<.05). Despite an increase in the EMG activities in both VM and VL during stair ascending and descending tasks, there was no change in the relative EMG intensities of VM and VL, which was measured by calculating the VM:VL ratio this result indicates that no VM:VL imbalances were elicited. The relative EMG intensities of VM and VL during stair descent were lower than the corresponding values during the ascent, suggesting that VM and VL may show an imbalance in the eccentric activation during the weight-acceptance phase. This study provides useful information that will facilitate future research on how heel height affects muscle activity around the knee joint.

• 한국화재소방학회논문지
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• 제22권1호
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• pp.105-114
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• 2008

본 연구에서는 2006년 개정소방법의 시행에 따라 다중이용업소 및 고층건물에 피난설비 중 피난기구로 설치가 의무화 되고 있는 '완강기'의 현재 나타난 설치상의 문제점을 조사해보고, 제시된 문제점들을 각 항목별로 나누어 원인 분석 및 개선사항을 제시하였다. 설문조사를 통하여 총 367건의 문제점이 지적되었으며, 다음과 같이 설치실태의 문제점이 나타났다. 완강기를 이용한 탈출이 부적합한 창문(34%), 관련문구 미부착(23.7%), 부적합한 설치장소(20%) 및 완강기의 파손(20%) 등으로 조사되었다. 특히 완강기 설치상 문제점으로 완강기를 이용한 탈출에 부적합한 창문이라는 사항이 가장 많이 제시되었기에 탈출 시 필요한 유리의 파괴에 관한 응력해석을 수행한 결과 완강기가 설치된 곳의 유리두께는 3,6 mm로 규정되어야 할 것으로 나타났다. 또한 기존의 소방법에 따른 형식적인 설치가 아닌 화재발생 시 인명을 보호하는 피난도구로써의 완강기 설치 및 사용이 가능할 수 있는 실질적인 완강기 설치상의 개선대책을 제시했다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제29권6호
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• pp.509-512
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• 2007

Purpose: The Le Fort I osteotomy is a commonly performed maxillary procedure for dentofacial deformity. One of the risks of this procedure is major hemorrhage resulting from injury to the descending palatine artery. So it is very important to know the exact position of the descending platine artery. An increased understanding of the position of this artery can minimize the intra-operative bleeding while allowing extension of the bone cuts to achieve exact positioning maxilla. The aim of this investigation was to study the position of the descending palatine artery as it relates to the Le Fort I osteotomy. Methods and patients: Total 40 patients who underwent Le Fort I osteotomy in SNUDH OMFS were studied in this study. We measured the distance from the pyriform aperture to the descending palatine artery (DPA distance) using a ruler. We investigated the relationship between DPA distance, the distance from A point to the McNamara line on lateral cephalography and the patient's body height. Results: The average distances from the pyriform rim to the descending palatine artery were 35.3 mm on the right (range: $30{\sim}40mm$) and 33.7mm (range: $30{\sim}41mm$) on the left in males. Those in females were 33.4 mm on the right (range: $28{\sim}40mm)$ and 32.8mm (range: $27{\sim}38mm$) on the left. The significances between the distance the DPA distance, the body height and the distance from A point to McNamara line were not found. Conclusion: Injury to the descending palatine artery during Le Fort I osteotomy can be minimized by not extending the osteotomy more than 30 mm posterior to the pyriform aperture in mal, and 27 mm in female.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2012년도 추계학술대회 논문집
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• pp.877-878
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• 2012

• 한국산림과학회지
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• 제77권1호
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• pp.53-64
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• 1988

국내(國內)에서 식재(植載)되고 있는 소나무류(類)(Hard Pine) 6종(種)과 잣나무류(類)(Soft Pine) 5종류(種類)의 Root-tip을 재료(材料)로하여 염색체(染色體)의 Long, Short arm과 총(總)길이를 측정(測定)S/L ratio를 구(求)하고 이차내착(二次猍窄)의 위치(位置)를 찾아내고 Idiogram을 도해(圖解)하여 Long arm의 Descending order의 순서(順序)가 바뀌는 Pattern을 밝혔다. 소나무속(屬)의 염색체(染色體)는 기본수(基本數)가 n=12, 길이가 거의 비슷하고 S/L ratio가 l에 가까운 M형(型)이 10개(個), SM형(型)이거나 SM형(型)에 가까운 길이가 짧은 것 2개(個)가 합(合)해서 Chromosone 1set를 구성(構成)한다. 이차내착(二次猍窄)의 수(數)와 위치(位置), Long arm의 Descending order의 순위(順位)가 바뀌는 Pattern으로 종간(種間)의 식별(識別)이 가능(可能)했고 Long arm의 Descending order Pattern을 비교분석(比較分析)함으로서 산지(産地)에 따라 종내변이(種內變異)를 인정(認定)할 수 있었다. 소나무류(類)와 잣나무류(類) group의 염색체구조상(染色體構造上)의 차이(差異)는 있었지만 외부형태적(外部形態的) 특성(特性)에 차이(差異)만큼 크지는 않았다. 염색체(染色體)는 시약(試藥)의 처리농도(處理濃度), 시간(時間)에 따라 아주 예민한 반응(反應)을 일으키므로 최우점(最遇點)을 맞추기가 어렵고 반복(反復)되는 실험(實驗)에서 정확(正確)히 동일(同一)하게 처리(處理)하기가 어렵다. 따라서 약간(若干)씩 다른 결과(結果)가 나올 수 있다. 또 preparatur 제작상(製作上)의 여러 가지 어려움 때문에 분석상(分析上)에 착오(錯誤)를 일으킬 가능성(可能性)이 있었다.

• Journal of Oral Medicine and Pain
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• 제38권2호
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• pp.215-219
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• 2013

하행성 억제계란 중뇌, 연수, 뇌교에 존재하는 해부학적 유해수용 조절성 기전을 일컫는 용어이다. 이들 부위를 전기적으로 자극을 하면 진통효과가 나타나며, 하행성 억제계의 실패시 지속적인 통증이 야기된다는 것을 알 수 있다. 또한 우울불안 같은 질환은 만성 신경병성 통증 상태로 쉽게 진행됨이 밝혀졌다. 이러한 요인들이 만성 신경병성 통증에 영향을 주는 경로는 아마도 하행성 억제계일 가능성이 있다. 흥미롭게도, 광범위하게 하행성 억제계가 작동하지 않을 경우 과민성 대장증상이 호발하는 것으로 보인다. 또한 이러한 환자들은 높은 불안, 우울 지수가 관찰되기도 한다. 다양한 연구에서, 하행성 억제계에 관여하는 ${\alpha}2$ 아드레날린성 약물, 아편유사약물들이 만성 통증에 사용될 수 있음을 동물에서 평가 중이다. 아직 신체내에서 얼마나 하행성 억제계가 일어나고 있는가에 대해서는 임상적으로 증명하기 힘든 감이 있지만, 여러 감각 신경기전의 수정에 중요한 구실을 하고 있는 것으로 믿어진다. 즉 중추신경계는 대상을 인식하기 위해 말초정보를 받아들이는 기능만 있는 것이 아니라 여러 방법으로 정보의 홍수를 조절하고 선택하는 기능을 동시에 갖추고 있는 것으로 생각된다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권6호
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• pp.577-581
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• 2010

Descending necrotizing mediastinitis (DNM) is a complication of odontogenic or oropharyngeal infections that can spread to the mediastinum. Such infections is serious, leading to sepsis and frequently to death. Even in this era of antibiotics, the mortality rate associated with DNM is approximately 40%. It is difficult to diagnose early because clinical and radiologic findings appear in the late stage of the infection. Delayed diagnosis is the principal reason for the high mortality in DNM. Therefore, descending necrotizing mediastinitis requires an early and aggressive surgical approach to reduce the high morbidity and mortality associated with this disease. We experienced a case of odontogenic infection followed by acute mediastinitis, so present now with the review of literatures.