• 대한족부족관절학회지
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• 제12권2호
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• pp.156-162
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• 2008

Purpose: Open fractures of the foot and ankle require prompt repair of the wound due to the complexity of anatomy, insufficiency of soft tissues and inadequate blood supply. Early flaps and skin grafts are used for this purpose yet general condition of the patient as well as local wound environment often precludes such treatment options. Vacuum- Assisted Closure (VAC) is recently being used in such cases. This study was done to validate the use of VAC together with silver antimicrobial dressing materials in contaminated open fracture wounds. Materials and Methods: We have selected 10 patients with Gustillo-Anderson type III open fractures of the foot & ankle treated with VAC and silver antimicrobial dressing materials from March 2007 to January 2008. The relationship between duration of treatment with wound size, contamination, and degree of soft tissue damage was analyzed. Results: The average age of patients was 36.6 years. The average amount of VAC application time was 23.4 days. Silver dressing materials were used for 16.8 days. Average wound healing time was 51.9 days. Statistically significant relationship was found between wound size, VAC application time and silver dressing material application time. No complications such as osteomyelitis were found after treatment. Conclusion: VAC technique is recently being used in open fractures with wide skin and soft tissue defects, producing good results. A wide array of dressing materials such as silver dressing is in development. We have incorporated the VAC technique together with silver dressing materials in the treatment of open fractures and achieved complication free results.

• 한국건설순환자원학회논문집
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• 제5권4호
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• pp.395-402
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• 2017

최근 들어 박테리아를 이용하여 콘크리트의 수복하거나 박테리아 대사를 이용한 보수재료에 대한 연구가 수행되고 있다. 본 연구는 박테리아 대사를 이용하여 슬라임을 형성하며 이를 이용한 보수재료의 개발에 대한 기초적 연구로서 박테리아 슬라임을 포함한 시멘트 코팅재의 내구성 평가를 다루고 있다. 기초연구를 위해 4가지 박테리아(Rhodobacter capsulatus, Rhodopseudomonas palustris, Bacillus thuringiensis, Bacillus subtilis)과 2가지 배양조건이 고려되었으며, 제조된 코팅재를 사용하여 황산 5% 수용액에 노출에 따른 강도 변화, 염화물 확산계수, 초음파속도 평가가 수행되었다. 박테리아가 혼입된 코팅재의 경우 강도가 개선되었으며, 황산 5% 수용액 침지 이후에도 7일까지는 강도가 개선되었다. 염화물 확산계수도 Rhodopseudomonas palustris를 제외한 경우 충분한 염해저항성능을 나타내었으며, 초음파 속도 역시 우수하게 평가되었다. 장기열화에 대한 슬라임의 저항과 박테리아의 수명을 연장할 수 있는 호기성 환경이 유지된다면 대상 박테리아는 열화환경에 노출된 콘크리트 구조의 보수재 적용에 사용될 수 있는 공학적 가능성을 보여준다.

• 한국환경과학회지
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• 제19권4호
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• pp.517-525
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• 2010

Horticultural therapy is a complementary therapy by trained professionals utilizing plant and horticultural activities as media to pursue the positive change of clients, which resulting from stimuli of plant nature, activities, and interaction with other people. Outdoor horticultural activities provide clients with the opportunities of the contact to nature such as fresh air and sunlight as well as plants. But the importance of plant nature to client's health has not been fully acknowledged compared to that of therapist's role and activities in horticultural therapy in Korea. In horticultural therapy it is possible for client to participate on the various levels from passive viewing to active gardening according to the client's ability. Therefore it is necessary for horticultural therapists to consider the therapeutic factors of plant nature to maximize the therapeutic effect of horticultural therapy. The purpose of the research is to clarify the therapeutic factors in the contact of client with plant nature and to emphasize those importance in horticultural therapy. From the review of the experimental researches five therapeutic factors were revealed: Natural light, plant natural view, natural sound, aroma(volatile oils of plants), and plant itself. This paper raises the importance of outdoor activities in horticultural therapy and the necessity for severely handicapped clients to the contact with plant nature, though passively.

• 한국실내디자인학회논문집
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• 제13권5호
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• pp.133-142
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• 2004

Recently, the Korean medical system changed with diversification & specialization and the field of medical service is also specialized in these days. And healing environment is proposed as a general concept in the hospital architecture. There is a trend that a establishment of women's hospital is increasing as specialized type. In difference from general hospital, they are providing specialized and integrated services in response to the women's disease and demand. Particularly, Outpatient department space in women's hospital has been changed in terms of area, shape and program. However, there used to be not enough research efforts of responding these changes. This study includes the Outpatient department of s women's hospital in the form of small and medium sized building over a certain level in Korea. And the methods of the study adopted the theoric examination based concept and features of women's hospital, the abstraction of distinctions in the Outpatient department through the analysis of the drawing, and the analysis of distinctions in the Outpatient department of women's hospital with the structural space classified and the analysis of space relation. Therefore, the purpose of this is to study investigates and analyzes the spatial characteristics of the Outpatient department space in women's hospital through a analysis of case study. To conclude, the space composition can be classified into the entry space, the clinic space for patients, the support space of patients' check-up, the reception and waiting space, the rest and convenience space, and the link space in the Outpatient department of women's hospital. The level space can account for the waiting space type, the clinic office type, the type based on the relation between the waiting room and the clinic office with its features. As a result, the results will be applied for the planning & design for the future women's hospital.

• 제3의학
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• 제2권2호
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• pp.253-295
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• 1997

It is very critical to specify certain medical personnels in defining the history of certain era. Due to the limited source of information and lack of thorough research, there still aren't enough study grounded on concrete historical investigation. Authors attempted to investigate those medicinal personnels engaged in Three Kingdoms period in terms of the activity area, relation with religion and their role in medical system and medical exchange. The sum of recorded medical personnels in Three Kingdoms period numbers 50 of which 6 belonged to Kokooryo, 18 to Baekje, 7 to Shilla and 19 to Unified Shilla. There might existed far more medical personnels who tried to alleviate the suffering of the people and were not recorded in the documents. The more earlier in times, the more medicine gets the religious tinge. This is not the exception for the period of the Three Kingdoms and those medicine men, wizard doctors and priest doctors were playing important role in healing people and processing crude drugs. The system of royal physician and medical education facility were established and doctors and pharmacists, shamanic doctor, herb collectors, Kongbong's doctor(供奉醫師), Kongbong's diviners(供奉卜師) took leads in medicine in those times. Those folkloric healers also took part in. Korea imported chinese medicine and Japan employed chinese medicine via Korea or directly from China and developed into traditional japanese medicine. In this process those who emigrated from Baekje and Kogooryo and their offsprings took an active part. Since the limited source of information of Three Kingdoms, we only can infer the me야cal environment of those times by featuring the activities of medical personnels.

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.5397-5402
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• 2013

The rates of morbidity and mortality of hepatocellular carcinoma (HCC) have not lessened because of difficulty in treating tumor metastasis. Mongolian Saussurea involucrata (SIE) possesses various anticancer activities, including apoptosis and cell cycle arrest. However, detailed effects and molecular mechanisms of SIE on metastasis are unclear. Thus, the present study was undertaken to investigate antimetastatic effects on HCC cells as well as possible mechanisms. Effects of SIE on the growth, adhesion, migration, aggregation and invasion of the SK-Hep1 human HCC cell line were investigated. SIE inhibited cell growth of metastatic cells in dose- and time-dependent manners. Incubation of SK-Hep1 cells with $200-400{\mu}g/mL$ of SIE significantly inhibited cell adhesion to gelatin-coated substrate. In the migration (wound healing) and aggregation assays, SIE treated cells showed lower levels than untreated cells. Invasion assays revealed that SIE treatment inhibited cell invasion capacity of HCC cells substantially. Quantitative real time PCR showed inhibitory effects of SIE on MMP-2/-9 and MT1-MMP mRNA levels, and stimulatory effects on TIMP-1, an inhibitor of MMPs. The present study not only demonstrated that invasion and motility of cancer cells were inhibited by SIE, but also indicated that such effects were likely associated with the decrease in MMP-2/-9 expression of SK-Hep1 cells. From these results, it was suggested that SIE could be used as potential anti-tumor agent.

• 한국디자인학회:학술대회논문집
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• 한국디자인학회 2001년도 Bulletin of The 5th Asian Design Conference International Symposium on Design Science
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• pp.9.1-9
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• 2001

Concerning the development of suitable healthcare equipment for a aged people at their homes in order to reduce the labor and increase the efficiency in the homehelpers' work, we conducted a study on the actual conditions of healthcare in Kyoto city (healthcare in taking a meal and excretion, moving and taking a bath by using a hand-powered lift, moving by a wheelchair, shower carrier healthcare, assistance in body care and housework) by digital video filming, interviews and layout investigations. On the base of those investigations by using methods for analysis of video pictures, we divided the healthcate work into scenes and e exctracted the main problems in terms of health care equipment, information, environment, healthcare skills, mental burden, social s system, family burden, ete. Furthermore the questionnaire survey of home helpers (18 persons - 50% answers) clarified that more than half of them have lumbago pains and the biggest load in the everyday healthcare c comes from moving the patients or getting them into or out of t the equipment for moving. Finally we considered concrete proposals appropriate for each h healthcare scene image, based on evaluation toward efficiency (design guidelines) for suitable healthcare equipment for aged people at their homes: 1) Design toward a proper posture 2) Design toward self-help possibility 3) Design toward patient active participation 4) Design toward rationality of the whole process 5) Design toward place-appropriate healthcare equipment 6) Design toward healing of mind 7) Good level of healthcare skills 8) Economic, systematic rationality

• Archives of Plastic Surgery
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• 제35권4호
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• pp.407-412
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• 2008

Purpose: Hydrofluoric acid(HF) is one of the most dangerous mineral acids with the dissociated fluoride ions. The initial corrosive burn is caused by free hydrogen ion, and the second and more severe burn is caused by penetration of fluoride ions into subcutaneous tissues. Silver is a cation producing dressing, an effective antimicrobial agent, but older silver-containing formulations are rapidly inactivated by wound environment, requiring frequent replenishment. But, $Acticoat^{(R)}$ is a relatively new form of silver dressing which helps avoid the problems of earlier agents. The aim of this study is to evaluate effects of $Acticoat^{(R)}$, silver-containing dressing on the treatment for HF injury wound. Methods: From september 2006 to september 2007, the study was carried out with 10 patients who had HF partial thickness burns. $Acticoat^{(R)}$ dressing and 10% calcium gluconate wet gauze dressings in 10 cases. As a principle, in the emergency treatment, partial or complete removal of the nail and early bullectomy along with copious washing with normal saline was done, depending on the degree of HF invasion of the wound. Wound was dressed with $Acticoat^{(R)}$ and 10% calcium gluconate solution. The effect of dressing was investgated by serial bacterial culture and wound exudates assessment. Results: We therefore reviewed 10 cases of HF-induced chemical burns and treatment principle. The 10 cases who came to the hospital nearly immediately after the injury healed completely without sequelae. Conclusion: As the industrial sector develops, the use of HF is increasing more and more, leading to increased incidences of HF-induced chemical burns. The education of patients regarding this subject should be empathized accordingly. In conclusion, $Acticoat^{(R)}$ dressing is a better choice for HF partial thickness burn injuries because of shorter healing time, less pain and more comfortable dressing.

• 한국환경복원기술학회지
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• 제21권1호
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• pp.31-40
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• 2018

Since the Millennium Ecosystem Assessment Report was published in 2005, the conflict between development and the preservation of the ecological environment has turned to paying attention to value assessments in rational decision-making. In recent years, the concept of ecosystem services has been recognized as a viable one for making significant decisions. However, a trade-off between increase and decrease occurs between the ecosystem services sub-categories (cultural service, regulating service, supporting service, and provisioning service), for which research centering on target sites is needed. To this end, the present study aims to investigate the trade-off relationship between service categories to search for reasonable decision-making strategies. As the research method, a survey was conducted using the translated version of SoIVES(Social Value for Ecosystem Services) 3.0 questionnaire of the United States Geological Survey. The research findings demonstrate the economic value, based on the derived monetary value of each service category, the economic value of the target site was compared among landscape aesthetic value 8,050,000 won, recreation value 6,750,000 won, biodiversity value 4,610,000 won, healing value 3,970,000 won, life-sustaining value 2,090,000 won, and productive value 220,000 won. And then the primarily recognized value criteria of the Tancheon ecosystem services illustrate landscape aesthetic and recreation value. Besides, this study illustrates visualized trade-off relationships based on user perception, and the derived relations illustrate the trade-off relationship between the cultural service, regulating service, supporting service, and provisioning service, as well as relationships between the components of the sub-categories.

• 한국문헌정보학회지
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• 제45권2호
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• pp.61-74
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• 2011

The author analyses the challenging activities of Japanese libraries in this decade by launching two keywords; "product-sharing" and "outcome generation." "Product-sharing" means that libraries share knowledge, skills, and records which are produced as the result of the services or in the process of activities. And "outcome generation" means that libraries generate any efficiency or effectiveness through their services to users. Using these concepts, reported are the current situation and aspects of Japanese libraries which try to make various contributions to the society; research and learning of the people, and education and training for professional librarians, and so on. In the analysis, the author shows some examples of "product-sharing" at first, including the records of reference transaction and the multi-functioned online public access catalogue. Especially, focused is on the various possibility and adoptability of the Collaborative Reference Database System of the National Diet Library of Japan. This system is one of digital reference service in Japan, and the database of reference transaction records is expected to be useful for research and academic studyies as knowledge-base of professional librarians. And the system is also expected to be a platform for LIS education and professional development in the e-learning environment. Secondly, as the examples of "outcome generation", explained are the problem-solving-type activities, and provision of the collection about books on struggling against disease and illness. A few examples of outcome in the problem-solving-type activities are these; increase of sales in the services for shop managers, business persons, and entrepreneurs, contribution to affluent daily life by providing the local information services to residents and neighbourhoods, and etc. And for both the patients with serious cases and their family or those who nurse them, books about other persons' notes or memorandum are the greatest support, and sometime healing. The author discuss the 'raison d'etre' of these activities focusing on public libraries in Japan.