• 제목/요약/키워드: the minutes

검색결과 12,854건 처리시간 0.041초

초저체온 순환정지시 역행성 뇌혈 관류의 실험적 연구 (Experimental Study of Retrograde Cerebral Perfusion During Hypothermic Circulatory Arrest)

  • 김치경
    • Journal of Chest Surgery
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    • 제26권7호
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    • pp.513-520
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    • 1993
  • Surgical treatment of aneurysm or dissection involving the ascending aorta and aortic arch still poses one of the most complicated technical and tactical challenges in surgery. The use of total circulatory arrest[TCA] with profound hypothermia in the surgical treatment of aneurysmal dissection involving the ascending aorta and aortic arch has been reported as popular surgical methods. However, the safe period of prolonged circulatory arrest with hypothermia remains controversial and ischemic damage to the central nervous system and uncontrollable perioperative bleeding have been the major problem. We have found profound hypothermic circulatory arrest with retrograde cerebral perfusion via the superior vena cava to achieve cerebral protection. We experiment the aortic anastomosis in 7 adult mongrel dogs, using profound hypothermic circulatory arrest with continuous retrograde cerebral perfusion[RGCP] via superior vena cava. We also studied the extent of cerebral protection using above surgical methods, by gas analysis of retrograde cerebral perfusion blood and returned blood of aortic arch, preoperative, intraoperative and postoperative electroencephalography and microscopic findings of brain tissue. The results were as follows: 1. The cooling time ranged from 15 minutes to 24 minutes[19.71$\pm$ 3.20 minutes] ; Aorta cross clamp time ranged from 70 minutes to 89 minutes[79.86 $\pm$ 7.54 minutes] ; Rewarming time ranged from 35 minutes to 47 minutes[42.86$\pm$ 4.30 minutes] ; The extracorporeal circulation time ranged from 118 minutes to 140 minutes[128.43$\pm$ 8.98 minutes] [Table 2]. 2. The oxygen content in the oxygenated blood after RGCP was 12.66$\pm$ 1.25 ml/dl. At 5 minutes after the initiation of RGCP, the oxygen content of returnedlood was 7.58$\pm$ 0.21 ml/dl, and at 15 minutes 7.35$\pm$ 0.17 ml/dl, at 30 minutes 7.20$\pm$ 0.19 ml/dl, at 60 minutes 6.63$\pm$ 0.14 ml/dl [Table 3]. 3. Intraoperative electroencephalographic finding revealed low amplitude potential during hypothermia, and no electrical impulse throughout the period of circulatory arrest and RGCP. Electrical activity appeared after reperfusion, and the electroencephalographic reading also recovered rapidly as body temperature returned to normal [Fig. 2]. 4. The microscopic finding of brain tissue showed widening of the interfibrillar spaces. But there was no evidence of tissue necrosis or hemorrhage [Fig. 3]. We concluded the retrograde cerebral perfusion during hypothermic circulatory arrest is a simplified technique that may have a excellent brain protection.

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농촌주부의 생활시간 부선 -시간량 및 시간 대별 분석- (Time use of Rural Housewives -The Amount and the Distribution of Time for daily Activities.)

  • 조금희
    • 가정과삶의질연구
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    • 제8권2호
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    • pp.163-180
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    • 1990
  • The objective of this study was to investigate the time used for daily activities by rural housewives. This study was carried out two aspects-the amount and the distribution of time. However, the characteristics of agriculture and the farming season influenced on rural housewives activities. There fore, in this study, survey areas divided into two groups-the traditional and the commercial agricultural area. And I conducted surveys in two times-the busy farming season and the leisure season for farmers. Data for 286 housewives(76 in traditional area on the leisure season, and 68 in commercial 142 in traditional area on the busy farming season)were collected by interviews, in which wives were asked to recall the used of time on the previous day, and a time record chart broken into fifteen minute intervals. The statistics for data analysis were frequency, percentile, T-test, and F-test by SPSS PC programs. The findings are as follows; 1)The average total time of rural housewives on labour was 8 hours 53 minutes, on socio-cultural activities 4 hours 18 minutes, and on physiological activities 11 hours 2 minutes. 2) The amount of time on agricultural labour was 6 hours 47 minutes in busy farming season, and 2 hour 45 minutes in leisure season. 3) The average time on household labour was 3 hours 51 minutes. 4) The amount of time on socioculture activities was 2 hours 19 minutes in busy farming, and 6 hours 16 minutes in leisure season. 5) The average time on physiological activities was 11 hours 2 minutes.

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온도변화(溫度變化)에 따른 치질(齒質)의 구조적변화(構造的變化) (STRUCTURAL CHANGE OF TEETH EXPOSED TO VARIOUS TEMPERATURE RANGE)

  • 윤수한
    • Restorative Dentistry and Endodontics
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    • 제2권1호
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    • pp.50-54
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    • 1976
  • 16 healthy teeth extracted have been selected and their color and structural change have been observed at the fixed temperatures of $200^{\circ}F$., $400^{\circ}F$., $600^{\circ}F$., and $800^{\circ}F$. respectively at the intervals of 10min. 30min and 60min. The results were as follows: 1) $200^{\circ}F$ Groop: At the 60 minutes interval, crown surface shows pattern simliars to mottled teeth and roots take on light yellowish colar and interglobular dentin tends to be rough. 2) $400^{\circ}C$ Groop: at the 30 minutes interval, cracks begin to show in the direction of long axis of the teeth and crown surface have been observed on the verge of fracture at the 60 minutes interval. 3) $600^{\circ}F$ Groop: Crowns take on grayish-white color thoroughout 10, 30 and 60 minutes intervals and roots reveal black color. Moreover the seperation of enamel from dentin has been confirmed at the 60 minutes interval and inner dentin has changed black. 4) $800^{\circ}F$ Groop: Crowns take on the same grayish-white color as at the $600^{\circ}F$ at the 10, 30 and 60 minutes intervals and roots reveal gray color at the 30 and 60 minutes intervals, while parts of the crown have fractured at the 10 minutes interval. Inner dentin has turned gray at the 60 minutes interval.

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호랑이에서 Ketamine HCl/Xylazine HCl의 병용마취효과 (Effects of Combined Anesthesia of Ketamine HCl and Xylazine HCI in Tigers)

  • 신남식;권수완;한덕환
    • 한국임상수의학회지
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    • 제10권2호
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    • pp.237-242
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    • 1993
  • Combined intramuscular administration of ketamine 8mg/kg. xylazine 2mg/kg were done to evaluate effect of anesthesia in Siberian tiger White tiger and Bengal tiger. Mean induction time(MIT), mean arousal time-(MAT). mean walking time(MWT) and clinical sign were evaluated. The results were as follows. MIT were taken 16.1$\pm$3.5 minutes for Siberian tiger. 15.5$\pm$2.4 minutes for White tiger and 12.3$\pm$2.5 minutes for Bengal tiger. MAT were taken 44.2$\pm$9.5 minutes for Siberian tiger, 48.3$\pm$8.6 minutes for White tiger and 58.7$\pm$5.8 minutes for Bengal tiger. MWT were taken 110.6$\pm$11.6 minutes for Siberian tiger, 106.7$\pm$13.1 minutes for White tiger and 99.6$\pm$10.2 minutes for Bengal tiger. Nausea. vomiting. salivation. severe convulsion. sudden decreased respiration and dyspnea were observed in Siberian tiger during sedation and anesthesia. Also, nausea, vomiting, salivation and convulsion were observed in White tiger and Bengal tiger but the clinical signs were more mild than Siberian tiger. The Bengal tiger which used combined ketamine 5mg/kg , xylazine 1mg/kg were shown reduced induction time compare with combined administration ketamine 8mg/kg, xylazine 2mg/kg in Bengal tiger as 10.8$\pm$32 minutes for MIT. 32.3$\pm$4.3 minutes for MAT and 78.5$\pm$7.3 minutes for MWT Vomiting and convulsion were observed during induction time but there were no nausea and salivation. The present results suggested that preventive methods against severe convulsion and dyspnea should be required in Siberian tiger when combined anesthesia of ketamine 8mg/kg, xylazine 2mg/kg used. Combined anesthesia of ketamine 5mg/kg, xylazine 1mg/kg in Bengal tiger might be very effective for simple surgical procedure and diagnosis.

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소의 제4위 및 결장 운동성에 xylazine이 미치는 영향 (Effects of Xylazine on the Motility of Abomasum and Colon in Cattle)

  • 이인형;이주명;윤영심;장광호;서강문;남치주;권오경
    • 한국임상수의학회지
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    • 제13권2호
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    • pp.177-183
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    • 1996
  • This study was performed to investigate the effects of xylazine on the motility of abomasum and proximal colon in cattle. Bipolar electrodes were implanted in the subserosa of the abomasum and colon. Electromyogram of the motility was recorded by polygraph after intramuscular administration of xylazine at the doses of 0.1 and 0.2 mg/kg. The mtility of abomasum was completely inhibited at 5~11 minutes after xylazine administration. However, that of the abomasum was reappeared at 15 minutes and greatly increased to supranormal motility at 41~51 minutes, then recovered to normal activity at 70~123 minutes. Meanwhile, the motility of proximal colon was completely inhibited at 3~10 minutes and reappeared at 60~150 minutes after xylazine administration, then recovered gradually to normal pattern at 240 minutes. Our data indicate that xylazine (0.1~0.2 mg/kg) affect on the abomasal motility in a biphasic manner, initial inhibition and following activation, but on the colon motility in a monophasic inhibition.

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강의시간 배분이 공과대학 신입생의 대학수학 성취도에 미치는 영향 (The Effects of Time Allocation in Lecturing on the Mathematical Academic Achievement of Freshmen in Institute of Technologies)

  • 김성연;강상진
    • 한국수학교육학회지시리즈A:수학교육
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    • 제48권2호
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    • pp.191-206
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    • 2009
  • In this study, we investigate the effects of the methods of time allocation in lecturing on the mathematical academic achievement of freshmen in institute of technologies. The subjects are 392 freshmen from three universities participated in ABEEK(Accreditation Board for Engineering Education of Korea). They belong to three groups in accordance with the methods of time allocation in lecturing; 75 minutes twice a week(79 students) and 150 minutes continuously once a week(77 students) (university 1 of 156 students), 100 minutes twice a week(56 students) and 200 minutes continuously once a week(60 students) (university 2 of 116 students) and 50 minutes and 100 minutes separately once a week(62 students) and 150 minutes continuously once a week(58 students) (university 3 of 120 students). The results of this paper are summarized as follows: Firstly, the achievement of separate time-allocation groups is higher than that of continuous time-allocation groups. Secondly, the achievement of middle class students and low class students has higher effects when they are taught by using the methods of separate time-allocation in lecturing. Finally, the achievement of groups using 75 minutes twice a week is higher than that of using 50 minutes and 100 minutes separately once a week. In conclusion, this study suggests that the method of separate time allocation in lecturing using 75 minutes twice a week could be an advisable means to help those who achieve middle and low scores in the first college mathematics.

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심장 파열 수술치험 10례에 대한 분석 (Cardiac Rupture Clinical Analysis of 10 -Operative Cases-)

  • 손영상;최영호;김학제
    • Journal of Chest Surgery
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    • 제28권11호
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    • pp.1001-1006
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    • 1995
  • From January, 1990 to December, 1994, we have operated 10 patients with cardiac rupture. The patients are divided into two groups according to their clinical manifestation ; five patients in each hemorrhage and tamponade group. The patients in both groups could maintain their vital signs with closed thoracostomy and fluid resuscitation. The effect of pericardiocentesis was especially dramatic in three patients of tamponade group. The average time from injury to admission was 101 minutes and that of the patients who came our hospital via one or two other hospitals was 170 minutes comparing 31 minutes of those who came directly. The average time from admission to operation was 211 minutes. Considering 98 minutes for the diagnosis and preoperative management and another 30 minutes for the preparation for operation, operations were delayed by 83 minutes to get permission. We conclude that this delaying time for transport and operation of heart-ruptured patients should be shortened in order to manage them more effectively.

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신생 돼지심장에서 상온의 Krebs 용액 관류에 따른 좌심실 기능의 변화 (Left Ventricular Function Changes Under Normothermic Krebs Perfusate in Newborn Piglet)

  • 오봉석;나국주;이동준
    • Journal of Chest Surgery
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    • 제23권6호
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    • pp.1067-1073
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    • 1990
  • To clarify the changes of left ventricular function under normothermia, the time interval between the onset of ischemia and the beginning of contracture of left ventricle[TIC] were recorded in newborn piglet. Myocardial performance was assessed using intraventricular balloon to determine compliance and systolic function after 5 to 10 minutes interval per-fusing normothermic substrate free Krebs solution as a perfusate. The time to onset TIC was 29.5\ulcorner1.7 minutes and peak ischemic contracture was 46.7\ulcorner4.0 minutes[p<0.01]. In myocardial performance, systolic function of left ventricle[defined as cardiac contractility] was kept until 25 minutes of perfusion, but was decreased abruptly after 30 minutes of perfusion[p<0.0018] and diastolic function of left ventricle[defined as diastolic compliance] was kept until 15 minutes of perfusion, but was decreased after 20 minutes of perfusion [p=0.00\ulcorner9]. This study demonstrated maximal time of the tolerance to normothermic global ischemia and functional changes of left ventricle using Krebs perfusate under the same condition.

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Sweet Bee Venom과 Bee Venom이 심박변이도(HRV)에 미치는 영향 (Effects of Sweet Bee Venom and Bee Venom on the Heart Rate Variability)

  • 육태한;유정석;정한성
    • 대한약침학회지
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    • 제11권1호
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    • pp.41-54
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    • 2008
  • Objective : In this study, we investigated the effects of Sweet Bee Venom(SBV) and Bee Venom(BV) at a acupoint, HT7(Shinmun) on the Heart Rate Variability(HRV) in the healthy man. And we tried to observe how Sweet Bee Venom and Bee Venom affects on the balance of the autonomic nervous system. Methods : We investigated on 22 heathy volunteers consisted of 10 subjects in SBV group and 12 subjects in BV group. Study form was a randomized, placebo-controlled, double-blind clinical trial. 22 subjects of each group were injected SBV and BV at HT7(Shinmun). And we measured HRV by QECG-3:LXC3203 (LAXTHA Inc. Korea) on 7 times : before and after injection per 5minutes during 30minutes. Results : 1. After SBV injection, Mean-RR was significantly high from 0 to 10 minutes, Mean-HRV was significantly low from to 10 minutes, SDNN was significantly high after 25minutes, Complexity was significantly high from 5 to 10 minutes and RMSSD was significantly high from 5 to 10minutes. 2. Complexity of SBV Group significantly decreased from 20 to 25minutes, RMSSD of SBV Group significantly increased from 10 to 15minute and from $20{\sim}25$minutes, SDSD of SBV Group significantly increased from 10 to 15 minute and from $20{\sim}25$minutes compared with that of BV group. 3. After SBV injection, Ln(VLF) was significantly from 25 to 30minutes. Conclusions : The results suggest that SBV in heathy adult man tend to activate the autonomic nervous system compared to BV within normal range.

국회 비공개회의록 및 불게제 부분의 공표 방안 연구 (A Study on a Plan to Make Public of the Closed Minutes and the Non-published Minutes at the National Assembly of R.O.K)

  • 김장환
    • 기록학연구
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    • 제35호
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    • pp.93-132
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    • 2013
  • 국회회의록은 "대한민국헌법"에 근거하여 일반에 공개하는 것이 원칙이다. 다만, 비공개로 진행된 회의에서 생산된 회의록(비공개회의록)과 국회법 제118조 제1항에 따라 '의장이 비밀을 요하거나 국가안전보장을 위하여 필요하다고 인정한' 경우 게재하지 아니하는 불게재 부분은 국민에게 공개되지 않고 있다. 두 회의록 모두 현재 외부에 공표될 수 있는 절차가 마련되어 있지 않아 헌법적 권리인 국민의 알 권리를 심각하게 침해하고 있다. 특히 헌법적 근거가 없는 불게재 부분은 위헌적 요소까지 다분하다. 이에 본 연구에서는 의회 민주주의가 발달한 미국와 영국을 중심으로 비공개회의록 공개와 관련된 법규 및 지침을 살펴보고, 지난 2004년 국회기록물관리위원회의 심의 의결 결과 및 정청래 의원이 발의한 규칙안의 내용을 토대로 법률적인 측면에 초점을 맞추어 비공개회의록과 불게재 부분의 공표 방안을 제안하였다.