This study was performed to investigate the clinical pictures and rehabilitation service patterns of stroke patients in cities of kimchon(kumi), jinju. pohwang, jeonju and jeju from January 1,2001 to march. Authors developed structured questionnaire, and distributed it to each physical therapist. Total number of distributed questionnaire was 400, and 301 questionnaire were col looted and analysed finally.1. The occurrence rate of hemorrhagic stroke(60.5%) was higher than that of ischemic stroke(39.5%). The highest incidence of the stroke was noted in the group of 50 years and ratio of male to female 1.3 : 1. 2. The several warning sign is motor deficit(42.5%). headache. dizziness, vomitting(31.9%) and difficulty speaking or understanding(10.6%). 3. The most important contributing factor of stroke was hypertension both hemorrhagic(50.0%) and ischemic stroke(40.3%). 4. In the painful stroke patients(53.2%). the major problems were shoulder pain(51.3%) and shoulder-hand syndrom(31.3%). 5. In hemorrhagic stroke. the seasonal preference was autumn and summer. In ischemic stroke. the seasonal preference was autumn and winter. 6. In the surgery, hemorrhgic stroke(44.5%) was higher than that of ischemic stroke(20.2%). 7 The major impairment were motor deficit(95.3%), psychological deficits(24.4%), hearing and speech deficit(23.4%). vision deficit(14.7%) and perception deficit(12.7%). 8. The rehabilitation services for stroke patients were physical therapy(98.0%), occupational therapy(41.5%), oriental therapy(35.1%), speech therapy(17.5%) and psychological therapy(7.4%). 9. The start of rehabilitation service was different according to surgery. 36.5% of patients started physical therapy in 4 week and 32.0% of patients started in 8 week later in surgery and 53.1% of patients started physical therapy in 2 week in not surgery( P<0.05). 10. The highest frequency of rehabilitation service was six times per week.
Predicting occupants' behaviors from the start of the fire to egress and reducing the time required for such process are critical matters that can decide success and failure of safe egress. In this research, research literatures and theories and fire cases were compared and analyzed so as to prepare logical grounds that could predict the process of beginning egress. As a result of this research, there was a significant difference in the time elapsed until people start evacuating due to spatial positions and quarantine from the place from which the fire originated and their auditive and olfactory signs did not recognize the fire instantly and they showed a strong tendency to recognize the fire by visual sign, warning announcement for egress and notice by others. And the results also showed that only a very small minority of occupants evacuated as soon as they perceived the fire and that variation in the time elapsed until evacuation begun for occupants were wider as the size of building was bigger and that accommodations such as hotel had wider variation in the time elapsed regardless of the size of buildings.
This study was performed to investigate rehabilitation service patterns of stroke patients in metropolis of Korea. Seoul, Taegu. Taejon, Pusan and Kwangju from April-July. 2000. Authors developed questionnair, and distributed it to each physical therapist. Total number of distributed questionnaire was 800, and 622 questionnaire were collected and analysed. 1. The occurrence rate of ischemic stroke$(51.1\%)$ was higher than hemorrage stroke$(48.9\%)$. The highest incidence of the stroke was noted in the group or60 years and ratio of male to female 1.3:1 2. The several warning sign is motor deficit$(50.3\%)$, headache. dizziness. vomitting$(32.6\%)$ and difficulty speaking or understanding$(8.2\%)$. 3. The most important contributing factor of stroke was hypertension both hemorrage stroke$(50.7\%)$ and ischemic stroke$(47.2\%)$. 4. In the painful stroke patients$(53.4\%)$, the major problems were shoulder pain$(55.1\%)$ and shoulder-hand syndrome$(31.9\%)$. There is no clinical method for relieving the pain. 5. The seasonal preference was winter and autumn followed by summer and spring in regardless of diagnosis. 6. In the surgery, hemorrage stroke$(61.2\%)$ was higher than ischemic stroke$(13.5\%)$. 7. The major associated impairment were motor deficit$(99.0\%)$, hearing and speech deficit$(30.9\%)$.perception deficit$(15.9\%)$. psychological deficit$(14.1\%)$ and vision deficit$(10.6\%)$. We need more role of speech pathologist and psychotherapist. 8. The rehabilitation services for stroke patients were given only $15\%$ by onset. 9. Medical doctor did not checking everyday$(41\%)$. 10. Patents said that the physical therapist well understanding$(60.1\%)$ than medical doctor$(36.2\%)$ about their conditions.
Neoadjuvant concurrent chemoradiotherapy has been increasingly used to obtain secondary resectability for locally advanced pancreatic cancers. Although most patients require biliary decompression, only a few studies have investigated the safety of biliary stenting with chemoradiotherapy. Herein, we report a rare case of delayed hemorrhage of the hepatic artery caused by biliary stenting after chemoradiotherapy. The serial follow-up CT demonstrated that the biliary stent was approaching the right hepatic artery and eventually caused acute angulation and indentation. Diagnostic catheter angiography revealed contrast extravasation at the right hepatic artery, and endovascular embolization was performed. This report highlights the relevance of anatomical deformation after chemoradiotherapy, which can result in fatal complications. Indentation of the hepatic artery caused by biliary stents should be recognized as a warning sign of vascular injury.
Safety accidents in railway work continue to increase every year; Engineer's negligence, trackside worker's sensory deprivation and signalman's mistake are the main reasons of such incidents. We consider this problem by far the most urgent matter in railway work because of its steady increase and risk of taking a person's life. Based on that account, a new alarm system has developed, that is called Railway Access Alarm System, to allow railway workers to sense the access of trains with not only vision, but also hearing. The detector device of this system is installed on both sides of the track locating 1.5km from the workplace. When the train enters the place, the detector device can sense the entering, sending the detect sign of train to the alarm unit, then the alarm unit warns the workers by the LED lighting and sirens. This system has several advantages compared to previous systems. First, it recognizes the train at a long distance. Secondly, there is no need for wiring work since it is a wireless system. At last, the system works by rechargeable batteries and solar charger so that it is installed in the work places where there is no external power supply. Moreover, it is proven that the system is 100% reliable by the successful on-the spot inspection evaluating the capability.
The paper introduces US Indo-Pacific Strategy and discusses its meanings and implications for international security and our strategy. It tries to look at the Indo-Pacific strategy(IPS) through the lenses of international political theories. The paper provides three important observations. First, the US Indo-Pacific strategy is a declaration of the national identity of the US as an Indo-Pacific nation. The paper argues that the IPS reflects the US leadership that would facilitate the formation of, so called, the Indo-Pacific community. In arguing these points, the paper notes that the IPS has rich elements of constructivist approaches including norms and national identity. Second, the paper observes that the IPS report serves as an effective deterrent strategy. The IPS does not call out China as an enemy. But, it tries to deter against a range of actors including China by warning that whoever violates the rules-based order in the region would have consequences. Third, the paper maintains that the IPS is an effort by the US to mitigate the risk of a great power war between the US (an established power) and China (a challenging power) because the IPS articulates the United States's willingness to work with China as long as it plays by the rules. There will be challenges to the US and other countries in the region including South Korea particularly because of economic interdependence. However, the paper argues that the IPS stands for an optimistic sign of the future security in the Indo-Pacific region because it is a manifestation of the US for its national will to defend the status quo characterized as Pax Americana which has been maintained since the end of the Second World War. It also argues that South Korea also can, and should make the most of this opportunity by enhancing our capacity in national defense.
Kim, Ik-Sik;Hwang, Young-Ha;Sohn, Kyung-Suk;Lee, Jung-Hun;Sohn, Byung-Hoon
Elastomers and Composites
/
v.49
no.1
/
pp.1-12
/
2014
Blocking of fuel filter in aircraft greatly can affect loss of pilot's life and of the aircraft. The investigation of failures is, thus, of vital importance in preventing incidents in advance. The fuel filter of aircraft plays an important role in filtering various debris from jet fuel. It filters impurities smaller than 10 ${\mu}m$ particles from jet fuel provided with the speed of 1,330 pounds per hour. It must be replaced per 500 h on the basis of operating time. However, even before reaching 500 h, the warning sign lighted on due to blocking of fuel filter. Recently, these similar defects have happened repeatedly. Therefore, in this study, the cause of blocking fuel filter in aircraft was investigated using various analytical techniques such as FT-IR microscopy, FE-SEM/EDS, and total sulfur determinator. Consequently, the blocking material of fuel filter was identified to an accelerator from the integral fuel tank sealant. And a mechanism for the formation of the blocking material of fuel filter by an accelerator blooming phenomenon in fuel tank was suggested.
Currently, road mobility improved from the National Road Improvement. Nevertheless delineation system is facility that enhanced driver's safety, that was set up often inconsistent or nonexistent over the road exit ramp So it judged functional investigation will be necessary. This study suggested setting type of the delineation system. That was based on a field study and reviews the legal standard of it and considering driver's cognition behavior. For the study, make a 3D-simulation and so could objectively a comparative test. Comparison variable between delineation setting type is selected conspicuity and visibility. Cased that illustrated characteristics of driver's visual cognition behavior. The experiment was used Eye Marker Recorder for measure the gaze frequency more quantitatively and objectively. And used the ANOVA analysis for significance testing between delineation setting type. A significant percent of the conspicuity analyzed types(Safe mark, Obstacle Sign, Warning Light, and Tubular Maker) in road exit ramp for recognize. And gaze frequency that measure of effectiveness of visibility are measured. On the analysis result, the visibility was significance difference between delineation setting type and visibility of types was best.
This paper analyzes shaping of the discourse of "avoidance of S&T" throughout 2002 in Korea and main ideas on it and argues that the Korean S&T community is not homogeneous. The Korean S&T community consists of many subgroups with different interest mainly according to the institutions where they work as well as their specialties, qualifications, and tasks. The discourse of avoidance of S&T" was begun with the first notice of the rapid decrease in applications of Korean SAT for S&T majors in the middle of 2001. The decrease was interpreted as a warning sign of the avoidance of S&T among teenagers and developed into the avalanche of discussions on the causes of such rapid decrease around the end of the year. However, through 2002, the "avoidance of S&T' was developed into a general policy agenda covering most of problems in S&T, not just a teenagers' issue any more. Many scientists and engineers claimed that their own difficulties and problems be the main causes of the "avoidance of S&T". In the name of measures to overcome the avoidance, they requested the government to solve their problems and to accept their demands. Those claims varied from group to group. Some of them were shared among all scientists and engineers; some of them were criticized by other groups with different interest in it; some of them did not get any attention of other groups. Scientists and engineers seemed to have no idea on cooperative strategy to draw positive response to their requests from the government.
The expectoration of blood is always a fearful experience for the patient and a matter of grave concern to the attending physician, because it may be the warning sign of serious diseases. When such bleeding occurs, the possibility of its being due to pulmonary tuberculosis, bronchiectasis or carcinoma of the lung is promptly suggested. Nowadays, with the advance of modern diagnostic studies, differential diagnosis has become possible for the hemoptysis patients to have appropriate treatment. This evaluation is based on the review of 75 cases of patients whom we performed emergency open thoracotomies for 6 years from March 1992 to February 1997 in the Department of Thoracic and Cardiovascular Surgery, Seoul Adventist Hospital. The mean age of the patients was 36.6 years old with a range from 19 to 68, and most prevalent age group was thirties. The most common underlying lung disease causin hemoptysis was tuberculosis(44%). Most accurate diagnostic study was bronchoscopy during hemoptysis(95 Vo) and right middle & lower lobe(17.3%) was the most common site of lesion. Lobectomy(50%) was the most frequent operative method and recurrent hemoptysis(31.6%) was the most common postoperative complication. But most of the patients(82.6%) were completely recovered by surgical treatment. Now we concluded that the proper management of hemoptysis was completed by surgical approach with definite diagnosis and supportive medication.
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