• Title/Summary/Keyword: 근 손상

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A Study of Occurrence of Secondary Complications and Chronic Diseases due to Aging of Spinal Cord Injury (척수손상환자의 고령화에 따른 2차합병증 발생과 만성질환발병에 관한 연구)

  • Min, Yeo Jin;Kim, Jong Bae
    • 재활복지
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    • v.22 no.4
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    • pp.83-102
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    • 2018
  • The purpose of this study is to provide basic data for effective management and prevention of chronic diseases and secondary complications as elderly spinal cord injuries(SCI). The subjects were 200 spinal cord injuries admitted to S hospital from April, 2013 to April, 2018. We investigated the occurrence of chronic diseases and secondary complication through medical records. The results showed that SCI were affected chronic diseases and secondary complications over 50years. The prevalence of chronic diseases and secondary complications over 50 years of age had the odds ratio 11.8 times higher in hypertension and 6.7 times diabetes mellitus. Secondary complications had the odds ratio Osteoporosis 7.5 times, Pneumonia 5.2 times, and central pain 0.4 times. We suggest that continuous management and service of chronic diseases and secondary complications of elderly SCI are necessary. It will be necessary to expand the target population and to study various characteristics including.

Surgical Treatment of Traumatic Rupture of Thoracic Aorta (외상성 흉부대동맥 파열 수술)

  • Hahm, Shee-Young;Choo, Suk-Jung;Song, Hyun;Lee, Jae-Won;Song, Meong-Gun
    • Journal of Chest Surgery
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    • v.37 no.9
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    • pp.774-780
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    • 2004
  • Although traumatic thoracic aortic rupture is potentially a fatal condition requiring surgical attention, the presence of concomitant injury involving other parts of the body may greatly increase the risk of cardio-pulmonary bypass. We report our experience of treating associated injuries prior to the thoracic aortic rupture in these patients. Material and Method: From 1997 to 2003, the medical records of 24 traumatic aortic rupture patients were retrospectively reviewed and checked for the presence of associated injury, surgical method, postoperative course, and complications. Surgical technique comprised thoracotomy with proximal anastomosis under deep hypothermic circulatory arrest followed by side arm perfusion to reestablish cerebral circulation. CSF drainage was performed to prevent lower extremity paraplegia. Result: Major concomitant injuries (n=83) were noted in all of the reviewed patients, Of these, there were 49 thoracic injuries, 18 musculoskeletal injuries, and 13 abdominal injuries, Operations for associated injuries (n=16) were performed in 12 patients on mean 7.6$\pm$12.6 days following the injury. The diagnosis of aortic rupture at the time of injury was detected in only 18 patients. Delayed surgery of the thoracic aorta was performed on average 695$\pm$1350 days after injury and there were no deaths or progression of rupture in any of these patients during the observation period. There were no operative deaths and no major postoperative complications. Conclusion: Treating concomitant major injuries prior to the aortic injury in traumatic aortic rupture may reduce surgical mortality and morbidity.

The Combined Effect of Concrete Environment and High Temperature on Interlaminar Shear Strength of FRP Reinforcement (콘크리트 환경과 고온의 복합환경이 FRP 보강근의 계면전단성능에 미치는 영향)

  • Moon, Do-Young;Oh, Hong-Seob
    • Journal of the Korea Concrete Institute
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    • v.23 no.6
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    • pp.749-756
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    • 2011
  • Most experimental studies on durability of FRP reinforcements subjected to high temperature have focused on the effect of high temperature only on tensile properties. But FRP reinforcement used in newly constructed concrete structure is first degraded by moisture and alkaline environment of concrete. When the structure is subjected to fire, the degraded FRP reinforcement is exposed to high temperature. Therefore, the effects of concrete environment and high temperature should be simultaneously considered for evaluation of FRP reinforcement damaged by fire. In this study, FRP reinforcements submerged in simulated solutions of pH 12.3 and 7 for extended period of time were subjected to temperatures of $60^{\circ}C$, $100^{\circ}C$, $150^{\circ}C$, and $300^{\circ}C$ to be examined. In order to investigate the effect of the high temperature, interlaminar shear strengths were measured and compared to those of control ones. The experimental results demonstrated that the combined effect of concrete environment and high temperature on properties of FRP reinforcement was more significant than the effect of high temperature or concrete environment solely.

The Optimum Conditions for Induction of Ginseng Hairy Roots (인삼 모상근 유도를 위한 최적 조건)

  • 양덕춘;김용해;양덕조;신성련;최광태
    • Korean Journal of Plant Resources
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    • v.12 no.1
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    • pp.1-9
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    • 1999
  • The experiments were carried out to determine the optimum conditions for the induction of hairy roots in ginseng(Panax ginseng C.A. Meyer) by Agrobacterium spp. We were examined the antibiotics resistance of Agrobacterium spp and various ginseng parts, and the media for induction of hairy roots. The optimum concentration of NaOCl for sterilization of ginseng root segments without tissue damage with reduce of contamination was 7% NaOCl for 15-20 min and 9% NaOCl for 5 min, respectively. The more ginseng ages, the more contamination of ginseng root segment by sterilized in 7% NaOCl for 20 min, and especially in ginseng root segments with epidermis in six-year old roots. The growth of Agrobacterium spp were inhibited, but ginseng root segments was death in 30mg/L tetracycline. In 500mg/L cefotaxime or 500mg/L carbenicillin, the growth of Agrobacterium sup were inhibited, and root segments was grown normally. The optimum conditions for induction of hairy roots were using the root segments of three-year old ginseng cultured in 1/2MS medium supplemented with 500mg/L cefotaxime, and inoculation of Agrobacterium to root segments were better co-culture than smear method. After 2 weeks co-culture, the callus induced in cambium of root segments cultured in 1/2MS solid medium with 500mg/L cefotaxime. And then after 2 weeks, ginseng hairy roots were induced in callus of root segments. PCR analysis of rot C gene fragment confirmed that hairy roots were transgenic tissues.

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The Rare Causes of Rhabdomyolysis; Parainfluenza Virus type I Infection and Hypernatremia (드문 원인에 의한 횡문근융해증; 제 1형 파라인플루엔자 감염과 고나트륨혈증 각 1례)

  • Park, Sook-Hyun;Hwang, Young-Ju;Cho, Min-Hyun;Ko, Cheol-Woo
    • Childhood Kidney Diseases
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    • v.13 no.2
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    • pp.261-266
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    • 2009
  • Rhabdomyolysis, the clinical syndrome caused by the injury to skeletal muscle resulting in the release of muscle cell contents into the systemic circulation, has been described in association with various factors. The causes include crush injury, skeletal muscle overuse, heat, drug, abuse of alcohols and metabolic disorders as well as several types of viral and bacterial infections. We report two cases of rhabdomyolysis, which were complicated by uncommon causes, parainfluenza virus type I infection and hypernatremia.

Influence of External Pressure to Abdominal Area on Abdominal and Lumbar Muscle Fatigue Index During Upper Extremity Exercise: A Pilot Study (상지운동 시 복부에 적용된 외부압력이 요부와 복부 근육 피로지수에 미치는 영향)

  • Ko, Eun-Hye;Cynn, Heon-Seock;Choi, Houng-Sik
    • Physical Therapy Korea
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    • v.10 no.4
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    • pp.23-31
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    • 2003
  • 본 연구는 상지운동 동안에 복부에 적용된 압력이 요부와 복부의 근피로도에 미치는 영향을 알아보았다. 연구대상자는 성인 남자 5명이었다. 연구대상자가 10 repetitions maximun (RM) 무게의 아령을 이용하여 1분 동안 상지운동을 수행 시 0 mmHg, 저압(30 mmHg), 중압(70 mmHg), 고압(100 mmHg)의 외부 압력이 복부에 적용되었고, 복직근, 외복사근, 내복사근, 척추기립근에서 근전도 자료가 수집되었다. 주파수 분석을 통하여 적용된 압력에 따라 각각의 근육에서 초기 10초 구간과 말기 10초 구간의 중앙주파수로 피로지수를 측정하였다. 통계학적 분석방법은 반복측정된 이요인 분산분석 ($4{\times}4$)과 사후검정을 이용하였다. 그 결과 압력의 차이에 의한 주효과가 나타났으며, 사후검정결과 0 mmHg 압력에 비해 30 mmHg, 100 mmHg에서 각각 피로지수가 유의하게 낮았다(p=.04, p=.015). 본 연구의 결과를 통하여 복부에 적용된 압력 (30 mmHg, 100 mmHg)이 근육의 피로도를 감소시킬 수 있음이 나타났다. 요부벨트를 이용하여 작업을 수행할 때, 고유수용성 감각 입력을 증가시키고 재손상을 방지하는 목적이외에도 근피로도를 감소시킬 수 있다는 가능성을 알 수 있었다.

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Knee Injury In Soccer Play (축구경기시의 무릎손상)

  • Lee, Dong-Chul;Bae, Sang-Keun;Shon, Oog-Jin
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.141-146
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    • 2006
  • Purpose: This study was performed to analyze the mechanism and type of knee injury during soccer game and to evaluate the functional recovery after treatment. Materials and Methods: From October 2002 to January 2005, 49 patients were treated surgically. Mean age was 28.8 (8-36) years old, mean follow-up duration was 14.9 (8-36) months. Injury was evaluated by physical examination, radiography, and arthroscopic finding. Clinical results were evaluated with Lysholm score and Tegner activity score. Results: According to classification of the ligament injury, the incidence of single ACL injury was the most frequent and 27 cases. Injuries took place, in 2nd half of the games, and in the winter. Among the mechanism of injury, turn & twisting was 20 cases and the most frequent. The preoperative Lysholm score, Tegner activity score were 45, 2 and those of last follow-up were 87.6, 6, respectively. Conclusion: The recovery of Lysholm and Tegner activity score were good, but the sports activity was clearly decreased alter injury. It was suggested that appropriate physical & psychological rehabilitation and education were inevitable.

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Electrophysiological Changes after Low-Power Infrared Laser Irradiation on Injured Rat Sciatic Nerves (손상된 흰쥐의 좌골신경에 저출력 레이저 조사후 전기생리학적 변화)

  • Bae Chun-Sik;Shin Soo-Beom;Kim Kweon-Young
    • Journal of Life Science
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    • v.16 no.1
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    • pp.114-119
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    • 2006
  • The purpose of this study was to determine effects of the Ga-As (Gallium-Arsenide) Dens-Bio laser on mechanically injured sciatic nerves of rats. The improvement of the injured rat sciatic nerve was evaluated by measuring of nerve conduction velocity and amplitude of compound muscle action potential. The sciatic nerves of forty male Sprague-Dawley rats were compressed with hemostatic forceps for 30 seconds. The experimental group was divided into 4 subgroups according to the duration of treatment. Lower power infrared laser irradiation was done transcutaneously to the injured sciatic nerve area, 3 minutes daily to each of four treatment groups for 1, 3, 5, and 7 weeks, respectively. Compound muscle action potential and nerve conduction velocity of sciatic nerve were obtained before nerve injury and at 1, 3, 5, and 7 weeks after injury. There were significant difference of the nerve conduction velocity and amplitudes of compound muscle action potential between the treatment group and non-treatment group at 1, 3, and 5 weeks after laser treatment. However, there were no differences found between the electrophysiologic parameters that were measured after 7 weeks in two groups. There was significant correlation between the increment of compound muscle action potential and nerve conduction velocity after time course according to laser treatment. In conclusion, the low power laser treatment had improved the sciatic nerve function, and therefore these results may provide the basic data to clarify the neurological recovery and treatment after incomplete peripheral nerve injury.

A Study on the Condensation Prevention of Bulk Carrier (화물선의 결로 방지에 대한 연구)

  • Oh, Sae-Gin;Kim, Won-Ouk;Kim, Seung-Hwan;Lee, Seung-Geun;Kim, Jong-Su
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.17 no.4
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    • pp.429-434
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    • 2011
  • Bulk cargo loaded into ship can be damaged by various kinds reasons. This paper aims to analyze about cargo damage of coil carrier ship due to condensation. Condensation is the formation of liquid drops of water from water vapor. Condensation consists of small drops of water which form when warm water vapour or steam touches a cold surface such as a window. In general, condensation have occurred by temperature difference at large building and ship's tank. It is phenomenon that can occur often to oceangoing vessel moving temperature difference places in similar time. This paper proposes a new method using dehumidification device and fan heater to prevent bulk cargo damage of coil carrier ship from condensation.

Analysis of Neurophysiological Approaches to the Intervention of Hemiplegia (편마비 중재에 신경생리학적 접근기법의 분석)

  • Shin, Hong-Cheul;Kang, Jung-Koo;Hwang, Hwan-Ick;Oh, Jeong-Guk
    • Journal of Korean Physical Therapy Science
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    • v.7 no.2
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    • pp.427-437
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    • 2000
  • 편마비 환자의 물리치료는 장애 결과를 완화시키는 것에 초점을 두고 있다. 본 연구는 신경생리학적 개념을 기초로 한 중재 접근 방법 중 편마비 환자에게 신경 발달 치료와 신경근 균형 접근 기법의 중재 효과를 비교 하였다. 연구 대상은 서울특별시와 전라북도에 소재한 종합병원 및 정형외과 의원에 입원 및 통원하고 있는 47-71세의 연령 범위에 있는 편마비 환자 30명 이다. 중재 집단의 기능적 능력 향상을 평가하기 위해 편마비 환자를 위한 운동 평가 척도와 수정된 바델 척도를 평가도구로 사용하였다. 편마비 환자의 기능적 능력 향성을 평가도구에 의해 측정된 결과를 분석한 바 운동평가 척도 항목중 바로누운 자세에서 옆으로 눕기와 앉아서 균형 취하기 영역에서, 수정된 바델 척도 항목 중 식사하기 영역에서 통계적으로 유의한 차이를 보였다(P<.05). 편마비 환자의 손상 부위, 손상 형태, 마비 부위 등의 손상의 본질에 따른 대상의 선정과 운동 조절 형태에 관한 지식 그리고 신경학적 결함 정도를 심도있게 다루어 기능적 능력 향상의 임상적 효과를 검증하는 것이 중요하다.

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