• Title/Summary/Keyword: 기구

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수그러졌던 결핵 다시 살아난다 - (3)중국보건당국 결핵퇴치 총력전

  • 대한결핵협회
    • 보건세계
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    • v.40 no.8 s.444
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    • pp.4-5
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    • 1993
  • 중국보건부는 1992년 세계보건기구와 세계은행으로부터 5천5백만 달러의 무상원조를 받아 약품, 진단기구, 의료요원 훈련비로 배정하여, 현재 결핵발병률 10만명당 156명을 2000년대에는 70명 수준으로 낮추는 계획을 추진하고 있다. 그러나 실제 중국의 많은 사람들이 의료관계자의 관심밖에 살고 있으며, 불규칙한 투약으로 내성결핵환자가 늘고 있어서 중국정부는 결핵퇴치에 총력을 기울여야 성공할 것으로 전망하고 있다.

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Private Security Guards as Safety Organizations (안전 기구로서의 민간경호·경비)

  • Jeong, Jae-Woong;Kim, Eun-Jung
    • Proceedings of the Korean Society of Disaster Information Conference
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    • 2023.11a
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    • pp.333-334
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    • 2023
  • 민간경호·경비는 현대 사회에서 점점 중요한 역할을 하고 있는 안전 기구 중 하나로 간주 된다. 이 연구는 민간경호경비의 역할과 중요성, 그리고 관련된 주요 이슈와 함께 이 분야에 대한 개요를 제공한다.

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Arthroscopic Meniscal Repair with Bioabsorbable Devices (생체 흡수성 기구를 이용한 반월상 연골 봉합술)

  • Kim Jong Soon;Shin Kyoo Seog;Lee Dong Hwa;Sok Jin Ho;Park Sang Hwan;Heo Jeong Kuk
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.150-155
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    • 2002
  • Purpose : The purpose of this study was to evaluate the clinical results of meniscal repair using the bioabsorbable devices. Materials and Methods : From 1998, 21 meniscal repairs were underwent using the bioabsorbable devices and followed more than 1 year. The Meniscus $Arrow^{\circledR}$(Bionx) and the Meniscal $Fastener^{\circledR}$(Mitek) had been applied. The indication for meniscus refixation was an unstable longitudinal tear in the posterior horn of the medial or lateral meniscus. Concurrent ACL reconstruction with meniscal repair was performed on 9 knees. The clinical result was evaluated using Lysholm knee score. Result : The average Lysholm knee scores for all patients improved from 56 preoperatively, to 89 postoperatively. The type of the device were not significantly related to clinical outcome or Lysholm knee score. But the concurrent ACL reconstruction group and the patients treated within 8 weeks had better clinical result than the others. Conclusion : The all-inside meniscal repair technique using bioabsorbable devices can be considered to be an useful method in the well selected patients and concurrent ACL reconstruction surgery.

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Design Optimization for Kinematic Characteristics of Automotive Suspension considering Constraints (구속조건을 고려한 자동차 현가장치 기구특성의 최적설계)

  • Lee, Chang-Ro;Kim, Hyo-Jun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.306-311
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    • 2017
  • This paper deals with the design optimization of the kinematic characteristics of an automotive suspension system. The kinematic characteristics of the suspension determine the attitude of the wheels, such as the toe and camber, which not only relates to tire wear during driving, but also greatly affects the control of the vehicle and its stability, which corresponds to the motion performance of the vehicle. Therefore, it is very important to determine the characteristics of the suspension mechanism at the initial stage of the design. In this study, a displacement analysis is performed to determine the kinematic properties of the suspension for the McPherson strut suspension. For this purpose, a set of constraint equations for the joints constituting the suspension mechanism was established and a program was developed to solve them. We also used ADS, a design optimization program, to obtain the desired kinematic characteristics of the suspension. As the design variables for optimization, we used the coordinates of the hard points, which are the points of attachment of the suspension to the vehicle body, and are defined as the summation of the toe-in for the up and down movement of the wheel as the objective function. As the constraint functions, the maximum camber angle and minimum roll center height, which are design requirements, are considered. As a result of this study, it was possible to determine the optimal locations of the hard points that satisfy both constraint functions and minimize the change of the toe-in.

Mechanism of Strength Development in Ultra High Strength Concrete Using the Electric Arc Furnace Oxidizing Slag as Fine Aggregate (초고강도 콘크리트에서 전기로 산화 슬래그 잔골재 사용에 의한 강도 증진 기구)

  • Lee, Seung-Heun;Lim, Doo-Sub;Lee, Seung-Hoon;Lee, Joo-Ha
    • Journal of the Korea Concrete Institute
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    • v.25 no.1
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    • pp.3-9
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    • 2013
  • In ultra high strength concrete, when electric arc furnace oxidizing slag is substituted for sea sand as fine aggregate, compressive strength was improved about 15 MPa. To figure out the cause of the improvement in compressive strength, this study considered the dissolution characteristics of Ca component in fine aggregate and examined the microstructure, porosity, microhardness, and Ca/Si mole ratio on the interface of fine aggregate and paste. And to examine the mechanism of strength improvement resulted from the shape of fine aggregate, this study measured the surface roughness of fine aggregate with AFM. According to the result of this experiment, the mechanisms of strength improvement in ultra high strength concrete resulted from the use of electric arc furnace oxidizing slag as fine aggregate can be divided into chemical and physical mechanisms. In the chemical mechanism, the soluble Ca component contained in electric arc furnace oxidizing slag is dissolved and forms a hydrate between fine aggregate and paste to improve the interlocking strength of fine aggregate-paste. Also, it makes the microstructure around the fine aggregate. And in the physical mechanism, electric arc furnace oxidizing slag has a twice greater surface roughness than sea sand, so the interlocking strength between fine aggregate and paste increases, which contributes to the development of compressive strength.

The evaluation of usefulness of the newly manufactured immobilization device (치료보조기구의 제작 및 유용성 평가)

  • Seo Seok Jin;Kim Chan Yoeng;Lee Je Hee;Park Heung Deuk
    • The Journal of Korean Society for Radiation Therapy
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    • v.17 no.1
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    • pp.45-55
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    • 2005
  • Purpose : To evaluate the usefulness of the handmade patient immobilization device and to report the clinical results of it. Materials and methods : We made two fusion images and analyzed those images. One image is made with diagnostic MR image and CT image, the other with therapeutic planning MR image and CT image. With open head holder, we measured the skin dose and attenuation dose. Also, we made the planning CT couch plate with acrylic plate and styrofoam and compared artifact. Results : We could get more accurate fusion image when we use MR head holder(within 2mm error). The skin dose was reduced 2 times and the attenuation dose was reduced more than $20\%$ when open head holder used. The planning CT couch plate was more convenient than conventional board and reduced artifact remarkably. Conclusion : We could verify the localization point in the MR image which is taken with MR head holder. So we could fuse the image more accurately. The same method could be applied to PET and US image, if the alike immobilization device used. With open head holder, the skin dose and the attenuation dose was reduced. And those above devices could substitute for expensive foreign device, if those are manufactured adequately.

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Study on 3D Printer Production of Auxiliary Device for Upper Limb for Medical Imaging Test (의료영상 검사를 위한 상지 보조기구의 3D 프린터 제작 연구)

  • Kim, Hyeong-Gyun;Yoon, Jae-Ho;Choi, Seong-Dae
    • Journal of radiological science and technology
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    • v.38 no.4
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    • pp.389-394
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    • 2015
  • There is a progressive development in the medical imaging technology, especially of descriptive capability for anatomical structure of human body thanks to advancement of information technology and medical devices. But however maintenance of correct posture is essential for the medical imaging checkup on the shoulder joint requiring rotation of the upper limb due to the complexity of human body. In the cases of MRI examination, long duration and fixed posture are critical, as failure to comply with them leads to minimal possibility of reproducibility only with the efforts of the examiner and will of the patient. Thus, this study aimed to develop an auxiliary device that enables rotation of the upper limb as well as fixing it at quantitative angles for medical imaging examination capable of providing diagnostic values. An auxiliary device has been developed based on the results of precedent studies, by designing a 3D model with the CATIA software, an engineering application, and producing it with the 3D printer. The printer is Objet350 Connex from Stratasys, and acrylonitrile- butadiene-styrene(ABS) is used as the material of the device. Dimensions are $120{\times}150{\times}190mm$, with the inner diameter of the handle being 125.9 mm. The auxiliary device has 4 components including the body (outside), handle (inside), fixture terminal and the connection part. The body and handle have the gap of 2.1 mm for smooth rotation, while the 360 degree of scales have been etched on the handle so that the angle required for observation may be recorded per patient for traceability and dual examination.

Study on the Infection Control and Dental waste Disposal in Dental Clinic Located in Seoul City (서울시 치과의원의 진료실 감염관리 및 폐기물 처리 실태 조사연구)

  • Kang, Jae-Kyoung;Kim, Eun-Sook;Kim, Kyung-Mi
    • Journal of dental hygiene science
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    • v.2 no.2
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    • pp.105-113
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    • 2002
  • This study was aimed to investigate the practice on the infection control and dental waste disposal in dental clinic. The data used in this study had been collected in 100 dental clinics located in Seoul city from August to October, 2001. It was shown that examination instruments, oral surgery instruments, and periodontal instruments were almost sterilization in dental clinic. It was high in the recognition of individual protection but it was low in the degree of practice. Therefore, the practice in infection control is very important to dental team for safety of patients and operators.

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Cosmetic Thoracic Sympathectomy for Palmar Hyperhidrosis using 2mm Thoracoscopic Instruments (다한증 환자에서 2 mm 흉강경 기구를 이용한 미용적 교감신경절제술)

  • 성숙환;최용수;조광리;김영태;김주현
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.525-530
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    • 1998
  • Thoracoscopic thoracic sympathectomy for primary palmar hyperhidrosis has been known to be effective and to have cosmetic merits compared to conventional open sympathectomy. In spite of its cosmetic advantages over thoracotomy, VATS using 5 mm or 10 mm instruments still has the problem of operative wound as well as pain on trocar sites. Recently, 2 mm thoracoscopic instruments have been used. The purpose of this study was to examine the results of thoracoscopic sympathectomy for palmar hyperhidrosis with 2 mm thoracoscopic instruments. From January 1997 to April 1997, 46 patients underwent bilateral thoracoscopic sympathectomy with 2mm instruments at Seoul National University Hospital. T-2 ganglion was carefully dissected and resected out in all patients. In one patient, the lower third of T-1 ganglion was inadvertently resected together with T-2 ganglion due to poor anatomical localization. In 4 patients who also complained of excessive axillary sweating, T-3 ganglion was resected as well. The instruments were removed without leaving any chest drain after reexpansion of the lung. Trocar sites were approximated with sterile tapes. All patients were relieved of excessive sweating in their upper extremities immediately after the operation. Nine patients(19.6%) showed incomplete reexpansion of the lung, and two of them required needle aspiration. Complications related to the surgical procedures, such as Horner's syndrome, hemothorax, and brachial plexus injury, were not detected in any cases. Most patientsdid not complaine of pain. All patients were discharged from the hospital on the day of operation. Despite a narrow operative viewfield, thoracic sympathectomy with 2 mm thoracoscopic instruments can be performed without increasing any severe complications. We recommend 2 mm instruments for thoracoscopic sympathectomy because they make as the more cosmetic, less painful, and equally effective compared to thoracoscopic sympathectomy using 5 mm or greater instruments.

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Convergence Study on Sterilized Dental Instruments Expiration Date (멸균된 치과기구의 유효기간에 관한 융합연구)

  • Na, Jae-Gyeong;Park, Hae-Ryeon;Sung, Hye-Lin;Song, In-Ha;Joo, Jung-Hwan;Kang, Kyung-hee
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.129-135
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    • 2018
  • This study aimed to investigate the contamination rate of microorganisms by times after sterilization in mirrors, dental explorers, and pincettes which are the basic tools used in the dental clinic. 60 samples by each tool were used upon packaging them by 10 units. Contamination rate of microorganisms were tested using dry film media(3M Petrifilm Plates) which is a quick check upon collecting 10 samples right after sterilization, at Week 2, 3, 4, 5, and 6. At Week 0 when was right after sterilization, no microorganism was detected in any tools while they were detected in 2 mirrors, 2 dental explorers, and 2 pincettes at Week 6. 2 to 4 colonies on average were detected in mirrors at Week 2 and 4, 1 to 2 colonies in explorers from Week 5, and no colony was found in pincettes until Week 5 but 1 to 2 colonies at Week 6. Based on these results, the needs of effective periods are suggested for the sterilized tools together with their safe usages.