• Title/Summary/Keyword: 둔부

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Knowledge on Cardio-cerebrovascular Disease and Health Behaviors among Middle-aged Postmenopausal Women at Risk (심뇌혈관질환 위험인자를 가진 폐경 중년여성의 질환예방 지식과 건강행위)

  • Kim, Kyung Ae;Hwang, Seon Young
    • Korean Journal of Adult Nursing
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    • v.28 no.4
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    • pp.424-435
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    • 2016
  • Purpose: This study examined knowledge about cardio-cerebrovascular disease (CVD) and its relationship to health behaviors among middle-aged postmenopausal women with CVD risk factors. Methods: The study was a cross-sectional descriptive study. One hundred and thirty-six postmenopausal women were recruited from outpatient departments of four hospitals. The women were $60.69{\pm}6.5$ years old. Self-reported questionnaires were administered, and waist-hip ratios (WHR) were measured. Results: Among the women, 72.8% reported hypertension, 19.1% reported diabetes, 33.8% reported hypercholesterolemia, and 24.2% reported angina pectoris. Moreover, 73.9% of the women reported not knowing of CVD prevention, and only 26.1% reported exercising regularly. A majority of the women (80.9%) had a WHR > 0.85. Multiple linear regression analysis after adjusting for age and marital status indicated that the risk of myocardial infarction and stroke increased (p<.001). Waist-hip ratio${\leq}0.85$ (p=.022) and living with family members (p=.006) were significant predictors of healthier behaviors ($R^2$=0.21, p<.001). Knowledge of CVD and health behaviors were not correlated. Conclusion: Obese women and women who live alone are no more likely to practice health behaviors aimed at CVD prevention than their counterparts in the sample. Education and exercise interventions are needed, especially for obese women, to promote healthy behaviors among middle-aged postmenopausal women with CVD risk factors.

Acute Spinal Epidural Abscess Presenting with Abdominal Pain in a Child (급성복통을 동반한 소아의 척추 경막외 농양 1예)

  • Jeong, Eun Young;Lee, Youn Kyung;Kim, Suck Heon;Kong, Byoung Gu;Kim, Kwang Woo;Park, Young Soo;Kim, Dong Won
    • Pediatric Infection and Vaccine
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    • v.8 no.1
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    • pp.107-113
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    • 2001
  • Spinal epidural abscess(SEA) is a rare condition in children. Classic symptoms are spinal ache, root pain, weakness and paralysis. The earliest symptoms of SEA in the pediatric age group are nonspecific and variable. Early diagnosis may be almost impossible when local spinal pain is inconspicuous or absent, when toxic epiphenomena divert attention from subtle signs of neurologic dysfunction and when the patient is an acutely distressed and uncooperative child. Failure to diagnosis and treat condition on a timely basis may lead to permanent neurolgic dysfunction or even death. This infection, usually located in the dorsal epidural space of the mid thoracic or lower lumbar regions, is the result of hematogenous dissemination of bacteria, usually Staphylococci, from foci of infection in the skin, or respiratory or urinary tracts. MRI was the diagnostic method of choice. A combination of antibiotics and surgical drainage remains the treatment of choice. Prognosis is excellent if surgery is performed before the development of neurologic deficit. We report a case of SEA in a child whose first presenting symptom was abdominal pain rather than spinal pain. A case is diagnosed by MRI and successfully treated with laminectomy and drainage and antibiotics.

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Surgical Treatment of Sacrococcygeal Pilonidal Sinus with the Partial Deepithelized Gluteal Transposition Flap (부분 탈상피화 둔부 전위 피판을 이용한 천미골 털둥지굴의 수술적 치료)

  • Nam, Doo Hyun;Shin, Ho Seong;Park, Eun Soo;Kim, Yong Bae
    • Archives of Plastic Surgery
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    • v.35 no.4
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    • pp.446-449
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    • 2008
  • Purpose: Pilonidal sinus is a frequent disease that occurs mostly in hairy young men, defined as chronic inflammation and infection of the postsacral sinuses. Wide excision of the affected area is the treatment of choice. Many techniques have been described to cover the defect. However none appears to be the ideal procedure to prevent infection, recurrence, and delayed wound healing. We present the results of an alternative technique that we performed by using partial deepithelized gluteal transposition flap for reconstruction of the defect following wide excision. Methods: From October 2004 to September 2007, we performed the partial deepithelized gluteal transposition flap method on 6 patients. We modified the transposition flap techniques by deepithelialising the medial parts of the flap and burying them under the opposing edge of the flap. The results were compared with previous studies and evaluated regarding duration of surgery, size of defect, hospitalization periods, and complications. Results: All the flaps were healed well with no partial or complete loss of the flap. Hospitalization and immobilization periods were acceptably shortened. Recurrence was not seen. The aesthetic outcome was also satisfactory and all patients were satisfied with the results. Conclusion: The main advantage of our techniques is using healthy tissues to obliterate the dead space, to provide an extra-cushion, and to prevent deep dehiscence. We believe that the partial deepithelized gluteal transposition flap is a good alternative method for treatment of pilonidal sinus.

Dynamic Computed Tomographic Characteristics of aColorectal Leiomyoma in a Dog (개에서 발생한 결장 평활근종에 대한 동적 컴퓨터 단층촬영 소견 1례)

  • Park, Noh-Won;Chung, Wook-Hun;Han, Jae-Woong;Eom, Ki-Dong
    • Journal of Veterinary Clinics
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    • v.32 no.2
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    • pp.200-204
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    • 2015
  • A 12-year-old neutered male Shih Tzu presented with constipation and dyschezia. Abdominal radiographs showed distension of the descending colon and dorsal compression of the colon by a soft tissue mass. The mass was well-marginated with homogeneous soft tissue attenuation and showed no evidence of metastasis on computed tomography (CT). The dynamic CT showed a consistently mild contrast enhancement. The perfusion and capillary permeability were lower than those of the gluteal muscle. The tentative imaging diagnosis was a benign intrapelvic tumor, which rarely shows angiogenesis. The mass was excised, and a leiomyoma was confirmed by histopathologic examination.

The analysis of 18F-FDG PET/CT Images According to the Time Flow (시간흐름에 따른 18F-FDG PET/CT의 영상 분석)

  • Lee, Hyo-Yeong
    • Journal of the Korean Society of Radiology
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    • v.6 no.1
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    • pp.47-51
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    • 2012
  • PET/CT is taken 1 hour after $^{18}F$-FDG(F-18-fluoro-2-deoxy-D-glucose) injection. However, these would be often delayed for more than 2 or 3 hours due to equipment fault or unexpected situation. In the study, SUV(standardized uptake value) were measured from got image over time according to the parts of the body. As a result, there were great and small decrease in liver(middle of the right hepatic lobe), fat(Lt pelvis), lung (Rt upper lobe), aorta(ascending aorta level) of the body in delayed image, and ${\Delta}$SUVmax was increase of 37% in bone only(L5 vertebral body) of the body. ${\Delta}$SUVmax was increase of 37.6% in lesion, and the contrast degree was greater because of uptake increase in lesion and uptake decrease in the normal body.

A Study of Women's Costume in the later Choson based on the Pansori Novel and Genre Paintings (판소리 소설과 풍속화를 중심으로 본 조선후기 여자복식의 풍속연구)

  • Kim, Hye-Young
    • The Journal of Natural Sciences
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    • v.8 no.2
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    • pp.257-287
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    • 1996
  • The late period of Choson was the renaissance of the modern literature and art of the 'common-people'. Appearance of the common-people class following the emergence of such literature and art highlighted the common costume culture and evoked a fashion. The common trend of fashion of all classes at that time included a exaggerated hair style, a jacket short and tight enough to expose the breasts, a belt looking like a sensual silhouette of a woman body were expressed. Appreciating the human body could be regarded as some social advances at that age, when all the woman's clothing behaviors were restricted and controlled by the Confucian rules. Although eroticism itself is quite dependent on the basic instinct of a human being, this way of expressing eroticism had a social significance, in that women tried to be freed from the long-lasting social bondage. Therefore, the erotic mode during the late half of Choson reflected the society as well the women's repression. In addition, was the disclosure of humanity shadowed by the crusts of the hypocritical and superficial Confucian morality. It implied advances and modernity of the literature and art of the common-people at that time.

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A proposal of the Optimal Angle of Standing Assistant Chair for the Elderly by Comparing of Pressure Distribution on Hip (둔부의 압력분포 비교를 이용한 고령자용 기립보조의자의 기립 최적각도 제안)

  • Chang, Sung-Ho;Baek, Ji-Hoon;Lee, Jung-Eon;Mirazamjon, Nematov;Kang, Seok-Wan;Lee, Wang-Bum
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.41 no.3
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    • pp.108-114
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    • 2018
  • One of the most performed action in daily life is standing up from sitting position. As the population of the world is aging at the high rates, people may face problems with reduced muscle strength as well as psychological changes. This can lead elderly people having difficulties with standing up from chair. Now, with the aging trend worldwide, products are being developed that can support the lives of the elderly. This study examines the distribution of hip pressure in relation to the seating positions of the standing assistance seats under development to prevent standing up accidents in older adults. The currently developing standing assistant chair designed to tilt to a maximum angle of 25 degrees. At over $25^{\circ}$, design considers that older people are at risk of thrown back out of that force and that the forces exerted on their arms and legs can be a significant burden to older people. By considering danger of higher than $25^{\circ}$ for older people which is experimented in the basis of static capturing approach in previous papers, it is experimented people with age group of 20~60 on $0^{\circ}$ to $25^{\circ}$ tilting angle on the basis of dynamic capturing method in order to pick convenient angle of inclination. Moreover, tried to find the optimum angle by comparing the hip pressure distribution when seated at the edge of the seat and at the center of the seat with the pressure distribution sensor.

Effects of the Hip Internal Rotation Gait on Gluteal and Erector Spinae Muscle Activity (고관절 내회전 보행이 둔부 근육과 척추 기립근의 근활성도에 미치는 영향)

  • Kwon, Oh-Yun;Won, Jong-Hyuck;Oh, Jae-Seop;Lee, Won-Hwee;Kim, Soo-Jung
    • Physical Therapy Korea
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    • v.13 no.1
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    • pp.24-31
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    • 2006
  • The purpose of this study was to identify the effect of the hip internal rotation on gluteal and erector spinae muscle electromyographic (EMG) activity during treadmill walking. Eleven healthy subjects were recruited. All subjects performed treadmill walking while maintaining the hip in neutral position (condition 1) and in internal rotation (condition 2). Surface EMG activity was recorded from four muscles (gluteus maximus (GM), gluteus medius (GMED), tensor fascia latae (TFL), and erector spinae (ES)) and the hip internal rotation angle was measured using a three dimensional motion analysis system. The gait cycle was determined with two foot switches, and stance phase was normalized as 100% stance phase (SP) for each condition using the MatLab 7.0 program. The normalized EMG activities according to the hip rotation (neutral or internal rotation) were compared using a paired t-test. During the entire SP of treadmill walking, the EMG activities of GM in condition 1 were significantly greater than in condition 2 (p<.05). The EMG activities of TFL and ES in condition 2 were significantly greater than in condition 1 (p<.05). The EMG activities of the GMED in condition 1 were significantly greater than in condition 1 (p>.05) except for 80~100% SP. Further studies need randomized control trials regarding the effect of hip internal rotation on the hip and lumbar spine muscle activity. Kinetic variables during gait or going up and down stairs are also needed.

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Various Designs of Gluteal Artery Perforator Flap for Buttock Reconstruction (둔부재건을 위한 천공지피판의 다양한 도안)

  • Hong, Seung Eun;Pyon, Jai Kyong
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.197-202
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    • 2007
  • Purpose: The gluteal artery perforator flaps earned its popularity in buttock reconstruction due to the lower morbidity of the donor site and the flexibility in the design. Speedy and safe reconstruction is important for the success of buttock reconstruction. If a proper design is selected, satisfactory results can be obtained with more simple method of surgery. Methods: Between April 2005 and April 2006, buttock reconstruction by using gluteal artery perforator flaps were performed on sacral sores(6 cases), ischial sores(2 cases) and malignant melanoma on buttock(1 case). Various designs depending on the location and the size of the defect was made. In those designs, perforator was used as an axis for the minimal dissection of the vessel. Donor site from which sufficient amount of soft tissue can be transferred was selected, and also not causing high tension against the recipient site during the donor site closure. In addition, postoperative aesthetics, and the possibility of another design of a second operation which can be necessary in the future, was considered. Results: Patient follow up was for a mean period of 10.8 months. All flaps survived except for one that had undergone partial necrosis. Wound dehiscence was observed in one patient treated by secondary closure. Most patients presented with cosmetically and functionally satisfying results Conclusion: By designing the flap using the perforator as an axis, depending on the defect size and degree, reconstruction can be performed with only a small tension to the donor and the recipient site. And the minimal perforator dissection allowed easier and faster reconstruction. Selection of a proper design is the key procedure which greatly affects operation time and result success.

Conservation of Seated Iron Śākyamuni Buddha Statue from Goryeo Dynasty (고려(高麗) 철제석가여래좌상(鐵製釋迦如來坐像)의 보존)

  • Huh, Ilkwon;Yoo, Jayoung
    • Conservation Science in Museum
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    • v.11
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    • pp.9-16
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    • 2010
  • The National Chuncheon Museum has carried out a conservation process in order to prevent corrosion of the seated iron Śākyamuni Buddha statue from Goreyo Dysnasty for its exhibition. Before the conservation process, the surface of the artifact showed exfoliation and the artifact was damaged from rear to legs so exhibition was impossible. Therefore a process to get rid of pollution and to reinforce and protect the artifact was carried out. Before the reinforcing process, a basic test was carried out using micro crystalline wax type with reference to foreign and domestic experiment results. As a result, as wax(in xylene) 5wt% of Dongnam petrochemical Ltd. showed no efflorescence and little change in surface color and was convenient to use, it was chosen as a reinforcing agent and used to suppress corrosion. For the restoration of damaged parts, an internal support was made and used with an epoxy resin, allowing removable restoration, thus increasing effectiveness for exhibition.