• Title/Summary/Keyword: 미온

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Clinical Experiences of Continuous Tepid Blood Cardioplegia; Valvular Heart Surgery (미온혈 심정지액의 임상적 고찰)

  • 이종국;박승일;조재민;원준호;박묘식
    • Journal of Chest Surgery
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    • v.32 no.2
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    • pp.130-137
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    • 1999
  • Background: In cardiac surgery, hypothermia is associated with a number of major disadvantage, including its detrimental effects on enzymatic function, energy generation and cellular integrity. Warm cardioplegia with normothermic cardiopulmonary bypass cause three times more incidence of permanent neurologic deficits than the cold crystalloid cardioplegia with hypothermic cardiopulmonary bypass. Interruptions or inadequate distribution of warm cardioplegia may induce anaerobic metabolism and warm ischemic injury. To avoid these problems, tepid blood cardioplegia was recently introduced. Material and Method: To evaluate whether continuous tepid blood cardioplegia is beneficial in clinical practice during valvular surgery, we studied two groups of patients matched by numbers and clinical characteristics. Warm group(37$^{\circ}C$) consisted of 18 patients who underwent valvular surgery with continuous warm blood cardioplegia. Tepid group(32$^{\circ}C$) consisted of 17 patients who underwent valvular surgery with continuous tepid blood cardioplegia. Result: Heartbeat in 100% of the patients receiving continuous warm blood cardioplegia and 88.2% of the patients receiving continuous tepid blood cardioplegia converted to normal sinus rhythm spontaneously after removal of the aortic cross clamp. There were no differences between these two groups in CPB time, ACC time, the amount of crystalloid cardioplegia used and peak level of potassium. During the operation, the total amount of urine output was more in the warm group than the tepid group(2372${\pm}$243 ml versus 1535${\pm}$130 ml, p<0.01). There were no differences between the two groups in troponin T level measured 1hr and 12hrs after the operation. Conclusion: Continuous tepid blood cardioplegia is as safe and effective as continuous warm blood cardioplegia undergoing cardiac valve surgery in myocardial protection.

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Evaluation Method of Traffic Noise in Urban Residential Area (도시주거지역 도로교통소음의 평가방법에 관한 고찰)

  • Kook, Chan;Chang, Gil-Soo;Chung, Kwang-Youn;Kim, Sun-Woo
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 1991.04a
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    • pp.53-56
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    • 1991
  • 산업구조의 급속한 발전과 공업화는 사회구조의 변화 및 대도시로의 인구집 중, 고밀도화, 교통량의 증가를 초래하여 이로부터 기인한 도시지역의 환경 오염 문제는 쾌적한 인간생활을 위협하는 단계에까지 이르렀다. 그중에서 소 음에 관한 문제도 대기 및 수질의 오염과 동시에 도시생활 환경에 많은 영 향을 미치게 되었다. 도시 소음의 주 원인은 주로 도로교통소음이며 이는 기 하급수적으로 늘어가는 자동차의 양에 의해 더욱 심해지고 있다. 따라서 현 재 우리나라에서도 주거지역 및 준주거지역 등의 지역별 소음도 규제 및 신 설되는 공동주택 단지에서의 소음레벨규제등이 있긴 하나 이들은 상당히 소 극적이며 미온적일 뿐 아니라 실제 거주하는 주민들의 반응과는 상당한 차 이를 보이고 있으며 더욱이 주민의 소음에 대한 주관적 반응을 적절히 표현 할 수 있는 지표마저 명확하지 않은 실정이다. 이러한 관점에서 본 고찰에서 는 피험자들의 주관적 반응을 실험할 때 발생하는 변수요인들을 통제 할 수 있는 실험 실시행 청감실험을 실시하기에 앞서 대상지역의 도로교통소음을 여러가지 평가척도에 의해 평가한 후 그 현장에서 이 소음에 노출된 피험자 들의 반응을 파악하여 청취자들이 인지하는 소음레벨을 적절히 평가하는 지 표를 찾고자 한다.

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Case Report of Ataxia, Gait Disturbance, Tremor, and Dizziness with Cerebellar Atrophy Treated by Korean Traditional Medicine, Including Kuibiondam-tang-gami (귀비온담탕가미방을 포함한 복합적 한방치료로 호전된 소뇌위축증으로 인한 운동실조, 보행장애, 떨림 및 현훈 증상의 한의학적 경험증례 : 귀미온담탕가미방의 소뇌위축증에대한 효과)

  • An, Yu-min;Lee, Yoo-na;Kim, Jun-seok;Jang, Woo-seok
    • The Journal of Internal Korean Medicine
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    • v.42 no.2
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    • pp.165-174
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    • 2021
  • This study reported on the effect of traditional Korean medicine on ataxia, gait disturbance, tremor, and dizziness with cerebellar atrophy. The patient was treated with traditional Korean medicines, such as acupuncture, moxibustion, and herbal medicine (Kuibiondam-tang-gami). The effectiveness of the treatment was evaluated with the scale for the assessment and rating of ataxia (SARA). After treatment, the symptoms had improved. The SARA score decreased by 18 points after Korean medicine treatment. According to this study, traditional Korean medicine can be effective to treat ataxia, gait disturbance, tremor, and dizziness in patients with cerebellar atrophy.

Study on Relating a Government Support to the Private Forest Management - The Case Study of Private Forest Owners in Kangwon Region - (산주의 산림투자 인식에 관한 연구 - 강원도지역을 중심으로 -)

  • Seo, Yeong-Wan;Choi, Jong-Cheon
    • Journal of Forest and Environmental Science
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    • v.16 no.1
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    • pp.105-118
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    • 2000
  • The study is focused on comparing the perception of forest investment by two types of forest owners, ordinary forest owners (OFOs) and forestry successors and model forest owners(FSMFOs). The results show that FSMFOs' perception of forest investment is relatively high compared with OFOs' perception. The details are as follows; 1. In the general status, the education and income levels of FSMFOs are higher than those of OFOs, and FSMFOs are engaged in various kinds of jobs while OFOs are inclined to lean toward farming. 2. Of the motives to own forests, partial-purchase and -inheritance is the most of FSMFOs(41.2%) and inheritance the most of OFOs(40.9%) 3. The number of FSMFOs who had made forest investment and applied government support is more than that of OFOs. 4. FSMFOs know government support better than OFOs do, while both show lukewarmness on weather the support is carried out according to the rules.

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Development of Infrastructure automatic alert populating system in Geotechincal Monitoring field (지반 분야에서의 시설물 안전위험 자동화 상황전파 시스템 개발)

  • Jung, Jea-Hyen;Kim, Yong-Su;Han, Sang-Jea
    • Proceedings of the Korean Geotechical Society Conference
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    • 2010.03a
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    • pp.933-939
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    • 2010
  • Gathering information and systemization of infrastructure disaster management is to reduce uncertainties in making decisions and maximize the number of alternations for reasonable decision making. The key object is the progress report & propagation automation system based on sensors, which is major for providing objective data to realize and support decision makings and delivering decision to a certain area, department, manager and other people rapidly. Collecting, reviewing and database of existing progress report & propagation manual in order to achieve networking of safety management on major social infrastructure of the nation, materialization of field-oriented intelligent business process by developing mobile safety management command transmission device and integrating it into facility safety management network.

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수의학강좌 - 환경분쟁(소음.진동.먼지 등)으로 인한 가축피해에 미치는 영향과 최근 배상액 산정기준

  • Ryu, Il-Seon
    • Journal of the korean veterinary medical association
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    • v.46 no.4
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    • pp.342-362
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    • 2010
  • 최근 국내의 각종 공사장부근에서 일어나는 가축에 대한 환경분쟁(소음, 진동, 먼지 등)피해를 호소하는 농가가 지속적으로 늘고 있으나, 피해 농가의 피해를 입증할 수 있는 객관적인 자료가 부족한데 따라 보고서를 작성하는 데 여간 어려웠던 적이 한, 두번이 아님에 많은 아쉬움을 가졌다. 각종 공사로 인해 가축 사육 장소인 목장(농장)내 도로개설 및 관통으로 인한 목장의 지속여부, 겨울철 수렵시기에 총성으로 인한 한우 성장지연, 육질 저하 등에 미치는 영향, 태양광 발전소가 축사 인근에 있어 사육 한우가 성장지연 등의 피해를 호소하는 농가가 있으나, 이에 대한 관련 연구자들의 많은 연구가 이뤄졌으면 한다. 그런 가운데서 우리 임상수의사들의 관련 자료나 정보를 입수하여 보다 적극적으로 대처하여 피해 축산농가들에 대한 보상에 도움을 줘야 하나, 피해 목장내 사육가축의 진단서나 소견서등 발부요청에 미온적이거나 회피하는 경우들을 적잖게 목도를 하고 실망감을 감출 수가 없었다. 진단서 등의 각 항목의 기재 내용의 누락, 여러 마리를 한 장(1두 1매 원칙)에 작성한다거나 유 사 조산시 정확한 월(일)령의 비기재, 환경분쟁과 관련된 피해사실의 누락이나 전혀 무관한 병명으로 발급하는 경우 및 수의사법 등에서 승인된 양식을 이탈하여 임의로 작성하는 등의 예를 간혹 보아왔는 터라 개선이 시급하다 하겠다. 임상 수의사들이 발급하는 진단서나 소견서 등은 어디까지 관련 전문가나 법원 등의 감정시 어디까지나 참고용으로 활용되고, 발급에 따른 제 비용은 인정될 경우에는 피해농가들에게 되돌려주며, 절대적으로 피해를 주는 일이 없다는 것을 강조해두고 싶다. 따라서 필자는 환경분쟁사건을 현지조사내지는 보고서를 작성하면서 아직도 우리 임상 수의사들은 새로운 분야에 대한 능동적인 대처가 더더욱 요구되는 시기에 수동적이거나 미온적으로 대하는 사례에 안타까움을 호소하며, 환경분쟁시 가축에 미치는 영향과 최근 새로이 제시된 배상액의 산정기준을 소개하여 도움을 주고 싶다.

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Skin and Eye Irritation Test of Bovine Somatotrophine-sustained Release (BST-SR) in Rabbits (토끼에게 소성장 홀몬-서방형 제형(BST-SR)의 피부 및 안점막 자극에 관한 연구)

  • 강경선;최경철;신동진;김형욱;조재진;이영순
    • Journal of Food Hygiene and Safety
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    • v.6 no.3
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    • pp.171-177
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    • 1991
  • According to the Established Regulations of National Institute of Safety Research, the skin-irritation test of BST-SR (Lucky Ltd.) was perfonned for seven days in New Zealand White Rabbits. During treatment periods no significant clinical symptom was observed. Significant changes such as erythema, scar tissue and edema were not shown on the applicating sites. According to Primary Irritation Index of Draize, skin irritation rate was assessed as "Zero". The eye irritation of BST-SR (Lucky Ltd.) was examined in nine New Zealand White rabbits, based on the Established Regulation of National Institute of Safety Research. 0.1 ml of test material was dropped on right eye, and after 20~30 seconds, three rabbits' eyes were cleaned with wann saline for 1 minute. Other six rabbits' eyes were left uncleaned. The untreated left eyes were negative control. The lesions of cornea, iris and conjuntiva were assessed by the Grade table (from the Regulation of National Institute of Safety Research), and it is concluded that BST-SR has no eye-irritation.

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Analysis of Flower Teas for their Oriental Medicinal Efficacy through Literature (꽃차용 꽃의 문헌을 통한 한의학적 효능 분석)

  • Byun, Mi Soon;Seo, Bok Nyeo;Kim, Kiu Weon
    • FLOWER RESEARCH JOURNAL
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    • v.16 no.2
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    • pp.93-101
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    • 2008
  • Research materials used were 55 kinds of flower teas proven in medicinal efficacy based on publications in oriental medicinal science. Efficacy in oriental medical science of the selected plants was classified into 11 groups, exterior-relieving herbs, removing dampness by promoting diuresis herbs, heatclearing herbs, purgative herbs, tonic herbs, qi-activating herbs, herbs as blood-tonics, herbs warming the intestine, qi-regulating herbs, herbs for removing dampness by means of aromatics, and herbs activating blood. Moreover, they were assorted by fever (hot, warm, slightly warm, common, cool, and cold), flavor (sweet, bitter, spicy, sour, and salty), and toxicity (toxic or nontoxic). Generally, flower teas have been known to be drinkable by all people. However, it is important to select proper flower teas considering physical constitution and health condition of the individual. One should be cautious in drinking flower teas containing toxic ingredients and weak people should be prohibited drinking them. Further clinical study on efficacy of flower teas will contribute to commercialization of these teas.

Effect of Physical Control Technology on Aspergillus ochraceus Reduction (물리적 제어기술이 Aspergillus ochraceus 저감화에 미치는 영향)

  • Lee, Eun-Seon;Kim, Jong-Hui;Kim, Bu-Min;Oh, Mi-Hwa
    • Journal of Food Hygiene and Safety
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    • v.36 no.5
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    • pp.447-453
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    • 2021
  • In this study, the effectiveness of physical control technology, a combined light sterilization (LED, UV) and hot water treatment in reducing Aspergillus ochraceus for food production environment was investigated. In brief, 1 mL aliquot of A. ochraceus spore suspension (107-8 spore/mL) was inoculated onto stainless steel chips, which was then dried at 37℃, and each was subjected to different physical treatment. Treatments were performed for 0.5, 1, 2, 5, 8, and 11 hours to reduce the strains using a light-emitting diode, but no significant difference was confirmed among the treatments. However, a significant reduction was observed on the chips treated with UV-C exposure and hot water immersion. After being treated solely with 360 kJ/m2 of UV-C on stainless steel chip, the fungi were significantly reduced to 1.27 log CFU/cm2. Concerning the hot water treatment, the initial inoculum amount of 6.49 log CFU/cm2 was entirely killed by immersion in 83℃ water for 5 minutes. Maintaining a high temperature for 5 minutes at the site is difficult. Thus, considering economic feasibility and usability, we attempted to confirm the appropriate A. ochraceus reduction conditions by combining a relatively low temperature of 60℃ and UV rays. With the combined treatments, even in lukewarm water, A. ochraceus decreased significantly through the increases in the immersion time and the amount of UV-C irradiation, and the yield was below the detection limit. Based on these results, if work tools are immersed in 60℃ lukewarm water for 3 minutes and then placed in a UV sterilization device for more than 10 minutes, the possibility of A. ochraceus cross-contamination during work is expected to be reduced.

Design and Implementation of Safe-Guard for Elementary School Students (초등학생 안전도우미 설계 및 구현)

  • Kim, Jin-Mook;Moon, Jeong-Kyung
    • Journal of the Korea Convergence Society
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    • v.4 no.2
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    • pp.29-33
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    • 2013
  • From one elementary school of last 2005 Pusan was started "the school police" system is being applied the effect in the elementary school of the human nature receiving entire country. But "with school police system " have a limit about manpower that is insufficient. So we try to make "Baumter-Gikimy " that is extended scollo police in seoul. Despite being like that at 2010 and 2011 cannot forget the elementary student suicide events which are shocking or sexual assault events occur from the campus.From elementary school 4 grade the students between junior high school 1 grade crime occurrence ratio are highest. These people the group leaving out mainly, suicide, with group violence and sexual assault problem gets up same problems. In order to solve like this problems stands the countermeasure of the dimension which is national certainly is necessary. But so far only the damage student and the parents have an interest in about like this problems and they hurt. We the smart phone of Android bases it will be able to solve like this problem points [ayp] from under planning and development boil the elementary student safe helper it will can use. When it uses the elementary student safe helper system which we propose before the accident occurs, it will grasp the state information of the student and it will be able to prevent an accident in advance. We will try to more efficient safe guard to elementary school student by real-time monitoring skill soon.