• Title/Summary/Keyword: 손상경험

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Experimental Studies on the Effect of Ginsenoside Rg1 Mixtures in an Isolated Rat Heart after Ischemic Arrest and Reperfusion (흰 쥐 적출 심장에서 비작업성 관류 회로를 이용한 인삼 성분 Ginsenoside Rg1 Mixtures의 심근 보호 효과에 관한 실험적 연구)

  • 김동원;신원선;이재영;김범식;조규석;유세영
    • Journal of Chest Surgery
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    • v.31 no.6
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    • pp.567-575
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    • 1998
  • Panax Ginseng C.A. Meyer has been known for hundreds of years as the most valuable drug having mysterious effects among all the herbal medicines and plants in Korea. Also, many experimental studies have been performed recently that the various effects were identified and applied clinically. So we attempted an experimental study on the effect of ginsenoside Rg1 mixtures in an isolated rat heart with the use of the Langendorff model. The objective of this study was to determine whether this ginsenoside Rg1 mixtures would protect the myocardial injury after ischemic arrest and reperfusion. Isolated rat hearts were allowed to equilibrate for 20 minutes and were then subjected to 15 minutes of normothermic ischemia. After this ischemic period, isolated rat hearts were allowed to reperfusion for 10 minutes(Ischemic Group). In other group , isolated rat hearts were perfused for 60 minutes continuously with normothermia( Normothermic Group). Hemodynamic and biochemical parameters such as heart rate, left ventricular pressure, +dp/dt max, coronary blood flow and cardiac enzymes were measured during initial perfusion, ischemia, reperfusion period (Ischemic group) and 20, 40 and 60 minutes after continuous perfusion(Normothermic group). After completion of the experiment, this data was evaluated and the following results were obtained. 1. Heart rates showed an increase in both ischemic and normothermic experimental groups, but statistically significant differences were not identified. 2. LVP(Left Ventricular Pressure) showed statistically significant differences in both ischemic and normothermic experimental groups(p<0.005, p<0.01). 3. +dp/dt max showed statistically significant differences in both ischemic and normothermic experimental groups(p<0.01, p<0.01). 4. There were no statistically significant differences in coronary blood flow and cardiac cenzymes in all groups, but experimental groups seemed to have better protection and recovery. These results suggest that ginsenoside Rg1 mixtures has a protective effect on the myocardial injury after ischemia and reperfusion.

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A Case of Alpha Wave Asymmetric Neurofeedback Training of Adolescents having Left and Right Alpha Wave Asymmetry Caused by Traumatic Brain Injury Sequela (외상성 뇌손상 후유증으로 인한 좌 우 Alpha파 비대칭성이 유발된 청소년의 Alpha파 비대칭 뉴로피드백 훈련 1례)

  • Cheong, Moon Joo;Weon, Hee Wook;Chae, Eun Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.171-180
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    • 2017
  • The purpose of this study is to determine an effective training method to improve sequela, since traumatic brain injury sequela is a major factor in determining the quality of life. Neurofeedback training was conducted for an adolescent who had experienced traumatic brain injury during his childhood and who had difficulty in cognitive learning and emotional aspects. The assessment of an adolescent was conducted using K-WAIS-IV intelligence test and QEEG brain wave analysis. In the neurofeedback training, T3 alpha wave compensation and T4 alpha wave inhibition training were performed 36 times for 30 minutes three times a week. In addition to the neurofeedback training, respiratory meditation was also made available to the adolescent. As a result, the adolescent showed a stable condition as indicated by taking a good sleep, reducing test anxiety, and satisfaction with final exam results. This study revealed the possibility for hidden physical and psychological problems arising due to childhood brain trauma. It has also recently been discovered that a more diverse set of tools can be found. In addition, these childhood traumatic brain injuries can be improved through brain training and meditation. The study finding is meaningful for its suggestion of a fusion method for developing mind and body therapy in terms of brain science.

Analysis of Subsurface Geological Structures and Geohazard Pertinent to Fault-damage in the Busan Metropolitan City (부산시 도심지의 지하 지질구조와 단층손상과 관련된 지질위험도 분석)

  • Son, Moon;Lee, Son-Kap;Kim, Jong-Sun;Kim, In-Soo;Lee, Kun
    • Economic and Environmental Geology
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    • v.40 no.1 s.182
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    • pp.87-101
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    • 2007
  • A variety of informations obtained from satellite image, digital elevation relief map (DEM), borehole logging, televiewer, geophysical prospecting, etc were synthetically analyzed to investigate subsurface geological and structural characteristics and to evaluate geohazard pertinent to fault-damage in the Busan metropolitan city. It is revealed that the geology is composed of the Cretaceous andesitic$\sim$dacitic volcanics, gabbro, and granitoid and that at least three major faults including the Dongrae fault are developed in the study area. Based on characteristics of topography, fault-fractured zone, and isobath maps of the Quaternary sediments and weathered residuals of the basement, the Dongrae fault is decreased in its width and fracturing intensity of damaged zone from south toward north, and the fault is segmented around the area between the Seomyeon and Yangieong junctions. Meanwhile, we drew a geohazard sectional map using the five major parameters that significantly suggest damage intensity of basement by fault, i.e. distance from fault core, TCR, RQD, uniaxial rock strength, and seismic velocity of S wave. The map is evaluated as a suitable method to express the geological and structural characteristics and fault-damaged intensity of basement in the study area. It is, thus, concluded that the proposed method can contribute to complement and amplify the capability of the present evaluation system of rock mass.

A Study on the Emergency Response Empowerment for Captain Based on the Analysis of Maritime Accidents (사고분석을 통한 선장 비상대응 역량강화 연구)

  • Chae, Chong Ju;Park, Young Sun;Jo, So Hyun;Kang, Suk Young;Lee, Ho;Kim, Hong Beom
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.4
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    • pp.413-422
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    • 2019
  • Maritime accidents are always accompanied by human/property damages. If management level ship's of icers properly respond to emergency situation in a correct manner based on knowledge required by international conventions, when maritime accidents occur, it will be possible to minimize such human/property damages. To improve the ability to deal with maritime accidents, this study analyze maritime accident cases to identify which competencies ships' officers' were lacking, compared the emergency response competencies required by international conventions, analyzed various emergency management manuals of shipping companies and carried out questionnaire surveys to suggest improvements of emergency response capability for ship's master. Through the analysis of maritime accidents, it was identified that management level ship's officers lacked competencies regarding damage stability and intact stability, and that the training for emergency response required by international conventions had been insuf iciently carried out. In addition, even though emergency management manuals of ships were generally adequate, it has been identified that there were limitations in terms of practical use of emergency response manual. Therefore, based on the questionnaire, this study proposed the expansion of emergency response training required by international conventions based on use of simulators, and the development of guidelines or manuals for effective and efficient response in emergency situations.

Nonlinear Impact Analysis for Eco-Pillar Debris Barrier with Hollow Cross-Section (중공트랙단면 에코필라 사방댐의 비선형 충돌해석)

  • Kim, Hyun-Gi;Kim, Bum-Joon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.430-439
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    • 2019
  • In this study, a nonlinear impact analysis was performed to evaluate the safety and damage of an eco-pillar debris barrier with a hollow cross-section, which was proposed to improve constructability and economic efficiency. The construction of concrete eco-pillar debris barriers has increased recently. However, there are no design standards concerning debris barriers in Korea, and it is difficult to find a study on performance evaluations in extreme environments. Thus, an analysis of an eco-pillar debris barrier was done using the rock impact speed, which was estimated from the debris flow velocity. The diameters of rocks were determined by ETAG 27. The impact position, angles, and rock diameter were considered as variables. A concrete nonlinear material model was applied, and the estimation of damage was done by ABAQUS software. As a result, the damage ratio was found to be less than 1.0 at rock diameters of 0.3 m and 0.5 m, but it was 1.39 when the diameter was 0.7 m. This study could be used as basic data on impact force in the design of the cross section of an eco-pillar debris barrier.

The Effect of Shoulder Pain on the Quality of Life of Manual Wheelchair Users With Spinal Cord Injuries (수동휠체어를 사용하는 척수손상자의 어깨통증이 삶의 질에 미치는 영향)

  • Lee, Jung Kyu;Kang, Mo Yeol;Jeon, Eun Mi
    • Therapeutic Science for Rehabilitation
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    • v.12 no.3
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    • pp.33-44
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    • 2023
  • Objective : The purpose of this study was to identify the risk factors for shoulder pain in manual wheelchair users with spinal cord injuries and to explore the correlation between shoulder pain and quality of life. Methods : Out of 182 participants initially included, 168 were selected for analysis. The questionnaire had 41 questions, with 15 on the Wheelchair User's Shoulder Pain Index (WUSPI) and 26 on the World Health Organization Quality of Life-BREF (WHOQOL-BREF). Results : It was found that participants' scored 50.75 in the WUSPI, whereas they scored higher in mobility and overhead activity. In addition, participants' WHOQOL-BREF scored 70.48, with a mean score of 2.71, which was lower than ordinary adults' WHOQOL-BREF (mean: 3.11) and that of older people suffering from chronic musculoskeletal system pain (total score: 77.92). Conclusion : The participants' WUSPI showed negative correlations with all items, including the total scores on the WHOQOL-BREF. This suggests that the participants' shoulder pain had a negative impact on their quality of life. Therefore, clinical experts, including occupational therapists, should provide manual wheelchair users with spinal cord injuries with programs aimed at preventing and managing shoulder pain, thereby contributing to improving their quality of life.

Effect of joint mobilization on improvement of knee pain, isokinetic strength, muscle tone, muscle stiffness in an elite volleyball player with knee injury (무릎손상 엘리트 배구선수에 관절가동운동이 무릎통증, 등속성 근력, 근긴장도, 근경직 개선에 미치는 효과)

  • Wang, Joong-San;An, Ho-Jung;Kim, Yong-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.326-333
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    • 2016
  • This case study identified the effects of joint mobilization on knee pain, isokinetic strength, muscle tone, and muscle stiffness in an elite volleyball player with a knee injury. The subject had experienced cartilage defects of the left knee joint and underwent surgery to correct the condition. The patient complained of continuous pain in the left knee joint in daily life in addition to pain during exercise. The study was conducted from August 5 to 12, 2015 and joint mobilization was applied to the left knee joint for 15 minutes once a day for 8 days. Knee pain was measured using a visual analogue scale, and the concentric peak torque of the quadriceps and hamstring muscles was measured using an isokinetic muscular strength measurement device. The muscle tone and stiffness of the rectus femoris muscle, vastus medialis, and vastus lateralis on the injured side were measured using a myotonometer. All the measurements were conducted before and after the intervention. Joint mobilization was effective in reducing knee pain on the injured side, increasing the concentric peak torque of the quadriceps and hamstring muscles on both sides, and increasing the muscle stiffness of the quadriceps muscle on the injured side. Concentric peak torque of the quadriceps muscle on the injured side increased a great deal as the number of joint mobilizations was increased, largely diminishing the difference in concentric peak torque between the normal side and injured side. On the other hand, joint mobilization was ineffective in improving the hamstring to quadriceps strength ratio on the injured side. While this study suggests that joint mobilization can be an effective intervention to improve the knee pain, isokinetic strength, and muscle stiffness of elite volleyball players, it should be performed alongside training for an appropriate strength ratio.

A SURVEY OF EXTRAFAMILIAL CHILD SEXUAL ABUSE BY PHYSICIANS' REPORTS (의사들의 보고에 의한 가정외 아동성학대 연구)

  • Hong, Kang-E;Kang, Byung-Goo;Kwack, Young-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.2
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    • pp.127-137
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    • 1998
  • The authors surveyed extrafamilial sexual abuse in the children under 15years old by the physician's reports. We sent the semi-structured child sexual abuse questionnaires to 7055 board certified pediatrics, obstetrics and gynecology, family medicine and emergency medicine. Total respondents were 1205. The results from these respondents were as followings. 1) The number of respondents who have had the experience of treating victims of extraf/amilial child sexual abuse were 641(53.2% of total respondents). 2) 338(52.7%) of the perpetrators were known persons and 277(43.2%) were strangers, the most common age bracket were 20s, 30s and 10s, and almost all(99.8%) of the perpetrators were male. 3) The mean age of victims was $9.7{\pm}3.5$ years old, and almost all(98.6%) of the victims were female. 4) The ways by which extrafamilial child sexual abuses were found were victim’s own reports:273(62.6%), pain complaint, 156(24.3%) and abnormal behavior 96(15.0%), other person’s report 72(11.2%), detection during examination 19(3.0%), and pregnancy 4(0.6%). 5) Time lags between extrafamilial child sexual abuses and hospital visits were within 24 hours 332 (51.8%) and from 1 day to 1 week 232(36.2%), victims were rather quickly 6) Physical complications were perineal wound 571(89.1%), hymen rupture 349(54.4%), wound of other part of body 124(19.3%), pregnancy 37(5.8%), and sexually transmitted disease 18(2.8%), and other serious complications such as vaginal-rectal lacerations 8, intastinal bleeding 7, death 2, hypotensive shock 1. These results suggest considerable numbers of physicians have had the experience of treating victims of extrafamilial child sexual abuses, and extrafamilial child sexual abuses are the major medical as well as social issue in children in Korea.

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A Study on the Recovery Process of Career Capital for Rehabilitation Protection Recipient (법무보호대상자의 진로자본 회복과정에 관한 연구)

  • Park, Hye-Gyeong;Han, Sun-Ok;Park, Si-Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.400-413
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    • 2017
  • It is necessary for inmates released from prison to recover their career capital in order to function normally in society. Failure to adapt to the society may not only make them unhappy but could also aggravate social safety nets. Therefore, it is critical to examine the recovery of career capital. For this study, we conducted in-depth interviews of 10 rehabilitation recipients who were supported by Korea Rehabilitation Agency. For qualitative analysis, several career topics were analyzed, such as obstacles in recovering career capital, efforts in overcoming these obstacles, what is helpful for them to overcome the obstacles and what is required for them to adapt to the career life and others. Analysis results found that the rehabilitation beneficiaries suffered loses to their career capital due to their incarceration, suffered from the loss of pride and became despondent in the process of recovery of career capital due to the negative social perception toward their social self, fear of social stigma and devaluation of themselves. In addition, the fear of possible negative evaluation was a critical factor in making their social activities more challenging. Conversely, it was found that social support in the recovery process of career capital has a positive effect. In particular, emotional support from spouses, employers, family members and friends are the most positive factors. Concerning efforts at adapting to careers, it was found that an active, leading and positive attitude toward the career were critical, showing that positive evaluation and recognition in family and social relations and the experience of success in the career were positive elements in enhancing a sense of pride. In summary, it was found that in the recovery process of career capital, dysfunctional beliefs had a negative effect, while social support had a positive effect, on the recovery of career capital.

Evaluation of Structural Response of Cylindrical Structures Based on 2D Wave-Tank Test Due to Wave Impact (파랑충격력에 의한 원형실린더구조물의 구조응답평가)

  • Lee, Kangsu;Ha, Yoon-Jin;Nam, Bo Woo;Kim, Kyong-Hwan;Hong, Sa Young
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.33 no.5
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    • pp.287-296
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    • 2020
  • The wave-impact load on offshore structures can be divided into green-water and wave-slamming impact loads. These wave impact loads are known to have strong nonlinear characteristics. Although the wave impact loads are dealt with in the current classification rules in the shipping industry, their strong nonlinear characteristics are not considered in detail. Therefore, to investigate these characteristics, wave-impact loads induced by a breaking wave on a circular cylinder were analyzed. A model test was carried out to measure the wave-impact loads due to breaking waves in a two-dimensional (2D) wave tank. To generate a breaking wave, the focusing wave method was applied. A series of 2D tank tests under a horizontal wave impact was carried out to investigate the structural responses of the cylindrical structure, which were obtained from the measured model test data. According to the results, we proposed a structural damage-estimation procedure of an offshore tubular member due to a wave impact load. Furthermore, a recommended wave-impact load is suggested that considers the minimum required thickness of each member. From the experimental results, we found that the required minimum thickness is dependent on the impact pressure located in a three-dimensional space on the surface of a tubular member.