• Title/Summary/Keyword: 손상경험

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A Successful Decannulation Case Two Years Later A Tracheostomy (2년후에 발거가 가능했던 기관 cannula 발거곤란병)

  • 이종원;김종영;김성곤;권령춘;양한모
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1976.06a
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    • pp.87.3-87
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    • 1976
  • The authors experienced a case of a difficult decannulation in a 4 years old boy, in which. case decannulation was possible 2 years later a tracheostomy. Some immunoglogical phenomena could be considered in this case as though cancer can remiss spontaneously. Such complications of tracheostomy as subglottic edema and perichondritis could become relatively less troublesome to breathing during his aging process. And another reason for the easy decannulation is considered as the patient could be accustomed to breathing through natural air pathway by continual cannula corking training.

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A Clinical Study on the 9 Cases of Laryngeal Granuloma Following Endotracheal Intubation (기관내 삽관후에 발생한 후두육아종 9례에 대한 임상적 관찰)

  • 이양선;이상흔
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1976.06a
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    • pp.87.2-87
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    • 1976
  • Laryngeal granuloma following endotracheal anesthesia was reported as traumatic granuloma of the larynx by Clausen in 1932. Thereafter Harrison reported that 4% of the intubated cases developed larynx and upper respiratory tract injuries and 1% of the above mentioned injured cases later developed laryngeal granuloma with symptoms including voice change and even dyspnea in severe cases. The endotracheal intubation has been wedely used for general anesthesia or patency of the air way .and the reported cases of the laryngal granuloma Fig. 5. as its complication have been increased in number worldwidely. For a year from March 1975 to Feb. 1976, the authors have experienced the nine cases of laryngeal granuloma in our department and this is the report of clinical findings on these cases along with literature review.

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Factors affecting Unintentional Injuries at School: Focused on Violence (학교 내 손상에 미치는 영향 요인: 학교 폭력 경험을 중심으로)

  • Kwon, Min;Nam, Eunjeong;Lee, Jinhwa
    • Journal of the Korean Society of School Health
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    • v.33 no.3
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    • pp.139-147
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    • 2020
  • Purpose: The study aimed to identify factors affecting unintentional injuries at school focusing on violent experiences in adolescents. Methods: The study used the raw data of the Korea Youth Risk Behavior Web-based Survey (2019). A total of 60,040 students were included in the analysis. Descriptive statistics, χ2 test, and multiple logistic regression were performed, using SPSS version 25.0. General characteristics, gender, school, academic achievement, living with family, socioeconomic status, vigorous physical activity, perceived stress, sleep satisfaction, high caffeine drinking, risky alcohol drinking, smoking, sexual experience, drug use, and safety education, were adjusted for and the relationship between unintentional injuries and violence was analyzed. Results: The results showed 2.4% of the adolescents had experienced violence and 24.7% had suffered unintentional injuries. Violent experiences had a significant effect on unintentional injuries among adolescents. Injuries were 1.93 times higher among adolescents who had experienced violence. Gender, school levels, high-intensity physical activity, stress, sleep satisfaction, high caffeine drinks, dangerous drinking, drug use, and safety education were associated with unintentional injuries among adolescents. Conclusion: Adolescents at high risk of suffering violence and injuries should be identified and assessed preemptively. In addition, it is necessary to implement systematic school health-centered safety education programs in order to prevent violence and injuries.

Development of a user-friendly coastal terrain change numerical model based on an interactive platform (인터랙티브 플랫폼 기반 사용자 친화적 연안 지형변화 수치모형 개발)

  • Junsu Noh;Sangyoung Son
    • Proceedings of the Korea Water Resources Association Conference
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    • 2023.05a
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    • pp.129-129
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    • 2023
  • 연안 환경은 기후 및 도시개발과 같은 자연·인공적 요인에 따라 끊임없이 변화한다. 근래에는 연안 도시 인구증가, 기후변화 등의 영향으로 인해 그 변화가 가속화되고 있으며, 특히 연안 침식 및 이에 따른 해안선 변화에 대한 심각성이 대두되고 있다. 연안 침식은 해류와 해안 유사의 마찰로 발생하는 유사이송 현상으로 야기되며, 해안 환경을 변화를 초래하며 인간사회에 경제적인 피해를 주기도 한다. 연안침식이 사회적인 문제로 부상했음에도 여전히 이에 대한 대중적 문제의식은 부족한 실정이다. 이는 대중매체를 통한 시각적인 노출이 가능한 다른 재해에 비해 재해의 물리적 과정에 대한 시각적인 관측이 어렵다는 배경이 있다고 판단된다. 더불어, 재해의 간접체험이 가능한 플랫폼이 부족하다는 점도 원인으로 여겨진다. 기술이 발달함에 따라 시뮬레이션을 통한 재해의 간접체험이 가능한 플랫폼이 개발되어왔으며, 이는 직접 경험하기 어려운 재해에 대해 위험성 인지 및 경각심 고취에 활용되어왔다. 본 연구에서는 수치해석 플랫폼인 Celeris Advent(Tavakkol and Lynett, 2017)를 기반으로 실시간 유사이송 해석이 가능한 인터랙티브 수치모형을 개발하여 문제를 개선하고자 하였다. GUI(Graphical User Interface)를 통해 조작이 가능한 Celeris Advent는 수치해석 결과를 실시간으로 가시화하며, 이에 대한 사용자 상호작용이 가능하다. 이를 기반으로 유사의 흐름에 대해 모의가 가능하도록 모형을 구성하여 실시간 사용자 입력 및 유사이송 물리현상 관측이 가능하도록 모형을 개발하였다. 수치모형 지배방정식은 2차원 천수방정식과 유사이송방정식을 양방향 결합하여 구성하였다. 개발된 모형의 정확성 평가를 위해 1차원 및 2차원 수리실험 데이터를 활용하여 수치실험을 수행하였으며, 전반적인 결과는 실험데이터와 잘 일치하였다.

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An Investigation on the Cosmetic Haircare Behavior of Women College Students (여대생의 모발미용 관리 및 형태에 관한 연구)

  • 김리라;김주덕
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.30 no.1
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    • pp.103-116
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    • 2004
  • The goal of this study was to get the basic data for the domestic cosmetic industry, through analyzing female college ,students’ responses to cosmetic care of hair and their behavior, and their preference for hair cosmetics and brands. In their level of understanding and concern of hair cosmetic care, as well as their general knowledge, ‘dyed or decolorized hair’ types had the highest response rate at 49%, followed by ‘permanent wave’ type at 39%. Thus they were very interested in hairdressing-related operations, and even they made an attempt to do it directly. In the ways and management for dealing with harmful side effects caused by dyeing, decolorizing, or permanent, 74.7% of the respondents experienced adverse effects, as well as having complaints, after permanent wave. Of the complaints 245 students experienced, ‘hair damage’ was the highest rate of 42.4%, followed by ‘unsatisfied with hair style’ at 19.8%. From the above results, female college students showed a various interest in hair cosmetic care; however, they had little knowledge in this regard. Accordingly, it is necessary to educate them for the segmentation of hair cosmetics and the appropriate hair care, to meet their diversified cosmetic needs which becomes diversified, and to offer them the correct information of hair beauty.

The Role of Hydroxyl Radical in the Pathogenetic Mechanism of Endotoxin-Induced Acute Lung Injury in Rats (내독소에 의한 백서의 급성 폐손상에서 Hydroxyl Radical의 병인론적 역할에 관한 연구)

  • Shim, Young-Soo;Yoo, Chul-Gyu;Kim, Young-Whan;Han, Sung-Koo;Kim, Keun-Youl;Han, Yong-Chol
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.2
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    • pp.120-130
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    • 1992
  • Background: Although there have been many studies on the pathogenetic mechanism of acute lung injury, it is still elusive. Recently interests have been focused on the role of oxygen free radicals. But the effect of hydroxyl radical on the neutrophil mobilization and the alveolar-capillary permeability is not clear especially in the endotoxin-induced acute lung injury model of rats. This investigation was performed to evaluate the pathogenetic role of hydroxyl radical on the neutrophil accumulation into the lung and the increased alveolar-capillary permeability in the endotoxin-induced acute lung injury in rats. Method: Fifty rats were divided into four groups: vehicle control group (n=5, 6hrs; n=5, 24hrs), endotoxin-treated group (n=10, 6hrs; n=10, 24hrs), Dimethylthiourea (DMTU)-pretreated group (n=10, 6hrs), and deferoxamine (DFX)-pretreated group (n=10, 6hrs). Thirty minutes before sacrifice, $^{125}I$-tagged bovine serum albumin was injected. Six and twenty four hours after endotoxin injection, the rats were sacrificed, and the radioactivity of lung tissue and peripheral blood was counted. Permeability index was defined as the ratio of radioactivity between lung tissue and peripheral blood. Another set of rats (n=52) were divided into the same four groups as before [vehicle control group (n=5, 6hrs; n=5, 24hrs), endotoxin·treated group (n=7, 6hrs; n=8, 24hrs), DMTU-pretreated group (n=6, 6hrs; n=9, 24hrs), and DFX-pretreated group (n=5, 6hrs; n=7, 24hrs)], and were sacrificed 6 and 24 hours after endotoxin injection. In these rats, cell profile of peripheral blood and bronchoalveolar lavage fluid was evaluated, and the pathologic examination of lung tissue was performed. Results: 1) Increased alveolar-capillary permeability was observed 6 hours after endotoxin injection, which was normalized after 24 hours, and this increase was attenuated by pretreatment with DMTU and DFX. 2) Neutrophil sequestration into the lung was observed 24 hours after endotoxin administration, but this was not influenced by DMTU and DFX pretreatment. Conclusion: These results suggest that hydroxyl radical would not be involved in the sequestration of neutrophils into the lung, but plays an important role in the increase of alveolar-capillary permeability in the endotoxin-induced acute lung injury in rats.

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A case of Tocolytics Induced Pulmonary Edema (Tocolytics에 의해 유발된 폐부종 1예)

  • Lee, Dae Jun;Kim, Chang In;Jee, Young Goo;Lee, Kye Young;Kim, Keun Yeol;Choi, Young Hi;Seo, Pil Weon
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.1
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    • pp.183-190
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    • 1997
  • Tocolytics are agents widely used in the treatment of premature labor to inhibit uterine contractions. Ritodrine is most commonly used tocolytic agent and acts by increasing intracellular cyclic adenosine monophosphate, which decreases the activity of myosin light-chain kinase, the rate-limiting enzyme in the signal network leading to contraction. Physiologic effects associated with the use of ritodrine are due to their effect on bera-l as well as beta-2 receptors. Some of maternal complications of therapy are rachycardia, hyperglycemia, hypokalemia, lactic acidosis, myocardial ischemia, and pulmonary edema. Tocolytics induced pulmonary edema is a serious complication that can lead to marternal death, although infrequent, The incidence varies from 0.5% to 5% of those receiving these agents. Predisposing factors include the concommitant use of corticosteroid, twin gestation, fluid overload (particularly with saline), and anemia. Several mechanisms have been postulated, but the pathogenesis is uncertain. It is suggested that both types of mechanism, hydrostatic and permeability induced, might be involved. The association of tocolytic therapy with pulmonary edema appears to be unique to the pregnant state, because this complication has never been reported in asthmatic patients exposed to high dosages. We report a case of tocolytic induced pulmonary edema developed in 24 hours after delivery.

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A Study on Implementation of Medical for Elderly Inpatients -Through Compared with Non-elderly Patients- (노인입원환자의 의료이용에 관한 연구 -비노인 환자와 비교를 통하여-)

  • Jeoung, Kyu-Ho
    • Journal of Digital Convergence
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    • v.10 no.3
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    • pp.219-225
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    • 2012
  • This study is analyzed the implementation of medical aid for patients over 65 years of age who are among the discharged from hospitals with the capacity of over 100 beds. I have analyzed it with the data from an in-depth study of injury surveillance of discharged patients from hospitals done in a national project in 2004. After analyzing the results of the data from the beginning of this national project to the data collected in 2008, I could get the results that the rate of discharged patients over 65 years of age increased every year. Among them, the rate of discharged women was higher than that of the men, and the rate of deaths while at the hospital for patients over 65 years of age was higher than that of patients less than 65 years of age. The rate of operations done on patients over 65 was lower than that of patients under 65 years of age. The results of a diagnosis of popular symptoms showed that the rate of the diagnosis of cerebral infraction and structure of the heart at the circulatory organ was higher. In addition, the rate of the diagnosis of lung cancer, pneumonia, and chronic obstructive lung disease was higher, as well as the rates of gastric cancer, diabetes, liver cancer, and colorectal cancer. The results showed that the operation of the nerve system or cardiovascular system were higher. Therefore, according to this result, we should prioritize and allocate resources to the elderly people when setting up a management policy. And also, we should promote healthcare for elderly people after considering the characteristics of the implementation of medical aid in preparation of a super-aged society.

A Case of Primary Endobronchial Leiomyoma (원발성 기관지내 평활근종 1예)

  • Lee, Hee Kyung;Lee, Jae Hyung;Kim, Sang Heon;Kim, Tae Hyung;Sohn, Jang Won;Yoon, Ho Joo;Shin, Dong Ho;Park, Sung Soo;Min, Kyueng Whan;Paik, Seung Sam;Kang, Jung Ho
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.3
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    • pp.273-278
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    • 2006
  • Endobronchial leiomyoma is a rare tumor that accounts for less than 2% of pulmonary benign tumors. A 32 year-old woman was admitted with fever, cough and sputum for a month. She had suffered from intermittent cough over three years. The chest X-ray and chest CT(computed tomography) showed a nodular lesion obstructing the proximal portion of the left lower lobar bronchus and atelectasis of the left lower lobe. Flexible Bronchoscopy detected a mass obstructing the distal portion of the left main bronchus and endobronchial biopsy showed benign smooth muscle cells. There was no abnormal finding in the uterine examination. Therefore this case was diagnosed as primary endobronchial leiomyoma. The lobectomy was performed due to intractable pneumonia and secondary parenchymal destruction. Postoperative course was uneventful and she was discharged in good health.

Response Analysis of RC Bridge Piers due In Multiple Earthquakes (연속지진하중에 의한 철근콘크리트 교량 교각의 응답해석)

  • Lee Do-Hyung;Jeon Jong-Su;Park Tae-Hyo
    • Journal of the Korea Concrete Institute
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    • v.16 no.3 s.81
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    • pp.357-367
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    • 2004
  • In this paper, the effect of cumulative damage for reinforced concrete bridge piers subjected to both single and multiple earthquakes is investigated. For this purpose, selected are three set of accelerograms one of which represents the real successive input ground motions, recorded at the same station with three months time interval. The analytical predictions indicate that piers are in general subjected to a large number of inelastic cycles and increased ductility demand due to multiple earthquakes, and hence more damage in terms of stiffness degradation is expected to occur. In addition, displacement ductility demand demonstrates that inelastic seismic response of piers can significantly be affected by the applied input ground motion characteristics. Also evaluated is the effect of multiple earthquakes on the response with shear. Comparative studies between the cases with and without shear indicate that stiffness degradation and hence reduction in energy dissipation capacity of piers are pronounced due to the multiple earthquakes combined with shear. It is thus concluded that the effect of multiple earthquakes should be taken into account for the stability assessment of reinforced concrete bridge piers.