• Title/Summary/Keyword: 손상원인

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Clinical and Angiographic Features of Secondary Postpartum Hemorrhage and the Outcomes of Transcatheter Arterial Embolization (속발성 분만 후 출혈의 임상 및 혈관 조영술의 특징과 경도관 동맥 색전술의 결과)

  • Baek, Seung Dae;Kang, Ung Rae;Ji, Seung Woo;Kim, Young Hwan;Cha, Jung Guen
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.315-322
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    • 2018
  • Purpose: To analyze the clinical and angiographic features with outcome of transcatheter arterial embolization in patients with secondary postpartum hemorrhage. Materials and Methods: Clinical details and angiographic features with assessment of arterial embolization were reviewed in total 38 patients underwent arterial embolization at single tertiary referral center. Results: Twenty patients (53%) had Cesarean section. The major causes of bleeding were iatrogenic vascular injury, and retained placenta (55%). The patterns of vaginal bleeding were recorded as intermittent (50%), or as persistent (50%). Seven patients (18%) were hemodynamically unstable at presentation. Positive angiographic findings appeared in eighteen patients (47.3%). The frequency of pseudoaneurysm was statistically high in the Cesarean section (p < 0.001). The used embolic agents except gelfoam were N-butyl cyanoacrylate (n = 7), and microcoil (n = 7). Unilateral selective embolization (26.3%) was shown effective in superselective embolization of bleeding focus. Technical and clinical success rate were 100% and 97.4%, respectively with no complication. Sixteen resumed regular menstruation, and one pregnancy were observed in patients with available follow-up of over 6 months. Conclusion: Considerable rate of hemodynamically unstable patients was observed with high rate of positive angiography findings. Given high successful rate and few complications, early angiographic assessment with embolization should be considered.

Modern Pentathlon's Sports Spirit and A Study on Leader's Ethical Exploration

  • Han, Doryung
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.3
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    • pp.119-126
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    • 2021
  • The modern pentathlon is an exercise in which people and people compete, as well as exercise without equipment, exercise using equipment, and exercise with animals, and it is an exercise that includes static and dynamic exercise. The ethical issues of modern pentathlon athletes are also related to the poor environment and economic reasons, and the athlete's ethical awareness, attitude, and spirit have a great influence on the athlete's mental environment. In this study, the direction of improvement of ethical problems, which are different as important issues in modern sports, was examined, and qualitative research methods were applied to explore the sports spirit and ethics of the modern pentathlon. Correct sports should not deviate from the intended purpose of the exercise or cause or force the athlete to suffer physical or mental pain. In sports, compensatoryism can be a direct cause of improved performance or record-breaking, but sometimes it can also cause distorted athletes. Air doping has ethical issues that can cause controversy over the health or fairness of athletes, mental and physical damage to athletes, and harm. Responsibilities and ethical issues of athletes who take prohibited substances or leaders or supervisors who neglect or encourage them should be treated as very important matters. In the sports field, the reward system that is subordinate to the athlete's or leader's performance is related to the athlete's or leader's livelihood. For a fair and just game progression, it is necessary to break away from the development of athletes who are only focused on performance. The problem of Unethical issues must be overcome by emphasizing the restoration of ethics that are reasonably recognized in ideology and logic.

Analysis of Ground Subsidence Influencing Factors Using Underground Facility Property Information (지하매설물 속성정보를 활용한 지반함몰 영향인자 분석)

  • Jaemo Kang;Sungyeol Lee;Jinyoung Kim;Myeongsik Kong
    • Journal of the Korean GEO-environmental Society
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    • v.25 no.1
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    • pp.5-11
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    • 2024
  • Ground subsidence mainly occurs in urban areas with high population density, so it is necessary to clearly identify the cause of occurrence and prepare in advance. The main cause of ground subsidence is reported to be the creation of cavities in the ground due to damage to underground pipes, but the property information and influencing factors of underground pipes to predict and prepare for ground subsidence are not properly established. Therefore, in this study, factors showing a significant correlation with the occurrence of ground subsidence were selected among the underground facility property information and a regression equation was proposed through logistic regression analysis. For this purpose, data on underground structures and ground subsidence history information in the target area were collected, and the target area was divided into girds of 100m x 100m in size using QGIS. The underground facility attribute information and ground subsidence history information contained within the gird were extracted. Then, preprocessing was performed to construct a dataset and correlation analysis was performed. As a result, factors excluding the year of sewer pipes and communication pipes and the average depth of communication pipes, heat pipes, and gas pipes were found to have a significant correlation with ground subsidence. In addition, a regression equation for whether ground subsidence occurred in the target area is proposed through logistic regression analysis.

Surgical Treatment for Multivalvular Heart Disease (중복 심장판막 질환의 외과적 치료)

  • Kim, Jin; Jo, Jung-Ku;Kim, Kong-Soo
    • Journal of Chest Surgery
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    • v.29 no.8
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    • pp.875-882
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    • 1996
  • Multlvalvular heart surgery was performed In 78 cases, in the Department of Thoracic & Cardiovascu far Surgery of Chonbuk national University Hospital from november 1983 to March 1994. There Where 31 men and 47 women. whose ranged from 14 to 63 years. The causes of the valvular lesions were 57 rheumatic origin, 18 degenerative, 1 previous endocarditls, 1 prosthetic valve mal-function. There were 25 double valve replacement with or wit out tricuspid valve repair, i M VR and aortic valve repair, 18 MVR and tricuspid valve repair, 1 MVR and aortic and tricuspid valve repair, 10 AVR and mi- tral valve repair, 1 AVR and tricuspid valve repair, 8 mitral aortic valve repair, 13 mitral and tricuspid valve repair. They were improved mean New York Heart Association functional cldss, from 2.72% 121 Early deaths were 5 cases(6.4%). The cause of death wet'e low cArdiac output syndrome. veritricular tachycardia, massive bleeding and cerebral thromboembolism. All the survivors belonged to New York Heart Association functional class I or ll at discharge. The patients who had had valve replacement operation were medicated with warfarin to maintain the level of 30∼ 50% of normal prothrombin time. During follow-up(93.6%, mean 49.9 months), 2 late deaths were developed. One was due to intracranial hemorrhage and the other congestive heart failure. The pre-operative New York Heart Association Functional class IV was statistically sig ificant operat- ive risk factors(p< 0.05).

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Clinical characteristics and outcomes of status epilepticus as an initial seizure in children (첫 경련으로 발현된 소아기 간질지속상태(status epilepticus)의 임상 특성과 예후)

  • Kim, Mi Jeong;Kim, Young Ok;Kim, Sun Hee;Choi, Woo Yeon;Byun, Hyung Suk;Kim, Chan Jong;Woo, Young Jong
    • Clinical and Experimental Pediatrics
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    • v.49 no.6
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    • pp.659-664
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    • 2006
  • Purpose : To evaluate the morbidity and mortality of children with status epilepticus(SE) as an initial seizure and to compare these according to age groups. Methods : The 78 cases(38 cases <2 years and 38 cases ${\geq}2$ years) with SE as an initial seizure admitted to the Chonnam national university hospital from Jan. 2000 to Jan. 2004 were reviewed. Developmental profiles, laboratory findings, etiologies and seizure types of SE and outcomes were compared in between two age groups, under and over 2 years. Results : SE occurred predominantly in less than 5 years old. Febrile causes were the most common, which is significantly more in those under 2 years than over 2 years(P<0.05). whereas idiopathic and acute symptomatic causes were more common in those over 2 years(P<0.05). Generalized tonic-clonic seizures was the most common type. The mortality rate was 6.4 percent(5 cases : 1 case <2 years and 4 cases ${\geq}2$ years). The estimated occurrence of epilepsy after SE was 24.4 percent(19 cases : 8 cases <2 years and 11 cases ${\geq}2$ years). The neurologic sequelae after SE in cases that had developed normally before SE(62 cases : 32 cases <2 years and 30 cases ${\geq}2$ years) were observed in 20 cases(32.3 percent), and were more frequent over 2 years(21.9 percent vs. 43.3 percent, P<0.05). Conclusion : In this study death was less common and the neurologic sequelaes of SE as an initial seizure were less severe in children under 2 years of age. The reason seemed to be the difference in the etiology of SE with age.

Clinical Study of Childhood Accidents from a Hospital Over Ten Years with Regard to Foreign Body Aspiration (단일병원에서 관찰한 최근 10년간의 소아 우발사고에 관한 연구 : 이물흡인을 중심으로)

  • Kim, Cheol-Min;Song, Jun-Young;Kim, Ja Hyung;Kim, Ki Soo;Hong, Soo-Jong
    • Clinical and Experimental Pediatrics
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    • v.45 no.9
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    • pp.1134-1140
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    • 2002
  • Purpose : Childhood accidents have been increasing recently. Accidents rank as the leading cause of childhood mortality and morbidity. We performed this study to evaluate the causes of childhood accidents. Methods : The authors analysed retrospectively the medical records of 6,410 cases of childhood accidental injuries who visited the emergency room of Asan Medical Center from January 1990 to December 1999. Results : The most common type of accidents was trauma which accounted for 5,038 cases of the total accidents, followed by falls, burns, foreign body aspiration, and poisoning. The most common age of foreign body aspiration was under two years old and the male to female ratio was 2 to 1. The most common site of foreign body aspiration was the esophagus and the stomach, followed by the respiratory tract. In airways, the right and left main bronchus were the most common site for foreign body aspiration and were accompanied by the highest mortality. The most common foreign body in the gastrointestinal tract and respiratory tract were coins and peanuts, respectively. Conclusion : The most common cause of accidents was trauma, followed by falls, burns, foreign body aspiration, and poisoning. The incidence of foreign body aspiration and poisoning is increasing in infants. In cases of foreign bodies in airways, proper management is needed because of the high mortality rate.

Incidence of Escherichia coli and Its Susceptibility to Antimicrobials in Childhood Urinary Tract Infection (소아 요로감염에서 Escherichia coli의 빈도와 항생제 감수성에 대한 연구)

  • Chi Hye-Mi;Kwahk Jae-Hyok;Lee Jun-Ho;Park Hye-Won
    • Childhood Kidney Diseases
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    • v.10 no.1
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    • pp.18-26
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    • 2006
  • Purpose : Empirical antimicrobial treatment is indicated before bacteriological results are available for young children with febrile UTI to minimize renal scarring. To ensure appropriate therapy, knowledge of the prevalence of causative organisms and their susceptibility patterns to antimicrobials is mandatory. We performed a retrospective analysis investigating the local prevalence and resistance patterns of uropathogens, primarily E. coli, isolated from community-acquired UTIs. Methods : A total of 103 positive urine cultures from children with febrile UTI collected at Bundang CHA General Hospital from February 2004 to February 2005 were analyzed. Inclusion criteria were fever higher than $37.5^{\circ}C$, significant bacteriuria with single strain growth of at least 10s colony forming units/mL urine, and leukocyturia >5/HPF. Results : E. coli(89.3%) was the leading uropathogen followed by Enterococcus spp.(3.9%) Klebsiella spp.(2.9%), Citrobctcter spp.(1.9%) and Enterobacter spp.(1.9%). E. coli strains revealed a low proportion of antimicrobial susceptibility to ampicillin(AMP; 27.2%) ampicillinsulbactam(AMS; 34.8%) and trimethoprim-sulfamethoxazole(SXT; 65.2%). Susceptibility patterns to cephalosporins were as follows; cefazolin(1st generation; 91.3%), cefoxitin(2nd; 100%), ceftriaxone(3rd; 97.8%) and cefepime(4th; 97.8%). Three E. coli isolates produced ex tended - spectrum beta-lactamase(ESBL). Conclusion : Empirical treatment with AMP, AMS and SXT, which are commonly used in pediatric clinics, is not recommended for childhood UTI due to high incidence of resistance. The high level of susceptibility to cephalosporins makes these drugs reasonable alternatives. However the emergence of ESBL-producers, even though they are quite few, may have an impact on cephalosporin treatment in the future. (J Korean Soc Pediatr Nephrol 2006;10:18-26)

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The Study on the Analysis of Marine Accidents and Preventive Measures (해양사고의 분석과 방지대책에 관한 연구)

  • SEO, Man-Seok;BAE, Seok-Je
    • Journal of Fisheries and Marine Sciences Education
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    • v.14 no.2
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    • pp.149-160
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    • 2002
  • I have been analyzed the marine accidents during 10years(1992~2001) based on the maritime inquire court decision, the results were as follows: 1. The rate of accident occuring were showed fishing boat(69.9%), freighter(12.3%), tanker(4.3%), tug boat(3.8%), passenger boat(2.1%) by the usage. 2. The marine accident had been showed operational fault(67.3%), mishandling of engine equipment(21.7%), meteorological condition, etc(11%) by the reason, most accidents had been occured by the operator fault and rack of experience. 3. The marine accidents had been showed damage of hull and engine(27.5%), collision(24%), foundering(11.3%), fire(3.9%), agrounding(10%), by the kind of accidents. 4. The accidents had been occured (74.6%) at the coastal sea, harbour and (25.4%) at the open sea by the sectors. The accidents of the vessel less than 500ton were much increased (54.3%) also, The accidents were much occured at the time between 0400~0800 hours by the time.

Fast Image Compression and Pixel-wise Switching Technique for Hardware Efficient Implementation of Dynamic Capacitance Compensation (하드웨어 효율적인 동적 커패시턴스 보상 구현을 위한 고속 영상 압축 및 화소별 스위칭 기법)

  • Choi, Joon-Hwan;Song, Won-Suk;Choi, Hyuk
    • Journal of KIISE:Software and Applications
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    • v.36 no.8
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    • pp.616-622
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    • 2009
  • Thanks to Dynamic Capacitance Control (DCC) technique, response time of an LCD display has greatly improved. However, DCC requires hi-speed memory for the real-time writing/reading of an image of a previous frame, which results in increases in hardware overhead and cost. In this paper, we propose Modified Exponential Golomb (MEG) coding, a low-complex high-speed image compression method, which can remarkably reduce memory requirement for DCC. We also propose a pixel-wise DCC switching technique to prevent a compression error from affecting the quality of a final image on LCD. In our experiment, the degradation in visual quality was not noticeable when we cut the DCC memory size of 1080i HD data by 1/3.

Clinical Study on Monteggia Fracture (Monteggia 골절의 임상적 고찰)

  • Seo, Jae-Sung
    • Journal of Yeungnam Medical Science
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    • v.4 no.2
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    • pp.131-138
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    • 1987
  • In 1814, Giovanni Battista Monteggia first described two cases of fracture of proximal third of ulna with a dislocation of radial head, and this combined injury is now known as the Monteggia fracture. Despite its rarity, the importance of early recognition of dislocated radial head and correct treatment bas been emphasized. Eight cases of Monteggia fracture were studied from March, 1984 to June, 1987. The results are as follows 1. Male patients were six and female were two. 2. The frequent cause of injury was fall down in four cases. 3. Bado type I accounted for 50%, type II for 12.5% and type III for 37.5%. 4. The level of ulna fracture was above upper one third of ulna in seven. 5. The common direction of dislocated radial head was anterior. 6. Two children and two adults were managed by closed reduction. Four ulna fractures in adult were treated by open reduction and internal fixation using a semitubular plate. 7. The results (by Bruce et al. criteria) were 3 excellent, 2 good, 1 fair and 2 poor.

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