• Title/Summary/Keyword: 압박 두께

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Use of PC Skillreporting system for Improving Quality of Cardiac Pulmonary Resuscitation in Fire EMT (구급대원의 심폐소생술 질 향상을 위한 PC Skillreporting system 활용방안)

  • Rho, Sang-Gyun;Moon, Tae-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.4
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    • pp.1498-1503
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    • 2010
  • PC Skillreporting feedback during cardiopulmonary resuscitaion would improve the performance of chest compression and ventilation during cardiac arrest. BLS skills were measured using Laerdal Skillreporter manikin(Laerdal, Norway) connected to a Laerdal PC Skillreporting system. Ventilation volume, chest compression accuracy, velocity of compression, depth of compression, hand position and chest recoil were measured between the two groups. Ventilation volume was significantly higher in the experimental group than that of control group(p<0.002). Chest compression depth was significantly higher in experimental group than that of control group(p=0.000). The quality of CPR can be improved by the use of PC Skillreporting system.

Metastatic Cervical Lvrnphadenopathy from Uterine Leiornyosarcorna with Good Local Response to Radiotherapy and Chemotherapy (자궁 평활근육종의 경부림프절 전이와 방사선치료 및 화학요법에의 반응)

  • Oh Yoon Kyeong;Park Hee Chul;Kee Keun Hong;Jeon Ho Jong;Park You Hwan;Chung Choon Hai
    • Radiation Oncology Journal
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    • v.18 no.4
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    • pp.309-313
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    • 2000
  • The metastasis of uterine leiornyosarcorna to the neck node has not been reported previously and the radiotherapy has been rarely used for the metastatic lesion of the other sites. We report a case of neck metastasis from a uterine leiornyosarcorna, which developed 10 months after surgery and postoperative pelvic radiotherapy. It also involved the parapharyngeal space, adjacent spine, and spinal canal. The metastatic neck mass was inoperable, and was treated by neck radiotherapy (6,000 cGy) and chemotherapy including taxol and carboplatin. The mass has regressed progressively to a nearly impalpable state. She has never developed spinal cord compression syndrome, and has maintained good swallowing for eight months since the neck radiotherapy and chemotherapy. Since the extensive metastatic neck mass showed good local response to high dose radiotherapy and chemotherapy, both treatments may be considered for an unresectable metastatic leiornyosarcorna.

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A Study on the Sensibility Evaluation for the Human-centered Design of Rope Platform Screen Door(RPSD) (로프스크린도어의 인간중심 설계를 위한 감성평가에 관한 연구)

  • Jung, Byung Doo;Kim, Hyun;Shin, Kangwon
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.2
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    • pp.703-709
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    • 2013
  • Recently, the study on the commercialization technology of Rope Platform Screen Door (RPSD) is on the process. The study is specifically on RPSD, which the rope screen ascends to allow passage with securing safety of passenger and the condition of aboveground station. For this human-centered design of RPSD, it is important to present system technology. However, it is also necessary to scientifically measure and research the emotions, senses or minds of users in the future. Therefore, this study analyzed the human factors to be considered with designing the system on RPSD, which is installed in Nokdong Station on Gwangju Subway as a trial. Moreover, the emotional evaluation was done by analyzing the factors as how they are effected in general; it processed by checking whether it is safe, height of rope is stable, it has openness (pressure) or strong by examining the moments that a set of ropes blocks rail from platform, and when train is arrived.

Tubing Wear and Spallation Induced by Roller pumps in Cardiopulmonary Bypass (심폐바이패스 롤러펌프에 의한 튜브 마모 및 폐쇄)

  • 김원곤;성기익;윤철용;신윤철
    • Journal of Biomedical Engineering Research
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    • v.20 no.5
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    • pp.609-616
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    • 1999
  • 심폐바이패스시 발생할 수 있는 튜브 마모 및 파쇄는 롤러펌프의 반복되는 압박에 의해 롤러펌프에 장착된 튜브 내벽에 균열이 생기고 이로 인해 미세한 비생물적 조각들이 혈액중으로 떨어져 나가는 현상을 말하는데, 임상적으로 치명적인 색전증을 초래할 수 있다. 그러나 아직 롤러펌프 튜브로 사용되는 PVC 및 실리콘 튜브 중 어느 쪽이 마모 및 파쇄 관점에서 더 우수한지는 체계적으로 밝혀지지 않고 있다. 이에 본 연구는 두 종류의 튜브를각각 일정 기간 롤러펌프에 장착하여 작동시킨 뒤 튜브내외면을 육안 및 주사형 전자현미경으로 관찰하였다. 즉 PVC 및 실리콘 튜브 (내경 1/2 인치의)들을 미리 정해진 폐쇄도 조절에 의해 폐쇄 회로 심폐비이패스 롤러펌프 헤드에 장착시키고 4.500ml/min에서 각각 4차례씩 1,2,4,6 시간 작동시켰다. 파쇄에 의한 색전 관찰 실험에서는 회로 중간에 동맥여과기를 설치하고 각각 6,9시간 씩 롤러펌프를 작동시켰다. 실험 후 튜브 및 여과기들을 수거한 후 육안 및 주사형 전자현미경 분석을 시행하였다. 실험후 튜브 및 여과기들을 수거한 후 육안 및 주사형 전자현미경을 분석을 시행하였다. 튜브 외부의 육안 관찰 결과 일반적으로 실라스틱 튜브에서의 외부 마모가 PVC 튜브에 비해 현저하였다. 주사형 전자현미경 관찰에서 PVC 튜브에서의 홈은 좁으면서 경계선이 뚜렷한 특징을 보였고 3시간 이상 롤러와 접촉한 튜브들에게서는 깊은 균열이 간헐적으로 관찰되었다. 반면, 실라스틱에서의 홈은 좁으면서도 경계선이 뚜렷한 특징을 보였고 3시간 이상 롤러와 접촉한 튜브들에게서는 깊은 균열이 간헐적으로 관찰되었다.반면 실라스틱에서의 튜브들에서는 홈이 상대적으로 넓고 경계가 덜 명확했으며, 특징적으로 V 자 모양의 융기부들이 간헐적으로 관찰되었다. 실라스틱 및 PVC 튜브 모두에서 50u 전후의 Craters 가 간헐적으로 관찰되었다. 여과기의 여과망에 대한 주사형 전자현미경 분석 결과 실라스틱과 PVC 튜브 실험군 모두에서 색전입자로 의심되는조각들이 발견되었으나 두군간 정량적 비교는 어려웠다. 결론적으로 롤러펌프에 의한 튜브 마모 및 파쇄현상은 실리콘 및 PVC 튜브의 재질에 따라 그 양상에는 차이가 있으나 임상적인 측면에서는 어느 쪽도 상대적인 우수성이 입증되지 못하였다.

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A Study on the Application of Medical Compression Arm Sleeves Using a MRT(Moisture Responded Transformable) Fibers (MRT(Moisture Responded Transformable)섬유의 의료용 압박소매 적용에 관한 연구)

  • Cho, Daehyun;Jung, Taedu;Park, Eunhee;Park, Youngmi
    • Textile Coloration and Finishing
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    • v.33 no.2
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    • pp.87-95
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    • 2021
  • In this study, the application of a medical compression sleeve of Moisture Responded Transformable(MRT) fibers to the treatment of lymphedema after surgery in breast cancer patients was investigated. MRT fibers were manufactured with PET and Nylon6 bi-component cross-section yarns, and compression sleeves of sleeves 1, 2, 3, and 4 were knitted in order of size, and then the physical properties and clinical tests were evaluated. As a result, the pressure of compression sleeve in wrinkle was the lowest in sleeve 1 with 3.81 kPa, and the highest in sleeve 4 with 5.22 kPa. Elastic recovery rate is that all parts except the top of the sleeve 1 exhibited 100%. The air permeability was good at 12.1 ~ 16.1 cm3/cm2/sec, and peeling was also comparatively excellent as grade 3. In addition, the weight of the compression sleeves 1, 2, and 3 decreased as 18.3 ~ 23.0 g/m2 depend on size, while the compared sample was heavier with 17.39 ~ 32.61 g/m2. In lymphoscintigraphy test, it was confirmed that the function of remaining lymph node was good in all patients. Although there were no differences between samples in skin irritation and tightness in wearing comfort, the manufactured sleeves showed better fit, lightness, fashion and breathability than the comparable sleeves.

A Study on Burnout Aspects and Solutions in Movies: Focusing on and (영화에 나타난 번아웃 양상과 해결방식 연구: <꾸뻬씨의 행복여행>과 <잠깐만 회사 좀 관두고 올게>를 중심으로)

  • Kwon, Sang-Jung
    • The Journal of the Korea Contents Association
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    • v.22 no.6
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    • pp.184-193
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    • 2022
  • 'Burnout', which has been frequently used recently, is one of the representative expressions representing the psychology of modern people living in fierce competition. In this paper, I approached and analyzed two films, 'Hector and the Search for Happiness' and 'To Each His Own' from the perspective of burnout, which are considered two of the most healing movies for office workers. The symptoms of burnout in the work were lethargy, irritability, anger, insomnia, depression, and suicidal thoughts. In the case of 'Hector and the Search for Happiness' the clash of values from repeated consulting work, and in the case of 'To Each His Own', work overload, performance pressure, and the absence of a community of colleagues were the causes. This burnout state is visually expressed through the dialogues and expressions of the characters, as well as looking down shots of various sizes, low lighting, and placing objects in front of the main character. This intuitively expressed the symptoms of burnout, which is difficult to diagnose. In particular, it was confirmed through the movie that one of the diagnostic criteria for burnout, such as hobbies, physical activity, and the presence or absence of a fellow community, helps to get out of burnout.

Effect of Release of the Superficial Medial Collateral Ligament in Repair of the Posterior Medial Meniscus Root Tear (내측 반월상 연골 후각 부착부 봉합술 시 표층 내측측부인대 유리술의 효과)

  • Yang, Byung Se;Lee, Dhong Won;Nam, Sang Wook;Ha, Jeong Ku;Kim, Jin Goo
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.2
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    • pp.114-120
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    • 2012
  • Purpose: The purpose of the study was to evaluate the usefulness and the stability of the superficial medial collateral ligament (MCL) release in posterior medial meniscus root repair. Materials and Methods: We compared 20 patients who underwent posterior medial meniscus root repair with superficial MCL preserved (PM) and 32 patients who underwent posterior medial meniscus root repair combined with superficial MCL release (RM) from April 2006 to September 2010. We excluded the patients combined with other surgery. To evaluate the postoperative valgus instability in RM group, we examined direct tenderness on MCL insertion, the subjective feeling of instability and valgus stress test at 3 months and 1 year follow-up. We compared the tourniquet time between PM group and RM group, and the clinical results were assessed by Lysholm score and International Knee Documentation Committee (IKDC) for the usefulness. Results: All patients had no clinically significant complication related to the superficial MCL release. Three months and 1 year follow-up, there were no positive tenderness test, no subjective symptoms and no significant increase of valgus instability although 5 patients examined grade I valgus instability. The mean tourniquet time was $41.3{\pm}12.7$ minutes in RM group and $53.5{\pm}13.6$ minutes in PM group. There was a significant difference in the tourniquet time between the two groups (P<0.05). Average Lysholm score was $56.8{\pm}5.5$ (range, 44-70) preoperatively and $85.1{\pm}5.8$ (range, 77-94) postoperatively in PM group, and was $56.2{\pm}5.4$ (range, 45-67) preoperatively and $87.4{\pm}3.9$ (range, 82-95) postoperatively in RM group (P<0.001). No significant difference of Lysholm score was found in both groups (P<0.05). Average IKDC scores was $42.6{\pm}3.9$ (range, 30-53) preoperatively and $77.2{\pm}6.3$ (range, 68-92) postoperatively in PM group, and was $42.7{\pm}5.7$ (range, 30-53) preoperatively and $89.6{\pm}2.9$ (range, 84-95) postoperatively in RM group (P<0.05). There was also no significant difference of IKDC score in both groups (P<0.05). Conclusion: The superficial MCL release in posterior medial meniscus root repair is useful to gain a wide surgical field and reduces the tourniquet time and does not lead to postoperative valgus instability. It can be considered clinically useful and safe procedure in medial meniscus posterior root repair.

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Effects of implant thread profile on insertion stress generation in cortical bone studied by dynamic finite element simulation (유한요소 모사해석을 통한 임플란트 나사산 형상이 치밀골의 식립응력에 미치는 영향 분석)

  • Yu, Won-Jae;Ha, Seok-Joon;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.4
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    • pp.279-286
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    • 2014
  • Purpose: The aim of this study was to investigate the effect of implant thread profile on the marginal bone stresses which develop during implant insertion. Materials and methods: Four experimental implants were created by placing four different thread systems on the body ($4.1mm{\times}10mm$) of the ITI standard implant. The thread types studied in this study included the buttress, v-shape, reverse buttress, and square shape threads. In order to examine the insertion stress generation, 3D dynamic finite element analysis was performed which simulated the insertion process of implants into a 1.2 mm thick cortical bone plate (containing 3.5 mm pilot hole) using a PC-based DEFORM 3D (ver 6.1, SFTC, Columbus, OH, USA) program. Results: Insertion stresses higher than human cortical bone developed around the implants. The level of insertion stresses was much different depending on the thread. Stress level was lowest near the v-shape thread, and highest near the square shaped thread. Difference in the interfacial bone stress level was more noticeable near the valley than the tip of the threads. Conclusion: Among the four threads, the v-shape thread was turned out to minimize the insertion stress level and thereby create better conditions for implant osseointegration.

Effect of Amount of Probiotics and Yeast as Starter on Quality Characteristics of Sourdough Bread (Probiotics와 Saccharomyces cerevisiae 를 이용한 starter 사용량이 발효빵의 품질에 미치는 영향)

  • Chae, Dong-Jin;Lee, Kwang-Suck;Jang, Ki-Hyo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.6
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    • pp.2652-2659
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    • 2011
  • The principal objective of this study was to provide the basic information on the sourdough bread made with probiotics and yeast(Saccharomyces cerevisiae) and to establish an optimum formula for the development of sourdough bread with high physiological, textural and sensory quality characteristics. The following mixing ratios of probiotics and yeast were used: Test 1, probiotics: yeast = 1.5 : 0.1; Test 2, 0.30 : 0.02; Test 3, 0.15 : 0.01(g/g). Fermentatioin using sourdough resulted in increase in number of probiotics in sourdough by 244~642 times but reduced pH in sourdough. Contributions by yeast in pH in sourdough were not as high as probiotics after the first fermentation of 15 hrs period of the dough. Among the three groups, bread volume, crumb firmness, crumb thickness, crumb elongation, compression force value, and specific volume of bread of bread were not significantly different. However, in sensory evaluation, flavor, taste, overall acceptance in sourdough produced by Test 2 markedly improved(p<0.05). These results show that Test 2 bread had improved sourdough properties, compared to Test 1 bread and Test 3 bread.

A Micro Finite Element Analysis on Effects of Altering Monomer-to-Powder ]Ratio of Bone Cement During Vertebroplasty (골 시멘트 중합 비율 변경이 척추성형술 치료에 미치는 영향에 대한 비교 분석)

  • 김형도;탁계래;김한성
    • Journal of Biomedical Engineering Research
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    • v.23 no.6
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    • pp.451-458
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    • 2002
  • Osteoporosis is a systemic skeletal disease caused by low bone mass and the decrease of bone density in the microstructure of trabecular bone. Drug therapy(PTH Parathyroid hormone) may increase the trabecular thickness and thus bone strength. Vertebroplasty is a minimally invasive surgery foy the treatment of osteoporotic vertebral compression fracture. This Procedure includes Puncturing vertebrae and filling with Polymethylmethacrylate(PMMA). Although altering recommended monomer-to-Powder ratio affects material properties of bone cement, clinicians commonly alter the mixture ratio to decrease viscosity and increase the working time. The Purposes of this study were to analyze the effect of 4he monomer-to-powder ratio on the mechanical characteristics of trabecular. In this paper, the finite element model of human vertebral trabecualr bone was developed by modified Voronoi diagram, to analyze the relative effect of hormone therapy and vertebroplasty at the treatment of osteoporotic vertebrae. Trabeuclar bone models for vertebroplasty with varied monomer-to-Powder ratio(0.40∼1.07 ㎖/g) were analyzed. Effective modulus and strength of bone cement-treated models were approximately 60% of those of intact models and these are almost twice the values of hormone-treated models. The bone cement models with the ratio of 0.53㎖/g have the maximum modulus and strength. For the ratio of 1.07㎖/g, the modulus and strength were minimum(42% and 49% respectively) but these were greater than those for drug therapy. This study shows that bone cement treatment is more effective than drug therapy. It is found that in vertebroplasty, using a monomer-to-powder ratio different from that recommended by manufacturer nay significantly not only reduce the cement's material Properties but also deteriorate the mechanical characteristics of osteoporotic vertebrae.