• Title/Summary/Keyword: 의식상태

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Correlation Analysis with Modified Barthel Index and Motor Assessment Scale in Stroke Patients (뇌졸중환자의 기능평가척도로서의 MBI와 MAS의 상관성분석)

  • Ko, Seong-Gyu;Jun, Chan-Yong
    • The Journal of Korean Medicine
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    • v.20 no.1 s.37
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    • pp.52-59
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    • 1999
  • 연구목적 : 뇌졸중환자에 기능회복도의 측정을 위해 가장 신뢰도가 높은 MBI에 대해서 순수하게 뇌졸중환자의 운동기능평가만을 위해 고안된 MAS의 상관성을 각 기간별로 분석하여 MAS의 운동기능평가척도로서의 객관성에 대해 연구한다. 또 한편으로 경과시간에 따른 운동기능 회복도의 차이를 전체그룹과 사상그룹에서 평가한다. 연구방법 : 1998년 1월부터 1998년 6월까지 6개월에 걸쳐 상지대학교 한의과대학 부속한방병원 내과에 입원하여 뇌졸중으로 진단된 환자 중 의식과 언어상태가 명료한 32명을 대상으로 하였다. 입원직후 사상의학과에 의뢰하여 QSCCII 시스템에 의하여 체질진단을 받은 후 본원 운동기능평가실에서 입원직후, 입원 후 2주와 4주 등 3회에 걸쳐 Modified Barthel Index(MBI)와 Motor Assessment Scale(MAS)을 시행하였다. 각 환자에 대한 검사는 2명의 한방순환기내과 전문의와 전공의에 의해 환자에 대한 사전 정보 없이 이루어졌다. 연구결과 : 통계처리는 상관분석을 위해서는 Pearson correlation coefficient, 사상체질에 있어서 각 경과시간에 따른 점수변화는 Repeated ANOVA, 일반적특성 분석에는 Descriptive analysis가 사용되었고, 프로그램은 SPSS/PC+ 7.5 version을 사용하였다. 1. 뇌졸중 환자의 사상의학적인 분포는 태음인이 56.3%로 가장 많았고, 소양인이 28.1%, 소음인이 12.5%, 태양인이 3.1%이었으며, 연령별로는 50대가 32.6%로 가장 많았으며, 평균연령은 60.9세였다. 2. 경과시간에 따른 사상체질간의 MBI, MAS 평균점수변화는 MBI, MAS 모두 반복측정 분산분석 결과 입원당시와 2주 후, 입원당시와 4주 후에서 모두 P<0.001의 범위에서 통계학적으로 유의하게 증가하였고, 경과시간과 사상체질간의 교호작용은 없었다. 3. MBI, MAS 모두 각 항목과 기능별 분류군에서도 경과시간에 따른 평균점수의 변화는 P<0.001 범위에서 통계학적으로 유의하게 증가하여 한방치료의 효과가 있음을 보여주었다. 4. MBI와 MAS의 경과시간별 Pearson 상관성 분석결과 입원당시의 MBI와 입원당시의 MAS에서, 2주 후의 MBI와 입원당시, 2주 후, 4주 후의 MAS에서, 4주 후의 MBI와 입원당시, 2주, 4주 후의 MAS에서 모두 높은 상관성을 보여, 두 평가방법 간에는 상관성이 높다고 본다.

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A Study of Methods for Management and Assessment of Present State of the Coastal Wetlands as Protected Area - Focused on the awareness of local residents in Suncheon Bay and Taeanhaean National Park - (보호구역으로서의 연안습지의 현황 평가 및 관리방안에 관한 연구 - 태안해안국립공원 및 순천만 지역의 주민의식을 기초로 -)

  • Cho, Kye-Joung
    • Korean Journal of Environment and Ecology
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    • v.24 no.2
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    • pp.130-138
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    • 2010
  • The purpose of this study is the investigation and analysis of information on the conservation and the sustainable use of coastal wetlands based on the awareness of local residents in Suncheon Bay and Taeanhaean National Park. To accomplish the purpose of study, a questionnaire survey was chosen and the 98 valid samples(38 from Taeanhaean National Park and 60 from Suncheon Bay) among them were analyzed. The results are summarized as follows: The degree of the satisfaction on the natural environment is alike between Taeanhaean National Park and Suncheon-bay area. This is accorded with the order of the goodness of natural environment. The order for the degree of the satisfaction on the living environment is same as the order for the satisfaction degree on the natural environment. The residents of two regions are not satisfied with the socio·economic environment. The local resident of Suncheon Bay and Taeanhaean National Park Area where natural environment is well-conserved, prefer conservation to development of the region. These results show the following consideration for the ideal method of management for the conservation and sustainable development of coastal wetlands. In case of Suncheon Bay area, where the condition the natural environment is well conserved, should be managed with the minimum development with maintenance of the current state must be driven. In case of Taeanhaean National Park Area, where the condition of the natural environment is well conserved and the development potential exists, such as sustainable development and ecotourism destination the development that is in harmony with the nature must to be driven.

On-site Treatments and Conservation of Ox Bones Excavated from Bogam - ri tumulus, Naju (나주 복암리 고분군 출토 소뼈의 수습 및 보존처리)

  • Lee, Jung-Min;Park, Young-Hwan;Youn, Hye-seong;Ham, Chul-Hee;Kwon, Hyuk-nam
    • 보존과학연구
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    • s.36
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    • pp.74-85
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    • 2015
  • An ox bone object was excavated from the wetland at the excavation site in Bogam-ri tumulus, Naju. It was only able to identify the full image of the shape. Bogam were deteriorated and cracked due to the soil pressure and the repeated cycle of freezing and melting. They were also fragmented in pieces and powdered. In situ, bones were dewatered, consolidated and wrapped together with surrounding soils not to lose the fragmented bone pieces. Unpacking was carried out in the conservation lab and the treatment was processed. Soils on the reverse were removed and then the surface was consolidated and reinforced. Then, soils on the excavated side was cleaned and the surface was consolidated. The object was placed in the produced storing box. When the ox bone object was excavated, it did not have its head and was in the shape of tieing all its legs up. This shows that the animal had been tied up during a ritual and then buried. During the treatment, the importance of the burial purpose and maintaining the shape at the time of excavation was considered. Therefore, the shape of the object at the time of excavation was maintained rather than dismantling all these fragile bones and finding the shape of an ox. This conservation of ox bone object shows that conservation treatment methods have to be vary depending on characters and conditions of objects. In addition, it is expecting that this writing could be the reference to bone and horn objects excavated in the future for the whole process from the excavation to the conservation treatment.

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Police security measures for foreign criminals : Focusing on Suwon (외국인범죄자에 대한 경찰의 치안대책 : 경기도 수원시를 중심으로)

  • Park, Chanhyeok;Seo, Bongsung
    • Journal of the Society of Disaster Information
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    • v.11 no.4
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    • pp.622-633
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    • 2015
  • With recent news reports on violent crimes committed by foreigners, public hatred toward foreign criminals and fear about such crimes are growing, calling into question public safety measures implemented by the police and the immigration system. At the same time, due to globalization and structural changes in the labor market, it is certain that the influx of migrant workers will continue to increase. Against this backdrop, this paper seeks to examine the current status of foreign nationals staying in Korea and their criminal records focusing on Suwon city, and propose public safety measures the police could take with regard to crimes committed by foreigners. Also, the paper looks into public safety measures of the Korea Immigration Service and Suwon city, and suggests short- and long-term measures to prevent crimes committed by foreigners. The paper begins by examining the current public safety measures of the police and Suwon City concerning crimes committed by foreign nationals residing in Korea. Based on such examination, it points out insufficient patrol and investigation personnel as problems, and recommends short- and long-term measures for future improvement. This paper maintains that for the Korean society to successfully deal with the increasing number of foreigners in Korea, the current immigration system and public safety measures of the police will have to change. While the police alone cannot reduce the crime rates at local and national levels, nonetheless, proactive measures by the police are needed given the growing number of migrant workers and immigrants in Korea. Also important are mindset changes not only of relevant authorities, but also of the public. The paper recommends a set of short-and long-term public safety measures the police should institute to efficiently deal with crimes committed by foreigners.

A Study on the Actuality of School Safety and the Development of Safety Manual (학교안전교육의 실태분석과 안전교육매뉴얼 개발에 관한 연구)

  • Kim, Tae-Hwan
    • Journal of the Korean Society of Hazard Mitigation
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    • v.5 no.3 s.18
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    • pp.83-88
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    • 2005
  • It is necessary to hold the school safety manual because recently, the safety-related accidents occur frequently in schools. Accidents can occur inside of schools as well as out of schools, and they can be classified with human accidents, traffic accidents, fire accidents, and explosion accidents. Safety-related accidents occurring in the school are dangerous because nobody can predict them. Illegally infringing violence, targeting unspecified and a lot of people, informs the parents and persons concerned to education of danger. School safety manual, never precedented before, describes epoch-making educational methods for students' safety. It describes safety security such as refuging ways at an emergency, the way to recognize danger for elevated safety based on prevention education, the use and practice of checklist for related facilities, and the implements and facilities for school personnels and students. So, the school safety manual is an important guidance for safety education at the level of prevention from various accidents which occur inside the school as well as out of the school. It presents a variety of prompt response after an accident. At the same time, it checks facilities and dangerous factors in schools and facilities for safety, and analyzes special factors based on them. So it will present the status of safety management of existing facilities and implements, the installment of new facilities and implements, and the way to secure safety for use.

A Design Solution for a Railway Switch Monitoring System (분기기 진단 시스템 설계에 관한 연구)

  • Choo, Eun-Sang;Kim, Min-Seong;Yoo, Heung-Yeol;Mo, Choong-Seon;Son, Eui-Sik;Park, Seongguen;Lee, Jong-Woo
    • Journal of the Korean Society for Railway
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    • v.18 no.5
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    • pp.439-446
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    • 2015
  • The turnout system, which determines the direction of the train, is not only a key system but also a vulnerable system. Failure of this system may lead to a delay of the train or even casualties. In this light, it is necessary to precisely the conditions of the turnout system. Currently, ROADMASTER of Germany is used as a diagnostic system in Korea. However, a new diagnostic system should be developed for optimized operation of the turnout system with maintenance that is suitable for the Korean railway environment. In this paper, a Fault Tree Analysis for the representative faults of the turnout system is conducted and physical quantities, which can be the cause of the fault, are classified according to the component and function. Also, the measuring factors for the monitoring are derived and a decision making theory is suggested. On the basis of the results, we propose a new turnout diagnostic system that can provide more driverse and precise information than the conventional system.

THE CARE OF DELAYED MALUNION AFTER MAXILLARY FRACTURE BY DIFFERENT METHODS:REPORT OF THREE CASES (치료법을 달리한 상악골절후 부정유합 2예)

  • Yoo, Jae-Ha;Lee, Won-Yoo;Rew, Soo-Jang
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.117-127
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    • 1991
  • When open reduction of maxilla fractures is postponed due to concurrent life-threatening injuries, delayed union may result with malunion or nonunion. If delayed malunion is occurred, significant facial deformity may result, including a dished-out face, irregular retromaxillism with Angle's class III malocclusion, open anterior bite, nasal collapse, telecanthus and malar flattening. The treatment planning for this problem includes cephalometric evaluation anterior and lateral tomograms, dental casts, orthodontic planning, dental planning and use of impression tray to rupture the fibrous tissue casts, orthodontic planning, dental planning and use of impression tray to rupture the fibrous tissue attachment at the fracture site. In this paper, one case presented a 58-year-old female patient with maxilla retrusion after comminuted fracture, who was treated with orthodontic methods of maxillary protraction headgear and Plaster headcap, whereas the other two cases were about male patients who were treated principally with surgically open reduction or Le Fort I-controlled transverse osteotomy with iliac bone graft.

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DENTAL TREATMENT IN A PATIENT WITH PIERRE ROBIN SYNDROME UNDER GENERAL ANESTHESIA : A CASE REPORT (피에르 로빈 증후군 환아의 전신마취 하 치아우식 치료 증례 보고)

  • Ryu, Jiyeon;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Young Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Kim, Chong-Chul;Lee, Sang-Hoon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.12 no.2
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    • pp.87-91
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    • 2016
  • Pierre Robin syndrome (PRS) is characterized by the triad of congenital mandibular hypoplasia, glossoptosis and cleft palate. Infant PRS patients are frequently suffering from upper airway obstruction, gastroesophageal reflux and growth retardation caused by above mentioned problems. We report a dental caries treatment of 3-year old girl with Pierre Robin syndrome with multiple caries. The cause of multiple caries was mainly presumed as patient's eating habit caused by her general condition. She had some feeding problems and had history of gastric tube. She was still using milk bottle and took more than an hour to finish a meal. The treatment was performed under general anesthesia considering patient's condition; mild autism, poor cooperation and respiratory problem due to micrognathia. Severely affected upper incisors were treated with pulp treatment and restored with zirconia crown for esthetic purpose. Lower incisors were treated with pulp treatment and restored with composite resin. Upper right first primary molar was restored with stainless steel crown and other primary molars were treated with composite resin. There were no postoperative complications. According to her parents, the patient's compliance to oral hygiene management was greatly improved after the treatment since she was very pleased with the esthetic result and highly motivated by her looks. The treatment without sedation or general anesthesia would be possible once the airway is improved as the mandible grows.

The Environmental Conservation according to the Development of Cheongok - cave (천곡동굴 개발에 따른 환경 보전)

  • 유영준;이영화
    • Journal of the Speleological Society of Korea
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    • v.45 no.46
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    • pp.69-79
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    • 1996
  • 동굴은 미지의 세계이고, 암흑의 신비로운 지하세계이기 때문에 우리 인간에게는 매우 흥미로운 공간이라고 할 수 있다. 그러므로 이러한 공간을 관광자원으로 활용하여 지역주민이 소득을 올리고, 청소년에게 탐험의 세계, 모험의 세계는 물론 자연학습의 현장으로 활용할 수 있게 하는 바람직한 경우도 있다. 그러나 이러한 경우 동굴이 개발되면 전자와 같은 긍정적인 면이 있는 반면에 동굴의 파괴, 오손 및 오염과 같은 악영향을 가져오게 되므로 동굴을 개발할 당시부터 악영향을 최소하기 위해서는 환경보전과 환경보호에 커다란 관심을 가져야 한다. 따라서 본 연구에서는 이제 동굴 개장이 2개월밖에 되지 않은 천곡동굴이 관광지로 개방됨으로써 나타나게 될 환경변화를 미리 살펴보고 그에 대한 대책을 마련하려고 하였다. 그 결과는 다음과 같다. 첫째, 천곡동굴의 경우 동굴 공간이 넓고 관광통로가 왕복통로로 되어 있어 체동인구가 2배가 되므로 많은 관광객의 출입시 동굴 내부의 기온이 상승하기 때문에 동시에 관람할 수 있는 적정 관람객 수를 조절해야 한다. 둘째, 천곡동굴은 개장 시일이 오래 경과하지 않았기 때문에 퇴적물의 파손이 전무하다고 할 수 있다. 따라서 이 상태를 계속 유지하기 위해서 동굴 내부에 관리인을 상주시킨다거나, 입동객의 소지품을 보관할 수 있는 장소를 마련하여 동굴퇴적물을 훼손할 수 있는 물건의 반입을 애초에 방지하는 방안도 필요하다고 본다. 마지막으로, 동굴 개발 당시 조명을 너무 가깝게 설치한 때문에 개방 후 얼마 되지 않았음에도 불구하고 몇 군데에서 녹색균류가 관측되고 있으므로 조명시설의 원거리 조정이나 간접조명 대책을 강구해야 한다.만 아니라 오류의 크기도 확률적으로 변하는 상황을 모형에 반영하여 보다 현실성있게 모형화하였다.균 6.5점(2-9점)으로 대체로 높게 나타났는데 이는 대중매체와 신문, 잡지류를 통한 지식의 정보가 많기 때문으로 생각된다 비만 정도에 따라서는 유의적인 차이를 보이지 않았다. 5. 비만 정도와 상호간의 관계를 보면 BMI 수치가 높을수록 비만인 형제수가 많았으며, 자신의 비만 자각도도 높았다. 편식율은 비만 정도가 낮을수록 높았으며, 식품섭취 빈도 점수는 비만군에서 높았으나, 저녁식사 후 간식섭취는 BMI가 높은 군에서 하지 않는 비율이 더 높았는데 이것은 감수성이 예민한 여학생들이 자신의 외모에 대한 의식적인 노력으로 보인다. 이상과 같은 결과를 종합해 볼 때 중학교 여학생들은 학교수업을 중심으로 비교적 규칙적인 생활을 하고 따로 운동을 할 시간이 많지 않은 것으로 나타났다. 비만과 관련하여서는 유전적인 요인도 중요하지만 식습관 개선과 식품이 적절한 선택 등을 강조하여 연령과 생활환경에 맞는 영양교육이 필요하다고 본다.알 수 있으며, 현미 30% 첨가한 B2가 그 다음 순위로 선호되어, 백설기 제조에서 율무와 현미의 첨가량은 10%가 권장된다.농촌 지역 여고생보다 많이 섭취하였고, 탄수화물은 농촌지역 여고생이 대도시 지역 여고생에 비하여 유의적으로 많이 섭취하였다. 지역별 여고생의 에너지섭취 비율은 탄수화물 : 단백질 : 지방의 섭취 비율이 대도시 60.75% : 16.4% 22.9%이며, 중소도시가 62.7% : 15.7% : 21.5%,농촌이66.8% : 14. l% : 19.1%이었다. 영양지식의 정확도나 인지도는 영양소 섭취와 유의적인

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The Introduction and the Application of PMSCs System on Counter-terrorism (대테러활동에 있어서 민간군사보안업(PMSCs) 제도의 도입과 활용방안)

  • Kim, Sang-Jin;Kim, Jong-Kul
    • Convergence Security Journal
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    • v.11 no.5
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    • pp.89-98
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    • 2011
  • The counter-terrorism in Korea should be approached practically divided both internally and externally. However, in reality it is impossible for the military and the police to control all the counter-terrorism. So there is a need of precaution using the partnership with private companies. But the military and the police have stressed the conservative and closed operation. Furthermore, the focus of counter-terrorism in Korea is more on expose facto treatment than prevention, so they are almost the defenseless. In order to solve this problem, we should form the private subcontractors of the counter-terrorism experts. That is the introduction and the application of PMSCs system. First, the military and the police need to change its mind set for the partnership with private companies to prepare appropriateness. Second, it should be built up infrastructure to let the hands-up workers on counter-terrorism out place. Third, it should be set up the institutions of learning to train regularly to applicate PMSCs system and to specialize. Fourth, the training of counter-terrorism should be made it mandatory about exit passengers to danger zone. Fifth, the selection of PMSCs suitable for counter-terrorism should be strict.