• Title/Summary/Keyword: 이완영역

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3T MR Spin Echo T1 Weighted Image at Optimization of Flip Angle (3T MR 스핀에코 T1강조영상에서 적정의 숙임각)

  • Bae, Sung-Jin;Lim, Chung-Hwang
    • Journal of radiological science and technology
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    • v.32 no.2
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    • pp.177-182
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    • 2009
  • Purpose : This study presents the optimization of flip angle (FA) to obtain higher contrast to noise ratio (CNR) and lower specific absorption rate (SAR). Materials and Method : T1-weighted images of the cerebrum of brain were obtained from 50$^\circ$ to 130$^\circ$ FA with 10$^\circ$ interval. Signal to noise ratios (SNRs) were calculated for white matter (WM), gray matter (GM), and background noise. The proper FA was analyzed by T-test statistics and Kruskal-wallis analysis using R1 = 1- exp ($\frac{-TR}{T1}$) and Ernst angle cos $\theta$ = exp ($\frac{-TR}{T1}$). Results : The SNR of WM at 130$^\circ$ FA is approximately 1.6 times higher than the SNR of WM at 50$^\circ$. The SNR of GM at 130$^\circ$ FA is approximately 1.9 times higher than the SNR of GM at 50$^\circ$. Although the SNRs of WM and GM showed similar trends with the change of FA values, the slowdown point of decrease after linear fitting were different. While the SNR of WM started decreasing at 120$^\circ$ FA, the SNR of GM started decreasing at less than 110$^\circ$. The highest SNRs of WM and GM were obtained at 130$^\circ$ FA. The highest CNRs, however, were obtained at 80$^\circ$ FA. Conclusion : Although SNR increased with the change of FA values from 50$^\circ$ to 130$^\circ$ at 3T SE T1WI, CNR was higher at 80$^\circ$ FA than at the usually used 90$^\circ$ FA. In addition, the SAR was decreased by using smaller FA. The CNR can be increased by using this optimized FA at 3T MR SE T1WI.

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N-terminal Pro-B-type Natriuretic Peptide as a Predictive Risk Factor in Fontan Operation (Fontan 수술시 위험 예측인자로서의 N-Terminal Pro-B-type Natriuretic Peptide의 유용성)

  • Jang, Gi Young;Lee, Jae Young;Kim, Soo Jin;Shim, Woo Sup
    • Clinical and Experimental Pediatrics
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    • v.48 no.12
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    • pp.1362-1369
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    • 2005
  • Purpose : This study aimed to investigate the correlation between the plasma level of N-terminal pro-B-type natriuretic peptide(pro-BNP) and several known risk factors influencing outcomes after Fontan operations, and to assess whether pro-BNP levels can be used as predictive risk factors in Fontan operations. Methods : Plasma pro-BNP concentrations were measured in 35 patients with complex cardiac anomalies before catheterization. Cardiac catheterization was performed in all subjects. Mean right atrium pressure, mean pulmonary artery pressure(PAP), and ventricular end-diastolic pressure(EDP) were obtained. Cardiac output and pulmonary vascular resistance were calculated by Fick method. Results : Plasma pro-BNP levels exhibited statistically significant positive correlations with mean PAP(r=0.70, P<0.001), pulmonary vascular resistance(r=0.57, P<0.001), RVEDP(r=0.63, P<0.001), LVEDP(r=0.74, P<0.001), and cardiothoracic ratio(r=0.71, P<0.001). The area under the ROC curve using pro-BNP level to differentiate risk groups in Fontan operations was high : 0.868(95 percent CI, 0.712-1.023, P<0.01). The cutoff value of pro-BNP concentrations for the detection of risk groups in Fontan operations was determined to be 332.4 pg/mL(sensitivity 83.3 percent, specificity 82.7 percent). Conclusion : These data suggest that plasma pro-BNP levels may be used as a predictive risk factor in Fontan operations, and as a guide to determine the mode of therapy during follow-up after Fontan operations.

Development and Evaluation of a Community Staged Education Program for the Cardiocerebrovascular Disease High-risk Patients (심뇌혈관질환 고위험군을 위한 지역사회 단계별 교육프로그램 개발 및 효과 평가)

  • Lee, Hye-Jin;Lee, Jung-Jeung;Hwang, Tae-Yoon;Kam, Sin
    • Journal of agricultural medicine and community health
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    • v.37 no.3
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    • pp.167-180
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    • 2012
  • Objective: This study was conducted to evaluate an education program for cardiocerebrovascular high-risk patients. Methods: This program was developed according to Tyler's model for curriculum development. To evaluate the effects of this program, we measured clinical outcome change (weight, waist circumference, systolic blood pressure, diastolic blood pressure) and behavior change stages (checking blood pressure, blood sugar levels, doing physical activity, consistent maintenance of food intake, eating low amounts of salt, abstention from tobacco and alcohol) before and 4 weeks after participation in the education program. The group of subjects consisted of High-risk group patients who attended basic program(32 patients), and staged program(37 patients) during KHyDDI meetings from Oct. 2009 to May 2010. Results: The staged educational program was developed three aspects(disease, nutrition and exercise)and three stages(basic, in-depth and individual education). In the staged education program, the evaluations were made by measuring clinical outcome and stage of behavior before and after education. Significant differences were found in waist circumference, systolic blood pressure, diastolic blood pressure, consistent maintenance of food intake(p<0.05), and eating low salt(p<0.001)and their self efficacy. Conclusion: In the practice-oriented staged education program, significant differences were found in the clinical outcomes and stage of behavior before and after education. Possible limitations of the study include the small number of participating subjects and the short follow-up management period, but the results indicate that continued application of this program could contribute to the prevention of cardiocerebrovascular diseases for the elderly patients with long periods of chronic diseases.

A study on Palpation of the back-shu points (배유혈(背兪穴) 안진(按診)에 관(關)한 고찰(考察))

  • Hong, Mun-Yeup;Park, Won-Hwan
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.155-173
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    • 2000
  • The diagnosis in Oriental medicine is done by inspection, auscultation and olfaction, interrogation, four diagnostics of pulse feeling and palpation, and various system of identification like identification according to Qi(vital energy), Xue and body fluids, identification according to fair principles, identification according to principles of Wei, Qi, Ying and Xue, identification according to Sanjiao(the triple heater), identification according to four type physical constitution. Sometimes, symptoms and diagnosis techniques according to symptoms is selectively applied for the diagnosis. Among them the pulse feeling and palpation diagnosis technique using the sense of finger and palm of the hand is divided into feeling of pulse and palpation and pressing maneuver. Pressing maneuver is a diagnosis technique pressing and rubbing the affected part in order to attain data of identification including inside and outside condition of the body with regard to the nature, condition and relative seriousness of disease. There are palpation of the skin, palpation the hand and foot, palpation the chest and the abdomen, palpation shu points in pressing maneuver. The diagnosis of the Back Shu points is a technique to examine the change of disease condition from pressure ache, spontaneous ache, tension, relaxation, solidification revealed through channels and collaterals. I investigates starting disease and an attack of disease of twelve pulse and pulse condition through the study relative to the substance and technique of pressing maneuver, and adjusts diagnosis techniques of a region for acupuncture and matters to be attended. The conclusions are as follows. 1. The Shu or stream points in which pathogenic factors go are important to medical treatment of dormant diseases like bowels disease, cold symptom complex and insufficiency symptom complex. 2. Disease classified by system is diagnosed by the condition of process part like pro-trusion, cave-in, tension, relaxation, pressure ache through palpating the Shu or stream points, that is pressing upward or downward left and right sides of the backbone process by hands. 3. In real clinic pressing maneuver of one's back side is very important to patient's diagnosis treatment. Thus, pressing maneuver of one's back side have to be done without omission. 4. Diagnosis must be accomplished through the perception about the diversity of diagnosis technique of bowels disease, the exact knowledge about pressing maneuver of one's back side for enlargement of treatment range and rising of treatment rate, and pressing maneuver of the Shu or the stream points.

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Field Investigation and Stability Analysis of a Volcanic Rock Slope at the Song-Gok site, Wan-Do (완도 송곡지구 화산암류 비탈면의 현장조사 및 안정성 검토 사례 연구)

  • Kim, Hong-Gyun;Ok, Young-Seok;Kim, Seung-Hyun;Koo, Ho-Bon
    • The Journal of Engineering Geology
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    • v.23 no.2
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    • pp.149-160
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    • 2013
  • Volcanic activity commonly creates a highly complicated volcanic complex due to the admixture of lava flow and sedimentation of volcanic ash. The Song-Gok site is composed of volcanic rocks that collapsed at the lower part of the slope, in combination with several discontinuities in and around a fault. The results of projection analysis indicated the possibility of plane, wedge, and toppling failure in the failure section. The results of discontinuity modeling using the Distinct Element Method (DEM) revealed a total displacement of 207 mm and a joint shear displacement of 114 mm. The yield surface zone was verified at the fault plane of the failure section. In geotechnical terms, volcanic rock slopes are characteristically vulnerable to failure because of differential weathering among the various rock types, the effect of groundwater based on the permeability of the rocks, and the presence of systematic joints generated by the cooling and contraction of lava. When considering the stability of a volcanic rock slope, it is necessary to consider data such as the geological features of the rock, as obtained through detailed geological survey, and variations in discontinuities and rock blocks.

Pullout Characteristics of Pressure Reinjection-Grouted Reinforcements in Decomposed Granite Soil (화강풍화토 지반에 설치된 압력재주입 그라우팅 보강재의 인발특성)

  • Shim, Yong-Jin;Lee, Jong-Kyu;Lee, Bong-Jik
    • Journal of the Korean GEO-environmental Society
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    • v.13 no.11
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    • pp.61-68
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    • 2012
  • Most widely methods for reinforcement of soil utilized in Korea are anchor method, soil nail method and micro pile method. These methods are classified by the intended use of the structure to be constructed, but the reinforcement of the ground is accomplished contains in common the process of grouting work after inserting the reinforcements. Domestically, gravity grouting has been used mostly so far, but there has always been the risk of insufficient restoration of the loose ground area from the drill holes because the grouting is conducted only by gravity. On the other hand, pressure reinjection grouting may enhance the grouting quality by solving the problem of the existing grouting method considerably since it additionally reinjects grouting through pre-installed tube a certain time after the first grouting. Accordingly, this study evaluated the pullout characteristics by the grouting methods by performing model test on decomposed granite soil, and investigated the support increasing characteristics of reinforcements depending on the curing time, reinjection pressure, and uplift force variation of the pressure reinjection grouting. The result of this research shows that the pressure reinjection grouting demonstrated 1.1~1.3 times of performance of the gravity grouting, and suggests some analysis on optimal water content, reinjection pressure and curing time of the pressure reinjection grouting.

Second harmonic generation of pulsed corona - poled nonlinear optical polymer films (펄스 corona 배향된 비선형광학 고분자박막의 제2 고조파발생)

  • Kim, Jun-Soo;Lee, Jong-Ha;Lee, Hwang-Un;Kim, Sang-Youl;Won, Young-Hee
    • Korean Journal of Optics and Photonics
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    • v.13 no.4
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    • pp.356-362
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    • 2002
  • The molecular orientational dynamics of the nonlinear optical(NLO) side-chain polymer N-(4-nitrophenyl)-(L)-prolinol-poly (pphenylene terephthalates) have been studied using nonlinear optical responses as measured by second harmonic generation (SHG). A new pulsed corona poling is used to orient the NLO chromophores and the polymer segments into the noncentrosymmetric structure required to obtain the SHG signal. By corona poling of negative high voltage pulses with variable repetition rates (between 0.5 and 10 ㎑) at temperature between 25$^{\circ}C$ and 80$^{\circ}C$, well below and about the glass transition temperature 70$^{\circ}C$, the side-chain chromophores and the polymer chain contour rearrange themselves and create the domain structure observed by atomic force microscopy(AFM). The pulsed corona voltage enhances the orientational ordering of the NLO chromophores and also significantly influences the growth of SHG signal and the improved relaxation behavior after the poling field is removed, reducing the visible damage to the polymer film dramatically. This new pulsed corona poling experiment gave direct in situ evidence that the NLO chromophore and the polymer backbone undergo anisotropic rearrangement during the poling process.

Dismantling Simulation of Nuclear Reactor Using Partial Mesh Cutting Method for 3D Model (3D 형상 모델의 부분 절단 기법을 이용한 원자로 해체 시뮬레이션)

  • Lee, Wan-Bok;Hao, Wen-Yuan;Kyung, Byung-Pyo;Ryu, Seuc-Ho
    • Journal of Digital Convergence
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    • v.13 no.4
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    • pp.303-310
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    • 2015
  • Game technologies are now applied in various engineering areas such as the simulation of surgical operation or the implementation of a cyber model house. One of the essential and important technology in these applications is cutting of the 3D polygon model in real time. Real-time cutting technology is an essential technology needed to implement the simulation of a building demolition or a car assembly for training or educational purpose. Previous cutting method using the conventional BSP-Tree structure has some limitations in that they divide the whole world including the 3D model and its environment, only into two parts with respect to an infinite plane. In this paper, we show a technique cutting the 3D model in a finite extent in order to solve this problem. Specifically, we restricted the cut surface in a finite rectangular area and constructed the mesh for the divided surface. To show the usefulness of our partial cutting technique, an example of the dismantling process simulation of a nuclear reactor polygon model was illustrated.

Scoping Review of Occupational Therapy in Hospice and Palliative Care (호스피스 작업치료에 관한 범위 고찰)

  • Kim, Ji-yoon;Kim, Hwan
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.2
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    • pp.33-45
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    • 2017
  • Objective : This study is to provide basic data for hospice occupational therapy and to develop hospice occupational therapy curriculum in Korea. Methods : 45 articles were selected from CINAHL, MEDLINE, and Scopus, which were published from 1980 to 2013. The selected articles were analyzed in term of study year, study source, author's characteristics, study subjects, and study designs. Results : The number of studies have increased steadily since the 1980's. A total of 21 research journals was published, and the most highest published journals were American Journal of Occupational Therapy. Qualitative research methodology was employed four times more than quantitative research methodology. Interventions included various formats such as crafts, ADLs trainings, relaxation techniques, care giver educations and applications of spirituality. The doing-being-becoming theoretical framework and the model of human occupation applied to hospice or palliative patients as a theoretical foundation. Conclusion : Hospice occupational therapy has been developed along with hospice and palliative medicine. There also appeared to be a balance on both clinical trials and researches The hospce occupational therapy care has being studied deeply with various topic. More efforts on curriculum developments as well as clinical advances pertinent to the palliative care should be proceed to warrant making the start of the hospice and palliative occupational therapy in Korea.

A Study of U.S. Coast Guard(USCG) (미 해안경비대(U. S. Coast Guard)의 고찰을 통한 한국 해양경찰의 제도적 개선방안)

  • Lee, Jae-Seung;Lee, Wan-Hee;Moon, Jun-Seop
    • Korean Security Journal
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    • no.36
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    • pp.443-467
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    • 2013
  • The purpose of this study is to introduce United States Coast Guard (USCG) in order to suggest a direction to advance the system of Korea Coast Guard. After the effect of United Nations on the Law of the Sea in 1994, the world is facing with new era of maritime age with emergence of new maritime border 'Exclusive Economic Zone(EEZ)'. Along with new maritime era, Korea also has been facing with the conflicts caused from EEZ. Also, there is a increasing concern about maritime safety and security since people looking for maritime tourism and leisure sports are dramatically increasing in Korea. Moreover, national security matters are a big issue in Korea due to the several incidents occurred in the sea such as the attack on Yeon-Pyung Island and the sinking of Cheonan naval vessel. Arising concern on these issues in maritime space requires Korea Coast Guard to handle these effectively. However, the systematical and structural limitation of Korea Coast Guard limits the effective management of recent issues. The United States Coast Guard which is considered as one of the military force in the United States has continuously reformed and developed its system and structure to better handle the maritime safety and security issues through developing project such as the Integrated Deep Water system. Also, maritime police system and structure in the United States is different with in Korea. This study expects to suggest a way to advance the system and structure of Korea Coast Guard through examination of United States Coast Guard and comparing maritime police system and structure between Korea and the United States in order to properly deal with the maritime safety and security issues arising recently.

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