• Title/Summary/Keyword: 자상

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A Case of Cardiac Laceration due to Anterior Thoracic Stab Injury (흉부 자상 환자에서 발생한 심장 열상)

  • Woo, Won Gi;Jang, Ji Young;Lee, Seung Hwan;Lee, Chang Young;Lee, Jae Gil
    • Journal of Trauma and Injury
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    • v.27 no.3
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    • pp.71-74
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    • 2014
  • Among chest trauma patients, cardiac laceration is a rare, but severe, condition requiring prompt management. Depending on the patient's hemodynamic status, early detection rate of a cardiac laceration may or may not be occur. If a possibility of cardiac laceration exists, an emergent thoracotomy should be performed. Furthermore, patients who experience a cardiac laceration also experience different kinds of complications. Therefore, close follow-up and monitoring are required. Herein, we report a 41-year-old man with a left atrium and a left ventricle laceration caused by a thoracic stab injury.

Penetrating Chest Trauma in Autopneumonectomy Status due to Pulmonary Tuberculosis : 1 Case Report (폐결핵에 의한 전폐자가절제 환자에서의 흉부 자상 치험 1례-)

  • Hong, Yoon Joo
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.89-93
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    • 2005
  • Penetrating chest trauma by stab injury may result in massive hemothorax from damage to single or multiple intrathoracic organs such as heart, aorta, internal mammary artery, intercostal artery or pulmonary parenchyme. Prognosis of massive hemothorax necessitating emergency thoracotomy is fatal especially so if there exists concomitant underlying compromise of cardiopulmonary function. A 56 year old man with destroyed left lung due to old pulmonary tuberculosis was stabbed in right parasternal lesion through third intercostal space. Intubation with cardiopulmonary resuscitation and closed thoracostomy were performed to resuscitate from cardiac asystole from hemorrhagic shock and acute respiratory distress. Midsternotomy was made to expose active bleeding foci in right mammary artery, subclavian vein, intercostal artery and anterior segment of right upper lung showing severe bullous change and pleural adhesion. Postoperative care included ventilator support, inotropic instillation and cautious, balance fluid therapy ; successful extubation was done on third postoperative day and patient was discharged on tenth postoperative day without any complication.

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국가간 전자상거래를 위한 부산항 기반 풀필먼트센터 구축에 관한 연구

  • 김채영;김주혜;심민섭;배규완;장수진;김율성
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2021.11a
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    • pp.109-111
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    • 2021
  • IT를 기반으로 하는 상거래 시장은 COVID-19와 맞물려 많은 변혁이 오고 있다. 과거 오프라인에서 주로 소비되던 생필품이 전자상거래 시장으로 이동하는 등 COVID-19 이후 온라인 구매 전환이 더욱 확대 강화될 것으로 보인다. 그로인해 물류센터를 운영하는 물류기업 또한 과거 하역 및 하역에 수반하는 보관중심의 전통적 물류기능만을 고수하기에는 변화되는 트랜드가 너무 급박하여 기업의 존립까지도 위협을 받을 수 있다. 이에 본 연구에서는 항만의 미래 생존전략을 위해 전자상거래 시대의 환경변화에 빠르게 대응할 수 있도록 국가간 전자상거래 기반 부산항의 풀필먼트센터 구축 당위성과 전환수요 등을 도출하였다.

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Relationship between SNP A and P1763 Polymorphisms on Dystrobrevin Binding Protein 1(DTNBP1) Gene and Smooth Pursuit Eye Movement(SPEM) Abnormality in Korean Schizophrenic Patients (한국인 정신분열병 환자의 안구추적운동 이상과 Dystrobrevin Binding Protein 1(DTNBP1) 유전자의 SNP A와 P1763 다형성의 연합에 대한 연구)

  • Lee, Chang Hee;Park, Byung-Lae;Kim, Lyoung Hyo;Kim, Dong Hyeon;Cho, Sook Hyun;Park, Jin-Soo;Kim, Im-Yel;Lee, In-Sang;Seo, Han-Gil;Byun, Ki-Ook;Kim, Bong-Jo;Hahn, Kyu-Hee;Kim, Ki-Hoon;Shin, Tae-Min;Shin, Hyung Doo;Woo, Sung-Il
    • Korean Journal of Biological Psychiatry
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    • v.13 no.4
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    • pp.279-288
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    • 2006
  • Objectives : We investigated the association of SNP A and P1763 polymorphisms on dystrobrevin binding protein 1(DTNBP1) gene with smooth pursuit eye movement(SPEM) abnormality in Korean schizophrenic patients. Methods : We measured SPEM function in 217 Korean schizophrenics(male 116, female 101) and divided them into two groups, one is a good SPEM function group and the other is a poor SPEM function group. We then analyzed SNP A polymorphism and P1763 polymorphism on DTNBP1 gene from their DNAs extracted from their blood. We compared the differences of genotype and allele distributions of the two polymorphisms on DTNBP1 gene between the two groups. Results : The Ln S/N ratio(mean${\pm}$SD) of the good SPEM function group was $4.39{\pm}0.33$ and the ratio of poor SPEM function group was $3.17{\pm}0.71$. There were no statistically significant differences of age and male/female ratio between the two groups. There were no significant differences of genotype or allele distributions of the SNP A polymorphism and P1763 polymorphism on DTNBP1 gene between the two schizophrenic groups divided by SPEM function. Conclusion : The results suggest that SNP A polymorphism and P1763 polymorphism on DTNBP1 gene might not be related to SPEM function abnormality in schizophrenia.

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Palynological and Revisional Studies of Thalictrum L. in Korea (한국산 꿩의다리속(Thalictrum L.) 식물의 화분학적 연구와 분류학적 재검토)

  • Jeon, Kyoungsuk;Heo, Kyeongin;Lee, Sangtae
    • Korean Journal of Plant Taxonomy
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    • v.37 no.4
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    • pp.447-476
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    • 2007
  • The pollen and revisional study aimed for an elucidation of taxonomic delimitation and relationship of Thalictrum taxa in Korea, especially among the morphologically confused taxa. Pollen grains of 63 populations of 17 taxa were investigated by light and scanning electron microscopy. Although pollen morphology was not useful for the species classification, it revealed a tendency in which Sects. Physocarpum, Erythrandra and Tripterium having broad filaments and round-tipped anthers possess closer distance between adjacent pores, less echinus number per unit area, smaller pollen, and higher echinus, on the contrary to Sects. Omalophysa, Camptonotum and Thalictrum having filiform filaments and acute-acuminate- or more or less round-tipped anthers. The palynological result did not support several section system by Tamura (1992) but one section system by Lecoyer (1885). If a infrasectional system is needed, it was suggested that the system dividing the section into two (Clauiformes and Filiformes sensu Lecoyer) would be natural on the basis of stamen and pollen characteristics. Revisional study found out that 17 taxa(16 species) of Thalictrum are distributed in Korean including T. filimentosum which presence in Korea was not confirmed.

Studies on the Atomic and Electronic Structures of Cu Adsorbed $Si(100)-2\times1$ Surface (Cu가 흡착된 $Si(100)-2\times1$ 표면의 원자구조 및 전자구조 연구)

  • 박래준;김정선;황찬국;안기석;박종윤
    • Journal of the Korean Vacuum Society
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    • v.7 no.4
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    • pp.293-299
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    • 1998
  • We have investigated the atomic and electronic structures of Cu-adsorbed Si(100)-2$\times$1 surface, by using LEED and UPS. In the UPS spectra, the weak structures (peaks) related to Cu silicide appeared for low coverages less than 1.3 ML at room temperature, and the intensity of Cu 3d band rapidly increased with respect to Cu coverages. The Cu silicide peaks become clear after Cu deposition at room temperature followed by high temperature annealing ($\geq 300^{\circ}C$) or for Cu deposited surface at the substrate temperature of $400^{\circ}C$. On the other hand, these structures disappeared by annealing at $750^{\circ}C$. At very low coverage, a surface state near Fermi level $(E_F)$ was observed at $400^{\circ}C$. According to the rigid band model, it seems to be originated from the surface empty state occupied partially with Cu 4s electron. In the LEED patterns, no Cu-induced superstructure observed for RT-depositions and post annealing, while there were several surface structures which depend on substrate temperatures and coverages. we observed the clean surface 2$\times$1+2$\times$2 phase for 1.5 ML at $400^{\circ}C$, the clean surface 2$\times$1+5$\times$1 phase for 0.5 ML at $450^{\circ}C$ and the clean surface 2$\times$1+2$\times$2+5$\times$2+5$\times$5+10$\times$2 mixed phases for 3 ML at $450^{\circ}C$.

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A Study on Needle Stick Injuries in Health Professionals (의료인의 바늘자상 실태에 관한 연구)

  • 김영분
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.605-622
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    • 1996
  • Needle stick injury, in which blood-borne pathogens including Human Immune-Deficiency virus and hepatitis B virus are transmitted, is one of the major occupational hazards that health professionals face everyday. In order to provide basic data for the development of educational programs for health professionals aimed at preventing and effectively managing needle stick injuries, a retrospective descriptive study was carried out .The subjects of the study were 630 health professionals, 499 nurses and 131 physicians, from two university hospitals in Seoul, Korea. Data on episodes of needle stick experiences over the past is months September 1994 through August 1995, were collected between September 1 and 7, 1995. A Questionaire developed by the researcher was used. The frequencies and the percentile score for episodes of needle stick injuries were calculated using the PC-SAS program. The differences and similarities in reference to the structure, career, and specialty variables were analysed by X$^2$-tests. Results are as follows : 1. Of the sample, 521(82.7%) reported a needle stick injury, 33.4% reported 3 or more episodes of needle stick injuries. 2. The needle stick injuries occured in the following processes : process of percutaneous venepuncture for intra-venous injection and infusion(55.3%), medical examination and treatment(48.9%), per-cutaneous venepuncture for blood sampling (46.3%) and intra-muscular injection(42.2%). 3. The study showed that needle stick injuries occured before(19%), during(25%), and after (56%) client treatment. The major causes of needle stick injuries were perceived to be hastiness(82.2%) and carelessness(48.3%). Of these injuries, 91.8% occured in emergency situations. 4. Follow of care for the injury consisted of : treating the injured site immediately using disinfectants(89.7%), reviewing the clinical records of the patient involved(84.2%), immunological investigation for the status of antibodies(11.1%) and self-medication of antibiotics (10.7%). Only 16.3% of the total episodes were founded to have been reported to the administrative unit. 5. The length of clinical experience of the nurses, clinical specialty and length of clinical experience in physicians were found to have influenced the episodes of needle stick injuries ; nurses with less than 1 year and with more than 6 years of clinical experiences had significantly lower levels (X$^2$=25.04, P=.00), surgeons had significantly higher levels (X$^2$=9.89, P=.02) compared to that of internists and interns, higher(X$^2$=4.54, P=.03)than residents.

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A Study on Philosophy-based Human Resource Model in the Service Economy Era (철학기반의 서비스경제시대 인재상 연구)

  • Kim, JeaYoung;Kim, Hyunsoo
    • Journal of Service Research and Studies
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    • v.10 no.3
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    • pp.119-138
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    • 2020
  • Unlike the era of manufacturing-oriented industrial economy in the past, the era of service economy has characteristics intangible goods center, knowledge universalization, and expansion of needs, and many things that are of the economy are changing. In the past, the change in the environment was not fast, so even after analyzing the changed environment and deriving the talent needed for the company, it was possible to maintain a talent for the organization for a long time, so it is not proactive to build and apply talent. It became difficult to manage effectively. Therefore, in this paper, we conducted a normative study for deriving a desirable talent model rather than a descriptive human resource model. Human resources image suitable for the modern service economy era, the modern economic society and modern spirit were analyzed and reflected. The model in which the two opposing members of the organization, managers and employees, interact intensely and balance dialectically. A desirable talent in a modern organization must play the role of a manager, and the management and talent models in a modern organization can be said to be connected to each other like the front and back sides of a coin. The philosophy of human resources was presented in five dimensions: human, historical, social, economic, and management. The human resource model from eight factors: mastery, rationality, wisdom, customer orientation, innovation, flexibility, autonomy, collaboration. This study suggested that general talent model may vary depending on the company's type, empirical follow-up studies are needed the talents in each company in the future.

Combustion of Diesel Particulate Matters under Mixed Catalyst System of Fuel-Borne Catalyst and Perovskite: Influence of Composition of Perovskite (La1-x A'xBO3: A' = K, Sr; 0 ≤ x ≤ 1; B = Fe, Cr, Mn) on Combustion Activity (Fuel-Borne Catalyst와 Perovskite로 구성된 복합촉매 시스템에 의한 디젤 탄소입자상 물질의 연소반응: 반응성능과 Perovskite 촉매조성 (La1-x A'xBO3: A' = K, Sr; 0 ≤ x ≤ 1; B = Fe, Cr, Mn)의 상관관계)

  • Lee, Dae-Won;Sung, Ju Young;Lee, Kwan-Young
    • Korean Chemical Engineering Research
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    • v.56 no.2
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    • pp.281-290
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    • 2018
  • As the internal combustion engine vehicles of high fuel efficiency and low emission are demanded, it becomes important to procure technologies for improving low-temperature performance of automotive catalyst systems. In this study, we showed that the combustion rate of diesel particulate matter is greatly enhanced at low temperature by applying fuel-borne catalyst and perovskite catalyst concurrently. It was tried to examine the correlation between elemental composition of perovskite catalyst and combustion activity of mixed catalyst system. To achieve this goal, we applied temperature-programmed oxidation technique in testing the combustion behavior of perovskite-mixed particulate matter bed which contained the element of fuel-borne catalyst or not. We tried to explain the synergetic action of two catalyst components by comparing the trends of concentrations of carbon dioxide and nitrogen oxide in temperature-programmed oxidation results.

A Contribution to the Pollen Morphology of Hippocastanaceae (칠엽수과(科) 화분(花粉)의 형태학적(形態學的) 연구(硏究))

  • Kim, Kae-Hwan;Aravanopoulos, F.A.;Zsuffa, L.
    • Journal of Korean Society of Forest Science
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    • v.86 no.2
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    • pp.251-258
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    • 1997
  • The pollen morphology of 20 species and one variety of the two genera of Hippocastanaceae was investigated by LM, SEM and TEM. The pollen grains of this family are monads, prolate to subprolate, isopolar, radially symmetrical, 3-colporate or 3-colpate and ora is circular or lolongate. Sculpture pattern is distinctly striate or spinulose, Brae in various directions. Based on the aperture types and sculpture patterns three major pollen types of this family are discernible : hippocastanum, indica, and punduana.

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