• Title/Summary/Keyword: 전환 장애

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Ultrasound for Detecting Pleural Adhesion before Video-Assisted Thoracic Surgery (흉부수술전 흉막유착에 대한 초음파검사)

  • Jeong, Jin-Yong;Park, Hyung-Joo;Shin, Jae-Seung;Jo, Won-Min;Lee, In-Sung
    • Journal of Chest Surgery
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    • v.43 no.4
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    • pp.399-403
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    • 2010
  • Background: Video-Assisted Thoracic Surgery can be performed with the lung collapsed. During the procedure, pleural adhesion may result in lung injury, bleeding, and thoracotomy conversion. Identifying the presence of pleural adhesion before surgery can make it easy to plan trocar introduction and perform the procedure. Material and Method: Between June 2009 and November 2009, we performed ultrasound in 24 patients to detect pleural adhesion before surgery and compared the results with the operative findings. We primarily examined the lateral chest, where the trocar would be inserted, and, occasionally, the anterior or posterior chest. Result: Patient diseases were: 6 hyperhidroses, 8 interstitial lung diseases, 5 lung cancers, 2 mediastinal tumors, 1 peripheral pulmonary embolism, 1 metastatic lung cancer, and 1 sarcoidosis. Of the 22 patients who did not have pleural adhesions on ultrasound, four revealed mild adhesions not related to the trocar insertion sites. However, ultrasound showed pleural adhesions in two patients, consistent with the operative findings. There was no air leak or thoracotomy conversion related with trocar insertion. Conclusion: Ultrasound requires only a few minutes to detect the presence of the pleural adhesion and was very useful in identifying the pleural adhesion before VATS.

Association of Plasma Levels of Angiotensin-Converting Enzyme and Cytokines with Recurrent Depression : A Preliminary Study (안지오텐신전환효소 및 사이토카인 혈장 레벨과 재발성 우울증의 연관성 : 예비 연구)

  • Sohn, Hoyoung;Lee, Sun-Woo;Kim, Min-Kyoung;Lee, Kang Soo;Lee, Sang-Hyuk;Kwon, Min-Soo;Kim, Borah
    • Korean Journal of Biological Psychiatry
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    • v.24 no.1
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    • pp.39-44
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    • 2017
  • Objectives Angiotensin-converting enzyme (ACE) gene and plasma levels of cytokines, such as tumor necrosis $factor-{\alpha}$ ($TNF-{\alpha}$), interleukin-4 (IL-4), interleukin-6 (IL-6), interleukin-10 (IL-10), have previously been determined to be associated with depression. The purpose of this study was to investigate the association of plasma levels of ACE and cytokines with recurrent depression. Methods A total of 52 participants (14 male, 38 female, aged $43.9{\pm}14.0years$) were enrolled after being diagnosed with depression by experienced psychiatrists using the Mini International Neuropsychiatric Interview from the outpatient clinic of the Department of Psychiatry, CHA Bundang Medical Center. The participants completed blood sampling, the Hamilton Depression Rating Scale (HAMD), the Beck Depression Inventory, the Beck Anxiety Inventory, and the Scale for Suicidal Ideation. Results ACE plasma levels are higher in patients with recurrent depression ($27.4{\pm}10.4U/L$) than in patients with newly diagnosed depression ($19.1{\pm}7.7U/L$) (p = 0.004). The levels of cytokines, such as $TNF-{\alpha}$, IL-4, IL-6, IL-10, are not significantly different between the two groups. Additionally, the ACE plasma level is negatively correlated with a reduction in the HAMD over six weeks (r = -0.429, p = 0.046, n = 22). Conclusions The current findings show that plasma ACE levels may be associated with recurrent depression and further suggest that the renin-angiotensin system could play a role in recurrent depression.

Factors Effecting Agrobacterium Mediated Transformation and Regeneration of Populus nigra × P. maximowiczii (Agrobacterium tumefaciens에 의한 양황철나무의 형질전환(形質轉換) 요인(要因))

  • Park, Young Goo;Shin, Dong Won;Kim, Joung Hee
    • Journal of Korean Society of Forest Science
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    • v.79 no.3
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    • pp.278-284
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    • 1990
  • We have demonstrated expression of bacterial genes transferred into cells of Populus nigra ${\times}$ P. maximowiczii by A. tumefaciens strain 6044 (pGA 472). We determined the optimum concentration of kanamycin sulfate for effective selection of punctured leaf transformed using Agrobacterium binary vector pGA 472 containing a neomycine phosphotransferase gene (NPT-II) which confers kanamycin resistance. The combination of cefotaxime (200mg/l) and carbenicillin (300mg/l) showed good performance of discarding Agrobacterium from inoculated punctured leaf. A relatively low concentration (10mg/l) of kanamycin sulfate inhibited callus and shoots induction from punctured leaf. Number of shoots regenerated from co-cultured punctured leaf was 3.0 on MS basal medium supplemented with 10 mg/l kanamycin sulfate, while that of not co-cultured punctured leaf was none. The regeneration rate was 10% from the punctured leaf co-cultured on MS medium with 10 mg/l kanamycin. Regenerated shoots are developing from micropropagation for Southern blot analysis and inheritance of the kanamycin resistance trait (NPT-II).

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Angiotensin-Converting Enzyme(ACE) Gene Polymorphism and Seasonal Variation in Mood and Behavior (기분과 행동의 계절성 변동과 Angiotensin-Converting Enzyme(ACE) 유전자 다형성)

  • Jeon, Hye-Yeon;Lee, Heon-Jeong;Kang, Seung-Gul;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.14 no.1
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    • pp.26-32
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    • 2007
  • Objectives: Angiotensin-converting enzyme (ACE) gene polymorphism has been reported to be associated with depression and therapeutic outcome in depression. The purpose of this study was to determine whether ACE gene polymorphism is associated with seasonal variation in mood and behavior in a young Korean college student sample. Methods: 297 young Korean medical students were recruited in this study. All subjects were free of major medical and psychiatric problems. They were genotyped for the ACE gene polymorphism and evaluated the seasonal variation in mood and behavior by the Seasonality Pattern Assessment Questionnaire (SPAQ). Results: Global Seasonality Score (GSS) of SPAQ between three genotypes were not different. However, comparison of the group that showed seasonality of mood and behavior during winter with the group that did not showed seasonality indicated significant difference in genotype distribution ($x^2=6.79$, p=0.034). The D allele non-carrier (ll genotype) frequency was significantly higher in winter seasonality group than non-seasonality group ($x^2=6.59$, p=0.010;odds ratio [OR]=2.27, 95% confidence interval [CI] 1.20-4.28). Conclusion: These results suggest that the ACE gene polymorphism is related to winter-type seasonality in a Korean population.

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Restriction of Ca2+ deficiency-like symptoms by co-expressing a Ca2+ transporter and a Ca2+-binding protein in tomato (토마토에서 칼슘수송체와 칼슘결합단백질 공동발현에 의한 칼슘결핍유사증상의 완화)

  • Han, Jeung-Sul;Kang, Ho-Ju;Kim, Chang-Kil
    • Journal of Plant Biotechnology
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    • v.37 no.4
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    • pp.549-555
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    • 2010
  • Here we focused on tip-burn and blossom-end rot (BER) symptoms in the tomato plants expressing the constitutively active form of $Ca^{2+}/H^+$ antiporter (sCAX1) and/or a Ca-binding protein (calreticulin, CRT) genes during their whole growth period. Conclusively we demonstrated that CRT is able to suppress the tip-burn and BER symptoms that were induced by sCAX1. Under poor nutrition condition, tomato plants overexpressing sCAX1 showed severe necrotic collapses in both roots and shoot polar tissues, which are in accordance with $Ca^{2+}$ deficient symptoms frequently observed in an agricultural cultivation of tomato. Reciprocal grafting trials using sCAX1 and wild type plants revealed that the tip-burn symptom by sCAX1 overexpression is not caused by hindrance of $Ca^{2+}$ uptake from soil. We constructed CRT overexpressing transgenic tomatoes, and crossed them with sCAX1 transgenic plants to investigate the effects of CRT on the symptoms of sCAX1 transgenic plants. Co-expression of sCAX1 and CRT significantly suppressed the $Ca^{2+}$ deficient symptoms of sCAX1 transgenic plants. Those results suggest the model that $Ca^{2+}$ homeostasis disturbed by the overexpression of sCAX1 may be suppressed by the co-expression of CRT.

A Case Study on Parents Peer Counselor's for the Disabled Experiences in Field Counseling (장애인부모 동료상담사의 현장상담 활동경험에 관한 질적 사례연구)

  • Choi, Ha-Na;Jeong, Jong-Hwa;Kim, Eun-Jae
    • 재활복지
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    • v.22 no.2
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    • pp.127-159
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    • 2018
  • The purpose of this study is to provide the useful reference to establish the system improvement plan that activates the counseling service quality for the disabled parents peer counselors. The qualitative case study method of Yin (2009) has been used to understand and reflect to the system for the experience of field counseling of the peer counselors for the disabled parents. 10 parents peer counselors for the disabled were proportionately sampled and interviewed about their experiences through a FGI and two individual interviews. The result of the study derived from total 87 abstract concepts and 17 categories and personal motivations for participating and changes from the experience are as follows: the effects of counseling are "mutual sympathy toward the same disability," "Identity transformation from nobody to somebody who gives hope," and "another social insurance and social safety network that parents disability make." The barrier facts for the parents peer counseling activation are: "problem of securing the position of the counseling site" and difficulty in finding the client due to lack of awareness and publicity. "The study suggests four programs to upgrade the parents peer counseling: (1) To secure the position of the counseling site, (2) To reestablish the status as a professional counselor. (3) The need of pokicy supplement and support from the government, (4) The expectancy of creating jobs through the conversion of full-time workers.

Characteristics of Inclusive Playground Guidelines (통합놀이터 가이드라인의 특성)

  • Kim, Yun-Geum;Kim, Hana;Maeng, Soo-hyun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.46 no.6
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    • pp.75-84
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    • 2018
  • The inclusive playground is a playground where disabled children and non-disabled children can play together, not a playground for the disabled. It started with the change of social awareness of the citizenship rights of disabled people in the 1960s and the resulting playgrounds. Since then, inclusive playgrounds have been developed in many countries, and these are organized in the form by guidelines. In Korea, social interest in inclusive playgrounds is increasing, but there are no systematic guidelines in Korea, and the application of overseas cases or guidelines is limited. The purpose of this study is to classify the concept of inclusive playgrounds and design guidelines, that were previously presented in inclusive playground design guideline of various countries and analyze the characteristics of, design scope, and design principles, and provide a basic framework for creating guidelines. The purpose of the design guideline was to present specific numerical values to the inclusive playground design guidelines, to link with academic research and industrial products, to present pursuit values, and to expand the value of pursuing design methods. The contents were covered by scope, conceptualization, principles of design and design process, design guidelines, and checklists. Most of the guideline covers specific autonomous governments or countries that can apply the related systems or laws, but the composition of the detailed contents is different. The guiding value of inclusive playgrounds presented in each guideline is not a playground for the disabled but a playground for all, and some guidelines refer to the difficulty in playgrounds considering non-disabled children. Based on these concepts, design guidelines are presented in each guideline. Improving the accessibility in design principles is a common theme and adds to the principles of safety, independence, convenience, and playability. None of the guidelines do not provide design guidelines. Although there is a difference in the degree and method of specificity provided by each of the guidelines, the design guidelines can be generally summarized as space, copper line, and unit facilities. As mentioned in many guidelines, an inclusive playground is not only a playground for children with disabilities. Therefore, in the design guidelines, it is also important to the support play of children with disabilities and to induce inclusive play. The design guidelines presented in the guideline can be rearranged into three stages of 'supporting the play of children with disabilities', 'securing the dimensions and materials of spaces and facilities', 'adding auxiliary devices' and 'designing new facilities'. There are three design guidelines for inducing inclusive play. First, by creating various difficulty levels and intersecting spaces, children with various abilities can play with each other, and at the same time, they can interact witheach other. Second, all children can cooperate and play without distinction between children with disabilities and non-disabled children. Finally, the guardian provides the conditions for efficient support so that the disabled child can fully enjoy the inclusive playground.

A Clinical Report of Taeumin Hwa-Byeong Patient with Conversion Disorder (전환(轉換) 장애(障碍)를 동반한 태음인(太陰人) 화병(火病) 환자의 증례)

  • Han, Dong-Youn;Lee, Sang-Min;Kim, Min-Jong;Shin, Mee-Ran;Yang, Sang-Mook;Shim, Gyu-Heoun;Kim, Dal-Rae;Jung, Woon-Ki
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.3
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    • pp.142-149
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    • 2005
  • 1. Objectives The purpose of this case is to report a Taeumin, who was examined as Hwa-Byeong, received a medical treatment with Cheongsimyeonja-tang and consult of Sasang Constitutional Medicine. 2. Methods We examined this patient as Hwa-Byeong by using Hwa-Byeong Diagnostic Interview Schedule(HBDIS) and we also diagnosed a patient's mental state by using MMPI to understand a human instinct of the patient. Additionally, we used QSCC II and PSCC to distinguish a patient's Sasang Constitution. 3. Results We received a positive result by using prescription as Cheongsimyeonja-tang and consult according to a patient's Sasang Constitutional Medicine. 4. Conclusions We suggested that the patient would receive steady treatments as consult of Sasang Constitutional Medicine and medicinal therapy afterwards.

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Study on Revitalizing Commercial Freight Vehicles Using Freight Transport Mode Selection (화물운송수단선택모형을 이용한 영업용화물차량 이용 활성화 방안 연구)

  • Kim, Min-Young;Kang, Kyung-Woo
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.6 no.2
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    • pp.57-69
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    • 2007
  • The most important problem in logistic activities may be to decrease the transportation efficiency due to the traffic congestion in urban areas. The traffic congestion reduces the average travel speed of freight vehicles, and then increases the travel time. These problems can lead the logistic system to be inefficient. As a result, it causes an increase of transportation costs. In addition, the increased cost is a main barrier for the transition to an advanced logistic system. This study focuses on the analysis of key factors choosing commercial freight vehicles using Logistic regression-analysis with RP (Revealed Preference) data to solve the increase of private freight cars and transportation costs. Additionally, this paper presents policies to promote good use of commercial freight vehicles based on the results of this study.

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A Case Report ; Conversion Disorder, Wei Symptom Patient (전환장애 위증 환자 1례에 대한 증례보고)

  • Jeon, Jae-Cheon;Hwang, Hee-Sang;Cha, Jung-Ho;Jung, Ki-Hoon;Lee, Tae-Ho;Roh, Jeong-Du;Lee, Eun-Yong
    • Journal of Acupuncture Research
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    • v.26 no.1
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    • pp.197-206
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    • 2009
  • Objectives : This is a clinical report about the Conversion Disorder, Wei symptom patient. Methods : The patient was treated by acupuncture, herb medication, moxibustion, physical therapy and bio feedback. The improvement of the patient was judged by lower limb elevation test and gait condition test. Results : During the 1st duration, lower limb elevation angle of the patient had improved. And the patient's gait condition had improved. But he received stress so that same symptom appeared again. Then, after the second treatment, He could walk alone again. Conclusions : Oriental medicine treatment including Acupuncture, Herb medication was very effctive to improve the Conversion disorder patient's symptoms. It is necessary to have more observation and many cases of patients with Conversion disorder.

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