• Title/Summary/Keyword: Appearance pattern

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An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea (자녀를 둔 어머니의 출산과정 경험)

  • Kim, Young-Hee
    • Women's Health Nursing
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    • v.7 no.3
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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The Difference of Efficacy for Oral Hypoglysemic Pharmacotherapy Based on Sasang Constitutional Medicine Among Type II Diabetes Mellitus Patients in Korea (제 2형 당뇨병 환자에서 사상체질에 따른 경구 혈당강하요법의 치료 반응성 및 사용 패턴 평가)

  • Kim, Ji Yeon;Lee, Myung Koo;Kim, Jung Tae;Lim, Sung Cil
    • YAKHAK HOEJI
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    • v.58 no.1
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    • pp.71-79
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    • 2014
  • Although Korean patients with type 2 diabetes mellitus (T2DM) are generally treated by western medicine, many of them strongly believe in the traditional oriental Sasang constitutional classification and depend on it for food, health supplements, and oriental medicines decision making. Sasang constitutional classification is a part of traditional Korean medicine that divides people into four constitutional types (Tae-Yang: TY, Tae-Eum: TE, So-Yang: SY, and So-Eum: SE), which differ in inherited characteristics such as appearance, personality traits, susceptibility to diseases, and drug responses. It is recommended for T2DM patients to control their blood glucose very well from early stages with drugs and diet. However, many T2DM patients respond differently to their drugs, even though they receive the same medicine. Therefore, the present study investigated whether Sasang constitutional type can explain the therapeutic differences between oral hypoglycemic agents (OHAs) therapy (mono, dual and triple drug therapy). Patients of 618 with T2DM diagnosis and Sasang constitutional type known who received both western and oriental medicine treatment in a hospital between April 2006 and April 2013 retrospectively studied. HbA1c (%) and blood glucose (mg/dl) levels before OHAs therapy and 3 month after were collected for metformin (MET) or sulfonylurea (SU) monotherapy, MET+SU dual therapy, MET+except SU (where was either alpha-glucosidase inhibitor, dipeptidyl peptidase-4 inhibitor, meglitinide or thiazolidinedione) dual therapy, and triple therapy, according to Sasang constitutional type. For statistical analysis, ANOVA was used and paired t-test by SPSS 19.0 where P values less than 0.05 were considered statistically significant. Pattern was similar levels of HbA1c and blood glucose and which was decreased in order of mono, MET+SU dual, MET+except SU dual and triple therapy. In all patients comparison, for the So-yang (SY) constitutional type, either monotherapy was less effective; for Te-eum (TE) type, MET+SU dual therapy was less effective while MET+except SU dual therapy was more effective and the triple therapy was less effective; and for So-eum (SE) type, the triple therapy was more effective. For the management of TE type it is recommended to use drugs except SU when dual therapy is needed, restrict triple therapy and consider dual and insulin therapy; for SY type it is recommended to follow current guidelines; and for SE type it is advisable to skip dual therapy and start the triple therapy early. Finally, the therapeutic response to OHAs is different among Korean T2DM patients with different Sasang constitutional types. Taken together, the choice of effective OHAs therapy for each type is necessary in order to minimize the poor control of blood glucose level, the risk of complications, and the costs from a failure of therapy.

A Clinical Study of Distant Metastasis in Adenoid Cystic Carcinoma (원격전이를 동반한 선양낭포암에 대한 고찰)

  • Kwon, Soon-Young;Kim, Hyung-Jin;Jo, Sung-Dong;Baek, Seung-Kuk;Jung, Kwang-Yoon;Choi, Geon;Choi, Jong-Ouck
    • Korean Journal of Bronchoesophagology
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    • v.7 no.1
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    • pp.29-33
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    • 2001
  • Background and Objectives: Adenoid cystic carcinoma (ACC) is an aggressive, often indolent tumor, with a high incidence of distant metastasis (DM). Relatively little has been written about the factor that influence distant spread and subsequent survival because it is uncommon and has protracted clinical course. We attempted to reemphasize the biologic behavior of ACC by investigating the relationship between the clinical features and prognosis. Materials and Methods : We have retrospectively studied 24 determinate patiens who received definitive treatment in our hospital between 1984 and 1995 for ACC in all salivary sites. Inclusion criteria were no prior treatment elsewhere other than excisional biopsy and eligibility for follow-up of at least 5 years. Variables assessed for their impact on distant metastasis included age, gender, size, node status, stage, histologic pattern, locoregional treatment failure. Results : Treatment failure occurred in a total of 16 of 24 determinate Patients (64%), 12 of whom had DM (50%). This was usually associated with locoregional recurrence (8 patients), but DM was the only indication of failure in 4 whose primary tumor was controlled. Of the 12 patients with known DM, the lung was recored as the only involved site in 7 Patients, lung was involved in addition to other sites in 1, bone and liver metastasis occurred in 2 respectively. Disease-free intervals varied from 3 month to 14 years (median 3 years). The only significant factors influencing survival were the size of the primary tumor, locoregional recurrence. Conclusion : The high incidence of DM with locoregional failure confirms the importance of aggressive initial surgery. combined with irradiation, for high-stage tumors or involved surgical margins. Large tumor size and locoregional recurrence, rather than microscopic appearance, were predictive of DM.

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CLINICAL STUDY OF AMELOBLASTOMA ON THE JAW (악골에 발생한 법랑아세포종의 임상적 연구)

  • Kim, Hyun-Syeob;Ryu, Jae-Young;Yu, Min-Gi;Seo, Il-Young;Shet, Uttom Kumar;Kook, Min-Suk;Park, Hong-Ju;Ryu, Sun-Youl;Choi, Hong-Ran;Oh, Hee-Kyun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.5
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    • pp.535-542
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    • 2007
  • Ameloblastoma, a benign tumor of odontogenic type, represents 10% of all tumors of the jaw. It is localized in the mandible(80%) and in the maxilla(20%). In every case, the selection of the surgical treatment must consider some fundamental elements, including the age and general state of health the clinicopathological variant, and the localization and extent of the tumor. This study was invested the clinicopathological findings of 23 patients with ameloblastoma which had been diagnosed by biopsy during the period of 1987 to 2005 at Chonnam National University Hospital. And it contained the statistical analysis according to the treatment methods and the clinicopathological findings such as sex, age, location, chief complaints, duration, radiographic findings, histologic findings, treatment methods. The results obtained are were follows. The age of patient ranged from 10 to 91 years(means, 35.9 years) at biopsy. Thirteen(57%) of the 23 subjects were males, and 10(43%) were females. Twenty(87%) of the 23 ameloblastomas were located in the mandible. Swelling was the most common symptom and was experienced by 20(87%) patients. Radiographically, 11(48%) of the 23 tumors were unilocular with a well-demarcated border and 12(52%) were multilocular. The most common histologic pattern was plexiform and acanthomatous rather then follicular. Conservative treatment was performed 7 cases(30%), radical treatment 11 cases(48%), and combined treatment 5 cases(22%). Follow-up period ranged from 2.1 years to 22 years(mean 5.1 years). Based on the above results, surgical excision after marsupialization was found to be useful as a preliminary treatment of the large cystic ameloblastoma in children and adolescents. On the contrary, the lesion with a soap bubble appearance, the one with ineffective marsupialization was subjected to extensive excision of the tumor with a wide margin of normal bone.

Evaluating Home Ranges of Endangered Asiatic Black Bears for In Situ Conservation (멸종위기종 반달가슴곰의 현장 내 복원을 위한 행동권 평가)

  • Kang, Hye-Soon;Paek, Kyung-Jin
    • The Korean Journal of Ecology
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    • v.28 no.6
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    • pp.395-404
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    • 2005
  • A project has recently begun to reintroduce endangered Asiatic black bears to the Jirisan National Park. However, information on home range that is necessary to maintain the Minimum Viable Population (MVP) of those bears does not exist. Based on point data of two bears that were released for trial in Jirisan in 2001, we identified the movement pattern of bears and estimated their home ranges with two different methods Finally, the possibility of conserving the MVP of bears was evaluated by comparing the location and size of the home range with habitats which have been found to be suitable for bears. The frequency of bears' appearance reduced drastically as road densities of both paved roads and legal trails increased. The midpoint of home ranges of the two bears was 376.85 $km^2$ and 50.76 $km^2$ based on 100% MCP (Minimum Convex Polygon) and 95% AK (Adaptive Kernel Home Range Method), respectively, with an overlapped area of 126.0 $km^2$ and 3.99 $km^2$ each. The core areas of their home ranges are located not in the no-entry zone, where major trails were open to the public - despite being designated as no -entry zone - but in areas where most trails were closed to the public. A discrepancy between core areas of home ranges and potentially suitable habitats suggests the effects of vehicles and tracking people through roads within the park. Thus, for the success of in situ conservation of endangered bears, well-planned management of habitats is needed to protect bears and to ensure the home ranges to support the MVP.

Development of Gastric Retentive Bi-layered Tablet using Floating Drug Delivery System (부유 기술을 이용한 위체류 이중정의 개발)

  • Park, Jun-Bom
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7549-7554
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    • 2015
  • The aim of this study was to develop gastric retentive bi-layered tablet using floating drug delivery technique. Metformin was selected as a model drug due to its narrow absorption window as well as very highly water solubility. These properties of metformin led to be difficult controlling the drug release. The bi-layered tablet was prepared with bi-layered compression machine to minimize interference between floating part and controlling part. The tablet weight, appearance and hardness were evaluated after compression process. The times of 'time to floating' and 'Floating duration' were tested for floating ability and drug release study was also carried out to understand drug release behavior. Furthermore, the drug release of bi-layered tablet was compared with marketed metformin tablet with sustained release pattern (Glucopharge XR$^{(R)}$).The floating ability and drug release behaviors were well controlled by changing amounts of $NaHCO_3$ (floating substance) and hydroxypropyl methylcellulose (HPMC; release control material). Bi-layered tablet had 13s of time to float, over 10h of floating duration and very similar drug release behavior compared with Glucopharge XR$^{(R)}$($f_2$: 89.6). Consequently, the bi-layered tablet with floating ability was successfully prepared and these properties can maximize the efficacy of metformin.

Geomorphic Features of ${\check{O}}rumkol$(Frozen Valley) Area (Kyungnam Province, South Korea) - Mainly about Talus - (경남 밀양 얼음골 일대의 지형적 특성 -Talus를 중심으로-)

  • Jeon, Young-Gweon
    • Journal of the Korean association of regional geographers
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    • v.3 no.1
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    • pp.165-182
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    • 1997
  • The aim of this paper is to clarify geomorphic features on talus within ${\check{O}}rumkol$ and the origin of ${\check{O}}rumkol$. ${\check{O}}rumkol$ is located in Milyang of Kyungnam province, in South Korea. ${\check{O}}rumkol$ is good area to study talus. because it is characterized by following three geomorphic landscapes : free face surrounding ${\check{O}}rumkol$ ; ${\check{O}}rumkol$ with deep and wide valley floor ; lots of taluses typically developing within ${\check{O}}rumkol$. The main results can be summarized as follows: 1) The origin of ${\check{O}}rumkol$ may be suggested two assumptions : one is that its origin have been resulted from intrusion structure(intrusive rock might capture less resistant rock as tuff) ; the other is that its origin have been resulted from volcanic depression after intrusion or eruption. But these assumptions are not obvious. therefore more geological evidences will be supplemented after this 2) The characteristics of ${\check{O}}rumkol$ talus (1) Pattern ${\check{O}}rumkol$ taluses are tongue-shaped or cone-shaped in appearance. They are $50{\sim}200m$ in length and the range of the maximum width from 25 to 115m and one of their mean slope gradient from 32 to $36^{\circ}$ (2) Origin ${\check{O}}rumkol$ taluses have been formed under periglacial environment in the last glacial age and they are classified into rock fall talus type, considering in conjunction with the shape, hardness, sorting, weathering conditions of constituent debris. (3) The stage of landform development ${\check{O}}rumkol$ talus slope profiles are mainly concave slope. This concave slope type was eventually caused by talus creep at the lower end of the talus. That means new additions of debris from the free face have virtually ceased and there is no evidence of recent motion in the deposit. Now it is predominant that vegetation cover is gradually increasingly. Therefore ${\check{O}}rumkol$ taluses appear to be relict form stage. at present.

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Segregation of the Lowest Social Class and Transformation of Communal Consciousness : As a Case Study of Douwa District in Yao City, Osaka (사회적 최하층계급의 거주지분리와 공동체의식의 변화 : 대판부(大阪府) 팔미시(八尾市)의 동화지구를 사례로)

  • Jo, Hyun-Mi
    • Journal of the Korean association of regional geographers
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    • v.15 no.6
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    • pp.803-819
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    • 2009
  • This study explores of the lowest social class segregation in the residential area of Yao city of the Osaka Prefecture. The Buraku people, who constitute a social class that was the object of societal discrimination and exclusion since the beginning of modem times, formed a segregated residential area of their own. During the process of an organized struggle against discrimination that was institutionally recognized, communal consciousness among the constituents was consolidated. Moreover, in the Yao city, Korean immigrants in Japan, another discriminated group, as well as Vietnamese refugees and Chinese, who are also social minorities, increased in number. Also, activities by the Buraku people and Korean immigrants in Japan to defend human rights and the rights of social minorities began to unfold. Recently, the number of small scale factories in the Buraku's Douwa District decreased due to relocation of manufacturing companies elsewhere throughout Japan and to the effects of depression. New non-Buraku houses began to appear one by one on the site where factories started to disappear. While the spatial separatism of Yao city, as part of the isolated Douwa District, is weakening, the struggle based on communal consciousness among the social minorities and continued human rights activity is exerting great influence upon the administrative policy of Yao city. In the case of Yao city, while the visual appearance of spatial segregation is weakening, the communal consciousness among the regional residents remains. From this perspective, it can be said that this case represents a modified form of isolated space or the social pattern of segregation which is in the stage of extinction.

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Chest Radiological Changes after Cessation and Decrease of Exposure to Welding Fume in Shipyard Welders (조선업 용접공진폐증에서 용접 흄 폭로력에 따른 방사선 소견의 경시적 변화양상)

  • Sohn, H.S.;Lee, J.T.;Shin, H.R.;Lee, C.U.;Pae, K.T.;Park, H.J.;Kim, Y.W.;Yun, I.G.
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.3 s.27
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    • pp.328-336
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    • 1989
  • 27 shipyard welders were diagnosed as pneumoconiosis and suspected pneumoconiosis(1976-1988) by chest radiographs and were observed over three years. 27 welders were divided into three groups by the state of exposure to welding fume i.e. cessation, decresase or continuity of exposure. And we observed the changing pattern of the chest radiographs of 27 welders with the passage of time. The results were as follows; 1. Grour I (ceased exposure to welding fume) were 10 cases(3 cases: suspected pneumoconiosis,7 cases: pneumoconiosis). Chest radiographs of all cases were improved. The shape and size of small opacities was improved in 6 cases(85.7%) and did not changed in 1 case(14.3%) out of 7 pneumoconiosis welders. 2. Group II (decreased exposure to welding fume) were S cases(2 cases: suspected pneumoconiosis, 3 cases: pneumoconiosis). Chest radiographs were progressed in 2 cases(40%), did not changed in 1 case(20%), were improved in 2 cases(40%) out of 5 cases. The shape and size of small opacities was progressed in 1 case(33.3%) and was improved in 2 cases(66.7%) out of 3 pneumoconiosis welders. 3. Group III(continued expoxsure to welding fume) were 12 cases(1 case: suspected pneumoconiosis, 11 cases: pneumoconiosis). Chest radiographs were progressed in 9 cases(75%), did not changed in 3 cases(25%) out of 12 cases. The shape and size of small opacities was progressed in 1 case(9.1%) and did not changed in 10 cases(90.9%) out of 11 pneumoconiosis welders. 4. The average duration for development into suspected pneumoconiosis was 6.6 years and for progression of each one category after that was 2.2 years(p<0.01). The radiological appearance of pneumoconiosis had disappeared or decreased after cessation of exposure to the welding fume. So that, early detection and control e.g., change of department of pneumoconiosis of welders by screening program will be important for medical surveillance of welders.

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A Flat Staging Studies in the Animation "Song of the Sea(2014)" (애니메이션 "바다의 노래(2014)"에 나타난 평면적 스테이징 연구)

  • Kim, Soong-Hyun;Lee, Tae-Hoon
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.373-380
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    • 2019
  • In this study, I examined the visual elements for narrative structure and the symbols, scene components and visual styles in the images through analyze the flat staging in Tomm Moore's animated feature film, . As a research method, I figure out the general theories about staging and analyze extracted scenes which revealed flat staging in the , then summarize and clarify the flat staging production elements and features of Tomm Moore. As a result, in , the composition of the screen using the basic shapes, the screen composition containing the spiral which is symbol of the Celtic traditional pattern, the stable and flat frame expression through the balanced screen composition, expression of spatial sensation using perspective, appearance of the period by using the inverted perspective, and composition that can emphasize the flat formability are appeared as a characteristic. Through this, the two-dimensional planarity was maximized to convey the feeling of appreciating the illustrations of fairy tales. Tomm Moore, who produced animation based on folk tales in order to inherit the traditional culture of Ireland, has been attracting worldwide attention because of its flat staging to help narrative, enhancing the original expression and performance of animation. I hope that this study will be used as basic data for industry workers and researchers who make unique and excellent animated feature film.