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Principles of Intraoperative Neurophysiological Monitoring with Insertion and Removal of Electrodes (수술 중 신경계감시검사에서 검사에 따른 전극의 삽입 및 제거방법)

  • Lim, Sung Hyuk;Park, Soon Bu;Moon, Dae Young;Kim, Jong Sik;Choi, Young Doo;Park, Sang Ku
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.4
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    • pp.453-461
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    • 2019
  • Intraoperative neurophysiological monitoring (INM) examination identifies the damage caused to the nervous system during surgery. This method is applied in various surgeries to validate the procedure being performed, and proceed with confidence. The assessment is conducted in an operating room, using subdermal needle electrodes to optimize the examination. There are no textbooks or guides for the correct stimuli and recording areas for the surgical laboratory test. This article provides a detailed description of the correct stimuli and recording parts in motor evoked potential (MEP), somatosensory evoked potential (SSEP), brainstem auditory evoked potentials (BAEP) and visual evoked potentials (VEP). Free-running Electromyography (EMG) is an observation of the EMG that occurs in the muscle, wherein the functional state of most cranial nerves and spinal nerve roots is determined. In order to help understand the test, an image depicting the inserting subdermal needle electrodes into each of the muscles, is attached. Furthermore, considering both the patient and the examiner, a safe method is suggested for removal of electrodes after conclusion of the test.

Effect of Death Education Program on Self-Esteem, Spiritual Well-Being, and Pain of Adults (죽음교육 프로그램이 성인의 자아존중감, 영적안녕, 통증에 미치는 효과)

  • Kim, Bock-Ryun;Oh, Chung-uk;Kang, Hye-kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.156-162
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    • 2016
  • This study was conducted to investigate the effects of a death education program on self-esteem, spiritual well-being, and pain in adults. This investigations employed a nonequivalent control group non-synchronized design, and was performed in C hospital located in Chungju, Chungcheongbukdo province, Korea from January 4-13, 2016. The study included 48 participants who agreed to enrolled. Participants were randomly divided into an experimental and a control group of 22 and 26 applicants each. Participants (n=22) in the experimental group participated in the death education program for 2 hours, three times a week for 2 weeks. The effects of treatment were measured using a structured questionnaire to evaluate self-esteem, spiritual well-being, and pain before and after 2 weeks of intervention. Data were analyzed using a t-test, chi-squared test, Fisher's Exact-test and a paired t-test. The experimental group showed significantly increased self-esteem (P<0.002) and spiritual well-being (P<0.015), and significantly reduced pain (P<0.014) compared to the control group after 2 weeks of intervention. Overall, the death education program was shown to be an effective nursing intervention for adults; therefore, of its use in various fields should be considered.

Impact analysis of Industrial-University cooperation adherency degree and cooperation degree configuration variable on satisfaction (산학협력 밀착도, 협력도 구성변수가 만족도에 미치는 영향 분석)

  • Kim, Young-Bu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.359-368
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    • 2016
  • In the 21st century, the Korean university education system is focused on innovation and change, including cooperation between industry and universities. It should be a goal to foster an industry-university ecosystem through interactions between universities and industry. Therefore, it is important to measure their relationships and to find advisable ways to measure the final results of industry-university cooperation. This paper sets out the achievements in cooperation and the satisfaction from such enterprises and measures mutual relationships influencing satisfaction from industry-university cooperation as to adherence and cooperation. Therefore, this research focuses on regression equation analysis in order to analyze the influence from satisfaction with industry-university cooperation based on factors in the relations between industry and universities. Also, as we examined the multicollinearity problem, before analyzing multiple regression, the multicollinearity problem appeared to be relatively irrelevant. In particular, the satisfaction variable, which can also be set as a subordinate variable, was in this research constructed as a high-dimensional subordinate variable composed of five individual variables. We then analyzed how the adherence construct factor and degree of cooperation construct factor influences the respective and subordinate satisfaction variables. As a result, the degree of realization of local customized programs was shown by the most significant variables. The biggest factor influencing satisfaction with industry-university cooperation proves the degree of realization for appropriate programs under local conditions, such as education, research, and technique guidance.

Experimental Study for Earthquake and Subsidence-resistant Performance Evaluation of iPVC Buried Water Pipe (iPVC 매립 상수도관의 내진 성능 및 내침하 성능 평가를 위한 시험적 연구)

  • Jeon, Bub-Gyu;Chang, Sung-Jin;Kim, Jae-Bong;Ju, Bu-Seog
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.24 no.1
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    • pp.16-23
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    • 2020
  • Water pipes are important facilities and consist of pipes of various specifications and materials. The annual average number of earthquakes in Korea is steadily increasing. Therefore, in case of the water pipe, it is estimated necessary to prepare for earthquakes. Damages to the water pipe by the earthquake can cause problems such as water supply and fire suppression, and cause damage to life and property. In Korea, however, it is difficult to find examples of seismic performance evaluation of water pipes based on experimental study. Damage to the water pipes by the earthquake is caused by the displacement-controlled behavior of the ground which is the liquifaction and fault lines. Especially, The damage to the water pipes by the earthquake is concentrated on the joint of the pipe. In particular, piping less than 200mm in diameter was found to be dangerous. Thus, in this study, the seismic and settlement performance of iPVC buried water pipes with fixed joints with a clamp of 150mm was evaluated with a test approach.

Structure Determination of the Extractives from the Taxus Cuspidata Fruits (주목열매 추출물 구조분석)

  • Park, Se-Yeong;Choi, In-Gyu;Bae, Young-Soo
    • Journal of the Korean Wood Science and Technology
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    • v.41 no.6
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    • pp.566-575
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    • 2013
  • The fruits of Taxus cuspidata were collected, divided into seeds and fruits, and extracted with 95% EtOH. The extracts were evaporated under the reduced vacuum pressure, concentrated, then successively fractionated with a series of n-hexane, dichloromethane, ethyl acetate and water on a separatory funnel to get some freeze dried samples. A portion of the EtOAc (arils:1.65 g, seeds:1.04 g) and $H_2O$ (arils:7 g, seeds:10 g) soluble samples were chromatographed on a Sephadex column using MeOH-$H_2O$ (1:1, 1:3, 1:5, v/v), EtOH-hexane (3:1, v/v) mixture and 100% $H_2O$ as eluting solvents to isolate pure compounds from the fractions. The isolates were developed by cellulose TLC using t-BuOH-HOAc-$H_2O$ (TBA; 3:1:1, v/v/v) and 6% aqueous HOAc. Visualization was done under ultraviolet light and by spraying the vanillin-HCl-EtOH reagent (4.8:12:480, v/v/v). followed by heating. The structures of the isolates were characterized by $^1H$- and $^{13}C$-NMR, DEPT, 2D-NMR, LC/MS and EI-MS spectra. In addition to the NMR and MS spectra, acid hydrolysis and permethylation were used to determine the correct structure of the isolated sugar compound. Their structures were elucidated as (+)-catechin (1), (-)-epicatechin (2), (+)-gallocatechin (3), (-)-epigallocatechin (4) and ${\beta}$-D-fructofuranose-($2{\rightarrow}4$)-O-${\beta}$-D-glucopyranose($1{\rightarrow}4$)-O-${\alpha}$-D-glucopyranose ($1{\rightarrow}2$)-O-${\beta}$-D-fructofuranose (5) on the basis of the above experimental evidences.

Flow properties of thermoplasticized Gutta Percha obturation materials (열가소성 가타퍼차 근관충전재료의 흐름성 특성)

  • Baek, Myong-Hyun;Song, Bu-Seok;Choi, Eun-Mi
    • Korean Journal of Dental Materials
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    • v.45 no.4
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    • pp.311-320
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    • 2018
  • The purpose of this study is to evaluate the flow ability of the thermoplasticized Gutta Percha in different temperatures. Four Gutta Percha products were classified by its hardness (soft, medium, and hard) and were experimented by the Rheometer (Melt flow indexer MFI-10, DAVENPORT, England) measuring apparatus, in $(23{\pm}2)^{\circ}C$, and in a relative humidity of ($50{\pm}5$) %, following the guidelines of ISO 1133-1:2011. The heating temperature ranged from $108^{\circ}C$, $160^{\circ}C$ to $200^{\circ}C$, and the load at 2.16 kg and 3.8 kg. The Gutta Percha was cut in 5 mm to be suitable for the rheometer pressurization process. After the experiment was conducted with a preheating time of 5 minutes, a cutting time of 5-240 seconds, and a sample of 10 grams, the Gutta Percha did not show any changes in fluidity for $108^{\circ}C$, $160^{\circ}C$, but showed a change in its flow ability in $200^{\circ}C$. Also, the Gutta Percha did not show any changes in its fluidity when it was pressurized by 2.16 and 3.8 kilograms. Therefore, this experiment shows that the heating temperature and the cut-off time showed a significance while measuring the melt flow rate.

The Dialogue of Gi-Hak and Sim-Hak (기학(氣學)과 심학(心學)의 횡단적 소통구조에 관한 연구 - 장횡거(張橫渠)와 왕양명(王陽明)의 이론을 중심으로 -)

  • Jang, Yun-su
    • Journal of Korean Philosophical Society
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    • v.130
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    • pp.247-276
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    • 2014
  • The purpose of this paper is to explore how Zhang Zai(張載)''s Gi-Hak(氣學) and Wang Shou-Ren(王守仁)''s Sim-Hak(心學) are interrelated, which differs from prior positions viewing the two as separate, unrelated philosophies or ones standing in contrast to each other. By direct comparing the notions Tae-Heo(太虛) and Yang-Ji(良知), I tried to explain that ontological structures of Gi-Hak and Sim-Hak are interrelated ; and by comparing Dae-Sim(大心) and Chi-Yang-Ji(致良知), I made an argument that Gong-Bu-Ron(工夫論) of Gi-Hak and Sim-Hak corresponds to each other. Zhang Zai''s the doctrine of Tae-Heo can be seen as a respond to Jeok-Myeol-Ron(寂滅論) in Buddhism ; therefore, understanding Sim-Hak in terms of Gi-Hak, that is, interpreting the fundamental meaning of Yang-Ji as Tae-Heo, can free Yang-Myeong-Sim-Hak(陽明心學) from the unceasing criticism by Ju-Ja-Hak(朱子學) that it is a 'Buddhistic heresy'. This study could be highly significant in that it enables us to read the tradition of Zhang Zai not only from the viewpoint of u-Ja-Hak, but even from ang-Myeong-Sim-Hak tradition. I interpreted Yangming School of Mind as a developmental succession of Neo-Confucianism, and understood Zhang Zai''s Gi-Hak as a theoretical pioneer of Wang Shou-Ren''s Sim-Hak.

A Study on the Tinnitus of Huangdi's Internal Classic $\ll$황제내경(黃帝內經)$\gg$ ($\ll$소문(素問).영추(靈樞)$\gg$에 나타난 이명(耳鳴)에 대한 연구(硏究))

  • Byun, Seok-Mi;Tark, Myoung-Rim;Kang, Na-Ru;Ko, Woo-Shin;Yoon, Hwa-Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.23 no.1
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    • pp.224-252
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    • 2010
  • Objective : The purpose of this study is to investigate tinnitus of Plain Questions $\ll$素問$\gg$ and Miraculous Pivot $\ll$靈樞$\gg$. Methods : We conducted a study on the original text paragraphs of Internal Classic $\ll$內經$\gg$ containing the tinnitus and analysis of Yang, Ma, Zhang, Wang etc. We drew a parallel between tinnitus from Internal Classic $\ll$內經$\gg$ and matching diagnoses from western medicine. Results : The results were as follows. 1. Tinnitus in Plain Questions $\ll$素問$\gg$Tong Pyeong Heo Sil Ron <通評虛實論> was similar to the symptoms of diabetes mellitus complication and schizophreniform disorder in western medicine. 2. Liver fire tinnitus in Plain Questions $\ll$素問$\gg$ Yuk Won Jeong Gi Dae Ron <六元正紀大論> was similar to the symptoms of psychological distress in western medicine. 3. Phlegm fire tinnitus in Plain Questions $\ll$素問$\gg$ Ji Jin Yo Dae Ron <至眞要大論> was similar to the symptoms of meniere's disease and malfunction of autonomic nervous system in western medicine. 4. Blood deficiency tinnitus in Miraculous Pivot $\ll$靈樞$\gg$ Sa Gi Jang Bu Byeong Hyeong <邪氣藏府病形> was similar to the symptoms of anemia in western medicine. 5. Tinnitus in Miraculous Pivot $\ll$靈樞$\gg$ Gyeong Geun <經筋> was similar to the myofacial pain syndrome of the sternocleidomastoid muscle and the masseter muscle in western medicine. 6. Gallbladder deficiency tinnitus in Miraculous Pivot $\ll$靈樞$\gg$ Gwol Hyeong <厥病> was similar to the symptoms of otitis media and labyrinthitis in western medicine. 7. Kidney deficiency tinnitus in Miraculous Pivot $\ll$靈樞$\gg$ Gyeol Gi <決氣> and Hai Ron <海論> was similar to the symptoms of degenerative auditory organ in western medicine. 8. Tinnitus in Internal Classic $\ll$內經$\gg$ showed close relations with the symptoms of the wind character. Conclusion : We analyzed the original text paragraphs of Internal Classic $\ll$內經$\gg$ and explanations about tinnitus. Further studies are needed to compare oriental medicine and western medicine diagnoses to develop better treatments for tinnitus.

Pancreatic Lipase Inhibitory and Antioxidant Activities of Zingiber officinale Extracts (생강 추출물의 pancreatic lipase 저해 및 항산화 활성)

  • Bae, Jong-Sup;Kim, Tae-Hoon
    • Food Science and Preservation
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    • v.18 no.3
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    • pp.390-396
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    • 2011
  • Ginger (Zingiber officinale) is a well-known herb that is widely consumed as spice for the flavoring of foods. As part of our continuing search for bioactive materials, the in vitro pancreatic lipase inhibition and antioxidant properties of an aqueous ethanolic extract of Z. officinale were investigated. The total phenolic content was determined using a spectrophotometric method. The antioxidant efficacies of the extract was studied with radical scavenging assays using DPPH and $ABTS^+$ radicals. Further more, the antiobesity effect of the extract was evaluated by porcine pancreatic lipase assay. In particularly, the pancreatic lipase inhibitory activity of the ethyl acetate (EtOAc)-soluble portion from Z. officinale was significantly higher than that of the other solvent-soluble portions. The results suggest that Z. officinale may have therapeutic potential that may be useful in development of an anti-obesity agent or its precursors.

Pancreatic Lipase Inhibitors Isolated from the Leaves of Cultivated Mountain Ginseng (Panax ginseng) (산양삼 잎으로부터 Pancreatic lipase 저해 활성물질의 분리)

  • Hong, Ju-Yeon;Shin, Seung-Ryeul;Bae, Man-Jong;Bae, Jong-Sup;Lee, In-Chul;Kwon, O-Jun;Jung, Ji-Wook;Kim, Yong-Han;Kim, Tae-Hoon
    • Food Science and Preservation
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    • v.17 no.5
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    • pp.727-732
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    • 2010
  • Activity-guided fractionation of an ethyl acetate (EtOAc)-soluble portion of an ethanolic extract from the leaves of cultivated mountain ginseng, using pancreatic lipase inhibition assay, led to the isolation and identification of three flavonoids of a previously described structure, kaempferol-3-O-sophoroside (I), kaempferol-3-O-${\beta}$-Dglucopyranoside (astragalin, II) and kaempferol (III). All compounds (I.III) showed pancreatic lipase inhibitory activities, with $IC_{50}$ values ranging from $20.3{\pm}2.2$ to $9.1{\pm}1.5$ ${\mu}M$, kaempferol (III) showed the most potent inhibitory activity with an $IC_{50}$ of $9.1{\pm}1.5$ ${\mu}M$. The level of activity may depend on the number of C-3 glucosyl group(s) linked to the kaempferol backbone, and the isolated compounds may have promise as pancreatic lipase inhibitors.