• 제목/요약/키워드: Damage symptoms

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범죄 및 피해자 특성과 범죄피해 내용의 관계 탐색: 랜덤포레스트 알고리즘에 기초한 변인선택 (An exploration of the relationship between crime/victim characteristics and the victim's criminal damages: Variable selection based on random forest algorithm)

  • 한유화;이우열
    • 한국심리학회지:법
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    • 제13권2호
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    • pp.121-145
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    • 2022
  • 본 연구는 범죄 및 피해자 특성과 범죄피해 내용의 관련성을 확인하기 위하여 2010년부터 2018년까지 격년으로 수집된 전국범죄피해조사 자료에 랜덤포레스트 알고리즘을 적용하였다. 전체 자료 중 범죄피해경험이 있는 사례 및 관심 변인을 선별하여 분석자료를 구성하였으며, 총 3080건 자료의 성별, 연령(생애주기단계), 범죄유형, 가해자 면식여부, 반복피해 여부, 심리적 피해내용(우울함, 고립감, 극심한 두려움, 신체증상, 대인관계 문제, 사람을 피해 이사, 자살 충동, 자살 시도) 및 범죄피해 후 감정변화(자기보호 자신감, 자존감, 타인에 대한 신뢰감, 사법기관에 대한 신뢰감 및 사법제도와 법에 대한 존중감의 변화)를 나타내는 변인들이 분석자료에 포함되었다. 전통적 통계기법을 적용하기 어려운 자료의 특성을 고려하여, 본 연구는 범죄피해 내용(심리적 피해내용과 감정변화)을 이용하여 범죄 및 피해자 특성을 예측하기 위한 랜덤포레스트 알고리즘을 다섯 번 실행하고, VSURF 함수를 이용하여 범죄 및 피해자 특성을 잘 예측하는 범죄피해 내용 변인들을 선택하였다. 분석 결과, 범죄유형과 우울함, 극심한 두려움 및 신체증상의 관련성, 가해자 면식여부와 신체증상 및 대인관계 문제의 관련성, 반복피해 여부와 사법제도와 법에 대한 존중감 변화의 관련성이 확인되었다. 성별과 생애주기단계(청소년/성인/노인)는 각각 극심한 두려움과 자기보호 자신감 변화와 관련이 있는 것으로 확인되었으나 의미를 부여하기 위해서는 추가적 경험자료가 필요할 것으로 판단되었다. 본 연구의 결과는 범죄피해평가제도의 실효성을 높이기 위해 전문가 교육과정에 범죄 및 피해자 특성과 범죄피해 내용에 관한 지식과 사례교육의 제공 및 면담전략과 법률지식에 관한 교육강화가 필요함을 시사한다.

갑상선 수술시 발견된 비회귀성 후두신경; 유형, 동반 혈관 이상, 신경 손상 예방에 대한 고찰 (Identification of the Nonrecurrent Laryngeal Nerve during Thyroid Surgery: Variations, Associated Vascular Malformation, Adequate Surgical Technique)

  • 이잔디;윤지섭;임치영;남기현;장항석;정웅윤;박정수
    • 대한두경부종양학회지
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    • 제22권1호
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    • pp.3-7
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    • 2006
  • Purpose: The nonrecurrent laryngeal nerve(NRLN) is a rare anomaly that is associated with the developmentally aberrant subclavian artery. Although rare on the right side and exceptional on the left, an aberrant nonrecurrent pathway for RLN represents a major surgical risk. Three course variations of right NRLN can be distinguished: descending(type I) , horizontal(type II), ascending(type III). This study is performed to characterize the variations of NRLN, associated vascular anomaly, and proper surgical methods for preventing nerve damage. Materials and Methods: Between January 1998 and March 2006 3,381 thyroidectomy were performed at our institution, and during these operations a nonrecurrent laryngeal nerve was observed in 13 cases (0.38%). There were 1 men and 12 women with a median age of 48 years(range 28-57). All of them are identified on the right side. Results: In all cases, there were no clinical symptoms observed preoperatively. The nerve anomaly was diagnosed preoperatively in only one case. There were type I variations of right RLN in 2 cases and type II variations in 11 cases. The retroesophageal aberrant right subcalvian artery; no innominate(brachiocephalic) artery was found and the right common carotic artery was arising directly from the aortic arch, was seen in 12 cases. A vocal cord palaysis caused by NRLN damage during operation was observed in one patient(7.6%) , where the nerve was close to the superior thyroid artery. No other complications were noted. Conclusion: It can be possible to predict NRLN from signs associated with the vascular anomaly; clinical symptoms or imaging studies. When an vascular anomaly is not detected preoperatively, overlooking possibility of NRLN may lead to severe operative morbidity. Hence, It is most important to identify all the thyroid structures carefully during thyroid surgery and to be aware of the possibility of anatomic variations of RLN.

"상한전생집(傷寒全生集).변상한발열례(辨傷寒發熱例)" 등에 대한 연구(硏究) (A Research on The Pulse & Disease-patterns and Diagnostic Theory of Exogenous Febrile Disease in the "Sanghanjeonsaengjip(傷寒全生集)")

  • 최동수;신영일
    • 대한한의학원전학회지
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    • 제23권4호
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    • pp.103-153
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    • 2010
  • "Sanghanjeonsaengjip(傷寒全生集)" is a classic medical work, written by the outstanding physician Dohwa(陶華) in the Ming Dynasty. The characteristic of "SangHanJeonSaengJip" is that this book succeeded to the spirit of pattern identification and treatment of Treatise on Cold Damage Diseases, newly changed a table of contents by symptoms, and together with this indicated the prescriptions in accordance with diswase-pattern at "YujeunghwalInseo(類證活人書)", "Hwajegookbang(和劑局方)" etc. Also because this kept the existing ephedra decoction, cinnamom twig decoction, minor decoction of bupleurum, decoction for reinforcing middle-energizer and replenishing qi etc.'s name on and unlikely indicated the medicine composition, it caused confusion, but at the later ages "Euhakipmun(醫學入門)" the so-called 'Doci(陶氏)' was added to the prescription name, so we are able to distinguish. Together with this, this book dose not indicate the dosage of medicine and indicates the first, the second, and the third classes[上中下] below medicine. As this dose not mean the three grades of quality"good, fair, and poor[上中下] of "Shennong's Classic of Materia Medica" but expresses the sovereign medicinal as the first class[上], minister medicinal as the second class[中] and assistant and courier medicinal as the third class[下], doctors can voluntarily decide the dosage of medicine in accordance with the degree of disease. At this thesis, I single out ten chapters in contents of 2nd volume named Hyeong(亨) corresponding to the details, among "Sanghanjeonsaengjip(傷寒全生集)". I discussed superficial fever types of exogenous febrile disease in chapter 1, aversion to cold types of exogenous febrile disease in chapter 2, syndrome caused un-sufficient sweating in chapter 3, organic fever types of exogenous febrile disease in chapter 4, aversion to wind types of exogenous febrile disease in chapter 5, Tidal fever types of exogenous febrile disease in chapter 6, Alternative attacts of chills and fever in chapter 7, Dysphoria with smothery sensation in chapter 8, Fidgetiness of exogenous febrile disease in chapter 9, and Headache of exogenous febrile disease in chapter 10, and together with this I discussed, in detail, which influence the prescriptions which are listed on each chapter have caused on future generations In accordance with this, I think that the above-mentioned symptoms and prescriptions are important when I research cold damage and warm disease study. So I orderly research revision, annotation, rendering and an investigation.

Clinical outcome of conservative treatment of injured inferior alveolar nerve during dental implant placement

  • Kim, Yoon-Tae;Pang, Kang-Mi;Jung, Hun-Jong;Kim, Soung-Min;Kim, Myung-Jin;Lee, Jong-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제39권3호
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    • pp.127-133
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    • 2013
  • Objectives: Infererior alveolar nerve (IAN) damage may be one of the distressing complications occurring during implant placement. Because of nature of closed injury, a large proportion is approached non-invasively. The purpose of this study was to analyze the outcomes of conservative management of the injured nerve during dental implant procedure. Materials and Methods: Sixty-four patients of implant related IAN injury, who were managed by medication or observation from January 1997 to March 2007 at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, were retrospectively investigated. The objective tests and subjective evaluations were performed to evaluate the degree of damage and duration of sensory disturbance recovery. Tests were performed on the day of the first visit and every two months afterward. Patient's initial symptoms, proximity of the implant to the IAN, time interval between implant surgery and the first visit to our clinic, and treatment after implant surgery were analyzed to determine whether these factors affected the final outcomes. Results: Among the 64 patients, 23 had a chief complaint of sensory disturbance and others with dysesthesia. The mean time until first visit to our hospital after the injury was 10.9 months.One year after nerve injury, the sensation was improved in 9 patients, whereas not improved in 38 patients, even 4 patients experienced deterioration. Better prognosis was observed in the group of patients with early visits and with implants placed or managed not too close to the IAN. Conclusion: Nearly 70% of patients with IAN injury during implant placement showed no improvement in sensation or dysesthesia with the conservative management. Earlier decision for active treatment needs to be considered because of possibility of deterioration of symptoms and unsatisfactory recovery.

감마선을 조사한 마우스의 세포 손상과 산화적 스트레스에 대한 나린진과 나린제닌의 방사선방호 효과 (Radioprotective effect of naringin and naringenin against cellular damage and oxidative stress of γ-irradiated mice)

  • 강정애;김혜림;윤선혜;장범수;최대성;박상현
    • 한국식품과학회지
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    • 제49권6호
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    • pp.659-667
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    • 2017
  • 본 연구는 in vitro에서 나린진과 나린제닌의 항산화 활성을 평가하고, in vivo에서 BALB/c 마우스에 나린진과 나린제닌을 7일 동안 경구투여 한 후 6Gy의 감마선을 조사시켜 24시간 뒤 감마선 조사로 인한 세포 손상 및 산화적 스트레스에 대한 방사선 예방효과를 검토하였다. 나린진과 나린제닌의 항산화 활성평가에서 나린제닌이 나린진보다 ABTS 제거 활성 및 FRAP을 유의적으로 증가시켜 아글리콘 형태인 나린제닌이 글리코사이드 형태의 나린진보다 항산화 능력이 뛰어난 것을 확인하였다. 감마선 조사 전 나린제닌을 투여 한 군이 감마선 조사군에 비해 비장 지수, 흉선 지수 및 백혈구 수치가 증가하여 조혈 면역계 손상에 대해 보호효과가 있음을 확인하였다. 나린제닌을 투여 후 감마선을 조사한 군의 ALT와 AST가 감마선 조사군에 비해 유의적으로 감소하여 간세포 손상에 대한 예방효과를 확인하였다. 감마선 조사 전에 나린제닌을 투여한 군의 지방질과산화는 감마선 조사군에 비해 유의적으로 낮게 나타남을 보였으며, XO는 감마선 조사군에 비해 유의적으로 감소하여 방사선에 의한 장해를 감소시킨 것으로 판단할 수 있다. 감마선 조사 전 나린제닌을 투여한 군의 GSH와 항산화 효소의 활성은 감마선 조사군에 비해 유의적으로 증가하여 생체 내에 항산화 활성을 회복시켰다. 이 상의 결과를 통해 방사선 조사 전에 나린제닌의 투여는 방사선에 의한 세포 손상과 산화적 스트레스에 대해 보호 효과가 있어 방사선보호제로 유용하게 사용될 수 있다.

Ethofenprox 처리시기별 콩꼬투리혹파리의 방제효과 (Control Efficacy of Ethofenprox against Soybean Pod Gall Midge, Asphondylia yushimai (Diptera: Cecidomyiidae) at Different Spray Time)

  • 배순도;비쇼 마이날리;김현주
    • 농약과학회지
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    • 제18권3호
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    • pp.191-195
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    • 2014
  • 국내 최초로 밀양에서 콩꼬투리혹파리의 발생시기, 콩꼬투리 피해율 및 ethofenprox 20EC의 방제효과를 조사하였다. 콩꼬투리혹파리에 의한 콩꼬투리의 전형적인 피해증상은 피해부위의 갈변 및 기형화로 나타난다. 콩 포장에서 타락법에 의해 조사된 콩꼬투리혹파리 성충은 콩의 개화시기인 7월 5일부터 발생하여 9월 중순까지 그 밀도가 증가하였다. 파종기에 따른 콩꼬투리혹파리에 의한 콩꼬투리의 피해협률은 5월 10일 파종에서 가장 심하였으며, 다음은 6월 11일 및 5월 26일 파종 순 이었다. 콩 생식생장기에 ethofenprox 20EC 1회 살포에 따른 콩꼬투리혹파리의 방제효과는 R2.5에서 92.9%로 가장 높았으며, 다음은 R2에서 87.9%, R3에서 83.6%이었으며, 나머지 처리시기에서는 약 19~66%로 낮았다. 따라서 콩에서 콩꼬투리혹파리의 효과적인 약제방제 시기는 개화성기와 착협시 사이인 R2.5로 여겨진다.

피복처리가 월동배추 동해 발생에 미치는 영향 (Influence of covering treatment on the incidence of frost injury in chinese cabbage during winter season)

  • 이상규;최장선;이희주;장윤아;도경란
    • 농업과학연구
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    • 제41권3호
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    • pp.163-167
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    • 2014
  • The average temperatures for year and winter season have been risen by $0.7{\circ}C$ and $1.4{\circ}C$, respectively, during the last 30 years. Recently abnormal climate phenomena occurred frequently results in severe loss of vegetable crops grown in Korea. Specially, Chinese cabbages grown in the southern area of Korea are often significantly affected by sudden cold waves during winter season before harvest. This experiment was conducted to find out a potential role of covering materials on the protection of frost damage of 'Bularm' chinese cabbage in the winter season. The lowest temperature was $-15.8^{\circ}C$ in non-covering, $-8.1^{\circ}C$ in the PE film covering and $-4.6^{\circ}C$ in the non-woven fabric covering with PE film, respectively. The cumulative times below $4.0^{\circ}C$ were 145.5 hours for the non-covering treatment, 94 hours in the PE film covering and 14.5 hours in the non-woven fabric covering with PE film, respectively. The symptoms of frost damage were severe at non-covering chinese cabbages compared to polyethylene film (PE) non-woven fabric with PE covering ones. Microscopic studies showed the normal anatomical structure of palisade and spongy tissue of cabbage leaves covered with non-woven fabric with PE film. Leaf cells, however, were slightly damaged in cabbages covered with PE film alone, and both palisade and spongy cells were were completely collapsed in uncovered cabbages. The result of this study suggests that chinese cabbages is required to be covered with non-woven fabric with PE film to minimize the frost damage by sudden cold wave below $-7^{\circ}C$.

디지털트윈 시스템 적용을 위한 공동구 복합재난 시나리오 구축 (Establishment of Complex Disaster Scenario on the Utility Tunnel Study for Digital Twin System Application)

  • 정연하;김소담;서현정;이호준;송태정
    • 한국재난정보학회 논문집
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    • 제18권4호
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    • pp.861-872
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    • 2022
  • 연구목적: 본 연구에서는 공동구에서 발생 가능한 다양한 재난 상황을 종합적으로 고려할 수 있는 복합재난 시나리오를 구축하는 데 목적을 두었다. 연구방법: 재난 간 상관관계를 포괄적으로 고려하기 위해 재난 원인요소와 피해요소의 조합으로 복합재난 시나리오를 도출했고, 위험성 평가 기반의 시나리오 우선순위를 도출했다. 연구결과: 공동구 재난사례를 기반으로 피해 중심의 복합재난 시나리오 방안을 마련하였다. 화재, 침수, 지진 등 단일재난요소 및 다중재난요소들을 준정량 평가 방법을 활용하여 복합재난 시나리오를 구체화했다. 결론: 본 연구에서 도출된 복합재난 시나리오는 재난의 전조증상이 감지된다면 피해 예방·대비에 활용될 수 있다. 또한, 본 연구에서의 결과물은 긴급 재난 발생 시 신속한 대응·복구를 유도할 수 있도록 전략 방안 마련과 복합재난 대응 기술 마련의 기초자료로써 활용이 기대된다.

All about pain pharmacology: what pain physicians should know

  • Kim, Kyung-Hoon;Seo, Hyo-Jung;Abdi, Salahadin;Huh, Billy
    • The Korean Journal of Pain
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    • 제33권2호
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    • pp.108-120
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    • 2020
  • From the perspective of the definition of pain, pain can be divided into emotional and sensory components, which originate from potential and actual tissue damage, respectively. The pharmacologic treatment of the emotional pain component includes antianxiety drugs, antidepressants, and antipsychotics. The anti-anxiety drugs have anti-anxious, sedative, and somnolent effects. The antipsychotics are effective in patients with positive symptoms of psychosis. On the other hand, the sensory pain component can be divided into nociceptive and neuropathic pain. Non-steroidal anti-inflammatory drugs (NSAIDs) and opioids are usually applied for somatic and visceral nociceptive pain, respectively; anticonvulsants and antidepressants are administered for the treatment of neuropathic pain with positive and negative symptoms, respectively. The NSAIDs, which inhibit the cyclo-oxygenase pathway, exhibit anti-inflammatory, antipyretic, and analgesic effects; however, they have a therapeutic ceiling. The adverse reactions (ADRs) of the NSAIDs include gastrointestinal problems, generalized edema, and increased bleeding tendency. The opioids, which bind to the opioid receptors, present an analgesic effect only, without anti-inflammatory, antipyretic, or ceiling effects. The ADRs of the opioids start from itching and nausea/vomiting to cardiovascular and respiratory depression, as well as constipation. The anticonvulsants include carbamazepine, related to sodium channel blockade, and gabapentin and pregabalin, related to calcium blockade. The antidepressants show their analgesic actions mainly through inhibiting the reuptake of serotonin or norepinephrine. Most drugs, except NSAIDs, need an updose titration period. The principle of polypharmacy for analgesia in case of mixed components of pain is increasing therapeutic effects while reducing ADRs, based on the origin of the pain.

감마나이프 방사선수술 후 발생한 급속 순환성 이차성 조증 1예 (A Case of Rapid Cycling Secondary Mania after Gamma-knife Radiosurgery)

  • 정찬호;채정호;김임렬;이정균;이규항
    • 생물정신의학
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    • 제3권2호
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    • pp.302-308
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    • 1996
  • A case of rapid cycling mania secondary to gamma-knife radiosurgery for the treatment of refractory epilepsy was reported. A 21-year old woman who had a gamma-knife radiosurgical operation for the treatment of refractory seizure two years ago was admitted because of manic episodes. Although seizure was relieved, manic symptoms like decreased need for sleep, elated mood, unprovoked laughing, grandiose delusion and bizarre behaviors were developed 11 months after the operation. These symptoms recurred lour rimes for eight months. There were no past personal and family history of mood disorders. Laboratory examinations including electroencephalogram ana endocrinological study did not show any abnormal findings. The rapid cycling secondary manic was relieved by lithium. She was then discharged after 5 months. Mood change was not significant during follow-up while hypomania emerged by dose reduction. The secondary mania seemed to be caused or triggered by the right temporal lobe damage induced by gamma-knife radiosurgery.

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