• Title/Summary/Keyword: End-of-Life Recovery

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Satisfaction with the Effect of Local Dynamical Micro-massage Therapy on the Pain and Discomfort after Breast Reconstruction Surgery

  • Ahn, Kwang Hyeon;Lee, Sun Jae;Park, Eun Soo;Park, Yu Gil
    • Medical Lasers
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    • v.9 no.1
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    • pp.39-43
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    • 2020
  • Background and Objectives Breast reconstruction has the advantage of reducing the loss of the body image of patients after mastectomy surgery, and also improving the quality of the social and sexual life of breast cancer patients. However, in surprising and unfortunate number of patients, acute postoperative pain persists beyond the normal course of postsurgical recovery. We set out to investigate the effect of local dynamical micro-massage (LDM) treatment for achieving pain relief and reducing other postoperative complications. Materials and Methods We performed a retrospective analysis on 58 patients who underwent LDM treatment for postoperative pain management at Soonchunhyang University Bucheon Hospital between February 2017 and June 2019. Those patients who complained of persistent postoperative pain, which was uncontrollable with medication, were treated with LDM. The degree of pain and discomfort with contracture were recorded using numerical rating scale (NRS) scoring system with numbers from 0 to 10 ('none' to 'worst'). Results The median NRS score of pain was reduced by 62.3% from the start to the end of LDM treatment (p<0.001). Further, the NRS score of discomfort with contracture was reduced 66.0% (p<0.001). There was no complication related to the LDM treatment. Conclusion Dual-frequency ultrasound LDM can be an effective therapeutic option for persisting pain after breast reconstruction surgery. It was also effective in improvement of discomfort with contracture and erythema of the surgical wound.

Hepatic encephalopathy on magnetic resonance imaging and its uncertain differential diagnoses: a narrative review

  • Chun Geun Lim;Myong Hun Hahm;Hui Joong Lee
    • Journal of Yeungnam Medical Science
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    • v.40 no.2
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    • pp.136-145
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    • 2023
  • Hepatic encephalopathy (HE) is a severe neuropsychiatric abnormality in patients with either acute or chronic liver failure. Typical brain magnetic resonance imaging findings of HE are bilateral basal ganglia high signal intensities due to manganese deposition in chronic liver disease and hyperintensity in T2, fluid-attenuated inversion recovery, or diffusion-weighted imaging (DWI) with hemispheric white matter changes including the corticospinal tract. Low values on apparent diffusion coefficient mapping of the affected area on DWI, indicating cytotoxic edema, can be observed in acute HE. However, neuropsychological impairment in HE ranges from mild deficits in psychomotor abilities affecting quality of life to stupor or coma with higher grades of hepatic dysfunction. In particular, the long-lasting compensatory mechanisms for the altered metabolism in chronic liver disease make HE imaging results variable. Therefore, the clinical relevance of imaging findings is uncertain and differentiating HE from other metabolic diseases can be difficult. The recent introduction of concepts such as "acute-on-chronic liver failure (ACLF)," a new clinical entity, has led to a change in the clinical view of HE. Accordingly, there is a need to establish a corresponding concept in the field of neuroimaging diagnosis. Herein, we review HE from a historical and etiological perspective to increase understanding of brain imaging and help establish an imaging approach for advanced new concepts such as ACLF. The purpose of this manuscript is to provide an understanding of HE by reviewing neuroimaging findings based on pathological and clinical concepts of HE, thereby assisting in neuroimaging interpretation.

Study on Reaction Behavior of Mg-FeB Phase for Rare Earth Elements Recovery from End-of-life Magnet

  • Sangmin Park;Dae-Kyeom Kim;Rongyu Liu;Jaeyun Jeong;Taek-Soo Kim;Myungsuk Song
    • Journal of Powder Materials
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    • v.30 no.2
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    • pp.101-106
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    • 2023
  • Liquid metal extraction (LME), a pyrometallurgical recycling method, is popular owing to its negligible environmental impact. LME mainly targets rare-earth permanent magnets having several rare-earth elements. Mg is used as a solvent metal for LME because of its selective and eminent reactivity with rare-earth elements in magnets. Several studies concerning the formation of Dy-Fe intermetallic compounds and their effects on LME using Mg exist. However, methods for reducing these compounds are unavailable. Fe reacts more strongly with B than with Dy; B addition can be a reducing method for Dy-Fe intermetallic compounds owing to the formation of Fe2B, which takes Fe from Dy-Fe intermetallic compounds. The FeB alloy is an adequate additive for the decomposition of Fe2B. To accomplish the former process, Mg must convey B to a permanent magnet during the decomposition of the FeB alloy. Here, the effect of Mg on the transfer of B from FeB to permanent magnet is observed through microstructural and phase analyses. Through microstructural and phase analysis, it is confirmed that FeB is converted to Fe2B upon B transfer, owing to Mg. Finally, the transfer effect of Mg is confirmed, and the possibility of reducing Dy-Fe intermetallic compounds during LME is suggested.

A Study on the Characteristics and Utilization of Ash from ASR Incinerator (ASR 소각재의 이화학적 물성 및 재활용(再活用)을 위한 기초연구(基礎硏究))

  • Lee, Hwa-Young
    • Resources Recycling
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    • v.16 no.2 s.76
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    • pp.32-39
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    • 2007
  • The measurement of physicochemical properties of ASR incineration ash has been carried dot and the preparation of light-weight material has also been performed using ASR ash for recycling point of view as building or construction materials. For this aim, chemical composition, particle size distribution, and heavy metal leachability were examined for 2 bottom ashes and 4 fly ashes obtained from the domestic ASR incinerator. In the present work, attempt has been made to prepare the lightweight material using boiler ash as a raw material, which is prepared by forming the mixture of boiler ash, lightweisht filler and inorganic binder and followed by calcination at elevated temperature. As a result, the content of Cu in bottom ash was as high as about 3wt% so that the recovery of Cu from ash was required. The major compound of SDR #5 and Bag filter #6 was found to be $CaCl_2{\cdot}Ca(OH)_2{\cdot}H_2O\;and\;CaCl_2{\cdot}4H_2O$, respectively. It is thought that heavy metal teachability of lightweight material prepared with boiler ash was significantly decreased due to the encapsulation or stabilization of heavy metal compounds.

The Influence of Parenting Attitudes on Adolescents' School Adjustment : Mediating Effects of Ego Resilience and Care (부모양육태도가 청소년의 학교적응에 미치는 영향 : 자아탄력성과 배려심의 매개효과)

  • Noh, Miwha;Heo, MiJeong;Choi, Youn Shil
    • Journal of Families and Better Life
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    • v.33 no.2
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    • pp.119-134
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    • 2015
  • The purpose of the study is to explore how parenting attitudes, ego resilience, and care affects adolescents' adjustment to school so as to provide a necessary basic guideline needed to seek various intervention methods. To achieve this end, the study referred to the 2014 Annual Report of the Korean Children and Youth Panel Survey. By using both SPSS 19.0 and AMOS 19.0, the study yielded the following results. First, the study showed that parenting attitudes, ego resilience, care, and school adjustment all have a positive correlation. Second, by conducting path analysis in order to verify the mediating effect of ego resilience and care with regards to the relationship between parenting attitudes and school adjustment, the direct influence that parenting attitudes had on school adaptation was shown to be relevant. Third, adolescents' ego resilience and care have a partial mediating effect on the relationship between parenting attitudes and school adaptation. Therefore, together with intervention in actual school settings, assessing various factors that would aid the recovery of adolescents' characters and pursuing a positive reinforcement of character by finding protective factors would enable this study to be used as a basic guideline that would prevent adolescents' maladjustment to school and social deviance as well as aid the growth of their characters.

A Decade of the National Institute for Materials Science as an Independent Administrative Institution

  • Kishi, Teruo;Takemura, Masahiro
    • STI Policy Review
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    • v.3 no.2
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    • pp.152-171
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    • 2012
  • In April 2001, many Japanese national institutes were reorganized as Independent Administrative Institutions (IAI) based on the General Act for Independent Administrative Institutions and the act for each institution. Under the Ministry of Education, Culture, Sports, Science and Technology (MEXT), the National Institute for Materials Science (NIMS) was established by the merger of the National Research Institute for Metals (NRIM) and the National Institute for Research in Inorganic Materials (NIRIM). One of the biggest changes was the expansion of autonomous administration. The nanotechnology and material R&D field was prioritized in the 2nd (2001-2005) and the 3rd (2006-2010) Science and Technology Basic Plans; subsequently, NIMS was assigned to take the initiative in nanotechnology as well as materials science. NIMS has proactively expanded research fields through the introduction of researchers from polymers, electronics, and biotechnology as well as member institutes of the World Materials Research Institute Forum (WMRIF). Globalization has been promoted through programs that include the International Center for Young Scientists (ICYS) and the International Center for Materials Nanoarchitectonics (MANA). The 4th Science and Technology Basic Plan (2011-2015) emphasizes outcomes-recovery and rebirth from the disaster, green innovation, and life innovation. The Midterm Plan for NIMS also follows it. R&D collaboration by multi-partners (that include industry, university, and GRI) should be strategically promoted where GRI are especially required to play a hub function for innovative R&D and open innovation. NIMS highlights are Tsukuba Innovation Arena (TIA) and the Nanotechnology Platform Project. On January 20, 2012, a new organization was decided on by the Japanese Government where several IAI from different science and technology areas will be merged to realize more effective R&D as well as administrative cost reductions. NIMS is also supposed to be merged with 4 other R&D IAI under MEXT by the end of 2013.

Lithium - A Critical Metal for Clean Energy Technologies: A Comprehensive Review on Challenges and Opportunities for Securing Lithium from Primary and Secondary Resources (리튬-청정 에너지 기술의 핵심금속: 1차 및 2차 자원으로부터 리튬 확보를 위한 도전과 기회에 대한 종합적 고찰)

  • Swain, Basudev;Kim, Min-seuk;Lee, Chan-Gi;Chung, Kyeong Woo;Lee, Jae-chun
    • Resources Recycling
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    • v.28 no.5
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    • pp.3-18
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    • 2019
  • Due to the increasing demand for clean energy, the consumption of lithium ion batteries (LIBs) is expected to grow steadily. Therefore, stable supply of lithium is becoming an important issue globally. Commercially, most of lithium is produced from the brine and minerals viz., spodumene, although various processes/technologies have been developed to recover lithium from other resources such as low grade ores, clays, seawaters and waste lithium ion batteries. In particular, commercialization of such recycling technologies for end-of-life LIBs being generated from various sources including mobile phones and electric vehicles(EVs), has a great potential. This review presents the commercial processes and also the emerging technologies for exploiting minerals and brines, besides that of newly developed lithium-recovery-processes for the waste LIBs. In addition, the future lithium-supply is discussed from the technical point of view. Amongst the emerging processes being developed for lithium recovery from low-grade ores, focus is mostly on the pyro-cum-hydrometallurgical based approaches, though only a few of such approaches have matured. Because of low recycling rate (<1%) of lithium globally compared to the consumption of lithium ion batteries (56% of lithium produced currently), processing of secondary resources could be foresighted as the grand opportunity. Considering the carbon economy, environment, and energy concerns, the hydrometallurgical process may potentially resolve the issue.

Data-driven event detection method for efficient management and recovery of water distribution system man-made disasters (상수도관망 재난관리 및 복구를 위한 데이터기반 이상탐지 방법론 개발)

  • Jung, Donghwi;Ahn, Jaehyun
    • Journal of Korea Water Resources Association
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    • v.51 no.8
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    • pp.703-711
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    • 2018
  • Water distribution system (WDS) pipe bursts are caused from excessive pressure, pipe aging, and ground shift from temperature change and earthquake. Prompt detection of and response to the failure event help prevent large-scale service interruption and catastrophic sinkhole generation. To that end, this study proposes a improved Western Electric Company (WECO) method to improve the detection effectiveness and efficiency of the original WECO method. The original WECO method is an univariate Statistical Process Control (SPC) technique used for identifying any non-random patterns in system output data. The improved WECO method multiples a threshold modifier (w) to each threshold of WECO sub-rules in order to control the sensitivity of anomaly detection in a water distribution network of interest. The Austin network was used to demonstrated the proposed method in which normal random and abnormal pipe flow data were generated. The best w value was identified from a sensitivity analysis, and the impact of measurement frequency (dt = 5, 10, 15 min etc.) was also investigated. The proposed method was compared to the original WECO method with respect to detection probability, false alarm rate, and averaged detection time. Finally, this study provides a set of guidelines on the use of the WECO method for real-life WDS pipe burst detection.

A Perspective of Analytical Psychology on 'Yeondo', a Prayer for Souls in Purgatory of Korean Catholic Church (한국 천주교 '연도(煉禱)'의 분석심리학적 고찰)

  • Chun Ja Yeo
    • Sim-seong Yeon-gu
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    • v.31 no.1
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    • pp.1-40
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    • 2016
  • This thesis is a study on the symbolism of 'Yeondo', a prayer for the souls in purgatory of Korean Catholic Church as a 'psychic container' for the spiritual transformation in the psyche from a perspective of analytical psychology. Yeondo' could be the 'rites of passage' of the last judgement for the souls in purgatory which is in between the heaven and the hell. And both the bereaved and the dead go through the stages of separation, transition and incorporation which are the schema of the 'rites of passage'. In particular, they have a special sense of solidarity at the stage of transition, a middle state. The symbolic process of 'Yeondo' is a spiritual transformation of recovery of paradise which could access by the confusion of death, purification and the rebirth. A spiritual reborn process of death and rebirth takes place by contacting the collective unconscious. In 'Yeondo', the death is not the end of life but the beginning of the eternal life. The confusion and disintegration caused by death can be purified and start incorporating. The rites of a paradise recovery has the meaning of trying constantly for the recovery of a wholeness. Praying for the blessing of God and a help from saints in paradise for the sake of the dead means to require conscious cooperation for the Self-realization. Integrating and recognizing unconscious also means something beyond the conscious. The blessed souls in purgatory recovers the paradise experiencing specific purifying process heading towards Self. Going into the center, abyss of unconscious will be recognized as an absolute part of oneself. One becomes the inner man, the transformed personality who is reached by the path of self-knowledge, the kingdom of heaven within oneself and can have the transpersonal energy, which enables to access to God's world and union with God. All desire and the will become one with God. In the final analysis, praying for the blessing of God and a help from saints in paradise for the sake of the dead becomes the path for the more and more conscious expansion of the alive. Therefore, 'Yeondo' as an initiation is the individuation process of the alive and the dead to reflect on themselves.

Establishment of Pre-Harvest Residue Limit for Buprofezin and Penthiopyrad during Cultivation of Oriental melon (Cucumis melon var. makuwa) (참외(Cucumis melon var. makuwa)에 대한 Buprofezin 및 Penthiopyrad의 생산단계 잔류허용기준 설정)

  • Kim, Hea Na;Kim, Seong Beom;Choi, Eun;Woo, Min Ji;Kim, Ji Yoon;Saravanan, Manoharan;Hur, Jang Hyun
    • The Korean Journal of Pesticide Science
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    • v.18 no.3
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    • pp.123-129
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    • 2014
  • The present work was aimed to determine the pre-harvest residue limits (PHRLs) and the safety management of commonly used pesticides namely buprofezin and penthiopyrad on oriental melon (Cucumis melon var. makuwa). In this study, the buprofezin (diluted two thousand fold) and penthiopyrad (diluted four thousand fold) were sprayed single time on oriental melon in the cultivation areas Sangju (site 1) and Sungju (site 2). Oriental melon were randomly collected from the both areas at the end of 0 (2 hours after pesticides spaying), 1, 2, 3, 5, 7, 9 and 10 days. For analysis, each samples were partitioned twice (80 and 70 mL) with dichloromethane and purified by florisil SPE cartridge. Finally, the residual amounts of both pesticides in all samples were analyzed using gas chromatography/nitrogen phosphorus detector (GC/NPD). In this study, the method limit of quantification (MLOQ) for both buprofezin and penthiopyrad in oriental melon was found to be $0.01mg\;kg^{-1}$ and their recovery levels were 91.1~98.6% and 90.0~104.6%, respectively. Further, the calculated biological half-life for buprofezin and penthiopyrad in oriental melon were 3.9 and 3.5, and 3.0 and 2.7 days in site 1 and 2, respectively. The results of this study found that the PHRLs for buprofezin and penthiopyrad were 4.24 and $2.31mg\;kg^{-1}$, respectively at 10 days before harvest. Consequently, the present study suggest that the residual amounts of both pesticides will be lower than the maximum residue limits (MRLs) when oriental melon is harvested.