• Title/Summary/Keyword: Head Distribution

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Clinical Study of Empyema Thoracis (농흉에 대한 임상적 고찰)

  • Kim, Tae-Nyeun;Lee, Young-Hyun;Chung, Jae-Chun;Kim, Chong-Suhl
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.87-94
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    • 1986
  • Empyema thoracis following pneumonia, intra-abdominal pathology, trauma, and surgical procedure continues to be a source of major morbidity and mortality. Thirty seven adult and eleven pediatric patients with empyema thoracis were treated at the University of Yeungnam Medical Center from May 1983 to November 1986. Age distribution ranged from 6 months to 72 years and showed a double-peaked curve with the highest incidence between 36 and 65 years and below 15 years of age. There were male predominence in patients above 16 years of age. The most common predisposing factors was impaired consciousness due to either alcoholism or head injury. The causes of empyema were as follows: pneumonia 64.6%, lung abscess 6.4%, intraabdominal pathology 6.4%, and surgical procedure 6.4%. The cardinal symptoms were fever, cough, chest pain, dyspnea, sputum, weight loss, anorexia, and night sweat in orders. Culture of empyema fluid were positive in 50% of patients. The isolated organisms were Gram-negative bacilli 33.3%, staphylococcus aureus 25%, and streptococcus 25%. The patients received antibiotics in conjunction with various invasive procedures : chest tube drainage 77.1%, decortication 6.3%, and repeated thoracentesis 10.3%. There were 4 deaths, 1 child and 3 adults, with a overall mortality of 8.3%.

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Effects of Screw Configuration on Biomechanical Stability during Extra-articular Complex Fracture Fixation of the Distal Femur Treated with Locking Compression Plate (잠김 금속판(LCP-DF)을 이용한 대퇴골 원위부의 관절외 복합골절 치료시 나사못 배열에 따른 생체역학적 안정성 분석)

  • Kwon, Gyeong-Je;Jo, Myoung-Lae;Oh, Jong-Keon;Lee, Sung-Jae
    • Journal of Biomedical Engineering Research
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    • v.31 no.3
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    • pp.199-209
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    • 2010
  • The locking compression plates-distal femur(LCP-DF) are being widely used for surgical management of the extra-articular complex fractures of the distal femur. They feature locking mechanism between the screws and the screw holes of the plate to provide stronger fixation force with less number of screws than conventional compression bone plate. However, their biomechanical efficacies are not fully understood, especially regarding the number of the screws inserted and their optimal configurations. In this study, we investigated effects of various screw configurations in the shaft and the condylar regions of the femur in relation to structural stability of LCP-DF system. For this purpose, a baseline 3-D finite element (FE) model of the femur was constructed from CT-scan images of a normal healthy male and was validated. The extra-articular complex fracture of the distal femur was made with a 4-cm defect. Surgical reduction with LCP-DF and bone screws were added laterally. To simulate various cases of post-op screw configurations, screws were inserted in the shaft (3~5 screws) and the condylar (4~6 screws) regions. Particular attention was paid at the shaft region where screws were inserted either in clustered or evenly-spaced fashion. Tied-contact conditions were assigned at the bone screws-plate whereas general contact condition was assumed at the interfaces between LCP-DF and bone screws. Axial compressive load of 1,610N(2.3 BW) was applied on the femoral head to reflect joint reaction force. An average of 5% increase in stiffness was found with increase in screw numbers (from 4 to 6) in the condylar region, as compared to negligible increase (less than 1%) at the shaft regardless of the number of screws inserted or its distribution, whether clustered or evenly-spaced. At the condylar region, screw insertion at the holes near the fracture interface and posterior locations contributed greater increase in stiffness (9~13%) than any other locations. Our results suggested that the screw insertion at the condylar region can be more effective than at the shaft during surgical treatment of fracture of the distal femur with LCP-DF. In addition, screw insertion at the holes close to the fracture interface should be accompanied to ensure better fracture healing.

Study on the Corelation between Iris Constitution and Primary Headache (원발성 두통과 홍채 체질과의 상관성 연구)

  • Lee, Seung-Hyun;Kim, Sung-Nam;Kim, Hong-Hoon;Kim, Dae-Joong;Gug, Yun-Jai;Cho, Nam-Geun;Kim, Sung-Chul;Hwang, Woo-Jun;Choi, Sung-Yong
    • Journal of Acupuncture Research
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    • v.22 no.6
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    • pp.155-164
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    • 2005
  • Objectives : The purpose of this study is to compare interrelations between primary headache (including migraine) and Iris Constitution through iris constitution examination. Methods : The subjects were 50 patients who admitted to Chonju Oriental Medicine Hospital attached to Wonkwang Univ. from February.1st.2004 to March.31th.2005. The subjects were constituted of primary headache(including migraine) patients who were examined by Iris Constitution analysis. Results & Conclusion : Among 50 cases of primary headache(including migraine) the distribution of Iris Constitution were as follows. 1. There were 14 cases of neurogenic type, 9 cases of abdominal connective tissue weakness type, 8 cases of cardio-renal connective tissue weakness type, 6 cases of neurogenic + abdominal connective tissue weakness type, 5 cases of neurogenic type+ cardio-renal connective tissue weakness type, 5 cases of abdominal connective tissue weakness type + cardio-renal connective tissue weakness type, 2 cases of hydrogenic type, 1 case of abdominal connective tissue weakness type + mesenchymal pathological connective tissue weakness constitution. 2. There were 25 cases of which included neurogenic constitution, 21 cases of which included abdominal connective tissue weakness constitution, 18 cases of which included cardio-renal connective tissue. Migraine have a meaningful interrelation with Iris constitution, especially with neurogenic type, abdominal connective tissue weakness type and cardio-renal connective tissue weakness type. 3. Interrelation between Region of migraine and Iris constitution is non-specific with the exception of interrelation between pain in all over head with neurogenic type. These results suggest that the further study in connection with these results should be followed. 4. The interrelation between the period of migraine and Iris constitution is not remarkable.

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Pattern on Ascaris lumbricoides Infection in a Rural Area of Keread (한국농촌(韓國農村)에 있어서의 회충감염상(蛔虫感染相))

  • Lee, Joon-Sang;Kim, Kwang-Rock;Ko, Dae-Kyoung;Sung, Dae-Rim;Lee, Ja-Young;Rim, Han-Jong
    • Journal of agricultural medicine and community health
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    • v.5 no.1
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    • pp.28-33
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    • 1980
  • This study was undertaken to evaluate the present status of A. lumbricoides infection in a rural area of Korea. The 307 residents of all age group in Gumsa Myun, Yeo Ju Gun were examined by Kato's cellophane thick smear technique. Pyrantel pamoste was administered to the Ascaris infection cases by a single dose of 5mg/kg of body weight. The whole amount of 24 hour stool during two or three consecutive days were collected sepatately. The expelled A. lumbricoides worms from the unfiltered stool remnants were collected. They were measured by the length and weight, and the sex of the worms were differentiated. The results are as follows: 1) The incidence of A. lumbricoids infection of the 307 specimens examined was 40.1%(male: 40.9%, female:39.0%). The difference according to guman sex distribution was not statistically significant. 2) Seventy two Ascaris infected cases expelled 163 worms of various size. The mean number of worms per infected case were calculated as 2.3. The sex ratio of examined female and male Ascaris was 1.5:1 3) Among the expelled 97 female worms, the genital girdle were found in 60 female worms(61.9%). Genital girdle of gemale worm was located from the head in the position of $38{\pm}4$ of total length 100. 4) The average body length of male Ascaris was $16.3{\pm}3.1cm$ and female Ascaris was $21.7{\pm}3.5cm$ 5) The relationship between the weight(Y) and the length(X) of individual Ascaris worm was plotted. Y(gm).0.32$\fallingdotseq$(cm)-3.1 in female and Y(gm)$\fallingdotseq$0.1X(cm)-0.1 in male.

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THE TREATMENT OF CONGENITAL LYMPHANGIOMA WITH OK-432$(Picibanil^{(R)})$ AND SURGICAL EXCISION (OK-432$(Picibanil^{(R)})$와 외과적 절제술을 이용한 선천성 림프관종의 치험례)

  • Kim, Il-Kyu;Lee, Seong-Ho;Oh, Seong-Sub;Choi, Jin-Ho;Oh, Nam-Sik;Kim, Wang-Sik;Rim, Young-Il;Yang, Dong-Whan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.3
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    • pp.281-288
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    • 2001
  • Lymphangiomas are relatively rare benign tumors of the lymphatic system, characterized by congenital lymphatic malformation such as anastomosis or obstuction of the lymphatic channels. There are most frequently diagnosed in children younger than 3years. In contrast to that of the hemangioma, the sex distribution of the lymphangioma is nearly evenly divided. The head and neck lymphangioma represents about $70{\sim}75%$ of all lymphangiomas, and they are difficult to manage. Spontaneous regression is rare, and rapid intermittent enlargement occurs secondary to infection or trauma. Enlargement may cause serious sequelae such as airway obstruction, feeding difficulties, and cosmetic problems. Treatments previously used for lymphangiomas include surgical excision and intralesional injection of sclerosants. Problems associated with surgical excision include the risk of cosmetically unacceptable scarring and the risk of damage to surrounding vital stricture and the high risk of incomplete excision. The sclerosants previously used have numerous other local and systemic side effects. This report describes a case that was successfully treated using OK-432 as a new sclerosant drug and secondary surgical excision for congential cavenous lymphangioma extensively enlarged to tongue, mouth floor and submandibular region.

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Study on the Determination of Nursing Hours by Self-Care Status of Patients (환자의 신체기능적 능력(Self-Care Status)별 소요되는 간호시간 결정에 관한 연구)

  • 박정숙;김주희
    • Journal of Korean Academy of Nursing
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    • v.12 no.2
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    • pp.57-66
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    • 1982
  • This study was undertaken to delineate the relationship between numerical score and the amount of nursing hours required in the nursing process. Score was a numerical description of the patients functional nursing needs. Therefore this study focused on standard nursing hours required by patient's self-care status. This study observed the 62 patients and 15 R.N. in H. university hospital from Aug. 7, 1982 to Aug. 13, 1982. 1. For the first time, each head nurse assessed self-care status by Schoening's self-care score-Minimal care patient (self-care score: 23, 24) was placed in Group Ⅰ, intermediate care patient (self-care score: 11∼22) was Group Ⅱ, and special care score: 0∼10) was Group Ⅲ. 2. We observed and recorded the nursing care received from nurses according to patient's group. (8AM∼4PM) 3. And, We observed and recorded the activities of nurses in order to determine standard nursing hours required. (8AM∼4PM) 4. If we apply the content of paragraph 3 to paragraph 2, we will predict the number of patient that nurse can care during day time by self-care status. The following results were obtained: 1) Patient's mean self-care score were Group I : 23.9 score Group Ⅱ:17.8 score Group Ⅲ : 1.6 score 2) Nursing hours required by patient's physical function(self-care status) status were Group I : 35 min. Group Ⅱ: 47.5 min. Group Ⅲ : 104.6 min. 3) Nurse's nursing time and distribution required in nursing activities during day duty were A.D.L. : 84.3min. (17.56%) Functional nursing activities : 279.9min. (58.31 %) Education & Emotional support : 11.3min. (2.35%) Task unrelated patients : 54min. (11.25%) Non Productive nursing care : 50. 5min. (10.52%) 4) Mean nursing hours required by each patient and the number of patient that nurse can rare during day duty by self-care status were Group I : 38.6min. 11.1 patients/1 nurse Group Ⅱ : 51.1min: 8.4 patients/1 nurse Group Ⅲ: 108.2min. 4 patients/1 nurse It seems reasonable that this could be done effectively as each-unit has an established standard for hours required, This not only allows time for planning of staff but helps to avoid the very human inclination to predict excessive staffing requirements by placing the majority of patients in high care group.

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A Study on Field Application of a Deformable Rod Sensor to Large Diameter Drilled Shafts (대구경 현장타설말뚝에 대한 변형봉 센서의 현장적용성에 관한 연구)

  • 정성기;김상일;정성교;최용규;이민희
    • Journal of the Korean Geotechnical Society
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    • v.19 no.6
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    • pp.15-22
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    • 2003
  • In the conventional load transfer analysis for a steel pipe drilled shaft, it was assumed that the concrete's strain is the same as the measured steel's strain and the elastic modulus of the steel and the concrete calculated by the formular as prescribed by specification is used in the calculation of pile axial load. But, the pile axial load calculation by conventional method differed to some extent from the actual pile load. So, the behavior of a steel pipe drilled shaft could not be analyzed exactly. Thus, the necessity to measure the strain for each pile component was proposed. In this study, a new approach for load transfer measurement of large diameter drilled shafts was suggested ; the strain of each pile component(i. e., steel and concrete) was measured by DRS(Deformable Rod Sensor), the elastic modulus was determined by the uniaxial compression test for concrete specimens made at test site and a value of elastic modulus was evaluated as average tangential modulus corresponding to the stress level of the (0.2-0.6)$f_{ck}$. Field application was confirmed by the results of load transfer measurement tests for 3 drilled shafts. The errors for calculated pile head load were -11 ∼16% and 3.4% separately.

A Study on the Injury Charateristics of Trauma Patients by Madical information -Focused on the Patients in a Regional Emergency Medical center in Gwangju

  • Jeun, Young-Ju
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.11
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    • pp.239-244
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    • 2020
  • The purpose of this study is to provide basic data for injury prevention measures through the risk factors of injury occurrence by comprehending injury characteristics of the trauma patients visiting a regional emergency medical center according to distribution based on external causes and injury severity score. This study was analyzed using SPSS-Window(ver. 20.1) for 2585 trauma patients who visited a regional emergency medical center and the research period is for four months from 1st of September, 2019 to 31th of December, 2019. The following were the results of the research. First, it is shown from the analyzed data that the proportion of males (61.3%) is greater than that of females (38.7%) and the group aged from 20 to 50 had a significantly higher occurrence rate of injury but in terms of injury severity, 50 takes up the great proportion(P<.001). Second, roads and traffic areas (35.1%) were the highest in the place of occurrence of injury(P<.001). Third, the time of injury occurrence was as high as 12-18 hours(35.8%)(P<.001). Fourth, the injury part was highest in the head and face (55.4%)(P<.001). Fifth, the type of injury was higher in open wounds (31.2%)(P<.001). Therefore, it is required to establish detailed injury prevention policies according to the characteristics of injury severity.

Comparison of Rice Quality According to Agroclimatic Regions in Gyeoungbuk Province (경북 농업기후 지대별 쌀 품질 비교)

  • Lee Sun Hyung;Won Jong Gun;Choi Jang Soo;Ahn Duok Jong;Choi Ky Yeon;Lee Woo Gyeong;Park So Deuk;Son Jae Keun
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.50 no.spc1
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    • pp.94-98
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    • 2005
  • This study was carried out to provide the geographic information based on the distribution of rice qualities and palatability in Gyeoungbuk province of Korea. The rice grain quality and environmental factors were analyzed using 513 sampling sites based on different five-agroclimtic regions of Gyeoungbuk province during three years from 2002 to 2004. In rice grain quality characteristics, the average palatability was low in South eastern coastal and Tabaek semi alpine regions as $67.6\~68.3$ and the coefficient of variation (CV) was relatively high as $6.2\~7.4\%$. The average head rice rates were low in South and Central eastern coastal regions as $87.3\~88.2\%$ and CV was high as $8.2\~8.3\%$. The average protein content was high in Central eastern coastal regions as $8.0\%$ and CV was high as $8.2\~8.3\%$. In case of palatability, the variation was differed clearly between high and low agroclimatic regions; it means that it is possible to divide the same agroclimatic region of high CV into two or three areas by CV of palatability. As the results of subdividing each existing agroclimatic regions based on the palatability, the variation of grain quality characteristics was become lower than that of existing five-agroclimatic regions. Therefore, the re-establishing of agroclimatic region based on rice grain quality was very important for precise cultivation for rice.

Influence of climate conditions on yield, chemical component, color difference and starch characteristics of colored rice cultivars

  • Shin, Jong Hee;Kim, Sang Kuk;Kim, Se Jong
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2017.06a
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    • pp.331-331
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    • 2017
  • This study was conducted to know the influence of air temperature and sunshine duration on yield, chemical component, pigment color difference and starch characteristics of two colored rice cultivars in the plain area of Yeongnam province in Korea. The $L^*$, $a^*$, and $b^*$ value of brown rice in Hongjinju and Josaengheugchal rice cultivars was significantly different at continuous cultivated years, 2015 and 2016. The $L^*$, $b^*$ value of two colored rice was significantly increased in 2016 compared to 2015. The $a^*$ value of Josengheugchal rice cultivar was also significantly higher at 2016 than at 2015. It can be noticed the $a^*$, $b^*$, $L^*$ values in Josaengheugchal varied more than those in Hongjinju. Air temperature during ripening period in 2016 was higher than 2015, especially minimum temperature was too high to proper maturation for rice quality. In Josaengheugchal rice cultivar, sunshine duration after heading was longer in 2016 than in 2015. On the contrary, Hongjinju rice cultivar was ripened under condition of insufficient sunshine duration in 2016. The short growing duration by high temperature and long shiny duration made the lack of pigment for Josaengheugchal brown rice. In Hongjinju rice cultivar, shorten sunshine duration and higher night temperature were the source of the pigment deficiency. The grain size of rice which produced in 2016 was bigger than that of 2015 in both rice cultivars. The 1,000 grain weight of rice from 2016 was also bigger than that of 2015. Head rice ratio was high in the rice cultivars produced in 2015. Protein of milled rice in 2016 was more decreased than that of 2015 in Josaengheugchal rice cultivar, it showed reverse result in Hongjinju rice cultivar. Amylose contents of milled rice in 2016 were more decreased than that of 2015 in Hongjinju rice cultivar. Branch chain length distribution of amylopectin was shown a distinct difference between Josaengheugchal and Hongjinju rice flours by each produced year. Josaengheugchal rice cultivar produced in 2015 had a higher amount of short chains than that of 2016 rice starches. In Josaengheugchal rice cultivar, the pasting temperature and peak, trough, breakdown, final viscosity increased in rice flour which produced at 2016, whereas the setback viscosity and peak time showed lower value than those of rice from 2015. The most pasting properties (except of setback viscosity) of rice starch in Hongjinju rice cultivar grown in 2015 were higher than those of rice cultivar produced in 2016.

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