• 대한관절경학회지
• /
• 제3권2호
• /
• pp.127-131
• /
• 1999

경골 과간 융기부의 견열 굴절은 비교적 드물지 않게 관찰되는 손상으로, 전위된 견열 골절편은 해부학적 정복과 견고한 고정을 필요로 한다. 그러나 관절경적 수술 방법을 포함한 대부분의 잘 알려진 수술 방법들은 비교적 복잡한 수술 기법과 정교한 수술 술기를 필요로 하며, 이에 따른 수술 시간의 지연과 수술 합병증으로 창상 감염, 조기 성장판 폐쇄 및 조기 관절 운동을 제한하는 고정력의 소실 등이 발생할 수 있다. 이에 저자들은 전외측 및 중앙부, 내측 mid-patella 입구를 사용한 관절경적 기법을 이용하여, 골편의 정복에 삽관 나사못을 사용함으로써, 비교적 짧은 수술 시간 안에 만족스런 정복과 고정을 얻을 수 있었으며, 술 후 조기에 능동적 관절 운동을 허용할 수 있었다. 또한 분쇄 골절의 경우 와셔를 사용함으로써 만족스런 고정을 얻을 수 있었다. 저자들의 방법은 수술 기법의 용이함과 금속 제거 시의 안전성, IV형 분쇄 골절에도 적용할 수 있는 점, 추가적인 피부 절개가 필요없다는 점, 성장기 소아에서 성장판의 손상 가능성을 줄일 수 있는 등의 장점이 있다고 사료된다.

• The Korean Journal of Physiology and Pharmacology
• /
• 제6권4호
• /
• pp.199-205
• /
• 2002

The role of peripheral vestibular receptors in acute hypotension was investigated in anesthetized rats. Acute hypotension was induced by either intravenous infusion of sodium nitroprusside (SNP) or by experimental hemorrhage, and electrical activity and expression of cFos-like immunoreactive (cFL) protein were measured in the medial vestibular nuclei (MVN). Blood pressure decreased proportionately to the does of intravenous SNP and to the volume of the hemorrhage. Blood pressure decreased 10, 30, 50% for the 5, 10, $15{\mu}g/kg$ SNP injection, respectively, and also decreased 30 and 50% after 1- and 2-ml blood loss, respectively, due to hemorrhage. In animals with intact labyrinths, acute hypotension induced by either intravenous infusion of SNP or hemorrhage produced different electrical activities with three different patterns in type I and II neurons of MVN. The responses of type I neurons showed excitatory in 2/3 of recorded neurons and inhibitory or no change in 1/3 of neurons, while the responses of type II neurons showed inhibitory in 2/3 of recorded neurons and excitatory or no change in 1/3 of neurons. In unilateral labyrinthectomized animals, 2/3 of type I neurons ipsilateral to the lesion showed an inhibitory response, and 2/3 of contralateral type I neurons showed an excitatory response after the induction of acute hypotension. The response patterns of type II neurons were opposite from those of the type I neurons. After 30% decrease in blood pressure, cFL protein expressed in the bilateral vestibular nuclei of control animals with intact labyrinths. Expression of cFL protein increased significantly proportionately to the reduction of blood pressure. The unilateral labyrinthectomized animals with acute hypotension produced expression of cFL neurons in contralateral vestibular nuclei to the lesion side, but not in ipsilateral vestibular nuclei. However, cFL protein was not expressed in bilateral vestibular nuclei after acute hypotension in bilateral labyrinthectomized animals. These results suggest that the peripheral vestibular receptors might play a significant role in controlling blood pressure following acute hypotension via activation of type I neurons and inhibition of type II neurons in the vestibular nuclei.

• 한국정보과학회논문지:시스템및이론
• /
• 제26권8호
• /
• pp.975-983
• /
• 1999

최근 네트워크의 속도가 빨라지고 멀티미디어 데이터를 다루기 위한 기술들이 개발됨에 따라 많은 멀티미디어 응용 프로그램들이 인터넷에 등장하고 있다. 그러나 이들 응용프로그램들은 수신자에게 전송되는 영상.음성의 품질이 낮기 때문에 기대만큼 빠르게 확산되지 못하고 있다. 영상.음성의 품질이 낮은 이유는 현재 인터넷이 실시간 응용프로그램이 요구하는 만큼 빠르고 신뢰성 있게 데이터를 전송할 수 없기 때문이다. 현재 인터넷의 내부구조를 바꾸지 않고 품질을 높이기 위해 많은 연구들이 진행되고 있는데 그 중 하나는 동적으로 변화하는 인터넷의 상태에 맞게 멀티캐스트 트래픽의 전송율을 조절하는 종단간의 흐름제어이다. 본 논문은 기존의 흐름제어 기법인 IVS와 RLM의 성능을 개선시키기 위한 두 가지 흐름제어 기법을 소개한다. IVS는 송신자가 주기적으로 측정된 네트워크 상태에 따라 전송율을 일정하게 조절한다. 송신자가 하나의 데이타 스트림을 생성하는 IVS와는 달리 RLM에서는 송신자가 계층적 코딩에 의하여 생성된 여러개의 데이타 스트림을 전송하고 각 수신자는 자신의 네트워크 상태에 맞게 데이타 스트림을 선택하는 기법이다. 그러나 IVS는 송신자가 전송율을 일정하게 증가시키고, RLM은 각자의 네트워크 상태를 고려하지 않고 임의의 시간에 하나 이상의 데이타 스트림을 받기 때문에 성능을 저하시킬 수 있다. 본 논문에서는 TCP-like IVS와 Adaptive RLM이라는 두 가지 새로운 기법을 소개한다. TCP-like IVS는 송신자가 전송율을 동적으로 결정하고, Adaptive RLM은 하나 이상의 데이타 스트림을 받기 위해 적당한 시간을 선택할 수 있다. 본 논문에서는 시뮬레이션을 통해 여러 가지 네트워크 구조에서 두 가지 방식이 기존의 방식에 비하여 더욱 높은 대역폭 이용율과 10~20% 정도 적은 패킷손실율을 이룬다는 것을 보여준다.Abstract Nowadays, many multimedia applications for the Internet are introduced as the network gets faster and many techniques manipulating multimedia data are developed. These multimedia applications, however, do not spread widely and are not fast as expected at their introduction time due to the poor quality of image and voice delivered at receivers. The poor quality is mainly attributed to that the current Internet can not carry data as fast and reliably as the real-time applications require. To improve the quality without modifying the internal structure of the current Internet, many researches are conducted. One of them is an end-to-end flow control of multicast traffic adapting the sending rate to the dynamically varying Internet state. This paper proposes two flow-control techniques which can improve the performance of the two conventional techniques; IVS and RLM. IVS statically adjusts the sending rate based on the network state periodically estimated. Differently from IVS in which a sender produces one single data stream, in RLM a sender transmits several data streams generated by the layered coding scheme and each receiver selects some data streams based on its own network state. The more data streams a receiver receives, the better quality of image or voice the receiver can produce. The two techniques, however, can degrade the performance since IVS increases its sending rate statically and RLM accepts one more data stream at arbitrary time regardless of the network state respectively. We introduce two new techniques called TCP-like IVS and Adaptive RLM; TCP-like IVS can determine the sending rate dynamically and Adaptive RLM can select the right time to add one more data stream. Our simulation experiments show that two techniques can achieve better utilization and less packet loss by 10-20% over various network topologies.

• 한국정보통신학회논문지
• /
• 제19권3호
• /
• pp.629-635
• /
• 2015

본 논문에서는 냉장컨테이너 내부에 부착되어 냉장컨테이너 내부 온도와 습도를 감지하고, 이를 433MHz RF통신을 이용하여 정보를 전송하는 냉장컨테이너 내부 상태 정보 수집 태그와 냉장컨테이너 외부에 부착되어 냉장컨테이너의 동작 상태 수집 및 GPS를 통해 실시간 위치를 확인하고 WCDMA/GSM 통신을 이용하여 정보를 서버로 전달하는 냉장컨테이너 상태 모니터링 장치로 구성된 IoT 기반 실시간 냉장컨테이너 상태 모니터링 시스템을 소개한다. 또한 소개한 모니터링 시스템을 국내에서 출발하여 싱가포르까지 운송되는 참외, 멜론을 가득 실은 냉장컨테이너에 적용하여 운송 중 실제 냉장컨테이너 내부의 온도, 습도가 어떻게 유지되고 있는지를 확인하였다. 확인 결과 냉장컨테이너 설정온도와 달리 냉장컨테이너 내부 위치에 따라 약 $1.7^{\circ}C$ 내외의 온도 차이가 발생하였으며, 습도는 위치에 관계없이 약 97%로 유지되는 것을 확인하였다. 본 논문에서 소개하는 모니터링 시스템을 신선농산물 유통에 적용하면 농산물 운송 중 신선 농산물의 부패가 언제 발생하는지 확인이 가능하여 이를 토대로 부패가 진행되는 환경을 개선한다면 손실률을 최소화 하면서 냉장컨테이너를 이용한 신선 농산물의 운송이 가능해 질 것으로 기대된다.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• 제32권4호
• /
• pp.324-331
• /
• 2010

The radial forearm free flap (RFFF) has become a workhorse flap as a means of reconstructing surgical defects in the head and neck region. We have transferred 12 RFFFs with fasciocutaneous type on oral cavity defects in 12 patients after cancer resection and submucous fibrotic lesion ablation from 2005 to 2007 at Department of oral and maxillofacial surgery, Pusan National University Hospital. We reviewed retrospectively patients' charts and followed up the patients. Clinical analysis on the cases with RFFFs focusing on flap morbidity, indications and available vessels was done. The results of study are follows: 1. RFFF could be applied for all kind of defects after resection of tongue, floor of mouth, buccal mucosa, denuded bone of palate, maxilla, and mandible. 2. All free flaps could be used for primary reconstruction. The survival rate of 12 RFFFs was 92%. Partial marginal loss of the flaps was shown as 3 cases among 12 cases. Large size-vessels like superior thyroid artery, facial artery, internal jugular vein were favorable for microvascular anastomosis. 3. Parenteral nutrition instead of nasal L-tube also can be favorable for postoperative a week for better healing of the flap if the patients couldn't be tolerable with nasal tubing. 4. Donor sites with thigh skin graft were repaired with wrist band for 2 weeks. The complications included scarring, abnormal sensation on hand, and reduced grip strength in few patients, but those didn't induce major side effects. 5. Most RFFFs were well healed even if mortality rate of cancer patients was shown as 50% (5/10 persons). The mortality of patients was not correlated with morbidity of the flaps. We could identify the usefulness of RFFF for restoration of oral function, esthetics if the flap design, tissue transfer indications, and well controlled operation are proceeded.

• 간호행정학회지
• /
• 제4권1호
• /
• pp.73-88
• /
• 1998

The management of nursing resource is very important. that is because nursing staff accounts for 30-40% of total staff in a hospital and nurses provide patoents with attentive service for hours daily. The continuous turnover of nursing staff. however, impedes the quality-oriented nursing care, which will consequently leads to the loss of human and material resource in competitive society. This study aimed to calculate nurse's activity and compare the activity amount based on career experience. Futhermore it aimed to find factors which would influence 'quality weighed direct nursing activity amount'. Questionnaires and check lists for this study were distributed to nurses in a suburban hospital outside of Seoul from October 20 to November 14. 1997. The nursing activities were calculated according to professionality. independency and working hour. And then it were accumulated by quality score. The collected data was analyzed by statistical methods as t-test, ANOVA, correlation, multiple regression. The results of this study were as follows ; Firstly, carrel' experience had no influence on the quality weighed nursing activity amount. But the quality level of service of skilled nurses was higher than that of new nurses. Secondly, career was a variable affecting the quality in nursing service. So career was positively related to the quality of nursing care. Patient's disease severity and number of patient were positively correlated with weighed nursing activity amount. But job satisfaction was negatively correlated v:ith the amount. Thirdly, the independent variables which had significant influence on the weighed nursing activity amount were disease severity and the number of patients, The severity score and number of patient were directly proportional to the weighed nursing activity amount. This results indicated· that weighed nursing activity amount was influenced by the number of patient and patient's disease severity. The quality score of nursing services for experienced members is higher than that of new staff. But both new and skilled staff showed no difference in the quality weighed nursing activity amount. Internal and. external environment influences nursing activities. The quality of nursing services is very important factor in nursing activity. Therefore nursing managers should make an effort to improve nursing care quality through continuous research. Also they should try to maintain experience nurses and assign nursing staff appropriately with patient's severity and other relevant factors being considered. The quality-improved nursing care in the hospital will strengthen hospital's competitiveness.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권18호
• /
• pp.8101-8105
• /
• 2016

Background: This study examined the psychometric properties of the Bahasa Malaysia (BM) version of the European Organization for Research and Treatment of Cancer (EORTC) Colorectal Cancer-specific Quality Of Life Questionnaire (QLQ-CR29). Materials and Methods: We studied 93 patients recruited from University Malaya and Universiti Kebangsaan Medical Centers, Kuala Lumpur, Malaysia using a self-administered method. Tools included QLQ-C30, QLQ-CR29 and Karnofsky Performance Scales (KPS). Statistical analyses included Cronbach's alpha, test-retest correlations, multi-traits scaling and known-groups comparisons. A p vaue ${\leq}0.05$ was considered significant. Results: The internal consistency coefficients for body image, urinary frequency, blood and mucus and stool frequency scales were acceptable (Cronbach's alpha ${\alpha}{\geq}0.65$). However, the coefficients were low for the blood and mucus and stool frequency scales in patients with a stoma bag (${\alpha}=0.46$). Test-retest correlation coefficients were moderate to high (range: r = 0.51 to 1.00) for most of the scales except anxiety, urinary frequency, buttock pain, hair loss, stoma care related problems, and dyspareunia (r ${\leq}0.49$). Convergent and discriminant validities were achieved in all scales. Patients with a stoma reported significantly higher symptoms of blood and mucus in the stool, flatulence, faecal incontinence, sore skin, and embarrassment due to the frequent need to change the stoma bag (p < 0.05) compared to patients without stoma. None of the scales distinguished between patients based on the KPS scores. There were no overlaps between scales in the QLQ-C30 and QLQ-CR29 (r < 0.40). Conclusions: the BM version of the QLQ-CR29 indicated acceptable psychometric properties in most of the scales similar to original validation study. This questionnaire could be used to complement the QLQ-C30 in assessing HRQOL among BM speaking population with colorectal cancer.

• 대한두개안면성형외과학회지
• /
• 제17권3호
• /
• pp.135-139
• /
• 2016

Background: The ultimate goal of craniofacial reconstructive surgery is to achieve the most complete restoration of facial functions. A bioabsorbable fixation system which does not need secondary operation for implant removal has been developed in the last decade. The purpose of this study is to share the experience of authors and to demonstrate the efficacy of bioabsorbable mesh in a variety of craniofacial trauma operations. Methods: Between October 2008 and February 2015, bioabsorbable meshes were used to reconstruct various types of craniofacial bone fractures in 611 patients. Any displaced bone fragments were detached from the fracture site and fixed to the mesh. The resulting bone-mesh complex was designed and molded into an appropriate shape by the immersion in warm saline. The mesh was molded once again under simultaneous warm saline irrigation and suction. Results: In all patients, contour deformities were restored completely, and bone segments were fixed properly. The authors found that the bioabsorbable mesh provided rigid fixation without any evidence of integrity loss on postoperative computed tomography scans. Conclusion: Because bioabsorbable meshes are more flexible than bioabsorbable plates, they can be molded and could easily reconstruct the facial bone in three dimensions. Additionally, it is easy to attach bone fragments to the mesh. Bioabsorbable mesh and screws is effective and can be easily applied for fixation in various craniofacial trauma reconstructive scenarios.

• The Plant Pathology Journal
• /
• 제36권4호
• /
• pp.305-313
• /
• 2020

Host shifting and host expansion of fungal plant pathogens increases the rate of emergence of new pathogens and the incidence of disease in various crops, which threaten global food security. Magnaporthe species cause serious disease in rice, namely rice blast disease, as well as in many alternative hosts, including wheat, barley, and millet. A severe outbreak of wheat blast due to Magnaporthe oryzae occurred recently in Bangladesh, after the fungus was introduced from South America, causing great loss of yield. This outbreak of wheat blast is of growing concern, because it might spread to adjacent wheat-producing areas. Therefore, it is important to understand the host range and population structure of M. oryzae and related species for determining the evolutionary relationships among Magnaporthe species and for managing blast disease in the field. Here, we collected isolates of M. oryzae and related species from various Poaceae species, including crops and weeds surrounding rice fields, in Korea and determined their phylogenetic relationships and host species specificity. Internal transcribed spacer-mediated phylogenetic analysis revealed that M. oryzae and related species are classified into four groups primarily including isolates from rice, crabgrass, millet and tall fescue. Based on pathogenicity assays, M. oryzae and related species can infect different Poaceae hosts and move among hosts, suggesting the potential for host shifting and host expansion in nature. These results provide important information on the diversification of M. oryzae and related species with a broad range of Poaceae as hosts in crop fields.

• 대한인간공학회지
• /
• 제36권3호
• /
• pp.169-181
• /
• 2017

Objective: The aim of this study was to explore the influence of outdoor weather conditions on subjective responses during physical activity. Background: The largest difference between indoor and outdoor conditions is the existence of the sun. The heat load from the sun has an influence on the heat gain of the human body and the intense degree of solar radiation affected thermal comfort. Method: Thirty eight people were exposed to a range of climatic conditions in the UK. Weather in England does not have extremely hot and cold temperature, and the current study was conducted under warm (summer and autumn) and cool (spring and summer) climates. Measurements of the climate included air temperature, radiant temperature (including solar load), humidity and wind around the subjects. Subjective responses were taken and physiological measurements included internal body temperature, heart rate and sweat loss. Results: This study was conducted under four kinds of environmental conditions and the environmental measurement was performed in September, December, March, and June. The values for sensation, comfort, preference, and pleasantness about four conditions were from 'neutral' to 'warm', from 'not uncomfortable' to 'slightly comfortable', from 'slightly cooler' to 'slightly warmer', and from 'neither pleasant nor unpleasant' and 'slightly unpleasant', respectively. All subjective responses showed differences depending on air temperature and wind speed, and had correlations with air temperature and wind speed (p<0.05). However, subjective responses showed no differences depending on the radiant temperature. The combined effects of environmental parameters were showed on some subjective responses. The combined effects of air temperature and radiant temperature on thermal sensation and pleasantness were significant. The combined effects of metabolic rate with air temperature, wind speed and solar radiation respectively have influences on some subjective responses. In the case of the relationships among subjective responses, thermal sensation had significant correlations with all subjective responses. The largest relationship was shown between preference and thermal sensation but acceptance showed the lowest relationship with the other subjective responses. Conclusion: The ranges of air temperature, radiant temperature, wind speed and solar radiation were $6.7^{\circ}C$ to $24.7^{\circ}C$, $17.9^{\circ}C$ to $56.6^{\circ}C$, $0.84ms^{-1}$ to $2.4ms^{-1}$, and $123Wm^{-2}$ to $876Wm^{-2}$ respectively. Each of air temperature and wind speed had significant relationships with subjective responses. The combined effects of environmental parameters on subjective responses were shown. Each radiant temperature and solar radiation did not show any relationships with subjective responses but the combinations of each radiant temperature and solar radiation with other environmental parameters had influences on subjective responses. The combinations of metabolic rate with air temperature, wind speed and solar radiation respectively have influences on subjective responses although metabolic rate alone hardly made influences on them. There were also significant relationships among subjective responses, and pleasantness generally showed relatively high relationships with comfort, preference, acceptance and satisfaction. Application: Subjective responses might be utilized to predict thermal stress of human and the application products reflecting human subjective responses might apply to the different fields such as fashion technology, wearable devices, and environmental design considering human's response etc.