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Assessment of the Clinical and the Radiological Prognostic Factors that Determine the Management of a Delayed, Traumatic, Intraparenchymal Hemorrhage (DTIPH) (지연성 외상성 뇌실질내 출혈 환자의 치료를 결정하는 임상적, 영상학적 예후인자에 대한 평가)

  • Ryu, Je Il;Kim, Choong Hyun;Kim, Jae Min;Cheong, Jin Hwan
    • Journal of Trauma and Injury
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    • v.28 no.4
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    • pp.223-231
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    • 2015
  • Purpose: Delayed, traumatic, intraparenchymal hemorrhage (DTIPH) is a well-known contributing factor to secondary brain damage that evokes severe brain edema and intracranial hypertension. Once it has occurred, it adversely affects the patient's outcome. The aim of this study was to evaluate the prognosis factors for DTIPH by comparing clinical, radiological and hematologic results between two groups of patients according to whether surgical treatment was given or not. Methods: The author investigated 26 patients who suffered DTIPH during the recent consecutive five-year period. The 26 patients were divided according to their having undergone either a decompressive craniectomy (n=20) or continuous conservative treatment (n=6). A retrospective investigation was done by reviewing their admission records and radiological findings. Results: This incidence of DTIPH was 6.6% among the total number of patients admitted with head injuries. The clinical outcome of DTIPH was favorable in 9 of the 26 patients (34.6%) whereas it was unfavorable in 17 patients (65.4%). The patients with coagulopathy had an unexceptionally high rate of mortality. Among the variables, whether the patient had undergone a decompressive craniectomy, the patient's preoperative clinical status, and the degree of midline shift had significant correlations with the ultimate outcome. Conclusion: In patients with DTIPH, proper evaluation of preoperative clinical grading and radiological findings can hamper deleterious secondary events because it can lead to a swift and proper decompressive craniectomy to reduce the intracranial pressure. Surgical decompression should be carefully selected, paying attention to the patient's accompanying injury and hematology results, especially thrombocytopenia, in order to improve the patient's neurologic outcomes.

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The real nature of the West Wind in Shelley's Ode to the West Wind (셸리의 Ode to the West Wind에 나타난 서풍의 실체)

  • Jeon, Woong-Ju
    • English Language & Literature Teaching
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    • no.5
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    • pp.259-272
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    • 1999
  • The real nature of the west wind in Shelley's Ode to the West Wind is the divine providence which influences all things in this world- that is, whether they are on land, in the sky, or in the sea. The divine providence is the manifestation of something beyond the present and tangibel object. In the first stanza, the real nature of the west wind in this poem is the wild wind, the breath of Autumn's being, the unseen presence, the azure sister of the Spring, a Destroyer, a Preserver, the winged seed, a creator, a philosopher, a poet, Shelley, and the wild spirit moving everywhere. In the second stanza, the real nature of the west wind in this poem is cloud, the angel of rain and lightning, fierce Maenad, the approaching storm, the congregated might, the black rain, the fire, hail, solid atmosphere, the tremendous power of revolutionary change, and the power that influences all things in the sky. In the third stanza, the real nature of the west wind in this poem is the voice that makes the oozy woods which wear the sapless foliage of the Atlantic, and the power makes the blue Mediterranean wake from his summer dream. the fit medium of expression which Shelley's soul was seeking for, Shelley's passion, Shelley's partner, Shelley's co-worker, and a strong presence which influences in the sea. In the fourth stanza, the real nature of the west wind in this poem is the mightest presence, the power, the strength, the free presence, the uncontrollable, the wanderer over heaven, a vision, the tameless, the swift, the proud and the God who can save Shelley form the heavy weight of hours and lift Shelley as a wave a leaf, a cloud. In the fifth stanza, the real nature of the west wind in this poem is the mighty harmony, the fierce Spirit, Shelley's spirit, the impetuous spirit, incanation of this verse, spark, the trumpet of a prophecy, the Providence which can make the Winter depart and call Spring, and the prophet. To conclude, the real nature of the west wind in this poem is Shelley's accumulated insight that he visulize his impulse of revolutionary thought.

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A research into Injuries to Taekwondo Trainees during Exercise - Focusing on South Chungcheong Province - (태권도 수련생들의 운동 상해에 관한 조사연구 -충청남도 태권도장을 중심으로-)

  • Kim, Hyeong-Chel;Kim, Young-Jin
    • Journal of Digital Convergence
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    • v.11 no.4
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    • pp.415-430
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    • 2013
  • In the present study, injuries in Taekwondo athletes during training and competitions was investigated via questionnaire. The purpose of this research lies in encouraging Taekwondo instructors and trainees to take precautions against injuries furnishing a variety of data obtained by analyzing the causes of injuries by region with ones undergoing a training. Understanding how frequently trainees get injured by region. we will be able to promote safety. which is such a meaningful move to improve training condition. The subjects of this study were 413 playes at the gym focusing on South Chungcheong province. Questionnaires for taekwondo players had the results as follows. The research reveals that physical injuries among Taekwondo athletes are caused by various reasons, regardless of sex and grade, and that the injures are repeatedly occurring, Therefore, in order t prevent and minimize the occurrence f injuries among Taekwondo athletes, not only the athletes but also trainers, business administrators, and educators need to pay careful attentions and take necessary measures accordingly. Also, pre-education on precaution against injuries must be put into practice thoroughly and an environment in which the inured could receive swift first aid treatment as well as follow-up measures shall be formed. this, in the end, is expected to contribute in improving not only the health of the athletes but also their performances in matches.

BAT AGN Spectroscopic Survey-III. An observed link between AGN Eddington ratio and narrow emission line ratios

  • Oh, Kyuseok;Schawinski, Kevin;Koss, Michael;Trakhtenbrot, Benny;Lamperti, Isabella;Ricci, Claudio;Mushotzky, Richard;Veilleux, Sylvain;Berney, Simon;Crenshaw, Daniel;Gehrels, Neil;Harrison, Fiona;Masetti, Nicola;Soto, Kurt;Stern, Daniel;Treister, Ezequiel;Ueda, Yoshihiro
    • The Bulletin of The Korean Astronomical Society
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    • v.41 no.2
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    • pp.34.1-34.1
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    • 2016
  • The ultra hard X-ray band (14-195 keV) provides an important and unbiased way to understand black hole growth and relationship to the host galaxy. The Burst Alert Telescope (BAT) instrument on the Swift satellite has surveyed sky to unprecedented sensitivity, improving the number of known hard X-ray sources by more than a factor of 20 to 836 nearby AGN. The BAT AGN Spectroscopic Survey (BASS) is a study for the first large (N>600) and complete sample of ultra hard X-ray selected AGN with optical spectroscopy. In this talk, I present the observed relationship between black hole mass, bolometric luminosity, and Eddington ratio with optical emission line ratios. We show that [NII]/Ha ratio exhibits a significant correlation with Eddington ratio. We propose that the [NII]/Ha ratio is a useful indicator of Eddington ratio with 0.6 dex of scatter, and that it can be used to measure Eddington ratio and thus black hole mass from the measured bolometric luminosity, even for high redshift obscured AGN.

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Convergence study on the intravenous access of paramedics in ambulances (구급차 내에서 수행한 구급대원의 정맥로 확보에 관한 융합연구)

  • Kim, Jin-Hyeon;Shim, Gyu-Sik
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.177-182
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    • 2017
  • The purpose of the study is to investigate the intravenous access of paramedics in ambulance. The study consisted of confidence change in pre and post intravenous access by driving condition and speed of the vehicle. The research subjects were 30 119 paramedics (20 level 1 emergency medical technicians, 10 nurses), and 6 ambulance driving conditions were established in order to measure the number of attempts at intravenous access. The data was collected for 9 days from May 18 through May 27, 2017. The results show no disparities in number of attempts in terms of stop conditions and flat section driving conditions(p=.161) although there were significant disparities in unpaved road(p=.003), speed bump(p=.005), curve(p=.022), and slope(p=.003) section driving conditions. Confidence appeared to significantly rise(p=.000) after the experiment. In conclusion, it is recommended that swift intravenous access inside an ambulance while driving is attempted when the vehicle has come to a stop or a flat section and paramedics should maintain their confidence in intravenous access through continued training.

A study on detection methodology of threat on cars from the viewpoint of IoT (IoT 관점에서의 차량 위협 탐지 방안)

  • Kwak, Byung Il;Han, Mi Ran;Kang, Ah Reum;Kim, Huy Kang
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.25 no.2
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    • pp.411-421
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    • 2015
  • These days, a conversion of the fast-advancing ICT (Information and Communications Technologies) and the IoT (Internet of Things) has been in progress. However, these conversion Technology could lead to many of the security threat existing in the ICT environment. The security threats of car in the IoT environment could cause the property damage and casualty. There are the inadequate preparations for the car security and the difficulty of detection for the security threats by itself. In this paper, we proposed the decision-making framework for the anomaly detection and found out what are the threats of car in the IoT environment. The discrimination of the factor, path and type of threats from the attack against the car should take priority over the self-inspection and the swift handling of the attack on control system.

How to deal with Fraud Cases in L/C-based Transactions in International trade business (국제무역거래(國際貿易去來)에서의 신용상거래(信用狀去來) 사기사건(詐欺事件)의 대처방안(對處方案))

  • Nam, Seon-Mo
    • Journal of Arbitration Studies
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    • v.18 no.2
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    • pp.173-199
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    • 2008
  • A letter of credit transaction of the preexistence have been raising one's head fraud charge problem as a result of abusing the principles of independence and abstraction. Every society has certain rules and conventions which it regards as important and most of people in any society. The paper document means a document in a traditional paper form. The eUCP credit must specify the formats in which electronic records are to be presented. In these present times, the issuance of documentary credit are performed by the SWIFT(Society for Worldwide Inter bank Financial Telecommunication) system. The eUCP have been written to allow for presentation completely electronically or for a mixture of paper documents and electronic presentation. Presentation is deemed not to have been made if the Beneficiary's notice is not received. An electronic record that cannot be authenticated is deemed not to have been presented. The e-UCP is the supplement of current existing UCP but is superior to UCP under some circumstances. The document shall include an electronic record. The place for presentation of electronic records means an electronic address. The current e-UCP is not clear on this matter. We have to note followings in case of presenting the documents electronically and applying the e-UCP. There are three principles in the letter of credit transaction, that is to say, independence and abstraction, document dealing, strict compliance. IN the electronic letter of credit, these principles are called as independence and abstraction, electronic document dealing, strict compliance.

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The Legal Problems and Policy Suggestions for Vitalizing Cyber Trade Transactions (사이버무역거래에 관한 법적 문제와 활성화방안)

  • 이신규
    • The Journal of Information Technology
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    • v.4 no.3
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    • pp.1-17
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    • 2001
  • This study is to examine some legal problems of cyber trade transactions and to suggest some policy implications to vitalize cyber trade by internet accomplishes electronic business from all process integration of production, marketing and customer service. However, there are some legal problems for the electronic commerce to be used in international trade activities such as trade contract transport documents and payment systems by internet. First international trade rules have to be legislated so that electronic documents has same legal function like traditional documents. Also electronic signature must has authenticity, integrity, non-repudiation, writing and confidentiality. Second, traditionally international payment systems such as letters of credits, remittance, documentary collections and open account have been operated as an important and popular method of payment. In the modern world of electronic commerce, information technology has made it possible to pay for the sale of goods and services over the internet. The payment methods such as Credit Card, Debit Card, Electronic Cash, Electronic Fund Transfers enable partly sellers, buyers and service providers to settle payment electronically through the internet. To settle the problems of payment systems, the security requirements for safe electronic Payments such as authenticity, integrity, non-repudiation have to be guaranteed. Also, electronic data interchange in transport documents has to be adopted and negotiability of electronic bills of lading has to be guaranteed. Electronic payment systems through SWIFT enable the sellers and the buyers to conduct and settle international business-to-business electronic commerce in case of solving the above problems and harmonizing the Bolero project.

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Characteristics of Attitudinal Bird Community in Mt. Seoraksan National Park (설악산국립공원지역에서 고도별 조류군집의 특성)

  • Rhim, Shin-Jae;Hur, Wee-Haeng;Lee, Woo-Shin
    • The Korean Journal of Ecology
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    • v.25 no.3 s.107
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    • pp.179-187
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    • 2002
  • This study was conducted to clarify the characteristics of attitudinal bird communities in Mt. Seoraksan National Park from May to Oct. 2004. Marsh tit Parus palustris, Arctic warbler Phylloscipus borealis, coal tit Parus ater and Eurasian nuthatch Sitta europaea evenly distributed in almost elevational ranges. Goshawk Accipiter gentilis, black grouse Tetrao tetrix, white-lumped swift Apus pacificus, Siberian rubythroat Luscinia calliope, red-flanked bluetail Tarsiger cyanurus, dusky warbler Phylloscopus fuscatus, yellow-browned warbler Phylloscopus inornatus, siskin Carduelis spinus and rook Corvus frugilegus were only observed in high altitude area. Distribution pattern of birds in Mt. Seoraksan National Park showed differences by elevation. There was difference in attitudinal distribution pattern of birds in Mt. Seoraksan National Park. It seems that habitat preference or selection is different in each species. Attitudinal habitat preference of each bird species need further studies.

Study on the Mechanism of Wasting-thirst in Viewpoint of 'Viscera and Bowels' and 'Three Yin and Three Yang' (장부(臟腑)와 삼음삼양(三陰三陽)으로 살펴본 소갈(消渴) 병기(病機) 연구)

  • Kim, Kyoung-Shin;Kim, Byoung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.3
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    • pp.265-272
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    • 2012
  • The applicability of Diabetes Mellitus(DM) in Oriental Medicine might be placed under the category in Wasting-thirst(消渴, WT). However, because of WT having so various concepts, classification, and names in Oriental Medicine, this resulted in confusion in applying WT treatment to DM. WT occurs mainly due to dryness-heat(燥熱) which by depleting 'Fluid and Humor'(津液) makes symptoms of thirst(口渴) swift digestion with rapid hungering(消穀善饑) frequent urination(小便頻數) according to the "Internal Classic"(內經). WT was also called Sodan(消癉), Bidan(脾癉), or Sojoong(消中) in the "Internal Classic", which was caused by not only the disorder of 'five viscera' (五臟), but also the failure of 'three yin and three yang'(三陰三陽). However, the doctors of those days had a tendency to manage WT (including DM) with herbal drugs of dryness-heat or with drugs that recover the pancreas and the kidney, that have a tendency to appreciate that WT is the disease of 'five viscera'(五臟). Accoding to the "Internal Classic"(內經) and "Jinguiyaolue"(金匱要略), WT was appreciated that WT is also due to the disorder of Meridian including 'three yin and three yang'(三陰三陽) theory. Disorder of 'yang brightness'(陽明) or 'reverting yin'(厥陰) would cause Wasting-thirst(消渴), so the 'three yin and three yang'(三陰三陽) theory should be considered in WT treatments. Furthermore, 'yang brightness'(陽明) and 'reverting yin'(厥陰) all belong to 'the door'(闔) in the bolt-door-pivot(關闔樞) theory, and the mean of 'the door'(闔) is the function of storage, so we could understood WT is the wasting disease due to the disorder of 'the door'(闔) system in Meridian. WT should also be understood by the point of the bolt-door-pivot(關闔樞) theory in addition to the 'three yin and three yang'(三陰三陽) theory.