• 제목/요약/키워드: a serious case

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2009년 발생한 제천시의 토석류 피해분석에 관한 연구 (A Study on Analysis of Damages due to Debris Flow at Jecheon in 2009)

  • 유남재;최영준;이철주
    • 산업기술연구
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    • 제30권A호
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    • pp.95-101
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    • 2010
  • This paper is results of case study on characteristics of debris flow occurred at Jecheon during a heavy rainfall in 2009. The site studied is the mountain area located at Palsong-ri Bongyang-op in Jecheon-si where serious damages due to debris flow were occurred by heavy rainfall during July 7 to July 16 in 2009. Intensity and duration of rainfall causing debris flow were analyzed on the basis of AWS data. Characteristics of debris flow such as initiation, transportation and deposition were investigated through field reconnaissance. The geological and topographical characteristics of slope where debris flow was triggered were figured out and characteristics of erosion on the bottom and sides of valley during transportation of debris flow were also investigated. The slope and boundary of valley where the debris flow started to be deposited were studied.

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건이전술로 치료한 비부골 골절을 동반된 장 비골건 완전 파열 (증례 보고) (Total Rupture of Peroneus Longus Tendon Through an Os Peroneum Fracture Treated by Tendon Transfer (A Case Report))

  • 전준영;;김형년;박용욱
    • 대한족부족관절학회지
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    • 제17권4호
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    • pp.325-328
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    • 2013
  • Fracture of os peroneum can occur, but the fracture fragments are seldom displaced. Complete rupture of peroneus longus through the fracture of the os peroneum causing displacement of the fracture fragments is not well reported in the literature. Differential diagnosis with bipartite os peroneum or calcific tendinitis is important because misdiagnosis of the tendon rupture can lead to serious sequela including chronic pain, ankle instability, and peroneal compartment syndrome. We report a case of complete rupture of peroneus longus associated with fracture of the os peroneum with a review of the literature.

A Case of Bilateral Bronchial Foreign Body

  • Sungchul, Ko;Jaeha, Lee;Sothearith, Loek;Ki Nam, Park
    • 대한후두음성언어의학회지
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    • 제33권3호
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    • pp.179-182
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    • 2022
  • Foreign body (FB) aspiration remains a serious health problem, particularly in children. The complications due to occlusion by FB or related to procedures for removal can lead to morbidity and mortality. Most of the FBs are located in the unilateral bronchus, however, the organic FB can be multiple or bilaterally located when children chewed the FB. Here, we present a case of successful retrieval of bilateral bronchial FBs. Preoperatively, FB in the left main bronchus was diagnosed, however, FB of the right upper bronchus was not definitive on X-ray and CT scan. During the rigid bronchoscopy, occult FB in the right upper bronchus was detected and successfully removed.

Adrenal insufficiency development during chemotherapy plus anti-programmed death receptor-1 monoclonal antibody (tislelizumab) therapy in patients with advanced gastric cancer: two case reports

  • Baek, Jin Ho
    • Journal of Yeungnam Medical Science
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    • 제39권1호
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    • pp.62-66
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    • 2022
  • Immune checkpoint inhibitor (ICI)-associated adrenal insufficiency is rare but may become a serious adverse event in patients treated with ICIs. The present case report documents two cases of adrenal insufficiency developed during chemotherapy plus tislelizumab (百泽安, Baize'an; BeiGene Ltd.) therapy in patients with advanced gastric cancer. Adrenal insufficiency developed after 6 and 13 cycles of treatment and was well controlled with hydrocortisone. The patients also developed hypothyroidism, which was managed with levothyroxine. Two patients showed a partial response, and one patient out of two achieved a near-complete response, sustaining over 11 months. Increased awareness of ICI-related adrenal insufficiency is crucial for early detection and prompt management of patients treated with ICIs.

고의성 판단에 확증편향이 미치는 영향: 범죄의 전형성 및 심각성의 역할 (The Effect of confirmation bias on Intentionality Judgment: The Role of Crime Typicality and Seriousness)

  • 최승혁
    • 한국심리학회지 : 문화 및 사회문제
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    • 제26권3호
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    • pp.329-349
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    • 2020
  • 본 연구는 형사사법판단 분야에서 광범위하게 판단 오류를 발생시키는 확증편향이 고의성 판단에 어떠한 영향을 미치는지 확인하기 위해 수행되었다. 이를 위해, 사건 가해자 및 피해자의 도덕적 특성을 다르게 조합한 중상해 사건과 사망 사건에서 확증편향이 고의성 판단에 영향을 미치는 심리적 기제를 확인하였다. 연구 결과, 참가자들은 사건 가해자와 피해자 모두 나쁜 사람들이 연루된 사건을 더 전형적인 범죄사건이라고 지각했고, 이러한 전형적인 범죄사건의 가해자에게 더 높은 고의성을 부여하였다. 특히, 확증편향이 높은 사람들은 더욱 범죄사건에 대한 고정관념과 일관된 방향으로 사건 가해자의 고의성을 높게 판단하는 것으로 나타났다. 그런데, 심각한 범죄사건에서는 이러한 확증편향의 조절효과가 사라지고 범죄의 전형성 효과만 나타나는 경향이 있었다. 마지막으로, 본 연구의 의의와 함께 고의성 판단을 왜곡시키는 편향을 감소시킬 수 있는 방안에 대해 논의하였다.

결혼준비교육 프로그램의 분석 (An Analysis of the Premarital Preparation Education Program)

  • 문숙재;정영아;윤소영
    • 가족자원경영과 정책
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    • 제10권1호
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    • pp.33-51
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    • 2006
  • Today, the Korean society is experiencing an increase in serious problems, such as child abuse, unmarried mothers, single mothers, which cannot be overlooked as simply trivial family matters. The increase in these problems is caused by the rapid change that has taken place within our society, which has emasculated the power of our traditional values and behavior patterns to cope with contemporary life styles. Premarital Preparation Education is starting to gain attention as a preventive measure that can overcome this serious family crisis. Although the importance of the Premarital Preparation Education program cannot be overemphasized, there are only few cases where engaged couples and unmarried men and women are exposed to this type of program and actually experience its benefits. In other words, there is an urgent need to revitalize and increase the effects of the Premarital Preparation Education Program. This research was conducted in order to find a way to revitalize and to increase the effects of the program, so that more and more people can participate and receive benefits from it. First, we have analyzed the program's contents and the current condition on how the program is actually conducted. Then we have compared real case examples of the program and analyzed the current situation and its problems.

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Struvite 결정화 공정을 이용한 새우가공폐수처리 (Treatment of shrimp processing wastewater using struvite crystallization process)

  • 정병곤
    • 수산해양기술연구
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    • 제52권3호
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    • pp.271-275
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    • 2016
  • Recently, pollution problem in coastal water has become more serious and pollution including red tide serves as a main reason for reduction of fishes resources. Particularly, nutrients such as nitrogen and phosphorus are the most serious pollutants. Normally, biological wastewater treatment process is used in removing such nutrients. However, it is difficult to adopt the biological wastewater treatment process to a small-scale fish processing factory in case of using seawater as wash water. Thus, removing nutrients through struvite crystallization is investigated in this study for treating shrimp processing wastewater. Experiments were conducted by varying molar ratio of $Mg^{2+}:NH^4-N:PO^4-P$ from 1:1:1 to 2:1:1. It can be concluded that optimum molar ratio is 1:1:1. Struvite crystallization process is compared with chemical coagulation process using PAC and struvite crystallization process is proven as the more effective process in removing nutrients from wastewater. In view of results obtained from these experiments, struvite crystallization process is a promising method in removing nitrogen and phosphorus from wastewater; however, not so good in removing organics. Thus, struvite crystallization process is suitable as the pre-treatment process in treating shrimp processing wastewater and additional biological process is needed to remove organics.

기능성게임 제작을 통한 기획접근 프로세스 사례 (A Case Study of a Planning Process through Developing Serious Games)

  • 은광하
    • 한국콘텐츠학회논문지
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    • 제10권6호
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    • pp.197-204
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    • 2010
  • 본 논문은 기능성 소재 게임 제작을 통해서 기능성 게임 기획 접근에 대한 프로세스 사례를 연구한 기획 교육실습에 관한 내용이다. 주요 연구 내용은 순기능 소재의 게임 제작을 통해서 게임 직무의 중요한 부분 중에 하나인 기획에 대한 교육실습 과정을 '기능성 게임기획 프레임워크'로 구성하였으며 실제 기능성 게임 제작을 통해서 제안된 프레임워크의 내용을 검증해 보았다. 본 논문의 목적은 순기능이란 목적을 지닌 기능성 게임기획에 대한 접근 과정은 일반적인 접근 프로세스와 달리 단계별 정량적인 접근 기준이 필요하다는 전제 하에 기획 접근 프로세스를 단계별로 제시하는 것이다. 이는 향후, 기능성 게임 교육의 참고 자료로서 활용될 수 있다.

A Case Report of Prolonged Hemorrhage Following Traditional Phlebotomy (Fasd)

  • Sajjad Sadeghi
    • 대한약침학회지
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    • 제27권1호
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    • pp.47-52
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    • 2024
  • Phlebotomy, a therapeutic method of bloodletting typically performed using a needle, has a traditional technique known as "Fasd." In this method, blood is extracted by creating a longitudinal incision on a vein (3-5 mm) with a surgical scalpel blade, usually blade No. 11. Due to the incision in the vessel wall, establishing hemostasis is more challenging compared to conventional methods. Hemostasis is usually achieved within minutes after Fasd. We present a case highlighting an uncommon yet significant complication of traditional phlebotomy. A 55-year-old man with no prior medical conditions underwent traditional phlebotomy at an academic traditional medicine clinic. Senior MD-PhD students in Iranian Traditional Medicine, under professor supervision, performed Fasd. A sterile scalpel blade No. 11 was used to create a longitudinal incision of approximately 4 mm on the patient's median basilic vein in the right hand. After removing 400 cc of blood, a pressure dressing was applied to the incision site. Despite attempts such as hand elevation, ice pack application, prolonged direct pressure, and tight elastic bandaging, bleeding from the incision persisted. After an hour of supportive therapy, hemostasis was eventually achieved within a few minutes using burnt cotton dressing (a traditional method for blood hemostasis). Following intravenous hydration, the patient was discharged in stable condition and reported no issues during the one-month follow-up. The traditional phlebotomy (Fasd) carries the risk of serious complications, including uncontrolled and prolonged bleeding. Further research on the efficacy and safety of burnt cotton dressing for controlling hemostasis is recommended.

비만정도에 따른 우울 및 스트레스 - 정상체중, 비만, 고도비만 집단의 비교 - (Depression and Stress Related to Obesity among Normal, Obese, and Severe Obese Groups - Comparison among Normal, Obesity, and Severe Obesity Groups -)

  • 남수정;박종호
    • 한국생활과학회지
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    • 제21권6호
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    • pp.1199-1210
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    • 2012
  • This study investigated the influence of obesity on depression and stress by analyzing the results of the national survey on health and nutrition. Relationships between normal, obese, and severely obese groups were investigated. The results of the study are as follows. First, obesity caused by demographic variables showed a relationship to both gender and average monthly income. In the case of the seriously obese group, females had higher rates of depression than males, and the high obesity group had lower average monthly income than the normal and obese groups. Second, obesity caused by health-related variables found that high blood pressure, hyperlipidemia, and diabetes that was not angina-related displayed higher rates of depression in the serious obesity group than in the other groups. As for subjective evaluations of one's own health condition, the serious obesity group showed a high tendency to evaluate their own health conditions negatively. Third, the difference between depression and stress related to obesity level showed no difference between the normal weight group and the obesity group; however, the seriously obese group demonstrated relatively higher occurrences of depression and higher stress scores. Fourth, the result for depression and stress level caused by demographic variables, health-related variables, and obesity demonstrated a direct relationship to gender, subjective level of satisfaction with one's personal finances, average monthly income, subjective perception of one's own health and severely obesity status. More specifically, it was found that the ratio of depression and stress score was higher when the subject was female, among those whose subjective evaluation of their own finances and health condition was negative, and those who suffered from severe obesity.