• 제목/요약/키워드: days open

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침치료와 Open Wet Dressing Therapy로 완치된 3,4단계 욕창환자 9례에 대한 증례보고 (9 Cases of Pressure Ulcers Cured by Acupuncture Treatment and Open Wet Dressing Therapy)

  • 서정복;이태종;이지원;김경아;윤정제
    • 동의생리병리학회지
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    • 제34권5호
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    • pp.269-278
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    • 2020
  • The purpose of this study is to report the effect of the Korean acupuncture treatment and Open Wet Dressing Therapy(OPWT) for pressure ulcer. From November 2015 to January 2020, 9 patients with 3rd or 4th graded pressure ulcer over 70 years of age who were admitted to a care hospital with underlying diseases such as cerebral infarction, brain hemorrhage, and Parkinson's disease were treated by acupuncture and OPWT. Photographs of lesions were used to evaluate the changes in condition of pressure ulcer. Acupuncture was performed 4 times a week along the border between the normal epidermal region and the pressure ulcer granulation tissue in contact with the pressure ulcer interface. OPWT to create a wet environment for wounds by washing the wounds 1-2 times a day with normal saline solution and covering them with food wrap was combined. In addition, for objective treatment progress evaluation, size, stage and condition of pressure ulcer were regularly monitored using the classification method of The National Pressure Ulcer Advisory Panel (NPUAP) according to the condition and depth of the damaged tissue and The Pressure Ulcer Scale for Healing(PUSH tool 3.0). After acupuncture treatment and OPWT, the pressure ulcer of patients was cured in as short as 66 days and as long as 274 days (average 170 days). This study shows that acupuncture treatment and OPWT were effective to treat pressure ulcer.

Parturition and Morphological Development of Larvae and Juvenile in Hippocampus kuda from Korea

  • Lee, Gi-Seok;Lee, Sung-Hun;Lee, Jin;Park, Jea-Min;Han, Kyeong-Ho
    • 한국발생생물학회지:발생과생식
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    • 제22권4호
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    • pp.361-367
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    • 2018
  • The newborn, Hippocampus kuda larvae were 6.97-8.81, standard length (SL) mm (mean 7.89 mm) and mouth and anuse were open. Dorsal fin rays 15-18 and pectoral fin-rays were counted 8 and had 10-11+21 myotomes, body's bony plate ring being developed strongly in the central axis of myotomes part. 4 days after bearing, the SL was 7.02-9.47 mm (mean 8.24 mm) and nostrils began to open. 12 days after bearing, larvae attained to 8.91-11.2 SL mm (mean 10.0 mm). From this time, their unique predation habit appeared. 21 days bearing, larvae attained to 12.1-14.8 SL mm (mean 13.4 mm) the and thorn of back was enlarged among the plate formed around ring. 41 days bearing, seahorses attained to 17.1-17.8 SL mm (mean 17.4 mm) and the number of body's bony plate ring of the top of rings trunk was 11 and on the tail of them was 33-36, similar to figure of adult.

Open-top chamber 내(內)에서 오존에 폭로(暴露)시킨 1년생(年生) 느티나무(Zelkova serrata Makino) 묘목(苗木)의 생리적(生理的) 반응(反應)에 관(關)한 연구(硏究) (Physiological Responses of One-year-old Zelkova serrata Makino Seedlings to Ozone in Open-top Chamber)

  • 김현석;이경준
    • 한국산림과학회지
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    • 제84권4호
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    • pp.424-431
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    • 1995
  • 이 연구는 open-top chamber내에서 오존 가스에 폭로시킨 느티나무(Zelkova serrata Makino)의 저항성과 생리적 반응을 구명하기 위하여 수행되었다. 화분에 심어 4월에서 8월까지 온실에서 키운 1년생 느티나무 묘목을 야외에 설치한 두개의 open-top chamber(직경2m, 높이2m)에 70본씩 나누어 넣은 후, 한 chamber는 오존 가스 처리구로, 다른 chamber는 대조구로 실험에 이용하였다. 오존 가스 처리구에는 하루 5시간씩(10.00 AM-15.00 PM) 23일 간 0.1ppm 농도의 오존을 폭로하였으며, 대조구는 일반 대기에 노출시켰다. 오존 가스에 폭로 후 2일, 3일, 혹은 5일마다 각 chamber에서 10본씩의 묘목을 임의로 꺼내어 엽록소 a, b의 양, 총엽록소의 양, ${\beta}$-카로틴의 함량을 측정하였다. 광합성량은 가스교환 chamber 내에서 이산화탄소 흡수량으로 측정하였으며, 호흡량은 암흑에서 산소 흡수량으로 측정하였고, SOD(superoxide dismutase)는 xanthine oxidase방법으로 측정하였다. 오존 폭로 14일 후에 물에 젖은 듯한 반점의 가시적 피해가 나타나기 시작하였으며, 오존 가스는 성엽의 노화를 촉진시켰다. 오존에 폭로시킨 지 이틀 후에 엽록소 a, b의 양은 각각 17%, 31% 감소하였으며, 엽록소 b의 감소 속도가 엽록소 a의 감소 속도보다 빨랐다. ${\beta}$-카로틴은 오존에 폭로시킨 지 이틀 후에 25%가 감소하였으나, 시간이 지남에 따라 회복되는 것으로 나타났다. 광합성 능력은 오존 처리구에서 45% 감소하였고, 호흡량은 28% 증가하였다. SOD활성은 오존 폭로 4일 후부터 증가하여 7일 만에 대조구의 285%에 도달하였다가 이후 다시 감소하여 가시적 피해가 나타나는 시기부터 대조구보다 더 낮은 활성을 보였다. 느티나무 묘목은 오존에 의하여 비교적 민감하게 피해를 받으며, SOD 활성은 오존 폭로에 대하여 초기 방어기작으로 나타나는 생리적 지표라고 결론 짓는다.

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개심술후 급성 호흡부전에 관한 임상적 고찰 (A clinical study of acute respiratory failure following open heart surgery)

  • 이재성;김규태
    • Journal of Chest Surgery
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    • 제17권3호
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    • pp.409-417
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    • 1984
  • In the early days of open heart surgery, acute respiratory failure following extracorporeal circulation was a significant deterrent to an uncomplicated recovery. Although a marked improvement in prevention and treatment of postoperative respiratory failure has been achieved, the problem has not been completely eliminated and continues to be a causative factor in morbidity and mortality Fates following open heart surgery. We have attempted to evaluate postoperative respiratory failure in patients undergoing cardiac operation with the aid of extracorporeal circulation. Our series comprised 92 patients who underwent elective open heart surgery at the Department of Thoracic and Cariodvascular Surgery, School of Medicine, Kyungpook National University, from January, 1980 to December, 1982. In our study, the overall incidence of acute respiratory failure following open heart surgery was 18.8 percent. The duration of extracorporeal circulation in a series of 18 patients who developed postoperative respiratory failure [Group B] was longer in the mean value [120.3 minutes] than the uncomplicated 74 patients [Group A] [85.8 minutes]. The duration of artificial ventilation after open heart surgery in Group A averaged 13.4 hours as contrasted with 76.5 hours in Group B. In Group B, the inspired oxygen concentration [FiO2] in artificial ventilation was continued in the higher level than Group A until 18 hours after operation. Upon pulmonary function test performed pre-and postoperatively, residual volume[RV], RV/TLC and FEV 1.0/FVC were remained essentially unchanged following extracorporeal circulation, whereas forced vital capacity [FVC], FEV 1.0 and FEF 25-75% were significantly decreased in the early postoperative days. The incidence of acute respiratory failure was significantly higher in a series of patients who developed postoperative complications, such as re- exploration due to massive bleeding, low cardiac output, acute renal failure and arrhythmias. A total of 9 patients died, giving an overall mortality was 33.3 percent whereas the mortality was only 1.1 percent for patients without respiratory failure.

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Effects of Dried Days on Properties of Seawater and Freshwater Flooded CSPE in NPPs

  • Jeon, Hwang-Hyun;Lee, Jeong-U;Jeon, Jun-Soo;Lee, Seung-Hoon;Shin, Yong-Deok
    • Journal of Electrical Engineering and Technology
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    • 제10권3호
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    • pp.1162-1168
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    • 2015
  • Accelerated thermal aging of chlorosulfonated polyethylene (CSPE) was performed for 0 days, 80.82 days, and 161.63 days at 100℃, which is equivalent to 0 y, 40 y, and 80 y of aging, respectively, at 50℃. After freshwater flooding, the volume electrical resistivity of CSPE was highest after 180 days of drying, and its insulating property recovered when dried for more than 300 days. The dielectric constant of the CSPE was not measured after seawater flooding. The dielectric constant of the accelerated thermally aged CSPE was higher after freshwater flooding than that before seawater flooding. The bright, open pores of CSPE were converted into dark, closed pores after seawater flooding, and the dark, closed pores of the accelerated thermally aged CSPE samples were partly converted into bright, open pores after freshwater flooding. The apparent density of CSPE increased slightly whereas its elongation at break (EAB) decreased until 80 y of accelerated thermal aging before seawater flooding. The peak binding energies of oxygen in the non-accelerated and accelerated thermally aged CSPE for 40 y and 80 y were shifted by more than 1.0 eV after seawater and freshwater flooding. The CH2 content in the non-accelerated and accelerated thermally aged CSPE for 40 y and 80 y after seawater flooding for 5 days was lower than that before seawater flooding whereas atoms such as Cl, O, Pb, Al, Si, Sb, and S that are related to conducting ions such as Na+, Cl-, Mg2+, SO4 2-, and K+ were relatively increased.

선박용 크랭크스로우의 자유 단조 예비성형체 형상 (A Study on the Open Die Forging Preform Shape of Crank Throw for Large Ship Engines)

  • 김동영;김영득;김동권;김재철
    • 한국소성가공학회:학술대회논문집
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    • 한국소성가공학회 2003년도 춘계학술대회논문집
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    • pp.191-194
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    • 2003
  • A crank throw, which is one of the part of crankshaft for a large diesel engine, is manufactured by both closed die forging and open die forging. For the improvement of productivity the open die forging method is usually adopted to manufacture it these days. In case of the open die forging for the crank throw, a preform shape is very important because it seriously affects final dimensions of the product. The purpose of this study is to investigate affective factors of the preform to obtain a good shape of final product through simulation and the results are compared to downsized lead experiments.

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담수유입에 의한 폐쇄성 내만의 물질체류시간 수치예측 (A Numerical Prediction of Residence Time According to Freshwater Influx in Enclosed Bay)

  • 김진호;이인철
    • 해양환경안전학회지
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    • 제17권4호
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    • pp.339-343
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    • 2011
  • 본 연구에서는 EFDC모델과 입자추적모델을 이용하여 마산만의 담수유입에 의한 폐쇄성 내만의 물질체류시간을 산정하였다. 마산만의 해수유동을 재현하고 이를 바탕으로 평균체류시간을 계산하였다. 마산만의 조석에 의한 평균물질체류시간은 만 북측과 돝섬 부근까지가 약 110일이내, 모도 주변 해역이 약 40일, 부도에서 외해까지 약 20일 정도로 산정되었다. 담수유입에 따른 마산만의 4개 소해역별 평균물질체류시간은 I과 II영역에서 약 81일로 감소하였으나, 마산만의 외해측에 위치한 III과 IV영역은 각각 58일과 17일로 증가하였다.

Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time

  • Hamza Wani;Sadananda Meher;Uppalapati Srinivasulu;Laxmi Narayanan Mohanty;Madhusudan Modi;Mohammad Ibrarullah
    • 한국간담췌외과학회지
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    • 제27권3호
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    • pp.271-276
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    • 2023
  • Backgrounds/Aims: Laparoscopic cholecystectomy within one week of acute cholecystitis is considered safe and advantageous. Surgery beyond first week is reserved for non-resolving attack or complications. To compare clinical outcomes of patients undergoing laparoscopic cholecystectomy in the first week and between two to six weeks of an attack of acute cholecystitis. Methods: In an analysis of a prospectively maintained database, all patients who underwent laparoscopic cholecystectomy for acute cholecystitis were divided into two groups: group A, operated within one week; and group B, operated between two to six weeks of an attack. Main variables studied were mean operative time, conversion to open cholecystectomy, morbidity profile, and duration of hospital stay. Results: A total of 116 patients (74 in group A and 42 in group B) were included. Mean interval between onset of symptoms & surgery was five days (range, 1-7 days) in group A and 12 days (range, 8-20 days) in group B. Operative time and incidence of subtotal cholecystectomy were higher in group B (statistically not significant). Mean postoperative stay was 2 days in group A and 3 days in group B. Laparoscopy was converted to open cholecystectomy in two patients in each group. There was no incidence of biliary injury. One patient in group B died during the postoperative period due to continued sepsis and multiorgan failure. Conclusions: In tertiary care setting, with adequate surgical expertise, laparoscopic cholecystectomy can be safely performed in patients with acute cholecystitis irrespective of the time of presentation.

최소 절개 봉합술을 이용한 아킬레스건 파열의 치료 - 수술 방법 및 초기 결과 - (Limited Open Repair Technique of Achilles Tendon Ruptures - Operative Technique and Early Results -)

  • 이근배;박유복;김병수;최진;정성택
    • 대한족부족관절학회지
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    • 제10권1호
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    • pp.37-41
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    • 2006
  • Purpose: To investigate the early results of limited open repair technique of Achilles tendon ruptures, and to describe the surgical technique. Materials and Methods: From October 2004 to February 2005, a total of 10 patients with Achilles tendon rupture underwent limited open repair. The average age of the patients was 39.3 years, and the average follow-up period was 9 months. The causes of injury were sports injuries in 8 cases, and slip down in 2. The mean interval between the injury and the operation was 9 days. The clinical results were assessed by patient's satisfaction, incision length, hospitalization, the ankle-hindfoot scale of American Foot and Ankle Society (AOFAS), and complications. Results: Of 10 patients, 8 were very satisfied, and the remaining 2 were satisfied. The mean incision length was 2.0 cm, and the mean hospitalization was 2 days. The mean AOFAS score was 97 points, and there was no complications such as infection, rerupture, or nerve injury. All patients returned to work at approximately 2 months, and resumed light exercise such as jogging at approximately 3 months. Conclusion: Limited open repair technique of Achilles tendon ruptures is provided for better cosmetic results, high patient's satisfaction, and functionally successful results without postoperative complications.

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한국 남동지역 상류 하천에서의 낙엽 분해기작과 shredder 분포 유형 (Leaf Litter Processing and Patterns of Shredder Distribution in Headwater Steams in Southeastern Korea)

  • Kim Hyun-woo;Gea-Jae Joo;Jong-hoon Choi
    • The Korean Journal of Ecology
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    • 제19권6호
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    • pp.529-541
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    • 1996
  • During the period of December 1992 (winter-spring) and from February 1995 (winter-spring), the leaf processing rates of oak (Quercus serrata) and tulip (Liriodendron tulipifera) tree was investigated in the headwater streams in southeastern part of Korea in conjunction with the distribution pattern of macroinvertebrate fauna. Using two types of bags ($10\times30cm$ with 5 g of dry leaves; open bag with holes, closed bag without holes), decomposition rates of oak and tulip tree by shredder and/or microbiota at a reatively undisturbed 2nd-order stream were compared, Regardless of leaf type, leaves in the open bage decomposed slightly faster than those in the closed bags. In the 1992 experiment, osk leaves decomposed much slower than tulip leaves (after 138 degree days, osk : closed, 0.006% loss/day ; open, 0.008 ; tulip: closed, 0.021 ; open, 0.023; n=2). The of the first experiment using oak leaves in 1995 were similar to those of the first experiment (after 151 degree days, oak: closed, 0.005% loss / day; open, 0.006; n=6). Over 50% of invertebrates from 122 leaf pack samples collected from 12 streams during the winter period of 1994 were identified as shredders (shredder, 56.2; collector, 32.7; scraper, 8.65; predator, 2.45%). Among shredders, Gammarus sp. and Tipula sp. were dominant species in terms of number and biomass (8.2 ind./g, 1.0 ind./g AFDW of leaves). Among many physico-chemical parameters, the width of stream channel was found to be the most influential factor in the distribution of Gammarus and Tipula (Gammarus: r=-0.34, P<0.001;Tipula:r=0.40, P<0.001). Considering the fact that oak is one the dominant riparian vegetation in the southeastern part of korea, the patterns of oak processing and shredder distribution shown in theis study may well represent some of the important characteristics of headwater steams in southeastern Korea.

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