Purpose: Nowadays, non-operative management increases in patients with blunt splenic injury due to development of diagnostic and interventional technique. The purpose of this study is to evaluate the management in patients with blunt splenic injury and effect of clinical state such as shock on the choice of management. Methods: From April 2007 to July 2013, we retrospectively reviewed the medical charts of fifty patients who had splenic injury after blunt trauma. The demographic characteristics, American Association for the Surgery of Trauma (AAST) grade of splenic injury, management method (emergency operation, angiographic embolization or observation) and clinical outcome were analyzed. Results: The mean age was $41.5{\pm}21.4$ years and male was 44(88%). Twenty patients(40%) were in shock condition initially and five patients(10%) underwent emergency operation due to hemodynamic instability. Emergency angiographic embolization was performed in 20 patients(40%) and 25 patients were managed conservatively. When patients were divided into shock group (SG) and non-shock group (NSG), Patients in SG had significantly higher serum lactate level and base deficit than NSG (lactate; $4.5{\pm}3.4$ mmol/L, base deficit; $5.8{\pm}4.4$ mmol/L vs $1.9{\pm}1.4$ mmol/L, $2.8{\pm}2.5$ mmol/L, p=0.007, p=0.013). There was no significant difference of AAST grade and contrast blush rate in abdomen CT between two groups. Among 45 patients with non-operative management, four patients(8.9%) got delayed angiographic embolization and 3 patient died from companied organ injury. Conclusion: Non-operative management can be acceptable management option in patients with splenic blunt trauma under intensive hemodynamic monitoring.
Proceedings of the Korean Society for Emotion and Sensibility Conference
/
2009.05a
/
pp.97-100
/
2009
The purpose of this study was to examine effects of treadmill running training on superoxide product of spontaneously hypertensive rats. 20 males aged five week old rats were used for the experiments. They were randomly selected into experimental group (10 rats) and control group (10 rats) after being housed in laboratory for two weeks. The rats of experimental group performed treadmill exercise from 15 minutes for the first time to 35 minutes for the last one in order to familiar with experimental protocol ($VO_{2}max\;65{\sim}70%$, 0.9km/h, 5 times/week, 35 minutes/session). They began to perform treadmill running at the age of eight weeks for eight weeks. Superoxide production and NADPH oxidase activities were measured on the aortal from end of experiment. All statistical analyses and description methods were computed by SPSS Version 10.0. Differences in the values between experimental group and control group were calculated using t-tests. The results of this study were: there wewe no significant differences in superoxide production, NADPH oxidase-drivened superoxide activity, NADPH oxidase activity between two groups (p>.05). Spontaneously hypertensive rats of experimental group were characterized by higher superoxide production and lower NADPH oxidase-drivened superoxide activity and NADPH oxidase activity in comparison with the control group. One possible explanation of this finding was that NADPH oxidase activity of experimental group was lower than the control group. It can be concluded that treadmill running for eight weeks was associated positively with superoxide product of spontaneously hypertensive rats.
Military personnel work in high stress situations and carry great responsibilites, leaving them little time to plan effectively for their retirement; typically, they tend to assume that their employer (the government) will do that planning for them. Focussing intensely on their jobs, retirement often finds them ill-prepared, and this in spite of the recent increase in discussion in society at large about retirement and how to deal with it. Government therefore needs to be more proactive in assisting these occupational groups in their exit from the workforce, especially because, as the baby-boomers age, the rate of retirements will increase dramatically. As well, whereas in the past, an average retirement extended for roughly a decade, today, a retirement could last as long as twenty-five to thirty years, with attendant cost pressures on retirement funds. This in turn will increase the burden on the rising generation, who will have to pay for those pensions. But while government has a role to play, retirees also have to be more active in planning for their retirement, and in particular, planning for second careers, rather than simple retirement. Government can assist here by developing programs to help military personel find a second career, thus reducing their reliance on pension funds, and reducing financial pressures too. As well, such planning would emphasize and enhance self-reliance, which can only be to the good of the larger society.
Objective: The present study was undertaken to determine an optimal balance between the amount of physically effective neutral detergent fiber (peNDF) to metabolizable glucose (MG) on rumen fermentation, blood metabolites and growth performance of 8 to 10-month-old heifers. Methods: A total of 15 healthy Holstein heifers weighing an average of 256 kg (8 month of age) were randomly assigned to three groups of five. Treatment diets consisted of the following three $peNDF_{8.0}/MG$ levels: 1.46 (Treatment A), 1.74 (Treatment B), and 2.08 (Treatment C). Results: The results showed that the ratio of $peNDF_{8.0}/MG$ affected rumen fermentation, blood metabolites and growth performance of heifers. The average daily gain of heifers tended to decrease as the ratio of $peNDF_{8.0}/MG$ increased (p = 0.07). The concentrations of blood urea nitrogen, triglyceride, and cholesterol increased significantly (p<0.05), while the high-density lipoprotein concentration decreased (p<0.05). After feeding 2 h and 4 h, insulin concentration in Treatment A was greater than Treatment C (p<0.05). Propionate concentration had decreasing trend (p = 0.07); acetate to propionate ratio and non-glucogenic to glucogenic volatile fatty acid (NGR) increased significantly (p<0.05). In addition, the digestibility of dry matter, crude protein, neutral detergent fiber, and acid detergent fiber decreased significantly (p<0.05). Conclusion: The present investigation indicated that dietary $peNDF_{8.0}/MG$ ratio can affect the growth and development, blood metabolites, rumen fermentation and apparent digestibility of heifers, and the optimal dietary $peNDF_{8.0}/MG$ ratio for 8 to 10-month-old heifers in the present study was 1.46.
The aim of this study is to provide fundamental data on the development of ready-to-wear clothing appropriate for the lower body types of male students who play sports in college. The study was conducted by means of targeting 151 male sports majors between $18{\sim}27$ years of age. Characteristics of the respondents were ascertained by means of questionnaires and an evaluation of a total of 36 lower body features. The results of the study are as follows. 1. A comparison of anthropometric measurements with the National Anthropometric Survey of Korea (1997) revealed that the main characteristics of the lower somatotypes of male sports college students are large circumferences and developed muscles of the lower body. 2. Sports were classified into the following five categories : soccer, bodybuilding, wrestling, judo, and taekwondo. In particular, bodybuilding students demonstrated a somatotype with an increased circumference, depth, and width of the thigh and lower body. 3. Somatotypes were classified into 3 types by means of a cluster analysis employing S factors. Type 1 somatotype exhibits a large circumference in the lower body. Type 2 is a lower somatotype of a middle size. Finally, Type 3 encompasses a smaller group in weight and circumference with a developed calf and ankle. 4. Each group was evaluated using a discriminatory analysis as a check to see if the groups had been discriminated with accuracy. The total accuracy rate was 96.0%.
This paper describes the radiation doses to human and non-human biota in the Republic of Korea, as a result of the Fukushima nuclear accident. By using the measured airborne activity and ground deposition, the effective and thyroid doses of five human age groups (infant, 5 years, 10 years, 15 years and adult) were estimated by the ECOSYS code, and the whole body absorbed dose rate of the eight Korean reference animals and plants (RAPs) was estimated by the K-BIOTA (the Korean computer code to assess the risk of radioactivity to wildlife). The first-year effective and thyroid human doses ranged from 5.7E-5 mSv in the infant group to 2.0E-4 mSv in the 5 years group, and from 5.0E-4 mSv in the infant group to 3.4E-3 mSv in the 5 years group, respectively. The life-time (70 years) effective and thyroid human doses ranged from 1.5E-4 mSv in the infant group to 3.0E-4 mSv in the 5 years group, and from 6.0E-4 mSv in the infant group to 3.5E-3 mSv in the 5 years group, respectively. The estimated maximum whole body absorbed dose rate to the Korean RAPs was 6.7E-7 mGy/d for a snake living in soil (terrestrial biota), and 2.0E-5 mGy/d for freshwater fish (aquatic biota), both of which were far less than the generic dose criteria to protect biota from ionizing radiation. Also, the screening level assessment for ERICA's (Environmental Risks from Ionizing Contaminants: Assessments and management) limiting organisms showed that the risk quotient (RQ) for the estimated maximum soil and water activity was significantly less than unity for both the terrestrial and freshwater organisms. Conclusively, the radiological risk of the radioactivity released into the environment by the Fukushima nuclear accident to the public and the non-human biota in the republic of Korea is considered negligible.
The purpose of this study was to investigate the shock attenuation mechanisms while varying the loads in a backpack during drop landing. Ten subjects (age: $22.8{\pm}3.6$, height: $173.5{\pm}4.3$, weight: $70.4{\pm}5.2$) performed drop landing under five varying loads (0, 5kg. 10kg. 20kg. 30kg). By employing two cameras (Sony VX2100) the following kinematic variables (phase time, joint rotational angle and velocity of ankle, knee and hip) were calculated by applying 2D motion analysis. Additional data, i.e. max vertical ground force (VGRF) and acceleration, was acquired by using two AMTI Force plates and a Noraxon Inline Accelerometer Sensor. Through analysing the power spectrum density (PSD), drop landing patterns were classified into four groups and each group was discovered to have a different shock attenuation mechanism. The first pattern that appeared at landing was that the right leg absorbed most of the shock attenuation. The second pattern to appear was that subject quickly transferred the load from the right leg to the left leg as quickly as possible. Thus, this illustrated that two shock attenuation mechanisms occurred during drop landing under varying load conditions.
The use of therapeutic ultrasound(US) in humans with malignant neoplasms has been contra-indicated in physical therapy practice. Some studies have shown the results after application of US inhibited of tumor growth but some studies have shown the results facilitated of tumor growth in mouse. The purpose of this study were to determine the effects of US on rectal sarcoma(CT-26) in mouse and to determine the histological change of tumor. Thirty-five female BALB/C mouse, age 6 to 8 weeks received subcutaneous injection of 0.1 105 tumor cells. When tumors grew to 5 mm in diameters, the mouse were randomly assigned to control group(n=7) and high powered continuous US group(n=7) and low powered continuous US group(n=7) and high powered pulsed US group(n=7) and low powered pulsed US group(n=7). The experimental group (four groups) received 10 treatments over a 10-day period of 3 MHz ultrasound. Tumor dimension were measured on days 1(start of treatment), 5(midtreatment), and 10(end of treatment, preexcision and postexcision). Tumors were weighed after excision and the mouse were observated histological change of tumor. All tumors grew larger over time. Mean tumor weights(in grams) and volumes(in cubic millimeters) were 2.063 g and $2729.313\;mm^3$ for the high powered continuous US group 1.881 g and $2428.002\;mm^3$ for the low powered continuous US group 1.730 g and $2381.002\;mm^3$ for the high powered pulsed US 1.673 g and $2289.562\;mm^3$ for the low powered pulsed US group 1.670 g and $2297.333\;mm^3$ for the control group. Ultrasound increased the weight and volume of subcutaneous tumor in mouse. We urge caution in the use of ultrasound in the areas of tumors.
To investigate the forest structure and to suggest the basic data of forest in the Baekcheon Valley, fifty plots were set up and surveyed According to the analysis of classification by TWINSPAN. the community was divided by five groups of Quercus mongolica-Pinus densiflora(I), P. densiflora-Q. mongolica(II), Acer pseudosieboldianum-Q. mongolica(III). Betula schmidtii-A. pseudosieboldianum(IV), and Cornus controversa community(V). The structure of communities was investigated using importance value by layers The survey results were summarized as follows: 1) the results of annual ring analysis revealed that the age of Pinus densiflora forest was about 50~75 years old and Q. mongolica forest was about 40 years. 2) number of the average species was 11 1$\pm$2.2 and number of average individual was 74.6$\pm$28 1 per a plot(100$m^2$). From the above results including DBH distribution analysis it was anticipated that the deciduous broad leaf tree like C. controversa and B. schmidtii will be climax species instead of Q. mongolica. and P. densiflora.
To investigate the forest structure and to suggest the basic data of forest in the Cheongoksan and near the ridge area, the Baekdudaegan, thirty-five plots were set up and surveyed. According to the analysis of classification by TWINSPAN, the community was divined by four groups of Quercus mongolica-Fraxinus rhynchophylla(I). Q. mongolica-Acer pseudosieboldianum(II). Q. mongolica-Tripterygium regelii(III), and Q. mongolica-Rhododendron schlippenbachii community(IV). The structure of communities were investigated using importance value by layer. The survey results were summarized as follows:1) the results of annual ring analysis revealed that the age of forest in the Cheongoksan was about 30~150 years old, 2) number of the average species was 6.5$\pm$1.8 and number of average individuals was 68.3$\pm$39.9 per a plot(100$m^2$). From the above results, it was anticipated that Q. mongolica stand will be old-growth forest because they do not have competitor species and a specific ridge environment.
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