• 제목/요약/키워드: free-living

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A case of disseminated strongyloidiasis diagnosed by worms in the urinary sediment

  • Young-Ha Lee
    • Parasites, Hosts and Diseases
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    • 제62권2호
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    • pp.238-242
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    • 2024
  • Strongyloidiasis is a chronic infection caused by the intestinal nematode parasite Strongyloides stercoralis and is characterized by a diverse spectrum of nonspecific clinical manifestations. This report describe a case of disseminated strongyloidiasis with urination difficulty, generalized weakness, and chronic alcoholism diagnosed through the presence of worms in the urinary sediment. A 53-year-old man was hospitalized for severe abdominal distension and urinary difficulties that started 7-10 days prior. The patient also presented with generalized weakness that had persisted for 3 years, passed loose stools without diarrhea, and complained of dyspnea. In the emergency room, approximately 7 L of urine was collected, in which several free-living female adult and rhabditiform larvae of S. stercoralis, identified through their morphological characteristics and size measurements, were detected via microscopic examination. Rhabditiform larvae of S. stercoralis were also found in the patient's stool. During hospitalization, the patient received treatment for strongyloidiasis, chronic alcoholism, peripheral neurosis, neurogenic bladder, and megaloblastic anemia, and was subsequently discharged with improved generalized conditions. Overall, this report presents a rare case of disseminated strongyloidiasis in which worms were detected in the urinary sediment of a patient with urination difficulties and generalized weakness combined with chronic alcoholism, neurogenic bladder, and megaloblastic anemia.

Updated Surgical Techniques and Expanded Indications of Free Vascularized Fibular Graft

  • Park, Jong Woong
    • Archives of Reconstructive Microsurgery
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    • 제24권2호
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    • pp.41-49
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    • 2015
  • Free or pedicled vascularized fibular grafts (VFG) are useful for the reconstruction of large skeletal defects, particularly in cases of scarred or avascular beds, or in patients with combined bone and soft tissue defects. Compared to non-VFG, VEG, which contains living osteocytes and osteoblasts, maintains its own viability and serves as good osteoconductive and osteoinductive graft. Due to its many structural and biological advantages, the free fibular osteo- or osteocutaneous graft is considered the most suitable autograft for the reconstruction of long bone defects in the injured extremity. The traditional indication of VFG is the long bone and soft tissue defect, which cannot be reconstructed using a conventional operative method. Recently, the indications have been widely expanded not only for defects of midtibia, humerus, forearm, distal femur, and proximal tibia, but also for the arthrodesis of shoulder and knee joints. Because of its potential to allow further bone growth, free fibular epiphyseal transfer can be used for the hip or for distal radius defects caused by the radical resection of a tumor. The basic anatomy and surgical techniques for harvesting the VFG are well known; however, the condition of the recipient site is different in each case. Therefore, careful preoperative surgical planning should be customized in every patient. In this review, recently expanded surgical indications of VFG and surgical tips based on the author's experiences in the issues of fixation method, one or two staged reconstruction, size mismatching, overcoming the stress fracture, and arthrodesis of shoulder and knee joint using VFG are discussed with the review of literature.

생태계를 이용한 자원절약형 단지계획기법 개발에 관한 연구 - 주거단지를 중심으로- (A Study on development of Resourse - saving site Planning techniques based on utilization of Ecosystem - Focused on Housing site -)

  • 이영무
    • 한국조경학회지
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    • 제18권2호
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    • pp.111-125
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    • 1990
  • Korea is a nation with poor natural resources. There is a greats need to save resources that are running out in fast face. The purpose of this thesis is to bind the means to save rosources in housing site, especially in highrise apartment. The reason why the high-rise apartments are chosen as a case is 7hat the high-rise is becoming the major form of dwelling in most urban areas. As a tool of saving the ecological way is chosen because ecological energy is free, clean and unlimited. The resources to be saved are divided into two categories, namely energy and non - energy resources as water, land and food. The contents of the thesis are comprised of 4 chapters. The early chaspters are devoted to the understanding of the ecosystem and problems of current energy consumption in the apartment. It is fellowed by the introduction of the hypothesis that can possibly save reouruces. The hypothesis are then transformed into the actual theories through verification, to be established as the new techniques of the site planning. The ecosystem is the functional relationship between the living organisms and their physical surroundings. The living organisms are the plants that produce, animals that consume and bacterias that decompose. They live in the environment which consists of the three worlds of atmosphere, hydrosphere and lithosphere. The whole system is activated by the solar energy that turns the inorganic mallet- into the living organism and back to the inorganic. It is the recycling principle of the ecosystem. The elements of ecosystem that fan be unilimited as the tools of resources -saving are the sun, wind, water, soil, plant and waste. They are unlimited sources of energy. free of pollution and cheap in price. Each of these ecological elements Provide the opportunities that can save the heating fuel, air conditioning energy, water resource, land and food. The ecological approch should be pursued actively in this age of short resources and growing pollution. In the scale of total energy consumption the housing takes the second position next to the industrial use. It is followed by the transportation which shows for less consumption than former two.

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해방이전의 수산금융에 관한 연구 (A Study on the Fisheries financing before the Liberation of Korea)

  • 김경호
    • 수산경영론집
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    • 제15권2호
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    • pp.1-23
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    • 1984
  • In fisheries financing before the liberation of Korea, the accommodation of funds through modern monetary facilities was hardly benefited to most of small-scale Korean fishermen except Japanese fishermen living in Korea and some large-scale Korean fishermen. In fact, since Korean economy was only in the beginning stage of capitalism free from natural economy in the end of Yi Dynasty, it was natural that the supply of funds should be lacked. But after the opening of ports in Korea, the external shapes in Korean society were slowly changed according as heteronomous modernization was pushed forward by means of western capitalism and the intentional invasion of Japanese was gradually weighed. Thus all kinds of fishing equipments and technique were developed by dint of modernization, and modern monetary facilities also came into being. But most of Korean fishermen were hardly benefited by modern monetary facilities. Fishermen who were faced with destitution of funds were forced to rely upon high interest loans in order to make a living or maintain fisheries, and they were severely exploited by usurers. The situation was the same in the period of Japanese imperialism. Japanese felt the necessity of advancement of Korean fisheries and established fisheries institution suitable for all kinds of colonial fisheries policy toward Korea so that they could build up the foundation according to the development of capitalism and carry out the Russo-Japanese War and the Sino-Japanese War. There were a series of bottlenecks in financing on account of the deficiency of fisheries institution in the beginning of Japanese imperialism, but the financial pressure was lightened because the arrangement of institution greatly contributed to the smoothness of fisheries financing in the latter part of it. Despite such improvement of financing, the benefit of funds could not equally reach to all the fishermen. It only reached to Japanese fishermen living in Korea and some large scale Korean fishermen. Thus most of korean fishermen could not free themselves from destitution of financing and the pressure of high interest loans. This phenomenon took place because Korean fisheries had the antinomic characteristics that financial restriction was excessive owing to the industrial speciality of fisheries, on the other hand there was a large financial demand in fisheries in the character of industry.

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일상생활활동 훈련이 뇌졸중 환자의 시지각 기능에 미치는 효과 (The Effect of Activities of Daily Living(ADL) Training on the Visual Perception Capacity Performance Function of the Stroke)

  • 김지원;김미영;황보선;장철
    • 대한통합의학회지
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    • 제2권1호
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    • pp.1-14
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    • 2014
  • Purpose : The aim of this study was to investigate Activities of Daily Living(ADL) function recovery of repeated measurement of stroke who received ADL training. Method : Twenty stroke patients were treated by ADL program therapy from May to June. All of in twenty stroke patients, 10 stroke patients take part in Occupational Therapy and 10 stroke patients take part in ADL training for 30 min five times a week during four weeks in M- hospital occupational Therapy treatment room, local in Changwon and Geoje. We used two assessment on is Motor Free Visual Perception Test-Third Edition(MVPT-3) for visual perception the other is Modified Barthel Index(MBI) for ADL. Result : First, Visual Short Term Memory(VSTM) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). Second, Visaul Closure(VC) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). Third, Spatial Orientation(SO) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). The fourth Motor Free Visual Perception Test-Third Edition(MVPT-3) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). The fifth Modified Barthel Index(MBI total) score was changed statistical significance OT intervention group than compare with ADL training group(p<.05). Conclusion : Therefore, ADL training can be on method the visual perception of stroke patients.

노인주거시설 외부공간의 이용행태 및 요구도 평가 (An Evaluation of Outdoor Living Environments for the Elderly: User Behavior and Demand)

  • 이시영
    • 한국조경학회지
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    • 제35권3호
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    • pp.1-12
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    • 2007
  • This study aims to examine the existing conditions of elderly housing facilities and to understand the characteristics and types of outdoor living environments utilized by the elderly. To achieve this, this study relied on two methods: a descriptive method of researching publications and related scholastic writings, and an empirical study that included a survey of present conditions and interviews with the elderly and their nursing care providers. Additionally, evaluation of usage patterns and physical traces were carried out in twelve cases. First, the study showed that all of the facilities, which are fixed in particular areas, had difficulty providing spatial diversity that met the needs of residences. This means that these areas lack flexibility. Activity programs were, however, carried out in a lively manner in well-equipped spaces. Second, an evaluation of outdoor living environments showed that basic facilities were more than adequate, in general. Consideration of resident's physical strength and taste, however, was evaluated as low, indicating that facilities and spaces should be considered to reflect the ages, physical capacity, diverse tastes and hobbies of the elderly, as well. Third, examining the usage patterns of outdoor living activities of residents, the purposes of using outdoor spaces of elderly housing facilities were mainly 'to take a walk' and 'to engage in simple physical exercise' and the walkway, simple sports facilities, and building entrances were highly utilized. The importance of outdoor living environments values was a mean of 4.07 and satisfaction was 4.17. This indicates that residents thought that outdoor living environments are very important and currently satisfied with them.

IPA 분석기법을 통한 공동주택의 무장애공간 인증기준 적합성 분석연구 (A Study on the Barrier-Free Space through IPA Method for the Elderly in Multi-family Housing)

  • 김주환;김원필
    • 한국융합학회논문지
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    • 제11권1호
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    • pp.187-194
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    • 2020
  • 노인이 되면 시지각 인지장애 및 치매까지도 수반하게 되어 지지적 공간이 뒷받침되지 않으면 안전 및 생명에의 위험을 초래하게 된다. 이러한 공간지지는 연령이나 성별, 신체·정신적 한계를 포용하여 안전하고 편리하게 이용할 수 있는 유니버설 디자인개념에 기초하고 있다. 본 논문의 목적은 IPA기법을 이용하여 공동주택 거주 노인계층을 대상으로 현행 무장애 공간을 위한 편의시설 설치기준 적합성을 검증하는데 있다. 교차분석결과, 고령화가 진행될수록, 남성보다는 여성그룹의 무장애 공간 만족도가 저하되는 것으로 나타났다. 다중회귀분석은 만족도에 가장 영향을 미치는 인자는 위생시설의 일부인 세면대 항목으로 나타났으며 중요도 또한 계단 및 승강기가 가장 중요한 변수로 제시되었다. IPA 분석결과, 14가지 인증항목 중 가장 시급하게 개선되어야 할 BF인증지표는 세면대, 욕실, 샤워실 경보 및 피난시설로 도출되어 위생시설에 대한 보다 면밀한 시설계획이 필요함을 시사한다.

농촌주부의 생활개선 교육 요구분석 II - 생활개선 교육의 내용과 관련 변인 분석 - (A Need Assessment of Home Improvement Education for Rural Women - Rural women's needs for educational contents and enviornmental variables -)

  • 나순애;이승교
    • 한국농촌생활과학회지
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    • 제4권2호
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    • pp.127-137
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    • 1993
  • This survey was carried out in order to find out the education needs of rural women in home improvement. The data were collected from 500 samples who were conjugal women under 65 years old by adminitrating the researcher developed questionaire through interview method. This interview was intensively focused in education fee, free or charged. The major findings of the survey were summerized as follows ; 1) In the educational fee is free, $\ulcorner$fatigue recovery$\lrcorner$ is demanded highest(61.7%) and $\ulcorner$wrighting art$\lrcorner$ is lowest among 30 items. The needs of education are devided 7 fields of the home improvement $\ulcorner$dietary life$\lrcorner$ is the highest demand fields among them. 2) If educational fee is charged, the item of $\ulcorner$technique for side job$\lrcorner$ was highest(42.2%) but $\ulcorner$selecting clothes$\lrcorner$ was lowest, And the field of $\ulcorner$home management$\lrcorner$ was highest demands. 3) On the overall needs of education, charged and free, they want the item of $\ulcorner$family nutrition management$\lrcorner$ and the field of $\ulcorner$dietary life$\lrcorner$ was selected highest. 4) In the relationship between needs of education items and individual/household variables, i.e. age, degree of education, life philosophy, hobby, social activity, experience of home improvement education, and transportation convenience, had significant relationship at 5% level. And the relationship of $\ulcorner$dietary life$\lrcorner$ and $\ulcorner$home management$\lrcorner$ fields are higher significant with individual/household variables.

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장애물 없는 생활환경 인증기준을 적용한 도시공원 개선계획 - 보라매공원을 대상으로 - (A Study of Improvement Plans for Urban Parks through the Application of Barrier-free Living Environment Certification Standards - A Focus on Boramae Park-)

  • 서은실;구본학
    • 한국조경학회지
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    • 제43권5호
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    • pp.100-110
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    • 2015
  • 고령화 및 다문화, 사회적약자의 외부활동이 증가됨에 따라 장애물 없는 생활환경의 구축이 요구되고 있어 공원에서도 이들의 편리한 이용을 위한 시설개선이 요구되고 있다. 이에 '장애물 없는 생활환경 인증제도'에 따른 기존공원의 BF인증 가능성을 분석하고, BF인증평가기준을 적용한 공원 계획을 수립하였다. 공원 오는 길 및 공원 내 주요 시설지를 연결하는 무장애 동선을 확보하고, 주요 시설이용에 불편함이 없도록 공원시설을 개선하며, 장애인 등의 이용이 편리하도록 안내체계를 개선하여 보라매공원을 무장애 공원으로 조성하고자 하였다. 본 연구는 기존 도시공원의 BF인증 가능성 여부를 진단해 보고, 누구나 이용하기 편리한 무장애공원 계획을 수립했다는데 의의가 있다. 연구를 진행하면서 BF인증제도의 한계점과 과제도 발견할 수 있었는데, 첫째는 BF인증제도에 대한 이해와 인식부족이다. 공원의 계획, 설계단계에서부터 장애물 없는 생활환경 조성을 위한 고려가 필요하나 설계 및 공사완료시점에 인증에 대한 검토를 함으로써 시간적, 경제적 손실이 큰 실정이다. 둘째는 공원의 BF인증 평가항목이 지형의 기복 및 기존 수목 등의 자연적 제약조건이 큰 외부공간의 특성이 반영되지 못한 세부평가항목을 적용하고 있다는 점이다. 셋째는 공원의 입지적 여건을 고려한 무장애 공원의 가이드라인 수립 및 공원의 BF인증 평가항목 등의 개선이 필요하다는 것이다.

미생물의 세포생리에 미치는 전이방사선의 영향에 관한 연구(제 3보) - 효모균의 단백질함량 및 Free Amino acid Pool 에 대한 $\gamma$-ray 의 영향 (Studies on the Cellular Metabolism in Microorganisms as Influenced by Gamma-irradiation.(III) On the Changes of Protein content and Free Amino acid Pool in Yeast cells irradiated by $\gamma$-ray.)

  • 김종협
    • 미생물학회지
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    • 제5권2호
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    • pp.79-85
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    • 1967
  • Kim, Jong Hyup., (Div. of Biology, Atomic Energy Research Institute,Korea.;) Studies on the Cellulor Metabolism in Microorganisms as influenced by Gamma-irradiation(III): On the Changes of Free Amino acid Pool and content of Protein in Yeast clls irradiated by .gamma.-ray. 1. The strain of Saccharomyces cerevisiae had been cultured synchronously in aerobic condition and irradiatel by gamma-ray from the source of cobalt-60. Drying in vacuum oven at $90^{\circ}C$ C over 12 hours, then changes of protein content (Kjeldahl) and free amino acid pool have been assayed with use of spectrophotometer. Results obtained were compared with those of unirradiated normal cells. 2. It is proved that amount of protein content in the irradiated cells increases to seven percent more than those of normal cells in the same weight of dried samples. It seems like carbohydrate breakown had been stimulated by irradiation and that relative contents of protein shows higher values than those of normal in the same weight of samples. 3. The amount of free amino acid pool in the irradiated cells shows less value about ten percent than those of normal cells, and rate of decreasing is also weak than those of standard reagent solution of amino acid. We may assume that free amino acid pool would be protected against radiation damage in living cells and more stable than in vitro. 4. The component of free amino acid pool have been assayed on second dimensional paper chromatogram, and the identified amino acids are as follows; aspartic acid, serine, glutamic acid, cystine, lysine, glycine, threonine, histidine, arginine, tyrosine, phenylalanine, valine and leucine. 5. Distributional presence of free amino acids are identical to that of normal cells except arginine, it is cosumable that radiation effect is univerlsal to all amino acid. However it is obvious that there are differences in radiolabilities of amino acids in irradiated cells.

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