• 제목/요약/키워드: local recovery

검색결과 442건 처리시간 0.023초

유방암 절제술 후 환자의 어깨관절 가동범위 조사 (Shoulder Range of Motion in Postmastectomy Patients)

  • 엄애용;이은옥
    • 종양간호연구
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    • 제4권1호
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    • pp.62-70
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    • 2004
  • The purpose of this study was to use as a basic data to develop suitable nursing intervention program and decide an appropriate intervention time after assessing shoulder range of motion in postmastectomy from 2 weeks to 3 month. 147 patients are chosen as study subject among patients who were in recovery of 2weeks, 1month, 2months and 3 months after surgical operation which is modified radical mastectomy. Data were collected at oncology medicine local and general surgery local in Seoul National University Hospital from May, 2003 to October, 2003. The range of motion of the shoulder(flexion, extension, abduction, internal rotation, external rotation) were examined. Analysis of data that shoulder range of motion average and standard deviation, percentage of the unaffected side and affected side compare with normal shoulder range of motion. Paired t-test was adopted to analyze the difference between affected side and unaffected side. Conclusion from this study is as following, 1. The most serious problem was external rotation (0.56%) and internal rotation is the next (19.9%) in 5 kinds of shoulder range of motion in 2 weeks after surgical operation 2. There was no difference in internal rotation after post operation 3 months but there were differences and shown to recover more than 90% in flexion and abduction. Also shoulder function incresed in flextion less than 80% and more than 80% in external rotation. As this study finding was shown that shoulder range of motion did not get back perfectly except of internal rotation and extension in point of 3 months after breast cancer surgical operation. External rotation was specially shown the lowest result so it is needed to exercise for improving their physical functioning recovery in postmastectomy patients. And it is suggested to study for helping to postmastectomy patients' physical and psycosocial functions with the early rehabilitation program which is based on these results.

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서울시 측량 기준점 관리 개선방안에 관한 연구 (A Study on the Improvement of Management for Survey Control Points in Seoul City)

  • 이우식;이은영
    • Spatial Information Research
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    • 제20권5호
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    • pp.111-118
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    • 2012
  • 측량 기준점은 국민의 재산권 설정과 밀접한 연관이 있는 국가 중요시설물로 국가 또는 지자체에서 관리하고 있다. 따라서 이와 같은 측량 기준점은 측량성과는 물론 데이터베이스 및 표지의 관리에 이르기까지 중요한 국가 자료임에도 그동안 방대한 물량에 따른 인력, 시스템, 관련 제도 등 관리적 측면에서 각종 문제점들이 지속적으로 제기되어 왔다. 현재, 지자체마다 지리정보시스템이 개별적으로 구축 및 운영되고 있으나, 통합, 연계 및 활용 측면에서는 미흡한 실정이다. 따라서 본 연구에서는 지리정보시스템을 기반으로 한 측량 기준점 관련 정보 제공 및 관리를 위한 관리시스템의 기능 개선 방안과 기준점 이전 경비의 선납부제도 정착방안을 제시하였다. 이를 통해 관리자와 사용자 중심의 One-stop 기준점 관리 통합 시스템 구축의 근간을 마련하고, 기준점 망실 원인자 불명에 따른 기준점 복구비 부과 문제를 해결할 수 있을 것이다.

In Vivo Measurement of Site-Specific Peritoneal Solute Transport Using a Fiber-Optic-based Fluorescence Photobleaching Technique

  • Lee, Donghee;Kim, Jeong Chul;Shin, Eunkyoung;Ju, Kyung Don;Oh, Kook-Hwan;Kim, Hee Chan;Kang, Eungtaek;Kim, Jung Kyung
    • Journal of the Optical Society of Korea
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    • 제19권3호
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    • pp.228-236
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    • 2015
  • Fluorescence recovery after photobleaching (FRAP) is a well-established method commonly used to measure the diffusion of fluorescent solutes and biomolecules in living cells or tissues. Here a fiber-optic-based FRAP (f-FRAP) system was developed, and validated using macromolecules in water and agarose gels of different concentrations. We applied f-FRAP to measure the site-specific diffusion of fluorescein (NaFluo) in peritoneal membranes (PMs) on the liver, cecum, and kidney of a living rat during peritoneal dialysis. Diffusion of fluorescein in PM varied in a time-dependent manner according to the type of organ ($D_{PM\;on\;Liver}/D_{NaFluo}=0.199{\pm}0.085$, $D_{PM\;on\;Cecum}/D_{NaFluo}=0.292{\pm}0.151$, $D_{PM\;on\;Kidney}/D_{NaFluo}=0.218{\pm}0.110$). The proposed method allows direct quantitative measurement of the three-dimensional diffusion in local PM in vivo, which was previously inaccessible by peritoneal function test methods such as peritoneal equilibration test (PET) and standardized PM assessment (SPA). f-FRAP is promising for local and dynamic assessments of peritoneal pathophysiology and the mass transport properties of PMs, presumed to be affected by variation of tissue structures over different organs and functional changes of the PM with years of peritoneal dialysis.

소아 고환고정술 및 탈장수술후 통증감소를 위한 장골서혜/장골하복 신경차단과 미추차단의 비교 (Effect of Ilioinguinal-hypogastric Nerve Block and Caudal Block on Post-operative Pain after Orchiopexy and Herniorrhaphy in Pediatric Surgery)

  • 문선애;이현화;김건식;신옥영;권무일
    • The Korean Journal of Pain
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    • 제9권1호
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    • pp.145-150
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    • 1996
  • The purpose of this study was to evaluate and compare the effectiveness of ilioinguinal-hypogastric nerve blocks(IHNB) and caudal block in producing post-orchiopexy and post-heniorrhaphy analgesia in children. Forty consenting healthy children, ages 3~10yr, were randomly assigned to receive caudal bupitvacaine (0.125%, 0.5ml/kg), or IHNB bupivacaine (0.25%, 0.3 ml/kg). Blocks were performed following the induction of general anesthesia, be fore the operation. Pre-anesthetic medication in form of atropine 0.01 mg/kg, droperidol 0.05 mg/kg were given intramuscularly one hour before induction to 40 children. Children were induced with thiopental sodium 5 mg/kg and succinylcholine 1 mg/kg intravenously. Anesthesia was maintained with oxygen-nitrous oxide ($FiO_2$ 0.3) and ethrane. When the patients stabilized after induction. IHNB was done in the supine position and caudal block was done in the lateral position. The local anaesthetic was injected after negative aspiration. Postoperative pain was assessed with face pain rating scale (RPRS) at rest on discharge of recovery room, and 5 hours after discharge of recovery room, and the "red and white" visual analogue scale (VAS) at rest and mobilization from supine to sitting position on discharge of recovery room, and 5 hours after discharge of recovery room. Post-operative recovery was quiet and comfortable, without side effect. Relief of ain was complete in both IHNB group and caudal group. Surgeons, parents and recovery room personnel were satisfied. There were no surgical or anesthetic complications. In our study, the postpoerative pain scores were similar in both IHNB group and caudal group. IN conclusion, we found that both IHNB and caudal blocks before the start of surgery for orchiopexy & herniorrhaphy are safe and effective in controlling the postoperative pain of children.

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D시 생활폐기물 관리 방법과 온실가스 배출량과 감축량 산정 연구 (A Study of Estimation of Greenhouse Gas Emission and Reduction by Municipal Solid Waste (MSW) Management)

  • 윤현명;장윤;장용철
    • 한국폐기물자원순환학회지
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    • 제35권7호
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    • pp.606-615
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    • 2018
  • Over the past two decades, the options for solid waste management have been changing from land disposal to recycling, waste-to-energy, and incineration due to growing attention for resource and energy recovery. In addition, the reduction of greenhouse gas (GHG) emission has become an issue of concern in the waste sector because such gases often released into the atmosphere during the waste management processes (e.g., biodegradation in landfills and combustion by incineration) can contribute to climate change. In this study, the emission and reduction rates of GHGs by the municipal solid waste (MSW) management options in D city have been studied for the years 1996-2016. The emissions and reduction rates were calculated according to the Intergovernmental Panel on Climate Change guidelines and the EU Prognos method, respectively. A dramatic decrease in the waste landfilled was observed between 1996 and 2004, after which its amount has been relatively constant. Waste recycling and incineration have been increased over the decades, leading to a peak in the GHG emissions from landfills of approximately $63,323tCO_2\;eq/yr$ in 2005, while the lowest value of $35,962tCO_2\;eq/yr$ was observed in 2016. In 2016, the estimated emission rate of GHGs from incineration was $59,199tCO_2\;eq/yr$. The reduction rate by material recycling was the highest ($-164,487tCO_2\;eq/yr$) in 2016, followed by the rates by heat recovery with incineration ($-59,242tCO_2\;eq/yr$) and landfill gas recovery ($-23,922tCO_2\;eq/yr$). Moreover, the cumulative GHG reduction rate between 1996 and 2016 was $-3.46MtCO_2\;eq$, implying a very positive impact on future $CO_2$ reduction achieved by waste recycling as well as heat recovery of incineration and landfill gas recovery. This study clearly demonstrates that improved MSW management systems are positive for GHGs reduction and energy savings. These results could help the waste management decision-makers supporting the MSW recycling and energy recovery policies as well as the climate change mitigation efforts at local government level.

SRD를 이용한 UWB 기술용 단일/멀티밴드 Impulse Generator의 설계 (Design of Single/Multiband Impulse Generator Using SRD for UWB(Ultra Wideband) Technique)

  • 김기남;김인석
    • 한국항행학회논문지
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    • 제9권1호
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    • pp.1-8
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    • 2005
  • 본 논문에서는 차세대 근거리 실내 무선 환경 기술로 채택 가능성이 높은 UWB(Ultra Wideband)기술용 Impulse Generator를 SRD(Step Recovery Diode)를 이용하여 설계하였다. 설계 목표는 단순한 설계 구조와 함께 저가, 소형, 고성능의 Impulse Generator 개발에 있다. 미국의 FCC(Federal Communications Commission)의 기준인 주파수 범위 3.1~10.6 GHz, 출력 제한 레벨 -41.25 dBm을 만족하는 Impulse Generator를 회로 시뮬레이터인 Agilent Technologies사의 ADS를 이용하여 설계, 제작, 측정하였다. 설계된 회로의 출력 신호는 단일밴드용과 멀티밴드용으로 구분하였다.

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Repairability Performance and Restoring Force Characteristics of Damaged H-shaped Steel Members after Repair

  • Mori, Kenjiro;Ito, Takumi;Sato, Hanako;Munemura, Hiroka;Matsumoto, Takeshi;Choi, Changhoon
    • 국제초고층학회논문집
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    • 제4권1호
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    • pp.57-64
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    • 2015
  • Recently, new keywords such as "Resilience" and "Repairability" have been discussed from the perspective of the sustainability of damaged structures after a severe disaster. To evaluate the repairability and recovery of structures, it is necessary to establish an analytical method that can simulate the behavior of repaired structures. Furthermore, it is desirable to establish an evaluation method for the structural performance of repaired structures. This study investigates the repairability and recovery of steel members that are damaged by local buckling or cracks. This paper suggests a simple analytical model for repaired steel members, in order to simulate the inelastic behavior and evaluate the recoverability of the structural performance. There is good agreement between the analytical results and the test results. The proposed analytical method and model can effectively evaluate the recoverability.

손의 한랭자극이 인체생리반응과 의복의 쾌적성에 미치는 영향 -한랭혈관반응, 온랭감각, 한랭통증을 중심으로- (Effect of Cooling Hands in the Cold Water for the Physiological Responses and Clothing Comfort -Focused on Vascular Hunting Reaction, Thermal Sensation and Pain Sensation-)

  • 이원자
    • 복식문화연구
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    • 제12권2호
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    • pp.279-289
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    • 2004
  • This study was conducted to compare the hunting reaction of finger in the cold water. Finger skin temperature is measured the left middle finger tip immersion in cold water of 5℃ for 30 minutes and measurements were made on finger skin temperature(Ts), thermal comfort, and cold pain sensations during the experiment at the spring (March) and Winter(December). Results were follows. Is before immersion was at the highest in spring and at the lowest in winter and was closely related to the indoor temperature Ts during immersion and recovery. Mean of finger skin temperature(MST), the skin temperature at the first rise(TTR) and amplitude of finger skin temperature reaction during immersion(AT) were significant higher in spring than that in winter(P<.01). The lowest skin temperature(LST) during the cold water immersion were significantly higher in spring than that in winter (P<.05). The frequency of the appearance of cold-Induced vase dilation(CIVD) was higher in spring than that in winter. However, time for the first temperature(TTR) and recovery time(RT) had no seasonal variation. In addition, cold pains during immersion were felt more strongly in spring than in winter. Local thermal sensation, finger thermal sensation in dynamic state during hand immersion was different from that in the Winter. Spring was slowly cold in cold water immersion.

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자율신경 기능 이상이 동반된 류마티즘 환자에 대한 온열-척추 마사지 치료 효과 : 증례 연구 (Effects of Thermo-spinal massage treatment in a Patient with Rheumatism patient with Autonomic nervous system Dysfunction: A Case Report)

  • 최준현;이정후;윤용순
    • 한국융합학회논문지
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    • 제11권8호
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    • pp.331-340
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    • 2020
  • 만성통증을 동반한 류마티즘 환자에서 자율신경계 이상(autonomic nervous system dysfunction)이 동반되기도 한다. 특히 만성통증 환자에서 자율신경계 이상은 국소 통증 강도 증가 및 통증 역치 감소를 발생하여 만성 근골격계 통증에 악영향을 미친다고 확인되었다. 이런 만성 근골격계 통증 환자에 온열-척추 마사지 치료를 실시한 실험에서 통증경감과 자율신경계 회복이 되었다고 보고되고 있다. 그래서 우리는 만성 통증과 자율신경계 이상이 동반된 류마티즘 환자에 온열-척추 마사지 치료를 적용하였고 자율신경기능의 회복과 통증의 감소를 경험한 사례가 있어 보고하고자 한다.

사회안전을 위한 스마트 재난안전관리 시스템 (Smart Disaster Safety Management System for Social Security)

  • 강희조
    • 디지털콘텐츠학회 논문지
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    • 제18권1호
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    • pp.225-229
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    • 2017
  • 본 논문에서는 다양한 재난안전 위협요소를 단위 산업체 시설물뿐만 아니라 지역 및 국가 단위에서 실시간으로 감지 예측하고 예방 대응하는 시스템에 대하여 알아본다. 예방 대비 대응 복구로 이뤄지는 재난관리의 전 단계를 체계적 효율적으로 관리할 수 있는 정보통신기술을 기반으로한 융복합 구현에 대하여 분석하였다. 또한 조기예측을 통한 선제적 예방과 대비 즉각적인 재난 정보 전달로 피해규모의 축소와 첨단 기술을 통해 재난현장에서의 인간한계 극복에 대하여 분석하였으며 스마트 재난안전관리의 전략으로 선제적 위험관리 및 예방 신속하고 효율적 현장 대응 및 복구와 민관 상호협력 및 효율적 연계협력의 사회안전 스마트 재난안전관리 시스템을 제시하였다.