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검색결과 369건 처리시간 0.024초

Social Adaption of Persons With Spinal Cord Injury by Modified Barthel Index

  • Son, Kyung-Hyun;Bang, Yoo-Soon
    • 한국전문물리치료학회지
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    • 제12권4호
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    • pp.48-57
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    • 2005
  • The purpose of this study was to evaluate the general characteristics, complications and level of social adaptation of spinal cord injured patients. The subjects were one hundred forty five members who were inpatients or outpatients from October 1, 2004 to April 30, 2005 in general hospitals and municipal welfare centers for the handicapped located in the metropolitan city of Gwangju. The following results were obtained using Modified Barthel Index (MBI). 1) Gender distribution was 77.9% male and 22.1% female. The mean age at the time of injury was 35.4 and the mean age during the study was 44.2. 2) The degree of paralysis among the subjects was as follows: 49.0% had complete paralysis and 51.0% suffered incomplete paralysis. The most frequently injured lesion among the subjects was cervical (49.0%), followed by thoracic (35.9%), and lumbar (15.2%). 3) The mean MBI score was 63.5. There was statistically significant difference in the MBI score in the relation between complete and incomplete paralysis, the relation between cervical, thoracic, and lumbar injury, and the relation between a recovery period of less than three years and more than three years according to the characteristics of injury (p<.05). 4) There was statistically significant difference in the MBI score of subjects who had complications concerning spasticity, deformity, urinary tract infection, and sexual dysfunction (p<.05). 5) The most serious emotional pain after spinal cord injury resulted from economic issues, which affected 35.2% of the subjects. The group having a shorter recovery period after spinal cord injury complained of psychological matters, the group having a longer recovery period complained about the surrounding environment (lack of convenient facilities), suggesting statistically significant difference (p<.05). 6) The most common activities of the group with injuries more than ten years old included meeting schoolmates and working, while most common activities of the group with injuries less than three years old included attending religious functions and miscellaneous others (watching TV, spending time with family), suggesting statistically significant difference (p<.05).

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비파괴시험에 의한 콘크리트 항만시설물의 주요 물성치 평가 (Evaluation of Material Properties of Concrete Harbour Facilities Using Nondestructive Testing Methods)

  • 이진학;한상훈;박우선
    • 한국해안·해양공학회논문집
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    • 제23권1호
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    • pp.1-10
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    • 2011
  • 항만 리모델링을 위한 콘크리트 시설물에 대한 평가가 필요하며, 특히 리모델링이 결정된 경우에는 소파 블럭이나 케이슨 블록 등에 대한 재활용 여부를 평가하여 재활용이 가능할 경우에는 유용하는 것이 경제적인 리모델링에 도움이 될 수 있다. 이 연구에서는 콘크리트 항만시설물에 대한 건전성 평가 및 재활용성 평가를 위하여 기존의 초음파 속도법을 비롯하여 슈미트 해머를 이용한 반발경도법, 충격반향법, 표면파 속도법 등의 비파괴시험을 실시하였다. 국내 5개 항만에 대하여 비파괴시험 및 시편을 채취하였으며, 채취한 시편에 대한 압축강도 시험을 수행하여 비파괴시험 결과와 비교하였다. 비파괴시험결과와 압축강도 시험을 통하여 콘크리트 재료의 탄성계수와 압축강도 등을 평가하였다.

시뮬라크럼에 의한 블레이드 러너의 포스트 모더니즘 특성분석 (Analysis of Postmodern Characteristics of Blade Runner based on Simulacrum)

  • 최효식
    • 한국실내디자인학회논문집
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    • 제24권1호
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    • pp.93-103
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    • 2015
  • This study set out to figure out the tendencies of the staff members participating in the space design of Blade Runner and compare and analyze its set and location characteristics with its narrative based on Gilles Deleuze' Simulacrum, one of the basic theories of Post modernism, thus identifying the characteristics of postmodern space inherent in it. The findings were as follows: first, the spaces in a Late modernism tendency in Blade Runner seem to have been created by the cinematic imagination of Syd Mead and Douglas Trumbull rather than being influenced by the old Late modernism architecture. Second, the postmodern spaces of the movie were designed to depict a more realistic future by reinforcing the old ornamental elements or adding the mechanical aesthetics of Late modernism based on a prediction of future cities. Third, the characters representing Late modernism and Post modernism in the narrative of the movie embrace the tendencies of the parties objected by Model and Simulacrum in the scenes where they deny the tendencies of the spaces to which they belong, thus exhibiting a dual trend. Fourth, the dual narrative of Model and Simulacrum holds duality even in the space and architecture of the movie, which is the reason why the movie chose postmodern spaces reflecting historical contexts instead of inner spaces in the tendency of minimalism, which was in vogue when SF movies were made those days. Finally, the spaces of the movie can be categorized according to the Late modernism and Post modernism tendencies from the perspective of the 1980s and be understood to show the architecture and space of future Post modernism feasible through the layering of historicity, locality, and mechanical aesthetics from ancient Maya to a future city in Los Angeles, the background of the movie, from the perspective of 2019.

Sudden unexpected cardio-respiratory arrest after venipuncture in children

  • Jeong, Goun;Shin, Son Moon;Kim, Nam Su;Ahn, Young Min
    • Clinical and Experimental Pediatrics
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    • 제61권4호
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    • pp.108-113
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    • 2018
  • Purpose: This study aimed to investigate the clinical and socioenvironmental characteristics of sudden cardiorespiratory arrest after venipuncture in children. Methods: We conducted a retrospective email-based survey of all members of the Korean Pediatric Society. The questionnaire included items on patient demographics, socioenvironmental circumstances of the venipuncture, type of cardiorespiratory arrest, symptoms and signs, treatment, prognosis, and presumed cause of the arrest. Results: Fourteen patients were identified. Of these, 13 were young children (<2 years old), and 1 was 14 years old. All patients had been previously healthy and had no specific risk factors for sudden cardiorespiratory arrest. Most cases (n=11, 79%) were defined as cardiac or cardiorespiratory arrest, while the remaining cases (n=3, 21%) were defined as respiratory arrest. Aspiration (n=3), acute myocarditis (n=2), and laryngeal chemoreflex (n=1) were presumed as the causes; however, the exact causes were unclear. The overall prognosis was poor (death, n=7; morbidity, n=5; full recovery, n=2). The medical institutions faced severe backlash because of these incidents (out-of-court settlement, n=5; medical lawsuit, n=5; continuous harassment, n=3). Conclusion: Cardiorespiratory arrest after venipuncture is unpredictable and the probable cause of most cases is a vasovagal reaction. Medical personnel must be aware of the risk of unexpected cardiorespiratory arrest during routine intravenous procedures.

연령과질병위험인자 보유 여부에 따른 개인보건정보기록에 대한 인지도의 차이 (Recognition Levels on Personal Health Record in Accordance with Age and Disease Risk Factors)

  • 손현석;이현실
    • 한국산학기술학회:학술대회논문집
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    • 한국산학기술학회 2010년도 추계학술발표논문집 2부
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    • pp.763-765
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    • 2010
  • Objectives: The aim of the research was to evaluate the recognition levels on PHR (Personal Health Record) which was regarded as a valuable tool in health areas. Old and young age groups (mostly university students) were two groups that were under investigation. The young age group was deliberately asked to pretend they were members in the old age group (adult group here after) in order to investigate the recognition level differences in such conditions. Methods: We performed common and grouping analyses based on two hypotheses. Firstly the survey results should be different in both age groups. Secondly people who had high risk factors of a disease (obesity in our study) should show higher recognition level on PHR based on an assumption that they were aware of serious outcome of the disease more than the others. Results & Conclusion: The first hypothesis was rejected as both groups show similar patterns in responding the survey. The second hypothesis was also rejected because both groups showed responses in similar patterns. Based on the outcome of our study and analyses, we concluded that there would be no differences in recognition levels on PHR between young and adult groups. Also, possession of disease risk factors, at least for obesity, would not affect the recognition level of PHR. Further elaborate researches with larger groups on the topic may be necessary in order to validate the method and to expand for various applications.

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Two cases of familial cerebral cavernous malformation caused by mutations in the CCM1 gene

  • Yang, Im-Yong;Yum, Mi-Sun;Kim, Eun-Hee;Choi, Hae-Won;Yoo, Han-Wook;Ko, Tae-Sung
    • Clinical and Experimental Pediatrics
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    • 제59권6호
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    • pp.280-284
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    • 2016
  • Cerebral cavernous malformation (CCM) is a vascular malformation characterized by abnormally enlarged capillary cavities without any intervening neural tissue. We report 2 cases of familial CCMs diagnosed with the CCM1 mutation by using a genetic assay. A 5-year-old boy presented with headache, vomiting, and seizure-like movements. Brain magnetic resonance imaging (MRI) revealed multiple CCM lesions in the cerebral hemispheres. Subsequent mutation analysis of his father and other family members revealed c.940_943 del (p.Val314 Asn315delinsThrfsX3) mutations of the CCM1 gene. A 10-month-old boy who presented with seizure-like movements was reported to have had no perinatal event. His aunt was diagnosed with cerebral angioma. Brain and spine MRI revealed multiple angiomas in the cerebral hemisphere and thoracic spinal cord. Mutation analysis of his father was normal, although that of the patient and his mother revealed c.535C>T (p.Arg179X) mutations of the CCM1 gene. Based on these studies, we suggest that when a child with a familial history of CCMs exhibits neurological symptoms, the physician should suspect familial CCMs and consider brain imaging or a genetic assay.

다중 환경추적자를 이용한 제주도 지하수 유동 및 수질 특성 분석

  • 고동찬;김용재
    • 한국지하수토양환경학회:학술대회논문집
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    • 한국지하수토양환경학회 2004년도 임시총회 및 추계학술발표회
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    • pp.138-141
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    • 2004
  • The environmental tracers tritium/helium-3 (3H/3He) and chlorofluorocarbons (CFCs) were investigated in ground water from Jeju Island, Korea, a basaltic volcanic island. The apparent 3H/3He and CFC-12 ages were in relatively good agreement in samples with low concentrations of terrigenic He. Ground water mixing was evaluated by comparing 3H and CFC-12 concentrations with mixing models, which distinguished old water with negligible 3H and CFC-12, young water with piston flow, and binary mixtures of the two end members. The ground water CFC-12 age is much older in water from wells completed in confined zones of the hydro-volcanic Seoguipo formation in coastal areas than in water from the basaltic aquifer. Comparison of major element concentrations in ground water with the CFC-12 age shows that nitrate contamination processes contribute more solutes in young water than are derived from water-rock interactions in non-contaminated old water. Chemical evolution of ground water resulting from silicate weathering in basaltic rocks reaches the zeolite-smectite phase boundary. The calcite saturation state of ground water increased with the CFC-12 apparent (piston flow) age. In agricultural areas, the temporal trend of nitrate concentration in ground water was consistent with the known history of chemical fertilizer use on Jeju Island, but the response of nitrate concentration in ground water to nitrogen inputs follows an approximate 10-year delay. Based on mass balance calculations, it was estimated that about 40% of the nitrogen applied by fertilizers reached the water table and contaminated ground water resources when the fertilizer use was at the highest level.

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공무원(公務員) 및 사립학교교직원(私立學校敎職員)의 건강진단(健康診斷)에서 나타난 결과(結果) (A Result on the Physical Checkup of Public Officials and School Personnel in Private Schools)

  • 윤능기
    • Journal of Preventive Medicine and Public Health
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    • 제14권1호
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    • pp.59-64
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    • 1981
  • Korean Medical Insurance Cooperation executed the physical checkup intended for all the members of public officials, school personnel in private schools, and the insured as a national-wide event in 1980. This is the result of a part of Taegu district and its contiguous country this hospital took charge of. Physical checkup method was divided into the first health examination and tile second health examination. The second health examination was executed for those who needed reexamination according to the result of the first health examination. After that, we passed judgement on the result finally. The total number of the first health examination was 10,779; 4,606 in public officials, 2,327 in police constables, 3,976 in school personnel in private schools. The classification of physical checkup is as follows; A group: normal groups B group: those who do not require immediate medical care but require preventive measures or who are doubtful of disease or who had undetermined diagnosis (attention) C group: those who require immediate medical care but who are able to be on duty (simple recuperation) D group: those who require immediate medical treatment and recuperation (suspension from office and recuperation) Total B group to the in the first health examination was 4.73%, that of total C,D groups 2.21%. That of total C,D groups to the total in the first health examination by occupation was 2.30% in public officials, 2.19% in police constables, 2.04% in school personnel. Consequently there was no different among occupations. Total C,D groups of hypertension to the total in the first health examination was 1.68% and hypertension was 76.05% to all disease. These rates mentioned to above were higher than any other rate in disease. Subsequently, being low, the rate of diabetes was 15.54%. From the view point of age, the higher rate appeared in men and women over 35 years old of B group and over 45 years old of C,D groups in three occupations in comparison with other ages and the older men were, the higher men who took a disease were.

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순창군 장수인의 영양소 섭취수준에 영향을 미치는 식행동 인자 (Dietary Behavior Factors for Desirable Nutrient Intakes of the Oldest-old Population in Sunchang County)

  • 이미숙
    • 대한지역사회영양학회지
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    • 제14권6호
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    • pp.699-709
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    • 2009
  • In order to identify valuable factors for improving dietary quality of Korean rural elderly, the consumption frequency of food groups, dietary habits and health behaviors related to nutrient intakes of the elderly over 85 of Sunchang County were studied. The 171 subjects (61 males and 110 females) were chosen from Sunchang Province by stratified sampling. Among food groups, the consumption frequency of meat and fish groups influenced significantly on their nutrient intakes than the other groups. The subjects consuming more than 4 times per week of meat or fish had significantly higher nutrient intakes level than the other groups. The group consuming milk and milk products everday was higher in vitamin $B_2$ intake level than the other groups. Among dietary habits, the groups with good appetite and regular mealtime compared with the groups with low appetite and irregular mealtime had significantly higher nutrient intake levels. The family type was the determining factor of nutrient intakes. The subjects living with family members consumed higher nutrient intakes than the subjects living alone. The smoking and the alcohol consumption themselves did not affect nutrient intakes, but the subjects having alcohol consumption frequently more than once a day had lower nutrient intakes than the others. The group with dentures did not differ significantly from the without denture group in nutrient intakes; however, those who had chewing problems showed the lower nutrient intakes compared to those who did not have chewing problems. The subjects with more than two kinds of clinical symptoms had lower nutrient intakes than the subjects with less than two kinds of clinical symptoms. These results indicate that the identifying factors for desirable nutrient intakes of rural elderly were characterized as appropriate consumption frequencies of meat and fish, good appetite, living with family, regular mealtime, chewing without difficulty, and low incidence of chronic disease.

우리나라 의용소방대의 효율적인 운영에 관한 개선방안 연구 (Study of a Improvement Plans about Efficient Operation of Korean Volunteer Fire Departments)

  • 김형도;이시영
    • 한국화재소방학회논문지
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    • 제31권5호
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    • pp.95-106
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    • 2017
  • 본 연구는 2012년부터 2016년까지 5년간의 (구)국민안전처 내부 소방행정자료와 통계연보, (구)소방방재청 통계와 통계청 자료 등을 활용, 우리나라 의용소방대의 소방 활동과 각종 대민봉사 지원활동 전반에 대한 통계분석을 통해 현실적 문제점을 도출하여 개선방안을 모색하였다. 연구결과는 첫째, 농촌지역 특성을 고려한 의용소방대 정원관리제도 보완 둘째, 의용소방대 내부적 갈등요인 해소를 위한 교양교육제도 강화 셋째, 의용소방대장 등 관리계층 대원들의 조직운영 리더십 역량강화 넷째, 지역여건에 맞는 의용소방대 교육 훈련제도 확립 다섯째, 의용소방대 대형재난현장 활동 보상제도 개선이다. 본 연구결과는 향후, 우리나라 의용소방대 발전의 기초자료로 활용되기를 기대한다.