• 한국수자원학회논문집
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• 제38권5호
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• pp.365-377
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• 2005

본 연구는 수력발전시설에서 물고기의 생존과 상해를 유도하는 흐름현상을 파악하기 위한 진보된 수치해석기법의 개발을 다루고 있다. 원형 젤의 LES를 실시하여 난류젤의 전단지역에 물고기를 방류하는 실험의 결과를 수치적으로 해석하였다. 이 연구에서는 순간 LES 흐름장이 유속, 압력 그리고 와도의 강한 변동으로 특성지울 수 있으며, 이것이 물고기에게 시간평균 정상류보다 상당히 큰 추진력과 모멘트를 발휘함을 보여준다. 이 연구는 아울러 수력터빈 드래프트관에서의 부정류를 RANS/LES의 혼성모형 즉 DES를 이용하여 해석하였으며, 물고기가 드래프트관내에서 방향감각을 상실하거나 과도하게 지체하도록 할 수 있는 난류가 발생함을 보여준다.

• 한방재활의학과학회지
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• 제23권2호
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• pp.185-191
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• 2013

본 증례에서는 절식치료 중인 환자에 있어 글리세린 관장을 실시한 직후 발생한 허혈성 대장염 1례에 대해 고찰하여, 관장으로 인한 장관 내압 상승, 상온의 체온보다 낮은 관장액으로 인한 혈관 경련, 선택적 세로토닌 재흡수 억제제에 의한 출혈 경향 증가 및 글리세린 용액의 화학적 삼투작용으로 인한 점막 손상 가능성 등을 제시하였다. 관장으로 인한 이와 같은 부작용을 예방하기 위하여 임상의들의 주의가 요구된다.

• 대한의용생체공학회:의공학회지
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• 제36권6호
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• pp.296-301
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• 2015

Explant culture condition of dorsal root ganglion have been used to investigate the pathophysiology of peripheral nerve injury, while applying for the various clinical symptom such as trauma, pressure, and stretch. However, explant culture is usually contaminated by mitotic cells, which may observed as a newly divided cells including fibroblast or glia. The mitotic cells could be able to interrupt and change the cell signaling that make it difficult to avoid detrimental effects during the experiments. To eliminate mitotic cells, anti-mitotic reagents like mixture of uridine and 5-fluorodeoxyuridine or cytosine arabinoside were added to the cultures on the following day, but there is no research that investigate viability of anti-mitotic reagent in dorsal root ganglion explant culture. In this study, we investigate inhibition effect of cytosine arabinoside to mitotic cells in dorsal root ganglion explant culture. Also we visualized and analyzed anti-mitotic effect and toxicity of cytosine arabinoside in various concentration condition. This dorsal root ganglion explant culture condition can be applied to research that effect and mechanism of various stimulation and chemical application which affect peripheral nerve regeneration.

• Journal of Acupuncture Research
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• 제22권1호
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• pp.13-17
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• 2005

1. 우측(右側) 수지(手指) 3-4지에 $2.0{\times}2.0cm$의 수포와 $6.0{\times}4.0cm$의 발적(發赤)이 형성된 2도 화상의 환자를 5회의 환부자침(患部刺鍼)만으로(총 11일) 흉터 없이 완치되는 효과를 얻었다. 2. 피부 손상의 경우, 환부주위(患部周圍)에 자침(刺鍼)하여 십이피부(十二皮膚)의 기혈(氣血)소통을 원활히 해주면 우수한 치료효과가 있음을 알 수 있었다. 따라서 욕창(褥瘡)이나 창상(創傷)등에서도 훌륭한 치료 효과가 기대된다. 2. 화상의 정도가 심한 경우는 사순청양음(四順淸凉飮) 같은 청열해독작용(淸熱解毒作用)과 통리대소편(通利大小便)하는 처방을 사용 하여 내외동치(內外同治)하면 효과가 극대화되리라고 사료된다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제37권4호
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• pp.255-263
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• 2011

Introduction: Maxillomandibular fixation (MMF) is essential before surgery under general anesthesia in maxillofacial trauma patients. MMF is used basically to reconstruct the occlusion and occlusal stability to recover the facial shape and oral functions. The arch bar and wire is a traditional method for MMF, but it can not only bring pressure to the periodontal ligaments and teeth but also cause a penetrating injury to the surgeons. Materials and Methods: In this study, 198 patients with an open reduction using a manual reduction without MMF from September 2005 to May 2010 in Dankook University Dental Hospital were subjected to a follow-up evaluation during the postoperative 4 months periods. This study evaluated the incidence of complications according to the condition of the patient (gender, age), the state of bony union of the fracture sites and a numeric rating scale evaluation for postoperative pain scoring. Results: 1. The complications were classified into major and minor according to the seriousness, and the major complication rate was as low as 2.02%. Only 2 cases of re-operations (1.01%) were encountered. In the classification according to the fracture line, plate fracture was observed in both cases of mandibular symphysis fracture, and angle fractures and loosening of two screws were noted in the case of mandibular angle fracture. 2. The complication rate was similar regardless of gender and age. 3. The degree of bony union was satisfactory, and the complication rate was reduced as the bony union improved. 4. More patients complained of pain as the operation time was increased. Conclusion: The use of MMF is not always necessary if a skilled assistant is provided to help manually reduce the fracture site. Compared to other studies of mandibular fracture surgery using MMF, the complication rate was similar using only manual reduction and the patients' discomfort was reduced without MMF.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권5호
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• pp.383-389
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• 2002

This is a retrospective study on emergency patients with active oral bleeding. The study was based on a series of 135 patients treated as emergency patients at Wonju Christian Hospital, from Jan. 1, 1997, to Dec. 31, 2001. The postoperative bleeding was the most frequent cause of active oral bleeding in emergency room and bleeding from trauma and medically compromised (bleeding disorders) patients were next in order of frequency. In the injury of maxillofacial vessels, peak incidence was occurred in the inferior alveolar vessel (42.9%), followed by the submucosal vessel of lip & cheek, the superior alveolar vessel, and sublingual vessels. The most common disease of bleeding disorders was vascular wall alteration (infection, etc), followed by liver disease, thrombocytopenic purpura, anti-coagulation drugs in order. In the characteristics of dental diseases on bleeding disorders, periodontal disease and alveolar osteitis (osteomyelitis) were more common. The hemostasis was most obtained by use of wound suture, simple pressure dressing, drainage for infection control and primary interdental wiring of fracture. In the complication group, the infrequent incidence was showed in vomiting, hypovolemic shock, syncope, recurred bleeding & aspiration pneumonia. In the uncontrolled oral bleeding, the injured vessels were suspected as skull base & ethmoidal vessels. In this study, authors found that the close cooperation between the dentistry (Oral and maxillofacial surgery) and the medicine (emergency & internal medicine) was the most important for early proper control of active oral bleeding. And then post-operative wound closure, drainage for infection control and previous systemic evaluation of bleeding disorders were critical for the prevention of postoperative bleeding in the local dental clinic.

• 기본간호학회지
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• 제7권1호
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• pp.122-136
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• 2000

Stroke patient needs rehabilitation after receiving an acute treatment in a hospital. When stroke patient gets involved in an early discharge program, home care nurse plays a pivotal role to make them to gain a full strength and to come back to his/her prior life before he/she is sick. In spite of the importance of home care nursing intervention protocol for home care nurses to perform home care nursing autonomously, home care nursing intervention protocol for stroke patient is rarely developed. Therefore this study was conducted to develop home care nursing protocol that is applicable for stroke patients in home care nursing area. 41 home care nursing charts for stroke patients registered in home care nursing agencies from December 1st 1994 to August 31st 1999 at Y hospitals in Seoul and Won-Ju city were analyzed. 44 home care nurses who were having over three years' experience on stroke patients were participated in this study as a user validity validation group. The results of this study are as follows. 1. 28 nursing diagnoses were selected on the basis of evaluation of nursing diagnoses of stroke patients presented in a previous literature and case studies on home care nursing. 2. 17 nursing diagnoses were classified through the frequency analysis of home care nursing charts for 41 stroke patients who had received home care nursing. The order of sequence was like these: impaired skin integrity, risk for infection, nutritional deficit, impaired physical mobility, constipation, knowledge deficit, ineffective airway clearance, anxiety in family members, risk for aspiration, self care deficit, altered urinary elimination, ineffective individual coping, social isolation, risk for injury, self-esteem disturbance, impaired verbal communication, fatigue of family caregiver. 3. Based on validation on expert and user validities, 44 nursing interventions which were above ICV=.80 were chosen. 4. Nursing intervention protocols which showed above ICV=.90 were developed and were like these; pressure ulcer care, position change, preventive care for circulatory dysfunction, tube care : catheter, vital sign monitor, constipation/impaction management, artificial airway management, suction of airway secretion, environmental management : safety, and fall prevention.

• 한국운동역학회지
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• 제18권3호
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• pp.71-82
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• 2008

본 연구의 목적은 $20^{\circ}$ 경사로에 서 앞 뒤 보행 동작 시 지면반력 형태를 비교 분석하고자 한다. 본 연구를 위해서 두 대의 지면 반력기를 통해 전 후, 좌 우, 수직 지면반력값, 최대값, 최소값, 평균값 압력 중심 변위, 부하율과 감소율을 측정하였다. BD보행 시 RTO 시점에서 수직 지면반력값이 FU 보행에 비해 유의하게 높은 수치를 보인 반면, $RHC_2$ 시점에서는 더 낮은 수치를 보였다. 이는 보행 동작의 차이와 보행 시 발목과 무릎의 위치 변화, 무게 중심의 변화가 지면 반력의 형태에 직접적인 영향을 미치는 것으로 판단되어진다. 전 후 압력중심변위는 하향 보행 시 상향 보행에 비해 낮은 변화를 보였는데 이는 하향 시 생기는 불안정성을 상쇄하기 위해 더 강한 제동력이 발생되어 진 것으로 사료되어 진다. BD보행 시 부하율이 다른 보행에 비해 낮은 것을 알 수 있는데 이러한 결과를 통해 등산로에서 후방 보행 동작이 하지 근골격계에 지속적인 스트레스를 감소시켜 상해를 예방할 수 있는 방법으로 제시될 수 있을 것이다.

• 한국전자통신학회논문지
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• 제16권2호
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• pp.347-354
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• 2021

화학공장과 같은 장치산업은 고온·고압·유독성 유체가 배관을 통하여 각종 설비들 사이를 이동한다. 온도변화, 진동, 지진, 지반침하와 같은 주변환경의 변화에 의한 배관의 위치 이동과 파손은 인명피해를 수반하는 큰 사고로 연결되는 경우가 많다. 이러한 사고를 방지하기 위하여 배관에 가해지는 각종 충격을 흡수하고, 보완하여 사고를 미연에 방지하기 위한 여러 가지 종류의 익스펜션 조인트(Expansion Joint)를 사용한다. 따라서 사용된 익스펜션 조인트의 변형을 측정하고, 수명을 예측하는 것은 대형사고를 방지하기 위하여 매우 중요하다. 본 논문에서는 익스펜션 조인트의 변형을 일종의 모션으로 이해하고, Hall Effect Sensor와 9-Axis Sensor를 사용하여 변화를 측정하였다. 그리고 범용의 마이컴보드 아두이노와 C언어를 사용하여 측정된 데이터를 모으고, 분석하여 익스펜션 조인트의 변형을 예측할 수 있는 시스템에 대하여 연구하였다.

• 대한약침학회지
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• 제22권3호
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• pp.147-153
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• 2019

Objectives: Many studies have been reported the efficacy of intravenous lipid emulsion (ILE) as an antidote on acute lipophilic drug toxicity. Clozapine, highly lipophilic dibenzodiazepine neuroleptics, is an important medication in the schizophrenia therapy regimen. Acute intoxication with antipsychotics is one of the main reasons for the referral of poisoned patients to the hospital. We expected that ILE could be used for the therapy of acute clozapine intoxicated patients. Methods: We used two groups of consisting of six male rats. Both groups received a toxic dose of clozapine (40 mg/kg) intravenously, via the tail vein. After 15 minutes, they were treated with intravenous infusion of 18.6 mg/kg normal saline (NS group), or 18.6 mg/kg ILE 20% (ILE group). We evaluated blood pressure (BP) and heart rate by power lab apparatus through the tail artery, ataxia by a rat rotary circle, seizure scores and death in multiple times after starting clozapine administration. For biochemical and pathological evaluations the samples of tissue and blood were taken. Results: Our results demonstrated that ILE 20% could return hypotension-induced clozapine better than normal saline. Furthermore, ataxia and seizure have rectified more rapidly and deaths reduced. Clozapine administration causes pancreatitis and lung injury but fat emulsion did not show an optimal effect on tissue damages caused by clozapine toxicity. Conclusion: In conclusion, ILE can remove toxic signs of clozapine same as other lipophilic medicines, however, clinical uses of ILE for this intention requires more appraisement to determine the precise implication and safety.