• 제목/요약/키워드: primary consolidation

검색결과 97건 처리시간 0.034초

외상성 좌측주기관지 절단환자의 지연수술 치험 (Delayed Bronchoplasty in Complete Transection of Left Main Bronchus after Blunt Trauma)

  • 김명천;이재영;조규식;박주철;유세영
    • Journal of Chest Surgery
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    • 제31권2호
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    • pp.182-185
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    • 1998
  • 최근 교통사고와 산업재해로 인한 기관지파열상이 증가하고 있는 추세이다. 일단 기관지 파열상이 발생한 경우는 매우 심각한 증상을 유발하여 생명의 위협을 초래하고, 많은 합병증을 야기하기 때문에 조기 진단과 조기 치료가 원칙이다. 본 저자들은 승용차 전복사고로 흉부둔상을 받아 좌주기관지가 완전 절단된 21세 여자 환자에서 수상후 14일이 경과된 후, 기관지내시경과 흉부 단층 촬영으로 확진하고 , 기관지 성형술과 단단문합술을 시행하였으며 술후 2일간의 호기말양압을 이용한 인공호흡기 적용, 기관지내시경을 이용한 분비액 흡인, 지속적인 물리치료와 체위 배액요법을 시행하여 좌폐기능이 완전 정상화되었음을 추적 검사하에 확인하였다.

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기업의 e-Learning에 대한 학습효과 및 전이에 영향을 미치는 요인 (Factors Influencing the Learning Effectiveness and Transfer of e-Learning in Business Organlizations)

  • 정경수;김경준
    • 한국정보시스템학회지:정보시스템연구
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    • 제15권2호
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    • pp.1-29
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    • 2006
  • The recent development of IT, consolidation of communication and multimedia technology have brought enormous changes in many organizations. Theses changes are enabling the new educational opportunities such as distance teaming and virtual class room. Recently, e-Learning has grown rapidly in business training field, In the context of companies, e-Learning has merits in terms of access convenience, costs reduction self-directed learning, reciprocity, and flexibility. In this regard, the primary purpose of this study is to investigate which factors of e-Learning influence the effectiveness of education and transfer of loaming in business organizations. Based on the prior studies of the education and business training field, research model and research hypotheses were developed. Factors studied in this paper were as follows: 1) learners' characteristics, 2) organizational support and 3) system environments. The results of our study are as follows. (1) Motivation perceived usefulness in Learner factors had an significant influence on both learning effectiveness and transfer of teaming, whereas Ability, expectation had an influence on transfer of teaming. (2) Support from peer, support from supervisor in Organization factors had an significant influence on both Loaming effectiveness and transfer of teaming, whereas support from organization had influence on learning effectiveness. (3) Appropriate contents in system circumstance had an significant influence on both teaming effectiveness and transfer of teaming, whereas interface design had an influence on learning effectiveness.

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A Pulmonary Paragonimiasis Case Mimicking Metastatic Pulmonary Tumor

  • Kim, Ki-Uk;Lee, Kwang-Ha;Park, Hye-Kyung;Jeong, Yeon-Joo;Yu, Hak-Sun;Lee, Min-Ki
    • Parasites, Hosts and Diseases
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    • 제49권1호
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    • pp.69-72
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    • 2011
  • Pulmonary paragonimiasis is a relatively rare cause of lung disease revealing a wide variety of radiologic findings, such as air-space consolidation, nodules, and cysts. We describe here a case of pulmonary paragonimiasis in a 27-year-old woman who presented with a 2-month history of cough and sputum. Based on chest computed tomography (CT) scans and fluorodeoxyglucose positron emission tomography (FDG-PET) findings, the patient was suspected to have a metastatic lung tumor. However, she was diagnosed as having Paragonimus westermani infection by an immunoserological examination using ELISA. Follow-up chest X-ray and CT scans after chemotherapy with praziquantel showed an obvious improvement. There have been several reported cases of pulmonary paragonimiasis mimicking lung tumors on FDG-PET. However, all of them were suspected as primary lung tumors. To our knowledge, this patient represents the first case of paragonimiasis mimicking metastatic lung disease on FDG-PET CT imaging.

매몰지 생물반응조 개조를 통한 사체의 안정화 촉진 (Enhanced Stabilization of Carcasses by Retrofitting Burial Sites to Bioreactor)

  • 김건하;전해성
    • 대한환경공학회지
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    • 제36권10호
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    • pp.679-684
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    • 2014
  • 가축전염병 확산을 방지하기 위하여 조성된 긴급매몰지의 경우 침출수 누출이 확인되면 원형저장조로 이설된 경우가 있는데, 저장조 내 낮은 함수율과 혼합문제로 인해 분해가 거의 이루어지지 않고 있는 실정이다. 본 연구에서는 사체의 안정화를 촉진할 수 있도록 원형저장조를 생물반응조(Bioreactor)로 구조를 변경하였다. 침출수를 재순환하고 미생물을 공급하여 안정화에 필요한 미생물활동을 증가시켰다. 원형저장조 내부 유기물의 변형을 고려한 침하량 모형을 사용하여 예측한 침하량 최종치는 생물저장조 구조 변경 후 5년간 약 30%이었다.

Effect of PBD to improve soft marine sedimentary ground

  • Jeong, Jin-Seob;Hwang, Woong-Ki;Jeong, Choong-Gi;Kim, Tae-Hyung
    • 한국항해항만학회지
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    • 제33권2호
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    • pp.119-125
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    • 2009
  • The effect of plastic board drains (PBDs)on ground improvement was checked out considering three crucial factors: ground settlement, undrained shear strength, and residual water head. First, the settlement analysis including initial settlement induced by reclamation of sand mat was conducted by back calculation analysis with measured data. Its result showed toot the PBDs used for this site worked well on improving soft ground. Secondly, the undrained shear strength was investigated by laboratory and in-situ tests including unconsolidated-undrained triaxial compression (UU) tests, unconfined compression tests, in-situ vane tests, and cone penetration tests. From the test results, they showed that the undrained shear strength of the improved ground by PBDs was significantly increased as well as the strength increasing ratio especially $10{\sim}15m$ below the ground surface on site. Thirdly, the residual water head measurement from the in situ dissipation test was found the same as the static water head, which indicated primary consolidation was completed and the effect of soil improvement with PBDs can be confirmed.

A Case of Drug-Induced Interstitial Pneumonitis Caused by Valproic Acid for the Treatment of Seizure Disorders

  • Kim, Se Jin;Jhun, Byung Woo;Lee, Ji Eun;Kim, Kang;Choi, Hyeun Yong
    • Tuberculosis and Respiratory Diseases
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    • 제77권3호
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    • pp.145-148
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    • 2014
  • Valproic acid is one of the most common antiepileptic drugs used for the treatment of several seizure disorders. A 20-year-old man presented with a sudden decline of consciousness. He had a neurosurgery operation for intracranial and intraventricular hemorrhage. Following surgery, antiepileptic medication was administered to the patient in order to control his seizure events. On valproic acid treatment, he began to complain of fever and dyspnea. His symptoms persisted despite receiving empirical antibiotic treatment. All diagnostic tests for infectious causes were negative. A high-resolution computed tomography scan of the chest revealed predominantly dependent consolidation and ground-glass opacities in both lower lobes. The primary differential was drug associated with interstitial lung disease. Therefore, we discontinued valproic acid treatment and began methylprednisolone treatment. His symptoms and radiologic findings had significantly improved after receiving steroid therapy. We propose that clinicians should be made aware of the potential for valproic acid to induce lung injury.

A Study and Analysis of COVID-19 Diagnosis and Approach of Deep Learning

  • R, Mangai Begum
    • International Journal of Computer Science & Network Security
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    • 제22권9호
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    • pp.149-158
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    • 2022
  • The pandemic of Covid-19 (Coronavirus Disease 19) has devastated the world, affected millions of people, and disrupted the world economy. The cause of the Covid19 epidemic has been identified as a new variant known as Severe Acute Respiratory Syndrome Coronavirus 2(SARS-CoV2). It motives irritation of a small air sac referred to as the alveoli. The alveoli make up most of the tissue in the lungs and fill the sac with mucus. Most human beings with Covid19 usually do no longer improve pneumonia. However, chest x-rays of seriously unwell sufferers can be a useful device for medical doctors in diagnosing Covid19-both CT and X-ray exhibit usual patterns of frosted glass (GGO) and consolidation. The introduction of deep getting to know and brand new imaging helps radiologists and medical practitioners discover these unnatural patterns and pick out Covid19-infected chest x-rays. This venture makes use of a new deep studying structure proposed to diagnose Covid19 by the use of chest X-rays. The suggested model in this work aims to predict and forecast the patients at risk and identify the primary COVID-19 risk variables

A novel laboratory method for measuring the hydraulic conductivity of dredged slurry with high water contents

  • Cong Mou;Jian-wen Ding;Jian-hua Wang;Xing Wan
    • Geomechanics and Engineering
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    • 제33권3호
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    • pp.317-326
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    • 2023
  • Accurately measuring the hydraulic conductivity of dredged slurry (HCODS) is a difficult task and usually requires highly developed experimental techniques. To resolve such problem, this paper presents a novel laboratory method, where a double drainage sedimentation test (DDST) is proposed to generate a downward seepage after the end of primary consolidation (EOP). Based on the established stress equilibrium equations, it is figured out that the determination of local hydraulic gradients requires the effective stress distribution to be measured. Accordingly, an additional single drainage sedimentation test (SDST) with the same initial water content is performed in the novel laboratory method, which can be utilized to establish the relationship between effective stress and water content for investigated slurry. Thus, HCODS can be determined via a pair of SDST and DDST, with the water contents after the EOP measured. The corresponding calculation procedure is given in details. With a simply-designed settling column, the hydraulic conductivity tests were performed on three types of dredged slurry. The results demonstrated the effectiveness of the novel laboratory method in measuring HCODS.

대학생들의 성교육 경험에 관한 내용분석 (Content Analysis of the Experiences and the Unmet Needs for Sex Education of University Students During their Primary and Secondary Education)

  • 김정은
    • 한국간호교육학회지
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    • 제5권2호
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    • pp.232-249
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    • 1999
  • The purpose of the study was to analyze the experiences of and the unmet needs for sex education of university students during their primary and secondary education. Development and refinement strategies of the sex education curriculum were constructed using the words of university students. The study was conducted during the second trimester of 1998 and the first trimester of 1999. and 356 male and female students were asked to submit weekly descriptive reports on the proposed issues related to sex education. The data were collected and analyzed by the researcher to present and summarize the in-depth meanings . The results were as follows: 1) The problems of the present sex education of primary and secondary education curriculum : it was revealed as too superficial and conventional: it brought about adverse effects because it was not efficient: also it was insufficient and not appropriate to the level of the students. The erroneous stereotypes of our society towards the sexuality act as barriers to effective sex education. 2) The abstract needs for sex education revealed on the analysis of adjectives used by the students were: 'honest, interesting, easy, useful, and correct' 3) The concrete needs for the sex education were: correct understanding of sexuality, establishment of the right sense of values towards sexuality, understanding of male and female sex psychology, knowledge of solutions for sexual problems 4) The developmental strategies for the sex education curriculum were structural, comprehensive, broad, and sufficient education content, concrete and honest explanations about sexuality : provision of early sex education; sex education provided by the parents ; establishment of an open environment for the sex education, graded education reflecting the developmental stages of the youngsters ; up-to-date sex education; preservation of the perspectives of the youngsters; provision of the same sex education opportunities for both girls and boys; practical use of audiovisual aides; open discussion; development of novel education methods like field trips 5) The change of knowledge, attitudes, and values towards sexuality after finishing the sex education course were: establishment of right sense of value towards sexuality ; reconfirmation of the concepts and value for life; belief of the necessity of sex education; change of attitudes towards womanhood; reinforcement of the self-conceit, consolidation of filial piety; and acquisition of the practical knowledge.

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영광-나주지역에 분포하는 화강암류의 광물성분에 대한 연구 (Mineral Compositions of Granitic Rocks in the Yeongkwang-Naju Area)

  • 박재봉;김용준
    • 자원환경지질
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    • 제45권5호
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    • pp.535-549
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    • 2012
  • 이 연구의 주목적은 영광-나주지역에 분포하는 송림-대보화강암류를 지질시대, 광물조성, 화학성분과 조직에 따라 각섬석-흑운모화강섬록암, 흑운모화강암, 반상화강암과 복운모화강암의 네가지 암상으로 구분하였다. 이들 화강암류는 동원마그마로부터 분화된 일련의 분화산물로 이루어진 화성암 복합체이며, 페름기말에서 트라이아스기 사이에 옥천습곡대와 영남육괴 사이에서 지괴들의 충돌운동으로 유발된 응력장하에서 형성되었고, 그리고 이 변형대의 형성기에 전후하여 정치된 화강암류가 대보운동을 받아 엽리상화강암류와 비변형화강암류를 형성하였다. 이들 영광-나주지역에 분포하는 화강암질암류의 구성광물 성분은 사장석, 흑운모. 백운모와 각섬석으로 구성되어있다. 사장석은 오리고클레스($An_{19.3-27.7}$)와 안데신($An_{28.4-31}$)성분에 해당하며 누대구조의 성분변화도 좁은영역에 치우치면 이는 느린 결정작용과 이들 결정들의 성장이 최종고결작용 이전에 일어났음을 보여준다. 흑운모의 Mg 함량은 산소의 압력과 분화도의 증가에 따른다(프로고파이트에서 시데로피라이트로 변함). $Al^{iv}$/$Al^{total}$ 관계는 전체 알루미나양에 따라 증가한다. 백운모는 일차기원이며 높은 $TiO_2$함량을 보이는 세라도나이트이다. 각섬석은 회각섬석류에 속하며 지질압력계로 계산한 화강암질암의 고결심도는 11.3-17.2 Km이다.