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A Study on Cooperative Treatment with Both the Western and Oriental Medical Department in C.V.A patients (뇌졸중 환자의 양${\cdot}$한방 협진에 대한 연구)

  • Kim Dae-Hwan;Kim Chi-Hyok
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.32-49
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    • 2004
  • The primary purpose of this study was to provide the basic materials for C.V.A inpatients' actual use of medical service at the hospital with both the western and oriental medical department and the attitude on cooperative treatment. The results of this study were as follow: First, the subjects' general characteristics including job, monthly mean income and age made statistical differences to their pathological characteristics such as part of primary paralysis, detailed name of disease and cause of elicitation. Second, their general characteristics including religion and job produce statistical difference to their actual use of medical service, like medical institution form, term of treatment and type of medical institution at first-aid. Third, through the awareness of cooperative treatment system, the effect of C.V.A treatment and the shorten of the C.V.A treatment term were higher at oriental medical department inpatients and cooperative treatment serviced inpatients than western medical department inpatients and cooperative treatment non-serviced inpatients. Fourth, the biggest problem on current dual medical system is increase medical expenses and the biggest reason on not vitalized cooperative service is prejudice of both parts.

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Early result of Coronary Artery Bypass Grafting Using the Internal Thoracic and the Radial Arteries (내흉동맥과 요골동맥을 이용한 관상동맥우회술의 조기 결과)

  • 나찬영;이영탁
    • Journal of Chest Surgery
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    • v.32 no.10
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    • pp.891-896
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    • 1999
  • Increasing interest in the use of arterial conduites is based on the better patency of the internal thoracic artery(ITA) than the saphenous vein graft and the hope that other arterial conuits will perform similarly over the long term. Material and Method: Between May 1997 and July 1998, 43 patients underwent coronary artery bypass grafting with ITA and the radial artery(RA). There were 28 men and 15 women with a mean age of 61.5 years(range, 35 to 78). In 43 patents, 30 bilateral ITA(including 7 diabetes mellitus, 5 more older 70 years), 8 bilateral ITA only, 2 left ITA and both RA, 11 left ITA and left RA and 22 both ITA and left RA were used. Result: There was 1 hospital mortality. Of the 42 patients alive, 39 patients are asymptomatic. Postoperative complications were postoperative bleeding in 1 patients, and low cardiac output syndrome in 3. Follow-up angiography was performed in 5 patients after the operation(mean 3 months), and all ITA & RA grafts showed excellent results. Conclusion: We conclude that complete arterial revascularization with internal thoracic artery and radial artery is technically feasiale with low mortality and morbidity, and but long term follow-up is needed.

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A Study on the Evaluation of Deterioration Properties of Reinforced Concrete Applied Repair Material and Method System by Long Term Exposure Experiment (장기폭로실험에 의한 철근콘크리트 보수재료공법 시스템의 열화특성 평가에 관한 연구)

  • Choi, Hyeong-Gil;Shin, Kwan-Soo;Shin, Seung-Bong;Na, Chul-Sung;Kim, Gyu-Yong;Kim, Moo-Han
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2007.04a
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    • pp.129-132
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    • 2007
  • In this study, for the establishment of the performance evaluation methods of repair material and method for reinforced concrete structure and the quality control standards of durability recovery method, the quantitative exposure data by exposure experiment under the coastal and normal atmosphere environment is accumulated and analyzed. Investigating and evaluating the result of exposure experiment during 54 months of exposure age under the coastal and normal atmosphere environment, Micro crack, swelling and spatting of surface coating material, crack of repair boundary parts and the great potential difference between repair part and non-repair part were somewhat generated. And the result shown that exposure specimen of coastal environment had lower electrode potential than exposure specimen of normal atmosphere environment.

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Assessment of Hydration on the Stratum Corneum and the Influencing Factors in Neonates (신생아의 피부표현 별 수분율 측정과 관련요인 분석)

  • Ahn, Young-Mee;Shin, Eun-Jin
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.781-789
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    • 2007
  • Purpose: The study was conducted to investigate the skin hydration level in various body sites and identify the influencing factors in neonates. Methods: An exploratory comparison study was designed to measure the stratum corneum hydration, using a National DM-R2 on the forehead, abdomen, buttocks, and the back of the hands and feet of 198 neonates including 92 premature infants. Results: The results showed 32.7%-36.5% of stratum corneum hydration for all sites. Premature infants revealed a higher hydration level on the peripheral sites (dorsal hand and feet) than those of the full-term infants, possibly resulting from therapeutic regimens including an incubator or radiant warmer. Infants in an incubator showed a higher hydration level than those in radiant warmers, suggesting more attention to fluid management for infants in the open environment. In addition, all stratum corneum hydration measurements except one, from the forehead, showed a positive correlation with postnatal age in full-term infants while showing no relation to any measurements in premature infants. Conclusion: The study demonstrated the very low skin hydration levels in hospitalized neonates, particularly in premature neonates with more susceptible skin hydration instability despite therapeutic interventions for fluid balance. More vigilant fluid management is imperative in neonates, particularly those in the open environment.

A Study on the Effectiveness of Therapy Dog Assisted Program through Repeated Interventions for the Autistic Children (자폐아동의 대인상호작용 증진을 위한 치료견 매개프로그램의 효과 및 효과 지속성에 대한 평가)

  • Shin, Sung-Ja
    • Korean Journal of Social Welfare
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    • v.45
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    • pp.250-287
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    • 2001
  • This study concerns therapeutic effects and long-term effects of Therapy Dog Assisted Program (TDAP) on autistic children. Subjects participating in this study are two groups of Korean elementary school boys of the same age (twelve years old) : an experimental group and a controlled group of equal number of children (six children in total). The thirteen different sessions of the first intervention and eight different sessions of the second intervention were performed over six months (from April 20th to October 27th, 2000). Two standard instrument (ASIEP, E-CLAC) are used as major instruments in order to evaluate the effectiveness of TDAP. Evidene from the present study indicates that the children participating in TDAP program achieved a greater degree of improvement in their social interaction in comparison with the counterpart. The present study also demonstrates that, in general, the effectiveness of TDAP somewhat decreased after the termination of TDAP with some exceptions. However we also found that the effectiveness of TDAP were maintained in the some behavioral area such as bowing to teacher, play for cooperation with peers, which activities were sufficiently offered TDAP to the children. The questions of possible influence of parental support and other family background of each individual autistic child on the effect and long-term effect of TDAP need to be addressed in future study.

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An Experimental Study on the Mechanical Properties of Hwangtoh Concrete (황토콘크리트의 역학적 특성에 대한 실험적 연구)

  • Tak, So-Young;Hong, Geon-Ho;Kim, Jang-Ho
    • Proceedings of the Korea Concrete Institute Conference
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    • 2008.04a
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    • pp.689-692
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    • 2008
  • The purpose of this study was to analyze mechanical properties through an experiment of concrete that reinforced PET fiber, blast furnace slag and Hwangtoh. As admixture that is substitute material of cement for environmental concrete development In order to measure compressive strength, the experiment has executed to concrete, Hwangtoh concrete and a mixture specimen of Hwangtoh and PET reinforcement fiber. Also, creep and drying shrinkage experiment have executed to analyze long-term quality of specimens. Test results, compressive strength by age was not much of difference as a substitute, however, compressive strength of HTC specimen was the strongest of the three specimens. In the case of creep and drying shrinkage, long-term quality of HTC specimen was distinguished.

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A Study on Guiding Principles for Designing Interior Space of Long-Term Care Facilities for The Elderly with Dementia in Korea - Focused on the analysis of living Conditions of the elderly with dementia - (한국 치매노인을 위한 전문요양시설 실내공간디자인 지침에 관한 연구 - 치매노인의 생활행태분석을 중심으로 -)

  • Joung, Yeo-Ju;Choi, Sang-Hun
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2005.05a
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    • pp.217-222
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    • 2005
  • The considerable increase of the elderly with dementia is expected annually and when we think about the family members' and the patients' suffering, it could be painful. Above all things, it imposes heavy economic burdens on the family members that have patients who suffer from diseases of age like dementia or paralysis that caring them at home and also, it is not desirable for those old people in point of physical or environmental circumstances for medical care. Thus, it is needed urgently that the expansion of specified facilities and improvement of services for these old people. Under this present condition, it is the special feature that the subject of research is people/facilities that offer services, not the elderly with dementia-the main user of those facilities. Thus, it is the time that we need various accessing plans that can grasp the patiences' activities and specialties and solve these problems in view of designing interior space. So, I tried to make designs that manage the elderly with dementia effectively and adequate to run facilities with considerations on the state of domestic specialized long-term care facilities for the elderly with dementia and researched guiding principles on physical healing surroundings with analysis that focused on the patients' activities, especially.

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The Injectable Fibroblast-Hyaluronic Acid Complex for Augmentation Rhinoplasty (Hyaluronic Acid와 배양된 섬유모세포의 혼합주입을 이용한 융비술)

  • Shin, Seung-Han;Han, Seung-Kyu;Lee, Byung-Il;Kim, Woo-Kyung
    • Archives of Plastic Surgery
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    • v.32 no.5
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    • pp.593-598
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    • 2005
  • Although several suspension biomaterials have been considered to be relatively safe and convenient, varying degrees of resorption have required repeated percutaneous injection. In the previous animal study the authors have reported that cultured human fibroblasts suspended in $Restylane^{(R)}$, which is modified hyaluronic acid, could produce human dermal matrices and prolong the effect of this gel. This study was undertaken to evaluate the clinical efficacy of this method. A total of 11 patients ranging from 25 to 57 years of age were included in this study between January of 2002 and December of 2003. All the patients were treated for the purpose of augmentation rhinoplasty. $1{\times}10^7/ml$ or $1.5{\times}10^7/ml$ cultured fibroblasts were suspended in 0.7 to 1.4 ml of $Restylane^{(R)}$. The implants were transferred to a 1-ml syringe and injected subcutaneously to the nose of the patients. Among 11 patients, long term follow-up for more than 1 year was possible in 6 patients. The injected implants remained in site without evidence of resorption or loss of correction. All the patients were satisfied with long term results of this method. There was no complication during the follow-up period.

Conus Medullaris Levels on Ultrasonography in Term Newborns : Normal Levels and Dermatological Findings

  • Asil, Kiyasettin;Yaldiz, Mahizer
    • Journal of Korean Neurosurgical Society
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    • v.61 no.6
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    • pp.731-736
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    • 2018
  • Objective : Ultrasonography (US) is the most non-invasive, safe, and, especially in the period of infancy, best method for visualizing and examining the spinal cord. Furthermore, US is the primary work-up for development of the spinal canal, and for follow-up on issues relating to subcutaneous tissues, bone development, and the spinal cord. Conus medullaris terminates at the second lumbar vertebra, according to a consensus in the literature. Methods : Healthy children under the age of 6 months who were admitted to the radiology clinic for routine USG follow-ups between the dates of March 2012 to December 2014 were included in this study. Results : Our study includes data from 1125 lumbosacral ultrasounds. The terminal point of the conus level of the attended infants, superior, middle part, inferior of the vertebrae L1, L2, and L3. Furthermore, the termination of the discal distance ratio did not differ significantly between genders. Conclusion : Therefore, according to our results, gender is not an influencing factor in the termination of the spinal cord. Based on the study we performed, as well as the previous literature, in infants without a recognized spinal pathology, the spinal cord is detected below the vertebra L3.

A Study on the Necessity of Introducing a General Support Center to Assist of the 'Aging in Place' of the Elderly - A Comparison of Japanese Cases and Domestic Situations - (노인의 AGING IN PLACE 증진을 위한 종합지원센터 도입 필요성에 관한 연구 - 일본 사례의 조사 및 국내 현황의 비교 -)

  • Kim, Mi-ran;Lee, Kyung-Hoon
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.34 no.5
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    • pp.51-60
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    • 2018
  • The purpose of this study is to find ways to improve the quality of life in old age. 'Act on Long-Term Care Insurance for the Aged' has been enforced since 2008 in Korea. But This is not encompass all of the elderly policies. Aging policies service separately each part by residential, welfare, and so on. There are 'Local Community Support Service' and 'Community General Support Center' for seniors as a comprehensive institution in Japan. Local Community Support Service is preventive and regional. And Community General Support Centers are sufficiently provide for each region. Japan can be a leading model of Korea. Therefor it analyzes Japanese cases and compares to the domestic situations in this study. Through this process, this study measures the necessity of the General Support Center for the elderly.