• 제목/요약/키워드: visual effect

검색결과 3,314건 처리시간 0.025초

전슬관절치환술 후 경막외 자가조절진통 약제에 혼합한 Naloxone의 효과 (Effects of Naloxone Mixed with Patient-Controlled Epidural Analgesia Solution after Total Knee Replacement Surgery)

  • 권민아;박효원;이애령;김태형;이관우;김석곤;최덕환
    • The Korean Journal of Pain
    • /
    • 제19권2호
    • /
    • pp.187-191
    • /
    • 2006
  • Background: Patient-controlled epidural analgesia (PCEA), using a local anesthetic-opioid mixture, has been effectively applied after total knee replacement (TKR) surgery, which is associated with intense postoperative pain that requires postoperative analgesia for both rehabilitation and the pain itself. However, adverse opioid-related effects, such as nausea, vomiting and pruritus, are commonly encountered. It was our hypothesis that the adverse opioid-related effects could be reduced by the addition of naloxone, an opioid antagonist, to a mixture of fentanyl-ropivacaine PCEA. Methods: In 120 patients undergoing elective TKR surgery, epidural or combined spinal-epidural (CSE) anesthesia was performed and PCEA applied. In the control group (n = 65), 0.16% ropivacaine and $3{\mu}g/ml$ fentanyl ($2.4{\mu}g/ml$ for those older than 65 yrs) were administered. In the naloxone group (n = 55), naloxone ($2{\mu}g/ml$) was coadministered with the above regimen. The incidence and severity of postoperative nausea and vomiting, and the frequency of pruritus, the visual analog score (VAS) and the PCEA volume used were assessed 6 and 24 hrs after surgery. Results: The incidence of nausea and vomiting during the early postoperative period, and those of pruritus during the late postoperative period were significantly lower in the naloxone group. The VAS pain scores, the PCEA volume used and amount of rescue IV meperidine were similar in the two groups. Conclusions: A small dose of naloxone mixed with an opioid significantly reduces the incidence and severity of adverse opioid-related effects in PCEA, without reducing the analgesic effect.

외이전기경혈자극과 경피전기신경자극이 슬관절 전 치환슬 환자의 수술 후 통증조절에 미치는 효과 (The Effects of Auricular Electroacustimulation and Transcutaneous Electrical Nerve Stimulation on Postoperative Pain Control in Total Knee Replacement Patients)

  • 김태열;황태연;허춘복
    • 대한물리치료과학회지
    • /
    • 제1권1호
    • /
    • pp.145-163
    • /
    • 1994
  • This study was done to determine differences in effect of postoperative pain control in patients receiving auricular electroacustimulation vs transcutaneous electrical nerve stimualtion following total knee replacement surgery. Thirty-one cases referred to physical therapy department after treated by total knee replacement surgery by orthopedic surgery department at the Pohang St. Mary's Hospital from January 1993 through June 1994. Of 31 total knee replacement cases, 13 cases were auricular electroacustimulation group, 11 cases were transcutaneous electrical nerve stimulation group, and 7 cases were control group. The results of the study summerized are as follows: Thirty-one total knee replacement cases(male in 12 cases, female in 19 cases), ranging in age from 34 to 61 years(mean${\pm}$SD=49.90 7.56) with diagnoses of degenerative arthritis(20 cases), rheumatoid arthritis(9 cases), and other(2 cases). In auricular electroacustimulation group, there was a significant change of pain intensity, unpleasantness, and active range of motion after treatment(p<0.01). In transcutaneous electrical nerve stimulation group, there was a significant change of pain intensity, unpleasantness, and active range of motion after treatment(p<0.01). In control group, did not show significant pre-posttreatment differences in pain intensity, unpleasantness, active range of motion(p>0.05). The mean change in pain intensity and unpleasantness, active range of motion from pretreatment baseline for the 3 groups. Auricular electroacustimulation group showed the large magnitude of increase in pain intensity and unpleasantness, active range of motion when compared to its own pretreatment cycle. Transcutaneous electrical nerve stimulation group showed small magnitude of increase in pain intensity and unpleasantness, active range of motion when compared to its own pretreatment cycle. No significant changes were observed in control group. Highly significant differences in pain intensity, unpleasantness, and active rage of motion were found using an ANOVA measures between treatment groups and control group(p<0.01). The squares correlation coefficients of pain and function measures pretreatment-posttreatment differences for each group. In treatment group, there was significant correlation between pain scale and function(p<0.001). In control group, there was no correlation between the pain scale and function (p>0.05). The continuous study is needd for many interesting issues of auricular electroacustimulation in new future.

  • PDF

고려시대 금채자기의 채색기법 재현실험 연구 (Research on Re-creational Experiment and Technique of Gold Powder Painting for Goryeo Gold-painted Porcelain)

  • 황현성;이다혜
    • 보존과학회지
    • /
    • 제27권4호
    • /
    • pp.403-414
    • /
    • 2011
  • 본 연구는 2007년 국립중앙박물관 소장유물인 고려시대 화금청자 2점과 중국 북송시기 화금도자 3점의 금 잔존여부 및 금채의 채색기법 연구를 바탕으로 고려시대 금채장식을 재현 실험하였다. 도자기 시편 위에 4개의 교착제와 금분을 섞어 금채 후 $100^{\circ}C{\sim}1200^{\circ}C$까지 단계별 번조하여 표면의 교착상태와 발색력을 현미경과 색도를 관찰하였다. 이를 통해 각 교착제에 따른 시각적 효과와 적정온도를 파악하였고, 그 중 기름과 아교가 가장 뛰어난 교착력과 발색력을 보이는 것을 알 수 있었다. 이에 따라 완형의 현대 재현 고려 상감청자의 유약 표면에 기름과 아교를 각각 금채한 후 적정온도인 $700^{\circ}C{\sim}800^{\circ}C$에서 번조하였으며, 두 교착제가 유약 위에 교착된 상태를 파악하기 위해 금채의 단면을 SEM으로 관찰하였다. 그 결과, 교착력은 차이가 없었으나, 발색력, 밀도 등은 아교가 다소 떨어지는 차이가 있었다. 또한 기름은 실온에서 건조되지 않는 반면, 아교는 건조되는 장점으로 작업성이 좋은 편이었다. 이에 반해, 아교는 작업성 측면에서는 기름에 비해 매우 뛰어난 장점을 보였으나 발색력에서는 기름에 비해 다소 떨어지는 것을 이번 실험을 통해 알 수 있었다.

교통사고 후 요통을 호소하는 환자에 대한 약침과 추나의 치료효과 비교 연구 (The Comparative Study on the Effect of Pharmacopuncture Treatment and Chuna Treatment for Low Back Pain caused by Traffic accidents)

  • 김준수;이재훈;양기영;김정원;노해린;정윤규;한상엽;황은미
    • 척추신경추나의학회지
    • /
    • 제6권2호
    • /
    • pp.155-164
    • /
    • 2011
  • Objectives : The purpose of this study is to compare the effects of Pharmacopuncture Treatment with Chuna Treatments for Low Back Pain caused by Traffic accidents. Methods : This study was carried out on 81 patients with low back pain caused by Traffic accidents. The patients were divided into 2 group ; The pharmacopuncture(A) group was treated by pharmacopuncture treatment. The chuna(B) group was treated by chuna treatment. We measured Oswestry Disability Index(ODI) and Visual Analog Scale(VAS) on the patients before the treatment and on the 2nd, and 4th weeks after the treatments. Results : After being treated by our methods, the ODI and VAS score's were improved after the 4th weeks treatment in both groups. There is no significant difference on ODI and VAS score after the 4th weeks treatment in both groups. In the early stages(from pre to 2 weeks worth of treatment), Group A showed a decreasing VAS score compared to Group B. In the final stages(from 2 weeks to 4 weeks worth of treatment), Group B showed a higher decreasing amount compared to Group A in VAS score. Conclusions : The results suggest that both pharmacopuncture treatment and chuna treatment is considered to be effective and useful on low back pain caused by traffic accidents. There is no significant difference between pharmacopuncture treatment and chuna treatment for low back pain caused by traffic accidents, however the early stages of treatments(from pre to 2 weeks treatement) show that pharmocopouncture treatment is more effective than chuna treatment for low back pain by traffic accidents. In the final stages(from 2 weeks to 4 weeks treatment), chuna treatment is more effective than pharmacopuncture treatment for low back pain by traffic accident.

  • PDF

토양(土壤)-식물계(植物界)에 대(對)한 방사성핵종(放射性核種)의 거동(擧動)에 관(關)한 연구(硏究);I. 대두작물(大豆作物)에 의(依)한 Cs-137의 흡수이행(吸收移行) (Studies on the Behaviour of Radionuclides in the Soil-Plant System;1) On the Uptake of Cesium-137 by Soybean)

  • 류준;김재성;이영일
    • 한국환경농학회지
    • /
    • 제2권1호
    • /
    • pp.30-34
    • /
    • 1983
  • 원자력시설(原子力施設)에서 방출(放出)될 수 있는 주요 핵종중(核種中)에서 $Cs^{137}$을 인위적으로 토양(土壤)에 처리(處理)하여 작물체(作物體)에 흡수(吸收), 이행(移行) 및 농축관계(濃縮關係)를 구명(究明)하고자 pot(토양(土壤)10㎏)당(當) $0.5{\sim}60{\mu}Ci$로 처리(處理)한 후 대두(大豆)를 재배(栽培)하여 다음과 같은 결과(結果)를 얻었다. 1) 공시(供試)된 $Cs^{137}$의 상기(上記) 처리농도(處理濃度)에서는 대두작물(大豆作物)의 생장저해(生長沮害) 영향을 볼 수 없었다. 2) 처리농도(處理濃度) 증가(增加)에 따라 대두작물(大豆作物)의 $Cs^{137}$흡수(吸收)는 증가(增加)하였으나 K함양(含量)은 감소(減少)하였으므로 두 이온간(間)의 길항성(拮抗性)을 보였다. 3) 생육시기별(生育時期別) 흡수량(吸收量)은 pod 형성기(形成期)까지는 증가(增加)하다 수확기(收穫期)에는 감소(減少)하는 경향을 보였고 종실(種實)에 비해 경엽부(莖葉部)에 높은 축적(蓄積)을 보였다. 4) 대두작물(大豆作物)의 $Cs^{137}$ 흡수률(吸收率)은 $0.069{\sim}0.005$의 범위로 $Cs^{137}$처리농도(處理濃度)에 따라서 감소(減少)하였고, 이행률(移行率)은 평균(平均) 38.6%였고, 종실(種實)에의 농축계수(濃縮係數) 또한 농도(濃度)의 증가(增加)에 따라 감소(減少)하였으며 $20{\mu}Ci$처리구(處理區)를 기준(基準)으로 할 경우 농축계수는 0.04 였다.

  • PDF

중등학교 교과서에서 삽화 콘텐츠 활용 연구 : 고등학교 '사회.문화' 교과서를 중심으로 (A Study on the Illustration Content Used in Secondary School Textbooks : Focusing on the 'Society.Culture' Textbooks)

  • 민일홍
    • 만화애니메이션 연구
    • /
    • 통권18호
    • /
    • pp.57-72
    • /
    • 2010
  • 정보화 사회에서 요구되는 교과서는 학습 동기와 흥미 유발에 긍정적 영향을 미치는 삽화, 사진을 적절하게 활용하는 것이 필요하다. "그림은 수천 단어 이상의 의미가 있다."는 말에서 알 수 있듯이 시각적 매체의 활용이 중요하다. 이러한 시대적 요청에 의해 고등학교 사회 문화 검인정 교과서 7종 중 'IV 인간과 문화 현상의 이해' 단원을 조사한 결과 삽화, 사진은 총 348쪽에서 삽화 123개, 사진 342개가 사용되었고, 삽화/사진 비율은 35.65%로 조사되었다. 콘텐츠의 내용 요소별 빈도는 삽화는 탐구활동에서 59개(47.96%), 사진은 본문에서 145개(42.4%)로 가장 많이 사용되었다. 또한 사회 문화 수업을 하는 교사를 대상으로 심층 면담을 통해 콘텐츠에 대한 교사들의 활용 실태를 조사한 결과, 교사들은 수업 시 발문에서 많이 이용하고 있으며, 내용을 쉽고 명확하게 하기 위해서 사진보다 삽화의 증가를 요구하였고, 학습자의 학습 도모를 위해 탐구활동에 보다 많은 콘텐츠의 제공을 원했다. 마지막으로 교과서 콘텐츠의 분석 결과 모범적 사례는 제시한 삽화가 탐구활동의 주제나 본문 주제를 잘 드러내어 본문 내용을 읽지 않아도 충분히 내용 전달이 가능하였으며, 중단원 주제를 표현한 삽화 한 장으로 이 단원에서 학습하는 내용을 잘 드러낸 것도 있었다. 반면에 부적절한 사례로는 실생활에서는 일어나기 힘든 경우를 삽화로 제시하거나, 무엇을 의미하는지 이해하기 힘든 삽화도 있었으며, 본문에서 제시하는 내용과 거리가 있는 삽화도 눈에 띠었다. 앞으로는 이러한 점이 수정된다면 좀 더 좋은 교과서가 될 것이다.

  • PDF

A Multicenter Noncomparative Clinical Study on Midface Rejuvenation Using a Nonabsorbable Polypropylene Mesh: Evaluation of Efficacy and Safety

  • Pak, Chang Sik;Chang, Lan Sook;Lee, Hobin;Jeong, Jae Hoon;Jeong, Jinwook;Yoon, Eul-Sik;Heo, Chan Yeong
    • Archives of Plastic Surgery
    • /
    • 제42권5호
    • /
    • pp.572-579
    • /
    • 2015
  • Background Facial rejuvenation can be achieved using a variety of techniques. Since minimally invasive procedures for face lifting have become popular because of their convenience and short operating time, numerous minimally invasive surgical procedures have been developed. In this study, a nonabsorbable polypropylene mesh is introduced as a new face lifting instrument, with the nasolabial fold as the main target area. In this paper, we report the efficacy and safety of a polypropylene mesh in midface rejuvenation. Methods Thirty-three subjects with moderate-to-severe nasolabial folds were enrolled from two medical institutions for a noncomparative single-sample study. A mesh was inserted above the superficial muscular aponeurotic system layer, reaching the nasolabial folds through a temporal scalp incision. After 3 weeks, the temporal end of the mesh was pulled to provide a lifting effect. Then, the mesh was fixed to the deep temporal fascia using nonabsorbable sutures. To evaluate efficacy, we compared the scores on the Wrinkle Severity Rating Scale and a visual analog scale for patient satisfaction between the baseline and 7 weeks postoperatively. In addition, we evaluated safety based on the incidence of adverse events. Results The treatment was deemed effective at improving wrinkles in 23 of 28 cases, and patient satisfaction improved significantly during the study period. There were seven cases of skin or subcutaneous tissue complications, including edema and erythema, but there were no suspected serious adverse events. Conclusions Face lifting using a nonabsorbable mesh can improve nasolabial folds without serious adverse effects. Thus, this technique is safe and effective for midface rejuvenation.

자연표토 복원공법에 의한 암절취비탈면의 생태적 복원에 관한 연구 : 원주사례지역을 중심으로 (Study on the Ecological Restoration of Rock-exposed-cut-slope by Natural Topsoil Restoration Methods : In Case of Won-Ju Experiment)

  • 남상준;석원진;김남춘
    • 한국환경복원기술학회지
    • /
    • 제2권4호
    • /
    • pp.54-63
    • /
    • 1999
  • This study was conducted to suggest the ecological restoration and environmentally friendly revegetation technology for the rock-exposed cut-slopes by the Natural Topsoil Restoration Methods (NTRM) with the following restoration objectives; (1) prevention or reduction of wind and water erosion, (2) provision of food and cover for variety of animal species, (3) improvement of the visual or aesthetic quality of the disturbed slopes. On Nov. in 1995, the 5cm thick layer of artificial soil and 2cm thick layer of straw-mulching was attached at rock-exposed cut-slopes by NTRM without using anchor wire and anchor pin. The main results during four years surveying on the ground-coverage effect, plant growth, species diversity and importance values were summarized as follows. 1. Artificial soil attached at rock exposed cut-slopes was not eroded until recovered by tree and herbaceous vegetation in spite of not using anchor wire and anchor pin. Also it shows low soil hardiness and has almost the same amount of bacteria and fungi with in surrounding natural topsoil. 2. In 'combination for the woody vegetation', Lespedeza cyrtobotrya, Albizzia julibrissin, Rhus chinensis, Indigofera pseudo-tinctoria occupied upper layer vegetation. Since three years after seeding, Indigofera pseudo-tinctoria had overwhelmed the other woody plants and cool season foreign grasses, Erigeron canadensis, Taraxacum mongolicum, Commelina communis, Arundinella hirta (Thunberg) and Oenothera erythrosepala grows at lower part of the vegetation, 3. The heights of the Rhus chinensis grows 1.8m, Indigofera pseudo-tinctoria 2.0m, so it seems that the objectives of woody vegetation with native plants could be accomplished. 4. After 4 years later after seeding in 'combination for the herbaceous vegetation', the most dominant plant was Indigofera pseudo-tinctoria, the next was in order of cool-season grasses, Taraxacum mongolicum, Erigeron canadensis, lxeris dentata (Thunberg), Oenothera erythrosepala, Arundinella hirta (Thunberg). The diversity index in 'combination for woody vegetation' was higher than that in 'combination for the herbaceous vegetation'. The tendency of the intrusion of secondary succession plants was more effective in 'combination for the herbaceous vegetation' than in 'combination for the woody vegetation'.

  • PDF

턱관절 자세 음양 교정술을 병행한 한방치료가 만성요통에 미치는 영향 (The Effect of Korean Medical Treatment with Postural Yinyang Correction of Temporomandibular Joint on Chronic Low Back Pain)

  • 김신영;서종철;서연주;박종현;이윤주;김철홍;송춘호;장경전;이영준;윤현민
    • Korean Journal of Acupuncture
    • /
    • 제33권4호
    • /
    • pp.157-165
    • /
    • 2016
  • Objectives : The purpose of this study was to examine whether or not Postural Yinyang Correction of TMJ(Temporomandibular joint) using Standard intraoral appliance could decrease chronic low back pain. Methods : We reviewed the medical records of 40 patients with TMJ disorder aged from 30 to 70 years from 124 patients who were treated in chronic low back pain at Department of Acupuncture & Moxibustion of Korean Medicine Hospital of Dong-Eui University from November $1^{st}$, 2015 to June $5^{th}$, 2016. The patients were divided into 2 groups: Group A and Group B. In Group A, we treated the patients with acupuncture, sweet bee venom treatment and FCST(Functional Cerebrospinal Therapy) through Standard intraoral appliance from ABA(Accurate Balancing Appliance), Full body exercise therapy, and Upper cervical alignment balance therapy. In Group B, we treated the patients with acupuncture and sweet bee venom treatment. To estimate the effectiveness in controlling pain, we analyzed the Visual analog scale(VAS). To evaluate functional change of patients, we analyzed the Oswestry low back disability questionnaire(ODI). Results : In both groups, VAS and ODI decreased significantly. In the VAS, the result of Group A is significantly more effective than that of Group B. In the ODI, the result of Group A is statistically less effective compared to that of Group B, but not significantly. Conclusions : According to the results, Postural Yinyang Correction of TMJ using Standard intraoral appliance may be effective treatment for low back pain, but the further researches are needed.

현대(現代) 패션에 나타난 고저스(Gorgeous) 이미지에 관(關)한 연구(硏究) - 중세(中世) 비잔틴 시대(時代)의 이미지를 중심(中心)으로 - (A Study of Gorgeous Images in Modern Fashion - Focus on Byzantine Empire in the Middle Ages -)

  • 정윤희
    • 패션비즈니스
    • /
    • 제6권5호
    • /
    • pp.48-58
    • /
    • 2002
  • The purpose of this study is to analyze four separate elements-sublime beauty, elegant beauty, mysticism, ornament-which appeared in materials, patterns, colors, silhouettes, details, and accessories, laying stress on luxurious, brilliant, mysterious feelings on Gorgeous Images appeared as trend theme of modern fashion by mixing religious mysticism of the Byzantine Empire. Mysticism element is using the effect of splendid and gorgeous colors from the Orient rather than forms. And a philosophy of abundant colors in mosaics, which are seen in art forms such as architecture, paintings, etc., shows that it creates some visual rooms for religious spirits. Influenced by the fashion of the Greco-Roman style, the elegant beauty element is expressing abundant comfort and elegant feminine lines that are from creases, and it is also emphasizing natural beauty which seems to slip down by displaying the splendid images of Gorgeous as drapes that fit a body. Ornament element was reflecting an inspiration from the splendid and brilliant culture of religion in the Byzantine Age. Therefore, it was appeared as a style filling the whole with bulky silks, splendid ornamental materials embroidered in gold or silver thread, the complicated geometric patterns that are two-dimensional and dignified, and so on. It was decorated with crosses which represent Christianity as a motif, and also it emphasized the splendor of the Byzantine and dazzling splendid images of Gorgeous by using accessaries decorated with various jewels. The elements of sublime beauty are showing the beauty adding humble and majestic images to it as designs sought by spiritual values or intrinsic values. Those designs, so to speak, have pretense which does not allow to expose a body and plain pure feeling, so that they are showing some abstinent styles in a solemn atmosphere, with most details removed. We can say the Fashion Theme appearing in Modern Times is the result from representing by combining various factors of the times with formative beauty through creative works for aesthetic expression. The moderners are requiring new designs which is possible to meet their individualities, in addition to their outstanding fashion senses. From this point of view, a variety of textiles, patterns, and colors in the Byzantine have a great meaning to fulfill people's various desires as interesting elements.