• The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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• v.26 no.1
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• pp.11-36
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• 2021

The solar annual (Sa) and semiannual (Ssa) tides account for much of the non-uniform annual and seasonal variability observed in sea levels. These non-equilibrium tides depend on atmospheric variations, forced by changes in the Sun's distance and declination, as well as on hydrographic conditions. Here we employ tidal harmonic analyses to calculate Sa and Ssa harmonic constants for 21 Korean coastal tidal stations (TS), operated by the Korea Hydrographic and Oceanographic Agency. We used 19 year-long (1999 to 2017) 1 hr-interval sea level records from each site, and used two conventional harmonic analysis (HA) programs (Task2K and UTide). The stability of Sa harmonic constants was estimated with respect to starting date and record length of the data, and we examined the spatial distribution of the calculated Sa and Ssa harmonic constants. HA was performed on Incheon TS (ITS) records using 369-day subsets; the first start date was January 1, 1999, the subsequent data subset starting 24 hours later, and so on up until the final start date was December 27, 2017. Variations in the Sa constants produced by the two HA packages had similar magnitudes and start date sensitivity. Results from the two HA packages had a large difference in phase lag (about 78°) but relatively small amplitude (<1 cm) difference. The phase lag difference occurred in large part since Task2K excludes the perihelion astronomical variable. Sensitivity of the ITS Sa constants to data record length (i.e., 1, 2, 3, 5, 9, and 19 years) was also tested to determine the data length needed to yield stable Sa results. HA results revealed that 5 to 9 year sea level records could estimate Sa harmonic constants with relatively small error, while the best results are produced using 19 year-long records. As noted earlier, Sa amplitudes vary with regional hydrographic and atmospheric conditions. Sa amplitudes at the twenty one TS ranged from 15.0 to 18.6 cm, 10.7 to 17.5 cm, and 10.5 to 13.0 cm, along the west coast, south coast including Jejudo, and east coast including Ulleungdo, respectively. Except at Ulleungdo, it was found that the Ssa constituent contributes to produce asymmetric seasonal sea level variation and it delays (hastens) the highest (lowest) sea levels. Comparisons between monthly mean, air-pressure adjusted, and steric sea level variations revealed that year-to-year and asymmetric seasonal variations in sea levels were largely produced by steric sea level variation and inverted barometer effect.

• Journal of Hospice and Palliative Care
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• v.9 no.1
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• pp.35-39
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• 2006

A 77-year-old female presented panperitonitis due to advanced gastric ranter during palliative care. In the case of panperitonitis following obstruction or perforation, surgical treatment is vital to avoid fatal sepsis and dehydration. However, the risk of surgery and the residual life of a patient must be carefully considered because of high mortality and complication rate in those patients with advanced disease due to the poor condition. The therapeutic value of aggressive hydration, nasogastric tube insertion, and the use of antibiotics is also questionable. Palliative surgery was not performed on this case, and she passed away peacefully in the presence of family after 4 days of palliative medical care. Here is the appropriate management for this kind of patients we would like to recommend through review of relevant references and long discussions. Firstly, we need to predict survival time using clinical variables. Secondly, considering patient status and risk of surgery, non surgical palliative care such as pain control, transient nasogastric tube insertion, and parenteral hydration is recommended. Minimal use of fluid is desirable to minimize complications such as edema and dyspnea if massive hydration in the beginning of treatment is not proved to be effective. Even though started earlier in the course of disease, discontinuation of antibiotics could be discussed with patients and their caregiver if patient status is not improved.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.35 no.4
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• pp.835-844
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• 2015

Streamflow responses to irrigation reservoirs and groundwater withdrawals were simulated using the integrated surface-water and groundwater model, SWAT-MODFLOW for the upstream watershed of the Gongdo station located in the Anseong stream. The simulated results indicated that the irrigation water supply from the Gosam and the Geumkwang reservoirs has caused the decrease of 31.2%, 82.5% in drought flows below the reservoirs, respectively, against the natural flow condition. While, at the outlet of the study watershed, the effects of the irrigation reservoirs were insignificant due to the delayed return flows with the decrease of 5.7% in drought flow. Both of the irrigation reservoirs and groundwater withdrawals have reduced the drought flows by 19.2% at the Gongdo station.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.2
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• pp.75-81
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• 2020

PURPOSE: The purpose of this study was to investigate the effect of taping method using elastic tape and non-elastic tape on pain, grip strength and muscle activity in middle-aged female patients with lateral epicondylitis. METHODS: The subjects were 40- to 50-year-old female patients with lateral epicondylitis. A total of 22 subjects were divided into two groups, and each group had 11 patients. The intervention was carried out three times a week for 4 weeks. One group applied tape using elastic tape (ETG) while the other group applied tape using non-elastic tape (NETG). The measurement factors were pain, grip strength, and muscle activity. Pain was measured using VAS. Grip strength was measured using a grip dynamometer, and muscle activity was measured using EMG in the affected extensor carpi radialis brevis. Changes in interventions were compared among the groups using a paired t-test. The comparison between groups compared delta values (Changed values) between pre- and post-intervention using an independent t-test. RESULTS: In both groups, there was a statistically significant decrease in VAS. However, there was no statistically significant decrease in the delta value of VAS between ETG and NETG. In both groups, grip strength and muscle activity increased after intervention. There were statistically significant differences in delta values between ETG and NETG. CONCLUSION: Taping is a good intervention method for patients with lateral epicondylitis. Both elastic tape and non-elastic tape were effective. In particular, taping using elastic tape is an effective method for improving muscle function with pain reduction.

• Journal of Advanced Marine Engineering and Technology
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• v.35 no.2
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• pp.216-223
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• 2011

TVC is a kind of ejector which entrains low pressure working fluid by using the high pressure working fluid. While most papers relating with ejectors treat the working fluid as an ideal gas for convenience, the fluid doesn't behave as the ideal gas when phase change occurs. In this study, numerical analysis is conducted by applying Redlich-Kwong equation of state instead of ideal gas equation of state. Two turbulent models are compared for the better prediction and SST k-${\omega}$ model is preferred rather than realizable k-${\epsilon}$ model by comparison. Energy loss at the diffuser inlet and throat using the real gas equation of state is relatively greater than that using ideal gas law. For the real gas case, pressure increase due to shock train at the diffuser outlet is relatively smaller than the ideal gas case, but both cases have the same pressure increase due to a pseudo shock.

• Journal of Chest Surgery
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• v.30 no.11
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• pp.1117-1120
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• 1997

Ten cases with esophageal foreign body were treated surgically from July 1980 to October 1995 at the Departme t of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital. The mean age was 45.3 years, with a range from 25 to 71. Out of ten cases, 6 were female and four were male. Common symptoms were dysphagia, fever, foreign body sensation and neck pain. Three cases of foreign bodies were of fish bones, two of bubble paclcage of drugs, one case of a Eeer bottle cap, one of a piece glass, one of a bathtub plug, one of chicken and one of a bean. The diagnosis was established by esophagography using a water soluble contrast material and esophagoscopy. Among of ten cases, two had esophageal stricture due to the ingestion of Aye at a young age. One case had experienced psychological problems. All foreign bodies were removed by surgical procedures. Five cases were treated by cervical esophagostomy, one case by right thoracotomy, one case by retrograde bougienation through gastrostomy and two cases by cervical incision and drainage for cervical abscess. Three cases developed pos operative esophageal leaks which healed spontaneously and transient hoarseness developed in one case. One case developed traumatic pneumothorax and subcutaneous emphysema which was treated by closed thoracostomy. There were no operative deaths. C(ocean J Thorac Cardiovasc Surg 1997;30:1117-20)

• Proceedings of the Korea Water Resources Association Conference
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• 2020.06a
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• pp.394-394
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• 2020

최근 빈번히 발생하고 있는 슈퍼 태풍과 집중호우로 인해 크고 작은 침수피해가 발생하고 있다. 우리나라는 4대강 사업을 통해 주요 국가하천에 대한 정비를 마친 바 있으나 이후 지속적으로 변화하는 하천 환경에 대한 홍수예측 모형의 반영은 미비한 실정이었다. 따라서 본 연구에서는 낙동강 본류 및 지류의 최신 단면자료를 수집하여 수리학적 홍수예측모형에 반영하고자 하였다. 또한, 기존의 모형에 비해 정확도를 개선할 수 있는 방안을 모색하여 적용성을 검증하고 이를 반영한 수리학적 홍수예측 모형을 제시하고자 한다. 본 연구에서는 낙동강 본류 및 주요 지류에 대한 최신 횡단면 측량자료를 활용하여 1차원 수리학적 홍수예측 모형을 구축하고 2012년 태풍 산바 사상에 대한 검보정을 실시하였다. 대상구간은 안동조정지댐으로부터 낙동강 하구둑 하류 8km지점이며, 상류단 경계조건은 안동조정지댐 방류량을 입력하고 하류단 경계조건은 가덕도 조위관측소의 조위를 활용하였다. 또한, 반변천, 내성천, 위천, 감천, 금호강, 황강, 남강 등 7개 지류에 대한 하도를 하도추적이 가능한 네트워크 모형으로 구축함으로써 지류에 대한 홍수예보에 활용할 수 있도록 하였다. 낙동강 본류의 하도 길이는 340km, 824개의 단면으로 구성하였으며, 지류를 포함한 전체 하도 길이는 572km, 1,570개의 단면으로 구성하였다. 또한, 낙동강 본류에 위치한 8개의 다기능보와 지류에 위치한 횡단구조물의 반영을 위해 다기능보의 제원 및 하천기본계획을 참고하여 내부경계조건으로 활용하였다. 본 연구에서 구축된 낙동강 본류 및 지류의 수리학적 홍수예측 모형을 낙동강 유역에 대한 홍수주의보 및 홍수경보 등 홍수특보 발령 업무에 활용함으로써 정확한 홍수예보가 가능하도록 하였다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.7 no.1
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• pp.48-53
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• 2004

Purpose: Besides interferencence of esophageal motor function by the nasogastric tube, a decline of the positive gastro-esophageal pressure gradient caused by intermittent positive pressure ventilation seems to have a major role in the pathogenesis of gastroesophageal reflux (GER) in mechanically ventilated preterm infants. The aim of this study was to determine the incidence of GER and associated risk factors in mechanically ventilated preterm infants. Methods: Twenty four hour esophageal pH monitorings were performed using a antimony electrode on 11 mechanically ventilated preterm infants in Neonatal Intensive Care Unit in Pusan National University Hospital. We evaluated the following reflux parameters; reflux index, reflux episodes/hour, reflux episodes ${\geq}5min/hour$, duration of longest episode, and percent episodes ${\geq}5min$. Patients were considered to have significant GER if more than 2 among 5 parameters were satisfied. Results: The mean gestational age of the patients was 30.9 weeks, mean birth weight was 1,568 g, and mean age at the time of pH monitoring was 2.8 days. Significant GER was detected in 4 patients (36.4%). There was no relationship between the incidence of GER and gestational age, birth weight, postnatal age, or the ventilator settings. Conclusion: The incidence of GER in mechanically ventilated preterm infants was similar, compared with other previous studies. Associated risk factors of GER in these patients were not detected. Therefore, mechanical ventilation in preterm infants does not seem to be the high risk factor of GER.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.2
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• pp.1264-1272
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• 2015

This study was performed to compare the perceived importance and performance frequency of the core nursing skills between general and special department. Subjects were 182 nurses who work on the hospital. Data was collected using items made by Korean accreditation board of nursing education and analyzed by frequency, mean and t-test. There were differences of importance and frequencies about nursing core skill between general and special wards. Core nursing skills of general wards were higher importance on intradermal injection(p=.011), transfusion(p=.028), simple catheterization(p=.047), cleansing enema(p=<.001), preoperative and postoperative care(p=.035), management administration(p=.027) and oxygenation with cannular(p=.002) than special wards. Actual performance frequency core nursing skills of general wards were higher similar on transfusion(p=.002), intermittent tube feeding(p=.032), simple catheterization(p=<.001), cleansing enema(p=<.001), preoperative care(p=.001), postoperative care(p=<.001), management administration(p=.001), protection equipment for quarantine room and waste disposal(p=.021), oxygenation with cannular(p=<.001) than special wards. It is needed to develop efficient and sequential program to learning the nursing core skills for nursing students.

• Neonatal Medicine
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• v.17 no.2
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• pp.193-200
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• 2010

Purpose: Feeding desaturation is a common problem among preterm infants which can result in prolonged hospital stays, longterm feeding difficulties and growth delay. The purpose of this study was to identify the characteristics of premature infants with feeding desaturation and to examine the effect of orocutaneous stimulation on oral feeding. Methods: During the first phase of this study, 125 extremely low birth weight infants were reviewed retrospectively. Characteristics between infants with feeding desaturation (n=34) and those without feeding desaturation (n=91) were examined. During the second phase, 29 infants recruited from March, 2009 to May, 2010 were subjected to orocutaneous stimulation. The results of orocutaneous stimulation were compared to a control group (n=81). Results: The first phase of the study revealed that extremely low birth weight infants with feeding desaturation were significantly lower in gestational ages at birth, and had lower 5 minute apgar scores, more gastroesophageal refluxes and bronchopulmonary dysplasia. Infants without feeding desaturation reached full enteral feeding significantly earlier and showed shorter duration of hospital stay. At the second phase, infants in the intervention group showed shorter days to achieve initiation of bottle feeding, shorter days in achievement of full bottle feeding, last episodes of feeding desaturation and length of hospital stay compared to the control group of similar characteristics. Conclusion: Orocutaneous stimulation among extremely low birth weight infants results in earlier achievement of full bottle feedings without episodes of feeding desaturation hence shortens the length of hospital stay.