Background: Nasal applied continuous positive airway pressure(CPAP) is a highly effective method of treatment for obstructive sleep apnea syndrome. More than a decade of accumulated experience with this treatment modality confirmed that it is unquestionably the medical treatment of choice for patients with obstructive sleep apnea syndrome. However it takes long time to reach optimal CPAP pressure. To save the time to reach optimal pressure, it is necessary to clarify the time to reach optimal pressure for treatment of obstructive sleep apnea syndrome. Method: CPAP pressure is titrated during an overnight study according to a standardized protocol. Just before the presleep bio-calibration procedures, the technician applies the nasal mask and switches on the clinical CPAP unit. Initial positive for pressure is typically 3.0 centimeters of water pressure. After sleep onset, the technician gradually increases the pressure until sleep-disordered breathing events disappear or become minimal. The pressure must maintain maximal airway patency during both NREM and REM sleep to be considered effective. Before recommending a final pressure setting, sleep recording and oximetry data are reviewed by an American Board of Sleep Medicine certified Sleep Specialist and a Registrered Polysomnographic Technologist. Results: We examined the time required to reach optimal pressure during routine CPAP titration in 127 consecutively evaluated individuals diagnosed with sleep-disordered breathing. Results indicate that 33% of patients required more than four hours to attain satisfactory titration. This indicates that a four-hour session is marginally enough time, at best, to determine a proper CPAP pressure setting. Moreover, 60 of 127 patients required further adjustment after optimal pressure was reached. These additional pressure trials were needed to confirm that higher pressures were not superior for eliminating sleep-disordered breathing events. Conclusions: The data presented underscore the logistical difficulty of titrating CPAP during split-night studies without modifying the titration procedure. Futhermore, the time needed to reach optimal pressure makes it improbable that proper CPAP titration can be performed during a 2-3 hour nap study.
Kim, Hyung-Chul;Choi, Woo-Jeung;Lee, Won-Chan;Koo, Jun-Ho;Lee, Pil-Yong;Park, Sung-Eun;Hong, Seok-Jin;Jang, Ju-Hyoung
Journal of Environmental Science International
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v.16
no.5
/
pp.571-581
/
2007
The mechanism of water pollution in Lake Shihwa, one of highly eutrophicated artificial lakes in Korea, has been studied using a numerical 3D physical-biochemical coupled model. In this study, the model was applied to estimate the contribution of land-based pollutant load to water quality of heavily polluted Lake Shihwa. The chemical oxygen demand(COD) was adopted as an index of the lake water quality, and the spatial distribution of an average COD concentration during the summer from 1999 to 2000 was simulated by the model. The simulated COD showed a good agreement with the observed data. According to reproducibility of COD, the high-est levels between 8 and 9 mg/L were shown at the inner site of the lake with inflow of many rivers and ditches, while the lowest was found to be about 5 mg/L at the southwestern site near to dike gate. In the pre-diction of water quality of Lake Shihwa, COD showed still higher levels than 3 mg/L in case of reduction of 95% for land-based pollutant load. This suggests that the curtailment of land-based pollutant load is not only sufficient but the improvement of sediment quality or the increase of seawater exchange should be considered together to improve a water quality in Lake Shihwa.
The effects of precooling treatments on the storability of chicon were investigated during modified atmosphere (MA) storage. The forced air cooling showed faster precooling rate that reduced the internal temperature of chicon to $2{\pm}1^{\circ}C$, and the precooling time of forced air cooling was 1/6 of room cooling. The half cooling time was 3 hr 21 min in room cooling and 1 hr 17 min in forced air cooling. Weight loss was less than 0.5% in all treatments both $5^{\circ}C$ and $10^{\circ}C$ MA storage and maintained higher in forced air cooling treatment. The concentration of carbon dioxide, oxygen, and ethylene of $50{\mu}m$ ceramic film packages were observed higher at $10^{\circ}C$ than $5^{\circ}C$. The precooling effect on respiration reduction was not shown at $5^{\circ}C$, but appeared that the gas concentration of precooling treatments showed less carbon dioxide and higher oxygen than non precooling treatment by 9 days after $10^{\circ}C$ storage. Ethylene concentration of precooling treatments showed lower than non precooling treatment until 3 days both $5^{\circ}C$ and $10^{\circ}C$ MA storage. Precooling showed the effect on maintaining visual quality of chicon both $5^{\circ}C$ and $10^{\circ}C$ MA storage. However, the forced air cooling that showed faster precooling rate did not appeared more precooling effect on the visual quality than room cooling because the fast air flow (6.0 m/sec) of forced air cooling hit directly on chicon outer leaves and might cause physical damage to chicon. Although the forced air cooling showed the effect on maintaining quality of chicon, but additional studies should be needed that investigated proper air flow rate and cooling box structure can prevent physical damage by air flow.
Kim, Bom-Chul;Choi, Eun-Mi;Hwang, Soon-Jin;Kim, Ho-Sub
Korean Journal of Ecology and Environment
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v.33
no.4
s.92
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pp.366-373
/
2000
Toxin production and low digestibility of cyanobacteria are known to cause low exploitability of cyanobacteria by zooplankton. In this study, we compared relative tolerance and compatibility of zooplankton taxa in eight eutrophic lakes, exposed to frequent cyanobacterial blooms, uring the summer season of 1999. Microcystis, Anabaena, Oscillatoria and Phormidium were common cyanobacteria in all lakes. with relatively lower $NO_3-N$ concentration (<0.2 mgN/l) and TN/TP ratio (<20), compared with other lakes where colonial cyanobacteria dominated. Rotifers were dominant zooplankton in most lakes, and among them, Keratella, Polyarthra and Hexathra were common. The laboratory feeding experiment showed that relative copepods that greatly decreased (90%) after 4 day when cyanobacteria were used as the food source of zooplankton, while rotifers gradually increased with the change of dominant taxa from Keratella through Pompholyx to Monostyla. These results suggest that rotifers may be capable of coexisting with cyanobacteria by exploiting them for the food source.
A highly sophisticated expertise and systematic and integrated management of security operation are essential for a crowded stadium. a special object of security guarding. Nonetheless, the recent incident in a singing concert hall reveals the overall problem like the lacking safety management system. lacking deployment of professional security personnel, absence of safety manuals and safety measures, as well as the lack of professionalism of private sector security companies. In this study, we presented three categories that needed improvement, like the legal and institutional improvement, improvement of policy and improvement of operation which are required to set up the model to operate the optimal private sector security duties. For the revision of law and institution for a better and more desirable method, we discussed the revision of related laws and regulations pursuant to the security operation at places where events are held, including the revision of law on security guarding work, regulation on common housing management, uniformity of security guarding, and law on performance. For the improvement of policies, we discussed the introduction of security consultants, strengthening the security instructor system, expansion of relevant organizations, establishment of mutual cooperation, privatization of profitable events, improvement of awareness about the security activities provided by private sector, policy for the professionalism of private security operation, expansion of security exhibition and seminar. For the improvement of operation. we discussed professional security techniques. such as the technique of security consulting, the application of CPTED technique, the technique for the integration of system, the method of operation, the establishment of a system to support public security operations and volunteers, establishment of a manual for security guarding performance, modernization and high tech-oriented equipment, organization of security guarding entity in which the industry, academic society and government participates together.
Journal of the Korean Society of Marine Environment & Safety
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v.18
no.2
/
pp.101-114
/
2012
The physico-chemical characteristics including water temperature, salinity, dissolved oxygen(DO), chemical oxygen demand (COD), chlorophyll-a(Chl. a), suspended particulate matter(SPM) and dissolved inorganic nutrients were investigated in the Garolim Bay, Yellow Sea, Korea in 2010 carried out six times per year at 11 fixed stations by Korea Fisheries Research & Development Institute. The water temperature, salinity, COD, dissolved inorganic nutrients, Chl. a and SPM showed significant difference between surface and bottom water but the other parameters didn't. There were not significant difference between stations. The water temperature showed typical change patterns of the temperate seawater. The annual average of salinity showed more than 31 so that there could not have occurred low saline water. The average of DO from June to August showed over than 3mg/L which showed higher than the below standard value of the hypoxic (oxygen-deficient) water. The average of Chl. a varied $1.68{\mu}g/L$ at surface, $2.38{\mu}g/L$ at bottom layer in June and $1.68{\mu}g/L$ at surface, $1.57{\mu}g/L$ at bottom layer at August. The dissolved inorganic nutrients showed high concentration in February and low concentration in August due to the limitation of the freshwater input in summer and phytoplankton used to the dissolved inorganic nutrients. The ratio of DIN/DIP showed 30.52 at surface and 37.89 at bottom layer in June which was higher than other month. The SPM was 44.15mg/L at bottom layer in February which was the highest value in this study due to the northwest monsoon. Because of the actively water change in the open sea without inflow of freshwater from land in Garolom Bay, there were not occurred low saline water and hypoxic water. thus, this Bay showed good water quality and required to be conserved continuously as important costal area for fisheries.
YANG Han-Soeb;KIM Seong-Soo;KANG Chang-Geun;CHO Kyu-Dae
Korean Journal of Fisheries and Aquatic Sciences
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v.24
no.3
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pp.185-192
/
1991
The vertical distribution and chemical characteristics of water masses were measured along two south-north transects in the polar front region of the central Korean East Sea. In February, a thermocline was present at depth between 50m and loom at the southern sites of a landward A-transect, and its depth was gradually deepened northward. At an outside B-transect, a thermocline was observed at significantly deep depth of 300m to 400m at two northern stations(Stn. 10 and 11), though the depth of the southward stations was nearly identical to that at the northward stations on a A-transect. In September, there were vertically more various water masses, i.e. the Tsushima Warm surface water(TWSW) or more than $20^{\circ}C$, the Tsushima Middle water(TMW) with a range of $12{\~}17^{\circ}C$, the North Korea Cold Water(NKCW) with $1{\~}7^{\circ}C$ temperature, the Japan Sea Proper Water(JSPW) of less than $1^{\circ}C$, and the mixed water. The North Korea Cold Water could be distinguishable from the other waters, especially from the mixed water of the Tsushima Middle Water and the Japan Sea Proper Water by the pattern of $T-O_2$ diagram. For instance, the North Korea Cold Water had higher oxygen by $1{\~}2ml/l$ than those in the mixed water, although both the two water masses ranged $1{\~}7^{\circ}C$ in water temperature. AOU value was the highest in the JSPW and the lowest in the TWSW. Also, AOU indicated a nearly linear and negative correlation with water temperature. However, AOU data for two masses, the NKCW and the TMW, in September departed remarkably from a regression line. Moreover, the ratio of $$\Delta P/\Delta AOU)$ in September was about $0.45{\mu}g-at/ml$ and higher than the value observed in the open sea. This high value could be elucidated by two factors; intrusion of the NKCW with high oxygen and molecular diffusion of dissolved oxygen from the surface into the lower layer. AOU would be a useful tracer for water masses in the polar front area of the Korean East Sea.
Park, Soung-Yun;Kim, Sang-Soo;Kim, Pyoung-Joong;Cho, Eun-Seob;Kim, Byong-Man;Jeon, Sang-Baek;Jang, Su-Jeng
Journal of the Korean Society of Marine Environment & Safety
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v.17
no.3
/
pp.203-218
/
2011
Long-term trends and distribution patterns of water quality were investigated in the Yeoja Bay of South Sea, Korea from 1976 to 2010. Water samples were collected at 3 stations and physicochemical parameters were analyzed including water temperature, salinity, hydrogen ion concentration (pH), dissolved oxygen (DO), chemical oxygen demand (COD), suspended solids (SS) and nutrients. Spatial distribution patterns of temperature, pH and DO were not clear among stations but the seasonal variations were distinct except ammonium. The trend analysis by principal component analysis (PCA) during 31 years revealed the significant variations in water quality in the study area. Spatial water qualities were discriminated into 2 clusters by PCA; station cluster 1 and 2~3. Annual water qualities were clearly discriminated into 4 clusters by PCA. By this multi-variate analysis, the annual trends were summarized as the followings; water temperature, COD and SS tended to increase from late 1970's, decreased salinity, and increased phosphate from 1991 to 2001 and increased dissolved inorganic nitrogen. Water quality was showed by the input of fresh water same as those of Kyoungin coastal area, Asan coastal area, Choensoo bay, Gunsan coastal and Mokpo coastal area in the Yeoja Bay.
Our previous study suggested that n-3 fatty acid deficiency was associated with significantly reduced spatial learning as assessed by Morris water maze test. Here we investigated an effect of n-3 fatty acid deficiency on rat brain, retina and serum fatty acyl compositions at 15 wks age using a first generational artificial rearing technique. Newborn Rat pups were separated on day 2 and assigned to two artificial rearing groups or a dam-reared control group. Pups were hand fed artificial milk via custom-designed nursing bottles containing either 0.02%(n-3 Deficient) or 3.1% (n-3 Adequate) of total fatty acids as a-linolenic acid(LNA). At day 21, rats were weaned to either n-3 deficient or n-3 adequate pelleted diets and fatty acid compositions of brain, retina and liver were analyzed at 15 wks age. Brain docosahexaenoic acid(DHA) was lower(58% and 61%, P<0.05) in n-3 deficient in comparison to n-3 adequate and dam-reared groups, receptively, while brain docosapentaenoic acid(DPAn-6) was increased in the n-3 deficient group. In retina and serum fatty acid compositions, the decreased precentage of DHA and increased precentage of DPAn-6 were observed. These results suggested that artificial rearing method can be used to produce n-3 fatty acid deficiency in the first generation and that adequate brain DHA levels are required for optimal brain function.
Kim, Yun-Seol;Yoon, Ho-Seop;Park, Il-Woong;Lee, Woo-Bum;Joo, Seung-Yong;Choi, Sang-Duk
Korean Journal of Environmental Biology
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v.26
no.4
/
pp.279-291
/
2008
The seasonal distribution pattern of the Bivalvia samples collected from 12 stations in Gamak Bay in April, July, September and November from 2001 to 2006. A total of 28 species (226.72$\pm$196.20 ind. m$^{-2}$) were identified. The COD has decreased from 3.30 mg L$^{-1}$ to 1.89 mg L$^{-1}$ level on average and especially, the COD of sediment has decreased from 21.51 mg g-dry$^{-1}$ to 16.99 mg g-dry$^{-1}$ level on average. Therefore, water quality level of Gamak Bay was improved from level 3 to 2. The dominant species over 1.0 percentages were composed of the total 13 species, and they occupied 96.75% of the total density of the Bivalvia. Major dominant species was Musculista senhousia 100.38 ind. m$^{-2}$ (22.16%), Moerella rutila 69.00 ind. m$^{-2}$ (15.23%), Theorafragilis 49.70 ind. m$^{-2}$ (10.97%), Mytilus edulis 42.18 ind. m$^{-2}$ (9.31 %), and Raphia undulata 40.99 ind. m$^{-2}$ (9.05%). This area could be divided into three groups by the cluster analysis based on the total species composition.
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