• Parasites, Hosts and Diseases
• /
• v.29 no.2
• /
• pp.101-112
• /
• 1991

While various examples of rationale or benefits of ascariasis control could justify a necessity of control activity in a community, few practical index other than the e99 Prevalence or intensity of infection has been used to evaluate the efficacy obtained by the control activity. A literature-based retrospective study was undertaken to provide some numerical data on the decreasing morbidity of surgical ascariasis as a consequence of ascariasis control in Korea. A thorough review of literatures (1959∼1990) on biliary and other surgical complications of ascariasis reported from general hospitals revealed that their incidence has been decreasing very proportionally to the national figures of its e99 Prevalence and worm burden. For example, according to the remarkable decreases of the prevalence of ascariasis, there is an evident decreasing tendency of the proportion(%) of ciliary ascariasis cases among all biliary surgical patients and the proportion of biliary ascariasis cases among all biliary stone patients in general hospitals. It is highly suggested that the Korean people have been much benefited by the control activity of ascariasis executed at a national scale since 1960s, especially in terms of incidence of biliary and other surgical complications of ascariasis.

• Journal of the Korea Organic Resources Recycling Association
• /
• v.20 no.1
• /
• pp.23-30
• /
• 2012

In the state that re-evaluation of calculating optimum amount of incineration in the future is needed, as considering the amount of waste, increase of heat value and change in floating population in each area in city B, the purpose of this research was to predict optimum available capacity in incineration plant and to study alternatives for the amount of disposal in each incineration plant based on the available capacity that was predicted. As a result of predicting the change in population based on progress of population in city B in the past, it is expected that an overall population is decreasing, but in some areas, population is concentrated due to increased apartment complexes, showing similar figures as the present. Moreover, when predicting the amount of waste through forecasting population, it is considered that the amount of waste by decreased population is also decreasing. However, the amount of combustible component among a total amount of waste is expected to increase, so it is predicted that the amount of incineration and combustible component will be reasonable except D incineration plant, Therefore, D incinerating plant showed 72.7% of rate of utilization of incineration facility compared to 59.1% of national rate. However, if shortfall of waste in the future can be used wisely in other areas, the use of renewable energy using burner useless heat can be maximized.

• Childhood Kidney Diseases
• /
• v.14 no.2
• /
• pp.132-142
• /
• 2010

Hypokalemia usually reflects total body potassium deficiency, but less commonly results from transcellular potassium redistribution with normal body potassium stores. The differential diagnosis of hypokalemia includes pseudohypokalemia, cellular potassium redistribution, inadequate potassium intake, excessive cutaneous or gastrointestinal potassium loss, and renal potassium wasting. To discriminate excessive renal from extrarenal potassium losses as a cause for hypokalemia, urine potassium concentration or TTKG should be measured. Decreased values are indicative of extrarenal losses or inadequate intake. In contrast, excessive renal potassium losses are expected with increased values. Renal potassium wasting with normal or low blood pressure suggests hypokalemia associated with acidosis, vomiting, tubular disorders or increased renal potassium secretion. In hypokalemia associated with hypertension, plasam renin and aldosterone should be measured to differentiated among hyperreninemic hyperaldosteronism, primary hyperaldosteronism, and mineralocorticoid excess other than aldosterone or target organ activation. Hypokalemia may manifest as weakness, seizure, myalgia, rhabdomyolysis, constipation, ileus, arrhythmia, paresthesias, etc. Therapy for hypokalemia consists of treatment of underlying disease and potassium supplementation. The evaluation of hyperkalemia is also a multistep process. The differential diagnosis of hyperkalemia includes pseudohypokalemia, redistribution, and true hyperkalemia. True hyperkalemia associated with decreased glomerular filtration rate is associated with renal failure or increased body potassium contents. When glomerular filtration rate is above 15 mL/min/$1.73m^2$, plasma renin and aldosterone must be measured to differentiate hyporeninemic hypoaldosteronism, primary aldosteronism, disturbance of aldosterone action or target organ dysfunction. Hyperkalemia can cause arrhythmia, paresthesias, fatigue, etc. Therapy for hyperkalemia consists of administration of calcium gluconate, insulin, beta2 agonist, bicarbonate, furosemide, resin and dialysis. Potassium intake must be restricted and associated drugs should be withdrawn.

• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
• /
• v.6 no.4
• /
• pp.265-282
• /
• 2008

Based on the site characterization works in a low and intermediate level waste(LILW) repository site, the numerical simulations for groundwater flow were carried out in order to understand the groundwater flow system of repository site. To accomplish the groundwater flow modeling in the repository site, the discrete fracture network(DFN) model was constructed using the characteristics of fracture zones and background fractures. At result, the total 10 different hydraulic conductivity(K) fields were obtained from DFN model stochastically and K distributions of constructed mesh were inputted into the 10 cases of groundwater flow simulations in FEFLOW. From the total 10 numerical simulation results, the simulated groundwater levels were strongly governed by topography and the groundwater fluxes were governed by locally existed high permeable fracture zones in repository depth. Especially, the groundwater table was predicted to have several tens meters below the groundwater table compared with the undisturbed condition around disposal silo after construction of underground facilities. After closure of disposal facilities, the groundwater level would be almost recovered within 1 year and have a tendency to keep a steady state of groundwater level in 2 year.

• 한국공간정보시스템학회:학술대회논문집
• /
• 2004.12a
• /
• pp.139-143
• /
• 2004

최근 고 해상도 위성영상정보의 민간 활용에 대한 수요가 증가하면서 기존의 공간 정보를 다루는 여러 응용분야에서 이에 관련된 많은 연구를 하고 있다. 도시교통 환경 분석을 위하여 위성영상정보를 처리하는 과정에 있어서 도로, 건물, 기타 선 구조와 같은 지형지물을 분석하는 과정은 사용자에 따라 주관적일 수 있다. 이러한 배경에서 수학적 그레이 레벨 모폴로지는 하나의 효과적인 접근으로 간주된다. 본 연구에서 지형지물 추출을 위해 윈도우 운영체제에서 실행되는 실질적인 응용 프로그램을 구현하였다. 이 프로그램에서 주요한 지형지물은 그레이 레벨 영상을 이용하여 개방(opening), 폐쇄(closing), 침식(erosion), 팽창(dilation)의 순차적 처리를 통하여 자동적으로 추출된다. 결과적으로, GDPA, 허프 변환 또는 다른 알고리듬들과 비교시 하나의 이점이 된다. 모폴로지 처리와 같이 본 프로그램은 그레이 레벨 값의 범위에 기반하여 지형지물을 추출을 위한 density slicing 기능 또는 주어진 경계치 보다 작은 화소 군집을 제거하는 처리인 'sieve filtering'을 제공한다. 이러한 기능들은 형태학적으로 처리된 결과를 증대하고 지형지물 종류들을 분리하는데 유용하다. 또한 배경의 제거, 잡음 탐지, 도시 환경 원격 탐사에서의 지형지물 특성화에 기여한다. 본 프로그램을 이용하는데 있어서 IKONOS 위성영상을 이용하여 시험 구현하였다. 결과, 다중 경계치 또는 steve filtering을 이용한 그레이 레벨 모폴로지 처리는 복잡한 지형지물과 많은 데이터로 구성된 고해상도 영상 내의 주어진 대상에서 자동적인 처리와 사용자 정의 sieve filtering으로 인한 효과적인 지형지물 추출 방법으로 간주 된다. 시안을 작성 표준화를 위한 첫 단계 시도를 소개하였다.분석 결과는 문장, 그림 및 도표, 장 끝의 질문, 학생의 학습 활동 수 등이 $0.4{\sim}1.5$ 사이의 값으로 학생 참여를 적절히 유도하는 발견 지향적 인 것으로 조사되었다. 그러나 장의 요약은 본문 내용을 반복하는 내용으로 구성되었다. 이와 같이 공통과학 과목은 새로운 현대 사회에 부응하는 교과 목표와 체계를 지향하고 있지만 아직도 통합과학으로서의 내용과 체계를 완전히 갖추고 있지 못할 뿐만 아니라 현재 사용되고 있는 7종의 교과서가 교육 목표를 충분히 반영하지 못하고 있다. 따라서 교사의 역할이 더욱더 중요하게 되었다.괴리가 작아진다. 이 결과에 따르면 위탁증거금의 징수는 그 제도의 취지에 부합되고 있다. 다만 제도운용상의 이유이거나 혹은 우리나라 주식시장의 투자자들이 비합리적인 투자형태를 보임에 따라 그 정책적 효과는 때로 역기능적인 결과로 초래하였다. 그럼에도 불구하고 이 연구결과를 통하여 최소한 주식시장(株式市場)에서 위탁증거금제도는 그 제도적 의의가 여전히 있다는 사실이 확인되었다. 또한 우리나라 주식시장에서 통상 과열투기 행위가 빈번히 일어나 주식시장을 교란시킴으로써 건전한 투자풍토조성에 저해된다는 저간의 우려가 매우 커왔으나 표본 기간동안에 대하여 실증분석을 한 결과 주식시장 전체적으로 볼 때 주가변동율(株價變動率), 특히 초과주가변동율(超過株價變動率)에 미치는 영향이 그다지 심각한 정도는 아니었으며 오히려 우리나라의 주식시장은 미국시장에 비해 주가가 비교적 안정적인 수준을 유지해 왔다고 볼 수 있다.36.4%)와 외식을 선호(29.1%)${\lrcorner}$ 하기 때문에 패스트푸드를 이용하게 된 것으로 응답 하였으며,

• Radiation Oncology Journal
• /
• v.4 no.2
• /
• pp.147-153
• /
• 1986

To assess the effect of postoperative radiotherapy on tumor recurrence and patient survival, 133 patients who received adjuvant postoperative radiotherapy for adenocarcinoma of the rectum were retrospectively analyzed. Sixty-one percent of the patients were in stage $C_2$ by Astler-Coller staging system. A significant statistical difference was noticed in failure rates for lymph node negative vs lymph node positive patients; $26\%(9/35)\;vs\;50\%(49/98)$. The incidence of local failure was found to be strongly dependent on the pathologic stages; with $9\%(3/35)$ of recurrence in stage B and $21\%(21/98)$ in stage C. Distant metastasis has occurred in $29\%(38/133)$ of the patients; $2\%(7/35)$ in stage B and $32\%(31/98)$ in stage C. The actuarial survival at 3 years for patients in stage $B_2$, stage $C_1$, and stage $C_2$were $78\%,\;47\%,\;and\;38\%$, respectively. In conclusion, the postoperative adjuvant radiotherapy for rectal carcinoma appears to reduce local recurrence significantly.

• Journal of the Korean Society of Marine Environment & Safety
• /
• v.27 no.5
• /
• pp.605-617
• /
• 2021

The recovery of the sedimentary environment around a fallowing shellfish farm during its rest period after 20 years of long-running operation, was explored in Tongyeong Bay of Korea. Seasonal survey on macrobenthos community was conducted from July 2016 to September 2018 at five stations, which included the fallowing shellfish farm after 20-year operation (FF), a newly installed shellfish farm (NF), a shellfish farm for comparison around the closed shellfish farm (CF), and control stations with no farming activities (Con1, Con2). The total number of species and the density of macrobenthos were higher at the shellfish farm stations than the non-shellfish farm station, and their seasonal changes were significant. The dominant species at the shellfish farm stations was Capitella capitata while Paraprionospio patiens was dominant at the non-shellfish farm stations. The two dominant species were potential organic contamination indicators usually inhabiting the areas with dense organic matter. This suggests that the overall survey area was highly polluted with organic matters. Multivariate analysis showed that the macrobenthic community of CF changed to a level similar to that of Con1 immediately after the investigation, but not to a state above the Con1 level. Furthermore, the changes in NF were not significant when compared to those in CF.

• Journal of the Korean Society of Radiology
• /
• v.83 no.2
• /
• pp.432-438
• /
• 2022

Colonic angiosarcoma is an extremely rare and aggressive malignant tumor with poor prognosis. We report a case of colonic epithelioid angiosarcoma with colonic obstruction and rapidly progressive hepatic metastasis in a 44-year-old female. Abdominal CT revealed a heterogeneously enhancing irregular mass in the ascending colon, causing proximal bowel distension. The patient underwent surgery, and histopathological examination revealed a poorly differentiated carcinoma. A follow-up liver dynamic MRI after 4 months revealed newly developed diffusely scattered numerous small nodules in both hepatic lobes with peripheral and nodular marked arterial hyperenhancement, raising the suspicion of hepatic angiosarcoma. A pathologic second opinion was obtained, and additional immunohistochemistry revealed colonic epithelioid angiosarcoma. The patient showed progressive hepatic metastasis on follow-up abdominal CT after 6 months and died 8 months after initial diagnosis. We describe an educational case of colonic angiosarcoma, a rare malignant tumor, with rapidly progressive hepatic metastasis that showed radiologic findings suggestive of angiosarcoma and enabled a re-diagnosis for proper treatment and prognosis prediction.

• Journal of the Korean Society of Radiology
• /
• v.81 no.4
• /
• pp.1013-1018
• /
• 2020

Ascariasis is an intestinal disease caused by Ascaris lumbricoides. Most patients with ascariasis are asymptomatic; however, the presence of many larvae in the bowel can cause gastrointestinal complications, such as intestinal obstruction, obstructive jaundice, cholangitis, cholecystitis, and pancreatitis. Herein, we report a case of ascariasis presenting as hematoma and active bleeding in the sigmoid mesocolon of a 74-year-old man on computed tomography (CT). Sigmoid colon perforation was also detected on follow-up CT. Laparoscopic low anterior resection was performed; there was a large hematoma in the sigmoid mesocolon. Roundworms were microscopically identified in the mesenteric adipose tissue. The clinical and CT findings of this unusual presentation of ascariasis revealed serial complications during parasite migration from the intestinal lumen to the peritoneal cavity.

• Journal of Chest Surgery
• /
• v.36 no.8
• /
• pp.559-565
• /
• 2003

By improving the flow pattern in Fontan circuit, total cavopulmonary connection (TCPC) could result in a better outcome than atriopulmonary connection Fontan operation. For the patients with impaired hemodynamics after atriopulmonary Fontan connection, conversion to TCPC can be expected to bring hemodynamic and functional improvement. We studied the results of the revision of the previous Fontan connection to TCPC in patients with failed Fontan circulation. Material and method: From October1979 to June 2002, eight patients who had failed Fontan circulation, underwent revision of previous Fontan operation to TCPC at Yonsei University Hospital. Intracardiac anomalies of the patients were tricuspid atresia (n=4) and other functional single ventricles (n=4). Mean age at TCPC conversion was 14.0$\pm$7.0 years (range, 4.6~26.2 years) and median interval between initial Fontan operation and TCPC was 7.5 years (range, 2.4~14.3 years). All patients had various degree of symptoms and signs of right heart failure. NYHA functional class was 111 or IV in six patients. Paroxysmal atrial fibrillation (n:f), cyanosis (n=2), intraatrial thrombi (n=2), and protein losing enteropathy (PLE) (n=3) were also combined. The previous Fontan operation was revised to extracardiac conduit placement (n=7) and intraatrial lateral tunnel (n=1). Result: There was no operative death. Major morbidities included deep sternal infection (n=1), prolonged pleural effusion over two weeks (n=1), and temporary junctional lachyarrhythrnia (n=1). Postoperative central venous Pressure was lower than the preoperative value (17.9$\pm$3.5 vs. 14.9$\pm$1.0, p=0.049). Follow-up was complete in all patients and extended to 50,1 months (mean, 30.3$\pm$ 12.8 months). There was no late death. All patients were in NYHA class 1 or 11. Paroxysmal supraventricular tachycardia developed in a patient who underwent conversion to intraatrial lateral tunnel procedure, PLE was recurred in two patients among three patients who had had PLE before the convertsion. There was no newly developed PLE. Conclusion: Hemodynamic and functional improvement could be expected for the patients with Fontan circulatory failure after atriopulmonary connection by revision of their previous circulation to TCPC. The conversion could be performed with low risk of morbidity and mortality.