• Title/Summary/Keyword: 저하

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Characteristics of patients with decreased mental status while staying in an emergency department: Comparative study with alert patients (응급실 체류 중에 의식이 저하된 환자의 특성: 의식명료 환자와의 비교연구)

  • Moon, Sun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.222-230
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    • 2018
  • This was a retrospective study that compared the characteristics of patients with decreased mental status (DMS) during their stays in an emergency department (ED) with that of patients with alert mental status (AMS). The participants in this study consisted of 90 patients with DMS who were staying in an ED along with 100 randomly selected patients with AMS. The DMS group contained more instances of cerebrovascular disease, liver disease, diabetes, and hypertension compared to the AMS group (p=0.001, p=0.003, p<0.001, and p=0.002, respectively). With regard to triage, the DMS group had higher severity than the AMS group (p<.001). The final diagnosis for the DMS group was as follows: 64.9% neurological and 63.3% related to the digestive system, which differed from that of the AMS group (p<.001). Fifty-six (62.2%) patients with DMS had their statuses discovered by nurses, while nine patients in the DMS group had received cardiopulmonary resuscitation. These results suggest that ED nurses frequently assess the consciousness of patients who they suspect may have neurologic or digestive diseases and are classified as high severity, even when the patients are alert.

Study on FPGA-Based Emulator for the Diagnosis of Gradual Degradation in Reciprocating Pump (왕복동식 펌프의 점진적인 성능 저하 진단을 위한 FPGA 기반 에뮬레이터 구현에 관한 연구)

  • Lim, Sang Sun;Kim, Wooshik;Kim, Tae Yun;Chai, Jang Bom
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.41 no.1
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    • pp.57-62
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    • 2017
  • The purpose of this study is to develop a method for diagnosing the degree of gradual degradation of a reciprocating pump caused by continuous use as a water supply pump in a nuclear power plant. Normally, the progress of such degradation is too slow to be noticed. Hence, it is difficult to determine the degree of degradation using the existing diagnostic methods. In this paper, we propose a new method by which the normal state and the degraded state of the pump can be differentiated, so that the degree of degradation can be identified. First, an emulator was developed using FPGA by providing the parameters of the pump under normal state, so that the emulator generates the information of the pump in the healthy state. Then, by comparing this information with the parameters received from various output sensors of the emulator during the current state, it is possible to identify and measure the degree of gradual degradation. This paper presents some of the results obtained during the development process, and results that show how the emulator operates, by comparing the data collected from an actual pump.

General Trend of Bed Change in the Nakdong River due to Change of Watershed Environment (유역 환경 변화에 따른 낙동강의 하상 변동의 일반적인 경향성)

  • Yu, Kwon-Kyu;Kim, Ho-Sik
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.709-713
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    • 2009
  • 최근의 주안점이 되고 있는 것 중의 과연 우리나라 하천의 하상이 높아지고 있는지 낮아지고 있는지에 대한 논의이다. 하상이 높아지고 있다고 하는 주장은 다목적 댐이나 하구둑에 의해 이른바 홍수가 플러싱이 안되어 하상이 계속 쌓이고, 그에 따라 홍수 위험이 가중되었다고 주장하는 사람들이 있다. 반면에, 오히려 1960년대부터 1970년대 초까지 산에 숲이 없어 토사 유출이 심해 하상이 쌓였으나, 그 이후 산림녹화가 되고 주요 하천에 대댐이 건설되어 하상이 깎이기 시작하였고, 지금은 주요 댐 상류 이외에는 대부분 하상이 낮아졌다고 추론하는 사람들도 있다. 본 연구는 이를 실증적으로 규명하기 위해 낙동강의 구간별 하상 변화를 조사하고 그 경향성을 분석한 것이다. 그런데, 최심 하상의 비교는 국부적인 변화에 지나치게 민감하여 그 대표성을 띄기 힘들며, 100년 빈도 홍수에 대한 평균 하상은 실제의 저수로 하상 보다 지나치게 높은 하상을 나타내는 문제를 보였다. 따라서 기존의 최심 하상이나 100년 빈도 홍수위에 대한 평균 하상의 비교가 아닌 연평균 홍수위에 근거한 평균 하상 개념을 제안하고, 이를 토대로 하상 변화를 분석하였다. 연평균 홍수위에 대한 평균 하상을 이용한 결과, 낙동강에서는 1983${\sim}$1993년 사이에는 대규모 하상 저하는 없었으나, 중류부인 고령과 왜관 구간(하구에서 150${\sim}$200 km 구간)에서 작은 규모의 하상 저하가 발생하였다. 1993${\sim}$2005년 사이에는 하상 저하의 규모가 더욱 커져서 120${\sim}$200 km 구간에서는 평균적으로 2${\sim}$3 m, 최대의 하상 저하 5 m 정도의 하상 저하가 발생하였고, 그 상류부인 200${\sim}$240 km 구간에서는 1${\sim}$2 m 정도의 비교적 작은 규모의 하상 저하가 발생하였다. 그러나 내성천 합류점 상류 구간 (240 km 이상의 구간)에서는 하상 상승과 하강은 거의 대부분 국부적인 현상에 머물고 있으며, 대규모 하상 변동이 없다. 이러한 낙동강 하상 저하의 주 원인은 대규모 골재 채취임을 밝혀내었다.

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The Study of the Convergent Factors of the Lifestyle on the Cognitive Decline among Elderly (고령자의 라이프스타일이 인지저하에 미치는 융합적 요인)

  • Lim, Seung-Ju;Park, Ji-Hyuk
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.229-236
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    • 2020
  • This study was conducted to identify the influence of the convergent lifestyles of the elderly consisting of physical exercise, smoking, drinking and social participation and the types of social participation on the risk of cognitive decline by using the 6th Korean Longitudinal Study of Ageing(KLoSA). Total 4,298 people aged 65 or older were included. Results show that all of lifestyle factors are significantly effected to prevent cognitive decline, social participation was derived as the most important explanatory variable to lower the risk of cognitive decline. In addition, participating in the religious groups, ascriptive groups, and expressive groups lowered the risk of cognitive decline. Therefore, active support at the community and policy for improving the convergent lifestyle of the elderly are needed.

Analysis of Risk and Benefit of Open Lung Biopsy in Severe Immunocompromised Patients with Pulmonary Complications (폐합병증을 동반한 심한 면역저하 환자에서 폐생검술의 유효성 및 위험성에 대한 분석)

  • 이호석;이성호;김관민;심영목;한정호
    • Journal of Chest Surgery
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    • v.34 no.7
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    • pp.539-546
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    • 2001
  • Background: Pulmonary complications in immunocompromised patients are often fatal. Empirical treatment is usually applied based on the clinical and radiological findings because of the risk of the aggressive diagnostic procedures such as open lung biopsy. However, recent advancements in operative procedures and perioperative management has decreased the procedure-related risks. We have prospectively analyzed the risks and benefits of the early application of open lung biopsy in such patients. Material and Method: Forty-two consecutive immunocompromised patients with critical pulmonary complications were included from June, 1996 to December, 1999. The definition of the immunocompromised is as those with chemotherapy and/or other modality for hematologic disorders, with usage of immunosuppressive drug after transplantation, with usage of steroid for more than 1 month, and with primary immunodeficiency disorders. The indication of open lung biopsy was those with no significant improvement after a week of aggressive application of empirical treatment or with rapidly aggressive process. The underlying disease included hematologic disorder(31 patients), post-transplantation(3 patients), chemotherapy for solid tumor(2 patients), and others(6 patients). Operations were done through thoracotomy(conventional or mini-) or VATS.

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Utilization of ventilation Pipe to Decrease Commondity Temperature and Rot of Soybean Sprouts (환기봉을 이용한 재배용기 내부 콩나물 품온 저하 및 부패 경감)

  • 이영상
    • Journal of Bio-Environment Control
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    • v.9 no.2
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    • pp.101-106
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    • 2000
  • The practicality of utilizing ventilation pipe to enhance soybean sprout productivity by lowering commodity temperature and resultant sprout rot was tested. The ventilation pipes with holes for aeration were vertically installed inside of a sprout cultivation container prior to adding soaked soybean seeds. The time-series changes in sprout commodity temperature and resultant growth, yield, marketable sprout percentage, and rot of soybean sprouts were measured. The ventilation pipes effectively decreased sprout commodity decreased sprout commodity temperature by 4.7$^{\circ}C$. Ventilation pipes also enhanced sprout yield and marketable sprout percentage by 3.9% and 4.0%, respectively, while reducing sprout rot by 4.1%. In conclusion, ventilation pipe seems a practical and effective non-chemical method to enhance the productivity of soybean sprouts.

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A Compound Deterioration Assessment of Concrete Subjected In Freezing-Thawing and Chloride Attack (동결융해와 염해의 복합작용을 받는 콘크리트의 내구성능 저하 평가)

  • 고경택;김도겸;김성욱;조명석;송영철
    • Journal of the Korea Concrete Institute
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    • v.13 no.4
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    • pp.397-405
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    • 2001
  • In clod weather regions, a strong seasonal wind brings sea salts to the land. In addition to it, recently, the spreading amount of deicing salts has increased numerously for purpose of removing snow and ice. Thus the salts environment around concrete structures becomes so severe that various damages of concrete due to applied salts will be brought up. Much of countries such as America, Europe etc. is carried out study for effects of deicing salts on concrete. However, there are not test methods for deterioration of concrete subjected to both freezing-thawing and chloride in Korea. In this study, we carried out test for the compound deterioration subjected to both freezing-thawing and chloride attack, to investigate the effects of sodium chloride on the deterioration of concrete. The test was performed to investigate the effects of cement type, strength and air content on the scaling deterioration of concrete. As a result, the scaling deterioration was accelerated in the presence of salts. And the resistance to scaling was strongly influenced by the type of cement, the strength and air content of concrete.

Comparison of quality of life and related factors according to hearing impairment in elders using the Korea National Health and Nutrition Examination Survey (2016-2018) (청력저하 여부에 따른 노인의 삶의 질 관련 요인: 국민건강영양조사 자료(2016-2018년) 분석)

  • Han, Su-Jeong
    • Journal of Digital Convergence
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    • v.19 no.2
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    • pp.265-274
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    • 2021
  • The Purpose of this paper was to explore the effect of hearing impairment on HRQOL in Korean elders. We carry out a cross-sectional analysis using nationally representative data from the KNHANES, 2016-2018. The survey was conducted on 4,754 elders who responded to questions about hearing impairment. Quality of life was compared between hearing impaired elders and elders with no hearing impairment using the t-test and chi-square test, and factors related to quality of life were analyzed by multivariate logistic regression using SPSS version 22.0. There was significant difference in quality of life between hearing impaired elders and elders with no hearing impairment. Walking exercise were identified as factors related to quality of life in elders with hearing impairment, while marriage status, walking exercise and limited movement were found to be related to quality of life among elders with no hearing impairment. In order to improve the HRQOL of elders with hearing impairment, multidisciplinary efforts and development of educational programs are required.

Factors Influencing Health related Quality of Life in Older Women with Low Muscle Strength in Korea: The Convergence Study Using 7th KNHANES (한국 근력저하 여성노인의 건강 관련 삶의 질 영향 요인: 제 7기 국민건강영양조사 자료를 활용한 융복합 연구)

  • Lee, Hanna
    • Journal of the Korea Convergence Society
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    • v.12 no.1
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    • pp.317-326
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    • 2021
  • This study was investigated to identify the factors influencing health related quality of life in older women with low muscle strength in Korea. The study design was a cross sectional study based on 7th Korea National Health and Nutrition Examination Survey data and the data were analyzed using the SPSS 26.0 program. The level of Health related Quality of Life(HRQoL) in older women with low muscle strength was 0.84. There were significant differences on HRQoL according to age, education level, perceived health, aerobic exercise, perceived stress, arthritis, osteoporosis and depression. The risk factors of HRQoL in older women with low muscle strength were age, education level, perceived health, perceived stress, aerobic exercise and arthritis. Based on this results to improve HRQoL, physical activity intervention should be developed to improve muscle strength and to manage arthritis in older women.