• Title/Summary/Keyword: 지속시간 10분이하

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Peritoneal Dialysis after Correction of Complicated Congenital Heart Disease in Children (복잡선천성 심장기형 완전교정수술후 시행한 복막투석의 임상적 고찰)

  • Hong, Yu-Seon;Park, Yeong-Hwan;Jo, Beom-Gu
    • Journal of Chest Surgery
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    • v.29 no.8
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    • pp.844-849
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    • 1996
  • During the 2 years period, we hav performed acute peritoneal dialysis in twenty two children after cardiopulmonary bypass among 198 patients who underwent surgery due to complicated congenital heart diseAses . were fluid over- load (10 cases), oliguria (9 cases) and hyperkalemia (3 cases). Bypass time greAter than 90 minutes was a predictor of the need for dialysis(p< 0.05). Five neonates (38 %) operated on instituted peritoneal dialysis but it was insignificant determinant factor (p 08). Sixteen patients recovered their renal suction, but 4 patients died due to respirAtory fAilure or sepsis. All the patients which could not recover their renal function, expired although the renal failure was not re- sponsible for the mortality. We think that early peritoneal dialysis is helpful in cases of oliguia, fluid overload or hyperkalemia after cradiopulmonary bypass.

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A Modified Protocol for Myocardial Perfusion SPECT Using Natural Plant Extracts for Enhancement of Biliorg Excretion (담즙분비촉진 식물추출물을 이용한 심근관류영상 검사법 개선)

  • Jeong, Hwan-Jeong;Kim, Chang-Guhn
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.6
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    • pp.364-373
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    • 2003
  • Purpose: For good quality of myocardial perfusion images, an approximately 30 min to 1 hour of waiting time after radiopharmaceutical injection and ingestion of fatty meal are asked of the patients. The aim of this study was to investigate the shortening of waiting time after radiopharmaceutical injection and improvement of image quality using natural plant extracts that promote bile excretion. Materials and Methods: Ten volunteers participated in protocol 1 (7 men, 3 women; mean age, $24.1{\pm}2.4$ years) and protocol 2 (8 men, 2 women; mean age, $26.1{\pm}2.9$ years), respectively. For the modified method of both protocols, subjects took natural plant extracts 15 minutes before the first injection of $^{99m}Tc$ MIBI without laking fatty meals. Control (Conventional) methods were peformed with intake of a fatty meal 20 to 30 minutes after $^{99m}Tc$ MIBI injection. Results: As the results of protocol 1 and 2, the ratio of myocardial to lung ratio were not different between modified and conventional method. Liver to lung ratio of modified method showed significantly lower value than that of conventional method. In modified method, myocardial to liver ratio was higher persistently. In protocol 2, natural plant extracts took before the first injection of $^{99m}Tc$ MIBI exerted accelerating effect of excretion of bile juice into Intestine until the end of examination. Conclusion: These results represent that natural plant extracts for facilitation of bile excretion before injection of $^{99m}Tc$ MIBI may provide better quality of myocardial perfusion images without the need for preparations such as ingestion of fatty meal within the 2 hours compared with conventional method.

A comprehensive analysis of temporal characteristics in independent rainstorm events in Seoul: focusing on changes in unit time and secondary peak constant (서울특별시 내 독립 호우사상의 시간분포 특성 분석: 분 단위와 차첨두 상수의 조건 변화를 중심으로)

  • Cha, Hoyoung;Lee, Jinwook;Jun, Changhyun;Byun, Jongyun;Baik, Jongjin
    • Journal of Korea Water Resources Association
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    • v.56 no.11
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    • pp.785-799
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    • 2023
  • In this study, we proposed a new concept termed the Secondary Peak Constant (SPC) and discerned the temporal characteristics of independent rainstorm events based on unit time and SPC about 24 observation stations in Seoul. Utilizing rainfall observations from 2000 to 2022, independent rainstorm events discreted from rainfall data per unit time. The temporal characteristics of these events were derived according to unit time, and temporal characteristics of the peak rainfall were identified through the SPC. Finally, the temporal characteristics of independent rainstorm events were examined distinctively when analyzed by unit time and SPC. Independent rainstorm events with smaller unit time showed significantly larger total rainfall, rainfall duration, and rainfall intensity. The temporal characteristics of the largest peak rainfall (1st Peak) within independent rainstorm events followed a sequence of Q4>Q2>Q3>Q1. Additionally, the 2nd Peak rainfall predominantly occurred the location where the 1st Peak appeared. The proportion of independent rainstorm events with multiple peak rainfalls exceeded 50.0% when the SPC was 0.7 or lower. The average number of peak rainfalls within independent rainstorm events ranged from 1.5 to 3.4. This study identified the temporal characteristics of independent rainstorm events based on unit time. Then, the peak rainfall of temporal characteristics was quantified by SPC on this study. Hence, it is evident that the temporal characteristics of independent rainstorm events for specific area can be anlayzed and quantified based on unit time and SPC.

Effect of Freshwater Discharge on the Nakdong River Estuary: Mooring Observations of Water Temperature and Salinity (낙동강 하구의 담수 방류와 표층 수온 및 염분 반응 : 계류형 센서 연속관측 결과)

  • Kim, Sangil;Youn, Seok-Hyun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.25 no.1
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    • pp.89-95
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    • 2019
  • Mooring observations of water temperature and salinity were conducted to investigate the effects of freshwater discharge patterns on the mouth of Nakdong River from April 2017 to March 2018. More than $500-1000m^3\;s^{-1}\;d^{-1}$ of freshwater was frequently discharged into the estuary throughout the rainy season, but less than $200m^3\;s^{-1}\;d^{-1}$ was discharged through the normal season. Sluice gates of the estuarine barrage operated depending on the tide level during spring tide, but they were constantly open during neap tide. Water temperature and salinity fluctuated regularly with intermittent discharges of freshwater, whereas they were stable while freshwater discharge was continuous. Mean salinity was 29 during the study period. Salinity exceeded the mean value in the normal season and rapidly recovered after a temporary reduction. In contrast, water with salinity below the mean value prevailed in the estuary for three months over the rainy season. These results indicate that water temperature and salinity were affected by the amount of freshwater discharge, as well as the frequency of discharge on a large scale and the time over which the freshwater discharge continued.

Assessment of Hydroureteronephrosis in Children Using Diuretic Radionuclide Ureterography (동위원소 이뇨 요관그람을 이용한 소아 요관폐쇄의 평가)

  • Kim, Jong-Ho;Lee, Dong-Soo;Kwark, Cheol-Eun;Lee, Kyung-Han;Choi, Chang-Woon;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon;Choi, Yong;Choi, Hwang
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.1
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    • pp.75-84
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    • 1994
  • The need for assessment of ureteric function in the patient with an obviousely dilated ureter has increased particularly with the added spectrum of asymptomatic patients presenting with hydrone-phrosis and hydroureter on antenatal and perinatal ultrasound. To assess the influence of ureteral status on kidney washout during $^{99m}Tc$-DTPA diuretic renography, ureteral images were reviewed in 80 children referred for hydronephrosis. A scintigraphically abnormal ureter was defined as an intense and continuous image of > 10 min during diuretic renography. Out of them, a total of 16 nephroureteral systems in 12 children with scintigraphically abnormal ureter were analyzed. A diuretic washout index using response half time (t1/2) by linear fitting after lasix injection, was determined on renal (Kt1/2) and ureteral (Ut1/2) curves (diuretic renogram vs. diuretic ureterogram). Diuretic ureterogram curve patterns corresponding to normal (type I), obstructive (II) and non-obstructive (III) cases were described. Compared with X-ray data, diuretic renography was highly sensitive (88%) and specific (99%) for detecting any ureteral abnormality. Despite an obstructive Kt1/2 (>20 min), no patient with an abnormal ureter underwent therapy at the ureteropelvic junction because the hydronephrosis regressed after surgery at the lower level. Our data indicate that the abnormal ureter findings during diuretic renography have to be recognized before therapy for children with hydeonephrosis.

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A study of the Hydraulic & Hydrologic Causes on the Road Drainage Poor Site (노면배수 취약구간의 수리.수문 원인 분석)

  • Lee, Man-Seok;Lee, Kyung-Ha;Kang, Min-Soo;Kim, Heung-Rae
    • International Journal of Highway Engineering
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    • v.13 no.2
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    • pp.133-138
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    • 2011
  • This study aims to compare hydraulic & hydrologic design characteristics by examining generated on weak points for road drainage poor sites. More appropriated methodology of rainfall-intensity calculated is to consider minutely rainfall-intensity decision method for road drainage basins. To use non-uniform flow analysis methodology for road surface drainage facilities inlet spacing decision methods is better than present experience inlet spacing decision equations.

High Hydrostatic Pressure Sterilization of Vibrio parahaemolyticus and Escherichia coli in Raw Oyster (생굴 중 Vibrio parahaemolyticus와 Escherichia coli의 초고압 살균)

  • Park, Whan-Jun;Jwa, Mi-Kyung;Hyun, Sun-Hee;Lim, Sang-Bin;Song, Dae-Jin
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.35 no.7
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    • pp.935-939
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    • 2006
  • Raw oyster (Crassostrea gigas) was inoculated with Vibrio parahaemolyticus and Escherichia coli, treated with high hydrostatic pressure and evaluated for microbial counts. Cell death of V. parahaemolyticus (Vp) increased with the increase of applied pressure. Vp starting inoculum of $3.8{\times}10^5\;CFU/mL$ was totally eliminated after exposure to 200 MPa for 10 min at $22^{\circ}C$ Viable cell of Vp decreased with the increase in treatment time and dropped below the detection limit with treament of 25 min at $22^{\circ}C/150\;MPa$. The number of Vp by treatment of $0^{\circ}C$ and $10^{\circ}C$ for 20 and 25 mon at 100 MPa, respectively. For E. coli, there was an initial lag up to 250 MPa gollowed by a rapid decline. Treatment at 325 MPa/$22^{\circ}C$ for 15 min caused 5-log reduction, while that at 375 MPa resulted in total reduction of starting inoculum of $4.0{\times}10^7\;CFU/mL$. Lower treatment temperature showed higher killing effect of E. coli at the same treatment pressure and time. Viable cell of E. coli decreased with the increase in treatment time, and 4-log reduction was achieved with treatment of 5 min at $10^{\circ}C$/350 MPa and then total reduction was achieved after treatment of 15 mon. Higher pressure, lower temperature and longer time were more effective in sterilizing V. parahaemolyticus and E. coli.

Analysis of Occupational Disease Caused by Oral Health Behavior of Some Dental Hygiene Students (일부 치위생과 학생의 구강건강행위와 구강병 발생요인 간의 관계)

  • Lim, Soon-Hwan;Hwang, Ji-Min
    • The Journal of the Korea Contents Association
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    • v.18 no.3
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    • pp.256-264
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    • 2018
  • The purpose of this study was to investigate the relationship between oral health behaviors and the results of the oral dysentery test for dental hygienists and students at Gyeonggi - do and Chungcheongnam - do. Self - filling questionnaires and oral diseases. The following conclusions were obtained. The most common toothbrushing frequency was three times a day (60.2%), and the most dominant frequency of eating between meals was once or less(49.7%). The most common snack that they had was stickiness-free sweetened food(66.5%), and the type of beverage that they had the most was sweetened beverages(49.7%). The average stimulated saliva flow rate was 9.41ml, and they got a mean of 9.52 in the buffering capacity of saliva. The average glucose clearance time was a mean of 12.02. When they took a streptococcus mutans colony count test, 80.1 percent belonged to the low-risk group(<$10^5$), and 82.6 percent belonged to the low-risk group(<$10^5$) when a lactobacillus test was conducted. There was a positive correlation between the irritant saliva fraction and the non-irritating saliva and saliva buffering ability. In the fluoride application experience, the glucose retention time was 10.66 minutes and the fluoride application experience was 13.33 minutes. (P = .008). The importance of oral health, which is directly linked to general health, should be emphasized in order to improve the quality of life as well as the life expectancy. For oral health, which is directly linked to systemic health, it is necessary to provide opportunities for oral health education that can be easily accessed by the public, and to continuously develop and provide oral health care programs for a lifetime.

Diving patterns and diving related disease of diving fishermen in Korea (수산물채취 잠수부의 작업특성과 잠수관련질환의 양상)

  • SaKong, Joon
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.1 s.60
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    • pp.139-156
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    • 1998
  • Diving related disease including decompression sickness is an important occupational health problem and diving fishermen remain a fairly hazardous occupation in Korea. To prevent diving related disease, we investigate diving patterns, incidence of diving related diseases, and contributing factors of 433 diving fishermen of three coast interviewing and mailing questionnaire in 1996. Mean age of divers was 39.7 years, ranged from 24 to 58 years, 92.8% of these were male, and 58.4% of divers were high school graduates. Mean duration of work as a diver was 12.9 years, ranged from 2 to 40 years. It was found that 70.4% of divers were using hookah system, 22.2% of helmet, and only 2.5% SCUBA. About half of them have learned diving skills from other divers. The peak season of diving was from April to June and mean working days were 20.3 days per month during the peak season. On the average, the divers dived 5-6 times, ranged from 1 to 10 times a day with 51.1 minutes of diving time, ranged from 20 to 120 minutes, at 30 m or 40 m in depth, and 35.5 minute of interval on surface. Most divers ascended slowly making decompression stop, yet the decompression profile used was not based on any scientific knowledge except for their own experiences. It appeared that each diving system had slightly different diving patterns. There were 282(65.0%) divers that suffered from DCS in 1995 and 31.2% of divers were given recompression therapy at a medical facility since they worked as diving fishermen. Skin and musculoskeletal complaints were common symptoms of DCS and 39% of divers experienced a voiding difficulty. In univariate analysis, females have an increased frequency of DCS(93% vs 66% for males). Old age, long duration of work, helmet diving, diving time, diving depth, repetitive diving, and blow up were all contributing factors to DCS. It was found that most diving patterns exceed no decompression limit and did not use the standard decompression table. This suggests that most of divers are at high risk of developing diving related disease with prolonged dives and lengthy repetitive diving in deep depth. Considering the diving patterns and economic aspect of professional diving, the incidence of DCS among diving fishermen in Korea will not decrease in the near future. These findings suggest that periodical health surveillance for divers, and education of health and safety are important for reducing the risk of diving related disease in the population of diving fishermen.

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Early Result of Coronary Artery Bypass Surgery (관상동맥 우회술의 조기성적)

  • Park, Jae-Hyeong;Lee, Won-Yong;Kim, Eung-Jung;Hong, Gi-U
    • Journal of Chest Surgery
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    • v.30 no.2
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    • pp.158-163
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    • 1997
  • From July 1994 to August 1995, 32 patients underwent coronary artery bypass surgery. There were 14 men and 18 women. The mean age was 59 years (range from 37 to 81 years). Preoperatively 26 patients had unstable angina pectoris and 6 patients had stable angina pectoris. Nine patients had previous myocardial infarction hi tory. Five patients had preoperative left ventricular ejection fraction of 40% or less, The involved risk factors were as follows ; smoking 19 cases, hypertension 16 cases, hypercholesterolemia 14 cases, diabetes mellitus 6 cases, and obesity 3 cases.21 patients had three-vessel disease, 7 patients had two-vessel disease, 2 patients had one-vessel disease and 2 patients had left main coronary artery disease. We performed 103 distal bypasses out of 32 cases, and the mean number of grafts per patients is 3.22. We used arterial grafts (left internal mammary artery,)1, radial artery; 2) in 32% of total grafts. Postoperative complications were low cardiac output, perioperative myocardial infarction, respiratory failure and atrial fibrillation, etc. Early mortality was 6.25% (2/32). The causes of deaths were low cardiac output (1), and perioperative myocardial infarction(1).

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