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A Prospective Study on Emergency Room Utilization in Children with Nonsurgical Gastrointestinal Disorders (비외과적 소화기질환 환아들의 응급실 이용양상에 대한 전향적 조사연구)

  • Lee, Kyung-Ja;Tchah, Hann
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.1
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    • pp.54-62
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    • 2001
  • Purpose: There have been few reports about common gastrointestinal diseases in children visiting emergency room. The aim of this study was to present basic data and their meanings about emergency room utilization in children with nonsurgical gastrointestinal disorders. Methods: The authors prospectively studied 1,228 consecutive children with gastrointestinal diseases, amongst 6,179 nonsurgical pediatric patients who visited the emergency room of Seoul Red Cross Hospital from Jan. 1st 1998 to Dec. 31st 1999. Results: 1) First visit was 60.7% of total visits and 30.7% were between 1 and 3 years of age while 80.4% were below 6 years of age. Male patients were predominant by a ratio of 1.3:1. 2) The peak month of visits was December (12.1%), and the peak time of visits was between 8:00 pm and midnight (35.9%). Average length of stay at emergency room of the total patients were 0.86 hour. 3) Five major diseases were acute gastroenteritis (44.3%), fecal impaction &/or constipation (21.3%), acute gastritis (16.4%), intussusception (4.6%), and infantile colic (4.3%) in order. 4) 19.6% of the total patients were hospitalized. Conclusion: There were differences in various distributions regarding each nonsurgical gastrointestinal disease entity in children visiting emergency room even though distributions of the total patients in our study were not so different from those in previous reports by others.

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Characteristics of Sea Exchange in Gwangyang Bay and Jinju Bay considering Freshwater from Rivers (하천유출수를 고려한 광양만과 진주만의 해수교환 특성)

  • Hong, Doung;Kim, Jongkyu;Kwak, Inn-Sil
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.2
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    • pp.201-211
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    • 2022
  • At the center of the Noryang waterway, the Gwangyang bay area (including the Yeosu Strait) is located at the west, and the Jinju bay area (including Gangjin bay and Sacheon bay) is located at the east. Freshwater from several rivers is flowing into the study area. In particula,r the event of flood, great quantities freshwater flow from Seomjingang (Seomjin river) into the Gwangyang bay area and from Gahwacheon (discharge from Namgang Dam) into the Jinju bay. The Gwangyang and Jinju bay are connected to the Noryang waterway. In addition, freshwater from Seomjingang and Gahwacheon also affect through the Noryang waterway. In this study, we elucidated the characteristics of the tidal exchange rate and residence time for dry season and flood season on 50 frequency, considering freshwater from 51 rivers, including Seomjingang and Gahwacheon, using a particle tracking method. We conducted additional experiments to determine the effect of freshwater from Seomjingang and Gahwacheon during flooding. In both the dry season and flood season, the result showed that the particles released from the Gwangyang bay moved to the Jinju bay through the Noryang waterway. However, comparatively small amount of particles moved from the Jinju bay to the Gwangyang bay. Each experimental case, the sea exchange rate was 44.40~67.21% in the Gwangyang bay and 50.37~73.10% in the Jinju bay, and the average residence time was 7.07~15.36days in the Gwangyang bay and 6.45~12.75days in the Jinju bay. Consequently the sea exchange rate increased and the residence time decreased during flooding. A calculation of cross-section water flux over 30 days for 7 internal and 5 external areas, indicated that the main essential flow direction of the water flux was the river outflow water from Seomjingang flow through the Yeosu strait to the outer sea and from Gahwacheon flow through Sacheon bay, Jinju bay and the Daebang waterway to the outer sea.

Numerical Study on the Inlet Head Configuration of Multi-Phase Separator for Modularization (다상유동 분리기 모듈화를 위한 유입구 형상 설계에 관한 수치해석적 연구)

  • Hong, Chang-Ki;Kim, Youn-Jea
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.41 no.9
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    • pp.571-577
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    • 2017
  • In this numerical study, the separation efficiency of three-phase separator in an oil-sand plant was studied with various inlet head configurations. The free water knockout (FWKO) vessel was designed with a flow rate of $15.89m^3/day$ (100 bbl/day) and the SOR(stream-to-oil ratio)=3.5 was derived using Stokes' law. For modularization, optimization of the design of the inlet head configuration was performed with parallel-connected dual FWKO vessels. The feed condition of bitumen emulsion was API=17, $T_{in}=150^{\circ}C$ and $P_{in}=50bar$. A mean residence time was determined the time when 95% of the oil and water in FWKO vessel was separated. The combination between the volume of fluid (VOF) and the discrete phase model (DPM) was used to simulate the phase separation phenomenon in a multi-phase separator. Furthermore, in order to calculate multi-phase flow the pseudo-transient method was adopted.

Detection of TNF-alpha in Serum as the Effect of Corticosteroid to the Myocardial Protection in Cardiopulmonary Bypass (체외순환시 스테로이드의 심근보호효과에 관한 혈청내 TNF-alpha 측정의 의의)

  • 최영호;김욱진;김태식;조원민;김학제
    • Journal of Chest Surgery
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    • v.31 no.5
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    • pp.502-508
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    • 1998
  • Proinflammatory cytokines such as tumor necrosis factor-$\alpha$(TNF-$\alpha$) have been implicated in myocardial and organ dysfunction associated with postperfusion syndrome. We tested the hypothesis that cytokine productions are depressed by preoperative cortiosteroid injection for cardiopulmonary bypass(CPB) and the postoperative courses will be better than without steriod pretreated cases. Cardiac surgery was performed in randomized blind fashion for 20 patients from June 1996 to September 1996. In the steroid group(n=10), corticosteroid(dexamethasone 1 mg/kg) was injected 1 hour before anesthetic induction, but in the control group(n=10), nothing was injected. Each of groups were sampled 11 times as scheduled for TNF-$\alpha$ bioassays. We have checked EKG, cardiac enzymes(CPK, LDH with isoenzyme), WBC count preoperative day, one day and three days after operation. Viatal signs were continuously monitored for three postoperaive days. In the postoperative period three patients in the control group had elevated body temperature and four patients had hypotension that required considerable intravenous fluid administration. But steroid injected patients showed normal body temperture and acceptable blood pressures without supportive treatment. CPK enzymes rose in control group higher than steroid group at postoperative 1st and 3rd day(CPK; 1122$\pm$465 vs 567$\pm$271, 864$\pm$42 vs 325$\pm$87), and CPK-MB enzymes rose in control group higher than steroid group at postoperative 1st day(106.4$\pm$115.1 vs 29.5$\pm$22.4)(P=0.02). Arterial tumor necrosis factor-$\alpha$ rose during cardiopulmonary bypass, peaking at 5 minutes before the end of aortic cross clamping(ACC-5min) in steroid group(11.9$\pm$4.7 pg/ml), and 5 minutes before the end of cardiopulmonary bypass(CPB-5min) in control group(22.3$\pm$6.8 pg/ml). The steroid pretreated patients had a shorter period of time in respirator suport time, ICU stay day, hospital admission day. We conclude that corticosteroid suppress cytokine production during and after cardiopulmonary bypass, and may improve the postoperative course through inhibition of reperfusion injury such as myocardial stunning and hemodynamic instability.

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Response of Sea Eel to the Extracts of Mackerel , Shad and Krill (고등어 , 전어 , 크릴의 추출물질에 대한 붕장어의 반응)

  • Kim, Hyung-Seok;Lee, Byoung-Gee
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.26 no.2
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    • pp.125-132
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    • 1990
  • The authors carried out an experiment to investigate the responsive behavior of sea eel, Astroconger myriaster(BREVOORT) to chemical stimuli. The experimental tank was made in doughnut type by using FRP plates. The channel of tank was divided into three concentric troughs by using perforated plastic plates. The inside trough was used as influent part, the outside one as effluent part, and the middle one as the testing trough in which testing fish may be swimmable. The influent part was radially portioned into 12 sections so as to be 30 degrees of central angle. But a basin of any section in testing trough was diverged in the range of 45 degrees of central angle. The the testing trough are radially divided into eight zones. Water is supplied at the rate of 6.3l per minute from the central water tank set as high as 50cm in the center of doughnut, passed across the influent part, testing trough, effluent part and finally discharged by overflow pipes. The chemical substance to stimulate the sea eel was extracted from mackerel, shad and krill which are used as bait for fishing. The chemical substance was injected into any one of 12 hoses which supplies water from central water tank to the influent part at the rate of 2ml per minute. Sea eels used for the experiment were caught by pot in the coast of Chung-mu and accustomed to the tanks for 5 days before applying them to the experiment. The result obtained are as follows: 1. The rate of time length of sea eel's staying in the stimulated zone, as the extracts of mackerel, shad and krill were given to it, was observed as 7.9%, 30.9% and 11.4% respectively. It means that the extract from shad was the most effective of three in attracting sea eel. 2. To compare the effect of freshness of bait fish, the extracts were prepared from shad just killed, form the 24 hour-lapsed one and from the 48 hour-lasped one after killed. The rate of time length of sea eel's staying in the stimulated zone was 30.9%, 17.1% and 11.3% respectively. It means that the freshness is much effective in attracting olfactory fishes like sea eel.

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Reference wetland를 활용한 비점오염저감습지 조성

  • Kim, Yeong-Yun;An, Jung-Su;Park, Tae-Guk;Lee, Yong-Min;Jeong, Yong-Hyeon;Seong, Gi-Jun;Lee, Seok-Mo
    • Proceedings of the Korean Environmental Sciences Society Conference
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    • 2008.11a
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    • pp.186-190
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    • 2008
  • 낙동강 수계에 존재하는 자연습지의 효과적인 비점오염저감기능에 착안하여 자연습지를 참조습지로 삼아 비점오염원 저감을 위한 인공습지를 조성하였다. 참조습지 조사결과, 면적은 약 83,371 m$^2$, 평균수심 0.97(0.5 $\sim$ 1.9)m, 체적은 80,870 m$^3$이며, 습지면적이 배수구역면적의 6 %로 나타났다. 식생은 부엽 및 침수식물이 우점하고 있으며 강우 시에 유량이 집중되었다. 74.5 mm강우 시 습지로 유입된 유량을 기준으로 체류시간 및 표면부하율을 산정한 결과 각각, 6.24 day, 2.17 m$^3$/m$^2$/day로 나타났다. 퇴적물유형은 CLAY이고, 분급상태는 poorly sorted로 나타났다. 또한 유기물함량 및 미생물활성도(탈수소효소)도 각각 12.19 %, 1.63 $\pm$ 0.53 mg/kg로 높게 나타났다. 참조습지의 형상비, 수심분포, 식생유형, 토양특성 등을 반영하여 인공습지를 조성하였다.

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Night Soil Treatment by Anaerobic Sequencing Batch Reactor (혐기성 연속 회분식 반응조에 의한 분뇨처리)

  • 허준무;박종안
    • Journal of environmental and Sanitary engineering
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    • v.15 no.2
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    • pp.75-84
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    • 2000
  • 운전 온도 $35^{\circ}C$, 평균 유기물부하 $3.1{\;}kgCOD/m^3/day$ 및 수리학적체류시간 10일에서 혐기성 연속회분식공정에 의한 분뇨처리를 수행하였다. 공정의 평가는 대조 소화조로 완전혼합형의 소화조와 병행하여 수행되었다. 본 실험에서 분뇨는 고농도의 암모니아성 질소와 침전성 고형물을 함유하고 있음에도 불구하고 희석 없이 소화가 가능하였다. 혐기성 연속회분식공정에서 고형물은 급속하게 증가하여 완전혼합형의 대조 소화조에 비하여 소화조내 고형물(biomass)의 농도가 2.4배로 증가하였고, 가스발생량에 있어서도 대조 소화조에 비해 현격한 증가를 보였으며 그 증가율은 205~220%에 달했다. 부가적인 침전 시설이 없이도 혐기성 연속회분식공정의 유출수질이 대조 소화조 보다 높게 나타났는데 상징액 기준으로 휘발성고형물 제거율은 혐기성 연속회분식공정이 대조 소화조 보다 12~14% 높았다. 한편, 혐기성 연속회분식공정의 운전인자로 반응/침강비(R/T ratio)를 조사한 결과 R/T비가 1인 경우가 3의 경우보다 가스발생량, 메탄함량 및 유기물 제거율이 약간 높았으나 큰 차이는 없었다. 위의 실험결과들로부터 혐기성 연속회분식공정은 고농도의 암모니아성 질소와 침전성 유기물을 함유하고 있는 분뇨의 처리에 효과적이고 안정적인 공정으로 판단된다.

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Preparation of Ultrafine Silica Particle by Pyrolysis in the Gas Phase (기상열분해법에 의한 초미립 실리카분말 제조)

  • Jang, Hee Dong;Yoon, Ho Sung
    • Applied Chemistry for Engineering
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    • v.8 no.6
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    • pp.901-906
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    • 1997
  • Ultrafine silicon dioxide($SiO_2$) powder was prepared from tetraethylorthosilicate(TEOS) by the gas-phase reaction. The effects of reaction temperature, flow rate of gas, TEOS concentration, and preheating temperature of reactants on the particle size were investigated. As the reaction temperature increased, average particle size of the silicone dioxide powder became smaller. Smaller particles were also obtained with decreasing the residence time of reactants in the reaction zone. Larger particles having narrow size distribution were produced with the high concentrations of the reactants. The effect of the preheating temperature was not considerable on the average particle size. The range of average particle size was from 30 nm to 58 nm depending on experimental conditions.

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A Study on the Simultaneous Removal of Organics and Nutrients in Upflow Packed Bed Column Reactor (상향류식 충전탑형 반응기에 의한 유기물 및 영양염류 동시 제거에 관한 연구)

    • KSBB Journal
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    • v.18 no.3
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    • pp.234-238
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    • 2003
  • Biofilm process is preferred to activated sludge process in small domestic wastewater treatment plant because of its simplicity in operation and maintenance. Column reactor filled with waste ceramics and with waste plastics was used to remove pollutants in restaurant wastewater. COD removal at 18 hours of hydraulic retention time (HRT) gave 93.7%, COD removal during the experimental period, where maximum COD removal was observed. Under same condition, average removal of total nitrogen and total phosphorus were 82.3% and 25.9%, respectively Organic and nitrogen were efficiently removed with the HRT of 18 hours or more.

Effect of Operational Parameters on the Ammonia Stripping (암모니아 스트리핑에 미치는 운전인자의 영향)

  • Seo, Jeong-Beom;An, Kwang-Ho
    • Journal of Korean Society of Environmental Engineers
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    • v.28 no.9
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    • pp.935-939
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    • 2006
  • The biological nutrient removal from domestic wastewater with low C/N ratio is difficult. Therefore, this study was performed to examine effect of operational parameters such as air supply, hydraulic retention time, pH on the nitrogen removal by ammonia stripping and to increase influent C/N ratio without required carbon source. The ammonia stripping system used for the bench-scale experiment in laboratory had a dimension of 15 cm diameter and 150 cm height. The ammonia stripping reactors were classified into two types, type AS I and type AS II, according to there using or not media. Results of the research showed that the T-N removal efficiency of AS I using plastic media is slightly higher than AS II without media. In experimental condition of air supply 30 L/min and pH 12.5, T-N removal efficiencies increased as HRT of ammonia stripping reactor became longer from 8 hr to 36 hr. In experimental condition of HRT 36 hr, it was also found that the T-N removal efficiencies improved through increase of air supply. On the other hand, C/N ratio of wastewater was increased from average 3.9 to 5.4 by ammonia stripping.