• Title/Summary/Keyword: 폐기보

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Risk Factors of Primary Lung Cancer and Spirometry (원발성 폐암의 위험인자와 폐활량 측정)

  • Rhee, Yang-Keun;Hwang, Keum-Man;Lee, Yong-Chul
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.6
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    • pp.646-652
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    • 1993
  • Background: Lung cancer and chronic obstructive lung disease often coexist in the same person who are elderly and cigarette smoking. There are several reports that the presence of chronic obstructive pulmonary disease constitutes an independent risk factor for the development of lung cancer. Moreover, the association between mucus hypersecrtion and lung cacer has been reported. Method: In 72 cases with primary lung cancer which were confirmed histopathologically at Chonbuk University Hospital from August 1986 to July 1991, We evaluated the relationship between spirometry and lung cancer characteristics. Results: Six cases(8.3%) showed normal lung function, 16(22.2%) cases showed pure restrictive lung disease, 46(63.9%) cases showed moderated obstructive lung disease and 4(5.6%) cases showed severe obstructive lung disease. $FEV_1$(%) was lower in central type than in peripheral type, lower in advanced non-small cell cancer and lower in subjects with phlegm. $FEV_1$/FVC(%) was higher in small cell cancer than in squamous cell cancer and higher in patients without previous pulmonary disease than with previous pulmonary disease. But there was no statistically significant difference in lung function according to histologic types and smoking history. Lung cancers with $FEV_1$/FVC less than 75% consisted of 35 cases of squamous cell cancer, 7 of small cell cancer(14%), 5 of adenocarcinoma(10%), 2 of large-cell carcinoma and 1 of unclassified carcinoma. Squamous cell carcinoma occured more in patients with $FEV_1$/FVC<75% than with $FEV_1$/FVC$\geq$75%(p<0.05). Conclusion: It was suggest that low $FEV_1$/FVC, as reflection of obstructive lung disease, may be at greater risk for squamous cell carcinoma in cigarette smoker.

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The Usefulness of Dyspnea Rating in Evaluation for Pulmonary Impairment/Disability in Patients with Chronic Pulmonary Disease (만성폐질환자의 폐기능손상 및 장애 평가에 있어서 호흡곤란정도의 유용성)

  • Park, Jae-Min;Lee, Jun-Gu;Kim, Young-Sam;Chang, Yoon-Soo;Ahn, Kang-Hyun;Cho, Hyun-Myung;Kim, Se-Kyu;Chang, Joon;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.2
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    • pp.204-214
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    • 1999
  • Background: Resting pulmonary function tests(PFTs) are routinely used in the evaluation of pulmonary impairment/disability. But the significance of the cardiopulmonary exercise test(CPX) in the evaluation of pulmonary impairment is controvertible. Many experts believe that dyspnea, though a necessary part of the assessment, is not a reliable predictor of impairment. Nevertheless, oxygen requirements of an organism at rest are different from at activity or exercising, and a clear relationship between resting PFTs and exercise tolerance has not been established in patients with chronic pulmonary disease. As well, the relationship between resting PFTs and dyspnea is complex. To investigate the relationship of dyspnea, resting PFTs, and CPX, we evaluated the patients of stabilized chronic pulmonary disease with clinical dyspnea rating(baseline dyspnea index, BDI), resting PFTs, and CPX. Method: The 50 patients were divided into two groups: non-severe and severe group on basis of results of resting PFTs(by criteria of ATS), CPX(by criteria of ATS or Ortega), and dyspnea rating(by focal score of BDI). Groups were compared with respect to pulmonary function, indices of CPX, and dyspnea rating. Results: 1. According to the criteria of pulmonary impairment with resting PFTs, $VO_2$max, and focal score of BDI were significantly low in the severe group(p<0.01). According to the criteria of $VO_2$max(ml/kg/min) and $VO_2$max(%), the parameters of resting PFTs, except $FEV_1$ were not significantly different between non-severe and severe(p>0.05). According to focal score($FEV_1$(%), FVC(%), MW(%), $FEV_1/FVC$, and $VO_2$max were significantly lower in the severe group(p<0.01). However, in the more severe dyspneic group(focal score<5), only $VO_2$max(ml/kg/min) and $VO_2$max(%) were low(p<0.01). $FEV_1$(%) was correlated with $VO_2$max(%)(r=0.52;p<0.01), but not predictive of exercise performance. The focal score had the correlation with max WR(%) (r=0.55;p<0.01). Sensitivity and specificity analysis were utilized to compare the different criteria used to evaluate the severity of pulmonary impairment, revealed that the classification would be different according to the criteria used. And focal score for dyspnea showed similar sensitivity and specificity. Conclusion : According to these result, resting PFTs were not superior to rating of dyspnea in prediction of exercise performance in patients with chronic pulmonary diseases and less correlative with focal score for dyspnea than $VO_2$max and max WR. Therefore, if not contraindicated, CPX would be considered to evaluate the severity of pulmonary impairment in patients with chronic pulmonary diseases, including with severe resting PFTs. Current criteria used to evaluate the severity of impairment were insufficient in considering the degree of dyspnea, so new criteria, including the severity of dyspnea, may be necessary.

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전산화 폐관류주사를 이용한 폐절제술후 폐기능의 예측

  • Oh, Duck-Jin;Lee, Young;Lim, Seung-Pyeung;Yu, Jae-Hyun;Na, Myung-Hoon
    • Journal of Chest Surgery
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    • v.29 no.8
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    • pp.897-904
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    • 1996
  • A preoperative prediction of postoperative pulmonary function after the pulmonary resection should be made to prevent serious complications and postoperative mortality. There are several methods to predict postoperative lung function but the 99m7c-MAA perfusion lung scan is known as simple, inexpensive and easily tolerated method for patients. We studied the accuracy of the perfusion lung scan in predicting postoperative lung function on 34 patients who received either the resection of one lobe(17 patients) or 2 lobes(2 patients) or pneumonictomy(15 patients). We performed pulmonary function test and lung scan immediately before the operation and calculated the postoperative lung function by substracting the regional lung function which will be rejected. We compared this predictive value to the observed pulmonary function which was done 20 days after the surgery. We also compared the data achieved from 12 patients ho received open thoracotomy due to intrathoracic disease that are not confined in the lung. The correlation coefficient between the predicted value and observed value of FEVI .0 was 0.423, FVC was 0.557 in the pneumonectomy group and FEVI . 0 was 0.693, FVC was 0.591 in the lobectomy group. The correlation coefnclent between the'postoperative value and preoperative value of FEVI .0 was 0.528, FVC was 0.502 in the resectional group and FEVI .0 was 0.871, FVC was 0.896 in the comparatives. We concluded that the perfusion lung scan is accllrate in predicting post-resectional pulmonary function.

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A Study on the Problems of Incinerating Facility and Plans to Improve in Regard to Separate Discharge of Food Waste (음식물류폐기물 분리배출에 따른 소각시설의 문제점과 개선방안에 관한 연구)

  • Kim, Seong-Jung;Kim, Dong-Hyuk
    • Journal of the Korea Organic Resources Recycling Association
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    • v.16 no.4
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    • pp.74-81
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    • 2008
  • Due to separate discharge of food waste, large incinerating facilities for municipal waste show the phase change that combustible contents have been increasing while the concentrations of water have been decreasing when wastes are brought in. This phase change of wastes leads to the increase of exothermic value when wastes are carried in, which causes the problems to make the durability of incinerating facilities weak and lower the capacities of them. In accordance with these problems, this study was carried out to present effective plans to operate incinerating facilities as the quantities of municipal wastes of Incheon have been gradually increasing. We examined the problems caused by the phase change of municipal waste in Incheon and managing plans to control the amounts of heat output when intermixed incineration of food waste is conducted. It is concluded that we could carry out the optimized operation of incinerating facilities as well as produce economic effect to reduce processing costs when we conduct the intermixed incineration of food waste and municipal waste, in the trend that the amounts of heat output generated by wastes are gradually increasing. This is because this operation of intermixing incineration contributes to reducing the amount of exothermic heat.

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The Impact of Leader' Shared Leadership on Innovation Behavior for Employees: Focus on Mediating Effect of Learning Orientation and Moderating Effect of Unlearning (리더의 공유리더십이 조직구성원의 혁신행동에 미치는 영향 : 학습지향성의 매개효과와 폐기학습의 조절효과 중심으로)

  • Cho, Nam-Mun
    • The Journal of the Korea Contents Association
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    • v.18 no.6
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    • pp.574-599
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    • 2018
  • The purpose of this study is to suggest implications for the importance of shared leadership of leaders by analyzing the influence of learning orientation and unlearning on the recognition of leader's shared leadership and employees'. The questionnaire survey was conducted on the employees who work as knowledge workers in the domestic SMEs. A total of 387 questionnaires were collected using SPSS 24.0 statistical package. The results of this study were that the relationships between a leader's shared leadership and innovation behavior, shared leadership and learning orientation, and learning orientation and innovation behavior were positive. In addition, learning orientation mediated in the relationship between shared leadership and innovation behavior, and unlearning reinforced the relationship between shared leadership and learning orientation. The implication of this study is that the employees themselves need continuous reinforcement activities for active unlearning and learning orientation in order to improve the innovation behavior of the employees. In addition, the shared leadership of leaders in employees and organization is more important.

Cancelable Iris Templates Using Index-of-Max Hashing (Index-of-Max 해싱을 이용한 폐기가능한 홍채 템플릿)

  • Kim, Jina;Jeong, Jae Yeol;Kim, Kee Sung;Jeong, Ik Rae
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.29 no.3
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    • pp.565-577
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    • 2019
  • In recent years, biometric authentication has been used for various applications. Since biometric features are unchangeable and cannot be revoked unlike other personal information, there is increasing concern about leakage of biometric information. Recently, Jin et al. proposed a new cancelable biometric scheme, called "Index-of-Max" (IoM) to protect fingerprint template. The authors presented two realizations, namely, Gaussian random projection-based and uniformly random permutation-based hashing schemes. They also showed that their schemes can provide high accuracy, guarantee the security against recently presented privacy attacks, and satisfy some criteria of cancelable biometrics. However, the authors did not provide experimental results for other biometric features (e.g. finger-vein, iris). In this paper, we present the results of applying Jin et al.'s scheme to iris data. To do this, we propose a new method for processing iris data into a suitable form applicable to the Jin et al.'s scheme. Our experimental results show that it can guarantee favorable accuracy performance compared to the previous schemes. We also show that our scheme satisfies cancelable biometrics criteria and robustness to security and privacy attacks demonstrated in the Jin et al.'s work.

Correlation between High-Resolution CT and Pulmonary Function Tests in Patients with Emphysema (폐기종환자에서 고해상도 CT와 폐기능검사와의 상관관계)

  • Ahn, Joong-Hyun;Park, Jeong-Mee;Ko, Seung-Hyeon;Yoon, Jong-Goo;Kwon, Soon-Seug;Kim, Young-Kyoon;Kim, Kwan-Hyoung;Moon, Hwa-Sik;Park, Sung-Hak;Song, Jeong-Sup
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.3
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    • pp.367-376
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    • 1996
  • Background : The diagnosis of emphysema during life is based on a combination of clinical, functional, and radiographic findings, but this combination is relatively insensitive and nonspecific. The development of rapid, high-resolution third and fourth generation CT scanners has enabled us to resolve pulmonary parenchymal abnormalities with great precision. We compared the chest HRCT findings to the pulmonary function test and arterial blood gas analysis in pulmonary emphysema patients to test the ability of HRCT to quantify the degree of pulmonary emphysema. Methods : From october 1994 to october 1995, the study group consisted of 20 subjects in whom HRCT of the thorax and pulmonary function studies had been obtained at St. Mary's hospital. The analysis was from scans at preselected anatomic levels and incorporated both lungs. On each HRCT slice the lung parenchyma was assessed for two aspects of emphysema: severity and extent. The five levels were graded and scored separately for the left and right lung giving a total of 10 lung fields. A combination of severity and extent gave the degree of emphysema. We compared the HRCT quantitation of emphysema, pulmonary function tests, ABGA, CBC, and patients characteristics(age, sex, height, weight, smoking amounts etc.) in 20 patients. Results : 1) There was a significant inverse correlation between HRCT scores for emphysema and percentage predicted values of DLco(r = -0.68, p < 0.05), DLco/VA(r = -0.49, p < 0.05), FEV1(r = -0.53, p < 0.05), and FVC(r = -0.47, p < 0.05). 2) There was a significant correlation between the HRCT scores and percentage predicted values of TLC(r = 0.50, p < 0.05), RV(r = 0.64, p < 0.05). 3) There was a significant inverse correlation between the HRCT scores and PaO2(r = -0.48, p < 0.05) and significant correlation with D(A-a)O2(r = -0.48, p < 0.05) but no significant correlation between the HRCT scores and PaCO2. 4) There was no significant correlation between the HRCT scores and age, sex, height, weight, smoking amounts in patients, hemoglobin, hematocrit, and wbc counts. Conclusion : High-Resolution CT provides a useful method for early detection and quantitating emphysema in life and correlates significantly with pulmonary function tests and arterial blood gas analysis.

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Effects of weir on the change of sediments (하천의 보가 퇴적물에 미치는 영향)

  • Cho, Yong-Chul;Kim, Kyung-Hee;Woo, Hyo-Seop;Oh, Jong-Min
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.1083-1087
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    • 2006
  • 과거 50 년 동안 국내 보 설치 수는 매년 증가하여 왔으나, 그 증가비율은 근래 들어 감소하는 추세로, 이는 보 보다는 용수공급능력이 큰 양수장, 저수지 등 타 시설물에 의존하는 것으로 판단 할 수 있다. 더욱이 인구의 도시 집중화에 따른 농경지의 도시화, 경작 방식의 변화에 의한 비닐하우스 단지로의 변화, 시설의 노후화 등으로 매년 $50{\sim}150$개 정도의 보가 폐기되고 있다. 그러나 이렇게 폐기되는 보는 하천에 그대로 존치되어 하천생태통로의 단절, 수질악화, 수변 서식처 악화 등의 문제를 지속적으로 야기 시키고 있다. 실험은 문산천 검전보, 안양천 안양대교보, 기철거된 경안천 무명보에서 자연시료를 채취하여 실행 하였다. 문산천 검전보는 하천환경이 안정되고 양호한 대조구간으로 선정하였다. 안양 대교보는 도심화로 인하여 원기능을 상실하였으며 수차례에 걸친 개수가 이루어졌고 수년전까지만 해도 러브보로 인한 수질정화장치가 있었으나 효능이 약화되어 철거할 계획을 가지고 있는 것으로 알려져 있다. 경안천 무명보는 현재는 완전 철거된 상태이다. 경안천 무명보는 기 철거된 보의 대조구간으 로 선정하였다. 보 상류의 수질 오염도가 높은 것은 정체구역에 의한 용존산소 부족과 오염저니에 의한 것으로 판단되므로, 각각의 대상보의 퇴적물 오염도를 조사하였다. 각각의 조사 지점은 검전보의 경우, 만장교를 최상류 지점으로, 검전보 상/하류, 광탄교를 최하류 지점으로 선정하여, 총 4 지점에서 채취했으며, 안양대교보의 경우 최상류지점, 보 상/하류 지점으로 총 3지점, 무명보의 경우 보 상/하류로 총 2 지점에서 채취했으며, 실험은 $\ulcorner$Soil Method$\lrcorner$에 준하여, 각각 입도분포, 함수율, 강열감량, COD, T-N, T-P 등을 시행하였다. 문산천 검전보 퇴적물 오염도 조사 결과, 강열감량, COD, T-N, T-P 항목에서 보 상류가 보 하류에 비해 높게 나타났으며, 각각 하류에 비해 상류가 30.76%, 16.69%, 73.13%, 18.91% 더 높게 나타났다. 안양대교보 퇴적물 조사 결과, 검전보와 마찬가지로, 강열감량, COD, T-N, T-P 항목에서 보 상류가 보 하류에 비해 33.33%, 9.23%, 24.78%, 18.56% 높게 나타났다. 기 철거된 무명보의 경우, 무명보 상류, 무명보 하류 2개 지점을 채취하였으며, 강열감량, COD, T-N 항목에서 보 상류가 보 하류에 비해 18.75%, 412.6%, 25.75% 높게 나타났다. 퇴적물 조사 결과, 강열감량, COD, T-N 항목에서 검전보, 안양대교보, 무명보 모두 보 상류의 오염도가 높게 나타났으며, 무명보를 제외한 검전보, 안양대교보는 T-P 항목에서도 보 상류의 오염도가 높게 나타나, 보 상류의 퇴적물 오염농도가 심화된 것으로 나타났다. 그러나 기철거된 무명보의 경우, 강열감량, COD, T-N, 항목에서 보 상류가 높게 나타났으나, 철거되지 않은 검전보나 안양대교보에 비해 그 차이가 크지 않은 것으로 나타났다.

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Effect of Heat Treatment on Biohydrogen Production from Food Waste (음식폐기물의 생물학적 수소 발효시 열처리 효과)

  • Lee, Chae-Young;Park, In-Geun
    • Journal of the Korea Organic Resources Recycling Association
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    • v.18 no.1
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    • pp.81-88
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    • 2010
  • Characteristic of hydrogen production was investigated to find the optimum heat pretreatment conditions for the anaerobic fermentation of food waste. The heat pretreatment of food waste enhanced the hydrogen yield due to the increase of soluble chemical oxygen demand (SCOD) and carbohydrate content. This result revealed that the maximum degrees of disintegration of SCOD and carbohydrate content were 55.1% and 223.6%, respectively. On the other hand, the improvement of hydrogen yield was insignificantly affected by heating reaction time at longer than 20 min; the increase of hydrogen yield was only about 7% between 20min and 1 hour. Therefore, the increase of reaction time more than 20min was not necessary.