• Title/Summary/Keyword: 호소수

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Rational Diagnosis and Management of Sjogren's Syndrome (쉐그렌 증후군의 합리적 진단 및 관리)

  • Tae, Il-Ho;Kwon, Jeong-Seung;Jeon, Young-Mi;Choi, Jong-Hoon;Shim, Woo-Hyun;Ahn, Hyung-Joon
    • Journal of Oral Medicine and Pain
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    • v.32 no.4
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    • pp.397-402
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    • 2007
  • Sjogren's syndrome is a chronic autoimmune disorder of the exocrine glands with associated lymphocytic infiltrates of the affected glands. Primary SS presents alone as xerostomia, keratoconjunctivitis sicca and patotid gland enlargement, secondary SS occurs in connection with other autoimmune disorder such as rheumatitoid arthritis, systemic lupus erythematosus, or progressive systemic sclerosis. Among many other systemic complication, lymphoma is considered seriously. Patient with SS had a 44 times higher relative risk of lymphoma, and clinically identifiable lymphoma occurs in approximately 5% of patients with SS. So, patients with SS should be closely monitored. In dental office, diagnosis of SS is important in view of high risk of lymphoma. When a dentist diagnose and manage dry mouth, he or she should consider possibility of SS all the times and have knowledge of diagnostic criteria of SS.

Water Quality Improvement of Stagnant Water using an Upflow Activated Carbon Biofilm Process and Microbial Community Analysis (상향류 활성탄 생물막 공정을 이용한 정체 수역 수질 개선 및 공정 내 미생물 군집 해석)

  • Oh, Yu-Mi;Lee, Jae-Ho;Park, Jeung-Jin;Choi, Gi-Choong;Park, Tae-Joo;Lee, Tae-Ho
    • Journal of Korean Society of Environmental Engineers
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    • v.32 no.1
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    • pp.23-32
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    • 2010
  • The capacity of natural purification was limited by the interruption of natural flow and the problems such as eutrophication were occurred by nutritive salts accumulation in stagnant stream. Moreover, the inflow of non-point sources causes non-degradable materials to increase in stagnant stream. In this study, an upflow biological activated carbon (BAC) biofilm process comprised of anoxic, aerobic 1, and aerobic 2 reactors were introduced for treatment of stagnant stream and SS, $BOD_5$, $COD_{Mn}$, $COD_{Cr}$, TN, and TP were monitored in the upflow BAC biofilm reactors with continuous cycling. In order to simulate stagnant stream, the lake water of amusement park and golf course were stored as influent in a tank of $2m^3$ and hydraulic retention time (HRT) was changed into 6, 4, and 2 hours. At HRT 4hr and the lake water of amusement park as influent, the removal efficiencies of SS, $BOD_5$, $COD_{Mn}$, $COD_{Cr}$, TN, and TP showed the best water quality improvement and were 69.8, 83.0, 91.3, 74.1, 74.7, and 88.9%, respectively. At HRT 4hr and the lake water of golf course as influent, the removal efficiencies of SS, $BOD_5$, $COD_{Mn}$, $COD_{Cr}$, TN and TP were 78.5, 78.0, 80.2, 74.9, 55.6 and 97.5%, respectively. As the results of polymerase chain reaction - denaturing gel gradient electrophoresis (PCR-DGGE), microbial community was different depending on influent type. Fluorescence in situ hybridization (FISH) showed that nitrifying bacteria was dominant at HRT 4 hr. The biomass amount and microbial activities by INT-DHA test were not decrease even at lower HRT condition. In this study, the upflow BAC biofilm process would be considered to the water quality improvement of stagnant stream.

Washoff Characteristics of NPS Pollutants from Artificial Grassland (강우시 인공 초지의 비점오염물질 유출특성 및 상관성)

  • Lee, Jeong-Young;Maniquiz, Marla C.;Choi, Ji-Yeon;Lee, Ja-Eun;Kim, Lee-Hyung
    • Journal of Wetlands Research
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    • v.11 no.3
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    • pp.145-151
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    • 2009
  • Recently the water quality management policy has been changed from managing the point source to controlling the nonpoint sources (NPSs) because of TMDL program. Most NPSs are accumulated on the surface during dry periods. These accumulated pollutants are washed-off during a storm event and highly impairing the water quality of the receiving water bodies. Usually NPS has high uncertainty and is hard to control because of the variability of the rainfall and watershed characteristics. Also, NPS is derived from various land uses. The Ministry of Environment (MOE) is studying and monitoring the pollutant loads from each land use since 2007 to determine the unit pollutant loads. This research was a part of long-term monitoring program conducted to characterize the washoff and provide the mean EMC of artificial grassland. The average EMCs result of BOD, COD, DOC, SS, TN, NH4-N, NO3-N, TP, and PO4-P of the artificial grassland were deterined to 8.2, 17.5, 11.3, 110.1, 3.07, 0.20, 0.75, 0.86 and 0.08 mg/L, respectively. The results of statistical analysis conducted showed a low correlation to the contaminants.

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Patellar Tendinitis in the adult Volleyball Players (성인 배구 선수에서 발생하는 슬개건염)

  • Moon Young Lae;Kim Keun Ho
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.44-49
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    • 2003
  • Purpose: To estimate the prevalence and incidence of patellar tendinitis, to discover the patellar tendinitis in top level male volley ball players. Materials and Methods: Thirteen members of the male adult volleyball players were included in this study. From history and physical examination, 3 of the 13 players had patellar tendon pain associated with activity and were diagnosed as patellar tendinitis at the time of the study. Investigators were blinded about the injury status of the players. For all players, data such as age, volleyball experience, amount of training and competition hours were recorded. Results: Of the thirteen cases, two spikers complained pain on the lower pole of the patella, one setter on the upper pole. Conclusion: This findings suggest that patellar tendinitis in the volleyball players are influenced by the amount of the practice and their position. In most cases, the supervised control of the practice will reduce the overuse injuries in the volleyball players.

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Presentation on Health Impact Assessment of Transportation Noise (교통소음 건강영향평가 소개)

  • Sun, Hyo Sung;Park, Young Min
    • Journal of Environmental Policy
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    • v.8 no.2
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    • pp.63-82
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    • 2009
  • Because many people suffer from physical and mental damage caused by the noise created by transportation infrastructure, including road traffic, rail, and aircraft, developed countries have conducted research on predicting and solving the impact to human health from being exposed to transportation noise. Therefore, this study suggests a fundamental plan to assess the health impact of transportation noise on the basis of domestic and foreign prediction results regarding the health impact of transportation noise. The domestic and foreign exposure-response expressions, including the noise index and the health impact indicator of annoyance and sleep disturbance, are compared, and it is found that domestic individuals show a more sensitive response to transportation noise. Based on domestic and foreign research, and a case study regarding the health impact of transportation noise, a fundamental plan to assess the health impact of transportation noise comprises the preparation of objective assessment standards through the improvement of exposure-response models, and the establishment of reduction measures which can improve the quality of the transportation noise environment.

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A Study on Correlation Analysis of Gate Operation and Water Quality in Seonakdong River (서낙동강 수문운영과 수질변화의 상관성 분석)

  • Kang, Deok-Ho;Kim, Young-Do;Kwon, Jae-Hyun;Park, Jae-Hyun
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.1089-1093
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    • 2007
  • 서낙동강은 유역면적이 $304.1\;km^2$이고, 유로연장이 18.5 km로서 유역형상이 방사상과 우상의 혼합상으로 비교적 구형을 이루고 있으며, 유역의 평균폭은 동서방향으로 $17{\sim}20\;km$, 남북방향으로는 약 18 km정도이다. 연평균강수량은 1,349 mm이다. 서낙동강은 상류에는 대저수문, 하류에는 녹산수문이 위치하고 있으며, 이와 같은 수문들에 의하여 하천의 유량이 조절되는 호소형 하천이다. 홍수시 유역의 60% 이상이 침수되는 수해 상습지구에 해당되며, 대저수문과 녹산수문에 의해 조절되고 있어 자연적인 하천흐름이 원활하지 않은 정체수역이다. 따라서 장기간 오염물질이 퇴적되고 있으며, 이로 말미암아 수질오염이 매우 심한 곳이기도 하다. 따라서 수문에 의해 조절되는 하천에서는 적절한 하천유지유량의 확보는 물론이고, 하천의 수질악화를 고려한 하천운영 기법의 도입이 절실히 요구되고 있다. 특히, 최근에 화두가 되고 있는 유역의 수량과 수질의 통합 관리를 실현하기 위해서도 하천의 수질뿐만 아니라 어류의 서식환경까지도 고려한 수문 운영기술의 개발이 요구된다. 서낙동강의 수문 개방시기에 맞춰 수질분석을 한 뒤 개방 전, 후의 수질결과를 비교 분석해야 한다. 이와 함께 낙동강 본류의 수질도 함께 분석하여 서낙동강 수질 개선에 필요한 수문운영 방안을 도출해야한다. 수문운영자와 하천수 이용자들은 갈수기 하천 수질악화, 오염물질 누출사고 등이 발생할 때 하천 수질개선 효과를 극대화하기 위해서는 보다 많은 유입량을 취수하여 서낙동강에 통수해야 하는데, 이는 향후 녹산수문의 배수펌프장을 활용하면 가능할 수 있을 것으로 판단되며, 이를 위해서는 낙동강 하구언의 수량감소 문제와 방류량 증가에 따른 녹산수문 하류측의 외해에 대한 환경영향도 반드시 고려되어야 한다. 본 연구에서는 이와 같은 서낙동강의 수질관리 방안을 도출하기 위하여 수문 유입량 및 방류량 변화에 따른 하천수질 변화를 측정 자료 분석을 통해 수행하였다. 본 연구결과는 향후 동적 수질모형 연구에 활용할 수 있을 것으로 판단된다.

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Research about chief complaint and principal diagnosis of patients who visited the university hospital emergency room (응급의료센터를 내원한 환자의 주증상과 주진단 분포에 관한 연구)

  • Lee, Kyung Sook
    • Journal of Digital Convergence
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    • v.10 no.10
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    • pp.347-352
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    • 2012
  • As medical treatment is developing with technology, the men's average life expectancy is extended. Therefore, primary medical care becomes emphasized in order to reduce the medical expenses in the long term by satisfying individual's life being healthy. The date for this thesis was collected from January 2011 to June 2011. 889 patients who visited the university hospital emergency room and hospitalized in internal medicine, were picked as the research subjects and they were targeted to be recorded the distribution of chief complaint and principal diagnosis of the patients. Also, this record was used to apply to the standard Classification of Diseases(as known as ICD) and the method of detailed classification of the primary medical care(as known as ICPC) to compare each other. In order to analysis, frequency analysis was used to see vital statistics and the cross tabulations were used to see the distribution of chief complaint according to ICD and ICPC. Results of the research were Abdominal pain(17.7%), Dyspnea(13.5%), Fever (12.5%), and Haematemesis (9.8%), and those symptoms represented the 54.5% of overall chief complaints that is treated in primary care. Therefore, it is acceptable to use the classification of the primary medical care at doc-in-a-box. Also, in case of diagnosis of abdominal pain, it is classified to R10 in ICD and 116 patients(18.7%) belonged to it, but according to ICPC, it is subdivided to Epigastric(11.5%) and General(5.8%). ICPC classification, which is focused to primary medical care is more detailed than ICD classification. Because the data that is collected for this thesis is from only one hospital, it is hard to represent to all the cases, but ICPC in emergency medical care, it has more classification available and it can subdivide the patients effectively, so it is meaningful.

Analysis of Pain Records for Cancer Patients Complaining of Moderate or Severe Pain (중등도 이상의 통증을 호소하는 암환자의 통증간호기록 분석)

  • Park, Ran Hee;Cho, Ok Hee;Yoo, Yang Sook
    • Journal of Hospice and Palliative Care
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    • v.17 no.4
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    • pp.270-277
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    • 2014
  • Purpose: This is a retrospective study that investigated cancer patients' complaints of moderate or severe pain to analyze pain characteristics, pain relief interventions and their effects. Methods: The participants of this study were 363 patients who were hospitalized in the cancer ward for three to 30 days and scored 4 points or higher on the pain severity assessment. Results: The most frequent region of pain was the abdomen. The most frequent factor that exacerbated pain was movement. The most frequent pain alleviating factor was administration of analgesics. The most frequent pain type was breakthrough pain, and the most frequent non-pharmaceutical intervention for pain control was heat therapy. Among all, analgesics were routinely prescribed for 52.2% of the participants. Morphine sulfate was the most frequently used analgesic while Gabapentin was the most frequently used non-narcotic analgesic. At the time of discharge, 82.5% of the participants marked their pain intensity as 3 points or lower. Conclusion: For cancer patients complaining of moderate or severe pain, it is important to actively control pain from the beginning of admission. Thus, it is necessary to educate not only cancer patients using narcotic analgesic for pain control and their families but nurses about the effects and side-effects of drugs. Moreover, patients and their families need to learn how to assess and record pain at home to collect data that can be referred for future treatment.

A Case of Thigh Stump Pain with Unidentified Complaints (다양한 증상을 호소한 대퇴 절단지통 1예)

  • Cha, Young-Deog;Kim, Il-Ho;Kim, Yu-Jae;Kim, Chun-Sook;Ahn, Ki-Rhang;Park, Wook;Kim, Sung-Yell
    • The Korean Journal of Pain
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    • v.7 no.1
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    • pp.100-105
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    • 1994
  • This is a study of decrease in both stump pain and unidentified complaints after removal of neuroma on an amputated left thigh. The patient was a 44 year old woman who received an operation after a motorcycle accident 20th of March, 1991. She started a rehabilitation program in early June of the same year. How ever the patient complained of a squeezing pain on the amputated area. This symptom became more severe after the removal of the nails in September. The pain was perceived as a mental problem and the patient was released from the previous hospital. The pain continued and on the 9th of March, 1992, the patient was introduced to our pain clinic. The patient complained about the cold sensation and pressure pain of the amputated area at the beginning. Later she also expressed various unidentified complaints. No improvement resulted after conducting an epidural block and a lumbar sympathetic ganglion block. MMPI test showed psychological instability. Local injection showed some positive effects, which led to considerations concerning the possibility of neuroma. After confirming the existence of neuroma through CT and MRI, neuromectomy was performed. After the removal of neuroma, the unidentified complaints as well as the stump pain decreased.

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A Study on Water Quality and THMs Formation in Lake-Waters at Kunsan (군산시 호소수에서의 수질특성과 THMs 생성에 관한 연구)

  • 황갑수;김강주;이영남;여성구;김진남
    • Journal of Environmental Health Sciences
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    • v.27 no.1
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    • pp.44-50
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    • 2001
  • This study was carried out to investigate characteristics of water quality and THMs formation in lake-waters at kunsan. Of the parameters examined for water quality, pH, alkalinity, SO$_4$$^{-2}$ and Co- reflected the characteristics according to the origin, geography and water source of lakes while COD, SS, T-P, T-N and chlorophyll-a corelatively reflected well the influence of pollution factors around factors around lakes. The result of water quality analysis showed that most lakes in Kunsan area have the severe eutropnication problem, especially in summer. In lake-waters, THMFP overally continued to increase until 48 hour with the reaction time and THMs formation was largely achieved within 24 hour of the reaction time. The average formation ratio were 68.2% for CHCl$_3$, 23.6% for CHCl$_2$Br, 7.6% for CHClBr$_3$ and 0.6% for CHBr$_3$respectively and much difference depending on the reaction time was not shown. Overally, 96h-THEFP levels in lakes were high during June~September and showed higher tencency in lakes where could be regarded more contaminated on the whole. These results suggest that THMFP may be available for the management of lake-water quality as one if the useful parameters for the general evaluation of contamination. 96h-THEMFP failed to show the strong corelation individually with pH, TOC, COD and chlorphyll-a.

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