• Tuberculosis and Respiratory Diseases
• /
• v.44 no.2
• /
• pp.290-297
• /
• 1997

Background : Despite remarkable progress of understanding the pathophysiology and therapy of bronchial asthma, asthma morbidity and mortality are on the rise. Also hospitalization and attending rates of emergency department for asthma have been increasing gradually. We analyzed clinical characteristics and prognosis of patients who visited emergency room due to asthma attack in order to define clinical characteristics of these group of patients. Method : We reviewed 105 adult asthmatic patients who attended emergency department of Korea University Hospital between August 1995 and July 1996, retrospectively. Results : 103 patients(56 female, 47 males, mean age : 48.6 years) attended-68 self referral, 18 practitioner referral and 17 OPD transfer- and 86 patients(83.5%) were admitted. Attending emergncy department was clearly more frequent in December(13.6%) and May(12.6%). Time lag between onset of asthmatic attack and arrival at the hospital was $14.2{\pm}15.5$ hour and initial peak expiratory flow rate was $166.7{\pm}68.3L/min$.(43.3% predicted) The commonest cause for visiting emergency room was aggravation of asthma due to upper respiratory tract infection in mild asthmatics. About half of them had history of previous ER visits. Their prognosis was not bad, but after discharge, about half of patients escaped from OPD follow-up. Conclusion : As a group they merit detailed attention and follow up arrangement. Clinician need to monitor and review the treatment plans, the medications, the patient's management technique, and the level of asthma control. For this group, plans for longer term treatment, including asthma education program and adjustment of overall treatment plan should be made.

• International Area Studies Review
• /
• v.21 no.4
• /
• pp.125-139
• /
• 2017

This study analyzes the determinants and patterns of regional migration in Myanmar. Population migration is affected by various factors such as economic and social factors as well as regional characteristics. It is affected by factors such as income, employment and social overhead capital. Therefore, this study attempts to analyze the following two research problems. First, I would like to analyze whether the reform and opening of Myanmar is causing the migration of rural to urban population. Myanmar is also trying to verify the pattern of population migration experienced by other developing countries. Second, we analyze the impact of social overhead capital on population migration in Myanmar. We analyze the impact of basic infrastructure such as roads, electricity and water on population movements. This will give implications for investment policy decision of social overhead capital for balanced regional development. First, the pattern of population migration in Myanmar is shifting from rural to urban areas, as other developing countries have experienced. Myanmar's urban areas of Yangon and Mandalay have been analyzed as having migration. Second, the expansion of social overhead capital was found to have an impact. Social overhead capital such as roads and educational environments were analyzed to have the capacity to inhale the population. Especially, the educational environment of the region has a great effect on population migration. It is analyzed that education reform is an important policy issue for the balanced regional development of Myanmar. Fourth, employment opportunities were analyzed to have the greatest impact on Myanmar population movements. In the early stage of economic development, it is analyzed that the population moves to a region where employment opportunity is high in the situation where foreign capital is coming in. It is analyzed that the direction of inflow of foreign capital and the imbalance of development in the region will be determined in the situation where the economic development is carried out through foreign capital.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2006.05a
• /
• pp.1323-1327
• /
• 2006

일반적으로 화력발전소는 원활한 원료 및 냉각수의 공급과 환경적인 요인으로 인해 내륙보다는 해안에 위치하고 있다. 발전소의 안정성을 확보하기 위해서는 고열의 발전기를 냉각하는 냉각설비들이 반드시 필요하며 이를 위해 취수로를 통한 냉각수의 원활한 공급이 이루어져야 한다. 이러한 냉각수 공급은 대용량 펌프에 의해 이루어지며, 취수로 구조물의 형상 및 냉각수의 흐름조건에 따라 성능과 수명이 좌우된다. 특히 해안에 위치하는 지리적 여건상 직접취수가 많으며 이러한 경우 유사가 취수로에 유입되어 펌프 흡입 시 균열과 임펠러 마모 등을 유발시켜 펌프의 안전에 악영향을 미치게 된다. 따라서 취수로에 유사의 퇴적을 유도하는 침사지를 설계하게 되며 Hydraulic Institute Standards(1998)에서는 허용설계유속을 0.2 m/s 이하로 정하고 있다. B 발전소는 직경 3 m의 대형 취수관로 3개를 통해 매우 빠른 유속으로 취수로에 유입되는 냉각수 계통 구조물을 가지고 있어 침사지 내 유속이 허용기준을 초과하였다. 본 연구에서는 침사지내 유속을 만족시키기 위해 다양한 에너지 소산 구조물 설계방안을 제시하였다. 각 설계방안에 따른 흐름 특성 및 유속 분포를 파악하고 common bay 내에서의 난류특성을 분석하여 비교.검토하였다. 수리모형실험 결과를 통해 각각의 설계방안에 따른 침사지의 효율을 평가하였으며 최적의 에너지 소산 구조물에 대한 설계방안을 제안하였다.

• Computational Structural Engineering
• /
• v.11 no.1
• /
• pp.27-37
• /
• 1998

본 고에서는 지진해석과 관련하여 가장 중요한 원칙과 해석법에 대한 개략을 제시하여 철근콘크리트 구조물의 지진해석과 관련된 용어 및 특수과제를 언급하고자 한다. 이 해석의 위력이나 매력적인 점에도 불구하고 지진응답에 대한 해석은 항상 많은 불확실성에 부닥칠 수 있다는 것을 강조하고자 한다. 해석은 설계과정의 한 단계에 불과하여 수많은 컴퓨터 출력 페이지가 빈틈없는(sound) 기술적 판단을 대신하여서는 안된다. 구조물에 있어서의 지진력은 외부에서 가해진 하중으로부터 발생하는 것이 아니다. 구조물에 압력 및 흡입력으로 작용하는 풍하중과는 달리, 구조물의 기저(base)에서의 주기적 운동에 의한 응답으로서 상부구조물은 가속도를 받게 되고 따라서 관성력으로서 지진력이 얻어지게 된다. 지진응답은 기본적으로 동적인 성질을 가지며 고유주기와 감쇠와 같은 동적 특성은 이 응답을 결정하는데 결정적인 역할을 한다. 만약 지진해석이 실제적인 것이 되자면, 단순화된 방식으로라도 이러한 동적 특성을 고려할 수 있는 것이어야 한다. 이러한 동적 성질이 복잡성의 한 요인이며, 다른 요인으로서 해석적 장애가 존재한다. 대부분의 구조물은 최대지진에 대하여 상당한 항복현상을 나타냄으로써 저항하도록 설계하고 있다. 따라서 설계자는 최대지진에 대한 구조물의 비선형 동적 거동에 대하여 어느 정도 이해를 하고 있어야 한다. 원칙적으로 이것은 매우 복잡하고 어려운 해석적 문제를 제기하게 된다. 실제로는 매우 단순화된 해석법, 적절한 설계 및 상세의 조합만으로도 만족스러운 거동을 얻는 것에 부족함이 없다. 어쨌든 이러한 해석기법의 바탕과 한계를 이해하는 것은 필수적이다.tidyl ethanolamine$(20.9{\sim}29.7%)$, phosphatidyl inositol$(18.4{\sim}26.1%)$ 순으로 많았다. 각 구성지질의 지방산조성은 4종의 버섯 공히 linoleic acid와 palmitic acid가 주요 지방산이었으나 싸리버섯은 중성지질에서 oleic acid의 함량이 높았다.n the part of special landscape management area, it is necessary to introduce landscape impact assessment system to more effective landscape management.ch served as supporting organizations. The control of the construction and management of the royal garden and landscape was held by decision makers, executors of works and management. 2) The general process of the construction and management of the royal garden and landscape included Sangji and Kyuho다 as the first step; In case of buildings and facilities, according to former examples and drawings, the most of the planning and design was already fixed.

• The Journal of the Korea Contents Association
• /
• v.17 no.11
• /
• pp.410-422
• /
• 2017

The purpose of this study was to investigate the correlation between knowledge related to disease(KRD), illness attitude, and quality of life(QOL) in relation to the Chronic Obstructive Pulmonary Disease(COPD). According to the study result, there were significant differences with regard to KRD in accordance with subjects' education, monthly income, mMRC(modified Medical Research Council) Dyspnea Scale, inhaled bronchodilator and antibiotic treatment. In addition, there were significant differences with respect to illness attitude according to monthly income and mMRC. In case of the QOL, there were significant differences in accordance with age, marital status, monthly income, inpatient status, history of hospital admission, oxygen use, comorbidity, mMRC, and inhaled steroid. It has shown that there was a significant correlation between KRD and QOL(r=-.438, p<.001), illness attitude and QOL(r=.279, p=.001). Thus, it is important to grasp monthly income and mMRC, which are correlated with the three elements in common. As per assessment about COPD patients in the clinical situation, it is necessary to develop a multi-disciplinary approach, health coaching program for improving KRD and having a positive attitude based on the low-income group with taking interest in the circumstances of mMRC as well as objective test results.

• Journal of agricultural medicine and community health
• /
• v.40 no.4
• /
• pp.240-249
• /
• 2015

Objectives: Farmers are known to be exposed to a variety of allergens related to the work environment. This study was conducted to determine the sensitization rates as well as South Korea that they are sensitized to certain allergens farmers through the skin prick test. Methods: By targeting a total of 1143 people living in the rural town of Gyeonggi Province, it was conducted a questionnaire containing demographic and occupational risk factors and underwent skin prick tests with 15 types of allergens(including positive and negative controls). Multivariable logistic regression analysis was used to analyze the association between occupational risk factors and skin prick test positivity. Results: Except for the 30 people whose result is invalid, positive rate of the skin prick test was 18.6% in 1,113 people. The species of house dust mite, Dermatophagoides pteronyssinus and Dermatophagoides farinae was the highest at 8.7% and 8.6%. After adjusted by age, gender, smoking and education level, odds ratio of flower plant farmers is 4.467(95% CI: 2.094-9.527) and fruit farmer is 2.275(95% CI: 1.096-4.721). In addition, the rate of sensitization to grass pollen mixture of the flower plant farmers is significantly higher(15.9%, p<0.001) than other allergens. Conclusions: Even farmers, the rate of sensitization to allergens related to the general environment, such as house dust mite is relatively dominant. However, given the presence of potential cross-reactivity between the allergens or distribution showed that the unique aspects of allergen sensitization in the flower growers, occupational cause is not be completely ruled out.

• Journal of Environmental Science International
• /
• v.16 no.5
• /
• pp.665-670
• /
• 2007

In this study, we evaluated the property change and relationship between hematological and biochemical parameters in exposure group and control group by multiple inhalation exposure, of $NO_2$. In case of leukocyte, change of hematological property increased significantly in statistics (p<0.05) in mice experiment. in case of hematocrit of exposure group, it was of decreased significantly in statistics. the tendency of hemoglobin and hematocrit was similar to all for three case. in case of methmoglobin that of the exposure group in mice experiment was meaning increased(p<0.05). For the $NO_2$ influence in biochemical property, total protein and triglyceride was decreased but not significant in statistics, albumin was decreased in the exposure group in the animal experiments, blood urea nitrogen and creatinine increased significantly in statistics in the animal experiments. uric acid and lactate dehydrogenase in serum increased significantly in the exposure group. We have to evaluate risk assessment for the $NO_2$ of indoor air pollutant in low concentration and long time.

• Tuberculosis and Respiratory Diseases
• /
• v.50 no.6
• /
• pp.693-703
• /
• 2001

Background : Smoking is the most important and consistent determinant of the development and progression of COPD(Ed Note : Define COPD). The fact that cigarette smokers develop a different type of COPD, chronic bronchitis and emphysema, with different clinical and pathological aspects, suggests that the development of COPD has a relationship with other smoking-associated factors beyond just a simple smoking history. The aim of this was to analyze the smoking habits and history of patients with COPD and to evaluate the development of different types of COPD according to patient's smoking habits. Method : To evaluate the differences in the smoking patterns of patients with chronic bronchitis and emphysema, a pulmonary function test was conducted, and the smoking history and patterns was obtained through a smoking history questionnaire by a direct personal interview from 333 male cigarette smokers diagnosed with COPD, in the Yeungnam university medical center(190 patients diagnosed with chronic bronchitis, 143 patients diagnosed with emphysema). Result : The patients with emphysema smoked earlier and had a higher smoking history(ie, more packyears, more total amounts of smoked cigarette, and more deep inhalation and longer duration of plain cigarette exposure) than those with chronic bronchitis. The depth of inhalation was also significantly higher in the emphysema patients after taking into account age, cumulative cigarette consumption and the type of cigarette smoked. Conclusion : Emphysema was more associated with the increasing degree of inhalation as assessed by the depth of inhalation. A high alveolar smoke exposure may be a significant risk factor for the development of emphysema.

• Journal of Chest Surgery
• /
• v.39 no.3 s.260
• /
• pp.220-225
• /
• 2006

Background: Spontaneous pneumomediastinum is an uncommon, benign, self-limited disorders that usually occurs in young adults without any apparent precipitating factors or disease. The purpose of this study was to review our experience in dealing with this entity and describe a reasonable course of assessment and management. Material and Method: A retrospective case series was conducted to identify adults patients with SPM who were diagnosed and treated in a single institution between 2001 and 2005. Result: Fifteen patients were identified who included 14 men and 1 women with a mean age of 26 years. Presenting symptoms were chest pain in 12 patients ($80\%$), dyspnea in 5 patients ($33\%$), and throat discomfort in 4 patients ($26\%$). Two cases were associated with use of inhalational drugs and 3 cases were associated with exercise. The predisposing factors were asthma, excessive exercise, and vomiting in spontaneous pneumomediastinum. The physical findings were subcutaneous emphysema in 10 patients ($77\%$). Chest radiography and computerized tomography were the diagnostic methods in all cases with CT scan revealing six cases with associated pulmonary abnormalities. Esophagogram and flexible bronchoscopy were selectively used. Fifteen patients ($100\%$) were admitted to the hospital. Their mean hospital stay was 3 days. All patients were conservatively treated. In a follow-up of 3 years no complications or recurrences were observed. Conclusion: Most simple spontaneous pneumomediastinum cases were benign diseases and most of them ($77\%$) had shown typical chest pain, dyspnea and subcutaneous emphysema. Inhalational drug use was not a major cause of SPM; however, increased use of bronchoinhalers was a suspicious cause of SPM.

• The Journal of Korean Academy of Prosthodontics
• /
• v.58 no.4
• /
• pp.349-355
• /
• 2020

The use of an obturator prosthesis for patients with maxillary defects is a common treatment method to improve their oral function and achieve esthetic satisfaction. However, due to various difficulties and complexities, conventional methods for fabricating dental obturators continue to pose a challenge for dentists and patients, as well as laboratory technicians. CAD-CAM technologies may make it simple to fabricate maxillofacial prostheses including hollow obturators, which could improve comfort for clinicians by reducing burdensome manipulations. In addition, patients without a specialist in their vicinity will be able to be treated via cooperation between a nearby general practitioner and a distant prosthodontist. The aim of this clinical report is to investigate the possibility of using digitally fabricated maxillofacial prostheses that can be designed in one location, and manufactured in another in clinical situations.