• Title/Summary/Keyword: 01A72

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The Effects of Tidal Volume on Minimal Occlusion Pressure of Endotracheal Tube Cuff in Patients with Same Peak Inspiratory pressure (동일한 최고 흡기압(Peak inspiratory pressure)에서 기관 내관 풍선(Endotracheal tube cuff)의 최소 밀폐압(Minimal occlusion pressure)에 대한 상시량의 영향)

  • Sohn, Jang Won;Kim, Tae Hyung;Yoon, Ho Joo;Shin, Dong Ho;Park, Sung Soo
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.5
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    • pp.434-438
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    • 2004
  • Background : An excessive endotracheal cuff pressure can cause tracheal injury, and insufficient cuff pressure may not generate an effective cuff seal. The peak inspiratory pressure influences the minimal occlusion pressure of the endotracheal tube cuff. However, the relationship between the minimal occlusion pressure and the tidal volume has not been investigated. This study was conducted to estimate the relationship between the tidal volume and the minimal occlusion pressure of the cuff. Methods : Ten mechanically ventilated patients were included. The minimal occlusion pressure of the cuff was measured using a pressure gauge. The basal tidal volume was increased and decreased as much as 10% whilst maintaining the same peak inspiratory pressure. The, minimal occlusion pressures were then measured in the high and low tidal volume state, respectively. Results : The peak inspiratory pressure was $32.6{\pm}4.72cmH_2O$ and the minimal occlusion pressure was $19.0{\pm}2.26$ mmHg in the basal ventilator setting. There was a significant relationship between the peak inspiratory pressure and the minimal occlusion pressure(r=0.77, p<0.01). The minimal occlusion pressure of the cuff was increased to $20.3{\pm}2.4$ mmHg in the high tidal volume state(p<0.05), and decreased to $16.8{\pm}3.01$ mmHg in the low tidal volume state (p<0.001). Conclusion : The minimal occlusion pressure of the cuff can be influenced by changes in the tidal volume as well as by the peak inspiratory pressure.

Epidemiologic Investigation of an Outbreak of Shigellosis in Kyongju, Korea (1998년 경주시 한 초등학교 학생과 인근 주민에서 발생한 세균성이질)

  • Jung, Cheol;Bae, Geun-Ryang;Hur, Yeong-Joo;Lee, Sang-Won;Jeong, Eun-Kyeong;Lim, Hyun-Sul
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.1
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    • pp.1-9
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    • 2000
  • Objectives : This study was carried out to investigate the sources of infection and modes of transmission of an outbreak of shigellosis that occurred among pupils of 'M' primary school and residents near the school in Kyongju from Sept. 24 to Oct. 24, 1998. Methods : The subjects who completed a questionnaire and a rectal swab for microbiologic examinations were 1,534 persons (781 males, 753 females), including 469 pupils of 'M' primary school (268 males, 201 females). Bacteriological examinations of underground water and simple piped water were done. Results : The attack rate of diarrhea was 28.7% in the subjects from Sept.24 to Oct. 24, 1958. There was no difference in attack rate of diarrhea by gender, but it was significantly higher in the pupils of 'M' primary school than others (p<0.01). The attack rate of diarrhea by resident areas was no different to the pupils of 'M' primary school, but was significantly higher in the residents of Mohwa 2 Ri except pupils that 'M' primary school is located in (p<0.01). The distribution of date of onset revealed the exposure date to be Sept, 22 and 23 in consideration of incubation periods and common source outbreak followed propagative spread in the epidemic curve. The major characteristics of diarrhea were watery (89.1%) in nature, $1\sim3$ days (72.5%) in duration, $2\sim3$ times (63.9%) in frequency. The clinical symptoms among the diarrheal cases included abdominal pain (74.1%), fever (56.4%), headache (55.9%), chill (40.4%) and tenesmus (31.4%). Conclusions : The source of infection was estimated to be contaminated underground water and simple piped water caused by leakage from the cess pool. It is highly necessary that the management of drinking water and cess fools should be done thoroughly.

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Analysis of $^{99m}Tc-ECD$ Brain SPECT Images for ADHD in Children Using Statistical Parametric Mapping (SPM) (주의력 결핍 과잉행동장애(ADHD) 어린이 $^{99m}Tc-ECD$ Brain SPECT Image의 SPM을 이용한 분석)

  • 박성옥;신동호;권수일;이명훈;조철우;윤석남;오은영
    • Progress in Medical Physics
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    • v.14 no.2
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    • pp.141-148
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    • 2003
  • The purpose of this study is to evaluate the distribution of clusters and blood flow rate in ADHD SPECT brain blood flow images of children using statistical parametric mapping (SPM99). We studied 64 ADHD children (4-15 y, $8.03{\pm}2.57$ y. male/female:52/12) and compared them with a control group of 12 children (6-l7 y, $9.42{\pm}3.37$ y, male/female:8/4). We injected blood flow tracer $^{99m}Tc$-ethylcysteinate dimer (ECD) as a rCBF agent and took blood flow images after 30 min. by SPECT camera. In the case of hyperperfusion of rCBF in the ADHD group, we found 3 clusters clearly separated at the cingulate gyrus, Rt.cerebral occipital lobe and Lt.cerebellar post. lobe, on probability level 0.05 (P<0.05). Thirty-six ADHD patients with average hyperfusion rates between 18.72-19.30% in each cluster had more increase in blood flow than the average perfusion rate at the Rt. cerebral occipital lobe. These levels were influenced by P-value. In the case of hypoperfusion in the ADHD children, 4 decreased clusters on Lt. and Rt. cerebral frontal lobe, Lt. cerebral claustrum and Rt. cerebral, sup. temporal gyrus at P<0.01 can be seen. The average hypoperfusion rates for the ADHD children were 18.41-18.69% in each cluster, which showed more hypopefusion than the average perfusion rate at the Lt. Cerebrum inf. Frontal gyrus. The perfusion rates and the number of patients were not affected by P-value. The result of this study shows significant hyperpefusion clusters at the probability level of P:0.05 and hypoperfusion clusters at P:0.01. The number of ADHD patients in each clusters and the perfusion rate were not affected by P-value.

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Effect of Abnormal Ovarian Cycle Postpartum on Subsequent Reproductive Performance in Holstein Cows (젖소의 분만 후 비정상적 난소 주기가 번식 성적에 미치는 영향)

  • Park, Soo-Bong;Son, Jun-Kyu;Park, Seong-Jai;Baek, Kwang-Soo;Jeon, Byeong-Soon;Ahn, Byeong-Seog;Kim, Hyeon-Shup;Park, Choon-Keun
    • Reproductive and Developmental Biology
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    • v.30 no.3
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    • pp.213-218
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    • 2006
  • This study was conducted to investigate the effect of abnormal ovarian cycle postpartum on subsequent reproductive performance of Holstein cows. The cows were considered to have resumed ovarian cyclicity on the day of ovulation if followed by regular ovarian cycles. Total 58.8 percentage of the cows(l14/194) had normal resumption of ovarian cyclicity(resumption within 40 days after calving), and 41.2%(80/194) had delayed resumption(resumption did not occur until >40 days after calving). Delayed resumption Type I(one or more ovarian cycles with luteal phase >20 days, i.e. prolonged luteal phase; 17.5%) and delayed resumption Type II(first ovulation did net occur until $\geq$40 days after calving, i.e. anovulation 22.7%) were the most common types of delayed resumptions. When compared with cows with a normal ovarian cycle, the cows of delayed resumption Type I had a lower 100 days AI submission conception and pregnancy rates(84.2% vs 40.0%; p<0.01, 24.0% vs 21.4% and 20.2% vs 11.1%, respectively), and longer intervals to first AI and to conception($64.7{\pm}2.79$ days vs $105.7{\pm}7.48$ days and $105.1{\pm}7.16$ days vs $133.7{\pm}11.17$ days, respectively; p<0.01). Similarly, when compared with cows with normal ovarian cycles, the cows of delayed resumption Type II had lower 100 days conception and pregnancy rates(24.0% vs 20.0% and 20.2% vs 16.3%, respectively), and longer intervals to first AI and to conception($64.7{\pm}2.79$ days vs $72.6{\pm}4.45$ days and $105.1{\pm}7.16$ days vs $120.8{\pm}12.33$ days, respectively). In conclusion, abnormal ovarian cycles postpartum adversely affected reproductive performance, including AI submission rate, pregnancy rate, interval to first AI, and calving to conception interval in Holstein cows.

A Study on the Radioprotection Effect of Selenium and Arginine Mixtures for Reducing Radiation Damage to Police SOU (경찰특공대 요원의 방사선손상 감소를 위한 셀레늄과 아르기닌 혼합물의 방호효과 연구)

  • Geun-Woo Jeong;Hae-Suk Kim;Jae-Hyeong Park;Sung-Hyun Joo;Jae-Gyeong Choi;Se-Im Cheon;Byung-In Min
    • Journal of the Korean Society of Radiology
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    • v.18 no.2
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    • pp.119-125
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    • 2024
  • The purpose of this study is to examine the radioprotection effect of mixtures of selenium and arginine for development of radioprotection agents that can minimize radiation damage to police special operation unit in the event of radioactive terrorism. In this study 72 male rats were classified into 4 groups: normal group(NC Group), selenium and arginine mixtures administration group(SeAr Group), radiation exposure group(IR Group), and selenium and arginine mixture administration group followed by radiation exposure(SeAr+IR Group). The 7Gy of X-ray was irradiated to whole body of SD rats. And selenium and arginine were dministered orally at 3mg/kg and 150mg/kg once a day for 14 days. And then hematological and histological analyzes were performed on days 1, 7, and 21 after radiation exposure. In hemotological analysis, significant radioprotection wes observed in lymphocytes(p<0.05) on day 1, platelet(p<0.01) on day 7, red blood cell(p<0.01) on day 21 of radiation exposure in SeAr+IR group compared to IR group. In histological analysis, it was observed that the border of small crypt cells in the small intestine was less collapsed and the length of small crypts was relatively recovered on day 7 and showed that the number of cells and cell wall thickness were better in the prostate on day 21 in SeAr+IR group compared to IR group. Therefore, it is judged that selenium and arginine mixtures have radioprotection effect on blood and tissues due to radiation exposure. it will be helpful for research on radioprotection agents to reduce radiation damage to police special operation unit.

A Study on Law Intelligence in regard to Nursing Duty of Nurse (간호사의 간호업무에 관련된 법지식에 관한 연구)

  • You Kwang Soo;Seo Geo Suk
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.106-120
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    • 1997
  • The Purpose of this study was to get grasp the law intelligence related to nursing duty of nurse in order to estimate a degree of mangement duty, patient mangement duty, injection duty, medication duty that nurse have. This paper made a survey of 270 nurses who were employed in general hospital of Chon-ju city. Questionnaire were composed 32 items through four dimension. The result of this survey showed that as follow : 1. Law intelligence related to nursing duty was expressed mean score 17.24 score in maxim score 32 score, mangement duty mean score 5.01 score in maxim score 11 score, patient mangement duty mean score 2.72 score in maxim score 11 score, injection duty mean score 3.84 score in maxim score 7 score, medication duty mean score 3.55 in maxim score 7 score of each domain 2. Relationships of mangement duty. patient mangement duty, injection duty. medication duty were expressed to progressive relationship of all. 3. Correlation between general features and law intelligence related to my duty.

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Postoperative Pain Assessment based on Derivative Waveform of Photoplethysmogram (광용적맥파 미분 파형 기반 수술 후 통증 평가 가능성 고찰)

  • Seok, Hyeon Seok;Shin, Hangsik
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.67 no.7
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    • pp.962-968
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    • 2018
  • In this study, we developed novel indicators to assess postoperative pain based on PPG derivative waveform. As the candidate indicator of postoperative pain assessment, the time from the start of beating to the n-th peak($T_n$) and the n-th peak amplitude($A_n$) of the PPG derivative were selected. In order to verify derived indicators, each candidate indicator was derived from the PPG of 78 subjects before and after surgery, and it was confirmed whether significant changes were observed after surgery. Logistic classification was performed with each proposed indicator to calculate the pain classification accuracy, then the classification performance was compared with SPI(Surgical Pleth Index, GE Healthcare, Chicago, US). The results showed that there were significant differences(p < 0.01) in all indicators except for $T_3$ and $A_3$. The coefficient of variation(CV) of every time-related indicators were lower than the CV of SPI(30.43%), however, the CV in amplitude-related parameters were higher than that of SPI. Among the candidate indicators, amplitude of the first peak, $A_1$, showed that highest accuracy in post-operative pain classification, 68.72%, and it is 15.53% higher than SPI.

Application of the new ICRP iodine biokinetic model for internal dosimetry in case of thyroid blocking

  • Kwon, Tae-Eun;Chung, Yoonsun;Ha, Wi-Ho;Jin, Young Woo
    • Nuclear Engineering and Technology
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    • v.52 no.8
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    • pp.1826-1833
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    • 2020
  • Administration of stable iodine has been considered a best measure to protect the thyroid from internal irradiation by radioiodine intake, and its efficacy on thyroid protection has been quantitatively evaluated in several simulation studies on the basis of simple iodine biokinetic models (i.e., three-compartment model). However, the new iodine biokinetic model adopted by the International Commission on Radiological Protection interprets and expresses the thyroid blocking phenomenon differently. Therefore, in this study, the new model was analyzed in terms of thyroid blocking and implemented to reassess the protective effects and to produce dosimetric data. The biokinetic model calculation was performed using computation modules developed by authors, and the results were compared with those of experimental data and prior simulation studies. The new model predicted protective effects that were generally consistent with those of experimental data, except for those in the range of stable iodine administration -72 h before radioiodine exposure. Additionally, the dosimetric data calculated in this study demonstrates a critical limitation of the three-compartment model in predicting bioassay functions, and indicated that dose assessment 1 d after exposure would result in a similar dose estimate irrespective of the administration time of stable iodine.

Effects of 'Diet and Health' Course on Nutrition Knowledge and Dietary Attitudes of University Students in the Kangwon Area (강원지역 대학생의 식생활 관련 교양과목이 영양지식 및 식생활 태도에 미치는 영향)

  • Im, Yang-Soon
    • Journal of the Korean Home Economics Association
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    • v.44 no.5 s.219
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    • pp.119-128
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    • 2006
  • This study used a questionnaire survey to investigate the effect of nutrition education on nutritional knowledge and dietary attitudes during a 'Diet and Health' one-semester lecture taken by non-major university students. The study subjects were 504 students of K University. Body mass indices (BMIs) of the male and female students were 22.3 and 20.1, respectively, with 58.2% and 65.9% being normal weight, 13.8% and 1.5% being obese, and 7.3% and 20.2% being underweight, respectively. The nutritional knowledge score significantly increased from 13.51 to 15.97 in male subjects (p<0.001) and from 13.88 to 16.38 in female subjects (p<0.001) after attending the lecture. Dietary attitude scores increased from 47.15 to 49.72 in males and from 48.65 to 50.97 in females after the lecture, but the increase was only significant in the males (p<0.01). There was a significant and positive correlation between nutritional knowledge score and dietary attitude score in both male and female student who had taken the 'Diet and Health' one-semester lecture.

Cellulolytic Enzymes Production Cultivation Using Air Circulation Bioreactor

  • Seo, Jin-Ho;Song, Hyo-Jung;Kim, Seong-Jun
    • 한국생물공학회:학술대회논문집
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    • 2005.10a
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    • pp.232-237
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    • 2005
  • The cellulloytic enzymes, such as FPase and amylase, production by Trichoderma inhamatum KSJ1 using 10L air circulation bioreactor were tried. Physical properties of the employed bioreactor, mixing time, $k_{L}$ a were examined in airflow conditions of enzyme production cultures. Mixing time of distilled water at 0.6, 1.2, 1.8 vvm were 25, 21, 9 sec, respectively, and mandel's medium using rice straw and pulp as carbon sources were 31, 25, 15 sec. Mixing time decreased when airflow rate increased. $k_L$ a of distilled water at 0.6, 1.2, 1.8 vvm were measured -22.52, -29.31, -39.62, respectively, and the mandel's medium were -47.8, -18.5, -21.4. The $k_L$ a values was increased linearly as the air-flow rates increased. However the values in mandel's medium showed different results, especially at 0.6 vvm. Amylase and FPase activity at the 1.2 vvm was 3.39U/mL, 0.72U/mL in 5 days cultivation. and the activities at 0.6 vvm were 2.01U/mL, 0.39U/mL, respectively. The enzyme productivity at 1.2 vvm was higher than at 0.6 vvm, indicating that high oxygen tension is requested for the efficient enzyme production culture of T. inhamatum KSJ1.

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