• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.34 no.1
• /
• pp.155-165
• /
• 2014

In this study, using a complex of physical, chemical, and biological evaluation factors, the ecological vulnerability to climate change were evaluated at each river in the Nakdong river basin. First, runoff, sediment rate, and low flow discharge changes according to AIB climate change scenario using the SWAT model were simulated. Also, for the assessment of chemical and biological factors, 48 points that water quality monitoring sites and ecological health measurement points are matched with each other was selected. The water quality data of BOD and T-P and the biological data of IBI and KSI in each point were reflected in the assessment. Also, the future rise in water temperature of the rivers in Nakdong river basin was predicted, and the impact of water temperature rise on the fish habitat was evaluated. The top 10 most vulnerable points was presented through a summary of each evaluation factor. This study has a contribution to river restoration or management plan according to the characteristics of each river.

• Quality Improvement in Health Care
• /
• v.10 no.2
• /
• pp.204-215
• /
• 2003

Background : ICD-10 Classification, which is used domestically as well as internationally, has limited use in the clinical practice since it is developed for at disease statistics and epidemiology. Therefore, the purposes of this study were to improve the quality of diagnosis by constructing a new disease classification based on the diagnoses doctors currently make in the clinical setting and connecting this classification with OCS and EMR, and to meet the demands of doctors for high quality medical study data in medical research. Methods : The specialists in each ophthalmic subfield collected clinical diagnoses and abbreviations based on the ophthalmology textbooks and confirmed the classifications. Total number of clinical diagnoses collected was totaled 672, for which ideal diagnoses had been selected and a new model of disease classification model in connection with ICD-10 was constructed. The constructed classification of clinical diagnoses consisted of six steps: the first step was the classification by ophthalmic subspecialty field; the second to fifth steps were the detailed classification by each specialty field; the sixth step was the classification by site. Results : After introducing the new disease classification, research on the use and a pre-post comparison was conducted. The result from the research on the use of the clinical diagnoses in inpatient and outpatient care has shown a gradually increasing tendency. From the pre-post comparison of EMR discharge summary diagnoses, the result demonstrated that the diagnosis was stated correctly and in detail. Since the diagnosis was stated correctly, code classification became correct as well, which makes it possible to construct high quality medical DB. Conclusion : This construction of clinical diagnoses provides the medical team with high quality medical information. It is also expected to increase the accuracy and efficiency of service in the department of medical record and department of insurance investigation. In the future, if hospitals wish to construct a classification of clinical diagnosis and a standard proposal of clinical diagnosis is presented by a medical society, the standardization of diagnosis seems to be possible.

• Journal of Welding and Joining
• /
• v.32 no.3
• /
• pp.27-33
• /
• 2014

This paper presents a brief summary on a relatively new plasma aided electrolytic surface treatment process for light metals. A brief discussion regarding the advantages, principle, process parameters and applications of this process is discussed. The process owes its origin to Sluginov who discovered an arc discharge phenomenon in electrolysis in 1880. A similar process was studied and developed by Markov and coworkers in 1970s who successfully deposited an oxide film on aluminium. Several investigation thereafter lead to the establishment of suitable process parameters for deposition of a crystalline oxide film of more than $100{\mu}m$ thickness on the surface of light metals such as aluminium, titanium and magnesium. This process nowadays goes by several names such as plasma electrolytic oxidation (PEO), micro-arc oxidation (MOA), anodic spark deposition (ASD) etc. Several startups and surface treatment companies have taken up the process and deployed it successfully in a range of products, from military grade rifles to common off road sprockets. However, there are certain limitations to this technology such as the formation of an outer porous oxide layer, especially in case of magnesium which displays a Piling Bedworth ratio of less than one and thus an inherent non protective oxide. This can be treated further but adds to the cost of the process. Overall, it can be said the PEO process offers a better solution than the conventional coating processes. It offers advantages considering the fact that he electrolyte used in PEO process is environmental friendly and the temperature control is not as strict as in case of other surface treatment processes.

• Quality Improvement in Health Care
• /
• v.22 no.1
• /
• pp.29-37
• /
• 2016

Readmission which reflects capacity to manage patients and general level of medical services has been known for one of the causes of medical expenditure due to inefficient service. Compared to disease-specific readmission, hospital wide readmission (HWR) is relatively easy to understand, and has merit to get over limitation of collateral medical services assessment; therefore, a growing interest in development and usage of readmission indicator as quality of care indicator focusing on all-disease is detected. In this study, we investigate current state of risk standardized readmission rate indicator used in the United States, the United Kingdom, and Canada, and examine the considerations when using readmission rate as quality indicator in Korea. Differences in risk-adjustment methods were showed among countries. The United States do not control race not to hide socio-demographic factors on readmission. Canada shows differentiation compared to other countries about reflecting community factors. All three-countries utilize readmission rate as monitoring quality of care rather than incentives or penalty due to the fact that readmission rate could not represent the whole quality of hospital and has a limitation at controlling socio-economic factors. Therefore, for usage readmission rate as quality indicator in Korea, preparing readmission classification standard for Korean medical environment and additional methods for acquiring information by using discharge summary is need. Moreover, continued discussion with clinical specialists is needed for obtain clinical reliability and validity.

• The Journal of Internal Korean Medicine
• /
• v.41 no.6
• /
• pp.1289-1299
• /
• 2020

Background: Hemorrhoid surgery is a frequently performed surgery in Korea, second only to cataract surgery. However, it has serious complications, including bleeding, infection, anal stenosis, and urinary retention, so active conservative therapies are in need at an early stage. Case summary: Thirteen patients with anal disease complained of main symptoms of pain, bleeding, and prolapse, with additional complaints of itching and mucus discharge. An herbal medicine mixture of Eulja-tang and Hwangryeonhaedok-tang was administered twice daily, and dry cupping therapy, acupuncture, and hot pack placements were administered on pelvic and sacral regions once weekly for four weeks. The symptoms were evaluated before and each week after the treatments. The treatments had statistically significant therapeutic effects. Conclusion: Korean medicine treatment-effectively alleviating the symptoms of anal disease, such as pain, bleeding, and prolapse-may represent an alternative therapy for conservative treatments in the early stages of anal disease.

• Journal of Korean Society on Water Environment
• /
• v.40 no.1
• /
• pp.36-46
• /
• 2024

Microplastics in water resources have been recognized as a serious problem. The discharge of microplastics from wastewater treatment plants is considered a major contributor to environmental pollution in water resources. However, a reliable analytical method for quantifying microplastics in wastewater treatment plants has not yet been established. This study proposes a reliable, quick, and easy analytical method for quantifying microplastics. For the removal of organic particles, preprocessing steps were applied including oxidation, sonication, washing, and sieving. Nile Red staining was used to visualize microplastics, and quantitative analysis was conducted using fluorescent imaging. The stained microplastics were ultimately quantified through image analysis software. Among the preprocessing steps, sonication and washing stages were particularly effective in efficiently removing interfering substances from wastewater, enhancing the accuracy of the microplastic analysis. Additionally, various solvents (methanol, acetone, and N-hexane) for the Nile Red staining solution were tested. When N-hexane was applied as the solvent, the quantity of stained microplastics was lower compared to methanol and acetone. This suggests that N-hexane has a greater potential of reducing false staining and counting of non-plastic particles. In summary, this research demonstrates a robust method for quantifying microplastics in wastewater treatment plants by employing effective preprocessing steps and optimizing the staining process with Nile Red and N-hexane.

• Journal of Preventive Medicine and Public Health
• /
• v.21 no.1 s.23
• /
• pp.31-46
• /
• 1988

In order to designate a present status necessary for establishment of preventive measures and guidelines of health education against hepatitis B in the course of secondary school education, knowledge and practice toward hepatitis B virus infection was surveyed by a questionnare method on total of 4,855 college entrants in the academic year of 1987 and analyzed the data collected using IBM PC(Trigem 88-II) with SAS package program. About two per cent of college entrants had past history of HBV infections not showing any difference between both sexes and geographical regions. About one third(33.7%) of total students had tested hepatitis B surface antigen(HBsAg), only 4% had tested hepatitis B surface antibody(HBsAb) and vaccination rate amounted to 24.6%, one fourth of total subjects. Both serological tests and vaccination were most commonly performed during adolescence, showing higher rates in female students than in male students. The rates also seemed to be higher in those from urban cities than those from rural cities. Students who had acquired correct knowledge that hepatitis B was infected by virus were amounted to 78.5% of college entrants, and remaining 21.5% had misunderstood that rickettsia, bacteria, fungi or parasites were causal agents. Female students were better aware of the causal agents than male students but there was no difference between places of growth. As for mode of transmission of HBV, 51.5% of male students and 47.7% of female students had correct knowledge. A very few student had known that fact that HBV was transmitted by body fluids such as tear(6.9%), nasal discharge(10.1%) and semen or vaginal secretion(19.2%) and majority(75%) of students had misunderstood that hepatitis B virus would be transmitted per os through food ingestion. Approximately one half(48.9%) of college entrants had knew correctly whom to be vaccinated. Approximately one half of the students knew that hepatr;ma(57.8%) and liver cirrhosis(57.4%) might complicate with hepatitis B virus infection, whereas 12.0% of the students responded that bronchitis was one of the complications of hepatitis B infection. In summary of the above results, we highly recommend that health education program for eradication of hepatitis B virus infection should be introduced in curricula of secondary school education in this country.

• Journal of Korea Multimedia Society
• /
• v.11 no.3
• /
• pp.364-372
• /
• 2008

It is highly useful in an actual clinical setting to apply appropriate medical terms to every area of electronic medical record (EMR) and link them effectively, as a single medical terminology system cannot cover all medical concepts. In order to use standardized terms conveniently and efficiently, it is required to categorize them depending on the purpose of individual departments or physicians and thereby develop organized subsets of extracted terms highly likely to be used. In addition, it is important to such a subset to make it possible to change or correct standardized terminology system and continue to develop and upgrade to meet renewed demands of users. In this paper, data including chief compliant, symptoms, diagnosis, operation, and history of previous treatments were collected from discharge summary of patients with Department of Neurosurgery at Busan National University Hospital for analysis. In addition, subset database was created, and for terms needed to be added, the physician directly performed mapping through connection with reference terminology server and developed subset editor for the purpose of creating new subset database. Therefore, it is expected that this can serve as a practical and effective management method to reduce problems and inefficiency caused by existing vast terminology system.

• Journal of The Korean Ophthalmological Society
• /
• v.59 no.12
• /
• pp.1181-1184
• /
• 2018

Purpose: To present a rare case of tear drainage since birth from a lacrimal ductule fistula, which is the first report in the Republic of Korea. Case summary: A 3-month-old female who presented with discharge of clear fluid from a small skin opening lateral to the right upper eyelid since birth visited the outpatient clinic. The patient was healthy and was receiving no medication. She was born on gestation age 35 weeks and 3 days. No other specific history or other ophthalmic abnormality was found. On examination, a small skin orifice approximately 2 mm diameter and no sign of infection or discoloration was observed. To relieve this symptom, the patient underwent a fistulectomy under general anesthesia. Histopathological examination of the surgical specimen was performed. The patient's symptom subsided postoperatively without recurrence. Conclusions: This is the first report in the Republic of Korea of tears draining from a lacrimal ductule fistula since birth and the subsequent clinical treatment procedures.

• Journal of Environmental Impact Assessment
• /
• v.31 no.1
• /
• pp.1-10
• /
• 2022

This study was carried out to understand the water quality characteristics of the initial stormwater runoff and the origin of soluble pollutants according to various rainfall conditions from a non-point source reducing facility. The water sample from this study was collected among 10 collection facilities in the G-drainage area. Specifically, five of the collection points including #1, #5, #8, #9, and #10 were reported with unknown water inflow even during non-rain conditions. The leakage characteristics of non-point pollutants from the collection facilities were then able to identify accordingly. The water quality characteristics of the stormwater runoff from the collection facilities were strongly affected by the amounts of rainfalls. The average concentrations of EC, BOD, TOC, and TN during non-rain were found to be higher than their concentrations during rain; on the other hand, the average concentrations of DO were found to be lower than its concentrations during rain. In addition, the distribution of organic components existing in the effluent of collection facilities were identified based on the dissolved organic matter analysis. In summary, the stormwater runoff was highly affected by pollutants flowing from the surrounding environment, and the amounts of hard-to-decompose humic substances were greatly increased in the collection facilities due to rain.