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Clinical Significance of Airway Resistance Curve by the Body Plethysmograph (Body Plethysmograph를 이용한 Airway Resistance Curve의 임상적 의의)

  • Cheon, Seon-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.2
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    • pp.218-225
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    • 1995
  • Background: Airway resistance(Raw) is measured with the body plethysmograph by displaying the relationship between airflow and alveolar pressure($V/P_A$). If the resistance curve on $V/P_A$ tracing is curved or looped, the estimation of Raw is difficult. This study was designed to examine wheather there is any correlation between the shape of resistance curve and the clinical status and the pulmonary function of patients. Methods: The 146 pulmonary disease patients with increased Raw were included in this study. The shapes of resistance curves on $V/P_A$ tracing with body plethysmograph during quiet breathing were analyzed and compared with pulmonary function. Results: The results were as follows ; 1) The shapes of resistance curves were summarized in 5 categories; type 1: linear, type 2: ovoid, type 3: sigmoid, type 4: scoop, type 5: paisley. The type 3 except 1 case, type 4 and type 5 were found to have loop mainly in expiratory phase. 2) Although the shapes of resistance curves were not typical for specific disease, the resistance curves of acute disease tended to belong to type 1 or 2 and those of chronic airflow obstruction tended to belong to type 3, 4 or 5. But resistance curves of bronchial asthma and destructive lung with tuberculosis showed all types in proportion to degree of airflow obstruction or destruction of parenchyme. 3) In the cases of resistance curves going to type 5 rather than type 1 and those with looping, airflow obstuction tended to be severe and airway resistance and residual volume tended to increase. Conclusions: Analysis of resistance curve on $V/P_A$ tracing measuring airway resistance is helpful for judging degree of airflow obstruction and air trapping. Although the shape of resistance curve is not typical for specific disease, there is a close association between looping and airway obstruction.

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The Investigative Study on the Small-sized Isolation Device: regarding of the isolation performance and function test In Emergency Disaster Circumstances (재난현장 소형격리장비의 성능 및 기능평가에 관련된 탐색적 연구)

  • Choi, Jin Woo;Haam, Sunnie;Yoon, Myuong O
    • Fire Science and Engineering
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    • v.34 no.1
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    • pp.135-141
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    • 2020
  • The first case of Middle East Respiratory Syndrome (MERS) was reported in Korea in 2015, after a Korean man from Bahrain tested positive for the infection. After first eruption, there were numbers of secondary infectees and whole country were frightened. At the time, isolated ambulances were available but few, and there was no specific way to prevent contamination during transfer. Therefore, Seoul National University Hospital and the University of Seoul developed isolation units and air filters. Four years after the MERS outbreak, this study measured the differential pressure inside and outside the small isolation units based on the differential pressure and air flow derived from simulation and testing, and proposed minimum values for virus leakage and internal sealing. A performance evaluation and testing method for the transfer equipment is proposed. The critical function of the small isolated transport equipment was defined and selected as an evaluation item; performance evaluation was carried out by simulating a real-world case. The results provide the proper pressure configuration of positive and negative pressure inside the segregation feeder; the clear criteria for the HEPA filter; and the performance criteria for the segregation feeder and air purifier.

The Effect of Earnings Management on the Bond Grading (이익조정이 신용등급에 미치는 영향)

  • Kim, Yang-Gu;Kwon, Hyeok-Gi;Park, Sang-Bong
    • Management & Information Systems Review
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    • v.34 no.2
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    • pp.113-130
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    • 2015
  • This study considers the relation between firms' earnings management and credit rating. Unlike preceding papers only focusing earnings management by accrual(thereafter, AM), this paper examines the effect of accrual earnings management(AMs) and real earning management(thereafter, RM) on credit rating. RMs have more negative effects on firms' forward cash flow generation abilities and long term operating performances than AMs. So, RMs are more negative signals for credit analysts than AMs. But credit analysts have much difficulty in seeing through RM, because if credit analysts want to find out RMs, they have to understand firms' internal operating activities, cost structures, receivables collection practices, and review whether profit distortions are due to abnormal change of them. Sample of this study consists of 2,150firm-year data listed companies from 2002 to 2010. Empirical evidence shows that AMs and RMs are negatively related to credit rating. This result implies that credit analysts see through AMs and RMs in interpreting financial informations, that is to say, they discount credit rating in considering level of earnings management that consist of real activity and accrual earning management. This paper also finds that RMs are more negatively related to credit ratings than AMs. This result suggests that credit analysts don't take RMs into account in credit rating process as much as AMs.

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An Empirical Study on the Effect of Information Sharing Level on Supply Chain Integration between Companies and Corporate's Performance (기업 간 정보공유수준이 공급사슬통합과 기업성과에 미치는 영향에 관한 실증연구)

  • Kim, Hyun-Chung;Lee, Choong-Bae
    • Journal of Korea Port Economic Association
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    • v.36 no.1
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    • pp.141-164
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    • 2020
  • With business environments around the world facing uncertainty and complexity, companies have focused on supply chain management as one of the essential elements in securing a competitive advantage. Successful supply chain management requires internal efforts to strengthen the core competencies of the company and the integration of individual functions in the supply chain. This study aims to investigate the effect of information sharing between companies on supply chain integration and corporate performance. The research hypothesis established in previous studies was analyzed using structural equation modeling. A total of 723 questionnaire responses were used to test the hypotheses of this study. We found that the integration and sharing of information between companies have a great influence on supply chain integration, which has positive effects on corporate performance at the operational and strategic levels, including finance, market share, and customer satisfaction. The integration of supply chains via information integration and sharing between companies can promote the flow of information, services, goods, and money. Therefore, if information is disconnected between actors in the supply chain, it will lead to negative effects on the management of the entire supply chain. On the other hand, if supply chain actors can share information efficiently in real time on one platform, they can expect to optimize the entire supply chain. Information sharing and integration at the strategic and operational levels play a vital role in supply chain integration, which contributes to achieving a company's performance targets and enhancing its competitiveness.

Bibliographical study on the Jiu Qi(九氣) shown at Ju Tong Lun(擧痛論) in Shao Wen(素問) Huang Ti Nei Ching(黃帝內經) (${\ll}$소문(素問).거통론(擧痛論)${\gg}$에 나타난 구기(九氣)에 대(對)한 고찰(考察))

  • Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.11 no.1
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    • pp.145-167
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    • 2000
  • Jiu Qi(九氣) was shown at Ju Tong Lun(擧痛論) in Shao Wen(素問) Huang Ti Nei Ching(黃帝內經), and is nine important factors that affect the function of human body. Jiu Qi concludes endogenous, exogenous, non-endo-exogenous factors. I do the bibliographical study on the Jiu Qi, the results were as follows; 1. The Qi of Jiu Qi has two opposite meanings. one is genuine vital energy(正氣), and the other is the factors causing abnormal state in vital energy. Jiu Qi is nine factors concluding coldness-heat(exogenous factors). six emotional factors(endogenous factor), overworking(non -endo-exogenous factor). 2. Anger may lead to abnormal rising of vital energy. Anger causes Qi of the liver to go perversely upward, and perverted flow of exuberant Qi of the liver lead to dysfunction of the spleen, so resulted in hematemesis, diarrhea, indigestion. 3. Joy can promote the harmony of vital energy and blood, so do the circulation of nutrient and defensive energy in physiological state. But an excessive joy may lead to the sluggishness of vital energy. 4. The lung keeps the pathway of air unconstructed, disseminates vital energy, cleanses the inspired air and keeps vital energy flowing downward. Sorrow affects on the function of the lung and the heart, so could result in obstruction of the circulation of nutrient and defensive energy. An excessive sorrow after stagnation may lead to the consumption of vital energy. 5. Fear makes vital energy and essence of the kidney sink to inward and downside, makes Yang-Qi can't go upward, so causes obstruction of triple wanner. An excessive fear can obstructs the ascending of Yang-Qi, so may lead to the abnormal falling of vital energy. 6. Coldness makes the sweat pore be contracted, so obstructs the circulation of triple warmer, causes sluggishness of defensive energy or Qi of the internal organ. 7. Heat makes the sweat pore be open, much amount of sweat is excreted with Yang-Qi, defensive energy, vital energy. Heat may consume vital energy. 8. Sudden fright affects on spirits of the heart and liver, causes disorder of the mental faculties and separation of blood and vital energy. Fright may lead to disorder of Qi. 9. Overwork concludes overfatigue and exhaustion caused by intemperance in sexual life. Overwork renders vital energy consumed, and hence results in lassitude and listlessness. 10. Thinking affects on the function of the heart and the spleen. Over thinking may lead to depression of vital energy. Through the bibliographical study on Jiu Qi, I got smallest amount of it, and this must be more investigated correlating with clinical study.

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Different PEEP Effects on Lung Volume According to Underlying Lung Disease in Patients with Auto-PEEP (자가 호기말 양압(auto-PEEP)을 보인 환자에서 원인질환에 따른 PEEP적용 효과의 차이)

  • Sohn, Jang Won;Koh, Younsuck
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.6
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    • pp.567-572
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    • 2004
  • Background : The effect of PEEP(ed note: Define PEEP.) on the lung volume in patients with auto-PEEP during mechanical ventilation is not even. In patients with an expiratory limitation such as COPD, a PEEP of 85% from an auto-PEEP can be used with minimal increase in the lung volume. However, the application of PEEP to patients without an expiratory flow limitation can result in progressive lung. This study was carried out to evaluate the different PEEP effects on the lung volume according to the different pulmonary diseases. Methods : Sixteen patients who presented with auto-PEEP during mechanical ventilation were enrolled in this study. These patients were divided into 3 groups: asthma, COPD and tuberculosis sequela (patients with severe cicatrical fibrosis as a result of previous tuberculosis and compensatory emphysema). A PEEP of 25, 50, 75 and 100% of the auto-PEEP was applied, and the lung volume increments were estimated using the trapped lung volume. Results : In the asthma group, the trapped lung volume was not increased at a PEEP of 25 and 50% of the auto-PEEP. This group showed a significant lung volume increment from a 75% PEEP. In the COPD group, the lung volume was increased only at 100% PEEP. In the tuberculosis sequela group, the lung volume was increased progressively from low PEEP levels. However, a significant increment of the lung volume was noted only at 100% PEEP. Conclusion : The effects of the applied PEEP on the lung volume were different depending on the underlying lung pathology. The level of the applied PEEP >50% of the auto-PEEP might increase the trapped lung volume in patients with asthma.

Validation of a HPLC MS/MS Method for Determination of Doxorubicin in Mouse Serum and its Small Tissues (마우스 혈장과 조직에서의 doxorubicin 측정 HPLC-MS/MS 방법)

  • Park, Jung-Sun;Kim, Hye-Kyung;Lee, Hye-Won;Lee, Mi-Hyun;Kim, Hyun-Gi;Chae, Soo-Wan;Chae, Han-Jung
    • Korean Journal of Clinical Pharmacy
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    • v.16 no.1
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    • pp.23-27
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    • 2006
  • Doxorubicin (DXR) is a type of anti-cancer drug called an 'anthracycline glycoside', It works by impairing DNA synthesis, a crucial feature of cell division, and thus is able to target rapidly dividing cells. Doxorubicin is a very serious anti-cancer medication with definite potential to do great harm as well as great good. A liquid chromatography-tandem mass spectroscopy (LC-MS/MS) method was developed to identify and quantify DXR in small-volume biological samples. After the addition of internal standard (IS, $5{\mu}L\;of\;1{\mu}M/ml$ daunorubicin methanol solution) into the serum sample, the drug and IS were extracted by methanol. Following vortex for a 1min and centrifugation at 15,000g for 10 min the organic phase was transferred and evaporated under a vacuum. The residue was reconstituted with $350{\mu}L$ of mobile phase and $10{\mu}L$ was injected into C18 column with mobile phase composed of 0.05M ammonium acetate (0.1 M acetic acid adjusted to pH 3.5) and acetonitrile (40:60, v/v). The flow rate was kept constant at $350{\mu}L/min$. The ions were quantified in the multiple reaction mode (MRM), using positive ions, on a triple quadrupole mass spectrometer. The lower limits of quantification for Doxorubicin in plasma and small tissues were approximately 0.5 ng/mL and 0.5 ng/mL respectively. Intra- and inter-assay accuracy (% of nominal concentration) and precision (% CV) for all analytes were within 15%, respectively.

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Physical symptoms generated by internet game addiction and relationship between physical symptom and game addiction grade. (인터넷 게임 중독으로 발생하는 신체증상과 중독성 사이의 상관성 연구)

  • Cho, Sung-Min;Yoon, Kyung-Hee;Koh, Duck-Jae;You, Han-Jung;Lee, Jin-Yong;Kim, Deog-Gon
    • The Journal of Pediatrics of Korean Medicine
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    • v.20 no.3
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    • pp.143-160
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    • 2006
  • Objectives : As the side effect brought up by internet game addiction, many reports come out, but most of past articles are for middle or high school students. There is seldom a poisoning game treatise to a primary school student, if there is treatise, it is real condition that treatise for lead pipe with psychological reasons is seldom discussion about physical symptoms. This research searches high grade elementary students' game use actual conditions and when divide to general user group, latent danger use group, high dangerous use group, according to serious illness degree of game poisoning, three groups and game poisoning happens, recognized about body symptoms that happen much. Methods : Target population of these questionnaire are fifth and sixth grade elementary student of Seoul city 2 school. Chose 263 elementary students, 144 men, 119 women who understand purpose of research and admit participation is 25 October, 2006 since 1 September, 2006 Results : As poisoning serious illness degree is high, there are many number of game times, much more boys are addicted to internet game than girs, insomnia is apt to happen frequently in game poisoning danger group, and correlation is high by megrim, shoulder ache, digestive trouble. Insomnia, symptoms that show next even if some symptoms show first because there is high correlation between megrim, shoulder ache, digestive trouble is high possibility to happen among four symptoms. Insomnia, megrim, shoulder ache, digestive trouble that happen by internet game poisoning, is apt to increase by increasing addiction. Symptoms treatment can divide by internal treatment that treat insomnia, megrim, digestive trouble, external treatment that is typical symptoms of VDT syndrome shoulder ache, headache, fatigue persimmon. Root treatment is mind symptoms treatment. Game addiction treatment is relationship method 'seven emotions injury treatment' in oriental medicine. 'promote the normal flow of qi' and 'adjustment of suitable emotion' can talk as pivotal point of treatment.

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Shock Metamorphism of Plagioclase-maskelynite in the Lunar Meteorite Mount DeWitt 12007 (달운석 Mount DeWitt 12007의 마스컬리나이트 충격 변성 특성 연구)

  • Kim, Hyun Na;Park, Changkun
    • Journal of the Mineralogical Society of Korea
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    • v.29 no.3
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    • pp.131-139
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    • 2016
  • Detailed knowledge on maskelynite, a glassy phase of plagioclase found in shocked meteorites and impact craters, is essential to understand a shock metamorphism. Here, we explore an inhomogeneous shock metamorphism in the lunar meteorite Mount DeWitt (DEW) 12007 with an aim to understand the formation mechanism of maskelynite. Most plagioclase grains in the DEW 12007 partially amorphized into maskelynite with a unidirectional orientation. Back-scattered electron (BSE) images of maskelynite show a remnant of planar deformation fracture possibly indicating that the maskelynite would be formed by solid-state transformation(i.e., diaplectic glass). Plagioclase with flow texture is also observed along the rim of maskelynite, which would be a result of recrystallization of melted plagioclase. Results of Raman experiments suggest that shock pressure for plagioclase and maskelynite in the DEW 12007 is approximately 5-32 GPa and 26-45 GPa, respectively. The difference in shock pressures between plagioclase and maskelynite can be originated from 1) external factors such as inhomogeneous shock pressure and/or 2) internal factors such as chemical composition and porosity of rock. Unfortunately, Raman spectroscopy has a limitation in revealing the detailed atomic structure of maskelynite such as development of six- or five-coordinated aluminum atom upon various shock pressure. Further studies using nuclear magnetic resonance spectroscopy are necessary to understand the formation mechanism of maskelynite under high pressure.

Thin-Film Composite (TFC) Membranes with Hydrophilic Ethyl Cellulose-g-poly(ethylene glycol) (EP) Substrates for Forward Osmosis (FO) Application (친수성을 가지는 에틸셀룰로스-폴리에틸렌글리콜 가지형 고분자의 정삼투 복합막 지지층으로의 응용)

  • Yu, Yun Ah;Kim, Jin-joo;Kang, Hyo;Lee, Jong-Chan
    • Korean Chemical Engineering Research
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    • v.54 no.4
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    • pp.510-518
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    • 2016
  • Ethyl cellulose-g-poly(ethylene glycol) (EP) was synthesized by esterification of carboxylic acid functionalized methoxy polyethylene glycol (MPEG-COOH) with ethyl cellulose (EC) in order to develop a hydrophilic substrate for thin-film composite (TFC) membrane in a forward osmosis (FO) system. A porous EP substrate, fabricated by a non-solvent induced phase separation method, was found to be more hydrophilic than the EC substrate due to the presence of polyethylene glycol (PEG) side chains in the EP. Since the EP substrate exhibits smaller water contact angles and higher porosity, the structural parameter (S) of TFC-EP is smaller than that of TFC-EC, indicating that internal concentration polarization (ICP) within porous substrates can occur less when TFC-EP is used as a membrane. For example, the water flux value of the TFC-EP is 15.7 LMH, whereas the water flux value of the TFC-EC is only 6.6 LMH. Therefore, we strongly believe that the TFC-EP could be a promising candidate with good FO performances.