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The Importance of Video Fluoroscopy Swallowing Study for Nasogastric Tube Removal in Rehabilitation Patients (재활치료환자의 비위관(nasogastric tube)제거에 따른 비디오 투시연하검사(VFSS)의 중요성 평가)

  • Jung, Myoyoung;Choi, Namgil;Han, Jaebok;Song, Jongnam;Kim, Weonjin
    • Journal of the Korean Society of Radiology
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    • v.9 no.1
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    • pp.1-7
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    • 2015
  • Acute phase patients who are unconscious and are suffering from cerebral infarction, cranial nerve disorders, or cerebral apoplexy are susceptible to aspiration pneumonia due to dysphagia. In these cases, a nasogastric tube is inserted to supply nutrients. Although bedside screening tests are administered during recovery after rehabilitation, clinical examinations may not be able to ascertain asymptomatic aspiration. Therefore, a video fluoroscopy swallowing study (VFSS) was performed in 10 patients with dysphagia after rehabilitation therapy; these patients had nasogastric tubes inserted, and a rehabilitation specialist assessed the degree of swallowing based on the patients' diet and posture. If aspiration or swallowing difficulties were observed, dysphagia rehabilitation therapy was administered. The patients were reassessed approximately 30-50 days after administration of therapy, based on the patients' condition. If aspiration is not observed, the nasogastric tube was removed. A functional dysphagia scale was used to analyze the VFSS images, and the scores were statistically calculated. The mean score of patients with nasogastric tubes was $49.79{\pm}9.431$, thereby indicating aspiration risk, whereas the group without nasogastric tubes showed a mean score of $11.20{\pm}1.932$, which indicated low risk of aspiration. These results demonstrated that a significantly low score was associated with nasogastric tube removal. Mann-Whitney's test was performed to assess the significance of both the groups, and the results were statistically significant with a P value <0.001. In conclusion, VFSS can effectively assess the movements and structural abnormalities in the oral cavity, pharynx, and esophagus. It can also be used to determine the aspiration status and ascertain the appropriate diet or swallowing posture for the patient. Therefore, VFSS can potentially be used as a reliable standard test to assess swallowing in order to determine nasogastric tube removal.

Study on Optimum Contrast Medium Quantity during Abdominal CT using Dual Energy Technique (복부 CT 검사 시 이중에너지 기법을 통한 적정한 조영제 양에 관한 연구)

  • Kang, Min;Choi, Namgil;Han, Jaebok;Kim, Wook;Jang, Yeongill;Song, Jongnam
    • Journal of the Korean Society of Radiology
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    • v.9 no.1
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    • pp.9-16
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    • 2015
  • The purpose of this study is finding optimum contrast medium quantity during abdominal CT using dual energy technique. The study subjects are 30 patients who had received general single energy abdominal CT and received double energy technique follow-up abdominal CT. dual energy technique abdominal CT images were obtained after setting contrast medium quantities at 30%, 40%, 50%, 60% and 70% of contrast medium quantity at the time of single energy technique. Then the contrast enhancement (Hounsfield Unit; HU) was estimated by setting-up the regions of interest at aorta, inferior vena cava, hepatic portal vein and hepatic parenchymal. The obtained values were compared to the values of the same parts measured during single energy technique abdominal CT. The results of the study were as following. The 60% set up group had HU in aorta : $210.80{\pm}13.609$, IVC : $190.40{\pm}25.215$, hepatic portal vein : $198.40{\pm}21.232$ and hepatic parenchymal : $119.20{\pm}7.98$, The single energy abdomianl CT images had HU in aorta : $205.40{\pm}16.426$, IVC : $188.20{\pm}21.476$, hepatic portal vein : $195.40{\pm}22.744$ and hepatic parenchymal : $121.00{\pm}6.595$. Therefore, it is possible to obtain contrast enhancement by dual energy technique abdominal CT similar to the same by single energy technique abdominal CT by setting-up the quantity of contrast medium at 60% of contrast medium at the time of single energy technique abdominal CT. Based on the result of this study, it is possible to decrease existing quantity of contrast medium by _% and the injection velocity can be also decreased. Accordingly, it is believed that the result of study would be quite useful for patients who have renal function disorder, weak vein or side effect of contrast medium in the past.

Evaluation of the Usefulness of a Wireless Signal Device for the Use of Contrast Agent in Computed Tomography (전산화단층촬영에서 조영제 주입에 따른 무선신호기 사용의 유용성평가)

  • Hong, Ki-Man;Jung, Myo-Young;Seo, Young-Hyun;Song, Jong-Nam
    • Journal of the Korean Society of Radiology
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    • v.12 no.3
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    • pp.417-425
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    • 2018
  • The psychological anxiety of radiologists, as well as the patients, is growing with the increasing use of CT contrast agent side effects and the process of extravasation. In this study, a satisfaction survey was conducted regarding the wireless signal device after CT examination in patients and radiologists by employing a wireless signal device during a contrast-enhanced CT examination in order to determine its usefulness to the relieve psychological anxiety, such as anxiety and fear, of patients and radiologists when using contrast agents. The use of a wireless signal device was also intended to help radiologists in dealing with the side effects of contrast agents that may occur during a CT examination and preventing extravasation. Patients aged 20 years or older, who visited the C university hospital in Jeonnam province for 4 months from August to November in 2017, were surveyed. A total number of 90 patients (57 males and 33 females),who agreed to the study after CT examination, were included in the questionnaire survey. Meanwhile, 15 radiologists, who were working at a CT room and had an experience in using a wireless signal device, were surveyed. Patient satisfaction was $6.01{\pm}0.88$ before the use of a wireless signal device and $8.20{\pm}1.06$ after use, thereby showing an increased satisfaction after its use. Radiologist satisfaction was $8.46{\pm}1.06$ after use, thereby not showing a big difference from the mean patient satisfaction. The satisfaction was high at over 8 points in both groups. The contribution to psychological stability with the use of a wireless signal device was $8.98{\pm}0.65$ in patients with prior experience of side effects and $8.00{\pm}1.21$ in patients without prior experience of side effects. In conclusion, it is considered to improve satisfaction with the examination by helping the radiologists in taking immediate action with calling via the wireless signal device and providing the patients and radiologists with psychological stability by reducing their anxiety.

Effects of Composted Pig Manure on Rice Cultivation in Paddy Soils of Different Texture (논토양검정에 의한 토성별 돈분퇴비 적정 시용량 결정)

  • Song, Yo-Sung;Kwak, Han-Kang;Hyun, Byung-Keun;Yeon, Byeong-Yeol;Kim, Pil-Joo
    • Korean Journal of Soil Science and Fertilizer
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    • v.34 no.4
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    • pp.265-272
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    • 2001
  • A manure compost has been identified as an alternative to fertilizer to increase soil fertility and crop production in farming fields. The aim of the present study was to evaluate the effects of pig manure compost on soil properties and rice productivity as well as to determine the optimum application rate. In 1997, a field experiment was carried out to evaluate the growth of rice on sandy loam, loam, and clay loam soils amended with 0, 5, 10, and $20Mg\;ha^{-1}$ of pig manure compost plus NPK, which decided by soil testing. Rice yields were higher in soils receiving manure compost amendment. The maxim um yields were evaluated with $7,520kg\;ha^{-1}$ in the levels of $4.2Mg\;ha^{-1}$ of pig manure compost application plus NPK in sandy loam, $7,320kg\;ha^{-1}$ in the levels of $10.7Mg\;ha^{-1}$ in loam, and $6,320kg\;ha^{-1}$ in $17.2Mg\;ha^{-1}$ in clay loam soil. The optimum application rate of pig manure compost, which decided for 95% of maximum yields, was $4.0Mg\;ha^{-1}$ in sandy loam and $7.0Mg\;ha^{-1}$ in loam and clay loam soils under the condition of chemical fertilization by soil diagnosis. An increase in rice yield indicated a better nutrient status in compost-amended soil which was supported by the higher nutrient contents of N, P and K in shoot of plants grown in soil with manure compost amendment. Addition of manure compost increased available phosphate, silicate and exchangeable K in the amended soils according to the rate of compost application rate. It can be concluded that the manure compost could be a suitable organic fertilizer for improving rice productivity and soil fertility, and an application rate of $4.0Mg\;ha^{-1}$ in sandy loam and $7.0Mg\;ha^{-1}$ in loam and clay loam soils would give the optimum rice yields in the standard fertilization by chemical fertilization.

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Andic Properties of Major Soils in Cheju Island -III. Conditions for Formation of Allophane (제주도(濟州島) 대표토양(代表土壤)의 Andic 특성(特性)에 관한 연구(硏究) -III. Allophane 생성조건(生成條件))

  • Song, Kwan-Cheol;Yoo, Sun-Ho
    • Korean Journal of Soil Science and Fertilizer
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    • v.27 no.3
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    • pp.149-157
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    • 1994
  • The conditions for formation of allophane in volcanic ash soils in Cheju Island were investigated. Soils of toposequence distributed along the sourthern slope of Mt. Halla, and the major soil groups such as dark brown soils, very dark brown soils, black soils, and brown forest soils were colleted and analyzed for Al, Fe and Si extracted with solutions of pyrophosphate and oxalate. Mean annual temperature decreased $0.8^{\circ}C$ and mean annual precipitation increased 110mm with increase elevation of 100m. Organic carbon content increased and soil pH decreased with elevation, and the formation of allophane in soils formed a climosequence. Dark brown soils widely distributed in the northern and western coastal areas, where the mean annual precipitation ranged 1,240~1,420mm and the evaporation ranged 1,290~1,320mm, contained only small amounts of allophane and Al-humus complexes. For other soils, organic carbon content, pyrophosphate extractable Al, and $Al_p/Al_o$ were inversely correlated with $pH(CaCl_2)$. Allophane content showed close relationships wlth $pH(CaCl_2)$, and inverse relationships with organic carbon content and $Al_p/Al_o$.

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Movement of Applied Nutrients through Soils by Irrigation -III. Effect of Soil Water on the Movement of Nitrogen (관수(灌水)에 의(依)한 시비양분(施肥養分)의 토양중(土壤中) 이동(移動)에 관(關)한 연구(硏究) -III. 토양수분(土壤水分) 조건(條件)에 따른 질소(窒素)의 이동(移動))

  • Ryu, Kwan-Shig;Yoo, Sun-Ho;Song, Kwan-Cheol
    • Korean Journal of Soil Science and Fertilizer
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    • v.27 no.3
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    • pp.232-237
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    • 1994
  • Field microplot(D 20cm, 1 85cm) experiment filled with Bonryang sandy loam soil(Typic Udifluvents) was conducted to obtain quantitative information on the movement of applied nitrogen under different soil moisture regimes and ladino clover cultivation. Urea applied to the soil was quickly transformed into $NH_4$-N which was slowly to $NO_3$-N which governed the downward movement of inorganic N applied in the soil. Downward movement of inorganic nitrogen was relatively slow in the early growing stages of ladino clover when $NH_4$-N form was the major inorganic nitrogen in the soil. In the later growing stages when $NO_3$-N was the major form, inorganic nitrogen moved rapidly with soil water. Favorable soil moisture condition increased downward movement and plant uptake of inorganic nitrogen. In the non irrigated bare soil 92% of applied nitrogen was leached downwards out of the microplots at the final harvest. Under the non-irrigated condition 57% of applied nitrogen was taken up by plants and 37% of nitrogen remained in the soil 5.5 months after sowing. Nitrogen uptake by plants in the microplots irrigated at 0.2 bar was 4.03g/microplot at the final harvest, which was more than the amount of nitrogen applied.

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Soil Erosion Risk Assessment by Soil Characteristics and Landuse in the Upper Nakdong River Basin (토양 특성 및 토지이용에 따른 낙동강 상류지역 토양침식위험성 평가)

  • Park, Chan-Won;Sonn, Yeon-Kyu;Hyun, Byung-Keun;Song, Kwan-Cheol;Chun, Hyun-Chung;Cho, Hyun-Jun;Moon, Yong Hee;Yun, Sun-Gang
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.6
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    • pp.890-896
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    • 2012
  • This study was conducted to evaluate soil erosion risk with a standard unit watershed in the upper Upper Nakdong River Basin according to soil characteristics and landuse using the spatial soil erosion map. The study area is $3,605.6km^2$, which consists of 2 subbasins, 35 standard unit watersheds (Andong basin 18, Imha basin 17). As a evaluation of soil erosion potential using the spatial soil erosion map, total annual soil loss and soil loss per area estimated $2,013{\times}10^3Mg\;yr^{-1}$ (Andong basin 979, Imha basin 1,034) and $6.1Mg\;ha^{-1}yr^{-1}$ (Andong basin 6.0, Imha basin 5.2), respectively. 54.2% of soil loss was originated from Arable land (Andong basin 49.0%, Imha basin 59.0%), and the area of regions, graded as higher "Moderate" for annual soil loss, was $201.7km^2$ (Andong basin 84.9, Imha basin 116.8). Average soil loss per area of unit watersheds by classification according to soil dominant parent material types ranked "Sedimentary rock group" > "Mixed group" > "Metamorphic rock group" > "Igneous rock group". In conclusion, the results of this study inform that the classification of soil parent material type would be effective for soil erosion analysis and interpretation in the Upper Nakdong River Basin.

Effects of Oyster Shell Lime on Barley Growth and Soil Microbe in an Upland Soil (패화석이 보리생육과 토양 미생물상에 미치는 영향)

  • Lee, Young-Han;Sonn, Yeon-Kyu;Lee, Seong-Tae;Heo, Jae-Young;Kim, Min-Keun;Kim, Eun-Seok;Song, Won-Doo;Kim, Dae-Ho;Ok, Yong-Sik
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.4
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    • pp.610-613
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    • 2012
  • Oyster shell has a high content of $CaCO_3$ to be used as a acidic soil amendment. To enhance productivity of barley and soil microbe in an upland soil, oyster shell and calcium-magnesium carbonate were selected as a soil amendments in this study. A field experiment was treated no treatment (hereafter, control), oyster shell lime $3.09Mg\;ha^{-1}$ and $2.38Mg\;ha^{-1}$, and calcium-magnesium carbonate $2.38Mg\;ha^{-1}$ as amount of lime requirement in silt loam soil. The yield of barley from the oyster shell lime treatment was the highest. The protein content of barley was the highest of 11.1% in the calcium-magnesium carbonate, followed by 10.7% for the control, 10.6% for the oyster shell lime $3.09Mg\;ha^{-1}$, and 10.4% for the oyster shell lime $2.38Mg\;ha^{-1}$. Soil pH value was higher than that of control in harvesting stage. In addition, the population of soil bacteria was highest in oyster shell lime $2.38Mg\;ha^{-1}$, actinomycetes was highest in calcium-magnesium $2.38Mg\;ha^{-1}$. We concluded that the oyster shell lime can be effective to restore soil nutrient and microbe balance in an upland soil.

Study on Soil Survey Results of Rapid Change in Landuse (토지이용 변화지역의 토양재조사 결과 분석)

  • Hyun, Byung-Keun;Sonn, Yeon-Kyu;Park, Chan-Won;Song, Kwan-Cheol;Chun, Hyen-Chung;Hong, Suk-Young;Moon, Yong-Hee;Noh, Dae-Cheol;Jung, So-Young
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.4
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    • pp.475-483
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    • 2012
  • Recently, agricultural lands decrease sharply, which was caused by urbanization, land consolidation, road construction, and innovation city construction, etc. In particular, Goyang, Chenan and Wonju city were had severe land use change. Therefore, we analyzed changes of land use, soil properties, and soil information in order to provide the basic soil information and soil management practice in these cities. The results are summarized as follows. The area of crop cultivated land in Korea (2011) was reduced to 17.3ha compared to ones from the previous year (2009). The paddy field decreased by 24.2 ha but, upland field increased by 7.0 ha. The reasons for the reduction of the paddy field were converting paddy field to upland (20.7 ha) > public facilities (3.2) ${\geq}$ building (3.2) > idle land (1.3) > and others (0.9). Other reasons for reduction in the upland field were switching upland to paddy field, (20.7 ha) > land developed (4.5) > and restoration (0.3) respectively. The main reason of converting paddy field to upland was changing from rice to more profitable upland or greenhouse crops. The cropland area (paddy fields, upland, orchard) of Goyang, Cheonan, and Wonju city were reduced to 1,466 ha, 9,708 ha and 6,980 ha respectively. The ratio of cropland area in each city was reduced by 45~25% dramatically compared to upland soil survey project in Korea (1995~1999). These data were compared with MiFAFF statistics data to use for land use cover map of Ministry of environment. But they were differences significantly. Therefore, intensive investigation should be advised throughout the utilization plan. The paddy fields located in small valley in Wonju city were changed into upland or orchard. The drainage classes of soil have been deteriorated because the flows of water were intercepted by road construction and other disturbance to water flows. In particular, paddy fields have been changed to not only upland, orchard, greenhouse cultivation but also to fallow and soil dressing on paddy in Wonju city. The soil suitability classes of paddy field in Wonju innovation city were the 3rd grade for 70.8% of the area and the 4th grade for 29.2%. The soil suitability classes of upland was the 4th grade for 88.7% of the area. Fortunately, good soil suitability classes were not belong to innovation city in Wonju. So, the good farm land should be conserved and revise the related law.

The Potential Acid Sulfate Soils Criteria by the Relation between Total-Sulfur and Net Acid Generation (전황함량과 순산발생능력의 상관관계를 통한 잠재특이산성토양 기준 설정)

  • Moon, Yonghee;Zhang, Yong-Seon;Hyun, Byung-Keun;Sonn, Yeon-Kyu;Park, Chan-Won;Song, Kwan-Cheol
    • Korean Journal of Soil Science and Fertilizer
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    • v.45 no.6
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    • pp.904-909
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    • 2012
  • Acid sulfate soil (ASS) and potential acid sulfate soil (PASS) are distribution in worldwide and originate from sedimentary process, volcanic activity, or metamorphism and are problematic in agriculture and environmental due to their present and potential acidity developed by the oxidation. The PASS was defined as soil materials that had sulfidic layer more than 20 cm thick within 4 m of the soil profile and contained more than 0.15% of total-sulfur (T-S). A tentative interpretative soil classification system was proposed weak potential acid sulfate (T-S, 0.15-0.5%), moderate potential acid sulfate (T-S, 0.5-0.75%) and strong potential acid sulfate (T-S, more than 0.75%). PASS due to excess of pyrite over soil neutralizing capacity are formed. It provides no information on the kinetic rates of acid generation or neutralization; therefore, the test procedures used in acid base account (ABA) are referred to as static procedures. The net acid generation (NAG) test is a direct method to measure the ability of the sample to produce acid through sulfide oxidation and also provides and indication. The NAG test can evaluated easily whether the soils is PASS. The samples are mixed sandy loam and the PAS from the hydrothermal altered andesite (1:3, 1:8, 1:16, 1:20, 1:40, 1:80 and 1:200 ratios) in this study. We could find out that the NAG pH of the soil containing 0.75% of T-S was 2.5, and that of the soil has 0.15% of T-S was 3.8. NAG pH test can be proposed as soil classification criteria for the potential acid sulfate soils. The strong type has NAG pH of 2.5, the moderate one has NAG pH of 3.0, and the weak one has NAG pH of 3.5.