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Predictability of Impending Events for Death within 48 Hours in Terminal Cancer Patients (말기암환자에서 임박사건 간 48시간 임종예측도 비교)

  • Hwang, In-Cheol;Choi, Chung-Hyun;Kim, Kyoung-Kon;Lee, Kyoung-Shik;Suh, Heuy-Sun;Shim, Jae-Yong
    • Journal of Hospice and Palliative Care
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    • v.14 no.1
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    • pp.28-33
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    • 2011
  • Purpose: Recognition of impending death is crucial not only for efficient communication with the caregiver of the patient, but also determination of the time to refer to a separate room. Current studies simply list the events 'that have already occurred' around 48 hours before the death. This study is to analyze the predictability of each event by comparing the time length from 'change' to death. Methods: Subjects included 160 patients who passed away in a palliative care unit in Incheon. The analysis was limited to 80 patients who had medical records for the last week of their lives. We determined 9 symptoms and 8 signs, and established the standard of 'significant change' of each event before death. Results: The most common symptom was increased sleeping (53.8%) and the most common sign was decreased blood pressure (BP) (87.5%). The mean time to death within 48 hours was 46.8% in the case of resting dyspnea, 13.6% in the ease of low oxygen saturation, and 36.9% in the case of decreased BP. The symptom(s) which had the highest positive predictive value (PV) for death within 48 hours was shown to be resting dyspnea (83%), whereas the combination of resting dyspnea and confusion/delirium (65%) had the highest negative PV. As for the most common signs before death within 48 hours, the positive PVs were more than 95%, and the negative PV was the highest when decreased BP and low oxygen saturation were combined. The difference in survival patterns between symptoms and signs was significant. Conclusion: The most reliable symptoms to predict the impending death are resting dyspnea and confusion/delirium, and decline of oxygen saturation and BP are the reliable signs to predict the event.

Response of Yield and Nitrogen Use Efficiency for Garlic on Different Types and Rates of Organic Fertilizer (유기질 비료의 종류 및 시비량이 마늘의 수량과 질소이용효율에 미치는 영향)

  • Kim, Seong Heon;Hwang, Hyun Young;Seo, Hye Bin;Rim, Jae Eun;Park, Seong Jin;Lee, Yun Hae;Kim, Myung Sook
    • Journal of the Korea Organic Resources Recycling Association
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    • v.27 no.4
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    • pp.35-42
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    • 2019
  • Organic fertilization (OF) was an effective management strategy to improve crop yield and soil fertility. Determination of optimum application rate has been received great interest as a major research field. In this study, we evaluated optimum application level of three different organic fertilizers; mixed expeller compost (MEC), mixed organic fertilizer (MOF) and organic complex fertilizer (OCF), for garlic cultivation. Treatments consisted of MEC, MOF, OCF (50, 100, 150% of standard nitrogen input), inorganic fertilizer(NPK, N-P2O5-K2O : 250-78-128 kg ha-1) and no-fertilization (control). Overall, the yields of garlic under MEC, MOF and OCF 100% (5,337, 5,617 and 5,276 kg ha-1) were higher than under control (4,496 kg ha-1). The 100% of three OFs treatements showed the highest yield and bulb diameter, similar with NPK, while leaf length and bulb height were not significantly different among all treatments. The 150% of three OFs rather decreased yield. The highest nitrogen use efficiency (38.4 and 38.0%) was observed in MOF 100% and OCF100%, which was the most similar with that in NPK (38.8%). As OF application rate increased, pH was decreased, but soil NO3-N and NH4-N were increased. There was no significant difference in soil organic matter (OM), av. P2O5 and Ex. cation values. From these results, 100% application of OFs could be recommended as a suitable input level for garlic cultivation, regardless of organic fertilizer types. Further study might be required to evaluate long-term OF application effect on soil health and crop productivity.

Radiation Dose during Transmission Measurement in Whole Body PET/CT Scan (전신 PET/CT 영상 획득 시 투과 스캔에서의 방사선 선량)

  • Son Hye-Kyung;Lee Sang-Hoon;Nam So-Ra;Kim Hee-Joung
    • Progress in Medical Physics
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    • v.17 no.2
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    • pp.89-95
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    • 2006
  • The purpose of this study was to evaluate the radiation doses during CT transmission scan by changing tube voltage and tube current, and to estimate the radiation dose during our clinical whole body $^{137}Cs$ transmission scan and high quality CT scan. Radiation doses were evaluated for Philips GEMINI 16 slices PET/CT system. Radiation dose was measured with standard CTDI head and body phantoms in a variety of CT tube voltage and tube current. A pencil ionization chamber with an active length of 100 mm and electrometer were used for radiation dose measurement. The measurement is carried out at the free-in-air, at the center, and at the periphery. The averaged absorbed dose was calculated by the weighted CTDI ($CTDI_w=1/3CTDI_{100,c}+2/3CTDI_{100,p}$) and then equivalent dose were calculated with $CTDI_w$. Specific organ dose was measured with our clinical whole body $^{137}Cs$ transmission scan and high quality CT scan using Alderson phantom and TLDs. The TLDs used for measurements were selected for an accuracy of ${\pm}5%$ and calibrated in 10 MeV X-ray radiation field. The organ or tissue was selected by the recommendations of ICRP 60. The radiation dose during CT scan is affected by the tube voltage and the tube current. The effective dose for $^{137}Cs$ transmission scan and high qualify CT scan are 0.14 mSv and 29.49 mSv, respectively. Radiation dose during transmission scan in the PET/CT system can measure using CTDI phantom with ionization chamber and anthropomorphic phantom with TLDs. further study need to be peformed to find optimal PET/CT acquisition protocols for reducing the patient exposure with same image qualify.

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Effect of Furrow Directions on Growth and Yield in Panax ginseng C.A. Meyer (해가림 방향이 인삼의 생육 및 수량에 미치는 영향)

  • Lee, Sung-Woo;Cha, Seon-Woo;Hyun, Dong-Yun;Kim, Young-Chang;Kang, Seung-Won;Seong, Nak-Sul
    • Korean Journal of Medicinal Crop Science
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    • v.14 no.4
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    • pp.221-224
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    • 2006
  • To analyze how the furrow directions made by the azimuth of $90^{\circ}-270^{\circ}(N\;90^{\circ})$, $120^{\circ}-300^{\circ}(N\;120^{\circ})\;and\;0^{\circ}-180^{\circ}(N\;180^{\circ})$ effect on the growth characteristics and yield of 2 and 3-year-old ginseng, both of $N\;90^{\circ}\;and\;N\;180^{\circ}$ compared with$N\;120^{\circ}$ recommended as the standard practices for ginseng cultivation. $N\;90^{\circ}$ showed lower quantum and air temperature during forenoon, while it showed higher quantum and air temperature from 15:00 to 19:00 than that of $N\;120^{\circ}$. $N\;180^{\circ}$ showed high quantum and air temperature due to the distinct increase of sunlight penetrated from 9:00 to 11:00, and which were similar to that of$N\;120^{\circ}$ during afternoon. Stem length and leaf area in $N\;90^{\circ}\;and\;N\;180^{\circ}$, respectively, were decreased more than that of$N\;120^{\circ}$, and those in $N\;180^{\circ}$ were decreased more distinctly than $N\;90^{\circ}$. Heat injury rate was decreased in $N\;90^{\circ}$, while it was increased distinctly in $N\;180^{\circ}$ that showed high quantum and air temperature, and which showed great variation according to the year. Yield of $N\;180^{\circ}$ was decreased more than that of$N\;120^{\circ}$ in 2004, the year when it was a relatively high air temperature during summer season, but which was increased more than that of$N\;120^{\circ}$ in 2005 showing a rotatively low air temperature.

Characteristics of Carcass and Meat Yields of Fattening Pigs by Production Step (비육돈 생산단계에 따른 도체 및 부분육 생산 특성)

  • Kim, J.H.;Park, B.Y.;Yoo, Y.M.;Cho, S.H.;Kim, Y.K.;Lee, J.M.;Yun, H.J.;Kim, K.N.
    • Journal of Animal Science and Technology
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    • v.44 no.6
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    • pp.793-800
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    • 2002
  • The characteristics of carcass and meat yields of fattening pigs by production steps were investigated with Landrace (LL, n=41), Yorkshire (YY, n=33), and Duroc (DD, n=30), $F_1$ (LY, n=25), the Crossbred of LYD (n=48). Duroc had more weight loss in carcasses weight than that of the other breed(p<0.05). Yorkshire and $F_1$ had higher production weight in retail cut than that of the other pure or crossbred. Carcass from Landrace and $F_1$ were significantly longer in length than the other breed(p<0.05). $F_1$ produced wider carcass than the other breed. Carcass thickness at aitch bone was higher for $F_1$ and Crossbred than the other breed(p<0.05). Landrace, Yorkshire and $F_1$ produced more loin and tenderloin in weight than the other breed (p<0.05). Yorkshire and $F_1$ produced more picnic shoulder when compared to the other breed. The hind legs produced from Yorkshire and $F_1$ were higher in weight and the fore legs produced from the Crossbred were higher in weight. Duroc produced the lowest weight of belly among the breeds. The acceptance level of loin were extremely low for all breed. Landrace had the highest acceptance level for tenderloin. Yorkshire had the highest acceptance level for picnic shoulder and ham when evaluated by export standard of Japan. In conclusion, The introduction of pure breed and establishment of mating steps are necessary to produce highly accepted pork with high acceptance in carcass and meat yields.

An Estimation of the Minimum Distance Between a Roundabout and Signal Crosswalk Using VISSIM (VISSIM분석을 통한 회전교차로 인접 신호횡단보도의 최소이격거리 산정)

  • KIM, Young Beom;LEE, Dongmin;Jun, Jin Woo;Cho, Hanseon
    • Journal of Korean Society of Transportation
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    • v.33 no.4
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    • pp.337-347
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    • 2015
  • Since the application of roundabouts by 2010 have been started, more than 350 roundabouts were installed in Korea. Recently the types of constructed roundabouts become various, and the intersection conditions for installing roundabouts were also various. However, there were some difficulties to install roundabouts around school zone due to safety problems. In this study, appropriate distance from adjacent signal crosswalks to roundabouts were estimated for securing pedestrian safety and operation efficiency around school zone. With the analyses, the minimum distance standard was suggested to obtain operational effectiveness of roundabout according to traffic volume, traffic flow, pedestrian green time and secures pedestrian safety and convenience. In this paper, average delay of roundabout as various length of distances between an adjacent crosswalk and a roundabout as different pedestrian signal times, traffic volumes, traffic flow rates were analyzed. Through this study, it was found that about four times of delay in a roundabout was generated if there was adjacent signal crosswalk. However if there is enough distance between an adjacent crosswalk and a roundabout, the value of increasing delay on roundabouts with adjacent a signalized crosswalk can be considerably reduced. Critical value of the distance between a roundabout and a signal crosswalk in case of roundabouts within 200-500 vehicle/hour/lane entry traffic flow, 20-40% of left turn traffic, and over 15 seconds pedestrian green time was about 50 meters. In conclusion, if there is minimum 40 meter distance from roundabouts, adjacent signal crosswalks can be installed and operated for students' safety around school zone.

Effects of Forage Cropping System and Cattle Slurry Application on Productivity of Rice and Forage Crops and Nutrient Movement in Paddy Land (녹비작물의 경작형태와 우분액비시용이 벼와 사료작물의 생산성 및 양분이동에 미치는 영향)

  • Yook, Wan-Bang;Choi, Ki-Choon;Lee, Kyeong-Bo;Kang, Yo-Sep;Yoon, Chang
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.31 no.1
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    • pp.55-64
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    • 2011
  • This study was conducted to investigate the effects of green manure crops and cattle slurry application on rice productivity and nutrient movement in paddy land. Cropping systems used in this study were consisted of five designs, such as mono-cropping rice applied with standard fertilizer (MRS), double-cropping whole crop barley following rice applied with cattle slurry (DWBRC), double-cropping whole crop rye following rice applied with cattle slurry (DWRRC), mono-cropping rice applied with following milk vetch (MRMV) and mono-cropping rice applied with following hairy vetch (MRHV). The field experiments were conducted on the clay loam at Backsanmyun, Kimje, Chunlabukdo province in Korea for three years (May 2006 to Apr. 2009). This study was arranged in completely randomized design with three replicates. Culm and panicle length of rice were higher in MRS than other treatments. Ripened grain ratio was higher in MRS than other treatments. Yield of Grain showed high in MRS, DWBRC and DWRRC than MRMV and MRHV. The yield of dry matter (DM) of whole crop barley in DWBRC increased significantly as compared with that of rye in DWRRC. The pH, and contents of T-N, $P_2O_5$ and organic matter (OM) and exchangeable cation (Ca, Na, Mg and K) in soil samples collected at the end of the experiment were remarkably higher than those at the beginning of the experiment. The concentrations of $NO_3$-N, $NH_4$-N and $PO_4$ in discharge water in DWBRC and DWRRC were higher than MRS.

Study on the Estimation of Selection Index in Broiler Breeder I. Estimation of Genetic Parameters in Broiler (육용종계의 선발지수 추정에 관한 연구 I. 육용종계 부계통과 모계통의 유전적 모교추정)

  • 김기경;손시환;오봉국
    • Korean Journal of Poultry Science
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    • v.11 no.2
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    • pp.86-92
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    • 1984
  • Present study was carried out to estimate phenotypic and genetic parameters influencing body weight (BW) at 4 weeks of age egg breadth (EB), egg length(EL), egg shape index (SI) and egg weight (EW) at 32 weeks of age and egg numbers (EN) up to 38 weeks of age in broiler male and female lines. The data were collected from closed White Plymouth Rock (female line; G) and Cornish (male line; C) flocks involving 1193 pullets from 211 dams and 48 sires in 1982. The results obtained are summarized as follow: 1. General performance for various trails of lines C and G. The means and standard deviations of BW, EB, EL, SI, EW and EN were 668.34${\pm}$47.18, 4.23${\pm}$0,11, 5.49 ${\pm}$0.19, 77.06${\pm}$2.98, 55.73${\pm}$3.54 and 59.72${\pm}$13.39 in line C, respectively and 487.89${\pm}$ 41.43, 4.22${\pm}$0.11, 5.51${\pm}$0.19, 76.72${\pm}$3.20, 55.43${\pm}$3.26 and 76.93${\pm}$12.17 in line G, respectively. 2. Heritability Heritabilities were estimated from sire, dam and combined components. Estimates for BW, EB, EL, SI, EW and EN from combined components were 0.30, 0.29, 0,40, 0.22, 0.45 and 0.60 in line C, respectively and 0.33, 0.23, 0.28, 0.13, 0.49 and. 0.33 in line G, respectively. 3. Correlation Genetic and phenotypic correlations showed similar trend in line C and G. Genetic correlations, estimated EW with EB and EL, were high and positive (line C; 0.99, 0.75, respectively and line G; 0.94, 0.82, respectively), also correlation of EB with EL was 0.58 (both lines; 0.58). High and negative genetic correlations were shown between SI and EL in line C and G (-0.70, -0.65, respectively). Genetic correlations between SI and EW were relatively low and negative in line C and G (-0.11, -0.19, respectively) and between SI and EN were relatively low and positive in line C and G (0.25, 0.17, respectively). Between other traits, low genetic correlations were shown in both lines, High and positive correlation was estimated between hatchability and egg shape index and polynomial regression of egg shape index on hatchability was estimated; Y=-216.77+7.6216X-0.0146939X$^2$.

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Effects of Post Individualities on Treatability of Small Diameter Japanese Larch (Larix Leptolepis) with ACQ and CCA (낙엽송 원주상 소경목의 원목성상과 방부 처리성)

  • Kim, Yeong-Suk;Hong, Soon-Il;Yun, Jeong-Hee
    • Journal of the Korean Wood Science and Technology
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    • v.34 no.1
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    • pp.52-60
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    • 2006
  • This study investigated how wood properties (i.e., annual rings, sapwood, heartwood, and cracks) might affect preservative treatment in Japanese larch (Larix leptolepis) round-wood product. We specially focused on small-diameter (~10 cm diameter) wood that is commercially sold in market. Among 100 wood samples, the groups of sample with 13~16, 17~20 annual rings represented 33 and 27 in each frequency, while 2~3 and 4~5 mm annual ring width accounted for 72 and 68 in frequency. More than a half (54%) of wood samples contained a mix of heartwood and sapwood in its surface. The rest (46%) had only heartwood exposed in the wood surface. A wide range of checks were showed in the wood samples, but the highest frequency was observed in samples with 1~6 surface (1~14 mm in size) checks and 1~4 end-grain (8~14 mm in size) checks in each round-wood sample. Pressure treatment resulted in a wide range of penetration of ACQ (Alkaline Copper Quat) into the wood, showing $4.3{\pm}4.19mm$ penetration in the wood samples contained a mix of heartwood and sapwood in its surface. However preservative treatment was much less effective for the heartwood only wood samples, ranging average 1.3 mm with ACQ and 1.1 mm with CCA (Chromated Copper Arsenate). These penetration results shown in heartwood samples did not meet the penetration standard that is required for H3 by the Korean Forest Service in relation to wood preservation treatment. These low penetration results were not significantly improved even if we incised wood samples to improve treatment effect, showing only small increase of 0.7 mm with ACQ and 0.6 mm with CCA. When preservative treatment was tested with heartwood, penetration of preservatives decrease with increase of annual rings per a cross-section area (r=0.5345). We also found that the length and number of check had no effect on preservative treatment, showing r=0.1301 and r=0.1802, respectively.

Distribution of Zooplankton by ADCP's Echo Intensity in the Coastal Water used Yellow Loess (다층 도플러 유속계(ADCP)를 이용한 황토 살포 해역의 플랑크톤 평가)

  • Park, Ju-Sam;Choo, Hyo-Sang;Moon, Sung-Ryong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.16 no.2
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    • pp.141-151
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    • 2010
  • Harmful algal blooms (HABs), commonly known as red tides, are aquatic phenomena caused by the rapid growth and accumulation of certain microalgae, which can lead to marked discoloration of surface waters, and severe impacts on public health, commerce, and the environment. In South Korea, the red tides have been a serious and recurrent problem, especially along the south coast. Plenty of yellow loess was used to control an outbreak of the red tides for 15 years from 1996 until now. Yellow loess was almost sprayed in the vicinity of a large fish farming industry. In this research, the distribution characteristics and density distribution of zooplankton were investigated in autumn (Oct. 2008) and spring (Apr. 2009) using volume backscattering strength (SV) calculated by the zooplankton collected with north pacific standard (NORPAC) net and the echo intensity measured with ADCP at stations on the study area in the spraying ocean of yellow loess (SOYL), and the non-spraying ocean of yellow ocean (NOYL) by the red tide generating every year. The species number and the individuals per unit volume of the zooplankton collected in NOYL was high and it which was collected in SOYL was low. As a result of comparing the volume backscattering strength ($SV_c$) calculated by species and length of the zooplankton collected with NORPAC net with the volume backscattering strength ($SV_m$) calculated by the echo intensity measured with ADCP at stations on the study area, although $SV_c$ and $SV_m$ of NOYL were generally in agreement, $SV_m$ of SOYL was higher than $SV_c$ 4.3dB, i.e. ADCP is greatly influenced by suspended solid in SOYL. The horizontal distribution map of $SV_m$ at the study area in autumn (Oct. 2008) and spring (Apr. 2009) was drawn. $SV_m$ of SOYL is higher than NOYL and autumn is higher than spring. $SV_m$ can suppress the overestimate or underestimate of $SV_c$.