• 제목/요약/키워드: Over discharge

검색결과 937건 처리시간 0.025초

하천규모에 따른 식생모델의 홍수위 검토 (Flood Stage Evaluation for Vegetated Models in River Scales)

  • 이종석;김병찬
    • 대한토목학회논문집
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    • 제30권5B호
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    • pp.509-518
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    • 2010
  • 본 연구는 하천의 유역면적 또는 계획홍수량에 따라 하천 규모를 대 중 소하천으로 구분하고, 이들 하천에 대한 식생모델을 구축하여 수치모형을 이용해 제방고 여유율(CSR)을 기준으로 홍수위를 검토하였다. 식생모델 구축전 1차원 HEC-RAS와 2차원 RMA-2 모형을 이용하여 분석한 결과와 기본계획홍수위와 비교한 결과, 1차원의 경우 제방고 여유율은 대하천 모든 단면과 중하천 상류부 2개 단면 외에는 100% 이상이었으나, 소하천은 평균 46.0% 정도로 나타났다. 2차원 대하천의 경우는 평균 101.5%, 중하천은 96.7%, 소하천은 평균 71.1%로 나타났는데, 이는 하천기본계획수립 시 주로 1차원 모형을 사용하기 때문인 것으로 판단된다. 그러나 식생모델 적용 시 1차원에서는 대하천의 경우 평균 제방고 여유율은 91.8%, 중 소하천은 각각 74.2%, 38.3%로 나타났고, 2차원에서 대하천은 95.5%, 중 소하천은 각각 86.7%, 37.0%로 나타났다. 이는 대하천이 중 소하천 보다 유수단면적이 커 식생모델 적용 시 제방고 여유율의 영향을 적게 받기 때문인 것으로 판단된다.

영농기 강우의 화학적 특성 및 부하량 평가 (Chemical Properties and Nutrient Loadings of Rainwater during Farming Season)

  • 고병구;김민경;이종식;김건엽;박성진;권순익;정구복;이덕배
    • 한국토양비료학회지
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    • 제43권5호
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    • pp.578-583
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    • 2010
  • 수원과 태안에 위치한 농업지역에서 영농기간 중 강우의 화학적 특성을 알아보기 위하여 2009년 4월부터 11월까지 강우 53점을 채수하여 강우 중의 이온조성, 산성도 및 강우량을 고려한 가중평균 이온농도 변화를 평가하였다. 강우의 조성에서 양이온 구성은 $Na^+>{NH_4}^+>Ca^{2+}>H^+>Mg^{2+}>K^+$의 순이었으며, $Na^+$${NH_4}^+$ 성분이 전체 양이온 조성의 65% 이상을 차지하였다. 음이온은 ${SO_4}^{2-}>{NO_3}^->Cl^-$ 순으로 ${SO_4}^{2-}$가 약 61%를 차지하였다. 조사 기간 중 평균 sulfate 함량은 수원 130.2 ${\mu}eq\;L^{-1}$ 태안121.3 ${\mu}eq\;L^{-1}$이었으며, 이중 비해염 sulfate (NSS-${SO_4}^{2-}$)함량이 92%를 차지하여 강우 중에 함유된 sulfate의 대부분이 인위적인 발생원에 기인된 것을 알 수 있었다. 강우량을 고려한 월별 질소 부하량은 약 1~2 kg $ha^{-1}$정도로 토양에 공급되는 것을 볼 수 있었다. 특히, 수원지역의 7월 강우사상별 강우량은 7.3 mm 이상으로 총질소는 6 kg $ha^{-1}$로 가장 많이 부하되는 것으로 나타났다. 주요 영농기인 4~10월 동안 ${SO_4}^{2-}$, $Ca^{2+}$, $K^+$, $Mg^{2+}$의 부하량은 수원에서 각각 56.0, 7.4, 5.7, 1.4 kg $ha^{-1}$ 이었고, 태안에서 각각 42.8, 4.7, 2.6, 1.4 kg $ha^{-1}$ 이었다.

전북지역 하수처리수 재이용 방안 연구 (A Study on Reuse of Reclaimed Water in Jeonbuk Province)

  • 조창우;김진태;박정제;송주훈;이미선;정주리;류재웅
    • 대한환경공학회지
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    • 제39권5호
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    • pp.237-245
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    • 2017
  • 본 연구는 전라북도 내 하수처리장 방류수를 효율적으로 재이용하기 위해 일일 방류량이 $5,000m^3$ 이상 되는 12개 하수처리장을 대상으로 방류수 수질을 조사하고 처리장 주변 현황을 파악하여 용도별 재이용 가능성을 제안하는데 목적을 두었다. 추가적으로 방류수를 재처리하기 위한 실험실규모의 실험도 수행하였다. 방류수는 7개 용도별 수질기준에 근거하여 중금속 16개 항목을 포함한 총 28개 항목을 수질 분석하였다. 분석결과 부적합 항목은 색도, BOD, TN, SS, 염화물, 전기전도도 등 6개 항목이며, 색도와 TN이 각각 8개소, 5개소로 가장 높았다. 유입원수가 공단폐수 및 음식물처리수가 유입되는 처리장의 경우 염화물과 전기전도도가 높았다. 방류수 재처리없이 직접 재이용수로 가능한 처리장은 4개소였다. 실험실 규모의 실험(Lab test)은 모래여과(SF)-활성탄흡착(GAC)-정밀여과(MF)-역삼투압(RO) 순으로 실험을 수행하였다. 총대장균군, 색도, 부유물질(SS) 제거는 SF와 GAC조합이 경제성과 처리 효율면에서 가장 적절하였으며, 염화물과 전기전도도는 SF, GAC, MF에서는 큰 효과가 없었으며, RO처리 후 90% 이상의 제거효율을 보였다. $UV_{254}$는 원수가 0.3651/cm에서 SF-GAC공정 후 0.0306/cm로 92% 이상의 높은 제거효율을 보였다. 중금속 중 총붕소(B-total)는 SF-GAC-MF-RO 처리 후 0.7054 mg/L에서 0.0854 mg/L로 88% 제거효율을 보였다. 결론적으로 각 처리장은 방류수 수질분석결과와 주변 지형을 고려하여 방류수 재이용 용도를 선택하여야 한다. 또한 재처리가 필요한 경우 처리할 수질 항목과 처리비용을 고려한 처리방법을 결정하는 것이 적절하다고 판단된다.

119구급대원의 심폐소생술 성적 분석 - 병원전 심정지를 중심으로 - (Factors Affecting the Survivals of Out-of-hospital Cardiac Arrests by 119 Fire Service)

  • 강병우
    • 한국응급구조학회지
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    • 제9권2호
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    • pp.111-128
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    • 2005
  • Background: Cardiac arrest is one of the most critical diseases which can likely lead to severe cerebral disability or brain death when the cases can not recover their circulation within 10 minutes. Saving out-of-hospital cardiac arrest cases is a recent concern in Korea. Resuscitation has become an important multidisciplinary branch of medicine, demanding a spectrum of skills and attracting a plethora of specialities and organizations. The best survival can be achieved if all the following links have been optimized : rapid access, and early CPR, defibrillation and ACLS, Since the "Utstein Style" was advocated in 1991, many reports about out-of-hospital cardiac arrest have been published based on this guideline. These differences prevent valid inter-hospital and international comparisons. However, it is not known how effective resuscitation has become to the patients. In other words, there are no guidelines for reviewing, reporting, and conducting research on resuscitation in Korea. This dissertation aims to provide the basic data for a unified reporting guideline of resuscitation in Korea and evaluating the out-of-hospital factors associated with survival discharge of out-of-hospital cardiac arrest. Methods: As for this study, uses the collected data about Out-of-hospital cardiac arrests at 4 area, from January, 2005 to April. 2005. With a retrospective study, 174 cases were analyzed. The data was recorded based on the Out-of-Hospital Utstein Style. Results: Resuscitation was performed on 174 out-of-hospital cardiac arrest cases at the 4 area 14 patients(8.1%) recovered their spontaneous circulation. Overall, the ROSC of the out-of-hospital cardiac arrest patients was 8.1%, which was poorer than that of western countries. Gender distribution was 50 females(28.7%) and 124 males(71.3%), approximately twice as many males as females. ROSC of witnessed arrests was found out to be 97.7%. The ratio of the witnessed arrest groups showed higher results than that of unwitnessed arrest groups in the above-examined cases. Cardiac etiology consisted of cardiac(33.5%), non-cardiac(45.7%), trauma(20.1%), and unknown(6.0%). Cardiac was the best performance. Initial rhythm showed Ventricular Tachycardia/pulseless Ventricular Fibrillation in 8 patients(6.0%), asystole in 100(75.2%) and unknown in 25(18.8%). The results of the Ventricular Tachycardia/pulseless Ventricular Fibrillation showed higher results than the others cases, The proportion of the cardiogenic cause was 33.5%, which was only half of western countries. Ventricular Tachycardia/pulseless Ventricular Fibrillation is relatively rare. These differences were due to the prevalent pattern of Out-of-hospital cardiac arrest as well as prematurity of the EMSS. Bystander CPR was practiced on 13 patients(7.52%). ROSC was shown in 46.2% cases. CPR by EMT was carried out on 167 cases(96.5%). ACLS by EMf was rare. From collapse, 4 cases(2.6%) arrived to ED within 6 minutes. 13 (8.6%) within 10 minutes, and 49(32.5%) over 31 minutes. The sooner the patients arrived, the greater the ratio of ROSC and discharged alive became, and the same with collapse time to ROSC. As the results of the logistic regression analysis, ROSC was found out to be highly influenced by the time of ED arrival from collapse and Ventricular Tachycardia/pulseless Ventricular Fibrillation. Therefore, the ratio of ROSC depends on not any single factor but various intervention factors. Conclusion: This dissertation presents the following suggestions and directions of the study hereafter. First, the first step for a chain of survival should be taken to activate EMSS early with a phone as soon as cardiac arrests are witnessed. Second, it is keenly needed that emergency medical technicians should be increased through emergency education for living. Third, it is necessary to establish the emergency transportation system. Fourth, most of the Koreans have little understanding of EMT and the present operation systems have many problems, which should be fundamentally changed. Fifth, it is required to have an active medical control over Out-of-hospital CPR, And proper psychological supports should be given not only to patients themselves and their family but also individuals who are engaged in emergency situation. Finally, through studies hereafter on nationwide, comprehensive, and standard forms, it is needed to examine into the biological figures of human body, causes and trends of cardiac arrests, and then, to enhance the survival rate of Out-of-hospital cardiac arrests. Korean guidelines for Cardiopulmonary resuscitation need to be made.

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알레르기성 鼻炎 患者에 對한 臨床的 考察 (Clinical Observation of The Allergic Rhinitis)

  • 김남권;임규상;황충연
    • 한방안이비인후피부과학회지
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    • 제10권1호
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    • pp.367-382
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    • 1997
  • The author analyzed 46 cases of allergic rhinitis patients, who were treated in the Kwang-ju Oriental Medical Hospital of Wonkwang University from January 1997 to April 1996. I've examined the 46 cases in the view of age and sex distribution, seasonal distribution, distribution of the job, duration of the disease, past history, family history, distribution of complicated signs, the degree of recovery about the total patient, the relationship of the ages and the remedial value, the relationship of the duration of disease and the remedial value. The following results are obtained. 1. The ratio of under teenagers was $32.61\%$(15 cases), teenagers was $30.43\%$(11 cases), 2th decade was $17.39\%$(8 cases), 3th decade was $17.39\%$(8 cases), 4th decade was $4.35\%$(2 cases), 5th decade was $2.17\%$(1 case), over sixty was $2.17\%$(1 case). 2. The ratio of the male was $58.70\%$(27 cases) and femal was $41.30\%$(19 cases). 3. The ratio of spring was $21.74\%$(10 cases), summer was $8.70\%$(4 cases), fall was $43.48\%$(20 cases), winter was $43.48\%$(20 cases) and unknown was $10.87\%$(5 cases). 4. The ratio of the students was $45.65\%$(21 cases), house-wives was $15.22\%$(7 cases), office men was $10.87\%$(5 cases), farmers was $4.35\%$(2 cases), driver was $2.17\%$(1 case) and unemployed was $21.74\%$(10 cases). 5. The ratio of the under six months was $8.70\%$(4 cases), under 1 year was $17.39\%$(8 cases), under 3 years was $32.60\%$(15 cases), over 3 years was $41.31\%$(19 cases). 6. The ratio of atopic dermatitis was $32.61\%$(15 cases), allergic dermatitis was $21,74\%$(10 cases), the asthma was $17.39\%$(8 cases), digestion disorder was $6.52\%$(3 cases) and etc. 7. The ratio of paternal line was $21.74\%$(10 cases), maternal line was $13.04\%$(6 cases), paternal and maternal lines was $4.35\%$(2 cases), brother or sisters was $13.04\%$(6 cases) and non-significant was $47.83\%$(22 cases). 8. The ratio of sneezing was $100\%$(46 cases) , nasal discharge was $100\%$(46 cases), nasal obstruction was $86.96\%$(40 cases), pruritus was $45.65\%$(21 cases), headache was $13.04\%$(6 cases), asthma was $10.87\%$(5 cases), digestion disorder was $6.52\%$(3 cases), light phovia was $6.52\%$(3 cases), tears was $4.35\%$(2 cases), nosebreeding was $2.17\%$(1 case). 9. The total remedial value of the 46 patients was revealed $52.17\%$. 10. The remedial value of under teenagers, teenagers were higher than the total remedial value($52.17\%$). 11. The remedial value of under 6 months, under 1 year were higher than the total remedial value($52.17\%$). These results demonstrated that in the point of remedial view, the patients who were younger and shorter of the duration of disease, would be well recovered.

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모의조건에 따른 홍수 유출자료의 공간적 확장 영향분석 (Simulation Conditions based Characteristics of Spatial Flood Data Extension)

  • 김남원;정용;이정은
    • 한국수자원학회논문집
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    • 제47권6호
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    • pp.501-511
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    • 2014
  • 일괄형 수문모형(Lumped Model)을 활용한 홍수 유출자료의 공간확장에 영향을 미치는 강우-유출모형의 초기조건과 입력자료의 영향에 대해 연구하였다. 강우-유출모형의 초기조건으로는 기저유량 정보의 모형모의에 대한 영향과 저류함수법의 포화우량($R_{sa}$)의 공간분포에 대한 분석을 실시하였으며, 강우-유출모형의 입력자료로서 강우정보의 영향을 자료의 유무에 관련한 과거자료의 조건을 중심으로 그 영향을 분석하였다. 이를 위해 충주댐유역을 선정하였으며, 충주댐 유역을 대규모유역으로 정하고 이를 기준으로 3개 중규모유역과 22개의 소유역으로 구분하였다. 영월1, 충주댐, 영월2의 수위관측소를 70년대 수문자료 유무에 따라 중심 수위관측소로 선정하였으며 이들을 개별적 중심축으로 삼고 1993년부터 2009년까지 30개의 홍수사상을 이용해 홍수유출자료 확장의 특성을 분석하였다. 관측유출을 직접유출과 기저유출로 분류하고 산정된 기저유출을 강우-유출모의에 적용하였다. 기저유출의 적용 유무 조건하에서 세 곳의 수위관측소를 중심으로 각각의 자료 확장성을 파악하였다. 기저유출을 고려한 모델 모의시 Nash-Sutcliffe Efficiency (NSE) 값은 모델 모의 만족범위를 넘어서는 사상이 10% 이상 증가되었다. 강우에 대한 초기유출의 양을 결정하는 포화우량($R_{sa}$)의 분포는 세 곳 수위관측소의 유량값을 중심으로 중권역의 포화우량($R_{sa}$)을 최적화하는 경우, 중권역의 최적화된 포화우량($R_{sa}$) 값은 큰 차이를 보이지 않으며 포화우량($R_{sa}$) 분포가 강우사상과 유출량의 크기분포에 큰 영향을 받지 않았다. 홍수 유출자료의 강수자료 영향은 30개의 홍수사상 자료에서 자료의 이상치를 제외한 17개 홍수사상을 이용해 검증하였으며 강우자료가 많아질수록 오차 범위가 줄어듦을 보였다. 하지만, 전체 홍수사상의 규모에 비해 그 영향이 크지 않는 것으로 파악되었다.

사육수 비교환 방식에 의한 흰다리새우의 고밀도 사육 - II. 흰다리새우의 실내 중간양성 - (Intensive Culture of the Pacific White Shrimp Litopenaeus vannamei, under Limited Water Exchange - II. Indoor Post-Nursery Culture of Juvenile Shrimp -)

  • 장인권;김종식;서형철;조국진
    • 한국양식학회지
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    • 제22권1호
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    • pp.42-50
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    • 2009
  • 새우양식은 서해안의 축제식 양식장에서 거의 전적으로 이루어지고 있지만 최근 바이러스성 질병 피해와 생산성 저하로 해마다 피해가 증가하고 있다. 사육수 비교환 방식의 실내 고밀도 새우양식은 바이러스의 유입의 억제, 배출수에 의한 연안환경 오염 방지, 생산성 향상 뿐 아니라 출하시기의 조절 등 장점이 있어 축제식 양식장의 문제점을 해결할 수 있다. 본 연구는 타가영양을 기본으로 하는 BFT (biofloc technology) 방식으로 제작된 4개의 raceway형 tank (12.9, $18\;m^2$ 각 2개)에 흰다리새우 치하(B.W. 0.08-0.09 g)를 3,000-5,455 마리/$m^3$ 밀도로 입식하고 42일간 환수율 2.7-3.4%/day로 사육한 결과, 생산량은 $2.49-4.22\;kg/m^3$으로 일반 새우종묘배양장의 12-20배, 축제식 양식장의 8-14배에 달하였다. 수확시 tank에 따라서 새우의 평균 체중은 1.45-2.03 g, 생존율은 38.2-48.0%, FCR은 0.79-1.29이었다. 총암모니아성 질소의 농도는 평균 1.11-1.42 ppm이며 최고 6.0 ppm ($NH_3$ 농도, 0.096 ppm)까지 상승하였으나 새우에게 영향을 미칠만한 농도는 아니었다. 아질산성 질소는 사육 초기부터 꾸준히 상승하여 전 기간 평균 18.45-22.07 ppm으로 높게 유지되었다. 또한 아질산성 질소는 모든 tank에서 4주간 10 ppm 이상의 농도가 지속되었으며 후반기 4일 동안은 35-45 ppm의 높은 농도를 보여주어 새우의 생존에 영향을 미친 것으로 판단된다. 그러나 본 실험에서 보여준 장기간의 높은 아질산염의 농도에도 불구하고 최저 38%의 새우가 생존한 점은 BFT 조건 하에서 아질산염에 대한 새우의 적응능력을 설명해주며 이에 대한 기작과 내성한계 등에 대한 추가적인 추구가 필요할 것이다.

금속산화물 촉매상에서 플라즈마를 이용한 IPA 저감 (Plasma-assisted Catalysis for the Abatement of Isopropyl Alcohol over Metal Oxides)

  • 조진오;이상백;장동룡;박종호;목영선
    • 청정기술
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    • 제20권4호
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    • pp.375-382
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    • 2014
  • 금속산화물이 담지된 허니컴 형상의 플라즈마-촉매 반응기를 이용하여 아이소프로필 알코올(isopropyl alcohol, IPA) 저감 및 부산물 생성 거동에 대해 조사하였다. 허니컴 형상의 다공질 세라믹 지지체(주성분: ${\alpha}-Al_2O_3$)에 금속산화물로 산화철($Fe_2O_3$) 또는 산화구리(CuO)를 담지시킨 후, 이 촉매가 동축 원통형 전극구조 내부에 위치하도록 플라즈마-촉매 반응기를 구성하였다. 플라즈마 반응에 의한 IPA 분해속도가 매우 빨랐기 때문에 IPA 분해효율 자체는 금속산화물 담지 여부 및 금속산화물 종류에 관계없이 유사한 것으로 나타났으나, 부산물 생성거동은 촉매종류에 따라 큰 차이를 보여주었다. 아세톤, 폼알데하이드, 아세트알데하이드, 메테인, 일산화탄소 등의 유해 부산물 농도는 $Fe_2O_3/{\alpha}-Al_2O_3$ < $CuO/{\alpha}-Al_2O_3$ < ${\alpha}-Al_2O_3$ 순으로 높게 나타났다. 유량 $1L\;min^{-1}$, IPA 초기농도 5,000 ppm(산소: 10%), 방전전력 47 W의 조건에서 얻어진 $CO_2$ 선택도는 ${\alpha}-Al_2O_3$, $CuO/{\alpha}-Al_2O_3$, $Fe_2O_3/{\alpha}-Al_2O_3$에 대해 각각 40, 80, 95%로서 $Fe_2O_3/{\alpha}-Al_2O_3$가 플라즈마-촉매를 이용한 IPA의 산화에 가장 효과적인 것으로 나타났다. 플라즈마를 단독으로 사용하여 휘발성유기화합물을 분해할 경우 타르형태의 생성물이 반응기에 퇴적되는 문제점이 있으나, 플라즈마-촉매 공정에서는 이러한 현상이 관찰되지 않았으며 촉매의 활성이 그대로 유지되었다.

퇴원환자의 가정간호 이용의사와 관련 요인 (A Study on the Expressed Desire at Discharge of Patients to Use Home Nursing and Affecting Factors of the Desire)

  • 이지현;이영은;이명화;손수경
    • 재활간호학회지
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    • 제2권2호
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    • pp.257-270
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    • 1999
  • The purpose of this study is to investigate factors related to the intent of using home nursing of chronic disease patients who got out of a university hospital. For the purpose, the study selected 153 patients who were hospitalized and left K university hospital with diagnoses of cancer, hypertension, diabetes and cerebral vascular accident and ordered to be discharged and performed interviews with them and surveys on their medical records to obtain the following results. For this study a direct-interview survey and medical record review was conducted from June 28 to Aug. 30, 1998. The frequency and mean values were computed to find the characteristics of the study subjects, and $X^2$-test, t-test, factor analysis and multiple logistic regession analysis were applied for the analysis of the data. The following results were obtained. 1) When characteristics of the subjects were examined, men and women occupied for 58.8% and 41.2%, respectively. The subjects were 41.3 years old in aver age and had the monthly aver age earning of 0.99 million won or below, which was the most out of the total subjects at 34.6%. Among the total, 87.6% resided in cities and 12.4 in counties. The most left the hospital with diagnosis of cancer at 51.6%, followed by hyper tension at 24.2%, diabetes at 13.7% and cerebral vascular accident at 7.2%. 2) 93.5% of the selected patients had the intent of using home nursing and 6.5%, didn't. Among those patients having the intent, 85.6% had the intent of paying for home nursing and 14.4%, didn't. The subjects expected that the nursing would be paid 9,143 won in aver age and 47.7% of them preferred national authorities as the main servers. 86.3% of the subjects thought that home nursing business had the main advantage of making it possible to learn nursing methods at home and thereby contributing to improving the ability of patients and their facilities to solve health problems. 3) Relations between the intent of use and characteristics of the subjects such as demography-related social, home environment, disease and physical function characteristics did not show statistically significant differences among one another. Compared to those who had no intent of using home nursing, the group having the intent had more cases of male patients, the age of 39 or below, residence in cities, 5 family member s or more, no existence of home nursing servers, leaving the hospital from a non-hospitalized building, disease development for five months or below, hospitalization for ten days or more, non-hospitalization with in the recent one month, two times or over of hospitalization, leaving the hospital with no demand of special treatment, operation underwent, poor results of treatment, leaving the hospital with demand of rehabilitation services, physical disablement and high evaluation point of daily life. 4) Among those patients having the intent of using home nursing, 47.6% demanded technical nursing and 55.9%, supportive nursing. As technical nursing,' inject into a blood vessel ' and 'treat pustule and teach basic prevention methods occupied for 57.4%, respectively, topping the list. Among demands of supportive nursing, 'observe patients 'status and refer them to hospitals or community resources as available, if necessary' was the most with percent age point of 59.5. Regarding the intent of paying for home nursing, 39.2% of those patients wishing to use the nursing responded paying for technical services and 20.2, supportive services. In detail, 70.0% wanted to pay for a service stated as 'inject into a blood vessel', highest among the former services and 30.7%, a service referred to as 'teaching exercises needed to make the body of patients move', highest among the latter. When this was analyzed in terms of a relation between the need(the need for home nursing) and the demand(the intent of paying for home nursing), The rate of the need to the demand was found two or three times higher in technical nursing(0.82) than in supportive nursing(0.35). In aspects of tech ical nursing, muscle injection(1.26, the 1st rank) was highest in the rate while among aspects of supportive nursing, a service referred to as 'teach exercises needed for making patients move their bodies normally'(0.58, the 1st rank). 5) factors I(satisfaction with hospital services), II(recognition of disease state), III(economy) and IV(period of disease) occupied for 34.4, 13.8, 11.9 and 9.2 percents, respectively among factors related to the intent by the subjects of using home nursing, totaled 59.3%. In conclusion, most of chronic disease patients have the intent of using hospital-based home nursing and satisfaction with hospital services is a factor affecting the intent most. Thus a post-management system is needed to continue providing health management to those patients after they leave the hospital. Further, supportive services should be provided in order that those who are satisfied with hospital services return to their community and live their in dependent lives. Based on these results, the researcher would make the following recommendation. 1) Because home nursing becomes more and more needed due to a sharp increase in chronic disease patients and elderly people, related rules and regulations should be made and implemented. 2) Hospital nurses specializing in home nursing should be cultivated.

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알레르기 비염에 관한 임상적 연구 (A clinical study of allergic rhinitis)

  • 채병윤
    • 대한한의학회지
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    • 제21권3호
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    • pp.149-165
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    • 2000
  • As recent developments of Immunology and Nuclear medicine, serum IgE and IgG values are helpful in the diagnosis and evaluation of the therapeutic effects of nasal allergies. But in Korea, air pollution and the increased use of food additives have become leading factors in nasal allergies, It seems to be induced by environmental change, especially industrialization and urbanization, so allergic rhinitis in our environment has changed in accordance with the changes made in the living environment. Therefore this study is attempted in order to observe a clinical analysis which places more importance on allergic rhinitis. We studied 200 patients who had visited Kyunghee Oriental Medical Center with allergic rhinitis from January 1, 1999 to December 31, 1999 The results were as follows: 1. The sex distribution was 114 males(57%) and 86 females(43%). In age distribution, the average age was 25. In males, ages ranged from 3 to 66 years old and the average was 23.81. In females, ages ranged from 4 to 67 years old and the average was 28.57. The peak age was 30~39 years old(24%); under 9 years old and 10~19 years old were each 18%; 20~29 years old was 22%; 40~49 years old was 11 %; over 50 years old 6.5%. The gulf between males and females showed a statistically significant difference(P<0.025). 2. In the age of onset, male' s maximum was 62.5, minimum was 0.25; female s maximum was 59.5, minimum was 0.2. Under 9 years old was the most with 34%(male 24%, female 10%), 10~19 years old was 18%, 20~29 years old was 22.5%, 30~39 years old was 13.50%, over 40 years old was 12%, The gulf between males and females were showed statistically significant difference.(p<0.014) 3. The average duration of the disease was 5.67 years. In male and female, the maximum was 30, the minimum was 0.05; under 5 years old was the most with 62%(male 34.50%, female 27.50%); 6~10 years old was 23%. So, under 10 years old was 85%. There was no statistically significant difference in the duration of disease. 4. Regarding type of residence, 47.50% of patients with allergic rhinitis lived in apartments, 52.50% lived in houses. In males, 29.50% lived in apartments, 27.50% lived in houses. In females, 18% lived in apartments, 25% lived in houses. There was no statistically significant difference in the residence by T-test and chi-test. 5. In the distribution of season, spring is the most with 29.5% of patients, winter 28%, fall 25.5%, and summer 17%. But there was no statistically significant difference. 6. After observing 200 patients with allergic rhinitis, classifying main symptoms into 5 types, sneezing was the main symptom in 177cases(88.50%), nasal obstruction in 176cases(88%), rhinorrhea in 169cases(84.5%), post nasal discharge in 87cases(43.50%), and itching in I04cases(52%). The Cumulus ration is 98.50% and symptoms overlapped with an average 3.57±0.1 times but in an analysis of variance of these symptoms, the gulf between males and females was not recognized as statistically significant by T-test and ANOVA. 7. Patients whose families have allergic diseases account for 90 cases(45%) : 49cases(24.50%) male and 41cases(20.50%) female. There were 4 cases (71.11 %) whose families have allergic rhinitis, 9cases(10%) of asthma, and 7.78% with allergic dermatitis. There were 61 (67.80%) cases of patients whose parents have allergic diseases; cases wherein the patient s child had allergic diseases numbered 13 (14.45%); and cases with a sibling with allergic diseases totalled 16cases (17.80%). There was no statistically significant difference in allergic disease regarding sex, parents, or siblings by chi-test. 8. Blood type: For males, type A is the most common, with 37cases(18.5%), followed by type B with 32cases(16%), type O 28cases(l4%) and type AB 13cases(6.5%). For females, type B is the most common, with 30cases(15%), followed by type O with 23cases(l1.5%), type A with 18cases(9%) and type AB with 13cases(6.5%). There was no statistically significant difference in blood type by chi-test. 9. In the selection of prefered food, most patients prefer cool food, with 98 such cases(49%), tepid food in 54cases(27%) and warm food in 48cases(24%). These showed a statistically significant difference in the selection of prefered food between males and females by chi-test(p<0.009). 10. The state of Past History was classified into II types. chronic hypertrophic rhinitis is the most common with 11cases (18.64%), tonsil and adenoid hypertrophy is 8cases(l3.56%), sinusitis is 6cases(10.17%), nasal septum deviation is 4cases, nasal polyp is 2cases, others are 10cases(l6.95%). No statistically significant difference in past history between males and females was shown, but a statistically significant difference was shown when males and females were compared with total cases by T-test(p<0.002, P<0.0008). 11. Regarding complications, 37 patients (28.91%) had sinusitis: 22cases(17.19%) in male, 15cases(11.72%) in female. Chronic hypertrophic rhinitis was found in 15cases(11.72%). Others are under 10%. There was no statistically significant difference in the type of complications between males and females, but a statistically significant difference was shown when males and females were compared with total cases by T-test(P<0.00l, P<0.007). 12. In the treatment, medication was used 1691 times, an average of 2.58 times. No.34 was used 370 times for 124 cases, an average of 2.98 times. No. 152 was used 318 times for 106 cases, an average of 3.00 times. No.151 was used 307 times for 97cases, an average of 3.16 times. No. 31 was used 117 times for 33 cases, an average of 3.55 times. No 25 was used 116 times for 33 cases, an average of 3.52 times. 13. In the duration of treatment, the most frequent is 1 week(69cases, 34.50%), the maximum is 20weeks, and the minimum is 1week. A treatment period of 2~3 weeks accounted for 32% of cases, a period of 4~5weeks accounted for 13.5%. The gulf between males and females showed a statistically significant difference in the duration of treatment.(p<0.01). There was a statistical significance when the males were compared with total cases by ANOVA(P<0.03). 14. A comparison between before-treatment and after-treatment showed a statistically significant difference in treatment by T-test (p<0.01) and F-test (p<0.0058).

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