• Title/Summary/Keyword: Pressure history

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Drug-Induced Anaphylactic Shock at the Emergency Department (응급실 기반 약물에 의한 아나필락시스 쇼크 환자의 임상적 특성)

  • Han, Sang-Guen;Ahn, Ryeok;Kim, Sun-Hyu;Choe, Seung-Won;Hong, Seung-Won
    • Journal of The Korean Society of Clinical Toxicology
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    • v.7 no.2
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    • pp.137-142
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    • 2009
  • Purpose: This study was conducted to investigate the characteristics of drug induced anaphylactis and anaphylactic shock in patients who were admitted to the emergency department Methods: We retrospectively collected the data on patients with drug induced anaphylaxis and who were admitted to the emergency department from January 2001 to June 2009. The study group was divided into the non-shock and shock groups according to whether the systolic blood pressure more than 90mmHg. The initial demographic data, the causes of drug-induced anaphylaxis, the clinical manifestations, the treatment and the prognosis were reviewed for 72 patients. Results: The mean age of the study subjects was $47.9P{\pm}14.2$ years old and there were 40 male patients and 32 female patients. There were 26 patients in the non-shock group and 46 in the shock group. The mean age was older in the shock group than in the non-shock group ($51.5{\pm}15.1$ vs $42.5{\pm}10.6$, p-0.002). A history of drug allergy was more common in the shock group, but no difference was found for the comorbid chronic diseases between the two groups. Radio-contrast media was the most common cause, followed non-steroidal anti inflammatory drugs and antibiotics, but there is no difference in the causes between the two groups. The symptoms of cyanosis, syncope, sweating and dizziness were more frequently manifested in the shock group. The administration of intravenous fluid and injection of subcutaneous epinephrine at the emergency department were more frequent in the shock group than in the non-shock group. Conclusion: For the patients who were admitted to the emergency department with drug induced anaphylaxis, the mean age was older and the symptoms of cyanosis, syncope, sweating, dizziness were more frequent in the anaphylactic shock patients than in the non-shock group. More treatments were given at the emergency department to the anaphylactic shock patients.

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Analysis of correlation between passive ankle movement range and knee joint kinetic variables during squat movement (스쿼트 동작 시 수동적 발목 가동범위와 무릎 관절 운동역학적 변인 간 상관성 분석)

  • Lee, JaeWoo;Park, JunSung;Lim, Young-Tae;Kwon, Moon-Seok
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.3
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    • pp.509-515
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    • 2020
  • The purpose of this study was to analyze the correlation between passive ankle movement range and knee joint kinetic variables during squat movement. In this study, a total of 27 subjects participated in this study, 19 men and 8 women, who had no history of the musculoskeletal system of the lower extremity. To verify the correlation between the ankle joint flexibility and the knee joint kinetic variables during deep squat, it was performed pearson's correlation coefficient and variables showing statistically significant correlation were performed by simple regression analysis at a significant level of α .05. Through this study, the relationship between the peak joint moment and joint reaction force factors that determine ankle joint flexibility and knee joint pressure was confirmed. Therefore, when applying an exercise that can generate a lot of load on the knee joint such as deep squats during strength training, checking the degree of flexibility of the ankle joint among physical characteristics to the individual may reduce the stability of the body and the risk of injury to the knee joint. It is expected to be helpful in setting the intensity of exercise that can be done.

Clinical Observation on Effects and Adverse Effects of Choweseuncheng-tang on Obesity Patients (비만 환자에 대한 조위승청탕의 효과 및 부작용에 관한 임상적 고찰)

  • Seo, Dong-min;Lee, Sang-hoon;Lee, Jae-dong
    • Journal of Acupuncture Research
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    • v.22 no.3
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    • pp.145-153
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    • 2005
  • Objective : This study was designed to investigate the effects and adverse effects of Choweseuncheng-tang on obesity patients Methods : Choweseuncheng-tang was given to 20 obesity patients who have no abnormality of GOT, GPT and past medical history. Additionally, electroacupuncture was performed on Fuchao(腑巢) with 60Hz. We compared body weight, body fat and laboratoy test(GOT, GPT, BUN, Creatinine) between before and after treatment. Blood pressure, heart rate and clinical symptoms were checked to investigate the side effects. Decrease of body weight was checked in accordance with Sasang constitutional type, appetite type, and BMI. Results : 6 patients(BMI 23-24.9), 10 patiets(BMI 25-29.9), and 4 patients(BMI over 30) were showed decrease of body weight. We found body fat was decerased $3.16{\pm}1.25%$. BUN, Creatinine, GOT and GPT were increased within normal range. There were adverse event of autonomic hyperactivity(11 patients), gastrointestinal symptoms(7 patients) and others(3 patients). Conclusions : According to above results, Choweseuncheng-tang could be used effectively, but should be taken cautiously on obese patients.

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A Case of Mitochondrial Myopathy Showing Severe Hypoxemia during REM Sleep (렘수면중 심한 저산소혈증을 보인 사립체근병증 1례)

  • Kim, Ju-Sang;Kim, Sung-Kyung;Lee, Sang-Haak;Ahn, Joong-Hyun;Kim, Chi-Hong;Moon, Hwa-Sik
    • Sleep Medicine and Psychophysiology
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    • v.14 no.1
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    • pp.49-53
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    • 2007
  • Mitochondrial myopathy is characterized by variable clinical manifestations from mild limb weakness to fatal respiratory failure and central nervous system sequela. But it is a rare event that sleep disordered breathing become a clue of diagnosis for mitochondrial myopathy. We report a case of a 21 year-old man who was diagnosed as mitochondrial myopathy during the investigation for the possible cause of chronic hypoventilation syndrome. Before being admitted to our hospital, he was suspected as having sleep apnea syndrome in another hospital. We re-evaluated the history, physical examination, laboratoy findings and polysomnography in detail. Severe hypoxemia was noted during REM sleep on nocturnal polysomnography and the diagnosis of mitochondrial myopathy was made by muscle biopsy in rectus abdominis muscle. We treated him with bilevel positive airway pressure therapy during sleep and it could reverse the hypoxemia during REM sleep. He could be discharged with improved condition and is being well with the use of this ventilatory assistance.

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A Study on Health-Risk Behavior of Adolescent Smoking (청소년의 흡연에 관한 건강위험행위 연구 -서울시 일부 고등학생을 중심으로-)

  • 이선영;이시백
    • Korean Journal of Health Education and Promotion
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    • v.17 no.2
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    • pp.17-33
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    • 2000
  • The aim of this study is having the status, knowledge and attitude of the high school attendees toward smoking be analyzed, helping to make effective health education methods to diminish adolescent smoking habits. The field self-questionnaire investigation has been performed from Oct 10th through 23rd in 1999. The whole 427 cases were distributed to 1st and 2nd grade students of randomly selected men's high school in Seoul. And 414 cases (97%) were finally selected for analysis after exclusion of cases with insufficient information. The main contents of questionnaire are composed of several sectors; the general characteristics of the interviewees, the relationship with parents, the life style and the peer relationship in school. And smoking-related characteristics are taken into consideration, too. The major findings of the study are as follows: The smoking/non-smoking related factors are, in socio-demographical terms, the grade, average spending per month of the interviewees. And the degree of satisfactory relationship with parents is significant on smoking behavior. The higher, the degree of satisfaction on school life and relationship with designated teacher, the more chances of non-smoking habit. Poor academic grades and peer group dependability of interviewees cause higher smoking habit rate in other way. The self-interviewees grade and cohabitation with parents are also significant on both the attitude toward smoking habit and the knowledge on smoking statistically. The academic history and vocations of the parents and the academic grades of interviewees are also effective variables, but don't make any gap between groups knowledge on smoking. Smoking groups used to have positive attitude toward smoking habit. Both the attitude and knowledge on smoking by the consideration of Quit-smoking have statistically significance. The groups which have negative attitude and high knowledge on smoking quit-smoking into consideration. And the primary cause of quit-smoking is on health by smoking. Depression, stress, adult smoking in the house, peer group pressure, cigarettes advertisements on papers and magazines and smoking scenes on TV have positive correlation on forming smoking habit (p〈0.001) But the knowledge on diseases triggered by smoking has negative correlation on forming smoking habit. (p〈0.05, p〈0.001). Social factors as monthly spending, relationship and communication with parents, the degree of satisfaction in school life, academic grades and student-teacher relationship have crucial negative correlation on smoking habit. That is to say, the higher, the monthly spending is, the worse, the relationship with parents and teachers is, the lower, the academic grades of the student is, the percentage of the interviewees who have smoking habit seems to get higher.

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Awareness, Treatment, and Control Rates of Hypertension and Related Factors of Awareness among Middle Aged Adult and Elderly in Chuncheon : Hallym Aging Study(HAS) (춘천지역 중년과 노인의 고혈압 인지율, 치료율, 조절률 및 인지율 관련 요인: 한림노년연구(HAS))

  • Jeong, Jin-Young;Choi, Yong-Jun;Jang, Soong-Nang;Hong, Kyung-Soon;Choi, Young-Ho;Choi, Moon-Ki;Kim, Dong-Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.4
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    • pp.305-312
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    • 2007
  • Objectives : To estimate the awareness, treatment and control rate, as well as to identify the awareness-related factors for hypertension. Methods : The study participants were 482 adults (men 206, women 276), aged 45 or over, diagnosed with hypertension and living in Chuncheon. The awareness rate was defined as the proportion of persons among those with hypertension who had previously been diagnosed by a physician. The treatment rate was defined as the proportion of persons who had used anti-hypertensive medication, among those who were aware of their hypertension. The control rate was defined as the proportion of persons who kept blood pressure normal, among those who had been treated for their hypertension. Multivariable logistic regression analysis was carried out for the awareness-related factors using SAS VER 8.1. Results : The awareness, treatment, and control rate were 55,8% (53.4% for men; 57.6% for women), 89.6% (87,2% for men; 91.2% for women), and 34.4% (28.1 % for men; 38.6% for women), respectively. The awareness-related factors included a family history of hypertension (odds ratio[OR], 5.63; 95% confidence interval[95% CI]=1.53-20.72), smoking([Ex; OR 0.38, 95% CI= 0.15-0.96)], [Current; OR 0.28, 95% CI=0.10-0.80]), and alcohol intake ([Ex; OR 3.22, 95% CI 1.03-10.09],[Current; OR 3.36, 95% CI=1.30-8.71]) for men, and education(OR 2.23, 95% CI=1.10-4.53), body mass index(OR 2.72, 95% CI=1.13-6.53), and self-rated health(OR 2.38, 95% CI=1.07-5.30) for women. Conclusions : The awareness rate of hypertension among the middle aged and elderly in Chuncheon was 55.8%. The related factors of awareness were gender specific. Further studies are needed to elucidate the putative reasons for these gender differences.

Investigation of Pohang Earthquake Liquefaction Using 1D Effective-Stress Site Response Analysis (1차원 유효응력개념의 지반응답해석을 통한 포항지진의 액상화 현상 규명)

  • Ahn, Jae-Kwang;Baek, Woo-Hyun;Choi, Jae-Soon;Kwak, Dong Youp
    • Journal of the Korean Geotechnical Society
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    • v.34 no.8
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    • pp.37-49
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    • 2018
  • Since the observation of ground motions in South Korea, liquefaction manifestation was the first to be observed in Pohang earthquake in 2017 with $M_L$ 5.4. Because liquefaction causes ground settlement and lateral spread damaging in-ground or super structures, various researchers have been analyzing the Pohang liquefaction case history to better understand and predict liquefaction consequence and to prevent future disasters. In prior research at the 2018 EESK conference, a map of Liquefaction Potential Index (LPI), indicating the severity of liquefaction, in Pohang was created and compared with damage observations. The LPI correlated well with the observations, but the severity categorized by LPI range was significantly higher than the actual observations in most regions. The prior LPI map was created evaluating ground motions using the simplified approach. In this research, we perform the effective site response analyses with porewater pressure generation model for the detailed evaluation of liquefaction on the liquefied sites in Pohang. We found that the simplified approach for LPI evaluation can overestimate the severity.

Shear Strength Characteristics of Artificial Soil Mixture with Pond Ash (매립석탄회가 혼합된 인공혼합토의 전단특성)

  • Kim, Kyoungo;Park, Seongwan
    • Journal of the Korean GEO-environmental Society
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    • v.14 no.10
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    • pp.39-47
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    • 2013
  • Recently, there have been various domestic construction activities related to the reclamation of the dredged soils to expand the land use. However, the reclaimed grounds made of the dredged soils cause various problems due to highly compressible and low shear strength nature. Particularly, this nature induces huge problems in case of the harbor facilities and road construction on the reclaimed sites. Furthermore, in the reclamation activities, the marine dredged soils are often used instead of the well sorted sand, which induces problems of compressibilities. Therefore, in this study, the mechanical characteristics of artificial soil mixture of kaolinite representing the marine dredged soils and the pond ash. A large consolidometer is designed and manufactured to produce the artificial soil mixture. To represent various mixing ratio between the fly ash and bottom ash in the pond ash, six samples with the same stress history are made with different mixing ratio among kaolinite, bottom ash and fly ash. Isotropically consolidated and undrained compression tests are performed to investigate the shear characteristics of soil mixtures. Based on the experimental results, as the components of mixed ash increase, the friction angle increase and the cohesion values decrease. Also, the porepressure parameters at failure, Af increase with the mixing components of the pond ash. The portion of bottom ash has more impact on the shear behavior than that of fly ash.

Characteristics of Shear Strength and Consolidation Behavior of Soft Ground according to Stage Fill (단계성토에 따른 연약지반의 전단강도 및 압밀거동 특성)

  • Bang, Seongtaek
    • Journal of the Korean GEO-environmental Society
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    • v.21 no.7
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    • pp.17-26
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    • 2020
  • The soft ground in the southwest coastal area composed of marine clay is greatly influenced by sediment composition, particle size distribution, particle shape, adsorption ions and pore water characteristics, tide and temperature. In addition, the geotechnical properties are very complex due to stress history, change in pore water, dissolution process and gas formation. In this study, the physical and mechanical properties of the soft ground were evaluated through field tests and laboratory tests to investigate the strength increase characteristics according to consolidation on the soft ground in the southwest coast. In addition, in order to understand the consolidation behavior of soft ground such as subsidence, pore water pressure, horizontal displacement of soil by embankment load, measuring instruments such as pore water pressuremeter, settlement gauge, inclinometer and differential settlement gauge was installed, and a piezocon penetration test was carried out step by step to confirm the increase in shear strength of the ground. Through this, it was confirmed that the shear strength of the ground is increased according to the stages of filling. In addition, by evaluating the properties of consolidation behavior, strength increase and consolidation prediction by empirical methods and theories were compared to analyze the characteristics of strength increase rate and consolidation behavior in consideration of regional characteristics.

A Study on Estimation of Initial Gas in Place for Coalbed Methane Field Using Production Data at Canada (생산자료를 이용한 캐나다 CBM 원시부존량 평가 연구)

  • Seo, Hyeongjun;Moon, Bryan;Kim, Kihong;Han, Jungmin;Kwon, Sunil
    • Journal of the Korean Institute of Gas
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    • v.22 no.1
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    • pp.64-77
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    • 2018
  • This paper presents the prediction of the original gas in place(OGIP) by using the material balance method and decline curve analysis method with production history and pressure transient test data for four coalbed methane wells in the Horseshoe Canyon field. In this study, the conventional gas equation and the Jensen and Smith(J&S) equation were used to material balance analysis, and the Arps' empirical correlation and Khaled method were applied to decline curve analysis. From the results, the OGIP estimated from the conventional gas and the J&S method was small in difference as under 12%. Also, in case of decline curve analysis, it was found that the Khaled method has appropriated to calculate the OGIP, because the OGIP was estimated as unlimited value by the Arps' equation from the decline exponent of 1 - 3.5. The OGIP difference between conventional gas method and Khaled method was calculated as 8.67% ~ 31.04%, and those between J&S method and Khaled method was 13.67% ~ 26.49%.