• 대한임상독성학회지
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• 제3권2호
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• pp.86-92
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• 2005

Purpose: The main cause of death due to acute organophosphate (OP) poisoning is believed acute respiratory failure caused by cholinergic reactions. Recently, advances in respiratory and intensive care make it possible to maintain the respiratory function of patients with OP poisoning, but the mortality rates remain high. The present study clarified the hemodynamics of patients with acute lethal OP poisoning. The purpose of this study was to analyse the outcomes and predictors of mortality in patients with acute OP poisoning requiring intensive care. Methods: We reviewed medical and intensive care records of patients with acute OP poisoning admitted to emergency department and ICU between March 1998 and Aug 2005. We collected patient information regarding poisoning, clinical, and demographic features. Results: During the study period, 67 subjects treated with intensive care and ventilator management in addition to gastric decontamination standard therapy with atropine and 2-PAM. Of 67 patients, 13 died. Kaplan-Meier survival analysis demonstrated a steep decline in the cumulative survival to $86.6\%$ during the first week. Mean arterial pressure < 60 mmHg within the first 24 hours was recognized as a poor prognostic indicators among mechanical ventilated patients. Conclusion: Most OP poisoning-related deaths occurred within the first week of poisoning. Mean arterial pressure lower than 60 mmHg might be the best predictor of poor outcome. We speculated that the refractory hypotension is the leading cause of death in patients with lethal OP poisoning that receiving mechanical ventilation and maximal supportive care.

• 대기
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• 제29권3호
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• pp.325-342
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• 2019

Precipitation and no-precipitation events under the influence of the Siberian high pressure system in Yeondong region, were analysed and classified as four types [obvious precipitation event (OP) type, obvious no-precipitation event (ON) type, ambiguous precipitation event (AP) type and ambiguous no-precipitation event (AN) type], according to the easiness in determining whether to have precipitation or not in Yeongdong region, to help in improving the forecast skill. Concerning the synoptic pressure pattern, for OP type, the ridge of Siberian high extends from Lake Baikal toward Northeast China, and there is a northerly wind upstream of the northern mountain complex (located near the Korean-Chinese border). On the other hand, for ON type, the ridge of Siberian high extends southeastward from Lake Baikal, and there is a westerly wind upstream of the northern mountain complex. The pressure pattern of AP type was similar to the OP type and that of AN type was also similar to ON type. Thus it was difficult to differentiate AP type and OP type and AN type and ON type based on the synoptic pressure pattern only. The four types were determined by U (wind speed normal to the Taebaek mountains) and Froude number (FN). That is, for OP type, average FN and U at Yeongdong coast are ~2.0 and ${\sim}6m\;s^{-1}$, and those at Yeongseo region are 0.0 and $0.1m\;s^{-1}$, respectively. On the contrary, for ON type, average FN and U at Yeongdong coast are 0.0 and $0.2m\;s^{-1}$, and those at Yeongseo region are ~1.0 and ${\sim}4m\;s^{-1}$, respectively. For AP type, average FN and U at Yeongdong coast are ~1.0 and ${\sim}4m\;s^{-1}$, and those at Yeongseo region are 0.0 and $0.2m\;s^{-1}$, whereas for AN type, average FN and U at Yeongdong coast are 0.1 and $0.6m\;s^{-1}$ and those at Yeongseo region are ~1.0 and ${\sim}3m\;s^{-1}$, respectively. Based on the result, a schematic diagram for each type was suggested.

• 한국지진공학회논문집
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• 제26권3호
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• pp.127-136
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• 2022

Recently, an unprecedented emerging infectious disease has rapidly spread, causing a global shortage of wards. Although various temporary beds have appeared, the supply of wards specializing in infectious diseases is required. Negative pressure isolation wards should maintain their function even after an earthquake. However, the current seismic design standards do not guarantee the negative pressure isolation wards' operational (OP) performance level. For this reason, some are not included in the design target even though they are non-structural elements that require seismic design. Also, the details of non-structural elements are usually determined during the construction phase. It is often necessary to complete the stability review and reinforcement design for non-structural elements within a short period. Against this background, enhanced performance objectives were set to guarantee the OP non-structural performance level, and a computerized tool was developed to quickly perform the seismic design of non-structural elements in the negative pressure isolation wards. This study created a spreadsheet-based computer tool that reflects the components, installation spacing, and design procedures of non-structural elements. Seismic performance review and design of the example non-structural elements were conducted using the computerized tool. The strength of some components was not sufficient, and it was reinforced. As a result, the time and effort required for strength evaluation, displacement evaluation, and reinforcement design were reduced through computerized tools.

• 대한지역사회영양학회지
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• 제24권2호
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• pp.152-162
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• 2019

Objectives: The purpose of this study was to investigate the food, nutrient intake, and diet quality of postmenopausal women at high risk of osteoporosis (OP) and cardiovascular disease (CVD) compared with those of control subjects. Methods: A total of 1,131 post-menopausal women aged over 45 years, who took the 2010-2011 Korean National Health and Nutrition Examination Survey (KNHANES), were included for analysis. These participants were classified into the following groups: the OP group, with a risk of OP (n=135); the CVD group, with a risk of CVD (n=373); the OP+CVD group, with a risk of OP and CVD concurrently (n=218); and the control group (n=405) according to bone mineral density (BMD) and CVD risk. Anthropometric measurements, blood profiles, dietary intake, and dietary quality indices were measured and compared among the four groups. Results: Waist circumference, total body fat percentage, blood pressure, fasting plasma glucose, total cholesterol, triglyceride, and LDL-cholesterol were higher, and HDL-cholesterol and BMD were lower in the OP+CVD group than in the control group. In the food frequency questionnaire, the OP+CVD group had significantly higher frequencies of grain (except for multi-grain) and lower frequencies of fruit and dairy product. The frequency of consumption of red meat, processed meat, and carbonated beverages was higher in OP+CVD group. In nutrient density analysis, proteins and vitamin $B_2$ levels were significantly lower in the OP+CVD group than in the control group. The nutritional quality index (INQ) values of calcium were in the order of 0.63, 0.58, 0.56, and 0.55 in each group, and it was urgent to improve the dietary intake for calcium in postmenopausal women. In addition, vitamin $B_2$ was inadequately consumed by all groups. Conclusions: These results suggest that it is necessary to increase the intake of vitamin $B_2$ and calcium and decrease the frequency of intake of red meat, processed meat, and carbonated beverages in postmenopausal women with the risk of OP and CVD.

• Journal of Chest Surgery
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• 제17권4호
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• pp.780-785
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• 1984

We had studied 20 cases of VSD patients whose murmur was sustained after open heart surgery from 1977 to 1984. The postoperative cardiac catheterization was performed on post-op. 20th day. Their ages ranged from 5 to 25 years old. Among them, 4 patients had significant residual shunt which required reoperation. [1 patient; re-op, 3 patient; refused]. Sex ratio was 13:7 in male and female. Associated anomalies were PDA, ASD, Pulmonary stenosis, Mitral insufficiency. Except 1 case, all of them was Kirklin type II VSD. Postoperative complications were I RBBB, residual shunt, cardiac tamponade due to bleeding, wound infection. Preoperative pulmonary artery systolic pressure was highly related to residual shunt in our study. Postoperative LVEDV returned to normal range on the 3rd week.

• 한국전기전자재료학회:학술대회논문집
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• 한국전기전자재료학회 2001년도 하계학술대회 논문집
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• pp.985-988
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• 2001

A piezo-buzzer being used for the purpose of generation of audible frequency, which is a electric-acoustic transducer utilizing the inverse piezoelectric effect. Also it can be used for a pressure sensor according to the piezoelectric effect. But the output of a piezo-buzzer is a differential signal. In this study, we've made a system that can measure a real pressure by integration of output signal. According to our results, it could be found a possibility of application for pressure sensor by measurement of output characteristics when a piezo-buzzer was pressurized and depressurized, and by measuring of an error by means of the drift current of OP-Amp, etc..

• Journal of Chest Surgery
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• 제31권1호
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• pp.13-19
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• 1998

대동맥류는 예후가 좋지 못하고 사망률이 매우 높으며 외과적 치료 후에도 이환율과 사망률이 상대적으로 높은 질환이나 반면 발생 빈도는 점차로 증가하고 있는 추세에 있다. 고려대학교 부속 구로병원 흉부외과학 교실에서는 1986년 7월부터 1996년 7월까지 대동맥류로 수술한 25명의 환자들을 후향적 방법으로 임상 분석하였고, 환자들의 증상 발현부터 수술까지 소요된 시간과 입원부터 수술까지 소요된 시간, 수술 전 혈압 및 심박수의 변화 등과 사망률과의 관계를 통계 분석하였다. 대동맥류의 분류로는 해리성 대동맥류가 10례, 복부 대동맥류의 경우가 9례, Marfan씨 증후군 환자가 3례, 하행 흉부 대동맥류 환자가 3례이었고, 17례에서 인조 혈관 간치술을, 4례에서 Bentall씨 수기를 시행하였고, 2례에서는 대동맥류 우회술을, 2례에서는 대동맥 감싸기(Wrapping)를 시행하였다. 전체 수술 환자의 조기 사망은 7례로 전반기인 1988년부터 1992년 사이에 수술한 14례의 환자 중 6례의 환자에서 조기 사망하였고, 그 후에 수술한 11례의 환자 중에서는 1례의 환자에서 조기 사망을 경험하였다. 사인은 대량 출혈이 5례이고, 급성 신부전 및 호흡부전이 각각 1례씩이었다. 18례의 생존 환자군은 술 후 1개월부터 118개월까지(평균 50.6개월) 장기 추적 관찰을 시행하였고, 총 추적 관찰 기간은 911 환자-개월이었고, 수술 30개월 후에 발생한 혈변으로 인한 1례의 만기 사망을 경험하였다. 그외의 다른 모든 환자는 흉통이나 호흡 곤란 등의 증상없이 만족스러운 상태였다. 저자들의 경험의 경우 수술 전반기에 비해 후반기에 사망률이 낮았으며, 사망 환자의 주된 사인은 수술 중 혹은 수술 후 출혈이었다. 환자들의 증상 발현부터 수술까지 소요된 시간과 입원부터 수술까지 소요된 시간, 수술 전 혈압 및 심박수의 변화와 사망률과의 관계는 통계적으로 유의성을 보이지는 않았다.

• Journal of Nutrition and Health
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• 제18권3호
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• pp.194-200
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• 1985

The purpose of this study was to investigate sodium intake and protein metabolism for pregnant women in Korea. The relationship between salt consumption and hypertension, electrolyte changes in pregnancy, and the tendency of weight gain of pregnant women were also examined. The dietary survey and twelve or twenty-four hour's urine collection was performed in this study. The subjects were pregnant women who came to gynecology clinic for prenatal care from July to August in 1984. The results were as follows: 1) Intakes of calorie and iron of Korean pregnant women were 2,036 Kcal and 16mg per day per person. The calorie composition consists of 65% carbohydrate, 16% protein, and 19% lipids. The average level of all nutrients was about 87% of Korean Recommended Dietary Allowances. 2) The sodium intakes in pregnant women estimated by dietary survey was 318.6 mEq Na (7,966 mg Na), which is equivalent to 20.2 g NaCl. 3) Daily sodium excretion was 112.5 mEq per liter, that is equal to 147.4 mEq. Potassium excretion was 24.95 mEq per liter and creatinine excretion was 594.0 mg per day. 4) There were statistically significant correlations between sodium intake and the excretions of sodium, potassium and creatinine. The blood pressure was positively correlated with sodium intakes. As sodium and potassium ratio was increased, systolic blood pressure and diastolic blood pressure were also significantly increased 5) Urinary nitrogen and creatinine ratio known to be reliable index for nutritional status of protein was 5.5 : 1. These values were comparable to the values in American pregnant women. 6) The weight gain during the pregnancy was examined. There was little weight gain during the first trimester, because of nausea, vomit and decrease of appetite. The weight gain during the second trimester was 4.9Kg, and 11.1Kg for third trimester.

• 한국식품과학회지
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• 제22권6호
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• pp.686-689
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• 1990

김치의 발효상태를 monitoring할 수 있는 압력측정 sensor와 감시장치를 설계, 제작하였다. 본 시스템은 밀폐형 발효관(31.5 ml)과 strain gauge 타입의 압력 sensor, 741 Op. Amp.와 ADC0809를 사용하여 제작한 신호가공 장치로 구성하였으며 퍼스널 컴퓨터와 접속하여 사용하였다. 배추김치는 플라스틱 용기에 담가 $25^{\circ}C$와 $30^{\circ}C$에서 발효시켰으며 발효상태는 김치를 넣은 발효관으로 monitoring하였다. 압력곡선 형태의 김치발효 곡선을 얻을 수 있었으며 이는 2단 압력증가 양식을 갖는 김치숙성 곡선을 보여주었다.

• 한국추진공학회:학술대회논문집
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• 한국추진공학회 2004년도 제22회 춘계학술대회논문집
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• pp.414-417
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• 2004

A cone cylinder is used to obtain variable operation conditions for the sonic ejector-diffuser system. The cone cylinder is designed to be shifted upstream and downstream to change the ejector throat area ratio, thus obtaining variable mass flow rates. The present study investigates the effects of ejector throat area ratio and operating pressure ratio on the entrainment of secondary stream for the variable sonic ejector system. The study is carried out experimentally. The ejector throat area is varied at the range from Ψ= 11.88 to 66.69, and the operating pressure ratio is changed from $P_{op}$ / $P_{a}$=1.25 to 9.0. The results show that the variable sonic ejector system can be operated to obtain specific entrainment ratio of secondary stream by altering the ejector throat area ratio and operating pressure ratio.o.