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한의과대학 부속 한방병원 응급실 내원환자에 대한 고찰 : 후향적 차트리뷰 (A Study of Patients Who Visited the Emergency Department at a Korean Medical Hospital: A Retrospective Chart Review)

  • 류혜랑;김윤정;김영균;김경민
    • 대한한방내과학회지
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    • 제39권3호
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    • pp.350-362
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    • 2018
  • Objectives: By analyzing the characteristics and the distribution of diseases of patients who visited the emergency room of a Korean medical hospital, we sought to determine the methods of activating the Korean emergency medical system and to use this analysis as a basis for future research. Methods: We conducted a retrospective review of 959 patients who visited the emergency department of the Dong-Eui University Korean Medical Hospital from January 2016 to December 2016. The review was conducted using electronic medical records created during the emergency department visit. Results & Conclusions: In distribution of sex, the rate of males was 47.9%, and that of females was 52.1%. In distribution of age, the greatest number of patients were in their 50s (27.5%), followed by those in their 60s (19.9%) and 40s (14.8%). In distribution of residence, most patients were from Busan (84.9%). In distribution of week, more patients visited the emergency room on Sundays and holidays (44.3%). September was the busiest month (12.5%). Visits usually occurred during daytime and nighttime, and there were few visits at dawn. In the analysis of the time interval between onset of symptoms and the emergency room visit, most patients visited within 24 hours (46.5%). In the distribution of diseases, facial palsy was the most common (34.6%). In the systematic distribution of diseases, circulatory diseases were the most common (56.7%), followed by diseases of the musculoskeletal system (28.6%). The rate of first emergency room visit was 52.9%, and the rate of revisit was 47.1%. The rate of hospitalization after emergency room treatment was 27.5%, and the rate of discharge was 72.4%. The rate of revisit was 63.4%. In the distribution of treatment before arrival at the emergency room, direct was the most common (51.0%), and the outpatient department of western medicine was next. In the distribution of treatment in the emergency room, acupuncture was the highest (91.4%), followed by herb-med (43.0%).

정화논에 의한 벼 친환경재배단지 발생 영양염류 저감효과 (Effects of Purifying Rice Paddy in Reducing Nutrient Loadings from Rice Paddy fields area using Free Range Ducks and Rice Bran)

  • 고지연;이재생;우관식;서명철;강종래;송석보;오병근;정기열;윤을수;최경진;남민희;이영한
    • 한국토양비료학회지
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    • 제43권2호
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    • pp.132-139
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    • 2010
  • To manage the effluent nutrients amounts from rice paddy fields using free range ducks or rice bran, we evaluated the effects of a purifying paddy field which is no fertilizer, no pesticides, and dense rice seedling having a concept of constructed wetland. The experimental paddy field was located at downstream in the watershed of ducks using rice culture area in Milyang. The purifying paddy of land design were treated with seeding method, and vegetation type. As land design, direct seeding on plane, and direct seeding on high-ridge field in 2007. Planting rice only, and planting rice with water hyacinth were treated as vegetation type in purifying paddy in 2008. The purifying paddy fields were effective to reduce amount of T-N and T-P contents in effluent to 33.2~45.3%, and 53.1~55.4%, respectively. The direct seeding on high-ridge treatment, having long residence time of effluent water was more effective than plane plot as T-N 0.29 $g^{-1}m^{-2}d^{-1}$, and T-P 0.031 $g^{-1}m^{-2}d^{-1}$. The planting rice with water hyacinth treatment was effective than planting rice only as T-N 0.23 $g^{-1}m^{-2}d^{-1}$, and T-P 0.049 $g^{-1}m^{-2}d^{-1}$. The optimum area of purifying paddy field to treats all effluent were found out 3.2~4.7% of rice culture area using free range ducks, and rice bran at upper stream.

VOC 분해 플라즈마-덤프 연소기 특성 (Characteristics of a Plasma-Dump Combustor for VOC Destruction)

  • 김은혁;전영남
    • 대한환경공학회지
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    • 제37권8호
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    • pp.492-497
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    • 2015
  • 휘발성 유기화합물인 VOCs (Volatile Organic Compounds)는 주로 도색 공정이나 유기용제를 사용하는 업체나 세탁소 등에서 발생된다. 이는 다양한 형태의 탄화수소로 구성되어 있으며 대기 중에 방출되어 희석되므로 그 농도가 낮아 발열량이 크지 않기 때문에 일반 연소기로는 직접 소각처리가 어렵다. 본 연구에서는 이와 같이 저열량 가스인 VOC를 처리하기 위해 새로운 형태의 플라즈마-덤프 연소기를 제안하였다. 이 연소기는 플라즈마 버너와 덤프 연소기 그리고 3D 매트릭스 버너의 특성이 조합된 형태로 이루어졌다. 따라서 본 연소기는 안정적인 화염형성과 VOC 분해에 필요한 충분한 분해온도와 체류시간을 확보할 수 있는 구조로 되어있다. 플라즈마-덤프 연소기의 성능특성을 규명하기 위해 모사 VOC를 톨루엔으로 하여 VOC 공급량과 농도 그리고 VOC 인젝터 위치 등에 대해 실험을 수행하였다. VOC 인젝터 위치를 바깥쪽으로 하여 톨루엔의 농도가 3,000 ppm인 VOC를 450 L/min 공급한 경우 VOC 분해효율이 89.64%이고 에너지 효율은 1.227 kg/kWh으로 기존의 연소기에 비해 우수한 성능을 보였다.

한국 대학생의 편의식품에 대한 인지도, 이용 정도 분석 및 식행동에 미치는 영향 (A Study on the Perception and Consumption Pattern of Convenience Foods by Korean College Students)

  • 문수재;윤혜준;김정현;이양자
    • 한국식생활문화학회지
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    • 제13권3호
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    • pp.227-239
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    • 1998
  • The purpose of this stud was to investigate the degree of recognition as well as the consumption pattern of convenience food products, and related factors among 700 mixed Korean college students using written questionnaire. Students of Seoul region showed the significantly lowest rate of recognition at 36.7%. Results also showed that lifestyles have a significant effect on the degree of recognition of convenience foods. The consumption patterns of convenience foods goes as follows: used frequently-18.2%, once in awhile-73.9%, doesn't use-7.9%. The higher the recognition rate, the higher the consumption rate for convenience foods. When compared in terms of residence, students living at home used more refrigerated foods compared to students living outside of the home. Among the total students living outside of the home, students living on their own scored highest of convenience food consumption. In the case of female students living outside the home, respondents living alone and in dormitories scored the highest. Female students living in dormitories were mainly using refrigerated and canned foods, while those living alone consumed more kimbap and 'sa-bal-myun' in convenience stores. Korean college students mainly consumed frozen food, retort food, and kimbap in convenience stores. The college student that believes that 'You eat to satisfy hunger' significantly used more convenience food while those that marked 'maintain health' consumed the lowest showing a great difference between groups. Results showed that the lower the food habit score, the higher the usage score of convenience foods. The food habit score had a negative correlation with the usage of frozen foods, instant food, and convenience store food. When compared individually, packaged 'ramen' and 'sa-bal-myun' scored the highest points of usage. Frozen fried rice and pre-packaged rice scored the lowest points indicating Korean college students do not consider rice a convenience food. Convenience food consumed in convenience stores ranked the highest among places of consumption, compared to places like home or outdoors; showing that convenience foods were used by people with limited time constraints.

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옥분 압출가공시 이축압출성형기의 System Parameters에 따른 압출물의 특성변화 (Effect of System Parameters on Target Parameters in Extrusion Cooking of Corn Grit by Twin-Screw Extruder)

  • 김지용;김종태;김철진
    • 한국식품과학회지
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    • 제23권1호
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    • pp.88-92
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    • 1991
  • 스크류조합을 달리한 실험실용 twin-screw extruder를 사용하여 corn grit를 원료 투입량($30{\sim}60\;kg/hr$), 스크류 회전속도($200{\sim}400\;rpm$) 및 die hole 수($2{\sim}6$개) 범위에서 압출하면서 측정된 system parameters(압출온도, 기계적 에너지 소모율, 평균 체류시간)가 압출물의 특성을 나타내는 target parameters(수분 증발량, 수분 용해도지수 및 수분 흡착지수)에 미치는 영향을 스크류 조합별과 전체 실험결과를 다중회귀분석을 통하여 회귀식으로 나타내면, 스크류조합별 관계식에서는 상관계수가 0.90 이상 이었으며, 구획하지 않은 전체 회귀식에서는 0.80 정도의 상관계수를 보였다. 이상의 결과는 system analysis approach을 이용하면, 상이한 extruder사이의 조업자료 중 system parameters의 분석을 통하여 목적 제품의 특성을 예측할 수 있는 가능성을 보여준다고 생각된다.

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옥분 압출가공시 이축압출성형기의 운전조건에 따른 System Parameters의 변화 (Effect of Process Variables on System Parameters in Extrusion Cooking of Corn Grit by Twin Screw Extruder)

  • 김지용;김종태;김철진
    • 한국식품과학회지
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    • 제23권1호
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    • pp.81-87
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    • 1991
  • 15% 비율로 가수한 corn grit 원료를 reverse element 수를 달리한 스크류 조합을 사용한 실험실용 동방향 회전 이축 압출성형기로 extrusion cooking할 때, 각 스크류 조합에서 원료 투입량($30{\sim}60\;kg/hr$), 스크류 회전속도($200{\sim}400\;rpm$) 및 die hole 수($2{\sim}4$개) 등의 process parameters 변화에 대한 system parameters(압출온도 및 압력, 기계적 에너지 소모율 및 평균체류시간)의 변화 양상을 다중회기분산 분석을 통하여 분석하였다. 원료 투입량이 증가할 수록, 압출온도, 기계적 에너지 소모율 및 평균체류시간이 감소하는 경향을 보인 반면에 알출압력은 증가하였다. 그리고, 스크류 회전속도가 증가할 수록, 압출온도, 기계적 에너지 소모율 및 압출압력이 증가하는 경향을 보였으나, 평균체류시간은 감소하였다. 그러나 die hole 수가 증가할 수록, 측정한 4가지 system parameters는 모두 감소하는 경향을 나타내었다. 이러한 경향은 reverse element의 수를 증가시킨 스크류 조합을 사용한 경우에 더욱 뚜렸이 나타나는 결과를 보여 주었다. 이상의 결과를 각 스크류 조합에서 각각의 system parameters와 process parameters를 독립변수로 하는 함수식으로 나타낼 수 있었고, 이 때 각 함수식의 상관관계는 0.90 이상 이었다.

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황제내경(黃帝內經)과 주역(周易)의 중심사상(中心思想) 연구(硏究) (A Comparative Study on the Central Idea of Hwang Je Nae Kyong and Chuyok)

  • 김동주;홍원식
    • 대한한의학원전학회지
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    • 제3권
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    • pp.248-279
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    • 1989
  • Chuy$\check{o}$k and Naeky$\check{o}$ng which are the foundations for oriental philosophy and oriental medicine respectively have had a great influence on Oriental ideas for several thou s and years. On this study is focused on the comparative study about the two. And the results are as follows; 1. Chuy$\check{o}$k and Naeky$\check{o}$ng agree with respect to the relationship between Nature and Man, They both insist that everything should come into being through collaboration between Heaven and Earth and that Man is the noblest among them. 2. Though Chuy$\check{o}$k and Naeky$\check{o}$ng agree in regard to the authority of Man's nobility, the one stands on the opinion that Man is noble because of 'Tao'(道), while the other maintains that Man is precious because he is created and changed according to the principle of the Universe. 3. There is a slight difference between Chuy$\check{o}$k and Naeky$\check{o}$ng in the principle of Yin and Yang, and the live elements of the Chinese cosmogony. Chuy$\check{o}$k explains the change and development of everything on the basis of the principle of Yin and Yang, and make no concrete mention of the five elements of the Chinese cosmogony. While Naeky$\check{o}$ng applys the principle of Yin and Yang and the five elements of the Chinese cosmogony to the human body. 4. Though Chuy$\check{o}$k contains little knowledge of the inside of the human body in the anatomical matters, it includes some informations of the outside of the human body. But the basic physiological informations had already existed at the time. 5. Regarding the way of life cultivation. Chuy$\check{o}$k and Naeky$\check{o}$ng concurs. The two books advise to avoid unsuitable meal, overdrinking, inappropriate residence and so forth for the sake of good health. They make much of the mental harmony and maintain the accommodation to the change of Nature to keep a sound mind and body.

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한국 서남해 섬마을의 경관체계해석 -진도군 조도군도, 신안군 비 금, 도초, 우이도 및 흑산군도를 중심으로- (A Landscape Interpretation of Island Villages in Korean Southwest Sea)

  • 김한배
    • 한국조경학회지
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    • 제18권4호
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    • pp.45-71
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    • 1991
  • The landscape systems in Korean island settlements can be recognized as results of ingabitants' ecological adptation to the isolated environment with the limited natural resources. Both the fishery dominant industry in island society and ecological nature of its environments seem to have influenced on inhabitants' environmental cognition as well as the physical landscape of island villages such as its location, spatial pattern in each village, housing form and so on. This study was done mainly by both refering to the related documents and direct observations in case study areas, and results of the study can be summarized as follows. 1. In general, the landscape of an individual island seems to take more innate characteristics of island's own, corresponding to the degree of isolation from mainland. That is, while the landscape of island in neighboring waters takes both inland-like and island-innate landscape character at the same time, the one in the open sea far from land takes more innate landscape character of all island's own in the aspects of village location, land use and housing density etc. 2. The convex landform of most islands brings about more centrifugal village allocation than centripetal allocation in most inland villages. And thus most villages in each island face extremely diverse directions different from the south facing preference in most inland rural villages. 3. Most island villages tend to be located along the ecologically transitional strip between land and sea, so called 'line of life', rather than between hilly slope and flat land as being in most inland village locations. So they are located with marine ecology bounded fishing ground ahead and land ecology bounded agricultural site at the back of them. 4. The settlement pattern of the island fishing villages shows more compact spatial structure than that of inland agricultural villages, due to the absolute limits of usable land resources and the adaptation to the marine environment with severe sea winds and waves or for the easy accessability to the fishing grounds. And also the managerial patterns of public owned sea weed catching ground, which take each family as the unit of usership rather than an individual, seem to make the villagescape more compact and the size of Individual residence smaller than that of inland agricultural village. 5. The folk shrine('Dand') systems, in persrective of villagescape, represent innate environmental cognition of island inhabitants above all other cultural landscape elements in the island. Usually the kinds and the meanings of island's communal shrine and its allocative patternsin island villagescape are composed of set with binary opposition, for example 'Upper shrine(representing 'earth', 'mountain' or 'fire')' and 'Lower Shrine(representing 'sea', 'dragon' or 'water') are those. They are usually located at contrary positions in villagescape each other. That is, they are located at 'the virtical center or visual terminus(Upper shrine at hillside behind the village)' and 'the border or entrance(Lower Shrine at seashore in front of the village)'. Each of these shirines' divinity coincides with each subsystem of island's natural eco-system(earth sphere vs marine sphere) and they also contribute to ecological conservation, bonded with the 'Sacred Forest(usually with another function of windbreak)' or 'Sacred Natural Fountain' nearby them, which are representatives of island's natural resources.

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EQC 모델을 이용한 벤조일 퍼록사이드의 다매체 환경거동 예측 (Estimation of Multimedia Environmental Distribution for Benzoyl peroxide Using EQC Model)

  • 김미경;배희경;송상환;구현주;김현미;최광수;전성환;이문순
    • 대한환경공학회지
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    • 제27권10호
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    • pp.1090-1098
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    • 2005
  • 벤조일 퍼록사이드는 수서생물에 대해 매우 높은 독성을 나타냄에도 불구하고 환경 중 잔류 농도 및 노출영향에 대해 연구가 이루어지지 않아 OECD에서 추천하고 있는 대표적인 다매체 환경거동 모델인 EQC 모델을 이용하여 본 물질에 대한 환경중의 농도를 예측하고 위해성평가 및 화학물질의 관리를 수행하기 위한 기초자료로 활용코자 하였다. 평형, 정상상태에서 100,000 kg의 벤조일 퍼록사이드가 환경내로 유입된 상태를 나타내는 Level I과 평형, 정상상태 이류와 분해현상이 있고 일정한 속도 1,000 kg/h로 유입되었을 경우를 나타내는 Level II에서 벤조일 퍼록사이드는 주로 토양(68.3%)과 물(28.7%)로 배출되는 것으로 예측되었다. 비평형, 정상상태, 이류와 분해현상이 있고 다매체 이동을 하는 시스템에서 벤조일 퍼록사이드가 대기, 물, 토양, 침전물의 각각의 4개 매체에 연속적으로 1,000 kg/h로 유입될 경우인 Level III에서는 주로 토양(99.9%)으로 배출되었고 전체 잔류시간은 3.4년으로 예측되어 벤조일 퍼록사이드가 환경 중에 잔류성이 있는 물질로 평가되었다.

산업용 보일러의 질소산화물 제어를 위한 SNCR 적용 연구 (Study of SNCR Application to Industrial Boiler for NOx Control)

  • 신미수;김혜숙;장동순
    • 대한환경공학회지
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    • 제27권3호
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    • pp.286-292
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    • 2005
  • 본 연구는 향후 산업적으로 질소산화물 규제가 중요한 문제로 대두될 만한 산업용 보일러를 대상으로 수행하였다. 일반적으로 SNCR 방법의 산업용 보일러로의 적용은 혼합을 위한 충분한 체류시간을 제공하지 못한다는 점에서 적합하지 않은 것으로 알려져 있다. 본 연구의 목적은 SNCR 장치의 산업용 보일러 적용가능성을 조사하기 위한 것이다. 구체적으로 연료로 중유를 사용하는 시간당 스팀 발생량 40톤 규모의 산업용 보일러를 연구 대상으로 하였다. 사업용 보일러의 수치 해석을 위한 3-D 직교좌표계 프로그램에는 난류 유동, 난류 연소반응, NOx의 생성과 환원제와의 반응을 통한 소멸반응 등을 포함하고 있다. 또한 개발된 코드에는 Lagrangian 방법에 의한 입자궤적 프로그램이 포함되어 있고, 주입구에서 접선방향으로의 선회효과를 계산에 의해 고려하였다. 선회버너 효과를 고려한 결과 단화염이 생성되었으며 NOx 환원반응에 적합한 온도 영역의 증가로 인해 NOx 제거효율도 향상되었다. 실험결과와의 비교를 통하여 프로그램을 검증하였으며, 계산결과 혼합용 공기 주입을 통한 환원제와의 혼합 향상을 통해서 SNCR 방법의 산업용 보일러 적용가능성을 확인하였다.