• Title/Summary/Keyword: Wonju

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A Case of Xerostomia that Occurred during Behcet's Disease Drug Treatment of a Person with Physical Disability (지체 장애인의 베체트병 약물치료 중 발생한 구강 건조증 치험 1례)

  • Kang, Byung-Soo;Kang, Duk;Kim, Jong-Han
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.1
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    • pp.112-135
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    • 2021
  • Objectives : To report a case of drug-induced xerostomia treated with Integrative Korean Medicine Visiting Care Service of a Public Health Center. Methods : Home visit treatment and telemedicine were provided by public health doctor(Korean medicine doctor) for person with physical disability who were diagnosed with Behcet's Disease. Palmul-tang(PMT) soft extract was provided steadily 3 times a day for 6 months, and acupuncture, electro-acupuncture, and electro-moxibustion were provided irregularly 6 times for 6 months. Yin-deficiency questionnaire(YDQ), oral health impact profile-14(OHIP-14), oral pain visual analogue scale(VAS), and xerostomia inventory(XI) were used 3 times(baseline, intermediate and termination) to evaluate the changes. Results : YDQ decreased from 620 to 375, OHIP-14 decreased from 34 to 6, VAS decreased from 70 to 40, and XI decreased from 44 to 34. Four scales all gradually decreased. Conclusions : Integrative Korean Medicine Treatments in health insurance including PMT soft extract through home visit treatment can improve drug-induced xerostomia and Quality of life(QoL) of person with disabilities.

Topographical Analysis of Landslide in Mt. Woomyeon Using DSM (DSM 자료를 이용한 우면산 산사태 지형 분석)

  • Kim, Gihong;Choi, Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.60-66
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    • 2020
  • Torrential rain causes landslide damage every year. In particular, the 2011 downpour caused landslides at numerous points throughout Mt. Woomyeon, which resulted in considerable damage to people and property. Because it occurred in an urban area, this case became a major social issue and received public attention. Measures were quickly implemented for multilateral investigations and recovery. Landslides caused by heavy rain are greatly affected by rainfall at the time. Landslides from the upper part erode the flow path, increasing the size, causing much damage to the lower part. This study selected a rural village area among the damaged areas of Mt. Woomyeon, and analyzed the change in terrain profile before and after a landslide using the DSM data obtained from airborne LiDAR. This area can be divided into three hydrological basins. For each basin, the analysis was performed on the average slope of each part of the flow path, as well as the erosion and deposition due to soil flow. As a result of the analysis, it was estimated that the total amount of soil from the Jeonwon village was 15,300㎥. These field data based on GIS can be used as basic information to predict damage in the case of a similar disaster, and it can be helpful in analyzing the results of various debris flow simulations.

Comparison of the Effects of Continuous Erosion Control Dams on Benthic Macroinvertebrate Communities Before and After the Rainy Season (연속적인 사방댐이 장마 전·후 저서성 대형무척추동물 군집에 미치는 영향 비교)

  • An, Chae Hui;Han, Jung Soo;Hyun, Jae Bin;Choi, Jun Kil;Lee, Hwang Goo
    • Ecology and Resilient Infrastructure
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    • v.8 no.1
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    • pp.54-63
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    • 2021
  • This study aimed to investigate changes in benthic macroinvertebrate communities caused by erosion control dams using data obtained from three erosion control dams in Wonju, Gangwon Province, before and after the rainy season. Surveys were conducted four times from March to September 2019, and survey points were continuously selected during the installation of closed-type and open-type dams. A total of eight points from the upstream and downstream regions of each dam type were selected. The flow velocity of both the closed and open types increased, but the closed type exhibited a relatively higher flow velocity than the open type. Benthic macroinvertebrate species and individuals mostly decreased after the rainy season. A relatively large number of species and individuals were found upstream of the closed-type dam. An analysis of the ephemeroptera-plecoptera-trichoptera groups showed relatively reduced ephemeroptera in the closed-type dam and reduced trichoptera in the open-type dam. The periods before and after the rainy season could be divided based on the results of a similarity analysis. The open type showed relatively minimal changes before and after the rainy season.

A Risk Prediction Model for Operative Mortality after Heart Valve Surgery in a Korean Cohort

  • Kim, Ho Jin;Kim, Joon Bum;Kim, Seon-Ok;Yun, Sung-Cheol;Lee, Sak;Lim, Cheong;Choi, Jae Woong;Hwang, Ho Young;Kim, Kyung Hwan;Lee, Seung Hyun;Yoo, Jae Suk;Sung, Kiick;Je, Hyung Gon;Hong, Soon Chang;Kim, Yun Jung;Kim, Sung-Hyun;Chang, Byung-Chul
    • Journal of Chest Surgery
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    • v.54 no.2
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    • pp.88-98
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    • 2021
  • Background: This study aimed to develop a new risk prediction model for operative mortality in a Korean cohort undergoing heart valve surgery using the Korea Heart Valve Surgery Registry (KHVSR) database. Methods: We analyzed data from 4,742 patients registered in the KHVSR who underwent heart valve surgery at 9 institutions between 2017 and 2018. A risk prediction model was developed for operative mortality, defined as death within 30 days after surgery or during the same hospitalization. A statistical model was generated with a scoring system by multiple logistic regression analyses. The performance of the model was evaluated by its discrimination and calibration abilities. Results: Operative mortality occurred in 142 patients. The final regression models identified 13 risk variables. The risk prediction model showed good discrimination, with a c-statistic of 0.805 and calibration with Hosmer-Lemeshow goodness-of-fit p-value of 0.630. The risk scores ranged from -1 to 15, and were associated with an increase in predicted mortality. The predicted mortality across the risk scores ranged from 0.3% to 80.6%. Conclusion: This risk prediction model using a scoring system specific to heart valve surgery was developed from the KHVSR database. The risk prediction model showed that operative mortality could be predicted well in a Korean cohort.

Evaluation of Compressive Strength and Freeze-thaw Resistance Properties of Concrete using Superabsorbent Polymer (고 흡수성 폴리머를 혼입한 콘크리트의 압축 강도 및 동결융해 저항성 평가)

  • Kim, Il-Sun;Choi, So-Yeong;Yang, Eun-Ik
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.24 no.5
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    • pp.86-94
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    • 2020
  • When the Superabsorbent Polymer (SAP) is added into concrete, the slump decreases rapidly, deteriorating the workability, the internal curing effect can be obtained through the water absorption and discharge process, and the internal voids of the concrete are increased. In this study, the effects of internal curing and voids were evaluated by evaluating the compressive strength, freeze-thaw resistance, and chloride penetration resistance of SAP-adding concrete that secured workability using a water reducing agent. Also, the internal curing effect of SAP was evaluated by dividing the curing conditions of concrete into water curing and sealed curing. From the result, as the SAP adding ratio increased, the amount of water reducing agent increased, and as for the compressive strength, the SAP adding ratio of 1.5% showed the greatest compressive strength. In particular, in the case of sealed curing showed higher compressive strength than the water curing. It is considered that the compressive strength increased due to the reduction of the effective water-cement ratio and the internal curing effect. Adding 1.0~1.5% of SAP improved the freeze-thaw resistance similar to the case of adding the AE agent, and the addition of more than 1.0% of SAP improved the chloride penetration resistance. The optimal adding ratio of SAP is 1.5%, and the adding ratio of 2.0% or more adversely affects the compressive strength and freeze-thaw resistance.

The Power Converter Circuit Characteristics for 3 kW Wireless Power Transmission (3 kW 무선 전력전송을 위한 전력 변환기 회로 특성)

  • Hwang, Lark-Hoon;Na, Seung-kwon;Kim, Jin Sun;Kang, Jin-hee
    • Journal of Advanced Navigation Technology
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    • v.24 no.6
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    • pp.566-572
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    • 2020
  • In a wireless power transmitter, the characteristics and effects of wireless power transmission between two induction coils are investigated, and a power converter circuit and a battery charger/discharger circuit using wireless power transmission technology are proposed. The advantage of wireless power transmitters and wireless chargers is that, instead of the existing plug-in-mounted wired charger (OBC; on-board charger), the user can wirelessly charge the battery without connecting the power source when charging power to the battery. There is. In addition, the advantage of wireless charging can bring about an energy efficiency improvement effect by using the secondary side rectifier circuit and the receiving coil, but the large-capacity long-distance wireless charging method has a limitation on the transmission distance, so many studies are currently being conducted. The purpose of the study is to study the transmitter circuit and receiver circuit of a wireless power transmission device using a primary coil, a secondary coil, and a half bridge series resonance converter, which can transmit power of a non-contact type power transmitter. As a result, a new topology was applied to improve the power transmission distance of the wireless charging system, and through an experiment according to each distance, the maximum efficiency (95.8%) was confirmed at an output of 3 kW at an 8 cm transmission distance.

Evaluation of shrimp protein hydrolysate and krill meal supplementation in low fish meal diet for red seabream (Pagrus major)

  • Gunathilaka, Buddhi E.;Khosravi, Sanaz;Shin, Jaebeom;Shin, Jaehyeong;Herault, Mikael;Fournier, Vincent;Lee, Kyeong-Jun
    • Fisheries and Aquatic Sciences
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    • v.24 no.3
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    • pp.109-120
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    • 2021
  • Protein hydrolysates and krill meal (KM) are used as protein sources in aquafeeds. The study was conducted to examine the supplemental effects of shrimp protein hydrolysates (SH) or KM in a high-plant-protein diet for red seabream (Pagrus major). A fish meal (FM)-based diet (40%) was considered as the high-FM diet (HFM) and a diet containing 25% FM and soy protein concentrate, in the expense of FM protein from HFM diet, was considered as the low fish meal (LFM) diet. Two other experimental diets (SH and KM) were prepared by including SH and KM into LFM diet at 5% inclusion levels in exchange of 5% FM from the LFM diet. A feeding trial was conducted for fifteen weeks using triplicate group of fish (Initial mean body weight, 8.47 ± 0.05 g) for a diet. Growth performance and feed efficiency of fish were significantly enhanced by HFM, KM and SH supplemented diets over those of fish fed LFM diet. Interestingly, these parameters of fish fed SH diet showed better performance than KM and HFM groups. Liver IGF-I expression of fish fed SH diet was comparable to HFM group and higher than KM and LFM diets. Protein digestibility of SH diet was significantly higher than KM, HFM, and LFM diets. Dry matter digestibility of SH diet was comparable to HFM diet and significantly higher than KM and LFM diets. Nitro blue tetrazolium and superoxide dismutase activities of HFM, SH and KM groups were significantly elevated than the LFM group and SH diet increased catalase and glutathione peroxidase activities of fish compared to KM and LFM groups. Hemoglobin level and hematocrit of fish fed SH and KM diets were significantly higher than LFM group. A diet containing 20% FM with KM is comparable to a HFM diet which contains 40% FM for red seabream. SH can be used to replace FM from red seabream diet down to 20% and fish performance can be improved better than a diet containing 40% FM. Overall, it seems that SH is more effective ingredient in red seabream diet compared to KM.

Direct Switch from Tiotropium to Indacaterol/Glycopyrronium in Chronic Obstructive Pulmonary Disease Patients in Korea

  • Lee, Sang Haak;Rhee, Chin Kook;Yoo, Kwangha;Park, Jeong Woong;Yong, Suk Joong;Kim, Jusang;Lee, Taehoon;Lim, Seong Yong;Lee, Ji-Hyun;Park, Hye Yun;Moon, Minyoung;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.2
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    • pp.96-104
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    • 2021
  • Background: Many chronic obstructive pulmonary disease (COPD) patients receiving monotherapy continue to experience symptoms, exacerbations and poor quality of life. This study aimed to assess the efficacy and safety of direct switch from once-daily tiotropium (TIO) 18 ㎍ to indacaterol/glycopyrronium (IND/GLY) 110/50 ㎍ once daily in COPD patients in Korea. Methods: This was a randomized, open-label, parallel group, 12-week trial in mild-to-moderate COPD patients who received TIO 18 ㎍ once daily for ≥12 weeks prior to study initiation. Patients aged ≥40 years, with predicted post-bronchodilator forced expiratory volume in 1 second (FEV1) ≥50%, post-bronchodilator FEV1/forced vital capacity <0.7 and smoking history of ≥10 pack-years were included. Eligible patients were randomized in a 1:1 ratio to either IND/GLY or TIO. The primary objective was to demonstrate superiority of IND/GLY over TIO in pre-dose trough FEV1 at week 12. Secondary endpoints included transition dyspnea index (TDI) focal score, COPD assessment test (CAT) total score, and rescue medication use following the 12-week treatment, and safety assessment. Results: Of the 442 patients screened, 379 were randomized and 347 completed the study. IND/GLY demonstrated superiority in pre-dose trough FEV1 versus TIO at week 12 (least squares mean treatment difference [Δ], 50 mL; p=0.013). Also, numerical improvements were observed with IND/GLY in the TDI focal score (Δ, 0.31), CAT total score (Δ, -0.81), and rescue medication use (Δ, -0.09 puffs/day). Both treatments were well tolerated by patients. Conclusion: A direct switch from TIO to IND/GLY provided improvements in lung function and other patient-reported outcomes with an acceptable safety profile in patients with mild-to-moderate airflow limitation.

A Study on the View Characteristics of the Pavilion around Gyeongpo Lake (경포호 누정의 조망특성에 관한 연구)

  • Han, Gab-Soo
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.39 no.4
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    • pp.66-76
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    • 2021
  • The purpose of this study was to analyze the transition process of Gyeongpo lake and to analyze the viewing characteristics of each period in the pavilion. The view characteristics at pavilion were analyzed by overlapping classification maps of landscape types by period with the view range map from pavilion. The circumference and area of Gyeongpo lake have been reduced to 15.2km and 3.9km2 in the 1750s, 9.0km and 1.7km2 in the 1933, and now 4.41km and 1.0km2. By period, the largest decrease in the proportion of Gyeongpo lake viewed from Pavilion was Hwanseonjeong, which decreased by 48.0% from the 1750 to 2017. Hwallaejeong, Haeunjeong, and Hohaejeong were found to be impossible to view Gyeongpo lake as some of the adjacent lakes were changed to agricultural land. Pavilion has great significance as a space for traditional culture created in the background of humanities and natural environments. For the succession and development of Pavilion culture, it is necessary to use it as a cultural resource, to continuously manage the building, and to partially restore Gyeongpo lake considering the function of each pavilion.

Establishment and future tasks of estimated energy requirement in 2020 dietary reference intakes for Koreans (2020 한국인 에너지필요추정량 설정 및 앞으로의 과제)

  • Kim, Eun-Kyung;Kim, Oh Yoen;Park, Jonghoon;Kim, EunMi;Kim, Juhyeon
    • Journal of Nutrition and Health
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    • v.54 no.6
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    • pp.573-583
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    • 2021
  • Energy requirement is defined as energy expenditure in an energy equilibrium state. The doubly labeled water (DLW) method is considered the gold standard for measuring total energy expenditure (TEE). In 2002, the Institute of Medicine (IOM) of the National Academies established dietary reference intakes (DRIs) for Americans and Canadians, and the equations for estimated energy requirement (EER) were developed by using pooled data from studies that had applied the DLW method. Since 2005, these equations have been used for establishing EER in the DRI for Koreans. These equations based on age group include the physical activity (PA) coefficient determined by the PA level (PAL; sedentary, low active, active and very active) as well as body weight and height. The PAL values of Koreans calculated using the DLW method and PA diaries were determined to fall in the low active category (1.40~1.59). Therefore, the PA coefficient corresponding to 'low active' was applied to the EER equations. In recent years, with increasing number of people regularly engaging in various physical activities in Korea, EER is now separately presented for people with 'active' and 'very active' PALs. In the future, like the United States and Japan, Korea needs to expand the DLW research for developing EER predictive equations for Koreans. In addition, standardized guidelines should be prepared to accurately evaluate the PAL using the physical activity diary and the new PA classification table for Koreans.