• Journal of Chest Surgery
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• 제50권2호
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• pp.86-93
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• 2017

Background: The influence of lifestyle diseases on postoperative complications and long-term survival in patients with non-small cell lung cancer (NSCLC) is unclear. The aim of this study was to determine whether lifestyle diseases were significant risk factors of perioperative and long-term surgical outcomes in elderly patients with stage I NSCLC. Methods: Between December 1995 and November 2013, 110 patients aged 65 years or older who underwent surgical resection of stage I NSCLC at Dong-A University Hospital were retrospectively studied. We assessed the presence of the following lifestyle diseases as risk factors for postoperative complications and long-term mortality: diabetes, hypertension, chronic obstructive pulmonary disease, stroke, and ischemic heart disease. Results: The mean age of the patients was 71 years (range, 65 to 82 years). Forty-six patients (41.8%) had hypertension, making it the most common lifestyle disease, followed by diabetes (n=23, 20.9%). The in-hospital mortality rate was 0.9% (n=1). The 3-year and 5-year survival rates were 78% and 64%, respectively. Postoperative complications developed in 32 patients (29.1%), including 7 (6.4%) with prolonged air leakage, 6 (5.5%) with atrial fibrillation, 5 (4.5%) with delirium and atelectasis, and 3 (2.7%) with acute kidney injury and pneumonia. Univariate and multivariate analyses showed that the presence of a lifestyle disease was the only independent risk factor for postoperative complications. In survival analysis, univariate analysis showed that age, smoking, body mass index, extent of resection, and pathologic stage were associated with impaired survival. Multivariate analysis revealed that resection type (hazard ratio [HR], 2.20; 95% confidence interval [CI], 1.08 to 4.49; p=0.030) and pathologic stage (HR, 1.89; 95% CI, 1.02 to 3.49; p=0.043) had independent adverse impacts on survival. Conclusion: This study demonstrated that the presence of a lifestyle disease was a significant prognostic factor for postoperative complications, but not of survival, in elderly patients with stage I NSCLC. Therefore, postoperative complications may be influenced by the presence of a lifestyle disease.

• Journal of Chest Surgery
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• 제53권3호
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• pp.93-103
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• 2020

Background: Risk assessment for pulmonary resection in patients with early-stage non-small-cell lung cancer (NSCLC) is important for minimizing postoperative morbidity. Depletion of skeletal muscle mass is closely associated with impaired nutritional status and limited physical ability. We evaluated the relationship between skeletal muscle depletion and early postoperative complications in patients with early-stage NSCLC. Methods: Patients who underwent curative lung resection between 2016 and 2018 and who were diagnosed with pathological stage I/II NSCLC were included, and their records were retrospectively analyzed. The psoas volume index (PVI, ㎤/㎥) was calculated based on computed tomography images from routine preoperative positron emission tomography-computed tomography. Early postoperative complications, defined as those occurring within 90 days of surgery, were compared between the lowest sex-specific quartile for PVI and the remaining quartiles. Results: A strong correlation was found between the volume and the cross-sectional area of the psoas muscle (R²=0.816). The overall rate of complications was 57.6% among patients with a low PVI and 32.8% among those with a normal-to-high PVI. The most common complication was prolonged air leak (low PVI, 16.9%; normal-to-high PVI, 9.6%), followed by pneumonia (low PVI, 13.6%; normal-to-high PVI, 7.9%) and recurrent pleural effusion (low PVI, 11.9%; normal-to-high PVI, 6.8%). The predictors of overall complications were low PVI (odds ratio [OR], 2.18; 95% confidence interval [CI], 1.07-4.09; p=0.03), low hemoglobin level (OR, 0.686; 95% CI, 0.54-0.87; p=0.002), and smoking history (OR, 3.93; 95% CI, 2.03-7.58; p<0.001). Conclusion: Low PVI was associated with a higher rate of early postoperative complications in patients with early-stage NSCLC.

• 한국조경학회지
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• 제45권5호
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• pp.105-112
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• 2017

가로수가 여름철 인간 열환경지수(열쾌적성)에 미치는 영향을 분석하기 위해, 낙엽활엽교목 2종과 상록활엽교목 3종 총 5종의 가로수를 대상으로 수목 하부의 음지와 그 옆의 양지에서 미기후 자료를 측정하여 비교 분석하였다. 그 결과, 기온, 상대습도, 풍속의 차이는 각각 평균 $0.2{\sim}1.5^{\circ}C$, 0.9~5.3%, $0.1{\sim}0.5ms^{-1}$로 미비하였으나, 평균복사온도는 평균 $27.1^{\circ}C$의 매우 큰 차이를 보여 주었다. 인간 열환경지수인 PET와 UTCI 결과에서는 수목 하부의 음지가 양지에 비해 PET에서는 평균 21.2~31.3%의 저감 비율을 보여 1.5~2.5단계의 열지각 개선 효과를 나타내었으며, UTCI에서는 평균 12.7~20.0%의 저감 비율을 보여 1~1.5단계의 heat stress 저감 효과를 보이는 것으로 나타났다. 또한, 상록활엽교목이 낙엽활엽교목에 비해 PET에서 평균 5% 더 높은 저감 비율을 나타냈지만, 낙엽활엽교목에 속하는 느티나무는 지엽의 밀도가 높아 상록활엽교목 만큼의 열환경지수(열쾌적성) 개선 효과를 나타내었다. 이에 따라, 가로수의 여름철 열 저감 효과에서 지엽의 밀도와 평균복사온도가 주요 영향임을 알 수 있었다.

• Journal of Advanced Marine Engineering and Technology
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• 제38권6호
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• pp.737-743
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• 2014

본 논문에서는 기존 1kW 할로겐 탐조등을 대체하기 위한 고출력 LED 탐조등에 관하여 기술하였다. 설계사양은 KDS 6230-1046-1과 KS V 8469를 기준으로 하였으며, 요구 광도 800,000cd를 만족시키기 위하여 지향각 $6^{\circ}$의 렌즈를 사용하였다. 시제작 LED 탐조등의 방열은 공랭식으로써 팬이나 히트파이프를 사용하지 않았다. 시험결과, 시제작 LED 탐조등의 소비전력은 148W로 1kW 할로겐 탐조등에 비해 85% 절감되었으며, 중심광도는 945,000cd로써 KS V 8469를 만족하였다. 광효율은 기존 탐조등보다 4.7배 향상되었으며, 지향각, 색온도 및 연색성은 각각 $5.4^{\circ}$, 5,500K, 70이었다. LED 탐조등의 외함 온도는 $60^{\circ}C$ 이하이고, SMPS 주변 온도는 $50^{\circ}C$ 이하로 IEC 60092-306을 만족하였다.

• 한국대기환경학회:학술대회논문집
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• 한국대기환경학회 2001년도 추계학술대회 논문집
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• pp.335-335
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• 2001

Direct-normal, total horizontal and diffuse horizontal irradiance data obtained from a multi-filter rotating shadowband radiometer over seven different wavelength bands (416nm, 151nm, 616nm, 675nm, 870nm and 940nm and the entire spectrum) has been analyzed at Kwangju, South Korea from June 1998 December 2000. The maximum hourly global radiation flux ranged from 0.44 MJ/$m^2$ to 2.68 MJ/$m^2$ at around 11:00-12:00 Hr local time while the maximum hourly diffuse radiation flux ranged from about 0.96 MJ/$m^2$ to 1.37 MJ/$m^2$. The maximum hourly direct irradiance ranged from 1.42 MJ/$m^2$ to 2.92 MJ/$m^2$ from June1998-2000. During the period under consideration, the average monthly global radiation recorded were 13.09 MJ/$m^2$/day, 10.58MJ/$m^2$/day and 9.78MJ/$m^2$/day for years 1998, 1999 and 2000 respectively, while the diffuse irradiance were 6.54 MJ/$m^2$/day, 5.33 MJ/$m^2$/day and 5.14 MJ/$m^2$/day for f998, 1999 and 2000 respectively. The direct irradiance values at the site were 11.63 MJ/$m^2$/day, 8.24MJ/$m^2$/day and 7.75 MJ/$m^2$/day for 1998, f999 and 2000 respectively. It was observed that each of the years has its own unique meteorological parameters that affect the quality and quantity of radiation received for each month. The annual average daily fractions of the diffuse to the global radiation (KD) were 0.51, 0.61 and 0.59 for years 1998, 1999 and 2000 respectively. Analysis indicated that the average daily KD ranged from 0.13 to a maximum value of 0.99 in May for irradiance measured at the broadband channel while the maximum and minimum KD value of 0.91 and 0.23 was recorded at wavelength band 870nm and 940nm in January and September respectively. The lowest average daily clearness index (Kt) value recorded was 0.03 in May (Spring) and the annual average daily clearness indexes are 0.45, 0.34 and 0.35 for years 1998, f999 and 2000 respectively. The frequency of clear days annually at Kwangju is 67.95%, 29.57% and 40.72% for years 1998, 1999 and 2000 respectively.

• 환경생물
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• 제18권3호
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• pp.323-330
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• 2000

얼룩동사리의 자연서식지 및 산란조건을 관찰한 바 수심은 0.3-0.6m범위, 유속은 0.1-0.3m/sec, 난괴의 정착면적은 2.75-19.56cm였다. 난소의 성숙도는 체장 80mm 이상에서 점점 증가하며 100mm 정도 되어서는 최고의 성숙도를 보였다. 또한 산란행동은 인공수조에서 수컷이 산란장소를 마련한 후 강한 세력권을 형성하고, 암컷을 유인한 후 방란 촉진 구애행동을 보였다. 그리고 난 후 배를 거꾸로 뒤집은 자세로 방란 방정을 마친 후 암컷을 쫓아냈으며 가슴지느러미를 이용하여 수류를 일으킴으로써 알에 신선한 물을 공급하였다. 난발생과정은 수정 후 1시간 17분에 배반이 형성되고 이후 약 36분의 간격으로 난할이 규칙적으로 일어났으며 7시간 12분에 포배기, 11시간 11분에 낭배기가 시작, 32시간 48분에 난황전을 형성하였다. 수정 후 33시간 45분에 배체가 형성되었고, 47시간 27분에 안포가 형성되며 체절은 30-31개가 되었다. 65시간 15분에 심장의 원기가 형성되고 박동수는 44-48time/min이 되었다. 수정 후 138시간 40분에 가슴지느러미가 형성되었고, 170시간 45분에 부레의 형성과 자어의 몸통 하단에 흑색소포가 관찰되었다. 수정후 248시간 05분에 난각을 뚫고 부화하였으며 이때 자어의 전장은 5.8$\pm$0.2mm, 무게는 3.0$\pm$0.5mg이었다. 몸은 투명하며 흑색소포가 산재하여 있었고 난황이 남아 있었다.

• 한국산업보건학회지
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• 제24권3호
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• pp.345-352
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• 2014

Objectives: This study is aimed to describe the current situation about urinary biomarker N-methylformamide(NMF) for workers exposed to N,N-dimethylformamide(DMF) according to industrial classification. Materials: Special health examination records of the workers who had undergone urinary biological monitoring in 2013 were collected. The numbers and percentage of workers, whose urinary NMF values were above the limit of detection(LOD) and above the biological exposure index(BEI) were calculated. Health relatedness with DMF as judged by their doctors was also described. All description was classified according to the $9^{th}$ Korean Standard Industrial Classification(KSIC). Results: It appeared that most workers exposed to DMF belong to manufacturing section(80.7%). The geometric mean(GM) values of urinary NMF were 6.25 mg/L, 3.54, and 3.86 for the manufacturing section, professional, scientific and technical activities section, and for the construction section respectively. In detail, it seemed that division of textiles(except apparel) (GM 7.51 mg/L), division of leather, luggage and footwear(11.59 mg/L), and division of rubber and plastic products(6.89 mg/L) were highly exposed to DMF with a high percentage of workers with urinary NMF values above BEI. This was probably due to the effect of skin absorption that the division of leather, luggage and footwear showed the highest urine NMF GM. Conclusions: It seemed that workers in manufacture industries such as textile, leather, luggage, footwear, rubber and plastic products were highly exposed to DMF. So, efforts should be focused on those industries in order to effectively diminish worker's exposure. Further studies to compare DMF air-monitoring with bio-monitoring according to industrial classification should be considered.

• 한국산업보건학회지
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• 제30권2호
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• pp.134-152
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• 2020

Objectives: The objective of this study was to evaluate volatile organic compounds (VOCs) and toluene diisocyanates (TDIs) exposure among polyurethane waterproofing workers in the construction industry. Methods: Task-based personal air samplings were carried out at seven construction sites using organic vapor monitor for VOCs (n=88) and glass fiber filters coated with 1-(2-pyridyl)piperazine(1-2PP) for TDIs (n=81). The concentration of VOCs and TDIs were shown for four different work types(mixing paint, primer roller painting, urethane resin spread painting, painter assistant) at five different worksites (rooftop, ground parking lot, piloti, bathroom, and swimming pool). The two TDI sampling methods (filter vs impinger) were evaluated in parallel to compare the concentrations. Results: The geometric mean(GM) concentration of VOCs Exposure Index (EI) was highest for primer roller painting (1.4), followed in order by, urethane resin spread painting (0.85), mixing paint (0.53), and painter assistant (0.35) by work types. The GM of VOCs EI was highest for bathroom (1.4) followed in order by, swimming pool (0.85), piloti (0.89), ground parking lot (0.82) and rooftop (0.57) by worksites. The GM of 2,4-/2,6-TDI concentration was 0.052 ppb and 0.432 ppb each. There was no statistical difference in TDIs concentrations among worksites. The concentration of 2,6-TDI was ten times higher than that of 2,4-TDI. The concentration of 2,6-TDI by impinger method was 5.7 times higher than that by filter method. Conclusions: In this study, we found 38.6% of the VOCs samples exceeded the occupational exposure limits and 19.8% of the 2,6-TDI samples exceeded 1 ppb among polyurethane waterproofing workers. The most important determinants that increase the concentration of VOCs and TDIs was indoor environment and primer painting work.

• 한국농림기상학회지
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• 제12권1호
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• pp.45-62
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• 2010

영면변위(d)는 거친 식생군락에 의해 운동량이 모두 흡수되어 군락 내의 대수적 풍속 프로파일이 0이 되는 높이를 말한다. 군락의 표면 거칠기의 구조를 나타내는 영면변위는 군락난류의 분석과 지표 스칼라 플럭스의 계산에 매우 중요하다. 본 단보에서는 Monin-Obukhov 상사이론에 기반을 두고 단일층에서 관측된 평균수평풍속 자료를 사용하는 두 가지 다른 방법을 사용하여 광릉침엽수림에서 d 값을 추정하였다. 관측지의 비균질성과 복잡성을 고려해서, 표면거칠기와 바람체계가 d에 미칠수 있는 영향을 살펴보기 위해, 자료를 매 $30^{\circ}$ 간격의 풍향별로 나누었다. 전반적으로 두 방법을 사용한 결과는 서로 비슷했는데, $d/h_c$ (여기서 $h_c$는 군락의 높이로서 약 ~23m)는 풍향에 따라 0.51~0.97의 범위를 보였다. 이러한 $d/h_c$의 값의 범위는 문헌에 보고되어 있는 범위(0.64~0.94)와 크게 다르지 않았으나, 다소 높은 쪽에 분포되어 있었다. 이러한 원인의 하나로는 관측이 두 방법의 전제인 Monin-Obukhov 상사이론이 성립하지 않는 거칠기아층에서 이루어졌기 때문인 것으로 사료된다. 따라서 관측높이가 거칠기 아층에 존재할 경우에는 단일층 풍속으로부터 영면변위를 추정하는 방법을 적용하고 그 결과를 해석하는 데에 세심한 주의가 필요하다.

• 한국농림기상학회지
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• 제6권3호
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• pp.170-176
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• 2004

정밀 수치기후도를 기반으로 고품질 사과생산에 적합한 지역을 정밀하게 탐색할 수 있는 시스템을 개발하였다. 이 시스템을 전북 장수군에 적용하여 후지 및 쓰가루 품종의 재배적지를 도출하였다. 수치기후도는 장수군 주변 7개 기상청 표준관측소로부터 얻은 1971-2000년 기간 일 최고 및 최저기온의 월별 평균값을 토대로 지형기후모형에 의해 사방 10m 격자점의 기온자료를 공간내삽하여 얻었다. 기온자료로부터 사과의 만개기를, 4월 최저기온으로부터 종상일을 추정하여 상해위험도를 산정하였고, 재현기간 100년의 1월 극 최저기온으로부터 동해위험도를 산정하였다. 토지의 경사, 토성 및 토지이용도를 고려한 재배가능지역에서 기상재해 위험지역을 제외시키고, 남은 지역에 대해 품질기준을 적용하여 최종적인 재배후보지를 도출하였다. 품질기준인 Anthocyanin 함량, Hunter A value, L/D Ratio, Fresh Firmness, Soluble Solid에 미치는 기후의 영향을 경험식에 의해 표현하고 이것을 수치기후도에 적용하여 각 품질기준별 적합지역을 탐색하였다. 최종적으로 얻은 결과에 따르면, 쓰가루의 경우 전체 면적의 20%, 후지는 11%가 재배적지로 나타났다. 수치기후도 제작으로부터 중첩분석에 의한 재배적지 판정에 이르는 전체과정을 ArcObject를 이 용한 Visual BASIC 프로그램으로 작성하여 자동화하였고, MapObject를 이용하여 사용자가 ArcGIS 소프트웨어 없이도 구축된 수치기후도 등 공간정보를 직접 보면서 재배적지를 탐색할 수 있는 배포용 프로그램을 제작하였다.