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Clinical Nutrition Service at Medical Centers in Seoul (서울지역 의료기관의 임상영양서비스 현황조사)

  • Kim, Hye-Jin;Kim, Eun-Mi;Lee, Geum-Ju;Lee, Jung-Joo;Lim, Jung-Hyun;Lee, Jung-Min;Jeon, Hyun-Jung;Lee, Hae-Young
    • Journal of the Korean Dietetic Association
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    • v.17 no.2
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    • pp.176-189
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    • 2011
  • The purpose of this study was to investigate the status of clinical nutrition services at various medical centers in Seoul, Korea. A questionnaire was distributed to the departments of nutrition at 44 hospitals in Seoul on July 2009. Nutritional screening carried out at a rate of 59.1% at the medical centers, and a significant difference was found according to the type of center, from 100% in tertiary hospitals to 18.8% in normal hospitals. On annual average, the numbers of inpatients, inpatients for malnutritional screening, inpatients with malnutrition, and inpatients for malnutrition management were 15,169.5, 10,870.9, 2,224.8, and 1,546.2, respectively. On average the group nutrition education was done 36.1 times/year for diabetes, 8.2 times/year for cancer, and 1.9 times/year for renal disease, and the numbers of participants 423.1, 95.1, and 31.5, respectively. On average the individual nutrition education of inpatients with diabetes was done 135.4 times/year for ordered-type, and 119.3 times/year for unordered-type, 106.2 times/year for paid-type, and 148.5 times/year for unpaid-type. The mean fee for education and counseling was the highest for peritoneal dialysis (73,090.9 won) but the lowest for heart disease (23,609.1 won). On average the individual nutrition education of outpatients with diabetes was done 234.6 times/year for ordered-type, and 2.5 times/year for unordered-type, 204.4 times/year for paid-type, and 32.7 times/year for unpaid-type. The mean fee for education and counseling was also the highest for peritoneal dialysis (63,500.0 won) but the lowest for heart disease (21,336.4 won). To implement more effective clinical nutrition service, a national medical insurance imbursement policy should be urgently instituted such that diseases left as unpaid are covered by health insurance, including all nutrition-related disease.

Arthroscopic Repair of Type II SLAP lesion with Bio-knotless Anchor (제 2형 SLAP 병변에 대하여 흡수성 봉합 나사못을 이용한 관절경적 봉합 수술의 임상적 결과)

  • Yum, Jae-Kwang;Chung, Hyung-Jin;Ra, Ho-Jong
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.73-77
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    • 2007
  • Purpose: This study reports the clinical results of the arthroscopic repair of type II SLAP lesion with bio-knotless anchor. Materials and Methods: 25 cases of 25 patients (20 male, 5 female) were included in this study. The average age was 44.5 years old. Preoperative ASES score was average 44. Arthroscopic SLAP repair with 1 or 2 bio-knotless anchors were performed in all cases. The average follow up period was 15 months. Results: The ASES score improved to average 92.7 at last follow up period and 23 cases had full range of motion of the shoulder. 2 case had mild limited range of motion of the shoulder without any problem in normal activity. Conclusion: Arthroscopic repair with bio-knotless anchor in type II SLAP lesion is one of the good methods because of the good clinical results.

APPLICATION AND EVALUATION OF THE GLEAMS MODEL TO A CATTLE GRAZING PASTURE FIELD IN NORTH ALABAMA

  • Kang, M. S.;P. prem, P.-Prem;Yoo, K. H.;Im, Sang-Jun
    • Water Engineering Research
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    • v.5 no.2
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    • pp.55-68
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    • 2004
  • The GLEAMS (Groundwater Loading Effects of Agricultural Management System, version 3.0) water quality model was used to predict hydrology and water quality and to evaluate the effects of soil types from a cattle-grazed pasture field of Bermuda-Rye grass rotation with poultry litter application as a fertilizer in North Alabama. The model was applied and evaluated by using four years (1999-2002) of field-measured data to compare the simulated results for the 2.71- ha Summerford watershed. $R^2$ values between observed and simulated runoff, sediment yields, TN, and TP were 0.91, 0.86, 0.95, and 0.69, respectively. EI (Efficiency Index) of these parameters were 0.86, 0.67, 0.70, and 0.48, respectively. The statistical parameters indicated that GLEAMS provided a reasonable estimation of the runoff, sediment yield, and nutrient losses at the studied watershed. The soil infiltration rates were compared with the rainfall events. Only high intensity rainfall events generated runoff from the watershed. The measured and predicted infiltration rates were higher during dry soil conditions than wet soil conditions. The ratio of runoff to precipitation was ranging from 2.2% to 8.8% with average of 4.3%. This shows that the project site had high infiltration and evapotranspiration which generated the low runoff. The ratio of runoff to precipitation according to soil types by the GLEAMS model appeared that Sa (Sequatchie fine sandy loam) soil type was higher and Wc (Waynesboro fine sandy loam, severely eroded rolling phase) soil type relatively lower than the weighted average of the soil types in the watershed. The model under-predicted runoff, sediment yields, TN, and TP in Wb (Waynesboro fine sandy loam, eroded undulating phase) and Wc soil types. General tendency of the predicted data was similar for all soil types. The model predicted the highest runoff in Sa soil type by 105% of the weighted average and the lowest runoff in Wc soil type by 87% of the weighted average

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Radiographic examination protocol and patient dose in lateral cephalometric radiography in Korea (국내 의료기관에서 측방두부규격방사선촬영시 임상에서의 촬영조건 및 환자 선량)

  • Choi, Jin-Woo
    • Imaging Science in Dentistry
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    • v.40 no.4
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    • pp.165-169
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    • 2010
  • Purpose : To survey the radiographic examination protocol for lateral cephalometric radiographic examinations and to measure their patient doses in Korea and to compare the dose according to the size of hospital, the type of image receptor system, and the installation duration. Materials and Methods : The radiographic examination protocols (kVp, mA, and exposure time) for lateral cephalometric radiography were surveyed with 61 cephalometric radiographic equipments and their patient dose-area product (DAP) measured with a DAP meter (DIAMENTOR M4-KDK, PTW, Freiburg, Germany) for 51 cephalometric radiographic equipments. The radiographic examination protocols and patient doses were compared according to the size of hospital (university dental hospital, dental hospital, and dental clinic), the type of image receptor system (film-based, DR and CR type) and the installation duration, respectively. SPSS 12.0.1 for Windows (SPSS Inc., Chicago, USA) was used for independent t-test and ANOVA test. Results : The average protocols were 77.0 kVp, 12.7 mA, 6.2 second for cephalometric radiography. The average patient dose (DAP) was $128.0mGy\;cm^2$ and 3rd quartile dose (DAP) $161.1mGy\;cm^2$ for cephalometric radiography for adult male. There was no statistically significant difference at average patient DAP according to the size of hospital, the type of image receptor system, and the installation duration, repectively. Conclusion : The average patient dose was $128.0mGy\;cm^2$ and the third quartile patient dose $161.1mGy\;cm^2$ for lateral cephalometric radiography for adult male in Korea.

Effectiveness Analysis of Roundabout Based on the Operation of Pedestrian Signal (보행신호 운영에 따른 회전교차로의 효과 분석)

  • Kim, Kyung-Hwan;Park, Byung-Ho
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.11 no.4
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    • pp.1-9
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    • 2012
  • This study deals with the operation effectiveness of roundabout. The objective of this study was to analyze the operational effectiveness of roundabout based on the operation of pedestrian signal. For pursuing the above, VISSIM was as a traffic simulation program. this study gives particular attention to analyzing the 1,680 scenarios by operation of Pedestrian Signal(7 cases), roundabout type(2 cases), pedestrian volume(8 cases) and entering volume(15 cases). The main results analyzed are as follows. First, the operational effectiveness analyzed by 2 type of 4-legged 1-lane roundabout and 6 type of 4-legged 2-lane were evaluated to be better than that by the others type. Second, the average delay time analyzed by operation of pedestrian signal were evaluated to be less than that by unsignalized pedestrian crossing. Finally, the average delay time analyzed by pedestrian crossing were decreased 8.18% than that by staggered pedestrian crossing in 4-legged 1-lane. However, the average delay time analyzed by staggered pedestrian crossing were evaluated to be decreased 36.53% than that by pedestrian crossing in 4-legged 2-lane.

Performance evaluation of rotating roller type raw anchovy sorting machine (회전롤러식 생멸치 선별기계 성능평가)

  • Ok-sam KIM;Seok-bong JEONG;Doo-jin HWANG
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.59 no.1
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    • pp.28-34
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    • 2023
  • In the anchovy boat seine fishing boat, it is necessary to select other aquatic organisms other than live anchovies, which are the target species of catch. By making a rotating roller sorter using hydraulic pressure, the anchovy sorting amount was compared and the sorting accuracy of the rotary roller sorter, and the discharge speed of butter fish and jerry fish according to the number of roller revolutions were analyzed. The rotating roller sorter increases the weight of the sorted raw anchovy by 54%, 74% and 91.5% compared to the round bar fixed type, so it can reduce the required time by an average of 73.2%. As a result of converting the sorting accuracy to the weight of pure anchovies excluding the catch weight, the round bar fixed type was 89%; however, the average of the rotating roller sorter was 97.7%. Thus, the sorting accuracy of the rotary roller sorter was further improved by about 8.7%. The roller speed moved 7% at 300 rpm, 7.5% at 600 rpm, and 16% at 900 rpm, so butter fish were discharged overboard 10% faster than jelly fish on average. In addition, the average feed speed of butter fish and jelly fish is 1,400 mm/s when the roller rotation speed is 300 rpm, 1,480 mm/s at 600 rpm, and 1,850 mm/s at 900 rpm. A Φ58 mm roller rotates once it moved about 1.23 mm. In the future, a follow-up study of quantitative evaluation is needed targeting more non-target fish species of anchovy boat seine.

Clustering of Skin Colors on Korean Adult Males and Their Preference Colors (한국 성인 남성의 피부색 분류와 선호색에 대한 연구)

  • 김구자
    • Journal of the Korean Society of Clothing and Textiles
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    • v.27 no.11
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    • pp.1338-1349
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    • 2003
  • The color of apparels has the close interdependency on the skin colors of the wearers. This study was carried out to group the skin colors of Korean males into several similar skin colors and to analyze their preference colors. The skin colors were measured quantitatively and classified into several clusters that has similar hue, value and chroma with Munsell color system that is internationally used to communicate the colors. Sample size was 420 Korean males. With color spectrometer, JX-777, 4 points of the body were measured. All subjects had been shown with 40 color chips and answered their preference colors. Data were analysed by K-means Cluster analysis, Duncan test, Frequency and Chi square test using SPSS WIN 10 statistical package. Findings were as follows: 1. The skin colors of Korean males were mixed with skin colors of YR, R, and Y. 2. 420 subjects who have YR color were clustered in 3 kinds of skin color groups. 3. The average face color of total subjects was 4.81YR 5.91/4.97 in Munsell color system, 60.74 in L value, 13.71 in a value, 24.54 in b value. 136 observations out of 420 subjects were composed of Type 1: 4.50YR 6.35/4.87 and 192 observations were composed of Type 2: 4.62YR 5.86/5.12 and 92 observations were composed of Type 3: 5.67YR 5.37/4.79. 4. The average skin color of total 420 subjects was 6.26YR 6.07/4.41 and 62.33 in L value, 10.64 in a value, 23.48 in b value. The average skin color of Type 1 was 6.27YR 6.44/4.27 and of Type 2 was 6.15YR 5.91/4.49 and of Type 3 was 6.49YR 5.84/4.43 respectively. 5. 3 groups showed that the most preference color of sport$.$casual was 2.5Y 8/16 and 7.5PB 4/16 and the most preference color to their skins was 7.5PB 4/16 and 7.5YR 7/16.

Surgical treatment of the Acute Acromioclavicular Dislocation (견봉 쇄골 관절의 급성 완전탈구에 대한 수술적 치료)

  • Lee Kwang-Won;Hwang In-Sik;Choy Won-Sik
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.175-179
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    • 1998
  • The acromioclavicular joint is commonly affected by traumatic and degenerative conditions. Most injuries are due to direct trauma, such as a fall on the shoulder. Although there is general agreement on treatment of type I, Ⅱ, Ⅳ, V and VI acromioclavicular injuries, the treatment of type Ⅲ injuries remains controversial. Sixty patients, ranging in age from 19 to 57 years(average, 32), were evaluated an average of 57.5 (range, 13 to 96) months after surgical reconstruction for Rockwood type Ⅲ Ⅳ, V acromioclavicular dislocation. Phemister method (47 cases), Bosworth (3 cases), Weaver and Dunn method (10 cases) were used to correct displacement. An increase of the coracoclavicular distance of the injured shoulder over the normal shoulder was average 7.1㎜ at initial, average l㎜ on postoperatively, and average 2㎜ at follow-up. Overall, 54 of 60(90%) patients achieved satisfactory results. Degree of increase of the coracoclavicular distance has no inliluence to clinical results.

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A Pilot Study for the Practical Usage of Traditional Korean Medicine Diagnostic Methods in Women Infertility (여성 불임환자에 대한 한의 진단도구 활용을 위한 기초연구)

  • Yoo, Jeong-Eun;Yoo, Dong-Youl
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.1
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    • pp.102-112
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    • 2015
  • Objectives: This study was performed to obtain reference data of traditional Korean medicine diagnostic methods for the practical usage in women infertility. Methods: The study involved 38 female patients of age 20-38 years that had diagnosed of infertility. All the subjects answered to pattern identification questionnaire and Questionnaire for the Sasang Constitution Classification (QSCC II). Pattern identification scores and constitution types have been analyzed with variables of infertility factors and age. Statistical analysis was performed by adopting descriptive and inferential tests. Results: In pattern identification questionnaire analysis, the patterns were observed in order of frequency: liver stasis; blood deficiency; kidney-yang deficiency; kidney-yin deficiency; damp-heat; blood stasis; and phlegm. The group, less than 35 years old, had the higher average score of liver stasis (p<0.05). Also, the group with tubal and peritoneal factors, had the higher average score of blood deficiency (p<0.05). In QSCC II analysis, So-yang type had the higher average score of liver stasis, kidney-yang deficiency, and kidney-yin deficiency. So-eum type had the higher average score of liver stasis, kidney-yang deficiency, kidney-yin deficiency, and blood deficiency. While, Tae-um type had the higher average score of liver stasis and phlegm. Conclusions: We would accumulate the clinical data for the practical usage of traditional Korean medicine diagnostic methods in women infertility.

Weather Patterns and Acid Rain at Kimhae Area (김해지역의 산성강우와 기압유형)

  • 박종길;황용식
    • Journal of Environmental Science International
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    • v.8 no.3
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    • pp.271-280
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    • 1999
  • This study was carried out to investigate the characteristics of acidity in the precipitation and weather patterns that were influenced it at Kimhae area from March, 1992 to June, 1994. The range of pH value in the precipitation at Kimhae is 3.45 to 6.80 and the average is pH 4.62, and the major anion components associated with acidity in the precipitation are $Cl^-, SO_4^{-2}, NO_3^-$. These distributions are to be expected the influence of industrialization such as, urbanization and construction of industrial complex at Kimhae area and the long range trasporting of air pollutants from China. The weather patterns governing the acid rain at Kimhae were classified broadly into four types(Cyclone(type I-a, type I-b), Migratory Anticyclone(type II), Tropical Cyclone(type III), Siberia High(type IV) and weather pattern which had the most occurrence frequency of acid rain was type I-a and the average pH value of precipitation in this pattern was 4.45, and we are found that the source area of air mass which was accompanied with high acidic precipitation in Kimhae was the central China include with Peking through the analysis of surface weather maps, 850 hPa wind fields, and the streamline analyses.

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