• 한국지구과학회지
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• 제23권5호
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• pp.424-435
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• 2002

이 연구에서는 1997년부터 1999년 3년 간 대구광역시의 시간별 O$_3$ 농도 자료와 기상자료를 분석하여, 대구시의 고농도 오존 발생 일에 나타나는 기상학적 특성을 알아보고자 한다. 고농도 오존 발생 일의 선정은 우리나라 환경기준치인 1시간 평균 오존 농도 100ppb를 초과한 지점이 대구시의 6개 측정 지점 중 한 지점이라도 있는 경우로 정했다. 고농도 오존 발생 일은 13일이었으며, 5월과 9월이 가장 그 빈도가 높았다. 고농도 오존 발생 일의 하루 평균 최대 오존 농도는 81.6ppb이었으며, 8시간 평균 농도는 58.6ppb이었다. 이는 대구의 오존 오염이 연속적으로 그리고 광범위하게 일어났고 있음을 의미한다. 하루 최고 오존 농도는 일사량, 최고 온도와 양의 상관을 보였으며, 상대 습도, 풍속, 구름양과는 음의 상관을 보였다. 일사량과의 상관계수가 0.45로 가장 높았다. 고농도 오존 발생 일의 기상 값과 그 날을 포함하는 월평균 값과의 차이를 보면, +1.58hPa(해면 기압), +3.45${\circ}$C(최고 기온), -5.69%(상대 습도), -0.46ms$^{-1}$(풍속), -1.79(구름양), +3.97MJm$^{-2}$(일사량)을 각각 보였다. 이는 0700${\sim}$1100LST사이의 높은 일사량, 낮은 풍속, 무강수가 고농도 예측의 중요특징임을 나타낸다. 이는 이 시간의 정체와도 연관이 있다.

• 대한간호학회지
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• 제40권6호
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• pp.799-807
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• 2010

Purpose: To determine whether the practice of not routinely changing ventilator circuits in patients who require prolonged mechanical ventilation is associated with ventilator-associated pneumonia (VAP). Methods: Patients were divided into two groups, ventilator circuits were routinely changed every 7 days for the control group (39) and every 14 days for the experimental group (40) over a period of 1 yr (April 1, 2009-March 31, 2010). Pediatric patients (age 17 yr or less) were not included. VAP was diagnosed by the criteria of the Centers of Disease Control and Prevention (CDC). Incidence of VAP and characteristics of infection were evaluated. Results: In the experimental group, 2 episodes of pneumonia were observed in 40 patients and 1,322 ventilator days. The rate of VAP was 1.5 per 1,000 ventilator days. There was 1 episode of pneumonia in 39 patients and 481 ventilator days for the control group. The rate of VAP was 2.1 per 1,000 ventilator days. The difference between both groups was not significant (p=.695). Conclusion: Extending ventilator circuit change interval from 7 days to 14 days does not increase the risk for VAP.

• Parasites, Hosts and Diseases
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• 제60권1호
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• pp.39-43
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• 2022

Plasmodium vivax exhibits dormant liver-stage parasites, called hypnozoites, which can cause relapse of malaria. The only drug currently used for eliminating hypnozoites is primaquine. The antimalarial properties of primaquine are dependent on the production of oxidized metabolites by the cytochrome P450 isoenzyme 2D6 (CYP2D6). Reduced primaquine metabolism may be related to P. vivax relapses. We describe a case of 4 episodes of recurrence of vivax malaria in a patient with decreased CYP2D6 function. The patient was 52-year-old male with body weight of 52 kg. He received total gastrectomy and splenectomy 7 months before the first episode and was under chemotherapy for the gastric cancer. The first episode occurred in March 2019 and each episode had intervals of 34, 41, and 97 days, respectively. At the first and second episodes, primaquine was administered as 15 mg for 14 days. The primaquine dose was increased with 30 mg for 14 days at the third and fourth episodes. Seven gene sequences of P. vivax were analyzed and revealed totally identical for all the 4 samples. The CYP2D6 genotype was analyzed and intermediate metabolizer phenotype with decreased function was identified.

• 수면정신생리
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• 제2권1호
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• pp.91-96
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• 1995

A 24-year-old woman complained of recurrent episodes of hypersomnia lasting on the average about 15 days with mild mood alternation such as depression and irritability. During interepisode interval, she was free of any symptoms. Depending on the absence of excessive eating and hypersexuality, she was clinically diagnosed as recurrent monosymptomatic hypersomnia or the incomplete form of Kleine-Levin syndrome. When nocturnal polysomnography and multiple sleep latency test were performed 10 days after her recovery from a hypersomnic episode, reduced slow wave sleep % and pathologic daytime sleepiness were still noted. The authors suggest that the clinical recovery in recurrent monosymptomatic hypersomnia precede electrophysiological normalization by several days.

• 생물정신의학
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• 제8권1호
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• pp.153-155
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• 2001

There had been few reports of arachnoid cyst accompanying psychiatric disturbance and no report treated with low-dose risperidone administration. We report a patient, developed first-transient psychotic episode considered to be provoked by an arachnoid cyst, responsive to risperidone, which was found in the middle cranial fossa as follows. A 57-year-old man was admitted by suddenly developed headache, auditory hallucination, delusion of persecution and, an arachnoid cyst in the anteromedial aspect of middle cranial fossa was found on MRI after admission. The psychotic episode was first to him and he was also negative to other clinical evaluation including endocrine abnormality, his psychotic symtom was suspected to be induced by arachnoid cyst and was well controlled to low-dose risperidone administration. He left hospital free from psychotic symptoms on 14 hospital days.

• 한국대기환경학회지
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• 제27권6호
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• pp.751-771
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• 2011

Biogenic Volatile Organic Compound (BVOC) emissions are estimated with BEIS3.12 (Biogenic Emissions Inventory System version 3.12) over the Seoul Metropolitan Area (SMA) and then used in CMAQ (Community Multiscale Air Quality) simulations for two high ozone episodes in 2004 and 2007 June. The first- and second-order sensitivity coefficients of ozone to BVOC emissions are estimated with High-order Decoupled Direct Method (HDDM) simulation in order to estimate the influence of BVOC emissions on ozone using the Zero-Out Contribution (ZOC) approach. ZOC analysis shows that relative contribution of BVOC emissions on daily maximum 1-hr ozone is as high as 30% for high ozone days above 100 ppb. However simulated isoprene concentrations were over-estimated by a factor of 2 when compared to the observations at the PAMS (Photochemical Air Monitoring Station) for the 2007 episode. When assumed that actual BVOC emissions are 50% less than estimated, the ZOC of BVOC emissions on daily maximum ozone drops by more than 10 ppb for the episode. The result indicates that uncertainty in BVOC emissions may have significant impact on high ozone prediction in the SMA.

• 한국대기환경학회지
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• 제15권2호
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• pp.159-173
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• 1999

Based on air quality monitoring data('89~'97) operated by the Department of Environment, we provide various fundamental statistics for ground ozone. The purpose of this paper are to review the national ambient ozone standard, to study spatial distribution of ozone. Since we, in Korea, calculate average ozone level, to examine the occurrences of ozone level 3 times a day (1~8, 9~16, 17~24 hours), the method does not seem to be scientifically sound comparing to a running average method adapted by the USEPA. When we counted the number of cases with 8-h average O3 level exceeding 60ppb(8-h average standard in Korea)and 80 ppb (that in the U.S.A) and also when we calculated 8-hour average ozone level based on th US method, some regions were classified as non-attainment areas. Especially in Seoul, results of spatial distribution analysis showed that high level ozone over 80 ppb was observed at Kuui-Dong and Pangi-Dong in the eastern part and at Ssangmun-Dong in the northeastern part. Also, occurrences of ozone episode defined as number of days then ozone level exceeding 80 ppb for 3 consecutive hours were extensively reviewed in this paper.

• 한국환경과학회지
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• 제30권10호
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• pp.789-802
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• 2021

This study analyzed the characteristics of high PM_2.5 episodes that meets the concentration criteria of Emergency Reduction Measures Plan (ERMP) in Busan during the 2015-2020, and compared with those in Seoul. As a first step, the CAPSS-2017 emission data was employed to analyze the emission differences between Busan and Seoul, and pointed out that Busan emission included the dominance of ship emissions (37.7%) among total PM_2.5 city emissions, whereas fugitive PM_2.5 emission was the highest in Seoul. These emission characteristics are indicating that the controlling action plan should be uniquely applied to cope with ERMP in each region. We selected extremely high PM_2.5 episode days that meet the criteria of ERMP levels. In Busan, Ulsan, and Gyeongnam region, 15, 16, and 8 days of extremely high PM_2.5 cases were found, respectively, whereas Seoul showed approximately doubling of occurrences with 37 cases. However, the occurrences in summer season indicated big differences between two cities: the proportion of summer-season occurrence was 13-25% in Busan, whereas no single case have occurred in Seoul. This is suggesting the needs of comprehensive summer emission reduction plan with focusing on sulfur reduction to effectively cope with the ERMP levels in summer in the southeastern region, including Busan.

• Journal of Chest Surgery
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• 제49권2호
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• pp.126-129
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• 2016

We report an interesting case in which overt aortic dissection mimicked two episodes of aortic intramural hematoma (IMH) (Stanford A, DeBakey I). This took place over the course of four days and had a major influence on the surgical treatment strategy. The first episode of IMH regressed completely within 15 hours after it was clinically diagnosed and verified using imaging techniques. The recurrence of IMH was detected three days thereafter, resulting in an urgent surgical intervention. Overt aortic dissection with evidence of an intimal tear was diagnosed intraoperatively.

• Journal of Preventive Medicine and Public Health
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• 제24권4호
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• pp.485-495
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• 1991

This study examined the effects of referral requirements for insurance patients which have been enforced since July 1, 1989 when medical insurance coverage was extended to the whole population except beneficiaries of medical assistance program. The requirements are mainly aimed at discouraging the use of tertiary care hospitals by imposing restrictions on the patient's choice of a medical service facility. The expectation is that such change in the pattern of medical care utilization would produce several desirable effects including increased efficiency in patient care and balanced development of various types of medical service facilities. In this study, these effects were assessed by the change in the number of out-patient visits and bed-days per illness episode and the share of each type of facility in the volume of services and the amount of expenditures after the implementation of the new referral system. The data for analysis were obtained from the claims to the insurance for government and school employees. The sample was drawn from the claims for the patients treated during the first six months of 1989, prior to the enforcement of referral requirements, and those of the patients treated during the first six months of 1990, after the enforcement. The 1989 sample included 299,824 claims (3.6% of total) and the 1990 sample included 332,131 (3.7% of total). The data were processed to make the unit of analysis an illness episode instead of an insurance claim. The facilities and types of care utilized for a given illness episode are defined to make up the pathway of medical care utilization. This pathway was conceived of as a Markov Chain process for further analysis. The conclusion emerged from the analysis is that the enforcement of referral requirements resulted in less use of tertiary care hospitals, and thereby decreased the volume of services and the amount of insurance expenses per illness episode. However, there are a few points that have to be taken into account in relation to the conclusion. The new referral system is likely to increase the use of medical services not covered by insurance, so that its impact on national health expenditures would be different from that on insurance expenditures. The extension of insurance coverage must have inereased patient load for all types of medical service organizations, and this increase may be partly responsible for producing the effects attributed to the new referral system. For example, excessive patient load for tertiary care hospitals may lead to the transfer of their patients to other types of facilities. Another point is that the data for this study correspond to very early phase of the new system. But both patients and medical care providers would adapt themselves to the new system to avoid or overcome its disadvantages for them, so as that its effects could change over time. Therefore, it is still necessary to closely monitor the impact of the referral requirements.