• Title/Summary/Keyword: heat stroke

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Evaluation of Heat Stress and Comparison of Heat Stress Indices in Outdoor Work (옥외 작업에서의 온열환경 평가 및 온열지수 비교)

  • Kim, Yangho;Oh, Inbo;Lee, Jiho;Kim, Jaehoon;Chung, In-Sung;Lim, Hak-Jae;Park, Jung-Keun;Park, Jungsun
    • Journal of Environmental Health Sciences
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    • v.42 no.2
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    • pp.85-91
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    • 2016
  • Objectives: The objective of this study was to assess heat stress, compare heat stress indices, and evaluate the usefulness of wet bulb globe temperature (WBGT) among outdoor workers exposed to heat during the summer season. Methods: WBGT, dry temperature, and heat index were measured using WBGT measurers (QUESTemp 32 model and QUESTemp 34 model, QUEST, WI, USA) by industrial hygienists from August 27 to September 16, 2015. Heat stress indices were measured at the workplaces of a shipbuilder in Ulsan and a construction site in Daegu. The dry temperature observed by the Automated Synoptic Observing System (ASOS) of the Korea Meteorological Administration was also compared. Results: Dry temperature measured by WBGT is different from that by ASOS. The temperature obtained from ASOS was less than $33^{\circ}C$, above which point a heat wave is forecast by the Korea Meteorological Administration. A heat index above $32.8^{\circ}C$ as a moderate risk was not observed during measurement. WBGT was consistently higher than $22^{\circ}C$, above which the risk of heat-related illness is increased in unacclimated workers involved in work with a high metabolic rate. WBGT was sometimes higher than $28^{\circ}C$, above which the risk of heat-related illness is increased in acclimated workers involved in work with a moderate metabolic rate in September. Conclusion: According to the measurement of heat stress indices, WBGT was more sensitive than heat index and temperature. Thus, general measures to prevent heat-related diseases should be implemented in workplaces during the summer season according to WBGT.

A study on the development of simulation program for the small naturally aspirated four-stroke diesel engine (소형 4행정사이클 무과급 디이젤 기관의 성능 시뮤레이션 전산프로그램의 개발에 관한 연구)

  • 백태주;전효중
    • Journal of Advanced Marine Engineering and Technology
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    • v.8 no.1
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    • pp.17-36
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    • 1984
  • Since 1973, the competition on the development of fuel saving type internal combustion engines has become severe by the two times oil shock, and new type engines are reported every several months. Whenever these new type engines are developed, new designs are required and they will be offered in the market after performing the endurance test for a long time. But the engine market is faced with a heavy burden of finance, as the developing of a new engine requires tremendous expenses. For this reason, the computer simulation method has been lately developed to cope with it. The computer simulation method can be available to perform the reasonable research works by the theoretical analysis before carrying out practical experiments. With these processes, the developing expenses are cut down and the period of development is curtailed. The object of this study is the development of simulation computer program for the small naturally aspirated four-stroke diesel engine which is intended to product by the original design of our country. The process of simulation is firstly investigated for the ideal engine cycle, and secondly for the real engine cycle. In the ideal engine cycle, each step of the cycle is simulated by the energy balance according to the first law of thermodynamics, and then the engine performance is calculated. In the real cycle imulation program, the injection rate, the preparation rate and the combustion rate of fuel and the heat transfer through the wall of combustion chamber are considered. In this case, the injection rate is supposed as constant through the crank angle interval of injection and the combustion rate is calculated by the Whitehouse-Way equation and the heat transfer is calculated by the Annand's equation. The simulated values are compared with measured values of the YANMAR NS90(C) engine and Mitsubishi 4D30 engine, and the following conclusions are drawn. 1. The heat loss by the exhaust gas is well agree with each other in the lower load, but the measured value is greater than the calculated value in the higher load. The maximum error rate is about 15% in the full load. 2. The calculated quantity of heat transfer to the cooling water is greater than the measured value. The maximum error rate is about 11.8%. 3. The mean effective pressure, the fuel consumption, the power and the torque are well agree with each other. The maximum error is occurred in the fuel consumption, and its error rate is about 7%. From the above remarks, it may be concluded that the prediction of the engine performance is possibly by using the developed program, although the program needs to reform by adding the simulation of intake and exhaust process and assumping more reliable mechanical efficiency, volumetric efficiency, preparation rate and combustion rate.

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Prediction on gas exchange process of a multi-cylinder 4-stroke cycle spark ignition engine (다기관 4사이클 스파크 점화기관의 가스 교환과정에 관한 예측)

  • 이병해;이재철;송준호
    • Journal of the korean Society of Automotive Engineers
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    • v.13 no.2
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    • pp.67-87
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    • 1991
  • The computer program which predicts the gas exchange process of multi-cylinder 4-Stroke cycle spark-ignition engine, can be great assistance for the design and development of new engine. In this study, the computer program was developed to predict the gas exchange process of multi-cylinder four stroke cycle spark ignition engine including intake and exhaust systems. When gas exchange process is to be calculated, the evaluation of the variation of the thermo-dynamic properties with time and position in the intake and exhaust systems is required. For the purpose, the application of the generalized method of characteristics to the gas exchange process is known as one of the method. The simulation model developed was investigated to the analysis of the branch system of multi-cylinder. The models used were the 2-zone expansion model and single zone model for in cylinder calculation and the generalized method of characteristic including area change, friction, heat transfer and entropy gradients for pipe flow calculation. The empirical constants reduced to least number as possible were determined through the comparison with the experimented indicator diagram of one particular operation condition and these constants were applied to other operating condition. The predicted pressures in cylinder were compared with the experimental results over the wide range of equivalence ratio and ignition timing. The predicted values have shown good agreement with the experimental results. The thermodynamic properties in the intake and exhaust system were predicted over the wide range of equivalence ratio and ignition timing. The obtained results can be summarized as follows. 1. Pressures in the exhaust manifold have a little influence on the equivalence ratio, a great influence on the ignition timing. 2. Pressures in the inlet manifold are nearly unchanged by the equivalence ratio and the ignition timing. 3. In this study, the behaviors of the exhaust temperature, gas in the exhaust manifold were ascertained.

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The discrimination model for the pattern identification diagnosis of the stroke (중풍의 변증 진단을 위한 판별모형)

  • Kang, Byeong-Kab;Kang, Kyung-Won;Park, Sae-Wook;Kim, Bo-Young;Kim, Jeong-Chul;Go, Mi-Mi;Seol, In-Chan;Jo, Hyun-Kyung;Lee, In;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.13 no.2 s.20
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    • pp.59-63
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    • 2007
  • The purpose of this study was to diagnosis that what patterns identification using the statistical method. Discriminant analysis using the medical specialist and resident pattern identification agree case in stroke patients within 1 month of onset. The agreement rate of dificiency of Gi(75%), heat-transformation(74%), dampphlegm syndrome(69%), deficiency of Eum(51%) and syndrome of blood stagnation(43%) are respectively 0.75, 0.74, 0.69, 0.51 and 0.43 in medical specialist and using linear discriminant function pattern identification are same. The study of inspection, pulse feeling and palpitation will be continued to evaluate concordance rate. Discrimination model will be make to get higher Accuracy and prediction, it means becomes the help in pattern identification diagnosis objectivity and scientific.

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Study of the Indicators of Dampness-Phlegm Pattern Identification Based on Tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke (한국형 중풍 변증 표준시안의 습담 변증 지표에 대한 연구)

  • Jo, Hyun-Kyung;Kim, Joong-Kil;Kang, Byeong-Kab;Yu, Byeong-Chan;Baek, Kyung-Min;Lee, In;Choi, Sun-Mi;Seol, In-Chan
    • The Journal of Internal Korean Medicine
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    • v.27 no.1
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    • pp.237-252
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    • 2006
  • Objectives : This study was done to investigate clinical frequency and correlation among the indicators of dampness-phlegm pattern identification settled by tentative Korean Standard Differentiation of the Symptoms and Signs for Stroke. Methods : The subjects were 147 hospitalized patients with stroke, and a list of registry was made for each of them. Among the five types of pattern identification, fire-heat, dampness-phlegm, blood-stasis and deficiency of Qi and of Yin, those that have shown a high frequency in dampness-phlegm type were categorized as the dampness-phlegm pattern group. Frequency of dampness-phlegm indicators was compared with those from the non-dampness-phlegm pattern group. Correlations among dampness-phlegm indicators were also studied. Results : 1. Dampness-phlegm pattern group included 26 patients out of 147. 2. Among the indicators of dampness-phlegm pattern. those, in order of highest frequency, were 'tiredness or sluggishness', 'white Coated tongue' and 'sputum'. 3. In comparing dampness-phlegm pattern group with non-dampness-phlegml group, the indicators such as 'lightheadedness', 'nigrescence', 'sputum', 'dermatic dysaesthesia' showed significantly high frequency. 4. Among the indicators, 'sputum' and 'tiredness or sluggishness', 'sputum' and 'yellow coated tongue', and 'white coated tongue' and 'yellow coated tongue' showed significant correlation. 5. In investigation of the correlation of scale in symptoms, various results such as positive correlation and negative correlation were obtained. Conclusion : In this study, more sensitive indicators of dampness-phlegm pattern identification were found. Based on these results, it is suggested that a more practical Korean Standard Differentiation of the Symptoms and Signs of Stroke would be established through continuous clinical studies by giving weight on each specific type of pattern identification.

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Study on the Relationship among Bi-Su Type, Obesity Index, and Pattern Identification in Stroke Patients (중풍 환자에서 비수, 비만지표, 변증간 연관성에 대한 고찰)

  • Kim, So-Yeon;Lee, Jung-Sup;Kang, Byoung-Kab;Ko, Mi-Mi;Kim, Jeong-Cheol;Oh, Dal-Seok;Bang, Ok-Sun
    • The Journal of Internal Korean Medicine
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    • v.30 no.3
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    • pp.550-557
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    • 2009
  • Objectives : The purpose of this study was to investigate the possibility of Bi-Su as a pattern identification (PI) index in stroke patients. Methods : The subjects were 424 hospitalized stroke patients within 1 month from onset and diagnosed with the same PI subtypes (dampness & phlegm, qi deficiency, fire & heat, eum deficiency, and blood stasis) by agreement of two clinical experts. Bi-Su type is a kind of body shape (Bi : fat, Su : lean). Bi-Su type and degree (Bi-Su score) were decided by clinical expert. Body mass index (BMI) and waist-hip ratio (WHR) were used as an obesity index. Correlation analysis between Bi-Su score and obesity index (Spearman) and variance analysis for Bi-Su score, BMI, and WHR among PI subtypes (ANOVA) and sex were carried out. Results : While there was partial correlation between Bi-Su type and BMI($r^2$=0.634, p<0.001), the distribution of the BMI group based on the Bi-Su group showed the broadest range. The Bi-Su score in the dampness & phlegm group was higher than in the other groups (p<0.001). BMI in the dampness & phlegm groups was also higher but the BMI differences among PI subtypes was low (p=0.002). The Bi-Su score in the dampness & phlegm group was similar in both sexes, although the hand score in the eum deficiency group was the lowest, especially in males. Conclusions : Although BMI is not an objective enough tool for evaluating Bi-Su type, Bi-Su type is more appropriate than BMI as PI index. Therefore Bi-Su type could be used as one of the PI indices for dampness & phlegm or eum deficiency group in stroke patients.

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Discriminant Model V for Syndrome Differentiation Diagnosis based on Sex in Stroke Patients (성별을 고려한 중풍 변증진단 판별모형개발(V))

  • Kang, Byoung-Kab;Lee, Jung-Sup;Ko, Mi-Mi;Kwon, Se-Hyug;Bang, Ok-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.1
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    • pp.138-143
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    • 2011
  • In spite of abundant clinical resources of stroke patients, the objective and logical data analyses or diagnostic systems were not established in oriental medicine. As a part of researches for standardization and objectification of differentiation of syndromes for stroke, in this present study, we tried to develop the statistical diagnostic tool discriminating the 4 subtypes of syndrome differentiation using the essential indices considering the sex. Discriminant analysis was carried out using clinical data collected from 1,448 stroke patients who was identically diagnosed for the syndrome differentiation subtypes diagnosed by two clinical experts with more than 3 year experiences. Empirical discriminant model(V) for different sex was constructed using 61 significant symptoms and sign indices selected by stepwise selection. We comparison. We make comparison a between discriminant model(V) and discriminant model(IV) using 33 significant symptoms and sign indices selected by stepwise selection. Development of statistical diagnostic tool discriminating 4 subtypes by sex : The discriminant model with the 24 significant indices in women and the 19 significant indices in men was developed for discriminating the 4 subtypes of syndrome differentiation including phlegm-dampness, qi-deficiency, yin-deficiency and fire-heat. Diagnostic accuracy and prediction rate of syndrome differentiation by sex : The overall diagnostic accuracy and prediction rate of 4 syndrome differentiation subtypes using 24 symptom and sign indices was 74.63%(403/540) and 68.46%(89/130) in women, 19 symptom and sign indices was 72.05%(446/619) and 70.44%(112/159) in men. These results are almost same as those of that the overall diagnostic accuracy(73.68%) and prediction rate(70.59%) are analyzed by the discriminant model(IV) using 33 symptom and sign indices selected by stepwise selection. Considering sex, the statistical discriminant model(V) with significant 24 symptom and sign indices in women and 19 symptom and sign indices in men, instead of 33 indices would be used in the field of oriental medicine contributing to the objectification of syndrome differentiation with parsimony rule.

Clinical investigation about the interrelationship between differentiation of syndroms and numerical value of measurement(Yang-do-rack diagnosis) in acute stroke patients (급성기(急性期) 중풍환자(中風患者)에 있어서 양도락(良道絡)과 변증모형(辨證模型)의 상관관계(相關關係)에 대한 연구(硏究))

  • Moon Young-Ho;Bae Hyung-Sup;Moon Sang-Kwan;Ko Chang-Nam;Cho Ki-Ho;Kim Young-Suk;Lee Kyung-Sup;Park Jung-Mi
    • The Journal of Internal Korean Medicine
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    • v.19 no.2
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    • pp.28-36
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    • 1998
  • Background : Yang-do-rack is frequently used in diagnosing syndromes in oriental medical hospital, but there has been few clinical report on Yang-do-rack. So we intended to find out the relationship among Yang-do-rack, general characteristics and the differentiaion of syndromes in acute stroke patients. Materials and Methods : In this study we selected the subjects who were hospitalized from March 1, 1998 to July 31. 1998 at the department of circulatory internal medicine at college of oriental medicine, in Kyung-Hee University, diagnosed acute cerebral infarction or hemorrhage within 7 days after onset time. We checked Yang-do-rack scores with Autonomic Nervous System YORAK (Sord Medicom co. Ltd, Korea) and calculated the scores of each diffentiation of syndroms. Resuts : 1. In left leg meridian, there was more numerical value male than female on LF1, LF2, LF4, LF6. The value of LF1, LF3, LF4, LF5 was getting lower as the score of heat-transformation syndrom(火熱證) increased. 2. In left arm meridian, there was more numerical value male than female on LH2, LH5. The value of LH1, LH3, LH5 was getting lower as the score of exuberance of Yang due to deficiency of Yin syndrom(陰虛陽亢證) increased. 3. In right leg meridian, there was more numerical value male than female on RF1, RF2, RF4, RF6. The value of RF3, RF5 was getting lower as the score of heat-transformation syndrom(火熱證) increased and RF4 as the score of exuberance of Yang due to deficiency of Yin syndrom(陰虛陽亢證) increased. 4. In right arm meridian, the value of RH1 was getting lower as the score of exuberance of Yang due to deficiency of Yin syndrom(陰虛陽亢證) increased. These results show that the Yang-do-rack diagnosis could offer supplemental help for diffrentiation of syndroms in acute stroke patient.

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Application of High Resolution Land Use Data on the Possibility to Mitigate Urban Thermal Environment (고해상도 지표자료를 이용한 도시 열환경 완화효과 가능성에 관한 연구)

  • Lee, Kwi-Ok;Lee, Hyun-Ju;Lee, Hwa-Woon
    • Journal of Environmental Science International
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    • v.18 no.4
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    • pp.423-434
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    • 2009
  • In recent years, the urban thermal environment has become worse, such as days on which the temperature goes above $30^{\circ}C$, sultry nights and heat stroke increase, due to the changes in terrestrial cover such as concrete and asphalt and increased anthropogenic heat emission accompanied by artificial structure. The land use type is an important determinant to near-surface air temperature. Due to these reasons we need to understand and improve the urban thermal environment. In this study, the fifth-generation Pennsylvania State University-National Center for Atmospheric Research Mesoscale Model(MMS) was applied to the metropolitan of Daegu area in order to investigate the influence of land cover changes and urban modifications increase of Albedo to the surface energy budget on the simulated near-surface air temperature and wind speed. The single urban category in existing 24-category U.S. Geological survey land cover classification used in MM5 was divided into 6 classes to account for heterogeneity of urban land cover. As a result of the numerical simulation intended for the metropolitan of Daegu assumed the increase of Albedo of roofs, buildings, or roads, the increase of Albedo (Cool scenario)can make decrease radiation effect of surface, so that it caused drops in ambient air temperature from 0.2 to 0.3 on the average during the daylight hours and smaller (or near-zero) decrease during the night. The Sensible heat flux and Wind velocity is decreased. Modeling studies suggest that increased surface albedo in urban area can reduce surface and air temperatures near the ground and affect related meteorological parameters such as winds, surface air temperature and sensible heat flux.

The Effects of Temperature on Heat-related Illness According to the Characteristics of Patients During the Summer of 2012 in the Republic of Korea

  • Na, Wonwoong;Jang, Jae-Yeon;Lee, Kyung Eun;Kim, Hyunyoung;Jun, Byungyool;Kwon, Jun-Wook;Jo, Soo-Nam
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.1
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    • pp.19-27
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    • 2013
  • Objectives: This study was conducted to investigate the relationship between heat-related illnesses developed in the summer of 2012 and temperature. Methods: The study analyzed data generated by a heat wave surveillance system operated by the Korea Centers for Disease Control and Prevention during the summer of 2012. The daily maximum temperature, average temperature, and maximum heat index were compared to identify the most suitable index for this study. A piecewise linear model was used to identify the threshold temperature and the relative risk (RR) above the threshold temperature according to patient characteristics and region. Results: The total number of patients during the 3 months was 975. Of the three temperature indicators, the daily maximum temperature showed the best goodness of fit with the model. The RR of the total patient incidence was 1.691 (1.641 to 1.743) per $1^{\circ}C$ after $31.2^{\circ}C$. The RR above the threshold temperature of women (1.822, 1.716 to 1.934) was greater than that of men (1.643, 1.587 to 1.701). The threshold temperature was the lowest in the age group of 20 to 64 ($30.4^{\circ}C$), and the RR was the highest in the ${\geq}65$ age group (1.863, 1.755 to 1.978). The threshold temperature of the provinces ($30.5^{\circ}C$) was lower than that of the metropolitan cities ($32.2^{\circ}C$). Metropolitan cities at higher latitudes had a greater RR than other cities at lower latitudes. Conclusions: The influences of temperature on heat-related illnesses vary according to gender, age, and region. A surveillance system and public health program should reflect these factors in their implementation.