• 아동간호학회:학술대회논문집
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• 1997.11a
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• pp.61-74
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• 1997

Endotracheal suctioning is a routine procedure used for clearing secretions from the airway of the intubated infant. This procedure is not without complications. Endotracheal suctioning has been associated with decreases in $PaO_2$, decreases in systemic venous oxygenation, alterations in mean arterial Pressure, disturbances in cardiac rhythm and development of nosocomial pneumonia. So several endotracheal suctioning techniques have been developed to prevent these blown complications. Another method of Endotracheal suctioning eliminates the risk associated with disconnecting the infant from the ventilatior to perform the suctioning procedure. Studies examining closed endotracheal suctioning methods reported that the closed method results in less arterial oxygen saturation, and less systemic venous oxygen desaturation. However those studies have focused on adult patients, and there have been no published studies for newborn infants. The specific purpose of this study is to investigate the two methods and to make a comparison in terms of (1)variations in $SaO_2$, heart rate, and respiration rate appeared before and after the endotracheal suctioning; (2)difference in occurrence of nosocomial infection; (3)difference in recovery time to arrive at pre-suction baseline after suctioning and in nursing time taken for the suctioning. The present study is based on the data obtained from two groups of newborn infants : one group comprises 8 infants with closed suctioning (a total of 304 suctions) among 17 infants treated with ventilator and the other group 9 infants with open method (a total of 629 suctions). The data were analyzed using the SPSS statistical program package. As the distribution test on dependent variables with the Skewnesser Shapiro Wilk test showed an asymmetric distribution, the Wilcoxon Matched-pairs Singled- Ranks test was used for the test of variations in $SaO_2$, heart rate, and respiration rate appeared before and after the endotracheal suctioning. The difference in $SaO_2$ recovery time and nursing time was analyzed with the Mann-Whitney U-Test. The difference in physiologic consequences and occurrence of nosocomial infection between the two groups was analyzed with the Fisher's Exact Test. The results of the study are summarized as follows. For the hypothesis 1 (There would be a difference in $SaO_2$, heart rate, and respiration rate before and after suctioning between the two suctioning methods), the difference in $SaO_2$ turns out to be statistically significant (P=0.015), but heart rate and respiration rate do not procedure a notable difference (P=0.630). The hypothesis 2 (There would be a difference in rates at which a complication arises after suctioning between the two groups) does not prove to be statistically valid (P=0.246). For the hypothesis 3(There would be a difference in $SaO_2$ recovery time and nursing time between the two groups), the average $SaO_2$ recovery time after suctioning turned out to have somewhat significant difference (P=0.064), however the difference in nursing time taken for the suctioning was not statistically significant (P=0.610). The analyses indicate that the closed endotracheal suctioning is more efficient as compared with the open method, in maintaining pre-suction baseline $SaO_2$ and a rapid recovery of newborn infants. Based on these results we suggust to apply the closed method to newborn infants in the ventilation treatment. We also suggest to extend the investigation to include the comparison of suction cost taking into account the case in which a complication arises after endotracheal suctioning between the two groups.

• Sleep Medicine and Psychophysiology
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• v.19 no.1
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• pp.22-26
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• 2012

Objectives: The percentage of positional sleep apnea in obstructive sleep apnea (OSA) varies in different reports from 9% to 60%. If there is a positional dependency in patients with OSA, positional therapy alone could be successful in treating about 50% of all OSA cases. The aim of this report is to compare anthropomorphic and polysomnographic data between the positional sleep apnea group and non-positional sleep apnea group with OSA whose conditions were diagnosed in our sleep clinic. Methods: This is a retrospective study of anthropomorphic and polysomnographic data of patients with OSA who was performed a nocturnal polysomnography. Positional sleep apnea was defined as having a supine apnea-hypopnea index (AHI) of twice or more compared to the AHI in the non-supine position. The patients were divided in the positional sleep apnea group and the non-positional sleep apnea group. Results: In 101 patients with OSA, 81 were male, and the mean age was $49.2{\pm}11.9$ years. Seventy-six (75.2%) were diagnosed as the positional sleep apnea. Waist to hip ratio and body mass index (BMI) were significantly higher in non-positional sleep apnea group. The frequency of severe OSA was significantly higher in this group. In the positional sleep apnea group, nocturnal sleep quality was better preserved, and consequently these patients were less sleepy during daytime. AHI was significantly lower and minimal arterial oxygen saturation during sleep was significantly higher in this group. Conclusion: The percentage of positional sleep apnea in OSA was 75.2%. AHI, BMI, and waist to hip ratio were lower in the positional sleep apnea group. These patients have less severe breathing abnormalities than the non-positional sleep apnea group in polysomnography.

• Journal of Forest and Environmental Science
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• v.19 no.1
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• pp.18-24
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• 2003

This study was made on the physiological reactions of photosynthesis. stomatal transpiration. stomatal conductance of Acanthopanax senticosus of leaves. The results obtained are as follows 1. The light compensation points were approximately $30{\mu}molm^{-2}S^{-1}$ in sun leaves and $15{\mu}molm^{-2}S^{-1}$ in shade leaves. 2. The light saturation points were approximately $1,000{\mu}molm^{-2}S^{-1}$ in sun leaves and $300{\mu}molm^{-2}S^{-1}$ in shade lea ves. 3. There was no significant between various mountains distributed. net photosynthetic rates were approximately 8.0 to $8.8{\mu}molm^{-2}S^{-1}$ in upper leaves. However. net photosynthetic rate in upper leaves of Acanthopanax koreanum in Jeju island was slightly low about $6.9{\mu}molm^{-2}S^{-1}$. 4. Net photosynthetic rate in middle leaves of all mountains was ranged from 40% to 65% of upper leaves. and that in lower leaves was approximately 30% of upper leaves. But the net photosynthesis in lower leaves of Acanthopanax koreanum in Jeju island was slightly high about 71 % of upper leaves. 5. There was no significant between various mountains distributed, stomatal transpirations were ranged from 1.1 to $1.4mmolH_2Om^{-2}S^{-1}$ in upper leaves, 0.7 to $1.0mmolH_2Om^{-2}S^{-1}$ in middle leaves, and 0.5 to $0.6mmolH_2Om^{-2}S^{-1}$ in lower leaves. respectively. 6. There was no significant between various mountains distributed. the stomatal conductance in upper 1eaves was ranged from 70 to $90mmolH_2Om^{-2}S^{-1}$. However, stomatal conductance in upper leaves of Acanthopanax koreanum in Jeju island was approximately $380mmolH_2Om^{-2}S^{-1}$, its remarkedly higher than any other mountain.

• Clinical and Experimental Pediatrics
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• v.51 no.5
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• pp.468-473
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• 2008

Purpose : Iron-deficiency anemia (IDA) is still one of the most common nutrient deficiency disorders, despite improvements in general health and nutrition. This study was designed to investigate the diagnostic values of hematological profiles, including the level of ferritin, and to evaluate the knowledge of mothers on weaning practices for infants and young children with IDA. Methods : This study was conducted on 111 infants and young children from six to 40 months of age with IDA. Their parents completed a questionnaire. IDA was defined as a level of hemoglobin <11.0 g/dL, the presence of microcytosis, a level of ferritin <10.0 ng/dL, transferrin saturation <15%, or an 1 g/dL increase in the level of hemoglobin after iron administration. The questionnaire made inquiries into their weaning practices. Results : In 111 infants and young children aged from six to 40 months, the average level of Hb was $9.5{\pm}1.0g/dL$. The prevalence of ferritin level (>10 ng/dL) was 48.6%, in spite of IDA. Seventy-four infants (66.7%) began to wean between four and six months, and 37 infants (33.3%) after seven months of age. The main food given after weaning was rice gruel. The weaning periods showed a significant relationship to the severity of anemia (P<0.05). There was no significant difference in the severity of anemia in terms of the educational levels of the mothers. Fifty-five mothers (49.5%) gave a wrong answer to a questionnaire describing that breast-fed infants aged over four months need to be fed with iron-sufficient food. Of all mothers, 49.6% took one month or more to complete the weaning process and 20% took three months or more. Conclusion : Many infants and young children with IDA have been provided with non-iron fortified foods and inadequate weaning. To improve nutritional status, especially among infants with iron deficiencies, nutritional education for mothers with infants at the weaning age must be increased and related programs must be implemented effectively.

• Journal of Bio-Environment Control
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• v.18 no.3
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• pp.238-243
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• 2009

To investigate the characteristics of moisture content (MC), moisture distribution and starting point of drainage in a rockwool slab culture, time domain reflectometry (TDR) sensors were used in a drip irrigation system. MC values ($0{\sim}100%$) measured by TDR sensors in a slab were compared to those by loadcells. Seventy two seedlings of paprika (Capsicum annuum L.) were cultured for $5{\sim}6$ months in a green-house and the starting point of irrigation was determined by the average value of three TDR sensors which were inserted diagonally across the slabs under the plants. MCs as a standard for starting point of irrigation by TDR were determined with 40%, 50%, and 60%. Distribution of MCs in a slab measured with five TDR sensors equally spaced from two irrigation points were not much different when the MC in the slab increased from zero to saturation point. The saturated MCs in the slab were presented at $58{\sim}65%$ and the drain was started when the MC became around $50{\sim}55%$. At the saturated MC in the slab, TDR sensors presented 100% but the values from the loadcell showed 90% at the same time. However, measurement errors between two methods for MC remarkably decreased with a decrease in the MC in a slab. Especially when the MC was maintaining below 60%, the errors between TDR and loadcell methods for measuring MC in the rock-wool slab were less than 5%. There were no significant differences in number of fruits and fresh and dry weights of fruits when they were cultured under the different MC conditions with three irrigation regimes (40%, 50%, and 60%). These results indicated that the MC control by TDR sensors in a rock-wool based paprika culture can be suggested as a method to determine the starting point of irrigation for a soilless culture system.

• Geophysics and Geophysical Exploration
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• v.19 no.1
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• pp.29-36
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• 2016

Recently, the studies about rock physics model (RPM) in shale reservoir are widely performed. In shale reservoir, the degree of the maturity can be estimated by kerogen and GOR (Gas-Oil Ratio). The researches on the rock physics model of shale reservoir with the amount of kerogen have been actively carried out but not with GOR. Thus, in this study, we analyzed the changes in seismic velocity and density, and AVO (Amplitude Variation with Offset) response depending on changes in GOR and the amount of kerogen. Since the shale consists of plate-like particles, it has vertical transverse isotropy (VTI). Therefore we estimated the seismic velocity and density by using Backus averaging method and analyzed AVO responses based on these estimated properties. The results of analysis showed that the changes in the velocity with the GOR variation are small but the velocity changes with the variation in kerogen amount are relatively larger. In case, GOR 180 (Litre/Litre) which is boundary between heavy oil and light oil, when volume fraction of kerogen increased from 5% to 35%, the P-wave velocity normal to the layering increased 51%. That is, it helps estimating maturity of kerogen through the velocity. Meanwhile, when rates of oil-gas mixture are large, the effect of GOR variation on the velocity change became larger. In case volume fraction of kerogen is 5%, the P-wave velocity normal to the layering was estimated $1.46km/s^2$ in heavy oil (GOR 40) but $1.36km/s^2$ in light oil (GOR 300). The AVO responses analysis showed class 4 regardless of the GOR and amount of kerogen because variation of poisson's ratio is small. Therefore, shale reservoir has possibility to have class 4.

• Korean Journal of Ecology and Environment
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• v.35 no.1 s.97
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• pp.10-20
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• 2002

Changes of seasonal and vertical water quality was analyzed with physico-chemical data from Soyang and Paldang river-reservoir system in Korea during the 1996 to 1998. In Soyang river-reservoir system, the water column was well stratified, which narrow epilimnion layer of 5 to 10 m depth in spring to summer enlarged gradually about 40 m depth in fall as going to times. In contrast, metalimnion layer tended to be narrow during the same period. Water temperature of hypolimnion was maintained about $5^{\circ}C$ continuously throughout the year. DO of the epilimnion layer was supersaturated from spring to summer, however, it was decreased to 75% at the epilimnion layer and $45{\sim}50%$ at the hypolimnion layer at the late fall. The lowest conductivity of below $50\;{\mu}S/cm$ was observed at the metalimnion layer during thesummer to fall. In Paldang river-reservoir system, the water column wag well mixed layer throughout the year, although water temperature was changed seasonally from $5^{\circ}C$ in February to $28^{\circ}C$ in July. Water temperature between upper and lower layer was different about $5^{\circ}C$ from late spring (May) to early fall (September). DO was over and less saturated in upper and lower layer during the early summer to early fall, respectively. Conductivity was decreased to $90\;{\mu}S/cm$ in lower layer of below $4{\sim}5\;m$ depth during the late spring to early fall and that of upper layer of above 10 m depth decreased to about $100\;{\mu}S/cm$ during the late fall (November) and early spring (March). Retention time of Soyang river-reservoir system was much longer than that of Paldang river-reservoir system. Chlorophyll a, T-N and T-P concentration in Paldang river-reservoir system were higher than that of Soyang river-reservoir system by a factor of 2.7, 1.2 and 2.6, respectively. Algal blooming was deeply affected by the nutrients than the retention time.

• Journal of Korean Society of Transportation
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• v.22 no.3 s.74
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• pp.145-157
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• 2004

The cycle length design model of the Korean traffic responsive signal control systems is devised to vary a cycle length as a response to changes in traffic demand in real time by utilizing parameters specified by a system operator and such field information as degrees of saturation of through phases. Since no explicit guideline is provided to a system operator, the system tends to include ambiguity in terms of the system optimization. In addition, the cycle lengths produced by the existing model have yet been verified if they are comparable to the ones minimizing delay. This paper presents the studies conducted (1) to find shortcomings embedded in the existing model by comparing the cycle lengths produced by the model against the ones minimizing delay and (2) to propose a new direction to design a cycle length minimizing delay and excluding such operator oriented parameters. It was found from the study that the cycle lengths from the existing model fail to minimize delay and promote intersection operational conditions to be unsatisfied when traffic volume is low, due to the feature of the changed target operational volume-to-capacity ratio embedded in the model. The 64 different neural network based cycle length design models were developed based on simulation data surrogating field data. The CORSIM optimal cycle lengths minimizing delay were found through the COST software developed for the study. COST searches for the CORSIM optimal cycle length minimizing delay with a heuristic searching method, a hybrid genetic algorithm. Among 64 models, the best one producing cycle lengths close enough to the optimal was selected through statistical tests. It was found from the verification test that the best model designs a cycle length as similar pattern to the ones minimizing delay. The cycle lengths from the proposed model are comparable to the ones from TRANSYT-7F.

• Journal of Soil and Groundwater Environment
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• v.7 no.3
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• pp.115-132
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• 2002

To distinguish the anthropogenic inputs from the chemical weathering with water-rock interaction on the chemical compositons of groundwater in Kwangju city, four different water groups were established based on the landuse type, lithology and topology. The sample from greenbelt area belongs to Group Ⅰ, whereas those from green buffer zone, urban area and industrial area belong to Group II, Group Ⅲ and Group Ⅳ, respectively. The geology of this city mainly consists of biotite granite and granitic gneiss. The concentration of main cations is subject to the behavior of feldspars, micas and carbonate minerals. Cl$\^$-/ and NO$_3$$\^$-/ are supplied by anthropogenic inputs such as domestic sewage whose concentration of these anions is highest in the Group Ⅲ samples. With the Piper diagram, the groundwaters of Group Ⅲ are mainly plotted in CaSO$_4$-CaCl$_2$ type, whereas those of other groups are plotted in Ca(HCO$_3$)$_2$ type, The calculation for the activities of ions and saturation indices of some minerals shows that most of the minerals are undersaturated and plotted in the area of equlibrium with kaolinite. Three factors were extracted from the factor analysis for chemical data. Factor 1 controlled by HCO$_3$$\^$-/, Ca$\^$2-/, SO$_4$$\^$2-/, Mg$\^$2+/ and Na$\^$+/, explains the dissolution of carbonate minerals. mica and plagioclase. Factor 2, controlled by Cl$\^$-/ and NO$_3$$\^$-/, explains the influence of artificial pollution. Factor 3, controlled by Mn, Fe and Zn is subject to the industrial waste water, but the evidence is not clear. Factor 1 is dominant in the Group I and II, indicating that those samples are subjected to natural chemical weathering, The higher scores of factor 2 in the Group Ⅲ samples indicate the potential artificial pollution.

• Journal of Korea Soil Environment Society
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• v.2 no.2
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• pp.9-24
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• 1997

Surfactant-aided in situ soil flushing has been proposed as an alternative for the expensive and time consuming 'pump and treat' technology in remediation of contaminated soil and groundwater Injected surfactants can effectively solubilize contaminants sorbed to the soil matrix or nonaqueous phase liquids(NAPLs) in residual saturation. The contaminants solubilized in groundwater are recovered and treated further. The theoretical background of the technology and the results of the field operations, mostly in the US. were summarized. In addition, the factors crucial to the successful application of the technology were discussed. Cost analyses and technical limitations in current applications were also discussed. In conclusion, it is likely that in situ surfactant flushing become a viable option for soil remediation in limited cases. Currently, further advances with respect to operation cost and to treatment efficiency are required for more extensive application of the technology. However, the current trends in soil remediation, specially the growing emphasis on risk based corrective action and natural attenuation, will increase the competitiveness of the technology. For example, removal of easily washable contaminants by short term soil flushing followed by long term monitoring and natural attenuation can greatly reduce the operation cost and time.