This study on the visits of the oriental medical night clinic of patients, was made to be used as reference data by examining and analyzing statistically the many actual conditions of patients who had been visited in Semyung University Attached Oriental Medical Hospital during the period from April, 1998 to March, 1999. The purpose of this survey was to understand the characteristics of patients, to evaluate the roles of Night Clinic of oriental medical hospital, and contribute to the systemic and efficient management of night clinic service. The results obtained were as follows: I. Distribution of sex: male 53% (421 cases), female 47% (379 cases) 2. The age distribution of patients showed the highest in under ten, followed by the thirties and fifties, forties and twenties in order. 3. The monthly distribution of patients showed the highest in October 1998, followed by May 1998 and February 1999 in order. 4. The daily distribution of patients showed the highest in Sunday, followed by Saturday, Monday, Friday and Tuesday in order. 5. The regional distribution revealed the highest in Jecheon with 76% of all patients, followed by Danyang in order. 6. The distribution of arrival time showed the highest in 7:00 pm~0:00 am (27%), followed by 5:30 pm~7:00 pm (23%) in order. 7. The admission rate in patients was 17%. Among them direct visiting rate was 85%. Circulatory systemic disease was the highest. 8. The highest incidences by disease were of motor system with 48% (394cases), followed by diseases in circulatory system with 19% (l48cases). The majority of the patients 67% was connected with two diseases. 9. The chief complaint of pediatric diseases was febrile seizure with 64% (32cases), digestive disease was abdominal pain with 44% (90cases), circulatory diseases was motor disturbance with 43% (83cases), motor system disease was leg pain with 37% (l19cases), respiratory disease was fever with 46% ( 41 cases). 10. In the treatment method, a major portion of treatment methods was acupuncture treatment with 32% (373cases), followed by acupuncture & herbal medicine treatment with 23% (275cases). The most commonly used herbal medicines were Hangsapyunguisan(l6%) and Ojeoksan(l4%).
On-site sanitation systems are typically installed to treat grey and toilet wastewaters in areas without sewer and centralized treatment systems. It is well known that, due to inappropriate design and operation, treatment performance of these systems in developing countries is not satisfactory in the removal of pathogens and organic matters. This research aimed to investigate the hydraulic conditions occurring in some on-site sanitation systems and the effects of hydraulic retention times (HRTs) on the system performance. The experiments were conducted with a laboratory-scale septic tank (40L in size) and an actual septic tank (600L in size), to test the hydraulic conditions by using tracer study with HRTs varying at 12, 24 and 48 hr. The experimental results showed the dispersion numbers to be in the range of 0.017-0.320 and the short-circuit ratios in the range of 0.014-0.031, indicating the reactors having a high level of sort-circuiting and approaching complete-mix conditions. The removal efficiency of $BOD_5$ was found to be 67% and the $k_{30}$ values for $BOD_5$ was $2.04day^{-1}$. A modified complete-mix model based on the relationship between $BOD_5$ removal efficiencies and HRTs was developed and validated with actual-scale septic tank data having a correlation coefficient ($R^2$) of 0.90. Therefore, to better protect our environment and minimizing health risks, new generation toilets should be developed that could minimize short-circuiting and improving treatment performance.
Park Tae Won is one of the physicians that participated in the treatment of King Injo in "承政院日記(Seungjeongwonilgi, official records of incidents during the Joseon Dynasty)". The purpose of this study is to look into the forms of actual medical treatment, social status and activities of the physicians at that time by organizing Park Tae Won's records as a physician and his other works. Park Tae Won was originally an acupuncturist for the royal medical department but he performed other activities such as actual diagnosis and drug prescriptions. More concretely it seems that he used methods mentioned in "鍼灸經驗方(Chimgugyungjeonbang)". Park Tae Won held concurrent positions as royal physician as well as provincial governor. It is suspected that physicians were named provincial governors of metropolitan areas so that they could be brought in immediately when in need and so that the capital centered medical service could be distributed to other provinces. We can also presume that the appointment of physicians as provincial governors was part of the government policy to efficiently distribute aid to the common people. From this study we can conclude that the physicians of that time did not commit solely to their jobs but also held important social positions that led the Joseon society.
In Korea, respect for the aged and filial devotion is treated as basic ethics for human life, and family takes care of the aged person mainly. Nowadays, family support on the aged person is prioritized than the others. However, number of aged person is growing, and family, which is used to protect the aged, becomes nuclear through industrialization. In addition, social advancement of female induces weakened supporting function of family, and all these issues generate the problem of protection for the aged as significant social problems. Author conducted oral inspection and questionnaire for the aged in some welfare facilities in Gyeongnam location from December 2005 to February 2006 to improve quality of life and oral hygiene of the aged. Through gathered data, the actual condition of oral hygiene management on the aged person in welfare facility was evaluated as fundamental data for project development on oral hygiene of aged person. Through the analysis of inspected data, the following conclusions are derived. 1. Management status of oral hygiene is mostly not good, and toothbrushing per day is 'one time' for the most cases. 2. In free-of-charge facility, monthly allowance is 'under 50 thousand won' for the most cases. 3. Time for visiting oral treatment facility is on 'when toothache is occurred' for the most cases. For treatment content, 'prosthetic dentistry' takes 36.8% in charged facility, and 'tooth extraction' is 27.0% for free-of-charge facility. 4. Average DMFT index of the aged in charged facility is 16.81, and free-of-charge facility is 21.71. 5. Average number of functional teeth in charged facility is 15.22, and free-of-charge facility shows 7.29. 6. Average number of remained teeth in charged facility is 15.71, and the umbe in free-of-charge facility is 9.04. 7. Average number of extractable teeth in charged facility is 0.48, and for free-of-charge facility, the number goes up to 1.70.
Purpose: Pathologic tooth migration (PTM) is a tooth displacement which is derived from imbalance of tooth retention force and is dominantly found out in maxillary anterior area. PTM in maxillary anterior area was tried to corrected with periodontal treatment and a clear aligner in this study and the result was evaluated clinically and radiographically. Methods: For the treatment of a patient with chronic periodontal disease accompanied by maxillary anterior pathologic tooth migration, clear aligner was applied to move teeth after a series of case-related periodontal therapy. Clinically, probing depth, gingival recession, clinical attachment level and mobility were measured pre- and post-treatment, and radiographic examination was performed as well. Results: Clinically, we found the decrease of the probing depth, gingival recession, clinical attachment level and mobility. And we could also acknowledge the reduction of vertical and horizontal dimension on infrabony defect radiographically. However, it is still controversial if there was an actual bone filling. Conclusions: Clear aligner is an effective appliance to move teeth since it costs little in terms of expense and time. In addition, it wraps whole crowns, providing advantages to deal with crowding, spacing, and size of arch. In short, clear aligner could be a useful treatment option for PTM patient, since it provides decreased probing depth, gingival recession, clinical attachment level, mobility and esthetical restoration.
The purpose of this study was to retrospectively investigate the upper and lower control limits of treatment planning parameters using EBT film based delivery quality assurance (DQA) results and to analyze the results of statistical process control (SPC) in helical tomotherapy (HT). A total of 152 patients who passed or failed DQA results were retrospectively included in this study. Prostate (n = 66), rectal (n = 51), and large-field cancer patients, including lymph nodes (n = 35), were randomly selected. The absolute point dose difference (DD) and global gamma passing rate (GPR) were analyzed for all patients. Control charts were used to evaluate the upper and lower control limits (UCL and LCL) for all the assessed treatment planning parameters. Treatment planning parameters such as gantry period, leaf open time (LOT), pitch, field width, actual and planning modulation factor, treatment time, couch speed, and couch travel were analyzed to provide the optimal range using the DQA results. The classification and regression tree (CART) was used to predict the relative importance of variables in the DQA results from various treatment planning parameters. We confirmed that the proportion of patients with an LOT below 100 ms in the failure group was relatively higher than that in the passing group. SPC can detect QA failure prior to over dosimetric QA tolerance levels. The acceptable tolerance range of each planning parameter may assist in the prediction of DQA failures using the SPC tool in the future.
In this study, the major operating factors in SND(simultaneous nitrification and denitrification) using bioreactor packed with submerged cilia media and granular sulfur such as variation of nitrification rate, organic matter removal efficiency and denitrification efficiency in different DO concentration were mainly evaluated. Synthetic wastewater and actual sewage were used as influent wastewater. Experiment with synthetic wastewater as influent wastewater was divided into three phases with the adjustment of DO concentration. As the results, nitrification efficiency and T-N removal efficiency in the Phase 3(DO 1.0~2.0 mg/L) were 99% and 52.3%, which is significantly greater than those in other two phases. Also, loading rate and denitrification efficiency of SCPGS(Submerged Cilia media Packed with Granular Sulfur) were calculated as $0.44kg\;NO_3^--N/m^3-day$ and 50%, respectively. On the other hand, nitrification rate was decreased from 99% to 64% according to the DO concentration with the variation from 3.0~3.5 mg/L(phase1) to 0.4~0.6mg/L(phase2). Although the nitrification rate was decreased in 64% according to the variation of the DO concentration, T-N removal rate was rapidly increased to 49% by increasing of the denitrification efficiency. Experiment with actual sewage as influent wastewater was carried out to evaluate efficiency of SCPGS in real operation condition of full-scale sewage water treatment plant. At the time, T-N removal rate in this experiment and full-scale wastewater treatment plants were given by 43% and 20%, respectively. The above results indicate that SCPGS can be used as an advanced treatment process for economical efficiency considered.
The complex combination of organic contaminants in the wastewater made water treatment challenging; hence, organic matter in water bodies is usually measured in terms of organic carbon. Since it is important to identify the types of compounds when deciding suitable treatment methods, this study implemented a quantitative and qualitative analysis of the organic matter content in an actual graywater sample from Ulsan, Republic of Korea using mass spectroscopy (MS). The graywater was treated using adsorption to remove the organic contaminants. Using orbitrap MS, the organic matter content between an untreated graywater and the treated effluent were compared which yielded a significant formula count difference for the samples. It was revealed that CHON formula has the highest removal count. Isotherm studies found that the Freundlich equation was the best fit with a coefficient of determination ($R^2$) of 0.9705 indicating a heterogenous GAC surface with a multilayer characteristic. Kinetics experiments fit the pseudo-second order equation with an $R^2$ of 0.9998 implying that chemisorption is the rate-determining step between the organic compounds and GAC at rate constant of $52.53g/mg{\cdot}h$. At low temperatures, the reaction between GAC and organic compounds were found to be spontaneous and exothermic. The conditions for optimization were set to achieve a maximum DOC and TN removal which yielded removal percentages of 94.59% and 80.75% for the DOC and TN, respectively. The optimum parameter values are the following: pH 6.3, 2.46 g of GAC for every 30 mL of graywater sample, 23.39 hrs contact time and $38.6^{\circ}C$.
Park, Chang-Hyun;Park, Dahl;Park, Dong-Hyun;Park, Sung-Yong;Shin, Kyung-Hwan;Kim, Dae-Yong;Cho, Kwan-Ho
Proceedings of the Korean Society of Medical Physics Conference
/
2002.09a
/
pp.116-118
/
2002
It has been noted that Monte Carlo simulations are the most accurate method to calculate dose distributions in any material and geometry. Monte Carlo transport algorithms determine the absorbed dose by following the path of representative particles as they travel through the medium. Accurate Monte Carlo dose calculations rely on detailed modeling of the radiation source. We modeled the effects of beam modifiers such as collimators, blocks, wedges, etc. of our accelerator, Varian Clinac 600C/D to ensure accurate representation of the radiation source using the EGSnrc based BEAM code. These were used in the EGSnrc based DOSXYZ code for the simulation of particles transport through a voxel based Cartesian coordinate system. Because Monte Carlo methods use particle-by-particle methods to simulate a radiation transport, more particle histories yield the better representation of the actual dose. But the prohibitively long time required to get high resolution and accuracy calculations has prevented the use of Monte Carlo methods in the actual clinical spots. Our ultimate aim is to develop a Monte Carlo dose calculation system designed specifically for radiation therapy planning, which is distinguished from current dose calculation methods. The purpose of this study in the present phase was to get dose calculation results corresponding to measurements within practical time limit. We used parallel processing and some variance reduction techniques, therefore reduced the computational time, preserving a good agreement between calculations of depth dose distributions and measurements within 5% deviations.
Magazine of the Korean Society of Agricultural Engineers
/
v.40
no.3
/
pp.83-92
/
1998
Field experiment was performed from August 1996 to January 1998 to examine the applicability of constructed wetland system for wastewater treatment in rural area. The pilot plant was installed in Kon-Kuk University and the school building septic tank effluent was used as an influent to the treatment basin. Hydraulic loading rate was about 0.1 6$0.16^3/m^2$ day and theoretical detention time in the system was 1.38 days. The treatment basin was composed of sand and reed. The influent DO concentration was low and many cases close to zero, but effluent concentration was higher than the influent which implies that oxygen was supplied naturally. The average concentration of influent BOD was 126mg/L, and with average removal rate of 69 % the average effluent concentration was 4Omg/L which satisfied the effluent water quality standard for the system of interest. The average influent concentration of COD was 2Olmg/L and average effluent concentration was 75mg/L with average removal rate of 60%. The performance of BOD and COD tends to deteriorate in the low temperature, and appropriate action needs to be taken during the cold winter time for stable operation. The average influent concentration of SS was 5Omg/L, and effluent was 1 1mg/L with average removal rate of 76% which satisfied the effluent water quality standard for the system of interest. The results for the regulated components, SOD and SS, from the experiment showed that constructed wetland system can meet the effluent water quality standards. The average influent concentration of total phosphorus was 25.6mg/L and average effluent concentration was 7.8mg/L with average removal rate of 63%. Not like the performance of the above components, average nitrogen removal rate was only 11.2% which is not satisfactory. Although, nitrogen is not regulated at this moment, it can cause many environmental problems including eutrophication. Therefore, nitrogen removal efficiency should be improved for actual application. From the result of the field experiment, constructed wetland system was thought to be an appropriate alternative for wastewater treatment in rural area.
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