• 제목/요약/키워드: Central Monitoring

검색결과 560건 처리시간 0.027초

흰쥐에서 체감각유발장전위의 기록부위별 특성과 경로분석 (Characteristics and Pathways of the Somatosensory Evoked Field Potentials in the Rat)

  • 신현철;박용구;이배환;류재욱;조춘식;정상섭
    • Journal of Korean Neurosurgical Society
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    • 제30권7호
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    • pp.831-841
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    • 2001
  • Objective : Somatosensory evoked potentials(SSEPs) have been used widely both experimentally and clinically to monitor the function of central nervous system and peripheral nervous system. Studies of SSEPs have reported the various recording techniques and patterns of SSEP. The previous SSEP studies used scalp recording electrodes, showed mean vector potentials which included relatively constant brainstem potentials(far-field potentials) and unstable thalamocortical pathway potentials(near-field potentials). Even in invasive SSEP recording methods, thalamocortical potentials were variable according to the kinds, depths, and distance of two electrodes. So they were regarded improper method for monitoring of upper level of brainstem. The present study was conducted to investigate the characteristics of somatosensory evoked field potentials(SSEFPs) of the cerebral cortex that evoked by hindlimb stimulation using ball electrode and the pathways of SSEFP by recording the potentials simultaneously in the cortex, VPL nucleus of thalamus, and nucleus gracilis. Methods : In the first experiment, a specially designed recording electrode was inserted into the cerebral cortex perpendicular to the cortical surface in order to recording the constant cortical field potentials and SSEFPs mapped from different areas of somatosensory cortex were analyzed. In the second experiment, SSEPs were recorded in the ipsilateral nucleus gracilis, the contralateral ventroposterolateral thalamic nucleus(VPL), and the cerebral cortex along the conduction pathway of somatosensory information. Results : In the first experiment, we could constantly obtain the SSEFPs in cerebral cortex following the transcutaneous electrical stimulation of the hind limb, and it revealed that the first large positive and following negative waves were largest at the 2mm posterior and 2mm lateral to the bregma in the contralateral somatosensory cortex. The second experiment showed that the SSEPs were conducted by way of posterior column somatosensory pathway and thalamocortical pathway and that specific patterns of the SSEPs were recorded from the nucleus gracilis, VPL, and cerebral cortex. Conclusion : The specially designed recording electrode was found to be very useful in recording the localized SSEFPs and the transcutaneous electrical stimulation using ball electrode was effective in evoking SSEPs. The characteristic shapes, latencies, and conduction velocities of each potentials are expected to be used the fundamental data for the future study of brain functions, including the hydrocephalus model, middle cerebral artery ischemia model, and so forth.

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사과식초 제조를 위한 사과주스의 알코올발효 특성 모니터링 (Monitoring on Alcohol Fermentation Properties of Apple Juice for Apple Vinegar)

  • 신은정;강복희;이상한;이동선;허상선;신기선;김성호;손석민;이진만
    • 한국식품저장유통학회지
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    • 제18권6호
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    • pp.986-992
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    • 2011
  • 사과식초 제조를 위한 전단계로서 사과주스의 알코올발효 최적화를 실시하였다. 알코올발효 최적화를 위해 중심 합성계획이 사용되었으며, 이 때 독립변수로는 초기 당도(12, 14, 16, 18, 20 $^{\circ}Brix$, $X_1$), 발효시간(48, 54, 60, 66, 72 hr, $X_2$), 발효온도(24, 26, 28, 30, $32^{\circ}C$, $X_3$)로 설정하였으며, 종속변수로는 알코올함량, 환원당 함량, 당도, 산도를 살펴보았다. 발효조건에 따른 사과주스 알코올발효액의 알코올 함량은 3.4~6.4%, 환원당 함량은 1.93~6.24%, 당도는 6.1~13.8 brix로 나타났다. 알코올 함량은 주로 발효온도에 영향을 많이 받았으며, 발효시간이 길고 온도가 증가할수록 증가하는 경향을 나타내었다. 환원당 함량은 주로 초기 당도와 발효온도에 영향을 받는 것으로 나타났다. 초기 당도 15.22 $^{\circ}Brix$, 발효시간 64.97 hr, 발효온도 $31.56^{\circ}C$일 때 알코올 함량의 최대값이 6.4%로 예측되었다.

지역간 상대위험도 변동을 고려한 미세먼지 기인 질병부담 및 사회경제적 비용 추정 연구 (Health and Economic Burden Attributable to Particulate Matter in South Korea: Considering Spatial Variation in Relative Risk)

  • 변가람;최용수;길준수;차준일;이미혜;이종태
    • 한국환경보건학회지
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    • 제47권5호
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    • pp.486-495
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    • 2021
  • Background: Particulate matter (PM) is one of the leading causes of premature death worldwide. Previous studies in South Korea have applied a relative risk calculated from Western populations when estimating the disease burden attributable to PM. However, the relative risk of PM on health outcomes may not be the same across different countries or regions. Objectives: This study aimed to estimate the premature deaths and socioeconomic costs attributable to long-term exposure to PM in South Korea. We considered not only the difference in PM concentration between regions, but also the difference in relative risk. Methods: National monitoring data of PM concentrations was obtained, and missing values were imputed using the AERMOD model and linear regression model. As a surrogate for relative risk, hazard ratios (HRs) of PM for cardiovascular and respiratory mortality were estimated using the National Health Insurance Service-National Sample Cohort. The nation was divided into five areas (metropolitan, central, southern, south-eastern, and Gangwon-do Province regions). The number of PM attributable deaths in 2018 was calculated at the district level. The socioeconomic cost was derived by multiplying the number of deaths and the statistical value of life. Results: The average PM10 concentration for 2014~2018 was 45.2 ㎍/m3. The association between long-term exposure to PM10 and mortality was heterogeneous between areas. When applying area-specific HRs, 23,811 premature deaths from cardiovascular and respiratory disease in 2018 were attributable to PM10 (reference level 20 ㎍/m3). The corresponding socioeconomic cost was about 31 trillion won. These estimated values were higher than that when applying nationwide HRs. Conclusions: This study is the first research to estimate the premature mortality caused by long-term exposure to PM using relative risks derived from the national population. This study will help precisely identify the national and regional health burden attributed to PM and establish the priorities of air quality policy.

성인 단장증후군 환자의 다학제 장 재활: 국내 단일 기관 다학제 장재활 클리닉의 경험 (Multidisciplinary Intestinal Rehabilitation for Short Bowel Syndrome in Adults: Results in a Korean Intestinal Rehabilitation Team)

  • 윤소정;이상훈;박효정;김현정;윤지혜;민자경;서정민
    • Journal of Clinical Nutrition
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    • 제10권2호
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    • pp.45-50
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    • 2018
  • Purpose: Intense multidisciplinary team effort is required for the intestinal rehabilitation of patients afflicted with the short bowel syndrome (SBS). These include enteral and parenteral nutrition (PN) support, monitoring of complications related to treatment, and considering further medical or surgical options for intestinal adaptation. Methods: In the Intestinal Rehabilitation Team (IRT) at the Samsung Medical Center, we have experienced 20 cases of adult SBS requiring multidisciplinary intestinal rehabilitation. This study is a retrospective review of the collected medical records. Results: Of the 20 subjects treated, 12 patients were male and 8 patients were female. At the time of referral to the IRT, the mean age was 51.5 years, and the mean body weight was 50.1 kg, which was 90% of the usual body weight. The diseases or operative managements preceding massive bowel resection were malignancy in 11 cases, cardiac surgery in 2 cases, trauma in 2 cases and one case, each of tuberculosis, corrosive esophagitis, atrial fibrillation, simultaneous pancreas and kidney transplantation, and perforated appendicitis. Of these, there were 14 survivals and 6 mortalities. The fatalities were attributed to progression of disease, intestinal failure-associated liver disease, and sepsis (unrelated to intestinal failure) (2 cases each). Among the 14 surviving patients, 8 patients have been weaned off PN, whereas 6 are still dependent on PN (mean PN dependence 36%). Conclusion: This paper reports the results of multidisciplinary intestinal rehabilitation of adult short bowel patients treated at the Samsung Medical Center. Further studies are required to improve survival and enteral tolerance of these patients.

Smart City Energy Inclusion, Towards Becoming a Better Place to Live

  • Cha, Sang-Ryong
    • World Technopolis Review
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    • 제8권1호
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    • pp.59-70
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    • 2019
  • Where is a better place to live? In the coming era, this should be more than simply a livable place. It should be an adaptable place that has a flexible system adaptable to any new situation in terms of diversity. Customization and real-time operation are needed in order to realize this technologically. We expect a smart city to have a flexible system that applies technologies of self-monitoring and self-response, thereby being a promising city model towards being a better place to live. Energy demand and supply is a crucial issue concerning our expectations for the flexible system of a smart city because it is indispensable to comfortable living, especially city living. Although it may seem that energy diversification, such as the energy mix of a country, is a matter of overriding concern, the central point is the scale of place to build grids for realizing sustainable urban energy systems. A traditional hard energy path supported by huge centralized energy systems based on fossil and nuclear fuels on a national scale has already faced difficult problems, particularly in terms of energy flexibility/resilience. On the other hand, an alternative soft energy path consisting of small diversified energy systems based on renewable energy sources on a local scale has limitations regarding stability, variability, and supply potential despite the relatively light economic/technological burden that must be assumed to realize it. As another alternative, we can adopt a holonic path incorporating an alternative soft energy path with a traditional hard energy path complimentarily based on load management. This has a high affinity with the flexible system of a smart city. At a system level, the purpose of all of the paths mentioned above is not energy itself but the service it provides. If the expected energy service is fixed, the conclusive factor in choosing a more appropriate system is accessibility to the energy service. Accessibility refers to reliability and affordability; the former encompasses the level of energy self-sufficiency, and the latter encompasses the extent of energy saving. From this point of view, it seems that the small diversified energy systems of a soft energy path have a clear advantage over the huge centralized energy systems of a hard energy path. However, some insuperable limitations still remain, so it is reasonable to consider both energy systems continuing to coexist in a multiplexing energy system employing a holonic path to create and maintain reliable and affordable access to energy services that cover households'/enterprises' basic energy needs. If this is embodied in a smart city concept, this is nothing else but smart energy inclusion. In Japan, following the Fukushima nuclear accident in 2011, a trend towards small diversified energy systems of a soft energy path intensified in order to realize a nuclear-free society. As a result, the Government of Japan proclaimed in its Fifth Strategic Energy Plan that renewable energy must be the main source of power in Japan by 2050. Accordingly, Sony vowed that all the energy it uses would come from renewable sources by 2040. In this situation, it is expected that smart energy inclusion will be achieved by the Japanese version of a smart grid based on the concept of a minimum cost scheme and demand response.

파랑특성을 고려한 해운대 해수욕장의 해빈면적 변화에 관한 연구 (Analysis of the Change in the Area of Haeundae Beach Based on Wave Characteristics)

  • 김종범;김종규;강태순
    • 해양환경안전학회지
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    • 제27권2호
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    • pp.324-339
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    • 2021
  • 본 연구에서는 해운대 해수욕장의 내습파랑특성과 해빈면적 변화와의 상관성을 파악하였으며, 파랑특성요소를 독립변수로 설정하고 해빈면적 일변화량을 종속변수로 하는 회귀분석을 수행하여 전체 및 세부구간(서측, 중앙, 동측)에 대한 해빈면적 변화량 산출식을 도출하였다. 도출된 해빈면적 변화량 산출식에 약 10개월의 파랑관측자료를 대입하여 계산된 해빈면적과 실제 관측면적과의 비교를 통해 해빈면적 변화량 산출식의 정확도를 평가하고 해빈면적 변동특성을 분석하였다. 분석 결과, 해빈면적 변화량 산출식의 정확도는 평균 해빈폭 기준 1.5 ~ 2.7 m의 오차를 나타내었으며, 실제 관측면적과의 상관계수는 0.91 ~ 0.94의 분포를 보이며 매우 유사한 해빈면적 변화양상을 나타내었다. 또한, 세부구간별로 해빈면적 변화에 영향을 크게 미치는 파랑특성요소가 서측구간은 파향, 중앙구간은 파고, 동측구간은 파고와 주기인 것을 알 수 있었다. 이를 통해 연안정비사업이 해운대 해수욕장의 해빈면적 변동특성에 미치는 영향 및 연안정비사업의 효과를 파악할 수 있었다. 본 연구에서 도출된 해빈면적 변화량 산출식은 정도 높은 파랑예측자료가 확보될 경우 유의미한 장기간 해빈면적 변화 예측이 가능하므로 연안침식에 대한 선제적 대응 대책 수립 시 의사결정의 근거가 될 수 있는 기초자료 확보에 기여할 수 있을 것으로 기대된다.

저 전력 블루투스 기반으로 의료데이터 전송 시 통신 거리와 연동 장치의 수가 데이터 손실률에 미치는 영향 (The Effect of Communication Distance and Number of Peripheral on Data Error Rate When Transmitting Medical Data Based on Bluetooth Low Energy)

  • 박영상;손병진;손재범;이호열;정유수;송찬호;정의성
    • 대한의용생체공학회:의공학회지
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    • 제42권6호
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    • pp.259-267
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    • 2021
  • Recently, the market for personal health care and medical devices based on Bluetooth Low Energy(BLE) has grown rapidly. BLE is being used in various medical data communication devices based on low power consumption and universal compatibility. However, since data errors occurring in the transmission of medical data can lead to medical accidents, it is necessary to analyze the causes of errors and study methods to reduce data error. In this paper, the minimum communication speed to be used in medical devices was set to at least 800 byte/sec based on the wireless electrocardiography regulations of the Ministry of Food and Drug Safety. And the data loss rate was tested when data was transmitted at a speed higher than 800 byte/sec. The factors that cause communication data error were classified, and the relationship between each factor and the data error rate was analyzed through experiments. When there were two or more activated peripherals connected to the central, data error occurred due to channel hopping and bottleneck, and the data error rate increased in proportion to the communication distance and the number of activated peripherals. Through this experiment, when the BLE is used in a medical device that intermittently transmits biosignal data, the risk of a medical accident is predicted to be low if the number of peripherals is 3 or less. But, it was determined that BLE would not be suitable for the development of a biosignal measuring device that must be continuously transmitted in real time, such as an electrocardiogram.

해상풍력 개발사업의 환경성 평가 협의 지침 개발에 관한 시사점 및 개선안 연구 (A Study on Implications and Improvement Plans for the Developing Consultation Guidelines for Environmental Assessment of Offshore Wind Power Development Projects)

  • 이해미;맹준호
    • 환경영향평가
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    • 제31권6호
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    • pp.449-464
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    • 2022
  • 본 연구는 해상풍력 환경성 평가 협의 지침 개발 과정을 검토하고 이를 토대로 향후 지침 개정을 위한 시사점 및 개선안을 제시하였다. 국내·외 사례 연구는 국내 해상풍력 개발사업 협의 사례 및 환경입지 컨설팅 사례와 국외 해상풍력 관련 지침을 검토하였고 사업별 입지 특성과 주요 환경 이슈를 분석하였다. 해상풍력 관련 주요 환경 이슈로는 조류(새), 소음·진동, 해양 동·식물, 해양물리, 해양수질 및 해저퇴적물, 해양경관, 육상에 설치되는 기타 부대시설 항목이다. 해상풍력 환경성 평가 협의 지침 개정을 위한 시사점 및 개선안은 사업자가 해상풍력 사업 입지 가능 지역을 판단하는데 있어서 중앙정부 차원에서의 자료 제공 및 명확한 가이드라인 제시가 필요하다. 누적영향평가의 중요성이 강조되는 상황에서 해상풍력 환경 이슈에 대한 누적영향평가를 위해서는 국내 상황을 반영한 항목별 누적영향평가 방법론에 대한 가이드라인도 마련되어야 한다. 또한 협의 지침 개정 시에는 해역별 해상풍력단지의 환경조사 및 모니터링 데이터의 축적을 통해 실증 연구사례가 반영되어야한다.

남강댐 선버들 군락이 수질에 미치는 영향 (Effects of Salix subfragilis communities on water quality in Namgang Dam reservoir)

  • 김기흥
    • 한국수자원학회논문집
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    • 제55권12호
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    • pp.1065-1076
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    • 2022
  • 본 연구는 남강댐에서 대규모 선버들 군락의 확장과 고사가 수질에 미치는 영향을 파악하고자 하였다. 선버들 군락의 분포면적은 최초로 2003년에 0.12 km2였으나 2019년에는 3.58 km2로서 16 년 사이에 약 30 배로 급격하게 확장되었다. 그러나, 2013년에는 일부가 고탁도 장기 침수와 선버들 군락 내에서의 자기 솎음질(self-thining)에 의하여 분포면적이 0.17 km2 감소했다. 남강댐 저수지의 호소특성은 평균수심, 유역면적/호수 수면적 비, 체류시간, 회전율 및 성층화 등의 측면에서 호소형과 하천형이 복합적으로 나타났다. 호소수질에 대한 장기변동 특성을 분석한 결과, 대규모 선버들 군락지에서 COD, TP 및 엽록소 a 등이 남강댐 수역의 중앙부에 위치한 3 개 지점에 비하여 현저하게 크게 나타났다. 특히, 엽록소 a의 값이 남강댐 수질측정망 3 개 지점의 경향과 다르게 여름이 아닌 겨울에 최대값을 나타내는 것은 외부의 유입보다는 내부에서 발생된 것으로 사료된다. 이러한 남강댐 저수지에서 수질 악화의 한 가지 원인은 선버들 군락에서 낙엽, 가지 및 고사목 등 부산물의 분해과정에서 발생하는 막대한 양의 영양염류인 것으로 추정할 수 있다.

두꺼비 서식지 적합성 지수(HSI) 모델개발을 위한 연구 (A Study on the Development of "Bufo gargarizans" Habitat Suitability Index(HSI))

  • 조근영;구본학
    • 한국환경복원기술학회지
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    • 제25권2호
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    • pp.23-38
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    • 2022
  • This study investigates the characteristics and physical habitat requirements for each Bufo gargarizans life history through a literature survey. After deriving variables for each component of Bufo gargarizans, in order to reduce regional deviations from eight previously studied literature research areas for deriving the criteria for variables, a total of 12 natural habitats of Bufo gargarizanss are selected as spatial ranges by selecting four additional sites such as Umyeonsan Ecological Park in Seoul, Wonheungibangjuk in Cheongju in the central region, Changnyeong Isan Reservoir in the southern region, and Mangwonji in Daegu. This study presents Bufo gargarizans SI, a species endemic to Korea, whose population is rapidly declining due to large-scale housing site development and road development, and develops a Bufo gargarizans HSI model accordingly to improve the function of the damaged Bufo gargarizans habitat and to present an objective basis for site selection of alternative habitat. At the same time, it provides basic data for adaptive management and follow-up monitoring. The three basic habitat requirements of amphibians, the physical habitat requirements of Bufo gargarizans, synthesized with shelter, food, and water, and the characteristics of each life history, are classified into five components by adding space and threats through literature research and expert advice. Variables are proposed by synthesizing and comparing the general characteristics of amphibians, among the previously studied single species of amphibians, the components of HSI of goldfrogs and Bufo gargarizans, and the ecological and physical environmental characteristics of Bufo gargarizans. Afterwards, through consultation with an amphibian expert, a total of 10 variables are finally presented by adjacent forest area(ha), the distance between spawning area and the nearest forest land(m), the soil, the distance from the wetland(m), the forest layered structure, the low grassland space, the permanent wetland area(ha), shoreline slope(%), PH, presence of predators, distance from road(m), presence or absence of obstacles. n order to derive the final criteria for each of the 10 variables, the criteria(alternative) for each variable are presented through geographic information analysis of the site survey area and field surveys of the previously studied literature research area. After a focus group interview(FGI) of 30 people related to the Bufo gargarizans colony in Cheongju, a questionnaire and in-depth interviews with three amphibians experts are conducted to verify and supplement the criteria for each final variable. Based on the finally developed Bufo gargarizans HSI, the Bufo gargarizans habitat model is presented through the SI graph model and the drawing centering on the Bufo gargarizans spawning area