• The Journal of Internal Korean Medicine
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• v.28 no.4
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• pp.863-871
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• 2007

Objects : To gain better insights of East-west integrated treatment of ischemic stroke. We analyzed 89 patients with severe acute ischemic stroke who were admitted to the East-west integrated intensive care unit. Methods : Subjects enrollment was from the East-west integrated intensive care unit of Kyung Hee Medical Center from March 2006 to February 2007. Patients were admitted within 14 days after the onset of ischemic stroke. We assessed the subjects' general characteristics, risk factors, admitting routes and periods, diagnostic imaging, process of western treatment and Korean traditional treatment, complication and consequence. Results : The proportion of males was 50.6%, of females 49.4%, average age was male 66.0$\pm$10.3 and female 71.1$\pm$10.5. Average length of hospital stays was 19.5 days. Monthly admissions were highest in November and December. The admission route was through emergency room (61.8%) or ward (34.8%). Mean Glasgow coma scale score was 10.0$\pm$2.5, average time from symptom of onset to hospital admission was 2.3$\pm$2.2 days. Dominant ischemic vascular territory was middle cerebral artery (66.3%). Initial western treatment was argatroban (22.5%), urokinase (28.1%), and heparinization (38.2%). Distribution of Sasang constitution of So-yang to Tae-eum to So-eum was equal to 5.4 to 2.9 to 1.5. Major complications were observed in 40 (42.7%) patients. In hospital mortality was 12.4% (11 deaths), all of them caused by aggravation of neurological deficit and only 3 of them with major complications. There appears to be a significant positive relationship between length of hospital stay and occurrence of complications (P<0.05). After discharge from the ICU, 64 (71.9%) patients were improved, 11 (12.4%) patients had expired, and 14 (15.8%) patients were transferred. Conclusions : From this study, we suggest that patients with severe acute ischemic stroke should be treated with East-west integrated therapy for more favorable consequences and decreased mortality.

• The Journal of Internal Korean Medicine
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• v.39 no.3
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• pp.350-362
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• 2018

Objectives: By analyzing the characteristics and the distribution of diseases of patients who visited the emergency room of a Korean medical hospital, we sought to determine the methods of activating the Korean emergency medical system and to use this analysis as a basis for future research. Methods: We conducted a retrospective review of 959 patients who visited the emergency department of the Dong-Eui University Korean Medical Hospital from January 2016 to December 2016. The review was conducted using electronic medical records created during the emergency department visit. Results & Conclusions: In distribution of sex, the rate of males was 47.9%, and that of females was 52.1%. In distribution of age, the greatest number of patients were in their 50s (27.5%), followed by those in their 60s (19.9%) and 40s (14.8%). In distribution of residence, most patients were from Busan (84.9%). In distribution of week, more patients visited the emergency room on Sundays and holidays (44.3%). September was the busiest month (12.5%). Visits usually occurred during daytime and nighttime, and there were few visits at dawn. In the analysis of the time interval between onset of symptoms and the emergency room visit, most patients visited within 24 hours (46.5%). In the distribution of diseases, facial palsy was the most common (34.6%). In the systematic distribution of diseases, circulatory diseases were the most common (56.7%), followed by diseases of the musculoskeletal system (28.6%). The rate of first emergency room visit was 52.9%, and the rate of revisit was 47.1%. The rate of hospitalization after emergency room treatment was 27.5%, and the rate of discharge was 72.4%. The rate of revisit was 63.4%. In the distribution of treatment before arrival at the emergency room, direct was the most common (51.0%), and the outpatient department of western medicine was next. In the distribution of treatment in the emergency room, acupuncture was the highest (91.4%), followed by herb-med (43.0%).

• Korean Journal of Environmental Agriculture
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• v.17 no.4
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• pp.329-334
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• 1998

This study was conducted in order to investigate removal rate of organic matter, nitrogen and phosphorus to reduce environmental polluation with treatment to attach combined septic tank to 3 stage soil filter after mixing anaerobic treated water of livestock wastewater and low concentrated wastewater generated in farm house. Because anaerobic filter bed was packed in combined septic tank and a microorganism was accumulated in combined septic tank with increasing hydraulic retention time(HRT), if HRT $4{\sim}12day$, CODcr was removed $63.4{\sim}84.0%$. Also, $NH_4\;^+-N$ and $PO_4\;^{3-}-P$ were removed $3.9{\sim}5.4%$ and $18.3{\sim}29.0%$, respectively. In being re-treated by 3 stage soil filter, although hydraulic loading rate was gradually increased, CODcr, $NH_4\;^+-N$ and $PO_4\;^{3-}-P$ were removed above 90% due to filtration, adsorption, ion exchange, and action of soil microorganism. Generally, the attached treatment of combined septic tank and 3 stage soil filter did suitably treat livestock wastewater to water standard of discharge applied from '96 year, in view of decreasing pollution loading amount and recycling of agricultural water.

• Journal of Korean Society of Environmental Engineers
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• v.27 no.9
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• pp.917-922
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• 2005

The wastewaters from textile and dyeing industries are difficult to treat due to its high pH, temperature, color intensity and non-biodegradable organic contents. This study investigated the removal of recalcitrant organics in a dyeing wastewater by using a packed bed reactor (PBR) that contained cell-immobilized pellets. The feed, obtained from an effluent of a biological treatment plant, had $SCOD_{Cr}$ of 330 mg/L and $SBOD_5$ of 20 mg/L on average. In immobilizing the cells to a Polyethylene Glycol(PEG) based medium, activated sludges from either a sewage treatment plant or an industrial wastewater treatment plant were used. When the empty bed contact time (EBCT) was above 8 hrs in the PBR, the $COD_{Cr}$ removal efficiency was over 50% and the $COD_{Mn}$ concentration was 72 mg/L or lower on average, which was substantially lower than the discharge standard of 90 mg/L. The results indicated that the optimum EBCT in the PBR was 8 hrs. The PBR with cell-immobilized pellets was effective as an advanced treatment process after an activated sludge process for treating dyeing wastewaters.

• Journal of the Korean Society for Marine Environment & Energy
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• v.4 no.4
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• pp.12-20
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• 2001

The temporal variability in near-field mixing characteristics of discharging plumes in oceanic environment was investigated using the time series data of the buoyant jet parameters. Based on the currents and density profiles observed in Masan outfall site and effluent discharge flowrates for 63days of summer season, the temporal variabilities and those occurrence frequency were obtained by line plume equations. The results show that wide range of variability in Masan outfall's mixing characteristics was found due to the temporal changes of effluent flowrates and ambient oceanic conditions. The near-field dilution was in the range of 30~71 with the averaged dilution of 34, which was a good agreement with field measurements of salinity deficit. The length of mixing zone was in the range of 5.4~36.2 m with the average of 9.5 m, and the plume rise height was in the range of 8.1~10.2 m with the average of 8.9 m. However, only the 30~44% of the whole results are higher than the averages, which indicates the necessity of this frequency analysis with the continuously measured data for designing and managing the ocean outfall system.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.12
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• pp.262-269
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• 2016

This study examined the influent of a sulfur denitrification reactor using nitrified effluent from a batch type reactor. The denitrification efficiency was compared according to the injection type. The nitrogen removal effects were compared with the changes in the EBCT and nitrogen concentration of the influent to determine the optimal operation conditions with the selected injection type. A denitrification efficiency evaluation of a reactor according to the change in injection type and up-flow was performed using a lower organic concentration of the effluent than the down-flow because of the re-precipitation of desorbed microbes and spilled solids. In the up-flow type, organics were controlled by the low concentration than the down-flow type because of solid re-precipitation. The T-N removal efficiency of the up-flow type was 73.3~90.2%, which was more that 10% higher that down-flow type. This means that the up-flow type has a great advantage in removing T-N and organics. The T-N removal efficiency by EBCT at 1hr was 47.3%, and was 88.1% and 90.5% by EBCT 3hr and 5hr, respectively. Therefore, the optimal operation conditions to remove nitrogen was considered to be EBCT for 3hr. After careful consideration of rule of law and T-N removal effects, the T-N load factor in the reactor should remain below $0.443kgT-N/m^3{\cdot}day$ to maintain the legal total nitrogen concentration for discharge, which is 20mg/L.

• Journal of Veterinary Clinics
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• v.18 no.2
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• pp.139-145
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• 2001

This study was undertaken to determine the normal serial ultrasonographic appearance of the postpartum uterine involution in small pet dogs (Yorkshire terrier and Maltese). Postpartum changes in uterine shape, architecture, echogenicity and diameter were monitored by ultrasonography in 12 small pet dogs. Serial ultrasonographic examinations were done daily during the first week, 3 days interval from 8 to 30 days, and weekly from 31 to 100 days postpartum. The excretory period of vaginal discharge in 12 normal bitches of uterine involution was finished completely within 3 weeks postpartum. The short axis shape of the uterus was initially often flaccid-appearing. It varied from circular to polygonal. This lasted until 15.75$\pm$3.84 days postpartum, during which time the short axis uterine shape gradually changed to circular. Also, the long axis shape of the uterus was a beaded appearance until 30.89$\pm$4.25 days postpartum. After 30 days, it was appeared as tubular shape between placental and interplacental sites. The ultrasonographic image of the postpartum uterus consisted of four echogenicity distinct layers. Uterine wall was represented as very hyperechoic serosa, hypoechoic myometrium, hyperechoic endometrium and anechoic structures of fluid in the uterine cavity until 7 days postpartum. The individual uterine layers were most prominent during the first week postpartum, and they became progressively less distinct throughout the course of uterine involution. The thickness of myometrium was decreased rapidly in the placental sites from 4.47$\pm$1.42 mm at 1 day to 1.92$\pm$0.26 mm at 16 day, and in the interplacental sites from 3.19$\pm$0.61 mm at 1 day to 1.39$\pm$0.61 mm at 16 day. And it was decreased slowly until 94 day and was been minimum thickness at 94 day. The thickness of endometrium was also decreased like that of myometrium. The uterine diameter in the placental sites was decreased from 22.28$\pm$3.01 mm at 1 day to 16.11$\pm$1.46 mm at 7 day, and in the interplacental sites was decreased from 13.65$\pm$2.34 mm at 1 day to 9.41$\pm$1.59 mm at 7 day postpartum. From 7 day to 93 day, the change of diameter was more and more slow. At 94 days postpartum, the uterine diameter was 5~6 mm both placental and interplacental sites, and the uterine horns were uniform hypoechoic, tubular structures without enlargement. Therefore, complete involution of the uterus occurred at 94 days. It was concluded that normal post partum uterine involution in small pet dogs appeared to be completed 94 days postpartum by gross findings such as vaginal discharges, and by ultrasonographic findings, uterine shape and echogenicity.

• Journal of Korean Society on Water Environment
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• v.32 no.3
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• pp.271-280
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• 2016

The aim of this study was to analyze spatial and temporal patterns of bacterial pollution levels and the relationship between bacterial pollutants and environmental parameters at the main stream and tributaries of Nakdong River. Water quality data including total coliform and fecal coliform were compiled from a total of 50 monitoring sites (30 at the main stream and 20 at the tributaries) along with rainfall and discharge data for three consecutive years from 2012 to 2014. During the study periods, the geometric mean values of total coliforms and fecal coliforms in the main stream were 74 (22~465) CFU/100 mL and 8 (3~42) CFU/100 mL, respectively. The geometric mean values of total coliforms and fecal coliforms in the tributaries were 275 (36~5,145) CFU/100 mL and 6 (1~1,352) CFU/100 mL, respectively. High concentrations of fecal coliforms were observed at Gumi (M 10), Hyeonpung (M 19), Hapcheon (M 23), and Namji (M 25) in the main stream, whereas Gamcheon (T 6), Bakcheon (T 7), Geumho-gang (T 8), and Gyeseongcheon (T 16) were identified as pollution hot spots in the tributaries. Although bacterial pollution levels showed complex behavior across monitoring sites and time, the highest coliform concentrations were routinely observed in the monsoon season between July and September of each year, indicating that the pollution levels were strongly dependent on precipitation in addition to other physiochemical parameters. Statistically significant correlations were found between fecal coliform concentrations and precipitation (r=0.403, p<0.01), followed by SS (r=0.425, p<0.01), nutrient TP (r=0.388, p<0.01), organic matter COD (r=0.322, p<0.01), and PO₄-P (r=0.317, p<0.01) in the main stream in the order of correlation coefficient from high to low.

• Journal of Chest Surgery
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• v.31 no.12
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• pp.1212-1216
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• 1998

Background: Recently thoracoscopic surgery is widely applied in thoracic surgical field and hyperhidrosis is one of the most frequently operated diseases. Material and Method: From June 1997 to February 1998, 30 patients with hyperhidrosis underwent bilateral thoracic sympathectomy under thoracoscopy at Inje University Sanggye Paik Hospital. There were 10 males and 20 females whose mean age was 22.42±6.84 years ranging from 17 to 51. All patients underwent bilateral thoracic sympathectomy under semi-sitting position and two 5 mm sized trocars were inserted. Result: Mean operation time was 52.32±11.72 minutes and the mean elevation of palmar temperature after sympathectomy was 2.17±0.47℃. Eighteen patients(60%) complained compensatory hyperhidrosis. All patients except one were able to discharge at the operation day or postoperative one day. There were no recurrence during follow up from 2 to 8 months(mean 5.30±2.17 months). Conclusion: Thoracoscopic sympathectomy is simple and effective technique in hyperhidrosis and widely applied indication will be necessary. We conclude that further discussion should be made about the resection area and method to get maximal effect and minimal side effect.

• Journal of Korea Water Resources Association
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• v.42 no.10
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• pp.891-896
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• 2009

The puff models have been developed to simulate the advection-diffusion processes of dredging suspended solids, either alone or in combination with Eulerian models. Computational efficiency and accuracy are of prime importance in designing these hybrid approaches to simulate a pollutant discharge, and we characterize two relatively simple Lagrangian techniques in this regard: forward Gaussian puff tracking (FGPT), and backward Gaussian puff tracking (BGPT). FGPT and BGPT offer dramatic savings in computational expense, but their applicability is limited by accuracy concerns in the presence of spatially variable flow or diffusivity fields or complex no-flux or open boundary conditions. For long simulations, particle and/or puff methods can transition to an Eulerian model if appropriate, since the relative computational expense of Lagrangian methods increases with time for continuous sources. Although we focus on simple Lagrangian models that are not suitable to all environmental applications, many of the implementation and computational efficiency concerns outlined herein would also be relevant to using higher order particle and puff methods to extend the near field.