• Title/Summary/Keyword: ENT

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A Clinical Analysis of Foreign Bodies in the ENT Field in Cheongju Area (청주지역의 이비인후과영역의 이물에 대한 임상통계)

  • 추무진;김종욱;양승덕;최영석;신시옥
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.116-121
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    • 1995
  • The foreign bodies in the ENT field are very common disease. The kind of foreign bodies are closely related with our life style and was represented according to culture, habit, and economical status. We analyzed retrospectively 272 cases with foreign bodies in the upper aerodigestive tract and the external auditory canal which were diagnosed and managed at the Department of Otolaryngology Chungbuk National University from Jan. 1992 to Dec. 1994. We could divided 272 cases to the three groups; Group I was 212 cases(77.9%) that the patients had foreign bodies in the external auditory canal, nasal cavity, and pharynx which didn't need to be admitted, Group II was 57 cases(22%) that the patients had esophageal foreign bodies, and Group III was 3 cases(1.1%) that the patients had bronchial foreign bodies. The most prevalent age group was under 5 years old(32.3%). The overall ratio of male and female was 1.24 : 1, and the overall ratio of urban and rural ratio was 2.31 : 1. The ratio of esophageal foreign bodies and bronchial foreign bodies was 19 : 1. The incidence of sorts of foreign bodies in Group I was fish bone(41.07%), insect(25.9%), plastic bullet(8.0%), in order of frequency. The locations of foreign bodies in Group I was external auditory canal(36.8%), the tonsil(26.9%), nasal cavity(17.0%), tongue base(10.4%) in order of frequency. The incidence of sorts of foreign bodies in Group II was coin(49.1%), chicken bone(17.5%), fish bone(15.8%), in order of frequency. The main location of foreign bodies in Group II was the first narrowing(78.9%). In the Group III, the foreign bodies were corn, peanut, and apple. One patient who was arrived too late was died.

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Evaluating membrane fouling and its field applicability under different physical cleaning conditions in MBRs (MBR 공정에서 물리세정 조건에 따른 막 오염 제어 성능 평가와 현장 적용성에 관한 연구)

  • Park, Jeonghoon;Kim, Hyungsoo;Park, Kitae;Park, Jungwoo;Park, Sekeun;Kang, Heeseok;Kim, Jihoon
    • Journal of Korean Society of Water and Wastewater
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    • v.30 no.5
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    • pp.605-612
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    • 2016
  • Membrane bioreactors (MBRs) employ a process of biological treatment that is based on a membrane that has the advantages of producing high-quality treated water and possessing a compact footprint. However, despite these advantages, the occurrence of "fouling" during the operation of these reactors causes the difficulty of maintenance. Hence, in this study, three physical cleaning methods, namely, backwashing, air scrubbing, and mechanical cleaning ball was performed to identify optimum operating conditions through laboratory scale experiments, and apply them in a pilot plant. Further, the existing MBR process was compared with these methods, and the field applicability of a combination of these physical cleaning methods was investigated. Consequently, MCB, direct control of cake fouling on the membrane surface was found to be the most effective. Moreover, as a result of operating with combination of the physical cleaning process in a pilot plant, the TMP increasing rate was found to be - 0.00007 MPa/day, which was 185% higher than that obtained using the existing MBR process. Therefore, assuming fouling only by cake filtration, about one year of operation without chemical cleaning is considered to be feasible through the optimization of the physical cleaning methods.

Patterns of Antibiotic Usage in Clinics and Pharmacy after Separation of Dispensary from Medical Practice (의약분업 이후 의원 및 약국에서의 항생제 사용 실태)

  • Song, Yun-Kyoung;Lee, Hyun-Kyung;Ji, Eun-Hee;Oh, Jung-Mi
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.4
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    • pp.332-338
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    • 2011
  • This study aimed to investigate the prescription of antibiotics in clinics, and evaluate their usage appropriateness after the 2000 Korean separation of dispensary from medical practice. A retrospective study was performed on the antibiotic use for 4 years from August 2000 to July 2004 in three clinics (general, internal medicine and ear-nose-and-throat (ENT) clinics). Moreover, prescription of antibiotics for acute upper respiratory infection (AURI), concomitant drugs, duplicate antibiotics and patient adherence were assessed for 260 patients experienced AURI in a pharmacy. The prescription rates of antibiotics amongst the whole prescription decreased annually during the study period, but those in ENT clinic still constituted more than 90%. The usage of penicillins declined, but that of broad spectrum antibiotics such as amoxicillin/clavulanic acid and 1st/2nd generation cephalosporins increased. Moreover, the categories of antibiotics for the same indication were different among the clinics. For patients with AURI, the more antibiotics were prescribed as its missing days and days under its therapeutic dose increased. The drug interactions with concomitant drugs decreased annually, but the use of duplicate antibiotics was similar across the period. Potential inappropriate antibiotic use was common after the Korean policy, so the observation of pharmacists needs in addition to the patients and practitioners' attention.

Species Distribution Modeling of Endangered Mammals for Ecosystem Services Valuation - Focused on National Ecosystem Survey Data - (생태계 서비스 가치평가를 위한 멸종위기 포유류의 종분포 연구 - 전국자연환경조사 자료를 중심으로 -)

  • Jeon, Seong Woo;Kim, Jaeuk;Jung, Huicheul;Lee, Woo-Kyun;Kim, Joon-Soon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.17 no.1
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    • pp.111-122
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    • 2014
  • The provided habitat of many services from natural capital is important. But because most ecosystem services tools qualitatively evaluated biodiversity or habitat quality, this study quantitatively analyzed those aspects using the species distribution model (MaxEnt). This study used location point data of the goat(Naemorhedus caudatus), marten(Martes flavigula), leopard cat(Prionailurus bengalensis), flying squirrel(Pteromys volans aluco) and otter(Lutra lutra) from the 3rd National Ecosystem Survey. Input data utilized DEM, landcover classification maps, Forest-types map and digital topographic maps. This study generated the MaxEnt model, randomly setting 70% of the presences as training data, with the remaining 30% used as test data, and ran five cross-validated replicates for each model. The threshold indicating maximum training sensitivity plus specificity was considered as a more robust approach, so this study used it to conduct the distribution into presence(1)-absence(0) predictions and totalled up a value of 5 times for uncertainty reduction. The test data's ROC curve of endangered mammals was as follows: growing down goat(0.896), otter(0.857), flying squirrel(0.738), marten(0.725), and leopard cat(0.629). This study was divided into two groups based on habitat: the first group consisted of the goat, marten, leopard cat and flying squirrel in the forest; and the second group consisted of the otter in the river. More than 60 percent of endangered mammals' distribution probability were 56.9% in the forest and 12.7% in the river. A future study is needed to conduct other species' distribution modeling exclusive of mammals and to develop a collection method of field survey data.

The biodiversity representation assessment in South Korea's protected area network (보호지역 관리를 위한 생물다양성 평가)

  • Choe, Hye-Yeong;James H., Thorne;Joo, Woo-Yeong;Kwon, Hyuk-Soo
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.23 no.1
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    • pp.77-87
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    • 2020
  • National parks and other protected areas often do not adequately protect national biodiversity because they were originally created for socio-economic and/or aesthetic values. The Korean government has committed to expanding the extent of protected areas to fulfill its commitments to the Aichi Biodiversity Convention. To do so, it is necessary to quantify the current levels of biodiversity representation within existing protected areas and to identify additional conservation needs for vulnerable species and ecological systems. In this study, we assess the proportion of species ranges found in South Korea's protected areas, for the species documented in the 3rd National Ecosystem Survey. We modeled the range distribution of 3,645 species in the following taxonomic groups; plants (1,545 species), mammals (35), birds (132), herptiles (35), and insects (1,898) using the MaxEnt species distribution model and calculated how much of each species' range is within protected areas. On average, 17.4% of plant species' ranges are represented in protected areas, while for mammals and insects an average 12.0% is currently conserved. Conservation representation for herptiles averages 9.3%, while it is 8.6% for birds. Although large proportions of species that have restricted distributions should be represented in protected areas, 17 plant species, two insects (Parnassius bremeri and Lasioglossum occidens), and one bird species (Phylloscopus inornatus) with ranges smaller than 1,000 ㎢ have less than 10% of their ranges within protected areas. Establishing specific conservation goals such as the protection of endangered species or vulnerable taxonomic groups will increase the efficiency of the biodiversity conservation strategies. In addition, lowland coastal areas are critical for biodiversity conservation because the protected areas in South Korea are mainly composed of high mountainous areas.

Predicting the Suitable Habitat of Invasive Alien Plant Conyza bonariensis based on Climate Change Scenarios (기후변화 시나리오에 의한 외래식물 실망초(Conyza bonariensis)의 서식지 분포 예측)

  • Lee, Yong-Ho;Oh, Young-Ju;Hong, Sun-Hea;Na, Chea-Sun;Na, Young-Eun;Kim, Chang-Suk;Sohn, Soo-In
    • Journal of Climate Change Research
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    • v.6 no.3
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    • pp.243-248
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    • 2015
  • This study was conducted to predict the changes of potential distribution for invasive alien plant, Conyza bonariensis in Korea. C. bonariensis was found in southern Korea (Jeju, south coast, southwest coast). The habitats of C. bonariensis were roadside, bare ground, farm area, and pasture, where the interference by human was severe. Due to the seed characteristics of Compositae, C. bonariensis take long scattering distance and it will easily spread by movement of wind, vehicles and people. C. canadensis in same Conyza genus has already spread on a national scale and it is difficult to manage. We used maximum entropy modeling (MaxEnt) for analyzing the environmental influences on C. bonariensis distribution and projecting on two different RCP scenarios, RCP 4.5 and RCP 8.5. The results of our study indicated annual mean temperature, elevation and temperature seasonality had higher contribution for C. bonariensis potential distribution. Area under curve (AUC) values of the model was 0.9. Under future climate scenario, the constructed model predicted that potential distribution of C. bonariensis will be increased by 338% on RCP 4.5 and 769% on RCP 8.5 in 2100s.

Prediction of the Suitable Habitats of Marine Invasive Species, Ciona robusta based on RCP Scenarios (RCP 시나리오에 따른 해양교란생물 유령멍게(Ciona robusta)의 서식지 분포 예측)

  • Park, Ju-Un;Hong, Jinsol;Kim, Dong Gun;Yoon, Tae Joong;Shin, Sook
    • Korean Journal of Environmental Biology
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    • v.36 no.4
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    • pp.687-693
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    • 2018
  • The active development of the global marine trade industries has been known to increase the inflows of marine invasive species and harmful organisms into the ecosystem, and the marine ecological disturbances. One of these invasive species, Ciona robusta, has now spread to the Korea Strait, the East Sea, and Jeju Island in connection with the climate change but not the Yellow Sea in Korea. Currently, the spread and distribution of C. robusta is increasingly damaging aquaculture and related facilities. Therefore, this study aims to identify the spread of C. robusta and potential habitats and to secure a data for the prevention of effective management measures due to climate change as well as damage the reduction in future through the prediction of spread. We used environmental variables in BioOracle. Also, the potential habitat and distribution of C. robusta was predicted using MaxEnt, a species distribution model. Two different RCP scenarios(4.5 and 8.5) were specified to predict the future distributions of C. robusta. The results showed that the biggest environmental factor affecting the distribution of C. robusta was the salinity as well as the highest distribution and potential habitats existent in the East Sea and around Jeju Island.

Stream Cipher Algorithm using the Modified S-box (변형된 S박스를 이용한 스트림 암호 알고리즘)

  • 박미옥;최연희;전문석
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.13 no.5
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    • pp.137-145
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    • 2003
  • Nowadays, people can communicate with each other on any time at my place by development of wireless communications. But, the openness of mobile communications Poses serious security threats and the security is necessary on mobile communications to support the secure communication channel. The most commonly method is stream cipher for mobile communications. Generally, this stream cipher is implemented by LFSR(Linear Feedback Shift Register). On this paper proposes the modified mechanism of the S box is usually used in block cipher to advance security og the stream cipher and this mechanism is the modified three one in consideration og the randomness. Generally, S box that is function with nonlinear property makes data more strong by attack. The randomness test of the proposed algorithm is used Ent Pseudorandom Number Sequence Test Program and by the test result it proves that it has better randomness and serial correlation value than the based stream cipher on respective test.

Tracheostomy Performed by a Head and Neck Surgeon Under the Supervision of an Intensive Care Unit Specialists in the COVID-19 Era: A Retrospective Analysis (COVID-19 시대에 중환자실 전담의사 감독 하에 두경부 전문의에 의해 시행된 기관절개술에 대한 후향적 분석 연구)

  • Han, Won Ho;Lee, Yun Im;Baek, Sunhwa;Seok, Jungirl
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.2
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    • pp.97-102
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    • 2022
  • Background and Objectives Tracheostomy is a relatively safe procedure, and the recent emergence of COVID-19 has raised the need to perform tracheostomy immediately in the bed of an intensive care unit (ICU) rather than an operating room. The purpose of this study was to determine the occurrence of complications related to surgical tracheotomy performed in the ICU by an ENT specialist. Materials and Method From March 2019 to January 2022, a total of 101 patients underwent tracheostomy in the ICU. Demographics and complications were classified according to postoperative period. Results Within 24 hours after the procedure, bleeding events were confirmed in 2 patients (2.0%) with mild bleeding. One case (1.0%) of ventricular fibrillation occurred shortly after the procedure. There were no complications from 24 hours to 1 week after procedure. After one week, 4 patients (4.5%) had a local infection, and 3 patients (3.4%) had a tube obstruction. During all follow-up periods, there were no serious side effects such as death, major vascular injury, pneumothroax. No complications were observed throughout the entire period in 6 COVID-19 patients. Conclusion The number of complications of surgical tracheotomy in the ICU performed by a specialist was lower than in previous studies, and there were no complications that delayed treatment or endangered life. The ENT training hospitals should provide sufficient training opportunities for residents to perform surgical tracheostomy and strive to minimize complications associated with the procedure and pre- and post-operative management under the detailed guidance and supervision of specialists.

Selection and Management Strategies for Restoration and Conservation Target Sites of Mankyua chejuense using Species Distribution Models (종 분포 모형을 활용한 제주고사리삼의 복원 및 보전 대상지 선정과 관리방안)

  • Lee, Sang-Wook;Jang, Rae-Ik;Oh, Hong-Shik;Jeon, Seong-Woo
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.26 no.3
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    • pp.29-42
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    • 2023
  • As the destruction of habitats due to recent development continues, there is also increasing interest in endangered species. Mankyua chejuense is a vulnerable species that is sensitive to changes in population and habitat, and it has recently been upgraded from Endangered Species II to Endangered Species I, requiring significant management efforts. So in this study, we analyzed the potential habitats of Mankyua chejuense using MaxEnt(Maximum Entropy) modeling. We developed three models: one that considered only environmental characteristics, one that considered artificial factors, and one that reflected the habitat of dominant tree species in the overstory. Based on previous studies, we incorporated environmental and human influence factors for the habitats of Mankyua chejuense into spatial information, and we also used the habitat distribution models of dominant tree species, including Ulmus parvifolia, Maclura tricuspidata, and Ligustrum obtusifolium, that have been previously identified as major overstory species of Mankyua chejuense. Our analysis revealed that rock exposure, elevation, slope, forest type, building density, and soil type were the main factors determining the potential habitat of Mankyua chejuense. Differences among the three models were observed in the edges of the habitats due to human influence factors, and results varied depending on the similarity of the habitats of Mankyua chejuense and the dominant tree species in the overstory. The potential habitats of Mankyua chejuense presented in this study include areas where the species could potentially inhabit in addition to existing habitats. Therefore, these results can be used for the conservation and management planning of Mankyua chejuense.