• Tuberculosis and Respiratory Diseases
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• v.68 no.3
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• pp.140-145
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• 2010

Background: Pulmonary embolism (PE) is a common clinical problem in the West that is associated with substantial morbidity and mortality. The diagnostic modality has been changed since 2001. This study retrospectively reviewed the PE mortality with the aim of identifying the risk factors associated with mortality since the multidetector computed tomography (MDCT) was introduced. Methods: We analyzed 105 patients with acute PE proven by multidetector CT or ventilation perfusion scan. The primary outcome measure was the all-cause mortality at 3 months. The prognostic effect of the baseline factors on survival was assessed by multivariate analysis. Results: The main risk factors were prolonged immobilization, stroke, cancer and obesity. Forty nine percent of patients had 3 or more risk factors. The overall mortality at 3 months was 18.1%. Multivariate analysis revealed low diastolic blood pressure and the existence of cancer to be independent factors significantly associated with mortality. Forty two PE patients were examined for the coagulation inhibitors. Four of these patients had a protein C deficiency (9.5%), and 11 had a protein S deficiency (26%). Conclusion: PE is an important clinical problem with a high mortality rate. Close monitoring may be necessary in patients with the risk factors.

• Journal of Environmental Health Sciences
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• v.38 no.6
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• pp.482-492
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• 2012

Objectives: The main purpose of this study is to produce background data which can be compared with data on vulnerable areas such as industrial complexes in Ulsan, SihwaBanwol, Gwangyang, Yeosu, Pohang, Cheongju and Daesan in Korea. Methods: This study was performed on 1,007 local residents in Gangneung using personal questionnaires and medical check-up. Environmental pollutants including heavy metals in blood and urine were analyzed and the results are as follows. Results: According to the results of medical check-up, 705 subjects were "Normal (A and B)", 232 subjects were "Disease doubtful (R1)" and 70 subjects were "High blood pressure or Diabetes doubtful (R2)". Regarding geometric mean concentration, blood lead was 1.57 ${\mu}g/dL$, urine cadmium was 0.82 ${\mu}g/g-cr$, urine mercury was 0.98 ${\mu}g/g-cr$ and urine arsenic was 15.78 ${\mu}g/g-cr$. In the analysis of 11 kinds of VOCs in blood, vinyl chloride, 1,3-butadiene and dichloroethylene were not detected, while the detection rate of other chemicals was above 70% except chloroform(49.7%) and trichloroethylene(19.0%). In analysis of 16 kinds of PAHs in blood, 10 kinds showed more than 80% in detection rate. Also, detection rate of 4 kinds of PCBs in blood ranged 52 to 78%. Conclusions: Compared with industrial compelxes, the concentration of blood lead was lower, while urine cadmium and mercury levels were similar. Also, urine arsenic ranged at a significant level. Further study is required to find the cause of regional differences in concentrations of environmental pollutants.

• Journal of Yeungnam Medical Science
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• v.11 no.1
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• pp.49-54
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• 1994

Postoperative brain damage is one of most serious complications of cardiopulmonary bypass (CPB). To prevent brain damage during CPB, adequate cerebral perfusion for cerebral oxygen demand should be maintained. This study monitored jugular venous oxyhemoglobin saturation ($SjO_2$), which reflects the overall balance of cerebral oxygen supply and demand, intermittently in 10 patients undergoing cardiac surgery. At the initiation of CPB, in spite of a significant decrease in mean arterial pressure, $SjO_2$ did not change, and it was stable during the hypothermic period of CPB. But a significan reduction in $SjO_2$ was observed during the rewarming period, and $SjO_2$ had an inverse linear correlation with esophageal temperature. Furthermore, the percent decrease of $SjO_2$ was related to rewarming speed. Therefore, therapeutic approaches for $SjO_2$ desaturation include slower rewarming, increasing cerebral blood flow, decreasing the cerebral metabolic rate for oxygen, increasing oxygen content, and increasing perfusion flow rate.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.8
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• pp.3753-3756
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• 2014

Background: Cervical cancer is relatively common in Thai women, but the proportion of females receiving Pap smear screening is still low. Objective: The purpose of this cross-sectional study was to study factors related to cervical cancer screening uptake by Hmong hilltribe women in Lomkao District, Phetchabun Province. Materials and Methods: Interview data were collected from 547 of these women aged 30-60 years living in the study area and analyzed using multiple logistic regression. Results: The results showed that 64.9% of the study sample had received screening, and that 47.2% had attended due to a cervical screening campaign. The most common reason given for not receiving screening was lack of time (21.4%). The factors found to be positively associated with uptake (p value <0.05) were as follows: number of years of school attendance (OR=1.56, 95%CI:1.02-2.38), animistic religious beliefs (OR=0.55, 95%CI:0.33-0.91), a previous pregnancy (OR=6.20, 95%CI:1.36-28.35), receipt of information about cervical cancer screening (OR=2.25, 95%CI:1.35-3.76), and perceived risk of developing cervical cancer (OR=1.83, 95%CI:1.25-2.67). Conclusions: To promote the uptake of cervical screening, Hmong hilltribe women need to know more about cervical cancer and cervical cancer screening, and access to screening services should be provided in conjunction with existing everyday services, such as family planning and routine blood pressure monitoring or diabetes services.

• Korean Journal of Adult Nursing
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• v.28 no.2
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• pp.237-245
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• 2016

Purpose: The aim of this study was to examine the effects of an Advanced Practice Nurse (APN)-led self-management program on cardiovascular health status among Korean women at risk of developing or progressing cardiovascular disease. Methods: This pilot study used one-group pre- and post- test experimental design. At health fairs in a community, 30 women who had one or more risk factors for metabolic syndrome were recruited and agreed to participate in the study. A total of 25 women completed the study. The intervention consisted of weekly follow-up calls and self-monitoring diary after an hour of individual counseling regarding risk factors, fast walking, and healthy diet tailored to the participants' needs. Physical activity was assessed with the World Health Organization International Physical Activity Questionnaire and a pedometer. Results: Participants showed statistically significant improvements in blood pressure, body mass index, levels of triglyceride, total cholesterol and low density lipoprotein, numbers of metabolic syndrome factors, and the 10-year CV risk estimate after one month of concentrated intervention. In addition, their physical activity behavior significantly improved after the intervention. Conclusion: This APN-led self-management program targeting modifiable risk factors by offering tailored counseling and concentrated support during the transition might be effective in preventing progression to the cardiovascular disease.

• The Journal of Information Systems
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• v.12 no.2
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• pp.57-72
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• 2003

The purpose of this paper is to propose the modeling of multiagent based SCM and implement the prototype in the Internet environment. SCM process follows the supply chain operations reference (SCOR) model which has been suggested by Supply Chain Counsil. SCOR model has been positioned to become the industry standard for describing and improving operational process in SCM. Five basic processes, plan, source, matte, deliver and return are defined in the SCOR model, through which a company establishes its supply chain competitive objectives. A supply chain is a world wide network of suppliers, factories, warehouses, distribution centers and retailers through which raw materials are acquired, transformed or manufactured and delivered to customers by autonomous or semiautonomous process. With the pressure from the higher standard of customer compliance, a frequent model change, product complexity and globalization, the combination of supply chain process with an advanced infrastructure in terms of multiagent systems have been highly required. Since SCM is fundamentally concerned with coherence among multiple decision makers, a multiagent framework based on explicit communication between constituent agents such as suppliers, manufacturers, and distributors is a natural choice. Multiagent framework is defined to perform different activities within a supply chain. Dynamic and changing functions of supply chain can be dealt with multi-agent by cooperating with other agents. In the areas of inventory management, remote diagnostics, communications with field workers, order fulfillment including tracking and monitoring, stock visibility, real-time shop floor data collection, asset tracking and warehousing, customer-centric supply chain can be applied and implemented utilizing multiagent. In this paper, for the order processing event between the buyer and seller relationship, multiagent were defined corresponding to the SCOR process. A prototype system was developed and implemented on the actual TCP/IP environment for the purchase order processing event. The implementation result assures that multiagent based SCM enhances the speed, visibility, proactiveness and responsiveness of activities in the supply chain.

• Journal of Energy Engineering
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• v.21 no.2
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• pp.144-151
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• 2012

A district heating system produces thermal energy and supplies it to a large region. District heating systems can provide higher efficiencies and better pollution control than localized boilers. The heat generated by a district heating system is distributed to the customer via a network of insulated pipes. For the optimal operation of a district heating system, it is important to predict the distributions of pressure, flow rate and temperature of heating fluid within the network of pipes at various operating conditions. In this work, a mathematical modeling was performed to predict the dynamic hydraulic-thermal behaviors of heating fluid in the network of pipes for a district heating system. The mathematical model accounts for the conservations of mass, momentum and energy. In order to verify the validity of modeling, the modeling results were compared with the monitoring data of Gang-nam Branch of District Heating.

• Journal of Environmental Impact Assessment
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• v.7 no.2
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• pp.53-64
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• 1998

This study was performed to build up the ecological guidelines to grasp the structure of the vegetation change which is due to river rehabilitation. Anyway, river ecosystem and function has been destroyed owing to river development. It is important that river vegetation supplies ecological corridor and biotope. Two survey sites(Wonsungcheon and Pungseocheon)were investigated in the aspect of plant ecosystem and structure to settle the practical concept of river ecosystem. Each survey site was subdivided to five plots. The site was surveyed through the belttransect method. Wonsungcheon gets more seriously polluted as it runs to the urban area. In other words, there are On the other hand, Pungseocheon has more naturality but its downstream is under the pressure of various wood plants in the upstream area, but downstream area is dominated by naturalized plants such as Bidens frondosa, Panicum dichotomiflorum, etc. Riverbank of downstream has been changed into farm and parking lot. development. It should be preserved definitely because it still has abundant naturality and wetland which formed a biotope. The objective of the research is to find out the river retrogression and maintenance methods based on the riparian vegetation structure. To manage the river ecologically, hydrophytes should be induced partly for natural purification after the riverside is rehabilitated. The vegetation should be induced step by step to restore natural river and steady monitoring and research are required.

• Journal of Sensor Science and Technology
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• v.18 no.4
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• pp.294-300
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• 2009

Cardiopulmonary resuscitation(CPR) is performed by artificial ventilation and thoracic compression for the patient under emergent situation to maintain at least the minimum level of respiration and blood circulation for life survival. Quality of the pre-hospital CPR not only significantly affects the patient's survival rate but also minimizes side effects caused by CPR. Good quality CPR requires monitoring respiration, however, traditional respiratory air flow transducers cannot be used because the transducer elements are located on the flow axis. The present study developed a new technique with no physical object on the flow stream but enabling the air flow measurement and easily incorporated with the CPR devices. A turbulence chamber was formed in the middle of the respiratory tube by locally enlarging the cross-sectional area where the flow related turbulence was generated inducing energy loss which was in turn converted into pressure difference. The turbulence chamber was simply an empty enlarged air space, thus no physical object was placed on the flow stream, but still the flow rate could be evaluated. Both inspiratory and expiratory flows were obtained with symmetric measurement characteristics. Quadratic curve fitting provided excellent calibration formula with a correlation coefficient>0.999 (P<0.0001) and the mean relative error<1 %. The present results can be usefully applied to accurately monitor the air flow rate during CPR.

• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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• 2011.04a
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• pp.808-813
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• 2011

There are hundreds of thousands call center workers wearing acoustic device. However, researches and noise exposure measurements on the noise transmitted from acoustic devices have seldom been performed due to the difficulty of measurement and to the absence of the measuring method in Korea. The aim of this study is to set up management measures to protect hearing loss on the call operator by acquiring measurement data of noise transmitted from the headset Noise exposure measurements of 17 operators were performed in 7 call centers and Head and Torso Simulator method in compliance with the ISO Standard 11904-2 was used for the measurement of noise transmitted from the headset Sound pressure levels(SPL) transmitted from the headset were 73.2~86 dB(A). The operator exposed to the highest SPL set up his volume control at 9 which was the highest volume level. The volume control level, adjustable from 1 to 9, could be identified 12 out of 17 operators and the range of volume levels was 4.5~9. As a result of Pearson Correlation Analysis, the correlation between volume level and SPL transmitted from the headset showed high relation as significance at the 0.672 level(p<0.05). To protect hearing loss of call center operators, it is more practical and effective measure to limit the volume level below the noise exposure level, i.e. 85 dB(A), rather than to carry out noise monitoring considering cost-effective aspect.