• The Korean Journal of Pain
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• 제22권1호
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• pp.68-73
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• 2009

Opioids profoundly inhibit evoked discharges of spinal nociceptive neurons, thereby inhibiting the transmission of pain. Intrathecal administration of opioids using implantable continuous infusion systems is an effective method of pain relief when other treatments have failed, as well as for patients with adequate analgesia on high dose therapy that produces unacceptable side effects. We report two cases of intrathecal pump implantation performed in patients suffering from intractable chronic pain. A test dose of 3 mg morphine was injected into the epidural space. No side effects were noted and patients experienced considerable pain relief. Implantation was performed one day after the test. The initial intrathecal morphine delivery dose was half of the equivalent dose of daily oral intake opioids and the infusion rate was increased gradually under close observation for opioid side effects. Two days post-implantation, both patients were discharged without any complications.

• 상하수도학회지
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• 제29권1호
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• pp.89-96
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• 2015

Smart water grid is a water network with communication to save water and energy using various water resources. In smart water grid, water product from the various sources can be blended to be supplied to end-users. The product water blending was reported by literatures while feed water blending has been rarely reported so far. In this work, a commercial reverse osmosis (RO) system design software provided by a membrane manufacturer was used to elucidate the effect of feed water blending on the performance of seawater reverse osmosis (SWRO) plant. Fresh water from exisiting water resource was assumed to be blended to seawater to decrease salt concentration of the RO feed water. The feed water blending can simplify the RO system from double to single pass and decrease seawater intake amount, the unit prices of the RO system components including high pressure pump, and operation risk. Due to the increase in RO plant capacity with the feed water blending, however, the RO membrane area and total power consumption increase at higher water blending rates. Therefore, a specific benefit-cost analysis should be carried out to apply the feed water blending to SWRO plants.

• Nutrition Research and Practice
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• 제15권6호
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• pp.703-714
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• 2021

BACKGROUND/OBJECTIVES: A dietary restriction on the intake of fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (FODMAPs) has been reported to be effective in the treatment of gastrointestinal (GI) tract complications. Enteral nutrition (EN) is widely used for patients who cannot obtain their nutritional requirements orally, but many studies have reported EN complications, especially diarrhea, in up to 50% of patients. SUBJECTS/METHODS: We performed a single-center, non-randomized, controlled trial to determine the effects of a low-FODMAP enteral formula on GI complications in patients in intensive care units (ICUs). Patients in the ICU who needed EN (n = 66) were alternately assigned to the low-FODMAP group (n = 33) or the high-FODMAP group (n = 33). RESULTS: Anthropometric and biochemical parameters were measured, and stool assessment was performed using King's Stool Chart. We excluded patients who received laxatives, GI motility agents, proton pump inhibitors, antifungal agents, and antibiotics other than β-lactams. There were no differences in GI symptoms during 7 days of intervention, including bowel sound, abdominal distension, and vomiting between the 2 groups. However, diarrhea was more frequent in the high-FODMAP group (7/33 patients) than the low-FODMAP group (1/33 patients) (P = 0.044). CONCLUSIONS: Our results suggest that a low-FODMAP enteral formula may be a practical therapeutic approach for patients who exhibit enteral formula complications. Our study warrants further randomized clinical trials and multicenter trials.

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2015년도 학술발표회
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• pp.221-221
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• 2015

Sustainable use of water resource and conservation of water quality are essential problems in the world. Especially, problems of water quality are serious one for human health as well as ecological system of all creatures on the earth. Recently, the importance of total effluent load as well as the concentrations of pollutant materials has been recognized not only for the conservation of water quality but also for sustainable water use in watersheds. However, the measurement or estimation of total effluent load from non-point source area such as farm lands or forests may be more difficult because both of concentration and discharge of the water are greatly changed depending on various factors especially metrological conditions such as rainfall, while the measurement from a point source area may be easy because the concentration of pollutant materials and amount of discharge water are relatively steady. Therefore, the total effluent load from a non-point source is often estimated by statistical relationships between concentration and discharge, which is called as L-Q equation. However, a lot of work and time are required to collect and analyze water samples and to get the accurate relationship or regressive equation. So, we proposed a new system for direct measurement of total effluent load of water quality from non-point source areas to solve the problem. In this system, the overflow depth at a hydraulic weir is measured with a pressure gage every hourly interval to calculate the amount of hourly discharge at first. Then, the operating time of a small electric pump to collect an amount of water which is proportional to the discharge is calculated to intake the water into a storage tank. The stored water is taken out a few days later in a case of storm event or several weeks later in a case of non-rainfall event and the concentrations of water quality such as total nitrogen and phosphorous are analyzed in a laboratory. Finally, total load of the water quality can be calculated by multiplying the concentration by the total volume of discharge. The system was installed in a small experimental forestry watershed to check the performance and know the total load of water quality from the forest. It was found that the system to collect a proportional amount of water to actual discharge operated perfectly and a total load of water quality was analyzed accurately. As the result, it was expected that the system will be very available to know the total load from a non-point source area.

• 한국물환경학회지
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• 제36권6호
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• pp.546-558
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• 2020

While industrialization has provided in abundance, the pollution it creates has caused untold damage to the environment, increasing the frequency and severity of natural disasters through changes in global climate patterns. The World Risk Forum's (WEF) World Risk Report presented the results of a survey of experts from around the world detailing the most influential risk factors over the next decade. Notably, the failure to respond to climate change ranked first and the global water crisis third. The extreme drought in the western Chungnam province was unexpected in 2016. At the time, the water level of Boryeong Dam was drastically decreased due to receiving less than half the average recorded rainfall in the region that year. The Boryeong Dam diversion pipeline has the capacity to solve the water shortage problem between these two regions by providing water from Geumgang to the western part of Chungnam, including Boryeong City. Current weather trends suggest drought is likely to continue in western Chungnam, which uses the Boryeong Dam as an intake source. This makes it necessary to operate Boryeong Dam diversion pipeline in an efficient and effective manner. SWAT is a watershed scale model developed to predict the impact of land management practices on water. The SWAT model was used in this study to evaluate the adequacy of the Boryeong Dam diversion pipeline operational plan by comparing it to present Boryeong Dam diversion pipeline operation. By investigating the number of days required to reach each reservoir stage, we determined that the number of days required to reach the boundary stage was less than that of the current operation. This determination accounts for the caveats that the Boryeong Dam waterway was not operated and only one pump will be operated from October to May of next year. As our results suggest, the most stable operation scenario is to operate two pumps at all times. This can be accomplished by operating two pumps from the caution stage to increase the number of pumps whenever the stage is raised. In addition to the stable operation of the Boryeong Dam pipeline, policy considerations are required with regard to imposing a water use charge on users of the Boryeong Dam region.

• 한국축산시설환경학회지
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• 제16권3호
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• pp.205-215
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• 2010

지열히트펌프를 이용한 축사용 냉난방시스템을 개발하고 농장 적용성을 검토하기 위하여 330 $m^2$ 규모의 농장에 개발 시스템을 설치하여 돈사에서의 난방 이용효과를 분석하였으며, 그 결과는 다음과 같다. 1. 지열 난방시 부하량은 24,104 kcal이었으며 농장시험 지열이용 냉난방시스템의 제원은 히트펌프 용량은 10 USRT 였으며, 상부 덕트형 30,000 kcal 홴코일유니트를 사용하였으며 FCU의 풍량은 90 $m^3$/분 이었다. 2. 지열 난방 1주령시 외부 최고기온 $14.2^{\circ}C$, 최저 영하 $9.3^{\circ}C$일때 시험구는 평균 $21.5^{\circ}C$로서 대조구 $19.8^{\circ}C$에 비하여 높았다. 3. 지열 난방 시험돈사의 먼지 농도는 PM10 185.3, PM2.5 40, PM1.0 $23.4{\mu}g/m^3$으로 대조구 PM10 481.4, PM2.5 47, PM1.0 $28.2{\mu}g/m^3$에 비하여 낮았다.4. 지열 난방 시험돈사의 유해가스농도는 $CO_2$ 1,470, $NH_3$ 10.6, $H_2S$ 0.05 ppm으로서 대조구 $CO_2$ 2,025, $NH_3$ 23.3, $H_2S$ 0.69 ppm에 비하여 유의적으로 (p<0.05) 낮았다. 5. 지열난방시 복당 이유두수는 10.5두로 대조구 10.4두에 비하여 높았으며 이유시체 중도 6.93 kg으로 대조구 6.86 kg에 비하여 컸으며 특히 온도가 낮은 대조구에서 모돈사료 섭취량이 99.6 kg으로 시험구 88.2 kg 보다 유의적으로 (p<0.05) 많았다. 6. 지열 난방시 외부기온과 지하수 순환량에 있어서 외부기온이 낮을 경우 1일간 8.4-12.9톤으로 지하수 순환량이 많았다.

• Tuberculosis and Respiratory Diseases
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• 제84권4호
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• pp.263-273
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• 2021

Cough is the most common respiratory symptom that can have various causes. It is a major clinical problem that can reduce a patient's quality of life. Thus, clinical guidelines for the treatment of cough were established in 2014 by the cough guideline committee under the Korean Academy of Tuberculosis and Respiratory Diseases. From October 2018 to July 2020, cough guidelines were revised by members of the committee based on the first guidelines. The purpose of these guidelines is to help clinicians efficiently diagnose and treat patients with cough. This article highlights the recommendations and summary of the revised Korean cough guidelines. It includes a revised algorithm for the evaluation of acute, subacute, and chronic cough. For a chronic cough, upper airway cough syndrome (UACS), cough variant asthma (CVA), and gastroesophageal reflux disease (GERD) should be considered in differential diagnoses. If UACS is suspected, first-generation antihistamines and nasal decongestants can be used empirically. In cases with CVA, inhaled corticosteroids are recommended to improve cough. In patients with suspected chronic cough due to symptomatic GERD, proton pump inhibitors are recommended. Chronic bronchitis, bronchiectasis, bronchiolitis, lung cancer, aspiration, intake of angiotensin-converting enzyme inhibitor, intake of dipeptidyl peptidase-4 inhibitor, habitual cough, psychogenic cough, interstitial lung disease, environmental and occupational factors, tuberculosis, obstructive sleep apnea, peritoneal dialysis, and unexplained cough can also be considered as causes of a chronic cough. Chronic cough due to laryngeal dysfunction syndrome has been newly added to the guidelines.