• 모자간호학회지
• /
• v.1
• /
• pp.45-58
• /
• 1991

The purpose of this descriptive study was to investigate the determinants of mother's choice of infant feeding method on immediate postpartum period & the breast feeding practice after 1, 2, 3, 4, 5months. The subjects were 170 mothers who were delivered at 2 hospital, 2 OBGY clinics, 1 midwifery in Jinju, the data were collected from Jan. 1 to Feb. 20 of 1991, form each subject at two periods of time ; postpartum 2 or 3 days via interview, 5months via telephone interview. The results were as fellows : 1. The propotion of mother planned exclusive breast-feeding was 66.5%, milk feeding 17.6%, mixed feeding 15.9%, End 38.9% of mothers planned to breast-feed their infants for 4-6moths, 25.7% for more than 12 months. The major reasons for selection of milk feeding method were the presence of mother's job(26.7%), the conditions of breast & milk production(23.7%). 2. There were significant relations between the choice of feeding method & the presence of s job(p<.01), & parity(p<.01). 3. The percentages of subjects that were received education about the advantages & method of breast feeding were 63.5%, 38.2%, respectively, & the informants were mass media, 89.8%, 81.5%. 4. The most of mothers had the knowledge about the advantages of breast feeding. 5. The percentage of mothers that practiced breast feeding on postpartum were 75.9%. 6. The rates of breast feeding practice by duration were more than 5months, 60.5%, 1 month, 27.1%, 2-4 months. 12.3%. 7. The reasons for the stop of breast feeding were the decrease of milk volume(22.9%), the presence of mother's job(17.4%). 8. The duration of breast feeding practice were differed significantly by the presence of mother's job, type of delivery, rooming-in, planned duration of breast feeding, the first feeding time.

• Asian Spine Journal
• /
• v.12 no.6
• /
• pp.1100-1105
• /
• 2018

Study Design: Prospective observational study. Purpose: To determine the incidence of postoperative urinary retention (POUR) in patients undergoing elective posterior lumbar spine surgery and identify the risk factors associated with the development of POUR. Overview of Literature: POUR following surgery can lead to detrusor dysfunction, urinary tract infections, prolonged hospital stay, and a higher treatment cost; however, the risk factors for POUR in spine surgery remain unclear. Methods: A prospective, consecutive analysis was conducted on patients undergoing elective posterior lumbar surgery in the form of lumbar discectomy, lumbar decompression, and single-level lumbar fusions during a 6-month period. Patients with spine trauma, preoperative neurological deficit, previous urinary disturbance/symptoms, multiple-level fusion, and preoperative catheterization were excluded from the study. Potential patient- and surgery-dependent risk factors for the development of POUR were assessed. Univariate analysis and a multiple logistical regression analysis were performed. Results: A total of 687 patients underwent posterior lumbar spine surgery during the study period; among these, 370 patients were included in the final analysis. Sixty-one patients developed POUR, with an incidence of 16.48%. Significant risk factors for POUR were older age, higher body mass index (BMI), surgery duration, intraoperative fluid administration, lumbar fusion versus discectomy/decompression, and higher postoperative pain scores (p<0.05 for all). Sex, diabetes, and the type of inhalational agent used during anesthesia were not significantly associated with POUR. Multiple logistical regression analysis, including age, BMI, surgery duration, intraoperative fluid administration, fusion surgery, and postoperative pain scores demonstrated a predictive value of 92% for the study population and 97% for the POUR group. Conclusions: POUR was associated with older age, higher BMI, longer surgery duration, a larger volume of intraoperative fluid administration, and higher postoperative pain scores. The contribution of postoperative pain scores in the multiple regression analysis was a significant predictor of POUR.

• Radiation Oncology Journal
• /
• v.30 no.4
• /
• pp.218-225
• /
• 2012

Purpose: The relationship between treatment outcomes, alteration of the expression of biological markers, and tumor volume response during radiotherapy (RT) in patients with uterine cervical cancer was analyzed. Materials and Methods: Twenty patients with cervical squamous cell carcinoma received definitive RT with (n = 17) or without (n = 3) concurrent chemotherapy. Tumor volumes were measured by three serial magnetic resonance imaging scans at pre-, mid-, and post-RT. Two serial punch biopsies were performed at pre- and mid-RT, and immunohistochemical staining for cyclooxygenase (COX)-2 and epidermal growth factor receptor was performed. The median follow-up duration was 60 months. Results: The median tumor volume response at mid-RT (V2R) was 0.396 (range, 0.136 to 0.983). At mid-RT, an interval increase in the distribution of immunoreactivity for COX-2 was observed in 8 patients, and 6 of them showed poor mid-RT tumor volume response ($V2R{\geq}0.4$). Four (20%) patients experienced disease progression after 10 to 12 months (median, 11 months). All 4 patients had poor mid-RT tumor volume response (p = 0.0867) and 3 of them had an interval increase in COX-2 expression. Overall survival (OS) and progression-free survival (PFS) decreased in patients with $V2R{\geq}0.4$ (p = 0.0291 for both). An interval increase in COX-2 expression at mid-RT was also associated with a decreased survival (p = 0.1878 and 0.1845 for OS and PFS, respectively). Conclusion: Poor tumor volume response and an interval increase in COX-2 expression at mid-RT decreased survival outcomes in patients with uterine cervical cancer.

• Journal of Preventive Medicine and Public Health
• /
• v.27 no.3 s.47
• /
• pp.597-608
• /
• 1994

This study was conducted to evaluate the relationships between the environmental exposure and biological monitoring among workers exposed to metallic mercury We interviewed each workers to get the medical history including previous hazardous occupational history. We measured the respiration rate and tidal volume of each worker in order to calculate the 8-hour inhaled mercury of workers. And we wafted to evaluate the effect of exposure duration to mercury concentrations in blood and urine as biologic exposure indices of metallic mercury. The regression and correlation analysis were done to the relationships of 8-hour inhaled mercury and mercury in blood and urine. The results were as follows; 1. The subjects were 35 fluorescent lamp manufacturing workers. The mean age of subjects was .24.8 years old, and the mean work careers of workers was 1.19 years. 89% of the total was consisted man. 2. The correlation coefficients between 8-hour inhaled mercury and mercury in blood and urine were higher than that of only considered air mercury concentration. 3. The correlation coefficients of 8-hour inhaled mercury and mercury in blood and urine were above 0.9 in workers who had exposed to mercury more than 1 year 4. The R-square value and -value of regression analysis between the 8-hour inhaled mercury and mercury in blood and urine was also higher in workers who had exposed to mercury over 1 year than in workers who had less than 1 year working experience. The important results of this study were that relationships between the 8hr-inhaled mercury and mercury in blood and urine was very high than that with air mercury concentration only. And the results were very apparent when considering workers 1 year or more. Therefore we concluded that the work career and respiratory volume of each individuals should be considered in evaluation the, results of biological monitoring of workers exposed to metallic mercury.

• Journal of Environmental Science International
• /
• v.24 no.10
• /
• pp.1239-1251
• /
• 2015

Impervious areas have been expanded by urbanization and the natural structure of water circulation has been destroyed. The limits of centralized management for controlling storm water runoff in urban areas have been suggested. Low impact development (LID) technologies have been promoted as a crucial alternative, establishing a connection with city development plans to build green infrastructures in environmentally friendly cities. Thus, the improvement of water circulation and the control of nonpoint source were simulated through XP-SWMM (storm water and wastewater management model for experts) in this study. The application of multiple LID combination practices with permeable pavements, bioretention cells, and gutter filters were observed as reducing the highest runoff volume by up to 70%. The results from four different LID installation scenarios indicated that permeable paving is the most effective method for reducing storm water runoff. The rate of storm water runoff volume reduced as the rainfall duration extended. Based on the simulation results, each LID facility was designed and constructed in the target area. The LID practices in an urban area enable future studies of the analysis of the criteria, suitable capacity, and cost-efficiency, and proper management methods of various LID techniques.

• Journal of Korean Society for Atmospheric Environment
• /
• v.23 no.4
• /
• pp.466-477
• /
• 2007

To understand particle pollution phenomena caused by vehicles, black carbon (BC) concentrations were continuously monitored using an aethalometer at a roadside in Seoul during the period of May 79 to 25, 2005. The BC concentration was highly fluctuated for a short duration, responding to the traffic situation on the road. The lowest BC concentration was observed between 2 and 5 a.m. The local highest BC concentrations were observed during the periods of both morning and evening rush hours. Change in traffic volume accounts for the trend of hourly averaged BC concentrations from the late evening to the morning. Particularly, the slower increase of BC concentration on Sunday seems to respond directly the lower traffic volume in the morning rush hours. From the comparison with a previous work, it is concluded that the BC concentration around midday hours might be dependent on the distance from a road.

• Journal of Korean Society of Water and Wastewater
• /
• v.26 no.1
• /
• pp.47-54
• /
• 2012

This study analyzed influence factors and the correlation among pollutants which affect occurrence of leaked pollution based on the long-term runoff flow and water quality investigation results to understand the characteristics of highway rainfall runoff pollution load. According to the result of correlation analysis on TSS (Total Suspended Solid) concentration, anteceded dry days, rainfall intensity, traffic volume and etc. as major influence factors of highway rainfall runoff pollution loads, the correlations were weak or scarce in most items. These results might be attributed that runoff pollutant concentration changes vary severely on changes of rainfall intensity and rainfall duration within rainfall and it is affected by disturbances of vehicles and street cleaning and etc. as characteristics of the highway. While Cu, Fe and Zn which are discharged with high concentrations out of heavy metals showed high correlation with particulate matter, organic matter(COD), nutrient(TN, TP), Ni and Pb showed relatively low correlation in a correlation evaluation by pollutant. Significant correlation with traffic volumes was not shown and TSS concentration even decreased in accordance with increase of the traffic volume. In the comparison with precedent studies, it was considered necessary additional analysis of the effects of rainfall section analysis, road type, disturbances of surface contaminants by vehicles, rainfall and climate conditions, surrounding terrains etc.

• Journal of Mechanical Science and Technology
• /
• v.17 no.1
• /
• pp.146-156
• /
• 2003

A numerical algorithm is developed to analyze the performance of a Unit-injector (UI) System for a diesel engine. The fundamental theory of the algorithm is based on the continuity equation of fluid dynamics. The loss factors that should be seriously regarded on the continuity equation are the compressibility effect of liquid fuel, the wall friction loss in high-pressure fuel lines of the system, the kinetic energy loss of fuel in the system, and the leakage of fuel out of the control volume. For an evaluation of the developed simulation algorithm, the calculation results are compared with the experimental outputs provided by the Technical Research Center of Doowon Precision Industry Co. (DPICO) ； the maximum pressure in the plunger chamber (P$\_$p/) and total amount of fuel injected into a cylinder per cycle (Q$\_$f/) at each operational condition. The result shows that the average error rate (%) of P$\_$p/ and Q$\_$f/ are 2.90% and 4.87%, respectively, in the specified operational conditions. Hence, it can be concluded that the analytical simulation algorithm developed in this study can be reasonably applied to the performance prediction of newly designed UI system.

• Journal of Korean Society of Transportation
• /
• v.29 no.2
• /
• pp.7-14
• /
• 2011

This paper discusses operational technique and effectiveness of Variable Speed Limits system that is implemented to control the traffic-flow on the Naebu Expressway. As the first step of the analysis, traffic data collected from vehicle detectors are corrected and smoothed. Applying a pattern analysis technique to the traffic data, the weekday traffic is classified into four different groups, and median of each group is calculated. Using three state variables, i.e., diverted traffic volume, average density and average speed, the conditions of roadway segments are determined. Computational outputs resulted from the application of the proposed model to the scenarios show that implementation of Variable Speed Limits system improved both safety and efficiency of the expressway. For the operational strategy, this paper also presents the change rate of the speed limit, and the effective duration of the speed limit according to the entering traffic volume.

• Journal of Power Electronics
• /
• v.16 no.2
• /
• pp.798-804
• /
• 2016

This paper proposes a new operation and control strategy for Power-Assisted Wheelchairs (PAW) using one brushless DC (BLDC) motor. The conventional electrical wheelchairs are too heavy and large for one person to move because they have two electric motor wheels. On the other hand, the proposed PAW system has a small volume and is easy to move due to the presence of a single wheel motor. Unlike the conventional electric wheelchairs, this structure for a PAW does not have a control joystick to reduce its weight and volume. To control the wheelchair without a joystick, a special control system and algorithm are needed for proper operation of the wheelchair. In the proposed PAW system uses only one sensor to detect the acceleration and direction of PAW's movement. By using this sensor, speed control can be achieved. With a speed control system, there are three kinds of operations that can be done on the speed of a PAW: the increment of PAW speed by summing external force, the decrement of PAW speed by subtracting external force, and emergency breaking by evaluating the time duration of external force. The validity of the proposed algorithm is verified through experimental results.