• Journal of Yeungnam Medical Science
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• 제3권1호
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• pp.95-102
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• 1986

본 저자들은 1983년 5월부터 1986년 9월까지 영남의료원에서 결핵성 척추염으로 진단받은 30예의 방사선학적 소견을 분석하여 다음과 같은 결론을 얻었다. 1. 병변부위는 흉추와 요추부위가 많다. 2. 86.7%에서 연결형으로 나타났다. 3. 척추간결핵이 73.3%였으며, 골파괴는 환산성과 경화성이 각각 같은 빈도로 관찰되었다. 4. 척추주위농양, 추간원판간격의 협소, 척추후만증은 80.0%이상에서 나타났다. 5. 전산화단층촬영은 병변의 침범정도, 척수 및 척관의 상태, 척추주위 농양 및 육아조직의 정확한 위치 및 크기등을 정확히 보여주었으며, 농양 배출술에도 도움을 줄 수 있었다. 6. 초음파검사는 척추주위농양, 특히 장요근의 농양의 진단에 도움을 주었고, 치료후 추적조사에 많이 이용하였다.

• 성인간호학회지
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• 제15권3호
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• pp.383-392
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• 2003

Purpose: The purpose of this descriptive study was to gain basic data to develop a self-care protocol for the lymphedema patients. Method: The subjects of this study consisted of 115 patients with lymphedema from 8 hospitals and two community health and welfare centers in Busan and Seoul. The data was collected with questionnaire by self reporting of patients between March 2001 and December 2001. Data was analyzed by mean and percentage. Result: For self-care activities in daily life, compliance of 'use skin care preparations', 'use heat and cold', 'protect from local compression on affected limbs', 'protect from insect biting', 'use aids to protect affected limbs', 'take diuretics and take protein diet' did not reach to 50%. For self-care activities related to complex physical therapy, 28.7% of subjects complied with compression garment, 14.8% with manual lymph drainage, and 13.0% with exercise. 20.0% of subjects tried to treat with acupuncture and 13.9% with heat therapy. Conclusion: From this study, it is suggested that patients need to get a self-care education with correct information about self care activities and health care professionals need to develop more convenience self-care techniques of massage and exercise.

• 한국관개배수논문집
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• 제18권2호
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• pp.33-42
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• 2011

Climate change has impacts on not only the average temperature rise but also the intensity and frequency of extreme events such as flood and drought. It is also expected that the damages on agricultural infrastructure will be increased resulting from increased rainfall intensity and frequency caused by climate change. To strengthen the climate change adaptation capacity, it is necessary to identify the vulnerability of a given society's physical infrastructures and to develop appropriate adaptation strategies with infrastructure management because generally facilities related to human settlements are vulnerable to climate changes and establishing an adaptive public infrastructure would reduce the damages and the repair cost. Therefore, development of mitigation strategies for agricultural infrastructure against climatic hazard is very important, but there are few studies on agricultural infrastructure vulnerability assessment and adaptation strategies. The concept of vulnerability, however, is difficult to functionally define due to the fact that vulnerability itself includes many aspects (biological, socioeconomic, etc.) in various sectors. As such, much research on vulnerability has used indicators which are useful for standardization and aggregation. In this study, for the vulnerability assessment for agricultural infrastructure, 3 categories of climate exposure, sensitivity, and adaptation capacity were defined which are composed of 16 sub-categories and 49 proxy variables. Database for each proxy variables was established based on local administrative province. Future studies are required to define the weighting factor and standardization method to calculate the vulnerability indicator for agricultural infrastructure against climate change.

• 한국관개배수논문집
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• 제18권2호
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• pp.87-100
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• 2011

This study is to delineate the watershed hydrological parameters such as area, slope, rain gauge weight, NRCS-CN and time of concentration (Tc) by using the Geographic Information Sytem (GIS) technique, and estimation of design flood for an ungauged watershed. Especially, we attempted to determine the Tc of ungauged watershed and develop simple program using the cell-based algorithm to calculates upstream or downstream flow time along a flow path for each cell. For a $19km^2$ watershed of tributary of Nakdong river (Seupmoon), the parameters including flow direction, flow accumulation, watershed boundary, stream network and Tc map were extracted from 30m Agreeburn DEM (Digital Elevation Model) and landcover map. And NRCS-CN was extracted from 30m landcover map and soil map. Design rainfall estimation for two rainfall gauge which are Sunsan and Jangcheon using FARD2006 that developed by National Institute for Disaster Prevention (NIDP). Using the parameters as input data of HEC-l model, the design flood was estimated by applying Clark unit hydrograph method. The results showed that the design flood of 50 year frequency of this study was $8m^3/sec$ less than that of the previous fundamental plan in 1994. The value difference came from the different application of watershed parameter, different rainfall distribution (Huff quartile vs. Mononobe) and critical durations. We could infer that the GIS-based parameter preparation is more reasonable than the previous hand-made extraction of watershed parameters.

• Journal of Korean Neurosurgical Society
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• 제38권4호
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• pp.281-286
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• 2005

Objective : The authors report our experience of urokinase thrombolysis in treating patients harboring nonaneurysmal spontanesous intraventricular hemorrhage[IVH] and evaluated complications, safety and feasibility of this procedure retrospectively. Methods : Fifty-three patients with nonaneurysmal IVH>15mL without underlying structural etiology or coagulopathy were recruited. The patients with Glasgow Coma Scale[GCS]<5 were excluded. A catheter was directed into the IVH. Hematoma aspiration was followed by instillation of urokinase at the ear level of drainage bag under intracranial pressure monitoring system. This was repeated every 6hours until half of its initial volume. For analysis of prognostic factors, we classified the patients into two groups by Glasgow outcome scale[GOS]; good [$GOS\;{\ge}3$] and bad [GOS<3] prognosis group, and performed comparative analysis between two groups. Results : Mean age was 60.2years. The baseline hematoma size ranged 16 to 72mL. IVH volume reduction was done by an average of 74.2%. As complications, there were 3cases of rebleeding and 2cases of ventriculitis. No intracranial adverse effects were observed during thrombolytic theraphy. At 6months after the procedure, 29patients had achieved a good recovery, 15remained vegetative. 9patients died in hospital. The main good prognostic factors were young age, small IVH volume, and high GCS. Conclusion : The results of this study suggest that this relatively easy and safe method of treatment will improve the prognosis. However, further clinical studies also must assess optimal thrombolytic dosage, frequency, and timing of urokinase instillation for safety and effectiveness and must include controlled comparisons of mortality, disability outcome, quality of life, time until convalescence, and cost of care in treated and untreated patients.

• 농약과학회지
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• 제20권2호
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• pp.165-171
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• 2016

도라지와 더덕은 고소득 작물로서 주목받고 있다. 최근 소득을 위해 작물을 연작하는 경우 연작피해로서 뿌리썩음병의 발병이 급속도로 증가하고 있다. 뿌리썩음병은 근채류 식물의 뿌리를 가해하여 큰 경제적 타격을 입히므로 방제가 시급하나 명확한 방제법이 개발되어 있지 않다. 이에 본 연구는 화학약제 tebuconazole EC, trifloxystroim SC, 유기농자재인 자몽 종자 추출물을(GSE) 이용하여 뿌리썩음병 방제 실험을 진행한 결과 더덕에서 친환경제제가 좋은 효과를 보였으나 도라지와 더덕에서 약제의 특성에 따라 큰 차이를 보이지 않았다. 단 재배조건이 배수가 용이한 경우 발병도의 감소와 병방제의 효과가 증진됨을 확인 하였다. 이에 근채류의 뿌리썩음병의 예방 및 방제의 근복적인 대책으로 재배지의 배수가 중요한 원인으로 보여지는 바이다.

• 한국방재학회 논문집
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• 제10권6호
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• pp.147-154
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• 2010

본 연구에서는 침투형 우수유출저감시설 중 침투트렌치에 대한 치수효과를 25 cm 관경을 가진 트렌치를 사용하여 수위별(5, 10, 15, 20, 25 cm) 유입유량을 적용하여 실험하였고 침투량, 유출량, 유출 시작시간, 종기침투능 및 종기침투능에 도달하는 시간 등을 계측하여 실험을 통한 침투트렌치의 적용방안을 도출하고자 하였다. 침투트렌치의 규모는 배수구역을 $130m^2$($6.5\;m{\times}20\;m$)로 가정하여 유역면적에 대한 CN값으로 산정하였으며 AMC-I 조건에서 5개의 침투트렌치 수위에 대한 CN은 트렌치경사 2%일 때 84, 경사 5%일 때 83으로 산정되었고, AMC-III 조건에서 CN은 트렌치 경사 2%, 5% 모두 84로 산정되었다.

• 대한가정학회지
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• 제28권3호
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• pp.67-85
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• 1990

The purpose of this study was (1) to investigate changes in house and kitchen forms and behaviors in the kitchen area of Korean family houses from the Yi-dynasty to the present, and (2) to develop a housing conceptual framework on the basis of the ecosystem approach through analysis of changes in Korean family houses. The documentary research method wad used fro this study. The major findings were that the traditional Korean houses were composed of separate buildings and had various floor levels with the maru(a wooden floor) as the center of the open plan. The introduction of foreign style house forms from the era of enlightenment, in the year 1876 to the Korean war in 1950 changed traditional Korean houses into Korean-western style houses. More recent increased population and urbanization accelerated to change from the traditional Korean house form to an apartment style. At the present time, however, many kinds of house forms, from a highly modernized style with convenient facilities to a primitive style, which cannot even meet the basis needs of daily life, coexist together. The Kitchens in traditional Korean houses had no plumbing, drainage, or work centers. They had simple adobe furnaces which were used for cooking and for heating the ondol, a kind of panel heated floor by which the heat and smoke run under the floor to the chimney. This made the kitchen floor level lower than the floors of other spaces. The residents entered the kitchen through the madang(atrium). The influence of the western style kitchen, the development of technology, and improvements of nation-wide economic status have made today's kitchen space covenient and hygienic. The floor level of the kitchen was raised to the same level of other spaces. Formerly the major function of the kitchen was raised to the same level of other spaces. Formerly the major function of the kitchen space was cooking and heating floors. This had changed, and the kitchen is now, the place for family and social interaction. A housing conceptual framework was developed on the basis of these findings.

• 가정간호학회지
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• 제10권2호
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• pp.158-169
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• 2003

Purpose: This study is to investigate the recognition regarding Hospital - Based Home Care Service among physicians and nurses in a G University Hospital. Method: Data were gathered from 92 physicians and 257 nurses. working at G University Hospital. from January 15 to January 22. 2003 by questionnaire. The data were analyzed by using the SPSS/PC +. Result: 1) As to the previous information about a hospital based home care service. those who have been familiar to it were 85.9% of the physicians. and 98.8% of the nurses. 55.4% of the physicians and 55.1% of the nurses responded that they are willing to refer their patients to the home health care only if their patients and families want to. 47.8% of the physicians and 44.4% of the nurses perceived the present cost of a hospital based home care service to be moderate. 2) Most of the physicians and nurses reported that the most available service was 'wound dressing' (98.4%, 92.6%) and the least available service was 'incision and drainage'(1l7.4%, 42.8%). 3) As to the necessity of home nursing business and the anticipated effects. nurses perceived higher than physicians($3.46\pm.74$). and both showed a significant difference according to age of subjects. Conclusion: For the stabilization and successful implementation of a hospital based home care service. it should be accompanied with education programs about home care for physicians. in particular junior staff.

• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.7029-7032
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• 2013

Background: Cholangiocarcinoma (CCA) is a very common cancer in Northeastern Thailand. Most CCA patients see a physician at a late stage when curative surgery is not possible. After diagnosis, they generally are treated by partial surgery/percutaneous drainage, chemotherapy and supportive treatment. Objective: This study aimed to assess the survival rates of CCA patients after supportive treatment. Methods: A retrospective cohort design was applied in this study. Data for 746 CCA patients were extracted from the hospital-based cancer registry of Srinagarind Hospital, Khon Kaen University. The patients were diagnosed (at least by ultrasonography) between 1 January, 2009 and 31 December, 2009 and then followed up for current status until 30 June, 2011. The cumulative survival rate was calculated by the Kaplan-Meier method, and independent prognostic factors were investigated using Cox regression. Results: The total follow-up time was 5,878 person-months, and the total number of deaths was 637. The mortality rate was therefore 10.8 per 100 person-year (95%CI : 10.1-11.7). The cumulative 3, 6, 9, 12 and 24 month survival rates were 59%, 39%, 31%, 24% and 14%, respectively. The median survival time after supportive treatment was 4 months. After adjusting for gender, age, stage, distant metastasis, histological grading and treatment, stage was a significant predictor of survival of CCA patients. Those in stage III and stage IV had a 6.78 fold higher mortality than the stage I and stage II cases (95% CI : 1.6-28.7). Conclusion: It is very important to encourage patients to see health personnel at an early stage.