• The Journal of Korean Medicine
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• v.26 no.3 s.63
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• pp.66-73
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• 2005

Objectives : The purpose uf this study was to evaluate the effect of Choksmni$(ST_{36})$ moxibustion in hypertensive patients who showed sudden elevation of blood pressure. Methods : Among patients admitted to Woosuk University Hospital from June to September 2004, sixty-one patients who had shown sudden elevation in systolic blood pressure over 100mmHg were chosen by random sampling and divided into a treatment group (Choksamni moxibustion group) and a control group. In the Choksamni $(ST_{36})$ moxibustion group, moxibustion was done at the point between tibial tuberosity and head of fibula where the $ST_{36}$ is known to be located. Direct moxibustion was practiced on the patients 5 times with an increase of size from a grain of rice to a bigger cluster. Male patients were chosen to practice on the left meridian and female patients were chosen to practice on the right meridian point. Changes in blood pressure after He moxibustion were checked 4 times at tine intervals of 30 minutes. In the control group, the patients took bed rest without my medical treatment. The two groups were compared in order to demonstrate whether then were any remarkable changes in depression of blood pressure. Results : There were significant decreases in the systolic and diastolic blood pressure before and after moxibustion. We found significant decreases in systolic blood pressure at 60 minutes, 90 minutes, and 120 minutes ana diastolic blood pressure at 120 minutes in the patient group compared with the control group. Conclusions : There was a statistically significant depressing effect on blood pressure elevation observed in the group with moxibustion at $ST_{36}$ versus the control group without any medical treatment.

• The Journal of Engineering Geology
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• v.15 no.2 s.42
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• pp.105-121
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• 2005

Most of the landslides triggered by intensive rainfall on natural slope occur serious damages of human beings and properties. There have been many landslides since 1991 in Gyeonggi province. The influential factors are rainfall, topography, geology and soil properties. There were 660 landslides occurred by intensive rainfall as much as 250mm at Yongin and Anseong area from Tuly 19th to luly 21st,1991 This study surveyed location, topography, geology, geometry of the landslide and rainfall at the area and analyzed occurrence characteristics of the landslides. Most of the landslides occurred on the soil layer above the bed rock. They showed changes of landslide types from translational slides at the head part to flow at the central part. The landslides have relatively small magnitude of which length is shorter than 50m. In order to identify characteristics of landslides dependent on soil conditions, geotechnical properties of soil were evaluated by laboratory tests using soil samples which were collected on slided area and not-slided area. Soil properties of the slided area show high percentage of coarse material such as gravel and sand. However, soil of the not-slided area is mainly composed of fine material such as silt and clay. Permeability coefficients of the slided area are higher than those of the not-slided area.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.26 no.6C
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• pp.407-419
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• 2006

Situations where support is provided solely in shaft resistance of drilled shafts are where the base of the drilled hole cannot be cleaned so that it is uncertain that any end bearing support will be developed. Alternatively, where sound bed rock underlies low strength overburden material, it may be possible to achieve the required support in end bearing on the rock only, and assume that no support is developed in the overburden. However, where the drilled shaft is drilled some depth into sound rock, a combination of side wall resistance and end bearing can be assumed. Both theoretical and field studies of the performance of rock socketed drilled shafts show that the major portion of applied load is usually carried in side wall resistance. Normal stress at the rock-concrete interface is induced by two mechanisms. First, application of a compressive load on the top of the pile results in elastic dilation of the concrete, and second, shear displacement at the rough surface of the drilled hole results in mechanical dilation of the interface. If the stiffness of the material surrounding the socket with respect to normal displacement is constant, then the normal stress will increase with increasing applied load, and there will be a corresponding increase in the shear strength. In this study, the numerical analyses are carried out to investigate the behavioral characteristics of side of rock socketed drilled shafts. The cause of non-linear head load-settlement relationship and failure mechanism at side are also investigated properly and the design charts are suggested and verified for the leading to greater efficiency and reliability in the pile design.

• Journal of Korean Clinical Nursing Research
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• v.15 no.1
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• pp.19-28
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• 2009

Purpose: The purpose of this study was to examine the effect of position change on discomfort and bleeding in patients undergone coronary angiography with a vascular device and required bed-rest. Method: This study utilized nonequivalent control group non-synchronized design. Data were collected from 118 inpatients after coronary angiography and stayed in general ward at Y hospital in Seoul, from June 5 to August 12, 2008. After coronary angiography, position change was performed to the experimental group who consisted of 59 patients. They stayed in supine position just after angiography and then head-up position with 15 degrees was applied 1 hour later. After that, they could change the position alternatively into lateral position with leg down and supine position. The control group was positioned keeping the affected leg immobile with supine position for 4 hours. Results: The experimental group reported significantly more comfortable than control group after position change. There were no significant differences in the grades of bleeding or hematoma at puncture site between the two groups. Conclusion: The position change in patients undergone angiography could be applied without any harm such as bleeding or hematoma, but effective in reducing back pain and subjective patients' discomforts.

• Journal of Digital Convergence
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• v.17 no.12
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• pp.345-352
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• 2019

This study aims to analyze the factors affecting the length of stay in elderly pediatric inpatients in traffic accidents. We used Korean National Hospital Discharge In-depth Injury data on the discharged from 2012 to 2016. Statistically significant factors affecting the length of stay are admission route, Charlson Comorbidity Index(CCI), injury parts, operation, results, hospital area, and beds for hospitals. The length of stay was shorter in the case of the admission route of the outpatient department than the emergency room, the results were not improved or death rather than improved, and the bed size was 500-999 beds or over 1000 beds rather than 100-299 beds. However, the length of stay was longer in the case of CCI score was 1-2 or over 3 rather than 0, injury parts were other parts rather than head/neck, when the operation was yes, and when the hospital area was a province, metropolitan rather than Seoul. This study intends to understand the medical characteristics of inpatient to prevent pedestrian traffic accidents in accordance with the population aging. Based on this finding, we wish to be used as the basic data for the establishment of policies to effectively manage traffic safety and medical resources in consideration of the characteristics of the elderly people.

• Journal of Wetlands Research
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• v.22 no.3
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• pp.194-199
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• 2020

Unlike in the past, the world is facing water shortages due to climate change and difficulties in simultaneously managing the risks of flooding. The Four Major Rivers project was carried out with the aim of realizing a powerful nation of water by managing water resources and fostering the water industry, and the construction period was relatively short compared to the unprecedented scale. Therefore, the prediction and analysis of how the river environment changes after the Four Major Rivers Project is insufficient. Currently, part of the construction section of the Four Major Rivers Project is caused by repeated erosion and sedimentation due to the effects of sandification caused by large dredging and flood-time reservoirs, and the head erosion of the tributaries occurs. In order to solve these problems, the riverbed maintenance work was installed, but it resulted in erosion of both sides of the river and the development of new approaches and techniques to keep the river bed stable, such as erosion and excessive sedimentation, is required. The water agent plays a role of securing a certain depth of water for the main stream by concentrating the flow so much in the center and preventing levee erosion by controlling the flow direction and flow velocity. In addition, Groyne products provide various ecological environments by forming a natural form of riverbeds by inducing local erosion and deposition in addition to the protection functions of the river bank and embankment. Therefore, after reviewing the method of determining the shape of the Groyne structure currently in use by utilizing the mobile limit flow rate and marginal reflux force, a new Critical Movement Velocity(${\bar{U}}_d$) and a new resistance coefficient formula considering the mathematical factors applicable to the actual domestic stream were developed and the measures applicable to Groyne installation were proposed.

• Economic and Environmental Geology
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• v.39 no.5 s.180
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• pp.525-535
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• 2006

A study on stream-groundwater exchange was performed using head and temperature data of stream water, streambed, and groundwater. Groundwater level and temperature were obtained from multi-depth monitoring wells in small-scale watershed. During the summer and winter season, time series of temperature data at streambed and groundwater were monitored for six months. In the winter time, we measured the temperature gradient between stream water and streambed. The observed data showed three typical types of temperature characteristics. First, the temperature of streambed was lower than that of stream water; second, the temperature of streambed and stream water was similar; and the last, the temperature of streambed was higher than that of stream water. The interconnections between the stream and the streambed were not homogeneously distributed due to weakly developed sediments and heterogeneous bedrock exposed as bed of the stream. The temperature data may be used in formal solutions of the inverse problems to estimate groundwater flow and hydraulic conductivity.

• KSCE Journal of Civil and Environmental Engineering Research
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• v.43 no.1
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• pp.21-32
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• 2023

Interrill erosion dominates in forest areas, and the erosion rate in surface-disturbed areas is significantly increased by the development and expansion of rill. In this study, soil erosion experiments using simulated rainfall and inflow were performed to understand the development and the micromorphological changes of rill on steep slopes. The characteristic factors of the micromorphology, such as the rill cross section, rill volume, rill density, rill order, and rill sharpness, were analyzed according to steepness and location (upper or lower) of slope. The head-cut of the simultaneous incised rills by rainfall simulation moved rapidly upslope, and the randomly developed rills expanded deeply and widely with their connection. The rill cross section evolved to downslope gradually increased. The rill volume occupied about 78 % of the sediment volume, confirming that the contribution of the sediment from the rill erosion is greater than that of the interrill erosion. Although the rate of increase in rill order slowed as the slope increased, the total length and density of the rill generally increased. As the slope increased from 15° to 20°, the bed incision of rills became larger than the sidewall expansion, and the rill sharpness increased by 1.6 times. The runoff coefficient on the lower slope decreased by 12.3 % than that on the upper slope. It was evaluated that the subsoil exposures and formation changes by the rill expansion increased the infiltration rate. Although the sediment accompanying the rills generally increased with slope increase, it was directly influenced by the hydraulic velocity of enhanced rill with the local convergence and expansion in the process of the rill evolution.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.20
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• pp.9033-9038
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• 2014

Background: The purpose of this study was to assess the feasibility of deep inspiration breath-hold (DIBH) based volumetric modulated arc therapy (VMAT) for locally advanced left sided breast cancer patients undergoing radical mastectomy. DIBH immobilizes the tumor bed providing dosimetric benefits over free breathing (FB). Materials and Methods: Ten left sided post mastectomy patients were immobilized in a supine position with both the arms lifted above the head on a hemi-body vaclock. Two thermoplastic masks were prepared for each patient, one for normal free breathing and a second made with breath-hold to maintain reproducibility. DIBH CT scans were performed in the prospective mode of the Varian real time position management (RPM) system. The planning target volume (PTV) included the left chest wall and supraclavicular nodes and PTV prescription dose was 5000cGy in 25 fractions. DIBH-3DCRT planning was performed with the single iso-centre technique using a 6MV photon beam and the field-in-field technique. VMAT plans for FB and DIBH contained two partial arcs ($179^{\circ}-300^{\circ}CCW/CW$). Dose volume histograms of PTV and OAR's were analyzed for DIBH-VMAT, FB-VMAT and DIBH-3DCRT. In DIBH mode daily orthogonal ($0^{\circ}$ and $90^{\circ}$) KV images were taken to determine the setup variability and weekly twice CBCT to verify gating threshold level reproducibility. Results: DIBH-VMAT reduced the lung and heart dose compared to FB-VMAT, while maintaining similar PTV coverage. The mean heart $V_{30Gy}$ was $2.3%{\pm}2.7$, $5.1%{\pm}3.2$ and $3.3%{\pm}7.2$ and for left lung $V_{20Gy}$ was $18.57%{\pm}2.9$, $21.7%{\pm}3.9$ and $23.5%{\pm}5.1$ for DIBH-VMAT, FB-VMAT and DIBH-3DCRT respectively. Conclusions: DIBH-VMAT significantly reduced the heart and lung dose for left side chest wall patients compared to FB-VMAT. PTV conformity index, homogeneity index, ipsilateral lung dose and heart dose were better for DIBH-VMAT compared to DIBH-3DCRT. However, contralateral lung and breast volumes exposed to low doses were increased with DIBH-VMAT.

• Science of Emotion and Sensibility
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• v.9 no.2
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• pp.93-100
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• 2006

This paper aims at the development and clinical evaluation of the wireless gyro-mouse system. The wireless gyro-mouse system is a computer interface with gyro-sensor and wireless communication, for the patients with upper-extremity disabled from the traffic accident or stroke to use the computer software i.e. internet browser. In the development, we focused on, firstly, to make the system wireless for the patients to manipulate the mouse easily even on the bed or wheelchair, secondly, to insert the gyro-sensor into a headband for easy don-and-doff and aesthetic appearance, thirdly, to devise a click switch in case of $C5{\sim}C6$ patients and a head nodding detection in case of C4 patients for sending click message to computer operating system. We performed evaluation experiment for patients with upper-extremities disabled from spinal cord injury. The results show that the displacement error of the cursor position against the target position during linear (vertical/horizontal) movement manipulation decreased with trial number. The click rate per minute also increased with trial number. This indicates the developed wireless gyro-mouse system would be more useful to the patients with repetitive use.