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The Clinical and Histopathologic Findings of Lymphonodular Hyperplasia of the Colon in Infancy and Childhood (소아에서 대장 림프결절증식의 임상적 및 병리조직학적 소견)

  • Nam, Yoo-Nee;Lee, Seung-Hyeon;Chung, Dong-Hae;Sim, So-Yeon;Eun, Byung-Wook;Choi, Deok-Young;Sun, Yong-Han;Cho, Kang-Ho;Ryoo, Eell;Son, Dong-Woo;Jeon, In-Sang;Tchah, Hann
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.1
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    • pp.1-9
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    • 2009
  • Purpose: Lymphonodular hyperplasia of the colon (LNHC) is a rare finding in children and its significance as a pathologic finding is unclear. The aim of this study was to investigate the clinical significance of LNHC by analyzing clinical and histopathologic findings in children with LNHC. Methods: We analyzed data from 38 patients who were confirmed to have LNHC by colonoscopy. We checked age, birth history, past history, family history, and clinical symptoms. A hematologic exam, stool exam, and image studies were performed and biopsy specimens were examined by a pathologist. All patients were asked to have short- and long-term follow-up. Results: The mean age of the patients was 12.5${\pm}$14.4 months. All patients presented with complaints of bloody stool. They appeared healthy and the hematologic findings were within a normal range, with the exception of one case. There was no other identified source of bleeding. On histologic exam, 36 patients (94.7%) had lymphoid follicles and 34 patients (84.5%) fulfilled the criteria of allergic colitis. Regardless of diet modification and presence of residual symptom, there was no recurrence of bloody stool through long-term follow-up in all patients. Conclusion: LNHC is more common in infants who are affected by allergic colitis, but it can appear even after infancy. LNHC should be regarded as the etiology when there are any other causes of rectal bleeding, especially in healthy children. We suggest that LNHC has a benign course regardless of diet modification and it might not require excessive concerns.

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Relationship Analysis between Lineaments and Epicenters using Hotspot Analysis: The Case of Geochang Region, South Korea (핫스팟 분석을 통한 거창지역의 선구조선과 진앙의 상관관계 분석)

  • Jo, Hyun-Woo;Chi, Kwang-Hoon;Cha, Sungeun;Kim, Eunji;Lee, Woo-Kyun
    • Korean Journal of Remote Sensing
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    • v.33 no.5_1
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    • pp.469-480
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    • 2017
  • This study aims to understand the relationship between lineaments and epicenters in Geochang region, Gyungsangnam-do, South Korea. An instrumental observation of earthquakes has been started by Korea Meteorological Administration (KMA) since 1978 and there were 6 earthquakes with magnitude ranging 2 to 2.5 in Geochang region from 1978 to 2016. Lineaments were extracted from LANDSAT 8 satellite image and shaded relief map displayed in 3-dimension using Digital Elevation Model (DEM). Then, lineament density was statistically examined by hotspot analysis. Hexagonal grids were generated to perform the analysis because hexagonal pattern expresses lineaments with less discontinuity than square girds, and the size of the grid was selected to minimize a variance of lineament density. Since hotspot analysis measures the extent of clustering with Z score, Z scores computed with lineaments' frequency ($L_f$), length ($L_d$), and intersection ($L_t$) were used to find lineament clusters in the density map. Furthermore, the Z scores were extracted from the epicenters and examined to see the relevance of each density elements to epicenters. As a result, 15 among 18 densities,recorded as 3 elements in 6 epicenters, were higher than 1.65 which is 95% of the standard normal distribution. This indicates that epicenters coincide with high density area. Especially, $L_f$ and $L_t$ had a significant relationship with epicenter, being located in upper 95% of the standard normal distribution, except for one epicenter in $L_t$. This study can be used to identify potential seismic zones by improving the accuracy of expressing lineaments' spatial distribution and analyzing relationship between lineament density and epicenter. However, additional studies in wider study area with more epicenters are recommended to promote the results.

Accuracy of Death Certificates Completed by Medical Students (일부 의과대학생들의 사망진단서 작성의 정확성 평가 - 사망진단서 작성법 교육 유형에 따른 비교 -)

  • Kim, Hyun-Ae;Kim, Keon-Yeop;Kam, Sin;Oh, Gyung-Jae;Shin, Min-Ho;Sohn, Seok-Joon;Kim, Soon-Young;Nam, Hae-Sung
    • Journal of agricultural medicine and community health
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    • v.35 no.1
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    • pp.89-98
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    • 2010
  • Objectives: The purpose of this research was to evaluate the ability of completing death certificates among medical students. Methods: The self-administered questionnaires were completed, during May to August 2007, by 380 medical students in senior. The questionnaire was composed of 10 cases to write the death certificate. The cause-of-deaths written by students were compared with the gold standards and their errors in the certificates also evaluated. Results: Mean agreement score for 10 underlying cause-of-deaths completed on the lowest line of part I in the death certificate (UC1) was $4.8{\pm}1.7$, and for underlying cause-of-death selected by a coder of the death certificates (UC2) was $5.6{\pm}1.5$. The UC1 and UC2 were significantly higher among the students having the case-oriented education for death certificate than others. For the major errors in the certificates completed by students, the students having the error with no antecedent cause were highest, the error with two or more conditions secondly highest. Mean number of errors was significantly lower in the case-oriented education group than others. Conclusions: Errors are common in the death certificates completed by medical students in senior. The accuracy of death certification may be more improved with the case-oriented education than the traditional method.

Review of Policy Direction and Coupled Model Development between Groundwater Recharge Quantity and Climate Change (기후변화 연동 지하수 함양량 산정 모델 개발 및 정책방향 고찰)

  • Lee, Moung-Jin;Lee, Joung-Ho;Jeon, Seong-Woo;Houng, Hyun-Jung
    • Journal of Environmental Policy
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    • v.9 no.2
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    • pp.157-184
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    • 2010
  • Global climate change is destroying the water circulation balance by changing rates of precipitation, recharge and discharge, and evapotranspiration. The Intergovernmental Panel on Climate Change (IPCC 2007) makes "changes in rainfall pattern due to climate system changes and consequent shortage of available water resource" a high priority as the weakest part among the effects of human environment caused by future climate changes. Groundwater, which occupies a considerable portion of the world's water resources, is related to climate change via surface water such as rivers, lakes, and marshes, and "direct" interactions, being indirectly affected through recharge. Therefore, in order to quantify the effects of climate change on groundwater resources, it is necessary to not only predict the main variables of climate change but to also accurately predict the underground rainfall recharge quantity. In this paper, the authors selected a relevant climate change scenario, In this context, the authors selected A1B from the Special Report on Emission Scenario (SRES) which is distributed at Korea Meteorological Administration. By using data on temperature, rainfall, soil, and land use, the groundwater recharge rate for the research area was estimated by period and embodied as geographic information system (GIS). In order to calculate the groundwater recharge quantity, Visual HELP3 was used as main model for groundwater recharge, and the physical properties of weather, temperature, and soil layers were used as main input data. General changes to water circulation due to climate change have already been predicted. In order to systematically solve problems associated with how the groundwater resource circulation system should be reflected in future policies pertaining to groundwater resources, it may be urgent to recalculate the groundwater recharge quantity and consequent quantity for using via prediction of climate change in Korea in the future and then reflection of the results. The space-time calculation of changes to the groundwater recharge quantity in the study area may serve as a foundation to present additional measures for the improved management of domestic groundwater resources.

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A Study on Automated Lineament Extraction with Respect to Spatial Resolution of Digital Elevation Model (수치표고모형 공간해상도에 따른 선구조 자동 추출 연구)

  • Park, Seo-Woo;Kim, Geon-Il;Shin, Jin-Ho;Hong, Sang-Hoon
    • Korean Journal of Remote Sensing
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    • v.34 no.3
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    • pp.439-450
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    • 2018
  • The lineament is a linear or curved terrain element to discriminate adjacent geological structures in each other. It has been widely used for analysis of geology, mineral exploration, natural disasters, and earthquake, etc. In the past, the lineament has been extracted using cartographic map or field survey. However, it is possible to extract more efficiently the lineament for a very wide area thanks to development of remote sensing technique. Remotely sensed observation by aircraft, satellite, or digital elevation model (DEM) has been used for visual recognition for manual lineament extraction. Automatic approaches using computer science have been proposed to extract lineament more objectively. In this study, we evaluate the characteristics of lineament which is automatically extracted with respect to difference of spatial resolution of DEM. We utilized two types of DEM: one is Shuttle Radar Topography Mission (SRTM) with spatial resolution of about 90 m (3 arc sec), and the other is the latest world DEM of TerraSAR-X add-on for Global DEM with 12 m spatial resolution. In addition, a global DEM was resampled to produce a DEM with a spatial resolution of 30 m (1 arc sec). The shaded relief map was constructed considering various sun elevation and solar azimuth angle. In order to extract lineament automatically, we used the LINE module in PCI Geomatica software. We found that predominant direction of the extracted lineament is about $N15-25^{\circ}E$ (NNE), regardless of spatial resolution of DEM. However, more fine and detailed lineament were extracted using higher spatial resolution of DEM. The result shows that the lineament density is proportional to the spatial resolution of DEM. Thus, the DEM with appropriate spatial resolution should be selected according to the purpose of the study.

A Study on the Background of the Rock-cut Sculpture of Two Buddhas Seated Side-by-Side in Wonpung-ri, Goesan (괴산 원풍리 마애이불병좌상의 조성 배경)

  • Jeong, Seongkwon
    • Korean Journal of Heritage: History & Science
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    • v.53 no.3
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    • pp.224-243
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    • 2020
  • The rock-cut relief of two Buddhas seated side-by-side in Wonpungri is a large Buddha sculpture in relief on the side of a cliff in Wonpung-ri, Goesan. This Buddha sculpture is from the Buddhist scripture Sutra of the Lotus. <法華經> Two seated Buddhas statues were prevalent in the Balhae Kingdom, but this was not popular in Silla and Goryeo. In the main text, the time that the two seated Buddhas in Wonpung-ri was created is identified as being during the 10th century. King Gwangjong created a Buddha statue for political purposes. The relief of two seated Buddha image carved on a cliff is located on an important traffic route over the Sobaek Mountain Range. After King Gwangjong took the throne, he paid close attention to the reigning powers of Jincheon and Cheongju because the people of Jincheon and Cheongju were engaged in a power struggle against Gwangjong. The huge relief of two seated Buddhas statue shows the authority of King Gwangjong. In particular, the people of Jincheon and Cheongju had to see this Buddha statue when crossing the Sobaek Mountain Range. The image contained in the relief of the two seated Buddhas features many characteristics of the sculpture style of the Balhae Kingdom. After the fall of Balhae, many of the Balhae people settled in Mungyeong. Balhae people from Mungyeong participated in the production of the relief of the two seated Buddhas. Through the relief of the two seated Buddhas, King Gwangjong wanted to show the people of Jincheon and Cheongju that the Balhae people were supporting him. The relief of two seated Buddhas reflects the historical situation of the King Gwangjong era in the late 10th century and the style of sculpture.

Management Strategies of Ventilation Paths for Improving Thermal Environment - A Case Study of Gimhae, South Korea - (도시 열환경 개선을 위한 바람길 관리 전략 - 김해시를 사례로 -)

  • EUM, Jeong-Hee;SON, Jeong-Min;SEO, Kyeong-Ho;PARK, Kyung-Hun
    • Journal of the Korean Association of Geographic Information Studies
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    • v.21 no.1
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    • pp.115-127
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    • 2018
  • This study aims to propose management strategies of ventilation paths for improving urban thermal environments. For this purpose, Gimhae-si in Gyeongsangnamdo was selected as a study area. We analyzed hot spots and cool spots in Gimhae by using Landsat 8 satellite image data and spatial statistical analysis, and finally derived the vulnerable areas to thermal environment. In addition, the characteristics of ventilation paths including wind direction and wind speed were analyzed by using data of the wind resource map provided by Korea Meteorological Administration. As a result, it was found that a lot of hot spots were similar to those with weak wind such as Jinyoung-eup, Jillye-myeon, Juchon-myeon and the downtown area. Based on the analysis, management strategies of ventilation paths in Gimhye were presented as follows. Jinyoung-eup and Jillye-myeon with hot spot areas and week wind areas have a strong possibility that hot spot areas will be extended and strengthened, because industrial areas are being built. Hence, climate-friendly urban and architectural plans considering ventilation paths is required in these areas. In Juchon-myeon, where industrial complexes and agricultural complexes are located, climate-friendly plans are also required because high-rise apartment complexes and an urban development zone are planned, which may induce worse thermal environment in the future. It is expected that a planning of securing and enlarging ventilation paths will be established for climate-friendly urban management. and further the results will be utilized in urban renewal and environmental planning as well as urban basic plans. In addition, we expect that the results can be applied as basic data for climate change adaptation plan and the evaluation system for climate-friendly urban development of Gimhye.

Vulnerability Assessment of Cultivation Facility by Abnormal Weather of Climate Change (이상기후에 의한 재배시설의 취약성 평가)

  • Yoon, Seong-Tak;Lee, Yong-Ho;Hong, Sun-Hee;Kim, Myung-Hyun;Kang, Kee-Kyung;Na, Young-Eun;Oh, Young-Ju
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.15 no.4
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    • pp.264-272
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    • 2013
  • Climate changes have caused not only changes in the frequency and intensity of extreme climate events, but also temperature and precipitation. The damages on agricultural production system will be increased by heavy rainfall and snow. In this study we assessed vulnerability of crop cultivation facility and animal husbandry facility by heavy rain in 232 agricultural districts. The climate data of 2000 years were used for vulnerability analysis on present status and the data derived from A1B scenario were used for the assessment in the years of 2020, 2050 and 2100, respectively. Vulnerability of local districts was evaluated by three indices such as climate exposure, sensitivity and adaptive capacity, and each index was determined from selected alternative variables. Collected data were normalized and then multiplied by weight value that was elicited in delphi investigation. Jeonla-do and Gangwon-do showed higher climate exposures than the other provinces. The higher sensitivity to abnormal weather was observed from the regions that have large-scale cultivation facility complex compared to the other regions and vulnerability to abnormal weather also was higher at these provinces. In the projected estimation based on the SRES A1B, the vulnerability of controlled agricultural facility in Korea totally increased, especially was dramatic between 2000's and 2020 year.

Geological History and Landscapes of the Juwangsan National Park, Cheongsong (국립공원 주왕산의 지질과정과 지형경관)

  • Hwang, Sang Koo;Son, Young Woo;Choi, Jang Oh
    • The Journal of the Petrological Society of Korea
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    • v.26 no.3
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    • pp.235-254
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    • 2017
  • We investigate the geological history that formed geology and landscapes of the Juwangsan National Park and its surrounding areas. The Juwangsan area is composed of Precambrian gneisses, Paleozoic metasedimentary rocks, Permian to Triassic plutonic rocks, Early Mesozoic sedimentary rocks, Late Mesozoic plutonic and volcanic rocks, Cenozoic Tertiary rhyolites and Quaternary taluses. The Precambrian gneisses and Paleozoic metasedimentary rocks of the Ryeongnam massif occurs as xenolithes and roof-pendents in the Permian to Triassic Yeongdeok and Cheongsong plutonic rocks, which were formed as the Songrim orogeny by magmatic intrusions occurring in a subduction environment under the northeastern and western parts of the area before a continental collision between Sino-Korean and South China lands. The Cheongsong plutonic rocks were intruded by the Late Triassic granodiorite, which include to be metamorphosed as an orthogneiss. The granodiorite includes geosites of orbicular structure and mineral spring. During the Cretaceous, the Gyeongsang Basin and Gyeongsang arc were formed by a subduction of the Izanagi plate below East Asia continent in the southeastern Korean Peninsula. The Gyeongsang Basin was developed to separate into Yeongyang and Cheongsong subbasins, in which deposited Dongwach/Hupyeongdong Formation, Gasongdong/Jeomgok Formation, and Dogyedong/Sagok Formation in turn. There was intercalated by the Daejeonsa Basalt in the upper part of Dogyedong Formation in Juwangsan entrance. During the Late Cretaceous 75~77 Ma, the Bunam granitoid stock, which consists of various lithofacies in southwestern part, was made by a plutonism that was mixing to have an injection of mafic magma into felsic magma. During the latest Cretaceous, the volcanic rocks were made by several volcanisms from ubiquitous andesitic and rhyolitic magmas, and stratigraphically consist of Ipbong Andesite derived from Dalsan, Jipum Volcanics from Jipum, Naeyeonsan Tuff from Cheongha, Juwangsan Tuff from Dalsan, Neogudong Formation and Muposan Tuff. Especially the Juwangsan Tuff includes many beautiful cliffs, cayon, caves and falls because of vertical columnar joints by cooling in the dense welding zone. During the Cenozoic Tertiary, rhyolite intrusions formed lacolith, stocks and dykes in many sites. Especially many rhyolite dykes make a radial Cheongsong dyke swarm, of which spherulitic rhyolite dykes have various floral patterns. During the Quaternary, some taluses have been developed down the cliffs of Jungtaesan lacolith and Muposan Tuff.

Bronchial Hyperresponsiveness in Liver Cirrhosis (간경변증 환자에서 기관지 반응성에 대한 연구)

  • Kim, Ki-Ryang;Kim, Min-Gu;Lee, Sang-Kab;Jang, Se-Ho;Park, Jong-Hwa;Lee, Jong-Deog;Hwang, Yung-Sil
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.3
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    • pp.639-648
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    • 1997
  • Background : Arterial hypoxemia has been noted in patients with liver cirrhosis because of bronchial vessel dilatation. Cabenes et al. reported that bronchial hyperresponsiveness to the metacholine inhalation was observed in patients of left side heart failure, he suggested that one of the mechanism was bronchial vessel dilatation. We hypothesized that patients of liver cirrhosis might have bronchial hyperresponsiveness to metacholine inhalation due to portal hypertension. We evaluate the relationship between bronchial responsiveness and severity of liver cirrhosis, severity of portal hypertension. Methods : In the 22 patients of the liver cirrhosis with clinical portal hypertension, metacholine provocation test was done and determined $PC_{20}FEV1$. We classified liver cirrhosis according to Pugh-Child classification. Esophagogastroscopies were performed for the evaluation of the relationship between bronchial hyperresponsiveness and severity of esophageal varix. Results : In the 22 cases of the liver cirrhosis with clinical portal hypertension. The causes of liver cirrhosis, alcoholic hepatitis was 9 cases, hepatitis B virus was 12 cases, hepatitis C virus was 1 case, and 151 cases (68.18%) of total 22 cases were positive in metacholine provocation test. In positive cases. There was no significant relationship between $PC_{20}FEV1$ and severity of liver cirrhosis which were classified by Pugh-Child classification or severity of esophageal varix(p<0.05). Conclusion : we observed that bronchial responsiveness to metacholine increased in the patients of liver cirrhosis and there was no significant relationship between the severity of liver cirrhosis and the severity of esophageal varix.

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