• Korean Journal of Childcare and Education
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• v.11 no.6
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• pp.153-175
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• 2015

The purpose of this study was to find out the current status of smart phone usage, differences of developmental characteristics and time diaries between high- and low- usage groups. The study also tried predicting variables among children's personal and family environment factors in order to classify four year old children in the fifth year Panel Study on Korean Children into the two groups. Data was collected from 435 smart phone users and 157 of them who had started to use a phone before age 3.Frequency analysis, t-test and logistic regression were performed. The results showed that most 4 year old children started to use a phone in their fourth year and used it frequently. The low level groups of girls and all participants showed lower levels of behavior problems, and the low level group of all participants had a longer sleep times than the high level group had. Children's activity and social temperament were identified as predicting variables for classifying children into the two groups. The results suggested the necessity of measures preventing children from excessive smart phone usage in their early years and to consider children's temperament first.

• Clinical and Experimental Pediatrics
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• v.52 no.1
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• pp.119-123
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• 2009

Renal cell carcinoma (RCC) arising from epithelial cells of the renal tubules is a highly aggressive and malignant tumor in all ages; however, it rarely occurs in children. the standard treatment for RCC is radical nephrectomy with lymph node dissection when the tumor is localized and can be completely resected. Adjuvant chemotherapy, radiotherapy, and immunotherapy are used for pediatric patients with advanced RCC involving lymph nodes or metastatic lesions. Sorafenib is an oral, multikinase inhibitor that has recently been approved for use in metastatic RCC. Common toxicities that have been reported include dermatologic changes such as rash or desquamation and hand-foot skin reaction, diarrhea, fatigue, alopecia, and hypertension. In particular, hand-foot syndrome (HFS) an erythematous skin lesion of the palms and solesis most often caused by cytostatic chemotherapeutic agents. In this report, we have studied a 14-year-old female patient with hand-foot syndrome that occurred in association with sorafenib for the treatment of metastatic RCC. Furthermore, this case demonstrates that reversal of complications can be achieved by discontinuing the drug and intervention with topical steroids, vitamin E, and high-dose pyridoxine.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 2003.05a
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• pp.189-193
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• 2003

금형가공에 있어서 밀링머신의 가공에서는 절삭가공의 잔유물인 버(Burr)가 생성되고, 이러한 버는 가공의 정밀도를 감소시킬 뿐만 아니라 후처리과정(Deburring)을 야기시킴으로 인해서 작업효율의 감소 및 생산성의 비효율적 낭비를 가져오게 된다. 따라서, 정밀도와 작업효율을 극대화하긴 위해서는 버의 생성원리를 파악하고, Exit Burr의 생성부분을 미리 예측하여 버의 생성을 최소화 할 수 잇는 작업 가공계획을 설계하여야 한다. (1)기존의 Burr Exit System에서는 피삭재의 단면형상인 Line과 Are처럼 단순한 형상뿐만 아니라, Line과 Are가 연결되어있는 복잡란 형상에 대해서도 버를 판별한다. 그리고, 가공 후 버가 생성되는 부분을 예측하고, 이때의 Exit Angle을 계산하여 이에 해당하는 기 실험결과 DataBase와 연동하여 생설될 버의 형상과 크기 등의 결과를 제공하여 준다. 더불어, 피삭재의 단면형상이 여러 가지 복합적인 형상으로 이루어져 있는 경우와 다양한 공구 경로까지 고려하여 실제가공과 거의 유사란 상황을 적용할 수 잇는 알고리즘으로 개발하였다. 본 논문에서는 이제까지 개발된 다양한 형상에 대한 Exit Burr 판별 알고리즘을 이용하여 임의형상을 가진 피삭재의 다중가공경로 상에서 발생 가능한 버를 예측하고, 버의 길이나 가공시간 들을 정?화 하여 최적화하는데 필요란 요소를 추출해 보고자 한다. 또한, 이를 인용하여 Face Windows에서의 버의 발생을 최소화 할 수 있는 최적 절삭가공 공구경로를 제시하여, 작업 효율성을 극대화하는 알고리즘을 Windows 응용 프로그램으로 구현하고자 한다.생성하기보다는 기존에 발생된 구매 지시의 우선적 사용과 기존 구매 지시의 납기 일자를 고객 납기에 가장 잘 맞출 수 있도록 변경하는 방안을 제시한다. 이렇게 함으로써 최대한 고객 납기를 만족하도록 계획을 수립할 수 있게 된다. 본 논문에서 제시하는 계획 모델을 사용함으로써 고객 주문에 대한 대응력을 높일 수 있고, 계획의 투명성으로 인한 전체 공급망의Bullwhip effect를 감소시킬 수 있는 장점이 있다. 동시에 이것은 향후 e-Business 시스템 구축을 위한 기본 인프라 역할을 수행할 수 있게 된다. 많았고 년도에 따른 변화는 보이지 않았다. 스키손상의 발생빈도는 초기에 비하여 점차 감소하는 경향을 보였으며, 손상의 특성도 부위별, 연령별로 다양한 변화를 나타내었다.해가능성을 가진 균이 상당수 검출되므로 원료의 수송, 김치의 제조 및 유통과정에서 병원균에 대한 오염방지에 유의하여야 할 것이다. 확인할 수 있었다. 이상의 결과에 의하면 고농도의 유기물이 함유된 음식물쓰레기는 Hybrid Anaerobic Reactor (HAR)를 이용하여 HRT 30일 정도에서 충분히 직접 혐기성처리가 가능하며, 이때 발생된 $CH_{4}$를 회수하여 이용하면 대체에너지원으로 활용 가치가 높은 것으로 판단된다./207), $99.2\%$(238/240), $98.5\%$(133/135) 및 $100\%$ (313)였다. 각각 두 개의 요골동맥과 우내흉동맥에서 부분협착이나 경쟁혈류가 관찰되었다. 결론: 동맥 도관만을 이용한 Off pump CABG를 시행하여 감염의 위험성을

• Journal of the Korean Society of Radiology
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• v.4 no.3
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• pp.13-18
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• 2010

Purpose : Diffusion tensor imaging(DTI) allows the visualization of fiber tract damage in patients with cerebral infarction. The purpose of this study is to evaluate the correlation between degree of NIH stoke scale and fractional anisotropy (FA) in patient with cerebral infarction. Material and Methods : 16 patients aged 36~77 years(male : 11, female : 5, mean age : 61y), diagnosed cerebral infarction by diffusion weighted imaging(DWI), underwent 24 directional diffusion tensor imaging(DTI). Patients had the DTI taken within 3days of stroke onset. Comparison of DWI, FA value on DTI were measured infarcted area and counter part of specific region of interest (ROI). And evaluation of differences between clinically improved patient group (n=9) and unimproved patient group (n=7) until 2 week follow up after development of cerebral infarction. Clinical status was scaled by NIH stroke scale. Results : Quantitative measurements of FA confirmed statistically the significant diffusion changes in the infarct compared with the matched-counter part region. In DWI, the infarcted area shows high signal intensity, however FA value on DTI was lower than normal brain parenchyma. The FA value of clinically improved patient by NIH stroke scale was 0.49, and the value of contralateral normal brain parenchyma was 0.41. On the contrary, FA value of infarcted area shows about 15% lower than normal brain parenchyma. But, the FA value of unimproved patient by NIH stroke scale represents a half those of contralateral normal brain parenchyma (0.28 on infarcted area vs. 0.56 on normal brain parenchyma). So, the FA value of unimproved patient group was considerably less than those of improved. Conclusion : It is concluded that the unimproved patient group after cerebral infarction showed much less FA value than that of normal brain parenchyma. The FA value of DTI may be one of the useful parameter to predict outcome of cerebral infarction patients.

• Proceedings of the Korean Information Science Society Conference
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• 1998.10c
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• pp.279-281
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• 1998

CSCW는 지리적으로 분산된 작업자 간의 효율적인 의사소통을 위해 화상회의, 채팅(chatting), 화이트 보드(white board), 그리고 텔리포인팅(telepointing)과 같은 기능들을 제공한다. 이 중 텔리포인팅은 지역 시스템(local system)의 공유 윈도우(shard window)에서 텔리포인터(telepointer)를 통해 발생한 이벤트를 원격지 시스템(remote System)의 공유 윈도우에서 나타낼 수 있도록 하는 기능을 제공함으로써 작업자 간의 보다 효율적인 의사소통을 가능하게 한다. 이러한 의사소통 기능으로써의 텔리포인팅은 원격진료, 공동작업 플랫폼에 관한 연구에서 응용된 바 있으나 공동저작을 위한 텔리포인팅 기능에 관한 연구 및 이를 공동저작 관리 시스템 구조에 관한 연구가 미흡하다. 공동제작에서의 텔리포인팅은 저작자 간의 의사소통을 위한 기능 뿐만 아니라 동기적 공동저작과 동기적 프리젠테이션을 위한 기능으로써 응용될 수 있어야 한다. 이를 위해 공동저작 관리 시스템은 저작자 그룹인 세션(session) 단위로 텔리포인터에 대한 권한 관리와 텔리포인팅을 통한 공유객체 엑세스(access) 기능을 제공해야 한다. 또한 텔리포인팅 구조(telepointing architecture)는 텔리포인팅 이벤트의 멀티캐스팅(multicasting) 및 동기화(synchronization)를 위해 중앙에서 이벤트를 조정하는 텔리포인팅 조정 에이전트 (telepointing coordination agent)와 각 저작자의 지역 시스템에 존재하며 공유 윈도우로부터 지역 이벤트(local event)를 인식하고 텔리포인팅 이벤트를 공유 윈도우에 알리는 텔리포인팅 지역 에이전트(telepointing local agent)로 구성되어야 한다. 본 논문은 공동저작을 위한 텔리포인팅의 기능들과 이를 위한 공동저작 관리 시스템 구조를 설명하고 텔리포인팅 구조를 제시한다.cid 함량이 가장 많이 용출된 분획은 sodium hydroxide 부분으로서 hemicellulose구조가 polyuronic acid의 형태인 것으로 사료된다. 추출획분의 구성단당은 여러 곡물연구의 보고와 유사하게 glucose, arabinose, xylose 함량이 대체로 높게 나타났다. 점미가 수가용성분에서 goucose대비 용출함량이 고르게 나타나는 경향을 보였고 흑미는 알칼리가용분에서 glucose가 상당량(0.68%) 포함되고 있음을 보여주었고 arabinose(0.68%), xylose(0.05%)도 다른 종류에 비해서 다량 함유한 것으로 나타났다. 흑미는 총식이섬유 함량이 높고 pectic substances, hemicellulose, uronic acid 함량이 높아서 콜레스테롤 저하 등의 효과가 기대되며 고섬유식품으로서 조리 특성 연구가 필요한 것으로 사료된다.리하였다. 얻어진 소견(所見)은 다음과 같았다. 1. 모년령(母年齡), 임신회수(姙娠回數), 임신기간(姙娠其間), 출산시체중등(出産時體重等)의 제요인(諸要因)은 주산기사망(周産基死亡)에 대(對)하여 통계적(統計的)으로 유의(有意)한 영향을 미치고 있어 $25{\sim}29$세(歲)의 연령군에서, 2번째 임신과 2번째의 출산에서 그리고 만삭의 임신 기간에, 출산시체중(出産時體重) $3.50{\sim}3.99kg$사이의 아이에서 그 주산기사망률(周産基死亡率)이 각각 가장 낮았다. 2. 사산(死産)과 초생아사망(初生兒死亡)을 구분(區分)하여 고려해 볼때 사산(死産)은 모성(母性)의 임신력(姙娠歷)과 매우 밀접한 관련이 있는 것으로 사료(思料)되었고 초생아사망(初生兒死亡)은 미숙아(未熟兒)와 이에 관련된 병발이 거의 결정적(決定的) 원인(原因)이 된다고 사료(思料)되었다. 3. 주산기사망률(周産基死亡率)을 감소시키는 관점(觀點)에서의 모자보건사업(母子保健事業)은 미숙아방지책(未熟兒防止策

• Korean Journal of Environment and Ecology
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• v.20 no.2
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• pp.159-169
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• 2006

Interpretive sign is a communication medium that is often used in self-guided interpretation. Understanding interpretive signs and their users is important to maximize the effectiveness of interpretation. This study evaluated design attributes of interpretive signs by visitor's personal characteristics and visiting patterns using Importance-Performance Analysis(IPA). Data were collected from August to September of 2003 at the self-guided trail in Naejangsan National Park, Korea. Visitors using the trail participated in a questionnaire survey, and a total of 276 subiects was used for data analysis. The IPA results showed that female(23.3%) than male(13.3%), low age group(43.3%) than middle(0.0%) and high age group(0.0%), higher education group(36.7%) than lower education group(0.0%), medium size group(33.3%) than large(10.0%) or small group(16.7%), 'with child' group(66.7%) than 'without child' group(20.0%) rated higher importance and lower performance on more design attributes of the interpretive signs. These groups also showed higher rate of 'Concentrate Here(CH)' attributes that require urgent improvement. The 'with child' group showed the especially high rate of 'CH' attributes. The results suggest that interpretive signs need to be designed considering diverse user groups. It is also necessary to develop some standardized items of the sign design attributes for more efficient and reliable implementation of IPA and other evaluative works.

• 한국노년학
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• v.28 no.4
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• pp.1147-1164
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• 2008

There has been a sharp increase in the number of grandmothers raising grandchildren in contemporary Korean society. However, little is known about the complexity of the experiences of the custodial grandparenting. Most of the studies mainly examined burden/cost and have paid little attention to the positive aspects of custodial grandparenting. In order to overcome this limitation of previous research, this study aims 1) to examine not only the costs but also the rewards of custodial grandparenting and to explore related factors, 2) to develop the typology based on relative rewards-burden perception of grandmothers about custodial grandparenting and explore the group differences. The data were gathered from 449 grandmothers raising their grandchildren as a primary caregiver, using a structured questionnaire. The data were analyzed using descriptive statistics, correlation, hierarchical multiple regression and ANOVA, with SPSS WIN 12.0 program. Main findings are as follows: First, custodial grandmothers report not only care-giving burden such as physical burnout and economic burden but also various rewards such as joy of watching their grandchildren grow and feeling good about themselves to be a help with their adult children, i.e. grandchildren's father or mother. Second, factors related to the level of perceived cost of grandparenting are different from the factors affecting the positive aspects of grandparenting. Third, results of the two by two cross-tab analysis based on the level of rewards and burden show that about 32 percent of the grandparents belong to Type II group(high rewards-low cost). This result is quite contrary to the assumption of previous research focusing mostly on cost and burden of custodial grandparenting. Fourth, four groups were different in terms of grandmother & grandchildren's characteristics. Implications of these results are discussed.

• Journal of Convergence for Information Technology
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• v.11 no.1
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• pp.183-190
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• 2021

The purpose of this study was to determine the change trend of emergency department visits among elderly patients with chronic diseases. Using the National Emergency Department Information System data, from January 1, 2014 to December 31, 2019, the selected patient data were evaluated for the emergency department discharge main diagnosis codes for eight chronic diseases. The incidence of elderly chronic diseases, emergency department visits, and admission rates were analyzed. Since 2014, there has been a consistent increase in the number of elderly patients visiting the emergency department, especially among those aged over 85 years. The number of emergency department visits among the elderly chronically ill patients also increased, with a significant increase in ischemic heart disease and arthrosis cases. Furthermore, there was a significant difference in the number of chronically ill patients in each year from 2014-2019 (P<0.001). With respect to the trend of admission rates to the emergency department by chronic disease, most diseases showed an increasing trend (P<0.001). however, hyperlipidemia showed a continuous decreasing trend in all age groups since 2014 (P<0.001). Among the elderly chronically ill patients, a greater increase in the admission rate following emergency department visits was noted in those over 85 years of age, with a significant difference in all diseases, except for hyperlipidemia, hypertension, and tuberculosis (P<0.001). As the aging population grows, the emergency department admission rates among the elderly chronically ill patients will rise rapidly. This could create issues with respect to the use and consumption of emergency medical resources. Hence, it is necessary to manage chronic diseases effectively in the elderly.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.6 no.2
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• pp.174-182
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• 2003

Purpose: Non-alcoholic fatty liver disease (NAFLD) has been recognized as an important childhood liver disease, especially where the prevalence of childhood obesity is increasing. The purpose of this study is to clarify the usefulness of elevated serum aminotransferase activities and their ratio for predicting the presence of fatty liver and its severity in obese children. Methods: Forty-four children (M/F 29/15, age 4 to 16 years) with obesity (weight excess>20%) were analyzed retrospectively with medical records based on degree of obesity, bioelectrical impedence, serum aminotransferase activities, lipid profiles and ultrasonography. Results: 1) Ultrasonography was carried out in 34 cases. Elevated serum ALT was found in 89.7% (26/29) of the patients diagnosed as fatty liver by ultrasonography and decreased AST/ALT ratio (<1) was found in 96.6% (28/29). There was a strong correlation between elevated serum ALT (>45 IU/L) or decreased AST/ALT ratio (<1) and the fatty liver in obese children (p<0.05). 2) There was no significant correlation between the serum ALT or AST/ALT ratio and the degree of fatty liver (p>0.05). 3) There was a significant correlation between total cholesterol, triglyceride and fatty liver (p<0.05). Conclusion: Serum ALT activity and AST/ALT ratio were useful to predict the presence of fatty liver diagnosed by ultrasonography in obese children, whereas they were not useful to predict the degree of fatty liver. Therefore, to prevent fatty liver progressing to advanced liver disease, it is necessary to manage and monitor the obese children continuously, especially those who have predicting factors of fatty liver.

• Journal of Nutrition and Health
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• v.48 no.5
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• pp.429-440
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• 2015

Purpose: The purpose of this study was to examine sodium-related nutrition knowledge, eating attitudes, eating behaviors, and self-efficacy by stages of behavioral change in reducing sodium intake among childcare center foodservice employees. Methods: Subjects (n = 333) were categorized according to two groups based on the stages of change; Pre-action stage (PA group: precontemplation/contemplation/preparation stage), Action stage (A group: action/maintenance stage). Results: A major source of sodium-related nutrition information was TV/radio (56.6%) and only 166 people (49.8%) have experienced nutrition education specific to sodium. Although the A group showed slightly higher scores for nutrition knowledge than the PA group, the difference was not significant. The percentages of correct answers for 'daily goal of sodium intake for adults (27.0%)', 'calculation of sodium content in nutrition labeling (30.3%)' were low for both groups. The A group (total score: 40.3) had more desirable eating attitudes regarding reducing sodium intake than the PA group (36.6, p < 0.001). The total score for eating behaviors was slightly higher in the A group (49.6) than in the PA group (48.5), but without statistical significance. The A group (total score: 58.2) also received higher scores for self-efficacy regarding reducing sodium intake than the PA group (52.5, p < 0.001). Conclusion: This study suggests that nutrition education for childcare center foodservice employees should be expanded and customized education should be implemented according to the stages in reducing sodium intake. It is also suggested that food companies make efforts to develop low-sodium products.