• Title/Summary/Keyword: 군 지연

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Clinical Manifestation of Children with Failure to Thrive (Failure to Thrive를 주소로 내원한 환아들의 임상상)

  • Moon, Jeong-Hee;Kim, Ji-Young;Beck, Nam-Sun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.3 no.1
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    • pp.68-74
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    • 2000
  • Purpose: This study was to investigate the clinical manifestations of FTT in children. Methods: From March 1997 to July 1999, clinical observations were made on patients with FTT who had visited to Samsung Medical Center. Detailed histories and through physical examinations were taken, and when suspected organic FTT, basic laboratory studies were done. Results: Upon the review of medical records, we investigated the clinical manifestations of 74 children, aged 1 month and 13 year 1 month. The causes of FTT were composed of either physiologic (47.8%) or pathologic (52.2%) ones. Among the physiologic FTT, were there familial short stature (FSS, 14.5%), intrauterine growth retardation (IUGR, 14.5%), constitutional growth delay (CGD, 11.6%), idiosyncrasy and prematurity. Among pathologic causes, neurologic disorders (20%) are the most common causes of FTT, and then follow by GI (13.4%), allergic and infectious disorders in decreasing order. The data showed that average caloric intake in patients with FTT was 76,2% of recommended amount. FTT patients with CGD, IUGR, and idiosyncrasy had tendency to take small foods. The FTT children with prematurity, IUGR and pathologic FTT, were short and thin for their ages. However FTT children with CGD and FSS had tendency to be thin with relatively normal heights for their ages, in comparison with those of the children with prematurity, IUGR and pathologic FTT. Conclusion: The diagnosis of FTT was easily obtained with simple and through medical history, physical examination, and minimal laboratory tests. In this study, organic FTT was more prevalent than physiologic one. This results indicate that early intervention is mandatory, because children may develop significant long-term sequelae from nutritional deficiency.

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First-pass Stress Perfusion MR Imaging Findings of Apical Hypertrophic Cardiomyopathy: with Relation to LV Wall Thickness and Late Gadolinium-enhancement (심첨형 비후성 심근병증에서의 스트레스 부하 관류 자기공명영상 소견: 좌심실 벽 비후 정도와 지연 조영 증강 간의 관련성)

  • Yoo, Jin Young;Chun, Eun Ju;Kim, Yeo-Koon;Choi, Sang Il;Choi, Dong-Ju
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.1
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    • pp.7-16
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    • 2014
  • Purpose : To evaluate the prevalence and pattern of perfusion defect (PD) on first-pass stress perfusion MR imaging in relation with the degree of left ventricular hypertrophy (LVH) and late gadolinium-enhancement (LGE) in patients with apical hypertrophic cardiomyopathy (APH). Materials and Methods: Cardiac MR imaging with first-pass stress perfusion, cine, and LGE sequence was performed in 26 patients with APH from January 2008 to December 2012. We analyzed a total of 416 segments for LV wall thickness on end-diastolic phase of cine images, and evaluated the number of hypertrophied segment and number of consecutive hypertrophied segment (NCH). We assessed the presence or absence of PD and LGE from all patients. If there was PD, we subdivided the pattern into sporadic (sporadic-PD) or ring (ring-PD). Using univariate logistic method, we obtained the independent predictor for presence of overall PD and ring-PD. Results: PD on stress perfusion MRI was observed in 20 patients (76.9%), 12 of them (60%) showed ring-PD. Maximal LV wall thickness and number of hypertrophied segment were independent predictors for overall PD (all, p < 0.05). NCH with more than 3 segments was an additional independent factor for ring-PD. However, LGE was not statistically related with PD in patients with APH. Conclusion: About three quarters of the patients with APH showed PD, most of them represented as ring-PD. LVH degree or distribution was related with pattern of PD, however, LGE was not related with PD. Therefore, the clinical significance of PD in the patients with APH seems to be different from those with non-APH, and further comparison study between the two groups should be carried out.

Shoulder Uptake in the Bone Scintigraphy in Patients with Hemiplegic Reflex Sympathetic Dystrophy Syndrome (반신마비성 반사성교감신경 이영양증후군 환자의 골스캔상 견관절 섭취)

  • Lee, Jong-Jin;Chung, June-Key;Lee, Dong-Soo;Hong, Joon-Beom;Han, Tai-Ryoon;Lee, Myung-Chul
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.4
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    • pp.288-293
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    • 2004
  • Purpose: increased uptake of wrist and hand joints in three phase bone scintigraphy (TPBS) have been used in the detection of reflex sympathetic dystrophy syndrome (RSDS). TPBS frequently shows increased shoulder uptake in the hemiplegic RSDS patients. We investigated the significance of the shoulder uptake in the detection of these patients. Materials and Methods: Twenty three patients who had hemiplegia due to brain stroke and diagnosed as RSD were enrolled in this study (M:F=16:7, R:L=11:12). The mean age was $63{\pm}10$ yrs. Ter normal volunteer (mean age: $60{\pm}5$, M:F=1:9) data was used as control group. TPBS was performed $59{\pm}32$ days after stoke (acute stage). We obtained the count ratios of bilateral hands by drawing a region of interest (ROI) in three phase images and compared to the count ratios of shoulders in the delayed image. Hand ROI included an ipsilateral wrist. Sensitivity of detecting the affected limb was defined using the right/left count ratio of normal control. Results: Sensitivities using count ratios of hand blood flow, blood pool and delayed image were 45%, 76% and 78%, respectively. Sensitivity of shoulder count ratio was 74%. Log of right/left counts of hand delayed image and that of shoulder delayed image were correlated well with statistical significance (Spearman's R=0.824, p<0.001). Conclusion: Shoulder uptake showed good correlation with hand uptake in the delayed image of TPBS. Shoulder uptake maybe helpful in the diagnosis of reflex sympathetic dystrophy syndrome in patients with hemiplegia.

The Effect of a Time Management Program on Drinking-Habit and Self-Efficacy in College Student With Problematic Drinking (시간관리 프로그램의 적용이 문제음주 대학생들의 음주습관과 자기효능감에 미치는 영향)

  • Park, Young-Ju;Kim, Yu-Seok;Park, Su-Jung;Park, Ji-Yeon;Bang, Ji-Hyun;Song, Ji-Won;Chang, Moonyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.13 no.1
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    • pp.57-66
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    • 2015
  • Objective : The purpose of this study was to investigate the effect of a time management program on self-efficacy and drinking-habit of college student with problematic drinking. Methods : Thirty subjects with problematic drinking were randomly assigned to either a experimental group or control group. The intervention applied to the experimental group was a time manage program which was consisted of two times of sessions per week and provided for five weeks. There was no specific intervention applied to the control group. Alcohol Use Disorder Identification Test-Korean (AUDIT-K) was used to measure problematic drinking behaviors and Self-Efficacy Test was used to evaluate self-efficacy of the subjects. Results : Experimental group showed a significant improvement in AUDIT-K after intervention between groups. In change scores within group, experimental group showed a significant improvement in both AUDIT-K and Self-Efficacy Test, and control group showed a significant improvement in AUDIT-K only. Conclusion : The result of this study showed that time management program is an effective method for college student with problematic drinking.

Protective Effects of Branched-chain Amino Acid (BCAA)-enriched Corn Gluten Hydrolysates on Ethanol-induced Hepatic Injury in Rats (알코올성 간 손상을 유발한 흰쥐에 대한 고 분지아미노산 함유 옥수수 단백가수물의 간 기능 보호효과)

  • Chung, Yong-Il;Bae, In-Young;Lee, Ji-Yeon;Chun, Hyang-Sook;Lee, Hyeon-Gyu
    • Korean Journal of Food Science and Technology
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    • v.41 no.6
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    • pp.706-711
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    • 2009
  • Hepatoprotective effects of corn gluten hydrolysates (CGH) were investigated in rats orally treated with ethanol (30%(v/v), 3 g/kg body weight/day) for 4 weeks. Six-week old Sprague-Dawley male rats were divided into four dietary groups: normal diet (N), alcohol diet (E), E+CGH 1% diet (CGH-1%), and E+CGH 3% diet (CGH-3%). Body weights and liver indices were not significantly different among the four groups. However, food intakes were lower in the CGH groups than in the normal group (p<0.05). The administration of CGH significantly reduced serum alkaline phosphatase activity by 30% compared to the alcohol diet group. Among the antioxidative enzymes assessed, catalase activity was significantly decreased by 79% in the CGH diet groups compared to the alcohol diet group. In comparison to the alcohol-treated group, aldehyde dehydrogenase activity was increased by 20%, while microsomal ethanol oxidizing system activity was decreased by 20% in the CGH-treated groups. Furthermore, the area under the curve of the blood acetaldehyde concentration versus time profile after the administration of ethanol was significantly lower for the CGH rats than for the ethanol or asparaginic acid treated groups. Thus, CGH seems to offer beneficial effects by protecting against ethanol-induced hepatotoxicity by improving the acetaldehyde-related metabolizing system.

Lower Serum Cholesterol Level is Associated with More Serious Injury in Psychiatric Patients with Suicide Attempt (자살을 시도한 정신과 환자에서 낮은 혈청 콜레스테롤 농도와 심각한 자살 수행과의 연관성)

  • Kim, Yong Ku;Lee, Heon Jeong;Kim, Ji Yeon;Choi, So Hyun;Lee, Min Soo
    • Korean Journal of Biological Psychiatry
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    • v.6 no.2
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    • pp.227-234
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    • 1999
  • An association of low total cholesterol in blood with psychiatric diseases and suicidal behavior has been suggested. As part of an attempt to further explore this relationship, we examine first, whether serum cholesterol levels in psychiatric patients with suicidal attempt would be lower than in non-suicidal psychiatric inpatients or normal controls, second, whether such significant difference of cholesterol levels would be present when the diagnostic groups are analyzed separately, third, whether low cholesterol level would be associated with a history of serious suicidal attempts, and finally, whether low cholesterol level in suicide attempters is a state or a trait marker. We determined the serum cholesterol levels in 231 patients admitted to an emergency room following an suicidal attempt, in the same numbers of age-, sex- and diagnosis- matched non-suicidal psychiatric controls, and in the same numbers of age-, sex matched normal controls. The seriousness of an attempt was divided into 5 grades according to the degree of the resulting medical injury. Total cholesterol levels in suicide attempters were significantly lower compared with both psychiatric and normal controls, when sex, age, and nutritional status (i.e., body mass index) were controlled for. This significant relationship was observed in major depressive disorders and personality disorders, but not in schizophrenia and bipolar type I disorders. The severity of suicide by a lowering of blood cholesterol was related to the magnitude of the cholesterol reduction. After treatment of their psychiatric ailments, the cholesterol levels in suicide attempters were significantly increased. This result suggests that low cholesterol level in psychiatric patients might be a potential biological marker of suicide risk. It is hypothesized that low cholesterol levels is associated with the suicide by modifying the serotonin metabolism, the production of interleukin-2 and melatonin metabolism in psychiatric patients.

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Effects of Superovulation and Early Embryonic Development by Pituitary Transplants (뇌하수체 이식이 과배란 및 초기태아 발육에 미치는 영향)

  • Yang, Mhan-pyo;Kim, Young-hoon;Yang, Il-suk;Kwun, Jong-kuk
    • Korean Journal of Veterinary Research
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    • v.26 no.1
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    • pp.39-47
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    • 1986
  • 본 연구는 한개의 뇌하수체를 이식시켜 과배란된 미성숙 흰쥐에서 초기태아 발육과 착상효과를 관찰하기 위하여 시도되었다. 30일령 숫컷 흰쥐에서 뇌하수체를 제거하기 15일 전에 정소를 제거시켰으며 정소가 제거된 쥐에서 얻은 한개의 뇌하수체를 실험 시작일(임신 3일전 : D-2) 오전 7시에서 10시 사이에 28일령의 암컷 흰쥐의 우측 신장 피막 아래 이식시켰다. 대조군은 같은 날 오전 10시에 4 IU PMSG를 투여하였다. 실험에 사용된 쥐들은 난소 및 자궁 무게의 변화를 조사하기 위하여 임신 3일전, 2일전, 1일전, 임신 1일, 2일, 3일 및 5일에 희생시켰다. 또 다른 쥐들은 난 회수 및 난소를 관찰하기 위하여 임신 1일, 2일, 3일 및 5일에 희생시켰으며 임신 8일에는 착상 상태를 조사하였다. 임신 1일에는 질도말법에 의해 발정주기를 조사하였다. 본 실험에서 얻은 결과는 다음과 같다. 1. 뇌하수체를 이식시키거나 4 IU PMSG를 투여함으로써 발정 동기화를 이룰 수 있었다. 뇌하수체를 이식시킨 쥐와 대조군에서 임신 1일 전인 발정전기에 있는 흰쥐는 각각 64.7%, 71.3%이었다. 2. 뇌하수체 이식군 및 대조군의 교배율은 각각 75.0% 및 80.2%였으며 첫 배란은 각 처치후 3일 이내에 일어났다. 3. 과배란된 흰쥐에서 임신 1일에 황체화된 난포와 임신 황체수는 평균 $46.1{\pm}2.9$개였으며 임신 2일부터 그 수는 임신 1일 보다 많았다. 4. 과배란된 흰쥐에서 회수된 난의 수는 임신 1일과 2일에 각각 평균 $46.1{\pm}2.9$$49.8{\pm}4.2$개였으며 대조군은 $8.6{\pm}0.3$$8.9{\pm}0.4$개로 나타났다(p<0.001). 5. 임신 3일부터 과배란된 흰쥐에서 난의 회수율은 임신 2일과 비교할 때 현저하게 감소되었으며 (p<0.001) 난의 발육은 지연되거나 퇴행되었다. 난 발육단계의 분포는 임신 3일과 5일에 특히 변이가 많았다. 6. 과배란된 흰쥐에서 임신 8일에 착상 부위수는 대조군에 비해 현저한 증가를 보였으며(p<0.001), 18마리의 과배란된 흰쥐 중 특히 10마리에서는 $28.1{\pm}0.7$개의 착상부위가 확인되었다. 7. 과배란된 흰쥐의 난소 무게는 임신 1일전부터 임신 3일까지 계속 증가하였으며 대조군은 이 기간동안 큰 변화가 없었다.

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Quality Characteristics and Antioxidative Effect of Yukwa Prepared with Lycii fructus Powder (구기자 분말이 첨가된 유과의 품질특성 및 항산화효과)

  • Park, Bock-Hee;Yang, Hyo-Hyun;Cho, Hee-Sook
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.41 no.6
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    • pp.745-751
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    • 2012
  • The purpose of this study was to investigate the quality characteristics and antioxidative effect of Yukwa prepared with Lycii fructus powder (LFP). The Yukwas were stored at $50^{\circ}C$ for 40 days. Yukwa dough prepared with 5% LFP demonstrated higher pH and density value compared to the other groups and control. For color values, as more LFP was added, the L-value decreased, whereas the a-value and b-value increased. The hardness of Yukwa made with 7% LFP was the highest among all samples. The results of a sensory evaluation test showed that Yukwas with 5% LFP was most preferable in terms of overall acceptability compared to the others. The acid, peroxide, and thiobarbituric acid values were lower in Yukwa prepared with 5% LFP compared to Yukwa prepared with 3% or 7% LFP, as well as control Yukwa.

Quality Characteristics of Canned Kimchi Prepared by Minimal Thermal Processing (최소열처리에 따른 캔 포장김치의 품질특성)

  • Hong, Jeong-Jin;Cheigh, Hong-Sik;Lee, Dong-Sun
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.35 no.6
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    • pp.754-760
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    • 2006
  • This study was conducted to examine the quality characteristics of canned kimchi prepared by minimal thermal processing. Korean cabbage kimchi was fermented at $20^{\circ}C$ for several days up to acidity $0.5{\pm}0.1%$, was packaged in cylindrical can of 115 mL and pasteurized at low temperature. Thermal processing times based on $F_{60}$ value at geometrical center of the can were determined as 23.1, 17.7 and 12.7 min at 65, 70 and $80^{\circ}C$, respectively. The quality changes of the processed kimchi were measured during storage at $20^{\circ}C$. The pH of pasteurized kimchi was higher than that of unpasteurized control. The number of lactic acid bacteria was reduced to about $10^{2}{\sim}10^{3}$ (CFU/mL). The pasteurized kimchi product showed better texture and color values compared to the control, while resulting in the lower carotenoid and ascorbic acid contents. Kimchi preparation by minimal thermal processing had a positive effect for reduction of sour taste and sour flavor in sensory quality, but gave adverse effect in acceptability because of off-taste and off-flavor.

Comparison of Clinical Characteristics by Types of Enuresis in Children Utilizing Questionnaires (병력취득 설문지를 이용한 야뇨증의 형태에 따른 임상양상의 비교)

  • Choi, Jung-Youn;Park, Yong-Hoon
    • Childhood Kidney Diseases
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    • v.11 no.2
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    • pp.264-271
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    • 2007
  • Purpose : It is important to take a precise history of patients to diagnose enuresis. However, this is difficult to perform in the outpatient department, because the consultation time is limited. So by taking the medical histories with questionnaires, we classified the enuresis patients into monosymptomatic and non-monosymptomatic groups and compared the clinical characteristics between the two groups in order to determine whether this would aid in the diagnosis and treatment of enuresis. Methods : Thirty-four enuresis patients seen in the Department of Pediatrics at Yeungnam University Hospital from 2004 January to 2005 July were enrolled in this study. Two to three weeks before starting medical treatment, questionnaires about the patients' urination habits and past medical history were taken from the Parents with consents. Results : There were 21 patients in the monosymptomatic group and 13 patients in the non-monosymptomatic group. There was no difference in the delivery mode, birth weight, birth order, sleep habit, constipation, and treatment results between the two groups. Urinary infection was more frequently observed in the non-monosymptomatic group. There was a higher incidence of daytime incontinence and a past medical history of allergy in the non-monosymptomatic group. Oriental medicine was the most common treatment of enuresis before visiting the hospital, but the treatment effect was minimal. Conclusion : Comparison between the monosymptomatic and non-monosymptomatic group with the questionnaires was helpful for detailed diagnosis and treatment of enuresis. A more effective education for enuresis patients is needed, since before visiting the hospital many of them wasted their efforts with ineffective oriental medicine treatment. (J Korean Soc Pediatr Nephrol 2007;11:264-271)

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