• Clinical and Experimental Pediatrics
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• v.50 no.5
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• pp.443-448
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• 2007

Purpose : To evaluate the potential prognostic value of the antithrombin-III (AT-III) level in the children with acute lung injury (ALI), we analyzed several early predictive factors of death including AT-III level at the onset of ALI and compared the relative risk of them for mortality. Methods : Over a 18-month period, a total of 198 children were admitted to our pediatric intensive care unit and 21 mechanically ventilated patients met ALI criteria, as defined by American-European consensus conference, i.e., bilateral pulmonary infiltrates and $PaO_2/FiO_2$ lower than 300 without left atrial hypertension. Demographic variables, hemodynamic and respiratory parameters, underlying diseases, as well as Pediatric Risk of Mortality-III (PRISM-III) scores and Lung Injury Score (LIS) at admission were collected. AT-III levels were measured within 3 hours after admission. These variables were compared between survivors and non-survivors and entered into a multiple logistic regression analysis to evaluate their independent prognostic roles. Results : The overall mortality rate was 38.1% (8/21). Non-survivors showed lower age, lower lung compliance, higher PEEP, higher oxygenation index (OI), lower arterial pH, lower $PaO_2/FiO_2$, higher PRISM-III score and LIS, and lower AT-III level. PRISM-III score, LIS, OI and decreased AT-III level (less than 70%) were independently associated with a risk of death and the odds ratio of decreased AT-III level for mortality is 2.75 (95% confidence interval; 1.28-4.12) Conclusion : These results suggest that the decreased level of AT-III is an important prognostic factor in children with ALI and the replacement of AT-III may be considered as an early therapeutic trial.

• The Korean Journal of Nuclear Medicine Technology
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• v.17 no.2
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• pp.37-43
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• 2013

Purpose: PET/CT scan using the SUV (Standardized Uptake Value) of radiopharmaceutical uptake in organs and tissues as an objective indicator makes it possible to analyze physiological and chemical reactions of human organs. This study analyzes the change of the SUV uptake in accordance with the way how PET/CT patients take a rest after the injection of $^{18}F-FDG$ (Fluororo-deoxyglucose). And also subjective satisfaction is assessed listening to music while taking a rest. Materials and Methods: From April 2011 until February 2013, Among the Primary cancer patients who admitted to the Catholic Medical Center (Seoul & Bucheon St. Mary's Hospital) and scanned $^{18}F-FDG$ PET/CT and also received care through the tracking test (mean age $55.61{\pm}12.41$ years, 108 people, 48 men and 60 women) were selected. The patients were divided into two groups. The first group (A: basal study) is requested to take a rest in bed quietly after the injection. However the second one (B: follow up study) is requested to listen to the music while taking a rest. And then SUV analysis was performed respectively. At the end of the scan, ROI (Region Of Interest) were set from the center of the liver (right lobe) and 3 spots of the brain (frontal, temporal, and occipital lobes). And the SUV was calculated. To identify the correlation among those ROIs, paired t-test was performed using SPSS software (Version 12.0K for windows, P>0.05). Also, after the PET/CT scan the satisfaction study was conducted of all the patients. 1:1 questionnaire survey was performed, and that questionnaire was made using the Likert 5-point scale. By utilizing those questionnaires, the analysis about simple frequency, percentage, average, and standard deviation was performed. Results: The SUV change of the 4 designated ROIs in accordance with listening to music was not statistically significant. (Frontal lobe P-value=0.611, Occipital lobe P-value=0.499, Temporal lobe P-value=0.717, Liver P-value=0.334: P-value>0.05) And the satisfaction study indicated that group B was appear to be 0.42 points (5 basis points) higher than group A. It showed that patients are more satisfied in group B than group A. Conclusion: when performing PET/CT scan using $^{18}F-FDG$, listening to music after the injection of the radiopharmaceuticals does not affect the SUV but given the state of the psychological comfort that may increase the patient's satisfaction.

• Korean Journal of Ecology and Environment
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• v.45 no.1
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• pp.72-81
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• 2012

We investigated the effects of acid mine drainage (AMD) from abandoned coal mines on benthic macroinvertebrate communities in the upper reaches of the Nakdong River from May to October in 2009. Qualitative and quantitative sampling (Surber sampler: $50{\times}50$ cm; mesh size, 0.2 mm) was conducted at 7 study sites and 3 control sites in the study area. We thus sampled 117 species belonging to 53 families, 15 orders, 6 classes, and 5 phyla; the Ephemeroptera, Plecoptera, and Trichoptera group (EPT-group) represented the majority of the benthic macroinvertebrate community (71 species; 64.5%). In the quantitative sampling, a total of 11,575 individuals belonging to 58 species of benthic maroinvertebrates were sampled from the study sites (Sites 1-7), whereas 2,844 individuals belonging to 79 species were sampled from the control sites (Sites A-C). Tolerant species such as oligochaetes, $Epeorus$ $pellucidus$, $Baetis$ $fuscatus$, Hydropsychidae species, and Chironomidae species were predominant in the study sites. The community indices for the study sites, such as MacNaughton's dominance index (DI) (mean${\pm}$SD, $0.52{\pm}0.21$; range, 0.33-0.85) and the Shannon diversity index ($H^{\prime}$) ($2.06{\pm}0.60$; 1.06-2.57), were different from those for the control sites (DI: $0.29{\pm}0.07$, 0.22-0.35; $H^{\prime}$: $3.13{\pm}0.14$; 3.03-3.30). In the study sites, shredders and scrapers were scarce, whereas gathering-collectors (mainly Chironomidae species) were relatively abundant, as were clingers and burrowers. The detrended correspondence analysis (DCA) and similarity analyses showed that benthic macroinvertebrate communities in the study sites were clearly separated from those of the control sites, with the greatest dissimilarity being noted at the uppermost study site (Site 1), which is located close to an abandoned coal mine. The Korean saprobic index (KSI) and the ecological score using benthic macroinvertebrates (ESB) showed that the uppermost study site (Site 1) was ${\alpha}$-mesosaprobic or heavily polluted, whereas other study sites were in a fair or relatively good condition.

• Journal of agricultural medicine and community health
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• v.27 no.1
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• pp.115-123
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• 2002

Objective: The aim of this study was to evaluate the patterns of helicopter emergency medical services (HEMS) in Ullung Island. Methods : The authors reviewed the records from emergency room diaries and the lists of helicopter transfers in the Ullung Public Health Medical Center over the 5-year period from Jan 1, 1997 to Dec 31, 2001. Results : One hundred thirteen cases were transferred by helicopters in 88 flights. According to year, the number of flights was 13(14.8%) and the number of cases was 15(13.3%) in 1997; 17(19.3%) and 21(18.6%) in 1998; 18(20.5%) and 20(17.7%) in 1999; 17(19.3%) and 20(17.7%) in 2000; and 23(26.1%) and 37(32.7%) in 2001. According to the kind of helicopter, the number of flights was 46(52.3%) and the number of cases was 60(53.1%) by Maritime police; and 19(21.6%) and 28(25.1%) by 119 rescue. According to time zone, there were no night flights. According to sex and age, there were 75 male cases(66.4%) and 28 cases(28.3%) of patients aged sixty years and over. The number of flights was 11(12.5%) and the number of cases was 15(13.3%) in November; 10 flights(11.4%) and 14 cases(12.4%) in March; and 7 cases(8.0%) in each of September, October and April. The most common season of helicopter transfer cases was autumn. According to transfer area, there were 48 cases (42.5%) in Pohang city, Gyeonsangbukdo; 35(31.0%) in Gangnung city, Gangwondo; and 17(15.0%) in Daegu metropolitan city. According to condition, there were 27 cases(23.9%) of cerebro-vascular accident, 13(11.5%) of fracture and 11(9.7%) of head injury. According to admission department, there were 42 cases(37.2%) in Neurosurgery, 21(18.6%) in Internal Medicine and 13(11.5%) in Orthopedic Surgery. According tothe Korea Standard Classification of Disease(3-KSCD), circulatory systemic disease(IX) and injury, intoxication and others (XIX) were the two most frequent categories with 34 cases(30.1%) each, followed by digestive system disease (XI) with 23 cases(20.4%). Conclusions : HEMS in Ullung Island leave much to be desired. Helicopters cannot make a night flight and are not equipped with medical facilities. HEMS in islands such as Ullung Island are essential. We hope that night flights, equipment-monitoring systems for emergency patients in the helicopters, and a law related to HEMS in the island will all be established.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.10 no.1
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• pp.3-14
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• 1999

Objective：This study was designed to investigate the difference between executive function of Attention Deficit/Hyperactivity Disorder(ADHD) group and that of neurotics, and to investigate the developmental aspects of ADHD group's executive function. Method：Executive function between ADHD(N=87) and Neurotics(N=19) was evaluated through their performance on the Wisconsin Card Sorting Test. The results were analyzed by 2-way ANOVA and t-test. Results：The results revealed group difference between ADHD and neurotics in total correct reponses, total error responses, nonperseverative errors, number of categories completed, conceptual level responses. There was no significant difference between the performance of 8-12 aged group and 13-15 aged group. But 7-8 aged group showed significantly poor performance than 8-12 aged in total responses, total error responses, perseverative responses, perseverative error responses, nonperseverative error responses. Conclusions：In comparison to the neurotics group, the children of ADHD group are suggested to be lacking the ability to correct their responses according to the external feedback and they probably respond randomly without self-control. However, as there is no difference between perseverative errors and perseverative responses, the interpretation of this finding warrants caution. It also suggests that the developmental aspects should be considered in the studies of executive functions because there are differences in the performance of executive functions by ages.

• Korean Journal of Environment and Ecology
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• v.30 no.4
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• pp.684-693
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• 2016

Daemyung retarding basin located near the confluence floodplain of the Nakdong and Kumho River is a large spawning site for the endangered Kaloula borealis, and needs for protecting the habitat of the endangered species are increasing. However, scientific studies are rarely conducted on the population characteristics and ecological knowledge on the species in the basin. This paper aims to estimate the population size and spatial distribution of the species that inhabited at the Daemyung retarding basin, using the capture-recapture method. Also, pitfall traps were installed in each habitat types classified with micro-topographic features, slope aspects, and vegetation communities to identify the spatial distribution characteristics of the Kaloula borealis of each habitat in the retarding basin. Field survey on the species was conducted from May 2013 to October 2014, showing that the species emerged in May, became more active during July and August and started to hibernate at the end of October. Using capture-recapture method, the first survey was carried out from July to August, 2014. Ninety-eight toads were captured, marked, and released back into the site. In the second survey, 68 toads including 5 marked toads of the previous survey were captured. Based on these two-sample surveys, around 535-2,131 individual toads are estimated to inhabit the Daemyung retarding basin. Fifty-seven pitfall traps were installed in four habitat types: mounded and vegetated flatland, lowland swamps, and slope areas of both the southern and western parts of the basin in order to delineate spatial abundance of the endangered Kaloula borealis during the rainy season when the species is actively spawning. Pitfall traps at the spatially explicit array indicated that the species gradually move to the slope areas near the Daemyung stream, showing high occurrence density of the Kaloula borealis compared to the lowland swamps after the spawning season. The emergence of Kaloula borealis in the lowland swamps appeared to be comparatively higher during the spawning season. However, after the spawning season the toads species rapidly moved into the neighboring land of relatively high elevation such as the slope area towards the Dalsung protected wetlands and Daemyung River. These results are closely related to the migration patterns that toads tend to return to the sheltering sites and/or hibernating grounds after the spawning season. Also, the Kaloula borealis moved to the nearest high-level vegetated areas as the lowland swamps of their spawning grounds deteriorated with the expansion of permanent ponds due to the rise in the groundwater level.

• Proceedings of the Plant Resources Society of Korea Conference
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• 2012.05a
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• pp.10-10
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• 2012

독일의 와인 생산지는 라인 강과 그의 지류를 따라 대개 서남쪽에 산재해 있다. 독일은 102,000 헥타르(2005년, 전 세계 포도밭의 1.3%)의 포도밭을 가지고 있으며, 매년 약 915만 3천 헥토리터(2005년, 전 세계 생산량의 3.24%)의 와인을 생산하고 있다. 이는 독일이 포도 재배면적으로는 세계 13번째 국가이며, 와인 생산량으로는 세계 8위를 나타내는 수치이다. 독일은 원래 화이트와인의 나라였으나, 레드와인의 생산이 1990년대와 2000년대에 급속히 증가하였다. 현재(2011년) 독일 포도밭의 64%가 화이트와인을 위해 경작되고 있으며, 36%가 레드와인을 위해 경작되고 있다. 화이트와인을 위한 주요품종이 리슬링(Riesling, 22%), 레드와인을 위한 주요품종은 쉬페트부르군더(Sp$\ddot{a}$tburgunder, Pinot Noir, 11.5%)로 알려져 있다. 독일은 다양한 형태의 와인을 생산한다. 드라이(dry), 세미스위트(semi-sweet)와 스위트한 화이트와인들(sweet white wines), 로제와인, 레드와인과 발포성 와인인 젝트(Sekt, 독일형 샴페인)이다. 독일 포도밭의 위치가 북쪽이므로, 독일은 유럽의 다른 나라와는 전혀 다른 다수의 훌륭한 품질의 와인을 생산한다. 오늘날 독일의 포도재배는 1세기에서 4세기쯤의 고대 로마시대부터 시작된 것으로 알려져 있다. 카롤루스 대제(Carolus Magnus, 747/748-814)의 시대 전에 독일의 포도재배는 비록 독점적이지는 않았으나 라인의 서부지역에서 주로 경작되었다. 카롤루스 대제는 포도재배를 라인가우에 보급한 것으로 추측되고 있다. 1787년에 아우스레제(Auslese)로 시작한 수확된 성숙도에 기반을 둔 와인의 후속 분류는 품질보증 고급와인 체계의 초석을 놓았다. 대부분의 현재 독일 와인법은 1971년에 도입되었으며, 그 이후 사용되어온 바와 같이 품질보증 고급와인의 이름이 정의되었다. 독일와인 지역은 세계에서 가장 북쪽인 북위 $50^{\circ}$도 부근에 위치한다. 북쪽의 기후이기 때문에 적합한 포도 품종에 대한 연구가 되어왔으며, 가이젠하임 포도 육종 연구소에서 뮐러-투르가우와 같은 많은 교배종이 개발되어 왔다. 최근에 지역 및 국제 수요가 높은 품질의 와인을 요구함으로서 리슬링의 재배가 증가해 왔다. 와인은 모두 자주 산맥으로 보호된 주로 라인 강과 그 지류인 강 주변에서 생산된다. 강들은 온도를 조절하는 충분한 미기후 효과를 갖는다. 토양은 태양의 열을 흡수해서 그것을 밤에 보존하는 점판암이다. 독일 와인산업은 다수의 작은 포도밭 소유자로 이루어져 있다. 1989/90년에 서부독일에 76,683개의 크고 작은 기업이 있었으나, 1999년에는 68,598로 줄어들었으며, 2010년도의 조사에 의하면 48,009개의 기업이 조업 중인 것으로 나타났다. 그들 자신의 와인을 팔지 않거나 상업화할 수 없는 더 작은 포도 재배자는 여러 가지 선택이 가능하다. 즉 포도를 팔거나, 와인-생산 조합의 기본 와인으로서 그것을 사용하는 와인제조 회사에게 대량으로 와인을 판다. 정말로 좋은 장소에 포도밭을 가진 사람들도 포도밭을 전체적으로 경작하기를 원하는 대량 생산자들에게 빌려주는 선택을 할 수 있다. 2010년에 각각 5ha 이상을 지닌 5,974개의 포도밭 소유자가 독일 전 포도밭 면적의 70.3%를 소유하며, 생업 와인생산자와 기업이 여기에 속한다. 그러나 그들 자신의 포도밭을 지닌 진정으로 큰 와인 양조장은 독일에서는 희귀하다. 2007년의 고에 묘 와인가이드(Gault & Millau Weinguide)에 의한 독일에서 가장 좋은 것으로 생각되는 10개의 와인 양조장 중에 10개가 10.2-19ha의 포도밭, 하나(Weingut Robert Weil, 산토리 소유)가 75ha의 포도밭을 소유하였다. 이것은 대부분의 높은 순위의 독일 와인 양조장 각각 매년 약 100,000병의 와인을 생산한다는 것을 의미한다. 가장 큰 포도밭 소유자는 헤센의 주 와인 양조장(Hessische Staatsweing$\ddot{u}$ter)으로 헤센의 연방주에 의한 소유이며, 200ha의 포도밭을 지니고, 3개의 별도 와인 양조장에서 제조된다. 가장 큰 개인이 소유한 와인 양조장은 팔츠에 있는 85.5ha를 지닌 독토르 뷔르클린-볼프(Weingut Dr. B$\ddot{u}$rklin-Wolf)이다. 2009년도의 독일에서 총 와인 생산량은 910만 헥토리터였으며, 그중에 206만 8천 헥토리터를 수출하였다. 그러나 그해에 총 수입와인 양은 1,266만2천 헥토리터였다.

• Childhood Kidney Diseases
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• v.3 no.1
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• pp.80-87
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• 1999

Purposes : Renal involvement is a potentially serious complication of systemic lupus erythematosus (SLE). There have been only few studies of lupus nephritis in pediatric age. In this study, the clinical manifestations, pathologic findings, response to treatment, and clinical course of lupus nephritis in children were analyzed. And the results will provide basic data for future nation-wide prospective multi-center study. Methods . The medical records of 46 children clinically and pathologically diagnosed to have lupus nephritis at Seoul National University Children's Hospital during 1986 to 1997 were analyzed retrospectively. Results : 1) The median age of diagnosis of lupus nephritis was 12.8 years ($2\;years\~\;15year$ 8months), and the sex ratio was 1:2.5. 2) FANA($85.7\%$), anti-ds-DNA antibody ($78.0\%$), and malar rash ($60.8\%$) were the most common findings among the classification criteria by ARA Decreased C3 was detected in $88.9\%$ of patients. 3) Hematuria ($87.0\%$) was the most common renal symptom, and WHO class IV lupus nephritis was identified in 41 cases by renal biopsy. 4) In most of patients, the disease activity was controlled relatively well with a single or combined therapy of prednisolone, azathioprine, or cyclophosphamide. The response revealed no difference according to the mode of treatment. 5) Infection, especially of Varicella-Zoster virus and candida, was the most common complication during the disease course. Conclusion : The renal involvement was noted in $87.0\%$ of childhood SLE, and $89.1\%$ of renal lesions was WHO class IV lupus nephritis known to associated with poor long-term prognosis. So, aggressive treatment using immunosuppressants in the early disease course may be helpful to increase long-term prognosis of lupus nephritis. A prospective multi-center study is necessary to analyze the therapeutic efficacy of various treatment modalities.

• Journal of radiological science and technology
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• v.31 no.3
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• pp.259-266
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• 2008

Objective : The purpose of this study was to examine the relationship between bone mineral density (BMD) and the metabolic syndrome. Method : We conducted a cross-sectional study of 1204 adults(males: 364 females: 840) in a general hospital health promotion center. They were grouped into the normal and lower BMD group according to bone loss(osteopenia, osteoporosis), as determined by duel energy X-ray absorptiometery(DEXA). We analyzed the association between BMD and metabolic syndrome by multiple logistic regression analysis. After adjustment for age, weight, alcohol intake, smoking, regular exercise, regular intake of meals, and menopausal status, odds ratios for the prevalence of the metabolic syndrome by gender were calculated for lower BMD. Results : After adjustment for the effect of potential covariates, the prevalence of metabolic syndrome was associated with bone loss in men(p<0.001). If the odds ratio of normal group is 1.00, then that of the lower BMD group is 3.07(95% CI=1.83-5.16). The prevalence of metabolic alterations fitting the criteria of metabolic syndrome was significantly decreased in High BMI, Low HDL in men and in High BMI in women(p<0.05). Conclusions : This study shows that BMD was associated with metabolic syndrome. Further studies needed to obtain evidence concerning the association between BMD and metabolic syndrome.

• Journal of the Korean Society of Radiology
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• v.9 no.7
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• pp.529-533
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• 2015

VCUG(Voiding Cystourethrography) study is being performed to check urinary reflex symptom from bladder to ureter or kidney in the method of filling the bladder with radiation opaque contrast agent. However, VCUG study have been performed impersonally, patients have to be naked and open their legs and then void. This method is so impersonal that it is immediately needed to improve the way of testing and crete new aid. Therefore, this study through producing underwear for VCUG, analysis and compares the test time of VCUG, patient radiation dose and patient satisfaction. The target of this study was 79 Male and Female patients who visited genitourinary clinic of PNUYH for their VCUG tests AXIUM Iconos R200(Siemens Medical System : Germany) and self-produced plastic underwears made by vinyl and plasic molding machine were used. The 79 patient were divided into two groups : experiment of patient and comparison group of we patient (using aid) in order to compare, testing time, DAP (dose area product) and patient satisfaction. There was time reduction, from 35.3min of comparison group to 27.8min experimentation group by 7.5min decrease. And comparison group of $4566.6{\mu}Gym^2$(DAP) decreased experimental group (using aid) of $3411.9{\mu}Gym^2$ by $1154.7{\mu}Gym^2$. In the case of patients satisfaction study, anxiety had a drop by 3.45 of comparison group to 2.51 experimentation group by 0.94 decrease. in experimental group. And shame had a drop by 4.02 of comparison group to 3.08 experimentation group by 0.94 increase. in experimental group. Difference of the smooth voiding had a drop by 1.90 of comparison group to 2.84 experimentation group by 0.94 increase. in experimental group. In addition satisfaction had a rise by 1.19 in experimental group. There were also other opinions of uncomfortableness on it and troublesome to wear. VCUG is one of the sensitive care required test. Therefore staff and the aid can give patients such comfortable and the aid can consentive on voiding. As a result test time and DAP can be reduced. It is needed to make testing at more comfortable for patients.