• Title/Summary/Keyword: 요로 폐쇄

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Evaluation of the Underlying Etiology and Long-Term Prognostic Factors in Neonatal Cholestasis (신생아 담즙정체증의 원인질환 및 장기추적 예후인자에 관한 고찰)

  • Kim, Kyung-Mo;Seo, Jeong-Kee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.1
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    • pp.46-58
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    • 1999
  • Purpose: The aim of the present study was to evaluate the long-term clinical profile including the underlying etioligy and the prognostic factors of the neonatal cholestasis. Method: We studied the 190 infants presented with neonatal cholestasis for the last 12 years (from 1981 to 1992). The underlying causes, clinical findings and long-term outcomes were evaluated. And the prognostic factors were also analyzed. Result: Underlying disease were neonatal hepatitis in 101 (idiopathic in 77 and infectious in 24), intrahepatic bile duct paucity in 5, biliary atresia in 79, choledochal cyst in 5. Metabolic disease was not observed in this study. The important clinical problems during follow-up were persistent high fever, gastrointestinal bleeding, hepatic encephalopathy and ascites. The main causes of the death were hepatic encephalopathy and gastrointestinal bleeding. While three fourth of infants with idiopathic and infectious neonatal hepatitis recovered usually within a year, five-year survival rate for biliary atresia was just 40%, the mortality observed usually within the first year after Kasai operation and prognostic factor was the time of operation. Underlying disease was the most important prognostic factor of neonatal cholestasis. Conclusion: This study showed that most common causes of neonatal cholestasis were biliary atresia and idiopathic neonatal hepatitis, infectious neonatal hepatitis, choledochal cyst and Alagille syndrome, but few neonatal cholestasis of genetic or metabolic liver disease was observed. The most important long-term prognostic factor of neonatal cholestasis was the underlying disease.

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A Pilot Study of Bone Mineral Density in Men with Chronic Obstructive Pulmonary Disease (남자 만성폐쇄성폐질환 환자들의 골밀도에 대한 예비연구)

  • Bae, Yun Oh;Han, Minsoo;Lee, Seong-Kyu;Kim, Jeong Nyum;Kim, Jeong Sik;Kim, Jinho;Cho, Yongseon;Lee, Yang Deok
    • Tuberculosis and Respiratory Diseases
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    • v.54 no.4
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    • pp.395-402
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    • 2003
  • Background : Patients with chronic obstructive pulmonary disease (COPD) are at increased risk for osteoporosis, which has implications for mobility and even mortality. The goal of this pilot study was to evaluate bone mineral density (BMD) and risk factors for osteoporosis in a limited number of men with COPD. Methods : We checked BMD, $FEV_1$(% of predicted) and investigated risk factors for osteoporosis in 44 male patients with COPD who visited our hospital from January to August 2002. Results : Mean(${\pm}$) age was $69{\pm}9$ yrs, body mass index(BMI) $21{\pm}3kg/m^2$, $FEV_1$ $50{\pm}18%$ of predicted, lumbar spine T-score $-3.0{\pm}1.2$, lumbar spine Z-score $-2.0{\pm}1.2$, and lumbar spine BMD $0.76{\pm}0.13g/cm^2$. Osteoporosis(T-score below -2.5) was present in 27 patients(61.4%) and osteopenia(T-score between -1 and -2.5) in 17(38.6%). None of the patients had normal BMD. There was no relationship between BMD and $FEV_1$(% of predicted). There were significant differences in smoking, alcohol consumption, exercise, cumulative steroid dose, BMI and BMD among the three groups according to $FEV_1$(% of predicted) (group1 : ${\geq}65%$, group2 : 50-64%, group3 : ${\leq}49%$), except age. However, there were no significant differences in these variables between the osteopenia and osteoporosis groups, except BMI. Linear Regression(Stepwise) analysis showed that lumbar BMD was correlated with BMI & exercise. Conclusion : BMD is significantly reduced in men with COPD. There was no relationship between BMD and pulmonary function.

A Study on the Constraints on North-east Chinese Ports (북중국 항만의 운영 제약 요인에 관한 연구)

  • Yoo Ju-Young;Kim Tae-Won;Nam Ki-Chan
    • Journal of Navigation and Port Research
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    • v.30 no.3 s.109
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    • pp.227-233
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    • 2006
  • As North-east Chinese parts including Shanghai port grow rapidly, competition among the Far-East parts to be a hub port is getting higher, somebody has even raised a crisis of Busan port. However there are same constraints an the North-east parts such as weather aggravation and long distance from main truck routes. When we consider the competitiveness of port, weather aggravation should be considered as one of the significant factors. But previous studies have rarely examined these kinds of external factors of port operation Therefore, this study analyze constraints an the North-east Chinese parts through a survey of same national flag shipping companies and agencies of foreign shipping companies. The result shows that the mast significant constraint in the North-east ports is weather aggravation which causes problems for regular schedules of shipping, operation cast and customer service qualities etc.

An Exploratory Study on the Extraction of Factors of Purchase Intention of a Smart-Phone Game (스마트폰 게임 콘텐츠 구매요인 추출에 관한 탐색적 연구)

  • Kwon, Hyeog-In;Kim, Ho-Il;Choi, Yong-Seok
    • Journal of Korea Game Society
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    • v.11 no.3
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    • pp.43-53
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    • 2011
  • The purpose of this study was to enhance the factors of the purchase intention of a mobile game for applying existing. For this study, an exploratory analysis was conducted on 40 ordinary peoples to survey through open-ended questionnaires. After that, the factors was examined by 30 experts. finally, closed-ended survey was conducted to confirm the validity and Reliability Verification. As a result, the factors have been identified with 9. From among these, 2 factors were a Newly derived -The factors of a innovation service and device- Through this study, This research will be useful to provide The basis for extended studies of Marketing, Game-development, Market analysis, etc

The Neonatal Follow up and Correlative Analysis of Fetal Hydronephrosis (산전 수신증의 생후 추적 관찰)

  • Yoon Ho-Young;Kim Ji-Hong;Lee Jae-Seung;Kim Pyung-Kil;Kim Myung-Joon
    • Childhood Kidney Diseases
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    • v.2 no.1
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    • pp.60-68
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    • 1998
  • Purpose: To determine the various prenatal factors related to the prenatal hydronephrosis diagnosed on prenatal ultrasonography. We also attempted to correlate the prenatal and neonatal renal pelvic anteroposterior diameter with the outcome in infancy Methods: Between 1985 and 1997. We retrospectively reviewed 105 renal unit (75 patient) with fetal hydronphrosis persisting postnatally. Investigation consisted of renal ultrasonography, voiding cystourethrography, diurectic renogram, and DMSA scan. Results: The 75 patient assesed had the following underlying cause: UPJ(Ureteropelvic juction) obstruction(52%). multicystic dysplastic kidney(10%). UVJ (Ureterovesicai juction) obstruction (10%) and no underlying cause (25%). Of theses cases 36 cases (40 renal unit) underwent operation, while 28 cases (50 renal unit) resoled spontaneously. 12% of mild hydornephrosis deteriorated. whereas 50% of modrate hydrophrosis and 81% of severe hydronephrosis required surgical correction. Attempting to find the renal unit that were at risk for deterioration. our study showed that urinary tract infection group and calyceal blunting group had a predictive role. Conclusion: It is necessary to follow up after birth dilatation of caylx or urinary tract infection are present. Early operation is considered when prenatal pelvic AP diameter greater is than 22 mm and postnatal diameter greater than 17 mm. This may make it possible to prevent further progression of renal damage and prompt treatment of asymptomatic hydronephrosis before complications occur.

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Usefulness of Routine Renal Sonography Screening for Healthy Infants with Isolated Single Umbilical Artery (단일 제대 동맥을 가진 건강한 신생아에서 신장 초음파 검사의 유용성)

  • Kang, Ju-Mi;Song, Eun-Song;Kuk, Jin-Hwa;Lee, Hyung-Sin;Kim, So-Young;Choi, Young-Youn
    • Clinical and Experimental Pediatrics
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    • v.46 no.9
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    • pp.854-857
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    • 2003
  • Purpose : It is known that single umbilical artery is frequently associated with gastrointestinal or urogenital anomaly, however, routine renal sonography has been debated in healthy neonate with isolated single umbilical artery. This study is designed to determine the usefulness of routine renal sonography in apparently healthy infants with an isolated single umbilical artery. Methods : Thirty healthy neonates with a single umbilical artery without a major anomaly from January 1995 to July 2002 were enrolled. The authors investigated the clinical background of babies and their mothers after renal sonography after 72 hours of age. When the abnormalities were found at the first renal sonography, the severity of hydronephrosis and degree of obstruction and renal function were analyzed by follow up renal sonography, voiding cystourethrography(VCUG) and technetium-99m-dimercaptosuccinic acid(DMSA) scan or technetium-99m-mercaptoacetyl-triglycerine (MAG3) scan. Results : Among the 30 healthy patients with isolated single umbilical artery, five patients(16.7%) showed abnormalities on first renal sonography with one major(3.3%) and four(13.4%) minor renal anomaly(minimal or mild hydroneohrosis). One major renal anomaly(severe hydronephrosis) showed severe decreased renal function on MAG3 scan without reflux, and the other four minor regressed spontaneously on follow up study. Conclusion : The value of routine early renal sonograpy for detecting renal anomaly in healthy infants with an isolated single umbilical artery remained unclear because most of the anomalies would regress spontaneously in the follow up study.

화력발전소 CWD(Cooling Water Discharge)를 활용한 해양소수력 개발의 기술적인 고찰(화력발전소 CWD와 조위특성과의 Harmony)

  • Eom, Bok-Jin
    • 열병합발전
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    • s.69
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    • pp.15-20
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    • 2009
  • 소수력 계획 시 개발지점에 대하여 수많은 자료와 정보 등을 필요로 하게 되는데 특히 해당지역내의 유량분포에 대한 유황자료는 개발의 판단여부를 결정케 하는 중요한 요소이다. 소수력발전소의 설비용량에 직접 관계되는 설계유량의 결정과 재해방지를 위한 유출의 예측을 가능케 하고 발전소운영 시 가동률 및 경제성에도 직접적인 영향을 미치는 중용한 요소이나 여기서 논하는 소수력개발은 하천이나 댐과 같은 유형이 아니라 일정한 유량을 확보하여 배출하기 때문에 문제는 없다. 그러나 계절별 부하에 따른 냉각수량의 변화 및 소수력 발전유량의 변동, 조위(해수면) 변화 등에 따라 달라진다. 그러므로 수위조절을 위한 수문은 이들의 변화에 따라 자동운전이 가능해야 하지만 운전시 발전정격수위를 맞출 수 있도록 수문을 조절한 다음 Turbine Governor에 의해 유량 및 수위를 제어할 수 있도록 설계하여 냉각수 순환수 계통에 영향이 미치지 않게 언제나 적정수위를 유지시킬 수 있는 운전모드로 구축하는 것이 안정이라 볼 수 있다. 소수력발전설비 및 수문의 오작동 및 고장이 발생할 때 수위가 상승하여 냉각계통에 손실수두 증가, 취수펌프의 양정고 증가와 Surge 발생 등으로 발전소의 정상 운전에 미치는 영향이 없어야 하므로 세밀한 검토가 필요하기 때문에 폐쇄시간과 수압상승 값 등 요인 분석후 설계하여야 한다. Figure A와 같이 국내 화력발전단지에서 냉각수로 사용되고 방류되는 해수는 발전소에 따라 ca.70~150 CMS로 ca.2,000~5000 kW 이상의 수력에너지(H=4m 형성 기준)를 보유하고 있으나, 현재 활용되지 못하고 그대로 해양으로 방류되고 있어 이 수력에너지의 개발 방안을 오래전부터 검토하여 왔다. 발전소 온배수의 원활한 배수를 위한 설계 낙차와 함께 남서해안의 조위변화에 따른 낙차를 이용하는 것으로 소수력 발전 방식과 조력발전 방식의 특징을 동시에 활용할 수 있다.

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Numerical Study of the Circulation in the Japan Sea -I. Case of Closed Basin (동해의 해수 순환에 대한 Numerical Modelling 연구 -I. 폐쇄해역으로 가정한 경우)

  • Kim, Yeong Eui;Chung, Jong Yul
    • 한국해양학회지
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    • v.24 no.2
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    • pp.96-108
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    • 1989
  • Applying the numerical scheme developed by Semtner (1974), we investigate the circulation system in the Japan Sea in response to the air-sea interaction and the wind. In spite of blocking straits, resulting surface circulation pattern is similar to the schematic surface current chart introduced by Uda(1934) and Naganuma (1972); the northward flow along the Korean coast and the anticlockwise gyre in the northeastern part of the Japan Sea. Also the southward current flows along the Korean coast at depth of 100-200 m as similar to the North Korean Cold Current suggested by Kim and Kim (1983). And the sinking phenomenon of relatively saline water in the northeastern part of the Japan Sea is similar to the formation of the Japan Sea Proper Water.

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Factors Affecting Continuous Usage Intention of Mobile Closed Social Network Services: In-depth Interviews and An Empirical Investigation (모바일 폐쇄형 SNS의 지속적 이용의도에 영향을 미치는 요인: 심층인터뷰와 실증분석)

  • Shao, Zehua;Koh, Joon
    • The Journal of Information Systems
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    • v.24 no.3
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    • pp.21-46
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    • 2015
  • Purpose Social Network Service (SNS) users feel fatigue in process of using open type of SNS like Facebook and Twitter. Compared to the open SNS, the closed SNS takes an closed form to prevent privacy exposure, and they are more practical and advantageous to form deeper social relationships. This study attempt to examine the effects of the mobile closed SNS characteristics (such as usefulness, playfulness, perceived security, psychological privacy, social influence, and belonging) on the users' continuous SNS usage intention. Design/methodology/approach This study used a mixed methodology combining in-depth interviews and empirical validation to investigate the effects of the mobile closed SNS characteristics on the continuous SNS usage intention of users. Findings Analytical results from a survey of 210 mobile closed SNS users showed that except perceived security, the effects of the five SNS characteristics on continuous SNS usage intention were significant. These findings contribute to improving the quality of mobile closed SNS services and suggesting SNS related marketing strategies.

A Study on the Korean traditional interior space and major elements in contemporary apartment (아파트 내부에 나타난 한국전통 실내 공간의 특성 및 구성 요소에 관한 연구)

  • 오혜경
    • Archives of design research
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    • v.11
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    • pp.72-81
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    • 1995
  • The purpose of this study was investigate the consistency of Korean traditional space in apartment. Fifty-two apartments and its dwellers were selected for field survey research and questionnaire. The major findings were summarized as follows: First, the space layout which has its origin in Korean traditional house was found in contemporary apartment and favored than that of western apartment. Second, among the Korean traditional space characteristics, the openness and closeness were found between the living room and room, living room and dining room, dining room and kitchen. Third, the heating system has been being changed from radiator to on-dol. Also favored finishing materials were revealed on-dol wood flooring and picture window for the living room, jang-pan flooring and Korean lattice window for the master room, wall covering for every wall and ceiling.

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