• Title/Summary/Keyword: 일차성

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The Clinical Characteristics of Infantile Primary Vesicoureteral Reflux and Its Spontaneous Resolution Rate (영아기 일차성 방광요관역류의 임상적 특성과 자연 소실율)

  • Choi, Youn-Sung;Kim, Ji-Hye;Shim, Yoon-Hee;Lee, Seung-Joo
    • Childhood Kidney Diseases
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    • v.11 no.1
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    • pp.83-91
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    • 2007
  • Purpose : Childhood primary VUR is generally diagnosed after urinary tract infection, is more prevalent among girls and has a low spontaneous resolution rate in cases of severe VUR. The aim of the present study is to examine the age and gender-related characteristics and the spontaneous resolution rate of infantile primary VUR. Methods : The medical records of 96 infants with primary VUR, diagnosed after their first UTI, were retrospectively reviewed(1995-2004). The clinical characteristics including gender, the degree of VUR and presence of renal scars were evaluated. The spontaneous resolution rate and contributing factors were also analyzed Results : Infantile primary VUR was more prevalent in males than females. The percentage of atrophic scarred kidney was significantly higher in males than females(17.2% vs 3.4%) (P<0.05). The cumulative spontaneous resolution rate in 3 years was very high(89.1%), and was not significantly different between gender and among VUR grades. But in the first year, the spontaneous resolution rate of severe refluxing ureters was significantly higher in males than in females(46.2% vs 7.1%)(P<0.05) and the spontaneous resolution rate of refluxing ureters with no scarred kidneys was significantly higher than those associated with atrophic scarred kidneys(76.6% vs 20%)(P<0.05). Conclusion : Infantile Primary VUR was more prevalent among males and tends to be associated with atrophic scarred kidneys In male infants. The cumulative spontaneous resolution rate in 3 years was very high, even in high-grade VUR and associated atrophic scarred kidneys. In infantile primary VUR, surgery should be withheld even in infants with high-grade VUR with atrophic scarred kidneys.

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Estimation of Causal Connectivity between Cortical Areas Using Near-Infrared Spectroscopy (NIRS) (근적외선 분광법을 이용한 대뇌피질영역 간 연관성 분석)

  • Lee, Seung-Deok;Go, Dal-Gwon;Jeong, Yeong-Jin;Kim, Do-Won;Im, Chang-Hwan;Kim, Beop-Min
    • Proceedings of the Optical Society of Korea Conference
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    • 2009.10a
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    • pp.151-152
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    • 2009
  • 최근 신경과학 분야에서 대뇌피질 영역 간 연관성 분석은 신경학적 질병 (자폐증, 간질, 정신 분열증)의 분석 및 진단에 적용되고 있다. 기존 대뇌피질 영역 간 연관성 분석은 뇌전도 (EEG), 기능적 자기공명영상 (fMRI), 뇌자도 (MEG)등이 이용되었지만, 뇌전도의 낮은 공간분해능, 기능적 자기공명영상의 낮은 시분해능 등은 영역 간 연관성 분석에 단점으로 작용되고 있다. 반면, 근적외선 분광법(NIRS)은 대뇌피질에서의 혈류변화(oxy-, deoxy-hemoglobin)를 비침습적이며 빠른 시분해능으로 측정할 수 있는 방법으로 최근 신경과학 분야에 응용되고 있다 [1-2]. 본 논문에서는 근적외선 분광법을 이용한 대뇌피질영역 간 연관성 분석의 효용성을 입증하기 위해, 쥐의 수염자극 시 대응되는 지역 (일차-, 이차 체감각피질, 일차 운동피질 영역)에서의 혈류변화 신호의 영역 간 연관성 분석을 하였다. 본 연구결과에 의하면 수염자극 시 일차-, 이차 체감각피질 영역에서의 방향성은 확인할 수 없었고, 일차-, 이차 체감각피질 영역에서 일차 운동피질영역으로의 방향성은 확인할 수 있었다. 본 결과는 기존 수염자극 시 활성화되는 전기신호의 패턴과 일치하며, 향후 신경과학적 질병의 분석 및 진단에 근적외선을 이용한 대뇌피질 영역 간 연관성 분석이 유용할 수 있음을 보여준다.

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Homogeneity Test of Random Coefficient for the First Order Nonlinear Time Series Panel Data (일차 비선형 시계열 패널자료의 확률계수 동질성 검정)

  • 김인규;황선영;이성덕
    • The Korean Journal of Applied Statistics
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    • v.13 no.1
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    • pp.97-104
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    • 2000
  • 본 논문은 m개의 독립적인 일차 비선형 시계열로 구성된 패널자료의 동질성 검정에 대한 연구로서 먼저 일반적인 일차 비선형 시계열의 정상성 조건을 유도하고 이어서 동질성 검정법을 제시하고 연관된 극한분포를 규명하였다. 또한 모의실험을 하여 제안된 검정법의 모의검정력을 구하였다.

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MR Images of Primary Localized Amyloidosis of the Ureter and Bladder: A Case Report (요관과 방광의 일차성 국소 유전분증의 자기공명영상: 증례 보고)

  • Noh, Bong-Wan;Kim, Mi-Young;Suh, Chang-Hae;Kim, Youn-Jeong;Park, Won-Hee;Kim, Lucia
    • Investigative Magnetic Resonance Imaging
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    • v.13 no.1
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    • pp.93-96
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    • 2009
  • Primary localized amyloidosis of the ureter and bladder is a very rare condition. CT and cystoscopic findings are indistinguishable from malignant neoplasm or inflammatory lesions. We report a case of unilateral distal ureteral thickening caused by primary localized amyloidosis. MR image features of hypointensity on T2-weighted images and mural enhancing pattern on contrast enhanced T1-weighted images can be helpful for diagnosis of ureteral amyloidosis.

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Relationship between gross primary production and environmental variables during drought season in South Korea (가뭄 기간 총일차생산량과 환경 변수 간 상관관계 분석)

  • Park, Jongmin;Lee, Dalgeun;Park, Jinyi;Choi, Minha
    • Journal of Korea Water Resources Association
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    • v.54 no.10
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    • pp.779-793
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    • 2021
  • Water stress and environmental drivers are important factors to explain the variance of gross primary production (GPP). Environmental drivers are used to generate GPP in Moderate Resolution Imaging Spectroradiometer (MODIS) algorithm and process-based model. However, MODIS algorithm only consider the vapor pressure deficit (VPD) data while the process-based biogeochemical model also uses limited data to express water stress. We compared the relationship between environmental drivers and GPP from eddy covariance method, MODIS algorithm, and Community Land Model 4 (CLM 4) simulation in normal years and drought years. To consider water stress specifically, we used VPD and evaporative fraction (EF). We evaluated the effects from environmental drivers and EF towards GPP products using the structural equation modeling (SEM) in South Korea. We found that GPP products from MODIS algorithm and model simulation results were not restricted from VPD data if VPD was underestimated. We also found that in the cropland area, irrigation effects can relieve VPD effects to GPP. However, GPP products derived from MODIS and CLM 4 had limitation to explain the irrigation effects to GPP. Overall, these results will enhance the understanding of GPP products derived from MODIS and CLM 4.

Discrimination between obstructive sleep apnea syndrome and primary snoring in children : comparison of clinical parameters and behavioral disturbance (소아의 폐쇄성 수면무호흡 증후군과 일차성 코골이의 감별 임상양상 및 행동장애 비교)

  • Seo, Hyun-Joo;Lee, Jae Suk;Shin, Hong-Beom;Kim, Eui-Joong;Shim, Hyun-Joon;Ahn, Young-Min
    • Clinical and Experimental Pediatrics
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    • v.51 no.3
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    • pp.267-275
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    • 2008
  • Purpose : To determine whether primary snoring could be distinguished from obstructive sleep apnea syndrome (OSAS) by clinical evaluation and symptom scores. Methods : 56 snoring and 20 asymptomatic subjects were recruited and polysomnography was used to confirm that there were 39 OSAS, 17 primary snoring, and 20 control subjects. We evaluated the size of the childrens adenoids and tonsils. Parents completed sleep disordered breathing scale (SDBS) and obstructive sleep apnea 18 (OSA-18) questionnaires for use as symptom scores, as well as an attention deficit hyperactivity disorder rating scale-IV (ADHD RS-IV). Results : There were no differences between primary snoring and OSAS in terms of tonsil and adenoid size, SDBS ($9.4{\pm}4.6\;vs\;10.8{\pm}4.5$), and OSA-18 score ($61.1{\pm}25.1\;vs\;71.2{\pm}8.4$). The patients with OSAS ($15.8{\pm}7.9$) and PS ($22.2{\pm}9.4$) had a higher ADHD RS-IV score than the control subjects ($2.9{\pm}3.3$). There was no difference in the ADHD RS-IV scores of patients with primary snoring and OSAS. Conclusion : We confirmed that clinical evaluation could not distinguish OSAS and primary snoring. In addition, our study suggests that primary snoring as well as OSAS is associated with attention deficit hyperactivity disorder.

Severe Intestinal Distension in a Dog with Primary Hypoparathyroidism (일차성 부갑상샘기능저하증에 이환된 개에서 장확장증 발생 증례)

  • Kim, Dong-In;Kim, Hye-Sun;Chang, Dongwoo;Yang, Mhan-Pyo;Kang, Ji-Houn
    • Journal of Veterinary Clinics
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    • v.31 no.3
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    • pp.216-219
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    • 2014
  • An 1-year-old, female, mixed-breed dog weighing 17 kg was referred for abrupt collapse. She had remarkable hypocalcemia and hyperphosphatemia, and survey radiographs revealed a severe gas-filled intestine. Treatment with serial injections of calcium gluconate was initiated promptly and most of the gastrointestinal distension disappeared after 4 h. However, the clinical signs were not resolved completely. The serum intact parathyroid hormone concentration was not elevated in the context of hypocalcemia, which suggested primary hypoparathyroidism. The clinical signs and laboratory abnormalities in the patient were resolved completely 3 days after administration of calcium gluconate and calcitriol. This case describes the unique presentation of severe gastrointestinal distension in a dog diagnosed with primary hypoparathyroidism.

Eruption Guidance of Horizontally Impacted Permanent First Molar with Primary Retention of Primary Second Molars: Case Reports (제2유구치의 일차성 만기잔존이 동반된 제1대구치 수평매복의 맹출유도 : 증례보고)

  • Yoon, Garam;Lee, Nanyoung;Lee, Sangho;Jih, Myeongkwan
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.2
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    • pp.219-227
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    • 2020
  • Tooth eruption involves a complex developmental process of tooth migration from the dental follicular origin to the final occlusion position in the oral cavity via the alveolar process. Disturbance of tooth eruption can occur at any point in a series of eruption stages; however, horizontal impaction of the mandibular first molar and primary retention of the primary mandibular second molar are rarely observed simultaneously. This study describes the treatment for two cases of horizontally impacted first molar with primary retention of primary molar. The primary retention of the primary mandibular second molar was extracted, and orthodontic traction was applied to the horizontally impacted primary mandibular first molar. Subsequently, displacement of the premolar tooth bud was improved and space regaining for eruption was achieved, guiding to normal eruption of the first molar.

고압안전주입이 실패한 소형 냉각재상실사고에서 일차측 급속냉각에 대한 PSA 민감도 분석

  • 황미정;정원대;한상훈;박수용
    • Proceedings of the Korean Nuclear Society Conference
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    • 1998.05a
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    • pp.850-855
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    • 1998
  • 소형 냉각재상실사고 발생 후 고압안전주입이 작동하지 않는 경우, 국내 원자력발전소의 확률론적 안전성평가 (Probabilistic Safety Assessment: PSA) 에서 고려한 일차측 급속냉각 (Aggressive Cool Down of Reactor Coolant System)의 수행 가능성에 대한 논란이 있다. PSA분석 결과에 의하면, 일차측 급속냉각을 위해서는 운전원 조치가 전체 노심손상빈도에 큰 영향을 주고 있음을 보여주지만, 현재 작성되어 있는 국내 원자력발전소의 비상 운전절차서에 따르면 PSA 모델시 가정된 성공기준으로 일차측 급속냉각의 수행에 실패할 가능성이 매우 높은 것으로 판단된다. 이에 따라 본 논문에서는 소형 냉각재상실사고로 인한 노심 손상빈도 측면에서 PSA에서 사용한 일차측 급속냉각 성공기준과 인간오류에 대하여 민감도분석을 수행하였다. 또한 열수력학적 분석을 통해 일차측 급속냉각의 타당성과 성공기준을 재검토했다. 이 결과 일차측 급속냉각의 수행 가능성 여부와 노심 손상빈도에 미치는 영향을 도출하였고 일차측 급속냉각의 성공적 수행을 위한 새로운 성공기준을 제시한다.

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