• Title/Summary/Keyword: 추적방안

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Clinical Features and the Natural History of Dietary Protein Induced Proctocolitis: a Study on the Elimination of Offending Foods from the Maternal Diet (식품 단백질 유발성 직결장염의 임상 소견과 식이 조절에 관한 연구)

  • Choi, Seon Yun;Park, Moon Ho;Choi, Won Joung;Kang, Una;Oh, Hoon Kyu;Kam, Sin;Hwang, Jin-Bok
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.1
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    • pp.21-30
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    • 2005
  • Purpose: The aim of this study was to identify the clinical features and natural history of dietary protein induced proctocolitis (DPIPC) and to detect the causative foods of DPIPC, and to evaluate the effect of elimination of the foods on the course of the disease. Methods: Between March 2003 and July 2004, data from 30 consecutive patients with DPIPC who were followed for over 6 months, was reviewed. The diagnostic criterion used for DPIPC was an increase in the number of eosinophils in the lamina propria (${\geq}60per$ 10 high-power fields). In breast feeding mothers, 5 highly allergenic foods were eliminated from the maternal diet for 7 days, namely, allergenic food groups such as dairy products, eggs, nuts and soybean, fish and shellfish, and wheat and buckwheat. We observed the disappearance or appearance of hematochezia after elimination or challenge with the offending foods. Results: Before diagnosis infants were breast-fed (93.3%) or formula-fed (6.7%). Mean age at symptom onset was $11.5{\pm}5.1$ (5~24) weeks, and mean age at diagnosis was $17.8{\pm}9.5$ (8~56) weeks. Duration from symptom onset to diagnosis was $6.3{\pm}6.7$ (0~36) weeks. Mean peripheral blood eosinophil count was $478{\pm}320$ (40~1,790)/$mm^3$ and eosinophilia (> $250/mm^3$) was observedin 90.0% of patients. None of patients were found to have an increased serum IgE level. Of 15 patients that received sigmoidoscopy, nodular hyperplasia with erosion was observed in 93.3%. Of 27 patients whose mother ate the diet eliminated the 5 food groups, hematochezia diappeared in 74.1% of patients. Offending foods were identified as dairy products (37.5%), wheat and buckwheat (27.5%), fish and shellfish (20.0%), nuts and soybean (7.5%) and eggs (7.5%). A free maternal diet without patient's clinical symptoms was achieved at $29.4{\pm}8.7$ (9~44) weeks of patient's age, and a free baby diet without blood in stools was achieved at $37.5{\pm}9.7$ (12~56) weeks of age. Conclusion: DPIPC commonly occurs in exclusively breast-fed babies. Elimination of the above-mentioned 5 hyper-allergenic food groups from the maternal diet for 7days enables the detection of the offending foods. DPIPC is a transient disorder and 96.0% of patients can tolerate the offending foods at 12 months of age.

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Change of Functional Health Status according to Healthy Life-style of the Elderly Living in Rural Community (일부 농촌지역 노인의 건강생활습관에 따른 기능적 건강상태의 변화)

  • Hwang, Byung-Deog;Lee, Sang-Won;Moon, Hyo-Jung;Lee, Sung-Kook
    • Journal of agricultural medicine and community health
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    • v.30 no.2
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    • pp.151-165
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    • 2005
  • Objectives: This study was to examine those life style factors which could affect the changes of health status indices such as ADL and IADL of the Elderly living in rural community. Methods: The subjects of the study were 1,295 elderly people of age over 65 years living in Gyungbook Sung-Ju area selected by random sampling for one month at October 1996. After 4 years, the follow-up study in those subjects were performed, ADL, IADL and general characteristics were measured. Those subjects who had shown high functional health status in first investigation were measured as how their health were changed in relation with their general characteristics and life styles in second investigation. Results: The factor analysis were performed in life style questions, and 6 factors composed of 15 questions of all were selected as the indices of life style. For ADL level, logistic regression analysis, age and educational level in men, and age and economic status in women had significant relation with health status change. Among life style factors, diet factor in men and diet factor, social activity factor in women were found to be significantly related. For IADL level, simple analysis showed that age in men and age, education level in women among general characteristics had related with health status change. Among life style factors, diet factor, stress relieving factor were related in women when general characteristics were also controlled diet factor, stress relieving factor were related in women. Conclusions: In order to prevent functional health status altering in the elderly, it is recommended that the intervention which could promote healthy life styles such as good diet habit, active social participation, and pertinent stress relieving should be considered.

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The Impact of Amalgam Exposure an Urinary Mercury Concentration in Children (어린이의 구강 내 아말감 노출이 요중 수은농도에 미치는 영향)

  • Jeon, Eun-Suk;Jin, Hye-Jung;Kim, Eun-Kyong;Im, Sang-Uk;Song, Keun-Bae;Choi, Youn Hee
    • Journal of dental hygiene science
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    • v.14 no.1
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    • pp.7-14
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    • 2014
  • This study aims to evaluate the impact of varying exposure to dental amalgam on urinary mercury levels in children by measuring the number of amalgam-filled teeth and the variance of mercury concentration in urine over a period of 2 years. A total of 317 (male 158, female 159) elementary school children (1st~4th graders) attending 2 schools in urban regions participated in this study. At 6-month intervals, 4 oral examinations were conducted to check any variance in the conditions of dental caries and the status of dental fillings. Also, urine tests were conducted followed by a questionnaire survey. To elucidate the factors potentially affecting the mercury concentration in urine, t-test, ANOVA, chi-square test and a mixed model were used for the analysis. Regarding the status of dental fillings in line with examination time periods, deciduous teeth had more amalgam-filled surfaces than those filled with resin, whereas permanent teeth had more resin-filled surfaces than those filled with amalgam. A significant relevance was found between the exposure to dental amalgam and urinary mercury levels. Specifically, subjects whose teeth surfaces had been filled with dental amalgam showed higher urinary mercury levels than those who had no dental amalgam fillings. Based on the analysis using the mixed model, the increase in the number of teeth surfaces filled with amalgam was found to be the factor affecting the increase in urinary mercury levels. The urinary mercury levels were found to be highly associated with the exposure to dental amalgam. The more the teeth surfaces filled with amalgam, the higher the urinary mercury levels. Hence, even a trace of dental amalgam fillings can liberate mercury, affecting the variance in the urinary mercury levels. These findings suggest that some criteria or measures should be developed to minimize the exposure to dental amalgam. Moreover, relevant further studies are warranted.

A Study on Scenario to establish Coastal Inundation Prediction Map due to Storm Surge (폭풍해일에 의한 해안침수예상도 작성 시나리오 연구)

  • Moon, Seung-Rok;Kang, Tae-Soon;Nam, Soo-Yong;Hwang, Joon
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.19 no.5
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    • pp.492-501
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    • 2007
  • Coastal disasters have become one of the most important issues in every coastal country. In Korea, coastal disasters such as storm surge, sea level rise and extreme weather have placed many coastal regions in danger of being exposed or damaged during subsequent storms and gradual shoreline retreat. A storm surge is an onshore gush of water associated with a tow pressure weather system, typically in typhoon season. However, it is very difficult to predict storm surge height and inundation due to the irregularity of the course and intensity of a typhoon. To provide a new scheme of typhoon damage prediction model, the scenario which changes the central pressure, the maximum wind radius, the track and the proceeding speed by corresponding previous typhoon database, was composed. The virtual typhoon scenario database was constructed with individual scenario simulation and evaluation, in which it extracted the result from the scenario database of information of the hereafter typhoon and information due to climate change. This virtual typhoon scenario database will apply damage prediction information about a typhoon. This study performed construction and analysis of the simulation system with the storm surge/coastal inundation model at Masan coastal areas, and applied method for predicting using the scenario of the storm surge.

The Comparison Evaluation of SUV Using Different CT Devices in PET/CT Scans (PET 검사에서 CT 장비의 차이에 따른 PET/CT의 SUV 비교 평가)

  • Kim, Woo Hyun;Go, Hyeon Soo;Lee, Jeong Eun;Kim, Ho Sung;Ryu, Jae Kwang;Jung, Woo Young
    • The Korean Journal of Nuclear Medicine Technology
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    • v.18 no.1
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    • pp.10-18
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    • 2014
  • Purpose: Among different PET/CT devices which are composed of same PET model but different CT models, SUV, usually used for quantitative evaluation, was measured to assess the accuracy of follow up scans in different PET/CT and confirm that interequipment compatibility is useful in arranging the PET/CT exam appointment. Materials and Methods: Using ACR PET Phantom, PET NEMA IEC Body Phantom, SNM Chest Phantom and Ge-68 cylinder Phantom, $SUV_{mean}$ and $SUV_{max}$ was measured by 3 different models of PET/CT (Discovery 690, Discovery 690Elite and Discovery 710, GE) made in same company. ANOVA was used to evaluate the significant difference in the result. Results: In the result, the average of $SUV_{max}$ was D690 (25 mm-1.82, 16 mm-1.75, 12 mm-1.73, 8 mm-1.44), D690E (25 mm-1.76, 16 mm-1.92, 12 mm-1.78, 8 mm-1.55) and D710 (25 mm-1.84, 16 mm-1.89, 12 mm-1.77, 8 mm-1.61) in ACR Phantom, D690 (25 mm-2.26, 16 mm-2.25, 12 mm-1.92, 8 mm-1.85), D690E (25 mm-2.45, 16 mm-2.25, 12 mm-2.05 8 mm-1.91) and D710(25 mm-2.49, 16 mm-2.20, 1 2mm-2.30, 8 mm-2.05) in PET NEMA IEC Body Phantom, D690-1.04, D690E-1.10 and D710-1.09 in SNM Chest Phantom and D690-0.81, D690E-0.81, D710-0.84 in Ge-68 cylinder Phantom. The differences between average SUV of 4 phantoms were $SUV_{mean}$-1.87%, $SUV_{max}$-2.15%. And also as a result of ANOVA analysis, there was no significant difference statistically. Conclusion: If different models of PET/CT have same specification of PET system, there was no significant difference in $SUV_{mean}$ and $SUV_{max}$ even though they have different CT system. And also differences of $SUV_{mean}$ and $SUV_{max}$ in phantom images were under 5% which many manufacturers recommend. Therefore, follow up scan will be possible using different PET/CT if it has same specification of PET system with the previous PET/CT. This information will enable the accurate comparative analysis when conducting follow up scans and be helpful to schedule PET/CT exam more effectively.

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Development of Cyber R&D Platform on Total System Performance Assessment for a Potential HLW Repository ; Application for Development of Scenario through QA Procedures (고준위 방사성폐기물 처분 종합 성능 평가 (TSPA)를 위한 Cyber R&D Platform 개발 ; 시나리오 도출 과정에서의 품질보증 적용 사례)

  • Seo Eun-Jin;Hwang Yong-soo;Kang Chul-Hyung
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2005.06a
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    • pp.311-318
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    • 2005
  • Transparency on the Total System Performance Assessment (TSPA) is the key issue to enhance the public acceptance for a permanent high level radioactive repository. To approve it, all performances on TSPA through Quality Assurance is necessary. The integrated Cyber R&D Platform is developed by KAERI using the T2R3 principles applicable for five major steps in R&D's. The proposed system is implemented in the web-based system so that all participants in TSPA are able to access the system. It is composed of FEAS (FEp to Assessment through Scenario development) showing systematic approach from the FEPs to Assessment methods flow chart, PAID (Performance Assessment Input Databases) showing PA(Performance Assessment) input data set in web based system and QA system receding those data. All information is integrated into Cyber R&D Platform so that every data in the system can be checked whenever necessary. For more user-friendly system, system upgrade included input data & documentation package is under development. Throughout the next phase R&D, Cyber R&D Platform will be connected with the assessment tool for TSPA so that it will be expected to search the whole information in one unified system.

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Comparative Study on the Shape and Symbolism of Flowered-Wall in Tradition Private Houses and Temples - Focusing on the Designated Cultural Properties of Jeollabuk-do Province - (전통민가와 사찰에 나타난 꽃담의 형태와 상징성 연구 - 전라북도 문화재를 중심으로 -)

  • Go, Yu-Ra;Sin, Sang-Sup
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.34 no.3
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    • pp.18-27
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    • 2016
  • A 'flowered-wall,' which are also called a 'flower plant patterned wall,' or a 'flower patterned wall,' is a wall of a building or a fence with various patterns on it. A flowered-wall can be an external mean to look into the owner's authority and values while internally it possesses the symbolic meaning of wishing the well-being and peace of the household. In the research area of the flowered-wall, the walls located in the palace were well researched in various studies across architecture, horticulture, and art design, however, the walls belonging to the local regional traditional folk houses and temples have been involved in little to no research in the landscape architectural area. Taking notice of this perspective this study researched and analyzed the cases of the flowered-walls of the traditional folk houses and the temples that belonged to the national and municipal cultural properties of Jeollabuk-do Province from the landscape architectural perspective. The whole samples were examined and it was shown that there were 9 traditional folk houses with flowered-walls. Among the temples there were 7 cases. Therefore the research focusing on tracing the shape and symbolic meaning of the flowered-walls in the 16 cultural properties located in the Jeollabuk-do Province which consisted of traditional folk houses and temples resulted in the following. Flowered-walls displayed hierarchical differentiation revolving around the main space and its spacial characteristic. This differentiation is variously displayed across the flowered-wall, gable, crack plastering, and chimney. In the case of the folk houses the symbols have the meaning of the prosperity of the household and progeny, exorcism, longevity, number of fortune, harmony, and peace etc that prays for practical wishes such as long life and good health with the prosperity of their descendants. Meanwhile in the temples, symbols indicating an easy passage into eternity, perpetuation of the Buddha-nature, and three marks of existence are applied, differentiating from the folk houses by the appliance of the religious values in the patterns. In conclusion this research resulted in the rightful illumination on the local landscape culture, the possibility of expressing the Korean sentiment through flowered-walls in the contemporary space, the reassessment of flowered-walls, and the provision of basic data for a plan to success the cultural heritage.

Analysis of Determinant Factors of Apartment Price Considering the Spatial Distribution and Housing Attributes (공간지리적 요인과 주거특성을 고려한 공동주택 가격결정 분석)

  • Moon, Tae-Heon;Jeong, Yoon-Young
    • Journal of the Korean Association of Geographic Information Studies
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    • v.11 no.1
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    • pp.68-79
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    • 2008
  • Because local cities are different from large cities, they need to reflect their own characteristics of housing market. Thus in order to obtain useful implications for the establishing sound housing market in Jinju City, this paper investigated the characteristics of spatial distribution and determinant factors that affect apartment price in Jinju City. GIS representation of the apartments showed that most of old and small apartments were built in 'land readjustment project' areas executed in 1970s. On the contrary, new and large scale apartment complexes were built quite recently and distributed in the western and southern parts of the city. Next, in order to examine the factors which affect apartment price, this paper subtracted firstly several variables from the related studies. However in order to avoid multi-colinearity, variables were summarized by means of factor analysis. Then, setting apartment price as a dependant variable, 12 hedonic price models were established with 33 independent variables. As results, building age, floor area, accessibility to university and hospital, accessibility to arterial road, and stair-type building were turned out to be significant. These results will be used in making the supply and allocation plan of urban facilities and housing. Finally as conclusions this paper emphasized the need of periodic analysis of local housing market and establishing detailed housing information systems.

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A Study on the Interpersonal Relationship between Parenting Stress and Children's Problem Behavior in Low Income Families (저소득층 가정 양육자의 양육스트레스와 아동 문제행동 간의 상호인과적 관계에 대한 종단연구)

  • Song, Mi-Ryoung;Hong, Seung-ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.340-348
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    • 2020
  • The purpose of this study was to investigate the mutual relationship between parenting stress and children's problem behaviors among those participating in dream start services. In order to verify the effect of parental and child effects on child's problem behavior and parenting stress based on repeated measures from the first grade of elementary school to the third grade of elementary school among children participating in dream start services, autoregressive cross-lagged modeling was applied. As a result, the stability coefficient showed that the two variables were significantly stable for 3 years. In other words, the measurement was maintained at a similar level with time. The causal relationship between parents 'parenting stress and child' s problem behavior was generally explained by the parental effect. In other words, parental stress is related to the child's problem behavior. These results show that the economic stress of poverty increases parents' parenting stress, which can negatively affect the adaptive development of children in the process of raising children.

Application of Screenings by-product of Crushing Rock in Quarry as Lean Concrete Pavement (산업부산물인 스크리닝스의 활용도 증진을 위한 린콘크리트 적용성 평가)

  • Kang, Min-Soo;Lee, Kyung-Ha;Suh, Young-Chan;Kim, In-Soo
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.6 no.4
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    • pp.75-81
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    • 2012
  • In case of crushing rock to produce materials for lean concrete subbase layer in concrete pavement, natural sand is used for the gradation adjustment of aggregates, and the percentage of natural sand used is 30%~40% of the weight ratio of aggregate mix. The supply of natural sand that is used in lean concrete as a fine aggregate is getting harder due to the current of exhaustion of source, and the cost for the purchase of natural sand is included in the cost of roadway construction. This study, therefore, was conducted in order to resolve the exhaustion of materials and economize in construction expenditure by the application of screenings, which is by-product of crushing rock in quarry, as an alternative to natural sand. As a result of a comparative analysis on the application of screenings and natural sand with typical types of rock that is produced in domestic, which was conducted in the first year, It is found out that the use of screenings as a fine aggregate showed better unconfined compression strength. Verification of actual application of screenings was conducted in the second year, after test construction and follow-up investigation. The compressive strength, compaction density, settlement of screenings applied case was higher than that of natural sand. Thus, it is expected that application of screenings to construction in field will contribute to the cost saving, material recycling and the protection of environment.

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