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Clinical Features of Dietary Protein Induced Proctocolitis (식이 단백 유발 직결장염의 임상적 고찰)

  • Im, Sun Ju;Kim, Seong Heon;Bae, Sang Nam;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.8 no.2
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    • pp.157-163
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    • 2005
  • Purpose: Dietary protein induced proctocolitis (DPIPC) can be considered as a cause of rectal bleeding or blood streaked stool in otherwise healthy-looking infants in the first several months of life. Failure to appreciate this entity may lead to inappropriate diagnostic or therapeutic intervention. This study aimed to ascertain the clinical features, treatment and prognosis of DPIPC. Methods: We reviewed 13 infants retrospectively, presented with bloody stool in early infancy. They were diagnosed as DPIPC clinically in Pusan National University Hospital from May 2002 to June 2004. Results: Seven males and six females were included. The mean age at onset of bleeding was $96.8{\pm}58.8days$. The mean frequency of hematochezia was $2.6{\pm}2.5$ times a day. Duration from onset of symptom to diagnosis was $35.5{\pm}55.0days$ and duration from onset of symptom to resolution of bleeding was $58.7{\pm}67.0days$. Nine (69.2%) were exclusively breast-fed infants and two (15.4%) were formula-fed infants. All but one infant did not have family history of other allergic diseases. A dietary history of ingestion of cow's milk, nut or shellfish was present in three mothers. Peripheral eosinophil count was normal to slightly elevated (total WBC count $10,555{\pm}3,145/mm^3$, relative eosinophil count $6.3{\pm}3.0%$, absolute eosinophil count $659.0{\pm}532.2/mm^3$). Sigmoidoscopy revealed lymphonodular hyperplasia with surrounding hemorrhagic spots in the rectosigmoid colon in 6 infants. Histopathologic finding of colonic biopsies in 5 infants showed chronic inflammation with lymphoid follicular hyperplasia (5 infants), crypt abscess (3 infants), or mild infiltration of eosinophils (less than 20/high power field) in the lamina propria. Spontaneous resolution of rectal bleeding occurred in all infants without dietary change or medicine. Conclusion: Most infants with DPIPC experience a very benign course and have spontaneous resolution of rectal bleeding without changes in the mother's diet. In the case of strong evidence for DPIPC we suggest deferring further invasive investigation and continuing breast feeding.

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Analysis of Radiofrequency Ablation of Small Renal Tumors in Patients at High Anesthetic and Surgical Risk: Urologist Experience with Follow-up Results in the Initial Six Months

  • Yuksel, Mehmet Bilgehan;Karakose, Ayhan;Gumus, Bilal;Tarhan, Serdar;Atesci, Yusuf Ziya;Akan, Zafer
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6637-6641
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    • 2013
  • Background: To evaluate the results of various types of radiofrequency ablation (RFA) treatment of renal tumors in patients with excessive anesthetic and surgical risk. Materials and Methods: Data for RFA performed in in high risk patients were retrospectively evaluated. Other RFA applications in patients with no anesthetic and/or surgical risk were excluded. RFA was by ultrasound or CT guided percutaneous (USG/CT-PRFA) and retroperitoneally or transperitoneally laparoscopic (R/T-LRFA) techniques under general or local anethesia. Follow-up data of enhanced CT or MRI after 1, 3 and 6 months were analysed for twelve RFA applications. Results: The RFA applications included 4 (40%) left-sided, 5 (50%) right-sided and 1 (10%) bilaterally RFA (simultaneously 1 right and 2 left). The localizations of tumors were 2 (16.6%) upper, 5 (41.6%) mid and 5 (41.6%) lower pole. The RFA applications included 9 (75%) USG-PRFA, 1 (8.3%) CT-PRFA, 1 (8.3%) T-LRFA and 1 (8.3%) R-LRFA. The mean age was $65.3{\pm}8.5$ (52-76) years. The mean tumor size was $29.6{\pm}6.08$ (15-40) mm. No complications related to the RFA were encountered in any of the cases. Failure (residual tumour) was determined in 8.3% (1/12) of USG-RFA application. The success rate was thus 91.7% (11/12). Other 1st, 3rd and 6th months follow-up data revealed no residua and recurrence. Conclusions: RFA application appears to be safe as a less invasive and effective treatment modality in selected cases of small renal tumors in individuals with excessive anesthetic and also surgical risk.

Effect of Ground Compostable Household Wastes on a Small Bin Composting (소형용기에 의한 퇴비화에 있어서 퇴비화 가능한 가정 폐기물의 분쇄 효과)

  • Seo, Jeoung-Yoon;Han, Jong-Phil;Hwang, Myun-Hoon
    • Korean Journal of Environmental Agriculture
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    • v.20 no.3
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    • pp.135-142
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    • 2001
  • Compostable household wastes(mainly food wastes), after waste papers and cardboard being removed, were daily fed into small bins and mixed thoroughly while the air was supplied into the bin. Three small bins were employed: in case I, only recycled compost was composted, after being once fed at the beginning of composting, in case II, compostable household wastes(less than 50 mm) torn roughly by the hands with recycled compost, and in case III, compostable household wastes(less than 2 mm) ground by a kitchen mixer for vegetables with recycled compost. The straight-line was maintained between the wet or the dry residual mass of composting mixture versus composting time date(the coefficient of determination $R^2{\geq}0.98$ for the wet and $R^2{\geq}0.90$ for the dry). The decomposition rate of each composted material was estimated during composting. The total weight reduction rate after 30 days was 67.86% and 66.14% for case II and III, respectively. For case II, the daily weight reduction 6.82% and the daily decomposition rate 8.81% with the composting mixture, but the daily weight reduction rate was 56.43% and the daily decomposition rate 19.26% with only compostable household wastes. For case III, the daily reduction rate was 6.93% and the daily decomposition rate 7.70% with the composting mixture, but the daily weight reduction rate was 53.30% and the daily decomposition rate 22.95% with only compostable household wastes. The physicochemical characteristics of composting mixture did not show much difference between case II and III as was expected.

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Cold Storage, Packing and Salting Treatments Affecting the Quality Characteristics of Winter Chinese Cabbages (월동 배추의 저온 저장 방법별 포장 및 염장 처리에 따른 품질 특성)

  • Lee, Jung-Soo;Choi, Ji-Won;Chung, Dae-Sung;Lim, Chai-Il;Park, Su-Hyung;Lee, Youn-Suk;Lim, Sang-Chul;Chun, Chang-Hoo
    • Food Science and Preservation
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    • v.14 no.1
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    • pp.24-29
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    • 2007
  • Quality changes in winter Chinese cabbages were evaluated during low temperature storage. Flesh and salt-treated Chinese cabbages were put into (a) polyethylene (PE) film sacks (size: $40cm{\times}60cm$, thickness: 0.03 mm, with four perforations each 8 mm in diameter), (b) plastic containers or (c) polypropylene (PP) nets and stored at $0^{\circ}C$. Also, Cabbages were also wrapped in newspapers and stored underground where the average temperature was $2.7^{\circ}C$. The weight loss rates of Chinese cabbages stored in PP nets and plastic containers were greater than those of cabbages stored with PE or wrapped in newspaper. Chinese cabbages wrapped in newspaper and stored underground needed much greater trimming compared to cabbages stored in other ways. The firmness and the soluble solid contents of Chinese cabbages were not affected by the various storage treatments. A better appearance was retained when Chinese cabbages were stored in PE film sacks. Chinese cabbages in PE film sacks stored at $0^{\circ}C$ showed delayed weight loss, less trimming loss, and less change in appearance. The quality changes in salted Chinese cabbages (desalting losses, pH changes, osmolarities, and crude fiber content) were not significantly different after the various treatments. No storage treatment was effective in maintaining a high quality of salted winter Chinese cabbage.

Field Application and Maintenance of sidewalk concrete block for PV Power Generation (태양광 발전을 위한 보도형 콘크리트 블록의 현장 적용과 유지관리)

  • Kim, Bong-Kyun;Kim, Yun-Yong
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.23 no.5
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    • pp.75-83
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    • 2019
  • In order to fulfill the obligation to voluntarily reduce greenhouse gas emissions under the Paris Climate Agreement, the proportion of coal and nuclear power generation is reduced worldwide and national efforts are being made to spread renewable energy including solar power generation. Korea also intends to increase the proportion of renewable energy generation to 30~35% by 2040 by introducing laws and regulations. In addition, while the country is trying to apply solar power generation to sidewalks and roads, there is no research related to it in Korea. Therefore, as a precedent study to develop solar power generation roads, solar power generation concrete blocks applicable to sidewalks and plazas were developed and the applicability was evaluated by constructing them on the site. As a result of indoor experiment, compressive strength was measured by 25.5~35.7MPa and flexural strength was measured by 5.1~10.5MPa, which showed that all domestic standards were satisfied. However, the higher the unit cement amount, the lower the strength was measured according to the mixing of the broken fine aggregate. The absorption rate was 5.7%, which satisfied the domestic standard of 7% or less. As a result of the freeze-thawing test, the reduction rate of the compressive strength after 100 cycles was up to 6.3%. As a result of measuring the settlement amount after construction, the maximum of 2.498mm was measured and irregular settlement occurred in the overall area, which is because the resolution of the sand layer was poor during construction. Maintenance techniques of sidewalk concrete block and solar panel need to be established more efficiently through long-term operation in the further.

The CH3CHO Removal Characteristics of Lightweight Aggregate Concrete with TiO2 Spreaded by Low Temperature Firing using Sol-gel Method (Sol-gel법으로 이산화티탄(TiO2)을 저온소성 도포시킨 경량골재콘크리트의 아세트알데히드(CH3CHO) 제거 특성)

  • Lee, Seung Han;Yeo, In Dong;Jung, Yong Wook;Jang, Suk Soo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.31 no.2A
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    • pp.129-136
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    • 2011
  • Recently studies on functional concrete with a photocatalytic material such as $TiO_2$ have actively been carried out in order to remove air pollutants. The absorbtion of $TiO_2$ from those studies is applied by it being directly mixed into concrete or by suspension coated on the surface. When it comes to the effectiveness, the former process is less than that of the latter compared with the $TiO_2$ use. As a result, the direct coating of $TiO_2$ on materials' surface is more used for effectiveness. The Surface spread of it needs to have a more than $400^{\circ}C$ heat treat done to stimulate the activation and adhesion of photocatalysis. Heat treat consequently leads hydration products in concrete to be dehydrated and shrunk and is the cause of cracking. The study produces $TiO_2$ used Sol-gel method which enables it to be coated with a low temperature treat, applies it to pearlite using Lightweight Aggregate Concrete fixed with a low temperature treat and evaluates the spread performance of it. In addition to this, the size of pearlite is divided into two types: One is 2.5 mm to 5.0 mm and the other is more than 5.0 mm for the benefit of finding out the removal characteristics of $CH_3CHO$ whether they are affected by pearlite size, mixing method and ratio with $TiO_2$ and elapsed time. The result of this experiment shows that although $TiO_2$ produced by Sol-gel method is treated with 120 temperature, it maintains a high spread rate on the XRF(X ray Florescence) quantitative analysis which ranks $TiO_2$ 38 percent, $SiO_2$ 29 percent and CaO 18 percent. In the size of perlite from 2.5 mm to 5.0 mm, the removal characteristic of $CH_3CHO$ from a low temperature heated Lightweight concrete appears 20 percent higher when $TiO_2$ with Sol-gel method is spreaded on the 7 percent of surface. In other words, the removal rate is 94 percent compared with the 72 percent where $TiO_2$ is mixed in 10 percent surface. In more than 5.0 mm sized perlite, the removal rate of $CH_3CHO$, when $TiO_2$ is mixed with 10 percent, is 69 percent, which is similar with that of the previous case. It suggests that the size of pearlite has little effects on the removal rate of $CH_3CHO$. In terms of Elapsed time, the removal characteristic seems apparent at the early stage, where the average removal rate for the first 10 hours takes up 84 percent compared with that of 20 hours.

The Composting Techniques for On-site Recycling of Wood Waste (임목폐기물의 현장 재활용을 위한 퇴비화기술)

  • Hur, Young-Jin;Koh, Jeung-Hyun;Joo, Paik;Ahn, Tae-Young
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.12 no.4
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    • pp.72-80
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    • 2009
  • The main purpose of this study is as follows : Finding a solution for fresh wood chips to be used as an alternative growing-media through a study of the formation method of a compost base that is applicable on both construction site and composting factory to ferment fresh wood chips produced from construction site as well as a study on adjuvant or secondary materials. The result from the experiment plot using wood chips sized 50mm or less, manure and fertilizer mixed manure as a source of nitrogen to compost fresh wood chips has shown that the temperatures 9days and 3days after the beginning of the experiment reached to $49.0^{\circ}C$ and $40.4^{\circ}C$ respectively, the heating duration was 7days and 4days respectively, and the C/N ratio was 26.5 and 25.3, each satisfying the standard for composted manure (25.0~40.0). Also, the other result from another experiment plot using mixture of sandy soil and microorganism as an inoculation source of microorganism has shown that the temperature 10days after the beginning of the experiment reached to $67.6^{\circ}C$ and lasted 16days. The experiment plot using sandy soil has shown the highest figure of $5.3{\sim}108$ CFU/g in terms of number of microorganism. The result from the experiment plots for on-site composting of fresh wood chips have shown that the experiment plot that used sandy soil with fertilizer due to supply restriction of manure as a nitrogen source in construction site reached the high temperature of $54.7^{\circ}C$ after 3days of experiment beginning and maintained heating state for 17days and reached 30.6 of C/N ratio, satisfying the standard for composted manure.

The Quality and Thermoluminescence Properties of Dried Pollack during Storage Following Irradiation (방사선 조사와 저장기간에 따른 북어의 품질 및 thermoluminescence 특성)

  • Noh, Jung-Eun;Kwon, Joong-Ho
    • Korean Journal of Food Science and Technology
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    • v.36 no.5
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    • pp.711-716
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    • 2004
  • Gamma irradiation was applied to dried pollack to improve its microbiological quality and evaluate quality stability of irradiated samples. Thermoluminescence (TL) properties of minerals separated from irradiated samples were measured for possible use in identifying irradiation treatment. Dried pollack was packaged in commercial unit (PVC film, 0.06 mm thickness) and stored at $15{\pm}1^{\circ}C$ for 6 months. Samples showed over $10^4\;CFU/g$ in total aerobic bacteria or yeasts&molds, which increased during storage, reaching $10^6-10^7\;CFU/g$ at 3rd month of storage. Irradiation at 3 kGy was effective for improving hygienic quality for 6 months, keeping microbial population under 20 CFU/g. Gamma irradiation at 3 kGy or less did not significantly influence physicochemical quality attributes, such as browning, TBA value, volatile basic nitrogen, trimethylamine, and sensory properties, whereas storage time remarkably induced quality changes of dried pollack. TL analysis was proved suitable for identifying irradiated from non-irradiated samples over 6 months of storage.

Computed Tomography Findings Associated with Treatment Failure after Antibiotic Therapy for Acute Appendicitis

  • Wonju Hong;Min-Jeong Kim;Sang Min Lee;Hong Il Ha;Hyoung-Chul Park;Seung-Gu Yeo
    • Korean Journal of Radiology
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    • v.22 no.1
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    • pp.63-71
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    • 2021
  • Objective: To identify the CT findings associated with treatment failure after antibiotic therapy for acute appendicitis. Materials and Methods: Altogether, 198 patients who received antibiotic therapy for appendicitis were identified by searching the hospital's surgery database. Selection criteria for antibiotic therapy were uncomplicated appendicitis with an appendiceal diameter equal to or less than 11 mm. The 86 patients included in the study were divided into a treatment success group and a treatment failure group. Treatment failure was defined as a resistance to antibiotic therapy or recurrent appendicitis during a 1-year follow-up period. Two radiologists independently evaluated the following CT findings: appendix-location, involved extent, maximal diameter, thickness, wall enhancement, focal wall defect, periappendiceal fat infiltration, and so on. For the quantitative analysis, two readers independently measured the CT values at the least attenuated wall of the appendix by drawing a round region of interest on the enhanced CT (HUpost) and non-enhanced CT (HUpre). The degree of appendiceal wall enhancement (HUsub) was calculated as the subtracted value between HUpost and HUpre. A logistic regression analysis was used to identify the CT findings associated with treatment failure. Results: Sixty-four of 86 (74.4%) patients were successfully treated with antibiotic therapy, with treatment failure occurring in the remaining 22 (25.5%). The treatment failure group showed a higher frequency of hypoenhancement of the appendiceal wall than the success group (31.8% vs. 7.8%; p = 0.005). Upon quantitative analysis, both HUpost (46.7 ± 21.3 HU vs. 58.9 ± 22.0 HU; p = 0.027) and HUsub (26.9 ± 17.3 HU vs. 35.4 ± 16.6 HU; p = 0.042) values were significantly lower in the treatment failure group than in the success group. Conclusion: Hypoenhancement of the appendiceal wall was significantly associated with treatment failure after antibiotic therapy for acute appendicitis.

Estimation of Possible Growing Area by Analysis of the Vegetation Structure and Habitat Environment of Dendropanax morifera Community (황칠나무군락의 식생구조와 입지환경 분석을 통한 생육가능지역 추정)

  • Chun, Young-Moon;Lee, Eun-Hye;Lee, Jae-Seok
    • Korean Journal of Environmental Biology
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    • v.28 no.1
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    • pp.30-39
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    • 2010
  • We researched community structure, species composition, and habitat environment of Dendropanax morbifera populations distributed in Goheung, Haenam, Wando (I.), and Bogildo (I.) at south coast of the Korean Peninsula. Our research was also estimated possible area for growth of Dendropanax morbifera by analyzing meteorological factors of the habitat thereof. Dendropanax morbifera community divided into Castanopsis cuspidata var. sieboldii group and Carpinus laxiflora group by difference of species composition. Broad-leaved evergreens showed high dominance value in view of rNCD in Dendropanax morbifera community as follows: Camellia japonica (100.0), Quercus acuta (88.6), Castanopsis cuspidata var. sieboldii (55.8), Dendropanax morbifera Lev. (41.4), Trachelospermum asiaticum var. intermedium (23.8), Eurya japonica (19.9) and Ligustrum japonicum (11.5). In the population distribution, 94.2% of Carpinus laxiflora group consisted of sapling and small size class that are less than 5 cm in DBH while 54.2% of Castanopsis cuspidata var. sieboldii group did. The soil environment of habitat showed low soil acidity, good organic matter and water content, and good drainage. The distribution area of Dendropanax morifera habitat had $13^{\circ}C$ or more in annual mean temperature, $7.4^{\circ}C$ or more in daily minimum temperature, $100^{\circ}C$ month or more in warmth index, and approximately 1,344 mm in mean annual precipitation. Dendropanax morifera habitat corresponded to evergreen broad-leaved forest zone located in islands and coast in the southwest region of the Korean Peninsula. The northern limit line of Dendropanax morifera community was determined as Gunsan-Jeongeup-Gwangju-Jinju-Pohang-Youngdeok line based on $13^{\circ}C$ in annual mean temperature that was confirmed in natural habitat of Dendropanax morifera community.