• 제목/요약/키워드: Abnormal change

검색결과 726건 처리시간 0.031초

수술후 10년 이상 장기 생존 담도폐쇄증 환장에서의 영양상태 및 임상적 특성에 관한 분석 (Clinical & Nutritional Assessments of Long-term Survivors of Biliary Atresia)

  • 전용순;김우기
    • Advances in pediatric surgery
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    • 제4권2호
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    • pp.125-130
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    • 1998
  • To assess the clinical and nutritional status of long-term survivors of biliary atresia, history taking, medical record review, physical examination (height, weight, MAC, TSF), blood tests (LFT, prothrombin time, platelet count, prealbumin, calcium) and liver needle biopsy were performed in 12 patients in whom Kasai procedure were performed more than 10 years ago at Department of Pediatric Surgery in Seoul National University Hospital. None were below the 5th percentile in height and weight. TSF was above the 75th percentile in all patients and showed good subcutaneous fat deposition. MAC was above the 5th percentile in all patients. Serum prealbumin level was abnormal in 2 patients with abnormal liver function and revealed visceral protein malnutrition. Serum calcium level was decreased below normal range in 4 patients with abnormal liver function. One patient had mild ascites. Five patients had abnormal liver function and 7 patients showed clinical manifestation of portal hypertension. Liver needle biopsy was performed in 5 patients and no cirrhotic change was observed. Although some patients who have survived for more than 10 years after Kasai procedure developed protein malnutrition and vitamin deficiencies, growth and development and nutritional status were generally satisfactory. Five patients(42%) showed normal liver function and no portal hypertension. In conclusion, Kasai procedure is satisfactory as a primary treatment in biliary atresia but significant portion of long-term survivors had abnormal liver function and portal hypertension. Continuous and careful follow-up is necessary to determine when liver transplantation may be indicated.

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Is the Correlation between Papanicolaou Smear and Histopathology Results Affected by Time to Colposcopy?

  • Meevasana, Vorachart;Suwannarurk, Komsun;Chanthasenanont, Athita;Tanprasertkul, Chamnan;Bhamarapravatana, Kornkarn;Pattaraarchachai, Janya
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권4호
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    • pp.1527-1530
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    • 2014
  • Background: Time to colposcopy (TC) after abnormal Pap smears was evaluated for influence on cytohistologic correlation (CHC). Materials and Methods: This retrospective study assessed the correlation between TC and CHC of women who had abnormal Pap smears. Colposcopic chart review included participants from 2010-2013 who attended a colposcopic clinic, Thammasat University Hospital, Thailand. Results: Four hundred and sixty cases who had abnormal Pap smears were recruited. Pap reports were atypical smears with low grade squamous intraepithelial lesion (SIL), high grade SIL and cancer at 339, 114 and 7 cases, respectively. One hundred and twenty four patients underwent loop electrosurgical excision procedure (LEEP). A half of the cases were colposcopically examined within 1-2 months after abnormal Pap collection. CHC was 88 percent and not affected at all by TC. Subjects who attended cervical cancer screening from affiliated health providers had shorter TC than those screened in our tertiary hospital. Conclusions: Time to colposcopy with abnormal Pap smears conducted at Thammasat University Hospital had a highest frequency of 42 days, in line with the literature. Length of TC does not affect the correlation between Pap and histopathologic reports. A longer waiting period for colposcopy did not alter progression or regression of the disease.

상용 AZ31B Mg합금 판재의 어닐링에 따른 집합조직 변화 및 결정립 이상 성장 (Effects of Annealing on the Texture Development and Abnormal Grain Growth in a Commercial AZ31B Mg Alloy Sheet)

  • 양권승;윤성식;장우양;강조원
    • 열처리공학회지
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    • 제21권6호
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    • pp.293-299
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    • 2008
  • In order to provide with fundamental data of the wrought Mg alloy for press forging, the effect of annealing temperature on the microstructure, texture development and tensile properties is studied in a commercial AZ31B Mg alloy sheet. Basal texture i.e. $(0001){\pm}5^{\circ}$[21$\bar{3}$0] is developed in a commercial AZ31B Mg sheet, and the texture is not changed considerably by annealing over $400^{\circ}C{\times}30min$, while (10$\bar{3}$0) component with high intensity can be observed due to abnormal grain growth. When the sheet is tensile-deformed with RD, $45^{\circ}$ and TD directions at room temperature, fracture strains are given by 25.8, 21.4 and 11.9% in the order of RD, $45^{\circ}$ and TD directions, respectively. With increasing annealing temperature up to $450^{\circ}C{\times}30min$, little change in mean grain size can be revealed by annealing below $300^{\circ}C{\times}30min$ but an abnormal grain growth, where some grains become significantly coarser than the rest, occurs by annealing above $400^{\circ}C{\times}30min$. The maximum tensile strain of around 25% is obtained by annealing below $300^{\circ}C{\times}30min$, but it is abruptly decreased to 16% by annealing above $400^{\circ}C{\times}30min$ owing to intergranular fracture of abnormal grown grains.

스크리닝을 이용한 건강진단후 건강상담이 $\gamma-GTP$의 변화에 미치는 영향 조사 (A Retrospective cohort study on the effect of health counselling through the level of $\gamma-GTP$ after screening test)

  • 이용진;안재억;김주자;이병국
    • Journal of Preventive Medicine and Public Health
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    • 제30권3호
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    • pp.518-529
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    • 1997
  • 1,281 male subjects who had been examined more than 3 times for regular check-up in one human dock center of the university hospital were studied between 1990-1995, to evaluate the effect of health counselling with life style and $\gamma-GTP$ value between 1054 normal group without intervention and 227 abnormal group with intervention, ages from 30 to 69 years old. Total mean value of $\gamma-GTP$ was $45.7{\pm}40.7$ unit with highest $\gamma-GTP$ value in age group 50-59 on initial examination. Total abnormal rate was 17.7% with the highest abnormal rate of 18.6% in age group 50-59. Initially, the value of $\gamma-GTP$ was significantly different according to the degree of alcohol intake, relative weight and smoking in normal group(p<0.01) not in abnormal group. In conclusion, the value of $\gamma-GTP$ were significantly increasing in normal group without intervention and significantly decreasing in abnormal group with intervention(p<0.05), which suggests the effect of health counselling, such as the recommendation to change the health behaviour.

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기후변화 시나리오에 근거한 과수 개화기 변화 및 개화 후 저온 발생 전망 (An Outlook of Changes in the Flowering Dates and Low Temperature after Flowering under the RCP8.5 Projected Climate Condition)

  • 김대준;김진희
    • 한국농림기상학회지
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    • 제20권4호
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    • pp.313-320
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    • 2018
  • 2018년 봄, 갑작스러운 이상저온으로 인해, 전북, 경기 남부지역 등을 중심으로 개화된 과수 작목의 꽃이 얼어 죽는 일이 발생하였다. 2000년대 들어서면서 전 세계적으로 빈번하게 발생하고 있는 이상기후 현상으로 인해, 사회 여러 분야에 경제적인 피해와 악영향이 증가 하고 있다. 최근의 기후변화는 지구온난화와 더불어, 지역 기후의 정상 범위로부터 벗어나는 기상이변의 발생빈도 또한 증가할 것으로 예상된다. 기후변화가 농작물 생산에 미치는 영향을 파악하기 위해서는 이러한 이상기상 현상을 정확하게 파악하고 이에 따른 농작물의 영향을 분석할 필요가 있다. 본 연구에서는 배, 복숭아, 사과 작물이 실제 재배되고 있는 국내 주산 지역에 대하여 기후변화 시나리오를 이용하여, 미래 개화일의 변화를 각각 예측하고, 개화 후 온도 분포를 정량화함으로써, 미래의 저온 발생 추세를 전망하였다. 그 결과 온난화로 인해 개화기는 현재 재배중인 지역을 대상으로 모든 과종에 대하여 현재 평년을 기준으로, 미래 평년(2071-2100)에는 약 20일 정도 앞당겨 질 것으로 예상되었으며, 개화 후 저온의 분포는 과종, 지역 별로 일정 부분 차이가 있음을 확인할 수 있었다. 본 연구는 일부 과수 작목 및 품종에 한해 진행된 연구결과를 제시한 것으로, 차후 다양한 품종 및 작목으로 연구를 확대한다면, 미래 농업부문 대책 마련에 기여할 수 있을 것으로 기대된다.

기후변화 리스크의 지역 불평등 모니터링 : 폭염을 중심으로 (Monitoring regional inequalities in climate change risk - A Focus on Heatwave -)

  • 김근한
    • 한국환경복원기술학회지
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    • 제24권6호
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    • pp.97-107
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    • 2021
  • Abnormal climate caused by climate change causes enormous social and economic damage. And such damage and its impact may vary depending on the location and regional characteristics of the region and the social and economic conditions of local residents. Therefore, it is necessary to continuously monitor whether there are indicators that are weaker than other regions among the detailed indicators that constitute the risk, exposure and vulnerability of climate change risk. In this study, the concept of climate change risk was used for heatwave to determine regional inequality of climate change risk. In other words, it was judged that inequality in climate change risk occurred in regions with high risk but high exposure and low vulnerability compared to other regions. As a result of the analysis, it was found that 13 local governments in Korea experienced regional inequality in climate change risk. In order to resolve regional inequality in climate change risks, the current status of regional inequality in climate change should be checked based on the analysis proposed in this study, there is a need for an evaluation and monitoring system that can provide appropriate feedback on areas where inequality has occurred. This continuous evaluation and monitoring-based feedback system is expected to be of great help in resolving regional inequality in climate change risks.

이상체형의 의복원형의 인간공학적연구 - 척추만곡체형을 중심으로 - (A Human Enginnering Study on an Original Pattern of Clothing for an Abnormal Type of Figure - with special reference to the of kyphosis -)

  • 박정순
    • 대한가정학회지
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    • 제20권3호
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    • pp.9-18
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    • 1982
  • In this study, we attempted to make an original pattern of clothing for an abnormal type of figure, especially for the type of kyphosis. We measured the curvature of the spine of a woman with kyphosis with a Martin measuring instrument and a silhouetter in the following ways. First, we counted the rate of shrinkage of the standard lines drawn on the surface of the body according as the body moved. Secondly, placing the front and back darts, the front and back shoulder darts and the side darts according to“Munhwa”pattern, we made cubic cuttings of four moving postures as well as the standing one. Thirdly, we superposed the developed patterns of the standing and the moving postures, measuring the position change and the amount of the chaange of the darts, and compared them. The results are as follows: 1) In the developed pattern of a cubic cutting of the basic pattern and the standing posture, the neckhole became larger than that of the basic pattern, and the waist line was lowered than that of the basic pattern because the center back line was shortened due to the curved backbone. 2) As for the change of the standard line according to the movement, we found that the waist line, the center front line, the center back line, the bust width line, the upper back width line and the back width line became longer. Special consideration must be given to the function of the clothing for an abnormal type of figure. 3) The difference of the measurements between the cubic cutting and the body measurement regardless of the body movement is due to a gap by an acute angle at the jutted place between the developed pattern and the body surface. We found that the body measurement of the upper back width line, the back width line and the bust line became larger. Consequently, in making an original clothing pattern, it is desirable that we must not place the front and the back waist darts at the jutted place on the back from the functional and the aesthetic viewpoint of clothing. It is also desirable that we must widen the neckhole because the shoulder angle is close to a straight line due to a jut of the upper back width line.

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지하수위 이상 변동에 나타난 2016 ML5.8 경주 지진의 전조 가능성 (The Abnormal Groundwater Changes as Potential Precursors of 2016 ML5.8 Gyeongju Earthquake in Korea)

  • 이현아;함세영;우남칠
    • 자원환경지질
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    • 제51권4호
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    • pp.393-400
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    • 2018
  • 2016년 9월 12일 발생한 $M_L5.8$ 경주 지진과 2017년 11월 15일 $M_L5.4$ 포항 지진은 국내에 지진 예측가능성에 대한 관심을 불러일으켰다. 지진 예측의 가능성에 대한 회의적인 의견이 있음에도 불구하고 세계적으로는 지진 발생 전 이상 변동을 보이는 인자들의 관측과 평가가 지속되고 있다. 본 연구에서는 양산단층대의 지하수위 정밀 관측을 위해 시범 운용 중인 양산 지하수 정밀관측공에서 2015년부터 관측된 지하수의 비정상적인 상승 사례를 보고하였다. 이 이상 변동은 다양한 수리지질학적 인자들을 고려하였을 때 지진 전조일 가능성이 높다고 판단된다. 그럼에도 불구하고 단일 관정의 단일 요소에서 나타난 자료만으로 지진 전조를 섣불리 판단할 수 없다. 장기적으로는 전조 현상 연구와 평가를 위한 전문기구의 설립이 필요하다.

기술·사회적 특성을 고려한 워터프론트 도시의 리질리언트 공간계획 (A Planning Direction of Resilient Waterfront City considering Technological and Social Meaning)

  • 이금진;최진희
    • 한국재난정보학회 논문집
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    • 제14권3호
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    • pp.352-359
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    • 2018
  • 연구목적: 본 연구는 급속히 진행되는 온난화로 인해 발생되는 예측 불가한 기상이변에 대한 사전 대응방안뿐 아니라 재난재해 위기 시 및 복구 중에도 도시의 기능을 유지하도록 하는 사후 회복과 안정성 방안을 제안하고자 한다. 연구방법: 기술적 관점과 사회적 관점에서 리질리언스 이론을 살펴보고 네덜란드의 리질리언트 정책과 전략을 통해 워터프론트 공간의 리질리언트 계획방안을 모색한다. 연구결과: 기후변화로 인한 해수면 상승과 홍수에 유연하게 대응하기 위한 지역 특성에 따른 예방계획 및 재해 후 도시기능 유지방안과 재해재난 위험을 고려한 공간계획 수립 및 홍수위험수준을 고려한 계획방안은 워터프론트 이용을 위한 토지이용과 사회적 성장 동반, 지역특성을 고려한 재난재해 취약성을 고려한 계획, 재난재해위험을 고려한 물관리 계획 등이다. 결론: 도시공간을 창출함에 있어 기존의 공간계획방식을 넘어 이상기후에 대응한 새로운 도시개발방식이 필요하며, 특히 기후변화에 가장 취약한 워터프론트의 공간적 특성에 따른 리질리언스 전략이 요구된다.