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Serum Liver Enzyme Pattern in Birth Asphyxia Associated Liver Injury

  • Chhavi, Nanda;Zutshi, Kiran;Singh, Niranjan Kumar;Awasthi, Ashish;Goel, Amit
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.3
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    • pp.162-169
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    • 2014
  • Purpose: To study temporal pattern of serum liver enzymes levels in newborns with hepatic injury associated with birth asphyxia (BA). Methods: Singleton term newborns with BA and ${\leq}72$ hours of age admitted to neonatal intensive care unit were prospectively enrolled. Term newborns with physiological jaundice and without BA were studied as controls. Serum liver enzymes were measured at <24 hours, 24-72 hours, and at 6-12 days of age for cases and at 1-6 days of age for controls. BA was defined by 1 minute Apgar score <7 or delayed or absent cry with hypoxic ischemic encephalopathy. BA-associated liver injury was defined as serum alanine aminotransferase (ALT) elevation beyond +2 standard deviation (ALT > +2 SD) above the mean of control subjects at any of the three time points. Results: Sixty controls and 62 cases were enrolled. Thirty-five cases (56%) developed BA-associated liver injury (ALT>81 IU/L). They had higher serum levels of ALT, aspartate aminotransferase, lactate dehydrogenase than the control infants, with peak at 24-72 hours. In controls, serum liver enzyme levels were significantly higher in appropriate-for-date (AFD) babies than small-for-date (SFD) babies. Serum enzyme pattern and extent of elevation were comparable between SFD and AFD babies. Degree of serum liver enzyme elevation had no relationship with severity of hypoxic encephalopathy. Conclusion: Serum liver enzyme elevation is common in BA; it peaks at 24-72 hours followed by a sharp decline by 6-12 days of age. Pattern and extent of enzyme elevation are comparable between SFD and AFD babies.

A Study on the Factors Affecting Health Promoting Lifestyles of Workers in the Small Scale Industries (소형 사업장 근로자들의 건강증진 생활양식에 영향을 미치는 요인)

  • Jang Yong-Nam;Lee Eun-Kyoung;Chong Myong-Soo;Jun Sun-Young;Kim Sang-Deok;Jeoung Jae-Yul;Jahng Doo-Sub;Song Yung-Sun;Lee Ki-Nam
    • Journal of Society of Preventive Korean Medicine
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    • v.5 no.1
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    • pp.10-30
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    • 2001
  • Oriental medicine needs to be armed with theories on health-improvement concept under it and basic data matching its views, in order to participate in the health-improvement service in industrial work places. The Orient medicine health-improvement program defines factors that determine individuals' lifestyle, and provides information and technologies for workers to practice in life. To that end, this research compares and analyzes health-improvement concept and health care, defines relations between individuals' health state and their lifestyle as the basic data needed to perform health-improvement business for workers. 1. The subjects employed for this research is categorized into; by gender, males 52.1% and females 47.9% with no big difference between them; and by age, 20s, 6.1%, 30s. 33.9%, 40s, 34.1%, and 50s, 24.8% with 30-50 accounting for most of it. By marriage status, unmarried represents 7.1%, and married 79.1% with most of them married; by revenue, under one million won represents 3.0%, 1-2 million won 26.4%, 2-2.49 million won 11.2%, above 2.5 million won 11.2%, and 1-2.5 million won a majority. By living location, owned houses represents 65.4%, rented houses 14.7%, monthly-rented 9.5%; and by education, elementary and middle school represent 16.9%, high school and its dropouts 22.6%, and junior college and higher 51.6%, with high school and higher occupying most of the group. 2. By job, office workers and managerial workers represent 12.3%, part-timers 21.0%, manual workers 11.4%, jobless 0.6%, professionals 35.6%, service 0.6%, housewives 8.4%, and equipment/machinery operation/assemblers 10.1%. Of this, jobless and part-timers, totaling three, are dropped from this research. By years worked, 0-3.9 years represents 9.7%, 4-7.9 years 6.7%, 8-14.9 years 18.4%, above 15 years 28.7%, and no respondents 36.5%. 3. The degree of the subjects practicing life-improvement lifestyle, on a scale of 1 to 4, is an average of 2.69, personal relations 3.04, self-realization 2.92, stress management 2.76, nutritional state 2.73, responsibility for health 2.47, and athletic activities 2.18, with personal relations earning the highest points and athletic activities the lowest. As for factors influencing health-improvement lifestyle, there is no significant difference between gender, age, and marriage status. Meanwhile, there is significant difference between revenue, dwelling pattern, education level, etc. That is, higher income-bracket, owned houses, rented houses, monthly-rented houses, and higher-educated, in this order, show higher average in health-enhancement lifestyle. By job, housewives, manual workers, office workers, professionals, equipment/ machinery operation/ assemblers, and part-timers, in this order show higher points, while there is no difference with significance by years worked. 4. Factors that affect health-improvement lifestyle are shown below. Self-realization is influenced by age, marriage status, type of dwellings, and level of education; responsibility for health by type of dwellings; athletic activities by gender and age; nutrition by age, marriage status and type of dwellings; personal relations by marriage status; and stress management by type of dwellings. 5. Areas with high points by job show this: in self-realization, office workers, manual workers, housewives, professionals, equipment/ machinery operation/ assemblers, in this order, show difference with significance; in the area of responsibility for health, manual workers, housewives, equipment/ machinery operation/ assemblers, professionals, office workers and part-timers, in this order, do. In athletic activities, manual workers, housewives, office workers, professionals, equipment/ machinery operation/ assemblers, and part-timers, in this order, show difference with significance; in nutrition, housewives, office workers, manual workers, professionals, equipment/ machinery operation/ assemblers, and part-timers, in this order do; and in stress, housewives, office workers, manual workers, professionals, equipment/ machinery operation/ assemblers, part-timers, in this order do. By years worked, more years showed higher points in the area of responsibility for health and nutrition; in the area of athletic activities, above 15 years, 4-8 years, below 4 years and 8-14 years, in this order, show higher points; and no difference shows in realization, personal relation, and stress area. 6. To look at correlation between overall and divisional health-improvement practice degree, this researcher has analyzed it using Person's correlation coefficient. Self-realization, responsibility for health, athletic activities, nutrition, support for personal relations, and stress management show significant correlation with the sub-divisions, while all health-improvement lifestyle shows significant correlation with the six sub-divisions.

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Evaluation of Complexation Suitability of Leisure Facilities for the Elderly in Elementary School - Focused on the Current Condition of Facilities of Elementary School - (초등학교시설의 노인여가복지시설 복합화 적합성 평가 - 초등학교 시설현황을 중심으로 -)

  • Lim, Do-Young;Song, Byung-Joon;Chu, Beom
    • Korean Institute of Interior Design Journal
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    • v.24 no.6
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    • pp.202-211
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    • 2015
  • This study attempts to deduce the necessity and validity of complexation, and suggests complexation through complexation suitability evaluations as follows. First, the concept and current state of leisure facilities for the elderly and elementary facilities and architectural complexation were investigated through theoretical considerations. Second, the target schools for complexation of 'elementary school-leisure facility for the elderly' were selected. The aspects of facility introduction of an elementary school, teacher support facility, convenience facility for the disabled, safety and security facilities as well as school facility accessibility were investigated on the basis of the data attained from theoretical considerations. Third, the feasibility of complexation of leisure facilities for the elderly was reviewed, based on the investigated data on complexation-targeted elementary school. Regarding school building and support facilities, with a focus on leisure programs for the elderly, the availability and number of rooms, extra numbers of regular classrooms and the room condition were assessed on the basis of the analysis of operational perspective of each facility. The convenience facilities for the disabled were examined by classifying them into interventional facility in consideration of facilities for the elderly, pursuant to the provisions in the convenience promotion assurance act for the disabled, elderly and pregnant women. Safety and security facilities were evaluated in an effort to assess the safety issue of the elderly and children. The result of the evaluation of the 6 elementary schools in Seong-buk county based on the above-mentioned four measurement standards shows that they scored 107~124 points out of the total 155 points, with the average of 118.5 points. This is more than the medium score and shows the possible complexation of the elementary school facilities as the leisure facilities for the elderly, and at the same time it may lead each school to find out the elements conducive to enhancing the complexation as a result of the evaluation. Through the evaluation data, I expect that we contribute to promoting the process of the evaluation of the appropriateness of complexation and the efficient complexation.

Experimental Study on the Structural Safety of the Corn Harvester attached to a Tractor (트랙터 부착형 옥수수 수확기의 구조 안정성에 관한 실험적 연구)

  • Shin, Chang-Seop;Yun, Tae-Yeong;Choi, Hwon;Kim, TaeHan
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.19 no.2
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    • pp.24-29
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    • 2020
  • In South Korea, agricultural mechanization has been carried out in paddy field, but not in the upland field during recent decades. Among crops such as root vegetables, leafy vegetables from upland field, corn is used as forage for livestock as well as food for men. The corn harvester needs to be developed to replace men's labor in rural area to follow the recent needs in the farm industry. The corn harvester is comprised of three parts such as cutting part, feeding part and pick-up part. The feeding part is so long for cut corns to be delivered from the cutting part to the pick-up part. Structurally, the load from the long moment arm is likely to be big. Thus, the setup to measure the stress on the duct of the feeding part was configured with the data acquisition system. The strain gages were attached on several points that seem to be loaded a lot comparatively. The stress was measured and the measured stresses were divided by the yield stress to get the safety factor. And then, we made sure the safety factors were above 1 on the all points. In conclusion, the feeding part of the corn harvester which convey the cut corn from the cutting part from the pick-up part can be regarded to be made safe structurally.

Trend Analysis of Exercise Content on the Rings Final in the 1st Youth Olympic Games

  • Han, Yoon-Soo;Kwon, Oh-Seok
    • Korean Journal of Applied Biomechanics
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    • v.21 no.1
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    • pp.17-24
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    • 2011
  • The Youth Olympic Games(YOG) is an international multi-sport event first held in Singapore from August 14 to August 26, 2010. The idea for such an event was introduced by International Olympic Committee(IOC). The Federation of International Gymnastics(2009) designed the Code of Points and regulates for junior gymnastics at this time. The purpose of this study was to give crucial information and adapt to coaches and junior gymnasts at the time of changing code rapidly. For this study, The eight finalists rings exercise at the 1st Youth Olympic Games was recorded using a digital camcoder. The exercise contents analysis of rings was carried out by an experienced international judge using Code of Points(FIG, 2009). The C elements in various difficulties were performed the highest frequency. The elements group I was the most frequently performed in overall difficulties. Moreover, All the gymnasts performed the elements of the Jonasson and Yamawaki in Group I. Therefore, junior gymnasts need to consider Jonasson and Yamawaki elements correctly in elements group I. The 1st ranked ROU(132) gymnast performed high difficulty value for his routine with the highest E score(9.050). The average of D score were 5.125. In the E scores, 8th USA(140) gymnast received the lowest E score of 8.15, 5th MGL(127) gymnasts received the fewer E score of 8.475. Coaches and junior gymnasts should try to increase D score above 5.125 by higher swing elements in Group I and II as well, decrease deduction of elements in exercise contents.

Investigation of the Regression Analysis Method for a Quantitative Evaluation of Implant Crestal Bone Stresses (회귀분석법에 의한 임플란트 경부골 응력의 정량적 분석에 대한 연구)

  • Kim, Woo-Shik;Jo, Kwang-Hun;Lee, Kyu-Bok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.3
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    • pp.299-310
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    • 2008
  • In this study, the regression analysis method was tested for the estimation of peak stress at stress concentration area in the cervical bone. Submerge type EZ plus implant (Megagen. Daegu, Korea), 4.1 mm in cervical diameter and 9.6 mm in endosseous length, were axisymmetrically modelled together with surrounding alveolar bone of which the width was 10 mm. Vertical force of 100 N was applied to a head of crown above 8.5 mm from the outer surface of the cortical bone. Four different mesh models were composed of differently sized elements in vicinity of sharp corners, and they include 6 stress monitoring points that are located in the same geometrical points regardless of the differences in the meshes. Primary consideration was given to the stresses in the cortical bone surrounding the implant neck. The results showed that virtually all the stresses were concentrated in the cortical bone regardless of mesh designs. The peak stresses were successfully calculated by a regression analysis in a stable manner, as far as the mesh is designed to represent the acute gradient of stresses near the sharp corner.

A Study on Menstrual Symptoms and Pattern according to the Sasang Constitution in High School Girls in Pusan (여고생의 사상체질(四象體質)에 따른 월경양상에 관한 연구)

  • Park, Hae-Woong;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.20 no.1
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    • pp.169-185
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    • 2007
  • Purpose : The purpose of this study was to investigate menstrual symptoms and patterns of high school girls by Sasang constitution and relationship between such symptoms and Sasang constitution. Methods : For the study, QSCCII and 'M.B.Q' employed to analyze the data collected from 581 high school girls in Pusan from July 11 to July 20, 2006. Results : As for menstrual characteristics of the subjects by Sasang constitution Taeeumins start menarche is relatively early in contrast with Soeumins who experienced menarche relatively late(P=.012). This survey proves that menses last relatively long for Soeumin whereas Soyangins have relatively short period of menstruation(P=.043). Furthermore, Taeeumins account for majority of those who have much quantity of menstruation with 22.7% while Soeumins account for majority with 13.2%. From the analysis into menstrual symptoms of the subjects put under 5 categories of Sasang constitution, it became evident that Soeumins turned out to have most negative affect(11.8${\pm}$3.78) (P=.053). Soeumins scored the highest points in the response area of autonomic reactions(10.6${\pm}$3.24)(P=.014). In the total points of menstrual symptoms including the above 5 sub-categories, Soeumins recorded the highest scores(52.4${\pm}$12.5), followed by Soyangins(50.0${\pm}$12.2) and Taeeumins in order, showing that there is no statistically significant difference(F = 2.859, p = .058) among them although Soeumins seem to feel slightly more menstrual symptoms than Soyangins and Taeeumins. Conclusion : We hope these results could be helpful to diagnosis and treatment of mestrual diseases.

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Efficacy and Safety of α-Lipoic Acid and Low Dose Pregabalin Combination in Painful Diabetic Neuropathy (당뇨병성 신경병증성 통증의 조절에 대한 α-Lipoic Acid와 저용량 Pregabalin 병용의 효능 및 안정성)

  • Ki-Tae, Park;Jin-Kwang, Lee;Se Jin, Park
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.4
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    • pp.177-182
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    • 2022
  • Purpose: The efficacy and safety of low-dose pregabalin and alpha lipoic acid in diabetic neuropathy were evaluated and analyzed. Materials and Methods: This study designed a retrospective study that included patients with diabetic neuropathic pain. From 2009 to 2022, 100 patients who suffered from diabetic neuropathic pain were included in this study. The patients were divided into group I (pregabalin 150 mg/day with alpha lipoic acid 600 mg/day) and group II (pregabalin 300 mg/day with alpha lipoic acid 600 mg/day). The visual analogue scale (VAS), medication side effects, and neurometer results were compared. Results: The mean follow-up period of the above patients was 120.23 weeks in group I and 149.05 weeks in group II. The average VAS score in group I decreased by 3.23 points, and the average VAS score in group II decreased by 2.86 points. Approximately 24.3% of group I had side effects, such as dizziness, sleepiness, and gastrointestinal trouble, while 76.7% of patients in group II had side effects. Sixtyseven patients had a neurometer examination before and after the medication, and there is no statistical difference between the two groups. Conclusion: The combination of low-dose pregabalin (pregabalin 150 mg/day) and alpha lipoic acid in diabetic neuropathy had a similar clinical effect and less frequent medication side effects than regular dose pregabalin (pregabalin 300 mg/day) and alpha lipoic acid. Therefore, low-dose pregabalin (pregabalin 150 mg/day) and alpha lipoic acid should be considered in treating diabetic neuropathy.

Surgical Results of the Superior Vena Cava Intimal Layer-Only Suture Technique in Heart Transplantation

  • Sang-Uk Park;Kyungsub Song;Yun Seok Kim;In Cheol Kim;Jae-Bum Kim;Namhee Park;Woo Sung Jang
    • Journal of Chest Surgery
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    • v.56 no.5
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    • pp.322-327
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    • 2023
  • Background: Superior vena cava (SVC) stenosis during follow-up is a major concern after heart transplantation, and many technical modifications have been introduced. We analyzed the surgical results of the SVC intima layer-only suture technique in heart transplantation. Methods: We performed SVC anastomosis with sutures placed only in the intima during heart transplantation. We measured the area of the SVC at 3 different points (above the anastomosis, at the anastomosis, and below the anastomosis) in an axial view by freely drawing regions of interest, and then evaluated the degree of stenosis. Patients who underwent cardiac computed tomography (CT) at 2 years postoperatively between June 2017 and May 2020 were included in this study. Results: We performed heart transplantation in 41 patients. Among them, 24 patients (16 males and 8 females) underwent follow-up cardiac CT at 2 years postoperatively. The mean age at operation was 49.4±4.9 years. The diagnoses at time of operation were dilated cardiomyopathy (n=12), ischemic heart disease (n=8), valvular heart disease (n=2), hypertrophic cardiomyopathy (n=1), and congenital heart disease (n=1). No cases of postoperative bleeding requiring intervention occurred. The mean CT follow-up duration was 1.9±0.7 years. At follow-up, the mean areas at the 3 key points were 2.7±0.8 cm2, 2.7±0.8 cm2, and 2.7±1.0 cm2 (p=0.996). There were no SVC stenosis-related symptoms during follow-up. Conclusion: The suture technique using only the SVC intimal layer is a safe and effective method for use in heart transplantation.

Beauty Shop Workers' Views of Job (미용사의 직무만족도와 직업관)

  • Oh, Ai-Ja;Nam, Chul-Hyun
    • The Journal of Korean Society for School & Community Health Education
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    • v.2 no.1
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    • pp.67-84
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    • 2001
  • This study was conducted to examine beauty shop workers' views of job. Data were collected from the workers in Seoul, Daegu, Pohang, Junjoo, and Kimhae from June 1, 2000 to August 31, 2000. The results of this study are summarized as follows. 1. According to general characteristics of the subjects, 28,7% of them was female; 94.2% 'specialized in hair'; 46.4% 'below twenty nine years old'; 47.1% 'married'; 59.7% 'highschool graduate'; 33.9% 'worked for below three years'; 28.5% 'monthly income of five hundred thousand to nine hundred ninety thousand won'; 62.3% 'working for above twelve hours a day' ; 41.0% 'above five workers' ; 40.6% 'working in city'. 2. 54.8% of the respondents thought that they were in good health. 76.3% of them smoked and 54.8% drank. 62.8% of them did not exercise and 78.7% was under stress. 61.5% responded that they chose the job because of its possibility of professional vocation. 91.0% of them obtained the beauty skill from beauty schools. 3. Among the factors which influenced job satisfaction, 'stable job and life security' was highest(43.9%), while 'interest in the job and amount of pay' was lowest(3.2%). 'Personal ability and use of originality' was 19.4% and 'harmonious relationship with fellow workers' was 18.1%. 'Job environment' was 7.1% and 'harmonious relationship with higher workers' was 4.5%. 4. The level workers' view of job was $113.8{\pm}17.3$ points on the basis of 150 points. On the basis of 75 points, each item showed it points in order of self-development($22.3{\pm}3.8$), service for customers($20.1{\pm}3.1$), vocational mission($15.6{\pm}3.1$), harmony with the others($18.9{\pm}3.5$), working environment($18.6{\pm}3.6$), and working condition($14.3{\pm}5.1$). 5. Among the reasons why they considered leaving the job, 24.0% of them considered it because they could not free time, while 15.4% considered it because undesirable living environment or long distance from home. 15.0% thought it because they could not receive proper treatment as much as they worked and 12.8% thought they overworked. 6. When they move into new working places, they consider such factors as good working environment(24.1%), good place to open their own beauty shops(16.7%), good beauty shop to learn beauty skill(15.6%), chance to have job training(9.5%), and close place from home(9.0%). 7. 40.6% of the respondents wanted to leave the job, while 32.3% of them did not want to leave the job. The intention of leaving the displayed significant difference in the variables of age, working period, monthly income, marital status, the number of workers, location of the shop, rank, and reason of selecting the job. 8. According to the results of a regression analysis of factors which influenced job satisfaction, it was affected significantly by intention of leaving job, the number of workers, health condition, level of stress, and monthly income. The beauty shop workers showed low satisfaction level with working environment, working condition, and working mission, They considered leaving the job because of lack of free time, overwork, poor working environment, improper treatment, etc. Therefore, related professionals and organizations must device adequate measures in order to make them work with pride as creators of beauty.

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