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A Case of Ornithine Transcarbamylase Deficiency in a Boy with Neonatal Seizure and Altered Mentality (신생아기 경련 및 의식저하를 주소로 내원한 Ornithine Transcarbamylase Deficiency 남아 1례)

  • Im, Minji;Song, Ari;Lee, Soo-Youn;Park, Hyung-Doo;Cho, Sung Yoon;Jin, Dong-kyu
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.18 no.2
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    • pp.55-61
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    • 2018
  • Orinithine transcarbamylase (OTC) deficiency is the most common inborn error of the urea cycle with resulting hyperammonemia, which is medical emergency in newborns.We recently had a case of a boy that presented with lethargy, seizure, hyperammonemia and hypocalcemia in neonatal period. He was diagnosed with OTC deficiency by two consequent ways which are initial biochemical phenotype including hyperammonemia and an increased orotic acid in his urine and genetic analysis of the OTC gene. The OTC gene showed a novel hemizygous mutation c.913C>T (p.Pro305Ser). He was treated by low protein intake, sodium benzoate, phenylbutyrate sodium, L-arginine, and continuous renal replacement therapy (CRRT). After discharge, he has a relatively good prognosis without notable developmental delay. For good prognosis, the duration of hyperammonemia should be shorten. And it can be reached by an early diagnosis. For early detection of OTC deficiency, targeted exome sequencing will be a important role as well as biochemical tests.

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Optimization of Antioxidant Extraction from Dandelion (Taraxacum officinale) Leaves Using BBD-RSM (BBD-RSM을 이용한 민들레로부터 항산화성분의 추출공정 최적화)

  • Han, Kyongho;Jang, Hyun Sik;Hong, In Kwon
    • Applied Chemistry for Engineering
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    • v.30 no.4
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    • pp.408-414
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    • 2019
  • In this study, an antioxidant was extracted from dandelion leaves using traditional hot water and ultrasonic extraction methods. In order to optimize the extraction yield and total flavonoid, an antioxidant, Box-Behnken design (BBD) model among response surface analysis methods was used. In the case of hot water extraction, the extraction temperature and time as well as the ratio of alcohol/ultrapure water were set as variables, and for the ultrasonic extraction, the ultrasonic survey century and irradiation time and the ratio of alcohol/ultrapure water were variables. Optimum extraction conditions in the hot water extraction method were the extraction temperature and time of $45.76^{\circ}C$ and 1.75 h and the ratio of alcohol/ultrapure water of 41.92 vol.%. While for the ultrasonic extraction method the survey century of 512.63 W, the ratio of alcohol/ultrapure water of 56.97 vol.% and the extraction time of 20.79 min were optimum conditions. Expected reaction yield and flavonoid content values under the optimized condition were calculated as 22.09 wt.% and 28.98 mg QE/mL dw, respectively. In addition, the error value of less than 3% was obtained validating our optimization process.

Prediction Model of User Physical Activity using Data Characteristics-based Long Short-term Memory Recurrent Neural Networks

  • Kim, Joo-Chang;Chung, Kyungyong
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.13 no.4
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    • pp.2060-2077
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    • 2019
  • Recently, mobile healthcare services have attracted significant attention because of the emerging development and supply of diverse wearable devices. Smartwatches and health bands are the most common type of mobile-based wearable devices and their market size is increasing considerably. However, simple value comparisons based on accumulated data have revealed certain problems, such as the standardized nature of health management and the lack of personalized health management service models. The convergence of information technology (IT) and biotechnology (BT) has shifted the medical paradigm from continuous health management and disease prevention to the development of a system that can be used to provide ground-based medical services regardless of the user's location. Moreover, the IT-BT convergence has necessitated the development of lifestyle improvement models and services that utilize big data analysis and machine learning to provide mobile healthcare-based personal health management and disease prevention information. Users' health data, which are specific as they change over time, are collected by different means according to the users' lifestyle and surrounding circumstances. In this paper, we propose a prediction model of user physical activity that uses data characteristics-based long short-term memory (DC-LSTM) recurrent neural networks (RNNs). To provide personalized services, the characteristics and surrounding circumstances of data collectable from mobile host devices were considered in the selection of variables for the model. The data characteristics considered were ease of collection, which represents whether or not variables are collectable, and frequency of occurrence, which represents whether or not changes made to input values constitute significant variables in terms of activity. The variables selected for providing personalized services were activity, weather, temperature, mean daily temperature, humidity, UV, fine dust, asthma and lung disease probability index, skin disease probability index, cadence, travel distance, mean heart rate, and sleep hours. The selected variables were classified according to the data characteristics. To predict activity, an LSTM RNN was built that uses the classified variables as input data and learns the dynamic characteristics of time series data. LSTM RNNs resolve the vanishing gradient problem that occurs in existing RNNs. They are classified into three different types according to data characteristics and constructed through connections among the LSTMs. The constructed neural network learns training data and predicts user activity. To evaluate the proposed model, the root mean square error (RMSE) was used in the performance evaluation of the user physical activity prediction method for which an autoregressive integrated moving average (ARIMA) model, a convolutional neural network (CNN), and an RNN were used. The results show that the proposed DC-LSTM RNN method yields an excellent mean RMSE value of 0.616. The proposed method is used for predicting significant activity considering the surrounding circumstances and user status utilizing the existing standardized activity prediction services. It can also be used to predict user physical activity and provide personalized healthcare based on the data collectable from mobile host devices.

Analysis of Dosimeter Error and Need for Calibration Guideline by Comparing the Dose Area of the Built-in Dose Area Product and the Moving Dose Area Product when using Automatic Exposure Controller in Intervention (인터벤션에서 자동노출제어장치 이용 시 내장형 면적 선량계와 이동형 면적 선량계의 면적선량 비교를 통한 선량계 오차분석과 교정지침 필요성 연구)

  • Choi, Ji-An;Hwang, Jun-Ho;Lee, Kyung-Bae
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.508-515
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    • 2018
  • The purpose of this study was to analyze the errors of the built - in dose area product and the calibrated moving dose area product when using automatic exposure controller of the interventional equipment. And then, the importance of the dosimeter calibration and the necessity of the calibration guideline were investigated. The experimental method was to assemble the phantom into Thin, Normal, and Heavy Adult according to the NEMA Phantom manual and to measure the dose area with the built-in dose area product and the moving dose area product. As a result, in all thicknesses, the built-in dose area product showed higher doses than the moving dose area product, and the thicker the thickness, the larger the difference. In addition, paired t-test was performed for each item and there was a significant difference in each item between p<0.05. In conclusion, considering the intervention which is highly exposed to the radiation exposure, it is that we have to know the accurate dose when using the AEC of the equipment. And there is no calibration guide for the built-in dose area meter, thus calibration guidelines should be prepared.

Pre-service Teachers' Perception on Peer Feedback in English Writing (영작문 활동 중 동료 피드백에 대한 예비교사들의 인식)

  • Kim, Heejung;Lee, Je-Young;Jang, So Young
    • The Journal of the Korea Contents Association
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    • v.19 no.1
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    • pp.513-523
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    • 2019
  • The purpose of this study is to investigate the perception of pre-service secondary English teachers on peer feedback in English composition. For this purpose, a total of 37 students who took the English composition class for 15 weeks participated in the survey. After completing the survey, data were analyzed to find out the students' perception on peer feedback performed in their English composition class through frequency analysis and descriptive statistics. The findings of this study are as follows: First, the students showed positive attitudes towards on peer feedback activities. Second, the participants had received considerable help in the content, ideas and organization of their composition. Third, noticing that they all have made similar mistakes in their writing, the subjects were relieved to know that they are not falling behind their other colleagues. Fourth, the subjects did not trust the feedback contents among the peers, which were found in both the feedback giver and receiver. In particular, feedback from peers who had low English proficiency was rarely helpful. Fifth, the students were afraid that their relationship might become uncomfortable with peers when they pointed out peer's writing errors or made specific suggestions about their peer's writing. Finally, pedagogical implications were discussed based on the research findings.

Accuracy Analysis of GNSS-based Public Surveying and Proposal for Work Processes (GNSS관측 공공측량 정확도 분석 및 업무프로세스 제안)

  • Bae, Tae-Suk
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.36 no.6
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    • pp.457-467
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    • 2018
  • Currently, the regulation and rules for public surveying and the UCPs (Unified Control Points) adapts those of the triangulated traverse surveying. In addition, such regulations do not take account of the unique characteristics of GNSS (Global Navigation Satellite System) surveying, thus there are difficulties in field work and data processing afterwards. A detailed procesure of GNSS processing has not yet been described either, and the verification of accuracy does not follow the generic standards. In order to propose an appropriate procedure for field surveys, we processed a short session (30 minutes) based on the scenarios similar to actual situations. The reference network in Seoul was used to process the same data span for 3 days. The temporal variation during the day was evaluated as well. We analyzed the accuracy of the estimated coordinates depending on the parameterization of tropospheric delay, which was compared with the 24-hr static processing results. Estimating the tropospheric delay is advantageous for the accuracy and stability of the coordinates, resulting in about 5 mm and 10 mm of RMSE (Root Mean Squared Error) for horizontal and vertical components, respectively. Based on the test results, we propose a procedure to estimate the daily solution and then combine them to estimate the final solution by applying the minimum constraints (no-net-translation condition). It is necessary to develop a web-based processing system using a high-end softwares. Additionally, it is also required to standardize the ID of the public control points and the UCPs for the automatic GNSS processing.

Development of Ingrowth Estimation Equations for Pinus densiflora in Korea Derived from National Forest Inventory Data (국가산림자원조사 자료를 이용한 소나무의 진계생장 추정식 개발)

  • Moon, Ga Hyun;Yim, Jong Su;Shin, Man Yong
    • Journal of Korean Society of Forest Science
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    • v.107 no.4
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    • pp.402-411
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    • 2018
  • This study was conducted to develop ingrowth estimation equations on Pinus densiflora found in Gangwon Province and in the center of Korean Peninsula, based on the National Forest Inventory (NFI)'s permanent sampling plot data. For this study, identical sampling plots in $5^{th}$ and $6^{th}$ NFI data were collected in order to identify ingrowth amounts for the last 5 years. Following two-stage approaches in developing the ingrowth estimation equations, the logistic regression model was used in the first stage to estimate the ingrowth probability. In the second stage, regression analysis on sampling plots with ingrowth occurrence was used to estimate the ingrowth amount. A candidate model was finally selected as an optimal model after a verification based on three evaluation statistics which include mean difference (MD), standard deviation of difference (SDD) and standard error of difference (SED). In results, a logistic regression model based on the number of sampling plot which did not result in ingrowth (model VI), was selected for an ingrowth probability estimation equation and exponential function including the species composition (SC) variable was optimal for an ingrowth estimation equation (model VII). The ingrowth estimation equations developed in this study also evaluated the estimation ability in various forest stand conditions, and no particular issue in fitness or applicability was observed.

Performance Analysis of Adaptive SC/MRC Diversity Combining using in AWGN (AWGN환경에서 적응형 SC/MRC 다이버시티 컴바이너 성능분석)

  • Yun, Deok-Won;Huh, Sung-Uk;Kim, Chun-Won;Choi, Yong-Tae;Lee, Won-Cheol
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.11 no.6
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    • pp.757-763
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    • 2018
  • It is very difficult to achieve sufficient data rate and required quality of service due to the time-varying nature of the radio channel and various jammers such as path loss, delay, Doppler, shadowing and interference. Especially, the propagation path between the transmitting antenna and the tracking antenna mounted on the fuselage during the test and evaluation of the projectile system considered in this paper is based on the rapid movement of the projectile, the interference due to multipath fading due to the terrain, The propagation path may be blocked. In order to effectively improve the multipath fading occurring in the wireless communication system, a diversity combiner technique is required. In this paper, to derive the design and improvement schemes for the space diversity combiner technique among the diversity combiner schemes, the BER performance of maximum ratio combining (MRC) and selection combining (SC) In an adaptive SC / MRC diversity combiner that operates with MRC when it is lower than the specified threshold criterion when comparing the SNR between two signals received from the channel and operates with SC at high and combines the two received signals The BER performance of the system was compared and analyzed.

Assessment of Carbon Stock and Uptake by Estimation of Stem Taper Equation for Pinus densiflora in Korea (우리나라 소나무의 수간곡선식 추정에 의한 탄소저장량 및 흡수량 산정)

  • Kang, Jin-Taek;Son, Yeong-Mo;Jeon, Ju-Hyeon;Lee, Sun-Jeoung
    • Journal of Climate Change Research
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    • v.8 no.4
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    • pp.415-424
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    • 2017
  • This study was conducted to estimate carbon stocks of Pinus densiflora with drawing volume of trees in each tree height and DBH applying the suitable stem taper equation and tree specific carbon emission factors, using collected growth data from all over the country. Information on distribution area, tree age, tree number per hectare, tree volume and volume stocks were obtained from the $5^{th}$ National Forest Inventory (2006~2010) and Statistical yearbook of forest (2016), and method provided in IPCC GPG was applied to estimate carbon stock and uptake. Performance in predicting stem diameter at a specific point along a stem in Pinus densiflora by applying Kozak's model, $d=a_{1}DBH^{a_2}a_3^{DBH}X^{b_{1}Z^2+b_2ln(Z+0.001)+b_3\sqrt{Z}+b_4e^z+b_5(\frac{DBH}{H})}$, which is well known equation in stem taper estimation, was evaluated with validations statistics, Fitness Index, Bias and Standard Error of Bias. Consequently, Kozak's model turned out to be suitable in all validations statistics. Stem volume table of P. densiflora was derived by applying Kozak's model and carbon stock tables in each tree height and DBH were developed with country-specific carbon emission factors ($WD=0.445t/m^3$, BEF = 1.445, R = 0.255) of P. densiflora. As the results of analysis in carbon uptake for each province, the values were high with Gangwon-do $9.4tCO_2/ha/yr$, Gyeongsandnam-do and Gyeonggi-do $8.7tCO_2/ha/yr$, Chungcheongnam-do $7.9tCO_2/ha/yr$ and Gyeongsangbuk-do $7.8tCO_2/ha/yr$ in order, and Jeju-do was the lowest with $6.8tC/ha/yr$. Total carbon stocks of P. densiflora were 127,677 thousands tC which is 25.5% compared with total percentage of forest and carbon stock per hectare (ha) was $84.5tC/ha/yr$ and $7.8tCO_2/ha/yr$, respectively.

Anti-Vascular Endothelial Growth Factor Treatment of Retinopathy of Prematurity: Efficacy, Safety, and Anatomical Outcomes

  • Kang, Hyun Goo;Choi, Eun Young;Byeon, Suk Ho;Kim, Sung Soo;Koh, Hyoung Jun;Lee, Sung Chul;Kim, Min
    • Korean Journal of Ophthalmology
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    • v.32 no.6
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    • pp.451-458
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    • 2018
  • Purpose: To investigate the efficacy, safety, and anatomical outcomes associated with intravitreal anti-vascular endothelial growth factor (VEGF) treatment of retinopathy of prematurity (ROP). Methods: We performed a retrospective review of intravitreal anti-VEGF (bevacizumab or ranibizumab) treatment of 153 eyes (83 infants) diagnosed with ROP at two tertiary hospitals from June 2011 to January 2017. The primary outcome was the rate of recurrence requiring additional treatment; secondary outcomes included incidence of major complications and final refractive error. Results: A total of 101 eyes were treated with bevacizumab, and 52 with ranibizumab. The bevacizumab and ranibizumab groups were characterized by mean birthweights of $941.8{\pm}296.1$ and $1,257.7{\pm}514.5g$, gestational ages at birth of $26.9{\pm}1.9$ and $28.1{\pm}3.2$ weeks, and postmenstrual ages at treatment of $40.4{\pm}2.4$ and $39.2{\pm}2.3$ weeks, respectively. The two groups differed significantly in birthweights and gestational ages at birth, but not in postmenstrual ages at treatment. The mean follow-up duration was $30.9{\pm}18.4$ months for the bevacizumab group, and $13.9{\pm}12.5$ months for ranibizumab. More cases were classified as zone 1 ROP in the ranibizumab group (44.2% vs. 11.9%, p < 0.001). Major surgical interventions included scleral encircling and vitrectomy (one and two eyes, respectively, both in the bevacizumab group). Retinal detachment was noted in one eye treated with bevacizumab. There was no significant difference in the most recent spherical equivalence for the two groups ($+0.10{\pm}3.66$ and $+0.22{\pm}3.00$ diopters for bevacizumab and ranibizumab, respectively). Univariable analysis revealed that only ROP stage influenced the occurrence of major complications (odds ratio, 9.046; p = 0.012). Conclusions: Intravitreal anti-VEGF treatment of ROP with both bevacizumab and ranibizumab achieved stable retinal vascularization with a low rate of complications and recurrence. Ranibizumab achieved similar anatomical outcomes as bevacizumab, without additional risk for major complications.