• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권2호
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• pp.238-243
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• 2021

Caudal regression syndrome (CRS) is a rare neural tube defect that affects the terminal spinal segment, manifesting as neurological deficits and structural anomalies in the lower body. We report a case of a 31-month-old boy presenting with constipation who had long been considered to have functional constipation but was finally confirmed to have CRS. Small, flat buttocks with bilateral buttock dimples and a short intergluteal cleft were identified on close examination. Plain radiographs of the abdomen, retrospectively reviewed, revealed the absence of the distal sacrum and the coccyx. During the 5-year follow-up period, we could find his long-term clinical course showing bowel and bladder dysfunction without progressive neurologic deficits. We present this case to highlight the fact that a precise physical examination, along with a close evaluation of plain radiographs encompassing the sacrum, is necessary with a strong suspicion of spinal dysraphism when confronting a child with chronic constipation despite the absence of neurologic deficits or gross structural anomalies.

• 대한조현병학회지
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• 제24권1호
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• pp.1-7
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• 2021

Clozapine is the first and most effective atypical antipsychotic drug for treatment-resistant schizophrenia (TRS). After withdrawal of clozapine due to concerns of agranulocytosis, clozapine was reintroduced with a comprehensive safety monitoring system, the clozapine patient monitoring system (CPMS). The reintroduction was a response to the pressure from psychiatrists and patients with TRS and their families. Clozapine is still the best single agent for the treatment of TRS. However, approximately 30% of patients with TRS still show psychotic symptoms. In patients with clozapine-resistant schizophrenia (CRS), augmentation of other antipsychotic agents could be considered after a thorough evaluation of proper clozapine treatment. In this review, the status of clozapine in patients with TRS and CRS will be discussed.

• 천문학회지
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• 제37권4호
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• pp.225-232
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• 2004

Shocks are ubiquitous in astrophysical environments and cosmic-rays (CRs) are known to be accelerated at collisionless shocks via diffusive shock acceleration. It is believed that the CR pressure is important in the evolution of the interstellar medium of our galaxy and most of galactic CRs with energies up to ${\~}\;10^{15}$ eV are accelerated by supernova remnant shocks. In this contribution we have studied the CR acceleration at shocks through numerical simulation of 1D, quasi-parallel shocks for a wide range of shock Mach numbers and shock speeds. We show that CR modified shocks evolve to time-asymptotic states by the time injected particles are accelerated to moderately relativistic energies, and that two shocks with the same Mach number, but with different shock speeds, evolve qualitatively similarly when the results are presented in terms of a characteristic diffusion length and diffusion time. We find that $10^{-4} - 10^{-3}$ of the particles passed through the shock are accelerated to form the CR population, and the injection rate is higher for shocks with higher Mach number. The time asymptotic value for the CR acceleration efficiency is controlled mainly by shock Mach number, and high Mach number shocks all evolve towards efficiencies ${\~}50\%$, regardless of the injection rate and upstream CR pressure. We conclude that the injection rates in strong quasi-parallel shocks are sufficient to lead to significant nonlinear modifications to the shock structures, implying the importance of the CR acceleration at astrophysical shocks.

• 한국지하수토양환경학회지:지하수토양환경
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• 제18권1호
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• pp.16-25
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• 2013

The Korean groundwater law regulates 20 groundwater contamination parameters, including 14 specific harmful substances. Expanding the number of groundwater quality standards are needed to cope with recent groundwater quality deterioration due to the use of various chemicals. Chemical ranking and scoring system (CRS) is a scientific tool to sort priority chemicals by considering exposure and toxicity potentials. In this study, we developed a CRS for scoring and ranking of possible groundwater pollutants and screened priority substances to be later considered in the Korean standard expansion. Chemical Ranking Of groundWater pollutaNts (CROWN) incorporates important parameters consisting of exposure potential, human and water ecotoxicity, interests, and certainty. Furthermore, CROWN additionally evaluated existence of other media standards to consider impacts by contamination of other media. The 197 substances that were common to 9 countries were selected first. CROWN evaluated and ranked each chemical, and finally suggested priority substances. Suggested priority substances were classified into two groups according to the groundwater use purposes: drinking and non-drinking. The priority substances were further classified into $1^{st}$ and $2^{nd}$ group priorities. The $1^{st}$ group consists of 75 substances, including the all the Korean groundwater standard parameters. CROWN will be used in selecting groundwater pollutants for possible inclusion in the Korean standard expansion.

• 한국도로학회논문집
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• 제16권5호
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• pp.1-8
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• 2014

PURPOSES : The objective of this study is to evaluate the bond strength of asphalt emulsions including polymer-modified emulsions for chip seals and fog seals using the bitumen bond strength (BBS) test. METHODS : For the laboratory testing, the Pneumatic Adhesion tensile Testing Instrument(PATTI) device is used to measure the bond strength between the asphalt emulsion and aggregate substrate based on the AASHTO TP-91. In order to conduct all the tests in controled condition, all test procedures are performed in the environmental chamber. The CRS-2L and the SBS CRS-2P emulsions are used as a polymer-modified emulsion, and then unmodified emulsion, the CRS-2, is compared for the evaluation of chip seal performance. For the fog seal performance evaluation, two types of polymer-modified emulsions and one of unmodified emulsion, the CSS-1H, are employed. For chip seal study, the BBS tests are performed at 30, 60, 120, and 240 minutes of curing times with curing and testing temperatures of $15^{\circ}C$, $25^{\circ}C$, and $35^{\circ}C$. The fog seal tests are conducted at 30, 60, 90, 120, 180 minutes, and 24 hours with curing and testing temperatures of $25^{\circ}C$, $30^{\circ}C$, and $35^{\circ}C$. RESULTS AND CONCLUSIONS : Overall, chip seal emulsions and fog seal emulsions show the similar bond strength trend. At the same testing condition, polymer-modified emulsions show better bond strength than unmodified emulsions. Also, there is no significant difference between polymer-modified emulsions. One of important findings is that the most bond strength reaches their final bond strength within one hour of curing time. Therefore, the early curing time plays a vital role in the performance of chip seals and fog seals.

• 해양환경안전학회지
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• 제18권3호
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• pp.193-198
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• 2012

겨울철 해표면 수온 및 한국 주변역 생태계의 장기 변화 특성 및 상관관계를 분석하였다. 기후 및 해양환경의 변화와 동반된 어획강도의 변화는 1970 년대 이후 어획량 증가의 주요 원인으로 나타났다. 한국 주변역의 겨울철 SST는 1980년대 후반 기후체제변환 시점을 중심으로 상대적으로 저수온에서 고수온으로 변화되었다. 평균영양단계(MTL)는 1970년대 중반 이후 지속적으로 감소하기 시작하였으며, 하위영양단계 어류의 어획량 증가가 중요 변수로 작용하였다. 통합생태계 기반 자원평가 방법중 한가지인 FIB 지수는 1970년 초부터 1970년 후반까지 증가하였으며, 이후 일정 수준을 유지하였다. 특히, 중간영양단계에 위치하는 멸치와 정어리의 개체수 변화는 1970년대 초 이후 MTL 변화의 주요 인자로 작용하였다.

• 한국도로학회논문집
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• 제16권6호
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• pp.39-50
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• 2014

PURPOSES : The objective of this study is to evaluate the curing and adhesive behavior of asphalt emulsions including polymer-modified emulsions for chip seals and fog seals. METHODS : For the laboratory testing, the evaporation test, the bitumen bond strength (BBS) test, and the Vialit test are used. Also, the rolling ball test and the damping test are employed to evaluate the curing properties of the fog seal emulsions. In order to conduct all the tests in controled condition, all test procedures are performed in the environmental chamber. The CRS-2L and the SBS CRS-2P emulsions are used as a polymer-modified emulsion, and then unmodified emulsion, the CRS-2, is compared for the evaluation of chip seal performance. For the fog seal performance evaluation, two types of polymer-modified emulsions (FPME-1 and FPME-2) and one of unmodified emulsion, the CSS-1H, are employed. All the tests are performed at different curing times and temperatures. RESULTS AND CONCLUSIONS : Overall, PMEs show better curing and adhesive behavior than non-PMEs regardless of treatments types. Especially, the curing and adhesive behavior of PMEs is much better than non-PMEs before 120 minutes of curing time. Since all the test results indicate that after 120 minutes of curing time the curing adhesive behavior of emulsions, the early curing time, i.e., 120 minutes, plays an important role in the performance of chip seals and fog seals.

• 대한한방내과학회지
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• 제38권5호
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• pp.610-618
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• 2017

Objectives: This clinical study is to report Gami-Siryong-tang treatment of edema in a patient with cardiorenal syndrome (CRS). Methods: We used Gami-Siryong-tang, acupuncture, and moxibustion to treat a patient with CRS who had edema as a chief complaint, while the patient was hospitalized for 2 weeks. We observed the changes in symptoms by measuring body weight and calf girth. Results: After treatment, the patient's symptoms including edema and dyspnea, and the general condition were improved. The body weight and calf girth were also reduced after treatment. Conclusion: Korean medicine, including Gami-Siryong-tang, may be useful for treatment of edema due to CRS.

• 한국콘텐츠학회논문지
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• 제19권2호
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• pp.349-367
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• 2019

부산광역시의 시내버스 준공영제 실시 이후 운영 효율성 요인을 실증적으로 분석하였다. DEA 분석결과, CRS의 경우 지하철 1호선과 환승 가능한 버스노선의 연도별 효율성은 2010년도가 가장 높았다. 지하철 2호선과 환승 가능한 버스노선의 연도별 효율성은 CRS 평균이 연차적으로 점차 향상되어 2016년 0.923로 가장 크게 나타났다. 지하철 3호선과 환승 가능한 버스노선의 연도별 효율성이 2009년부터 2015년까지는 점차 향상되는 모습을 보이다가 2016년도에는 다시 하락하였다. 전체 134개 노선의 4개 연도 536개 노선 중 비효율적으로 나타난 노선은 205개이다. 205개 노선의 효율성을 제고하기 위해서는 규모의 축소 즉, 노선의 운행횟수 등을 감축해야 함을 시사하고 있다. 또한 Tobit 회귀분석을 활용하여 분석결과, 운영 효율성 지수에 유의미한 영향을 미치는 요인으로서는 소요시간이 가장 컸고, 그 다음으로 이용객수, 환승객수의 순으로 나타났다.

• Journal of Animal Science and Technology
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• 제60권12호
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• pp.29.1-29.11
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• 2018

Background: Respiratory troubles have economic impacts in countries where livestock industry is an important segment of the agricultural sector, as well as these problems may cause significant economic losses for bovine producers. Various practical methods are used to assess diseases that affect the bovine respiratory system. Ultrasonography is a noninvasive tool that has been used frequently in diagnosis of various animal diseases. The present study was designed to establish whether thoracic ultrasonography is a diagnostic tool for detection of respiratory troubles in weaned buffalo and cattle calves, as well as to assess its prognostic value in comparison with clinical respiratory scores. Thirty five (15 buffalo and 20 cattle) calves were included. Twelve (6 buffalo and 6 cattle) clinically healthy calves were enrolled as controls. Results: Based on physical examinations, clinical respiratory scores (CRS), ultrasound lung scores (ULS) and postmortem findings, animals were classified into 4 groups as pulmonary emphysema (n = 8), interstitial pulmonary syndrome (n = 7), bronchopneumonia (n = 12), and pleurisy (n = 8). The mean values of CRS and ULS were significantly higher in diseased calves (P < 0.01). In calves with pulmonary emphysema and interstitial syndrome, thoracic ultrasonography revealed numerous comet-tail artifacts, which varied in numbers and imaging features. Furthermore, variable degrees of pulmonary consolidation with alveolograms and bronchograms were noticed in bronchopneumonic calves. In addition, thick irregular or fragmented pleura with pleural effusions and fibrin shreds were imaged in calves with pleurisy. A weak correlation was calculated between CRS and ULS (r = 0.55, P < 0.01). Hematologically, the counts of white blood cells, activities of aspartate aminotransferase and partial tensions of carbon dioxide were significantly increased in all diseased groups. Serum concentrations of total globulins were higher in claves with bronchopneumonia (P < 0.05). The partial tension of oxygen was decreased in all diseased calves (P < 0.05). Conclusions: Thoracic ultrasonography is a diagnostic tool for various lung troubles and assessment the grade and severity of pulmonary diseases, as well as it can be used as a follow-up tool for evaluating the prognosis of respiratory troubles and monitoring the efficacy of therapies.