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Understanding Assessment for Feeding Disorders in Autistic Spectrum Disorders: A Literature Review (자폐 스펙트럼 장애 섭식장애 평가의 이해: 문헌 고찰)

  • Min, Kyoung-Chul;Kim, Bo-Kyeong
    • Therapeutic Science for Rehabilitation
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    • v.13 no.2
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    • pp.9-25
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    • 2024
  • Objective : Children with autism spectrum disorder (ASD) commonly suffer from feeding disorders. Major feeding problems include mealtime behavior problems, picky eating, and a lack of food variety can lead to nutritional problems, developmental and social limitations, and stress for the caregivers. A review of the latest literature was conducted to gain an in-depth understanding of assessment tools for feeding disorders in children with ASD. Method : This study analyzed assessments to identify feeding problems in ASD based on previous studies searched through keywords such as ASD, ASD feeding problem, and ASD feeding evaluation. Results : The ASD feeding disorder assessment was divided into direct and indirect assessments. Indirect assessment, in which caregivers measure a child's situation using questionnaires, is mainly used. The assessment of feeding disorders in children with ASD was divided into 1) mealtime behavior, 2) sensory processing, 3) food consumption, and 4) others. Conclusion : As the main feeding disorder characteristics of children with ASD are very diverse, a comprehensive evaluation is necessary but is still limited. Swallowing rehabilitation experts, such as occupational therapists, should apply comprehensive assessment tools based on a basic understanding of the feeding problems, behaviors, and sensations in ASD.

Effects of Experiential Fishing Village Authenticity on Experience Value and Subjective Well-being (어촌체험휴양마을의 고유성이 체험가치와 주관적 행복감에 미치는 영향)

  • Sung-Dae Cho;Chang-Soo Kim
    • The Journal of Fisheries Business Administration
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    • v.55 no.1
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    • pp.55-76
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    • 2024
  • The purpose of this study is to elucidate the impact of authenticity on experience value and subjective well-being among visitors who have participated in direct experiential activities in experiential fishing villages. The research method used literature research methods and empirical research methods using questionnaires, and this questionnaire was composed by determining three major variables and seven constituent factors for each variable through factor analysis and conducting prior research and preliminary surveys. The survey was conducted from February 5, 2023 to April 5, 2023 among experimental fishing villages with excellent ratings for scenery (environment), service, experience, accommodation, and food, and four villages that can experience tidal flats and manage customers online. The survey was conducted from February 5, 2023 to April 5, 2023, among experimental fishing villages with excellent ratings for scenery (environment), service, experience, accommodation, and food, and four villages that can experience tidal flats and manage customers online. The results of this study are as follows. First, the factors of authenticity in experiential fishing villages include three sub-factors: objective authenticity, constructive authenticity, and existential authenticity. The factors of experience value include two sub-factors: emotional values and functional values. Subjective well-being is derived from positive emotion and life satisfaction. Second, upon examining the importance of authenticity in experiential fishing villages, it was found that existential authenticity and objective authenticity, in that order, have a significant impact on emotional values. However, constructive authenticity did not have a significant impact on emotional values. Third, in terms of functional values, constructive authenticity, existential authenticity, and objective authenticity, in that order, had a significant impact. Fourth, experience value, in the order of emotional values and functional values, had a significant impact on positive emotion and life satisfaction of subjective well-being. Therefore, it was confirmed that the authenticity of experiential fishing villages is important as a strategy to enhance experience value and subjective well-being. Especially, considering that the majority of visitors to experiential fishing villages are family-centered (86.5%), applying marketing management strategies to develop programs that enhance existential authenticity and improve emotional values could elevate the subjective well-being of experiential visitors.

A study to find the operation conditions to minimize carbon footprint using a simulator(EQPS) (시뮬레이터(EQPS)를 이용한 탄소발자국 최소화 운전 방안에 대한 연구)

  • Jisoo Han;Jeseung Lee;Byonghi Lee
    • Journal of the Korea Organic Resources Recycling Association
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    • v.32 no.2
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    • pp.37-48
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    • 2024
  • Wastewater treatment plants (WWTPs) are obligated to reduce carbon emissions as a part of public sector greenhouse gas (GHG) emission reduction targets. However, Sewage Statistics(2022) shows that CO2 emissions per wastewater treatment volumes have decreased by only 3.03 % compared to 2020, which is far from enough to meet the Nationally Determined Contribution (NDC) targets. This study aimed to find operational conditions of biological reactors that minimize total carbon footprint (CFP). Total CFP considers both direct emissions from biological processes and indirect emissions from energy consumption. A study was conducted using a computer simulation program which is called as EQPS for a 4-stage BNR WWTP. The results showed that total CFP was reduced by 10.97% compared to the design condition when the mixed liquor recirculation (MLR) was set to 100 % of the influent flow. The N2O emission factor (EF) of the target WWTP was calculated to be 0.138-0.199 %, which is significantly lower than the IPCC default value of 1.6 %. This study proposes a method to minimize total CFP in WWTPs by optimizing biological reactor operation and emphasizes the need for further research on N2O emission reduction.

Application of Matrix-assisted Laser Desorption/Ionization Time-of-flight Mass Spectrometry (Matrix-assisted Laser Desorption/Ionization Time-of-flight Mass Spectrometry의 활용)

  • Pil Seung KWON
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.4
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    • pp.244-252
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    • 2023
  • The timeliness and accuracy of test results are crucial factors for clinicians to decide and promptly administer effective and targeted antimicrobial therapy, especially in life-threatening infections or when vital organs and functions, such as sight, are at risk. Further research is needed to refine and optimize matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS)-based assays to obtain accurate and reliable results in the shortest time possible. MALDI-TOF MS-based bacterial identification focuses primarily on techniques for isolating and purifying pathogens from clinical samples, the expansion of spectral libraries, and the upgrading of software. As technology advances, many MALDI-based microbial identification databases and systems have been licensed and put into clinical use. Nevertheless, it is still necessary to develop MALDI-TOF MS-based antimicrobial-resistance analysis for comprehensive clinical microbiology characterization. The important applications of MALDI-TOF MS in clinical research include specific application categories, common analytes, main methods, limitations, and solutions. In order to utilize clinical microbiology laboratories, it is essential to secure expertise through education and training of clinical laboratory scientists, and database construction and experience must be maximized. In the future, MALDI-TOF mass spectrometry is expected to be applied in various fields through the use of more powerful databases.

Prevalence and Associated Factors of Vertebral Fractures in Children with Chronic Liver Disease with and without Liver Transplantation

  • Wittayathorn Pornsiripratharn;Suporn Treepongkaruna;Phatthawit Tangkittithaworn;Niyata Chitrapaz;Chatmanee Lertudomphonwanit;Songpon Getsuwan;Pornthep Tanpowpong;Pat Mahachoklertwattana
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.3
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    • pp.158-167
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    • 2024
  • Purpose: To evaluate the prevalence of vertebral fracture (VF) in children with chronic liver disease (CLD) with and without liver transplantation (LT) and to determine the associated factors. Methods: A cross-sectional study was conducted. Patients aged 3-21 years with CLD both before and after LT were enrolled in the study. Lateral thoracolumbar spine radiographs were obtained and assessed for VF using Mäkitie's method. Clinical and biochemical data were collected. Results: We enrolled 147 patients (80 females; median age 8.8 years [interquartile range 6.0-11.8]; 110 [74.8%] in the LT group and 37 [25.2%] in the non-LT group). VF was identified in 21 patients (14.3%): 17/110 (15.5%) in the LT group and 4/37 (10.8%) in the non-LT group (p=0.54). Back pain was noted in only three patients with VF. In the univariate analysis, a height z-score below -2.0 (p=0.010), pre-LT hepatopulmonary syndrome (p=0.014), elevated serum direct and total bilirubin levels (p=0.037 and p=0.049, respectively), and vitamin D deficiency at 1-year post-LT (p=0.048) were associated with VF in the LT group. In multivariate analysis, height z-score below -2.0 was the only significant associated factor (odds ratio, 5.94; 95% confidence interval, 1.49-23.76; p=0.012) for VF. All VFs in the non-LT group were reported in males. Conclusion: In children with CLD, VF is common before and after LT. Most patients with VF are asymptomatic. Screening for VF should be considered in patients with a height z-score below -2.0 after LT.

The Impact of Virtual Influencer Formativeness on Advertising Attention and Attitude Toward Advertising: The Dual Parallel Mediating Effects of Attractiveness and Suitability (버츄얼 인플루언서의 조형성이 광고 주목도와 광고 태도에 미치는 영향: 매력성과 적합성의 병렬 이중 매개효과)

  • Eun Hee Kim;No-Mi Lee
    • Journal of Advanced Technology Convergence
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    • v.3 no.1
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    • pp.21-31
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    • 2024
  • The study confirmed the relationship between attractiveness and suitability in the relationship between the formativeness of creating the artistic form of a virtual influencer who acts as an advertising model, advertising attention, and advertising attitude. To confirm this, the subjects of the study were the MZ generation and X generation, which have a high rate of SNS use. The analysis method used SPSS statistics 27.0 and SPSS process macro version. The research results are as follows. First, it was confirmed that attractiveness and suitability fully mediate the relationship between formativeness and advertising attention. In the path of formativeness and advertising attention, the total effect was found to be higher than the direct effect, and it was confirmed that there was a double parallel mediation effect through attractiveness and suitability in the relationship between the formativeness of virtual influencers and advertising attention. Second, it was confirmed that formativeness affects the mediating variable, attractiveness, but attractiveness does not affect attitude toward advertising. Since formativeness affects suitability and suitability in turn influences attitude toward advertising, it was confirmed that there is a full mediating effect between these variables. According to these results, the parallel mediating effect of attractiveness and formativeness was not confirmed in the relationship between formativeness and attitude towards advertising. The above study is significant in that it presents academic implications and practical implications by examining the dual and parallel mediating effects of attractiveness and suitability in the relationship between formativeness, advertising attention, and advertising attitude variables, which are considered in the production of virtual influencers.

Current Pediatric Endoscopy Training Situation in the Asia-Pacific Region: A Collaborative Survey by the Asian Pan-Pacific Society for Pediatric Gastroenterology, Hepatology and Nutrition Endoscopy Scientific Subcommittee

  • Nuthapong Ukarapol;Narumon Tanatip;Ajay Sharma;Maribel Vitug-Sales;Robert Nicholas Lopez;Rohan Malik;Ruey Terng Ng;Shuichiro Umetsu;Songpon Getsuwan;Tak Yau Stephen Lui;Yao-Jong Yang;Yeoun Joo Lee;Katsuhiro Arai;Kyung Mo Kim; APPSPGHAN Endoscopy Scientific Subcommittee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.4
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    • pp.258-265
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    • 2024
  • Purpose: To date, there is no region-specific guideline for pediatric endoscopy training. This study aimed to illustrate the current status of pediatric endoscopy training in Asia-Pacific region and identify opportunities for improvement. Methods: A cross-sectional survey, using a standardized electronic questionnaire, was conducted among medical schools in the Asia-Pacific region in January 2024. Results: A total of 57 medical centers in 12 countries offering formal Pediatric Gastroenterology training programs participated in this regional survey. More than 75% of the centers had an average case load of <10 cases per week for both diagnostic and therapeutic endoscopies. Only 36% of the study programs employed competency-based outcomes for program development, whereas nearly half (48%) used volume-based curricula. Foreign body retrieval, polypectomy, percutaneous endoscopic gastrostomy, and esophageal variceal hemostasis, that is, sclerotherapy or band ligation (endoscopic variceal sclerotherapy and endoscopic variceal ligation), comprised the top four priorities that the trainees should acquire in the autonomous stage (unconscious) of competence. Regarding the learning environment, only 31.5% provided formal hands-on workshops/simulation training. The direct observation of procedural skills was the most commonly used assessment method. The application of a quality assurance (QA) system in both educational and patient care (Pediatric Endoscopy Quality Improvement Network) aspects was present in only 28% and 17% of the centers, respectively. Conclusion: Compared with Western academic societies, the limited availability of cases remains a major concern. To close this gap, simulation and adult endoscopy training are essential. The implementation of reliable and valid assessment tools and QA systems can lead to significant development in future programs.

Review on hazardous microcystins originating from harmful cyanobacteria and corresponding eliminating methods (유해 남세균 유래 마이크로시스틴의 위해성과 제거 방안 고찰)

  • Sok Kim;Yoon-E Choi
    • Korean Journal of Environmental Biology
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    • v.41 no.4
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    • pp.370-385
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    • 2023
  • Cyanobacterial harmful algal blooms (Cyano-HABs) are an international environmental problem that negatively affects the ecosystem as well as the safety of water resources by discharging cyanotoxins. In particular, the discharge of microcystins (MCs), a highly toxic substance, has been studied most actively, and various water treatment methods have been proposed for this purpose. In this paper, we reviewed adsorption technology, which is recognized as the most feasible, economical, and efficient method among suggested treatment methods for removing MCs. Activated carbons (AC) are widely used adsorbents for MCs removal, and excellent MCs adsorption performance has been reported. Research on alternative adsorption materials for AC such as biochar and biosorbents has been conducted, however, their performance was lower compared to activated carbon. The impacts of adsorbent properties(characteristics of pore surface chemistry) and environmental factors (solution pH, temperature, natural organic matter, and ionic strength) on the MCs adsorption performance were also discussed. In addition, toward effective control of MCs, the possibility of the direct removal of harmful cyanobacteria as well as the removal of dissolved MCs using adsorption strategy was examined. However, to fully utilize the adsorption for the removal of MCs, the application and optimization under actual environmental conditions are still required, thereby meeting the environmental and economic standards. From this study, crucial insights could be provided for the development and selection of effective adsorbent and subsequent adsorption processes for the removal of MCs from water resources.

Glass Dissolution Rates From MCC-1 and Flow-Through Tests

  • Jeong, Seung-Young
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2004.06a
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    • pp.257-258
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    • 2004
  • The dose from radionuclides released from high-level radioactive waste (HLW) glasses as they corrode must be taken into account when assessing the performance of a disposal system. In the performance assessment (PA) calculations conducted for the proposed Yucca Mountain, Nevada, disposal system, the release of radionuclides is conservatively assumed to occur at the same rate the glass matrix dissolves. A simple model was developed to calculate the glass dissolution rate of HLW glasses in these PA calculations [1]. For the PA calculations that were conducted for Site Recommendation, it was necessary to identify ranges of parameter values that bounded the dissolution rates of the wide range of HLW glass compositions that will be disposed. The values and ranges of the model parameters for the pH and temperature dependencies were extracted from the results of SPFT, static leach tests, and Soxhlet tests available in the literature. Static leach tests were conducted with a range of glass compositions to measure values for the glass composition parameter. The glass dissolution rate depends on temperature, pH, and the compositions of the glass and solution, The dissolution rate is calculated using Eq. 1: $rate{\;}={\;}k_{o}10^{(ph){\eta})}{\cdot}e^{(-Ea/RT)}{\cdot}(1-Q/K){\;}+{\;}k_{long}$ where $k_{0},\;{\eta}$ and Eaare the parameters for glass composition, pH, $\eta$ and temperature dependence, respectively, and R is the gas constant. The term (1-Q/K) is the affinity term, where Q is the ion activity product of the solution and K is the pseudo-equilibrium constant for the glass. Values of the parameters $k_{0},\;{\eta}\;and\;E_{a}$ are the parameters for glass composition, pH, and temperature dependence, respectively, and R is the gas constant. The term (1-Q/C) is the affinity term, where Q is the ion activity product of the solution and K is the pseudo-equilibrium constant for the glass. Values of the parameters $k_0$, and Ea are determined under test conditions where the value of Q is maintained near zero, so that the value of the affinity term remains near 1. The dissolution rate under conditions in which the value of the affinity term is near 1 is referred to as the forward rate. This is the highest dissolution rate that can occur at a particular pH and temperature. The value of the parameter K is determined from experiments in which the value of the ion activity product approaches the value of K. This results in a decrease in the value of the affinity term and the dissolution rate. The highly dilute solutions required to measure the forward rate and extract values for $k_0$, $\eta$, and Ea can be maintained by conducting dynamic tests in which the test solution is removed from the reaction cell and replaced with fresh solution. In the single-pass flow-through (PFT) test method, this is done by continuously pumping the test solution through the reaction cell. Alternatively, static tests can be conducted with sufficient solution volume that the solution concentrations of dissolved glass components do not increase significantly during the test. Both the SPFT and static tests can ve conducted for a wide range of pH values and temperatures. Both static and SPFt tests have short-comings. the SPFT test requires analysis of several solutions (typically 6-10) at each of several flow rates to determine the glass dissolution rate at each pH and temperature. As will be shown, the rate measured in an SPFt test depends on the solution flow rate. The solutions in static tests will eventually become concentrated enough to affect the dissolution rate. In both the SPFt and static test methods. a compromise is required between the need to minimize the effects of dissolved components on the dissolution rate and the need to attain solution concentrations that are high enough to analyze. In the paper, we compare the results of static leach tests and SPFT tests conducted with simple 5-component glass to confirm the equivalence of SPFT tests and static tests conducted with pH buffer solutions. Tests were conducted over the range pH values that are most relevant for waste glass disssolution in a disposal system. The glass and temperature used in the tests were selected to allow direct comparison with SPFT tests conducted previously. The ability to measure parameter values with more than one test method and an understanding of how the rate measured in each test is affected by various test parameters provides added confidence to the measured values. The dissolution rate of a simple 5-component glass was measured at pH values of 6.2, 8.3, and 9.6 and $70^{\circ}C$ using static tests and single-pass flow-through (SPFT) tests. Similar rates were measured with the two methods. However, the measured rates are about 10X higher than the rates measured previously for a glass having the same composition using an SPFT test method. Differences are attributed to effects of the solution flow rate on the glass dissolution reate and how the specific surface area of crushed glass is estimated. This comparison indicates the need to standardize the SPFT test procedure.

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A Study on Bismuth tri-iodide for X-ray direct and digital imagers (직접방식 엑스선 검출기를 위한 $BiI_3$ 특성 연구)

  • Lee, S.H.;Kim, Y.S.;Kim, Y.B.;Jung, S.H.;Park, J.K.;Jung, W.B.;Jang, M.Y.;Mun, C.W.;Nam, S.H.
    • Journal of the Korean Society of Radiology
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    • v.3 no.2
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    • pp.27-31
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    • 2009
  • Now a days, the Medical X-ray equipments has become digitalized from analog type such as film, cassette to CR, DR. And many scientists are still researching and developing the Medical X-ray equipment. In this study, we used the Bismuth tri-iodide to conversion material for digital X-ray equipments and we couldn't get the satisfying result than previous study, but it opened new possibility to cover the disadvantage of a-Se is high voltage aplly and difficultness of make. In this paper, we use $BiI_3$ powder(99.99%) as x-ray conversion material and make films that have thickness of 200um and the film size is $3cm{\times}3cm$. Also, we deposited an ITO(Indium Tin Oxide) electrode as top electrode and bottom electrode using a Magnetron Sputtering System. To evaluate a characteristics of the produced films, an electrical and structural properties are performed. Through a SEM analysis, we confirmed a surface and component part. And to analyze the electrical properties, darkcurrent, sensitivity and SNR(Signal to Noise Ratio) are measured. Darkcurrent is $1.6nA/cm^2$ and sensitivity is $0.629nC/cm^2$ and this study shows that the electrical properties of x-ray conversion material that made by screen printing method are similar to PVD method or better than that. This results suggest that $BiI_3$ is suitable for a replacement of a-Se because of the reduced manufacture processing and improved yield.

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