• 한국진공학회:학술대회논문집
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• 한국진공학회 2005년도 제28회 학술발표회 초록집
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• pp.41-41
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• 2005

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권4호
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• pp.357-365
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• 2021

Purpose: A change in diagnosis from ulcerative colitis (UC) to Crohn's disease (CD) has been reported in pediatric inflammatory bowel disease; however, only a few clinical characteristics and predictors of this diagnostic change have been reported. We aimed to describe the clinical characteristics of patients with UC who underwent a change in diagnosis to CD and identify variables associated with the change. Methods: The medical records of pediatric patients with UC who were followed up at the National Center for Child Health and Development between 2006 and 2019 were retrospectively reviewed. Clinical data on disease phenotype, laboratory parameters, endoscopic findings, and treatment of patients whose diagnosis changed to CD (cCD) were compared to those of patients whose diagnosis remained UC (rUC). Results: Among the 111 patients initially diagnosed with UC, 11 (9.9%) patients were subsequently diagnosed with CD during follow-up. There was no significant difference between the cCD and rUC groups in terms of sex, age at initial diagnosis, and the extent and severity of disease at initial diagnosis. Albumin and hemoglobin levels were significantly lower in the cCD group than in the rUC group. The proportion of patients who required biologics was significantly higher in the cCD group than in the rUC group (p<0.05). Conclusion: Approximately 10% children initially diagnosed with UC were subsequently diagnosed with CD. Hypoalbuminemia and anemia at initial diagnosis and use of biologics could be predictors of this diagnostic change.

• Tuberculosis and Respiratory Diseases
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• 제47권4호
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• pp.460-470
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• 1999

연구배경 : 지역사회획득 폐렴의 치료는 질환의 중증도로 인해 원인균주의 증명없이 바로 경험적 항생제를 투여하는데, 미국흉부학회에서는 초기 경험적 항생제에 관한 지침을 1993년 제시한 바 있다. 그러나 한국의 경우 미국과 의료제도, 원인균, 항생제 내성 면에서 다르므로 미국흉부학회 지침이 한국의 지역사회획득 폐렴환자에서도 유용한지 알아보고자 했다. 방 법 : 1997년 4월 부터 1998년 3월 까지 삼성서울병원에 입원한 환자들 중 지역사회획득 폐렴으로 진단된 64명올 대상으로 후향적 연구를 시행하였다. 환자군은 항생제 초가선택에 따라 1) ATS군 ; ATS의 지침에 맞게 초기 항생제를 사용한 군, 2) Non-ATS overuse군 ; ATS의 지침보다 과하게 항생제를 사용한 군, 3) Non-ATS underuse군 ; ATS 지침보다 불충분한 항생제를 사용한 군으로 나누고 각 군간의 치료 반응, 실패 원인, 그리고 원인균올 조사하였다. 결 과 : ATS군 36명중 33명, Non-ATS overuse군 10명 중 9명, Non-ATS underuse군 18명중 14명에서 치료효과를 나타내었고 각 군간 치료 효과에서는 차이가 없었다(p>0.05). 원인균은 S. pneumoniae (12.5%), K. pneumoniae (9.4%), P. aeruginosa (4.7%), Mycoplasma (3.1%)의 순으로 나타났고 중증폐렴의 경우 Pseudomonas가 원인균인 경우는 1 례에 불과했고 Legionella 폐렴은 없었다. 결 론 : 미국흉부학회의 치료지침에 따른 항생제 선택은 우리나라의 지역사회획득폐렴의 치료에서 높은 효과를 보여 유용할 것으로 생각된다. 그러나 중증폐렴에서의 원인균주와 초기 항생제 선택에 있어 전향적인 연구가 필요할 것으로 생각된다.

• Structural Engineering and Mechanics
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• 제46권1호
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• pp.39-51
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• 2013

An extremum method is presented to predict the wrinkling characteristics of the inflated cone in bending. The wrinkling factor is firstly defined so as to obtain the wrinkling condition. The initial wrinkling location is then determined by searching the maximum of the wrinkling factor. The critical wrinkling load is finally obtained by determining the ratio of the wrinkling moment versus the initial wrinkling location. The extremum method is proposed based on the assumption of membrane material of beam wall, and it is extended to consider beam wall with thin-shell material in the end. The nondimensional analyses show that the initial wrinkling location is closely related to the taper ratio. When the taper ratio is higher than the critical value, the initial wrinkles will be initiated at a different location. The nondimensional critical wrinkling load nonlinearly increases as the taper ratio increases firstly, and then linearly increases after the critical taper ratio. The critical taper ratio reflects the highest load-carrying efficiency of the inflated cone in bending, and it can be regarded as a measure to optimize the geometry of the inflated cone. The comparative analysis shows fairly good agreement between analytical and numerical results. Over the whole range of the comparison, the mean differences are lower than 3%. This gives confidence to use extremum method for bending-wrinkling analysis of inflated conical cantilever beam.

• Journal of Microbiology and Biotechnology
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• 제19권3호
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• pp.291-298
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• 2009

The carbon metabolism of newly isolated Clostridium tyrobutyricum JM1 was investigated at varying initial glucose concentrations (27.8-333.6mM). Because an understanding of metabolic regulations was required to provide guidance for further effective metabolic design or optimization, in this case, maximizing hydrogen production, carbon and energy balances by C. tyrobutyricum JM1 were determined and applied in anaerobic glucose metabolism. The overall carbon distribution suggested that initial glucose concentrations had strong influence on the stoichiometric coefficients of products and the molar production of ATP on the formation of biomass. C. tyrobutyricum JM1 had a high capacity for hydrogen production at the initial glucose concentration of 222.4 mM with high concentrations of acetate and butyrate.

• The Journal of Korean Physical Therapy
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• 제13권1호
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• pp.33-40
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• 2001

Objectives: This study was to identify the effect of physical therapy and related factors on depression in stroke patients. Methods: Questionnaires were completed by 46 stroke patients at physical therapy room in Busan Dongeui Medical Center from September 1999 to April 2001. The self·rating depression scale(SDS)was used to assess the differences for depression score in patients who had suffered a stroke. The design of this study was follow-up study between initial physical therapy and one month after initial. Results: A little decreased score(-0.17) was seen in patients treated with physical therapy in difference of depress between initial physical therapy and one month after initial, but there was no significant difference. In gender, male had -0.42 decreased score, female. on the contrary, had +0.09 increased score. Depress score for 50 years group was decreased(-2.08), but below 50 years and above 60 were increased in age (+1.25 and +0.27, respectively). There were no significant difference in weight, educational level, religion, side of paresis, and diabetes. Significant variables related to difference of depress in multiple regression analysis were weight(p=0.0082)and diagnosis(cerebral infarction, hemorrhage)(p=0.0473, R2=0.4241). Conclusions: This study was indicated that the more weight was a higher, the higher difference of depress score was. Difference of hemorrhage patients was smaller than that of infarction patients.

• 한국세라믹학회지
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• 제45권7호
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• pp.418-422
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• 2008

The preparation of FeB by SHS in $B_2O_3-Mg-Fe-Fe_3O_4$ system was investigated in this study. In the preparation of FeB, the effects of the initial pressure of inert gas in reactor, the content of Mg and $Fe_3O_4$ in mixture on the reactivity and reaction products was investigated. The minimum initial pressure of inert gas in reactor for SHS reaction in this system was 25 atm, and as the pressure increased, the concentration of unreacted Mg decreased and combustion temperature increased. At the initial inert gas pressure in reactor of 25 atm, the optimum composition for the preparation of pure FeB was $1.5B_2O_3$+3.43Mg+ 1.7Fe+$0.1Fe_3O_4$. The FeB synthesized in this condition had an irregular shape and the particle size of $5\;{\mu}m$.

• Applied Science and Convergence Technology
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• 제27권3호
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• pp.47-51
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• 2018

We fabricated an anode-type ion beam source and studied its driving characteristics of the initial extraction of ions using two driving mechanisms: a diffusion phenomenon and a charge repulsion phenomenon. For specimen exposed to the ion beam in two methods, the surface impurity element was investigated by using X-ray photoelectron spectroscopy. Upon Ar gas injection for plasma generation the ion beam source was operated for 48 hours. We found a Fe 2p peak 5.4 at. % in the initial ions by the diffusion mechanism while no indication of Fe in the ions released in the charge repulsion mechanism. As for a long operation of 200 min, the temperature of ion beam sources was measured to increase at the rate of ${\sim}0.1^{\circ}C/min$ and kept at the initial value of $27^{\circ}C$ for driving by diffusion and charge repulsion mechanism, respectively. In this study, we confirmed that the ion beam source driven by the charge repulsion mechanism was very efficient for a long operation as proved by little electrode damage and thermal stability.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제7권8호
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• pp.1860-1875
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• 2013

In this paper, we present a comparative performance evaluation of the sampling frequency synchronization method that eliminates the initial sampling frequency offset (SFO) to reduce the overall synchronization time in Digital Radio Mondiale (DRM) receivers. To satisfy the advanced synchronization performance requirements of DRM receivers, we introduce the conventional DRM synchronization method (Method 1) and another method (Method 2), which does not perform the initial sampling frequency synchronization in the conventional synchronization method (both methods are mentioned later in this paper). To demonstrate the effectiveness of the performance evaluation, analytical expressions for frame detection are derived and simulations are provided. Based on the simulations and numerical analysis, our result shows that Method 2, with a negligible performance loss, is robust to the effects of the initial sampling frequency synchronization even if SFO is present in the DRM signal. In addition, we verify that the inter-cell differential correlation used between reference cells is robust to the effect of the initial SFO.

• Radiation Oncology Journal
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• 제32권4호
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• pp.238-246
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• 2014

Purpose: To evaluate the clinical outcome of high-dose-rate (HDR) interstitial brachytherapy (IBT) in patients with oral cavity cancer. Materials and Methods: Sixteen patients with oral cavity cancer treated with HDR remote-control afterloading brachytherapy using $^{192}Ir$ between 2001 and 2013 were analyzed retrospectively. Brachytherapy was administered in 11 patients as the primary treatment and in five patients as salvage treatment for recurrence after the initial surgery. In 12 patients, external beam radiotherapy (50-55 Gy/25 fractions) was combined with IBT of 21 Gy/7 fractions. In addition, IBT was administered as the sole treatment in three patients with a total dose of 50 Gy/10 fractions and as postoperative adjuvant treatment in one patient with a total of 35 Gy/7 fractions. Results: The 5-year overall survival of the entire group was 70%. The actuarial local control rate after 3 years was 84%. All five recurrent cases after initial surgery were successfully salvaged using IBT ${\pm}$ external beam radiotherapy. Two patients developed local recurrence at 3 and 5 months, respectively, after IBT. The acute complications were acceptable (${\leq}grade$ 2). Three patients developed major late complications, such as radio-osteonecrosis, in which one patient was treated by conservative therapy and two required surgical intervention. Conclusion: HDR IBT for oral cavity cancer was effective and acceptable in diverse clinical settings, such as in the cases of primary or salvage treatment.