• 제목/요약/키워드: Normal Start

검색결과 221건 처리시간 0.029초

학령전기 소아비만에 영향을 주는 영유아기 인자 (Infantile risk factors for obesity in preschool children)

  • 박선주;문재원;김현지;조민정
    • Clinical and Experimental Pediatrics
    • /
    • 제51권8호
    • /
    • pp.804-811
    • /
    • 2008
  • 목 적 : 최근 소아비만이 증가 추세에 있으며, 소아비만은 성인비만으로 이행할 가능성이 높다. 그러므로 소아기 부터 비만의 예방이 중요하다. 이에 본 연구는 학령전기 소아비만에 영향을 주는 영유아기 인자를 알아보고자 하였다. 방 법 : 2007년 10월 부산에 위치한 어린이집과 왈레스기념 침례병원 외래를 방문한 만 3세 이상 5세 미만 아동 350명을 대상으로 하여 그들의 부모에게 설문조사를 하였고, 그중 223명이 최종 분석에 사용되었다. 아동들의 현재 신장과 체중에 대한 신체계측은 어린이집과 병원에서 전자체중계와 신장계를 이용하여 측정하였으며, 체질량지수를 산출하여 85백분위수 이상인 경우 과체중위험 군, 85백분위수 미만인 경우 정상체중군으로 분류하였다. 설문조사를 통해 부모의 일반적인 특성(어머니 학력, 직업유무, 부모의 비만 여부), 출생체중, 수유 관련 내용(수유방식, 밤중 수유 지속 기간, 이유식 시작 시기), 양육자에 대한 정보를 얻었다. 결 과 : 과체중위험 군에 속하는 소아는 68명(30.5%)이었고, 정상체중군에 속하는 소아는 155명(69.5%)이었다. 분유를 수유한 경우가 모유를 수유한 경우에 비해 과체중이상인 경우가 11.3배 높게 나타났고(P<0.05), 출생 후 첫 6개월간 빠른 체중 증가가 학령전기 소아 과체중위험 군과 연관이 있는 것으로 나타났다(P<0.05). 과체중위험 군의 어머니의 체질량지수($22.2{\pm}2.4kg/m^2$)가 정상체중군($20.6{\pm}2.3kg/m^2$)에 비해서 유의하게 높았다(P<0.05). 아버지의 체질량지수(P=0.658), 어머니 학력(P=0.134), 직업유무(P=0.396), 밤중 수유 지속 기간(P=0.530), 이유식 시작 시기(P=0.078), 양육자(P=0.881), 6-12개월간 빠른 체중 증가(P=0.628), 출생체중(P=0.598)은 비만과 유의한 관련이 없었다. 결 론 : 소아비만이 될 영유아기 인자를 가지고 있는 자녀를 둔 가족들에게 영유아기에 초점을 맞춘 비만 예방 프로그램을 적극 제시해 주어, 영유아기 부터 비만의 위험을 예방하는 것이 중요할 것으로 사료된다.

방사선조사가 저칼슘식이 백서의 하악골에 미치는 영향에 관한 실험적 연구 (THE EFFECTS OF IRRADIATION ON THE MANDIBULAR BONE OF RATS ON THE LOW CALCIUM DIET)

  • 황의환;이상래
    • 치과방사선
    • /
    • 제22권2호
    • /
    • pp.241-252
    • /
    • 1992
  • The purpose of this study was to investigate the changes of morphology and structure of bone tissue in the irradiated mandibular bone in rats which were fed a low calcium diet. In order to carry out this experimant, 64 seven-week old Sprague-Dawley strain rats weighing about 150gms were selected and equally divided into one experimental group of 32 rats and one control group with the remainder. The experimental group and the control group were then subdivided into two groups when the rats reached ten-week old, 16 were assigned rats for each subdivided group, exposed to irradiation. The two irradiation groups received a single dose of 20 Gy in the jaws area only and irradiated with a cobalt-60 teletherapy unit. The rats in the control and experimental groups were serially terminated by fours on the 3rd, the 7th, the 14th, and the 21st day after irradiation. Following termination, both sides of the dead rats mandibular bodies were removed and fixed with 10% neutral formalin. One side of the mandibular body was radiographed with a soft X-ray apparatus. Thereafter, the obtained microradiographs were observed by a light microscope. The remaining side of the mandibular bone was further decalcified and embedded in paraffin as using the general method. The specimen sectioned and stained with hematoxylin and eosin, and Rabit Anti-Human Tumor Necrosis Factor-a, observed by a light microscope. The obtained results were as follows: 1. Microradiogram revealed that thinning of the cortex and a decrease in the trabecula of the interradicular bone and mandibular body were observed and noted from the start to finish throughout the experiment in the non-irradiated rats on the low calcium diet rather than in the non-irradiated rats on the normal diet. In microscopic observations, there were marked osteolytic changes in the center of the bone marrow. 2. Microradiogram revealed that thinning of the cortex and a decrease in the trabecula of interradicular bone and mandibular body were more marked after 7 days in the irradiated rats on the low calcium diet rather than in the non-irradiated rats on the low clacium diet. In microscopic observations, osteoblasts were decreased markedly after 7 days, and a few osteoclasts were observed. 3. Microradiogram revealed that thinning of the cortex and a decrease in trabecula of interradicular bone and the mandibular body were more marked from the strart to finish troughout the experiment in the irradiated rats on the low calcium diet rather than in the irradiated rats on the normal diet. In microscopic observations, there were no osteolytic changes noted in the irradiated rats on the normal diet. 4. In immunocytochemical findings, a few bone marrow cells including Tumor Necrosis Factor were observed in the irradiated rats on the normal diet, but was not observed in the rats on the low calcium diet.

  • PDF

편측성 완전 구순구개열 환자의 포괄적 치료 (COMPREHENSIVE TREATMENT OF UNILATERAL COMPLETE CLEFT LIP AND PALATE)

  • 이정근;황병남;최은주;김용빈
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제22권4호
    • /
    • pp.430-435
    • /
    • 2000
  • Cleft lip and palate is one of the congenital anomalies which need comprehensive and multidisciplinary treatment plan because 1) oral cavity is an important organ with masticatory function as a start of digestive tract, 2) anatomic symmetry and balance is esthetically important in midfacial area, and 3) it is also important to prevent psycho-social problems by adequate restoration of normal facial appearance. There are many different protocols in the treatment of cleft lip and palate, but our department has adopted and modified the $Z{\"{u}}rich$ protocol, as published in the Journal of Korean Cleft Lip and Palate Association in 1998. The first challenge is feeding. Type of feeding aid ranges from simple obturators to active orthopedic appliances. In our department we use passive-type plate made up of soft and hard acrylic resin which permits normal maxillary growth. We use Millard's method to restore normal appearance and function of unilateral complete cleft lip. In consideration of both maxillary growth and phonetic problems, we first close soft palate at 18 months of age and delay the hard palate palatoplasty until 4 to 5 years of age. When soft palate is closed, posterior third of the hard palate is intentionally not denuded to allow normal maxillary growth. In hard palate palatoplasty the mucoperiosteum of affected site is not mobilized to permit residual growth of the maxilla. We have treated a patient with unilateral complete cleft lip and palate by Ajou protocol, which is a kind of modified $Z{\"{u}}rich$ protocol. It is as follows: Infantile orthopedics with passive-type plate such as Hotz plate, cheiloplasty with Millard's rotation-advancement flap, and two stage palatoplasty. It is followed by orthodontic treatment and secondary osteoplasty to augment cleft alveolus, orthognathic surgery, and finally rehabilitation with conventional prosthodontic treatment or implant installation. The result was good up to now, but we are later to investigate the final result with longitudinal follow-up study according to master plan by Ajou protocol.

  • PDF

A Study on the Usefulness of Development of a Steam Sterilizer Equipped with an Electronic Bowie-Dick Test System

  • Bae, Young Ok;Hwang, Jun Soo;Kim, Sung Il;Lee, Joon Ha
    • 한국의학물리학회지:의학물리
    • /
    • 제28권4호
    • /
    • pp.156-163
    • /
    • 2017
  • To verify the usefulness of a steam sterilizer equipped with an electronic Bowie-Dick test system, this study was carried out using two methods, utilizing both a steam sterilizer and an electronic Bowie-Dick tester. The first method is to confirm the error detection of the chemical Bowie-Dick test pack and the electronic Bowie-Dick tester in a malfunctioning sterilizer environment. For this purpose, the Bowie-Dick test program for the steam sterilizer was used to test three types of test packs commonly used in hospitals and the electronic Bowie-Dick tester by changing the set values of temperature, time, and vacuum frequency. The second is an experiment to check the sterilizer's normal operation with the electronic Bowie-Dick tester and the usefulness of grasping the cause of the malfunction. The results showed that the sterilization temperature was the same as that of the test pack at a temperature $1{\sim}6^{\circ}C$ lower than the reference temperature of $134^{\circ}C$. In the test with the sterilization exposure time as a variable, there was a normal discoloration at a time difference of 30~90 s. In the experiment using the number of vacuum cycles, the test was correct by performing the normal discoloration only at the normal condition of 3 times. The test results of 30 hospitals were 100 failure tests by a total of 291 Bowie-Dick tests. Of these, the failure factors related to an internal temperature that the chemical test packs could not detect were the greatest, and the four factors related to temperature, including the internal temperature, were found to be 71.18% of total malfunctions. In addition, the Bowie-Dick tester was provided within 30 min after the start of the Bowie-Dick test to confirm the performance of the sterilizer and the detailed cause. A steam sterilizer equipped with an electronic Bowie-Dick test system is used to manage individual sterilizers. In the current steam sterilizer with many temperature-related errors, it is possible to check the malfunction of the temperature difference that the test pack cannot detect, and the cause of error for the sterilizer is immediately detected after the test. The steam sterilizer equipped with the electronic Bowie-Dick test system assists with infection control with accurate sterilizer performance assurance.

흰쥐에서 DWP-04가 D-galactosamine에 의해 유도된 간독성의 보호효과 (Protective Effect of DWP-04 Against Hepatotoxicity Induced by D-galactosamine)

  • 이정희;지상철;김석환;신영호;최종원
    • 생명과학회지
    • /
    • 제15권3호
    • /
    • pp.461-467
    • /
    • 2005
  • 간기능 보호 작용이 있는 것으로 알려진 DDB, selenium과 glutathione의 혼합제제인 DWP-04의 간보호 작용을 검토할 목적으로 DWP-04를 실험동물에 경구로 투여하고서 D-galactosamine으로 간독성을 유발하여 혈액의 변동 및 간 조직에서의 활성산소 생성계 및 해독계의 활성에 미치는 영향을 관찰한 결과 GaIN의 단독투여는 대조군에 비하여 혈중 간 기능 지표효소 및 간 조직에서의 지질과산화의 함량이 현저히 증가하였으나, DWP-04의 전처리로 현저히 감소되었다. CaIN의 단독 투여로 활성산소의 생성계인 phase 1계의 효소가 현저히 증가하던 것이 DWP-04의 처리로 억제되었으며 해독계인 phase II계의 효소는 GaIN의 투여로 대조군에 비하여 억제되던 것이 DWP-04의 전처리로 정상군에는 미치지 않으나 유의성 있게 증가되었다. 간 조직중 glutathine의 함량은 CaIN의 투여로 현저히 억제되었으며 DWP-04의 투여로 증가하였는데 이러한 결과는 DWP-04의 투여로 glutathione peroxidase의 활성보다는 $\gamma-glutamylcysteine$ synthetase의 활성을 조절한 결과로 생각된다. 이상의 결과를 종합하여 볼 때 DWP-04의 투여는 활성산소의 생성 및 해독계를 조절하므로서 GaIN으로 인한 간손상을 보호하는 효과가 있는 것으로 사료된다.

국내 유통 첨가제의 배출가스 및 연비특성 (Characteristics of Emission and Fuel Economy of Fuel Additives in the Domestic Market)

  • 김성우;이민호;인정민;김재권;정충섭
    • 한국신재생에너지학회:학술대회논문집
    • /
    • 한국신재생에너지학회 2010년도 추계학술대회 초록집
    • /
    • pp.165.1-165.1
    • /
    • 2010
  • In the past, drivers bought a fuel additives to treat a combustion chambers or injector nozzles for carbon or gum deposit at market. But, nowadays, as raised cost of fuel for a vehicle the consumers also start focusing on a function of fuel additives that increases fuel economy of one. Some fuel additive manufacturers and agents advertise that their goods make a car it's initial state. This paper shows data for 3 years that were acquired during test for registration of an additive in domestic. The data were sorted according to kind of vehicle, kind of fuel, test mode, CO, HC, NOx, PM, total emission, fuel economy and accumulated mileage. And than by using simple linear regression analysis changes according to accumulated mileage was displayed. Normal distribution and histogram of rate of increase and decrease were displayed. the analyzed data indicated that a fuel additive maintain and make a car the first state of one but can't make a car be batter than initial the one.

  • PDF

A Case of AML (M3) in Pregnancy

  • Shim, Moon-Jung;Kang, Yun-Jung
    • 대한임상검사과학회지
    • /
    • 제45권3호
    • /
    • pp.120-123
    • /
    • 2013
  • Leukemia in pregnancy was first reported by Virchow in 1845, and acute Leukemia that occurs with pregnancy is extremely rare. About 350 pregnancies with leukemia have been reported in literature. The incident of acute leukemia during pregnancy has been reported in one case per 100,000 pregnancies case. A 40-year-old patient with 30 weeks of pregnancy, (by promyelocyte which is contained granules and auer rods in the bone marrow and biopsy) was diagnosed with acute promyelocyte leukemia WITH t (15;17) (q22;q12); PML-RARA. (M3) in peripheral blood and bone marrow examination, and gave a birth to the fetus normally, January 24, 2013, after receiving the complete remission decision from the bone marrow, complete blood cell count, PML-RARA PCR test, showed normal findings until March 2013. The treatment of acute leukemia during pregnancy should be considered as treatment of a pregnant mother and the impact on the fetus. Decisions about when and how birth takes place is difficult and has to consider both mother and fetus. It is preferable to start immediate treatment without delay so that the treatment time to achieve complete remission or full recovery of the pregnant mother is longer.

  • PDF

차량 출발 시 클러치에서의 고착-미끄럼 진동현상에 관한 실험적 (An Experimental Study on the Stick-Slip Vibration of the Clutch during Starting of a Vehicle)

  • 김상수;장한기;조연;박영원;채장범
    • 소음진동
    • /
    • 제11권3호
    • /
    • pp.461-470
    • /
    • 2001
  • A friction-type clutch system sometimes generates spick-slip vibration during engagement, which disturbs smooth start of a car and makes a passenger uncomfortable. In this study, the spick-slip vibration in four types of friction couples was investigated at two different engagement conditions respectively of which the amount of slip time and clutch travel was varied. Results are found as follows. First, the vibration increased at the condition of small engine torque and large torque fluctuations due to higher harmonics of engine speed. Second, the friction couple without a pre-damper has advantages of reducing the vibration. This study also suggested an evaluation method of vehicle vibration in the view point of human perception by using the frequency weighting of ISO2631-1.

  • PDF

미디어 스트림 전송을 위한 적응형 멀티미디어 동기화 기법에 관한 연구 ((A Study on an Adaptive Multimedia Synchronization Scheme for Media Stream Transmission))

  • 지정규
    • 한국컴퓨터산업학회논문지
    • /
    • 제3권9호
    • /
    • pp.1251-1260
    • /
    • 2002
  • 실시간 응용 프로그램은 미디어 데이터간에 만족되어야 할 동기화 제약조건을 가지고 있다. 클라이언트의 버퍼를 버퍼레벨기법의 가상버퍼와 네트워크 상태를 포함한 피드백기법을 제안한다. 가변적 전송 지연 시간을 흡수하면서 피드백 제어에 의한 동기화를 수행한다. 버퍼의 수위가 정상레벨을 유지하는가에 대한 문제는 재생률과 QoS 서비스에 중요한 영향을 주게 된다. 본 논문에서는 이러한 문제를 해결하기 위해서 필터링함수, 제어함수, 네트워크 평가 함수 등을 적용하여 멀티미디어 서버에서 전송 시작시점을 결정하고 미디어의 재생 시 끊어짐이 없는 유연한 재생을 처리하게 된다. 주 미디어인 오디오 프레임이 상위임계레벨에 버퍼의 수위가 존재 할 경우는 점차적으로 재생시간을 줄이고, 오디오 프레임이 하위임계레벨에 버퍼의 수위가 있을 경우는 점차적으로 재생시간을 늘리는 시스템을 제안한다.

  • PDF

리클로져의 동작특성을 고려한 계통연계형 태양광발전시스템의 보호 알고리즘 (A Protection Algorithm of Grid-Interactive Photovoltaic System Considering Operation Characteristics of Recloser)

  • 김슬기;김응상
    • 대한전기학회논문지:전기기기및에너지변환시스템부문B
    • /
    • 제55권5호
    • /
    • pp.280-286
    • /
    • 2006
  • The paper proposes a new protection algorithm for reliable operation of grid-interfaced PV system, which can flexibly interact with conventional protective schemes of power utility grid not only to prevent damages to utility or public persons and utility apparatus caused by malfunction or failure in distribution network protection system, but also to protect a PV system itself from faults or abnormal conditions of the network. The proposed algorithm is based on reclosing characteristics of the distribution system. As a network fault occurs, the new scheme determines whether it is momentary or permanent and responds in a pre-programmed way to the fault. For permanent outage, the proposed algorithm shuts down inverter's operations but monitoring system voltage and frequency at the point of common coupling with grid. When it comes to the momentary outage, Inverter starts stand-by operation mode so that it can be automatically connected to the grid without start-up procedures as soon as the system voltage and frequency returns into the normal operation range. In order to investigate' and evaluate the PV system operation, simulation study based on PSCAD/EMTDC has been carried out to verify the performance of the proposed protection scheme.