• Clinical and Experimental Pediatrics
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• v.45 no.8
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• pp.1033-1037
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• 2002

Doxylamine is an antihistamine of the ethanolamine class. It is used primarily as a sleep-inducing agent. Clinicians should be aware of the complications in rhabdomyolysis patients who ingest doxylamine succinate and over-the-counter antihistamines. The easy availability of these substances increases the potential not only of intentional overdose by adults but also of inadvertent ingestion by children. Prompt intervention and careful assessment of renal function, urinary output, and serum creatine kinase levels may represent the difference between an uncomplicated and acute renal failure. Recognition of the potential for rhabdomyolysis and institution of vigorous treatment may prevent acute renal failure in patients who have taken an overdose of the drug. A 14-year-old male was found to have hematuria and oliguria. Evaluation of the patient revealed myoglobinuria, and a creatine kinase(CK) level of 117,563 IU/L. He was recovered by massive fluid administration, urine alkalization and mannitol infusion. We report a case of a suicide attempt in a child where ingestion of the doxylamine complicated by non-traumatic rhabdomyolysis with brief review related literatures.

• Childhood Kidney Diseases
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• v.24 no.1
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• pp.53-57
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• 2020

Streptococcus agalactiae or group B streptococcus (GBS) is associated with infections in neonates and pregnant women. Herein, we describe a rare case of GBS renal abscess with peritonitis and pleural effusion in a 17-year-old girl with type 1 diabetes mellitus. The girl was admitted due to fever and right flank pain. Laboratory findings included leukocytosis and increased C-reactive protein level and erythrocyte sedimentation rate. Her serum glucose level was 484 mg/dL. Urinalysis showed no pyuria. Renal sonography revealed parenchymal swelling in the right kidney. The patient was administered intravenous cefotaxime. Urine and blood cultures were negative. Fever seemed to improve, but the following day, she complained of abdominal pain and fever. Antibiotic was switched to imipenem, and abdominal and pelvic CT revealed a ruptured right renal abscess, peritonitis, and bilateral pleural effusion with atelectasis. Pigtail catheter drainage of the abscess was performed. Culture from the abscess was positive for GBS, and fever subsided 2 days after the drainage. She was discharged with oral cefixime. The clinical course of urinary tract infections (UTIs) can be atypical in patients with diabetes, and GBS can be a cause of UTIs. Prompt diagnosis and management are necessary to prevent complications in patients showing atypical courses.

• 한국신재생에너지학회:학술대회논문집
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• 2007.11a
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• pp.449-452
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• 2007

The present study numerically investigate the effects of the Syngas chemical kinetics on the basic flame properties and the structure of the Syngas diffusion flames. In order to realistically represent the turbulence-chemistry interact ion and the spatial inhomogeneity of scalar dissipation rate. the Eulerian Particle Flamelet Model(EPFM) with multiple flamelets has been applied to simulate the combustion processes and NOx formation in the syngas turbulent nonpremixed flames. Due to the ability for interactively describing the transient behaviors of local flame structures with CFD solver, the EPFM model can effectively account for the detailed mechanisms of NOx format ion including thermal NO path, prompt and nitrous NOx format ion, and reburning process by hydrocarbon radical without any ad-hoc procedure. validation cases include the Syngas turbulent nonpremixed jet and swirling flames. Based on numerical results, the detailed discussion has been made for the sensitivity of the Syngas chemical kinetics as well as the precise structure and NOx formation characteristics of the turbulent Syngas nonpremixed flames.

• Journal of Chest Surgery
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• v.31 no.2
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• pp.178-181
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• 1998

Among the late postoperative complications of the acute dissection of aorta, the fistula between dilated distal aorta and pulmonary parenchym is so rare that only few case have been reported sporadically. Although the aortopulmonary fistula is one of a fatal condition that needs prompt surgical intervention, with an appropriate management it is well controllable condition. Early diagnosis and urgent surgical intervention is the only way to prevent catastrophic hemorrhage. We experienced a surgical management of aortoplumonary fistula which occurred between upper lobe of the left lung and distal aortic dilatation of previous aortic bypass graft which was performed for Debakey type I acute aortic dissection.

• Journal of Chest Surgery
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• v.23 no.4
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• pp.707-714
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• 1990

Despite of mortality and morbidity rates that are higher than other forms of therapy, surgical resection has been mainstay for the treatment of esophageal cancer because of a prompt completeness as well as a high possibility of cure. But a substantial numbers of patients are unsuitable for surgical treatment and those undergoing resection have still poor long term survival rate. With hopes of improving long term survival, we have attempted multimodal approach, composed of preoperative induction chemotherapy utilizing Cisplatin and 5 \ulcornerFU, surgery and postoperative loco-regional radiotherapy for the treatment of esophageal cancer since 1985. During the period of 1967 \ulcorner1985, 27 patients[group A] were treated by surgery only and during recent 5 years 28 patients[group B] by multimodal treatment, Clinical review and comparison between the two groups were as follows: l. Applied surgical procedures were hand-sewn esophagogastrostomy, esophagocologastrostomy and esophagojejunostomy in group A. In group B, only esophagogastrostomy was underwent using stapler mainly. 2. Incidence of peri and postoperative complication showed no remarkable differences between the two groups, but the occurrences of leakage from the anastomotic site were 5[19% ] out of group A and 1[4%] out of group B. 3. The response rate to induction chemotherapy was 36% in group B, 4. The number of local cancer recurrence at the site of anastomosis was 6[22%] out of group A, whereas 2[7%] out of group B. 5. Postoperative I year and 2 year survival were 61%, 15% in group A and 75%, 42% in group B.

• The Korean Journal of Food & Health Convergence
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• v.3 no.1
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• pp.1-7
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• 2017

The study has made theoretical system by thesis journals at home and abroad, material of the Association of Convenience Store Industry of Korea, materials of Statistics Korea and reference books. First, the study examined convenience store's brand image, cognized value, quality level, reliability upon brand, structural relation of purchasing intention, and designed models and theses. Second, the first questionnaire consisted of test items of precedent study, and inspected in advance to inspect reliability and appropriateness, and made correction and supplemented problems. Third, SPSS and AMOS statistics were used to conduct empirical analysis and to find out conclusion and implications. In this study, the subject was consumers who visited local convenience stores such as GS25, Seven Eleven and CU last 3 months to buy PB food. Consumers' consumption pattern and culture made change to be reasonable and practical owing to aging society, nuclear family, women's entering into the society, one person household consumer, and convenient and prompt buying to make different consumption pattern and to make change of commodity distribution pattern. Convenience store took action against change of the trend to expand business area by new distribution channels to get another growth source. Private brand (PB) food that was distributor's brand was expanded. The PB product has been competitiveness of food service industry.

• Mycobiology
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• v.30 no.1
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• pp.37-40
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• 2002

The susceptibility of radiata pine sapwood to fungal attack and the ability of selected fungicides to control colonization of sapstain and mold fungi on green radiata pine sapwood were evaluated. Radiata pine sapwood was highly susceptible to fungal staining, suggesting that prompt application of fungicides after sawing is essential for preventing fungal colonization. The ability of commercial fungicides to prevent fungal discoloration on radiata pine sapwood was assessed using an accelerated 6-week test on small samples in the laboratory, and in field tests using bulk-piled boards exposed outdoors for 6 weeks during summer rainy season. In laboratory tests, Hylite extra provided excellent protection against fungal discoloration even at the lowest concentrations. Hylite clear, Britewood S, and NP-1 Plus provided good short-term protection(2 to 4 weeks), but higher chemical loadings were, required for long-term protection(6 weeks). Woodguard produced little or no protection over the test periods. In field tests, Kathon 893 provided markedly superior protection at the concentration of 0.5 percent or higher. NP-1 Plus provided relatively good protection at all concentrations evaluated. Hylite extra was effective only for short-term protection(2 to 4 weeks) at all concentrations tested, but higher solution strengths were needed for longterm protection.

• The Journal of Asian Finance, Economics and Business
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• v.7 no.8
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• pp.197-204
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• 2020

Nowadays, many construction engineering and technology enterprises are evolving to find that prosperity is driven and inspired by an open economy with dynamic markets and fierce multifaceted competition. Besides brand and product uniqueness, the ability to quickly provide customers with quotes are matters of concern. Such a requirement for prompt cost estimation of construction investment projects with the use of a construction price index poses a significant challenge to contractors. This is because the nature of the construction industry is shaped by changes in domestic and foreign economic factors, socio-financial issues, and is under the influence of various micro and macro factors. This paper presents a fuzzy decision-making approach for calculating critical factors that affect the construction price index. A qualitative approach was implemented based on in-depth interviews of experts in the construction industry in Vietnam. A synthetic comparison matrix was calculated using Buckley approach. The CoA approach was applied to defuzzified the fuzzy weights of factors that affect the construction price index. The research results show that the top five critical factors affecting the construction price index in Vietnam are (1) consumer price index, (2) gross domestic product, (3) basic interest rate, (4) foreign exchange rate, and (5) total export and import.

• Advances in robotics research
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• v.2 no.1
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• pp.69-97
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• 2018

Innovation is considered as key to ensure continuous advancement and firm progress in any field. Robotics, with no exception, has gained triumph and approval based on its strength to address divers range of applications as well as its capacity to adapt new ways and means to enhance its applicability. The core of novelty in robotics technology is the perpetual curiosity of human beings to imitate natural systems. This desire urges to continuously explore and find new feet. In the past, contemporary machines, in different shapes, sizes and capabilities, were developed that can perform variety of tasks. The major advantage of these developments was the ability to exhibit superior control, strength and repeatability than the corresponding systems they were replicating. However, these systems were rigid and composed of hard an underlying structure, which is a constraint in bringing into being the compliance that exists in natural organisms. Inspiration of achieving such compliance and to take the full advantage of the design scheme of biological systems compelled researchers and scientists to develop systems avoiding conventional rigid structures. This ambition, to produce biological duos, needs soft and more flexible materials and structures to realize innovative robotic systems. This new footpath to craft biological mockups facilitates further to exploit new materials, novel design methodologies and new control techniques. This paper presents an appraisal on such innovative comprehensions, conferring to their design specific importance. This demonstration is potentially useful to prompt the novelty of soft robotics.

• The Korean Journal of Emergency Medical Services
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• v.9 no.1
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• pp.111-119
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• 2005

Glucose is the most importantenergy source in the central nervous system. Because the central nervous system cannot synthesize or store glucose. low blood glucose even for a short period results in no functionally normal activity of the brain. In addition, continuous low blood glucosecan cause irreversible brain damage and brain death. Therefore, the current status of emergency care by first aid staffs during transfer of patients with hypoglycemia has been investigated in this study, 114 patients who have visited the hospital using 119 Emergency Medical Service from January 1, 2004 till December, 2004 and shown blood glucose of 2.8 mmol/L and less on arrival have been involved. In case of nurses, assistant nurses, first aid staffs receiving first aid training and second-class emergency medical technicians(EMTs), they provided basic life support (BLS). In case of first-class EMTs, they measured blood sugar and then they orally administered glucose to conscious patients or provided simple first aids and prompt transfer for unconscious patients. As a result of analysis, it is suggested that first aid retraining is required.