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Clinical Features and Factors Affecting Success Rate of Air Reduction for Pediatric Intussusception (공기 정복술을 시행 받은 소아 장중첩증 환자들의 치료 결과 및 성공률에 영향을 미치는 요인)

  • Son, Il-Tae;Jung, Kyu-Whan;Park, Tae-Jin;Kim, Hyun-Young;Park, Kwi-Won;Jung, Sung-Eun
    • Advances in pediatric surgery
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    • v.16 no.2
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    • pp.108-116
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    • 2010
  • Air reduction is a safe, effective, and fast initial treatment for pediatric intussusception. There is low dose radiation exposure. Factors affecting outcomes of air reduction were analyzed by reviewing the clinical features and results of treatment. A total of 399 out of 485 patients with pediatric intussusceptions were treated at the Seoul National University Children's Hospital from 1996 to 2009. All of the patients received air reduction as the first line of treatment. Clinical features such as gender, age, seasonal variation, symptoms, signs, types, pathologic leading point, and treatment results including success rate, complication, recurrence, NPO time, and duration of hospitalization were reviewed. The Pearson chi-square, student T-, and logistic regression tests were used for statistical analysis. P-value less than 0.05 was considered to be statistically significant. The prevalent clinical features were: male (65.4 %), under one-year of age (40.3 %), ileocolic type (71.9 %), abdominal pain (85.4 %), and accompanying mesentery lymph node enlargement (2.2 %). The overall success rate for air reduction was 78.4 % (313 of 399 patients), and the perforation rate during reduction was 1.5 %. There were 23 recurrent cases over 21.6 months. All were successfully treated with re-do air reduction. Reduction failures had longer overall NPO times (27.067hrs vs. 43.0588hrs; p=0.000) and hospitalization durations (1.738d vs. 6.975d; p=0.000) compared to the successful cases. The factors affecting success rates were fever (p=0.002), abdominal distension (p=0.000), lethargy (p=0.000) and symptom duration (p=0.000) on univariate analysis. Failure rates were higher in patients with symptom durations greater than 24 hours (p=0.023), and lethargy (p=0.003) on multivariate analysis. Air reduction showed high success rates and excellent treatment outcomes as the initial treatment for pediatric intussusception in this study. Symptom duration and lethargy were significantly associated with reduced success rates.

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A Study on Predominant Periods and Attenuation Characteristics of Ground Motion (지반 탁월주기와 지반 운동특성에 관한 연구)

  • Kim, So-Gu;Cha, Jeong-Sik;Jeong, Hyeong-Sik
    • Geotechnical Engineering
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    • v.11 no.2
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    • pp.139-156
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    • 1995
  • A set of field investigations was performed to estimate accurately the predominant periods of seismic 8round motions and the attenuation characteristics of the seismic ground vibration. Predominant periods of ground motions were estimated from the measurement of the continuous microseismic vibratins of certain periods, inherent in the ground and in the buildings, utilizing the high sensitivity digital velocity seismometer consisting of 3-component geophones and a digital seismograph. Estimated predominant periods of microseismic vibraion of the ground(measured on'the ground surface) and the building (measured on the second floor) were in the range of 0.18~0.235 sec. and 0.26~0.31 sec. respectively. The subsurface structure of the site ground was surveyed by the seismic refraction method utilizing the digital seismicwave probing system. The ground structure was found to be a two-layered system : an upper top soil layer of 7m in thickness with the P-wave velocity of 662m1sec and a lower layer of silty-clayey soils with the P -wave velocity of 2210m1 sec. The attenuation characteristics of the seismic ground vibrations were determined by the amplitude decay measurement method us;ng the Seisgun, which produces strong artificial seismic energy. Measured spatial attenuation coefficients of the ground vibration in vertical(Z) longitudinal(X), transverse(Y) direction were 0.1137, 0.0025, and 0.0290 respectively. Estimated Spartial QP's (inverse of the specific dissipation constant w.r.t. shear waved of X, Y, and Z directions were in the range of 5.913~7.575, 32.371~41.452, 2.794~3.579 re spectively. This indicates that aseimic design of the structures on the site should take stronger consideration regarding the earthquake resistance characteristics of the structures against longitudinal ground motion.

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Study on the Relationship between Capital Structure and Earning Management in the Korean Shipping Companies (해운기업의 자본구조와 이익조정 간의 관계에 관한 연구)

  • Lee, Sung-Yhun;Ahn, Ki-Myung
    • Journal of Navigation and Port Research
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    • v.41 no.4
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    • pp.235-242
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    • 2017
  • Earnings management is defined as an intentional act during the financial reporting process or a manager's choice of accounting policies to avoid earnings decreases or obtain some private gains. Shipping firms have a highly debt-intensive capital structure and a significant motivation in earnings management to avoid failure of a Debt Covenant. From this point of views, this paper tries to determine the relationship between the capital structure and discretionary accruals estimated using the re-modified Jones model (1995). The sample used to test the research models is made up of 87 Korean shipping firms during the period from 2007 to 2015. A histogram analysis, t-test and FGLS confirm the possibility of using earnings management, and it proved that Korean shipping firms manage their earnings to avoid financial loss. An analysis of the relationship between the capital structure and earning managements, shows it is difficult to support the Debt Covenant, shown as a negative relationship between the debt ratio and debt maturity as shipping firms' capital structure and discretionary accruals as earning management variable. An additional analysis presents a negative relationship between previous debt maturity and discretionary accruals, and the possibility of earning management in a highly increased debt ration group.

Conservation Status of Rare and Endangered Plant Species in T$\v{o}$kyusan National Park (덕유산 국립공원내 회귀 및 멸종위기식물의 보전실태)

  • Yim, Kyong-Bin;Kim, Yong-Shik;Chun, Seung-Hoon;Kim, Sun-Hee;Kim, Whi
    • Korean Journal of Environment and Ecology
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    • v.7 no.2
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    • pp.112-117
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    • 1994
  • The present conservation status on the rare and endangered plants in Tokyusan National Park were surveyed and re-evaluated by the new criteria which prepared by I.U.C.N. The species such as Lonicera vidalii, Clematis chiisanensis, Cypripedium macranthum and Allium taquetii were grouped as Critical, Eranthis stellata, Abies koreana, Taxus cuspidata, Tricyrtis dilatata, Paeonia japonaca, Stewartia koreana, Rhododendron tschnoskii, Buplerum euphorbioides, Lilium cernum and Oreorchis patens were grouped as Endangered, Adonis amurenis and Disporum ovale were grouped as Vulnerable. The above mentioned species were mainly located at the vicinity of mountain trails and projected developing sites. The potentials for the habitat destructions, mainly, due to human activities are expected to be serious in the future unless the proper management plans prepared for the specific plants and the specific habitats.

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A Study on Liquefaction Assessment of Moderate Earthquake Region concerning Earthquake Magnitude of Korea (국내 지진규모를 고려한 중진 지역에서의 액상화 평가방법에 관한 연구)

  • Kim, Soo-Il;Park, Keun-Bo;Park, Seong-Yong;Seo, Kyung-Bum
    • Journal of the Earthquake Engineering Society of Korea
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    • v.10 no.3 s.49
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    • pp.125-134
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    • 2006
  • Conventional methods for the assessment of liquefaction potential were primary for severe earthquake regions $(M{\geq}7.5)$ such as North America and Japan. In Korea, an earthquake related research has started in 1997, but most contents in the guidelines were still quoted from literature reviews of North America and Japan, which are located in strong earthquake region. Those are not proper in a moderate earthquake regions including Korea. Also the equivalent uniform stress concept (Seed & Idriss, 1971) using regular sinusoidal loading which is used, in a conventional method for the assessment of liquefaction potential, can't reflect correctly the dynamic characteristics of real irregular earthquake motions. In this study, cyclic triaxial tests using irregular earthquake motions are performed with different earthquake magnitudes, relative densities, and fines contents. Assessment of liquefaction potential in moderate earthquake regions is discussed based on various laboratory test results. From the results, screening limits in seismic design were re-investigated and proposed using normalized maximum stress ratios under real irregular earthquake motions. Also from the tests using constant wedge loading and incremental wedge loading, the characteristics of liquefaction resistance of saturated sand under irregular ground motions are investigated.

An Investigation on Core Competencies of Data Curator (데이터 큐레이터의 핵심 직무 요건 고찰에 관한 연구)

  • Lee, You-Kyoung;Chung, EunKyung
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.26 no.3
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    • pp.129-150
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    • 2015
  • As the digital technologies and internet have advanced, data have centered in the process of meaningful scientific ramifications and policy making in a wide variety of fields. Data curator in charge of managing data plays a significant role in terms of improving the effectiveness and efficiency of data management and re-uses. The purpose of this study is to identify the core competencies for data curator. For achieving the purpose of this study, two sets of data were collected. First, a total of 255 job descriptions were collected from the web sites including ARL, Digital Curation Exchange, Code4lib, ASIS&T JobLine for the period of 2011-2014. Second, in-depth interviews with five data curators from four diverse organizations were collected. The two sets of data were analyzed into seven categories identified from the related studies. Findings of this study showed that core competencies for data curator were identified into four categories, communication skills, data management techniques, knowledge and strategies for data management, and instructions and service provisions for users. The implications of this study can be considered as integrated and professional curriculum developments for data curator with core competencies.

ZigBee Service Gateway Enabling Dynamic Reconfiguration (동적 설정 가능한 지그비 서비스 게이트웨이 구조)

  • Kim, Seong-Hoon;Kang, Jeong-Seok;Baeg, Sung-Ho;Park, Jae-Han;Park, Hong-Seong
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.10B
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    • pp.644-654
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    • 2007
  • ZigBee is one of wireless communication standards and many applications based on Zigbee have been developing for commercial applications. Most of those applications require links to Internet like Zigbee service gateways. However, ZigBee service gateway should provides following functions to be effectively utilized itself: translation of messages between diverse ZigBee application profiles and message formats used in Internet, addition/removal of a new ZigBee service without stopping existing services according to addition/removal of a Zigbee node, and no transmission of unwanted packets to ZigBee network. Therefore, this paper proposes a new type of ZigBee Service Gateway, called ZiGate to provide the functions. The proposed ZiGate is capable of re-configurating message translation modules required in case of addition/removal of nodes and doesn't transmit unnecessary packets to the ZigBee networks by synchronizing itself with ZigBee network. And ZiGate provides translation modules between messages defined in Zigbee application profiles and both text-based and binary-based messages used in Internet. In this paper we implements the ZiGate and evaluates it on the test bed. This evaluations show that the proposed ZiGate works efficiently.

A Comparison between Asia-Pacific Region Criteria and Entropy Model Criteria about Body Mass Index of Elderly Females Using Morbidity of Chronic Disease (만성질환 이환율을 이용한 여자노인의 체질량지수에 대한 아시아-태평양지역 기준과 Entropy모델 기준 비교)

  • Jeong, Gu-Beom;Park, Jin-Yong;Kwon, Se-Young;Park, Kyung-Ok;Park, Pil-Sook;Park, Mi-Yeon
    • Korean Journal of Community Nutrition
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    • v.19 no.5
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    • pp.490-498
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    • 2014
  • Objectives: This study was conducted to propose the need of re-establishing the criteria of the body weight classification in the elderly. We compared the Asia-Pacific Region Criteria (APR-C) with Entropy Model Criteria (ENT-C) using Morbidity rate of chronic diseases which correlates significantly with Body Mass Index (BMI). Methods: Subjects were 886 elderly female participating in the 2007-2009 Korea National Health and Nutrition Examination Survey (KNHANES). We compared APR-C with those of ENT-C using Receiver Operating Characteristics (ROC) curve and logistic regression analysis. Results: In the case of the morbidity of hypertension, the results were as follows: Where it was in the T-off point of APR-C, sensitivity was 67.5%, specificity was 43.1%, and Youden's index was 10.6. While in the cut-off point of ENT-C, it was 56.7%, 56.6%, and 13.3 respectively. In the case of the morbidity of diabetes, the results were as follows: In the cut-off point of APR-C, Youden's index was 14.2. While in the cut-off point of ENT-C, it was 17.2 respectively. The Area Under the ROC Curve (AUC) of the subjects who had more than 2 diseases among hypertension, diabetes, and dyslipidemia was 0.615 (95% CI: 0.578-0.652). Compared to the normal group, the odds ratio of the hypertension group which will belong to the overweight or obesity was 1.79 (95% CI: 1.30-2.47) in the APR-C, and 2.04 (95% CI: 1.49-2.80) in the ENT-C (p < 0.001). Conclusions: We conclude that the optimal cut-off point of BMI to distinguish between normal weight and overweight was $24kg/m^2$ (ENT-C) rather than $23kg/m^2$ (APR-C).

In Vitro and in Vivo Wound Healing Properties of Plasma and Serum from Crocodylus siamensis Blood

  • Jangpromma, Nisachon;Preecharram, Sutthidech;Srilert, Thanawan;Maijaroen, Surachai;Mahakunakorn, Pramote;Nualkaew, Natsajee;Daduang, Sakda;Klaynongsruang, Sompong
    • Journal of Microbiology and Biotechnology
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    • v.26 no.6
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    • pp.1140-1147
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    • 2016
  • The plasma and serum of Crocodylus siamensis have previously been reported to exhibit potent antimicrobial, antioxidant, and anti-inflammatory activities. During wound healing, these biological properties play a crucial role for supporting the formation of new tissue around the injured skin in the recovery process. Thus, this study aimed to evaluate the wound healing properties of C. siamensis plasma and serum. The collected data demonstrate that crocodile plasma and serum were able to activate in vitro proliferation and migration of HaCaT, a human keratinocyte cell line, which represents an essential phase in the wound healing process. With respect to investigating cell migration, a scratch wound experiment was performed which revealed the ability of plasma and serum to decrease the gap of wounds in a dose-dependent manner. Consistent with the in vitro results, remarkably enhanced wound repair was also observed in a mouse excisional skin wound model after treatment with plasma or serum. The effects of C. siamensis plasma and serum on wound healing were further elucidated by treating wound infections by Staphylococcus aureus ATCC 25923 on mice skin coupled with a histological method. The results indicate that crocodile plasma and serum promote the prevention of wound infection and boost the re-epithelialization necessary for the formation of new skin. Therefore, this work represents the first study to demonstrate the efficiency of C. siamensis plasma and serum with respect to their wound healing properties and strongly supports the utilization of C. siamensis plasma and serum as therapeutic products for injured skin treatment.

Effect of Mothers' Oral Health Knowledge and Behaviour on Dental Caries in Their Preschool Children (데이터마이닝을 이용한 유치치아우식증 관련요인 분석)

  • Kim, Jin-Soo;Kim, Hyo-Jin;Jorn, Hong-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.5 no.2
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    • pp.171-184
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    • 2005
  • In order to investigate correlation between mother's dental ca re for her children and their dental caries, this study was conducted wi th the dental examination record of 365 children who showed the same number of questionnaires with those examined for dental conditions and questionnaires written by mothers among children between three and six years of age and their mothers in Yeoncheon, Gyeonggi province in June 2004 to estimate frequency and percentage of general properties of subjects and mother's oral health care behaviors for her children by research items, to carry out cross-tabulation analysis and correlation analysis following Chi-square distribution for the presence of dental caries in deciduous teeth and oral health care behaviors, and to use decision tree analysis among data mining techniques for those factors associated with the presence of dental caries in deciduous teeth, and drew the following conclusions. 1. For mother's oral health care behaviors and attitudes for her children, 225 mothers(61.6%) confirmed their children's teeth-brushing; 278(76.2%) used no fluorine; and 286(78.6%) observed their children's teeth, 322 mothers(88.2%) instructed their children in teeth-brushing while 268 (73.4%) provided dental care, 232 mothers(63.7%) treated their children's cavity; 290(79.4%) believed that their children had good dental conditions; and 294(80.5%) answered that they began to provide their children with dental care in deciduous teeth. 2. As for the presence of dental caries in deciduous teeth and dental health care behaviors, there were statistically significant differences in employment, confirmation after teeth-brushing, teeth observation, instruction in time for teeth-brushing, use of fluorine, cavity treatment, time for dental care, and perception of dental conditions(p<0.05). 3. As for correlation between dental caries in deciduous teeth and oral health care behaviors, mothers who worked, who believed that their children didn't have good dental condition, and who thought that it was necessary to begin to provide dental care in permanent teeth were found to get their children to suffer from dental caries in deciduous teeth. Besides, those who failed to confirm teeth-brushing, who used no fluorine, and who failed to observe teeth and gave no instruction in time for teeth-brushing were shown to get their children to suffer from dental caries in deciduous teeth. 4. Variables to determine the presence of dental caries in deciduous teeth were classified by cavity treatment, mother's employment, time for dental care, and observation of children's teeth. The first node to determine the presence of dental caries in deciduous teeth was found to be cavity treatment; the next criteria for classification after cavity treatment were shown to be mother's employment and time for dental care. In case of children with no cavity, they were found to be mother's employment and teeth observation.

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