• 제목/요약/키워드: Small lower body

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Clinical Factors Affecting Lipid Metabolism and Optimal Dose of Heparin in Preterm Infants on Parenteral Nutrition

  • Lim, Mi Sun;Choi, Chang Won;Kim, Beyong Il;Yang, Hye Ran
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제16권2호
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    • pp.116-122
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    • 2013
  • Purpose: Preterm infants on parenteral nutrition are at a relatively high risk for hypertriglyceridemia because they have immature lipoprotein lipase activity. The purpose of this study was to analyze the clinical factors affecting lipid metabolism in preterm infants receiving parenteral nutrition and to evaluate the influence of intravenous heparin on serum triglycerides to determine the adequate heparin dose to prevent hypertriglyceridemia in preterm infants. Methods: A single-center retrospective review was conducted among preterm infants receiving parenteral nutrition between January 2006 and February 2011. In 75 patients, 110 determinations were performed within 28 days postnatal age. Demographic and clinical data, including laboratory parameters, the dose and the duration of lipid administration, and the amount of intravenous heparin, were analyzed. Results: Serum triglycerides were higher in the small for gestational age (SGA) infants than in the appropriate for gestational age infants ($185.5{\pm}134.9$ mg/dL vs. $126.9{\pm}101.9$ mg/dL, p=0.019). Birth weight, gestational age, and body weight were negatively correlated with serum triglyceride level (r=-0.289, p=0.002; r=-0.208, p=0.029; r=-0.287, p=0.002, respectively). The serum triglyceride level was statistically lower in preterm infants receiving 1 U/mL of heparin than in those receiving 0.5 U/mL heparin or no heparin. Conclusion: Preterm infants receiving parenteral nutrition, particularly SGA and extremely low birth weight infants, tend to have hypertriglyceridemia. Thus, administration of 1 U/mL of heparin rather than 0.5 U/mL or none may be helpful to prevent hypertriglyceridemia in preterm infants.

정상인과 하지장애자의 보행형태에 대한 운동학적 분석 (A Kinematic Analysis of Gait Patterns between the Normal Men and the Lower Limb Handicapped)

  • 김무영
    • 한국운동역학회지
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    • 제13권3호
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    • pp.163-180
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    • 2003
  • This paper aims at collecting the guantitative data of kenematic variables by analysing the gait patterns of the normal adult men and the handicapped. The gait motions were taped with 4 video cameras, the cinematographic analyses were performed by the DLT technique of three dimensional image treatment. The following results were obtained in the analysis of the variables: 1. The ratio of stance time and swing time did not show any significant difference in the groups of the normal men and the handicapped when both foot of the former and the right feet of the latter were compared. The stride peeriod time of these two groups were 1.12 and 1.11 second, respectively. 2. In the handicapped group, the step width was wider, the step length and stride length were shorter, and especially, the step length of the right foot was shorter, 3. The small vertical displacement of left toes of the handicapped group showed that the heal contact and the left midstance are almost simultaneous. 4. The two groups have almost the same horizontal displacement of the center of gravity and the same vertical rate of extension. In view of the velocity of the center of gravity the normal adults showed the constant speed of movement. However, the handicapped adults were reduced from the right midstance to the right toe-off. 5. The handicapped showed prominently low angle on the left toe-off in the ankle joint angle, they also had the tendency to walk in the patterns of extended knee in the knee joint angle. Both the handicapped and the normal had the hyperextension on the toe-off in the hip joint angle. In the back and front angle of body, both showed the slightly back-sided walking positions. 6. Both groups had the abduction of both feet in foot placement angle, but the handicapped did not show serious abduction of left midstance.

임신(姙娠) 후반기(後半期) 임부(姙婦)의 임신중(姙娠中) 식품기호(食品嗜好)의 변화(變化) 및 이식증(異食症)의 실행(實行) (Changes of the food Preferences and the Practices of Pica of Women in the Latter Half of Pregnancy)

  • 김선희
    • Journal of Nutrition and Health
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    • 제9권4호
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    • pp.28-35
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    • 1976
  • To know changes of the food preferences and the practice of pica during pregnancy, ninety two women in the latter half of pregnancy were interviewed in April, 1976 at ten medical centers in Seoul. They were average 27.1 years old, and mostly middle class. 83.7% of the total subjects felt the changes of food preferences due to pregnancy within the first trimester. 60.9% had vomiting as well as losing their appetite and 17.3% vomited three or more times daily which might induce difficulties of water and electrolytes balance in body. The preferences about foods, the taste of foods, and various dishes cooked during morning sickness were changed significantly and showed in lower scores of likes and higher scores of dislikes than those before pregnancy. Particularly, cooked rice and kimchi indicated the increase of more than 50% in dislikes. The preferences after the morning sickness were turned back to those before pregnancy. Desire for water through foods like soft drinks, juice, ice cream, and gamju and salty foods seemed to be spontaneous during pregnancy. A majority of the subjects had three meals and no snack had included more snacks instead of meals during losing appetite and thereafter, had more frequent meals and snacks. Superstitions about chicken, squid, and cuttlefish for pregnant women were prevalent. 11.9% tabooed chicken because of harm for fetus. On the contrary, intended higher inclusions of milk, meat and dried small sardines would be helpful to satisfy the increased recommended allowances of calcium and protein for them. The practice of pica was found in 5.4% and rice was the only real item mentioned. Pica such as amylophagia or geophagia often reported in the U.S. was not answered in this study.

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Reproductive Performance of Three Iranian Sheep Breeds

  • Kiyanzad, M.R.;Panandam, J.M.;Emamjomeh Kashan, N.;Jelan, Z.A.;Dahlan, I.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권1호
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    • pp.11-14
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    • 2003
  • To evaluate the ewe reproductive performances of three Iranian local sheep breeds, namely Moghani, Chal and Zel, 27 rams and 473 ewes were used as the foundation flock in a crossbreeding program. The three breeds were crossed amongst themselves reciprocally. Ram breed and ewe breed showed a two-way interaction on apparent fertility. The Zel ewes showed higher fertility than the Chal and Moghani ewes (94.4 vs 77.3 and 84.6%). Prolificacy among main and individual mating groups were not significantly different (p>0.05). Zel ewes were 22.3 and 14.8% more reproductive (p<0.05) than Chal and Moghani ewes, respectively. Zel and Moghani ewes showed higher (p<0.05) ewe productivity than Chal ewes. Ram breed had a significant (p<0.05) effect on ewe efficiency. The Zel rams were not completely successful to mate with Chal ewes, this caused a to way-interaction between ram and ewe breeds. The Zel ewes mated with Chal and Moghani rams showed 26.1 and 28.5% more efficiency than those mated with Zel rams. This observation strongly supports the use of crossbreeding to improve the efficiency of the Zel ewes. With decreasing lamb mortality, through supplemented feeding of lambs in pre-weaning period, and increasing litter weight, through crossbreeding, it should be possible to improve the efficiency of Zel ewes even better than Chal and Moghani ewes. Small body size of Zel ewes that needs the lower maintenance requirements would be a well advantageous to using Zel ewes as the dam herd to produce commercial lambs in north area of Iran.

쌀과 보리의 식이 섬유가 흰쥐의 지방 및 Cadmium 대사에 미치는 영향 (Effect of Dietary Fibers in Rice and Barley on Lipid and Cadmium Metabolism in the Rat)

  • 김미경
    • Journal of Nutrition and Health
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    • 제30권3호
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    • pp.252-265
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    • 1997
  • This study was performed to investigate effect of dietary fibers in rice and barley on glucose, lipid and cadmium (Cd) metabolism in the rat. Fifty-six male Spague-Dawley rats weighing 244.6$\pm$2.7g were blocked into eight groups according to body weight and raised for four weeks with diets containing 0 or 0.04%(w/w) CdCl2 and four different carbohydrate sources, starch, rice flour, barley flour and mixture of rice and barley flour(7 : 3, w/w). Total dietary fibers and $\beta$-glucan contents of barley were about three times higher than those of rice (10.75% vs. 3.94%, 3.11% vs. 1.06%, respectively). Food intake, weight gain, food efficiency ratio, liver and kidney weights were lower in Cd exposed groups, and barley group among Cd exposed animals showed highest weight gain, food efficiency ratio and organ weights. Fasting serum glucose levels were not significantly different among groups, Serum cholesterol level was lowest in Cd exposed barley group. Serum HDL-cholesterol level was higher in none-Cd exposed starch and barley groups, and HDL-cholesterol : total cholesterol ratios were higher in none-Cd rice and mixed flour groups than other groups. Liver total lipid and triglyceride levels were lowest in barley groups regardless of Cd administration. Fecal total lipid, cholesterol and triglyceride excretions were high in barley and mixed flour groups. Liver Cd concentrations were low in Cd exposed barley and mixed flour groups. In Cd exposed barley group, fecal weight and Cd excretion were highest and Cd retention ratio was lowest among groups. Small intestine metallothionein(MT) concentration was highest in Cd exposed rice group, and kidney MT concentration was highest in Cd exposed barley group. In conclusion, cereals showed different effects on lipid and Cd metabolism that might be mediated by dietary fibers in cereals. Especially $\beta$-glucan-rich barley group showed greatest lipid and Cd lowering effects by increasing fecal lipids and Cd excretions.

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Virtual lymph node analysis to evaluate axillary lymph node coverage provided by tangential breast irradiation

  • Park, Shin-Hyung;Kim, Jae-Chul;Lee, Jeong Eun;Park, In-Kyu
    • Radiation Oncology Journal
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    • 제33권1호
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    • pp.50-56
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    • 2015
  • Purpose: To investigate the coverage of axillary lymph node with tangential breast irradiation fields by using virtual lymph node (LN) analysis. Materials and Methods: Forty-eight women who were treated with whole breast irradiation after breast-conserving surgery were analyzed. The axillary and breast volumes were delineated according to the Radiation Therapy Oncology Group (RTOG) contouring atlas. To generate virtual LN contours, preoperative fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) scans with identifiable LN were fused with the CT scans, and the virtual LN contour were delineated on the CT. Results: The median level I and II axillary volume coverage percentages at the $V_{D95%}$ line were 33.5% (range, 5.3% to 90.4%) and 0.6% (range, 0.0% to 14.6%), respectively. Thirty-one LNs in 18 patients were delineated (26 in level I and 5 in level II). In the level I axilla, 84.6% of virtual LNs were encompassed by the 95% isodose line. In the level II axilla, by contrast, none of the virtual LNs were encompassed by the 95% isodose volumes. There was a substantial discrepancy between the RTOG contouring atlas-based axillary volume analysis and the virtual LN analysis, especially for the level I axillary coverage. The axillary volume coverage was associated with the body mass index (BMI) and breast volume. Conclusion: The tangential breast irradiation did not deliver adequate therapeutic doses to the axillary region, particularly those in the level II axilla. Patients with small breast volumes or lower BMI showed reduced axillary coverage from the tangential breast fields. For axillary LN irradiation, individualized anatomy-based radiation fields for patients would be necessary.

중형 차량의 외부 유동특성에 관한 연구 (Investigation of Aerodynamic Characteristics of a Medium-Size Vehicle)

  • 이동렬
    • 동력기계공학회지
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    • 제10권2호
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    • pp.22-28
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    • 2006
  • Computer simulation of the air flow over an automotive vehicle is now becoming a routine process in automotive industry to assess the aerodynamic characteristics of a medium-size vehicle such as $C_d\;and\;C_1$ and aslo to investigate the possibility of improving aerodynamic performance of the vehicle as a preliminary design for the production line. Mainly due to its contribution in saving time and cost in the development of new cars, computer simulation of the air flow over a vehicle is usually done well before a production car is introduced to the market and in gaining more and more attention as powerful computer resources are getting readily available nowadays. To aerodynamically design a car is mainly related with reducing a drag coefficient of car. A well designed car usually has a $C_d$ value in the range of $0.3{\sim}0.4$. It is understandable that automotive industry is rushing to reduce a drag coefficient as reducing even a small fraction of the $C_d$ value can have an enormous overall impact on many areas. Actually, the present research model was able to achieve a $C_d$ value in the range of $0.3{\sim}0.36$ for flow velocities of $60km/h{\sim}100km/h$ by strategically removing the possible factor hazardous to lower $C_d$ value. Prediction of the medium-size vehicle aerodynamics using CFD was performed when an actual car model was in the development stage and three-dimensional modeling was also performed to optimize it as the best model in terms of the best aerodynamic performance.

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임신기간 중 계단의 단너비에 따른 임산부 보행 (Pregnant Women's Gait of Stair Decent with Different Treads)

  • 하종규;기재석;장영관
    • 대한안전경영과학회지
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    • 제11권2호
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    • pp.103-110
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    • 2009
  • The purpose of this study is to suggest a proper tread of stairs using kinematic factors and moments of the lower-limb joints in the stair decent with the 3 different treads with boimechanical method in ergonomics. 9 subjects (body masses; $59.41{\pm}7.49$, $64.03{\pm}6.65$, $67.26:{\pm}7.58$, heights; $160.50{\pm}6.35$ ages; $31.22{\pm}2.99$; parity; $1.67{\pm}0.71$) participated in three experiments that were divided by physiological symptoms (the early (0-15 weeks), middle (16-27 weeks) and last (18-39 weeks). and they walked at self-selected pace on 4 staircases 3 trials. As extending the pregnancy period, cadence was shorter but cycle time were longer more and more. As extending treads of stair decent during pregnancy, speed, stride lengths and cycle time were increased. As extending the treads of stair decent, hip and ankle moments increased but knee moments decreased in sagittal plane. There were increasing or decreasing of moments by means of treads. These changes may account for relation between the treads of stair and moments in pregnant women. The main changes of pregnant women were joint moments and kinematic factors during pregnancy period because pregnancy makes them physical changes. It is possible that joints have connection with compensation each other to maximize stability and to control gait motion. In conclusion, we suggest that the tread of stair is longer than 26cm tread. and exercise programs to improve muscle activity were necessary where joint moments were small.

양성 발작성 자세변환성 현훈(Benign Paroximal Positional Vertigo, BPPV)으로 의심되는 현훈증 환자를 자음건비탕(滋陰健脾湯) 가미방(加味方)과 Dix-hallpike Maneuver로 치료한 치험 1례 (One Case of Dizziness Patients Suggested Benign Paroximal Positional Vertigo treated by Jaeumkunbitang-gamibang and Dix-hallpike maneuver)

  • 신선호;정용준
    • 대한한방내과학회지
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    • 제21권1호
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    • pp.181-184
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    • 2000
  • Dizziness is one of common diseases clinically, it is defined as a hallucination or an illusion of motion that causes sensation disorder of circumstance, and described as circulatory. rotatory leaning. shaking sensation. In particular, benign paroximal positional vertigo(BPPV) is one of peripheral vertigo, it causes dizziness due to debris which has collected within a part of the inner ear. Chemically, debris are small crystals of calcium carbonate. They are derived from structures in the ear called 'otoliths' that have been damaged by head injury, infection, or other disorder of the inner ear, or degenerated because of advanced age. The symptoms of BPPV include dizziness or vertigo, lightheadedness, imbalance, and nausea, Activities which bring on symptoms will vary in each person, but symptom are almost always precipitated by a position change of the head or body. As for treatment of vertigo, it is differentiated as excess in the upper and deficiency in the lower(上實下虛) and treated in oriental medicine and are used to stability. antihistaminics . anticolinergics . vestibule control drug of GABA system in western medicine. Moreover, Dix-hallpike maneuver is applicated in diagnosis and treatment of BPPV patients. A case of dizziness patient suggested benign paroximal positional vertigo who is diagnosed as weakly dizziness(虛暈)showed prominent improvement by Jaeumkunbitang-gamibang(滋陰建脾湯) and Dix-hallpike maneuver.

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명태(Theragra chalcogramma)의 산란장, 알라스카만 쉘리코프 해협의 1980년대 초반의 해황에 관한 연구 (Descriptive hydrography of shelikof Strait, Gulf of Alaska, during the Spring Spawning Time of Walleye Pollock, Theragra chalcogramma, in the Early 1980's)

  • 김수암
    • 한국해양학회지
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    • 제28권1호
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    • pp.35-46
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    • 1993
  • 알라스카만 명태 산란장에서의 해수의 성질과 해류의 흐름을 규명하기 위하여, 쉘 리코프 해협에서의 CTD 조사 결과와 해류계 자료가 분석되었다. 쉘리코프해협에서는 3개의 수괴가 구분되었다. 첫 번째 수괴는 Cook 내만으로부터 유래된 적은 양의 차갑고 염분이 낮은 ($<{\;}3^{\circ}C,{\;}<{\;}31.5\textperthousand$) 표층수로서 알라스카 반도 해안에 바짝 붙어서 남서쪽을 향하여 흐르고 있다. 둘째의 수괴는 알라스카 해안류 (ACC)의 가지로서 해협의 북종쪽 입구로 들어와 남서쪽을 향해 흐르며, 해협내에서는 중층과 표층의 대부분을 차지하고 있다. 해협의 가장 깊은 골의 상부층에 가장 빠른 흐름이 존재하며, 그들은 Semidi섬과 Chirikof섬 사이의 남서쪽 계곡을 통하여 해협에서 빠져나간다. 세 번째의 수괴는 비교적 느리고, 따뜻하고 염분이 높은 ($>{\;}5^{circ}C,{\;}>{\;}32\textperthousand$) 대륙사면으로부터 남서쪽 입구의 저층을 통하여 해협으로 들어온 저층수인데 이들은 북동쪽을 향해 흐르며 해협 저층의 대부분을 차지한다.

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