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영아 및 소아에서의 대동맥궁의 형성부전을 포함한 대동맥 교약증의 수술요법 -21년간의 수술 경험- (Repair of Aortic Coarctation and Arch Hypoplasia in Infants and Children)

  • 신윤철;이정렬;김용진;노준량
    • Journal of Chest Surgery
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    • 제29권3호
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    • pp.285-291
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    • 1996
  • 1973년 3월부터 1994년 12월까지 수술을 시행한 영아 및 소아 연령의 대동맥 교약증 157례를분석하 였다. 남아가 93명 여아가 64명 이 었고 연령은 1개 월부터 15세까지로 평균 23.8 $\pm$ 41.6개월이 었다. 영아 기의 주증상은 심부전이 었고(781113) 그 이상의 연령 에서 무증상이 빈번하였다(15/44). 단독 대동맥 교약증은 31례의 환아에서 있었고, 9례의 환아에서 심방중격결손이 있었으며(I군), 73명 의 환아에서 심실중격결손이 동반됐고(ll군), 44명의 환아에서 복잡 심기형이 있었다(III군).대동맥궁 의 형 성 부전은 17례의 환아에서 발견되었다. 수술은 71례의 환아에서 쇄골하동맥 편 성형술이 시행됐고, 단순 단단문합술이 32례, 조직편 대동맥 성형술이 26례, 확장 단단문합술이 27례, 기타 1례가 있었다, 전체 수술사망률은 17.2% (27/157)이었고, 재 협착률은 18.0% (28/157)이 었다. 수술합병증은 영아기에 서는 호흡기질환이, 그 이상의 연령 에서는 고혈압이 가장 많았다.

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곡선 강박스 거더의 휨-뒤틀림 응력비에 따른 중간 다이아프램 간격 (Spacing of Intermediate Diaphragms Horizontally Curved Steel Box Girder Bridges considering Bending-distortional Warping Normal Stress Ratio)

  • 이정화;이기세;임정현;최준호;강영종
    • 한국산학기술학회논문지
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    • 제16권9호
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    • pp.6325-6332
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    • 2015
  • 곡선 박스 거더의 뒤틀림은 곡률 효과로 인하여 직선 박스 거더에 비하여 더욱 취약하지만, 국내 설계기준에서는 곡선 박스 거더의 중간 다이아프램 간격을 제시하고 있지 않다. 본 연구에서는 직선 및 곡선 박스 거더의 선형 유한요소해석을 통하여 뒤틀림 응력을 고려한 중간 다이아프램의 간격에 대한 연구를 수행하였다. 해석에 이용한 대상 교량은 단경간곡선 박스 거더로써, 기존에 우리나라에서 건설되고 있는 교량의 데이터를 바탕으로, 매개변수는 중간 다이아프램의 개수 1-6개, 곡률중심각은 0-30도, 지간장은 30m 및 60m, 플랜지의 폭과 높이는 2, 3m로 선정하였다. 휨-뒤틀림 응력비는 5%, 10%, 15%, 20%인 경우에 대해서 직선 및 곡선 박스 거더의 곡률 중심각 및 뒤틀림 응력비에 따른 적정 중간 다이아프램의 간격을 제시하였다. 또한, 해석 결과와 설계기준과의 비교를 통하여, 제안된 중간 다이아프램의 적합성을 평가하였다.

인터넷쇼핑몰의 VMD 구성요인에 대한 탐색적 연구 (An Exploratory Study on the Components of Visual Merchandising of Internet Shopping Mall)

  • 김광석;신종국;구동모
    • 마케팅과학연구
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    • 제18권2호
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    • pp.19-45
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    • 2008
  • 본 연구는 인터넷쇼핑몰 비주얼 머천다이징의 주요차원을 고객이 쇼핑몰에 진입한 후 정보탐색과 대안평가를 거치는 등의 쇼핑과정을 토대로 AIDA모형 관점에서 점포, 제품, 촉진에 초점을 맞추었다. VMD의 주요차원(primary dimensions)으로는 점포디자인, 머천다이징, 그리고 머천다이징단서로 구분하였다. 선행연구 결과를 토대로 점포다자인의 하위차원으로는 차별성, 간결성, 위치확인성을, 머천다이즈의 하위차원으로는 제품구색, 명성, 정보성을, 그리고 머천다이징단서의 하위차원으로는 제품추천 및 링크를 설정하여 VMD태도와의 관계를 탐색적으로 조사하였다. 연구결과 이들 세 차원은 종속변수에 유의한 정의 영향을 미치는 것으로 나타났다.

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지속 가능한 대학 경쟁력의 원천: 마을챙김의 대학 정보화 (What Shall We Do for the Academic Information Systems Sustainability?: The Role of Mindfulness)

  • 김용영;안중호;오상조
    • 경영정보학연구
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    • 제11권2호
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    • pp.1-22
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    • 2009
  • 정보 기술은 급속하게 발전하고 있으며, 여러 분야에서 활용되고 있다 대학도 예외가 아니어서, 전자메일, 전자 게시판, 전자 강의실뿐 아니라 블로그, 커뮤니티, 지식카페 등의 웹 2.0 서비스를 적극적으로 활용하고 있다. 하지만 대학 내부에서 활용되는 정보시스템을 보면, 대학의 행정 정보화가 현재의 정보 기술 수준과는 상당한 괴리가 있음을 발견할 수 있다. 가령 대부분 대학의 행정 정보시스템이 기능별로 운영되고 있어, 통합적인 관점에서 대학에서 필요한 정보를 적시에 제공하지 못하고 있다. 이러한 상황이 발생하는 원인은 대학이 장기적인 관점에서 정보시스템의 구축과 유지 및 보수, 그리고 향후 투자 계획을 마련하는 데 인색하기 때문이다. 본 연구에서는 대학이 지속 가능한 경쟁력을 갖추기 위해 필요한 행정 정보시스템의 구축 및 활용 방안을 마음챙김의 관점을 통해 살펴보았다. 먼저 전국의 4년제 및 2${\sim}$3년제 대학을 대상으로 설문 조사를 실시한 결과, 대학 행정 정보시스템 구축 전후의 핵심 성공 요인에 차이가 있으며, 특히 구축 전에는 정보시스템 구축과 관련된 요인이, 그리고 구축 후에는 운영과 관련된 요인이 강조되는 점을 확인하였다. 이러한 결과는 대학 행정 정보시스템의 성공적인 구축뿐 아니라 지속적인 경쟁력을 확보하기 위하여 개인적 마음챙김의 측면에서 개방성, 신속한 대용, 민감한 반응, 다양한 관점, 현재 지향성과 집단적 마음챙김의 측면에서 실패에 대한 관심, 단순함에 대한 저항, 운영에 대한 관심, 복원에 대한 초점, 전문 지식에 입각한 의사결정 위임을 고려한 활동이 필요함을 시사하고 있다.

우리나라 다문화가족 청소년의 체중 상태와 관련한 식생활 및 생활습관 요인 분석: 2017-2018년 청소년건강행태조사 자료를 활용하여 (Dietary and Lifestyle Factors Associated with Weight Status among Korean Adolescents from Multicultural Families: Using Data from the 2017-2018 Korea Youth Risk Behavior Surveys)

  • 송수진;송효준
    • 대한지역사회영양학회지
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    • 제24권6호
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    • pp.465-475
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    • 2019
  • Objectives: This study investigated dietary and lifestyle factors associated with the weight status among Korean adolescents in multicultural families. Methods: This cross-sectional study analyzed 1,751 multicultural families' adolescents who participated in the 2017-2018 Korea Youth Risk Behavior Surveys. Information on dietary and lifestyle factors was self-reported using a web-based questionnaire and this information included breakfast and foods consumption, perceived health status, alcohol drinking, smoking, physical activity, and weight control efforts. Body mass index (BMI) was calculated based on the self-reported height and body weight (kg/㎡). Weight status was assessed according to the 2017 Korean National Growth Chart: underweight (weight-for-age <5th percentiles), overweight (85th≤ BMI-for-age <95th percentiles), and obese (BMI-for-age ≥95th percentiles). Multiple logistic regression analysis was performed to examine the dietary and lifestyle factors associated with weight status after adjustment for covariates. Results: Among Korean adolescents from multicultural families, the prevalence of overweight/obesity was 20.9%, whereas about 7% of adolescents were underweight. The weight status did not show differences according to gender, school level, area of residence, and household income. Compared to adolescents who did not have breakfast during the previous week, those who had breakfast 3-4 days/week and ≥5 days/week had a 42% (p=0.021) and a 37% (p=0.009) lower prevalence of overweight/obesity, respectively. The adolescents who frequently consumed carbonated soft drinks (≥5 times/week) showed an odds ratio (OR) of 1.69 (95% CI=1.01-2.83) for overweight/obesity relative to those adolescents who did not consume carbonated soft drinks. The OR of being underweight for adolescents who ate fast food ≥3 times/week was 1.97 (95% CI=1.04-3.71) compared to those adolescents who had not eaten fast food during the previous week. Conclusions: Dietary and lifestyle factors were associated with overweight/obesity as well as underweight among Korean adolescents in multicultural families. Our findings could be used to design and provide nutrition interventions for this specific population.

Ectopic teeth with disparate migration: A literature review and new case series

  • Pallak Arora ;Madhu K. Nair ;Hui Liang ;Paras B. Patel ;John M. Wright;Mehrnaz Tahmasbi-Arashlow
    • Imaging Science in Dentistry
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    • 제53권3호
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    • pp.229-238
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    • 2023
  • Purpose: Ectopic eruption can be defined as the emergence of a tooth in an abnormal location, where the tooth does not follow its typical eruption pathway. While ectopic eruption within the dentate region is well-documented in the literature, ectopic eruption in non-dentate regions is relatively rare. This study aimed to report 6 cases of ectopic teeth and present a systematic review of the English-language literature on ectopic teeth, emphasizing demographic characteristics, radiographic features, potential complications, and treatment options. Materials and Methods: A literature search was conducted using the PubMed, Medline, Web of Science, and Cochrane databases. The demographic data and radiographic findings of patients presenting with ectopic teeth were recorded. Results: The literature review yielded 61 cases of ectopic teeth, with patients ranging in age from 3 to 74 years. The findings from these previously reported cases demonstrated that the most common location for ectopic teeth was the maxillary sinus, which is consistent with this case series. The Pearson chi-square test was performed to evaluate the correlation between age and location of ectopic teeth, and the results were found to be statistically significant (P<0.05). However, no statistically significant relationship was observed between sex and the location of ectopic teeth. Conclusion: The distinct features of these cases warrant reporting. This study presents the first case of supernumerary teeth in the condyle without any associated pathosis. Another notable characteristic is the pre-eruptive resorption of 2 inverted supernumerary teeth ectopically located in the palate, which predisposes to sinus opacification.

Assessing the Impact of Defacing Algorithms on Brain Volumetry Accuracy in MRI Analyses

  • Dong-Woo Ryu;ChungHwee Lee;Hyuk-je Lee;Yong S Shim;Yun Jeong Hong;Jung Hee Cho;Seonggyu Kim;Jong-Min Lee;Dong Won Yang
    • 대한치매학회지
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    • 제23권3호
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    • pp.127-135
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    • 2024
  • Background and Purpose: To ensure data privacy, the development of defacing processes, which anonymize brain images by obscuring facial features, is crucial. However, the impact of these defacing methods on brain imaging analysis poses significant concern. This study aimed to evaluate the reliability of three different defacing methods in automated brain volumetry. Methods: Magnetic resonance imaging with three-dimensional T1 sequences was performed on ten patients diagnosed with subjective cognitive decline. Defacing was executed using mri_deface, BioImage Suite Web-based defacing, and Defacer. Brain volumes were measured employing the QBraVo program and FreeSurfer, assessing intraclass correlation coefficient (ICC) and the mean differences in brain volume measurements between the original and defaced images. Results: The mean age of the patients was 71.10±6.17 years, with 4 (40.0%) being male. The total intracranial volume, total brain volume, and ventricle volume exhibited high ICCs across the three defacing methods and 2 volumetry analyses. All regional brain volumes showed high ICCs with all three defacing methods. Despite variations among some brain regions, no significant mean differences in regional brain volume were observed between the original and defaced images across all regions. Conclusions: The three defacing algorithms evaluated did not significantly affect the results of image analysis for the entire brain or specific cerebral regions. These findings suggest that these algorithms can serve as robust methods for defacing in neuroimaging analysis, thereby supporting data anonymization without compromising the integrity of brain volume measurements.

Global prevalence of classic phenylketonuria based on Neonatal Screening Program Data: systematic review and meta-analysis

  • Shoraka, Hamid Reza;Haghdoost, Ali Akbar;Baneshi, Mohammad Reza;Bagherinezhad, Zohre;Zolala, Farzaneh
    • Clinical and Experimental Pediatrics
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    • 제63권2호
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    • pp.34-43
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    • 2020
  • Phenylketonuria is a disease caused by congenital defects in phenylalanine metabolism that leads to irreversible nerve cell damage. However, its detection in the early days of life can reduce its severity. Thus, many countries have started disease screening programs for neonates. The present study aimed to determine the worldwide prevalence of classic phenylketonuria using the data of neonatal screening studies.The PubMed, Web of Sciences, Sciences Direct, ProQuest, and Scopus databases were searched for related articles. Article quality was evaluated using the Joanna Briggs Institute Critical Appraisal Evaluation Checklist. A random effect was used to calculate the pooled prevalence, and a phenylketonuria prevalence per 100,000 neonates was reported. A total of 53 studies with 119,152,905 participants conducted in 1964-2017 were included in this systematic review. The highest prevalence (38.13) was reported in Turkey, while the lowest (0.3) in Thailand. A total of 46 studies were entered into the meta-analysis for pooled prevalence estimation. The overall worldwide prevalence of the disease is 6.002 per 100,000 neonates (95% confidence interval, 5.07-6.93). The meta-regression test showed high heterogeneity in the worldwide disease prevalence (I2=99%). Heterogeneity in the worldwide prevalence of phenylketonuria is high, possibly due to differences in factors affecting the disease, such as consanguineous marriages and genetic reserves in different countries, study performance, diagnostic tests, cutoff points, and sample size.

The global prevalence of Toxocara spp. in pediatrics: a systematic review and meta-analysis

  • Abedi, Behnam;Akbari, Mehran;KhodaShenas, Sahar;Tabibzadeh, Alireza;Abedi, Ali;Ghasemikhah, Reza;Soheili, Marzieh;Bayazidi, Shnoo;Moradi, Yousef
    • Clinical and Experimental Pediatrics
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    • 제64권11호
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    • pp.575-581
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    • 2021
  • Background: Toxocariasis is a zoonotic parasitic disease caused by Toxocara canis and Toxocara cati in humans. Various types of T. canis are important. Purpose: The current study aimed to investigate the prevalence of Toxocara spp. in pediatrics in the context of a systematic review and meta-analysis. Methods: The MEDLINE (PubMed), Web of Sciences, Embase, Google Scholar, Scopus, and Cumulative Index of Nursing and Allied Health databases were searched to identify peer-reviewed studies published between January 2000 and December 2019 that report the prevalence of Toxocara spp. in pediatrics. The evaluation of articles based on the inclusion and exclusion criteria was performed by 2 researchers individually. Results: The results of 31 relevant studies indicated that the prevalence of Toxocara spp. was 3%-79% in 10,676 cases. The pooled estimate of global prevalence of Toxocara spp. in pediatrics was 30 (95% confidence interval, 22%-37%; I2=99.11%; P=0.00). The prevalence was higher in Asian populations than in European, American, and African populations. Conclusion: Health policymakers should be more attentive to future research and approaches to Toxocara spp. and other zoonotic diseases to improve culture and identify socioeconomically important factors.

국내 통합의학 저널의 연구 동향에 대한 계량서지학적 분석 : Integrative Medicine Research를 중심으로 (A Bibliometric Analysis of Research Trends in Domestic Integrative Medicine Journals : Focused on Integrative Medicine Research)

  • 김대진;윤태형;이종록;최병희
    • 대한통합의학회지
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    • 제12권2호
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    • pp.197-210
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    • 2024
  • Purpose : This study aimed to analyze research trends in the field of integrative medicine through a bibliometric analysis of articles published in Integrative Medicine Research (IMR) journal from 2017 to 2022. Methods : Articles published in IMR journal between 2017 and 2022 were searched using the Web of Science database on August 22, 2023. The analysis was performed using the Bibliometrix and Biblioshiny tools in R (version 4.3.1) and VOSviewer (version 1.6.19). Results : The key findings were as follows: average citations per article (9.41), total authors (1,142), single-authored articles (12), average articles per author (0.27), average co-authors per article (5.27), and rate of international co-authorships (15.69 %). The most-cited article was on the cryopreservation of cells or tissues and their clinical applications. The top keyword analysis by author keywords showed that "acupuncture" was the most frequently used keyword (33 times). Co-occurrence network analysis showed 85 high-frequency keywords that appeared five or more times, and the top five keywords by total link strength were "acupuncture," "herbal medicine," "prevalence," "alternative medicine," and "complementary." The study found that, contrary to the trend in complementary and alternative medicine research in Korea, the IMR journal actively conducts intervention studies to provide clinical evidence. Conclusion : In the IMR journal, "acupuncture" was the most frequent of author keywords. The analysis of keyword trend topics over time showed that the keyword "systematic review" continued to appear from 2020 to 2022, and the keyword "clinical practice guideline" appeared for the first time in 2021. In particular, the co-occurrence network analysis highlighted keywords related to intervention research, in contrast to domestic research trends. While this study analyzed only one journal, future studies expanding the category of integrative medicine and increasing the number of journals analyzed may provide further insights.