Oligomeganephronia is a rare congenital form of bilateral renal hypoplasia histologically characterized by reduction in number and hypertrophy of nephrons. Clinically, this condition is presented in early infancy with vomiting, polyuria, polydipsia and dehydration. The problems are readily corrected, but slowly progressive renal failure follows accompanied by failure to thrive, short stature, and renal osteodystrophy. We experienced three cases of oligomeganephronia. Case 1. : A 3 2/12 years old female child was incidentally diagnosed as renal failure at age of 2 months when she was hospitalized due to pneumonia. She had open renal biopsy and was diagnosed as bilateral dysplastic kidney. On OPD follow-up, she progressed to end-stage renal failure (BUN/Cr 114/4.6 mg/dl) and had renal transplantation. The specimen was shrunk remarkably and light microscopy showed oligomeganephronia. Case 2. : A 14 8/12 years old female child with proteinuria was detected in an annual urine screening program for school children, she was diagnosed as renal failure (BUN/Cr 33.9/4.1 mg/dl), and had $5{\times}4{\times}3\;cm$ sized mass on abdominal CT scan. She had renal biopsy, and the specimen showed oligomeganephronia. She had hemodialysis for six months, and renal transplantation along with bilateral nephrectomy was performed. Case 3. : A 14 8/12 years old male child was diagnosed having chronic nephritis and chronic renal failure at 3 years old, progressed to end-stage renal failure (BUN/Cr 87/9.6 mg/dl) on OPD follow-up, and had a rephrectomy and renal transplantation. The biopsy specimen showed oligomeganephronic hypoplasia, secondary focal segmental glomerolosclerosis, and chronic interstitial nephritis. We report 3 cases of oligomeganephronia that progressed to end-stage renal failure and had successful renal transplantation with a brief review of related literatures.
Korean Journal of Agricultural and Forest Meteorology
/
v.15
no.4
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pp.312-319
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2013
Our understanding of the sensitivities of crop responses to changes in carbon dioxide, temperature, and water is limited, which makes it difficult to fully utilize crop models in assessing the impact of climate change on future agricultural production. Genetic coefficients of CERES-Barley model for major domestic cultivars in South Korea (Olbori at Suwon, Albori at Milyang, Saessalbori at Iksan, and Samdobori at Jinju) were estimated from the observed data for daily weather and field trials for more than 10 years by using GenCalc in DSSAT. Data from 1997-2002 annual crop status report (Rural Development Administration, RDA) were used to validate the crop coefficients. The sitecalibrated CERES-Barley model was used to perform crop growth simulation with the 99 treatments of step change combinations in temperature, precipitation and carbon dioxide concentration with respect to the baseline climate (1981-2010) at four sites. The upper boundary corresponds to the 2071-2100 climate outlook from the RCP 8.5 scenario. The response surface of grain yield showed a distinct pattern of model behavior under the combined change in environmental variables. The simulated grain yield was most sensitive to $CO_2$ concentration, least sensitive to precipitation, and showing a variable response to temperature depending on cultivar. The emulated impacts of response surfaces are expected to facilitate assessment of projected climate impacts on a given cultivar in South Korea.
A new medical delivery system which regulated outpatient department(OPD) use from tertiary care hospitals was adopted in 1989. Under the new system, patients using tertiary care hospital OPD without referral slip from clinics or hospitals could not get any insurance benefit for the services received from the tertiary care hospital. This study was conducted to evaluate the Patient Referral System(PRS) with respect to health care expenditures and utilization. Two data sets were used in this study. One was monthly data set(from January 1986 to December 1992) from the Annual Report of Korea Medical Insurance Corporation(KMIC). The other was monthly joint data set composed of personal data of which 10% were selected randomly with their utilization data of KMIC from January 1988 to December 1992. The data were analyzed by time-series intervention model of SAS-ETS. The results of this study were as follows: 1. There was no statistically significant changes in per capita expenditures following PRS. 2. Utilization episodes per capita was increased statistically significantly after implementation of PRS. The use of clinics and hospitals increased significantly, whereas in tertiary care hospitals the use decreased significantly immediately after implementation of PRS and increased afterwards. 3. Follow-up visits per episode were decreased statistically significantly after implementation of PRS. The decrease of follow-up visits per episode were remarkable in clinics and hospitals, whereas in tertiary care hospitals it was increased significantly after implementation of PRS. 4. There was no statistically significant changes in prescribing days per episode following PRS. Futhermore, clinics and hospitals showed a statistically significant decrease in prescribing days per episode, whereas in tertiary care hospital it showed statistically significant increase after implementation of PRS. 5. Except high income class, the use of tertiary care hospitals showed statistically significant decrease after implementation of PRS. The degree of decrease in the use of tertiary care hospitals was inversely proportional to income. These results suggest that the PRS policy was not efficient because per capita expenditures did not decrease, and was not effective because utilization episodes per capita, follow-up visits per episode. and prescribing days per episode were not predictable and failed to show proper utilization. It was somewhat positive that utilization episodes per capita were decreased temporarily in tertiary care hospitals. And PRS policy was not appropriate because utilization episodes per capita was different among income groups. In conclusion, the PRS should be revised for initial goal attainment of cost containment and proper health care utilization.
An analysis has been performed to estimate the additional number of workers and the additional collective dose in man-cSv which would be required, nuclear industry-wide as a result of reducing individual dose limit. This analysis can be extended to the reduction in the dose limits recommended by ICRP Publ.60 and BEIR V report as well as the proposed dose limits by regulatory authorities. An industry-wide database was employed in the analysis based on a summary of industry-wide occupational radiation exposure compiled by the Korea Radioisotope Association. Correlation model was employed to compute the affects of setting specific annual individual dose limits. In this study, we have addressed worker non-productivity while in the radiation environment on a parametric or 'sensitivity analysis' basis. This alleviates the need for developing such data underlying a summation of many individual tasks at many nuclear facilities. It has the advantage that very low non-productivity assumptions can readily be defended as conservative, in that it is difficult to approach such low worker non-productivity factors even in the best of environments in any industry. On a per facility basis, for calendar year 1997, the number of workers required would be increased from 231 workers to 269 workers and collective man-cSv dose would be also increased by approximately fourteen percent if the individual dose limit was reduced to 2 cSv/y and an individual worker non-productivity fraction of 0.1 is assumed.
The purpose of this study is to provide a general trends in recent terrorism in North America and Europe over the last five years. In particular the terrorism which occurred after 2012 shows the transition in trends as terrorists attacks civilians and public places(soft target) rather than targeting national facilities or specific people. For instance, the Parris terror attack and Barcelona vehicle attack shows this changes clearly. The terrorists appeared to attack ordinary people in urban places with high population density. Although the trends are changing, there are still few studies focusing on the current situation, and most of the previous studies have focused on changing in strategies and counter-terrorism in each country after the 9.11 terror. Meanwhile, studies examining the trends of terrorism have been limited to analyzing few cases or using relatively monolithic data of Global Terrorism Data(GTD). While the types of terrorism that occur recent years including 'new terrorism' in many respects, it seems to be difficult to classify with GTD data and/or case studies. Therefore, it is necessary to construct new data that perhaps grasp the recent trend of terrorism from different perspectives. In this point of view, this Based on this, this study collects terrorism data from North America and Europe for the past five years, by using the National Intelligence Service's annual report on terrorism as a sampling framework and analyse the trends and changes. The result shows similarities in the methods of attack, and the type of weapon they used. As vehicle attacks has been raised in few years, damage area has been widen and casualties also have been increased.
The pine needle gall midge (PNGM), Thecodiplosis japonensis Uchida et Inouye, is a serious pest in pine forests in Korea. Since the first report of PNGM infestation in Korea in 1929, the infestation area has been expanded gradually. In 1975 the distribution of PNGM and its parasitoids were surveyed throughout several infested areas in Korea. Annual survey has been made for the rates of gall formation by PNGM and parasitism by its parasitoids at the monitoring sites including newly infested area in 1975 since 1980. These data were used to examine the relationship between PNGM and its parasitoids for newly invaded areas. The gall forming rate of PNGM and the parasitism by the parasitoid were 34.8 and 1.9% in 1975, respectively, while the gall forming rate and the parasitism were 20.7 and 8.9% in 1985, respectively. The relationships of densities between PNGM and its parsitoid were weak in the early stage of dispersion, but the density of parasitoid was with an asymptotic increase along with PNGMs density increase during the observation period for 10 years.
Ahn, So Ra;Park, Geun Ae;Jang, Cheol Hee;Kim, Seong Joon
Journal of Korea Water Resources Association
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v.46
no.6
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pp.569-583
/
2013
This study is to evaluate the future climate change impact on hydrological components in the Seolmacheon ($8.54km^2$) mixed forest catchment located in the northwest of South Korea using SWAT (Soil and Water Assessment Tool) model. To reduce the uncertainty, the model was spatially calibrated (2007~2008) and validated (2009~2010) using daily observed streamflow, evapotranspiration, and soil moisture data. Hydrological predicted values matched well with the observed values by showing coefficient of determination ($R^2$) from 0.74 to 0.91 for streamflow, from 0.56 to 0.71 for evapotranspiration, and from 0.45 to 0.71 for soil moisture. The HadGEM3-RA future weather data of Representative Concentration pathway (RCP) 4.5 and 8.5 scenarios of the IPCC (Intergovernmental Panel on Climate Change) AR5 (Assessment Report 5) were adopted for future assessment after bias correction of ground measured data. The future changes in annual temperature and precipitation showed an upward tendency from $0.9^{\circ}C$ to $4.2^{\circ}C$ and from 7.9% to 20.4% respectively. The future streamflow showed an increase from 0.6% to 15.7%, but runoff ratio showed a decrease from 3.8% to 5.4%. The future predicted evapotranspiration about precipitation increased from 4.1% to 6.8%, and the future soil moisture decreased from 4.3% to 5.5%.
The Information Committee of the Korean Gastric Cancer Association
Journal of Gastric Cancer
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v.7
no.1
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pp.47-54
/
2007
Purpose: To investigate the characteristics and chronological changes of gastric cancer in Korea, the Information Committee of the Korean Gastric Cancer Association performed nationwide survey for 2004. Materials and Methods: The data on patients who underwent gastric cancer surgery in 2004 were collected from 57 institutes and compared with those of 1995 and 1999 which were reported in 2002. Fourteen factors (sex, age, tumor location and size, gross type, approach to operation, radicality, operative method, reconstruction method, WHO and Lauren classification, UICC stage, and numbers of positive and retrieved lymph nodes) were analyzed. According to the annual number of gastric cancer operations, 57 institutes were divided into 4 groups (group 1, <100; 100 ${\leq}$ group 2 < 200 operations; 200 ${\leq}$ group 3 < 500 operations; group 4, ${\geq}500$). Results: Data on 11,293 patients were collected. The sex ratio (M : F) was 2.05 : 1 (7,586/3,705). The mean age was 58.0 years old. The age of highest incidence in both male and female has increased recently. The proportion of early gastric cancer has increased from 28.6% in 1995 and 32.8% in 1999 to 47.4% in 2004. The mean number of retrieved lymph nodes was 34.0 (32.8, 34.0, 36.1, and 32.9 for group 1, 2, 3, and 4 respectively). Conclusion: Early gastric cancer has increased in 2004 compared to 1995 and 1999. Gastric cancer surgery seems to be performed with acceptable quality in view of number of retrieved lymph nodes. These data presented in nationwide survey could be used as a fundamental resource for gastric cancer in Korea.
Since the Korea-Chile FTA in 2003, eight FTAs are now in force including Korea-EU and Korea-US FTA. The government anticipate that FTAs increase the GDP of Korea. Government-related research institutes officially reports the positive economic impact in Korea. However, the report does not show that how much Busan economy is affected by the FTAs. For this reason, we study the economic effects of FTAs in Busan. We compare the trade statistics before and after the time each FTA is in force. The resulting figures show that the exports and trades of Busan with the FTA nations increased significantly after the enforcement. For example, the exports to Chile increased by 273% when we compare the three-year average trade. We also construct an econometrics model to estimate the price elasticity. The estimated elasticity of exports for manufactured goods is 1.38 while that of imports is 0.83. Among the manufacturing industry, machinery has the highest price elasticity, 1.8. The average tariff for manufactured goods is 3.9% for FTA nations, while that is 5.8% for Busan. This higher price fall in Busan is offset by the lower price elasticity to make Busan's export increase be greater than Busan's import increase. Busan's export increases by 4.8% while import increases by 3.7%. So, it is expected to be added to the annual trade surplus of approximately $107million.
The economic feasibility analysis including benefit-cost ratio and internal rate of return of a land consolidation and on-farm development project was mainly depended upon the direct benefits and costs arising during project life. Therefore the projects were neglected in allocating the government's financial funds and loans on account of the low economic rate of return of the project. Accordingly the extended benefit-cost analysis method should be introduced and adapted to cover not only the benefit s such as non-market values of environmental and food security fun ct ions of the project but also market values of the project outputs. The main purposes of this study are (1) to prepare a guide line for economic feasibility analysis based on the IBRD and ADB guidelines, (2) to estimate the benefits from productivity increase, labor saving, savings of O&M cost of farm mechanization and project facilities, savings of farmer's burden for their public health, increasing environmental and public functional value of paddy fields, improving food security condition and formation of peaceful and uncontroversial rural society by implementing the land consolidation and on-farm development, (3) to introduce the newly adapted analytical method as the extended benefit cost analysis which could make possible to be included the values of non-market goods such as the food security and the environmental public function of paddy fields. To carry out this study, the existing publications on the guidelines for economic agricultural projects were reviewed and consultation was made with a For the post evaluation study of the land consolidation and on-farm development project, field survey in Jigok and other comparative area were made to get available information. According to the project completion report, Jigok land consolidation and on-farm development project has 55ha of benefit area out of 69ha of gross area. The project was started in November 11th, 2000 and completed october 30th, 2001. The total project costs were amounted to 2,548 million won and the annual project benefits were estimated at 335million won evaluated by domestic market prices. The ERR(Economic Rate of Return) and SRR(Social Rate of Return) of the project based on the shadow pricing system were estimated at 4.4% and 16% respectively. On the other hand, the ERR and SRR based on the domestic market value system were amounted to 6.37% and 14.62%. In conclusion, Korean land consolidation and on-farm development projects have not carried out from the view point of economic rate of return under shadow pricing system but from the view point of domestic pricing system. For the future feasibility studies on land consolidation projects have to be carried out including the non-market values as environmental and food security function of the projects.
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