Purpose : Early identification of developmental disabilities allows intervention at the earliest possible point to improve the developmental potential. The Ages and Stages Questionnaire (ASQ), a parent- completed questionnaire, can be used as a substitute for formal screening tests. The purpose of this study was to evaluate the validity of the Korean version of the ASQ (K-ASQ) as a screening tool for detecting developmental delay of young Korean children in the setting of a busy pediatric outpatient clinic. Methods : Parents completed the K-ASQ in the waiting room of the pediatric outpatient clinic of St. Mary's Hospital, Catholic University Medical College. Out of 150 completed the ASQ, 67 who were born term and had no previous diagnosis of developmental delay, congenital anomalies, or neurological abnormalities were enrolled. The cut-off values of less than 2 standard deviations (SD) below the mean for the ASQ were used to define a "fail", and children who failed in one or more domains tested were classified as "screen-positive". Diagnosis of developmental delay was made when the developmental indices fell below -1 SD of the Bayley Scales of Infant Development-II. Results : (1) The mean age of children was $16.4{\pm}7.4$ months. Ten children (14.9%) were small-for- gestational age infants. The mean birth weight and gestational age were $3.1{\pm}0.6kg$ and $38.8{\pm}1.4$ weeks. Nine children (13.4%) were twins and 33 (49.0%) were male. The mean maternal education in years was $13.6{\pm}2.4$, and 31.3% had full-time jobs. The time for completing the ASQ was $10.2{\pm}3.0$ minutes. (2) Seventeen children (25.4%) were classified as screen-positive, four of them were delayed in development. Among eight children diagnosed with developmental delay, four were screen-positive and the other four were screen-negative by the ASQ. (3) The test characteristics of the ASQ were as follows: sensitivity (50.0%); specificity (78.0%); positive predictive value (23.5%); negative predictive value (92.0%). Conclusion : The high negative predictive value of the K-ASQ supports its use as a screening tool for developmental delay in the setting of a pediatric outpatient clinic.
Forty-five Hisex commercial layers and forty-five local Saudi breed layers were used to determine the acceptable limit of short-term water restriction in the late phase of production, when the problem of high feed and water consumption is expected. The experiment was performed under hot and arid environmental conditions when the layers were at fifty weeks of age. Layers from each breed were randomly assigned in groups of five into nine floor pens. The average environmental temperature was 37.2-$38.6^{\circ}C$, and the relative humidity was between 20 to 37%. The trial was divided into 3 periods; control (1 week), water restriction (2 weeks) and rehydration (1 week). During the restriction period, layers from each breed were divided into three groups that received 20, 40, and 0% restriction of drinking water relative to their consumed water during the control period. During the study, feed and water consumption, body weight, changes in body weight, egg production, primary antibody response to SRBC, and rectal temperature were evaluated. Water restriction did not result in any clear effect on feed intake in either breed, however, commercial layers tended to consume less feed compared to the local breed. Body weight declined with water restriction during the first week of restriction in the commercial breed regardless of rate of restriction, but it was delayed until the second week in the local breed. Water restriction of 40% decreased egg production in both breeds but with a delay of 1 week in the local breed. Antibody level to SRBC was not affected by water restriction in the commercial line while it was highly affected in the local breed. A water restriction of 20% is considered to be an acceptable limit under the current experimental conditions without a negative effect on egg production in both breeds and considering the immune status of the local breed. Whereas, 40% restriction had a negative effect on egg production, and varied effects in the other traits in both breeds.
Choi, Seo Yeol;Kim, Jong-Wan;Ko, Ji Won;Lee, Young Seok;Chang, Young Pyo
Clinical and Experimental Pediatrics
/
v.61
no.8
/
pp.245-252
/
2018
Purpose: This study investigated patterns of ischemic injury observed in brain images from patients with neonatal group B Streptococcal (GBS) meningitis. Methods: Clinical findings and brain images from eight term or near-term newborn infants with GBS meningitis were reviewed. Results: GBS meningitis was confirmed in all 8 infants via cerebrospinal fluid (CSF) analysis, and patients tested positive for GBS in both blood and CSF cultures. Six infants (75.0%) showed early onset manifestation of the disease (<7 days); the remaining 2 (25.0%) showed late onset manifestation. In 6 infants (75%), cranial ultrasonography showed focal or diffuse echogenicity, suggesting hypoxic-ischemic injury in the basal ganglia, cerebral hemispheres, and periventricular or subcortical white matter; these findings are compatible with meningitis. Findings from magnetic resonance imaging (MRI) were compatible with bacterial meningitis, showing prominent leptomeningeal enhancement, a widening echogenic interhemisphere, and ventricular wall thickening in all infants. Restrictive ischemic lesions observed through diffusion-weighted imaging were evident in all eight infants. Patterns of ischemic injury as detected through MRI were subdivided into 3 groups: 3 infants (37.5%) predominantly showed multiple punctuate lesions in the basal ganglia, 2 infants (25.0%) showed focal or diffuse cerebral infarcts, and 3 infants (37.5%) predominantly showed focal subcortical or periventricular white matter lesions. Four infants (50%) showed significant developmental delay or cerebral palsy. Conclusion: Certain patterns of ischemic injury are commonly recognized in brain images from patients with neonatal GBS meningitis, and this ischemic complication may modify disease processes and contribute to poor neurologic outcomes.
Journal of the Korea Institute of Building Construction
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v.2
no.1
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pp.155-162
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2002
In this research, I finally came to a conclusion analyzing the connection among managing of each items in management expenses, the size of each complex and stories, and the term of using. (1) In the managing cost regarding to the management manner, although the managing cost of self-governing management is less imposed than the one of commission management, there is slight difference between those Costs. And it is more important to consider the effectiveness of management than to emphasize reduction of management cost. (2) The higher the stories, the higher the managing cost of elevator per the unit area. It Is caused by the fact that the father the distance of the elevator operating, the higher the electric charges. (3) The third of one of total management cost goes to pay the personnel expenses. So I found that the effective management of the expenses is available to reduce management cost. (4) The higher the stones, the lower the cost of personnel expenses including the cleaner cost. (5) The sum of costs assigned in repairment and management increases in proportion to the term of using. The costs assigned in special repairment and management are interacting to each other. (6) To reduce the management cost, we have to cut down the personnel in security guard that occupies one third of total management cost with application to the joint security system and operation of the self-governing guard. Through this process, it will be easy to accomplish the rationalization of contract with an outside order. Because the improvement of management service is not only the responsibility of owner but also the one of dwellers. And it Is imperative to realize the importance of cooperation and trust between the owner and dwellers. And the establishment of effective managing system which has convenience and rationality must be settled without delay.
According to it, a final goal of this study sets up 'Renovation of the Red brick architecture' and development of theoretical foundation and substantial conservation about Red brick architecture through historical records must be settled without delay. Firstly, it analyzes related terminology and adjusts brick architecture's history and features for architectural authenticity about Red brick architecture. It would study production and construction process of brick in korea. From analysis of records, brick of traditional meaning is 'Jeondol' and western brick of modern meaning is 'Red brick'. 'Brick' defines a common designation. This study shows definition of words based on documents published until 19th century and a korean language and architecture terms dictionary. In view of this results, the meaning of brick which combines different types extensively uses 'Chu', 'Jeon', 'Byeok' according to the purpose of use and the current of the times. In case of 'Jeon', it uses jointly different types such as '塼', '磚', '甎'. but '塼' is frequently used. Even though these words like 'byeok' used individual or combination types until the late 19th century, there is no use because of japanese terms in japanese colonial. After liberation, it was the term of the traditional brick. Brick is generally used through modern times. In an unabridged Korean language dictionary, it defines this term as orthodox korean '壁乭' and '?乭'. At that time of japanese colonial, 'Yeonwa(煉瓦)' used in combination with brick. Due to influence it, it partly uses until now but it is not in common use. Also, a Korean language dictionary contains transcription of 'Yeonwa' with same definition as 'Byeokdol'. In the other side, it results from translating japanese into Korean. It would make exact definition of 'Yeonwa'.
Journal of the Korea Society of Computer and Information
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v.4
no.3
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pp.35-46
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1999
In this paper, we propose a new CPLD technology mapping algorithm improving run-time under time constraint. In our technology mapping algorithm. a given logic equation is constructed as the DAG type. then the DAG is reconstructed by replicating the node that outdegree is more than or equal to 2. As a result, it makes delay time and the number of CLBs, run-time to be minimized. Also. after the number of multi-level is defined and cost of each nodes is calculated, the graph is partitioned in order to fit to k that is the number of OR term within Cl.B. The partitioned nodes are merged through collapsing and bin packing is performed in order to fit to the number of OR term within CLB. In the results of experiments to MCNC circuits for logic synthesis benchmark, we can shows that proposed technology mapping algorithm reduces run-time much more than the TMCPLD.
The Journal of Korean Institute of Communications and Information Sciences
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v.32
no.6A
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pp.558-564
/
2007
3G Long Term Evolution, which aims for various mobile multimedia service provision by enhanced wireless interface, proposes VoIP-based voice service through a Packet Switching (PS) domain. As delay and loss-sensitive VoIP traffic flows through the PS domain, more challenging technical difficulties are expected than in Circuit Switching (CS) domain based VoIP services. Moreover, since 3G LTE, which adopts the OFDM as its physical layer, introduces Physical Resource Block (PRB) as a unit for transmission resources, new types of resource management schemes are needed. This paper proposes a PRB scheduling algorithm of MAC layer for VoIP service in 3G LTE and shows the simulation results. The proposed algorithm has two key parts; dynamic activation of VoIP priority mode to satisfy VoIP QoS requirements and adaptive adjustment of the priority mode duration in order to minimize the degradation of resource utilization.
Journal of Satellite, Information and Communications
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v.5
no.1
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pp.43-47
/
2010
In future mobile networks, hybrid/integrated satellite and terrestrial systems will play an important role. Most of the mobile communication systems are focused on the terrestrial systems, in this case, compatibilities between the satellite and terrestrial systems are very important for efficiency of the systems. Terrestrial systems of all the 4G mobile communication adopted the adaptive modulation and coding (AMC) schemes for efficient usage of resources, and the updating interval of resource allocation in an order of msec. However, because of the long round trip delay of satellite systems, we cannot employ the same AMC scheme specified for the terrestrial system, and thus it cannot effectively counteract to short term fadings. In the paper, we propose the method to apply AMC to mobile satellite systems. In addition, in order to effectively counteract to short term fadings, we present the simulation results of the AMC combined with an interleaver.
Background: Patient-controlled analgesia (PCA) has been widely used as an effective medical treatment for pain and for postoperative analgesia. However, improper dose errors in intravenous (IV) administration of narcotic analgesics from a PCA infusion pump can cause patient harm. Furthermore, opioid overdose is considered one of the highest risk factors for patients receiving pain medications. Therefore, accurate delivery of opioid analgesics is a critical function of PCA infusion pumps. Methods: We designed a microbalance method that consisted of a closed acrylic chamber containing a layer and an oil layer with an electronic balance. A commercially available infusion analyzer (IDA-5, Fluke Co., Everett, WA, USA) was used to measure the accuracy of the infusion flow rate from a commercially available smart PCA infusion pump (PS-1000, UNIMEDICS, Co., Ltd., Seoul, Korea) and compared with the results of the microbalance method. We evaluated the uncertainty of the flow rate measurement using the ISO guide (GUM:1995 part3). The battery life, delay time of the occlusion alarm, and bolus function of the PCA pump were also tested. Results: The microbalance method was good in the short-term 2 h measurement, and IDA-5 was good in the long-term 24 h measurement. The two measurement systems can complement each other in the case of the measurement time. Regarding battery performance, PS-1000 lasted approximately 5 days in a 1 ml/hr flow rate condition without recharging the battery. The occlusion pressure alarm delays of PS-1000 satisfied the conventional alarm threshold of occlusion pressure (300-800 mmHg). Average accuracy bolus volume was measured as 63%, 95%, and 98.5% with 0.1 ml, 1 ml, and 2 ml bolus volume presets, respectively. A 1 ml/hr flow rate measurement was evaluated as 2.08% of expanded uncertainty, with a 95% confidence level. Conclusion: PS-1000 showed a flow accuracy to be within the infusion pump standard, which is ± 5% of flow accuracy. Occlusion alarm of PS-1000 was quickly transmitted, resulting in better safety for patients receiving IV infusion of opioids. PS-1000 is sufficient for a portable smart PCA infusion pump.
The purpose of this study is to investigate the possibilities of identifying and detecting underground cavities using seismic waves recorded by the fixed and mobile stations. During 18 months of field work we recorded chemical explosions near the Bongdarn station. Seismic Stations were installed on the free surface and underground inside the Samba mine. The seismograms at the fixed(lorg-term) seismic station show abrupt change of polarization characteristics which can he associated with the appearance of P-to-S converted phase(PS) at 150 ~ 200 msec after the first P arrival. This result indicates that converted phases are generated very near to the Bongdarn station at a depth of 190m. Shear-wave splitting phenomena have also been observeci The time delay between fast shear(fS) and slow shear(sS) waves ranges between 30 and 60 msec(average is 42 msec). However, exact time delay between the fast and the slow shear waves can not be accurately measured because of the very short time delay and limitation of sampling rate. Chemical explosion experiments were recorded at stations along various paths to contrast the seismic response of areas with and without cavities. The seismograms recorded at the stations installed at cavity areas show an abrupt change of polarization characteristics but not on the other stations. Seismic waves propagating through the cavity are characterized by the attenuation of high frequency waves and predominantly low frequency seismic waves after the S wave arrivals.
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