• 제목/요약/키워드: head size

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The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects

  • Kim, Jae Hyun;Yun, Sungha;Hwang, Seung-sik;Shim, Jung Ok;Chae, Hyun Wook;Lee, Yeoun Joo;Lee, Ji Hyuk;Kim, Soon Chul;Lim, Dohee;Yang, Sei Won;Oh, Kyungwon;Moon, Jin Soo
    • Clinical and Experimental Pediatrics
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    • 제61권5호
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    • pp.135-149
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    • 2018
  • Growth charts are curves or tables that facilitate the visualization of anthropometric parameters, and are widely used as an important indicator when evaluating the growth status of children and adolescents. The latest version of the Korean National Growth Charts released in 2007 has raised concerns regarding the inclusion of data from both breastfed and formula-fed infants, higher body mass index (BMI) values in boys, and smaller 3rd percentile values in height-for-age charts. Thus, new growth charts have been developed to improve the previous version. The 2006 World Health Organization Child Growth Standards, regarded as the standard for breastfed infants and children, were introduced for children aged 0-35 months. For children and adolescents aged 3-18 years, these new growth charts include height-for-age, weight-for-age, BMI-for-age, weight-for-height, and head circumference-for-age charts, and were developed using data obtained in 1997 and 2005. Data sets and exclusion criteria were applied differently for the development of the different growth charts. BMI-for-age charts were adjusted to decrease the 95th percentile values of BMI. Criteria for obesity were simplified and defined as a BMI of ${\geq}95th$ percentile for age and sex. The 3rd percentile values for height-for-age charts were also increased. Additional percentile lines (1st and 99th) and growth charts with standard deviation lines were introduced. 2017 Korean National Growth Charts are recommended for the evaluation of body size and growth of Korean children and adolescents for use in clinics and the public health sector in Korea.

개베도라치(Petroscirtes variabilis)의 산란행동 유도 및 난 발생, 자어의 형태발달 (Induced Spawning Behavior and Morphological Development of the Eggs and Larvae of the Variable Sabretooth Blenny, Petroscirtes variabilis (Pisces: Blenniidae))

  • 박재민;한경호;김나리;조재권
    • 한국어류학회지
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    • 제26권4호
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    • pp.267-273
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    • 2014
  • 본 연구는 개베도라치의 산란행동 및 난 발생과 자어의 형태발달을 조사하여 분류학적 연구의 기초자료로 이용하고자 실시하였다. 수정란은 구형으로 백색의 불투명한 침성 점착란이었고 유구의 수는 10~11개였으며, 난의 크기는 0.90~1.43 mm (평균 $1.11{\pm}0.23mm$, n=10)범위였다. 사육 수온은 $25.5{\sim}28.5^{\circ}C$ (평균 $27.0^{\circ}C$), 염분 32.5~33.5‰ (평균 33.0‰) 범위를 유지하였다. 난 발생 과정은 2세포기 후 24시간에 배반이 난황의 2/3 이상을 덮고 내려와 초기 낭배기에 달하였다. 2세포기 후 330시간에는 비공과 입이 형성되었고, 머리부터 난막을 뚫고 나오면서 부화가 시작되었다. 부화 직후의 전기 자어는 전장 2.59~3.02 mm ($2.81{\pm}0.25mm$, n=5)로 입과 항문은 열려 있었고, 난황과 유구는 흡수된 상태였다. 부화 후 3일째 후기 자어는 전장 3.02~3.07 mm ($3.04{\pm}0.04mm$)로 막으로 된 꼬리지느러미가 원기모양으로 분화하기 시작하였다. 부화 후 13일째 후기 자어는 전장 3.04~3.20 mm ($3.12{\pm}0.11mm$)로 아래턱과 윗턱이 발달하면서 먹이 섭취하기 시작하였다.

단부 기계적 정착장치를 갖는 철근의 뽑힘강도 (Pullout Test of Reinforcement with End Mechanical Anchoring Device)

  • 김용곤;임원석;최동욱
    • 콘크리트학회논문집
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    • 제14권3호
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    • pp.430-439
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    • 2002
  • 콘크리트 내 이형철근 정착의 중요성은 철근콘크리트 구조에서 필수적인 요소이다. 표준갈고리는 인장정착을 위하여 광범위하게 사용되어 왔으나 콘크리트의 고강도화에 따라 부재 단면이 작아지는 추세 등으로 인하여 보-기둥 접합부에서는 좁은 공간에 철근이 과밀하게 배근됨으로써 시공 상의 어려움이 제기되고 있다. 단부 기계적 정착장치를 갖는 철근(단부보강철근)을 사용하는 경우 정착길이를 감소시키고, 정착부 상세를 단순화하며, 반복하중에 대한 저항능력을 증가시키는 등의 이점으로 인하여 공사비와 공사시간을 단축시킬 수 있을 것으로 사료된다. 본 연구는 단부보강철근의 뽐힘강도 및 거동에 대한 실험적 연구이다. D25 이형철근을 사용하여 수행된 총 33회의 뽑힘강도시험에서 실험변수는 철근 묻힘깊이, 철근중심과 콘크리트 가장자리간 거리, 단부보강 철물의 크기, 그리고 횡보강근(전단철근)의 간격이었다. 실험적으로 결정된 뽐힘강도는 CCD 방법에 의해 계산된 예측값에 관전하는 결과를 얻을 수 있었다. 철근 묻힘깊이가 증가하거나 철근과 콘크리트 가장자리간 거리가 증가할수록 뽑힘강도도 증가하였고 단부보강 철물의 크기가 증가함에 따라 뽑힘강도도 대체로 증가하는 경향을 보였다. 전단철근의 영향에 대한 연구로부터 뽑힘강도에 대한 파괴변에 걸친 전단철근의 영향을 나타내기 위하여 CCD 방법을 이용한 뽑힘강도 예측시 보정계수의 사용이 제안되었다.

소아 췌장종양의 임상양상 및 치료결과 분석 (Pediatric Pancreatic Tumors-Clinical Experience)

  • 박형우;김대연;조민정;김태훈;김성철;김인구
    • Advances in pediatric surgery
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    • 제16권1호
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    • pp.11-17
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    • 2010
  • Pancreatic tumors in children are relatively rare, and their prognosis differs from that in adults. The purpose of this study is to examine the clinical characteristics, treatment, and prognosis for children with pancreatic tumors. We retrospectively reviewed the medical records of children under 15 years of age with pancreatic tumors who were treated surgically at Asan Medical Center between January 1992 and November 2009. There were 16 patients, fourteen of whom were pathologically diagnosed with solid pseudopapillary tumor. The other two patients were diagnosed with pancreatoblastoma and acinar cell carcinoma, respectively. Six patients of the 16 patients (38 %) were male, and there was a male-to-female ratio of 1:1.6. The initial presentations were upper abdominal pain in eight patients (50 %), palpable abdominal mass in three, and vomiting in one. Four patients were diagnosed incidentally. Six patients' tumors were located in the pancreatic head, six in the pancreatic body, and four in the pancreatic tail, respectively. The surgical procedures performed included distal pancreatectomy (n=7, 44 %), median segmentectomy (n=3), enucleation (n=3), pancreaticoduodenectomy (n=2), and pylorus-preserving pancreaticoduodenectomy (n=1). Three patients underwent laparoscopic surgery. The median tumor size was 6.5 cm (1.8~20 cm). Early surgical complications included pancreatic fistula (n=4), bile leakage (n=1), and delayed gastric emptying (n=1). A late complication in one patient was diabetes. The median follow-up period was five years and four months, and all patients survived without recurrence. While pancreatic tumors in adults have a poor prognosis, pancreatic tumors of childhood are usually curative with complete resection and thus have a favorable prognosis.

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3차원 수치해석을 이용한 점성토 지반의 p-y 곡선 산정 (Evaluation of p-y Curves of Piles in Soft Deposits by 3-Dimensional Numerical Analysis)

  • 이시훈;김성렬;이주형;정문경
    • 한국지반공학회논문집
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    • 제27권7호
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    • pp.47-57
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    • 2011
  • 수평하중을 받는 말뚝기초의 설계를 위하여 p-y 곡선을 이용한 해석법이 널리 사용되고 있다. 이 때, 토질 및 기초특성에 적합한 p-y 곡선의 선정이 중요함에도 불구하고 현재 p-y 곡선에 대한 연구는 매우 부족한 실정이다. 본 연구에서는 3차원 수지해석을 프로그램을 이용하여 점성토 지반에 근입된 현장타설말뚝에 대한 p-y 곡선을 산정하였다. 먼저 현장재하시험으로부터 얻어진 단일말뚝의 p-y 곡선과 수치해석으로부터 얻어진 p-y 곡선을 비교하여 수치 모델링을 검증하였다. 그리고, 단일말뚝에 대하여 말뚝직경, 말뚝 탄성계수, 말뚝두부 구속조건, 그리고 무리말뚝에 대하여 말뚝간격을 변화시거며 매개변수 연구를 수행하였다. 최종적으로, 단일발뚝과 무리발뚝의 p-y 곡선을 비교하여 무리말뚝 효과를 나타내는 p-multiplier를 산정하였다. 그 결과, 말뚝간격 3D의 p-multiplier 값은 첫 번째 열 0.86, 가운데 열 0.69, 마지막 열 0.77로서 기존에 제안된 O'Neill and Reese의 결과와 유시한 것으로 나타났다. 말뚝간격 6D 이상인 경우 무리말뚝 효과는 무시할 수 있는 것으로 나타났다.

친환경 타이어 충진제 적용을 위한 SiO2-ZnO 복합체 합성 및 특성평가 (Synthesis and Characterization of SiO2-ZnO Composites for Eco-Green Tire filler)

  • 전순정;송시내;강신재;김희택
    • Korean Chemical Engineering Research
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    • 제53권3호
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    • pp.357-363
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    • 2015
  • 타이어 라벨링제 도입으로 인한 친환경 타이어 개발의 요구로 타이어산업에서 사용되고 있는 기존 산화아연의 문제점 개선을 위하여 나노산화아연과 나노기공 실리카와의 복합체 합성에 대한 연구를 진행하였다. 본 연구에서는 타이어의 트레드(tread) 부분에 적용될 기존의 고무 보강재인 카본블랙을 대체하기 위한 실리카와 나노산화아연의 복합체를 합성하기 위하여, 일정량의 나노기공 실리카를 함유하고 재질 상으로는 나노기공 실리카와 산화아연을 물리적 결합을 통하여 hysteresis 손상을 줄이면서 트레드의 탄성을 증대시키기 위해 내마모성능의 향상을 목표로 실험을 진행하였다. 이를 위하여 복합체와 고무 조성물과의 컴파운딩 시 낮은 활성도와 분산안정성 저하의 문제점 개선하고자 숙성시간(Aging time)과 몰 비 그리고 반응물의 반응 순서에 따라 미치는 영향에 대해 조사하였다. 0.03몰 비의 산화아연과 숙성기간 10일의 조건의 실리카에서 가장 작은 평균입도(약 50.5 nm)와 안정적인 분산성을 보였고, 약 $649m^2/g$의 높은 비표면적을 나타내었다.

농촌거주 외짝가족의 식생활관리 -부부가족과의 비교- (The Odd Pair Family's Dietary management in rural, Korea - Comparison with the Pair Family -)

  • 이승교;원향례;정금주
    • 한국지역사회생활과학회지
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    • 제16권1호
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    • pp.89-103
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    • 2005
  • Recently the rural Korea has been remarkedly changed of family and social value in accordance with the development of industry. The lower economic class made by social economic growth is widespread with increasing aged, specially odd pair family in rural. The purpose of this study was to investigate to help and keep improve health of rural lower economic class, family system by comparing and analyzing the dietary management, between pair and odd pair family, and to get the data helpful the right guidance for rural. The subjects 1870 collected in 9 provinces by sampling with probability proportional to size (PPS). Questionnaire about dietary habit, food cultivation, production and preservation survey was conducted by trained interviewers. The main results were as follows : 1) The characteristics of odd pair families, head of household was female(77%), over 65 years(84.9%), small family(1.76 persons) and lower education(male 7.5 years, female 3.1 years) status. 2) As the states of diets of odd pair family, having breakfast(87.1 %) but one or two kinds of side dishes(31.3 %) only possible to guess lower status of food intake balance. Nutritional supplements(21. 7 %) was lower than that of paired family. 3) The aspects of dietary habit of odd pair family, no instant foods(70.7%), no snack(38.4%) no dine out(69.2%) were common. 4) Dietary habit scores were 7.78 points of odd pair family compared 8.34 points of paired family. 5) Food purchase place of odd pair family was market(44.2%) but super-market(42.7%) of paired family. 6)In odd pair family, seldom traditional dish preparation(62.0%) but prepared winter kimchi(81.9%), comparing seldom traditional dish(38.6%) and winter kimchi(96.4%) in paired family. 7)The food cultivation state was surveyed, pepper( 42.2 %) and chinese cabbage( 43.9 %) were consumed after cultivation, but sesame(59.4%), bean sprout(90.2%), tofu(92.8%) and egg(93.3%) were consumed by purchase in odd pair family.8) Food cultivation score of odd pair family was 2.98/12points significantly lower than 4.50/12 points of paired family(p<0.01). 9) At the status of fermentation food production in odd pair family, Duenjang(72.1 %) and Gochujang(69.7%) Kanjang(68.3%) Kimchi(82.1 %) and Meju(68.3%) were high rate of production, but more frequently producted in pair family. 10) The score of fermentation food production of odd pair family was 8.57/12points but significantly lower than 10.24/12 points of pair family(p<0.0001). 11) Food preservation score 0.48/6 points in odd pair family was not significantly different than that of pair family(1.07/6points).

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농촌거주 노년가족의 일상 식품 생산과 가공 및 저장 -중년가족과의 비교- (The Elderly Families' Daily Food Cultivation, Preservation in Rural, Korea -Comparison with middle aged families-)

  • 이승교;정금주;원향례
    • 한국지역사회생활과학회지
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    • 제16권2호
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    • pp.111-120
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    • 2005
  • Recently, the number of elderly people in the rural area of Korea has increased remarkably and their food security has become deteriorated mainly due to the low economic status. To investigate the food security for the elderly people, relevant data were obtained by offering questionnaire to the rural elderly people who were engaging in traditional agricultural production for daily foods. The subjects of 1870 were collected in 9 provinces according to PPS(Probability Proportional to Size). Questionnaire contained the items of dietary habit, food cultivation, Production and Preservation, and the suey was conducted by trained interviewers. SAS (ver 8.1) was used for statistical analyses in which Chi-square tests and General Linear Models were made. Family of the elderly people was $45.4\%$ of the total and the characteristics of elderly families were that age of male head was 82.1 years and that of female was 67.7 years, and that $68.8\%$ of elderly women were working for family income or pocket money. The elderly families' food cultivation state was surveyed and they were pepper$(59.1\%)$, chinese cabbage$(61.91\%)$, and sesame$(48.6\%)$ for their own consumption. But, bean sprout$(6.5\%)$, tofu$(7.7\%)$ and egg$(5.1\%)$ showed low rate of cultivation for the family. The rate of cultivating chinese cabbage$(61.9\%)$, and sesame$(48.6\%)$ was significantly higher than that of middle aged family. At the status of fermented food production for the elderly family, Doenjang$(87.4\%)$ and Gochujang$(86.3\%)$ Kanjang$(84.0\%)$ Kimchi$(92.9\%)$ Jangachi$(27.6\%)$ and Meju$(91.61\%)$maintained higher rate than that of middle aged families' Food preservation of elderly families was low and there are just jam$(5.3\%)$ and bottled products$(1.4\%)$. A little higher rate was observed lot the preserved food such as alcohol$(9.9\%)$ and powder$(9.8\%)$. For the elderly family the score of food cultivation was 4.08/12 points and that of food preservation was 0.62/12 points. The score of fermented food production for elderly family was 10.24/12 points which was significantly different from that of middle aged family (9.58/12 points, p<0.001). This result suggests that for the elderly people food with more protein is needed for production.

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노인 보행자 운수사고 입원환자의 의료적 특성연구 (Medical Characteristics of the Elderly Pedestrian Inpatient in Traffic Accident)

  • 박혜선;김상미
    • 디지털융복합연구
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    • 제17권12호
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    • pp.345-352
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    • 2019
  • 본 연구는 2012년~2016년의 퇴원손상심층조사 자료를 사용하여 운수사고에 따른 노인 보행자 입원환자의 의료적 특성인 재원기간을 파악하였다. 연구결과, 운수사고에 따른 노인 보행자 입원환자의 의료적 특성으로 입원경로, 중증도, 손상부위, 수술유무, 치료결과, 병원소재지, 병상규모가 재원일수에 영향을 주는 요인으로 나타났다. 외래경유 입원인 경우, 치료결과가 호전보다는 호전 안됨이나 사망인 경우, 100-299병상보다는 500-999병상, 1000병상 이상인 경우 재원일수가 짧았다. 그러나, CCI는 0점보다는 1-2점, 3점 이상인 경우, 손상부위가 머리 또는 목보다는 기타부위인 경우, 수술을 한 경우, 병원소재지가 서울보다는 도 지역, 광역시인 경우 재원일수가 길었다. 본 연구는 인구고령화에 따른 보행 운수사고 예방을 위하여 입원환자의 의료적 특성을 파악함으로써 노인의 특성을 고려한 교통안전 및 의료자원을 효율적으로 관리할 수 있는 정책수립의 기초자료로 활용되기를 바란다.

A determination of occlusal plane comparing different levels of the tragus to form ala-tragal line or Camper's line: A photographic study

  • Kumar, Sandeep;Garg, Sandeep;Gupta, Seema
    • The Journal of Advanced Prosthodontics
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    • 제5권1호
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    • pp.9-15
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    • 2013
  • PURPOSE. The purpose of this study was to determine accurately the part of the tragus to be used to form the Ala-Tragal line or Camper's line in orthognathic profile patients. MATERIALS AND METHODS. 150 dentate subjects with age of 18-40 years with orthognathic profile were sampled. Life-size lateral digital photographs of the face with fox plane were taken in natural head position. Different angles between Eye-Ear plane and occlusal plane ($OT_1$-OP), Eye-Ear plane and ala-superior border of tragus ($OT_1-AT_1$), Eye-Ear plane and ala-middle border of tragus ($OT_1-AT_2$) and Eye-Ear plane and ala-inferior border of tragus ($OT_1-AT_3$) were calculated using computer software package, AutoCAD 2004. From the three angles formed by the Eye-ear plane ($OT_1$ or FH plane) and the ala-tragal lines, the one closest to the angle formed between Eye-Ear plane ($OT_1$) and occlusal plane (OP) was used to determine the occlusal plane of orientation. The obtained results were subjected to ANOVA F test, Tukey's Honestly significant difference test, followed by Karl Pearson coefficient of correlation test. P values of less than 0.05 were taken as statistically significant. RESULTS. The mean of base line angle i.e. $OT_1$-OP angle ($11.96{\pm}4.36$) was found to be close to $OT_1-AT_2$ angle ($13.67{\pm}1.93$) and $OT_1-AT_3$ angle ($10.31{\pm}2.03$), but $OT_1$-OP angle was found to be more closer to $OT_1-AT_3$ angle. Comparison of mean angles showed that $OT_1$-OP angle in both males (11.68) and females (12.51) is close to $OT_1-AT_3$ angle (males- 11.01, females- 11.95). CONCLUSION. The line joining from ala to the lower border of the tragus was parallel to the occlusal plane in 53.3% of the subjects. There was no influence of the sex on the level of occlusal plane.