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Perinatal outcomes according To chorionicity in Twin Gestations (쌍생아 임신의 융모막과 주산기 결과)

  • Choi, Eun-Jin;Yun, Hyun-Jin;Hyh, Jae-Won;Hong, Yong-Hong
    • Neonatal Medicine
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    • v.15 no.1
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    • pp.67-74
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    • 2008
  • Purpose : The purpose of this study was to assess the natural history and perinatal outcomes of twin gestations according to chorionicity. Methods : We retrospectively reviewed the medical records of 99 monochorionic (MC) and 206 dichorionic (DC) twin gestations delivered at Il Sin Christian Hospital in Busan between January 2002 and December 2007. The incidences of twin-to-twin transfusion syndrome (TTS) and selective intrauterine growth restriction (sIUGR), as well as perinatal morbidity and mortality, were evaluated. Results : MC twins had a lower gestational age (35.7 vs. 36.6 weeks, P=0.03) at birth and a higher incidence of intrauterine fetal loss (10% vs. 1.5%, P<0.001) than DC twins. The incidence of intrauterine fetal loss was higher in MC sIUGR than in DC sIUGR (19% vs. 2.5%, P=0.025) twins. The number of admissions to the neonatal intensive care unit (NICU; 31% vs. 16%, P=0.042), and the incidence of periventricular leukomalacia (7% vs. 0%, P=0.031), and respiratory distress syndrome with surfactant treatment (27% vs. 11%, P=0.049) were higher in MC than DC twins. The incidences of sIUGR and TTS were 21 and 9% among the MC twins. The incidences of intrauterine fetal loss were higher in MC twins with TTS [6 of 9 (67%)] or sIUGR [4 of 21 (19%)] than uncomplicated MC twins (P<0.001). The frequency of admission to the NICU (P=0.001), the length of hospital stay (P=0.033), the prevalence of periventricular leukomalacia (P=0.011), and intraventricular hemorrhage (P=0.007) were also higher in MC with TTS or sIUGR than in uncomplicated MC twins. Conclusion : The incidence of neonatal complications was higher in MC twins, especially those gestations complicated by TTS or sIUGR.

Health and Nutrition Status of Grandparents on Grandparents-Grandchildren Family in Rural Area (농촌지역 조손가정 조부모의 건강과 영양상태)

  • Cho, Yoo-Hyang
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.244-255
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    • 2009
  • Objectives: This study was to identify and test the health and nutritional status of grandparents in grandparents-grandchildren family in rural area. Methods: The subjects of this study were 70 grandparents of grandparents - grandchildren family in Muan-Gun. The collected data were analyzed by descriptive statistics, regression analysis. Results: The average age of grandparents was 70.1${\pm}$6.6 years old, unhealthy of the subjective health status was 55.7%, MNA score was 21.0${\pm}$3.5 points and 62.2% of the grandparents were shown to have malnutritonal status. The ADL, IADL, depression and fall index of health status were significantly related to the relationship with gender(p<.01), age(p<.05), economic(p<.01) and educational level(p<.01), and partnership(p<.01). MNA score was significantly related to the relationship with acute disease(p<.05), ADL(p<.001), IADL(p<.01), cognitive function(p<.01) and gender(p<.01). And the health status variables and general characteristics were positively correlated while the relationships were positive between health status variables and MNA score. Conclusions: With the above findings, grandparents of grandparents-grandchildren family have the problems of health and nutritional status. Then health and nutritional intervention program for grandparents-grandchildren family is needed to serve.

The Role of Radiation Therapy in the Treatment of Intracranial Glioma : Retrospective Analysis of 96 Cases (뇌 교종 96예에 대한 방사선치료 성적의 후향적 분석)

  • Kim Yeon Sil;Kang Ki Mun;Choi Byung Ock;Yoon Sei Chul;Shinn Kyung Sub;Kang Jun Gi
    • Radiation Oncology Journal
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    • v.11 no.2
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    • pp.249-258
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    • 1993
  • Between March 1983 and December 1989, ninety-six patients with intracranial glioma were treated in the Department of Therapeutic Radiology, Kangnam St. Mary's Hospital, Catholic University Medical College. We retrospectively reviewed each case to evaluate variable factors influencing the treatment results and to develop an optimal therapy Policy. Median follow-up is 57 months (range: 31~133 months). Of the 96 patients, 60 $(63\%)$ were males and 36 $(37\%)$ were females. Ages ranged from 3 to 69 years (median 42 years). The most common presenting symtoms were headeche $(67\%)$ followed by cerebral motor and sensory discrepancy $(54\%),$ nausea and vomiting $(34\%),$ seizure $(19\%),$ mental change $(10\%)$ and memory and calculation impairment $(8\%).$ Eighty five $(88.5\%)$ patients all, except 11 $(11.5\%)$ brain stem lesions, were biopsy proven intracranial glioma. The distribution by histologic type was 64 astrocytomas $(75\%),$ 4 mixed oligoastrocytomas $(5\%),$ and 17 oligodendrogliomas $(20\%).$ Fourty nine patients $(58\%$ were grade I, II histology and 36 $(42\%)$ patients were grade III, IV histology. Of the 96 patients, 64 $(67\%)$ recieved postoperative RT and 32 $(33\%)$ were treated with primary radiotherapy. Gross total resection was peformed in 14 $(16\%)$ patients, subtotal resection En 29 $(34\%),$ partial resection in 21 $(25\%),$ and biopsy only in 21 $(25\%).$ Median survival time was 53 months (range 2~ 133 months), and 2- and, 5-year survival rate were $69\%,49\%$ respectively. 5-year survival rate by histologic grade was grade I, $70\%,$ grade II, $58\%,$ grade III, $28\%,$ and grade IV, $15\%.$ Multivariated analysis demonstrate that age at diagnosis (p=0.0121), Karnofsky performance Status (KPS) (p=0.0002), histologic grade (p=0.0001), postoperative radiation therapy (p=0.0278), surgical extent (p =0.024), cerebellar location of tumor (p=0.0095) were significant prognostic factors influencing on survival.

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Effect of Feeding Cordyceps with Fly Pupa on Growth Performance in Broiler Chickens (브로일러의 성장에 관한 파리번데기 동충하초 급여효과)

  • Park, Byung-Sung
    • Journal of Life Science
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    • v.21 no.11
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    • pp.1541-1548
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    • 2011
  • This study was carried out to evaluate the effects of the addition of different levels of CFP (Cordyceps with fly pupa) on growth performance in broiler chickens. 400 broiler chicks (Ross 308, 1 day old) were sorted randomly into 4 treatment groups and fed experimental diets for 35 days. The treatment groups were divided into a control group not fed with CFP (T1), and treatment groups fed with CFP 2.0% (T2), CFP 3.5% (T3), and CFP 5.0% (T4). Although the broilers' weight gain and feed efficiency were significantly higher (p<0.05) in the T3 group throughout the entirety of the test period, no statistically significant differences were noted among the T1 and T2, T4 groups. Triglyceride in the blood, total cholesterol, and LDL-C were significantly lower in the CFP treatment groups than in the control group (p<0.05). The blood lipid reduction rate ranged from 5.32 to 10.63% for triglycerides, from 9.23 to 12.62% for total cholesterol, and from 44.67 to 53.81% for LDL-C in the CFP treatment groups relative to the control group. The abdominal fat weight ratio was reduced significantly in the CFP treatment groups (p<0.05) compared with the control group, with a reduction rate range of 17.67-21.68%. Broiler carcass weight, carcass rate, and ratios of breast muscle, skin and thigh muscle weights to carcass weight were significantly higher in the T3 group, and statistically significant differences were noted among the T1 and T2, T4 groups (p<0.05). Enteropathogenic E.coli and Salmonella were lower in the CFP treatment groups than in the control group, whereas the beneficial bacteria Bifidobacteria were significantly higher in the CFP treatment groups than in the control group (p<0.05). These findings suggest that the Cordyceps with fly pupa can improve the carcass characteristics and body weight gain in broiler chickens.

Glucose and pH of Oral Secretions in Newborns (신생아 구강분비물의 당과 pH 및 영향 요인 탐색)

  • Kim, Namhee;Ahn, Youngmee
    • Child Health Nursing Research
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    • v.23 no.3
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    • pp.353-363
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    • 2017
  • Purpose: Oral glucose and pH are known as critical indicators for the growth of microorganism inside the oral cavity. This study was performed to identify oral glucose and pH variances in the early postnatal days of newborns. Methods: An explorative study which included 67 newborns was conducted to measure the oral glucose and pH during the first three days of life. Oral secretions were collected every 8 hours for three days or 6 to 9 times immediately after birth up to discharge. Oral glucose and pH variances during the three days were analyzed using the SPSS 22.0. Results: Oral glucose was $30.66{\pm}22.01mg/dl$ at birth then increased to $54.77{\pm}27.96mg/dl$ at the third day of life (F=8.04, p<.001) while oral pH decreased from $7.35{\pm}0.36$ to $5.53{\pm}0.39$ during the three days (F=113.35, p<.001). Oral glucose and pH were related to gestational age, regurgitation, and maternal diabetic mellitus. A negative correlation was found between oral glucose and pH (r=-.34, p<.001). Conclusion: Oral glucose and pH can be utilized for oral health assessment in newborns. Further study is needed to explore the factors which influence oral glucose and pH in high-risk newborns.

Correlation of the Nutrition Quotient between Parents and Picky Eaters in Preschoolers (까다로운 식습관을 가진 유아와 부모의 영양지수와의 관련성)

  • Ma-Young Yeom;Eun-young Choi
    • The Korean Journal of Food And Nutrition
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    • v.36 no.2
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    • pp.103-113
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    • 2023
  • This study investigated the correlation between parents' nutrition quotient (NQ) and the nutrition quotient of Korean preschoolers (NQ-P) of picky eaters (PE) aged five years living in Dobong-gu, Seoul. The questionnaire was conducted online by parents of 187 preschoolers between May 25 and June 5, 2020. PE was defined as an average score of 3 or more on the picky eating questionnaires; non-picky eaters (NPE, n=120) and PE (n=67). The correlation between preschoolers and their parents was assessed using the NQ-P and NQ, respectively. Compared to the NPE, picky eating (p<0.001) was significantly higher, and vegetable preference (p<0.001), NQ-P (p<0.05), moderation dimension (p<0.05), frequency of vegetable intake (p<0.05) of balance dimension, and processed beverages (p<0.01) of moderation dimension were significantly lower in the PE. The correlation between the NQ and NQ-P was related to the diversity (p<0.05), moderation (p<0.05), and environment (p<0.01) of NQ in the NPE and not related to the PE. PEs should increase their frequency of vegetable intake and reduce their intake of processed beverages. To increase the NQ-P of PE, parents should eat a balanced diet. Future studies on the NQ-P of preschoolers aged 3 to 5 are needed.

Evaluation of seismic p-yp loops of pile-supported structures installed in saturated sand

  • Yun, Jungwon;Han, Jintae;Kim, Doyoon
    • Geomechanics and Engineering
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    • v.30 no.6
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    • pp.579-586
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    • 2022
  • Pile-supported structures are installed on saturated sloping grounds, where the ground stiffness may decrease due to liquefaction during earthquakes. Thus, it is important to consider saturated sloping ground and pile interactions. In this study, we conduct a centrifuge test of a pile-supported structure, and analyze the p-yp loops, p-yp loops provide the correlation between the lateral pile deflection (yp) and lateral soil resistance (p). In the dry sand model (UV67), the p-yp loops stiffness increased as ground depth increased, and the p-yp loops stiffness was larger by approximately three times when the pile moved to the upslope direction, compared with when it moved to the downslope direction. In contrast, no significant difference was observed in the stiffness with the ground depth and pile moving direction in the saturated sand model (SV69). Furthermore, we identify the unstable zone based on the result of the lateral soil resistance (p). In the case of the SV69 model, the maximum depth of the unstable zone is five times larger than that of the dry sand model, and it was found that the saturated sand model was affected significantly by kinematic forces due to slope failure.

Production of Enzyme Modified cheese (Enzyme Modified Cheese 제조)

  • Seo, Hyeong-Ju;Son, Jong-Yeon;Kim, Yun-Suk
    • The Korean Journal of Food And Nutrition
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    • v.8 no.3
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    • pp.192-198
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    • 1995
  • For the production of EMC, various professes and lipases were used to hydrolyse cheese sulk. The optimal conditions of various proteases were as follows, pronase-3$0^{\circ}C$, p14 7.0, pancreatln-4$0^{\circ}C$, pH 8.0, pacific protease-3$0^{\circ}C$, pH 7.0 and protease from Asp. sp. -5$0^{\circ}C$, pH 8.0. The optimal conditions of various lipases were as follows ; pancreatic lipase-5$0^{\circ}C$, pH 8.0, palatase ML-5$0^{\circ}C$, pH 7.0 and lipase form Candida -4$0^{\circ}C$, pH U.0. After hydrolysation under optimal conditions, the amounts of free amino acid and free fatty ac14 were increased with reaction time. Hydrolysates of pacific protease and pronase were showed high amount of free amino acid(0.67mg/ml and 0.74mg/ml). Especially EMC had high amount of glutamic acid and leucine. Lipase from Candida cylindracea produced high amount of free fatty acid (24.63 mg/ml) Butyric acrid, palmitic acid, stearic acid and oleic acid among free fatty acids were showed high amounts. Sensory evaluation of various MC were tasted nth 8 panelist. EMC produced with pancreatic lipase was most bitterness and EMC produced with palatase ML was best acceptable cheese flavor.

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Types and Distribution of Implant Dental Clinic Patients in Busan Area (부산지역 치과환자의 임플란트 유형 및 분포 경향)

  • Lee, Mi-Ok;Yoon, Hyun-Seo
    • The Journal of the Korea Contents Association
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    • v.10 no.8
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    • pp.274-282
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    • 2010
  • The purpose of this study was to examine the types of implant, the type of bone graft, periodontal status and the distribution of implant among patients in a region. The subjects in this study were 299 patients who received implant treatment Busan area. The number of their implants was 871 in total. The findings of the study were as follows: As for the type of implant, home-made implants accounted for 83.6 percent, and imported ones represented 16.4 percent. Regarding bone graft, The presence or absence of disease made a significant difference to that($x^2$=14.66, p<.01). As to periodontal status by gender, age and disease, the periodontal state was better among those who were female(y=-2.73, p<.01), who were younger(F=14.20, p<.001) and who had no disease(t=-4.67, p<.001). The intergroup gaps were statistically significant. Concerning the distribution of implant, The distribution of implant was statistically significantly different($x^2$=33.14, p<.01). Age made a statistically significant difference to that($x^2$=74.09, p<.001). As to links between periodontal status and the number of implant, The intergroup gaps were statistically significant($x^2$=38.28, p<.01).

Decreasing Effects of Korean Garlic against the Accumulation of Mercury Levels in Maternal and Fetal Organs in Pregnant Fischer-344 Rats (임신흰쥐에서 모체와 태자의 장기에 축적되는 수은에 대한 마늘의 저감효과에 대한 연구)

  • 이진헌;정문호
    • Journal of Environmental Health Sciences
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    • v.22 no.3
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    • pp.17-27
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    • 1996
  • The purpose of this study was to evaluate the decreasing effects of Korean garlic against the accumulation of mercury levels in maternal and fetal organs in pregnant Fischer 344 rats, based on the theory and information that neutral amino acids have protective effects against mercury poisoning and garlic contains a large of neutral amino acids. The results obtained are as follows: 1. On the 20th day of gestation, the maternal body weight in 20 mg/wt$\cdot$kg methyl mercuric chloride groups was 76.1% of those in control group, but those recovered to be 81.2% and 93.6% by treating with garlic (0.5 g/wt$\cdot$kg and 1.0 g/wt$\cdot$kg). 2. The mercury levels in maternal organs were reduced 6.2% and 47.2% (p<0.05) in kidney, 8.2% and 42.1% (p<0.05) in spleen, 9.7% and 40.9% (p<0.05) in blood, 35.6% (p<0.05) and 67.2% (p<0.05) in liver, 38.0% (p<0.05) and 57.6% (p<0.05) in brain, by treating with garlic (0.5 g/wt$\cdot$kg and 1.0 g/wt$\cdot$kg). 3. The mercury levels were reduced 22.4% and 44.3% (p<0.05) in placenta, and 34.7% (p<0.05) and 54.9% (p<0.05) in fetal body, by treating with garlic (0.5 g/wt$\cdot$kg and 1.0 g/wt$\cdot$kg). 4. The mercury levels in fetal organs were reduced 17.5% and 46.7% (p<0.05) in kidney, 15.1% and 37.0% (p<0.05) in brain, 30.2% (p<0.05) and 46.7% (p<0.05) in liver, by treating with garlic (0.5 g/wt$\cdot$kg and 1.0 g/wt$\cdot$kg). 5. Mercury levels in maternal kidney were 6.73~7.71 times higher than those in fetal kidney, but those in fetal liver and brain were 1.67~2.25 times and 1.98~2.93 times higher than those in maternal liver and brain, respectively. In conclusion, Korean garlic decrease the accumulation of mercury levels in maternal and fetal organs in pregnant Fischer 344 rats as increasing the dose.

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