• 제목/요약/키워드: percentile value

검색결과 124건 처리시간 0.03초

야뇨증 역학조사 보고: 2개 초등학교 학생 대상 (An epidemiological study on enuresis in children of two elementary schools in Suwon)

  • 이현정;이강균;김은진;배기수;이상돈
    • Clinical and Experimental Pediatrics
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    • 제51권5호
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    • pp.518-522
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    • 2008
  • 목 적 : 초등학생을 대상으로 야뇨증의 유병율 및 야뇨증 관련된 역학조사를 위하여 본 연구를 실시하였다. 방 법 : 경기도 수원지역에 있는 두 초등학교(공립 및 사립학교 각 1개교)에 재학 중인 총 1,514명의 학생들을 대상으로 2006년 12월 한 달간 학생부모 설문조사를 통하여 야뇨증과 관련한 역학조사를 실시하였다. 성별, 연령별, 체격지수, 오줌참기 습관, 가정경제수준 등이 야뇨증 유병율에 미치는 영향을 조사하였다. 결 과 : 전체 1,514명의 학생에게 설문하여 1,063명(70.2%)이 응답하였으며, 응답학생 중 93명(8.7%)에게 야뇨증이 있는 것으로 조사되었다. 학교별 유병율을 보면 공립학교 546명 중 48명(8.8%), 사립학교 517명 중 45명(8.7%)에서 야뇨증이 있었다. 공립과 사립 학교간 월 가정수입 차이는 현격하였으나 이에 따른 유병율 차이는 없었다. 야뇨증의 빈도가 남아에서 8.1%, 여아에서 9.6%로 여아에서 더 높은 경향을 보였으나, 통계적으로 유의한 차이는 없었다. 오줌참기 습관이 있는 학생의 경우 22.1 %로 정상인 학생 5.6%에 비하여 유의하게 야뇨증 빈도가 높았다. 신장 및 체중의 백분위 값은 야뇨증이 있는 학생 군이 정상 학생 군에 비하여 작았으나 통계적으로 유의하지는 않았다. 야뇨증이 있는 93명중 25명(26.9%)만이 야뇨증 치료차 병원을 방문한 적이 있음을 볼 때, 야뇨증치료의 필요에 대한 부모의 인식이 매우 낮음을 알 수 있었다. 연령에 따른 야뇨증 유병율을 살펴보면 연령이 증가할수록 연평균 2.0%씩 유병율이 감소하는 것으로 나타났다. 결 론 : 수원지역 2개교 초등학생을 대상으로 한 조사에서 야뇨증의 평균 유병율은 8.7%였으며, 7세 무렵 12.1%에서 매년 2.0%씩 감소하여 13세까지 거의 소실되는 것으로 보였다. 낮 동안에 배뇨억제 습관이나 가뭄뇨가 있는 아동에서 야뇨증 유병율이 높음을 볼 때, 배뇨조절 교육 및 훈련의 확대가 필요한 것으로 판단된다.

방사성동위원소옥소(放射性同位元素沃素)($^{131}I$)의 치료량(治療量)이 갑상선종환자(甲狀腺腫患者)의 혈액상(血液像)에 미치는 영향(影響)에 관(關)한 연구(硏究) (A study on the Hematologic Effects of Radioactive Iodine($^{131}I$) Therapy on Various Thyroid Diseases)

  • 김명재;김노경;이정상;최근출;이영우;김기원;강신일
    • 대한핵의학회지
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    • 제3권1호
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    • pp.51-58
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    • 1969
  • To clarify the hematologic effects of the radioiodine ($^{131}I$) in therapeutic doses ($5{\sim}10$ mCi) on the various thyroid patients, authors studied the peripheral blood pictures of 396 goitrous patients before and after radioiodine ($^{131}I$) administrations in the Isotope Clinic of Seoul National University Hospital. Among these 396 cases of goiters, we gave 5 to 10 mCi of radioiodine ($^{131}I$) with single or fractionated administrations. The blood pictures of peripheral blood were repeated after 3 months in 40 cases of 65 cases who had been treated with $^{131}I$. The blood pictures of non-treated thyroid patients were compared with that of normal Korean values to clarify any difference between normal and goiter. The blood pictures of hyperthyroid patients treated with $^{131}I$ therapy were compared with the blood pictures of non-treated thyroid patients. The results were as following: 1) The incidence according to type: Toxic diffuse goiter: 35.4% Nontoxic nodular goiter: 29.7% Euthyroid: 13.8% Nontoxic diffuse goiter: 12.6% Hypothyroidism: 4.3% Thyroiditis($\bar{s}$ subacute form): 1.8% Toxic nodular goiter: 1.4% Malignancy: 1.0% 2) Age incidence: The range of distribution was 11 to 71 years. The peak incidence was found in the 4th decade of life. $80.6{\sim}82.6%$ of those 396 cases were found among the 3rd, 4th and the 5th decades of life. 3) Sex incidence: Sex ratio of male:female was 1:7.8. 4) The most outstanding findings in peripheral blood before treatment were decreased erythrocyte count and hemoglobin value in all types of thyroid diseases, especially in. the cases of hypothyroidism and thyroiditis. Hook worm-infested patients showed no significant difference in erythrocytes and hemoglobin values from those of other hook worm free patients. 5) Total leukocytes count was within normal range. Differential count of W.B.C. showed increased percentile of lymphocyte in diffuse toxic goiter and thyroiditis. 6) 39 cases of diffuse goiter treated with $^{131}I$ toxic showed amelioration in the anemia and restoration to normal range of lymphocyte count in association with increased percentile of neutrophiles 3 months after administration, except a case of toxic nodular goiter. One can observe anemia in slight degree, and increased lymphocytes count in hypothyroidism. Therapeutic dose of radioiodine ($^{131}I$) does not result any residual effect on the hematopoietic function. Radioiodine ($^{131}I$) therapy resulted in improvement of thyroid function in association of amelioration of pevious abnormal blood pictures. 7) Authors did not observe any myxedema resulted from radioiodine therapy during the 3 months period in this study.

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낙동강 수계 중 1,4-dioxane의 모니터링 및 위해성 평가 (Monitoring and risk assessment of 1,4-Dioxane in Nakdong river)

  • 이지영;김정화;김현구;최종호;김승기;표희수
    • 분석과학
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    • 제21권5호
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    • pp.383-391
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    • 2008
  • 1,4-Dioxane은 IARC (International Agency for Research on Cancer)에서 발암가능그룹으로 분류하고 있으며, WHO (World Health Organization)는 1,4-dioxane의 권고기준농도를 50 ng/mL로 설정하고 있다. 이러한 1,4-Dioxane의 독성과 음용수의 섭취량을 고려할 때, 음용수 섭취로 인한 인체 유해영향이 우려되고 있으며, 따라서 1,4-dioxane의 검출이 빈번한 낙동강 수계의 정수 및 원수의 모니터링은 중요성을 갖는다. 낙동강 수계 정수장 시료 중 1,4-dioxane 농도를 2000년부터 2007년까지 모니터링 한 결과 정수는 0.24~240.20 ng/mL의 농도 범위로 22.68 ng/mL의 평균값을 나타내었으며, 원수는 0.39~81.90 ng/mL의 농도범위로 19.15 ng/mL의 평균값을 나타내었다. 또한 2004년 수질감시항목 지정 이후 1,4-dioxane의 평균검출 농도는 저감되는 경향을 보였으나, 검출빈도는 변화가 없었다. 수질감시항목으로 지정된 2004년 이전과 이후의 위해도 평가 결과 낙동강 수계에서의 95 percentile 초과발암위해도 값이 2004년 이전의 정수는 $6.63{\times}10^{-6}$, 원수는 $3.17{\times}10^{-6}$로 나타났으며, 2004년 이후의 정수는 $2.10{\times}10^{-6}$, 원수는 $1.22{\times}10^{-6}$로 나타나 2004년 이후 초과발암위해도가 감소되는 경향을 보였다. 또한 계절별로 비교했을 때 봄 겨울에 주로 많이 검출되었다.

재발성 호흡기 증상을 동반한 병적 위식도 역류 질환에서 이중 채널 식도내 pH 검사의 의의 (Clinical Significance of Dual-probe Esophageal pH Monitoring in Pathological Gastroesophageal Reflux Disease with Recurrent Respiratory Symptoms)

  • 최윤창;문경래
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제6권1호
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    • pp.17-23
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    • 2003
  • 목 적: 24시간 이 중 채널 식도 pH 검사를 하여 위식도 역류와 호흡기 증상과의 상호 관계를 알아보고 호흡기 증상이 있는 역류 환자에서 원위부와 근위부 식도 pH 측정치를 비교하고자 연구하였다. 방 법: 1998년 8월부터 2002년 8월까지 조선대학교병원 소아과에 위식도 역류의 증상이 있거나 3주일 이상의 만성 기침 등 잦은 호흡기 증상이 있어 식도 pH 검사를 실시한 34명 중 원위부 식도에서 병적인 역류를 보인 17명을 대상으로 하였다. 병적 역류의 기준은 95백분위수 이상의 역류지표 (reflux index)를 병적 역류로 정의하였다. 결 과: 1) 대상 34명에서 호흡기 증상이 있는 16명 중 12명(75%), 호흡기 증상이 없는 18명 중 5명(28%)에서 원위부 식도에서 병적 역류를 보였다. 2) I군에서 근위부와 원위부의 역류 지수, 총 역류횟수, 5분 이상 지속된 역류의 횟수, 최장 역류 시간 등 모든 항목들이 유의한 차이를 보였다(P<0.05). 3) II군에서 근위부와 원위부의 최장 역류 시간을 제외한 모든 항목들이 유의한 차이가 없었다(P>0.1). 4) 근위부 식도에서 I군과 II군의 모든 항목들이 유의한 차이가 없었다(P>0.5). 결 론: 원위부 위식도 역류를 보이는 환자에서 호흡기 증상의 유무에 따라 근위부 식도 pH 검사 결과의 모든 항목에서 차이를 보이지 않아 재발성 호흡기 증상을 보이는 환자에서 이중채널 식도 pH검사의 유용성에 대해 재고가 필요할 것으로 판단된다.

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Identification of Source Locations for Atmospheric Dry Deposition of Heavy Metals during Yellow-Sand Events in Seoul, Korea in 1998 Using Hybrid Receptor Models

  • Han, Young-Ji;Holsen, Thomas M.;Hopke, Philip K.;Cheong, Jang-Pyo;Kim, Ho;Yi, Seung-Muk
    • 한국환경보건학회:학술대회논문집
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    • 한국환경보건학회 2004년도 International Conference Global Environmental Problems and their Health Consequences
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    • pp.92-106
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    • 2004
  • Elemental dry deposition fluxes were measured using dry deposition plates from March to June 1998 in Seoul, Korea. During this spring sampling period several yellow sand events characterized by long-range transport from China and Mongolia impacted the area. Understanding the impact of yellow-sand events on atmospheric dry deposition is critical to managing the heavy metal levels in the environment in Korea. In this study, the measured flux of a primarily crustal metal, Al and an anthropogenic metal, Pb was used with two hybrid receptor models, potential source contribution function (PSCF) and residence time weighted concentration (RTWC) for locating sources of heavy metals associated with atmospheric dry deposition fluxes during the yellow-sand events in Seoul, Korea. The PSCF using a criterion value of the 75th percentile of the measured dry deposition fluxes and RTWC results using the measured elemental dry deposition fluxes agreed well and consistently showed that there were large potential source areas in the Gobi Desert in China and Mongolia and industrial areas near Tianjin, Tangshan, and Shenyang in China. Major industrial areas of Shenyang, Fushun, and Anshan, the Central China loess plateau, the Gobi Desert, and the Alaskan semi-desert in China were identified to be major source areas for the measured Pb flux in Seoul, Korea. For Al, the main industrial areas of Tangshan, Tianjin and Beijing, the Gobi Desert, the Alashan semi-desert, and the Central China loess plateau were found to be the major source areas. These results indicate that both anthropogenic sources such as industrial areas and natural sources such as deserts contribute to the high dry deposition fluxes of both Pb and Al in Seoul, Korea during yellow-sand events. RTWC resolved several high potential source areas. Modeling results indicated that the long-range transport of Al and Pb from China during yellow-sand events as well as non yellow-sand spring daytimes increased atmospheric dry deposition of heavy metals in Korea.

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부산시내 약수터의 세균학적 수질 (Bacteriological quality of ground water in Pusan area)

  • 김용관
    • 한국수산과학회지
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    • 제16권1호
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    • pp.31-36
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    • 1983
  • 부산시내에 산재하고 있는 70여개소의 약수터중 11개소를 선정하여 이들의 수질관리에 필요한 기초자료를 얻고자 1981년 10월부터 1982년 9월까지 132개 시료를 취하여 대장균군, 분편계대장균, 일반생균수 및 대장균군의 조성을 시험한 결과를 요약하면 다음과 같다. 1. 11개소의 대장균군 최확수의 중앙치는 구포가 93/100ml로 제일 높았고, 수영, 연산동, 성지곡이 68/100ml 우동과 대신동이 59/100ml, 전포동, 망미동은 43/100ml 영도, 동래가 33/100ml그리고 감만동이 13.3/100ml로 제일 낮았으며 이들 중 6개소가 50/100ml 이상이었다. 2. 분편계대장균 최확수의 중앙치는 영도가 12.1/100ml으로 제일 불결하였고, 수영을 비롯한 8개소는 9.1/100ml, 우동은 6.4/100ml이었으며 감만동이 제일 깨끗하였다. 3. IMViC 반응에 의한 대장균군의 조성은 Escherichia coli group이 $7.64\%$, Klebsiella aerogenes group이 $16.78\%$, Citrobacter freundii group이 $42.86\%$, 기타가 $32.72\%$로 나타났었다. 4. 일반생균수의 중앙치는 $48{\sim}4.4{\times10}^2/ml$의 넓은 분포로서 보사부(1963)의 수질기준에 절반 지역이 초과되었다.

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흑연로 원자 흡광 광도기와 유도 결합 플라즈마 질량 분석기를 이용한 인체 혈중 카드뮴 농도 비교 (Comparison of Human Blood Cadmium Concentrations using Graphite Furnace Atomic Absorption Spectrometry (GF-AAS) and Inductively Coupled Plasma-mass Spectrometry (ICP-MS))

  • 권정연;김병권;임현주;서정욱;강민경;김유미;홍영습
    • 한국환경보건학회지
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    • 제44권5호
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    • pp.491-501
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    • 2018
  • Objectives: The aims of this study were to compare concentrations and the correspondence of human blood cadmium by using graphite furnace atomic absorption spectrometry (GF-AAS) and inductively coupled plasma-mass spectrometry (ICP-MS), which are representative methods of heavy metal analysis. Methods: We randomly selected 79 people who agreed to participate in the research project. After confirming the linearity of the calibration curves for GF-AAS and ICP-MS, the concentrations of cadmium in a quality control standard material and blood samples were measured, and the correlation and the degree of agreement were compared. Results: The detection limit of ICP-MS (IDL: $0.000{\mu}g/L$, MDL: $0.06{\mu}g/L$) was lower than that of GF-AAS (IDL: $0.085{\mu}g/L$, MDL: $0.327{\mu}g/L$). The coefficient of variation of the quality control standard material showed stable values for both ICP-MS (clinchek-1: 5.35%, clinchek-2: 6.22%) and GF-AAS (clinchek-1: 7.92%, clinchek-2: 5.22%). Recovery was relatively high for both ICP-MS (clinchek-1: 95.1%, clinchek-2: 92.8%) and GF-AAS (clinchek-1: 91.4%, clinchek-2: 98.8%), with more than 90%. The geometric mean, median, and percentile of blood samples were all similar. The agreement of the two instruments compared with the bias of the analytical values found that about 81% of the analytical values were within ${\pm}30%$ of the deviation from the ideal reference line (y=0). As a result of the agreement limit, the value included in the confidence interval was about 94%, which shows high agreement. Conclusion: In this study, we confirmed there was no significant difference in concentrations of a quality control standard material and blood samples. Since ICP-MS showed lower concentrations than GF-AAS at concentrations below the method detection limit of GF-AAS, it is expected that more precise results will be obtained by analyzing blood cadmium with ICP-MS.

비지도학습 오토 엔코더를 활용한 네트워크 이상 검출 기술 (Network Anomaly Detection Technologies Using Unsupervised Learning AutoEncoders)

  • 강구홍
    • 정보보호학회논문지
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    • 제30권4호
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    • pp.617-629
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    • 2020
  • 인터넷 컴퓨팅 환경의 변화, 새로운 서비스 출현, 그리고 지능화되어 가는 해커들의 다양한 공격으로 인한 규칙 기반 침입탐지시스템의 한계점을 극복하기 위해 기계학습 및 딥러닝 기술을 활용한 네트워크 이상 검출(NAD: Network Anomaly Detection)에 대한 관심이 집중되고 있다. NAD를 위한 대부분의 기존 기계학습 및 딥러닝 기술은 '정상'과 '공격'으로 레이블링된 훈련용 데이터 셋을 학습하는 지도학습 방법을 사용한다. 본 논문에서는 공격의 징후가 없는 일상의 네트워크에서 수집할 수 있는 레이블링이 필요 없는 데이터 셋을 이용하는 비지도학습 오토 엔코더(AE: AutoEncoder)를 활용한 NAD 적용 가능성을 제시한다. AE 성능을 검증하기 위해 NSL-KDD 훈련 및 시험 데이터 셋을 사용해 정확도, 정밀도, 재현율, f1-점수, 그리고 ROC AUC (Receiver Operating Characteristic Area Under Curve) 값을 보인다. 특히 이들 성능지표를 대상으로 AE의 층수, 규제 강도, 그리고 디노이징 효과 등을 분석하여 레퍼런스 모델을 제시하였다. AE의 훈련 데이터 셋에 대한 재생오류 82-th 백분위수를 기준 값으로 KDDTest+와 KDDTest-21 시험 데이터 셋에 대해 90.4%와 89% f1-점수를 각각 보였다.

동맥관 개존증의 임상적 고찰 (A retrospective clinical study of isolated patent ductus arteriosus)

  • 곽영태
    • Journal of Chest Surgery
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    • 제17권4호
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    • pp.593-606
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    • 1984
  • With the ligation of patent ductus arteriosus by Gross in 1938, surgeons first entered the field of congenital heart disease. Interruption of a ductus is one of the most satisfactory and curative operations in the field of surgery for congenital heart disease. 27 cases of isolated patent ductus arteriosus were operated from Jan. 1978 to July 1984 at the Department of Thoracic & Cardiovascular Surgery in Kyung-Hee University Hospital. Retrospective clinical analysis of these patients were: 1. Sex ratio, female: male, was 2:1. 2. Mean age at operation was 9.85\ulcorner.58 years. The youngest patient was a 23 month-old girl and the oldest one was a 24 year-old male. 3. More than half of the patients had less than 50 percentile of growth retardation. 4. Chief complaints of the patients were frequent URI [52%], dyspnea on exertion [33%], generalized weakness [22%], palpitation [7%], but 7 patients [26%] had no subjective symptoms. 5. Continuous machinery murmur could be heard at the 2nd or 3rd intercostal space on the left sternal border in 22 patients [81%]. The other S patients made systolic murmur with accentuation of the second heart sound and those were associated with pulmonary hypertension. 6. Radiologic findings of Chest P-A were cardiac enlargement in 15 patients [55%], enlargement of pulmonary conus and/or increasing density of pulmonary vascularity in 20 patients [74%]. 7. Electrocardiographic findings of the patients were within normal limit in 13 patients [48%], LVH in 4 patients [15%], biventricular hypertrophy in 3 patients [11%]. 8; echocardiogram was obtained from 11 patients. Ductus was directly visualized in 7 patients. Left atrial enlargement is the secondary change of left to right shunt, 10 patients had LA/Ao ratio more than 1.2. 9. Cardiac catheterization performed in 25 patients. The mean value of the results were:SO2[PA-RV]= 14.72\ulcorner6.01%, Qp/Qs=2.22\ulcorner.80, peak systolic pulmonary arterial pressure=48.28\ulcorner1.60 mmHg. 10. 26 patients were operated through the left posterolateral thoracotomy: closure of ductus by double ligation in 14 cases, triple ligation in 5 cases, and division with suture in 8 cases. One patient suffer from aneurysmal rupture of main pulmonary artery, endocarditis, hemopericardium was treated with cardiopulmonary bypass via median sternotomy and closure of ductus through the ruptured main pulmonary artery. 11.There was no death associated with the operation, but 3 cases were experienced with intraoperative rupture around the ductus resulting in massive bleeding. The other complications were transient hoarseness in one patient, atelectasis in left lower lobe in 3 patients, and postoperative systemic hypertension in 4 patients with unknown etiology. 12. Pulse pressure was reduced, 11.47+5.92 mmHg, postoperatively, as compare to preoperative status. 13. Intraoperative wedge lung biopsy from lingular segment for the evaluation of the pulmonary vascular disease was taken in S patients with severe pulmonary hypertension. The result was Heath-Edward grade I in one case, grade II in two cases, and grade III in two cases.

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사춘기 혈압에 영향을 미치는 식이 인자 및 혈액과 뇨중 무기 이온 농도 (Dietary Factors and Serum and Urinary Electrolytes Affecting Blood Pressure in Adolescents)

  • 이정원;나효숙;곽충실
    • 대한지역사회영양학회지
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    • 제1권1호
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    • pp.61-70
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    • 1996
  • Correlations of adolescents' blood pressure with dietary factors and blood or urinary electrolytes were investigated in this study. Through the screening for blood pressures of 960 middle school students aged 13-16 years, 30 students with the mean value of SBP and DBP above 96th percentile(high blood pressure group) and the other 30 with the mean blood pressure between 48th and 52th percentiles(normal blood pressure group) were selected as the subjects. SBP/DBP of the high and talc normal blood pressure groups were $141.8{\pm}9.0$ / $83.6{\pm}5.1$ mmHg and $116.4{\pm}3.5$ / $69.8{\pm}3.7 mmHg$, respectively. The average values of age, weight, height, BMI, degree of relative crude physical activity, and family income were not different between two groups. Among nutrients for which intakes were determined by 24 hour-recall and expressed as percent RDA, intakes of total and animal calcium were lower in the high blood pressure group compared to the normal, and were negatively correlated with both SBP and DBP even when the effects of related general and other dietary factors were excluded. Whereas energy, total, animal and vegetable protein, total and animal lipid, and riboflavin were higher in intake in the high blood pressure group than in fille normal, and they were in positive correlations with SBP and/or DBP. Vitamin A and ascorbic acid intakes were also negatively correlated with DBP, though ascorbic acid intake was not different between two groups. High blood pressure group preferred higher concentration of thin rice gruel than normal group and talc preferred salt concentrations was ill positive correlation with SBP. Serum and urinary levels of Ca, Mg, Ca/Mg ratio, Na, K and Na/K ratio did not show any differences between two groups. However serum Ca/Mg retio was in negative and se겨m Mg was ill positive correlations with SBP, and urinary Na excretion was negatively correlated with SBP. Calcium intake showed negative correlation with serum Ha and Na/K ratio. Our data indicated that dietary intake of Ca, energy, protein, lipid, vitamin A and C as well as salt preference were associated with blood pressure in adolescents. It might be assumed that Ca lowered blood pressure by increasing serum Ca/Mg ratio and decreasing serum Ca/K ratio though urinary excretion of Na.

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