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Posttransplantation Lymphoproliferative Disorder after Liver Transplantation in Pediatric Patients: Report from a Single-center Over 21 Years (간 이식 소아에서 발생한 이식 후 림프 증식 질환: 단일 기관에서의 21년 경험)

  • Lee, Jung-Hwa;Ko, Jae-Sung;Seo, Jeong-Kee;Yi, Nam-Joon;Suh, Kyung-Suk;Lee, Kuhn-Uk;Kang, Gyeong-Hoon
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.2
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    • pp.199-206
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    • 2009
  • Purpose: To analyze the clinical spectrum of posttransplantation lymphoproliferative disorder (PTLD) after liver transplantation in children. Methods: From January 1988 to June 2009, we retrospectively reviewed the medical records of 8 PTLD cases among 148 pediatric patients underwent liver transplantation. The age at transplantation, time of presentation after transplantation, clinical manifestations, histologic diagnosis, results of EBV (Epstein-Barr virus) assessments, managements and outcomes of PTLD were investigated. Results: The prevalence of PTLD in liver transplant pediatric recipients was 5.4% (8 of 148). The mean age of patients was 25.4${\pm}$21.3 months (range 10 to 67 months). Seven of 8 patients (87.5%) underwent liver transplantation before 1 year of age. The common clinical presentations were persistent fever (8 of 8, 100%) and bloody diarrhea (6 of 8, 75%). PTLD was diagnosed with gastrointestinal endoscopic biopsies in five patients and surgical biopsies in three. Histologic findings showed early lesion in three patients, polymorphic in two, and monomorphic in three. Burkitt lymphoma and lymphoblastic lymphoma were found in two of 3 monomorphic patients. Seven of 8 patients were found with EBV-positive. Eight patients were treated with dose reduction of immunosuppressants and infusion of ganciclovir. Rituximab was added to four patients. PTLD were successfully managed in all patients except one who died of sepsis during chemotherapy. Conclusion: Major risk factor of PTLD was to undergo liver transplantation before 1 year of age. Continuous monitoring for EBV viral load and gastrointestinal endoscopic biopsy may be useful to early detection of PTLD.

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Laval Growth Rate of Nannophya pygmaea(Odonata: Libellulidae), an Endangered Dragonfly in Korea (한국의 멸종위기종인 꼬마잠자리 (Nannophya pygmaea Rambur: 잠자리과, 잠자리목) 유충의 성장률)

  • Kim, Dong-Gun;Yoon, Tae-Joong;Oh, Chi-Gyeong;Kim, Jae-Geun;Lee, Eun-Heui;Bae, Yeon-Jae
    • Korean Journal of Ecology and Environment
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    • v.42 no.3
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    • pp.290-294
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    • 2009
  • Larval development of Nannopaya pygmaea Rambur (Libellulidae), an endangered dragonfly in Korea, was studied using an introduced lariat population in an artificial wetland habitat. Artificial habitat was created in a green house which imitated a small wetland in Boryeong-si, Chungcheongnam-do, Korea, where N. pygmaea inhabited. A total of 300 N. pygmaea larvae were introduced to the artificial habitat in June 2007. Larvae were recaptured five times between June 2007 and November 2008 for measurement of body length. As a result, the initial and recaptured populations (Recaptured I, II, III, IV, and V populations, respectively) contained two body size groups [initial 6.20$\pm$0.34 mm and 7.94$\pm$0.46 mm (mean$\pm$SD); Recaptured I 2.84$\pm$0.43 mm and 5.16$\pm$0.83 mm; Recaptured II 5.96$\pm$0.66 mm and 8.02$\pm$0.35 mm; Recaptured III 5.97$\pm$0.73 mm and 7.82$\pm$0.37 mm; Recaptured IV 7.04$\pm$0.93 mm and 8.52$\pm$0.39 mm; Recaptured V 5.72$\pm$0.60 mm and 7.71$\pm$0.30 mm]. Our rearing experiment evidenced that the recaptured I-V populations are the offspring of the initial population and the offspring grew approximately 3 mm at 470 degree days. It was also estimated that N. pygmaea larvae need approximately 100 degree days to grow 0.7 mm in body length.

Adenoviral Lower Respiratory Tract Infections in Children; Serotypes and Clinical Characteristics (소아의 아데노바이러스 하기도 감염증: 혈청형 및 임상상)

  • Shin, Seon Hee;Lee, Hoan Jong;Yoon, Hae Sun
    • Pediatric Infection and Vaccine
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    • v.9 no.2
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    • pp.182-192
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    • 2002
  • Purpose : This study was performed to characterize the epidemiologic and clinical features of acute adenoviral lower respiratory tract infections(LRTIs). Methods : Virological analysis was done from respiratory specimens obtained from patients with LRTIs hospitalized to other hospitals and referred to the Department of Pediatrics, Seoul National University Children's Hospital(SNUCH) from June 1998 to July 2000. Viral diagnosis was made by isolation of viruses employing HEp-2 cell culture and indirect immunofluorescent staining with monoclonal antibodies. Serotypes of adenoviruses were determined by neutralization test using antiserum for types 1, 2, 3, 4, 5, 6, 7 and 11. Medical records of children admitted to the SNUCH were reviewed retrospectively. Results : Adenovirus was isolated from 118(9.0%) of 1,305 children with LRTIs. Serotypes were 3(39.0%), 7(16.9%), 1(11.0%), 2(7.6%), 4(7.6%), 6(5.9%), 11(2.5%), and 5(0.8%) and 10 strains(8.5%) were not neutralized by antisera included in the study. Infections by type 3 and type 7 occurred in outbreaks. Male to female ratio was 1.0:0.9 and mean age was 1.95 years. The clinical diagnoses were pneumonia(83%), acute tracheobronchitis(12%) and bronchiolitis(5%). Associated symptoms, signs and abnormal laboratory findings included cough(100%), sputum(73.5%), fever(54.2%), rale(59.3%), wheezing(34%), anemia(35%) and leukopenia(15.8%). Mortality was in 13.5%. Residual radiologic sequelae was identified in 32.6% of the patients followed. Conclusion : These data confirms that adenovirus may cause severe lower respiratory tract diseases, and infections by type 3 and 7 may occured in outbreaks.

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Usefulness of F-18 FDG PET/CT in Adrenal Incidentaloma: Differential Diagnosis of Adrenal Metastasis in Oncologic Patients (부신 우연종에서 F-18 FDG PET/CT의 유용성: 악성 종양 환자에서 부신 전이의 감별진단)

  • Lee, Hong-Je;Song, Bong-Il;Kang, Sung-Min;Jeong, Shin-Young;Seo, Ji-Hyoung;Lee, Sang-Woo;Yoo, Jeong-Soo;Ahn, Byeong-Cheol;Lee, Jae-Tae
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.5
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    • pp.421-428
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    • 2009
  • Purpose: We have evaluated characteristics of adrenal masses incidentally observed in nonenhanced F-18 FDG PET/CT of the oncologic patients and the diagnostic ability of F-18 FDG PET/CT to differentiate malignant from benign adrenal masses. Materials and Methods: Between Mar 2005 and Aug 2008, 75 oncologic patients (46 men, 29 women; mean age, $60.8{\pm}10.2$ years; range, 35-87 years) with 89 adrenal masses incidentally found in PET/CT were enrolled in this study. For quantitative analysis, size (cm), Hounsfield unit (HU), maximum standardized uptake value (SUVmax), SUVratio of all 89 adrenal masses were measured. SUVmax of the adrenal mass divided by SUVliver, which is SUVmax of the segment 8, was defined as SUVratio. The final diagnosis of adrenal masses was based on pathologic confirmation, radiologic evaluation (HU<0 : benign), and clinical decision. Results: Size, HU, SUVmax, and SUVratio were all significantly different between benign and malignant adrenal masses.(P < 0.05) And, SUVratio was the most accurate parameter. A cut-off value of 1.0 for SUVratio provided 90.9% sensitivity and 75.6% specificity. In small adrenal masses (1.5 cm or less), only SUVratio had statistically significant difference between benign and malignant adrenal masses. Similarly a cut-off value of 1.0 for SUVratio provided 80.0% sensitivity and 86.4% specificity. Conclusion: F-18 FDG PET/CT can offer more accurate information with quantitative analysis in differentiating malignant from benign adrenal masses incidentally observed in oncologic patients, compared to nonenhanced CT.

Effect of Application of Composted Cattle Manure on Forage Productivity in Double Cropping System of Italian Ryegrass - Whole Crop Rice (이탈리안 라이그라스 및 총체 벼 2모작 작부체계에 있어서 우분퇴비 시용이 사료작물의 생산성에 미치는 영향)

  • Jung, Min-Woong;Lim, Young-Chul;Yoon, Sei-Hyung;Choi, Ki-Choon;Kim, Meng-Jung;Kim, Won-Ho;Lee, Ki-Won;Yook, Wan-Bang
    • Journal of Animal Science and Technology
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    • v.53 no.5
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    • pp.469-474
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    • 2011
  • This study was conducted to investigate the effects of application of composted cattle manure (CCM) on the productivity of the whole crop rice (WCR) and Italian ryegrass (IRG) on both Sancheong and Asan area from 2005 to 2008. Application levels of CCM such as chemical fertilizer (CF), CCM 150% and CCM 200% were tested in paddy field. Amount of CCM was adjusted equal to total nitrogen value relative to its value of CF. Mean dry matter yield (DMY) of WCR and IRG increased in order; CCM 200% > CF > CCM 150% in Asan and there was no significant difference between CCM 200% and CF. In Sancheong, DMYs of WCR and IRG significantly decreased (p<0.05) in order CF > CCM 200% > CCM 150%. The plant length and number of tiller of WCR were not different among treatments, however the percentage of ripeness of WCR was higher (p<0.05) in CF compared to CCM 150% and CCM 200%. Also, there were no differences in NDF and ADF contents, however CP content was higher (p<0.05) in CF treatment compared to CCM 150% and CCM 200%. Based on the results of this experiment, IRG-WCR double cropping system with application of CCM may be effective in producing the forage resources of 18~20 tons every year with eco-friendly way.

Monitoring of Heavy Metal Content in Alcoholic Beverages (국내 유통 주류 중 중금속 실태조사)

  • No, Ki-Mi;Kang, Kyung-Mo;Baek, Seung-Lim;Choi, Hoon;Park, Sung-Kug;Kim, Dong-Sul
    • Journal of Food Hygiene and Safety
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    • v.25 no.1
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    • pp.24-29
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    • 2010
  • This study was conducted to estimate the contents of heavy metals including lead, cadmium, arsenic and total mercury in alcoholic beverages in Korea. Concentration of Hg was analyzed by gold amalgamation method, using mercury analyzer, while concentration of Pb, Cd and As was analyzed by ICP-MS. Concentration (${\mu}g/kg$) of heavy metal in fermented liquors were; for Pb $9.9\;{\pm}\;8.4$(0~38.0), Cd $5.8\;{\pm}\;4.9$(0~5.4), As $28.6\;{\pm}\;19.4$(1~96.4), Hg $0.7\;{\pm}\;1.2$(0~10.6). Concentration (${\mu}g/kg$) of distilled liquors were ; for Pb $4.4\;{\pm}\;5.7$(0~29.3), Cd $2.0\;{\pm}\;2.5$(0~10.3), As $12.0\;{\pm}\;17.0$(0~95.6), Hg $0.2\;{\pm}\;0.3$(0~2.3). Concentration(${\mu}g/kg$ of other liquous were ; for Pb $7.5\;{\pm}\;5.1$(0~13.7), Cd $5.8\;{\pm}\;3.9$(0.6~11.2), As $25.2\;{\pm}\;39.0$(0.5~103.3), Hg $0.3\;{\pm}\;0.1$(0.1~0.5). The present study showed that difference of the amount of constituent in a same category of food are not affect to the content of heavy metals among them. The residual levels of takju, yakju, sake, beer, fruit wine, soju, whiskey, brandy, general distilled liquor, liquor, other liquors are within the maximum levels, prescribed by Korea food code. It is given that heavy metal exposure of Pb, Cd, As, Hg from consumption of alcoholic beverages (takju, yakju, sake, beer, fruit wine, soju, whiskey, brandy, general distilled liquor, liquor, other liquors) are less than 0.03%, 0.06%, 0.01%, 0.01% (mean) in provisional tolerable weekly intake (PTWI) respectively, indicated by FAO/WHO.

Studies on Hilly Pasture Landscape Expectancy, Satisfaction of Tourist on Grassland Facility: A case Study of Yangtae Farm Visitor (산지목장 방문자의 목장 경관 기대와 목초지 및 초지시설 만족도에 관한 연구 : 양떼목장 방문객의 경우)

  • Kang, Dae-Koo;Lee, Hyo-Jin;Lee, Hyowon
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.37 no.1
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    • pp.68-79
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    • 2017
  • The objective of study was to find the relationship in hilly pasture landscape expectancy and tourist's satisfaction on grassland facility. It was followed by literature reviews and visitors' survey in Daegwallyeong Yangtte Farm on 31, July, 2014. 367 respondents were analyzed by F-test, t-test, Chi-square and Fisher's Exact Test at 0.05 level after data screening process. Computing factors were sex, marital status, age, academic career and occupation. The results was as followed; First, major respondents group of survey were in oder of woman, forty years old group, married office worker, and university graduate. Second, the expectancy for grassland was significant difference in age, but pasture color expectancy was not significant difference in gender, age, educational background, marital status, and there was significant difference in favorite grassland type with age, marital status. Third, favorite fence type was not significant difference along with all group of participants. However, color and material of fence was significant difference in marital status. Fourth, preferred ranch road was significant difference with occupation and marital status. There was significant difference in favorite grassland type near ranch road along with age and occupation type. Fifth, the mean satisfaction was 3.6 point in 5.0. Therefore, all respondents were generally satisfaction in visited. Tourists were more interested in ranch landscape than experience or contacts to animal.

A Study on Secondary School Girl Students' Life Style, Attitude toward Appearance and Clothing Attitude (중.고등학교 여학생의 라이프스타일, 외모에 대한 태도와 의복태도와의 관련 연구)

  • Lee, Eun-Hee
    • Journal of Korean Home Economics Education Association
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    • v.18 no.4 s.42
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    • pp.85-102
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    • 2006
  • The objectives of this study were to classify of life style of secondary school girl students, to investigate the relationships between life styles, attitude toward appearance and clothing attitude. The method of this study was survey research by using questionnaires. Subjects were 658(middle school students 327, high school students 331) girl students located in Jeollabukdo province. In this statistical analysis, SPSS 11.5 for Windows program was utilized to calculate frequency, mean, cronbach's ${\alpha}$, factor analysis, t-test, Pearson's correlation, multiple regression analysis. The results of this research were as follows: The results of analysing the factors to the response lifestyles, attitude toward appearance and clothing attitude emerged five dimensions(digital orientation, material orientation, positive activity, achievement orientation, frugality), three dimensions(needs conformity value toward appearance), five dimensions(fashion pursuit, gender attractiveness, self-expression, aesthetic, and modesty). High school girls' students showed higher digital orientation and positive activity life styles, attitude toward appearance, clothing attitude except of modesty. Clothing attitude variables except of modesty had positive correlations with lifestyles and attitude toward appearance. However, modesty of clothing had negative correlations with life styles and attitude toward appearance. As a conclusion, secondary school girl students' life styles and attitude toward appearance constituted important characteristics which could affect clothing attitude directly.

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Evaluation of Sanitary Safety for Shellfish in Hansan·Geojeman, Korea (경남 한산·거제만해역에서 생산된 패류의 위생학적 안전성 평가)

  • Ha, Kwang-Soo;Lee, Ka-Jeong;Jeong, Yeon-Jung;Mok, Jong-Soo;Kim, Poong-Ho;Kim, Yeon-Kye;Lee, Hee-Jung;Kim, Dong-Wook;Son, Kwang-Tae
    • Journal of Food Hygiene and Safety
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    • v.33 no.5
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    • pp.404-411
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    • 2018
  • To evaluate bacteriological and toxicological safety hygienic indicator bacterium and paralytic and diarrhetic shellfish toxins in the shellfish produced in Hansan Geojeman 2013-2017 were investigated. Fecal coliforms were < 18~330 MPN/100 g in 404 oyster samples. But all samples tested, did not exceed 230 E. coli MPN/100 g. Geometric mean of E. coli for oyster samples collected during major shellfish production period was 24.3 MPN/100 g, considerde stable results. Bacteriological quality of oysters collected from Hansan Geojeman meets the standard value based on shellfish hygiene of the Food Sanitation Act of Korea and also meets Grade A, according to classification of shellfish harvesting areas of the European Union. For toxicological evaluation of Hansan Geojeman, 532 oyster samples and 268 mussel samples as an indicator, were analyzed. Paralytic shellfish toxins were detected in the range of 0.42~2.29 mg/kg in eight mussel samples, and exceeded criteria in three samples from early to late April 2013. Diarrhetic shellfish toxin was detected in three of 120 samples, but it was revealed to be under regulation value (0.16 mg Okadaic Acid equ./kg). As a result of toxicological evaluation, paralytic and diarrhetic shellfish toxins were not detected in oyster samples, but it was found that mussel as an indicator species, exceeded the threshold value of paralytic shellfish toxin. Accordingly, sanitary surveys were continuously requested for food safety management of shellfish.

The Comparative Analysis Study and Usability Assessment of Fat Suppressed 3D T2* weighted Technique and Fat Suppressed 3D SPGR Technique when Examining MRI for Knee Joint Cartilage Assesment (슬관절 연골 평가를 위한 자기공명영상 검사 시 지방 신호 억제 3D T2* Weighted 기법과 지방 신호 억제 3D SPGR 기법의 비교 및 유용성 평가)

  • Kang, Sung-Jin
    • Journal of the Korean Magnetics Society
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    • v.26 no.6
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    • pp.219-225
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    • 2016
  • In this study, for assessment of degenerative knee joint cartilage disease we acquired images by fat suppressed 3D spoiled gradient recalled (SPGR) and fat suppressed 3D $T2^*$ weighted imaging techniques. To do a quantitative evaluation, the knee joint cartilage was divided into medial femoral cartilage (MFC), medial tibial cartilage (MTC), lateral femoral cartilage (LFC), lateral femoral cartilage (LFC) and patella cartilage (Pat) to measure their respective signal intensity values, signal-to-noise ratio, and contrast-to-noise ratio. As for the measured values, statistical significance between two techniques was verified by using Mann-Whitney U-Test. To do a qualitative evaluation, two radiologists have examined images by techniques after which image artifact, cartilage surface, tissue contrast, and depiction of lesion distinguishing were evaluated based on 4-point scaling (1: bad, 2: appropriate, 3: good, 4: excellent), and based on the result, statistical significance was verified by using Kappa-value Test. 3.0T MR system and HD T/R 8ch knee array coil were used to acquire images. As a result of a quantitative analysis, based on SNR values measured by using two imaging techniques, MFC, LFC, LTC, and Pat showed statistical significance (p < 0.05), but MTC did not (p > 0.05). As a result of verifying statistical significance for measured CNR value, MFC, LFC, and Pat showed statistical significance (p < 0.05), while MTC and LTC did not show statistical significance (p > 0.05). As a result of a qualitative analysis, by comparing mean values for evaluated image items, 3D $T2^*$ weighted Image has indicated a slightly higher value. As for conformance verification between the two observers by using Kappa-value test, all evaluated items have indicated statistically significant results (p < 0.05). 3D $T2^*$ weighted technique holds a clinical value equal to or superior to 3D SPGR technique with respect to evaluating images, such as distinguishing knee joint cartilages, comparing nearby tissues contrast, and distinguishing lesions.