• 대한한방소아과학회지
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• 제24권1호
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• pp.1-8
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• 2010

Objectives This study is to find out how fungiform papillae count, which represents the density of taste buds, is related to eating behavior of children and adolescents. Methods The authors measured fungiform papillae count, height, and weight of 50 healthy children aged from 2 to 15. To evaluate the severity of anorexia, parents of the subjects answered modified version of Korean Children's Eating Behaviour Questionnaire (K-CEBQ). Children with weight of less than 50th percentile were assigned to low-weight group, while the others to high-weight group. Pearson's correlation test was conducted in order to evaluate the relationship between modified K-CEBQ score and fungiform papillae count. Results Low-weight children scored $29.8{\pm}9.1$, while high-weight children scored $24.5{\pm}7.1$. (p<0.05) on modified K-CEBQ Pearson's correlation coefficient between modified K-CEBQ score and fungiform papillae count was 0.503 (p<0.05) in low-weight group, 0.260 in high-weight group, and 0.339 (p<0.05) in total. However, there were no statistical significance in correlations between modified K-CEBQ score and percentile of weight, height, or BMI. Conclusions Severity of anorexia was correlated to the density of taste buds, especially in children who weighed less than average. The analysis on each single question indicated that children with high taste bud density had poor appetite not because of their inadequate digestive function, but because of their fastidious eating habit. Further study should be focused on finding out which specific aspect of appetite is related to the taste bud density.

• Journal of Genetic Medicine
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• 제11권2호
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• pp.74-78
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• 2014

Sotos syndrome (SS, OMIM 117550) is characterized by prenatal and postnatal overgrowth with multiple congenital anomalies. However, there have been few cases of growth retardation caused by renal failure from infancy. We report a case of dysplasia of the bilateral kidneys with renal failure and poor postnatal growth. A 2-month-old boy visited the emergency room owing to poor oral intake and abdominal distension. He was born at the gestational age of 38 weeks with a birth weight of 4,180 g. After birth, he had feeding difficulty and abdominal distension. Upon physical examination, his height and weight were in less than the 3rd percentile, while his head circumference was in the 50th percentile on the growth curve. He also showed a broad and protruding forehead and high hairline. Blood laboratory tests showed severe azotemia; emergent hemodialysis was needed. Abdominal ultrasonography revealed bilateral renal dysplasia with multiple cysts and diffuse bladder wall thickening. A posterior urethral valve was suggested based on vesicoureterography and abdominal magnetic resonance findings. Results of a colon study to rule out congenital megacolon did not reveal any specific findings. The conventional karyotype of the patient was 46, XY. Array comparative genomic hybridization study revealed a chromosome 5q35 microdeletion including the NSD1 gene, based on which SS was diagnosed. We describe a case of SS presenting with end stage renal disease due to posterior urethral valve. The typical somatic overgrowth of SS in the postnatal period was not observed due to chronic renal failure that started in the neonatal period.

• 대한토목학회논문집
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• 제31권6D호
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• pp.779-784
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• 2011

서비스 수준 (LOS) A 상태의 고속도로 자유교통류 속도(FFS)는 교통량 수준에 따라 동질적이라고 고려되어지고 있다. 저밀도 자유교통류 속도의 특성은 제한최고속도 결정, 교통사고 분석, 모의실험 모형의 개발 등에 기초자료로 활용된다. 설계 및 운영 속도의 거시적 특성에 대한 연구가 보고된 정도이며, 저밀도 상태에서 고속도로 자유교통류 속도의 미시적 특성에 관한 연구는 보고되고 있지 않다. 따라서 본 연구에서는 방대한 양의 속도, 교통량 자료를 이용하여 교통량 수준(1-3대/30초)별 일중 시간대(0-5, 6-8, 9-11, 12-19, 20-23)에 따른 저밀도 상태에서 FFS의 특성을 미시적으로 분석하였다. 분석결과, 속도분포는 일중 시간대의 교통량 수준에 따라 변화하였으며 다른 특성을 보였다. 이른 아침 및 야간 시간대의 V85(85th percentile 속도)는 교통량이 증가함에 따라 감소하였지만, 주간 시간대의 V85는 큰 변화를 보이지 않았다. 특히, 이른 아침 및 야간 시간대의 교통량 수준별 FFS는 저밀도 상태임에도 불구하고 이질적으로 분석된 반면, 주간 시간대는 동질적으로 분석되었다.

• 한국환경보건학회지
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• 제46권2호
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• pp.136-149
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• 2020

Objectives: The purpose of this study was to perform an aggregate human risk assessment for benzene in an industrial complex using the CalTOX model and to improve the reliability and predictability of the model by analyzing the uncertainty and sensitivity of the predicted assessment results. Methods: The CalTOX^TM 4.0 beta model was used to evaluate a selected region, and @Risk 7.6 software was used to analyze uncertainty and sensitivity. Results: As a result of performing the aggregate risk assessment on the assumption that 6.45E+04 g/d of benzene would be emitted into the atmosphere over two decades, 3% of the daily source term to air remained in the selected region, and 97% (6.26E+04 g/d) moved out of the region. As for exposure by breathing, the predicted LADD_inhalation was 2.14E-04 mg/kg-d, and that was assessed as making a 99.99% contribution to the LADD_total. Regarding human Risk_cancer assessment, the predicted human cancer risk was 5.19E-06 (95% CI; 4.07E-06-6.81E-06) (in the 95th percentile corresponding to the highest exposure level, a confidence interval of 90%). As a result of analyzing sensitivity, 'source term to air' was identified as the most influential variable, followed by 'exposure time, active indoors (h/day)', and 'exposure duration (years)'. Conclusions: As for the results of the human cancer risk assessment for the selected region, the predicted human cancer risk was 5.19E-06 (95% CI; 4.07E-06-6.81E-06) (in the 95th percentile, corresponding to the highest exposure level, a confidence interval of 90%). As a result of analyzing sensitivity, 'source term to air' was found to be most influential.

• 한국간담췌외과학회지
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• 제28권2호
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• pp.144-154
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• 2024

Backgrounds/Aims: Socioeconomic determinants of health are incompletely characterized in cholangiocarcinoma (CCA). We assessed how socioeconomic status influences initial treatment decisions and survival outcomes in patients with CCA, additionally performing multiple sub-analyses based on anatomic location of the primary tumor. Methods: Observational study using the 2018 submission of the Surveillance, Epidemiology, and End Results (SEER)-18 Database. In total, 5,476 patients from 2004-2015 with a CCA were separated based on median household income (MHI) into low income (< 25th percentile of MHI) and high income (> 25th percentile of MHI) groups. Seventy-three percent of patients had complete follow up data, and were included in survival analyses. Survival and treatment outcomes were calculated using R-studio. Results: When all cases of CCA were included, the high-income group was more likely than the low-income to receive surgery, chemotherapy, and local tumor destruction modalities. Initial treatment modality based on income differed significantly between tumor locations. Patients of lower income had higher overall and cancer-specific mortality at 2 and 5 years. Non-cancer mortality was similar between the groups. Survival differences identified in the overall cohort were maintained in the intrahepatic CCA subgroup. No differences between income groups were noted in cancer-specific or overall mortality for perihilar tumors, with variable differences in the distal cohort. Conclusions: Lower income was associated with higher rates of cancer-specific mortality and lower rates of surgical resection in CCA. There were significant differences in treatment selection and outcomes between intrahepatic, perihilar, and distal tumors. Population-based strategies aimed at identifying possible etiologies for these disparities are paramount to improving patient outcomes.

• 한국학교보건학회지
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• 제5권2호
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• pp.74-90
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• 1992

농촌지역 국민학교 급식아동의 성장발달과 식생활 습관을 알아보기 위하여 경상북도 농촌지역 국민학교 중 급식 학교 6학년 아동 636명(남자 312 명, 여자 324명)과, 이들 학교 인근의 비급식학교 6학년 아동 628명(남자 306명, 여자 322명)을 대상으로 학생건강기록부에 기재된 신장, 체중 측정치를 1학년에서 6학년까지 6년간의 연속적인 자료를 조사하고, 이들의 전반적인 식생활 습관을 1992년 2월 1일부터 2월 15일까지 설문지로 조사하여 분석한 결과는 다음과 같다. 남자의 신장은 6년간 급식군이 27.8cm, 비급식군 27.1cm자랐고, 여자신장은 각각 29.9cm, 28.4cm가 자라서 급식아동이 약간 더 성장하였다. 남자체중은 급식군 15.7kg, 비급식군 14.8kg이 증가한 반면, 여자는 16.9kg 및 17.2kg이 성장해 남자는 급식아동이, 여자는 비급식아동이 더 성장했다. 1학년때는 percentile별 신장 체중의 분포가 표준정규분포 곡선형태에 가까우면서 급식군과 비급식군이 서로 비슷하였으나 6학년때는 50percentile선을 중심으로 75percentile이상에 급식아동의 분포가 더 많았다. 6학년때 체력은 남자의 경우 급식아동이 멀리뛰기, 던지기, 턱걸이, 윗몸일으키기에서 비급식아동보다 우세하였으며, 여자는 멀리뛰기 한 종목에서만 유의한 차이를 보였고 (P<0.05), 체력급수에서도 우수한 특급의 분포가 급식군에서 더 많았다. 아침식사를 매일 먹는 아동이 급식군 67.6%, 비급식군 57.8%였고, 아침을 안먹는 이유로 급식군은 습관이 돼서 (50.7%), 비급식군은 밥맛이 없어서 (58.9%)라고 답하였으며, 급식아동에서 대체적으로 싱겁게 먹는 경향이 많았다. 간식빈도는 무 군 모두 70% 정도의 아동이 하루에 1회이상 간식을 하고 있었으며, 간식장소는 급식군은 집에서 (45.2%), 비급식군은 귀가 도중 가게나 길거리에 (48.4%)한다고 답하였다. 가정에서 식사할 때 음식을 골고루 먹는 아동이 급식군에서 더 많았고 식사시 조용히 자리에 앉아서 음식을 삼킨후 이야기하며 먹는 아동이 급식군에서 더 많았는 반면, T.V를 보면서 먹는 아동은 비급식군보다 적었다. 식사전에 항상 손을 씻는 아동이 급식군은 84.0%, 비급식군 63.6%로 급식군에서 유의하게 높았고, 식사후 이닦기를 항상 하는 아동은 급식군 여자에서 많아 유의한 관련성을 보였다. 영양교육 실태에 있어서도 영양교육을 '받았다'라고 답한 아동이 급식군 78.0%, 비급식군 57.5%였다. 이상의 결과로 볼때 급식아동이 비급식아동 보다 성장발육 속도가 더 빨랐고, 체력도 더 좋다고 할 수 있으며, 식습관 및 위생습관도 양호한 것으로 나타나 국민학교 특히 농촌지역부터 학교급식을 빠른 시일내에 확대 실시토록 해야 할것이며, 교육급식으로서의 역할을 다할 수 있도록 영양 및 식생활개선교육도 강화해야 할 것이다.

• Nuclear Engineering and Technology
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• 제55권4호
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• pp.1448-1459
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• 2023

A key element of the safety analysis is Loss of Coolant Analysis (LOCA) which must be performed using system thermal-hydraulic codes. These codes are extensively validated against separate effect and integral experiments. RELAP/SCDAPSIM is one such code that may be used to predict LBLOCA response in a CANDU reactor. The RD-14M experiment selected for the Best Estimate Plus Uncertainty study is a 44 mm (22.7%) inlet header break test with no Emergency Coolant Injection. This work has two objectives first is to simulate pipe break with RELAP and compare these results to those available from experiment and from comparable TRACE calculations. The second objective is to quantify uncertainty in the fuel element sheath (FES) temperature arising from model coefficient as well as input parameter uncertainties using Integrated Uncertainty Analysis package. RELAP calculated results are found to be in good agreement with those of TRACE and with those of experiments. The base case maximum FES temperature is 335.5 ℃ while that of 95% confidence 95^th percentile is 407.41 ℃ for the first order Wilk's formula. The experimental measurements fall within the predicted band and the trends and sensitivities are similar to those reported for the TRACE code.

• Clinical and Experimental Pediatrics
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• 제51권1호
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• pp.33-41
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• 2008

목 적 : 소아 청소년 건강관리에서 혈압 측정의 중요성이 점차 강조되고 있는 시점에서 한국의 소아 청소년들을 위한 정상 혈압 참고 치를 만들고자 하였다. 방 법 : 2005년에 새로운 신체성장 표준치를 만들기 위해 시행한 전국 소아 청소년들의 신체계측사업에 혈압 계측사업을 포함시켜 7-20세에 해당하는 소아 청소년 57,433명(남: 29,443명, 여: 27,990명)에서 신장, 체중 및 혈압 계측치를 얻었다. 혈압은 자동 진동혈압계인 Dinamap Procare 200(GE Inc., Milwaukee, Wi, USA)를 이용하여 측정하였고 앉은 자세에서 안정한 후 우측 팔에서 5분 간격으로 2번 측정하였다. 두 측정치의 평균치를 수축기 혈압과 이완기 혈압으로 기록하여 원 자료로 하였다. 체중이 +3SD 이상인 과체중아들 2,373명의 혈압은 제외하고 분석 하였다. 혈압 백분위수 표는 성별, 연령별, 신장 백분위수별로 만들어 졌으며 통계기법은 2004 Task Force in NHLBI (USA)이 사용한 통계기법을 원용한 고정 변형 LMS 방법을 사용하였다. 결 과 : 성별, 연령별(7-18세), 신장 백분위수별(5th, 10th, 25th, 50th, 75th, 90th, 95th) 혈압 참고치가 완성되었으며 신장 백분위수에 대한 자료는 질병관리본부 홈페이지인 http://www.cdc.go.kr/webcdc/에서 확인 할 수 있다. 고혈압의 기준치는 성별, 연령별, 신장대비에서 95 백분위수 이상으로 하고, 전고혈압 기준치는 90-95 백분위수 또는 수축기 및 이완기 혈압 130/80 mmHg 이상으로 정하였다. 결 론 : 이번에 마련된 우리나라 소아 청소년 정상 혈압 참고치는 처음이기 때문에 사용기준 및 고혈압의 기준은 앞으로 지속적인 논의와 연구가 필요할 것으로 생각된다. 또한 본 혈압 표는 자동 진동혈압계로 마련된 것이기 때문에 수동 수은 혈압계를 이용한 혈압 치를 평가하는 기준표로 사용하는 것은 주의해야 할 것이다.

• 가정과삶의질연구
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• 제33권5호
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• pp.1-24
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• 2015

The purpose of this study was to investigate the effects of Engel coefficient, Angel coefficient and Schwabe index influencing Household head's life satisfaction. For this study, the data from the 8th analysis of the 2013 Korea Welfare Panel Survey conducted by Korea Institute for Health and Social Affairs were used. For the sample, 903 male Household heads with children under the age of 18, were selected. For statistical analysis, SPSS program (Ver. 21.0) was used. And for statistical methods, frequency and percentile, mean and standard deviation, Pearson's correlation, one way analysis of variance, Duncan's multiple range tests, multiple regression analysis were used. The findings are as follows. First, as a results of analyzing the food costs, education costs and housing costs depending on Income Quintile, the food costs and education costs in the 5th Income Quintile compared with other Income Quintile, were highest. Also, the highest housing cost was in the 2nd Income Quintile, while the least housing cost was in the 1st Income Quintile. Second, by analyzing the differences of Engel coefficient, Angel coefficient and Schwabe index according to Income Quintile, the results show that Engel coefficient and Schwabe index decreases as Income Quintile increases, and Angel coefficient increases as Income Quintile becomes higher. Third, the level of HH's life satisfaction according to Income Quintile, 1st Income Quintile, 2nd Income Quintile, 4th Income Quintile, 3rd Income Quintile, 5th Income Quintile in order, increased. Fourth, as the result of analyzing the influence of Variables related to household and demographics about Engel coefficient, Angel coefficient and Schwabe index, it was shown that the variables effecting Engel coefficient, Angel coefficient, and Schwabe index are age, occupations, Number of workers, House ownership, Income Quintile. Fifth, As a result of analyzing the Variables effecting life satisfaction, especially while Schwabe index is not that significant, Engel coefficient and Angel coefficient are shown to have a significant influence. Therefore, the influence of Food costs and education costs can be confirmed.

• 대한임상검사과학회지
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• 제41권1호
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• pp.1-5
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• 2009

The Platelet Function Analyzer (PFA)$^{(R)}$-100 measures the ability of platelets activated in a high-shear environment to occlude an aperture in a membrane treated with collagen and epinephrine (CEPI) or collagen and ADP (CADP). The time taken for the flow across the membrane to stop (closure time, CT) is recorded. The aim of this study was to assess the potential of the PFA$^{(R)}$-100 as a primary clinical screening tool using the wide spectrum of clinical samples assessed for platelet function as well as to perform the optimal algorithm for the use of PFA$^{(R)}$-100. We established the reference interval in 460 hospital inpatients defined as having normal platelet function based on classical laboratory tests. The reference interval by using the range $5^{th}$ and $95^{th}$ percentile was 84~251 seconds for males CEPI-CT and 85~249 seconds for females CEPI-CT. A total of 1,200 inpatients were enrolled to identify impaired hemostasis before surgical interventions. The abnormal group showing prolonged CEPI-CT was 303 cases (18.9%). Only 3 cases had both abnormal CEPI-CT and CADP-CT. Several factors including sample errors, drugs, hematologic abnoralities were contributed to unexpected prolonged CEPI-CT for screening test. The von Willebrand factor (vWF:Ag) assay was performed only in one patient to verify the algorithm for the use of PFA$^{(R)}$-100. The PFA$^{(R)}$-100 was sensitive and rapid method for primary screening test of platelet dysfunction, so we can substitute it for the bleeding time in routine clinical practice.