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Risk factors for childhood pneumonia: a case-control study in a high prevalence area in Indonesia

  • Sutriana, Vivi Ninda;Sitaresmi, Mei Neni;Wahab, Abdul
    • Clinical and Experimental Pediatrics
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    • v.64 no.11
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    • pp.588-595
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    • 2021
  • Background: Acute respiratory infections (ARIs), especially pneumonia, remain a major cause of infant mortality worldwide. In Indonesia, pneumonia is the second most common cause of infant and toddler deaths. Exclusive breastfeeding and basic immunization can protect infants and children from contracting pneumonia. Purpose: Our goal was to assess the risk factors for childhood pneumonia in regions with a high prevalence of pneumonia in Indonesia. Methods: This case-control study was conducted between March and April 2019. A total of 176 infants and toddlers aged 10-59 months were enrolled and selected from among patients who visited the community health center. Cases of pneumonia were diagnosed clinically based on the World Health Organization guidelines, and the control was nonpneumonia. Results: The risk factors for the diagnosis of pneumonia included no or nonexclusive breastfeeding (odds ratio [OR], 7.95; 95% confidence interval [CI], 3.52-17.94), incomplete basic immunizations (OR, 4.47; 95% CI, 2.22-8.99), indoor air pollution (OR, 7.12; 95% CI, 3.03-16.70), low birth weight (OR, 3.27; 95% CI, 1.19-8.92), and a high degree of wasting (OR, 2.77; 95% CI, 1.06-7.17). Other variables such as nutritional status (height-for-age z score), age, sex, and educational status of the mother were not risk factors for pneumonia. Conclusion: No or nonexclusive breastfeeding, incomplete basic immunizations, indoor air pollution, a history of low birth weight, and severe malnutrition were risk factors for childhood pneumonia. Breastfeeding was the dominant factor, while sex modified the relationship between exclusive breastfeeding and the incidence of pneumonia.

Assessment of the physico-chemical quality and extent of algal proliferation in water from an impounding reservoir prone to eutrophication

  • Ballah, Mohun;Bhoyroo, Vishwakalyan;Neetoo, Hudaa
    • Journal of Ecology and Environment
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    • v.43 no.1
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    • pp.22-30
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    • 2019
  • Background: Piton du Milieu (PdM) impounding reservoir is suspected to be eutrophic based on the elevated level of orthophosphate and nitrate. Water supplies from three adjacent rivers are primarily thought to contribute to the nutrient enrichment of the reservoir. It is also suspected that there is leaching of orthophosphate, nitrate and organic matter into the rivers during rainfall events and also as a result of anthropogenic activities within the catchment area. The aim of this study was to ascertain the impact of nutrient loading on the water quality of PdM water and on the population of freshwater microalgae in the reservoir. The enumeration and identification of algae from PdM were performed by differential interference contrast microscopy. Dissolved oxygen (DO) and pH were determined by electrometric methods, whereas nutrient levels, silica and total organic carbon (TOC) were determined by instrumentation techniques. Results: Annual mean orthophosphate, nitrate and total organic carbon input from the three feeders within the catchment area of PdM reached levels as high as 0.09 mg/L, 0.4 mg/L and 2.62 ppm respectively. Over a 12-month period, mean TOC concentration in the reservoir was 2.32 ppm while the mean algal cell count was 4601 cells/mL. The dominant algal species identified were Oscillatoria, Cyclotella, Navicula and Cosmarium. Conclusion: This study highlights the trophic state of the reservoir water and clearly points to the need for constant monitoring in order to avoid the occurrence of an impending harmful algal bloom.

Current Status of Holdings Data in Korean Libraries and Proposal for Revision of KORMARC Format for Holdings Data (국내 도서관의 소장정보 관리 현황과 소장정보용 KORMARC의 개정 방안)

  • Rho, Jee-Hyun;Lee, Eun-Ju
    • Journal of Korean Library and Information Science Society
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    • v.49 no.4
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    • pp.93-117
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    • 2018
  • KORMARC format for holdings data is a standard for expressing and exchanging holdings information-who they have, what copies are owned, where they are held, etc. As the need of resource sharing grows, such holdings information that informs the user to the availability and the location of a bibliographic item is becoming increasingly important. However the KORMARC format for holdings data has been used much less than KORMARC for bibliographic and authority data, and has attracted little attention from Korean libraries. Under these circumstances, this study intends (1) to analyze various standards for holdings information including MARC21 format for Holdings data (update No.26) and its applications, (2) to investigate the types of holdings data and description regulations used in Korean libraries and bibliographic utilities, and (3) to suggest the revision of existing KORMARC format for holdings data.

Soil factors determining the distribution of Phragmites australis and Phacelurus latifolius in upper tidal zone

  • Nam, Bo Eun;Hong, Mun Gi;Park, Hyun Jun;Kim, Jae Geun
    • Journal of Ecology and Environment
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    • v.42 no.4
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    • pp.205-210
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    • 2018
  • To assess the environmental factors determining the zonation between Phacelurus latifolius and Phragmites australis, vegetation survey and soil analysis were performed at a tidal marsh. The vegetation of the tidal marsh was classified into P. latifolius and Suaeda japonica dominated quadrats, P. latifolius and P. australis dominated quadrats, P. australis dominated quadrats, and P. australis and other land plants dominated quadrats. The density of P. latifolius ($83.7{\pm}5.5\;shoots\;m^{-2}$) was higher than that of P. australis ($79.3{\pm}12.1\;shoots\;m^{-2}$) in each dominated quadrat but height of two species were similar. Soil environmental characteristics of P. latifolius dominated quadrats appeared to be affected by tide based on higher soil electric conductivity ($EC_{PL}=1530{\pm}152{\mu}Scm^{-1}$ ; $EC_{PA+PL}=689{\pm}578{\mu}Scm^{-1}$ ; $EC_{PA}=689{\pm}578{\mu}Scm^{-1$) and lower pH ($pH_{PL}=5.96{\pm}0.16$ ; $pH_{PA+PL}=6.28{\pm}0.31$ ; $pH_{PA}=6.38{\pm}0.22$). In redundancy analysis, environmental characteristics of P. latifolius dominated quadrats and P. australis dominated quadrats were clearly separated and those of P. latifolius and P. australis co-dominated quadrats were similar to P. australis dominated quadrats. From our investigation, P. latifolius showed relatively high competitiveness when compared to P. australis in lower tidal zone rather than upper tidal zone. Zonation of P. latifolius and P. australis seems to be a transitional zone between halophytes and land plant species.

Effects of a 12-week Combined Exercise Program on Gait Parameters in Elderly Women with Osteoarthritis

  • Lee, Jin
    • Korean Journal of Applied Biomechanics
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    • v.28 no.4
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    • pp.227-236
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    • 2018
  • Objective: The purpose of this study was to investigate the effects of a 12-week combined exercise program on gait parameters in elderly women with osteoarthritis. Method: The subjects of this study were 11 elderly women (age: $67.09{\pm}2.47$, height: $157.35{\pm}4.30cm$, weight: $62.49{\pm}6.36kg$) with knee osteoarthritis. The combined exercise program of this study was divided into aerobic exercise and lower extremity strengthening exercises. The exercises were performed for 60 minutes per session, three times a week, for a total of 12 weeks. The maximum joint moments of the hip, knee, and ankle joints with walking were obtained with 8-3D cameras (MX-T20, Vicon, USA) and 2-force plate (AMTI OR6-7-400, AMTI, USA). SPSS Windows version 23.0 was used for statistical analysis. A paired t-test was used for pre-post comparison. An alpha level of .05 was utilized in all tests. Results: The maximum extension moment was significantly higher in the hip joint after P1 on the X axis. The maximum joint moment of P3 in extension was statistically significantly lower after intervention. On the Z axis, the maximum joint moment was significantly lower after the exercise intervention at P3. There was a statistically significant increase in the extension moment of the left and right knee joints in the X axis after exercise intervention. In the right ankle joint, P1 (plantar flexion moment) showed a statistically significant high moment after exercise intervention. Conclusion: These results suggest that combined exercise, including lower limb and aerobic exercise, may have a positive effect on mobility and walking moments in patients with osteoarthritis of the knee.

A perspective on partially hydrolyzed protein infant formula in nonexclusively breastfed infants

  • Vandenplas, Yvan;Munasir, Zakiudin;Hegar, Badriul;Kumarawati, Dewi;Suryawan, Ahmad;Kadim, Muzal;Djais, Julistio Tb;Basrowi, Ray Wagiu;Krisnamurti, Deni
    • Clinical and Experimental Pediatrics
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    • v.62 no.5
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    • pp.149-154
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    • 2019
  • The World Health Organization recommends that infants should be exclusively breastfed for the first 6 months of life to provide optimal nutrition in this critical period of life. After this, infants should receive nutritionally adequate and safe complementary foods while breastfeeding continues for up to 2 years of age or beyond. For nonbreastfed infants, infant formula is an available option to provide the nutrition needed. Infant formula is usually prepared from industrially modified cow's milk and processed to adjust for the nutritional needs of infants. However, cow's milk is one of the most common causes of food allergy, affecting 2%-5% of all formula-fed infants during their first year of life. One strategy to prevent cow's milk allergy in nonbreastfed infants is the use of partially hydrolyzed formula (pHF) in high-risk infants, which are infants born in families with atopic disease. However, based on an epidemiological study, approximately half of the infants who develop allergy are not part of the at-risk group. This is because the non-at-risk group is significantly larger than the at-risk group and the non-at-risk infants have approximately 15% risk of developing allergies. This study aimed to evaluate the effects of partially hydrolyzed whey formula (pHF-W) in nonbreastfed infants and determine whether pHF-W can prevent atopic disease in high-risk infants and can be used as routine starter formula regardless of the allergy risk status.

Influence of silver nanoparticles on resin-dentin bond strength durability in a self-etch and an etch-and-rinse adhesive system

  • Jowkar, Zahra;Shafiei, Fereshteh;Asadmanesh, Elham;Koohpeima, Fatemeh
    • Restorative Dentistry and Endodontics
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    • v.44 no.2
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    • pp.13.1-13.9
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    • 2019
  • Objectives: This study evaluated the effect of dentin pretreatment with silver nanoparticles (SNPs) and chlorhexidine (CHX) on the microshear bond strength (${\mu}SBS$) durability of different adhesives to dentin. Materials and Methods: Occlusal surfaces of 120 human molars were ground to expose flat dentin surfaces. The specimens were randomly assigned to six groups (n = 20). Three groups (A, B, and C) were bonded with Adper Single Bond 2 (SB) and the other groups (D, E, and F) were bonded with Clearfil SE Bond (SEB). Dentin was pretreated with CHX in groups B and E, and with SNPs in groups C and F. The specimens were restored with Z250 composite. Half of the bonded surfaces in each group underwent ${\mu}SBS$ testing after 24 hours and the other half was tested after 6 months of water storage. Results: SNP application was associated with a higher ${\mu}SBS$ than was observed in the CHX and control groups for SEB after 24 hours (p < 0.05). A significantly lower ${\mu}SBS$ was observed when no dentin pretreatment was applied compared to dentin pretreatment with CHX and SNPs for SB after 24 hours (p < 0.05). The ${\mu}SBS$ values of the 6-month specimens were significantly lower than those obtained from the 24-hour specimens for all groups (p < 0.05). This decrease was much more pronounced when both adhesives were used without any dentin pretreatment (p < 0.05). Conclusions: SNPs and CHX reduced the degradation of resin-dentin bonds over a 6-month period for both adhesive systems.

The Usefulness of the Evaluation of Gastric Residuals in Premature Infants (미숙아의 장관영양 시 위 잔류 확인의 유용성 평가)

  • Lee, Kyung Min;Choi, Su Jung
    • Journal of Korean Critical Care Nursing
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    • v.12 no.3
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    • pp.74-83
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    • 2019
  • Purpose : The routine evaluation of gastric residuals (RGR) is considered standard care for premature infants. This study evaluated the usefulness of RGR in premature infants. Methods : The study retrospectively investigated 208 premature infants (gestational aged under 34 weeks) who underwent gavage feeding in a neonatal intensive care unit at a tertiary hospital. The patients were divided into two groups: RGR (n=104) and no-RGR (n=104). Those in the no-RGR group had their gastric residuals checked only if signs of feeding intolerance were present. Clinical outcomes, including the time to reach full enteral feeding (FEF) and the incidences of gastrointestinal disorders such as feeding intolerance (FI) and necrotizing enterocolitis (NEC), were compared. Data were analyzed with SPSS ver. 21, using a Mann-Whitney U test, chi-squared test, and Fisher's exact test. Results : There was no statistically significant difference for the time to FEF (z=-0.61, p=.541), incidence of FI ($X^2=0.38$, p=.540), and NEC ($X^2=1.42$, p=.234) between the two groups. Conclusion : No-RGR did not increase the risk for FI or NEC. These results suggest that RGR evaluation may not improve nutritional outcomes in premature infants. Recommendations for further research and practice guidelines will be provided.

Kinetics calculation of fast periodic pulsed reactors using MCNP6

  • Zhon, Z.;Gohar, Y.;Talamo, A.;Cao, Y.;Bolshinsky, I.;Pepelyshev, Yu N.;Vinogradov, Alexander
    • Nuclear Engineering and Technology
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    • v.50 no.7
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    • pp.1051-1059
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    • 2018
  • Fast periodic pulsed reactor is a type of reactor in which the fission bursts are formed entirely with external reactivity modulation with a specified time periodicity. This type of reactors could generate much larger intensity of neutron beams for experimental use, compared with the steady state reactors. In the design of fast periodic pulsed reactors, the time dependent simulation of the power pulse is majorly based on a point kinetic model, which is known to have limitations. A more accurate calculation method is desired for the design analyses of fast periodic pulsed reactors. Monte Carlo computer code MCNP6 is used for this task due to its three dimensional transport capability with a continuous energy library. Some new routines were added to simulate the rotation of the movable reflector parts in the time dependent calculation. Fast periodic pulsed reactor IBR-2M was utilized to validate the new routines. This reactor is periodically in prompt supercritical state, which lasts for ${\sim}400{\mu}s$, during the equilibrium state. This generates long neutron fission chains, which requires tremendously large amount of computation time during Monte Carlo simulations. Russian Roulette was applied for these very long neutron chains in MCNP6 calculation, combined with other approaches to improve the efficiency of the simulations. In the power pulse of the IBR-2M at equilibrium state, there is some discrepancy between the experimental measurements and the calculated results using the point kinetics model. MCNP6 results matches better the experimental measurements, which shows the merit of using MCNP6 calculation relative to the point kinetics model.

Consumers' Responses to Information Created by Fashion YouTube Creators - Generational and Gender Differences - (정보원으로서 패션 유튜브 크리에이터에 대한 소비자 반응 - 유튜버의 성별과 연령 특성에 따른 비교 -)

  • Choi, Yeong-Hyeon;Lee, Kyu-Hye
    • Fashion & Textile Research Journal
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    • v.23 no.2
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    • pp.212-225
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    • 2021
  • With the recognition of YouTube as an information search tool, YouTube creators have subsequently become sources of information to consumers. Accordingly, this study aims to analyze the consumers' response of famous fashion YouTubers in Korea, and to identify differences in consumer response based on the gender and generation of YouTubers. During the period from the opening of fashion creators' YouTube channels, we collected postings on blogs and Internet cafes using textom. As a result of preliminary investigation, six fashion YouTubers were selected. First, all the selected fashion YouTubers were well recognized by consumers as fashion informants. However, Milanonna has been shown to act as a life advisor and as an informant for luxury brands at the same time. Second, female fashion YouTubers were perceived with themes related to daily life, beauty, emotions, and mood rather than fashion itself; whereas, male fashion YouTubers appeared to be more interested in fashion accessories, especially with respect to the basic style. Third, Generation Z fashion YouTubers used the most non-fashion keywords, and their Millennial counterparts used keywords related to fashion items and product purchase properties. However, consumer response to OPAL fashion YouTubers have emerged with items such as life experiences, wisdom, and advice. Moreover, OPAL fashion YouTubers showed a variety of consumer assessments and the YouTuber's personal background. This study's analysis of the differences in the consumer response to fashion YouTubers based on gender and age enables the establishment of an appropriate strategy to attract target consumers and identify their appeal points.