• Title/Summary/Keyword: 신부

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Treatment of Severe Henoch-Schoenlein Purpura Nephritis in Children (소아의 심한 헤노흐-쇤라인 자반증의 치료)

  • Shin, Jae-Il;Lee, Jae-Seung
    • Childhood Kidney Diseases
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    • v.14 no.1
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    • pp.10-21
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    • 2010
  • The overall prognosis of Henoch-Schoenlein purpura (HSP) is favorable, but severe nephritis has a high risk of progression to end stage renal failure. Recent studies emphasize the importance of early treatment in children with severe HSP nephritis, but the treatment of severe HSP nephritis still remains controversial due to the rarity of randomized controlled studies in this field. Nevertheless, several intensive therapies, such as intravenous high-dose methylprednisolone pulse, immunosuppressive/cytotoxic drugs, fibrinolytic therapy, anticoagulants, antiplatelet agent and plasma exchange, have been used in children with severe HSP nephritis. In this review, we focus on the treatment of severe HSP nephritis in children.

Characteristics of Biodegradable Blends of PBAST and Chemically Modified Thermoplastic Starch (생분해성 PBAST와 변형 열가소성 전분 블렌드의 특성)

  • Shin, Boo-Young
    • Polymer(Korea)
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    • v.35 no.6
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    • pp.580-585
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    • 2011
  • This article aims to enhance the biodegradability and environment-friendliness of petroleum based biodegradable poly(butylene adipate-co-succinate-co-terephthalate)(PBAST) by blending chemically modified thermoplastic starch(CMPS). CMPS is a kind of bio-based biodegradable resin which is manufactured by reacting starch with maleic anhydride(MA) in the presence of a plasticizer and a free radical initiator. The characteristic properties of PBAST/CMPS blends were investigated by observing their morphology, thermal, mechanical properties, and biodegradability. The good interfacial adhesion between the phases examined by SEM revealed that PBAST/CMPS blends were compatible blends. The tensile strength and elongation decreased with increasing CMPS content, while modulus increased. The biodegradability of the blends was much higher than that of pristine PBAST and increased with increasing CMPS contents.

Development of on-line Monitoring and Controlling System (온-라인 모니터링 시스템 개발에 관한 연구)

  • Ahn Dong-Soon;Park Young-Man;Lee Kwans-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.11 no.4 s.42
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    • pp.299-304
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    • 2006
  • This paper is for the on-line monitoring and controlling system in which remote central processor execute commands based on data transmitted via radio or cable captured from the industrial or marine environments. By executing the appropriate system commands, many mechanical parts in industrial environments and natural factors such as temperature and humidity are to be under control in the way of normal system condition. In this research, we control the temperature of a hydrochloric acid tank to be within the predetermined range by executing temperature controlling commands issued by remote central computer which decides the appropriate action for the total system based on the received sensor data transmitted via radio and cable media. This type of monitoring and controlling system has the various applications such as the disaster prevention system, ubiquitous embedded system, alarm system, and the USN systems.

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Effect of Individual Low Sodium Dialysate on Blood Pressure, Interdialytic Weight Gain, Thirst and Intradialytic Discomfort In End-Stage Renal Disease Patients (개별적 저 나트륨 투석 액 적용이 말기 신부전증 환자의 혈압, 투석 간 체중 증가, 갈증 및 투석 중 불편감에 미치는 영향)

  • Kim, Sangsuk;Choi, Youngsil
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.169-177
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    • 2019
  • Purpose: The purpose of this paper was to identify blood pressure, interdialytic weight gain, thirst and intradialytic discomfort in subjects after applying individual low-sodium dialysis fluid (1,2,3 mEq/L) to hemodialysis patients for 12 weeks. Methods: This study was a non-equivalent pre-post design. For 12 weeks, dialysate concentration was maintained at 1 mEq/L or 2 mEq/L or 3 mEq/L based on average sodium concentration of each individual, and the difference was compared after applying individually. Results: Change in blood pressure significantly decreased in the group where in pre-hemodialysis systolic pressure decreased the gradient of sodium concentration in serum sodium and dialysis solution by 2mEq/L. Interdialytic weight gain, and thirst showed significant decrease in all three groups. But in all three groups, intradialytic discomfort among dialysis showed no significant changes. Conclusion: Although application of low sodium dialysis fluid showed no change in intradialytic discomfort, lowered blood pressure, thirst, and interdialytic weight gain, which could be used for individual showing increased interdialytic weight gain and increased blood pressure. There is need for continued study on this.

Factors Associated with Sarcopenia among Hemodialysis Patients (혈액투석환자의 근감소증 관련요인)

  • Shin, Hye Yun;Min, Hye Sook
    • Journal of Korean Critical Care Nursing
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    • v.15 no.1
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    • pp.24-34
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    • 2022
  • Purpose : This descriptive survey aims to identify the prevalence of factors associated with sarcopenia among hemodialysis patients. Methods : The study subjects were 137 patients with chronic kidney failure undergoing hemodialysis in three artificial kidney centers in B and Y cities. Data were collected from August 1 to September 30, 2020, using the SARC-F (Strength, Assistant walking, Rising from a chair, Climbing stairs, Falls) questionnaire, Mini Nutritional Assessment-Short Form (MNA-SF), International Physical Activity Questionnaire (IPAQ-SF), Bioelectrical Impedance Analysis (BIA), and a grip dynamometer. The collected data were analyzed using t-tests, crossover analysis, and logistic regression using the IBM SPSS 23 program. Results : The prevalence of sarcopenia among hemodialysis patients, determined using the SARC-F questionnaire, was 16.1%. The associated factors of sarcopenia among hemodialysis patients were found to be gender (OR=6.44, p =.002), age (OR=1.07, p =.015), nutritional status (OR=10.37, p =.027), and albumin level (OR=0.10, p =.014). These findings are supported by an explanatory power of 46.3% (p =.597). Conclusion : The identified risk factors for sarcopenia in hemodialysis patients were; sex, age, nutritional status, and albumin level. The findings of this study can serve as clinical evidence for the development of an intervention program for preventing and managing sarcopenia in patients undergoing hemodialysis.

The Educational Ministry of Friars in the Late Medieval Europe: Focus on the Ministry of The Dominican Order (중세 후기 유럽의 탁발 수도자들의 교육 목회-도미니코 수도자들의 사역을 중심으로)

  • Kim, Youngjun
    • Journal of Christian Education in Korea
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    • v.65
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    • pp.189-214
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    • 2021
  • The aim of this research article is to investigate the life and educational ministry of friars, focusing on the Dominican friars, along with its influence on parish priests and laymen during late middle Ages. The friars' apostolic life and competent teaching ministry greatly contributed to the faith formation of the laity who desperately sought out sacred truth. In particular, the Dominican friars' teaching of orthodox theology and logical argument gave rise to the conversion of some heretics, including Cathars. In addition, their ministry helped parish priests maintain hold on the essence of the church and their apostolic vocation. Finally, the friars' educational ministry played a significant role in enabling the parish priests to take their responsibilities as confessors, teachers, preachers, and healers of souls.

Estimating the Abnormalty of Kidney using the Modulation Analysis of a Voice (음성의 고저(高低) 분석을 통한 신장(腎臟)의 이상 유무 판단)

  • Kim, Bong-Hyun;Ka, Min-Kyoung;Lee, Se-Hwan;Cho, Dong-Uk;Kim, Seung-Youn
    • Proceedings of the Korea Information Processing Society Conference
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    • 2009.04a
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    • pp.78-81
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    • 2009
  • 한의학에서 신장(腎臟)은 단순히 소변을 만들어내는 곳으로 보는 것이 아니라 정력과 생식 활동을 담당하는 곳으로 표현하고 있다. 이러한 신장은 두 개의 강낭콩처럼 생긴 모양을 띄고 있으며 서로 마주 보고 있고 등에 붙어 있어 체내의 조절 기능을 수행하고 있다. 이와 같은 역할을 수행하는 신장에 이상이 발생하면 신부전, 신장염, 신우염 및 부종 등의 신장 질환을 앓게 된다. 따라서 본 논문에서는 신장 기능의 이상 유무를 손쉽게 판단하기 위한 방법으로 음성 분석을 통한 자가 진단법을 제안하고자 한다. 이를 위해 한의학에서 제시하고 있는 신장 질환자에 대한 목소리 패턴을 객관적 지표로 설계하기 위해 정상인과 신장 질환자를 대상으로 음성의 고저(高低)에 해당하는 분석 요소를 적용하여 피실험자 집단간의 비교, 분석을 실험으로 입증하고자 한다.

Hemarthrosis Occurred after Arthroscopic Rotator Cuff Repair in a Chronic Renal Failure Patient with a Stenosis in an Ipsilateral Arteriovenous Fistula (동측의 동정맥루를 가진 만성 신부전증 환자의 회전근개 파열에 대한 관절경적 수술 이후 발생한 혈관절증)

  • Huh, Soon Ho;Kim, Se Jin;Park, Jin Yeong;Kang, Kyung Rok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.4
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    • pp.366-371
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    • 2019
  • Hemarthrosis occurring after arthroscopic surgery for lesions of the shoulder joint is a very rare complication that can develop due to an injury to the blood vessels when an anterior portal is formed. This is a complication that rarely develops in patients who are taking antithrombotic drugs or who do not have associated diseases, such as thrombocytopenia. We report a case of hemarthrosis that occurred after performing arthroscopic surgery to repair a rotator cuff tear in a patient with a stenosis in an arteriovenous fistula for hemodialysis in the ipsilateral upper arm.

A Study on Customer Satisfaction and Service Quality - A Case Study KOSEN (고객만족 및 서비스 품질에 관한 연구 - KOSEN 사례를 중심으로)

  • Kim, Sang-kuk;Choi, Seon-heui
    • Proceedings of the Korea Information Processing Society Conference
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    • 2020.05a
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    • pp.631-632
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    • 2020
  • 본 논문에서는 고객추천지수(NPS : Net Promoter Score)를 이용하여 2019년도 이용 고객의 서비스 만족 및 품질에 대하여 모니터링하고 기관의 고객만족 개선 활동에 대한 고객의 의견을 분석하기 위함이다. 한국과학기술정보연구원의 한민족과학기술자네트워크(KOSEN : The Global Network of Korean Scientists & Engineers)는 전 세계 한인 과학기술자들을 하나로 연결하는 네트워크 서비스로 2019년 현재 70여개국 14만여 회원들로 이루어진 거대한 네트워크로 성장하였습니다. 1999년 이래 과학기술부, 교육과학기술부, 미래창조과학부, 과학기술정보통신부 지원 사업으로 한국과학기술정보연구원에서 운영해오고 있습니다. 네트워크를 통한 한인 과학기술자들의 지식 공유가 주목적이며, 연구자들을 위한 다양한 서비스를 무상으로 제공하고 있습니다. 이를 위해 서비스를 경험한 262여 명의 의사결정자를 대상으로 한민족과학기술자네트워크에 대한 고객충성도를 분석하였다. 이와 같은 연구결과는 인터넷 등 정보의 발달로 고객의 긍정적 또는 부정적인 구전이 급속도로 노출되는 환경에서 고객의 만족도를 관리함으로써 핵심고객을 확보하는데 사전 예측자료로 활용될 수 있다.

Analysis of Urinary Mass Screening for Elementary, Middle and High School Children Over a 3-year Period(1995-1997) in Seoul (서울지역내 초.중.고 학생들에 실시된 3년 동안의($1995{\sim}1997$) 집단뇨검사 결과 분석)

  • Kang Ho-Seok;Lee Chong-Guk
    • Childhood Kidney Diseases
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    • v.3 no.2
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    • pp.161-169
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    • 1999
  • Purpose : The urinary mass screening program for the detection of proteinuria in school aged population has been performed in Seoul since 1981. Systematic evaluation in corporation with the Seoul School Health Center for students with proteinuria identified in the mass screening has been performed from 1987. The results of urinary mass screening up to 1994 was reported. I report here the results of urinary mass screening from 1995 to 1997 and compare them with previous results and attempt to reveal the significance of urinary mass screening. Objects and Methods : In the 3-year period between 1995 and 1997, annually about 460,000 students comprising 3 different age groups; 5th grade of elementary school, 2nd grade of middle school and 2nd grade of high school were chosen, corresponding to the approximate ages of 11, 14, and 17 years, respectively. These subjects accounted for 26% of total school aged children in Seoul. The screening program was carried out in 3 steps. The 1st test was performed with dipstick at school and the 2nd at the Seoul School Health Center. Those students who showed proteinuria in the 1st and 2nd tests were referred to the hospital. Laboratory examinations including renal biopsies were performed to those students with pathologic proteinuria to clarify the incipient renal diseases. Results : 1) The prevalence of asymptomatic proteinuria was 0.28% in the 1st test. It peaked at the group of 14 years old as 0.34%, compared with 0.26% at the group of 11 years old and 0.24% at the group of 17 years old. It reached to 0.26% in male and 0.30% in female. 2) 25 percent of those having proteinuria at the first test were positive at the second test. 3) The proportion of patients with proteinuria by 3rd test were as follows; 25% of transient proteinuria, 55% of orthostatic proteinuria, 6% of constant proteinuria, 12% of proteinuria with hematuria, and 2% of transient proteinuria with isolated hematuria. Pathologic proteinuria were totaled as 20%. The prevalence of renal diseases among the age group of 7-18 years old was estimated to be 1.4 per 10,000. 4) Renal biopsy performed on 38 children with proteinuria at the third test revealed IgA nephropathy in 17(44%), focal segmental glomerusclerosis in 5(13%), minimal change disease in 4(11%), membranoproliferative glomeronephritis in 3(8%), $Henoch-Sch\"{o}nlein$ purpura nephritis in 3(8%), and others in 6(16%). Therefore, the prevalence of IgA nephropathy among the age group of 7-18 years old was estimated to be 0.64 per 10,000. 5) The prevalence of chronic renal failure was estimated to be 5.7 per 1 million of 7 to 18 years age group. Conclusions : 1) The prevalence of proteinuria in the first screening test was 0.28% and finally only 5% of them showed the pathologic proteinuria at the third test. 2) The prevalence of IgA nephropathy and chronic renal failure were 0.63 per 10,000 and 5.7 per 1 million, respectively among school-aged children in Seoul.

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