• Pediatric Infection and Vaccine
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• v.11 no.1
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• pp.90-100
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• 2004

Objective : Urinary tract infection(UTI) is a frequent serious bacterial infection in young infants. The clinical presentation may be non-specific and variable, depends on factors such as the age and the level of infection. Children with renal involvement may be at risk of permanent renal damage. Experimental studies have shown that renal lesions caused by acute febrile UTI may be prevented or diminished by early diagnosis and treatment. Therefore, it is important to find a method that can permit early diagnosis and identification of patients who are at risk for progressive renal damage. We designed this study to identify related factors in culture positive UTI infants, and also to identify related factors in culture negative UTI infants, who are febrile with pyuria, by using renal imaging and functional studies including renal sonography, DMSA scan and VCUG. Methods : Retrospectively analyzed the medical records of 136 febrile infants with pyuria over 2 years(from January 2001 to February 2003). Urine culture was done in all cases, and regardless of urine culture findings, renal imaging study was done if symptomatic UTI suspected. Results : Total 57 organisms were isolated in 53 patients. E. coli was the most common organism(86%), followed by E. faecalis, M. morganii, Proteus species, P. aeruginosa, S. aureus and E. fergusonii. Most of the isolates had high sensitivity on cephalosporins or amikacin and had low sensitivities on aminopenicillins. Abnormal acute phase DMSA scan or VCUG findings were seen in both urine culture positive and negative group without statistical differences(P>0.05). In febrile infants with pyuria, fever over 48 hours, older age and high CRP related to abnormal acute phase DMSA scan findings regardless urine culture results. Conclusion : 1st or 3rd generation cephalosporins with amikacin could be the first choice of treatment for UTI. Febrile infants with positive urine culture dose mean urinary tract infection but not acute pyelonephritis which directly relates to cortical damage which could be confirmed by acute phase DMSA scan. Even cases with negative urine culture findings, acute pyelonephritis should be concerned in febrile infants with pyuria who are older than 3 months of age, has fever over 48 hours or high CRP level. And in such cases, acute phase DMSA scan and VCUG should be evaluated for early treatment and long term prognosis.

• Journal of Yeungnam Medical Science
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• v.8 no.1
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• pp.42-52
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• 1991

Two types of urine dipstick assays, Multistix-SG and Combur-9-test RL, were compared for compatibility, accuracy, specificity and predictive values of a positive and negative test in 501 patients urine and artificially prepared specimen. We found that the results of semiquantitative tests of Multistix-SG and Combur-9-Test RL performed were statistically similar in patients specimen. The urinary leukocyte estrase tests of Combur-9-Test RL assays compared with urine sediment microscopy in regard to compatibility, sensitivity, specificity, and predictive values of a positive and negative test 83.7%, 48.1%, 90.3%, 47.4% and 90.1%, respectively. The urinar nitrite tests of Comber-9-Test RL assays compared with urine culture tests, in regard to compatibility, sensitivity, specificity, and predictive values of a positive and negative tests were 90.3%, 19.4%, 84.7%, 53.8% and 94.1%, respectively. For the urinary protein, the sulfosalicylic acid method was the most sensitive test for any kinds of protein, and Multistix-SG appeared more sensitive than Compur-9-Test RL for the albuminuria. For the urinary bilirubin and glusose, two dipstick assays were similar in their diganostic efficiency. Finally in the urinary occult blood tests, Combur-9-Test RL assays was more sensitive than Multistix-SG.

• Korean Linguistics
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• v.81
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• pp.267-297
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• 2018

Vowel raising in Korean has been primarily treated as a phonological, categorical change. This study aims to show how the Korean connective suffix {-go} is realized in various environments, and propose a principle of vowel raising based on both acoustic and perceptual data. To that end, we used a corpus of spoken Korean to analyze the types of syntactic constructions, the realization of prosodic boundaries (IP and PP), and the types of boundary tone associated with {-go}. It was found that the vowel tends to be raised most frequently in utterance-final position, while in utterance-medial position the vowel was raised more when the syntactic and prosodic distance between {-go} and the following constituent was smaller. The results for boundary tone also showed a correlation between vowel raising and the discourse function of the boundary tone. In conclusion, we propose that vowel raising is not simply an optional phenomenon, but rather a type of phonetic reduction related to the comprehension of the following constituent.

• MALSORI
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• no.57
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• pp.1-14
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• 2006

This study examines personal factors that affect Korean speakers' English pronunciation. Personal factors which are examined here are as follows: personality type, cognitive system, motivational orientation type, interest in English, how often they listen to tapes, and academic achievements. Data were collected through MBTI (Myers Briggs Type Indicator) Test, Group Embedded Figural Test, and a Questionnaire. The participants consisted of 65 college students. All the results were statistically analyzed: Korean students' personality type and cognitive system are not related with their pronunciation, but motivational orientation type, how often they listen to tapes, academic achievements, and interest in English study are correlated with their pronunciation.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.7 no.1
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• pp.106-112
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• 1996

조음장애(articulation disorders)란 조음기관(예 : 혀, 입술. 치아, 입천장)을 통하여 말소리가 만들어지는 과정에서의 결함을 나타내는데, 이러한 조음장애를 보이는 아동은 '불명료한' 구어를 사용하게 되므로 해서 결국 의사소통의 어려움을 나타내게 된다. 음소를 생략하거나, 다른 음소로 대치하거나, 또는 같은 음소내에서 소리를 왜곡시키는 조음 장애 현상들은 순수 조음 장애 아동들 뿐 아니라, 정신지체, 청각장애, 구개파열, 뇌성마비 등의 장애자들에게서 중복적인 결함으로 나타나기도 한다. 본고에서는 소아의 조음장애를 다루는 임상가가 알아두어야 할 관련 요인들, 조음 오류 평가. 그리고 치료방법에 대하여 고찰하고자 한다.

• Childhood Kidney Diseases
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• v.17 no.2
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• pp.42-48
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• 2013

The urinalysis is an essential part of the diagnostic work-up for kidney disease and other renal system disorders. The dipstick test allows rapid and simultaneous chemical analyses of urine, including factors such as pH, specific gravity, protein, glucose, ketones, occult blood, bilirubin, urobilinogen, nitrite, and leukocyte-esterase. The chemical reactions on dipstick are complicated and can be affected by oxidizing, reducing, and discoloring substances in the urine. Therefore, false positive and false negative results are common in dipstick testing. To obtain reliable results with the dipstick, it is necessary to collect urine cleanly and examine the urine carefully. It is mandatory to clearly understand the principles of dipstick testing to evaluate abnormal findings. If the urine dipstick results suggest hematuria, proteinuria, or urinary tract infection, microscopy of the urine should be performed to confirm the findings.

• Phonetics and Speech Sciences
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• v.15 no.1
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• pp.55-64
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• 2023

This study investigated the factors influencing the perceptions that military officers can harbor regarding persons who stutter in terms of how well they can adapt to the army. In total, 89 participants were randomly assigned to each of the three different conditions ("fluent speech"=23, "mildly stuttered speech"=34, and "severely stuttered speech"=32). Subsequently, the participants were asked to listen and rate each sample in terms of "the speaker's communicative functioning (i.e., speech fluency, intelligibility, naturalness, speech rate), personal traits (i.e., likeability, anxiety level, intellectual level, and sociability), and the perceived degree of the adaptability to the army." The results showed that significant differences were found between "fluent speech" and "severely stuttered speech" in the perceived communicative functionings and the perceived adaptability to the army. Moreover, there were significant differences in the same variables between "mildly stuttered speech" and "severely stuttered speech." However, there were no significant differences between "mildly stuttered speech" and "fluent speech." Following the conducting of the Pearson correlation test, strong correlations were also found between the perceived communicative functionings, in particular "speech fluency," and the perceived adaptability to the army. Those results can be employed to argue that the communicative functionings can serve as factors which influence the perceptions of persons who stutter in terms of how well they can adapt to the army. Further discussion has taken place regarding the relationship between the perceived communicative functionings and the perceived adaptability to the army.

• Clinical and Experimental Pediatrics
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• v.46 no.2
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• pp.173-177
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• 2003

Purpose : Recently, different results about factors affecting accurate quantitation of 24-hr urinary protein(24UP) amount using spot urine protein/creatinine ratio(PCR) have been reported. The current study was designed to evaluate correlation between 24UP amounts and PCR in children, and the effect of 24UP amounts, age, sex, and glomerular filtration rate(GFR) on this correlation. Methods : Among 94 patients who visited the department of pediatrics in Busan Paik Hospital from March 2002 to August 2002, 68 patients whose urinary creatinine excretion was ${\geq}15mg/kg/day$ were included in this study. All the patients were divided into I, II/A, B group(I : 24UP<500 mg/day, II : $24UP{\geq}500mg/day$, A : <10 years of age, B : ${\geq}10years$ of age). Pearson correlation analysis was performed between 24UP and PCR to evaluate the relationship. We defined fractional difference between 24UP and PCR, and then performed multiple regression analysis with 24UP amount, age, GFR and fractional difference. Results : There was a strong positive linear correlation between 24UP and PCR(R=0.936, P<0.0001) in all patients, and the correlation was also good in each group. Using PCR cutoff values of 0.5, the PCR provided high sensitivity, specificity, positive and negative predictive value in predicting 24UP amount ${\geq}500mg$. The factors affecting accurate quantitation of proteinuria using spot urine PCR was age, not 24UP amount, GFR or sex. Conclusion : Spot urine PCR is a useful test but has limitations in predicting 24UP amount. Therefore, it should be used only as screening method. Age-adjusted PCR cutoff values may be necessary to predict 24UP amount in children with proteinuria.

• Pediatric Infection and Vaccine
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• v.22 no.1
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• pp.29-35
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• 2015

Purpose: The purpose of this study was to investigate the clinical characteristics and outcome of febrile urinary tract infections (UTIs) caused by community-acquired extended-spectrum ${\beta}$-lactamase (CA-ESBL)-producing and -nonproducing bacteria. Methods: We analyzed febrile UTIs in children hospitalized at Gachon University Gil Medical Center from January 2011 to December 2013 through retrospective data collection from their medical records. Results: Among pathogens causing 374 episodes of UTIs, the proportion of ESBL-producing bacteria was 13.1% (49/374). The proportion of ESBL-producing Escherichia coli and Klebsiella spp. was 13.6% (48/354) and 5.0% (1/20), respectively. There was no significant difference between the CA-ESBL and CA non-ESBL groups in duration of fever ($4.2{\pm}2.7$ vs. $3.7{\pm}2.1$ days, P=0.10) and bacterial eradication rate with empirical antibiotics (100% vs. 100%). The risk of cortical defects on renal scan significantly depended on existence of vesicoureteral reflux rather than ESBL production of pathogen. Conclusions: There was no significant difference between the CA-ESBL and CA non-ESBL groups in renal cortical defects and clinical outcome. Careful choice of antibiotics is important for treatment of community-acquired UTI in children.

• The Journal of the Acoustical Society of Korea
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• v.18 no.7
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• pp.85-91
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• 1999

The purpose of this study is to investigate phonetic realization of flap [r], one of the allophones of Korean /l/. Phonetic realization of a segment is affected by not only its neighboring segments but also its prosodic position in an utterance. This study examined how various prosodic positions affect the phonetic realization of [r]. Effects of the four prosodic positions on the phonetic realization of [r] were examined: utterance initial, Intonation Phrase initial, Accentual Phrase initial, and Accentual Medial positions. Word positional effect was also examined: word initial, medial, and final positions. Acoustic and statistical analyses showed that flap [r] was realized in a variety of phonetic forms: from sonorant(the most reduced form) to short stop(the least reduced form). It was shown that generally. word-initial position is stronger than word-medial position. It was also shown that in many cases, utterance-initial position and intonation-phrase-initial position are stronger than accentual-phrase-initial and accentual-phrase-medial positions. Sonorants were observed more often in the prosodically weaker portions. VOT duration was also shorter in accentual-phrase-initial and accentual-phrase-medial positions.