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Predictive factors for severe infection among febrile infants younger than three months of age (발열을 주소로 내원한 3개월 미만의 영아에서 중증 감염의 예측 인자)

  • Cho, Eun-Young;Song, Hwa;Kim, Ae-Suk;Lee, Sun-Ju;Lee, Dong-Seok;Kim, Doo-Kwun;Choi, Sung-Min;Lee, Kwan;Park, Byoung-Chan
    • Clinical and Experimental Pediatrics
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    • v.52 no.8
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    • pp.898-903
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    • 2009
  • Purpose : This study investigated the predictive factors for identifying infection-prone febrile infants younger than three months. Methods : We conducted a retrospective study of 167 infants younger than three months with an axillary temperature >$38^{\circ}C$ who were hospitalized between 2006 and 2008. If they met any of the following criteria, positive blood culture, CSF WBC ${\geq}11/mm^3$ or positive CSF culture, urinalysis WBC ${\geq}6$/HPF and positive urine culture, WBC ${\geq}6$/HPF on microscopic stool examination or positive stool culture, they were considered at high risk for severe infection. Infants with focal infection, respiratory infection or antibiotic administration prior to admission to the hospital were excluded. We evaluated the symptoms, physical examination findings, laboratory data, and the clinical course between the high risk and low risk groups for severe infection. Results : The high-risk group included 77(46.1%) infants, and the most common diagnosis was urinary tract infection (51.9%). Factors, such as male sex, ESR and CRP were statistically different between the two groups. But, a multilinear regression analysis for severe infection showed that male and ESR factors are significant. Conclusion : We did not find the distinguishing symptoms and laboratory findings for identifying severe infection-prone febrile infants younger than three months. However, the high-risk group was male and ESR-dominated, and these can possibly be used as predictive factors for severe infection.

Effects of Dietary Supplementation of Ginkgo Leaf and Pumpkin on the Growth Performance, Intestinal Microflora, Blood Biochemical Profile and Antioxidant Status in Broiler Chickens (사료 내 은행잎과 호박 첨가 급여가 육계의 성장, 소장 내 미생물 균총, 혈액 생화학 분석 및 체조직 내 항산화 작용에 미치는 영향)

  • Ko, Young-Hyun;Lee, Seong-Sil;Jang, In-Surk
    • Korean Journal of Poultry Science
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    • v.37 no.1
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    • pp.23-33
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    • 2010
  • The current study was performed to develop natural bio-active substances as additives for the production of high quality broiler chickens. A total of 120 male 3 day-old broiler chicks were randomly allocated to CON (control), GK2.5 (ginkgo leaf 2.5%), GK5.0 (ginkgo leaf 5.0%), PK2.5 (pumpkin 2.5%) and PK5.0 (pumpkin 5.0%) of five groups in cages (24 birds per group). All birds were fed corresponding diets from 3 to 35 d of age and determined growth performance and biological parameters including blood biochemical profiles, antioxidant status and intestinal microflora. During the entire feeding trial, GK5.0 and PK5.0 groups resulted in a significantly (P<0.05) higher FCR than GK2.5 and PK2.5 groups. Plasma triglyceride significantly (P<0.05) increased in GK5.0 group compared with the other groups, and the level of alanine transaminase (ALT) increased (P<0.05) in GK5.0 and PK5.0 groups compared with that in PK2.5 group. Dietary addition of ginkgo leaf and pumpkin significantly (P<0.05) increased superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px) in the small intestine. Also, the addition of 2.5% ginkgo leaf significantly (P<0.05) increased the activities of SOD, GSH-Px and glutathione-S-transferase (GST) in the liver. Futhermore, muscle GST activity significantly (P<0.05) enhanced by dietary addition of ginko leaf and pumpkin. However, the level of lipid peroxidation (MDA) in the small intestine and muscle turned to be higher (P<0.05) in PK5.0 group. The colony forming units (CFU) of E. coli in intestinal digesta significantly (P<0.05) decreased in both ginko leaf and pumpkin supplemented groups compared with CON group. In conclusion, dietary addition of 2.5% ginko leaf and pumpkin as dietary sources can be applicable for the production of high quality broiler chickens.

Predictive factors for Relapse in Children with Steroid Responsive Nephrotic Syndrome (소아 스테로이드 반응성 신증후군에서 재발과 관련된 예측인자)

  • Cho Min Hyun;Lee Dong Won;Lee Tae Ho;Ko Cheol Woo
    • Childhood Kidney Diseases
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    • v.9 no.2
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    • pp.167-174
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    • 2005
  • Purpose : Relapses are a major problem in children with steroid responsive nephrotic syndrome(SRNS). This study has been performed to determine the predictive factors for relapse in children with SRNS. Methods : The study group consisted of 7,3 children with SRNS who had been admitted to the Department of Pediatrics, Kyungpook National University Hospital, over 6 years from 1996 to 2001. The medical records were reviewed retrospectively and analyzed to determine significant relationships between selected variables[age at onset, sex, laboratory data, the rapidity of response(days to remission), interval to first relapse] and the frequency of relapse. Results : The age($mean{\pm}SD$) of patients was $4.53{\pm}2.53$ years old. The male to female ratio was 52:21. In 95$\%$, 39 out of the 41 children had a renal biopsy, and the final diagnosis was minimal change nephrotic syndrome. There was no significant correlation between the frequency of relapse and the following variables age at onset, sex, and presence of hematuria. However, the rapidity of response correlated well with the frequency of relapse, especially during the first year after the onset of the disease(P=0.005). Conclusion : The rapidity of response is expected to be one of the predictive (actors for relapse in children with SRNS. (J Korean Soc Pediatr Nephrol 2005;9:167-174)

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Development of Parking Space Forecast Model for Large Traffic-inducing Facilities Considering Surrounding Circumstance (주변 환경을 고려한 대규모 교통유발시설 주차면산정 모형개발에 관한 연구 - 판매시설을 중심으로 -)

  • Park, Je jin;Oh, Seok Jin;Kim, Sung Hun;Ha, Tae Jun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.37 no.3
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    • pp.593-601
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    • 2017
  • With the rapid industrial development and national economic advance since 1970, the national income of Korea has sharply increased. As a result, issues regarding city expansion, urban concentration, increase in the number of registered motor vehicles, and increase in traffic have caused transportation issues such as traffic congestion and problems with parking. Especially, enforcement ordinances and rules have been established on installation and management of parking lots to solve problems with parking which are raised as social problems such as conflict with neighbors but the flexible calculation of legal parking space has the limitations because of the diversity and complex functionality of purposes of facilities. Accordingly, this study attempted to supplement such demerit of the parking space demand forecast method based on the legally required number of parking spaces and average unit requirement in the parking space supply. This study estimated the required number of parking spaces by analyzing existing literature, collecting field research data, and analyzing the factors that have an impact on the parking demand. Also, it compared the required number of parking spaces based on the average unit requirement as well as the required number of parking spaces by the forecast model based on the cumulative number of motor vehicles parked. The result was that the required number of parking space based on average unit requirement was less than the cumulative number of motor vehicles parked by 9.99%. Meanwhile, the required number of parking spaces by the forecast model was more than the cumulative number of motor vehicles parked by 4.37%. Therefore, it is believed that the parking space forecast model is more efficient than the others in estimating there quired parking space. The parking space forecast model of this study consider different environmental factors to enable practical parking demand forecast considering the local characteristics and thus supply the parking space in an efficient way.

Effects of the Recirculation Port Location on Treatment Efficiency of an Anaerobic Hybrid Reactor Consisted of a Fluidized Bed and a Packed Bed (유동상과 충전상이 결합된 혐기성 혼성 반응조에서 순환수의 인출지점이 처리효율에 미치는 영향)

  • Kim, Seong-Yong;Park, Soo-Young;Cho, Kwang-Myeung
    • Journal of Korean Society of Environmental Engineers
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    • v.22 no.11
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    • pp.1935-1944
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    • 2000
  • This research was performed to investigate the effects of the location of recirculation port on the wastewater treatment efficiency of an anaerobic hybrid reactor consisted of a fluidized bed and a packed bed. The recirculation port was located either at the top of the packed bed (Reactor 2) or above the fluidized bed (Reactor 1). Media for the fluidized bed and the packed bed were granular activated carbon and Pall ring-type plastic media. respectively. At organic loading rates(OLR) up to $6.2kg\;COD/m^3-day$. Reactor 2 showed somewhat better performance than Reactor 1 with COD removal efficiencies of 85.0-95.2%. The COD removal efficiencies of the reactors drastically deteriorated at OLRs above $6.2kg\;COD/m^3-day$, and the tendency was more severe for Reactor 1 than for Reactor 2. Eventhough the two reactors showed similar effluent SS concentrations at OLRs below $3.6kg\;COD/m^3-day$, Reactor 2 showed higher effluent SS concentrations than Reactor 1 at OLRs above $5.3kg\;COD/m^3-day$. Reactor 2 was stabler than Reactor 1 with a methane production rate of $5.5kg\;COD/m^3$-day at the OLR of $13.3kg\;COD/m^3-day$. An abrupt increase in effluent volatile acid concentration was observed at the OLR of $6.2kg\;COD/m^3-day$ for Reactor 1 and $7.1kg\;COD/m^3-day$ for Reactor 2. and the increase was greater in Reactor 1. In conclusion. the range of OLR for adequate treatment in the hybrid reactor was determined according to the location of the internal recirculation port. It is more desirable for higher OLRs to locate the recirculation port at the top of the packed bed in order to utilize the whole volume of the reactor.

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Ttrosine Hydroxylase in Japanese Medaka (Oryzias latipes): cDNA Cloning and Molecular Monitoring of TH Gene Expression As a Biomarker (송사리 Tyrosine Hydroxylase: cDNA 클로닝 및 생물지표로서의 TH 유전자 발현의 분자생물학적 추적)

  • Shin, Sung-Woo;Kim, Jung-Sang;Chon, Tae-Soo;Lee, Sung-Kyu;Koh, Sung-Cheol
    • Environmental Analysis Health and Toxicology
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    • v.15 no.4
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    • pp.131-137
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    • 2000
  • The release of hazardous waste materials into the environment poses serious risks in humans and ecosystems. The risk assessment of environmental pollutants including hazardous chemicals requires a comprehensive measurement of hazard and exposure of the chemicals that can be achieved by toxicity evaluation using a biological system such as biomarkers. In this report we have tried to develop a biomarker used to elucidate a molecular basis of, and to monitor abnormal behaviors caused by diazinon in Japanese medaka (Oryzias latipes) as a model organism. First, an attempt was made to clone tyrosine hydroxylase gene from Japanese medaka that would be a candidate for a biomarker for neuronal modulations and behaviors. For monitoring experiments at behavioral and molecular biological levels, the fish were treated under different sublethal conditions of diazinon and their behavioral responses were observed . In this study we have successfully cloned a partial TH gene from the medaka fish through PCR screening of an ovary cDNA library. DNA sequencing analysis revealed that the amplified fragment was 327 bp encoding 109 amino acids. Comparing the DNA sequence of medaka TH with other species, TH gene revealed the DNA sequence was completely identical to that of rat TH. In the RT-PCR, 330 Up of mRNA was consistently amplified in all the treated samples including control There were no significant differences in the TH expression level regardless of treating concentrations (1∼5,000 ppb) and time (0∼48 hr) The reason appeared to be that RT-PCR was not performed using through a quantitative analysis normalized against an actin gene expression. Organ or tissue - specific detection of TH activity and mRNA as biomarkers will be a useful monitoring tool for neurobehavioral changes in fish influenced by toxic chemicals. Furthermore, quantitative analysis of locomotive patterns and its correlation with the neurochemical and molecular data would be highly useful in measuring toxicity and hazard ofvarious environmental pollutants.

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The Treatment of Heavy Metal-cyanide Complexes Wastewater by $Zn^{+2}/Fe^{+2}$ Ion and Coprecipitation in Practical Plant(I) (아연백법 및 공침공정을 이용한 복합 중금속-시안착염 폐수의 현장처리(I))

  • Lee, Jong-Cheul;Kang, Ik-Joong
    • Journal of Korean Society of Environmental Engineers
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    • v.29 no.12
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    • pp.1381-1389
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    • 2007
  • Wastewater discharged by industrial activities of metal finishing and electroplating units is often contaminated by a variety of toxic or otherwise harmful substances which have a negative effects on the water environment. The treatment method of heavy metal-cyanide complexes wastewater by alkaline chlorination have already well-known($1^{st}$ Oxidation: pH 10, reaction time 30 min, ORP 350 mV, $2^{nd}$ Oxidation: ORP 650 mV). In this case, the efficiency for the removal of ferro/ferri cyanide by this general alkaline chlorination is very high as 99%. But the permissible limit of Korean waste-water discharge couldn't be satisfied. The initial concentration of cyanide was 374 mg/L(the Korean permissible limit of cyanide is 1.0 mg/L max.). So a particular focus was given to the treatment of heavy metal-cyanide complexes wastewater by $Zn^{+2}/Fe^{+2}$ ion and coprecipitation after alkaline chlorination. And we could meet the Korean permissible limit of cyanide(the final concentration of cyanide: 0.30 mg/L) by $Zn^{+2}/Fe^{+2}$ ion and coprecipitation(reaction time: 30 min, pH: 8.0, rpm: 240). The removal of Chromium ion by reduction(pH: 2.0 max, ORP: 250 mV) and the precipitation of metal hydroxide(pH: 9.5) is treated as 99% of removal efficiency. The removal of Copper and Nickel ion has been treated by $Na_2S$ coagulation-flocculation as 99% min of the efficiency(pH: $9.09\sim10.0$, dosage of $Na_2S:0.5\sim3.0$ mol). It is important to note that the removal of ferro/ferri cyanide of heavy metal-cyanide complexes wastewater should be employed by $Zn^{+2}/Fe^{+2}$ ion and coprecipitation as well as the alkaline chlorination for the Korean permissible limit of waste-water discharge.

Personality Characteristics and Those Influences on the Outcome of Cognitive Behavioral Therapy in Patients with Panic Disorder (공황장애 환자의 성격 특성과 인지행동치료의 결과에 미치는 영향)

  • Choi, Young-Hee;Lee, Dong-Hyun;Park, Kee-Hwan;Yoon, Haye-Young;Woo, Jong-Min
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.2
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    • pp.142-153
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    • 2002
  • The authors intended to investigate personality characteristics and those influence on the outcome of cognitive behavioral therapy in patients with panic disorder. 167 patients who met DSM-IV criteria for panic disorder were assessed by the PDQ-R(Personality Disorder Questionnaire-Revision) and various self-report tools for assessing symptoms of panic disorder. The effect of therapy was measured by the changes of scores and the end state functioning before and after 12-sessions of CBT. The patients with panic disorder were more likely showed obsessive-compulsive, avoidant and paranoid personality disorder and also Cluster C. If is needed when patients were divided into two groups according to total scores of PDQ-R(high or low personality disorder groups), high personality disorder group showed many evidences for increased psychopathology at the start of treatments, this suggested the close linkage between panic disorder and personality disorder. Interestingly, there were no significant differences between both groups in scores of clinical variables and the end state functioning. In conclusion, although patients with high tendency of personality disorder had more generalized problems at the beginning of treatments, they could improve as much as the patients with low tendency of personality disorder. They can be helped by cognitive behavioral therapy for panic disorder and seem to profit as much as patients with low tendency of personality disorder. If is needed to seek other factors in poor responders for cognitive behavioral therapy.

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Culture of the Olive Flounder (Paralichthys olivaceus) in a Semi-closed Recirculating Seawater System (반폐쇄식 순환여과 사육시스템에서의 넙치 (Paralichthys olivaceus) 양식)

  • CHANG Young Jin;KIM Seung Hyern;YANG Han Soeb
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.28 no.4
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    • pp.457-468
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    • 1995
  • In order to develop a more practical culture system from the present running seawater tank system, two experiments of environmental factors, growth, survival rate and rearing density of olive flounder (Paralichthys olivaceus) were carried out for two consecutive years. Two groups of fish in initially averaging 7.5cm of total length, and 3.4g of body weight (EXP. I) and 5.0cm and 1.8g (EXP. II) were reared in the semi-closed recirculating seawater system equipped with the rotating biological contactors with the commercial culture scale. The dissolved inorganic nitrogen concentrations is EXP. I ranged 0,247-0.512 ppm of $NH_4-N$ (0.010-0.043 ppm of$NO_2-N$, and 0.108-0.342 ppm of $NO_3-N$, and those in EXP. II were 0.091-0.715 ppm, 0.002-0.045 ppm, and 0.007-0.277 ppm, respectively. Daily feeding rates of the fish were $0.67-2.41\%$ in EXP. I and $0.69-2.22\%$ in EXP_ II, and teed efficiency were $34.8-59.8\%\;and\;40.5-88.4\%$ in EXP. I and II, respectively. The average total ten說h and body weight were 40.0-42.8cm and 695.0-852.69g after 340 days culture in EXP. I, and 36.7-39.7cm and 552.4-706.4 g after 365 days culture in EXP. II, respectively. Survival rates of the fish at the end of EXP. I and II were $92.0\%\;and\;96.0\%,$ respectively. The ratio to body surface area of non-ocular side in all fish to bottom area of rearing tank, so-called covering rate, was used as an indicator of rearing density. The highest cowering rate and weight density of fish per $m^2$ of rearing tank at the end of experimental period were 2.2 and 34.1kg in EXP. I, and 2.6 and 36.3kg in EXP. II, respectively. For the commercial culture of olive flounder, the semi-closed recirculating seawater system was found to be more effective than the running seawater tank system in aspect to the fish productivity and protection of marine environment.

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Selection of Fungicide Against Lichen-forming Fungi for the Chemical Control of Lichen Colonization on Stone Heritages and Plants (석조문화재 및 식물 착생 지의류의 화학적 방제를 위한 살균제 선발)

  • Kim, Jung-A;Jung, Min-Hae;Jeon, Hae-Sook;Koh, Young-Jin;Hur, Jae-Seoun
    • The Korean Journal of Pesticide Science
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    • v.14 no.3
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    • pp.261-265
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    • 2010
  • Lichens, a symbiotic organism of fungi and algae, cause serious damage to national heritages of stone master piece and costly trees for gardening. The present study was conducted to screen effective fungicides against lichen-forming fungi to control the biological agents deteriorating stone heritages and trees. Five commercial fungicides (Fenarimol EC, Etridiazole EC, Iminoctadinetriacetate SL, Difenoconazole+lminocatadinetriacetate ME and Difenoconazole+Azoxystrobin SC) were tested against the lichen-forming fungi (LFF) isolated from seven saxicolous (Caloplaca sp., Ramalina sp., Xanthoparmelia sp., and Xanthoria sp.,) or corticolous (Parmelia sp.,) lichen species. Preliminary screening test showed that no LFF could grow on the MY (malt-yeast extract) agar medium amended with the recommended concentrations of each fungicide. Further screening was conducted at 1%, 10% and 20% of the recommended concentrations of the fungicides. After 7 week incubation at $15^{\circ}C$ in the dark, Difenoconazole+Iminocatadinetriacetate ME and Difenoconazole+Azoxystrobin SC completely inhibited the fungal growth of all the tested LFF, even at 1% of the concentration. Two fungicides of Fenarimol EC and Iminoctadinetriacetate SL exhibited a moderate inhibition activity at the lower concentrations. Etridiazole EC was less effective in the fungal growth inhibition than the other four fungicides. The results suggested that lichens colonizing on precious stone heritages and trees can be eradicated by applying Difenoconazole+Iminocatadinetriacetate ME and Difenoconazole+Azoxystrobin SC even 1% of the recommended concentrations. Selected fungicide application at such a low concentration will facilitate the chemical use to prevent and preserve stone heritages from biological deterioration induced by lichens and the allied microbes.