• Title/Summary/Keyword: 청진

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Is routine screening examination necessary for detecting thromboembolism in childhood nephrotic syndrome? (소아 신증후군 환자에서 혈전증 검색을 위해screening 검사가 필요한가?)

  • Kim, Mun Sub;Koo, Ja Wook;Kim, Soung Hee
    • Clinical and Experimental Pediatrics
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    • v.51 no.7
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    • pp.736-741
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    • 2008
  • Purpose : The incidence of thromboembolic episodes in children with nephrotic syndrome (NS) is low; however, these episodes are often severe. Moreover, both pulmonary thromboembolism (PTE) and renal vein thrombosis (RVT) rarely show clinical symptoms. This study was performed to determine the benefits of routine screening in the detection of thrombosis in childhood NS. Methods : Among 62 children with nephrotic syndrome, a total of 54 children (43 males, 11 females) were included in this study. When the patients experienced their first NS episode, we performed renal Doppler ultrasonography in order to detect RVT. To rule out the possibility of PTE, a lung perfusion scan was performed. Computed tomographic (CT) pulmonary angiography was recommended to patients who showed possible signs of PTE. All patients were evaluated for clinical signs of thrombosis, biochemical indicators of renal disease, as well as clotting and thrombotic parameters. Results : RVT or related clinical symptoms were not observed in any children. Based on the findings of the lung perfusion scans, 15 patients (27.8%) were observed with as a high probability of PTE. We were able to perform a CT pulmonary angiography only on 12 patients, and 5 patients were diagnosed with PTE (prevalence 8.1%). The serum fibrinogen level in the group with PTE was significantly higher ($776.7{\pm}382.4mg/dL$, P<0.05) than that in the group without PTE, and other parameters were not significantly different between each group. Conclusion : Further studies are required for clarifying the role of renal Doppler ultrasonography for the detection of RVT in NS. Children with NS who developed non-specific respiratory symptoms should be evaluated for the diagnosis of PTE. In the management of NS, a lung perfusion scan should be performed at the time of the initial episode of NS regardless of the pulmonary symptoms, since patients having PTE are either often asymptomatic, or present with nonspecific symptoms.

Development of Wearable Electro-Stethoscope Hardware System for the Ubiquitous Healthcare (유비쿼터스 헬스케어를 위한 무구속 전자청진 하드웨어 시스템 개발)

  • Kim, Dong-Jun
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.56 no.6
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    • pp.1139-1143
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    • 2007
  • For the possible application of monitoring or diagnosing heart sounds in an ubiquitous healthcare environment. a small and light electro-stethoscope that can be attached in human body should be exploited. With this aim, this study proposes a new style of electro-stethoscope device that is composed of four hardware modules in wearable style. For this ambulatory heart sound collecting device, the several tests must be performed to check portability and material capability for collecting heart sounds. It turned out to be that the multi-channel electro-stethoscope can detect heart sound signals well even if it is not pinpointed in the accurate stethoscope point on a heart. Consequently, our ambulatory electro-stethoscope hardware system can be applied to monitor or diagnose abnormal heart sounds in the ubiquitous healthcare system.

Regional Disparities and Balanced Development Strategy in North Korea (북한의 지역격차와 균형개발전략)

  • 이재하
    • Journal of the Korean Geographical Society
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    • v.35 no.1
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    • pp.77-93
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    • 2000
  • 본 연구는 북한의 지역격차를 분석하고, 상대적으로 낙후된 지역에 대한 개발전략으로서, 북한의 경제발전을 위해 확대.설치가 불가피한 경제특구와 연계하여 지역균형개발전략을 모색해 보았다. 북한의 지역간 인구성장 분석에 의하면, 북한은 지역균형개발정책에도 불구하고, 종주도시 평양과 여타 지역간에 극심한 지역격차를 보이고 있다. 따라서 앞으로 경제특구는 낙후된 지역 즉, 평양을 제외한 여타 지역에 고르게 입지하는 전략이 요구된다는 점을 가조하였다. 그리고 경제특구는 북한의 보유자원 관점에서 노동집약적인 가공공업형 경제특구와 관광형 경제특구로 나누어 추진되는 것이 바람직하며, 입지 후보지로는 신의주.남포.해주.청진.김책.함흥.원산 등의 지구는 가공공업형 경제특구로, 금강산.백두산.묘향산 등의 지구는 관광형 경제특구로 적합하다고 제안하였다.

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The Characteristics of North Korean Regional System and South-North Regional Integration (북한 지역체계의 특징과 남북한 지역통합)

  • 고성호
    • Korea journal of population studies
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    • v.22 no.1
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    • pp.65-91
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    • 1999
  • 이 연구의 목적은 북한 지역체계의 특징을 이해하고, 남북한 국토공간을 하나의 기능적 단위로 통합할 수 있는 방안을 모색하는데 있다. 북한의 지역체계는 도시간 분화, 상호의존, 그리고 대도시 지배를 주요내용으로 하였으며, 자료의 제한으로 인하여 탐색적 차원에서 연구를 진행하였다. 북한의 지역체계는 개성-평양-신의주를 연결하는 서부축, 원산-청진 -나진·선봉을 연결하는 동해안축, 그리고 희천-강계-만포를 연결하는 내륙축으로 구성되어 있는 것으로 보인다. 북한의 도시는 서부지역 도시를 제외하고는 분화의 정도가 상대적으로 낮고, 도시간 상호의존도 또한 낮은 것으로 보인다. 다만 북한의 경우도 평양이 종주도시화 되었으며, 수위도시인 평양이 북한 전역의 도시를 직접 통제·조정하는 것으로 보인다. 이는 북한이 고도의 중앙집권적 사회주의 경제체제라는 점 그리고 '자족적' 도시발달을 추구하였다는 점과 부합된다. 이 연구에서는 균형성(통합성), 대외연계성, 그리고 효율성을 원칙으로 남북한 지역의 기능적 통합 방안을 단계적으로 제시하였다 중단기적으로 북한의 동해안축을 연결시키며, 장기적으로는 남한의 동해안축을 개발하여 국토공간의 균형적 발달을 도모하는 것이 바람직하다고 본다.

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A Study on Stethoscope Signal Analysis for Normal and Heart-diseased Children (정상 및 심질환 소아의 청진음 분석에 관한 연구)

  • Kim, Dong-Jun
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.66 no.4
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    • pp.715-720
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    • 2017
  • This study tries to analyze morphology and formant frequencies of linear prediction spectra of stethoscope sounds for heart diseased children. For this object, heart diseased stethoscope sounds were collected in the pediatrics of an university hospital. The collected signals were preprocessed and analyzed by the Burg algorithm, a kind of linear prediction analysis. The linear prediction spectra and the formant frequencies of the spectra for the stethoscope sounds for the normal and the diseased children are estimated and compared. The spectra showed outstanding differences in morphology and formant frequencies between the normal and the diseased children. Normal children showed relatively low frequency of F1(the first formant) and small negative slope from F1. VSD children revealed stiff slope change around F1 to F3. Spectra of ASD children is similar with the normal case, but have negative values of F3. F1-F2 difference of the functional murmur children were relatively large.

Species Identification for Excavated Wooden Shoes in the 12~16 Chungjin District of Jongno (종로 청진 12~16지구 출토 나막신의 수종분석)

  • Oh, Jung-Ae;Park, Jung Min;Kim, Byung-Ro
    • Journal of the Korea Furniture Society
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    • v.26 no.2
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    • pp.163-170
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    • 2015
  • This study was conducted to identify wood species for 51 excavated wooden shoes in the 12~16 Chungjin district of Jongno. Wood species of 31 Pinus sp., 12 Torreya nucifera S. et Z., 4 Ginkgo biloba L., 2 Salix sp., 1 Kalopanax pictus (Thunb.) Nakai. and 1 Morus sp. were identified. Wood used for wooden shoes was a species that can be mainly obtained easily around. Among them, Torreya nucifera S. et Z. grows in warm temperate zone of Korea, which shows that interregional cooperation has occurred.

Cardiac Disorder Classification Using Heart Sounds Acquired by a Wireless Electronic Stethoscope (무선 전자청진 심음을 이용한 심장질환 분류)

  • Kwak, Chul;Lee, Yun-Kyung;Kwon, Oh-Wook
    • Proceedings of the KIEE Conference
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    • 2007.10a
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    • pp.101-102
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    • 2007
  • Heart diseases are critical and should be detected as soon as possible. A stethoscope is a simple device to find cardiac disorder but requires keen experiences in heart sounds. We evaluate a cardiac disorder classifier by using heart sounds recorded by a digital wireless stethoscope developed in this work. The classifier uses hidden Markov models with circular state transition to model the heart sounds. We train the classifier using two kinds of data: One recorded by using our stethoscope and the other sampled from a clean heart sound database. In classification experiments using 165 sound clips, the classifier shows the classification accuracy of 82% in classifying 6 cardiac disorder categories.

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An Electronic Auscultation System Design using a Polymer Based Adherent Differential Output Sensor (Polymer based adherent differential output sensor를 이용한 전자 청진 시스템 설계)

  • 한철규;고성택;최민주
    • Journal of the Institute of Convergence Signal Processing
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    • v.2 no.1
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    • pp.108-112
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    • 2001
  • Heart sound contains rich information regarding the dynamics of the heart and the auscultation has been a first choice of routine procedures for diagnosis of the heart. However, heart sounds captured using a conventional stethoscope are not often loud or clear enough for doctors to precisely classify their characteristics, especially, under the noisy environments of the hospital. A simple auscultation device that removed shortcomings of the conventional stethoscope was constructed in the study. The device employed a polymer based adherent differential output sensor which was on contact with skin through a coupling medium and appropriated electronic circuits for signal amplification and conditioning An ordinary headphone is taken to hear the captured heart sounds and the volume can be adjusted to hear well. It is also possible that the device sends the captured heart sound signals to a PC where the signals are further processed and viualized.

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The Study on Organic Hardners for Gelatin of Photographic Emulsion (사진유제용 Gelatin의 유기경화제에 관한 연구 (I))

  • 청진쑹
    • Journal of the Korean Graphic Arts Communication Society
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    • v.1 no.1
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    • pp.69-75
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    • 1983
  • Among the gelatin hardness for photographic emulsion, the formal dehyde , dialdehydes, n-Methylol compounds, ketonea, carbonylic acid and carbamic acid derivatives, and s-Triazine derivatives were studied. The greater purts of hardeners formed cross-link by the reaction with ${\varepsilon}$-Amino group in the lysine and OH group in the hydroxylysine. Glutaraldehyde produced most stable cross-link due to the formation of pyridinum ion. 2.5 hexanedione and 3-hexone-2.5-dione possible to use as the ketone hardner . The sodium salt of 2.4-dichloro-6-hydroxy-S-Triazine was newly developed as the olefinic hardners for emulsion.lsion.

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The Applications of an Evolutionary Acquisition Strategy to Defense R&D Programs (국방연구개발의 진화적 획득전략 적용방안)

  • Jung, Chung Jin;Kwon, Yong Soo
    • Journal of the Korean Society of Systems Engineering
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    • v.3 no.1
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    • pp.9-15
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    • 2007
  • An EA(Evolutionary Acquisition) strategy is based on the systems engineering. It is a preferred approach to provide operationally useful capabilities to the warfighter much more quickly than single-step to full capability strategy. Recently, DoD is trying to apply the acquisition process based on the systems engineering. In spite of these trends, efforts of domestic defense acquisition society to this strategy are insufficient. Although an EA strategy has many benefits, there are many constraints to apply it. This study analyzes these constraints and presents applications of the EA strategy to defense R&D programs.

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