• Title/Summary/Keyword: 평균 지체

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CLINICAL CHARACTERISTICS OF CHILD & ADOLESCENT IMPATIENT WITH SEVERE ATTENTION DEFICIT/HYPERACTIVITY DISORDER AT A CENTER (일 병원에 심한 주의력결핍/과잉운동장애로 입원한 소아청소년의 임상특성)

  • Lee, Chang-Hun;Park, Sunny;Jhin, Hea-Kyung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.2
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    • pp.270-278
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    • 2005
  • Objectives : This study is to understand the clinical characteristics and course of inpatient severe ADHD. Methods : This study retrospectively investigated the chief complaints, history, demographics, neuropsychologic test, psychosocial status of 63 (male 58, female 5) inpatients from a single center with severe attention deficit/hyperactivity disorder(ADHD) during January 1, 1996 to October 31, 2002. Results : The patients with inpatient severe ADHD revealed a male to female ratio of 11.6 : 1 and the average age of onset was 5.3 years(63.6 months, SD 24.3 months) . Comorbidities were noted in 56/63 $(88.9\%)$ patients with the following frequencies : comorbid conduct disorder, 35$(55.6\%)$, mental retardation (MR), 24$(38.1\%)$, mood disorder, 5$(7.9\%)$, tic and Tourette's disorder, 4$(6.4\%)$, oppositional defiant disorder, 4$(5.0\%)$. Chief complaints for admission related to ADHD in 23$(36.5\%)$ patients while 37$(58.7\%)$ patients admitted due to symptoms associated to conduct disorder (CD). The mean onset age of comorbid delinquency was 9.0 years (108.2 months, SD28.8 months), and the average interval between onsets of ADHD and delinquency was 3.6 years (42.9 months, SD32.0 months). Patients who showed early delinquency tended to have an earlier onset of ADHD (p<0.05). Conclusion : The demographics, natural course, and psychosocial factors of hospitalized ADHD patients were similar to prior studies of ADHD in the general population. The onset of age was 5.3 years, and the onset of comorbid delinquency was 9.0 years. The earlier symptoms of ADHD manifested, the earlier delinquency appeared. Most patients were admitted due to chief complaints related to CD. Comorbidities, most of which were CD, were seen in $88.9\%$ of the patients.

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The Efficacy of Speech and Language Therapy for Children with Speech and Language Delays according to the Eiologies (말 언어 지연을 보인 소아에서 원인에 따른 말 언어 치료의 효과)

  • Kim, June Bum;Suh, Jin-Soon;Kim, Young-Hoon;Chung, Seung-Yun;Lee, In-Goo;Whang, Kyung-Tai;Lee, Byung-Churl
    • Clinical and Experimental Pediatrics
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    • v.48 no.9
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    • pp.924-928
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    • 2005
  • Purpose : Treatment efficacy for children with speech and language delay has been the subject of considerable debate in recent years. We evaluated the clinical features of children with delayed speech and language and their prognoses according to their etiologies after 6 months of speech and language therapy. Methods : From January, 2000 to March, 2004, we retrospectively reviewed 56 children with speech and language delay who were administered speech and language therapy for 6 months in Uijongbu St. Mary's Hospital. Results : Of 56 cases, the proportion of developmental language disorder was 66.1 percent, structural malformation 19.6 percent, mental retardation 12.5 percent, hearing defect 1.8 percent. The ratio of male to female was 4.6 : 1 and the most frequent age group was over 47 months. The mean age of first spontaneous words with useful meaning was 15.9 months. The mean gestational age of the subjects was 39.8 weeks. The proportion of full-term infants was 96.4 percent and of premature infants was 3.6 percent. As for the birth order, the proportion of the first baby was 51.8 percent, the one of second babies it was 42.9 percent, and percent of third babies it was 7.1 percent. After 6 months of language intervention, 32.4 percent of patients with developmental language disorder showed normal linguistic development. All the patients with mental retardation showed sustained language and speech delay. As for the patients with structural malformations, five out of 11 patients showed normal linguistic development. Conclusion : The relatively advanced old age of majority of participants in this study suggests the necessity of screening test for language delay in this local community.

Clinical and Laboratory Features of Korean Mucopolysaccharidoses (MPSs) (한국 뮤코 다당체 침착증 환자에 대한 임상적 고찰)

  • Sohn, Woo Yun;Lee, Jee Hyun;Paik, Kyung Hoon;Kwon, Eun Kyoung;Kim, Ahn Hee;Jin, Dong Kyu
    • Clinical and Experimental Pediatrics
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    • v.48 no.10
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    • pp.1132-1138
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    • 2005
  • Purpose : The mucopolysaccharidoses (MPSs) are a heterogeneous group of lysosomal storage disorders. They are caused by a deficiency of the enzymes involved in the degradation of glycosaminoglycans. Early recognition is important because recombinant enzyme replacement therapy is now available for MPS. We studied the clinical characteristics of 80 MPS children with the object of determining the epidemiological, clinical and radiological features in Korean MPS children. Methods : Diagnosis of MPS was confirmed by skin fibroblast enzyme analysis in 80 patients between February 1995 and December 2004. Charts were retrospectively reviewed for clinical and radiological findings, as well as for intelligence and speech evaluations. Results : Hunter syndrome (MPS type II) was the most prevalent type, appearing in 51/80 cases (64 %), followed by Sanfilippo syndrome (MPS III-18%), Hurler syndrome (MPS I-15%), and Morquio syndrome (MPS IV-4%). The average age at diagnosis was 5.5 years (range 1 to 20), and the male-to-female ratio was 4.7 : 1. Typical radiographic changes were observed in 45/54 cases (83%). Mitral regurgitation was the most common cardiac defect. Moderate to profound mental retardation and hearing loss were present in 14/35 cases (56%) and 33/38 cases (82%), respectively. Four MPS II patients had bone marrow transplantation, with mixed outcomes. Five MPS I patients are currently on enzyme replacement therapy. Conclusion : Our study showed a high proportion of MPS II cases (64%), which may represent population variability. By studying the clinical features of these patients, we hope to alert pediatricians of the warning signs of MPS.

Evaluating the Accuracy of Spatial Interpolators for Estimating Land Price (지가 추정을 위한 공간내삽법의 정확성 평가)

  • JUN, Byong-Woon
    • Journal of the Korean Association of Geographic Information Studies
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    • v.20 no.3
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    • pp.125-140
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    • 2017
  • Until recently, regression based spatial interpolation methods and Kriging based spatial interpolation methods have been largely used to estimate land price or housing price, but less attention has been paid on comparing the performance of these spatial interpolation methods. In this regard, this research applied regression based spatial interpolators and Kriging based spatial interpolators for estimating the land prices in Dalseo-gu, Daegu metropolitan city and evaluated the accuracy of eight spatial interpolators. OLS, SLM, SEM, and GWR were used as regression based spatial interpolators while SK, OK, UK, and CK were employed as Kriging based spatial interpolators. The global accuracy was statistically evaluated by RMSE, adjusted RMSE, and COD. The relative accuracy was visually compared by three-dimensional residual error map and scatterplot. Results from statistical and visual analyses indicate that GWR reflecting the spatial non-stationarity was a relatively more accurate spatial predictor to estimate land prices in the study area than SAR and Kriging based spatial interpolators considering the spatial dependence. The findings from this research will contribute to the secondary research into analyzing the urban spatial structure with land prices.

Evaluating of Risk Order for Urban Road by User Cost Analysis (사용자비용분석을 통한 간선도로 위험순위 산정에 관한 연구)

  • Park, Jung-Ha;Park, Tae-Hoon;Im, Jong-Moon;Park, Je-Jin;Yoon, Pan;Ha, Tae-Jun
    • Journal of Korean Society of Transportation
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    • v.23 no.7 s.85
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    • pp.77-86
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    • 2005
  • Level of service(LOS) is a quantify measure describing operational conditions within a traffic stream, generally, in terms of such service measures as speed, travel time, freedom to measures, traffic interruptions, comfort and convenience. The LOS is leveled by highway facilities according to measure of effectiveness(MOE) and then used to evaluate performance capacity. The current evaluation of a urban road is performed by only a aspect of traffic operation without any concepts of safety. Therefore, this paper presents a method for evaluation of risk order for urban road with new MOE, user cost analysis, considering both smooth traffic operation(congestion) and traffic safety(accident). The user coat is included traffic accident cast by traffic safety and traffic congestion cost by traffic operation. First of all, a number of traffic accident and accident rate by highway geometric is inferred from urban road traffic accident prediction model (Poul Greibe(2001)) Secondly, a user cost is inferred as traffic accident cast and traffic congestion cost is putting together. Thirdly, a method for evaluation of a urban road is inferred by user cost analysis. Fourthly a accident rate by segment predict with traffic accidents and data related to the accidents in $1996{\sim}1998$ on 11 urban road segments, Gwang-Ju, predicted accident rate. Traffic accident cost predict using predicted accident rate, and, traffic congestion cost predict using predicted average traffic speed(KHCM). Fifthly, a risk order are presented by predicted user cost at each segment in urban roads. Finally, it si compared and evaluated that LOS of 11 urban road segments, Gwang-Ju, by only a aspect of traffic operation without any concepts of safety and risk order by a method for evaluation of urban road in this paper.

Analysis of Hydrological Drought Considering MSWSI and Precipitation (MSWSI와 강수인자를 고려한 수문학적 가뭄 분석)

  • Jeong, Min-Su;Lee, Chul-Hee;Lee, Joo-Heon;Hong, Il-Pyo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.668-678
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    • 2017
  • In this study, the hydrological and meteorological drought index with precipitation as a major factor were calculated, and various analyses of hydrological drought were conducted. The Modified Surface Water Supply Index (MSWSI) was applied to the hydrological drought index and Standardize Precipitation Index (SPI) was used to estimate the meteorological drought index. The target area for the estimation is the dam area among MSWSI categories. The 4001 basin with 43 years data from 1975 to 2017 was analyzed for the drought occurrence status and time series plotted with the monthly SPI and MSWSI. For the dam watershed based on the precipitation that has the role of a water supply in the hydrological cycle, correlation analysis of precipitation, dam inflow, and stream flow was performed by the monthly and moving average (2~9 months), and the correlation between meteorological and hydrological index by monthly and moving average (3, 6 months) was then calculated. The result of multifaced analysis of the hydrological drought index and meteorological drought index is believed to be useful in developing water policy.

Flood Simulation with the Variation of Runoff Coefficient in Tank Model (탱크모형의 流出孔 乘數 변화를 고려한 홍수모의)

  • Lee, Sang-Ho
    • Journal of Korea Water Resources Association
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    • v.31 no.1
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    • pp.3-12
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    • 1998
  • Rainfall intensity under storms affects peak discharge or its time of occurrence in watershed runoff. Thus, it is reasonable to reflect the effect on the parameters of rainfall-runoff models or the governing equations of the models. This paper relates the change of the runoff coefficient of the first tank in tank model to rainfall intensity under storms. The standard four tanks have made the basic structure of the flood event model. and its modifications are as follows: it has two equal runoff coefficients in the first tank: the runoffs from first and second tanks produce delayed response through a simple delaying parameter. Applying the event simulation model to flood data from Naerinchon. runoff coefficients were estimated and their relation to rainfall intensity was analyzed. The results showed the Weak relation of the two factors. The trend of the two was fitted with the equation a1=kI$. where a1is the runoff coefficient of the first tank: I is rainfall intensity; k and m are fitting coefficients. In the verification. the model used moving averages for the calculation of I(t). If the value I(t) gave more greater value of a1(t) than that of previous time(t-1). the flood simulation was performed again from the beginning with the updated greater value of a1. The reflection of rainfall intensity on the runoff coefficient showed far better results than that of a fixed parameter.

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A Study on the Crustal Structure of the Southern Korean Peninsula through Gravity Analysis (중력자료분석을 통한 한반도 지각구조에 관한 연구)

  • Kwon, Byung Doo;Yang, Su Yeong
    • Economic and Environmental Geology
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    • v.18 no.4
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    • pp.309-320
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    • 1985
  • The crustal structure of the southern part of the Korean peninsula has been investigated based on the results of processing and anlaysis of gravity data. The processing techniques involve i) seperation of regional and residual anomalies by polynomial fittings, ii) power spectral analyses to determine the mean depth to the crustal base, iii) a filtering operation called "high-cut filtering and resampling," and iv) downward continuation to determine the undulation of the crustal base. The Bouguer anomalies show a lineation in the NE-SW direction which is the same as that of most mountains and tectonic lines of this area. The mean crustal depth is found to be 34km. The depth of the crustal base is varying in the estimated range of 26km to 36km with a thinner crust below the east coast than that of the west coast. The relief of the crustal base is appeared to be correlated with the regional surface topography. The linear regression relations computed between elevations and gravity anomalies indicate that the crust of this area seems to be not in perfect isostatic equilibrium but a little undercompensated state.

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Investigation of the fate of inorganic nitrogens in the near field of bank filtration site (강둑여과지 주변의 밭에 살포된 무기질소의 거동 연구)

  • 공인철;배진희;안호준;권오억;김승현;이철희;박영규
    • Journal of Korea Soil Environment Society
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    • v.3 no.1
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    • pp.11-20
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    • 1998
  • Inorganic nitrogens resulting from fertilizers are possible contaminants of bank-filtered ground water, which is an alternative source of safe drinking water. We conducted a laboratory study to determine the fate of inorganic nitrogens in the near field of bank filtration sites and we consequently illustrated the effects of these possible contaminants on the water quailty of bank filtration. Soil properties were found to be well equivalent to those of other cultivated field soils in Korea. Surface soil pH was about 4.3 which is slightly lower than average level. Overall, diverse concentrations of $NO_3$-N and $NH_3$-N were measured, and $NO_2$-N was nearly undetected. $NH_3$-N level in the field decreased, while $NO_3$-N increased along with increasing depth of unsaturated zone. Numbers of viable and nitrifying bacteria ranged from 6.73$\times$$10^{6}$to 10.7$\times$$10^{6}$ and 0.44$\times$$10^{4}$ to 5.21$\times$$10^{4}$ respectively, and both of them were highly correlated ($R^{2}$=0.992). Nitrifying potential assayed by batch test showed relatively lower than other reported results. The oxygen uptake potential of surface and subsurface soil was measured in the presence of ${(NH_4)_2}$$SO_4$. The results demonstrated that surface soil required shorter lag period and uptaked more oxygen than subsurface's.

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SHRIMP U-Pb Zircon Geochronology of the Guryong Group in Odesan Area, East Gyeonggi Massif, Korea: A new identification of Late Paleozoic Strata and Its Tectonic Implication (경기육괴 동부 오대산 지역의 구룡층군에 대한 SHRIMP U-Pb 저어콘 연대측정: 새로운 후기 고생대층의 인지와 지체구조적 의의)

  • Cho, Deung-Lyong
    • The Journal of the Petrological Society of Korea
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    • v.23 no.3
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    • pp.197-208
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    • 2014
  • Zircon separated from a biotite schist of the Guryong Group in Odesan area, eastern part of the Gyeonggi Massif in Korea were analysed for SHRIMP U-Pb ages. CL images display composite core-rim structures of the zircon, indicating an in-situ overgrowth of zircon through a high-grade metamorphism. The metamorphic zircon rims give a weighted mean age of $247{\pm}6Ma$. While the detrital zircon cores have zoning patterns and Th/U ratios indicative of a magmatic origin. Among 53 analyses from the cores, 46 data yield near concordant ages which are concentrated at $378{\pm}10Ma$ (n=9), $420{\pm}4Ma$ (n=6) and $1845{\pm}9Ma$ (n=18) with sporadic Neoproterozoic ($687{\pm}9Ma$) to late Archean ($2519{\pm}20Ma$) ages. The age data constraint sedimentation age of protolith of the Guryong Group, so far unknown, as late Paleozoic. The Guryong Group of this study is the first late Paleozoic strata reported from eastern Gyeonggi Massif, and its maximum depositional age (ca 378 Ma) is identical with those of the late Paleozoic strata in the southwestern Ogcheon Belt. The Triassic metamorphic age and abundant middle Paleozoic provenance (361~425 Ma) of the Guryong Group are similar with those reported from the Triassic collisional belt in central China. Thus this study indicates that the Odesan area would be an possible eastward extension of the Triassic collisional belt in central China.