Kapil D. Jamwal;Rajesh K. Padhan;Atul Sharma;Manoj K. Sharma
Clinical Endoscopy
/
v.56
no.1
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pp.65-74
/
2023
Background/Aims: Gastric varices (GV) are present in 25% of cirrhotic patients with high rates of rebleeding and mortality. Data on endoscopic ultrasound (EUS)-guided treatment in severe liver disease (model for end stage liver disease sodium [MELD-Na] >18 and Child-Turcotte-Pugh [CTP] C with GV) are scarce. Thus, we performed a retrospective comparison of endoscopic glue injection with EUS-guided therapy in cirrhotic patients with large GV. Methods: A retrospective study was performed in the tertiary hospitals of India. A total of 80 patients were recruited. The inclusion criteria were gastroesophageal varices type 2, isolated gastric varices type 1, bleeding within 6 weeks, size of GV >10 mm, and a MELD-Na >18. Treatment outcomes and complications of endoscopic glue injection and EUS-guided GV therapy were compared. Results: In this study, the patients' age, sex, liver disease severity (CTP, MELD-Na) and clinical parameters were comparable. The median number of procedures, injected glue volume, complications, and GV obturation were better in the EUS group, respectively. On subgroup analysis of the EUS method (e.g., direct gastric fundus vs. paragastric collateral [PGC] coil placement), PGC coil placement showed decreased coil requirement, less injected glue volume, decreased luminal coil extrusion, and increased successful GV obturation. Conclusions: EUS-guided treatment is more efficient and safer, and requires a smaller number of treatment sessions, as compared to endoscopic treatment in severe liver disease patients with large GV. Furthermore, PGC coil placement increases the complete obliteration of GV.
Journal of the korean academy of Pediatric Dentistry
/
v.51
no.3
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pp.220-228
/
2024
In clinical pediatric dentistry, a base material with optical properties, including transparency, that can mask the color of the material used for root canal-filling is preferred. This study aimed to examine the optical properties of various base materials by thickness. The disk-shaped specimens were photopolymerized and fabricated using Ionosit (IN), TheraCal LC (TL), TheraCal PT (PT), and A2 shade of FiltekTM Supreme Flowable Restorative (FZ), Fuji II LC (FL), and KetacTM Fil (KF) with 1 and 2 mm thickness. The color parameters of these specimens were measured using a spectrophotometer on a black and white background and were measured using the same method on a mold containing Vitapex® and gutta-percha. The translucency parameter (TP) and color difference were calculated for each group. The Kruskal-Wallis and Bonferroni tests were used in the statistical analyses. The TP decreased when the thickness was 2 mm compared with 1 mm. The TP values of TL and PT were the lowest at all thicknesses. The TP values of 2 mm thickness in all molds filled with Vitapex® and gutta-percha were the lowest for TL, PT, KF, and IN. In TL and PT, the color difference before and after the application of the canal-filling material was the smallest, regardless of material thickness. Within the limits of this in vitro study, TL, PT, KF, and IN demonstrated better masking of the color of canal-filling material.
Objective: The aim of this study is to analyze the change characteristics of boys among the ages of 13 and 18 years. This study is based on the $4^{th}$ to the $6^{th}$ national anthropometric survey(Size Korea) data. Background: Many changes can affect the body characteristics compared withthe past. The significant changes were shown in Pepsi generation according to the report of national anthropometric survey of Korea 1997. Method: The subjects of the survey were 1,899 boys of the $4^{th}$ Size Korea, 1,587 boys of the $5^{th}$Size Korea and 2,317 boys of the $6^{th}$ Size Korea, who were from 13 to 18 years old. The change characteristics were analyzed withanthropometric measurements, height index value and proportion. Results: Stature was increased in 17~18 years old age group of the $5^{th}$ and the $6^{th}$ Size Korea and height items of the lower body showed the tendency to increase as the $6^{th}$ Size Korea over the time. In the case of circumference items, the tendency to increase in the $5^{th}$ and the $6^{th}$ Size Korea was observed. If the $5^{th}$ and the $6^{th}$ Size Korea were compared, there were no changes of other circumference items but chest circumference of the $6^{th}$ Size Korea was decreased in comparison with the $5^{th}$ Size Korea. Waist breadth(natural indentation) was increased in the $6^{th}$ Size Korea in spite of chest breadth was decreased in the $5^{th}$ and the $6^{th}$ Size Korea. And shoulder length, biacromion length and bishoulder length were decreased. The proportion of chest circumference, abdominal extension circumference and hip circumference to waist circumference and the proportion of chest breadth to waist breadth(natural indentation) showed the tendency to decrease as the $6^{th}$ Size Korea over the time. Conclusion: There was no change of stature excluding 17~18 years old. Circumference items showed tendency to increase as the $6^{th}$ Size Korea over the time. Shoulder and chest breadth became narrow. The somatotype changed to board chest with narrow waist in comparison with the previous. Application: In this way, the body size of 13~18 years' old boys changes. If these change characteristics reflects to the school uniform design, research for the pattern development, and etc., these will be able to improve fit and satisfaction of clothes.
Kim, Sung Eun;Kim, Mi Ok;Park, Sun Young;Jung, Won Jo;Ma, Sang Hyeok;Kim, Yun Jung;Kim, Sun Ju
Pediatric Infection and Vaccine
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v.7
no.1
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pp.113-119
/
2000
Purpose : Rotavirus is a most common etiologic agent of pediatric gastroenteritis. The standard method to diagnose rotavirus infection was the detection of viral particles in specimens through electron microscopy. But it was complex. Enzyme immunoassay and latex agglutinin are preferred because they are relatively handy, inexpensive and take a short time, in comparison with electron microscopy. However, several reports have shown that the use of ELISA to diagnose rotavirus infection in neonates can result in false positive reactions. The main purpose of this study is to compare ELISA and RT-PCR in the diagnosis of neonatal rotavirus infection. Methods : Data presented in this study were obtained form 123 newborn babies in the nursery of the Fatima Hospital, Masan, Korea, form Jury to December, 1997. We obtained two samples of stool from each of the newborn babies and then performed the Rotazyme test and the RT-PCR. In the Rotazyme test, the results were interpreted according to visual findings. The samples were used for the RT-PCR test after at stock $-30^{\circ}C$ to identify rotavirus group A. The result of the two tests were compared. Results : The informations are divided into 73 males and females. Out of the total informations 15 were transferred from other hospitals. Their average gestational age was $38.5{\pm}1.6$ weeks. The average birth weight was $3134.8{\pm}539gm$. In the Rotazyme test, 75 samples turned out to be positive. Out of them, 55 samples(75.3%) were positive and 18 samples(24.7%) were negative in the RT-PCR. On the other hand, in the Rotazyme test, 50 samples turned out be negative. Out of them, 27 samples(54%) were positive and 23 samples(46%) were negative in the RT-PCR. Conclusion : Rotavirus infection in uncommon in neonates. The diagnosis based on visual findings using Rotazyme test has a disadvantage in the sense that it can result in false positive reactions and false negative reactions in the diagnosis of neonatal rotavirus infection.
Background: This study aimed to analyze the on heart rate, blood lactate concentration, packed cell volume (PCV) and hemoglobin (Hb) response after conducting exercise in endurance horses. Methods: A total of 20 healthy 3-9-years-old Jeju crossbreed mares ($5.95{\pm}2.24$ year) of age and $312.65{\pm}13.59kg$ of weight) currently participating the endurance competition were used. The field tests selected for the experiment was gallop (approximately 8.3 m/s) along the selected 2.5 km course (a natural forest trail, not artificial road; a closed loop course). The horses were divided into three groups according to their age; 3-4 years of age (G1, $3.29{\pm}0.49$ year), 6-7 years of age (G2, $6.42{\pm}0.53$), and 8-9 years of age (G3, $8.50{\pm}0.55$). The measurements times for the heart rate, blood lactate concentration, PCV, and Hb analysis were conducted before exercise (T0), shortly after exercise (T1), 15 min after exercise (T2), and 30 min after exercise (T3), respectively. Data was analyzed using an analysis of covariance (ANCOVA) for repeated measures with times and groups. Results: The results of the comparison depending on the passage of rest time after exercise suggest that the heart rate and blood lactate concentration of three groups at T2 significantly decreased compared to T1 (p < 0.001). PCV of the G2 and G3 groups were significantly decreased at T2 compared to T1 (p < 0.01). Hb values at G2 (p < 0.01) and G3 (p < 0.001) groups were significantly decreased at T2 as compared to T1. However, heart rate, blood lactate concentration, PCV and Hb level at T1 showed no difference in the comparison of horses from different age groups with the exception of G3 group in terms of heart rate. Conclusion: The physiologic and hematological responses of horses during recovery time after 2,500 m exercise with gallop were no significant difference among the groups. These data are useful as a response evaluation method for training of endurance horses.
Bivalves collected by a dredge in Yeongil Bay of Gyeongsangbuk-Do Province, Korea in May, 2010 and August, 2010 were 2 species including Dostinorbis japonicus and Scapharca broughtonii. The total abundance of bivalves were 1,703 inds. and 140.9 kg. Among them, the abundance of D. japonicus were 1,198 inds. and 76.1 kg. And the abundance of S. broughtonii were 505 inds. and 64.8 kg. The shell length by bivalves species were 25.76-67.88 mm (mean, 58.08 mm) in D. japonicus and 46.82-113.74 mm (mean, 76.86 mm) in S. broughtonii consisting mainly of recruitment group. By regional abundance comparison, the bivalves abundance collected in the outside harbor was 1,332 inds. and 105.4 kg, which was much more than that of the inside harbor indicating 371 inds. and 35.5 kg. In terms of size, the bivalves collected in the outside harbor were 49.49-67.88 mm (mean, 58.47 mm) in D. japonicus and 48.21-113.74 mm (mean, 77.48 mm) in S. broughtonii, which were larger than those of the inside harbor. The yearly biomass of the main commercial target species, S. broughtonii by swept area method (SAM) was estimated up to 242.1 tons. However, considering the regional differences of bivalves between the inside harbor and the outside harbor by abundance and size comparison, it might have been overfished to bivalves in the inside harbor.
This study was carried out to analyze vegetation and soil characteristic, and ordination of subalpine forest vegetation of Daecheongbong area, Mt. Seorak. Communities by characteristic in species composition of subalpine forest were classified into Rhododendron mucronulatum var. ciliatum - Betula ermani community group, Pinus pumila, Abies nephrolepis, Thuja koraiensis, and Rhododendron mucronulatum var. ciliatum - Betula ermanii typical community. The results of the correlation between forest communitie sand soil conditions of Daecheongbong area by DCCA ordination method are as follows: The Pinus pumila community and Thuja koraiensis community were mainly found in the high percentage area of total nitrogen, available phosphorous, organic matter in comparison with Abies nephrolepis community and Rhododendron mucronulatum var. ciliatum - Betula ermanii typical community. The Abies nephrolepis community and Rhododendron mucronulatum var. ciliatum - Betula ermanii typical community were mainly found in the high elevation area in comparison with Pinus pumila community and Thuja koraiensis community. The Pinus pumila community and Thuja koraiensis community were mainly found in the northern and northwestern direction, but Abies nephrolepis community and Rhododendron mucronulatum var. ciliatum - Betula ermanii typical community were mainly found in the southwestern direction.
Environment has formed characters of one society and the society has formed its characteristic cultural behaviors. Oppositely cultural behaviors make the characteristic products like environment and space products. It gives the idea that we can create cultural space by examining cultural characteristics. This research bases on the 5 cultural dimensions of Geert Hofstede to inspect cultural quality of Korea and the 10 cultural factors of Edward. T. Hall in order not to omit some part of cultural characters. From April 2004, KTX which is originated from TGV of France began toroll in Korea. It is interesting that the same interior of train is used by two different cultures. The method to find out the special quality of transportation culture of Korea passed 5 steps like following; 1) making a questionnaire to understand general concepts 2) observation to make dear what are the special behaviors in the interior of train 3) comparison valuation with marking sheet of the interiors of KTX and HSR in order to find out which space Korean people prefer 4) comparison of behaviors in the interior of KTX and TGV 5) Interviewing and surveying the opinions of passengers of KTX. With these methods it would be possible to seek out the characters, preferencesand needs for the interior space of train. There were remarkable things like following 1) importance of privacy from the other's eyes 2) seriousness of individual seat because of the short term transportation 3) necessity of continuous information because of 'Uncertainty Avoidance Culture' 4) absence of moving 5) requirement of bright and comfortable interior like one's inner room 6) preference to take a seat as a group with their friends or family due to 'Collective Culture' 7) self-defense and self-protection of one's baggage because of 'Uncertainty Avoidance Culture'. With these discoveries this research suggests guidelines to design interior of train of Korea.
Statement of problem: Titanium and its alloy, with their excellent bio-compatibility and above average resistance to corrosion, have been widely used in the field of dentistry. However, the excessive oxidization of titanium which occurs during the process of firing on porcelain makes the bonding of titanium and porcelain more difficult than that of the conventional metal-porcelain bonding. To solve this problem related to titanium-porcelain bonding, several methods which modify the surfaces, coat the surfaces of titanium with various pure metals and ceramics, to enable the porcelain adhesive by limiting the diffusion of oxygen and forming the adhesive oxides surfaces, have been investigated. Purpose: The purpose of this study was to know whether the titanium-porcelain bonding strength could be enhanced by treating the titanium surface with gold and TiN followed by fabrication of clinically applicable porcelain-fused-to-titanium crown Material and method: The porcelain-fused-to-titanium crown was fabricated after sandblasting the surface of the casting titanium coping with $Al_2O_3$ and treating the surface with gold and TiN coating followed by condensation and firing of ultra-low fusing porcelain. To compare with porcelain-fused-to-titanium crowns, porcelain-fused-to-gold crowns were fabricated and used as control groups. The bonding strengths of porcelain-fused-to-gold crowns and porcelain-fused-totitanium crowns were set for comparison when the porcelain was fractured on purpose to get the experimental value of fracture strength. Then, the surface were examined by SEM and each fracturing pattern were compared with each other Result:Those results are as follows. 1. The highest value of fracture strength of porcelain-fused-to-titanium crowns was in the order of group with gold coating, group with TiN coating, group with $Al_2O_3$ sandblasting. No statistically significant difference was found among the three (P>.05). 2. The porcelain-fused-to-gold crowns showed the highest value in bonding strength. The bonding strength of crowns porcelain-fused-to-titanium crowns of rest groups showed bonding strength reaching only 85%-94% of that of PFG, though simple comparision seemed unacceptable due to the difference in materials used. 3. The fracturing patterns between metal and porcelain showed mixed type of failure behavior including cohesive failure and adhesive failure as a similar patterns by examination with the naked eye and SEM. But porcelain-fused-to-gold crowns showed high incidence of adhesive failure and porcelain-fused-to-titanium crowns showed high incidence of cohesive failure. Conclusion: Above results proved that when fabricating porcelain-fused-to-titanium crowns, treating casting titanium surface with gold or TiN was able to enhance the bonding strength between titanium and porcelain. Mean value of masticatory force was found to showed clinically acceptable values in porcelain bonding strength in all three groups. However, more experimental studies and evaluations should be done in order to get better porcelain bonding strength and various surface coating methods that can be applied on titanium surface with ease.
Purpose : Suprapubic aspiration(SPA) has been considered the "gold standard" for obtaining urine in non-toilet trained infants. Ultrasound(US)-guided SPA improves the success rate of the procedure and reduces the complications. However, many physicians perceive SPA as invasive and prefer the use of urethral catheterization (Ucat). We compared the success rate, complications and accuracy of US-guided SPA and Ucat. Methods : 121 infants who visited Ewha Womans University Mokdong Hospital with suspected urinary tract infection(UTI) were investigated. For the first study, the study infants were randomly assigned to either the US-guided SPA(n=32) or Ucat(n=32) groups. The success rate and complications of both procedures were compared. For the second study, US-guided SPA and Ucat were performed simultaneously(n=57). The accuracy of urethral catheterization was subsequently analyzed. The criteria for success was defined as the collection of more than 0.5 mL of urine. UTI was diagnosed by the presence of uropathogens over 105 colony-forming units (CFU)/mL. Results : The overall success rate of the US-guided SPA was 96.9%(71.9% in first attempts, 25.0% in second attempts) which was not significantly different compared to 96.9%(90.6% in first attempts, 6.3% in second attempts) in the Ucat(P>0.05) group. The aspirated urine volume was $7.4{\pm}3.7mL$ in the US-guided SPA group, which was not significantly different to $4.5{\pm}2.6mL$ in the Ucat(P>0.05) group. The accuracy of Ucat in comparison to the US guided SPA was low with sensitivity 59.5%, specificity 86.6%, false-positive rate 13.3% and false-negative rate 40.5%. Conclusion : US-guided SPA should be encouraged as the best method to collect the urine in non-toilet trained infants with UTI.
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