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Evaluation of Clinical Usefulness of Instant Nutritional Assessment Scale for the Nutritional Status and Prognosis of Hemodialysis Patients (만성질환자의 영양상태와 예후판정에 대한 간이영양평가 도구의 유용성 평가 -혈액투석환자를 중심으로-)

  • Sohng Kyeong-Yae;Kim Myung-Ja
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.2
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    • pp.337-349
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    • 1997
  • The prognosis of maintenance hemodialysis (HD) patients is closely related to their nutritional status. It is important to develop and use of a reliable, useful and easy method of nutritional assessment scale for evaluation of nutritional status and progression of the patients. This study was initiated to evaluate the clinical usefulness of Instant Nutritional Assessment Scale(INAS) by cross-sectional and longitudinal studies. One hundred HD patients entered a continuing nutritional study and followed for 1 year. The results were as follow ; 1. 24% of patients was normal to mild, 43% was moderate and 33% was severe deficit of nutritional status. 2. The mean INAS score of the patients was 8.00(S. D.=2.83), and there didn't reveal any differences in INAS score by general characteristics. The mean transferrin score was 1.98, whih was the highest of 5 nutirtional parameters of INAS. Only 7 patients had within nomal range of transferrin concentration. 3. Within one year since this study was initiated, 10 patients died. Six of them were with severe deficit and one of them was normal to mild deficit groups. The death rate in severe deficit group was higher than that of normal to mild deficit group (P=.0640). 4. Occurrence of acute complication during HD in severe deficit guoup was higher than that of normal to mild deficit group(P=.001). 5. The number of consultation to the doctor and hospital admission in severe deficit group was higher than that of normal to mild deficit group(P=.0001). 6. INAS score was significantly correlated with occurrence of acute complications during HD and the number of consultation to the doctor. In conclusion, INAS based on the levels of body mass index, midarm circumference, triceps skinfold thickness, transferrin concentration and total lymphocyte count seems to be a reliable predictive nutritional index for prognosis. So nurses are encouraged to adopt INAS in care of the chronically illed patients. Recommendations for further research was suggested.

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New Low-Power and Small-Area Reed-Solomon Decoder (새로운 저전력 및 저면적 리드-솔로몬 복호기)

  • Baek, Jae-Hyun;SunWoo, Myung-Hoon
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.45 no.6
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    • pp.96-103
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    • 2008
  • This paper proposes a new low-power and small-area Reed-Solomon decoder. The proposed Reed-Solomon decoder using a novel simplified form of the modified Euclid's algorithm can support low-hardware complexity and low-Power consumption for Reed-Solomon decoding. The simplified modified Euclid's algorithm uses new initial conditions and polynomial computations to reduce hardware complexity, and thus, the implemented architecture consisting of 3r basic cells has the lowest hardware complexity compared with existing modified Euclid's and Berlekamp-Massey architectures. The Reed-Solomon decoder has been synthesized using the $0.18{\mu}m$ Samsung standard cell library and operates at 370MHz and its data rate supports up to 2.9Gbps. For the (255, 239, 8) RS code, the gate counts of the simplified modified Euclid's architecture and the whole decoder excluding FIFO memory are only 20,166 and 40,136, respectively. Therefore, the proposed decoder can reduce the total gate count at least 5% compared with the conventional DCME decoder.

Relationship between serum sodium level and coronary artery abnormality in Kawasaki disease

  • Park, Sora;Eun, Lucy Youngmin;Kim, Ji Hong
    • Clinical and Experimental Pediatrics
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    • v.60 no.2
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    • pp.38-44
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    • 2017
  • Purpose: Kawasaki disease (KD) is an immune-related multisystemic vasculitis that occurs in children, especially ensuing from a coronary artery abnormality. Sodium level is known to be related to vascular injury, which could affect the progress of KD. The purpose of this study was to determine the serum sodium levels that could predict the occurrence of cardiac and coronary artery events in KD. Methods: We conducted a retrospective review of medical records for 104 patients with KD from January 2015 to December 2015. Patients with serum Na levels of <135 mEq/L at the time of initial diagnosis were assigned to the hyponatremia group. Laboratory findings and echocardiographic data were analyzed for various aspects. Results: Among the 104 patients with KD, 91 were included in the study, of whom 48 (52.7%) had hyponatremia. The degree of fever, white blood cell count, percentage of neutrophils, percentage of lymphocytes, total bilirubin level, brain natriuretic peptide level, erythrocyte sedimentation rate, and C-reactive protein level were higher in the patients with hyponatremia. They also demonstrated a trend of larger coronary artery diameters based on Z scores. Conclusion: The severity of vascular inflammation in acute KD with hyponatremia might worsen the prognosis of coronary vasculature. Although no statistically significant correlation was found between the initial serum sodium levels and coronary arteriopathy in the patients with KD in this study, a long-term follow-up study with a larger number of enrolled patients should be designed in the future to elucidate the relationship between serum sodium level and coronary arteriopathy in patients with KD.

Growth and Decay of Alpha Tracks in a Large Scale Cloud Chamber after Injection of Radon

  • Wada, Shinichi;Kobayashi, Tsuneo;Katayama, Yoshiro;Iwami, Toshiaki;Kato, Tsuguhisa;Cameron, John R.
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.275-278
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    • 2002
  • The recognition of the natural background radiation is important not only for radiological education but also for the promotion of people's scientific view about radiation. We made a "room" on the web showing natural background radiation as part of a VRM (Virtual Radiation Museum). The "room" shows the video images of the tracks of charged particles from natural background radiation, alpha and beta ray track from known sources using a Large Scale Diffusion Cloud Chamber. The purpose of this study is to make clear the origin of a kind of track (named A-track) which is thick and easy to recognize with the length less than several cm in the cloud chamber, and to make numerical explanation of its counting rate. The study was carried out using a Large Scale Diffusion Cloud Chamber (Phywe, Germany) installed in the Niigata Science Museum. The Model RNC (Pylon Electronics, Canada) was used as Rn-222 source. Ra-226 activity in RNC was 111.6 Bq calibrated with NIST protocol. Rn-222 gas was injected into the cloud chamber. Continuous video recording with use of Digital Handycam (SONY, Japan) was carried out for 360 min. after injection of Rn-222 gas. The number of alpha-ray track (alpha track) in the video images was analyzed. The growth and decay curve of the total activity of Rn-222 and its alpha emitting progeny were calculated and compared with the count of the alpha tracks. As a result the alpha tracks formed by Rn-222 injection resemble A-Tracks. The relationship between A-track in the cloud chamber and atmospheric Rn is discussed.

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A microbiological Investigation of Barley Drink During Storag (보리차 저장시의 변패 및 변패미생물에 관한 연구)

  • Lee, Min-Jeong;Yoo, Yang-Ja;Kyung, Kyu-Hang
    • Korean journal of food and cookery science
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    • v.6 no.2
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    • pp.51-58
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    • 1990
  • Quality deterioration of barley drink during storage was examined by measuring viable count, titratable acidity (TA), turbidity and pH of barley drinks with or without barley particles stored at temperatures of 20, 25, 30, and 35$^{\circ}C$. Qualitative analysis of organic acids in spoiled barley drink was also performed. TA of barley drink during storage increased to 0.009, 0.0095, 0.0097 and 0.020% at 20, 25, 30 and 35$^{\circ}C$, respectively. TA reached the mixima between 7 and 10 days of storage and reduced from then on. pH values followed the exactly reverse trend of TA. The rate of bacterial spoilage of barley drinks was faster when it was stored at higher temperatures. The numbers of bacteria were in the range between 9.0${\times}10^6-8.0{\times}10^8$ cells/ml depending on the storage temperatures and the different brands. Those samples with higher bacterial growths showed higher optical densities. Volatile organic acids such as acetic, formic, propionic, isobutyric, isovaleric acids were detected in addition to ethyl alcohol. Non-volatile organic acids such as pyruvic, lactic, oxalacetic, succinic, fumaric acids were detected. Among them, acetic acids were most important in their quantities. Five different kinds of spoilage bacteria were isolated and identified as Bacillus Licheniformis, Bacillus coagulans, Badillus cirulans, Bacillus stearothermophilus and Bacillus brevis, all of which were found to form endospores.

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The Impact of Proteolytic Pork Hydrolysate on Microbial, Flavor and Free Amino Acids Compounds of Yogurt

  • Lin, Jinzhong;Hua, Baozhen;Xu, Zhiping;Li, Sha;Ma, Chengjie
    • Food Science of Animal Resources
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    • v.36 no.4
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    • pp.558-565
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    • 2016
  • The aim of this study was to investigate the influence of proteolytic pork hydrolysate (PPH) on yoghurt production by Lactobacillus delbrueckii subsp. bulgaricus and Streptococcus thermophilus. Fresh lean pork was cut into pieces and mixed with deionized water and dealt with protease, then the resulting PPH was added to milk to investigate the effects of PPH on yoghurt production. The fermentation time, the viable cell counts, the flavor, free amino acids compounds, and sensory evaluation of yoghurt were evaluated. These results showed that PPH significantly stimulated the growth and acidification of the both bacterial strains. When the content of PPH reached 5% (w/w), the increased acidifying rate occurred, which the fermentation time was one hour less than that of the control, a time saving of up to 20% compared with the control. The viable cell counts, the total free amino acids, and the scores of taste, flavor and overall acceptability in PPH-supplemented yoghurt were higher than the control. Furthermore, the contents of some characteristic flavor compounds including acids, alcohols, aldehydes, ketones and esters were richer than the control. We concluded that the constituents of PPH such as small peptide, vitamins, and minerals together to play the stimulatory roles and result in beneficial effect for the yoghurt starter cultures growth.

Setting Guidelines for ATP Bioluminescence Hygiene Monitoring of Distribution Trays in Used Children's Foodservices (어린이 급식소의 배식용기 표면에 대한 ATP(Adenosine Triphosphate) 위생 모니터링 가이드라인 설정)

  • Moon, Hye-Kyung
    • Journal of the Korean Dietetic Association
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    • v.26 no.4
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    • pp.243-253
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    • 2020
  • The purpose of this study was to set new guidelines for adenosine triphosphate (ATP) bioluminescence hygiene monitoring of distribution trays at children's foodservices. Five dietitians visited 223 foodservices (95 institutional, 128 small) to examine whether they adhered to the norms of 'Keeping distribution tray sanitary by washing/sanitizing' and 'Performing food distribution in a clean and appropriate way'. In this visit, dietitians swabbed 100 ㎠ area of the distribution trays twice, once for obtaining ATP measurements and the second time for Aerobic Plate Counts (APC) using 3M Petrifilm Plates. Chi-square test and ANOVA were applied using SPSS 23.0 software. SPSS 23.0 was used to conduct graphical and statistical analysis of the raw data of ATP measurements, which were further transformed by a Box-Cox transformation. The mean of APC from all the subjects inspected was 3.8×102±2,102.0 CFU/100 ㎠. A total of 208 (93.3%) trays were observed within the acceptable limits of APC (Pass<5.0×102 CFU/100 ㎠). APCs taken at institutional foodservices showed significantly lower levels (1.4×102±600.0 CFU/100 ㎠, P<0.01) compared to the small foodservices (5.5×102±2,718.7 CFU/100 ㎠). No significant differences were observed between the two groups in ATP measurements and in the performance rate of 2 checklist items. As against the 93.3% APC adequacy from the total subjected inspection, total ATP adequacy (Pass≤300 RLU/100 ㎠) was only 71.7%. Therefore, more practical guidelines should be prepared for the assessment of the hygiene of distribution trays. In the graphical and statistical analysis, levels below 250 RLU/100 ㎠ was considered 'Pass', while equal to or greater than 350 RLU/100 ㎠ was considered 'Fail' for distribution trays.

Biological Change by Forest Healing according to Sasang Constitution : preliminary study (사상체질별 숲치유의 생체학적 변화 : 예비연구)

  • Hong, Sun-Gi;Choi, Eun-Ju;Sun, Seung-Ho;Choi, Ga-Young;Lee, Sun-Ju;Han, In-Sik;Lee, Jae-Hun;Yoo, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.4
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    • pp.487-502
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    • 2011
  • 1. Objective This study was performed to research the biological change of forest healing according to Sasang constitution. 2. Methods Forty seven applicants are involved in this study. They were classified into three groups(Soyangin, Taeeumin, Soeumin) by QSCC II. And then they participated in forest healing program from March 26 to March 27 in 2011. We performed before and after experiment, including vital sign, electroencephalography(EEG), heart rate variability(HRV), complete blood cell count(CBC), biochemical test(BC), and stress hormones. 3. Results Men had the relaxative effect of tension. While, the group of women and Soyangin was more sensitive to sudden environmental change than the group of men or other constitutions. The tension of women and soyangin's group increased after the forest healing program. Soeumin group showed reduced diastolic blood pressure after the forest healing program. 3. Conclusions Forest healing program has shown better efficacy in relaxation in men than women, in lowering diastolic blood pressure in Soeumin group than other constitutional groups. However a single positive result within this study should be carefully interpreted.

Epidemiological Studies on Metagonimus yokoguwai Infection in Samcheok-gun, Kangwon-do, Korea (강원도 삼척군 횡천흡충 감염의 역학적 조사연구)

  • 안영겸
    • Parasites, Hosts and Diseases
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    • v.22 no.2
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    • pp.161-171
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    • 1984
  • An epidemiological study on Metagenimus yokegawai infection was performed in Samcheok-Bun, Kangwon Province during the period from November 1983 to October 1984. Formalin-ether concentration technique and Stoll's dilution egg counting method were employed to figure out the prevalence and infection intensity of M. yrtkogawai infection. The results are summarized as follow: 1. The Prevalence of M. yokogawai infection was 13.3% among 1,172 examined; 18.0% (114 out of 632) in male and 7.8% (42 out of 540) in female. 2. The Prevalence rates were different by stream; 15.5% in Ohsip-chon (stream), 11.8% in Maeup-chon and 1.6% in Gagok-chon. 3. Along the basin of Oship-chon; 8.2% at the lower reaches in Samcheok-eup, 25.9% at the middle reaches in Miro-myon and 6.2% at the upper reaches in Dogeoe-eup, respectively. 4. By age group, the highest fate (18.3∼20.2%) was observed in 30∼49 years of age (male 24.1∼28.7%, female 11.2∼13.2%). 5. By social strata, the positive rate was 15.0% (120 out of 799) in general inhabitants and 9.7% (36 out of 373) in school children. 6. Intensity by EPG count in feces was 419 in average; the light infection (less than 400 EPG) was 70.4%, moderate infection (401∼1,000 EPG) 19.4% and heavy infection (more than 1,001 EPG) 10.25 respectively. 7. All the 67 sweetfish (length 10.3∼18.5cm) which were caught from Ohsip-stream were infected with metacercariae of M. yokogawai and the number of metacercariae detected were 382 per fish in average (323 in June and 382 in September). 8. Experiences of intake of raw fresh-water fish [Plecoglossus altivelis and Leuciscus (Tribolodon〕 were present in 50.3U (354 out of 704) of the inhabitants along Ohsip-stream according to questionnaire study. The results of this survey indicated that the middle reaches of Ohsip-stream in Miro-myon, Samcheok-gun is the endemic region for M. yokogawai infection.

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High-Speed Reed-Solomon Decoder Using New Degree Computationless Modified Euclid´s Algorithm (새로운 DCME 알고리즘을 사용한 고속 Reed-Solomon 복호기)

  • 백재현;선우명훈
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.40 no.6
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    • pp.459-468
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    • 2003
  • This paper proposes a novel low-cost and high-speed Reed-Solomon (RS) decoder based on a new degree computationless modified Euclid´s (DCME) algorithm. This architecture has quite low hardware complexity compared with conventional modified Euclid´s (ME) architectures, since it can remove completely the degree computation and comparison circuits. The architecture employing a systolic away requires only the latency of 2t clock cycles to solve the key equation without initial latency. In addition, the DCME architecture using 3t+2 basic cells has regularity and scalability since it uses only one processing element. The RS decoder has been synthesized using the 0.25${\mu}{\textrm}{m}$. Faraday CMOS standard cell library and operates at 200MHz and its data rate suppots up to 1.6Gbps. For tile (255, 239, 8) RS code, the gate counts of the DCME architecture and the whole RS decoder excluding FIFO memory are only 21,760 and 42,213, respectively. The proposed RS decoder can reduce the total fate count at least 23% and the total latency at least 10% compared with conventional ME architectures.