• 제목/요약/키워드: D.O.E.

검색결과 1,636건 처리시간 0.031초

담도폐쇄증 -대한소아외과학회 회원 대상 전국 조사- (Biliary Atresia -A Survey by the Korean Association of Pediatric Surgeons in 2011-)

  • 오정탁;김대연;김성철;김인구;김해영;김현영;남소현;박귀원;박우현;박진영;서정민;이남혁;이명덕;이석구;이성철;정상영;정성은;정재희;최금자;최순옥;최승훈;최윤미;한석주;홍정
    • Advances in pediatric surgery
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    • 제19권1호
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    • pp.1-13
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    • 2013
  • The Korean Association of Pediatric Surgeons (KAPS) performed the second nationwide survey on biliary atresia in 2011. It was a follow-up study to the first survey, which was performed in 2001 for the retrospective analysis of biliary atresia between 1980 and 2000. In the second survey, the authors reviewed and analyzed the clinical data of patients who were treated for biliary atresia by the members of KAPS from 2001 to 2010. A total of 459 patients were registered. Among them, 435 patients primarily underwent the Kasai operation. The mean age of patients who underwent the Kasai operation was $66.2{\pm}28.7$ days, and 89.7% of those patients had type III biliary atresia. Only five patients (1.4%) had complications related to the Kasai operation. After the Kasai operation, 269 (61.8%) of the patients were re-admitted because of cholangitis (79.9%) and varices (20.4%). One hundred and fifty-nine (36.6%) of the patients who underwent the Kasai operation subsequently underwent liver transplantation. The most common cause of subsequent liver transplantation was persistent hyperbilirubinemia. The mean interval between the Kasai operation and liver transplantation was $1.1{\pm}1.3$ years. Overall the 10-year survival rate after the Kasai operation was 92.9% and the 10-year native liver survival rate was 59.8%. We had 23 patients for primary liver transplantation without the Kasai operation. The mean age patients who underwent primary liver transplantation was $8.6{\pm}2.9$ months. In summary, among the 458 Kasai-operation and liver-transplantation patients, 373 lived, 31 died, and 54 were unavailable for follow up. One-third of the patient who survived have had complications correlated with biliary atresia. In comparison with the first survey, this study showed a higher survival rate and a greater number of liver transplantation.

일부지역(一部地域) 노인(老人)들의 주체적(主體的) 건강수준(健康水準)에 영향을 미치는 IADL에 관한 연구(硏究) (A Study on the IADL Affecting Subjective Health Index of the Aged in Some Area)

  • 김근조;박흥기;권혁수;배수찬
    • 대한정형도수물리치료학회지
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    • 제7권1호
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    • pp.29-50
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    • 2001
  • This research have been made to define how the IADL (Instrumental Activity of Daily Living) performance and the subjective health index of the Aged are affected by their residential circumstance, gender and age, and how deeply these two factors are related and interact. For the period of June 1 to July 31, 2000, we had conducted a questionnaire and direct interview with 693 persons over age sixty-five (65) in Daejon and in other adjacent area, grouping into three different residential types The Aged living at home, The Aged living at welfare facilities and The Aged living alone, and studied on how the IADL performance and the subjective health index of the Aged are influenced and interact as per their characteristics, daily activity and mentality. We had analyzed all the data obtained through this research by the method of : - analysis of frequency as per specific factors by SPSS 1O.0/PC+, - $x^2$ test, - t-test, - ANOVA, - multiple regression analysis by factors. The research concludes followings : a. It appears that the three (3) factors such as gender, age and residential circumstance of the Aged deeply affect the IADL performance and subjective health index of the Aged. (p<0.01) b. With regard to IADL performance of the Aged by the gender, it was analyzed that the female-Aged gains 23.8 point on average, which shows the performance of the female-Aged is less independent. (p<0.01). In addition, it was also found that the IADL performance is becoming less and less independent following their age increasing. In analyzing IADL performance by the residential type, it appears that the Aged living at welfare facilities gains the lowest 21.5 points and is least independent. It was also found that the Aged living at welfare facilities need some assistances from others for their performing IADL. (20-24 point) (p<0.001) c. With regard to the subjective health index of the all-Aged participated in this research, the analysis indicates 8.8 point and this is considered as a point of general standard (7-10 point). In analyzing this index by the gender, the female-Aged gains only 8.6 point which explains a lot of female-Aged consider they are not really healthy. (p<0.001) In analyzing this index by the residential type, the Aged living at welfare facilities and the Aged living alone gain the comparatively lower point, - respectively 8.4 point for the Aged living at welfare facilities and 8.8 point for the Aged living alone. The Aged living at these two residential types express they are obviously in a bad situation of health. (p<0.001) d. With regard to the factors affecting the IADL performance and the subjective health index of the Aged, it was analyzed that the IADL performance can largely be affected by the factors such as depression, frequency of going-out and age rising, and that the subject health index can also deeply be affected by depression, pain and by how much they are satisfied with their current living conditions. e. It was analyzed that the interacting between the IADL performance and the subjective health index is not that strong but even weak. As a result, we were able to conclude that the IADL performance is less independent in case of the female-Aged, the Aged living at welfare facilities, and following the age rising. As for the subjective health state the Aged themselves are aware of, we concluded that the female-Aged, the Aged living at welfare facilities and the Aged living alone, are more critical about their health. From this research, we were able to realize that, when the OMT (Orthopedic Manual Therapy) needed, the physical therapists are really required to have a correct and cautious understanding of the situation in which the aged persons are, and take care of them with more concerns and more improved treatment.

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Potential Antitumor $\alpha$-Methylene-$\gamma$-butyrolactone-Bearing Nucleic Acid Base. 3. Synthesis of $5^1$-Methyl-$5^1$-[(6-substituted-9H-purin-9-yl)methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofurans

  • Kim, Jack-C.;Kim, Si-Hwan;Kim, Ji-A;Choi, Soon-Kyu;Park, Won-Woo
    • Archives of Pharmacal Research
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    • 제21권4호
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    • pp.458-464
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    • 1998
  • Search for a new $\alpha$-methylene-$\gamma$-butyrolactone-bearing 6-substituted purine as a potental antitumor agent has led to synthesize seven, hitherto unreported, $5^1$-Methyl-$5^1$-[(6-substituted-9H-purin-9-yl)methyl]-$2^1$-oxo-$3^1$- methylenetetrahydrofurans (H, Cl, l, $CH_3$, $NH_2$, SH, >C=O) (6a-g). These include $5^1$-Methyl-$5^1$-[(9H-purin-9-yl)methyll-$2^1$-oxo-$3^1$ -methylenetetrahydrofurans (6a), $5^1$-Methyl-$5^1$-[(6-chloro-9H-purin-9-yl)methyl]-$2^1$-oxo-$3^1$-methylenetetrahydr ofurans (6b), $5^1$-Methyl-$5^1$-[(6-chloro-9H-purin-9-yl) methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofurans (6c), $5^1$-Methyl-$5^1$-[(6-methyl-9H-purin-9-yl) methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofurans (6d), $5^1$-Methyl-$5^1$-[(9H-adenin-9-yl)methyll-$2^1$-oxo-$3^1$-methylenetetrahydrofurans (6e), $5^1$-Methyl-$5^1$-[(6-mercapto-9H-purin-9-yl) methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofurans (6f) and $5^1$-Methyl-$5^1$-[(9H-hypoxanthin-9-yl)methyll-$2^1$-oxo-$3^1$-methylenetetrahydrof urans (6g) which were made by the Reformatsky-type reaction of ethyl $\alpha$-(bromomethyl) acrylate with the corresponding (6-substituted-9H-purin-9-yl)-2-propanone intermediates (5a-g). These ketone intermediates 5a-g, 1-(9H-purin-9-yl)-2-propanone (5a), 1-(6-chloro-9H-purin-9-yl)-2-propanone (5b), 1-(6-iodo-9H-purin-9-yi)-2-propanone (5c), 1-(6-methyl-9H-purin-9-yl)-2-propanone (5d), 1-(9H-adenin-9-yl)-2-propanone (Se), 1-(6-mercapto-9H-purin-9-yl)-2-propanone (5f), and 1-(9H-hypoxanthin-9-yl)-2-propanone (5g) were directly obtained by the alkylation of the 6-substituted purine bases with the chloroacetone in the presence of $K_2$$CO_3$ (or NaH) under DMF (or DMSO). The preliminary in vitro cytotoxcity assay for the synthetic .alpha.-methylene-y-butyro-lactone compounds (6a-g) were determined against three cell lines (PM-3A, P-388, and K-562) and showed the moderate antitumor activity ($IC_50$ ranged from 1.4 to 4.3 $\mu\textrm{g}$/ml) with the compound $5^1$-methyl-$5^1$ -[(9H-hypoxanthin-9-yl)methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofuran (6g) showing the least antitumor activity.

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양동마을의 노거수 생육실태 분석 (An Analysis of Growth Conditions of old Trees in Yangdong Villages)

  • 김영훈;덩베이지아;유주한
    • 한국전통조경학회지
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    • 제38권2호
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    • pp.95-107
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    • 2020
  • 본 연구는 양동마을에 분포하는 노거수를 생육실태 및 분석하여 기초자료로 제공하기 위한 목적이 있다. 조사항목은 수목정보, 토양정보, 수목건강도에 대해 조사하였다. 연구결과를 요약하면 다음과 같다. 양동마을 내 수목정보는 향나무, 왕버들, 능수버들, 팽나무, 느티나무, 주엽나무, 조각자나무로 총 7종 30주이며, 수고는 4.0~17.0m, 흉고직경은 0.51~1.34m로 17번 향나무가 가장 넓었다. 토양분석 결과로는 산도 pH4.1~6.3, 경도 5~48mm, 유기물함량 21.2~29.1g/kg, 전기전도도 0.34~1.76dS/m, 유효인산 79.8~451.6mg/kg, 치환성 칼륨 0.22~1.71cmol+/kg, 치환성 칼슘 4.98~7.44cmol+/kg, 치환성 마그네슘 0.67~2.19cmol+/kg, 치환성 나트륨 0.19~1.04cm ol+/kg, 양이온치환용량 7.23~13.02cmol+/kg으로 나타났다. 이에 따라 수목건강도의 건강수치 중 가장 높은 노거수는 팽나무 11주 중 8주, 느티나무 7주 중 2주, 조각자나무 3주로 전체 30주 중 13주이며, 감염과 부패 및 공동수치가 높은 노거수는 건강수치를 제외한 나머지 수목으로 나타났다. 상대적으로 대상 노거수의 절반이상이 감염·부패 및 공동부위로 차지하고 있는 실태로, 손상이 부위는 외과수술을 진행할 필요가 있다. 또한 감염부위가 건강부위로 전이가 되는 2·3차 피해가 발생하지 않도록 수세회복을 위한 뿌리영양공급 및 체내 양분조절을 통해 보존보호조치가 시행되어야 하며, 지속적인 수목 모니터링을 노거수 입지환경개선 및 관리방안이 모색되어야 할 것이다.

육묘 과정 중 포트에 충진된 팽연왕겨 혼합상토의 함수량 변화와 '설향' 딸기의 생장 반응 (Changes in Moisture Contents of Rice-hull Based Root Media and Growth Responses of 'Seolhyang' Strawberry during Vegetative Propagation)

  • 박갑순;김영칠;안승원;강희경;최종명
    • 원예과학기술지
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    • 제33권1호
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    • pp.47-54
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    • 2015
  • 팽연왕겨(ERH)가 혼합된 상토를 이용하여 '설향' 딸기를 육묘하면서 용기 내 수분보유 특성, 그리고 모주 및 자묘의 생장에 미치는 영향을 구명하고자 본 연구를 수행하였다. 용기용수량 상태의 수분 함량은 팽연왕겨가 20-23% 범위로 딸기전용상토 60-66%, 양질사토 30-35% 및 마사토 30-34%와 비교할 때 매우 낮았다. 수분 함량은 관수 8시간 후에 10-12%로 급격히 낮아졌으며 연결포트의 각 셀당 수분편차가 크게 나타났다. ERH와 코이어 더스트(CD), 사양토(SL), 펄라이트(PL) 그리고 마사토(SMM)의 4종류 물질을 혼합하여 조제한 모든 상토는 pH 6.7-7.1, EC $0.03-0.08dS{\cdot}m^{-1}$ 범위로 측정되었고, 관수 20일과 40일 후에 뚜렷한 차이를 보이지 않았다. 자묘의 생육은 혼합상토 중 ERH + SL(55:45, v/v)에서 가장 우수하였다. ERH + CD 상토의 경우 CD의 혼합비율이 30% 이상일 때 생육이 저조한 경향을 보였고, ERH + PE는 혼합 상토 중 지상부와 근권부 생육이 가장 저조하였다. 팽연왕겨가 혼합된 상토에 정식한 모주의 생육은 정식 30일 후 ERH + PE와 ERH + CD 모두 PE + CD(50:50, v/v) 상토보다 저조하였다. 모주정식 90일 후의 생육은 ERH + CD 상토는 CD의 혼합 비율이 높을수록 생육이 우수하였지만 정식 30일 후와 유사한 경향을 보였고, PE + CD(50:50, v/v)보다 저조하였다. 본 연구결과는 팽연왕겨를 포함한 혼합상토 조성과 이를 이용한 육묘과정의 수분 관리에 관한 기초자료로 활용될 수 있을 것으로 기대된다.

창원시 보호수의 분포현황과 실태진단 (Diagnosis of Real Condition and Distribution of Protected Trees in Changwon-si, Korea)

  • 유주한;박경훈;이영한
    • 한국전통조경학회지
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    • 제29권1호
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    • pp.59-70
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    • 2011
  • 본 연구는 창원시에 위치한 보호수를 체계적이고 합리적으로 관리하기 위한 기초자료 제공에 그 목적이 있다. 조사항목은 일반현황, 입지정보, 개체정보, 건강정보, 토양정보에 대해 조사하였다. 연구결과를 요약하면 다음과 같다. 보호수 현황은 총 26개소에 위치하고 있으며, 수종은 느티나무, 팽나무, 푸조나무, 은행나무, 개서어나무, 반송, 굴참나무, 소나무, 왕버들 등 9종이다. 보호수 유형에서는 정자목이 가장 많았고, 대부분의 보호수가 수령 200년 이상이었다. 해발범위는 14~173m였고, 평탄지에 보호수가 많이 있었다. 입지유형의 경우 마을형, 산야형 순이었으며, 토지이용은 건물지가 가장 많았다. 수고범위는 8.0~30.0m, 지하고는 0.6~5.1m, 흉고직경은 240~700cm, 근원직경은 210~800cm이었다, 수관면적의 경우, 5번 느티나무가 가장 넓었다. 현황판은 23번과 26번을 제외하고 대부분 설치되어 있었다. 보호책이 설치된 지역은 9개소, 석축이 있는 지역은 14개소였다. 지지대가 설치된 지역은 5개소, 복토는 대부분 되어 있지 않았다. 바닥재질은 흙, 자갈과 식생의 순이었다. 고사지율 범위는 0~40%이며, 수피이탈율은 0~60%이었다. 공동이 있는 지역은 23개소였으며, 12번 푸조나무가 공동의 면적이 가장 넓었다. 답압 발생 지역은 7개소, 병충해 발생 지역은 2개소, 상처 발생 지역은 23개소, 뿌리 노출 지역은 13개소로 나타났다. 토양 분석 결과, 토양산도 pH 4.5~8.0, 유기물함량 3.5~69.8g/kg, 전기전도도 0.11~2.87dS/m, 유효인산 3.0~490.6mg/kg, 치환성 칼륨 0.10~1.05cmol+/kg, 치환성 칼슘 1.41~16.45cmol+/kg, 치환성 마그네슘 0.37~1.96cmol+/kg, 치환성 나트륨 0.25~2.41cmol+/kg, 양이온치환용량 8.35~26.55cmol+/kg으로 나타났다.

누룩의 protease 활성이 멸치액젓의 품질에 미치는 영향 (Effect of Nuruk protease activity on the quality of anchovy sauce)

  • 이명해;정인학;정석태;장윤희
    • 한국식품과학회지
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    • 제53권3호
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    • pp.356-363
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    • 2021
  • 본 연구는 멸치액젓 고유의 풍미를 유지하되 비린내를 줄이고 발효속도를 향상시키기 위한 방법으로, 재래식 액젓 제조 시에도 손쉽게 이용할 수 있으며 우리 조상들이 이용한 방법을 응용하고자 시중의 재래식 누룩 3종과 개량식 누룩 2종을 멸치액젓에 첨가하여 누룩 첨가 멸치액젓의 품질특성을 분석하였으며 그 결과는 다음과 같다. 누룩의 protease 활성은 누룩 C가 모든 시료 중에서 가장 높은 활성도를 보였다. pH와 총산도의 변화는 발효 기간의 경과에 따라 pH가 처음 15일까지는 급격히 낮아지다가 경시적으로 낮아졌으며, 총산도는 pH 변화의 추세에 따라 높아졌다. 아미노산성 질소의 함량은 발효 초기 15일 동안 급격히 증가하다가 그 이후에는 경시적으로 증가하였으며, 발효 60일에 Fs-C가 대조구와 유의성에 있어 차이를 나타내지는 않았지만 1292±14.9 mg% 로 가장 높은 함량을 나타냈다. 휘발성염기질소 함량은 여러 가지 잡균의 번식이 많은 재래누룩에서 대체로 휘발성염기질소 함량이 높고 단일균만을 접종시켜 제조한 개량누룩을 첨가한 액젓이 휘발성 염기질소의 함량이 낮은 것을 볼 수 있었다. 갈색도는 발효 초기에 가장 낮은 값을 나타냈던 시료 Fs-C가 발효 60일에는 증가율이 107.1%로 가장 큰 변화를 보이며 높은 것으로 나타났다. 유리아미노산은 Fs-C 시료가 대조구에 비해 5.6%의 멸치 함량 감소에도 총 아미노산 함량은 1.9% 감소한 값을 나타냄으로 큰 차이를 나타내지 않음을 볼 수 있었다. 누룩 첨가시료 중에서 Fs-C 시료의 총 유리아미노산 함량이 가장 높은 것으로 나타났으며, 특히 glutamic acid 함량은 총 유리아미노산 중 차지하는 비율이 15.0-18.9%로 재래누룩 첨가시료들이 대조구와 개량누룩 첨가시료들보다 높았으며, 재래누룩 중에서도 Fs-C 시료가 가장 높은 함량을 나타냈다. 관능 평가 결과는 누룩 무첨가구인 대조구가 전체 시료구 중에 가장 낮은 평가를 받았다. 재래누룩 중에서는 Fs-C가, 개량누룩 중에서는 Fs-D가 전체적인 경향으로 볼 때 높은 평가를 받아 우수성이 인정되었다고 할 수 있겠다. 속성 멸치액젓을 제조하기 위한 속성 발효제로서 누룩의 첨가는 발효기간을 단축시키는데 도움을 줄 뿐만 아니라, 감칠맛을 더해 주고 비린내를 줄여줌으로써 풍미를 더해 주어 전체적인 관능도를 높여 주었으므로 멸치액젓의 제조에 효과적인 접근법으로 사료된다.

산업관련표(産業關聯表)에 의(依)한 임업구조분석(林業構造分析)과 유발생산액(誘發生産額) -임업(林業)이 한국경제(韓國經濟)에 미치는 영향(影響)- (Analysis of Forestry Structure and Induced Output Based on Input - output Table - Influences of Forestry Production on Korean Economy -)

  • 이승윤
    • Journal of the Korean Wood Science and Technology
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    • 제2권4호
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    • pp.4-14
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    • 1974
  • The total forest land area in Korea accounts for some 67 percent of the nation's land total. Its productivity, however, is very low. Consequently, forest production accounts for only about 2 percent of the gross national product and a minor proportion of no more than about 5 percent versus primary industry. In this case, however, only the direct income from forestry is taken into account, making no reference to the forestry output induced by other industrial sectors. The value added Or the induced forestry output in manufacturing the primary wood products into higher quality products, makes a larger contribution to the economy than direct contribution. So, this author has tried to analyze the structure of forestry and compute the repercussion effect and the induced output of primary forest products when utilized by other industries for their raw materials, Hsing the input-output table and attached tables for 1963 and 1966 issued by the Bank of Korea. 1. Analysis of forestry structure A. Changes in total output Durng the nine-year period, 1961-1969, the real gross national product in Korea increased 2.1 times, while that of primary industries went up about 1. 4 times. Forestry which was valued at 9,380 million won in 1961, was picked up about 2. 1 times to 20, 120 million won in 1969. The rate of the forestry income in the GNP, accordingly, was no more than 1.5 percent both in 1961 and 1962, whereas its rate in primary industries increased 3.5 to 5.4 percent. Such increase in forestry income is attributable to increased forest production and rise in timber prices. The rate of forestry income, nonetheless, was on the decrease on a gradual basis. B. Changes in input coefficient The input coefficient which indicates the inputs of the forest products into other sectors were up in general in 1966 over 1963. It is noted that the input coefficient indicating the amount of forest products supplied to such industries closely related with forestry as lumber and plywood, and wood products and furniture, showed a downward trend for the period 1963-1966. On the other hand, the forest input into other sectors was generally on the increase. Meanwhile, the input coefficient representing the yolume of the forest products supplied to the forestry sector itself showed an upward tendency, which meant more and more decrease in input from other sectors. Generally speaking, in direct proportion to the higher input coefficient in any industrial sector, the reinput coefficient which denotes the use of its products by the same sector becomes higher and higher. C. Changes in ratio of intermediate input The intermediate input ratio showing the dependency on raw materials went up to 15.43 percent m 1966 from 11. 37 percent in 1963. The dependency of forestry on raw materials was no more than 15.43 percent, accounting for a high 83.57 percent of value added. If the intermediate input ratio increases in any given sector, the input coefficient which represents the fe-use of its products by the same sector becomes large. D. Changes in the ratio of intermediate demand The ratio of the intermediate demand represents the characteristics of the intermediary production in each industry, the intermediate demand ratio in forestry which accunted for 69.7 percent in 1963 went up to 75.2 percent in 1966. In other words, forestry is a remarkable industry in that there is characteristics of the intermediary production. E. Changes in import coefficient The import coefficient which denotes the relation between the production activities and imports, recorded at 4.4 percent in 1963, decreased to 2.4 percent in 1966. The ratio of import to total output is not so high. F. Changes in market composition of imported goods One of the major imported goods in the forestry sector is lumber. The import value increased by 60 percent to 667 million won in 1966 from 407 million won in 1963. The sales of imported forest products to two major outlets-lumber and plywood, and wood products and furniture-increased to 343 million won and 31 million won in 1966 from 240million won and 30 million won in 1963 respectively. On the other hand, imported goods valued at 66 million won were sold to the paper products sector in 1963; however, no supply to this sector was recorded in 1963. Besides these major markets, primary industries such as the fishery, coal and agriculture sectors purchase materials from forestry. 2. Analysis of repercussion effect on production The repercussion effect of final demand in any given sector upon the expansion of the production of other sectors was analyzed, using the inverse matrix coefficient tables attached to the the I.O. Table. A. Changes in intra-sector transaction value of inverse matrix coefficient. The intra-sector transaction value of an inverse matrix coefficient represents the extent of an induced increase in the production of self-support products of the same sector, when it is generated directly and indirectly by one unit of final demand in any given sector. The intra-sector transaction value of the forestry sector rose from 1.04 in 1963 to 1, 11 in 1966. It may well be said, therefore, that forestry induces much more self-supporting products in the production of one unit of final demand for forest products. B. Changes in column total of inverse matrix coefficient It should be noted that the column total indicates the degree of effect of the output of the corresponding and related sectors generated by one unit of final demand in each sector. No changes in the column total of the forestry sector were recorded between the 1963 and 1966 figures, both being the same 1. 19. C. Changes in difference between column total and intra-sector transaction amount. The difference between the column total and intra-sector transaction amount by sector reveals the extent of effect of output of related industrial sector induced indirectly by one unit of final demand in corresponding sector. This change in forestry dropped remarkable to 0.08 in 1966 from 0.15 in 1963. Accordingly, the effect of inducement of indirect output of other forestry-related sectors has decreased; this is a really natural phenomenon, as compared with an increasing input coefficient generated by the re-use of forest products by the forestry sector. 3. Induced output of forestry A. Forest products, wood in particular, are supplied to other industries as their raw materials, increasng their value added. In this connection the primary dependency rate on forestry for 1963 and 1966 was compared, i. e., an increase or decrease in each sector, from 7.71 percent in 1963 to 11.91 percent in 1966 in agriculture, 10.32 to 6.11 in fishery, 16.24 to 19.90 in mining, 0.76 to 0.70 in the manufacturing sector and 2.79 to 4.77 percent in the construction sector. Generally speaking, on the average the dependency on forestry during the period 1963-1966 increased from 5.92 percent to 8.03 percent. Accordingly, it may easily be known that the primary forestry output induced by primary and secondary industries increased from 16, 109 million won in 1963 to 48, 842 million won in 1966. B. The forest products are supplied to other industries as their raw materials. The products are processed further into higher quality products. thus indirectly increasing the value of the forest products. The ratio of the increased value added or the secondary dependency on forestry for 1963 and 1966 showed an increase or decrease, from 5.98 percent to 7.87 percent in agriculture, 9.06 to 5.74 in fishery, 13.56 to 15.81 in mining, 0.68 to 0.61 in the manufacturing sector and 2.71 to 4.54 in the construction sector. The average ratio in this connection increased from 4.69 percent to 5.60 percent. In the meantime, the secondary forestry output induced by primary and secondary industries rose from 12,779 million Wall in 1963 to 34,084 million won in 1966. C. The dependency of tertiary industries on forestry showed very minor ratios of 0.46 percent and 0.04 percent in 1963 and 1966 respectively. The forestry output induced by tertiary industry also decreased from 685 million won to 123 million won during the same period. D. Generally speaking, the ratio of dependency on forestry increased from 17.68 percent in 1963 to 24.28 percent in 1966 in primary industries, from 4.69 percent to 5.70 percent in secondary industries, while, as mentioned above, the ratio in the case of tertiary industry decreased from 0.46 to 0.04 percent during the period 1963-66. The mining industry reveals the heaviest rate of dependency on forestry with 29.80 percent in 1963 and 35.71 percent in 1966. As it result, the direct forestry income, valued at 8,172 million won in 1963, shot up to 22,724 million won in 1966. Its composition ratio lo the national income rose from 1.9 percent in 1963 to 2.3 per cent in 1966. If the induced outcome is taken into account, the total forestry production which was estimated at 37,744 million won in 1963 picked up to 105,773 million won in 1966, about 4.5 times its direct income. It is further noted that the ratio of the gross forestry product to the gross national product. rose significantly from 8.8 percent in 1963 to 10.7 percent in 1966. E. In computing the above mentioned ratio not taken into consideration were such intangible, indirect effects as the drought and flood prevention, check of soil run-off, watershed and land conservation, improvement of the people's recreational and emotional living, and maintenance and increase in the national health and sanitation. F. In conclusion, I would like to emphasize that the forestry sector exercices an important effect upon the national economy and that the effect of induced forestry output is greater than its direct income.

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담도폐색증 - 대한소아외과학회회원 대상 전국조사 - (Biliary Atresia in Korea - A Survey by the Korean Association of Pediatric Surgeons -)

  • 최금자;김성철;김신곤;김우기;김인구;김재억;김재천;김해영;김현학;박귀원;박우현;송영택;오수명;이두선;이명덕;이석구;이성철;정상영;정성은;정풍만;최순옥;최승훈;한석주;허영수;홍정;황의호
    • Advances in pediatric surgery
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    • 제8권2호
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    • pp.143-155
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    • 2002
  • 설문 문항에 따라 심도 있는 토의가 진행된 내용을 요약 하면 다음과 같다. 문항 1의 영아 황달 환자의 감별진단을 위한 검사에 대한 토론에서 복부초음파검사가 과거에는 담즙정체 환자에서 선별검사 목적으로 시행되었으나 1992년 부터 일부에서는 좀 더 확실한 진단 방법으로 이용하려는 견해가 있음이 소개되었다. 또한 Triangular cord sign (TC sign)은 문맥 앞쪽에 있는 삼각형이나 띠 모양의 반사성 (echogenecity)을 나타낸다는 것과 이 반사성은 간문맥섬유화 종괴를 조영하는 것으로 이 반사성 두께가 2.5mm면 담도폐색증으로 진단할 수 있다고 하는 TC sign에 근거한 진단방침에 대한 논의가 있었으나, 아직은 충분히 검증된 방법으로 보기는 어렵다는 견해도 함께 제시되었다. 문항 8의 간문맥 부위의 시야를 좋게 하기 위한 토론에서는 소아의 복부는 좌우 옆으로 발달이 되어 간의 현수인대와 간의 좌우 삼각인대 (triangular ligament)와 낫인대 (falciform ligamnet)를 잘라내면 간이 쉽게 배 밖으로 나오게 돼며, 수술 시야가 양호해 진다는 의견이 제시되었다. 피부 절개선을 간의 가장자리 보다도 한 횡지 위 쪽으로 넣는 것과 간을 너무 당기면 하대정맥에 각이 져서 순환허탈이 올 수 있다는 점이 주의사항이라고 하였다. 문항 9 portal fibrous mass 의 절제범위에 대한 토론에서는 양쪽 외측에서 담즙 배출이 많이 되므로 가능하면 양쪽 외측으로 많이 나가야 되며 좌우 간동맥 안쪽으로 절제하고 뒤쪽은 문맥 분기 뒤쪽의 정상 간 표면이 나올 때까지 절제한다는 의견이 있었고, 외측으로 가는 범위는 혈관 밖에까지 가는 것이 좋으며 혈관 위에는 문합이 불가능하므로 장이 혈관을 overriding하도록 장을 그냥 씌우면 된다는 의견이 있었으나 반면 좌우 간동맥 사이의 간표면에서 절제하는 정도만 해도 최선이며 무리하다 오히려 간동맥에 손상을 주변 담도의 혈류가 차단되어 세담관 증식에 장애가 된다는 의견도 있었다. 확장절제를 위해 좌.우 간문맥 두번째 분지까지 절제하면 절제면이 약 3 cm 크기가 되고 그 부위에다 넓게 장문합을 하며, 절제 깊이는 간실질까지 들어가는 것을 피하기 위하여 fibrous mass 기저부를 일부 남기면서 간표면을 따라 조심스럽게 절제한다는 의견이 있었다. 이를 위해 retractor를 효과적으로 사용하면 간문맥 제2분지까지 접근 가능하므로 가능한 한 깊이 절제하는 것이 좋다고 하였으나 한편 담도폐색증에서는 혈관기형이 많이 동반되어 혈관손상 위험이 있으므로 몇 번째 분지까지 절제하여야하는가 보다는 위험하지 않을 정도로 외측으로 갈수 있는 데까지 가는 것이 좋다는 의견도 있었다. 일반적으로 Kasai 수술의 목적 'cure' 내지는 'improvement' 되는 것이라고 본다면, Kasai술식에서 fibrous mass를 공격적으로 절제해서 효과적인 담즙배액을 성취할 수 있는지, 또는 장기간 추적조사에서 정말 훨씬 좋은 결과를 얻을 수 있는지를 비교하여야 하므로 아직은 충분히 검정되지 않은 의견으로 보아야 한다는 견해도 제시되었다. 문항 13의 담도폐색증 수술 후 통상적으로 처방하는 약제의 복용기간은 회원마다 상당한 차이가 있었다. 즉, Ursodeoxycholic acid (우루사)는 한달에서 부터 2년까지 또는 더 오랜 동안 처방한다는 의견도 있었고, systemic antibiotics도 2주에서 2년까지 처방 기간이 다양하였으며, 스테로이드는 대부분 2 - 3주 사용하고 있다고 하였다. 본 조사 결과는 18개 병원에서 21년 동안 대한소아외과학회 회원들이 경험한 환자들의 병록지를 후향적으로 조사한 것을 분석한 것으로서 80년대 초반의 환자 증례는 매우 제한적 일 뿐만 아니라 많은 수의 기록지가 불충분하거나 일치되지 않은 기술로 인해 자료로서 한계가 있었다. 그럼에도 불구하고 본 조사에서 얻은 결과의 분석은 회원들의 수련 배경이나 진료 환경이 다를지라도 담도폐색증의 진단 및 치료에 있어서 기본 원칙에는 매우 일치된 시술이 진행되고 있음을 알 수 있다. 다만 수술 소견에 따른 담도폐색증의 분류나 조직학적 기술에서는 보완을 요한다고 하겠다. 따라서 이 결과를 외국의 통계분석과 비교하는 것보다는 회원들의 향후 진료와 전향적 연구에 참고가 될 수 있다는 것에 의미를 두고자 한다. 또한 담도폐색증이 매우 드문 질환임은 분명하나 전국적인 조사에서는 적지 않은 예가 모아질 수 있으므로 회원들이 동일한 등록지를 작성하여 시행되는 전향적 연구에서는 우리나라 담도폐색증에 대한 분류, 치료 성적, 예후 인자들도 더 정확한 결과를 얻을 수 있을 것이다. 이를 위해 본 조사에서 사용하였던 등록지를 약간 수정보완한 ‘담도폐색증 등록지’를 학회에서 향 후 전향적 연구를 위해 인정해주기를 제안하는 바이다 (Biliary Atresia Entry Forrn).

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지하수 관개에 의한 수도의 멸준양상과 그 방지책에 관한 연구 (Studies on the Rice Yield Decreased by Ground Water Irrigation and Its Preventive Methods)

  • 한욱동
    • 한국농공학회지
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    • 제16권1호
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    • pp.3225-3262
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    • 1974
  • The purposes of this thesis are to clarify experimentally the variation of ground water temperature in tube wells during the irrigation period of paddy rice, and the effect of ground water irrigation on the growth, grain yield and yield components of the rice plant, and, furthermore, when and why the plant is most liable to be damaged by ground water, and also to find out the effective ground water irrigation methods. The results obtained in this experiment are as follows; 1. The temperature of ground water in tube wells varies according to the location, year, and the depth of the well. The average temperatures of ground water in a tubewells, 6.3m, 8.0m deep are $14.5^{\circ}C$ and $13.1^{\circ}C$, respercively, during the irrigation period of paddy rice (From the middle of June to the end of September). In the former the temperature rises continuously from $12.3^{\circ}C$ to 16.4$^{\circ}C$ and in the latter from $12.4^{\circ}C$ to $13.8^{\circ}C$ during the same period. These temperatures are approximately the same value as the estimated temperatures. The temperature difference between the ground water and the surface water is approximately $11^{\circ}C$. 2. The results obtained from the analysis of the water quality of the "Seoho" reservoir and that of water from the tube well show that the pH values of the ground water and the surface water are 6.35 and 6.00, respectively, and inorganic components such as N, PO4, Na, Cl, SiO2 and Ca are contained more in the ground water than in the surface water while K, SO4, Fe and Mg are contained less in the ground water. 3. The response of growth, yield and yield components of paddy rice to ground water irrigation are as follows; (l) Using ground water irrigation during the watered rice nursery period(seeding date: 30 April, 1970), the chracteristics of a young rice plant, such as plant height, number of leaves, and number of tillers are inferior to those of young rice plants irrigated with surface water during the same period. (2) In cases where ground water and surface water are supplied separately by the gravity flow method, it is found that ground water irrigation to the rice plant delays the stage at which there is a maximum increase in the number of tillers by 6 days. (3) At the tillering stage of rice plant just after transplanting, the effect of ground water irrigation on the increase in the number of tillers is better, compared with the method of supplying surface water throughout the whole irrigation period. Conversely, the number of tillers is decreased by ground water irrigation at the reproductive stage. Plant height is extremely restrained by ground water irrigation. (4) Heading date is clearly delayed by the ground water irrigation when it is practised during the growth stages or at the reproductive stage only. (5) The heading date of rice plants is slightly delayed by irrigation with the gravity flow method as compared with the standing water method. (6) The response of yield and of yield components of rice to ground water irrigation are as follows: \circled1 When ground water irrigation is practised during the growth stages and the reproductive stage, the culm length of the rice plant is reduced by 11 percent and 8 percent, respectively, when compared with the surface water irrigation used throughout all the growth stages. \circled2 Panicle length is found to be the longest on the test plot in which ground water irrigation is practised at the tillering stage. A similar tendency as that seen in the culm length is observed on other test plots. \circled3 The number of panicles is found to be the least on the plot in which ground water irrigation is practised by the gravity flow method throughout all the growth stages of the rice plant. No significant difference is found between the other plots. \circled4 The number of spikelets per panicle at the various stages of rice growth at which_ surface or ground water is supplied by gravity flow method are as follows; surface water at all growth stages‥‥‥‥‥ 98.5. Ground water at all growth stages‥‥‥‥‥‥62.2 Ground water at the tillering stage‥‥‥‥‥ 82.6. Ground water at the reproductive stage ‥‥‥‥‥ 74.1. \circled5 Ripening percentage is about 70 percent on the test plot in which ground water irrigation is practised during all the growth stages and at the tillering stage only. However, when ground water irrigation is practised, at the reproductive stage, the ripening percentage is reduced to 50 percent. This means that 20 percent reduction in the ripening percentage by using ground water irrigation at the reproductive stage. \circled6 The weight of 1,000 kernels is found to show a similar tendency as in the case of ripening percentage i. e. the ground water irrigation during all the growth stages and at the reproductive stage results in a decreased weight of the 1,000 kernels. \circled7 The yield of brown rice from the various treatments are as follows; Gravity flow; Surface water at all growth stages‥‥‥‥‥‥514kg/10a. Ground water at all growth stages‥‥‥‥‥‥428kg/10a. Ground water at the reproductive stage‥‥‥‥‥‥430kg/10a. Standing water; Surface water at all growh stages‥‥‥‥‥‥556kg/10a. Ground water at all growth stages‥‥‥‥‥‥441kg/10a. Ground water at the reproductive stage‥‥‥‥‥‥450kg/10a. The above figures show that ground water irrigation by the gravity flow and by the standing water method during all the growth stages resulted in an 18 percent and a 21 percent decrease in the yield of brown rice, respectively, when compared with surface water irrigation. Also ground water irrigation by gravity flow and by standing water resulted in respective decreases in yield of 16 percent and 19 percent, compared with the surface irrigation method. 4. Results obtained from the experiments on the improvement of ground water irrigation efficiency to paddy rice are as follows; (1) When the standing water irrigation with surface water is practised, the daily average water temperature in a paddy field is 25.2$^{\circ}C$, but, when the gravity flow method is practised with the same irrigation water, the daily average water temperature is 24.5$^{\circ}C$. This means that the former is 0.7$^{\circ}C$ higher than the latter. On the other hand, when ground water is used, the daily water temperatures in a paddy field are respectively 21.$0^{\circ}C$ and 19.3$^{\circ}C$ by practising standing water and the gravity flow method. It can be seen that the former is approximately 1.$0^{\circ}C$ higher than the latter. (2) When the non-water-logged cultivation is practised, the yield of brown rice is 516.3kg/10a, while the yield of brown rice from ground water irrigation plot throughout the whole irrigation period and surface water irrigation plot are 446.3kg/10a and 556.4kg/10a, respectivelely. This means that there is no significant difference in yields between surface water irrigation practice and non-water-logged cultivation, and also means that non-water-logged cultivation results in a 12.6 percent increase in yield compared with the yield from the ground water irrigation plot. (3) The black and white coloring on the inside surface of the water warming ponds has no substantial effect on the temperature of the water. The average daily water temperatures of the various water warming ponds, having different depths, are expressed as Y=aX+b, while the daily average water temperatures at various depths in a water warming pond are expressed as Y=a(b)x (where Y: the daily average water temperature, a,b: constants depending on the type of water warming pond, X; water depth). As the depth of water warning pond is increased, the diurnal difference of the highest and the lowest water temperature is decreased, and also, the time at which the highest water temperature occurs, is delayed. (4) The degree of warming by using a polyethylene tube, 100m in length and 10cm in diameter, is 4~9$^{\circ}C$. Heat exchange rate of a polyethylene tube is 1.5 times higher than that or a water warming channel. The following equation expresses the water warming mechanism of a polyethylene tube where distance from the tube inlet, time in day and several climatic factors are given: {{{{ theta omega (dwt)= { a}_{0 } (1-e- { x} over { PHI v })+ { 2} atop { SUM from { { n}=1} { { a}_{n } } over { SQRT { 1+ {( n omega PHI) }^{2 } } } } LEFT { sin(n omega t+ { b}_{n }+ { tan}^{-1 }n omega PHI )-e- { x} over { PHI v }sin(n omega LEFT ( t- { x} over {v } RIGHT ) + { b}_{n }+ { tan}^{-1 }n omega PHI ) RIGHT } +e- { x} over { PHI v } theta i}}}}{{{{ { theta }_{$\infty$ }(t)= { { alpha theta }_{a }+ { theta }_{ w'} +(S- { B}_{s } ) { U}_{w } } over { beta } , PHI = { { cpDU}_{ omega } } over {4 beta } }}}} where $\theta$$\omega$; discharged water temperature($^{\circ}C$) $\theta$a; air temperature ($^{\circ}C$) $\theta$$\omega$';ponded water temperature($^{\circ}C$) s ; net solar radiation(ly/min) t ; time(tadian) x; tube length(cm) D; diameter(cm) ao,an,bn;constants determined from $\theta$$\omega$(t) varitation. cp; heat capacity of water(cal/$^{\circ}C$ ㎥) U,Ua; overall heat transfer coefficient(cal/$^{\circ}C$ $\textrm{cm}^2$ min-1) $\omega$;1 velocity of water in a polyethylene tube(cm/min) Bs ; heat exchange rate between water and soil(ly/min)

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