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A Clinical Study of Hypertrophic Pyloric Stenosis (비후성 유문 협착증의 임상적 고찰)

  • Kim, Yoon Hee;Jung, Myung Sup;Byun, Soon Ok
    • Clinical and Experimental Pediatrics
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    • v.45 no.11
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    • pp.1389-1396
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    • 2002
  • Purpose : This study was done to analyze the changes in the clinical conditions and the diagnosis of hypertrophic pyloric stenosis. Methods : We report a retrospective clinical analysis of 39 patients with hypertrophic pyloric stenosis from Jan. 1992 to Aug. 2001. The age and sex distribution, family and birth history, clinical symptoms, the ultrasonographic and the operative sizes of pyloric canals were compared. Results : The body weight was below the 3 percentile at admission in eight cases(20.5%). "Olive like mass" in right upper quadrant was palpated during physical examination in 23 cases(59%) and gastric peristaltic wave observed in six cases(15%). The ultrasonographic measurements showed that the pyloric muscle thickness to be $4.95{\pm}0.99mm$($mean{\pm}SD$), pyloric diameter $14.42{\pm}2.64mm$, and pyloric length $20.17{\pm}3.92mm$. Fredet-Ramstedt pyloromyotomy was employed in all cases. The operative measurements of the pyloric muscle thickness was $5.11{\pm}1.01mm$, pyloric diameter $15.01{\pm}2.47mm$, and pyloric length $22.32{\pm}3.43mm$. Conclusion : There was no significant difference between the ultrasonographic and operative measurements. Currently, the hypertrophic pyloric stenosis patients showed lesser clinical hallmarks of the disease. The earlier diagnosis using imaging studies before development of significant metabolic abnormalities is becoming an important factor that change the future outcomes of hypertrophic pyloric stenosis.

A Five-year Epidemiologic Study of Childhood Leukemia in Busan City, 1996 to 2000 (최근 5년간(1996-2000) 부산지역 소아 백혈병 환자에 대한 역학적 연구)

  • Moon, Jae Hoon;Lee, Soon Yong;Sinn, Jong Beom;Park, Jae Sun;Lee, Young Ho;Lim, Young Tak;Park, Su Eun
    • Clinical and Experimental Pediatrics
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    • v.46 no.10
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    • pp.972-976
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    • 2003
  • Purpose : For the control of childhood leukemia, of which the mortality is still high, the basic data for the incidence has a great importance. The authors analyzed the data from 133 new patients with childhood leukemia between 1996-2000 in Busan, Korea. Methods : The data were obtained from 133 new cases(87 males and 46 females from 0 to 15 years old) of childhood leukemia who were residents of Busan and who were admitted to the 4 university hospitals and 11 general hospitals from 1996 to 2000. Results : The total number of the new childhood leukemia patients was 133 between 1996-2000; the average annual number of new patients was 26.6. The age-and-sex adjusted annual incidence rate (/100,000) was in the range of 2.37-4.53(male 2.47-5.29, female 0.76-3.36) with an average of 3.29 (male 4.05, female 2.43). Age-specific annual incidence rate(/100,000) was 3.78 in the 0-4 year age group, 3.51 in the 5-9 year age group and 3.08 in the 10-14 year age group. Of the major types of childhood leukemia, the distribution of ALL was average 71.4%, of AML 23.3%, and of CML 4.5%. Of the major types of leukemia by age range, ALL showed highest in the 5-9 year age group, while AML in 0-4 and 10-14 year age groups. Sex-ratio(male to female) of major type of leukemia was 1.97 : 1 and 1.21 : 1, in ALL and AML groups, respectively, while all were male in CML. Conclusion : The average age-and-sex adjusted annual incidence rate(/100,000) of childhood leukemia in Busan from 1996 to 2000 was 3.29. Compared to data in related articles, this data suggests a steady increase in the incidence of childhood leukemia in the Busan area over the last 20 years since 1981.

A study of serotyping of Streptococcus pneumoniae by multibead assay (다중구슬 분석법에 의한 폐구균 혈청형 결정 연구)

  • Cho, Ky Young;Lee, Jung Ah;Cho, Sung Eun;Kim, Nam Hee;Lee, Jin A;Hong, Ki Sook;Lee, Hoan Jong;Kim, Kyung Hyo
    • Clinical and Experimental Pediatrics
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    • v.50 no.2
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    • pp.151-156
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    • 2007
  • Purpose : Streptococcus pneumoniae is a major etiologic agent for pneumonia, meningitis, otitis media, and sepsis among young children. Multi-drug resistant strains have raised great concern worldwide, thus the importance of prevention with vaccines has been emphasized. However, vaccines may force the appearance of pneumococcal infections by nonvaccine serotypes. Thus, distribution of pneumococcal serotypes should be monitored to estimate vaccine efficacy. We used a new and efficient multibead assay in determining pnemococcal serotypes. Methods : From January to February 2005, 643 children were recruited from ten day care centers to isolate pneumococci from their oropharynx. Pneumococcal serotyping was performed on 62 pneumococcal isolates from 60 children by multibead assay. This immunoassay required two sets of latex particles coated with pneumococcal polysaccharides and serotype-specific antibodies. Twenty four newly developed monoclonal antibodies specific for common serotypes and a pool of polyclonal rabbit sera for some of the less common serotypes were used. Results : The most prevalent pneumococcal serotypes were serotype 6A, 19A, 19F, 23F, and 11A/D/F which accounted more than 50 precent of all the 62 pneumococcal isolates. We found that multibead assay can be performed very rapidly and objectively. Conclusion : This multibead immunoassay was very useful in serotyping clinical isolates of S. pneumoniae because it was simple, reliable and fast.

Analysis of CO2 Emission Intensity per Industry using the Input-Output Tables 2003 (산업연관표(2003년)를 활용한 산업별 CO2 배출 원단위 분석)

  • Park, Pil-Ju;Kim, Mann-Young;Yi, Il-Seuk
    • Environmental and Resource Economics Review
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    • v.18 no.2
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    • pp.279-309
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    • 2009
  • Greenhouse gas emissions should be precisely forecast to reduce the emissions from industrial production processes. This study calculated the direct and indirect $CO_2$ emission intensities of 401 industries using the Input-Output tables 2003 and statistical data on the amount of energy use. This study had some limitations in drawing study findings because overseas data were used given the lack of domestic data. Other limiting factors included the oil distribution problems in the oil refinery sector, re-review of carbon neutral, and insufficient consideration of waste treatment. Nonetheless, this study is very meaningful since the direct and indirect $CO_2$ emission intensities of 401 industries were calculated. Specifically, this study considered from the zero-waste perspective the effects of waste, which attract interest worldwide since coke gas and gas from the steel industry are obtained as byproducts for the first time in Korea. According to the results of the analysis of $CO_2$ emission intensity per industry, typical industries whose indirect $CO_2$ emission intensity is high include crude steel making, Remicon, steel wire rods & track rail, cast iron, and iron reinforcing rods & bar steel. These industries produce products using the raw materials produced in the industrial sector whose $CO_2$ emission intensity is high. The representative industries whose direct $CO_2$ emission intensity is high include cement, pig iron, lime & plaster products, andcoal-based compounds. These industries extract raw ore from nature and refine them into raw materials that are useful in other industries. The findings in this study can be effectively used for the following case: estimation of target $CO_2$ emission reduction level reflecting each industrial sector's characteristics, calculation of potential emission reduction of each policy to reduce $CO_2$ emissions, identification of a firm's $CO_2$ emission level, and setting of the target level of emission reduction. Moreover, the findings in this study can be utilized widely in fields such as System of integrated Environmental and Economic Accounting(SEEA) and Material Flow Analysis(MFA) as the current topic of research in Korea.

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Geomagnetic Field Distribution in the Korean Peninsula by Spherical Harmonic Analysis (구면조화해석(球面調和解析)에 의(依)한 한반도내(韓半島內)의 지구자기장(地球磁氣場)의 분포(分布)에 관(關)한 연구(硏究))

  • Min, Kyung Duck;Lee, Sunhee
    • Economic and Environmental Geology
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    • v.12 no.2
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    • pp.95-104
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    • 1979
  • The position of any point on the earth's surface can be. represented in the spherical coordinates by surface spherical harmonics. Since geomagnetic field is a function of position on the earth, it can be also expressed by spherical harmonic analysis as spherical harmonics of trigonometric series of $a_m({\theta})$ cos $m{\phi}$ and $b_m({\theta})$ sin $m{\phi}$. Coefficients of surface spherical harmonics, $a_m({\theta})$ and $b_m({\theta})$, can be drawn from the components of the geomagnetic field, declination and inclination, and vice versa. In this paper, components of geomagnetic field, declination and inclination in the Korean peninsula are obtained by spherical harmonic analysis using the Gauss coefficients calculated from the world-wide magnetic charts of 1960. These components correspond to the values of normal geomagnetic field having no disturbances of subsurface mass, structure, and so on. The vertical and total components offer the zero level for the interpretation of geomagnetic data obtained by magnetic measurement in the Korean peninsula. Using this zero level, magnetic anomaly map is obtained from the data of airborne magnetic. prospecting carried out during 1958 to 1960. The conclusions of this study are as follows; (1) The intensity of horizontal component of normal geomagnetic field in Korean peninsula ranges from $2{\times}10^4$ gammas to $2.45{\times}10^4$ gammas. It decreases about 500 with the increment of $1^{\circ}$ in latitude. Along the same. latitude, it increases 250 gammas with the increment of $1^{\circ}$ in longitude. (2) Intensity of vertical component ranges from $3.85{\times}10^4$ gammas to $5.15{\times}10^4$ gammas. It increases. about 1000 gammas with the increment of $1^{\circ}$ in latitude. Along the same latitude, it decreases. 150~240 gammas with the increment of $1^{\circ}$ in longitude. Decreasing rate is considerably larger in higher latitude than in lower latitude. (3) Total intensity ranges from $4.55{\times}10^4$ gammas to $5.15{\times}10^4$ gammas. It increases 600~700 gammas with the increament of $1^{\circ}$ in latitude. Along the same latitude, it decreases 10~90 gammas. with the increment of $1^{\circ}$ in longitude. Decreasing rate is considerably larger in higher latitude as the case of vertical component. (4) The declination ranges from $-3.8^{\circ}$ to $-11.5^{\circ}$. It increases $0.6^{\circ}$ with the increment of $1^{\circ}$ in latitude. Along the same latutude, it increases $0.6^{\circ}$ with the increment of l O in longitude. Unlike the cases of vertical and total component, the rate of change is considerably larger in lower latitude than in higher latitude. (5) The inclination ranges from $57.8^{\circ}$ to $66.8^{\circ}$. It increases about $1^{\circ}$ with 'the increment of $1^{\circ}$ in latitude Along the same latitude, it dereases $0.4^{\circ}$ with the increment of $1^{\circ}$ in longitude. (6) The Boundaries of 5 anomaly zones classified on the basis of the trend and shape of anomaly curves correspond to the geologic boundaries. (7) The trend of anomaly curves in each anomaly zone is closely related to the geologic structure developed in the corresponding zone. That is, it relates to the fault in the 3rd zone, the intrusion. of granite in the 1st and 5th zones, and mountains in the 2nd and 4th zones.

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The Study on Geology and Volcanism in Jeju Island (I): Petrochemistry and $^{40}Ar/^{39}Ar$ Absolute ages of the Subsurface Volcanic Rock Cores from Boreholes in the Eastern Lowland of Jeiu Island (제주도의 지질과 화산활동에 관한 연구 (I): 동부지역 저지대 시추코어 화산암류의 암석화학 및 $^{40}Ar/^{39}Ar$ 절대연대)

  • Koh, Gi-Won;Park, Jun-Beom;Park, Yoon-Suk
    • Economic and Environmental Geology
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    • v.41 no.1
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    • pp.93-113
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    • 2008
  • This study presents petrochemistry and $^{40}Ar/^{39}Ar$ absolute ages of subsurface volcanic rock cores from twenty(20) boreholes in the eastern lowland (altitude loom below) of Jeju Island, Handeong-Jongdal-Udo-Susan-Samdal-Hacheon areas, and discusses topography and volcanism in the area. The subsurface volcanic rock cores are mainly basalts in composition with minor tholeiitic andesites and basaltic trachyandesites. Sequences of intercalated tholeiitic, transitional and alkalic lavas suggest that tholeiitic and transitional to alkalic lavas must have erupted contemporaneously. Especially, occurrences of trachybasalts and basaltic trachyandesites at the bases in the area imply that the volcanism in the area was initiated with slightly differentiated alkaline magma activity. The $^{40}Ar/^{39}Ar$ absolute ages of the subsurface volcanic rock cores range from $526{\pm}23ka\;to\;38{\pm}4Ka$. The lava-forming Hawaiian volcanic activities of the eastern lowland can be divided into five sequences on the basis of sediment distribution, whole rock geochemistry and $^{40}Ar/^{39}Ar$ absolute ages of the subsurface volcanic rock cores; stage I-U$(550{\sim}400Ka)$, stage II$(400{\sim}300Ka)$ and stage III$(300{\sim}200Ka)$ during syn-depositional stage of Seoguipo Formation, and stage IV$(200{\sim}100Ka)$ and stage V(younger than 100Ka) during post-depositional stage. In the eastern lowland of Jeju Island, compositional variations and local occurrences of the subsurface volcanic rocks as well as existences of various intercalated sediment layers (including hydrovolcanogenic clasts) suggest that the volcanism must have continued for long time intermittently and that the land has been progressively glowed from inland to coast by volcanic activities and sedimentation. It reveals that the subsurface volcanic rocks in the eastern lowland of Jeju Island must have erupted during relatively younger than 200Ka of stages IV and V. The results of this study are partly in contrast with those of previous studies. This study stresses the need that previous reported volcanic activities in Jeju Island based on K-Ar ages of volcanic rocks should be carefully reviewed, and that stratigraphic correlation from boreholes should be conducted by quantitative criteria combined with petrography and petrochemstry as well as radiometric studies of volcanic rock cores.

Normal antistreptolysin O titers of children by age group in the Gyeonggi-Incheon region (경인지역에서 조사한 소아의 연령별 antistreptolysin O 역가)

  • Lee, Jihun;Kim, Yoo Jung;Bin, Joong Hyun;Hwang, Ja Young;Hahn, Seong Hoon;Kim, So Young;Kim, Hyun Hee;Lee, Wonbae
    • Clinical and Experimental Pediatrics
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    • v.50 no.10
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    • pp.965-969
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    • 2007
  • Purpose : Measurement of antistreptolysin O (ASO) is often necessary to confirm a clinical diagnosis of recent streptococcal infection, especially in patients suspected of rheumatic fever and acute glomerulonephritis. Standard normal ranges for ASO should be established locally for each age group. We analyzed ASO to determine the upper limit of normal (ULN) ASO in children in the Gyeonggi-Incheon area. Methods : ASO in normal individual concentrations were measured quantitatively by nephelometry on sera from 753 children (Male : 381, Female : 372). ULN were determined by separating the upper 20% from the lower 80% of the group (80 percentile). Results : The mean ASO concentration calculated in a total cases was $149.9{\pm}7.2IU/mL$. The ASO concentration in neonates was $83.4{\pm}10.7IU/mL$, and lowest in the 1 year of age group, $26.7{\pm}6.6IU/mL$, and increased to $318.0{\pm}33.2IU/mL$ gradually in the 9 years of age group. Thereafter, ASO concentration decreased. The ULN for neonates was 122 IU/mL, for 0-3 years, 40 IU/mL; for 4-6 years, 113 IU/ mL; for 7-9 years, 489 IU/mL; for 10-19 years, 433 IU/mL; for 20-29 years, 122 IU/mL. Conclusion : The age-specific ULN for children in the Gyeonggi-Incheon area were determined. The distribution of ASO concentration according to age groups was different from previous reports. These results should be of clinical value to physicians to interprete the ASO results of their patients.

A study on the Chinese Animation Industry -Focused on Economic Development in the Animation Market in China- (중국 애니메이션 산업 발전 방향에 관한 연구 -중국 경제 개발 정책에 따른 애니메이션 시장변화를 중심으로-)

  • Kim, Dong-Ho
    • Cartoon and Animation Studies
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    • s.48
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    • pp.311-332
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    • 2017
  • Currently, the world is making efforts to develop cultural industries around more refined parts of the world. The development of cultural industries has far-reaching implications for promoting national brands and national image promotion as well as economic benefits. In particular, China hopes to advance into its own animation market because it has an extensive animation market. In 2005 The Chinese government, however, banned foreign animation market from entering the Chinese animation market. However, at that time, Chinese animation firms also saw considerable economic losses because they had to undergo almost everything from animation to distribution to rationing. In fact, the policy was designed to protect Chinese animations, but instead of preventing Chinese animations from developing original contents, it caused various problems such as China's animations, or the development of Chinese animation industries. In this thesis, we will explore the policy related to animation industry in China, research and development of animation industry, and establish the direction of development of Chinese animation industry through suggestion of improvement in Chinese animation industry. For starters, we have diversified the contents of the Chinese animation industry by adapting the contents of the Chinese animation to the global market through the globalization of contents, stories and materials. Currently, animation is developing beyond 3D,4D and VR but there is no shortage of animation experts in China, so it is necessary to nurture specialized professionals by opening a related department in China. Also, the government will establish a National Animation Industry complex to work in various animation companies. We expect to develop cultural contents through mutual cooperation between animation companies in China and the sharing of information sharing and collaborative research.

Distribution of CD4+CD25+ T cells and graft-versus-host disease in human hematopoietic stem cell transplantation (사람의 동종 조혈모세포이식에서 CD4+CD25+ T세포의 분포와 이식편대숙주병)

  • Lee, Dae Hyoung;Chung, Nak Gyun;Jeong, Dae Chul;Cho, Bin;Kim, Hack Ki
    • Clinical and Experimental Pediatrics
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    • v.51 no.12
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    • pp.1336-1341
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    • 2008
  • Purpose : This study aimed to determine the frequencies of $CD4^+CD25^+$ T cells in donor graft and peripheral blood $CD4^+CD25^+$ T cells in recipients after hematopoietic stem cell transplantation (HSCT) and their association with graft-versus-host disease (GVHD). Methods : Seventeen children who underwent HSCT were investigated. $CD4^+CD25^+$ T cells in samples from donor grafts and recipient peripheral blood were assessed by flow cytometry at 1 and 3 months after transplantation. Results : $CD4^+CD25^+$ T cell frequencies in the grafts showed no significant difference between patients with and without acute GVHD (0.90% vs. 1.06%, P=0.62). Absolute $CD4^+CD25^+$ T cell number in grafts were lower in patients with acute GVHD than in those without acute GVHD ($6.18{\times}10^5/kg$ vs. $25.85{\times}10^5/kg$, P=0.09). Patients without acute GVHD showed a significant decrease in peripheral blood $CD4^+CD25^+$ T cell percentage at 3 months compared to those at 1 month after HSCT (2.11% vs. 1.43%, P=0.028). However, in patients with acute GVHD, $CD4^+CD25^+$ T cell percentage at 3 months was not different from the corresponding percentage at 1 month after HSCT (2.47% vs. 2.30%, P=0.5). Conclusion : The effect of frequencies of $CD4^+CD25^+$ T cells in donor grafts on acute GVHD after HSCT could not be identified, and the majority of peripheral blood $CD4^+CD25^+$ T cells in patients who underwent HSCT may be activated T cells related to acute GVHD rather than regulatory T cells. Further studies with additional markers for regulatory T cells are needed to validate our results.

Immunoelectron Microscopic Study on the Paneth Cell of Rabbit after the Common Bile Duct Ligation (총담관결찰후 집토끼 Paneth세포의 변화에 대한 면역전자현미경적 연구)

  • Park, Kyung-Ho;Cho, Hwee-Dong;Yang, Nam-Gil;Ahn, E-Tay;Ko, Jeong-Sik;Kim, Jin-Gook
    • Applied Microscopy
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    • v.24 no.2
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    • pp.78-92
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    • 1994
  • Lysozyme has been reported to be present in the secretory granules of the Paneth cell, and lysozyme immunoreactivity has been detected by immunogold method in Paneth cells of the intestine of human, mouse and rat. The present study was aimed at clarifying the intracellular distribution and changes of the lysozyme immunoreactivity in rabbit Paneth cell after common bile duct ligation of rabbit, using the electron microscope immunogold technique. Healthy adult rabbits weighing about 2kg body weight were divided into normal and bile duct ligated groups. Common bile duct ligation was performed aseptically under ether anesthesia. Experimental animals were sacrificed on the 1st, the 3rd, the 5th, the 7th and the 14th day after the operation. Mucosal specimens from the intestinal gland of ileum were fixed in 2.5% glutaraldehyde-1.5% paraformaldehyde, followed by 1% osmium tetroxide, embedded in araldite mixture, cut with LKB-V ultratome. Ultrathin sections were placed on parlodion coated nickel grids (200mesh). The section-bearing grids were floated upside down on the added substance in a moist chamber at room temperature except for the primary antibody step, which was at $4^{\circ}C$. Sections were etched with a saturated solution of sodium m-periodate for 60min. After etching, sections were pretreated with 0.02M tris buffered saline (TBS), pH 8.4, with 1% bovine serum albumin (BSA, Sigma) for 60min, then treated polyclonal rabbit anti-human lysozyme (Dakipatts) diluted 1 : 50 in TBS with 0.1% BSA for 20hr. Subsequently, grids were incubated 60min in biotinylated goat anti rabbit IgG (Amersham) diluted 1 : 100 in TBS with 0.1% BSA. After this, sections were incubated 60min on streptavidin gold G10 (Amersham) diluted 1 : 50 in TBS with 0.1% BSA. After each step, the grids were briefly rinsed with TBS with 0.1% BSA. After the strepavidin gold step, the sections were jet washed with distilled water. Counterstain of the sections performed by uranyl acetate and lead citrate, and observed with JEM 100 CX II electron microscope. Observed results were as follow; 1. Secretory granules of mouse Paneth cells have a lysozyme immunoreactivity and also eosinophil leucocyte of rabbit applied for the positive-control stain, are well labeld with gold particles. 2. Normal rabbit Paneth cells have a lysozyme immunoreactivity restricted on the secretory granules. 3. Amount lysosomes containing myelin figures in the Paneth cells were significantly increased from 5th day after the common bile duct ligation. 4. Immunoreactivity of Paneth cell secretory granules were more activated on the 3rd day after the common bile duct ligation as compared with those of the normal animal. But the lysozyme immunoreactivity were decreased from the 5th day after the common bile duct ligation. 5. Considering the above finding, lysozyme contained Paneth cell are affected following of common bile duct ligation, whereas lysosomes containing myelin-figure do not exhibit any immunoreactive relationship with those of secretory granules.

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