• Advances in pediatric surgery
• /
• v.12 no.2
• /
• pp.175-182
• /
• 2006

VATER association is defined as a combination of 3 or more anomalies- vertebra (V), imperforate anus (A), esophageal atresia with or without tracheoesophageal fistula (TE), renal and radial anomaly(R). We reviewed our experiences in one center to determine etiology, prevalence, clinical manifestation, other associated anomaly and prognosis. Two hundred and twenty-three cases that underwent operations for imperforate anus or esophageal atresia were analyzed retrospectively through medical records at Department of Pediatric Surgery, Asan Medical Center from June, 1989 to July, 2005. The total number of neonates who had been admitted during period of study were 46,773 and VATER association was 9 (0.019 %, 1.92 persons per 10,000 neonates). Median gestational age and birth weight were $37^{+4}wk$ ($35^{+1}$ - $41^{+4}$) and 2,594 g (1,671-3,660), respectively and median age of mother was 32 years (23-38). There was no family history. Three patients were twins but their counterparts had no anomalies. Patients who have 3 anomalies were 6, 4 anomalies in two and 5 anomalies in one patient. Vertebra anomalies were detected in 7(77.7 %), imperforate anus in 8(88.9 %), esophageal atresia in 5 patients (55.6 %), renal anomaly in 6(66.7 %), and radial anomaly in 5(55.6 %), respectively. Four patients are alive, 2 patients were lost during follow up period. Three patients died due to neonatal sepsis, respiratory dysfunction and cardiac failure. VATER association did not appear to be a definite risk factor, but merely a randomized combination of 5 anomalies. The prognosis was dependent on the other associated anomalies, appropriateness of management and operation. Careful follow-up and aggressive treatmentare required for improving survival and quality of life.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
• /
• v.11 no.4
• /
• pp.325-330
• /
• 2018

This paper, following the shape parameters of the minimax distribution, describes the special form of the beta distribution, the Minimax distribution, as a function of the shape parameters for the software reliability model based on the non-homogeneous Poisson process. Characteristics and usefulness were discussed. As a result, the case of the shape parameter 1 of Minimax distribution than less than and greate in mean squared error is the smallest, in determination coefficient, appears to be high, the shape parameter 1 of Minimax distribution regard as an efficient model. The estimated determination coefficient of the proposed model is estimated to be more than 95%, which is a useful model in the field of software reliability. Through this study, software design and users can identify the software failure characteristics using mean square error, decision coefficient, and confidence interval can be used as a basic guideline.

• Journal of the Korean GEO-environmental Society
• /
• v.10 no.7
• /
• pp.67-79
• /
• 2009

Although readjustment of monitoring system for existing fill dam maintenance is needed by the sustainable increasing of the abandonment rate of monitoring devices by malfunction through the life-cycle of dam, monitoring plans for long-term dam safety has relied on the experience and the opinion of minor expert group without systematic and quantitative analysis on the failure modes and the priority order of monitoring devices on maintenance. In this study the priority order of monitoring devices of existing 5 fill dams was evaluated quantitatively based on the preceding study (Andersen et al, 1999) and the result recommended the establishment of real-time monitoring system for seepage, pore pressure and crest settlement as the readjustment plan for existing fill dam monitoring system. This readjustment plan matches well with the recommendation of PWRI (1984), JCOLD (1986) and the results from Bagherzadeh-Khakkahali and Mirghasemi (2005).

• Clinical and Experimental Pediatrics
• /
• v.51 no.8
• /
• pp.892-895
• /
• 2008

H-type tracheoesophageal fistula (TEF) is extremely rare in infants and children, and clinical manifestations of this condition are diverse based on its severity. Some cases of congenital TEF diagnosed in adulthood have been reported, which indicate the difficulty of early diagnosis of this disease. Gastroesophageal reflux (GER) may induce chronic aspiration, pulmonary aspiration, apparent life-threatening events, and failure to thrive. We report a 5-month-old boy whose recurrent pneumonia and wheezing did not improve under usual treatment and led to acute respiratory distress syndrome. He was found to have severe GER on the second-trial of the esophagogram and was eventually revealed to have congenital H-type TEF upon repeated evaluation.

• Preventive Nutrition and Food Science
• /
• v.20 no.2
• /
• pp.94-101
• /
• 2015

Grape products have been known to exert greater antioxidant and anti-obesity than anti-hyperglycemic effects in animals and humans. Omija is used as an ingredient in traditional medicine, and it is known to have an anti-hyperglycemic effect. We investigated whether the combined extracts of grape pomace and omija fruit (GE+OE) could reduce fat accumulation in adipose and hepatic tissues and provide beneficial effects against hyperglycemia and insulin resistance in type 2 diabetic mice. C57BL/KsJ-db/db mice were fed either a normal control diet or GE+OE (0.5% grape pomace extract and 0.05% omija fruit extract, w/w) for 7 weeks. GE+OE decreased plasma leptin and resistin levels while increasing adiponectin levels and reducing the total white adipose tissue weight. Furthermore, GE+OE lowered plasma free fatty acid (FFA), triglyceride, and total-cholesterol levels as well as hepatic FFA and cholesterol levels. Hepatic fatty acid synthase and glucose 6-phosphate dehydrogenase activities were decreased in the GE+OE group, whereas hepatic ${\beta}$-oxidation activity was increased. Furthermore, GE+OE supplementation not only reduced hyperglycemia and pancreatic ${\beta}$-cell failure but also lowered blood glycosylated hemoglobin and plasma insulin levels. The homeostasis model assessment of insulin resistance levels was also decreased and the decrease seems to be mediated by the lowered activities of hepatic glucose-6-phosphatase and phosphoenolpyruvate carboxykinases. The present data suggest that GE+OE may have the potential to reduce hyperglycemia, insulin resistance, and obesity in patients with type 2 diabetes.

• Transactions of the Korean Society of Mechanical Engineers A
• /
• v.25 no.2
• /
• pp.250-263
• /
• 2001

The up and down speed of heddle frames that produce woven cloth by insertion of weft yarns between warp yarns has been increased recently much for productivity improvement, which induces higher inertial stresses and vibrations in the heddle frame. the heddle frame is required to reduce its mass because the heddle frame contributes the major portion of the stresses in the heddle frames during accelerating and decelerating. Conventional aluminum heddle frames have fatigue life of around 5 months at 550rpm due to their low fatigue flexural strength as well as low bending stiffness. In this work, since carbon/epoxy composite materials have high specific fatigue strength(S/p), high specific modulus(E/p), high damping capacity and sandwich construction results in lower deflections and higher buckling resistance, the sandwich structure composed of carbon/epoxy composite skins and polyurethane foam were employed for the high-speed heddle frame. The design map for the sandwich beams was accomplished to determine the optimum thickness and the stacking sequences for the heddle frames. Also the effects of the number of ribs on the stress of the heddle frame were investigated by FEM analyses. Finally, the high-speed heddle frames were manufactured with sandwich structures and the static and dynamic properties of the aluminum and the composite heddle frames were tested and compared with each other.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.12
• /
• pp.359-371
• /
• 2017

This study qualitatively examined the lives of non-tenured, secondary school teachers who are preparing for the teachers' exam. Semi-structured, face-to-face interviews were conducted with ten teachers and the data were analyzed using the consensual qualitative research method. Most of the participants had chosen a contract-based teaching position, believing that it would meet their financial needs, provide them with the satisfaction of being a teacher and, more importantly, afford practical help with their exam preparation. In practice, however, they suffered from low self-esteem and identity confusion due to discrimination by the school administrators. Ironically, this unfair treatment strengthened the participants' commitment to studying for the exam, in order to acquire a stable and secure position in school. However, they experienced a lot of study-related stress, including a lack of study hours, heavy study load, multiple life roles, physical exhaustion, the difficulties caused by the vague exam guide, and anxiety due to previous failure in the exam. Based on the findings of this study, directions for future research are suggested.

• The Korean Journal of Pain
• /
• v.19 no.2
• /
• pp.288-291
• /
• 2006

Epidural analgesia using an epidural catheter is an effective method to relieve the pain during the rehabilitating procedure for postoperative orthopedic patients. Total spinal anesthesia is one of the possible complications of epidural catheterization which can lead to a life-threatening condition. Achondroplasia is the most common form of short-limbed dwarfism resulting from a failure of endochondral bone formation. In patients suffering with short stature syndrome like achondroplasia, the incidence and risk of total spinal anesthesia during epidural anesthesia may increase because of the technical difficulty and structural anomaly of the spine. We report here on a 35-year old female patient with a height of a 115 cm. She was diagnosed as achondroplasia and she had a previous Ilizarov operation; both tibial lengthening and correction of valgus were done. No specific event occurred during epidural catheterization. Immediately after the injection of a test dose via epidural catheter, the patient became hypotensive, drowsy and showed weakness of both her upper and lower extremities. The symptoms were disappeared after 40 minutes. The catheter was removed on the next day. We concluded that the total spinal anesthesia was caused by intrathecal injection of local anesthetics through the epidural catheter, and the anesthesia then migrated into the subarachonoid space.

• Development and Reproduction
• /
• v.15 no.1
• /
• pp.53-59
• /
• 2011

Sex steroid hormones are key molecules to prepare the decidual response and their levels are important in this process. Imbalances of the levels of steroid hormones are cause of implantation failure and other diseases including physical weakness. Androgen replacement therapy or selective androgen receptor modulator are used to overcome various diseases but long-term use may cause of side effects. In previous report, it is suggested that the steroid hormonal complexes derived from pig enhance the proliferation of satellite cell. Therefore, to evaluate the possible usage of steroid hormonal complex derived from pig testis (tS-C), the effects of tS-C on uterine response were studied using the model of artificial decidua. tS-C did not disturb the rhythmical estrus cycle. Artificial-induced decidual response was normally induced in tS-C administered mice. The histological characters of the decidua of tS-C administered mice were not different from the vehicle. The expression patterns of molecular markers of decidua were not different between vehicle and tS-C group. Collectively these results suggested that tS-C does not disturb the uterine responsibility to the embryo. In addition, our results suggested that tS-C can be applied to overcome the various problems such as loss of muscle mass and anemia.

• The Journal of Internal Korean Medicine
• /
• v.28 no.2
• /
• pp.399-407
• /
• 2007

Angioedema is a localized transient swelling of sudden onset that can occur in the face, lips, tongue, hand, feet, respiratory system and gastrointestinal system. Angioedema is classified as allergy, hereditary, idiopathic or induced by medication as like aspirin, nonsteroidal anti-inflammatory agents, opiates, antibiotics, and angiotensin-converting enzyme. Angiotensin-converting enzyme inhibitors are widely prescribed for hypertension and heart failure. This drug is commonly associated with angioedema which may be potentially life threatening. We experienced a case of angioedema induced by ACE inhibitor (angiotensin-converting enzyme inhibitor) in a 74-year-old patient who took ACE inhibitor to control hypertension during hospitalization. We thought the angioedema in the face had relation to myenzhong (面腫, mienjong) in oriental medicine. Weiling-tang (Wiryung-tang) was effective for angioedema in the face. As a result the symptoms disappeared rapidly. After 6 days, the patient's symptoms had notably improved.