• Title/Summary/Keyword: Growth failure

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Effects of zinc supplementation on catch-up growth in children with failure to thrive

  • Park, Seul-Gi;Choi, Ha-Neul;Yang, Hye-Ran;Yim, Jung-Eun
    • Nutrition Research and Practice
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    • v.11 no.6
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    • pp.487-491
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    • 2017
  • BACKGROUND/OBJECTIVES: Although globally the numbers of children diagnosed with failure to thrive (FTT) have decreased, FTT is still a serious pediatric problem. We aimed to investigate the effects of zinc supplementation for 6 months on growth parameters of infants and children with FTT. SUBJECTS/METHODS: In this retrospective study, of the 114 participants aged between 4 months and 6 years, 89 were included in the zinc supplementation group and were provided with nutrition counseling plus an oral zinc supplement for 6 months. The caregivers of the 25 participants in the control group received nutrition counseling alone. Medical data of these children, including sex, age, height, weight, serum zinc level, and serum insulin-like growth factor 1 (IGF1) level were analyzed. RESULTS: Zinc supplementation for 6 months increased weight-for-age Z-score and serum zinc levels (5.5%) in the zinc supplementation group of underweight category children. As for stunting category, height-for-age Z-score of the participants in the zinc supplementation group increased when compared with the baseline, and serum zinc levels increased in the normal or mild stunting group. Serum IGF1 levels did not change significantly in any group. Thus, zinc supplementation was more effective in children in the underweight category than those in the stunted category; this effect differed according to the degree of the FTT. CONCLUSION: These findings suggest that zinc supplementation may have beneficial effects for growth of infants and children with FTT, and zinc supplementation would be required according to degree of FTT.

Evaluation of Effect of Renal Transplantation on Growth in Children with Chronic Renal Failure (소아 신장이식 후 성장에 대한 평가)

  • Lee, Ji-Woong;Kim, Jung-Soo;Kim, Yang-Wook;Kim, Young-Hoon;Yoon, Young-Chul;Chung, Woo-Yeong
    • Childhood Kidney Diseases
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    • v.10 no.2
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    • pp.219-227
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    • 2006
  • Purpose : We aim to identify the clinical and demographic characteristics in children who underwent renal transplantation(RTx) and to evaluate the influence on growth of RTx in children. Methods : We reviewed 17 medical records of chronic renal failure patients who underwent RTx from April 1992 and June 2004 at Busan Paik Hospital. Age and sex distribution, cause of disease, donor analysis, patient and graft survival rate, and the status of growth after RTx were analysed by retrospective study. Results : Eighteen RTx were performed in 17 patients(8 boys, 9 girls). The mean age at the time of RTx was $15.8{\pm}3.5$ years and the mean duration of dialysis therapy before RTx was $22.4{\pm}18.0$ months. The 1 year and 5 year patient survival rate were each 100%, and the 1 year and 5 year graft survival rate were 88%, 36% respectively. The most common cause of graft failure was chronic rejection. The mean final height of male patients was $162.8{\pm}10.0$ cm(143.0-172.5 cm) and of female patients was $154.5{\pm}12.1$ cm(135.8-160.0 cm). The mean height standard deviation score(Ht SDS) increased after RTx from -1.95 to -1.53 but the increment rate was not statistically significant. Similar changes were noted in individual patient analysis. Also there was no significant difference between the living-related donors and cadaveric donors. Conclusion : Our data shows that even successful RTx rarely results in full growth rehabilitation. To overcome retarded growth in children with chronic renal failure, appropriate combined management of metabolic and nutritional problems, correction of anemia, proper use of recombinant growth hormone therapy, early renal transplantation and shortening of the duration of dialysis would be necessary.

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Reliability Growth Analysis for Next-Generation High-speed Train (차세대 고속열차의 신뢰성 성장 분석)

  • Noh, Hee-Min;Kim, Seog-Won
    • Journal of the Korean Society for Railway
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    • v.18 no.3
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    • pp.186-193
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    • 2015
  • In this paper, a reliability growth analysis for a next-generation high-speed train was conducted. First, the high-speed train was decomposed into 6 sub-systems and main equipment of the high-speed train was derived from functional diagrams. Next, failure rates were calculated for each sub-system from the failure data obtained during commissioning tests. Then, reliability growth analysis was conducted for the high-speed train using the Duane model. The results show that activities to increase reliability were carried out throughout the test runs from the reliability growth results.

Analyses of Fracture Tube Tearing using Gurson Model and Shear Failure Model (Gurson Model과 Shear Failure Model을 이용한 파쇄튜브의 찢어짐 해석)

  • Yang, Seung-Yong;Kwon, Tae-Su;Choi, Won-Mok
    • Journal of the Korean Society for Railway
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    • v.11 no.3
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    • pp.280-285
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    • 2008
  • Two kinds of failure model, that is, the Gurson model and a shear failure model were used for the finite element analyses of simple and notch tensile specimens and axial compression of a fracture tube with initial saw-cuts. The parameter values for the shear failure model were determined by a combined experimental and numerical analysis of the notch tensile specimens. After fitting the numerical parameters such as the yielding stress and the fracture shear strains, the Gurson model and the shear failure model were applied to the analysis of the fracture tube. Although the Gurson model and the shear failure model showed similar fracture behavior for the case of the tensile specimens, the respective results were different in the axial force and the crack growth rate of the fracture tube. That is, the shear failure model required more axial force to make the cracks propagate along the tube than the Gurson model. These are believed to show the lack of damage evolution process of the shear failure model. To decide which model is better in the tube analysis, experimental verification will be necessary.

A Case of IgG Subclass Deficiency with Growth Failure (재발성 호흡기 감염과 성장 부전을 보인 IgG 아형 결핍증 1례)

  • Choi, Yong-Sung;Hong, Jung-Mi;Rha, Young-Ho;Cha, Sung-Ho
    • Pediatric Infection and Vaccine
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    • v.13 no.2
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    • pp.201-205
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    • 2006
  • Immunodeficiency affected by antibody formation is most common among primary immuno-deficiencies. Selective IgA deficiency is more common but, one or more IgG subclass level is low or deficient in some patients. Patients with antibody production deficiency are vulnerable to pneumococci, staphylococci and H.influenzae leading to sinusitis, otitis media and pneumonia. A 10-year-old girl had suffered from frequent upper respiratory infections, a history of tuberculous lymphadenitis tuberculosis medication, and frequent pneumonia that requires hospital adimission. Her height and weight were below 3 percentile normal growth as a manifestation of failure to thrive. When she had another severe pneumonia, all the immunologic test was normal at first, and then we checked the IgG subclass levels. Her IgG1 was within normal, IgG2 was very low, IgG3 and IgG4 was not detected. We report a case of IgG subclass deficiency in frequent upper respiratory infection and failure to thrive.

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A case of Sotos syndrome presented with end-stage renal disease due to the posterior urethral valve

  • Cho, Won Im;Ko, Jung Min;Kang, Hee Gyung;Ha, Il-Soo;Cheong, Hae Il
    • Journal of Genetic Medicine
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    • v.11 no.2
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    • pp.74-78
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    • 2014
  • Sotos syndrome (SS, OMIM 117550) is characterized by prenatal and postnatal overgrowth with multiple congenital anomalies. However, there have been few cases of growth retardation caused by renal failure from infancy. We report a case of dysplasia of the bilateral kidneys with renal failure and poor postnatal growth. A 2-month-old boy visited the emergency room owing to poor oral intake and abdominal distension. He was born at the gestational age of 38 weeks with a birth weight of 4,180 g. After birth, he had feeding difficulty and abdominal distension. Upon physical examination, his height and weight were in less than the 3rd percentile, while his head circumference was in the 50th percentile on the growth curve. He also showed a broad and protruding forehead and high hairline. Blood laboratory tests showed severe azotemia; emergent hemodialysis was needed. Abdominal ultrasonography revealed bilateral renal dysplasia with multiple cysts and diffuse bladder wall thickening. A posterior urethral valve was suggested based on vesicoureterography and abdominal magnetic resonance findings. Results of a colon study to rule out congenital megacolon did not reveal any specific findings. The conventional karyotype of the patient was 46, XY. Array comparative genomic hybridization study revealed a chromosome 5q35 microdeletion including the NSD1 gene, based on which SS was diagnosed. We describe a case of SS presenting with end stage renal disease due to posterior urethral valve. The typical somatic overgrowth of SS in the postnatal period was not observed due to chronic renal failure that started in the neonatal period.

A Study on Burger King The Growth Mechanism: Toward The Dynamism of Corporate Success and Failure (기업성패 동태적 모형에 따른 버거킹 성장 매커니즘에 관한 연구)

  • Lee, Choong-Woo
    • The Korean Journal of Franchise Management
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    • v.5 no.2
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    • pp.51-67
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    • 2014
  • Looking at the case of countries or companies, the success and failure can be found a certain repetitive 'Pattern'. In this paper, global franchise company factors determine the success or failure of the Burger King on the market dynamism perspective, and looked to discuss its implications. The success or failure of a company in a country like pattern of the growth and erosion and stagnation and decline, and the pursuit of sustainable growth through relentless improvement reactivated. Burger King has more to strengthen brand equity oriented by the world's best restaurant through the development of aggressive marketing activities in the global market to regain its former glory.

A Study on A, pp.ication of Reliability Prediction & Demonstration Methods for Computer Monitor (Computer용 Monitor에 대한 신뢰성 예측.확인 방법의 응용)

  • 박종만;정수일;김재주
    • Journal of Korean Society for Quality Management
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    • v.25 no.3
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    • pp.96-107
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    • 1997
  • The recent stream to reliability prediction is that it is totally inclusive in depth to consider even the operating and environmental condition at the level of finished goods as well as component itselves. In this study, firstly we present the reliability prediction methods by entire failure rate model which failure rate at the system level is added to the failure rate model at the component level. Secondly we build up the improved bases of reliability demonstration through a, pp.ication of Kaplan-Meier, Cumulative hazard, Johnson's methods as non-parametric and Maximum Likelihood Estimator under exponential & Weibull distribution as parametric. And also present the methods of curve fitting to piecewise failure rate under Weibull distribution, PRST (Probability Ratio Sequential Test), curve fitting to S-shaped reliability growth curve, computer programs of each methods. Lastly we show the practical for determination of optimal burn-in time as a method of reliability enhancement, and also verify the practical usefulness of the above study through the a, pp.ication of failure and test data during 1 year.

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Study on Strain Localization and Progressive Failure of Concrete (콘크리트의 변형률 국소화 및 진행성 파괴에 관한 연구)

  • 송하원;김형운;우승민
    • Journal of the Korea Concrete Institute
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    • v.11 no.3
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    • pp.181-192
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    • 1999
  • The progressive failure following strain localization in concrete can be analyzed effectively using finite element modeling of fracture process zone of concrete with a finite element embedded discontinuity. In this study, a finite element with embedded discontinuous line is utilized for the analysis of progressive failure in concrete. The finite element with embedded discontinuity is a kind of discrete crack element, but the difficulties in discrete crack approach such as remeshing or adding new nodes along with crack growth can be avoided. Using a discontinuous shape function for this element, the displacement discontinuity is embedded within an element and its constitutive equation is modeled from the modeling of fracture process zone. The element stiffness matrix is derived and its dual mapping technique for numerical integration is employed. Then, a finite element analysis program with employed algorithms is developed and failure analysis results using developed finite element program are verified through the comparison with experimental data and other analysis results.

Root Cause Analysis on Delamination Failure between Coating Film and Paper (코팅지 박리파손에 대한 근본원인분석)

  • Lee Deok Bo
    • Proceedings of the Korean Reliability Society Conference
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    • 2005.06a
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    • pp.199-208
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    • 2005
  • In the calendar and the advertising catalog, the surface Is usually coated by coating polypropylene film. The delamination failure of coating film depends on surface roughness and quality of the substrate paper. In this paper, the mechanisms of delamination failure between the coating film and the paper is investigated by using the root cause analysis as one of techniques of reliability evaluation. The papers used in failure analysis are three kind products made by two domestic and one foreign companies. It found that the main causes of delamination failure between the coating film and the paper were the creation of microvoids caused by shape of filler and their growth caused by contraction of paper.

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