Purpose: To compare the effectiveness, tolerability, acceptability, and safety of sodium picosulphate with magnesium citrate (PS/Mg) and polyethylene glycol (PEG) in children (≤18 years) preparing for colonoscopy. Methods: Three electronic databases (MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials) were searched till July 2020. Only randomized controlled trials (RCTs) were included. At least two authors independently selected studies and performed risk of bias assessment and data extraction. Results: Four RCTs (n=390), with overall good quality were included. A meta-analysis of two trials (n=224) found no statistically significant difference between the groups with respect to the proportion of patients who had excellent and good scores (≥6 points) according to the Boston Bowel Preparation Scale (relative risk: 0.99; 95% confidence interval [CI]: 0.90 to 1.08). Excellent and good scores were observed in both groups in approximately 90% of children. A meta-analysis of two other trials (n=150) showed no significant difference between the groups with respect to the mean total score for the Ottawa Bowel Preparation Scale (mean difference: 0.20; 95% CI: -0.74 to 1.14). Both regimens provided a comparable safety profile; however, PS/Mg was significantly superior to high volume PEG in terms of tolerability (abdominal pain, nausea, vomiting, bloating/flatulence/fullness) and acceptability (ease of formulation consumption, taste acceptance, need for nasogastric tube, compliance with full dose). Conclusion: PS/Mg provides a quality and safety profile similar to PEG for bowel cleansing; however, it has better acceptance and tolerance in children preparing for colonoscopy.
Miranda, Marcela P.;Tamayo, Jorge L.P.;Morsch, Inacio B.
Structural Engineering and Mechanics
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v.81
no.5
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pp.617-631
/
2022
In this paper the viscoelastic responses of four experimental steel-concrete composite beams subjected to highly variable environmental conditions are investigated by means of a finite element (FE) model. Concrete specimens submitted to stepped stress changes are also evaluated to validate the current formulations. Here, two well-known approaches commonly used to solve the viscoelastic constitutive relationship for concrete are employed. The first approach directly solves the integral-type form of the constitutive equation at the macroscopic level, in which aging is included by updating material properties. The second approach is postulated from a rate-type law based on an age-independent Generalized Kelvin rheological model together with Solidification Theory, using a micromechanical based approach. Thus, conceptually both approaches include concrete hardening in two different manners. The aim of this work is to compare and analyze the numerical prediction in terms of long-term deflections of the studied specimens according to both approaches. To accomplish this goal, the performance of several well-known model codes for concrete creep and shrinkage such as ACI 209, CEB-MC90, CEB-MC99, B3, GL 2000 and FIB-2010 are evaluated by means of statistical bias indicators. It is shown that both approaches with minor differences acceptably match the long-term experimental deflection and are able to capture complex oscillatory responses due to variable temperature and relative humidity. Nevertheless, the use of an age-independent scheme as proposed by Solidification Theory may be computationally more advantageous.
Maleki, Azam;Bashirian, Saeid;Soltanian, Ali Reza;Jenabi, Ensiyeh;Farhadinasab, Abdollah
Clinical and Experimental Pediatrics
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v.65
no.2
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pp.85-89
/
2022
Background: There is evidence of a relationship between prenatal excess androgen exposure and central nervous developmental problems and attention-deficit/hyperactivity disorder (ADHD) in the offspring of mothers with polycystic ovary syndrome (PCOS). Purpose: Here we aimed to use a meta-analysis to investigate whether the offspring of mothers with PCOS are at an increased chance of developing ADHD. Methods: Three main English databases were searched for articles published through December 2020. The Newcastle-Ottawa Scale was used to assess study quality. Study heterogeneity was determined using I2 statistics and publication bias was assessed using Begg and Egger tests. The results are presented as odds ratio (OR) and relative ratio (RR) estimates with 95% confidence intervals (CIs) using a random-effects model. Results: Six articles (3 cohort and 3 case-control studies; 401,413 total ADHD cases) met the study criteria. Maternal PCOS was associated with an increased risk of ADHD in the offspring based on OR and RR (OR, 1.42; 95% CI, 1.27-1.57) and (RR, 1.43; 95% CI, 1.35-1.51), respectively. There was no heterogeneity among the included articles based on OR (I2=0.0%, P=0.588) and RR (I2=0.0%, P=0.878). Conclusion: Our study showed that maternal PCOS is a risk factor for ADHD. Therefore, screening their offspring for ADHD should be considered part of the comprehensive clinical care of women with PCOS.
Hesol, Lee;Sun Haeng, Lee;Gyu Tae, Chang;Boram, Lee
The Journal of Pediatrics of Korean Medicine
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v.37
no.1
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pp.1-14
/
2023
Objectives This study aimed to evaluate the effect of Samryungbaekchul-san on childhood anorexia. Methods We searched 11 English, Korean, Chinese, and Japanese databases for studies published up to May 30, 2022. Randomized controlled trials (RCTs) assessing the effect of Samryungbaekchul-san on childhood anorexia were included. In the meta-analysis, relative risk (RR) and 95% confidence intervals (CI) were indicated as dichotomous variables, and mean difference (MD) or standardized mean difference (SMD) and 95% CIs were indicated as continuous variables. Results We included 12 RCTs with 1345 participants. The Samryungbaekchul-san treatment group had a significantly higher total effective rate (TER) than that of the western medicine control group (RR 1.42, 95% CI 1.23-1.64, I2 = 0%). The combined Samryungbaekchul-san and western medicine treatment group had significantly higher TER (RR 1.31, 95% CI 1.23 to 1.40, I2 = 0%) and levels of neuropeptide Y (SMD 0.93, 95% CI 0.47-1.39, I2 = 70%) and ghrelin (SMD 1.45, 95% CI 1.14-1.76, I2 = 0%) than those of the western medicine alone group. Additionally, leptin levels were significantly lower in the combined treatment group (SMD -1.19, 95% CI -1.88 to -0.51, I2 = 86%) compared with the western medicine alone group, although statistical heterogeneity was substantial. Conclusions Samryungbaekchul-san may be effective for childhood anorexia. However, owing to limitations such as high clinical heterogeneity between the studies, unclear risks of biases, and insufficient reports of adverse events and follow-ups, well-designed RCTs with a low risk of bias are needed in the future.
This driving simulation study examined relative differences in driving anger as the functions of drivers' gender and driving experiences, and actor-observer perspectives when they were exposed in two anger-provoking driving scenarios(cutting-in and sudden stop). The results showed the followings. First, neither drivers' gender nor driving experience, when they were considered independently of the driving situation types and actor-observer perspectives, yielded significant difference in driving anger. Second, actor-observer effect on driving anger was observed only in the cutting-in condition where other driver's intension was emphasized. Third, the female drivers of low driving experience tended to show the strongest tendency of actor-observer bias in the cutting-in condition. These results suggested that the levels of driving anger as the functions of drivers' gender and driving experience can be differed by types of driving situation as well as perspectives of drivers' interpreting the situations.
Serin Kim;Ukkyo Jeong;Hanlim Lee;Yeonjin Jung;Jae Hwan Kim
Korean Journal of Remote Sensing
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v.40
no.1
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pp.1-8
/
2024
Busan is the 6th largest port city in the world, where nitrogen dioxide (NO2) emissions from transportation and port industries are significant. This study aims to assess the NO2 products of the Geostationary Environment Monitoring Spectrometer (GEMS) over Busan using ground-based instruments (i.e., surface in-situ network and Pandora). The GEMS vertical column densities of NO2 showed reasonable consistency in the spatiotemporal variations, comparable to the previous studies. The GEMS data showed a consistent seasonal trend of NO2 with the Korea Ministry of Environment network and Pandora in 2022, which is higher in winter and lower in summer. These agreements prove the capability of the GEMS data to monitor the air quality in Busan. The correlation coefficient and the mean bias error between the GEMS and Pandora NO2 over Busan in 2022 were 0.53 and 0.023 DU, respectively. The GEMS NO2 data were also positively correlated with the ground-based in-situ network with a correlation coefficient of 0.42. However, due to the significant spatiotemporal variabilities of the NO2, the GEMS footprint size can hardly resolve small-scale variabilities such as the emissions from the road and point sources. In addition, relative biases of the GEMS NO2 retrievals to the Pandora data showed seasonal variabilities, which is attributable to the air mass factor estimation of the GEMS. Further studies with more measurement locations for longer periods of data can better contribute to assessing the GEMS NO2 data. Reliable GEMS data can further help us understand the Asian air quality with the diurnal variabilities.
The Korea retrospective dosimetry (KREDOS)-electron paramagnetic resonance (EPR) group undertook an intercomparison investigation utilizing hydroxyapatite. This analysis involved four institutions: the Korea Institute of Radiological and Medical Sciences, Dongnam Institute of Radiological and Medical Sciences, Korean Association for Radiation Application, and Radiation Health Institute of Korea Hydro & Nuclear Power. Following the irradiation of the hydroxyapatite sample, the recorded build-up was analyzed. To validate the reliability of the EPR dosimetry findings and enhance its operational performance, a hydroxyapatite dose-response curve was plotted and dosimetry was performed for a blind sample. The proficiency of each laboratory was assessed by employing an interlaboratory comparison methodology. This involved a comparative analysis of the measurement results by calculating the relative bias, z-score, and En value. The results submitted by the participating laboratories demonstrated satisfactory ratings for doses of 1.006, 3.999, and 6.993 Gy. Following the second intercomparison, efforts to optimize their hydroxyapatite-EPR dosimetry systems are underway in the participating laboratories. The current assessment of hydroxyapatite dose yielded the foundational data required to establish the parameters of dental dosimetry. In future, the third intercomparison experiment will be conducted for exploring other materials.
In this paper, we aim to analyze the effect of accounting policy change subsequent to the adoption of K-IFRS in Korea, whereby the firms are required to recognize impairment losses on goodwill on a periodic basis rather than to amortize over a specific period. As a principle-based accounting standard, the K-IFRS expands the scope of fair value measurement with a view to enhance the relevance and timeliness of accounting information. In the same vein, intangibles with indefinite useful life, of which goodwill is an example, are subject to regulatory impairment tests at least once a year. Related literature on the impact of mandatory change in goodwill policy document that impairment recognition is more likely to be practiced opportunistically, mainly because managers have a greater discretion to conduct the tests under K-IFRS. However, existing literature examined the frequency and/or magnitude of the goodwill impairment before versus after the K-IFRS adoption, failing to notice the impairment symptoms at individual firm level. Borrowing the definition of impairment symptoms suggested by Ramanna and Watts(2012), this study performs a series of tests to determine whether the goodwill impairment recognition achieves the goal of communicating timelier information under the K-IFRS regime. Using 947 firm-year observations from domestic companies listed in KRX and KOSDAQ markets from 2008 to 2011, we document overall delays in recognizing impairment losses on goodwill after the adoption of K-IFRS relative to prior period, based on logistic and OLS regression analyses. The results are qualitatively similar in robustness tests, which use alternative proxy for goodwill impairment symptom. Afore-mentioned results indicate that managers are likely to take advantage of the increased discretion to recognize the impairment losses on goodwill rather than to provide timelier information on impairment, inconsistent with the goal of regulatory authority, which is in line with the improvement of timeliness and relevance of accounting information in conjunction with the full implementation of K-IFRS. This study contributes to the extant literature on goodwill impairment from a methodological viewpoint. We believe that the method employed in this paper potentially diminishes the bias inherent in researches relying on ex post impairment recognition, by conducting tests based on ex ante impairment symptoms, which allows direct examination of the timeliness changes between before and after K-IFRS adoption.
Atmospheric Motion Vector (AMV) from satellite images have shown Slow Speed Bias (SSB) in comparison with rawinsonde. The causes of SSB are originated from tracking, selection, and height assignment error, which is known to be the leading error. However, recent works have shown that height assignment error cannot be fully explained the cause of SSB. This paper attempts a new approach to examine the possibility of SSB reduction of COMS AMV by using a new target tracking algorithm. Tracking error can be caused by averaging of various wind patterns within a target and changing of cloud shape in searching process over time. To overcome this problem, Gaussian Mixture Model (GMM) has been adopted to extract the coldest cluster as target since the shape of such target is less subject to transformation. Then, an image filtering scheme is applied to weigh more on the selected coldest pixels than the other, which makes it easy to track the target. When AMV derived from our algorithm with sum of squared distance method and current COMS are compared with rawindsonde, our products show noticeable improvement over COMS products in mean wind speed by an increase of $2.7ms^{-1}$ and SSB reduction by 29%. However, the statistics regarding the bias show negative impact for mid/low level with our algorithm, and the number of vectors are reduced by 40% relative to COMS. Therefore, further study is required to improve accuracy for mid/low level winds and increase the number of AMV vectors.
Park, Jun Sang;Seo, Yun Am;Kim, Kyu Rang;Ha, Jong-Chul
Korean Journal of Agricultural and Forest Meteorology
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v.20
no.3
/
pp.262-276
/
2018
Models to predict Leaf Wetness Duration (LWD) were evaluated using the observed meteorological and dew data at the 11 citrus orchards in Jeju, South Korea from 2016 to 2017. The sensitivity and the prediction accuracy were evaluated with four models (i.e., Number of Hours of Relative Humidity (NHRH), Classification And Regression Tree/Stepwise Linear Discriminant (CART/SLD), Penman-Monteith (PM), Deep-learning Neural Network (DNN)). The sensitivity of models was evaluated with rainfall and seasonal changes. When the data in rainy days were excluded from the whole data set, the LWD models had smaller average error (Root Mean Square Error (RMSE) about 1.5hours). The seasonal error of the DNN model had the similar magnitude (RMSE about 3 hours) among all seasons excluding winter. The other models had the greatest error in summer (RMSE about 9.6 hours) and the lowest error in winter (RMSE about 3.3 hours). These models were also evaluated by the statistical error analysis method and the regression analysis method of mean squared deviation. The DNN model had the best performance by statistical error whereas the CART/SLD model had the worst prediction accuracy. The Mean Square Deviation (MSD) is a method of analyzing the linearity of a model with three components: squared bias (SB), nonunity slope (NU), and lack of correlation (LC). Better model performance was determined by lower SB and LC and higher NU. The results of MSD analysis indicated that the DNN model would provide the best performance and followed by the PM, the NHRH and the CART/SLD in order. This result suggested that the machine learning model would be useful to improve the accuracy of agricultural information using meteorological data.
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