• Title/Summary/Keyword: Young-onset

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Fresh Water Flume Analysis Using an Unstructured Grid Ocean Circulation Model (비정규격자계 해양순환 모델을 이용한 하구에서의 담수 유출분석)

  • Hwang, Jin-Hwan;Park, Young-Gyu
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.12 no.4
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    • pp.227-234
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    • 2009
  • Using a finite volume ocean circulation model based on an unstructured grid (FVCOM), we studied the structure of a fresh water bulge that influences on the Region Of Freshwater Influence. Fresh water discharged a river forms a coastal boundary current to the righthand side and a cyclonically circulation freshwater bulge that grows with time. In the middle of the bulge, vertical motions bring fresh water to the bottom. When tidal motions are included, the bulge disappears while the boundary currents becomes wider. Through a simple comparison of areas occupied low salinity water we quantified vertical and horizontal mixing due to the tide and showed that the tidal motion enhances the vertical mixing. During the first few tidal cycles right after the onset of the river discharge, due to tidal excursion the horizontal mixing becomes stronger. The vertical mixing by the tide mixes the fresh water After a certain time the water around the river mouth is well mixed and the horizontal excursion of the fresh water near the river mouth does not have much effect on the horizontal mixing. When there is no tidal motion horizontal mixing is mainly by the inertial instability at the surface and the horizontal mixing becomes stronger over time.

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Clinical Features of Group B β-hemolytic Streptococcal Infection in Infants and Children (Group B β-hemolytic Streptococcus에 의한 소아 감염증의 임상상)

  • Kim, Yun Kyung;Kwak, Young Ho;Kim, Yae Jean;Jung, Hye Sun;Hong, Jung Yeon;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.6 no.2
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    • pp.194-202
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    • 1999
  • Background : Group B ${\beta}$-hemolytic Streptococcus(GBS) has been the major pathogen of neonatal sepsis in western country. In contrast, GBS has played little role in neonatal sepsis in Korea. But recently, neonatal GBS infections are encountered more frequently. It is important to characterize the clinical and epidemiological features of GBS infection in Korean children. Methods: We reviewed retrospectively the medical records of twenty-seven infants and children with GBS infection experienced at the Seoul National University Children's Hospital during 14 year-period from June, 1985 to June, 1999. Fourteen strains isolated from blood and cerebrospinal fluid were serotyped. Minimum inhibitory concentrations of 10 strains were determined by agar dilution method for penicillin, ampicillin, ampicillin with sulbactam, cefarolin, cefuroxime, and cefuiaxone. Results: The numbers of cases with GBS infection increased in 1990s. Among twenty seven cases, twenty-five cases were under three months of age and both of two cases with underlying disease occurred at three years of age. All neonatal infections were late-onset type and meningitis predominated. Serotypes were III(6 strain), Ib(4), Ia(l) and V(2). All of the strain were susceptible to all of the antibiotics tested. Conclusion: GBS infections in infants were increasingly recognized. GBS should be considered as an etiological agent of neonatal sepsis or meningitis in Korea. Maternal screening and prophylactic antibiotic therapy may be considered.

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Propofol Post-conditioning Protects against COS-7 Cells in Hypoxia/reoxygenation Injury by Induction of Intracellular Autophagy

  • Kwak, Jin-Won;Kim, Eok-Nyun;Park, Bong-Soo;Kim, Yong-Ho;Kim, Yong-Deok;Yoon, Ji-Uk;Kim, Cheul-Hong;Yoon, Ji-Young
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.1
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    • pp.49-56
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    • 2014
  • Background: Propofol (2.6-diisopropylphenol) is a widely used intravenous anesthetic agent for the induction and maintenance of anesthesia during surgeries and sedation for ICU patients. Propofol has a structural similarity to the endogenous antioxidant vitamin E and exhibits antioxidant activities.13) However, the mechanism of propofol on hypoxia/reoxygenation (H/R) injury has yet to be fully elucidated. We investigated how P-PostC influences the autophagy and cell death, a cellular damage occurring during the H/R injury. Methods: The groups were randomly divided into the following groups: Control: cells were incubated in normoxia (5% CO2, 21% O2, and 74% N2) without propofol treatment. H/R: cells were exposed to 24 h of hypoxia (5% CO2, 1% O2, and 94% N2) followed by 12 h of reoxygenation (5% CO2, 21% O2, and 74% N2). H/R + P-PostC: cells post-treated with propofol were exposed to 24 h of hypoxia followed by 12 h of reoxygenation. 3-MA + P-PostC: cells pretreated with 3-MA and post-treated propofol were exposed to 24 h of hypoxia followed by 12 h of reoxygenation Results: The results of our present study provides a new direction of research on mechanisms of propofol-mediated cytoprotection. There are three principal findings of these studies. First, the application of P-PostC at the onset of reoxygenation after hypoxia significantly increased COS-7 cell viability. Second, the cellular protective effect of P-PostC in H/R induced COS-7 cells was probably related to activation of intra-cellular autophagy. And third, the autophagy pathway inhibitor 3-MA blocked the protective effect of P-PostC on cell viability, suggesting a key role of autophagy in cellular protective effect of P-PostC. Conclusions: These data provided evidence that P-PostC reduced cell death in H/R model of COS-7 cells, which was in agreement with the protection by P-PostC demonstrated in isolated COS-7 cells exposed to H/R injury. Although the this study could not represent the protection by P-PostC in vivo, the data demonstrate another model in which endogenous mechanisms evoked by P-PostC protected the COS-7 cells exposed to H/R injury from cell death.

Survey on the Discharge Planning of Occupational Therapists (국내 작업치료사의 퇴원계획 개입에 대한 실태 조사연구)

  • Hwang, Na-Kyoung;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.55-71
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    • 2020
  • Objective : The purpose of this study was to investigate the necessity of occupational therapist's involvement in patient discharge planning, the areas that should be considered for discharge screening and planning, and to provide the basic data required for the development of a discharge assessment tool. Methods : We conducted an online questionnaire survey of 60 occupational therapists who were working at medical institutions and had agreed to participate in the study. The questionnaire was composed of 36 questions regarding the general characteristics of the current discharge planning process and the necessity of discharge assessment and planning. Descriptive statistics, an independent t-test, and a one-way ANOVA were conducted using SPSS 20.0. As for the post-hoc test, Scheffe's test was used. Results : The awareness of occupational therapist's role in discharge planning and the necessity of a discharge assessment tool were high, but the occupational therapist's awareness of discharge-related knowledge was low. The difficulties in discharge planning showed high response rate in the absence of adequate fee-for-service in the patient interview and assessment and the lack of team approach and appropriate assessment tools for discharge planning. The high-needs areas for evaluation during discharge were fall risk and BADL, and the low-needs areas were well-being and functional level prior to onset. Conclusion : This study is expected to provide preliminary information necessary for the development of a discharge assessment tool for effective discharge planning.

Concise Bedside Surgical Management of Profound Reperfusion Injury after Vascular Reconstruction in Severe Trauma Patient: Case Report

  • Chung, Hoe Jeong;Kim, Seong-yup;Byun, Chun Sung;Kwon, Ki-Youn;Jung, Pil Young
    • Journal of Trauma and Injury
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    • v.29 no.4
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    • pp.204-208
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    • 2016
  • For an orthopaedic surgeon, the critical decisions to either amputate or salvage a limb with severe crushing injury with progressive ischemic change due to arterial rupture or occlusion can become a clinical dilemma at the Emergency Department (ED). And reperfusion injury is one of the fetal complications after vascular reconstruction. The authors present a case which was able to save patient's life by rapid vessel ligation at bedside to prevent severe reperfusion injury. A 43-year-old male patient with no pre-existing medical conditions was transported by helicopter to Level I trauma center from incident scene. Initial result of extended focused assessment with sonography for trauma (eFAST) was negative. The trauma series X-rays at the trauma bay of ED showed a multiple contiguous rib fractures with hemothorax and his pelvic radiograph revealed a complex pelvic trauma of an Anterior Posterior Compression (APC) Type II. Lower extremity computed tomography showed a discontinuity in common femoral artery at the fracture site and no distal run off. Surgical finding revealed a complete rupture of common femoral artery and vein around the fracture site. But due to the age aspect of the patient, the operating team decided a vascular repair rather than amputation even if the anticipated reperfusion time was 7 hours from the onset of trauma. Only two hours after the reperfusion, the patient was in a state of shock when his arterial blood gas analysis (ABGA) showed a drop of pH from 7.32 to 7.18. An imminent bedside procedure of aseptic opening the surgical site and clamping the anastomosis site was taken place rather than undergoing a surgery of amputation because of ultimately unstable vital sign. The authors would like to emphasize the importance of rapid decision making and prompt vessel ligation which supply blood flow to the ischemic limb to increase the survival rate in case of profound reperfusion injury.

All Solution processed BiVO4/WO3/SnO2 Heterojunction Photoanode for Enhanced Photoelectrochemical Water Splitting

  • Baek, Ji Hyun;Lee, Dong Geon;Jin, Young Un;Han, Man Hyung;Kim, Won Bin;Cho, In Sun;Jung, Hyun Suk
    • Proceedings of the Korean Vacuum Society Conference
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    • 2016.02a
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    • pp.417-417
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    • 2016
  • Global environmental deterioration has become more serious year by year and thus scientific interests in the renewable energy as environmental technology and replacement of fossil fuels have grown exponentially. Photoelectrochemical (PEC) cell consisting of semiconductor photoelectrodes that can harvest light and use this energy directly to split water, also known as photoelectrolysis or solar water splitting, is a promising renewable energy technology to produce hydrogen for uses in the future hydrogen economy. A major advantage of PEC systems is that they involve relatively simple processes steps as compared to many other H2 production systems. Until now, a number of materials including TiO2, WO3, Fe2O3, and BiVO4 were exploited as the photoelectrode. However, the PEC performance of these single absorber materials is limited due to their large charge recombinations in bulk, interface and surface, leading low charge separation/transport efficiencies. Recently, coupling of two materials, e.g., BiVO4/WO3, Fe2O3/WO3 and CuWO4/WO3, to form a type II heterojunction has been demonstrated to be a viable means to improve the PEC performance by enhancing the charge separation and transport efficiencies. In this study, we have prepared a triple-layer heterojunction BiVO4/WO3/SnO2 photoelectrode that shows a comparable PEC performance with previously reported best-performing nanostructured BiVO4/WO3 heterojunction photoelectrode via a facile solution method. Interestingly, we found that the incorporation of SnO2 nanoparticles layer in between WO3 and FTO largely promotes electron transport and thus minimizes interfacial recombination. The impact of the SnO2 interfacial layer was investigated in detail by TEM, hall measurement and electrochemical impedance spectroscopy (EIS) techniques. In addition, our planar-structured triple-layer photoelectrode shows a relatively high transmittance due to its low thickness (~300 nm), which benefits to couple with a solar cell to form a tandem PEC device. The overall PEC performance, especially the photocurrent onset potential (Vonset), were further improved by a reactive-ion etching (RIE) surface etching and electrocatalyst (CoOx) deposition.

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Effect of a short-term in vitro exposure time on the production of in vitro produced piglets

  • Hwang, In-Sul;Kwon, Dae-Jin;Kwak, Tae-Uk;Lee, Joo-Young;Hyung, Nam-Woong;Yang, Hyeon;Oh, Keon Bong;Ock, Sun-A;Park, Eung-Woo;Im, Gi-Sun;Hwang, Seongsoo
    • Journal of Embryo Transfer
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    • v.31 no.2
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    • pp.117-121
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    • 2016
  • Although piglets have been delivered by embryo transfer (ET) with in vitro produced (IVP) embryos and blastocysts, a success rate has still remained lower level. Unlike mouse, human, and bovine, it is difficult to a production of piglets by in vitro fertilization (IVF) because of an inappropriate in vitro culture (IVC) system in pig. Therefore, the present study was conducted to investigate whether minimized exposure time in IVC can improve the pregnancy and delivery rates of piglets. Immediately after IVM, the oocytes were denuded and co-incubated with freshly ejaculated boar semen for 3.5 to 4 hours at $38.5^{\circ}C$ under 5% $CO_2$ in air. To avoid long-term exposure to in vitro state, we emitted IVC step after IVF. After that the presumptive zygotes were transferred into both oviducts of the surrogate on the same day or 1 day after the onset of estrus. Pregnancy was diagnosed on day 28 after ET and then was checked regularly every month by ultrasound examination. The 3 out of 4 surrogates were determined as pregnant (75%) and a total of 5 piglets (2 females and 3 males) were delivered at $118.3{\pm}2.5$ days of pregnancy period. In conclusion, a short-term exposure time may be an important factor in the production of IVP-derived piglets. It can be apply to the in vitro production system of transgenic pig by IVF, cloning, and pronuclear microinjection methods.

USE OF ENFLURANE FOR CHILDREN WHO FAIL TO RESPOND PROPERLY TO ORAL CHLORAL HYDRATE (Chloral Hydrate 경구투여 후 진정 효과가 나타나지 않은 소아환자에 대한 Enflurane의 사용)

  • Lee, Sang-Min;Yoon, Hyng-Bae;Kim, Jong-Soo;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.26 no.3
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    • pp.513-519
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    • 1999
  • Chloral hydrate is one of the most widely used sedative agents to control the difficult to treat young age group in the dental clinic. We are often frustrated to see the patient still awake and cry with agitation even after far more than the normal onset time. In such a case, the patient has to be rescheduled for another sedation visit with different agents and/or routes which greatly disappoints the guardians. This case report presents a sedative regimen that can possibly help the clinician complete scheduled treatment without postponement. We have tried sleep induction with Enflurane (1-1.5vol%) for 60 seconds to 37 patients of those who failed to respond properly to the dose(70mg/kg)of oral Chloral hydrate. The average age and weight of the patients was 34.3 months(22-43mo.) and 14.9kg(11-21kg) respectively. It is suggested that sleep induction with low dose Eflurane produced a stable state during dental treatment with respect to vital sign and behavior. Evidence of adverse effect was not detected or reported during and/or after the procedures.

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A Study of Muscle Fatigue in Lumbar and Abdominal Muscles in Patients with Chronic Low Back Pain by Electromyographic Power Spectral Analysis (근전도 스펙트럼 분석을 이용한 만성 요통 환자의 요부근육과 복부근육의 피로도 분석)

  • Nam, Ki-Seok;Lee, Young-Hee;Yi, Chung-Hwi;Cho, Sang-Hyun
    • Physical Therapy Korea
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    • v.6 no.2
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    • pp.16-31
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    • 1999
  • The purpose of this study was to assess the fatigue in lumbar and abdominal muscles in patients with chronic low back pain compared with normal subjects using spectral analysis with mean power frequency and median power frequency. The experimental group consisted of twenty subjects who had experienced chronic low back pain for over one year after the onset day. A control group consisted of twenty normal subjects with no history of low back pain. All subjects stood in an apparatus to perform sustained contraction in the lumbar and abdominal muscles for 30 seconds with 60% maximal voluntary isometric contraction (MVIC). The resulting electromyographic (EMG) recorded time serial data were transformed into frequency serial data by Fast Fourier Transformation (FFT). The results were as follows: 1) lumbar muscles measured, the frequency change ratio of both median power frequency and mean power frequency was significantly greater for experimental group compared with control group group (p<0.05). In measured two abdominal muscles (inferior rectus abdominis, obliquus externus abdominis) except superior rectus abdominis, the frequency change ratio of both median power frequency and mean power frequency was significantly greater for experimental group compared with control group (p<0.05). 2) In all three (longissimus thoracis, iliocostalis lumborum, multifidus) lumbar muscles measured, the initial frequency value of both median power frequency and mean power frequency was significantly lower for the experimental group compared with the control group (p<0.05). In the two (inferior rectus abdominis, obliquus externus abdominis) abdominal muscles measured (superior rectus abdominis not included), the initial frequency value of both median power frequency and mean power frequency was significantly lower for the experimental group compared with the control group (p<0.05). These results suggest that in patients with chronic low back pain there is a trend for more fatigue to occur in both lumbar and abdominal muscles than in the normal control group. This would seem to suggest that in treatment programs for patients with chronic low back pain, improvement of endurance in all trunk muscles should be considered.

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The Study on Knitting Techniques in Joseon Dynasty (조선시대 복식의 니트 기법 연구)

  • Lim, Young-Ja;Kwen, Jin
    • Journal of the Korean Society of Costume
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    • v.54 no.1
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    • pp.23-36
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    • 2004
  • The knitting, which has developed from the onset of human civilization, has a close relation to dwelling as well as to clothing itself. Its progress has taken shape in a variety of forms according to nature-friendly tools and its knit texture in the past is different from that of modern times. With this basic idea, the work aims at the further study of various knitting structure which triggered the origin of modern techniques, the establishment of those methods, and the finding of what means was utilized earlier based on these. By doing that, this study will provide the foundation in the Korean historical timeframe in knitting field and give definition to knit wear in a historical sense. As to definition, the outcome in the research boils down to two categories. broad meaning and narrow meaning. The former can be the hook-formed textile, referring to making, twisting, or binding the knots. On the other hands, the latter, that is, narrow type, can be the loop-linked fabric which can be defined as modern knitting. The knitting dates back to the ancient way of binding structure, combining structure in other words, and braiding structure and this kept dividing into subgroups like Netting. Nalbinding, Sprang and Crochet as the usage of hands and tools by mankind has got improved. And it changed into knitting and crochet which means a bamboo needle-hook knitting (larger needle type) and a crochet-hook knitting (smaller needle type), respectively through middle ages and modern times and settled down to the production of fabric. In this work, Netting, Nalbinding, Sprang and Crochet are classified as ancient category in which these originate the modern knitting method. Though the modern type of knitting is not found in the Joseon Dynasty, some various methods from the ancient twisting skill and binding skill where the materials with easy access to acquisition in the nature such as rattan, straw, horsehair, hemp, rush, cotton, silk and the like to Netting, Nalbinding and Sprang except Crochet were handed down and used in costume for diverse application. This work can provide the basic frame in terms of Korean history of knitting which has been excluded in the relevant researches until now. When applying the study, it would trigger the initiation of more versatile design with which the previous unique techniques along with modern techniques can be adopted in the clothing market as knit designs gain in public favor more and more.