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Effects of Horseback Riding Simulation Machine Training on Gross Motor Function for the Children with Cerebral Palsy (뇌성마비 아동에 대한 승마시뮬레이션 훈련이 대동작 기능에 미치는 영향)

  • Kang, Kwon-Young;Song, Byung-Ho
    • The Journal of the Korea Contents Association
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    • v.10 no.5
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    • pp.268-284
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    • 2010
  • The purpose of this study was to evaluate the effects of horseback riding simulation training(HRST) on gross motor function of children with cerebral palsy. Twenty-four children with cerebral palsy participated were divided into two groups randomly. Control group and experimental group both received 30 minutes of regular neuro-rehab exercises for three times a week per twelve weeks, but experimental group received additional 15 minutes of the HRST. Gross Motor Function Measure(GMFM) was used to evaluate the changes before and after HRST. Normalized GMFM scores were compared using Mann-Whitney U test, statistical significance was set at a=.05. The results were as followings: First, in each compared before and after the experiment, the control group showed significantly increased GMFM score in dimensions A and B. The experimental group showed significant increasing in all dimensions of GMFM test. Second, the experimental group showed significant differences comparing to control group in dimensions C, D and E of GMFM test. Consequently, HRST should be considered as a therapeutic method for physical therapy for the children with cerebral palsy to improve the functional movements.

Relationship between Hydrologic Flux of Total Organic Carbon and Gross Primary Production (총 유기탄소의 수문학적 플럭스와 총 일차생산량 사이의 관계분석)

  • Park, Yoonkyung;Cho, Seonju;Choi, Daegyu;Kim, Sangdan
    • Journal of Wetlands Research
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    • v.14 no.4
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    • pp.503-518
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    • 2012
  • Models estimating carbon budget at land surface are mainly interested in vertical flux of carbon. On the other hand, studies on horizontal flux are obviously lacked to confirm that relationship between the hydrological flux of organic carbon discharged from catchment and terrestrial carbon production, a relation between Total Organic Carbon(TOC) and Gross Primary Production(GPP) tried analysis through cross correlation. The best correlation structure is correlation between GPP and TOC of flow-weighted mean concentration from watershed without delay. Furthermore, cross correlation analysis was performed by consider periodicity. The correlation between TOC and GPP in summer was similar to correlation without periodicity. Therefore, correlation between GPP and TOC was most regulated by the correlation between GPP and TOC at summer. As a result, the vegetation carbon and organic carbon from watershed is recognized a close relationship on the seasonal. Therefore, future research is correlation analyzing between vegetation variables according season, GPP and TOC, we are expected to use quantitative understanding that horizontal flux flow of carbon from the surface.

The Apparent Digestibility of Corn By-products for Growing-finishing Pigs In vivo and In vitro

  • Guo, Liang;Piao, Xiangshu;Li, Defa;Li, Songyu
    • Asian-Australasian Journal of Animal Sciences
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    • v.17 no.3
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    • pp.379-385
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    • 2004
  • Two trials in vivo and in vitro were conducted, in vivo to determine the apparent digestibility of gross energy, crude protein, dry matter, acid detergent fiber, neutral detergent fiber and apparent digestible energy in 10 corn by-products. In vivo the diets included one basal corn diet, four corn gluten meal diets, four corn distillers dried grains with solubles diets and two corn distillers dried grains diets using the different methods, 12 crossbred barrows weigh $40{\pm}$1.6 kg were allocated into individual metabolic crate, according to a $6{\times}6$ Latin square design. In vitro using flask technique, filter bag technique and dialysis tubing technique, the digestibilities of gross energy, crude protein and dry matter in corn gluten meal and corn distillers dried grains with solubles were investigated. Pepsin, pancreatin, intestinal fluid, rumen fluid and cellulase were used in incubation. The results showed that correlation coefficient was 0.73 in corn distillers dried grains with solubles between the digestibility of crude protein and acid detergent fiber in vivo (p<0.01); and correlation coefficient was 0.68 in corn distillers dried grains with solubles between the digestibility of gross energy and neutral detergent fiber in vivo (p<0.01). Apparent digestible energy (DE) of corn by-products in pig total tract was predicted by the percentage of crude protein (CP) and the content of gross energy (GE) in feedstuff. The equation: DE=5,601.09+26.69$\times$CP %-0.5904$\times$GE, ($R^2=0.72$). In vitro, filter bag technique was more convenient; furthermore, the digestibility for the treatments (pepsin+pancreatin+rumen fluid and pepsin+pancreatin+cellulase) was better.

Clinical Characteristics of Rhabdomyolysis in Children : Single Center Experience

  • Park, Yesul;Song, Ji Yeon;Kim, Su Young;Kim, Seong Heon
    • Childhood Kidney Diseases
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    • v.22 no.2
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    • pp.52-57
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    • 2018
  • Purpose: Rhabdomyolysis is a metabolic disorder in which the content of damaged muscle cells is released into plasma. Its manifestations include asymptomatic, myalgia, gross hematuria, and complications of acute kidney injury. Because of limited data on rhabdomyolysis in children, we performed this study to determine clinical characteristics of rhabdomyolysis in children. Methods: We retrospectively reviewed the records of patients with rhabdomyolysis who were treated at the Pusan National University Children's hospital from January 2011 to July 2016. The diagnostic criteria were serum myoglobin level of ${\geq}80ng/mL$, exclusive of acute myocardial injury, cardiac arrest, and brain damage. Results: Forty-five patients were enrolled; mean age, $116{\pm}68$ months. Of these, 35 were boys and 10 were girls. Twenty-six patients experienced myalgia and 12 patients showed gross hematuria. Among these, seven patients initially had both myalgia and gross hematuria. The most common causes of rhabdomyolysis were infection, physical exertion, prolonged seizures, metabolic abnormalities, and drug addiction. Acute kidney injury (AKI) was the most common complication, followed by disseminated intravascular coagulation. Thirty-seven patients improved with sufficient fluid supply but two patients underwent hemodialysis due to deterioration of kidney function. Gross hematuria, positive occult blood test, and positive urine protein were more common in patients with AKI than in those without AKI. Conclusions: In children, infection was the most common cause of rhabdomyolysis. Most patients recovered by sufficient fluid therapy. However, in severe cases, especially in patients with underlying kidney disease, hemodialysis may be necessary in the present study.

A Case of Cystitis with Bilateral Hydronephrosis Presenting with Gross Hematuria (양측성 수신증과 육안적 혈뇨를 보인 위축성 방광염 1례)

  • Lee, Min Jung;Kwak, Byung Ok;Song, Min Kyung;Chung, Sochung;Kim, Kyo Sun
    • Childhood Kidney Diseases
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    • v.16 no.2
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    • pp.146-149
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    • 2012
  • Gross hematuria is uncommon, and rarely associated with hydronephrosis in healthy children. We describe a 3-year-old boy who complained of gross hematuria and dysuria. He was diagnosed as cystitis with bilateral hydronephrosis, and treated with antibiotics and conservative therapy. Our experience suggests that cystitis with hydronephrosis can occur in healthy children presenting with gross hematuria.

A Study on Longitudinal Control Law in order to Improvement of T-50 Fine Tracking Performance (T-50 정밀추적 성능 향상을 위한 세로축 제어법칙에 관한 연구)

  • Kim, Chong-Sup;Hwang, Byung-Moon;Koh, Gi-Oak;Bae, Myung-Hwan
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.33 no.8
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    • pp.50-55
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    • 2005
  • An advanced method of Relaxed Static Stability (RSS) is utilized for improving the aerodynamic performance of modern version supersonic jet fighter aircraft. The laws of flight control system utilize RSS criteria in both longitudinal and lateral-directional axes to achieve performance enhancements. Particularly, the design of longitudinal control laws for utilizing RSS methods greatly affects the performance of the aircraft in Air-to-Air Tracking and Air-to-Ground modes, which improves weapon delivery. In the area of Air-to-Air Tracking, the development of longitudinal control laws aids in the fine tracking and gross acquisition of other aircraft. This paper proposes that new concept of longitudinal control law introduce in order to improve fine tracking performance in air-to-air tracking maneuver. Result of HQS pilot simulation and flight test, fine tracking performance improve without degradation of gross acquisition when new concept of control law is applied.

An Analysis of Structural Relationships among Financial Indicators of Hospitals in Korea: Applying Structural Equation Modeling(SEM) (병원 재무비율 지표들 간의 구조적인 관계 분석)

  • Jung, Min-Soo;Lee, Keon-Hyung;Choi, Man-Kyu
    • Health Policy and Management
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    • v.18 no.2
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    • pp.19-38
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    • 2008
  • Financial ratios are key indicators of an organization's financial and business conditions. Among various financial indicators, profitability, financial structure, financial activity and liquidity ratios are frequently used and analyzed. Using the structural equation modeling(SEM) technique, this study examines the structural causal relationships among key financial indicators. Data for this study are taken from complete financial statements from 142 hospitals that passed the standardization audit undertaken by the Korean Hospital Association from 1998 to 2001 for the purpose of accrediting teaching hospitals. In order to improve comparability, ratio values are standardized using the Blom's normal distribution. The final model of the SEM has four latent constructs: financial activity(total asset turnover, fixed asset turnover), liquidity(current ratio, quick ratio, collection period), financial structure(total debt to equity, long-term debt to equity, fixed assets to fund balance), and profitability(return on assets, normal profit to total assets, operating margin to gross revenue, normal profit to gross revenue). While examining several model fit indices(Chi-square (df) = 178.661 (40), likelihood ratio=4.467, RMR=.11, GFI=.849, RMSEA=.157), the final SEM we employed shows a relatively good fit. After examining the path coefficient of the constructs, the financial structure of the hospital affects the hospital's profitability in a statistically significant way. A hospital which utilizes its liabilities, more specifically fixed liabilities, and makes a stable investment decision for fixed assets was found to have a higher profitability than other hospitals. Then, the standard path coefficients were examined to directly compare the influence of variables. It was found that there were no statistically significant path coefficients among constructs. When it comes to variables, however, statistically significant relationships were found. between. financial activity and. fixed. asset turnover, and between profitability and normal profit to gross revenue. These results show that the observed variables of fixed asset turnover and normal profit to gross revenue can be used as indicators representing financial activity and profitability.

DETERMINATION OF OPTIMAL ROBUST ESTIMATION IN SELF CALIBRATING BUNDLE ADJUSTMENT (자체검정 번들조정법에 있어서 최적 ROBUST추정법의 결정)

  • 유환희
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.9 no.1
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    • pp.75-82
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    • 1991
  • The objective of this paper is to investigate the optimal Robust estimation and scale estimator that could be used to treat the gross errors in a self calibrating bundle adjustment. In order to test the variability in performance of the different weighting schemes in accurately detecting gross error, five robust estimation methods and three types of scale estimators were used. And also, two difference control point patterns(high density control, sparse density control) and three types of gross errors(4$\sigma o$, 20$\sigma o$, 50$\sigma o$) were used for comparison analysis. As a result, Anscombe's robust estimation produced the best results in accuracy among the robust estimation methods considered. when considering the scale estimator about control point patterns, It can be seen that Type II scale estimator provided the best accuracy in high density control pattern. On the other hand, In the case of sparse density control pattern, Type III scale estimator showed the best results in accuracy. Therefore it is expected to apply to robustified bundle adjustment using the optimal scale estimator which can be used for eliminating the gross error in precise structure analysis.

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Analysis on the Relating Factors of Profitability of Korean Public Corporation Medical Centers(KPCMCs) (지방공사 의료원의 수익성 관련요인 분석)

  • Moon, Jae-Woo;Park, Jae-San
    • Korea Journal of Hospital Management
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    • v.9 no.2
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    • pp.102-127
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    • 2004
  • The objective of this study is to analyze a current trend of and relating factors on profitability of the Korean Public Corporation Medical Centers(KPCMCs, hereinafter, hospitals) in Korea. There are 34 hospitals in Korea as of 2004. Among these hospitals some are red ink hospitals, others are black inks in terms of profitability. Data were collected by Korea Health Industry Development Institute(KHIDI) Statistics for Hospital Management 2000-2002 and Ministry of Health and Welfare(MOHW) financial data of public hospitals which was planned to coordinate public health care services roadmap in the long run. The samples are 32 hospitals. Profitability was measured in the aspect of profit rate with normal profit to total assets, and normal profit to gross revenues as dependent variables in respective. Independent variables were classified by general factors, i.e., location, intern/resident training, period of opening, number of beds, and managerial factors(current ratio, fixed ratio, liability to total assets, total assets turnover, personnel costs, materials cost, administrative cost), and finally factors related to patient treatment(average length of stay, bed occupancy rate, admission ratio of outpatients). The methods of analysis are correlation and multiple regression analysis. This study shows firstly, a lot of hospitals are optimal current ratio. Hospitals in upper 100% current ratio are 81.2%. And the personnel cost in total costs are high. Secondly, the trend of normal profit to gross revenues of hospitals are deteriorating gradually. And lastly, as a result of multiple regression analysis, the factors had on significant effect on normal profit to total assets are fixed ratio(+), liability to total assets(-), bed occupancy rate(+), admissions of outpatients(+), etc. And the factors had on significant effect on normal profit to gross revenues are current ration(+), fixed ratio(+), personnel cost(-), administrative expenses(-), admissions of outpatients(+), etc. In conclusion, to improve the profitability of hospitals, the efforts to reduce personnel cost and average length of stay might be needed. And also beds utilization rate need to be increased.

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Clinical Analysis of 21 Cases of Spinal Cord Ependymoma : Positive Clinical Results of Gross Total Resection

  • Kaner, Tuncay;Sasani, Mehdi;Oktenoglu, Tunc;Solmaz, Bilgehan;Sarioglu, Ali Celin;Ozer, Ali Fahir
    • Journal of Korean Neurosurgical Society
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    • v.47 no.2
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    • pp.102-106
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    • 2010
  • Objective : To evaluate the clinical results of gross total resection in the surgical approach to spinal ependymoma. Methods : Between June 1995 and May 2009,13 males and 8 females (mean age 34) diagnosed with intramedullary or extramedullary spinal ependymoma were surgically treated at our centre. The neurological and functional state of each patient were evaluated according to the modified McCormick scale. Results : The average follow-up duration was 54 months (ranging from 12 to 168 months). The locations of the lesions were : thoracic region (4, 19%), lumbar region (7, 34%), cervical region (4, 19%), cervicothoracic region (3, 14%) and conus medullaris (3, 14%). Four patients (19%) had deterioration of neurological function in the early postoperative period. The neurological function of three patients was completely recovered at the 6th postoperative month, while that of another patient was recovered at the 14th month. In the last assessment of neurological function, 20 patients (95%) were assessed as McCormick grade 1. No perioperative complications developed in any of our patients. In one patient's 24-month assessment, tumour recurrence was observed. Re-operation was not performed and the patient was taken under observation. Conclusion : Two determinants of good clinical results after spinal ependymoma surgery are a gross total resection of the tumour and a good neurological condition before the operation. Although neurological deficits in the early postoperative period can develop as a result of gross total tumour resection, significant improvement is observed six months after the operation.