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Comparison of Clinical Characteristics by Types of Enuresis in Children Utilizing Questionnaires (병력취득 설문지를 이용한 야뇨증의 형태에 따른 임상양상의 비교)

  • Choi, Jung-Youn;Park, Yong-Hoon
    • Childhood Kidney Diseases
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    • v.11 no.2
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    • pp.264-271
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    • 2007
  • Purpose : It is important to take a precise history of patients to diagnose enuresis. However, this is difficult to perform in the outpatient department, because the consultation time is limited. So by taking the medical histories with questionnaires, we classified the enuresis patients into monosymptomatic and non-monosymptomatic groups and compared the clinical characteristics between the two groups in order to determine whether this would aid in the diagnosis and treatment of enuresis. Methods : Thirty-four enuresis patients seen in the Department of Pediatrics at Yeungnam University Hospital from 2004 January to 2005 July were enrolled in this study. Two to three weeks before starting medical treatment, questionnaires about the patients' urination habits and past medical history were taken from the Parents with consents. Results : There were 21 patients in the monosymptomatic group and 13 patients in the non-monosymptomatic group. There was no difference in the delivery mode, birth weight, birth order, sleep habit, constipation, and treatment results between the two groups. Urinary infection was more frequently observed in the non-monosymptomatic group. There was a higher incidence of daytime incontinence and a past medical history of allergy in the non-monosymptomatic group. Oriental medicine was the most common treatment of enuresis before visiting the hospital, but the treatment effect was minimal. Conclusion : Comparison between the monosymptomatic and non-monosymptomatic group with the questionnaires was helpful for detailed diagnosis and treatment of enuresis. A more effective education for enuresis patients is needed, since before visiting the hospital many of them wasted their efforts with ineffective oriental medicine treatment. (J Korean Soc Pediatr Nephrol 2007;11:264-271)

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Variation of Seismic Behavior of Continuous Skew Plate Girder Bridges According to the Arrangement of Bearings (받침배치에 따른 연속 플레이트 거더 사교의 지진거동 변화)

  • Moon, Seong Kwon
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.15 no.5
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    • pp.124-135
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    • 2011
  • The capacity of bearings installed at abutments and piers for continuous bridges is usually determined by the magnitude of the maximum vertical reaction at each support and the capacity of bearings placed at piers is higher than that at abutments. In this study, the possibility of the improved seismic performance of base-isolated continuous skew bridges was investigated by analysing the variation of the seismic behavior of them according to three arrangements of bearings. Based on the conventional arrangement of bearings(Case A), three arrangements of bearings such as Case A, Case B and Case C were selected considering the variation of the horizontal stiffness of the lead rubber bearing(LRB) installed at the pier. The seismic behavior of the total 36 skew bridges was investigated by conducting the response spectrum analysis using the hybrid response spectrum considered the effect of LRB's damping. Results of analyses show that a more desirable seismic behavior of base-isolated continuous skew bridges can be obtained by reducing the magnitude of the horizontal stiffness of LRB placed at the pier to similar to or less than that of LRB installed at abutments. The variation of LRB's stiffness at the pier brings about period elongation and the change of mode shapes of base-isolated skew bridges and results in the reduction of the total base shear, the maximum base shear at the pier and the girder stresses. Although positive effects on the seismic behavior of base-isolated skew bridges caused by the change of arrangement of bearings decreased slighty with an increase in the flexibility of the substructure, the proposed arrangements of bearings bring about the improved seismic performance of base-isolated continuous skew plate girder bridges with less than 10m height of piers.

Stabilization of Rat Serum Proteins Following Oral Administration of Fish Oil

  • Saso, Luciano;Valentini, Giovanni;Mattei, Eleonora;Panzironi, Claudio;Casini, Maria Luisa;Grippa, Eleonora;Silvestrini, Bruno
    • Archives of Pharmacal Research
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    • v.22 no.5
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    • pp.485-490
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    • 1999
  • The mechanism of action of fish oil (FO), currently used in different chronic inflammatory conditions such as rheumatoid arthritis (RA), is not completely understood, although it is thought that it could alter the metabolism of endogenous autacoids. In addition, we hypothesized that the known capability of fatty acids (FA) of stabilizing serum albumin and perhaps other proteins, may be of pharmacological relevance considering that it is shared by other anti-rheumatic agents (e.g. nonsteroidal antiinflammatory drugs). Thus, we studied the effect of oral administration of FO and corn oil (CO), a vegetable oil with a different composition, on the stability of rat serum proteins, evaluated buy a classical in vitro method based on heat-induced protein denaturation. FO, and, to a lower extent, CO inhibited heat-induced denaturation of rat serum (RS): based on the inhibitory activity (EC50) of the major fatty acids against heat-induced denaturation of RS in vitro, it was possible to speculate the in vivo effects of palmitic acid (C16:0) and eicosapentaenoic acid (EPA, C20:5, n-3) may be more relevant than that of linolenic acid (C18:2). To better investigate this phenomenon, we extracted albumin from the serum of animals treated or not with FO with a one-step affinity chromatography technique, obtaining high purity rat serum albumin preparations (RSA-CTRL and RSA-FO), as judged by SDS-PAGE with Coomassie blue staining. When these RSA preparations were heated at $70^{\circ}C$ for 30 min, it was noted that RSA-FO was much more stable than RSA-CTRL, presumably due to higher number of long chain fatty acids (FA) such as palmitic acid or EPA. In conclusion, we provided evidences that oral administration of FO in the rat stabilizes serum albumin, due to an increase in the number of protein bound long chain fatty acids (e.g. palitic acid and EPA). We speculate that the stabilization of serum albumin and perhaps other proteins could prevent changes of antigenicity due to protein denaturation and glycosylation, which may trigger pathological autoimmune responses, suggesting that this action may be involved in the mode of action of FO in RA and other chronic inflammatory diseases.

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The wage determinants of the vocational high school graduates using mixed effects mode (혼합모형을 이용한 특성화고 졸업생의 임금결정요인 분석)

  • Ryu, Jangsoo;Cho, Jangsik
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.4
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    • pp.935-946
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    • 2016
  • In this paper, we analyzed wage determinants of the vocational high school graduates utilizing both individual-level and work region-level variables. We formulate the models in the way wage determination has multi-level structure in the sense that individual wage is influenced by individual-level variables (level-1) and work region-level (level-2) variables. To incorporate dependency between individual wages into the model, we utilize hierarchical linear model (HLM). The major results are as follows. First, it is shown that the HLM model is better than the OLS regression models which do not take level-1 and level-2 variables simultaneously into account. Second, random effects on sex, maester dummy and engineering dummy variables are statistically significant. Third, the fixed effects on business hours and mean wage of regular job for level-2 variables are statistically significant effect individual-level wages. Finally, parental education level, parental income, number of licenses and high school grade are statistically significant for higher individual-level wages.

The effect of Zirconium Nitride coating on shear bond strength with denture base resin in Co-Cr alloy and titanium alloy (질화 지르코늄 코팅이 코발트 크롬 합금과 타이타늄 합금에서 의치상 레진과의 전단결합강도에 미치는 영향)

  • Park, Chan;Lee, Kyoung-Hun;Lim, Hyun-Pil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.194-201
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    • 2016
  • Purpose: The purpose of this study was to evaluate of Zirconium Nitride (ZrN) coating on shear bond strength with denture base resin in Co-Cr and Ti-6Al-4V alloy. Materials and Methods: Co-Cr and Ti-6Al-4V alloy disks (10 mm in diameter, 2.5 mm in thickness; each other: n = 14) were prepared and divided with 2 groups each other by ZrN coating. After primer was applied to disks surface, denture base resin with diameter 6 mm, height 5 mm was bonded on metal disk surface. After surface roughness was measured by Profiler, shear bond strength was determined with Universal testing machine and analyzed with two-way ANOVA. The specimen surfaces and failure mode were examined using a scanning electron microscope. Results: ZrN coated groups showed significantly higher rough surface than non-coated groups (P < 0.05). Irrespective of alloy materials, shear bond strength of ZrN coated groups were lower than non-coated groups (P < 0.001). The scanning electron microscope (SEM) of ZrN coated groups showed mixed and adhesive fractures. Conclusion: ZrN coating weakened bonding strength between denture base resin and Co-Cr, Ti-6Al-4V alloy.

Partial versus Radical Nephrectomy for T1-T2 Renal Cell Carcinoma in Patients with Chronic Kidney Disease Stage III: a Multiinstitutional Analysis of Kidney Function and Survival Rate

  • Chung, Jae-Seung;Son, Nak Hoon;Lee, Sang Eun;Hong, Sung Kyu;Jeong, Chang Wook;Kwak, Cheol;Kim, Hyeon Hoe;Hong, Sung Hoo;Kim, Yong June;Kang, Seok Ho;Chung, Jinsoo;Kwon, Tae Gyun;Hwang, Eu Chang;Byun, Seok-Soo
    • Journal of Korean Medical Science
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    • v.33 no.43
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    • pp.277.1-277.10
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    • 2018
  • Background: To examine survival rates and renal function after partial nephrectomy (PN) and radical nephrectomy (RN) in patients with chronic kidney disease (CKD). Methods: We studied 4,332 patients who underwent PN or RN for pathological T1a-T2N0M0 renal cell carcinoma from 1988 to 2014. Patients were divided into two subgroups of CKD stage I-II and stage III. Kidney function, and survival outcomes were compared between groups. Results: We included 1,756 patients with CKD I-II and 276 patients with CKD III in the final pair-matched analysis. Kidney function was significantly better preserved in the PN than in the RN group among all patients. However, the beneficial effect of PN on kidney function gradually disappeared over time in CKD III patients. The 5-year overall survival (OS) rates after PN and RN differed in patients with CKD I-II disease (99.4% vs. 96.5%, respectively, P = 0.015). The 5-year OS rates after surgery were not affected by mode of nephrectomy in CKD III patients (97.8% vs. 93.5%, P = 0.103). The 5-year cancer-specific survival rates did not differ between treatment groups in all CKD stage. Cox hazard analysis showed that the operative method was a significant factor for OS in CKD I-II patients (hazard ratio [HR], 0.320; confidence interval [CI], 0.122-0.840; P = 0.021). However, PN was not beneficial in terms of OS in CKD III patients (HR, 0.395; CI, 0.086-1.172; P = 0.117). Conclusion: PN is associated with a higher OS rate and better kidney function in patients with preoperative CKD stage I and II, but not in those with CKD stage III.

A Study on the Effect of De-NOx Device on GHG Emissions (De-NOx 저감장치가 온실가스 배출량에 미치는 영향 연구)

  • Kim, Sungwoo;Kim, Jeonghwan;Kim, Kiho;Oh, Sang-Ki
    • Journal of ILASS-Korea
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    • v.23 no.4
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    • pp.212-220
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    • 2018
  • As increase the number of vehicles, the issue of greenhouse gas that was emitted by them became important. As a result, greenhouse gas (GHG) regulations are being strengthened and efforts are being actively made to reduce greenhouse gas emissions in the automotive industry. In the other hand, regulations for harmful emission of vehicles have been reinforced by step. Especially, the lastly applied step, so called Euro 6, not only decreased NOx limit down to half of Euro 5 but also introduced real driving emission limit for NOx and PN. It is a challenge for manufacturers to meet the recent GHG regulation as well as the latest emission regulation. To overcome these regulations a De-NOx after-treatment system is being applied to diesel vehicles that are known emitting the lowest GHG among conventional internal combustion engines. At the time of the introduction of Euro 6 emission standard in Korea, in the domestic fuel economy certification test, some diesel vehicles emitted more $CH_4$ than Euro 5 vehicles. As a result, it was confirmed that LNT-equipped vehicles emitted a high level $CH_4$ and the level exceeded the US emission standard. In order to determine the reason, various prior literature was investigated. However, it was difficult to find a detailed study on the methane increase with LNT. In this paper, to determine whether the characteristics of vehicles equipped with LNT the affects the above issue and other greenhouse gases, 6 passenger cars were tested on several emission test modes and ambient temperatures with a environment chamber chassis dynamometer. 2 cars of these were equipped with LNT only, other 2 cars had SCR only, and LNT + SCR were applied to remaining 2 cars. The test result shown that the vehicles equipped with LNT emitted more $CH_4$ than the vehicles with SCR only. Also, $CH_4$ tended to increase as the higher acceleration of the test mode. However, as the test temperature decreases, $CH_4$ tended to decreased. $CO_2$ was not affected by kinds of De-NOx device but characteristic of the test modes.

Effect of Growth Methods of InAs Quntum Dots on Infrared Photodetector Properties (InAs 양자점 형성 방법이 양자점 적외선 소자 특성에 미치는 효과)

  • Seo, Dong-Bum;Hwang, Je-hwan;Oh, Boram;Noh, Sam Kyu;Kim, Jun Oh;Lee, Sang Jun;Kim, Eui-Tae
    • Korean Journal of Materials Research
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    • v.28 no.11
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    • pp.659-662
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    • 2018
  • We report the properties of infrared photodetectors based on two kinds of quantum dots(QDs): i) 2.0 ML InAs QDs by the Stranski-Krastanov growth mode(SK QDs) and ii) sub-monolayer QDs by $4{\times}[0.3ML/1nm\;In_{0.15}Ga_{0.85}As]$ deposition(SML QDs). The QD infrared photodetector(QDIP) structure of $n^+-n^-(QDs)-n^+$ is epitaxially grown on GaAs (100) wafers using molecular-beam epitaxy. Both the bottom and top contact GaAs layers are Si doped at $2{\times}10^{18}/cm^3$. The QD layers are grown with Si doping of $2{\times}10^{17}/cm^3$ and capped by an $In_{0.15}Ga_{0.85}As$ layer at $495^{\circ}C$. The photoluminescence peak(1.24 eV) of the SML QDIP is blue-shifted with respect to that (1.04 eV) of SK QDIPs, suggesting that the electron ground state of SML QDIP is higher than that of the SK QDIP. As a result, the photoresponse regime(${\sim}9-14{\mu}m$) of the SML QDIP is longer than that (${\sim}6-12{\mu}m$) of the SK QDIP. The dark current of the SML QDIP is two orders of magnitude smaller value than that of the SK QDIP because of the inserted $Al_{0.08}Ga_{0.92}As$ layer.

Antioxidant Responses in Brackish Water Flea Diaphanosoma celebensis - Exposed to Mercury (수은 노출에 대한 기수산 물벼룩 Diaphnosoma celebensis의 항산화 반응)

  • Bae, Chulhee;Lee, Young-Mi
    • Journal of Marine Life Science
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    • v.3 no.2
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    • pp.74-80
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    • 2018
  • Mercury (Hg) poses a threat to marine ecosystem due to continuous inflow from various industries and bioaccumulation to higher trophic level via food web. Mercury can adversely affect growth, development, reproduction and metabolism to aquatic organisms. In the present study, acute toxicity and oxidative stress markers (total glutathione content, and activities of GST, GR and GPx) were investigated in brackish water flea Disphanosoma celebensis exposed to HgCl2 for 24 h. As results, Hg showed negative effect in survival of D. celebensis. 24 h-LC50 value was determined as 0.589 mg/l (95% C.I. 0.521~0.655 mg/l). After exposure to Hg (0.08 and 0.4 mg/l) for 24 h, total glutathione content was significantly decreased, whereas GST, GPx and GR activities were enhanced. These findings indicate that Hg induced oxidative stress in D. celebensis, and oxidative stress markers may be involved in cellular defense against Hg - mediated toxicity. This study provides a better understanding of molecular mode of action of Hg toxicity in this specie and potent of molecular markers for heavy metal monitoring in marine ecosystem.

Effect of a Deep Learning Framework-Based Computer-Aided Diagnosis System on the Diagnostic Performance of Radiologists in Differentiating between Malignant and Benign Masses on Breast Ultrasonography

  • Ji Soo Choi;Boo-Kyung Han;Eun Sook Ko;Jung Min Bae;Eun Young Ko;So Hee Song;Mi-ri Kwon;Jung Hee Shin;Soo Yeon Hahn
    • Korean Journal of Radiology
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    • v.20 no.5
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    • pp.749-758
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    • 2019
  • Objective: To investigate whether a computer-aided diagnosis (CAD) system based on a deep learning framework (deep learning-based CAD) improves the diagnostic performance of radiologists in differentiating between malignant and benign masses on breast ultrasound (US). Materials and Methods: B-mode US images were prospectively obtained for 253 breast masses (173 benign, 80 malignant) in 226 consecutive patients. Breast mass US findings were retrospectively analyzed by deep learning-based CAD and four radiologists. In predicting malignancy, the CAD results were dichotomized (possibly benign vs. possibly malignant). The radiologists independently assessed Breast Imaging Reporting and Data System final assessments for two datasets (US images alone or with CAD). For each dataset, the radiologists' final assessments were classified as positive (category 4a or higher) and negative (category 3 or lower). The diagnostic performances of the radiologists for the two datasets (US alone vs. US with CAD) were compared Results: When the CAD results were added to the US images, the radiologists showed significant improvement in specificity (range of all radiologists for US alone vs. US with CAD: 72.8-92.5% vs. 82.1-93.1%; p < 0.001), accuracy (77.9-88.9% vs. 86.2-90.9%; p = 0.038), and positive predictive value (PPV) (60.2-83.3% vs. 70.4-85.2%; p = 0.001). However, there were no significant changes in sensitivity (81.3-88.8% vs. 86.3-95.0%; p = 0.120) and negative predictive value (91.4-93.5% vs. 92.9-97.3%; p = 0.259). Conclusion: Deep learning-based CAD could improve radiologists' diagnostic performance by increasing their specificity, accuracy, and PPV in differentiating between malignant and benign masses on breast US.