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Risk Factors for the Early Recognition of Cow's Milk Protein-induced Enterocolitis (우유 단백질 유발성 장염의 조기진단을 위한 위험인자)

  • Lee, Sung Hyuk;Choi, Seon Yun;Lee, Byung Cheol;Choi, Won Joung;Choe, Byung Kyu;Kim, Yeo Hyang;Kang, Una;Kam, Sin;Hwang, Jin-Bok
    • Clinical and Experimental Pediatrics
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    • v.48 no.9
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    • pp.991-997
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    • 2005
  • Purpose : Cow's milk protein-induced enterocolitis(CMPIE) is a symptom complex of vomiting and/or diarrhea caused by delayed hypersensitivity and may result in serious complications. This study was undertaken to identify high risk factors to facilitate the early recognition of CMPIE. Methods : We reviewed the data of 101 patients, aged 15 to 45 days, admitted due to vomiting and/or diarrhea between 2003 and 2004. After excluding 13 patients absolutely breast-fed and 2 patients transferred from other hospitals with the impression of CMPIE, the 86 study subjects were divided into three groups based on the underlying etiologies; CMPIE, infectious and non-infectious group. Results : CMPIE was diagnosed in 11 patients(12.8%). On admission, failure to gain weight(P=0.003), hypoalbuminemia(P=0.003), peripheral leukocytosis(P=0.015), and metabolic acidosis(P=0.014) were more significant in the CMPIE group than in the others. Multiple logistic regression analysis showed that the independent predictors of high risks for CMPIE were failure to gain weight <10 g/day(OR, 10.25[95% CI, 1.62-65.06]) and serum hypoalbuminemia <3.5 g/dL(OR, 9.18[95% CI, 1.69-49.74]). Cow's milk challenges were performed in the 11 CMPIE patients; vomiting(81.8%), abnormal stool test(80.0%), peripheral leukocyte count and absolute neutrophil count(ANC) increase(100.0%) (P<0.05), and enteropathy(100.0%). Conclusion : CMPIE is not a rare clinical disease in early infancy. The high risk factors of CMPIE were identified as follow : failure to gain weight below 10 g/day, hypoalbuminemia on admission and a rapid decrease during admission. Cow's milk challenge test with endoscopic duodenal biopsy was helpful to confirm CMPIE.

A Study on the Preference Factors of KakaoTalk Emoticon (카카오톡 이모티콘 선호도에 미치는 영향 요인에 관한 연구)

  • Lee, Jong-Yoon;Eune, Juhyun
    • Cartoon and Animation Studies
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    • s.51
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    • pp.361-390
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    • 2018
  • Users of KakaoTalk emoticons use Kakao Talk emoticons as means of communicating their emotions in virtual space. Emotional state is represented by design element (auxiliary, color, form, motion) and storytelling element contained in emoticons. The purpose of this study is to investigate the factors of the storytelling and design elements of kakaoTalk emoticons and how they prefer the kakaoTalk emoticons as emotional expression means. In terms of storytelling, crocodiles, peaches, dogs, ducks, lions, moles, and rabbits were made up of ordinary fruits and animals. Most of the emoticons are composed of stories with unique personality, and each story has a complex one by one, which makes it easy for users to approach and use them. In terms of design, I used various auxiliary elements (flame, sweat, tears, runny nose, angry eyes, etc.) to express angry, sincere, nervous, begging, joy, and sadness. The color elements consisted of most of the warm color series with the unique colors (green, red, yellow, pink, white, black, brown, etc.) of emoticon characters regardless of feelings of joy, anger, sadness, pleasure. The form factor is composed of a round shape when expressing factors such as joy and sadness. On the other hand, when FRODO and NEO express sadness and anger, they represent the shape of a rectangle. The motion elements are horizontal, vertical, and oblique expressions of APPEACH, NEO, TUBE, and JAY-G, expressing emotional expressions of sadness, anger, and pleasure. APEACH, TUBE, MUZI & / Shows the dynamic impression of the oblique and the radiation / back / forward / rotation. The anger of TUBE and FRODO shows horizontal / vertical / diagonal and radial motion. As a result of this study, storytelling is structured in accordance with each emoticon character. In terms of design, auxiliary elements such as flame, sweat, and tears are represented by images. The color elements used the unique colors of the character series regardless of the difference of emotion. The form factor represented various movements for each emotion expression. These findings will contribute to the development of communication, emotional design and industrial aspects. Despite the significance of the above paper, I would like to point out that the analysis framework of the storytelling and the semiotic analysis of the supplementary elements are not considered as limitations of the study.

Comparison Study of Knowledge, Attitude and Motivation Between Blood Donors and Non-donors (헌혈자와 비헌혈자의 헌혈에 대한 지식, 태도 및 동기에 대한 비교)

  • Shin, Jae-Hack;SaKong, Jun;Kim, Seok-Beom;Kim, Chang-Yoon;Kang, Pock-Soo;Chung, Jong-Hak;Song, Dal-Hyo
    • Journal of Yeungnam Medical Science
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    • v.6 no.2
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    • pp.159-172
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    • 1989
  • This study was conducted to compare the date on knowledge, attitude and motivation toward blood donation between donors and nondonors. The study population included 622 donors and 322 nondonors who visited the mobile blood donation car of Taegu Red Cross Blood Center and participated the group appointed blood donation campaign managed by the center from March 1 to March 31, 1989. The donors and nondonors were questioned above mentioned items with a formulated questionnaire. Among the general characteristics of the subjects in the study, male predominace(84.1% in donors and 73.6% in nondonors) in young age group (16-24 years) was the outstanding feature. As a medium of information about blood donation, "television" was playing a dominant role(donors ; 75.2%, nondonors ; 78.9%), while "magazine"played more important roles among donors. Of the donors, 70.6% and of the nondonors, 58.1% replied that they had ever been induced to donate blood (p<0.01). Major inducers were friend and personnel of mobile blood donation vehicle. On the measuring of knowledge level, the average rates of correct answer was higher in donors (62.6%) than in nondonors (54.1%) (p<0.01). Higher the education level was presented, higher the knowledge level (p<0.05). There have been noticeable difference between donors and nondonors in blood replying the questionnaire set to measure their attitude toward blood donation. especially in the items such as "impression toward blood", "selection of transfusion blood source" and "view on the situation of blood shortage." The major motivation toward blood donation of the groups were "possible future need" and "altruism or humanitarian interest". The major reasons for not donating blood in both groups were "fear of the needle" and around to visit to mobile car or center."

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The Rate of Diagnostic Agreement and Concordance Ratings on Psychiatric Recommendation in Consulted Delirious Cases (자문의뢰된 섬망환자에 대한 진단 일치율과 정신과 의견의 반영도)

  • Oh, Eung-Seok;Nam, Jung-Hyun;Kim, Seok-Hyeon;Park, Yong-Chon;Kim, Sung-Mok
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.2
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    • pp.174-181
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    • 2001
  • Objectives : The author investigated the rate of diagnostic agreement between consultants and consultees and concordance ratings on the consultees' recommendation to examine the interactive collaborativeness and find the factors that influence the reflectiveness on treatment. Methods : The subjects were 54 patients with delirium selected from 583 cases referred from other departments who were admitted to Hanyang University Kuri Hospital from July 1, 1995 to Dec. 31, 1997. The information on demographic data, diagnostic impression, symptoms, management before consultation, psychiatric recommendation, management after consultation, diagnoses at the referring departments and the psychiatric department on delirium was obtained by medical records and consultation papers retrospectively. The reflectiveness of the psychiatric recommendation was divided into complete concordance, partial concordance, and nonconcordance and among them the complete and partial concordance were considered for concordance. The reflectiveness was compared among all the departments and between medical unit and surgery unit. Results: The rate of diagnostic agreement on the cause of delirium was highest(85.7%) in organic brain syndrome and lowest in general medical condition(0%). There was no statistically significant differences between medical unit and surgery unit. Neither differences were there among all the departments. In comparing symptoms affecting the reflectiveness, it was 73.5% in impulsive and aggressive behavioral changes, whereas 40.0% in behavioral changes. Reflectiveness of psychiatric recommendation showed higher scores in the case of behavioral changes. The cases of sleep problem showed higher scores of reflectiveness. When these two symptoms of behavioral change and sleep problem were compared as one factor, the results suggested that there were significant differences. The cases with both two symptoms showed 80% in reflectiveness, and the cases with only one symptom or no symptoms showed 44.8% in reflectiveness. There were no statistical significances between concordance ratings and symptoms such as disturbance of consciousness, disorientation, and hallucination that cannot be easily evaluated at the referring departments. Conclusions : The rate of diagnostic agreement on the cause of delirium was highest in the case of organic brain syndrome in which lesions can be easily recognized. The factors that influence the reflectiveness of psychiatric recommendation were behavior changes and sleep disorders in the symptoms of evaluated cases.

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INFLUENCE OF THE LABIAL SURFACE IRREGULARITY ON THE MEASUREMENT OF THE TOOTH COLOR BY SPECTROMETER (치아 순면 형태가 측색 기기를 이용한 치아 색상 측정 결과에 미치는 영향)

  • Choi, Yong-Jin;Park, Su-Jung;Cho, Hyun-Gu;Hwang, Yun-Chan;Oh, Won-Mann;Park, Byung-Ju;Hwang, In-Nam
    • Restorative Dentistry and Endodontics
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    • v.32 no.5
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    • pp.411-418
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    • 2007
  • The most scientific and reliable method for deciding the tooth color is the instrumental measurement. However, such color measuring instrument shows the difference of the measuring value according to the diversified measuring condition. This study was conducted to evaluate what effect of the labial surface irregularity of the tooth to the result of the color measured by spectrometer. 11 models of the teeth were made by injecting the A2 shade Luxatemp Automix Plus (DMG, Germany) into the impression acquired from 11 adults. Standard disk samples (15 mm diameter, 7 mm thickness) were made with same material. CIE $L^*a^*b^*$ value was measured at the incisal, central, and gingival area of the central incisor, lateral incisor, canine and first premolar using Specbos 2100 (JETI, Germany) spectrometer. Color difference was calculated between labial surface and standard samples. Among all models of the teeth, $L^*\;and\;b^*$ value showed the reducing tendency as they go toward the gingival area, but $a^*$ value showed the increasing tendency. Color difference between model teeth and standard samples showed the most difference at the incisal area, but the gingival area showed the least difference. And the canine showed the least color difference from the comparison of standard sample, and the central incisor showed the highest difference (p < 0.01). Although the visually detectable difference of the measuring value showed notably depending on the type and measured area (p < 0.05), $L^*\;and\;a^*$ value showed notable differences depending more on the measured areas than on the type of the teeth.

An experimental study of dynamic frictional resistance between orthodontic bracket and arch wire (교정용 브라켓과 강선 사이의 운동마찰저항력에 관한 실험적 연구)

  • Lee, Jae-Hwan;Lee, Ki-Soo
    • The korean journal of orthodontics
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    • v.31 no.4 s.87
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    • pp.467-477
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    • 2001
  • This investigation was designed to determine the effects of wire size, bracket width and the number of bracket on bracket-wire dynamic frictional resistance during simulating arch wire-guided tooth movement in vitro. For simulation of an arch wire-guided tooth movement, we simulated tooth, periodontal ligament and cancellous bone. Maxillary premolar and 1st molar were simulated as real sized resin teeth, the simulated resin teeth which its root was coated by polyether impression material which its elastic modulus is similar to periodontal ligament were embedded in steel housing with inlay wax which its elastic modulus is similar to cancellous bone. Stainless steel wires in four wire size (0.016, 0.018, $0.016\;{\times}\;0.022,\;0.019\;{\times}\;0.025$ inch) were examined with respect to three (stainless steel) bracket widths (2.4, 3.0, 4.3mm) and the number of medium bracket(one, two, three) included in the experimental assembly under dry condition. The wires were ligated into the brackets with elastomeric module. The results were as follows : 1. In all the brackets, frictional resistance increased with increase in wire size. But, statistically similar levels of frictional resistance were observed between 0.018 inch and $0.016\;{\times}\;0.022$ inch wires in narrow bracket and also between 0.016 inch and 0.018 inch wire in wide backet. 2. The frictional forces produced by 0.016 inch wire were statistically similar levels in all the brackets. In 0.018 inch round wire, wide bracket was associated with lower amounts of friction than both narrow and medium brackets. In $0.016\;{\times}\;0.022,\;0.019\;{\times}\;0.025$ inch rectangular wire, wide bracket produced target friction than both narrow and medium brackets. In all the wirer, narrow and medium bracket demonstrated no statistical difference in levels of frictional resistance. 3. Frictional resistance increased with increase In number of medium bracket. 0.016 inch round wire demonstrated the greatest increment in frictional resistance, followed by $0.019\;{\times}\;0.025,\;0.016\;{\times}\;0.022$ inch rectangular wire which were similar level in increment of frictional resistance, 0.018 inch wire demonstrated the least increment. The increments of frictional resistance were not constantly direct proportion to number of bracket.

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Exploring Changes in College Students' Perceptions of Science and Scientists through a Documentary Focused on Their Daily Lives and Research (과학자들의 일상과 연구과정을 다룬 다큐멘터리를 통한 대학생들의 과학 및 과학자에 대한 인식변화 탐색)

  • Lee, Hyunok;Mun, Jiyeong
    • Journal of The Korean Association For Science Education
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    • v.38 no.2
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    • pp.293-304
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    • 2018
  • In spite of a growing number of recent studies that indicate students are coming to view scientists with more varied images, the stereotypical image of scientists remains in many students' minds. In this study, the authors explore how college students change their perceptions of science and scientists through the use of a documentary that focuses on scientists' daily lives, including laboratory life, and their emotional ups-and-downs. We analyzed 109 college students' essays on perceptions about scientists after watching the documentary. As a result, 64.2% of the college students declared that there was a change in their perception of scientists. The students' new perceptions of science and scientists are as follows: 1) scientists undergo emotional ups-and-downs just like any normal person; 2) scientists experience numerous failures while researching; 3) science does not have a fixed answer and scientists undertake research with creativity; 4) scientists conduct research in collaboration, but also in highly competitive environments; 5) scientists are often frustrated with their socio-economic status. The students' previous perceptions on science and scientists were mainly stereotypical ones that have been reported in previous studies. In addition, of the other college students who did not change their perceptions, the majority declared that they have new perceptions such as 1) - 5). Only a small percentage of students (7.3%) had unchanged stereotypical perceptions. These results are interpreted as that college students relatively easily change their stereotypical images of scientists after watching the documentary but, alternatively, the results can be interpreted that the most stereotypical images of college students are not perceptions that form a deep impression, but rather they are simply depictions of representative images of scientists given from outside sources (e.g. the mass media and school).

THE CLINICAL APPLICATION OF BUCCAL ACRYLIC APPLIANCES (Buccal acrylic appliance의 임상적 적용)

  • Noh, Hong-Seok;Kim, Shin;Jeong, Tae-Sung
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.2
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    • pp.315-321
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    • 2007
  • Removable appliance has many utilities in pediatric dentistry in the fields of space maintainance or occlusal guidance. In contrast to maxilla, many problems have occurred with mandible in using removable appliance such as deteriorated retention, inconvenience and patient's unwillingness to wear. It is probably due to adapting several retentive clasps at buccal side of the tooth, where there is actually little or no undercut especially in young children having the erupting teeth Moreover, acrylic base plate of conventional removable appliance is located at lingual parts, which leads to the conflict with alveolar crest undercut and sublingual soft tissues. Moreover, young children frequently do not follow the dentist's direction to elevate tongue properly during the impression taking process. Throughout this study, the position of clasps and acrylic baseplate was changed opposite to the traditional Hawley acrylic appliance in order to make a buccal acrylic appliance with buccal base plate and lingual clasp into primary dentition and early mixed dentition. This study was performed for the purpose of evaluating the buccal acrylic appliance in regards of patient compliance, retention and efficiency compared with traditional lingual acrylic appliance along with its merits and demerits. Buccal and lingual acrylic appliance were applied to 5 cases respectively which required space maintaining and tooth movement, and drew a comparison in relevance to patients' compliance, combination with the tongue's function and clinical effectiveness. According to this study, in every case buccal appliance was proved superior to lingual appliance in terms of retention and patients' compliance. Moreover, buccal appliance has shown to be similar to lingual appliance with respect to clinical effectiveness. Throughout this study, it was thought that, if removable appliance is to be applied to mandible, several drawbacks related to conventional lingual appliance shall be resolved. Conclusively, the buccal acrylic appliance is thought to be a good alternative in designing a mandibular appliance in young children and recommended to clinical applications.

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Necrotizing Enterocolitis - A Survey by the Korean Association of Pediatric Surgeons - (괴사성 장염 - 대한소아외과학회회원 대상 전국조사 -)

  • Lee, Suk-Koo;Kim, D.Y.;Kim, S.G.;Kim, W.K.;Kim, I.K.;Kim, S.Y.;Kim, S.C.;Kim, J.E.;Kim, J.C.;Park, K.W.;Park, W.H.;Seo, J.M.;Song, Y.T.;Oh, S.M.;Oh, J.T.;Lee, N.H.;Lee, D.S.;Lee, S.C.;Jun, Y.S.;Chung, S.Y.;Chung, S.E.;Choi, K.J.;Choi, S.O.;Choi, S.H.;Han, S.J.
    • Advances in pediatric surgery
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    • v.12 no.1
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    • pp.70-85
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    • 2006
  • A nationwide survey on necrotizing enterocolitis (NEC) was undertaken among members of the Korean Association of Pediatric Surgeons. The members were required to complete a questionnaire and the case registration form for each patient during the three-year period from July 2001 to June 2004. Eighty one patients were included in the questionnaire, but only 71 patients were registered from 22 members in 16 hospitals. At the same time survey on focal intestinal perforation (FIP) was undertaken and 17 patients were registered from 11 members in 10 hospitals. Total 19,041 newborns were admitted to neonatal intensive care unit during the study period. Eighty one patients (17.27 %) were underwent surgery among 469 babies who were managed under the impression of NEC. The male to female ratio was 2.1:1. The premature were 60.6 %. The most common site of involvement was ileum. Overall and operation survival of NEC were 72 % and 79 %, respectively. The survival was lower in smaller babies, multiple segments involvement and involvement of both the small and large intestine. But there was no difference in survival according to sex or prematurity. The FIP showed very similarity with NEC in terms of incidence, and the age of diagnosis and operation. But the survival was much better and 100 %. The results showed the clinical characteristics of NEC and the trend of management in NEC in Korea. In the future we hope we can discuss about this topic in prospective manner.

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DENTAL CROWDING AND ITS RELATIONSHIP TO TOOTH SIZE AND ARCH DIMENSION IN KOREAN (한국인에서 치아 및 악궁의 크기와 총생의 관계)

  • Lee, Nan-Young;Hong, Sung-Su;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.3
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    • pp.510-521
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    • 2006
  • This investigation was undertaken to examine the extent to which tooth size and arch dimension each contribute to dental crowding. The sample included 50 subjects with well aligned dentition (25 males, 25 females) and those of 40 subjects with gross dental crowding(20 males, 20 females). Plaster model and digital model made from alginate impression taken at the one visit. Tooth size, arch length, arch perimeter, intercanine width and intermolar width was measured on the plaster and digital models. The findings in this study lead to the following conclusions. 1. In maxilla, the mesiodistal diameters of lateral incisor and premolars of the crowded group were significantly larger than those of the normal occlusion group (P<0.05). 2. In mandible, the mesiodistal diameters of central incisor, canine and premolars of crowded group were significantly larger than those of the normal occlusion group (P<0.05). 3. In maxilla, arch perimeter and intermolar width of crowded group were significantly smaller than normal occlusion group but intercanine width of crowded group were larger than normal occlusion group (P<0.05). There was no significantly difference in arch length (P>0.05). 4. In mandible, arch perimeter of crowded group was smaller than normal occlusion group(P<0.05). There were no difference in arch length intermolar width and intercanine width (P>0.05) 5. In the analysis of correlation coefficients of arch length discrepancy with variables, arch perimeter, intermolar width and mesiodistal width of 2nd premolar showed positive correlations in maxilla. 6. There was a significant difference between tooth width measurements made by the 2 methods, with all the digital model measurement larger than plaster model measurements (P<0.05) : the magnitude of the differences does not appear to be clinically relevant. 7. In the analysis for reproducibility, the plaster model measurement was showed lower degree of correlation between 1st and 2nd measurement than digital model.

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