• 대기
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• 제24권2호
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• pp.189-196
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• 2014

The definition of onset date of Changma is revisited in this study using a quality controlled Ieodo ocean research station data. The Ieodo station has great importance in terms of its southwest location from Korean Peninsula and, hence, makes it possible to predict Changma period in advance with less impact of continents. The onset date of Changma using the Ieodo station data is defined by the time that meridional wind direction changes and maintains from northerly to southerly, and then the zonal wind changes from easterly to westerly after first June. This definition comes from a recognition that the establishment and movement of the western North Pacific subtropical high (WNPSH) cause Changma through southwesterly flow. The onset data of Changma has been determined by large-scale dynamic-thermodynamic characteristics or various meteorological station data. However, even the definition based on circulation data at the Ieodo station has a potential for the improved prediction skill of the onset date of Changma. The differences between before and after Changma, defined as Ieodo station data, are also found in synoptic chart. The convective instability and conspicuous circulations, corresponding low-level southwesterly flow related to WNPSH and strong upper-level zonal wind, are represented during Changma.

• Journal of Preventive Medicine and Public Health
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• 제53권3호
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• pp.164-167
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• 2020

Objectives: As of March 3, 2020, the Shincheonji religious group accounted for the majority of Korean cases of coronavirus disease 2019 (COVID-19). Nonetheless, the most likely cause of the broad spread of COVID-19 among members of the Shincheonji religious group remains largely unknown. Methods: We obtained data of laboratory-confirmed cases related to the Shincheonji religious group from press releases by Korean public health authorities and news reports. We measured the period from the date of illness onset to the date of COVID-19 confirmation. Results: We analysed data from 59 cases (median age, 30 years). The estimated median period between the date of symptom onset and the date of COVID-19 confirmation was 4 days (95% confidence interval, 1-12). Conclusions: There was a delay in COVID-19 confirmation from the date of illness onset among the cases linked to the Shincheonji religious group. This delay likely contributed to the occurrence of many cases of COVID-19 in the group.

• Journal of Ecology and Environment
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• 제31권2호
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• pp.153-159
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• 2008

The timing of the canopy phenology onset (CPO hereafter) indicates the initiation of the growing season, with rapid increases in exchange rates of carbon dioxide and water vapor between vegetation and atmosphere. The CPO is regarded as a potential indicator of ecosystem responses to global warming, but the CPO shows considerable spatial variation depending on the species composition and local temperature regime. at a given geographic location. In this study, we evaluated the utility of satellite observation data for detection of the timing of the CPO. Leaf area indices (LAI) obtained from the Moderate Resolution Imaging Spectrora-diometer (MODIS) were utilized to detect and map the onset dates from 2001 to 2006. The reliability of MODIS-based onset dates was evaluated with ground measured cherry blossom flowering data from national weather stations. The MODIS onset dates preceded the observed flowering dates by 8 days and were linearly related with a correlation coefficient of 0.58 (p < 0.05). In spite of the coarse spatial (1 km) and temporal (8 days) resolutions of MODIS LAI, the MODIS-based onset dates showed reasonable ability to predict flowering dates.

• 대한지리학회지
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• 제28권2호
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• pp.112-122
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• 1993

장마는 일반적으로 6월 21-26일에 시작되는데 1961년부터 1990년까지의 일강수자료와 동부아시아의 일기도를 분석하여 장마와 늦장마 시작일의 분포를 보면 El Ni${\~{n}}$o해에는 늦어지고 La Nina현상이 나타나는 해에는 일찍 시작되는 경향이 있어서, 장마 및 늦장마 시작일과 태평양의 해수면은 도(SST) 및 북반구 500mb 고도값과의 관계를 분석하여 장마와 늦장마의 시작시기를 예측할 수 있는 모델을 구축하고자 하였다. 장마 시작일은 중태평양의 5월 평균 SST, 북부 허스슨만의 3월 평균 500mb 고도값과 유의한 상관관계를 보인다. 8월 18일경에 중서부 지방에서부터 시작되는 늦장마의 시작일은 호주 서안에 면한 인도양의 5월 평균 SST, 그리고 적도 남부 중태평양의 5월 평균 SST, 시베리아 북서부의 7월 평균 500MB 고도값과 유의한 상관관계를 나타내므로 polynomial regression을 사용하여 장마와 늦장마 시작일의 최적 예측모델을 구축하였다. 이 모델은 장마 시작일의 경우 비교적 정확하게 예측 할 수 있으나 (residual=${\pm}$5.0) 늦장마의 경우에는 평균오차가 3.3일이고 최대오차가 10일에 달하므로 보다 정확한 예측모델을 구축하기 위한 지속적인 연구가 필요하다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제22권1호
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• pp.41-49
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• 2019

Recent studies on pediatric inflammatory bowel disease (IBD) have revealed that early-onset IBD has distinct phenotypic differences compared with adult-onset IBD. In particular, very early-onset IBD (VEO-IBD) differs in many aspects, including the disease type, location of the lesions, disease behavior, and genetically attributable risks. Several genetic defects that disturb intestinal epithelial barrier function or affect immune function have been noted in these patients from the young age groups. In incidence of pediatric IBD in Korea has been increasing since the early 2000s. Neonatal or infantile-onset IBD develops in less than 1% of pediatric patients. Children with "neonatal IBD" or "infantile-onset IBD" have higher rates of affected first-degree relatives, severe disease course, and a high rate of resistance to immunosuppressive treatment. The suspicion of a monogenic cause of VEO-IBD was first confirmed by the discovery of mutations in the genes encoding the interleukin 10 (IL-10) receptors that cause impaired IL-10 signaling. Patients with such mutations typically presented with perianal fistulae, shows a poor response to medical management, and require early surgical interventions in the first year of life. To date, 60 monogenic defects have been identified in children with IBD-like phenotypes. The majority of monogenic defects presents before 6 years of age, and many present before 1 year of age. Next generation sequencing could become an important diagnostic tool in children with suspected genetic defects especially in children with VEO-IBD with severe disease phenotypes. VEO-IBD is a phenotypically and genetically distinct disease entity from adult-onset or older pediatric IBD.

• Clinical and Experimental Pediatrics
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• 제59권4호
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• pp.155-164
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• 2016

Cognitive impairment associated with childhood-onset epilepsy is an important consequence in the developing brain owing to its negative effects on neurodevelopmental and social outcomes. While the cause of cognitive impairment in epilepsy appears to be multifactorial, epilepsy-related factors such as type of epilepsy and underlying etiology, age at onset, frequency of seizures, duration of epilepsy, and its treatment are considered important. In recent studies, antecedent cognitive impairment before the first recognized seizure and microstructural and functional alteration of the brain at onset of epilepsy suggest the presence of a common neurobiological mechanism between epilepsy and cognitive comorbidity. However, the overall impact of cognitive comorbidity in children with epilepsy and the independent contribution of each of these factors to cognitive impairment have not been clearly delineated. This review article focuses on the significant contributors to cognitive impairment in children with epilepsy.

• 대한한방소아과학회지
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• 제37권1호
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• pp.58-72
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• 2023

Objectives The purpose of this study is to analyze the latest clinical trends in peripheral facial nerve palsy pediatric and adolescent patients who treated in Korean medicine hospital. Methods The study was conducted based on 185 cases of pediatric and adolescent patients with peripheral facial nerve paralysis who visited Korean medicine hospital from January 2017 to June 2022. Results The mean age of onset of facial nerve paralysis in children and adolescents was 11.7 years, and the incidence rate was higher in boys than in girls. The seasonal distribution was the most common in autumn, and 91.4% were diagnosed with Bell's palsy. The recurrence rate was 7.6%. The severity was evaluated on the House-Brackmann Grading System (HBGS) scale, and the most common was Grade III. It took an average of 6.5 days from the date of onset to visit the hospital, and 75.7% visited the hospital within a week from the date of onset. Hospitalized treatment was 69.2%. The higher the HBGS grade, the more hospitalized treatment was, and the total number of treatments and the duration of treatment tended to increase. The average treatment period from the first visit date was 119.6 days. 17.8% received only Korean medicine treatment, and 69.2% took Western medicine with herbal medicine. Conclusions In this study, there was a difference in the average treatment period from previous studies according to the study period setting. Long-term studies on the recovery rate and prognosis of pediatric facial paralysis are needed.

• 대한지리학회지
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• 제43권1호
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• pp.36-51
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• 2008

지구 온난화는 농업, 수산업, 임업, 보건 등 사회 여러 분야에 걸쳐 인간에게 영향을 미치고 있으므로 기후변화에 따른 영향을 평가하고 적응 방안을 모색하는 일은 우리에게 당면한 과제이다. 이를 해결하기 위해서는 현재 기후를 정확히 분석하는 것뿐만 아니라 미래 기후를 전망하는 것이 필요하다. 본 연구에서는 30년간$(1971\sim2000)$의 관측 자료와 IPCC SRES A1B 시나리오에 근거한 2090 년대$(2091\sim2100)$ 전망 자료에 로패스 필터링 기법을 적용하여 계절 시작일 및 계절 지속기간의 공간 분포 변화를 분석하였다. 계절 시작일의 공간 분포를 보면, 봄과 겨울 시작일은 위도, 지형 및 해양의 영향을 많이 받으나, 여름과 가을 시작일은 위도에 의한 영향은 거의 없고, 해양과 지형에 의해서만 일부 영향을 받는다. 2090년대의 계절 시작일을 보면, 남해안과 동해안 및 남부 내륙 지역에서는 현재보다 봄은 40일 정도, 여름은 $25\sim30$일 정도 빨리 시작되며, 가을은 20일 정도, 겨울은 50일 정도 늦게 시작될 것으로 전망되었다. 또한 계절 지속기간을 보면, 2090년대에는 남해안과 동해안 및 남부 지방에서 겨울철은 더 짧아지고 여름철은 더 길어질 것으로 전망되었다.

• Journal of Interdisciplinary Genomics
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• 제3권1호
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• pp.1-6
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• 2021

Maturity-onset diabetes of the young (MODY) is characterized by a heterogeneous group of monogenic diabetes. MODY has autosomal dominant inheritance, a primary defect in pancreatic β-cell, and an early onset. Discriminating MODY from type 1 or type 2 diabetes is often challenging at first. To date, 14 different disease causing mutations have been identified in MODY patients worldwide. Targeted DNA sequencing is the gold standard to diagnose MODY and their asymptomatic relatives. Next-generation sequencing may help successfully to diagnose MODY patients and identify new MODY genes. In this review, the current perspectives on diagnosis and treatment of MODY and discrepancy in the disease-causing mutations between the Asian and Caucasian patients with MODY are summarized.

• Journal of Medicine and Life Science
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• 제20권3호
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• pp.107-114
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• 2023

Epidemiological control of coronavirus disease 2019 (COVID-19) is needed to estimate the infection period of confirmed cases and identify potential cases. The present study, targeting confirmed cases for which the time of COVID-19 symptom onset was disclosed, aimed to investigate the relationship between intervals (day) from symptom onset to testing the cycle threshold (CT) values of real-time reverse transcription-polymerase chain reaction. Of the COVID-19 confirmed cases, those for which the date of suspected symptom onset in the epidemiological investigation was specifically disclosed were included in this study. Interval was defined as the number of days from symptom onset (as disclosed by the patient) to specimen collection for testing. A locally weighted regression smoothing (LOWESS) curve was applied, with intervals as explanatory variables and CT values (CTR for RdRp gene and CTE for E gene) as outcome variables. After finding its non-linear relationship, a polynomial regression model was applied to estimate the 95% confidence interval values of CTR and CTE by interval. The application of LOWESS in 331 patients identified a U-shaped curve relationship between the CTR and CTE values according to the number of interval days, and both CTR and CTE satisfied the quadratic model for interval days. Active application of these results to epidemiological investigations would minimize the chance of failing to identify individuals who are in contact with COVID-19 confirmed cases, thereby reducing the potential transmission of the virus to local communities.