• 제목/요약/키워드: primary resolution

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소아에서 일차성 방광요관역류의 자연소실율 및 관련 인자 (Spontaneous Resolution Rate and Predictive Factors of Resolution in Children with Primary Vesicoureteral Reflux)

  • 강은영;김민선;권근상;박은혜;이대열
    • Childhood Kidney Diseases
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    • 제11권1호
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    • pp.74-82
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    • 2007
  • 목적 : 소아의 일차성 방광요관역류는 요로감염과 이로 인한 신손상의 위험성이 높지만 방광이 성장함에 따라 자연 소실되거나 호전되는 경향이 있다. 본 연구에서는 일차성 방광요관역류의 임상적 특성과 자연소실율 및 그와 관련된 인자들을 분석하고자 하였다. 방법 : 1991년 10월부터 2003년 7월까지 본원 소아과에서 일차성 방광요관 역류로 진단되어 예방적 저용량 항생제 치료를 받았던 총 149명 소아를 대상으로 후향적으로 의무기록을 조사하였다. 대상 환아들은 12-18개월마다 동위원소 방광요도 조영술을 실시하여 역류가 소실되지 않은 경우 3년 이상 추적 검사하였다. 결과 : 대상 환아 149명 중 남아는 73.2%로 여아보다 많았고, 1세 미만은 69.1%로 이 중 남아가 86.4%로 대부분이었다. 역류의 진단 당시 평균 연령은 $16.1{\pm}21.1$개월이었고, 임상 양상으로는 요로 감염이 91.3%로 가장 많았다. 역류의 자연 소실 median time은 24개월이었고, 총 3년 누적소실율은 61.7%였다. 역류의 자연 소실과 관련된 인자들 중 남아, 1세 미만 영아, 낮은 역류의 등급, 일측성 역류, 산전 초음파상 수신증이 있어 역류가 진단된 경우, 형제간에 역류의 가족력이 없었던 경우, 진단당시 신 스캔상 신피질 결손이 없었던 경우, 추적 검사상 요로감염 재발 및 신손상이 없었던 경우의 자연 소실율이 더 높았다. 단변량 분석과 다변량 분석을 이용하여 역류의 자연소실과 독립적으로 관련된 유의한 인자들로는 1세 미만 영아 relative risk 1.77(P<0.05), 낮은 역류 등급(I+II) 2.98(P<0.05), 추적 중 신반흔 형성이 없는 군2.23(P<0.05), 신위축이 없는 군 5.20(P<0.01)이었다. 결론 : 본 연구결과 소아의 일차성 방광 요관 역류는 높은 자연 소실율을 보였으며, 특히 영아기에 진단된 경우 IV 등급 이상의 높은 등급에서도 자연 소실율이 높아 조기의 수술적 치료는 피하고 약물요법을 지속하는 것이 바람직하다. 또한 역류의 자연 소실은 진단 당시 연령, 역류의 등급과 추적 검사상 신반흔 및 신위축의 유무와 관련이 있을 것으로 사료된다.

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Numerical Simulation of the Navier-Stokes Equations Using the Artificial Compressibility (AC) Method with the 4th Order Artificial Dissipation Terms

  • Park, Ki-Doo;Lee, Kil-Seong
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2009년도 학술발표회 초록집
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    • pp.516-523
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    • 2009
  • The artificial compressibility (AC) method for the incompressible Navier-Stokes equations in the generalized curvilinear coordinates using the primitive form is implemented. The main advantage of the AC approach is that the resulting system of equations resembles the system of compressible N-S equations and can thus be integrated in time using standard, well-established time-marching methods. The errors, which are the odd-even oscillation, for pressure field in using the artificial compressibility can be eliminated by using the $4^{th}$ order artificial dissipation term which is explicitly included. Even though this paper focuses exclusively on 2D laminar flows to validate and assess the performance of this solver, this numerical method is general enough so that it can be readily extended to carry out 3D URANS simulation of engineering flows. This algorithm yields practically identical velocity profiles and primary vortex and secondary vortices that are in excellent overall agreement with the results of the vorticity-stream function formulation (Ghia et al., 1982). However, the grid resolution have to be required to be large enough to express the various vortices.

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상사분쟁해결제도의 이원화(二元化)에 관한 일고(一考) (A Study on the two systems for Commercial Disputes Resolution)

  • 신한동
    • 한국중재학회지:중재연구
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    • 제8권1호
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    • pp.123-148
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    • 1998
  • Recently many controversies originate for varies reasons, ranging from normal market competition to honest disagreements about rights. Disputes also arise from the clash between institutions and individuals. A free society should provide many systems for resolving controversies. We think of the courts as being primary, but, of course, they are not. In Korea, and in most other parts of the world, disagreements are resolved informally, without the need for judicial intervention. Settlements are worked out privately, usually without lawyers and certainly without judges. Most of judges are finding it difficult to cope with the needs and demands of society. Many businessmen who no longer want to get involved in lawsuits, are looking for alternative methods for resolving their disputes. However, there are actually two systems, litigation and arbitration only, to resolve disputes with binding both parties concerned. Litigation emphasizes on the equity and the justice with allowing three time's judgment for the resonable resolution, and arbitration, which is not subject to appeal, stress on the economic settlement rather than justice. Arbitration process results in a final and binding decisions. Although arbitration is a voluntary procedures that is created by the parties themselves, arbitration differs from mediation and conciliation because of its binding power. Arbitration is today coming into fashion as our primary methods for settling disputes. No company wants to have its funds tied up for long periods. Many parties prefer that the decision be final, rather than facing the prospect of extended appellate litigation. Therefore, government must encourage parties to settle their disputes by arbitration instead of litigation.

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MODIS 총일차생산성 산출물의 오차요인 분석: 입력기상자료의 영향 (Errors of MODIS product of Gross Primary Production by using Data Assimilation Office Meteorological Data)

  • 강신규;김영일;김영진
    • 한국농림기상학회지
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    • 제7권2호
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    • pp.171-183
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    • 2005
  • In order to monitor the global terrestrial carbon cycle, NASA (National Aeronautics and Space Administration) provides 8-day GPP images by use of satellite remote-sensing reflectance data from MODIS (Moderate Resolution Imaging Spectroradiometer) at l-km nadir spatial resolution since December, 1999. MODIS GPP algorithm adopts DAO (Data Assimilation Office) meteorological data to calculate daily GPP. By evaluating reliability of DAO data with respect to surface weather station data, we examined the effect of errors from DAO data on MODIS GPP estimation in the Korean Peninsula from 2001 to 2003. Our analyses showed that DAO data underestimated daily average temperature, daily minimum temperature, and daily vapor pressure deficity (VPD), but overestimated daily shortwave radiation during the study period. Each meteorological variable resulted in different spatial patterns of error distribution across the Korean Peninsula. In MODIS GPP estimation, DAO data resulted in overestimation of GPP by $25\%$ for all biome types but up to $40\%$ for forest biomes, the major biome type in the Korean Peninsula. MODIS GPP was more sensitive to errors in solar radiation and VPD than in temperatures. Our results indicate that more reliable gridded meteorological data than DAO data are necessary for satisfactory estimation of MODIS GPP in the Korean Peninsula.

UNVEILING COMPLEX OUTFLOW STRUCTURE OF UY Aur

  • PYO, TAE-SOO;HAYASHI, MASAHIKO;BECK, TRACY;DAVIS, CHRISTOPHER J.;TAKAMI, MICHIHIRO
    • 천문학논총
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    • 제30권2호
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    • pp.109-112
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    • 2015
  • We present [$Fe\;{\small{II}}$] ${\lambda}1.257{\mu}m$ spectra toward the interacting binary UY Aur with 0".14 angular resolution, obtained with the Near infrared Integral Field Spectrograph (NIFS) combined with the adaptive optics system Altair of the GEMINI observatory. In the [$Fe\;{\small{II}}$] emission, UY Aur A (primary) is brighter than UY Aur B (secondary). The blueshifted and redshifted emission between the primary and secondary show a complicated structure. The radial velocities of the [$Fe\;{\small{II}}$] emission features are similar for UY Aur A and B: ${\sim}-100km\;s^{-1}$ and ${\sim}+130km\;s^{-1}$ for the blueshifted and redshifted components, respectively. Considering the morphologies of the [$Fe\;{\small{II}}$] emissions and bipolar outflow context, we concluded that UY Aur A drives fast and widely opening outflows with an opening angle of ${\sim}90^{\circ}$ while UY Aur B has micro collimated jets.

Assessment of New High-resolution Regional Climatology in the East/Japan Sea

  • Lee, Jae-Ho;Chang, You-Soon
    • 한국지구과학회지
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    • 제42권4호
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    • pp.401-411
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    • 2021
  • This study provides comprehensive assessment results for the most recent high-resolution regional climatology in the East/Japan Sea by comparing with the various existing climatologies. This new high-resolution climatology is generated based on the Optimal Interpolation (OI) method with individual profiles from the World Ocean Database and gridded World Ocean Atlas provided by the National Centers for Environmental Information (NCEI). It was generated from the recent previous study which had a primary focus to solve the abnormal horizontal gradient problem appearing in the other high-resolution climatology version of NCEI. This study showed that this new OI field simulates well the meso-scale features including closed-curve temperature spatial distribution associated with eddy formation. Quantitative spatial variability was compared to the other four different climatologies and significant variability at 160 km was presented through a wavelet spectrum analysis. In addition, the general improvement of the new OI field except for warm bias in the coastal area was confirmed from the comparison with serial observation data provided by the National Fisheries Research and Development Institute's Korean Oceanic Data Center.

Oral Vancomycin Therapy in a Child with Primary Sclerosing Cholangitis and Severe Ulcerative Colitis

  • Buness, Cynthia;Lindor, Keith D.;Miloh, Tamir
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제19권3호
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    • pp.210-213
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    • 2016
  • Primary sclerosing cholangitis (PSC), a rare progressive liver disease characterized by cholestasis and bile duct fibrosis, has no accepted, effective therapy known to delay or arrest its progression. We report a 15 year old female patient diagnosed with PSC and moderate chronic active ulcerative colitis (UC) who achieved normalization of her liver enzymes and bile ducts, and resolution of her UC symptoms with colonic mucosal healing, after treatment with a single drug therapy of the antibiotic oral vancomycin. We postulate that the oral vancomycin may be acting both as an antibiotic by altering the intestinal microbiome and as an immunomodulator. Oral vancomycin may be a promising treatment for PSC that needs to be further studied in randomized trials.

Investigation of Enantiomer Separation Using Chiral Crown Ethers as Chiral Selectors

  • Lee, Wonjae
    • 통합자연과학논문집
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    • 제9권1호
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    • pp.28-34
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    • 2016
  • A number of chiral selectors have been developed and applied for enantiomer separation of a variety of chiral compounds. Among these chiral selectors are chiral crown ethers, a class of synthetic host polyether molecules that bind protonated chiral primary amines with high selectivity and affinity. In this paper, two important chiral crown ethers as chiral selectors of bis-(1,1'-binaphthyl)-22-crown-6 and (18-crown-6)-2,3,11,12-tetracarboxylic acid (18-C-6-TA) are focused. They have been widely used to resolve the enantiomers of chiral compounds containing a primary amino moiety using chiral stationary phases (CSPs) or chiral selectors by high-performance liquid chromatography (HPLC), capillary electrophoresis (CE) and so on in chirotechnology. Also, it was described that the commercially available covalent type HPLC CSPs derived from (+)- and (-)-18-C-6-TA have been developed and successfully applied for the resolution of various primary amino compounds including amino acids.

A Case of Primary Pancreatic Lymphoma Presenting with Obstructive Jaundice

  • Ga Young Kim;Min Keun, Kim;Dong Wook Lee;Ho Gak Kim
    • Journal of Digestive Cancer Research
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    • 제3권2호
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    • pp.101-104
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    • 2015
  • A 55-year-old man was admitted to the hospital for jaundice. Computed tomography (CT) scans showed a diffuse mass in the pancreas and peripancreatic area, with infiltration to of the whole pancreas, and overall reduced enhancement compared to normal pancreas. Esophagogastroduodenoscopy revealed elevated mucosal lesion covered hyperemic mucosa at duodenal bulb and ulcerative lesion at body of stomach. Endoscopic ultrasonography revealed an irregular mass with unclear boundaries was observed within the pancreas. Abrupt narrowing of mid to distal common bile duct was seen and the stricture was caused by compression of pancreatic mass. Plastic stent was inserted and clinical improvement was achieved including resolution of jaundice. The patient is currently being treated with combination of rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone. We report a case of primary pancreatic lymphoma presenting with obstructive jaundice.

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안정적인 IPv6 리커시브 DNS 서비스를 위한 애니캐스트 기반의 실패 복구 방안 연구 (Fail-over Mechanisms based on Anycast for Stable IPv6 Recursive DNS Services)

  • 서유화;김경민;신용태;송관호;김원;박찬기
    • 한국통신학회논문지
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    • 제32권2B호
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    • pp.108-117
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    • 2007
  • 리커시브 DNS(Recursive DNS)는 사용자 PC환경에서 1,2차 DNS로 설정되어 사용자의 1차적인 DNS 질의에 대한 도메인 네임 레졸루션(Domain Name Resolution)을 수행하는 중요한 DNS이다. 현재 전체 인터넷의 트래픽 중 DNS 트래픽은 많은 양을 차지하고 있으며 IPv6로의 전이에 따라 DNS 질의 응답 실패에 따른 불필요한 트래픽이 매우 증가할 것으로 예상된다. 또한 리커시브 DNS의 경우 악의적인 공격에 따른 DNS 서버의 불능 상태가 발생 시 이를 복구하고 사용자에게 신뢰적인 DNS 서비스를 제공할 수 있는 메커니즘이 부족한 상태이다. 이를 해결하기 위해 본 논문은 애니캐스트(Anycast) 전송 기술을 리커시브 DNS에 적용하여 IPv6 DNS 도입에 따라 발생할 수 있는 불필요한 트래픽과 지연을 최소화한다. 또한 사용자에게 1차로 설정된 리커시브 DNS로의 질의 응답 실패 시에 실패 복구를 위한 리커시브 DNS로써 애니캐스트 리커시브 DNS를 설정하도록 하여 사용자에게 투명하고 공격에 안정적인 도메인 네임 서비스를 제공할 수 있는 방안을 제안한다.