• 제목/요약/키워드: twins

검색결과 289건 처리시간 0.024초

영아 비후성 유문협착증 - 대한소아외과학회 정회원을 대상으로 한 전국조사 - (Infantile Hypertrophic Pyloric Stenosis - A Survey by the Korean Association of Pediatric Surgeons -)

  • 김인구;김상윤;김신곤;김우기;김재억;김재천;김현학;박귀원;박영식;박우현;송영택;양정우;오수명;유수영;이두선;이명덕;이석구;이성철;장수일;정상영
    • Advances in pediatric surgery
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    • 제4권2호
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    • pp.149-155
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    • 1998
  • Thirty three members of the Korean Association of Pediatric Surgeons were surveyed to determine the clinical manifestations and current management of infantile hypertrophic pyloric stenosis (IHPS). The members completed a registration form and a questionnaire that indicated their treatment preferences for patients treated during 1996. The response rate was 84.8 %, and 23 institutions participated. Three hundred and sixty-three cases of IHPS were analysed. The male to female ratio was 5.15: 1. The presenting symptoms were nonbilious vomiting in 363 cases(100 %), palpable mass in the upper abdomen in 200 cases (55.1 %) and visible peristaltic waves in 67 cases(18.5 %). Fluid therapy was done in 161 cases(44.4 %) for preoperative preparation. Twenty patients(5.5 %) were premature. There were 27 low birth weight babies(7.7 %). The onset of symptoms ranged from 1 to 14 weeks of age with a peak occurrence at 2 to 4 weeks of age. Two hundred and thirty-six cases(66.6 %) presented within 4 weeks of age. There was one set of male twins and a family history of twins. The modes of feedings were: breast feeding; 69 cases(24.5 %), formula feeding; 176 cases(62.4 %) and mixed feeding; 37 cases(13.1 %). The preferred diagnostic modalities were ultrasonography (US) 229 cases(63.1 %), UGI series 27 cases(7.4%) and US and UGI series combined 86 cases(23.7 %). Only 21 cases(5.8 %) were operated on without imaging study, ie. with positive physical finding. Perforation of the mucosa during pyloromytomy occurred in 5 cases. All were treated successfully with primary closure. Persistent vomiting over 2 weeks after operation were reported in 5 cases. Three wound infections, one aspiration pneumonia and one postoperative bleeding were reported. There was no mortality in 363 cases.

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단태아와 쌍태아 모체의 임신 분기별 지방산 섭취와 혈청 인지질 지방산 조성 비교 (Comparison of Maternal Fatty Acid Intake and Fatty Acid Composition of Serum Phospholipids Between Singleton and Twin Pregnancies)

  • 권슬기;임수정;신중식;장성희;안홍석
    • 대한지역사회영양학회지
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    • 제13권4호
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    • pp.555-564
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    • 2008
  • Essential fatty acids are important essential nutrients during pregnancy. The objective of this study was to compare fatty acid composition of serum phospholipids and essential fatty acid intakes between Korean pregnant women with a single baby and Korean pregnant women with twins. A total of 116 pregnant women who had maintained their health without any symptoms of pregnancy complications participated in the study. The subjects consisted of 57 women of singleton pregnancy and 58 women of twin pregnancy at the 1st, 2nd, or 3rd trimester of pregnancy. A 24-hour dietary recall was administered to each subject to obtain dietary information. The mean ages of the singleton pregnancy group and the twin pregnancy group were 31.44 years and 32.27 years, respectively, and the mean height values were 161.86 cm and 160.64 cm, respectively. The mean daily energy intakes in the singleton pregnancy group were 1639.95 kcal, 1904.71 kcal, and 1882.82 kcal for the 1st, 2nd, and 3rd trimester group, respectively. The mean daily energy intakes in the twin pregnancy group were 1745.99 kcal, 2203.46 kcal, and 2092.26 kcal for the 1st, 2nd, and 3rd trimester group, respectively. There were no significant differences in the mean fatty acid intakes by the type of pregnancy (i.e., singleton vs. twins) and the stage of pregnancy (i.e., 1st vs. 2nd vs. 3rd trimester). However, the mean total fatty acid intake of those at the 1st trimester among the singleton pregnancy group tended to be higher than that of those at the 1st trimester among the twin pregnancy group. Such a trend seemed to be retro-versed. That is, the mean total fatty acid intakes of the twin pregnancy group were higher compared to the singleton pregnancy group for the 2nd and 3rd trimester group. The LA and total n6 concentrations of serum phospholipids of the singleton pregnancy group were significantly higher as the gestational age increased(p<0.05). The $\alpha-LNA$(p<0.05), EPA(p<0.05), and total n3(p<0.001) concentrations of serum phospholipids of the twin pregnancy group were significantly lower as the gestational age increased. The $\alpha-LNA$ concentrations of serum phospholipids in the singleton pregnancy group at the 3rd trimester were significantly higher than that in the twin pregnancy group at the same trimester(p<0.05). The serum phospholipids levels of AA and DHA of the twin pregnancy group were generally higher compared to those of the singleton pregnancy group. Particularly the differences reached at the level of statistical significance for those at the 1st trimester(p<0.01). It is concluded that the study findings imply that fatty acid metabolism may meaningfully differ by the type and stage of pregnancy. Future research needs to be conducted to more elucidate grounding etiology and possible roles of dietary fatty acid intake levels in relation to the study findings.

연결도를 이용한 보행네트워크와 보행통행량의 상호관련성 연구 (Relationship between Pedestrian Network and Pedestrian Volume Using Connectivity)

  • 한상진;김영욱;오순미
    • 대한교통학회지
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    • 제26권1호
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    • pp.137-144
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    • 2008
  • 보행통행량은 보행안전분석과 보행환경개선에 중요한 요소이나 교통 부문에서 보행통행량 예측에 관한 연구는 많지 않다. 도시계획분야에서는 네트워크 특성만으로 보행량을 예측하는 공간구문론(Space Syntax Theory)이 연구되어져 왔고 많은 연구에서 효과적으로 보행량을 예측하는 것으로 밝혀졌으나, Space Syntax 방법론을 이용한 보행량 예측법은 교통 부문의 네트워크 구성 방법이 상이하여 활용에 어려운 점이 있다. 따라서 본 연구는 교통의 관점에서 보행네트워크를 구축하고 이를 바탕으로 Dial 알고리즘을 활용하여 링크의 상대적인 중요도를 나타내는 연결도 개념을 도입하여 보행량을 예측하는 방법을 제시하고, 이를 인사동 및 숭례문 지역에 적용하였다. 분석결과 연결도와 보행통행량의 상관계수가 인사동의 경우 0.713, 숭례문의 경우 0.482로 상당히 높게 나타났고, 연결도 및 도로폭을 종속변수로 한 보행통행량 모형의 결정계수가 인사동의 경우 0.893, 숭례문의 경우 0.671로 모형의 설명력 또한 높은 것으로 나타났다. 이러한 수치는 연결도가 보행통행량 추정에 있어서 충분히 설득력 있는 방법론임을 의미한다. 또한, 연결도를 이용한 보행통행량 추정법은 Space Syntax 이론에 의한 추정법에 비해 그 과정이 간단하고, 특정 소프트웨어를 사용할 필요가 없으며, 네트워크가 교통네트워크의 구축 방법과 같은 방법으로 구축되므로 연구대상구역의 가로망 체계 변화가 보행통행량에 미치는 영향을 간단히 추정해보는데 유용한 방법론이다.

XRD와 TEM을 이용한 알바이트의 구조 및 상전이 연구 (XRD and TEM Investigations of Structures and Phase Transformations in Albite)

  • 김윤중;이영부
    • 한국광물학회지
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    • 제16권1호
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    • pp.91-106
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    • 2003
  • Na-장석(Amelia albite)의 등온가열 실험에 대한 XRD 분석 결과는 $1073^{\circ}C$의 가열 시료에서 격자상수의 급격한 변화를 보여주는데, 이는 Al과 Si의 비배열(disordering)과 가열된 시료의 급랭에 의한 격자 변형 때문이라고 본다. $1073^{\circ}C$에서는 약 7일 간의 가열에 의해 저온 알바이트에서 고온 알바이트로 상전이한 반면, $924^{\circ}C$에서는 Al-Si의 비배열 속도가 느려서 140일 동안 가열된 시료도 초기 단계의 중간단계 알바이트 상태로 남아 있었다. TEM 분석 결과는 가열된 시료에서 100∼200$\AA$ 크기의 트위드(tweed) 구조가 형성됨이 특징적인데, 이 구조의 발달 및 변화는 고온($1073^{\circ}C$)과 저온 ($923^{\circ}C$)의 가열 시료가 다름이 드러났다. 즉, 전자는 국부적으로 알바이트 쌍정과 유사한 미세구조로 전이한데 반해, 후자는 보다 넓은 지역에 걸쳐 알바이트 쌍정면이 우세한 도메인 구조로 전이하였다. 가열에 의한 Al과 Si의 비배열과 급랭에 의한 응력 때문에 격자의 불안정(lattice instability)이 증가하게 되는데 이를 완화시키기 위하여 태아 단계의 쌍정 구조(알바이트 쌍정과 pericline 쌍정)를 형성되는 것이 트위드 구조의 원인이라고 본다.

INTERGRANULAR CORROSION-RESISTANT STAINLESS STEEL BY GRAIN BOUNDARY ENGINEERING

  • Hiroyuki Kokawa;Masayuki Shimada;Wang, Zhan-Jie;Yutaka S. Sato
    • 대한용접접합학회:학술대회논문집
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    • 대한용접접합학회 2002년도 Proceedings of the International Welding/Joining Conference-Korea
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    • pp.250-254
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    • 2002
  • Intergranular corrosion of austenitic stainless steels is a conventional and momentous problem during welding and high temperature use. One of the major reasons for such intergranular corrosion is so-called sensitization, i.e., chromium depletion due to chromium carbide precipitation at grain boundaries. Conventional methods for preventing sensitization of austenitic stainless steels include reduction of carbon content in the material, stabilization of carbon atoms as non-chromium carbides by the addition of titanium, niobium or zirconium, local solution-heat-treatment by laser beam, etc. These methods, however, are not without drawbacks. Recent grain boundary structure studies have demonstrated that grain boundary phenomena strongly depend on the crystallographic nature and atomic structure of the grain boundary, and that grain boundaries with coincidence site lattices are immune to intergranular corrosion. The concept of "grain boundary design and control", which involves a desirable grain boundary character distribution, has been developed as grain boundary engineering. The feasibility of grain boundary engineering has been demonstrated mainly by thermomechanical treatments. In the present study, a thermomechanical treatment was tried to improve the resistance to the sensitization by grain boundary engineering. A type 304 austenitic stainless steel was pre-strained and heat-treated, and then sensitized, varying the parameters (pre-strain, temperature, time, etc.) during the thermomechanical treatment. The grain boundary character distribution was examined by orientation imaging microscopy. The intergranular corrosion resistance was evaluated by electrochemical potentiokinetic reactivation and ferric sulfate-sulfuric acid tests. The sensitivity to intergranular corrosion was reduced by the thermomechanical treatment and indicated a minimum at a small roll-reduction. The frequency of coincidence-site-lattice boundaries indicated a maximum at a small strain. The ferric sulfate-sulfuric acid test showed much smaller corrosion rate in the thermomechanically-treated specimen than in the base material. An excellent intergranular corrosion resistance was obtained by a small strain annealing at a relatively low temperature for long time. The optimum parameters created a uniform distribution of a high frequency of coincidence site lattice boundaries in the specimen where corrosive random boundaries were isolated. The results suggest that the thermomechanical treatment can introduce low energy segments in the grain boundary network by annealing twins and can arrest the percolation of intergranular corrosion from the surface.

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Genetic and Non-genetic Factors Affecting Mortality in Lori-Bakhtiari Lambs

  • Vatankhah, M.;Talebi, M.A.
    • Asian-Australasian Journal of Animal Sciences
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    • 제22권4호
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    • pp.459-464
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    • 2009
  • Data and pedigree information for Lori-Bakhtiari sheep used in this study were 6,239 records of lamb mortality from 246 sires and 1,721 dams, collected from 1989 through 2007 from a Lori-Bakhtiari flock at Shooli station in Shahrekord. The traits investigated were cumulative lamb mortality from birth up to 7 days, up to 14 days, up to 21 days, and up to 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12 months of age. The models included fixed factors that had significant effects and random direct genetic, maternal genetic and maternal permanent environmental effects. Variance components were estimated using the restricted maximum likelihood procedure applying three animal models with and without maternal and common environmental effects. The overall mean of cumulative lamb mortality rate was 22.95% from birth to 1 year of age, while the overall mortality rate up to 3 and from 3 to 6 months of age was 6.14% and 12.76%, respectively. The mortality rate after 6 months of age declined as the lambs grew older. The age of dam had no important effect on lamb mortality. The type of birth was more important during the preweaning period than at later ages, and lamb mortality rate was higher in twins. The year of birth, month of birth and sex of lamb significantly (p${\leq}$0.01) affected the cumulative lamb mortality rate at all ages. The least square mean of mortality during the final one-third of the lambing period was higher than the first and middle onethird of the lambing period. Male lambs were found to be at a higher risk of mortality than females. Birth weight of the lamb had a highly significant (p${\leq}$0.01) effect on lamb mortality at all ages as a quadratic regression. Direct and maternal heritability estimates of lamb mortality ranged from 0.01 to 0.13 and 0.01 to 0.05, respectively. Direct heritability increased with age of lamb, while maternal effects (genetic and common environmental) were important in the preweaning period. These results indicate that lamb mortality can be reduced first through farm management practices and secondly by genetic selection. Both animal and maternal effects should be considered in breeding programmes for reducing lamb mortality at preweaning.

한방병원 산후조리센터에서 전원된 신생아에 대한 연구 (Transferred newborn from oriental hospital postpartum care center; symptoms and high risk factor)

  • 장규태;김장현;오주영
    • 대한한방소아과학회지
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    • 제17권2호
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    • pp.37-53
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    • 2003
  • Objective : To find risk factor and symptoms for transferred newborn from postpartum care center Method : We performed a follow-up study using medical record. Subjects comprised 188 neonates(include 4 twins) and 184 women in childbed who were hospitalized in oriental postpartum care center from January, 1, 2002 to December, 31, 2002. Result: Transferred newborn was total 24, N.V.D. 17, C.S. 7, male and female were 12 separately. The symptom of transfer was fever(16), diarrhea(4), jaundice(3), convulsion(1) Transferred number and rate was male 12(10.7%), female 12(15.8%). In delivery method, total normal vaginal delivery(N.V.D.) was 136 and transferred 17(12.5%), total cesarean section(C.S.) was 52 and transferred 7(13.5%). Transferred rank was N.V.D. female(17.9%). C.S. male(15.6%), C.S. female(10%), N.V.D.(8.6%). Of the 188 neonates. immature infants were 2 and transferred 1(50%), term infants were 184, transferred 23(12.5%), post-term infants were 2 and transferred none(0%). In age of women in childbed, transferred ratio was 15.4%(over 35), 15.2%(25-29), 10.5%(30-34). In fever,. C.S. infants were more transferred than N.V.D. and male infant had a tendency to transfer in later period of hospitalization and female in early period. It seems that transfer was related to abortion. In diarrhea, all was N.V.D. and their diagnosis was rotavirus. The average age of women in childbed was yonger(28.5). In jaundice, all was 1st, and average birth weight was lighter(3153g). The average age of women in childbed was older(30). In convulsion, birth weight was lighter(3153g), and age of women in childbed was older(30). Conclusion : There's any relation with sex and delivery method, birth weight and mother's age in transfer. But we cannot find any statistically significance. Further prospective studies are needed to find risk factors in transfer.

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Duarte Variant/Classical Galactosemia (D/G) Heterozygote으로 진단된 일란성 쌍둥이 1례 (A Twin diagnosed with Duarte Variant/Classical (D/G) Galactosemia)

  • 구교연;이철호;양정윤;이진성
    • 대한유전성대사질환학회지
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    • 제12권1호
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    • pp.58-63
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    • 2012
  • 고전적 갈락토오스혈증(classical galactosemia; OMIM #230400)은 상염색체 열성 유전의 갈락토오스 대사장애로, 9번 염색체에 위치하는 GALT 유전자(OMIM *606999)로부터 전사되는 galactose-1-phosphate uridylyltransferase (GALT; E.C.2.7.7.12)의 심각한 결손으로 인해 유발되는 질환이다. GALT의 결함은 galactose-1-phosphate의 체내 축적을 일으켜, 신생아 시기부터 구토, 수유 곤란, 황달, 복수, 경련 발작, 기면 상태 등의 증상을 유발하고, 장기적으로는 백내장, 성장지연, 지능저하를 초래한다. 반면 Duarte형 갈락토오스혈증은 적혈구에서의 GALT 효소 활성도가 감소되어 있어 혈중 galactose와 galactose-1-phosphate의 농도가 증가하지만 임상적으로는 거의 증상을 보이지 않는 아형이다. 최근 신생아 선별검사의 발달과 함께, 무증상의 양성 판정 환아들이 늘고 있으며, 이들 환아들이 Duarte형 갈락토오스혈증일 가능성이 제기되고 있다. 이에 저자들은 국내에서 그 동안 드물게 보고되었던 N314D와 -119_-116delGT CA/E363K이형접합체의 Duarte형 갈락토오스혈증 일란성 쌍둥이 1례를 보고하고자 한다.

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3차원 가상도시 모델에서 높이맵을 이용한 CNN 기반의 그림자 탐지방법 (CNN-based Shadow Detection Method using Height map in 3D Virtual City Model)

  • 윤희진;김주완;장인성;이병대;김남기
    • 인터넷정보학회논문지
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    • 제20권6호
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    • pp.55-63
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    • 2019
  • 최근 교육, 제조, 건설 등 다양한 응용 분야에서 사실적인 가상환경을 표현하기 위하여 실세계 영상데이터를 활용하는 사례가 증가하고 있다. 특히, 스마트 시티 등 디지털 트윈에 대한 관심이 높아지면서, 항공 영상 등 실제 촬영한 영상을 이용하여 현실감 있는 3D 도시 모델을 구축하고 있다. 그러나, 촬영된 항공 영상에는 태양에 의한 그림자가 포함되어 있으며, 그림자가 포함된 3D 도시 모델은 사용자에게 정보를 왜곡시켜 표현하는 문제를 안고 있다. 그림자를 제거하기 위하여 그동안 많은 연구가 진행되었지만, 아직까지 해결하기 어려운 도전적인 문제로 인식되고 있다. 본 논문에서는 VWorld에서 제공하는 3차원 공간정보를 이용하여 건물의 높이 맵을 포함한 가상환경 데이터 셋을 구축하고, 높이맵과 딥러닝을 이용한 새로운 그림자 탐지 방법을 제안한다. 실험 결과에 의하면, 높이맵을 사용했을 때 기존 방법보다 그림자 탐지 에러율이 감소한 것을 확인할 수 있다.

경주 동천동 일대에 분포하는 A-형 화강암의 지화학적 특성 (Geochemical Characteristics of A-type granite in Dongcheondong, Gyeongju)

  • 명보라;주지원;김정훈;장윤득
    • 암석학회지
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    • 제26권3호
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    • pp.271-280
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    • 2017
  • 동천동 화강암은 경주 동천동 일대에 분포하는 알칼리장석화강암이다. 이는 주로 우백질의 조립질화강암이며 알칼리장석, 석영, 흑운모, 각섬석이 관찰된다. 경하관찰 결과, 알칼리장석은 퍼싸이트로 나타나며, 석영은 주로 파동소광을 보인다. 사장석은 주로 알바이트 쌍정을 보이며, 흑운모와 각섬석은 간극상으로 산출된다. 동천동 화강암은 $(Na_2O+K_2O)/Al_2O_3$ 비가 높고 (MgO+CaO)/FeOT가 낮은 전형적인 A-형 화강암 영역에 도시되며 경상분지 I-형 화강암류에 비해 $SiO_2$, $Na_2O$, $K_2O$, Rb, Ga, Zr이 부화되어 있는 반면 $TiO_2$, $Al_2O_3$, CaO, MgO, Sr, Ba, Sc 등은 결여되어 있다. 또한, 연구지역 화강암은 I-형 화강암에 비해 희토류원소의 함량이 높고 큰 Eu(-) 이상을 보여준다. 이러한 지화학적 특성은 기존에 보고된 경상분지 I-형 화강암류와 뚜렷이 구분된다. 동천동 A-형 화강암은 현재까지 제시된 A-형 화강암의 기원 중 지각 내의 토날라이트질(Tonalite) 내지 화강섬록암의 I-형 화강암의 부분용융으로 만들어졌을 가능성이 높은 것으로 판단된다.