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항문 막힘증과 심방중격 결손증이 동반된 3세 남아에서 발견된 선천성 기관지식도루 1례
민경복 ( Kyong Bok Min ),김종덕 ( Jong Deok Kim ),김민정 ( Min Jung Kim ),김경원 ( Kyong Won Kim ),손명현 ( Myung Hyun Sohn ),윤춘식 ( Choon Sik Yoon ),김대연 ( Dae Yeon Kim ),김규언 ( Kyu Earn Kim ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2012 소아알레르기 및 호흡기학회지 Vol.22 No.4
선천성 기관지식도루는 식도와 호흡기계의 일부가 비정상적인 누공으로 연결되어 있는 드문 질환이다. 기관지식도루는 전세계적으로 105례 정도 보고 되었으며, 그 중 5세미만에서 진단된 경우는 10례 정도이다. 국내의 경우 5세미만의 소아에서 2례만이 보고되었으며 다른 선천성 기형을 동반한 보고는 없었다. 선천성 기관지식도루의 주증상으로는 만성 기침, 구토, 반복적인 폐렴, 명치 통증, 유동식 섭취 이후 발생하는 발작적 기침 등이 있으나 대부분 비특이적인 것들로 소아에서 진단되기 어려워 치명적인 후유증이 유발될 수 있다. 이에 저자들은 출생 시 항문 막힘증과 심방중격 결손이 진단되었고, 반복적인 우측 폐렴을 주소로 내원한 3년 3개월 남아에서 식도 조영술과 흉부 전산화 단층 촬영을 통해 진단되어 기관지식도루 절제술과 우하엽 절제술을 시행 받은 기관지식도루 1례를 경험하였기에 보고하는 바이다. Congenital bronchoesophageal fistula (BEF), congenital communication between esophagus and bronchus, is a rare malformation. Benign BEF shows only nonspecific symptoms that may delay a correct diagnosis and proper treatment. This is a case of a 3-year-old boy presenting congenital BEF with imperforate anus and atrial septal defect. He had recurrent pneumonia in the right lower lobe since he was 5 months old. A barium swallow examination showed a communicating fistula between the lower esophagus and the right lower lobe bronchus. Computed tomography scan supported to delineate the course of the fistula. He underwent resection surgery of the fistula and lobectomy of the right lower lobe. He recovered without any postoperative complications. [Pediatr Allergy Respir Dis(Korea) 2012;22:428-432]
민경복 ( Kyungbok Min ),( L. Minh Dang ),이수진 ( Sujin Lee ),문현준 ( Hyeonjoon Moon ) 한국정보처리학회 2019 한국정보처리학회 학술대회논문집 Vol.26 No.2
Research using artificial intelligence to generate captions for an image has been studied extensively. However, these systems are unable to create creative stories that include more than one sentence based on image content. A story is a better way that humans use to foster social cooperation and develop social norms. This paper proposes a framework that can generate a relatively short story to describe based on the context of an image. The main contributions of this paper are (1) An unsupervised framework which uses recurrent neural network structure and encoder-decoder model to construct a short story for an image. (2) A huge English novel dataset, including horror and romantic themes that are manually collected and validated. By investigating the short stories, the proposed model proves that it can generate more creative contents compared to existing intelligent systems which can produce only one concise sentence. Therefore, the framework demonstrated in this work will trigger the research of a more robust AI story writer and encourages the application of the proposed model in helping story writer find a new idea.
임상 ; 한국인 모유의 영양소와 영아의 성장과의 관계 분석 연구
이철 ( Chul Lee ),박민수 ( Min Soo Park ),박국인 ( Kook In Park ),남궁란 ( Ran Namgung ),이순민 ( Soon Min Lee ),민경복 ( Kyong Bok Min ),은호선 ( Ho Sun Eun ) 대한주산의학회 2012 Perinatology Vol.23 No.4
목적 : 본 연구는 건강한 수유부와 정상 만삭아를 대상으로 모유의 조성이 영아 성장에 미치는 영향을 확인하고자 하 였다. 방법 : 2011년 10월부터 2012년 3월까지 강남세브란스병원, 서울의 수유 센터 두 곳을 방문한 건강한 수유부와 영 아 173명을 대상으로 하였다. 수집된 모유는 Semisolid-state mid-infrared milk analyzer (MIRIS(R) Human Milk Analyzer, HMA, Miris AB, Uppsala, Sweden)를 이용하여 모유 1 mL를 1분간 분석기에 넣어 측정하였다. 결과 : 모유 성분의 분석을 통하여 섭취량/권장량(%)을 표준 체중 5 percentile 이상인 군과 5 percentile 미만인 군으로 나누어 비교한 결과, 열량은 130.2±34.1%, 68.2±31.7%, 단백질은 133.4±33.9%, 75.0±28.3%, 지방질은 189.6±94.7 %, 91.9±63.2%, 탄수화물은 120.7±17.6%, 72.3±26.5%으로 두 군간에 유의한 차이를 보였다(P<0.05). 표준 체중 25 percentile 이상인 군과 25 percentile 미만인 군으로 나누었을 때도 열량은 135.3±34.3%, 99.0±33.9% 이었으며, 단백 질은 136.7±35.0%, 108.0±33.9%, 지방질은 197.1±97.6, 141.6±79.8%, 탄수화물은 125.1±16.5%, 95.0±22.0%으로 두 군간에 유의한 차이를 보였다(P<0.05). Multiple logistic regression을 이용하여 분석한 결과 표준 체중이 5% 미만인 군에 영향을 미치는 인자는 탄수화물이 가장 유의한 인자이었고(P<0.05), 25% 미만인 군에 영향을 미치는 인자는 단백 질과 탄수화물이었다(P<0.05). 결론 : 본 연구에서는 영아의 체중이 작은 경우 모유 성분의 영양소가 유의하게 낮음을 확인하였다. 이를 통해 출생 후 체중 증가가 유의하게 적고, 성장 곡선상 낮은 체중 분포를 보일 경우 적극적인 모유수유와 더불어 수유부의 식습관 개 선을 통한 적정한 영양공급 및 나아가 영양 강화를 이루어 신생아의 성장 증가를 도모해야 하겠다. Purpose : The aim of this study was to determine the effect of the macronutrient composition of breast milk from Korean women on the growth of infants. Methods : 173 healthy lactating women and breast-fed infants who visited Gangnam Severance Hospital and two breast-feeding centers in Seoul from October 2011 to March 2012 were recruited. We checked the birth weight and body weight of infants while collecting breast milk from the mothers, and analyzed the macronutrient component of breast milk with a mid-infrared milk analyzer (MIRIS(R) Human Milk Analyzer, HMA, Miris AB, Uppsala, Sweden). Group analysis was performed depending on more or less than 5 percentile and 25 percentile of body weight. Results : The amount of daily intake/RDA for calories, proteins, lipids and carbohydrates of breast milk were significantly lower in the less than 5 percentile and 25 percentile group (P <0.05). Using multiple logistic regression analysis, the significant nutrient component that was insufficient in the less than 5 percentile and less than 25 percentile of body weight group respectively was carbohydrates (P <0.05). Conclusion : We conclude that each macronutrient level of breast milk is statistically low in infants with less body weight. These results suggest that nutritional consideration of breast milk is necessary for the growth of breast-fed infants.
지역단위 고혈압사업에 있어서 환자의 치료순응도와 결정요인
김지,민경복,권순호,한달선,배상수,Kim, Jee,Min, Kyung-Bok,Kwon, Soon-Ho,Han, Dal-Sun,Bae, Sang-Soo 대한예방의학회 1999 예방의학회지 Vol.32 No.2
Objectives: To investigate compliance of hypertension patients using modified Theory of Reasoned Action(TRA). Methods: The data were collected for 7-12 April 1997, by interviewing 190 Hypertension patients in Hwachon, Kangwon-do. The analytical techniques employed include contingency table analysis and logit analysis. Results: 15.1% of patients were unaware of the fact that he/she has hypertension and 11.2% did not know that he/she should take drug. 20.8% of patients took drug continuously, 20.1% had drug intermittently, and 53.1% had never have treatment. In the contingency table analysis, several variables were found to be significantly related to patient compliance. They included variables for attitude towards the consequences of taking drugs, normative beliefs, systolic BP at the enrollment, knowledge of how to take hypertensive drugs, variables for general health behavior and experience with having health worker's home visit. The logit analysis was performed by two steps. first step uses experience with drug treatment of hypertension as the dependent variable, and second step uses continuity of treatment. Included in the predictors that are significantly related to the former analysis are subjected norms produced by combining normative beliefs and motivation to comply, knowledge of how to take hypertensive drugs, and opinion about natural recovery of diseases. The only significant determinant of continuous treatment was knowledge of how to take hypertensive drugs. Conclusions: The results of analysis suggest the usefulness of TRA as a framework for the study of compliance of hypertensive patients. The findings have some practical implication as well. One is that efforts for enhancing compliance should be directed not only patients but also to other persons influencing patient's attitude and behavior. It also suggest that correct understanding of hypertension treatment is essential to perform the appropriate patient role.
나덕렬,연병길,강연욱,민경복,이수현,이상숙,이미라,표옥정,박찬병,김선민,배상수,김동현,Na, Duk-L.,Yeon, Byeon-Gil,Kang, Yeon-Wook,Min, Kyung-Bok,Lee, Soo-Hyun,Lee, Sang-Suk,Lee, Mi-Ra,Pyo, Ok-Jung,Park, Chan-Byung,Kim, Sun-Mean,Bae, Sang-S 대한예방의학회 1999 예방의학회지 Vol.32 No.3
Objectives: In Korea, as in most countries, there will be a sharp increase in the number of dementia patients in the near future. However basic data on dementia prevalence, which is important in defining epidemiologic characteristics and in implementing preventive strategy, are limited. This study was conducted to estimate the prevalence rate of dementia in the urban elderly aged 65 or older in Kwangmyung, Korea. Methods: A two phase design was used for case finding and case identification. In phase I, a representative sample aged 65 or older was selected and interviewed by door-to-door survey with a Korean version of the Mini-Mental State Examination (K-MMSE). In phase II, Of the 946 subjects interviewed in phase 1,356 elderly were randomly selected disproportionately according to K-MMSE score. Of these elderly, 223 (61.5%) underwent standardized clinical evaluations, including psychiatric interview, neurological examination, and neuropsychological assessment. Dementia was diagnosed by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. The diagnosis of Alzheimer's disease (AD) was made by National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and feinted Disorders Association(NINCDS-ADRDA) criteria and vascular dementia (VD) by DSM-IV. Results: The overall weighted prevalence rate of all dementia among Kwangmyung residents aged 65 or older was 12,8%(age-adjusted rate: 13,0%, 95% Confidence Interval[CI]: 10.6-15.3%). Women had much higher prevalence rate than men even when age was controlled(15.9%[95% CI 12.6-19.2%] vs 7.5%[95% CI 4.0-10.4%]), The rates of dementia were 5.2%, 12.2%, 17.0%, and 34.3% for the age groups of 65-69, 70-74, 75-79 and 80 and over, respectively. The rate of AD appeared to be slightly higher than that of VD(5.2% vs 4.8%), though not statistically significant. Most of the cases(69%) were mild dementia according to CDR(<1) in these subjects. Conclusions : These results showed that the prevalence rate of dementia among urban elderly in Korea appears to be higher than those of other Asian countries.