A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea

Yong Sung Choi,정성훈,김은선,Eun Sun Kim,Eunhee Lee,Euiseok Jung,So-Yeon Lee,이우령,Hye Sun Yoon,Yong Joo Kim,Ji Kyoung Park,Son Moon Shin,Ellen Ai-Rhan Kim 대한신생아학회 2022 Neonatal medicine Vol.29 No.1

Purpose: Pediatricians have a significant responsibility to educate mothers about the importance of breastfeeding. However, there have been minimal efforts in the courses of resident training in Korea. The purpose of this study is to evaluate the change in knowledge and attitude before and after a 4-week breastfeeding educational intervention among multicenter residents. Methods: Prospective interventional educational research was designed for residents at eight training hospitals in Korea. Institutional reviews were obtained in each hospital. The education curriculum consisted of 14 courses regarding breastfeeding theory and practice. These materials were used to teach pediatric residents for 4 weeks. Knowledge-based tests were administered before the course, and re-tests were administered after the course using different test items of similar levels. Test scores and survey responses were compared before and after the intervention. Results: A total of 73 residents (1st year 20, 2nd year 23, 3rd year 16, and 4th year residents 14) from eight training hospitals completed the intervention. Their average age was 30.3±2.9 years, 17 (23.3%) were male, 22 (30.1%) were married, and eight had more than one child of their own. The mean pre-test score was 61.8±13.4 and the mean post-test score was 78.3±7.5 (P<0.001). The inter-grade difference in the score was significant in the pre-test (P=0.005), but not significant in the post-test (P=0.155). There were more responses of obtaining confidence after the intervention (P<0.001). Conclusion: In our study, pediatric residents showed improvement in their knowledge and confidence level after 4 weeks of the breastfeeding curriculum. This will provide a basis for future policymaking in the training of pediatric residents regarding breastfeedReceived: 6 January 2022 Revised: 15 February 2022 Accepted: 15 February 2022 Correspondence to: Ellen Ai-Rhan Kim, MD Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea Tel: +82-2-3010-3390 Fax: +82-2-3010-6978 E-mail: arkim@amc.seoul.kr A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea Yong-Sung Choi, MD,PhD1, Sung-Hoon Chung, MD, PhD2, Eun Sun Kim, MD, PhD3, Eun Hee Lee, MD4, Euiseok Jung, MD5, So Yeon Lee, MD, PhD5, Wooryoung Lee, MD6, Hye Sun Yoon, MD, PhD7, Yong Joo Kim, MD, PhD8, Ji Kyoung Park, MD, PhD9, Son Moon Shin, MD, PhD9, and Ellen Ai-Rhan Kim, MD, PhD5 1Department of Pediatrics, Kyung Hee University Hospital, Seoul, Korea 2Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea 3Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea 4Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea 5Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea 6Department of Pediatrics, Soonchunhyang University Seoul Hospital, Seoul, Korea 7Department of Pediatrics, Nowon Eulji Medical Center, Eulji University, Seoul, Korea 8Department of Pediatrics, Hanyang University Seoul Hospital, Seoul, Korea 9Department of Pediatrics, Inje University Busan Paik Hospital, Busan, Korea Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 pISSN 2287-9412 . eISSN 2287-9803 Copyright(c) 2022 By Korean Society of Neonatology This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Original Article 29 Neonatal Med 2022 February;29(1):28-35 https://doi.org/10.5385/nm.2022.29.1.28 ing in Korea.

Do We Still Use The Camitta"s Criteria For Severe Aplastic Anemia?

( Hyun Hwa Yoon1 ),( Sung Hyun Kim1 ),( Ji Hyun Lee ),( Seok Jae Huh ),( Suee Lee ),( Sung Yong Oh ),( Hyuk Chan Kwon ),( Hyo Jin Kim ) 대한내과학회 2011 대한내과학회 추계학술대회 Vol.2011 No.-

아치 리브를 따라 작용하는 등분포 하중을 받는 포물선 아치 리브의 비탄성 면내좌굴 강도

윤기용,문지호,김성훈,이학은,Yoon. Ki-Yong,Moon. Ji-Ho,Kim. Sung-Hoon,Lee. Hak-Eun 한국방재학회 2005 한국방재학회논문집 Vol.5 No.1

포물선 아치 리브는 원형 아치 리브와 더불어 실무에 폭넓게 적용되고 있는 아치 형상이다. 원형 아치 리브의 비탄성 면내 거동에 관한 연구는 1990년대 Trahair(1996)를 중심으로 연구가 진행되었으며, Yong-Lin Pi와 Bradford(2004)에 의하여 최근까지 연구가 활발히 진행 되고 있다. 포물선 아치 리브의 비탄성 면내 거동에 관한 연구는 일본의 연구자(Sinke, Kuranishi)을 중심으로 1970년대 후반부터 1980년대 초반에 이르기까지 많은 연구가 진행되었다. 이러한 포물선 아치 리브에 관한 일본에서의 연구는 대부분 라이즈비가 <TEX>$0.1{\sim}0.2$</TEX>에 국한 되어있다. 본 연구에서는 비탄성 유한요소해석을 이용하여 라이즈비가 0.1에서 0.4에 이르는 박스형태의 단면을 갖는 포물선 아치 리브의 면내 거동에 관하여 연구를 수행하였다. 연구 결과 라이즈비가 증가할수록 아치 단면에 휨모멘트가 증가하였으며, 압축력이 수직 등분포 하중을 받는 포물선 아치 리브의 면내 좌굴 안정성에 미치는 영향은 감소하였다. 마지막으로 본 연구에서는 아치 리브를 따라 작용하는 수직등분포 하중을 받는 포물선 아치의 좌굴 곡선을 제안하였다. Parabolic arch ribs are widely used in practical. In case of circular arch ribs. Inelastic in-plane buckling behaviors were investigated by Trahair(1996). Recently Yong-lin Pi & Bradford(2004) investigated about in-plane design equation for circular arch ribs. In <TEX>$1970{\sim}1980$</TEX>. In-plane buckling strength about parabolic arch ribs were studied by some japan researchers (Sinke, Kuranishi). Study results of Sinke & kuranishi are only valid for rise-span ratio <TEX>$0.1{\sim}0.2$</TEX>. In this paper. The researchers investigated about in-plane inelastic buckling behaviors of parabolic arch ribs having rise-span ratio from 0.1 to 0.4. From the results. When the rise-span ratio increase, flexural moments increase and influence of axial force to in-plane buckling strength decrease. Finally, buckling curves for parabolic arch ribs subjected distributed loading along the axis were suggested.

The anti-fibrotic effects of celecoxib in bile duct Ligation- and thioacetamide-induced hepatic fibrosis models in rat

( Yong Han Paik ),( So Hee Kang ),( Hyun Jin Lee ),( Do Young Kim ),( Sang Hoon Ahn ),( Kwang Hyub Han ),( Chae Yoon Chon ),( Young Myoung Moon ),( Kwan Sik Lee ) 대한간학회 2007 Clinical and Molecular Hepatology(대한간학회지) Vol.13 No.3(S)

Finite State Machine based Vehicle System for Autonomous Driving in Urban Environments

Sang-Hyeon Bae,Sung-Hyeon Joo,Jung-Won Pyo,Jae-Seong Yoon,Kwanghee Lee,Tae-Yong Kuc 제어로봇시스템학회 2020 제어로봇시스템학회 국제학술대회 논문집 Vol.2020 No.10

In autonomous driving systems, many approach have been developed based on high-precision sensors, high computing power, development of various networks in academia and industry. The key point of an autonomous car is that it needs to know what is happening in the driving situation and an action corresponding to this situation must be created and operated. In this paper, we propose the system structure and method of a autonomous driving car consisting of three main parts:perception, planning, control. Each main part is designed to recognize the real-time driving environment, make action plan based on finite state machine, and activate kinematic model based control. The proposed vehicle system copes with six major situations of urban environment driving, and we verified system through the simulation.

Protective effects of sodium para-amino salicylate on manganese-induced neuronal death: the involvement of reactive oxygen species.

Yoon, Hyonok,Kim, Do-Sung,Lee, Geum-Hwa,Kim, Ji Ye,Kim, Diana H,Kim, Kee-Won,Chae, Soo-Wan,You, Wan-Hee,Lee, Yong Chul,Park, Seoung Ju,Kim, Hyung-Ryong,Chae, Han-Jung Pharmaceutical Society of Great Britain 2009 Journal of pharmacy and pharmacology Vol.61 No.11

<P>OBJECTIVES: This study tested whether sodium para-amino salicylic dihydrate, an antibacterial drug for tuberculosis, could block manganese-induced apoptosis in SK-N-MC neurons. METHODS: Cell viability, Hoechst staining, dichlorofluorescin diacetate analysis for reactive oxygen species measurement, and immunoblotting were performed. KEY FINDINGS: In vitro, manganese chloride significantly decreased the viability of SK-N-MC cells, accompanied by apoptotic features such as changes in nuclear morphology. Sodium para-amino salicylic dihydrate inhibited these apoptotic characteristics through reducing intracellular reactive oxygen species generation, protecting mitochondrial membrane potential and caspase-3 activation. CONCLUSIONS: Sodium para-amino salicylic dihydrate inhibits manganese-induced apoptosis in neurons and may reduce manganese-mediated neurodegeneration.</P>

Run-Time Adaptive Workload Estimation for Dynamic Voltage Scaling

Sung-Yong Bang,Kwanhu Bang,Sungroh Yoon,Eui-Young Chung IEEE 2009 IEEE transactions on computer-aided design of inte Vol.28 No.9

<P>Dynamic voltage scaling (DVS) is a popular energy-saving technique for real-time tasks. The effectiveness of DVS critically depends on the accuracy of workload estimation, since DVS exploits the slack or the difference between the deadline and execution time. Many existing DVS techniques are profile based and simply utilize the worst-case or average execution time without estimation. Several recent approaches recognize the importance of workload estimation and adopt statistical estimation techniques. However, these approaches still require extensive profiling to extract reliable workload statistics and furthermore cannot effectively handle time-varying workloads. Feedback-control-based adaptive algorithms have been proposed to handle such nonstationary workloads, but their results are often too sensitive to parameter selection. To overcome these limitations of existing approaches, we propose a novel workload estimation technique for DVS. This technique is based on the Kalman filter and can estimate the processing time of workloads in a robust and accurate manner by adaptively calibrating estimation error by feedback. We tested the proposed method with workloads of various characteristics extracted from eight MPEG video clips. To thoroughly evaluate the performance of our approach, we used both a cycle-accurate simulator and an XScale-based test board. Our simulation result demonstrates that the proposed technique outperforms the compared alternatives with respect to the ability to meet given timing and Quality of Service constraints. Furthermore, we found that the accuracy of our approach is almost comparable to the oracle accuracy achievable only by offline analysis. Experimental results indicate that using our approach can reduce energy consumption by 57.5% on average, only with negligible deadline miss ratio (DMR) around 6.1%. Moreover, the average of computational overheads for the proposed technique is just 0.3%, which is the minimum value compared to other methods. More importantly, the DMR of our method is bounded by 11.7% in the worst case, while those of other methods are twice or more than ours.</P>

Comparison between Yield and Labor for Various Tree Heights in ‘Fuji’/M.9 High Density Orchard System

Sang-Jin Yang,Moo-Yong Park,Yang-Yik Song,Hyun-Hee Han,Tae-Myung Yoon 한국원예학회 2008 한국원예학회 기타간행물 Vol.- No.-

Characteristics of Movement-Induced Dose Reduction in Target Volume: A Comparison Between Photon and Proton Beam Treatment

Yoon, Myonggeun,Shin, Dongho,Kwak, Jungwon,Park, Soah,Lim, Young Kyung,Kim, Dongwook,Park, Sung Yong,Lee, Se Byeong,Shin, Kyung Hwan,Kim, Tae Hyun,Cho, Kwan Ho Elsevier 2009 Medical dosimetry Vol.34 No.3

<P><B>Abstract</B></P><P>We compared the main characteristics of movement-induced dose reduction during photon and proton beam treatment, based on an analysis of dose-volume histograms. To simulate target movement, a target contour was delineated in a scanned phantom and displaced by 3 to 20 mm. Although the dose reductions to the target in the 2 treatment systems were similar for transverse (perpendicular to beam direction) target motion, they were completely different for longitudinal (parallel to beam direction) target motion. While both modalities showed a relationship between the degree of target shift and the reduction in dose coverage, dose reduction showed a strong directional dependence in proton beam treatment. Clinical simulation of target movement for a prostate cancer patient showed that, although coverage and conformity indices for a 6-mm lateral movement of the prostate were reduced by 9% and 16%, respectively, for proton beam treatment, they were reduced by only 1% and 7%, respectively, for photon treatment. This difference was greater for a 15-mm target movement in the lateral direction, which lowered the coverage and conformity indices by 34% and 54%, respectively, for proton beam treatment, but changed little during photon treatment. In addition, we found that the equivalent uniform dose (EUD) and homogeneity index show similar characteristics during target movement. These results suggest that movement-induced dose reduction differs significantly between photon and proton beam treatment. Attention should be paid to the target margin in proton beam treatment due to the distinct characteristics of heavy ion beams.</P>

Changes in the indications for living donor liver transplantation: single-institution experience of 3,145 cases over 10 years

Sang-Hyun Kang,Shin Hwang,Chul-Soo Ahn,Ki-Hun Kim,Deok-Bog Moon,Tae-Yong Ha,Gi-Won Song,Dong-Hwan Jung,Gil-Chun Park,Jung-Man Namgoong,Young-In Yoon,Hui-Dong Cho,Jae-Hyun Kwon,Yong-Kyu Chung,Jin Uk Ch 대한이식학회 2020 Korean Journal of Transplantation Vol.34 No.1

Background: To understand the changing demands and recent trends in the indications for living donor liver transplantation (LDLT), the present study aimed to analyze the indications for LDLT performed in a high-volume transplantation center over 10 years. Methods: The liver transplantation database at our institution was searched to identify patients who underwent LDLT during a 10-year period from January 2008 to December 2017. The study subjects (n=3,145) were divided into two groups: adult patients (n=3,019, 92.7%) and pediatric patients (n=126, 3.9%). Results: In the adult recipients, the primary diagnoses were hepatitis B virus (HBV)- associated liver cirrhosis (n=1,898, 62.9%), alcoholic liver disease (n=482, 16.0%), hepatitis C virus-associated cirrhosis (n=203, 6.7%), acute liver failure (n=127, n=4.2%), and other diseases (n=157, 5.2%). The mean Model for End-Stage Liver Disease score was 15.6±8.8 (range, 6–40). The proportion of patients with HBV-associated liver disease gradually decreased, but the proportion of those with alcoholic liver disease increased. Hepatocellular carcinoma (HCC) was diagnosed in 1,467 patients (48.6%). The mean proportion of patients with HCC was 63.1% among those with HBVassociated liver disease. In pediatric recipients, the primary diagnoses were biliary atresia (n=51, 40.5%), liver failure of various causes (n=37, 29.4%), metabolic disease (n=22, 17.5%), hepatoblastoma (n=12, 9.5%), and infectious diseases (n=4, 3.2%). Conclusions: Our results showed that there were some significant changes in the indications of LDLT. We believe that our results may reflect the real changes in the indications of LDLT and they will be useful for predicting further changes in the future.