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Pediatric gastroenterology, hepatology & nutrition 10건

  1. [국내논문]   Types of Special Infant Formulas Marketed in Korea and Their Indications   KCI

    Hong, Suk Jin (Department of Pediatrics, Daegu Catholic University School of Medicine)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 155 - 162 , 2018 , 2234-8646 ,

    초록

    Infant formula is classified into standard cow's milk-based and special formulas. This review aimed at summarizing the types of special milk formulas currently sold in Korea, and the appropriate indications for the use of these formulas; lactose free formula, soy-based formula, protein hydrolysate formula, amino acid-based formula, preterm formula, medium chain triglyceride formula, low-phosphorus formula, protein-energy-enriched formula, and formulas for inborn errors of metabolism.

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  2. [국내논문]   Gastritis Associated with Initially Pediatric Crohn's Disease and Ulcerative Colitis   KCI

    Basturk, Ahmet (Department of Pediatric Gastroenterology, Faculty of Medicine, Akdeniz University ) , Artan, Reha (Department of Pediatric Gastroenterology, Faculty of Medicine, Akdeniz University ) , Yilmaz, Aygen (Department of Pediatric Gastroenterology, Faculty of Medicine, Akdeniz University ) , Gelen, Mustafa T. (Department of Pathology, Faculty of Medicine, Akdeniz University)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 163 - 169 , 2018 , 2234-8646 ,

    초록

    Purpose: The aim of this study is to determine the involvement of the upper gastrointestinal system (GIS) in patients diagnosed with Crohn's disease (CD), ulcerative colitis (UC), and non-inflammatory bowel disease (IBD) and to compare their differences. Methods: This study included patients aged between 2 and 18 years who underwent colonoscopy and esophagogastroduodenoscopy (EGD) for the first time due to the prediagnosis of IBD. In EGD, samples were taken from duodenum, antrum, corpus, and esophagus; and gastritis, duodenitis, and esophagitis were identified through histopathologic examination. The data gathered the ends of the research were compared between IBD with non-IBD groups and between CD-UC with non-IBD groups, and the presence of significant differences between groups were determined. Results: In our study, 16 patients were diagnosed with CD, 13 with UC, 3 with undeterminate colitis, and 13 with non-IBD. In the histopathological examination of the groups, GIS involvement was found in 94.1% of patients diagnosed with IBD and in 38.5% of non-IBD patients. Moreover, the difference was found to be statistically significant (p=0.032). No significant difference was found between the CD and UC groups. Gastritis was mostly observed in 93.8% of CD-diagnosed patients, 76.8% of UC-diagnosed patients, 81.2% of IBD-diagnosed patients, and 38.5% of non-IBD-diagnosed patients. On the other hand, significant differences were found between CD and non-IBD groups (p=0.03), UC and non-IBD groups (p=0.047), and IBD and non-IBD groups (p=0.03). Conclusion: The results of the study show that gastritis was highly observed in UC- and CD-diagnosed patients than in non-IBD-diagnosed patients.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [국내논문]   An Electronic Questionnaire Survey Evaluating the Perceived Prevalence and Practices of Lactose Intolerance in 1 to 5 Year Old Children in South East Asia   KCI

    Tan, Michelle Li Nien (Department of Pediatrics, National University of Singapore ) , Muhardi, Leilani (Danone Nutricia Early Life Nutrition, Nutricia Research ) , Osatakul, Seksit (Department of Pediatrics, Faculty of Medicine, Prince of Songkla University ) , Hegar, Badriul (Department of Pediatrics, Faculty of Medicine, University of Indonesia ) , Vandenplas, Yvan (Department of Pediatrics, Universitair Ziekenhuis Brussels ) , Ludwig, Thomas (Danone Nutricia Early Life Nutrition, Nutricia Research ) , Bindels, Jacques (Danone Nutricia Early Life Nutrition, Nutricia Research ) , Van der Beek, Eline M (Danone Nutricia Early Life Nutrition, Nutricia Research ) , Quak, Seng Hock (Department of Pediatrics, National University of Singapore)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 170 - 175 , 2018 , 2234-8646 ,

    초록

    Purpose: Lactose intolerance (LI) is perceived to be frequent in Asia and has been reported to have considerable impact on dietary intake, nutritional status and the quality of life. We aimed to gather information from healthcare professionals on the perceived incidence, diagnosis and management of LI in 1 to 5 year old children in Southeast Asia. Methods: An anonymous electronic survey was sent randomly among healthcare professionals registered in the database of the pediatric societies in Thailand, Indonesia, and Singapore between June and October 2016. Results: In total, 259 health care professionals responded of which 45.5% (n=118) were from Thailand, 37.4% (n=97) from Indonesia and 16.9% (n=44) from Singapore. Of the participants who responded (n=248), primary LI prevalence among children 1 to 3 years of age was estimated to be less than 5% by 56.8%. However, about 18.9% (n=47) answered they did not know/unsure. Regarding secondary LI, 61.6% of respondents (n=153) estimated the prevalence to be less than 15%. But again, 10.8% (n=27) answered they did not know or unsure. Rotavirus gastroenteritis was ranked as the top cause for secondary LI. There was considerable heterogeneity in the diagnostic methods used. The majority of respondents (75%) recommended lactose-free milk to manage primary and secondary LI. Conclusion: More education/training of pediatricians on this topic and further epidemiological studies using a more systematic approach are required.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [국내논문]   Surveillance Study of Acute Gastroenteritis Etiologies in Hospitalized Children in South Lebanon (SAGE study)   KCI

    Ghssein, Ghassan (Rammal Hassan Rammal Research Laboratory, Physio-toxicity (PhyTox) Research Group, Lebanese University, Faculty of Sciences (V) ) , Salami, Ali (Rammal Hassan Rammal Research Laboratory, Physio-toxicity (PhyTox) Research Group, Lebanese University, Faculty of Sciences (V) ) , Salloum, Lamis (Rammal Hassan Rammal Research Laboratory, Physio-toxicity (PhyTox) Research Group, Lebanese University, Faculty of Sciences (V) ) , Chedid, Pia (Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Balamand ) , Joumaa, Wissam H (Rammal Hassan Rammal Research Laboratory, Physio-toxicity (PhyTox) Research Group, Lebanese University, Faculty of Sciences (V) ) , Fakih, Hadi (Department of Pediatrics, Faculty of Medical Sciences, Lebanese University)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 176 - 183 , 2018 , 2234-8646 ,

    초록

    Purpose: Acute gastroenteritis (AGE) is a major cause of morbidity and remains a major cause of hospitalization. Following the Syrian refugee crisis and insufficient clean water in the region, this study reviews the etiological and epidemiological data in Lebanon. Methods: We prospectively analyzed demographic, clinical and routine laboratory data of 198 children from the age of 1 month to 10 years old who were admitted with the diagnosis of AGE to a private tertiary care hospital located in the district of Nabatieh in south Lebanon. Results: Males had a higher incidence of AGE (57.1%). Pathogens were detected in 57.6% (n=114) of admitted patients, among them single pathogens were found in 51.0% (n=101) of cases that consisted of: Entamoeba histolytica 26.3% (n=52), rotavirus 18.7% (n=37), adenovirus 6.1% (n=12) and mixed co-pathogens found in 6.6% (n=13). Breast-fed children were significantly less prone to rotavirus (p=0.041). Moreover, children who had received the rotavirus vaccine were significantly less prone to rotavirus (p=0.032). Conclusion: Our findings highlight the high prevalence of E. histolytica infection as the major cause of pediatric gastroenteritis in hospitalized children, during the summer period likely reflecting the insanitary water supplies and lack of hygiene. Moreover the 42.4% of unidentified causative pathogens should prompt us to widen our diagnostic laboratory arsenal by adopting new diagnostic technologies.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [국내논문]   Significance of Perianal Lesion in Pediatric Crohn Disease   KCI

    Jin, Won Seok (Department of Pediatrics, Gachon University Gil Medical Center ) , Park, Ji Hyoung (Department of Pediatrics, Gachon University Gil Medical Center ) , Lim, Kyung In (Department of Pediatrics, Gachon University Gil Medical Center ) , Tchah, Hann (Department of Pediatrics, Gachon University Gil Medical Center ) , Ryoo, Eell (Department of Pediatrics, Gachon University Gil Medical Center)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 184 - 188 , 2018 , 2234-8646 ,

    초록

    Purpose: Despite the increasing incidence of pediatric Crohn disease (CD) in Korea, data on the characteristics of perianal lesions are scarce. Therefore, we aimed to investigate the characteristics of pediatric CD with accompanying perianal lesions in Korea. Methods: We retrospectively reviewed the medical records of children (age ${\leq}18$ years) with confirmed CD at Gachon University Gil Medical Center between 2000 and 2014. Patients were classified into two groups based on the presence or absence of any perianal lesions including skin tags. Additional analysis was performed according to the presence or absence of perianal perforating lesions. Results: Among the 69 CD children (mean age, 15.4 years) include in the analysis, 54 (78.3%) had a perianal lesion and 29 (42.0%) had a perianal perforating lesion. The median duration of chief complaints was longer in pediatric CD with any accompanying perianal lesions (5.40 months vs. 1.89 months, p=0.02), while there was no difference between pediatric CD with and without perianal perforating lesions (5.48 months vs. 4.02 months, p=0.18). Perianal symptoms preceded gastrointestinal symptoms in 13 of 29 (44.8%) patients with perianal perforating lesions. Conclusions: CD should be suspected in children with perianal lesions, even in circumstances when gastrointestinal symptoms are absent.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [국내논문]   Amino Acid-Based Formula in Premature Infants with Feeding Intolerance: Comparison of Fecal Calprotectin Level   KCI

    Jang, Hyo-Jeong (Department of Pediatrics, Keimyung University School of Medicine ) , Park, Jae Hyun (Department of Pediatrics, Keimyung University School of Medicine ) , Kim, Chun Soo (Department of Pediatrics, Keimyung University School of Medicine ) , Lee, Sang Lak (Department of Pediatrics, Keimyung University School of Medicine ) , Lee, Won Mok (Department of Laboratory Medicine, Keimyung University School of Medicine)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 189 - 195 , 2018 , 2234-8646 ,

    초록

    Purpose: We investigated fecal calprotectin (FC) levels in preterm infants with and without feeding intolerance (FI), and compared the FC levels according to the type of feeding. Methods: The medical records of 67 premature infants were reviewed retrospectively. The fully enteral-fed infants were classified into two groups; the FI group (29 infants) and the control group (31 infants). Seven infants with necrotizing enterocolitis, sepsis, and perinatal asphyxia were excluded. If breast milk (BM) or preterm formula (PF) could not be tolerated by infants with FI, amino acid-based formula (AAF) was tried temporarily. Once FI improved, AAF was discontinued, and BM or PF was resumed. We investigated the FC levels according to the type of feeding. Results: Significant differences were found in gestational age, birth weight, age when full enteral feeding was achieved, and hospital stay between the FI and control group (p 0.05). Conclusion: The FC levels in AAF-fed infants with FI showed significantly lower than those in the BM- or PF-fed infants with FI. The mitigation of gut inflammation through the decrease of FC levels in AAF-fed infants with FI could be presumed.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [국내논문]   Clinical Characteristics of Children Needing Inpatient Treatment after Failed Outpatient Treatment for Fecal Impaction   KCI

    Sinha, Amrita (Department of Pediatrics, MetroHealth Medical Center (MHMC) affiliated with Case Western Reserve University ) , Mhanna, Maroun (Department of Pediatrics, MetroHealth Medical Center (MHMC) affiliated with Case Western Reserve University ) , Gulati, Reema (Division of Pediatric Gastroenterology, MetroHealth Medical Center (MHMC) affiliated with Case Western Reserve University)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 196 - 202 , 2018 , 2234-8646 ,

    초록

    Purpose: Treatment of chronic constipation and fecal impaction is usually outpatient and requires high or frequent doses of laxatives. However, there are children who fail outpatient treatments, sometimes repeatedly, and are ultimately hospitalized. We sought to compare the characteristics of the children who failed outpatient treatment and needed inpatient treatment vs those who achieved success with outpatient treatment, in an effort to identify attributes that might be associated with a higher likelihood towards hospitalization. Methods: In this retrospective cohort study, we reviewed the medical records of all patients aged 0 to 21 years, with chronic functional constipation and fecal impaction seen in the pediatric gastroenterology clinic over a period of 2 years. Results: Total of 188 patients met inclusion criteria. While 69.2% were successfully treated outpatient (referred to as the outpatient group), 30.9% failed outpatient treatment and were hospitalized (referred to as the inpatient group). The characteristics of the inpatient group including age at onset of $3.6{\pm}3.6years$ (p=0.02); black ethnicity (odds ratio [OR] 4.31, 95% confidence interval [95% CI] 2.04-9.09); p $13{\pm}13.7$ constipation related prior encounters (p=0.001), were significantly different from the outpatient group. Conclusion: Identification of these characteristics may be helpful in anticipating challenges and potential barriers to effective outpatient treatment.

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    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [국내논문]   Management of Pediatric Patients Presenting with Acute Abdomen Accompanying Dilatation of the Common Bile Duct   KCI

    Kim, Young A (Department of Pediatrics, Pusan National University Yangsan Hospital ) , Kim, Gyung Min (Department of Pediatrics, Good Gang-An Hospital ) , Chun, Peter (Department of Pediatrics, Pusan National University Yangsan Hospital ) , Hwang, Eun Ha (Ulsan University Hospital, University of Ulsan College of Medicine ) , Mun, Sang Wook (Department of Pediatrics, Pusan National University Yangsan Hospital ) , Lee, Yeoun Joo (Department of Pediatrics, Pusan National University Yangsan Hospital ) , Park, Jae Hong (Department of Pediatrics, Pusan National University Yangsan Hospital)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 203 - 208 , 2018 , 2234-8646 ,

    초록

    Purpose: The aim of this study was to describe our treatment experiences with patients who had acute abdomen (AA) with common bile duct (CBD) dilatation. Methods: The treatment outcomes in children with AA and CBD dilatation were retrospectively reviewed. According to the shape of the intrahepatic bile ducts on ultrasonography (US), the origin of the pain was estimated as choledochal cyst (CC) complication or choledocholithiasis in normal CBD. Patients with complicated CC underwent surgery, and patients with choledocholithiasis in a normal appearing CBD underwent symptomatic treatment initially. Results: Of the 34 patients, 30 (88.2%) were female. The mean age of the patients was $6.4{\pm}4.9$ (range, 0.8-17) years. Seventeen (50.0%) patients had CBD stones and 17 (50.0%) did not. Surgical treatment was performed in 20 (58.8%) patients, 2 of whom underwent preoperative stone removal with endoscopic retrograde cholangiopancreatography and an operation. Conservative treatment was applied in 12 (35.3%) patients (8 with and 4 without stones), 1 of whom developed symptom relapse and underwent an operation. Among the 8 patients with CBD stones, 4 (4/17, 23.5%) had complete resolution of the stones and recovery of the CBD diameter after conservative treatment. US findings of patients with stone showed a fusiform or cylindrical shape of the CBD in 14 (82.4%) patients. Conclusion: The presence of stones in the distal CBD and the US features of CBD dilatation may be helpful to diagnose and treat the causes of biliary dilatation. Conservative treatment can be considered as initial therapy in patients with uncomplicated CBD dilatation with stone.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [국내논문]   Incidentally Discovered Solitary Gastrointestinal Polyp with Pathological Significance in Children: Four Case Reports   KCI

    Han, Sang-eun (Department of Pediatrics, Hanyang University College of Medicine ) , Chang, Jiyeon (Department of Pediatrics, Hanyang University College of Medicine ) , Paik, Seung Sam (Department of Pathology, Hanyang University College of Medicine ) , Kim, Yong Joo (Department of Pediatrics, Hanyang University College of Medicine)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 209 - 213 , 2018 , 2234-8646 ,

    초록

    Most solitary gastrointestinal (GI) polyps in children are either inflammatory or hamartomatous. Solitary hyperplastic polyp, sentinel polyp and solitary adenomatous polyp have been occasionally diagnosed in adults, but very rarely reported in Korean children. We recently came across a case with adenomatous polyp in the colon, a case with hyperplastic polyp beneath the gastroesophageal junction, a case with hyperplastic polyp in the prepyloric area, and a case with sentinel polyp in the distal esophagus, which are unusual pathologic types in children. These mucosal lesions were diagnosed incidentally during elective endoscopic examinations for GI symptoms. Most polyps do not cause significant symptoms, so the diagnosis might be delayed, especially in children, in whom GI endoscopy is not commonly performed for screening purpose as in the adults.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [국내논문]   Lemierre Syndrome in Adolescent with Active Ulcerative Colitis   KCI

    Unic, Josipa (University of Zagreb School of Medicine, Children's Hospital Zagreb ) , Kovacic, Matea (University of Zagreb School of Medicine, Children's Hospital Zagreb ) , Jakovljevic, Gordana (Department of Oncology, Children's Hospital Zagreb ) , Batos, Ana Tripalo (Department of Pediatric Radiology, Children's Hospital Zagreb ) , Grmoja, Tonci (Department of Pediatric Radiology, Children's Hospital Zagreb ) , Hojsak, Iva (University of Zagreb School of Medicine, Children's Hospital Zagreb)
    Pediatric gastroenterology, hepatology & nutrition v.21 no.3 ,pp. 214 - 217 , 2018 , 2234-8646 ,

    초록

    Inflammatory bowel disease (IBD) is a well-recognized risk factor for thrombotic events in adults but data on children are scarce. In the great majority of adult patients, thrombotic events are usually deep vein thrombosis and pulmonary embolism. Other sites such as jugular veins are extremely rare. We present a case of Lemierre syndrome in an adolescent girl with active ulcerative colitis and discuss possible risk factors. This is the first reported case of severe Lemierre syndrome with thrombus extension to cranial veins in a patient with ulcerative colitis. Early recognition of Lemierre syndrome in patients who present with rapidly worsening symptoms of neck pain, fever and signs of pharyngitis is imperative because it increases a chance of favorable prognosis. It is important for pediatricians treating IBD patients not to underestimate possible thrombotic events in children with IBD. Recognition of additional risk factors is crucial for prompt diagnosis and adequate treatment.

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