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The Findings of Pulmonary Function Test in Patients with Inhalation Injury (흡입화상 환자에서의 폐기능검사 소견)

  • Kim, Jong Yeop;Kim, Cheol Hong;Shin, Hyun Won;Chae, Young Je;Choi, Chul Young;Shin, Tae Rim;Park, Yong Bum;Lee, Jae Young;Bahn, Joon-Woo;Park, Sang Myeon;Kim, Dong-Gyu;Lee, Myung Goo;Hyun, In-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.6
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    • pp.653-662
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    • 2006
  • Background: The changes in the pulmonary function observed in burn patients with an inhalation injury are probably the result of a combination of airway inflammation, chest wall and muscular abnormalities, and scar formation. In addition, it appears that prolonged ventilatory support and an episode of pneumonia contribute to the findings. This study investigated the changes in the pulmonary function in patients with inhalation injury at the early and late post-burn periods. Methods: From August 1, 2002, to August 30, 2005, surviving burn patients who had an inhalation injury were enrolled prospectively. An inhalation injury was identified by bronchoscopy within 48hours after admission. Spirometry was performed at the early phase during admission and the recovery phase after discharge, and the changes in the pulmonary function were compared. Results: 37 patients (M=28, F=9) with a total burn surface area (% TBSA), ranging from 0 to 18%, were included. The initial $PaO_2/$FiO_2$ratio and COHb were $286.4{\pm}129.6mmHg$ and $7.8{\pm}6.6%$. Nine cases (24.3%) underwent endotracheal intubation and 3 cases (8.1%) underwent mechanical ventilation. The initial X-ray findings revealed abnormalities in, 18 cases (48.6%) with 15 (83.3%) of these being completely resolved. However, 3 (16.7%) of these had residual sequela. The initial pulmonary function test, showed an obstructive pattern in 9 (24.3%) with 4 (44.4%) of these showing a positive bronchodilator response, A restrictive pattern was also observed in 9 (24.3%) patients. A lower DLco was observed in only 4 (17.4%) patients of which 23 had undergone DLco. In the follow-up study, an obstructive and restrictive pattern was observed in only one (2.7%) case each. All the decreased DLco returned to mormal. Conclusions: Most surviving burn patients with an inhalation injury but with a small burn size showed initial derangements in the pulmonary function test that was restored to a normal lung function during the follow up period.

The Direction of Christian Education in the Post COVID-19 (코로나19 시기 이후의 기독교교육의 방향)

  • Kim, Sung-Joong
    • Journal of Christian Education in Korea
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    • v.63
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    • pp.39-64
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    • 2020
  • COVID-19 is sweeping the world, and it is in crisis in all aspects of politics, economy, culture, and religion. As people experience the beginning and spread of COVID-19, wince and re-spread, the people are living in anxiety and depression. Because of the COVOD-19 crisis, Korean churches were unable to provide on-site worship, and online worship began, and churches that started on-site worship also performed online worship. In the case of church schools, the functions of fellowship and education were paralyzed and many are offering online Sunday service only. Many people eagerly want to go back to what it was before COVID-19, but it seems difficult because COVID-19 has become a global issue and a pandemic situation. We can't wait to get better out of this. In the COVID-19 crisis, the church was unable to properly handle the church's original work and to fully fulfill the mission of education. The response of many churches was to postpone the planned ministry to the second half of 2020. Now, we should try to set a new direction and prepare specifically to move in the new direction. With this perspective, this paper studied the direction of Christian education in the post COVID-19. Specifically, the theoretical basis of the direction of Christian education in the post COVID-19 was found in the theory of Agape's encounter, Catechesis theory, and diakonia theory, and specific directions were suggested according to these theories. Specifically, based on the theory of Agape's encounter, Christian education that emphasizes the encounter with the natural environment, Christian education that emphasizes the encounter among family members, Christian education that emphasizes the encounter among citizens of the world, and Christian education that emphasizes the encounter through online were presented. Based on the Catechesis theory, Christian education copping with the attack of heresy was presented. Finally, based on the diakonia theory, Christian education of service for society and Christian education of service based on data were presented.

Toxicity Test of butachlor to Medaka (뷰타클로르의 송사리에 대한 독성시험)

  • Park, Yeon-Ki;Kim, Byung-Seok;Shin, Jin-Sup;Bae, Chul-Han;Park, Kyung-Hun;Lee, Jea-Bong;Hong, Soon-Sung;Cho, Kyung-Won;Lee, Kyu-Seung
    • The Korean Journal of Pesticide Science
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    • v.11 no.4
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    • pp.254-260
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    • 2007
  • In order to evaluate the toxic effects of butachlor, a herbicide widely used for control of weeds in paddy field, on medaka (Oryzias latipes), acute toxicity tests for five developmental stages and early life stage toxicity test of were conducted. As the results of acute toxicity test, $96h-LC_{50}s$ for 1 day, 1 week, 2 weeks, 2 months and 5 months after hatching of O. latipes were 0.68, 0.52, 0.38, 1.09 and $0.45\;mg\;L^{-1}$, respectively. This indicated that the most sensitive stage was 2 weeks after hatching. The early life stage toxicity test showed that no statistically significant hatching period and hatching success of embryo was observed at all concentrations of butaclor. However, 0.05 and $0.1\;mg\;L^{-1}$ of butachlor showed statistically significant post hatching survival with p<0.1. Abnormalities of larva were 2.1, 2.3 and 10% at 0.025, 0.05 and $0.1\;mg\;L^{-1}$ of concentration, respectively. They showed abnormal vertebral axis, craniofacial alteration and retarded yolk-sac resorption. The total length and weight were decreased depending on butachlor concentration the end of test. Weight of larva was showed more sensitive toxic indicator than total length. The toxicological responses of O. latipes to butachlor expressed as LOEC(lowest observed effect concentration), NOEC(no observed effect concentration) and MATC(maximum acceptable toxicant concentration) values were 0.025, 0.013 and $0.018\;mg\;L^{-1}$, respectively.

Risk Assessment of Fipronil on Honeybee (Apis mellifera) (Fipronil의 꿀벌 (Apis mellifera)에 대한 위해성 평가)

  • Kim, Byung-Seok;Yang, Yu-Jung;Park, Yeon-Ki;Jeong, Mi-Hye;You, Are-Sun;Park, Kyung-Hun;Ahn, Young-Joon
    • The Korean Journal of Pesticide Science
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    • v.13 no.1
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    • pp.39-44
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    • 2009
  • This study was conducted to evaluate the actual risk of fipronil on worker honey bees (Apis mellifera L.) through acute contact toxicity test, acute oral toxicity test, toxicity of residues on foliage test, and small scale field test. The $48h-LD_{50s}$ of fipronil SC on honeybee were $0.005{\mu}g$ a.i./bee in acute contact toxicity test and $0.004{\mu}g$ a.i./bee in acute oral toxicity test, respectively. In toxicity of residues on foliage test, fipronil showed over 90% of mortality during 28days after treatment at recommended application rate. The $DT_{50}$ of dislodgeable foliar residue was 9 days. Finally, In small scale field test, fipronil showed similar toxicity in the residues on foliage test. It was concluded that fipronil has very high acute toxicity and long residual toxicity to honeybee. Therefore, fipronil is highly toxic to bees exposed to direct treatment or residues on blooming crops or weeds. Do not apply this product or allow it to drift to blooming crops or weeds if bees are visiting the treatment area. To protect honeybee and wild pollinators from outdoor use of fipronil, ultimately it should need to limit for only indoor use to prevent pollinators from unintentionally exposure of fipronil.

Comparison of Acute Toxicity of Molinate on Two Aquatic Insects, Chironomus riparius and Cloeon dipterum in Different Larval Stages (2종의 수서곤충 Chironomus riparius와 Cloeon dipterum의 유충 성장단계별 molinate 급성독성 비교)

  • Kim, Byung-Seok;Park, Yoen-Ki;Hong, Soon-Sung;Yang, Yu-Jung;Park, Kyung-Hun;Joeng, Mi-Hye;Kim, Se-Ri;Park, Kyeong-Hun;Yeh, Wan-Hae;Kim, Doo-Ho;Hong, Moo-Ki;Ahn, Young-Joon;Shin, Jin-Sup
    • The Korean Journal of Pesticide Science
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    • v.13 no.4
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    • pp.256-261
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    • 2009
  • Molinate (S-ethyl hexahydro-1H-azepine-1-carbothioate), a selective, preemergence thiocarbamate herbicide used for grass weed control in rice fields, is being most widely used in Korea. This study was conducted to assess the comparative toxicity of molinate on two aquatic insects, Chironomus riparius and Cloeon dipterum in four larval stages. First-instar larvae of C. riparius appeared to be the most sensitive to acute exposure of molinate with a 48-h $EC_{50}$ of 7.8 mg/L, followed by third instar (48-h $EC_{50}\;=\;22.9\;mg/L$), second instar (48-h $EC_{50}\;=\;25.0\;mg/L$) and fourth instar (48-h $EC_{50}$ > 50 mg/L) larvae. Also, the sensitivity of the larvae of C. dipterum was presented as the same manner of the larvae of C. riparius. The youngest group of larvae of C. riparius appeared to be the most sensitive to molinate, with 96-h $EC_{50}$ values ranged from 14.3 to 24.1 mg/L. The authors assume that the young instar lavae of aquatic insects, Chironomus riparius and Cloeon dipterum are more sensitive to molinate. Also, the authors propose that Mayfly, Cloeon dipterum is well suited as a bioassay organism because it is one of the most vulnerable aquatic insects inhabiting agricultural ecosystem in Korea.

Effects of Butachlor on Growth of Four Freshwater Algae (Butachlor의 4종 담수조류(freshwater algae)에 대한 생장영향)

  • Park, Yeon-Ki;Bae, Chul-Han;Kim, Byung-Seok;Park, Kyung-Hoon;Lee, Jea-Bong;Shin, Jin-Sup;Hong, Soon-Sung;Cho, Kyung-Won;Lee, Kyu-Seung;Lee, Jung-Ho
    • The Korean Journal of Pesticide Science
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    • v.12 no.1
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    • pp.82-87
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    • 2008
  • Algae are vital in the primary production of the aquatic ecosystem, having been considered as good indicators of the bioactivity of pesticides. Algae have short life cycle, respond quickly to environmental change and their diversity and density can indicate the quality of their habitat. The purpose of the study was to determine the growth inhibition effects of butachlor (Tech. 93.4%) and $K_2Cr_2O_7$ (Tech. 99.5%) in Selenastrum capriconutum, Scenedesmus subspicatus, Chlorella vulgaris and Nitzschia palea during and exposure period of 72 hours. The toxicological responses of S. capriconutum, S. subspicatus, C. vulgaris and N. Palea to butachlor, expressed in individual $ErC_{50}$ values were 0.0022, 0.019, 8.67 and $4.94\;mg\;L^{-1}$, respectively. NOEC values were 0.0008, 0.0016, 5.34 and $2.92\;mg\;L^{-1}$, respectively. S. capriconutum was more sensitive than the other algae species. The toxicological responses of S. capriconutum, S. subspicatus, C. vulgaris and N. palea to $K_2Cr_2O_7$ expressed as $ErC_{50}$ values were 0.91, 0.78, 0.85 and $0.57\;mg\;L^{-1}$, respectively. NOEC values were 0.2, 0.2, 0.2 and $0.18\;mg\;L^{-1}$, respectively. Growth inhibition of S. capriconutum, S. subspicatus, C. vulgaris and N. palea from PEC of butachlor were 100, 75, 0 and 0%, respectively.

Psychosocial Factors Related with the Intake of Vegetables and Fruits by Stage of Change of Elementary School Children in Chungnam Province (행동변화 단계에 따른 충남지역 초등학생의 채소와 과일 섭취 관련 사회 심리적 요인)

  • Suh, Yoon-Suk;Choi, Ae-Sook;Chung, Young-Jin
    • Journal of Nutrition and Health
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    • v.42 no.7
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    • pp.639-649
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    • 2009
  • This study aims at investigating the psychosocial factors that influence on the intake of fruits and vegetables according to stage of change in rural children. Total 256 elementary school children, located in Yeongi-Gun, Chungnam-Do were surveyed from May 14 2007 to May 30 2007. Stage of change on the intake of fruits and vegetables of the students was categorized into three stages: precontemplation (PC), contemplation & preparation (CO&PR) and action (AC). Psychosocial factors consist of decisional balance based on pros and cons, process of change of cognitive and behavioral processes, and self-efficacy. The recognition of cons out of decisional balance showed the highest score in the subjects at the stage of PC and lowest score in those action stage. While, no difference was shown in the score of recognition of pros among the stages. Both levels of cognitive and behavioral process of change showed no difference between two pre-action stages, PC and CO&PR. However, the subjects of action stages got higher scores in more number of the variables in both of cognitive and behavioral process of change compared to those of pre-action stages with more remarkable in results vegetables than in fruits. The results of self-efficacy on fruits and vegetables intake showed that the higher stages of change, the higher the self-efficacy score. From the result, it is suggested that the items and level of psychosocial factors are different according to the stage of change and between fruits and vegetables in rural children.

The Comparison of the Effect of Cigarette and Stop Smoking-aiding Cigarette on Release of IL-6 from Bronchial Epithelial Cell (일반담배(Cigarette)와 금연 보조 담배(금연초, 허브담배, 쑥 담배)의 기관지 상피세포에서 IL-6유리 효과비교)

  • Kim, Myoung Chan;Jung, Jeil;Jung, Jong Hoon;Kim, Hak Ryul;Yang, Sei Hoon;Jeong, Eun Taik;Kim, Hui Jung
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.5
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    • pp.530-535
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    • 2005
  • Background and Aims : Cigarette smoking induces an inflammatory response in the airways, which may play a key role in the pathogenesis of chronic obstructive pulmonary disease. Interleukin-6 (IL-6) is one of the cytokines that plays an important role in inducing bronchial inflammation. The aim of this study was to determine if the level of the pro-inflammatory cytokine, Interleukin-6, is increased when the bronchial epithelial cells are exposed to a cigarette smoke extract (CSE) and an extract from stop smoking-aiding cigarettes, and examined the safety of these commercially available stop smoking-aiding cigarettes. Method : Bronchial epithelial cells were exposed to CSE from cigarette and stop smoking-aiding cigarettes for 24 hours. ELISA was used to measure the IL-6 levels in the supernatant from each condition. The IL-6 mRNA levels were measured by Taqman Real time RT-PCR. N-acetyl-L-cysteine(NAC) was added to each condition to determine if NAC can inhibit the release of IL-6 from the bronchial epithelial cells when they are exposed to CSE from cigarette and stop smoking-aiding cigarettes. Result : When bronchial epithelial cells were exposed to a CSE from cigarettes and stop smoking-aiding cigarettes, each type of CSE stimulated IL-6 production from the bronchial epithelial cells. The IL-6 mRNA level in the Bronchial epithelial cells was also elevated and NAC was found to inhibit the release of IL-6 from bronchial epithelial cells when they were exposed to the CSE from cigarettes and stop smoking-aiding cigarettes. Conclusion : Commercially available stop smoking-aiding cigarette can induce bronchial inflammation and can be harmful to smokers. Therefore, the safety of these cigarettes for smoking cessation should be evaluated.

Operator exposure risk assessment of benzimidazole fungicides on Korean agricultural condition (Benzimidazole계 살균제의 농작업자 위해성평가)

  • Lee, Je-Bong;Shin, Jin-Sup;Jeong, Mi-Hye;Park, Yeon-Ki;Im, Geon-Jae;Kang, Kyu-Young
    • The Korean Journal of Pesticide Science
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    • v.9 no.4
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    • pp.347-353
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    • 2005
  • Pesticide risk assessment for pesticide operators as well as for consumers has become one of the pesticide regulatory tools to reduce any unreasonable adverse health effects from pesticide use. The risk for pesticide operators can be quantified by comparing the acceptable operator exposure level(AOEL) with exposure level during pesticide application. This study is to evaluate the risk of benzimidazole fungicides application worker. The exposure level of pesticide applicators were calculated using Japanese operator exposure study tested with EPN 45% EC. The AOELs for pesticides were obtained dividing relevant lowest no observed abuse effect levels(NOAELs) for the exposure scenario into uncertainty factor, 100. For the non-cancer and cancer occupational risk assessment, $Q_1^*$ produced by US/EPA and life time average daily dose(LADD) calculated from average daily dose(ADD), treatment days per year, worked years for life time were used. Operator exposure for benzimidazole fungicides application were benomyl 0.2, carbendazim 0.36 and thiophanate-methyl 0.42 mg/kg/day. Short-term AOELs for benomyl, carbendazim and thiophanate-methyl were 0.3, 0.1, and 0.2 mg/kg/day, and long-term AOEL were 0.025, 0.025, 0.08 mg/kg/day, respectively. LADDs were benomyl 0.0038, carbendazim 0.0067, thiophanate-methyl 0.0081 mg/kg/day. The ratios of exposure to AOEL were $0.28{\sim}1.5$ for short-term and $3.73{\sim}9.88$ for long-term. Cancer risk for operator were $9.12{\times}10^{-6}$ for benomyl, $1.61{\times}10^{-5}$ for carbendazim and $1.13{\times}10^{-4}$ for thiophanate-methyl by the standard application scenario. The result showed 3 fungicides exceed the risk criteria, $1.0{\times}10^{-6}$. The above risk assessments were based upon conservative assumptions and therefore are believed to be protective of the applicator. To refine the risk at the more actual conditions, further risk assessment with more realistic data would be needed.

The Risk Assessment of Butachlor for the Freshwater Aquatic Organisms (Butachlor의 수서생물에 대한 위해성 평가)

  • Park, Yeon-Ki;Bae, Chul-Han;Kim, Byung-Seok;Lee, Jea-Bong;You, Are-Sun;Hong, Soon-Sung;Park, Kyung-Hoon;Shin, Jin-Sup;Hong, Moo-Ki;Lee, Kyu-Seung;Lee, Jung-Ho
    • The Korean Journal of Pesticide Science
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    • v.13 no.1
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    • pp.1-12
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    • 2009
  • To assess the effect of butachlor on freshwater aquatic organisms, acute toxicity studies for algae, invertebrate and fishes were conducted. The algae grow inhibition studies were carried out to determine the growth inhibition effects of butachlor (Tech. 93.4%) in Pseudokirchneriella subcapitata (formerly knows as Selenastrum capriconutum), Desmodesmus subspicatus (formerly known as Scendusmus subspicatus), and Chlorella vulgaris during the exposure period of 72 hours. The toxicological responses of P. subcapitata, D. subspicatus, and C. vulgaris to butachlor, expressed in individual $ErC_{50}$ values were 0.002, 0.019, and $10.4mgL^{-1}$, respectively and NOEC values were 0.0008, 0.0016, and $5.34mg\;L^{-1}$, respectively. P. subcapitata was more sensitive than any other algae species. Butachlor has very high toxicity to the algae, such as P. subcapitata and D. subspicatu. In the acute immobilisation test for Daphnia magna, the 24 and $48h-EC_{50}$ values were 2.55 and $1.50mg\;L^{-1}$, respectively. As the results of the acute toxicity test on Cyprinus carpio, Oryzias latipes and Misgurnus anguillicaudatus, the $96h-LC_{50}s$ were 0.62, 0.41 and $0.24mg\;L^{-1}$, respectively. The following ecological risk assessment of butachlor was performed on the basis of the toxicological data of algae, invertebrate and fish and exposure concentrations in rice paddy, drain and river. When a butachlor formulation is applied in rice paddy field according to label recommendation, the measured concentration of butachlor in paddy water was $0.41mg\;L^{-1}$ and the predicted environmental concentration (PEC) of butachlor in drain water was $0.03 mg\;L^{-1}$. Residues of butachlor detected in major rivers between 1997 and 1998 were ranged from $0.0004mg\;L^{-1}$ to $0.0029mg\;L^{-1}$. Toxicity exposure ratios (TERs) of algae in rice paddy, drain and river were 0.004, 0.05 and 0.36, respectively and indicated that butachlor has a risk to algae in rice paddy, drain and river. On the other hand, TERs of invertebrate in rice paddy, drain and river were 3.6, 50 and 357, respectively, well above 2, indicating no risk to invertebrate. TERs of fish in rice paddy, drain and river were 0.58, 8 and 57, respectively. The TERs for fish indicated that butachlor poses a risk to fish in rice paddy but has no risk to fish in agricultural drain and river. In conclusion, butachlor has a minimal risk to algae in agricultural drain and river exposed from rice drainage but has no risk to invertebrate and fish.