• Title/Summary/Keyword: 총사망

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A study on the selection of the optimal smoke control mode in train platform through quantitative risk assessment (정량적 위험도 평가를 통한 열차 승강장 화재시 최적 제연모드 선정에 관한 연구)

  • Lee, Bo-Hoon;Hong, Seo-Hee;Baek, Doo-San;Lee, Ho-Hyung
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.24 no.6
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    • pp.539-552
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    • 2022
  • In the case of train stations, due to the specificity of underground spaces with limited smoke emissions, if appropriate removal equipment is not equipped, the damage caused by fire smoke may increase in the event of a fire. As a result, the need for measures to ensure the safety of evacuation of underground stations has been highlighted, and research for safe evacuation of platform users in case of fire is continuously being conducted at home and abroad. However, although the smoke removal area is currently divided by smoke boundary walls and platform screen doors (PSD) and installed in the train platform, standards for smoke removal methods (air supply or exhaust) for each fire removal area, that is, smoke removal mode, are not presented. In this study, fire analysis and evacuation analysis were performed to estimate the number of deaths and to derive F/N guidance in order to quantitatively evaluate the fire risk according to the fire station fire, and the total risk was the lowest in the case of fire area exhaust and supply to adjacent areas.

Melatonin for Treatment of Delirium in Hospitalized Patients : Retrospective Trial (입원 환자의 섬망 치료에서 멜라토닌의 효과에 관한 후향적 연구)

  • Yang, Jung Woo;Kim, Jong Woo;Kang, Won Sub;Lee, Sang Min;Kim, Young Jong;Paik, Jong-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.112-118
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    • 2018
  • Objectives : Delirium is one of the most common mental illnesses that can affect cognitive function. Melatonin has been shown to be effective in the treatment of insomnia, and recent studies have shown a protective effect to prevent delirium. This study was conducted to investigate the efficacy of melatonin in delirium patients. Methods : All patients were referred to psychiatric department for insomnia and symptoms of delirium, and were diagnosed delirium by the DSM-5 diagnostic criteria. We compared base line severity of delirium with K-DRS-R-98-R (Korean version of Delirium Rating Scale revised 98) and after taking 2mg of melatonin, retrospectively. The side effects were also identified by referring to the medical records. Results : A total 21 patients had taken melatonin for insomnia and delirious symptoms. The K-DRS-R-98 scores were decreased from $15.24{\pm}2.64$ before treatment to $6.57{\pm}5.42$ after treatment. And CGI-S scores were also decreased from $4.14{\pm}0.48$ before treatment to $2.81{\pm}0.93$ after treatment (p<0.05). Conclusions : This study illustrates the possibility of melatonin as an effective treatment option for delirious symptoms such as disorientation, motor agitation, lability of affect and hallucinations as well as insomnia, with less concerns of drug side effect. Further study with a larger sample and prospective design will be required to confirm these results.

Laboratory Investigation of Human Rhinovirus Infection in Cheonan, Korea (7년간 천안지역 대학병원에서의 라이노바이러스 감염 양상에 대한 연구)

  • Jung, Bo Kyeung;Kim, Jae Kyung
    • Korean Journal of Clinical Laboratory Science
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    • v.51 no.3
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    • pp.329-335
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    • 2019
  • Annually, millions of children die from respiratory virus infections. Human rhinovirus (HRV) is a causative agent of severe respiratory infections in young, elderly, and asthmatic patients with weak immunity. In this study, 9,010 respiratory virus specimens were collected from January 2012 to December 2018 at Dankook University Hospital, Cheonan and examined by real-time reverse transcription polymerase chain reaction. Twelve respiratory viruses were detected. The mean detection rate was 21.3% (N=1,920/9,010), and the mean age of HRV-positive patients was 6.5 years (median age: 1.6 years, range: 0.0~96.0). The detection rate was the highest in July (32.4%) and the lowest in February (8.3%). When the detection rate was analyzed by age group, the detection rate was the second highest in patients aged 10~19 years. The co-infection rate of HRV was 35.3%, and the most common combination was with Adenovirus. Respiratory virus infections are known to occur in children and elderly people with weak immunity. However, in this study, the detection rate was second highest in patients aged 10~19 years. Indeed, the detection rate in this age group was more than 15%, except in January and February. These results suggested that steady-state studies on the infection patterns of HRV are required.

An Analysis of Legal System for Strengthening Actions against Operating Vessels Under the Influence of Alcohol at Sea (해상에서의 선박 음주운항 단속 강화를 위한 법 제도 분석)

  • HAN, Jae-Jin;Jeong, Bong-Hun;Gug, Seung-Gi;Yun, June-Ho
    • Journal of Navigation and Port Research
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    • v.45 no.1
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    • pp.33-41
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    • 2021
  • In the last 5 years, a total of 567 accidents of operating vessels occurred under the influence of alcohol at sea, most of which occurred in fishing boats. Accidents caused by operating vessels under the influence of alcohol at sea are causing human and physical damages. There were 69 accidents caused by operating vessels under the influence of alcohol, leading to five deaths and one missing. The social damage due to operating vessels under the influence of alcohol is also increasing. Under the current law, punishment is given lightly compared to the seriousness of violation. In order to prevent the recurrence of accidents caused by operating vessels under the influence of alcohol, cases in Korea need to be analyzed. Regulations on the crackdown in foreign countries were compared to those in Korea and reviewed. In addition, risks of operating vessels under the influence of alcohol should be provided to ship workers while improving related laws and systems. In addition, efforts should be made to reduce the number of accidents due to operating vessels under the influence of alcohol by strengthening crackdowns on ships at sea so that accidents caused by operating vessels under the influence of alcohol could be prevented in advance in the future.

Correlation Analysis of Factors Influencing the Safety Behavior of Distribution Center Workers (물류센터 근로자의 안전행동에 미치는 영향요인의 상관관계 분석)

  • Park, Heejin;Jeong, Myeongjin;Jeong, Ryunnam;Heo, Joohye
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.155-161
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    • 2021
  • The purpose of this study is to understand the causal relationship between the safety behavior of delivery man and safety awareness, work environment, and occupational stress, to derive factors for enhancing safety behavior, and to manage them with priority. It seeks to provide basic data on the factors. In this study, with the help of a community site for delivery man, we conducted a questionnaire survey of a total of 119 delivery man working at distribution centers. Questionnaires were created using safety behavior, safety awareness, work environment, and occupational stress measurement tools created using survey questions from other studies. As a result of the analysis, there was a significant difference between safety education and the experience of accidents associated with working period. In addition, there was a significant correlation between safety behavior due to conflicts related to occupational stress, safety awareness and safety behavior, and safety behavior due to the safety system in the work environment. As a result, we investigated whether it was an accident and the factors that influence safety behavior, and concluded that appropriate improvements were needed.

A Study on the Research Topics and Trends in South Korea: Focusing on Particulate Matter (토픽모델링을 이용한 국내 미세먼지 연구 분류 및 연구동향 분석)

  • Park, Hyemin;Kim, Taeyong;Kwon, Daewoong;Heo, Junyong;Lee, Juyeon;Yang, Minjune
    • Korean Journal of Remote Sensing
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    • v.38 no.5_3
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    • pp.873-885
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    • 2022
  • The particulate matter (PM) has emerged as a hot topic around the world as it has been reported that PM is related to an increase in mortality and prevalence rates. In South Korea, the importance of PM has been recognized since the late 1990s, and various studies on PM have been conducted. This study investigated the PM research topics and trends for papers (D=2,764) published in Research Information Sharing Service (RISS) using topic modeling based on Latent Dirichlet Allocation (LDA). As a result, a total of 10 topics were identified in the whole papers, and the PM research topics were classified as 'PM reduction (Topic 1)', 'Government policy and management (Topic 2)', 'Characteristics of PM (Topic 3)', 'PM model (Topic 4)', 'Environmental education (Topic 5)', 'Bio (Topic 6)', 'Traffic (Topic 7)', 'Asian dust (Topic 8)', 'Indoor PM (Topic 9)', 'Human risk (Topic 10)'. In particular, the proportion of papers on topics 'Government policy and management (Topic 2)', 'PM model (Topic 4)', 'Environmental education (Topic 5)', and 'Bio (Topic 6)' to the toal number of papers increased over time (linear slope > 0). The results of this study provide the new literature review methodology related to particulate matter and the history and insight.

Superficial Esophageal Cancer Treated with Multidisciplinary Care: A Case Report (다학제 접근을 통해 치료에 성공한 표재성 식도암 1례)

  • Oh, Gyu Man;Park, Moo In;Jung, Kyoung Won;Kang, Sung Min;Son, Min Young;Kim, Jae Hyun;Moon, Won;Park, Seun Ja
    • Journal of Digestive Cancer Reports
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    • v.8 no.1
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    • pp.71-75
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    • 2020
  • Esophageal cancer is easy to infiltrate and metastasize because esophagus does not have serosa, and is difficult to remove it because esophagus is in the middle of the chest. Because of this, treatments of esophageal cancer do not always follow the guideline. In this situation, efforts to increase treatment efficiency and improve survival rate through multidisciplinary treatment are increasing. In this case, we report the patient with three superficial esophageal cancers (one in cervical esophagus and two in thoracic esophagus). The patient was treated with concurrent chemoradiotherapy instead of surgery through multidisciplinary discussion. The patient reached a complete remission through this discussion. This case is intended to inform the usefulness of multidisciplinary treatment in patients with esophageal cancer.

Loneliness as a Risk Factor for Suicidal Ideation and Depressive Mood Among Korean Adolescents in 2020-2021 (한국청소년의 자살생각 및 우울감의 위험요인으로서의 외로움, 2020-2021년)

  • Inmyung Song
    • Journal of Industrial Convergence
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    • v.21 no.5
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    • pp.77-85
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    • 2023
  • Suicide is the leading cause of death among Korean adolescents. There is a growing interest in the role of loneliness as a risk factor for suicide ideation and depressive symptoms. However, little is known in the Korean context. This study analyzed a total of 109,796 respondents from the Korea Youth Health Behavior Survey in 2020 and 2021. Multiple logistic regression models were implemented to test the association between loneliness and either of suicidal ideation and depressive mood. Covariates included demographic characteristics, school enrolled, household income, living arrangement, self-rated health, and the number of times treated for violence. Adjusted odd ratio (OR) and 95% confidence intervals (CI) were computed. 12.0% of adolescents reported to have felt lonely frequently and 3.0% always. 11.8% and 26.0% had suicidal ideation and depressive mood, respectively. The prevalence of suicidal ideation was higher in the always-lonely adolescents (52.6%) than in the frequently-lonely adolescents (35.1%). The always-lonely adolescents were nearly 30 times more likely to have suicidal ideation (OR=30.7; 95% CI, 27.1 - 34.8) and to feel depressed (OR=32.5; 95% CI, 29.2 - 36.4) than adolescents who felt never lonely. In conclusion, Loneliness was a major risk factor for suicidal ideation and depressive mood among Korean adolescents. Monitoring and addressing the condition of loneliness may help reduce suicidal ideation and depressive mood.

Long-term Outcome after Minimally Invasive Treatment for Early Gastric Cancer beyond the Indication of Endoscopic Submucosal Dissection (내시경점막하박리술의 적응증을 넘어선 조기위암의 미세침습 치료 후 장기 추적 결과)

  • Weon Jin Ko;Joo Young Cho
    • Journal of Digestive Cancer Research
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    • v.5 no.1
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    • pp.44-49
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    • 2017
  • Background: Recently, endoscopic submucosal dissection (ESD) with laparoscopic sentinel lymph node dissection, named ESN or endoscopic full-thickness gastric resection with laparoscopic sentinel lymph node dissection, named Hybrid-natural orifice transluminal endoscopic surgery (NOTES) was suggested the possibility of minimally invasive treatment for patients with early gastric cancer (EGC) who were beyond the indication of ESD. This study aimed to evaluate the outcomes of ESN or Hybrid-NOTES. Methods: We retrospectively analyzed patients treated with these therapies from January 2009 to May 2013 in terms of short- and long-term outcomes. Each patient was diagnosed with EGC but was not included in ESD indications and had the high risk of lymph node metastasis (LNM). Results: A total of 42 patients with EGC treated by ESN or Hybrid-NOTES. Of the 21 patients who underwent ESN, a total of 4 patients underwent additional gastrectomy, 1 with LNM, 1 with surgical complication, and 2 with noncurative resection. Of the 21 patients who underwent Hybrid-NOTES, a total of 5 patients underwent additional surgery, 1 with LNM, 2 with surgical complication, and 2 with noncurative resection. Overall survival was 100% over a mean follow-up of 75 months, but 3 patients underwent ESD or gastrectomy with metachronous lesion. And 1 patient who had received ESN was found to have a metastatic lymph node and undergo palliative chemotherapy. Conclusion: ESN or Hybrid-NOTES showed favorable short-and long-term outcomes. These methods may be utilized as a bridge between ESD and gastrectomy in the case of EGC which is more likely to have LNM beyond the ESD indications.

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Role of Salmonella Typhimurium SlyA in Regulating the Expression of VirulenceFactors Related to Survival in Macrophages (대식세포 내 생존과 관련된 독성인자 발현 조절에서의 Salmonella Typhimurium SlyA의 역할)

  • Yeo bin Kim;Jeong-eun Baek;Yeon Ha Kim;Young Hee Kim;Ah Young Yoo;Ho Young Kang
    • Journal of Life Science
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    • v.34 no.2
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    • pp.79-85
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    • 2024
  • SlyA is known as a transcriptional regulator that regulates the expression of hemolysin (HlyE) in E. coli, a member of the Enterobacteriaceae family such as Salmonella. However, Salmonella has the slyA gene but lacks the hlyE gene. Then, because we were curious about the role of SlyA in Salmonella, we constructed and explored a mutant strain with a deletion of the slyA gene. S. Typhimurium CK295 (ΔslyA) was constructed using an allelic exchange approach. In a comparative analysis between the wild-type and the CK295 strain, no significant differences were observed in growth characteristics, motility, total protein analyses, and secreted protein analyses. However, the CK295 strain exhibited slightly reduced biofilm formation compared to the wild-type. Interestingly, as a result of comparing the survival ability in macrophages, the mutant strain showed a 60% decrease in survival ability compared to the wild-type. To evaluate toxicity in mice, mortality was measured after oral administration to 6-week-old BALB/c mice. As a result, the LD50 value of the CK295 (ΔslyA) was more than 100 times higher than that of wild-type S. Typhimurium 𝜒3339 in BALB/c. In conclusion, SlyA is presumed to regulate the expression of genes encoding virulence factors involved in the in vivo survival of Salmonella.