• Clinical and Experimental Pediatrics
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• 제64권10호
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• pp.504-510
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• 2021

Population screening of newborns is an extremely important and informative diagnostic approach that allows early identification of babies who are predisposed to the development of a number of serious diseases. Some of these diseases are known and have effective treatment methods. Neonatal screening enables the early diagnosis and subsequent timely initiation of therapy. This helps to prevent serious complications and reduce the percentage of disability and deaths among newborns and young children. Primary immunodeficiency diseases and primary immunodeficiency syndrome (PIDS) are a heterogeneous group of diseases and conditions based on impaired immune system function associated with developmental defects and characterized by various combinations of recurrent infections, development of autoimmune and lymphoproliferative syndromes (genetic defects in apoptosis, gene mutation Fas receptor or ligand), granulomatous process, and malignant neoplasms. Most of these diseases manifest in infancy and lead to serious illness, disability, and high mortality rates. Until recently, it was impossible to identify children with PIDS before the onset of the first clinical symptoms, which are usually accompanied by complications in the form of severe coinfections of a viral-bacterial-fungal etiology. Modern advances in medical laboratory technology have allowed the identification of children with severe PIDS, manifested by T- and/or B-cell lymphopenia and other disorders of the immune system. This review discusses the main existing strategies and directions used in PIDS screening programs for newborns, including approaches to screening based on excision of T-cell receptors and kappa-recombination excision circles, as well as the potential role and place of next-generation sequencing technology to increase the diagnostic accuracy of these diseases.

• 비교문화연구
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• 제43권
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• pp.377-404
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• 2016

본 논문에서 필자는 1993년 출판된 애나 디비어 스미스의 "거울 속에 반영된 분노"에서 기술된 인종간의 긴장과 갈등을 분석하려고 한다. 이 책은 1991년 뉴욕에서 발생했던 유대인과 흑인간의 충돌을 주요한 소재로 다루고 있는데, 이 사건은 이미 일인극의 형식과 텔레비전 연극시리즈로 방영된 적이 있다. 필자는 스미스의 인터뷰에 응한 많은 인물들이 여전히 홀로코스트와 노예제도의 담론이 지니고 있는 논리를 반복하고 있다는 점에 주목한다. 뉴욕의 크라운 하이츠에서 흑인 공동체와 유대인 공동체는 끔찍한 상실감을 공유하고 있지만 서로의 고통을 이해하려고 하기보다는 자신이 속한 문화, 인종의 집단정체성을 고집한다. 그들의 서사는 자신이 속한 집단이 과거에 경험한 역사적 사건에 수사학적으로 매여 있는 것이다. 필자는 스미스가 "거울 속에 반영된 분노"에서 자기 모순적인 독백들을 병치시킴으로써 노예제도와 홀로코스트 같은 담론들이 여전히 인종적, 민족적 공동체를 지배하고 있다는 사실을 제시한다고 생각한다. 필자의 의도는 유대인 공동체와 흑인 공동체간의 갈등만을 전적으로 조사하는데 있지 않다. 대신, 필자는 유대인 홀로코스트와 흑인 노예경험을 포함한 '홀로코스트 수사학'이 내포하고 있는 비평적, 이론적 담론들의 문제점을 분석하고 그 한계를 극복하려고 한다. 이러한 이해는 '홀로코스트 수사학'이 실패하는 지점을 드러내며 그것이 감추고 있는 폭력성을 제시할 뿐만 아니라 홀로코스트와 노예제도의 경험을 올바로 파악하기 위해서 그들과의 관계를 새롭게 형성하는 것이다. "거울 속에 반영된 분노"는 독자에게 자신의 맹목을 너무 쉽게 노출하는 '홀로코스트' 담론의 자기 모순적인 방식을 거울처럼 비춘다. 독자는 이와 같은 서사의 틈 속에서 과거의 상처가 치유되고 새로운 서사가 창출될 수 있는 가능성을 목격하게 된다.

• Archives of Plastic Surgery
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• 제46권4호
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• pp.336-343
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• 2019

Background Sternal rigid plate fixation (RPF) has been adopted in recent years in high-risk cases to reduce complications associated with steel wire cerclage, the traditional approach to sternal closure. While sternal RPF has been associated with lower complication rates than wire cerclage, it has its own complication profile that requires evaluation, necessitating a critical examination from a national perspective. This study will report the outcomes and associated risk factors of sternal RPF using a national database. Methods Patients undergoing sternal RPF from 2005 to 2016 in the American College of Surgeons-National Surgical Quality Improvement Program were identified. Demographics, perioperative information, and complication rates were reviewed. Logistic regression analysis was performed to identify risk factors for postoperative complications. Results There were 381 patient cases of RPF identified. The most common complications included bleeding (28.9%), mechanical ventilation >48 hours (16.5%), and reoperation/readmission (15.2%). Top risk factors for complications included dyspnea (odds ratio [OR], 2.672; P<0.001), nonelective procedure (OR, 2.164; P=0.010), congestive heart failure (OR, 2.152; P=0.048), open wound (OR, 1.977; P=0.024), and operating time (OR, 1.005; P<0.001). Conclusions Sternal RPF is associated with increased rates of three primary complications: blood loss requiring transfusion, ventilation >48 hours, and reoperation/readmission, each of which affected over 15% of the study population. Smokers remain at an increased risk for surgical site infection and sternal dehiscence despite RPF's purported benefit to minimize these outcomes. Complications of primary versus delayed sternal RPF are roughly equivalent, but individual patients may perform better with one versus the other based on identified risk factors.

• 한국방사선학회논문지
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• 제13권2호
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• pp.153-158
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• 2019

이 연구의 목적은 3D 프린팅 기술로 만든 맞춤형 소지, 본인의 실제 소지 및 보조기 업체 석고 양성 소지를 이용하여 세 종류의 소지의 형상 차이를 CT와 3D 스캐너로 횡단면 넓이와 부피를 분산 분석하였다. PASC Progrm으로 실제 거리를 측정하는 (Caliper Toll) 기능을 이용하여 15.69 mm지점(Distal Interphalangel Joints(DIP))의 넓이를 각각 30회씩 측정하였고, 부피(Volume)에서 Meshmixer Program의 Configure Units을 이용하였다. 세 종류의 소지 횡단면 넓이에서는 유의한 차이를 볼 수가 없었고, 부피(Volume)에서 0.2 mm의 차이가 있었지만, 유의 수준보다 크게 나타났다. 따라서 본 연구의 결과는 의료분야에서 3D 프린팅 기술을 활용한 맞춤형 보조기 제작에 활성화될 것으로 보여준다.

• Biomolecules & Therapeutics
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• 제27권5호
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• pp.492-501
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• 2019

Nitrogen-containing heterocycles such as quinoline, quinazolinones and indole are scaffolds of natural products and have broad biological effects. During the last years those structures have been intensively synthesized and modified to yield new synthetic molecules that can specifically inhibit the activity of dysregulated protein kinases in cancer cells. Herein, a series of newly synthesized isoquinolinamine (FX-1 to 8) and isoindoloquinazolinone (FX-9, FX-42, FX-43) compounds were evaluated in regards to their anti-leukemic potential on human B- and T- acute lymphoblastic leukemia (ALL) cells. Several biological effects were observed. B-ALL cells (SEM, RS4;11) were more sensitive against isoquinolinamine compounds than T-ALL cells (Jurkat, CEM). In SEM cells, metabolic activity decreased with $10{\mu}M$ up to 26.7% (FX-3), 25.2% (FX-7) and 14.5% (FX-8). The 3-(p-Tolyl) isoquinolin-1-amine FX-9 was the most effective agent against B- and T-ALL cells with IC50 values ranging from 0.54 to $1.94{\mu}M$. None of the tested compounds displayed hemolysis on erythrocytes or cytotoxicity against healthy leukocytes. Anti-proliferative effect of FX-9 was associated with changes in cell morphology and apoptosis induction. Further, influence of FX-9 on PI3K/AKT, MAPK and JAK/STAT signaling was detected but was heterogeneous. Functional inhibition testing of 58 kinases revealed no specific inhibitory activity among cancer-related kinases. In conclusion, FX-9 displays significant antileukemic activity in B- and T-ALL cells and should be further evaluated in regards to the mechanisms of action. Further compounds of the current series might serve as templates for the design of new compounds and as basic structures for modification approaches.

• Safety and Health at Work
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• 제10권1호
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• pp.30-38
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• 2019

Background: Police officers' stress perception, frequency of stressful events (stressors), and police work characteristics may contribute to poor sleep quality through different mechanisms. Methods: We investigated associations of stress severity (measured by stress rating score) and frequency of stressors with sleep quality and examined the influence of police work characteristics including workload, police rank, prior military experience, and shift work on the associations. Participants were 356 police officers (256 men and 100 women) enrolled in the Buffalo Cardio-Metabolic Occupational Police Stress Study from 2004 to 2009. A mean stress rating score and mean frequency of stressors occurring in the past month were computed for each participant from the Spielberger Police Stress Survey data. Sleep quality was assessed using the global score derived from the Pittsburgh Sleep Quality Index survey. Linear associations of the stress rating score and frequency of stressors with sleep quality (Pittsburgh Sleep Quality Index global score) were tested. Age, sex, race/ethnicity, and smoking status were selected as potential confounders. Results: The stress rating score was positively and independently associated with poor sleep quality (${\beta}=0.17$, p = 0.002). Only workload significantly modified this association (${\beta}=0.23$, p = 0.001 for high workload group; p-interaction = 0.109). The frequency of stressors was positively and independently associated with poor sleep quality (${\beta}=0.13$, p = 0.025). Only police rank significantly modified the association (${\beta}=0.007$, p = 0.004 for detectives/other executives; p-interaction = 0.076). Conclusion: Both police officers' perception of stress severity and the frequency of stressors are associated with poor sleep quality. Stress coping or sleep promotion regimens may be more beneficial among police officers reporting high workloads.

• International Journal of Computer Science & Network Security
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• 제21권3호
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• pp.257-265
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• 2021

Modern methods of regulating migration processes in EU states include a wide variety of adapted, transformed under the sway of globalization tools in order to influence the movement of human capital within the European space. The main purpose of the regulatory policy on migration flows is the redistribution of professionally competent professionals between different spheres of life. Herewith, the determining factor in the effectiveness of such distribution is a rational combination of stimulating and disincentive levers of influence on the movement of citizens of different EU countries and taking into account the motives of such mobility. Modernization of migration management approaches can be a major economic, social, political and cultural progress of European countries. The purpose of the research is to conduct a detailed analysis of existing practices of migration flow management, in particular their stimulation or containment, and to outline key migration trends formed under the influence of multicomponent approaches to migration regulation, transformation of regulatory legislation and changing priorities of modern society. The research methods: statistical-analytical method; ARIS method; method of tabular, graphical and analytical modeling; comparative analysis; systematization, generalization. Results. Current pan-European methods of regulating migration processes are insufficiently adapted to the multinational socialeconomic space; consequently, there are some disparities in the distribution of migrants between EU countries, although the overall dynamics of migration is positive. Fluctuations in the population of European countries during 2000-2019 and trends in the transformation of social-economic space confirm the insufficient level of influence of current methods of regulating migration flows. Along with this, the presence of a characteristic asymmetry in the distribution of migrants requires a greater focus on the modernization of regulatory instruments, in particular, the regulatory mechanism for managing migration processes. As a result of the conducted study, further prospects for the implementation of alternative methods of regulating migration processes in EU states have been outlined; the current and projected limits for increasing the level of observance of migrants' rights at the European level have been clarified through the adoption of appropriate regulatory acts; effective solutions for intensifying the influx of high-quality labor resources from different countries to EU have been identified. The research results can be used to study methods of regulating migration processes in the countries in the global dimension.

• 의학교육논단
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• 제23권2호
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• pp.128-138
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• 2021

This study examined the relationships among personality traits, coping efficacy, and academic stress in medical and non-medical students in South Korea, and investigated the mediating effect of coping efficacy in the relationship between personality traits and academic stress. The study group comprised 210 medical students and 175 non-medical students. They were asked to rate their personality traits, coping efficacy, and academic stress. The data were analyzed using IBM SPSS ver. 26.0 (IBM Corp., Armonk, NY, USA) and AMOS ver. 26.0 (IBM Corp.). Medical students scored higher for examination stress and lower for extroversion than non-medical students. In both groups, extroversion and conscientiousness positively affected coping efficacy, while neuroticism influenced it negatively. Neuroticism directly influenced all types of academic stress in both groups, while extroversion and conscientiousness only had direct effects on examination stress among medical students. Coping efficacy mediated the associations between personality traits and academic stress, except for the relationship between neuroticism and grade stress among medical students. The study indicates that coping efficacy had a significant effect on relieving academic stress among students with higher scores for extroversion and conscientiousness. Efforts should be made to decrease neuroticism to lower academic stress, as the relationship between neuroticism and academic stress is not directly influenced by coping efficacy. The implications of these results are discussed regarding a consultation system for students, especially those in medical school.

• 멤브레인
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• 제31권3호
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• pp.219-227
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• 2021

분자각인막(MIM)은 특정 분자의 결합자리를 갖고 있는 다공성 고분자 막이다. 비용매유도 상분리(NIPS)법을 사용하여 분자각인막의 지지체로 사용될 P(AN-co-MA) 비대칭막을 제조하고, 여기에 표면 각인법을 적용하여 광활성 이니퍼터 도입과 photo-grafting을 통해 라이소자임 분자각인막을 제조하였다. P(AN-co-MA) 비대칭막을 3-chloropropyltrimethoxysilane과 광활성 이니퍼터 dithiocarbamate로 개질하고, acrylamide 단량체, N,N'-methylenebisacrylamide 가교제, 라이소자임 주형분자 혼합액을 UV 조사 환경에서 혼성중합 시켜 MIM을 제조하였다. 제조된 MIM의 FT-IR과 FE-SEM 및 EDS 분석을 실시한 결과 P(AN-co-MA) 막은 비대칭 단면 구조이었고 표면에 이니퍼터 그룹이 잘 결합되어 있어 MIM이 성공적으로 제조되었다. 제조공정의 변수 조절을 통해 라이소자임의 흡착량이 비각인막(NIM)에 비해 13배 큰 값인 2.7 mg/g을 갖는 P(AN-co-MA) 기반 MIM이 제조되었으며, 막여과 실험을 통해 라이소자임에 대한 오발부민의 투과선택도를 측정한 결과 MIM은 라이소자임의 선택적 결합력이 우수하였다.

• 마이크로전자및패키징학회지
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• 제28권1호
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• pp.55-60
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• 2021

유연한 특성을 유지하면서 높은 접착력을 가진 웨어러블 디스플레이를 제작하기 위하여 전해도금법을 이용한 접착법을 진행하였다. 또한 섬유에 접착된 LED의 사파이어 기판을 제거하기 위하여 LLO 전사법을 이용하였다. 그 후 전해도금을 이용한 접착법을 진행한 샘플의 SEM, EDS 데이터를 통하여 실제로 구리가 섬유직물의 격자사이를 관통하여 성장하며 광원과 섬유를 고정시켜주는 것을 확인하였다. 구리의 접착특성을 확인하기 위하여 Universal testing machine (UTM)을 이용하여 측정하였다. 도금 접착 후 laser lift-off (LLO) 전사공정을 완료한 샘플과 전사공정을 진행하지 않은 LED의 특성을 probe station을 이용하여 비교하였다. 공정 이후의 광원의 특성을 확인하기 위하여 인가 전류에 따른 electroluminescence (EL)을 측정하였다. 전류가 증가할수록 온도가 상승하여 Bandgap이 감소하기 때문에 spectrum이 천이하는 것을 확인하였다. 또한 radius 변화에 따른 샘플의 전기적 특성 변화를 probe station을 이용하여 확인하였다. Radius 변형에도 구리가 bending stress를 견딜 수 있는 기계적 강도를 가지고 있어 Vf 변화는 6% 이하로 측정되었다. 이러한 결과를 토대로 웨어러블 디스플레이 뿐만 아니라 유연성이 필요한 배터리, 촉매, 태양전지 등에 적용되어 웨어러블 디바이스의 발전에 기여할 수 있을 것으로 기대한다.