• 대한응급의학회지
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• 제29권5호
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• pp.519-528
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• 2018

Objective: Delayed neuropsychiatric sequelae (DNS) following carbon monoxide (CO) poisoning, which may result from a demyelinating leukoencephalopathy, is a disease with a poor prognosis. This study examined the factors affecting the long-term prognosis of DNS and the efficacy of hyperbaric oxygen therapy (HBOT) in patients with DNS. Methods: This retrospective study included 84 patients with DNS following CO poisoning from January 2013 to June 2016. HBOT was given to 24 patients. The patients were divided into an improvement group and non-improvement group based on their clinical condition on a telephone interview at intervals between 3 months and 3 years after the onset of DNS. The improvement group was defined as having Cerebral Performance Category (CPC) scores in their daily life that improve to 1 or 2 grade. Results: Of the 594 patients, DNS were found in 18.2%, and 70.2% (59 of 84) of the patients with DNS improved. The prognostic factors for the improvement of DNS were an age of 45 years or less (odds ratio [OR], 12.068; 95% confidence interval [CI], 2.393-60.858; P<0.005), CPC score of 1 or 2 group at the time of DNS onset (OR, 12.361; 95% CI, 3.161-48.330; P<0.005), and a lucid interval longer than 20 days (OR, 5.164; 95% CI, 1.393-19.141; P<0.01). HBOT was not associated with the improvement of DNS in CO poisoning (OR, 0.467; 95% CI, 0.172-1.269; P>0.1). Conclusion: Patients aged less than 45 years, low grade CPC score of 1 and 2, and lucid interval longer than 20 days are more likely to have a good prognosis. On the other hand, HBOT failed to produce a benefit for DNS patients.

• 환경생물
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• 제39권3호
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• pp.336-343
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• 2021

Fumigation of fruits and vegetables during quarantine and pre-shipment(QPS) treatment should be effective with a shorter fumigation time to minimize phytotoxicity. In this research study, a shorter fumigation time, 2 hours exposure which is shorter than that of the current commercial fumigation procedures using a lower dose of ethyl formate (EF) mixed with phosphine (PH₃) on strawberry was investigated. The reciprocal effect between EF and PH₃ against nymphs and adult Myzus persicae (Sulzer) and Tetranychus urticae (Koch) was evaluated. In addition, L(Ct)₅₀ and L(Ct)₉₉ of EF only and EF mixed with PH₃ were analyzed at 5℃ and 20℃. The synergistic ratio (SR) of L(Ct)₅₀ and L(Ct)₉₉ for the nymph and adult stages of M. persicae were >1.0, which indicated a synergistic effect between EF and PH₃. However, the SR values of L(Ct)₅₀ and L(Ct)₉₉ of the nymph and adult stages of T. urticae were ≤1.0 indicating that there was no synergistic effect between the two fumigants against T. urticae. Our results showed that the reciprocal effect between EF and PH₃ has different effects on M. persicae and T. urticae. This could be attributed to the biological and physical differences between the class Arachnida and Insecta. The synergistic effect between EF and PH₃ against M. persicae within a shorter exposure period and without phytotoxicity on fruits and vegetables will significantly benefit the horticultural industry.

• 한국건축시공학회지
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• 제20권6호
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• pp.537-543
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• 2020

유리창 청소작업은 인력의존적이고, 고소에서 불안정한 자세로 수행하여 추락위험이 상존하는 작업이다. 따라서 작업원의 안전도 향상 방안이 시급한 상황이다. 본 연구에서는 건축물 외부 유리창 청소에 대하여 개념설계를 제시하고, 제시된 개념모델에 대한 경제적 타당성을 분석하였다. 제시된 모델은 창틀 등 돌출부를 회피하며, 상하부의 형상이 상이하더라도 대응이 가능하도록 고안하였다. 고안된 개념모델의 경제성을 분석한 결과, 편익비용 비율이 4.48로 1을 크게 상회하였다. 따라서 제안된 유리창 청소장치의 경제적 타당성은 충분할 것으로 기대된다. 본 논문에서 분석한 결과는 유리창 청소장치의 개발, 마케팅 등에 활용될 예정이다.

• Ecology and Resilient Infrastructure
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• 제7권4호
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• pp.274-283
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• 2020

도로포장 절단 작업에서 미세먼지를 많이 발생시키고 있어, 이 작업에서 미세먼지 발생량을 줄이는 것이 전체 미세먼지 관리에 매우 중요하다. 이러한 점에 착안하여, 본 연구에서는 도로절단 현장에서 발생하는 비산먼지를 회수하는 장치의 개념설계를 제안하고, 이의 도입에 대한 경제적 타당성을 분석하였다. 제안된 개념모델의 경제성을 분석한 결과, 편익비율이 2.96으로 1을 크게 상회하였다. 그리고 수익률은 62.78%로 도로포장 절단 실무자 면담을 통해 설정한 최소기대수익률 10%를 크게 상회하였으며, 손익분기점은 약 21.6개월로 분석되었다. 따라서 제안된 저소음·분진회수형 도로절단 장비의 경제적 타당성은 충분할 것으로 예상된다.

• 한국농공학회논문집
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• 제64권2호
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• pp.85-96
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• 2022

The study is aimed to investigate the features and socio-economic background of farmland consolidation project with medium-sized paddy plot at irrigation associations during the Japanese colonial period in Korea. Most of farmland consolidation works in the 1940s was composed of independent irrigation and drainage ditches along the short side of field plot. However, the number of farm roads at farmland consolidation zone was much smaller than number of irrigation ditches to decrease reduction in farmland area. The standard field plot was medium-sized (about 20-40 ares) in Korea but small-sized (about 10 ares) in Japan in this period. As the result of farmland consolidation works, the unit water requirement was increased to 0.0035 m³/s/ha, and the unit area drainage discharge was over 2.0 m³/s/km² in many cases. The farmland consolidation with medium-sized plot have been spread under the colonial landlord system, where major landlords occupied a large share of farmland and managed corporate farming to gain more benefit. The reasons for spread of farmland consolidation with medium-sized plot may be as follows: high net profit ratio, an increase in land price, and labor savings in rice farming. The farmland consolidation with medium-sized plot in the colonial period showed intermediate features between the farm consolidation with small-sized plot for an increase in land productivity in Japan and the farm consolidation with medium-sized plot for an increase in labor productivity after the 1960s.

• Journal of Yeungnam Medical Science
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• 제39권2호
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• pp.124-132
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• 2022

Background: Despite recent advances in first-line chemotherapy for advanced pancreatic cancer, standard treatment after the failure of initial chemotherapy has not been established. Hence, we aimed to retrospectively analyze the clinical characteristics and outcomes of second-line chemotherapy in patients with advanced pancreatic cancer. Methods: We reviewed the clinical data of patients with advanced pancreatic cancer who underwent palliative chemotherapy at Kosin University Gospel Hospital between January 2013 and October 2020. Results: Among 366 patients with advanced pancreatic cancer who had received palliative chemotherapy, 104 (28.4%) underwent at least one cycle of second-line chemotherapy. The median age of the patients at the time of initiating second-line treatment was 62 years (interquartile range, 57-62 years), and 58.7% (61 patients) of them were male. The common second-line chemotherapy regimens were 5-fluorouracil (FU) plus leucovorin, irinotecan, and oxaliplatin (33 patients, 31.7%); gemcitabine/nab-paclitaxel (29, 27.9%), gemcitabine±erlotinib (13, 12.5%); and oxaliplatin and 5-FU/leucovorin (12, 11.5%). The median overall survival (OS) and progression-free survival were 6.4 months (95% confidence interval [CI], 4.5-8.6 months) and 4.5 months (95% CI, 2.7-6.3 months), respectively. In a multivariate analysis, poor performance status (PS) (hazard ratio [HR], 2.247; p=0.021), metastatic disease (HR, 2.745; p=0.011), and elevated carcinoembryonic antigen (CEA) levels (HR, 1.939; p=0.030) at the beginning of second-line chemotherapy were associated with poor OS. Conclusion: The survival outcome of second-line chemotherapy for advanced pancreatic cancer remains poor. However, PS, disease extent (locally advanced or metastatic), and CEA level may help determine patients who could benefit from second-line treatment.

• Journal of Microbiology and Biotechnology
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• 제32권7호
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• pp.877-884
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• 2022

Probiotics are microorganisms that can benefit host health when ingested in a live state, and lactic acid bacteria are the most common type. Among fungi, Saccharomyces boulardii (SB) is the only strain known to have a probiotic function with beneficial effects on colitis; however, information on other probiotic yeast strains is limited. Therefore, this study aimed to discover yeast strains expressing intestinal anti-inflammatory activities by exhibiting probiotic properties in dextran sodium sulfate (DSS)-induced colitis mice model. Nuruk (Korean traditional fermentation starter) containing various microbial strains was used as a source for yeast strains, and S. cerevisiae 28-7 (SC28-7) strain was selected with in vitro and in vivo characteristics to enable survival in the intestines. After 14 days of pretreatment with the yeast strains, DSS was co-administered for six days to induce colitis in mice. The results revealed that the disease activity index score was lowered by SC28-7 treatment compared to the DSS group, and the colon length and weight/length ratio were recovered in a pattern similar to that of the normal group. SC28-7 administration significantly reduced the secretion of pro-inflammatory cytokines in the serum and modified the mRNA expression of inflammatory cytokines (interleukin-1β, transforming growth factor-β, and interferon-γ) and proteins involved in gut barrier functions (mucin 2, mucin 3, zonula occludens-1, and occludin) in colon tissues. These results indicate that SC28-7 attenuates DSS-induced colon damage and inflammation, supporting its future use as a probiotic yeast for treating and preventing intestinal inflammatory diseases such as inflammatory bowel disease.

• Journal of Periodontal and Implant Science
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• 제52권1호
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• pp.65-76
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• 2022

Purpose: The present study measured changes in arteriolar and venular capillary flow and structure in the gingival tissues during the development of plaque-induced gingival inflammation by combining dynamic optical coherence tomography (OCT), laser perfusion, and capillaroscopic video imaging. Methods: Gingival inflammation was induced in 21 healthy volunteers over a 3-week period. Gingival blood flow and capillary morphology were measured by dynamic OCT, laser perfusion imaging, and capillaroscopy, including a baseline assessment of capillary glycocalyx thickness. Venular capillary flow was estimated by analysis of the perfusion images and mean blood velocity/acceleration in the capillaroscopic images. Readings were recorded at baseline and weekly over the 3 weeks of plaque accumulation and 2 weeks after brushing was resumed. Results: Perfusion imaging demonstrated a significant reduction of gingival blood flow after 1 and 2 weeks of plaque accumulation (P<0.05), but by 3 weeks of plaque accumulation there was a more mixed picture, with reduced flow in some participants and increased flow in others. Participants with reduced flux at 3 weeks also demonstrated venular-type flow as determined by perfusion images and evidence of the development of venular capillaries as assessed by the velocity/acceleration ratio in capillaroscopic images. After brushing resumed, these venular capillaries were broken down and replaced by arteriolar capillaries. Conclusions: After 3 weeks of plaque accumulation, there was wide variation in microvascular reactions between the participants. Reduced capillary flow was associated with the development of venular capillaries in some individuals. This is noteworthy, as an early increase in venous capillaries is a key vascular feature of cardiovascular disease, psoriasis, Sjögren syndrome, and rheumatoid arthritis-diseases with a significant association with the development of severe gingival inflammation, which leads to periodontitis. Future investigations of microvascular changes in gingival inflammation might benefit from accurate capillary flow velocity measurements to assess the development of venular capillaries.

• Journal of Nutrition and Health
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• 제55권2호
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• pp.309-320
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• 2022

Purpose: This study aimed to investigate the association between steamed food intake and risk of metabolic syndrome (MetS) in Korean females. Methods: Using Ansan/Ansung data of Korean Genome and Epidemiology Study, general characteristics, nutritional intake and biochemical and anthropometric markers of a total of 4,056 females aged 40 to 69 years were analyzed. MetS was defined following National Cholesterol Education Program Adult Treatment Panel III with some minor modifications. Logistic regression models were established to present the association between steamed food intake and the risk of MetS. Levels of food and nutrient intake by the frequency of steamed food intake and MetS phenotype were analyzed using general linear models. Results: A total of 38.4% of females had MetS. Among them, 24.9% of females with MetS had steamed food more than 1-3 times per week, which reduced the risk for MetS by about 25% (95% confidence interval [CI], 0.650-0.865). However, such association was not evident when various lifestyle factors were considered in statistical models. In rural residents, the benefit of having more steamed food was observed (adjusted odds ratio: 0.747; 95% CI, 0.583-0.958). The frequency of steamed food intake was associated with various food and nutritional intakes. However, trends in those did not differ by MetS phenotype. Conclusion: Having steamed food more than 1-3 times per week may reduce the risk of MetS compared to those who had less steamed food in Korean females. This protective effect of steamed food intake may differ by lifestyle and environmental factors. Although a clear difference in food and nutritional intake was not observed in this study, steaming could be an effective cooking method for a healthy diet for disease prevention and management.

• Earthquakes and Structures
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• 제20권4호
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• pp.365-375
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• 2021

Rammed earth (RE) buildings have existed all over the world for thousands of years, and have gained increasing attention because of its sustainable advantages, however, the shrinkage cracks reduce its bearing capacity and seriously affect its durability and applicability. In this study, the shrinkage cracks test was carried out to investigate the effects of initial water content, proportion of sand and gravel, compaction degree, thickness and the additives (polypropylene fiber, cement and sodium silicate) of shrinkage cracks in RE buildings, ten groups of RE samples were prepared and dried outdoors to crack. Four quantitative parameters of geometrical structure of crack patterns were used to evaluate the development of cracks. The results show that the specimens cracking behavior and the geometrical structure of crack patterns are significantly influenced by these considered factors. The formation of crack can be accelerated with the increase of initial water content and thickness of specimen, while restricted with the increase of the compaction degree and the proportion of sand and gravel. Moreover, the addition of 1% polypropylene fiber, 10% cement and 0.5 volume ratio sodium silicate can significantly restrain the form and development of cracks. In RE construction, these factors should be considered comprehensively to prevent the harm caused by shrinkage cracks. Further works should be carried out to obtain the optimum dosage of the additives, which can benefit the construction of RE buildings in future.