• Journal of Oral Medicine and Pain
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• v.31 no.4
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• pp.283-296
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• 2006

Along with the development of scientific technologies, health care has been growing remarkably, and as the social life quality improves with increasing interest in health, the demand for medical service is rapidly increasing. However, medical accident and medical dispute also are rapidly increasing due to various factors such as, increasing sense of people's right, lack of understanding in the nature of medical practice, over expectation on medical technique, commercialize medical supply system, moral degeneracy and unawareness of medical jurisprudence by doctors, widespread trend of mutual distrust, and lack of systematized device for solution of medical dispute. This study analysed 30 cases of civil suit in the year between 1994 to 2004, which were selected among the medical dispute cases in dental field with the judgement collected from organizations related to dentistry and department of oral medicine, Yonsei university dental hospital. The following results were drawn from the analyses: 1. The distribution of year showed rapid increase of medical dispute after the year 2000. 2. In the types of medical dispute, suit associated with tooth extraction took 36.7% of all. 3. As for the cause of medical dispute, uncomfortable feeling and dissatisfaction with the treatment showed 36.7%, death and permanent damage showed 16.7% each. 4. Winning the suit, compulsory mediation and recommendation for settlement took 60.0% of judgement result for the plaintiff. 5. For the type of medical organization in relation to medical dispute, 60.0% was found to be the private dental clinics, and 30.0% was university dental hospitals. 6. For the level of trial, dispute that progressed above 2 or 3 trials was of 30.0%. 7. For the amount of claim for damage, the claim amounting between 50 million to 100 million won was of 36.7%, and that of more than 100 million won was 13.3%, and in case of the judgement amount, the amount ranging from 10 million to 30 million won was of 40.0%, and that of more than 100 million won was of 6.7%. 8. For the number of dentist involved in the suit, 26.7% was of 2 or more dentists. 9. For the amount of time spent until the judgement, 46.7% took 11 to 20 months, and 36.7% took 21 to 30 months. 10. For medical malpractice, 46.7% was judged to be guilty, and 70% of the cases had undergone medical judgement or verification of the case by specialists during the process of the suit. 11. In the lost cases of doctors(18 cases), 72.2% was due to violence of carefulness in practice and 16.7% was due to missing of explanation to patient. Medical disputes occurring in the field of dentistry are usually of relatively less risky cases. Hence, the importance of explanation to patient is emphasized, and since the levels of patient satisfaction are subjective, improvement of the relationship between the patient and the dentist and recovery of autonomy within the group dentist are essential in addition to the reduction of technical malpractice. Moreover, management measure against the medical dispute should be set up through complement of the current doctors and hospitals medical malpractice insurance which is being conducted irrationally, and establishment of system in which education as well as consultation for medical disputes lead by the group of dental clinicians and academic scholars are accessible.

• The Korean Society of Law and Medicine
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• v.23 no.4
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• pp.29-74
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• 2022

As social disasters occur under the Disaster Management Act, which can damage the people's "life, body, and property" due to the rapid spread and spread of unexpected COVID-19 infectious diseases in 2020, information collected through inspection and reporting of infectious disease pathogens (Article 11), epidemiological investigation (Article 18), epidemiological investigation for vaccination (Article 29), artificial technology, and prevention policy Decision), (3) It was used as an important basis for decision-making in the context of an infectious disease crisis, such as promoting vaccination and understanding the current status of damage. In addition, medical policy decisions using infectious disease data contribute to quarantine policy decisions, information provision, drug development, and research technology development, and interest in the legal scope and limitations of using infectious disease data has increased worldwide. The use of infectious disease data can be classified for the purpose of spreading and blocking infectious diseases, prevention, management, and treatment of infectious diseases, and the use of information will be more widely made in the context of an infectious disease crisis. In particular, as the serious stage of the Disaster Management Act continues, the processing of personal identification information and sensitive information becomes an important issue. Information on "medical records, vaccination drugs, vaccination, underlying diseases, health rankings, long-term care recognition grades, pregnancy, etc." needs to be interpreted. In the case of "prevention, management, and treatment of infectious diseases", it is difficult to clearly define the concept of medical practicesThe types of actions are judged based on "legislative purposes, academic principles, expertise, and social norms," but the balance of legal interests should be based on the need for data use in quarantine policies and urgent judgment in public health crises. Specifically, the speed and degree of transmission of infectious diseases in a crisis, whether the purpose can be achieved without processing sensitive information, whether it unfairly violates the interests of third parties or information subjects, and the effectiveness of introducing quarantine policies through processing sensitive information can be used as major evaluation factors. On the other hand, the collection, provision, and use of infectious disease data for research purposes will be used through pseudonym processing under the Personal Information Protection Act, consent under the Bioethics Act and deliberation by the Institutional Bioethics Committee, and data provision deliberation committee. Therefore, the use of research purposes is recognized as long as procedural validity is secured as it is reviewed by the pseudonym processing and data review committee, the consent of the information subject, and the institutional bioethics review committee. However, the burden on research managers should be reduced by clarifying the pseudonymization or anonymization procedures, the introduction or consent procedures of the comprehensive consent system and the opt-out system should be clearly prepared, and the procedure for re-identifying or securing security that may arise from technological development should be clearly defined.

• Journal of Life Science
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• v.34 no.2
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• pp.113-121
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• 2024

Endoplasmic reticulum (ER) stress responses are markedly induced during toxic responses caused by various chemical substances, including difenoconazole, but no research has been conducted on 1,2,3-trichloropropane (TCP), a chemical that is generally used in agriculture and industry, which induces hepatotoxicity. Therefore, in this study, the changes in indicators for hepatotoxicity, apoptosis, and ER stress were analyzed in TCP-treated Sprague Dawley (SD) rats to study the regulatory mechanism of ER stress during the hepatotoxicity. The TCP-treated group decreased in body weight and dietary intake compared to the vehicle-treated group, and necrosis and vacuolation increased significantly in liver histology. In addition, the expression of apoptosis-related factors, including Bax/Bcl-2 and cleaved caspase (Cas)-3/Cas-3 increased significantly in the TCP-treated group compared to the vehicle-treated group. In the analysis of ER stress response indicators, the expression of C/EBP homologous protein (CHOP), phospho-eukaryotic translation initiation factor 2 alpha subunit (eIF2α), and phospho-inositol-requiring enzyme 1α (IRE1α) increased only in the TCP100-treated group and decreased in the TCP200-treated group. However, the transcriptions of growth arrest and DNA damage-34 (GADD34) increased in the TCP200-treated group, while Spliced X-box binding protein-1 (XBP1s) and unspliced XBP1(XBP1u) decreased in the same group. These results suggest that the ER stress response is successfully triggered during the hepatotoxicity induced by TCP treatment through the alternative regulation of the unfolded-protein response (UPR) pathway.

• Tuberculosis and Respiratory Diseases
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• v.44 no.4
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• pp.871-888
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• 1997

Background : It is now thought that the earliest manifestation of idiopathic pulmonary fibrosis is alveolitis, that is, an accumulation of inflammatory and immune effector cells within alveolar walls and spaces. Inflammatory cells including alveolar macrophages and resident normal pulmonary tissue cells participate through the release of many variable mediators such as inflammatory growth factors and cytokines, which contribute to tissue damage and finally cause chronic pulmonary inflammation and fibrosis. This study was performed to investigate the source and distribution pattern of transforming growth factor-${\beta}_1$(TGF-${\beta}_1$), platelet derived growth factor(PDGF), basic fibroblast growth factor(bFGF), interleukin 1(IL-1), interleukin 6(IL-6), tumor necrosis factor-$\alpha$ (TNF-$\alpha$) and the role of these mediators on bleomycin(BLM)-induced pulmonary injury and fibrosis in rats. Method : Wistar rats were divided into three groups(control group, BLM treated group, BLM and vitamine E treated group). Animals were sacrificed periodically at 1, 2, 3, 4, 5, 7, 14, 21, 28 days after saline or BLM administration. The effects were compared to the results of bronchoalveolar lavage fluid analysis, light microscopic findings, immunohistochemical stains for six different mediators(TGF-${\beta}_1$, PDGF, bFGF, IL-1, IL-6 and TNF-$\alpha$) and mRNA in situ hybridization for TGF-${\beta}_1$. Results : IL-1 and IL-6 are maximally expressed at postbleomycin 1~7th day which are mainly produced by neutrophils and bronchiolar epithelium. It is thought that they induce recruitment of inflammatory cells at the injury site. The expression of IL-1 and IL-6 at the bronchiolar epithelium within 7th day is an indirect evidence of contribution of bronchiolar epithelial cells to promote and maintain the inflammatory and immune responses adjacent to the airways. TNF-$\alpha$ is mainly produced by neutrophils and bronchiolar epithelial cells during 1~5th day, alveolar macrophages during 7~28th day. At the earlier period, TNF-$\alpha$ causes recruitment of inflammatory cells at the injury site and later stimulates pulmonary fibrosis. The main secreting cells of TGF-${\beta}_1$ are alveolar macrophages and bronchiolar epithelium and the target is pulmonary fibroblasts and extracellular matrix. TGF-${\beta}_1$ and PDGF stimulate proliferation of pulmonary fibroblasts and TGF-${\beta}_1$ and bFGF incite the fibroblasts to produce extracellular matrix. The vitamine E and BLM treated group shows few positive cells(p<0.05). Conclusion : After endothelial and epithelial injury, the neutrophils and bronchiolar epithelium secrete IL-1, IL-6, TNF-$\alpha$ which induce infiltration of many neutrophils. It is thought that variable enzymes and $O_2$ radicals released by these neutrophils cause destruction of normal lung architecture and progression of pulmonary fibrosis. At the 7~28th day, TGF-${\beta}_1$, PDGF, bFGF, TNF-$\alpha$ secreted by alveolar macrophages sting pulmonary fibroblasts into proliferating with increased production of extracellular matrix and finally, they make progression of pulmonary fibrosis. TNF-$\alpha$ compares quite important with TGF-${\beta}_1$ to cause pulmonary fibrosis. Vitamine E seems to decrease the extent of BLM induced pulmonary fibrosis.

• Korean Journal of Environment and Ecology
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• v.24 no.4
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• pp.395-405
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• 2010

This study was carried out to offer basic data to minimize the indiscreet development and damage of coastal wetlands through an evaluation from an ecological standpoint highlighting the importance of the coastal wetland in South Gyeongsang Province, Korea. The result of the macrobenthos survey for the coastal wetland assessment showed that Dongdal and Hwasan-ri, Yongnam-myeon, and Tongyeong city had the largest species number; Oegan-ri and Naegan-ri, Geoje-myeon, and Geoje city had the largest population and biomass; and Miryong-ri, Samsan-myeon, Goseong-gun had the highest species diversity. In the halophytes survey, Imyeong-ri, Jinjeon-myeon, Masan city and Oegan-ri and Naegan-ri, Geoje-myeon, Geoje city had the large character species and companion species. The evaluation results of the ecological values of the coastal wetlands were categorized into five grades based on the field surveys, and the sedimentary environment factor in the case of Danghang-ri, Hoehwa-myeon, and Goseong-gun; Miryong-ri, Samsan-myeon, Goseong-gun; Guho-ri, Gonyang-myeon, Sacheon city; Sulsang-ri Yangpo-ri, Jingyo-myeon, Hadong-gun; and Seokpyeong-ri, Idong-myeon, Namhae-gun, were appraised at the highest rating of grade II. The halophytes factor in the case of Imyeong-ri, Jinjeon-myeon, Masan city, Dongdal-ri and Hwasan-ri, Yongnam-myeon, Tongyeong city and Oegan-ri and Naegan-ri, Geoje-myeon, Geoje city, were highly evaluated as grade II. The macrobenthos factor in the case of Imyeong-ri, Jinjeon-myeon, Masan city and Oegan-ri and Naegan-ri, Geoje-myeon, Geoje city was highly evaluated as grade II. The final evaluation grade was calculated by the mean values of three evaluation factors, and Imyeong-ri, Jinjeon-myeon, Masan city and Oegan-ri and Naegan-ri, Geoje-myeon, and Geoje city had the highest rating of II. On the other hand, Seokpyeong-ri, Idong-myeon, Namhae-gun had the lowest rating of IV. These locations will require future research to survey and monitor the coastal wetland ecosystems by season, in addition to the construction of the GIS-based wetland information system with a view to manage the coastal wetlands.

• Journal of the Korean Institute of Traditional Landscape Architecture
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• v.33 no.4
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• pp.99-111
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• 2015

The objectives of this study were to investigate the location, shape, environment, and vegetation of the Village Forest in Gyeonggi-do and to evaluate the ecological integration and changes of the Village Forests to figure out the measures for conservation and management. There were 23 Village Forests remain in Gyeonggi-do. Ten Village Forests were established based on Feng-shui background. Many of them were found in Yongin area and southeast of Icheon. The Village Forests were owned by local community at 9 village and privately owned at 8 villages. Most Village Forests were managed by local communities except for the two managed by private person. Fifty-two percent of the Village Forests were in strip shape, and most of them were established by Feng-shui background or for the prevention of disasters. The average size of the Village Forests was relatively small at 3,046m2. The most frequent tree species found at the Village Forest were Zelkova serrata and Pinus densiflora. Over half of the number of Village Forests showed vertical structure of overstory trees only or overstory-sub overstory combination, which seemed to be resulted from the loss of understory plants by the activities of local residents. The Village Forests that had over 30% of damaged trees were found at 7 villages. The damages were caused by the road construction close to the groves, soil compaction, and tree death by covering lower stem with soil. The vitality of the damaged trees seemed to be significantly low compared to that of the undamaged. There were factors that determined the changes in the Village Forests: community ritual, institutional protection, designation as a water resource protection district, road construction, land use change, windstorm hazards, and development of forest areas. In order to conserve and manage the Village Forests appropriately, it is necessary to limit excessive use of the grove areas and maintain proper tree growing conditions by improving the soil environment. The development of neighborhood areas need to be controlled and community activities should be encouraged to maintain or restore the original landscape of the groves. Protection measures and supporting policies need to be enforced to keep the Village Forests from disappearing in near future.

• KOREAN JOURNAL OF CROP SCIENCE
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• v.13
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• pp.93-105
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• 1973

Differential tolerance of rice varieties, Tongil and Mangyung(or Milsung) varieties, against herbicides combined with Simetryne was investigated by the rate of application in 4 places; Jeonju, Gwangju, Iri and Milyang, whose soil textures were Lic, Sic, CL and Lic respectively. The results are summarized as follows: 1) Jeonju a. Initial crop injury At the rate of 2kg/10a prod. no initial crop injury was caused(both to Mangyung and Tongil varieties) on light clay soil, even when treated at high temperature of $30^{\circ}C$ and above. Crop injury was first caused at 3kg/l0a prod. to Tongil variety and the damage increased in proportion to the increase of application rate, while no crop injury was caused to Mangyung variety even at high rate of 5kg/l0a prod. b. Yield Tongil variety: Under high temperature condition in a vinyl house no statistical difference was observed between treated and hand weeding plot at the rates of 3kg/l0a prod. and below. Under air temperature conditions no statistical difference was observed between treated and hand weeding plot at the rates of 4kg/l0a prod. and below. Mangyung variety: No statistical difference was observed between treated and hand weeding plot at the rates of 5kg/l0a prod. and below both under air and high temperature conditions. 2) Gwangju a. Initial crop injury Although almost the same tendency as in Jeonju was observed, a little lighter crop injury was observed in general in Gwangju than in Jeonju at the time of application. And so, no crop injury was caused to Tongil variety until 4kg/l0a prod. and above. b. Yield Tongil variety: No statistical difference was observed between treated and hand weeding plot at 4kg/l0a prod. and below. Mangyung variety: No statistical difference was observed between treated and hand weeding plot at 4kg/l0a prod. and below. 3) Iri No crop injury was caused both to Tongil and Mangyung varieties at 4kg/l0a prod. and below. Also, no reduction of grain yield was observed. 4) Milyang A little lighter crop injury was observed in general. No crop injury was caused to Milsung variety at 5kg/l0a prod. ; Only a slight crop injury was caused to Tongil variety. Yield: No statistical difference was observed between treated and hand weeding plot both of Tongil and Milsung varieties even at 5kg/l0a prod. and below.

• Journal of Korean Society of Environmental Engineers
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• v.27 no.1
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• pp.101-108
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• 2005

Because the stone cultural properties located outdoors, they have been altered and deteriorated in external appearance due to environmental factors such as acid rain, extreme change in temperature, and salts. Damage to stone cultural properties is accelerated particularly due to recent industrial development and environmental pollution. An experimental study was conducted to evaluate the effect of environmental contaminants on the weathering of granite. And as part of the developing of conservation method, $TiO_2$ catalyst was prepared and tested. When fresh granite was dipped into the salt and acid solutions, dissolution rate of eight minerals (Si, Mg, Ca, Na, K, Fe, Mn, Al) are abruptly increased at initial stage of reaction and then increased steadily until 100 cycles. After salt and acid solution experiments, the mineral compositions of the granite surface were lower then that of the fresh granite and density of the weathered granite was steadily decreased from $2.60\;g/cm^3$ to $2.56\;g/cm^3$, but Poissions ratio and absorption ratio were slightly increased. It was expected at stone cultural assets could be weathered by salts and acid rain. In the case of $TiO_2$ was coated to the granite, the dissolution rate of minerals and absorption ratio of $TiO_2$ coated granite were decreased. Therefore, the $TiO_2$ coating method tested in this study considered to be a viable method to assist in the conservation of stone cultural properties from environmental contaminants.

• Childhood Kidney Diseases
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• v.2 no.1
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• pp.60-68
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• 1998

Purpose: To determine the various prenatal factors related to the prenatal hydronephrosis diagnosed on prenatal ultrasonography. We also attempted to correlate the prenatal and neonatal renal pelvic anteroposterior diameter with the outcome in infancy Methods: Between 1985 and 1997. We retrospectively reviewed 105 renal unit (75 patient) with fetal hydronphrosis persisting postnatally. Investigation consisted of renal ultrasonography, voiding cystourethrography, diurectic renogram, and DMSA scan. Results: The 75 patient assesed had the following underlying cause: UPJ(Ureteropelvic juction) obstruction(52%). multicystic dysplastic kidney(10%). UVJ (Ureterovesicai juction) obstruction (10%) and no underlying cause (25%). Of theses cases 36 cases (40 renal unit) underwent operation, while 28 cases (50 renal unit) resoled spontaneously. 12% of mild hydornephrosis deteriorated. whereas 50% of modrate hydrophrosis and 81% of severe hydronephrosis required surgical correction. Attempting to find the renal unit that were at risk for deterioration. our study showed that urinary tract infection group and calyceal blunting group had a predictive role. Conclusion: It is necessary to follow up after birth dilatation of caylx or urinary tract infection are present. Early operation is considered when prenatal pelvic AP diameter greater is than 22 mm and postnatal diameter greater than 17 mm. This may make it possible to prevent further progression of renal damage and prompt treatment of asymptomatic hydronephrosis before complications occur.

• Journal of Korean Society of Forest Science
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• v.54 no.1
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• pp.49-59
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• 1981

In order to elucidate the process of plant succession of the Japanese red pine forests caused by pine gall midge, Thecodoplosis japonensis, in the area of Chungbuk and Kyongbuk, 12 study plots, 4 plots from each three districts, were set up. Districts A (Cheongwon)not attacked by this insect, as the check, District B(Gumi) in which the insect outbreak occured 5 years ago, and District C(Yeongdong)in which the insect outbreak occured 10 years ago, were sampled. The surveyed were some environmental factors, the number of woody plants, relative density, relative dominance values, species composition of plots by layer(upper, middle and ground), importance values, species diversity, similarity and dissimilarity index, etc. The results obtained are summarized as follows: The accumulation of litter on the ground was increased with the lengthening the insect damage duration. Through the crown opening and litter accumulation, the light intensity, temperature condition and soil moisture and nutrient content might be altered. According to the changes of species composition were forced. In general, the Genus Quercus, as a compensation species, has sprung up. The relative importance values for Q.aliena, Q.serrata, and Q.variabilis were significantly increased in the insect infested forests. 2. the stand structure and species composition of the insect attacked forest about 5 years later after the outbreak become complex and diverse. However, since this time, the simplicity of these regards become restored up to 10 years after the outbreak. 3. As the synthetic analysis of plant succession process, the relative values calculated from the relative density and the relative dominance values shown the dominant status of Genus Quercus in the heavily damaged forests. In addition, Genus Rhododendron and Genus Lespedeza with higher frequency become the ground vegetation components. They were gradually increased along the time elapsing after the insect out-break. 4. The differences in connection with the soil moisture contents, the organic matter contents which might give some influences to the vegetation change were hardly recognizable statistically among the studied plots by three district groups. We estimated that the annual mean precipitation and the annual mean temperature did not operated any meaningful effects on the vegetation alteration among plots between districts.