• Journal of Preventive Medicine and Public Health
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• 제53권4호
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• pp.211-219
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• 2020

Objectives: The goal of this study was to identify chronic conditions and multimorbidity patterns in patients with coronavirus disease 2019 (COVID-19) and to examine their associations with pneumonia and death. Methods: This cross-sectional study analyzed the official data of COVID-19 patients in Mexico through May 18, 2020 (released by the Secretaría de Salud de México). Adjusted logistic regression models were applied to assess the associations of comorbidities with pneumonia and death. The marginal effects were estimated, and the probability of pneumonia or death according to the number of comorbidities was graphed for each year of age. Results: Of the 51 053 COVID-19 patients enrolled in the final analysis, 27 667 (54.2%) had no chronic conditions, while 13 652 (26.7%), 6518 (12.8%) and 3216 (6.3%) were reported to have 1, 2, and 3 or more simultaneous conditions, respectively. Overall, a significant incremental gradient was observed for the association between multimorbidity and pneumonia (p<0.001); for 2 chronic conditions, the adjusted odds ratio (aOR) was 2.07 (95% confidence interval [CI], 1.95 to 2.20), and for ≥3 conditions, the aOR was 2.40 (95% CI, 2.22 to 2.60). A significant incremental gradient was also found for the relationship between multimorbidity and death (p<0.001); an aOR of 2.51 (95% CI, 2.30 to 2.73) was found for 2 chronic conditions and an aOR of 3.49 (95% CI, 3.15 to 3.86) for ≥3 conditions. Conclusions: Underlying chronic conditions and multimorbidity are associated with pneumonia and death in Mexican COVID-19 patients. Future investigation is necessary to clarify the pathophysiological processes behind this association, given the high burden of chronic diseases in various countries, including Mexico.

• Annals of Clinical Neurophysiology
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• 제8권1호
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• pp.63-70
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• 2006

Background: Testosterone is reported to have neuroprotective effect in various neurological diseases. Recently, the mechanism involved in nitric oxide (NO)-mediated motor neuron death is under extensive investigation. The Cu/Zn-superoxide dismutase (SOD1) mutations has been implicated in selective motor neuron death of amyotrophic lateral sclerosis (ALS) and it is said to play an important role in NO-mediated motor neuron death. However, neuroprotective effect of testosterone on motor neuron exposed to NO has rarely been studied. Methods: Motor neuron-neuroblastoma hybrid cells expressing wild-type or mutant (G93A or A4V) SOD gene were treated with $200{\mu}M$ S-nitrosoglutathione. After 24 hr, cell viability was measured by MTT assay. To see the neuroprotective effect of testosterone, pretreatment with 1 nM testosterone was done 1 hr before S-nitroglutathione treatment. To study the mechanism of protective effect, $20{\mu}M$ flutamide (androgen receptor antagonist) was also pretreated with testosterone 1 hr before S-nitroglutathione treatment. Results: S-nitrosoglutathione showed significant neurotoxic effect in all three cell lines. Percentage of cell death was somewhat different in each cell line. 1 nM testosterone showed neuroprotective effect in G93A and wild-type cell line. In A4V cell line, testosterone did not showed neuroprotective effect. The neuroprotective effect of testosterone was reversed by $20{\mu}M$ flutamide. Conclusions: These results indicate that testosterone induces neuroprotection in NO-mediated motor neuron death directly through the androgen receptor. This neuroprotective effect of testosterone varies according to the types of SOD1 gene mutation. These data suggest that testosterone may be of therapeutic value against ALS.

• 분석과학
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• 제8권2호
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• pp.117-124
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• 1995

지속적인 음주로 인하여 간경변증으로 사망한 human 간에서 ethanol에 의해서 유도되는 것으로 추측되는 hemoprotein들을 확인 및 부분정제하였다. 이 hemoprotein을 정제하기 위하여 Mohamed 등의 방법을 변형하여 단백질을 정제하였고, SDS-PAGE 및 spectrum 양상을 관찰하였다. Triton N-101을 처리한 crude extract를 준비하여 CO gas를 bubbling시킨 후 Octyl-Sepharose CL-4B column chromatography에서 0.06% Lubrol PX로 용출한 다음 0.25% Lubrol PX로 용출하였다(Fig. 2). 0.06% Lubrol PX로 용출한 active fraction을 Hydroxyapatite와 DEAE-Sephadex A-25 column으로 정제하였다(Fig. 3, 4). 정제한 단백질을 12.5% SDS-PAGE를 실시한 결과 분자량은 대조군으로 사용한 흰쥐 간에서 정제한 단백질의 분자량은 55 KDa와 52 KDa였고, 돌연사한 사람의 간에서 정제한 단백질의 분자량은 62 48KDa이며, 간경변증으로 사망한 사람의 간에서 정제한 단백질의 분자량은 54KDa였고(Fig. 5). Cytochrome P450 함량은 20.8nmol/mg protein이며 회수율은 약 4.1%이고, 이들의 최대흡수 파장은 446nm이었다(Fig. 6).

• Radiation Oncology Journal
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• 제33권4호
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• pp.265-275
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• 2015

Despite the increasing use of stereotactic body radiation therapy (SBRT) and stereotactic radiation surgery (SRS) in recent years, the biological base of these high-dose hypo-fractionated radiotherapy modalities has been elusive. Given that most human tumors contain radioresistant hypoxic tumor cells, the radiobiological principles for the conventional multiple-fractionated radiotherapy cannot account for the high efficacy of SBRT and SRS. Recent emerging evidence strongly indicates that SBRT and SRS not only directly kill tumor cells, but also destroy the tumor vascular beds, thereby deteriorating intratumor microenvironment leading to indirect tumor cell death. Furthermore, indications are that the massive release of tumor antigens from the tumor cells directly and indirectly killed by SBRT and SRS stimulate anti-tumor immunity, thereby suppressing recurrence and metastatic tumor growth. The reoxygenation, repair, repopulation, and redistribution, which are important components in the response of tumors to conventional fractionated radiotherapy, play relatively little role in SBRT and SRS. The linear-quadratic model, which accounts for only direct cell death has been suggested to overestimate the cell death by high dose per fraction irradiation. However, the model may in some clinical cases incidentally do not overestimate total cell death because high-dose irradiation causes additional cell death through indirect mechanisms. For the improvement of the efficacy of SBRT and SRS, further investigation is warranted to gain detailed insights into the mechanisms underlying the SBRT and SRS.

• Journal of Preventive Medicine and Public Health
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• 제47권6호
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• pp.336-342
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• 2014

Objectives: Child mortality remains a critical problem even in developed countries due to low fertility. To plan effective interventions, investigation into the trends and causes of child mortality is necessary. Therefore, we analyzed these trends and causes of child deaths over the last 30 years in Korea. Methods: Causes of death data were obtained from a nationwide vital registration managed by the Korean Statistical Information Service. The mortality rate among all children aged between one and four years and the causes of deaths were reviewed. Data from 1983-2012 and 1993-2012 were analyzed separately because the proportion of unspecified causes of death during 1983-1992 varied substantially from that during 1993-2012. Results: The child (1-4 years) mortality rates substantially decreased during the past three decades. The trend analysis revealed that all the five major causes of death (infectious, neoplastic, neurologic, congenital, and external origins) have decreased significantly. However, the sex ratio of child mortality (boys to girls) slightly increased during the last 30 years. External causes of death remain the most frequent origin of child mortality, and the proportion of mortality due to child assault has significantly increased (from 1.02 in 1983 to 1.38 in 2012). Conclusions: In Korea, the major causes and rate of child mortality have changed and the sex ratio of child mortality has slightly increased since the early 1980s. Child mortality, especially due to preventable causes, requires public health intervention.

• 대한한방내과학회지
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• 제24권1호
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• pp.104-112
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• 2003

Objectives : The purpose of this study is to evaluate the effects of Sohaphyang-won and is to study the mechanism for neuronal death protection in hypoxia with Embryonic day 20(E20) cortical cells of a guinea pig(Sprague Dawley). Methods : E20 cortical cells, used in this investigation were dissociated in Neurobasal media and grown for 14 days in vitro (DIV). On 14 DIV, Sohaphyang-won was added to the culture media for 72 hours. On 17 DIV, cells were given a hypoxic shock and further incubated in normoxia for another three days. On 20 DIV, Sohaphyang-won's effects for neuronal death protection were evaluated by LDH assay and the mechanism was studied by Bcl-2, Bak, Bax, caspase family. Results : This study indicates that Sohaphyang-won's effects for neuronal death protection in hypoxia is confirmed by LDH assay by the method of Embryonic day 20(E20) cortical neuroblast. Conclusions : Sohaphyang-won's mechanism for neuronal death protection in hypoxia restrains inflow of cytochrome C into cellularity caused by Bcl-2 increase and reduces the caspase cascade initiator caspase-10 and the effector caspase-3.

• 대한간호학회지
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• 제47권3호
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• pp.392-405
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• 2017

Purpose: This study aims to develop a self-reflection program for nurses who have experienced the death of pediatric patients in the intensive care unit and to evaluate its effectiveness. Methods: The self-reflection program was developed by means of the following four steps: establishment of the goal through investigation of an initial request, drawing up the program, preliminary research, and implementation and improvement of the program. The study employed a methodological triangulation to evaluate the effectiveness of the program. Participants were 38 nurses who had experienced the death of pediatric patients (experimental group=15, control group=23); they were recruited using convenience sampling. The self-reflection program was provided over 6 weeks (6 sessions). Data were collected from April to August, 2014 and analyzed using t-tests and content analysis. Results: The quantitative results showed that changes in personal growth (t=-6.33, p<.001) and burnout scores (z=-2.76, p=.005) were better in the experimental group compared to the control group. The qualitative results exhibited two themes, namely "personal growth" and "professional growth", and ten sub-themes. Conclusion: The self-reflection program developed by this study was effective in helping nurses who had experienced the death of pediatric patients to achieve personal growth through self-reflection, and it was confirmed that the program can be applied in a realistic clinical nursing setting. Furthermore, it can be recommended as an intervention program for clinical nurses.

• 한국환경복원기술학회지
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• 제22권3호
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• pp.1-14
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• 2019

With a view to developing a database of death years of Korean firs (Abies koreana) at Yeongsil in Mt. Halla and investigating their abrupt inter-annual growth reduction tree-ring analysis was employed. To this end, 10 living trees (YSL) were selected to establish a master chronology and 20 dead trees were used to date their dead years. To investigate the difference in death years by death types, 10 trees, which remained standing (YSSD) out of the 20 dead trees were selected. The rest 10 dead trees were already fallen (YSFD). Two increment cores per tree at breast height were extracted in contour direction using an increment borer. A 106-year master chronology (1911-2016) was successfully established from the 10 YSLs. Through cross-dating between individual YSSD time series and the master chronology, it was verified that 1 YSSD was dead in summer 1978, 1 YSSD between autumn 1999 and spring 2000, 2 YSSDs in summer 2007, 1 YSSD in summer 2010, 1 YSSD in summer 2012, and 1 YSSD in summer 2013. The youngest tree rings of 2 YSSDs having no bark were in 1977 and 2002. For the YSFDs, it was verified that 1 YSFD was dead between autumn 1997 and spring 1998, 1 YSFD between autumn 2001 and spring 2002, 2 YSFDs between autumn 2009 and spring 2010, 1 YSFD in summer 2010, and 2 YSFDs between autumn 2012 and spring 2013, while the youngest tree rings of 2 YSFDs having no bark were in 1989 and 2004. To note, the death years of two trees, one from each death type (YSSD and YSFD), could not be verified due to poor cross-dating with the master chronology. The inter-annual growth reductions of YSSD and YSFD occurred more frequently and intensively than YSL. Typically, the YSFD showed the most frequent and intensive inter-annual growth reduction. On comparing the inter-annual growth reductions with the corresponding records of typhoons however we could not find any reliable relationship. Finally, from prior reports and results of the current study it can be concluded that the death and abrupt growth reduction of korean fir at Yeongsil in Mt. Halla are not caused by only a certain environmental factor but various factors.

• Child Health Nursing Research
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• 제26권1호
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• pp.82-89
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• 2020

Sudden infant death syndrome (SIDS) in Korea remains a poorly-understood subject for both professionals and the public. Recent reports have emphasized ethnic differences in SIDS rates, suggesting that making adjustments in child-rearing practices may contribute substantially to SIDS reduction. Two of the three major risk factors for SIDS-vulnerability of the infant and exogenous factors-need to be understood in particular depth due to their broad scope and sociocultural grounding. This paper presents substantial issues regarding preterm birth and male gender on infants' vulnerability to SIDS in Korea. Practices of caring for healthy infants are addressed in the context of sleeping practices, including sleeping position, bedding arrangements, sleeping on the floor, the back-to-sleep position, high indoor temperatures and ondol floor heating, and swaddling. Professional and social awareness about how to reduce SIDS should be raised by promoting a better understanding of risk factors in the context of ethnic and cultural variations in child-rearing practices.

• Corrosion Science and Technology
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• 제20권5호
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• pp.266-280
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• 2021

Since 2020, the International Maritime Organization (IMO) has updated regulations on the sulfur content to be less than 0.5% in exhaust gas emitted from ships. Accordingly, the exhaust gas post-treatment device for ships, which is SOx/NOx reduction technology, was introduced. However, the exhaust gas post-treatment device is suffering corrosion because of the harsh corrosive environment formed by sulfate and chlorine oxide through the desulfurization process. In this investigation, cyclic potentiodynamic polarization (CPDP) experiment for UNS S31603 and UNS N08367 was performed in a green death solution that simulates the environment of a desulfurization device. The corrosion rate of UNS S31603 at the highest temperature was about 3 times higher than that of UNS N83067. Also, electron microscope scan revealed corrosion type UNS N83067 presents intergranular corrosion tendency. On the other hand, UNS S31603 was observed as general corrosion. The α values of UNS N08367 at 30 ℃ and 60 ℃ were higher than those of UNS S31603, thus UNS N08367 is considered to have a higher local damage tendency. Whereas, since the α value of UNS S31603 at 90 ℃ is larger than that of UNS N08367, UNS S31603 is considered to have a higher local damage trend.