• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.36 no.4
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• pp.303-308
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• 2010

Excessive oral and maxillofacial bleeding causes upper airway obstruction, bronchotracheal and gastric aspiration and hypovolemic shock. Therefore, the rapid and correct bleeding control is very important for saving lives in the emergency room. Despite the conventional bleeding control methods of wiring (jaw fracture, wound suture and direct pressure), continuous bleeding can occur due to the presence of various bleeding disorders. There are five main causes for excessive bleeding disorders in the clinical phase; (1) vascular wall alteration (infection, scurvy etc.), (2) disorders of platelet function (3) thrombocytopenic purpura (4) inherited disorders of coagulation, and (5) acquired disorders of coagulation (liver disease, anticoagulant drug etc.). In particular, infections can alter the structure and function of the vascular wall to a point at which the patient may have a clinical bleeding problem due to vessel engorgement and erosion. Wound infection is a frequent cause of postoperative active bleeding. To prevent postoperative bleeding, early infection control using a wound suture with proper drainage establishment is very important, particularly in the active bleeding sites in a contaminated emergency room. This is a case report of a rational bleeding control method by rapid wiring, wound suture with drainage of a rubber strip & iodoform gauze and wet gauze packing, in a 26-year-old male cerebral palsy patient with active oral and maxillofacial bleeding injuries caused by a traffic accident.

• ALGAE
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• v.32 no.4
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• pp.359-377
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• 2017

Pyropia haitanensis (T. J. Chang et B. F. Zheng) N. Kikuchi et M. Miyata is one of the most commercially useful macroalgae cultivated in southeastern China. In red algae, the biosynthesis of terpenoids through 2-C-methyl-D-erythritol 4-phosphate (MEP) pathway can produce a direct influence on the synthesis of many biologically important metabolites. In this study, two genes of cDNAs, 1-deoxy-D-xylulose-5-phosphate synthase (DXS) and 1-deoxy-D-xylulose-5-phosphate reductase (DXR), which encoding the first two rate-limiting enzymes among MEP pathway were cloned from P. haitanensis. The cDNAs of P. haitanensis DXS (PhDXS) and DXR (PhDXR) both contained complete open reading frames encoding polypeptides of 764 and 426 amino acids residues, separately. The expression analysis showed that PhDXS was significant differently expressed between leafy thallus and conchocelis as PhDXR been non-significant. Additionally, expression of PhDXR and its downstream gene geranylgeranyl diphosphate synthase were both inhibited by fosmidomycin significantly. Meanwhile, we constructed types of phylogenetic trees through different algae and higher plants DXS and DXR encoding amino acid sequences, as a result we found tree clustering consequences basically in line with the "Cavalier-Smith endosymbiotic theory." Whereupon, we speculated that in red algae, there existed only complete MEP pathway to meet needs of terpenoids synthesis for themselves; Terpenoids synthesis of red algae derivatives through mevalonate pathway came from two or more times endosymbiosis of heterotrophic eukaryotic parasitifer. This study demonstrated that PhDXS and PhDXR could play significant roles in terpenoids biosynthesis at molecular levels. Meanwhile, as nuclear genes among MEP pathway, PhDXS and PhDXR could provide a new way of thinking to research the problem of chromalveolata biological evolution.

• Journal of muscle and joint health
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• v.8 no.1
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• pp.27-50
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• 2001

Rheumatoid arthritis is a chronic systemic autoimmune disease. Although the joints are the major loci of the disease activity, fatigue is a common extraarticular symptom that exists in all gradations of rheumatoid arthritis. Fatigue is defined as a subjective sense of generalized tiredness or exhaustion and has multiple dimensions. Therefore fatigue is a common and frequent problem for those with rheumatoid arthritis. In fact, 88-100% of individuals with rheumatoid arthritis experience fatigue. Especially the degree of fatigue is higher in women than men with rheumatoid arthritis. Despite the importance of fatigue among the patients with rheumatoid arthritis, the mechanism that leads to fatigue in rheumatoid arthritis is not completely understood. This study was intended to test and validate a model to predict fatigue in women with rheumatoid arthritis. Especially it was intended to identify the direct and indirect effects of the variables of pain, disability, depression, sleep disturbance, morning stiffness, and symptom duration to fatigue. Data were collected by questionnaires including Multidimensional Assesment of Fatigue(Tack, 1991), numeric scale of pain, graphic scale of joints, Ritchie Articular Index, Korean Health Assessment Questionnaire(Bae, et al., 1998), Inventory of Function Status(Tulman, et al., 1991), Center for Epidemiologic Studies-Depression, and Korean Sleep Scale(Oh, et al 1998). The sample consisted of 345 women with a mean duration of rheumatoid arthritis for 10.06 years and a mean age of 49.64 years. SPSS win and Win LISREL were used for the data analysis. Structural equation modeling revealed the overall fit of the model. Pain predicted fatigue directly and indirectly through disability, depression, and sleep disturbance. Disability, sleep disturbance predicted fatigue only directly, while depression only indirectly through disability and sleep disturbance. Also morning stiffness and symptom duration predicted fatigue through disability and depression. All predictors accounted for 65% of the variance of fatigue. Depression, pain, and disability predicted sleep disturbance. Depression had reciprocal relationship with disability and they both were predicted by pain directly and indirectly. In summary, pain, depression, disability, sleep disturbance, morning stiffness, and symptom duration contributed to the fatigue of patients with rheumatoid arthritis. The best predictor of fatigue was pain. This finding indicates that the modification of pain, depression, disability, sleep disturbance, morning stiffness could be nursing intervention for relief or prevention of fatigue.

• Journal of Preventive Medicine and Public Health
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• v.18 no.1
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• pp.1-11
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• 1985

A decade ago a survey on the population-base incidence rate of anthracite coal gas (mainly carbon monoxide) poisonig in Seoul area was investigated, resulting in the incidence rate of 306/10,000 risk population and 1 death/10,000. Another survey on the carbon monoxide poisoning was investigated during 1 year period from Apr. 1983 to Mar. 1984. Total subjects of risk population were 67,740 households covering 353,287 persons. The major findings of this survey are as follows: 1. Household-base incidence rate was 8.4% spell-base 10.4%. 2. The incidence rate was the highest in houses having each of slate roof, cement wall, vinyl floor of bedroom and direct 'ondol' heating system. 3. Average 2.1 person was attacked from one incidence of the poisoning; severity-wise person-base incidence rates per 10,000 were 352 in mild poisoning, 54 in severe poisoning and 1.4 in death-overall incidence rate 407. Several facts were identified which supported that this figure was moderately underestimated. As the incidence of the poisoning is affected by socioeconomic and environmental factors, it is natural that one expects the incidence will decrease in proportion to genernal improvement of the above factors. Thus the results of these two surveys seemed preposterous. But further study suggested that the incidence rate (306/10,000) decade before had been significantly underestimated and corrected-rate should have been 478/10,000 level. 4. Age and sex distribution by the degree of the poisoning was uniform with little statistical difference; overall incidence rates by sex were 339/10,000 in male and 475/10,000 in female with significant statistical difference(p<.01). 5. 5.3% of the patients were treated at hospital or local clinic; 3.0% of the patients were hospitalized. Admission rate in comatose patient(severe poisoning) was 14.2%. In conclusion, carbon monoxide poisoning remains a major health problem by now.

• Journal of Korea Spatial Information System Society
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• v.11 no.3
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• pp.55-62
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• 2009

Location based Services in the ubiquitous computing environment, namely u-LBS, use very large and skewed spatial objects that are closely related to locational information. It is especially essential to achieve fast search, which is looking for POI(Point of Interest) related to the location of users. This paper examines how to search large and skewed POI efficiently in the u-LBS environment. We propose the Dynamic-level Grid based R-Tree(DGR-Tree), which is an index for point data that can reduce the cost of stationary POI search. DGR-Tree uses both R-Tree as a primary index and Dynamic-level Grid as a secondary index. DGR-Tree is optimized to be suitable for point data and solves the overlapping problem among leaf nodes. Dynamic-level Grid of DGR-Tree is created dynamically according to the density of POI. Each cell in Dynamic-level Grid has a leaf node pointer for direct access with the leaf node of the primary index. Therefore, the index access performance is improved greatly by accessing the leaf node directly through Dynamic-level Grid. We also propose a K-Nearest Neighbor(KNN) algorithm for DGR-Tree, which utilizes Dynamic-level Grid for fast access to candidate cells. The KNN algorithm for DGR-Tree provides the mechanism, which can access directly to cells enclosing given query point and adjacent cells without tree traversal. The KNN algorithm minimizes sorting cost about candidate lists with minimum distance and provides NEB(Non Extensible Boundary), which need not consider the extension of candidate nodes for KNN search.

• Journal of the Korean Society of Marine Environment & Safety
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• v.22 no.1
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• pp.82-89
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• 2016

In this study, we proposed a pier of pontoon-type, "Very Large Floating Structure" (VLFS), with the length of 500m, breadth of 200 m and height of 2 m in Yeosu domestic port. Since this structure ought to endure wave loads for long periods at sea, it is essential to analyze the wave response characteristics. Direct-method is used to analyze the fluid-structure problem and the coupled motion of equation is used to obtain response results. The structural part is calculated by using finite element method (FEM) and the fluid part is analyzed by using boundary element method (BEM). Dynamic responses caused by the elastic deformation and rigid motion of structure are analyzed by numerical calculation. To investigate response characteristics of the pier in regular waves, several factors such as the wavelength, water depth, wave direction and flexural rigidity of structure are considered. As a result, wave response of pier changed at the point of $L/{\lambda}$ 1.5 and represented the torsional phenomenon according to the various incident waves. And the responses showed increasing tendency as the water depths increase at the incident point in case of $L/{\lambda}=8.0$ and peak point of vertical displacement amplitude moved from side to side as the flexural rigidity of structure changes.

• Wind and Structures
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• v.27 no.1
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• pp.11-27
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• 2018

The straight-cone steel cooling tower is a novel type of structure, which has a distinct aerodynamic distribution on the internal surface of the tower cylinder compared with conventional hyperbolic concrete cooling towers. Especially in the extreme weather conditions of strong wind and heavy rain, heavy rain also has a direct impact on aerodynamic force on the internal surface and changes the turbulence effect of pulsating wind, but existing studies mainly focus on the impact effect brought by wind-driven rain to structure surface. In addition, for the indirect air cooled cooling tower, different additional ventilation rate of shutters produces a considerable interference to air movement inside the tower and also to the action mechanism of loads. To solve the problem, a straight-cone steel cooling towerstanding 189 m high and currently being constructed is taken as the research object in this study. The algorithm for two-way coupling between wind and rain is adopted. Simulation of wind field and raindrops is performed with continuous phase and discrete phase models, respectively, under the general principles of computational fluid dynamics (CFD). Firstly, the rule of influence of 9 combinations of wind sped and rainfall intensity on flow field mechanism, the volume of wind-driven rain, additional action force of raindrops and equivalent internal pressure coefficient of the tower cylinder is analyzed. On this basis, the internal pressures of the cooling tower under the most unfavorable working condition are compared between four ventilation rates of shutters (0%, 15%, 30% and 100%). The results show that the 3D effect of equivalent internal pressure coefficient is the most significant when considering two-way coupling between wind and rain. Additional load imposed by raindrops on the internal surface of the tower accounts for an extremely small proportion of total wind load, the maximum being only 0.245%. This occurs under the combination of 20 m/s wind velocity and 200 mm/h rainfall intensity. Ventilation rate of shutters not only changes the air movement inside the tower, but also affects the accumulated amount and distribution of raindrops on the internal surface.

• Journal of Korean Tunnelling and Underground Space Association
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• v.18 no.5
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• pp.431-439
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• 2016

This paper dealt with contents of the quality evaluation method of lattice girder utilizing non-destructive method. Quality evaluation of ordinary lattice girder is performed through the tensile strength test of structural steel and visual inspection. The tensile strength test of structural steel is performed by collecting samples of lattice girder brought into the site, during which lattice girder must be damaged to obtain sample. In addition to such disadvantage, tensile strength tester is not available at the site in most cases, requiring an inconvenient service from test certification agency. In addition, it is substituted by mile sheet issued during the production of structural steel, which inevitably lacks reliability. Furthermore, visual inspection at the site entails a problem of lack of reliability, thereby requiring a method of easily and quickly evaluating the quality of lattice girder without damaging the material. Accordingly, this study comparatively analyzed the yield strength of tensile strength test and the yield strength of instrumented indentation test with same sample. The test results ensured over 95% precision level for the instrumented indentation test, based on which a quality evaluation method based on instrumented indentation test that allowed onsite direct quality evaluation is proposed.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.17
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• pp.7567-7573
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• 2015

Background: Catastrophic effects of mustard gas as a chemical warfare agent have always been a major problem for those exposed to this agent. In this meta-analysis it was tried to evaluate carcinogenesis, ocular, cutaneous and respiratory complications of mustard gas exposure among Iranians who had been exposed to this agent during the Iran-Iraq war. Materials and Methods: In this meta-analysis, the required data were collected using keywords "mustard gas", "sulfur mustard", "cancer", "neoplasm", "respiratory complications", "ocular complications", "lung disease", "chronic complication", "eye", "skin", "cutaneous complication", "carcinogenesis" and their combination with keywords "Iran", "Iranian", "prevalence", "mortality" and their Farsi equivalent terms from the databases of SID, Iranmedex, Magiran, Pubmed, Science Direct, Google Search engine, Gray Literature and Reference of References. To determine the prevalence of each complication and perform meta-analysis, CMA: 2 (Comprehensive Meta-Analysis) software with a randomized model was used. Results: Of the 542 articles found, 7 national articles, consistent with the aims of this study were selected. Meta-analysis of seven papers revealed that cancer risk, especially cancer of the respiratory system was elevated, so that the relative risk (RR) of cancer role of mustard gas was inconsistent from 2/1 to 4 in this survey. Also prevalence of delayed skin disorders due to sulfur mustard was 94.6%, pulmonary complications 94.5% and ocular complications 89.9%. The incidence of various cancers in victims exposed to mustard gas was 1.7% worldwide where the rate was 2.2% in Iranian victims of the Iraq-Iran war. Conclusions: Based on present study the prevalence of delayed mustard gas related cutaneous, pulmonary and ocular complications is above 90% and risk of carcinogenesis is higher in comparison to worldwide statistics. This may suggest need for long-term and persistent follow-up and rehabilitation procedures for populations exposed to this agent.

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.12
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• pp.5917-5935
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• 2012

Background: Hepatitis C virus (HCV) causes acute and chronic human hepatitis infection and as such is an important global health problem. The virus was discovered in the USA in 1989 and it is now known that three to four million people are infected every year, WHO estimating that 3 percent of the 7 billion people worldwide being chronically infected. Humans are the natural hosts of HCV and this virus can eventually lead to permanent liver damage and carcinoma. HCV is a member of the Flaviviridae family and Hepacivirus genus. The diameter of the virus is about 50-60 nm and the virion contains a single-stranded positive RNA approximately 10,000 nucleotides in length and consisting of one ORF which is encapsulated by an external lipid envelope and icosahedral capsid. HCV is a heterogeneous virus, classified into 6 genotypes and more than 50 subtypes. Because of the genome variability, nucleotide sequences of genotypes differ by approximately 31-34%, and by 20-23% among subtypes. Quasi-species of mixed virus populations provide a survival advantage for the virus to create multiple variant genomes and a high rate of generation of variants to allow rapid selection of mutants for new environmental conditions. Direct contact with infected blood and blood products, sexual relationships and availability of injectable drugs have had remarkable effects on HCV epidemiology. Hundreds of thousands of people die each year from hepatitis and liver cancer caused by HCV virus infection. Approximately 80% of patients with acute hepatitis C progress into a chronic disease state leading to serious hepatic disorders, 10-20% of which develop chronic liver cirrhosis and hepatocellular carcinoma. The incubation period of HCV is 6-8 weeks and the infection is often asymptomatic so it is very hard to detect at early stages, making early treatment very difficult. Therefore, hepatitis C is called a "silent disease". Neutralizing antibodies are produced against several HCV proteins during infection but the virus mutates to escape from antibodies. Some patients with chronic hepatitis C may have some symptoms such as fatigue, muscle aches, nausea and pain. Autoimmune and immunecomplex-mediated diseases have also been reported with chronic HCV infection.