• Journal of Gastric Cancer
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• v.8 no.4
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• pp.237-243
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• 2008

Purpose: Postoperative Infectious complications are recognized as major complications that are associated with surgery. Although many studies have focused on the risk factors of postoperative complications, little is known about the risk factors of infectious complications after gastric cancer surgery, and especially after elective gastrectomy. There is now more and more interest in the risk factors of infectious complications in relation to controlling infection and as indicators of qualitatively assessing infectious complications. The aim of this study was to evaluate the risk factors related with infectious complications after performing elective gastrectomy for treating gastric cancer. Materials and Methods: We retrospectively reviewed a total of 788 patients who had undergone elective gastrectomy for gastric cancer between Jan. 2000 and Dec. 2007. The characteristics of the patients were divided according to the patients' factors and the operations' factors. Results: The patients' mean age was 58.9 (range: 24~91) years; 545 were male and 243 were female. The mean duration of the hospital stay was 20.3 days (range: 5~135 days), the mean operation time was 181.3 minutes (range: 65~440 minutes). The total complication rate was 17.1% (n=135) and the complication rate was 38.5% (n=52) among the 135 patients with infectious complications. The infectious complications were surgical site infection (59.7%), Pneumonia (19.3%), intra-abdominal abscess (11.5%), pseudomembranous colitis (5.7%), bacteremia (1.9%) and hepatic abscess (1.9%). On the univariate analysis, the significant risk factors were male gender, blood transfusion, smoking at the time of diagnosis, alcohol drinking, diabetes mellitus and previous cardiovascular disease (P<0.05 for all). On multivariate analysis that used a logistic regression model, the significant independent risk factors were smoking at the time of diagnosis (OR: 2.877. 95% CI: 1.449~5.713), blood transfusion (OR: 3.440, 95% CI: 1.241~9.534), diabetes mellitus (OR: 3.150, 95% CI: 1.518~6.538), and previous cardiovascular disease (OR: 2.784, 95% CI: 1.4731~5.2539). Conclusion: Pre- or post-operative blood transfusion and the patient's medical history such as previous cardiovascular disease, diabetes mellitus, smoking etc. are the risk factors for infectious complications after undergoing elective gastrectomy for gastric cancer. The patients that have these risk factors need to be treated with great care to prevent infectious disease after elective gastrectomy.

• Korean Journal of Food Science and Technology
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• v.29 no.6
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• pp.1255-1263
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• 1997

This study was performed to investigate the effects of green tea on fat metabolism of rats and prevention to cardiovascular disease in drinking green tea. Male Spague-Dawley rats were divided into seven groups consisting of the control, lard and cholestrol, aqueous green tea at the level of 1% and 3%. After 4 weeks of feeding serum lipid levels were measured for experimental rats, and analyzed the total cholesterol (TC), HDL-cholesterol (HDL-C), triglyceride (TG), phospholipid (PL). And total lipid (TL) to Folch method, lipid deposition to oil red O staining on liver tissue. The results are as follows: Total cholesterol (TC) decreased by administration of 1% aqueous green tea group and increased addition to lard and cholesterol (LC) group as compared to each groups (p<0.05). HDL-cholestrol in serum increased by administration of la aqueous green tea group (1G) and decreased to the control group, 1% aqueous green tea (L-1G) added lard group (p<0.05). Triglyceride (TG) decreased by administration of 3% aqueous green tea groups (L-3G, LC-3G) and increased by lard and cholesterol group (LC) (p<0.01). Phospholipid(PL) decreased by administration of 3% aqueous green tea added lard and cholesterol group (LC-3G) and increased by control group, lard and cholestrol group (LC) (p<0.05). Total lipid of liver decreased by administration of aqueous green tea at the level of 1% group and increased by LC group (p<0.01). The fat deposition of liver was increased in fat diet groups and decrease in the drink green tea of some but did not showed significant differences from concentration of the green tea.

• Journal of the Korean Society of Food Science and Nutrition
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• v.31 no.3
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• pp.482-491
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• 2002

This study was to evaluate health management and life habits of the urban salaried workers. The results showed the followings: There were more men than women who thought their health good (p<0.01). Stomach disease was the highest in the subjects, and the second was liver disease (p<0.001). Of respondents, 10% always exercised in the morning, 26% often, and 63% never. Men took exercise more regularly than women (p<0.001). The kinds of exercises were walk (33%), jogging (25%), physical training (14%), golf (6.4%), rope jumping, and tennis. Men ate healthy drug more than womon. Most of men thought that sports were the best for health management. Women considered that baying regular habits was the best for control of her health. The smoking rate of respondents was 41%, and the rate in Chinju showed higher than the other area (p<0.001). Man smokers were more than women (p<0.001). Drinking rate of respondents was 78%. Men enjoyed soju, while women liked beer (p<0.001)

• Journal of the Korean Institute of Landscape Architecture
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• v.48 no.4
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• pp.29-40
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• 2020

This study quantitatively and qualitatively analyzes the physical environment for health promotion in urban parks by indicators that were selected in consideration of overseas cases and previous studies. To evenly distribute the areas to be evaluated by region, Seodaemun Independence Park, Hongneung Park, Gocheok Park, Sillim Park, Cheongdam Park, Gaepo Park, and Sungin Park were selected among the old neighborhood parks already established in Seoul. The evaluation indicators consist of quantitative indicators (12 factors classified into the three categories of the surrounding environment, the park characteristics, and the park facilities) and qualitative indicators (14 factors classified according to the five categories of accessibility, safety, convenience, activities, and amenities). These indicators were selected after conducting advisory meetings with experts in the field. The physical environment perception factors were evaluated by experts and investigators by field inspections and were rated on a three-point scale (high, medium, low). According to the results of the analysis, first, not only were exercise facilities and trails, but also various factors which support health activities, such as rest areas, leisure spots, and cultural facilities, as well as accessibility, cleanliness, and drinking water facilities are important indicators for health promotion. Second, even if the requirements are met for quantitative factors, several inconveniences hinder the actual implementation or use in the qualitative evaluation. Thus, both quantitative and qualitative evaluations must be simultaneously performed for the proper judging of the physical environment of a park. Third, upon conducting a qualitative evaluation of the physical environmental factors, score differences depended on the evaluated categories in each park. These differences show that indirect indicators, such as accessibility, safety, and facility convenience are insufficiently equipped compared to direct indicators, such as activity, which includes exercise facilities and fitness centers for health promotion. As the utilization rate of parks is increasing due to COVID-19, more efforts should be made to improve park services in the post-corona era. To promote such services, it is necessary to regularly evaluate parks based on both quantitative and qualitative indicators and to contemplate services not only through direct factors but also indirect factors and security measures.

• Korean Journal of Psychosomatic Medicine
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• v.18 no.1
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• pp.19-29
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• 2010

Objectives：Authors hypothesized that bipolar tendency of non-psychiatric person would be associated with stress vulnerability. To test the hypothesis, we compared perceived stress level, Type A Behavioral Pattern (TABP) and unhealthy lifestyle between person with and without bipolar tendency. Methods：The study cohort consisted of 1987 subjects without past and current psychiatric history. In this study, bipolar tendency was determined by MDQ response which requires endorsement of at least 7 of the 13 "yes or no" questions. We compared the scores of Perceived Stress Scale, A/B lifestyle questionnaire, and unhealthy lifestyle(alcohol, smoking, lack of exercise, irregular meal) between MDQ positive and negative respondents. Results：We identified the bipolar tendency group determined by the MDQ positive response were 329 subjects(16.6%). The overall score of the bipolar tendency group was significantly high on the A/B lifestyle questionnaire compared to the non-bipolar tendency group(125.4 vs. 115.9, p<0.001), and the rate of the subjects defined as TABP was also significantly high(41.3% vs. 30.1%, p<0.001). In comparison of subjectively perceived stress level, the bipolar tendency group was observed to be significantly higher than the non-bipolar tendency group (18.5% vs. 16.5%, p<0.001). The bipolar tendency group was significantly higher than the non-bipolar tendency group on the rate of answering：'irregular eating habit' (20.1% vs. 14.3%, p=0.002), '4-or-more-times alcohol intake per week' (29.8% vs. 16.5%, p<0.001), 'currently smoking' (41.9% vs. 23.0%, p<0.001), '2-or-less-times physical exercises per week' (63.2% vs. 55.1%, p=0.007). Conclusion：By clinical diagnosis, even a person who does not meet the criteria of bipolar disorder has a high risk of stress-related behavioral pattern, and perceived stress when possessing bipolar tendencies such as the (hypo) maniac tendency or affective instability. Such individual has significantly higher risk of having unhealthy life-style such as smoking, drinking, irregular eating habit and lack of exercise compared to non-bipolar tendency group. Since these risk factors lead to increase the risk of obesity, metabolic syndrome, diabetes, and cardiovascular diseases, the individual with the bipolar tendency requires a more effort to manage stress and to maintain healthy lifestyle.

• Journal of the Korean association of regional geographers
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• v.4 no.1
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• pp.15-25
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• 1998

A stream plays an important role as the source of drinking water, the ecological space and the living space. But the today's urban stream whose ecosystem is destroyed and water quality become worse in consequence of covering, concrete dyke construction, and the adjustment of high-water-ground[dunchi], is deprived of the function as a stream. Therefore this paper aims to elucidate the role that urban stream plays ecologically and to try to find a improvement to the problem. A stream is the pathway through which several types of the solar radiation energy are transmitted and the place which is always full of life energy. In the periphery of a stream, primary productivity is high and carrying capacity of population is great. Thus ancient cities based on agricultural products grew out of the fertile surroundings of stream. In Korea most cities of the Chosen Dynasty Period based on the agriculture have grown out of the erosional basins where solar energy is concentrated. The role of a stream in this agricultural system is the source of energy and material(water and sediment) and a lifeline. In consequence of the growth of cities and the rapid growing demands of water supply after the Industrial Revolution, a stream has become a more important locational factor of city. However, because cities need the life energy of urban streams no longer, urban streams cannot play role as a lifeline. And As pollutant waste water has poured into urban streams after using external streams' water, urban streams have degraded to the status of a ditch. As the results of the progress of urbanization, the dangerousness of inundation of urban stream increased and its water quality became worse. For the sake of holding back it, local governments constructed concrete dyke, adjusted high-water-ground[dunchi], and covered the channel. But stream ecosystem went to ruin and its water quality became much worse after channelization. These problems of urban stream can be solved by transmitting much energy contained in stream to land ecosystem as like rural stream. We should dissipate most of the energy contained in urban stream by cultivating wetland vegetation from the shore of stream to high-water-ground, and should recover a primitive natural vigorous power by preparation of ecological park.

• The Journal of Engineering Geology
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• v.25 no.4
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• pp.533-545
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• 2015

Spatial and seasonal variations in hydrogeochemical characteristics and the factors affecting the deterioration in quality of shallow portable groundwater in an agricultural area are examined. The aquifer consists of (from the surface to depth) agricultural soil, weathered soil, weathered rock, and bedrock. The geochemical signatures of the shallow groundwater are mostly affected by the NO₃⁻ and Cl⁻ contaminants that show a gradual downward increase in concentration from the upper area, due to the irregular distribution of contamination sources. The concentrations of the major cations do not varied with the elapsed time and the NO₃⁻ and Cl⁻ ions, when compared with concentrations in background groundwater, increase gradually with the distance from the upper area. This result suggests that the water quality in shallow groundwater deteriorates due to contaminant sources at the surface. The contaminations of the major contaminants in groundwater show a positive linear relationship with electrical conductivity, indicating the deterioration in water quality is related to the effects of the contaminants. The relationships between contaminant concentrations, as inferred from the ternary plots, show the contaminant concentrations in organic fertilizer are positively related to concentrations of NO₃⁻, Cl⁻, and SO₄²⁻ ions in the shallow portable groundwaters, which means the fertilizer is the main contaminant source. The results also show that the deterioration in shallow groundwater quality is caused mainly by NO₃⁻ and Cl⁻ derived from organic fertilizer with additional SO₄²⁻ contaminant from livestock wastes. Even though the concentrations of the contaminants within the shallow groundwaters and the contaminant sources are largely variable, it is useful to consider the ratio of contaminant concentrations and the relationship between contaminants in groundwater samples and in the contaminant source when analyzing deterioration in water quality.

• The Journal of Engineering Geology
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• v.18 no.4
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• pp.555-566
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• 2008

Hydrogeochemical study in Samseung area (Boeun, Chungbuk) and waterrock interaction experiment using rock samples from the area were performed to elucidate the fluoride source in groundwater and explaining geochemical behavior of fluoride ion. Fluoride concentration of public water supply mostly using groundwater in Boeun area was significantly higher in South Korea. The maximum fluoride concentration of the study area was 3.9 mg/L, and 23% of samples exceeded the Korean Drinking Water Standard of fluoride (1.5 mg/L). The average concentration of fluoride was 1.0 mg/L and median was 0.5 mg/L. Because of high skewness (1.3), median value is more appropriate to represent fluoride level of this area. The relationships between fluoride ion and geochemical parameters ($Na^+$, $HCO_3$, pH, etc.) indicated that the degree of waterrock interaction was not significant. However, high fluoride samples were observed in $NaHCO_3$ type on Piper's diagram. The negative relationship between fluoride and $NO_3$ ion which might originate from surface contaminants was obvious. These results indicate that fluoride ion in groundwater is geogenic origin. The source of fluoride was proved by waterrock interaction batch test. Fluoride concentration increased up to 1.2 mg/L after 96 hours of reaction between water and biotite granite. However, the relationship between well depth and fluoride ion, and groundwater age and fluoride ion was not clear. This indicates that fluoride ion is not correlated with degree of waterrock interaction in this area but local heterogeneity of fluoriderich minerals in granite terrain. High fluoride concentration in Boeun area seems to be correlated with distribution of permeable structures in hard rocks such as lineaments and faults of this area. This entails that the deep bedrock groundwater discharges through the permeable structures and mixed with shallow groundwater.

• Journal of Korean Society of Environmental Engineers
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• v.32 no.10
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• pp.916-927
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• 2010

In general water treatment process, the disinfection process by chlorine is used to prevent water borne disease and microbial regrowth in water distribution system. Because chlorines were reacted with organic matter, carcinogens such as disinfection by-products (DBPs) were produced in drinking water. Therefore, a suitable injection of chlorine is need to decrease DBPs. Rechlorination in water pipelines or reservoirs are recently increased to secure the residual chlorine in the end of water pipelines. EPANET 2.0 developed by the U.S. Environmental Protection Agency (EPA) is used to compute the optimal chlorine injection in water treatment plant and to predict the dosage of rechlorination into water distribution system. The bulk decay constant ($k_{bulk}$) was drawn by bottle test and the wall decay constant ($k_{wall}$) was derived from using systermatic analysis method for water quality modeling in target region. In order to predict water quality based on hydraulic analysis model, residual chlorine concentration was forecasted in water distribution system. The formation of DBPs such as trihalomethanes (THMs) was verified with chlorine dosage in lab-scale test. The bulk decay constant ($k_{bulk}$) was rapidly decreased with increasing temperature in the early time. In the case of 25 degrees celsius, the bulk decay constant ($k_{bulk}$) decreased over half after 25 hours later. In this study, there were able to calculate about optimal rechlorine dosage and select on profitable sites in the network map.

• Economic and Environmental Geology
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• v.44 no.3
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• pp.217-228
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• 2011

The feasibility study for the stabilization process using 5 amendments was performed to quantify As-immobilization efficiency in farmland soils around Samkwang abandoned mine, Korea. For the batch experiments, with 2% and 3% of granular lime(2-5 mm in diameter), leaching concentration of As from the soil decreased by 86% and 95% respectively, compared to that without the amendment. When 5% and 10% of granular limestone was added in the soil, As concentration decreased by 82% and 95%, showing that lime and limestone has a great capability to immobilize As in the soil. From the results of batch experiments, continuous column(15 cm in dimeter and 100 cm in length) tests using granular lime and limestone as amendments was performed. Without the amendment, As concentration from the effluent of the column ranged from 167 ${\mu}g$/L to 845 ${\mu}g$/L, which were higher than Korea Drinking Water Limit(50 ${\mu}g$/L). However, only with 1% and 2% of lime, As concentration from the column dramatically decreased by 97% for 9 years rainfall and maintained below 50 ${\mu}g$/L. With 5% of limestone and the mixed amendment(1% of lime + 2% of limestone), more than 95% diminution of As leaching from the column occurred within I year rainfall and maintained below 20 ${\mu}g$/L, suggesting that the capability of limestone to immobilize As in the farmland soil was outstanding and similar to that of lime. Results of experiments suggested that As stabilization process using limestone could be more available to immobilize As from the soil than using lime because of low pH increase and thus less harmful side effect.