• Title/Summary/Keyword: ED1

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Risk factors for hospital admission in revisiting patients to the emergency department with abdominal pain

  • Bae, Jung Kwang;Kim, Hye Jin;Ryu, Seokyong;Choi, Seung Woon;Kang, Tae Kyung;Oh, Sung Chan;Cho, Suk Jin;Lee, Sun Hwa
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.6
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    • pp.679-686
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    • 2018
  • Objective: The aim of this study was to identify the clinical characteristics and risk factors associated with the admission of patients in the emergency department (ED) within 30 days after discharge. Methods: A retrospective, observational study was conducted on adult patients presenting with abdominal pain to the ED of a single, urban, university hospital, between January 2014 and December 2015, who revisited the ED within 30 days after discharge. Data was collected on the emergency severity index level, time to contact doctors, physical examination, laboratory tests, use of computed tomography (CT), and patient disposition on revisitation. The primary outcome was hospital admission following an ED revisit in the 30-day period after the first visit. Results: During the study period, 19,480 patients visited the ED with the chief complaint of abdominal pain, and 13,577 were discharged. A total of 251 patients (1.29%) revisited the ED within 30 days, of which 89 were eligible for the study. The primary outcome was associated with not performing a CT scan on the initial visit and an increased C-reactive protein (CRP) value. Receiver operating characteristic curve analysis showed that a cut-off baseline CRP value of >0.35 mg/dL can predict the primary outcome with a sensitivity and specificity of 75% and 62.1%, respectively (area under the curve, 0.701; 95% confidence interval, 0.569-0.833; P=0.007). Conclusion: An increased CRP value and not performing abdominal CT were associated with a higher rate of admission following ED revisits of patients with abdominal pain. Future prospective studies on the role of abdominal CT imaging in patients presenting to the ED with abdominal pain will be needed.

Expressional Changes of Water Transport-related Molecules in the Efferent Ductules and Initial Segment of Mouse Treated with Bisphenol A-Containing Drinking Water for Two Generations

  • Han, Su-Yong;Lee, Ki-Ho
    • Development and Reproduction
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    • v.17 no.3
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    • pp.289-297
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    • 2013
  • Bisphenol A (BPA) is an estrogenic endocrine disrupter. However, depending on a way of treatment, the harmful effects of BPA have not been confirmed. Also, trans-generational effects of BPA on male reproduction are still controversial. Because the reabsorption of testicular fluid in the efferent ductules (ED) and initial segment (IS) is important for sperm maturation, the present study was designed to determine trans-generational effect of BPA administrated orally on expression of water transport-related molecules in the mouse ED and IS. Ethanol-dissolved BPA was diluted in water to be 100 ng (low), $10{\mu}g$ (medium), and $1mg/m{\ell}$ water (high). BPA-containing water was provided for two generations. Expression of ion transporters and water channels in the ED and IS were measured by relative real-time PCR analysis. In the ED, BPA treatment caused expressional increases of carbonic anhydrase II, cystic fibrosis transmembrane regulator, $Na^+/K^+$ ATPase ${\alpha}1$ subunit, and aquaporin (AQP) 1. No change of $Na^+/H^+$ exchange (NHE) 3 expression was detected. BPA treatment at medium dose resulted in an increase of AQP9 expression. In the IS, the highest expressional levels of all molecules tested were observed in medium-dose BPA treatment. Generally, high-dose BPA treatment resulted in a decrease or no change of gene expression. Fluctuation of NHE3 gene expression by BPA treatment at different concentrations was detected. These findings suggest that trans-generational exposure to BPA, even at low dose, could affect gene expression of water-transport related molecules. However, such effects of BPA would be differentially occurred in the ED and IS.

Subgrouping of Pseudomonas aeruginosa Isolates by Resemblance Coefficiency of the Cellular Fatty Acid Analysis (수환경 녹농균의 세포막 지방산 유사도 분석에 의한 Subgrouping과 활용)

  • 정현미;김동빈
    • Korean Journal of Microbiology
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    • v.38 no.4
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    • pp.276-280
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    • 2002
  • To find the applicability of resemblance of the fatty acid methy1 ester (FAME) profile analysis to the primary examination for the tracing P. aeruginosa contamination in the environment and water plants, we designed this study. Of6l P. aeruginosa isolates including 3 reference strains, 4 fecal or soil isolates and 54 water isolates, the resemblance coefficiencies of the FAMEs were calculated as euclidian distance (ED) and expressed as dendrogram. The 61 strains were clustered as the same group in the ED 8.4, and divided into 4 subgroups in the ED 6.9. The water isolates from Han River were classified into distinctively different subgroups from reference strains. These results provide the possibility of the dendrogram from FAME profile as a useful tools for tracing contamination as well as for identifying the species, especially in case of P. aeruginosa.

YKP1447, A Novel Potential Atypical Antipsychotic Agent

  • Dong, Seon-Min;Kim, Yong-Gil;Heo, Joon;Ji, Mi-Kyung;Cho, Jeong-Woo;Kwak, Byong-Sung
    • The Korean Journal of Physiology and Pharmacology
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    • v.13 no.2
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    • pp.71-78
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    • 2009
  • (S)-Carbamic acid 2-[4-(4-fluoro-benzoyl)-piperidin-1-yl]-1-phenyl-ethyl ester hydrochloride (YKP1447) is a novel "atypical" antipsychotic drug which selectively binds to serotonin (5-$HT_{2A}$, Ki=0.61 nM, 5-$HT_{2C}$, Ki=20.7 nM) and dopamine ($D_2$, Ki=45.9 nM, $D_3$, Ki=42.1 nM) receptors with over $10\sim100$-fold selectivity over the various receptors which exist in the brain. In the behavioral studies using mice, YKP1447 antagonized the apomorphine-induced cage climbing ($ED_{50}$=0.93 mg/kg) and DOI-induced head twitch ($ED_{50}$=0.18 mg/kg) behavior. In the dextroamphetamine-induced hyperactivity and conditioned avoidance response (CAR) paradigm in rats, YKP1447 inhibited the hyperactivity induced by amphetamine ($ED_{50}$=0.54 mg/kg) and the avoidance response ($ED_{50}$=0.48 mg/kg); however, unlike other antipsychotic drugs, catalepsy was observed only at much higher dose ($ED_{50}$=68.6 mg/kg). Based on the CAR and catalepsy results, the therapeutic index (TI) value for YKP1447 is over 100 (i.p.). These results indicate that YKP1447 has an atypical profile and less undesirable side effects than currently available drugs.

Comparisons of High School Students' Perspective on Home Economics (가정교과목에 대한 고등학생들의 의견연구 - 재학 중인 학교별 차이비교 -)

  • Kim, In-Sook;Lim, Jin-Hee;Han, Mee-Sun;Choi, Jong-Myoung
    • Korean Journal of Human Ecology
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    • v.5 no.1
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    • pp.99-111
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    • 1996
  • The purpose of this study is to find some directions to enhance high school students' recognitions for the necessity of Home Economics(HE) education. 309 respondents were sampled from boys', girls' and co-ed high schools in Chongju. The questionnaire consisted of some items about the respondents' interest, necessity, and the required level for HE. The results are as follows : 1) Students from girls' high school and co-ed high school showed more interest in HE than did the students from boys' high school. 2) The recognition of the necessity for learning HE in high school was significantly differed according to the school systems. 3) The demand level on HE was 52.8 out of 100 point, which is fairly low. Girls from co-ed high school showed higher demand on HE than did the girls' high school. 4) The highest demand level of students in the detailed domains of HE was on consumption. And the students showed a comparatively high demand on health, job, and consumption, while showing low demand on clothing. 5) Students from boys' high school and co-ed high school favored practice-oriented HE education.

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Effectiveness of emergency contraception in women after sexual assault

  • Choi, Dong Seok;Kim, Miran;Hwang, Kyung Joo;Lee, Kyoung Mi;Kong, Tae Wook
    • Clinical and Experimental Reproductive Medicine
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    • v.40 no.3
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    • pp.126-130
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    • 2013
  • Objective: To assess the effectiveness of emergency single-dose levonorgestrel contraception in preventing unintended pregnancies among woman who visited the emergency department (ED) due to sexual assault (SA). Methods: We conducted a retrospective chart review in a university hospital in South Korea. Cases from November 10, 2006 to November 9, 2009 were enrolled. Information from the initial visit to the ED and subsequent follow-up visits to the gynecology outpatient clinic was collected. Results: In total, 1,179 women visited the ED due to SA. Among them, 416 patients had a gynecological examination and 302 patients who received emergency contraception (EC) (1.5 mg single-dose levonorgestrel) at the ED due to SA were enrolled. Ten patients did not return for follow-up examinations. In follow-up visits at the outpatient clinic, two pregnancies were confirmed, which showed the failure rate of the EC to be 0.68%. Conclusion: Single-dose levonorgestrel EC is extremely effective at preventing pregnancy among victims of SA.

Influencing Factors on Forensic Nursing Role Performance of Emergency Department Nurses (응급실 간호사의 법의간호학적 역할 수행에 미치는 영향요인)

  • Kim, Geu-Rin;Sung, Mi Hae
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.1
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    • pp.64-74
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    • 2014
  • Purpose: Purpose of this study was to identify the factors influencing forensic nursing performance role of Emergency Department(ED) nurses. Methods: The study was conducted with 120 ED nurses from Busan. Data were collected during July, 2013 and analyzed using SPSS Win 19.0 program. Results: There were positive correlations between awareness of the forensic nursing role and forensic interest (r=.29, p=.001), between awareness of the forensic nursing role and forensic nursing performance role (r=.54, p<.001), and between forensic experience and forensic nursing performance role (r=.26, p=.004). Awareness of forensic nursing role (${\beta}=.50$, p<.001) and experience in forensics (${\beta}=.24$, p<.001) were significant predictors of forensic nursing role performance and explained 35.9% of the variance. Conclusion: To improve forensic experience, medical institutions should provide education and training for ED nurses to increase their indirect experience. Periodic assessment should also be done. Nurses with training assigned to the ED will enhance the forensic nursing role performance.

Experimental Study on the Recovery of Useful Minerals Using High Voltage Discharge Shock Pulse (고전압 방전 충격펄스를 이용한 유용광물 회수에 관한 실험적 연구)

  • Cho, Sangho;Jeong, Sangsun
    • Explosives and Blasting
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    • v.40 no.1
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    • pp.17-28
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    • 2022
  • Electrical pulse disintegration(ED) is known as an efficient technology for recovering valuable resources by inducing dielectric breakdown in solids to separate mineral interfaces in ores among the crushing technologies by high voltage discharge. In this study, ED crushing experiment and mechanical crushing experiment of sulfide minerals were performed, and SEM analysis and Microfocus X-Ray CT of the crushed product were performed in order to analyze the disintegration characteristics of zinc minerals exist in the sulfide minerals by the shock wave generated in the solid by high voltage discharge.

Probiotic Properties of Enterococcus durans LP44 Isolated from Pigs Feces (돼지의 분변에서 분리한 Enterococcus durans LP44의 생균제로서의 특성)

  • 홍종욱;김인호;이상환;권오석;한영근;김지훈;강국희
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.31 no.5
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    • pp.939-944
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    • 2002
  • We have screened the microorganisms from pigs feces for the development of probiotics which have acid-and bile-tolerance. Among them, a strain which was identified as Enterococcu durans LP44 was selected. Sixty Duroc$\times$Yorkshire$\times$Landrace pigs (6.30$\pm$0.04 kg average initial body weight) were used in a 14 days growth assay to determine the effects of Enterococco duran Lf44 culture on growth performance of weaned pigs. Dietary treatments included 1) DF (dry feeding),2) W (wet feeding),3) WF+5ED (wet feeding+5% Enterocucu duran LP44 culture),4) WF+ 10ED (wet feeding +10% Enterococcus durans LP44 culture). For overall periods, average daily gain in pigs fed % diet tended to increase compared to pigs fed DF diet without significant difference. Also, there was no significant difference in gain/feed. At 5 days after the onset of the experiment, pigs fed WF+5ED and WF+10ED diets were significantly increased in dry matter and nitrogen digestibilities compared to pigs fed DF and W diets (p<0.05). At 14 days after the onset of the experiment, pigs fed WF+ 10ED diet were significantly increased in dry matter digestibility compared to pigs fed DF diet (p<0.05). Also, pigs fed WF + 10ED diet were significantly increased in nitrogen digestibility compared to other treatments (p<0.05). In conclusion, supplemental Enterococcus durans LP44 was an effective means of improving ADG and nutrient digestibility.

Histological and Ultrastructural Differentiations of the Neuroepithelial Cells in the Mouse Embryo during Early Neurulation (마우스 초기 신경배형성과정에서 신경상피세포의 조직학적 및 미세구조적 분화)

  • Kim, Yul-A;Chung, Young-Wha
    • Applied Microscopy
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    • v.29 no.1
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    • pp.105-124
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    • 1999
  • Histological and ultrastructural differentiations of the neuroepithelial cells in the mouse embryo during neurulation were observed. The neural plates and grooves consisted of pseudostratified columnar epithelium in the embryonic day (ED) 8 embryo were developed. In the ED 9 embryo, the neural tube was developed in all body length of embryo except both the cephalic and caudal ends. Secondary neurulation was shown at the tail bud of the ED 10 embryo. In the ED 8 embryo, the primitive streak was shown in the posterior end of the embryonic disc. The neuroepithelium, notochord and mesenchyme were well differentiated in the cephalic and cervical portions. In the ED 9 and 10 embryos, the roof plates of neural tubes were constituted of the closing of the surface ectodermal cells in the hindbrain and the neuroepithelial cells in the spinal cord. The floor plate of neural tube were consisted of the low pseudostratified columnar epithelium. The spinal motor nerve fibers were initially differentiated in the ED 10 embryo. According to the electron density of the cell and the differentiation of tell organelles, the neuroepithelial cells in the ED 9 and 10 embryos were classified into three types: dark, intermediate and light types. All types in the ED 9 embryo were observed but the dark cell in the ED 10 embryo was not done. The free ribosomes and polysomes in all neuroepithelial cells were developed. The RER and lipid droplets in the dark cell and the Golgi complex in the intermediate and light cells were observed. Many microfilaments in the cytoplasmic processes of intermediate cell and the microfilaments and microtubules in the light cell processes were observed to be well differentiated.

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