• Journal of Trauma and Injury
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• 제19권1호
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• pp.41-46
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• 2006

Purpose: Hypovolemia is not uncommon among trauma patients in the emergency department (ED). Successful resuscitation of a hypovolemic patient often requires rapid intravenous administration of massive amounts of fluid. A rapid fluid infuser is used in the ED for this purpose, there have been no studies of their clinical uses and effectiveness. We studied clinical experience with a rapid fluid infuser at an urban university hospital in Seoul, Korea. Methods: We reviewed the medical records of 38 patients admitted to the ED with a history of application of a rapid fluid infuser from January 2004 to July 2005. Adult trauma patients older than 15 years of age were included in this study. Clinical data on the patients and the volume of fluid used to achieve a stable blood pressure were extracted from their medical records. Results: The total number of adult trauma patients with a history of application of a rapid fluid infuser from January 2004 to July 2005 in the ED was 16. The mean systolic blood pressure for deciding to apply the rapid fluid infuser was $74.9{\pm}12.7mmHg$. The mean time and volume used to achieve a stable blood pressure were 40.4 min and$2947.3{\pm}1339.2ml$, respectively. In all patients, the amount of fluid infused before using the rapid fluid infuser was between 500 ml and 10,000 ml, compared to 1,000 ml and 6,200 ml with the rapid fluid infuser. The mean amount of fluid per min. via the rapid fluid infuser was 85.5 ml. Vital signs were stabilized in 11 patients, 6 of the 11 were discharged alive. Conclusion: The mean amount of fluid delivered per min. via the rapid fluid infuser was much less than expected; thus, there should be clinical guidelines on volume resuscitation with a rapid fluid infuser in the ED. In the future, prospective, multicenter, clinical-data collection is needed for a more sophisticated study.

• Journal of Community Nutrition
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• 제8권3호
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• pp.142-146
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• 2006

The aim of this study was to identify the drinking patterns and needs for nutritional education of male workers. The subjects in this study were 285 male workers in Ulsan City. The average age of the subjects was 41.2 years old, height was 171.8cm, weight was 69.6kg and Body Mass Index(BMI) was $23.6kg/m^2$. The subjects were classified into 3 drinking patterns such as 'normal drinker(ND)', 'excessive drinker(ED)', and 'alcoholic drinker(AD)' diagnosed by NAST (Alcoholism Screening Test of Seoul National Mental Hospital). Each group was 31.6%(ND), 43.2%(ED) and 25.3% (AD). The amount of one time drinking, frequency, kind of alcohol and spending money were significantly different among the groups. 87.8% of ND thought that the self identity of drinking habits was good. But twenty seven percent of AD thought that it was just not bad, one-half of them(51.4%) thought they seemed to have problems and 20.8% of them thought they were serious. 38.9%(AD), 22.8%(ED) and 6.7%(ND) of each group tried to abstain by turn. Reasons of trying to abstain were health problems, disharmony of family and bad influence on the business and job place. The methods of abstaining were to avoid a drinking gathering or to refuse drinking in the party. 70.8% of AD, 59.3% of ED and 40% of ND thought they needed to take an educational program about abstaining. 58.3% of AD, 43.1 % of ED and 31.1 % of ND answered they would join an alcohol program.

• Journal of Electrochemical Science and Technology
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• 제10권1호
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• pp.14-21
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• 2019

Supported liquid membrane process usually is used for recovering or enrichment of valuable metals in the industrial wastewater. But, even if the metals in the wastewater was separated with high chemical selectivity, it cannot be enough concentrated since separation performance of supported liquid membrane (SLM) process is limited by concentration gradient between feed solution and stripping solution. If metal concentration in the stripping solution to be enough low, transport of metal through membrane can be accomplishment constantly. Therefore, Electrodialysis (ED) has been placed after SLM process and the stripping solution of SLM was used as the feed solution for the ED process. Transport of ions in the solutions is successfully performed by ED process. Thus, the metal concentration in the stripping solution does not rise as to stop ion transport. Besides, valuable metals easily are concentrated by ED process for re-use. In this study, effects of operation parameters like initial Cd(II) concentration, HCl concentration in the feed solution of SLM and applied voltage are investigated on separation efficiency, flux and permeability of the both processes. As the feed solution concentration increased, all performance values has increased. When initial concentration of 100 mg/L is used, separation performances (SP) are 55% and 70%, for SLM and consecutive process, respectively. The best HCl concentration in the feed solution of SLM has determined as 2 M, in this conditions SP are 64% and 72%, for SLM and consecutive process, respectively. With increased of applied voltage on ED process, SP of the consecutive process has been raised from 72% to 83%. According to the obtained experimental data, consecutive process has better separation performance than SLM. When the separation performances of both processes were compared for the same operating conditions, it was determined higher the separation efficiency, permeability and flux values of the consecutive process, 8%, 9% and %10.6, respectively. Consequently, the use of the consecutive process increases the performance efficiency of both processes. The consecutive process studied has quite a good chemical separation efficiency, and enrichment capability. Moreover, this process requires few water and energy.

• 전기전자학회논문지
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• 제25권1호
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• pp.174-179
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• 2021

에드워즈 곡선 Edwards25519와 Edwards448 상의 점 스칼라 곱셈(point scalar multiplication; PSM)을 지원하는 EdCC (Edwards curve cryptography) 코어를 설계하였다. 저면적 구현을 위해 워드 기반 몽고메리 곱셈 알고리듬을 기반으로 유한체 곱셈기를 설계하였으며, 나눗셈 연산 없이 점 연산을 구현하기 위해 확장 트위스티드 에드워즈 좌표계를 적용하였다. EdCC 코어를 100 MHz의 클록으로 합성한 결과, 24,073 등가 게이트와 11 kbit의 RAM으로 구현되었으며, 최대 동작 주파수는 285 MHz로 추정되었다. Edwards25519와 Edwards448 곡선 상의 PSM을 각각 초당 299회, 66회 연산하는 것으로 평가되었으며, 유사한 구조의 타원곡선 암호 코어에 비해 256 비트 PSM 연산에 소요되는 클록 사이클 수가 약 60 % 감소하여 연산 성능이 약 7.3 배 향상되었다.

• 대한임상독성학회지
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• 제20권2호
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• pp.58-65
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• 2022

Purpose: Alcohol is one of the most commonly co-ingested agents in deliberate self-poisoning (DSP) cases presenting at the emergency department (ED). The increased impulsivity, aggressiveness, and disinhibition caused by alcohol ingestion may have different clinical features and outcomes in cases of DSP. This study investigates whether alcohol co-ingestion affects the clinical features and outcomes of DSP patients in the ED. Methods: This was a single-center retrospective study. We investigated DSP cases who visited our ED from January 2010 to December 2016. Patients were classified into two groups: with (ALC+) or without (ALC-) alcohol co-ingestion. The clinical features of DSP were compared by considering the co-ingestion of alcohol, and the factors related to discharge against medical advice (AMA) of DSP were analyzed. Results: A total of 689 patients were included in the study, with 272 (39.5%) in the ALC+ group. Majority of the ALC+ group patients were middle-aged males (45-54 years old) and arrived at the ED at night. The rate of discharge AMA from ED was significantly higher in the ALC+ group (130; 47.8%) compared to the ALC- group (p=0.001). No significant differences were obtained in the poisoning severity scores between the two groups (p=0.223). Multivariate analysis revealed that alcohol co-ingestion (odds ratio [OR]=1.42; 95% confidence interval [CI], 1.01-1.98), alert mental status (OR=1.65; 95% CI, 1.17-2.32), past psychiatric history (OR=0.04; 95% CI, 0.01-0.28), age >65 years (OR=0.42; 95% CI, 0.23-0.78), and time from event to ED arrival >6 hrs (OR=0.57; 95% CI, 0.37-0.88) were independent predictive factors of discharge AMA (p=0.043, p=0.004, p=0.001, p=0.006, and p=0.010, respectively). Conclusion: Our results determined a high association between alcohol co-ingestion and the outcome of discharge AMA in DSP patients. Emergency physicians should, therefore, be aware that DSP patients who have co-ingested alcohol may be uncooperative and at high risk of discharge AMA.

• 대한약학회:학술대회논문집
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• 대한약학회 2002년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2
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• pp.233.3-234
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• 2002

SB31, an extract of Pulsatilla koreana, has been tried as an antitumor agent by traditional medicine pratitioner in Korea for the past 30 years, SB31 was evaluated for cytotoxic and antitumor activity against a variety of cancer cell lines. The SB31 exhibited 5-6 fold less cytotoxic activity against normal mononuclear cells (ED$\sub$50/. 1.1 mg/$m\ell$) than against cancer cell lines (ED$\sub$50/ 0.14-0.19mg/$m\ell$). (omitted)

• 대한방사선기술학회지:방사선기술과학
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• 제35권4호
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• pp.299-308
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• 2012

본 연구의 목적은 주요 중재적 시술을 시행 받는 환자를 대상으로 각 시술 당 환자의 피폭선량을 측정 및 평가하여, 우리나라 환자들이 중재적 시술을 시행 받을 때에 받게 되는 방사선 피폭의 위험도를 평가하고, 중재적 방사선 시술 시 환자 피폭선량에 대한 기준 선량 권고안을 마련하며, 환자의 피폭선량을 감소시킬 수 있는 방안을 모색하는데 있다. 각국의 중재적 방사선 분야에서의 환자 피폭선량을 조사하였고, 주요 병원에서 대표적인 중재적 시술을 대상으로 각 시술 당 환자가 받게 되는 피폭선량을 주요 신체 부위에 부착한 열형광선량계(TLD) chip을 이용하여 측정하였고, 혈관조영장비에서 얻어지는 면적선량(dose area product ; DAP)값을 이용하여 유효선량(effective dose; ED)을 측정하였다. 중재적 방사선분야에서의 환자 피폭선량과 관련된 연구와 자료는 진단 방사선 영역과는 달리 상당히 적은편이었다. 이번 연구에서 TACE의 평균 ED는 25.19 mSv로 나타났다. 다른 나라에 비해 높은 편은 아니지만, 몇 달 간격으로 반복적으로 시행 받아야 하는 시술의 특성상 누적선량(cumulative dose)에 주의를 기울일 필요가 있다. TACE의 평균 표면입사선량(ESD)은 511.75 mGy로 비교적 안전한 편이나, 최대 ESD는 4,346 mGy까지 측정되어 시간이 오래 걸리는 일부 TACE 시술에서는 결정적 효과에 대해서도 시술자의 주의가 필요하다. AVF 시술과 PTBD의 평균 ED는 각각 0.28 mSv와 4.8 mSv로 비교적 낮은 수준의 환자 피폭선량을 보였다. TFCA의 경우 평균 ED는 22.6 mSv로 다른 나라에 비해 상대적으로 높은 환자 피폭선량을 보였다. GDC embolization의 경우 대부분의 병원에서 DAP값이 지원되지 않는 구형장비를 사용하는 관계로, 이번 연구에서는 ED값을 구하지 못하였다. 하지만 평균 51.1분의 투시시간과 평균 2,264 mGy의 높은 ESD를 보이고 있어, ED 역시 상당히 높으리라 예상되며, 이에 대한 추가연구가 필요하다. 또한 TFCA와 GDC embolization을 병행하여 시행하는 경우 약 3 Gy의 선량이 피폭되므로 방사선으로 인한 장해를 방지하기 위해서 조사야를 변경하여 시술하는 것을 권고한다.

• Asian-Australasian Journal of Animal Sciences
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• 제23권10호
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• pp.1268-1275
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• 2010

Post-weaning diarrhoea (PWD) and oedema disease (ED) caused by E. coli F18 always result in economic losses to pig producers, and no effective methods of controlling PWD and ED are presently available. FUT1 has been identified as a candidate gene controlling the expression of E. coli F18 receptor. This study examined the correlation between F18ab and F18ac adhesion phenotypes and the polymorphism at position M307 of the FUT1 gene in three pig breeds (231 Large White, 107 Landrace and 109 Songliao Black). The results showed: i) Both the susceptible genotypes (GG and GA) and the adhesion phenotypes (adhesive or weekly adhesive) were dominant in all three breeds with frequencies over 95%. ii) Three adhesion patterns of the two F18 variants F18ab and F18ac, i.e., ($ab^+$, $ac^+$), ($ab^+$, $ac^-$) and ($ab^-$, $ac^-$), were found in all three breeds, and there was no significant difference in the distribution of adhesion phenotypes of the two variants (separately or jointly) among the three breeds (p>0.05). iii) The FUT1 M307 genotypes were completely associated with the F18ab adhesion phenotypes and very strongly associated with the F18ac adhesion phenotypes. All individuals of genotype AA were non-adhesive to both F18ab and F18ac. All individuals of genotype GG or GA were adhesive to F18ab, whereas 11% of them were non-adhesive to F18ac. These results suggest that the polymorphism at FUT1 M307 can be used for marker-assisted selection of PWD and ED resistant pigs.

• Journal of Preventive Medicine and Public Health
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• 제49권5호
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• pp.329-341
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• 2016

Objectives: The goal of this study was to investigate the short-term effect of ambient air pollution on emergency department (ED) visits in Seoul for asthma according to patients' prior history of allergic diseases. Methods: Data on ED visits from 2005 to 2009 were obtained from the Health Insurance Review and Assessment Service. To evaluate the risk of ED visits for asthma related to ambient air pollutants (carbon monoxide [CO], nitrogen dioxide [$NO_2$], ozone [$O_3$], sulfur dioxide [$SO_2$], and particulate matter with an aerodynamic diameter <$10{\mu}m$ [$PM_{10}$]), a generalized additive model with a Poisson distribution was used; a single-lag model and a cumulative-effect model (average concentration over the previous 1-7 days) were also explored. The percent increase and 95% confidence interval (CI) were calculated for each interquartile range (IQR) increment in the concentration of each air pollutant. Subgroup analyses were done by age, gender, the presence of allergic disease, and season. Results: A total of 33 751 asthma attack cases were observed during the study period. The strongest association was a 9.6% increase (95% CI, 6.9% to 12.3%) in the risk of ED visits for asthma per IQR increase in $O_3$ concentration. IQR changes in $NO_2$ and $PM_{10}$ concentrations were also significantly associated with ED visits in the cumulative lag 7 model. Among patients with a prior history of allergic rhinitis or atopic dermatitis, the risk of ED visits for asthma per IQR increase in $PM_{10}$ concentration was higher (3.9%; 95% CI, 1.2% to 6.7%) than in patients with no such history. Conclusions: Ambient air pollutants were positively associated with ED visits for asthma, especially among subjects with a prior history of allergic rhinitis or atopic dermatitis.

• Journal of Nutrition and Health
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• 제33권2호
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• pp.124-133
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• 2000

This study evaluated the effects of chronic ethanol consumption and/or taurine supplementation on hepatic total, phospholipid fatty acid composition and the metabolism of rats fed one of three purified liquid diets for 8 weeks. the rats followed either the control diet (CD, ethanol-free and taurine-free diet); ethanol diet (ED, CD+ 50g ethanol/L) or ethanol-taurine diet (ETD, ED+3.75g taurne/L). Chronic ethanol consumption and/or dietary taurine supplementation were associated with altered hepatic total and phospholipid fatty acid composition. compared to the values for the control rats, ED or ETD significantly decreased the percentage of total monounsaturated fatty acids ($\Sigma$MUFA), and increased the percentage of total polyunsaturated fatty acids ($\Sigma$PUFA) of hepatic total lipids(p〈0.01). Percentages of 14:0(P〈0.01) and 16:0(p〈0.001) were sigificantly lower, and those of 18:0(p〈0.01), 20:0(p〈0.001), 20:3$\omega$6(p〈0.01) and 22:4$\omega$6(p〈0.01) in hepatic total fatty acid compositions were oserved in rats fed ETD versus those fed ED or ETD. No significant differences in hepatic total fatty acid compositions were observed in rats fed ETD versus those fed ED. Percentages of 24:0(p〈0.01), 16:1(p〈0.05), 20:1(p〈0.01), 18:2$\omega$6(p〈0.01) and 18:3$\omega$3(p〈0.05) in hepati phospholipids were significantly higher, and those of 14:0(p〈0.01), 16:0(p〈0.001), 20:3$\omega$3(p〈0.05) in hepatic phospholipids were significantly higher, and those of 14:0(p〈0.01), 16:0(p〈0.001), 20:3$\omega$3(p〈0.001), 22:6$\omega$3(p〈0.001) and $\Sigma$$\omega$3(P〈0.001) were significantly lower in rats fed ED or ETD compared to the values for the control rats. The Δ5 desaturation index(20:3$\omega$6⇒20:4$\omega$6) and elongation index (20:5$\omega$3⇒22:5$\omega$3) of hepatic phospholipid index (20:3$\omega$6⇒20:4$\omega$6) and decreased Δ4 desaturation index (22:5$\omega$3⇒22:6$\omega$3) compared to the values for the ED rats. These changes in hepatic fatty acid composition induced by chronic ethanol consumption and/or taurine supplementation might be associated with the modulations of physical properties of the hepatic cell membrane and its sensitivity to peroxidation damage.