• 대한응급의학회지
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• 제29권6호
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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.

• 한국발생생물학회지:발생과생식
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• 제17권3호
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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.

• 미생물학회지
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• 제38권4호
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• pp.276-280
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• 2002

본 연구는 수환경이나 먹는샘물 생산 공장 등에서 녹농균이 검출되었을 경우 오염원추적의 1차 조사수단으로 세포막 지방산의 유사도 분석 활용 가능성을 평가함을 목적으로 하였다. 이를 위하여 54개 수환경 분리 균주, 3개 표준 균주, 토양과 분변 분리 균주 4종 등 총 61 개 녹농균의 세포 지방산을 분석하였고, 유사도를 산정하여 가계도식 도표(dendrogram)로 나타내었다. 그 결과 61개 균주 모두가 ED (Euclidian Distance) 8.4에서 단일한 cluster로 grouping되었고 ED 6.9에서 4개의 subgroups들로 분류되었다. 그 subgroups들은 현장 분리, 외국의 표준 균주 등 기원에 따라 각각의 subgroup으로 분류되어 미생물 동정에 사용되는 세포 지방산 분석의 유사도 산출이 먹는샘물 공장 등 수환경에서 경제적이고 간단한 오염원 조사의 1차 수단으로서 활용 될 가능성을 보여주었다.

• The Korean Journal of Physiology and Pharmacology
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• 제13권2호
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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.

• 한국생활과학회지
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• 제5권1호
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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.

• Clinical and Experimental Reproductive Medicine
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• 제40권3호
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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.

• 임상간호연구
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• 제20권1호
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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.

• 화약ㆍ발파
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• 제40권1호
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• pp.17-28
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• 2022

고전압 방전에 의한 파분쇄기술 중 ED(Electrical pulse Disintegration)는 고체 내 절연파괴를 유도하여 고체 내 취약한 경계면을 분리하여 유가자원을 분리·회수하는 고효율 자원처리 기술로 알려져 있다. 본 연구에서는 고전압 방전에 의하여 고체 내 발생한 충격파가 황화광물 내 존재하는 아연광물의 단체분리특성을 분석하기 위하여, ED분쇄실험과 기계식 분쇄실험을 수행하고 분쇄산물에 대한 SEM-BSE 분석과 Microfocus X-Ray CT 분석을 수행하여 단체분리도를 비교하였다.

• 한국식품영양과학회지
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• 제31권5호
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• pp.939-944
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• 2002

본 시험은 국내 사육 돼지 분변에서 분리, 동정한 E. duran LP44의 생균제로서의 효과 및 습식급이 형태로 생균제를 급여하였을 경우, 생균제 급여 이후 자돈의 성장에 미치는 영향을 조사하기 위하여 실시하였다. 돈분으로부터 180균주의 혐기성 세균을 분리한 후, 내산성 및 내담즙성이 있는 E. duran LP44균주를 선발하였다 E. durans LP44 배양물을 이유자돈에게 급여한 사양시험에서, 전체사양 시험기간 동안, 일당증체량 및 일당식이 섭취량에 있어서는 WF 처리군이 DF 처리구와 비교하여 높게 평가되었으나, 통계적으로 유의적인 차이를 보이지 않았다. 또한, 식이효율에 있어서도 처리구간에 유의적인 차이를 보이지 않았다. 또한, 영양소 소화율에 있어서는 사양시험 개시 후 5일째 되는 날에 건물과 질소 소화율은 WF+SED군과 WF+10ED군이 DF군과 WF군과 비교하여 통계적으로 높게 평가되었다(p<0.05). 또한, 14일째 되는 날, 건물 소화율에 있어서는 WF+10ED군이 DF군과 비교하여 유의적으로 높게 평가되었으며, 질소 소화율에 있어서는 WF+10ED군이 다른 처리군과 비교하여 통계적으로 높게 평가되었다(p<0.05). 결론적으로 국내 사육 돼지 분변에서 분리, 동정한 E. duran LP44 배양물을 습식급이 형태로 급여한 후 자돈 성장에 미치는 영향에 대한 시험에서,E. durans LP44 배양물을 급여하였을 경우 자돈 시기에 성장 및 영양소 소화율을 향상시키는 것으로 사료된다.

• Applied Microscopy
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• 제29권1호
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• pp.105-124
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• 1999

마우스(ICR mouse)의 신경배형성에 따른 뇌 및 척수 신경상피의 조직학적 및 미세구조적 분화를 관찰하여 다음과 같은 결과를 얻었다. 배발생 8일 (embryonic day 8) 마우스배 (mouse embryo)에서 위중층원주상피의 신경판 및 신경고랑이 형성되었고, 배발생 9일에서는 두부의 전단부 및 말단부를 제외한 전 체장에서 신경관이 형성되었으며, 배발생 10일에서는 미아에서 이차신경배형성이 이루어졌다. 배발생 8일 마우스배의 미부 말단부에서는 신경상피와 중간엽과의 경계가 불분명한 원시선이 관찰되었고, 두부에서는 신경상피, 척삭 및 중간엽세포의 구분이 분명하였다. 배발생 9일과 10일 마우스배의 경우, 후뇌 부위에서는 표피 외배엽세포의 결합에 의하여, 척수 부위에서는 신경상피세포의 결합에 의하여 덮개판을 이루어졌고, 바닥판은 높이가 낮은 위중층원주상피세포로 이루어겼다. 배발생 10일 마우스배에서 척수의 운동신경이 처음 분화되었다. 배발생 9일과 10일 마우스배에서 신경상피세포들은 세포소기관의 분화 및 전자밀도의 차이에 따라 암세포, 중간형세포 및 명세포로 구분되었다. 배발생 9일에서는 모든 형의 세포가 관찰되었으나, 배발생 10일에서는 중간형 및 명세포들 만이 관찰되었다. 모든 신경상피세포에서 free ribosome 및 polysome들이 다같이 발달하였으나, 암세포에서는 RER과 lipid droplet들, 중간형세포와 명세포에서는 Golgi체들이 발달하였다. 중간형세포의 세포질돌기에서는 신경미세섬유, 명세포의 세포질들기에서는 신경미세섬유 뿐만 아니라 미세소관들도 다수 관찰되었다.