• Proceedings of the Plant Resources Society of Korea Conference
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• 2019.10a
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• pp.97-97
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• 2019

사삼(沙蔘, Adenophorae Radix)은 "대한민국약전외한약(생약)규격집(KHP)"에 잔대 Adenophora triphylla var. japonica Hara 또는 사삼(당잔대, A. stricta Miq.)의 뿌리로 수재되어 있으나, 형태학적으로 유사한 제니(모시대, A. remotiflorus Miquel), 층층잔대(윤엽사삼, A. tetraphylla (Thunb.) Fisch), 더덕 Codonopsis lanceolata (Sieb. et Zucc.)과 오 혼용 우려가 있어 이들을 구별하기 위한 종 감별법이 필요하다. 본 연구에서는 '사삼'과 오 혼용 우려가 있는 종들을 구별할 수 있는 유전자 마커 개발을 위하여 DNA 바코드로 활용되고 있는 유전자 부위를 분석하여 ITS (25%), atpB-rbcL (15%), atpF-atpH (14%), rpl16 (13%), trnL-F (10%), matK (9%), rpoC1 (7%)에서 변이율(percent of variable sites)을 확인하였다. 또한, 분석한 유전자 부위 중 종간 차이를 확인하기 용이한 matK 구간을 활용해 기원종인 잔대, 당잔대와 형태적으로 유사하여 오 혼용될 우려가 있는 층층잔대, 모시대 및 더덕을 감별 할 수 있는 유전자 마커를 개발하였다. 본 연구를 통해 얻어진 염기서열과 분자 마커는 '사삼'의 품질관리에 유용하게 활용 가능할 것으로 사료된다.

• Journal of the Society of Naval Architects of Korea
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• v.31 no.1
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• pp.22-31
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• 1994

Fish aggregating devices(FAD) or artificial fish reefs deployed in the ocean space have been developed in various forms. The objective of FAD is to aggregate, cultivate and proliferate aquatic resources by making changes in ocean flows around it. developing spawning grounds, improving feeding areas and protecting larvae and juveniles. Most floating fish aggregating devices(FFAD) are in the form of surface buoys or subsurface buoys with a single point mooring system(SPMS). The mooring line of SPMS for the secure positions of FFAD is expected to keep great stresses as a result of the harsh ocean environment. Laboratory static tests on synthetic fiber ropes used for the SPMS were run. The Nylon wet rope specimen tests under increasing-and-decreasing loads showed about 20% strength drop. Also the logarithmic creep-tie behavior of fiber ropes was observed in the constant load test and compared with Flessner's formula.

• Journal of Family Resource Management and Policy Review
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• v.25 no.2
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• pp.25-39
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• 2021

The purpose of this study was to investigate the influence of family-friendly policies on married female managers' desire for an additional child and the mediating effects of family-friendly supervisor support and work-family conflict. The analysis included 480 married female managers from the 7th survey of the 2018 Korean Women Manager Panel. Family-friendly policies were found to have an indirect effect on the desire for an additional child via family-friendly supervisor support and work-family conflict. These findings emphasize the importance of not only implementing family-friendly policies, but also creating a culture that supports them. Based on the results, approaches to interventions in the workplace to reverse the current trend of low fertility are discussed.

• Proceedings of the Plant Resources Society of Korea Conference
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• 2019.10a
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• pp.56-56
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• 2019

본 연구에서는 자생 상록 목본 3종의 실내도입을 위하여 몇 가지 광량조건에서의 식물생육 및 광화학 반응을 조사하였다. 식물재료는 황칠나무[Dendropanax trifidus (Thunb.) Makino ex H. Hara], 먼나무(Ilex rotunda Thunb.), 편백[Chamaecyparis obtusa (Siebold & Zucc.) Endl.]의 2년생 실생묘를 유리온실에 재배하면서 실험에 사용하였다. 실내에 조사되는 광환경을 측정하여 광량 10, 50, 100 및 200 PPFD(${\mu}mol{\cdot}m^{-2}{\cdot}s^{-1}$)를 처리구로 설정하였다. 실내환경은 광주기(12/12 h), 온도($25{\pm}1^{\circ}C$) 및 습도($55{\pm}3%$)를 유지하였으며, 1회/3일 간격으로 관수하였다. 유리온실에서 동일기간 동안 재배중인 식물을 대조구로 사용하였으며, 실험은 8주간 수행되었다. 황칠나무와 먼나무는 200 PPFD의 높은 광량에서 초장, 줄기직경, 엽장, 엽수 등의 생육수치가 우수하였다. 반면 두 종 모두 10 PPFD 광량에서는 재배기간 중 잎이 말라가는 현상이 관찰되었으며 8주차에 모든 식물체가 고사하였다. 이는 10 PPFD 광량에서 재배된 황칠나무와 먼나무의 광화학반응에서도 Fv/Fm (-0.10, -0.08) 및 Fm/Fo (0.91, 0.93)가 낮은 수치로 조사된 반응과 일치하였다. 한편 편백나무는 모든 광량조건에서 대조구에 비해 초장 및 줄기직경 등의 생육이 우수하였으나, 10 PPFD의 낮은 광량에서는 Fv/Fm (0.16) 및 Fm/Fo (1.60)가 타 처리구에 비해 낮은 수치로 조사되었다.

• The Korean Journal of Pain
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• v.35 no.2
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• pp.224-230
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• 2022

Background: An epidural blood patch (EBP) is a procedure to treat intracranial hypotension that does not respond to conservative treatment. EBPs are commonly repeated when the symptoms persist. In this study, we used a large single-center retrospective cohort and evaluated the factors associated with repeated EBPs. Methods: From January 2010 to December 2020, a total of 596 patients were treated with EBPs for intracranial hypotension. We evaluated the factors associated with repeated EBPs in the entire population, in patients with spontaneous intracranial hypotension (SIH), and in those with available myelographies. Results: In a total of 596 patients, 125 (21.1%) patients required repeated EBPs, and 96/278 (34.5%) in SIH and 29/314 (9.2%) in iatrogenic population. In patients with SIH, international normalized ratio (INR) and cerebrospinal fluid (CSF) leakage on myelographies consistently exhibited significant associations (odds ratio [OR], 1.38; 95% confidence interval [CI], 1.02-1.87; P = 0.043 and OR, 2.18; 95% CI, 1.28-3.69; P = 0.004). In patients with iatrogenic injury, INR and CSF leakage on myelogram did not show difference in repeated EBPs. Conclusions: Repeated EBPs may be more frequently required in patients with SIH. Prolonged INR and CSF leakage were associated with repeated EBPs in patient with SIH. Further studies are needed to determine factors associated with repeated EBP requirements.

• Journal of the Korean Magnetic Resonance Society
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• v.26 no.1
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• pp.10-16
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• 2022

The phase transition temperatures of CsCoCl₃·2H₂O crystals are investigated via differential scanning calorimetry (DSC) and thermogravimetric analysis (TGA). Three endothermic peaks at temperatures of 370 K (=T_C1), 390 K (=T_C2), and 416 K (=T_C3) were observed for phase transitions from CsCoCl₃·2H₂O to CsCoCl₃·1.5H₂O, to CsCoCl₃·H₂O, and then to CsCoCl₃·0.5H₂O, respectively. In addition, the spin-lattice relaxation time T_1ρ in the rotating frame and T₁ in the laboratory frame as well as changes in chemical shifts for ¹H and ¹³³Cs near T_C1 were found to be temperature dependent. Our analyses results indicated that the changes of chemical shifts, T_1ρ, and T₁ are associated with structural phase transitions near temperature T_C1. The changes of chemical shifts, T_1ρ, and T₁ near T_C1 were associated with structural phase transitions, owing to the changes in the symmetry of the structure formed of H₂O and Cs⁺ ions. Consequently, the structural symmetry in CsCoCl₃·2H₂O crystals based on temperature is discussed by the environments of their H and Cs nuclei.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.25 no.5
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• pp.387-395
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• 2022

Purpose: Toxins produced by Clostridioides difficile infection (CDI) can cause enteritis and diarrhea. Although the number of pediatric CDI cases is increasing, the clinical management of pediatric CDI, including patient characteristics and prognosis, remains unclear. This study aimed to elucidate the background and clinical course of patients with CDI and evaluate the reliability of diagnostic tests in a tertiary pediatric hospital in Japan. Methods: We retrospectively analyzed the clinical data of children diagnosed with CDI between 2011 and 2021 at the Saitama Children's Medical Center in Saitama, Japan. Results: During the study period, 1,252 C. difficile antigen/toxin tests were performed, and 37 patients were diagnosed with CDI. The main underlying diseases among the patients were hematological and malignant disorders and gastrointestinal diseases, including inflammatory bowel disease (IBD) (59.4%). Two patients (5.4%) had an unremarkable medical history. Among the 37 patients, 27 (73.0%) were immunocompromised, 25 (67.6%) had a history of antibiotic use within the past two months, and 6 (16.2%) were negative on the initial test but were positive on the second test. Finally, 28 patients (75.7%) required primary antibiotic therapy only, and two patients with IBD required additional antibiotic therapy as secondary treatment. Conclusion: The number of pediatric patients with CDI is increasing. Both a comprehensive interview, including underlying diseases and history of antibiotic use, and an understanding of the features of clinical examinations should be emphasized to appropriately diagnose and treat CDI.

• The Korean Journal of Pain
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• v.35 no.3
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• pp.303-310
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• 2022

Background: Open gastrectomy causes severe postoperative pain. Therefore, we investigated the opioid-sparing effect of the ultrasound-guided bilateral erector spinae plane block (ESPB) after open gastrectomy. Methods: Adult patients undergoing open gastrectomy were randomly assigned to either the ESPB group (ESPB + fentanyl based intravenous patient-controlled analgesia [IV-PCA]) or a control group (fentanyl based IV-PCA only). The primary outcome was total fentanyl equivalent consumption during the first 24 hour postoperatively. Secondary outcomes were pain intensities using a numeric rating scale at the post-anesthesia care unit (PACU) and at 3, 6, 12, and 24 hour postoperatively, and the amount of fentanyl equivalent consumption during the PACU stay and at 3, 6, and 12 hour postoperatively, and the time to the first request for rescue analgesia. Results: Fifty-eight patients were included in the analysis. There was no significant difference in total fentanyl equivalent consumption during the first 24 hour postoperatively between the two groups (P = 0.471). Pain intensities were not significantly different between the groups except during the PACU stay and 3 hour postoperatively (P < 0.001, for both). Time to the first rescue analgesia in the ward was longer in the ESPB group than the control group (P = 0.045). Conclusions: Ultrasound-guided ESPB did not decrease total fentanyl equivalent consumption during the first 24 hour after open gastrectomy. It only reduced postoperative pain intensity until 3 hour postoperatively compared with the control group. Ultrasound-guided single-shot ESPB cannot provide an efficient opioid-sparing effect after open gastrectomy.

• Clinical Endoscopy
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• v.56 no.3
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• pp.367-374
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• 2023

Background/Aims: Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) using oblique-view EUS in patients with a surgically altered anatomy (SAA) of the upper gastrointestinal tract is limited because of difficult scope insertion due to the disturbed anatomy. This study aimed to investigate the efficiency of forward-view (FV)-EUS in performing FNA in patients with a SAA. Methods: We retrospectively investigated 32 patients with a SAA of the upper gastrointestinal tract who visited Aichi Cancer Center Hospital in Nagoya, Japan, between January 2014 and December 2020. We performed upper gastrointestinal EUS-FNA using FV-EUS combined with fluoroscopic imaging to confirm tumor recurrence or to make a decision before chemotherapy or after a failure of diagnosis by radiology. Results: We successfully performed EUS-FNA in all studied patients (100% technical success), with the specificity, sensitivity, and accuracy of 100%, 87.5%, and 87.8%, respectively, with no complications. Conclusions: EUS-FNA using FV-EUS combined with fluoroscopic imaging is an effective and safe technique for tissue acquisition in patients with a SAA.

• Clinical Endoscopy
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• v.56 no.2
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• pp.221-228
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• 2023

Background/Aims: Endoscopic ultrasound-guided tissue acquisition (EUS-TA) is essential for the diagnosis of pancreatic cancer. The feasibility of comprehensive genomic profiling (CGP) using samples obtained by EUS-TA has been under recent discussion. This study aimed to evaluate the utility of EUS-TA for CGP in a clinical setting. Methods: CGP was attempted in 178 samples obtained from 151 consecutive patients with pancreatic cancer at the Aichi Cancer Center between October 2019 and September 2021. We evaluated the adequacy of the samples for CGP and determined the factors associated with the adequacy of the samples obtained by EUS-TA retrospectively. Results: The overall adequacy for CGP was 65.2% (116/178), which was significantly different among the four sampling methods (EUS-TA vs. surgical specimen vs. percutaneous biopsy vs. duodenal biopsy, 56.0% [61/109] vs. 80.4% [41/51] vs. 76.5% [13/17] vs. 100.0% [1/1], respectively; p=0.022). In a univariate analysis, needle gauge/type was associated with adequacy (22 G fine-needle aspiration vs. 22 G fine-needle biopsy [FNB] vs. 19 G-FNB, 33.3% (5/15) vs. 53.5% (23/43) vs. 72.5% (29/40); p=0.022). The sample adequacy of 19 G-FNB for CGP was 72.5% (29/40), and there was no significant difference between 19 G-FNB and surgical specimens (p=0.375). Conclusions: To obtain adequate samples for CGP with EUS-TA, 19 G-FNB was shown to be the best in clinical practice. However, 19 G-FNB was not still sufficient, so further efforts are required to improve adequacy for CGP.