• Journal of Trauma and Injury
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• v.37 no.1
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• pp.20-27
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• 2024

Purpose: Severe abdominal injuries often require immediate clinical assessment and surgical intervention to prevent life-threatening complications. In Jeju Regional Trauma Center, we have instituted a protocol for emergency department (ED) laparotomy at the trauma bay. We investigated the mortality and time taken from admission to ED laparotomy. Methods: We reviewed the data recorded in our center's trauma database between January 2020 and December 2022 and identified patients who underwent laparotomy because of abdominal trauma. Laparotomies that were performed at the trauma bay or the ED were classified as ED laparotomy, whereas those performed in the operating room (OR) were referred to as OR laparotomy. In cases that required expeditious hemostasis, ED laparotomy was performed appropriately. Results: From January 2020 to December 2022, 105 trauma patients admitted to our hospital underwent emergency laparotomy. Of these patients, six (5.7%) underwent ED laparotomy. ED laparotomy was associated with a mortality rate of 66.7% (four of six patients), which was significantly higher than that of OR laparotomy (17.1%, 18 of 99 patients, P=0.006). All the patients who received ED laparotomy also underwent damage control laparotomy. The time between admission to the first laparotomy was significantly shorter in the ED laparotomy group (28.5 minutes; interquartile range [IQR], 14-59 minutes) when compared with the OR laparotomy group (104 minutes; IQR, 88-151 minutes; P<0.001). The two patients who survived after ED laparotomy had massive mesenteric bleeding, which was successfully ligated. The other four patients, who had liver laceration, kidney rupture, spleen injury, and pancreas avulsion, succumbed to the injuries. Conclusions: Although ED laparotomy was associated with a higher mortality rate, the time between admission and ED laparotomy was markedly shorter than for OR laparotomy. Notably, major mesenteric hemorrhages were effectively controlled through ED laparotomy.

• Journal of Trauma and Injury
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• v.37 no.1
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• pp.28-36
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• 2024

Purpose: Recent advancements in interventional radiology have made angioembolization an invaluable modality in trauma care. Angioembolization is typically performed by interventional radiologists. In this study, we aimed to investigate the safety and efficacy of emergency angioembolization performed by trauma surgeons. Methods: We identified trauma patients who underwent emergency angiography due to significant trauma-related hemorrhage between January 2020 and June 2023 at Jeju Regional Trauma Center. Until May 2022, two dedicated interventional radiologists performed emergency angiography at our center. However, since June 2022, a trauma surgeon with a background and experience in vascular surgery has performed emergency angiography for trauma-related bleeding. The indications for trauma surgeon-performed angiography included significant hemorrhage from liver injury, pelvic injury, splenic injury, or kidney injury. We assessed the angiography results according to the operator of the initial angiographic procedure. The term "failure of the first angioembolization" was defined as rebleeding from any cause, encompassing patients who underwent either re-embolization due to rebleeding or surgery due to rebleeding. Results: No significant differences were found between the interventional radiologists and the trauma surgeon in terms of re-embolization due to rebleeding, surgery due to rebleeding, or the overall failure rate of the first angioembolization. Mortality and morbidity rates were also similar between the two groups. In a multivariable logistic regression analysis evaluating failure after the first angioembolization, pelvic embolization emerged as the sole significant risk factor (adjusted odds ratio, 3.29; 95% confidence interval, 1.05-10.33; P=0.041). Trauma surgeon-performed angioembolization was not deemed a significant risk factor in the multivariable logistic regression model. Conclusions: Trauma surgeons, when equipped with the necessary endovascular skills and experience, can safely perform angioembolization. To further improve quality control, an enhanced training curriculum for trauma surgeons is warranted.

• Korean Journal of Health Education and Promotion
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• v.20 no.3
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• pp.221-237
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• 2003

As the population ages, health problems of the elderly, including functional disorders and cognitive impairment, have become some of the most important social issues in Korea. The purpose of this study is to discover the rate of prevalence and factors related to dementia among the elderly in Jeju Province. 2405 elderly in Jeju Province were interviewed, using a questionnaire consisting of sociodemographic characteristics： health behavior, quality of life, and MMSE-K. Prevalence of dementia was 9.4%(11.7% of females, 4.1% of males). Factors related to dementia, analyzed by multiple logistic regression, were age, working status, subjective health status, social support, and subjective economic status. In community health care for the elderly, factors relating to dementia have to be considered. When planning community health care, priority should be given to the elderly who： need care but live alone； lack social support； have a low standard of living； believe they are not in a good state of health； or whose life satisfaction is low.

• Proceedings of the Korean Society of Embryo Transfer Conference
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• 2003.10a
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• pp.76-76
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• 2003

• Proceedings of the Plant Resources Society of Korea Conference
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• 2002.04a
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• pp.38-38
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• 2002

• Journal of Ocean Engineering and Technology
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• v.19 no.5 s.66
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• pp.50-57
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• 2005

This study has been conducted to investigate corrosivity of carbon steel, Cu, Zn and Al for one year from Sept. 2003 to Aug. 2004. A model of ISO 9223-ISO 9226 that represents the relation between metal corrosions and environmental parameters was used for atmospheric corrosion evaluations. Environmental parameters for these evaluations are time of wetness(TOW), $SO_2$ and Chloride. Corrosion rates for four metals which are exposed indoors and outdoors were measured on five locations in Jeju Island; Gosan, Seogwipo, Seongsan, Chuna hill and Jeju city. The environmental factor of atmospheric corrosion of Jeju Island for $SO_2$ class is P0, a clean area. TOW as T3 and T4 indicates that Jeju has the characteristics of a tropical area. Chlorides class within 3 km from the coast show the features of costal area as S2 and S3 classes. Chuna hill show the features of woodland as a S1 class. In Corrosion classes of each site which was measured outdoors is higher than indoors. Gosan is the highest class as the rank of C5, and indicated that they're ranked as C3 or C4.

• Proceedings of the Korean Society of Fisheries Technology Conference
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• 2003.05a
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• pp.396-396
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• 2003

Jeju Island, because of its location off the south coast of the Korean peninsula, has a varied marine mollusk fauna, As part of a continuing effort to enumerate and study the mollusks of the island, extensive SCUBA diving surveys have been done in the Sogwipo area, particularly around the islets of Munsom, Pomsum, and Supsum. (omitted)

• Proceedings of the KIEE Conference
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• 2005.07a
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• pp.130-132
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• 2005

In recent years, We have had many civil application about electromagnetic waves according to increasing of construction of electric power facilities. This paper describes human body effect by regulation management and the guidelines of human body protection of electromagnetic waves. We try to evaluate the effect of electromagnetic waves by actual measurement at wind power generation complexes in Hang-won, Jeju.

• Korean Journal of Environmental Biology
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• v.26 no.3
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• pp.226-232
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• 2008

Sampling of the ground beetles in four 'gotjawal' terrains of Jeju island was conducted from April to October, 2007, using pit-fall trap. Totally 2,887 individuals of 23 species belonged to 4 families were collected. The species diversity index was the highest at Aeweol gotjawal (AW), while it was the lowest in Hangyeong-Andeog gotjawal (HA). Clustering analysis revealed that the insect communities of four gotzawals were grouped in only one cluster. Jocheon-Hamdeog gotjawal (JH) formed a cluster with Gujwa-Sungsan gotjawal (GS) at the lowest chord distance (0.24). At the higher chord distance of 0.50, AW fused the cluster of JH and GS. HA fused with the rest three terrains, forming a single cluster at the highest chord distance of 0.98.

• Food Science and Biotechnology
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• v.17 no.5
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• pp.976-982
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• 2008

The 10 species of marine green algae was collected from Jejudo(Island) in Korea. Methanolic and aqueous extracts were prepared and screened for inhibition activities against tumor cell growth. Of the tested samples, the sea staghorn (Codium fragile) aqueous extract (CFAE) showed the highest activity on CT-26 cell growth. Therefore, CFAE was selected for further experiments and the possibility to induce apoptosis by the CFAE was investigated. Flow cytometric analysis revealed that it dose-dependently increased apoptotic cells with hypodiploid DNA contents in CT-26 cell line. These results indicated that CFAE can suppress the growth of CT-26 cells through apoptosis. The CFAE decreased the protein expression of anti-apoptotic Bcl-xL and led to the activation of caspase-3 and -7. A crude polysaccharide was separated from CFAE and it mainly constituted with 61.2% galactose and 30.5% arabinose as analyzed by high performance liquid chromatography (HPLC).