• Yonsei Medical Journal
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• v.59 no.9
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• pp.1079-1087
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• 2018

Purpose: Obstructive sleep apnea and chronic obstructive pulmonary disease are independent risk factors of cardiovascular disease (CVD), and their coexistence is known as overlap syndrome (OS). Endothelial dysfunction is the initial stage of CVD; however, underlying mechanisms linking OS and CVD are not well understood. The aim of this study was to explore whether OS can lead to more severe inflammation and endothelial apoptosis by promoting endothelial dysfunction, and to assess the intervention effects of antioxidant tempol. Materials and Methods: Male Wistar rats (n=66) were exposed to normal oxygen [normal control (NC) group], intermittent hypoxia (IH group), cigarette smoke (CH group), as well as cigarette smoke and IH (OS group). Tempol intervention was assessed in OS group treated with tempol (OST group) or NaCl (OSN group). After an 8-week challenge, lung tissues, serum, and fresh blood were harvested for analysis of endothelial markers and apoptosis. Results: The levels of intracellular adhesion molecule-1, vascular cellular adhesion molecule-1, and apoptosis in circulating epithelial cells were the highest in OS group and the lowest in NC group. These levels were all greater in IH group than in CH group, and were lower in OST group than in OS and OSN groups (all p<0.001). Conclusion: Synergistic effects of IH with cigarette smoke-induced emphysema produce a greater inflammatory status and endothelial apoptosis. OS-related inflammation and endothelial cell apoptosis may play important roles in promoting cardiovascular dysfunction, and antioxidant tempol could achieve a partial protective effect.

• Ecology and Resilient Infrastructure
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• v.7 no.4
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• pp.336-344
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• 2020

The prediction and evaluation of driftwood accumulation around river-crossing structures are essential because driftwood accumulation increases during flood disasters. In this study, the driftwood accumulation and behavior around bridge piers were evaluated via a numerical model that could be employed to analyze three-dimensional turbulent flow and driftwood motion. The moving particle semi-implicit-based model for driftwood motion was sensitive to the number of spheres. The numerical results showed that the approach velocity and the ratio of driftwood length to pier width were the key factors influencing driftwood accumulation, whereas the driftwood density had only a minor influence. Overall, it is expected that this study will contribute to the development of improved risk evaluation indexes for assessing driftwood accumulation around river-crossing structures.

• Journal of the Korea Convergence Society
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• v.13 no.3
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• pp.113-124
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• 2022

This study was conducted to analyze the relationship between the levels of lead (Pb) exposure and cardiovascular disease (CVD) in Korean adult women. We used cross-sectional data on blood lead and self-reported diagnoses of ischemic heart disease (IHD), stroke and hypertension in a subsample of 1.821 adults 19 years and older who participated in the 2017 Korea National Health and Nutrition Examination Survey (KNHANES). CVD and blood Pb concentrations were analyzed through logistic regression analysis, and correlations between factors were confirmed using the pearson correlation coefficient. An increase of blood Pb was associated with an increased risk of IHD (OR 5.68, 95% CI 1.01-17.51) and hypertension (OR 3.37, 95% CI 2.24-5.07) only in women. Additionally, there was a correlation between blood Pb and nutrient intake. This suggest that blood Pb levels may be used as a key predictor of CVD development, and that women are more susceptable to IHD and hypertension associated with Pb exposure.

• Biomolecules & Therapeutics
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• v.31 no.3
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• pp.264-275
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• 2023

Parkinson's disease (PD) is a common neurodegenerative disorder characterized by tremors, bradykinesia, and rigidity. PD is caused by loss of dopaminergic (DA) neurons in the midbrain substantia nigra (SN) and therefore, replenishment of DA neurons via stem cell-based therapy is a potential treatment option. Astrocytes are the most abundant non-neuronal cells in the central nervous system and are promising candidates for reprogramming into neuronal cells because they share a common origin with neurons. The ability of neural progenitor cells (NPCs) to proliferate and differentiate may overcome the limitations of the reduced viability and function of transplanted cells after cell replacement therapy. Achaete-scute complex homolog-like 1 (Ascl1) is a well-known neuronal-specific factor that induces various cell types such as human and mouse astrocytes and fibroblasts to differentiate into neurons. Nurr1 is involved in the differentiation and maintenance of DA neurons, and decreased Nurr1 expression is known to be a major risk factor for PD. Previous studies have shown that direct conversion of astrocytes into DA neurons and NPCs can be induced by overexpression of Ascl1 and Nurr1 and additional transcription factors genes such as superoxide dismutase 1 and SRY-box 2. Here, we demonstrate that astrocytes isolated from the ventral midbrain, the origin of SN DA neurons, can be effectively converted into DA neurons and NPCs with enhanced viability. In addition, when these NPCs are inducted to differentiate, they exhibit key characteristics of DA neurons. Thus, direct conversion of midbrain astrocytes is a possible cell therapy strategy to treat neurodegenerative diseases.

• Korean Journal of Clinical Pharmacy
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• v.33 no.3
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• pp.153-167
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• 2023

Objective: Bipolar disorder displays a spectrum of manifestations, including manic, hypomanic, depressive, mixed, psychotic, and atypical episodes, contributing to its chronic nature and association with heightened suicide risk. Creating effective pharmacotherapy guidelines is crucial for managing bipolar disorder and reducing its prevalence. Treatment algorithms grounded in science have improved symptom management, but variations in recommended medications arise from research differences, healthcare policies, and cultural nuances globally. Methods: This study compares Korea's bipolar disorder treatment algorithm with guidelines from the UK, Australia, and an international association. The aim is to uncover disparities in key recommended medications and their underlying factors. Differences in CYP450 genotypes affecting drug metabolism contribute to distinct recommended medications. Variances also stem from diverse guideline development approaches-expert consensus versus metaanalysis results-forming the primary differences between Korea and other countries. Results: Discrepancies remain in international guidelines relying on meta-analyses due to timing and utilized studies. Drug approval speeds further impact medication selection. However, limited high-quality research results are the main cause of guideline variations, hampering consistent treatment conclusions. Conclusion: Korea's unique Delphi-based treatment algorithm stands out. To improve evidence-based recommendations, large-scale studies assessing bipolar disorder treatments for the Korean population are necessary. This foundation will ensure future recommendations are rooted in scientific evidence.

• Transactions of the Korean Society of Pressure Vessels and Piping
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• v.18 no.2
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• pp.87-100
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• 2022

Unit capacity factor (utilization rate) of nuclear power plants (NPPs) is an important performance indicator. Since the first commercial operation of Kori Unit 1 began in April 1978, the utilization rate of domestic NPPs has gradually increased, reaching 90% from the end of the 1990s. However, due to various issues such as the Fukushima accident in 2011, corrosion of the CLP, the utilization rate dropped to 65~80%. In the early 1980s, the utilization rate of the U.S. NPPs was around 60%. However, since 2004, it has been consistently maintained above 90%. Therefore, in this study, we first examined the causes of declining the utilization rate in domestic NPPs. Next, the significances of the utilization rates are reviewed in five aspects: investment capability, electricity rate, safety and export, etc., with discussion on the current status of the utilization rates in the U.S. Based on this, three key factors are derived as the reasons of the increasing: equipment reliability program, on-line maintenance and the pursuit of institutional rationality. And finally, by synthesizing above results, the measures for increasing the utilization rate of domestic NPPs are proposed in terms of equipment management, institutional improvements, and personnel resources.

• Journal of the Korean Society of Food Culture
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• v.23 no.3
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• pp.403-409
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• 2008

Recently, the desire for low body weight, which is an abnormal weight construct along with obesity, has become an evident and serious problem in teenagers. In Korea, the desire for low weight is not perceived as an important problem, but it is rapidly expanding relative to the physical changes and developmental issues teenagers experience. The social atmosphere presented through mass media is the key influencer for the increasing low weight occurrence in teenagers. Because thoughts about beauty have changed among people, and since there is apparent blind interest in slim body shape and appearance, already low-weight individuals are attempting to lose weight along with obese persons. Thus, we consider it necessary to guide teenagers toward having correct perceptions with regard to weight and their own body shape, and that a healthy and appropriate weight is beautiful. Therefore, for this study, we investigated body perception, abnormal weight, attitude toward weight control, and factors related to eating behavior among teenage girls, who are considered the at risk group for overt body weight control behavior. Based on this, we have attempted to set in motion a systematic and active nutrition education program that will allow us to increase body satisfaction by educating on nutritional issues related to development, and ultimately, implant healthy body shape perceptions.

• Korean Journal of Social Welfare Studies
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• v.41 no.3
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• pp.213-239
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• 2010

The purpose of this research is to explore the explanatory factors of preference for the universality of the welfare system at the time of expanding the welfare system. In particular, considering endogenous problem that may occur in the process of analyzing the causal relationship between subjective perception and preference for welfare policy, the 2SLS regression analysis using instrument variables was attempted in this research. The key findings of this research were as follow. First, the groups who are opposed to the welfare state expansion, for example high income earners, low risk group, and employer/self-employer, prefer the more universal welfare systems. Second, the negative perception of welfare policy and recipients, which is stronger in older generation who experienced a much longer period of industrializaion, have a negative effect on preference for the universal welfare system. Last, we find that the endogenous problem arise in this research and distort the estimated regression coefficients. Therefore, subsequent studies must be mindful of this problem when they explain attitudes with attitudes.

• International conference on construction engineering and project management
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• 2020.12a
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• pp.188-197
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• 2020

Due to hazardous working environments at complex, unstructured, and dynamic construction sites, workers frequently face potential safety and health risks throughout the construction process. In this regard, addressing safety challenges remains one of the top priorities. Construction workers' ability to identify and assess risks is acquired through training, which is one of the primary key factors to determine their safety and wellbeing in hazardous working environments. As such, safety managers constantly focus on the effectiveness of the training materials provided to the workers. However, the construction workers are considerably at greater risk of injuries and fatalities compared to the workers in other industries. In this regard, further studies are required to build up a body of knowledge on the conventional safety training approaches as well as their evaluation techniques in order to boost up the adoption by the practitioners in a widespread manner. This paper provides a systematic review of the current safety training approaches and the various techniques for measuring their effectiveness. The attributes of the current safety training methods for construction workers and their evaluation techniques are identified and analyzed. Results indicated that: 1) immersive environment-based training methods are effective than the traditional safety training methods; 2) this effectiveness can be empirically supported by evaluation strategies, but the current techniques are subjective, intrusive, and error-prone. This research offers fresh opportunities to investigate the training strategies by objectively monitoring the physiological responses of construction crews. The results of this study can be used by researchers and practitioners to identify and determine optimal safety training programs that could potentially become ubiquitous in the construction industry.

• Journal of Food and Nutrition Research
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• v.9 no.3
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• pp.163-169
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• 2021

Decreased adipocyte fatty acid oxidation (FAO) and impaired preadipocyte differentiation characterize hypertrophic expansion of adipose tissue (AT) from obese and insulin resistant humans and are recognized as potential mechanisms for obesity-mediated dyslipidemia. Supplementation of formononetin (FMN), one of the principal isoflavones extracted from red clover or Huangqi (Astragalus roots), has been shown to have beneficial effects on obesity-related hyperlipidemia, a well-established cardiovascular risk factor. However, a target tissue and underlying mechanism(s) through which FMN acts have been under-investigated. Thus, we investigated whether FMN promotes adipocyte FAO and preadipocyte differentiation using 3T3-L1 preadipocytes to provide potential mechanisms of FMN action. We further extended this to the culture of 10T1/2 mesenchymal stem cells (MSCs) as well as mouse AT explants to reflect in vivo effects of FMN. In fully differentiated 3T3-L1 adipocytes, FMN-treatment significantly increased the expression levels of FAO-related proteins such as pAMPK, pACC, and CPT1, all of which were consistently upregulated in AT explant cultures treated with 10 μM FMN. In addition, FMN significantly enhanced the degree of differentiation of both 3T3-L1 preadipocytes and 10T1/2 MSCs into adipocytes as evidenced by Oil Red O staining of cellular lipids. This observation correlated with increased expression levels of key adipogenic transcription factors (PPARγ and C/EBPα) and their down-stream target proteins (FABP4, Glut4 and adiponectin). Moreover, FMN failed to exert its stimulatory effects on preadipocyte differentiation in both cell types in the presence of a PPARγ antagonist, suggesting a PPARγ-dependent effect of FMN. Collectively, these data provide possible mechanisms of action of FMN on lipid metabolism and further support the favorable in vivo effects of FMN in diet and obesity-induced dyslipidemia.