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Medical Narrative Texts and Medical Ethics (의료 서사와 의료 윤리)

  • Choi, Sung-Min
    • Journal of Popular Narrative
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    • v.26 no.3
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    • pp.291-323
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    • 2020
  • In this paper, I review Pellegrino's Reader, The Philosophy of Medicine Reborn. Pellegrino has emphasized the humanities' reflection on the ethics of medicine. He insists that medical ethics should be re-established as modern society changes. This paper, based on Pellegrino's view, noted the problematic situation in literature and popular narrative texts. Indeed, I wanted to see what answer medical ethics could provide for us. Medical personnel had a philosophical dilemma or a conflict between reality and ethics. Pellegrino argues that medical personnel, above all, need to sympathize with the patient's pain and respond to their needs through interaction with them. This may seem like a very legitimate declaration. But a physician in literary texts and popular narrative texts is often exposed to this ethical dilemma. Through Lee Cheongjun's novel, we can reflect on how a medical personnel could lead a patient to a state of "goodness". And through medical dramas, we can grasp what ethical behaviors the public demands from a medical personnel. Now that the world is suffering from COVID-19, medical workers are in a great trouble, but at the same time, they are respected by the public and are also enhancing their value as ethical beings. Now that medical care has become an everyday narrative, medical ethics is becoming a prerequisite for living. This paper attempted to recognize the importance of medical ethics and to review the ethical issues embodied in medical narratives.

Research on Classical Crossover Arrangement Methods of Arias in Operas - Focused on Una Furtiva Lagrima, an Aria of an Opera called L'Elisir d'Amore - (오페라 아리아의 크로스오버 편곡기법 연구 - 오페라 사랑의 묘약 중 아리아 Una Furtiva Lagrima를 중심으로 -)

  • Shin, Del La;Shin, You-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.6
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    • pp.151-160
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    • 2020
  • In the past, musicians followed strict patterns written by composers when playing classical music. However, since the development of postmodernism, which puts an emphasis on unique individualities and various ways of thinking, following the strict patterns of classical music unquestioningly became less significant. Classical music was thought to be difficult to follow and enjoy for most people. Thus, musicians have found ways to keep the dignity of classical music but added familiarity in order to popularize arias in operas. They created classical crossover music and this type of music enabled people to enjoy easy access to classical music. However, not many studies focus on arrangement methods of changing classical music into crossover music. The goal of this study is to research on arrangement methods of crossover music based on the findings from precedent researches on operas. This study focused on analyzing musical structure including chords, rhythms and compositions of musical instruments. According to the analysis, original classical songs and popera, which is a type of crossover music, share similarities in terms of rhythms and chords. However, there are differences when it comes to compositions of musical instruments. In case of a jazz version, it uses AfroCuban rhythm as well as Bolero rhythm which is a part of ballad and jazz acoustic instruments are mainly used. Also, in order to reduce the feeling of classical music and to differentiate the jazz version from the original version, a lot of tension is used in voicing. This study can be helpful for any researches related to arrangements of classical crossover music.

Enhancement of Immune Activities of Fermented Morinda citrifolia L. (Noni) and Six Marker Compounds (노니 지표성분 6종과 발효노니의 면역활성 증진 효과)

  • Choi, Sun-Il;Han, Xionggao;Men, Xiao;Lee, Se-Jeong;Kim, Yong Deok;La, Im-Joung;Seong, Geum-Su;Lee, Ok-Hwan
    • Journal of Food Hygiene and Safety
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    • v.37 no.1
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    • pp.29-37
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    • 2022
  • This study will evaluate the effect of fermented Morinda citrifolia L. extracts and its marker compounds to provide baseline data for utilizing Morinda citrifolia L. as functional health products. Morinda citrifolia L. and six marker compounds were processed on RAW 246.7 macrophage to test for XTT Cytotoxicity, measure Nitric Oxide and Cyokine formation, and analyze the expression of immune marker genes. Furthermore, LPS and fermented red ginseng extract, a common functional ingredient, are used as positive controls. Our results showed that fermented Morinda citrifolia L and six bioactive compounds did not have any cytotoxic effect in all treatment concentrations and groups. Among six bioactive compounds, SCP and ASE confirmed the formation of NO. In addition, the ASE treatment group showed increased formation of IL-6 and IL-1β and the expression of iNOS and TNF-α. Also, fermented Morinda citrifolia L extract activated the macrophage by enhancing the production of nitric oxide (NO), interleukin (IL)-6, and IL-1β, and the expression of COX2 compared to Morinda citrifolia L. extracts. The result of the study showed that Fermented Morinda citrifolia L. (Noni) and marker compound enhance the innate immunity activity and suggested that the bioactive compound could be applied as a marker compound. Thus, Fermented Morinda citrifolia L. (Noni) could be used as functional food material to develop immunity-enhancing products, and highly functional marker compounds can be utilized as the effective components.

Analysis of the minimum exposure position according to the additional filtration plate (부가여과판에 따른 최소한의 피폭 위치에 대한 분석)

  • Tae-Ri, Kim;Min-Ji, Kang;Sang-Hee, La;Yun-Jeong, Shin;Tae-Gyeom, Hong;Min-Cheol, Jeon
    • Journal of Advanced Technology Convergence
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    • v.1 no.2
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    • pp.11-17
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    • 2022
  • The purpose is to find out where medical workers can receive the minimum radiation does in clinical. In order to sett RQR standard quality of radiation, put a Al 1.5mm filter(row and column: 10 cm × 10 cm) on X-ray tube. Al 0.9 mm, Cu 0.3 mm, Ni 0.3 mm used as a filter. The Acrylic phantom were set to 13.1 cm, 18.5 cm, 21.1 cm. by the object thickness was different. As a results, when we use Al 0.9 mm, 1853 nSv was the highest numeral. It is a point of anode low 50 cm, when we use 13.1 cm Acrylic phantom. When we use Cu 0.3 mm, 173 nSv was the lowest numeral. It is a point of anode low 150 cm, when we use 13.1 cm Acrylic Phantom. In this study, it was confirmed that the spatial scattering dose decreased as the distance from the X-ray tube increased. It is considered that more studies on the exposure of scattered doses are needed in the future.

Development and Verification of Smart Greenhouse Internal Temperature Prediction Model Using Machine Learning Algorithm (기계학습 알고리즘을 이용한 스마트 온실 내부온도 예측 모델 개발 및 검증)

  • Oh, Kwang Cheol;Kim, Seok Jun;Park, Sun Yong;Lee, Chung Geon;Cho, La Hoon;Jeon, Young Kwang;Kim, Dae Hyun
    • Journal of Bio-Environment Control
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    • v.31 no.3
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    • pp.152-162
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    • 2022
  • This study developed simulation model for predicting the greenhouse interior environment using artificial intelligence machine learning techniques. Various methods have been studied to predict the internal environment of the greenhouse system. But the traditional simulation analysis method has a problem of low precision due to extraneous variables. In order to solve this problem, we developed a model for predicting the temperature inside the greenhouse using machine learning. Machine learning models are developed through data collection, characteristic analysis, and learning, and the accuracy of the model varies greatly depending on parameters and learning methods. Therefore, an optimal model derivation method according to data characteristics is required. As a result of the model development, the model accuracy increased as the parameters of the hidden unit increased. Optimal model was derived from the GRU algorithm and hidden unit 6 (r2 = 0.9848 and RMSE = 0.5857℃). Through this study, it was confirmed that it is possible to develop a predictive model for the temperature inside the greenhouse using data outside the greenhouse. In addition, it was confirmed that application and comparative analysis were necessary for various greenhouse data. It is necessary that research for development environmental control system by improving the developed model to the forecasting stage.

Growth performance, carcass traits, muscle fiber characteristics and skeletal muscle mRNA abundance in hair lambs supplemented with ferulic acid

  • Pena-Torres, Edgar Fernando;Castillo-Salas, Candelario;Jimenez-Estrada, Ismael;Muhlia-Almazan, Adriana;Pena-Ramos, Etna Aida;Pinelli-Saavedra, Araceli;Avendano-Reyes, Leonel;Hinojosa-Rodriguez, Cindy;Valenzuela-Melendres, Martin;Macias-Cruz, Ulises;Gonzalez-Rios, Humberto
    • Journal of Animal Science and Technology
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    • v.64 no.1
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    • pp.52-69
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    • 2022
  • Ferulic acid (FA) is a phytochemical with various bioactive properties. It has recently been proposed that due to its phytogenic action it can be used as an alternative growth promoter additive to synthetic compounds. The objective of the present study was to evaluate the growth performance, carcass traits, fiber characterization and skeletal muscle gene expression on hair-lambs supplemented with two doses of FA. Thirty-two male lambs (n = 8 per treatment) were individually housed during a 32 d feeding trial to evaluate the effect of FA (300 and 600 mg d-1) or zilpaterol hydrochloride (ZH; 6 mg d-1) on growth performance, and then slaughtered to evaluate the effects on carcass traits, and muscle fibers morphometry from Longissimus thoracis (LT) and mRNA abundance of β2-adrenergic receptor (β2-AR), MHC-I, MHC-IIX and IGF-I genes. FA increased final weight and average daily gain with respect to non-supplemented animals (p < 0.05). The ZH supplementation increased LT muscle area, with respect to FA doses and control (p < 0.05). Cross-sectional area (CSA) of oxidative fibers was larger with FA doses and ZH (p < 0.05). Feeding ZH increased mRNA abundance for β2-AR compared to FA and control (p < 0.05), and expression of MHC-I was affected by FA doses and ZH (p < 0.05). Overall, FA supplementation of male hair lambs enhanced productive variables due to skeletal muscle hypertrophy caused by MHC-I up-regulation. Results suggest that FA has the potential like a growth promoter in lambs.

Pediatric Inflammatory Bowel Disease: A Multicenter Study of Changing Trends in Argentina Over the Past 30 Years

  • Arcucci, Maria Soledad;Contreras, Monica Beatriz;Gallo, Julieta;Antoniska, Mariela Andrea;Busoni, Veronica;Tennina, Cecilia;D’Agostino, Daniel;Kakisu, Maria Hisae;Weyersberg, Christian;Orsi, Marina
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.25 no.3
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    • pp.218-227
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    • 2022
  • Purpose: To analyze the characteristics of pediatric inflammatory bowel disease (IBD) over the past three decades in Argentina and determine if there are differences between the first two decades and the past decade. Methods: We conducted a retrospective multicenter analytical study in children with IBD between 0 and 18 years of age diagnosed between 1987 and 2017 in three tertiary health centers in Argentina. The evaluation included clinical characterization, endoscopy, histology, and imaging data together with therapeutic strategies. The patients were divided into two groups: Group 1, diagnosed between 1987 and 2007, and Group 2, diagnosed between 2008 and 2017. Results: Of the 756 patients included, 409 (54%) had ulcerative colitis (UC), 250 (33%) had Crohn's disease (CD), and 97 (13%) had IBD-unclassified (IBD-U). The positive family history was 3.8%, which was more frequent among children under two years of age (6.7%). There were no significant differences in clinical presentation and extraintestinal manifestations between periods, with hepatic manifestations being the most frequent. In the last decade, we found an upward trend in CD, a downward trend in UC/IBD-U, even after adjustment for socioeconomic status, and a decrease of 50% in surgical treatments coinciding with the advent of biological therapy. Conclusion: This is the first multicenter cohort study in a Latin American country to describe clinical, endoscopic, and therapeutic data across the past 30-year period. Although CD was responsible for the overall increase in incidence, UC was still prevalent in this region.

BEEF MEAT TRACEABILITY. CAN NIRS COULD HELP\ulcorner

  • Cozzolino, D.
    • Proceedings of the Korean Society of Near Infrared Spectroscopy Conference
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    • 2001.06a
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    • pp.1246-1246
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    • 2001
  • The quality of meat is highly variable in many properties. This variability originates from both animal production and meat processing. At the pre-slaughter stage, animal factors such as breed, sex, age contribute to this variability. Environmental factors include feeding, rearing, transport and conditions just before slaughter (Hildrum et al., 1995). Meat can be presented in a variety of forms, each offering different opportunities for adulteration and contamination. This has imposed great pressure on the food manufacturing industry to guarantee the safety of meat. Tissue and muscle speciation of flesh foods, as well as speciation of animal derived by-products fed to all classes of domestic animals, are now perhaps the most important uncertainty which the food industry must resolve to allay consumer concern. Recently, there is a demand for rapid and low cost methods of direct quality measurements in both food and food ingredients (including high performance liquid chromatography (HPLC), thin layer chromatography (TLC), enzymatic and inmunological tests (e.g. ELISA test) and physical tests) to establish their authenticity and hence guarantee the quality of products manufactured for consumers (Holland et al., 1998). The use of Near Infrared Reflectance Spectroscopy (NIRS) for the rapid, precise and non-destructive analysis of a wide range of organic materials has been comprehensively documented (Osborne et at., 1993). Most of the established methods have involved the development of NIRS calibrations for the quantitative prediction of composition in meat (Ben-Gera and Norris, 1968; Lanza, 1983; Clark and Short, 1994). This was a rational strategy to pursue during the initial stages of its application, given the type of equipment available, the state of development of the emerging discipline of chemometrics and the overwhelming commercial interest in solving such problems (Downey, 1994). One of the advantages of NIRS technology is not only to assess chemical structures through the analysis of the molecular bonds in the near infrared spectrum, but also to build an optical model characteristic of the sample which behaves like the “finger print” of the sample. This opens the possibility of using spectra to determine complex attributes of organic structures, which are related to molecular chromophores, organoleptic scores and sensory characteristics (Hildrum et al., 1994, 1995; Park et al., 1998). In addition, the application of statistical packages like principal component or discriminant analysis provides the possibility to understand the optical properties of the sample and make a classification without the chemical information. The objectives of this present work were: (1) to examine two methods of sample presentation to the instrument (intact and minced) and (2) to explore the use of principal component analysis (PCA) and Soft Independent Modelling of class Analogy (SIMCA) to classify muscles by quality attributes. Seventy-eight (n: 78) beef muscles (m. longissimus dorsi) from Hereford breed of cattle were used. The samples were scanned in a NIRS monochromator instrument (NIR Systems 6500, Silver Spring, MD, USA) in reflectance mode (log 1/R). Both intact and minced presentation to the instrument were explored. Qualitative analysis of optical information through PCA and SIMCA analysis showed differences in muscles resulting from two different feeding systems.

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Geochemical and Isotopic Studies of the Cretaceous Igneous Rocks in the Yeongdong basin, Korea: Implications for the origin of magmatism in a pull-apart basin

  • H. Sagong;S.T. Kwon;C.S. Cheong;Park, S. H.
    • Proceedings of the Mineralogical Society of Korea Conference
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    • 2001.06a
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    • pp.95-95
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    • 2001
  • The Yeongdong basin is one of the pull-apart basins in the southwestern part of the Korean Peninsula that has developed during Cretaceous sinistal fault movement. The bimodal igneous activities (basalts and rhyolites) in the basin appear to be closely associated with the basin development. Here, we discuss the origin of the igneous rocks using chemical and radiogenic isotope data. Basaltic (48.4-52.7 wt% SiO$_2$) and rhyolitic (70.3-70.8 wt% SiO$_2$) rocks are slightly alkalic in a total alkali-silica diagram. The rhyolitic rocks with have unusually high K$_2$O contents (5.2-6.0 wt%). The basaltic rocks show an overall pattern of within-plate basalt in a MORB-normalized spider diagram, but have distinct negative anomaly of Nb, which indicates a significant amount of crustal component in the magma. The basaltic rocks plot within the calc-alkaline basalt field in the Hf/3-Th-Ta and Y/l5-La/10-Nb/8 discrimination diagrams. The eNd(T) values of the basaltic rocks (-13.6 to 14.3) are slightly higher than those of the rhyolitic rocks (-14.1 to 15.2), and the initial Sr isotopic ratios of the former (0.7085-0.7093) are much lower than those of the latter (0.7140-0.7149). However, the initial Nd and Sr isotope ratios of the igneous rocks in the Yeongdong basin are similar to those of the nearby Cretaceous igneous rocks in the Okcheon belt. The Pb isotope ratios plot within the field of Mesozoic granitoids outside of the Gyeongsang basin in Pb-Pb correlation diagrams. Since a basaltic magma requires the mantle source, the enriched isotopic signatures and negative Nb anomaly of the basaltic rocks suggest two possibilities for their origin: enriched mantle lithospheric source, or depleted mantle source with significant amount of crustal contamination. However, we prefer the first possibility since it would be difficult for a basaltic magma to maintain its bulk composition when it is significantly contaminated with granitic crustal material. The slightly more enriched isotopic signatures of rhyolitic rocks also suggest two possibilities: differentiate of the basaltlc magma with some crustal contamination, or direct partial melting of the lower crust. Much larger exposed volume of the rhyolitic rocks, compared with the basaltic rocks, indicates the latter possibility more favorable.

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Studies on the Growth Characters and Nutrient Uptake Related to Source and Sink by Cool Water Temperature at Reproductive Growth Stage I. Influence of Cool Water Irrigation on the Degeneration and Differentiation of Rachis Branches and Spikelets, Sterility Ratio and Ripening Ratio of Rice (생식생장기 냉수온이 벼의 Source와 Sink관련형질 및 양분호흡에 미치는 연구 I. 냉수관개가 지경과 영화의 분화 및 퇴화, 불임, 등숙에 미치는 영향)

  • Choi, Su-Il;La, Jong-Seong;So, Jae-Don;Lee, Man-Sang
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.30 no.4
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    • pp.359-367
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    • 1985
  • This experiment was conducted to study effect of cold water damage on some growth characters related to source and sink at reproductive growth stage in Jinan (sea level 303m). The cold water irrigation duration had irrigated 4, 8 and 12 days at panicle formation stage and reproduction division stage compared to perennial water irrigation. Cold water irrigation shortened culm length and panicle length and degree of panicle exsertion. The shortening effect appeared great at lower internodes when treated at panicle formation stage but at higher internodes when treated at reduction division stage. Cold water irrigation decreased the number of secondary branches and spikelets per panicle, and increased the number of degenerated spikelets being high degeneration when treated at panicle formation stage. Spikelet sterility and impediment of grain filling were affected by duration of cold water irrigation being great when treated at spikelet primodium differentiation stage and reduction division stage in particular. Grain weight was also reduced. Significant relationship existed between spikelets sterility, grain filling and yield. The degeneration of secondary branches and spikelets correlated with leaf area but spikelet sterility and yield with culm length, panicle length and panicle exsertion.

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