• Journal of The Korean Society of Clinical Toxicology
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• v.18 no.2
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• pp.136-140
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• 2020

Purpose: The association of the initial serum ammonia level with in-hospital mortality in patients with acute glufosinate-ammonium herbicide poisoning was studied. Methods: This retrospective cohort study was conducted between March 2012 and August 2019 in the emergency department after glufosinate-ammonium herbicide poisoning. Survivors and non-survivors were analyzed using a Mann-Whitney U test and Fisher's exact test. Multivariate logistic regression analysis was performed to determine the independent risk factors for mortality. Results: One hundred and six patients were enrolled; 11 died, yielding a mortality of 10.4%. The serum bicarbonate level was significantly lower in the non-survival group than the survival group. Age, serum ammonia, blood urea nitrogen, creatinine levels, SOFA score, and APACHE II score were significantly higher in the non-survival group than the survival group. Age, serum ammonia, and creatinine level were independent risk factors for mortality in multivariate logistic regression analysis. Conclusion: The initial serum ammonia level is associated with mortality in patients with acute glufosinate herbicide poisoning.

• Journal of Fisheries and Marine Sciences Education
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• v.28 no.1
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• pp.1-13
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• 2016

Physiological response of fish and bivalve was estimated to identify the physiological changes of test species by lowering water temperature due to the abrupt stop of cooling water discharge from power plant. The experiment was conducted by two conditions; fall and winter by decreasing water temperature ($2^{\circ}C$/2 days) from $26^{\circ}C$ to $17^{\circ}C$ for fall scenario and from $15^{\circ}C$ to $9^{\circ}C$ for winter scenario, respectively. Test organisms were parrot fish (Oplegnathus fasciantus) and bivalve (Gomphina melanaegis), and end points were mortality for both species, hematocrit and cortisol for fish, and hemolymph and superoxide dismutase(SOD) for bivalve. 48/96hr mortality test revealed no mortality for fish and 47% mortality for bivalve at 96hr/$26^{\circ}C$ only. Significant increases of hematocrit and cortisol were found at fishes exposed to $26^{\circ}C$ (high temperature) and lower temperature ($9{\sim}13^{\circ}C$), respectively. Hemolymph and SOD for bivalve tended to decrease by lowering water temperature from 15 to $9^{\circ}C$ (winter scenario) and no changes from 26 to $17^{\circ}C$ (fall scenario). Fall scenario (from 15 to $9^{\circ}C$) showed more significant changes of physiological response than winter cases (26 to $17^{\circ}C$).

• Health Policy and Management
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• v.24 no.3
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• pp.271-282
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• 2014

Background: Although the mortality rate in cancers has been decreased recently, it is still one of the leading causes of death in most of the countries. This study analyzed the relationship between surgery volume and in hospital mortality of cancer patients. The purpose of this study is to investigate the relationship in Korean healthcare environment and to provide information for the policy development in reducing cancer mortality. Methods: The study sample was the 20,517 cancer patients who underwent surgery and discharged during a month period between 2008-2011. The data were collected in Patient Survey by Korean Institute of Social Affairs. Logistic regression was used to analyse a comprehensive analytic model that includes a binary dependent variable indicating death discharge and independent variables such as surgery volume, organizational characteristics of hospitals, socio-economical characteristics of the patients, and severity of disease indicators. Results: In chi-square test, as the surgery volume increases, the in-hospitals mortality showed a downward trends. In regression analysis, the relationship between surgery volume and mortality showed significant negative associations in all types of cancer except for pancreatic cancer. Conclusion: In the absence of other information patients undergoing cancer surgery can reduce their risk of operative death by selecting a high-volume hospital. Therefore, policies to enhance centralization of cancer surgery services should be considered.

• Journal of Korean Clinical Nursing Research
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• v.28 no.1
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• pp.1-12
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• 2022

Purpose: The purpose of this study is to investigate the association between the nurse staffing level and the patient mortality using Korean National Health Insurance data. Methods: The data of 1,068,059 patients from 913 hospitals between 2015 and 2016 were analyzed. The nurse staffing level was categorized based on the bed-to-nurse ratio in general wards, intensive care units (ICUs), and hospitals overall. The x² test and generalized estimating equations (GEE) multilevel multivariate logistic regression analyses were used to explore in-hospital mortality and 30-day mortality after admission. Results: The in-hospital mortality rate was 2.9% and 30-day mortality after admission rate was 3.0%. Odd Ratios (ORs) for in-hospital mortality were statistically lower in general wards with a bed-to-nurse ratio of less than 3.5 compared to that with 6.0 or more (OR=0.72, 95% CI=0.63~0.84) and in ICUs with a bed-to-nurse ratio of less than 0.88 compared to that with 1.25 or more (OR=0.78, 95% CI=0.66~0.92). ORs for 30-day mortality after admission were statistically lower in general wards with a bed-to-nurse ratio of less than 3.5 compared to that with 6.0 or more (OR=0.83, 95% CI=0.73~0.94) and in ICUs with a bed-to-nurse ratio of less than 0.63 compared to that with 1.25 or more (OR=0.85, 95% CI=0.72~1.00). Conclusion: To reduce the patient mortality, it is necessary to ensure a sufficient number of nurses by improving the nursing fee system according to the nurse staffing level.

• Journal of Korea Entertainment Industry Association
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• v.13 no.6
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• pp.165-173
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• 2019

This study aims to examine the moderating effects of band circuit training for the mortality improvement of elderly women to provide an effective exercise moderating program for the enhanced quality of life of the elderly. To achieve the purpose of this study, the moderating effects of 8 weeks of band circuit training in the Senior Fitness Tests (SFT) and Sitting Rising Tests (SRT) of elderly women ages 65 and older in Y city were examined and the following results were gained. The functional fitness of elderly women according to the moderating effects of band circuit training (sitting down in a chair and standing up, lifting 2 kg dumbbells, walking in place for 2 minutes, sitting in a chair and bending forward, hand holding behind one's back, walking back and forth for 2.44 m) and the Sitting Rising Test (SRT) displayed statistically significant interaction effects among measurement times and groups and positive improvements were shown in the test group after band circuit training moderation. These research results show that band circuit training moderation has a positive effect on functional fitness and SRT, which are associated with the mortality rate of the elderly, and thus it can be applied as an effective exercise moderation program for the improvement of quality of life through the mortality improvement of the elderly.

• Korean Journal of Adult Nursing
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• v.14 no.1
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• pp.93-101
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• 2002

Using the APCHE III tool, this study was about the factors related to the death of ICU-patients. From 1999. 12. 1 to 2000. 9. 30, the 284 patients admitted to ICU at P university who were over 15 years of age were selected for the subjets. The data was analyzed through SPSS WIN program for frequency, percentile, $x^2$-test, t-test and logistic regression. The results are summarized as follows: 1) Of the 284 patients, 88died. The mortality is 31.0 percent. The average APACHE III point was $48.62{\pm}32.32$. The average point of non-survivors was higher than that of survivors. 2) There are the significant difference between APACHE III marks and mortality. The mortality rate were over 50 percent 60 points of the mark. When the marks were over 100 points, the mortality were over 90 percent. Below 40 points, the mortality was below 10 percent. Among the variables in the APACHE III, the most significant variables in explaining death were neurologic abnormalities, pulse, $PaO_2$/$AaDO_2$, creatinine, sodium, glucose, chronic health state and age. According to the variables, the models explained the 42.43 percent of the variance in patient's death. In conclusion, the APACHE III tool can be used to predict the progress of ICU patients, and can also be used for the selection of patients for ICU admission/discharge criteria.

• Journal of Environmental Science International
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• v.16 no.4
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• pp.425-432
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• 2007

The water flea has been used as a test organism of toxicity test for surface water. Toxicity test with water flea is categorized into two parts. One is acute toxicity test with observing immobility and mortality and the other is chronic toxicity test determined by survival and reproduction of water flea. Heartbeat measurement of water flea was designed as a short-term toxicity test in this study. Direct measurement of heartbeat under microscope by aid of video camera gives and early diagnosis of mortality in short time. Therefore, the effects of measuring illumination, measuring time, and non-feeding during the test on heartbeat of water flea was evaluated to establish a new test approach. Test organisms used in this study are Daphnia magna, a well standardizes toxicity test organism, and Simocephalus mixtus, a newly refined organism $IC_{50}$ values of these test organism by heartbeat measurement were compared and discussed. It was found that toxicity test by heartbeat measurement was a reproducible, easy and simple method accomplished in a few hours.

• Korean Journal of Fisheries and Aquatic Sciences
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• v.18 no.4
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• pp.363-368
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• 1985

Tagged and untagged sea urchins, Hemicentrotus pulcherrimus (A. Agassiz) were reared for 84 days in the laboratory, Vinyl tape and trapall paper were used as tag materials. The natural mortality, mortality by predation and shedding rate of tags of the tagged groups were examined, and the results were compared with those of untagged control group. The results of Chi-square test of natural mortality between tagged and control groups were very significative, however, the comparison between the two tagged groups was insignificative. No effect of tag attachment seems to be present at the point of natural predation by starfish, and $x^2-test$ between two the tagged groups on the loss rate of tags showed also insignificance. The mortality shortly after tagging seems to be negligible, and the distinct decreasing effect on growth due to tag attachment was not revealed because of insufficient individuals and rearing periods.

• Journal of Preventive Medicine and Public Health
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• v.46 no.2
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• pp.74-81
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• 2013

Objectives: The objective of this study was to evaluate the performance of risk-adjusted mortality models for colorectal cancer surgery. Methods: We investigated patients (n=652) who had undergone colorectal cancer surgery (colectomy, colectomy of the rectum and sigmoid colon, total colectomy, total proctectomy) at five teaching hospitals during 2008. Mortality was defined as 30-day or in-hospital surgical mortality. Risk-adjusted mortality models were constructed using claims data (basic model) with the addition of TNM staging (TNM model), physiological data (physiological model), surgical data (surgical model), or all clinical data (composite model). Multiple logistic regression analysis was performed to develop the risk-adjustment models. To compare the performance of the models, both c-statistics using Hanley-McNeil pair-wise testing and the ratio of the observed to the expected mortality within quartiles of mortality risk were evaluated to assess the abilities of discrimination and calibration. Results: The physiological model (c=0.92), surgical model (c=0.92), and composite model (c=0.93) displayed a similar improvement in discrimination, whereas the TNM model (c=0.87) displayed little improvement over the basic model (c=0.86). The discriminatory power of the models did not differ by the Hanley-McNeil test (p>0.05). Within each quartile of mortality, the composite and surgical models displayed an expected mortality ratio close to 1. Conclusions: The addition of clinical data to claims data efficiently enhances the performance of the risk-adjusted postoperative mortality models in colorectal cancer surgery. We recommended that the performance of models should be evaluated through both discrimination and calibration.

• Journal of Oriental Neuropsychiatry
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• v.24 no.1
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• pp.131-144
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• 2013

Objectives : To provide information on the safety of ACM, we carried out a single oral dose-increasing toxicity and 4-weeks repeated oral dose determining test of ACM in beagle dogs. Methods : In a single oral dose-increasing toxicity test, beagles were treated with ACM orally increasing dose level (1,000, 2,000, 5,000 mg/㎏) at interval of 3 days. After administration, signs of toxicity were observed for two weeks. In 4-weeks repeated oral dose determinating test, beagles were treated with ACM with oral dose 500, 1,000, 2,000 mg/kg for 4 weeks. Mortality, clinical signs, body weight changes, food consumption, urinalysis, hematological and biochemical parameters, organ weights, necropsy findings, and histological findings were monitored during the study period. Results : In a single oral dose-increasing toxicity test, we found no mortality, abnormalities in clinical signs, body weight, and necropsy findings during the study period. In 4-weeks repeated oral dose determinating test, we found no mortality, abnormalities in clinical signs, body weight, food consumption, urinalysis, hematological and biological parameters, gross findings, organ weights, necropsy findings, and histopathological findings in any of the beagles tested. Conclusions : The results obtained in these studies suggest that maximum tolerated dose (MTD) of ACM in male and female beagle dogs was supposed to be over 5,000 mg/kg. For the future studies of toxicity, it is advisable that high dose and low dose are set at 2000 mg/kg and 500 mg/kg, respectively.