• Korean Circulation Journal
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• v.52 no.9
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• pp.699-711
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• 2022

Background and Objectives: We investigated whether extra-pulmonary vein (PV) ablation targeting a high maximal slope of the action potential duration restitution curve (Smax) improves the rhythm outcome of persistent atrial fibrillation (PeAF) ablation. Methods: In this open-label, multi-center, randomized, and controlled trial, 178 PeAF patients were randomized with 1:1 ratio to computational modeling-guided virtual Smax ablation (V-Smax) or empirical ablation (E-ABL) groups. Smax maps were generated by computational modeling based on atrial substrate maps acquired during clinical procedures in sinus rhythm. Smax maps were generated during the clinical PV isolation (PVI). The V-Smax group underwent an additional extra-PV ablation after PVI targeting the virtual high Smax sites. Results: After a mean follow-up period of 12.3±5.2 months, the clinical recurrence rates (25.6% vs. 23.9% in the V-Smax and the E-ABL group, p=0.880) or recurrence appearing as atrial tachycardia (11.1% vs. 5.7%, p=0.169) did not differ between the 2 groups. The post-ablation cardioversion rate was higher in the V-Smax group than E-ABL group (14.4% vs. 5.7%, p=0.027). Among antiarrhythmic drug-free patients (n=129), the AF freedom rate was 78.7% in the V-Smax group and 80.9% in the E-ABL group (p=0.776). The total procedure time was longer in the V-Smax group (p=0.008), but no significant difference was found in the major complication rates (p=0.497) between the groups. Conclusions: Unlike a dominant frequency ablation, the computational modeling-guided V-Smax ablation did not improve the rhythm outcome of the PeAF ablation and had a longer procedure time.

• Journal of The Korean Society of Inherited Metabolic disease
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• v.24 no.1
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• pp.26-36
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• 2024

Lesch-Nyhan syndrome (LNS) is an Clinical symptoms can range from mild to severe depending on residual enzyme activity and genetic mutations. In Korea, 27 cases of LNS have been reported. We report the results of an 11-year comparative follow-up of two cases of children who visited because of pink diapers, one who died from LNS with no residual enzymes and one case with partial residual enzymes. Case 1: During follow-up, seizures, developmental delay, and regression were observed. The boy experienced insomnia and severe constipation. He exhibited self-mutilating behavior, a grand mal seizure, scoliosis with severe spasticity, truncal hypotonia, choreoathetoid movement, and ataxia. After prolonged emaciation, staghorn calculi, and recurrent pneumonia, the patient died suddenly at the age of 11 years. Genetic testing revealed a hemizygous HPRT1 variant (c.151C>T (p.Arg51Ter)). Uric acid level was 10.5 mg/dL (normal range: ~3.5-7.9) and HPRT activity 0.02 nmol/hr/spot (10-23.8 nmol/hr/spot). Case 2: During follow-up, the patient remained underweight. He has normal intelligence attending primary school. Self-mutilation symptoms were not observed. Regular renal ultrasonography did not reveal urolithiasis. The patient had a hemizygous HPRT1 variant (c.35A>C (p.Asp12Ala)). Uric acid level and HPRT activity were 11 mg/dL and 0.56 nmol/hr/spot. Pink diapers after the neonatal period and severe protein aversion, neurological problems, and kidney stones, differentiation for LNS is necessary. When suspected, serum uric acid levels, HPRT enzyme activity, and molecular biological tests may be helpful in predicting the prognosis of LNS.

• Journal of Korea Water Resources Association
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• v.57 no.7
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• pp.481-491
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• 2024

Recent droughts make hydroelectric power generation (HPG) decreasing. Due to climate change in the future, the frequency and intensity of drought are expected to increase, which will increase uncertainty of HPG in multi-purpose dams. Therefore, it is necessary to estimate the amount of HPG according to climate change scenarios and analyze the effect of drought on the amount of HPG. This study analyzed the future HPG of the Soyanggang Dam and Chungju Dam according to the SSP2-4.5 and SSP5-8.5 scenarios. Regression equations for HPG were developed based on the observed data of power generation discharge and HPG in the past provided by My Water, and future HPGs were estimated according to the SSP scenarios. The effect of drought on the amount of HPG was investigated based on the drought severity calculated using the standardized precipitation index (SPI). In this study, the future SPIs were calculated using precipitation data based on four GCM models (CanESM5, ACCESS-ESM1-5, INM-CM4-8, IPSL-CM6A) provided through the environmental big data platform. Overall results show that climate change had significant effects on the amount of HPG. In the case of Soyanggang Dam, the amount of HPG decreased in the SSP2-4.5 and SSP5-8.5 scenarios. Under the SSP2-4.5 scenario the CanESM model showed a 65% reduction in 2031, and under the SSP5-8.5 scenario the ACCESS-ESM1-5 model showed a 54% reduction in 2029. In the case of Chungju Dam, under the SSP2-4.5 and SSP5-8.5 scenarios the average monthly HPG compared to the reference period showed a decreasing trend except for INM-CM4 model.

• Journal of Environmental Impact Assessment
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• v.33 no.4
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• pp.143-154
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• 2024

Heat waves caused by climate change are rapidly increasing health damage to vulnerable groups, and to prevent this, the national, regional, and local governments are establishing climate crisis adaptation policy. A representative climate crisis adaptation policy to reduce heat wave damage is to expand the number of cooling centers. Because it is highly effective in a short period of time, most metropolitan local governments, except Jeonbuk, include the project as an adaptation policy. However, the criteria for selecting a cooling centers are different depending on the budget and non-budget, so the utilization rate and effectiveness of the cooling centers are all different. Therefore, in this study, we developed logistic regression models that can predict and evaluate areas with a high probability of expanding cooling centers in order to implement adaptation policy in local governments. In Incheon Metropolitan City, which consists of various heat wave-vulnerable environments due to the coexistence of the old city and the new city, a logistic model was developed to predict areas where heat waves can be cooling centered by dividing it into Ganghwa·Ongjin-gun and other regions, taking into account socioeconomic and environmental differences. As a result of the study, the statistical model for the Ganghwa·Ogjin-gun region showed that the higher the ground surface temperature and the more and more the number of elderly people over 65 years old, the higher the possibility of location of cooling centers, and the prediction accuracy was about 80.93%. The developed logistic regression model can predict and evaluate areas with a high potential as cooling centers by considering regional environmental and social characteristics, and is expected to be used for priority selection and management when designating additional cooling centers in the future.

• Journal of the Korean Society of Earth Science Education
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• v.17 no.2
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• pp.123-136
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• 2024

This study examines the performance expectations (PEs) and clarification statements of each PE in the 2022 revised national science and mathematics education standards from a data visualization competency perspective. First, the authors intensively reviewed data visualization literature to define key competencies and developed a framework comprising four main categories: collection and pre-processing skills, technical skills, thinking skills, and interaction skills. Based on the framework, the authors extracted a total of 191 mathematics and 230 science PEs from the 2022 revised science and mathematics education standards (Ministry of Education Ordinance No. 2022-33, Volumes 8 and 9) as the main data set. The analysis process consisted of three steps: first, the authors organized the data (421 PEs) by the four categories of the framework and four grade levels (3-4th, 5-6th, 7-9th, and 10th grade); second, the numbers of PEs in each grade level were standardized by the accomplishing period (1-3 years) of each PE depending on the grade level; lastly, the data set was represented by heatmaps to visualize the relationship between the four categories of visualization competency and four grade levels, and the differences between the competency categories and grade levels were quantitatively analyzed using the Mann-Whitney U test and independent sample Kruskal-Wallis tests. The analysis results revealed that in mathematics, there was no significant difference between the number of PEs by grade. However, on average, the number of PEs categorized in 'thinking skills' was significantly lower than those in the technical skills (p = .002) and interaction skills categories (p = .001). In science, it was observed that as grade level increased, PEs also increased (pairwise comparison: Grades 5-6 vs. 7-9, p = .001; Grades 5-6 vs. Grade 10, p = .029; Grades 3-4 vs. 7-9, p = .022). Particularly, the frequency of PEs in 'thinking skills' was significantly lower than in the other skills (pairwise comparison: technical skills p = .024; collection and pre-processing skills p = .012; interaction skills p = .010). Based on the results, two implications for revising national science and mathematics standards and teacher education were suggested.

• Journal of Ginseng Research
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• v.48 no.5
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• pp.504-510
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• 2024

Background: As a physiological function of body, immunity can maintain health by identifying itself and excluding others. With economic development and increasingly fierce social competition, the number of sub-healthy population is gradually increasing, and the most basic problem exposed is human hypoimmunity. Hypoimmunity can be manifested as often feeling tired, catching colds, mental depression, etc. In order to enhance immunity, eating healthy foods with the effect of enhancing immunity may become an effective choice. KRG has pharmacological effects of enhancing immunity. Because the screening and evaluation method of immune population are not unified, there are relatively few KRG immunity tests for sub-health population. It is of great significance to study the effect of KRG on people with hypoimmunity to improve sub-health status. Methods: This was a 180-day, randomized, double-blind, placebo-controlled clinical trial. According to the trial scheme design, 119 qualified subjects were included and randomly divided into the test group taking KRG and the placebo control group. Subjects need to check safety indicators (blood pressure and heart rate, blood routine, liver and kidney function, urine routine and stool routine) and efficacy indicators (main and secondary) inspection at baseline, efficacy indicators inspection during the mid-term of the test (90th days of administration), safety and efficacy indicators inspection after the test (180th days of administration). Results: After the test, the safety indicators of placebo control group and KRG test group were basically within the normal range, and there is no significant difference in fireness score between the two groups. Through follow-up interviews, it was found that the subjects in the test group and the control group had no adverse reactions and allergic reactions such as nausea, flatulence, diarrhea, and abdominal pain during the test period. Self-comparison of the test group, the results of the main efficacy indicators: (1) immune related health scores were significantly improved in the mid-term and after the test (P < 0.01), (2) CD3 and CD4/CD8 increased significantly after the test (P < 0.05), (3) IgG, IgA, IgM and WBC increased significantly in the mid-term and after the test (P < 0.01); the results of the secondary efficacy indicators: (1) TNF-α decreased significantly in the midterm (P < 0.05), IFN-γ decreased significantly in the mid-term (P < 0.01), (2) NK increased significantly in the mid-term and after the test (P < 0.05), (3) monocyte increased significantly in the mid-term and after the test (P < 0.01). Inter-group comparison of the test group and the control group, the results of the main efficacy indicators: (1) immune related health scores were higher than that of the control group in the mid-term and after the test (P < 0.01), (2) IgA of the test group was higher than that of the control group in the mid-term and after the test (P < 0.05); the results of the secondary efficacy indicators: (1) WBC of the test group was higher than that of the control group in the mid-term (P < 0.05); (2) monocytes of the test group were higher than that of the control group in the mid-term and after the test (P < 0.05), neutrophils of the test group were higher than that of the control group in the mid-term (P < 0.05). Conclusion: Taking KRG has no adverse effects on the health of the subjects. According to the standard of clinical trial scheme, the immune related health scores and IgA in the main efficacy indicators were positive, which shows that KRG is helpful in enhancing human immunity.

• Journal of Bio-Environment Control
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• v.32 no.4
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• pp.492-500
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• 2023

The spectrum of this study was research on the closed hydroponic cultivation of netted melons (Cucumis melo L.) using coir substrate, analyzing the impact of this cultivation method on melon yield, fruit quality, and the efficiency of water and nutrient usage. The experimental results showed that the average fruit weight of the melons grown in a closed system was 71.4 g higher than that of the open system, and the fruit width was on average 0.2 cm larger, showing a statistically significant difference. However, there was no difference in the average sugar content of the fruit flesh and height. Although there is no substantial commercial difference, it is conjectured that the change in the macronutrients ratio in the irrigation has played a role in the statistically significant increase in fruit weight, which is attributed to changes in the crops' nutrient uptake concentrations. This necessitates further research for a more comprehensive understanding. In terms of the productivity of irrigation required to produce the fruit, applying the closed system resulted in an increase of 7.6 kg/ton compared to the open system, saving 31.6% of water resources. Additionally, in terms of nutrients, cultivating in a closed system allowed for savings of approximately 59, 25, 55, 83, 76, and 87% of N, P, K, Ca, Mg, and S, respectively, throughout the entire cultivation period. As the drainage was reused, the ratios of NO₃^- and Ca²⁺ increased up to a maximum of 9.6 and 9.1%, respectively, while the ratios of other ions gradually decreased. In summary, these results suggest that closed hydroponic cultivation can effectively optimize the use of water and fertilizer while maintaining excellent fruit quality in melon cultivation.

• Journal of Bio-Environment Control
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• v.32 no.4
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• pp.342-352
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• 2023

Ultra-violet (UV) light is one of abiotic stress factors and causes oxidative stress in plants, but a suitable level of UV radiation can be used to enhance the phytochemical content of plants. The accumulation of antioxidant phenolic compounds in UV-exposed plants may vary depending on the conditions of plant (species, cultivar, age, etc.) and UV (wavelength, energy, irradiation period, etc.). To date, however, little research has been conducted on how leaf thickness affects the pattern of phytochemical accumulation. In this study, we conducted an experiment to find out how the antioxidant phenolic content of kale (Brassica oleracea var. acephala) leaves with different thicknesses react to UV-A light. Kale seedlings were grown in a controlled growth chamber for four weeks under the following conditions: 20℃ temperature, 60% relative humidity, 12-hour photoperiod, light source (fluorescent lamp), and photosynthetic photon flux density of 121±10 µmol m^-2 s^-1. The kale plants were then transferred to two chambers with different CO₂ concentrations (382±3.2 and 1,027±11.7 µmol mol^-1), and grown for 10 days. After then, each group of kale plants were subjected to UV-A LED (275+285 nm at peak wavelength) light of 25.4 W m^-2 for 5 days. As a result, when kale plants with thickened leaves from treatment with high CO₂ were exposed to UV-A, they had lower UV sensitivity than thinner leaves. The Fv/Fm (maximum quantum yield on photosystem II) in the leaves of kale exposed to UV-A in a low-concentration CO₂ environment decreased abruptly and significantly immediately after UV treatment, but not in kale leaves exposed to UV-A in a high-concentration CO₂ environment. The accumulation pattern of total phenolic content, antioxidant capacity and individual phenolic compounds varied according to leaf thickness. In conclusion, this experiment suggests that the UV intensity should vary based on the leaf thickness (age etc.) during UV treatment for phytochemical enhancement.

• Journal of Bio-Environment Control
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• v.32 no.4
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• pp.501-512
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• 2023

This study aimed to assess and determine the optimal model for predicting the full bloom date of 'Fuji' apples across South Korea. We evaluated the performance of four distinct models: the Development Rate Model (DVR)1, DVR2, the Chill Days (CD) model, and a sequentially integrated approach that combined the Dynamic model (DM) and the Growing Degree Hours (GDH) model. The full bloom dates and air temperatures were collected over a three-year period from six orchards located in the major apple production regions of South Korea: Pocheon, Hwaseong, Geochang, Cheongsong, Gunwi, and Chungju. Among these models, the one that combined DM for calculating chilling accumulation and the GDH model for estimating heat accumulation in sequence demonstrated the most accurate predictive performance, in contrast to the CD model that exhibited the lowest predictive precision. Furthermore, the DVR1 model exhibited an underestimation error at orchard located in Hwaseong. It projected a faster progression of the full bloom dates than the actual observations. This area is characterized by minimal diurnal temperature ranges, where the daily minimum temperature is high and the daily maximum temperature is relatively low. Therefore, to achieve a comprehensive prediction of the blooming date of 'Fuji' apples across South Korea, it is recommended to integrate a DM model for calculating the necessary chilling accumulation to break dormancy with a GDH model for estimating the requisite heat accumulation for flowering after dormancy release. This results in a combined DM+GDH model recognized as the most effective approach. However, further data collection and evaluation from different regions are needed to further refine its accuracy and applicability.

• Journal of Bio-Environment Control
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• v.33 no.1
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• pp.30-36
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• 2024

This study was conducted to determine the optimal working conditions when a recently developed blower-type onion stem cutter is utilized for cutting onion leaves at harvest time. The June 20 leaf cutting treatment group had the highest leaf dryness among the treatment groups (leaf dryness: 66.3%; leaf moisture content: 50.5%); the residual leaf length was 6.7 ± 3.5 cm. It is considered to have the best mechanical leaf cutting performance among the treatment groups because it is included in the optimal range of 4-10 cm. The average working speed of mechanical onion leaf cutting using the stem cutter was 0.17 m·s^-1, which is approximately 3.4 times faster than the average working speed of 0.05 m·s^-1 in the human leaf cutting treatment group. This is expected to save approximately 2.6 hours compared to human labor (based on one person) when working on a 10a area using this machine. In addition, the incidence of damaged bulbs in the machine leaf cutting treatment group was 1.3%, compared to 0.0% in the manual leaf cutting treatment group. This suggests that the mechanical leaf cutting treatment group had a higher average onion bulb decay rate during storage than the manual leaf cutting treatment group. When the storage characteristics of each treatment group were examined, the decay rate by bulb part (leaf connected or root connected) after 8 months of storage was higher in the treatment group with a residual leaf length of less than 5.0 cm after mechanical leaf cutting than in the treatment with a residual leaf length of more than 5.0 cm. This is thought to be due to the fact that treatments with a residual leaf length of less than 5.0 cm are more susceptible to infection by pathogens that cause decay during storage than treatments with a residual leaf length of 5.0 cm or more. Based on the results of this experiment, performance target of the experimental machine (residual leaf length after operation: 5 cm), and existing research on the optimal residual leaf length for onion harvesting, it is recommended to cut onion leaves so that the residual leaf length is 5-10 cm when using the stem cutter.