• International Journal of Contents
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• v.14 no.3
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• pp.39-45
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• 2018

Purpose: Food Allergen Immunotherapy (Oral) is a form of immunotherapy administered to patients who are allergic to foods such as egg, milk, and peanut. The food allergen is orally administered to the patient in an escalating dose for desensitization or tolerance development. The safety and effectiveness of the therapy were assessed using a systematic literature review and meta-analysis. Methods: For a literature search, 8 national databases and a number of international databases including Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library were used; and 13 articles (all from international databases) were selected. The target of Food Allergen Immunotherapy (Oral) included patients with food allergy, and the intervention was food allergen immunotherapy without limiting the food type. The safety and effectiveness of Food Allergen Immunotherapy (Oral) were assessed by reviewing all the articles reporting on the therapy. The control group received standard therapies including aversion therapy, no treatment, anti-histamine treatment, and placebo. Safety was assessed through the incidence of complication and emergency medication. Effectiveness was assessed based on therapy success rate, symptomatic improvement, and quality of life. Results: Although Food Allergen Immunotherapy (Oral) was shown to have successful desensitization in patients with food allergy, the safety of the technique has not yet reached an acceptable level; the possible reason is due to the high rate of complication and frequency of emergency medication. Also, each study employed varying protocols while relying on a small number of participants and a short monitoring period. Conclusion: The results of assessment suggest that the level of evidence from current literature review is low and further research is necessitated for the verification of the safety and effectiveness of the therapy (Grade of Recommendation: A; Level of Technology: II-b).

• Journal of Preventive Medicine and Public Health
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• v.50 no.2
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• pp.68-82
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• 2017

Objectives: We performed a systematic review to assess and aggregate the available evidence on the frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents (DPSI). Methods: We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for this systematic review and searched PubMed, Scopus, and the Cochrane Library for English articles published between 1990 and 2014. Two authors independently conducted the title screening and abstract review. Ninety-nine articles were selected for full-text reviews. One author extracted the data and another verified them. Results: There was considerable variation in the reported frequency of DPSI among medical professionals. The main expected effects of DPSI were decreased intention of the general public to file medical lawsuits and punish medical professionals, increased credibility of medical professionals, increased intention of patients to revisit and recommend physicians or hospitals, higher ratings of quality of care, and alleviation of feelings of guilt among medical professionals. The obstacles to DPSI were fear of medical lawsuits and punishment, fear of a damaged professional reputation among colleagues and patients, diminished patient trust, the complexity of the situation, and the absence of a patient safety culture. However, the factors facilitating DPSI included the creation of a safe environment for reporting patient safety incidents, as well as guidelines and education for DPSI. Conclusions: The reported frequency of the experience of the general public with DPSI was somewhat lower than the reported frequency of DPSI among medical professionals. Although we identified various expected effects of DPSI, more empirical evidence from real cases is required.

• Journal of the Korea Safety Management & Science
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• v.23 no.3
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• pp.11-18
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• 2021

As the number of confirmed cases of Covid-19 is not decreasing, it is time for domestic companies to respond preemptively and in terms of business continuity. The purpose of this study is to present measures to strengthen BCP to prevent infectious diseases in the enterprise. In this work, three methods of data investigation are used. The first was to search for keywords in academic databases such as the National Assembly Library and the Korea Research and Information Service to investigate degree papers and academic papers. Second, we investigated literature such as research reports, manuals, and guidelines on infectious diseases. Finally, the researchers visited official websites such as KDCA, MOHW, and MOIS to collect and analyze recent data. BCP In view of the Board, a new risk analysis should be made and a disaster preparedness system tailored to the characteristics of the entity should be established. We need to analyze corporate weaknesses and focus on safety culture. It is also important to look at how customers choose their services and products. Based on this, differentiated service strategies should be presented. It is hoped that the results of this study can be used as basic data for companies that want to systematically manage and operate BCP to prevent infectious diseases.

• Toxicological Research
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• v.28 no.1
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• pp.51-56
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• 2012

A novel synthetic hexapeptide (SFKLRY-$NH_2$) that displays angiogenic activity has been identified by positional scanning of a synthetic peptide combinatorial library (PS-SPCL). This study was carried out to investigate the irritation of the SFKLRY-$NH_2$ on the skin. The tests were performed on the basis of Korea Food and Drug Administration (KFDA) guidelines. In results, cell toxicity is not appeared for SFKLRY-$NH_2$ in HaCaT cells and B16F10 cells. SFKLRY-$NH_2$ induced no skin irritation at low concentration ($10{\mu}m$), mild irritation at high concentration (10mM). We consider that this result is helpful for saying about the safety of SFKLRY-$NH_2$ in clinical use.

• Journal of Dental Anesthesia and Pain Medicine
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• v.20 no.3
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• pp.107-118
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• 2020

Chloral hydrate is the oldest and most common sedative drug used in moderate sedation for pediatric dental patients. Hence, the purpose of this article is to review the safety and possible adverse events of this drug when used for pediatric dental treatment. A bibliographic search in PubMed, MEDLINE, Cochrane Library and KMbase, KISS, DBpia, KoreaMed, and RISS databases was performed. Using the keywords "dental sedation," "chloral hydrate," and "children or adolescent," 512 scientific articles were found. Subsequently, 183 studies were individually assessed for their suitability for inclusion in this literature review. Altogether, 24 studies were selected. They included 12 cases of death before, during, or after chloral hydrate sedation for dental treatment, majorly due to dosing error and use of multiple sedatives. Additionally, intraoperative adverse events were mostly respiratory problems such as hypoxia and apnea, but most events were temporary. After treatment, prolonged sedation, including excessive sleep and less activity were the most common postoperative adverse events, and even death cases were reported. Despite the wide acceptance of chloral hydrate as a sedative-hypnotic agent, the risk of adverse events and adequate dose should be of great concern when using it for pediatric dental sedation.

• Nuclear Engineering and Technology
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• v.50 no.5
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• pp.709-716
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• 2018

A criticality safety analysis was performed for the APR-1400 spent fuel pool region-II to ensure the safe storage of spent fuel, with credit taken for depletion and in-rack neutron absorbers (Metamic panels). PLUS7 fuel assembly was modeled using TRITON-NEWT of SCALE-6.1. The burnup-dependent cross-section library was generated under limiting core-operating conditions with 5%-w U-235 initial enrichment. MCNP5 was used to evaluate the neutron multiplication factor in an infinite array of rack cells with the axially nonuniformly burnt PLUS7 assemblies under normal, abnormal, and accident conditions; including all biases and uncertainties. The main purpose of this study is to investigate reactivity variations due to the critical depletion and reactor operation parameters. The approach, assumptions, and modeling methods were verified by analyzing the contents of the most important fissile and the associated reactivity effects. The Nuclear Regulatory Commission (NRC) guidance on k-eff being less than 1.0 for spent fuel pools filled with unborated water was the main criterion used in this study. It was found that assemblies with 49.0 GWd/MTU and 5.0 w/o U-235 initial enrichment loaded in Region-II satisfy this criterion. Moreover, it was found that the end effect resulted in a positive bias, thus ensuring its consideration.

• Nuclear Engineering and Technology
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• v.53 no.3
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• pp.741-751
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• 2021

There has been a deep interest in trying to find better-performing fuel clad motivated by the desire to decrease the likelihood of the reactor barrier failure like what happened in Fukushima in recent years. In this study, the effect of move towards accident tolerant fuel (ATF) cladding as the most attracting concept for improving reactor safety is investigated for SMART modular reactor. These reactors have less production cost, short construction time, better safety and higher power density. The SiC and FeCrAl materials are considered as the most potential candidate for ATF cladding, and the results are compared with Zircaloy cladding material from reactor physics point of view. In this paper, the calculations are performed by generating PMAX library by DRAGON lattice physics code to be used for further reactor core analysis by PARCS code. The differential and integral worth of control and safety rods, reactivity coefficient, power and temperature distributions, and boric acid concentration during the cycle are analyzed and compared from the conventional fuel cladding. The rod ejection accident (REA) is also performed to study how the power changed in response to presence of the ATF cladding in the reactor core. The key quantitative finding can be summarized as: 20 ℃ (3%) decrease in average fuel temperature, 33 pcm (3%) increase in integral rod worth and cycle length, 1.26 pcm/℃ (50%) and 1.05 pcm/℃ (16%) increase in reactivity coefficient of fuel and moderator, respectively.

• Nuclear Engineering and Technology
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• v.56 no.3
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• pp.1022-1028
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• 2024

A neutronics study of a supercritical CO₂-cooled fast reactor core for nuclear propulsion has been performed in this work. The thermal power of the reactor core is 30 MWth and a ceramic UO₂ fuel can be used to achieve a 20-year lifetime without refueling. In order to make a compact core with inherent safety features, the drum-type reactivity control system and folding-type shutdown system are adopted. In addition, we suggest a cold shutdown system using gadolinium as a spectral shift absorber (SSA) against flooding. Although there is a penalty of U-235 enrichment for the core embedded with the cold shutdown system, it effectively mitigates the increment of reactivity at the flooding of seawater. In this study, the neutronics analyses have been performed by using the continuous energy Monte Carlo Serpent 2 code with the evaluated nuclear data file ENDF/B-VII.1 Library. The supercritical CO₂-cooled fast reactor core is characterized in view of important safety parameters such as the reactivity worth of reactivity control systems, fuel temperature coefficient (FTC), coolant temperature coefficient (CTC), and coolant temperature-density coefficient (CTDC). We can say that the suggested core has inherent safety features and enough flexibility for load-following operation.

• Journal of The Korean Digital Architecture Interior Association
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• v.9 no.3
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• pp.103-111
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• 2009

This study examined the arrangement features in public library infant and children's reading room and provide basic material in after children's reading room space planning by studying the space features, which are valued in the environment behavioral point of view. We limited the check list to libraries built after year 2000 that are located around Seoul and from 5 libraries with children reading rooms. After analyzing items by the space features, considering children's environment behavior, pleasantness was most favorable, children scale, safety, comfortableness, flexibility followed in order. It shows the basic surroundings and the furniture that composes the children's reading room are relatively favorable, but in the other hand, it seems that reading rooms lack the ability to form an environment that can adapt to children's growth, inducting new activity areas flexibly or rearrange them. there are limitations to getting the children's needs objectively and significantly, so survey research, interview research and not only studying Korean's but comparing and analyzing with foreign country's cases will be needed.

• The Journal of Korean Obstetrics and Gynecology
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• v.33 no.4
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• pp.1-22
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• 2020

Objectives: The purpose of this review is to evaluate the efficacy of moxibustion for stress urinary incontinence (SUI) in women. Methods: For relevant randomized controlled trials (RCTs), we searched the following databases from their inception to September 1, 2020: The Cochrane Library, PubMed, EMBASE, Chinese National Knowledge Infrastructure Database (CNKI), Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), and National Digital Science Library (NDSL). The key search terms were 'stress urinary incontinence' and 'moxibustion'. Data extraction and assessment of risk of bias were conducted by two authors independently. Results: A total of 11 RCTs were finally included in this systematic review. In all studies, moxibustion treatment was applied as an adjuvant therapy to the conventional treatment, and the most common conventional treatment was pelvic floor muscle training (PFMT). The treatment group (conventional treatment plus moxibustion) showed statistically more significant effect than the control group (conventional treatment only) in various evaluation indicators including urinary incontinence frequency, 1 hour urine pad test, quality of life, the clinical efficacy rate, and pelvic muscle strength. Conclusions: In this study, we investigated the efficacy of moxibustion as an adjuvant therapy for female SUI patients. Further studies are needed to supplement the safety of moxibustion and the evaluation of moxibustion dose.