• 대한조현병학회지
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• 제22권2호
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• pp.21-33
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• 2019

Objectives: The current study covers a secondary revision of the guidelines for the pharmacotherapy of schizophrenia issued by the Korean Medication Algorithm for Schizophrenia (KMAP-SCZ) 2001, specifically for co-existing symptoms and antipsychotics-related side-effects in schizophrenia patients. Methods: An expert consensus regarding the strategies of pharmacotherapy for positive symptoms of schizophrenia, co-existing symptoms of schizophrenia, and side-effect of antipsychotics in patients with schizophrenia was retrieved by responses obtained using a 30-item questionnaire. Results: For the co-existing symptoms, agitation could be treated with oral or intramuscular injection of benzodiazepine or antipsychotics; depressive symptoms with atypical antipsychotics and adjunctive use of antidepressant; obsessive-compulsive symptoms with selective serotonin reuptake inhibitors and antipsychotics other than clozapine and olanzapine; negative symptoms with atypical antipsychotics or antidepressants; higher risk of suicide with clozapine; comorbid substance abuse with use of naltrexone or bupropion/varenicline, respectively. For the antipsychotics-related side effects, anticholinergics (extrapyramidal symptom), propranolol and benzodiazepine (akathisia), topiramate or metformin (weight gain), change of antipsychotics to aripiprazole (hyperprolactinemia and prolonged QTc) or clozapine (tardive dyskinesia) could be used. Conclusion: Updated pharmacotherapy strategies for co-existing symptoms and antipsychotics-related side effects in schizophrenia patients as presented in KMAP-SCZ 2019 could help effective clinical decision making of psychiatrists as a preferable option.

• 한국해양생명과학회지
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• 제3권2호
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• pp.81-86
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• 2018

The purpose of this study is to determine the effects of vibration on primary (e.g. plasma cortisol), secondary (e.g. plasma glucose, aspartate aminotransferase (AST), alanine aminotransferase (ALT), Na⁺, K⁺ and Cl^- and tertiary (e.g. mortality) stress responses in cultured eel, Anguilla japonica. For this purpose, three groups (including one control group and two stress groups) were set up. The control group was made exposed to vibration corresponding to 48 decibel (dB, V) (produced using electric vibrators) for 15 minutes per hour every day, and the two stress groups was made exposed to vibration corresponding to 58 and 68 dB (V) (produced using the same electric vibrators), equally, for 15 minutes per hour every day. Blood was sampled at day 0 (before starting vibration stress tests, BS), and days 1, 3, 5, 7, 9 and 11 (after starting vibration stress tests). As a result, plasma cortisol showed trend to continuously rise by consecutive stress from 4.1±0.1 ng/ml in BS. In 48 dB group (control), cortisol showed the highest level with 7.6±0.9 ng/ml after 7 days (p<0.05), but at 9 and 11 days was not significantly compared with BS level. In 58 dB group, the cortisol showed the highest level with 43.1±4.8 ng/ml after 1st day. Cortisol of 68 dB group increased significantly during the experimental period (14.4±2.3~32.0±5.7 ng/ml) (p<0.05). In 58, and 68 dB groups during the experimental period differed significantly compared to 48 group (p<0.05). Glucose in 48 dB were increased from 42.0 ±5.7 (BS) to 52.5±2.1 (1 day), the level was not significantly from 1 to 11 days. Glucose in 58 and 68 dB groups was increased significantly than BS during experimental period (p<0.05). K⁺ in 68 dB increased significantly (p<0.05) from 2.3±0.2 mE/ql (BS) to 3.3±0.5 mE/ql at 5 days. In 48 and 58 dB groups during the experimental period differed significantly (p<0.05). Na⁺ and Cl^- levels were not differed significantly during the experimental period. AST and ALT in 58 and 68 dB groups showed trend to continuously rise by consecutive stress. At 7 and 9 days in AST, between 48, 58 and 68 dB groups differed significantly (p<0.05). In 48, 58 and 68 dB groups at 1 day, blood hematocrit increased significantly higher than BS. The 11 days after vibration stress, the mortality in 48, 58 and 68 dB groups was 1.1, 5.1 and 5.8%, respectively. The present results have shown that A. japonica exhibited ''typical'' physiological responses when exposed to chronic vibration stress. These data suggested that chronic vibration stress caused substantial stress in the fish; especially the persisting elevated plasma AST and ALT levels observed would be expected to adverse effect. In conclusion, chronic vibration stress could greatly affects the hematological characteristics in A. japonica.

• 대한융합한의학회지
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• 제3권1호
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• pp.5-13
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• 2022

Objectives: Smoking had a long negative impact on public health. The ingredients of a cigarette are major risk factors for several diseases. Owing to the problems about economic and quality of life, we need to ensure smoking cessation (SC). There are several approaches for SC including pharmacological therapy, nicotine replacement therapy, education, and behavioral intervention. However, due to some limitations, other alternative approaches are gaining popularity. Acupuncture has been reported to have few side effects and be more effective than some conventional treatments in several articles. However, there are no systematic reviews on the comparison of acupuncture combination treatment with other conventional monotherapies. Methods: Randomized controlled trials that used acupuncture as an adjunct treatment for SC will be searched and data will be summarized according to the predefined criteria. The primary outcome will be the abstinence rate, and secondary outcomes will be adverse events and biochemical indicators. We will use Review Manager to perform a meta-analysis, Cochrane Collaboration Risk of Bias tool for the risk of bias assessment, and the Grades of Recommendation, Assessment, Development and Evaluation approach to determine the quality of evidence. We will investigate the efficacy and safety of acupuncture combination treatment for SC with this study. Ethics and dissemination: This study will provide reliable clinical evidence on additional effect of acupuncture on smoking cessation. We will publish our results in a peer-review journal.

• 대한토목학회논문집
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• 제29권5B호
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• pp.497-502
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• 2009

광촉매에 의한 수처리 방법은 수중에서 오염물질을 직접분해 처리하며 난분해성 유기물 또는 무기물의 분해가 용이하다. 특히 2차 오염물질의 생성이 거의 없는 것이 가장 큰 장점이라 할 수 있다. 하지만 광촉매 형태에 따라 여러 문제가 발생한다. 회전 광촉매 형태는 기존의 문제를 최소화시키고 회전원판법을 적용하여 고도산화처리가 가능하다. 회전광촉매 반응기의 적용을 위해서는 여러 가지 설계와 운전인자 및 특성에 대한 고찰이 필요하다. 본 연구에서는 회전 광촉매를 $TiO_2$ 고정화 작업으로 회전원판법에 적합하게 제작하였다. 이를 이용하여 회전 광촉매 반응에 의한 폐수처리를 수행하기 위한 운전인자들을 도출하였다. 회전 광촉매 $TiO_2$ 함량은 최대 70%가 한계로 나타났다. $TiO_2$ 함유량이 증가할수록 처리효율도 지속적으로 증가되고 있다. 적절한 회전 광촉매는 R4로 $TiO_2$ 함유량 36.8% 이다. 자외선 세기가 증가 할수록 TCODcr의 분해효과는 지속적으로 증가 된다. 다만 적절한 광원의 세기는 경제성을 고려해서 판단하여야 한다. 회전 광촉매의 회전속도가 증가할수록 처리효율은 향상된다. UV lamp를 반응조에 침지시키지 않을 때 회전 광촉매 수심변화는 수심이 50%, 30%, 10%, 70%, 100% 순으로 처리효율이 높게 나왔다. 본 실험을 바탕으로 태양광에서도 유기물을 처리할 수 있는 시스템을 개발에 바탕이 될 것이라 판단한다.

• 한국엔터테인먼트산업학회논문지
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• 제13권6호
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• pp.257-264
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• 2019

본 연구의 목적은 상부등 가동기법과 상부목 가동 기법중 전방머리자세를 동반한 목 기능장애 환자들에게 효과적인 중재방법을 알아보기 위해 연구를 진행하였다. 32명의 대상자를 상부목 가동군과 상부목 가동군 두 그룹으로 설정 연구를 총 4주간 주 3회 진행하였다. 연구결과 전방머리자세에서 두군 모두 유의한 효과를 보였고(p<.01), 상부등 가동군이 상부목 가동군보다 유의한 효과를 보였다(p<.05, 95% CI: .157-.341). 목 기능장애의 변화에서도 두군 모두 유의한 감소를 보였으며(p<.01), 상부등 가동군이 상부목 가동군보다 유의한 향상을 보였다(p<.01, 95% CI: 1.273-8.728). 삶의 질 변화에서도 두군 모두 유의한 감소를 보였으며(p<.05), 상부등 가동군이 상부목 가동군보다 유의한 향상을 보였다(p<.01, 95% CI: 4.234-18.391). 본 연구결과 전방머리자세를 동반한 목 기능장애 환자에게 상부목 가동군보다 상부등 가동군이 더욱 효과적이었다. 전방머리자세를 동반한 목장애지수를 경험하고 있는 환자들에게 더욱더 효과적인 중재방법을 제공할 수 있을 것이며, 나아가 전방머리자세로 인한 2차적인 근골격계 질환 또한 예방할 수 있을 것이다.

• 운동영양학회지
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• 제16권2호
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• pp.65-71
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• 2012

Oxygen is the final acceptor of electron transport from fat and carbohydrate oxidation, which is the rate-limiting factor for cellular ATP production. Under altitude hypoxia condition, energy reliance on anaerobic glycolysis increases to compensate for the shortfall caused by reduced fatty acid oxidation [1]. Therefore, training at altitude is expected to strongly influence the human metabolic system, and has the potential to be designed as a non-pharmacological or recreational intervention regimen for correcting diabetes or related metabolic problems. However, most people cannot accommodate high altitude exposure above 4500 M due to acute mountain sickness (AMS) and insulin resistance corresponding to a increased levels of the stress hormones cortisol and catecholamine [2]. Thus, less stringent conditions were evaluated to determine whether glucose tolerance and insulin sensitivity could be improved by moderate altitude exposure (below 4000 M). In 2003, we and another group in Austria reported that short-term moderate altitude exposure plus endurance-related physical activity significantly improves glucose tolerance (not fasting glucose) in humans [3,4], which is associated with the improvement in the whole-body insulin sensitivity [5]. With daily hiking at an altitude of approximately 4000 M, glucose tolerance can still be improved but fasting glucose was slightly elevated. Individuals vary widely in their response to altitude challenge. In particular, the improvement in glucose tolerance and insulin sensitivity by prolonged altitude hiking activity is not apparent in those individuals with low baseline DHEA-S concentration [6]. In addition, hematopoietic adaptation against altitude hypoxia can also be impaired in individuals with low DHEA-S. In short-lived mammals like rodents, the DHEA-S level is barely detectable since their adrenal cortex does not appear to produce this steroid [7]. In this model, exercise training recovery under prolonged hypoxia exposure (14-15% oxygen, 8 h per day for 6 weeks) can still improve insulin sensitivity, secondary to an effective suppression of adiposity [8]. Genetically obese rats exhibit hyperinsulinemia (sign of insulin resistance) with up-regulated baseline levels of AMP-activated protein kinase and AS160 phosphorylation in skeletal muscle compared to lean rats. After prolonged hypoxia training, this abnormality can be reversed concomitant with an approximately 50% increase in GLUT4 protein expression. Additionally, prolonged moderate hypoxia training results in decreased diffusion distance of muscle fiber (reduced cross-sectional area) without affecting muscle weight. In humans, moderate hypoxia increases postprandial blood distribution towards skeletal muscle during a training recovery. This physiological response plays a role in the redistribution of fuel storage among important energy storage sites and may explain its potent effect on changing body composition. Conclusion: Prolonged moderate altitude hypoxia (rangingfrom 1700 to 2400 M), but not acute high attitude hypoxia (above 4000 M), can effectively improve insulin sensitivity and glucose tolerance for humans and antagonizes the obese phenotype in animals with a genetic defect. In humans, the magnitude of the improvementvaries widely and correlates with baseline plasma DHEA-S levels. Compared to training at sea-level, training at altitude effectively decreases fat mass in parallel with increased muscle mass. This change may be associated with increased perfusion of insulin and fuel towards skeletal muscle that favors muscle competing postprandial fuel in circulation against adipose tissues.

• 한국작물학회:학술대회논문집
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• 한국작물학회 2022년도 추계학술대회
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• pp.114-114
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• 2022

There are 28 families and 166 species of exotic weeds on agricultural land and among these, 23 families and 80 species of exotic weeds occur on pastures. Among them, the Solidago altissima is a perennial weed belonging to the asteraceae family and it is an exotic weed that spreads to the surrounding area using methods such as high seed production, vegetative propagation using underground rhizomes and allelochemical. Accordingly, in 2009, the Ministry of Environment designated it as an ecosystem-disrupting species. This study was conducted to obtain basic data about the effects of S.altissima derived allelochemicals on forage crops. The root of S.altissima was separated, dried in the shade and then pulverized to prepare an root powder. Powder was repeatedly extracted with methanol for 3 days and concentrated under reduced pressure to obtain an root methanol extract. Dissolve the extract in distilled water, dispense it in a separate-funnel and proceed with liquid-liquid extraction by adding equal amounts of n-haxane (Hex), chloroform (CHCI₃), ethyl acetate (EtoAC), and butanol (BuOH) in order of increasing polarity. A seed-bioassay was performed using fractions for each solvent, followed by separation and purification by silica gel column chromatography. As a result of the fraction germination test for each solvent, the IC₅₀ values using the fresh weight of each fraction were 898.3 mg L^-1, 676.3 mg L^-1, 1160 mg L^-1 and 1360 mg L^-1. CA, CB, and CC fractions were obtained through primary silica gel column chromatography that used CHCI₃ fraction. As a result of seed-bioassay using each fraction, the IC₅₀ values for the fresh weight of each fraction was 537.3 mg L^-1, 1280 mg L^-1 and 1947 mg L^-1. Based on this, 5 fractions were obtained as a result of secondary silica gel column chromatography using the CA fraction. A seed-bioassay was performed, as a result, the lowest IC₅₀ value was calculated as 226.7 mg L^-1 in the CAE fraction. Based on this, the fraction was analyzed by GC-MS. The results of this study can be used as basic research data on the effects of weeds on forage crops and allelochemicals secreted from S. altissima.

• 한국과학교육학회지
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• 제29권6호
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• pp.611-625
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• 2009

이 연구의 목적은 수업에서 드러난 초임교사의 과학내용지식 측면의 특징을 탐구하는 것이다. 수업동영상 분석을 위한 컨설팅 협의회, 초임교사와의 면담 자료 등을 활용하여 초임교사들이 지닌 과학교과에 대한 인식 및 과학내용 지식의 특징을 추출하였다. 분석대상으로 한 수업은 중학교 3학년 일과 에너지 단원의 9차시 수업이며, 6명의 초임교사와 선배교사로 구성된 6명의 컨설팅 협의진이 차시별 수업을 교차분석하였다. 연구결과에 따르면, 초임과학교사들은 실증주의적 인식론을 지니고 있으며, 교사의 권위는 내용지식을 많이 아는 데서 나온다고 생각하며, 과학 엘리트 의식을 지니고 있음을 알 수 있다. 교과내용지식 측면에서 초임교사의 수업의 특징을 살펴보면, 때로는 교사 자신의 오개념으로 인해 수업 중에 표현 오류가 발견되고, 교사가 내용을 많이 아는 것이 오히려 독이 되는 경우가 발견되고, 생각나는 것을 모두 언급하는 산발적 내용 전개가 발견되며, 초임이나 비전공자가 진행할 경우 수업시간이 남아도는 등의 특징을 나타내었다. 아울러 초임교사의 과학에 대한 인식에 대하여 경력교사들이 제안하는 대안을 탐색하였다. 결론에서는 과학교사의 교과내용지식(SMK)은 과학 교수활동에 영향을 주지만, 다른 교사지식에 의해 매개되므로, 초임 과학교사들의 과학내용지식(SMK)을 과학 내용교수지식(PCK)으로 전환할 수 있는 지원 방안을 제안하였다.

• 한국가스학회지
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• 제28권1호
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• pp.11-18
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• 2024

인화성 액체가 누출되면 풀에서 증발된 증기로 인해 근로자들에게 중독이나 질식 등의 피해를 불러올 수 있으며 화재나 폭발 등의 2차 사고로 이어질 수 있다. 이러한 피해를 예방하기 위하여 실내 작업장을 설계할 때 환기설비를 설치해야 한다. 이때, 누출된 화학물질의 특성에 따라 거동이 상이하므로 물질에 따른 적합한 환기구의 위치를 선정할 필요가 있다. 따라서 최적의 환기구 배치를 도출하기 위하여 3D CFD 시뮬레이션을 도입하였고 환기구 배치에 따른 환기효율을 정량적으로 평가하였다. 이때, 실내 작업장에서 인화성 액체가 누출되어 풀을 형성하는 상황을 가정하였고 풀에서 증발된 증기의 농도를 비교하여 최적의 환기구 배치를 도출하였다. 증기밀도가 큰 톨루엔을 대상물질로 하여 연구를 진행한 결과, 상부급기-하부배기일 때 환기효율이 가장 높아 동일한 유지비용으로 약 3.7배의 환기효과를 보이는 것을 확인하였다. 본 연구를 통해 작업장은 시뮬레이션 결과를 적용하여 환기구를 설치함으로써 근로자의 안전성을 확보할 수 있을 것으로 기대한다.

• Journal of Korean Neurosurgical Society
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• 제67권1호
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• pp.31-41
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• 2024

Objective : Collateral circulation is associated with the differential treatment effect of endovascular thrombectomy (EVT) in acute ischemic stroke. We aimed to verify the ability of the collateral map to predict futile EVT in patients with acute anterior circulation ischemic stroke. Methods : This secondary analysis of a prospective observational study included data from participants underwent EVT for acute ischemic stroke due to occlusion of the internal carotid artery and/or the middle cerebral artery within 8 hours of symptom onset. Multiple logistic regression analyses were conducted to identify independent predictors of futile recanalization (modified Rankin scale score at 90 days of 4-6 despite of successful reperfusion). Results : In a total of 214 participants, older age (odds ratio [OR], 2.40; 95% confidence interval [CI], 1.56 to 3.67; p<0.001), higher baseline National Institutes of Health Stroke Scale (NIHSS) scores (OR, 1.12; 95% CI, 1.04 to 1.21; p=0.004), very poor collateral perfusion grade (OR, 35.09; 95% CI, 3.50 to 351.33; p=0.002), longer door-to-puncture time (OR, 1.08; 95% CI, 1.02 to 1.14; p=0.009), and failed reperfusion (OR, 3.73; 95% CI, 1.30 to 10.76; p=0.015) were associated with unfavorable functional outcomes. In 184 participants who achieved successful reperfusion, older age (OR, 2.30; 95% CI, 1.44 to 3.67; p<0.001), higher baseline NIHSS scores (OR, 1.12; 95% CI, 1.03 to 1.22; p=0.006), very poor collateral perfusion grade (OR, 4.96; 95% CI, 1.42 to 17.37; p=0.012), and longer door-to-reperfusion time (OR, 1.09; 95% CI, 1.03 to 1.15; p=0.003) were associated with unfavorable functional outcomes. Conclusion : The assessment of collateral perfusion status using the collateral map can predict futile EVT, which may help select ineligible patients for EVT, thereby potentially reducing the rate of futile EVT.