• Title/Summary/Keyword: Shift Effect

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Early Management of Total Parenteral Nutrition Induced Hepatic Dysfunction with Cyclic Parenteral Nutrition (정맥영양 관련 간기능 장애에서 조기 주기성 정맥영양법의 유용성)

  • Lee, Sung Soo;Chang, Ju Young;Yang, Hye Ran;Ko, Jae Sung;Choi, Kyung Hee;Seo, Jeong Kee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.7 no.1
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    • pp.61-73
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    • 2004
  • Purpose: Liver function test abnormalities have been reported frequently in patients receiving total parenteral nutrition (TPN). In adults, it is known that liver complications decrease with the use of cyclic parenteral nutrition (CPN), especially if the shift to cycling was not too late. However, there are few studies about the effects of cycling on liver injury in children beyond the neonatal period. The aim of this study is to evaluate the effect of the early use of CPN on total parenteral nutrition induced hepatic dysfunction. Methods: Twelve sets of CPN in 11 children (2 months to 17 years) were included in this study. Data on underlying diseases, age, length of time on TPN, macronutrient intake, complications, and biochemical parameters were collected from clinical records. All children had received CPN in the early period of persistent transaminase elevation or cholestasis complicated by previous continuous PN. The duration of infusion off-time in CPN was 2 hours in patients less than 3 months of age and 4 hours in the older children. Results: All 12 cases showed elevated aminotransferase and 5 of them also showed cholestasis. Serum total bilirubin concentration was normalized in all 5 cases with median periods of 8 days (p<0.05) after initiation of CPN. ALT either decreased significantly or was normalized in all cases with median periods of 30 days (p<0.05) on CPN. The CPN was well tolerated without significant complication except for one case of hyperglycemia. Conclusion: The early use of cyclic parenteral nutrition had a beneficial effect in improving hepatic dysfunction complicated by TPN in children.

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Pharmacological Action Mechanism(s) of Vasodilator Effect of Calcitonin Gene-related Peptide in Rat Basilar Arteries (흰쥐의 뇌 기저동맥에서 CGRP에 의한 혈관 이완반응의 기전에 대한 연구)

  • Rhim, Byung-Yong;Hong, Sun-Hwa;Kim, Chi-Dae;Lee, Won-Suk;Kim, Dong-Heon;Hong, Ki-Whan
    • The Korean Journal of Pharmacology
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    • v.32 no.1
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    • pp.39-49
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    • 1996
  • In the present study, we observed change in intracellular $Ca^{2+}$$([Ca^{2+}]_i)$ as measured with the fluorescent $Ca^{2+}-indicator$ fura-2 in association with force development of the rat basilar arteries during activation by$K^+$ depolarizing solution and U46619, a thromboxane analogue, in the absence and the presence of calcitonin-gent related peptide (CGRP). CGRP (30 and 100 nM) caused a concentration-dependent inhibition of U46619-induced contraction with decrease in $[Ca^{2+}]_i$, whereas it did not exert any effect on the $K^+$ (90 mM)-induced contraction and increase in $[Ca^{2+}]_i$, Further, $[Ca^{2+}]_i-force$ relationships were determined by plotting the ratio of $F_{340}/F_{380}$ $([Ca^{2+}]_i)$ as a function of the force induced by U46619, and the results were compared with those obtained in the presence of CGRP. The curves obtained in the presence of CGRP (30 and 100 nM) were significantly moved to downward without right shift of the curves suggesting that CGRP inhibited the U46619-induced contraction only by mediation of reduction in $[Ca^{2+}]_i$ with out any change in the sensitivity of contractile apparatus to $Ca^{2+}$. The CGRP-induced attenuation of $[Ca^{2+}]_i$ and force development was significantly inhibited under pretreatment with CGRP $(8{\sim}37)$ fragment (100 nM), a CGRP1 receptor antagonist. Both the reduced contraction and reduction in $[Ca^{2+}]_i$ caused by CGRP were fully reversed by pretreatment with charybdotoxin (100 nM) and iberiotoxin (100 nM), large conductance $Ca^{2+}-activated$ $K^+$ channel blockers, but not by apamin (300 nM), a small conductance $Ca^{2+}-activated$ $K^+$ channel blocker, and glibenclamide ( 1 ${\mu}M$), an ATP-sensitive $K^+$ channel blocker. In conclusion, it is suggested that the CGRP1 receptor, upon activation by CGRP, are coupled to opening of $Ca^{2+}-activated$ $K^+$ channel and cause to decrease in $[Ca^{2+}]_i$, thereby leading to vasodilation of the rat basilar artery. However, it is not defined that the mechanism underlying vasodilation whether the $K^+$ channel blockers, charybdotoxin and iberiotoxin directly block the CGRP receptors and that CGRP-evoked relaxation is dependent on the cyclic AMP or $K^+$ channel opening or both actions.

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Effect of Noise in Human Body (소음이 인체에 미치는 영향)

  • 이영노
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1972.03a
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    • pp.7-8
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    • 1972
  • The effects of noise exposure are of two types: Nonauditory effects and auditory effects. Nonauditory effects of noise exposure are interference with communication by speech, sleeping and emotional behavior. The noise will cause the high blood pressure and rapid pulse, also that decrease the salivation and gastric juice. in experimentaly showed that the Corticoid hormon: Gonatotropic hormone were decrease and Thyrotropic hormoone is increase. Auditory effect of noise exposure. when the normal ear is exposed to noise at noise at hamful intensities (above 90㏈) for sufficiently long periods of time, a temoral depression of hearing results, disappearing after minutes or hours of rest. When the exposure longer or intesity greater is reached the Permanent threshold shift called noise-induced hearing loss. Hearing loss resulting from noise exposure presents legal as well as medical problems. The otologist who examines and evaluates the industrial hearing loss cases must be properly informed, not only concerning the otologic but also about the physical and legal aspects of the problems. The measurement of hearing ability is the most important part of a hearing conservation, both preplacement and periodic follow-up tests of hearing. The ideal hearing conservation program would be able to reduce or eliminate the hazardous noise at its source or by acoustic isolation of noisy working area and two ear protections (plugs and muff type) were developed for personal protection.

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Effect of Wangsuk Stream on NOM and Chlorinated DBPFPs in Han River Water (왕숙천 유입에 따른 한강본류의 천연유기물질과 염소소독부산물 생성능 변화)

  • Park, Hyeon;Kim, Chang-Mo;Chang, Hyun-Seong;Kim, Hyun-Suk;Park, Chang-Min;Yu, Myong-Jin
    • Journal of Korean Society of Environmental Engineers
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    • v.28 no.10
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    • pp.1031-1037
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    • 2006
  • The main purposes of this study were to compare the characteristics of fractionated natural organic matters(NOM) from Han River water and Wangsuk(W) stream water, and to investigate the relationships between NOM and the formation of disinfection by products(DBPs). Three types of resin such as XAD-4, XAD-7HP and IRC-50 were used to isolate the water samples into three organic fractions. The DOC concentrations of raw waters were relatively low($1.5{\sim}3.3$ mg/L) at all seasons. The hydrophilic was the major constituent, contributing $44{\sim}63%$ of the total NOM and hydrophobic $21{\sim}33%$, transphilic $16{\sim}31%$, respectively. The formation of trihalomethans(THMs) was highly influenced by particulated NOM especially in the rainy season, whereas haloaceticacid forming potentials(HAAFPs) depended more on the hydrophilic fraction of dissolved NOM which is known to be difficult to be removed through conventional processes. The NOM of W stream was characterized as 15% hydrophobic, 9% transphilic, and 76% hydrophilic. In the fractionation of NOM using resins, $20{\sim}40%$ of the NOM in W tributary water could not be clearly isolated, whereas, 85% of the NOM in the raw water was recovered. Although the DOC concentration of tributary water was higher than the raw waters from the Han River, the DBPFPs was approximately 40% of the raw waters. In DBPFPs aspect, W stream has less effect than Han River water itself. Bromide in tributary waters discharged from waste water treatment plants has been found to shift the distribution of THMs and HANs to the more brominated DBPs.

Effect of Lead Content on Atomic Structures of Pb-bearing Sodium Silicate Glasses: A View from 29Si NMR Spectroscopy (납 함량에 따른 비정질 Pb-Na 규산염의 원자 구조에 대한 고상 핵자기 공명 분광분석 연구)

  • Lee, Seoyoung;Lee, Sung Keun
    • Korean Journal of Mineralogy and Petrology
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    • v.34 no.3
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    • pp.157-167
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    • 2021
  • Lead (Pb) is one of the key trace elements, exhibiting a peculiar partitioning behavior into silicate melts in contact with minerals. Partitioning behaviors of Pb between silicate mineral and melt have been known to depend on melt composition and thus, the atomic structures of corresponding silicate liquids. Despite the importance, detailed structural studies of Pb-bearing silicate melts are still lacking due to experimental difficulties. Here, we explored the effect of lead content on the atomic structures, particularly the evolution of silicate networks in Pb-bearing sodium metasilicate ([(PbO)x(Na2O)1-x]·SiO2) glasses as a model system for trace metal bearing natural silicate melts, using 29Si solid-state nuclear magnetic resonance (NMR) spectroscopy. As the PbO content increases, the 29Si peak widths increase, and the maximum peak positions shift from -76.2, -77.8, -80.3, -81.5, -84.6, to -87.7 ppm with increasing PbO contents of 0, 0.25, 0.5, 0.67, 0.86, and 1, respectively. The 29Si MAS NMR spectra for the glasses were simulated with Gaussian functions for Qn species (SiO4 tetrahedra with n BOs) for providing quantitative resolution. The simulation results reveal the evolution of each Qn species with varying PbO content. Na-endmember Na2SiO3 glass consists of predominant Q2 species together with equal proportions of Q1 and Q3. As Pb replaces Na, the fraction of Q2 species tends to decrease, while those for Q1 and Q3 species increase indicating an increase in disproportionation among Qn species. Simulation results on the 29Si NMR spectrum showed increases in structural disorder and chemical disorder as evidenced by an increase in disproportionation factor with an increase in average cation field strengths of the network modifying cations. Changes in the topological and configurational disorder of the model silicate melt by Pb imply an intrinsic origin of macroscopic properties such as element partitioning behavior.

A Study on Human Rights Behavior of Korean Care Workerin Long Term Care Facilities: The Interaction Effect of Human Rights Awareness and Service Orientations (장기요양기관 요양보호사의 노인인권옹호행동 영향요인: 개인의 인권의식과 조직의 서비스 지향성을 중심으로)

  • Kim, Min-Kyoung;Kim, Mee-Hye;Kim, Ju-Hyun;Chung, Soon-Dool
    • 한국노년학
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    • v.36 no.3
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    • pp.673-691
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    • 2016
  • As the provision of long-term care policy takes root and with a gradual increase in elderly population, the use of elderly care service has become a growing norm. More than ever, there exists an urgent need for a paradigm shift in the building of an institutional basis for the improvement of care service, from the prevalent practice of 'need based service' toward the concept of 'human rights based service'. A great focus is being shed on care-workers, at the 'front line' of advocating human rights, as their human rights advocacy behaviour is seen as a key variable in providing high quality care service for elders. This study aims to examine how care-workers' individual human rights awareness levels, and the influence of their respective organizations, as an environmental factor, affect their human rights advocacy behaviour. The study includes a comprehensive analysis of the interactions between the regulatory effect of environmental factors (service orientation?) on an organizational level, human rights awareness (individual level) and the service environment (organizational). The analysis sample consisted of 782 registered non-profit corporation of long-term care facilities all over the country in 2014. The findings of the thesis suggest that human rights awareness at individual levels has a significant influence on human rights advocacy behavior. The interaction of human resources management in service orientations was also found to influence human rights advocacy on a significant level. Both human rights awareness at individual level and service orientations at organizational level were thus determined as key variables for improving the human rights awareness of care worker in long-term care facilities in Korea.

An Analysis of the Managerial Level's Gender Gap and "Glass Ceiling" of the Corporation (기업 관리직의 젠더 격차와 "유리천장" 분석)

  • Cho, Heawon;Hahm, Inhee
    • 한국사회정책
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    • v.23 no.2
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    • pp.49-81
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    • 2016
  • This study agrees with the idea that a situation centered perspective provides a useful contribution in understanding women's attitude on organizations. Women's occupational experiences are less related to their "femaleness" than to the structural constraints inherent in the occupational positions women fill. So characteristics of the organizational situation including gender composition and hierarchical status may "shape and define" women's experience on the job. The present study examined the managerial level's gender gap and "glass ceiling" of the corporation. According to Kanter, if the ratio of women to men in organizations begins to shift, as affirmative action and new hiring and promotion policies promised, forms of relationships and corporate culture should also change. However, the mere presence of women on workplace may not, in itself, result in women-friendly work condition. This study analyzes "Korean Women Manger Panel survey(2010 3rd. wave)" to examine how much gender gap of the managerial level persists and when the glass ceiling effect emerges. Using t-test and ANOVA, various aspects of the gender gap within managerial level were verified. The most significant finding is the glass ceiling effect starts from very low level of management. Policy implications from the statistical analysis of the Panel survey are: 1) We need to increase the absolute number of the women managers for securing middle level women leadership pipe line. 2) We need to confront the fact that the glass ceiling starts from the very low managerial level, and to explore more realistic way to break up the vicious circle for the tokenism. and 3) We need to looking beyond numbers in approaching women's matter at work. At the cultural and institutional level, work-family programs and policies, women's ratings of their competence, and family-friendly organization's climate should be considered.

The Impact of Care Workers' Employment Characteristics and Perception of Facility Directors' Transformational Leadership on Quality of Service (요양보호사의 고용특성과 시설장에 대한 변혁적 리더십 인식이 서비스 질에 미치는 영향에 관한 연구)

  • Kim, Hye Ji;Park, Sang Hee;Kim, Bum Jung
    • 한국노년학
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    • v.41 no.2
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    • pp.217-240
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    • 2021
  • The purpose of this study is to examine the effect of care workers' employment characteristics and perception of facility directors' transformational leadership on quality of service through a hierarchical linear model. For this aim, survey data were collected amongst 240 older adults and 200 care workers who are affiliated within 45 long-term care facilities in Seoul, and analyzed using SPSS 26.0 and HLM 8.0. As a result, one's perception of transformational leadership had a positive effect, whereas, among employment characteristics, employment type and working hours had negative effects on quality of service. Regular workers with fewer working hours and higher awareness of transformational leadership toward the director provided higher quality of service. But wage, total experience and tenure didn't meaningfully affect it. Therefore, the following suggestions were presented. First, it is necessary to reorganize incentive, salary systems and budgets, changing the status of temporary workers' hourly wage system into that of regular workers' monthly one in order to strengthen employment security with acknowledging fundamental professional values through reinforcement of expertise. Reinforcement of long-term care's publicness and establishment of base facilities are also suggested. Second, maintaining appropriate hours of work and rest including annual leave under the Labor Standards Act is needed. Also, increasing the salary of and decreasing working hours for night shift workers are required. Third, education and intervention for inspiring transformational leadership of directors and strengthening qualification standards of them are required.

Analyzing Residential Land Use Change and Population Density Considering Climate Change Using Land Use Equilibrium Model in Jeju (토지이용균형모델을 이용한 기후변화에 따른 제주도 지역의 주거용 토지이용변화와 인구 밀도 예측)

  • YOO, So-Min;LEE, Woo-Kyun;Yamagata, Yoshiki;Lim, Chul-Hee;SONG, Chol-Ho;CHOI, Hyun-Ah
    • Journal of the Korean Association of Geographic Information Studies
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    • v.18 no.4
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    • pp.43-58
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    • 2015
  • The greenhouse gas emission caused by rapid economic growth and population is increasing in Korea. Also, climate change from greenhouse gases emission is accelerated. IPCC(Intergovernmental Panel on Climate Change) report projects an increase of greenhouse gas emissions by 90% from the year 2000 to 2030(SRES, 2000). Within this context, establishing countermeasures on climate adaptation and mitigation is becoming increasingly important to reduce the negative effect of climate change at a global level. Along with global efforts to tackle climate change, Korean government has incorporated 'Low Carbon Green Growth'strategies into its national policy agenda. Local governments have also conducted a number of studies to devise plans for environmentally friendly and sustainable city development. In this paper, the land-use equilibrium model, which reflects economic and geographical characteristics, is used to analyze the change in residential land use and population density. The target area for study is Jeju island in Korea. With an application of land use equilibrium model, it derived three types of scenarios of the land use change: (1) dispersion scenario-reflecting present-day conditions (2) adaptation scenario-applying adaptation measures to climate change and (3) combined scenario-integrating both adaptation and mitigation measures in model to climate change. By applying dispersion to combined scenario, the general trend shows a downward shift in population density. Subsequently, energy consumption and expected cost associated with casualties were calculated on the basis of the findings of respective scenario. The results show a descending trend in energy consumption and expected casualtie. Therefore, understanding for residential land use and population density of each scenario that analyzed land use equilibrium model in the study is expected to devise a environmental city plan for climate change stabilization and climate adaptation and mitigation.

The Impact of Nakdong Estuarine Barrage on Distribution of Biogenic Silica (BSi) in Surface Sediment (하구둑이 낙동강 하구 표층 퇴적물 생규소(BSi) 분포에 미치는 영향)

  • KIM, YUNJI;AN, SOONMO
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.22 no.4
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    • pp.172-186
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    • 2017
  • Current study is a part of the efforts to assess the estuarine barrage effects on the coastal ecosystem induced by the Si flux changes. Surface sediments from Seomjin and Nakdong estuary and sediment cores from Nakdong estuary was analysed to investigate the effect of estuarine barrage on the distribution of grain size, organic matter (loss on ignition: LOI) and biogenic silica (BSi). The samples of Seomjin estuary were collected in March, 2015 and those of Nakdong estuary were collected in November, 2014. Generally, the longitudinal distribution of grain size, LOI and BSi in Seomjin estuary, natural estuary, was gradually changed. However mud (silt and clay), LOI and BSi increased from station mid-estuary where tide reaches year-round. The distribution of grain size, LOI and BSi in Nakdong estuary, however, were entirely different between inside and outside of estuarine barrage. The mud percentage and LOI were low and consistent in inside of the barrage except R05, inside of right gate, yet those of outside of the barrage were higher and varied by adjacent sluices. Mud, LOI and BSi of ND1 and ND2 decreased immediately after the construction of Nakdong estuarine barrage due to disturbance of sediment and decrease of sediment supply. To exclude the physical effects by the barrage, BSi excess ($BSi_{exc}$) was calculated using regression equation of BSi-LOI and BSi-mud of Seomjin estuary. $BSi_{exc}$ of Seomjin estuary decreased gradually from upper estuary to lower estuary. $BSi_{exc}$ of Nakdong estuary were positive in inside of the barrage and negative in outside of the barrage. BSi retention and shift of species composition of diatom by the barrage would affect $BSi_{exc}$ distribution. Before the construction of Nakdong estuarine barrage, $BSi_{exc}$ of ND2 was negative and consistent owing to high mud sedimentation. After the construction, $BSi_{exc}$ of ND2, however, fluctuated due to continuous disturbance of sediment due to construction of Eulsuk bridge and East gate.