• 한국학교보건학회지
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• 제19권1호
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• pp.1-15
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• 2006

Purpose : This study was to identify the incidence, trend, and situation of the unexpected sudden death of elementary, middle, and high school students in school for 17 years from 1988 to 2004 in seoul. Methods : We used the data of The Seoul Safety Mutual aid Association in seoul. Subjects were 53 unexpected sudden death in school from elementary, middle, and high school students, and we explored the gender, month, a day of the week, year, contents of situation, and medical certificate of death. Statistic analysis were chi-square test, Cochran-Armitage trend test, and the tool was SAS 9.1.Results : There were 53 unexpected sudden death students(male 42 and female 11). The incidence of male students was higher than that of female during 16 years except in 1995. The incidence occurred in middle school students were 31 (58.5%) of 53 and were also most frequent in middle school students in both of male and female students. In 1990, the incidence was 8(15.1%) students, 6(11.3%) in 1992 , and 5(9,4%) in 2000 respectively. The frequency of unsuspected sudden death in March was 11(20.8%) of 53 students, 11 (20.8%) in September, 7(13.2%) in October. In Thursday, it was 12(22.6%) of 53 students. Only 14(26.4%) students of 53 died during general life, but 39(73.6%) were related to excercise. The diagnosis of 14 students died during general life were cardiac arrest 7(50.5%), brain disorder 3(21.4%) which were based on medical certificate. But the diagnosis of 39 students died during or after excercise were brain disorder including cerebral hemorrhage 9(23.1%), heart disease 9(23.1%), cardiac arrest 8(20.5%), and unknown 6(15.4%), respectively. Conclusion : The incidence of unexpected sudden death were more frequent in male students, in middle school, and in excercise-related situation and the trend was similar for 17 years. Therefore, to prevent the unexpected sudden death, it needs to further study substantially the risk factors of unexpected sudden death including past history, life-style, nutrition and development, family history, and learning environment.

• 대한유전성대사질환학회지
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• 제13권2호
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• pp.75-80
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• 2013

Specific genetic conditions may lead to sudden unexpected deaths in infancy, such as inborn errors of fatty acid oxidation and genetic disorders of cardiac ion channels. The disease may present dramatically with severe hypoketotic hypoglycemia, Reye syndrome or sudden death, typically with a peak of frequency around 3-6 month, whilst neonatal sudden death is quite rare. When undetected, approximately 20-25% of infants will die or suffer permanent neurologic impairment as a consequence of the first acute metabolic decompensation. Meanwhile, the advent of newborn screening for metabolic diseases has revealed populations of patients with disorders of fatty acid oxidation (FAO), the most frequent of which is medium chain acyl-CoA dehydrogenase (MCAD) deficiency. Without this screening, affected individuals would likely succumb to sudden infant death syndrome (SIDS). Here we describe an overview of sudden infant death syndrome and inherited metabolic disorder.

• 한국신뢰성학회지:신뢰성응용연구
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• 제12권3호
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• pp.139-152
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• 2012

Successive and simultaneous sudden death tests are compared with the complete and Type II censored samples in terms of expected test duration and Total Time on Test(TTT) subject to the same number of failures in order to maintain the equal statistical precision under Weibull lifetime distribution with known shape parameter. Also, two sudden death tests under a proposed cost model are discussed and a numerical example is provided to illustrate the use of the proposed cost model.

• 한국산학기술학회논문지
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• 제19권10호
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• pp.603-609
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• 2018

수면 중 돌연사는 급성 심근경색 등의 이유로 노인 뿐 만 아니라 영아나 20~40대와 같은 비교적 젊은 층에서도 종종 발생하고 있다. 수면 중 돌연사는 미리 예측하기 어려우므로 이를 방지하기 위해서는 수면 모니터링이 필요하다. 본 논문에서는 별도의 센서 부착 없이도 수면 중 돌연사 감지를 할 수 있는 새로운 비디오 분석 방법을 제안한다. 제안하는 비디오 분석 방법에서는 호흡에 의한 미세 움직임을 감지하기 위해 모션 증폭 기법을 적용한다. 모션 증폭을 적용했는데도 프레임 간 차이가 거의 없는 경우, 모션이 존재하지 않아 돌연사 가능성이 있는 것으로 판단한다. 수면 중인 아기를 촬영한 비디오 두 편에 대해 모션 증폭을 적용한 결과, 호흡에 의한 미세 모션을 정확하게 감지하였고, 이는 수면 상태와 돌연사를 구분하는데 유용할 것으로 판단되었다. 제안하는 비디오 분석 방법은 신체에 센서 부착을 필요로 하지 않으므로 아기를 키우는 가정이나 독신 가정에서 편리하게 활용될 수 있을 것이다.

• Korean Circulation Journal
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• 제52권4호
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• pp.251-264
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• 2022

Heart failure with preserved ejection fraction (HFpEF) accounts for approximately half of all heart failure (HF) cases. The prevalence of HFpEF is increasing due to an aging population with hypertension, diabetes mellitus, and obesity. HFpEF remains a challenging clinical entity due to a lack of effective treatment options. Traditional HF medications have not been shown to reduce mortality of patients with HFpEF, and an implantable cardioverter-defibrillator is not indicated due to normal ejection fraction. Sudden death is the most common mode of death in patients with HFpEF; however, the underlying mechanisms of sudden death are not fully elucidated. Although ventricular arrhythmias are responsible for the majority of sudden deaths in general, their contribution to sudden deaths in HFpEF patients is likely less significant. The mechanisms of ventricular arrhythmias in HFpEF are 1) reduced conduction velocity due to ventricular hypertrophy, 2) delayed repolarization due to potassium current down-regulation, 3) calcium leakage due to altered excitation-contraction coupling, and 4) increased ventricular fibrosis caused by systemic inflammation. Hypertension and subsequent ventricular hypertrophy reduce the conduction velocity in HFpEF hearts via heterogeneous distribution of connexin 43. Delayed repolarization caused by potassium current down-regulation in HFpEF hearts provides a window for early afterdepolarization to trigger ventricular arrhythmias. Altered excitation-contraction coupling in HFpEF can cause calcium to leak and trigger delayed afterdepolarization. Increased systemic inflammation and subsequent ventricular fibrosis provide substrates for re-entry. Further research is warranted to investigate the detailed mechanisms of ventricular arrhythmias in HFpEF.

• 한국동물위생학회지
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• 제22권4호
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• pp.325-347
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• 1999

This study was conducted to investigate the epidemiological, clinicopathological, microbiological, pathological observations and other tests from sudden death in feedlot cattle at the region of Sarari in Korea during the period from 1994 to 1999. Massive or sporadic occurrence of sudden death has been observed in 101 heads of 47 farmhouse. There were 20.8% in spring, 29.7% in summer, 16.8% in autumn, 32.7% in winter, and 62.3% in reproductive, 27.7% in growing, 5.0% in beef cattle, 5.0% in calf in prevalence of sudden death in cattle. Enterotoxemia(88.0%), pneumonia(3.5%), intestinal diarrhea(3.5%), liver abscess(1.5%) and indigestion(1.5%) were detected from 67 heads of sudden death cattle. In clinical observations, cattle were generally died of sudden recumbency with convulsions followed anorexia, depression, ataxia, muscular tremor, tachycardia and dyspnea without any premonitory symptoms. Epidemiological surveys showed no evidence that other factors such as pesticide, insecticide, fertilizer, chemical drug3 and those of others caused sudden death. Macroscopically, there were coagulation disorders of blood, congestion, edema and haemorrhage of lung, congestion and haemorrhages, watery and blood-tinged contents of small intestine. Histopathologically, we observed pulmonary congestion and haemorrhage, necrotic intestinal mucosa accompanied with haemorrhage and congestion, and also increased globule leukocytes between bronchial epithelia with mild pneumonia. Clinicopathologically, only elevation of blood glucose and aspartate aminotransferase(AST) was detected. Magnesium and calcium deficiency were not detected, but parasites were detected highly in normal and dead cattles. Microbiologically, Clostridium(Cl) pefringens were detected from small intestinal contents of 94% (63/67) of sudden death cattle and 51%(51/101) of slaughter cattle, and the population were $10^{6-8}$/cfu/$m\ell$ after 16~32 hours. Consequently, it was proved that the cause of death in cattle was enterotoxemia. Pathogenic test of mouse and goat inoculated with Cl perfringens type A toxin has been demonstrated as similar observation to natural cases. In antimicrobial susceptibility test, ampicillin, bacitracin, polymycin, cephalothin, penicillin, choramphenicol, erythromycin, tetracycline were highly susceptible, and amikacin, gentamicin, kanamycin, neomycin, streptomycin, sulfamethoxine, sulfamethazine were resistant. Cl perfringens were resisted for 4 hours in 3% formalin, 20 minutes in 4% phenol, 20 minutes in 0.5% mercuric chloride and 40 minutes in 0.1% sodium hydroxide, respectively. The useful method to prevent from occurrance of enterotoxemia in feedlot cattle was a dietary administration of antibiotics and miyari acid.

• 대한영상의학회지
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• 제82권5호
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• pp.1163-1185
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• 2021

급성 심장사는 증상이 시작된 후 한 시간 이내에 발생하는 심장 원인으로 인한 사망이다. 급성 심장사의 원인은 주로 부정맥이지만 동반할 수 있는 기저 심질환들을 사전에 진단하는 것은 장기적 위험을 예측하는 데 중요하다. 심장 CT와 심장 MR은 구조적 심질환을 진단하고 평가하는데 중요한 정보를 제공하여 급성 심장사의 위험을 예측하고 대비할 수 있게 한다. 따라서 임상적으로 중요한 급성 심장사의 위험을 증가시키는 다양한 원인과 영상 소견의 중요성에 대하여 중점적으로 살펴보고자 한다.

• 한국인터넷방송통신학회논문지
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• 제16권4호
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• pp.197-202
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• 2016

본 논문에서는 영아 돌연사를 방지하기 위해 영아의 생체신호를 분석하여 위험상황이 발생했을 때 보호자에게 위험신호를 알려주는 영아 돌연사 모니터링 시스템을 제안한다. 영아 돌연사(SID)는 생후 한 달에서 일년 사이의 건강한 아기가 원인불명으로 사망하는 것을 말한다. 제안한 영아 돌연사 모니터링 시스템은 생체신호를 센싱하는 부분과 생체 신호를 처리하는 프로세서부와 모니터링 및 알람부분으로 구성된다. PPG 센서를 사용하여 생체신호를 센싱하고 프로세서부에서는 센서를 통해 획득한 신호를 동잡음을 제거하여 부모에게 알람 및 모니터링 할 수 있게 하였다. 제안한 시스템은 영아의 심박동을 분석하여 위험상황인 경우 보호자에게 모니터링 및 경고 알람을 보내게 된다. 시스템의 실제 구현을 통해 모니터링 시스템의 성능을 평가하였다.

• 한국동물위생학회지
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• 제39권2호
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• pp.131-136
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• 2016

Clostridium novyi (C. novyi) is a gram positive, non-capsulated, motile, obligatory anaerobe that produces endospores. Both C. novyi type A and B produce a bacteriophage encoded lethal alpha toxin which belongs to a family of large clostridial cytotoxins. These large clostridial cytotoxins of C. novyi bind to the uncharacterized receptors on host vascular endothelial cells, which leads to the loss of integrity of the vascular endothelium with subsequent edema, refractory hypotension, organ failure, and sudden death. A total of 13 sudden death cases were submitted to Chonbuk National University-Veterinary Diagnostic Center between June and October, 2015. The samples, mainly liver, were collected in sterile vials after necropsy and processed within 12~24 hours for diagnosis, isolation and identification of C. novyi. All of the 4 gram positive samples showed amplification by PCR. Out of 4 positive samples, 3 were detected to be C. novyi type B and 1 was detected as C. novyi type A. Based on the 16S rDNA sequence analysis, 1 case (150564) showed 99% similarity with C. novyi type A while other 3 cases (150388, 150557 and 150775) presented 99% similarity with C. novyi type B. Based on the results, C. novyi was found to be prevalent in Korean pig farms and causes sudden death to finishing pigs or sows during summer season. Thus, C. novyi should be considered for differential diagnosis on sudden death cases during the summer season.

• 한국임상수의학회지
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• 제8권1호
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• pp.65-70
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• 1991

The sudden death syndrome has been encountered in Korean native cattle in a small island village of Yeochun, Chonnam since 1984. In an effort to diagnose the causes of the condition, 10 calves were purchased and shipped to the village to be reared conventionally. During the period of April 1988 through March 1989 the animals were clinically examined every month, samples of blood and feces collected and examined. Soils, plants and water samples were analysed, and necropsy was performed on two calves which died during the period. No abnormalities were found by clinical examination. Soil, plant and water analysis did not reveal any abnormalities which could be related to sudden death. One of the 2 dead calves was fallen and suffocated to death after the right hock was tied by rein. The other had a torsion In jejunum after plowing. Epidemiological examination revealed that two calves of one farmer died in one day from bloat. Authors explained the results and asked the people in the island to improve management of the animals, and no more sudden death occurred for 2 years.