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A Study on Exhibitional Suicide and Its Prevention (현시성 자살과 그 예방에 관한 고찰)

  • Park, Jin-Ho;Kwak, Jyung-Sik
    • Journal of forensic and investigative science
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    • v.1 no.2
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    • pp.20-30
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    • 2006
  • An exhibitional suicide is a case of death that the purpose is to demonstrate one's own real intention for others. This exhibitional suicide has a few characteristics that are different from a suicide: seriousness of suicide intention, a method of suicide attempt, and the place of a suicide. In other words, an exhibitional suicide lacks suicide intention, uses a slower method of death, and attempts a suicide at the place which others can easily find. In this light, this paper ascertains that a fair number in poisoning deaths are an exhibitional suicide on the basis of the result of an autopsy by department of forensic medicine school of medicine, Kyungpook National University. The research also confirms that juveniles and women attempt a suicide as often as adults and men, and a great number of suicides are indeed an exhibitional suicide. In terms of a commercial law, many specialists see an exhibitional suicide as an accidental death. However, if we consider an exhibitional suicide as an accidental death, we cannot verify the authenticity of death in an accident. In addition, if we observe the purpose of insurance and suicide exemption period of insurance company, we rather get to know to distinguish an exhibitional suicide from an accident. According to the research, most of the exhibitional suicide results from little or no-relation with others. Therefore, a little interest from family, friend, and neighbor plays a pivotal role in preventing this suicide. Finally, an effort to build database concerning an exhibitional suicide by a psychological autopsy will help people access a plenty of statistical materials and facilitate further study about an exhibitional suicide.

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Studies on the Elimination of Aflatoxin by Various Treatment (각종 처리에 의한 Aflatoxin의 분해에 관한 연구)

  • Lee, Chung-Hee;Chung, Yung-Chai;Chung, Yeong
    • Korean Journal of Food Science and Technology
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    • v.5 no.4
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    • pp.201-205
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    • 1973
  • In order to eliminate aflatoxin in foodstuffs, the effects of the treatment by various pH conditions, acid and alkali, and salt on each temperature and time were studied in this experiment and the results were as follows: 1) In the low pH, aflatoxins were much more destroyed than high pH. The destruction of aflatoxins was significantly increased by heat in the same pH levels. 2) BY the treatment of 1.5 and 10% of sodium hydroxide and ammonia, aflatoxins were completely eliminated, but $40{\sim}80%$ of aflatoxins were eliminated by the treatment of 1.5 and 10% of acetic acid, hydrochloric acid and sulfuric acid. 3) By the treatment of aflatoxin in bile acid and artificial gastric juice, aflatoxins were completly eliminated and 75% respectively. 4) By the boiling $(100^{\circ}C)$ for 30 minutes in salt solution, $39{\sim}55%$ of aflatoxins was eliminated and no variation was observed as the concentration.

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Physical and Sensory Characteristics of Sponge Cake with Added Broccoli (Brassica oleracea var. italica Plenck) Powder (브로콜리 첨가 스폰지 케이크의 품질 특성 연구)

  • Lim, Eun-Jeong;Lee, Hyun-Sun;Lee, Yoo-Hyun
    • Journal of the East Asian Society of Dietary Life
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    • v.20 no.6
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    • pp.873-880
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    • 2010
  • The purpose of this study was to investigate the quality characteristics of sponge cake with broccoli (Brassica oleracea var. italica Plenck) powder. Broccoli powder was mixed with wheat flour at various ratio (3, 5, 7, 9%, w/w) for physical and sensory evaluations. The specific gravity of bread dough increased with added broccoli powder. The moisture of the sponge cakes with added broccoli powder was higher than that of control. In the crumb color values, lightness (L) and redness (a) decreased upon broccoli powder addition, whereas yellowness (b) significantly increased (p<0.05). In the texture analysis hardness, cohesiveness, springiness and gumminess were reduced by addition of broccoli powder. When we evaluated the sensory characteristics of five subareas (color, flavor, texture, taste, and overall acceptability), 7% broccoli sponge cake showed the highest sensory properties except for flavor (p<0.05). Therefore, the results suggested that 7% broccoli sponge cake could be helpful in improving physical quality and taste.

Effects of Pediocin Treatment on the Microbial Quality of Wet Noodles during Storage (Pediocin 처리가 생면의 저장 중 pH와 미생물에 미치는 영향)

  • Han, Min-Woo;Park, Kee-Jai;Jeong, Seong-Weon;Kim, Seok-Joong;Youn, Kwang-Sup
    • Food Science and Preservation
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    • v.14 no.3
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    • pp.328-331
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    • 2007
  • This study was conducted to investigate the effect of pediocin treatment on noodle quality during 4 days of storage at $20^{\circ}C$. The pH of noodle increased after 2 days of storage and then decreased during further storage. The total bacterial counts in noodles increased during the storage period. When pediocin was present at 1,000 ppm, bacterial counts temporarily decreased after first day of storage and then slowly increased to 4 days of storage. Coliforms were detected after 2 days of storage in noodles stored without pediocin. When pediocin was present at 300 or 500 ppm, the coliform detection time was extended to 3 days of storage. Upon treatment with 1,000 ppm of pediocin, the coliform detection time was further extended to 4 days of storage. The fungal count in noodles was 2.3 log CFU/mL initially, and did not change significantly during the first day of storage, after which time the fungal count increased quickly. The fungal counts in noodles without pediocin treatment increased more rapidly than in noodles stored with pediocin, and was 5.0 log CFU/mL after 4 days of storage. We conclude that pediocin prevented noodle deterioration on storage.

The Association of Perceived Neighborhood Walkability and Environmental Pollution With Frailty Among Community-dwelling Older Adults in Korean Rural Areas: A Cross-sectional Study

  • Kim, Mi-Ji;Seo, Sung-Hyo;Seo, Ae-Rim;Kim, Bo-Kyoung;Lee, Gyeong-Ye;Choi, Yeun-Soon;Kim, Jin-Hwan;Kim, Jang-Rak;Kang, Yune-Sik;Jeong, Baek-Geun;Park, Ki-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.6
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    • pp.405-415
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    • 2019
  • Objectives: The aim of this study was to evaluate the associations of frailty with perceived neighborhood walkability and environmental pollution among community-dwelling older adults in rural areas. Methods: The participants were 808 community-dwelling men and women aged 65 years and older in 2 rural towns. Comprehensive information, including demographics, socioeconomic status, grip strength, polypharmacy, perceived neighborhood environment (specifically, walkability and environmental pollution), and frailty, was collected from participants using face-to-face interviews conducted between June and August 2018. Perceived neighborhood walkability was measured using 20 items that were selected and revised from the Neighborhood Environment Walkability Scale, the Neighborhood Walkability Checklist from the National Heart Foundation of Australia, and the Physical Activity Neighborhood Environment Survey. The Kaigo-Yobo Checklist was used to assess participants' frailty. Results: The overall prevalence of frailty in this community-dwelling population was 35.5%. Sex, age, cohabitation status, educational attainment, employment status, grip strength, and polypharmacy were significantly associated with frailty. In the logistic regression analysis, frailty was associated with low perceived neighborhood walkability (adjusted odds ratio [aOR], 0.881; 95% confidence interval [CI], 0.833 to 0.932; p<0.001) and severe perceived neighborhood environmental pollution (aOR, 1.052; 95% CI, 1.017 to 1.087; p=0.003) after adjusting for sex, age, cohabitation status, educational attainment, employment status, monthly income, grip strength, and polypharmacy. Conclusions: More studies are warranted to establish causal relationships between walkability and environmental pollution and frailty.

Current status of continuing education and related factors in dental hygienists (치과위생사의 보수교육 이수 현황 및 관련 요인)

  • Han, Yeo-Jung;Han, Mi-Ah;Park, Jong;Ryu, So-Yeon;Choi, Seong-Woo;Moon, Sang-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.2
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    • pp.183-194
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    • 2019
  • Objectives: This study aimed to identify the factors related to the completion status of continuing education and to help develop professional ability by presenting improvement directions. Methods: A questionnaire survey involving 500 dental hygienists working at 155 dental clinics in Gwang-ju was conducted between June 19 and July 29, 2017. Descriptive analysis, chi-square tests, and t-tests were conducted using Statistical Package for Social Sciences Version 21.0 for Windows. Finally, to investigate the factors related to the completion of continuing education, logistic regression analysis was performed. Results: The odds ratio (OR) was higher in the group with more than 16 years of total work carrier (OR=3.40, 95% confidence interval (CI)=1.22-9.45) than that in the group with 1-5 years of work carrier. Groups receiving information from associations (OR=5.35, 95% CI=1.74-16.40), groups that directly search for information (OR=6.53, 95% CI=1.84-23.12), and groups receiving information from colleagues (OR=3.55, 95% CI=1.17-10.77) had higher ORs than groups receiving no information. The OR was higher in the group receiving cost support for participation (OR=2.20, 95% CI=1.06-4.55) than the group receiving no support. Regarding total education completion status in 2012-2014, groups that completed grades 1-7 (OR=2.51, 95% CI=1.35-4.64) and those that completed grade 8 or higher (OR=14.37, 95% CI=7.68-26.89) had higher ORs than groups who received no education. Conclusions: The rate of completion of continuing education can be increased by reviewing the course contents, publicity activities, and cost of continuing education.

Clinical Outcomes and Cost-Effectiveness of Osteoporosis Screening With Dual-Energy X-ray Absorptiometry

  • Chiao-Lin Hsu;Pin-Chieh Wu;Chun-Hao Yin;Chung-Hwan Chen;King-Teh Lee;Chih-Lung Lin;Hon-Yi Shi
    • Korean Journal of Radiology
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    • v.24 no.12
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    • pp.1249-1259
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    • 2023
  • Objective: This study aimed to evaluate the clinical outcomes and cost-effectiveness of dual-energy X-ray absorptiometry (DXA) for osteoporosis screening. Materials and Methods: Eligible patients who had and had not undergone DXA screening were identified from among those aged 50 years or older at Kaohsiung Veterans General Hospital, Taiwan. Age, sex, screening year (index year), and Charlson comorbidity index of the DXA and non-DXA groups were matched using inverse probability of treatment weighting (IPTW) for propensity score analysis. For cost-effectiveness analysis, a societal perspective, 1-year cycle length, 20-year time horizon, and discount rate of 2% per year for both effectiveness and costs were adopted in the incremental cost-effectiveness (ICER) model. Results: The outcome analysis included 10337 patients (female:male, 63.8%:36.2%) who were screened for osteoporosis in southern Taiwan between January 1, 2012, and December 31, 2021. The DXA group had significantly better outcomes than the non-DXA group in terms of fragility fractures (7.6% vs. 12.5%, P < 0.001) and mortality (0.6% vs. 4.3%, P < 0.001). The DXA screening strategy gained an ICER of US$ -2794 per quality-adjusted life year (QALY) relative to the non-DXA at the willingness-to-pay threshold of US$ 33004 (Taiwan's per capita gross domestic product). The ICER after stratifying by ages of 50-59, 60-69, 70-79, and ≥ 80 years were US$ -17815, US$ -26862, US$ -28981, and US$ -34816 per QALY, respectively. Conclusion: Using DXA to screen adults aged 50 years or older for osteoporosis resulted in a reduced incidence of fragility fractures, lower mortality rate, and reduced total costs. Screening for osteoporosis is a cost-saving strategy and its effectiveness increases with age. However, caution is needed when generalizing these cost-effectiveness results to all older populations because the study population consisted mainly of women.

Iron Status and Its Relations with Nutrient Intake, Coffee Drinking, and Smoking in Korean Urban Adults

  • Lee, Joung-Won;Hyun, Wha-Jin;Kwak, Chung-Shil
    • Journal of Community Nutrition
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    • v.5 no.1
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    • pp.44-50
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    • 2003
  • The iron status and its relations with nutrient intake, coffee drinking, and cigarette smoking were evaluated through the blood analysis and 3-day dietary recalls in 102 apparently healthy Korean adults (48 males, 54 menstruating females) aged 20-49 years and living in Daejeon City. Mean values of hemoglobin (Hb) in males and females were 15.5g/dL and 13.2g/dL, mean corpscular hemoglobin concentration (MCHC) 36.0% and 36.8 %, serum iron (SI) 135 $\mu\textrm{g}$/dL and 97 $\mu\textrm{g}$/dL, transferrin saturation (TS) 39.4% and 29.2%, and serum ferritin (Ft) 88.1 $\mu\textrm{g}$/L and 23.4 $\mu\textrm{g}$/L, respectively. For males the prevalences of abnormal values of iron status indicators were 4.2% in Hb, 2.1% in TS, and 4.2% in Ft, and for females 16.7% in Hb, 25.9% in TS, and 35.2% in Ft. Among females 9.3% had abnormal Ft, TS, and Hb, which was considered as iron-defeciency anemia, and 14.8% had abnormal Ft and TS. As a whole, the impaired iron status prevalences were estimated to be 2.1 - 4.2% for males and 9.3 - 35.2% for females. Mean daily intakes of iron and heme-iron were 13.7mg and 1.51mg in males, and 12.3mg and 1.45mg in females. Ft was positively correlated with dietary energy, protein, iron, and vitamin A, Hb with energy and iron, and MCHC with iron and heme iron. Vitamin A also tended to show positive correlations with Hb, SI, and TS. Coffee drinkers taking 3 cups per day or more had higher levels of Hb, MCHC, and Ft in males and MCHC in females, compared to non-coffee drinkers. Higher levels of Hb and MCHC were found in male smokers than in non-smokers. Coffee drinkers took more energy and vitamin A in males and MPF protein in females than non-coffee drinkers. From the above results, it was suggested that the iron status of men was much better than that of women, and the intakes of energy, iron, heme iron, and especially vitamin A were positively associated with the iron status. Cigarette smoking elevated Hb and MCHC, but the effect of coffee drinking on iron staus was not clear. (J Community Nutrition 5(1) : 44∼50, 2003)

Correlation between EGFR Gene Mutations and Lung Cancer: a Hospital-Based Study

  • Kavitha, Matam;Iravathy, Goud;Adi Maha, Lakshmi M;Ravi, V;Sridhar, K;Vijayanand, Reddy P;Chakravarthy, Srinivas;Prasad, SVSS;Tabassum, Shaik Nazia;Shaik, Noor Ahmad;Syed, Rabbani;Alharbi, Khalid Khalaf;Khan, Imran Ali
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.7071-7076
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    • 2015
  • Epidermal growth factor receptor (EGFR) is one of the targeted molecular markers in many cancers including lung malignancies. Gefitinib and erlotinib are two available therapeutics that act as specific inhibitors of tyrosine kinase (TK) domains. We performed a case-control study with formalin-fixed paraffin-embedded tissue blocks (FFPE) from tissue biopsies of 167 non-small cell lung carcinoma (NSCLC) patients and 167 healthy controls. The tissue biopsies were studied for mutations in exons 18-21 of the EGFR gene. This study was performed using PCR followed by DNA sequencing. We identified 63 mutations in 33 men and 30 women. Mutations were detected in exon 19 (delE746-A750, delE746-T751, delL747-E749, delL747-P753, delL747-T751) in 32 patients, exon 20 (S786I, T790M) in 16, and exon 21 (L858R) in 15. No mutations were observed in exon 18. The 63 patients with EFGR mutations were considered for upfront therapy with oral tyrosine kinase inhibitor (TKI) drugs and have responded well to therapy over the last 15 months. The control patients had no mutations in any of the exons studied. The advent of EGFR TKI therapy has provided a powerful new treatment modality for patients diagnosed with NSCLC. The study emphasizes the frequency of EGFR mutations in NSCLC patients and its role as an important predictive marker for response to oral TKI in the south Indian population.

Physical Characteristics and Dietary Patterns of Strength Athletes; Bodybuilders, Weight Lifters (근력 종목선수들의 신체적 특성 및 식생활 패턴)

  • Cho, Seong-Suk;Lee, Hyun-Keun;Kim, Kyung-Won
    • Korean Journal of Community Nutrition
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    • v.12 no.6
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    • pp.864-872
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    • 2007
  • The purpose of this study was to provide a descriptive assessment of the nutritional habits of resistance trained males in relation to protein and carbohydrate intakes in comparison with the recommended values. Thirty-four male bodybuilders ($27.0{\pm}2.1years,\;173.5{\pm}5.0cm,\;8.3{\pm}0.61%$ body fat), twenty-four male weight lifters ($20.9{\pm}2.1years,\;171.8{\pm}6.9cm,\;7.6{\pm}0.98%$ body fat) and twenty-five male non-athletes ($26.9{\pm}2.5years,\;175.3{\pm}5.7cm,\;8.5{\pm}0.95%$ body fat) participated in the study. Participants completed a comprehensive survey by twenty-four hour dietary recall methods. All diets were analyzed using the Computer Aided Nutritional (Pro) analyzer by a registered dietician. Body fat was measured using skin fold thickness. The average time spent in resistance training was $18.0{\pm}1.7$ hrs/week for body builders and $14.6{\pm}8.7$ hrs/week for weight lifters. Total daily calories were $2583.6{\pm}874.8kcal\;(31.9{\pm}11.9kcal/kg)$ for bodybuilders, $3565.9{\pm}1281.8kcal\;(42.7{\pm}15.0kcal/kg)$ for weight lifters and $2016.0{\pm}955.3kcal\;(28.1{\pm}13.9kcal/kg)$ for non-athletes (p=0.001). Percent of calories from carbohydrate, protein, and fat 64.2%, 27.1%, and 8.7% for bodybuilders, and 66.3%, 18.6%, and 15.1% for weight lifters. The mean protein intake was $1.9{\pm}1.2g/kg$ of BW for bodybuilders, $1.6{\pm}0.6g/kg$ of BW for male weight lifters and $1.1{\pm}0.69g/kg$ of BW for non-athletes. Although dietary calcium (78.7%) and riboflavin (86.3%) intakes for bodybuilders were below the RDA, dietary intakes of micronutrients were not deficient. More research needs to be conducted to determine the optimal amounts of protein, carbohydrates, fats, and micronutrients for the resistance trained athletes.