• 한국학교ㆍ지역보건교육학회지
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• 제18권2호
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• pp.1-25
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• 2017

Objectives: There is higher rates of experience of suicide ideation and suicide attempt of adolescents in the Lima and Callao region compared with the results of the epidemiological study (2013) conducted by Peru National Institute of Mental Health and the Global School-based Student Health Survey (2010) which is was conducted among adolescents across all regions of Peru. Based on the PRECEDE model, this study analyzed the prevalence and the factor associated with the suicide attempt among the adolescent in a poor urban area in Peru. Methods: A stratified random sampling was used for the survey to select study participants from the 6 secondary schools based in Comas or Callao. The survey was conducted November 25th and December 4th in 2015 and a total of 738 individuals included in the analysis. In order to analyze factors influencing suicide attempt, comparison of predisposing factor, reinforcing factor, enabling factor, behavioral factor, environmental factor, psychological factors by suicide attempt and suicide risk group were identified through the chi-square test and hierarchical logistic regression. Results: Results showed that those who reported having less parental understanding, less time spent with parents, and 'almost none/none' for parental affection had more experience of suicide attempt and were more likely to sort into the high suicide risk group. Also, a greater proportion of those with the experience of suicide attempt had more experience of smoking and alcohol consumption, and experience of physical abuse and feeling insulted and depression in comparison to that of those without experience of suicide attempt. Variables that had a significant effect on suicide attempt included depression, subjective happiness, smoking experience, sexual intercourse, involvement in fight, parental affection, and gender (male). Conclusions: The results of the current study can serve as grounds for the necessity of acknowledging that adolescent suicide does not simply depend on a couple of factors, but arises from situations in which individual, home, school, social factors influence one another, and therefore adolescent suicide should be prevented and addressed through a multi-dimensional and integrated approach.

• 셀메드
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• 제2권2호
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• pp.12.1-12.11
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• 2012

Traditional Medicinal System (TMS) is one of the centuries-old practices and long-serving companions to the human kind to fight against disease and to lead a healthy life. Every indigenous people have been using their unique approaches of TMS practice where among, the Chinese, Indian and African TMSs are world-wide renowned. India has a unique Indian System of Medicines (ISM) consisting of Ayurveda, Siddha, Unani, Naturopathy and Homoeopathy. Siddhars are the saints as well as the eminent scholars, who have attained Ashta-mahasiddhi [Tamil: (Ashta-Eight; Mahasiddhi-Power)] or enlightment. They have postulated, practiced, immensely contributed and have established the concept of the Tamil medicinal system called Siddha System of Medicine (SSM). From ancient time, SSM has flourished and has been widely practiced in the southern part of India particularly in Tamil Nadu. The induction of the modern medicinal system has immensely influenced the existence of SSM and has made the SSM principles and practices undervalued/extinct. However, at present, still a considerable group of people are using the SSM as a basic health-care modality. In this context, the present scrutiny deals with the TMS history, its significance with a special reference to SSM history, Siddhars, the basic concept of SSM, its diagnostic procedures, materia medica and treatment. Conclusively, Siddha is one of the most ancient indigenous health practices despite its several thorny challenges and issues, which needs to be flagged effectively and to be preserved and revitalized in the international arena in the near future.

• The Plant Pathology Journal
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• 제33권5호
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• pp.441-449
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• 2017

Citrus canker is an important bacterial disease of citrus in several regions of the world. Strains of Xanthomonas citri type-A (Xc-A) group are the primary pathogen where citrus canker occurs. After Xc-A entered the Northeast of Argentina in 1974, the disease spread rapidly from 1977 to 1980 and then slowed down and remained moving at slow pace until 1990 when it became endemic. Citrus canker was detected in Northwest Argentina in 2002. This paper presents the main steps in the fight of the disease and the management strategies that have been used to control citrus canker at this time. We think the process might be usefull to other countries with the same situation. Results from more than 40 years of research in Northeast (NE) Argentina indicate that we are at the limit of favorable environment for the disease. The severity of citrus canker is greatly affected by the environment and El $Ni{\tilde{n}}o$ Southern Oscillation (ENSO) phenomenon which causes cyclic fluctuations on the disease intensity in the NE region. Weather-based logistic regression models adjusted to quantify disease levels in field conditions showed that the environmental effect was strongly modulated by the distance from a windbreak. Production of healthy fruits in citrus canker endemic areas is possible knowing the dynamics of the disease. A voluntary Integrated Plan to Reduce the Risk of Canker has been in place since 1994 and it allows growers to export unsymptomatic, uninfested fresh fruit to countries which are free of the disease and require healthy, pathogen free fruits. The experience from Argentina can be replicated in other countries after appropriate trials.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6561-6568
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• 2015

Background: Smokeless tobacco (SLT) has long been realized as an important component of the fight for global tobacco control. It still remains a major problem in countries like India, Bangladesh and Nepal. The objective of this study was to estimate the trends of SLT use in three countries of the SEARO WHO office. Materials and Methods: We used data from national surveys in three countries (Bangladesh, India and Nepal) to estimate trends in prevalence of current SLT use. All available nationally representative data sources were used. Estimates were weighted, age standardized and given along with 95% confidence intervals. Significance of linear trend in prevalence over time was tested using the Cochrane-Armitage test for trend. A p value of less than 0.05 was considered statistically significant. Results: We identified three surveys for Bangladesh, three for India and four for Nepal that met the selection criteria (such as Demographic and Health Surveys, WHO-STEPwise approach to Surveillance and Global Adult Tobacco Surveys). A significantly increasing trend was noticed in the prevalence of current SLT use among Bangladeshi men (20.2% to 23%, p=0.03). In India, a similar significantly increasing trend was seen among men (27.1% to 33.4%, p<0.001) and women (10.1% to 15.7%, p<0.001). In Nepal, there was a no significant trend among both men (39.1% to 31.6%, p=0.11) and women (5.6% to 4.7%, p=0.49). Conclusions: In the study countries SLT use has remained at alarmingly high levels. Usage trends do not show any signs of decline in spite of control efforts. Tobacco control measures should focus more on controlling SLT use.

• 한국지능시스템학회논문지
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• 제23권5호
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• pp.479-486
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• 2013

항공기의 제어 시스템 설계에 있어 두 가지 어려움이 있다. 즉 항공기의 동적 특성이 비선형 특성을 갖고 있고 그 파라미터 값들이 시간 혹은 비행 조건에 따라 변화하는 시변 특성을 갖고 있다는 점이다. 그럼에도 불구하고 고전적인 제어 이론을 활용한 신뢰성 높고 효율적인 제어 기법들이 계속 개발되어 왔으나 정확한 이론적 분석이 수반되지 않으면 항공기의 성능, 강건성, 그리고 안전성조차도 확보하기 어려운 문제점을 갖는다. 이에 최근에는 퍼지 논리, 신경망, 유전자 알고리즘으로 대표되는 지능 제어 기법을 활용한 항공기 제어 시스템 개발이 시도 되고 있다. 본 논문에서는 기존의 퍼지 논리가 갖고 있는 불확실성에 대한 취약점들을 크게 감소시킬 수 있는 Interval Type-2 퍼지 논리 이론을 기반으로 고속 항공기의 지능형 비행 횡 제어 시스템을 개발하고 컴퓨터 모의실험에 의해 그 효용성을 입증한다.

• Advances in concrete construction
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• 제13권4호
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• pp.315-325
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• 2022

Reinforced concrete structures are exposed throughout their lifetime to the phenomenon of carbonation, which considerably influences their durability by causing corrosion of the reinforcements. The fight against this phenomenon is usually ensured by anti-carbonation coatings which have the possibility of limiting the permeability to carbon dioxide or with coatings which absorb the CO₂ present in the air. A coating with good crack-bridging (sealing) capacity will prevent water from entering through existing cracks in concrete. Despite the beneficial effect of these coatings, their durability decreases considerably over time with temperature and humidity. In order to use coatings made from local materials, not presenting any danger, available in abundance in our country, very economical and easy to operate is the main objective of this work. This paper aim is to contribute to the formulation of a corrected dune sand-based mortar as an anti-carbonation coating for concrete. The results obtained show that the cement mortar based on dune sand formulated has a very satisfactory compressive strength, a very low water porosity compared to ordinary cement mortar and that this mortar allows an improvement in the protection of the concrete against the carbonation of 60% compared to ordinary cement mortar based on alluvial sand. Moreover, the formulated cement mortars based on dune sand have good adhesion to the concrete support, their adhesion strengths are greater than 1.5MPa recommended by the standards.

• Journal of Korean Neurosurgical Society
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• 제60권3호
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• pp.335-347
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• 2017

Intravenous recombinant tissue plasminogen activator had been the only approved treatment for acute ischemic stroke since its approval in 1995. However, the restrictive time window, numerous contraindications, and its low recanalization rate were all limitations of this modality. Under those circumstances, endovascular stroke therapy went through a great evolution during the past two decades of intravenous thrombolysis. The results of the 2013 randomized trials for endovascular stroke therapy were neutral, although they were limited by insufficient imaging screening at enrollment, early-generation devices with less efficacy, and treatment delays. Huge progress was made in 2015, as there were five randomized clinical trials which all demonstrated the safety and efficacy of endovascular stroke treatment. Despite differences in detail patient enrollment criteria, all 5 trials employed key factors for good functional recovery; (1) screening with non-invasive imaging to identify the proximal occlusion and exclude a large infarct core, (2) using highly effective modern thrombectomy devices mainly with stent retriever, and (3) establishment of a fast workflow to achieve effective reperfusion. The results of those trials indicate that modern thrombectomy devices can allow for faster and more effective reperfusion, which can lead to improved clinical outcomes compared to intravenous thrombolysis alone. These advances in mechanical thrombectomy are promising in the global fight against ischemic stroke-related disability and mortality. Two current mainstreams among such mechanical thrombectomy techniques, "stent retriever thrombectomy" and "direct clot aspiration", are the topic of this review. Stent retriever thrombectomy using Solitaire and Trevo retriever will be firstly discussed. And, the commonalities and the differences between two major clot aspiration thrombectomy techniques; a direct aspiration first pass technique (ADAPT) and forced arterial suction thrombectomy (FAST), will be additionally explained. Finally, details regarding the combination of direct clot aspiration and stent retriever thrombectomy, the switching strategy and the Solumbra technique, will be described.

• 산업융합연구
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• 제18권6호
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• pp.85-98
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• 2020

연구 목적: 본 연구는 COVID-19 비확진 간호대학생의 전염병 팬데믹 경험의 본질을 확인하기 위해 시행되었다. 연구 방법 : 2020년 4월 14일부터 2020년 4월 23일까지 간호대학생 8명을 대상으로 개별적인 심층 인터뷰를 통해 자료를 수집하고 Colaizzi의 현상학적 분석 방법론을 활용하여 자료를 분석하였다. 연구 결과 : 간호대학생의 전염병 팬데믹 경험을 통해 '걱정을 담고 있는 일상의 연속', 'COVID-19에 빼앗긴 일상 속 투쟁', '두려움과 기대심리에서의 갈등', '외로움과의 싸움', '변경된 수업운영 방침에 대한 혼란과 적응', '새로운 국면을 맞이하는 대처능력의 향상' 및 '성장의 발판'의 총 7가지 범주가 나타났다. 결론 : 간호대학생은 팬데믹 상황속에서 심리사회적으로 어려움을 겪었으나, 적응하며 긍정의 방향으로 이끌었다. 진로정체성을 점검해 보는 시간을 갖을 수 있는 계기로 삶고, 자신의 삶을 보완하려고 노력하였다. 추후 자가격리를 경험한 간호대학생의 경험과 COVID-19 장기화 상황에서의 간호대학생의 경험의 본질에 대한 연구를 제안한다.

• 한국화재소방학회논문지
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• 제21권4호
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• pp.44-51
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• 2007

우리나라 대부분의 문화재인 사찰은 목조 건축물로 가연성이 높고 도심과 떨어진 산속에 있어 화재 진화에도 소방력의 접근성이 용이하지 않아 초기 진화가 어렵다. 또한 장기 지속적인 화원으로부터 문화재 보호를 위한 수원의 확보 및 자체 소방시설도 한계가 있다. 따라서 본 연구에서는 산불로 인한 화재의 초기 진화 및 장기 지속적인 화원으로부터 문화재를 보호하고자 기존의 수계설비보다 피해를 최소화 할 수 있는 미분무수 설비를 적용하여 우리나라 문화재의 지형적 위치를 고려한 가연물의 발화에너지를 제거하는 방식의 소방시설과 차단벽을 활용한 방식의 소방시설을 제안하였다.

• Anatomy and Cell Biology
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• 제57권1호
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• pp.119-128
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• 2024

Glucocorticoids play a physiologic role in the adult male reproductive functions, modulating gonadal steroid synthesis and spermatogenesis, through the glucocorticoid receptor (GR). The expression of GR has been described in several key testicular cell types, including somatic cells and early germ cell populations. Nothing is known on GR in human spermatozoa. Herein, we explored the GR expression and its possible role in normal and testicular varicocele semen samples from volunteer donors. After semen parameter evaluation by macro- and microscopic analysis, samples were centrifuged; then spermatozoa and culture media were recovered for further investigations. By western blotting and immunofluorescence analyses we evidenced for the first time in spermatozoa the presence of GR-D3 isoform which was reduced in sperm from varicocele patients. By treating sperm with the synthetic glucocorticoid dexamethasone (DEXA), we found that survival, motility, capacitation, and acrosome reaction were increased in both healthy and varicocele samples. GR involvement in mediating DEXA effects, was confirmed by using the GR inhibitor mifepristone (M2F). Worthy, we also discovered that sperm secretes different cortisol amounts depending on its physio-pathological status, suggesting a defence mechanism to escape the immune system attach in the female genital tract thus maintaining the immune-privilege as in the testis. Collectively, our data suggests a role for glucocorticoids in determining semen quality and function, as well as in participating on sperm immune defensive mechanisms. The novelty of this study may be beneficial and needs to take into account in artificial insemination/drug discovery aimed to enhancing sperm quality.