• Journal of Chest Surgery
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• 제30권8호
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• pp.815-818
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• 1997

인공판막심내막염은 드물지만 합병증으로 판막주위가 감염으로 파괴되고 농양이 형성되는 경우가 있어 높 은 사망율을 가져온다. 그러나 적절한 항생제의 사용, 심장초음파 검사에 기초를 둔 조기 진단,수술시 효과적인 심근보호. 그리고 수술경험의 축적으로 인공판막심내막염에 있어서 보다좋은 장단기 결과를 얻을 수 있다. 35세 남자 환자가 94년 8월에 대동맥판막, 승모판막대치술과 함께 삼첨판륜성형술을 받은후 특별한 증상 없이 지내다가 갑자기 시작된 실어증, 양안구의 좌측편위, 고열로 입원하여 심장초음파 검사를 시행한 결과 인공판막 심내막염 소견을 보여 6주간의 항생제 치료후 수술을 시행하였다. 수술소견상 대동맥 판륜을 따라 증식물 소견과 판막 주위의 누출, 농양주머니가 형성되어 있었고 승모판막은 비교적 건강해 보였다. 수술은 감염된 조직의 전체적인 제거와 냉동저장된 대동맥 동종이식편을 이용하여 재대치 수술을 시행했다. 환자는 수술후 63일째 퇴원했으며 퇴원후 7개월 동안 외래 추적 관찰결과 특별한 이상소견 없이 지내고 있다.

• 한국대기환경학회지
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• 제34권4호
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• pp.517-533
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• 2018

We utilize the CAMx (Comprehensive Air Quality Model with eXtensions) system and the PSAT (Particulate Source Apportionment Technology) diagnostic tool to determine the $PM_{2.5}$ concentration and to perform its source apportionment in the southeastern region of South Korea. For a year-long simulation, eight local authorities in the region such as Pohang, Daegu, Gyeongju, Ulsan, Busan-Gimhae, Gosung-Changwon, Hadong, and all remaining areas in Gyeongsangnam-do, are selected as source areas based on the emission rates of $NO_x$, $SO_x$, VOC, and primary PM in CAPSS (Clean Air Policy Support System) 2013 emissions inventory. The CAMx-PSAT simulation shows that Pohang has the highest $PM_{2.5}$ self-contribution rate (25%), followed by Hadong (15%) and Busan-Gimhae (14%). With the exception of Pohang, which has intense fugitive dust emissions, other authorities are strongly affected by emissions from their neighboring areas. This may be measured as much as 1 to 2 times higher than that of the self-contribution rate. Based on these estimations, we conclude that the efficiency of emission reduction measures to mitigate $PM_{2.5}$ concentrations in the southeastern region of South Korea can be maximized when the efforts of local or regional emission controls are combined with those from neighboring regions. A comprehensive control policy planning based on the collaboration between neighboring jurisdictional boundaries is required.

• 수산해양교육연구
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• 제28권6호
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• pp.1602-1613
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• 2016

Since Ballast Water Management Convention has been adopted, Ballast Water Management Convention is not effected yet. This convention will only enter into force 12 months after its ratification by 30 states, collectively representing 35% of world merchant shipping tonnnage. Morocco, Indonesia and Ghana have ratified this convention during last 29th IMO Assembly meeting which was held in November 2015. In 2016, Belgium, Fiji, Saint Lucia and Peru have become the latest countries to ratify the convention. As of now, 51 states and 34.87% combined merchant fleets are being calculated. BWM convention will be applied to not only new ships but also, existing ships after it is effected. Thus, existing vessel will be retrofitted a Ballast Water Treatment System according to D-2 Requirement until first IOPP nenewal survey after date of entry into force of the convention. Currently, about 65 BWTSs certified by Administration will be reported to IMO, even type of BWTSs is very various. Thus, a risk of each BWTS can be existed, and this existed risk can be also effected to ship's crew safety and protection of ship's own property. Therefore, we have evaluated a risk assessment for an existing vessel retrofitting an ultra violet type Ballast Water Treatment System which is mostly developed in the world. And we described the procedure of selecting a sample vessel, consequently, bulk carrier is selected because this vessel kind is mostly charged in the world. Especially, DWT 175K size is selected. Risk Assessment is using a HAZID and HAZOP method, evaluation method is referred to IMO Document "Considerated test of the Guidelines for Formal Safety Assessment (FSA) for use in the IMO rule-marking process(MSC/Circ.1203-MEPC/Circ.392)". The Risk Assessment Section is decided to 3 Nodes, Consequently, total risks have evaluated 51 items.

• 한국약용작물학회지
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• 제19권4호
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• pp.287-299
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• 2011

Pharmacological effects of Panax ginseng have been demonstrated in cardiovascular system, endocrine secretion and immune system, together with antitumor, anti-stress and anti-oxidant activities. Modern scientific data show protective effect of ginseng against bone marrow cell death, increased survival rate of experimental animals, recovery of hematopoietic injury, immunopotentiation, reduction of damaged intestinal epithelial cells, inhibition of mutagenesis and effective protection against testicular damages, caused by radiation exposure. And also, ginseng acts in indirect fashion to protect radical processes by inhibition of initiation of free radical processes and thus reduces the radiation damages. The research has made much progress, but still insufficient to fully uncover the action mechanism of ginseng components on the molecule level. This review provides the usefulness of natural product, showing no toxic effects, as an radioprotective agent. Furthermore, the further clinical trials on radioprotection of ginseng need to be highly done to clarify its scientific application. The effective components of ginseng has been known as ginsenosides. Considering that each of these ginsenosides has pharmacological effect, it seems likely that non-saponin components might have radioprotective effects superior to those of ginsenosides, suggesting its active ingredients to be non-saponin series. These results also show that the combined effects of saponin and non-saponin components play an important role in the radioprotective effects of ginseng.

• Safety and Health at Work
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• 제2권2호
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• pp.87-96
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• 2011

In 1967, the problem of occupational lead exposure came to public attention in Korea. Since then, regular progress has been made in lowering workplace lead exposures, instituting new workplace controls, and implementing health examinations of exposed workers. Past serious lead poisoning episodes made it possible to introduce biological monitoring programs on a voluntary basis in high-lead-exposure facilities in Korea. Industry-specific occupational health services for lead workers in Korea during the last 22 years can be categorized into three phases. During the first phase (1988-1993), efforts were directed at increasing awareness among workers about the hazards of lead exposure, biological monitoring of blood zinc protoporphyrin began, and a respiratory protection program was introduced. During the second phase (1994-1997), a computerized health management system for lead workers was developed, blood-lead measurement was added to biologic monitoring, and engineering controls were introduced in the workplace to lower air-lead levels to comply with air-lead regulations. Finally, during the third phase (1998-present), a new biomarker, bone-lead measurement by X-ray fluorescence, was introduced. Bone-lead measurement proved to be useful for assessing body burden and to demonstrate past lead exposure in retired workers. Occupational health service practice for lead workers, including the industry-specific group occupational health system, has brought considerable success in the prevention of lead poisoning and in reducing the lead burden in Korean lead workers during the last several decades. The successful achievement of prevention of lead poisoning in Korea was a result of the combined efforts of lead workers, employers, relevant government agencies, and academic institutes.

• 산업경영시스템학회지
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• 제38권4호
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• pp.30-38
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• 2015

IT security service provides customers with the capability of protecting the networked information asset and infrastructures, and the scope of security service is expanding from a technology-intensive task to a comprehensive protection system for IT environment. To improve the quality of this service, a research model which help assess the quality is required. Several research models have been proposed and used in various service areas, but few cases are found for IT security service. In this work, a research model for the IT security quality has been proposed, based on research models such as SERVQUAL and E-S-QUAL. With the proposed model, factors which affect the service quality and the best quality measure have been identified. And the feasibility of using quantitative measures for quality has been examined. For analysis, structural equation modeling and various statistical methods such as principal component analysis were used. The result shows that satisfaction is the most significant measure affected by the proposed quality factors. Two quality factors, fulfillment and empathy, are the main determinants of the service quality. This leads to a strategy of quality improvement based on factors of emotion and perception, not of technology. The quantitative measures are considered as promising alternative measures, when combined with other measures. In order to design reliable quantitative measures, more work should be done on target processing time and users' expectation. It is hoped that work of this research will provide efficient tools and methods to improve the quality of IT security service and help future research works for other IT service areas.

• 대한한의학방제학회지
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• 제27권3호
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• pp.223-236
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• 2019

Dengropanax morfiferus (D), Broussonitia kazinoki (B), and Cudriania tricuspidata (E), a widely cultivated species in South Korea, has been used as traditional medicine to treat numerous diseases. In this study, we evaluated the antidiabetic effects in a various signaling mechanisms using mixed extract and major component contents were analyzed by HPLC in the combined extracts from Dengropanax morfiferus, Broussonitia kazinoki, and Cudriania tricuspidata (DBCE). DBCE inhibited ${\alpha}$-glucosidase and ${\alpha}$-amylase activation and showed potent antioxidant effects, which are evaluated using DPPH, ABTS, and SOD assay. Cytokines, which are released by inflammatory cells in pancreatic islets, are involved in the pathogenesis of type 1 diabetes mellitus. DBCE showed the protective effects in RINm5F cells against cytokines-induced damage by suppressing inducible nitric oxide (NO) synthase and COX-2 expression and NO production. Insulin resistance is the primary characteristic of type 2 diabetes. Therefore, the regulatory effect of DBCE on glucose uptake and production are investigated in insulin-responsive human HepG2 cells. DBCE stimulated glucose uptake, prevented Glut2 and phosphor-IRS1 downregulation induced by high glucose (HG, 30 mM). Moreover, DBCE pretreatment diminished glucose levels, PEPCK and G6Pase overexpression provoked by HG. These findings suggest that DBCE might be used for diabetes treatment through alpha-glucosidase or alpha-amylase activity regulation, pancreatic beta cell protection, hepatic glucose sensitivity improvement. Cytokines, which are released by inflammatory cells' infiltrations around the pancreatic islets, are involved in the pathogenesis of type 1 diabetes mellitus.

• Infection and chemotherapy
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• 제50권4호
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• pp.328-339
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• 2018

Background: Pneumococcal disease is a major cause of morbidity and mortality worldwide, especially in patients with comorbidities and advanced age. This study evaluated trends in epidemiology of adult pneumococcal disease in Crete, Greece, by identifying serotype distribution and antimicrobial resistance of consecutive Streptococcus pneumoniae strains isolated from adults during an 8-year time period (2009-2016) and the indirect effect of the infant pneumococcal higher-valent conjugate vaccines 10-valent pneumococcal conjugate vaccine (PCV10) and 13-valent pneumococcal conjugate vaccine (PCV13). Materials and Methods: Antimicrobial susceptibility was performed by E-test and serotyping by Quellung reaction. Multidrug resistance (MDR) was defined as non-susceptibility to penicillin (PNSP) combined with resistance to ${\geq}2$ non-${\beta}$-lactam antimicrobials. Results: A total of 135 S. pneumoniae strains were isolated from adults during the study period. Twenty-one serotypes were identified with 17F, 15A, 3, 19A, and 11A, being the most common. The coverage rates of PCV10, and PCV13 were 17.8% and 37.8%, respectively. PCV13 serotypes decreased significantly from 68.4% in 2009 to 8.3% in 2016 (P = 0.002). The most important emerging non-PCV13 serotypes were 17F, 15A, and 11A, with 15A being strongly associated with antimicrobial resistance and MDR. Among all study isolates, penicillin-resistant and MDR strains represented 7.4% and 14.1%, respectively. Predominant PNSP serotypes were 19A (21.7%), 11A (17.4%), and 15A (17.4%). Erythromycin, clindamycin, tetracycline, trimethoprim-sulfamethoxazole, and levofloxacin resistant rates were 30.4%, 15.6%, 16.3%, 16.3%, and 1.5%, respectively. Conclusion: Although pneumococcal disease continues to be a health burden in adults in Crete, our study reveals a herd protection effect of the infant pneumococcal higher-valent conjugate vaccination. Surveillance of changes in serotype distribution and antimicrobial resistance among pneumococcal isolates are necessary to guide optimal prevention and treatment strategies.

• Journal of Ceramic Processing Research
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• 제19권5호
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• pp.378-382
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• 2018

It is a known fact that the cement production is responsible for almost 5% of total worldwide $CO_2$ emission, the primary factor affecting global warming. Geopolymers are valuable as ordinary Portland cement (OPC) substitutes because geopolymers release 80% less $CO_2$ than OPC and have mechanical properties sufficiently similar to those of OPC. Therefore, geopolymers have proven attractive to eco-friendly construction industries. Geopolymers can be fabricated from aluminum silicate materials with alkali activators such as fly ash, blast furnace slag, and so on. Integrated gasification combined cycle (IGCC) slag has been used for fabricating geopolymers. In general, IGCC slag geopolymers are fabricated with finely ground and sieved (<128 mesh) IGCC slag. The grinding process of as-received IGCC slag is one of the main costs in geopolymer production. Therefore, the idea of using as-received IGCC slag (before grinding the IGCC slag) as aggregates in the geopolymer matrix was introduced to reduce production cost as well as to enhance compressive strength. As-received IGCC slag (0, 10, 20, 30, 40 wt%) was added in the geopolymer mixing process and the mixtures were compared. The compressive strength of geopolymers with an addition of 10 wt% as-received IGCC slag increased by 19.84% compared to that with no additional as-received IGCC slag and reached up to 41.20 MPa. The enhancement of compressive strength is caused by as-received IGCC slag acting as aggregates in the geopolymer matrix like aggregates in concrete. The density of geopolymers slightly increased to $2.1-2.2g/cm^3$ with increasing slag addition. Therefore, it is concluded that a small addition of as-received IGCC slag into the geopolymer can increase compressive strength and decrease the total cost of the product. Moreover, the direct use of as-received IGCC slag may contribute to environment protection by reducing process time and $CO_2$ emission.

• 한국IT서비스학회지
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• 제21권1호
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• pp.1-19
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• 2022

With the revision of the Credit Information Use and Protection Act in August 2020, the MyData service based on open banking policy will take effect in January 2022. Nonetheless, the previous studies focused on the legal system or security-related issues of such service. Therefore, this paper conducted an empirical study on financial consumers aged 20 or older nationwide to analyze the factors which influence the intention to use MyData services based on open banking. Five characteristics representing open banking-based MyData service were derived through prior research, and a research model that combined value-based adoption model and privacy calculus theory was presented. The proposed research model and the relationship of its variables was analyzed using a sample of 400 users that is randomly selected. The results of empirical analysis showed that personalization had the greatest influence on benefits and reliability on sacrifice among service characteristics. They also suggested that MyData operators should devote themselves to providing customized services optimized for customers and establishing trust relationships. It was confirmed that both usefulness and enjoyment had a great influence on perceived value, and in terms of sacrifice, the burden of financial costs had a greater influence than privacy concerns. This study is meaningful in that it explored the psychological propensity of financial consumers to identify service utilization factors and presented a new approach that can contribute to the successful settlement of the domestic MyData industry.