• Fire Science and Engineering
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• 제26권5호
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• pp.54-60
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• 2012

This study is the analysis of the actual state of hospital-based training in level 1 emergency medical technicians (EMTs) in fire station. The survey was carried out to 42 fire fighters having level 1 emergency medical technician certification from May 11 to 12 in 2012. The results showed 56.5 %, that the level 1 EMTs of roles had direct experienced. Level 1 EMTs performance frequency of clinical practice that endotracheal intubation 66.9 %, laryngeal mask airway 8.4 %, intravenous access 76.6 %, nitroglycerin sublingual 61.2 %, bronchodilator inhalation 50.0 %, fluid loading 73.8 %, ventilator apply 57.6 %, dextrose injection 57.6 %. It is necessary to investigate the continuous study on the education among the level 1 EMTs and the continuous evaluation and analysis of problems, supplemented of guidebook, practical education programs and regulation upon the operation and management of a hospital-based skill training.

• BMB Reports
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• 제33권2호
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• pp.112-119
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• 2000

Three kinds of serine protease inhibitors, members of the Bowman-Birk trypsin inhibitor, were purified from Dolichos lablab seeds and named Dolichos protease inhibitor 1, 2 and 3 (DI-1, DI-2 and DI-3), respectively. Each inhibitor showed a single band with gel mobility at around 15.9, 12.1 and 14.6 kDa on 20% SDS-PAGE under reducing conditions. To characterize inhibitory specificity, the inhibition constant (Ki) for these inhibitors was measured against several known serine proteases. All three Dolichos protease inhibitors (DI-1, DI-2 and DI-3) inhibited the activity of trypsin and plasmin, but had no effect on thrombin and kallikrein (either for human plasma kallikrein or for porcine pancreas kallikrein). DI-1 inhibited chymotrypsin most effectively (Ki = $3.6{\times}10^{-9}\;M$), while DI-2 displayed inhibitory activity for porcine pancreatic elastase (Ki = $6.2{\times}10^{-8}\;M$). Pre-treatment of the 33 mg/kg of DI-mixture (active fractions from $C_{18}$ open column chromatography that included DI-1, DI-2 and DI-3) inhibited the induction of pseudomonal elastase-induced septic hypotension and prevented an increase in bradykinin generation in pseudomonal elastase-treated guinea pig plasma. Also, the increase of kallikrein activity, by injection of pseudomonal elastase, was inhibited by the pretreatment of the DI-mixture in a guinea pig. Since the DI-mixture had no inhibitory effect on kallikrein activity when Z-Phe-Arg-MCA was used as a substrate in vitro, its inhibitory activity in the pseudomonal elastase-induced septic hypotension model might not be due to a direct inhibition of plasma kallikrein in the activation cascade of the Hageman factor and prekallikrein system. These results suggest that the Dolichos DI-mixture might be used as an inhibitor in pathogenic bacterial protease-induced septic shock.

• BMB Reports
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• 제28권3호
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• pp.221-226
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• 1995

Dopamine mediates inhibitory responses in Helix aspersa neurons from the right parietal lobe ("F-lobe") of the circumoesophageal ganglia. The effects appeared as a dose-dependent hyperpolarization of the plasma membrane and a decrease in the occurrence of spontaneous action potentials. The average hyperpolarization with 5 ${\mu}m$ dopamine was -12 mV (${\pm}1.5$mV, S.D., n=12). Dopamine also modulated the currents 'responsible for shaping the action potentials in these neurons. When dopamine was added and action potentials were triggered by an injection of current, the initial depolarization was slowed, the amplitude and the duration of action potentials were decreased, and the after-hyperpolarization was more pronounced. The amplitude and the duration of action potential were reduced about 15 mV and about 13% by 5 ${\mu}m$ dopamine, respectively. The effects of dopamine on the resting membrane potentials and the action potentials of Helix neurons were dose-dependent in the concentration range 0.1 ${\mu}m$ to 50 ${\mu}m$. In order to show 1) that the effects of dopamine were mediated by dopamine receptors rather than by direct action on ionic channels and 2) which type of dopamine receptor might be responsible for the various effects, we assayed the ability of mammalian dopamine receptor antagonists, SCH-23390 (antagonist of D1 receptor) and spiperone (antagonist of D2 receptor), to block the dopamine-dependent changes. The D1 and D2 antagonists partially inhibited the dopamine-dependent hyperpolarization and the decrease in action potential amplitude. They both completely blocked the decrease in action potential duration and the increase in action potential after-hyperpolarization. The dopamine-induced slowdown of the depolarization in the initial phase of the action potentials was less effected by SCH-23390 and spiperone. From the results we suggest 1) that Helix F-lobe neurons may have a single type of dopamine receptor that binds both SCH-23390 and spiperone and 2) that the dopamine receptor of Helix F-lobe neurons may be homologous with and primitive to the family of mammalian dopamine receptors.

• Journal of Korean Academy of Nursing Administration
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• 제2권2호
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• pp.5-16
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• 1996

The purpose of this study is to identify the handwashing knowledge and attitudes of resistered nurses on general wards. Subjects for this study include 182 nurses working in general wards of a hospital in Seoul area. Data were collected by a questionnaire from July 30 to August 10,1996. Statistical analyses were done by the SPSS/PC program. The techniques used in this sudy included frequencies, chi-square test. The results of this study are summarized as follows. 1. 34.6% of the respondents reported that they washed their hand an average of 5 to 7 times during the work day. 2. 38.5% of the respondents reported always washing after each patient contact. Only 9.9% always washed before contact with a patient. 3. 56.6% of the respondents reported a washing time of 10 to 20 seconds, whereas 29.1% washed 21 to 30 seconds. Chi-square tests were employed to determine any differences in handwashing frequency and duration by age, working years, work position. There were no satistically significant differences among the variables. 4. 95.6% of the subjects used water and plain soap during the washing process. The respondents washed the palms of the hands, the backs of their hands and between their fingers(33%). Only 17.6% removed rings before handwashing. Similarly, 11% removed their wristwatch. The majority(96.2%) reported that they used communal textile towel to dry their hands. When asked what method they used to turn off the water faucet after washing, 98.4% reported using direct hand-to-faucet contact. 5. Nursing activities that showed the highest handwashing rates was after wound dressing(22.9%), followed by suctioning(21.4%), injection(21.2%), inserting catheter(18%). 6. Reasons cited for reduced handwashing frequency included being too busy to wash more often(74.7%), no need to wash more often(11.0%) and dry skin caused by frequent handwashing(3.3%). 7. When asked where they obtained their current knowledge of handwashing techniques, they reported professors(73.6%), resisted nurses(14.8%) and supervisor(6.6%). 8. Nursing staff thought that proper handwashing was important factor in decreasing nosocomical infections(72.4%).

• BMB Reports
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• 제53권9호
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• pp.484-489
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• 2020

Epilepsy is a neurological disorder characterized by unpredictable seizures, which are bursts of electrical activity that temporarily affect the brain. Cereblon (CRBN), a DCAFs (DDB1 and CUL4-associated factors), is a well-established protein associated with human mental retardation. Being a substrate receptor of the cullin-RING E3 ubiquitin ligase (CRL) 4 complex, CRBN mediates ubiquitination of several substrates and conducts multiple biological processes. In the central nervous system, the large-conductance Ca²⁺-activated K⁺ (BK_Ca) channel, which is the substrate of CRBN, is an important regulator of epilepsy. Despite the functional role and importance of CRBN in the brain, direct injection of pentylenetetrazole (PTZ) to induce seizures in CRBN knock-out mice has not been challenged. In this study, we investigated the effect of PTZ in CRBN knock-out mice. Here, we demonstrate that, compared with WT mice, CRBN knock-out mice do not show the intensification of seizures by PTZ induction. Moreover, electroencephalography recordings were also performed in the brains of both WT and CRBN knockout mice to identify the absence of significant differences in the pattern of seizure activities. Consistently, immunoblot analysis for validating the protein level of the CRL4 complex containing CRBN (CRL4^Crbn) in the mouse brain was carried out. Taken together, we found that the deficiency of CRBN does not affect PTZ-induced seizure.

• Journal of the Korean Institute of Gas
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• 제17권1호
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• pp.1-6
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• 2013

Using natural gas-hydrogen blended fuel (HCNG) in a heavy duty vehicle is regarded as an alternative to meet reinforced emission regulation compared to a recent direct injection (DI) diesel engine. Hydrogen can lead stable lean combustion even under leaner mixture condition than natural gas, so that improving not only thermal efficiency but also $NO_x$ emissions. In the present study, the feasibility of HCNG engine's commercialization was accessed with HCNG fuel (30% $H_2$ and 70% natural gas) in aspect to the reliability and possibility to reduce $NO_x$ emissions by the level of EURO-VI under various operating conditions.

• Journal of Advanced Marine Engineering and Technology
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• 제37권7호
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• pp.701-710
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• 2013

The purpose of this study is to investigate experimentally the effect of low purity methanol (LPM) on performance and smoke emission characteristics by using a four-cycle, four-cylinder, water-cooled, direct injection diesel engine with EGR system. The experiments are performed by the change of engine load in the engine load ranges of 25 to 100% with an interval of 25% under the constant engine speed of 2000 rpm. The LPM in the fuel blends contained 24.88% water by volume. The blended fuel ratios of diesel oil to LPM are maintained at 100/0, 95/5, 90/10 and 85/15% on the volume basis. In this paper, EGR rates are varied in three conditions of 0, 12.8 and 16.5%. The result shows that the brake power of a blended fuel with 15% LPM is reduced more 11.1% than that of the neat diesel oil at the full load with the EGR rate of 16.5%. At this condition, also, the brake specific fuel consumption (BSFC) is increased by 3.2%, the exhaust gas temperature is decreased by 10.7%, the smoke opacity is decreased by 18.7% and the brake thermal efficiency is increased by 7.3%. The sharp reduction of smoke opacity for a blended fuel with the LPM content of 15% at the full load without EGR system is observed by 68.4% compared with that of the neat diesel oil due to the high oxygen content of LPM.

• Journal of Preventive Medicine and Public Health
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• 제50권6호
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• pp.347-360
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• 2017

Objectives: This meta-analysis aimed to evaluate congenital malformations in infants conceived by assisted reproductive techniques (ART), compared with infants conceived spontaneously. Methods: In this study, available resources searched to find relevant articles included PubMed, ScienceDirect, Scopus, Google Scholar, Cochrane, ProQuest, Iranmedex, Magiran, and Scientific Information Database. After extracting the necessary information from evaluated articles, meta-analysis on the articles' data was performed using Stata version 11.2. Results: In this study, from a total of 339 articles, extracted from the initial investigation, ultimately 30 articles were selected for meta-analysis that assessed the use of ART on the risk of congenital abnormalities and some birth complications on 5 470 181 infants (315 402 cases and 5 154 779 controls). The odds ratio (95% confidence interval [CI]) for low birth weight was 1.89 (95% CI, 1.36 to 2.62), preterm labor 1.79 (95% CI, 1.21 to 2.63), cardiac abnormalities 1.43 (95% CI, 1.27 to 1.62), central nervous system abnormalities 1.36 (95% CI, 1.10 to 1.70), urogenital system abnormalities 1.58 (95% CI, 1.28 to 1.94), musculoskeletal disorders 1.35 (95% CI, 1.12 to 1.64), and chromosomal abnormalities in infants conceived by ART was 1.14 (95% CI, 0.90 to 1.44), which were all statistically significant, except chromosomal abnormalities. Conclusions: The risk of congenital abnormalities and some birth complications were significantly higher in ART than normal conception, while chromosomal abnormalities were not; therefore, the application of ART should be selected individually for patients by detailed assessment to reduce such risks in the population.

• 한국신재생에너지학회:학술대회논문집
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• 한국신재생에너지학회 2011년도 춘계학술대회 초록집
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• pp.220.2-220.2
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• 2011

Biodiesel and biodiesel blend fuel are receiving increasing attention as alternative fuels for diesel engines without substantial modifications. Biodiesel fuels and blending have been widely studied and applied in diesel engine because of biodiesel's lower sulfur, lower aromatic hydrocarbon and higher oxygen content. Biodiesels have the potential to be oxidized in different condition. It has reported that oxidation deterioration of biodiesel is different in the condition of storage and oxidation causes chemical property change of methyl esters. Sunlight intensity, temperature, material of container and contact surface with oxygen are key dominant factors accelerating oxidation deterioration. In this study, we chose temperature among key oxidation conditions and metal container filled with biodiesel was heated at about $110^{\circ}C$ for 10 days in order to accelerate oxidation deterioration. To better understand the effect of biodiesel blends on emission, steady state tests were conducted on a heavy duty diesel engine. The engine was fueled with Ultra Low Sulphur Diesel(ULSD), a blend of 10% and 20%(BD10, BD20) on volumetric basis, equipped with a common rail direct injection system and turbocharger, lives up to the requirements of EURO 3. The experimental results show that the blend fuel of normal biodiesel with BD10 and BD20 increased NOx. The result of PM was similar to diesel fuel on BD10, but the result of PM on BD20 was increased about 63% more than its of diesel. The blend fuel of Oxidation biodiesel with BD10 and BD20 increased NOx as the results of normal biodiesel. But PM was all increased on BD10 and BD20. Especially THC was extremely increased when test fuel contains biodiesel about 140% more than its of diesel. Through this study, we knew that oxidation deterioration of biodiesel affects emission of diesel engine.

• Transactions of the Korean Society of Automotive Engineers
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• 제15권2호
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• pp.22-27
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• 2007

Our environment is faced with serious problems related to the air pollution from automobiles in these days. In particular, the exhaust emissions of diesel engines are recognized as main causes of the air pollution. CRDI(common rail direct injection) diesel engine is widely used for the sake of minimization on exhaust emission. Because biodiesel fuel is a renewable and alternative fuel for diesel engine, its usability is expanded. In this study, a common rail diesel engine was run with 5% of biodiesel fuel(BDF 5%) more than 150 hours. Engine dynamometer testing was completed at regularly scheduled intervals to investigate the engine performance and exhaust emissions. The data of engine performance and exhaust emissions was sampled at 1 hour intervals for analysis. When a common rail diesel engine runs on BDF 5% for long time, power and energy consumption of the engine are similar to the case using diesel fuel. The smoke emission of BDF 5% was reduced in comparison with diesel fuel, that is, it was reduced approximately 15% at 4000rpm, and load of 90%. And, CO and $CO_2$ were reduced, too. On the other hand, NOx emission of biodiesel fuel was slightly increased about 2%, but it was almost same as a commercial diesel fuel.