• Journal of Veterinary Clinics
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• v.36 no.1
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• pp.68-73
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• 2019

We determined the risk factors for displacement of the abomasum (DA), and the relationships between DA and postpartum disorders, milk yield, and reproductive performance in dairy cows. Initially, we identified the risk factors for DA using data regarding cow health and calving season from 2,208 lactations. Then, we compared the incidence of postpartum disorders, culling, death, and reproductive performance between cows with DA and their control herdmates (each n = 57). In addition, serum metabolites concentrations and milk yield were compared between cows with DA and controls (each n = 33). Ketosis (odds ratio [OR] = 9.27, p < 0.0001) and twin calves (p = 0.06) increased the risk of DA. Cows with a parity of three had a higher risk (OR = 5.23, p < 0.01) of DA than primiparous cows. Serum total cholesterol concentration was lower but non-esterified fatty acid, ${\beta}-hydroxybutyrate$, and alanine aminotransferase concentrations were higher after calving in cows with DA than in controls (p < 0.05). The removal rate from the herd by 2 months after calving was higher (p < 0.05) but milk yield 1 and 2 months after calving (p < 0.01) and the rate of first insemination by 150 days postpartum were lower (hazard ratio = 0.49, p < 0.05) in cows with DA than controls. In conclusion, higher parity, twin calves, and ketosis are risk factors for DA in dairy cows, which is associated with a higher removal rate from the herd, lower milk yield, a longer calving to first insemination interval, and unfavorable levels of metabolites related to energy and liver function.

• Clinical and Experimental Pediatrics
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• v.62 no.1
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• pp.30-35
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• 2019

Purpose: Obesity is risk factor for nonalcoholic fatty liver disease (NAFLD). However, nonobese patients are also increasingly susceptible to NAFLD. The aim of this study was to compare the clinical characteristics of obese and nonobese pediatric patients with NAFLD. Methods: We retrospectively studied 68 patients who were diagnosed with NAFLD between January 2010 and October 2016 at 10-18 years of age. Body mass index ${\geq}95th$ percentile for age and sex was defined as obesity. Abdominal ultrasonography and laboratory, anthropometrics measurements were evaluated. Results: Among the 68, 26 (38.2%) were nonobese patients. The ratio of male to female was 5.8:1, and the median age at diagnosis was 13 years (range, 10-17 years). Significant higher triglyceride (223.0 mg/dL vs. 145.9 mg/dL, P=0.047) and total cholesterol levels (211.6 mg/dL vs. 173.2 mg/dL, P=0.011) were shown in nonobese than obese patients. High-density lipoprotein cholesterol level <40 mg/dL (hazard ratio [HR], 6.5; 95% confidence interval [CI], 2.13-7.10; P=0.048), total cholesterol level >200 mg/dL (HR, 5.6; 95% CI, 1.23-15.31; P=0.038) and abdominal obesity (HR, 2.53; 95% CI, 1.22-4.68; P=0.013) were significant risk factors for NAFLD in nonobese patients. Conclusion: Nonobese patients present a substantial proportion of pediatric NAFLD cases. Significant abnormal lipid concentrations were found in nonobese and abdominal obesity was important risk factor for nonobese NAFLD.

• Yonsei Medical Journal
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• v.59 no.9
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• pp.1057-1063
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• 2018

Purpose: Coronary artery spasm (CAS) and diabetes mellitus (DM) are implicated in endothelial dysfunction, and insulin resistance (IR) is a major etiological cause of type 2 DM. However, the association between CAS and IR in non-diabetic individuals has not been elucidated. The aim of the present study was to evaluate the impact of IR on CAS in patients without DM. Materials and Methods: A total of 330 eligible patients without DM and coronary artery disease who underwent acetylcholine (Ach) provocation test were enrolled in this study. Inclusion criteria included both hemoglobin A1c <6.0% and fasting glucose level <110 mg/dL without type 2 DM. Patients were divided into quartile groups according the level of homeostasis model assessment of insulin resistance (HOMA-IR): 1Q (n=82; HOMA-IR<1.35), 2Q (n=82; $1.35{\leq}HOMA-IR<1.93$), 3Q (n=83; $1.93{\leq}HOMA-IR<2.73$), and 4Q (n=83; $HOMA-IR{\geq}2.73$). Results: In the present study, the higher HOMA-IR group (3Q and 4Q) was older and had higher body mass index, fasting blood glucose, serum insulin, hemoglobin A1c, total cholesterol, and triglyceride levels than the lower HOMA-IR group (1Q). Also, poor IR (3Q and 4Q) was considerably associated with frequent CAS. Compared with Q1, the hazard ratios for Q3 and Q4 were 3.55 (95% CI: 1.79-7.03, p<0.001) and 2.12 (95% CI: 1.07-4.21, p=0.031), respectively, after adjustment of baseline risk confounders. Also, diffuse spasm and accompanying chest pain during Ach test were more strongly associated with IR patients with CAS. Conclusion: HOMA-IR was significantly negatively correlated with reference diameter measured after nitroglycerin and significantly positively correlated with diffuse spasm and chest pain.

• Journal of Periodontal and Implant Science
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• v.51 no.3
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• pp.163-178
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• 2021

Purpose: The aim of this study was to evaluate clinical factors affecting the longevity of fixed retainers and the influence of fixed retainers on periodontal health in periodontitis patients. Methods: In total, 52 patients with at least 2 years of follow-up after periodontal and orthodontic treatment were included in this study. After scaling and root planing, orthodontic treatment with fixed appliances or clear aligners was performed. Fixed retainers with twist-flex stainless steel wires were bonded to the palatal or lingual sides of anterior teeth. Changes in clinical parameters, including the plaque index, gingival index, calculus index (CI), probing pocket depth, and radiographic bone levels, were evaluated before bonding of fixed retainers and at a 12-month follow-up. Cumulative survival rates (CSRs) for retainer failure were evaluated according to sex, site, CI, stage of periodontitis, and the severity of the irregularity with the log-rank test and hazard ratios (HRs). Results: Twelve months after bonding of fixed retainers, improvements were observed in all clinical parameters except CI and radiographic bone gain. The overall CSR of the retainers with a CI <1 at the 12-month follow-up after bonding of fixed retainers was significantly higher than that of the retainers with a CI ≥1 at the 12-month follow-up (log-rank test; P<0.001). Patients with stage III (grade B or C) periodontitis had a higher multivariate HR for retainer failure (5.4; 95% confidence interval, 1.22-23.91; P=0.026) than patients with stage I (grade A or B) periodontitis. Conclusions: Although fixed retainers were bonded in periodontitis patients, periodontal health was well maintained if supportive periodontal treatment with repeated oral hygiene education was provided. Nonetheless, fixed retainer failure occurred more frequently in patients who had stage III (grade B or C) periodontitis or a CI ≥1 at 12-month follow-up after bonding of fixed retainers.

• Journal of the Earthquake Engineering Society of Korea
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• v.25 no.2
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• pp.59-69
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• 2021

Historical records of earthquakes are generally used as a basis to extrapolate the instrumental earthquake catalog in time and space during the probabilistic seismic hazard analysis (PSHA). However, the historical catalogs' input parameters determined through historical descriptions rather than any quantitative measurements are accompanied by considerable uncertainty in PSHA. Therefore, quantitative assessment to verify the historical earthquake parameters is essential for refining the reliability of PSHA. This study presents an approach and its application to constrain reliable ranges of the magnitude and corresponding epicenter of historical earthquakes. First, ranges rather than specific values of ground motion intensities are estimated at multiple locations with distances between each other for selected historical earthquakes by reviewing observed co-seismic natural phenomena, structural damage levels, or felt areas described in their historical records. Based on specific objective criteria, this study selects only one earthquake (July 24, 1643), which is potentially one of the largest historical earthquakes. Then, ground motion simulations are performed for sufficiently broadly distributed epicenters, with a regular grid to prevent one from relying on strong assumptions. Calculated peak ground accelerations and velocities in areas with the historical descriptions on corresponding earthquakes are converted to intensities with an empirical ground motion-intensity conversion equation to compare them with historical descriptions. For the ground motion simulation, ground motion prediction equations and a frequency-wavenumber method are used to consider the effects of possible source mechanisms and stress drop. From these quantitative calculations, reliable ranges of epicenters and magnitudes and the trade-off between them are inferred for the earthquake that can conservatively match the upper and lower boundaries of intensity values from historical descriptions.

• Journal of Yeungnam Medical Science
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• v.39 no.2
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• pp.124-132
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• 2022

Background: Despite recent advances in first-line chemotherapy for advanced pancreatic cancer, standard treatment after the failure of initial chemotherapy has not been established. Hence, we aimed to retrospectively analyze the clinical characteristics and outcomes of second-line chemotherapy in patients with advanced pancreatic cancer. Methods: We reviewed the clinical data of patients with advanced pancreatic cancer who underwent palliative chemotherapy at Kosin University Gospel Hospital between January 2013 and October 2020. Results: Among 366 patients with advanced pancreatic cancer who had received palliative chemotherapy, 104 (28.4%) underwent at least one cycle of second-line chemotherapy. The median age of the patients at the time of initiating second-line treatment was 62 years (interquartile range, 57-62 years), and 58.7% (61 patients) of them were male. The common second-line chemotherapy regimens were 5-fluorouracil (FU) plus leucovorin, irinotecan, and oxaliplatin (33 patients, 31.7%); gemcitabine/nab-paclitaxel (29, 27.9%), gemcitabine±erlotinib (13, 12.5%); and oxaliplatin and 5-FU/leucovorin (12, 11.5%). The median overall survival (OS) and progression-free survival were 6.4 months (95% confidence interval [CI], 4.5-8.6 months) and 4.5 months (95% CI, 2.7-6.3 months), respectively. In a multivariate analysis, poor performance status (PS) (hazard ratio [HR], 2.247; p=0.021), metastatic disease (HR, 2.745; p=0.011), and elevated carcinoembryonic antigen (CEA) levels (HR, 1.939; p=0.030) at the beginning of second-line chemotherapy were associated with poor OS. Conclusion: The survival outcome of second-line chemotherapy for advanced pancreatic cancer remains poor. However, PS, disease extent (locally advanced or metastatic), and CEA level may help determine patients who could benefit from second-line treatment.

• Korean Journal of Environmental Agriculture
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• v.41 no.2
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• pp.95-100
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• 2022

BACKGROUND: This study was aimed to determine characteristics of residues of the soil-treated boscalid and pyraclostrobin within Hylomecon vernalis and to evaluate the risks from intake of the residual pesticides in the crop. METHODS AND RESULTS: The pesticides were treated to soils at two different concentrations, and the plant samples were collected 57 days after seeding. The samples were extracted using the QuEChERS extraction kit (MgSO₄ 4 g, NaCl 1 g). The quantitative methods for boscalid and pyraclostrobin were validated using linearity, recovery, and CV (coefficient of variation). Risk assessment of the pesticides was performed using Korea national nutrition statistics 2019. CONCLUSION(S): The residual levels of boscalid were 0.02-0.05 mg/kg (for the treatment at 6 Kg/10a) and 0.05-0.08 mg/kg (for the treatment at 12 Kg/10a), respectively. The residual concentrations of pyraclostrobin were below the LOQ. The amounts of pesticides were less than Maximum Residue Limits specified by the Korean Ministry of Food and Drug Safety. The maximum hazard indices of boscalid in chwinamul and amaranth for consumers were 0.0075% and 0.1525%, respectively, and it indicates that the risk of the pesticides from the crop is considered to be low.

• Earthquakes and Structures
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• v.22 no.1
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• pp.25-38
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• 2022

The RC private constructions represent a large part of the housing stock in the north part of Algeria. For various reasons, they are mostly built without any seismic considerations and their seismic vulnerability remains unknown for different levels of seismic intensity possible in the region. To support future seismic risk mitigation efforts in northern Algeria, this document assesses the seismic vulnerability of typical private RC constructions built after the Boumerdes earthquake (May 21, 2003) without considering existing seismic regulation, through the development of analytical fragility curves. The fragility curves are developed for four representative RC frames in terms of slight, moderate, extensive, and complete damage states suggested in HAZUS-MH 2.1, using nonlinear time history analyses. The numerical simulation of the nonlinear seismic response of the structures is performed using the SeismoStruct software. An original intensity measure (IM) is proposed and used in this study. It is the zone acceleration coefficient "A", through which the seismic hazard level is represented in the Algerian Seismic Regulations. The efficiency, practicality, and proficiency of the choice of IM are demonstrated. Incremental dynamic analyses are conducted under fifteen ground motion accelerograms compatible with the elastic target spectrum of the Algerian Seismic Regulations. In order to cover all the seismic zones of northern Algeria, the accelerograms are scaled from 0.1 to 2.5 in increments of 0.1. The results mainly indicate that private constructions built after the Boumerdes earthquake in the moderate and high seismic zones with four (04) or more storeys are highly vulnerable.

• Proceedings of the Korea Water Resources Association Conference
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• 2023.05a
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• pp.183-183
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• 2023

Smart water cities (SWC) are urban municipalities that utilizes modern innovations in managing and preserving the urban water cycle in the city; with the purpose of securing sustainability and improving the quality of life of the urban population. Understanding the different urban water characteristics and management strategies of cities situate a baseline in the development of evaluation scheme in determining whether the city is smart and sustainable. This research herein aims to develop measurements and evaluation for SWC Key Performance Indicators (KPIs), and set up a unified global standard and certification scheme. The assessment for SWC is performed in technical, as well as governance and prospective aspects. KPI measurements under Technical Pillar assess the cities' use of technologies in providing sufficient water supply, monitoring water quality, strengthening disaster resilience, minimizing hazard vulnerability, and maintaining and protecting the urban water ecosystem. Governance and Prospective Pillar on the other hand, evaluates the social, economic and administrative systems set in place to manage the water resources, delivering water services to different levels of society. The performance assessment is composed of a variety of procedures performed in a quantitative and qualitative manner, such as computations through established equations, interviews with authorities in charge, field survey inspections, etc. The developed SWC KPI measurements are used to evaluate the urban water management practices for Busan Eco Delta city, a Semulmeori waterfront area in Gangseo district, Busan. The evaluation and scoring process was presented and established, serving as the basis for the application of the smart water city certification all over the world. The established guideline will be used to analyze future cities, providing integrated and comprehensive information on the status of their urban water cycle, gathering new techniques and proposing solutions for smarter measures.

• Nuclear Engineering and Technology
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• v.55 no.8
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• pp.3046-3053
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• 2023

Radon is a naturally occurring carcinogenic agent, poses a serious health hazard when inhaled or ingested in significant amounts. The water of the Padma river will be used as a tertiary coolant for the soon-to-be-commissioned 'Rooppur Nuclear Power Plant'. Hence, it is important to assess the radiological status of the river prior to the commission of this power plant. Therefore, for the first time, 25 samples of water were collected from various locations of the Padma River and analyzed for radon concentration using the RAD H₂O (DURRIDGE) radon monitoring device. The radon concentrations were found in the range from 0.077 ± 0.036 to 0.494 ± 0.211 Bq/L with a mean of 0.250 ± 0.093 Bq/L. All the concentrations were found to be below the recommended limits of WHO (100 Bq/L) and USEPA (11.1 Bq/L). The mean annual effective dose due to the radon exposure via inhalation and ingestion pathways were 0.638 µSv/y and 0.629 µSv/y, respectively, which were all well below the annual effective dose recommended by WHO (0.1 mSv/y). Since Bangladesh lacks a national safety limit of radon in water, this pioneering study provides baseline data on radon levels for the environment around Rooppur Nuclear Power Plant.