• Herbal Formula Science
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• v.30 no.2
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• pp.95-100
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• 2022

Objectives : Recent studies reported that Dokwhalkisaeng-tang (DHJST) could relieve the clinical rheumatoid arthritis (RA) symptoms and the level of RA-related blood test. However, evidence-based review on effectiveness and safety of DHJST with medication on RA was not yet provided. Methods : Searching randomized controlled trials on the use of DHJST for RA will be performed using multiple electronic databases, manual search, and contact to author. Studies will be selected according to the pre-defined criteria and collected data on study participants, interventions, control groups, outcome measurements, the results, adverse events, and risk of bias will be summarized. Primary outcome will be the disease activity score (including effective rate, swollen joint count, tender joint count, and morning stiffness), and the secondary outcomes will be RA-related blood test and adverse events. We will use Review Manager software to perform a meta-analysis, Cochrane Collaboration "risk of bias" tool for assessing the risk of bias, and Grades of Recommendation, Assessment, Development and Evaluation for the determination of quality of evidence. Results : We are going to investigate the effectiveness and safety of DHJST with medication for RA. Conclusion : This study will provide reliable evidence on whether DHJST combined with medicine is more effective on RA than medicine monotherapy.

• Journal of the Korean Society of Marine Environment & Safety
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• v.28 no.2
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• pp.262-269
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• 2022

According to the statistics of marine accidents occurring in Korea since the past 10 years, the proportion of small fishing boats having a gross tonnage of less than 10 tons was confirmed to be as high as 47.51% of the total marine accidents. Additionally, the trend of marine accidents involving small fishing boats has been increasing steeply compared with that of other ship types/sizes (gross tonnage); hence, countermeasures must be prepared urgently. The Korea maritime transportation authority proposed the introduction of a self inspection system to improve the ship inspection system of small fishing vessels. Futhermore the Ministry of Oceans and Fisheries recently prepared and implemented the 'Remote Method of Vessel Inspection Guidelines' to introduce non-face-to-face inspection methods. In this study, a self inspection approval system was presented as a method for reducing marine accidents of small fishing vessels. Moreover, a mobile application was developed to prepare a standardized remote method, and its effectiveness was analyzed. Resultantly, the necessity of introducing a mobile application-based ship inspection system was confirmed with the introduction of a self inspection approval system that could induce voluntary safety management in fishing vessel owners. Additionally, we confirmed that the self inspection approval system could effectively reduce marine accidents by raising the safety awareness of ship owners.

• Proceedings of the Korea Water Resources Association Conference
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• 2023.05a
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• pp.13-13
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• 2023

디지털 기술은 오늘날 플랫폼과 디지털 트윈의 기술도입을 통해 현실 세계를 네트워크와 가상세계와의 연결이 통합되어진 가상 현실 세계의 입문 도약이다. 현실에서 가상현실의 사이의 디지털 전환(digital transformation)에는 디지털 기술과 솔루션을 비즈니스의 모든 영역에 통합하는 것이 포함된다. 이러한 디지털 전환의 핵심은 데이터에 관한 것이며, 데이터를 활용하여 가치를 창출하고 고객경험과 비즈니스 영역을 극대화하는 방식을 제공한다. 최적의 데이터를 제공하기 위한 플랫폼과 가상 현실세계 구현을 위한 디지털 트윈의 상호연계 관한 기본 개념은 데이터 수집, 데이터 분석, 데이터 시각화 및 데이터 보고와 같은 데이터 비즈니스이다. 현장 데이터는 디지털 양식을 통해 수집, 기록, 저장된다. 현장 IoT 기반 데이터(사진 및 비디오 매체 등)는 지속적으로 수집되고 종종 다른 데이터베이스에 저장되지만 지리 공간적 위치에 연결되지 않는다. 모든 디지털 발전을 조화시키고 지하수 데이터에서 더 빠른 이해를 도출하기 위해서는 디지털 트윈이 시작되어야 한다. 단일 지하수플랫폼에서 현장 조건을 시각화하고 실시간 데이터를 스트리밍하며, 과거 3D 데이터와 상호작용하여지질 또는 지화학 데이터를 선택적 사용을 위해 지하수 플랫폼과 디지털 트윈이 연계되어야 한다. 데이터를 디지털 정보모델과 연결하면 디지털 트윈에 생명을 불어넣을 수 있지만 디지털 트윈의 가치를 극대화하려면 여전히 데이터 플랫폼 서비스와 전달 방식을 선택해야 한다. 지하수 플랫폼동시성을 갖는 디지털 트윈은 정적 및 동적 데이터를 저장하는 데이터베이스 또는 크라우드 서비스에서 데이터를 가져오는 API(애플리케이션 프로그래밍 인터레이스), 디지털 트윈을 위한 호스팅 공간, 디지털 대상을 구축하는 소프트웨어, 구성 요소 간 읽기/쓰기를 위한 스크립트, chatGPT 및 API를 활용할 수 있다. 이를 통해 수집된 데이터의 실시간 양방향 통신기술인 지하수 플랫폼 기술을 활용하여 디지털 트윈을 적용하고 완성할 수 있고, 이를 지하수 분야에도 그대로 적용할 수 있다. 지하수 분야의 디지털 트윈 기술의 근간은 지하수 모니터링을 위한 관측장치와 이를 활용한 지하수 플랫폼의 구축 및 양방향 자료전송을 통한 분석 및 예측기술이다. 특히 낙동강과 같이 유역면적이 넓고 유역 내 지자체가 많아 이해관계가 다양하며, 가뭄과 홍수/태풍 등 기후위기에 따른 극한 기상이변가 자주 발생하고, 또한 보 및 하굿둑 개방 등 정부정책 이행에 따른 민원이 다수 발생하는 지역의 경우 하천과 유역에 대한 지하수 플랫폼과 디지털 트윈의 동시성 기술적용 시 지하수 데이터에 대한 고려가 반드시 수반되어야 한다.

• Korean Journal of Culture and Social Issue
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• v.21 no.2
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• pp.205-225
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• 2015

This study is performed to fine a way to illuminate the direction of depression study suitable to Korean culture. To do so, it is found that from when we started to use the term of 'depression' and how we Koreans conceptualize depression. And cultural psychological perspectives to psychopathology including depression are reviewed. Finally, based on these findings, the ways to study depression with the perspective of cultural psychology are suggested. Specifically speaking, at the first, it is found that the term of depression has not been used before colonialized times by Japan, but terms of 'Ul-Uep', 'Kwang-Zeung', and 'Jun-Kwanng' are used from at least times of King SeJong. Term of depression was actually used after liberation from Japan and spread after introduction of DSM to Korea via Japan. Second, the way to compromise universalist and relativist perspectives is recommended and the perspective of absolutist is not recommended. Lastly, in Korea depression shares with 'HwaByung' in some area, but not with 'Han'. In conclusion, it is desirable to combine etic factors(universal perspective) and emic factors(culture-relative perspective) to study depression suitable for Korean culture.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.36 no.3
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• pp.42-73
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• 2023

Objectives : In order to investigate the current status of recent clinical evidence related to complementary and alternative medicine(CAM) treatment for burns and to inform research and treatment strategies for future, we publish a scoping review(ScR) of randomized controlled trials(RCTs). Methods : The research question of the ScR was "Are there any RCTs of CAM treatment for burn?". RCTs published from 2000 to 2022 were identified in 7 databases(PubMed, Cochrane, CNKI, OASIS, RISS, KCI, KMbase) in March 2023. Data were tabulated and analyzed descriptively with respect to the research questions. Results : 41 RCTs were included. 21(51.2%) were conducted in China, 13(31.7%) in Iran. The main treatment criteria were herbal medicine in 28 cases, acupuncture in 9 cases, chuna therapy in 4 cases, and psychotherapy in 3 cases. Among the herbal medicine, there were 19 topical medications, 5 injections(intravenous pharmacopuncture), 4 aerosol drugs(aromatherapy), and 1 oral drug. Among the acupuncture, there were 4 plum blossom needles(seven-star needles), 2 wrist-ankle acupunctures, 2 press needles, and 1 electroacupuncture. CAM treatments were effective in treating burns. It reduced pain and pruritus at the burn site, helped recovery and management of the donor site, reduced anxiety and pain during dressing change, improved hematological problems and vital signs, and finally lowered the mortality rate. CAM treatments also lowered health care costs. Conclusions : CAM treatments for burns is prospective, and that it deserves to make high-quality studies including additional large-scale RCTs.

• Journal of Korean Neurosurgical Society
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• v.66 no.1
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• pp.24-32
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• 2023

Objective : With the recent increase in mechanical thrombectomy (MT) for acute ischemic stroke (AIS), the role of neurosurgeons in AIS treatment has become increasingly important. This study aimed to assess the outcomes of patients with AIS treated by neurosurgeons and neurologists in the emergency room (ER) of a tertiary hospital in South Korea. Methods : From January 2020 to June 2021, 536 patients with AIS within 24 hours of symptom onset were admitted to our hospital via the ER. Based on the type of doctors who provided initial care for AIS in the ER, patients were divided into two groups : (a) neurosurgeon group (n=119, 22.2%) and (b) neurologist group (n=417, 77.8%). Results : Intravenous tissue plasminogen activator (tPA) was administered in 82 (15.3%) of 536 patients (n=17 [14.3%] in the neurosurgeon group and n=65 [15.6%] in the neurologist group). The door-to-tPA time was not significantly different between both groups (median, 53 minutes; interquartile range [IQR], 45-58 vs. median, 54 minutes; IQR, 46-74; p=0.372). MT was performed in 69 patients (12.9%) (n=25, 36.2% in the neurosurgeon group and n=44, 63.8% in the neurologist group). The neurosurgeon group achieved a shorter door-to-puncture time than the neurologist group (median, 115 minutes; IQR, 107-151 vs. median, 162 minutes; IQR, 117-189; p=0.049). Good clinical outcomes (3-month modified Rankin Scale 0-2) did not differ significantly between the two groups (96/119 [80.7%] vs. 322/417 [77.2%], p=0.454). Conclusion : The neurosurgeon group showed similar door-to-treatment time and clinical outcomes to the neurologist group in patients with AIS in the ER. This study suggests that neurosurgeons have comparable abilities to care for patients with AIS in the ER.

• The Journal of KAIRB
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• v.5 no.1
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• pp.21-32
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• 2023

Purspose: The purpose of this study is to examine the meaning and definition of vulnerable subjects in clinical trials in light of domestic and international regulations and guidelines, to analyze the contents of standard operation procedures (SOPs) among advanced general hospitals in Korea that conduct clinical trials, and to examine deliberation procedures for operation plans. Methods: The study examined how vulnerable research subjects were defined and described in related regulations and the classification of vulnerable research subjects presented in the IRB/HRPP SOPs of 18 clinical trial institutions, including 11 AAHRPP-accreditated general hospitals in Korea, as well as the operation of the IRB deliberation. Results: Among all domestic and international regulations and guidelines, only the The Council for International Organization of Medical Sciences (CIOMS) guidelines explain why vulnerability is related to judgments on the severity of physical, psychological, and social harm, why individuals are vulnerable, and for what reasons. However, the classification of vulnerable subjects by institutions differed from the classification by the International Conference on Harmonization-Good Clinical Practice (ICH-GCP). A total of the 16 institutions classified children and minors as vulnerable research subjects. 14 institutions classified subjects who cannot consent freely were classified as vulnerable subjects. 15 institutions classified sujects who can be affected by the organizational hierarchy were classified as vulnerable subjects. Subjects in emergency situations were regarded as vulnerable research subjects in 8 of institutions, while people in wards, patients with incurable diseases, and the economically poor including the unemployed were categorized as vulnerable research subjects in 7, 4, and 4 of institutions, respectively. Additionally, some research subjects were not classified as vulnerable by ICH-GCP but were classified as vulnerable by domestic institutions 15 of the institutions classified pregnant women and fetuses as vulnerable, 11 classified the elderly as vulnerable, and 6 classified foreigners as vulnerable. Conclution: The regulations and institutional SOPs classify subjects differently, which may affect subject protection. There is a need to improve IRBs' classifications of vulnerable research subjects. It is also necessary to establish the standards according to the differences in deliberation processes. Further, it is recommended to maintain a consistent review of validity, assessment of risk/benefit, and a review using checklists and spokeperson. The review of IRB is to be carried out in a manner that respects human dignity by taking into account the physical, psychological, and social conditions of the subjects.

• BMB Reports
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• v.56 no.6
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• pp.359-364
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• 2023

KAI1/CD82, a membrane tetraspanin protein, can prevent various cancers and retinal disorders through its anti-angiogenic and anti-metastatic capacity. However, little is known about its anti-inflammatory effect and molecular mechanism. Therefore, the present study aimed to inLPSvestigate effect of a recombinant protein of the large extracellular domain of human KAI1 (Gly 111-Leu 228, rhKAI1) on lipopolysaccharides (LPS)-stimulated RAW264.7 macrophage-like cells and mouse bone marrow-derived macrophages (BMDM) and to identify its underlying mechanism. Our data showed that rhKAI1 suppressed expression levels of classically macrophages (M1) phenotype-related surface markers F4/80+CD86+ in LPS-stimulated BMDM and RAW264.7 cells. In addition, LPS markedly increased mRNA expression and release levels of pro-inflammatory cytokines and mediators such as interleukin (IL)-1β, IL-6, tumor necrosis factor-α, cyclooxygenase-2, nitric oxide and prostaglandin E2, whereas these increases were substantially down-regulated by rhKAI1. Furthermore, LPS strongly increased expression of NF-κB p65 in the nuclei and phosphorylation of ERK, JNK, and p38 MAPK. However, nuclear translocation of NF-κB p65 and phosphorylation of JNK were greatly reversed in the presence of rhKAI1. Especially, rhKAI1 markedly suppressed expression of toll-like receptor (TLR4) and prevented binding of LPS with TLR4 through molecular docking predict analysis. Importantly, Glu 214 of rhKAI1 residue strongly interacted with Lys 360 of TLR4 residue, with a binding distance of 2.9 Å. Taken together, these findings suggest that rhKAI1 has an anti-inflammatory effect on LPS-polarized macrophages by interacting with TLR4 and down-regulating the JNK/NF-κB signaling pathway.

• Journal of Marine Life Science
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• v.2 no.2
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• pp.39-48
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• 2017

This study was carried out to investigate the stress response of pacific abalone exposed to various water temperatures (4, 6, 8, and 10℃) and salinities (26, 30, and 34 psu) for 7 days, with the aim of finding optimum conditions for long-distance ocean transport of pacific abalone. At the end of the experiments, the survival rate was ranged from 98.7~100% at 8 and 10℃ but dropped to 25~55% at 4℃ in all salinity levels. The levels of SOD and glutathione in hemolymph were significantly higher at 4 and 6℃ than the control in all salinity groups, indicating that these temperatures induce severe stress in pacific abalone. It was found that THC was lowest at 6℃ in the 26 psu groups. The study showed that the hemocyte of pacific abalone populations mostly consisted of blast-like cells and hyalinocytes with the ratio of hyalinocytes being significantly lower at 4 and 6℃ than the other temperatures in the 26 psu groups. Percentages of apoptotic cells and necrotic cells were higher in the 26 psu group and 4 and 6℃ temperature groups. These results explicit that pacific abalone was exposed to greater stress at 26 psu and at 4 and 6℃ but experienced no significant higher stress at 30 and 34 psu and 8 and 10℃. It was therefore concluded that the optimum temperature and salinity for the long distance transport of pacific abalone range from 8~10℃ and 30~34 psu, respectively.

• Journal of Marine Life Science
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• v.1 no.1
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• pp.50-55
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• 2016

Glucose was continuously increased as time was elapsed under the temperature at 6℃ and 4℃. NH₃ was significantly increased at 4℃. AST was increased as temperature and salinity were decreased which indicated that it was affected by temperature, salinity and interaction of temperature×salinity. ALT was significantly increased as temperature was decreased. Free amino acid contents, excluding aspartic acid, threonine, serine and glycine were increased as temperature was decreased. This decreasing tendency was also observed when salinity was decreased. Taurine, aspartic acid, glutamic acid and arginine were significantly increased as salinity was decreased, while glycine, alanine, methionine, tyrosine, and histidine were decreased as salinity was decreased. The result of this study suggested that transport condition to minimize the stress is considered in the range of 30~34 psu, 8~10℃.