• Title/Summary/Keyword: loss severity

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Blockade of Vascular Endothelial Growth Factor (VEGF) Aggravates the Severity of Acute Graft-versus-host Disease (GVHD) after Experimental Allogeneic Hematopoietic Stem Cell Transplantation (allo-HSCT)

  • Kim, Ai-Ran;Lim, Ji-Young;Jeong, Dae-Chul;Park, Gyeong-Sin;Lee, Byung-Churl;Min, Chang-Ki
    • IMMUNE NETWORK
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    • v.11 no.6
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    • pp.368-375
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    • 2011
  • Background: Recent clinical observation reported that there was a significant correlation between change in circulating vascular endothelial growth factor (VEGF) levels and the occurrence of severe acute graft-versus-host disease (GVHD) following allogeneic hematopoietic stem cell transplantation (allo-HSCT), but the action mechanisms of VEGF in GVHD have not been demonstrated. Methods: This study investigated whether or not blockade of VEGF has an effect on acute GVHD in a lethally irradiated murine allo-HSCT model of $B6\;(H-2^b)\;{\rightarrow}B6D2F1\;(H-2^{b/d})$. Syngeneic or allogeneic recipient mice were injected subcutaneously with anti-VEGF peptides, dRK6 ($50{\mu}g/dose$) or control diluent every other day for 2 weeks (total 7 doses). Results: Administration of the dRK6 peptide after allo-HSCT significantly reduced survival with greaterclinical GVHD scores and body weight loss. Allogeneic recipients injected with the dRK6 peptide exhibited significantly increased circulating levels of VEGF and expansion of donor $CD3^+$ T cells on day +7 compared to control treated animals. The donor $CD4^+$ and $CD8^+$ T-cell subsets have differential expansion caused by the dRK6 injection. The circulating VEGF levels were reduced on day +14 regardless of blockade of VEGF. Conclusion: Together these findings demonstrate that the allo-reactive responses after allo-HSCT are exaggerated by the blockade of VEGF. VEGF seems to be consumed during the progression of acute GVHD in this murine allo-HSCT model.

Risk Priority Number of Chemical Facilities by the Risk Assessment of Injury Analysis in the Chemical Plant (재해분석을 통한 화학공장의 위험성 평가에 따른 화학설비의 위험도 우선순위)

  • Shin, Woonchul
    • Journal of the Korean Institute of Gas
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    • v.17 no.4
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    • pp.39-44
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    • 2013
  • There have been large explosions at some chemical plants recently. Accidents in chemical plants have been caused mainly by servicing for maintenance. There is a need to find a key target for effective injury prevention in maintenance. In this paper, facilities were selected as a key target and the risk priority numbers of the facilities were calculated in order to prioritize preventative measures. The research method was based on the followings; the list of the facilities is found through injury analysis. Then, the risk of each facility was calculated by the frequency of accidents and the working day loss through injuries. In addition, the risk of the facilities was calculated again by the frequency and the severity based on knowledge and experience of experts. As a result, the facilities in chemical plant maintenance are ranked in order of high to low risk priority number; reactor, dryer, tank lorry, etc. In the future, special measures and attention should be directed according to the risk priority number during the maintenance of chemical plants.

Development of CCD(Corrosion Control Document) in Refinery Process (정유공정의 CCD(Corrosion Control Document) 개발)

  • Kim, Jung-Hwan;Kim, Ji-Yong;Lee, Young-Hee;Park, Sang-Rok;Suh, Sun-Kyu;Lee, Yoon-Hwa;Moon, Il
    • Journal of the Korean Society of Safety
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    • v.24 no.1
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    • pp.31-36
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    • 2009
  • This paper focuses on techniques of improving refinery reliability, availability, and profitability. Our team developed a corrosion control document(CCD) for processing of the crude distillation unit(CDU). Recent study shows the loss due to corrosion in US is around $276 billion. It's a big concern for both managers and engineers of refinery industry. The CCD consists of numerous parts namely damage mechanism(DM), design data, critical reliability variable(CRV), guidelines, etc. The first step in the development of CCD is to build material selection diagram(MSD). Damage mechanisms affecting equipments and process need to be chosen carefully based on API 571. The selected nine DM from API 571 are (1) creep/stress rupture, (2) fuel ash corrosion, (3) oxidation, (4) high temperature sulfidation, (5) naphthenic acid corrosion, (6) hydrochloric acid(HCL) corrosion, (7) ammonium chloride(salt) corrosion, (8) wet $H_2S$ corrosion, and (9) ammonia stress corrosion cracking. Each DM related to corrosion of CDU process was selected by design data, P&ID, PFD, corrosion loop, flow of process, equipment's history, and experience. Operating variables affecting severity of DM are selected in initial stage of CRV. We propose the guidelines for reliability of equipments based on CRV. The CCD has been developed on the basis of the corrosion control in refinery industry. It also improves the safety of refinery process and reduces the cost of corrosion greatly.

Index Analysis Approach to Identifying Accident Concentration Level of Korean Industries (국내 산업재해집중수준 확인을 위한 지표분석)

  • Lee, Bong Keun;Suh, Yongyoon;Chang, Seong Rok
    • Journal of the Korean Society of Safety
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    • v.35 no.5
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    • pp.59-65
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    • 2020
  • For monitoring the status of industrial accidents, many statistical indexes have been developed and applied such as fatal rate, frequency rate, and severity rate. These accident indexes are measured by frequency and loss time according to the accidents in the individual industry level. However, it is less considered to use the index of identifying the industrial concentration of accidents in the holistic view. Thus, this study aims to suggest the accident concentration level among domestic industries through index analysis. The concentration level of industrial accidents is calculated by the accident composition of sub-industries. This concentration level shows whether an industry is comprised of a few sub-industries generating more accidents or an industry consists of sub-industries having the similar number of accidents. To this end, the concentration rate (CR) and concentration index (CI) are proposed to take a look at the industry composition of accidents by embracing the concept of market concentration indexes such as Hirschman-Herfindahl Index. As for the case study, four industries of mining, manufacturing, transportation, and other business (usually service) are analyzed in terms of indexes of accident rate, death(fatality) rate, and CR and CI of accident and death. Finally, we illustrate the positioning map that the accident concentration level is compared with the traditional accident frequency level among industries.

Treatment for Hydrofluoric Acid Chemical Injury on Hands (불산에 의한 수부 화학 화상의 치료)

  • Nam, Seung Min;Choi, Hwan Jun;Kim, Mi Sun
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.471-477
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    • 2007
  • Purpose: Hydrofluoric acid(HF) is one of the most dangerous mineral acids with dissociated fluoride ions. As hydrofluoric acid is present in various household products(such as rust removers), a large population of industrials is at the risk of HF exposure. It is a very strong organic acid, used widely in glass etching, metal washing, and in the semiconductor industry. Even when using adequate safety measures, lack of care on the user's part results in chemical burn by HF. Symptoms caused by HF-induced chemical burns shows delayed manifestations resulting in a loss of proper treatment opportunities. We therefore reviewed 20 cases of HF-induced chemical burns and treatment principle. Methods: The objects of this study were 19 male patients and 1 female treated from March 2004 to March 2006. There were 19 cases of injury on digits and 1 on the wrist area. There were 15 cases of immediate treatment after sustaining HF-induced burns, and 5 cases of delayed treatment. As a principle, in the emergency treatment, partial or complete removal of the nail along with copious washing with normal saline was done, depending on the degree of HF invasion of the distal digital extremities. Results: The 15 cases who came to the hospital immediately after the injury were healed completely without sequelae, and those who delayed their treatment needed secondary surgical measures, due to the severity of inflammation and necrosis of the digital tissues. Conclusion: As the industrial sector develops, the use of HF is increasing more and more, leading to increase in incidences of HF-induced chemical burns. When treating chemical burns caused by HF, washing by copious amounts of normal saline, along with early removal of the nails, rather than calcium gluconate, seems to be a available method for preserving the shape and function of the digits and the nail. The education of patients regarding this subject should be empathized accordingly.

The Effects of Pyeongwi-san-gamibang on NC/Nga mice with atopic dermatitis (평위산가미방(平胃散加味方)이 아토피피부염을 유발한 NC/Nga mouse에 미치는 영향)

  • Jung, Ui-Ryung;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.24 no.2
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    • pp.16-27
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    • 2011
  • Objective : To investigate the effects of Pyeongwi-san-gamibang on atopic dermatitis, this study measured TEWL(transepidermal water loss), observed scratching behaviors and checked levels of Total IgE, IL-4, IFN-${\gamma}$ and conducted skin biopsy on NC/Nga mice with atopic dermatitis. Methods : NC/Nga mice were challenged with DNCB during 5 weeks to develop atopic dermatitis-like skin lesions. The NC/Nga mice with atopic dermatitis were divided into three groups of control group, PW-d, PW-e group. Once a day for 22 days, Pyeongwi-san-GamiBang extract with water was administered for the PW-d group and the extract with 80% ethanol was administered for PW-e group compared with saline solution for control group. During drug administration, sensitization by DNCB had lasted for three times per week. Results : 1. TEWL had no statistical difference among 3 groups. 2. The scratching behaviors had no statistical difference among 3 groups. 3. The levels of Total IgE in PW-d, PW-e group had a statistically significantly higher than that of the control group although difference between the control group and the PW-d, PW-e group were similar. 4. The level of IL-4 had no statistical difference among 3 groups. 5. The level of IFN-${\gamma}$ had no statistical difference among 3 groups. 6. As the observation of toluidine blue stained lesion, both PW-d and PW-e group had lower level of histamine releasement compared with the control group. Conclusion : Result based on these experiments, Pyeongwi-san-GamiBang on atopic dermatitis-like skin inflammation in NC/Nga mice is not effective. But, as the study showed significantly individual differece, we need to repeat these study after supplementing the object number and modified indicator of clinical severity.

Efficacy of Lactobacillus fermentum Isolated from the Vagina of a Healthy Woman against Carbapenem-Resistant Klebsiella Infections In Vivo

  • Tajdozian, Hanieh;Seo, Hoonhee;Kim, Sukyung;Rahim, Md Abdur;Lee, Saebim;Song, Ho-Yeon
    • Journal of Microbiology and Biotechnology
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    • v.31 no.10
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    • pp.1383-1392
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    • 2021
  • Carbapenem-resistant Enterobacteriaceae (CRE) that produce Klebsiella pneumoniae carbapenemase are increasingly reported worldwide and have become more and more resistant to nearly all antibiotics during the past decade. The emergence of K. pneumoniae strains with decreased susceptibility to carbapenems, which are used as a last resort treatment option, is a significant threat to hospitalized patients worldwide as K. pneumoniae infection is responsible for a high mortality rate in the elderly and immunodeficient individuals. This study used Lactobacillus fermentum as a candidate probiotic for treating CRE-related infections and investigated its effectiveness. We treated mice with L. fermentum originating from the vaginal fluid of a healthy Korean woman and evaluated the Lactobacilli's efficacy in preventive, treatment, nonestablishment, and colonization mouse model experiments. Compared to the control, pre-treatment with L. fermentum significantly reduced body weight loss in the mouse models, and all mice survived until the end of the study. The oral administration of L. fermentum after carbapenem-resistant Klebsiella (CRK) infection decreased mortality and illness severity during a 2-week observation period and showed that it affects other strains of CRK bacteria. Also, the number of Klebsiella bacteria was decreased to below 5.5 log10 CFU/ml following oral administration of L. fermentum in the colonization model. These findings demonstrate L. fermentum's antibacterial activity and its potential to treat CRE infection in the future.

Economic Assessment of Climate Change Adaptation Technologies in Infrastructure Sector (사회기반시설물 기후변화 적응기술의 경제성분석)

  • Jeong, Hoyoung;Kim, Hyoungkwan
    • Korean Journal of Construction Engineering and Management
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    • v.20 no.2
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    • pp.44-52
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    • 2019
  • The frequency and severity of damage caused by extreme climate events are increasing due to climate change. If the infrastructure is not prepared for the risks of climate change, property loss may occur in the facility itself and its surrounding areas. Therefore, climate change adaptation technology should be introduced to reduce future losses. Policy makers need to understand the economic impacts of each technology in order to select an appropriate option. Both the primary damage, which is the direct damage to the facility, and the secondary damage, which is the damage to the surrounding area due to climate change, should all be identified for understanding the economic impact from adaptation. This paper presents a procedure for deriving primary and secondary damage reductions from introducing adaptation technologies and suggests a methodology for evaluating adaptation technology specific to each infrastructure.

Protaetia brevitarsis extract ameliorates the severity of DSS-Induced Ulcerative Colitis in vivo (굼벵이 추출물의 DSS유도 궤양성 대장염 조절효능 탐색)

  • Park, Bog-Im;Jeon, Yong-Deok;Sim, Hyeon-Jae;Lee, Hoon-Yeon;Kim, Seong-Oh;kim, Dong-Keun;Jo, Mi-Na;Cho, Yong-Jin;Kim, Chong-Tai;Kim, Tae-Eun;Jin, Jong-Sik
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2019.04a
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    • pp.122-122
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    • 2019
  • Protaetia brevitarsis (PB) extracts has been traditionally used as medicinal stuff to treat blood stasis, occlusion of menstruation, tetanus and liver cancer in Asian countries (Korea, Japan, China, Taiwan, India and Myanmar). Especially, Donguibogam, which is traditional korean medicinal book, described the PB extracts as traditional medicine to treat hepatic diseases and vascular disorders. The PB extracts has been considered as highly nutritional food. The major constituents of PB extracts are rich in protein, healthy fats, iron, calcium. Recent studies announced that PB extracts has hepatoprotective effect and anti-microbacterial effect. However, the effect of PB on ulcerative colitis has not been uncovered yet. The aim of this study was to examine the anti-inflammatory effect of PB extracts in dextran sulfate sodium (DSS)-induced colitis mice model. Cytotoxicity of PB was determined by MTT assay and the antiinflammatory effect of PB extract was investigated by measuring nitric oxide (NO) production. PB extracts did not show any cytotoxicity. AIso, PB extracts supressed NO production in LPS-stimulated mice peritoneal macrophages. To determine whether PB could be an effective treatment on ulcerative colitis, DSS was administered in BALB/c mice for 10 days. PB extract significantly improved the clinical signs of DSS-induced UC, including body weight loss, colon length shortening, and disease activity index increase, with histological markers of colon injury. These findings indicated the possibility of PB as a therapeutic agent on ulcerative colitis.

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A Case Study on the Risk Management for the Long-term Preservation Business Activities Related to Electronic Records (전자기록 장기보존 위험관리 사례)

  • Yim, Jin-Hee
    • The Korean Journal of Archival Studies
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    • no.39
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    • pp.3-43
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    • 2014
  • This paper showed results of the risk management project in detail which was conducted by National Archives of Korea(NAK) in 2010. In the project NAK examined its long-term preservation business of electronic records using DRAMBORA(Digital Repository Audit Method Based on Risk Assessment). NAK has defined 44 different risk elements related to its business activities, assessed and classified them into several grades according to the severity calculated by risk probability score and risk potential impact score, and developed precise management plans for two of the most serious risks. This paper introduced the management plan for one of them. The risk was numbered with NR04 and described by 'Loss of integrity of records information'. This paper explained mitigation strategies, contingency organization, disaster control responsibilities, and personal mission cards for the NR04. This paper planned to give comprehensive understandings to Records Management Organizations about the risk management approaches as an effective way for business management through the case study.