• 한국어병학회지
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• 제22권2호
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• pp.155-162
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• 2009

2006년 8-9월 통영시 한산도, 미륵도, 거제시 해역에서 대량 폐사된 조피볼락의 폐사원인을 조사한 결과, 병원체는 연쇄구균이 3.8-35.8%, 칼리구스충이 1.9-33.7%, 아가미흡충이 17.7-26.9% 검출되었으며, 전 개체에서 바이러스는 검출되지 않았다. 각 장기별 세로이드 관찰 결과, 간, 신장 및 비장 등의 조혈기관에 갈색 및 검은색의 세로이드가 관찰되었다. 폐사가 제일 먼저 발생한 통영시 한산면 용초해역에서 폐사발생 약 20일전에 표층 22.3${^{\circ}C}$, 저층 18.3${^{\circ}C}$로 수온약층이 형성되어 있었으며, 폐사발생 약 5일전에 표층 25.8${^{\circ}C}$, 저층 24.7${^{\circ}C}$로 수온 약층이 완전 소멸된 수온이 상승한 상태였다. 거제시 남부면 해역의 조피볼락 대량폐사는 8월 18일 태풍 우쿵 발생 직후 수온약층이 소멸됨에 따라 19${^{\circ}C}$의 수온이 5일만에 27${^{\circ}C}$까지 급상승하였다가, 8월말에 22.9℃로 하강하였다가 5일만에 25.9${^{\circ}C}$로 상승하는 등 고수온역에서 수온변화가 많았던 것이 특징이었다. 따라서, 2006년 하계에 발생한 통영 및 거제해역의 조피볼락 대량폐사는 태풍 우쿵 발생 이전에 생성되었던 수온약층이 소멸되면서 3.0-6.7${^{\circ}C}$의 수온 급상승으로 27${^{\circ}C}$의 고수온 환경이 약화되어 있던 조피볼락에 스트레스 요인으로 작용하여 생리대사 및 저항력의 약화로 폐사가 발생하였던 것으로 추정되었다.

• 대한수의학회지
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• 제59권4호
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• pp.207-211
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• 2019

Mass mortality in commercially cultured Amur catfish (Silurus asotus), showing symptoms of dermal ulcerations, occurred on a private farm in Mar 2019 in Korea. β-hemolytic bacteria were isolated from the ulcers and kidneys of the fish and identified as Aeromonas veronii. The isolate was resistant to tetracycline and possessed cytotoxic heat-labile enterotoxin (aerolysin/hemolysin). We investigated the genetic determinants associated with tetracycline resistance, and the isolate has been confirmed to simultaneously possess tetA and tetE genes. This is the first report on the occurrence of tetracycline-resistant A. veronii infection related to mass mortality in commercially cultured Amur catfish in Korea.

• 대기
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• 제17권1호
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• pp.45-53
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• 2007

In order to investigate the impacts of heat wave on human health, cluster analysis of meteorological elements (e.g., temperature, dewpoint, sea level pressure, visibility, cloud amount, and wind components) for identifying offensive synoptic air masses is employed. Meteorological data at Seoul during the past 30 years are used. The daily death data at Seoul are also employed. Occurrence frequency of heat waves which is defined by daily maximum temperature greater than the threshold temperature (i.e., $31.2^{\circ}C$) was analyzed. The result shows that the frequency and duration of heat waves at Seoul are increasing during the past 30 years. In addition, the increasing trend of the frequency and duration clearly appears in late spring and early autumn as well as summer. Factor analysis shows that 65.1% of the total variance can be explained by 4 components which are linearly independent. Eight clusters (or synoptic air masses) were classified and found to be optimal for representing the summertime air masses at Seoul, Korea. The results exhibit that cluster-mean values of meteorological variables of an offensive air mass (or cluster) are closely correlated with the observed and standardized deaths.

• 한국어병학회지
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• 제23권3호
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• pp.313-322
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• 2010

Edible tunicate Halocynthia roretzi, one of the most commercially important aquatic organisms in Korea, has been killed by tunic softness syndrome since last decade. The intracellular protistan parasite observed by the transmission electron microscope in hemocytes of the tunicate was considered to be the causative agent of the mass mortality. The goal of the present work is to examine the characteristic features of the parasite by identifying the 18S rDNA sequences of the parasite. The experiments conducted include amplification of presumptive 18S rDNA from diseased tunicate tissues with UNonMet-PCR and sequencing the product. A preliminary phylogenetic analysis was performed on the presumptive parasite rDNA. A digoxigenin labeled DNA probe was designed on the basis of the sequences of rDNA. Dig-ISH assay was conducted to diagnose the protistan parasite. A PCR using UNonMet-PCR primer generated 595 bp SSU rDNA fragment. Subsequently, PCRs with primer pair expended this sequence to 1542 bp. This is the first partial sequences of SSU rDNA gene to be published on the protistan parasite that has presumed causing the mass mortality of tunicate. Since the Dig-ISH technique demonstrated the presence of infection in hemocytes on the all host tissues, the fragment was confirmed to be the intracellular protistan parasite SSU rDNA. A phylogenetic analysis suggested that the protistan parasite may be a unique eukaryote that is closely related to Apicomplexa.

• Journal of Nutrition and Health
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• 제39권7호
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• pp.617-623
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• 2006

The mortality and morbidity rate of hemodialysis patients (HD) remain high. Among many factors, protein and calorie malnutrition has been shown to be a major risk factor for increased mortality in the HD patients population. Malnutrition can be caused by insufficient amino acid intake, nutrient losses in dialysate, oxidant stress and muscle catabolism. In this study, we evaluated the association of markers of nutritional status and essential amino acids intake in HD patients. We investigated nutritional status of 41 HD patients (mean age: $64.2\;{\pm}\;11.5\;y$, men: 24, women: 27) by measuring anthropometric, biochemical parameters and food intakes by using 24 hr recall methods. Subject's total energy intake and total protein intake were $1,648.0\;{\pm}\;397.31\;kcal/day,\;79.2\;{\pm}\;27.2\;g/day$:, respectively. The animal protein intake was $42.7\;{\pm}\;22.1\;g/day$, essential amino acids intake was $23.4\;{\pm}\;9.92\;g/day$, and the ratio of essential amino acids to total protein intake was $29.6\;{\pm}\;5.42%$. There were significantly positive correlation between muscle mass and lean body mass with serum creatinine level (r=0.435, p<0.01; r=0.435, p<0,01). There were also significant positive correlation in muscle mass and lean body mass with pre hemodialysis blood urea nitrogen (preHD BUN) (r=0.329, p<0.05; r=0.329, p<0.05). There were no significant correlation in total energy intake and total protein intake per kg ideal body weight (IBW) to muscle mass and lean body mass. However, there were significantly positive correlation between the ratio of essential amino acids and muscle mass and lean body mass (r=0.368, p<0.05; r=0.405, p<0.01). And serum hematocrit concentration was positively correlated with the ratio of essential amino acids (r=0.032, p<0.05). The results of this study indicate that strong associations exist in essential amino acid intakes with malnutrition than total protein intakes in HD patient. In conclusion, specialized nutrition education should be necessary to efficiently improve the quality of protein intakes.

• 한국어병학회지
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• 제26권3호
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• pp.173-183
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• 2013

2012년 7월에서 9월초까지 경상남도 연안의 해상 가두리 양식장에서 사육중인 조피볼락의 대량폐사가 발생하였으며, 피해량은 1,802,000마리로 집계되었다. 폐사 해역의 수온은 최대 $28.4^{\circ}C$까지 상승하였으며, 일간 수온변화의 폭은 최대 $6.5^{\circ}C$로 급격한 상승과 반복적인 변화가 확인되었다. 49개 어업권 194마리를 대상으로 생물학적 질병을 조사한 결과, 일부 양식장의 조피볼락에서 참돔이리도바이러스(red seabream iridovirus, RSIV), Vibrio sp.와 Vibrio spp. 또는 Microcotyle sp. 등의 주요 병원체가 확인되었다. 대량폐사의 주요 원인은 고수온과 동반하여 나타나는 반복적인 일간 수온변화, 그리고 생물학적 질병이 폐사의 증가에 영향을 미친 것으로 판단된다.

• Tuberculosis and Respiratory Diseases
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• 제87권2호
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• pp.176-184
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• 2024

Background: Results of studies investigating the association between body mass index (BMI) and mortality in patients with coronavirus disease-2019 (COVID-19) have been conflicting. Methods: This multicenter, retrospective observational study, conducted between January 2020 and August 2021, evaluated the impact of obesity on outcomes in patients with severe COVID-19 in a Korean national cohort. A total of 1,114 patients were enrolled from 22 tertiary referral hospitals or university-affiliated hospitals, of whom 1,099 were included in the analysis, excluding 15 with unavailable height and weight information. The effect(s) of BMI on patients with severe COVID-19 were analyzed. Results: According to the World Health Organization BMI classification, 59 patients were underweight, 541 were normal, 389 were overweight, and 110 were obese. The overall 28-day mortality rate was 15.3%, and there was no significant difference according to BMI. Univariate Cox analysis revealed that BMI was associated with 28-day mortality (hazard ratio, 0.96; p=0.045), but not in the multivariate analysis. Additionally, patients were divided into two groups based on BMI ≥25 kg/m² and underwent propensity score matching analysis, in which the two groups exhibited no significant difference in mortality at 28 days. The median (interquartile range) clinical frailty scale score at discharge was higher in nonobese patients (3 [3 to 5] vs. 4 [3 to 6], p<0.001). The proportion of frail patients at discharge was significantly higher in the nonobese group (28.1% vs. 46.8%, p<0.001). Conclusion: The obesity paradox was not evident in this cohort of patients with severe COVID-19. However, functional outcomes at discharge were better in the obese group.

• Journal of Preventive Medicine and Public Health
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• 제45권5호
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• pp.301-308
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• 2012

Objectives: To examine the association between alcohol consumption habit, types of beverages, alcohol consumption quantity, and overall and cancer-specific mortality among Korean adults. Methods: The alcohol consumption information of a total of 16 320 participants who were 20 years or older from the Korean Multicenter Cancer Cohort were analyzed to examine the association between alcohol consumption habit and mortality (median follow-up of 9.3 years). The Cox proportional hazard model was used to estimate the hazard ratio (HR) of alcohol consumption to mortality adjusting for age, sex, geographic areas, education, smoking status, and body mass index. Results: Alcohol drinkers showed an increased risk for total mortality compared with never drinkers (HR, 1.72; 95% confidence interval [CI], 1.38 to 2.14 for past drinkers; HR, 1.21; 95% CI, 1.06 to 1.39 for current drinkers), while past drinkers only were associated with higher risk for cancer deaths (HR, 1.84; 95% CI, 1.34 to 2.53). The quantity of alcohol consumed per week showed a J-shaped association with risk of mortality. Relative to light drinkers (0.01 to 90 g/wk), never drinkers and heavy drinkers (>504 g/wk) had an increased risk for all-cause and cancer deaths: (HR, 1.18; 95% CI, 0.96 to 1.45) and (HR, 1.39; 95% CI, 1.05 to 1.83) for all-cause mortality; and (HR, 1.55; 95% CI, 1.15 to 2.11) and (HR, 2.07; 95% CI, 1.39 to 3.09) for all cancer mortality, respectively. Heavy drinkers (>504 g/wk) showed an elevated risk for death from stomach and liver cancers. Conclusions: The present study supports the existence of a J-shaped association between alcohol consumption quantity and the risk of all-cause and cancer deaths. Heavy drinkers had an increased risk of death from cancer overall and liver and stomach cancer.

• Journal of Preventive Medicine and Public Health
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• 제46권6호
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• pp.319-328
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• 2013

Objectives: This study estimated the association of cardiovascular health behaviors with the risk of all-cause and cardiovascular disease (CVD) mortality in middle-aged men in Korea. Methods: In total, 12 538 men aged 40 to 59 years were enrolled in 1993 and followed up through 2011. Cardiovascular health metrics defined the following lifestyle behaviors proposed by the American Heart Association: smoking, physical activity, body mass index, diet habit score, total cholesterol, blood pressure, and fasting blood glucose. The cardiovascular health metrics score was calculated as a single categorical variable, by assigning 1 point to each ideal healthy behavior. A Cox proportional hazards regression model was used to estimate the hazard ratio of cardiovascular health behavior. Population attributable risks (PARs) were calculated from the significant cardiovascular health metrics. Results: There were 1054 total and 171 CVD deaths over 230 690 person-years of follow-up. The prevalence of meeting all 7 cardiovascular health metrics was 0.67%. Current smoking, elevated blood pressure, and high fasting blood glucose were significantly associated with all-cause and CVD mortality. The adjusted PARs for the 3 significant metrics combined were 35.2% (95% confidence interval [CI], 21.7 to 47.4) and 52.8% (95% CI, 22.0 to 74.0) for all-cause and CVD mortality, respectively. The adjusted hazard ratios of the groups with a 6-7 vs. 0-2 cardiovascular health metrics score were 0.42 (95% CI, 0.31 to 0.59) for all-cause mortality and 0.10 (95% CI, 0.03 to 0.29) for CVD mortality. Conclusions: Among cardiovascular health behaviors, not smoking, normal blood pressure, and recommended fasting blood glucose levels were associated with reduced risks of all-cause and CVD mortality. Meeting a greater number of cardiovascular health metrics was associated with a lower risk of all-cause and CVD mortality.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.32.1-32.6
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• 2016

Background: This study aimed to analyze and describe the morbidity and mortality associated with tracheostomy in patients with oral cancer and to identify the risk factors associated with tracheostomy complications. Methods: We performed a retrospective chart review of patients who underwent tracheostomy during a major oral cancer resection between March 2001 and January 2016 at the National Cancer Center, Korea. Overall, we included 51 patients who underwent tracheostomy after oral cancer surgery. We assessed the morbidity and mortality of tracheostomy and determined the risks associated with tracheostomy complications. Results: Twenty-two tracheostomy-related complications occurred in 51 patients. The morbidity and mortality rates were 35.2 % (n = 18) and 0 % (n = 0), respectively. Tracheostomy-related complications were tracheitis (n = 4), obstructed tracheostomy (n = 9), displaced tracheostomy (n = 5), air leakage (n = 1), stomal dehiscence (n = 1), and decannulation failure (n = 2). Most complications (19/22) occurred during the early postoperative period. Considering the risk factors for tracheostomy complications, the type of tube used was associated with the occurrence of tracheitis (p < 0.05). Additionally, body mass index and smoking status were associated with tube displacement (p < 0.05). However, no risk factors were significantly associated with obstructed tracheostomy. Conclusions: Patients with risk factors for tracheostomy complications should be carefully observed during the early postoperative period by well-trained medical staff.