• Title/Summary/Keyword: mortality coefficient

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Analyses on Environment-friendliness of Waterproof Materials Based on Fish Toxicity Test (어독성 실험에 따른 방수재 친환경 특성 분석)

  • Kim, Sung-Kyun;Woo, Ji-Keun;Lee, Im-Gyu;Yoo, Hy-Ein;Jeong, Jae-Wook
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.13 no.1
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    • pp.57-68
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    • 2010
  • The purpose of this study is to analyze the characteristics of environment-friendliness of waterproof materials based on comprehensive experiments on waterproofness in terms of coefficients of permeability, harmfulness of waterproof materials and fish toxicity of Oryzias latipes mortality to verify eco-toxicity of each method of construction and waterproof material, which are to be applied by taking eco-toxicity into account when building ecological flows in upper areas on natural and artificial grounds. As a result, the following conclusions have been reached in this study: 1. In regard of the harmfulness analyzed, each material showed a different result of analytical value in each lab tank. Compared to input water, pH, COD, SS, T-P, and T-N values increased a little, but DO value decreased. The value of turbidity analyzed independent of the water quality standard of aquatic ecosystem set forth by the Ministry of Environment increased a little compared to the value in input water. 2. In the experiment of fish toxicity, compacted quicklime, cement fluid waterproof material, cement mortar waterproof material and bentonite powder were found to have 100% of fish mortality, respectively, and membrane waterproof material showed 83.3% of mortality, indicating strong fish toxicity. Improved asphalt sheet (63.3%) and synthetic rubber sheet (53.3%) were analyzed to have medium fish toxicity, while bentonite sheet (6.7%), Hwang-toh (6.7%) and clay (3.3%) showed relatively lower mortality and fish toxicity. 3. Regarding the analysis on waterproofness in terms of the coefficient of permeability of each waterproof material, improved asphalt sheet, synthetic rubber sheet, membrane waterproof material, cement fluid and mortar waterproof material and bentonite sheet were found impervious in case no leakage takes place in construction. Bentonite powder was found practically impervious based on the analytical results from the experiment done in compliance with weight ratios. So were the clay and Hwang-toh from the experimental results. To sum up such results as found in the experiment mentioned so far, the values of harmfulness and waterproofness analyzed were different in each lab tank, but there was absolutely little correlation with the mortality gained from the experiment on fish toxicity. In the experiment of fish toxicity, environment-friendly waterproof materials were analyzed, and it was found that clay, Hwang-toh and bentonite sheet are highly environment-friendly. In contrast, synthetic rubber and improved asphalt sheets were found to have medium-level environment-friendliness. Also, membrane water-proof materials, compacted quicklime, cement fluid and mortar waterproof material and bentonite powder were analyzed to have low environment-friendliness.

Prognostic Impact of Charlson Comorbidity Index Obtained from Medical Records and Claims Data on 1-year Mortality and Length of Stay in Gastric Cancer Patients (위암환자에서 의무기록과 행정자료를 활용한 Charlson Comorbidity Index의 1년 이내 사망 및 재원일수 예측력 연구)

  • Kyung, Min-Ho;Yoon, Seok-Jun;Ahn, Hyeong-Sik;Hwang, Se-Min;Seo, Hyun-Ju;Kim, Kyoung-Hoon;Park, Hyeung-Keun
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.2
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    • pp.117-122
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    • 2009
  • Objectives : We tried to evaluate the agreement of the Charlson comorbidity index values(CCI) obtained from different sources(medical records and National Health Insurance claims data) for gastric cancer patients. We also attempted to assess the prognostic value of these data for predicting 1-year mortality and length of the hospital stay(length of stay). Methods : Medical records of 284 gastric cancer patients were reviewed, and their National Health Insurance claims data and death certificates were also investigated. To evaluate agreement, the kappa coefficient was tested. Multiple logistic regression analysis and multiple linear regression analysis were performed to evaluate and compare the prognostic power for predicting 1 year mortality and length of stay. Results : The CCI values for each comorbid condition obtained from 2 different data sources appeared to poorly agree(kappa: 0.00-0.59). It was appeared that the CCI values based on both sources were not valid prognostic indicators of 1-year mortality. Only medical record-based CCI was a valid prognostic indicator of length of stay, even after adjustment of covariables($\beta$ = 0.112, 95% CI = [0.017-1.267]). Conclusions : There was a discrepancy between the data sources with regard to the value of CCI both for the prognostic power and its direction. Therefore, assuming that medical records are the gold standard for the source for CCI measurement, claims data is not an appropriate source for determining the CCI, at least for gastric cancer.

Hypoalbuminemia and Albumin Replacement during Extracorporeal Membrane Oxygenation in Patients with Cardiogenic Shock

  • Jae Beom Jeon;Cho Hee Lee;Yongwhan Lim;Min-Chul Kim;Hwa Jin Cho;Do Wan Kim;Kyo Seon Lee;In Seok Jeong
    • Journal of Chest Surgery
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    • v.56 no.4
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    • pp.244-251
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    • 2023
  • Background: Extracorporeal membrane oxygenation (ECMO) has been widely used in patients with cardiorespiratory failure. The serum albumin level is an important prognostic marker in critically ill patients. We evaluated the efficacy of using pre-ECMO serum albumin levels to predict 30-day mortality in patients with cardiogenic shock (CS) who underwent venoarterial (VA) ECMO. Methods: We reviewed the medical records of 114 adult patients who underwent VA-ECMO between March 2021 and September 2022. The patients were divided into survivors and non-survivors. Clinical data before and during ECMO were compared. Results: Patients' mean age was 67.8±13.6 years, and 36 (31.6%) were female. The proportion of survival to discharge was 48.6% (n=56). Cox regression analysis showed that the pre-ECMO albumin level independently predicted 30-day mortality (hazard ratio, 0.25; 95% confidence interval [CI], 0.11-0.59; p=0.002). The area under the receiver operating characteristic curve of albumin levels (pre-ECMO) was 0.73 (standard error [SE], 0.05; 95% CI, 0.63-0.81; p<0.001; cut-off value=3.4 g/dL). Kaplan-Meier survival analysis showed that the cumulative 30-day mortality was significantly higher in patients with a pre-ECMO albumin level ≤3.4 g/dL than in those with a level >3.4 g/dL (68.9% vs. 23.8%, p<0.001). As the adjusted amount of albumin infused increased, the possibility of 30-day mortality also increased (coefficient=0.140; SE, 0.037; p<0.001). Conclusion: Hypoalbuminemia during ECMO was associated with higher mortality, even with higher amounts of albumin replacement, in patients with CS who underwent VA-ECMO. Further studies are needed to predict the timing of albumin replacement during ECMO.

Effect of Preadmission Metformin Use on Clinical Outcome of Acute Respiratory Distress Syndrome among Critically Ill Patients with Diabetes

  • Jo, Yong Suk;Choi, Sun Mi;Lee, Jinwoo;Park, Young Sik;Lee, Chang-Hoon;Yim, Jae-Joon;Yoo, Chul-Gyu;Kim, Young Whan;Han, Sung Koo;Lee, Sang-Min
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.3
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    • pp.296-303
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    • 2017
  • Background: Acute respiratory distress syndrome (ARDS) is related to high mortality and morbidity. There are no proven therapeutic measures however, to improve the clinical course of ARDS, except using low tidal volume ventilation. Metformin is known to have pleiotropic effects including anti-inflammatory activity. We hypothesized that pre-admission metformin might alter the progress of ARDS among intensive care unit (ICU) patients with diabetes mellitus (DM). Methods: We performed a retrospective cohort study from January 1, 2005, to April 30, 2005 of patients who were admitted to the medical ICU at Seoul National University Hospital because of ARDS, and reviewed ARDS patients with DM. Metformin use was defined as prescribed within 3-month pre-admission. Results: Of 558 patients diagnosed with ARDS, 128 (23.3%) patients had diabetes and 33 patients were treated with metformin monotherapy or in combination with other antidiabetic medications. Demographic characteristics, cause of ARDS, and comorbid conditions (except chronic kidney disease) were not different between metformin users and nonusers. Several severity indexes of ARDS were similar in both groups. The 30-day mortality was 42.42% in metformin users and 55.32% in metformin nonusers. On multivariable regression analysis, use of metformin was not significantly related to a reduced 30-day mortality (adjusted ${\beta}-coefficient$, -0.19; 95% confidence interval, -1.76 to 1.39; p=0.816). Propensity score-matched analyses showed similar results. Conclusion: Pre-admission metformin use was not associated with reduced 30-day mortality among ARDS patients with DM in our medical ICU.

A WINTERING TEST OF THE CRAWL-HELD ANCHOVY (축양 멸치의 월동시험)

  • LEE Byoung-Gie;PARK Sing-Won;SEO Young-Tae;KIM Moo-Sang;SON Boo-Il
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.6 no.1_2
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    • pp.44-48
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    • 1973
  • Since no medium-sized anchovies for skipjack baits are caught during the winter season in the Korean waters, the demand for the live baits in the winter season is met with crawl-stocked anchovies. Authors conducted a test on the wintering of the anchovies which were caught in the early November and acclimated for 22days in a crawl. The wintering crawl was kept in the inlet near Chungmu City, which is situated in the southern coast of Korea, for 4 months through December 1, 1971 to March 31, 1972. 1. The lowest water temperature of $7.2^{\circ}C$ recorded on March 1, caused no significant mortality of the wintering anchovies. However, two operations, moving the crawl and repacling the crawl webbing, brought about a considerable mortality. The mortality of the anchovies, due to the crawl moving to the wintering place two kilometers away from the transient acclimating place, amounted to 1.5 percent in 9 days following the crawl moving. The replacement of the fouled crawl webbing with a new one also caused a mortality amounting to 1.7 percent in 5 days. 2. It is judged that the favorable wintering waters lie in the south and southeast coasts of Keoje Island, the south and southwest coast of Chungmu City, coasts around Namhae Island, and the east coast of Dolsan Island. Jinhae Bay is not suited for the wintering because of its low water temperature in winter 3. The wintering anchovies wvere fed, once a day through the test period, with 4 kg of finely minced fresh anchovy for 57days in the early period, and with 2kg of compound pellet fish food for the rest of the period. Fatness coefficient of the wintering anchovies showed a slight increase in the latter half of the period.

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A Comprehensive Analysis of the Association of Psoas and Masseter Muscles with Traumatic Brain Injury Using Computed Tomography Anthropometry

  • Cho, Hang Joo;Hwang, Yunsup;Yang, Seiyun;Kim, Maru
    • Journal of Korean Neurosurgical Society
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    • v.64 no.6
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    • pp.950-956
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    • 2021
  • Objective : Psoas and masseter muscles are known markers of sarcopenia. However, the relative superiority of either muscle as a marker is unclear. Therefore, this study analyzed the two muscles in patients with a prognosis of traumatic brain injury (TBI). Methods : Patients with TBI visiting a regional trauma center between January 2017 and December 2018 were selected, and their medical records were reviewed. TBI patients with an abbreviated injury score (AIS) of 4 or 5 were selected. Patients with an AIS of 4 or 5 at the chest, abdomen, and extremity were excluded. Patients with a hospital stay of 1 to 2 days were excluded. Both muscle areas were measured based on the initial computed tomography. The psoas muscle index (PMI) and the masseter muscle index (MMI) were calculated by dividing both muscle areas by height in meters squared (cm2/m2). These muscle parameters along with other medical information were used to analyze mortality and the Glasgow outcome scale (GOS). Results : A total of 179 patients, including 147 males (82.1%), were analyzed statistically. The mean patient age was 58.0 years. The mortality rate was 16.8% (30 patients). The mean GOS score was 3.7. Analysis was performed to identify the parameters associated with mortality, which was a qualitative study outcome. The psoas muscle area (16.9 vs. 14.4 cm2, p=0.028) and PMI (5.9 vs. 5.1 cm2/m2, p=0.004) showed statistical differences between the groups. The PMI was also statistically significant as a risk factor for mortality in logistic regression analysis (p=0.023; odds ratio, 0.715; 95% confidence interval, 0.535-0.954). Quantitative analyses were performed with the GOS scores. Bivariate correlation analysis showed a statistically significant correlation between PMI and GOS scores (correlation coefficient, 0.168; p=0.003). PMI (p=0.004, variation inflation factor 1.001) was significant in multiple regression analysis. The masseter muscle area and MMI did not show significance in the study. Conclusion : Larger PMI was associated with statistically significant improved survival and GOS scores, indicating its performance as a superior prognostic marker. Further analyses involving a larger number of patients, additional parameters, and more precise settings would yield a better understanding of sarcopenia and TBI.

Fisheries resources management of crucian carp based on assessment of fish stock and potential yield in the mid-upper system of Seomjin River

  • Ryu, Hui Seong;Jang, Sung Hyun;Lee, Jung Ho;Lee, Jung Joon
    • Journal of Ecology and Environment
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    • v.37 no.4
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    • pp.209-216
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    • 2014
  • This study was undertaken to suggest an effective fisheries resources management system by using stock assessment and potential yield analyses of crucian carp population in the mid-upper system of the Seomjin River. Fieldwork was conducted seasonally from 2008 to 2009 in the mid-upper system of the Seomjin River. The stock assessment was carried out by the swept area method and the potential yield was estimated by improved fisheries resource potential estimation system based on the Allowable Biological Catch. Also, the yield-per-recruit analysis was used to review the efficient management implication of the resource, Carassius auratus. As a result, the age at first capture ($t_c$) was estimated as 1.468 year, converted body length (BL) was 10.8 cm. Meaning the current fishing intensities, the instantaneous coefficient of fishing mortality (F) was $0.067year^{-1}$, and the yield-per-recruit analysis showed that the current yield per recruit was estimated to be 15.999 g with F and $t_c$. The instantaneous rate of fishing mortality that provides for Allowable Biological Catch ($F_{ABC}$) based on the current $t_c$ and F was estimated as $0.618year^{-1}$. Therefore, the optimum fishing intensities could be achieved at the higher fishing intensity for Carassius auratus. The calculated annual stock of C. auratus was estimated as 7,608 kg, and the potential yield was estimated as 343 kg with $t_c$ and F at the fixed current level. Using yield-per-recruit analysis, if F and $t_c$ were set at $0.618year^{-1}$ and 2 year, the yield per recruit and total allowable catch would be predicted to increase to 62 g and 2,531 kg by about 3.9 times and 7.3 times, respectively.

Ecological Study of Shortnecked Clam Ruditapes philippinarum from the Jindu Coast of Hansan Island, Korea (한산도 진두해역 양식 바지락의 자원생태학적 연구)

  • Cho, Sang-Man;Jeong, Woo-Geon
    • The Korean Journal of Malacology
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    • v.23 no.1
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    • pp.25-30
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    • 2007
  • In order to estimate the ecological parameters of the population, short-necked clams, Ruditapes philippinarum, were collected from Jindu coast at Hansan Island, from April to December in 2005. The growth of the clam was estimated by von Bertalanffy growth model and each parameters were obtained from a nonlinear regression as $L_{\infty}\;=\;48.8\;mm$, k = 0.28 and $t_0\;=\;-0.88\;(R^2\;=\;0.994)$. Instantaneous coefficient of total mortality (Z) and fishing mortality (F) was calculated to be 0.8614/yr. and 0.6122/yr, respectively. The age at the first capture was estimated to be 2.88 year. Using the present parameter for clam fishing, the yield-per recruit (Y/R) was estimated to be 3.44g. Although the maximum Y/R was obtained under the parameters ($t_c\;=\;3.48\;yr$. and F = 0.9295/yr), it is favorable to maintain the current fishing effort considering the annual fluctuation of the parameters.

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Convergence Influence Factors on Nursing Students' Willingness to Volunteer (간호대학생의 자원봉사지속의지에 미치는 융합적 영향요인)

  • Kim, Min-Suk;Yun, Soon-Young
    • Journal of the Korea Convergence Society
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    • v.10 no.5
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    • pp.377-384
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    • 2019
  • The purpose of this study was to identify the degree of mortality, appropriateness and continuance willingness of voluntary activities in nursing students and to investigate the effects of their continuance willingness of voluntary activities. This study was carried out from November to Decemer 2018 as a descriptive research study. Data collection was conducted among 174 university nursing students who agreed to the research and completed the questionnaire. The data were analyzed by t-test, ANOVA and Scheffe post-test, Pearson correlation coefficient calculation and multiple regression analysis using SPSS 24.0. The results of the study showed that morality, service appropriateness, service period, and aggressiveness had a significant effect on the continuance willingness. It proposes that a volunteer program that can engage with the majors and participate voluntarily and positively for the continuous service of nursing students.

Estimation on Population Ecological Characteristics of Crucian Carp, Carassius auratus in the Mid-Upper System of the Seomjin River (섬진강 중.상류 수계에서 붕어 개체군의 생태학적 특성치 추정)

  • Jang, Sung-Hyun;Ryu, Hui-Seong;Lee, Jung-Ho
    • Korean Journal of Environment and Ecology
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    • v.25 no.3
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    • pp.318-326
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    • 2011
  • The population ecological characteristics of the Crucian carp, Carassius auratus, were determined in order to estimate stock of the mid-upper system of the Seomjin River. The fish ranged in size from 95 to 288mm total length. The age was determined by counting the scale annulus. The scales displayed clear annulus that were used to estimate the age. The oldest fish observed in this study was 5 years old. Age-2 fishes were the most numerous in the sample(n=38), followed in frequency be age-3(n=22). Marginal index analysis validated the formation of a single annulus per year. The relationship between body length and body weight was BW = $0.0038BL^{3.73}$($R^2$=0.96) (p<0.01). The relationship between the scale radius and body length was BL = 2.362R+2.76($R^2$=0.89). The von Bertalanffy growth parameters estimated from a non-linear regression method were $L_{\infty}$=33.2 cm, $W_{\infty}$=1,798.4 g, $K=0.20year^{-1}$ and $t_0$=-0.51year. Therefore, Growth in length of the fish was expressed by the von Bertalanffy's growth equation as $L_t=33.23$($1-e^{-0.20(t+0.51)}$)($R^2$=0.98). The annual survival rate was estimated to be 0.427year$^{-1}$. The instantaneous coefficient of natural mortality of estimated from the Zhang and Megrey method was $0.784year^{-1}$, and instantaneous coefficient of fishing mortality was calculated $0.067year^{-1}$. From the estimates of survival rate, the instantaneous coefficient of total mortality was estimated to be $0.851year^{-1}$.