• The Korean Journal of Nuclear Medicine
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• v.36 no.5
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• pp.288-297
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• 2002

Purpose: Soft tissue attenuation and scattering are major methodological limitations of myocardial perfusion SPECT. To overcome these limitations, algorithms for attenuation, scatter correction and resolution recovery (ASCRR) is being developed, while quantitative myocardial SPECT has also become available. In this study, we investigated the efficacy of an ASCRR-corrected quantitative myocardial SPECT method for the diagnosis of coronary artery disease (CAD). Materials and Methods: Seventy-five patients (M:F=51:24, $61.0{\pm}8.9$ years old) suspected of CAD who underwent coronary angiography (CAG) within $7{\pm}12$ days of SPECT(Group-I) and 20 subjects (M:F=10:10, age $40.6{\pm}9.4$) with a low likelihood of coronary artery disease (Group-II) were enrolled. Tl-201 rest/ dipyridamole-stress Tc-99m-MIBI gated myocardial SPECT was performed. ASCRR correction was peformed using a Gd-153 line source and automatic software (Vantage-Pro; ADAC Labs, USA). Using a 20-segment model, segmental perfusion was automatically quantified on both the ASCRR-corrected and uncorrected images using an automatic quantifying software (AutoQUANT; ADAC Labs.). Using these quantified values, CAD was diagnosed in each of the 3 coronary arterial territories. The diagnostic performance of ASCRR-corrected SPECT was compared with that of non-corrected SPECT. Results: Among the 75 patients of Group-I, 9 patients had normal CAG while the remaining 66 patients had 155 arterial lesions; 61 left anterior descending (LAD), 48 left circumflex (LCX) and 46 right coronary (RCA) arterial lesions. For the LAD and LCX lesions, there was no significant difference in diagnostic performance. In Group-II patients, the overall normalcy rate improved but this improvement was not statistically significant (p=0.07). However, for RCA lesions, specificity improved significantly but sensitivity worsened significantly with ASCRR correction (both p<0.05). Overall accuracy was the same. Conclusion: The ASCRR correction did not improve diagnostic performance significantly although the diagnostic specificity for RCA lesions improved on quantitative myocardial SPECT. The clinical application of the ASC-RR correction requires more discretion regarding cost and efficacy.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.11 no.1
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• pp.21-27
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• 2008

Purpose: The aim of this survey was to analyze the choice of sedative drugs and their side effects during pediatric endoscopic sedation in Korea. We also evaluated doctors, caretakers and patient satisfaction with the procedures. Methods: Between June 2006 and July 2006, a 16-item survey regarding current sedation practices, during one month, was mailed to 28 hospitals in Korea. The results of the survey responses were then analyzed. Results: Endoscopy performed under conscious sedation was reported in 89.0% of the responders and endoscopy under general anesthesia in 0.9% of 465 endoscopic procedures. Endoscopy under conscious sedation was performed in 89.1% for upper gastrointestinal endoscopy (GFS) and 88.1% for lower GFS. Midazolam was used for conscious sedation during the endoscopy in 84.5% of cases and propofol was used in two cases (0.5%). In addition, a bezodiazepine/opioid combination was used iin 84.6% (44 cases) for lower GFS. Patients were monitored with pulse oxymetry, EKG (91.4%) as well as automatic BP (5.1%). Transient hypoxia was the only side effect noted and was treated with supplemental oxygen (4.6%). Flumazenil was used in 2.71% of cases. The choice of sedation was made by the endoscopist (84%). The satisfaction rate for endoscopists was 68%, and for the patients and caretakers was 84% (as reported by the endoscopists). Conclusion: Midazolam was used only for the upper GFS and benzodiazepine/opioid combination was used for the lower GFS in Korea. The rate of satisfaction was relatively high and there were no significant side effects noted during the endoscopy under conscious sedation.

• Journal of Physiology & Pathology in Korean Medicine
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• v.16 no.4
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• pp.724-728
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• 2002

Angiotensin-converting enzyme (ACE) gene polymorphism, which consists of presence (insertion, I) or absence (deletion, D) of a 250-bp fragment, is associated with ischemic heart disease, renovascular disease, systemic lupus erythematosus. Subjects with the DD genotype have higher levels of circulating ACE than subjects with the II genotype and show an increased tendency towards vascular wall thickness and contribute to the development of vascular disease. But the association between I/D polymorphism of the ACE gene and cerebrovascular disease is still controversial. The aim of this study was to determine whether the DNA polymorphism of the ACE are associated with cerebrovascular disease in Korean population. The study group comprised 377 Korean patients admitted to Kyunghee Oriental Medical Center in the year of 2000 for the treatment of brain infarction or brain hemorrhage. Magnetic resonance imaging(MRI) was performed for each patient to determine the stroke phenotype, infarction or hemorrhage. The 183 subjects without evidence of brain infarction or brain hemorrhage were selected from the some ethnical population(control group). Venous blood samples were drawn from each subject for the extraction of DNA. Genotypes of ACE were determined by polymerase chain reaction amplification of the genomic DNA. Case and control genotype frequencies were compared by chi-square testing. Both the patients and the controls were classified respectively into 4 groups: age less than forty years, age forty one to fifty, age fifty one to sixty, age greater than sixty years. There were no significant differences in the distributions of ACE genotypes among the patients with infarction, with hemorrhage and controls (Infarction: D/D 15.8%, I/D 46.7%, I/I 37.5%, Hemorrhage: D/D 15.1%, I/D 46.5%, I/I 38.4%, Control: D/D 18.6%, I/D 50.3%, I/I 31.2%). There was a significant difference in the distribution of ACE genotypes between the age greater than sixty year subgroup of patient with brain hemorrhage and the control (Hemorrhage: D/D 0%, I/D 55.6%, I/I 44.4%, Control: D/D 13.0%, I/D 63.0%, I/I 23.9%; Pearson Chi-Square value 5.956, P<0.05). Furthermore, the frequency of the ACE D/D type declined with increasing age both in the patient and control group (Patient group: age < 50 D/D 21.5%, age > 50 D/D 14.42%; Control group: age < 50 D/D 21.0%, age > 50 D/D 14.2%). In conclusion there is no clear association between ACE polymorphism and cerebrovascular disease in Korean population. Although, there was a tendency for the frequency of the ACE D/D type declined with increasing age in both patients and controls.

• Korean Journal of Soil Science and Fertilizer
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• v.38 no.1
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• pp.38-44
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• 2005

In addition to the variation in nitrate accumulation of vegetables due to environmental conditions, there is also a distinct genetic variation. The variation of nitrate accumulation in some cultivars of lettuce and spinach commonly cultivated in Korea was investigated. Ten cultivars for both lettuce and spinach were grown in plastic containers filled with a 1:1 mixture of perlite and vermiculite with application of Hoagland No. 2 nutrient solution of high nitrate content (17.3 mM N) in a greenhouse condition. Plants were harvested four weeks after transplanting four-leaf stage seedlings. Plant growth was measured by fresh and dry matter of shoot, and contents of nitrate and other inorganic ions and organic solutes including sugar, amino acids and organic acids were measured. Large and significant genotypical variations in the nitrate content of the plants were found for both lettuce and spinach, and high negative correlations between nitrate content and fresh or dry weight were found in lettuce and spinach. Variation in nitrate accumulation of lettuce and spinach cultivars was not directly related to the differences in contents of organic and inorganic solutes, and this result indicates that photosynthesis and osmotic regulation are not directly related with the nitrate accumulation. Considering the correlations between nitrate content and plant growth of this study, it can be simply suggested that different cultivars of lettuce and spinach have their own inherited growth and physiological characteristics and also optimum nitrogen level required for the growth. Therefore when available nitrogen in root media is higher than the optimum level required for the inherited growth potential, some of the excess nitrate supplied can be accumulated in plants.

• Research in Plant Disease
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• v.20 no.4
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• pp.235-244
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• 2014

Clubroot and Fusarium wilt of cole crops (Brassica oleracea L.) are destructive diseases which for many years has brought a decline in quality and large losses in yields all over the world. The breeding of resistant cultivars is an effective approach to reduce the use of chemical fungicides and minimize crop losses. This study was conducted to evaluate the resistance of 60 cabbage (B. oleracea var. capitata) and 6 broccoli (B. oleracea var. italica) lines provided by The RDA-Genebank Information Center to clubroot and Fusarium wilt. To investigate resistance to clubroot, seedlings of the genetic resources were inoculated with Plasmodiophora brassicae by drenching the roots with a mixed spore suspension (1 : 1) of two isolates. Of the tested genetic resources, four cabbage lines were moderately resistant and 'K166220' represented the highest resistance to P. brassicae. The others were susceptible to clubroot. On the other hand, to select resistant plants to Fusarium wilt, the genetic resources were inoculated with Fusarium oxysporum f. sp. conglutinans by dipping the roots in spore suspension of the fungus. Among them, 17 cabbage and 5 broccoli lines were resistant, 16 cabbage lines were moderately resistant, and the others were susceptible to Fusarium wilt. Especially, three cabbage ('IT227115', 'K161791', 'K173350') and two broccoli ('IT227100', 'IT227099') lines were highly resistant to the fungus. We suggest that the resistant genetic resources can be used as a basic material for resistant B. oleracea breeding system against clubroot and Fusarium wilt.

• Horticultural Science & Technology
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• v.30 no.6
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• pp.657-663
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• 2012

The Ca deficiency is a serious problem in the propagation of domestically bred 'Seolhyang' strawberry through soil cultivation. The objective of this research was to investigate the impact of the Ca containing fertilizers on the decrease of Ca deficiency symptoms and in the growth of mother and daughter plants. To achieve this, chemicals of 1.125 mM $Ca(OH)_2$, 0.375 mM $MgCl_2$, and 1.25 mM KCl were blended to contain the K:Ca:Mg (4:2:1) and the influence was compared to a commercial fertilizer, Azuro-Calma ($NO_3$-N 13%, $K_2O$ 1%, CaO 16%, MgO 6%), when those were applied as solutions with the electrical conductivity (EC) controlled to 0.6 or 1.0dS ${\cdot}m^{-1}$. During 120 days after transplant, the Azuro-Calma was more effective than the combined fertilizer in the reduction of mother and daughter plants on which Ca deficiency was appeared. The application of two Ca containing fertilizers resulted in the heavier fresh and dry weights of mother plants. The treatments of 1.0dS ${\cdot}m^{-1}$ of two fertilizers were more effective than those of 0.6dS ${\cdot}m^{-1}$. The combined fertilizer was also more effective than Azuro-calma on the growth of above ground plant tissue. The results in length, fresh and dry weight of runners occurred from a mother plants showed that the treatment of 1.0dS ${\cdot}m^{-1}$ of combined fertilizer was most effective followed by those of 1.0dS ${\cdot}m^{-1}$ of Azuro-Calma, 0.6dS ${\cdot}m^{-1}$ of combined fertilizer, 0.6dS ${\cdot}m^{-1}$ of Azuro-Calma, and control. The fresh weights of daughter plants were heavier in the treatments of Ca application than those in the control treatment, but the differences between 0.6dS ${\cdot}m^{-1}$ and control were not significant. The above results indicate that Azuro-Calma is more effective in decreasing plants showing the Ca deficiency symptoms. However, the combined fertilizer of K:Ca:Mg is more desirable when we are concerned about the decrease of crops showing Ca deficiency as well as increase of the growth in above ground plant tissue.

• Journal of Chest Surgery
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• v.38 no.1 s.246
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• pp.56-62
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• 2005

Because of high morbidity and mortality, traumatic diaphragm injury remains a diagnostic challenge. In this study, we evaluate that some factors and scores can be used as predictors. Material and Method: From May 1995 to June 2003, 23 patients with traumatic diaphragm injury were enrolled. We examined the clinical features of patients. RTS, TRISS, ISS and APACHE II scores for each patient are calculated for analyzing the relationship of mortality and ICU duration. Result: The study identified 15 men $(65.2{\%})$ and 8women $(34.8{\%})$. There are right sided diaphragmatic injury in 11 patients $(47.8{\%})$, left sided in 11 $(47.8{\%})$, and both sided in 1 ($0.4{\%}$). Plain X-ray, CT, upper GI contrast study and esophagogastroscopy were used as diagnostic tools. Age, hemodynamic status, early diagnosis are not associated with outcome. As prognostic factor, RTS and ISS are associated with mortality and there was negative relationship between RTS and ICU duration (r=0.737, p=0.026). Conclusion: An early diagnosis of traumatic diaphragm injury can frequently be missed in the acute trauma setting. So high index of suspicion and a careful examination are important in multiple trauma patients. An RTS can probably be used effectively as a predictor for the severity and prognosis in patients with traumatic diaphragm injury.

• Journal of Christian Education in Korea
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• v.63
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• pp.39-64
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• 2020

COVID-19 is sweeping the world, and it is in crisis in all aspects of politics, economy, culture, and religion. As people experience the beginning and spread of COVID-19, wince and re-spread, the people are living in anxiety and depression. Because of the COVOD-19 crisis, Korean churches were unable to provide on-site worship, and online worship began, and churches that started on-site worship also performed online worship. In the case of church schools, the functions of fellowship and education were paralyzed and many are offering online Sunday service only. Many people eagerly want to go back to what it was before COVID-19, but it seems difficult because COVID-19 has become a global issue and a pandemic situation. We can't wait to get better out of this. In the COVID-19 crisis, the church was unable to properly handle the church's original work and to fully fulfill the mission of education. The response of many churches was to postpone the planned ministry to the second half of 2020. Now, we should try to set a new direction and prepare specifically to move in the new direction. With this perspective, this paper studied the direction of Christian education in the post COVID-19. Specifically, the theoretical basis of the direction of Christian education in the post COVID-19 was found in the theory of Agape's encounter, Catechesis theory, and diakonia theory, and specific directions were suggested according to these theories. Specifically, based on the theory of Agape's encounter, Christian education that emphasizes the encounter with the natural environment, Christian education that emphasizes the encounter among family members, Christian education that emphasizes the encounter among citizens of the world, and Christian education that emphasizes the encounter through online were presented. Based on the Catechesis theory, Christian education copping with the attack of heresy was presented. Finally, based on the diakonia theory, Christian education of service for society and Christian education of service based on data were presented.

• Economic and Environmental Geology
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• v.36 no.2
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• pp.89-101
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• 2003

River deposits and farmland soils were analyzed to investigate the pollution level of heavy metals in the vicinity of the Goro abandoned Zn-mine. Surface (0-40 cm) and subsurface (40-100 cm) soils were collected around a main river located at the lower part of the Goro mine, and analyzed by ICP-MS for Cd, Cu, Pb, Zn and Cr after 0. 1N HCI extraction and by AAS for As after IN HCI extraction. Concentrations of cadmium and lead at the surface river deposits close to the mine were over the Soil Pollution Warning Limit (SPWL), and 43% of sample sites (6 of 14 samples) were over SPWL for As suggesting that river deposits were broadly contaminated by arsenic. Results from farmland soil analysis showed that surface soils were contaminated by heavy metals, while only arsenic was over SPWL at 50% of sampling sites. Main pollution mechanism around the Goro mine was the discharge of mine tailing and waste rocks from the storage site to the river and to adjacent farmland during flood season. Pollution Grades for sample locations were prescribed by the Law of Soil Environmental Preservation, suggesting that the pollution level of heavy metals around the Goro mine was serious, and the remediation operation fur arsenic and the isolation of mine tailing and waste rocks from river and farmland should be activated to protect further contamination. The area needed to clean up was estimated from pollution distribution data and the remediation methods such as a soil washing method and a soil improvement method were considered as the further remediation operation for arsenic contaminated soils and river deposits around the Goro abandoned mine.

• Journal of Korean society of Dental Hygiene
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• v.16 no.3
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• pp.355-362
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• 2016

Objectives: This study aimed to develop a tool for assessing foreigners' understanding of oral health information in Korea called the Test of Korean Functional Health Literacy in Dentistry(TOKFHLiD) and examined validity and reliability of the tool. The TOKFHLiD consists of two literacy assessment parts: Dental Information Sentence(DIS) aims to assess one's literacy of sentences containing oral health information. Dental Information Document(DID) aims to assess one's numeracy and literacy of documents containing oral health information. Methods: Twenty eight preliminary questions were developed based on various medical care literature such as the agreement to diagnosis and treatment and the treatment precautions. DID using 14 preliminary questions was developed based on the appointment card, the treatment schedule, and labels on oral care products. The 42 preliminary questions in the DIS and the DID were subsequently put through four separate expert reviews, in which questions with content validity score of less than 0.8(13/15 points) were corrected and modified by five dental experts and then were corrected for language errors by two Korean language experts. The preliminary assessment tool was tested on 153 Koreans, and ${\chi}^2$ test was performed on the ratio of respondents who comprehended each question, the ratio of respondents who chose the correct answer for each question with a significance level of 0.05. Results: Of the 42 preliminary questions, 1 question in DIS and 1 question in DID, for which the ratio of Korean respondents who chose the correct answers did not exceed the acceptable level of 80%, were excluded and a final assessment tool was completed with 40 questions. Conclusions: Following the development and application of the tool, examination of the TOKHLiD for validity and reliability revealed that this assessment tool is adequate for assessing oral health information literacy of foreigners who are using oral hygiene medical services in Korea.