• 대한임상독성학회지
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• 제18권1호
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• pp.11-17
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• 2020

Purpose: This study examines errors in death certificates (DCs) issued to cases of poisoning. Methods: DCs issued in poisoning cases were retrospectively reviewed. Errors in the DC were classified as major and minor errors, and were evaluated in accordance with their impact on the process of selecting the cause of death (COD). Results: A total of 79 DCs were evaluated; 43 (54.4%) DCs were issued in the emergency department (ED), and 36 (45.6%) DCs were issued outside the ED. The average major and minor errors per DC were determined to be 0.4 and 3.3, respectively. Moreover, an average of 3.0 errors were discovered in DCs issued at the ED, and 4.4 errors in DCs issued outside the ED. The most common major errors were incorrect manner of death (11.4%, 9/79), followed by unacceptable COD (7.6%, 6/79), and the mode of dying as an underlying COD (5.1%, 4/79). The common minor errors most frequently encountered were incorrect time interval (86.1%, 68/79), followed by incorrect other significant conditions (73.4%, 58/79), and no record for date of onset (62.0%, 49/79). Conclusion: Our results indicate that the total numbers of major errors, minor errors and cases of misjudged cause of death were greater in DCs issued outside the ED than in DCs issued at the ED. The most frequently quoted major error of DCs related to poisoning was determined to be the incorrect manner of death.

• Journal of Microbiology
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• 제43권2호
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• pp.133-143
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• 2005

Shigellosis is a global human health problem. Four species of Shigella i.e. S. dysenteriae, S. flexneri, S. boydii and S. sonnei are able to cause the disease. These species are subdivided into serotypes on the basis of O-specific polysaccharide of the LPS. Shigella dysenteriae type 1 produces severe disease and may be associated with life-threatening complications. The symptoms of shigellosis include diarrhoea and/or dysentery with frequent mucoid bloody stools, abdominal cramps and tenesmus. Shigella spp. cause dysentery by invading the colonic mucosa. Shigella bacteria multiply within colonic epithelial cells, cause cell death and spread laterally to infect and kill adjacent epithelial cells, causing mucosal ulceration, inflammation and bleeding. Transmission usually occurs via contaminated food and water or through person-to-person contact. Laboratory diagnosis is made by culturing the stool samples using selective/differential agar media. Shigella spp. are highly fragile organism and considerable care must be exercised in collecting faecal specimens, transporting them to the laboratories and in using appropriate media for isolation. Antimicrobial agents are the mainstay of therapy of all cases of shigellosis. Due to the global emergence of drug resistance, the choice of antimicrobial agents for treating shigellosis is limited. Although single dose of norfloxacin and ciprofloxacin has been shown to be effective, they are currently less effective against S. dysenteriae type 1 infection. Newer quinolones, cephalosporin derivatives, and azithromycin are the drug of choice. However, fluoroquinolone-resistant S. dysenteriae type 1 infection have been reported. Currently, no vaccines against Shigella infection exist. Both live and subunit parenteral vaccine candidates are under development. Because immunity to Shigella is serotype-specific, the priority is to develop vaccine against S. dysenteriae type 1 and S. flexneri type 2a. Shigella species are important pathogens responsible for diarrhoeal diseases and dysentery occurring all over the world. The morbidity and mortality due to shigellosis are especially high among children in developing countries. A recent review of literature (KotIoff et al.,1999) concluded that, of the estimated 165 million cases of Shigella diarrhoea that occur annually, $99\%$ occur in developing countries, and in developing countries $69\%$ of episodes occur in children under five years of age. Moreover, of the ca.1.1 million deaths attributed to Shigella infections in developing countries, $60\%$ of deaths occur in the under-five age group. Travellers from developed to developing regions and soldiers serving under field conditions are also at an increased risk to develop shigellosis.

• 한국치위생학회지
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• 제9권2호
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• pp.89-98
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• 2009

This study did question, and got following conclusion to ready necessary basic data to develop school oral health educational programs because grasp 388 man high school students in Jeolla-bukdo Namwon per June, 2008 realization about oral health and oral health education actual conditions. 1. Students of 56.7% recognized own oral health as is not healthy in realization about subjective oral health, and students of 72.2% were interested in oral health, and was recognizing oral fitness by important health problems. 2. Oral health realization by class was significant difference in toothbrushing reason, cause of dental caries, cause of periodontal disease. Students who respond that know adjusted water fluoridation did only for 10.3%, and it was 43.0% of students who responded that students of 57.0% do toothbrushing because of draft cleanliness, and responds that cause of dental caries is food dregs. 3. Responded that 87.1% is right toothbrushing by oral disease preservative, and next time was on-time oral medical examination 79.4%, smoking resection 58.5%, sugar intake limitation 55.4% round. 4. Students, who oral health education by interest degree of oral health is interested in oral health, is oral health educational experience and the need rate, participation intention was high when educate.

• 동의생리병리학회지
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• 제20권4호
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• pp.799-806
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• 2006

Fungi cause a number of plant and animal diseases. Because fungi are more chemically and genetically similar to animals than other organisms, this makes fungal diseases very difficult to treat. Human fungal infections are uncommon in normally healthy persons, being confined to conditions such as candidiasis (thrush) and dermatophyte skin infections such as athlete's foot. However, in the immunocompromised host, a variety of normally mild or nonpathogenic fungi can cause potentially fatal infections. Furthermore, the relative ease with which people can now visit 'exotic' countries provides the means for unusual fungal infections to be imported into this country. Fungal infections or mycoses are classified depending on the degree of tissue involvement and mode of entry into the host. These are Cutaneous, Subcutaneous, Systemic, and Opportunistic. As listed above, in superficial mycoses infection is localised to the skin, the hair, and the nails. An example is 'ringworm' or 'tinea', an infection of the skin by a dermatophyte. Ringworm refers to the characteristic central clearing that often occurs in dermatophyte infections of the skin. Dermatophyte members of the genera Trycophyton, Microsporum and Epidermophyton are responsible for the disease. Tinea can infect various sites of the body, including the scalp (tinea capitis), the beard (tinea barbae) the foot (tinea pedis: 'athlete's foot') and the groin (tinea cruris). All occur in the United Kingdom although tinea infections, other than pedis, are now rare. Candids albicans is a yeast causing candidiasis or 'thrush' in humans. As a superficial mycoses, candidiasis typically infects the mouth or vagina. C. albicans is part of the normal flora of the vagina and gastrointestinal tract and is termed a 'commensal' However, during times of ill health or impaired immunity the balance can alter and the organism multiplies to cause disease. Antibiotic treatment can also alter the normal bacterial flora allowing C. albicans to flourish. If we study mycoses of the orient medicine, we can improve the medical skills about mycoses.

• 한국인구학
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• 제11권1호
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• pp.76-86
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• 1988

The primary objective of this study was to estimate the level of infant mortality rate and to find the cause of infant deaths prevailed in 1981~86 from vital registration data. In the course of that undertaking we have considered the non-registered portion of infant deaths especially for the non-registered portion of neonatal deaths. The main reason is that deaths occurring in the neonatal period and prior to the registration of the birth leave little incentive for the registration of either the birth or the death. From several ad-hoc survey's results and other countries' experiences it was, however, found that the proportion of neonatal deaths was 69.3%, the proportion of deaths in the period of first month in infanty was 7%, and the proportion of deaths in the period of 2 months and over in infancy was 23.7% respectivily. Thus, adoption the hypothesis that post-neonatal mortality is completly registered, we obtained the extimated number of infant deaths. Attempt to test the hypothesis was also made using the Brougeois- Pichats's function. The result was that the registered number of deaths in the post-neonatal period is almost compatible with the expected number. The major finding in this study was that the level of infant mortality rate in Korea was 19 per thousand live births in 1981 and 13 in 1986. This level of 1986 was almost identical with the level of Japan in 1970. It was also found that there was a difference in the level of infant mortality rate between sexes during 1981-83 but the difference was disappeared in 1985-86. Looking into the cause of infant deaths, it was found from registration that 21.2% of all infant deaths was due to congenital snomalies, 11.5% was due to pneumonia and 5.1% was due to the conditions originating in the perinatal period in that order. This pattern seems to be different with that of U.S.A., Japan and France. However, if we consider the non-registered neo-natal deaths, the order of the cause of infant deaths in Korea will be the same as compared countries. Finally, every efforts should should be made to obtain a good quality of data on infant mortality, making the non-registered events reported completely through hospitals.

• 전기전자학회논문지
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• 제22권4호
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• pp.941-947
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• 2018

일반적으로 커패시터는 빈번한 충 방전으로 시스템의 수명에 큰 영향을 미친다. 본 논문에서는 고전압, 대전류의 HVDC 서브모듈용 필름 커패시터의 핵심 고장원인을 분석하여 커패시터의 설계 및 제조공정의 주의사항을 분석한다. 먼저 커패시터의 FMEA 수행을 통해 고장원인, 고장모드, 고장영향에 대해 분석한다. 커패시터의 고장에 가장 큰 영향을 주는 고장원인과 영향을 정량적으로 평가하기 위해 커패시터에 대한 고장나무(Fault-tree)를 제시하고 설계인자와 구동환경의 조건에 따른 고장률을 분석한다. 커패시터 고장의 핵심 원인이 커패시턴스 변화에 있음을 확인하고, 커패시터의 고장률 저감을 위해서 커패시터의 설계와 제조공정 중 온도상승, 코로나 발생, 전극팽창, 절연거리 감소를 최소화할 필요가 있음을 검증한다.

• 한국항행학회논문지
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• 제25권3호
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• pp.256-266
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• 2021

국내외 연구들은 무인항공기 사고의 주원인으로 인적요인을 지목하고 있고, 이러한 인적요인을 효과적으로 분석하는 기법으로 HFACS를 소개하고 있다. 현재까지는 HFACS를 이용해 무인항공기 사고의 인적요인을 분석했던 국내외 사례는 주로 군용 무인항공기가 대상이었는데, 항공사고를 유발하는 인적요인 정보를 분석하여 객관적 원인 규명과 유사 사고 예방 도구로 사용할 수 있는 HFACS가 국내 민간 무인항공기 분야에서도 활용이 필요한 시점이다. 특히, 국내 민간 무인항공기의 성능과 운용 여건을 고려한 HFACS 적용중점을 식별한다면 사고 발생 시 원인 규명과 재발 방지에 큰 도움이 될 것으로 예상된다. 본 연구는 HFACS version 7.0을 근간으로 우리나라 항공철도사고조사위원회가 수행했던 사고조사 결과보고서 자료를 분석하여 국내 민간 무인항공기 사고조사에 활용할 수 있는 HFACS 적용중점을 식별하였다.

• BMB Reports
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• 제55권8호
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• pp.370-379
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• 2022

Human pregnancy is a delicate and complex process where multiorgan interactions between two independent systems, the mother, and her fetus, maintain pregnancy. Intercellular interactions that can define homeostasis at the various cellular level between the two systems allow uninterrupted fetal growth and development until delivery. Interactions are needed for tissue remodeling during pregnancy at both fetal and maternal tissue layers. One of the mechanisms that help tissue remodeling is via cellular transitions where epithelial cells undergo a cyclic transition from epithelial to mesenchymal (EMT) and back from mesenchymal to epithelial (MET). Two major pregnancy-associated tissue systems that use EMT, and MET are the fetal membrane (amniochorion) amnion epithelial layer and cervical epithelial cells and will be reviewed here. EMT is often associated with localized inflammation, and it is a well-balanced process to facilitate tissue remodeling. Cyclic transition processes are important because a terminal state or the static state of EMT can cause accumulation of proinflammatory mesenchymal cells in the matrix regions of these tissues and increase localized inflammation that can cause tissue damage. Interactions that determine homeostasis are often controlled by both endocrine and paracrine mediators. Pregnancy maintenance hormone progesterone and its receptors are critical for maintaining the balance between EMT and MET. Increased intrauterine oxidative stress at term can force a static (terminal) EMT and increase inflammation that are physiologic processes that destabilize homeostasis that maintain pregnancy to promote labor and delivery of the fetus. However, conditions that can produce an untimely increase in EMT and inflammation can be pathologic. These tissue damages are often associated with adverse pregnancy complications such as preterm prelabor rupture of the membranes (pPROM) and spontaneous preterm birth (PTB). Therefore, an understanding of the biomolecular processes that maintain cyclic EMT-MET is critical to reducing the risk of pPROM and PTB. Extracellular vesicles (exosomes of 40-160 nm) that can carry various cargo are involved in cellular transitions as paracrine mediators. Exosomes can carry a variety of biomolecules as cargo. Studies specifically using exosomes from cells undergone EMT can carry a pro-inflammatory cargo and in a paracrine fashion can modify the neighboring tissue environment to cause enhancement of uterine inflammation.

• 한국식생활문화학회지
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• 제24권2호
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• pp.236-243
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• 2009

This study was performed to investigate the effects of aluminum sulfate administration on the brain tissues of old rats, when given at different concentrations. The experiment attempted to further ascertain whether aluminum exposure cause Alzheimer's disease. Seventy-five aged Sprague-Dawley rats were divided into five groups; a control group, 2 ppm aluminum sulfate group, 20 ppm aluminum sulfate group, 40 ppm aluminum sulfate group, and 200 ppm aluminum sulfate group, and were kept on the respective diets for 12 weeks. In order to understand the influence of aluminum on the brain, serum aluminum concentrations, phospholipid composition, and catecholamine concentrations were compared between the aluminum-treated groups and the normal group. According to the results, serum aluminum was higher in the aluminum sulfate-treated groups than in the normal group. Within the cortex, catecholamine concentrationes were significantly increased but cerebellum and brainstem tissue were significantly decreased, in the aluminum sulfate-treated groups compared to the normal group. For phospholipid composition, phosphatidyl inositol was significantly increased wherase phosphatidyl choline, phosphatidyl ethanolamine, and phosphatidyl serine were significantly decreased in the aluminum sulfate-treated groups versus the normal group. Based on the data, increased aluminum consumption in experimental animals causes increased serum aluminum levels and catecholamine variation. These phenomena are very similar to conditions of Alzherimer's disease. Therfore, the results of this experiment further suggest that aluminum cause Alzherimer's disease, coinciding with reports that aluminum is a cause of neurofibrilly tangles in the brain.

• 한국가스학회지
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• 제27권3호
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• pp.84-90
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• 2023

연소의 3요소 중 대기 중에 상시 존재하는 산소는 고압산소 조건에서는 극미량의 가연물만으로도 화재·폭발이 발생할 수 있으며. 연소속도 역시 상당하여 순식간에 공정 설비 및 배관을 녹이는 등 직접적인 영향을 줄 수 있는 온도까지 상승할 수 있다. 따라서 고압산소 상태에서 발생한 사고는 기타 사고에 비해 큰 피해가 발생하는 경우가 많다. 최근 산소공급 배관에 설치되어 있는 밸브를 조작하던 도중 내부에서 급격한 연소와 함께 파열이 발생하여 폭발로 인한 인명피해가 발생하였는데, 오래된 탄소강 배관인 경우 운전 중 발생한 Particle이 가연물이 되어 사고가 발생할 수 있다. 특히나 산소설비는 고압가스안전관리법에 따라 허가된 시설이고, 산업안전보건법에 의한 제한규정이 없는 상태이기 때문에 이러한 기준 적립이 무엇보다 중요하다. 따라서 본 연구에서는 사고사례 및 해외기준을 바탕으로 고압 산소 취급 시 안정성 향상을 위한 방법에 대해 검토하고자 한다.