• Title/Summary/Keyword: ENT

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Predicting the Potential Distribution of Korean Pine (Pinus koraiensis) Using an Ensemble of Climate Scenarios (앙상블 기후 시나리오 자료를 활용한 우리나라 잣나무림 분포 적지 전망)

  • Kim, Jaeuk;Jung, Huicheul;Jeon, Seong Woo;Lee, Dong-Kun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.18 no.2
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    • pp.79-88
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    • 2015
  • Preparations need to be made for Korean pine(Pinus koraiensis) in anticipation of climate change because Korean pine is an endemic species of South Korea and the source of timber and pine nut. Therefore, climate change adaptation policy has been established to conduct an impact assessment on the distribution of Korean pine. Our objective was to predict the distribution of Korean pine while taking into account uncertainty and afforestation conditions. We used the 5th forest types map, a forest site map and BIOCLIM variables. The climate scenarios are RCP 4.5 and RCP 8.5 for uncertainty and the climate models are 5 regional climate models (HadGEM3RA, RegCM4, SNURCM, GRIMs, WRF). The base period for this study is 1971 to 2000. The target periods are the mid-21st century (2021-2050) and the end of the 21st century (2071-2100). This study used the MaxEnt model, and 50% of the presences were randomly set as training data. The remaining 50% were used as test data, and 10 cross-validated replicates were run. The selected variables were the annual mean temperature (Bio1), the precipitation of the wettest month (Bio13) and the precipitation of the driest month (Bio14). The test data's ROC curve of Korean pine was 0.689. The distribution of Korean pine in the mid-21st century decreased from 11.9% to 37.8% on RCP 4.5 and RCP 8.5. The area of Korean pine at an artificial plantation occupied from 32.1% to 45.4% on both RCPs. The areas at the end of the 21st century declined by 53.9% on RCP 4.5 and by 86.0% on RCP 8.5. The area of Korean pine at an artificial plantation occupied 23.8% on RCP 4.5 and 7.2% on RCP 8.5. Private forests showed more of a decrease than national forests for all subsequent periods. Our results may contribute to the establishment of climate change adaptation policies for considering various adaptation options.

Toxin Gene Profiles and Toxin Production Ability of Food-borne Pathogens Isolated from Indoor Air from Lunchrooms at Child Care Centers (보육시설 급식실 실내공기에서 분리된 식중독 세균의 독소 유전자 및 독소 생산 특성)

  • Kim, Jung-Beom;Kim, Jong-Chan
    • Journal of Environmental Health Sciences
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    • v.38 no.6
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    • pp.510-519
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    • 2012
  • Objectives: This study was conducted in order to evaluate the microbiological contamination of the indoor air of the lunchrooms at child care centers and investigate the toxin genes and toxin production ability of food-borne pathogens. Methods: A total of 64 child care centers were sampled to test total aerobic bacteria, coliform bacteria, fungi, Staphylococcus aureus, Bacillus cereus and Salmonella spp. according to the Korea Food Code. All toxin genes of pathogens were detected using the Polymerase Chain Reaction method. The Sthaph. aureus enterotoxin was detected by a Staphylococcus aureus enterotoxin-reversed passive latex agglutination kit. The heamolysin BL (HBL) and non-heamolytic enterotoxin (NHE) produced by B. cereus were detected using a B. cereus enterotoxin-reversed passive latex agglutination kit and Bacillus diarrheal enterotoxin visual immunoassay kit, respectively. Results: The means of total aerobic bacteria and coliform bacteria were $1.91{\pm}1.84$ log CFU/plate and $0.47{\pm}0.62$ log CFU/plate, respectively. The mean of fungi also showed $0.59{\pm}0.71$ log CFU/plate. Among the pathogenic bacteria tested in this study, Staphy. aureus and B. cereus were detected in four (6.3%) and 21 (32.8%) out of 64 indoor air samples from lunchrooms in child care centers, respectively. All Staphy. aureus tested in this study possessed no toxin genes and did not produce enterotoxin. The detection rate of nheABC, hblCDA, entFM and ces toxin gene in B. cereus was 100, 57.1, 76.2 and 0%, respectively. B. cereus isolates were classified into four groups according to the presence or absence of toxin genes. The nheABC gene was the major toxin gene among B. cereus tested in this study. The HBL was detected in 11 out of 21 B. cereus isolates (52.4%) and three B. cereus isolates produced NHE (14.3%). Conclusion: The results indicated that the contamination by microorganisms in the indoor air of lunchrooms was unqualified to supply safe catering in child care centers. The ongoing control of indoor air quality is required.

Diagnostic Significance of Combined Detection of Epstein-Barr Virus Antibodies, VCA/IgA, EA/IgA, Rta/IgG and EBNA1/IgA for Nasopharyngeal Carcinoma

  • Cai, Yong-Lin;Li, Jun;Lu, Ai-Ying;Zheng, Yu-Ming;Zhong, Wei-Ming;Wang, Wei;Gao, Jian-Quan;Zeng, Hong;Cheng, Ji-Ru;Tang, Min-Zhong
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.2001-2006
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    • 2014
  • The objective of this study was to investigate the diagnostic significance of EBV antibody combined detection for nasopharyngeal carcinoma (NPC) in a high incidence region of southern China. Two hundred and eleven untreated NPC patients, 203 non-NPC ENT patients, and 210 healthy controls were recruited for the study. The titers of VCA/IgA and EA/IgA were assessed by immunoenzyme assay, and the levels of Rta/IgG and EBNA1/IgA were determined by enzyme-linked immunosorbent assay. The levels of VCA/IgA, EA/IgA, Rta/IgG and EBNA1/IgA demonstrated no association with gender or age (p>0.05). The receiver operating characteristic curve and the area under the curve were used to evaluate the diagnostic value. The sensitivity of VCA/IgA (98.1%) and the specificity of EA/IgA (98.5%) were the highest. When a logistic regression model was used to combine the results from multiple antibodies to increase the accuracy, the combination of VCA/IgA+Rta/IgG, whose area under the curve was 0.99, had the highest diagnostic efficiency, and its sensitivity, specificity and Youden index were 94.8%, 98.0% and 0.93 respectively. The data suggest that the combination of VCA/IgA+Rta/IgG may be most suitable for NPC serodiagnosis.

Clinical Value of Real Time Elastography in Patients with Unexplained Cervical Lymphadenopathy: Quantitative Evaluation

  • Fu, Ying;Shi, Yun-Fei;Yan, Kun;Wang, Yan-Jie;Yang, Wei;Feng, Guo-Shuang
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5487-5492
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    • 2014
  • Ultrasonography is non-invasive and can give useful clues in the diagnosis of cervical lymphadenopathy, However, differential diagnosis is difficult in some situations even combined with color Doppler imaging. The present study was conducted to evaluate the clinical value of real time elastography in patients with unexplained cervical lymphadenopathy using a quantitative method. From May 2011 to February 2012, 39 enlarged lymph nodes from 39 patients with unexplained cervical lymphadenopathy were assessed. All the patients were examined by both B-mode ultrasound, color Doppler flow imaging and elastography. The method of analyzing elasto-graphic data was the calculation of the 10 parametres ("mean", "sd", "area%", "com", "kur", "ske", "con", "ent", "idm", "asm") offered by the software integrated into the Hitachi system. The findings were then correlated with the definitive tissue diagnosis obtained by lymph node dissection or biopsy. Final histology revealed 10 cases of metastatic lymph nodes, 11 cases of lymphoma, 12 cases of tuberculosis and 6 cases of nonspecific lymphadenitis. The significant distinguishing features for conventional ultrasound were the maximum short diameter (p=0.007) and absent of echogenic hilum (p=0.0293). The diagnostic accuracy was 43.6% (17/39 cases) and there were 17 patients with equivocal diagnosis. For elastography, "mean" (p=0.003), "area%" (p=0.009), "kurt" (p=0.0291), "skew" (p=0.014) and "cont" (p=0.012) demonstrated significant differences between groups. With 9 of the 17 patients with previous equivocal diagnoses (52.9%) definite and correct diagnoses could be obtained. The diagnostic accuracy for conventional ultrasound combined elastography was 69.2% (27/39 cases). There were differences in the diagnostic sensitivity of the two methods (p=0.0224). Ultrasound combined with elastography demonstrated higher rates of conclusive and accurate diagnoses in patients with unexplained cervical lymphadenopathy than conventional ultrasound. The quantitative program showed good correlation with the pathology of different lymph node diseases.

Overall Survival of Filipino Patients with Squamous Cell Carcinoma of the Head and Neck: A Single-Institution Experience

  • Albano, Pia Marie;Lumang-Salvador, Christianne;Orosa, Jose;Racelis, Sheryl;Leano, Modesty;Angeles, Lara Mae;Ramos, John Donnie
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4769-4774
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    • 2013
  • This paper is the first to present the incidence and overall survival of patients with squamous cell carcinoma of the head and neck (SCCHN) from the extreme northern part of the Philippines. We retrospectively retrieved the records of patients with histologically-confirmed squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx and larynx at the Mariano Marcos Memorial Hospital and Medical Center, Ilocos Norte, Philippines, from 2003 to 2012 and analysed prognostic factors associated with survival. Of the 150 cases, only 80 (53.3%) were still living when the study was terminated. Median age at initial diagnosis was 61.5 years and the male to female ratio was 7:3. The majority of the cases had tumours in the oral cavity (50.7%), followed by the larynx (36.7%). Sex (log rank=1.94, p value/${\alpha}$=0.16), tumor site (log rank=0.02, p value/${\alpha}$=0.90), tumor grade (log rank=1.74, p value/${\alpha}$=0.42), and node stage (log rank=0.07, p value/${\alpha}$=0.80) were not shown to be associated with the survival of our cases. Only 45 (30.0%) had no regional lymph node involvement (N0) at presentation and 12 (8.0%) had already developed distant metastases. Among the 150 patients, 71 (47.3%) were not able to receive treatment of any kind. Oddly, treatment (log rank=1.65, p value/${\alpha}$=0.20) was also shown to be not associated with survival. The survival rate of those who underwent surgery, radiotherapy, or both was not statistically different from those who did not receive any treatment. Only the tumor stage (log rank=4.51, p value/${\alpha}$=0.03) was associated with patient survival. The overall mean survival was 49.3 months, with survival rate diminishing from 88.3% during the 1st year to 1.80% by end of the study. This relatively low survival rate of our cases only reflects their poor access to quality diagnostic and treatment facilities.

Fundamental Study for Feasibility on Soil Flushing for TPHs-Contaminated Soil Treatment (유류오염토양 정화를 위한 토양세정기술의 적용성 기초연구)

  • Kang, Hui-Cheon;Kim, Joung-Dae;Han, Byeong-Gi;Seo, Seung-Won;Shin, Chul-Ho;Park, Joon-Seok
    • Journal of the Korean Applied Science and Technology
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    • v.32 no.4
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    • pp.740-747
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    • 2015
  • This research was performed to evaluate the feasibility of in situ soil flushing for TPH-contaminated soil remediation. It was conducted in batch test as fundamental research for in situ soil flushing. The 30% of initial TPH concentration was removed by shaking only in batch test. The removal efficiency of TPH in case of groundwater as surfactant dilution solution was approximate 2~6% lower than that of distilled water. Mixing ratio of soil to surfactant solution did not practically effect on the TPH removal efficiency. In the experiment of using single or mixed surfactant solution with 0.1~4.0 wt%, Tween-80, SWA-1503, SWA-1503+SDS showed averagely over 80%. It was determined that the optimum surfactant concentration was 0.1 wt% because there was no significant difference between concentrations of 0.1~4.0 wt%.

Mechanical Properties and 3D CAD Images of the Appearance of Knitted Fabric with Acetate/Polyester Composite Yarn by Different Yarn Twisting Methods (연사방법에 따른 아세테이트/폴리에스터 복합사 편성물의 역학적 특성 및 3D CAD System에 의한 외관특성)

  • Kim, So-Jin;Jeon, Dong-Won;Park, Young-Hwan
    • Textile Coloration and Finishing
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    • v.18 no.1
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    • pp.33-43
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    • 2006
  • The purpose of this study was to eximine the effect of different yam twisting methods on mechanical properties and 3D CAD images of plain knitted fabrics made of composite yarns. Six yams were used in this study: four different composite yams of the six consist of acetate and functional polyester (Poly-m) with the ratio of 70:30, and the rest two are the original acetate $100\%$ yam and the poly-m $100\%$ yarn. The four kinds of composite yarns were processed in combinations of twisting processes such as interlacing, false twisting, two for one twisting, combined twisting and single covering, and the two original yams were knitted without any twisting process. Sixteen mechanical properties of all the six knitted fabrics, knitted under the same knitting conditions, were measured by KES-FB system with the outer knit condition. The results were as follows; 1) When the sample applied with the false twisting process at the temperature as high as $220^{\circ}C$, ENT, B, HB, G and RC values of samples increased which leads to increasing dimensional stability. 2) To gain the high bending and shear properties in the single covering process, selecting the core yarn with such properties is the most important factor. 3) Interlacing process effected to increase RC value. 4) False twisting process after interlacing process gave bulkiness and un-interlaced part in yam was increased SMD value. The SMD value of the kilted fabric of the composite yarn, which was put through the combined twist process, was higher than those of which simple process such as the two for one twist or the single covering process applied. In order to achieve the silk-like surface feel of knitted fabric, the sin91e covering process is recommended. 5) Examining the simulation images of the knifed fabrics of composite yarn, which were generated by the 3D CAD system based on the mechanical properties of the fabric, led that appearance could be changed as different twisting methods were applied.

Assessment on the Forest Conservation Value Considering Forest Ecosystem Services - The case of Gapyung-gun - (산림 생태계 서비스를 고려한 산림 보전가치 평가 - 가평군을 대상으로 -)

  • Jin, Yihua;Jeong, Seunggyu;Jeong, Seulgi;Lee, Dongkun
    • Journal of Environmental Impact Assessment
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    • v.24 no.5
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    • pp.420-431
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    • 2015
  • As biodiversity and climate change have become main issues in recent times, the role of the forest ecosystem has been more important and forest conservation has been highlighted. The purpose of this study is to estimate forest area with high conservation values in Gapyung-gun by considering forest ecosystem services. The indicators of biodiversity, climate regulation, and water regulation were selected for assessment in this study. To assess biodiversity, habitat structural features and distribution characteristics of species were analyzed. Climate regulation and water regulation were assessed through analysis of carbon absorption volume and water storage. The result showed that, 50.1% of the forests in Gapyung-gun had high conservation values. The results were verified by comparing them with distribution tendencies of other environmental maps, which represent forest ecological values, and showed similar distribution tendencies. The study was conducted on only Gapyung-gun in Korea; however, the methods used in this study could be utilized for assessment of other areas to identify forests with high conservation values.

Introducing the Insurance Health Care Delivery System and Its Impact on Patients Distribution of Medical Service Organizations (보험진료체계 개편이 의료기관 종별 환자분포에 미친 영향 분석 -3차 의료기관, 종합병원, 병원, 의원을 중심으로-)

  • 공방환;한동운;장원기;강선희;문옥륜
    • Health Policy and Management
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    • v.5 no.1
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    • pp.31-58
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    • 1995
  • The Korean government achieved the universal coverage of health insurance in July 1989, and concomitantly introduced a new measure of regulated health care delivery system in using medical care. There are three reasons why the government took the new health care delivery system. Firstly, there was ample room for improving the allocative efficiency in the use of medical facilities. And the second one was to constrain the dramatic increase of medical demand under health insurance. Thirdly, and the most important reason was to alleviate the patient crowdedness in big general hospitals, particularly tertiary hospitals. There are essentially two different ways to control the use of health care : one is to cut the demand for health care, and the other to regulate behaviors of providers through the use of incentives/disincentives, demand-side approach or supply-side approach. The objective of this study is to examine whether or not medical care utilization behaviors under health insurance scheme have been changed among medical facilities such as clinic, hospital, general hospital and tertiary hospital in comparison with those before and after the introduction, particularly whether the patient crowdedness in tertiary hospitals has been alleviated or not. In order to conduct this study, the insurance claim data during the period of January 1989 and July 1992 were analyzed by focusing on diagnosis of both inpatients and outpatients, and especially the fifteen most frequent diseases in ambulatory care and the seven most frequent diseases in hospitalizatio. In addition, the same analyses were made on the changes in medical care utilization by specialty department. This was because the five departments, such as family medicine, ENT, eye, dermatology and rehabilitation, were exempted from applying the regulated health care delivery system in tertiary hospitals. The study revealed that a remarkable alleviation effect in the crowdness was noted for tertiary hospitals. This effect was most conspicuous for the most frequent mild diseases of both inpatient and outpatient care. For example, the fifteen most frequent OPD care at tertiary facilities have decreased as much as by 40%, of which 34% belonged to the cut in initial visits. Meanwhile, the proportion of those who used general hospitals and private practitioner's clinics have increased due to the shift of patients. The cases from the five special departments were also decreased, but not so much as other departments. A problem was noted that, as time passed by, the decreasing tendencies of crowdness at tertiary hospitals due to the regulated system became slightly smaller. Therefore, through complementary remedies are needed for the future implementation.

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Prevalence and Toxin Characteristics of Bacillus cereus Isolated from Vegetables in Gwangju Metropolitan City (광주지역 유통 채소류의 Bacillus cereus 오염실태 및 독소 특성)

  • Cho, Sun-Ju;Jeong, So-Hyang;Seo, Yu-Jin;Kim, Tae-Sun;Lee, Hyang-Hee;Lee, Min-Gyou;Seo, Jung-Mi;Cho, Bae-Sik;Kim, Joung-Beom
    • The Korean Journal of Food And Nutrition
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    • v.33 no.2
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    • pp.142-148
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    • 2020
  • The purpose of this study was to investigate the prevalence, toxin gene profiles, and enterotoxin producing ability of Bacillus cereus isolated from environment-friendly vegetables and good agricultural practices (GAP) vegetables. A total of 49 vegetables including 40 environment-friendly vegetables and 9 GAP vegetables were tested. The Vitek 2 system was used to identify B. cereus and the PCR was used to detect 6 toxin genes, respectively. B. cereus was detected in 34 (69.3%) of 49 vegetables and the prevalence of B. cereus in GAP vegetables (44.4%) was lower than in the environment-friendly vegetables (75.0%). The detection rates of entFM, nheA, hblC, and cytK enterotoxin genes, respectively, among all isolates were 100%, 97.0%, 88.2%, and 73.5%, respectively. All of the isolates had at least one or more enterotoxin gene and 20 isolates (58.8%) had hemolysin BL enterotoxin producing ability. The risk of food poisoning from the environment-friendly vegetables and the GAP vegetables has been shown as constant. Thus, it is necessary to expand the supply of GAP vegetables showing lower B. cereus contamination than the environment-friendly vegetables. The characteristics of the environment-friendly vegetables and the GAP vegetables that must be consumed after cleaning should be disseminated to consumers regarding food poisoning prevention.