• Korean Journal of Ecology and Environment
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• v.40 no.2
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• pp.184-192
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• 2007

This study was to evaluate ecological health of Sumjin River during April${\sim}$June 2006. The ecological health assessments was based on the Index of Biological Integrity (IBI), Qualitative Babitat Evaluation Index (QHEI), and water chemistry. For the study, the models of IBI and QHEI were modified as 10 and 11 metric attributes, respectively. We also analyzed spatial patterns of chemical water quality over the period of $2002{\sim}2005$, using the water chemistry dataset, obtained from the Ministry of Environment, Korea. In Sumjin River, values of IBI averaged 33 (n= 12), which is judged as a "Fair${\sim}$Good" condition after the criteria of Barbour at al. (1999). There was a distinct spatial variation. Mean IBI score at Site 5 was estimated as 40, indicating a "Good" condition whereas, the mean at Site 3 was 23, indicating a "Poor${\sim}$Fair" condition. Habitat analysis showed that QHEI values in the river averaged 109 (n=6), indicating a "Marginal" condition after the criteria of Harbour et al. (1999). Values of BOD and COD averaged 1.3 mg $L^{-1}$ (scope: $0.9{\sim}1.8$ mg $L^{-1}$) and 3.3 mg $L^{-1}$ (scope: $2.8{\sim}4.0$ mg $L^{-1}$), respectively during the study. It was evident that chemical pollutions by organic matter were minor in the river. Total nitrogen (TN) and total phosphorus (TP) averaged 2.5 mg $L^{-1}$ and 0.067 mg $L^{-1}$, respectively, and the nutrients did not show large longitudinal gradients between the upper and lower reach. Overall, dataset of IBI, QHEI, and water chemistry suggest that river health has been well maintained, compared to other major watersheds in Korea and should be protected from habitat disturbance and chemical pollutions.

• Journal of Nutrition and Health
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• v.44 no.6
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• pp.498-506
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• 2011

This study examined the relationship among plasma homocysteine, folate, and vitamin $B_{12}$ levels and neurocognitive function in 118 community-dwelling elderly subjects (mean age, $75.1{\pm}6.7$ years). The Mini-Mental State Examination (MMSE-KC) was used to screen and assess neurocognitive function in the participants. Dietary intake data including the use of dietary supplements were obtained using the 24-hour recall method by well-trained interviewers. Plasma folate and vitamin $B_{12}$ concentrations were analyzed by radioimmunoassay, and homocysteine was assessed by a high performance liquid chromatography-fluorescence method. The proportions of participants with suboptimal levels of plasma folate (< 3 ng/mL), vitamin $B_{12}$ (< 221 pmol/mL), and homocysteine (> $15{\mu}mol/L$) were 16.1%, 5.9%, and 21.2%, respectively. A multiple regression analysis showed that plasma homocysteine was negatively associated with plasma folate and vitamin $B_{12}$ levels. The MMSE-KC test scores were significantly associated with plasma homocysteine and folate, but not with vitamin $B_{12}$, after adjusting for age, gender, body mass index, living with spouse, education, current smoking, energy intake, and chronic diseases such as hypertension, diabetes, thyroid disease, dyslipidemia, stroke, and cardiovascular disease. A general linear model adjusted for covariates revealed that MMSE-KC test scores increased from the lowest to the highest quartiles of vitamin $B_1$, vitamin $B_2$, vitamin $B_6$, vitamin $B_{12}$, and vitamin C intake (p for trend = 0.012, 0.039, 0.014, 0.046, 0.026, respectively). These results indicate that the problem of folate inadequacy and hyperhomocysteinemia are highly prevalent among community-dwelling elderly people and that dietary intake of the B vitamins and vitamin C is positively associated with cognitive function scores.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.4
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• pp.1909-1915
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• 2016

Background: The purpose of this study was to determine the benefit of tertiary cytoreductive surgery (TC) for secondary recurrent epithelial ovarian cancer (EOC), focusing on whether optimal cytoreduction has an impact on disease-free survival, and whether certain patient characteristics could identify ideal candidates for TC. Materials and Methods: Retrospective analysis of secondary recurrent EOC patients undergoing TC at three Turkish tertiary institutions from May 1997 to July 2014 was performed. All patients had previously received primary cytoreduction followed by intravenous platinum-based chemotherapy and secondary cytoreduction for first recurrence. Clinical and pathological data were obtained from the patients' medical records. Survival analysis was caried out using the Kaplan Meier method. Actuarial curves were compared by the two tailed Logrank test with a statistical significance level of 0.05. Results: Median age of the patients was 49.6 years (range, 30-67) and thirty-eight (72%) had stage III-IV disease at initial diagnosis. Twenty six (49%) had optimal and 27 (51%) suboptimal cytoreduction during tertiary debulking surgery. Optimal initial cytoreduction, time to first recurrence, optimal secondary cytoreduction, time interval between secondary cytoreduction and secondary recurrence, size of recurrence, disease status at last follow-up were found to be significant risk factors to predict optimal TC. Optimal cytoreduction in initial and tertiary surgery and serum CA-125 level prior to TC were independent prognostic factors on univariate analysis. Conclusions: Our results and a literature review clearly showed that maximal surgical effort should be made in TC, since patients undergoing optimal TC have a better survival. Thus, patients with secondary recurrent EOC in whom optimal cytoreduction can be achieved should be actively selected.

• Korean Journal of Environmental Biology
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• v.37 no.4
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• pp.652-663
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• 2019

The purpose of this study was to conduct ecological health assessments by using the fish communities in the Manchurian trout habitat. Sampling was conducted twice in July and September 2018. In the survey, 1,119 individuals belonging to 16 species and seven families were collected. The dominant species by number was Rhynchocypris kumgangensis and the subdominant species was Zacco koreanus. Korean endemic species represented 73.33% at Geybang Stream and 76.92% at Naerin Stream. Community analysis revealed that the structure of the fish community was unstable by the dominance index 0.63 (±0.09)-0.97 (±0.01), the diversity index 1.63 (±0.23)-0.33 (±0.09), the evenness index 0.79 (±0.06)-0.24 (±0.07) and the richness index 0.67 (±0.14)-1.80(±0.16). According to the analysis of the tolerance guilds, the total individual number of sensitive species was higher than the intermediate and tolerant species. The insectivore species accounted for 65.09-98.56% of the total trophic guilds, which was the highest observed. The value of the QHEI (Qualitative habitat evaluation index) in the Brachymystax lenok tsinlingensis habitat was 119.5 (±0.5)-153.5 (±0.5), indicating an optimal-suboptimal condition. The FAI (Fish assessment index) stream health value was A to B in the study sites. Correlation analysis with FAI and various factors was conducted and a high correlation in QHEI, Brachymystax lenok tsinlingensis individuals, species, individuals, diversity, richness, sensitive species, carnivorous species, insectivorous species, and omnivorous species was found. The similarity analysis was divided into three groups from A to C, based on 56.9%.

• Journal of Hospice and Palliative Care
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• v.7 no.2
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• pp.238-247
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• 2004

Purpose: Pain management is often needlessly suboptimal. Health care professionals are seldom trained in pain management, may not realize the importance of pain management or recognize that a patient is in pain, and may fear prescribing opioid medications. Noting that one of the problems related to health care professionals is poor assessment of pain, we studied a trend of pain severity and satisfaction with pain controls after using TTS-fentanyl in order to determine whether a regular pain assessment was effective for controlling cancer pain. Methods: We assessed the pain as a $5^{th}$ vital sign after using TTS-fentanyl in 471 hospitalized cancer patients during 4 days. The data were collected from September, 2003 to December, 2003. Pain severity was assessed by using a numeric pain intensity scale($0{\sim}10$) by ongoing pain assessment. Results: Pain assessment as a $5^{th}$ vital sign had led to reduce patient's pain scores. High degrees of satisfaction scores in both patients and doctors with TTS-fentanyl were observed. They were also negatively correlated with the pain severity. Conclusion: Regular pain assessment was effective in the management of cancer pain.