Trends in Avoidable Death over 20 Years in Korea

To evaluate the achievement of health care services in Korea independent of other socioeconomic factors, we observed the time trend of avoidable death between 1983 and 2004. A list of avoidable causes of death was constructed based on the European Community Atlas of "Avoidable Death". We calculated sex- and age-standardized mortality rates of Korean aged 1-64 yr using data of the Korea National Statistical Office. The avoidable mortality rate (per 100,000 persons) decreased from 225 to 84 in men and from 122 to 41 in women. Accordingly, the proportion of avoidable deaths among all classifiable deaths was reduced by 8.1% in men and 6.4% in women. However, mortality rates from some preventable causes such as ischemic heart disease and malignant neoplasms of lung, breast, cervix, and colorectum have been on the rise. Mortality preventable by appropriate medical care showed the greatest reduction (by 77.8%), while the mortality preventable by primary prevention showed the least reduction (by 50.0%). These findings suggest that health care service has significantly contributed to the improvement of health in Korea. However, more effective intervention programs would be needed given the less reduction in mortality avoidable by primary or secondary prevention than expected and unexpectedly increasing mortality from several preventable causes

The Fingerprint of Climate Change and Urbanization in South Korea

Understanding long-term changes in precipitation and temperature patterns is important in the detection and characterization of climate change, as is understanding the implications of climate change when performing impact assessments. This study uses a statistically robust methodology to quantify long-, medium- and short-term changes for evaluating the degree to which climate change and urbanization have caused temporal changes in precipitation and temperature in South Korea. We sought to identify a fingerprint of changes in precipitation and temperature based on statistically significant differences at multiple-timescales. This study evaluates historical weather data during a 40-year period (1973–2012) and from 54 weather stations. Our results demonstrate that between 1993–2012, minimum and maximum temperature trends in the vicinity of urban and agricultural areas are significantly different from the two previous decades (1973–1992). The results for precipitation amounts show significant differences in urban areas. These results indicate that the climate in urbanized areas has been affected by both the heat island effect and global warming-caused climate change. The increase in the number of rainfall events in agricultural areas is highly significant, although the temporal trends for precipitation amounts showed no significant differences. Overall, the impacts of climate change and urbanization in South Korea have not been continuous over time and have been expressed locally and regionally in terms of precipitation and temperature changes

Low-Energy Electron Scattering from c-C4F8

Electron collision cross-sections of c-C4F8 were investigated at low energies by using the R-matrix method. The static exchange (SE), static exchange with polarization (SEP), and close-coupling (CC) models of the R-matrix method were used for the calculation of the scattering cross-section. The shape resonance was detected with all the models at around 3~4 eV, and a Feshbach resonance was detected with the SEP model at 7.73 eV, in good agreement with the previous theoretical calculation. The resonance detected was also associated with the experimental dissociative electron attachment of c-C4F8, which displayed the resonances at the same energy range. The cross-sections calculated are important for plasma modeling and applications

Potassium chloride elicits enhancement of bilobalide and Ginkgolides production by Ginkgo biloba cell cultures

This study investigated the ability of potassium chloride (KCl) to elicit the production of bilobalide (BB), ginkgolide A (GA) and ginkgolide B (GB) by Ginkgo biloba cell suspension cultures. The salt stress by KCl treatments increased production of BB, GA and GB in both suspended cells and cultured medium. Especially, treatment of KCl 800 mM of highest concentration was stimulated emission into cultured medium BB, GA and GB compounds accumulated in cells. Although KCl 800 mM severely inhibited cells growth, the maximum content of GA and GB in cells was obtained in the treatment of KCl 800 mM, which was 1.9 and 4.0 times higher than the control. These results thus suggest that salt stress can afford enhanced production of secondary metabolites by plant cell cultures

Acute perimyocarditis mimicking acute myocardial infarction in a 12-year-old boy with Duchenne muscular dystrophy

Differential diagnosis of chest pain in the pediatric population is important but can be challenging. A 12-year-old boy with Duchenne muscular dystrophy presented with chest pain, cardiac enzyme elevation, and convex ST elevations in the inferior leads with reciprocal ST depression in the anterior leads on electrocardiogram. Echocardiography on admission revealed normal left ventricular function. Suspecting acute myocardial infarction, we performed invasive coronary angiography, which revealed normal coronary arteries. A follow-up electrocardiogram showed an acute pericarditis pattern with concave ST elevations in most leads and PR depression, and follow-up echocardiography revealed global left ventricular dysfunction, suggestive of acute perimyocarditis. Ibuprofen was administered for acute pericarditis, and a continuous milrinone infusion was commenced for myocardial dysfunction. The chest pain improved by the next day, and the ST segment elevations normalized on day 4. Echocardiography on day 9 revealed improved left ventricular function. The patient was discharged on day 11, and he is doing well without chest pain through 12 months of follow-up. The last electrocardiogram showed normal sinus rhythm without ST change. Differential diagnosis of acute myocardial infarction and acute perimyocarditis is important for proper treatment strategies and the different prognoses of these two conditions