Universities' academic research and knowledge-transfer activities in a catch-up country: the case of Korea

The main research topic of this study is universities’ academic research and knowledge-transfer activities in a catch-up country, particularly the relationship between the two activities, which has been rarely examined in previous research. In order to understand this issue against existing literature, a critical review of previous studies has been attempted, considering the idiosyncratic characteristics of the Korean national innovation system. As a result, at the three analysis levels (i.e. national, organisational and individual levels), we propose three conceptual elements respectively: a tentative historical path of universities in catch-up countries; critical factors influencing knowledge transfer activities of universities in catch-up countries; and academics operating in synergy mode. Thereafter, based on the methodology integrating not only the three analysis levels but also qualitative and quantitative approaches, we analyse the data collected from the interviews with Korean academics, survey responses from Korean academics and government White Papers on the activities of Korean universities. The results show a close and positive relationship between Korean universities’ academic research and knowledge-transfer activities across the three levels. Firstly, during the last several decades, the Korean government has strongly encouraged the development of teaching, academic research and knowledge-transfer activities of Korean universities in harmony with the different developmental stages of Korean industry. This has resulted in selective patterns of the universities’ three activities (e.g. concentration of scientific activities in certain fields). Secondly, organisational factors such as scientific capacity and industry funding are important for universities’ knowledge-transfer activities in a catch-up country, which corroborates the positive relationship between the two activities. Finally, in terms of the factors influencing the synergy mode (i.e. a positive relationship between academic research and knowledge-transfer activities), academics’ career stage and disciplines are important. This is related to the rapid expansion of the Korean academic system and the selectivity found in its activities. Based on these findings, it is tempting to conclude that universities in East Asian catch-up countries have developed their own academic system different from those in developed countries, which can be characterised as having strong government control and a high level of interaction with other actors in the national innovation system. Therefore, the application of the controversy over the direct economic contribution of universities in western countries to the context of catch-up countries is quite limited

Has globalization strengthened South Korea's national research system?

노트 : The authors acknowledge a support from the SSK (Social Science Korea) Program funded by National Research Foundation of South Korea; NRF-2010-330-B00232

Leukoaraiosis is associated with pneumonia after acute ischemic stroke

Diagnostic criteria for stroke associated pneumonia based on the CDC criteria. (DOCX 25 kb

Clinical significance of D-dimer levels during acute period in ischemic stroke

Background Initial D-dimer level is a well-known prognostic parameter in patients with acute ischemic stroke (AIS). However, there have been no studies on the clinical significance of follow-up D-dimer levels. In this study, we evaluated the association between initial and follow-up D-dimer levels and early neurological deterioration (END) in patients with AIS. Methods We included consecutive patients with AIS who had a positive initial D-dimer test (> 0.55mg/L) between March 2021 and November 2022. The follow-up D-dimer test was performed on the 7th day after hospitalization and on the day of discharge if discharged earlier. END was defined as an increase of ≥ 2 in the total NIHSS score, or ≥ 1 in the motor NIHSS score within the first 7 days of admission. As medical conditions closely associated with the initial and follow-up D-dimer levels in AIS patients, we also evaluated the history of cancer, active cancer, and venous thromboembolism (VTE) that occurred during hospitalization together. Results A total of 246 patients with AIS were evaluated (median age: 87 years, male: 56.5%). In multivariable logistic regression analysis, the initial D-dimer level was closely associated with END after adjusting for confounders (adjusted odds ratio [aOR]: 1.48, 95% CI: 1.06–2.05). The follow-up D-dimer level also showed a close correlation with END (aOR: 1.60, 95% CI: 1.16–2.20). Regarding the analysis of the association between D-dimer levels and underlying cancer or VTE, the initial D-dimer level showed a statistically significant positive relationship only with active cancer (P = 0.024). On the other hand, the follow-up D-dimer level was found to be statistically significantly associated with a history of cancer (P = 0.024), active cancer (P = 0.001), and VTE (P = 0.001). Conclusions Initial and follow-up D-dimer levels were associated with END in AIS patients. Particularly, the follow-up D-dimer level showed a clear correlation not only with END but also with the underlying cancer or the occurrence of VTE during the acute period

CONTRIBUTION OF THE KNEE JOINT TO MECHANICAL ENERGY IN CROUCHING START ACCORDING TO THE BACKWARD BLOCK INCLINED ANGLE INCREASE

The purpose of this study was to analyze the contribution of the knee joint to mechanical energy in crouching start according to the backward block inclined angle increase(F, F1, F2). Using kinetic and kinematic data from 3 university sprinters participating in this study we calculated the energies absorbed and generated by the knee joints. The analysis is limited to a two-dimensional (sagittal plane) exercise. Comparing mean values of the energy absorbed and generated from lower extremity joints of each subjects according to backward block inclined angle increase (F, F1, F2). We generate a ratio of a total energy absorbed and generated from lower extremities to one from knee joints. The generated energy of knee joints during start was the highest for all subjects and the absorbed energy of those was the lowest at 55 degree of backward block angle, or F, for subject 1, 50 degree for subject 2, and 50 degree for subject 3

Complete Binocular Blindness as the First Manifestation of HIV-Related Cryptococcal Meningitis

Ocular complications of HIV-related cryptococcal meningitis are reasonably common, but complete binocular blindness as the first manifestation of HIV is extremely rare. A 58-year-old man presented with binocular blindness. He experienced blurred vision for 3 days before the blindness. Mild pleocytosis was present in the cerebrospinal fluid, from which Cryptococcus neoformans was cultured. Serology revealed positivity for HIV antibody. He was treated with antifungal and antiretroviral therapy. This case indicates that HIV-related cryptococcal meningitis should be taken into consideration when determining the cause of unexpected sudden binocular blindness

Patient Perception of Natural Orifice Transluminal Endoscopic Surgery in an Endoscopy Screening Program in Korea

Purpose Natural orifice transluminal endoscopic surgery (NOTES) is a new method of accessing intracavitary organs in order to minimize pain by avoiding incisions in the body wall. The aim of this study is to determine patients' acceptance of NOTES in Korea and to compare their views about laparoscopic surgery and NOTES for benign and malignant diseases. Materials and Methods The target number of total subjects was calculated to be 540. The subjects were classified into 18 sub-groups based on age groups, gender, and history of prior surgery. The questionnaire elicited information about demographic characteristics, medical check-ups, diseases, endoscopic and surgical histories, marital status and childbirth, the acceptance of NOTES, and the preferred routes for NOTES. In addition, the subjects chose laparoscopic surgery or NOTES for a hypothetical cholecystectomy and rectal cancer surgery, and responded to questions regarding the acceptable complication rate of NOTES, the appropriate cost of NOTES, and the reason(s) why they did not select NOTES. Results: 486 of 540 patients (90.0%) who agreed to participate in this study completed the questionnaire. NOTES was preferred by the following patients: elderly; a history of treatment due to a disease; having regular check-ups; and a history of an endoscopic procedure (p<0.05). The most preferred route for NOTES was the stomach (67.1%). Eighty-four percent of the patients choosing NOTES responded that the complication rate of the new surgical method should be the same or lower than laparoscopic surgery. Vague anxiety over a new surgical method was the most common reason why NOTES was not selected in benign and malignant diseases (64% and 73%), respectively. Conclusion: Patients appear to be interested in the potential benefits of NOTES and would embrace it if their concerns about safety are met. We believe that qualified surgical endoscopists can meet these safety concerns, and that NOTES development has the potential to flourish

Piceatannol, Natural Polyphenolic Stilbene, Inhibits Adipogenesis via Modulation of Mitotic Clonal Expansion and Insulin Receptor-dependent Insulin Signaling in Early Phase of Differentiation

Piceatannol, a natural stilbene, is an analog and a metabolite of resveratrol. Despite a well documented health benefit of resveratrol in intervention of the development of obesity, the role of piceatannol in the development of adipose tissue and related diseases is unknown. Here, we sought to determine the function of piceatannol in adipogenesis and elucidate the underlying mechanism. We show that piceatannol inhibits adipogenesis of 3T3-L1 preadipocytes in a dose-dependent manner at noncytotoxic concentrations. This anti-adipogenic property of piceatannol was largely limited to the early event of adipogenesis. In the early phase of adipogenesis, piceatannol-treated preadipocytes displayed a delayed cell cycle entry into G2/M phase at 24 h after initiation of adipogenesis. Furthermore, the piceatannol-suppressed mitotic clonal expansion was accompanied by reduced activation of the insulin-signaling pathway. Piceatannol dose-dependently inhibited differentiation mixture-induced phosphorylation of insulin receptor (IR)/insulin receptor substrate-1 (IRS-1)/Akt pathway in the early phase of adipogenesis. Moreover, we showed that piceatannol is an inhibitor of IR kinase activity and phosphatidylinositol 3-kinase (PI3K). Our kinetics study of IR further identified a Km value for ATP of 57.8 μm and a Ki value for piceatannol of 28.9 μm. We also showed that piceatannol directly binds to IR and inhibits IR kinase activity in a mixed noncompetitive manner to ATP, through which piceatannol appears to inhibit adipogenesis. Taken together, our study reveals an anti-adipogenic function of piceatannol and highlights IR and its downstream insulin signaling as novel targets for piceatannol in the early phase of adipogenesis