Updated Reasons and Clinical Implications of New Korean Hypertension Guidelines for Cardiologists

Jinho Shin,Myeong Chan Cho 대한심장학회 2020 Korean Circulation Journal Vol.50 No.6

Leaving behind substantial reflections or skepticisms on the shortage of evidences about blood pressure (BP) thresholds for antihypertensive drug therapy and target BPs, major hypertensive guidelines including Korean hypertension guidelines were recently updated for earlier and more intensive control of BP. Because hypertension is one of the major risk factors for death, stroke, cardiovascular (CV) disease, heart failure, and cognitive impairment, substantial improvement of hypertension management is necessary to reduce disease and socioeconomic burdens and to promote CV health. Theoretically, earlier intervention in terms of age and BP level and thorough control of BP into within normal range would prevent or delay major adverse CV events. Revised hypertension guidelines were developed by the American College of Cardiology/American Heart Association, Korean Society of Hypertension, European Society of Cardiology/European Society of Hypertension, and Japanese Society of Hypertension in order. In this article, recent updates and clinical significances of the Korean hypertension guidelines will be discussed with comparison of foreign hypertension guidelines and considerable changes in the management of hypertension will be introduced for cardiologists and general practitioners.

The roles of sodium and volume overload on hypertension in chronic kidney disease

( Jinho Shin ),( Chang Hwa Lee ) 대한신장학회 2021 Kidney Research and Clinical Practice Vol.40 No.4

Chronic kidney disease (CKD) is associated with increased risk of cardiovascular (CV) events, and the disease burden is rising rapidly. An important contributor to CV events and CKD progression is high blood pressure (BP). The main mechanisms of hypertension in early and advanced CKD are renin-angiotensin system activation and volume overload, respectively. Sodium retention is well known as a factor for high BP in CKD. However, a BP increase in response to total body sodium or volume overload can be limited by neurohormonal modulation. Recent clinical trial data favoring intensive BP lowering in CKD imply that the balance between volume and neurohormonal control could be revisited with respect to the safety and efficacy of strict volume control when using antihypertensive medications. In hemodialysis patients, the role of more liberal use of antihypertensive medications with the concept of functional dry weight for intensive BP control must be studied.

스포츠-기상 융합을 위한 기상서비스 개선 연구

Jinho Shin,Young-Gon Lee,Baek-Jo Kim,Sung-Joon Na 한국기상학회 2013 한국기상학회 학술대회 논문집 Vol.2013 No.4

A Study of Interaction between the Marine Stratocumulus Variability and SST over Subtropical Pacific

Jinho Shin,Ming Cai 한국기상학회 2008 한국기상학회 학술대회 논문집 Vol.2008 No.-

Effect of Substrate to Inoculum Ratio and Inoculum Type on Solid State Anaerobic Digestion of Dairy Manure

Jinho Shin,Jongho Park,Seunghun Lee,Eunjong Kim,Myeongseong Lee,Jisoo Wi,Heekwon Ahn 한국토양비료학회 2019 한국토양비료학회지 Vol.52 No.3

This study was conducted to evaluate the effect of substrate to inoculum ratio and inoculum type on solid state anaerobic digestion of dairy manure collected from sawdust bedded pack barn. Dairy manure inoculated with different type of inoculum, dairy manure inoculum (DMI) and municipal sewage inoculum (MSI), was digested for 56 days at different substrate to inoculum ratios (SIR) of 0.5, 1, 2, and 4 on volatile solids (VS) basis under mesophilic condition (37°C). Digesters inoculated with DMI showed higher biodegradable volatile solid removal (BVS removal: 52 - 82%) and methane production performance (P: 32 - 38 mL g-VS<SUP>-1</SUP>) than MSI inoculated test units. However, the maximum cumulative CH₄ production was only 38.1 mL g-VS<SUP>-1</SUP>, in consequence of a large quantity of non-biodegradable materials included in dairy manure and nutrient losses during long-term storage of dairy manure. To improve the efficiency of methane production, additional studies need to be carried out using fresh dairy manure which has high methane production potential as anaerobic digestion substrate.

Optimal Exit Costs of Foreign Direct Investment

Jinho Shin,김영한 연세대학교 동서문제연구원 2017 Global economic review Vol.46 No.4

This paper examines the optimal policy on exit costs of foreign direct investment for a host country considering the impact of varying income level and host country’s risk aversion against volatile FDI flows. Based on a dynamic model about the impact of the exit costs on FDI inflows and capital formation, we demonstrate that a host country should determine the exit cost considering two counterbalancing factors, that is, facilitating higher FDI inflows and reducing volatility of FDI inflows. When a host country is less vulnerable to volatility with inelastic risk aversion against FDI volatility, it is optimal for the host country with a negative income shock to take a more aggressive approach to induce FDI inflows by lowering exit costs. However, if the host country is more vulnerable to volatility with elastic risk aversion, the host country is advised to take a conservative approach by increasing exit costs to reduce FDI volatility. These findings, supported by the OECD data on 42 countries’ exits costs, implicate that developing countries are recommended to lower exit costs to induce higher FDI inflows when they are not highly vulnerable to volatility shocks.

Implications of Simultaneously Measured Inter-Arm Difference

Jinho Shin 대한심장학회 2019 Korean Circulation Journal Vol.49 No.3

Changes in Exodeviation after the Monocular Occlusion Test in Adult Patients with Intermittent Exotropia and Its Association with the Level of Control

Jinho Shin,Won Jae Kim 대한안과학회 2020 Korean Journal of Ophthalmology Vol.34 No.6

Purpose: We investigated the changes in ocular deviation after the monocular occlusion test in adults with intermittent exotropiaand evaluated its association with the level of control. Methods: We retrospectively enrolled adults (aged ≥18 years) with intermittent exotropia who visited our clinic betweenSeptember 2015 and May 2019. Patients with basic intermittent exotropia with a distant deviation within 10 prism diopters(PD) of the near deviation were included. The largest ocular deviations obtained before and after 1 hour of monocular occlusionwere compared. The level of control was measured using the LACTOSE (Look and Cover, then Ten seconds of ObservationScale for Exotropia) control scoring system. Results: Forty-six consecutive adult patients (28 males, 18 females; mean age, 34.3 years) were enrolled. The mean oculardeviation was 36.3 PD (range, 18 to 5 PD) at distant fixation and 38.5 PD (range, 18 to 80 PD) at near fixation, which increasedsignificantly to 38.5 PD (p = 0.043) and 41.1 PD (p = 0.011), respectively, after monocular occlusion. The mean ocular deviationincreased ≥5 PD in 14 (30.4%) and 15 (32.6%) patients at distant and near fixation, respectively. The level of control was measuredin 30 patients. A higher degree of near control was significantly associated with an increase of ≥5 PD in near fixationafter the test (p = 0.009 for a near control score ≤2). Conclusions: The monocular occlusion test may help to determine the largest ocular deviation in adults with intermittent exotropia. Approximately one-third of patients exhibited an increase in ocular deviation ≥5 PD. Patients exhibiting good controlwere more likely to manifest an increase in the ocular deviation.

정신건강복지법상 입·퇴원 절차에서의 전문가 역할에 대한 비판적 고찰 - 법문에 대한 내용분석을 중심으로 -

신진호(Shin, Jinho),김유진(Kim, Yujin),김수영(Kim, Suyoung) 한국사회복지학회 2020 한국사회복지학 Vol.72 No.2

본 연구는 정신건강복지법상 나타난 전문가의 역할을 살펴보고, 이에 대응하는 인권보호장치의 필요성을 제안함을 목적으로 한다. 강제입원에서 의료 및 행정전문가의 권한은 법에 따라 부여되기 때문에 법문에 나타난 전문가의 역할을 비판적으로 고찰함으로써 힘의 불균형을 조정할 지점을 찾을 수 있다. 이에 본 연구는 정신건강복지법과 관련 문헌의 내용분석을 통해 정신건강복지법상 대면진단, 권리고지, 입·퇴원 결정 절차에서 전문가 역할을 분석했다. 연구결과, 의사의 대면진단 없이 서류상 입원 연장이 가능하고, 권리고지의 절차와 주체가 불명확하며, 의료전문가의 진단은 재량 범위가 지나치게 넓고, 행정전문가의 임의적 입원 결정 권한이 정신장애인의 인권이 침해될 법적 여지를 주고 있었다. 이에 본 연구는 정신장애인의 인권보장과 자기결정을 조력할 주체로 정신건강사회복지사의 역할을 입법함으로써 정신장애인에 대한 인권침해를 방지할 수 있음을 제언한다. The purpose of this study is to examine the legal roles of professionals in the admission and discharge procedures of persons with mental disabilities. Since the authority of doctors and administrative experts in forced hospitalization is granted by law, we can find a way to correct the imbalance of decision power by critically examining the roles of the experts in the law. This article analyzes the contents of the Mental Health Welfare Act and the related documents in order to identify the roles of experts specified in the processes of face-to-face diagnosis, a notice of rights, and hospitalization·discharge decision. Through this analysis, this study shows the excessive discretionary power of medical and administrative experts and the absence of a supportive professional, who can help people with mental disabilities by protecting their human rights in each procedure. This study suggests that human rights violations can be prevented by legislating the role of mental health social workers as a subject to assist people with mental disabilities.

핵 EMP 표준시험을 위한 양극성 MIL-STD-461 RS105 시험장비 개발

신진호(Jinho Shin),윤동기(Donggi Youn) 대한전기학회 2023 대한전기학회 학술대회 논문집 Vol.2023 No.7