• Journal of Life Science
• /
• v.33 no.7
• /
• pp.574-585
• /
• 2023

Sarcopenia is a leading cause of increased medical and nursing care costs among the elderly. In Korea, preventive measures for sarcopenia are mostly targeted toward the general elderly population without specific diseases. However, it is also necessary to implement measures for elderly individuals living in nursing homes and hospitals, where the prevalence of sarcopenia is high. Currently, computed tomography and/or magnetic resonance imaging are considered standard diagnostic tools. However, their complexity and time-consuming nature make them unsuitable for clinical use. The exact pathophysiological mechanisms of sarcopenia are unclear, as they involve various molecular biological pathways, including decreased exercise, protein and nutrient intake, changes in testosterone and growth hormone, and inflammation. Sarcopenia symptoms can lead to several diseases, such as osteoporosis, fractures, dementia, diabetes, and cardiovascular disease. Vitamin B deficiency is a significant factor in sarcopenia induction, with B vitamins being directly involved in energy and protein metabolism and nerve function. Vitamin B deficiency can lead to neuromuscular and neurogenic disorders, which often overlap with sarcopenia. Suboptimal intake of B vitamins, malabsorption, and anorexia are common among the elderly. This study aims to provide information on the role of water-soluble B vitamins in preventing and controlling muscle mass loss and deterioration among the elderly with sarcopenia. In addition, we discuss the potential of myokines from the B vitamin family in modulating sarcopenia.

• 한국노년학
• /
• v.39 no.4
• /
• pp.895-902
• /
• 2019

This study reviewed the diagnosis accuracy and evaluation criteria of the fall risk assessment questionnaire that proved validity through factor analysis in previous studies. The purpose of this study was to diagnose high-risk groups and propose personal fall risk profiles for the Korean community-dwelling elderly. The participants of this study were 439 elderly people living in S, U, B, and Y cities Korea (mean age 75.0 ± 5.7 years). Receiver operating characteristic analysis was conducted to review the accuracy of the fall risk assessment and evaluation criteria of the FRA. The results showed that the four sub-factors of the FRA: 'Potential for fall', 'Disease and physical symptoms', 'Environment' and 'Physical function', can effectively diagnose the fall risk of the community-dwelling elderly. The evaluation criteria was presented based on the sensitivity and specificity results. In addition, as a result of analyzing the patterns by the sub factors of the fall risk, the high-risk group accounted for 80% of the elderly who had problems with two or more factors. Therefore, the four sub-factors of FRA can effectively diagnose the fall risk level, and could be present individual fall risk profiles based on the evaluation criteria.

• Journal of the Korean Society of Radiology
• /
• v.82 no.6
• /
• pp.1581-1588
• /
• 2021

Electronic cigarette (e-cigarette) or vaping product use-associated lung injury (EVALI) has emerged as a social issue as e-cigarette use is rapidly increasing worldwide and is related to many deaths in the United States. To our knowledge, this is the first case report of EVALI in South Korea of a 24-year-old man with acute respiratory symptoms and a history of e-cigarette use. Chest CT revealed diffuse bilateral ground-glass opacities with subpleural sparing, airspace consolidation, and centrilobular micronodules as typical patterns of EVALI with organizing pneumonia and diffuse alveolar damage. Infection was excluded with meticulous laboratory examinations, and the patients' illnesses were not attributed to other causes. EVALI was diagnosed by meeting the diagnostic criteria with consistent clinico-radiologic findings through a multidisciplinary approach. Radiologists should have good knowledge of EVALI radiologic findings and play a cardinal role in the proper diagnosis and management of EVALI.

• Journal of the East Asian Society of Dietary Life
• /
• v.18 no.4
• /
• pp.436-445
• /
• 2008

Stroke is a serious disease despite recent improvements in the medical treatments available. Thirty-six stroke patients were interviewed as case and 36 non-stroke patients were interviewed as controls between February 2005 and August 2005 at Daegu S Medical Center. Information regarding the subjects' food habits was collected using the recall method from 5 years before the onset of stroke. Using interview techniques, we investigated how dietary habits and attitude influence nutrient intake. These results were analyzed by the $X^2$, Student's t-test and Chi-square test using the SPSS 12.0 program. This case-control study was performed to demonstrate the relationships among general quality factors (BMI, WHR, and family history of stroke) and lifestyle factors (smoking, exercise and alcohol drinking). The results were as follows. Analysis of the percentage of nutrient intake in terms of meal pattern showed that WHR was significantly higher in the case group than in the control group. Hypertension and diabetes were the most common preceding diseases associated with the risk of stroke. The frequencies of smoking, alcohol consumption (p<0.001) and exercise (p<0.05) were higher in the cases than in the controls. Thus, the findings of this study are consistent with those of previous studies and suggest that people should be advised to control hypertension, smoking, alcohol drinking and obesity in order to prevent the occurrence of stroke as these factors are major risk factors for stroke.

• Childhood Kidney Diseases
• /
• v.8 no.2
• /
• pp.229-238
• /
• 2004

Purpose: This study was perfonned to elucidate the clinical pictures of acute focal bacterial nephritis(nephronia) in children. Methods: We reviewed 9 children with nephronia diagnosed by ultrasonography or computed tomography of kidneys from September 1994 to August 2004. Results: The overall male to female ratio was 2:1, and the age distribution ranged from 0.1 to 6 years(mean $2.8{\pm}2.2$). The cardinal symptoms were fever, chills, abdominal pain and dysuria/frequency. The initial leukocyte count was $21,000{\pm}5,600/uL$, ESR $60{\pm}23mm/hr$, CRP $17{\pm}10\;mg/dl$. Pyuria was noted in every patient and persisted for $10.5{\pm}7.8$ days after antimicrobial treatment. Abdominal sonography demonstrated focal lesion of ill-defined margin and low echogenicity in 5 of 9 patients(55.6%), while computed tomography revealed nonenhancing low density area in all patients(100%). Three of 9 patients(33.3%) had vesicoureteral reflux, greater than grade III. The initial $^{99m}Tc-DMSA$ scan showed one or multiple cortical defects in every patient, and improvements were noted in 2(33.3%) of 6 patients who received follow up scan after 4 months. Intravenous antibiotics was given in every patient under admission. Total febrile period was $11.8{\pm}6.3$ days(pre-admission, $4.0{\pm}3.0;$ post-admission, $7.8{\pm}5.5$ days) and the patients needed hospitalization for $17.2{\pm}8.1$ days. Conclusion: For the early diagnosis of 'acute focal bacterial nephritis' we should perform renal computed tomography first rather than ultrasonography, when the child has toxic symptoms and severe inflammatory responses in blood and urine.

• Proceedings of the Korea Society of Poultry Science Conference
• /
• 2002.11a
• /
• pp.59-63
• /
• 2002

1997년 홍콩 가금시장에서의 H5N1 조류독감바이러스의 발병은 18명의 감염된 사람 중에서 6명의 사람의 생명을 앗아갔다. 이 사건은 조류독감바이러스가 매개체를 통하지 않고 닭에서 바로 사람에게 감염한 처음 있는 사건이다. 홍콩가금시장에서의 역학조사는 H5Nl과 H9N2 조류독감바이러스가 함께 공존한다는 것을 밝혔다. 가금에서는 H5N1과 H9N2 조류독감바이러스가 검출되었다. 우리는 H5N1 조류독감바이러스로부터 자을 방어하는데 H9N2 조류독감바이러스의 역할에 대해 연구했다. H5N1과 H9N2 바이러스의 혼합바이러스를 동시에 자에 접종하면 자은 생존하지 못했다. 그러나, H5N1 조류 독감바이러스감염 이전에 H9N2 조류독감바이러스를 감염한 닭들은 생존할 수 있었다 H9N2 조류 독감바이러스로 감염된 닭으로부터 얻어진 혈청은 H5N1 조류독감바이러스와 교차반응을 일으키지 않는다. H9N2 조류독감바이러스로 감염시킨 닭으로부터 얻어진 T임파구 또는 CD8 T임파구를 감염하지 않은 닭에 주입할 때 닭은 H5N1 조류독감바이러스로부터 생존할 수 있었다. 실험실외 킬러임파구실험은 H9N2 조류독감바이러스로 감염된 닭으로부터 얻어진 T임파구는 H5N1과 H9N2 조류독감바이러스로 감염된 목표세포를 동시에 감지했다. 게다가, 생체내 T임파구의 제거실험은 교차보호면역은 a/b TCR를 가진 CD8 T임파구가 중요한 역할을 하며, a/b TCR (Vbl)형의 T임파구가 목표세포를 감지한다는 것을 증명했다. H9N2 조류독감바이러스에 의한 방어면역은 시간이 지남에 따라 감소를 했고, 감염 100일까지 방어력을 나타냈다. 1997년 조류독감바이러스인 H5N1의 홍콩에서의 발병에 대한 풀리지 않은 것 중의 하나는 약 20%의 조류들이 매우 치사율이 높은 H5N1 독감바이러스를 가지고 있음에도 홍콩가금시장에서의 대부분의 닭들은 건강했다. 얻을 수 있는 정보에 따르면 대부분의 자들은 H5N1조류독감바이러스를 변으로 방출했고, 단지 두 곳의 가금시장에 있는 자들이 질병증상을 보였다. 홍콩가금시장에서 분리된 모든 H5N1 조류독감바이러스를 닭에 감염하면 100%의 치사율을 나타낸다. 바이러스 측면에서의 연구에 따르면, H9N2 조류독감바이러스는 홍콩가금시장에서 두 번째로 많이 분리되었다. H9N2 조류독감바이러스에 대한 연구에 따르면 세 가지 형이 홍콩가금시장에서 검출되었다. 1997년에 가장 많이 분리된 H9N2 조류독감바이러스는 PB1과 PB2가 A/Chicken/HongKong /156/97 (H5N1)과 유전적으로 유사한 A/HongKong/G9/97 (H9N2)형이다. A/Chicken/Hong Kong/156/97(H5N1)의 나머지 유전자는 A/Chicken/HongKong/739/94 (H9N2)와 A/chicken /Hong Kong/G23/97의 유전자와 비슷하다. 하나의 A/Quail/Hong Kong/G1/97은 Quail에서 분리되었고, 두 개의 A/Duck/Hong Kong/Y280/97 (H9N2)은 오리에서 분리되었다. A/Quail/Hong Kong/G1/97 (H9N2)의 6개의 내부유전자는 A/HongKon9/156/97 (H5N1)에 유사하나, A/Duck/ Hongkong/Y280/97 (H9N2)의 유전자는 A/HongKong/156/97 (H5N1)과 유사하지 않다. 킬러임파구는 바이러스로 감염된 목표세포를 MHC에 의존하여 파괴한다. 독감바이러스 특이 킬러임파구는 독감바이러스로 감염된 mice의 폐로부터 독감바이러스를 제거하는데 중요하다고 알려져 있다. 독감바이러스의 HA단백질은 특이 킬러임파구의 주요 목표항원 단백질이 아니다. 내부단백질인 nucleoprotein, polymerase (PB1 PB2, PA), Matrix protein, 그리고 비 구조단백질인 NS1에 대한 특이 킬러임파구의 반응이 사람과 mice에서 보고되었다. 독감바이러스에 대한 mice의 킬러임파구의 인식영역은 제한되어 있다고 알려져 있다. 많은 mice MHC 1은 독감바이러스 단백질의 킬러임파구의 epitope를 표현하지 못한다. 사람 기억킬러임파구는 다양한 종류의 독감바이러스의 단백질을 인식한다고 알려져 있다. 지금까지, 닭에서의 독감바이러스의 킬러임파구에 대한 연구는 되지 않았다.

• Journal of Oral Medicine and Pain
• /
• v.35 no.4
• /
• pp.245-258
• /
• 2010

Smoking has been identified not as a major risk factor for circulatory and respiratory diseases but also as causes of various oral diseases. A number of clinical studies and regional health surveys have found an association between smoking and poor oral health status and between smoking and prognosis of dental treatments. However, there is few studies about status of smoking cessation treatment and policies in dentistry in Korea. The purpose of this study was to investigate the smoking patterns of outpatients and outcomes of short-term smoking cessation treatment in dental hospitals in Korea and, subsequently, to seek further smoking cessation services in dentistry. This study was sponsored by Korean Dental Association (KDA) and department of culture and welfare. 825 dental patients were voluntarily participated in a 4-week smoking cessation program with nicotine patch and 297 participants of them completed on smoking-related questionnaires. All participants were recruited from outpatients of 11 dental university hospitals (primarily in the department of oral medicine, oral surgery and periodontology) in Korea during 3-month period from October 2009 to January 2010. The Questionnaires included demographics, duration of smoking, heavy smoking index (HSI), number of thinking of quit smoking, duration of stop smoking and reasons to smoking, awareness of smoking effects on oral health, and their success rate after 4 weeks of nicotine patch program was investigated. The statistical analysis was carried by SPSS version 18.0 program and Chi-square test. According to the results of this study, male in their 30s to 50s were the most prevalent of all the participants and duration of smoking increased with age. Attempt rate to quit smoking (Quit smoking) was the highest in 30s and 40s with duration of quit smoking ranging 1 to 3 months. Emotional stresswas the most frequently reported reason for smoking, followed by habit and pleasure in order. All age group showed high HIS over 71% and awareness of smoking effects on oral diseases such as oral soft tissue diseases, periodontal diseases and dental caries was found relatively high (50~60%) Periodontal implant was the main reason for participation in the smoking cessation services in dental clinics and the success rate of, 4-week nicotine patch program of all the participants was 29.4%, extremely low compared to that of medical clinics. Systemic education for dentists to be able to provide interventions to quit smoking including counseling with the 5As'and development of available measures for smokers is needed as considered that the low success rate of the smoking cessation services in dentistry could be explained mainly by lack of dentists' strategies, experience and attention. Awareness and attention of dentists should be emphasized and their participation be encouraged by long-term, multidisciplinary policies such as establishment of insurance fee, which would made a considerable progress in preventing smoking-related oral diseases and promoting public oral health.

• Journal of Oral Medicine and Pain
• /
• v.35 no.4
• /
• pp.265-273
• /
• 2010

Understanding patients' expectation for health visits and providing appropriate care may increase patients' satisfaction with health care, leading to more positive treatment outcome. The study aimed to investigate expectations of the patients with temporomandibular disorders (TMD) at their first visit to university-based orofacial pain clinic and to evaluate any relation with duration of pain, presence of previous treatment, pain severity and pain interference. Inclusion criterion was patients aged over and 18 years old and diagnosed as TMD during 3 months' period from Aug to Nov 2010. They were asked to complete the questionnaires for patients' expectation and the Brief Pain Inventory (BPI) at waiting room prior to consultation. 322 TMD patients participated in the study(M:F=1:1.5, mean age=36 years old). The study indicated that the most important top 3 expectations were 'cure of pain', 'understanding their problem' and 'doctor-patient communication' in order. This finding was not affected by gender, duration and previous treatment history but affected by sub-category of TMD and BPI pain severity and pain interference. 'Pain relief' and 'understanding their problems' were relatively highlighted in the patients with muscle disorders and combination (joint-muscle) disorders of TMD than those with joint disorders who wanted communication and further investigation relatively more (p=0.000). While expectation for pain relief was expected more with increase of pain severity and interference, patients with mild level of pain severity and interference expected communication and further investigation relatively more (p=0.000, 0.017, respectively). Based on the results of the study, though pain relief was the primary concern for TMD patients suffering from pain, their satisfaction with care may be increased by explanation for etiology and mechanism of TMD to make them understand their problems better and doctor-patient communication and collaborative decision-making for treatment. Importance of patient-centered consultations and availability of written material or web sites for patient information should be stressed out.

• Journal of Oral Medicine and Pain
• /
• v.33 no.3
• /
• pp.247-256
• /
• 2008

The belief that stress leads to illness has a long history. A number of the orofacial disease are also closely associated with stress. Despite research in the relationship of stress and the orofacial diseases leading to statistically significant correlations, the pathology remains vague. In the present study, the expression of clusterin, a stress protein responsible for antiapoptosis and cytoprotection, under restraint stress condition was observed in the submandibular gland, one of the major salivary glands. Sprague-Dawley rats were divided into 2 groups: normal group and restraint stress group. The rats of restraint stress group were placed in the stress cages and then sacrificed at day 0, 3 and 5 day of the experiment. After that, the submandibular glands of all the rats were excised immediately. The levels of clusterin proteins and mRNA in the tissues were measured by immunohistochemistry and Northern blot analyses, respectively. The results were as follows: 1. In the immunohistochemistry, clusterin protein was detected only immediately after the application of restraint stress. 2. In the restraint stress group, at day 3 and 5, histologically apoptosis was induced with karyorrhectic and pyknotic changes. 3. By the restraint stress, acinic cells were destructed earlier than ductal cells. 4. In the Northern blot, mRNA of clusterin was expressed only immediately after the application of restraint stress. The overall results suggest that as an early response to stress, clusterin is expressed in the glands to protect the glandular cells from the stress. But if stress is so strong and prolonged that it can exceed the stress adaptability of the cells, then the cells may undergo apoptosis instead of producing clusterin. An Epidemiologic Study of Symptoms of Temporomandibular Disorders in Korean College Students.

• Tuberculosis and Respiratory Diseases
• /
• v.60 no.4
• /
• pp.397-403
• /
• 2006

Background: Chronic obstructive pulmonary disease(COPD) is categorized by the percentage of the predicted $FEV_1$(Forced expiratory volume in 1 second) result which is highly correlated with disease severity(morbidity and mortality). In COPD patients, dyspnea seems to be different from disease severity. We investigated whether dyspnea is correlated with disease severity, as measured by $FEV_1$, quality of life(QoL), occupation, and supporting level of family members and neighbors. Method: Thirty-six clinically stable patients with chronically irreversible airflow limitation were enrolled. We used the Medical Research Council(MRC) dyspnea scale to assess the level of dyspnea and the Korean St. Goerge's respiratory questionnaire(SGRQ) as measure the QoL. Result: The mean percentage of the predicted $FEV_1$ was 32.0%. Dyspnea was not correlated with GOLD stage using $FEV_1$(p=0.114). With deteriorating level of dyspnea the scores of symptoms(p=0.041), activity(p=0.004), impact(p=0.001), and total SGRQ score(p<0.001) were significantly increased. Dyspnea was not correlated with the level of occupation(p=0.259). The supporting level of family members and neighbors was significantly negatively correlated with dyspnea scale(p=0.011). Conclusion: In the management of COPD patients, we have to remember that the level of subjective dyspnea is correlated with QoL(symptom, activity and impact on society) and social supporting level as well as GOLD stage($FEV_1$).