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Clinical significance of matrix metalloproteinase 9 and tissue inhibitor of metalloproteinase 1 and 2 in Kawasaki disease (가와사끼병에서 Matrix metalloproteinase 9과 Tissue inhibitor of metalloproteinase 1, 2의 임상적 중요성)

  • Yun, Ki-Wook;Yun, Sin-Weon;Lee, Jung-Ju;Chae, Soo-Ahn;Lim, In-Seok;Choi, Eung-Sang;Yoo, Byoung-Hoon;Lee, Mi-Kyung
    • Clinical and Experimental Pediatrics
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    • v.53 no.4
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    • pp.510-518
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    • 2010
  • Purpose : Kawasaki disease (KD) is a systemic vasculitis, a leading cause of pediatric acquired heart disease. Histopathological findings of coronary artery lesion (CAL) in KD indicate destruction of the coronary artery wall with diffuse vasculitis. Matrix metalloproteinases (MMPs) and their endogenous tissue inhibitors (TIMPs) might play central roles in this process. Special attention to MMP-9 has recently been emerging. This study was performed to investigate the clinical significance of MMP-9 and its inhibitors, TIMP-1 and TIMP-2, in KD. Methods : We compared 47 KD patients with 14 febrile controls. Serum MMP-9 and TIMP-1, TIMP-2 were measured by ELISA and compared according to clinical stages and coronary involvement. Results : In acute stage, MMP-9 and TIMP-1 were significantly higher, whereas TIMP-2 was lower, in KD than those in febrile controls ($P$<0.05). The elevated MMP-9 levels in acute phase significantly decreased during the subacute and convalescent phases ($P$<0.05). During acute phase, the MMP-9, TIMP-1, and MMP-9/TIMP-2 levels in the CAL group were lower than those in the non-CAL group, but they increased significantly in the subacute phase ($P$<0.05). MMP-9 has a positive correlation with TIMP-1 in the acute and subacute phases, and negative correlation with TIMP-2 in the subacute and convalescent phases ($P$<0.05). Conclusion : These results suggest that MMP-9, TIMP-1, and the imbalance in MMP-9 and TIMP-2 might play important roles on the pathophysiology of KD and especially on the development of CAL. However, further larger studies are needed.

Effect of Various Factors on Viability of Calves Derived from Embryos Produced In Vitro (체외수정란에서 유래한 송아지의 생존에 미치는 각종 요인들)

  • Park Y. S.;Park H. D.
    • Journal of Embryo Transfer
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    • v.20 no.2
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    • pp.97-104
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    • 2005
  • This study was conducted to investigate the effects of various factors such as recipient parity, delivery season, offspring number, pregnancy period, delivery type, midwifery type and dystocia, on the viability of calves derived from embryos produced in vitro. There was no difference in the abnormality of calves among treatments ($0\~25\%$, respectively). The incidence of a disease was significantly higher in delivered by multiparous $(40\%)$ than nulliparous$(9.9\%)$, in eutocia than dystocia group, in delivered on spring $(20.4\%)$ and winter $(22.7\%)$ than summer$(4.3\%)$ and autumn $(0\%)$, in single offspring $(18.4\%)$ than twin offsprings $(6.7\%)$, and in eutocia group $(17\%)$ than dystocia $(2.7\%)$, respectively (p<0.05). The rate of mortality was significantly higher when transferred into mulliparous $(22.3\%)$ than multiparous$(0\%)$, when were delivered within 270 day $(53.3\%)$ than over 270 day $(14.3\~16.1\%)$, when were dystocia $(41.7\%)$ than eutocia$(14.1\%)$ group, when were induced delivery $(44.4\%)$ than self-delivery $(18.1\%)$, when were non-midwifery $(34\%)$ than midwifery$(10.8\%)$, and when delayed midwifery $(31.6\%)$ than earlier midwifery$(11.5\%)$, respectively (p<0.05). The present study suggested that the proper treatment of parturition may be increased the viability of calves derived from in vitro.

Decay Rate and Nutrient Dynamics during Litter Decomposition of Quercus acutissima in Gongju and Jinju (공주와 진주지역에서 상수리나무 낙엽의 분해율 및 분해과정에 따른 영양염류 함량 변화)

  • Won, Ho-Yeon;Oh, Kyung-Hwan;Mun, Hyeong-Tae
    • Journal of Wetlands Research
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    • v.14 no.4
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    • pp.537-545
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    • 2012
  • Decay rate and nutrient dynamics during leaf litter decomposition of deciduous Quercus acutissima were compared between Gongju and Jinju for 33 months from December 2008 through March 2011. Percent remaining weight of Q. acutissima leaf litter after 33 months elapsed in Gongju and in Jinju was $41.2{\pm}0.4%$ and $28.3{\pm}0.6%$, and decay constant (k) was 0.39 and 0.61, respectively. Decomposition in Jinju was significantly faster than that in Gongju. This seemed to be related to higher temperature and precipitation in Jinju than those in Gongju during the experimental period. Initial C/N and C/P ratio of Q. acutissima leaf litter was 46.8 and 270.9, respectively. After 33 months elapsed, C/N and C/P ratios in Gongju decreased to 22.0 and 106.8, and those in Jinju decreased to 19.2 and 170.2, respectively. Initial concentration of N, P, K, Ca and Mg in Q. acutissima leaf litter was 8.31, 0.44, 4.18, 9.38, 1.37 mg/g, respectively. After 33 month elapsed, remaining N, P, K, Ca and Mg were 91.0, 85.4, 30.2, 47.9, 11.7% in Gongju, and 67.0, 54.2, 19.9, 30.0, 40.8% in Jinju, respectively. Except for Mg, remaining nutrients of decomposing leaf litter in Jinju were lower than those in Gongju. In case of N and P, initial immobilization was observed, however, only mineralization was observed in K, Ca and Mg during the whole experimental period.

The Enhancing Effect of Atopic Dermatitis by cosmetics containing estern medical herbs (한방소재 화장품의 아토피 피부염 개선 효과)

  • Kang, Shin-Jyung;Kim, Ae-Jung;Lee, Yeon-Hee;Lee, Myoung-Sook;Joung, Kyung-Hee;Cho, Nam-Ji
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.11
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    • pp.3500-3505
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    • 2009
  • Sixteen moderate atopic dermatitis patients were treated with applying toner and cream using estern medical herbs[Estern medical complex(Radix Glycyrrhizae, Radix Angelicae Dahuricae, Rhizoma Ligustici Chuanxiong, Fructus ponciri Seu Aurantii Immaturus, Radix Rehmanniae Praeparata, Radix Puerariae, Rhizoma Corydalis), Cypress, Green tea, Radix Astragali, Red ginseng, Syrup ferment, Apple ferment filtrate] on the atopic area 2-3 times per day for 6 weeks. After 6 weeks of study, the result was a decrease in SCORAD index($26.9{\pm}11.8$ to $14.9{\pm}9.7$(p<0.05)), IgE($641.9{\pm}1294.6$ to $565.8{\pm}1076.8$), Eosinophil count($246.7{\pm}203.5$ to $203.3{\pm}130.7$(p<0.05)) and TEWL($16.7{\pm}5.1$ to $15.4{\pm}8.7$(p<0.05)). And skin hydration was increased($36.6{\pm}10.0$ to $44.0{\pm}10.3$(p<0.01)) maintaining skin pH level. The patient;s and physician's global assessment also improved. Therefore, estern medical herbs may play a role in treatment of atopic dermatitis.

Placental histopathology in late preterm infants: clinical implications

  • Ericksen, Kristina;Fogel, Joshua;Verma, Rita P.
    • Clinical and Experimental Pediatrics
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    • v.63 no.2
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    • pp.48-51
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    • 2020
  • Background: The etiopathogenesis of late preterm (LPT) birth is undetermined. Placental histopathology, which reflects an adverse intrauterine environment and is reportedly associated with preterm labor and neonatal morbidities, has not been studied in LPT infants. Purpose: We investigated placental pathological lesion as markers of an adverse intrauterine environment during LPT labor. Methods: This retrospective case-control study compared placental histopathological and clinical variables between LPT and term neonates. Placental variables included chorioamnionitis, funisitis, hemorrhage, abruption, infarction, calcification, and syncytial knots. Maternal variables included age, substance abuse, pregnancyassociated diabetes mellitus and hypertension, duration of rupture of membrane, antibiotic use, and magnesium sulfate, whereas, those of neonates included gestational age, birth weight, race, sex, and Apgar scores. Standard statistical proedures were applied to analyze the data. Results: Chorioamnionitis (50% vs. 17.8%, P<0.001) and funisitis (20% vs. 4.4%, P=0.002) were more common in term infants. Placental infarction rate was insignificantly higher in LPT infants (25.6% vs. 14.3%, P=0.08). The mothers in the LPT group were older (30.4 years vs. 28.1 years, P=0.05; odds ratio [OR], 1.06; 95% confidence interval [CI], 0.998-1.12, P=0.056) and more often suffered from hypertension (28.9 vs. 12.9 %, P=0.02), and received magnesium sulfate (48.9 vs. 20%, P< 0.001; OR, 2.86; 95% CI, 1.12-7.29, P<0.05). Duration of rupture of membrane was higher in term infants (13.6 hours vs. 9.1 hours, P<0.001). Chorioamnionitis (OR, 0.33; 95% CI, 0.13-0.79; P<0.05) was associated with a lower risk of LPT delivery. Conclusion: Placental infection is not a risk factor for LPT births. There is a nonsignificant predominance of vascular anomalies in LPT placentas. Higher maternal age, magnesium sulfate therapy, and maternal hypertension are clinical risk factors for LPT labor.

Effects of dental hygiene student's adult attachment type on depression, self-esteem, empathy and career decision (치위생과 학생의 성인애착유형이 우울, 자아존중감, 공감능력과 진로결정에 미치는 영향)

  • Yang, Jin-Young
    • Journal of Korean Academy of Dental Administration
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    • v.9 no.1
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    • pp.51-60
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    • 2021
  • The purpose of this study is to examine the importance of healthy attachment formation by examining the effects of dental hygiene students' adult attachment patterns on depression, self-esteem, empathy, and career choice, and to present basic data for career guidance that considers individual characteristics. Students enrolled in the dental hygiene department at a university in Daejeon were the subjects of this study, and data were collected from September 14 to October 14, 2020 through self-reported questionnaires. Frequency analysis, ANOVA, correlation analysis, and multiple regression analysis were performed. As a result of classifying adult attachment styles into three types, out of a total of 158 people, 62 (39.2%) had the avoidant attachment style, 56 (35.4%) had the secure attachment style, and 40 (25.3%) had the anxious-ambivalent attachment style appear. Self-esteem according to attachment type (F=26.224, p<0.0001), empathy (F=3.944, p<0.05), depression (F=12.702, p<0.0001), career indecisiveness (F=4.367, p<0.05). Based on the results of identifying the sub-factors that affect the dental hygiene and adult attachment styles of students with depression, self-esteem, empathy and career choice, this study intends to use them as reference materials for career decision taking into account individual characteristics.

A Study on Gait Analysis of Normal Adult and Hemiplegia Patients (정상 성인과 편마비 환자의 보행분석 연구)

  • An, Chang-Sik;Jung, Seok
    • The Journal of Korean Physical Therapy
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    • v.14 no.3
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    • pp.129-135
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    • 2002
  • The aim of this study is to present the basic reference data of age and specipic gait parameters for Hemiplegia Patients. The basic gait parameters were extracted from 30 Adult Hemiplegia Patients and 30 normal adult, 50 to 60 years of age using VICON 512 Motion Analyzer. The results were as follows; 1) The mean Cadence of the adult to the hemiplegia were $108.50\pm11.67$ steps/min, to $77.57\pm22.71$ steps/min. 2) The mean Walking Speed of the adult to the hemiplegia were $1.07\pm0.18m/s$, to $0.44\pm0.14m/s.$. 3) The mean Stride Length of the adult to the hemiplegia were $1.17\pm0.12m$, to $0.69\pm0.21m.$ 4) The mean maximal angles of joint on the pelvic tilt for different adult or hemiplegia Were $7.60\pm3.91.,\;to\;9.63\pm4.94.\;(P<0.05)$ 5) The mean maximal angles of joint on the hip flexion motion for different adult or hemiplegia were $29.53\pm5.03.,\;to\;25.30\pm9.94.\;(p<0.05)$ 6) The mean maximal angles of joint on the knee flexion motion for different adult or hemiplegia were $56.36\pm5.81.,\;to\; 41.64\pm17.21.(P<0.05)$ 7) The mean maximal angles of joint on the ankle dorsiflexion motion for different adult or hemiplegia were $16.65\pm2.72.,\;to\;16.53\pm7.45$(P>0.05) 8) The mean maximal angles of joint on the ankle plantarflexion motion for different adult or hemiplegia were $7.11\pm5.42.,\;to\;2.81\pm6.14.$(p<0.05)

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Difference of Short Term Survival in Patients with ARDS According to Responsiveness to Alveolar Recruitment (급성호흡곤란증후군 환자에서 폐포모집술의 반응에 따른 초기 예후의 차이)

  • Kim, Ho Cheol;Cho, Dae Hyun;Kang, Gyoung Woo;Park, Dong Jun;Lee, Jong Deok;Hwang, Young Sil
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.3
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    • pp.280-288
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    • 2004
  • Background : Lung protective strategies, using low tidal volume in ARDS, improve survival rate in ARDS. However, low tidal volume ventilation may promote alveolar de-recruitment. Therefore, alveolar recruitment is necessary to maintain arterial oxygenation and to prevent repetitive opening and closure of collapsed alveoli in lung protective strategies. There has been a recent report describing improvement in arterial oxygenation with use of recruitment maneuver. However, impact of recruitment on outcome of ARDS is unknown. We evaluated whether short-term survival difference existed in patients with ARDS, who were performed alveolar recruitment maneuver(ARM) and prone position, according to response of alveolar recruitment or not. Methods : All patients who were diagnosed with ADRS and received mechanical ventilation were included. ARM were sustained inflation($35-45cmH_2O$ CPAP for 30-40 sec.) or increasing level of PEEP. If these methods were ineffective, alveolar recruitment with prone position was done for at least 10 hours. $P_aO_2/FiO_2$(P/F) ratio was determined before and at 0.5 and 2 hours after ARM. We defined a responder if the P/F ratio was increased over 50% of baseline value. We compared 10-days and 30-days survival rate between responders and non-responders. Results : 20 patients(M:F=12:8, $63{\pm}14age$) were included. Among them, 12 patients were responders and 8 patients were non-responders. In responders, P/F ratio was increased from $92{\pm}25mmHg$ to $244{\pm}85mmHg$. In non-responders, P/F ratio increased from $138{\pm}37mmHg$ to $163{\pm}60mmHg$. Among non-responders, P/F ratio was improved over 50% in 2 patients after prone position. Overall, 14 patients were responders after ARM and prone position. The 10-days and 30-days survival rate in responders was significantly higher than in non-responders(86%, 57% in responders and 33%, 0% in non-responders)(p<0.05). There was no significant difference between responders and non-responders in age($71{\pm}11$, $60{\pm}14$), lung injury score($2.8{\pm}0.2$, $2.9{\pm}0.45$), simplified acute physiology score(SAPS) II ($35{\pm}4.6$, $34{\pm}5.7$), positive end-positive pressure level($15.6{\pm}1.9cmH_2O$, $14.5{\pm}2.1cmH_2O$). Conclusion : ARM may improve arterial oxygenation in some patients with ARDS. These responders in patients with ARDS showed significant higher 10-days and 30-days survival rate than non-responders patients with alveolar recruitment.

The Role of Genetic Polymorphisms in Nrf2 and P73 in Egyptian Women with Breast Cancer

  • Azhary, Nevin M Al;Kamel, Mahmoud M;Ismail, Yahia M;Mahmoud, Amal A;Radwan, Enas M
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4945-4949
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    • 2016
  • Background: Breast cancer is the commonest cancer in Egyptian females. Nrf2 is involved in oxidative stress while P73 functions in response to DNA damage. This study aimed to assess the role of Nrf2 promoter and P73 G4C14 to A4T14 SNPs in breast cancer in Egypt. Patients: Eighty-five female patients with breast tumours (41 malignant, 44 benign) were included. Nrf2 (rs6721961) and p73 (G4A) SNPs were determined by PCR- CTPP assay. Results: Genotype frequencies of the Nrf2 promoter SNP were 34.2% and 37.9% for AA in benign and malignant groups respectively, and 43.9% and 40.5% for CC and, 21.9 % and 21.6% for CA. Genotype frequencies for the P73 G4A SNP were 52.9% and 44.7% for GA in benign and malignant groups respectively, and 47.1% and 55.3% for GG. Discussion: Nrf2 genotypes in pre - and post-menopausal patients, showed significantly different distributions in the 2 patient groups, the AA genotype being significantly more common in pre-menopausal patients. The P73 G4A SNP showed no relation to age of disease onset. Conclusion: The Nrf2 (rs6721961) AA genotype might be related to early breast cancer onset. In contrast the P73 G4A polymorphism showed no relation to either disease risk or age at presentation.

Study on the Long-Term Change of Water Quality of the Kumho River (금호강 수질의 장기변동에 관한 연구(II))

  • Bae, Zun Ung;Lee, Sang Hak;Lee, Sung Ho
    • Journal of the Korean Chemical Society
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    • v.45 no.1
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    • pp.14-24
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    • 2001
  • In order to study the long-term change of water quality, water analysis for 9 items was conducted at 13 sites surrounding the Kumho river system for 18 times from September 1993 to August 1999. Analytical items for the study of water quality are as follows; water temperature, pH, BOD, COD, DO, SS, electrical conductivity, oil and grease, ABS and phenol. The six year term was divided into Part I(second study) and Part Ⅱ(third study), which covers the term from September 1993 to August 1996 and the term from September 1996 to August 1999, respectively. The mean values obtained for three years for water temperature, pH, BOD, COD, DO, SS, electrical conductivity, oil and grease, ABS and phenol for the Part I period showed 18.4$^{\circ}C$, 7.9, 4.88 ppm, 9.66 ppm, 9.0 ppm, 618.0 umho/cm, 6.9 ppm, 2.63 ppm, 3.57 ppm and 0.98 ppm, respectively. The mean values obtained for water temperature, pH, BOD, COD, DO, SS, electrical conductivity, oil and grease, ABS and phenol for the Part Ⅱ period showed 18.0$^{\circ}C$, 8.0, 2.86 ppm, 7.40 ppm, 8.94 ppm, 541.0 umho/cm, 6.0 ppm, 5.43 ppm, 0.94 ppm and 0.01 ppm respectively. The values of BOD, COD, SS, electrical conductivity, ABS and phenol in the second period were found to be decreased by 1/1.71, 1/1.31, 1/4.15, 1/3.80 and 1/98, respectively. The values of water temperature, pH and DO were nearly constant. However, the concentrations of oil and grease were found to be increased about 2.06 times in the second period.

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