• Annals of Pediatric Endocrinology and Metabolism
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• 제23권4호
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• pp.196-203
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• 2018

Purpose: The hemoglobin glycation index (HGI) represents the degree of nonenzymatic glycation and has been positively associated with cardiometabolic risk factors (CMRFs) and cardiovascular disease in adults. This study aimed to investigate the association between HGI, components of metabolic syndrome (MS), and alanine aminotransferase (ALT) in a pediatric nondiabetic population. Methods: Data from 3,885 subjects aged 10-18 years from the Korea National Health and Nutrition Examination Survey (2011-2016) were included. HGI was defined as subtraction of predicted glycated hemoglobin ($HbA1_c$) from measured $HbA1_c$. Participants were divided into 3 groups according to HGI tertile. Components of MS (abdominal obesity, fasting glucose, triglycerides, high-density lipoprotein cholesterol, and blood pressure), and proportion of MS, CMRF clustering (${\geq}2$ of MS components), and elevated ALT were compared among the groups. Results: Body mass index (BMI) z-score, obesity, total cholesterol, ALT, abdominal obesity, elevated triglycerides, and CMRF clustering showed increasing HGI trends from lower-to-higher tertiles. Multiple logistic regression analysis showed the upper HGI tertile was associated with elevated triglycerides (odds ratio, 1.65; 95% confidence interval, 1.18-2.30). Multiple linear regression analysis showed HGI level was significantly associated with BMI z-score, $HbA1_c$, triglycerides, and ALT. When stratified by sex, age group, and BMI category, overweight/obese subjects showed linear HGI trends for presence of CMRF clustering and ALT elevation. Conclusion: HGI was associated with CMRFs in a Korean pediatric population. High HGI might be an independent risk factor for CMRF clustering and ALT elevation in overweight/obese youth. Further studies are required to establish the clinical relevance of HGI for cardiometabolic health in youth.

• 대한지역사회영양학회지
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• 제24권2호
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• pp.152-162
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• 2019

Objectives: The purpose of this study was to investigate the food, nutrient intake, and diet quality of postmenopausal women at high risk of osteoporosis (OP) and cardiovascular disease (CVD) compared with those of control subjects. Methods: A total of 1,131 post-menopausal women aged over 45 years, who took the 2010-2011 Korean National Health and Nutrition Examination Survey (KNHANES), were included for analysis. These participants were classified into the following groups: the OP group, with a risk of OP (n=135); the CVD group, with a risk of CVD (n=373); the OP+CVD group, with a risk of OP and CVD concurrently (n=218); and the control group (n=405) according to bone mineral density (BMD) and CVD risk. Anthropometric measurements, blood profiles, dietary intake, and dietary quality indices were measured and compared among the four groups. Results: Waist circumference, total body fat percentage, blood pressure, fasting plasma glucose, total cholesterol, triglyceride, and LDL-cholesterol were higher, and HDL-cholesterol and BMD were lower in the OP+CVD group than in the control group. In the food frequency questionnaire, the OP+CVD group had significantly higher frequencies of grain (except for multi-grain) and lower frequencies of fruit and dairy product. The frequency of consumption of red meat, processed meat, and carbonated beverages was higher in OP+CVD group. In nutrient density analysis, proteins and vitamin $B_2$ levels were significantly lower in the OP+CVD group than in the control group. The nutritional quality index (INQ) values of calcium were in the order of 0.63, 0.58, 0.56, and 0.55 in each group, and it was urgent to improve the dietary intake for calcium in postmenopausal women. In addition, vitamin $B_2$ was inadequately consumed by all groups. Conclusions: These results suggest that it is necessary to increase the intake of vitamin $B_2$ and calcium and decrease the frequency of intake of red meat, processed meat, and carbonated beverages in postmenopausal women with the risk of OP and CVD.

• Korean Chemical Engineering Research
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• 제57권4호
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• pp.475-483
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• 2019

화학적 무기 중 혈액작용제는 전자전달계 내 효소의 철 이온과 반응하고 세포호흡을 정지시켜 사망을 초래한다. 혈액작용제는 활성탄의 미세공보다 분자크기가 작아 화학적 흡착이 유일한 제독방법이다. 본 연구는 SG 생활안전에서 개발한 SG-1 가스 여과기를 이용하여 혈액작용제 시아노겐 클로라이드(CK) 가스의 유입에 따른 유동해석을 수행하였다. 구리, 은, 아연 및 몰리브데늄 이온이 첨착된 ASZM TEDA 활성탄을 적용하여 가스 여과기 제작 시험 규정에 따라 화학적 흡착 모사를 수행하였으며 흡착 Kinetic을 적용하기 위해 선 수행된 흡착 베드에서 CK 가스 흡착 실험 결과를 분석하였다. 화학적 흡착을 통해 발생되는 가스 여과기 내부 압력강하 및 가스 흡착 질량 등 주요 변수의 동적거동을 예측하였다. CFD에서 다공성 물질을 적용할 때 사용하는 Ergun 방정식 대신 Granular와 Packed bed를 사용하여 활성탄 적용 가능 결과를 확인하였으며 시간에 따른 흡착 및 유속에 따른 흡착의 유동 해석에 대한 동적 모사를 수행하였다.

• Journal of Preventive Medicine and Public Health
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• 제52권2호
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• pp.131-139
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• 2019

Objectives: Self-reporting can be used to determine the incidence and prevalence of hypertension (HTN). The present study was conducted to determine the validity of self-reported HTN and to identify factors affecting discordance between self-reported and objectively measured HTN in participants in the Ravansar Non-Communicable Diseases (RaNCD) cohort. Methods: The RaNCD cohort included permanent residents of Ravansar, Iran aged 35-65 years. Self-reported data were collected before clinical examinations were conducted by well-trained staff members. The gold standard for HTN was anti-hypertensive medication use and blood pressure measurements. The sensitivity, specificity, positive and negative predictive values, and overall accuracy of self-reporting were calculated. Univariate and multivariate logistic regression were used to examine the discordance between self-reported HTN and the gold standard. Results: Of the 10 065 participants in the RaNCD, 4755 (47.4%) were male. The prevalence of HTN was 16.8% based on self-reporting and 15.7% based on medical history and HTN measurements. Of the participants with HTN, 297 (18.8%) had no knowledge of their disease, and 313 (19.9%) had not properly controlled their HTN despite receiving treatment. The sensitivity, specificity, and kappa for self-reported HTN were 75.5%, 96.4%, and 73.4%, respectively. False positives became more likely with age, body mass index (BMI), low socioeconomic status, and female sex, whereas false negatives became more likely with age, BMI, high socioeconomic status, smoking, and urban residency. Conclusions: The sensitivity and specificity of self-reported HTN were acceptable, suggesting that this method can be used for public health initiatives in the absence of countrywide HTN control and detection programs.

• 대한응급의학회지
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• 제29권5호
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• pp.449-454
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• 2018

Objective: The SAFARI score was introduced to assess the risk of convulsive seizure during admission for aneurysmal subarachnoid hemorrhage in 2017. This study was conducted to determine whether the SAFARI score derived from the afore-mentioned study could be applied to patients with aneurysmal subarachnoid hemorrhage in Korea. Methods: We conducted a retrospective study of patients who were diagnosed with aneurysmal subarachnoid hemorrhage from March 2013 to October 2017. Patients' age, sex, blood pressure, pulse rate, body temperature, Glasgow-Coma Scale, Hunt-Hess scale, modified Fisher grade, size of ruptured aneurysm, surgery type, transfusion, and SAFARI score were compared between the seizure and non-seizure groups. The area under the receiver operator characteristic curves was calculated to evaluate the predictive ability for seizure during admission. Logistic regression analysis was used to analyze predictive factors for seizure during admission. Results: A total of 220 patients were included. Ninety-seven (44.1%) were male and 123 (55.9%) were female. The mean age of the patients was 65.8 years old (range, 56-75). The area under the curve of the SAFARI score for predicting seizure was 0.813. The SAFARI score was the only significant predictor of seizure during admission, while other factors were not statistically significant upon logistic regression analysis. Conclusion: The SAFARI score could be used for predicting seizure during admission in patients with aneurysmal subarachnoid hemorrhage.

• Yonsei Medical Journal
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• 제59권9호
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• pp.1138-1142
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• 2018

This study aimed to analyze the impact of sleep deprivation (SD) on cardiac, hemodynamic, and endothelial parameters and to determine whether these are sustained with increased periods of SD. The study included 60 healthy men (mean: age $31.2{\pm}6.3years$; body mass index $24.6{\pm}2.6kg/m^2$). Hemodynamic parameters, parameters of myocardial contractility, spectral analysis of heart rate (HR) and blood pressure (BP) variability, and the sensitivity of arterial baroreflex function were evaluated. Biochemical tests were performed to assess L-arginine (L-Arg) and asymmetric dimethylarginine (ADMA) levels in reflection of endothelial nitric oxide synthase ability. Measurements of cardiovascular system parameters were obtained at 9 a.m. (baseline) on the first day of the study and 9 a.m. (24-h SD), 1 p.m. (28-h SD), and 5 p.m. (32-h SD) on the second day. Blood samples for evaluating biochemical parameters were obtained at baseline and after 24-h SD. ANOVA Friedman's test revealed a significant effect for time in relation to HR (${\chi}^2=26.04$, df=5, p=0.000), systolic BP (${\chi}^2=35.98$, df=5, p=0.000), diastolic BP (${\chi}^2=18.01$, df=5, p=0.003), and mean BP (${\chi}^2=28.32$, df=5, p=0.000). L-Arg and ADMA levels changed from $78.2{\pm}12.9$ and $0.3{\pm}0.1$ at baseline to $68.8{\pm}10.2$ and $0.4{\pm}0.1$ after 24-hr SD, respectively (p=0.001, p=0.004). SD in healthy men is associated with increases in BP, which appear to occur after 24 hours of SD and are maintained over increasing periods of SD. The observed hemodynamic changes may have resulted due to disordered vascular endothelial function, as reflected in alterations in L-Arg and ADMA levels.

• 자원환경지질
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• 제54권6호
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• pp.767-785
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• 2021

중국 쟈오랴오지(Jiao-Liao-Ji) 벨트에 속한 다스챠오(Dashiqiao) 광화대에는 세계적 규모의 마그네사이트 광상들이 발달하며, 한반도 북측으로 연장되어 북한 단천지역 주요 마그네사이트 광상도 이에 속한다. 중국 다스챠오 광화대 팰로우(Pailou) 광상의 마그네사이트 광석은 구성광물에 따라 순수한 마그네사이트, 녹니석-마그네사이트, 녹니석-활석-마그네사이트, 그리고 돌로마이트 그룹으로 구분된다. 암석기재 연구결과 마그네사이트는 돌로마이트가 변질작용을 받아 형성되었음을 보여주며, 이를 다시 교대하는 후기 변질광물로 활석, 녹니석, 인회석 등이 산출된다. 마그네사이트내에 관찰되는 유체포유물은 액상포유물로서 균일화온도는 121~250 ℃, 염농도는 1.7~22.4 wt% NaCl equiv.의 범위를 보여준다. 열수변질작용의 온도를 지시하는 녹니석 지온계는 137~293 ℃로서 유체포유물의 균일화온도에 비해 약간 높으며, 이들의 생성압력은 3.2 kb 이하로 나타난다. 연구지역 마그네사이트 광화작용은 초기 형성된 돌로마이트가 Mg가 부화된 유체에 의한 교대작용을 받아 마그네사이트 광체를 형성하고, 이후 광역변성작용과 열수변질작용을 거치며 부화되였으며, Si 및 Al이 부화된 후기 열수에 의해 활석 등의 변질광물이 정출된 것으로 보인다. 이러한 결과는 북한의 대표적인 대흥 마그네사이트 광상의 정출환경과 유사하며 두 광상이 상호 유사한 지질광상학적 생성과정을 거치며 광화작용이 진행된 것으로 여겨진다.

• 한국엔터테인먼트산업학회논문지
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• 제14권1호
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• pp.17-25
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• 2020

본 연구는 라이프케어 증진을 위한 협응적 이동훈련 프로그램이 비만 여성노인의 균형에 미치는 영향을 알아보았다. 본 연구의 대상자는 비만 여성노인 10명으로, 최근 1년 이내 허리나 엉덩관절 및 무릎관절 수술경험이 없고 독립보행이 가능한 자로 선정하였다. 협응적 이동훈련을 일일30분씩 2회, 주5회, 4주간 총 20회 실시하였다. 협응적 이동훈련 프로그램의 효과를 알아보기 위해 인바디 BMI검사, myoVIDEO를 이용한 관절가동범위검사, 표면근전도 검사(척추세움근, 배바깥빗근, 넙다리네갈래근, 넙다리뒤근육), 힘판 트레드밀을 통한 동적 균형검사, 버그 균형 척도(BBS)와 일어서서 걷기 검사(TUG)를 중재전후 시행하였다. 본 연구의 연구결과, 보행 시 디딤기 및 흔듦기 시기에 몸통과 엉덩관절의 관절가동범위 전-후 비교에서 통계학적으로 유의한 차이가 있었으며(p<0.05), 표면근전도를 통한 근 활성도검사에서는 척추세움근과 배바깥빗근의 중재 전-후 비교에서 통계학적으로 유의한 차이가 있었다(p<0.05). 보행 시 동적균형검사에서는 보행선길이와 한발지지선의 중재 전-후 비교에서 유의한 차이가 있었으며(p<0.05), 버그 균형 척도(BBS)와 일어서서 걷기검사(TUG)에서도 중재 전-후 비교에서 유의한 차이가 있었다(p<0.05). 본 연구결과를 통해 라이프케어 증진을 위한 협응적 이동훈련 프로그램이 비만 여성노인의 자세불안정과 근 약화, 균형능력감소 및 낙상위험도를 개선에 유의한 영향을 주는 것을 알 수 있었다. 따라서 비만 여성노인의 균형능력 개선 및 낙상방지를 통한 라이프케어증진을 위해 이동적 협응훈련 프로그램 적용을 권장한다.

• Journal of Chest Surgery
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• 제55권3호
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• pp.206-213
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• 2022

Background: Surgical repair of partial anomalous pulmonary venous return (PAPVR) to the superior vena cava (SVC) using the Warden procedure has favorable outcomes. However, there remain some concerns after the Warden procedure, such as sinoatrial nodal dysfunction and systemic or pulmonary venous stenosis. We investigated the outcomes of the Warden procedure for repair of PAPVR to the SVC. Methods: This retrospective study included 22 consecutive patients who underwent the Warden procedure for PAPVR between 2002 and 2018. The median age and body weight at operation were 27.5 months (interquartile range [IQR], 5.0-56.8 months) and 13.2 kg (IQR, 6.5-16.0 kg), respectively. The median follow-up duration was 6.2 years (IQR, 3.5-11.6 years). Results: There were no cases of early or late mortality. No patients had postoperative heart rhythm problems, except 1 patient who showed transient sinoatrial nodal dysfunction in the immediate postoperative period. Procedure-related complications requiring reintervention occurred in 5 patients, including 3 of 4 SVC stenosis cases and 2 pulmonary venous stenosis cases during follow-up. The rate of freedom from reintervention related to the Warden procedure was 75.9% at 10 years. Conclusion: In cases requiring extension or creation of an atrial septal defect to achieve a sufficient venous pathway, or interposition of an entire circumferential conduit between the SVC and right atrium due to the shortness of the SVC in the Warden procedure, stenotic complications of the venous pathway occurred. Careful observation of changes in the pressure gradient or anatomical stenosis is required in such patients.

• Wind and Structures
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• 제34권1호
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• pp.127-136
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• 2022

In this work a multi-fidelity non-intrusive polynomial chaos (MF-NIPC) has been applied to a structural wind engineering problem in architectural design for the first time. In architectural design it is important to design structures that are safe in a range of wind directions and speeds. For this reason, the computational models used to design buildings and bridges must account for the uncertainties associated with the interaction between the structure and wind. In order to use the numerical simulations for the design, the numerical models must be validated by experi-mental data, and uncertainties contained in the experiments should also be taken into account. Uncertainty Quantifi-cation has been increasingly used for CFD simulations to consider such uncertainties. Typically, CFD simulations are computationally expensive, motivating the increased interest in multi-fidelity methods due to their ability to lev-erage limited data sets of high-fidelity data with evaluations of more computationally inexpensive models. Previous-ly, the multi-fidelity framework has been applied to CFD simulations for the purposes of optimization, rather than for the statistical assessment of candidate design. In this paper MF-NIPC method is applied to flow around a rectan-gular 5:1 cylinder, which has been thoroughly investigated for architectural design. The purpose of UQ is validation of numerical simulation results with experimental data, therefore the radius of curvature of the rectangular cylinder corners and the angle of attack are considered to be random variables, which are known to contain uncertainties when wind tunnel tests are carried out. Computational Fluid Dynamics (CFD) simulations are solved by a solver that employs the Finite Element Method (FEM) for two turbulence modeling approaches of the incompressible Navier-Stokes equations: Unsteady Reynolds Averaged Navier Stokes (URANS) and the Large Eddy simulation (LES). The results of the uncertainty analysis with CFD are compared to experimental data in terms of time-averaged pressure coefficients and bulk parameters. In addition, the accuracy and efficiency of the multi-fidelity framework is demonstrated through a comparison with the results of the high-fidelity model.