• 대한소화기학회지
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• 제72권5호
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• pp.229-236
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• 2018

Accurate diagnosis of Helicobacter pylori (H. pylori) infection is mandatory for the effective management of many gastroduodenal diseases. Currently, various diagnostic methods are available for detecting these infections, and the choice of method should take into account the clinical condition, accessibility, advantage, disadvantage, as well as cost-effectiveness. The diagnostic methods are divided into invasive (endoscopic-based) and non-invasive methods. Non-invasive methods included urea breath test, stool antigen test, serology, and molecular methods. Invasive methods included endoscopic imaging, rapid urease test, histology, culture, and molecular methods. In this article, we provide a review of the currently available options and recent advances of various diagnostic methods.

• 한국운동역학회지
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• 제25권2호
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• pp.199-206
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• 2015

Objective : The purpose of this study was to conduct a biomechanical analysis of a one-legged jump in a traditional Korean dance (Wae Bal Ddwigi) according to breathing method. Method : Participants for this study were 10 dancers with experience for at least 10 years in traditional Korean dance. Independent variables for this test were two different types of breathing methods. Dependent variables were ground reaction force and lower extremity kinematic variables. The jumping movement was divided into three separate stages, take off, flight, and landing. The subjects were asked a questionnaire regarding the degree of impact force and stability of landing posture after the experiment. The Kistler Force Plate (9281B, Switzerland) was used to measure ground reaction force. A digital camera was used to look into angles of each joint of the lower part of body. SPSS was used for statistical analysis via the dependent t-test(p<.05). Results : There were significant differences in jumping according to breathing method. The inhalation & exhalation method yielded significantly longer flight times combined with greater ground reaction force. The breath-holding method required more core flexion during landing, increasing movement at the hips and shoulders. Conclusion : Consequently, there was more flexion at the knee to compensate for this movement. As a result, landing time was significantly higher for breath-holding.

• 생명과학회지
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• 제17권12호
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• pp.1695-1700
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• 2007

본 연구의 목표는 발효식품인 된장의 섭취가 Helicobacter pylori에 의한 감염의 억제에 효과가 있음을 확인하는데 있다. 된장 추출물과 된장으로부터 분리된 균이 H. pylori의 생장을 억제시키는지 여부를 표준균주인 H. pylori ATCC 26695와 위궤양 환자의 조직으로부터 분리한 H. pylori 균주를 대상으로 실시하였다. 된장 추출물과 된장으로부터 분리된 대부분의 세균은 H. pyloir의 생장을 억제하였다. 된장의 섭취효과를 측정하기 위해 무자각 증상의 H. pylori 보균자를 대상으로 $^{13}C$-요소호기검사법을 실시하였으며, H. pylori 감염 농도는 ${\Delta}^{13}C(T_1-T_0)$ 값(P)으로 판정하였다. 1일 30 g ($10g{\times}3$회)씩 6주간 섭취한 지원자들의 섭취 전 후의 P값은 58에서 28로 감소하여 H. pylori의 밀도가 낮아졌음을 입증하였다. 즉, 된장이 위 점막에서 H. pylori의 생장을 억제하는 것을 확인하였다.

• Tuberculosis and Respiratory Diseases
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• 제87권2호
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• pp.165-175
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• 2024

Background: The prevalence of small airway dysfunction (SAD) in patients with chronic obstructive pulmonary disease (COPD) across different ethnicities is poorly understood. This study aimed to estimate the prevalence of SAD in stable COPD patients. Methods: We conducted a cross-sectional study of 196 consecutive stable COPD patients. We measured pre- and post-bronchodilator (BD) lung function and respiratory impedance. The severity of COPD and lung function abnormalities was graded in accordance with the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. SAD was defined as either difference in whole-breath resistance at 5 and 19 Hz > upper limit of normal or respiratory system reactance at 5 Hz < lower limit of normal. Results: The cohort consisted of 95.9% men, with an average age of 66.3 years. The mean forced expiratory volume 1 second (FEV₁) % predicted was 56.4%. The median COPD assessment test (CAT) scores were 14. The prevalence of post-BD SAD across the GOLD grades 1 to 4 was 14.3%, 51.1%, 91%, and 100%, respectively. The post-BD SAD and expiratory flow limitation at tidal breath (EFL_T) were present in 62.8% (95% confidence interval [CI], 56.1 to 69.9) and 28.1% (95% CI, 21.9 to 34.2), respectively. COPD patients with SAD had higher CAT scores (15.5 vs. 12.8, p<0.01); poor lung function (FEV₁% predicted 46.6% vs. 72.8%, p<0.01); lower diffusion capacity for CO (4.8 mmol/min/kPa vs. 5.6 mmol/min/kPa, p<0.01); hyperinflation (ratio of residual volume to total lung capacity % predicted: 159.7% vs. 129%, p<0.01), and shorter 6-minute walk distance (367.5 m vs. 390 m, p=0.02). Conclusion: SAD is present across all severities of COPD. The prevalence of SAD increases with disease severity. SAD is associated with poor lung function and higher symptom burden. Severe SAD is indicated by the presence of EFL_T.

• 한국학교보건학회지
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• 제19권1호
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• pp.79-88
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• 2006

Purpose : To identify general characteristics of school personnel with recent fatigue which was the most frequent symptom among subjective symptoms and to explore fatigue-related factors by evaluating physical and perceived health status, life style, and symptoms through data mining techniques. Methods : We collected a data of the 1,147(male 545, female 602) who were elementary, middle, or high school personnel, answered a questionnaire, and received physical examination in Seoul School Health Center from September to November in 2000. And we investigated the differences between fatigue group and non-fatigue group for demographic characteristics, physical health status, perceived health status, symptoms, and laboratory values by frequency, chi-square test, t-test, or simple logistic regression analysis by SAS package 8.1, and then selected significant variables as input variables of a decision tree analysis of CART model by SAS E-miner. Results : In general characteristics, the fatigue consisted of 41.1%(male 35.2%, female 46.4%) among 1,147 school personnel. In classical statistics, factors related with fatigue were female, lower means of systolic and diastolic pressure, young age, personnel in middle school, irregular eating habit, no exercise a week or less than 30minutes exercise a day, perception of unhealthy status, and subjective symptoms including short of breath at exercise. In simple logistic regression to examine the relationship between selected independent variables and fatigue as a dependent variable, the odds ratio of gender (female vs male) was 1.58 times, and young age ( 20s vs 60s) 20.67 times, and middle vs high school personnel 1.86 times. However, we mined combined several characteristics by SAS-E miner. In CART model, if health perception was healthy, and age was >= 37.5 years, the proportion of the fatigue was only 19.3%. but if health perception was not healthy and symptom was severe 'short of breath' during exercise and age was < 53.5 years, and BMI was >= 22.69, the proportion of the fatigue was up to 84.8%. Conclusions : The fatigue consisted of 41.1%(male 35.2%, female 46.4%). In classical statistics, fatigue-related factors among school personnel were young age, female gender, perceived unhealthy status, subjective physical symptoms, poor life-style, and lower blood pressure rather than only physical health status. However, in data mining, if health perception was healthy and age was >= 37.5 years, the proportion of the fatigue was only 19.3%. but if health perception was not healthy and symptom was severe 'short of breath' during exercise and age was < 53.5 years, and BMI was >= 22.69, the proportion of the fatigue was up to 84.8%.

• Korean Journal of Radiology
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• 제24권12호
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• pp.1221-1231
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• 2023

Objective: To clinically validate the feasibility and accuracy of cine images acquired through the multitasking method, with no electrocardiogram gating and free-breathing, in measuring left ventricular (LV) function indices by comparing them with those acquired through the balanced steady-state free precession (bSSFP) method, with multiple breath-holds and electrocardiogram gating. Materials and Methods: Forty-three healthy volunteers (female:male, 30:13; mean age, 23.1 ± 2.3 years) and 36 patients requiring an assessment of LV function for various clinical indications (female:male, 22:14; 57.8 ± 11.3 years) were enrolled in this prospective study. Each participant underwent cardiac magnetic resonance imaging (MRI) using the multiple breath-hold bSSFP method and free-breathing multitasking method. LV function parameters were measured for both MRI methods. Image quality was assessed through subjective image quality scores (1 to 5) and calculation of the contrast-to-noise ratio (CNR) between the myocardium and blood pool. Differences between the two MRI methods were analyzed using the Bland-Altman plot, paired t-test, or Wilcoxon signed-rank test, as appropriate. Results: LV ejection fraction (LVEF) was not significantly different between the two MRI methods (P = 0.222 in healthy volunteers and P = 0.343 in patients). LV end-diastolic mass was slightly overestimated with multitasking in both healthy volunteers (multitasking vs. bSSFP, 60.5 ± 10.7 g vs. 58.0 ± 10.4 g, respectively; P < 0.001) and patients (69.4 ± 18.1 g vs. 66.8 ± 18.0 g, respectively; P = 0.003). Acceptable and comparable image quality was achieved for both MRI methods (multitasking vs. bSSFP, 4.5 ± 0.7 vs. 4.6 ± 0.6, respectively; P = 0.203). The CNR between the myocardium and blood pool showed no significant differences between the two MRI methods (18.89 ± 6.65 vs. 18.19 ± 5.83, respectively; P = 0.480). Conclusion: Multitasking-derived cine images obtained without electrocardiogram gating and breath-holding achieved similar image quality and accurate quantification of LVEF in healthy volunteers and patients.

• 구강회복응용과학지
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• 제38권1호
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• pp.1-8
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• 2022

목적: 본 연구의 목적은 염화나트륨을 배합한 구중청량제의 치면세균막, 잇몸 염증 및 구취에 대한 효과를 임상시험을 통하여 평가하고자 하였다. 연구 재료 및 방법: 본 시험은 12주간 연구대상자에게 표준세치제를 이용하여 칫솔질을 하루에 총 3회를 실시하도록 하고, 칫솔질 후에 군별로 제공된 각각의 구중청량제를 입안에서 가글하고 뱉어내도록 교육하였다. 총 5회에 걸쳐 잇몸 염증 검사, 치면세균막 변화, 구취 검사를 시행하여 효능을 평가하였다. 본 연구의 수집된 데이터는 IBM SPSS Statistics 24.0을 이용하여 통계적으로 분석하였으며, 통계적 유의성 판단을 위한 기준으로 유의수준 0.05를 사용하였으며, 그룹 간 비교를 위한 2-sample t-test와 그룹 내 비교를 위한 paired t-test로 분석되었습니다. 결과: PMA 지수 측정결과 실험군의 대조군 대비 잇몸 염증 개선 효과율은 8주 후 107.63%, 12주 후 73.08%를 나타냈다. PHP index 측정 결과 실험군의 대조군 대비 프라그 개선 효과율은 8주 후 79.37%, 12주 후 74.06%를 나타났다. 실험군의 대조군 대비 구취 개선 효과율은 8주 후 65.06%, 12주 후 99.33%를 나타냈다. 결론: 이러한 연구 결과 염화나트륨 및 녹차 추출액, 일불소인산나트륨을 배합한 구중청량제를 사용할 경우 효과적인 잇몸 염증 완화효과를 기대할 수 있으며, 추가적으로 개선된 치면세균막 제거 효과 및 구취 제거 효과를 기대할 수 있음을 확인할 수 있었다.

• 한국축산식품학회지
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• 제25권4호
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• pp.465-471
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• 2005

본 연구는 H. pylori를 산란계에 과면역시켜서 얻은 anti-H pylori IgY난황 분말의 안전성과 위염 환자에 있어서 H. pylori에 대한 억제 효과를 알아보기 위하여 실시하였다. Anti-H. pylori IgY난황 분말의 안전성 실험은 급성 독성실험과 아급성 독성실험으로 알아보았다. 급성 독성 실험시 식이섭취나 성장 모두 정상적이었고, 마우스의 체중(kg)당 400mg까지 투여했을 때 이상을 관찰할 수 없었다. 아급성 독성실험에서 외관상의 이상현상은 관찰할 수 없었고, 혈청의 CBC 검사에서 백혈구 수치도 정상적이었다. 그리고 소화기관과 간조직의 병리학적 이상은 관찰되지 않았다. 이 결과로 미루어 anti-H pylori IgY난황분말은 독성이 없음이 확인되었다. 임상실험에서는 WSF 분말 급이군의 UBT 수치는 58.65에서 35.33으로 약 23.31 감소하였으며, anti-H pylori IgY 난황분말 혼합 급이군의 UBT 수치는 47.77에서 28.81로 약 17.95 감소 효과를 보였다. WSF 분말 급이군은 anti-H. pylori IgY 난황분말 혼합 급이군보다 UBT 수치의 감소율이 더 크게 나타났다. 이와 같이 임상실험에서 anti-H, pylori IgY는 H. pylori의 억제 효과가 있음이 확인되었다.

• 대한한의학회지
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• 제32권6호
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• pp.10-17
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• 2011

Background: Vibration response imaging (VRI) is a new technology that records energy generated by airflow during the respiration cycle. Analysis of lung sound using VRI may overcome the limitations of auscultation. Objectives: To set a VRI standard for healthy Koreans, we conducted a clinical assessment to evaluate breath sound images and quantification in healthy subjects and compared the findings with reported breath sound characteristics. Methods: Recordings were performed using the VRIxp. Eighty subjects took a deep breath four times during a 12-second interval while sitting upright. The quantitative aspect was analyzed using the VRI quantitative lung data (QLD) for total left lung, total right lung and for six lung regions: left upper lung (LUL), left middle lung (LML), left lower lung (LLL), right upper lung (RUL), right middle lung (RML), right lower lung (RLL). The qualitative aspect was provided through image assessments by three reviewers. Results: In all regions the left lung had significantly higher QLD than the right lung (P<0.005, paired t-test). The inter-rater agreement was 0.78. 84% of the images were found normal by the final assessment. Among the 16% (n=13) of images with abnormal final assessment, the most common flawed features were dynamic image (77%, n=10) and maximum energy frame (MEF) shape (77%, n=10). No significant differences were found between males and females for QLD but there were significant differences in qualitative aspects including dynamic images, MEF shape, and missing LLL. Conclusion: The characteristics of healthy Koreans are similar to those of Western subjects reported previously. VRI is easy to use and objective, and so is helpful to diagnose patients with respiratory diseases and to monitor the progress of diseases after medical treatments.

• 문화기술의 융합
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• 제6권3호
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• pp.381-392
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• 2020

본 연구는 천연소재 12종의 페놀성 화합물 함량, 라디칼 소거능, 알코올탈수소효소(ADH), 아세트알데히드탈수소효소(ALDH) 활성도를 측정하고 상승효과를 가지도록 배합한 복합물의 숙취해소에 미치는 효과를 규명하는데 목적이 있다. 우수한 개별 소재를 선정하고 배합비를 달리하여 효능 평가를 통해, 배합비가 효능에 미치는 상관관계를 분석하였다. 8종의 추출물 중 보이차, 소나무, 갈근 순으로 ADH 활성이 높았고, 갈근은 배합량과 효능 간의 양의 상관관계, 보이차, 소나무 등은 음의 상관관계를 가지는 것으로 나타났다. 8종의 소재로 배합한 F1~F7 을 대상으로 ADH, ALDH 활성평가를 통해 F.7에서 상승효과가 가장 높은 것을 확인하여 최적 배합비로 도출하였다. F.7를 섭취한 시험군에서 알코올 섭취 30분 후부터 호기 알코올 농도가 섭취 직후 호기중 알코올 농도 대비 58%로 유의적으로 감소되기 시작하였고, 120분 후 27%로 호기중 알코올 농도가 감소되었다. 음주 후 발생하는 숙취증상 설문 결과 대조군에 비해 시험군에서 음주 후 발생하는 피곤함과 갈증에서 유의적인 개선효과 (p<0.05)가 있었다.