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A Diagnostic Algorithm after Newborn Screening for 21-hydroxylase Deficiency (선천성 부신 과형성증(21-hydroxylase 결핍)의 신생아 선별 검사 후 진단 알고리즘)

  • Cho, Sung Yoon;Ko, Jung Min;Lee, Kyung-A
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.16 no.2
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    • pp.70-78
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    • 2016
  • 21-hydroxylase deficiency (21-OHD), most common form of congenial adrenal hyperplasia, is categorized into classical forms, including the salt-wasting (SW) and the simple virilizing (SV) types, and nonclassical (NC) forms based on the severity of the disease. Newborn screening for 21-OHD has been performed in Korea since 2006. $17{\alpha}$-hydroxyprogesterone (17-OHP) is a marker for 21-OHD and is measured using a radioimmunoassay or a fluoroimmunoassay. Premature and low birth weight infants are likely to give false positive 17-OHP findings, therefore, cutoff values for these infants should be determined based on gestational weeks or birth weight. ACTH simulation test is helpful when the 17-OHP shows equivocal increase, and it is gold standard for diagnosis of NC type. Recently, liquid chromatography linked with tandem mass spectrometry was developed for rapid, highly specific, and sensitive analysis of multiple analytes. Molecular analysis of CYP21A2 is useful for confirming diagnosis of mild SV or NC type, predicting prognoses, and genetic counseling. In order to make newborn screening for 21-OHD more efficient, early detection of boy with SW type, early determination of girl with ambiguous genitalia, detection of NC type, and overcoming of false positive in premature and low birth weight infants should be considered. Above all, early treatment should be started when the patient is suspected as having 21- OHD clinically before confirming the diagnosis to prevent adrenal crisis. Here, author reviewed recent articles of guideline and proposed guideline for 21-OHD.

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Nutrikinetic study of fermented soybean paste (Cheonggukjang) isoflavones according to the Sasang typology

  • Kim, Min Jung;Lee, Da-Hye;Ahn, Jiyun;Jang, Young-Jin;Ha, Tae-Youl;Do, Eunju;Jung, Chang Hwa
    • Nutrition Research and Practice
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    • v.14 no.2
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    • pp.102-108
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    • 2020
  • BACKGROUND/OBJECTIVES: In Oriental medicine, certain foods may be beneficial or detrimental based on an individual's constitution; however, the scientific basis for this theory is insufficient. The purpose of this study was to investigate the effect of body constitution, based on the Sasang type of Korean traditional medical classification system, on the bioavailability of soy isoflavones of Cheonggukjang, a quick-fermented soybean paste. SUBJECTS/METHODS: A pilot study was conducted on 48 healthy Korean men to evaluate the bioavailability of isoflavone after ingestion of food based on constitution types classified by the Sasang typology. The participants were classified into the Taeeumin (TE; n = 15), Soyangin (SY; n = 15), and Soeumin (SE; n = 18) groups. Each participant ingested 50 g of Cheonggukjang per 60 kg body weight. Thereafter, blood was collected, and the soy isoflavone metabolites were analyzed by ultra-performance liquid chromatography/quadrupole time-of-flight mass spectrometry. Ntrikinetic analysis of individual isoflavone-derived metabolites was performed. RESULTS: Our nutrikinetic analysis identified 21 metabolites derived from isoflavones in the blood samples from 48 healthy Korean men (age range, 21-29 years). Significant differences were observed in the time to maximum concentration (Tmax) and elimination half-life (t1/2) for nine metabolites among the three groups. The Tmax and t1/2 of the nine metabolites were higher in the SE group than in the other groups. Moreover, the absorption rates, as determined by the area under the plasma-level curve (AUC) values of intact isoflavone, were 5.3 and 9.4 times higher in the TE group than in the SY and SE groups, respectively. Additionally, the highest AUC values for phase I and II metabolites were observed in the TE group. CONCLUSIONS: These findings indicate that isoflavone bioavailability, following Cheonggukjang insgestion, is high in individuals with the TE constitution, and relatively lower in those with the SE and SY constitutions.

Association of Hypertension with Cluster of Obesity, Abnormal glucose and Dyslipidemia in Korean Urban Population (한국인의 일부 도시인에서 비만, 이상혈당, 이상지질혈증의 집락과 고혈압의 관련성)

  • Lee, Kang-Sook;Kim, Jeong-Ah;Park, Chung-Yill
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.1 s.60
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    • pp.59-71
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    • 1998
  • To examine the association of hypertension with cluster of obesity, abnormal glucose and dyslipidemia in Korean urban population, we conducted this cross-sectional study among 3027 men and 2127 women age 20-85 years who visited a prevention center between May 1991 and June 1995 for a multiphasic health check at St. Mary's Hospital, Seoul. By the self-administered questionnaire, the informations of educational attainments, monthly income, alcohol consumption, cigarette smoking, and physical excercise level were obtained. Height, weight, and blood pressure were measured by a trained nurse. The fasting blood sugar (FBS), total cholesterol, high density lipoprotein (HDL) cholesterol and triglyceride were tested by enzyme method. Low density lipoprotein (LDL) cholesterol was calculated by 'total cholesterol - HDL cholesterol - triglyceride/5'. For testing the differences of cardiovascular risk factors between hypertension and normotension group, 1-test and $\chi^2$-test were performed. For the age adjusted odds ratios of hypertension in persons with obesity, abnormal glucose, and dyslipidemia compared with normal, logistic regression was performed by using SAS pakageprograme. The results obtained were as follows: 1. Age, weight, body mass index(BMI), blood glucose, total cholesterol, LDL cholesterol, and triglyceride of hypertension group in men and women were significantly higher than normotension group, but height and HDL cholesterol of hypertension group only in women significantly lower than normotension group. The frequency of obesity $(BMI\geq25kg/m^2)$, abnormal glucose $(\geq\;120mg/dl)$, hypercholesterolemia $(\geq\;240mg/dl)$, lower HDL cholesterol (<45 mg/dl in women only), higher LDL cholesterol $(\geq\;160mg/dl)$, and hyper hypertriglyceridemia $(\geq\;250mg/dl)$ in hypertension group of men and women were significantly higher than normotension group. 2. Systolic and diastolic blood pressure were negatively correlated with hight, but positively with age, weight, BMI, total cholesterol, LDL cholesterol, and triglyceride in men and women. BMI was positively correlated with fasting blood sugar, total cholesterol, LDL cholesterol and triglyceride but negatively with HDL cholesterol. 3. The age adjusted odds ratios of hypertension were as follows in men and women : among persons who were obese compared with those nonobese, 2.53 (95% Confidence Intervals [C.I.] 2.08-3.07) and 2.22 (95%C.I. 1.71-2.87): among persons who were abnormal glucose compared with those normoglycemic, 1.43 (95%C.I 1.13-1.82) and 2.01 (95%C.I 1.36-2.94): and among persons who were dyslipidemia (hypercholesterolemia or lower HDL cholesterol or higher LDL cholesterol or hypertriglyceridemia) compared with those normal lipid, 1.59 (95%C.I 1.30-1.95) and 1.51 (95%C.I 1.16-1.96). After combined more than one risk factor, the odds ratios were increased. Among persons with cluster of obesity, abnormal glucose, and dyslipidemia, the odds ratio of hypertension was 2.25 (95%C.I 1.47-3.37) in men and 3.02 (95%C.I 1.71-5.30) in women. In conclusion, it was suggested that hypertension was associated with cluster of obesity, abnormal glucose, dyslipidemia in this Korean urban population.

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Fragrance, Chemical Composition and Toxicity of the Essential Oil in Erect Bur-marigold (Bidens tripartita L.) (가막사리 (Bidens tripartita L.) 정유의 향취, 화학성분 및 세포독성)

  • Yun, Mi-Sun;Yeon, Bo-Ram;Cho, Hae-Me;Lee, Sa-Eun;Jhoo, Jin-Woo;Jung, Ji-Wook;Park, Yu-Hwa;Kim, Song-Mun
    • Korean Journal of Weed Science
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    • v.32 no.3
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    • pp.195-203
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    • 2012
  • The essential oil was extracted by steam distillation from the aerial part of erect bur-marigold (Bidens tripartita L.), one of the noxious weed in paddy field. The composition of the essential oil was analyzed by gas chromatography-mass spectrometry. The fragrance of the essential oil was green, herbal, oily, spicy. There were 42 constituents in the essential oil:17 hydrocarbons, 6 alcohols, 6 acetates, 5 N-containing compounds, 3 ethers, 3 ketones, 1 lactone and 1 S-containing compound. Major constituents were ${\alpha}$-phellandrene (22.50%), ${\alpha}$-pinene (22.21%), 2,4-dimethyl (2,5-dimethylphenyl) methyl ester benzoic acid (15.11%), limonene (10.66%), ${\beta}$-pinene (35.43%), and ${\beta}$-cubebene (5.27%). The $IC_{50}$ value in MTT assay using HaCaT keratinocyte cell line was 0.018%. However, attachment of patch with 0.1% of the erect bur-marigold essential oil for 24 hr did not show any skin toxicity. Overall results of this study suggest that the essential oil of erect bur-marigold could be used as a source for the development of perfumery industrial products.

A Study of the Combustion Flow Characteristics of a Exhaust Gas Recirculation Burner with Both Outlets Opening (양쪽 출구가 트인 배기가스 재순환 버너의 연소 유동 특성에 관한 연구)

  • Ha, Ji-Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.696-701
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    • 2018
  • The nitrogen oxides generated during combustion reactions have a great influence on the generation of acid rain and fine dust. As an NOx reduction method, exhaust gas recirculation combustion using Coanda nozzles capable of recirculating a large amount of exhaust gas with a small amount of air has recently been utilized. In this study, for the burner outlet with dual end opening, the use of a recirculation burner was investigated for the distribution of the pressure, streamline, temperature, combustion reaction rate and nitrogen oxides using computational fluid analysis. The gas mixed with the combustion air and the recirculated exhaust gas flow in the tangential direction of the circular cylinder burner, so that there is a region with low pressure in the vicinity of the fuel nozzle exit. As a result, a reverse flow is formed in the central portion of the burner near the center of the circular cylinder burner and the exhaust gas is discharged to the outside region of the circular cylinder burner. The combustion reaction occurs on the right side of the burner and the temperature and NOx distribution are relatively higher than those on the left side of the burner. It was found that the average NOx production decreased from an air flow ratio of 1.0 to 1.5. When the air flow ratio is 1.8, the NOx production increases abruptly. It is considered that the NOx production reaction increases exponentially with temperature when the air ratio is more than 1.5 and the NOx production reaction rate increases rapidly on the right-hand side of the burner.

The Association of Obesity and Left Colonic Adenomatous Polyps in Korean Adult Men (성인 남자에서 대장경 검사로 확인된 하부대장 선종성 용종과 비만의 관련성)

  • Kim, Chang-Sup;Cheong, Hae-Kwan;Jeong, Tae-Heum;Kim, Moon-Chan
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.415-419
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    • 2005
  • Objectives : We wanted to evaluate the relationship between obesity and left colonic adenomatous polyps in Korean adult men. Methods : This study was conducted among 575 adults men (aged between 40 and 69), who had colonoscopy done from January to December 2002 during a routine health examination at Health Promotion Center, Ulsan University Hospital. The patients' colons were examined up to splenic flexure by using fiberoptic colonoscopy. A questionnaire survey on behavioral factors and physical measurements were also done. The body mass index (BMI) and waist-hip ratio (WHR) were used as the indices of obesity. The BMI was categorized into three levels: normal ($BMI{\leq}22.9$), overweight ($23{\leq}BMI{\leq}24.9$), and obese ($BMI{\geq}25.0$). The WHR was categorized into four levels with cutoff points at the 30th, 60th, and 90th percentile of the control group. Age, education, smoking, alcohol use and exercise were controlled for by performing multiple logistic regression analysis. Results : There were 99 cases of colonic adenomatous polyps. Four hundred seventy six subjects with normal colonoscopy findings served as the control. The BMI and WHR were associated with the adenomatous polyps (odds ratio, 1.81 [95% CI=1.02-3.19] for a $BMI{\geq}25.0$ as compared with a $BMI{\leq}22.9$, odds ratio, 3.94 [95% CI=1.77-8.77] for a $WHR{\geq}0.95$ as compared with a $WHR{\leq}0.86$). The BMI was not associated with the risk of adenomatous polyps after additional adjustment was made for the WHR, but the association between the WHR and adenomatous polyps was still positive and independent of the BMI (odds ratio, 4.15 [95% CI=1.63-10.59]). Conclusions : The results support that obesity, and particularly abdominal obesity, can be associated with an increased risk of incurring colonic adenomatous polyps.

A Study on the Residual Mechanical Properties of Fiber Reinforced Concrete with High Temperature and Load (고온 및 하중에 따른 섬유보강 콘크리트의 잔존 역학적 특성에 관한 연구)

  • Kim, Young-Sun;Lee, Tae-Gyu;Nam, Jeong-Soo;Park, Gyu-Yeon;Kim, Gyu-Yong
    • Journal of the Korea Concrete Institute
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    • v.23 no.3
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    • pp.321-330
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    • 2011
  • Recently, the effects of high temperature and fiber content on the residual mechnical properties of high-strength concrete were experimentally investigated. In this paper, residual mechanical properties of concrete with water to cement (w/c) ratios of 0.55, 0.42 and 0.35 exposed to high temperature are compared with those obtained in fiber reinforced concrete with similar characteristics ranging from 0.05% to 0.20% polypropylene (PP) fiber volume percentage. Also, factors including pre-load levels of 20% and 40% of the maximum load at room temperature are considered. Outbreak time, thermal strain, length change, and mass loss were tested to determine compressive strength, modulus of elasticity, and energy absorption capacity. From the results, in order to prevent the explosive spalling of 50 MPa grade concretes exposed to high temperature, more than 0.05 vol. % of PP fibers is needed. Also, the cross-sectional area of PP fiber can influence the residual mechanical properties and spalling tendency of fiber reinforced concrete exposed to high temperature. Especially, the external loading increases not only the residual mechanical properties of concrete but also the risk of spalling and brittle failure tendency.

Trace Element Compositions and Optically Stimulated Luminescence Characteristics of Sedimentary Quartz (퇴적물 내 석영의 광여기 루미네선스 특성과 미량원소 조성)

  • Jeon, Gi-Young;Choi, Jeong-Heon;Kil, Young-Woo
    • Journal of the Mineralogical Society of Korea
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    • v.23 no.4
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    • pp.357-365
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    • 2010
  • Optically stimulated luminescence (OSL) of quartz is commonly applied to the age dating of Quaternary sediments. However, one of the issues is that some of the quartz samples are not suitable to OSL dating. Mineralogical analysis of the quartz samples with diverse OSL signals are required to strengthen the reliability and applicability of the OSL dating. We analysed the OSL signal characteristics of sedimentary quartz samples from diverse geological environments and measured their trace element contents using laser-ablation inductively coupled plasma mass spectrometry (LA-ICP-MS). Quartz samples could be grouped into ones suitable to OSL dating and ones unsuitable on the basis of their OSL signal characteristics. The average trace element contents ranged from 73 to 260 ppm (Al), and from 61 to 248 ppm (Ti) with minor Li, Mg, Cr, Mn, and Fe contents below 40 ppm. We did not find any significant variation of trace element contents of quartz samples consistent with their OSL signal characteristics. This indicates unknown mineralogical factors causing diverse OSL characteristics which should be confirmed by further analysis of sufficient set of samples.

Relation between Beverage Consumption Pattern and Metabolic Syndrome among Healthy Korean Adults (건강한 한국성인의 음료섭취패턴과 대사증후군의 연관성 연구 -2013~2015년 국민건강영양조사를 바탕으로-)

  • Dennis, Eun Ju;Kang, Minji;Han, Sung Nim
    • Korean Journal of Community Nutrition
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    • v.22 no.5
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    • pp.441-455
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    • 2017
  • Objectives: The purpose of this study is to describe beverage patterns among healthy Korean adults and investigate their association with prevalence and components of metabolic syndrome. Methods: Subjects consisted of 6,927 Korean adults, aged 19-64 years in the $6^{th}$ Korea National Health and Nutrition Examination Survey (KNHANES, 2013-2015). Beverages were regrouped into twelve groups based on food codes and beverage intake (g/day) was assessed by 24-hour recall. Factor analysis was used to obtain beverage patterns. Waist circumference and body mass index (BMI) were used as anthropometric data; fasting blood glucose, triglyceride, high density lipoprotein (HDL), and blood pressure were used as biochemical indicators. The odds ratio (OR) for prevalence of metabolic syndrome and components of metabolic syndrome was assessed using logistic regression analysis. Results: Three beverage patterns were identified using factor analysis: 1) carbonated soft drinks 2) coffee (without added sugar or powdered creamer), and 3) alcoholic beverages. Subjects with high scores for the carbonated soft drink and coffee without added sugar or powdered creamer patterns were younger and subjects with high scores for the alcoholic beverage pattern were older. There were significant differences in gender distribution in all three beverage patterns, with men more likely to have high scores for carbonated soft drink and alcoholic beverage patterns. On the other hand, women were more likely to have higher scores for coffee without added sugar or powdered creamer pattern. Within each pattern, there were significant differences in sociodemographic and lifestyle characteristics such as education, household income, frequency of eating out, and smoking status according to the quartile of pattern scores. Alcoholic beverages and carbonated soft drinks patterns were associated with an increased levels of metabolic syndrome components, but coffee without added sugar or powdered creamer was not associated with any of metabolic syndrome components in healthy Korean adults after adjusting for age, sex, education, BMI, weight management, household income, smoking status, frequency of eating out, and energy intake. Conclusions: Alcoholic beverages and carbonated soft drinks patterns are associated with increased levels of metabolic syndrome components while coffee without added sugar or powdered creamer pattern is not associated with any of metabolic syndrome components in healthy Korean adults.

A Study on the Effects Plastics have on the Product Designs through the Development of Plastic Materials - On & Around the Streamline favored by the Generation 1920-30'th - (플라스틱의 개발이 제품 디자인에 미친 영향에 관한 연구 - 1920-30년대 유선형을 중심으로 -)

  • Lee, Ok-Bun
    • Archives of design research
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    • v.19 no.2 s.64
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    • pp.283-292
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    • 2006
  • The Plastic material had been developed in the middle of the 19th century as an alternative material. Along with the development of the electrical engineering industry, it cropped up into center stage as an effective material and has increasingly expanded its use. As such, the plastic material has bound deep-seated ties with the design activities of industrial products, coming into the main material for a variety of industrial designs. Despite its dose affinity to design function in terms of its materialistic property, we have rarely seen examples of intensive study on the realtionship between plastics and designs. This study aims to find the importance that the substance affects industrial products in designs along with the development of plastic materials. With the objective in mind, we made a review of the streamline stylishness that had flourished in the twenties and thirties of the 19th century. Through this study, we understand that the plastic material has a close realtionshop with design activities in three different aspects. First, its amorphous state of nature makes it possible to change into any shape one desires in plastic surgery, which feature in turn influences the moulding of any design forms. Second, the plastic material is best suited to mass-manufacture, which induces to reduce the cost of production. Hence, the expansion of design industry. Third, the plastic material allows the multiple variety of colors, sensitivity, gloss and patterns and infinitely large possibility ranging from natural senses to human senses with the result that numberless diversity of designs cdould come into being.

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