• 동의생리병리학회지
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• 제21권2호
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• pp.462-467
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• 2007

The radix of Pueraria thunbergiana BENTHAM (Leguminosae) is traditionally prescribed to attenuate the clinical manifestations of inner ear dysfunction and various clinical situations including fever, gastrointestinal disorders, skin problems, migraine headaches, lowering cholesterol and treating chronic alcoholism in Oriental Medicine. In the present study, we examined the effect of ethanol extract of P. thunbergiana radix (EPR) on cisplatin-mediated HEI-OC1 auditory cell death. In addition, to investingate the protection mechanism of EPR on free radicals. Treatment of EPR protected cells from cisplatin and reduced lipid peroxidation in a dose-dependent manner. Furthermore, EPR demonstrated significant scavenging activity against various free radicals, including superoxide radical, hydroxyl radical, hydrogen peroxide, and DPPH radical. These results indicate that EPR protects cisplatin-induced damages of HEI-OC1 cells through inhibition of lipid peroxidation and augmenting scavenging activities against free radials.

• 보건교육건강증진학회지
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• 제31권2호
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• pp.15-26
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• 2014

Objectives: This study investigates the drinking state of the homeless, including the factors that influence this state, and the related services that the homeless require. Methods: A total of 163 adults residing in homeless shelters in Incheon, were recruited from November 15 to December 28, 2013. The Korean version of the Alcohol Use Disorders Identification Test was used. The data collected were analyzed using descriptive statistics, ANOVA, chi-square, and logistic regression. All analyses were conducted using SPSS 18. Results: Among the respondents, 59.5% engaged in normal drinking, 17.2% engaged in problem drinking and 23.3% suffered from high risk drinking. Alcohol Problems of homeless were found to increase along with total drinking periods. And high risk drinker were more likely to have 3.2 times of loneliness, 6.5 times of insomnia, and the reason for homeless is alcohol problem 14.0 times higher. Conclusions: Alcohol problems among the homeless are chronic and difficult to solve through temporary measures and short-term interventions. Therefore, the development of appropriate services and policies for the homeless is important. The results of the study can be used as a basis for the development of management measures tailored to the distinctive needs of the homeless.

• 동의생리병리학회지
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• 제21권4호
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• pp.884-890
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• 2007

A mechanism of hair cell damage caused by noise and ototoxic agents is mediated through generation of free radicals and reactive oxygen species(ROS). It is known that most of animals have defense systems of ROS that protect against ROS, and the cochlea of animals also has ROS defense system, which appear efficient in detoxifying ROS generated under normal condition. This system includes several antioxidant enzymes such as superoxide dismutase(SOD), catalase(CAT), glutathione peroxidase (GPX), and glutathione reductase(GR). The radix of Pueraria thunbergiana(P. thunbergiana) is traditionally prescribed to attenuate the clinical manifestation of inner ear dysfunction and various clinical situations including fevers, gastrointestinal disorders, skin problems, migraine headaches, lowering cholesterol, and treating chronic alcoholism in Oriental Medicine. In the present study, to investigate the protection mechanism of ${\beta}-sitosterol$ from P. thunbergiana on cisplatin cytotoxicity toward HEI-OC1, we measured the effects of ${\beta}-sitosterol$ on activities of SOD, CAT, GPX, and GR in cisplatin treated cells. SOD, CAT, GPX, and GR activities were significantly increased in the presence of 0.001-0.1 ${\mu}g/ml$ of ${\beta}-sitosterol$ compared to the control group. These results indicate that ${\beta}-sitosterol$ protects cisplatin-induced HEI-OC1 cell damage through increasing the antioxidant enzyme system such as SOD, CAT, GPX, and GR.

• Journal of Preventive Medicine and Public Health
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• 제26권2호
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• pp.179-191
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• 1993

Generally fatty liver is attributed either to chronic alcoholism, diabetes mellitus, or obesity. Based upon this commonly held clinical brief, this study was conducted to investigate the contributing factors of fatty liver and odds ratio (OR) of known contributing factors. A sample of 310 male participants, who visited at Seoul Paik Automated Multiphasic Health Testing System from November 1991 to December 1991, was separated into 112 cases and 198 controls by ultrasonographic fin ding. There were statistically significant difference between fatty liver and normal in triglyceride (TG), body mass index (BMI), alanine aminotransferase (ALT), high density lipoprotein cholesterol (HDL-C), fasting blood sugar (FBS), alcohol consumption, low density lipoprotein cholesterol (LDL-C), total cholesterol, gamma-glutamyl transferase ($\gamma$-GT), duration of alcohol intake and alkaline phosphatase (Alk.P)(P<0.01, P<0.05). The statistically significant elevated odds ratio were noted for TG (4.48, confidence interval (CI) 2.66-7.55, P=0.000), alcohol consumption(3.24, CI 1.56-6.23, P=0.002), BMI(3.05, CI 1.87-4.97, P=0.000), and FBS (2.59, CI 1.53-4.40, P=0,000). In summary, it is suggested that the fatty liver could be preventive by avoiding such deleterious factors as high fat diet, alcohol and obesity.

• Journal of Audiology & Otology
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• 제23권2호
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• pp.63-68
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• 2019

Background and Objectives: To investigate the relationship between hearing impairment and alcohol drinking patterns in South Korean adults. Subjects and Methods: Data collection was performed by Korean National Health and Nutrition Survey from January 1 to December 31, 2012. Data analyses were performed from February 20 to March 3, 2018. Data from 3,860 adults 20 years of age or older without a history of malignancy or chronic otitis media in the Korean National Health and Nutrition Survey 2012 database who participated in the health questionnaires, and who had available results from otologic examinations that included pure tone audiogram, were included. Pure-tone average hearing thresholds were calculated at 500, 1,000, 2,000, and 4,000 Hz. Hearing loss was defined as a pure-tone average >40 dB in one or both ears. The Alcohol Use Disorder Identification Test was used to evaluate drinking statuses of subjects. Data were analyzed using the complex-sample χ²-test of independence and a complex-sample logistic regression analysis. Results: Of the 29,954,319 individuals in the weighted cross-sectional study population, 15,106,040 (50.4%) were men and 14,848,098 (49.6%) were women. A total of 8.1% of men and 7% of women had hearing impairment. The degrees of drinking with appropriate, risky, and hazardous drinking habits were 58.2, 32.1, and 9.7% among men; and 76.4, 12.5, and 11.1% among women, respectively. Among men, the odds ratio of hearing loss increased by 2.506 times when comparing hazardous and appropriate drinking (confidence interval, 1.083 to 5.800, p=0.002). Moderate alcohol consumption (≤2 drinks per day) was not protective for hearing in either group. Conclusions: As hazardous drinking tends to coexist with hearing impairment in men, appropriate prevention and intervention strategies should be emphasized. A longitudinal study to investigate harmful drinking and the mechanism of hearing loss should be performed.

• 대한청각학회지
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• 제23권2호
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• pp.63-68
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• 2019

Background and Objectives: To investigate the relationship between hearing impairment and alcohol drinking patterns in South Korean adults. Subjects and Methods: Data collection was performed by Korean National Health and Nutrition Survey from January 1 to December 31, 2012. Data analyses were performed from February 20 to March 3, 2018. Data from 3,860 adults 20 years of age or older without a history of malignancy or chronic otitis media in the Korean National Health and Nutrition Survey 2012 database who participated in the health questionnaires, and who had available results from otologic examinations that included pure tone audiogram, were included. Pure-tone average hearing thresholds were calculated at 500, 1,000, 2,000, and 4,000 Hz. Hearing loss was defined as a pure-tone average >40 dB in one or both ears. The Alcohol Use Disorder Identification Test was used to evaluate drinking statuses of subjects. Data were analyzed using the complex-sample χ²-test of independence and a complex-sample logistic regression analysis. Results: Of the 29,954,319 individuals in the weighted cross-sectional study population, 15,106,040 (50.4%) were men and 14,848,098 (49.6%) were women. A total of 8.1% of men and 7% of women had hearing impairment. The degrees of drinking with appropriate, risky, and hazardous drinking habits were 58.2, 32.1, and 9.7% among men; and 76.4, 12.5, and 11.1% among women, respectively. Among men, the odds ratio of hearing loss increased by 2.506 times when comparing hazardous and appropriate drinking (confidence interval, 1.083 to 5.800, p=0.002). Moderate alcohol consumption (≤2 drinks per day) was not protective for hearing in either group. Conclusions: As hazardous drinking tends to coexist with hearing impairment in men, appropriate prevention and intervention strategies should be emphasized. A longitudinal study to investigate harmful drinking and the mechanism of hearing loss should be performed.

• 대한영상의학회지
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• 제83권6호
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• pp.1418-1425
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• 2022

고령의 만성 음주력이 있는 환자들이 지속되는 흑색변, 복통과 빈혈을 주소로 내원하였다. 입원하여 시행한 복부 전산화단층촬영상 출혈을 동반한 췌장 낭성 병변이 보였다. 저자들은 카테터 경유 혈관조영술로 명확한 활동성 출혈 소견을 확인하였으며, 동맥색전술을 시행하였다. 시술 이후 출혈 증상은 호전되었다. 저자들은 위장관 출혈의 드문 원인인 췌장염에 합병된 hemosuccus pancreaticus와 췌장대장루를 혈관중재시술을 통해 치료한 2예를 보고하고자 한다.

• Journal of Nutrition and Health
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• 제36권8호
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• pp.801-810
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• 2003

본 연구는 만성적인 에탄올 섭취시 엽산 결핍이 체내 콜레스테롤 함량과 항산화계에 미치는 영향을 조사하고자 Sprague-Dawley종 흰쥐에게 총 열량의 36%에 해당하는 에탄올을 함유한 액체식이를 4주간 급여하였다. 본 실험에서 얻은 결과는 다음과 같다. 일일 체중증가량과 사료효율은 알코올 급여군이 각각의 pair-fed군보다 낮았고 엽산 공급의 유무에 따른 영향은 없었다. 총 콜레스테롤 함량은 엽산 결핍과 함께 에탄올을 급여시킨 ED군과 Pair-fed군인 PD군 사이에는 유의적인 차이가 없었으나 엽산과 함께 에탄올을 급여시킨 EF군이 pair-fed군인 PF군보다 유의적으로 높았다. HDL-콜레스테롤 함량과 HDL/총 콜레스테롤 함량은 전 군에서 유의적인 차이를 보이지 않았다. 혈장내 지질과산화물 함량은 엽산 결핍군인 PD와 ED군 모두 높았으며 엽산급여군에서는 에탄올을 급여한 EF군 pair-fed군인 PF군에 비해 유의적인 증가를 보여서 에탄올에 의한 지질과산화물 함량증가에 엽산 공급이 아무런 도움을 주지 못한 것으로 나타났다. 간 마이크로솜 내 지질과산화물 함량 역시 혈장내 지질과산화물 함량과 동일한 경향으로 에탄올 급여로 증가된 지질과산화물 함량에 대하여 엽산이 별다른 효과를 보이지 않았다. ADH 활성화는 전군에서 유의적인 차이가 없었고 catalase 활성도는 엽산을 결핍시킨 PD와 ED군과 에탄올 급여와 함께 엽산을 공급한 EF군이 pair-fed군인 PF군에 비해 유의적으로 높은 활성을 보였다. 간 세포질에서 SOD 활성은 전 군에서 유의적인 차이가 없었고 GSH-Px 활성은 에탄올 급여군이 각각의 pair-fed군에 비하여 유의적으로 낮은 활성을 보였으며 특히 에탄올과 함께 엽산을 공급한 EF군에서 가장 낮은 활성을 나타내었다. 그리고 GST 활성은 전 군에서 유의적인 차이를 보이지 않았다. 혈장내 retinol 함량은 엽산의 공급 유무와 상관없이 에탄올 급여군인 ED와 EF가 각각의 pair-fed군에 비하여 유의적으로 낮은 함량을 보였다. 간조직 내 retinol 함량은 엽산 결핍군에서는 에탄을 급여군인 ED군이 pair-fed군인 PD군에 비하여 유의적으로 낮은 함량을 보였으나 엽산 공급군에서는 에탄올에 의한 retnol 함량 저하에 대하여 엽산이 보호효과를 보였다. 간조직 내 retinyl palmitate 함량 역시 엽산의 공급 유무와 상관없이 에탄올 급여군이 비급여군에 비하여 유의적으로 낮은 함량을 나타내었다. 혈장내 비타민 E 함량은 엽산을 결핍시킨 군 중 에탄올 급여군인 ED군이 pair-fed군인 PD군에 비하여 유의적으로 비타민E 함량이 낮았으며 엽산을 공급시킨 군에서는 에탄올 급여군과 pair-fed군 사이에 유의적인 차이가 없었다. 이상의 결과를 통해서 볼 때 에탄올 급여시 혈장 내 콜레스테롤 함량은 엽산 섭취에 의해 증가되었으나 지질과산화물과 항산화 효소 및 항산화 영양소의 변화에 대하여 엽산결핍이 에탄올 섭취에 의해 변화된 항산화계의 손상을 더욱 가중시키는 경향이 있는 것으로 나타났다.

• Tuberculosis and Respiratory Diseases
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• 제72권1호
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• pp.55-58
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• 2012

Mycobacterium szulgai is a rare nontuberculous mycobacterium found in Korea. It is an opportunistic pathogen and is usually isolated from patients with a history of alcoholism, chronic pulmonary disease, or an immunocompromising condition. We present here a case of M. szulgai isolated from a patient with a history of pulmonary tuberculosis. A 54-year-old man was admitted with dyspnea and febrile sensation. He had a history of pulmonary tuberculosis which occurred 30 years earlier and treatment with anti-tuberculosis medication. His chest computed tomography scan showed cavitary consolidation in both upper lungs. A sputum acid-fast bacilli (AFB) smear was positive and anti-tuberculous medication was started. However, a polymerase chain reaction for mycobacterium tuberculosis was negative and anti-tuberculous medication was stopped. M. szulgai was isolated on 3 separate sputum and bronchial wash fluid AFB cultures. He was treated with clarithromycin, rifampicin, and ethambutol. After 1 month, a sputum AFB smear and culture became negative and no additional M. szulgai were isolated during a 16-month treatment.

• 한국콘텐츠학회논문지
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• 제12권4호
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• pp.358-366
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• 2012

간경화(liver cirrhosis)는 섬유조직의 증식과 재생성 결절 형성의 형태학적인 변화로 2차적으로 간내혈관의 변형 및 간기능의 저하가 나타나는 질병이며, 정맥류, 복수와 부종, 간성뇌증, 간암 등의 합병증 동반을 미연에 방지하는 것이 간경변증 진단 및 치료에 핵심이다. 일반적으로 간 컴퓨터단층영상이 간경변의 진단 및 병기를 결정하는 방법으로 사용한다. 그러므로 본 연구에서는 간경화의 자동 인식을 위하여 PCA와 TIA 알고리즘을 이용한 특징추출을 통하여 간경변의 자동 검출능력을 알아보고, 각 알고리즘간의 성능을 비교하였다. 실험은 학습영상과 테스트영상으로 구분한다. 고유영상을 생성시키기 위한 학습영상으로 정상영상이 사용되고, 테스트영상으로는 간경화영상이 사용된다. 간 CT 영상에서 간의 질병 부위를 균등하게 ROI 설정하고, $50{\times}50$ 픽셀 크기로 영상을 저장하여 실험하였다. 실험결과로 PCA는 간경화 검출율이 35%로 질병 인식으로 부적합하며, TIA 알고리즘의 AGL, TM, MU, EN는 100% 질병 인식력을 나타내어 간경화 자동 진단 인식으로 가능했다. 또한 결과를 임상에 적용하여 간경변의 컴퓨터보조진단으로 활용한다면 영상의학과 의사에게 업무 부담을 줄이고, 일차적 간경변의 스크리닝 도구로서 활용이 가능할 것이다. 그리고 TIA 알고리즘을 활용한 자동진단은 질병 진단의 전단계로서 예비판독의 정보를 제공하며 간경변의 조기 진단 및 예방이 가능다고 판단된다.