• 대한지역사회영양학회지
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• 제6권5호
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• pp.744-754
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• 2001

This study examined the effect of self-perception of health and related factors of flood life and disease on health floods intakes among the middle aged(150 men and 159 women) in the Jeonbuk region. The health foods were classified into 4 groups including Chinese medicine(CM), toner foods(TF), nutritional supplements(NS), and other manufactured health foods supplements(MHFS). Differences of BMI and self-perception for body shape was that overweight was 30% in men and 24.5% in women on BMI, but conversely was 21.3% in men and 43.4% in women on self-perception for body shape. Men thought themselves more than normal weight, but women thought themselves less than normal weight for the criteria of normal weight. Consumption of CM was high in the overweight group on BMI and was a low in the overweight group on self-perception for bodyshape Men thought themselves better than women and those in their 40's thought better than those in their 50's on self perception of health status, and women were better than men on self-perception of food habits. The difference of health foods intakes according to the self-perception of health status and food habits was not significant. The points of food habits, food attitude and nutrition knowledge were 11.21 $\pm$ 2.43, 68.18 $\pm$ 15.56 and 15.53 $\pm$ 1.59 in women and 10.49 $\pm$ 2.71, 67.53 $\pm$ 14.41, and 15.11 $\pm$ 1.79 in men respectively. The points of all were higher for women than for men. Consumption of CM (p < 0.01) and TF(p < 0.01) were a low in groups that scored high points on nutrition knowledge. The points of climacteric symptoms were that men were 48.36 $\pm$ 6.30 and woman were 46.43 $\pm$ 6.70. Men thought themselves in good condition more than women(p < 0.01), and those in their 40's thought themselves in good condition as opposed to those in their 50's in men(p < 0.05). Consumption of TF and NS were high in the low points group on climacteric symptoms(p < 0.01). Women were higher than men on morbidity, but men were more than women on cases of liver disease(p < 0.01). Consumption of CM was high in the liver disease group(p < 0.05), MHFS was high in the kidney disease group(p < 0.05), TF and NS were hgih in the bone disease group(p < 0.05) and NS was hgih in the endocrine disease group(p < 0.05). People in their 40's were higher than those in their 50's in men on morbidity of cold(p < 0.05), women were higher than men by about 2 times on constipation (p < 0.01), those in their 40's were higher than those in their 50's in mein on gastritis(p < 0.05). Consumption of NS was highest for those with diseases in respiratory organs and gastrointestinal tracts. This study suggests that nutritional education for the right recognition of self-perception of health status and food habits, and nutrition knowledge are needed to select for health floods. Consumption of health foods was different according to kinds of diseases. Thus, recognition of etiology, symptoms and dietetics of diseases is needed to select adequate health foods for diseases in middle age.

• Tuberculosis and Respiratory Diseases
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• 제39권6호
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• pp.502-510
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• 1992

연구배경 : Neuron specific enolase (NSE)는 뇌조직의 신경원에서 처음 발견된 당분해 효소이며, APUD 세포 및 신경내분비계에도 존재하는 것으로 알려졌다. 소폐포폐암은 신경내분비세포 및 APUD 세포와 많은 공통점을 가지고 있다. 따라서 NSE 항체를 사용하는 면역조직화학 염색과 혈청내 NSE 농도측정은 신경내분비 분화를 하는 폐종양의 표지자로서 사용될 수 있으며 소세포폐암의 진단에 유용할 수 있다. 방법 : 소세포폐암으로 진단받은 22명과 대조군으로는 비소세포폐암환자 21명을 대상으로 하였으며 생검조직에서 NSE 항체를 이용한 면역조직화학염색을 시행하고 환자의 혈청에서 방사면역측정법으로 NSE 농도를 측정하였다. 결과: 1) NSE 항체를 이용한 면역조직화학염색 NSE 항체를 이용한 면역조직화학영색에서 소세포폐암군 환자는 18명중 9명에서 양성 반응을 보였으며, 비소세포폐암 환자중 면역조직화학염색을 시행한 16명중 5명에서 양성 반응을 보였다. 2) 방사면역 측정법에 의한 혈청 NSE농도 측정 비소세포폐암군의 혈청 NSE평균치는 $11.79{\pm}4.47\;ng/ml$이었으며 소세포폐암군의 혈청 NSE치는 개인차가 심하기는 하였으나(6.01~361.4 ng/ml) 그 평균치는 $59.30{\pm}77.88\;ng/ml$으로 두 군 사이에는 유의한 차이가 있었다. 소세포폐암환자중 limited disease군의 혈청 NSE 평균치는 $20.19{\pm}12.91\;ng/ml$이었으며, extended disease군의 혈청 NSE치는 역시 개인차가 심하기는 하였으나(17.15~361.44 ng/ml) 그 평균치는 $91.9{\pm}94.2\;ng/ml$로 두 군 사이에 유의한 차이를 보였다. 정상인에서의 혈청 NES 농도는 측정하지 않았으나 대조군인 비소세포폐암군환자 평균+2x표준편차인 20 ng/ml을 기준으로 할 때 소세포폐암환자 22명중 16명(73%)에서 증가된 소견을 보였고 이중 limited disease는 50%(5/10), extended disease는 92% (11/12)에서 증가되었으며, 비소세포암 환자중에서는 1명(1/21)만이 증가된 소견을 보였다. NSE 혈청농도와 면역조직화학염색 정도를 비교시 소세포폐암군과 비소세포폐암군 모두에서 유의한 상관관계를 보이지 않았다. 결론 : 혈청 NSE농도측정은 소세포폐암환자에서 암표지자로서 유용한 방법이 될 수 있을 것으로 사료되며 항 NSE 항체를 이용한 생검조직의 면역조직화학염색은 분화가 나빠 고식적인 현미경적 소견만으로는 소세포암과 비소세포암과의 강벌이 어려운 경우 정확한 조직유형 결정과 신경내분비 기원을 뵈이는 폐암의 진단에 도움을 줄 수 있을 것으로 사료된다.

• Molecules and Cells
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• 제26권5호
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• pp.459-461
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• 2008

Much research evidence supports the hypothesis that chronic, low-grade inflammation related to innate immunity may play an important role in the pathophysiology of type 2 diabetes mellitus (T2DM). Runt-related transcription factor 2 (RUNX2; MIM# 600211) acts as a scaffold that controls the integration, organization, and assembly of nucleic acids. To examine whether the novel promoter variant in RUNX2 is associated with the risk of T2DM and related phenotypes, RUNX2-742G > T was genotyped in 378 T2DM patients and 382 normal controls recruited in the Korean T2DM Study. Statistical analysis revealed that RUNX2-742G > T was associated with serum triglyceride level (TG) in nondiabetic controls, although it was not associated with the risk of T2DM. Individuals who carry T/T, T/G, and G/G genotypes had the highest ($2.061{\pm}0.20$), intermediate ($2.01{\pm}0.19$), and the lowest ($1.97{\pm}0.18$) levels of log [TG (mmol/l)] (P = 0.007), respectively. Our data on this important variant of RUNX2 suggest that lipid metabolism might be affected by genetic polymorphisms in the promoter region.

• 대한치과의사협회지
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• 제48권7호
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• pp.538-546
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• 2010

Dental surgical procedures are potentially stress-inducing to not only patients but clinicians especially in case of medically compromised patients. The body response to dental stress involves the cardiovascular, respiratory and the endocrine system. To minimize the stress to the medically compromised patients, the stress reduction protocols should be established. The protocols include (1) Recognize the patient's degree of medical risk (2) Medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Intra-venous sedation during surgical procedures (6) Adequate pain control during therapy (7) Short length of appointment time (8) Contact the patients on the same day. Two cases of Bisphosphonate-related osteonecrosis of the jaws were analyzed. There were 2 women, and the mean age was 70 years (range, 64~74 years). both are medically compromised, with steroids. Both patients were taking an oral bisphosphonate for several years. BRONJ is defined as an area of exposed bone of more than 8 weeks - duration in a patient taking a bisphosphonate for bone disease. Bisphosphonates have been widely prescribed over the last decade for a range of bone diseases, mainly intravenously for bone cancers and orally for osteoporosis. Although it is still controversial as to precisely how the bisphosphonates work, generally it is accepted that they prevent osteoclast action, with consequent cessation of osteoblast activity, so that the bone turnover is markedly reduced or ceased. The aim of this study is to informed the clinicians how to prepare and recognize in case of the BRONJ with medically compromised patients.

• 동의생리병리학회지
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• 제25권6호
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• pp.989-995
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• 2011

Hypothyroidism is the most common disease in the endocrine system. Cistanche Deserticola has been used traditionally in the treatment of kidney deficiency and Yang deficiency syndrome. In this study, we investigated the therapeutic effects of Cistanche Deserticola on Hypothyroidism rat model induced by PTU. 24 Two-month-old Sprague-Dawley male rats were divided into 4 groups : 1) normal(n=6), 2) PTU-induced hypothyroidism control(n=6), 3) hypothyroidism rat treated with Cistanche Deserticola(n=6), 4) hypothyroidism rat treated with levothyroxine(n=6). PTU was administered for 4 weeks. Cistanche Deserticola and levothyroxine was administered 2 weeks after PTU was initiated for a total duration of 2 week. Body weights were checked every week and after 4 weeks, biochemical analysis was performed and T3, T4 and TSH were measured by ELISA kits. In comparison with the normal group, the control group showed hypothyroidism with lower T3, T4 level and higher TSH level. In the Cistanche group the level of T4 was significantly increased and TSH level was significantly decreased. There was no significant difference in biochemical labs and weight between the Cistanche group and the control group. These findings suggest that Cistanche Deserticola could help the production of thyroid hormones under PTU suppression. And there is no harmful effect on liver and kidney function, and other metabolism. According to these results Cistanche Deserticola could be an useful agent for treating hypothyroidism.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4587-4592
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• 2012

Purpose: This study used receiver operating characteristic curve to analyze Surveillance, Epidemiology and End Results (SEER) neuroblastoma (NB) and other peripheral nerve cell tumors (PNCT) outcome data. This study found under usage of radiotherapy in these patients. Materials and methods: This study analyzed socio-economic, staging and treatment factors available in the SEER database for NB and other PNCT. For the risk modeling, each factor was fitted by a generalized linear model to predict the outcome (soft tissue specific death, yes/no). The area under the receiver operating characteristic curve (ROC) was computed. Similar strata were combined to construct the most parsimonious models. A random sampling algorithm was used to estimate the modeling errors. Risk of neuroendocrine (other endocrine including thymus as coded in SEER) death was computed for the predictors. Results: There were 5261 patients diagnosed from 1973 to 2009 were included in this study. The mean follow up time (S.D.) was 83.8 (97.6) months. The mean (SD) age was 18 (25) years. About 30.45% of patients were un-staged. The SEER staging has high ROC (SD) area of 0.58 (0.01) among the factors tested. We simplified the 4-layered risk levels (local, regional, distant, un-staged/others) to a simpler 3-tiered model with comparable ROC area of 0.59 (0.01). Less than 50% of PNCT patients received radiotherapy (RT) including the ones with localized disease. This avoidance of RT use occurred in adults and children. Conclusion: The high under-staging rate may have precented patients from selecting definitive radiotherapy (RT) after surgery. Using RT for, especially, adult PNCT patients is a potential way to improve outcome.

• 환경생물
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• 제29권4호
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• pp.241-250
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• 2011

현대인들은 가정생활과 직업환경 속에서 다양한 종류의 전자기파에 노출되며 전자기파 노출에 따른 생체위해성은 공중보건학적으로 중요한 이슈로 대두되었다. 현재까지 많은 체외 및 체내실험 결과에서 전자기파 노출이 세포대사, 내분비, 면역, 신경, 생식, 태아발달에 영향을 미치는 것으로 보고되었다. 세포나 개체 수준에서 시행된 실험연구에서는 전자기파 노출에 의해 세포내부 자유기의 증가, DNA 손상과 암발생, 발생기형, 생식기능 저하가 나타난다. 역학조사결과 전자기파 노출은 생명을 위협하는 질병인 백혈병, 뇌암, 근위축성 측삭경화증, 우울증, 자살, 알츠하이머와 상관성이 보고되었다. 이러한 생체기능 변화는 전자기파의 주파수, 노출기간, 강도 (에너지)에 따라 다르게 나타난다. 전자기파 노출은 곤충, 어류, 양서류, 파충류, 조류 등 야생동물에서도 동물행동, 번식, 생리기능의 변화를 초래한다. 본 소고에서는 인간보건학적 측면과 생태계에서 나타난 전자기파의 위해성을 전자기파의 종류, 노출시간에 따라 세포 및 개체 수준에서 보고된 위해성 자료를 정리하였다.

• 대한골관절종양학회지
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• 제2권1호
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• pp.78-87
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• 1996

The results of treatment of eighteen lesions of fibrous dysplasia which of them seventeen lesions were treated with surgery were reviewed at the Department of Orthopedic Surgery, College of Medicine, Hanyang University Hospital. We studied to evaluate the functional clinical results and the recurrence according to the type of disease, grafted bone, methods of treatment and location of lesion. We treated sixteen patients(five males and eleven females) and their mean age was 22.6 years. There was no association with skin pigmentation or dysfunction of endocrine system. Twelve patients had a monostotic pattern and four patients had a polyostotic pattern. Twelve lesions were treated with curettage and bone grafting and four lesions in the proximal femur were treated by internal fixation with curettage and bone grafting. One lesion was treated by en-bloc resection. There were eleven satisfactory results in twelve monostotic lesions and there were four satisfactory results in five polyostotic lesions, but the recurrence were four cases, respectively. The two unsatisfactory results were seen in two patients treated by autografting, but there were three recurrence of four lesions in autografting only, one of five in autografting and allografting, four of eight in allgrafting or xenografting. Four of six lesions in upper extremity were recurred after curettage and bone grafting and five of them showed satisfactory results. In pelvic and lower extremity lesions, the recurrence were occurred in two lesions after curettage and bone grafting and in two lesions after internal fixation and bone grafting. The recurrence does not always provide an unsatisfactory functional results and the recurrence showed higher rate in radiologic pattern of ground glass appearance with-out marginal sclerotic rim, but the recurrence according to grafted bone showed similar rates. Curettage and bone grafting is adequate for a symptomatic lesion and firm internal fixation is needed for a lesion in proximal femur. In use of grafted bone, xenograft or allograft may be preferable to autograft because of the disadvantage of autografting like a increased blood loss, prolonged operation times, etc.

• Journal of Preventive Medicine and Public Health
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• 제50권4호
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• pp.278-281
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• 2017

Since 2006, type 1 diabetes in Finland has plateaued and then decreased after the authorities' decision to fortify dietary milk products with cholecalciferol. The role of vitamin D in innate and adaptive immunity is critical. A statistical error in the estimation of the recommended dietary allowance (RDA) for vitamin D was recently discovered; in a correct analysis of the data used by the Institute of Medicine, it was found that 8895 IU/d was needed for 97.5% of individuals to achieve values ${\geq}50nmol/L$. Another study confirmed that 6201 IU/d was needed to achieve 75 nmol/L and 9122 IU/d was needed to reach 100 nmol/L. The largest meta-analysis ever conducted of studies published between 1966 and 2013 showed that 25-hydroxyvitamin D levels <75 nmol/L may be too low for safety and associated with higher all-cause mortality, demolishing the previously presumed U-shape curve of mortality associated with vitamin D levels. Since all-disease mortality is reduced to 1.0 with serum vitamin D levels ${\geq}100nmol/L$, we call public health authorities to consider designating as the RDA at least three-fourths of the levels proposed by the Endocrine Society Expert Committee as safe upper tolerable daily intake doses. This could lead to a recommendation of 1000 IU for children <1 year on enriched formula and 1500 IU for breastfed children older than 6 months, 3000 IU for children >1 year of age, and around 8000 IU for young adults and thereafter. Actions are urgently needed to protect the global population from vitamin D deficiency.

• 대한한방내과학회지
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• 제32권3호
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• pp.425-434
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• 2011

Objectives : Hypothyroidism is the most common pathological disease of the endocrine system. Morinda Officinalis Radix has been used in treatment of Yang deficiency. In this study, we investigated the therapeutic effects of Morinda Officinalis Radix on a rat model of hypothyroidism induced by 6-propyl, 2-thiouracil (PTU). Methods : Two-month-old Sprague-Dawley male rats were used with injection of PTU which induced rats into hypo-thyroidism. During 2 weeks, rats were treated with Morinda Officinalis Radix and thyroxine. Body weights were checked every week, the after 4 weeks, biochemical analyses were performed. The levels of T3, T4 and TSH was measured by EILSA. Results : In the Morinda Officinalis Radix group, we could observe the level of T4 significantly increased and TSH level significantly decreased. Conclusions : Morinda Officinalis Radix could help the thyroid to produce thyroid hormones under PTU suppression. There is no harm effect on liver and kidney function, or other metabolism. According to these results it could help to treat hypothyroidism patients and relieve their symptoms.