• Asian Pacific Journal of Cancer Prevention
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• 제16권5호
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• pp.1817-1820
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• 2015

Background: Hemoglobin A1c(HgA1c) is a marker of poor gylcemic control and elevation HgA1c is associated with increased risk of many cancers. We aimed to determine the HgA1c levels in endometrial cancer cases and any relationship with stage and grade of disease. Materials and Methods: A retrospective data review was performed between June 2011 and October 2012 at a tertiary referral center in Turkey. The study included 35 surgically staged endometrial cancer patients and 40 healthy controls. Preoperative HgA1c levels drawn within 3 months before surgery were compared. Also the relationships between HgA1c levels and stage, grade and hystologic type of cancer cases were evaluated. Results: The mean HgA1c levels were statistically significantly higher at $6.19{\pm}1.44$ in endometrial cancer cases than the $5.61{\pm}0.58$ in controls (p=0.027). With endometrial cancer cases, the mean HgA1c level was found to be $6.62{\pm}1.40$ for stage I and $6.88{\pm}1.15$ for stages II-IV (p=0.07). The figures were $6.74{\pm}1.65$ for endometrioid and $6.63{\pm}1.41$ for non-endometrioid type tumors (p=0.56). Mean HgA1c levels of $6.72{\pm}1.14$ for grade 1 and $6.62{\pm}1.42$ for grade 2-3 were observed (p=0.57). Conclusions: HgA1c levels in endometrial cancer patients were statistically higher than healthy controls. However, HgA1c did not show any significant correlation with stage, grade and histologic type in endometrial cancer cases.

• 성인간호학회지
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• 제24권4호
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• pp.406-416
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• 2012

Purpose: The purposes of this secondary data analysis study were first to identify the number of Korean adults achieving goals set by the American Diabetes Association for hemoglobin A1c (HbA1c), blood pressure (BP), and low-density lipoprotein cholesterol (LDL-C), and secondly to identify the characteristics associated with lack of goals attainment. Methods: The sample was 413 Koreans with diagnosed diabetes aged thirty years or older who participated in the Fourth Korea National Health and Nutrition Examination Survey. Goals attainment for HbA1c, BP, and LDL-C were presented in percentages. Logistic regressions were used to examine associations between participants' characteristics and lack of goals attainment. Results: About 48% had HbA1c<7%, 48.2% had BP<130/80mmHg, and 34.1% had LDL-C<100mg/dL. Only 8.7% of the sample achieved all three parameters. In multivariate analysis, younger age, longer diabetes duration, insulin use, and abdominal obesity were associated with not meeting HbAlC goal. Smoking and use of antihypertensive medication were associated with BP${\geq}$130/80 mmHg. No use of lipid lowering agents was associated with LDL-C${\geq}$100 mg/dL. Conclusion: Many Koreans with diabetes were not at goals for HbA1c, BP, and LDL-C. For optimal control, appropriateness of therapy and poor lifestyle habits should be assessed periodically and managed accordingly.

• Journal of Chest Surgery
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• 제15권2호
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• pp.259-265
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• 1982

We have designed a new type of bubble oxygenator (KOREA-KIM VENOTHERM OXYGENATOR) made of PVC sheet and deforming mesh incorporated in the heat exchanger, and evaluated in experimental animal for the analysis of it`s efficiency. The Oxygenator has low priming volume with high flow rate up to 6 L/rain, and efficiency of heat exchanger was excellent as 1-$1.5^{\circ}C.$ using total cardiopulmonary bypass method under moderate to deep hypothermia. Average priming volume of 1317 ml with 30% hemodilution method was perfused with an average of 1.1-3.0 L/min.$M^2$of arterial blood and pure oxygen at a rate of 2-3.4 L/min for 49.6 minutes continuously in average. During total cardiopulmonary bypass, average $PaO_2$ was $159.8{\pm}60$mmHg, $PaCO_2$ $41.0{\pm}3$mmHg respectively under $SaO_2$ over 96% with systolic arterial pressure of 70 mmHg and CVP of 5-10 cm$H_2O$. Plasma free Hemoglobin was $7.0{\pm}4$ mg/dl with 25% drop of hemoglobin and hematocrit at the end of cardiopulmonary bypass. This KKV Oxygenator was observed to have excellent capabillty of oxygen and carbon dioxide gas transfer with small amount of blood trauma, and the efficiency of heat exchanger was satisfactory during cooling and rewarming of the bubbled blood. Disadvantages have included the somewhat poor deforming effect due to loose PVC fiber mesh, the extracompact character of Teflon filters, and the rough inner surface of the heat exchanger copper pipes.

• 동아시아식생활학회지
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• 제19권6호
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• pp.1049-1053
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• 2009

본 연구는 두충을 주 원료로 고안된 한방 혼합 다류가 고혈압 질환자의 혈압, 혈청지질 및 혈액학적 변화에 미치는 영향을 평가하기 위하여 수행하였다. 한방 혼합 다류를 시험 4주간 복용한 그룹과 시험 전 그룹을 비교한 결과, 수축기 혈압은 167.14 mmHg에서 134.86 mmHg로, 이완기 혈압은 100.00 mmHg에서 87.10 mmHg로 뚜렷하게 저하되었다. 혈청지질 중 총콜레스테롤(TC), 고밀도-콜레스테롤(HDL-C), 저밀도-콜레스테롤(LDL-C)의 농도 및 동맥경화지수(AI)는 유의적인 차이가 없었다. 반면, 한방 혼합 다류를 복용 시 중성지방(TG) 농도가 237.10 mg/dL에서 145.00 mg/dL로 강하게 감소되었다. 시험 4주 후와 시험개시 전의 혈액학적 지표(적혈구, 백혈구, 헤마토크리트, 헤모글로빈, 혈소판 및 호모시스테인)를 비교한 경우, 유의적 변화는 관찰되지 않는 반면 평균 적혈구 혈색소 농도(MCHC)는 유의적으로 2.70% 증가되었다. 이상의 결과로 부터 두충을 주 원료로 고안된 한방 혼합 다류는 중성지방 농도를 감소시킴으로써 혈압을 저하시키는 것으로 추정하며, 평균 적혈 수혈 색소 농도를 증가시킴을 확인하였다.

• Archives of Plastic Surgery
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• 제40권2호
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• pp.123-128
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• 2013

Background Some diabetic feet heal without complication, but others undergo amputation due to progressive wounds. This study investigates the risk factors for amputation of diabetic feet. Methods A total of 55 patients who visited our institution from 2008 to 2012 were included in the study. The patients with abnormal fasting blood sugar levels, lower leg vascularity, and poor nutrition were excluded from the study group, and the wound states were unified. The patients were categorized into a treatment success group (n=47) and a treatment failure group (n=8), and their hemoglobin A1C (HgA1C), C-reactive protein (CRP), white blood cell count (WBC), and serum creatinine levels were analyzed. Results The initial CRP, WBC, and serum creatinine levels in the treatment failure group were significantly higher than that of the treatment success group, and the initial HgA1C level was significantly higher in the treatment success group. The CRP and WBC levels of both groups changed significantly as time passed, but their serum creatinine levels did not. Conclusions The initial CRP, WBC, and serum creatinine levels were considered to be risk factors for amputation. Among them, the serum creatinine level was found to be the most important predictive risk factor. Because serum creatinine represents the renal function, thorough care is needed for the feet of diabetic patients with renal impairment.

• 환경생물
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• 제22권4호
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• pp.559-564
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• 2004

The effects of intra-peritoneal injection of inorganic mercury on haemato-logical parameters and hepatic oxidative stress enzyme activities were studied in common carp, Cyprinus carpio. The fish were injected thrice intra-peritoneally with mercuric chloride TEX>$(5,\;10mg\;Hg\;kg\;b.W.^{-1})$. After exposure of three different mercury concentrations a physiological stress response was exerted on C. carpio by causing changes in the blood status such as erythropenia in blood and oxidative stress in liver. Red blood cell counts, hemoglobin concentration and hematocrit level were reduced in most cases by inorganic mercury. Remarkable low level of serum chloride, calcium and osmolality were also observed in the mercury- exposed fish. However, serum magnesium and phosphate were not altered by exposure to mercury. An increased activity of hepatic glutathione peroxidase was observed in the lowest treatment group of carp $(1mg\;Hg\;mg\;b.w.^{-1})$, hence, hepatic catalase and glutathione peroxidase of carp exposed to higher concentration of mercury $(5,\;10mg\;Hg\;kg\;b.W.^{-1})$ showed significant reduction in such activities.

• 동아시아식생활학회지
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• 제6권2호
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• pp.135-142
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• 1996

The purpose of this study was to examine nutritional status of iron in 27 rural elderly subjects. The daily intake, urinary excretion and serum level of iron were determined by 24-hr food collection method, and 24-hr urine and serum collection for 3 days. The results were summarized as follows. 1. The mean age, height, weight, and blood pressure were 67.7 years, 163.2cm, 55.9kg, and 121.1/80. 0mmHg in men and 69.9 years, 146.5cm, 47.6kg, and 108.9/71.1mmHg in women, respectively 2. The daily intake of energy, protein, vitamin A, vitamin B$_1$, vitamin B$_2$, niacin, vitamin C, and iron were lower than Korean recommended dietary allowances. 3. The daily iron intake was 7.82mg. The proportion of heme iron and nonheme iron to the total iron intake were 8.05% and 91.94%, respectively Major iron sources of the rural elderly were cooked rice, Ko Chu Jang, beef blood, anchovy, soybean paste, and leafy radish. 4. The hemoglobin, hematocrit, serum iron, and total iron binding capacity were 14.3g/㎗, 42.9%, 79.4 $\mu\textrm{g}$/㎗, and 268.4 $\mu\textrm{g}$/㎗ in men and 12.9g/㎗, 38.8%,92.4 $\mu\textrm{g}$/㎗, and 277.9$\mu\textrm{g}$/㎗ in women, respectively. 5. There was a significant positive correlation between dietary intake and urinary excretion of iron.

• 한국식품영양과학회지
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• 제35권5호
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• pp.549-556
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• 2006

본 연구는 상엽추출물의 섭취가 당뇨병 환자의 혈당, 당화혈 색소 및 혈청지질에 미치는 영향을 조사하고, 체내 간기능에서의 안전성도 검증하기 위하여 당뇨병 환자에게 12주간 1,000 mg의 상엽 추출물을 섭취시켜 전 후 차이를 비교하였으며 그 결과는 다음과 같다. 상엽군은 체중이 실험 전 $58.6{\pm}9.2kg$에서 실험 후 $58.8{\pm}9.1kg$으로 변화를 보이지 않았으며, 허리둘레 및 엉덩이 둘레도 실험 전 후 거의 변화를 나타내지 않았으므로 상엽추출물의 섭취는 신체계측치에 영향을 미치지 않았다. 상엽군에서 수축기 혈압은 $127.1{\pm}18.9mmHg$에서 $128.7{\pm}21.0mmHg$로, 이완기 혈압은 $80.5{\pm}12.1mmHg$에서 $77.0{\pm}12.1mmHg$로 거의 변화를 나타내지 않음으로서 상엽추출물의 섭취는 당뇨병 환자의 혈압에 영향을 미치지 않았다. 상엽군에서 공복혈당은 $141.9{\pm}39.4mg/dL$에서 $135.8{\pm}41.4mg/dL$로, 당화혈색소는 $7.8{\pm}1.4%$에서 $7.0{\pm}0.6%$로 유의(p<0.05)하게 감소하였다. 그러나 위약군에서는 실험 전 후 공복혈당 및 당화혈색소에서 차이를 나타내지 않았다. 상엽추출물의 섭취가 12주간 이루어지면서 총콜레스테롤은 $188.4{\pm}21.9mg/dL$에서 $176.7{\pm}23.8mg/dL$로 감소하였고, LDL-콜레스테롤에서는 상엽군은 $116.9{\pm}29.3mg/dL$에서 $104.3{\pm}23.2mg/dL$로 유의 (p<0.05)하게 감소한 반면, 위 약군은 $121.3{\pm}24.3mg/dL$에서 $121.5{\pm}17.3mg/dL$로 변화가 없었다. 중성지 방은 상엽추출물의 섭취 후 $167.6{\pm}44.5mg/dL$에서 $123.2{\pm}29.3mg/dL$로 유의(p<0.01)하게 감소한데 반해 위 약군은 $152.0{\pm}55.9mg/dL$에서 $155.3{\pm}51.4mg/dL$로 오히려 약간의 증가를 보였다. 상엽섭취군의 공복혈당 및 당화혈색소 농도수준에 따라 그 변화를 살펴보면, 공복혈당 불량군은 실험 전 $188.2{\pm}45.2mg/dL$에서 상엽추출물 섭취 후 $161.3{\pm}25.3mg/dL$로 유의(p<0.05)하게 감소한 반면 공복혈당 양호군에서는 $119.3{\pm}22.4mg/dL$에서 $119.9{\pm}21.9mg/dL$로 변화를 보이지 않았다. 당화혈색소 불량군의 경우 실험 전 $8.7{\pm}0.7%$에서 실험 후 $7.8{\pm}0.8%$로 유의(p<0.05)하게 감소한 것에 반하여, 당화혈색소 양호군에서는 $6.7{\pm}1.2%$에서 $6.6{\pm}1.2%$로 변화가 없음을 확인할 수 있었다. 상엽추출물의 12주간 섭취 후 AST는 $24.8{\pm}3.5\;IU/L$에서 $31.8{\pm}8.7\;IU/L$로, ALT는 $26.4{\pm}4.6\;IU/L$에서 $32.8{\pm}7.8\;IU/L$로, $\gamma$-GTP는 $31.5{\pm}4.7mg/L$에서 $33.7{\pm}4.8mg/L$로 조금씩 증가하였으나 모두 정상범위의 수치였다.

• Nutrition Research and Practice
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• 제11권5호
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• pp.396-401
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• 2017

BACGROUND/OBJECTIVES: In this randomized, placebo-controlled, double-blind study, we evaluated the antihypertensive effects of enzymatic hydrolysate from Styela clava flesh tissue in patients with type 2 diabetes mellitus (T2DM) and hypertension. SUBJECTS/METHODS: S. clava flesh tissue hydrolysate (SFTH) (n = 34) and placebo (n = 22) were randomly allocated to the study subjects. Each subject ingested two test capsules (500 mg) containing powdered SFTH (SFTH group) or placebo capsules (placebo group) during four weeks. RESULTS: In the SFTH group, systolic and diastolic blood pressure decreased significantly 4 weeks after ingestion by 9.9 mmHg (P < 0.01) and 7.8 mmHg (P < 0.01), respectively. In addition, the SFTH group exhibited a significant decrease in hemoglobin $A_{1c}$ with a tendency toward improvement in homeostasis model assessment of insulin resistance, triglyceride, apolipoprotein B and plasma insulin levels after 4 weeks. No adverse effects were observed in other indexes, including biochemical and hematological parameters in both groups. CONCLUSION: The results of our study suggested that SFTH exerts a regulatory, antihypertensive effect in patients with T2DM and hypertension.

• 한국수산과학회지
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• 제35권5호
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• pp.485-489
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• 2002

전남 보성군 장도해역의 펄질에 서식하는 꼬막의 환경내성에 대한 연구의 일환으로 수중내 용존산소의 감소에 따라 생존율, 호흡률, 여수율 둥의 생리적 반웅 및 혈액성상의 변화를 조사하였다. 꼬막의 용존산소농도의 감소에 따른 $LC_{50}$은 수온 $10^{\circ}$에서 16일동안 큰개체 1.31 mg DO/L, 작은 개체는 0.95mg DO/L이었으며, 수온 $25^{\circ}C$의 경우에는 각각 1.13와 1.24mg DO/L이었다. 호흡률과 여수율은 용존산소의 감소에 따라 대체로 감소하는 경향을 보였다. 혈 액 성분은 Hemoglobin, glucose, total protein, total cholesterol, GOT 및 GPT 등을 분석하였다. 혜모글로빈은 모든 개체에서 수중내 용존산소의 감소에 따라 증가하였으나, 스트레스의 지표로 이용되고 있는 glucose는 수온 $25^{\circ}C$, 용존산소 1.6-1.2mg DO/L에서 일시적 증가를 보였으며, 1.2mg DO/L 이하에서 감소하는 경향을 보였다. 그외 total protein, total cholesterol, GOT 및 GPT 등은 용존산소의 감소에 따라 감소하거나 불규칙한 경향을 나타내었다.