• Hip & pelvis
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• 제35권3호
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• pp.164-174
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• 2023

Purpose: This study investigates the relationship between preoperative neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-C-reactive protein ratio (LCR), albumin, and 2-year mortality in elderly patients having hemiarthroplasty for displaced femoral neck fracture (FNF). Materials and Methods: We retrospectively reviewed 284 elderly patients who underwent hemiarthroplasty for Garden type IV FNF from September 2014 to September 2020. Using the receiver operating characteristic curve, optimal cutoff values for LCR, NLR, and albumin were established, and patients were categorized as low or high. Associations with 2-year mortality were evaluated through univariate and multivariate Cox regression analyses. Results: Of the 284 patients, 124 patients (45.9%) died within 2 years post-surgery. The optimal cutoff values were: LCR at 7.758 (specificity 58.5%, sensitivity 25.0%), NLR at 3.854 (specificity 39.2%, sensitivity 40.0%), and albumin at 3.750 (specificity 65.9%, sensitivity 21.9%). Patients with low LCR (<7.758), high NLR (≥3.854), and low albumin (<3.750) had a statistically significant reduced survival time compared to their counterparts. Conclusion: Lower preoperative LCR and albumin levels, along with higher NLR, effectively predict 2-year mortality and 30-day post-surgery complications in elderly patients with Garden type IV FNF undergoing hemiarthroplasty.

• Biomolecules & Therapeutics
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• 제21권1호
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• pp.1-9
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• 2013

Polyamines, putrescine, spermidine and spermine, are ubiquitous in living cells and are essential for eukaryotic cell growth. These polycations interact with negatively charged molecules such as DNA, RNA, acidic proteins and phospholipids and modulate various cellular functions including macromolecular synthesis. Dysregulation of the polyamine pathway leads to pathological conditions including cancer, inflammation, stroke, renal failure and diabetes. Increase in polyamines and polyamine synthesis enzymes is often associated with tumor growth, and urinary and plasma contents of polyamines and their metabolites have been investigated as diagnostic markers for cancers. Of these, diacetylated derivatives of spermidine and spermine are elevated in the urine of cancer patients and present potential markers for early detection. Enhanced catabolism of cellular polyamines by polyamine oxidases (PAO), spermine oxidase (SMO) or acetylpolyamine oxidase (AcPAO), increases cellular oxidative stress and generates hydrogen peroxide and a reactive toxic metabolite, acrolein, which covalently incorporates into lysine residues of cellular proteins. Levels of protein-conjuagated acrolein (PC-Acro) and polyamine oxidizing enzymes were increased in the locus of brain infarction and in plasma in a mouse model of stroke and also in the plasma of stroke patients. When the combined measurements of PC-Acro, interleukin 6 (IL-6), and C-reactive protein (CRP) were evaluated, even silent brain infarction (SBI) was detected with high sensitivity and specificity. Considering that there are no reliable biochemical markers for early stage of stroke, PC-Acro and PAOs present promising markers. Thus the polyamine metabolites in plasma or urine provide useful tools in early diagnosis of cancer and stroke.

• 한국식생활문화학회지
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• 제35권5호
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• pp.493-502
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• 2020

The objective of this study was to investigate the effects of dietary vitamin B intake on biomarkers related to lipid metabolism, inflammation and blood glucose control, that are important in the development of type 2 diabetes and its complications. Seventy-six adults (42 males, 34 females) were recruited from a group of diabetes patients who had visited the medical center for treatment. Data on anthropometric characteristics and dietary intake of thiamine, riboflavin, niacin, vitamin B₆ and folate were collected using 24-hour diet recall and the CAN Pro 4.0 program. Also, data on clinical indices such as serum lipids, blood pressure, high-sensitivity C-reactive protein (hs-CRP), hemoglobin A1c (HbA1c) and homeostasis model assessment 2-insulin resistance (HOMA2-IR) were collected and analyzed for correlation with dietary vitamin B intake. Results from the dietary intake survey showed that riboflavin and folate intake (in males) and folate intake (in females) were below the Dietary Reference Intake for Koreans. Statistical analysis revealed a negative correlation between hs-CRP and dietary intake of B vitamins. Riboflavin intake was inversely associated with systolic blood pressure after adjustments for age, BMI, smoking, alcohol consumption, exercise, ingestion of diabetes mellitus medication and energy intake (p<0.05). Our results suggest that dietary vitamin B may influence inflammation and consequently may help in better management of type 2 diabetes.

• Clinical and Experimental Pediatrics
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• 제59권12호
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• pp.471-476
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• 2016

Purpose: Chest radiography is often performed on patients hospitalized with typical clinical manifestations of bronchiolitis. We aimed to determine the proportion of subjects with pathologic chest radiographic findings and the clinical predictors associated with pathologic chest radiographic findings in young children admitted with the typical presentation of bronchiolitis. Methods: We obtained the following data at admission: sex, age, neonatal history, past history of hospitalization for respiratory illnesses, heart rate, respiratory rate, the presence of fever, total duration of fever, oxygen saturation, laboratory parameters (i.e., complete blood cell count, high-sensitivity C-reactive protein [hs-CRP], etc.), and chest radiography. Results: The study comprised 279 young children. Of these, 26 had a chest radiograph revealing opacity (n=24) or atelectasis (n=2). Multivariate logistic regression analysis showed that after adjustment for confounding factors, the clinical predictors associated with pathologic chest radiographic findings in young children admitted with bronchiolitis were elevated hs-CRP level (>0.3 mg/dL) and past history of hospitalization for respiratory illnesses (all P<0.05). Conclusion: The current study suggests that chest radiographs in young children with typical clinical manifestations of bronchiolitis have limited value. Nonetheless, young children with clinical factors such as high hs-CRP levels at admission or past history of hospitalization for respiratory illnesses may be more likely to have pathologic chest radiographic findings.

• 한국식품영양학회지
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• 제31권3호
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• pp.425-434
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• 2018

Metabolic syndrome is a risk factor for cardiovascular and type 2 diabetes. This study was conducted to examine the relevance between nutrition intake, meal quality, and high-sensitivity C-reactive protein in Koreans with metabolic syndrome. The 2,536 subjects, aged 19~64, who participated in 2015 National Nutrition Survey were included in this study. The 24-hour recall method was employed to analyze nutrition intake and dietary quality. Subjects were grouped into either the non-metabolic syndrome group (n=1,938) or the metabolic syndrome group (n=598). Total males and females were divided into 3 groups according to the high-sensitivity C-reactive protein (hs-CRP) level to study its relationship to metabolic syndrome and its components, including odds ratio (OR) and confidence interval (CI). Results showed the homeostasis model assessment of insulin resistance (HOMA-IR) value was higher in the metabolic syndrome group (3.37) than non-metabolic syndrome group (1.57) (p<0.001). In the Index of Nutrition Quality, males in the non-metabolic syndrome group showed higher niacin (p<0.05) than males in metabolic syndrome group. Females in the non-metabolic syndrome group had higher vitamin $B_1$ (p<0.01), vitamin $B_2$ (p<0.001), niacin (p<0.05), calcium (p<0.001), and phosphate (p<0.01). Female in the high hs-CRP group showed high OR in blood glucose component (OR 2.488, 95% CI: 1.269~4.879) and metabolic syndrome risk (OR 2.856, 95% CI: 1.292~6.314). Females in the middle hs-CRP group had high triglycerides component (OR 2.956, 95% CI: 1.920~4.551), compared to the low hs-CRP group. The study showed females with higher hs-CRP had a higher risk of metabolic syndrome.

• Clinical and Experimental Pediatrics
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• 제53권1호
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• pp.33-40
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• 2010

목 적 : 조산아에서 출생 직후 말초 혈액의 C-반응성 단백(C-reactive protein, CRP) 농도가 자궁 내 염증의 침범 부위 또는 진행 정도에 따라 어떻게 달라지는 지 알아봄으로써 출생 직후 말초 혈액 CRP 측정의 임상적 의의와 유용성에 대해 연구하고자 하였다. 방 법 : 2005년 9월부터 2009년 4월까지 동국대학교 일산병원에서 출생하여 신생아 중환자실에 입원한 재태기간 32주 미만의 조산아 187명을 연구 대상으로 했다. 연구 대상을 'no histologic chorioamnionitis' [HCAM (-), 85명]군과 'histologic chorioamnionitis' [HCAM (+), 102명]군으로, 다시 HCAM (+)군을 'funisitis' [F (+), 49명]군과 'no funisitis' [F (-), 53명]군 및 'funisitis/amnonitis' [FA (+), 58명]군과 'isolated chorio-deciduitis' [FA (-), 44명]군으로 분류하였다. 출생 직후 말초 혈액의 high sensitivity CRP 농도를 측정하여 각 군 간에 비교하였다. 결 과 : HCAM (+)군, F (+)군, F (-)군, FA (+)군의 말초 혈액 CRP 농도는 모두 HCAM (-)군에 비해 높았으나(평균=0.29 vs. 0.06 mg/dL; 0.52 vs. 0.06; 0.07 vs. 0.06 mg/dL; 0.46 vs. 0.06 mg/dL, P<0.05), FA (-)군의 경우는 HCAM (-)군과 유의한 차이가 없었다. 또한, F (+)군과 FA (+)군의 말초 혈액 CRP 농도는 각각 F (-)군 및 FA (-)군보다 높았다 (평균=0.52 vs. 0.07 mg/dL; 0.46 vs. 0.05 mg/dL, P<0.05). HCAM (-)군과 F (+)군, HCAM (-)군과 FA (+)군을 감별하기 위한 경우, 말초 혈액 CRP 농도의 cut-off 값을 0.02 mg/dL으로 정하였을 때 민감도와 특이도는 모두 94% 및 53%였다(P<0.0001). 또한, F (+)군과 F (-)군, FA (+)군과 FA (-)군을 감별하기 위한 경우, 말초 혈액 CRP 농도의 cut-off 값을 0.02 mg/dL으로 정하였을 때 민감도는 각각 79%와 86%, 특이도는 모두 53%였다(P<0.002, P =0.000). 말초 혈액 CRP 농도가 0.02 mg/dL 이상인 경우, 임상적 융모양막염, 확증된 조기 발현 패혈증, 조직학적 융모양막염, 제대 혈관염의 빈도가 높았다. 결 론 : 재태기간 32주 미만의 조산아에서 출생 직후 말초 혈액 CRP 농도는 태반의 염증이 제대 혈관염이나 양막염까지 진행했을 때 유의하게 증가하여 조직학적 융모양막염의 진행 정도를 잘 반영하였고, 제대 혈관염이나 양막염의 감별 진단에 어느 정도 진단적 가치가 있을 것으로 생각된다.

• Journal of Preventive Medicine and Public Health
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• 제48권5호
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• pp.249-256
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• 2015

Objectives: Epidemiological studies have reported that vitamin D deficiency is associated with inflammatory disease. Smoking is a well-known risk factor for inflammation. However, few studies have investigated the interactive effect of vitamin D deficiency and smoking on inflammation. This study aims to investigate the interaction of vitamin D and smoking with inflammatory markers in the urban elderly. Methods: We used data from the Korean Elderly Environmental Panel Study, which began in August 2008 and ended in August 2010, and included 560 Koreans ${\geq}60$ years old living in Seoul. Data was collected via questionnaires that included items about smoking status at the first visit. Vitamin D levels, high-sensitivity C-reactive protein (hs-CRP), and white blood cell (WBC) counts were repeatedly measured up to three times. Results: The association of vitamin D and hs-CRP was significant after adjusting for known confounders (${\beta}=-0.080$, p=0.041). After separate analysis by smoking status, the association of vitamin D deficiency and hs-CRP in smokers was stronger than that in nonsmokers (smokers: ${\beta}=-0.375$, p=0.013; non-smokers: ${\beta}=-0.060$, p=0.150). Smoking status was an effect modifier that changed the association between vitamin D deficiency and hs-CRP (interaction estimate: ${\beta}=-0.254$, p=0.032). Vitamin D was not significantly associated with WBC count (${\beta}=0.003$, p=0.805). Conclusions: Vitamin D deficiency was associated with hs-CRP in the urban elderly. Smoking status was an effect modifier of this association. Vitamin D deficiency was not significantly associated with WBC count.

• Journal of Preventive Medicine and Public Health
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• 제41권6호
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• pp.413-418
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• 2008

Objectives: This study was performed to investigate the associations between the metabolic syndrome (MetS) and inflammatory markers. Methods: This cross-sectional analysis was performed using data from 1578 Koreans aged 40-69 years residing in a rural area. We investigated associations between MetS and circulating high sensitivity C-reactive protein (hs-CRP), white blood cells (WBC) and adiponectin. MetS was defined using the criteria proposed by the National Cholesterol Education Program Adult Treatment Panel III (ATP-III). Results: Increased WBC counts and hs-CRP levels and decreased adiponectin levels were observed in subjects with MetS. WBC, hs-CRP and adiponectin levels linearly deteriorated with an increase in the number of MetS components (all ptrend <0.005). Finally, adjusted odds ratios (ORs) for the risk of MetS by increase/decrease in 3 inflammatory markers were calculated by multivariate logistic regression analyses. In terms of changes in inflammation markers, in men, the adjusted ORs (95% confidence interval) were 1.15 (1.01-1.31) for WBC, 1.64 (1.02-2.64) for hs-CRP, and 0.19(0.08-0.45) for adiponectin, whereas corresponding adjusted ORs (95% Cls) in women were 1.27 (1.15-1.40), 0.98 (0.67-1.42), 0.09 (0.04-0.18), respectively. Conclusions: Serum adiponectin levels and WBC counts were found to be strongly associated with MetS in both sexes. However, hs-CRP lost its significance after adjusting for BMI and other inflammatory markers in women. This study shows that inflammatory response is associated with MetS in the Korean population. Further prospective studies are necessary to confirm the contribution made by inflammatory markers to the development of MetS.

• 대한임상검사과학회지
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• 제49권3호
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• pp.227-232
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• 2017

물은 생체에 필수적인 성분이고 많은 생리학적 과정에 관련되어 있음에도 불구하고 물을 꾸준히 충분하게 섭취하는 것이 혈액 성분에 어떤 영향을 미치는지에 대해서는 잘 알려져 있지 않다. 따라서 이 연구에서는 13명의 정상 성인에게 물을 섭취하게 한 후에 혈액학적, 고감도 C 반응성 단백질(hs-CRP), 면역글로불린 G (IgG)의 변화를 측정하였다. 4명의 대조군은 물을 자유롭게 마시게 하였고 9명의 실험군은 시판되는 생수를 매일 2L씩 마시게 하였다. 2주 후에 혈액을 채취하여 검사한 결과, 혈구 세포 수, 적혈구 용적률, 혈색소 수치는 증가했지만 유의성은 없었다(p>0.05). 그러나 평균 혈색소량(MCH)과 평균 혈색소 농도(MCHC)는 각각 의미 있게 증가하였고(p<0.05, p<0.01), 평균 혈소판 용적(MPV)은 의미 있게 감소하였다(p<0.05). 심혈관 질환의 표지자로 쓰이는 면역학적인 검사항목인 hs-CRP는 물 섭취 후에 감소하는 것으로 나타났으나 유의한 차이는 없었다(p>0.05). 그러나 IgG의 농도는 물 섭취 전에 비해 상당히 유의성 있게 증가하는 결과를 나타냈다(p<0.05). 결론적으로, 꾸준히 충분하게 물을 섭취하면 혈색소 수치가 증가하여 빈혈이 완화될 수 있고 혈소판 활성과 hs-CRP가 감소하여 심혈관 질환의 위험을 줄일 수 있다. 또한 체액성 면역 성분이 증가하여 면역 기능이 향샹될 수 있다.

• 대한지역사회영양학회지
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• 제15권6호
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• pp.796-805
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• 2010

This study investigated the correlations and risk distribution differences between high sensitivity C-reactive protein (hs-CRP) and the diagnosis factors of metabolic syndrome among the residents of a rural community. Two thousand adults aged from 40 to 70 were recruited and 1,968 subjects were included in the study after excluding those with infectious disease or with hs-CRP higher than 10 mg/L in blood. The subjects were then divided into three groups of hs-CRP to examine the correlations and risk ratio with the risk factors of metabolic syndrome. There was a tendency of hs-CRP increasing according to the number of risk factors of metabolic syndrome. The risk ratio with hs-CRP according to metabolic syndrome significantly increased by 2.0 and 2.2 times in the intermediate and high risk group, respectively, compared with the low risk group. The risk ratio with the risk factors of metabolic syndrome according to hs-CRP rose in abdominal obesity, triglyceride, and W/Ht in the intermediate risk group of hs-CRP. The risk ratio also surged in high pressure, W/Ht, ex-drinking (1.7 times), exsmoking (2.0 times) and current smoking (2.0 times) in the high risk group. The results indicate that hs-CRP is related to the risk factors of metabolic syndrome and that it's very important to manage obesity including abdominal obesity and W/Ht and everyday habits including drinking and smoking.