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Clinical Study of Hypophosphatemic Rickets (저인산혈성 구루병에 대한 임상적 고찰)

  • Lee Chang-Jin;Cho Hee-Yeon;Kang Ju- Hyung;Shin Choong-Ho;Ha Il-Soo;Cheong Hae-Il;Yang Sei-Won;Choe Yong
    • Childhood Kidney Diseases
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    • v.8 no.2
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    • pp.195-204
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    • 2004
  • Purpose: Hypophosphatemic rickets is a hereditary disease, characterized by hypophosphatemia due to renal phosphate wasting, impaired renal production of 1,25-dihydroxyvitamin $D_3$, rachitic bone deformities and impaired growth. The purpose of this study is to provide clinical profiles of patients with hypophosphatemic rickets in our hospital. Methods: Between July 1983 and February 2004, 56 patients were diagnosed as having hypophosphatemic rickets. The medical records of these patients were reviewed retrospectively. Clinical manifestations, family histories, laboratory data, treatment outcomes were described. Results: Fifty six patients were enrolled in this study. The average age at symptom onset and diagnosis were 20 months and 5 years respectively. Fourteen patients had family histories. The main clinical manifestations were bow legs and short stature. There was a significant negative correlation between the ages and the height z-scores at the time of diagnosis(r=-0.47, P=0.005). Initial laboratory data showed normocalcemia, hypophosphatemia, elevated serum alkaline phosphatase, decreased tubular reabsorption of phosphate and a normal range of 1,25-dihydroxyvitamin $D_3$ Radiographic examinations of bone revealed fraying, widening and cupping of the metaphyseal ends. Treatment consisted of Joulie solution and vitamin D metabolites, and resulted in improved biochemical and radiographic findings. However, height z-scores remained essentially unchanged(P=0.224). Complications of treatment were frequently observed, including hyperparathyroidism, nephrocalcinosis, and hypercalciuria. Sixteen patients had corrective osteotomy and 4 of them underwent leg lengthening together. Conclusion: There was a gap of several years between the onset of symptoms and the diagnosis. Early treatment seems to be essential to growth. For the earlier treatment, the offsprings of affected parents should be followed up closely.

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Effects of PTO gear face width on safety factors

  • Jang, Jeong-Hoon;Chung, Sun-Ok;Choi, Chang-Hyun;Park, Young-Jun;Chun, Won-Ki;Kim, Seon-Il;Kwon, Oh-Won;Kim, Chang-Won;Hong, Soon-Jung;Kim, Yong-Joo
    • Korean Journal of Agricultural Science
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    • v.43 no.4
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    • pp.650-655
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    • 2016
  • Gears are components of transmission which transmit the power of an engine to a machine and offer numerous speed ratios, a compact structure, and high efficiency of power transmission. Gear train design in the automotive industry uses simulation software. However, PTO (Power Take-Off) gear design for agricultural applications uses the empirical method because of the wide range of load fluctuations in agricultural fields. The PTO is an important part of agricultural tractors which transmits the power to various tractor implements. Therefore, a simulation was essential to the optimal design of the PTO. When the PTO gear is optimally designed, there are many advantages such as low cost, reduced size, and light weight. In this study, we conducted the bending and contact safety factor simulation for the PTO gear of an agricultural tractor. The bending and contact safety factors were calculated on ISO 6336 : 2006 by decreasing the face widths of the PTO pinion and wheel gear from 18 mm at an interval of 1 mm. The safety factor of the PTO gear decreased as the face width decreased. The contact safety factors of the pinion and wheel gear were 1.45 and 1.53, respectively, when the face width was 18 mm. The simulation results showed that the face width of the PTO gear should be greater than 9 mm to maintain the bending and contact safety factors higher than 1. It would be possible to reduce the weight of the PTO gear for different uses and working conditions. This study suggests that the possibility of designing an optimal PTO gear decreases as its face width decreases.

Oral Administration of KTNG0345 Prepared from Red Ginseng Extracts Reduces UVB-induced Skin Wrinkle Formation in Hairless Mice

  • Lee, Min-Jung;Won, Chong-Hyun;Lee, Se-Rah;Kim, Ji-Sook;Oh, Inn-Gyung;Hwang, Eui-Il;Kim, Na-mi;Kang, Byeong-Choel;Chung, Jin-Ho
    • Journal of Ginseng Research
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    • v.32 no.1
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    • pp.48-56
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    • 2008
  • Chronic ultraviolet (UV) exposure is the major cause of photoaging that causes skin wrinkling, roughness, dryness, laxity, and pigmentation. Recently, increasing efforts are being made to understand the relationship between foods and skin health. Ginsenosides are present in ginseng (Ginseng Radix Rubra) extract, and are known to have biomedical properties, such as, anti-oxidant and anti-inflammatory effects. In this study, we investigated whether KTNG0345 prepared from red ginseng extracts delivered orally reduces skin wrinkling and ultraviolet B (UVB)-induced wrinkle formation in hairless mouse skin. KTNG0345 was administrated orally to the mice (5 times a week) during the period of UVB-irradiation (3 times a week) for 8 weeks at three different doses of 300 mg/kg, 500 mg/kg and 1000 mg/kg (w/v). UV doses were increased weekly by 1 MED (1MED = 75 $mJ/cm^2)$ up to 4 MED and then maintained at this level. After the 8-week administration period, it was found that orally administered KTNG0345 significantly inhibited UVB-induced wrinkle formation in a dose-dependent manner. Increases in skin thickness caused by UVB were prevented by KTNG0345. Moreover, it also significantly inhibited matrix metalloproteinases (MMP) -13 and MMP-9 expressional inductions by UVB. In addition, KTNG0345 was observed to prevent UVB-induced water loss of epidermis in hairless mouse skin. Our results demonstrate that orally administered KTNG0345 has anti-wrinkling effects in hairless mouse skin, and suggest that dietary red ginseng and herbal mixture may be considered a functional beauty food for preventing UVB-induced skin wrinkles.

Evaluation of the correlation between insertion torque and primary stability of dental implants using a block bone test

  • Bayarchimeg, Dorjpalam;Namgoong, Hee;Kim, Byung Kook;Kim, Myung Duk;Kim, Sungtae;Kim, Tae-Il;Seol, Yang Jo;Lee, Yong Moo;Ku, Young;Rhyu, In-Chul;Lee, Eun Hee;Koo, Ki-Tae
    • Journal of Periodontal and Implant Science
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    • v.43 no.1
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    • pp.30-36
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    • 2013
  • Purpose: Implant stability at the time of surgery is crucial for the long-term success of dental implants. Primary stability is considered of paramount importance to achieve osseointegration. The purpose of the present study was to investigate the correlation between the insertion torque and primary stability of dental implants using artificial bone blocks with different bone densities and compositions to mimic different circumstances that are encountered in routine daily clinical settings. Methods: In order to validate the objectives, various sized holes were made in bone blocks with different bone densities (#10, #20, #30, #40, and #50) using a surgical drill and insertion torque together with implant stability quotient (ISQ) values that were measured using the Osstell Mentor. The experimental groups under evaluation were subdivided into 5 subgroups according to the circumstances. Results: In group 1, the mean insertion torque and ISQ values increased as the density of the bone blocks increased. For group 2, the mean insertion torque values decreased as the final drill size expanded, but this was not the case for the ISQ values. The mean insertion torque values in group 3 increased with the thickness of the cortical bone, and the same was true for the ISQ values. For group 4, the mean insertion torque values increased as the cancellous bone density increased, but the correlation with the ISQ values was weak. Finally, in group 5, the mean insertion torque decreased as the final drill size increased, but the correlation with the ISQ value was weak. Conclusions: Within the limitations of the study, it was concluded that primary stability does not simply depend on the insertion torque, but also on the bone quality.

Antioxidant Compounds and Activities of Methanolic Extracts from Steam-Dried Allium hookeri Root (증포 삼채뿌리 메탄올추출물의 항산화 성분 및 항산화 활성)

  • Jun, Hyun-Il;Yang, Jae-Heon;Song, Geun-Seoup;Kim, Young-Soo
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.45 no.12
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    • pp.1725-1731
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    • 2016
  • This study was carried out to investigate the effects of steam-drying on antioxidant compounds and antioxidant activity of Alliun hookeri root (AHR). The yield of methanolic extracts, total phenolic content (TPC), browning intensity (280 nm and 420 nm), and organosulfur compound contents (alliin and cycloalliin) in raw and steam-dried AHRs were 10.71~37.40%, $15.53{\sim}36.36{\mu}g/mg$, 0.48~2.09, 0.01~0.25, $1.46{\sim}700.61{\mu}g/mg$, and $1,173.95{\sim}2,182.60{\mu}g/mg$, respectively. Yield, TPC, and browning intensity of AHRs increased by steam-drying, whereas organosulfur compound contents decreased. Of all methanolic extracts from raw and steam-dried AHRs, four-time steam-drying showed the lowest $EC_{50}$ values (0.43, 7.53, 0.34, and 0.48 mg/mL, respectively) for DPPH radical scavenging activity, ABTS radical scavenging activity, SOD-like activity, and reducing power, whereas four-time steam-drying resulted in the highest TPC ($36.36{\mu}g/mg$) and browning intensity (2.09 and 0.25 at 280 and 420 nm, respectively). The antioxidant activities of methanolic extracts from raw and steam-dried AHRs were closely correlated with their TPC, browning intensity, and organosulfur compound content, showing correlation determination coefficient ($R^2$) values higher than 0.82. As a result, four-time steam-drying of AHRs could be useful as potential antioxidant sources.

Acute Alcohol Responses and Personality Traits by Aldehyde Dehydrogenase 2 Genotype Variances in Patients with Alcohol Dependence (알코올의존 환자의 Aldehyde Dehydrogenase 2 유전자 변이에 따른 음주 후 반응 및 성격특성)

  • Lee, Jong-Il;Lee, Jung-Sik;Cho, Sung Nam;Chai, Young-Gyu;Nam, Jung Hyun;Yang, Byung Hwan;Choi, Ihn-Geun;Kim, Seok Hyeon;Roh, Sungwon
    • Korean Journal of Biological Psychiatry
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    • v.12 no.2
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    • pp.196-206
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    • 2005
  • Objectives:The purpose of this study is to evaluate the pathophysiology of alcoholics by investigating the differences in frequency of Aldehyde Dehydrogenase 2(ALDH2) genotypes and ALDH2 alleles between patients with alcohol dependence and controls, and the differences of drinking and personality traits in Korean male alcoholics with ALDH2 genotype variances. Methods:The authors selected 98 patients with alcohol dependence and 53 controls. Self-report questionnaires for acute reponses after alcohol ingestion, the AUI(Alcohol Use Inventory), and the NEO-PI-R(NEO Personality Inventory Revised) were given to all patients with alcohol dependence. ALDH2 genotypes were typed with MboII RFLP(Restriction Fragment Length Polymorphism) method in 53 controls and 98 patients with alcohol dependence. The authors divided alcoholic patients into two groups according to the presence of variant $ALDH2^2$ allele;normal ALDH2 alcoholics(N=87) and variant ALDH2 alcoholics(N=11). Results:1) The genotypic frequencies of subjects with $ALDH2^{1/1}$ were higher and those with $ALDH2^{1/2}$ and $ALDH2^{2/2}$ were lower in patients than in controls. 2) Alcohol dependence could be found in $ALDH2^{2/2}$ homozygote individuals. 3) Variant ALDH2 alcoholics had more family problems in the AUI than normal ALDH2 alcoholics. 4) Variant ALDH2 alcoholics experienced more flushing and cardiovascular responses after alcohol ingestion than normal ALDH2 alcoholics. 5) Variant ALDH2 alcoholics had less altruistic personality traits in the NEO-PI-R than normal ALDH2 alcoholics. 6) Variant ALDH2 alcoholics tended to have more tolerance to alcohol than normal ALDH2 alcoholics. Conclusion:Variant $ALDH2^2$ allele might play a protective role in the pathogenesis of alcohol dependence and there were several significant differences of drinking and personality traits in Korean male alcoholics with ALDH2 genotype variances.

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Characterization and Distribution of Various Flavobacterium sp. in Lake Soyang (소양호에 존재하는 새로운 Flavobacterium의 분포와 특징)

  • Kim, Haneul;Joung, Yochan;Kang, Heeyoung;Lee, Beom-Il;Jang, Tae Yong;Joh, Kiseong
    • Korean Journal of Environmental Biology
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    • v.30 no.3
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    • pp.164-172
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    • 2012
  • In this study, samples were collected from Lake Soyang in Kangwon-do in order to isolate novel Flavobacterium sp. strains. Totally, 21 strains of Flavobacterium showing 97%~98% similarity in 16S rRNA were selected and thoroughly investigated individual characteristics and ecological differences. As results, we could categorize Flavobacterium isolated from Lake Soyang into four major node groups, where most of Flavobacterium belonged to single group. Next, fatty acid analyses were performed demonstrating similar pattern of the majority of fatty acids as either iso $C_{15:0}$ or summed feature 3 (comprised $C_{16:1}$ ${\omega}7c$ and/or $C_{16:1}$ ${\omega}6c$) of the other Flavobacterium. However, other phenotypic data were different from the other Flavobacterium sp. Group. Our data showed that genetically related species of Flavobacterium have been distributed in Lake Soyang. Those Flavobacterium strains were phenotypically different from previously reported genus of Flavobacterium species. Taken together, we speculated that isolated Flavobacterium strains from Lake Soyang might be ecologically important members to maintain ecosystem.

Gene Expression Profile of Rat Hypothalamus Treated with Electroacupuncture at ST36 Acupoint (족삼리 전침자극에 의한 흰쥐 hypothalamus의 유전자 발현 profile 분석)

  • Rho Sam Woong;Lee Gi Seog;Choi Gi Soon;Na Young In;Hong Moo Chang;Shin Min Kyu;Min Byung il;Bae Hyun Su
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.4
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    • pp.1041-1054
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    • 2004
  • Electroacupuncture (EA) has been reported to increase pain threshold, and to enhance the NK cell activity by up-regulation of IFN-γ and endogenous β-endolphin. For the purpose of understanding the molecular mechanism of EA stimulation, we analyzed the gene expression profile of rat hypothalamus, treated on Zusanli (ST36) with EA, in comparison with control group by oligonucleotide chip microarray (Affymetrix GeneChip Rat Neurobiology U34 Array) and real-time RT-PCR. Sprague-Dawley (S-D) male rats were stimulated at the Zusanli (ST36) acupoint in restriction holder. Simultaneously the control group was given only holder stress without EA stimulation. In order to prove the appropriateness of EA treatment, we measured spleen NK cell activity with standard 51Cr release assay. NK cell activity of EA group was significantly increased comparing to control group. The microarray and PCR results show that EA treatment up-regulates expression of genes associated with 1) nerve growth such as NGF induced factor A and VGF, 2) signal transduction such as 5HT3 receptor subunit, AMPA receptor binding protein and Na-dependent neurotransmitter transporter, and 3) anti-oxidation such as superoxide dismutase and glutathione S-transferase. In addition, the activity of the anti-oxidative enzyme, SOD of hypothalamus, liver and RBC was enhanced compared to that of control. The list of differentially expressed genes may implicate further insight on the mechanism of acupuncture effects.

Discordance between Tuberculin Skin Test and Interferon-gamma Release Assays for Diagnosis of Tuberculosis Infection in Korean Children (국내 소아 결핵감염 진단에서의 결핵피부반응 검사와 Interferon-gamma Release Assay (IGRA)의 비교 연구)

  • Yoo, Reenar;Kim, Joon-Il;Kim, Seohee;Lee, Jina
    • Pediatric Infection and Vaccine
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    • v.23 no.1
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    • pp.18-24
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    • 2016
  • Purpose: There is a the great diagnostic challenge in pediatric tuberculosis especially in high burden setting. The purpose of this preliminary study is to evaluate the agreement between tuberculin skin test (TST) and interferon-gamma release assay (IGRA) including T-SPOT$^{(R)}$.TB and QuantiFERON$^{(R)}$-TB Gold (QFT-G) in Korean children. Method: This retrospective study included children and adolescents who visited to Asan Medical Center to evaluate tuberculosis infection using at least two assays of TST, T-SPOT.TB and QFT-G, from January 2014 to April 2015. Results: A total of 20 patients were included, whose median age was 13.3 years (range, 3.8-18.1 years), and all of them had history of BCG vaccination. Eleven patients had underlying diseases including 7 patients with immunosuppressant medication. The concordance rate between T-SPOT.TB and QFT-G was 90%. However, the concordance rate between TST and T-SPOT.TB was 50%, and between TST and QFT-G was 42.9%. Specificity for the diagnosis of tuberculosis infection of T-SPOT.TB, QFT-G, and TST was 93.3%, 86.7%, and 58.3%, respectively. Conclusions: Although there was a discrepancy between TST and IGRA to diagnose tuberculosis, agreement between T-SPOT.TB and QFT-G was relatively high. Further prospective study to validate the clinical usefulness of each assay for immunologic evidence of tuberculosis infection in Korean children will be mandatory.

Experimental Investigation on Behavior of Single Horizontal Buoyant Jet (단일수평부력제트의 거동에 관한 실험적 연구)

  • Seo, Il-Won;Kim, Ho-Jung;Kwon, Seok-Jae
    • Proceedings of the Korea Water Resources Association Conference
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    • 2005.05b
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    • pp.1011-1015
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    • 2005
  • 본 실험에서는 부력 조건이 달라질 때 단공방류구에서 정체수역으로 수평방류되는 부력제트의 거동을 규명하였다. LIF (Laser Induced Fluorescence) 시스템을 이용하여 수행하였는데, LIF 시스템은 고해상도의 이미지를 취득할 수 있어 데이터의 정확도가 높으며, 동시에 한 평면상의 농도장을 일시에 측정할 수 있는 장점이 있는 기술이다. LIF 시스템은 크게 세부분으로 구성되어 있는데 방출시스템, 포착시스템, 처리시스템이 그것이다. 실험 조건을 고려해서 온수를 이용하여 주변수와의 밀도차를 재현하였으며, LIF 시스템의 추적입자로 형광염료 Rhodamine B를 사용하였다. 또한, 실험 데이터 취득과정에서 필요한 검정과정을 수행하였는데, LIF 시스템에서 검정과정은 레이저 입사광의 강도가 불균등한 분포를 가지는 점과 주변수의 매질에 의한 근의 감쇠가 발생하는 문제를 해결하기 위한 것이다. LIF 시스템은 부력제트의 농도장을 매우 정밀하게 측정할 수 있는데, 방류밀도 Froude 수가 변함에 따라 측정된 순간이미지를 통해 제트의 진화과정을 상세하고 가시적으로 확인할 수 있었다. 검정과정을 거친 농도 종단면에서 중심선의 연장선이 LIF 시스템에 의해 측정된 순간이미지의 중심선 궤적과 거의 일치하는 것도 알 수 있었다. 또한 LIF 시스템을 통해서 취득된 단일수평부력제트의 궤적과 중심선 희석률을 기존의 상용모형인 VISJET과 CORMIX1에 의해 예측된 결과와 비교$\cdot$분석한 결과, 제트 중심선 궤적의 경우, LIF 시스템을 이용한 측정값은 대체로 VISJET 모형의 결과와 일치하는 것으로 밝혀졌다. 중심선 희석률의 경우, LIF 측정값은 대체로 CORMIX1 모형, Cederwall(1968)의 경험식과 일치하는 경향을 보였다.0\%$일 때가 밸브를 $60\%$$80\%$ 개폐시켰을 때보다 $0.3kg/cm^2,\;0.29kg/cm^2$ 낮게 나타나 밸브를 전체 개방 했을 때 관로내의 수압이 상수설계기준에 적합한 수압을 유지함을 알 수 있다. 상수관로 설계 기준에서는 관로내 수압을 $1.5\~4.0kg/cm^2$으로 나타내고 있는데 $6kg/cm^2$보다 과수압을 나타내는 경우가 $100\%$로 밸브를 개방하였을 때보다 $60\%,\;80\%$ 개방하였을 때가 더 빈번히 발생하고 있으므로 대상지역의 밸브 개폐는 $100\%$ 개방하는 것이 선계기준에 적합한 것으로 나타났다. 밸브 개폐에 따른 수압 변화를 모의한 결과 밸브 개폐도를 적절히 유지하여 필요수량의 확보 및 누수방지대책에 활용할 수 있을 것으로 판단된다.8R(mm)(r^2=0.84)$로 지수적으로 증가하는 경향을 나타내었다. 유거수량은 토성별로 양토를 1.0으로 기준할 때 사양토가 0.86으로 가장 작았고, 식양토 1.09, 식토 1.15로 평가되어 침투수에 비해 토성별 차이가 크게 나타났다. 이는 토성이 세립질일 수록 유거수의 저항이 작기 때문으로 생각된다. 경사에 따라서는 경사도가 증가할수록 증가하였으며 $10\% 경사일 때를 기준으로 $Ro(mm)=Ro_{10}{\times}0.797{\times}e^{-0.021s(\%)}$로 나타났다.천성 승모판 폐쇄 부전등을 초래하는 심각한 선천성 심질환이다. 그러나 진단 즉시 직접 좌관상동맥-대동맥 이식술로 수술적 교정을 해줌으로써 좋은 성적을 기대할 수 있음을 보여주었다.특히

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