• Journal of Dental Anesthesia and Pain Medicine
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• 제24권1호
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• pp.47-56
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• 2024

Background: Among the various pain-related diseases that can be encountered at the clinic, there is a neuropathic pain that is difficult to treat. Numerous methods have been proposed to treat neuropathic pain, such as taking medication, nerve block with lidocaine, or neurolysis with alcohol or phenol. Recently, a method of perineural injection using dextrose instead of lidocaine was proposed. This study was designed to compare the effects of perineural injection therapy (PIT) with buffered 5% dextrose or 0.5% lidocaine on neuropathic pain. Methods: The data were collected from the database of pain clinic from August 1st, 2019 to December 31st, 2022 without any personal information. The inclusion criteria were patients diagnosed with postherpetic neuralgia (PHN), trigeminal neuralgia (TN), complex regional pain syndrome (CRPS), or peripheral neuropathy (PN), and patients who had undergone PIT with buffered 5% dextrose (Dextrose group) or 0.5% lidocaine (Lidocaine group) for pain control. The data of patients, namely sex, age, and pain score (numerical rating scale, NRS) were collected before PIT. The data of NRS, side effects, and satisfaction grade (excellent, good, fair, or poor) were collected one week after each of the four PIT, and two weeks after the last PIT. Results: Overall, 112 subjects were enrolled. The Dextrose group included 89 and Lidocaine group included 23 patients. Because the number of patients in the Lidocaine group was too small to allow statistical analysis, the trend in Lidocaine group was just observed in each disease. There were no significant side effects except for a few bruise cases on the site of injection in all groups. The NRS in most Dextrose groups except CRPS were reduced significantly; however, the Lidocaine group showed a trend of pain reduction only in PHN. The Dextrose group except CRPS showed increased satisfaction two weeks after the final PIT. Conclusion: From the results, it is suggested that PIT with buffered 5% dextrose may have a good effect for neuropathic pain without any side effect except for patients with CRPS. This may offer a window into a new tool that practitioners can employ in their quest to help patients with neuropathic pain.

• Tuberculosis and Respiratory Diseases
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• 제58권1호
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• pp.18-24
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• 2005

연구배경 : 기관지 결핵의 주요 합병증인 기관지 협착은 기도폐쇄에 의한 호흡곤란을 초래하거나 천식이나 폐암으로 오인되는 등의 임상적 문제를 가진다. 본 연구는 기관지 결핵 환자를 대상으로 치료 후 기관지 협착이 발생한 군과 발생하지 않은 군간에 치료 전후의 $IFN-{\gamma}$ 및 $TGF-{\beta}$의 혈청 및 기관지 세척액 농도를 비교함으로써 $IFN-{\gamma}$ 및 $TGF-{\beta}$의 농도와 기관지 협착 발생과의 연관성을 알아보고자 하였다. 대상 및 방법 : 기관지 내시경을 통한 세균학적 검사 및 조직검사로 기관지 결핵으로 진단받은 16명의 환자를 대상으로 치료 전후에 기관지 세척술을 포함한 기관지 내시경술을 시행하였으며 $IFN-{\gamma}$와 $TGF-{\beta}$의 혈청 및 기관지 세척액에서의 농도를 측정하였다. 동일한 방법으로 건강한 성인 대조군 10명에서 혈청 및 기관지 세척액의 $IFN-{\gamma}$와 $TGF-{\beta}$ 농도를 측정하였다. 결 과 : 기관지 결핵 환자군에서 대조군에 비해 기관지 세척액의 $IFN-{\gamma}$(108.55 pg/ml vs undetectable, median)와 $TGF-{\beta}$ 농도(60.80 pg/ml vs undetectable, median)가 유의하게 증가되어 있었다(p<0.05). 치료 후 시행한 기관지 내시경 소견에서 섬유화로 인한 기관지 협착이 남은 환자가 7명 이었고 나머지 9명은 후유증 없이 치유된 소견을 보였다. 기관지 협착을 보인 환자군이 협착이 남지 않은 군에 비해 치료 전의혈청 $TGF-{\beta}$ 농도(847.67 pg/ml vs 1140.30 pg/ml, median)가 낮았으며 또한 치료 후에 더 많이 감소하였다(${\Delta}381.08pg/ml$ vs ${\Delta}191.47pg/ml$, median)(p<0.05). 결 론 : 증가된 기관지 세척액의 $IFN-{\gamma}$와 $TGF-{\beta}$ 농도는 기관지 결핵의 발생기전과 관련이 있을 것으로 생각되며 치료 경과에서 섬유화로 인한 기관지 협착의 발생 유무는 혈청 $TGF-{\beta}$의 치료 전 농도 및 치료 후 농도 변화와 연관성이 있을 것으로 추정된다.

• 농업생명과학연구
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• 제44권6호
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• pp.111-119
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• 2010

살모넬라증은 대표적인 인수공통전염병의 하나로서 세포내 기생하며 질병을 유발하며 장염과 식중독 등을 유발하여 공중보건학적으로 심각한 문제를 야기하고 있다. 본 연구는 삼백초의 수용성 추출물을 (SCWE) 이용하여 숙주세포에 대한 안전성, S. typhimurium 균에 대한 항균효과 및 대식세포 내 균 증식억제 기능을 규명하였다. 본 실험을 통하여 SCWE 1, 10 및 $100{\mu}$g/ml 농도로 첨가한 배지에서 RAW 264.7 체포와 24 시간 반응 후 평가해본 결과 세포독성이 인정되지 않았으며, S. typhimurium 균에 대하여 시간 경과에 따라 항균효과가 증가되는 것을 확인하였고, SCWE 처리에 의해 대식세포의 형태적 변화가 증가되는 것으로 나타났으며 (p<0.05), 살모넬라균의 탐식능력 및 대식세포 내 균 증식 억제 능력이 비 처리군에 비해 현저히 증가되는 것이 확인되었다. 또한 SCWE 처리 한 대식세포에 살모넬라균 감염을 수행하였을 때 대식세포의 nitric oxide (NO) 산생능력이 비 처리 군에 비해 저하되는 것으로 나타나, 살모넬라균에 의한 대식세포의 세포독성을 억제하는 것으로 나타났다. 종합적으로 SCWE의 숙주세포에 대한 안전성, 살모넬라균에 대한 항균효과 및 대식세포 내 균 증식 억제 효과가 있는 것으로 나타나 SCWE를 이용한 세포내 기생세균의 치료제 개발이 가능할 것으로 판단된다.

• Journal of Preventive Medicine and Public Health
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• 제7권1호
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• pp.131-138
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• 1974

The author has conducted survey on the status of physical growth and morbidity of the children for christian children's fund programme, as a means of collecting basic data for the anticipated establishment of a health planning. A total 345 children aged 9 to 16 underwent C.C.F. programme while as a control, a total of 480 children of same ages from the middle-class school children in Jeonju area was also studied. As results of survey conducted for a period of one month (form July 1 to 31, 1974) on a total 429 children in 347 households living in Jeonju area. I. Socio-economic background 1. By educational status of the children, 39.9 per cent of the total children was attending at primary school, 33.8 per cent in middle school and 15.6 per cent in high school. 2. The greatest proportion or 28.8 per cent of the household head were engaged in labor, 17.9 per cent in peddler and 13.2 per cent in retail. 3. As for the living standard of the households, low class constitued 90.1 per cent, middle and high classes only 9.9 per cent. 4. 39.5 per cent of the households had their own house, 39.1 per cent lived in rent deposit house or rooms and 14.6 per cent in monthly rented house and rooms. II. Physical growth and nutritional status 1. The growth of children for C.C.F. programme in terms of height was found to be slightly smaller than the school children. The ages frm 9 to 16 corespond to the 'secondary growth and replenishment period and this period was regarded to be the one most affected by environmental and nutritional factors of all the other periods of growth and developmet. 2. The body weight of the children for C.C.F. presented a quite different pattern from that of the school children. The above findings appeared thin-and-long stature from the famillies with higher living standard while those from the household with low standard of living had a short-and-plump one. 3. According to the values of Rohrer's index, the children of C.C.F carried a higher degree of 'replenishment' than the children in Jeonju area and adolesecence comes later for the girls under C.C.F. programme. III. Morbidity 1. The monthly prevalence rate was 110.0 per thousand persons for the children under C.C.F. programme. 2. The total number of case was classified by timing of the incidence as follws. 40.0 per cent was constituted by diseases carried over from tile previous month and 60.0 per cent by new incidences. 3. The diseases were broken down by W.H.O. disease classification into the greatest proportion or 39.1 per thousand person constituted by disease of the digestive system.

• 한국균학회지
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• 제9권1호
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• pp.31-37
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• 1981

본(本) 시험(試驗)은 괴균병균(塊菌病菌)의 영양원(營養源) 최적온도(最適溫度) 및 pH 사멸온도방제약제(死滅溫度防除藥劑)에 관(關)한 연구(硏究)를 수행(遂行)한바 그 결과(結果)를 요약(要約)하면 다음과 같다. 1. 각종(各種) 배지(培地) 중(中)에서 괴균병균(塊菌病菌)의 균사생장(菌絲生長)은 양송이 종균(種菌) 추출배지(抽出培地)에서, 자실체(子實體) 형성(形成)은 미강(米糠) 추출배지(抽出培地0에서 가장 좋았다. 2.각종(各種) 영양원중(營養源中) 탄소원(炭素原)으로 L-asparagin이나 ammonium nitrate, 탄소원(炭素源)으로 glucose나 fructose에서 균사생장(菌絲生長)이 양호(良好)하였다. 3. 균사생장(菌絲生長)의 최적온도(最適溫度)는 $25{\sim}28^{\circ}C$였고 최적(最適) pH는 5.5내외(內外)였다. 4. 사멸온도(死滅溫度)는 균사(菌絲)가 $40^{\circ}C$에서 120분(分), 또는 $60^{\circ}C$에서 60분(分) 이상(以上), 자양포자(子襄胞子)가 $60^{\circ}C$에서 240분(分) 또는 $80^{\circ}C$에서 120분(分) 이상(以上) 열처리시(熱處理時) 완전(完全) 사멸(死滅)되었다. 5. 본(本) 병(病)은 종균(種菌) 재식시(栽植時)나 복토전(覆土前) 퇴비(堆肥)에 접종(接種) 했을 때 피해(避害)가 컸다. 6. basamid나 vapam약제(藥劑)를 퇴비(堆肥) 입상시(入床時) $100{\sim}150 ppm$ppm으로 처리(處理)한 후(後) 후발효(後醱酵)를 실시(實施)하므로서 괴균병(塊菌病)을 방제(防除)할 수 있었다.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.106-114
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• 2019

이 연구의 목적은 노인이 경험한 건강증진과 만성질환관리 보건교육, 정신문제 상담 경험이 현재 건강상태에 미치는 효과를 확인하는 것이다. 이 연구는 '2017년 지역사회 건강조사' 자료를 활용하여 65세 이상 노인 10,532명을 최종 대상자로 선정하였다. 건강증진 교육경험에는 손씻기 교육 및 홍보 경험, 금연 캠페인 경험, 금연교육 경험으로 구성되었다. 만성질환관리 교육 경험은 고혈압, 당뇨병, 또는 관절염 관리 보건교육 경험으로 구성되었다. 정신문제 상담 경험은 스트레스, 우울, 자살을 포함한 정신문제 관련 상담 경험으로 구성되었다. 현재 건강상태는 운동능력, 자기관리, 일상활동, 통증/불편, 불안/우울 정도로 구성되었다. 자료분석은 Chi-square test, Mann-Whitney test, 다변량 로지스틱 회귀분석을 활용하였다. 연구대상자의 일반적 특성은 남자가 4,075명(38.69%)이고, 여자가 6,457명(61.31%)이었으며, 평균연령은 73.71(±6.18)세이었다. 노인 대상자의 현재 건강상태에 영향을 미치는 유의한 요인으로는 연령(OR=0.909, 95% CI=0.886-0.933), 손씻기 교육 및 홍보 경험(OR=2.463, 95% CI=1.703-3.563), 금연캠페인 경험(OR=1.624, 95% CI=1.146-2.301), 정신문제 상담 경험(OR=0.533, 95% CI=0.359-0.791)으로 나타났다. 노인들이 오랫동안 유지해온 개인적 습성을 수정하여 교육의 효과를 보이기 위해서는 대상자의 특성을 고려한 장기간 꾸준한 교육이 효과적일 것이다.

• Journal of Microbiology and Biotechnology
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• 제27권5호
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• pp.1023-1031
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• 2017

The conformational change of cellular prion protein ($PrP^C$) to its misfolded counterpart, termed $PrP^{Sc}$, is mediated by a hypothesized cellular cofactor. This cofactor is believed to interact directly with certain amino acid residues of $PrP^C$. When these are mutated into cationic amino acid residues, $PrP^{Sc}$ formation and prion replication halt in a dominant negative (DN) manner, presumably due to strong binding of the cofactor to mutated $PrP^C$, designated as DN PrP mutants. Previous studies demonstrated that plasminogen and its kringle domains bind to PrP and accelerate $PrP^{Sc}$ generation. In this study, in vitro binding analysis of kringle domains of plasminogen to Q167R DN mutant PrP (PrPQ167R) was performed in parallel with the wild type (WT) and Q218K DN mutant PrP (PrPQ218K). The binding affinity of PrPQ167R was higher than that of WT PrP, but lower than that of PrPQ218K. Scatchard analysis further indicated that, like PrPQ218K and WT PrP, PrPQ167R interaction with plasminogen occurred at multiple sites, suggesting cooperativity in this interaction. Competitive binding analysis using $\small{L}$-lysine or $\small{L}$-arginine confirmed the increase of the specificity and binding affinity of the interaction as PrP acquired DN mutations. Circular dichroism spectroscopy demonstrated that the recombinant PrPs used in this study retained the ${\alpha}$-helix-rich structure. The ${\alpha}$-helix unfolding study revealed similar conformational stability for WT and DN-mutated PrPs. This study provides an additional piece of biochemical evidence concerning the interaction of plasminogen with DN mutant PrPs.

• 대한구순구개열학회지
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• 제4권1호
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• pp.13-26
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• 2001

Cleft lip and/or palate is the congenital orofacial malformation most commonly occurred in humans, The disease is multifactorial and is probably caused by genetic and/or environmental factors, So, there are many problems in research concerning etiology and in treatment of the disease, Even the most practiced and sophisticated methods of surgical repair are necessarily followed by scar contraction and fibrosis, which result in skeletal defects, dental abnormalities, cosmetic disfigurement, and speech impairment, As a result, Fetal surgery can be considered but practiced rarely when the deformity is not fatal to life, And treatment of cleft palate is performed in the form of medicine projection into uterus in animal experiments, Many studies show that growth factor and its receptor emerge from the developing palate; and the epidermal growth factor receptors have a important role in craniofacial development and in palatal fusion, The palatal morphogenesis of the avine is different from the mammal's; it takes the form of physiologic cleft palate, Recently, cleft palate fusion experiment was performed when the avine were in the period of palate formation through the exogenous TGF-β3 addition, and it showed that the exogenous TGF-β3 makes fusion of divided palate through certain process when cleft palate is occurred in palatal formation, In this study, I had the conformation of the fusion of cleft palate through the addition of TGF-β in case of chicken embryo, and observed the effect of TGF-β in EGF receptor distribution, And the following is the results of this study, 1. In case of the TGF-βl and β3 addition group, there was the decrease of EGFR(Epidermal Growth Factor Receptor) immunoreactivity in mesenchymal cells beneath the medial edge epithelium and also in epithelial mesenchymal interface which is between medial edge epithelium and nasal septum in 72 hours, 2, The immunoreactivity of the control group resembles that of normal chicken embryo palate in development, 3. In the view through fluorescence confocal microscopy, there was confluence in TGF-β3 addition group, This shows that the confluence induced by exogenous TGF-β3 is related to EGFR expression in palate of chicken embryo, which is a physiologic cleft palate model.

• 한국환경보건학회지
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• 제42권1호
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• pp.41-52
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• 2016

Objectives: Scrub typhus is one of the most prevalent vector-borne diseases. It is caused by Orientia tsutsugamushi, which is transmitted when people are bitten by infected chigger mites. This study aims at quantifying the association between the incidence of scrub typhus and meteorological factors in Jeollabuk-do Province over the period 2001-2015. Methods: Reported cases of scrub typhus were collected from the website of the Disease Web Statistical System supported by the Korea Centers for Disease Control and Prevention (KCDC). Simultaneous meteorological data, including temperature, rainfall, relative humidity, and sunshine duration were collected from the website of the National Climate Data Service System by the Korea Meteorological Administration. Correlation and regression analyses were applied to identify the association between the incidence of scrub typhus and meteorological factors. Results: The general epidemiological characteristics of scrub typhus in Jeollabuk-do Province were similar to those nationwide for sex, age, and geographical distribution. However, the annual incidence rate (i.e., cases per 100,000) of scrub typhus in Jeollabuk-do Province was approximately four times higher than all Korea's 0.9. The number of total cases was the highest proportion at 13.3% in Jeonbuk compared to other regions in Korea. The results of correlation analysis showed that there were significant correlations between annual cases of scrub typhus and monthly data for meteorological factors such as temperature and relative humidity in late spring and summer, especially in the case of temperature in May and June. The results of regression analysis showed that determining factors in the regression equation explaining the incidence of scrub typhus reached 46.2% and 43.5% in May and June. Using the regression equation, each 1oC rise in the monthly mean temperature in May or June may lead to an increase of 38 patients with scrub typhus compared to the annual mean of incidence cases in Jeollabuk-do Province. Conclusion: The result of our novel attempts provided rational evidence that meteorological factors are associated with the occurrence of scrub typhus in Jeollabuk-do. It should therefore be necessary to observe the trends and predict patterns of scrub typhus transmission in relation to global-scale climate change. Also, action is urgently needed in all areas, especially critical regions, toward taking steps to come up with preventive measures against scrub typhus transmission.

• 대한지역사회영양학회지
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• 제15권6호
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• pp.717-726
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• 2010

This study was conducted to investigate health status and nutrient intakes among 5th grade elementary students at Korea Centers for Disease Control and Prevention 2010. This study was cross-sectional study on 1,384 children (687 boys, 697 girls) from nine elementary schools located in Seoul and Gyeonggi province. The average height, weight and BMI were 145 cm, 40.6 kg $19.2\;kg/m^2$ for boys and 145.4 cm, 38.2 kg, $18.0\;kg/m^2$ for girls. The prevalence of overweight and obesity were 11.3%, 5.2%, respectively. Serum AST, ALT, glucose, HDL-Cholesterol and RBC levels were significantly higher, while TG levels was significantly lower for boys than for girls. The average energy intake was 1772.4 kcal, which was 98.7% of Estimated Energy Requirement (EER). The boys consumed more energy intake (1800.4 kcal) than the girls (1744.7 kcal). Also, they took insufficient calcium and folate (69.1% and 83.3% of Recommended Intake (RI)) and excess sodium (297.6% of Adequate Intake (AI)) and 85.1% of the subjects had breakfast everyday. In general, the proportion of the children who consumed fruits and vegetables at least once or more a day was low. There was a higher proportion of children in boys who had ramyun and milk with sufficient physical activity than those in girls. As a result of this study, we can find risk factors on obesity and metabolic disorders, and the results can be used for an evidence of nutrition education program and the intervention program.