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Relationship of Socioeconomic Factors with Medical Utilization for Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia in a South Korean Community (지역사회 성인남성에서의 하부요로증상 및 전립선비대증 의료이용과 사회경제적 요인의 관련성)

  • Kim, Han-Hae;Kong, Kyoung-Ae;Lee, Hun-Jae;Yoon, Ha-Na;Lee, Bo-Eun;Moon, Ok-Ryun;Park, Hye-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.2
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    • pp.141-148
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    • 2006
  • Objectives : We wanted to evaluate the medical underutilization for benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS) among Korean elderly men and we wanted to determine their associated factors. Methods : This study was conducted on 239 men with LUTS and 116 men with BPH who were compatible with the diagnostic criteria from a total of 641 participants. These participants were over 50 years old and they were randomly chosen in a community-based study for estimating the prevalence of BPH. Using a self-reported questionnaire, we surveyed the sociodemographics, health status, quality of life, lower urinary tract symptoms, medical utilization and reasons for not seeking treatment. Results : Only 27.6% of the men with LUTS and 31.0% of the men with BPH reported having visited a doctor for urinary symptoms. The reasons for not visiting a doctor were, in order of responses from the group with LUTS: 'considered the symptoms as a part of the normal ageing process', 'not enough time to visit a doctor', 'financial difficulty' and 'the symptoms were not severe or bothersome'. Regarding BPH, the responses were the same as those of the group with LUTS however, 'financial difficulty' placed second. Among the men with experience of visiting a doctor for urinary symptoms, 33.3% of those with LUTS and 28.1% of those with BPH were not treated. The most common reason in both groups was 'the symptoms were not severe to be treated'. On a multiple logistic regression analysis, the larger size household (odds ratio (OR) 3.03, 95% confidence interval (CI)=1.40-6.54) and an unsatisfactory quality of life related with urinary symptoms (OR 2.98, 95% CI=1.23-7.21) were associated with medical utilization in the group of LUTS. For BPH, the current employment status was related with the medical utilization (OR 2.80, 95% CI=1.10-7.11), in addition to the larger size household (OR 3.24, 95% CI=1.14-9.21). Conclusions : Many men with urinary symptoms do not visit a doctor. This medical underutilization for people with LUTS and BPH may be associated with economic status in Korea.

Investigation of the Gene Encoding Isotocin and its Expression in Cinnamon Clownfish, Amphiprion melanopus (Cinnamon clownfish Amphiprion melnaopus의 이소토신 유전자 구조와 삼투압 조절이 미치는 영향)

  • Noh, Gyeong Eon;Choi, Mi-Jin;Min, Byung Hwa;Rho, Sum;Kim, Jong-Myoung
    • Journal of Life Science
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    • v.26 no.2
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    • pp.164-173
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    • 2016
  • Isotocin (IT), a nonapeptide homolog of oxytocin in mammals, has been suggested to be involved in physiological processes including social behaviors, stress responses, and osmoregulation in teleost fish. To study its structure and function, the gene encoding the IT precursor was cloned from the genomic DNA and brain cDNA of the cinnamon clownfish, Amphiprion melanopus. The IT precursor gene consists of three exons separated by two introns, and encodes an open reading frame of 156 amino acid (aa) residues, comprising a putative signal peptide of 19 aa, a mature IT protein of 9 aa, a proteolytic processing site of 3 aa, and 125 aa of neurophysin. Tissue-specific analysis of the IT precursor transcript indicated its expression in the brain and gonads of A. melanopus. To examine its osmoregulatory effects, the salinity of the seawater (34 ppt) used for rearing A. melanopus was lowered to 15 ppt. Histological analysis of the gills indicated the apparent disappearance of an apical crypt on the surface of the gill lamella of A. melanopus, as pavement cells covered the surface upon acclimation to the lower salinity. The level of Na+/K+-ATPase activity in the gills was increased during the initial stage of acclimation, followed by a decrease to its normal level, suggesting its involvement in osmoregulation and homeostasis. The only slight increase in the level of IT precursor transcript in the A. melanopus brain upon low-salinity acclimation suggested that IT played a minor role, if any, in the process of osmoregulation.

The Integrins Involved in Soybean Agglutinin-Induced Cell Cycle Alterations in IPEC-J2

  • Pan, Li;Zhao, Yuan;Yuan, Zhijie;Farouk, Mohammed Hamdy;Zhang, Shiyao;Bao, Nan;Qin, Guixin
    • Molecules and Cells
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    • v.40 no.2
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    • pp.109-116
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    • 2017
  • Soybean agglutinin (SBA) is an anti-nutritional factor of soybean, affecting cell proliferation and inducing cytotoxicity. Integrins are transmembrane receptors, mediating a variety of cell biological processes. This research aims to study the effects of SBA on cell proliferation and cell cycle progression of the intestinal epithelial cell line from piglets (IPEC-J2), to identify the integrin subunits especially expressed in IPEC-J2s, and to analyze the functions of these integrins on IPEC-J2 cell cycle progression and SBA-induced IPEC-J2 cell cycle alteration. The results showed that SBA lowered cell proliferation rate as the cell cycle progression from G0/G1 to S phase (P < 0.05) was inhibited. Moreover, SBA lowered mRNA expression of cell cycle-related gene CDK4, Cyclin E and Cyclin D1 (P < 0.05). We successfully identified integrins ${\alpha}2$, ${\alpha}3$, ${\alpha}6$, ${\beta}1$, and ${\beta}4$ in IPEC-J2s. These five subunits were crucial to maintain normal cell proliferation and cell cycle progression in IPEC-J2s. Restrain of either these five subunits by their inhibitors, lowered cell proliferation rate, and arrested the cells at G0/G1 phase of cell cycle (P < 0.05). Further analysis indicated that integrin ${\alpha}2$, ${\alpha}6$, and ${\beta}1$ were involved in the blocking of G0/G1 phase induced by SBA. In conclusion, these results suggested that SBA lowered the IPEC-J2 cell proliferation rate through the perturbation of cell cycle progression. Furthermore, integrins were important for IPEC-J2 cell cycle progression, and they were involved in the process of SBA-induced cell cycle progression alteration, which provide a basis for further revealing SBA anti-proliferation and anti-nutritional mechanism.

Changes in chemical properties, antioxidant activities, and cytotoxicity of turmeric pigments by thermal process (가열처리에 의한 심황색소의 화학적 특성, 산화방지 활성 및 세포독성 변화)

  • Song, Eiseul;Kang, Smee;Hong, Jungil
    • Korean Journal of Food Science and Technology
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    • v.50 no.1
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    • pp.21-27
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    • 2018
  • Turmeric oleoresin, extracted from the rhizome of Curcuma longa L., is a widely-used natural food colorant. Curcuminoids, the major pigments in turmeric, which include curcumin, demethoxycurcumin (DMC), and bisdemethoxycurcumin (BMC), possess various physiological activities. In the present study, changes in the chemical properties, antioxidant activities, and cytotoxicity of turmeric pigments upon heating were investigated. Color intensity of turmeric was significantly reduced after heating. Residual levels of curcumin, DMC, and BMC after 15 min of heating at $95^{\circ}C$ were 11.9, 37.4, and 77.3% respectively. Scavenging activities of turmeric against 2,2'-azobis-3-ethyl-benz-thiazoline-6-sulfonic acid (ABTS), 2,2-azobis (2-amidinopropane) hydrochloride (AAPH) peroxyl radicals, and nitrite were significantly enhanced after heating, while 2,2-diphenyl-1-picryl-hydrazyl (DPPH) radical scavenging activity remained unaffected. Generation of $H_2O_2$ from turmeric was increased via thermal decomposition. Cytotoxicity of turmeric pigments against colon cancer and normal intestinal cells was reduced significantly after heating. The results indicate that thermal processing affects chemical properties and bioactivities of turmeric pigments. These effects should be considered during the processing of foods containing turmeric pigments.

ᴅ-Xylose as a sugar complement regulates blood glucose levels by suppressing phosphoenolpyruvate carboxylase (PEPCK) in streptozotocin-nicotinamide-induced diabetic rats and by enhancing glucose uptake in vitro

  • Kim, Eunju;Kim, Yoo-Sun;Kim, Kyung-Mi;Jung, Sangwon;Yoo, Sang-Ho;Kim, Yuri
    • Nutrition Research and Practice
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    • v.10 no.1
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    • pp.11-18
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    • 2016
  • BACKGROUND/OBJECTIVES: Type 2 diabetes (T2D) is more frequently diagnosed and is characterized by hyperglycemia and insulin resistance. $\small{D}$-xylose, a sucrase inhibitor, may be useful as a functional sugar complement to inhibit increases in blood glucose levels. The objective of this study was to investigate the anti-diabetic effects of $\small{D}$-xylose both in vitro and stretpozotocin (STZ)-nicotinamide (NA)-induced models in vivo. MATERIALS/METHODS: Wistar rats were divided into the following groups: (i) normal control; (ii) diabetic control; (iii) diabetic rats supplemented with a diet where 5% of the total sucrose content in the diet was replaced with $\small{D}$-xylose; and (iv) diabetic rats supplemented with a diet where 10% of the total sucrose content in the diet was replaced with $\small{D}$-xylose. These groups were maintained for two weeks. The effects of $\small{D}$-xylose on blood glucose levels were examined using oral glucose tolerance test, insulin secretion assays, histology of liver and pancreas tissues, and analysis of phosphoenolpyruvate carboxylase (PEPCK) expression in liver tissues of a STZ-NA-induced experimental rat model. Levels of glucose uptake and insulin secretion by differentiated C2C12 muscle cells and INS-1 pancreatic ${\beta}$-cells were analyzed. RESULTS: In vivo, $\small{D}$-xylose supplementation significantly reduced fasting serum glucose levels (P < 0.05), it slightly reduced the area under the glucose curve, and increased insulin levels compared to the diabetic controls. $\small{D}$-xylose supplementation enhanced the regeneration of pancreas tissue and improved the arrangement of hepatocytes compared to the diabetic controls. Lower levels of PEPCK were detected in the liver tissues of $\small{D}$-xylose-supplemented rats (P < 0.05). In vitro, both 2-NBDG uptake by C2C12 cells and insulin secretion by INS-1 cells were increased with $\small{D}$-xylose supplementation in a dose-dependent manner compared to treatment with glucose alone. CONCLUSIONS: In this study, $\small{D}$-xylose exerted anti-diabetic effects in vivo by regulating blood glucose levels via regeneration of damaged pancreas and liver tissues and regulation of PEPCK, a key rate-limiting enzyme in the process of gluconeogenesis. In vitro, $\small{D}$-xylose induced the uptake of glucose by muscle cells and the secretion of insulin cells by ${\beta}$-cells. These mechanistic insights will facilitate the development of highly effective strategy for T2D.

Efficient Cluster Server Construction and Management for Service Orientation (서비스 지향적인 효율적인 클러스터 서버 구축 및 관리)

  • Chae, Hee-Seong;Song, Ha-Yoon;Kim, Han-Gyoo;Lee, Kee-Cheol
    • The KIPS Transactions:PartA
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    • v.14A no.6
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    • pp.371-382
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    • 2007
  • Modern server systems are usually composed in the form of cluster systems in order to serve not only as many users but also as many kinds of applications as possible. The progression of the cluster system architecture leads in a middleware approach based on the Java framework. The middleware approach alleviates the efforts for the construction and the management of a server system but still preserves its performance and applications on the server. In this research, we introduce a new clustering scheme for the easy construction and maintenance of a cluster server system with the Java Management Extensions. We first demonstrate the construction and configuration process. Our experiment sets can verify that it is easy to construct, expand and manage a middleware based cluster system as well as the applications which reside on it. In addition, we can achieve reasonable performance on our service oriented clustered system with the help of state-of-the-art middleware. The experimental results of performance demonstration contain the availability of a server, and the effectiveness of load balancing and scheduling mechanisms. Especially, our service oriented scheduling mechanism was shown to successfully manage load imbalance under the normal load and cope with the overloaded situations, compared with other known scheduling mechanisms.

A Study of Temporality of a Critical Discourse on the Modern in the Late Japanese Colonial Period (일제말기 근대비판 담론의 시간성 연구: 세계사·전통·비상시)

  • Ko, Bong-Jun
    • Cross-Cultural Studies
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    • v.23
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    • pp.33-55
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    • 2011
  • In the late Japanese colonial period, from the Sino-Japanese War until the Pacific War, critical discourses on the modern were prevalent in Japan and the Joseon. Despite the absence of a consensus about the specific definition of the modern, most thinkers agreed that the modern was something to be overcome. While some regarded naturalism and capitalism of the West as the essence of the modern, some others named scientism and humanism as the nature of the western modernity. Additionally, some criticized the temporal concept of historicism and brought new meanings of 'tradition' into relief, and some others advocated overcoming 'the West inherent in us'. This study is to consider the temporality of the theory of overcoming the modern focusing on the following three notions-world history, tradition, and emergency-, and examines the antinomy of them. The first notion to consider is 'world history'. The theorists of overcoming the modern, including the Kyoto school, discarded the progressive ideology that had led the Western modern history, and instead introduced 'world history' as a new notion. Although this resulted from the imperialistic embracement of the theories of Ranke, a major positivist historian from Germany, it contained antinomy of remaining in 'history' which was the modern temporal view. The second notion is 'tradition'. While the critical mind of 'world history' brought 'time of world' into question in the context of temporal realization, the notion of 'tradition' was to understand 'time of history' itself as the modern and overcome it. The critical mind of the notion involves the attempts to criticize regarding history as a 'progressive' process and to discover tradition as 'the present past' or 'the eternal present'. However, it also contained antinomy; the 'tradition' here was a notion that was created in the modern times, not passed down from ancient times. The third notion to consider is 'emergency', which was a method to define the present time as a transition period toward a new era, relating to states of war. However, the theorists of overcoming the modern did not regard 'emergency' as a particular time that strayed from normal states, instead they thought is as 'a regularized exceptional state', namely 'a state in which exceptions have become regulations'. However, the notion also contained antinomy since the word 'emergency' connotes abnormality.

Efficient Methodology in Markov Random Field Modeling : Multiresolution Structure and Bayesian Approach in Parameter Estimation (피라미드 구조와 베이지안 접근법을 이용한 Markove Random Field의 효율적 모델링)

  • 정명희;홍의석
    • Korean Journal of Remote Sensing
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    • v.15 no.2
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    • pp.147-158
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    • 1999
  • Remote sensing technique has offered better understanding of our environment for the decades by providing useful level of information on the landcover. In many applications using the remotely sensed data, digital image processing methodology has been usefully employed to characterize the features in the data and develop the models. Random field models, especially Markov Random Field (MRF) models exploiting spatial relationships, are successfully utilized in many problems such as texture modeling, region labeling and so on. Usually, remotely sensed imagery are very large in nature and the data increase greatly in the problem requiring temporal data over time period. The time required to process increasing larger images is not linear. In this study, the methodology to reduce the computational cost is investigated in the utilization of the Markov Random Field. For this, multiresolution framework is explored which provides convenient and efficient structures for the transition between the local and global features. The computational requirements for parameter estimation of the MRF model also become excessive as image size increases. A Bayesian approach is investigated as an alternative estimation method to reduce the computational burden in estimation of the parameters of large images.

Demand Estimation for Art Museum using Travel Cost Method : A Case of National Museum of Modern and Contemporary Art (여행비용접근법을 적용한 미술관 방문수요함수 추정 : 국립현대미술관을 사례로)

  • Eom, Young-Sook;Kim, Jin-Ok;Park, In-Sun
    • Review of Culture and Economy
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    • v.19 no.2
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    • pp.29-50
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    • 2016
  • This paper is to apply an individual travel cost method(TCM) to estimate demand functions for cultural services enjoyed by visiting 3 branches of the National Museum of Modern and Contemporary Art located in the Seoul Metropolitan area. This paper extends the standard TCM by incorporating opportunity costs of leisure time and two different data generating process - 398 respondents from an on-site survey and 600 respondents from a general household survey. Negative binomial models reflecting the non-negative integer nature of visiting frequency with over-dispersed variance were best fitted for demand functions, in which residents of Seoul metropolitan area surveyed from on the site exhibited higher visitation demand for the national art museum. Price elasticity and income elasticity differed by respondents' residency. Price elasticity of long distance visitors (-0.21) was more inelastic from those of Seoul residents (-0.34 ~ -0.5). Moreover, regional residents outside of Seoul area seemed to consider that services from the national art museum is a normal good with income elasticity of 0.5, whereas the Seoul residents seemed to perceive it to be an inferior good with income elasticity of -0.05.

Architecture of Continental Rifting in the South Korea Plateou: Constraints to the Evolution of the Eastern Korea Margin and the Opening of the East Sea (Japan Sea)

  • Kim, Han-Joon;Jou, Hyeong-Tae;Yoo, Hai-Soo
    • Journal of the Korean Geophysical Society
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    • v.9 no.3
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    • pp.189-197
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    • 2006
  • The Korea Plateau is a continental fragment rifted and partially segmented from the Korean Peninsulaat the initial stage of the opening of the East Sea (Japan Sea). We interpreted marine seismic profiles from the South Korea Plateau in conjunction with swath bathymetric to investigate processes of con-tjnental rifting and separation of the southwestern Japan Arc. The SouU-i Korea Plateau preserves funda-mental elements of rift architecture comprising a seaward succession of a rift basin and an uplifted rift flank passing into the slope, typical of a passive continental margin. Two distinguished rift basins (Onnuri and Bandal Basins) in the South Korea Plateau are bounded by major synthetic and smaller antithetic faults, creating wide and symmetric profiles. The large-offset border fault zones of these basins have convex dip slopes and demonstrate a zig-zag arrangement along strike. Rifting was primarily controlled by normal faulting resulting from extension orthogonal to the inferred line of breakup along the base ofthe slope rather U-ian strike-slip deformation. Two extension direcdons for rifdng are recog-nized; U-ie Onnuri Basin was rifted in U-ie EW direction; U-ie Bandal Basin in U-ie EW and NW-SE directions, suggesting two rift stages. We interpret that the E-W direction represents initial rifting at the inner margin; while the Japan Basin widened, rifting propagated repeatedly from the Japan Basin to the southeast toward the Korean margin but could not penetrate the strong continental lithosphere of the Korean Shield and changed direction to the south, resulting in E-W extension to create the rift basins at the Korean margin. The Hupo Basin to the south of the Korea Plateau is estimated to have formed in this process. The NW-SE direction probably represents the direction of rifting orthogonal to the inferred line of breakup along the base of the slope of the South Korea Plateau; after breakup the southwestern Japan Arc separated in the SE direction, indicating a response to tensional tectonics associated with the subduction of the Pacific Plate in the NE direction. We suggest that structural evolution of the eastern Korean margin can be explained by the processes occurring at the passive continental margin.

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