• Journal of Chest Surgery
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• 제41권2호
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• pp.210-215
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• 2008

배경: 약물방출스텐트에 의한 재협착감소효과와 병행약물치료의 발달은 좌주간지병변에 대한 스텐트 시술의 증가를 가져오고 있다. 본 연구는 좌주간지병변에 대한 관상동맥우회수술과 약물방출스텐트 시술의 1년 임상성적을 비교하였다. 대상 및 방법: 본원에서 좌주간지병변으로 관상동맥우회수술이나 약물방출스텐트 삽입술을 받은 환자를 우회수술군과 스텐트군으로 나누어 이들 군의 수술 전 관상동맥질환 및 중증도, 입원기간, 원내 사망, 1년간 누적 사망 및 심근경색발생, 재관류술 시행비율 등을 비교 조사하였다. 결과: 101명의 관상동맥우회수술을 받은 환자(수술군)와 78명의 스텐트 시술을 받은 환자(스텐트군)가 분석대상이었다. 양군 환자의 연령, 성별, 위험인자, 좌심실 구혈률, 급성관 상동맥증후군의 비율에 있어서 차이가 없었다. 수술 군의 Euroscore가 $26.0{\pm}20.4$로 스텐트 군에 비해 높아 더 위험군이었으며(vs $6.38{\pm}10.31$, p<0.001), 긴급성도 37.6%로 더 많았으며(vs 10.3%, p<0.001) 입원기간도 16.1일로서 더 길었다(vs 7.9일, p=0.001). 좌주간지 이외 다혈관질환을 가지고 있는 경우도 수술군이 많았다(92.1% vs 37.2%, p<0.001). 원내 사망률과 1년 누적사망율에 있어서 차이가 없었다(3.0% vs 2.6%; 5.2% vs 6.6%, p=0.73). Euroscore로 matching한 41명의 수술환자와 78명의 스텐트환자를 선별하여 분석하였을 때 Euroscore (9.1 vs 6.4, p=0.104) 연령, 성별, 위험인자, 급성 관상동맥증후군의 비율의 차이는 없었다. Euroscore matched 분석에서 수술군에서 다혈관질환이 많았으며(87.8% vs 37.2%, p<0.001) 입원기간도 더 길었다(13.3일 vs 7.9일, p=0.02). 원내사망률과 1년 누적사망율은 수술군이 우수한 경향이 있었으나 통계적으로 유의하지는 않았다(0% vs 2.6%, p=0.55; 0% vs 6.6%, p=0.30). Euroscore matched 분석에서 1년 재관류술 비율은 스텐트군과 수술군에서 각각 13.3%와 6.3% (p=0.48), 사망 혹은 심근경색증 발생비율은 10.0%와 0% (p=0.09)였다. 결론: 저위험군 환자의 화주간지병변에 대한 약물방출스텐트 시술은 수술에 비해 입원기간 단축의 효과는 있지만, 추적관찰기간동안 재관류술 시행비율과 1년 누적 사망률이 증가하는 경향을 보이고 있으며, 보다 많은 환자를 대상으로 한 장기적 관찰이 필요하다.

• Journal of Acupuncture Research
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• 제18권4호
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• pp.22-31
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• 2001

Objective : This study is designed to evaluate the correlation between the data of DITI (Digital Infrared Thermographic Imaging) and the clinical symptoms in the patients with low back pain. Methods : Among the outpatients with back pain who visited to Department of Acupunture & Moxibustion, Tae gu Oriental Hopital of Kyung San University from January 2000 to August, we selected 115 cases that examined DITI. We evaluated the correlation between the data of DITI examination and the clinical symptoms (Distribution of Sex and Age, Duration of Disease, Main Sign, Grade of Clinical Symptoms, Diagnosis according to Symptoms(辨證),) in the patients with low back pain. Results & Conclusion : 1. The thermal changes in terms of the duration of disease : The acutest period has the highest thermal change. Also, the longer the duration of disease was, the higher the termal change was. It increased in the order of the acutest period, the less acute period, and the the chronical period. 2. Thermal changes due to the main symptom : The degree of thermal change was as follows (from the highest to the lowest): first, back and knee pain, second, back and leg pain, third, back and buttock pain, fourth, numbness of leg, and fifth, back and dorsum pain. 3. Thermal changes in terms of the grade of clinical symptoms : The more servious the symptoms were, the higher the thermal change was. It was increased in the order of Gr 1, Gr 2, Gr 3, and Gr 4. 4. Thermal changes depdning on symptoms diagnosis : Chwaseom(挫閃) has the highest temperature, $0.87{\pm}0.49^{\circ}C$. 5. Thermal changes before and after treatment : Before treatment, the average thermal change was $0.83^{\circ}C$ but after treatment, it was decreased to $0.38^{\circ}C$. For the above symptoms, if DITI is used, the diagnosis is easier based on the medical history of the patient who has back pain, and the degree of pain. However, if thermal change is soly used for diagnosis, it will be hard to determine the nature of sickness. Therefore, it should be folllowed by other supplementary examination.

• Corrosion Science and Technology
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• 제8권2호
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• pp.62-67
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• 2009

Ti and Ti-alloys have good biocompatibility, appropriate mechanical properties and excellent corrosion resistance. However, the widely used Ti-6Al-4V is found to release toxic ions (Al and V) into the body, leading to undesirable long-term effects. Ti-6Al-4V has much higher elastic modulus (100 GPa) than cortical bone (20 GPa). Therefore, titanium alloys with low elastic modulus have been developed as biomaterials to minimize stress shielding. The electrochemical behavior of surface-modified and MC3T3-E1 cell-cultured Ti-30(Nb,Ta) alloys with low elastic modulus have been investigated using various electrochemical methods. Surfaces of test samples were treated as follows: $0.3{\mu}m$ polished; $25{\mu}m$, $50{\mu}m$ and $125{\mu}m$ sandblasted. Specimen surfaces were cultured with MC3T3-E1 cells for 2 days. Average surface roughness ($R_a$) and morphology of specimens were determined using a surface profilometer, OM, and FE-SEM. Corrosion behavior was investigated using a potentiostat(EG&G PARSTAT 2273), and electrochemical impedance spectroscopy was performed (10 mHz to 100 kHz) in 0.9% NaCl solution at $36.5{\pm}1^{\circ}C$. The microstructures of the Ti-30(Ta,Nb) alloys had a needle-like appearance. The $R_a$ of polished Ti-30Ta and Ti-30Nb alloys was lower than that of the sandblasted Ti alloy. Cultured cells displayed round shapes. For polished alloy samples, cells were well-cultured on all surfaces compared to sandblasted alloy samples. In sandblasted and cell-cultured Ti-30(Nb,Ta) alloy, the pitting potential decreased and passive current density increased as $R_a$ increased. Anodic polarization curves of cell-cultured Ti alloys showed unstable behavior in the passive region compared to non-cell-cultured alloys. From impedance tests of sandblasted and cell-cultured alloys, the polarization resistance decreased as $R_a$ increased, whereas, $R_a$ for cell-cultured Ti alloys increased compared to non-cell-cultured Ti alloys.

• 대한통합의학회지
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• 제3권3호
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• pp.49-57
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• 2015

Purpose : The purpose of this study was to identify whether static and dynamic balance in young men were influenced by the different height of insoles in their shoes. Methods : Eighteen healthy young men (mean $20.61{\pm}1.38years$) were recruited for this study. The subjects' static and dynamic balance were assessed while wearing three different height' insoles (0cm, 2cm, 3cm) in their tennis shoes. Anterioposterior (AP) and mediolateral (ML) sway velocity was measured for 20 seconds using a force plate (Good balance system, Finland) under four conditions including normal standing with eyes open and with eyes closed, and tandem standing with eyes open and with eyes closed. The Functional Reach Test (FRT) and Timed Up & Go (TUG) were also performed for each subject under each condition. Results : 1) ML and AP sway velocities in young men were significantly different according to the height of the insole in normal standing with eyes open and eyes closed. 2) ML and AP sway velocities in young men were not different according to the height of the insole in tandem standing with eyes open. 3) ML sway velocities in young men were significantly different according to the height of the insole in tandem standing with eyes closed, whereas AP sway velocities did not differ by height of the insole in tandem standing with eyes closed. 4) FRT scores in young men were significantly different according to the height of the insole. 5) TUG scores in young men were not significantly different according to the height of the insole. Conclusions : This study's results indicate that the static and dynamic balance in young men can be influenced by shoe insole height.

• Journal of Nutrition and Health
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• 제44권6호
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• pp.498-506
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• 2011

This study examined the relationship among plasma homocysteine, folate, and vitamin $B_{12}$ levels and neurocognitive function in 118 community-dwelling elderly subjects (mean age, $75.1{\pm}6.7$ years). The Mini-Mental State Examination (MMSE-KC) was used to screen and assess neurocognitive function in the participants. Dietary intake data including the use of dietary supplements were obtained using the 24-hour recall method by well-trained interviewers. Plasma folate and vitamin $B_{12}$ concentrations were analyzed by radioimmunoassay, and homocysteine was assessed by a high performance liquid chromatography-fluorescence method. The proportions of participants with suboptimal levels of plasma folate (< 3 ng/mL), vitamin $B_{12}$ (< 221 pmol/mL), and homocysteine (> $15{\mu}mol/L$) were 16.1%, 5.9%, and 21.2%, respectively. A multiple regression analysis showed that plasma homocysteine was negatively associated with plasma folate and vitamin $B_{12}$ levels. The MMSE-KC test scores were significantly associated with plasma homocysteine and folate, but not with vitamin $B_{12}$, after adjusting for age, gender, body mass index, living with spouse, education, current smoking, energy intake, and chronic diseases such as hypertension, diabetes, thyroid disease, dyslipidemia, stroke, and cardiovascular disease. A general linear model adjusted for covariates revealed that MMSE-KC test scores increased from the lowest to the highest quartiles of vitamin $B_1$, vitamin $B_2$, vitamin $B_6$, vitamin $B_{12}$, and vitamin C intake (p for trend = 0.012, 0.039, 0.014, 0.046, 0.026, respectively). These results indicate that the problem of folate inadequacy and hyperhomocysteinemia are highly prevalent among community-dwelling elderly people and that dietary intake of the B vitamins and vitamin C is positively associated with cognitive function scores.

• Asian-Australasian Journal of Animal Sciences
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• 제14권5호
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• pp.655-667
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• 2001

This experiment was conducted to investigate the effect of feeding a low CP diet supplemented with synthetic amino acids on performance, nutrient utilization and carcass characteristics of finishing pigs fed under a three-phase feeding regimen. Ninety-six finishing pigs (Landrace$\times$Large White$\times$Duroc), $55.75kg{\pm}0.65$ of initial body weight, were blocked by weight and sex and allotted to four dietary treatments in a randomized block design. There were six pens per treatment and four pigs per pen. Pigs were fed a 16%-14%-12% CP (for phase I-II-III, respectively), sequence of diets. Dietary treatments were 1) Control, 2) Con+L (a sequence of diets reduced in CP by l percentage unit with lysine (L) supplementation, 3) Con+LMT (a sequence of diets reduced in CP by 2 percentage unit with LYS, methionine (MET) and threonine (THE) supplementation) and 4) Con+LMTT (a sequence of diets reduced in CP by 3 percentage unit with LYS, MET, THR and tryptophan (TRP) supplementation). The finishing period (55 to 105 kg) was divided into three phases (55 to 72 kg, 72 to 90 kg and 90 to 105 kg). Pigs fed either the control or Con+L diet grew faster (p<0.05) than pigs fed the Con-LMT or Con+LMTT diet. There was no difference in ADFI among dietary treatments. Phosphorus (P) digestibility was lowest in the control group and highest in the Con+LMTT group (p<0.05). Within each phase, no significant differences in dry matter (DM) and CP digestibilities were found. Although some amino acid digestibilities were affected by dietary treatments, digestibilities of essential amino acids (EAA), non-essential amino acids (NEAA) and total amino acid were not significantly influenced by dietary treatments. For the entire experiment periods, Con+L, Con+LMT and Con+LMTT treatments resulted in 13.4, 18.8 and 21.6% lower total N excretion compared with the control. Con+LMT and Con+LMTT treatments showed significantly lower BUN concentration compared with the control and Con+L treatment (p<0.05), but there was no significant difference in BUN concentration between pigs fed the control and Con+L treatment or between pigs fed Con+LMT and Con+LMTT treatments (p>0.05). Carcass length, backfat thickness and carcass grade were not significantly affected by dietary treatments (p>0.05). In conclusion, reducing dietary CP level by 1 percentage unit and supplementing only LYS at each phase could be a very beneficial feeding strategy for finishing pigs fed under a three phase feeding regimen in terms of both environmental and economical aspects.

• Journal of Chest Surgery
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• 제51권2호
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• pp.100-108
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• 2018

Background: The question of which type of prosthetic aortic valve leads to the best outcomes in patients in their 60s remains controversial. We examined the hemodynamic and clinical outcomes of aortic valve replacement in sexagenarians according to the type of prosthesis. Methods: We retrospectively reviewed 270 patients in their 60s who underwent first-time aortic valve replacement from 1995 to 2011. Early and late mortality, major adverse valve-related events, anticoagulation-related events, and hemodynamic outcomes were assessed. The mean follow-up duration was $58.7{\pm}44.0$ months. Results: Of the 270 patients, 93 had a mechanical prosthesis (mechanical group), and 177 had a bioprosthesis (tissue group). The tissue group had a higher mean age and prevalence of preoperative stroke than the mechanical group. The groups had no differences in the aortic valve mean pressure gradient (AVMPG) or the left ventricular mass index (LVMI) at 5 years after surgery. In a sub-analysis limited to prostheses in the supra-annular position, the AVMPG was higher in the tissue group, but the LVMI was still not significantly different. There was no early mortality. The 10-year survival rate was 83% in the mechanical group and 90% in the tissue group. The type of aortic prosthesis did not influence overall mortality, cardiac mortality, or major adverse valve-related events. Anticoagulation-related events were more common in the mechanical group than in the tissue group (p=0.034; hazard ratio, 4.100; 95% confidence interval, 1.111-15.132). Conclusion: The type of aortic prosthesis was not associated with hemodynamic or clinical outcomes, except for anticoagulation-related events.

• 대한본초학회지
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• 제22권4호
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• pp.213-218
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• 2007

Objectives : Effects of Fructus Foeniculi extract on liver function were investigated in carbon tetrachloride(CCl4) intoxicated rats. Methods : Thirty two male Sprague-Dawley rats with mean weight of $227.28{\pm}7.92g$ were used in these experiments and housed with food and water ad libitum. Fructus Foeniculi extract was administerd at dose 100mg/kg/day and 200mg/kg/day p.o. for 2 weeks after that CCl4 was treated 3 times at dose of 2.5ml/kg, p.o. in alternate day basis. Then serum AFP(${\alpha}$-Fetoprotein), Total protein, Albumin, Triglyceride, Total cholesterol concentrations and ALP (Alkaline phosphatase), AST(Aspartate Aminotransferase), ALT(Alanine Aminotransferase), ${\gamma}$-GT( ${\gamma}$-Glutamyl transferase), LDH(Lactate Dehydrogenase) activities were determined with commercial kit by autoanalyzer. Results : Plasma ${\alpha}$-fetoprotein and total protein concentration showed a tendency to decrease in Fructus Foeniculi extract-treated groups. However, plasma albumin concentration showed no significant differences in all treatment groups. Activity of plasma aspartate aminotransferase and alanine aminotransferase in Fructus Foeniculi extract-treated groups showed a lower value than that of control group. Alkaline phosphatase and lactate dehydrogenase activities showed a tendency to decrease in Fructus Foeniculi treated groups. However, ${\gamma}$-glutamyl transferase activity showed no significant difference in all treated groups. Concentration of plasma triglyceride and total cholesterol showed a high level in CCl4 intoxicated rats but not in Fructus Foeniculi treated groups. Conclusion : Reviewing these experimental results, it appears that Fructus Foeniculi extract have recovering effect against liver injury.

• 동아시아식생활학회지
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• 제7권4호
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• pp.512-518
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• 1997

알루미늄 등 중금속 오염이 점점 심화되고 있는 서해안 일부지역에서 포획되고 있는 46종의 어패류 중 알루미늄 함량의 평균은 88.38$\pm$189.03ppm으로 그 범위는 0.97-827.70ppm이었는데 24종의 생선 중 알루미늄 함량은 그 범위가 0.97ppm에서 45.12ppm으로 건실치에 가장 많았고 도미에 가장 적게 함유되어 있었다. 15종의 연체류가 함유하고 있는 알루미늄 함량은 3.40ppm에서 827.70ppm으로 그 차이가 매우 컸는데 복족류인 소라에 3.40ppm으로 가장 적게 함유되어 있었고 이매패류인 대합에 826ppm, 해락에 812.55ppm으로 가장 많이 함유되어 있었다. 7종의 젓갈의 알루미늄 함량은 2.50-295.15ppm으로 그 차이가 컸는데 황새기젓과 한치젓에는 그 함유량이 낮았지만 조개젓과 곤쟁이젓에는 많은 양의 알루미늄이 함유되어 있었다 생선과 연체류 및 젓갈중에 함유되어 있는 알루미늄 함량간의 유의차를 검증한 결과 연체류의 알루미늄 함량이 생선과 젓갈에 비해 유의적으로 높았다(p＜0.01), 이는 일생동안 주거지를 크게 움직이지 않는 생육조건을 갖는 이매패류의 특성때문으로 사료된다.

• Clinical and Experimental Reproductive Medicine
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• 제31권1호
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• pp.19-27
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• 2004

Objective: This study was to examine the in vitro neural cell differentiation patterns of human embryonic stem (hES) cells following treatment of various neurotrophic factors [basic fibroblast growth factor (bFGF), retinoic acid (RA), brain derived neurotrophic factor (BDNF) and transforming growth factor (TGF)-$\alpha$], particulary in dopaminergic neuron formation. Methods: The hES cells were induced to differentiate by bFGF and RA. Group I) In bFGF induction method, embryoid bodies (EBs, for 4 days) derived from hES were plated onto gelatin dish, selected for 8 days in ITSFn medium and expanded at the presence of bFGF (10 ng/ml) for another 6 days followed by a final differentiation in N2 medium for 7, 14 and 21 days. Group II) For RA induction, EBs were exposed of RA ($10^{-6}M$) for 4 days and allowed to differentiate in N2 medium for 7, 14 and 21 days. Group III) To examine the effects of additional neurotrophic factors, bFGF or RA induced cells were exposed to either BDNF (10 ng/ml) or TGF-$\alpha$ (10 ng/ml) during the 21 days of final differentiation. Neuron differentiation and dopamine secretion were examined by indirect immunocytochemistry and HPLC, respectively. Results: The bFGF or RA treated hES cells were resulted in similar neural cell differentiation patterns at the terminal differentiation stage, specifically, 75% neurons and 11% glial cells. Additionally, treatment of hES cells with BDNF or TGF-$\alpha$ during the terminal differentiation stage led to significantly increased tyrosine hydroxylase (TH) expression of a dopaminergic neuron marker, compared to control (p<0.05). In contrast, no effect was observed on the rate of mature neuron (NF-200) or glutamic acid decarboxylase-positive neurons. Immunocytochemistry and HPLC analyses revealed the higher levels of TH expression (20.3%) and dopamine secretion (265.5 $\pm$ 62.8 pmol/mg) in bFGF and TGF-sequentially treated hES cells than those in $\alpha$ RA or BDNF treated hES cells. Conclusion: These results indicate that the generation of dopamine secretory neurons from in vitro differentiated hES cells can be improved by TGF-$\alpha$ addition in the bFGF induction protocol.