• Clinical and Experimental Pediatrics
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• 제59권4호
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• pp.178-182
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• 2016

Purpose: Medium-dose (1 g/kg) intravenous immunoglobulin (IVIG) is effective in the majority of patients with Kawasaki disease (KD) but some patients who do not respond to medium-dose IVIG are at high risk for the development of coronary artery lesions (CALs). The purpose of this study was to identify the clinical predictors associated with unresponsiveness to medium-dose IVIG and the development of CALs. Methods: A retrospective study was performed in 91 children with KD who were treated with mediumdose IVIG at our institution from January 2004 to December 2013. We classified the patients into responders (group 1; n=68) and nonresponders (group 2; n=23). We compared demographic, laboratory, and echocardiographic data between the 2 groups. Results: Multivariate logistic regression analysis identified 6 variables as predictors for resistance to medium-dose IVIG. We generated a predictive scoring system assigning 1 point each for percentage of neutrophils ${\geq}65%$, C-reactive protein ${\geq}100mg/L$, aspartate aminotransferase ${\geq}100IU/L$, and alanine aminotransferase ${\geq}100IU/L$, as well as 2 points for less than 5 days of illness, and serum sodium level ${\leq}136mmol/L$. Using a cutoff point of ${\geq}4$ with this scoring system, we could predict nonresponsiveness to medium-dose IVIG with 74% sensitivity and 71% specificity. Conclusion: If a patient has a low-risk score in this system, medium-dose IVIG can be recommended as the initial treatment. Through this process, we can minimize the adverse effects of high-dose IVIG and incidence of CALs.

• The Plant Pathology Journal
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• 제31권2호
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• pp.132-139
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• 2015

Bt-cotton germplasm, consisting of 75 genotypes was evaluated against cotton leaf curl disease (CLCuD) under high inoculum pressure in the field and using graft inoculation in glasshouse by visual symptom scoring assessments. None of the tested genotype was found disease free under both evaluation tests. Under field conditions in 2011, 3 genotypes were found resistant, 4 moderately resistant, 3 tolerant, 2 moderately susceptible and one susceptible; in 2012, 3 genotypes were tolerant, 7 moderately susceptible, 5 susceptible and 38 highly susceptible; in 2013, one was moderately susceptible and 51 were highly susceptible with varying degree of percent disease index (PDI) and severity index (SI). However, through graft evaluation in glasshouse, none of the graft inoculated plant was symptomless. All tested genotypes showed disease symptoms with SI values ranging between 5.0 and 6.0, and latent period between 12 and 14 days. Of the 75 genotypes evaluated using graft inoculation, 11 were found susceptible with SI values of 5.0 to 5.4 while remaining 64 were highly susceptible with SI values of 5.5 to 6.0. Inoculated plants of all tested genotypes exhibited severe disease symptoms within 10 days after the appearance of initial symptoms. No reduction in SI value was observed until the end of the experiment i.e., 90 days after grafting. Information generated under the present study clearly demonstrates that no sources of resistance to CLCuD are available among the tested Bt-cotton genotypes. So, a breeding programme is needed to introgress the CLCuD-resistance from other resistant sources to agronomically suitable Bt-cotton genotypes.

• 한국과학교육학회지
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• 제10권1호
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• pp.57-64
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• 1990

In this study, novices' protocols were investigated on the basis of Mayer's analysis of mathematical problem solving. These protocols were obtained by Jae-Sool Kwon and Seong-Wang Lee(1988) by means of thinking aloud while 20 sophomore students in a department of physics education were solving physics problems on Newton's low of motion. The results of investiqation are as follows; (1) We proposed an effective method in analyzing protocols on physics porblem solving (2) We could find the defective types of knowledge of individuals who got an incorrect solution, through analyzing the cause of failure individually (3) The fact that many students considered first the frictional force as muntiplying the coefficient of friction by perpendicular force rather than as resistance of motion, was found And students' misconception on the coefficient of friction was found. (4) If such analyses of test items and protocols are used in physics education, they will be very useful for finding the faults of problem-solving process, and for setting and scoring subjective problems in physics

• 센서학회지
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• 제20권2호
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• pp.71-76
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• 2011

To characterize the relationship between the stage of hepatic fibrosis and bioimpedance, several electric parameters were estimated in rats with $CCl_4$-induced liver fibrosis. Thirty three Sprague-Dawley rats were intraperitoneally injected with a $CCl_4$-mineral oil mixture (1:1, 0.2 mL/100 g) twice a week for 8 weeks. The resistance(R), reactance(X), impedance(Z), and dissipation factor(D) between 1 kHz and 100 kHz were then evaluated in the livers of the rats under pentobarbital anesthesia using an HP4294A Impedance Analyzer. The rats were killed 2, 4, 6, and 8 weeks later, and their livers were classified in accordance with Ishak's scoring system. R, X, and Z changed in accordance with the progression of hepatic fibrosis and the changes were greater at lower frequencies than at higher frequencies. In comparison, the D spectrum was biphasic; D increased initially then decreased with increasing frequency. All of the parameters(R, X, Z, and D) changed in accordance with the stage of fibrosis in the livers, but D changed specifically with the progression of fibrosis. These results indicate that hepatic fibrosis may be evaluated by determining the changes in D.

• Journal of Obesity & Metabolic Syndrome
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• 제27권4호
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• pp.213-222
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• 2018

Bariatric surgery has evolved from a surgical measure for treating morbid obesity to an epochal remedy for treating metabolic syndrome as a whole, which is represented by type 2 diabetes mellitus. Numerous clinical trials have advocated bariatric or metabolic surgery over nonsurgical interventions because of markedly superior metabolic outcomes in morbidly obese patients who satisfy traditional criteria for bariatric surgery (body mass index [BMI] >$35kg/m^2$) and in less obese or simply overweight patients. Nevertheless, not all diabetes patients achieve the most desirable outcomes; i.e., diabetes remission after metabolic surgery. Thus, candidates for metabolic surgery should be carefully selected based on comprehensive preoperative assessments of the risk-benefit ratio. Predictors for diabetes remission after metabolic surgery may be classified into two groups based on mechanism of action. The first is indices for preserved pancreatic beta-cell function, including younger age, shorter duration of diabetes, and higher C-peptide level. The second is the potential for an insulin resistance reduction, including higher baseline BMI and visceral fat area. Several prediction models for diabetes remission have been suggested by merging these two to guide the joint decision-making process between clinicians and patients. Three such models, DiaRem, ABCD, and individualized metabolic surgery scores, provide an intuitive scoring system and have been validated in an independent external cohort and can be utilized in routine clinical practice. These prediction models need further validation in various ethnicities to ensure universal applicability.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제7권1호
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• pp.1-7
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• 2004

목 적: Alvarado score는 성인에서 급성 충수돌기염 환자의 조기 진단에 용이하고 오진율을 줄이는 유용한 진단법으로 알려져 있다. 저자들은 급성 복통이 주소인 소아 환아에서 급성충수돌기염 진단에 alvarado score의 유용성에 대하여 알아보고 진단의 정확성에 대하여 평가하고자 연구를 하였다. 방 법: 2002년 6월부터 2003년 5월까지 조선대학교 부속 병원 응급실을 방문한 복통을 호소하는 소아 170명 중 충수돌기염의 강하게 의심되는 122명을 대상으로 전향적으로 조사하였다. 복통을 주소로 방문한 환아의 나이, 임상증상, 임상징후, 혈액학적 검사결과를 분석하여 Alvarado score를 산출하고 진단을 위해 복부초음파 검사나 전산화 단층 촬영을 시행하고 수술을 시행한 경우 조직학적 진단을 하여 확진하였으며 수술하지 않은 군은 12시간의 추적 관찰로 확진하였다. 방사선학적 진단과 수술 결과 등을 비교하여 확진군과 오진군의 Alvarado score를 비교 분석하였다. 결 과: 응급실에 복통이 주소인 환아 중 충수돌기염이 강하게 의심되었던 환아는 122명이었다. 122명의 환아 중 남아는 67명(54.9%), 여아는 55명(45.1%)이었다. 조직검사를 통해 충수돌기염으로 진단 받은 환자는 수술한 105명 중 92명으로 87.6%에 해당하였고 충수돌기염으로 수술한 환자들의 오진율은 12.4%였다. 평균 Alvarado score는 충수돌기염 군은 $5.40{\pm}1.24$, 충수돌기염이 아닌 군은 $3.73{\pm}1.82$이었다(p<0.05). Alvarado score 6점 이상인 경우 소아 충수돌기염을 진단하는데 민감도가 86.4%, 특이도는 80.0%였다. 소아 충수돌기염을 진단하는데 복부 초음파검사나 전산화단층촬영의 진단의 민감도는 92.5%였다. 결 론: 복부초음파검사나 전산화 단층 촬영 등과 함께 Alvarado score는 소아 충수돌기염의 진단에 유용하게 이용될 수 있을 것으로 생각된다.

• 한국육종학회지
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• 제43권5호
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• pp.360-367
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• 2011

Beta-carotene producing transformants were produced in the background of 'Nagdongbyeo', a Japonica rice cultivar. Introgression of the carotenoid locus in the transformant, PAC4-2 into the elite cultivar 'Ilpumbyeo' was started. To initiate a backcrossing program, we surveyed 220 SSR markers and found that 38% of them were polymorphic between 'Ilpumbyeo' as a recurrent parent and the PAC4-2 as a recipient parent. The selection strategy comprising foreground and background selection was employed. First, foreground selection was practiced in $BC_1$, $BC_2$, and $BC_3$ generations using the transgene specific PCR-based marker in addition to visual scoring of the seed color. Marker-based background selection combined with phenotypic selection was employed from $BC_3F_2$ to $BC_3F_4$ generations. Blast search indicated that the transgene PAC4-2 was located between SSR markers, RM6 and RM482. 240 $BC_3F_3$ and 63 $BC_3F_4$ lines were evaluated for four agronomic traits including days to heading. Most of the lines were similar to Ilpumbyeo in agronomic traits evaluated. The percentage of PAC4-2 genome ranged from 4% to 21% with a mean of 12.5%, which was higher than the expected for an unselected $BC_3$ backcross population. This could be explained by the fact that two genes for beta-carotene and the stripe virus resistance were targeted in this study. We selected 10 representative $BC_3F_5$ lines from 63 $BC_3F_4$ lines based on agronomic traits and carotenoids content. The selection strategy would be appropriate for the introgression of beta-carotene gene in a breeding program.

• Nutrition Research and Practice
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• 제13권3호
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• pp.263-267
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• 2019

BACKGROUD/OBJECTIVES: Obesity is globally a major public health issue. Evidence suggests that elevated ferritin levels are associated with obesity, dyslipidemia, insulin resistance, and metabolic syndrome. This study was undertaken to examine the relationship between the serum ferritin level and depression in Korean male adults with respect to classification of the prevailing obesity. SUBJECTS/METHODS: This was a case-control study; subjects were classified into obese group (${\geq}25.0kg/m^2$, 28 subjects) and normal group ($18.5-22.9kg/m^2$, 27 subjects). A survey was conducted to assess the depression levels as per the guidelines suggested by the Center program for Epidemiological Studies-Depression (CES-D). Blood was collected from each group for assessing biomarkers, and isolated plasma was evaluated for fasting glucose, insulin, quantitative insulin sensitivity check index, and ferritin levels. Data were analyzed, and groups were compared with respect to Body Mass Index (BMI), depression scale and biomarkers. RESULTS: The average depression score of the obesity group was 16.86, which was higher than the normal group (12.56). Subjects scoring more than 16 points comprised 53.6% of the population in the obese group, which was more than double that in the normal group, as assessed by the CES-D program. Furthermore, the serum ferritin level of the obesity group was 207.12 ng/mL, which was higher than that of the normal group (132.66 ng/mL). Lastly, the BMI appeared to be significantly correlated with both depression (r = 0.320, P = 0.017) and elevated ferritin levels (r = 0.352, P = 0.008). CONCLUSION: This study provides evidence of existing correlation between ferritin and depression with obesity.

• BMB Reports
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• 제54권6호
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• pp.323-328
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• 2021

Periodontal diseases have been reported to have a multidirectional association with metabolic disorders. We sought to investigate the correlation between periodontitis and diabetes or fatty liver disease using HFD-fed obese mice inoculated with P. gingivalis. Body weight, alveolar bone loss, serological biochemistry, and glucose level were determined to evaluate the pathophysiology of periodontitis and diabetes. For the evaluation of fatty liver disease, hepatic nonalcoholic steatohepatitis (NASH) was assessed by scoring steatosis, inflammation, hepatocyte ballooning and the crucial signaling pathways involved in liver metabolism were analyzed. The C-reactive protein (CRP) level and NASH score in P. gingivalis-infected obese mice were significantly elevated. Particularly, the extensive lobular inflammation was observed in the liver of obese mice infected with P. gingivalis. Moreover, the expression of metabolic regulatory factors, including peroxisome proliferator-activated receptor γ (Pparγ) and the fatty acid transporter Cd36, was up-regulated in the liver of P. gingivalis-infected obese mice. However, inoculation of P. gingivalis had no significant influence on glucose homeostasis, insulin resistance, and hepatic mTOR/AMPK signaling. In conclusion, our results indicate that P. gingivalis can induce the progression of fatty liver disease in HFD-fed mice through the upregulation of CD36-PPARγ axis.

• 영재교육연구
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• 제26권2호
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• pp.235-255
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• 2016

본 연구는 영재교육기관 컨설팅에 대한 관심도를 조사하기 위하여, 영재교육 이해관계자를 대상으로 설문을 실시하였다. 122명의 이해관계자가 SoCQ(The Stages of Concerns Questionnaire, Hall & Hord, 2011)에 응답하였으며, Hall과 Hord(2011)의 채점표(SoCQ scoring device)를 활용하여 이해관계자의 응답 반응을 상대적 강도(relative intensity)로 환산하였다. 본 연구는 영재교육 이해관계자의 특성(소속기관, 영재교육경력, 영재업무 지속여부, 영재 연수유형)에 따른 영재교육기관 컨설팅에 대한 관심도를 살펴보기 위하여 t 분석과 일원분산분석을 실시하였다. 연구결과, 영재교육 이해관계자들은 1단계(정보)에 대한 관심이 가장 높고, 4단계(결과)에 대한 관심이 가장 낮은 변화초기 단계의 양상을 보여주었다. 한편, 전문가 연수를 받은 이해관계자들은 6단계(재조정)에 대한 관심도가 높게 나타나, 영재교육기관 컨설팅에 대하여 저항을 보이는 것으로 나타났다. 이에 본 연구에서는 연구결과에 기초하여 성공적인 영재교육기관 컨설팅을 정착하고 확산하는 방안을 제안하였다.