• 대한불안의학회지
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• 제12권1호
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• pp.47-55
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• 2016

30% of patients with panic disorder (PD) show treatment-resistant and chronic waxing and waning course. Therefore, adequate treatment strategies for PD by evidence based pharmacotherapy and combined cognitive behavioral therapy (CBT) are recommended. Regarding how and why CBT for PD works, three hypotheses include the cognitive theory, anxiety control theory, and behavioral theory were discussed. The recent findings that the altered activation in frontal lobe is normalized after CBT, suggest a reduction of an altered top-down fear processing in the neural correlates of CBT in PD. In order to improve accessibility to CBT, brief CBT and internet based CBT for PD were suggested. Despite limitations of sample sizes and study design, most of studies suggest that brief CBT is more effective than control conditions, and even as equally effective as standard CBT. The evidences suggest that internet based CBT may not be significantly different from face-to-face CBT in reducing anxiety. Several advances within the field of third-wave CBT for PD have led to the development of new techniques based on mindfulness, such as mindfulness-based cognitive therapy and acceptance and commitment therapy. Based on Korean algorithm project for panic disorder, especially the psychological education and cognitive reconstruction components were recommended in CBT with PD.

• Applied Biological Chemistry
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• 제36권6호
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• pp.463-468
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• 1993

솔잎혹파리(Thecodiplosis japonensis Uchida et Inouye) 방제용으로 소나무의 수간에 주입된 침투성 살충제 phosphamidon(2-chloro-2-diethylcarbamoyl-1-methylvinyl dimethyl phosphate)의 이행 및 분포를 구명하기 위하여 $[vinyl,\;carbonyl-^{14}C]phosphamidon$을 약 10년생의 적송과 해송에 각각 수간주사하였다. 이 약제의 최고이행속도는 적송(Pinus densiflora Sieb. et Zucc.)과 해송(Pinus thunbergii Parl.)에서 각각 약 10 cm/hr(7월)와 2 cm/hr(12월)이었다. 처리된 방사능은 하계의 적송에서는 75일까지 일정한 수준을 유지하였으나 동계의 해송에서는 150일까지 유지하였다. 본 약제가 살충가능한 농도로 top에 도달하는데 걸리는 기간은 적송(7월)에서는 3일 이내인 반면 해송(12월)에서는 15일 이내이었으며, 그 이행정도는 약제처리시기 및 수종에 의하여 영향을 받았다. 솔잎에 잔류하는 phosphamidon과 그 대사산물은 methanol로 잘 추출되었으며, 솔잎시료의 methanol 추출액을 autoradiography한 결과 phosphamidon은 소나무내에서 신속히 분해되어 7일 내에 약 80% 정도가 분해되었다.

• 한국토양비료학회지
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• 제23권2호
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• pp.107-113
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• 1990

주요(主要) 석회물질(石灰物質)이 해성염토(海成鹽土)의 제염(除鹽)에 주는 효과(效果)를 밝히기 위(爲)하여 염토(鹽土)가 함유(含有)하는 Na + Mg와 당량(當量)의 Ca를 탄산(炭酸)칼슘, 수산화(水酸化)칼슘, 규산(珪酸)칼슘 또는 석고(石膏)로 시용(施用)하여 유리원통시험(圓筒試驗)을 실시(實施)하였다. 최상층(最上層) 1/10염토(鹽土)에 석회물질(石灰物質) 반량(半量)을 혼합(混合)하고 남은 반량(半量)을 표면(表面)에 덮은 후 (後) 증류수(蒸溜水)를 주가(注加)하면서 연속적(連續的)으로 3차에 걸쳐 여과수(濾過水)를 받아 세척(洗滌)한 층별토양(層別土壤)과 함께 분석(分析)하였는 바 그 결과(結果)는 아래와 같다. 1. $CaSO_4$는 투수(透水)와 제염(除鹽)(Na)을 용역(容易)하게 하였으나 Mg를 하층(下層)에 집적(集積)시켰다. 2. $Ca(OH)_2$, $CaCO_3$, $CaCO_3$는 표층(表層)에 Mg를 침전(沈澱)시키고, 하위층(下位層)에서 Mg를 세탈(洗脫)하였는데, 특(特)히 표층직하(表層直下)에서 더 세탈(洗脫)하였다. 이 세탈(洗脫)은 $Ca(OH)_2$처리(處理)에서 가장 현저(顯著)했고, $CaSiO_2$, $CaCO_3$의 순서(順序)로 약(弱)해졌다. 3. 치환성(置換性) Na의 해리(解離)에 더한 석회(石灰)의 알칼리성(性)은 토양(土壤)의 pH를 높였으며, 투수속도(透水速度)를 낮추고 Na의 제염(除鹽)을 저해(沮害)하였다. 이 영향(影響)은 $Ca(OH)_2$처리(處理)에서 더 컸다. 4. 세탈(洗脫)된 토양(土壤)의 pH는 치환성(置換性) Na 및 Mg와 다음 회부관계(回復關係)를 보였다. $$pH=7.77+0.489Na/\sqrt{Mg}\;r=0.845^{**}$$.

• Journal of Preventive Medicine and Public Health
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• 제45권5호
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• pp.291-300
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• 2012

Objectives: We aimed to estimate the annual socioeconomic burden of coronary heart disease (CHD) in Korea in 2005, using the National Health Insurance (NHI) claims data. Methods: A prevalence-based, top-down, cost-of-treatment method was used to assess the direct and indirect costs of CHD (International Classification of Diseases, 10th revision codes of I20-I25), angina pectoris (I20), and myocardial infarction (MI, I21-I23) from a societal perspective. Results: Estimated national spending on CHD in 2005 was $2.52 billion. The majority of the spending was attributable to medical costs (53.3%), followed by productivity loss due to morbidity and premature death (33.6%), transportation (8.1%), and informal caregiver costs (4.9%). While medical cost was the predominant cost attribute in treating angina (74.3% of the total cost), premature death was the largest cost attribute for patients with MI (66.9%). Annual per-capita cost of treating MI, excluding premature death cost, was $3183, which is about 2 times higher than the cost for angina ($1556). Conclusions: The total insurance-covered medical cost ($1.13 billion) of CHD accounted for approximately 6.02% of the total annual NHI expenditure. These findings suggest that the current burden of CHD on society is tremendous and that more effective prevention strategies are required in Korea.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제35권6호
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• pp.437-441
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• 2009

Purpose: In many cases, the erroneous placement of a dental implant brings about undesirable results. Here, the effect of dental implant placement on the success of the final prosthesis was evaluated from the point of view of the prosthodontist. Materials and Methods: All surgical operations were performed by the same oral surgeon with the same surgical protocol and all prosthodontic procedures were performed by the same prosthodontist. The problems faced by the prosthodontist, their causes, and their effect on prosthesis success were identified. The success of the final prostheses was evaluated by the same prosthodontist. Results: Only 53% (238 implants in 105 patients) of dental implants were not associated with prosthodontic problems. Multiple implant placement (more than three implants) was associated more frequently with prosthodontic problems. Conclusions: The data indicate that the satisfactory construction of a prosthesis is highly dependent on the placement of the dental implant in the best possible position. It is strongly recommended that the oral surgeon and the prosthodontist engage in pre-operative discussions to establish a top-down treatment plan, as this will improve implant placement and ultimately the success of the prosthesis.

• Radiation Oncology Journal
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• 제33권2호
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• pp.142-148
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• 2015

Purpose: To develop new on-line statistical program for the Korean Society for Radiation Oncology (KOSRO) to collect and extract medical data in radiation oncology more efficiently. Materials and Methods: The statistical program is a web-based program. The directory was placed in a sub-folder of the homepage of KOSRO and its web address is http://www.kosro.or.kr/asda. The operating systems server is Linux and the webserver is the Apache HTTP server. For database (DB) server, MySQL is adopted and dedicated scripting language is the PHP. Each ID and password are controlled independently and all screen pages for data input or analysis are made to be friendly to users. Scroll-down menu is actively used for the convenience of user and the consistence of data analysis. Results: Year of data is one of top categories and main topics include human resource, equipment, clinical statistics, specialized treatment and research achievement. Each topic or category has several subcategorized topics. Real-time on-line report of analysis is produced immediately after entering each data and the administrator is able to monitor status of data input of each hospital. Backup of data as spread sheets can be accessed by the administrator and be used for academic works by any members of the KOSRO. Conclusion: The new on-line statistical program was developed to collect data from nationwide departments of radiation oncology. Intuitive screen and consistent input structure are expected to promote entering data of member hospitals and annual statistics should be a cornerstone of advance in radiation oncology.

• Biomolecules & Therapeutics
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• 제20권6호
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• pp.513-519
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• 2012

Although the immense efforts have been made for cancer prevention, early diagnosis, and treatment, cancer morbidity and mortality has not been decreased during last forty years. Especially, lung cancer is top-ranked in cancer-associated human death. Therefore, effective strategy is strongly required for the management of lung cancer. In the present study, we found that novel daphnane diterpenoids, yuanhualine (YL), yuanhuahine (YH) and yuanhuagine (YG) isolated from the flower of Daphne genkwa (Thymelaeaceae), exhibited potent anti-proliferative activities against human lung A549 cells with the $IC_{50}$ values of 7.0, 15.2 and 24.7 nM, respectively. Flow cytometric analysis revealed that the daphnane diterpenoids induced cell-cycle arrest in the G0/G1 as well as G2/M phase in A549 cells. The cell-cycle arrests were well correlated with the expression of checkpoint proteins including the up-regulation of cyclin-dependent kinase inhibitor p21 and p53 and down-regulation of cyclin A, cyclin B1, cyclin E, cyclin dependent kinase 4, cdc2, phosphorylation of Rb and cMyc expression. In the analysis of signal transduction molecules, the daphnane diterpenoids suppressed the activation of Akt, STAT3 and Src in human lung cancer cells. The daphnane diterpenoids also exerted the potent anti-proliferative activity against anticancer-drug resistant cancer cells including gemcitabine-resistant A549, gefitinib-, erlotinib-resistant H292 cells. Synergistic effects in the growth inhibition were also observed when yuanhualine was combined with gemcitabine, gefitinib or erlotinib in A549 cells. Taken together, these findings suggest that the novel daphnane diterpenoids might provide lead candidates for the development of therapeutic agents for human lung cancers.

• 대한치과의사협회지
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• 제54권10호
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• pp.811-819
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• 2016

범안면골 골절은 안면부 손상 그 자체로도 치료가 까다롭고 어렵지만, 동반된 다른 신체 중요 장기의 손상 등과 함께 치료 후 에도 남을 수 있는 안면의 심미적, 기능적 문제들 때문에 더욱 치료가 힘들어 질 수 있다. 뇌손상 등의 중요 장기 손상으로 인해 수술이 빠른 시일 내에 시행되지 못할 때에는 관련 의학분과와의 긴밀한 협진 하에 수술 전 처치가 이루어질 수 있도록 하여야 하며, 연조직을 포함한 골절편 등 안면 구조물들이 손상되지 않고 전체적인 형태를 유지할 수 있도록 응급 처치가 되어야 한다. 3D CT 등의 영상진단을 통해 안면골 골절을 치료하기 위한 전체적인 계획을 수립해야 한다. 이 계획에는 수술을 위한 기도확보 방법, 골절의 정복 고정 순서, 접근 방법, 안구, 코 등의 재건 방법 그리고 연조직에 손상에 대한 처치가 포함된다. 수술 시에는 환자 개개인의 상황에 맞춰 되도록 정확한 정복과 고정이 가능한 안면구조물에서 부터 시작하여 교합을 형성하고, 안면골의 유기적인 관계에 유의하여 삼차원적인 구조를 재위치 시킬 수 있도록 해야 한다. 연조직 봉합 시에는 얼굴 피부의 처짐 등을 방지하기 위해 골막, 근막 및 중요 안면 인대들을 고려하여 시행하여야 한다.

• 한국환경농학회지
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• 제12권3호
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• pp.209-218
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• 1993

토양(土壤)중에 있어서 살충제(殺蟲劑) ethoprophos의 행동특성(行動特性)을 조사(調査)한 결과(結果)를 요약(要約)하면 다음과 같다. 실내조건(室內條件)중의 토양(土壤)중 ethoprophos분해(分解)는 일차반응식(一次反應式)에 따랐으며, 반감기(半減期)는 10, 18, $25^{\circ}C$ 에서 각각 12.4, 5.5, 2.5일이었고, Arrhenius activation energy는 73.8 KJ/mol이었다. 수분함량(水分含量)이 7, 14, 19%인 토양(土壤)에서 ethoprophos의 반감기(半減期)는 각각 46.4, 17.6, 6.9일이었으며 Empirical방정식에서 수분의존도(水分依存度)(B)값은 1.67이었다. Ethoprophos의 토양(土壤)중 흡착등온선(吸着等溫線)은 Freundlich식(式)에 따랐으며 흡착분배계수(吸着分配係數)(Kd)값은 0.27이었다. Mini-lysimeter를 이용한 실외조건(室外條件)하의 이동실험(移動實驗)에서 ethoprophos는 대부분이 $0{\sim}2cm$층위(層位)에 분포(分布)되었으며 6cm층위(層位)까지 이동(移動)되었다. 실외포장(室外圃場)에서 ethoprophos의 분해(分解)는 기상변화(氣象變化)와 밀접한 관계를 보였으며, 3월과 10월의 처리에서 반감기(半減期)는 각각 17일과 5일 정도이었고, 처리 후 약 37일에는 90%까지 분해(分解) 소실(消失)되었다. 토양(土壤)중 농약(農藥)의 행동(行動) 예측(豫測) computer model에 의한 ethoprophos의 이동성(移動性)과 잔유성(殘留性)의 예측치(豫測値)는 분석치(分析値)와 유사(類似)하였다.

• Journal of Ginseng Research
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• 제35권3호
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• pp.272-282
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• 2011

Ginseng (Panax ginseng Meyer) has been shown to have anti-aging effects in animal and clinical studies. However, the molecular mechanisms by which ginseng exerts these effects remain unknown. Here, the anti-aging effect of Korean red ginseng (KRG) in rat testes was examined by system biology analysis. KRG water extract prepared in feed pellets was administered orally into 12 month old rats for 4 months, and gene expression in testes was determined by microarray analysis. Microarray analysis identified 33 genes that significantly changed. Compared to the 2 month old young rats, 13 genes (Rps9, Cyp11a1, RT1-A2, LOC365778, Sv2b, RGD1565959, RGD1304748, etc.) were up-regulated and 20 genes (RT1-Db1, Cldn5, Svs5, Degs1, Vdac3, Hbb, LOC684355, Svs5, Tmem97, Orai1, Insl3, LOC497959, etc.) were down-regulated by KRG in the older rats. Ingenuity Pathway Analysis of untreated aged rats versus aged rats treated with KRG showed that the affected most was Cyp11a1, responsible for C21-steroid hormone metabolism, and the top molecular and cellular functions are organ morphology and reproductive system development and function. When genes in young rat were compared with those in the aged rat, sperm capacitation related genes were down-regulated in the old rat. However, when genes in the old rat were compared with those in the old rat treated with KRG, KRG treatment up-regulated C21-steroid hormone metabolism. Taken together, Cyp11a1 expression is decreased in the aged rat, however, it is up-regulated by KRG suggesting that KRG seems enhance testes function via Cyp11a1.