• Journal of Chest Surgery
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• 제27권12호
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• pp.1031-1035
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• 1994

Mechanical valve thrombosis is a serious and potential lethal complication unless early diagnosis & prompt therapy are made. We have been experienced 3 cases of valve thrombosis. From Aug. 1988 to July 1994, reoperations of mitral valve replacement [MVR] with mechanical prostheses [all mitral] were performed in three patients[2 men, 1 woman] due to valve thromboses. All three patients were diagnosed by means of cineradiography. Preoperative status of was shock status and he was applied intra-aortic balloon pump [IABP]. All three cases of prosthetic valve failure [PVF] were treated by Redo-MVR. Time intervals of reoperations were 5months, 40months, and 35months, respectively. In all cases, valve thromboses were excised successfully. Cineradiography provided an accurate diagnosis in all cases, which was utilized as safe, reliable & noninvasive imaging modalities. There were no operative death & complication. All three patients were fully recovered and returned to their employements, and active lives.

• 대한의생명과학회지
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• 제24권3호
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• pp.157-167
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• 2018

The concept of gene therapy is to treat a disease by transferring therapeutic nucleic acids to a patient's cells. It took several decades from the basic theoretical proposal of gene therapy to the current promising treatment option for some important human diseases. The encountered adverse effects in the early clinical studies boosted the development of sophisticated vectors and elaborate clinical designs. The gene therapy is now considered to have the potential to cure many diseases that are incurable with conventional medications. By the end of 2017, about 2,600 clinical trials of gene therapy have been performed or are ongoing for a variety of diseases such as cancers, monogenic diseases, cardiovascular diseases and neurological diseases etc. Here, we present a brief introduction of technical achievement in relation to gene therapy development, and a review of the current status of global gene therapy clinical development.

• 한국보건간호학회지
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• 제30권2호
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• pp.337-348
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• 2016

Purpose: This study was to examine the factors (depression, level of health status, physical function, depression) influence health related quality of life (EQ5D) in community dwelling elderly according to sex. Methods: A total of 226 elderly subjects over the age of 65 years in community were included. Data were collected by measuring the physical function (muscle endurance, flexibility, balance, and cardiovascular endurance) and by using a questionnaire about EQ5D, depression, health status. Data were analyzed by SPSS 18.0 and AMOS 18.0. Results: The major findings of this study are as follows. Explained variance of EQ5D by regular exercise, physical function, and level of health status was 19% for male elderly subjects and 26.0% for female elderly subjects. The effect was different according to sex. Depression has the effect on EQ5D (${\beta}=-.356$, p<.001) in females, while the level of health status has the effect (${\beta}=.314$, p=.027) in males. Conclusion: The results of this study indicate that the effect of regular exercise, physical function, and level of health status were different on EQ5D according to sex. Thus, different health programs according to sex are necessary to increase the quality of life in elderly individuals.

• 동아시아식생활학회지
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• 제13권5호
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• pp.408-424
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• 2003

The purpose of this study was to analyze the nutritional status and dietary habits in predialysis patients of chronic renal failure(CRF). The patients group was composed of total 35 persons with chronic renal failure(diabetes exclusion), male 20, female 15 who were treated in the kidney internal department and the control group also composed of 35 persons, male 18, female 17 who were classified as normal by the medical examination. Their dietary habits, nutritional status and nutritional knowledge were investigated from two general hospitals in Inchon, middle of this year 2002. There were 31.4% of low weight patients (BMI below 20), 77.1% of anemia patients (serum hemoglobin below 12g/㎗), 6S.6% of hypertension patients with diastolic blood pressure over 90mmHg, 80% with systolic blood pressure over 140mmHg, 20% of hypercholesterolemia patients (serum cholesterol over 230mg/㎗), and 22.9% of hyperlipemia patients (serum triglyceride over 200mg/㎗). The cardiovascular disease seemed to be caused by the abnormality of lipid metabolism. The possibility of the bone disease was shown from patients of hyperphosphatemia (serum phosphorus over 4.7mg/㎗, 22.9%) and hypocalcemia (serum calcium below 8.4mg/㎗, 25.7%). Intake of insufficient calories which was caused by the lack of appetite affected on the nutritional status. The intake of most nutrients was not significantly different from the RDA for Koreans. Consequently, the patient groups took a lot of salt even after the diagnosis of CRF. But patients ate 6.lg of salt which were more than the recommended amount 2∼4g for patients with CRF. The patient groups, who had the experiences of nutritional counselling, had significantly higher nutritional knowledge related to CRF than control group. Unfortunately, patients could not have enough chances for nutritional counselling by the nutritionist even though they needed the nutritional informations and dietetic treatments. The continuous research is expected with regard to the detail plan for the improvement of nutritional support and the nutritional counselling because it is important to decide the requirements of nutrients for patients with kidney disease, considering the kidney function and status of nutrition.

• 한국산업보건학회지
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• 제27권3호
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• pp.210-220
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• 2017

Objectives: This study was conducted to prepare fundamental data and prevention measures on health promotion and occupational disease, and to assess the effects of the working environment on subjective health status and absenteeism among workers using data from the third working environment survey in Korea. Methods: This study's subjects were composed of 29,711 wage workers from the 3rd working environment survey data. The dependent variables were several diseases, subjective health status and absences, and the independent variable was the working environment. The collected data were analyzed by One-Way ANOVA, Pearson's correlation and stepwise multiple analysis using the IBM SPSS(ver. 20.0) statistical package program. Results: The effecting factors for cardiovascular disease were age, working shift and emotional state. The effecting factors for anxiety and depression were years of education, working condition, duties, and emotional state. The effecting factors of insomnia were duty and emotional state. The positive effecting factors for absent days were work standing, working shift, number of night shifts, autonomy, and duties. The positive effecting factors of subjective health status were age, work standing, working years, working shift, appropriateness of working hours, leadership of superiors, duties and emotional state. Conclusions: Based on the above results, the author considers that it is necessary to improve the working environment to reduce absent days, such as by reducing of number of night shifts and giving autonomy regarding duties, and to improve the working environment for subjective health status such as by controlling the appropriateness of working hours and stability of the emotional state. In addition, this study provides fundamental data on health promotion and occupational disease among workers.

• Clinical and Experimental Pediatrics
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• 제56권10호
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• pp.417-423
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• 2013

Vitamin D is an essential component of bone and mineral metabolism; its deficiency causes growth retardation and skeletal deformities in children and osteomalacia and osteoporosis in adults. Hypovitaminosis D (vitamin D insufficiency or deficiency) is observed not only in adults but also in infants, children, and adolescents. Previous studies suggest that sufficient serum vitamin D levels should be maintained in order to enhance normal calcification of the growth plate and bone mineralization. Moreover, emerging evidence supports an association between 25-hydroxyvitamin D (25[OH]D) levels and immune function, respiratory diseases, obesity, metabolic syndrome, insulin resistance, infection, allergy, cancers, and cardiovascular diseases in pediatric and adolescent populations. The risk factors for vitamin D insufficiency or deficiency in the pediatric population are season (winter), insufficient time spent outdoors, ethnicity (non-white), older age, more advanced stage of puberty, obesity, low milk consumption, low socioeconomic status, and female gender. It is recommended that all infants, children, and adolescents have a minimum daily intake of 400 IU ($10{\mu}g$) of vitamin D. Since the vitamin D status of the newborn is highly related to maternal vitamin D levels, optimal vitamin D levels in the mother during pregnancy should be maintained. In conclusion, given the important role of vitamin D in childhood health, more time spent in outdoor activity (for sunlight exposure) and vitamin D supplementation may be necessary for optimal health in infants, children, and adolescents.

• 동아시아식생활학회지
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• 제24권6호
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• pp.691-699
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• 2014

The purpose of this study was to examine the effect of temple food intake on health improvement. The survey was conducted from September to October 2013. The subjects in this study were 46 adults who participated in short-term 'Temple Stay' program. Every meal was prepared according to prearranged temple food menu, and it was provided to subjects for 4 weeks. Dietary intake, anthropometric measurements and biochemical parameter were measured and nutritional & health status were analyzed to find the effect of the program. Nutrients content of the temple food was sufficient to dietary reference intake while content of fat, fiber, vitamin A and calcium from the meal was significantly higher than the subjects' usual diet. Mean body weight, BMI and blood pressure (systolic and diastolic) related with obesity and hypertension decreased after the program. The index referring to liver function and cardiovascular disease risk such as serum ALT, ${\gamma}$-GTP, TG and LDL decreased while HDL increased thereby showing positive effect. The above results anticipate that temple foods with an affirmative effect in improving health status have a potential benefit that can be applied to general food service. Further detailed study might provide information in developing healthy diet for a corresponding clinical problem.

• Journal of Chest Surgery
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• 제37권1호
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• pp.56-63
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• 2004

배경: 좌주관상동맥 개구부 협착에서의 혈관성형술은 기존의 관상동맥우회술 시행 시에 발생할 수 있는 혈류 경합과 역행성 혈류의 문제를 해결할 수 있는 방법으로 여겨지고 있다. 본 연구에서는 좌주관상동맥 혈관성형술의 수술 성적과 예후에 대한 분석을 시행하여 좌주관상동맥 혈관성형술의 수술적 효용성을 확인하고자 하였다. 대상 및 방법: 1991년 7월부터 2003년 5월까지 부천세종병원에서 좌관상동맥 개구부 협착으로 혈관성형술을 시행 받은 29명의 환자들을 대상으로 환자들의 수술 전 임상양상, 수술결과, 수술 후 관상동맥조영술과 심초음파 검사 등을 후향적으로 분석하였다. 대상 환자들의 평균나이는 53.1$\pm$12.5세였으며 남녀비는 8 : 21이었다. 여성 환자 중 12예에서는 뚜렷한 죽상 경화증의 위험인자를 확인할 수 없었다. 26예(89.7%)의 환자는 다른 원위부 관상동맥에 병변이 없는 단독 좌주관상동맥 개구부 협착 소견을 보였다. 결과: 28예의 환자에서 전방접근법을 사용하였고, 1예의 환자에서 상방접근법을 사용하였으며, 주폐동맥의 절단을 1예에서 시행하였다. 4예의 환자에서 관상동맥우회술을 동시에 시행하였다 수술 사망은 1예(3.4%)에서 발생하였으며 장기 추적관찰 결과 1예에서 외상으로 인한 만기 사망이 발생하여 5년 생존율은 91.2$\pm$6.1%였다. 수술 후 13예(44.8%)의 환자에서 17차례의 관상동맥조영술이 시행되었으며, 이 중 2예에서 첩포 원위부 협착이 발생하였고 1예에서 우관상동맥 개구부의 새로운 협착이 발생하여 3예의 경피적 중재술이 시행되었다. 1예의 환자에서 첩포 근위부 협착이 발생하여 관상동맥우회술을 시행하였다. 대상 환자들의 5년 재시술 회피율은 82.4$\pm$8.5%였다. 수술 후 1도 이하의 새로운 대동맥 폐쇄부전이 4예에서 그리고 수술 전 동반되었던 대동맥 폐쇄부전의 심화가 1예에서 관찰되었다. 결론: 본 연구에서 좌주관상동맥 혈관성형술은 좌주관상동맥 개구부의 협착에 사용될 수 있는 효과적인 수술방법임을 확인할 수 있었다. 그러나 수술 후 발생할 수 있는 혈관성형술 부위의 협착과 대동맥 폐쇄부전에 대한 면밀한 추적 관찰이 필요할 것으로 생각된다.

• Nutritional Sciences
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• 제7권1호
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• pp.41-46
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• 2004

In postmenopausal women, the incidence of cardiovascular disease(CVD) is common and there is growing evidences that astaxanthin has a strong antioxidant capacity and plays a beneficial role in the prevention of CVD. However, current data are not sufficient to determine the effect of astaxanthin on improving lipid profiles and antioxidant capacity in human. In this study, 15 healthy postmenopausal women were divided into 3 groups and given astaxanthin supplements of 0,2 or 8mg/day for 8 weeks. Blood samples were taken before and after 4 and 8 weeks of astaxanthin supplementation for analysis of serum total choelsterol, LDL-cholesterol, HDL-cholesterol, triglyceride, plasma TBARS, total antioxidant status(TAS) and urinary 8-isoprostanes. HDL-cholesterollevels in 2mg and 8mg group increased significantly after 8 weeks from 50.6$\pm$5.8 to 60.4$\pm$7.1mg/dl, 44.4$\pm$10.7 to 49.4$\pm$2.7$mg/dl$ respectively (p<0.05). In the 2mg group, triglyceride decreased significantly from 171.6$\pm$67.4 mg/$dl$ to 145.8$\pm$5.1$mg/dl$ (p<0.05). Plasma TBARS level in the 2mg group decreased from 1.42$\pm$0.18nM/mg to 1.13$\pm$0.18nM/mg after 8 weeks (p<0.05). In the 8mg group, TBARS level decreased significantly from 1.62$\pm$0.14nM/mg to 1.13$\pm$0.12nM/mg after 8 weeks (p<0.05). TAS, as an indicator of lipid peroxidation, increased significantly from 0.85$\pm$0.42mM/$l$ to 1.90$\pm$0.58mM$l$ after 8 weeks in the 8mg group (p<0.05). Urinary 8-isoprostanes excretion did not decrease significantly with astaxanthin supplementation. In conclusion, it would be helpful for postmenopausal women with common cardiovascular disease to supplement with astaxanthin as an antioxidant.

• Journal of Nutrition and Health
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• 제30권10호
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• pp.1180-1187
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• 1997

Cigarette smoking is a major risk factor of atherosclerosis and has been reported to contain an abundance of free radical species which could be expected to deplete antioxidants such as vitamin C . The present study was designed to investigate the relationship between smoking, plasma lipid and lipoprotein concentration, and plasma vitamin C level. Fifty-five healthy male smokers and 32 non-smokers were investigated in the study. Mean age, body weight , BMI and blood pressure made no differences in both smokers and non-smokers. Significantly, smokers has higher plasma total cholesterol and LDL-C , and lower HDL-C /LDL-C ratio compared with non-smokers. Plasma level of thiobartiturin acid reactive substances(TBARS), indicator of lipid peroxidation and increased susceptibility of LDL towards lipid perosidation, were elevated in smokers(p<0.001), while the plasma vitamin C level of smokers was significantly lower than that of non-smokers(p<0.05), indicating that elevated lipid peroxidation are associated with decreased plasma vitamin C content. In non-smokers a significantly positive correlation was observed between dietary vitamin C intake and plasma levels, but no such association observed in smokers. Lack of such a relationship and the decreased plasma vitamin C level in the smokers suggest that smoking may cause increased turnover of the plasma antioxidant. Consuquently, the sustained free radical load derived from smoking causes an imbalance in oxidant/antioxidant status and it could be expected that cigarette smoking renders plasma LDL more susceptible to oxidative modification . In the present study the possible explanations for that cigarette smokers have a higher risk of cardiovascular disease include the changes of blood lipid and lipoprotein concentration, and plasma vitamin C status which might have protective functions against free radicals -medaited lipid peroxidation.