• Pediatric Infection and Vaccine
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• 제15권2호
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• pp.195-201
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• 2008

목 적 : 본 연구는 어린 연령의 소아에서 선천성 면역력의 중요한 인자인 Mannose Binding Lectin (MBL2) 유전자 다형성의 분포를 가와사끼병 환자군과 정상대조군에서 분석함으로써, MBL2 유전자의 다양성이 소아의 가와사끼병의 발생에 기여하는지를 밝히고자 하였다. 방 법 : 대상은 2003년 10월부터 2005년 3월까지 18개월 동안 분당서울대학교병원 소아청소년과에서 가와사끼병으로 진단받고 치료받은 112명의 환자군과 건강한 성인 224명의 대조군으로 선정하였다. 유전형 분석은 선천성 면역의 중추적 역할을 하는 MBL2 유전자의 codon 54의 분포를 환자대조군에서 비교하여 분석하였다. 결 과 : 환자군 112명의 중앙 연령은 27개월로, 24개월 미만이 45.5%, 24개월 이상이 54.5%를 차지하였다. MBL2 codon 54 유전형은 환자군과 대조군에서 모두 Hardy-Weinberg 평형을 이루었다. 환자군에서 MBL2 유전형은 유전형 aa 67.9%, 이형접합 ab 29.5%, 그리고 유전형 bb 2.6%로 나타났다. Codon 54의 다형성은 환자군과 대조군간에 차이가 없었다. 또한 연령 24개월을 기준으로 하여 비교한 유전형의 분포에도 차이가 없는 것으로 나타났다. 결 론 : 본 연구 결과, 한국인 소아에서 MBL2 유전자의 다형성이 가와사끼병의 발병에 기여하는 유전적 인자임을 밝히지 못하였다. 향후 전향적으로 수집한 더 많은 수의 환자군과 적절한 대조군을 통한 연구가 시행 되어야 할 것으로 생각한다.

• Journal of Preventive Medicine and Public Health
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• 제40권1호
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• pp.71-76
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• 2007

Objectives : This study was performed to investigate the distribution of apolipoproteins A-I and B among Korean employees and their partners. Methods : The study population consisted of 7,633 men and women (4,578 men and 3,054 women) residing in Seoul and Kyung-gee Do, with an average age of $43.5{\pm}8.3$ years. Blood samples were collected following at least 12 hours of fasting. Apolipoproteins A-I and B were measured using a Behring Nephelometer analyzer. The body mass index (BMI) for each participant was calculated as weight (kg) divided by height squared $(m^2)$. Information on health-related behaviors such as exercise, alcohol intake, and smoking habits was collected through self-administrated questionnaires. Results : The mean concentrations of Apo A-I were $132.6{\pm}22.3mg/dL$ and $142.9{\pm}24.8mg/dL$ in the men and women, respectively. The concentration of Apo A-I increased significantly across all age categories of men. The mean concentrations of Apo B were $101.7{\pm}23.2mg/dL$ and $87.8{\pm}23.5mg/dL$ in the men and women, respectively, and Apo B increased significantly across all age categories for both the men and women. Exercise and BMI were major determinants for Apo A-I and B levels. The 10th percentile of Apo A-I concentration was 109 mg/dL in the men and 113 mg/dL in the women, and the 90th percentile of Apo B concentration was 131 mg/dL in the men and 118 mg/dL women. Conclusions : For the prevention of coronary artery disease, we recommend that for individuals in the 10th percentile of concentration for Apo A-I and the 90th percentile of concentration for Apo B, active preventive interventions such as weight loss and exercise should be taken. This study, within its limitations, may be useful for evaluating apolipoprotein A-I and B concentrations in Korean adults.

• 한국임상수의학회지
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• 제9권2호
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• pp.417-426
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• 1992

Total CPK activities and CPK isoenzymes fractions of the sera and some organ tissues of dogs were examined to acquire the basic data of canine CPK available in clinical practice. In addition fluctuation of serum total CPK activities and CPK isoenzymes fractions is artificially induced canine myocardial infarctino were investigated to know the availabity of them as indicators for the diagnosis of myocardial infarction. For the determination of serum total CPK activities, total 22 clinically healthy dogs(7 to 30 months old, 15 of female and 7 of male) were used and 15 out of 22 dogs were used for the determination of serum CPK isoenzymes fractions. For the determination of total CPK activities and CPK isoenzymes fractions. some organ tissues (the hearts, skeletal muscles and brains )from 3 dogs were examined. For the fluctuation of total CPK activities and CPK isoenzymes fractions in the sera from artificially induced canine acute myocardial infarction, 3 dogs of coronary artery ligated experimental group and 3 of control group were used. The results obtained were as follows ; 1. Serum total CPK activities of normal dogs were 106.2${\pm}$29.9(31.3∼148.1)IU/$\ell$. 2. The pattern of serum CPK isoenzymes fractions in normal dogs was high with decreasing order of CK$_1$>CK$_3$>CK$_2$. 3. Total CPK activities of organ tissues were high with decreasing order of the skeletal muscles > the hearts > the brains. 4. The pattern of CPK isoenzymes fractions of the organ tissues was high with decreasing order of CK$_3$>CK$_2$ in the hearts and only CK$_3$(100%) was detected in the skeletal muscles. Further they were high with decreasing order of CK$_1$>CK$_3$>CK$_2$ in the trains. 5. Serum total CPK activities in experimental group were changed with higher values than those of control group. 6. In the fluctuation of serum CPK isoenzymes fractions the CK$_1$ CK$_2$ and CK$_3$ values were changed with higher values than those of control group. 7. It was become clear that the finding of Increase of serum total CPK activities, and CK$_2$ and CK$_3$ was important for the diagnosis of myocardial infarction.

• 한국식품위생안전성학회지
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• 제11권4호
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• pp.243-259
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• 1996

This study was performed to investigate the induction of experimental atherosclerosis in rats and inhibitory effects of aloe vera on progression of atherosclerosis in rats. Adose range finding study of cholesterol and vitamin D2 for the induction of atherosclerosis and studies on the subchronic effect of aloe vera and on the chronic effect of aloe vera were carried out. A total of 3-week old 125 male rats of Sprague-Dawley were divided into 25 groups and fed with the diet containing cholesterol (0.1, 0.2, 0.3, 0.5, 1.0 and 2.0%) and vitamin D2 (500, 5000, 50000 and 500, 000 IU/100 g) for 4 weeks. 35 male rats were divided into 7 groups and fed with the diet containing aloe vera with 1.0% of cholesterol and 50, 000 IU/100 g of vitamin D2 for 4 weeks. 200 male rats were divided into 5 groups and fed with cholesterol and vitamin D2 for 6 and 12 months. Growth, clinical and pathological changes of rats in the three experiments were observed. The results were as follows: 1. In the dose-range finding study, feed intake, feed efficiency ratio and weight to body weight were increased in all of the feed groups containing 500, 000 IU/100 g of vitamin D2. Serum biochemical values of total cholesterol, high-density lipiprotein cholesterol (HDL-cholesterol), triglyceride, calcium, inorganic phosphorous and chloride of male rats in treated groups. The aorta and coronary artery of rats in all of the diet group containing 500, 000 IU/100 g of vitamin D2 showed typical atherosclerotic lesions. 2. Male rats fed with the diet containing aloe vera with 1.0% cholesterol and 50, 000 IU/100 g of vitamin D2 for 6 and 12 months did not show significant difference of diet intake and weight gain, and relative organ weight. The level of serum HDL-cholesterol and triglyceride recovered to the normal range by the aloe vera ingestation. 3. The aorta showed irregular appearence in the tunica intima with swelling, necrosis and calcification. The aorta of rat fed aloe vera diet showed no pathological lesions such as atherosclerosis of aorta. Aloe vera could have a helpful effect of vitamin D2 and cholesterol induced atherosclerosis in rats. Long-term supplementation of aloe vera may slow down the process of experimental atherosclerosis in rats have effects on the development of atherosclerosis.

• 한국수산과학회지
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• 제51권2호
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• pp.127-134
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• 2018

Arteriosclerosis is the major cause of coronary artery and cerebrovascular disease, which are leading causes of death. Pro-inflammatory cytokines induce injury to vascular endothelial cells by increasing cell adhesion molecules, leading to vascular inflammation, a major risk factor for the development of arteriosclerosis. In the current study, we investigated the inhibitory effect of enzymatic hydrolysate from Japanese mud shrimp Upogebia major on the inflammation of tumor necrosis $factor-{\alpha}$ ($TNF-{\alpha}$)-stimulated human umbilical vein endothelial cells (HUVECs). We first evaluated the antioxidant and angiotensin I-converting enzyme (ACE) inhibitory activities of eight U. major enzymatic hydrolysates: alcalase, papain, ${\alpha}$-chymotrypsin (${\alpha}-Chy$), trypsin, pepsin, neutrase, protamex and flavourzyme. Of these, ${\alpha}-Chy$ exhibited potent antioxidant and ACE inhibitory activities. The ${\alpha}-Chy$ hydrolysate was fractionated by two ultrafiltration membranes of 3 and 10 kDa. The ${\alpha}-Chy$ hydrolysate of U. major and its molecular weight cut-off fractions resulted in a significant reduction in NO production and a decrease in cell adhesion molecules [vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule-1 (ICAM-1) and endothelial-selectin (E-selectin)] and pro-inflammatory cytokines [interleukin-6 (IL-6), interleukin-8 (IL-8) and monocyte chemoattractant protein-1 (MCP-1)] in $TNF-{\alpha}$-stimulated HUVECs. These results suggest that enzymatic hydrolysate from U. major can be used in the control and prevention of vascular inflammation and arteriosclerosis.

• Nutritional Sciences
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• 제7권4호
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• pp.208-213
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• 2004

In this study, we examined the effects of dietary 1,3-diacylglycerol (DG) compared to conventional triacylglycerol (TG) oil on the postprandial response of total and chylomicron TG, glucose, insulin, and free fatty acid (FFA). This study was conducted using a cross-over design. Ninety subjects participated in the high-fat meal tolerance test where they were randomly assigned to consume two experimental sandwiches containing mayonnaise with TG or DG oil with a seven-day interval. Blood samples were collected before ingestion and at 2, 3, 4 and 6 hr time point after ingestion and analyzed for total and chylomicron TG, glucose, insulin, FFA and phospholipid fatty acid composition. Both TG and DG ingestion had similar effects on postprandial TG response, but a different response from chylomicron TG. Compared with the TG group, TG levels were significantly lower only at 6 hr time point in the DG group. On the other hand, chylomicron TG rose steeply at 2 hr time point and decreased faster in this group. Also, the adjusted value to fasting levels was the same as the unadjusted level. Fasting levels and net differences in insulin were significantly lower at 3 hr time point where chylomicron TG levels were significantly lower in the DG group. But those of glucose and FFA in the TG and DG groups did not differ significantly. Fasting and postprandial levels of fatty acid composition in serum phospholipids in the two groups did not differ significantly. In conclusion, this study indicated that one could reduce the magnitude of postprandial lipemia without influencing glucose metabolism by consumning DG oil as a substitute for TG oil. Based on the correlation of coronary artery disease and postprandial lipemia, dietary DG ingestion might have a beneficial effect in treating such a disease. Further studies are required to clarify the long-tenn effects of dietary DG on blood lipid levels in humans.

• 한국식품영양과학회지
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• 제44권12호
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• pp.1771-1778
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• 2015

본 연구에서는 고지방식이로 비만 유도된 쥐를 대상으로 10주간 옻식초를 급여하였을 때 비만에 미치는 영향을 알아보고자 하였다. 옻식초는 무독화된 옻을 이용하여 알코올 발효 후 아세트산 발효를 거쳐 제조하였으며, 흰쥐를 일반식이(normal chow diet)와 고지방식이(fat 60 %kcal) 섭취군으로 나누어 12주 동안 비만 유도를 한 후 총 5군으로 나누었다. 일반식이와 정제수를 음용한 CON군, 고지방식이와 정제수를 음용한 OB-DW군, 고지방식이와 1% 아세트산을 음용한 OB-AA군, 고지방식이와 1% 옻식초를 음용한 OBRV군, 고지방식이와 0.1% 카페인 용액을 음용한 OB-CF군으로 나누어 총 10주 동안 해당 식이와 실험시료를 공급하였으며, 연구 종료 후 체중, 지방 무게, 지방구 크기 및 개수, 혈액과 간 조직의 지질 profile, 지방조직의 glycerol-3-phosphate dehydrogenase와 lipoprotein lipase(LPL) 효소 활성을 분석하였다. 그 결과 OB-DW군과 비교하여 OBRV군에서 체중 증가량과 식이효율이 유의적으로 감소하였고, 혈중 총 콜레스테롤과 중성지방 함량, 심장동맥경화지수(CRI), LPL 활성이 유의적으로 감소하였으며, 또한 혈중 유리지방산과 분변 중성지방의 함량이 유의성 있게 증가하였다(P<0.05). 항비만 효과를 살펴보기 위해 비만 흰쥐에게 옻식초를 음용시켰을 때 혈청이나 간의 지질 함량을 개선시키고 지질 배설을 증가시켜 부작용 없이 식품소재로서 비만을 일부 개선시키는 효과를 규명하였다.

• 대한간호학회지
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• 제27권2호
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• pp.433-443
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• 1997

Cardiac catheterization is a diagnostic procedure which is intrusive and anxiety provoking. Patient education and information offer have been suggested as effective nursing interventions to reduce patients' anxiety and stress. Main objectives of this study are : 1) to develop concrete objective information for patients undergoing cardiac catheterization : 2) to analyze the types of information included in the newly developed concrete objective information. The subjects of this study are 11 patients who were admitted to the CCU of a general hospital in Seoul. The subjects were provided with preparatory information about cardiac catheterization by using interview and a booklet. After the procedure, the subjects were asked to describe additional information which they suggest to be added into the booklet and the physical sensations felt during the procedure. The results of the study are summarized as follows : Most subjects were satisfied with the preparatory information that was provided by interview and the booklet before the procedure. But patients suggested several problems related to the content of the booklet. First, they reported difficulty to differentiate the terms -coronary angio gram and cardiac catheterization. Also, some patients expressed that they feared after reading the information about the incision of inguinal area. Subjects responded that the information about the direct process of the test did not reduce their anxiety and the information was not detail enough. Next, most subjects would want to know about the monitor and the sound from monitor. They said that they could not hear instructions from doctor or nurse during the procedure due to tension. Considering above response results, the need for more effective way to provide information, like visual and auditory information through video tape for giving information is suggested. Sensations related to the procedure were the smell coming from sterilization of inguinal area, stinging pain in groin when the doctor inserts a needle into artery, and the sensation of pressure and moving of vessels surrounding neck when the catheter was inserted and visualized on fluoroscopy. Besides, subject reported hot sensation and burning feeling in face and chest area, and nausea when dye is injected by hand. In the analysis of information content, there was 79% agreement on the actual units of analysis that were coded. In the analysis of type of information, procedural information was 60.4%. Concrete objective information was 28.1%. and other information was 11.5%. Agreement of the coders in categorizing the units of information was determined by using Cohen's kappa which corrects for chance agreement. Cohen's kappa was .84.

• Journal of Nutrition and Health
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• 제49권3호
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• pp.144-152
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• 2016

본 연구는 귤피가루를 활용하여 모닝빵을 개발하고 이를 대학기숙사에 거주하고 있는 과체중 및 비만인 20대 남 녀에게 섭취하게 해봄으로써 아침결식률을 낮출 수 있는 새로운 식품 소재를 개발하고자 실시되었다. 체중과 BMI의 경우 GB 섭취군과 CPB 섭취군 모두에서 감소하였으며, CPB 섭취군에서 사전에 비해 사후 유의적으로 체중과 BMI가 감소한 것으로 나타났다 (p < 0.05). WHR은 GB 섭취군에서는 증가하는 경향을 보였으나 CPB 섭취군에서는 유의적으로 감소하였다 (p < 0.05). BFM은 두군 모두에서 유의적으로 증가하였으며 (p < 0.05) 군간에 유의성을 띄지 않았다. TC는 GB 섭취군에서는 증가하는 경향을 보였으나 CPB 섭취군에서는 유의적으로 감소하였다 (p < 0.05). HDL은 두군 모두에서 증가하였고 GB 섭취군에서 유의성을 보였다 (p < 0.05). LDL은 두군 모두에서 유의적으로 감소하였으며 (p < 0.05) 군간에 유의성은 없었다. GOT와 GPT는 GB 섭취군과 CPB 섭취군 모두에서 감소하였고 CPB 섭취군에서 유의성을 보였다 (p < 0.05). GB와 CPB를 섭취한 군간에 신체계측치와 혈액생화학적 수치에서 유의적인 차이를 보이는 항목은 없었으나 CPB 섭취군에서 사전에 비해 TC, LDL, GOT, GPT 수치가 유의적으로 감소하였다는 점에서 (p < 0.05) 본 연구는 시간적 흐름에 따라 변화를 추적하는 종단적 연구에 가깝다고 판단되며 본 연구를 통하여서 귤피가 심혈관계질환의 유병률을 낮춰줄 수 있는 잠재적 가능성이 있음을 임상적으로 확인하였다. 따라서 향후 본 연구와 유사한 연구들이 double blind cross-over study와 같은 대규모 임상연구로 진행되어 귤피의 지질관련 효과들을 보다 명확하게 입증해줄 필요성이 있을 것으로 판단된다.

• Clinical and Experimental Pediatrics
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• 제45권12호
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• pp.1571-1576
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• 2002

목 적: 최근 들어 가와사끼병 치료에서 고전적인 치료(정맥 내 감마 글로불린+아스피린) 이외에 과거에 금기시 되었던 스테로이드 병용 요법의 다양한 임상적 결과가 보고되고 있어 가와사끼병 고위험군(Harada score 4점 이상)에서 스테로이드 추가 요법의 임상적 효과를 평가 하고자 하였다. 방 법: 1996년부터 2001년까지 충남대학교병원에서 가와사끼병으로 진단된 96명을 대상으로 급성기의 치료 방법에 따라 3군으로 나누어 비교하였다. 가와사끼병 급성기에 A군은 아스피린(100 mg/kg/day)과 정맥내 감마 글로불린 2 g/kg 1회; B군은 아스피린(100 mg/kg/day)과 정맥내 감마 글로불린 1 g/kg 1회; C군은 B군에 prednisolone(2 mg/kg/day)을 추가 하였고 2주간에 걸쳐 점차 용량을 감소하여 중단하였으며, 재치료시에는 methyl-prednisolone 대용량 요법을 사용하였다. 모든 군에서 급성기 이후 8주간 저용량 아스피린을 사용하였다. 임상적, 심혈관계, 및 혈액학적 평가는 급성기, 급성기 직후, 및 아급성기인 치료 8주 후 시행하였다. 결 과 : 관상 동맥 이상 빈도와 혈액학적 이상 정도는 세 치료군에 유의한 차이는 없었으나 치료 후 해열까지의 기간 및 재치료율에 있어서는 스테로이드 추가 요법 군에서 유의한 감소를 보였다. 결 론 : 스테로이드 추가 요법은 IVGG 단일요법과 비교해 볼 때 관상동맥 질환의 발생, 입원기간 등에서 동등한 치료 효과를 보이며, 해열기간, 재치료율 등에 유의한 감소를 보여 가와사끼병 고위험군에 대한 일차적인 치료법으로 고려될 수 있다.