• The Korean Journal of Physiology
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• 제7권2호
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• pp.39-47
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• 1973

The influences of the acute hemorrhage on the intestinal functions were studied in the rabbits subjected to acute bleeding, amounting 1.5-2% of the body weight. The motility and the absorptive capacity of the ileum were compared before and after the bleeding. Transfusion of shed blood was also performed in order to see whether the deteriorations were reversible or not. The tension developed in the direction of the longitudinal axis of the ileum was recorded through an appropriate transducer, and the frequency of the rhythmic contraction was counted throughout the procedure. Test solution, 10ml in amount, was placed in the loop of the ileum, and the samples were drawn at zero time and at 20 minutes. Triplicated procedures were repeated on the same loop;namely, before and after bleeding and after transfusion. The test solution was composed of 200 mg% urea, 218 mEq/l of NaCl and 150 mg% of polyethylene glycol (PEG) No. 4,000 in distilled water. The latter substance was used as a marker substance for the volume change of the loop. The results obtained were as follows; 1. The motility of the ileum suffered little effects by acute hemorrhage. However, minor fluctuations were seen in the frequency of the rhythm, showing a slight tendency of decreasing rhythmicity, and it was reversed by transfusion. 2. Diminution of absorptive capacity of urea was noticed in acute hemorrhage and it was interpreted as the consequence of the secondary effect of the retardation of the active transport mechanism governing the sodium transport 3. Absorption rate of the sodium ion was dropped in the hemorrhage, suggesting the indispensable need of the blood supply. 4. Osmolarity of the luminal fluid remained higher in the case of acute hemorrhage. 5. There was a tendency of retaining more fluid in the intestinal lumen in acute hemorrhage, comparing with that observed prior to the bleeding. 6. The deteriorations in the absorptive capacity were restored by transfusion of shed blood.

• 한국식품영양학회지
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• 제18권4호
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• pp.367-372
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• 2005

밤나무 잎에 함유된 기능성 물질 검색의 일환으로 항미생물 효과를 검정하고 활성물질의 분석을 시도하였다. 예비실험을 통해 추출물의 활성을 확인한 후 시료를 n-hexane, EtOAc, MeOH로 순차 추출하여 정제한 다음 활성이 강한 MeOH 분획의 0.2 g, 0.5 g에 해당하는 추출물로 13종의 미생물에 대해 활성을 측정한 결과, Cram 양성 세균 중에서 S. aureus와 S. epidermidis는 대조구로 사용한 benzoic acid보다 강한 활성이 나타났고, M. luteus와 L. mesenteroides, B. subtilis에서도 활성이 인정되었으며, Gram 음성 세균인 E. coli, S. typhimurium, P. aeruginosa에서도 강한 활성이 나타나 밤나무 잎 추출물은 비교적 넓은 항균 spectra와 활성이 있음이 확인되었다. 이에 활성물질을 규명하고자 시료를 solvent fractionation, silica gel adsorption column chromatography, Sephadex LH-20 column chromatography, HPLC 등으로 정제하고 활성이 나타난 산성 획분과 페놀성 획분의 물질을 분리한 후 MS, $^1H-NMR,\;^{13}C-NMR$ 등으로 분석한 결과, 산성 획분에서는 stigmast- 5-en-3-ol($\beta$-sitosterol)이 활성을 갖는 물질로 나타났다.

• 한국축산식품학회지
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• 제39권2호
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• pp.309-323
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• 2019

Fish oil consists of omega-3 fatty acids which play an important role in human health. Its susceptibility to oxidation causes considerable degradation during the processing and storage of food products. Accordingly, encapsulation of this ingredient through freeze drying was studied with the aim of protecting it against environmental conditions. Gum arabic (GA) was used as the wall material for fish oil nanoencapsulation where tween 80 was applied as the emulsifier. A water-in-oil (W/O) emulsion was prepared by sonication, containing 6% fish oil dispersed in aqueous solutions including 20% and 25% total wall material. The emulsion was sonicated at 24 kHz for 120 s. The emulsion was then freeze-dried and the nanocapsules were incorporated into probiotic fermented milk, with the effects of nanocapsules examined on the milk. The results showed that the nanoparticles encapsulated with 25% gum arabic and 4% emulsifier had the highest encapsulation efficiency (EE) (87.17%) and the lowest surface oil (31.66 mg/100 kg). Using nanoencapsulated fish oil in fermented milk significantly (p<0.05) increased the viability of Lactobacillus plantarum as well as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) contents. The fermented milk sample containing fish oil nanoencapsulated with 25% wall material and 4% emulsifier yielded the greatest probiotic bacterial count (8.41 Log CFU/mL) and the lowest peroxide value (0.57 mEq/kg). Moreover, this sample had the highest EPA and DHA contents. Utilizing this nanoencapsulated fish oil did not adversely affect fermented milk overall acceptance. Therefore, it can be used for fortification of low fat probiotic fermented milk.

• Korean Journal of Acupuncture
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• 제38권3호
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• pp.175-181
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• 2021

A 57-year-old female diagnosed with L5-S1 lumbar intervertebral disc herniation, suffering from severe pain despite taking tapentadol received combined Korean medicine treatment, including acupotomy, acupuncture, pharmacopuncture, and herbal therapies for 53 days. To assess pain, Numeric Rating Scale (NRS) and lumbar range of motion (ROM) were checked daily from the day of admission. Moreover, the Oswestry Disability Index (ODI) and European Quality of Life-5 Dimensions (EQ-5D) were used to evaluate function and quality of life. After combined Korean medicine treatment, reabsorptioin of intervertebral disc was confirmed by radiological examination; pain reduced from NRS 5~7 to NRS 1~2; lumbar ROM in extention increased from 20° to 30°; and function and quality of life improved. The results suggest the possibility that a combined Korean medical treatment, including acupotomy, can be used as an alternative to opioids for pain management of lumbar vertebral disc herniation.

• 대한한방내과학회지
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• 제40권5호
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• pp.938-947
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• 2019

Objective: This study was performed to report the changes in symptoms and radiological consequences of a patient diagnosed with spinal neurofibroma and complaining of lower back pain. Methods: The patient was diagnosed with a spinal neurofibroma after MRI examination and was treated with traditional Korean medicine, including traditional Korean medication and acupuncture. We measured the change in symptom severity using a numerical rating scale (NRS) and the Oswestry Disability Index (ODI). We also used the EQ-5D (EuroQoL-5D) scale to assess the patient's quality of life. In addition, we examined the change in the size of the cyst by MRI twice after discharge: at about 3 months after discharge and at about 8 months after discharge. Results: After about 6 weeks of treatment, most pathological symptoms had decreased. The patient showed a decline in NRS and ODI scores and showed an increase in quality of life. The two MRI examinations after the discharge revealed a decrease in the size of the cyst. Conclusions: Traditional Korean medicine can be a solution for patients with spinal neurofibroma causing neurological pain.

• Nuclear Engineering and Technology
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• 제53권6호
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• pp.2000-2010
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• 2021

Mechanical moduli, such as Young's modulus (E), Bulks modulus (B), Shear modulus (S), longitudinal modulus (L), Poisson's ratio (σ) and micro Hardness (H) were theoretically calculated for (100-x)TeO₂+x MgO glasses, where x = 10, 20, 30, 40 and 45 mol%, based on the Makishima-Mackenzie model. The estimated results showed that the mechanical moduli and the microhardness of the glasses were improved with the increase of the MgO contents in the TM glasses, while Poisson's ratio decreased with the increase in MgO content. Moreover, the radiation shielding capacity was evaluated for the studied TM glasses. Thus, the linear attenuation coefficient (LAC), mass attenuation coefficient (MAC), transmission factor (TF) and half-value thickness (𝚫_0.5) were simulated for gamma photon energies between 0.344 and 1.406 MeV. The simulated results showed that glass TM10 with 10 mol % MgO possess the highest LAC and varied in the range between 0.259 and 0.711 cm^-1, while TM45 glass with 45 mol % MgO possess the lowest LAC and vary in the range between 0.223 and 0.587 cm^-1 at gamma photon energies between 0.344 and 1.406 MeV. Furthermore, the BXCOM program was applied to calculate the effective atomic number (Z_eff), equivalent atomic number (Z_eq) and buildup factors (EBF and EABF) of the glasses. The effective removal cross-section for the fast neutrons (ERCSFN, ∑_R) was also calculated theoretically. The received data depicts that the lowest ∑_R was achieved for TM10 glasses, where ∑_R = 0.0193 cm² g^-1, while TM45 possesses the highest ERCSFN where ∑_R = 0.0215 cm² g^-1.

• 한국임상약학회지
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• 제32권2호
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• pp.67-73
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• 2022

Objectives: Hyponatremia is prevalent electrolyte disorder and can be fatal in older adults. Evaluative studies on hyponatremia among older adults are scarce, especially targeting for those who visited emergency department (ED). We aimed to estimate the prevalence and to identify risk factors of hyponatremia among elderly patients visiting the ED. Methods: A retrospective chart review was completed including 65 or older patients who visited ED at Seoul National University Bundang Hospital from September to December 2019. Patients with the serum sodium concentration of less than 130mEq/L was defined as a hyponatremia group. Logistic regression analysis was conducted to assess predictive factors for hyponatremia. Results: Of the total 2,445 patients, 155 (6.3%) were confirmed to have hyponatremia at the time of ED visits. Risk factors for hyponatremia identified in logistic regression analysis were thiazides (aOR=2.64, 95% CI 1.66-4.21), opioids (exclude tramadol) (aOR=3.45, 95% CI 1.72-6.94), and desmopressin (aOR=6.98, 95% CI 2.45-19.84). Compared to the use of thiazides alone, it was confirmed that the possibility of hyponatremia was more than quadrupled when proton pump inhibitor (PPI) was used together (aOR=4.08, 95% CI 1.74-9.55). Conclusions: About 6.3% of older adults visiting the ED had hyponatremia. Age, number of medications taken, previous history of hyponatremia, heart failure, cirrhosis, pneumonia, sepsis, prescribed drugs including thiazides, opioids (exclude tramadol), or desmopressin or taking PPI together with thiazides was confirmed to correlate with the risk of hyponatremia.

• Journal of Korean Neurosurgical Society
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• 제66권1호
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• pp.95-104
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• 2023

Objective : Hypernatremia is a common complication encountered during the treatment of neurocritically ill patients. However, it is unclear whether clinical outcomes correlate with the severity of hypernatremia in such patients. Therefore, we investigated the impact of hypernatremia on mortality of these patients, depending on the degree of hypernatremia. Methods : Among neurosurgical patients admitted to the intensive care unit (ICU) in a tertiary hospital from January 2013 to December 2019, patients who were hospitalized in the ICU for more than 5 days and whose serum sodium levels were obtained during ICU admission were included. Hypernatremia was defined as the highest serum sodium level exceeding 150 mEq/L observed. We classified the patients into four subgroups according to the severity of hypernatremia and performed propensity score matching analysis. Results : Among 1146 patients, 353 patients (30.8%) showed hypernatremia. Based on propensity score matching, 290 pairs were included in the analysis. The hypernatremia group had higher rates of in-hospital mortality and 28-day mortality in both overall and matched population (both p<0.001 and p=0.001, respectively). In multivariable analysis of propensity score-matched population, moderate and severe hypernatremia were significantly associated with in-hospital mortality (adjusted odds ratio [OR], 4.58; 95% confidence interval [CI], 2.15-9.75 and adjusted OR, 6.93; 95% CI, 3.46-13.90, respectively) and 28-day mortality (adjusted OR, 3.51; 95% CI, 1.54-7.98 and adjusted OR, 10.60; 95% CI, 5.10-21.90, respectively) compared with the absence of hypernatremia. However, clinical outcomes, including in-hospital mortality and 28-day mortality, were not significantly different between the group without hypernatremia and the group with mild hypernatremia (p=0.720 and p=0.690, respectively). The mortality rates of patients with moderate and severe hypernatremia were significantly higher in both overall and matched population. Interestingly, the mild hypernatremia group of matched population showed the best survival rate. Conclusion : Moderate and severe hypernatremia were associated with poor clinical outcomes in neurocritically ill patients. However, the prognosis of patients with mild hypernatremia was similar with that of patients without hypernatremia. Therefore, mild hypernatremia may be allowed during treatment of intracranial hypertension using hyperosmolar therapy.

• 한국환경농학회지
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• 제27권3호
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• pp.239-244
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• 2008

최근 급속한 산업화가 진행되고 있는 중국의 편서풍 영향하에 위치한 우리나라의 경우에는 장거리 이동에 따른 강우의 산성도 변화 및 예상되는 피해에 대한 대책 마련을 위하여 강우의 화학성에 대한 지속적인 모니터링이 필요하다. 본 연구는 경기도 수원지역 강우의 산성도 및 주요 이온조성을 평가하기 위하여 wet sampling 방식의 자동채취기를 사용하여 2006년 4월부터 12월까지의 빗물 42점을 채취하였다. 각 시료의 pH 및 주요 이온 성분에 대한 강우량 가중평균치의 월별 변화를 조사하였으며, pH 분포와EC의 계절적 특성을 평가하였다. 빗물 중 양이온과 음이온의 균형비(ion balance)와 전기전도도 균형비(electrical conductivity balance)가 1에 가까운 값을 보여 분석의 높은 신뢰성을 나타내었다. 조사기간 중 평균 pH값은 4.7을 보였다. 빗물의 EC는 조사기간 평균 $17.6{\mu}S\;cm^{-1}$을 나타냈으며, 월별로는7월에 $9.1{\mu}S\;cm^{-1}$로 조사기간 중 가장 낮은 값을 보였으며, 11월 이후에 급격히 높아져 EC의 계절적 특성을 보였다. 빗물의 조성에서 양이온 구성은 $Na^+>NH_4{^+}>Ca^{2+}>H^+>Mg^{2+}>K^+$의 순이었으며, $Na^+$ 와 NH_4{^+}$가 전체 양이온 함량의 65% 이상을 차지 하였다. 음이온은 $SO_4{^{2-}}>NO_3{^-}>Cl^-$ 순으로 $SO_4{^{2-}}$가 약 67%를 차지하였다. 조사기간 중 평균 sulfate 함량은 $119.0{\mu}eq\;L^{-1}$이었으며, 이중 비해염 sulfate(nss-$SO_4$) 함량은 평균 94%로 빗물 중에 함유된 sulfate의 대부분이 인위적인 발생원에서 기인되었다.

• 한국가정과학회지
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• 제4권1호
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• pp.68-78
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• 2001

본 연구는 비만아동을 위한 효과적인 운동 및 식이요법에 관한 기초 자료를 얻기 위하여 실시하였다. 8∼12세의 비만아동(BMI 25.2${\pm}$1.7)을 대상으로 3일간 실험환경에 적응하기 위한 대조기간을 거친 후 1주간은 운동기간과 다음 1주간은 운동을 하면서 에너지를 제한하는 기간으로 나누어 실시하였다. 운동강도는 60∼75%HRmax 이었으며 에너지 제한량은 493kcal/day이었다. 실험 전후 혈액 성상의 변화를 측정한 결과 Hemoglobin 농도. Hematocrit치, 혈당, GOT 및 GPT 활성은 실험 전후 유의적인 차이는 없었으며 alkaline phosphatase 활성은 유의적으로 감소하였다. 혈 중 총 지방 함량은 실험전 680.0${\pm}$83.1mg/dl에서 실험 후에는 630.0${\pm}$68.2mg/dl으로 감소하는 경향은 보이나 유의적인 차이는 나타나지 않았다. 혈 중 총 콜레스테롤 농도는 실험전 187.0${\pm}$8.1mg/dl에서 실험 후에는 192.6${\pm}$6.9mg/dl으로 유의적인 차이는 나타나지 않았으나, HDL-콜레스테롤 농도는 실험 전 51.8${\pm}$2.9mg/dl에서 실험 후 70.2${\pm}$6.4mg/dl으로 유의적으로 증가하였다. 혈 중 LDL-콜레스테롤 농도는 실험전 100.7${\pm}$5.6mg/dl에서 실험 후 108.5${\pm}$2.3mg/dl으로 유의적인 차이는 없었으나, 혈 중 VLDL-콜레스테롤 농도는 실험 전 34.5${\pm}$5.1mg/dl에서 실험 후 14.3${\pm}$7.6mg/dl으로 유의적으로 감소하였다. 혈 중 중성지방 농도는 실험전 192.0${\pm}$27.1mg/dl에서 132.3${\pm}$9.7mg/dl으로 감소되는 경향이었으나 유의적인 차이는 나타나지 않았다. 혈 중 유리지방산 농도는 실험 전 20.0${\pm}$2.luEq/l에서 실험 후 30.1${\pm}$3.3uEq/l로 유의적으로 증가하였다. 총 콜레스테롤에 대한 HDL-콜레스테롤의 비율(%HDL) 또한 실험전 27.9에 비해 실험 후 34.6으로 유의적으로 증가하였다. 심혈관질환의 위험도 판정에 사용되는 동맥경화지수는 실험전 2.7에서 실험 후 1.8로 유의적으로 감소하였다. 이상의 결과로 보아 비만아동을 대상으로 운동 및 에너지 제한을 실시한 결과 본 실험에 적용한 프로그램은 체중 감소에 효과적으로 작용하였으며 유의있게 HDL-콜레스테롤 농도를 증가, VLDL-콜레스테롤 농도는 감소 시켜서 혈 중 지질대사 측면에 긍정적인 효과를 나타내었다. 그러나 일부 무지방조직의 감소를 동반하는 것으로 보아 본 실험의 프로그램 중 운동 부하량을 다소 줄여 비만 치료시 적용하면 매우 효과적일 것이라 사료된다.