• Korean Journal of Psychosomatic Medicine
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• v.18 no.1
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• pp.19-29
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• 2010

Objectives：Authors hypothesized that bipolar tendency of non-psychiatric person would be associated with stress vulnerability. To test the hypothesis, we compared perceived stress level, Type A Behavioral Pattern (TABP) and unhealthy lifestyle between person with and without bipolar tendency. Methods：The study cohort consisted of 1987 subjects without past and current psychiatric history. In this study, bipolar tendency was determined by MDQ response which requires endorsement of at least 7 of the 13 "yes or no" questions. We compared the scores of Perceived Stress Scale, A/B lifestyle questionnaire, and unhealthy lifestyle(alcohol, smoking, lack of exercise, irregular meal) between MDQ positive and negative respondents. Results：We identified the bipolar tendency group determined by the MDQ positive response were 329 subjects(16.6%). The overall score of the bipolar tendency group was significantly high on the A/B lifestyle questionnaire compared to the non-bipolar tendency group(125.4 vs. 115.9, p<0.001), and the rate of the subjects defined as TABP was also significantly high(41.3% vs. 30.1%, p<0.001). In comparison of subjectively perceived stress level, the bipolar tendency group was observed to be significantly higher than the non-bipolar tendency group (18.5% vs. 16.5%, p<0.001). The bipolar tendency group was significantly higher than the non-bipolar tendency group on the rate of answering：'irregular eating habit' (20.1% vs. 14.3%, p=0.002), '4-or-more-times alcohol intake per week' (29.8% vs. 16.5%, p<0.001), 'currently smoking' (41.9% vs. 23.0%, p<0.001), '2-or-less-times physical exercises per week' (63.2% vs. 55.1%, p=0.007). Conclusion：By clinical diagnosis, even a person who does not meet the criteria of bipolar disorder has a high risk of stress-related behavioral pattern, and perceived stress when possessing bipolar tendencies such as the (hypo) maniac tendency or affective instability. Such individual has significantly higher risk of having unhealthy life-style such as smoking, drinking, irregular eating habit and lack of exercise compared to non-bipolar tendency group. Since these risk factors lead to increase the risk of obesity, metabolic syndrome, diabetes, and cardiovascular diseases, the individual with the bipolar tendency requires a more effort to manage stress and to maintain healthy lifestyle.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.10 no.2
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• pp.185-192
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• 2007

Purpose: This study was conducted to evaluate the role of adiponectin, leptin, and tumor necrosis factor-${\alpha}$ (TNF-${\alpha}$) in the pathogenesis of non-alcoholic fatty liver disease (NAFLD) in obese children, and to elucidatethe relationship between these adipokines and insulin resistance. Methods: A total of 61 obese children (M : F=42 : 19, mean age 11.2${\pm}$1.3 years) admitted to our facility between March 2004 and June 2005 were included in this study. Patients were divided into three groups based on their NAFLD status obese children without fatty liver (N=23); obese children with simple steatosis (N=20); and obese children with non-alcoholic steatohepatitis (NASH) (N=18). The serum levels of adiponectin, leptin, and TNF-${\alpha}$ were measured, and insulin resistance determined by homeostasis model assessment (HOMA-IR) was calculated to estimate insulin resistance. In addition, the VSR (visceralsubcutaneous fat ratio) was estimated using abdominal computed tomography. Results: There was no difference in serum TNF-${\alpha}$ and leptin levels observed between the 3 groups (22.13${\pm}$6.37 vs. 21.35${\pm}$6.95 vs. 25.17${\pm}$9.30; p=0.342 & 20.29${\pm}$8.57 vs. 16.42${\pm}$6.85 vs. 20.10${\pm}$7.86; p=0.330). However, the serum adiponectin level was significantly lower in children with non-alcoholic steatohepatitis (NASH) than in the other two groups (6.08${\pm}$1.38 in children without steatosis vs. 5.69${\pm}$0.79 in simple steatosis vs. 4.93${\pm}$1.75 in NASH; p=0.026). In addition, the VSR was significantly increased in the NASH group (0.31${\pm}$0.08 vs. 0.32${\pm}$0.11 vs. 0.47${\pm}$0.14; p=0.001), and HOMA-IR revealed a significant difference among the three groups (4.77${\pm}$3.67 vs. 6.89${\pm}$7.05 vs. 10.42${\pm}$6.73; p=0.000). However, there was no significant correlation observed between the adiponectin levels and the HOMA-IR or the VSR (r=-0.117; p=0.450 & r=-0.106; p=0.499). Conclusion: Insulin resistance may affect the development of hepatic steatosis and steatohepatitis in children, and the results of this study suggest that, of several adipokines evaluated, adiponectin is important in the progression of steatosis to steatohepatitis in obese children.

• Journal of Clinical Nutrition
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• v.10 no.2
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• pp.51-55
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• 2018

Purpose: This study was conducted to assess how extreme obesity affects 30-day mortality in this patient group. Methods: A total of 802 patients who underwent emergency gastrointestinal surgery from January 2007 to December 2017 were retrospectively reviewed. Patients were divided into three groups according to their body mass index (BMI): group 1, normal weight (BMI: $18.5{\sim}22.9kg/m^2$); group 2, overweight (BMI: $23.0{\sim}29.9kg/m^2$ ); and group 3, obesity ($BMI{\geq}30kg/m^2$). Patients with a BMI under 18.5 were excluded from the analysis. Chi-squared test, Fisher's exact test, Kaplan-Meier survival analysis, and the log-rank test were used to assess and compare 30-day mortality rates between groups. Results: The mortality rates of group 1, group 2, and group 3 were 11.3%, 9.0%, and 26.9%, respectively (P<0.017). The mortality rate did not differ significantly between group 1 and 2 (11.3% vs. 9.0%; P=0.341), but group 1 and 2 showed better survival rates than group 3 (11.3% vs. 26.9%; P=0.028, 9.0% vs. 26.9%; P=0.011). Kaplan-Meier survival analysis revealed that group 3 had higher mortality than the other two groups (P=0.001). Conclusion: Obesity ($BMI{\geq}30kg/m^2$) was one of the risk factors influencing critically ill patients who underwent emergency surgery.

• The Journal of Korean Medicine
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• v.32 no.6
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• pp.67-73
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• 2011

Objectives: To examine the overview of fatigue-related health conditions in the Korean general population. Methods: Data were collected from 2,203 adults (1,126 men and 1,077 women) via a self-reporting questionnaire and their sleeping, exercise, stress, physical problems, use of functional food, and fatigue status were analyzed. Results: The average sleeping hours was about $6.6{\pm}2.0$ hrs per day, and 24.3% of subjects didn't exercise (over 30 min) in a week. Around 16.5% of subjects were under severe stress, and 46.1% (36.9% male vs. 55.6% female) had had trouble with at least one form of physical distress including dyspepsia, headache or muscular pain. 45.4% (37.2% male vs. 53.9% female) of subjects used functional supplements. 46.3% (42.8% male vs. 50.0% female) of subjects complained of chronic fatigue, and they were significantly different compared with no-fatigue subjects regarding severe stress status (8.6% vs. 24.0%), frequency of physical distress (33.2% vs. 69.9%), and use of functional supplements (41.6% vs. 49.8%). Conclusion: This result first reports the features of fatigue-related health conditions including prevalence of chronic fatigue in the Korean population. This data could be helpful to develop fatigue-focused traditional Korean medicine in the future.

• Speech Sciences
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• v.10 no.2
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• pp.129-143
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• 2003

Fundamental frequency (Fo), jitter, shimmer, and harmonics-to-noise ratio (NHR) have been measured to see their interactions between the parameters using Multi-Dimensional Voice Program (MDVP). 100 Korean normal adults (50 males and 50 females) ranging from their early 20's to their early 30's produced the eight sustained vowels including /a/, /i/, /u/, /c/, /e/,/$\varepsilon$/, /i/, and /e/. The subjects were asked to read the above vowels five times in isolation with the interval of five seconds, respectively. Male voices, on the average, showed 130.7 Hz in Fo, 0.6696% in jitter, 1.8151% in shimmer, and 0.12 in NHR, while female voices showed 232.8 Hz in Fo, 0.9222% in jitter, 1.9199% in shimmer, and 0.1098 in NHR. As to the correlation coefficient, it was found that for male speakers jitter vs. shimmer, shimmer vs. NHR, Fo vs. shimmer, and Fo vs. NHR are statistically significant. It was found that for female subjects jitter vs. shimmer and Fo vs. shimmer are statistically significant. However, it is concluded that the correlation coefficient in females are not meaningful in a practical way though they are all statistically significant.

• Asian-Australasian Journal of Animal Sciences
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• v.10 no.1
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• pp.64-69
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• 1997

A study was conducted on the effects of ploughing on physiological responses of male and female Bali-cattle. A $2{\times}2{\times}6{\times}8$ factorial design (2 seasons, 2 sexes, 6 days and 8 consecutive time of measurements every 30 minutes) was employed. Responses during the cool/humid season were lower than hot/dry; respiration rate (RR) was 52 vs 75/min, rectal temperature(RT) was 39.1 vs $39.5^{\circ}C$ and skin temperature (ST) was 37.1 vs $37.6^{\circ}C$. Within sexes, males were less tolerant than females in that their RR (66 vs 61 breath/min), RT (39.4 vs $39.2^{\circ}C$) and ST (37.6 vs $37.1^{\circ}C$) were each higher than females during work. With increasing time, during the average 2.5 h working period gradual increases in RR, RT and ST were recorded and the overall increases of 84 breath/min, $1.9^{\circ}C$ and $13.8^{\circ}C$ respectively (p < 0.001). Packed cell volume (PCV) data indicated significant difference between sexes, time and season (p < 0.001, p < 0.05 and p < 0.001 respectively). Within time (before and after 2.5 h working) the PCV decreased from 27.4 to 25.6%.

• Journal of the Korea Organic Resources Recycling Association
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• v.8 no.3
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• pp.73-80
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• 2000

The objective of study was to evaluate the apropriate maturity indices for garbage composting using sawdust as bulking agent. Materials used in this study were the average composition garbage(G20) and garbage conditioned by sawdust(GS30, GS50) and cereals(GSC30). Indices for evaluating maturity were VS, water soluble TOC, polysaccharide, Humification Index(HI), and E4/E6. Experiment results showed that VS reduction was the most desirable index for evaluating compost maturity except for the GS50 which were conditioned with high sawdust Water soluble TOC decreased rapidly during the composting of first one month and then little changed. Therefore, water soluble TOC was recommended as maturity index. Polysaccharide was considered as a maturity index in case of garbage conditioned with sawdust and high cereals. Humification Index(HI) and E4/E6 were available as maturity indices in case of only some garbage composting so additional study was needed to confirm them as maturity indices for all garbage composting. Correlation analysis indicated that indices for evaluating maturity of garbage(about 30 C/N ratio) adding sawdust as bulking agent and high cereals, were VS reduction, water soluble TOC, polysaccharide, and E4/E6.

• Journal of Environmental Health Sciences
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• v.10 no.1
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• pp.107-117
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• 1984

This study was made to evaluate the temperature effects on anaerobic digestion of swine manure. A laboratory single-stage, high-rate, anaerobic digester was operated at 10, 20 and 30 day's HRT at the temperature of 35$\circ$C or 55$\circ$C. The conclusions from this study are as follows: (1) COD and BOD reductions were similar in both the mesophilic and thermophilic digestions. (2) With thermophilic digestion, volatile reduction increased to 67%, as compared with 60% of mesophilic digestion. With thermophilic digestion, the pH increased to 8.5 as compared with 8.0 of mesophilic digestion. With thermophilic digestion, the concentration of volatile acid increased to 763 mg/l, as compared with 250 mg/l of mesophilic digestion. While the gas was produced by mesophilic digestion at 0.74m$^3$/kg of VS fed, it increased to 0.87 m$^3$/kg VS fed by thermophilic digestion. The refractory VS was about 25% of the infiuent VS.

• KSBB Journal
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• v.20 no.6
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• pp.443-446
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• 2005

Hydrogen fermentation from food waste was attempted at different hydraulic retention time(HRT, 18-42 h). A continuous reactor fed with ground, alkali-treated and diluted food waste(average VS 4.4%) exhibited stable hydrogen production during 126 days. Hydrogen production depended on HRT, resulting in the maximum values of 25.8 mL $H_2/g\;VS_{added}$, 0.36 mol $H_2/mol\;hexose_{added}$ and 0.91 L $H_2/L/d$ at HRT 30 h. n-Butyrate and isopropanol production increased with hydrogen production increased, while acetate production decreased. The fermentation efficiency ranged from 53.3 to 65.7%, which implied that hydrogen fermentation would substitute conventional acidogenesis of food waste.

• Tuberculosis and Respiratory Diseases
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• v.51 no.4
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• pp.334-345
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• 2001

Background : Pulmonary tuberculosis(TB) is still prevalent and remains a significant clinical problem for the elderly. However, the disease presents in many ways, and there are frequent adverse drug reactions that may prevent the early diagnosis and treatment of elderly TB patients compared to the young. The purpose of this study was to determine whether or not there are any differences in the clinical feature of pulmonary tuberculosis(TB) in both the diagnosis and treatment between the young (less than 64 years) and the elderly (65 years and more). Methods : The medical records of 125 young and 70 elderly pulmonary TB patients, who were diagnosed with and treated for pulmonary TB at the Seoul Municipal Boramae Hospital from November 1991 to January 1997, were analyzed retrospectively. Results : Anorexia(12% vs. 31.4%), general weakness (20.0% vs. 54.3%), dyspnea(21.6% vs. 37.1%) and an abnormal mentality (0.8% vs. 15.7%) were more frequent presenting symptoms in elderly TB patients, whereas hemoptysis (32.8% vs. 10.0%) and fever (BT > $37^{\circ}C$, 58.4% vs. 35.7%) were more frequent in the young. The elderly had a higher number of cardiovascular and chronic obstructive pulmonary diseases as underlying illnesses. In chest PA, there were no differences in the location of the TB lesion, but the appearances were initially diagnosed more frequently as pneumonia or lung cancer (8.8% vs. 30.0%, p<0.05) in the elderly. There was no difference in the detection rate of acid fast bacilli(AFB) in the sputum between the two groups. There were no differences in the treatment response and follow-up loss. However, adverse drug reactions (13.6% vs. 45.7%, p<0.05), and changes in medication (4.9% vs. 25.7%, p<0.05) during treatment occurred more frequently in the elderly. One among the 125 young patients died from tuberculosis whereas 6 among the 70 elderly patients died from the disease. Conclusion : Because the clinical and radiological presentations were more atypical, a sputum AFB smear and culture should be done immediately in the elderly who are TB. The elderly experienced more frequent adverse drug reactions and mortality during treatment, but the response to treatment was good and rapid.