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The Comparison of ICSD and DSM-Ⅳ Diagnoses in Patients Referred for Sleep Disorders (정신과에 의뢰된 환자 중 수면장애에 대한 ICSD와 DSM-Ⅳ 진단 비교)

  • Lee, Bun-Hee;Kim, Leen;Suh, Kwang-Yoon
    • Sleep Medicine and Psychophysiology
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    • v.8 no.1
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    • pp.37-44
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    • 2001
  • Background: Sleep disorders are prevalent in the general population and in medical practice. Three diagnostic classifications for sleep disorders have been developed recently: The International Classification of Sleep Disorders (ICSD), The Diagnostic and Statistical Manual, 4th edition (DSM-IV) and The International Classification of Diseases, 10th edition (ICD-10). Few data have yet been published regarding how the diagnostic systems are related to each other. To address these issues, we evaluated the frequency of sleep disorder diagnoses by DSM-IV and ICSD and compared the DSM-IV with the ICSD diagnoses. Method: Two interviewers assessed 284 inpatients who had been referred for sleep problems in general units of Anam Hospital, holding an unstructured clinical interview with each patient and assigning clinical diagnoses using ICSD and DSM-IV classifications. Results: The most frequent DSM-IV primary diagnoses were "insomnia related to another mental disorder (61.1% of cases)" and "delirium due to general medical condition (26.8%)". "Sleep disorder associated with neurologic disorder (38.4% of cases)" was the most frequent ICSD primary diagnosis, followed by "sleep disorder associated with mental disorder (33.1%)". In comparing the DSM-IV diagnoses with the ICSD diagnoses, sleep disorder unrelated with general medical condition or another mental disorder in DSM-IV categories corresponded with these in ICSD categories. But DSM-IV "primary insomnia" fell into two major categories of ICSD, "psychophysiologic insomni" and "inadequate sleep hygiene". Of 269 subjects, 62 diagnosed with DSM-IV sleep disorder related to general medical condition or another mental disorder disagreed with ICSD diagnoses, which were sleep disorders not associated with general medical condition or mental disorder, i. e., "inadequate sleep hygiene", "environmental sleep disorder", "adjustment sleep disorder" and "insufficient sleep disorder". Conclusion: In this study, we found not only a similar pattern between DSM-IV and ICSD diagnoses but also disagreements, which should not be overlooked by clinicians and resulted from various degrees of understanding of the pathophysiology of the sleep disorders among clinicians. Non-diagnosis or mis-diagnosis leas to inappropriate treatment, therefore the clinicians' understanding of the classification and pathophysiology of sleep disorders is important.

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A New Receptor for site Clonidine in the Eel, Anguilla japonica Intestine (뱀장어(Anguilla japonica)장의 상피세포막에 존재하는 새로운 clonidine 결합 수용체에 관한 연구)

  • Kim, Hung-Tae;Seo, Jung-Soo;Park, Nam-Gyu;Lee, Hyung-Ho;Chung, Joon-Ki
    • Journal of fish pathology
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    • v.14 no.1
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    • pp.31-36
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    • 2001
  • A novel clonidine binding sites were characterized in the intestinal membrane isolated from seawater eels, Anguilla japonica. The specific clonidine binding sites consisted of at least two classes, high affinity ($K_d=1.4{\pm}0.3$ nM n = 5) and low affinity ($K_d=175{\pm}34$ nM n = 5) sites. The specific binding of 2 nM [$^3H$]clonidine was most enhanced at $20^{\circ}C$ and pH 7.5, and reversed by unlabelled clonidine. Such binding was hardly inhibited by adrenaline, yohimbine or rauwolscine, indicating that most binding sites are distinct from $\alpha_2$-adrenoceptor. The specific clonidine binding sites was inhibited by various imidazoline/guanidinium drugs, indicating existence of imidazoline/guanidinium receptive sites (IGRS) or imidazoline receptors in the eel intestine. Competition experiments revealed that rank order to displace 2 nM [$^3H$]clonidine from their binding sites was as follows : guanabenz > cirazoline = naphazoline = UK14,304 = ST587 $\geq$ clonidine $\geq$ idazoxan = RX821002 = tolazoline > ST93 = oxymetazoline = amiloride = ST91 > yohimbine = efaroxan = rauwolscine $\geq$ adrenaline = ST567 = histamine = agmatine. Although physiological role of IGRS is not clear yet even in mammalian cell/tissues, eel intestine may be a good model to elucidate how the IGRS act in the cell and to decide what is the endogenous ligand for the IGRS.

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Inorganic and Organic Solute Pattern of Costal Plants, Korea (해안 식물의 무기 및 유기용질 양상)

  • Choi, Sung-Chul;Bae, Jung-Jin;Choo, Yeon-Sik
    • The Korean Journal of Ecology
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    • v.27 no.6 s.122
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    • pp.355-361
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    • 2004
  • In order to elucidate the ecophysiological characteristics of coastal plants, we collected them on salt marsh and sand dune, and analyzed inorganic ($Na^+,\;K^+,\;Mg^{2+},\;Ca^{2+}$) and organic solutes (soluble carbohydrate, glycine betaine). Chenopodiaceous plant species (Atriplex gmelini, Salicornia europaea, Salsola collina, Suaeda glauca, Suaeda japonica) showed a tendency to accumulate inorganic ions such as $Na^+\;and\;Cl^-$ instead of $K^+$. However, Chenopodium serotinum which lives in ruderal habitat contained more $K^+$ and less $Na^+$ than the other Chenopodiaceous plants. Most Chenopodiaceous plant species maintained very low level of soluble $Ca^{2+}$ and relatively low concentration of carbohydrates and showed high concentration of glycine betaine which is among the most effective known compatible solutes in the leaves of plant under drought and saline conditions. On the other hand, plant species which belong to Gramineae (Ishaemum anthephoroides, Phragmites communis, Zoysia sinica) and Cyperaceae (Carex kobomugi, Carex pumila) absorbed $K^+$ selectively and excluded $Na^+\;and\;Cl^-$ effectively regardless of habitat conditions, and they accumulated more soluble carbohydrate as osmoticum than Chenopodiaceous plants. These results suggested that physiological characteristics such as high storage capacity for inorganic ions (especially alkali cations, chloride) and the accumulation of glycine betaine in chenopodiaceous plants and $K^+$-preponderance, an efficient regulation of ionic uptake (exclusion of $Na^+\;and\;Cl^-$) and the accumulation of soluble carbohydrate in monocotyledonous plants enable them to grow dry and saline habitats.

Analysis of Effects of Multiple Environmental Factors on Early Life-history for Growth and Stress Accumulation Using a Dynamic-state-dependent Model (동적상태의존모델을 이용하여 복합적 환경영향이 어류의 초기 생활사에 미치는 영향 분석)

  • Lee, Who-Seung
    • Journal of Environmental Impact Assessment
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    • v.28 no.1
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    • pp.49-62
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    • 2019
  • Environmental changes can affect life-history traits, such as growth rate and reproduction, and organisms adapt on a given environmental condition to maximize ecological fitness. This study shows the effects of water temperature and dissolved oxygen level on early growth and accumulated damage in fish using a dynamic-state-dependent model. I have hypothesized that the level of foraging activity is related to growth and stress and so the optimal level can maximize reproductive success - ultimately, fitness. The critical temperature and dissolved oxygen (DO) is also defined as inducing the maximum growth rate at the level. So, the model predicts the highest growth rate at oxygen saturation and lower growth rate at lower or higher level of DO in water. Lower DO (i.e., hypoxia) causes slower growth rate through higher amount of accumulated stress whereas higher DO (i.e., hyperoxia) induces faster growth rate, but smaller body size. In addition, I show that there is lower impact when considering simple or independent environmental factors on environmental assessment. My findings suggest that multiple environmental factors as physiological ecology approach should be considered to improve impact assessment in environmental changes and a further study is needed to develop advanced assessment tools considering multiple environmental factors.

Prevailing Subsurface Chlorophyll Maximum (SCM) Layer in the East Sea and Its Relation to the Physico-Chemical Properties of Water Masses (동해 전역에 장기간 발달하는 아표층 엽록소 최대층과 수괴의 물리 화학적 특성과의 상관관계)

  • Rho, TaeKeun;Lee, Tongsup;Kim, Guebuem;Chang, Kyung-Il;Na, TaeHee;Kim, Kyung-Ryul
    • Ocean and Polar Research
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    • v.34 no.4
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    • pp.413-430
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    • 2012
  • To understand the scales of the spatial distribution and temporal duration of the subsurface chlorophyll-a maximum (SCM) observed in the Ulleung Basin of the East Sea, we analyzed physical and chemical data collected during the East Asian Seas Time-series-I (EAST-I) program. The SCM layer occurred at several observation lines from the Korea Strait to $37.9^{\circ}N$ in the Ulleung Basin during August of 2008 and 2011. At each observation line, the SCM layer extended from the coast to about 200 km off the coast. The SCM layer was observed between 30 and 40 m depth in the Ulleung Basin as well as in the northwestern Japan Basin along $132.3^{\circ}E$ from $38^{\circ}N$ to $42.3^{\circ}N$ during July 2009, and was observed around 50 m depth in the northeastern Japan Basin ($135-140^{\circ}E$ and $40-45^{\circ}N$) during July 2010. From these observed features, we hypothesize that the SCM layer observed in the Ulleung Basin may exist in most of the East Sea and may last for at least half-year (from the early May to late October). The nutrient supply mechanism for prolonged the SCM layer in the East Sea was not known, but it may be closely related to the horizontal advection of the nutrient rich and low oxygen waters observed in the Korea Strait between a 50 m depth to near the bottom. The prolonged development of the SCM layer in the Ulleung Basin may result in high primary production and would also be responsible for the high organic carbon content observed in the surface sediment of the region.

Evaluate Adaptability of Automatic Potato Planter (전자동 감자 파종기 현장 적응성 평가)

  • Choi, Il Soo;Oh, Jong-woo;Yu, Hong Seob;Lee, DongHoon
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.88-88
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    • 2017
  • 감자 재배 기계화를 위한 전자동 감자 파종기의 기구적인 개념 설계를 수행하고, 시작기를 제작하였다. 시작기의 성능평가를 통해 기계화에 적합한 감자 재배양식에 대한 연구 필요성이 대두되었다. 본 연구의 목적은 감자 재배 양식에 따른 주요 감자의 생육 사항, 수량성, 상품성 및 품질, 주요 생리 장애등을 측정하여 기계파종 후 재배상의 문제점 파악과 파종 시 기계적인 미비점을 파악하여 개선방안을 마련하는데 있다. 기존의 국내 관행적 감자 재배 작형별 재배방식은 1줄 재배의 경우 재배 형식이 둥근두둑 방식이며, 2줄 재배의 경우 평두둑 방식을 채택하고 있다. 감자 파종기를 이용한 기계화 재배의 경우 평두둑으로 2줄 재배 방법을 채택하였다. 본 연구는 공시품종인 수미를 이용하여 봄 재배 형식으로 강릉 재배단지에서 실시하였다. 감자 파종은 2016년 3월 31일에 실시하였으며, 재배기간 92일을 소요하여 수확은 2016년 6월 30일에 하였다. 기계파종의 경우 두둑형식은 평두둑 2줄 재배양식 흑색비닐(파종구 세절) 파종 방법으로 전자동 기계파종을 실시하였고, 인력 파종의 경우 기계 파종과 동일한 방식으로 인력으로 실시하였다. 기존의 재래적 방식인 관행파종은 두둑형식은 외줄 1줄 흑색비닐(유공) 파종 방법으로 인력파종을 실시하였다. 관행 파종 방법은 이랑사이 75-80cm, 주간거리 20-25cm, 흙덮기 8-12cm로 재식밀도는 5,000-5,300주/10a로 씨감자 160kg/10a 소요하여 파종하였다. 실험 결과 감자 파종방법별 출현율은 기계파종의 경우 79.9-88.4%, 인력파종의 경우 97.9-99.2%로 기계파종에서 인력파종대비 결주율이 10.0-18.5% 정도 발생되었다. 씨감자의 절단 방법은 4절에 비하여 2절에서 양호하였다. 상품 지수의 경우 관행파종을 기준(100)으로 기계 파종(90)과 인력 파종(103)은 4절로 작업한 곳에서 상품성이 높았다. 파종 전 싹틔우기 여부에 따라서는 생육 초기(30일 이전)에는 싹틔운 파종 방법이 양호하였으나, 생육 후기(30일 이후)에는 싹을 틔우지 않은 파종 방법이 양호하였다. 기계 파종을 이용한 4절 씨감자 파종은 부패율이 12.2%로 다른 대비군에 비해 높았다(1.9-7.6%). 수확량(kg/10a)은 기계파종에서 2,748-3,503 kg 으로 관행 3,883 kg 대비 71-90% 수준으로 나타났다. 싹틔우지 않은 감자 4절을 이용한 기계 파종 시 결주율이 18.5%, 부패율 12.2%으로 싹틔운 감자 2절을 이용한 기계 파종으로 할 경우 결주율 10%, 부패율 4.1% 으로 낮출 수 있다.

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Diagnosis and Treatment of Latent Tuberculosis Infection in Korea (국내에서 잠복결핵의 진단 및 치료)

  • Shim, Tae Sun;Koh, Won-Jung;Yim, Jae-Joon;Lew, Woo Jin
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.2
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    • pp.101-117
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    • 2004
  • 현증 결핵환자가 감소하고, 면역억제환자가 증가하고 있는 국내 추세에서 잠복결핵(latent tuberculosis)의 진단 및 치료 지침이 필요한 실정이다. 그러나 결핵의 유병률, 발생률 그리고 비씨지 접종률 등이 외국과 다른 국내의 현실에서 현증이 없는 잠복결핵의 진단 및 치료에 대한 방침은 필연적으로 외국과 다를 수 밖에 없으며, 현 시점에 국내에서 이에 대한 자료가 불충분하여 국내의 환경에 적합한 근거 중심의 지침을 설정하기는 어려운 상황이다. 그러나 결핵의 기본 병태 생리를 근거로 하여 최소한 결핵균 감염 이후 결핵 발병의 위험성이 높은 대상 환자에서는 잠복결핵 진단을 위한 검사를 시행하여 치료 여부를 결정하여야 한다. 고위험군은 사람면역결핍바이러스(human immunodeficiency virus, HIV) 감염자, 장기이식환자, 면역억제제를 장기간 사용하는 환자, 6세 이하의 소아 중 최근 전염성 결핵환자 접촉자 등을 우선적으로 고려해야 한다. 미국은 발병 위험도의 고, 중, 저에 따라 투베르쿨린 검사(tuberculin skin test, Mantoux test)의 양성기준을 달리 하여 잠복결핵을 진단하고 있으나, 국내에는 아직 이에 대한 자료가 부족하므로 발병의 위험이 높은 상기 고위험군을 대상으로 하여 PPD RT-23 2TU (Tuberculin unit)를 이용한 피부반응검사에서 10mm이상의 경결(induration)이 생성되는 경우를 양성으로 정하고 추후 연구 결과에 따라 재조정이 필요하다. 그 동안은 투베르쿨린 검사 결과 5-10 mm 사이의 경결반응을 보이는 면역억제 환자에 대하여는 개별적으로 의사의 판단에 따라 잠복결핵의 진단 및 치료 여부를 결정한다. 그러나 면역억제제를 사용하는 등 결핵 발병의 고위험군에서는 피부반응검사상 음성이라도 과거 결핵 치료력이 없이 흉부사진상 명백하게 과거에 결핵을 앓은 흉터가 남아있는 경우(석회화된 1차 결핵 소견은 제외)에는 잠복결핵의 치료를 시행한다. 상기 잠복결핵의 진단 및 검사의 적응증은 최소한 시행하여야 할 경우를 나열한 것으로 이외의 환자에 대하여는 환경 및 대상에 따라 개별화되어야 한다. 치료제로는 isoniazid (INH) 9개월 매일 치료(최소 한 6개월 이상, HIV양성 환자인 경우는 9개월), rifa-mpicin (RFP) 4개월 치료 및 INH/RFP 3개월 매일 치료를 시행할 수 있다. 상기 치료가 어려운 경우에는 RFP/pyrazinamide (PZA) 2개월 매일 치료를 고려할 수 있으나 중증 간독성의 가능성에 대한 철저한 교육 및 추적검사가 필요하다. 향후 국내 환경의 변화 및 연구결과에 따라 추후 부족한 부분에 대한 지침의 재정립이 필요하다.

Identification of the Protein Function and Comparison of the Protein Expression Patterns of Wheat Addition Lines with Wild Rye Chromosomes (야생 호밀 염색체 첨가 밀 계통의 단백질 발현 양상 비교 분석)

  • Lee, Dae Han;Cho, Kun;Woo, Sun Hee;Cho, Seong-Woo
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.64 no.4
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    • pp.373-383
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    • 2019
  • The objectives of this study were to compare the protein expression patterns and degrees and identify the protein function of disomic addition lines (DAs) in Leymus racemosus, in order to improve the quality of wheat. Upon SDS-PAGE, L. racemosus showed two major protein bands whereas Chinese Spring (CS) had four major protein bands of high molecular weight. The DA(s) generally showed a similar protein expression pattern to that of CS, because 42 chromosomes were from CS and two chromosomes were from L. racemosus. However, only the L.r[J] line showed two protein bands of between 15 and 20 kDa, like L. racemosus. Image analysis based on 2-DE revealed that L.r[F] had the most upregulated protein spots, whereas L.r[N] had the least upregulated protein spots. For L.r[I], the frequency of the downregulated protein spots was higher than that of the upregulated ones. Using MALDI-TOF MS, the protein function was identified for each protein spot on the 2-DE polyacrylamide gel. The protein spots were classified into 11 groups according to protein function. Among the 11 groups, most protein spots of the DA(s) were identified as proteins related to metabolism. Additionally, unique protein spots of the DA(s) were related to abiotic stressors such as cold and heat. Those proteins are useful for improving wheat quality with resistance against abiotic stressors.

Comparison of Hsp90 and CYP1A Expression Patterns by Water Temperature Stress in Atlantic Salmon (Salmo salar) (대서양 연어(Salmo salar)의 수온 스트레스에 의한 Hsp90 및 CYP1A 발현 양상 비교)

  • Kang, Han Seung;Song, Jae-Hee;Kang, Hee Woong
    • Journal of Marine Life Science
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    • v.3 no.2
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    • pp.51-58
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    • 2018
  • Variations in water temperature are known to affect almost every part of fish physiology. The rise in water temperature due to climate change can physically damage fish. This study was conducted to evaluate the health status of the Atlantic salmon (Salmo salar) at high water temperature (20℃) than the optimum water temperature (15℃). Liver tissue exerts important metabolic functions in thermal adaptation. Therefore, liver tissue was used in this study. The evaluation method is to develop the biomarker gene using NGS RNAseq analysis and to examine the expression pattern using RT-qPCR analysis. The NGS RNAseq analysis revealed 1,366 differentially expressed genes, among which 880 genes were increase expressed and 486 genes were decrease expressed. The biomarker genes are such as heat shock protein 90 alpha (Hsp90α), heat shock protein 90 beta (Hsp90β) and cytochrome P450 1A (CYP1A). The selected genes are sensitive to changes in water temperature through NGS RNAseq analysis. Expression patterns of these genes through RT-qPCR were similar to those of NGS RNAseq analysis. The results of this study can be applied to other fish species and it is considered to be useful industrially.

Changes in Productivity and Morphological Characteristics of Zostera marina Transplants (이식된 잘피의 생산성 및 형태적 특성 변화)

  • Park, Jung-Im;Li, Wentao;Kim, Jeong-Bae;Lee, Kun-Seop
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.14 no.1
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    • pp.41-47
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    • 2009
  • Since significant losses of seagrass coverage have been reported from many parts of the world, numerous restoration projects through seagrass transplantation have been attempted worldwide. Different survival rates and establishment time of transplants have been reported depending on transplanting time and methods. The staple method, which is direct seagrass planting method using staples to anchor seagrass transplants on the sediments, have been widely adopted in seagrass transplanting because this method achieves high survival rates in various sediment environments. To assess the morphological plasticity and the growth characteristics of transplants, we transplanted eelgrass, Zostera marina in December 2004 using the staple method. Shoot density, morphological characteristics and leaf productivities of the transplanted shoots and shoots of natural eelgrass beds in the vicinity of the transplanting site and environmental parameters in the planting site were monitored for about 1 year postplanting monthly. Transplant shoot density increased without initial decline, while leaf width and sheath length of transplants decreased after transplanting. Leaf productivities per shoot of transplants also considerably lower than those of natural shoots for the first 3 months post-transplanting. Shoot density, morphological characteristics and leaf productivity per area of transplants became similar to those of natural population about 1 year after transplanting. Although eelgrass transplants might have experienced some transplanting stress during the early stage of the transplantation, transplants appeared to adapt well to new environments of the transplanting site.