• Clinical and Experimental Pediatrics
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• v.53 no.3
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• pp.380-391
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• 2010

Purpose : Respiratory syncytial virus (RSV) is one of the main pathogens causing lower respiratory infections (LRI) in young children, usually of limited severity. However, in congenital heart disease (CHD) patients, one of the high-risk groups for RSV infection, RSV can cause serious illnesses and fatal results. To elucidate the effects of RSV infection in CHD patients, we observed RSV infection cases among CHD patients and non-CHD patients. Methods : On admission of 343 LRI patients over 3 years, 77 cases of RSV infection were detected by the RSV antigen rapid test of nasopharyngeal secretion. We compared RSV infection cases among groups of CHD and non-CHD patients. Results : During the winter season, RSV caused 20-0% of LRI admissions in children. In patients with completely repaired simple left to right (L-R) shunt diseases such as ventricular septal defect, atrial septal defect, and patent ductus arteriosus, RSV infections required short admission days similar to non-CHD patients. In patients with repaired CHD other than simple L-R shunt CHD, for whom some significant hemodynamic problems remained, RSV infection required long admission days with severe clinical course. In children with unrepaired CHD, RSV infection mostly occurred in early infant age, with long admission days. RSV infections within a month after cardiac surgery also required long admission days and severe clinical course. Conclusion : To avoid the tragedic outcome of severe RSV infection in the CHD patients, efforts to find the subgroups of CHD patients at high risk to RSV infection are needed, and effective preventive treatment should be applied.

• Clinical and Experimental Pediatrics
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• v.53 no.3
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• pp.414-419
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• 2010

Purpose : The purpose of this study was to determine whether there is any difference in the clinical and laboratory characteristics of patients with autoantibody-positive and patients with autoantibody-negative type 1 diabetes at initial presentation. Methods : We analyzed 96 patients under 18 years of age with newly diagnosed type 1 diabetes. One or both of the pancreatic autoantibodies-glutamic acid decarboxylase autoantibodies (GADA) and insulin autoantibody (IAA)-were measured in all patients, and we reviewed clinical and laboratory characteristics according to the presence of these autoantibodies. Results : GADA was examined in 48 of 87 patients, and 55.2% of patients were positive. IAA was checked in 88 patients, and 39.8% were positive. Both GADA and IAA were measured in 83 patients, and 22.8% had both antibodies. The patients who had one or both autoantibodies (autoantibody-positive group) were younger than those not having any autoantibody (autoantibody-negative group). The autoantibody-positive group had lower BMI, corrected sodium level, and serum effective osmolarity, compared to the autoantibody-negative group (P <0.05). Similar differences were found between the GADA-positive and GADA-negative groups. However, there were no significant differences between the IAA-positive and IAA-negative groups. Conclusion : The prevalence of pancreatic autoantibodies was significantly higher in the under-6 years age group than in the other age groups. These findings suggest that measurement of autoantibodies at the initial diagnosis of diabetes is very useful for detecting immune-mediated type 1 diabetes and providing intensive insulin therapy, especially in younger children.

• Clinical and Experimental Pediatrics
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• v.50 no.8
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• pp.746-752
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• 2007

Purpose : Total hydroperoxide (TH), free radical-mediated oxidation product can be used as a measure of free radical injury. The aim of the present study was to see if preterm newborns are at increased risk for oxidative stress compared with term newborns, and to determine whether oxidative stress during postnatal first 1 week is associated with clinical outcomes in preterm infants. Methods : Serum TH levels of preterm infants (n=39) were compared with those of term infants (n=24) on the postnatal day 1. Among the preterm infants, serum TH levels of uncomplicated group (n=23) were also compared with those of complicated group (n=16) who developed oxygen radical related diseases on the postnatal day 1 and 7. Retrospective analysis was performed to find out risk factors for oxygen radical injuries based on birth history, laboratory data, neuroimaging findings and clinical progress in two preterm groups. Results : Serum TH levels on postnatal day 1 were higher in the preterm infant group than the term infant group. Serum TH levels on postnatal day 1 in the complicated preterm infant group were significantly higher compared with uncomplicated group, but there was no significant difference in serum TH levels on postnatal day 7. Also, there was no significant difference in serum TH levels between uncomplicated preterm infants and term infants. Serum TH level on postnatal day 1 was independently associated with higher morbidity after adjusting for gestational age, Apgar score (5 min), arterial blood gas analysis. Conclusion : Complicated preterm newborns are at increased risk for oxidative stress compared with uncomplicated newborns and term newborns. Oxidative injury during the prenatal or postnatal day 1 is associated with adverse outcomes in preterm infants. Elevated TH levels on postnatal day 1 may have a value to predict clinical outcomes in preterm infants.

• Journal of Korean Physical Therapy Science
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• v.3 no.1
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• pp.929-941
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• 1996

This study was conducted to determine the association between weighted needle pinprick sensory threshold(PPT) and sensory nerve conduction studies. The subjects were 53 healthy controls, 31 diabetic patients without peripheral neuropathic symptoms(DM) and 36 diabetic patients with peripheral neuropathic symptoms(DN). PPT was measured on the index and little fingers, bilaterally, as well as under the lateral malleolus, bilaterally. In electrophysiologic assessment the left and right median, ulnar and sural nerves were studied. Mean PPT in DN, DM and controls was high in turn on each sites tested. Age controlled PPT was significantly different among three groups on right little finger(p<0.05) and left malleolus(p<0.05), but on other sites, not statistically significantly different between DN and DM. The results were as follows: Sensory nerve conduction velocity and amplitude on each nerve tested were statistically significantly different among three groups(p<0.05). Correlation of PPT with sensory nerve conduction velocity and amplitude were statistically significant on each site and ranged from -0.4203(left malleolus) to -0.5649(right index finger) and from -0.3897(left index finger) to -0.6200(right index finger), respectively. When electrophysiological study is not feasible, measurement of PPT may be helpful for the assessment of peripheral sensory neurological function.

• Journal of the Korean association of regional geographers
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• v.5 no.2
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• pp.133-142
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• 1999

The wetland is very important ecologically as a habitat of diverse organisms. The purpose of this paper is to elucidate the morphogenetic environment of Jilmoe Bog found in the Odae Mountain National Park Jilmoe Bog is located in the high etchplain(1,060m) where Daebo Granite which had intruded in Jura epoch of Mesozoic era has weathered deeply and has uplifted in the Tertiary. The annual mean temperature of study area is $5.3^{\circ}C$, the annual precipitation is 2,888mm. The minimun temperature of the coldest month(january) is below $-30^{\circ}C$ and the depth of frozen soil is over 1.6m. Jilmoe bog consists of a large bog and a small bog. The length of the large bog is 63m and its width is 42m. The basal surface of Jilmoe bog is uneven. Jilmoe bog is a string bog fanned due to frost actions. In String bog, its surface is wavy with stepped dry hills and net-like troughs crossing hill slope. It seems that string bog is related to the permofrost or seasonal permofrost of cold conifer forest(taiga) zone(where the depth of frozen soil is very deep in the least in winters). String bog is a kind of thermokarst that frozen soil thaws differentially locally in declining permofrost and ground surface becomes irregular. There is turf-banked terracette of width $30{\sim}40cm$ in the headwall of small cirque-type nivation hollow formed at footslope of Maebong mountain around Jilmoe bog. This turf-banked terracette is formed by the frost growth of soil water below grass mat in periglacial climate environment. Where water is plentiful such as a nivation follow${\sim}$valley corridor and a headwall of valley, turf patterned grounds of width $30{\sim}50cm$ are found. This turf patterned ground is 'unclassified patterned ground', earth hummock. In conclusion, Jilmoe bog is a string bog of thermokarst that the relief of ground surface is irregular according to locally differentially thawing of permofrost(frozen soil). Jilmoe bog is high moor, its surroundings belongs to periglacial environment that turf-banked terracette and turf patterned ground are fanned actively.

• Journal of Applied Biological Chemistry
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• v.63 no.3
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• pp.211-219
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• 2020

Quercetin is a polyphenol compound with excellent antioxidant and anti-inflammatory activity. However, little has been reported about the efficacy of quercetin to control psoriasis. Thus, we aimed to investigate the effect of quercetin to regulate psoriatic dermatitis with HaCaT cell lines activated by TNF-α and IL-17A, which are in vitro psoriasis skin models. When quercetin was treated with TNF-α-activated HaCaT cell line, inflammatory cytokine expressions such as IL-1α, IL-1β and IL-6 were reduced by 49.1±7.14, 42.8±8.16, and 34.5±2.52%, respectively. In addition, mRNA expression levels of IL-8 and CCL20 the chemokines that attract immune cells such as Th17 cells and dendritic cells to the inflammatory reaction site, were also reduced by 38.4±5.83 and 52.9±4.59% compared to the TNF-α treatment group. The expression of proteins KRT6A and KRT16, which was nonspecifically increased in psoriatic skin was also significantly suppressed. Moreover, phosphorylation of IκBα and STAT3 proteins activated by TNF-α was also significantly inhibited. After stimulating the HaCaT with IL-17A, known as another psoriasis-inducing cytokine, it was observed that IκBα mRNA expression decreased by 55.8±5.28%, and STAT3 phosphorylation was downregulated by 36.3±6.81%. Finally, after co-activation by TNF-α/IL-17A, quercetin inhibited all of IL-1α, IL-1β, IL-6, TNF-α and CCL20 gene expression. The above results strongly suggest that quercetin is a material that has not only anti-oxidant and anti-inflammatory activities, but also has an activity in improving psoriasis.

• Korean Journal of Agricultural and Forest Meteorology
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• v.18 no.1
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• pp.1-15
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• 2016

Annual litterfall production and leaf area index (LAI, $m^2/m^2$) were estimated using litter traps in Gwangneung, Mt. Taewha and Mt. Gariwang. Annual total litter fall production including branch, bark, others was the highest in Gwangneung($7497.3{\pm}326.5kg/ha/yr$), which had the highest basal area at late successional stage, and followed by Mt. Taewha($5929.1{\pm}225.8kg/ha/yr$) and Mt. Gariwang($3,210.1{\pm}220.1kg/ha/yr$). Mt. Gariwang had the lowest litterfall production due to high elevation and short growing season even with the higher stand density and basal area than Mt. Taewha. Similarly, LAI, which was calculated by multiplying the mass of leaf litter with specific leaf area, was the highest in Gwangneung($5.99{\pm}0.69$) and followed by Mt. Taewha($5.20{\pm}0.24$) and Mt. Gariwang($4.06{\pm}0.42$) and the upper canopy species had the highest leaf area index in every sites (Gwangneung : 4.72, Mt. Taewha : 3.08, Mt. Gariwang : 2.19). However, species specific LAI estimation based on the relationship between basal area and leaf area was limited due to upper canopy species non-proportionality of basal area with LAI. In addition, the comparison between direct and indirect LAI measurement showed the importance of canopy clumping, especially at high density. Our study emphasized the necessity of direct LAI measurement using litter fall traps especially at temperate deciduous forest with diverse species.

• Korean Journal of Agricultural and Forest Meteorology
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• v.12 no.2
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• pp.107-121
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• 2010

We conducted a sensitivity test of Joint UK Land Environment Simulator (JULES), in which the influence of biophysical parameters on the simulation of gross primary productivity (GPP) and ecosystem respiration (RE) was investigated for two typical ecosystems in Korea. For this test, we employed the whole-year observation of eddy-covariance fluxes measured in 2006 at two KoFlux sites: (1) a deciduous forest in complex terrain in Gwangneung and (2) a farmland with heterogeneous mosaic patches in Haenam. Our analysis showed that the simulated GPP was most sensitive to the maximum rate of RuBP carboxylation and leaf nitrogen concentration for both ecosystems. RE was sensitive to wood biomass parameter for the deciduous forest in Gwangneung. For the mixed farmland in Haenam, however, RE was most sensitive to the maximum rate of RuBP carboxylation and leaf nitrogen concentration like the simulated GPP. For both sites, the JULES model overestimated both GPP and RE when the default values of input parameters were adopted. Considering the fact that the leaf nitrogen concentration observed at the deciduous forest site was only about 60% of its default value, the significant portion of the model's overestimation can be attributed to such a discrepancy in the input parameters. Our finding demonstrates that the abovementioned key biophysical parameters of the two ecosystems should be evaluated carefully prior to any simulation and interpretation of ecosystem carbon exchange in Korea.

• Journal of Korean Orthopaedic Sports Medicine
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• v.3 no.1
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• pp.81-86
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• 2004

Objectives: To assess the functional outcome of Bankart repair and rotator cuff repair using miniopen technique in patients with recurrent shoulder dislocation(8 cases) with rotator cuff tears and Bankart lesion of over 40 years. Materials and Methods: From May 1991 to January 2002, twenty two patients were available to participate in the study. Mean age was 52 years old(41-67), Follow-up evaluations averaged 50.5months(10-147). Results: The patients(22 cases) were divided into two groups. Group 1: with recurrent shoulder dislocation(8 cases) with rotator cuff tears and Bankart lesion in patients over 40 years old. Group 2: without Bankart lesion(14 cases). In Group 1, mean average of forward flexion and abduction improved from 122 degrees to 154 degrees at the final follow-up and from 115 degrees to 161 degrees respectively. In terms of University of Pennsylvania patient self-assessment of pain score and VAS, scores improved from 11.0 to 5.5 and from 5.4 to 2.5 respectively. In terms of UCLA score & Constant score, scores also improved from 20.2 to 29.6 and from 48.6 to 69.0 respectively. Functional outcome of Group 1: two patients with excellent, four patients with good, and two patients with fair. Functional outcome of Group 2: two patients with excellent, six patients with good, five patients with fair, and one patient with poor. But they had no statistical significance between the two groups. All cases were improved shoulder pain at the final follow up. And six patients were satisfied with the outcome of shoulder function. Conclusions: This study demonstrates the effectiveness of Bankart repair and rotator cuff repair using miniopen technique in patients with recurrent shoulder dislocation(8 cases) with tears of rotator cuff and Bankart lesion older than 40 years. We recommend Bankart repair and rotator cuff repair at the same time.

• Journal of Korean Society of Environmental Engineers
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• v.34 no.5
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• pp.345-350
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• 2012

To investigate the exposure and health risk assessment for the residents near the D-asbestos mine in Chungbuk, Korea. We analyzed asbestos in the 20 ambient air and 23 activity based samples near the mine. The airborne sample results are showed that 8 of 20 samples ranged between 0.0025 to 0.0029 f/cc (fiber per cubic centimeter) and the others were below the detection limit by phase contrast microscopy (PCM). In addition, asbestos fibers were under the detection limit or not being by transmission electron microscopy (TEM). Based on interview and survey targeting the local residents, we made the activity based sampling (ABS) scenarios fit to the conditions of field. At the same time, we calculated the excess lifetime cancer risk (ELCR) of these ABS scenarios according to the ELCR average value and 95% upper confidence limit (UCL). At the case of weed whacking, soil digging and sweeping yard scenario, 95% UCL of ELCR exceeded the $1{\times}10^{-4}$, acceptable risk range for exposure. Based on our study results, it is necessary safety measures such as risk communication, abatement or management of naturally occurring asbestos (NOA).