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Nutritional status and the role of diabetes mellitus in hemodialysis patients

  • Cho, Ju-Hyun;Hwang, Ji-Yun;Lee, Sang-Eun;Jang, Sang-Pil;Kim, Wha-Young
    • Nutrition Research and Practice
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    • v.2 no.4
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    • pp.301-307
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    • 2008
  • This study was aimed to investigate the nutritional status and the role of diabetes mellitus in hemodialysis (HD) patients. Anthropometric, biochemical, and dietary assessments for HD 110 patients (46 males and 64 females) were conducted. Mean body mass index (BMI) was $22.1\;kg/m^2$ and prevalence of underweight (BMI<$18.5\;kg/m^2$) was 12%. The hypoalbuminemia (<3.5 g/dl) was found in 15.5% of the subject, and hypocholesterolemia (<150 mg/dl) in 46.4%. About half (50.9%) patients had anemia (hemoglobin: <11.0 g/dL). High prevalence of hyperphosphatemia (66.4%) and hyperkalemia (43.5%) was also observed. More than 60 percent of subjects were below the recommended intake levels of energy (30-35 kcal/kg IBW) and protein (1.2 g/kg IBW). The proportions of subjects taking less than estimated average requirements for calcium, vitamin $B_1$, vitamin $B_2$, vitamin C, and folate were more than 50%, whereas, about 20% of the subjects were above the recommended intake of phosphorus and potassium. Diabetes mellitus was the main cause of ESRD (45.5%). The diabetic ESRD patients showed higher HMI and less HD adequacy than nondiabetic patients. Diabetic patients also showed lower HDL-cholesterol levels. Diabetic ESRD patients had less energy from fat and a greater percentage of calories from carbohydrates. In conclusion, active nutrition monitoring is needed to improve the nutritional status of HD patients. A follow-up study is needed to document a causal relation between diabetes and its impact on morbidity and mortality in ESRD patients.

Optimization of Mixing Ratio of Mulberry Leaf, Mulberry Fruit, and Silkworm for Amelioration of Metabolic Syndrome (대사증후군 개선을 위한 뽕잎, 오디, 누에 분말의 혼합 비율 최적화)

  • Kim, Min-Ju;Kim, Hyun-Sook;Kim, Ae-Jung
    • Journal of Korean Medicine for Obesity Research
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    • v.18 no.2
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    • pp.83-95
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    • 2018
  • Objectives: The aim of this study was optimized mixing ratio of mulberry leaf, mulberry fruit, and silkworm for amelioration of the metabolic syndrome by using response surface method (RSM). Methods: Antioxidant, antidiabetic and antihypertensive activities of fifteen mixed powder of mulberry leaf, mulberry fruit, and silkworm by RSM were measured as indicators of metabolic syndrome. Results: The optimal mixing ratio of mulberry leaves, mulberry fruits, and silkworm with the greatest antioxidant, antidiabetic and antihypertensive activities was as follows: 2.5890 of mulberry leaf (A), 0.1222 of mulberry fruit (B), 2.9999 of silkworm (C). At this time, it was predicted that the total polyphenol content was estimated to be 185.51 tannic acid equivalent mg/g, 1, 1-diphenyl-2-picrylhy drazyl radical scavenging activity 84.77%, 1-deoxynojirimycin content 415.66 mg/100 g, ${\alpha}-glucosidase$ inhibitory activity 64.31%, ${\gamma}-aminobutyric$ acid content 267.77 mg/100 g, potassium content 1,899.11 mg/100 g, and angiotensin-converting-enzyme inhibitory activity was estimated to be 73.78%. Conclusions: It was concluded that the significant effect of the mulberry leaf, mulberry fruit, and silkworm on the metabolic syndrome-related biological activity indices (antioxidant activity, antidiabetic activity and antihypertensive activity) was as follows: 2.5890 of mulberry leaf (A), 0.1222 of mulberry fruit (B), 2.9999 of silkworm (C).

Anthropometric Index, Dietary Habits and Nutrient Intake of the Oldest-old Population Aged 95 and Over Living in Seoul (서울지역에 거주하는 95세 이상 남녀 초고령 노인의 체격지수와 식습관 및 영양섭취 실태)

  • Kwak, Chung Shil;Cho, Ji Hyun;Yon, Miyong;Park, Sang Chul
    • Korean Journal of Community Nutrition
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    • v.17 no.5
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    • pp.603-622
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    • 2012
  • The population aged 95 years and older in Seoul approximately increased to five-fold over the past 10 years, while nationwide rates increased to three-fold. In order to examine the dietary habit and nutritional status of oldest-old population living in Seoul, we recruited 87 subjects (25 males and 62 females) aged 95 years and older. The prevalence of underweight (BMI < 18.5 $kg/m^2$) and obesity (BMI ${\geq}25kg/m^2$) were 18.2% and 18.2% in males, and 20.8% and 9.4% in females, respectively. In self-assessment of health, only 25.3% answered to be unhealthy. More males exercised regularly and reported a wide range of activities than females. The average of %Kcal from carbohydrate, protein and fat (C : P : F) was 64.9 : 13.8 : 21.2 in males and 68.1 : 14.2 : 17.7 in females. The average daily energy intake was 1,307 kcal in males and 1,304 kcal in females. More than 75% of subjects were taking under estimated average requirements (EAR) for vitamin $B_1$, $B_2$ & C and Ca. The average of mean adequacy ratio (MAR) was 0.66 in males and 0.70 in females, and 28.8% of males and 12.9% of females were in MAR < 0.50. Based on MAR, 32.0% of males and 14.5% females were classified as normal and 16.0% of males and 25.8% of females were classified as malnourished. Our subjects were taking more animal food, especially milk and its products, compared to those living, in rural areas. However, a significant proportion did not meet the EAR for vitamin $B_1$, $B_2$ & C and Ca.

Effects of Milk Consumption on Calcaneal Quantitative Ultrasound and Bone Turnover Markers of Women Living in Asan (아산시 거주 여성에서 우유섭취가 골초음파 상태와 골대사지표에 미치는 영향)

  • Kim, Hee-Seon;Kim, Min-Kyoung;Jang, Dong-Min;Kim, Nam-Soo;Kim, Jin-Ho;Lee, Byung-Kook
    • Korean Journal of Community Nutrition
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    • v.12 no.4
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    • pp.440-448
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    • 2007
  • The objective of this study is to determine the effectiveness of 16-month milk consumption as a part of the health promotion community program for women in Asan. Subjects included 313 women belonging to the milk group (mean age = 69.1, range $47{\sim}89 y$) and 66 women to the control (mean age=43.6, range $20{\sim}69 y$) group. For those in the milk group, one cup (200 ml) of partially lactose-digested low-fat milk was provided everyday for 16 months. Each subject was interviewed to assess calcium intake by a 24-h recall after fasting blood was obtained for analyzing bone turnover markers, and calcaneus broadband ultrasound attenuation (BUA) was measured by quantitative ultrasound (QUS) on the left heel before and after the milk supplementation. After 16 months, the calcium intake levels changed from 55% of recommended dietary allowance (RDA) to 85% RDA in the milk group and from 73% RDA to 84% RDA in the control group. BUA were reduced from $67.9{\pm}8.1$ to $64.7{\pm}17.5$ dB/MHz for milk and from $90.4{\pm}13.0$ to $87.2{\pm}15.2$ dB/MHz for control groups. Paired t-test showed the changes of BUA for both groups (-3.24 and -3.15 dB/MHz for milk and control groups, respectively) were significant, but the two groups did not show any differences in absolute changes. When post-BUA was analyzed after age, initial BUA and menopausal status were controlled as covariates in ANCOVA model, the milk group showed significantly (p < 0.05) smaller changes than the control group (-3.50 vs -6.71 dB/MHz, respectively). According to a multiple regression analysis, milk consumption and initial BUA showed significant interaction meaning that those with lower initial BUA showed higher milk effects. We conclude that one-cup a day milk consumption for 16 month can prevent further bone loss and significantly improve calcium intake.

The Chemical Components of Korean Rice Germ (국산 쌀배아의 이화학적 성분)

  • Choi, One-Kyun;Yun, Seung-Kil;Hwang, Seong-Yun
    • Journal of the Korean Society of Food Culture
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    • v.15 no.4
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    • pp.253-258
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    • 2000
  • The chemical components of Korean rice germ were analyzed. Proximate compositions of rice germ were as follows; crude lipid 21.18%, crude protein 16.50%, crude fiber 2.95%, crude ash 6.23% and carbohydrate 44.45%. Free sugar compositions were as follows; fructose 50.20mg/100g, glucose 68.80mg/100g, maltose 569.00mg/100g. Major amino acids of rice germ are glutamic acid (1920.9mg/100g), arginine (1503.7mg/100g), aspartic acid(1208.7mg/100g) and leucine (1039.7mg/100g). Fatty acid compositions of rice germ lipid extracted by chloroform-methanol (2:1) were palmitic (22.2%), linoleic acid (38.9%), oleic acid (24.7%) and palmitic acid (22.2%). Mineral elements were phosphorus (1766.22mg/100g) and potassium (1217.80mg/100g). Vitamins were composed of Vit E (11.96mg/100g) Vit B1 (5.69mg/100g) and niacin (2.96mg/100g). 16 flavonoids and 9 phenolic acids in rice germ were not detected. Above the chemical components of rice germ were compared with that of rice endosperm and wheat germ.

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Aromatase Inhibition and Capecitabine Combination as 1st or 2nd Line Treatment for Metastatic Breast Cancer - a Retrospective Analysis

  • Shankar, Abhishek;Roy, Shubham;Rath, Goura Kishor;Julka, Pramod Kumar;Kamal, Vineet Kumar;Malik, Abhidha;Patil, Jaineet;Jeyaraj, Pamela Alice;Mahajan, Manmohan K
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6359-6364
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    • 2015
  • Background: Preclinical studies have shown that the combination of an aromatase inhibitor (AI) and capecitabine in estrogen receptor (ER)- positive cell lines enhance antitumor efficacy. This retrospective analysis of a group of patients with metastatic breast cancer (MBC) evaluated the efficacy and safety of combined AI with capecitabine. Materials and Methods: Patients with hormone receptor-positive metastatic breast cancer treated between 1st January 2005 and 31st December 2010 with a combination of capecitabine and AI were evaluated and outcomes were compared with those of women treated with capecitabine in conventional dose or AI as a monotherapy. Results: Of 72 patients evaluated, 31 received the combination treatment, 22 AI and 19 capecitabine. The combination was used in 20 patients as first-line and 11 as second-line treatment. Mean age was 46.2 years with a range of 28-72 years. At the time of progression, 97% had a performance status of <2 and 55% had visceral disease. No significant difference was observed between the three groups according to clinical and pathological features. Mean follow up was 38 months with a range of 16-66 months. The median PFS of first-line treatment was significantly better for the combination (PFS 21 months vs 8.0 months for capecitabine and 15.0 months for AI). For second-line treatment, the PFS was longer in the combination compared with capecitabine and Al groups (18 months vs. 5.0 months vs. 11.0 months, respectively). Median 2 year and 5 year survival did not show any significant differences among combination and monotherapy groups. The most common adverse events for the combination group were grade 1 and 2 hand-for syndrome (69%), grade 1 fatigue (64%) and grade 1 diarrhoea (29%). Three grade 3 hand-foot syndrome events were reported. Conclusions: Combination treatment with capecitabine and AI used as a first line or second line treatment was safe with much lowered toxicity. Prospective randomized clinical trials should evaluate the use of combination therapy in advanced breast cancer to confirm these findings.

사각형강목의 끝자루를 이용한 트롤어구의 어획선택성 연구 ( 2 ) - 다이아몬드형강목과 사각형강목의 선택성비교 - ( Studies on the Selectivity of the Trawl Net With the Square Mesh Cod-End ( 2 ) - Comparison of Diamond and Square Mesh Cod-End - )

  • Kim, Sam-Kon;Lee, Ju-Hee;Park , Jeong-Sik
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.30 no.3
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    • pp.172-181
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    • 1994
  • The mesh selectivity of diamond and suare mesh cod-ends at the Southern Korean Sea and the East China Sea were compared for Pampus argenteus, Trachurus japonicus, Trichiurus lepturus. Selection trials were carried out using diamond and square mesh cod-end by trouser type cod-end with cover net. of which the mesh cod-end has four types : A(51.2mm), B(70.2mm), C(77.6mm), D(88.0mm). Selection curves and selection parameters were calculated using a logistic model. The results obained are summarized as follows : 1. Harvest fish : In B. C and D type selection range and fifty percent selection length of the square mesh were about 21mm, 11mm : 12mm, 18mm and 34mm, 5mm higher than those of the diamond mesh, respectively. Selection factor of master curve for the diamond mesh was 1.54 and for the square mesh was 1.68. The optimum mesh size for the diamond mesh was 97.4mm and for the square mesh was 89.3mm, the difference was 8.1mm. 2. Horse mackerel : In A type, selection range was nearly the same for the diamond and the square mesh, but fifty percent selection length of the square mesh was 43mm higher than the diamond mesh. In B. C and D type, selection range and fifty percent selection length of the square mesh were about 6mm, 3mm : 24mm, 21mm and 11mm, 42mm higher than those of the diamond mesh, respectively. Selection factor of master curve for the diamond mesh was 2.37, for the square mesh was 2.77. The optimum mesh size for the diamond mesh was 78.1mm and for the square mesh was 66.8mm, the difference was 11.3mm. 3. Hair tail : In A, B and C type, selection range of the square mesh was about 34mm, 8mm, 60mm higher than those of the diamond mesh. Fifty percent selection length for the diamond mesh was about 5mm, 7mm, 8mm higher than that of the square mesh. Selection factor of master curve for the diamond mesh was 3.11, for the square mesh was 3.48. The optimum mesh size for the diamond mesh was 64.3mm and for the square mesh was 57.5mm, the difference was 6.8mm.

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사각형강목의 끝자루를 이용한 트롤어구의 어획선택성 연구 ( I ) - 사각형강목의 어획선택성 - ( Studies on the Selectivity of the Trawl Net With the Square Mesh Cod-End ( 1 ) - Selectivity of the Square Mesh Cod-End - )

  • Lee, Ju-Hee;Kim, Sam-Kon;Kim, Jin-Kun
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.30 no.3
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    • pp.161-171
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    • 1994
  • Mesh selection analysis for the trawl net were carried out at the Southern Korean Sea and the East China Sea during the 1992-1994 years by the training ship Seabada of the National Fisheries University of Pusan, using A type (51.2mm), B type (70.2mm), C type (77.6mm), D type (88.0mm) square mesh cod-ends. The fishing trials were made using bottom trawl of the trouser type cod-end with cover net. Selection curves and selection parameters were calculated by a logistic model for Sphyraena pinguis, Pampus argenteus, Trachurus japonicus, Pagrus major, Callanthias japonicus, Trichiurus lepturus. The results obtained are summarized as follows: 1. Red barracuda : Selection range and fifty percent selection length in the A type was 115.8mm, 292.8mm, respectively. 2. Harvest fish : Each selection range and fifty percent selection length in the B. C. and D type was 37.7mm, 113.8mm : 40.1mm, 131.7mm and 64.8mm, 148.6mm, respectively. Selection parameters of master curve were : slope, 3.81 : intercept, -6.4. Optimum mesh size was 89.3mm. 3. Horse mackerel : Each selection range and fifty percent selection length in the A, B, C and D type was 43.0mm, 148.3mm : 60.7mm, 183.2mm, 214.5mm and 91.4mm, 254.9mm, respectively. Selection parameters of master curve were : slope 2.30 : intercept, -6.4. Optimum mesh size was 66.8mm. 4. Red seabrem : Selection range and fifty percent selection length in the D type was 42.7mm, 203.4mm, respectively. 5. Yellowsail red bass : Selection range and fifty percent selection length in the A type was 84.0mm, 110.6mm, respectively. 6. Hair tail : Each selection range and fifty percent selection length in the A, B and C type was 59.7mm, 176.0mm : 100.9mm, 250.7mm and 178.6mm, 307.0mm, respectively. Selection parameters of master curve were : slope, 1.54 : intercept, -5.4. Optimum mesh size was 57.5mm.

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Pharmacological Characterization of (10bS)-1,2,3,5,6,10b-hexahydropyrrolo[2,1-a]isoquinoline Oxalate (YSL-3S) as a New ${\alpha}_2$-Adrenoceptor Antagonist

  • Chung, Sung-Hyun;Yook, Ju-Won;Min, Byung-Jun;Lee, Jae-Yeol;Lee, Yong-Sup;Jin, Chang-Bae
    • Archives of Pharmacal Research
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    • v.23 no.4
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    • pp.353-359
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    • 2000
  • ${\alpha}_2$-Adrenoceptor antagonists, which can enhance synaptic norepinephrine levels by blocking feedback inhibition processes, are potentially useful in the treatment of disease states such. as depression, memory impairment, impotence and sexual dysfunction. (10bS)-1,2,3,5,6,10b-Hexahydropyrrolo[2,1-a]isoquinoline oxalate (YSL-3S) was evaluated in several in vitro biological tests to establish its pharmacological profile of activities as an ${\alpha}_2$-adrenoceptor antagonist. Saturation binding assay revealed that$^{3}[H]$rauwolscine bound to the $\alpha$$_2$-adrenoceptors with a Kd value of 6.3$\pm$0.5 nM and a Bmax value of 25l$\pm$39 fmol/mg protein in rat cortical synaptic membranes. Competitive binding assay showed that YSL-3S inhibited the binding of$^3[H]$rauwolscine (1 nM) in a concentration-dependent manner with a Ki value of 98.2$\pm$12.1 nM while it did not inhibit the binding of [$^3$H]cytisine (1.25 nM) to neuronal nicotinic cholinergic receptors. The Ki values of yohimbine, clonidine and norepinephrine for $^3[H]$rauwolscine binding were 15.8$\pm$1.0, 40.1$\pm$5.9 and 40.0$\pm$11.5 nM, respectively. In addition, the binding affinity of YSL-3S for ${\alpha}_2$-adrenoceptors was higher than that of its antipode and the racemic mixture. The functional activity of YSL-3S at the presynaptic ${\alpha}_2$-adrenoceptors was assessed using the prostatic portion of the rat vas deferens. Clonidine inhibited field-stimulated contractions of the vas deference in a dose-dependent manner. The presence of YSL-3S or yohimbine caused a parallel, rightward the dose-response curve of clonidine in a dose-dependent manner, indicating an antagonistic action at the presynaptic ${\alpha}_2$-adrenoceptors. The $pA_2$values of yohimbine and YSL-3S were 7.66$\pm$0.13 and 6.64$\pm$0.18, respectively. The results indicate that YSL-3S acts as a competitive antagonist at presynaptic ${\alpha}_2$ -adrenoceptors with a potency approximately ten times lower than yohimbine, but is devoid of binding affinity for neuronal nicotinic cholinergic receptors.

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The Effects of Rehabilitation Treatment on the Immune Cells and Cortisol Levels of Stroke Patients (뇌졸중 환자의 재활치료가 면역세포와 Cortisol에 미치는 영향)

  • Oh, Dong Sun
    • Korean Journal of Clinical Laboratory Science
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    • v.47 no.2
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    • pp.90-95
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    • 2015
  • The purpose of this study was to investigate the effects of exercise through an in-hospital rehabilitation program on the enhanced immunity of immune cells and on the reduction of serum Cortisol, an indicator of physiological stress responses, among stroke patients. The 25 subjects were put to the program for two years from March 2, 2013 to February 28, 2015. The experimental group included 13 stroke patients from S and C Hospital in Gwangju, and the control group was composed of 12 common people. The findings were as follows: there were no significant differences in T cells between the experimental group with $69.18{\pm}11.78%$ and the control group with $70.75{\pm}6.33%$; there were significant differences in B cells between the experimental group ($12.95{\pm}3.74%$) and the control group ($16.27{\pm}3.49%$). Furthermore, there were no statistically significant increases of NK cells between the experimental group ($21.98{\pm}8.98%$) and the control group ($15.72{\pm}5.07%$) with p<0.05, though the values for the experimental group did rise. While there was elevated Cortisol before exercise in the experimental group (p<0.05), which recorded $13.65{\pm}6.85%$ before and $9.90{\pm}4.66%$ after, there were no differences in the control group, which recorded $11.635{\pm}4.02%$ before and $12.64{\pm}2.30%$ after exercise. The present study also found continued exercise through an in-hospital rehabilitation exercise program increased differences in NK and T cells before and after exercise in the experimental group and thus had effects on enhanced immunity. Meanwhile, differences in Cortisol before and after exercise in the experimental group decreased, which indicates that the continued exercise was effective in reducing stress.