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Incidence and Risk Factors of Contrast-Induced Nephropathy after Bronchial Arteriography or Bronchial Artery Embolization

  • Song, June Seok;Kim, Sa Il;Kim, Woongjun;Park, Dong Won;Kwak, Hyun Jung;Moon, Ji-Yong;Kim, Sang-Heon;Kim, Tae Hyung;Sohn, Jang Won;Shin, Dong Ho;Park, Sung Soo;Yoon, Ho Joo
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.4
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    • pp.163-168
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    • 2013
  • Background: In uncontrolled hemoptysis patient, bronchial arteriography and bronchial artery embolization (BAE) is a important procedure in diagnosis and treatment. The aim of this study is to assess the incidence of contrast-induced nephropathy and the risk factors of contrast-induced nephropathy (CIN) after bronchial arteriography and BAE. Methods: We retrospectively reviewed the medical records of the patients who underwent bronchial arteriography and BAE in two university hospitals from January 2003 to December 2011. CIN was defined as rise of serum creatinine more than 25% of baseline value or 0.5 mg/dL at between 48 hours and 96 hours after bronchial arteriography and BAE. We excluded patients who already had severe renal insufficiency (serum creatinine${\geq}4.0$) or had been receiving dialysis. Results: Of the total 100 screened patients, 88 patients met the enrollment criteria. CIN developed in 7 patients (8.0%). The mean duration between the exposure and development of CIN was $2.35{\pm}0.81$ days. By using multivariate analysis, serum albumin level was found to be significantly associated with the development of CIN (p=0.0219). Conclusion: These findings suggest that the incidence of CIN was higher than expected and patients with hypoalbuminemia should be monitored more carefully to prevent the development of CIN after bronchial arteriography and BAE.

A Study on Activation of Oriental Medicine in Public Health Sector : The role of Oriental Public Health Physicians (한방 공공의료의 활성화에 관한 연구 - 공중보건 한의사의 활동을 중심으로 -)

  • Yi Sang-Gu;Moon Ok-Ryun;Piao Song-Lin;Lee Shin-Jae;Yoon Tae-Ho;Jeong Baek-Geun;Wen Yong
    • Journal of Society of Preventive Korean Medicine
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    • v.4 no.1
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    • pp.1-16
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    • 2000
  • From 1998, Oriental Medical Physicians(OMP) is distributed in Public Health Sector. but long term plan for Oriental Medicine in Public Health is not existed. So, this study is designed for the activation of OMP Subjects in this study were comprised 3 groups of oriental medicine related persons, the group of which are Students of 11 Oriental Medical Schools, Oriental Medical Physicians in Public Health Sector, Specialist Croup of Oriental medicine Policy(total 1,458 persons). Data were collected from July 1st to November 30, 1999. Direct interview with key persons, systematic interview by using of interview protocol, e-mail and facsimile have been conducted. The results of survey were coded by Excel 5.0, and analysed with SAS 6.12 statistical package. Inter-group difference determined by T-test, and descriptive statistics have been examined. Major findings can be epitomized as follows. 1) OMP disposition to multifarious organizations and institutes such as Public Health Centers, Public Health Sub-centers, Public Hospitals, Private Hospitals in Remote-Vulnerable Area, Community Social Welfare Centers, Institutes for Heath Policy Research, etc, will promise an effective use of Oriental Medical Physician. 2) Average number of patients treated by OMP was 22.8, average budget for oriental medical department, in which OMP were affiliated, was 39.6 million Won per year. Direct cost per every patient visit was 7,210.9 Won, which is considered expensive for public health service. Therefore, development and transformation for Oriental Medical Service in Public Health Sector is desirable in economic and political aspects. 3) It is recommended that ${\ulcorner}Advisory\;Committee{\lrcorner},{\ulcorner}Planning\;Commission\;for\; Public\;Health\;in\;Oriental\;Medicine{\lrcorner}$ should be established for the activation and for the support of Oriental Medical Physician in Public Health Sector, 4) Most effective programmes for oriental public health doctor are health service programmes for the elderly, Home health visit, chronic degenerative disease control services(p<0.001). 5) Standard guideline for facilities and equipments of Oriental Medicine Department in Public Health Center is needed for optimal supply of resources and activation of public health activity.

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4-O-Methylhonokiol Protects HaCaT Cells from TGF-β1-Induced Cell Cycle Arrest by Regulating Canonical and Non-Canonical Pathways of TGF-β Signaling

  • Kim, Sang-Cheol;Kang, Jung-Il;Hyun, Jin-Won;Kang, Ji-Hoon;Koh, Young-Sang;Kim, Young-Heui;Kim, Ki-Ho;Ko, Ji-Hee;Yoo, Eun-Sook;Kang, Hee-Kyoung
    • Biomolecules & Therapeutics
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    • v.25 no.4
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    • pp.417-426
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    • 2017
  • 4-O-methylhonokiol, a neolignan compound from Magnolia Officinalis, has been reported to have various biological activities including hair growth promoting effect. However, although transforming growth factor-${\beta}$ (TGF-${\beta}$) signal pathway has an essential role in the regression induction of hair growth, the effect of 4-O-methylhonokiol on the TGF-${\beta}$ signal pathway has not yet been elucidated. We thus examined the effect of 4-O-methylhonokiol on TGF-${\beta}$-induced canonical and noncanonical pathways in HaCaT human keratinocytes. When HaCaT cells were pretreated with 4-O-methylhonokiol, TGF-${\beta}1$-induced G1/G0 phase arrest and TGF-${\beta}1$-induced p21 expression were decreased. Moreover, 4-O-methylhonokiol inhibited nuclear translocation of Smad2/3, Smad4 and Sp1 in TGF-${\beta}1$-induced canonical pathway. We observed that ERK phosphorylation by TGF-${\beta}1$ was significantly attenuated by treatment with 4-O-methylhonokiol. 4-O-methylhonokiol inhibited TGF-${\beta}1$-induced reactive oxygen species (ROS) production and reduced the increase of NADPH oxidase 4 (NOX4) mRNA level in TGF-${\beta}1$-induced noncanonical pathway. These results indicate that 4-O-methylhonokiol could inhibit TGF-${\beta}1$-induced cell cycle arrest through inhibition of canonical and noncanonical pathways in human keratinocyte HaCaT cell and that 4-O-methylhonokiol might have protective action on TGF-${\beta}1$-induced cell cycle arrest.

The Effect of Ear Reflexotherapy on Back Pain of Working Women in Middle Age (귀 자극요법 적용이 중년 여성 근로자의 요통에 미치는 효과)

  • Park, Kyung-Sook;Ha, Eun-Ho;Kim, Yu-Na;Kwon, Soo-Jin;Ru, Lee-Jung;Song, Ju-Hyun;Woo, Yong-Wha;Lee, Jae-Yeon;Chun, In-Hee;Kang, Hyun-Kyung;Park, Hee-Jung;Lee, Eun-Joo;Lee, Jae-On
    • Journal of muscle and joint health
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    • v.17 no.1
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    • pp.14-24
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    • 2010
  • Purpose: The purpose of this study was to investigate the effect of ear reflexotherapy on back pain of working women in middle age. Methods: The quasi-experimental, nonequivalent control group pretest-posttest design was used for the study. Total of 56 participants composed of experimental group (n=26) and control group (n=30), who were working in four hospitals in urban area. The degree of back pain after ear reflexotherapy was measured by VAS. The data were analyzed by frequency, percent, t-test and $X^2$-test. Results: The degree of back pain after ear reflexotherapy in the experimental group was significantly reduced, while there was no difference in control group. There was a significant difference between the experimental group and control group in the degree of back pain after ear reflexotherapy (t=3.702, p=.001). Conclusion: Application of ear reflexotherapy was effective for employed women in middle age and it needs to be further evaluated among the other population.

Proteome Analysis of Chicken Embryonic Gonads: Identification of Major Proteins from Cultured Gonadal Primordial Germ Cells

  • Lee, Sang-In;Han, Beom-Ku;Park, Sang-Hyun;Kim, Tae-Min;Sin, Sang-Soo;Lee, Young-Mok;Kim, Hee-Bal;Lim, Jeong-Mook;Han, Jae-Yong
    • Proceedings of the Korea Society of Poultry Science Conference
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    • 2005.11a
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    • pp.66-67
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    • 2005
  • The domestic chicken (Gallus gallus) is an important model for research in developmental biology because its embryonic development occurs in ovo. To examine the mechanism of embryonic germ cell development, we constructed proteome map of gonadal primordial germ cells (gPGC) from chicken embryonic gonads. Embryonic gonads were collected from 500 embryos at 6 day of incubation, and the gPGC were cultured in vitro until colony formed. After 7-10 days in cultured gPGC colonies were separated from gonadal stroma cells (GSCs). Soluble extracts of cultured gPGCs were then fractionated by two-dimensional gel electrophoresis (pH 4-7). A number of protein spots, including those that displayed significant expression levels, were then identified by use of matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) mass spectrometry and LC-MS/MS. Of the 89 gPGC spots examined, 50 yielded mass spectra that matched avian proteins found in on-line databases. Proteome map of thistype will serve as an important reference for germ cell biology and transgenic research.

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An Analysis on the Vibration Characteristic of a Automobile at the Sudden Change of an Accelerator under Traveling (주행중 가속페달의 급조작시 승용차의 진동 특성 해석)

  • 홍동표;정태진;김상수
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 1994.04a
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    • pp.76-81
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    • 1994
  • 승용차에 있어 엔진의 공회전시나 주행중에 발생하는 여러 형태의 진동 및 소음의 저감은 승차감 및 차량의 안정성에 있어 중요한 과제가 되고 있다. 이러한 소음, 진동은 주로 엔진에서 발생하는 토크의 비주기적인 변동성분이 클러치(clutch), 변속기(transmission), 구동축을 거쳐 바퀴로 전달되는 과정에서 발생한다. 셔플(shuffle)은 주행중 가속페달(accelerator)을 급조작(tip-in, tip-out)하였을 때 차량이 전후로 과도적으로 울렁거리는 종진동 현상을 말하며, 이것은 가속페달의 급조작으로 인해 엔진토크가 큰 변동을 일으키고, 동력전달계를 통해 타이어에 전달된 이 토오크는 타이어축에서 구동측으로 역토오크를 발생시키기 때문에 발생한다. 여기서 팁-인(tip-in)이란 승용차를 저속으로 운전하다가 갑자기 가속페달을 밟는 경우를 말하며, 팁-아웃(tip-out)은 반대로 고속상태에서 갑자기 가속페달을 떼는 경우를 말한다. 실험과 시뮬레이션을 사용한 자동차 동력전달계의 비틀림 진동에 대한 연구는 이미 여러 연구자들에 의해 보고되었다. H.Arai은 2자유도 비선형 모델을 사용하여 클러치 접속시 발생하는 외란과 계의 안정성을 고려하여 시뮬레이션을 수행하였고, M.Kataoka는 기어의 공차(clearance)를 고려한 변속기의 강제 비틀림 진동을 실험과 시뮬레이션을 통하여 해석하였다. 그리고, Wu Hui-Le는 자동차 동력전달계의 비틀림 진동 현상을 실험과 이론적인 계산을 통해 연구하였고, R.J.Comparin는 치타음의 발생구조와 특성을 고찰하고 비서형 비틀림 공진 저감에 의한 치타음 저감 기법에 대하여 연구하였다. 또한 G.J.Fudala는 다자유도 모델을 이용하여 클러치의 비틀림 특서엥 따라 주파수분석을 수행하여 치타음 저감 방법을 연구하였고, T.Sakai는 5자유도 모델을 이용하여 엔진 공회전시 발생하는 치타음에 대해 이론과 실험을 통해 해석하고, 엔진 회전수 변동, 클러치 특성, 변속기의 드래그(drag) 토크의 영향과 치타음 저감을 위한 개선된 클러치 특성을 제시하였다. 이 외에도 Thomas C.T.와 E.P.Petkus는 특정 차량에 대한 동력전달계의 비틀림 진동 현상에 대해 연구하였다. 이러한 연구들로 볼 때, 자동차 동력전달계에서 발생하는 진동은 이론과 실험을 통해 그 해석이 가능하며 설계에 매우 유용하게 이용되고 있음을 알 수 있다. 따라서, 본 연구는 4 실린더 4 싸이클 1.5 L 엔진을 장착한 경승용차의 실차 주행실험을 통해 가속 페달의 급조작에 따른 차체의 종진동 현상을 측정하고, 엔진-변속기-타이어-차체의 반환정계 4자유도 진동모델로 시뮬레이션을 수행하여 실차 주행실험의 결과치와 비교, 분석한 후 클러치 비틀림 특성을 비롯한 자동차 동력전달계의 각 설계인자들이 차체의 종진동에 어떠한 영향을 미치는가를 해석하고자 한다.

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The Study on the Sale Form Selection in the Sale and Purchase of Second Hand Ships (중고선박 매매계약의 선택기준에 대한 연구)

  • Cho, Jae-Kee;Kim, Junseung;Park, Keun-Sik
    • Journal of Korea Port Economic Association
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    • v.36 no.1
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    • pp.59-76
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    • 2020
  • The purpose of this study is to analyze the factors of the main selection criteria of the contract form used to conclude the sales contracts of used ships and to assist parties in selecting the most suitable contract form for trading situations. The methods of the study are based on identifying the factors from the questionnaires using analytic hierarchy process analysis, following the selection of typical details through interviews with the S&P Broker Group and finding the solutions that match each detail. The analysis shows that ship traders prefer the Norwegian Sales Form (NSF) to NIPPONSALE for various reasons. Considering the sellers' situations, NFS is the more reasonable option for major countries, except Japan. NIPPONSALE is relatively more focused on the advantages of the buyer's conditions, including for Japan. It is important to select the appropriate clauses from these types of contract, according to the trading conditions, including the main and additional terms, in order to create a mutual agreement between the shipper and the consignee that leads to more cooperation and balances the purposes of both parties in adjusting the time for securing and disposing of the vessels.

The Effect of Leukemia Inhibitory Factor on Embryos to the Blastocyst Formation (Leukemia Inhibitory Factor가 배의 배포형성에 미치는 영향)

  • Min, Bu-Kie;Oh, Soo-Mi;Kim, Kie-Suk;Hong, Gi-Youn;Kim, Hun-Young;Sim, Jea-Ryang;Park, Seung-Teak
    • Clinical and Experimental Reproductive Medicine
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    • v.28 no.1
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    • pp.41-46
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    • 2001
  • Objective: To determine the effects of leukemia inhibitory factor (LIF) on embryonal development in in vitro culture. Methods: This is designed in vitro model using eggs from mouse. The eggs from mouse were assigned 29 for control group, 53 for 20 ng/ml of LIF, 88 for 40 ng/ml of LIF, 68 for 80 ng/ml of LIF respectively for in vitro fertilization. And 26 fertilized eggs at 2 cell stage from mouse also were assigned. The mouse embryos of all groups were cultured in medium supplemented with LIF in different concentrations, whereas the eggs in control group was cultured in medium without supplement of LIF. Results: At 72 hours culture of eggs from in vitro fertilization, there was a slight increas in rate of embryonal development to morula in both LIF-20 and LIF-40 as results of 64.15% and 75% respectively, while 42.65% in inferior rate of LIF-80, compare with 51.72% in control group. But the difference between these each groups were not significant in statistically ($p{\le}0.05$). And after 96 hours culture of eggs, the rates blastocyst formation was significantly higher in both LIF-20 and LIF-40 as 56.6% and 63.63% than those in control and LIF-80 as 44.83% and 35.29% respectively. On culturing eggs from in vivo fertilization, the rates of blastocyst formation was significantly not only higher as 85% and 81.81% respectively in medium supplemented with LIF-40 and LIF-80 than 42.3% in LIF-20 but also embryonal cell viability were remakedly improved at 96 hours after culture. Conclusion: The LIF in low dose is embryotrophic, but LIF in high dose is embryotoxic on eggs from in vitro fertilization. Whereas on culturing eggs from in vivo fertilization, LIF is more beneficial with dose dependent in high concentration.

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Geological structure of the Ogcheon belt in the Buunnyeong area, Mungyeong, Korea (문경 부운령지역에서 옥천대의 지질구조)

  • ;原郁夫;宮本隆實
    • The Journal of the Petrological Society of Korea
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    • v.10 no.2
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    • pp.82-94
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    • 2001
  • The main geological structure of the Ogcheon belt in the Buunnyeong area, Mungyeong, which consists of three stratigraphic sequences, Joseon and Pyeongan Supergroups and Daedong Group, is characterized by the development of ESE-vergence structural unit (Dangok unit) and WNW-vergence structural units (Samsil and Bugongni units) onto an autochthonous unit (Buunnyeong unit). Three phases of deformation are recognized in this area. The lent phase of deformation coourred under the WNW-ESE compression, forming an upright-open fold (Buunnyeong-I fold) with NNE axial trend in the Buunnyeong unit. The second phase of deformation also under the WNW-ESE compression formed the Dangok, Samsil and Bugongni units, resulting in the further closing of the Buunnyeong-I open fold, the elongation of pebbles in the conglomerate rocks of a basal sequence of the Daedong Group, recumbent folds (Buunnyeong-II fold) and drag folds (Dangok fold) with NNE axial trend in the Buunnyeong and Dangok units, respectively. The third phase of deformation formed kink folds with its axis p1unging subvertically. The first and second phases of deformation took place before and after the deposition of the Daedong Group of the Upper Triassic -Lower Jurassic, respectively. These first two deformation events, which occurred under the same WNW-ESE compressional field, produced the regional NNE trend of geological structure in the Joseon and Pyeongan Supergroups of this area.

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Carbohydrate, Amino Acid and Phenolic Contents of Rice Leaves in Relation to Adult-Plant Resistance to Leaf Blast (벼 잎의 탄수화물, 아미노산, 페놀화합물 함량과 잎 도열병에 대한 성체식물 저항성과의 관계)

  • Hwang Byung Kook;Kim Ki Deok
    • Korean Journal Plant Pathology
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    • v.3 no.2
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    • pp.93-99
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    • 1987
  • Six rice cultivars showing various types of resistance or susceptibility to Pyricularia oryzae in the field were used to study the relationship between susceptibility and contents of carbohydrates, amino acids and phenolics at different plant maturities and leaf ages under controlled environmental conditions. No consistent differences between the susceptible cultivars and adult-plant-resistant cultivars were found in terms of the contents of individual carbohydrates, total amino acids and phenolics in rice leaves throughout the plant development. Only the adult-plant-resistant cultivar Dobong had lower contents of inositol throughout the plant development than the other cultivars. The amounts of sucrose, inositol, glucose, and fructose increased in all tested cultivars at eight leaf stage than those at five leaf stage, but slightly decreased at twelve leaf stage. In contrast, total amino acids and phenolics gradually decreased during plant development. With increasing age of rice leaves, the amounts of total soluble amino acids and phenolics gradually increased in healthy fifth leaf tissues, although there were no significant differences between the cultivars. In particular, a high level of phenolics existed in old fifth leaves of the cultivar Dobong. These results suggest that increased resistance to blast of matured rice plants and old leaves may be the two different phenomina derived from the physiological changes occurring during plant development and leaf senescence, probably functioning differently in P. oryzae development.

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