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Analysis of the Continuity of Outpatient among Adult Patients with hypertension and its Influential Factors in Korea (우리나라 성인 고혈압환자의 외래진료 지속성과 이에 영향을 미치는 요인 분석)

  • Son, Kyung-Ae;Kim, Yoon-Shin;Hong, Min-Hee;Jeong, Mi-As
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.6
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    • pp.2161-2168
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    • 2010
  • The administration data of the national health insurance and health insurance bills were utilized in this study. The data of 485,953 patients who were at the age of 30 and up and used the out-patient departments of every medical institution located in some regions involving two southern and northern provinces once or more during a 184-day period from July to December, 2008. As a result of analyzing their Continuity of Ambulatory Care and factors affecting it, the following findings were given: The continuity of ambulatory care among the adult patients with hypertension in our country turned out to be on a high level(MMCI $0.96{\pm}0.13$, MFPC $0.96{\pm}0.12$). Given examining the outpatient medical-cure continuity level according to index, the averagely medical-cure continuity level was calculated to be high level with MMCI, $0.96{\pm}0.13$, and MFPC $0.96{\pm}0.12$. Thus, the tendency of visiting only one medical provider was high. The findings of the study illustrated that the average continuity of ambulatory care among the adult patients with hypertension in our country was on a high level, and it seemed that special care should be provided to patients with a low-level continuity of ambulatory care, such as women and elderly people aged 64 and over. The findings of the study are expected to serve as one of the barometers for the health care of patients with hypertension and for the performance of national hypertension management plans.

Floristic Study of Jingangsan (Ganghwa-gun), Korea (진강산(강화군)의 관속식물상)

  • Kim, Jung-Hyun;Park, Sung-Ae;Yoon, Chang-Young
    • Korean Journal of Plant Resources
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    • v.29 no.2
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    • pp.189-203
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    • 2016
  • This study was carried out to investigate the flora of Jingangsan Mt. (Ganghwa-gun). The vascular plants identified during the 11 round field surveys were a to total of 560 taxa: 114 families, 336 genera, 495 species, 7 subspecies, 53 varieties, 4 forms and 1 hybrid. A high plant diversity were Poaceae (11.0%), Asteraceae (10.8%), Cyperaceae (8.8%), Rosaceae (4.6%) and Lamiaceae (4.3%) in regular order. The four taxa of Korean endemic plants such as Viola seoulensis Nakai, Salix koriyanagi Kimura ex Goerz, Hemerocallis hakuunensis Nakai and Polygonatum infundiflorum Y. S. Kim, B. U. Oh & C. G. Jang were collected. The vascular plants on the red list according to IUCN evaluation basis were found to be four taxa: Near Threatened (NT) species of Delphinium maackianum Regel, and Not Evaluate (NE) species of Mosla japonica (Benth. ex Oliv.) Maxim., Carex paxii Kük. and Polygonatum infundiflorum Y. S. Kim, B. U. Oh & C. G. Jang. The floristic regional indicator plants found in this area were 28 taxa comprising two taxa of degree IV, three taxa of degree III, eight taxa of degree II, and 15 taxa of degree I. In addition, the naturalized plants were identified as 44 taxa and the percentage of naturalized index (NI) was 7.9%, and Urbanization Index (UI) was 13.7%.

Daily Treatment with Traditional Korean Medicine and a Longer Hospitalization Period Aids Recovery in Patients with Lower Back Pain Sustained in Road Traffic Accidents

  • Noh, Je-Heon;Lee, Sun-Ho;Kim, Hyun-Joong;Jeong, Wu-Jin;Kim, Min-Young;Kim, Sun-A;Roh, Ji-Ae;Bae, Young-Chun;Kim, Bo-Hyun
    • Journal of Acupuncture Research
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    • v.35 no.2
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    • pp.88-94
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    • 2018
  • Background: Length of hospitalization for patients with lower back pain sustained in road traffic accidents was assessed clinically. Methods: In total, 170 patients with lower back pain injury sustained in road traffic accidents, were included in the study. They were divided into 2 groups: Group A with a shorter hospitalization period (1-7 days) and Group B with a longer hospitalization period (8-14 days). Each group was treated daily with traditional Korean medicine including: acupuncture, herbal acupuncture, herbal decoction medicine, and chuna treatment. To compare the treatment effects between the 2 groups, health-related quality of life, Oswestry disability index, and numeric rating scale were used. Statistical analysis between the 2 groups was assessed using Chi-square test, independent t test, and paired t test. Results: After hospitalization, Group A and Group B both showed a significant increase in their health-related quality of life scores and significant decreases in Oswestry disability index and numeric rating scale scores. In addition, Group B, with a longer hospitalization period than Group A, showed a significant improvement over Group A in its health-related quality of life and numeric rating scale scores. Conclusion: This study suggests that control of pain caused by lower back injury sustained in a road traffic accident, may be more effectively achieved in patients receiving 8-14 days of hospitalization and traditional Korean medicine treatment, compared to those receiving < 7 days of hospitalization treatment. In the future, more systematic and large-scale studies are needed to ascertain the effects of other variables.

Comparison of IVF-ET Outcome after Various Therapeutic Approaches for Ovarian Endometriomas (난소의 자궁내막종에 대한 다양한 치료적 적용에 따른 체외수정 및 배아이식술 결과의 비교 연구)

  • Lee, Bang-Hyun;Kwon, Hyuck-Chan;Lee, Jae-Hyun;Kim, Bo-Hyun;Lee, Sang-Hee;Park, Min-Hye;Lee, Byung-Kwan;Lim, Jung-Ae
    • Clinical and Experimental Reproductive Medicine
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    • v.31 no.2
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    • pp.95-103
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    • 2004
  • Objective: To compare COH characteristics and IVF outcomes among IVF-ET patients who were treated with various therapeutic modalities for ovarian endometriomas and to propose effective pre-cyclic therapeutic modalities to improve IVF-ET outcomes in the patients with ovarian endometriomas. Methods: All cases that had undergone IVF-ET after laparoscopy between January 1997 to August 2003 were reviewed. Forty-eight patients with tubal factor were assigned to Group I. Twenty seven, 22 and 38 patients diagnosed as severe pelvic adhesion with ovarian endometriomas by laparoscopy received only medical therapy (Group II), cyst aspiration (Group III), and sclerotherapy (Group IV), respectively. Laparoscopic cystectomy was performed in 20 patients (Group V). Resistance index was measured on day administering hCG. Results: As compared with Group I, in Group II resistance index increased (p<0.05) but number of oocytes, good-quality oocyte ratio (mature and intermediate oocytes/total retrieval oocytes), fertilization rate, and embryo development rate decreased (p<0.05). In Group III fertilization rate and embryo development rate decreased (p<0.05). There was no difference between Group IV and Group I in all parameters except basal FSH which increased (p<0.05). In Group V basal FSH, and resistance increased (p<0.05) and number of oocytes and good-quality oocytes ratio decreased (p<0.05). Conclusion: Sclerotherapy is an effective therapeutic option which can be done prior to IVF-ET cycles in the patients with ovarian endometriomas. Further studies on a large scale are necessary to confirm these data.

Growth Comparison of the Pacific Oyster Spat, Crassostrea gigas, by Three Different Suspended Time Around Coast of Gyeongnam (수하시기에 따른 참굴 인공종묘의 성장 비교)

  • Lee, Jeong-Mee;Park, Ae-Jeon;Cho, Sang-Man;Park, Kyung-Dae
    • The Korean Journal of Malacology
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    • v.24 no.2
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    • pp.109-119
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    • 2008
  • In order to investigate the possibility of yearly-harvest, we carried out growth experiment(shell height, meat weight and condition index) for of the artificial oyster spat, which suspended in three different times before the season for natural spat around coastal waters of Gyeongnam Province. Shell growth of spats suspended in June showed higher than those in April and May. In meat weight, the growth of spats was significantly elevated from October, of which significant difference was observed depending on growing farms(Gosung$\geq$80 mm) and October on the meat weight level($\geq$5 g).

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A Study on Physicochemical Characteristics of Frozen Mulberry Fruit and the Quality and Sensory Characteristics of Bagel with Different Drying Conditions of Mulberry Powder (냉동오디의 이화학적 특성과 건조조건을 달리한 오디 분말을 첨가한 베이글의 품질과 관능적 특성에 관한 연구)

  • Lee, Min-Ae;Byun, Gwang-In
    • Culinary science and hospitality research
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    • v.19 no.2
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    • pp.40-51
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    • 2013
  • In this study, frozen mulberries were dried with the methods of freeze-drying and hot-air drying and powdered to make healthy functional bagels by adding 0% (control), 1%, 3%, 5%, and 7% of mulberry powder. After measuring the general ingredients, physiochemical property, total polyphenol content and DPPH radical scavenging of frozen mulberries, the physiochemical property test and sensory test of manufactured bagels were carried out. The pH of the bagels appeared to be higher in the group with the addition of hot-air dried mulberry powder than in the group with the addition of freeze-dried mulberry powder. Luminosity (value L) and yellowness index (value b) appeared to be higher in the group with the addition of hot-air dried mulberry powder than in the group with the addition of freeze-dried mulberry powder. Redness index (value a) appeared to be higher when freeze-dried mulberry powder was added than when hot-air dried mulberry powder was added. Hardness showed a significant difference in the group with the addition of freeze-dried mulberry powder while the group with the addition of hot-air dried mulberry powder showed the opposite result. Elasticity did not have any significant difference in the group with the addition of hot-air dried mulberry powder while it showed a significant difference in the group with the addition of freeze-dried mulberry powder. Cohesiveness did not show any significant difference and gumminess showed the tendency of decrease as the added quantity of freeze-dried mulberry powder and hot-air dried mulberry powder increased. The preference of the group with the addition of 5% freeze-dried mulberry powder and the group with the addition of 3% hot-air dried mulberry powder appeared to be the highest.

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Apoptotic response to various apoptotic inducers on cultured HCE cells (여러 가지 apoptosis 유도 물질의 각막 상피세포에 대한 apoptosis 유도 반응)

  • Kim, Jai-Min;Kim, Soon-Ae;Yoo, Geun-Chang;Seo, Eun-Sun
    • Journal of Korean Ophthalmic Optics Society
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    • v.8 no.1
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    • pp.65-71
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    • 2003
  • The corneal epithelium is constantly being shed. The mechanism of corneal desquamation is not fully understood. Apoptosis, programmed cell death, may play a role. Apoptosis can be induced by a number of factors and different mechanisms. The study was performed to examine the apoptotic index induced in human corneal epithelial cells maintained in tissue culture by various apoptotic inducers. Various inducers, recombinant human cytokines($INF{\gamma}$, $TNF{\alpha}$, FASAb), actinomycin D. camptothecin, cycloheximide, dexamethasone and etoposide, were purchased from commercial suppliers. Inducers at manufacturer-recommended concentration were added to the corneal epithelial cells for 48 hours. Cell viability was measured using MTT assay. The cells were then assessed for the level of apoptosis. Morphologic changes and quantification of apoptotic cells were determined and counted under fluorescence microscope after inducers-treated human corneal epithelial (HCE) cells for 48 hours with Hoechst 33342 staining. Annexin V-FITC/PI staining and DePsipher assay. The expression of Fas protein was studied by immunocytochemistry. All inducers induced apoptosis in HCE cells in a dose dependent manner. Actinomycin D. camptothecin and etoposide induced apoptosis at lower than manufacturer-recommended concentration, while cytokines, cycloheximide and dexamethasone induced apoptosis at higher concentrations at the end of 48 hours. All inducers elicited typical apoptotic morphologic changes (chromatin condensation, nucleus fragmentations non-orange-red colored mitochondria) and expresses Fas protein highly. Apoptotic index of HCE cells by these inducers was different from the other cell lines. RNA synthesis inhibitor and topoisomerase inhibitors induced apoptosis at lower concentration than manufacturer-recommended concentration. Cytokines, cycloheximide and dexamethasone were able to produce apoptosis at 10 times higher concentrations. RNA synthesis inhibitor and topoisomerase inhibitors are more sensitive than intracellular receptor-activators in apoptotic induction of HCE cells.

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Genetic Diversity of Endophytic Fungi Isolated from the Roots of Halophytes Naturally Growing in Suncheon Bay (순천만에 자생하는 염생식물의 뿌리로부터 분리된 내생진균의 유전적 다양성)

  • Seo, Yeong-Gyo;Kim, Mi-Ae;You, Young-Hyun;Yoon, Hyeok-Jun;Woo, Ju-Ri;Lee, Gyeong-Min;Kim, Jong-Guk
    • The Korean Journal of Mycology
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    • v.40 no.1
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    • pp.7-10
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    • 2012
  • Endophytic fungi were isolated from the roots of halophytes, Suaeda japonica and Carex scabrifolia in the Suncheonbay. The ITS region in rDNA of 15 endophytic fungal strains were amplified using PCR with universal primers ITS1 and ITS4, and those amplified fragments were sequenced. Based on ITS sequence, five fungal genera were identified in S. japonica and seven fungal genera were identified in C. scabrifolia. The Shannon's diversity index (H') of endophytic fungi isolated from S. japonica and C. scabrifolia was 1.561 and 1.889, respectively. In phylogenetic analysis, it was shown that Ascomycota and Pezizomycotina was widely distributed both in S. japonica and C. scabrifolia. Also, Sordariomycetes, Dothideomycetes and Eurotiomycetes were shown to be distributed in these halophytes used in this experiment.

Effects of NaCl/H3PO4 Flame Retardant Treatment on Lyocell Fiber for Thermal Stability and Anti-oxidation Properties (NaCl/H3PO4 내염화 처리가 라이오셀 섬유의 열 안정 및 내산화 특성에 미치는 영향)

  • Kim, Eun Ae;Bai, Byong Chol;Jeon, Young-Pyo;Lee, Chul Wee;Lee, Young-Seak;In, Se Jin;Im, Ji Sun
    • Applied Chemistry for Engineering
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    • v.25 no.4
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    • pp.418-424
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    • 2014
  • The improved thermal stability and anti-oxidation properties of Lyocell fiber were studied based on flame retardant treatment by using NaCl/$H_3PO_4$ solution. The optimized conditions of flame retardant treatment were studied on various maxing ratio of NaCl and $H_3PO_4$ and the mechanism was proposed through experimental results of thermal stability anti-oxidation. The IPDT (integral procedural decomposition temperature), LOI (limited oxygen index) and $E_a$ (activation energy) increased 23, 30 and 24% respectively via flame retardant treatment. It is noted that thermal stability and anti-oxidation improved based on char and carbon layer formation by dehydrogenation and dissociation of C-C bond resulting the hindrance of oxygen and heat energy into polymer resin. The optimized conditions for efficient flame retardant property of Lyocell fiber were provided using NaCl/$H_3PO_4$ solution and the mechanism was also studied based on experimental results such as IDT (initial decomposition temperature), IPDT, LOI and $E_a$.

Reproductive Cycle of the Abalone, Haliotis discus discus Collected from Jeju Island of Korea (한국산 둥근전복, Haliotis discus discus의 생식주기)

  • Kim, Jae Won;Lee, Byeong Wook;Kang, Ju-Chan;Min, Eun Young;Won, Seung-Hwan;Lim, Han Gyu;Kang, Seung Wan;Jeon, Mi Ae;Lee, Jung Sick
    • The Korean Journal of Malacology
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    • v.31 no.1
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    • pp.21-26
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    • 2015
  • This study histologically describes the gonadal development and reproductive cycle of the abalone, Haliotis discus discus inhabiting Jeju Island of Korea. Gonads displayed histologically definitive seasonal changes. The gonad index (GI) of both females and males was the highest (3.2 and 3.3) in September and was the lowest (1.7 and 1.4) in January and February. Egg diameter increase from early stage in March and reach about $180{\mu}m$ to ripe stage in August. The condition index (CI) was highest in July and lowest in May. The pattern of changes in the GI, egg diameter and CI were similar to the pattern of seasonal changes in gonadal tissues. The female ratio (F/F + M) was 59% (n = 182:127). The reproductive cycle was divided into an inactive stage (January-February), early active stage (March-April), late active stage (May-July), ripe stage (August-October) and spent and degenerative stage (November-January). The main spawning period of H. discus discus was August to October at Jeju Island in 2014.