• Clinical and Experimental Pediatrics
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• v.56 no.2
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• pp.52-59
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• 2013

Cardiomyopathy (CMP) is a heterogeneous disease caused by a functional abnormality of the cardiac muscle. CMP is of 2 major types, dilated and hypertrophic, and is further classified as either primary or secondary. Secondary CMP is caused by extrinsic factors, including infection, ischemia, hypertension, and metabolic disorders. Primary CMP is diagnosed when the extrinsic factors of secondary CMP are absent. Furthermore, the World Health Organization, American Heart Association, and European Cardiology Association have different systems for clinically classifying primary CMP. Primary CMP is rare and associated with a family history of the disease, implying that genetic factors might affect its incidence. In addition, the incidence of CMP varies widely according to patient ethnicity. Genetic testing plays an important role in the care of patients with CMP and their families because it confirms diagnosis, determines the appropriate care for the patient, and possibly affects patient prognosis. The diagnosis and genetic identification of CMP in patients' families allow the possibility to identify novel genes that may lead to new treatments. This review focuses on the epidemiology, pathophysiology, diagnosis, and treatment of CMP, with the aim of providing pediatricians with insights that may be helpful in the early identification and management of idiopathic CMP in children.

• Korean Circulation Journal
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• v.48 no.12
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• pp.1033-1080
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• 2018

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in the general population. The Korean Heart Rhythm Society organized a Korean AF Management Guideline Committee and analyzed all available studies regarding the management of AF, including studies on Korean patients. This guideline is based on recent data of the Korean population and the recent guidelines of the European Society of Cardiology, European Association for Cardio-Thoracic Surgery, American Heart Association, and Asia Pacific Heart Rhythm Society. Expert consensus or guidelines for the optimal management of Korean patients with AF were achieved after a systematic review with intensive discussion. This article provides general principles for appropriate risk stratification and selection of anticoagulation therapy in Korean patients with AF. This guideline deals with optimal stroke prevention, screening, rate and rhythm control, risk factor management, and integrated management of AF.

• Journal of Korean Biological Nursing Science
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• v.15 no.3
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• pp.133-138
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• 2013

Purpose: The purpose of this study was to compare the metabolic syndrome (MS) risk factors, physical activity, and diet habits, between the fifties and sixties in postmenopausal women. Methods: Two hundred and thirty subjects were recruited from the volunteers of a tertiary care hospital located in an urban city of South Korea. MS was defined by the criteria of the American Heart Association, the National Heart, Lung, and Blood Institute, and the International Diabetes Federation, and obesity was determined by waist circumference ${\geq}85cm$. Results: During fifty and sixty years of age, the prevalence of MS was 19.7% and 30.6%, respectively. The waist circumference, triglyceride, blood pressure, and fasting serum glucose levels were significantly higher in the MS group than in the non-MS group during their fifties and sixties. For participants in their sixties, the pulse pressure and fasting serum glucose levels were significantly higher in the MS group than in the non-MS group. Physical activity was significantly lower in the MS group than in the non-MS group in their sixties. Conclusion: These results show that nurses should focus on increased physical activity for patients their sixties, especially MS patients for the improvement of MS risk factors.

• Journal of Korean Academy of Nursing
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• v.39 no.3
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• pp.311-320
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• 2009

Purpose: This study was to analyze research reports published in Korea on cardiac rehabilitation for patients with cardiovascular disease. Methods: Based on inclusion criteria, 19 research reports were included in this review. Published year of selected articles was between 1996 and 2008. Nineteen studies were analyzed by guidelines of the cardiac rehabilitation programs done by the American Heart Association(AHA) and Scottish Intercollegiate Guidelines Network(SIGN). Results: The characteristics of patients were mostly of ischemic heart disease, 50-59 yr old, and male. Educational sessions were administered twice, and each lesson lasted less than 30 min. Exercise was done 3 times per week for 6 weeks. Most educational content were about risk factors, but there was no information, such as coping with feelings. Most exercise was performed as ROM, treadmill, and cycle ergometer. A large percentage of outcome indicators were health behavior, hemodynamic changes, and exercise capacity. There was more 'no effect' than 'positive effect' in trait anxiety and depression, whereas similar in physiologic domain. Conclusion: Various types of cardiac rehabilitation in Korea were performed by researchers. Therefore, we need to develop the standard protocol, to add psychosocial intervention, and to study cost effectiveness of cardiac rehabilitation.

• Biomedical Science Letters
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• v.23 no.4
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• pp.348-354
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• 2017

TyG (triglyceride and glucose) index using triglyceride and fasting blood glucose is recommended as a useful marker for insulin resistance. The present study evaluated the usefulness of TyG index in diagnosing metabolic syndrome and suggested an optimal cut-off value. The subjects of this study were adult 4,415 adults aged 20 to 80 years who underwent health screening at J General Hospital from January 2016 to January 2017. Metabolic syndrome was based on AHA/NHLBI (American Heart Association/National Heart, Lung, and Blood Institute) criteria. TyG index correlated with metabolic syndrome risk factors including HOMA-IR. Compared with the participants in the lowest quartile of TyG index, odds ratios and 95% confidence intervals for metabolic syndrome were 8.5 (3.005~23.903), 20.0 (17.190~23.407) for those in the third, and the fourth quartile of TyG index. The optimal cut-off value of the metabolic syndrome was 8.81 for TyG index (sensitivity 86.7%, specificity 80.1%) and area under the ROC curve (AUC) was 0.894. In conclusion, TyG index is effective to identify individuals at risk for metabolic syndrome.

• Journal of the Korean Society of School Health
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• v.24 no.1
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• pp.1-11
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• 2011

Purpose: This study is a non-equivalent control group pre-post design, which attempted to observe the effects of Basic Life Support Education on undergraduate students' CPR Knowledge and Attitude. Methods: The subjects were 96 undergraduates in Jeonbuk. They were divided into two groups: an experimental group of 46 students and a control group of 50 students. The BLS education was given by three BLS instructors certified by the American Heart Association using a DVD. Data were collected from October 20 to November 15, 2010 and analyzed, using the ${\chi}^2$ test, t-test, and ANCOVA. Results: There were significant differences between the experimental group and the control group in the levels of CPR Knowledge and Attitude. The 1st hypothesis, that the CPR knowledge scores for the experimental group would be higher than those of the control group, was supported (F=157.58, p=.000). The 2nd hypothesis, that the CPR attitude scores for the experimental group would be higher than those of the control group, was supported (F=23.78, p=.000). Conclusion: This study showed that BLS education had a positive influence on undergraduate students' knowledge and attitudes toward CPR. We expect that BLS education will contribute to spreading knowledge of CPR and reducing mortality among heart attack victims, and we can see from this study how CPR training in combination with theory and clinical practice develops knowledge and practical ability.

• Biomedical Science Letters
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• v.25 no.3
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• pp.256-266
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• 2019

In this study, obese adults were compared for their ability to predict obesity and lipid related variables and their optimal cutoff values to predict metabolic syndrome and insulin resistance. In this study, 9,256 adults aged 20 years or older and less than 80 years old, who were in the Gyeonggi region from January 2014 to December 2016 and who were examined at a general hospital, were enrolled. The diagnostic criteria for obesity were WHO (World Health Organization), and BMI $25kg/m^2$ or more presented in the Asia-Pacific region. Metabolic syndrome was diagnosed based on the criteria of American Heart Association / National Heart, Lung, and Blood Institute (AHA / NHLBI). According to the results of receiver operating characteristic curve (ROC) analysis, Triglyceride / HDL-cholesterol (TG / HDL-C), Triglyceride and Glucose (TyG) index, lipid accumulation product (LAP) and visceral adiposity index (VAI) showed high predictive power for diagnosing metabolic syndrome. The diagnostic accuracy of LAP (AUC: 0.854) for males and VAI (0.888) for females was the highest. The optimal cutoff value of LAP was 42.71 for male and 35.44 for female, and the cutoff value of VAI was 1.92 for male and 2.15 for female. In addition, WHtR (waist to height ratio), TyG index, and LAP were used as predictors of insulin resistance in obese adults. Therefore, LAP and VAI were superior to other indicators in predicting metabolic syndrome in obese adults.

• English & American cultural studies
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• v.16 no.2
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• pp.89-110
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• 2016

Since he was an exile, Henry James himself was well aware of agonies as an outsider in either Europe or America. Such an anguish is deftly depicted in the character of Felix Young with James's unique ironic tone. Unlike James, however, Felix is neither affluent nor distinguished as an artist. Nor is he supported by any patron. Furthermore, at first, he doesn't seem to survive the strict joyless environment in New England, but he possesses his own survival value. His unique esthetic value and his beautiful smile enable him to win Gertrude's heart. His adroit balance between pleasure-seeker and respect for American serious culture without hostility ultimately ends up with his marrying Gertrude. His arrival in Boston might pose a threat as Mr. Wentworth fears. Actually he subverts the traditional idea of an artist. He is armed with amiability and frankness, which are incongruous with a stereotypical idea of an artist: a willful, freakish, and self-righteous person. Felix here suggests to us that a new kind of modern art be possible. Gertrude is also a new woman who opposes to staying put under the patriarchal society. She is always wavering in and out of the house, searching for opportunities to quench her curiosity to see the world by breaking the bond of New England. Her ceaseless quest for independent values results in fortuitous encounter with a new species of artist Felix. Unlike Henry James's other novels, in which male characters assume a role of sophisticated "fortune-hunter," the union of Felix and Gertrude in The Europeans represents the compromise between two different cultures. According to Nietzsche, the birth of superman is possible by the union of Athens and Jerusalem. In other words, the matrimony of Felix and Gertrude means the commingling of his liberal arts and Gertrude's moral seriousness might contribute to the birth of the new culture.

• English & American cultural studies
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• v.17 no.1
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• pp.129-162
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• 2017

Ruth Ozeki(Japanese-American female novelist)?s recent novel, A Tale for the Time Being (2013) draws our attention because the fiction shows very interesting fictional experiments, especially in terms of post-humanism. Indeed, the novel is not a science fiction at all which has been, and still is, the typical fictional field employed in the discussion for the transhumanism and posthumanism. It also does not include any cybogs, robots, or aliens which provoke the posthumanism-related issues like mind/body, human/nonhuman, nature/culture relations. Indeed, it seems "merely" represent realistic day-to-day lives of ordinary people living in contemporary Japan and Canada, and in very minute and particular details at that. Indeed, the central action of the main characters of the novel seems very traditional, that is on the one hand writing a diary by a teenage girl who is counting the days and weeks before her suicide and on the other hand reading it by a female novelist who happens to find her diary several years later. Nevertheless, I would like to suggest that underneath this traditional narrative surface are simmering post-humanist and post-anthropocentric worldviews beyond liberal Humanism which takes human beings to be exceptional against human or non-human others. Not only in narrative contents and characterizations but also through narrative structure and strategies, the novel enacts post-humanist and post-anthropocentric worldviews which are interestingly drawn from both age-old Buddhist ideas and modern eco-philosophy and quantum physics. I would like to stress that what triggers the author's fictional experiments helping our rethinking and redefining "what human beings are" and "what the relation between humans and nonhumans" is not merely intellectual interests but her keen and passionate response to the heart-breaking pains and sufferings of human and nonhuman beings caused by the contemporary natural-artificial catastrophes and techno-scientific predicaments.

• Journal of Nutrition and Health
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• v.2 no.4
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• pp.155-165
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• 1969

This experiment was conducted from the latter part of June through the first part of October 1969 by picking up 30 among the patients hospitalized at the department of internal medicine of the Seoul National University Hospital, who were under low sodium diet fording. By applying 1,000mg sodium diet that the author invented for feeding, the result of measurement made daily on 24 hours urine sodium shows an average of 58.1 mEq/L (average 76.799mEq/24hr). The sodium restrict diet menu (Table 4 and Table 5) was made due to table for food exchange list by American Heart Association and especially the 3 and 4, sample meal plan was applicable to that of Korean.